HomeMy WebLinkAboutBLDE-23-003875 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-003875
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:1/17/2023
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) 89 WASHINGTON AVE
Owner or Tenant RUTHERFORD KELLY J Telephone No.
Owner's Address 89 WASHINGTON AVE,WEST YARMOUTH,MA 02673
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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 10 kW solar panels on roof.Will not exceed roof panel but will add 6"to roof
height.25 total 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 ❑ 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
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KM 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 Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Eouivalent
No.Hvd romassage 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. 21
�1 _ 'A P/1 A 2_
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) (J(u){-E, N(rJFQ R
I certify,under t e pains and penalti f perjury,that the information on this application is true and complete.
FIRM NAME: RINITY R INC
Licensee: Bruce for Signature LIC.NO.: CS 61
(Ifapplicabl nter"exert! "in the license number line.) Bus.Tel.No.:
Addre :8 Somerville Str Marshfield MA 02050 Alt.Tel.No.:
°Per M.G.L.c.147,s.57-61,secu 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
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