HomeMy WebLinkAboutBLDE-22-001663 Commonwealth of Official Use Only
i.fi Massachusetts Permit No. BLDE-22-001663
'moo 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:9/22/2021
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) 92 SOUTH SEA AVE
Owner or Tenant SUAREZ FRAY A Telephone No.
Owner's Address SUAREZ ISABEL,92 SOUTH SEA AVE,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes ❑ 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 (37 Panels 113.505 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
ns
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
Space/Area HeatingKW Local ❑ Municipal ❑ Other:
No.of Dishwashers P 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
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
a
Estimated Value of Electrical Work: (When required by municipal policy.)
y'
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. 33.7 20- 7767
CHECK ONE:INSURANCE 0 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: JAMES E PRECOURT
Licensee: James E Precourt Signature LIC.NO.: 12418
(If applicable,enter"exempt"in the license number line.)
Bus.Tel.No.:
Address:244 S WORCESTER ST,APT 3,NORTON MA 027663445 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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' � BOARD OF FIRE PREVENTION REGULATIONS ev.]107
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APPLICATION FOR PERMIT•T`Q PERFORM ELECTRICAL WORK
All work to be poriorr„ed in accordance with the.Iatassachusetts Electrical Code(ME ,527 Civ1R 12.00
(PL,Et.IS.E PRATT JR11V7CORTIP.EdLL1NFORleMT1'OA9 Date: CIl6 ZOO\
. City or ToRm of: �mt o tL To the Inspector of Wires:es:
By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below.
9. �n
Location(Street&Number) 3 t � i
Owner or Tenant ' Ved\ G1, c2. Telephone � Z�• �l l
Owner's Address g, 9 `3P,Q ittv S Ya i ot.t•I vt M.4' d a 6 7 A .
3s this permit in.conjunction with a building permit? Yes [t No ❑ (Check Appropriate)loz) t
Purpose of Building NeL) 'i tt11 2( Ufifity Authorization No.
a
Existing Service-2•DO Amps i!)/,Qg0Volts Overhead Ii Undgrd 0 No.of Meters 1 • `
New Service 'rl'i') Amps iaO/o2y()Volts Overhead la- Und'grd 0 No.ofMcters j_
Number of Feeders and Ampacity •Location and Nature of Proposed Electrical Work:Tyt I� _AA. `D,(1 O '
ooc,c- modutics 115 ;n o c
Completion(tithefollowiq table may be waivsd by the Immoral Mir en. - I
No.of Recessed Luminaires No.of Ceif:Susp;(Paddle)Fans Toaz fornzei r Ke1A
No.of Luminaire Outlets No.of Hot Tubs • Generators EVA I
• Above In- i�o.of mergencyJ igkiting
•
• No.of Luminaires • Swimming Pool . nd. ❑ • ad. ❑ Battu _.Units
No.ofReeeptacle Outlets No.of Oil Burners FIRE ALARMS No:ofZous •
No.of Switches No.of Gas Burners , o.of Detection and
Initiating Devices
No.of Ranges - No.of Ai Cond. Tots No.ofAlettingDevices
No.of Waste Disposers Rear famSpTNumber-1 Tons KW No.ofSelf Contained •
I Detecfion/AlertingDevices
No.of Dishwashers Space/Area Beefing KW Local 0 Municipal Connection Q tea,
F
Beat*Appliances Security Syystems
No.of Dtyers 4 pp- icw No.of Devices or Equivalent
No.of Water . , No.of : No.of Data Wiring: -
• Heaters Signs • Ballasts No.of Devices orEqquivatedt
•- No..BydromassageBathtubs No.of Motors • Total W TelecommunicationsNofDevicsr uiv
No.of Devices or]tiquiva�eat
01R.: - • _ • -
•
• - - -t, iitiachadditionbl detaillfdesirett,or asrequi edby the InspectorofRims _ _
. --Patintatedilklue=of:Elec tical;Work:_ 1� Y=:•wren- tiitired•by nunicipil policy) ------•- -- --- ..... ___
Workto Start: AO I a 120 11 Inspections to be requested in accordance with lvfl:CRule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of elcctricalwork may Issue unless .
the.licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.-The -
undersigned cent i Ies-that such coverage is in force,and has exhibited proof of same to the permit issuing office. r .
CHECK ONE: INSURANCE 0. BOND ❑ OTHER❑ (Specify:) .
I ore,under the pains atrtlpenalties ofpr tttj'e that the iltformation on this application Ls true and complete i
FIRM NAME: ,u is. ..' . " 'we IcL .NO.: l%%A . ' s LIC.1TO.c $I0 Al • -
.
Licensee: . u Lr - d .� Signature �.-- -- -
(lftrpplicable.enter "exempt"in the license mmtberline)_ Bus Tel.Na: 4 2 - f S`
•
Address: ' be ',nav 'al • to Unit ,-U tuouU►, MR 01811 Aft.Tel.No:
"Per IvLG.L.c,rim s.57-61,security work requires Department of Public Safety"S"License: Lie.No. .
OWNER'S DNSUBANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally I
required by law. 13y my signature below,!beret waive this requirement. I am the(check one)❑owner -Downer's agent.
Owner/Agent . _ Telephone u- —I PKRAfir FEE:$ ~ I
Signature h N ••— I -