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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