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Home My WebLink AboutBLDE-22-000141 Atm Commonwealth of Official Use Only Permit No. BLDE-22-000141 rt_lt Massachusetts 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:7/9/2021 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) 209 ROUTE 6A Owner or Tenant Michaela Sherwood Telephone No. Owner's Address YARMOUTH PORT, MA 02675-0204 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 6104612 Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 Initiatinu 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/Alertinu Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Sins 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: MICHAEL J LEBLANC Licensee: Michael J Leblanc Signature LIC.NO.: 17423 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 Westwind Cir,Osterville MA 026551375 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: $50.00 te Q 8((42A I, •\ Cointnoruveattlt o`TllaeeacLiette Official Use Onlyo ` r i ,. ..141 .t cc�� nn Permit No, ( 2' 1 Lt .2epartment o`gire Jereicee _ J Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107] (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: 07/01/2021 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of hi• r her intentionperform the ele rical work described below. Location(Street&Number) 209 St (j�`C.� 6 A� Owner or Tenant Mi6ciaela Sherwood Telephone No. 508-469-8702 Owner's Address _ Is this permit in conjunction with a building permit? Yes ❑ No [i (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 6104612 Existing Service 100 Amps 120/ 240 volts Overhead in Undgrd❑ No.of Meters 1 New Service 200 Amps 120/ 240 Volts Overhead® Undgrd❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remove existing l 00amr service and rPliac. with a200am• ov- • •• • • a ' " . fir . . • . u•'rade ' • • • ' ' • • • . . • ' • • • Completion of thefollowing.tuble may be waived by the!nps ector•o fres, tal No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Tf P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones . of and No.of Switches No.of Gas Burners No. initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained No. P Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW cal❑Connection ❑ LoOther Heating Appliances KM, Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KNr No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDeviceor Equivalent No.of Devices 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 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information th'• ,plication is true and complete. FIRM NAME: Solar Rising LLC �� , LIC.NO.: 821 Al Licensee: Michael LeBlanc Signature�F'�0' ,, , -- LIC.NO.: 17423 A (!!'applicable,enter"exempt"in the license number lined , 7 Bus.Tel.No.: QQ$ 7744 - 2�4 Address: 759 Falmouth Rd Suite 8 Mashpee MA 02649 Alt.Tel.No.: 74-27 - 125 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lice 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 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.