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HomeMy WebLinkAboutBLDE-24-882 6/4" ,6:49 AM about:blank Commonwealth of Massachusetts o- ' 7.4 * 0 Town of Yarmouth ELECTRICAL PERMIT pr"p"""` � ,HC�R RATE Job Address: 35 MERCHANT AVE Unit: Owner Name: NEVINS JOHN W JR TR Owner's Address: 35 MERCHANT AVE Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-882 Existing Service Amps/Volts Overhead O Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Security&fire alarm systems 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: 4 Swimming Pool: ln-Grnd.❑ Above-Grnd.0 Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 5 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 Ei 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 El Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $4,500 Work to Start: May 31, 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: Address: S YARMOUTH, MA, 026644455 S YARMOUTH MA 026644455 Fee Paid: $45.00 Email: dax(a�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: about:blank 1/1 - Commonwealth of Massachusetts a✓� Oflici a ot.], 4'/` Permit No. f3 R N Department of Fire Services e,no Od O ku:9 Occupancy and Fee cl td0 ?t71¢ BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) �A4 r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL 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: OS- 3/.'a.4"/" City or Town of: tG.rry o v.4L 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) s'� e...4-c.L /Ve-nG.Q n Owner or Tenant E,'ca rQ Ca,.,- ,-+.�eTye - e_ vt s' 1 cX(��hce Telephone No-s ''7-6 0-f y0 d Owner's Address /()3 l/]wie, S�e`f- erne i s- �Ydv - 44- O 2-6J 7 Is this permit in conjunction with a building permit? No (heck Appropriate Box) Purpose of Building 2'aSI �rtetl 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: Q.„,),.. y,5 \id L R Se.�l t,,-r jc o fte Completion of the following table may be waived by the Insppeector of Wires. Total No.of Recessed Luminaires No.of Ceil:Sus .(Paddle)Fans No.oof KVA P Transformers 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 and No.of Switches No.of Gas Burners No.of Detection Devices Initiating4/ Tota No.of Ranges No.of Air Cond. Tons No.of Alerting Devices S No.of Waste Disposers Heat Pump Number Tons KW__. No.of Self-Contained t/ Pn ___.Totals: - Detection/Alerting Devices T No.of Dishwashers Space/Area HeatingKW Local 0 Municipal P PConnection No.of DryersHeating Appliances KW 'Security Systems:* No.of Devices or Equivalent No.of Water Kµ, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HIP Telecommunications Equivalent y g [� / No.of D vi r Equivalent OTHER: Fen,(Q S e✓J5 GV- CI) lle ± `os,7' t er-v�c5, 1 a,,, Attach additional detail if desired,or as require by the Inspector of Wires. Estimated Value of Electrical Work: (71..S-0 J (When required by municipal policy.) Work to Start: OS-?/-'A54 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 t 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.: 1117f �' PAL_Licensee: Robert K.Boucher Signature AL.. ORrd,e4„fLIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. cag-394-0599 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. 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