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Home My WebLink AboutBLDE-23-005820 Official use only....... Commonwealth of ' Massachusetts Permit No. BLDE-23-005820 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:4/20/2023 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) 12 STRATFORD LN Owner or Tenant LUNDQUIST THOMAS W Telephone No. Owner's Address LUNDQUIST CHRISTINE M, 12 STRATFORD LN,YARMOUTH PORT, MA 02675-1545 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. (36 Panels 13.2 KW DC) 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: Russell L Haden Licensee: Russell L Haden Signature LIC.NO.: 36613 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 CAPTAIN STUDLEY RD, MARSTONS MLS MA 026481265 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. I PERMIT FEE: $150.00 I C?LUlS9i N6 Or y . A 4 z3 lam. 7 r 00,-C' Al 2 3 - 1 i RE-CEIVED . .. • APRT I l.,ornrr.onwcaa of!/tassac tmeif3 Official Use Only [a c� �7 Permit No. CZ3—'S e Z e _ ..L)apar�nt of &mica BUILDIN *ENT By ki D OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/071 (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: 4/16/2 3 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) 12 Stratford Ln, Yarmouth, MA 02675 Owner or Tenant LUNDQUIST THOMAS W(LIFE EST)- Telephone No. 508-737-4090 Owner's Address 12 StratforcL1D,,Yarmouth. MA 02675 Is this permit in conjunction with a building permit? Yes Pi No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd[1 No.of Meters New Service Amps 1 Volts Overhead[l Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of roof mounted solar panel consisting of(361 OPeak duo Blk ML G10+ 400 and (1) SMA SB 7.0 and (1) SMA SB 6.0 13.2kW DC 113kW AC Completion a the following table to P f f g may be waived by the In pector of Wires. '', No.of Recessed Luminaires No.of Ceit-Susp.(Paddle)Fans No.of Total a Transformers KVA a No.ofLummnit'e Outlets allo.of Hot Tabs Generators KVA -. ti No.of Luminaires Swimming Pool Above ❑ • In- ❑ No.of Emergency Lighting mod. „�rnd. ,Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones e+a •z. No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total ' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersM KW Pump I Number Tons W No.of Self-Contained Totals: "" ""- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal on ❑ Outer No.of Dryers Heating Appliances KW Security stems:* No. Water No.of Devices or Equivalent Heaters ICW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Etydromassage Bathtubs No.of Motors Total HP Telecommunications W . No.of Devices or Eguiv ant OTHER: Attach additional detail/f desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: I/ E'tl). 0)) (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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE aBOND ❑ OTHER ❑ (specify:) I certify,under the pains and penalties o.f perjury,that the information on this application is true and complete. FIRM NAMES Haden Electric ` LIC.NO.: Licensee: Russ Haden Signature, 6,, ,IC.NO.:4 f (If applicable enter"exempt"in the license number line.) " Bus.TeL No.-508-280-4040 Address: 6 Captain Studley Road, Marstons Mills, MA Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires lh t,utinent of Public Safety"S"License: Lie.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 icquirernent. I am the(check one)❑owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ /S U.06 C? t (ac 3l 6 1T1 -a , .Q -<, IN U NN Q Na m m 1 1 z 0 N ♦1 i iJ ; N ,i p H j 0� `M C{ • • H • A I s• ay • I • aAo A �i o z20 ' am D Z °� �`3 am5`Am Nl N` pmm mm 0. (^\^�., ` A\' p v z v m �� °' V' A csi m '° '° V' P csi m H r 1 VVVj�. p 1CO 1G) — Kg I Z -a 0 3 2 >a PX Olt u D0 . ni8 p W m CF D r R CA m�j �yD !3m3! 0 0 y A 0 0 w 0 0' Z N O w Z ' >� y N< ZN EI\ Syp.i_ O .. t yam.. p w`~p0-IISNm ooTS Aii— ur=�-----_----- z p mnN" r n Z p n A 4S=1 i �d t_ iRRgll ZmZ O Z-i rII ;pD yp< Oi. ;gli p T I ,, Z < O ,, T = O m I L .4 1 mm 9,8 o ql is . Z D OC OZ — Oai pwi smo a D A n g Ay:y77Ep \w -FS9pp p ��'mi,pmmy -4 m w 0 m D m I ii x A D m O D ll` p il m -I r v X my c xZ n m m 0 i,_ .T.g1 O 1 3 U oz � ��7 �� z n m � m � n r:..,,,_, A A. „DAZ I b p wZAo z A -1 ' ADyz 0 s ' mmm0n i moT vptQ;te $ m=^ ZN. U1 -, n T CaN OmE o n = nmZ tom A ° - 1` Z < •FL' gm A r is LI< o D � O III m , 1?-11 LUNDQUIST, TOM -zm 9C � , y A PC ; fA -IO ' 1c< yr 0n -, 12 STRATFORD LN ° = m '''"° �rn a '-' 09 >P- YARMOUTH PORT, MA 02675, USA 2 8 m aam;� Z `°DrwZ m _.wp- m PHONE NO. - (508) 737-4090 m 1 ` `r' o2 3nm j