HomeMy WebLinkAboutBLDE-22-002958 Massachusetts
of Official Use Only
�•,,� Permit No. BLDE-22-002958
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IRev.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:11/21/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice oll is or her intention to perform the electrical work described below.
Location(Street&Number) 8 SPRUCE ST
Owner or Tenant Pavel Nelyubin Telephone No.
Owner's Address 8 SPRUCE ST, SOUTH YARMOUTH, MA 02664-5632
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. 0 ,
Existing Service Amps Volts Overhead 0 Undgrd 0 ' o.o��s
New Service Amps Volts Overhead 0 Undgrd 0 o
Number of Feeders and Ampacity o
Location and Nature of Proposed Electrical Work: Installation of solar PV system (17 Panels 5.69 KW) a)
Completion of the following table ma diry meini<ector of Wires.
z
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformer KVA
No.of Luminaire Outlets No.of Hot Tubs Generators / KVA
i
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency .•
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.ofes
.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 0 Other:
_ Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Eauivalent
•
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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: SOLAR WOLF ENERGY
Licensee: Kyle Zuidema Signature LIC.NO.: 22593
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 771 Washington Street,Auburn MA 01501 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
ND Pis SU014OW
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W N J. Comnwntotasth of ti/aeeaehiaetift Official Use Only
_ c z Permit No. ��-' 2g 5
CV I' 3 tparimtni o/Ji m Jt trolcts
LLI Occupancy and Fee Checked
V 7 I> i BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank)
Uj l z PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
�-' m All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 GAR 12.00
E ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/16/2021
City or Town of: Yarmouth To the Inspector of Wires:
LI By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
rn Location(Street&Number)
cp
8 Spruce St South Yarmouth,Ma 02664
Owner or Tenant Pavel Nelyubin Telephone No.617-835-7062
o Owner's Address 8 Spruce St South Yarmouth,Ma 02664
Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box)
m Purpose of Building p rpos g Residential Utility Anthorlxation No. 6608176
to
Existing Service 100 Amps 120/240 Volts Overhead® Undgrd❑ No.of Meters 1
mNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
N Number of Feeders and Ampacity
m Location and Nature of Proposed Electrical Work: Installing a 5.69kW roof mounted solar array using 17 SunPower
335W panels with built-in microinverters and installing an empty meter socket for SMART gen meter.
Completion of the followin table may be waived by the In tar of Wires.
No.of Total
No.of Recessed Luminaires No.of CelI.-Snip.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grad. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas BurnersNo.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting)evices
No.of Dishwashers Space/Area Heating KW Local 0 MonlcipalnectionOther❑O
Con
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
KW
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunic No.of Devices or Equtions ulvWiagl
eot
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 8,850 (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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE® BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the brformadon on this application is true and complete.
FIRM NAME: Solar Wolf Energy LIC.NO.:186400
Licensee: Kyle Zuidema Signature "L-'•� LIC.NO.:22593A
(If applicable,enter"exempt"in the license number line.) Bus.TeL No.•508-839-2222
Address: 771 Washington St Auburn Ma 01501 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 am the(check one)❑owner ❑owner's agent.
Owner/AgentPERMIT FEE:$
SignatureatureTelephone No.