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Home My WebLink AboutBLDE-22-004307 �' Commonwealth of Official Use Only at Massachusetts Permit No. BLDE-22-004307 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:2/3/2022 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) 20 FORSYTH AVE Owner or Tenant DHK Management LLC Owner's Address 20 Forsyth Ave, South Yarmouth, MA 02664 Telephone No. 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 l New Service gNo.of Meters / Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install fire alarm system 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 Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters ,Signs ,No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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, er ury,that the information on this application is true and complete. FIRM NAME: GENE A CORMIER Licensee: Gene A Cormier Signature LIC.NO.: 1592 (If applicable,enter"exempt"in the license number line.) Address:9 MARGATE LN, SOUTH DENNIS MA 026602667 Bus.Tel.No.: 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 my 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:$115.00 G* = Commonwealth 0/ l aaac�e� Official Use Only =vim_ 6. 2epartment o1-7ire&Poked Permit No.,nl!J� 2 Z--�f' 7 E i( BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (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 It E-. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: January 31,2022 City or Town of: YARMOUTH To the Inspector of Wires: LL.) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. a Location(Street&Number)20 FORSYTH AVE Owner or Tenant DARREN MCGIIJ N CPP, PC Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building COMMERCIAL El (Check Appropriate Box) Utility Authorization No. • Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ Na of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install mixed use commercial/residential fire alarm system Please FAX Permit& Permit#back-508-398-5666 or EMAIL - sales@capecodalarm.com Thank You 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 Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 20 jNo.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices U No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained O Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local r--1 Municipal ❑ Other Connection No.of Dryers Heating Appliances KR, Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: $15376.50 Attach additional detail if desired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: 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 F4 BOND ❑ OTHER W I certify,under the pains andpenalties o 0 (Specify:) 3Z f perjury,that the information on this application is true and complete. FIRM NAME: Cape Cod Alarm Co., Inc. O Licensee: GENE CORNIER % LIC.NO. 1592C : (If applicable,enter "exem t"in the license number line.) Alt.Signator:v�� /- , �i LIC.NO.: Address: 204 OLD TOWNHOUSE ROAD WEST YARMOUTH, MA 02673 Bus.Tel.Tel.NoNo..::508 398-6316 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SS CO 000248 �00 468-8300 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/Agent Signature El owner's a�ent. Telephone No. PERMIT FEE: $ 115.00