HomeMy WebLinkAboutBLDE-24-727 5/7/24,6:29 AM about:blank
Commonwealth of Massachusetts o� • YAI�
* Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 51 DARTMOOR WAY Unit:
Owner Name: AMINI MOJTABA M TRS
Owner's Address: 136 HOWARD ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-727
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Security&fire system installation.
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System IS No.of Devices: 12
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 9
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System No.of Devices: 12
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $6,000 Work to Start: May 6, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT K BOUCHER License Number: 1317
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: S0046
Address: S YARMOUTH, MA, 026644455 S YARMOUTH MA 026644455 Fee Paid: $45.00
Email: dax(c seasidealarms.com Business Telephone: 508-394-0599
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.
INSURANCE:
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Commonwealth of Massachusetts Official Use Only
;- �Z/-E-.1�-7,l Department of Fire Services Permit No.
1I Occupancy and Fee Checked
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: 0 SC- C G - L-`><'
City or Town of: 1c r yy 0-,A, L.. 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) .j/ I a r-i-pr,, o lr- ( &
Owner or Tenant p1k.}� �Ln�Ivuchol.,- A)/.''1't11 f2�tAFhCe- Telephone No. / -S:..6/ (
Owner's Address CI.Z AJc r'f(„ Ma.`,, S - -ee-( �yi-{•t' 1 Caal 1.-,-, r aJcC, Al C c 8
Is this permit in conjunction with a building permit? No (Check Appropriate Box)
•
Purpose of Building v-esi't A:4h a.l Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: r
Qrn Ll •Liv-e (-474:v0-. -471--4 i�,
Completion of the following table may be waived by fhe Insp�ector of Wires.
No.
Total
0 Ivo.of Recessed Luminaires No.of Ceii:Susp.(Paddle)Fans
TransformersKVA KVA
LL! Nal,of Luminaire Outlets No.of Hot Tubs Generators KVA
N
>1 an is Above In- No.of Emergency Lighting
fo of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units
U o NI. it,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ..
V Q No.of Detection and
LJJ �Id of Switches No.of Gas Burners Initiating Devices
Ile•of Ranges No.of Air Cond. TonaTotal No.of Alerting Devices /„9
o.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained /D
P Totals: Detection/Alerting Devices
Municipal �c-+`�^d
No.of Dishwashers Space/Area Heating KW Local❑Connection � �he
No.of DryersKW Heating Appliances Security Systems:* .2-
ryNa of Devices or Equivalent /
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Eqquivalent
No.H dromassa a Bathtubs No.of Motors Total HP 'TelecommunicationsNofDevices
or Equivalent
Y g Na of Devices Equivalent
OTHER: �:/„,9, S�n J`o:'(7)
c;, Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: c�j.00(,' (When required by municipal policy.)
Work to Start: 6'S-Oa. �7 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 0 (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 f , I(2&.... _ Pa c I os,rfLlC.NO.:
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.' ;0R-194-0599
Address: :265 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)0 owner 0 owner's agent.
Owner/Agent JL-�,-,
Signature Telephone No. PERMIT FEE:$ /f'
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