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Home My WebLink AboutBLDE-21-006563 Commonwealth of Official Use Only trE Massachusetts Permit No. BLDE-21-006563 ' 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:5/12/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm 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 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 2410735 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(46 Panels 14.95 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- ElNo.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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts 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. 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 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lloyd R Smith Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (/� Iapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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 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 0�c9- 4,((1)7, (cL Commonwea&o/ffiamaclus.isti5 Official� � Use Only '` �, tt c� Permit No. 02,1 '(05(03 2epartmeni ol3ire Servicee jj 74' Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELEC RICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(tc),122çIR 2.00 (PLEASE PRINT IN INK OR TYP -ALL INFORMAitAc Date: 1 City or Town of: it 0� 1 1 To the Inspector f Wires. By this application the undersigned gi es notice his or her intention to pferform th electrical w (o)rk described below. Location(Street&Number) cl S-�'CL. ��. f�Q Owner or Tenant tc&be 1 ��, 1 1 ---€4 Telephone NQS � Owner's Address ¶i✓rn' 'US _6t a Is this permit in conjuncl with a ding permit? Yes ,No ❑ (Check Appropri to Bo Purpose of Building i Utility Authorization No. V �� Existing Service( j,)Amps(7 /? is Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( c)S , A.v Inn eA s, I--I . 1'� Completion of the following table may be waived by the Inspector of Wires. No. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices ;0 No.of Waste Disposers ns Heat Pump Number Tons KW No.of Self-Contained Totals: _.� Detection/Alerting Devices C No.of Dishwashers Space/Area Heating KW Local 0 M n iccipal ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin No.of Devices or Equivalent JOTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Elec 'cal Worka(O , , (When required by municipal policy.) Cl Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 4 INSURANCE CO GE: 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 koyerage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE NIEL BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of ;jury,that the inform ' n on this application is true and complete. FIRM NAME:\j \V\n t- Solo v J l v VC._ LIC.NO.: Licensee:`,' A . cry)t om Sign re �(' LIC.NO.: r S (L�r� A- (if applicable entfr"exempt"in the license number ling.) BurTet.gyp,. Address: ic1\ l ,i S` t Sh NO Alt.Tel.No.: 4 *Per M.G.L.c. 147,s.57-61,security work requires Departmen tc 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. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$