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Home My WebLink AboutBLDE-21-003558 Commonwealth of Official Use Only '` _ I Massachusetts Permit No. BLDE-21-003558 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:12/26/2020 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) 367 ROUTE 28 Owner or Tenant South Shore Comm.Action Council Telephone No. Owner's Address 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 150 amp sub panel. Completion of the following tab • , : bele' ed by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 4N'S' TotalTran styers _ KVA No.of Luminaire Outlets No.of Hot Tubs Ge• i r to No.of Luminaires Swimming Pool Above 0 In- ❑ No.of ' grnd. grnd. Battery Um O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ' Ain s No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 4i' 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:* 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: 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 o/ h tfa Official Use Only Commonwealth aseac ude ----=---41-..- t Permit No. 2 --5,97)6,�I___ ` 2epartmont of Sire Serviced 4 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL I FORMATION) Date: /� ,70 City or Town of: 2i). i D } To the Inspe for f Wires: By this application the undersigned gives ice of his or her intention to perform the electrical work described below. Location(Street&Number) �j i - , Owner or Tenant jo /2 : ��/I'�� , lrhz)n 4,.//,0/7,/j Telephone No. Owner's Address i h-r., Is this permit in conjupftion with a building permit? Yes n No t❑/ (Check Appropriate Box) Purpose of Building /L ri-1 Y- i rit i Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: n j n.acr- 1'7Zn Air p ,c_cbL-Parej. Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No.of Ceil.-Susp. Tran (Paddle)Fans f T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and --- No.of Switches No.of Gas Burners Initibtidg i es Total `� 4,,No.of Ranges No.of Air Cond. Tons No.of Alerting Devicas8 No.of Waste Disposers Heat Pump Number Tons KW No.of SeIf-Contained ("82ep Totals: Detection/Alerting Devices , No.of Dishwashers Space/Area HeatingKW Local❑ Municipal 0 Other p Connection No.of Dryers Heating Appliances KW ecNo.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevices orWiring:qal No.of Devices Equivalent OTHER: rico-7- ��7y Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1'-( (When required by municipal policy.) Work to Start:R/ 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND ❑ OTHER ❑ (Specify:) I certify,under the pains and wallies of perjury,that the information on this ap li ue and complete. FIRM NAME: 11 nn ".,1('.6f1/1(7. A 7 LIC.NO.:/9/L RS{ m.Licensee: al i .-,da ILC Signature MEW LIC.NO.: (If applicable, e to ex mpt"in e license nu er li Nix 7 /�Bus.Tel.No.: Address: 7(� ncclls,1�10I .V i< i d. ! D �V Alt.Tel.No.: * G.LI c. 17 s. 57-61,securitywork re uir De a ent of P c Safety"S"License: Lic.No. Per E q p does not have the liabilityinsurance coverage normally S INSURANCE WAIVER: I am aware that the Licensee g required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. s,