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Home My WebLink AboutBLDE-23-005648 r a, .,6 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005648 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:4/11/2023 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) 2 ADAMS RD Owner or Tenant MCEWEN WILLIAM J Telephone No. Owner's Address MCEWEN SUSAN D, 2 ADAMS ROAD,WEST YARMOUTH, MA 02673 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 (26 Panels 9.88 KW DC) 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 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 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: Stephen M Peckham Licensee: Stephen M Peckham Signature LIC.NO.: 17326 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 164 ADAMS ST,DBA JJ GALVIN ELECTRICAL,NEWTON MA 024581253 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 2t)j-cal C 4I 4(2( 3 AC,tt wm./ J R�y �"� �///1 Official Use OnlyI E C E Commonwealth,oil//laddachudett, " t L CS Sint--(ci . r-._ ►- ec77 Permit No. .—^ __�_� epartment o/. ire Serviced � �-- BOARD OF FIRE PREVENTION REGULATIONS ev.p/0 and Fee Checked +* (leave blank) - .AP-P- CATION 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: /I 0`z) City or Town of: BARNSTABLE 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) i'j. '1011/1, RAD 4) V2A..„_, Map Parcel# Owner or Tenant IN t \\ 10.✓v1/4- f\C VI eN Telephone No. Owner's Address Is this permit in conjunct', n with a building permit? Yes Vt. No ❑ (Check Appropriate Box) Purpose of Building tsj� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work. k kixe -A. 'Z'i`-i- k, > C 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 Initiating Devices No.of Ranges No.of Air Cond. Total No. of AlertingDevices 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 ❑ Connection Other No. of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW Heaters of No.of Data Wirin Heaters Signs Ballasts g' 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: CI( 74,7 -- (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 pr f same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER E (Speci :) % ; I certify,under t ains and pe'naa 'es o perjury,that the informatio n t is application is true and complete. FIRM NAME: -les)Vtet Pet:, At LIC.NO.: 7`� C I Licensee: et q Signature -___i LIC.NO.:1 7 7 (If applicable/-e e��`exe ill-Vie ense nu line.' Bus. Tel.No.: Address: /V`v/ Z J t c v Alt.Tel.No. Vata#A011 , Per M.G.L. c. 147,s. 57-61,security work requires epartment 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 Signature Telephone No. PERMIT FEE: $ /S o-- ' IMPORTANT: A separate permit is required for the installation of smoke detectors. Fire Alarm inspections are performed by tha Fr)havinn ii iricrlirtinn