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Home My WebLink AboutBLDE-23-000890 SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE IF DESCRIPTION •SYSTEM SIZE:10585W DC,7600W AC •ALL WORK SHALL COMPLY WITH MA 9th Ed.CMR 780(2015 IRC/IBC/IEBC), r SOLAR MODULES PV-1.0 COVER SHEET •MODULES:(29)LONG!GREEN ENERGY TECHNOLOGY CO MUNICIPAL CODE,AND ALL MANUFACTURERS LISTINGS AND INSTALLATION SERVICE ENTRANCE LTD:LR4-60HPH-365M INSTRUCTIONS. L A ° 1 O D. ° PV-2.0 SITE PLAN •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2020. SE7600H-USSN MP MAIN PANEL 6 0 o ----a PV-3.0 LAYOUT •RACKING:RL UNIVERSAL,SPEEDSEAL TRACK ON COMP, •ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2020. SEE DETAIL SNR-DC-00436 , O.. PV-4.0 ELECTRICAL •PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOLIDLY SUB-PANEL SNR MOUNT 0 PV-5.0 SIGNAGE GROUNDED IN THE INVERTER.SYSTEM COMPLIES WITH 690.35. SNR MOUNT&SKIRT •MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. LC PV LOAD CENTER CHIMNEY •INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. SM SUNRUN METER •RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. ATTIC VENT •SNAPNRACK RACKING SYSTEMS,IN COMBINATION WITH TYPE I,OR TYPE II PM DEDICATED PV METER FLUSH ATTIC VENT MODULES,ARE CLASS A FIRE RATED. PVC PIPE VENT •RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL INV INVERTER(S) METAL PIPE VENT CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). T-VENT •CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). O AC DISCONNECT(S) _ SATELLITE DISH •ARRAY DC CONDUCTORS ARE SIZED FOR BERATED CURRENT. DC •11.43 AMPS MODULE SHORT CIRCUIT CURRENT. O DC DISCONNECT(S) FIRE SETBACKS •17.85 AMPS DERATED SHORT CIRCUIT CURRENT[690.8(a)&690.8(b)). CB IQ COMBINER BOX HARDSCAPE •PV INSTALLATION COMPLIES WITH THE NEC 2017 ARTICLE 690.12(B)(2). CONTROLLED CONDUCTORS LOCATED INSIDE THE ARRAY BOUNDARY ARE INTERIOR EQUIPMENT —PL— PROPERTY LINE LIMITED TO 80 VOLTS WITHIN 30 SECOND OF A RAPID SHUTDOWN INITIATION L J SHOWN AS DASHED SCALE NTS A AMPERE s u n r u n AC ALTERNATING CURRENT AFC' ARC FAULT CIRCUIT INTERRUPTER AZIM AZIMUTH VICINITY MAP COMP COMPOSITION #180120 DC DIRECT CURRENT (E) EXISTING TANDISH BLVD,TAUNTON,MA,02780-7331 ESS ENERGY STORAGE SYSTEM PHONE0B8 FAX EXT EXTERIOR INT INTERIOR CUSTOMER RESIDENCE MAG MAGNETIC JANET PURRIERLEWIS • MSP MAIN SERVICE PANEL 34 AMOS RD,YARMOUTH,MA, _ (N) NEW 02673 NTS NOT TO SCALE OC ON CENTER TEL.(774)368-3114 Y , ,. ; •, i,V, •x... PRE-FAB PRE-FABRICATED APNi YARM-000039-000167 PSF POUNDS PER SQUARE FOOT F 5 ,; Pirate} p PV PHOTOVOLTAIC PROJECT NUMBER: L e V'i a 1 I• j RSD RAPID SHUTDOWN DEVICE 223R-034PURR TL TRANSFORMERLESS DESIGNER: (415)560-6920 ex3 TYP TYPICAL BABLU KUMAR SAHU VOLTS • - W WATTS SHEET n., - _ •_,,1 REV NAME DATE COMMENTS COVER SHEET • REV:Al 8/14/2022 PAGE PV-1.0 SITE PLAN-SCALE-1/16" 1'41" ARRAY TRUE MAG PV AREA PITCH AZIM AZIM (SOFT) If�l� T AR-01 30° 217° 231° 294.1 - AR-02 30° 37° 51° 274.5 (N)ARRAY AR-02 4" 't OPM INV / NN,'/ AMP 4 / ,./ / . SE . /`,, 1<: )'' / -,..,,, „.„ ' \i / . ' 4' sunrun (N)ARRAY AR-01 .. (E)RESIDENCE #180120 '' 665 MYLES STANDSN BLVD,TAUNTON,MA,02780-7.1 PHONED \ CUSTOMER RESIDENCE: JANET PURRIERLEWIS • R' 34 AMOS RD,YARMOUTH,MA, '/ 02673 4" TEL.