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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: $I 50.00 Signature Telephone No. t)o OLD A-0 Ci)At-77 0 A VI 144 3$(-- I Ai )K c U ` l,.ommonwea�of Maacett� Official Use Only _. - 1 cc�� cc77 Permit No. 02.-1.- ,—3 l ".t =�- 2epartment o�..tire�ervice! ' _1;_— 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(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: $