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
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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