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Home My WebLink AboutBLDE-23-005635 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005635 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:4/10/2023 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) 24 NANTUCKET AVE Owner or Tenant ANDERSON HOLLIS BETH Telephone No. Owner's Address 24 NANTUCKET 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(20 Panels 7.3 KW DC)(NO SUPPORT PAPER WORK 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 Above ❑ In- ❑ 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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 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 Siens 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: Brett A Duguay Licensee: Brett A Duguay Signature LIC.NO.: 22079 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:41 ELK RUN, MIDDLEBORO MA 023463065 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 UA (.. �to1 l-ommenwean of Madaachwa &i d Otliaiaa�l Use Only / ! • a •partment of—dire 7—direseruice:r Permit No. l%li�' t� y • Occupancy and Fee Checked �`f- BOARD OF FIRE PREVENTION REGULATIONS [Rev. /1 07] (leve 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:0 c,v 1 I '.) 'i(;j,,) (t City or Town of: ,X;1 E',\1 t211v:_J l 0 To the Inspector of YVires: . By this application the undersigned gives notide of his or her intention to perform the electrical work_described below. Location(Street&Number) ')'-\ )UClt1\\(( `(L \ (-\.r 'Owner'or Tenant`1G11` f\WV,,,, i.1�\, Telephone No. Owner's Address(\--1 N,t i C\I,(\ Nt ��\h ��('�tV1,-X. �1 ti'-),Il\a1 (.T(,al \ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building -\(.c ftL Utility Authorization No, Existing Service Amps • / . Volts Overhead❑ Und rd g ❑ No.of Meters New Service Amps / Undgr' Volts Overhead❑' �❑ No.of Meters Number of Feeders and Ampacity ' Location and Nature of Proposed Electrical Work: 1)kl C �'\ \1l11-(c1 r) mGCi1l l\i ,,( 1(;< yyS\e m • n k(-m sv15•: 1, -I) YV, kX r)• kvvI Completion o}'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 Ahod.ve ❑ In- No.of Emergency Lighting grn fired: $a tery units • No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. To sl No.of Alerting Devices •No.of Waste Disposers Heat Pump Number Tons _KW. No.of Self-Contained Totals: • Detection/Alerting Devices • . No.of Dishwashers S,pace/Area Heating KW . Local D Municipal Connection Other _ No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value f Electrical Work: VY i C i t ,C h (When required by municipal policy.) Work to Start \ Inspections to be*requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 c,o�vfe�fie is in force,and has exhibited proof of same to the permit issuing office. . CHECK ONE:INSURANCE d BOND 0 OTHER ❑ (Specify:) I certify,under the pair5 and penalties �ofperjury,that Ilse information.on this application is true and complete. FIRM NAME:NQ \�V.AA(CO ti Ix;t(i ,c,_6 \Y)t(11L'.1 \— C LIC.NO.:AA(;TA\ Licensee:�y'\\ \)I\(\,i(u Signature'a�i. \--)‘_LC, ql LIC.NO.:')'3 \(\ IA- (If applicable,enter"exempt"iithe lie��+se number,lina) �„ ;) • Bus.Tel No.:`'�4‘Nit is\- L. sec Address: ' b L(';�1t�j)r(( Ylir't.' l Qt'l 1°f Met t L),3))L � _ �� Alt.Tel.No )116 `��`� ,)3 4\ °Per M.G.L.c.147,s.57-61,security work equires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 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 0 owners agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ l')l'.•CO