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HomeMy WebLinkAboutBLDE-22-007366 AOCommonwealth of Official Use Only ,. Massachusetts Permit No. BLDE-22-007366 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:6/22/2022 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) 102 ASTOR WAY 310-.s e Owner or Tenant Rose Cozzolino Telephone No. Owner's Address 102 ASTOR WAY, S YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (C' 'r (dJ Purpose of Building Utility Authorization N , . "r r " � �� O. . ., _ ,, Existing Service Amps Volts Overhead ❑ Undgrd ❑ o.o- e ei` "lam New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system (No plans submitted) 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. Tonal 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 ❑ 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 D OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lando Bates Licensee: Lando Bates Signature LIC.NO.: 20559 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:313 Brigham St, Northborough MA 015322325 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 Cesk,96,01 f (1)4(911/ ." _ RECEIVED t, aoAw«ct o�IlJ Official Use Only ti 3 .b ri o`.. ;4 Permit No. * p BUILDING D E PA RT M Otqupa mcy and Fee Checked :- BOARD OF FIRE PREVENTIp rli al AT-Ii'tri l l (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordanc with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: June 11,2022 City or Town of: aauth_Yannouth 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) 102 Astor Way,South Yarmouth,MA 02664 Owner or Tenant Rose Marie Cozzolino Telephone No. +1-310-386-5784 Owner's Address 102 Astor Way,South Yarmouth,MA 02664 Is this permit in conjunction with a big permit? Yes CO No 0 (Cheek Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps I_` Volts Overhead❑ Undgrd Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 102 Astor Way,South Yarmouth,MA 02664 Installation of a safe and code-compliant grid-tied PV Solar System on a residential rooftop 1 Cennpletionof the followrng table tne ,be waived by the! of orWires. No.of I No.-of Recessed Luminaires No.ofCei.-Susp.(Peddle)Fans Transformers KVA Q No.of Luminsire Outlets No.of Hot Tubs Generators KVA Above In- N8.of Emergency Lighting ` No.of Luminaires Swimming runt send. ❑ grad, ❑ Battery Units No.of Receptacle Outlets No.of Oli Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners �To.of betectioa and Initiating Devices 1 i. No.of Ranges No.of Air Cond. To No.of Alerting Devices Na.of Waste Heat Pump Number TonsSelf-Contained KW No.of Totals: - _ _... Detection/ Devices No.of Dishwashers Space/Area Heating KW Local 0 CMonnection 0 Other No.of Dryers Heating Appliances KW No.oP Devices or Equivalent No.of Water i No.of No.of Data Wiring. Heaters Signs Ballasts No.of Devices or , ,t No.H dro Bathtubs No.of Motors Total HP T+ oasmnnication�a ' a' y � No.of Devices or Ea' nt 0 EHER: Attach additional detail if desired or as required by the Inspector of Wires, Estimated Value of Electrical Work: $23,000 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND 0 OTHER 0 (Specify:) I rerdfy,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Empower Energy Solutions LIC.NO.: 8209 Al Licensee: Lando Bates Signature ....ea,,..,.- ,�. LIC.NO.: 20559 A (Ifapplicable,enter"exempt'in the license number line} Bus.Ter.No.: Address: 51 Assabet Dr Northborough MA 01532-2600 Art.Tel.Na.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. UwnertAgm Irt PERMIT FEE:Signature Telephone No. I NSTAR ELECTRIC COMPANY M.D.P.U.No.55A d/b/a EVERSOURCE ENERGY Cancels M.D.P.U.No. 55 Page 109 of 183 STANDARDS FOR INTERCONNECTION OF DISTRIBUTED GENERATION ATTACHMENT 2 Certificate of Completion for Simplified Process Interconnections Installation Information: Check if owner-installed Interconnecting Customer Name(print): 'Q$e /1I II[% �Q 2-2-0 CIA)d Contact Person: Mailing Address: /0 9 h r pt/1/3-7 �)q /-C, /I7U t State:: /i2 Zip Code: 4V�n(oV Telephone (Dayti e):I/O gat 5711 (Evening): Facsimile Number: E-Mail Address: Address of Facility (if different from above): Electrical Contractor's Name (if appropriate): eI1 fl('a)•ei- jtja/y Y l u 'has' Mailing Address: / JP,{it/G 9/ ' v?f9 City: WPC)076 /'C/ (19-e-- State: Ce-ne..eoli cut Zip Code: (2 6� Telephone(Daytime): 975 A5,53 (Evening): Facsimile Number: E-Mail Address: r 47015 /0�2fjJG �/ C 4�' License number: Date of approval to install Facility granted by the Company: Application ID number: Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of (City/County) Issued by: Craig A.Hallstrom Filed: June 21,2021 President Effective: September 15,2021 73 1111 iB § r.4 1 t(-) I : 5 _ ... ..... i X -I 6 A 1 i S N n O _<0 ._ sp,>x, Z p C O -i N x m N � 15 m W eN ® i ® ymn8 6.- fop' Og ? 8i 0 ,1 cn v, 5/f • 1 Z a f'k, 'r.r t} � Cm o 0. 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I— w i Om T N „ o 0 m e z S f A \\� -�� A. r1 II i13 4 4 AE T a � 8x i I III / EEC io T Si (31 \ \it g g i 4 i 1 o g g From: Chris Lyons chris.ierpowerenergy.co Subject: Fwd: Pianset and Work request number Date: Sep 22, 2022 at 7:42:29 PM To: Rose Cozzolino rcozz@yahoo.com Forwarded message From: Customer Support <customer.support@empowerenergy > Date: Thu, Sep 22, 2022 at 7:29 PM Subject: Planset and Work request number To: <rcozz@yahoo.com> CC: Chris Lyons <chris.l@empowerenergy. > Hi Rose, Chris reached out to us for the copy of your documents and Work Order number. Please see attached and Work Request#9606360. MO MO Thank you, Bern - Empower Customer Support You can reach out to our Customer Support Team for any questions. Empower Energy Solutions Customer Support Email: customer.sueportCempowerenergy.co Texting a Calling enabled Phone # : 475-221 -2353 Hours of Operation: Monday Saturday, 8am- 8pm ET Chris Lyons, Empower Energy Solutions 401-524-8130 Pdf Cozzolino Planset.pdf 500 KB