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Home My WebLink AboutBLDE-23-006024 Commonwealth of Official Use Only Al Oil- Massachusetts Permit No. BLDE-23-006024 `*-»0 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:5/2/2023 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) 657 WILLOW ST Owner or Tenant GENTILE LOUIS J JR Telephone No. Owner's Address GENTILE DENISE A, 5 MEADOW LN,WOBURN, MA 01801 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 ❑ 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: Install security,fire, &CCTV systems. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ElNo.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Detection and 8 No.of Gas Burners No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices 8 No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Security Systems:* 7 No.of Dryers Heating Appliances Kam' No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Robert K Boucher LIC.NO.: 1317 Licensee: Robert K Boucher Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:o. Address:218 SETUCKET RD,YARMOUTH PORT MA 026752258 *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. I PERMIT FEE: $45.00 gl164.4- 5142:3 M Pk(-2>t-tiv - Commonwealth of Massachusetts Official Use Only r R E C 4:_ � ,„ D Department of Fire Services Permit No. ��' S f— " Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] l' a p (leave blank) BUILDING DEPA' ' .it A TION FOR PERMIT TO PERFORM ELECTRICAL WORK I work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 By: (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/1/23 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) 657 Willow Street Owner or Tenant Gentile Residence Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) `... Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd I I 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,fire,and CCTV system in new construction. Completion ofathe following table may be waived by the Inspector of Wires. otal i No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofTVA 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. ❑ Battery Units ..„` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones i No.of Switches No.of Gas Burners No.of Detection and 8 i Initiating Devices , No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices 8 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ..,,V.1:_,) Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal r—i Other Connection No.of Dryers Heating Appliances Kam, Security Systems:* �`--�__ No.of Devices or Equivalent ' --� No.of Water KW No.of No.of Data Wiring: Heaters No.Hydromassage Signs Ballasts Total HP No.of Devices or Equivalent Bathtubs No.of Motors Telecommunications Wiring: No.of Devices or Equivalent OTHER: ICt:L. Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4000 (When required by municipal policy.) Work to Start: Si 1' 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 ❑ 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 if', 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)❑owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.