HomeMy WebLinkAboutBLDE-21-003973 , NiVj Commonwealth of Official Use Only
' Massachusetts Permit No. BLDE-21-003973
.""' 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:1/19/2021
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) 31 NORTH RD
Owner or Tenant ODONOVAN JOHN Telephone No.
Owner's Address MACLET4NWOMOLYN IiII, 9 BEACON ST, HYDE PARK, MA 02136
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. (22 Panels 6.710 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 Arad e 0 In- ❑ No.of Emergency Lighting
g 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 ❑ 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 ❑ 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.el NO.: 1136
(If applicable,enter"exempt"in the license number line.)
Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 A Tel o.::
Allt.t.
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.No.:
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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $150.00
I
1 Ltf 24 cl
Commonwealth o/KliachaJelb Official Use Only
!!55 — 3?7
t�__�—li c� Permit No. vZX
im! 2epartmenl o 3ire Serviced
` ► BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 OLw
Occupancy and Fee Checked
" (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: 01/04/2021
City or Town of: W.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)31 NORTH ROAD
Owner or Tenant CAROLYN MACLENNAN Telephone No. 781-588-8696
Owner's Address 31 NORTH ROAD,W.YARMOUTH,MA 02673
Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 225 Amps 170 / at Volts Overhead
��//��
f� n Undgrd n fee�rsi .
New Service 225 Amps PO/ 1O Volts Overhead n Undgrd n o.of ters 1
Number of Feeders and Ampacity JAN 71
Location and Nature of Proposed Electrical Work:
I G DEPARTMENT
Completion of the following table may r y t - ;7„sr
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 1 i .- g
grnd. grnd. Battery Unitsik
No.of Receptacle Outlets No.of Oil Burners FIRE ALAR i i V es
s
No.of Switches No.of Gas Burners No.of Detec n .
Initiat g 1 �
No.of Ranges No.of Air Cond. Total No.of AlAS
Tons gi ,
No.of Waste Disposers Heat Pump Number Tons KW No.o Self- .i • if
Totals: Detection/Alert D• «. J
No.of Dishwashers Space/Area Heating KW Local Municipa r
❑ ConnectionI et `,.
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equiva -.
No.of WHeaters ater KW No.of 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: Roof mounted PV solar panels- 6.710 Kw system- 22 total panels-225A
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $21402.22 (When required by municipal policy.)
Work to Start:upon approvals 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 ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Freedom Forever Massachusetts LLC /� LIC.NO.:HIC 198080
Licensee: Matthew Markham Signature N. 7'�,G ./LGmYL LIC.NO.:MA 902-EL-Al
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:774-218-4474
Address: 135 Robert Treat Paine Dr,Taunton,MA,02780
Tel.No.:
*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 agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $ I
((, �_,�rr YLU L-yfll;lUUHJ Idl
- Y�1 ' OUZO YIN'NOlnV1.130 3NIVd 1V321'.12138021 S£L
9698-889(1.8L) Olt
EL9Z0 VW 'H1fOW2iVA 1S3M 1HOI J8W93a0 S113SnH0`dSSVIN 213n32iO3 WOa33Z1=
NiN 9£l l NVIOIJ�lO313
'o2>1 N 1.E 831SVIN.Z991 l L-SO 3SN3011 a 3 n 3 a 0 !
(A H J-13-Z0l3df1SNOI101OVIA00 uo aa.l
IINA1O2: V 3 `NVN N213VW.. 'L1VOINO63SN30112JOIOVHIN00 +��`'-•
1VOI I0313 SS3NISne'090961
?JOIOVLLLNOO IN3W3AONdINI 3WOH
•1N3110 ON H01OVLLLNO31VORLL0313
11nallo0
1W3 NI 391SnW OMV 9#
21O 2IIV 33213 NI OMV 9#-L
32IIM Ad'OMV Ol#-Z
S2l3ZIWIld0 213Mod
—04£d 30032HV10S
rI 1
11n0N00 1IN3 1:1302:V1
HO11MS H0.4/£NI =
NMOOlnHS Z NMHl'0O3 OttL
aldva — Z-NMHI'OMVOL#-4 1�-- _r sa --I
11
T. X09
NOIl3Nnf
\C.10
SO£l'4O->1V3d'011300 L L
- Z-ONI2119
i —0.
1
Si
H31213ANI -
i — _� _r
ILISI WO21Sn-H00093S JHIM Ad'OMV OW Z
30039V1OS(N) S2l3ZIWildO 213MOd 1
04£d 300321V10s--
SO£ l'4O->IV36011300 l L
I-ONI iLS
OV-M)1000.
OQ-M)I 01•L'
W3ISAS A
801831X3 IOd of sazaZna a 3Hvnos Ov £ 0333�Od8 3l8dM011d VOL = OOZ - OLZ
21OIH31X3 82+ZZZna a 3HVn0S 01 H313IN NOI101100Hd OV Z OLZ = On. X SZZ
HOR131X3 H313IN NOI10n00Hd 01 H31213ANI OV L 03N OZOZ dO Z1:90L 33
aol 321IM NO-2i3>IV32I8 VSE SdINVSZ'I•E = SZ'I. X SZ
1N3INdIn03
nObz @ V9 1fld1"O snoni •Xb
Iv 2101011ONO3 ' -
ONIZIS b3NV31:18
Zb50L0d :'ON Kr L - -
�_nd wdU JVI O Z - _
3NI133UH1 Sdw :A9 E
NOIS3O
4 -
OZOZ/6Z/Z6 31V0 NOISIA321 31V0 NOI1dk10S30
:133HS :31111 :SNOISIA32i
SNOIIVONOO 0131d AO 0321If1032I SV ONIZIS-df1111111 01
1NV311 10N 32IV ONV S1N3W3211f10321 3000 WfWINIW NO
03SV9 32IV SNOI1V313103dS S21O10f10NO0 ONV iIl0N00
:310N
2I3df1 ONIISIX3 01103NNO3
1If10NO3 I113/330 J 12I0 V/E NI
Z-NMH1'003 8#-I.
Z-NMH1'OMV 8#-E
1
\. 213NV3219
Ad dZ/V5£(N) 81ZZZf10
3
O 21Vf10S 213131A1 N0110f10021d
• 103NNOOSIO 3V 121VWS SZ W21Od VOOI/AO(
�• 031V21 V09(N) 21E VW3N 3SVHd 310N15.
SNI-1X-6Z69f1)INV911W(N
�• S0V012i3H10 01
y
(03d 0N3)
213)1V3219
L
NIVW dZ/VOOZ(N)
® ZHO9AOiZ/OZl'HdL
i
l3NVd301A2I3S NIVW
2i313W 031V21 VSZZ(N)
AII111l(3)
ZZOZ/0£/90:dx3
\,N31tlN0lss�
a��> 6031S10d),
_l /% EL8£5'ON 0 00'L 55 l SS 8 E
00-I 55 L 55 8 E
.y��b3LAlVW3Oo1y�o3S� 00'4 55 I. SS 8 £
obssbWd0NYA (e)(E)(9)5l'OLE "ray006@ (e)(Z)(8)5L'OLE (91)(9)91;0LE 3ZIS .A10
318V1 A110Vd11V 319V1 318V1 321IM OMV 21010l0NO3
S21O10Vd 03N 21010fGN00 S21010Vd 03N, S2I010Vd 03N
NOI1Vil01V0 31V21-301