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HomeMy WebLinkAboutBLDE-23-004270 \1/11V Commonwealth of0 Official Use Only I to;) 6 Massachusetts Permit No, BLDE-23-Ot)4270 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:2/2/2023 City or Town of: YARMOUTH To the Inspector of Wires. By this application the undersigned gives nonce of his or her intention to perform the electrical work described below. Location(Street&Number) 70 CAPT YORK RD Owner or Tenant LOUISE WOLF Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes❑ 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(15 Panels 6 KW)(NO ESS) 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. ❑ No.of Emergency Lighting grnd. ,,rnd. 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 ❑ ttthcr 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 IIP 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: PETER ANDERSON Licensee: PETER ANDERSON Signature LIC.NO.: 22180 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:27 WOODBURY RD,SOUTHBOROUGH MA 017722029 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 '1' - Corn ?wealth o j M1444C4i4,40th Official Use Only; f�, ►! _ A t r Permit No. �3 Llir t�—� ��. 2uz3 " di:' �.. -:. '. � y s artmsnt o f. irs Servicsd :, i i , .; ". Occupancy and Fee Checked ,i*� LDtt AKEf�r P>rFk PREVENTION REGULATIONS Rev. 1/07] r (leave blank V 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: 12/21 /2022 City or Town of: Yarmouth, MA 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) 70 Captain York Rd, Yarmouth, MA/2664 Owner or Tenant Louise R Wolf .S 6(t Telephone No.715 308 1061 Owner's Address 70 Captain York Rd, Yarmouth, MA 2664 Louisewolf53@gmail.com Is this permit in conjunction with a building permit? Yes „X, No fl (Check Appropriate Box) Purpose of Building Solar PV System Installation Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd No. of Meters New Service Amps / Volts Overhead U Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t 6 kW Roof mounted Solar PV System, no battery (15 panels) V Completion of the following table may be waived by the Inspector of Wires. vi No. of otal Ui No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans Transformers KVA oi .t No. of Luminaire Outlets No. of Hot Tubs Generators KVA 'C\ Above In- No. of Emergency Lighting No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones . " �No. of Detection and -,` No. of Switches No. of Gas Burners initiating Devices `i Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW Security Systems:'Local ❑ Connection ❑ °ther No. of Dryers Heating Appliances KW No. of Devices or Equivalent "No. of No. of No. of Water Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent Telecommunications Wirfng: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $ 33654.36 (When required by municipal policy.) Work to Start: 01 /06/2023 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 issuin office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) ' ( ; `. jL� 9 I certify, under the pains and penalties of penury, that the information`ormalion on this application is true a co ilete. FIRM NAME: Team Sunshine Construction LLC. LIC. NO.: Licensee: Peter J Anderson Signature JiArAviv5st! LIC. NO.: 22180 A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: Address: ALL 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) C owner E owner's agent. Owner/Agent �, , , PERMIT FEE: $ I g <, r / ��c�sr, ne No. 617 468 6772 i Signature l c� Telepho