HomeMy WebLinkAboutBLDE-21-007596 or ' , ` Commonwealth of Official Use Only
r
=-,'I Massachusetts Permit No. BLDE-21-007596
\�"—': 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)
/30/2021
DaTo the te: Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
City or Town of: YARMOUTH
Location(Street&Number) 20 TURTLE COVE RD
Owner or Tenant DOUTTIEL NANCY L TRS
Telephone
Owner's Address WILLCOX DIANE E TRS,20 TURTLE COVE RD, SOUTH YARMOUTH, MA 02664No.
Is this permit in conjunction with a building permit?
Purpose of Building Yes 0 No 0 (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps P 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(18 Panels)
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
Transformers Total
No.of Luminaire Outlets No.of Hot TubsKVA
Generators KVA KVA
No.of Luminaires SwimmingAbove
Pool grnd. ❑ grnd. ❑ No.of Emergency Lighting
No.of Receptacle Outlets Battery Units
No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
No.of Ranges Initiating Devices
No.of Air Cond. Total
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other:
No.of Dryers Connection
Heating Appliances KW Security Systems:*
No.of Water KW No.of No.of Devices or Equivalent
Heaters Signs No.of Data Wiring:
Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
OTHER: No.of Devices or Equivalent
Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires.
Work to start: (When required by municipal policy.)
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
1 certify,under the pains and penalties o OTHER El (Specify:)
FIRM NAME: /Perjury,that the information on this application is true and complete.
SOLAR WOLF ENERGY
Licensee: Kyle Zuidema
(If applicable,enter"exempt"in the license number line.) Signature
LIC.NO.: 22593
Address: 771 Washington Street,Auburn MA 01501 Bus.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required b law
signature below,I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent. y But
Signature '
Telephone No.
/' & PERMIT FEE:$150.00
Commonwe h GI rigmtarlusaidie Official Use Only
-
c/ 1 7S`��
. ..
f `2spar,b„sni at itv Serviced Permit No.
3 BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked
�' :, Ray. 1/07j
(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 INFORMATIONS Date: 6/21/2021
`r City or Town of: S. Yarmouth
By this application the undersigned gives notice of his or her intention too To the Inspector of Wires:
rm Location(Street&Number) 20 Turtle Cove Rd Yarmouth Ma 02664the electrical work describedbelow.
Owner or Tenant Nanc Douttiel and Diane Wilcox
3 Owner's Address 20 Turtle Cove Rd Yarmouth Ma 02664 Telephone No. 50E-39E-5272
Is this permit in con junction with a building permit? Yes El No ❑
Purpose of Building Residential (Check Appropriate Box)
Existing Service 100 Amps 120/240 Volts Utility Authorization No.5799770
r Overhead 0 Undgrd❑ No.of Meters
iji New Service Amps / Volts Overhead
� Number of Feeders and Ampadty ❑ Undgrd 0 No.of Meters
� Location and Nature of Proposed Electrical Work:
W SunPower 335W uncle with Built-in microinverte sstlnstall pon oem tf a 0 meteW oof mounted solar arra user 18
,Yt , ,lotion the •Uow' ;table m
, No.of Recessed Luminaires be wai►�ed. the I ,.fora Wires.
{ No.of Cell.-Snap.(hale)Fans 'o•o ota
"=" No.of Luminatre Outlets Transformers KVA
No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool ' 'Ye n- 'a a Units cy ' j r ,g
No.of Receptacle ' 'd. ❑ " 'd. ❑ Butte Units
OnHets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches
No.of Gas Burners `o.o : ec ,n an,
1 No.of RangesInidatin' Devices
No.of Air Cond. o'
Tons No.of Alerting Devices
'eat 'amp 'um, ' „ `o.o 1 on
No.of Waste Disposers
Totals: Detection/Ale , i Devices
No.of Dishwashers
Space/Area Heating KW Local ' J J❑ Connectio, n 0
No.of Dryers Heating Appliances Other
`o.o Beaters KW `o.:Los KW No.of I stems:
No. E,uivalent
ter
`o.o
Si i s ga Data Wiring.
No.Hydr omassage Bathtubs No.of Devices or ' ,aivalent
No.of Motors Total HP ecommu; T;, , — .
OTHER: No.of Devices or 'aiv end
Estimated Value of Electrical Work: 8 911.80 Ash additional detail IIfdesired.or as required by the Ins
Work to Start: Inspections required by municipal policy.) Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the requested
e�Iin accordance with MEC Rule 10,and
the licenseecompletion.y
provides proof of liability insurance including"completed permit for the performancecvage r its subs al work may leste unless
undersigned certifies that such coverage is in force,and has exhibited proof
operation"coverage thee.or substantial equivalent. The
CHECK ONE: INSURANCE ❑ BONDproof of same to permit issuing office.
I cerAyy,under the pains and 0 OTHER 0 (Specify:)
FIRM NAME: penalties ofpedury,that the infor on on this
r Wolf Ener application is complete.
Licensee: Kvle Zuiden LIC.NO.: 186—
(I1 applicable,enter exempt in the license number line.) Signature
Address: LIC.No.: 593A
*Per M.G.L.c. 147,s.57-61, Bus.TeL No.611Sz q �
OWNER'S INSURANCE WAIVER:work a�that of Public SafetyAlt Tel.No.:
the License: Lic.No.Owner/ by By my signature below,I hereby waive this does not have the liability insurance coverage n
required
by law. requirement. I am the(check one � owe 8 is !Ily
e
Signature ■ owaer s ent.
Telephone No. PERMIT FEE:$