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
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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