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Home My WebLink AboutBLDE-22-004193 Commonwealth of official Use Only Al" iEE` t1 Massachusetts Permit No. BLDE-22-004193 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/071 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:1/27/2022 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) 82 DRIVING TEE CIR Owner or Tenant Carleton Crockett Telephone No. Owner's Address 82 DRIVING TEE CIR, SOUTH YARMOUTH, MA 02664-2114 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'f Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(36 Panels) 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- o 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _Detection/Alertinc 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 Eauivalent 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 Eauivalent 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: PETER ANDERSON Licensee: PETER ANDERSON Signature LIC.NO.: 22180 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:27 WOODBURY RD,SOUTHBOROUGH MA 017722029 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 e5-64:11- (Vii. ----l3 (P PLE-bi . .riTQwt j 14 Commonwealth.al Maeeacisuesffs Official Use Only : •i c7 Permit No. :27i L((T 2spartmeni o/,,.tin&wicse t; Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK O All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (4 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S City or Town of: Yarmouth,MA 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)82 Driving Tee Cir Owner or Tenant Carleton Crockett Telephone No. (508)221-1970 Owner's Address 82 Driving Tee Cir,Yarmouth,MA 02664 Is this permit in conjunction with a building permit? Yes El No 0 (Check Appropriate Box) cl, Purpose of Building Rooftop solar installation of 36 panels Utility Authorization No. . [ +• Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters S-? New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters t Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: Rooftop solar installation of 36 panels ‘P, Completion of the followin&table may be waived by the litD7ector of Wires. LpY No. fTotal i.S No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans Transformers KVA '= No.of Luminaire Outlets No.of Hot Tubs Generators KVA r^ ,z.. No.of Luminaires SwimmingPool Above ❑ In- 1-1 Battery of ergency Lighting gird. grad. Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones n No.of Switches No.of Gas Burners No.f ofLuminaiDevices '-' No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Dis ra Heat Pump Number Tons KW 'No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Healing KW Local❑ Connectioncipal ❑ Other CyonneMion No.of Dryers Heating Appliances KW SecuriNo. f Devices or Equivalent No.of WitterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TekNo.of Devices orns Wiring: r Equivalent OTHER: Solar Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2I l 22 ' (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 df 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 0 (Specify:) A 22.1 0 I certify,under the pains and penalties of petjury,that the information on this application is true and complete. FIRM NAME: RAYAH POWER INTEGRATION CORP. LIC.NO.: 8176 Licensee: Peter Anderson Signature _ LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 617.564.3159 Address: 21 BOND ST,SPENCER, MA 01562 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$