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HomeMy WebLinkAboutBLDE-22-006875 ' Commonwealth of Official Use Only k Massachusetts Permit No. BLDE-22-006875 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:5/27/2022 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) 8 SKYLINE DR Owner or Tenant GUBATA IEVGENIIA Telephone No. Owner's Address 1 TARA DR UNIT 11,WEYMOUTH, MA 02188 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. (42 Panels 14.28 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 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 Siens 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: Matthew T Markham Licensee: Matthew T Markham Signature LIC.NO.: 1136 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 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 CVA Ge::;( let * Z Commonwealth o/V9aMachusetti Official Use`Only D apartment oa Permit No. ��-lD7s P I lire Serviced Occupancy and Fee Checked HAY .2 3OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILIHINO DAlvvic ATION FOR PERMIT TO PERFORM ELECTRICAL WORK o`__ � 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: 05/23/2022 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)8 Skyline Dr. Owner or Tenant Jenia Dasilva Telephone No. 617-959-2302 Owner's Address 8 Skyline Dr.,Yarmouth,MA 02673 Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 200 Amps 120 / 240 Volts Overhead n Undgrd❑ No.of Meters 1 New Service 200 Amps 120 / 240 Volts Overhead n Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: roof mounted pv solar panels-14.280Kw system-42 total panels-200A Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T 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.oInitiatinnggn Deteon and 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 1-1 Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKms, 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:roof mounted pv solar panels- 14.280Kw system-42 total panels- 200A Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 33,600.00 (When required by municipal policy.) Work to Start:upon approvals 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 this application is true and complete. FIRM NAME: Freedom Forever Massachusetts LLC LIC.NO.:MA 902-EL-Al Licensee: Matthew Markham Signature LQ.lyL LIC.NO.:1136MR (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:978-766-7766 Address: 48 Sixth Rd,Wobum,MA 01801 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $