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Home My WebLink AboutBLDE-18-004150 ,t.. a. Commonwealth of Official Use Only !ti` Massachusetts Permit No. BLDE-18-004150 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07) 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: k By this application the undersigned gives notice of his or her intention to perform the electric work described belo O�.d-//s� Location(Street&Number) 1214 GREAT ISLAND RD c=f'v-z e.\ t.-'3ç3% - 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install fire&security 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 Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ab0 1n- 0 No.of Emergency Lighting grnove d, 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 5 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 5 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:" 3 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent No.Ilydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1 No,of Devices or Eauivalent OTI IER: Attach additional detail if desired 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 0 BOND 0 OTHER 0 (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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$45.00 t.P' t/ i/if' et) n/ fie k&i , Commonwealth of Massachusetts 9fficial usely r"pp iii Permit No. k" 4150 c Xli Department of Fire Services r e Occupancy and Fee Checked \ t / BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) 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 ALLINFORMATIO11) 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—Guest 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 ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add security and fire alarm devices as part of the main house System. Completion of the followingtable may be waived by the Inspector of Wires. ® of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans ToTotal Transformers KVA ra ,.1'.of Luminaire Outlets No.of Hot Tubs Generators KVA d' Pool ii.of Luminaires swimming Above In- No.of Emergency Lighting 81 ;!a i g grnd. ❑ grnd. 0 Battery Units V Z •.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 al `!F Ii.of Switches No.of Gas Burners No.of Detection and 5 Initiating Devices ..of Ranges No.of Air Cond. Tonal No.of Alerting Devices 5 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:* 3 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 of evcs oEquivalent valent 1 OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2k (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 ❑ (Specify:) I cenlfy,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: Seaside Alarms int:. LIC.NO.: 1317( Licensee: Bob Boucher Signature LIC.NO.: (If applicable,enter "exempt"in the license number line) Bus.Tel.No: g0R-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: $ `1�r� SignatureturaTelephone No.