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HomeMy WebLinkAboutBlde-20-004944 • Commonwealth of Official Use Only Iliikt Massachusetts Permit No. BLDE-20-004944 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/6/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical escribed below. Location(Street&Number) 33 OLD MAIN ST 'riOtk-ki (,il/t Owner or Tenant F Telephone No. Owner's Address C/O THIRTY THREE OLD MAIN ST LLC,71 NEARMEADOWS RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system. (36 panels 14.22 KW) 0 5'X Completion of the following t s, .m,i • , , e` c or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of T�al Transformers 6 A No.of Luminaire Outlets No.of Hot Tubs Generators to . ? No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Ligh grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zo No.of Switches No.of Gas Burners No.of Detection and O Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PAUL M TALLMADGE Licensee: Paul M Tallmadge Signature LIC.NO.: 21006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:817 MAIN ST, BREWSTER MA 026311032 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $250.00 C,ommonwea[tk o/maa+acLiells Official Use O�nl�y./ \e4 I. `t c� Permit No. C --00 .lii� .2)aparlm.enl o j ire Services i i=^' Occupancy and Fee Checked . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: lad N (q v City or Town of: WmK)%AI To the Ins ctor of Wires: By this application the undersigned gives n notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 3 O\, AAA A In iii- Owner or Tenant 30Vv,n PA;Mo Telephone No.$b%-70W-7.iPi Owner's Address 71 Ns►f Men 9,1 , Lii ye.1 rK0,0,0 h Is this permit in conjunction with a building permit? Yes 14. No ❑ (Check Appropriate Box) Purpose of Building CDMWv,re:a' WoJt\,o►aSib..‘ftLSS Utility Authorization No. Cti m - Existing Service A0O Amps 04O /a t'Volts Overhead Undgrd❑ No.of Meters ; New Service Amps J Volts Overhead Undgrd 0 No.of Meters i •, -f , Number of Feeders and Ampacity ,�, u Location and Nature of Proposed Electrical Work: .'" N i .l \ „�/ p Sd\er- QJ 1rts�e\1r. n - 1y.aak tJs I I.4 i -> ab (Inn ►n" 36 o Mi2ess ,gr.1Skr; 'Inner at- a a •(lurk fns i oro, �1 -; t completion of the followinyZtable may be waived by the Ins eaft Wire . No.of Totm luj t No.of Recessed Luminaires No.o Ceil.-Susp.(Paddle)Fans Transformers KV A 1 No. •f Luminaire Outlets No.of 'of Tubs Gener. i rs KV I ' No.of ► minaires Swimmin• ,ool Above ❑ In- ❑ No.of 5 ergency Lighting grnd. grnd. Battery 4 1 its No.of Rec• •tacle Outlets No.of Oil Bur••rs FIRE AL• ' IS No.of Zones No.of Switche• No.of Gas Burne • No.of Detech:n and Initiating ► •vices No.of Ranges No.of Air Cond. Total No.of AlertingD• ices Tons No.of Waste Disposers Heat Pump Number s W No.of Self-Contain• Totals: - - -K `". Detection/Alerting_De • es No.of Dishwashers Space/Area Heating KW Local❑ Municipal � r Connection No.of Dryers Heating Appliances t Security Systems:* No.of Devices or Equivalc No.of Water No.of No.ofKW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: S O\b4 \'J Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4 a,fpD— (When required by municipal policy.) Work to Start: 1 a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V� te RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NA. s LIC.NO.: .7(DblsA-- Licensee: fvM Signature LIC.NO.:ot I op(„ - (If applicable,enter "exempt"in tl license number line.) Bus.Tel.No.: VA-'7 37-?3 S`7 Address: Ed/NtLA 41—'i 1A►S//yam a26 4 j-- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-6l,security wolf requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No. ..COMMONWEALTH OFF N S HUS TS • •) • ► ELECTRICIANS ISSUES THE FOLLOWING LICENSE REGISTERED MASTEE ELECTRICIAN -� • PAUL M