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Home My WebLink AboutBLDE-23-001382 Commonwealth of Official Use Only (fi ! Massachusetts Permit No. BLDE-23-001382 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:9/15/2022 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) 21 STILES RD Owner or Tenant BRIAN MORIN Telephone No. Owner's Address 21 STILES RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check t f� , "' Purpose of Building Utility Authorization No , p,- fff ( Existing Service Amps Volts Overhead 0 Undgrd 0 - ''i.o. :." 4, 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(19 Panels 7.03 KW(NO ESS) 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- CINo.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. Totalo 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 ❑ 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 8iems No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Matthew T Markham Licensee: Matthew T Markham Signature LIC.NO.: 1136 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 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 ❑ owner's agent. Owner/Agent Signature Telephone No. [PERMIT FEE: $150.00 061, i 0 I I f317,42,t --10 t...---4`00 h f 117•0 wo77000 'g 4 latr/ .r.''s 4695E. Commonwealth o/Masdachudettj Official Use Only - t 3epartment o/ }ire Services Permit No. � � 3 � �-_ _= �' �{ 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: 09/13/2022 City or Town of: Yarmouth To Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the the electrical work described below. Location(Street&Number)21 Stiles Road Owner or Tenant Brian Morin Owner's Address 21 Stiles Road,Yarmouth, MA 02664 Telephone No. 508-737-1049 Is this permit in conjunction with a building permit? Yes n No Purpose of Building residential (Check Appropriate Box) Utility Authorization No. Existing Service 100 Amps 120 /240 Volts Overhead Undgrd❑ No.of Meters 1 New Service 100 Amps 120 /240 Volts Overhead Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: roof mounted pv solar panels-7.03Kw system-19 total panels-100A-NO ESS 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 No.of Luminaire Outlets Transformers KVA 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: [ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection _❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water Kam, No.of N .of No.of Devices or Equivalent lasts Data Wiring: Heaters Signs Bal No. Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: No.of or OTHER:roof mounted pv solar panels- 7.03Kw system- 19 total panels- 100A- NOes ESS Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 28041.60 (When required by municipal policy.) Work to Start:upon approval 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 ❑ BOND ❑ OTHER I certify, fP perjury,under the pains and penalties o Jury,that the information on this application is true and complete. FIRM NAME: Freedom Forever Massachusetts LLC Licensee: Matthew Markham LIC.NO.:902A1 Signature W LIC.NO.: 1136MR (If applicable, enter "exempt"in the license number line.) Address: 135 Robert Treat Paine Dr.,Taunton,MA 02780 Bus.Tel.No.:774-320-5539 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 ❑owner's a:ent. Owner/Agent Signature - Telephone No. PERMIT FEE: $ r.. �,