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HomeMy WebLinkAboutBlde-22-00058 i/1)\- (Y Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000058` E 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:7/6/2021 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) 47 CAPT DANIEL RD Owner or Tenant JENNER KARL K Telephone No. Owner's Address JENNER MARGARET L,47 CAPT DANIEL RD,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 with"Power Wall"(19.1 KW solar& 13.5 KW power wall) 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 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Data Wiring: Heaters Siens 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 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: TESLA ENERGY OPERATIONS, INC. Licensee: Stephen Connolly Signature LIC.NO.: 22812A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 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 be)/1C C� Co►nmanweatt o/Maddacha3atid Oflicial Use Only Q l�= 'fir/ _ c Permit No. c =se 2epartrneni(Piro Serviced ' Occupancy and Fee Checked ';. ---- - BOARD OF FIRE PREVENTION REGULATIONS 'Rev. 1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co ( EC),57 CMR 12.00 R A (PLEASE PRINT IN INK OR T3 ALL IN TION) Date: Il,{r 10ZZ City or Town of: Ty To the Insp ctor of Wires: By this application the undersigned gives notice of s or hrtr tention t per nu the electrical work described below. Location(Street&Numbe•) '1 7 Capp u yj r, Owner or Tenant 1/ri/j i i Telephone No. f14-(6 5,C.1— Owner's Address .Sp l Is this permit in conjunction with a building permit? Yes \ No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ tlndgrd❑ No.of Meters New Service Amps / Volts Overhead Undgrd E. No.of Meters Number of Feeders and Ampacity .� 1�'� Location an Na ure of P opos Electrical Work: ,,,, .� Sfljai` l Too f a iii k-(,!/ Completion of the following sable mai,be waived b)'the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f Trano KVAsformers tiVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 'No,oa y:Units cy Lighting g mid. 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 lniti tatinn got anc! �Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons rKW 'No.of Self-Contained p Totals: , Detection/Alerting Devices other No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ p Connection No.of Dryers Heating Appliances KWSecurity S stems:* No.of Devices 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 TelecommunicationsN . fDeicor Wiring: L ^^�� No.of Devices Equivalent �,p�L, OTHER: t� cot,ohGbo11, -W 614 Pf►4- ii J i� `Z) Dv70 a '1 , ""' M .p vii Attach additional detail if desired or as required by the Inspector o Wires. Estimated Value of Electrical Work: $ Li,,MD — (When required by municipal policy.) 7K1-63s Work to Start:ASAP Inspections to be requested in accordance with MEC Rule 10.and upon completion. �Q 3 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information n this pplication is true and complete. FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen J Connolly Signature LIC.NO.:22812 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:978.570-6615 Address: 240 Ballardvale Street Unit A Wilmington MA 01887 Alt.Tel.No.•781-635 ]030 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does 1101 have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I ant the(check one)❑owner Q owner's agent. Owner/Agent Signature Telephone No. [PERMIT FEE: $ opmmoNwEALTH OF MASSACHUSE FS DIVISION OF PROFESSIONAL LiCEN ;l E E IANS,'5 • �yIySSUES�TTH�E FOL#Q WNG L{CriEtNSE IE TERED f S1 R '. cIAN STEPHEN.cONNOLLY y \ TESLA EN Y OPERATIONS INC 25 B!S'CAYNE ERICAT.MA;0182i • 2;812 A, 07/311202 719668 Y _