HomeMy WebLinkAboutBlde-19-005175 _ - Commonwealth of Massachusetts Official Use Only,
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w= 'i1-=,� Permit No.
Department of Fire Services
• =E( =, Occupancy and Fee Checked
'`'',-,Ar—ItierBOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
�1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/8/19
e1 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) 14 Television Lane—West Yarmouth
------ ----Owner,or Tenant MacFarland Residence Telephone No.
r
p- ��"'Ovrae�4s Address same
II"'� : Is is iermit in conjunction with a building permit? Yes X No (Check Appropriate Box)
-� Puftrpo$ie of Building Utility Authorization No.
4 r . Ea ling Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
0
',:0'��\' New Siirvice Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
11,1 -Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New residential security and fire alarm
Completion of the following table may be waived by the Inspector of Wires.
No.
r
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Trano KVAsformers 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 1
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices 8
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
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 ❑ Omer
Connection
No.of Dryers Heating Appliances KW Security Systems:* I2
No.of Devices or Equivalent
No.of Water , No.of No.ofK Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunica No.of Devicet s ions Wiring: I
or Equivalent
OTHER:
Attach additional detail if desirecZ or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3k (When required by municipal policy.)
Work to Start: 3/8/19 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 ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Seaside Alarms inc. 7 �7 LIC.NO.: 1317C
Licensee: Robert K. Boucher Signature /!h LIC.NO.:
(If applicable, enter "exempt"in the license number line.) , ,� Bus.Tel.No.: 508-394-0599
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)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ 41
a I 010.71 a a jj
1.11, Inc.
1265 Route 28 • South Yarmouth, MA 02664 • 508-394-0599 • MA LIC. #1317C
24 HOUR PROTECTION
July 8, 2019
Yarmouth Building and Fire Department
1146 Route 28
South Yarmouth MA 02664
Re: Fire Alarm installation @ 14 Television Lane, West Yarmouth, MA
Permit# BLD-19-5164
Inspected by Captain Huck on 7/8/19 @ 3pm
Dear Inspectors,
Seaside Alarms has installed and tested a low voltage the fire alarm at the above address.
The new detector locations and operation were reviewed and tested with the Yarmouth fire
department as part of the building permit sign off. This system meets MA state building and fire
code requirements and was left fully operational.
Seaside Alarms will provide routine and emergency service as required.
Sincerel
Pau Haygood
Seaside Alarms Inc.