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Home My WebLink AboutBLDE-18-004152 .a� Commonwealth of E Massachusetts Permit No. BLDE-18-004152Ofsoial Use Only BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • [Rev.1/071 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:1/24/2018 City or Town of: YARMOUTH To the Inspector of Wires By this application the undersigned gives no ice o us or er in en ion o per rm r e c c w scribed belo r/� Location(Street&Number) 1214 GREAT ISLAND RD � a Mh14 Owner or Tenant SALTONSTALL THOMAS B Telephone No. Owner's Address C/O ELIZABETH Z CHACE,46 ABORN ST 4TH FLOOR, PROVIDENCE,RI 02903 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 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade security&fire systems. 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 Ilot Tubs Generators KVA No.of Luminaires Swimming Pool Above 1:1 In- 1:1 No.of Emergency Lighting grnd. grnd. 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 12 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 12 Tons 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:" 15 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Ileaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: 1 No.of Devices or Equivalent OTI IER: Attach additional detail ifdesired 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Robert K Boucher Licensee: Robert K Boucher Signature LIC.NO.: 1317 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:218 SETUCKET RD,YARMOUTH PORT MA 026752258 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 l u �� 8n( z"-rithie 4�� I/31 be,a '�`Ikipc. 1z/449I4A iLk Commonwealth of Massachusetts Official Use Only V Department of Fire ServicesPermttNo.-OccupancyandFeeCheckedBOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) PPLICATION 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: 1/24/17 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) 1214 Great Island Road—Main House Owner or Tenant Garnick Residence Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes X No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity a Idmation and Nature of Proposed Electrical Work: Replace alarm panel and add new security and fire alarm 0 1 t- Devices as part of major remodel. LU m aF j Completion of the followingtable may be waived by the Inspector of Wires. N I o/Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total 'lit,. c 1 Transformers KVA Lui A, ,i Luminaire Outlets No.of Hot Tubs Generators KVA V O . Z t j ,, Luminaires Swimming Pool grnd.e ❑ In-grn ❑ • No ot Battery EmeUnirgency Lighting la Q st [v. i f Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 ,f Switches No.of Gas Burners No,of Detection and 12 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 12 Tons 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* 15 No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whinsi 1 No.of Devices or Equiva ent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4k (When required by municipal policy.) Work to Start: 1/24/18 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 X BOND 0 OTHER 0 (Specify:) I cert,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Seaside Alarms inc LIC.NO.: 1317C Licensee: Bob Boucher Signature LIC.NO.: (If applicable, enter "exempt"in the license number line.) Bus.TeL No: 508-194-0599 Address: 1265 Route 28,South Yarmouth,MA 02664 Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: S-0046 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)0 owner 0 owner's agent. Owner/AgentPERMIT FEE: $ ,5' Signature Telephone No. y —