HomeMy WebLinkAboutBLDE-22-000983 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-000983
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:8/20/2021
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) 71 OLD HYANNIS RD
Owner or Tenant Ajay Roy Telephone No.
Owner's Address 71 OLD HYANNIS RD,YARMOUTH PORT, MA 02675-1767
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 ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install EV charger
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 1 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 0 Other:
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 Signs 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: NATHAN A ASHE
Licensee: Nathan A Ashe Signature LIC.NO.: 21136
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 166 Hunt Rd, Chelmsford MA 018243747 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: $50.00
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='_1_1 Occupancy and Fee Checked
- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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:
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) 71 Old Hyannis Rd
Owner or Tenant Ajay Roy Telephone No. 312-929-6348
Owner's Address 71 Old Hyannis Rd Yarmouth MA 02675
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. n/a
Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of a JuiceboxPro 40a Electric Vehicle Charging
outlet and station on the left interior of garage
Completion of the following table may be waived by the Inspector of Wires.
NoNo.of Recessed Luminaires No.of Ceil.-Susp. T rano KVA(Paddle)Fans f
Trsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming 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
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❑ ConneMunici ctiopal n ❑ Other
_
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.-
KW No.of No.of Data Wiring:
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: 1200.00 (When required by municipal policy.)
Work to Start: 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 g BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on thi application is true and complete.
FIRM NAME: Sunrun InstallationServices, Inc. LIC.NO.: 21136A
Licensee: Nate Ashe f LIC.NO.: 11361 B
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (978)594-3519
Address: 734 Forest Street,Suite 400,Marlborough,MA 01752
Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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: $
Email: mapermits@sunrun.com
L
6.8"
JuiceBox 47,4
JuiceBox® 40 Specifications BIBIESEM
> Power:40A,9.6 kW maximum(adjustable) L COUS
Electrical Characteristics > Single phase input:nominal voltage 208/240 too LISTED
VAC,voltage range 177—264 VACco•/*
Input Cable &Plug > 2.3 ft(0.7 m)with NEMA 14-50 plug
> 2.3 ft(0.7 m)UL-rated hardwire conduit&wiring
1141
111
Output Cable&Connector
> 25 ft cable '
> J1772 standard compliant
> Precision measurement of power,energy,voltage¤t
> Automatic notifications:time-of-use in effect,start of charge,end of charge,unit offline,
JuiceNet®App unit back online,car needs to be plugged in to charge
> Web-based portal for desktop access
> See JuiceNet app data sheet for more on convenient features
Smart Grid Connectivity > Built-in WiFi Connectivity(802.11 b/g/n 2.4 GHz)
> End-to-end AES-256-based encrypted protocols
Firmware > 90-day, 15-minute interval data storage
> Over-the-air(OTA)upgradeable firmware
> Persistent data storage upon power interruption
Emissions Reduction > Available via optional JuiceNet Green software upgrade
> Dynamic LED lights show charging status:network connectivity,charging in progress,
delaying charging,standby
Enclosure > Weatherproof,dust-tight,polycarbonate enclosure: NEMA 4X
> Quick-release wall mounting bracket included
> Built-in security lock and integrated cable management
•
> Operating Temperature:-40°F to 140°F(-40°C to 60°C)
Weight&Dimensions > Main enclosure: H: 18.5 in(469 mm)x W:6.8 in(173 mm)x D:5.8 in(147 mm)
> 15 lbs(6.8 kg)
Codes&Standards > FCC Part 15 Class B, NEC 625 compliant, ENERGY STAR®t
> OpenADR 2.0b compliant
Safety > UL and cUL Listed
Warranty > 3-year limited product warranty(parts only)for use under normal residential operating
conditions
Made in USA > From domestic&imported parts
JUICEBOX and JUICENET are registered trademarks of Enel X North America,an Enel Group company.Other product
and company names mentioned herein may be trademarks or trade names of their respective owners. 2020.01.16
Certification pending
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