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HomeMy WebLinkAboutBLDE-22-006008 Commonwealth of Official Use Only Massachusetts • Permit No. BLDE-22-006008 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:4/20/2022 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) 14 BROOKHILL LN Owner or Tenant PAPADONIS JOHN N Telephone No. Owner's Address 14 BROOKHILL LANE, 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. 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(14 Panels 5.04 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 rnd. 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. To 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 0 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 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: VS SUB I, LLC Licensee: John Rodrigue Signature LIC.NO.: 100073 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 198 Ayer Road, Harvard MA 01451 Alt.Tel.No.: 8562421295 *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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$150.00 ��� z Pcp ib) RECEIVED C',.....1th 4 'I .;. PR 19 2C22 Official Use Only >it cx Ci Permit N). -2 -.- �4S o' .. epartmsni o f,.firs )s BUILDING D EPA F Ttvan,y and Fee Checked •.,,_ ,!,. BOARD OF FIRE PREVENTION ' R-.- - e =� '- -" (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: 4/11/22 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) 14 Brookhill Lane Owner or Tenant John Papadonis Telephone No. 856 242 1295 Owner's Address 14 Brookhill Lane Yarmouth,MA 02673 Is this permit in conjunction with a building permit? Yes Ej No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of 14 roof mount solar panels-5.04KWDC Photovoltaic System ko �' Completion of the followin&table nt91 be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total Transformers KVA ck No.of Luminaire Outlets No.of Hot Tubs Generators ICVA Pool Above In- No.of emergency Lighting No.of Luminaires Swimminggrad. ❑ grad. ❑ Battery Units `-' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number ITons KW No.of Self-Contained Totals: ."" I Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters ' Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equiv eat OTHER: Solar Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 8000 (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 ® 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: VS Sub I, LLC Licensee: John Rodrigue ktip LIC.NO.: 100073MR enter "in the Signature • B LIC.NO.: 8108 Address: bre 198 Ayer Road,/Harvard,icense MA ne.01451 us.TeL No.: 856 335 2249 *Per M.G.L.c. 147,s.57-61,security work requires Al'.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Department not havethe liability insurance coverage n�y` required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$