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HomeMy WebLinkAboutBLDE-23-000371 -• rt Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000371 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:7/22/2022 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) 167 WHITES PATH Owner or Tenant SNOW AND JONES INC Telephone No. Owner's Address 167 WHITES PATH, SOUTH YARMOUTH, MA 02664-1217 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(150 Panels 72 KW) 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 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 Initiatine 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/Alertine 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 Siens 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: Paul T Burke Licensee: Paul T Burke Signature LIC.NO.: 16711 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:618 S RIVER ST, MARSHFIELD MA 020502444 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: $250.00 utkA3 I Apv «U aulemLM Mi ()N"il 144 s rzg 51"/23 ( Sic c/it/z- d RE.;: EIVED JUL 13 E2 Comarerrwwr Yk a{rr/aaeaclivaaka Official 2uu�'�i BUILDING -1 d '`'NT c7� ��/c7_ n Permit No��/�✓�C vs_. , _ e aparfwu "!_fin Services Occupancy and Fee Checked k J. BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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 Ncj TYPE ALLINFORMATION) Date: 7- /�7-o?o� City or Town of: Yr/ fj O �/ 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) /6 7 W/I JTF c P/977/ Owner or Tenant C'5'AU (,O I-- :.S-O A) Telephone No. °-.. Owner's Address S /l'/� Is this permit in conjanctIon with a building permit? Yes No ❑ (Check Appropriate Box) • Purpose of Building RQTAJL Utility Authorization NI' 9 Zg [t� • Existing Service (?O Amps /(�U/�`///Voles Overhead Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd El No.of Meters • Number of Feeders and Ampacity I S)f,9 JL— Location and Nature of Proposed Electrical Work: i Agin /94 j t)i1 i 7,7? 15.W PL OF T(0 Via/ ,5 V 7 7t i rl Completion of the foltowingtable m be waived by the Inspector of Wires. No.off Total No.of Recessed Luminaires No.of CeB.-Suap.(Paddle)Fans Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.or Emergency en Lighting k No.of Luminaires SwimmingPool ❑ ❑ B cY g mad grad Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z. No.of Switches No.of Gas Burners No Initat Initiatingtloo and Devices III No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposer, HeatTota mi Number.Tons..._.KW..__....Det of ection/AIe oral_Devices No.of Dishwashers Space/Area Heating KW Local 0 Muu 0 Other Connection No.of Dryers Heating Appliances KW SecuritySystems:. No.of Devices or Equivalent No.of Water No.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: (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 c�on��is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE[U'BOND❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the lnforvraalon on this application is true and complete. FIRM NAME:B1 jrC/iF /4CT.PI( /h/L � LIC.NO.: / 74 9 Licensee: ?,7)/ /-- ,✓, L3i�/'L Signature( *__,��d2 LIC.NO.: (Ifappticahie,�a7 ter"exempt"in the license number tine.) Bus.Tel.No:7� ay-4 t' Address: rT 7.3 i,V: ST M9/10..kg Ai"' ( 7'' Alt.Tel.No.:/,/7.5,712-414 'Per M.G.L.c.147,s.57-61,security work requires Deparhnem of Public Safety"S"License: Lic.No. y 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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