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Home My WebLink AboutBLDE-22-006560 Commonwealth of official Use Only - , Massachusetts Permit No. BLDE-22 006560 �_ ,`� 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:5/16/2022 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) 1292 ROUTE 28 UNIT 1 Owner or Tenant South Yarmouth Professional Building Telephone No. Owner's Address 1292 ROUTE 28, SOUTH YARMOUTH, MA 02664-4452 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 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: Replace FACP only. Completion of the following table may be waived le 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 No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of RangesNo.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection 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: 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 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 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 Commonwealth of Massachusetts Official Use Only =*_ /, Permit No. 1 2--� 4' Department of Fire Services Ji _g Occupancy and Fee Checked R E C r-',W . =sfiE 5.I ARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) L C • TION FOR PERMIT TO PERFORM ELECTRICAL WORK MAY10 LULL A 1 work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 __(PLEASE ' :' , IN INK OR TYPE ALL INFORMATION) Date: 5/13/22 BUILDING DEPARuAENT taw or Town of: Yarmouth To the Inspector of Wires: By - - --"—'13y this applicafio the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 1292 Route 28,South Yarmouth Owner or Tenant South Yarmouth Professional Building Telephone No. Owner's Address Is this permit in conjunction with a building permit? No X (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace defective fire alarm control panel. Building protection and notification devices to remain as currently configured. Completion of the following table may be waived by the Inspector of Wires. Nootal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers of TVA 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 4 No.of Switches No.of Gas Burners No. Initiating of Detectionand Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 1_, Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: 1 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: 2000 (When required by municipal policy.) Work to Start: 5/18/22 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 ❑ 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. 1 am the(check one)❑owner ❑ owner's agent. Owner/Agent Telephone No. PERMIT FEE: $ Signature