HomeMy WebLinkAboutBLDE-23-19277 permit expired 10/29/24_ Commonwealth of Massachusetts Officia Useo
Permit No.: ! NW
Department of Fire Services Occupancy and Fee Checked:
BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/20231
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: 7/27/2023
To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to•perlbnn the electrical work described below.
Location (Street & Number): U Captain Daniel RdUnit No..
Owner or Tenant: _Robert Bagge Email:
Owner's Address: Phone No.: 8 7-4637
Is this permit in conjunction with a building permit? (Check appropriate box) es ❑ No ❑ Permit No.:
Purpose of Building: Utility Authori/anon No.:
Existing Service: Amps / Volts Overhead Underground _ ---r
❑ g ❑ No. of Meters:
New Service: Amps / Volts Overhead ❑ Underground ❑ No. u1'Meters:
Description of Proposed Electrical Installation: Remove and reinstall roof top solar panels for home owner roof
repairs
Completion of the following table may be waived by the incnorinr of tfl;.
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-Gmd. ❑
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:
KWFI 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 ❑
n-rucn. - N ,
Level I ❑ Level 2 ❑
Level 3 ❑ Rating:
Attach additional detail if desired, or as required by the Inspector of Wires 40
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
Master/Systems Licensee: Stephen Connolly
Journeyman Licensee: Stephen Connolly
A- I ® or C- I ❑ L IC. No.: 760
LIC. No.: 22812 A
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 enrdti�ofrjury, thatthe information on this application is true and complete.
Licensee: Print Name: Stephen ConnollyCell. No.: 508-241-1493
INSURANCE OVERAG E: Unless 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.
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.: R E" C 4 V D
JUL 31 2023
BUILDING DEPAK-1-MENT
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