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HomeMy WebLinkAboutBLDE-22-000460 'VA Commonwealth of Official Use Only ` Massachusetts Permit No. BLDE-22-000460 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•7/26/2021 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) 4 LEXINGTON LN Owner or Tenant NILSSON GEORGE W Telephone No. Owner's Address NILSSON JEAN M,2 PINE ST, BOYLSTON, MA 01505 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 with 2 Power walls. 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- ElNo.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 0 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 0 OTHER ❑ (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 /24 C�(/�J / 11 r Gm) c_64.11.4fektenv d; : a (Q i,.,ommonurea/t/ a/Mad:lack...3db /O Official Use Only / ,� r• 1 r� Permit No. C,.�( 1- 7c �i .2 eparfinent o/.ire Serviced m)ate Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS tRev. 1/071 (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: 7/13/2021 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) 4 Lexington Ln Owner or Tenant Kathleen Leblanc Telephone No. 508-397-2202 Owner's Address same is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead C 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: Insyall Tesla Solar Roof rated @ 7.075 kW Install 2 Tesla powerwalls Completion of the followin&table map he araived by the Inspector of Wires. No. Total ran KVA No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No,of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total g Tons 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 KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No. Devicestons Iquivt � L_. .-7 No.of or Equivalent OTHER: 1��15� l.�T.�JIdZ• CDN't ` f— 3�103c0 attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $ 32000.00 (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 0 BOND ❑ OTHER ❑ (Specify:) I certify,tinder the pains and penalties of perjury,that the infortnatiart n this ppliration is true and complete. FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen J Connolly Signature LIC.NO.:22812 (Ifapplicable,enter "exempt"in the license number line.) Bus.Tel.No.•eTe•sTo•ss15 Address: 240 Ballardvale 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: I am aware that the Licensee does nol have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner Q owner's agent. Owner/Agent PERMIT FEE: $ Signaturetune Telephone No. ,X§i it ® © ©' I , sg :ciip; 0 :lla% th;ij ; xQ T2 iz m x A N -,g_2n2X ;gRQ,A22 '3g� O§Hmv---- 08 z 1 II�' A�, Nz v� Fang OSSSSR > Ili 1 ' y al > Ntl , z _ _ g T. a v ■n e ©e'©cam io 00�. act .I.. .I1 I > gS o Z� o� R1D _ __,�y DNA E — �.1F. L S n 1. A g y �����1�� a n z i rn z ' �� a 3 at A i r m,,;_ 0 0 o O N .milli. N - I No y .T...?..- 'n -P 3 el c o v N CI LREIzin o m. 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