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Home My WebLink AboutBlde-20-000810 1./ • v., Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000810 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:8/13/2019 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 bel• . Location(Street&Number) 635 WEST YARMOUTH RD ,,.4 ;. ` 1 _ _ Owner or Tenant TOWN OF YARMOUTH Owner's Address RECREATIONAL&MUNICIPAL/WATER DEPT, 1146 ROUTE 28, SOUTH YA' OUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 ( y• ;� . opriate Box) Purpose of Building Utility Authorizati i ,•o. _ Existing Service Amps Volts Overhead 0 Undgrd 4 r �' New Service Amps Volts Overhead 0 Undgrd rA o Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install video surveillance system. 8O Completion of the following table may be w.'nty; ., nspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus Fans No.of Total p addle) 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/Alertine 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 ❑ BOND 0 OTHER ❑ (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 I,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: $0.00 f~ it4 CMUtiOnwsenh al Official Use Only c� �� ( 0 4. ., Permit Na. i� «Ve arIssoa q irvk BOARD OF FIRE PREVEN F ION REGULATION '�" 'cy and>+eo ank) ked [Rev. li07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 12,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 9 City or Town of: etk St ymi&'nOv 11 To the Inspector es: , By this application the undersigned gives notice of his or her intention to perform the electrical work described below. (.1L Location(Street&Number) 63 6' )4,q-i2m o(fill 2n J '1'jn e fs S S . . Owner or Tenant Comcast Cable LLC / Co(l' f pv6E412-v Telephone Nv,8002662276 Owner's Address 55 Executive Drive Hudson NH 03051 Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) Purpose of Building Residential/Commercial/Municipal Utility Authorization No, Existing Service Amps / Volts Overhead Ej Undgrd 0 No.of Meters New Service Amps / Volts Overhead U Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Scope installation of network and cabling for video surveillance system Completion of thefollowing table No om be waived by the Inagec o r of Wires. No.of Recessed Luminaires No.of Ceti,-Snap,(Paddle)Fans Total Transformers KVA No,of Luminaire Outlets No.of Hot Tubs Generators KVA No,of Luminaires Swimming loot Above In- Wo,or mergeency Lighting sand..,_ grid, 'Battery Units No,of Receptacle Outlets No of Oil Burners FIRE ALARMS 1No.of Zones No,ere Switches No of Gas Burners .of l�ection and initiating Devices No,of Ranges No.of Air Cond. Tom No.of Alerting Devices No.of Waste Disposers -Heat Pump"]�tumber Tons 14W 'No,it Self-Contained " Totals: Deter ►aVAlerting evkcs No,of Dishwashers Space/Area Heating KW ❑N#un l ElConnection Other No,of Dryers Heating Appliances KW Security$yatems:* No,of Devices or Equivalent 2 No,of Water KW -No..of No,of Data Wirin ; Heaters Signs Ballasts No.of Devices or Equivalent 3 No,Hydromassage Bathtubs N.o.b1Motors Total HP 'Telecommunications Wirin No.of Devices or Equivalent OTHER: Attach additional detail II-desired or as required by the Inspectarotf Wires.. Estimated Value of Electrical Work: $2,000.00 en 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"convicted 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 ❑ OTHER 0 (Specify:) I ea*,ender the pains and penalties ofper'a,that the information on this application is tare and complete FIRM NAME:Glynn Electric,Inc. L'IC,NO.: A14492 Lfeensete: Matthew Glynn Signature ......� 146.1 LIG NO.: A14492 (,/qpplicabie,enter"exempt"in the license number line.) Bus,Tel,No,:5087328933 Addreart 70 Resnik Road,Plymouth Ma 02360 Alt,TeL No,:5087328933 *Per M,O.L c, 141,s:51-61,security work nrquires 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 by law. By my signature below,I hereby waive this requirement. I am the(check one)Q owner ®Weal agent. OwnerfAgent �/• Signature+ - Telephone No, 1 PERMIT FEE;' //.3 .--'#