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Home My WebLink AboutBLDE-23-005191 #4 ,sogolda Commonwealth of Official Use Only ‘sklic Massachusetts Permit No. BLDE-23-005191 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:3/21/2023 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 HEADWATERS DR Owner or Tenant KERRIE URBAN Telephone No. Owner's Address 4 Headwaters Dr, West Yarmouth, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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(59 Panels 23.6 KW DC)(LOCATED AT 4 HEADWATERS DRIVE) 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 ❑ 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: JOSEPH F BEDNARIK Licensee: Joseph F Bednarik Signature LIC.NO.: 20221 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3881 COUNTY ST, SOMERSET MA 027264162 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 75 • ' C,omm.onwealth o//Y/a3tachudett3 Official Use Only *__ ►= � Permit No. �' � t 9C e1—= Permit o ire Jervicee € _._ ° Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) R E_C_E I Alfa CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 MAR 2tP SE "'NTININKORTYPEALLINFORMATION) Date: 1/6/2023 lity or Town of: Hopkinton To the Inspector of Wires: BUILDING DEas,'( l1i .i't 'c,tion the undersigned gives notice of his or her intention to perform the electrical work described below. By: — _ W - 'et&Number)4 Headwaters Dr Owner or Tenant Kerrie Urban Telephone No. (508)446-5736 Owner's Address 2 Headwaters Dr,Yarmouth MA 02673 Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Single Family Home Utility Authorization No. Net Metering Existing Service 200 Amps 120 /240 Volts Overhead I■I Undgrd I ( No.of Meters 1 New Service 200 Amps 120 /240 Volts Overhead F Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installing a roof mounted solar panel,meter,and all work associated witt plans and designs. Installing a 59 panel,23.60 KWDC system Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans TfTotal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- El❑ No.of Emergency Lighting No.of Luminaires Swimming Pool 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 L. Municipal ❑ Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: 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: 148111 (When required by municipal policy.) Work to Start: 1/23/2023 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 1 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Alliance Holding LIC.NO.:201804 Licensee: Joseph Bednarik Signature 'erk'5 ri` LIC.NO.:20221A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:401-578-2559 Address: 33 Broad St,Suite 500,Providence RI 02903 Alt.Tel.No.:401-249-4339 *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. 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