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Home My WebLink AboutBLDE-22-003797 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003797 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:1/7/2022 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 CYPRESS POINT WAY Owner or Tenant William Wyman 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 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(31 Panels 11.16 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 A bovend. ❑ grnd ElNo.of Emergency Lighting r 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons 1 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs 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 ❑ 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: PAUL M TALLMADGE Licensee: Paul M Tallmadge Signature LIC.NO.: 21006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:817 MAIN ST, BREWSTER MA 026311032 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE: $150.00 G-J14.1___ '3 (7(,)-Li ...- *= a////aachee� Official Use Only 1* E-22 -3' 7g7 �t � Permit No. , ,toff Serviced BOARD OF FIRE PREVENTION REGULATIONS ( Occupancy and Fee Checked '' 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: I c/d a City or Town of: NAfMouAkIn 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) a (.j c cS P0;y� . 1 y Owner or Tenant W�t��ann m�r ir Lam,r7 I )-I ok elan A �1 Telephone No. /3-`l�8-IRt3 Owner's Address p Is this permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box) Purpose of Building l es:AQ/ti.i'1AlAAs‘e 1.4n:"4"' Utility Authorization No. Existing Service IS-p Amps j / a4.MO Volts Overhead K1 Undgrdg 0 No.of Meters 4- New Service Amps I Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 5ler iv fit°LV kw, .3i eaA.�lit eri;zer; a. Skr.r i Nver�e r, a me4 es cans , i Completion of the following table may be waived by the Ins sector of Wires. No.of Recessed Luminaires N; of Ceil:Susp.(Paddle)Fans No.of Total Tr; i sformers KVA of Luminaire Outlets No. s Hot Tubs Gene tors KVA No.o Luminaires Swimmi Pool Above In- ❑ No.of L,i ergency Lighting grad. grnd. Battery #'ts No.of ' • eptacle Outlets No.of Oil B ners FIRE ALA° 'S No.of Zones a No.of Swi hes No.of Gas Burn No.of Detectie :nd Initiating De 'ces No.of Ranges No.of Air Cond. Total Tons Na.of Alerting Devi .s No.of Waste Dis,osers Heat Pump Number ons 1KW No.of Self-Contained Totals: ) Detection/Alerting Devi No.of Dishwashers Space/Area Heating KW Local El Municipal M Connection er No.of Dryers Heating Appliances K Security Systems:* No.of Devices or Equivale,t No.of Water No.of Heaters W No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ' &\A ' PJ/ i Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: dl 000 (When required by municipal policy.) Work to Start: a )l 'aa. 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 pg 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: a. So c•ri Z LIC.NO.: ;t1643 v Licensee: a%, t t e A v l vM1 A g��j g_ Sj at e (If applicable,enter"exempt"in the license number7ine ' `"`'�"'�`�� LIC.NO.: a t d Address: $31 1C�rh g1- �� ` �� 'bus.Tel.No.:S08 'Z 3-7 .234-7 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No Tel �• OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. 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