HomeMy WebLinkAboutBLDE-23-005906 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-005906
�• 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:4/25/2023
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) 20 ERICKSON WAY
Owner or Tenant RANSOM KARYN M Telephone No. 7
Owner's Address 20 ERICKSON WAY, SOUTH YARMOUTH, MA 02664
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 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: R&R Solar panels for roof repairs.
Completion of the following table may be waived by the Inspectbr,of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
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/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 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 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
Dffic
Use
Commonwealth of Massachusetts is O Q
*_= t Permit No.:
f Department of Fire Services Occupancy and Fee Checked:
=i= I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
r=_
= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: Yarmouth Date: 4/20/2023
To the Inspector of Wires:By this application.the undersigned gives notices of his or her intention to perform the electrical wort:described below.
Location(Street&Number): 20 Erickson Way Unit No.: .
Owner or Tenant: Karyn Ransom Email:
Owner's Address: same Phone No.: (774)212-2446
Is this permit in conjunction with a building permit?(Check appropriate box)Yes El No®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Remove and re-install roof top solar PV panels for home owner roof
repairs
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable 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:In-Grnd.El Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ 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: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
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)
Date Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Tesla Energy Operations A-1 ®or C-1 0 LIC.No.: 760
Master/Systems Licensee: Stephen Connolly LIC.No.: 22812 A
Journeyman Licensee: Stephen Connolly LIC.No.: 13590 B
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email: Telephone No.:
I certify,under the pans enalties of perjury,that the information on this application is true and complete.
Licensee: Print Name: Stephen Connolly Cell.No.: 508-241-1493
INSURANC OVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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.
I CHECK ONE: INSURANCE® BOND❑ OTHER❑ Specify:
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❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
c COMM•NWEA TH •F MASSA • 3l
DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REGISTERED MASTER ELECTRICIAN
STEPHEN CONNOLLY
25 BISCAYNE DR
BILLERICA,MA 01821-3034 _ •
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22812 A 07/31/2025 221785
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COMMONWEALTH OF MASSACHUSETTS
DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REG JOURNEYMAN ELECTRICIAN
STEPHENJCONNOLLY
25 BISCAYNE DR .
BILLERICA,MA 01821-3034
1U
13590 B 07/31/2025 221787
LICENSE:NUMBER EXPIRATION DATE SERIAL NUMBER
Fold Then Detach Along AO Perforations
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DIVISION OF OCCUPATIONAL LICENSURE
BOARD OF
ELECTRICIANS
fSSUES THE FOLLOWING LICENSE
REGISTERED ELECTRICAL BUSINESS '�;'s`'•..a
TESLA ENERGY OPERATIONS INC \'
901 PAGE AVENUE
FREMONT,CA 94538
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760 Al 07,3112025 277340