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Home My WebLink AboutBLDE-22-000961 \\\\0 Commonwealth of Official Use Only 44.4ti Massachusetts Permit No. BLDE-22-000961 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:8/19/2021 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) 68 CONSTANCE AVE Owner or Tenant Selma DaCosta Telephone No. Owner's Address 68 CONSTANCE AVE,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system. (17 Panels 5.525 KW) Completion of the following table may be waived by the Inspector of lvlres. 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 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 ❑ (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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 . ` COmnwnmea&h o`//Ia�ac� Official Use Only — 22-0q6 ( �_._-,��__ft c� c7 Permit No. Teparfinent o`.�tire.Services _ _I r=;" Occupancy and Fee Checked y.l: -, ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) I�1, APPLICATION FOR PERMIT TO PERFORM ELE TRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( 527 CMR 12.1: (PLEASE PRINT IN INK OR TYP I I Date: I w City or Town of: To the Inspector f Wires: By this application the undersigned ' es no' e of his or h intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant YIN GU 0 Telephone No. II 1 Owner's Address Pi Is this permit in conjunction with a buil g permit? YesDK. No Ell (Check Appropriate Box) J`� Purpose of Building ��1 -W IvI, I Utility Authorization No. J I`()Gt,� 1 Existing Service 100 Amps Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Pro Electrical Work: '� ' ' ►eel riy im-t-tfQ - a✓ net .v --r- s� Completion of the followinktable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-SuS .(Paddle)Fans Tf Total p Trranosformers 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 of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number__Tops__ KW__ No.of Self-Contained l Totals: --- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ other No.of Dryers Heating Appliances KW SIN o Cf Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectrical Work: ,LECO. (When required by municipal policy.) Work to Start: ct Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: nless 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 t `e SW n s of pointy,that a information nn this application is true and completesFIRM NAME: ` ►V lU �I =P LIC.NO.: Licensee: Uo-jd LrSignatu r ► .NO.:(If applicablempt'in th�e'jic rise tummy-line.) �, c us.Tel.No.• 1;1 Address: 'i ) Quit(Sh Mk t•.at II t.A .7�"• Alt.Tel.No.: '1 L i�1i'.' *Per M.G.L.c. 147,s.5 -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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ t + ^r" t p r • 1 _t r_ _ L f r 4i ' • t ,< • a Y t t 'e If • _ t t • 4k , r � • r - 2 } .. 1 C, •y..y. • ,• li ,. * �Y VV ��• .M.. L V ♦. . 1 R r. l f . ,.. �� t J �y `.�1 �) 1 1 k ti'. � i •\l. � ��:` (.1.. � y� � +.X/,I['• t _,,'�i�.1