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Home My WebLink AboutBLDE-23-001111 . Commonwealth of Official Use Only 'E, t • Massachusetts Permit No. BLDE-23-001111 lei 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:8/31/2022 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) 32 WHIPPOORWILL LN Owner or Tenant BARRY KELLOG . 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(20 Panels) 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. Total 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.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 ❑ (Specify:) roe, - 776 ! ( =�8 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Arden W.Lockwood Signature LIC.NO.: 56480 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:395 Lakeshore Drive, Sandwich MA 02653 Alt.Tel.No.: 5087767458 *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 ap-,g I -Ui1 q/.12v f 9 1 (‘-i)a Co Teal @iv sii f22acpM) C. its Coar+nonwaaa 0/r7i�lmeaa7elussoh Official Use Only. . 'J 1 J ,emirs Jawicsa Permit No tom/ -' t L U. of Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M .527 MR 12.00 ',EASE PRINT IN�INK OR TYP ALL INFORMATION) Date: if Z Z'7- z of: o tr To the Inspector of Tres: City or Town �'Jtit lit Ill car 2: this application the undersign gives notice of his or her intention to performgzaiical work described below. CC- ' atlon(Sheet&Number) 2 Wl t p 't'A c tk — w t. r or Tenant 6 tta ' f U p.. Telephone No. 111 c1t . I a is Address J C� V {Z +, > permit in conjunction with a building permit? Yes [i] No El (Check Appropriate Box) LLB — I o . ,, . ,_ of Building Utility Authorization No. m .. . Service IT Amps / Volts Overhead❑ Undgrd JJ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty ILocation and Nature of Proposed E Work: h 4 8, 'Srt 1 mill" 7_Af , 6 1 Ver Corof Wires. Completion of the followingtable emery be waived by the/ No.of Total tl.: No.of Recessed Luminaires No.of Cell.-Snip.(Paddle)Fans�� Transformers KVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' Above In- Nu.of Emergency ttg>etxag No.of Luminaires Swimming Pool tad ❑ mod, ❑ Battery Units - No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Bunsen Initiating Device 1 ' No.of Ranges No.of Air Cond. Tan` 4 No.of Alerting Devices Heat Pump Number Tons..._.,. KW__.._ No.Det of��o� d No.of Waste Disposers Totals: ___.._..._....___... No.of Dishwashers Space/Area Heating KW Local 0 Connetdioa 0 Other � * • No.of Dryers Heating Appliances Security Sy KW No.of Device;or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or .uivalent Telecommunications ' . i . No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eq., - t OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value El al Work: "<0 V° (When required by municipal policy.) Work to Start: 2 tt 1 ljt.inspections to be requested in accordance with MEC Rule 10,and upon ccmtpletion. 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:) �j I certify,tinder die pains and of pa} ,di the we non digs application is tr r"iriligeteO.' 6 �0 1JFIRM NAME: Lcli��: D W_ Signature 0 O.: t"i the liming num li 1 _ i n y Bus.TeL No.: Address:able.�O( 4 IC'I L °'We ,.7(il'1'e(V �7i yell //( S_ Alt.TeL No.: 'Per M.G.L.c. 147,s.57-6 ,security work requires Depe nt 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. ' my signs below,I h y waive this requirement. 1 am the(check one)❑owner 0 owner's agent. Owner/Agent u ant ';' 1 n Gli'oi7t\ Telephone No. �/�-' ('T I PERMIT FEE:$ s �� 2D7` 3$(9 -So3s illMyGenerationEnergy R -� e V E D August 29,2022 AUG 2 9 1011 ILE BUILDING DEPBy AkrNjENT To Whom It May Concern, Please accept this letter as confirmation that Arden Lockwood is employed with My Generation Energy and covered under our workers'compensation insurance. My Generation Energy's is covered under Liberty Mutual as policy number:WC2-31S-605824-031. If you have any questions or require further information, please do not hesitate to contact me at 508-274-2912. Sincerely, Jennifer Washburn HR Administrator