HomeMy WebLinkAboutBLDE-22-006634 Commonwealth of Official Use Only
h-14\ Massachusetts Permit No. BLDE-22-006634
v BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/17/2022
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) 40 CAPT BACON RD
Owner or Tenant Laure Pierre Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization N `t,
Existing Service Amps Volts Overhead 0 Undgrd No.of Meters
New Service Amps Volts Overhead 0 Undgrd Ntk q< f Meters
Number of Feeders and Ampacity
40)
Location and Nature of Proposed Electrical Work: Installation of solar PV system (55 Panels 15 KW) ,O� , c
Completion of the following table may be waived ,ector 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
Swimming Pool Above ❑ In- ❑ No.of Emergency Light
No.of Luminaires S" g 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 ❑ 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: JAMES E PRECOURT
Licensee: James E Precourt Signature LIC.NO.: 12418
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:244 S WORCESTER ST,APT 3,NORTON MA 027663445 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
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-•N .,- BOARD OF FIRE PREVENTION REGULATIONS
ROevccuip/o7icy and Fee Checked
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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: 05/12/2022
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)40 Captain Bacon Rd
Telephone No.774-810-5729
Owner or Tenant 1 aure Pierre
Owner's Address 40 Captain Rarrin Rd Yprmniitti, MA 02664
Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box)
Purpose of Building Solar Utility Authorization No. 9034339
Existing Service 1 00 Amps 120/240 Volts Overhead X Undgrd No.of Meters 1
New Service inn Amps 120/ 240 Volts Overhead E Undgrd No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of 55 roof mounted solar panels
15 KW- Smart meter
tr)
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
U No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T! Transformers KVA
r-..) No.of Luminaire Outlets No.of Hot Tubs Generators KVA
4: No.of Luminaires Swimming Pool grAbnodv.e r-i In- In No.ot Emergency Lighting
"1 grnd. " Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS IN°.of Zones
,-..
No.of Detection and
,:-'*- No.of Switches No.of Gas Burners
Initiating Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump 1 Number [Ions 1RW No.of Self-Contained
No.of Waste Disposers
Totals: I Detection/Alerting Devices
No.of Dishwashers Space/Ares Heating KW Local 0 Municipal 0 Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water 'No.of No.of
KWData Wiring:
Heaters
Signs Ballasts No.of Devices or Equi.valent
ITelecommunications Wiruig:
No. Hydromassage Bathtubs No.of Motors Total HP
1 No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3,630.00 (When required by municipal policy.)
Work to Start: 05/26/2022 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 includng"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 Lii 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: Summit Energy LIC.NO.: 4310 Al
Licensee: James Precourt Signature Ja.4,4,1e4, pr ex1,44,-/- LIC.NO.: 17418 A
(If applicable,enter"exempt"in the license number line.)
Bus.Tel.No.:319-201-7769
Address:
Alt.Tel No.:
*Per M.G.L.c. 147,s. 5 -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)El owner 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $
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