HomeMy WebLinkAboutBLDE-22-003149 ,A I Commonwealth of Official Use Only
Permit No. BLDE-22-003149
-fi :N. Massachusetts
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:12/2/2021
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) 30 LORENA RD
Owner or Tenant VITALINI LISA F Telephone No.
Owner's Address 11 CRESTVIEW DR, MENDON, MA 01756
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(10 Panels 4 KW)
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above
❑ grnd. ❑ No.of Emey rgency Lighting
Battes
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Y
No.of Gas Burners No.of Detection and
No.of Switches Initiating Devices
No.of Air Cond. Total No.of Alerting Devices
No.of Ranges Ton
Heat Pump Number Tons 1 KW No.of Self-Contained
No.of Waste Disposers Totals: Detection/Alertine Devices
Municipal No.of Dishwashers Space/Area Heating KW Local 0 Connection
❑ Other:
Security Systems:*
No.of Dryers Heating Appliances KW No.of Devices or Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Eauivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent
OTHER: ;:i
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: Philip Mccarron LIC.NO.: 14068
Licensee: Philip McCarron Signature
Bus.Tel.No.:
(If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:
Address:2 SHAYLEE LN, LAKEVILLE MA 023471852
*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 'PERMIT FEE: $I 50.00
Signature Telephone No.
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' _1;_— Occupancy and Fee Checked
' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
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• 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: 11/30/2021
City or Town of: West Yarmouth, 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) 30 Lorena Road
Owner or Tenant William Vitalini Telephone No.
-'7R Owner's Address Same
Is this permit in conjunction with a building permit? Yes 12 No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
d
Existing Service 125 Amps 120 / 240Volts Overhead W/ /Undgrd❑ No.of Meters
DNew Service Amps / Volts Overhead❑ Undgrd El No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of 10 solar PV modules of existing roof.
4 kW
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf T
Transformers KVA
0 0 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
n
T 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
0 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
3 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Securistems:*
No Sy
of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications N . fDeiceor Wiring:
Y g No.of Devices Equivalent
OTHER: Solar PV Installation
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3,000 (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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Beacon Solar Construction LIC.NO.:
Licensee: Philip McCarron Signature X/3.. N4p.,. LIC.NO.: A14068
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No. 401-203-4854
Address: 2 Shaylee Lane, Lakeville, MA 02347 Alt.Tel.No.
*Per M.G.L.c. 147,s.57-61,security work requires Department 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. B my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent ��� 401 203 4854
Signature Telephone No. PERMIT FEE: $