HomeMy WebLinkAboutBLDE-21-004587 ,; Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-004587
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:2/12/2021
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) 2 CONSTANCE AVE
Owner or Tenant CARDOSO OCTAVIO Telephone No.
Owner's Address CRUZ-CARDOSO SHEILA M, 2 CONSTANCE AVE,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap re x)1
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 : o'"747. Q
New Service Amps Volts Overhead 0 Undgrd 0 . o: i• •t• . ffll
Number of Feeders and Ampacity Q ♦clip
Location and Nature of Proposed Electrical Work: Installatiopn of solar PV system(30 panels 9.60 KW) Q �'
Completion of the following table may be waive s r of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 4,
Transformers
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
Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers
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 of perjury,that the information on this application is true and complete.
FIRM NAME: ISAKSEN SOLAR, LLC
Licensee: Patrick Sallar Signature LIC.NO.: 22646
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:95 R Drive,Westport MA 02790 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 FE • $150.00
' t QQ''
' __ Commonwealth.o j Ma ac a ,O,ffic�ial��Use Only),"
t nLly (�
al'_ q 2epartment o 3ire Serviced Permit No.
-_i_W_ Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]'4.�, (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:2/10/2021
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)2 Constance Avenue,Yarmouth MA.02673
Owner or Tenant Sheila Cruz Telephone No. (508)815-6306
Owner's Address 2 Constance Avenue,Yarmouth MA.02673
Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box)
Purpose of Building Rooftop Solar Array Utility Authorization No.4905331
Existing Service 100 Amps 120 /240 Volts Overhead❑X Undgrd 0 No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
ber of Feeders and Ampacity
` L ation and Nature of Proposed Electrical Work: Install 30 rooftop mounted,USA made,solar panels for a
g otal of 9.60 kW.
h,a Completion of the followingtable may be waived by the Inspector of Wires.
) T Tr
N .of Recessed Luminaires No,of CeiL-Susp.(Paddle)Fans r of Total
�� ansformers KVA
` . N .of Luminaire Outlets No.of Hot Tubs Generators KVA
L N4.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd, grad. Battery Units
w,., — ~ —Lc Nil.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
—` N .of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number I Tons_ KW No.of Self-Contained
Totals: W` 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 Water , 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: $14,400 (When required by municipal policy.)
Work to Start:3/11/2021 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑X BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: I s a k s e n Solar LIC.NO.: 22646A
Licensee: Patrick S a 11 a r Signature /2az S'a, LIC.NO.:• 22646A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No. 508-491-6933
Address: 18 Pocasset Street Box 11A ,Fall River, Ma. 02721 A1t.Te1.No.•508-491-6933
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent I
Signature Telephone No. I PERMIT FEE:$