(774)368-3114 APN:YARM-000039-000167 14'04 , PROJECT NUMBER: Rp 223R-034PURR DESIGNER: (415)580 6920 ex3 BABLU KUMAR SAHU SHEET SITE PLAN REV:Al 8/14/2022 PAGE PV-2.O ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Name Type Height Type Max OC Detail Max Landscape Max Landscape Max Portrait Max Portrait Configuration MAX DISTRIBUTED LOAD:3 PSF Span Spacing OC Spacing Overhang 'OC Spacing Overhang SNOW LOAD:30 PSF RL UNIVERSAL,SPEEDSEAL TRACK ON WIND SPEED: AR-01 COMP SHINGLE-RLU 1-Story 2X8 RAFTERS 11'-3" 16" COMP,SEE DETAIL SNR-DC-00436 5'-4" 2'-1" 4'-0" 2'-0" STAGGERED 140 MPH 3-SEC GUST. S.S.LAG SCREWS: RL UNIVERSAL,SPEEDSEAL TRACK ON 5/16":2.5"MIN EMBEDMENT AR-02 COMP SHINGLE-RLU 1-Story 2X8 RAFTERS 11'-3" 16" COMP,SEE DETAIL SNR-DC-00436 5'-4" 2'-1" 4'-0" 2'-0" STAGGERED STRUCTURAL NOTES: • INSTALLERS SHALL NOTIFY D1-AR-01-SCALE:3/16"=1'-0" 10" 1'10" ENGINEER OF ANY POTENTIAL AZIM:217° STRUCTURAL ISSUES PITCH:30° 28-11 OBSERVED PRIOR TO PROCEEDING W/ 1_g INSTALLATION. F_ --- ff ---- -{7. -- -E} ----- -f3- ---- f3 --F3-, • IF ARRAY(EXCLUDINGSKIRT) !, !I IS WITHIN 12"BOUNDARY 1 REGION OF ANY ROOF PLANE ',. EDGES(EXCEPT VALLEYS), THEN ATTACHMENTS NEED ' TO BE ADDED AND OVERHANG 10'-3" • 5'-4"TYP REDUCED WITHIN THE 12" BOUNDARY REGION ONLY AS ❑ — ---- f7, FOLLOWS: .•ALLOWABLE ATTACHMENT SPACING INDICATED ON PLANS TO BE REDUCED BY ••ALLOWABLE OVERHANG 2'-10" INDICATED ON PLANS TO BE 1/5TH OF ALLOWABLE ATTACHMENT SPACING INDICATED ON PLANS D2-AR-02-SCALE:1/4"=1'-0" 10" AZIM:37° sun run PITCH:30° . . 28'-11" 1'-10". STRUCT ;•. 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Li {•_}- " CIVIL N // 2 eeS MYLES STANDISH BO TnuNTON.Mn,nano-»3l %°�" EPEO F�� FNCN F.O E o f.ONALENPS° CUSTOMER RESIDENCE: •, _0_ ,- JANET PURRIERLEWIS OS RD,YARMOUTH,MA, 02673 10'-3" • 6-4"TYP - I TEL.(774)368-3114 APN:YARM-000039-000167 PROJECT NUMBER: 223R-034PURR DESIGNER: (415)580-6920 ex3 IQ _... __—I -..._. .0 _.__ _. .0-. — ---_0._0 BABLUKUMARSAHU SHEET 2'1 LAYOUT REV:Al 8/14/2022 PAGE SEE SITE PLAN FOR NORTH ARROW PV-3.0 120/240 VAC SINGLE PHASE SERVICE M O METER#: EVERSOURCE 2304940 UTILITY GRID 0SUPPLY SIDE TAP 4 I EXISTING 100A (N)LOCKABLE BLADE TYPE (N)MA SMART SOLAREDGE TECHNOLOGIES: MAIN BREAKER FUSED AC UTILITY SE7600H-USSN WITH t DISCONNECT REVENUE REVENUE GRADE METERING I 3 METER 3 7600 WATT INVERTER JUNCTION BOX PV MODULES �--‘ EXISTING 2 OR EQUIVALENT 1 LONGI GREEN ENERGY TECHNOLOGY �� 100A MAIN O // CO LTD:LR4-0OHPH-365M Vim- -- M _ �-� 0/ (29)MODULES PANEL • OPTIMIZERS VMRED IN: FACILITY 40A FUSES I 4 1 (1)SERIES OF(15)OPTIMIZERS LOADS =T.. SQUARED 240V METER SOCKET LOAD RATED DC DISCONNECT (1)SERIES OF(14)OPTIMIZERS NOTE:TOTAL PV BACKFEED=40A D222NRB 100A CONTINUOUS WITH AFCI,RAPID SHUTDOWN L SOLAREDGE POWER OPTIMIZERS USED FOR INTERCONNECTION 3R,60A UTILITY SIDE OF CIRCUIT COMPLIANT P401 CALCULATIONS 120/24OVAC CONNECTS TO TOP LUGS- CALCULATIONS (LINE AT TOP LOAD AT BOTTOM) CONDUIT SCHEDULE # CONDUIT CONDUCTOR NEUTRAL GROUND • 1 NONE (4)10 AWG PV WIRE NONE (1)10 AWG BARE COPPER 2 3/4"EMT OR EQUIV. (4)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 S u n r u n 3 3/4"EMT OR EQUIV. (2)8 AWG THHN/THWN-2 (1)10 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 4 3/4"EMT OR EQUIV. (2)6 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 #180120 6.MYLES STANDISH BLVD,TAUNTON.MA,02780-76. PHONE 0 CUSTOMER RESIDENCE: JANET PURRIERLEWIS 34 AMOS RD,YARMOUTH,MA, 02673 MODULE CHARACTERISTICS P401 OPTIMIZER CHARACTERISTICS: TEL.