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HomeMy WebLinkAboutBLDE-22-005896 / � as Commonwealth of Official Use Only Massachusetts• Permit No. BLDE-22-005896 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:4/14/2022 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) 169 WOOD RD Owner or Tenant DEVLIN DOROTHY A Telephone No. Owner's Address DUMAS KEITH E, 169 WOOD RD,SOUTH YARMOUTH, MA 02664-4229 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 8.80 KW ROOF MOUNT SOLAR SYSTEM WITH 22 PANELS 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Frank A Knox Licensee: Frank A Knox Signature LIC.NO.: 28653 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:275 MENDALL RD,ACUSHNET MA 027431237 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 F.e&>ret 4wfw _ A\ ./ic-i-trucit, dif./64 AP,* rizigthuk c-(9/7/ re �- �1t (vi- i p� permits.wareham(a�trinity-solar.com tth of l Official Use Only _ onx»:oniuuaa oMin� '' -- �i �1 t��_� �\j Permit No.ti '� � 3 d✓eparlment 0 w8 Serviced l s' Occupancy and Fee Checked Q t z ,+' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07]tu (leave blank) U.1 ci 'I- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK cv a All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 LU ,---10 ' ' E PRINT IN INK OR TYPE ALL INFORAfAT7O1>') Date: 04/12/2022 0 City or Town of: Yarmouth, MA To the Inspector of Wires: 0i cci o B, this application the undersigned gives notice of his or her intention to perform the electrical work described below. l.IW 1 i ri + : ;on(Street&Number) 169 MR Wood Road,Yarmouth, MA IX L.--....1.t r; ,er or Tenant �_� Dorothy Devlin Telephone No. (774)212-2020 Owner's Address 169VQpd Road.Youth- MA Is this permit in conjunction with a building permit? Yes [1 No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120 /240 Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd L No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 8.80 kw solar panels on roof.Will not exceed roof panel hut _will add 6"to roof height.72 total panels Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Cei.-Sus .(Paddle) To• f "I KVA Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 'No.ofEmergency Lighting g grnd. grad. 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 Initiatingon Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tans No.of Waste Disposers 'Heat Pump Number Tons KW -No.of Self-Contained Totals: Detection/Alerting Devices Municipal Other. No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ No.of Dryers Heating Appliances ' SecuriNo.offDevices or Equivalent No.of Water No.of No.of Data Wiring: Heaters ' Signs Ballasts No.of Devices or Equivalentg No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunicationsoo icess Equivalent OTHER: Install 22 solar panels on roof Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 39,000 (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 0 OTHER 0 (Specify.) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME:\IV)OY(, Etc41C.1 1nC.} LIC.NO.: _ 1 Licensee_ r. Q,V-,r,b t S' --„_.) LIC.NO:E., Lc 3 (If applicable,enter mpt"in the license num er line.) Bus.Tel No. •:� .4 • Address: P C) k . f I-r Ne VDP rcI,W1,, Doll 4, Alt Tel.No:'-'ram 'DTA . . *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. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. 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