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Home My WebLink AboutBLDE-22-0004247 0 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004247 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:1/31/2022 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) 52 CAPT BLOUNT RD Owner or Tenant Dennis Page Telephone No. Owner's Address 52 CAPT BLOUNT RD,SOUTH YARMOUTH, MA 02664 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 5.88 KW) mpletion 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 H ubs Generators KVA No.of Luminaires Swimmin Pkol CI ❑ No.of Emergency Lighting nd. d. Battery Units No.of Receptacle Outlets No.of Oil Bur ets V FIRE ALARMS No.of Zones No.of Switches No.of Gas Bu ers No.of Detection and Initiatine Devices No.of Ranges N of Air Con Total No.of Alerting Devices No.of Waste Disposers Hea Pump Number Tons 1 KW No.of Self-Contained Tota : Detection/Alertine Devices No.of Dishwashers Space rea H ting KW Local 0 Municipal Connection ❑ Other: 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 performanc of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial yivalent.The u dersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTH-: ■ C Specify:) I certify,under y', ury,that the infor • • o• ibis a 'cat' �i�l and complete. FIRM NAME- Licensee: Kyle Zuidema Signature LIC.NO.: 22593 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 771 Washington Street,Auburn MA 01501 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 thfi-nk 6 4 .ECEI - ED RE C E I ,�°:,*L`� � o,Knionwra scene Official Use Only - 1, • 12 0 2021 ' �,e.t '• rt� /5/ Permit No. � -Z —1 [ .7 k.: _i_ r;" � G D E PA RT M E NT Occupancy and Fee Checked BUILDING Dk + #,,:A,- •-"'""'""' -E PREVENTION REGULATIONS [Rev. 1/07) (leave bl ) 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: I) - t u-2 I City or Town of: qi cT(,.V) 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&Nu.ber) 4)')- ( 3�l ckiv (-c AS. �';4rrn.1;,7n^ llti,A Owner or Tenant 1-/At 1\(\1 S P}t Telephone No. Owner's Address S� art, "(C CI S Arc;,Tk-1-. M C'1 k I i Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters I New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters 1 Number of Feeders and Ampacity S ''11�t Location and Nature of Proposed Electrical Work: S. i)c,b(;1 c4 (IL 1 vi6 SOI Pt.!. QC1 I 1 cl S.r�$ f C.v (Z vi sr,a r S.)4-�r!V thl Completion of the followingtable may be waived by the Inspector of Wires. N.11 No.of Total i i No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting ,k' g grad. grad. Battery Units ---1 No.No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and s Initiating Devices 1< No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices rs Heat Pump Number. Tons_._ KW_. No.of Self-Contained No.of Waste Dispose Totals: _ . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalonnection 0 «�• C No.of Dryers Heating Appliances KW Se No ofy Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or commtut Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: it/ - ` (When required by municipal policy.) Work to Start /— t, - 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 ❑ (Specify:) I certify,under the pains,,art pena 'es f perjury,that the information on this application is true and complete. FIRM NAME: S C'i i,vc I 0..e g LIC.NO.: S 9'3 P Licensee: A,,,14 t,r`ctvt„.„r,, Signature ," - e6 �--.. LIC.NO.: (If applicable,enter fr'exempt"in the license number line.) Bus.TeL No.• Address: �7-)I C ,'i(r,,rt.)fill S-1 Prol-vy-) rr'P' GiiSC i Alt.TeL No.: *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)[]owner ❑owner's agent. Owner/Agent I PERMIT FEE:$ Signature Telephone No.