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Home My WebLink AboutBLDE-22-006428 Commonwealth of Official Use Only Permit No. BLDE-22-006428 Massachusetts �-' 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:5/9/2022 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) 30 GREYHAMPTON RD Owner or Tenant CENSALE SUSAN Telephone No. Owner's Address GRIFFIN JOHN J, 30 GREYHAMPTON RD,WEST YARMOUTH, MA 02673 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 ❑ 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 to re-roof house. 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 Ave ❑ In-Krnd. ❑ No.of Emergency Lighting grbond 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sinus No.of Devices or Eauivalent 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 (onu,u neuealll of Mad3ackrtdetL4 Official Use Only Permit A Z `F'y ZelJ ..f 2epartmeat o/3ire Serviced �f_ _ Occupancy and Fee Checked ;,1� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 C IR 12.00 (PLEASE PRINT IN INK OR T3P 'ALL INFORMATION) Date: c Z 27j? L Cityor Town of: "'WYWDO To the Inspector of ires: By this application the undersigned gives notice of hissi or her intention�toperform the electrical work described below. Location(Street&Number) 3t0 Ak ''iI ') t] -1 Owner or Tenant Sv.,Qv, CiPyS er te Telephone No. Owner's Address same Is this permit in conjunction with a building permit? Yes Q NoV(.,. (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead I Undgrd Li No.of IYleters Number of Feeders and Ampacity Locatio and Nature of P oposed Electrical Work: f mJ7, „ 1 4 fe_ i n s j ,_ he,a 0 i 5'0k,,. pi Y_ G-%S 6 Ve—roc) " Completion of the Tllowiu&table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. girnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 4No.of Zones No.of Switches No.of Gas Burners No.of Detection and 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating, KW Local[] Municipal Li Other Connection No.of Dryers Heating Appliances KW Security S stems:* 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 HPTelecommunications Wiring: No.of Devices or Equivalent OTHER: S� ._ Attach additional detail if desired.or as required by the Inspector of 11"ires, Estimated Value of Electrical Work: $ (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 rj BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information nn this pplication is true and complete. FIRM NAME: Testa Energy Operations Inc. LIC.NO.:22812 Licensee: Stephen.1 Connolly Signature LIC.NO.:22812 (!{applicable,enter `exem pt"irr the license number line.) Bus.Tel.No.:978-57"615 Address: 240 Sallardvale Street Unit A Wilmington MA 01887 Alt.Tel.No. 78 5 635 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 I Signature Telephone No. I PERMIT FEE: $