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HomeMy WebLinkAboutBLDE-22-004530 Commonwealth of Official Use Only E ;►� ' Massachusetts Permit No. BLDE-22-004530 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:2/15/2022 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) 72 MAYFLOWER TERR Owner or Tenant Matthew Clark Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (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(15 Panels 6.0 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 Initiatine Devices No.of Ranges No.of Air Cond. TTotal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters 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 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: MICHAEL J LEBLANC Licensee: Michael J Leblanc Signature LIC.NO.: 17423 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 Westwind Cir,Osterville MA 026551375 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 Q-Z.4 4( (z7 "4-711c177)2AZ s J �� . Commonwealth of lr/adaacI oietta Official Use Only i� M; ' emrys,. �i Permit No. Ci�i - 4S'30 l; .Depa.iswnt o f giro Serviced I{ :4 Occupancy and Fee Checked \\ ,' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: 02/09/2022 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) 72 Mayflower Terrace Owner or Tenant Matthew Clark Telephone No. 817-669-3118 Owner's Address 72 Mayflower Terrace Is this permit in conjunction with a building permit? Yes E No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 200 Amps 190 /240 Volts Overhead 0 Undgrd ' No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of 15 Solaria 370 roof mounted solar panels and Enphase IQ7+ miCroinverters Total system sire A 0kW nC Completion of the table mg be waived by the Inspector of Wires. f Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No. ngformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pool Above in. 'IMO.01 l,mergeney Liming No.of Luminaires Swimming grad. 0 grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners 'No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Toni No.of Alerting Devices No.of Ranges Tons Heat Dump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals; Detection/Alerting Devices Space/Area HeatingKW Local❑ Municipal ❑ Other No.of Dishwashers p Connection Heating Appliances KW Security g stems:f No.of Dryers No.of Devices or Univalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Device,or ggpival nt Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP _ No.of Devices or',univalent OTHER: Attach additional derail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 19,800 (When required by municipal policy.) Work to Start: 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 3 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information th plicatlon is true and complete. FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al Licensee: Michael LeBlanc Signature ' LIC.NO.:Of applicable.enter-exempt"in the license number linedBus.Tel.No: -_ - 5 Address: 759 Falmouth Rd Suite 8 Mas pee MA 02649 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)❑owner 0 owner's agent. 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