HomeMy WebLinkAboutBLDE-19-001179 • or Commonwealth of Official Use Only
Permit No. BLDE-19-001179
Massachusetts
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:8/28/2018
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) 127 WHITES PATH
Owner or Tenant COLONIAL GAS COMPANY Telephone No.
Owner's Address 40 SYLVAN RD,WALTHAM, MA 02451
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building _ Utility Authorization No.
Existing Service Amps Volts Overhead 0 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 service to&wire foam suppression building.
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 6 Swimming Pool Above 0 In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 2 No.of Gas Burners No.of Detection and
Inrtiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW �No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Siens 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 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: DANIEL P MURPHY
Licensee: Daniel P Murphy Signature LIC.NO.: 17304
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:42 WINTER STREET, PEMBROKE MA 023594958 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:$320.00
311 tellz-)z 61= (0/zsir? 64-cmotA)
t
IL` Cornanonoreallh oll V!astowfweglit • ,moo se
aann -tJ �srvitare Permit No. � C ' 17'7 9 •
T Occupancy and Fee Checked 9,0krI)
BOARD OF FIRE PREVENTION REGULATIONS cave blank
APPLICATION FOR�PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Messachumus Electrical Code(MEC).527 CMR MOO tk (PLEASE PRINT IN INK OR TYPE ALL INFOPJI477 N�) Date: JRA?7%'
M
City or Town of: YAROUTEL To the Inspector of Wires:
. » . By this application the yndetsign gives notice of his or her'intention to perform the electrical work described below.
1 a-- Location(Street&Number)/�7 C� f d#
i.kete5 S Q AM Yaern&A - ,
1 �; Owner or Tenant_ r_d a /1 ( _ - Cm(on:o. S Telephone No.„lb$- 7Gd-1-rao
Owner's Address Sum a q,s 0.4otre
.�I ! � Is this permit is conjunction with a building permit? Yes No ❑ (Check Appropriate Bo:)
}ji r e' Purpose of B*ildin
�1. rjilE�so �Cdrn Utility AudtotvGatioe No. -" -
10 o Existing Service/,2Q0 Amps y�/ Volts Overhead
t, 7 ❑ Undgrd No.of Meters /
i W ` New Service ,7� Amps y D/97 Volts Overhead
❑ UncladNo.of Meters
Number of Feeders and Ampacity 7 r.tQQ igal eT 4-00,e(,) pe _efI
Location and Nature of Proposed Electrical Work: W t t e. l bray la g_d e -cnstm rws
�e to i'�rr_sere�s,b>', srs t,env, u.t p m_ef '�f P F%�sYs ka� .
t
Cor ieetion of thejollowb,g table maybe waived by the lvozYor f Wires.
No.of Recessed Luminaires No.of CelL-Snsp.(Paddle)Pans Ao,of T
Traasformersr KVA
No.of Laminalre Outlets No.of Hot Tubs Generators KVA
/� Above In- 'No.of Em hbn
• No.of Luminaires T (P Swimming Pool �� ❑ gr net Battery Units
g
No.of Receptacle Outlets ze) No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches t. No.of Cu Burners • , 'No.of Detection aid
l initiating Devices
No.of Ranges No.of Air Cond.• T� No.of Alerting Devices
No.of Waste Disposers A [Number Tons KW No.of Self-Contained i
•
_T t Detection/Atertaag Devices
No.of Dishwashers Space/Area Heating ICW• Local �Iunicspal
❑Connection
No.of Dryers Heating Appliances KW -Security Systems;*
No.of Water No.of Devices or Equivalent
-No.of No.of
Heaters KW Signs Ballasts Data Wiring:
insNo.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP "Telecotnmunie;�atTons r of gg:
No.of Devices or EeOvtt7eat
OTHER:
dr Attach additional detail if desired or as required by the Inspector of Wires
Estimated Value of Ie ctr; Work ,3/6/Y80,60 (When required by municipal policy.)
Work to Start 9 a 7 g Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE OVERAGE: 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 fil, BOND 0 OTHER 0 (Specify:)
I certify,under the pains out penalties of perbay,that the information on this application is true and complete.
FIRM NAM :ft)a ,y Elee-Arse 11 Ir,.clus4'�( Co,k o� LIC.NO.n/730d/
. Licensee: AAi e. tti�yr M Signature IC.N0.:A17 j0 y
(If applicable,enter"exempt"in the lie a#umber line.) Bus. . o. 7 gp24 -6VIE 3
Address. 7ftt? S:4'2 '0c t 6roKe t41Q� O 3S9
J
Per M.G.L.c. 147,s.57-6I,security work requires Department of Public Safety"S"License: c.No.�__-$302 y090
— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
i Owue required
by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's Rent.
f Signature
o _ Telephone No. PERMIT FEE:�5s�,OV 1
fir Murphy Electric & Industrial Control, LLC
I
V� 7 Riverside Drive
Pembroke,MA 02359
Phone: (781) 826-6423
Fax: (781) 826-6435
June 25,2019
Attention: Yarmouth building department-wiring Inspector
To whom it may concern,
Murphy Electric and Industrial Control would like to request that electrical permit#
Bld E 1 9-001179 be canceled.The permit was for work at the national Grid LNG
facility at 127 Whites Path south Yarmouth.The project has been canceled by
National Grid and the work will not take place.
HM
If you have any questions please feel free to contact me.
Sincerely,
Tim Hanley
Project Manager
339-832-4090
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