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Home My WebLink AboutBLDE-21-002014 Commonwealth of Official Use Only 4* Massachusetts Permit No. BLDE-21-002014 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:10/16/2020 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) 12 BREEZY POINT RD Owner or Tenant JOSEPH LaVALLEE 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 0 u• of Meter" New Service Amps Volts Overhead 0 Undgrd 0 "'It, r Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Installation of solar PV system. (13 Panels 4. 11,111: Completion of the following to , ay No.of a s , •, ry h n otal ctor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators A 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 ❑ 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 of perjury,that the information on this application is true and complete. FIRM NAME: Lloyd R Smith Licensee: Lloyd R Smith Signature LIC.NO.: 34416 (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 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 C1)(4N}MCZBIMA Trti . _ 4 fit .. '`. {\ .44 ' � / /7? / Official Use Oniy 1 — _ /7 Permit No. � — 0 \ '-( I — �„ 20pae tassaC of J4r'liccO Occupancy and Fee Checked ;a BOARD OF FIRE PRE`JEN T IOi,? REGULATIONS [Rev. I/O7] (leave blank) APPLICATION FOR PERMIT TO PERFORM EL.ECTRJC.AL WORK Ail work to be performed in accordance with the Massachusetts Electrical Code,(IEC),527 12. (PLEASE PRINT IN IIDTX OR f'YP ALL.I2VT OR[LiA ) Date: I 0 S' /ZC) . City or Town OZ.: a,V (\n( `,\ ,1 To the Inspector of• tires: By this application the undersigned ves notice of his or her intention to perform the electrical work described iibed below. Location(Street 4 Number) I Z bti Cam.--� U1 n t. tic_-_>1 • Owner or Tenant —Joseph I--cj Q I I Telephone cTo. �S 3G1 1 i I3 Owner's Address . .. � r w e�..- II this permit in conininction7rith a manilding permit? Yes No J (Check Appropriate Boy) Purpose of Building ,. `', -• Utility Authorization l.o. Listing Service I W Amps i /a --_:colts Overhead Li Undgrd LI No.of Meters a. t'ew Service Amps / Volts Overhead!LI Undgrd PI No,of Meters i oaanber:of Feder:, and Ampacity Location and Nature of Proposed Electrical Work: i f."l .a , 0t in t f ' _--' , j j S&Cir ,- 1 3 , ne1 S. —' . - t-- completion of the Jbllawing table May be waived by the Inspector of Wires. 1 iNo :of Total I !No.of Recessed Luminaires 1'-o. of'Ceii.-Sesp.(?rddie)FansI Transiorin:.3rs KVA No.of Lu ntinair e Cutlets }No.of Tot Tabs A Generators K �Lv�.ofAbove J In- INo..ot Imergencv Lighting, Luminaires p7rin uniunng 2'ouol I� I grind. mod. Ilttery Lots No.of Receptacle Outlets Jl o. of Oil Mummers 'I L 'I., '?j S ii.40.of Zones No of Detection cm' dl No.of S;Pitches No.of G 3urners 1 Initiating Devices Tmtfil No.of Ranges Iffo.of Air Cond. Tons No of Alerting Devices {Heat Pump 1 i';umber Tons ' :?t: rNo,of Self-Contained 'No, of'Waste Disposers I Totals: i I i i DeyectiooiAaertiar;Devices No.of Dislai.=ashero Spa ceiA .n Heating r Local___, Connection Censer I. �-�,.tthn�_,onla�n es rz r ecuri.v Sys:vex fNo. of Dryers . r iw o.of Devises.or' �Iwv2ient Lvm.of Water ,r= No.of ''m. mf 1Data Wiring: Heaters Signs canasta 1 No.mi Devices or Equivalent 1Te1ecomruanic;,tionas Wiring: No.Hvuromcaacge athrubs it'O. mi Motors Total No.of Deals.s or Equivlent OTHER: cc'-) Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of—le :cal Work:. (When required by municipal policy.) Work to Start: l I Zo• Inspections to be requested in accordance with 1VEC Rule 10,and upon completion. Ti TSUNCE CO. -RAGE: 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: INSURANCEU BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this app ration is true and complete FIRM NAML VI.v 1 fl ., L✓ .� ' 0 ._. ."-' ,..,_>.--•• LKK.NO.: 3 ( Co Licensee:_.. rii 2 cC �. _Signature NO,: g/' (If applicable,enter "exempt"in the license number ne.) --1 Bus. TeL No.:V k Lam„/ Address: 1C.M j1-e,� STr vi i or-, T&.X\ 1 i�f /�f Alt.Tel.No.: 3-\-1-61 Per.M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAFTER: I am aware that the Licensee does not have the liability insurance coverage normally P1 d by to a l hereby e j T e (checkone) owner required law. By my signa�ar„below:,I:�e:',.b�waive this requirement. I am the J Li owner's agent. Owner/Agent '.: I Signature Telephone Ifo. P . ..t1T r.,: ,: . 1