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Home My WebLink AboutBLDE-21-003013 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-003013 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:11/27/2020 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 electncal work described below. Location(Street&Number) 44 AFT RD Owner or Tenant NESSRALLA JOANN TR Telephone No. Owner's Address EVELYN T NESSRALLA PERS RES TRUST,220 BRAEMOOR RD, BROCKTON, MA 02301 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App •I riate Box) Purpose of Building. Utility Authorization No. _ �� Existing Service Amps Volts Overhead 0 Undgrd 0 o • . New Service Amps Volts Overhead 0 Undgrd 0 • ,�� i Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work: New security alarm system. tilt Cf:Dg ,'t Completion of the following table may be waive, :T�,e .oho Wires. ill No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , 4 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting god. 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 2 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 2 Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 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 ofperjury,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 Commonwealth of Massachusetts Official Use Only - l't Permit No. Z) - 3O i 3 G .,_ 2 Department of Fire Services Occupancy and Fee Checked . = 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 ALL INFORMATION) Date: 11/20/20 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) 44 Aft Road,S Yarmouth Owner or Tenant Nessralla Residence Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No X (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install new security alarm system. Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of CeiL-Susp. No.of T (Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. 0 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 2 Initiating Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 2 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: 'Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dr ers Heating Appliances KW SecurityS stems:* 15 y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent y g No.of Devices or Equivalent OTHER: Attach additional detail if desirec or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2k (When required by municipal policy.) Work to Start: 11/20/20 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 certify,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: Robert K.Boucher Signature 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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.