HomeMy WebLinkAboutBLDE-23-003579 permits.wareham@trinity-solar.com
C • \`� commonwealth o�Maaaackudetta �Of Use Only
i. � cc�� cc77 Permit No.-li'
4 Myj y 2 epartment o`..tire Serviced
• 1' p Occupancy and Fee Checked
* BOARD OF FIRE PREVENTION REGULATIONS [Rev. i/07] (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: 1/13/2023
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) 55 Lumberjack Trail
Owner or Tenant John Puleo Telephone No.774-266-6098
Owner's Address 55 Lumberjack Trail West Yarmouth, MA
Is this permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. N/A
Existing Service Amps 120 / 240 Volts Overhead❑ Undgrd❑ No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 3.6 kW solar panels on roof. Will not exceed
roof panel, but will add CZ'tn_rnnf height 9 total panels
Completion of the following t ble m be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Sus .(Paddle)Fans Tr nfo VA
P Transformers _KVA_
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- 'No.of Emergency Lighting
No.of Luminaires Swimming Pool grad. ❑ girnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. nDete and
Initiatingon Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump Number°Tons •„ KW No.of Self-Contained
No.of Waste Disposers
Totals: "" Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Local ElMunicipal
o niece ❑ Other
Heating Appliances KW Security „ stems:*
No.of Dryers No.of evices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunicationsv Wiring:
No.H y g No.of Devices or Equivalent
OTHER: 9 total panels
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 21000 (When required by municipal policy.)
Work to Start: TBD 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 ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this ap • lion is true and complete.
FIRM NAME: Trinity Solar Inc � LIC.NO.: 4434A1 _
Licensee: Brian MacPherson Signature_,/1..4 ° LIC.NO.: 21233A/
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-291-0007
Address: 32 Grove St.Plympton,MA 02367 Alt.Tel.No.: 774-271-1858
*Per M.G.L.c. 147,s.57-61,security work requires Department of Publ ;fety"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.
Signature Owner/Agent Telephone No. I PERMIT FEE:$
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