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Home My WebLink AboutBLDE-22-001661 (2) `' teL of Official Use Only °s Permit No. BLDE-22-001661 L Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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) 40 CAPT BACON RD Owner or Tenant Louisinor Pierre Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(55 panels 18.15 K Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. 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 No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p 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. 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 LIC.NO.: 12418 Licensee: James E Precourt Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) 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 I CP c. s 4c.-r-0 I A Official Use Only • �onuswmvaa[l�o��a�ac�tu�ofPs ��_ � � �f / t 1 u f C� Permit No. •� k ? I eparfn:enf o�. ire Jeruica3 - ,4• Occupancy and Fee Checked' ' `�} 69 BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07) (leave blank) • APPLICATION FOR PERMIT•TQ PERFORM ELECTRICAL WORK An work to be performed in accordance with tbe}dassaaLusetts Electrical Code(SEC),527 CNJR 12.00 (PLEAS.E PRATT INIWICORTIT ALL INFOR11617101 ) Date: 1/1312-0 7-\ . City or Town of: 0 cl\A}VA,0'\ To the Inspector of Wire:: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. . Location(Street&Number) 14 0 C•t i 1 '-'9i,;(t ;6(I RI) Owner or Tenant L CLt6;11 f,r Q eiCrf•. Telephone No. Owner's Address I l> ( pi 5aa i OD y�`'Movt i AA k 0 k.k Is this permit in.conjunction with a building permit? Yes 0 No Q (Check Appropriate Bot) i �I 1 Purpose of Building R.e<,rims t-i ca I Utility Authorization No. ` Existing Service- iDC Amps lt)('j/ggoVolts Overhead Undgrd❑ No.of Meters l ` . New Service 1 yJ Amps /a0'aim Volts Overhead 0 Und`grd 0 No.of Meters Number ofFeeders and Ampacity - Location and Nature of Proposed Electrical Work: --`-' (r,I t f--0/I (1N!S1.P,G hJ�'1 c e y- - ovc- 1 a. 1 S'1:(.1,J 1 5. m6du,i£ -v sY6&t4 Completion of the following table may be waivzd by the InspnttorofWums. - t No.of Recessed Luminaires IYo.of Ceil:Sus ,(Paddle)Spans No.of Total :` P Transformers. KVA i No.of uminaire Outlets No.of Hot Tubs • Generators EVA No.of Luminaires Swimming Pool Above ❑ in. ❑ No.otLrtaergencyJtgtttrng - grad. grad. Battery.Units _j� 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 Total t No.of Ranges No.of Air Cond. Tons rNo.of4ler ring Devices f Na.afZ�'asteDis Disposers Heat Pump Number ions 'KW No.of Self-Contained • I� Totals: Detection/AlertingDevices ; iYiunicSpal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ ---er No.of Dryers - Beating Appliances KtYSecurityNo Syystems: >\o of Devices orEgnivaloat . No.of Water . -NO.of : No.of Data Wiring: - • Heaters lid Signs Ballasts No.of Devices or Equivalent • No..Hydrotnassage Bathtubs -- . . No.of Motors • Total W' el No ofDevic tso r quivg „ No.of Devices or lyquivaleat OTER: . . -: - A liachadditionid detaillfdesired,or as required by the Impale,ofWires .. Work _ r - � -- en• ttiiidd.hylnuriibi'al olio == - _ Estuuatedtalue�ofT aall�Torki�=-r=..__-• .:-..--.=r��(wh—req Y• P• P 3')..----• •,• _. . Work to Start: 161 p 16'- lnspections.to be requested in.accordance with MECRule IQ,and upon completion. INSURANCE COVERAGE: Unless Nraived by the owner,no permit for the performance of eloctricalwork may issue unless . the.licenseeprovides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The . undersigned certffles.that such coverage is in force,and has exhibited proof of same to the permit issuing office. t . Ch ECK ONE: INSURANCE 10. BOND 0 OTHER.0 (Specify:) I cerfif),under the pains and penalties of peljtuyi that the information on this application is true and complete. RIRMNAIV : ;v v', .e' La * LIC.NO.: 101 t) Ai , Licensee: J�� 2= - d r 1 Signature 07 lg:.... LIC.NO.:'Wen aA . (lfappllcablc.enter "exempt"in the license number line) Bus.Tel.Na: 2 - f ,i j Address: p7t3 Lil!hxy Tn vt riOS Pkte.i , Ur* 5Oi•uiet�tnorrli•►, mI4 OR"—. Alt.Tel.No: ?Per NLG.L.c.3 47,s.57-61,security work requires Dei artinent of Public Safety"S"License: Vic.No. - OWNER'S DISURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,There); waive this requirement. I am the(check one)❑owner .❑owner's agent. i i Owner/Agent Signature — _ Telephone Nu.,,_. _ PST Ae:$