HomeMy WebLinkAboutE-19-323 p�����t • Commonwealth of Official Use Only
E Massachusetts Permit No. BLDE-19-000323
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
- JRev.1/071
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:7/16/201 B
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his of her intention to perform the electrical work described below.
Location(Street&Number) 746 GREAT ISLAND RD ^4( ry
Owner or Tenant CHACE ARNOLD B Telephone No. .t4' V tf(/
Owner's Address GREAT ISLAND REALTY TRUST, 1100 GREAT ISLAND RD,WEST YARMOUTH, MA 02673 ! 5P`
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approp j leo ' g:,
Purpose of Building Utility Authorization No. LL�-CC..
Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters
New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Comcast Cable.(Power supply on Pole#: 1107/2)
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- 1:1No.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 Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number I Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
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:
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 ❑ 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: MATTHEW P GLYNN
Licensee: Matthew P Glynn Signature LIC.NO.: 14492
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 11 RESNIK RD,STE 1,PLYMOUTH MA 023607231 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:$80.00
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�s g' Occupancy and Fee Checked
'"4:4BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 7/10/2018
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) POLE#1107/2 WOOD DUCK RD OF GREAT ISLAND RD
Owner or Tenant Comcast Cable Communications,LLC Telephone No.
Owner's Address 1701 John F.Kennedy Blvd Philadelphia,PA 19103
Is this permit in conjunction with a building permit? Yes ❑ No V (Check Appropriate Box)
Purpose of Building 'Ct.o Utility Authorization No. 7-0---
Existing Service Amps / Volts Overhead�❑/ Undgrd❑ No.of Meters
❑p
New Service 100 Amps 120/ 240Volts Overhead Undgrd ❑ No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install new comcast power supply on pole 1107/2
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof
Traa onKVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of erEmergency 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. n Detenand
Initiatinggon Devices _
No.of Ranges No.of Air Cond. Tons/ No.of Alerting Devices
No.of Waste Disposers heat Pump Number. Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ other
Connection
HeatingAppliances Security Systems:*
No.of Dryers PP KW No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
ng:
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Nieor Equivalent No.of Devices Equivalent
OTHER:
$800 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: pgpp 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:) January 2018
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:Glynn Electric, Inc. LIC.NO.:A14492
Licensee: Matthew Glynn Signature
V/� LIC.NO.:A14 4 92
Wapplicable,,enter "exemprt"in the license n umber line.)
Bus.Tel.No:5 0 8-7 3 2-8 9 3 3
70 Address: Alt.Tel.No.:508-732-8933
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"License: Lic.No.
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 0 own is agent.
Owner/Agent
Signature Telephone No. 508-503-2222 ( PERMIT FEE: $ 0'00
.01..Y4k. TOWN OF YARMOUTH
V�. BUILDING DEPARTMENT
1146 Route 28,South Yarmouth,MA 02664
• �,,,,,_,�e. ,� 508-398-2231 ext. 1263 Fax 508-398-0836
6':
K. Elliott,Inspector of Wires
kelliottvarmouth.ma.us
August 1,2018
Matthew Glynn
Glynn Electric
11 Resnik Road
Plymouth,MA 02360-7231
RE: Comcast Cable, Pole 1107/2, Great Island
Permit Number: BLDE-19-000323
Dear Matthew;
The above noted location inspection failed to pass for the reason(s) listed.
Article 100 Readily accessible. No access to
equipment.
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth,Building Department
ii: Cfi-LT—tf)Thf""C/
K. Elliott,
Inspector of Wires