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Home My WebLink AboutBLDE-21-006489 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006489 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:5/10/2021 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 des ed below. Location(Street&Number) 75 CONSTANCE AVE C f L 414 1 fa- Owner or Tenant - .1 WillI TCA' Telephone No. Owner's Address , 75 CONSTANCE AVE,WEST YARMOUTH, MA 02673 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 9.425 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 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 Siens 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 CAC 6/z-Vw (aM 61-e0 Commonwealth. o LI of M I i Official Use Only nunonwea aachu�ejt , 'C91( �f 0 ,. .i Permit No. (� `[ • 69 -_�_ `department o'_ire�arvicee I°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 MR 12. (PLEASE PRINT IN INK ORE ALL INFO ) Date: S • City or Town of: Q,(/ m O�u�� To the Inspector of ices: By this application the undersigned 'ves notice of his or her intention to perform the electrical workbelow. COLocation(Street&Number) sict.n -�J €..• Owner or Tenant Li/, elephone No23)(400 Owner's Address `] Q— C COJ �4. , Is this permit in conjunction Xuilding,permit? Yes IN No ❑ (Check Appropriate Box) Purpose of Building [ 19 . Utility Authorization No. Existing Service tC) ) Amps 126 i� Overhead❑ Undgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Loc n and Nature of Pro 1 1 Electrical Work: fl (Zj t ' 2� „as- Cil LLQ s 14,1/ c S, 01.q-11----t-- Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No.of Ceil-Susp.(Paddle)Fans Tr of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grndAbove. 1-1 In-grad. ❑ Battery No.of EmUnits ergency Lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Q 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 No.of Waste Disposers Heat Pump Number Tons KW_ No.of Self-Contained J Totals: "` Detection/Alerting Devices n No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ other `J Connection No.of DryersHeatingAppliancesy writ'Systems:* T ry 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 Wiry No.of Devices or Equivalent OTHER: i1 I � Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Elec 'cal Work: 4 (When required by municipal policy.) Work to Start: •Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless I 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 0 OTHER 0 (Specify:) 0 I certify,under ,• s an penalties of perju ,that the'formation on this ap anon is true and complete FIM NAME: L u i V 1,4" I.– = LIC.NO.: y Licensee:U( ei 2. S.g Signs Lam.NO.: j (If applicable enter'`exempt"in the lic pe nuumb line [ kts Bus.Tel.No.;Address: Vic MU V i " d _ de Alt.Tel.No.: %-il *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)0 owner 0 owner's agent. Owner/Agent I PERMIT FEE:$ Signature Telephone No.