Donoghue-Walker Electrical Permit ApplicationAll work to be performed in accordance with the Massachusetts Electrical code (MEC), 527 CMR 12.00
Date: City or Town of: Northampton 09/07/23
: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below.To the Inspector of Wires
Location (Street & Number): Unit No.: 112 Fairway Village
Owner or Tenant: Email: Tammy Donoghue-Walker tcurve611@yahoo.com
Owner’s Address: Phone No.: 112 FAIRWAY VLG LEEDS MA 01053
Is this permit in conjunction with a building permit? (Check appropriate box) Yes No Permit No.:
Purpose of Building: Utility Authorization No.: solar
Existing Service: Amps / Volts Overhead Underground No.of Meters: 200 120 240 1
New Service: Amps / Volts Overhead Underground No.of Meters:
Description of Proposed Electrical Installation:
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. 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: 8.400 7.600
No. of Modules: Roof-Mount Ground-Mount20
No. of Electric Vehicle Supply Equipment:
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: (When required by municipal policy)$9,687
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 2023-09-07
FIRM NAME: A-1 or C-1 LIC. No.: Valley Solar LLC 664A1
Master/Systems Licensee: LIC. No.: Jeffrey J Neumann 21134A
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure “S” LIC. S-LIC. No.:
Address: 116 Pleasant Street, Suite 321, Easthampton, MA 01027
Email: Telephone No.: permits@valleysolar.solar 413-584-8844
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
Licensee: Print Name: Cell. No.:
: INSURANCE COVERAGE 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.
CHECK ONE: INSURANCE BOND OTHER Specify: Liability insurance policy
: I am aware that the Licensee does not have the liability insurance coverage normallyOWNER’S INSURANCE WAIVER
required by law. By my signature below, I hereby waive this requirement. I am the: (Check one) Owner Owner’s agent
Tel. No.: Owner / Agent:
Email: Signature:
Installation of a 20-panel roof-mounted solar array. System size 8.400kW DC. Includes intsllation of ChargePoint Home Flex.
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