TALLMADG E2 SOLAR INC 817 MAV.ST m. BREWSTER,MA 026314032=" 21006,4' , 0T'l31/2022 >::>;::,.:; 631362 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER N\)"i Client#:18348 2E2S0 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT The Hilb Group of N.E.dba PHONE FAX Dowling O'Neil Insurance Agy E-MAILo.Ert):508 775-1620 (A/C,No): 5087781218 P.O.Box 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE mac S Hyannis,MA 02601 INSURER A:Liberty Mutual 23043 INSURED INSURER 8:Ohio Security Insurance Company 24082 E2 Solar,Inc. Jason Stoots _INSURER C: 72 Church Street INSURER D: West Barnstable,MA 02668 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIODIYYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY BKS2057290477 05/06/2019 05/06/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE (Ea RENTED $300,000 MED EXP(Any one person) $15,000 _ PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAS2057290477 05/06/2019 05/06/2020 CEOMat=tSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) 3 X A HIRUTEDOS ONLY X^ AUON-O ONLDD PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAB X OCCUR US02057290477 05/06/2019 05/06/2020 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I_XI RETENTION$10000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE _ ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED', N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ I It yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Job:Raimo Electric. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION John Raimo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33 Old Main St ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S250142/M235907 RPSW1 14.22 kWdc / 10 kWAC PHOTOVOLTAIC ARRAY o z (36) SUNPOWER 395 WATT MODULES, WITH SOLAREDGE 10KW § W HDWAVE AND P400 OPTIMIZERS: FLUSH MOUNTED ON ROOF z 3- E U - 6 EXT'G I UTILITY g a METER Z Q a -.t')U) TITLE: 200A ELEC. SUPPLY SIDE 2P MAX OUTPUT: (12)9UNPOWER CONNECTION Fi ONE LINE 11.85A DC P19.395-COM WITH (2)#10PV WIRE+#8 SOLAR EDGE 10000-H US FUSED%N DISCONNECTg 400V DC SOLAREDGE P400 OND 1S 100A 100A OPTIMIZERS IN SERIES iI 2P 2P (°''INTEGRATED DC s— co MAX OUTPUT: (12)SUNPOWER DISCONNECT i (13 4: E 11.85A DC P19-395-COM WITH (2)#10PV WIRE+#8 80 A PEAK IN ALT. !RTER n 1O u 400V DC SOLAREDGE P400 ND I co OPTIMIZERS IN SERIES J_ 400 Vdc 35.5 A /�\ 0A 2P 2255 _ N ROOFTOP J BOX (8)#10 THWN+ �_ 3 #8 THWN+ 3 #8 THWN+ 4 00 2P W E, (SOLADECK) #8 OND SP PEAK OUT- # kWh # kWh a MAX OUTPUT: (12)SUNPOWER >+ o 11.85A DC P19.795-COM WITH PUT 240 V / 240 V 400V DC SOLAREDGE P400 (2)#D10PV WIRE+p8T v 42 A Li CUSTOMER UTILITY AC OPTIMIZERS IN SERIES �NOWNED PRODUCTION DISCONNECT AND EXTMAIN 100A ao N UTILITY MAIN PANELS �/ METER SMART METER �i o `c OUTSIDE VISIBLE LOCKABLE W ACCESSIBLE 24/7 Pa: SUPPLY SIDE INTERCONNECTION Z E° WITH INSULATED WINN FEEDER TAPS QV GENERAL NOTES: 1. 200A METER MAIN FEEDING (2) 100 RATED MAIN PANELS. SUPPLY SIDE INTERCONNECTION BY WAY OF 60A Z • A RATED (60A FUSED) DISCONNECT AND INSULATED MAIN FEEDER TAPS. 2. SYSTEM IS GRID TIE ONLY; IT WILL NOT PRODUCE POWER IN THE EVENT OF GRID FAILURE. = a i 3. CONDUCTOR AWG SIZES SHOWN (#). GROUNDS ARE THE SAME SIZE, UNLESS NOTED OTHERWISE. m 4. ROOFTOP COMPONENTS GROUNDED BY#6 EGC. MODULE FRAMES ARE BONDED TO RACKING COMPONENTS .- THROUGH BONDING RACKING COMPONENTS. ALL METALLIC ROOF TOP COMPONENTS ARE BONDED TO RACKING DATE: COMPONENTS. ALL METALLIC EQUIPMENT ENCLOSURES BONDED TO THE MAIN SERVICE GROUND. 02.24.2020 6. INVERTERS ARE GFDI &ANTI-ISLANDING PROTECTED IN COMPLIANCE WITH UL1741. SHEET: 7. SOLAR EDGE OPTIMIZERS AND INVERTERS ARE COMPLIANT WITH 690.12 RAPID SHUTDOWN. 8. DEPENDING ON MANNER OF CONSTRUCTION ELECTRICIAN MAY OPT TO USE EQUALLY RATED ROMEX E- 1 - IN PLACE OF THWN AS SHOWN.