HomeMy WebLinkAboutBLDE-23-004326 '� Commonwealth of Official Use Only
fli.1% ' ',1)1/ Massachusetts
Permit No. BLDE-23-004326
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:2/6/2023
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) 14 EVERGREEN ST
Owner or Tenant PETROCCHI ELEANOR J Telephone No.
Owner's Address JM COVINO&JA DAGOSTINO, 12 BLUE WATER DR, CENTERVILLE, MA 02632-1904
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 (38 Panels 14.06 KW
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 0 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:
Licensee: JEFFREY ROBERT GREENWWOD Signature LIC.NO.: 22826
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 16 MARAVISTA AVE,TEATICKET MA 02536 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
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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: 1/24/2023
City or Town of:_South 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) 14 Evergreen Street, South Yarmouth, MA 2664
Owner or Tenant Jean-Pierre Joubert Telephone No. 508-560-0441
Owner's Address
Is this permit in conjunction with a building permit?Yes No❑(Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps I 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:Roof mounted PV solar system consisting of 38 Phono 370W
modules connected by micro inverters. The total system size is 14.06kW
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 AAbloale 0 In-grnd.0 No.of Emergency Lighting
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
Heat Number Tons KW No.of Self-Contained
No.of Waste Disposers Pump
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 No.of No.of Data Wiring:
Heaters KW 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: 5,088 (When required by municipal policy.)
Work to Start: ASAP 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.
. 1/24/23, 1:47 PM Joubert,Jean-Pierre E-Permit-Google Docs
CHECK ONE: INSURANCE EaBOND❑OTHER❑(Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:LIC.NO.: Cotuit Solar LLC LIC.NO.: 22826-A
Licensee: Jeffrey Robert Greenwood Sign, E-fra z ,,,,,,, ." C.NO.:
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:508 428 8442
Address: P.O. Box 89,Cotuit, MA 02635 Alt.Tel.No.:508-548-4474
*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.
Owner/Agent
Signature Telephone No.
PERMIT FEE:$150
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