HomeMy WebLinkAboutBLDE-22-006609 a. cc Commonwealth of Official Use Only
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i : t / Massachusetts Permit No. BLDE-22-006609
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:5/17/2022
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) 84 EARLY RED BERRY LN
Owner or Tenant Rebecca Earle Telephone No.
Owner's Address 84 EARLY RED BERRY LN, YARMOUTH PORT, MA 02675
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(17 Panels 6.80 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. Total No.of Alerting Devices
Ton
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No
No.of Devices or Equivalent
HeatersWater 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: BRIAN K MACPHERSON
Licensee: Brian K Macpherson Signature LIC.NO.: 21233
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:32 GROVE ST,DBA TRINITY SOLAR,PLYMPTON MA 023671306 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
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T C ,-'' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
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m 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: 05/12/2022
City or Town of: Yarmouth Port, MA 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) 84 Early Red Berry Lane, Yarmouth Port, MA
Owner or Tenant Rebecca Farle Telephone No.
(508)221-7175
Owner's Address 84 Farly Red Berry Lane, Yarmouth Port, MA
Is this permit in conjunction with a building permit? Yes C No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 / 240 Volts Overhead❑ 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: Install 6.80 kw solar panels on roof.Will not exceed
roof panel. but will add 6"to roof height, 17 total panels.
Completion of the bllowinktable 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
I Above ❑ In- ❑ No.of Emergency Lighting
No.of Luminaires Swimming Pool
i 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
i No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
I No.of Waste Disposers Heat Pump I Number Toss KW No.of Self-Contained
Totals: "` "`"" Detection/Alerting Devices
i No.of Dishwashers Space/Area Heating KW Local 0 Municipal
Connection 0 Other
No.of Dryers Heating Appliances KW Security S stems:4
No.of Water No.of No.of or Equivalent
Heaters KW 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: 17 total panels
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 29,000 (When required by municipal policy.)
Work to Start: TBD 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 0 (Specify:)
1 certify,under the pains and penalties of perjury,that the information on this ap,i eon is true and complete.
FIRM NAME: Trinity Solar Inc pp , LIC.NO.: 4434A1
Licensee: Brian MacPherson Signature ..,` '1../ LIC.NO.: 21233A
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.;508-291-0007
Address: 32 Grove St,Plvmaton,MA 02367
No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Publ ,fety"S"License: Alt.LicT .No. 774-271-1858
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)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$
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