(774)368-3114 LONGI GREEN ENERGY MIN INPUT VOLTAGE: 8 VDC APN:YARM-000039-000167 TECHNOLOGY CO LTD: MAX INPUT VOLTAGE: 60 VDC PROJECT NUMBER: LR4-60HPH-365M: 365 W MAX INPUT ISC: 11.75 ADC 223R-034PURR OPEN CIRCUIT VOLTAGE: 40.7 V MAX OUTPUT CURRENT: 15 ADC • MAX POWER VOLTAGE 34.2 V SHORT CIRCUIT CURRENT: 11.43 A DESIGNER: (415)580-6920 ex3 SYSTEM CHARACTERISTICS-INVERTER 1 BABLU KUMAR SAHU SYSTEM SIZE: 10585 W SHEET SYSTEM OPEN CIRCUIT VOLTAGE: 15 V ELECTRICAL SYSTEM OPERATING VOLTAGE: 400 V MAX ALLOWABLE DC VOLTAGE: 480 V REV:Al 8/14/2022 SYSTEM OPERATING CURRENT: 26.46 A SYSTEM SHORT CIRCUIT CURRENT: 30 A PAGE Pv-4.o INVERTER i NOTES AND SPECIFICATIONS: At •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2020 ARTICLE ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC DC DISCONNECT 110.2103),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690,OR IF REQUESTED BY THE LOCAL AHJ. MAXIMUM SYSTEM VOLTAGE 48o VDC •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE TERMINALS ON LINE AND LOAD WORDS,COLORS AND SYMBOLS. SIDES MAY BE ENERGIZED IN •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WRING LABEL LOCATION: METHOD AND SHALL NOT BE HAND WRITTEN. THE OPEN POSITION INVERTER(S),DC DISCONNECT(S). •LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT PER CODE(S):NEC 2020:690.53 INVOLVED. LABEL LOCATION: - •SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011,PRODUCT SAFETY AC/DCSIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. AC COMBIN), PANEL(IF APPLICABLE).P •DO NOT COVER EXISTING MANUFACTURER LABELS. AC COMBINER (IF PER CODE(S):NEC 2020:690.13(B) WARNING: PHOTOVOLTAIC A POWER SOURCE LABEL LOCATION: DUAL POWER SUPPLY INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, SOURCES:UTILITY GRID AT EACH TURN,ABOVE AND BELOW PENETRATIONS, ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. AND PV SOLAR ELECTRIC PER CODE(S):NEC 2020:690.31(0)(2),IFC 2012: SYSTEM 605.71.1.4 LABEL LOCATION: UTILITY SERVICE METER AND MAIN SERVICE PANEL. PER CODE(S):NEC 2020:705.12(C) RAP!D SHUTDOWN Spy V r C'H POWER SOURCE OUTPUT CONNECTION FOR SOLAR PV SYSTEM CAUTION . �ERCRELOCATE RE TAOE„CE LABEL LOCATION: MULTIPLE SOURCES OF POWER INSTALLED WITHIN 3' PID SHUT DOWN s u n r u n LABEL LOCATION: SNATCH PER CODE(IS)::NECN 202020:890.56(C)(2),IFC ADJACENT TO PV BREAKER AND ESS 2012:605.11.1,IFC 2018.1204.5.3 SOLAR PANELS ON ROOF OCPD(IF APPUCABLE). PER CODE(S):NEC 2020: /�/1 705.12(8)(3)2) 4,,. .✓/ L._... A SOLAR PV SYSTEM EQUIPPED #180120 PHOTOVOLTAIC SYSTEM WITH RAPID SHUTDOWN�.�. __ sHs urges STAND.e�m,rnur+rau,MA,oneo Ana, 6HONeo COMBINER PANEL FAX DO NOT ADD LOADS CUSTOMER RESIDENCE: LABEL LOCATION: JANET PURRIERLEWIS 34 AMOS RD,YARMOUTH,MA, PHOTOVOLTAIC AC COMBINER OF I 02673 APPLICABLE). 