HomeMy WebLinkAboutBLDE-21-004406 Commonwealth of Official Use Only
t tMassachusetts
Permit No. BLDE-21-004406
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BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.I/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:2/4/2021
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) 40 SALT MARSH LN
Owner or Tenant Nancy Leeser Telephone No.
Owner's Address 40 SALT MARSH LN, 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 ❑ 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 sclar PV system (21 Panels 7.77 KW)
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- ElNo.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 Alerting Devices
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 ❑ 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 Siens 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
i
Signature Telephone No. PERMIT FEE: $150.00
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME(.'),527 CMIt 12,00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/28/2021
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) 40 Salt Marsh Lane
Owner or Tenant Nancy Leeser Telephone No.617-285-6999
Owner's Address 40 Salt Marsh Lane West Yarmouth _
is this permit in conjunction with a building permit? Yes E/ No (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 200 _ Amps 120 /240 Volts Overhead [�, Undgrd I I No.of Meters 1__
New Service Amps / _Volts Overhead ri Undgrd n No.of Meters ----
Number of heeders and Ampacity _
Location and Nature of Proposed Electrical Work: Wiring for 21 rooftop solar panels
Total system size 7.77kW,.- �r
Conl)lelion al the/o/lowing,hdble may be waived by the Inspector of Wires.
o. otal
No.of Recessed Luminaires No.of Ceil:SusP•(Paddle)Fans Transformers KVA K
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above fn- No.of Emergency Ugh --
No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units _
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Gas Burners No.of Detection and
No.of Switches Initiating Devices
No.of Ranges No.of Air Cond. Total
No.of Alerting Devices __
No.of Waste Disposers Heat Pump Number Tons 1-KW No.of Self-Contained
P Totals: Detection/Alerting Devices
Otr
No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ l►e
Heating Appliances KW Security Systems:*
No.of Dryers No.of Devices or Equivalent
"o.o "ater No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors "Total 11P No.of Devices or Equivalent
OTHER:
Attach additional detail if desired• or as required by the Inspector al 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 ot'same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of'perjury. that the information !hi• plication is true and complete.
FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al
Licensee: Michael LeBlanc Sig t- urgd LIC•NO.: 17423 A
(Il applicable,enter exempt-in the license number line.) Bus.Tel. No.'•S08 Z 4 6284
Address: _ 759 Falmouth R� Suite 8 MashFee MA 02649 Alt.Tel.No.:774-270-4125
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie. 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 ant the(check one)❑owner ❑owner's agent.
Owner/Agent I PERMIT FEE: $
Signature ___ Telephone No.