HomeMy WebLinkAboutBld-23-004662 (2) RECEIVED
FEB ; ;j
BUILDING DEPARTMENT 2=
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1146 goule 28, £ OM 02664
APPLICATION FOR FIRE PROTECTION PERMIT
Date 2 I1 - Z PERMIT NUMBER IY-Z-23-UULeCdaZ
Projected Start Date: MkrtA to i. Date of issue
In accordance with the provisions of 780 CMR and M.G.L. Chapter 148, as provided in
Section Nf PA 11 2011,
This application is hereby made _ I
by r(,wt� j rn.l5 AMutt:tn ktnr.v�' 1`1�,I,to.rs( Sotwn() ,)
1 (Full name of person,Firm or Corporation)
Address 1131 (All()It,A.6.fo& .51( to Ly mo,41,, t44 o 1 so
(Contact#)1151 (6Ktrb Email I1 ,►aratc amtr,LaAc..kr.^.GvM
Owner of property arbac.k. (fiAt,;)AAL.id, ;c/v�.u.5
Job Location 10 (2rt.,004- W tsar' RCI( s (ar..,,
(Street&City or Town)
For permission to (state clearly purpose for which permit is
requested)
fiNLAOJ:4l1aA :1 tL S fr'0QLi'1 J 111�. L..)t 01 v A)i1, A :5,,
GO AAJ ALA CCW( raq(-
Name of competent operator(if applicable) . (1( SA I ^^~}'>0
12
Cert. or License No. (ZC. Estimated Cost of Co1nstruction: 4 2000
By
(Signature of App�licant
Building Official: 9, Date:
FEE: $50.00
Docu.Sign Envelope6 j
ID:C30B5BD7-ECC7-459F-A4B9-051579EA5FD0
American Alarm 297 Broa dway Tel (781)641-2000 Proposal# 40335-1-0
Arling ton.MA 02474 Fax:(781)641-2192 Page 3 of 9
AND COMMUNICATIONS, /N C americanalarm.com Toll Free:1-800-792-5142 Date:2/3/2023
Valid Until:3/5/2023
Professional Services Agreement
Site Location Invoice To
WE: 55753-003: STARBUCK CONSTRUCTION WE: 55753-000: STARBUCK CONSTRUCTION
SERVICES, INC,:#3 GREAT WESTERN ROAD 1 SERVICES INC
LOT 3 GREAT WESTERN RD 67 WILLOW AVE UNIT A
YARMOUTH, MA 02601 HYANNIS, MA 02601
contact: Renato Mello Contact:
Voice: 508-776-0304 Voice:
Fax: Fax:
Mobile: Mobile:
Email: renato@starbuckcapecod.com Email:
Project Description
Proposal To Install Fire Alarm System.
Please be advised that due to the worldwide shipping and supply chain issues, there may be
delays in completing portions of this agreement. This may require us to invoice a portion of
both the project installation and recurring services in advance of completing the entire
project scope. If we need to substitute a part or experience a cost difference in the original
agreement, a change order will be sent to the client for approval.
Fire Alarm
Qty Equipment Description Location
control panel,transformer and battery in
1 NAPCO 1664 W/KEYPAD PACK basement. English readout keypad at
garage entry door.
1 SYS SEN i4 2W INTERFACE MOD COSMO2W Module at control panel.
3 SYS SEN i4 2W 12/24V CO/SMOKE COMBO Smoke/Carbon monoxide detectors; 1 in
Basement&2 on First floor.
4 SMOKE DETECTOR, PHOTO,THERMAL, SOUNDER Smoke detectors; 1 in basement&3 on first
floor.
2 194-DEGREE FIXED-TEMP HEAT DETECTOR Heat detectors in Garage.
1 CABLE 18/4 SOL JKT 5C BX RED cable.
I r,ii a�t nit DD
n . ch AMMO AA Perlon'tlews
Fold,Then Detach Along All Perforations CONTROL• v 18 q Q 2 4
,, COMMONWEA_TH eF M•.... H SETTS IMPORTANT
DIVISION OF OCCUPATIONAL UCENSURE
BOARD CI ON ",� If boar.()is lost damaged n
ELECTRICIANS > r•teQad of destroyed,is oar-curate;„t
ISSUES THE FOLLOWING LICENSE N&BQS to be corrected.Visit Our web sloe at etass.gov/dpl
REGISTERED SYSTEM TECHNICIAN g for rtstructo'I&t0 enure the proper rna lrc�of yourrL.tnerA,a1
2 AOWicaP.rn and any Otrlef txFte*pWKler1Ce.
RICHARD L SAMPSON SR 1 11 7haK icernso r sr t
297 BROADWAY aEISC t0 Massachusetts Cameral Laws and
ARLINGTON,MA 02474-5310 rrvulata 'twee Your I a is a privet**.and cannot be lent or
risagrted to any parson or'rimy under penny of Igw Keep this
Icense on yO F person or posted as required by law endor
regulators
502 D 07131/2025 262622
UCEN$E . • EXPIRATION DATE SERIAL NUMBER
Fold,Tne+,Detach Along All Perforations
Rohs Then O.v+rh Alnrtg All Pnn n,orabo.
DIVISION OF OCCUPATIONAL �;1894613 UCENSURE ‘, CONTROL M
BOARD t a IMPORTANT
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE ll;•:oar;._,„..+k rod damaged oar des'rotutl:.s inoccuatt.0
REGISTERED SYSTEM CONTRACTOR a needs ro oa corrected.triton Our web slte at ma.egov/ap1
' kw utestrjctions tw Arrs.im the proper nleil.np rt your Aenew-s
RICHARD L SAMPSON SR C 2 APPMattor one any other LoaitSVOrdande
297 BROADWAY w Ths mmehe,is O1lt a t to Wssac�.ue.?tts General Lawns are
ARLINGTOH,MA 02474 5310 _ .g.QUehcos Your I.eosa s a 0n'rege and LIMO(be'�o'
4 w lgt assed to any pr+�^or rxmhv under psna„y el law.ICer�1hs
I[84 Se or your person u•fasted x.raq.tifec by law andror
ro9Jlaeohs.
1212 C 0713112025 277604
c. 74f1Sr`d:M=a.ISI:t11:•1 DL,1 c:ir q:JP.i:f
To Whom it May Concern:
Please find enclosed our permit application, a check for the permitting fee, and a self-addressed
stamped return envelope. If there are any additional forms or documents required, please let us know.
I can be reached at 781-337-8866 ext 5176 or via e-mail at bbarnes@americanalarm.com
Thank you,
Brenin Barnes
American Alarm
1.1
AND COMMUNICATIONS. INC
American Alarm &Communications, Inc.
1239 Washington Street, Weymouth, MA 02189
D: (781) 337-8866 ext:-5176
"New England's Trusted Security Company"
Lic. 1212C MA