HomeMy WebLinkAboutBLDE-21-006746 11/ c� Official Use Only
ommonwealth of
E0Massachusetts Permit No. BLDE-21-006746
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:5/20/2021
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) 14 SMITH RD
Owner or Tenant Nahir Ojeda Telephone No.
Owner's Address
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: Installlation of solar PV system(13 Panels 4.550 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 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 In
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection 1
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: Matthew T Markham
Licensee: Matthew T Markham Signature LIC.NO.: 1136
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 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
Commonwealth o/ a3eacht�ettacial Use Only_
u-(o71 ► t - rl c� Permit No.
�l A 2epartmen.t o��ire Services
+ G Occupancy and Fee Checked
' i ` mow • �'�� ARD 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: MAY 18,2021
City or Town of: SOUTH 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) 14 SMITH ROAD
Owner or Tenant NAHIR OJEDA Telephone No. 339-545-1509
Owner's Address 14 SMITH ROAD,SOUTH YARMOUTH,MA 02664
Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box)
Purpose of Building Residential ! Utility Authorization No.
Existing Service 125 Amps ) / /ad Volts Overhead ❑■ Undgrd❑ No.of Meters 1
New Service 125 Amps Ida/'J.S) Volts Overhead n Undgrd n No.of Meters I
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ROOF MOUNTED PV SOLAR PANELS-4.550 KW SYSTEM-13 TOTAL PANELS-125A
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tof
Traa onKVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- "No.of Emergency Lighting i
No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. InDeteand
Initiatinnggon Devices t
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g 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 ❑ Other
Connection
No.of Dryers Heating Appliances KW Sec No f Devi es or Equivalent
No.of Water 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: ROOF MOUNTED PV SOLAR PANELS-4.550 KW SYSTEM- 13 TOTAL PANELS- 125A
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $14516.32 (When required by municipal policy.)
Work to Start:upon approvals 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 on this application is true and complete.
FIRM NAME: Freedom Forever Massachusetts LLC LIC.NO.:MA 902-EL-Al
Licensee: Matthew Markham Signature Wa t 4 -7 zt,&n, LIC.NO.: 1136 MR
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:774-218-4474
Address: 135 Robert Treat Paine Dr,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 PERMIT FEE: $
Signature Telephone No.