HomeMy WebLinkAboutBLDE-22-003720 �;oI Commonwealth of Official Use Only
Ems, 0'ik \ Massachusetts Permit No. BLDE-22=003720
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:1/5/2022
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) 15 JEFFERSON AVE
Owner or Tenant OLSON JOHNATHAN E Telephone No.
Owner's Address LARRIMORE KIMBERLY, 15 JEFFERSON 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(18 Panels 7.2 KW)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
Initiatinc Devices
No.of Ranges No.of Air Cond. ,TI,o�1 No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained
Totals: Detection/Alertine 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 Ballasts Data Wiring:
Heaters Signs 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. 5be.7/ei_ 8/1,3
FIRM NAME: Barry F Ewing
Licensee: Barry F Ewing Signature LIC.NO.: 13173
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:210 BROOK VILLAGE RD,APT 21,NASHUA NH 030622796 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
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I' { ' '9; Permit No.Z X17
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Occupancy and Fee Checked
" 1------BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
AP 't1CATION 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: 09/28/2021
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) 15 Jefferson Avenue Yarmouth.Massachusetts.02673
Owner or Tenant Kimberly Olsen Telephone No. (774)212-3376
Owner's Address 15 Jefferson Avenue Yarmouth,Massachusetts,02673
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 /240 Volts Overhead 0 Undgrd❑ No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 2
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install roof mounted solar pv array and pv production meter to be
interconnected to existing electrical system- 18 panels/7.2 kW DC **No Battery Storage**
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Trr anosformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above r-i In- ❑ No.of Emergency Lighting
No.of Luminaires Swimming Pool
grad, grad. 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 Tons o
No. f AlertingDevices
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 Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of
Heaters KW Signs Ballasts DataNo.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: $10,800.00 (When required by municipal policy.)
Work to Start: TBD 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:) -3 t 7 A
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Palmetto Solar,LLC LIC.NO.: 3793 Al_
Licensee: Barry Ewing Signature _..7„,,,79/5—c,..-
�� LIC.NO.: 3793 Al
(If applicable,enter "exempt"in the license number line.) / 774-503-1264
Address: 1505 King St Ext Suite 114 Charleston,SC 29405 Bus.Tel.No.:
Alt.Tel.No.: 855-339-1931
*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 0 owner's agent.
Owner/Agent I
Signature Telephone No. I PERMIT FEE: $