3" TURN RAPID SHUTDOWN MAIN PANEL (INT) PER CODE(S):NEC 2020:705.12(D)(2)(3)(c) rxaw TEL(774)368-3714 SWITCH TO THE"OFF POSITION TO SHUT DOWN ' _-1_ ___�.J APN:YARM-000039-000167 PV SYSTEM DISCONNECT PV SYSTEM AND REDUCE .— PROJECT NUMBER: MAXIMUM AC OPERATING CURRENT 31.67 AMPS SHOCK HAZARD IN THE Iii SERVICE ENTRANCE 223R-034PURR NOMINAL OPERATING AC VOLTAGE. 240 VAC ARRAY. DESIGNER: (415)580-6920 ex3 LABEL LOCATION: FUSED AC DISCONNECT BABLU KUMAR SAHU AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF __—- INTERCONNECTION. LABEL LOCATION: PV PRODUCTION METER SHEET PER CODE(S):NEC 2020:690.54 S I G NAG E ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE —INVERTER (EXT) DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECED. PER CODE(S)TNEC 2020'690.56(C) 34 AMOS RD, YARMOUTH, MA, 02673 REV:Al 6n412022 PAGE PV-5.0 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-23-000890 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:8/18/2022 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) 34 AMOS RD Owner or Tenant JANET PURRIERLEWIS Owner's Address 34 AMOS RD, WEST YARMOUTH, MA 02673 Telephone No. 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(29 Panels 10.585 KW) 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 gr bovend. ❑ grnd ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 Ton No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: Nathan A Ashe Licensee: Nathan A Ashe Signature LIC.NO.: 21136 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 166 Hunt Rd, Chelmsford MA 018243747 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$150.00 I cO `,, , � C.om+nonweatth of//laddachudettd Official Use Only i - j=r ® c� Permit No.�� 0 6) Ilfl Apartment e artment of ire Serviced Occupancy and Fee Checked e1S-1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]r (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: 08/16/2022 City or Town of: Yarmouth MA 02673 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) 34 Amos Rd, Yarmouth MA 02673 Owner or Tenant Janet Purrierlewis Telephone No. 774-365-3114 Owner's Address Same as Above AAA Is this permit in conjunction with a building permit? Yes ® No n (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120 /240 Volts Overhead ® Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of an interconnected Roof Mounted PV system 29 Panels, 10.585KwDC. No Battery Storage 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. Tonsl No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of WHeaters KW ater No.of 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:Roof Mounted Solar Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 14449.00 (When required by municipal policy.) Work to Start:ASAP 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 penalties of perjury,that the information o his application is true and complete. FIRM NAME: Sunrun Installation Services LIC.NO.:4316 Al Licensee: Nathan Ashe Signature I LIC.NO.:21136A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:978'594-3519 Address: 695 Myles Standish BLVD Taunton MA 02780 Alt.Tel.No.: *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. PERMIT FEE: $