HomeMy WebLinkAboutBLDE-23-004189 Commonwealth of Official Use�E� Only
.,� Massachusetts Permit No. BLDE-23-004189
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:1/30/2023
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) 19 STABLE LN
Owner or Tenant SOLTOFF HOWARD M Telephone No.
Owner's Address SOLTOFF JANE E, 8819 BURDETTE RD, BETHESDA, MD 20817
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap I opriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 II: I ' •t i
New Service Amps Volts Overhead 0 Undgrd No` s
Number of Feeders and Ampacity 9
Location and Nature of Proposed Electrical Work: R&R Panels for roof repairs Q
Completion of the following table ntai £ ' e ector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of tal
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
Initiatine 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/Alertine 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 1 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $150.00
Commonwealth,of Vaddacfreldette Official Use Only
rcm-" ml 1CI711It ("ft,NO.
s ' ' cc--�
--=-ai� t eLJePartmenf oPire arvicad
.:- =11, Occupancy and Fee Checked
K', J BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071
eta.. (lealC 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: 1/24/2022
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) 19 Stable Ln
Owner or Tenant Howard Soltoff Telephone No. (301) 346-1969
Owner's Address
Is this permit in conjunction with a building permit? Yes C No ❑X (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undfrd❑ No.of Meters
New Service Amps I Volts Overhead} I Undgrd Li No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Remove and reinstall roof top solar PV panels for
homeowner roof repairs
Completion of the followin&table may be halved by the Inspector o/"Wires.
No.of Recessed Luminaires No,of Ceil:Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KV A
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
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
Municipal
No.of Dishwashers Space/Area.Heating KW Local❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total LIP Telecommunications N . or Equiv'Wirinalent
No.of Devices Equivalent
OTHER:
Attach additional detail if desired or as required hl'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 E BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information a this pplication is true and complete.
FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812
Licensee: Stephen J Connolly Signature LIC.NO 22812
(II-applicable,enter "exempt"in the license number line.) BUS.Tel.No.•.7&570-6615
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: 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 am the(check one)❑owner Q owner's agent.
Owner/Agent
Signature Telephone No. PERIL/IT FEE: $
!` COMM() WE , TH ,. I • A JR
DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REGISTERED MASTER ELECTRICIAN
STEPHEN CONNOLLY
25 BISCAYNE DR
BILLERICA, MA 01821-3034 z
22812 A 07/31/2025 221785
LICENSE NUMBER `` EXPIRATION DATE. _-SERiAL-NUMBER
COMMONWEALTH OF LAS. A TT
DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REG JOURNEYMAN ELECTRICIAN
� I
STEPHEN J CONNOLLY
25 BISCAYNE DR
BILLERICA, MA 01821-3034
13590 B 07/31/2025 221787
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
Fold,Then Detach Along AM Perloretions
DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE I
REGISTERED ELECTRICAL BUSINESS
TESLA ENERGY OPERATIONS INC
901 PAGE AVENUE
FREMONT,CA 94538
760 Al 07/3112025 277340
LICENSE NVMBER EXPIRATION PATE SERIAL NUMEER