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HomeMy WebLinkAboutBLDE-22-002194 of . �� Commonwealth of Official Use Only �` Massachusetts Permit No. BLDE-22-002194 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:10/18/2021 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) 26 SKYLINE DR Owner or Tenant SIMMONS THOMAS W Telephone No. Owner's Address 62 CALEF HIGHWAY SUITE 227, LEE, NH 03861 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 Pamela, { 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 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 ❑ 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 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 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: MATTHEW DEVLIN Licensee: Matthew Devlin Signature LIC.NO.: 21151 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:GEORGE H GILLESPIE WAY,ABINGTON MA 02351 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 �j / Print Form 7 Commonwealth,o`//laddachaoe� Official Use Only (� cc��rr�� Permit No. ���— -- 2 t .JJepartment ol 3ire Serviced I Occupancy and Fee Checked c - 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: 10/13/2021 City or Town of: West Yarmouth, MA 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)26 Skyline Drive, West Yarmouth, MA 02673 Owner or Tenant Thomas Simmons Telephone No. 603-770-8151 Owner's Address 26 Skyline Drive, West Yarmouth, MA 02673 Is this permit in conjunction with a building permit? Yes D No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 150 Amps 120 /240 Volts Overhead ® Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 15 Panel roof-mounted solar array with disconnect,jbox, enphase micro inverters that tie into existing electrical system. 5.10 DC system. No ESS installation. Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil.-Susp. 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 of No.of Switches No.of Gas Burners No. InDete and Initiatinnggon Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices g 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KWNo.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:15 Solar Panels Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $ 10,655.00 (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 on t ' plication is true and complete. FIRM NAME: Matthew Devlin LIC.NO.:21151A Licensee: Matthew Devlin Signature LIC.NO.:12038B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:781-812-0240 Address: 2 Keith Way Suite 1 Hingham Ma,02043 Alt.Tel.No.:617-955-7774 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Al:8258-Al OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. 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DocuSign Envelope ID:FCB4CDIS-386E-4193-8DD6-E4A8977BD457 DEVLIN CONTRACTING 8t MAINTENANCE Homeowner's Agent Authorization Form Thomas Simmons (print name) am the owner of the property located at address: 26 Skyline Dr west Yarmouth MA 02673 (print address) I hereby authorize Devlin Contracting and Maintenance, Inc to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PhotoVoltaic System located on my Property. —DocuSigned by: Customer Signature: Thomas Simmons `—A2803FE32A2E405.._ Date: 8/28/2021 1 12:31 PM PDT Print Name: Thomas Simmons [Type here] 2 Keith Way Hingham,MA 02043 P-781-812-0240