31C-081-014 UNIT 12 BP-2122-1189
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THIS PERMIT %IAY BE REVOKED BY THE CITY`OF NORTHASIPTON UPO\ VIOLA ION OF
\Y" OF ITS Rt l.ES.t\I) RF(:t I. %I IONS.
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��i=_ - t cx c� Permit No. D 7
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,� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
I?u APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
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L._.._-(PLEA E,P IN INK OR TYPE ALL INFORMATION) Date: 9/14/2022
' ei or Town of: Northampton To the Inspector of Wires:
L_- By' • ' tion the undersigned gives notice of his or her intention to perform the electrical work described'below.
Location(Street&Number) 117 Olander Dr. Unit 12 3i c..- 0?)-O/`/
Owner or Tenant Joseph Holmes Telephone No. 978-844-1182
Owner's Address 117 Olander Dr. Unit 12, Northampton, MA 01060
Is this permit in conjunction with a building permit? Yes ✓❑ No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 200 Amps 120 /240 Volts Overhead ❑ Undgrd El No.of Meters 1
New Service Amps _ / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Installation of 20 roof mounted solar modules and an ESS comprising of one DC-coupled LG RESU16H Prime
Completion of the followin&table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
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 Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
lf-Contained
No.of Waste Disposers HeaTotals t Pum Number Tons ._._..... Detection/Alerting e Devic
es
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 0
Connection
No.of Dryers Heating Appliances KW Security Systems:*
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 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: $6,708.45 (When required by municipal policy.)
Work to Start:2022-11-08 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 ❑r BOND ❑ OTHER ❑ (Specify:)Gotham Insurance Company
1 certify,under the pains and penalties of perjury,that the information on this application is true and comp • e.
FIRM NAME: _n: _• • .r LL �D c LIC.NO. 4313-EL-A 1
Licensee: Kenneth M Carter Si±gnatur (rd,,,,�.a, (�,rtwJ LIC.NO. 15630A
(If applicable,enter "exempt"in the license number line.) :us.Tel.No.•'17-500-3938
Address: 2A Draper Street,Wobum, MA 01801 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coy;rage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner II owner's a:ent.
Owner/Agent PERMIT FEE. $ . )
Signature Telephone No.
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