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Home My WebLink AboutBlde-20-000512 Commonwealth of Official Use Only L Permit No. BDE-20-000512 E 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:7/30/2019 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 electrical work described below. Location(Street&Number) 1070&1074 ROUTE 28 Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address 20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity a augd Nature of Proposed Electrical Work: Installation of network cabling for CCTV system. 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- ❑ No.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 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:* 2 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 3 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 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: 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: $330.00 7` 0 ci lf. r J CMSMON eigh �n/M.141.1 $446.11a Official Use Only r I. • y 'I �)� r� Strvie c/_ Permit No. £--2(� GC( Occupancy and Fee Checked BOARD 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 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 4G /9 /9 City or Town of: `fi t rt ff 7 MOLj To the Inspect r of tres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)2 t-0(1N `yLilt a� Owner or Tenant Comcast Cable LLC Telephone No.8002662278 Owner's Address 55 Executive Drive Hudson NH 03051 Is this permit in conjunction wi ding permit? Yes ❑ No E (Check Appropriate Box) Purpose of Building Residentia Commerci /Municipal Utility Authorization No, Existing Service Amps - i Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ (lodged❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Scope installation of network and cabling for video surveillance system d omplatfon of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell Susp.(Paddle)Fans o ta Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na.of Luminaires Swimmin Peal Above in. 'No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.oCSwltches _No.of Gas Burners "No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Toot No.of Alerting Devices No.of Waste Disposers ^fealPump Number Tans KW Nii.of SeU-Coataiied Totals:_ -- '. "_ ,Detectiontlyerthig Devices No,of Dishwashers Space/Area Heating KW Local❑ um *I ❑ Other Coaneetfoa , Heatingfiances S�ecuNty ems, No.of Dryers App KW No.ofV or Equivalent 2 No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 3 No.Hydromassage Bathtubs bf Motors Total HP -Telecommunications Wiring: N. _ No,of Devices_or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires,. Estimated Value of Electrical Work: $2,000.00 (When required by municipal policy.) Work to Start: ASAP 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 0 BOND D OTHER❑ (Specify:) I ceralfr,wider the pains and penalties ohnoluty,that the Information on this application is kite and completes rum NAME:Glynn Electric,Inc. LIC.NO.: A14492 Idcetasee: Matthew Glynn Signature LIC.NO.; A14492 (Ilappllarbte,enter"exemot"to the ticenee number lino) Bus.Tel.No.:5087328933 Address: 70 Resnik Road,Plymouth Ma 02360 Alt.Tel.No.:5087328933 *Poe 1401.c. 147,s:S7-6I,security work acquires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER:, I am aware that the Licensee does not have the liability insurance coverage normally required y tlaw. By my signature below,I hereby waive this requirement. I am the(check one)Q owner U owner's agent. Slgnatutu Telephone No. I PERMIT FEE:$55 ./