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HomeMy WebLinkAboutBLDE-23-18920 6/14/23,6:36 AM about:blank Commonwealth of Massachusetts Y4' p * Town of Yarmouth ELECTRICAL PERMIT Job Address: 16 FOUR SEASONS DR Unit: Owner Name: BIRD BENJAMIN L BIRD SUSAN S Owner's Address: 6 GRANADAAVE Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18920 Existing Service Amps/Volts Overhead El Underground 0 No.of Meters: New Service Amps/Volts Overhead❑ Underground El No.of Meters: Description of Proposed Electrical Installation: Installation of solar PV system No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 11,000 Work to Start: June 14, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JAMES E LEAVITT License Number: 21667 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: New Bedford, MA, 027451900 New Bedford MA 027451900 Fee Paid: $150.00 Email: rapermits@skylinesolar.net Business Telephone: 732-354-3111 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. INSURANCE: uo ef/7/ 73 6t g (7(-2--3 < , 1/1 about:blank lk_EHCEIVE. Conimonwea *_o o fa�ace Official Use Only 7�� I pp--,� L2 _ ' N 9 2J23 c� cc77 Permit No. l_23 --( co maw- I 72,epartmen�t o`Mire Serviced tt-i_ —IOccupancy and Fee Checked eDiNCBOARD1OFiFIRE PREVENTION REGULATIONS [Rev. 1/07] (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)4 Date: 5/13/2023 City or Town of: South 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) 16 Four Seasons Dr. Owner or Tenant Benjamin Bird Phone: (617) 888-5636 Owner's Address 16 Four Seasons Dr. Mobile: (617) 888-5636 v{ Is this permit in conjunction with a building permit? Yes m No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps 120 / 240 Volts Overhead n Undgrd n No.of Meters *. New Service Amps / Volts Overhead n Undgrd n No.of Meters Al>" Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a safe and code compliant,grid tied PV Solar system #Panels 10 4.05 kWDC Q-.) 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 r� Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Z. 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. Tons No.of Alerting Devices 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW 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 Electrical Work: 11000 (When required by municipal policy.) Work to Start: 6/12/2023 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 Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Skyline Solar LLC LIC.NO.: 21667A Licensee: James Leavitt Signature (If applicable, enter "exempt"in the license number line.) LIC.NO.:12572B Address: 95 Ryan Dr.Suite 3 Raynham,MA 02767 Bus.Tel.No.: 732-354-3111 l.No.: *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.L e.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. 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