HomeMy WebLinkAboutBLDE-21-004011 AI' Massachusetts
^ C7CommonweaIth of Official Use Only
E
Permit No. BLDE-21-004011
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:1/20/2021
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) 58 QUARTERMASTER ROW
Owner or Tenant Evette Brown Telephone No.
Owner's Address 58 QUARTERMASTER ROW, SOUTH YARMOUTH, MA 02664
Is this permit in conjunction with a building permit? Yes 0 No 0 (c!}�c>Ic A.0roPriate Bob)
Purpose of Building Utility Authorization 1 -.-0,-r
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 r
New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service.
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
♦ ONo.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emer cy
grnd. grnd. Battery Un'.0
No.of Receptacle Outlets No.of Oil Burners FIRE AL '' ,i. i/•1 *.
No.of Switches No.of Gas Burners No.of Detectio�
Initiating Devices <Z)
No.of Ranges No.of Air Cond. Total No.of Alerting Devices D O
Tons O
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 0 Municipal ❑ ♦ .Q
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: BRIAN K MACPHERSON
Licensee: Brian K Macpherson Signature LIC.NO.: 21233
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:32 GROVE ST,DBA TRINITY SOLAR,PLYMPTON MA 023671306 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: $50.00
k\f(1Z._3f)1 l-24,
Commonwealth o`//tassacnusells Official UseII ly `
I •. 6 cc�� Permit No. -02` — \O l
�. _ Th ,.?ire o/,.tire Services
' Ii;r 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: 1/13/2021
City or Town of: South 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) 58 Ouartermaster Row
Owner or Tenant Evette Brown Telephone No. (508)292-7369
Owner's Address 58 Quartermaster Row
Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. 4701530
Existing Service 100 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: 100amp exterior service replacement.
Completion of the followingtable may al be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofTot
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grad grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
l No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices
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 HeatingAppliances KW �euity Systems:*
No.of Devices or Equivalent
No.of WaterKW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wring
:No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1,000 (When required by municipal policy.)
Work to Start: TBD 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 0 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this a,,A11, ion is true and complete.
FIRM NAME: Trinity Solar Inc ,pp LIC.Na: 4434A1
Licensee: Brian MacPherson Signature ..,` `t../ LIC.NO.: 21233A
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-291-0007
Address: 32 Grove St.Plvmpton.MA 02367 Alt.Tel.No.: 774-271-1858
*Per M.G.L.c. 147,s.57-61,security work requires Department of Publ = ,fety"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)0 owner 0 owner's agent.
Owner/Agent I
Signature Telephone No. I PERMIT FEE:$