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BLDE-21-006846
• „+ 9 Commonwealth of Off��ial Use Only �:. 1 ,\r1�'" Massachusetts Permit No. BLDE-21-006846 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:5/25/2021 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) 49 DOHERTY LN S.M 3 u r Owner or Tenant P -B 1 , 1 Telephone No. Owner's Address , WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Number of Feeders and Ampacity Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Installation of solar roof(3.45 KW)&3 Power walls(1 ) O—i---- `._ Completion of the following able 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.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: OTHER: No.of Devices or Equivalent 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 I certify, fp J under the pains and penalties o perjury,u that the information on this applications true and complete. FIRM NAME: TESLA ENERGY OPERATIONS, INC. Licensee: Stephen Connolly Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 22812A Address: Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent.Owner/Agent Signature Telephone No. I PERMIT FEE: $150.00 I `a(( ?(i (Toe sE Nor AtIgbit OA tr1 Op;3e ( l 24 40 0~4) Conunonwaalrh o/Maadachtetetie Official Use Onlyfl p r ,t. c� Permit No. �2.4 U44 l" � 2eparim4nt oil3ire Serviced m!- 1 Occupancy and fee Checked - ry BOARD OF FIRE PREVENTION REGULATIONS ���* �'` (Rev. l/07i (leave 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 N INK OR TYPE ALL INFORMATION) Date: 5/19/2021 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) 49 Doherty Ln Owner or Tenant James Jumes Telephone No. 201-207-2007 Owner's Address same Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead Q Undgrd❑ No.of Meters. New Service Amps / Volts Overhead} I Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Tesla Solar Roof rated @ 3.45kW Install 3 Tesla power walls rated @ 13.5kWh Completion of the following table mat'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. grad, 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. Tans No.of Alerting Devices 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 Connection Other i No.of Dryers Heating Appliances KW r 'Security Systems:* No.of Devices or Equivalent No.of Water No.of Na.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HPTelecommunications Wiring: No.of Devices or Equivalent OTHER: .•It1aclt additional detail if desired_or as required by the.Inspector of Wires. Estimated Value of Electrical Work: $ 42000.00 (When required by municipal policy.) Work to Start:ASAP Inspections to be requested in accordance with MEC Rule 1©.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 Ei BOND ❑ OTHER ❑ (Specify:) I certify,under the pouts and penalties of perjtirr,that the information tt this pplicafiwt is true and complete. FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen J Connolly Signature NO. 22812 (If applicable,enter"exempt"in the license number line.J Bus.TLIC.eI.No.:9:7E•57o•s615 Address: 240 Rallardvale Street Unit A Wilmington MA 01887 Alt.Tel.No.:781-635-1030 *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 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 Q owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ mgxmnso� v�, mpmo_ior €fi �4,0� � FY � z< Z 3 nN omn0.-f Omo-p,,p7ic2"POPw rnm c �v c�0<r*ama� I m �E RsIR I ��c anmrnrrn zZT.m?mc� TW O -,a Z zO n Oy Z m C n r mr-a W ~cg m m= 1r-I �n274 0 = ODOO,m 9 E 2 cm-,n n �a�oc)vo �A-�<AccziA Y N- A m- Nrn rn �svmNZc� x -a>Z ma rn I n N�V Z m. 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