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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 (QQ0"C4f0r v0thi'd /zi J2/4- c S1i /21c Cornmoiuuea/tlr.of Ma,aac/uaie1F1 Official Use Oply — 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: $