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HomeMy WebLinkAboutBLDE-23-003182 Commonwealth of official use only �� �`l� Massachusetts Permit No. BLDE-23-003182 _ 7• 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:12/8/2022 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) 15 HERVEYLINES LN Owner or Tenant THELMA SILVA Telephone No. Owner's Address 15 HERVEY LINES LANE, SOUTH YARMOUTH, MA 02664 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(18 Panels 7.20 KW) Completion of the following table may be waived by the Inspector of Wires. No.of Total 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 Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices ❑ Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local Connection Security Systems:* No.of Dryers Heating Appliances KWNo.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Matthew T Markham LIC.NO.: 1136 Licensee: Matthew T Markham Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:24 SAINT MARTIN DR,BLDG 2 UNIT 11,MARLBOROUGH MA 017523060 *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) ❑ owner ❑ owner's agent. I Owner/Agent Signature Telephone No. 'PERMIT FEE: $150.00 slit( 73 (PLA ac,--,_) /�j Official Use Only Commonweal o`{lf amac�etts rot- cc��rr�� Permit No. 3 -3 I2-' — 2epartment o`,}cc77 ire Services __I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071us (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 TYPE ALL INFORMATION) Date: 12/6/2022 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) 15 Hervey Lines Lanes Owner or Tenant Thelma Silva Telephone No. 774-836-2424 Owner's Address 15 Hervey Lines Lanes Yarmouth, MA 02664 Is this permit in conjunction with a building permit? Yes IMF No I I (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Amps Service 200 Am s 120 /240 Volts Overhead IliUndgrd n No.of Meters 1 New Service Amps / Volts Overhead I I Undgrd I I No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Roof Mounted PV Solar Installation-7.200kW-18 Panels-200A-No Battery Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent Heaters Signs Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER:Roof Mounted PV Solar Installation - 7.200kW - 18 Panels - 200A- No Battery Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $22,785.60 (When required by municipal policy.) Work to Start:upon approval 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 LIC.complte. 902A1 FIRM NAME: Freedom Forever Massachusetts LLC NO. 1136MR Signature___________- LIC.NO.: Licensee: Matthew Markham g Bus.Tel.No.:774-320-5539 (If applicable, enter "exempt"in the license number line.) Alt.Tel.No.: Address: 135 Robert Treat PAIne Dr.,Taunton,MA 02780 *Per M.G.L.c. 147,ANCEIWAIVER: Iram aware thhatpthe Licensee does not have the t OWNER'S iNSUR liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check PE❑IT FEE: S owner 0 owner's a.ent. Owner/Agent Telephone No. Signature