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Home My WebLink AboutBLDE-23-004218 Y• Commonwealth of Official Use Only 4.4 or�,j\ '' Massachusetts Permit No. BLDE-23-004218 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:1/30/2023 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) 39 SULLIVAN RD Owner or Tenant GUARINO DINA T Telephone No. Owner's Address 39 SULLIVAN RD,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(22 Panels 7.92 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 grnd. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices • Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 Signs 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: PAUL M TALLMADGE Licensee: Paul M Tallmadge Signature LIC.NO.: 21006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:817 MAIN ST, BREWSTER MA 026311032 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 � j ,(7( Y ._ ,1. RECEIV D M t 4.....m... o 'nava ri amachudettd Official Use Only JAN 3 0 2023,E .,, enks�erviccnt Permit No.C�Zij '-`-T Z•� ;"1. F REVENTION REGULATIONS Occupancy and Fee Checked ' e U I r [Rev. 1/07] (leave blank) BA ' ' ATION 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: tl i,/�a 3 City or Town of: ygCMO�.An To the I�iSpector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 361 S v(I i Hall (t4 Owner or Tenant P,n 0. frilct r;Flo Telephone No. 7 7 y-97 9-3y r-3 Owner's Address S .tom Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) Purpose of Building ps'A cobAl A ,,,;. - Utility Authorization No. Existing Service !no Amps jcio / ()MO Volts Overhead Undgrd 0 No.of Meters 4- New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: So k f --).'i kw, l o _1,"/ a s mice r� VGrk r3 d tn.,A-c- cans f�"� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires N, of Ceil:Susp.(Paddle)Fans No.of Total Tr. 1 sformers KVA of Luminaire Outlets No. i Hot Tubs Gene tors KVA No. i Luminaires Swimmi Pool Above ❑ In- ❑ No.of L ergency Lighting grad. grad. Battery i Is _ No.of ' eptacle Outlets No.of Oil B ers FIRE ALA' 'S No.of Zone No.of Swi hes No.of Gas Burn No.of Detectio nd Initiating De ces Tot No.of Range No.of Air Cond. ons No.of Alerting De s No.of Waste Dis<osers Heat Pump Number ; ons KW No.of Self-Contained Totals: '" ' Detection/Alerting Devi. No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ / „er Connection No.of Dryers Heating Appliances K Security Systems:* No.of Water No.of Devices or Equivale,t W No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equivalent OTHER: Soles Q, / ' V Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: dl 000 ^ (When required by municipal policy.) Work to Start: thOgifd3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCEVGE: Unless waived by the owner,no permit for the performance of electrical work may issu the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equ ale to Thess undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g 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:— � i='a. S'„`l� z LIC.NO.: a 10 a 4 v\Licensee: C? 1 Krk t`irn a A s , Signa of T' ` // (If applicable,enter "exempt"in the license number7ine �� Y u LIC.NO.: a 1 e �_� � `� %Ann`S `Sus.Tel.No.:S4aB 't 3, >a6-7 Address: $a1 d�`q t� r��, No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of-pill Safety"S"License: Alt.Lic.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ woo-pooadoDJolosZa®oJul woo'pooadooJDIosZa'MMM M 'CL9Z0 VW `H1l0W23VA M uJ 688L'b69'806 :yd a£9Z0 VW `SINN3a '(V9 3.L 1) IS NMI L£9 ad NVAlT1f1S 6C Z iri ONI8Vf10 1 VN14 • -71 (N! .. 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