HomeMy WebLinkAboutBLDE-23-19783 11/3/23,7:18AM about:blank
Commonwealth of Massachusetts p • YAK
•41 Town of Yarmouth
It O t y
ELECTRICAL PERMIT 7 7
Job Address: 21 ICE HOUSE RD Unit:
Owner Name: SWEDLUND CONNIE J
Owner's Address: 21 ICE HOUSE RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19783
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Installation of solar PV system
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No. Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 35,532 Work to Start: November 3, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: GUSTAVO F SILVA License Number: 21961
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Marlborough, MA, 017525109 Marlborough MA 017525109 Fee Paid: $150.00
Email: kgagne@luxsolaris.net Business Telephone: 508-740-2698
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.
INSURANCE:
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Commonwealth of Massachusetts Official Use Only
R r 'i -'w Department of Fire Services Permit No c Z ) '(c(�
r =C � Occupancy and Fee Checked
BI�ARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05]if
(leave blank)
NOV et-l 3
BI ILDING DAPFX TION FOR PERMIT TO PERFORM ELECTRICAL WORK
AY. 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: 09/21/2023
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) 21 Icehouse Rd, S Yarmouth, MA 02664
Owner or Tenant Connie Swedlund Telephone No. (774) 487-2997
Owner's Address 21 Icehouse Rd. S Yarmouth, MA 02664
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. 11871291
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd El No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of 21 roof mounted rail racking solar panels 8.4KWDC
Enphase IQ8+microinverters-No ESS System-No structural upgrades
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above ri❑ In- ri❑ No.of Emergency Lighting
No.of Luminaires Swimming Pool
�rnd. grad. 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
i3HeatingAppliances KWSecurity S�yystems:
No.of Dryers No.of Devices or Equivalent
Heaters KW No.of No.of Data Wiring:
FLvS HP Signs Ballasts No.of Devices or Equivalent
��� No.Hydromassage Bathtubs No.of Motors Total Telecommunications Wiiring:
No.of Devices or Equivalent
1,�' OTHER:Solar
$35,532 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: 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 0 OTHER ❑ (Specify:)
I cert�,under the pains and penalties of perjury,that the information on this application is true and complete(�
FIRM NAME: Lux Solaris Inc
LIC.NO.:8537 Al
Licensee: Gustavo F Silva Signature
(If applicable, enter "exempt"in the license number line) "� LIC.NO.: 14788 B
Address: 302 Desimone Dr Marlborough MA 01752 Bus.Tel.No.:(508)740 2698
Alt.Tel.
*Security System Contractor License required for this work;if applicable,enter the license number here: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)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $ /so. OD I