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HomeMy WebLinkAboutBLDE-21-005058 \111\ Commonwealth of Official Use Only sii1E•XTA : Massachusetts Permit No. BLDE 21 005058 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:3/9/2021 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) 40 LORENA RD Owner or Tenant BROWN MARILYN A Telephone No. Owner's Address SOUTHWORTH FRANK, 21 MADDOX DR NE,ATLANTA, GA 30309-2732 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. (23 Panels 7.59 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 Initiating 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/Alerting 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: SCOTT LEDUC ELECTRIC, LLC Licensee: Scott Leduc Signature LIC.NO.: 100029 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 41 Rugg Road,Sterling MA 01564 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 $ k)-r )ou //AAD Le eolvie5 eN'.c'i7 0174,_t' f. -,NINA-c_ gi-e) D Y 14 Cemnwnwea[Ak o/MUMChUtkiti6 Oc_ial Use Only ''I ,� Permit No. `-'" - : ' 2sparimsnt o f girs Services ' 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: 3/4/21 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) 40 Lorena Road Owner or Tenant Marilyn Brown Telephone No. (404)275-0482 I Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. TBD Existing Service 200 Amps 120/240 Volts Overhead® Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 2 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Install roof mounted solar pv array to be interconnected t, to existing electrical system and install pv production meter. 23 panels/7.59 kW Completion of the following table m be waived by the Inspector of Wires. Lb No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans No.of Total Transformers KVA =1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA cA. No.of Luminaires Swimming Pool fi Abovernd. Li grad.In- ❑ lvBatteryo.of EmergencyUnits Lighting '<f No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and =4' Initiating Devices t 11 No.of Ranges No.of Mr Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons._„KW No.of Self-Contained Totals: Detection/Ale a , Devices No.of Dishwashers Space/Area Heating KW Local 0 MCone 0 other, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices 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 Telecomm No.of De unicati vices Devices or Mn .. Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $13,800.00 (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 [ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Palmetto Solar,LLC LIC.NO.: 3793 Al Licensee: Scott LeDuc Signature S I LIC.NO.: 100029 MR (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 603-479-0391 Address: 2 Winter Ave 2nd fl Taunton,MA 02780 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 0 owner's agent. 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