HomeMy WebLinkAboutBLDE-23-15935 5/25/23, 1:46 PM about:blank
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ELECTRICAL PERMIT f .
Job Address: 68 HIGGINS CROWELL RD Unit:
Owner Name: ANDERSON JOSHUA J ANDERSON ERICA M
Owner's Address: 68 HIGGINS CROWELL RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15935
Existing Service Amps/Volts Overhead❑ Underground ❑ No.of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: install roof mounted solar panels - 19- (508-744-6284)
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: 19 Roof-Mount® Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 28,500 Work to Start: May 24, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: BENJAMIN . CANAVAN License Number: 22750
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 348 Main Street Mashpee MA 026352516 Fee Paid: $150.00
Email: chris@solarrising.net Business Telephone: 508-744-6284
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:
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RECEIVED
T orilma' ealt�o` a��ace Official Use Only
_*-__-/.MAY 2 102
__, ,__ c7 Permit No. /3�PE- l is935—
`ipI_° _ tment of Jive�ervicea
14 Or ILDI DEPARTMEN Occupancy and Fee Checked
/;.4 ��ARD OF FIEF_REVENTION REGULATIONS [Rev. 1/07] (leave blank)
k 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: 05/22/2023
City or Town of: Yarmouth To the Inspector of Wires:
2 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)68 Higgins Crowell Road
k Owner or Tenant Josh Anderson
Telephone No. 508-335-6704
Owner's Address 68 Higgins Crowell Road W Yarmouth
Is this permit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box)
d Purpose of Building Residential Utility Authorization No.
\/J Existing Service 100 Amps 120 / 240 Volts Overhead p Undgrd❑ No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of 19 Solaria 400watt roof mounted solar panels.
Total system size: 7.6kW.
Completion of the following table may be waived by the Inspector of Wires.
No.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 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❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.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:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 28,500 (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 ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Solar Rising LLC LIC.NO.:821 A
Licensee: Benjamin Canavan •
Signatur i¢.yts�;l u - LIC.NO.:22750 A
(If applicable,enter "exempt"in the license number line) (/ Bus.Tel.No.: 508-744-6284
Address: 348 Main Street, Mashpee MA 02649 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 PERMIT FEE: $
Signature Telephone No.
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