HomeMy WebLinkAboutBLDE-22-001895 . Commonwealth of Official Use Only
. , Massachusetts Permit No. BLDE-22-001895
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:10/4/2021
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) 155 SOUTH SEA AVE
Owner or Tenant TEUTEBERG SUZANNE M Telephone No.
Owner's Address HARRINGTON DAPHNE, 250 BRATTLE ST#42, CAMBRIDGE, MA 02138
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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of solar PV system(25 Panels 8.375 KW) (NO PLANS SUBMITTED)
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 Ag
bove 0 grnd. ❑ No.of Emergency
Battery Unit _<C
No.of Receptacle Outlets No.of Oil Burners FIRE AL• f9
o. y
No.of Switches No.of Gas Burners No.of Detec
Initiating Devices
No.of Ranges No.of Air Cond. To ,(2>
Total No.of Alerting Devi 11. 8. e 0
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ O
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Eauivalent
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 ❑ 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 my
signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $150.00
54 COMMOSWINA
471Ia.eacluta.ila Official Use Only
)., n ATi cc�� ee--�� Permit No. 1. S
2spartmeni of sins Serviced
1; -1 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: 9/28/2021
City or Town of: Yarmouth To the Inspector of Wires:
1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
il Location(Street&Number) 155 South Sea Ave
Owner or Tenant Suzanne Teuteberg Telephone No.
* Owner's Address 155 S Sea Ave Yarmouth Ma 02673
Is this permit in conjunction with a building permit? Yes ❑X No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. 6593513
• Existing Service 200 Amps 120/240 Volts Overhead Q Undgrd 0 No.of Meters 1
yew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
QNumber of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: Installing a 8.375kW roof mounted solar array using 25
, SunPower 335 panels with built-in microinverters and installing an empty meter socket for SMART gen meter.
s Completion of thefollowinntable m be waived by the/nwecfor of Wires.
Total
U; No.of Recessed Luminaires No.of Ctn.-Snap.(Paddle)Fans No.ofKVA
n;
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
-'1 No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting
g grad. 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
i : No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of WasteDisposers Heat Pump Number..Tons KW No.of Self-Contained
,Totals: -` Detection/Ale Devices
No.of Dishwashers Space/Area Heating KW Local 0 Munid ion 0 Other
la
rain
of Dryers Heating AppliancesKW Security
stems:*
No
onuectDevices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP
TelecommunicationsNevicesor Wiring
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 131)14 (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 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 Fnergy LIC.NO.: 186400
Licensee: Kyle 7uidema Signature Vittiti."-1,^lN- LIC.Na: 22593A
(If applicable.enter"exempt"in the license number line.) Bus.TeL No.:50R-839-2222
Address: 771 Wachingtnn St Auhurn, 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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. 1 PERMIT FEE:$