HomeMy WebLinkAboutBLDE-23-000201 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-000201
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:7/12/2022
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) 50 CAPT LOTHROP RD
Owner or Tenant MORALES CONCHITA Telephone No.
Owner's Address GOMES ALEXANDE E, P 0 BOX 2204, HYANNIS, MA 02601
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.
Completion of the following table may be waived by thelnspeor 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 ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Euuivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Euuivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Euuivalent
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: Lando Bates
Licensee: Lando Bates Signature LIC.NO.: 20559
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:313 Brigham St, Northborough MA 015322325 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
Pi9
R C Lj Cotxirwrewra[th ///adiaduidst d Official Use Only
.,.. id / cc� cc77 Permit No w'O
Ji 2 �l.,�spar6nsnt o/,airs..Sswasa
' B AID OF FIRE PREVENTION REGULATIONS [Rev.
1/071upancy and Fee l Checked)
BUILDING'• 'A R l ry i F"r' [RCV. 1/O7] (leave blank)
By. ` .
' ' lION 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: July 01,2022
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) 50 Captain Lothrop Road _
Owner or Tenant Alex Gomes Telephone No. +1-508-685-9115
Owner's Address 50 Captain Lathrop.Road,.Snutb.Yarmoutb, MA 02664
Is this permit in conjunction with a budding permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building PV Solar Installation Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
�' Installation of a safe and code-compliant,grid-tied PV Solar System on a residential rooftop
%.a rl Completion of the followin table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cdl.-Susp.(Paddle)Fans -No.of Total
te
Transformers KVA
t No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires gyp • p Above In- No.of Emergency Lighting
g grad. 0 grnd. 0 Battery Units
`x No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 HeatTotals:) p Number Tons _ KW No.of Self-Contained
Detection/Alerting Devices
Spate/Area HeatingKW Municipal
No.of Dishwashers
S Local0 Connection 0 Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
No.of No.of Data Wiring:Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin .
No.of Devices or&Mb,a eat
OTHER:
Attach additional detail if desirect or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $24000 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of petjury,that the information on this application is true and complete
FIRM NAME: Empower Energy Solutions LIC.NO.: 8209 Al
Licensee: Lando Bates Signature .,-"a..,,c.;.-.c4; ,a_
� LIC.NO.a 20559 A
(If applicable,enter"exempt"in the license number line) Bus.Tel.No.:
Address: 51 Assabet Dr Northborouqh MA 01532-2600 Alt,Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one) U owner 0 owner's agent.
Owner/Agent I 1
Signature Telephone No. I PERMIT FEE:$ I
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