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Home My WebLink AboutBLDE-21-007472 e . Commonwealth of OffcialUseOnly I Massachusetts Permit No. BLDE-21-007472 �-' 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:6/23/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electoral work described below. Location(Street&Number) 1069 GREAT ISLAND RD Owner or Tenant NOLEN WILSON Telephone No. Owner's Address 1120 5TH AVE APT 10B,NEW YORK,NY 10128-0144 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App�agate Box) Purpose of Building Utility Authorization No. �/�O11w Existing Service Amps Volts Overhead 0 Undgrd 0 o.ofy'ry New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Installation of security&fire systems. t ,, Completion of the following table may be-�(A]�'',Y!nsijAr of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of µ� `r Jan, otal Transformers ��'4)A No.of Luminaire Outlets No.of Hot Tubs Generators .• A No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. prod. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 2 No.of Switches No.of Gas Burners InNo.of Detection ces and 14 No.of Ranges No.of Air Cond. Total No.of Alerting Devices 14 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:" 25 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: 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 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 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 F ((( 24 Commonwealth of Massachusetts Official Use Only _' __-ct Department of Fire Services Permit No. �174 7 v ... m- Occupancy and Fee Checked 'F,,,�`�as;° 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: 6/22/21 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. ® Local on(Street&Number) 1069 Great Island Road 1 t�es�' t lc,,+tiocr dv W fnr or Tenant Richards residence Telephone No. F''! c Owner's Address I c,) Is this permit in conjunction with a building permit? Yes X No (Check Appropriate Box) Fti 1 c . -' Purpose of Building Utility Authorization No. Exiting Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters LI-1-.__�,1 Noy Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ---- __.Nulpber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New security and fire alarm system Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers KVA 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 2 No.of Switches No.of Gas Burners No.of Detection and 14 Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 14 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:* 25 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 Wirin : 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: 8k (When required by municipal policy.) Work to Start: 6/21 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 cert fy,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Seaside Alarms inc. ss� 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. Nth ems q' 4 '+ •sr J a T ".`rC:4 t.9,r • ;i i •1 i;•fit?• • $ ';a 12 ` • •f • .. r ;i`. -,.• A • • IT `4