HomeMy WebLinkAboutBLDE-21-004204 Y \`� Commonwealth of Official Use Only
• , ` Permit No. BLDE 21 004204
;,�'��� Massachusetts
o 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:1/28/2021
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 MAINE AVE
Owner or Tenant Jeffrey Miller Telephone No.
Owner's Address 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: Installation of solar PV system (24 Panels 13.5 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
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 ❑ 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 Signs 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
` Commonwealth o/Vaasachtt at flffic'saI Use Only_
iE ' ,( !
�; cc� c�77 PermitNo. L/
C AIa 20partment of ire Sruiced
r lirt , . Occupancy and Pee Checked
'r ti,S,'" BOARD OF FIRE PREVENTION REGULATIONS (Rev. I/07]
(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed hi accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/22/2021
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 Maine Ave
Owner or Tenant Jeffrey Millar Telephone No. 603-321-0465
Owner's Address same
is this permit in conjunction with a building permit? . Yes Q No 0 (Check Appropriate Box)80'21
Purpose of Building Residential — Utility Authorization No. DON01T
Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters.
New Service Amps / Volts Overhead 1 1 Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install rooftop solar PV system rated @ 8.16kW
24 panels. Install 2 Tesla powerwalls rated @ 13.5kWh each
Completion of the following table may he waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transfot•mers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Paoli nd Above ❑ In- Q No.of Emergency Lighting
}crud. Bette , 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
o
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number 'Tons KW I No.of Self-Contained
Totals: 'Detection/Alerting Devices
No.of Dishwashers Space/Area.Heating KW [Local❑ Municipal ❑ Other
1 Connection
No.of Dryers Heating Appliances KW Security Syystems:
No.of Water No.of Devices or Equivalent
KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
f� No.of Devices or Equivalent
OTHER:
Y -7K.1_69S OD ►/t554 tie' _iSLGorr—�
Attach adrlitlonal dedail l desired.or as required by the Inspector of!Wires.
Estimated Value of Electrical Work: $ 28,000 (When required by municipal policy.)
Work to Stait: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 C1 BOND ❑ OTHER ❑ (Specify:)
1 cerfifj',under the pains and penalties of perjury,that the information n this pplication is true and complete.
FIRM NAME: Testa Energy Operations Inc. LIC.NO.:22812
Licensee: Stephen J Connolly Signature LIC.NO.•us 22812s�asal5
(If applicable.enter "exempt"in the license number line.) s
Address: 240 Ballardvale Street Unit A Wilmington MA 01887 Bus.Tel.NO.:
Alt.Tel.No.:781-635-1030
*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)[]owner owner's agent.Owner/Agent I
Signature Telephone No. I PERMIT FEE: $
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