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Home My WebLink AboutBLDE-22-003525 (2) 0' Commonwealth of Official Use Only � , Massachusetts Permit No. BLDE-22-003525 • 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:12/26/2021 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) 24 COVE VIEW DR Owner or Tenant Telephone No. Owner's Address DICKEY DAVID S, 24 COVE VIEW DRIVE, SOUTH YARMOUTH, MA 02664-2344 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec A p o tate Box) Purpose of Building Utility Authorization N . ' `- Existing Service Amps Volts Overhead 0 Undgrd ,, ;."J ems New Service Amps Volts Overhead 0 Undgrd ��f le s,=, Number of Feeders and Ampacity L�'�„ � 4'K '. . Location and Nature of Proposed Electrical Work: Installation of solar PV syst 'J' " <y.,` �* Completion of the following table m b vbh pector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of d otal Transformers 1 VA No.of Luminaire Outlets No.of Hot Tubs Generators /2 KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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. Totalo No.of Alerting Devices s 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 Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Eauivalent 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: ATLAS ENERGIES, LLC Licensee: Paul McGrath Signature LIC.NO.: 22617 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 High Noon Drive,Centerville MA 02632 Alt.Tel.No.: 7742681133 *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. '•'. 00 4.fir& a 12+441.-e,),,i0 r•.hs i Z 3v CY t/.'i/ _' RECEIVED DEC 2 2 2021 `> as al//Iaddachndeltd Official Use Orly k, DING DEPART r"_x .R,i.i t- — _` ,, titan/o �] Permit (/L� ..p,,,,,^ `Jiro Serviced~ i,;1(- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 ,- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / /? ZZ c L I j City or Town of: YARMOUTH To the Inspector of Wires: 6 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2'f L-cr.,t ', , ' o Owner or Tenant Cs,,n { .a; c Itty Telephone No. Owner's Address 'Z••1 (r.;✓ vs, L „/Q_ -r Is this permit in conjunction with a buildingpermit? Yes No�.• pe EJ (Check Appropriate Box) • Purpose of Building r P Utility Authorization No. ' Existing Service t t.) Amps .20 / ,4.-Ij)Volts Overhead❑ Undgrd No.of Meters I =(, New Service Amps / Volts Overhead Undgrd ❑ g ❑. No.of Meters Number of Feeders and Ampacity �.-—. Location and Nature of Proposed Electrical Work: vl Fur t Completion of the followingtable m be waived by the Insp�ector of Wires. G4.1 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.off Total 0.j Transformers KVA �.t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r. ,t 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 1 1' No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ MunicIp ❑ �� Connection No.of Dryers Heating Appliances KW SecuNo s:* of Devi Sy ces or Equivalent No.of Water No.of No.of ' Heaters ' 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec ' al Work: 2_'& 006 (When required by municipal policy.) Work to Start: •Z )2I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 cov a 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 theAains and penalties Qf perjury,that the information on this pplication is true and complete. FIRM NAME: 1+-1- GJ cn rC a ES L L L LIC.NO.: -7 q v - 1 Licensee:7.t�1 CC-t r r, l Signature ii'� J { gn LIC.NO.: Z-(t111 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. `71 - - 133 Address: 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 Signature Telephone No. PERMIT FEE:$ t 5 0,o'zy