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HomeMy WebLinkAboutBLDE-23-000088 or (4,6QA Commonwealth of Official Use Only fishMassachusetts Permit No. BLDE-23-000088 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:7/7/2022 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) 41 NEARMEADOWS RD Owner or Tenant Oliver Mallet 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(14.8 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 Initiating Devices No.of Ranges No.of Air Cond. To 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 Siens No.pf Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g 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: Russell L Haden Licensee: Russell L Haden Signature LIC.NO.: 36613 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 CAPTAIN STUDLEY RD, MARSTONS MLS MA 026481265 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 I r � RECEIVED JUL0 6 20.i ,. ��J?� 6fr i Use .. 6„� `'' e� Permit No.1'�/J '�O e LDING DEPART Occupancy a irec kid _.-. ON REGULATIONS i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK /071 (leave maw Ali work to be pe'ibtmed at with they EhxtYical Cole( ).527 CMR 12.00 (PLEASE PRINT TYPE ALL INFORMA77ON} Date:. 7/5/22 �Ciity or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives entire of Lis or he r t om to necfarm the ere ctrn�l work described below. C c oc (street&Number) 41 Neamieadows Road,W Yarmouth, MA 02673 C J Owner or T .�llye and..Deanna Hallet _ Telephone No. 508-404-6595 S. Owner's Address 41 Nearmeadows Road, W Yarmouth,MA 02673 s Is this permit in c nao�with a perms Yes iii No El (Check Appropriate�) OIs n j 6, Purpose of Building Utility Authorization No. 03 E~ Service Amps I Volts Overhead❑ Uudgrd 0 No.of Meters New Service Amps ! Volts Overhead 0 Undgrd 0 No.of Meters _ Number of Feeders and Aspacity -75 Location and Nauru of PraPassd Eleetriaal work: Installation of solar panels and balance of system for 14.8 kW DC/ 12.9 kW AC system ,-' ctakakaat oiOt table my be waived by the tucoro&wbns. " � f Total No.of Recessed Ldaes No.of Cam.(Paddle)Fans former KYA.T,� °" No.of LNminsire Ohs No.of Hot Tubs Generators KVA Na of Luminaires Above Swimming Pool mod, ❑ tumid. Q Battery Units no.et Emergency g No.of Recede Outlets No.of 011l Burners FIRE ALARMS No.of Zones �- No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices._ :.1 No.of R Na.of AirColtd. Total Mo.of Alerting Devices No.of Waste Disposers b Number Tans KW NO.offf. Devices No.of Dishwashers Speed-Area Heath* KW Local❑rM.onnection 0 Other No.ofDryers Ifenttag Appliantes KW "of �or Equivalent No.of Water KWNo. 1 Data . HeatersSbgal Ballasts No.ofDevices or '., :: No.Bydromassa a Bathtubs No.of Motors Total HP T " OMR: 'leach additional detail¢dam ar as required by the Inspector ernes. Estimated Value of Electrical Work: l/ 15151.)• C3 (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 is in eve,and has eichibited proof of same to the permit issuing office. CHECK ONE: INSURANCE(Dr BOND 0 OTHER ❑ (Specify.) I call&ander thepains and penalties Oppeiymy,*et tke keenntakm on this appleadon is trim end complete. Thai NAME: Haden Electric �" LIC.NO.: Licensee: Russ Haden t �,j - C-N� I' (fopp enter"exempt"in the like n M) TeL No.-'�0$:280-4040 Address: Captain Studley oa , at stuns Mills, MA Art,Tel.No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signet=below.I hereby waive this requirement. 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