HomeMy WebLinkAboutBlde-22-004203 o•
Commonwealth of Official Use Only
E. Massachusetts Permit No. BLDE-22-004203 4\
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.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:1/27/2022
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) 59 CAPT CHASE RD
Owner or Tenant STJOHN WILLIAM V Telephone No.
Owner's Address STJOHN REGINA, 16 CHAMPLAIN DR, HUDSON, MA 01749
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(22 Panels)
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
Initiatine Devices
No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertine 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 Ballasts Data Wiring:
Heaters Siens 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:
Licensee: Arden W.Lockwood Signature LIC.NO.: 56480
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:395 Lakeshore Drive, Sandwich MA 02653 Alt.Tel.No.: 5087767458
*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 my
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
mL.1)1r-- 120' Oeot4
1
c
* - Commonwealth of Ma.ddachuxffs • Official Use Only
'• �' 't Apart-mad
c ��
_ /!�= Apart-mad pi.}ire S Permit No. j�2
¢rvrces
{= Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/071
(leave blank)
ADP! (r+/trtrtit r,��- ----
" ` e x am ..-`iait v F Ri-vi'M ELEGIRICAL 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: Q e 2G'
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the widersigned gives notice of his or her intention to perform tie electrical work described below.
Location (Street&Number) C i ('.��s� f,,1
Owner or Tenant <<j -,,CS y� lid
Telephone No.
Owner's Address q„t/.C....- mac) Get v2
Is this permit in conjunction with a building permit? Yes No
❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service L (()Amps Qd/,29OVolts Overhead ❑ Undgrd L--- . 1
No.of Meters
New Service Amps / Volts Overhead❑ Undgrd gr E No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 7
00
c6b`
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 ly;mergency Lighting
gerred. LJ arnd. LI Battery Units
No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No. of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heatin KW Municipal
g 1Local❑ Connections
No.of Dryers Heating Appliances KW Security Systems:*
K
No.of Devices or Equivalent
No.of Water No.of
Heaters KW No.of Data Wiring:
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: 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 ❑ (Specify:)
I certify, under the pains and enalties of perjury, that the information on this application ' true nd complete.
FIRM NAME: A t �� fa 0 In-env LIC.NO.:
�JJ
Licensee: �--�—
r {X� �^ NX�0 Signatu LIC.NO.:y��
(If applicable, nter"exempt"i the license numb line.) Bus.Tel.No.:
Address: 93 to i s�ljt,L e'v\ /(4Ot AIL Tel No.;-------------—- -7y• t
J "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
S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent
' Signature Telephone No. I PERMIT FEE: $
War Mlr eea :err
meek NNW
saialaar
One-Line Electrical Diagram
•.• `
II �+�..� M Each Branch(typ)
b i { ( � (13) Each
Enphase IQ7+
MMr Mrs TI Mar ____ (13)Solar Modules LG 375
••Rer re.er •eroMr WerMMMe Factory Supplied Cabling
MY
Ow
Wear law Ix* *err
Mil" 'M ak eMr O„ ••• erlM MU
UM Each Branch(typ)
a [ } ( (5)Micro-inverters Enphase IQ7+
clear Me•. MYMs Mgr (5)Solar Modules LG 375
eeMerWw hag Mir eeMrWr grerWr Factory Supplied Cabling
t
Mir Ws, ` Wee ',. **iv _
ue de. eeawia er•rW a•• MOMMI wQr
WOEach Branch(typ)
c . (4)Micro-inverters Enphase IQ7+
HMIlrem eler. M� (4)Solar Modules LG 375
Factory Supplied Cabling
Imam eWnew T
ea
a
MOW
I.eiaeg fwNoeNM MIM►#rMAeeg
NC r.I.eM.er 3.eKOrrrreaeiiwedl---
Md SOW.TwerieM rseea pia
10EAC Warder.
/lla0AOmar
1 Ne•MM MIM Smak Oere aM WC,lilt
ONO Phomoinst Maw.
0 Maw Wein Hoe
barer Hr �ieM
/►swMr/ Ma-Mai
alb _. .......,..,. .Com.e.....# I
41011111111
Met�MART Mw
er/ 0 ORA
1`l '�+� NimCASA it eMiee
St.John
59 Captain Chase Rd,Yarmouth My GenerationEnergy
11/15/2/21