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Home My WebLink AboutBLDE-21-03776 0Commonwealth of Official Use Only iwLMassachusetts Permit No. BLDE-21-003776 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/7/2021 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) 367 ROUTE 28 Owner or Tenant CAPE COD CHILD DEVELOPMENT PROGRAM INC Telephone No. Owner's Address 83 PEARL STREET, HYANNIS, MA 02601 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 150 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 150 amp sub panel. 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 0 In- ❑ No.of Emergenc ..', 4 I 0 141 ,. 4.....• grnd. grnd. Battery Units • No.of Receptacle Outlets No.of Oil Burners FIRE ALARM , i 'o Q '/....,.-- No.of Switches No.of Gas Burners No.of Detection an• Initiofin¢Deng D Q a 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 ❑ Oth O 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 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 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:$80.00 J2Ct3 14 Commonwea[tk o`Maseaelumeas Official Use Only i•, ' !, Permit No. �Z—t —577 • M Zeptamoni o f Sire Serviced iOccupncy and Fee Checked U _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0a7] (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 TYPEINFORMATION) Date: i I rj/ I City or Town of: q I.- YL nl1 j To the Inspe for of Wires: By this application the undersigned notice of his or her intention to perform the electrical work described below. ilLL Location(Street&Number) , L71 e c _Lg i Owner or Tenant Jo i i a ) ‘.g`�,ro on rY t J -I i, Telephone No. Owner's Address 62.pe (IA Caul d 7)Ji v.) 13t 4-_n rl S'+; k--r j L u-u s , Fi Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Corn rYle t-r i Cc Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd El No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t r A i i ll,c p----c-0 0 c-,,►p .moi Lb- 1 vl Completion of thefollowingtable nt be waived by the Inspector of Wires. v`: No.of Total U No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans Transformers KVA cr No.of Luminaire Outlets No.of Hot Tubs Generators KVA �s ' No.of Luminaires Swimmin Pool Above ❑ In- 0 1vo.or Emergency cy Lighting g urnd. urn& Battery Units --' No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Initiatingof Deteon and Devices t 1- No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste re Heat Pump Number.. Tons KW No.of Self-Contained Totals: "'""." . . Detection/Alerdnupevices No.of Dishwashers Space/Area Heating KW Local 0 Munnen clion ❑ Other, C No.of Dryers Heating AppliancesKW Security Systems: No of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or EcLuiivnallent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationNo.of Devices or Eq lva7ent OTHER: k Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:4q 2.'7Cf)7 (When required by municipal policy.) Work to Start: J 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 coy s in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEND 0 OTHER 0 (Specify:) I certify,under the pains and, nobles,of pedury,that the information on this application is true and complete. FIRM NAME: , 1 _I A LIC.NO.:"9/W9‘ Licensee: fl 1... s • no SignaturITIMMIAM. LIC.NO.: (If applicable, ter i'exeuipt"in e license nu,.�ter line.) 1Bus.Tel.No.:‘6/i'.fi- •34 Address: I I f'f1(J,S10 6 I l �'I I I'1 o L ', V� q C3? (0l Alt.Tel.No.: *Per M.G.L. . 147,s.57-61,security work req�ires 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I