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HomeMy WebLinkAboutBLDE-22-004195 Commonwealth of Official5 Use Only � , Massachusetts Permit No. BLDE-22-00419 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 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) City or Town of: YARMOUTH Date:the Inspector27/2022 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. of Wires: Location(Street&Number) 3 NAUTICAL LN Owner or Tenant EWING DANIEL D III Owner's Address EWING CAROL M, 3 NAUTICAL LN, SOUTH YARMOUTH, MA 02664 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps __� Volts Overhead 0 New Service Undgrd 0 No.of Meters Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system with EV Charger(10 panels 370 Watt) 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 KVA Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatine Devices No.of Air Cond. TonTotal s No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area HeatingKW Local 0 Municipal 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 0 OTHER 0 1 certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: MICHAEL J LEBLANC Licensee: Michael J Leblanc Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 17423 Address: 16 Westwind Cir, Osterville MA 026551375 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 I ' t 6( ( Commonwealth.of Vo. aackwette Official Use Only V t+t, '/ Permit No. L'H 7 �,. .)eparemen.t of Jise&Faced i . ' 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: 01/19/2022 City or Town of: S 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) 3 Nautical Lane Owner or Tenant _Daniel Ewing Telephone No. 78 1-Rn1-7311 Owner's Address 3 Nautical Lane Is this permit in conjunction with a building permit? Yes tiz! No ❑ (Check Appropriate Box) Purpose of Building_Residential Utility Authorization No. 2p Existing Servtcep Amps 12n /240 Volts Overhead 2' 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: Installation of 10 Solaria 370watt solar panels and Tesla EV charger. Completion of thefoilowingtable nip be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.S Tr usp.(Paddle)Fans o otansfortpgn KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above` in. No.or emergency Ltgntlttg grad. urnd. atterr yAits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Bunters No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number_Tons.....„1KW No.of Self-Contained Totals: , Detection/Alerti9g pokes No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 � ��0 it4tit(Qn No.of Dryers Heating Appliances KW Security o[Dtvicmos■or Equivalent No.of Water Heaters KW Ro•or No.of Data Wiring: Signs Ballasts No,Qt Dev qy cq}or& v/lent No.Hydromassage Bathtubs No.of Motors Total HP Teiecommunkafions Wirin : No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 12,210 (Whets 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 ►:l BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information th' plicalon is true and complete. FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al Licensee: MichaglJ,eBlanc Signature LIC.NO,: 1 3 (fapplicable,enter"exempt"in the license number line.l BUS.Tel.No.. Mtn-• '4 Address: 759 Falmouth Rd Suite 8 Mas pee MA 02649 Alt.Tel.No.: rzetto srgir 5 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. 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