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HomeMy WebLinkAboutBLDE-22-003529 ra Commonwealth of Official Use Only ti.` ��, ` Massachusetts Permit No. BLDE-22-003529 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:12/26/2021 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) 48 GRANDVIEW DR Owner or Tenant Clifford Polley Telephone No. Owner's Address THE ELAINE C POLLEY FAMILY TRUST,48 GRANDVIEW DR, 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 ❑ 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(15.624 Array)with 27 KWH ESS 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 g bovend. ❑ grnd. ❑ No.of Emergency Lighting r 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. Total No.of Alerting Devices Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detai ' desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municip. I of Work to start: Inspection to be requested in acc ance with MEC R 1 -v on ompletion. INSURANCE COVERAGE:Unless waived by the owner,no permit r e,per o nce of electric sr ' y issue tales e icensee provides proof of liability insurance including"completed operation"coverage or its bst nt uivalent.The\dersign i ich co rage is in force,and has exhibited proof of same to the permit issuing off e. CHECK ONE:INSURANCE 0 BOND 0 OTH R 0 pecify:) I certify,under the pains and penalties of perjury,that the inform 'on on is applicar n true r GKomplete. FIRM NAME: TESLA ENERGY OPERATIONS, INC. /(\.' Licensee: Stephen Connolly Signature A()6' (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 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:$150.00 I ?L1&s PLE-0 n�! rn BBII Lomwnwea/th o/maddachudettd Official Use Only ,.. -Ali '' c� Permit No. si-2-3527 C me 29partrxent onire Jarviced „.,- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Pee Checked '�-- €Rev. 1/071 (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 IN INK OR TYPE ALL INFORMATION) Date: 12/8/2021 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) 48 nGrandview Dr Owner or Tenant Clifford Polley Telephone No. (646) 642-9222 Owner's Address same Is this permit in conjunction with a building permit? Yes • No 0 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps 1 Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead Lind rd g 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Tesla solar roof rated @ 15.7kW. Install 2 Tesla powerwalls on outside of home per code. Completion ofthe followin&table may be waived hr 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 ❑ hi- ❑ 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 Tons ,No.of Alerting Devices No.of Waste Disposers Heat Pump I Numb I er}Tons KW No.of Self-Contained Totals: } Detection/Alerting Devices No.of Dishwashers Space/Area.Heating KW Local❑ Connection D Other No.of Dryers Heating Appliances KW Security Systems:* `-"""`—"1 No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Flydrornassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: n let.0"..1.‘ rT 1-' .35—)0.30 Attach additional detail if desired s or as required by the Inspector of!fire ` Estimated Value of Electrical Work: $ 87,000.00 (When required by municipal policy.) Work to Start:ASAP Inspections 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information tt this pplicatiote is true and complete. FIRM NAME: Tesla Energy Operations Inc. 70 -Al Licensee: Stephen J Connolly LIC.NO.:22812 Signature LIC.NO.•22812 (Ifapplicable,enter "exempt"in the license number line.) Address: 240 t3sllardvale Street Unit A Wilmington MA 01887 BUS.Tel.No.;978 goo-sci5 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Leel.No.:781-635-1030 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,1 hereby waive this requirement. I am the(check one •owner ©owner's a enl Owner/Agent Signature Telephone No. PERMIT FEE: $