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Home My WebLink AboutBLDE-21-006196 Commonwealth of Official Use Only t:..rif%NI Massachusetts Permit No. BLDE-21-006196 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:4/27/2021 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) 43 COGSWELL PATH Owner or Tenant Deborah Person Owner's Address 43 COGSWELL PATH, WEST YARMOUTH, MA 02673 Telephone No. ° Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec. . v4� I H f� Purpose of Building ��• ria\ V Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 1,./ New Service r, Amps 4y' Volts Overhead 0 Undgrd 0 No. . ! Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(41 Panels 13.120 KW) 4V O 6.\. Completion of the following ,- table may b e waived.� .-ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 41;• al Transformers , ,A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above. 0 In- ❑ No.of Emergency Lighting grnd grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number f Tons I KW No.of Self-Contained Totals: J Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 ❑ OTHER 0 S eci I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: Matthew T Markham Licensee: Matthew T Markham Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 1136 Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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. I PERMIT FEE:$150.00 I C..ommonweanh o/fa3eachu3ell3 Official Use Only "..-1,.--' c� �'7 �\7 Permit No. L �C3 (`�(o _ ';�= o .2 eparlmen1 o/.}ire Jervicel NZ:, Occupancy and Fee Checked B ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) i s APPLIC TION FOR PERMIT TO PERFORM ELECTRICAL WORK F , '-i I work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRAT IN INK OR TYPE ALL INFORMATION) Date: 04/22/2021 City oti Town of: YARMOUTH To Inspector of Wires: "B thicapplicatiail the undersigned gives notice of his or her intention to perform he electrical work described below. Location(Street&Number)43 COGSWELL PATH Owner or Tenant DEBORAH PERSON Owner's Address 43 COGSWELL PATH,YARMOUTH,MA 02673 Telephone No. 603-562-9564 Is this permit in conjunction with a building permit? Yes n No 1-1 Purpose of Building Residential (Check Appropriate Box) Utility Authorization No. Existing Service 200 Amps / Volts Overhead Q Undgrd g n No.of Meters 1 New Service 200 Amps / Volts Overhead Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ROOF MOUNTED PV SOLAR PANELS-13.120 KW SYSTEM-41 TOTAL PANELS-200A Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus No.of Total p.(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 grnd. grnd. 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 No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No. No.of Devices or Equivalent Heaters of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ROOF MOUNTED PV SOLAR PANELS- 13.120 KW SYSTEM-41 TOTAL PANELS- 200A Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $41879.04 (When required by municipal policy.) Work to Start:upon approvals 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 ❑ OTHER I certify,under the pains and penalties o ❑ (Specify:) f perjury,that the information on this application is true and complete. FIRM NAME: Freedom Forever Massachusetts LLC Licensee: Matthew Markham LIC.NO.:MA 902-EL-Al applicable,enter "exempt"in the license number line.) (If Signature �'r2a %%i2l� LIC.NO.:1136 MR Address: 135 Robert Treat Paine Dr,Taunton,MA,02780 Bus.Tel.NO.:774-218-4474 *Per M.G.L.c. 147,s.57-61,security work requires Department of Publict Safety orever corn "S"License: Lic.No. "S"License: Lic.No. Tel.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/Agent ❑owner's a_ent. Signature Telephone No. PERMIT FEE: $