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Home My WebLink AboutBLDE-23-003130 Commonwealth of official Use Only - � , Massachusetts Permit No. BLDE 23 003130 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 Codc (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/7/2022 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) 33 SACHEM PATH Owner or Tenant HALES LISA M ANTOLINI TR Telephone No. Owner's Address LISA M ANTOLINI HALES RLTY TRUST, 51 PHEASANT HILL LN, CARLISLE, MA 01741 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(23 Panels 8.28 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- IDNo.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 ❑ 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: PAUL M TALLMADGE Licensee: Paul M Tallmadge Signature LIC.NO.: 21006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:817 MAIN ST, BREWSTER MA 026311032 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 CILCI 11 ( eik._ - - nn aa'� rye RECEIVED • _ C0mmoaaeaUli.0/,r/aeeachuwtfe oft- y • tot 1Jdra.lmenf of gire J.roic a Permit No. / • /l .n -_)I Occupancy. d --L p.- ed --- - BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] ifsul blatlilNc)DEi mtetvr 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: 14103.e.., City or Town of: `ip('ito tn+4--- 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) 33 5 ALkG M CkiAn Owner or Tenant 4(SA KA 4-S Telephone No.Cnr-8 jI-,aI 3 Owner's Address Snn.+l- (� Is this permit in conjunction with a building permit? Yes 4gl No ❑ (Check Appropriate Box) Purpose ofBuildinggpS'AGt•:('Y1,S,n,1e ,;A-- Utility Authorization No. Existing Service Ito Amps NO /p'140 Volts Overhead Undgrd❑ No.of Meters .1— New Service Amps / Volts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: Soar g:e18.kw, .23 ts,oclr^k, 4 3 thi4fo itWCr4_vfSt ot n,._iecr fun% Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires N. of Ceil:Susp.(Paddle)Fans No.of Total Tr:,sformers KVA '.of Luminaire Outlets No.. Hot Tubs Gene tors KVA Pool Above In- No.of It...ergency Lighting No.r Luminaires Swimmi grnd. ❑ grad. 0 Battery is No.of'•ceptacle Outlets No.of Oil B ers FIRE ALA' .S No.of Zones No.of Swi hes No.of Gas Burn- - No.of Detectio. .nd Initiating De,ces No.of Range No.of Air Cond. Total No.ofAlerting Devi •s Tons No.of Waste His;osers Heat Pump Number 'ons KW No.of Self-Contained Totals: Detection/Alerting Devi .s Mipa No.of Dishwashers Space/Area Heating KW Local❑Counicnnectionl ❑ ,,.er No.of Dryers Heating Appliances K Security Systems:* No.of Devices or Equivale.t No.of Water W No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin No.of Devices or Equivalent OTHER: Sp`t,,f- RI Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: td1000 (When required by municipal policy.) Work to Start:al i)0.3 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 F-' BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: c8 $.c.r,,e- LIC.NO.:vl0Ov.•>, Licensee: ?q� C`l /q„eirwA I_ Signatuf e a,_,____(,,__ LIC.NO.: a,c,0 t,,,A (If applicable,enter"exempt"in the license nunrberline 'Sus.Tel.No.•G-o&-t 37'367 Address: B a\ OVA.vt ST-12.Lt.r t..nvt 1 Vviyi C.a t a lr Alt.Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires Department 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 requirement. I am the(check one)0 owner 0 owner's agent. 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