Loading...
HomeMy WebLinkAboutBLDE-22-001434 E 247 Station Drive, Westwood, MA „.,„ C 02090 ATTACHMENT 2 CERTIFICATE OF COMPLETION SIMPLIFIED PROCESS INTERCONNECTION Installation Information Check if owner-installed Interconnecting Customer: Contact Person: Mailing Address: Location of Facility(if different from above): 2-(o/ aim/Tie 5 ??i 4i City: $(MoU-NA State: pia Zip Code: Telephone(Daytime): (Evening): Facsimile Number: E-Mail Address: Electrician: Name: ,sine v' LLc Mailing Address: /27 <f)d-4-14 Mc,In 3t . City: flei hi{4- State: ink. Zip Code: (77-7'/? Telephone(Daytime): 7,r/-21v3-/45.' (Evening): Facsimile Number: E-Mail Address: License number: Date Approval of Install Facility granted by the Company: Application ID number: Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of: (City/County) Signed: Local Electrical Wiring Inspector,or attach signed electrical inspection Name(printed): Date: As a condition of interconnection you are required to e-mail a copy of this form along with a copy of the signed electrical permit to: Name: DG interconnection Company: EVERSOURCE Energy Email: emdg@eversource.corn 1) 1 Commonwealth of Official Use Only T ; Massachusetts Permit No. BLDE-22-001434 1 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:9/13/2021 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) 261 WHITES PATH Owner or Tenant BILEZIKIAN CHARLES G TR Telephone No. Owner's Address C/O TURTLE ROCK LLC, 231 WILLOW ST,YARMOUTH PORT, MA 02675-1744 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: Car port installation of solar PV system(1442 Panels 544 KW) 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 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 Stens No.of Devices or Equivalent 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: Licensee: Luke Niemiec Signature LIC.NO.: 100333 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 127 S Main St,Acushnet Ma 02743 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: $250.00 tp ems?%Q/1W/4 . �� (22AV- 2/Gr/V2' . RE ' EIVED , - SEP 13 2021/2 nwoa y�a�ar� . Official Use Ont r! _ Pennit No. L22— (t.. l 3 �` -.,17- I N G L)E_rA R-1 IV Eh.,, ni 0/cc77 .S'.l. rv/cse t " r- -- Occupancy and Fee Checked ;. 1' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) _4._ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 'V All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 Z' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Ins ector f Wires: . By this application the undersigned gives notice pf his or her intention to perform the electrical work described below. Location(Street&Number) (4 ( V)11 i 'L;, I -(1" t. Owner or Tenant ,�j — _/�!,�,,i / . A ,-/ c.; Telephone No. Owner's Address 23 ( (1),I +c't J ST )(AV i1/10c/-1-t't /l t Ct. Is this permit in conjunction with a building permit? Yes aa No 0 (Check Appropriate Box) Purpose of Building Cc/J-71/1'7 K KC/et. (' Utility Authorization No. v Existing Service '� Amps / Volts Overhead❑ Undgrd❑ No.of Meters :,--7 New Service /t ? Amps 41/ Volts Overhead Und rd g ❑ No.of Meters -- Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: /47 z Sa/ar✓ )G-yie 15 Completion of thefollm4ingtabk mm, be waived by the Invector of Wires. Lti No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans No.ofTotal C.:1 Transformers KVA <N. No.of Luminaire Outlets No.of Hot Tubs Generators KVA 47 No.of Luminaires Swimmin Above In- No.of Emergency Lighting g Pool fond. ❑ and. ❑ 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 c. Initiating Devices I t.1 No.of Ranges No.of Air Cond. TotaTons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _"�'M ."` Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security f Devices or Equivalent _ No.of WaterKW Heaters Signs Ballasts No.of Devices of No.of Data Wiring: or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunication Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value o Electrical Work: 'Z) 000 (When required by municipal policy.) Work to Start: Inspection's 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 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 petjury,that the Information on this application is true and complete. FIRM NAME: .5(!V V- LIC.NO.: �bz/ >41 Licensee: /‘, L V • G Signature LIC.NO.: /6/ /3- ';,i OCC'5- (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 77 y 2(,o /4r 5 Address: /27 S iiiLin cr, ► cc"conk:1-- A. G27c(3 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 11q, 7 3 -I.iG1 3/16/22,6:43 AM Accela Automation Accela Civic Platform > YARMOUTH KE BLDE-... 0 STATUS LOCATION CONTACT WORKFLOW Car port in... > Issued > 261 W... > Luke Ni... > 5 total Ta: 09/13/2... SOUTH... • 2 comp BLDE-22-001434 Menu Manage Inspection Delete Search Select Record To Copy From Edit Flo 8o 88CID 0 "Record Inspections" 0 Related Records Inspections U Sched Date Inspection Type Status Insp Date Department Inspector Result Commei O 02/10/2022 Electrical Final Not Ready 02/10/2022 Building Kent Elliott O 02/09/2022 Commercial Electrical Final NotReady02/09/2022 Building Kent Elliott 0 09/14/2021 Ground Work Passed 09/14/2021 Building Kent Elliott o Commercial Electric Rough Pending BLD: (4)14.2z4 1/2 https://yarmouth-prod-a4v.acCela:cOm;Ortlets/web/en-us/#/core/spacev360/yarmouth.blde22001434 Final Construction Control Document ir ert To be submitted at completion of construction by a Registered Design Professional for work per the ninth edition of the ims Massachusetts State Building Code, 780 CMR, Section 107 BDL-22-000838 261 Whites Path BDL-22-000839 Project Title: Date: 04/04/2022 Permit No. BDL-22-000841 Property Address: 261 Whites Path, South Yarmouth, MA 02664 Project: Check(x)one or both as applicable: []New construction []Existing Construction Project description: Three (3) canopies in parking area to support solar panels. I J. Water Lewis MA Registration Number: 30425 Expiration date: 06/30/2022, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural 151( Structural Mechanical Fire Protection Electrical ©Other:Describe Foundations for the above named project. I, or my designee, have performed the necessary professional services and was present at the construction site on a regular and periodic basis. To the best of my knowledge,information, and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the pro ions of 780 CMR 107. .to OF At4j, Enter in the space to the right a "wet" or 04 electronic signature and seal: -* A. . ;ozo tV W0. 30425 -7) 410 Ofr GlSTE - FSPONAL `l(' Phone number: 239-565-7849 Email: waltlewispe@gmail.com Building Official Use Only Building Official Name: Permit No.: Date: Version 01_01_2018