HomeMy WebLinkAboutBLDE-23-001088 Commonwealth of Official Use Only
E' 1
0Massachusetts BLDE-23
Permit No. -001088
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
fRev.1/07j
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:8/30/2022
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) 105 SISTERS CIR
Owner or Tenant BERRY JASON R Telephone No.
Owner's Address WILCOX LIA C,27 RAYMOND AVE,SOUTH YARMOUTH,MA 02664
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(22 Panels)
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 ElIn- ❑ 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
Initiatine Devices
No.of Ranges No.of Air Cond. TotalTon No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons i KW No.of Self-Contained
Totals: Detection/Alertine 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 KW No.of No.of Ballasts Data Wiring:
Heaters Sions 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 ❑ OTHER 0 (Specify:) 9178^ G-54(
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Edmund A Sepanski
Licensee: Edmund A Sepanski Signature LIC.NO.: 17161
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:P.O.BOX 130,47 BENHAM RD.,OTIS MA 012539705 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
r1:4\544c.-- -/L4,I 2=3 tf .
RECELIED
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,lii. AUG 2 9 202I ?�o ealth n,�„acr Official Use Onl ,��p'�
II1..4, -\... ' l• DING DENARY �T c7„r n htw PemutNo 2� l.i`--'
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'' Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS
(Rev. 1/071 (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: 8/24/22
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) 105 Sisters Circle
Owner or Tenant Jason Berry Telephone No.5nR-3fi0-244B
Y Owner's Address 105 Sisters Circle Yarmouth MA 02675
cf) Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Z Purpose of BuildingResidential Utility Authorization No.
cr Existing Service 200 Amps 120 /240 Volts Overhead ❑ Undgrd R No.of Meters 1
Cl..
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
(f) Number of Feeders and Ampacity
(a,J Location and Nature of Proposed Electrical Work: Install 22 panels and microinverters on roof.
Install Enphase combiner panel and disconnect at utiltiy meter location. Install back fed 35 amp breaker at SE
vl Completion of the fol/owingtable mev be waived by the Ins for of Wires.
No.of
lil No.of Recessed Luminaires No.of Cedl.-Susp.(Paddle)Fans Transformers KVA
C`
4No.of Luminaire Outlets No.of Hot Tubs Generators KVA
n
i No.of Luminaires Swimmin Pool Above ❑ In- ❑ tvo.of Emergency LTghttng
g _grnd. Qrnd. Battery Units
J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. InDete and
Initiatinnggon Devices
1.1 n' No.of Ra 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 Munieonnectiipon ❑ other
No.of Dryers Heating Appliances KW No.Security Cf Detems:*
vices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 19929.00 (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.
CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:Complete Solar Inc. LIC.NO.:A! 1509
Licensee: Edmund Sepanski Signature ("2 cfyr/120La LIC.NO.: Al 7161
(ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: 413-446-5112
Address: Po Box 130 Otis MA 01253 Alt.Tel.No.:
*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 ant the(check one)0 owner ❑owner's agent.
Owner/Agent PERMIT FEE:S
Signature Telephone No.