HomeMy WebLinkAboutBLDE-22-000340 (2) CA-15?) Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-000340
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:7/20/2021
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) 39 SWIFT BROOK RD
Owner or Tenant Lillian Spain Telephone No.
Owner's Address
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 ❑ 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 8.25 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 ❑ 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: 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
0.11E_ 40-124. (q.-2Sen9 -
1)28 (
. I
. i
cOROMWaila o,M reea�u,rslk Oil*,Use Osie:
t T" • The�(. Straws •
Occupancy
P k Z2 0 4 ,
V. oup rsndFeeCheoked•
- • :,-, BOARD OF FIRE PREVENTION REGULATIONS .1A17) �_
•
APPLICATION FOR PERMIT•TOPERFORM ELECTRICAL WORK
Ml work es bs perlbewnd le ere girth �os wlrb aiwslb Hleetrloed Cede MSCI 527 Q4t 12.00
"gag PRBVr1N!NZ OR2'1?'B.dI,LAVAIDRWATICAp Dates 07-16-2021 .
. City or Town of: S Yarmouth lb the Inspector
�p'1Phvms. •
By this apptloa6on the undersigned gives nodes orbic err beriste ndoa a sia
em peeib6e eta work described bk.
Location(Street do Number) 39 Swift-Brook RD r
Owner or Tenant Lillian Spain • Telephoto No.774-722-2945 1
(Vases Address 39 Swift-Brook RD S Yarmouth MA 02664 k
Is this permit inco*Junctlonwith a bedding permit? Yes p No 0 (Cheek App tsk) I
Purpose ofB»8ditag Residential Utility Asttherkattoo No. I
it g Samos- 100 Amps LOW Siii0Voltr OverheadX❑ Zbedgrd 0 No.of Meters 1
• 116dikala100 Aasps JPO/lye Veils Overhead El Dndkrd 0 M.otlrletars_Q
Number ofFaders and Ampacl1' •
Location and Nature ofPropaadIlsetr4ai Work Rooftop Installation of Solar Panels 18.25 kW 125 modules
c
illerletionWinititowl rkwahafbrts e��wr. • I
Recessed. etRecad Lrmsinair es No.of Ce6.th apt(PadeltiO Pans Transformers.
o.if Lumbnite Outlets No.of Hot Tubs • Generators XVI I
• . of Lumia free • swami/42w:tor0 inensd. 0aaar
Lipase
No.only:o eted&Outlets No.of OR Burners ALAIMS J1'lo.onset
of Switches - Na of Gas Banes Na of Detedion and
InitistinDevices -
of Ranges • No.Mar Coed. Pculit •Zlo.elf itlertheg Dery •
of Waste Dlepoears EaaTPu 1 Nteaber)Toas1 1� No.of7Sdf.Coata •
- • efDbbwasbeers Spey/AreaHaffig KW Load❑ " 4 Oir1
No.*Myers Battik ApplEauees• VW ', r� 0 '
No..rule KW 'No.. ;: No.of Data Whtogs •
Mins WashDgjees er,,M
• ions
• Bathtubs No.of Motors Total BPTe&atiftet
. t lra a or
• • • • $'3,000 4Brat eekikk Y er orrepobedip Ieleprlr,Rea--
Werkto Sart: 07-30-2021 inspection:10 be requested it a0000dsetos w161461C Rude 10,and epos somplefee.
Dd RANC3 COVERAGE: Unless halved by the owner,so permit firths peat:nae no*of deobicel wndr mime mass •
•
*domes provides proof of lisbiltgriner.eeaa including*completed opetdioa'ooaarsgs or its substadial egadrdad,The ,
' undetslgoed mew such eoverege his bee,and has eodtbked proo[ef mune to the plank hieing office. e .
OBOE atm: 1HSURANCl3®. BOND 0 OTHER 0 Priory*
Iear*,tauter use piss amipendrter gfperjury,thus the Aeiivsnadae est fhb a pip cetlms is axe mrd !
PIRNINAbCtr Surnnt
3 e4 •u Uc�NO.�: limo kl , • .
r tart Ltc J.v«• -4 ; i 3 ,
Licensees )- ... _ _. . � '-
•
•
""esr • b'_J..-.11kas,` *Ala - ' . ; mil Off' Zry, i - s�
'PerM.OL a 41.L 61,security work ) • ( -', ,
OWNHR'S lNSI RANCR W cIVZR Ian suave that the Licensee doss Not batt the dt6ility illntraaoe mons moody
readied by law. By my signature below,t Teener, wove des togottement.1 eon the(cheek one)0 Gnaw •❑oow.'s egad.
OwnalAgenBlitubve t ' f •
Taliphoeesih...,-,• ow...:JPriagni.?" $