HomeMy WebLinkAboutBLDE-22-004653 Commonwealth ofOfficial Use Only
. Massachusetts
Permit No. BLDE-22-004653
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:2/23/2022
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) 28 STEVEN DR
Owner or Tenant LAWTON RAYMOND P Telephone No.
Owner's Address LAWTON LUCILLE M, 28 STEVEN DR,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. (6.57 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
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 Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Sins No.of Devices or Eauivalent
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: JAMES E PRECOURT
Licensee: James E Precourt Signature LIC.NO.: 12418
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:244 S WORCESTER ST,APT 3,NORTON MA 027663445 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
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-�. , Occupancy and Fee Checked�_ '
BOARD OF FIRE PREVENTION REGULATIONS
r,,a+ • [Rev. (leave Wank) _
APPLICATION FOR PERMIT TO PERFORM ELECTRICA, `.;if ' .-E_I V E D
All work to be perforated in accordance with theNlassachuseus Electrical Code(MEC),527 ClvIR 1240
M,i=PRAT JRINK OR 1TPEALL.INFoRMIr1oJ9 Date: r g FEB 18 21122
City or Town of: IR v..0,10()-1-t1 To the Inspector Qf Wires: I
O p By this application the undersigned gives notice ofhis or her intendon to perform the electrical work describer W V4 L D I N G D F PA R T M E N T
Location(Street&Number) a% sI EVEN D12. Y A 12 MOO*1-1 MR 026 43 --22-,---7.--- ---=.------ ---4
'} v) Owner or Tenant R AYM O ND LA Wt0 N• Telephone No.50g 36111 1072 I
E + Owner's Address 2.2 S-I-EVEN DR yA R M0u4 N MA 02.643 I
EIs this permit in.conjunction with a building permit? Yes ei No 0 (Check Appropriate Bot) i
h E Purpose ofBuildhig iJ 1- 12 SOLAR FAKE/6 Utiflty Authorization No. r
Q) Existing Service400 Amps law pito Volts Overhead NI Undgrd 0 No.of Meters 1 '
il). 01 New Service 2G0 Amps /a012 ..L
thh Volts Overhead® Undgrd 0 No.ofMcters
Number of Feeders and Ampacity •
Location and Nature of Proposed Elechical Work: W 5-I�}L c t i 0('/ 01' CZ f-tof ,50LR� . :
V--; 6.54 KtJ 5ySkvi•
Completion ofthe following table ma be waived b►the h1 Vire Wires.
- I
No.of Recessed Luminaires No.of Ceii.-Susp.(Paddle)Fans Transformers- K4A
• t
No.of Luminaire Outlets No.of Hut Tubs • Generators KVA
• No.of Luminaires • Swimming Pool Above ❑ In- � `o.o .Unitsergency r! ng
Swimming nal. • ad. Butte
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No:of Zones •
No.of Gas Burners o.of Detec
and
No.of Switches
- InnitiaatinggDevices -
No.of Ranges • No.of Air Cond. Total o.ofAlertingDeviccs
gTons +
No.of Waste Disposers Heat Pump(Number I 'ons IKW No.ofSelf-Contained
Totals:I Detection/Alerting Devices
No.of Dishwashers S ace/Arca Heating KW Local 0 Municipal 0 Other
p gConnection .
No.of Dt ers Beatlitg Appliances KSV SecurityNeof yyevices
y No of Devices or Equ* ivalent .
No.of linter KW i'o.of : No.of Data Wiring: .
Heaters Si. Ballasts No.of Devices or B=Wallet
• No..H dromassa Bathtubs -. . -. No.of Motors • Total IPP T eco orDevic so r cinly g.•
Y t� No.of Devices or$quivaient
OTHER:
. •_ • - - i "Rack additional detail(Method,or as required by the Inspector ofWires.
EstimatediValue-ot£lecltioal Work:= -.e - . ._=�_•(When�retjirifed-b'•meini'e-ti olid•: ---_
Wait to Start:0?-/0- 2 2 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 cerdlies•that such coverage is in farce,and has exhibited proof of same to the permit issuing office. r _
•
CHECK ONE: INSURANCE J. BOND 0 OTHER.0 (Speoii )
I cerdfj',wider the pains acrd penalties ofperjury,that(fie information on this application is true taut complete. i
FIRM NAM: St it ..' a0 • A LIC.NO.: 11.310 Ai .
Licensee: .31 j. Signature ,....-.
_._ LIC.NO.:'la4l - '=
(Tfapplicable.enter "exempt"in the license manberline� Bus.Tet.No: 4-05/
2 .
Address: 33 Lihbey Zifelu�E+(ior Ploy, Unrfiasct t1•tt�llr►outh, ma t?281, Alt.Tel.No::
"Per M.G.L—'c.3 4 7,S.57-61,security work reques Dejartmentof Public Safety"S"License: Ile.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,There); waive this requirement. I am the(check one 0 owner •❑owner's agent.
OwnerlA.gent `
Signature .- _ Telephone N...,,,_, - I PERIi '.t'& :$