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HomeMy WebLinkAboutBLDE-22-001252 ,� Commonwealth of Official Use Only I . , Massachusetts Permit No. BLDE-22-001252 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:9/2/2021 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) 540 ROUTE 28 Owner or Tenant Raymond Roy Telephone No. Owner's Address 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Removal of solar equipment. 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 Q eSI � KVA No.of Luminaires Swimming Pool bovernd. ❑ grnd. ❑ No.of Em� igh;j Battery U h_�� No.of Receptacle Outlets No.of Oil Burners FIRE ALA'.4r'`i • # 24/ No.of Switches No.of Gas Burners No.of Detection a . O Initiatine Devices O No.of Ranges No.of Air Cond. ToTotal on l No.of Alerting DevicesVto �j.No.of Waste Disposers Heat Pump Number Tons KW .No.of Self-Containedv Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Ot 460 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 Siens 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 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 r -- CommOnWeaifl%of faisachuiati`s Official Use Only -- • t2Z- 12.62 c�7f Permit No. _ artmsat D/. L Serviced E; � 1 Occupancy and fee Checked ?)' BOARD OF FIRE PREVENTION REGULATIONS tRev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical('ode(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/31/2021 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) 540A Main St Owner or Tenant Raymond Roy Telephone No. 508-737-1895 Owner's Address same Is this permit in conjunction with a building permit? Yes Q No 121 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead E Undgrd❑ No.of Meters New Service Amps / Volts Overhead Li Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Removal of solar PV system and associated equipment Completion of the following table may he waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle)Fans No f Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimming Pool Above ❑ In- 0 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 AlertingDevices 1; Tons No.of Waste Disposers Heat Pump Number'Tons 'KW No.of Self-Contained Totals: DetecConnection tion/Alerting Devices No.of Dishwashers Space/Area.Heating KW Local❑ Municipal o ower No.of Dryers Heating Appliances KW Security Systems:* 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 Tel No. Wiring: No.of Devices ar Egnivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $ 500.00 (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 © BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information tt this i pplication is true and complete. FIRM NAME: Tesla Energy Operations Inc. / LIC.NO.:22812 Licensee: Stephen J Connolly Signature 4 LIC.NO.:22812 (If applicable.enter"exempt"in the license:cumber line.) Bus.Tel.No.:976'570.6615 Address: 240 Sallardvale 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 ant the(check one)❑owner /❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: $ w _ .COM NW LTH O M AHI SE... �iViSi{�id Gai= i3F{Oi=� Sii3NAL LiCEN;1.;4 E ELECTRIC iS S Ti E FOLLO NG UCEi is REG1S i 3i S ELECTRICIAN TESd , ENERGY Di+i3RATibiii3 fi( E i a 0182'1 • 22'872* 07131120 710668 Llr.Fr. [a1J�ABER fxFfRA7(a'd�rTF �ERE+11 [dUMBER. 7