Classical Colonial Electrical Permit ApplicatioAll work to be performed in accordance with the Massachusetts Electrical code (MEC), 527 CMR 12.00
Date: City or Town of: Florence 11/01/24
To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below.
Unit No.:
Email: greenthumbforhire@gmail.com
Phone No.: 413-335-1185
No Permit No.:
Utility Authorization No.:
Location (Street & Number): 83-85 SPRING ST, FLORENCE, MA 01062
Owner or Tenant: Gaby Immerman
Owner’s Address: 83-85 Spring St
Is this permit in conjunction with a building permit? (Check appropriate box) Yes
Purpose of Building: solar
Existing Service: Amps / Volts Overhead Underground No.of Meters: 400 120 240 1
New Service: Amps / Volts Overhead Underground No.of Meters:
Description of Proposed Electrical Installation: Installation of 45-panel roof-mounted solar array. System size 20.64kW DC. Includes installation of two
Tesla Powerwall 3 AC Size: 11.5kW AC. Energy Storage Capacity: 13.5kWh.
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:2 27 Security System No. of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: 20.64 23.000
No. of Modules: Roof-Mount Ground-Mount48
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)33,900
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 2025-01-01
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: