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HomeMy WebLinkAboutBLDE-23-005416 0. Commonwealth of Official Use Only -F Massachusetts Permit No. BLDE-23-005416 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.1/07j 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:3/31/2023 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. ^ j Location(Street&Number) 20 ERICKSON WAY O Owner or Tenant RANSOM KARYN M Telephone No. /h� %.„ Owner's Address 20 ERICKSON WAY,SOUTH YARMOUTH,MA 02664 �,;�Jn�j� ri� Is this permit in conjunction with a building permit? Yes l7 No ❑ (Check Approvp�w�e�6O ss.„ �f )/ /aa Purpose of Building Utility Authorization No. �..''; N, x,'� <jj� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 24, p New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 4‘z.) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remove&replace solar panels for roof repairs. Completion of the following table may be waived by the Inspector 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 _Inttiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ions 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances K\N Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters SiPns _No.of Devices or Euuivalent No.Hydromassage Bathtubs No.of Motors Total III' 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:) 1 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 ,mow_ . 4 < 0..4. f yyj 0►prr>rwncve3tt tj� o ad3ac ue�efi Official Use Only ( c- c- Permit l�ltp. ::.✓.ij574 ( ,.-., ,.._.,,,„ ( el ' �euiartrdnt of -ir•e; �er'vgcei 14. ' Occupancy chid Fee Checked 0 BOAR D OFFIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) -wi APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be tieriorincd in accordance with the Massachusetts Electrical Cool (M ' ), 527 CMR 12.00 (PLEASE PRINT IN INK OR 1' E ALL I ORMATION) Date: L 3 City or Town of: Wln�oj To the inspe for of Wires: By this application the undersigns ►ives ri' ice o iris or her i itention to perform Le electrical work described below. .►— Location (Street & Number) -- -—_-• / _ f - Owner or Tenant 14 ' PSO Ai Telephone o. 7Jy`Z/2—Zi— 4 Owner's Address Is this permit in conjunctions with a building permit? Yes E No (Check Appropriate Box) Purpose of Building Residential . Utility uthorization No. Existing Service Amps / Volts Overhead 11 Undgrd ❑ -No. of Meters. New Service . _ Amps / Volts Overhead [1 Uiidgrd Li No. of Meters Number of Feeders and Ampac:ity L Ovation and Nature of Proposed Elm:Weal Work: Peinwe 4 ;/)...5 kirt- p j pa "-Ai I W , i/ $ ('oliip1etio of the f]l/on'iu ' wide inu be waived by the inspector of ii ir'es. No. al of Recessed Ltainivaires No, of Ceil..Susp. (Paddle) 1'aims Tr"i &ormers kVA No. of Lumiriaire Outlets No. of liot Tubs Generators KVA Alkove- In- l�fo,otTraterge k i.liting No, of Luminaires SWiaanlirig Pool and. grin i. ❑ li,attct' Elraits Nu. of Receptacle Outlets No. of Oil Burners 'FIRE AI.ARNIS No. of Zones No. of Detection and No. of Switches No. of C.as 13uruers Initiating Devices No, of Ranges No. of Air Cond. To ial s •. No. of Alerting Devices Heat Pump Number Tons r KW No. of Self-Contained ' No. of Waste Disposers Totals: l)etection/Alerting Devices No. of Dishwashers Space/Area. Heating KW [Local 0 titainieipal Q Other Connection No. of Dryers 'leafing Appliances KW Security Systems:n _ No. of Devices or Equivalent No. of 1Vater KWNo. of No. of Data Wiring: Ileaters Signs Ballasts No. of Ueviees or Equivalent No. Ilydromassage Bathtubs , No. of Motors Total HP Telecommunications ofDe '1'Virin No. of Devices or Equivalent OTi1EIt: — - - :Math 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: ASAP- Inspections to be requested in accordance with MCC 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. CI'ECK ONE: INSURANCE (i] BOND ❑ OTHER IER ❑ (Specify:) I certify, wider The pants and peualtie.s of peijurp, that the information n this -pplication is true and complete. FIRM NAME: Testa Enerciy Operations Inc. A LIC. NO.: 22812 Licensee: Stephen J Connolly Signature LIC. NO.: 27812 (If applicable, crater `'ereuipt"in the liceirse number line.) Bus. Tel. No.: 978.57o•s615 Address: 240 t3allardvale 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 "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. 1 am the (check one) 0 owner i❑ owner's agent. Owner/Agent I PERMIT FEE: $ Signature . Telephone No. fi COMMONWEALTH 0 SAC 411 DIVISION OF OCCUPATIONAL LICENSURE ' BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE REGISTERED MASTER ELECTRICIAN STEPHEN CONNOLLY 25 BISCAYNE DR BILLERICA, MA 01821-3034 4014N 22812 A 07/31/2025 221785 LICENSE NUMBE• EXPIRATION DATE SERIAL NUMBER COMMONWEALTH OF MASACHUSTT , . • • • BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE REG JOURNEYMAN ELECTRICIAN '44 STEPHEN J CONNOLLY 25 BISCAYNE DR BILLERICA, MA 01821-3034 13590 B 07/31/2025 221787 'mat- • • : • F.hi,The.Onfeeh Along All Pelforallorn 1.1 L./ LA III ti * DIVISION OF OCCUPATIONAL LICENSURE BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE REGISTERED ELECTRICAL RUSINERFI TESLA ENERGY OPERATIONS INC 6 90 t PAGE AVENUE FREMONT, CA 9038 760 Al 07/31/2026 277340 UCE$3E NUMBETI EXPIRATION DATE SEPAL NUMBER