The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001170 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001170 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:9/1/2022 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) 95 PINE CONE DR Owner or Tenant HAYES DANIEL F Telephone No. Owner's Address HAYES MARCELA M, 11 DARLENE DR, SOUTHBOROUGH, MA 01772 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead Q 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: Install security&fire system in addition. 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- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and 10 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 10 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* 11 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: 1 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 ❑ OTHER ❑ (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: $55.00 260-61-1 9/2g/2 y k 11./iz.1zL - _____ Commonwealth of Massachusetts OfficialUse Only t= **- il Permit No._ aDepartment of Fire Services -,'-- Occupancy and Fee Checked CI aa� E_ ' ' �9,� BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) w N '� ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �, C a LE o All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 1 L (EL ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/1/22 t• { tZ ;(D City or Town of: Yarmouth To the Inspector of Wires: l CW/) Z t is application the undersigned gives notice of his or her intention to perform the electrical work described below. ion(Street&Number) 95 Pine Cone Drive W I' _ I • . •r or Tenant Dan Hayes Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes X No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install new security and fire alarm as part of remodel Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No.of Ceil.-Susp. Trans(Paddle)Fans T Trformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and 10 Initiating Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices 10 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 t. Connection No.of Dryers Heating Appliances KW Security Systems:* l l No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: l No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4k (When required by municipal policy.) Work to Start: 9/1/22 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. l LIC.NO.: 1317C Licensee: Robert K. Boucher Signature ,fie i- 7.--'- 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 Signature Telephone No. PERMIT FEE: $ , a. 0 i I ;rmr,9 f^} • looluoirD 501 t.-, i, XPOW JA3i53T09_1 3 ry r°#,-1 St''UT' ar 3r s' ...i0IT'AOLJ'i9 n _ ' iz9tl�Yt t l• Ilr I t.tv 1 1 i :'JI r. —_..__.....__. - _.__._ _ _. • -tea,iIbA e'lon'Np. t'01 oteitu 9+ ,•:(5)1 _—,, , „u tinlllq Udi 2l „ .,A'.MA to.r,.. s , r,..., b. i,.,:, _ I,Ioe.volt" _- -- .IA I,r,t. 1^o4117Ts Ild,vYN ,..,b,cz•sst to.oP! ,.ittouullile,•t"l 'rr:..oc' r, :i . • ,,:1,i a,H lu.oie it! � II s r ':.. .I I t t t", J 10g iP1 A to.I . IF� Ar)_ • _.. Irk» Nlo Yl as at" f or , edt0[ '. 'r ',, nufe,OIn.oil ntnn '1 haahralap3.o aaai tali _ .,tl U toN. A tt ,: +;- *ti 11 5 XVII uHtMrt '9sao a 6 o.o' - ,..' 3 +u If 1+ : 1