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Home My WebLink AboutBLDE-22-000169 amu. 14Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000169 �- 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:7/12/2021 _ 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) 48 CAPT SMALL RD Owner or Tenant MANUEL JONATHAN M Telephone No. Owner's Address 48 CAPT SMALL RD, SOUTH YARMOUTH, MA 02664 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.(46 Panels 14.95 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- o 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 No.of Ranges No.of Air Cond. To 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 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 Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eouivalent 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: $150.00 cQ OLAICS - emanwnwsalt4 o///Iaeeaclweslle Official Use Only • • '�t cc�� Permit No. �� —°(/ji 2)mparlmsnl of ire�arvrese I i=" '' Occupancy and Fee Checked . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,,527 CMR 2.00(2.- I . (PLEASE PRINT IN INK OR TYP:ALL INFORM4 fA N) Date: J/�'J City or Town of: / C `�� To the Inspecto of Wires. By this application the undersign a es no ce of his or jeer intenriQ to perform the electrical work described below. Location(Street&Number) ii i - 0 S�'1a I g.i. • Owner or Tenant & p h i _$ 11 I. a - Telephone No. KA" 34Fr.V I Owner's Address -a.l��l�P GUS (L P• Is this permit in conjunction with a buildingpermit? Yes No ❑ (Check Appropriate Box) Purpose of Building Ok114 I 1Utility Authorization No. Existing Service)COAmps I?C) /2,LiGolts erhead❑ Undgrd❑ No.of Meters ' New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: s v ID l*. �. 4I .+_ co tat, pQ,r‘ - SI -ct Completion of the following tablebe waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans T � otal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above r—i In- ❑ No.of Emergency Lighting grad. grad. 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 No.of Ranges No.of Air Cond. To l 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 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: C$3 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectri 1 W rk:Z • (When required by municipal policy.) Work to Start: 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. Kl CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under - ,. and penalties of perjury,that the'formation on this , ,,lication is true and complete. FIRM NAME: 'i1 I. `= • i r _ 0 — LIC.NO.: Licensee: la .i, . . so) J Signatu _ T_�_ �� IC.NO.: •. eh— (If applicablij,enter"exem t"in the license number line.) ler"' d - Bus.Tel.No.- Li Address: 1 Z 17- kit .gt .(h 11-Au.. M ' �� Alt.Tel.No.: !ti?:T7t • *Per M.G.L.c. 147,s.57-6 ,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$