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HomeMy WebLinkAboutBLDE-21-006955 A`or v- Commonwealth of Official Use only F '�' Massachusetts Permit No. BLDE-21-006955 tO7 ® 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:6/1/2021 City or Town of: YARMOUTH To the Inspector of Wires: 0 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 18 COCHESET PATH ���V Owner or Tenant TRUONG PHAT T 1�' ...._ Owner's Address 18 COCHESET PATH,WEST YARMOUTH, MA 02673 Telephone N . O /� Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate i 8,e , Purpose of Building Utility Authorization No. �/ ®Existing Service Amps Volts Overhead ❑ Und rd ❑ � New Service g No.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters O Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar system&power wall storage. 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 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent • 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 I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: TESLA ENERGY OPERATIONS, INC. Licensee: Stephen Connolly Signature (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 signature below,I hereby waive this requirement.I am the(check one)) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$150.00 I P-' d afr 1 i1Z)(24 M CC)Li vS St ") 2t -c`1 5 `�'CO ,73 3SO fu,,, q:: •4 Comawnweaij4 of Maddachuseits Official Use O v ,, .. — cp1 55/ [� Permit 1Vo. ilk_ 2eparime►rf of Sire Serviced -7%%-Nr- I Occupancy and Pee Checked ,,_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j y�„1+ (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 R 12.00 (PLEASE PRINT IN INK OR TYP ALL INF RM4TION) Date: / y City or Town of: �� �1 �►dJ To the Inspe or of Wires: By this application the undersigned , es notice of tis or h-r intention to perform the electrical work described below. Location(Street&Number) 6'4 t Owner or Tenant P lR i I ✓°a vh v ,� IX-Telephone No. � '7'l77bk3ty Owner's Address SA'l`'1L Is this permit in conjunction with a building permit? Yes ■ No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd>S 0 No.of MetersNew Service Amps / Volts Overhead f I Undgrd g 11 No.of Meters Number of Feeders and Ampacity ALocation andt.t., ��Nature of Propofed Electrical Wor ��I�..`�InG( f.•e.s A 0,44' Li , �El /�.� iv ([ Completion of the following sable mat'he waived blr the Inspector ofitires. 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 ❑ ln- ❑ 'No,of Emergency Lighting • grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones _..7 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump[-Number!Tons 1KW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area.Heating KW Local Municipal ❑ Other Connection No.of Dryers Heating Appliances KV4r Security Systems:* 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: No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of lr fires. Estimated Value of Electrical Work: $ 51,Odd — (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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,tisut die information to this pplication is true and complete. FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen J Connolly Signature ,e LIC.NO.:22812 (If applicable,enter"exempt"in the license number line.) Address: 240 Sallardvale Street Unit A Wilmington MA 01887 Bus.Tel.No.:978'570.6615 T*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.Noo;'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,I hereby waive this requirement. I ant the(check one)0 owner []owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: $