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Home My WebLink AboutBLDE-22-000341 Commonwealth of Official Use Only IL, ,i Massachusetts Permit No. BLDE-22-000341 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:7/20/2021 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) 14 PATRICIA AVE Owner or Tenant STAGG GARRETT F Telephone No. Owner's Address 14 PATRICIA AVE,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(34 Panels 11.05 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 /Q KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergen L', �� C // grnd. grnd. Battery Unit* / No.of Receptacle Outlets No.of Oil Burners FIRE ALA ii I'I.o ', 0 �, No.of Switches No.of Gas Burners No.of Detection • Initiating Devices O No.of Ranges No.of Air Cond. Tl,00tal No.of Alerting Devices O No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained O Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Connection O 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 of perjury,that the information on this application is true and complete. FIRM NAME: LLOYD R SMITH Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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 _ Commonwealth o/II/aidachueett� Official Use Only (�, f t* = l cc� �7 Permit No. E2 �34 ( t.74-_,----,`, .2epartment o f ire Serviced r( Occupancy and Fee Checked��4 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. 0 (PLEASE PRINT IN INK OR TYPELL I�'�FORt N -Date: I 2I City or Town of: \.. 6 �'rO GU 1 1 To the Inspector of ires: By this application the undersigned g.ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) I \ ,t'1�j(�._ 2--1'1`-'e i Owner or Tenant VEL r' r SirL,n' U Telephone No. Owner's Address <6..,11\...R.,_ /3 ack._,u Is this permit in conjunctio with a building permit? Yes L� No n (Check Appropriate Box) Purpose of Building ,D I ' I Utili Authorization No. Existing Service Amps jZ / ¶LUV oifs Overhead Undgrd❑ No.of Meters I New Service Amps / Volts Overhead n Undgrd 11 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1.r15}d"c}I(p do roo pho-ovoRRUic c*'r 3(.3-em3. ,l - c)c W ants ... Completion of the following table may be waived by the inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump NumTer Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local ID Connection Connection ❑ P I Other No.of Dryers Heating Appliances KW security Systems:* ►Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsDeiceor Equivalent No.of Devices Equivalent OTHER: �c �, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectri al Work: I� �''��_ (When required by municipal policy.) Work to Start: ' 1 7.. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE gi BOND ❑ OTHER ❑ (Specify:) I certify,under thepains and penalties of per'.ry,that the information on this apcation is true and complete. FIRM NAME: V V 1 n a y, a, 1 � L LIC.NO.: Licensee: .j / Aft a Signature .. LIC.NO.: lig 4c� Ti } (If applicable.enter "exempt"in the license number I.ne.) �� Bus.Tel.No.: k 4.11 •� • Address: WIS t&te5 S "4 i L t 0 1.. a.T ' ,` •7 rot Alt.Tel.No.:1 \--,Qs —tom 1 *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 ❑owner's agent. Owner/Agent PERMIT FEE: S Signature Telephone No.