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
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__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