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HomeMy WebLinkAboutBLDE-22-005647 or Commonwealth of Official Use Only gi'AM 1 Massachusetts Permit No. BLDE-22-005647 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:4/4/2022 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) 2 HIALEAH AVE Owner or Tenant Alexander Baldwin Telephone No. 50828 499 Owner's Address 2 HIALEAH AVE,WEST YARMOUTH, MA 02673 ') Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check ,, mate � Purpose of Building Utility Authorization No. �y ' J.S„ e, v". Existing Service Amps Volts Overhead 0 Undgrd 0 Ie ers /,t�h ,r\ New Service Amps Volts Overhead 0 Undgrd 0 NNo o ette,d�s i ',,---) Number of Feeders and Ampacity f ,Location and Nature of Proposed Electrical Work: Removal of PV panels /.�, ; Completion of the following table may be w i d y , c , of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 , Transformers �� 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 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: 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 I Commonwealth al 7a63achudotla Official Use Only//� x w Mrp•t ccyy�, c� Permit No. G '�� Sh 7 r' efk, 2epartment al ire Serviced i1 .. Occupancy and Fee Checked , 'y `- '%' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 j (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: 3/29/2022 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) 2 Hialeah Owner or Tenant Alexander Baldwin Telephone No. (508) 280-2499 Owner's Address same Is this permit in conjunction with a building permit? Yes El No ® (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead Q Undgrd❑ No.of Meters. New Service Amps / Volts Overhead} { Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Removal of solar PV panels for customer remodel Completion of the(ollowin&sable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. Total Transformers tiVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No,of Emergency Lighting Bind. 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 o No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number 'Tops KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area.Heating KW Local 0 Municipal on ❑ Other C No.of Dryers Heating Appliances KW Security Systems:* I No.of Devices or Equivalent No.of Water No.of No.of K1V Heaters 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: :ttrach additional detail if desired.or as required by the Inspector of Wires, Estimated Value of Electrical Work: $ 500.00 (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 © BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjary,that the information to this pplicatiott is true and complete. FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen.1 Connolly Signature ` LIC.NO 2281257a6a15 (Ifapplicable•enter"exempt"in the license number line.} Address: 240 Sallardvale Street Unit A Wilmington MA 01887 Bus.T Tel el.No.:.97& *per M.G.L.c. 147,s.57-6I,security work requires Department of Public Safety"S"License: Alt.Lic..No.:No. 781 635 1030 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 El owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: $ y11 I I i.i�*-r_ "fit 1,4.71 t: f i 2.0 .A �� {{ li ' : Ay e� f I 'r II 4 IQ t. • t .?. at . g1 ' -, . . . . .