HomeMy WebLinkAboutBLDE-21-007528 i � Commonwealth of Official Use Only
'lint ` Massachusetts Permit No. BLDE-21-007528
.37 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:6/27/2021
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) 30 WILD ROSE TERR
Owner or Tenant JOHNSON MARY REARDON TR Telephone No.
Owner's Address MARY REARDON JOHNSON REV IND TR, 104 COLONY DR, EAST LONGMEADOW, MA 01028
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 solar PV system(15 Panels 5.025 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 Area e ❑ In ❑ No.of Emergency Lighting
g 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
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting 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 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 perjury,that the information on this application is true and complete.
FIRM NAME: SOLAR WOLF ENERGY
Licensee: Kyle Zuidema Signature LIC.NO.: 22593
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 771 Washington Street,Auburn MA 01501
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 I
qp___ c481-24 e_
Oar c24
..;,-L...„2) __75- RECEIVED
Cot eeanh 01',InaneAmodio Offlcid u olio N 2 5 v21
s 't 2spar^eni0/ Sem Permit andF BUILT NGDEPARTMENT
' ; _BUILDING
Fi1'SCk
ed BOARD OF FIRE PREVENTION REGULATIONS [Rcv.l/0)y
t'4 — (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
o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6/22/21
5, City or Town of: South Yarmouth, MA To the Inspector of Wires:
rn By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
c Location(Street&Number) 30 WiIdrose Terrace
• Owner or Tenant Mary Johnson Telephone No.(413) 531-1846
0
Owner's Address 30 Wild Rose Terrace S Yarmouth. Ma 02664
o Is this permit in conjunction with a building permit? Yes ►•1 No ❑ (Check Appropriate Box)
N Purpose of Building Residential Utility Authorization No.
Cl) Existing Service 100 Amps 120 / 240 Volts Overhead C� Undgrd El No.of Meters 1
o
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
am6i I Number of Feeders and Ampacity
o Location and Nature of Proposed Metrical Work: Installation of 5.025kW grid tied roof mounted solar system using 15 SunPower
335W AC panels with built-in microinverters.Installation of empty meter socket for SMART generation meter.
kr, Completion of the followinglable may be waived by the Inspector of Wires.
s-1f No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans TransformersTKVA
▪ No.of Luminaire Outlets No.of Hot Tubs Generators KVA
r:::_,
-4 No.of Luminaires swimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grnd, grad. Battery Units
-,_ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
n
• No.of Switches No.of Gas Burners 'No.of Initiating
D and
Initiatingg Devices
To
1 . No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste "Heat Pump Number Tons KW No.of Self-Contained
Disposers Totals: .__ _.._..__._. Detection/Alet�Devlces
No.of Dishwashers Space/Area Heating KW Local 0 C nonnection 0 Other
�
No.of Dryers Heating Appliances ' No.ofyy��Devicess�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 Tel 'of or Eg unicationsWui_ gn wl ent
OTHER: a
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $7,327 (When required by municipal policy.)
Work to Start: 09/06/21 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: Solar Wolf Energy �/f ,� LIC.NO.:HIC#186400
Licensee: Kyle Zuidema Signature yAl
it ,�. V LIC.NO.:22593 A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:(508)839-2222
Address: 771 Washington St Auburn,MA 01501 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent.
Owner/Agent (PERMIT FEE:$
Signature Telephone No.
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