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HomeMy WebLinkAboutBLDE-23-003671 .o Commonwealth of Official Use Only it. Massachusetts Permit No. BLDE-23-003867 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH Date:the Inspecto 17/2023 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.r of Wires: Location(Street&Number) 66 WEST GREAT WESTERN R Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Utility Authorization No. Existing Service Amps P Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Number of Feeders and Ampacity Overhead 0 Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Install low voltage 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 KVA Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS No.of Zones 3 No.of Switches No.of Gas Burners No.of Detection and 7 No.of Ranges Initiatine Devices No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons Totals KW No.of Self-Contained No.of Dishwashers Detection/Alerting Devices Space/Area Heating KW Municipal Local ❑ P 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 0 Heaters KW No.of No.of Ballasts Signs Data Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent 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: 01/19/2023 (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 I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: AMERICAN ALARM&COMMUNICATIONS INC Licensee: RICHARD L SAMPSON Signature Tel. NO.: 1212 (If applicable,enter"exempt"in the license number line.) Address: DBA ADVANCED SIGNAL CORP,297 BROADWAY,ARLINGTON MA 02474 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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:$45.00 I et c �(e)(-z:s Commonwealth of Official Use Only L Massachusetts Permit No. BLDE-23-003671 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked VRev.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:1/5/2023 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) 66 WEST GREAT WESTERN R Owner or Tenant Starbuck Construction Services Telephone No. Owner's Address 176 Sudbury Lane,Hyannis,MA 02601 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)L Purpose of Building Utility Authorization No. tr 666 'L-1 9 ( CP Ilk),!0/1/-' 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: New House with underground services 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 g boved. ❑ g rnd. ❑ No.of Emergency Lighting rn 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 Initiating Devices 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: Signs 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 of perjury,that the information on this application is true and complete. FIRM NAME: EAV SOLUTIONS Licensee: JEFFREY S DEROUEN Signature LIC.NO.: 22206 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:110 Hedges Pond Road,Plymouth MA *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER:1 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:$180.00 I ( � 11(112,5 (SL L1�iCG Jo 0`/� (QeNedI-& z--lizq234 ! RECEIVED Print Form 1 'swath ,,AN 0 3 2023 0{ � Official Use Only { o/.. ire C� Permit No. E-Z3 3�1j]/ � s J ` ervicas L'—_ �a I N C D E'er Occupancy and Fee Checked __BOAR �Z: PREVENTION REGULATIONS [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12/28/22 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)66 West Great Western Road Owner or Tenant Starbuck Construction Services Telephone No. 508 827-7134 Owner's Address 176 Sudbury Lane Hyannis, MA Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building House Utility Authorization No. 10604191 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 200 Amps 120 / 240 Volts Overhead I I Undgrd Q No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New house with a 200 amp underground service 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- 0 No.of Emergency Lighting grnd. 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 Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons }KW No.of Self-Contained Totals:I i— _.._.-.._.--_.._ YDeeection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 0 Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of KW Heaters Data Wiring: 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: 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 ❑✓ 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: EAV Solutions, LLC LIC.NO.:860 Al Licensee: Jeffrey Derouen Signature /Piz.ect¢ LIC.NO.:22206-A (Ifapplicable,enter "exempt"in the license number line.) Address: 110 Hedges Pond Road Cedarville, MA 02360 Bus.Tel.No.•(508)245-7155 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety Alt.Tel.No.:(781)589-5692 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. I PERMIT FEE:$180.00 I /v). /a. I