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HomeMy WebLinkAboutBLDE-23-003589 ./ Commonwealth of Official Use Only . ut Massachusetts Permit No. BLDE-23 003589 ,' 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:12/31/2022 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) 26 CAPT BLOUNT RD Owner or Tenant ANSON CELIN Telephone No. Owner's Address 26 CAPT BLOUNT RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ 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 (19 Panels 6.o KW)(NO ESS) 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- I: 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 No.of Security vices 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 ❑ 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: JAMES E PRECOURT Licensee: James E Precourt Signature LIC.NO.: 12418 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:244 S WORCESTER ST,APT 3,NORTON MA 027663445 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 Y .0-viaktt_9 2- L4 e. e;t4 /,(2,5 „„r, f".” L R E A. + Commonwealth o I aaeachusally Official Use Only P W g �3 3 " ryry,, c�77 nn Per[nit I�o. _.. f ' rLJrPartnani of iro Servicr6 DEC ' eCi 7:744 t j 7 Occupancy and Fee Checked ,'' BOARD OF FIRE PREVENTION REGULATIONS {Rev. l/07] (leave blank) BUILDI G DE �,�E�C By. TION FOR PERMIT TO PERFORM ELECTRICAL WORK 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: 12/19/2022 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. Captain Blount Rd Location(Street&Number) 26 Ca p Owner or Tenant Anson Celin Telephone No. (774)722-3019 Owner's Address 26 Captain Blount Rd Yarmouth MA 02664 Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd E. No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of 19 roof mounted solar panels. 6.0 kw, no ESS. Completion of the followingtable 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 4.- 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 Y., Tota No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heoa Pump Number Tons KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Low❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H} g No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: $3,200.84 (When required by municipal policy.) Work to Start: 01/02/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no petnvt 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 E 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: Colony Insurance Company LIC.NO.: 001120909 Licensee: James Precourt Signature JCS- Preco7t--'vt LIC.NO.: 12418 A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: (339)201-7769 Address: 15 Berkshire Rd Mansfield MA 02048 Alt.Tel.No.: *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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Z m Z A ,A A A A 2 m < A c0 O m n 'i O N O A A A o m 2 0 m 0 c0 n O O A r c 0 2 r m m m < 0 A A 0 r4* o m2n m� N D0 m r:, O Z Z Z w p cn Ao -� 0 Cn Cp z� Zm CA -i0 D A m O H -� H * m < m A 0T nm O > z Cn A o A C A O A o Cl) {0 <0 pm -� C < O 'U ,Tml n 0 0 (n D z O co m N 02 z > 0 0 0 2 T O m D O_ = m m D o m m m n O O m o O 0 c0 w 2 o p -I -I -I O { m = 2 Z 0 -0 r0 A p < 0 5 0 0 0 T O m c 0 A co z Z Z 0 0 O A (n C) w m C o o O O 2 Z O 0 -< m m z .ZD] D cn D < < < m C _ O O p * c X m n A z H z c o z v ,, D K A O m m m T Z r < D Z " ai w w z O< m * A r_ ZmMMA G� Z ,O O A 0 r r r rm- n D IK m (7 A A 1 40M (0000 m mmmm0mmO 0 A O -ri ➢ 0 0 0 K m z 0 0 mA m n w 2 2 2 w O m < co A = m O m fZ m A O m A 2 m N (n n 0 n A m v G) O o D N N N cn O -1 CO D O > N O N O (n 0 O O O 0 m n N K T mF m r A C (n10 O mT v m n m p ANSON CELIN&MARIE PIERRE ,,„,„,...„:„,,,,,,,r m im .� n A w C '�` k . n -"' { m r 21 n RESIDENCE y k O m z m 0 0 0 -1 .0 Zm S' + T v < a m o — v, 3 ao m 1 m z1` +• � ,-n ° m { { O q 26 CAPTAIN BLOUNT RD,SOUTH o 3 m o o` m o i*a D < n YARMOUTH,MA 02664,USA o v m o x O O O c m CO a m C < H z N z u 00 e 3 ( Oh., �f'' t3 O! <N v sl9' •. • ) jrn M Z n m 0AD N PHONE: (774)722-3019 y g a, a O D c < �,- ; co v N N DC NAMEPLATE RATING:7695 W rn c c ?m c.m ram° o 3 MI D (47�� 0 oz •c��unnwu, Fui� /iw 0 3 71 �P�Pi1�il�llhili�dilJlJpJ�J'g111PJ'h111�'1� Z' ��=� ����� ���� '�inumu,•uo • -n -n dir,.......-..--- .. tkl a''. , 0 WI rn mu, p 3 O z cn och � D z _ � r \ J 3 CO X T Z NJ NI l 0 o ON D n 1— rn rn do cnW Z AN Z 1 rn 0 �o I1 I 1l'J�iRl�l�ll��db�;P,II�p�i11111�1�i1�10;d11111C,� o% h I'll■ �,ZI I( i r; ci v C 2 o C "g Z . 30 1-1 �ms r 44 rn 3 _Fr � rn z \ `• n 77 II II ��I o< \ o (f) IN I ILIIi; r, _3 z - I 6<'_ ' n�rn '�3�"0 D �� I T Tz C . 0 0 v v 1 V m r-- D m D m p ANSON CELIN&MARIE PIERRE 1 Ntaurrtse m D ��, u> 4. 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