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Home My WebLink AboutBLDE-21-006873 Commonwealth of Official Use Only iPermit No. BLDE-21-006873 �, Massachusetts, %...' 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:5/26/2021 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 etectnca1 work described below. Location(Street&Number) 7 JUPITER LN Owner or Tenant Kaitlyn Jillson Telephone No. Owner's Address 7 JUPITER LN,SOUTH YARMOUTH, MA 02664 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(27 Panels 8.7 KW) Completion of the following At'le : iv1 h' Spector of Wires4,v No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ,� Total Trans : +, A No.of Luminaire Outlets No.of Hot Tubs Generato A No.of Luminaires SwimmingPool Above 0 in- ❑ No.of Emerg•• t' grnd. I rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS e D No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices VVV No.of Ranges No.of Air Cond. Total No.of Alerting Devices O 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: LLOYD R SMITH Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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: $150.00 CAS- LLB Commonwealth of KiJachtt.Jelb Official Use Only f /'7/1 � �, _; cc�� ec77 Permit No.�� p� ✓�] _.=�1— = 2eparfinent olf5tre Serviced r-c=_ I Occupancy and Fee Checked BOARD FIRE PREVENTION REGULATIONS OF •� I[Rev. U071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).5:7 CMR 12.00 (PLEASE PRINT IN INK OR i ALL INFORM Date: �-� -J1 f City or Town of: &Y M �� To the Inspector of Wires.- By this application the undersicned ves no ice of his or her intention to erform the electrical work described below. Location(Street& Numbri V V t i `C.—. Owner or Tenant I Telephone Nc 1a SS,i -.-. Owner's Address Q Is this permit in conjunctio with a building permit? Yea)‹._ No n (Check Appropriate Box) Purpose of Building ` 1 U �l 1 1 Utility Authorization No. Existing ServicttC� Amps 12 /gu Vo s Overhead 1 ✓ Undgrd U No.of Meters 1 New Service Amps / Volts Overhead n Undgrd 7 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Electrical Work: {{ 0.1.T ( p, 1 ns cit ion "T cy-lou in pho \1� -IC, i1 S 11S, R :a- Kt 22- pirtts 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 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ ❑ grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 El Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: co Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:1 .3 . (When required by municipal policy.) Work to Start: CD �� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 cov�e ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1' BOND ❑ OTHER ❑ (Specify:) I certify, under th,pains and penalties of per' rye,that the information on this ap 'cation is true and complete. FIRM NAME: V 1 V i In 2)1a,V /L v'�it,C� L, LIC. NO.: Licensee: IL,, ( l 1 e Signature LIC. NO.: 1 - (If applicable.enter "exempt"in the license number line.) Bus.Tel. No.: Address: OciS Klie.6 S 1,s 1 P t m o'rg`,) Alt.Tel. No.:3 \-Q5 `-1-11 *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, I hereby waive this requirement. I am the(check one) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PER/WIT FEE: $