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HomeMy WebLinkAboutBLDE-23-004969 Commonwealth of y Official Use Only Ali. Massachusetts Permit No. BLDE-23-004969 ..'` 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:3/9/2023 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) 11 STUDLEY RD Owner or Tenant ZSOLT KEMECSEI Telephone No. Owner's Address 11 STUDLEY RD, SOUTH YARMOUTH, MA 02664-4237 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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system (22 Panels 9.13 KW)(NO SUPPORT DIAGRAMS SUBMITTED) 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 g bovend. ❑ gr nd CINo.of Emergency Lighting r 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 Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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: MICHAEL A CHIONCHIO Licensee: Michael A Chionchio Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 20290 Address: 730 SCOTT RD, OAKHAM MA 010689543 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. Ati PERMIT FEE: $150.00 I _A Lf(it,( 3, J��,^, c X 1. s9 C .R,...,.... .bui0 „-,(A) `,(7 G u 1iL ,i4 I i A. Cf lc �S...i►1�xs�►2Cozp.CoM R E C 1. is__ __ Commonwealth of Massachusetts Official Use Only �c � � Department of Fire Services Permit No. �� " CPS MAR 0 9 r, ° p f- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked BUILDING D� y `"" [Rev.9/OS] (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: 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) 11 Studley Road Owner or Tenant Zsolt Kemecsei Telephone No.6172836845 Owner's Addressl 1 Studley Road Yarmouth MA O2A64 Is this permit in conjunction with a building permit? Yes I I No I I (Check Appropriate Box) Purpose of Building PV solar installation Utility Authorization No. Existing Service 200 Amps 120/ 240 Volts Overhead Undgrd g n No.of Meters 1 New Service Amps / Volts Overhead I I Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 11 Studley Road Yarmouth MA 02664 INSTALLATION OF ROOF-MOUNTED PV SYSTEM — 9.13 KW (22 MODULES) Completion of the following table may be waived by the Inspector of Wires. NNo.of Recessed Luminaires No.of Ceil.-Susp. T r(Paddle)Fans of T 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 of etection and No.of Switches No.of Gas Burners No. Initiating Devices Tota No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of HeatersKW Ballasts Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER:Solar Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $15,753.29 (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 cove e 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 erjury,that the information on this application is true and complete. FIRM NAME: tE S C.NO.:l g yy 5- Licensee: Signatur , LIC.NO.:a cyaaa fl (If applicable, enter "exempt"in the license number line.) Address: 11 Studley Road Yarmouth MA 02664 Bus.Tel.No.: Alt.*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 coy_era rmaily required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 11Cowner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 150.00 I