HomeMy WebLinkAboutBLDE-21-006648 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-006648
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:5/18/2021
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) 47 SKYLINE DR
Owner or Tenant LAINE ANDREW M Telephone No.
Owner's Address 47 SKYLINE DR, 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 (15 panels 5.55 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- ❑ 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. 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 Signs 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 pedury,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: $150.00
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— x � Permit No.
t , t y lleparl`menl of ere�ervicee
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 05/11-/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)47 Skyline Drive
Owner or Tenant Andrew Laine Telephone No. 774-212-0$6$
Owner's Address 47 Skyline llrive Is this permit in conjunction with a building permit? Yes Yf No ❑ (Check Appropriate Box)
Purpose of Building Residential Utilityti Authorization No.
Existing Service 133 p! 20 R
A 1 /240 Volts Overhead Undgrd LI No.of Meters 1
New Service Amps / volts Overhead❑ Undgrd E No.of Meters _ T
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of 15 flush roof mount solar panels
Each panel weighs 2.51bstsgft. Total system size 5.55kW.
Completion of the fallowing table mat'be waived by the Inspector<f Wires.
No.or Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No. —
of Gas Burners -detection and
No.of SwitchesInitiatin Devices _
ota
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alertin,Devices
— uncpa
No.of Dishwashers Space/At en Heating KW Local El ❑ Other
Heating Appliances KW 'Security Systems:*
No.of DryersNo.of Devices or Equivalent
o.o ater KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the inspector gf Wires.
Estimated Value of Electrical Work: 23,876 (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 ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information thi- plication is true and complete.
FIRM NAME:__ Solar Rising LLC i LiC.NO.: 821 Al
Licensee: Michael LeBlanc Signature 'jC.._-- LIC.NO.: 17423 A
ill applicable.enter -exempt"in the license number line.) � 7
Address: 759 Falmouth Rd Suite 8 Mas pee MA 02649 Bus.Tel.No.: QQ$Alt.Tel.No.: //4-2/4b-412.5
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie. No.
OWNER'S INSURANCE WAIVER: 1 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 ❑owner's agent.
Owner/Agent
Signature _ Telephone No. PERMIT FEE: $