HomeMy WebLinkAboutBlde-21-006895 or Commonwealth of Official Use Only
` ►,gE.;ar► Massachusetts Permit No. BLDE-21-006895
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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'5/27/2021
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 work described below.
Location(Street&Number) 115 SOUTH ST
Owner or Tenant MOYNIHAN JOHN F Telephone No.
Owner's Address MOYNIHAN JOANNE, 35 MINERAL SPRING AVE, LUDLOW, MA 01056
Is this permit in conjunction with a building permit? Yes 0 No 0
Purpose of Building Utility Authorization
Existing Service 100 Amps Volts Overhead 0 Undgrd es"
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
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 ❑ 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: MICHAEL J LEBLANC
Licensee: Michael J Leblanc Signature LIC.NO.: 17423
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 16 Westwind Cir, Osterville MA 026551375 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: $50.00
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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(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0504/202.1
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 115 South Street
Owner or Tenant _ John Moynihan Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. 5816729
Existing Service 100 Amps 120/ 240 volts Overhead IN Undgrd 0 No.of Meters 1
New Service 200 Amps 120/ 240 Volts Overhead® Undgrd 0 No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Remove 100amp overhead sprvire and panel
Install a 200amp overhead service and panel upgrade ground /water hnnd system
Completion of thefollowing,tuhle mva be waived by the inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Pool Above In- No.of l mergeney Llgnttng
No.of Luminaires Swimming grnd. ❑ grnd. ❑ Bette Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Gas Burners No.of Detection and
No.of Switches initiating Devices ,_
No.of Air Cond. Total No.of Alerting Devices
No.of Ranges No.
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting_Devices
Space/Area HeatingKW Local❑ Municipal 0 Other
No.of Dishwashers P Connection
Heating Appliances KW Security Systems:"
No.of Dryers No.of Devices or Equivalent
No.of Water
KW No. f No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP 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: 05/26/2021 Inspections 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 ® BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information path• Ikation is true and complete.
FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al
Licensee: Michael LeBlanc signature LIC.NO.: 17423 A
(If applicable,enter"exempt"in the license number line.) ��1y� Bus.Tel.No.:508-744_6]2R4
Address: 759 Falmouth Rd Suite 8 Mashpee MA 02649 Alt.Tel.No.: 74 4 5
*Per M.G.L.c. 147,s.57-61,security work 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,t hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent I PERMIT FEE:$
Signature Telephone No.