HomeMy WebLinkAboutBLDE-22-005754 ,� Commonwealth of Official Use Only
x Massachusetts
Permit No. BLDE-22-005754
1a-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:4/8/2022
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) 11 THRUSH TRAIL
Owner or Tenant COMEAU MARY ANN GRAY Telephone No.
Owner's Address 11 THRUSH TRAIL,YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
•
Existing Service Amps Volts Overhead 0 Undgrd 0 41, rs
New Service Amps Volts Overhead 0 Undgrd 0 (eo. e
40
Number of Feeders and Ampacity ,
Location and Nature of Proposed Electrical Work: Re-install system after house roof was replaced i
Completion of the following table may ba e.b t e sp or of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ,! otal
Transformers rT tAi.A.
No.of Luminaire Outlets No.of Hot Tubs Generators /2
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Li ttng
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/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 KW' No.of No.of Ballasts Data Wiring:
Heaters Siens 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
Commonwealth of llta55acha3ati.4 Official Use Only
F•L.' i ��7'j Permit No. 7 2 =>— ' 7
r_ ifs I .2epartment of.}ire Serviced
? m i? I Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 1Rev. 1/07j (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: 4/5/2022
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) 11 Thrush Trail
Owner or Tenant Mary Ann Gray-Comeau Telephone No. 760-586-3881
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 Undgrd❑ No.of Meters
New Service Amps _ / Volts Overhead Undgrd Li No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Re-install 13 solar PV panels after customer had reroof
Completion of the followiu&table May he waived by the Inspector gj Wires.
otal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T f KVA
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. I of Detectionand
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
p Totals: r Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection t
No.of Dryers Heating Appliances KW Security stems:
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW SignsBallasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HIP TelecommunicationsNor EqWuivalent
No.of Devices Equivalent
OTHER:
Attach 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 111 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the infortnation it this pplication is true and complete.
FIRM NAME: Tesla Energy Operations Inc. LIC.NO.:22812
Licensee: Stephen J Connolly Signature LIC.NO.:22812
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No. 978'S�o-ssi5
Address: 240 Ballardvale Street Unit A Wilmington MA 01887 Alt.Tel.No.•781-635-1030
*Per M.O.L.c. 147,s_57-61,security work requires Department of Public Safety"5"License: Lie.No.
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)❑owner Q owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $