HomeMy WebLinkAboutBLDE-23-19448 9/6/23, 1:44 PM 'vV about:blank
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ELECTRICAL PERMIT y.\ t 0,fs-
Job Address: 25 LUCERNE DR Unit:
Owner Name: O'CONNELL RYAN
Owner's Address: 25 LUCERNE DR Phone: (508) 776-7377 Email: ryvtcc@gmail.com
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19448
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Installation of a safe and code-compliant, grid-tied PV solar system on an
existing residential roof. 10 Panels/3.95kw(dc)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No. Gas Burners: Video System ❑
Y No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: 3.95 Solar PV KW AC Rating: 3.8 No.of Electric Vehicle Supply Equipment:
No.of Modules: 10 Roof-Mount❑ Ground-Mount 0 Level 1 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: October 6, 2023
FIRM NAME: EMPOWER ENERGY SOLUTIONS INC. A-1 License Number:
Master/System and/or Journeyman Licensee: Lando Bates License Number:'
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Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: 8209
Address: Northborough, MA, 015322600 Northborough MA 015322600 Fee Paid: $150.00
Email: permits@empowerenergy.co Business Telephone: 774-249-1687
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.
INSURANCE: LM Insurance Corporation
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