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HomeMy WebLinkAboutBLDE-22-003661 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003661 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:12/30/2021 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) 33 EMBASSY LN Owner or Tenant POWERS JOHN W Telephone No. Owner's Address POWERS CHRISTINE, 33 EMBASSY LN,YARMOUTH PORT, MA 02675 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: Install roof-top solar system(no ESS). 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. ,Tl,00tal No.of Alerting Devices Heat PumpNumber Tons KW `Z No.of Waste Disposers No.of Self-Contained Totals: Detection/Alertine Devices L 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 4) 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. MEstimated 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 Devlin Licensee: Matthew Devlin Signature LIC.NO.: 21151 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:GEORGE H GILLESPIE WAY,ABINGTON MA 02351 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 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:$150.00 312-3 biZAZZ.--' n Print Form I Coauronwsa yy��o`///aeaac Official Use Only ►t* _eI Permit No. 6.—Z2--3tr,4, , F - ---all'' �S.Pa. .at o f g�,Serviced C_L— f Occupancy and Fee Checked ,��- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07],00 (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: 12/29/2021 City or Town of: Yarmouthport, MA 02675 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) 33 Embassy Street, Yarmouthport, MA 02675 Owner or Tenant John Powers Telephone No. 508-344-3211 Owner's Address 33 Embassy Street, Yarmouthport, MA 02675 Is this permit in conjunction with a building permit? Yes ❑1 No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 200 Amps 120 /240 Volts Overhead® Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 25 Panels roof-mounted solar array with disconnects,jbox, enphase micro inverters that tie into existing electrical system. 10.0 DC system. No ESS installation. Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TTransformers 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 AlertingDevices 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❑ ConneMunicictiopal n ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices 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:25 Solar Panels Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $23,343.70 (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 penalties of perjury,that the information on his '.plication is true and complete FIRM NAME: Matthew Devlin LIC.NO.•21151A Licensee: Matthew Devlin Signature Al� LIC.NO.:12038B (If applicable,enter"exempt"in the license number line.) Bus.Tel.No..781-812-0240 Address: 2 Keith Way Suite 1 Hingham Ma,02043 Alt.Tel.No.:617-955-7774 r- *'- u 47,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.• Al:8258-Al 1 t 47. C EOE, '1) 'URANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally -- -:0; aw By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Ag: t DEC 3 j Py''e Telephone No. PERMIT FEE: $ 4UTLd(NG DEPARTMENT r. � . .