HomeMy WebLinkAboutBLDE-22-000516 offfice area ' .i"�' Commonwealth of Official Use Only
' �,,� " Massachusetts Permit No. BLDE-22-000516
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:7/28/2021
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) 192 SOUTH SHORE DR lce A
Owner or Tenant SABINA MICHAEL I TR Telephone No.
Owner's Address THE M I &J M SABINA LVG TRUST, 26 MISTY LN, 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 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: Miscellaneous work in lobby
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
Initiatine 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 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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: Michael S Walsh
Licensee: Michael S Walsh Signature LIC.NO.: 51043
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 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 my
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent as
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Signature Telephone No. 'PERMIT FEE: $200.00
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Commonwealthoaddachade/ ttd Official Use Only
PI - t c� c7 Permit No. (--,.. 2-2._ _0 J(,
' �_ 2epartment o/,.tire Serviced
-; f f _ 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 INFORMATION) Date: 717-6/2-%
City or Town of: \o mo Jta-. 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) 15 Z S o u aa., Sth o rL 21 Sw lit. 1 p rA,..11,
Owner or Tenant iiar lZw-. £ntaat n,,.n-' t L e- Telephone No.
Owner's Address $A-tut J JJ
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building MAI-40t Utility Authorization No.
Existing Service 9, 0 Amps /ZD /6o8 Volts Overhead ❑ Undgrd L2r No.of Meters I
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: e t Cul- S tp t. (.ti. sl...) N.,..LA �,,b /
12t.�19�t1L A RtPl�..r� Ekif c.�t li.�„1 4' L 3 r 1
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 SwimmingPool 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
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
p Connection
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of WaterK`,i, No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Bathtubs No.of Motors Total HP Telecommunications Wiring
No.Hydromassage No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3'Sp06 .00 (When required by municipal policy.)
Work to Start: 'J 1 Z,th.t 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 UA BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and enalties of perjury,that the information on this application is true and complete.
FIRM NAME: it. 'l LJ..ts% S2 f/tcJ/t :". C.C.C.. LIC.NO.: 510141
Licensee: P.m L..4 S Lnoill TIC Signature 7""1 '41L1C.NO.: tO
(If applicable,a ter "exempt"in the license number line.)
Bus.Tel.No.: 5°$ ' 5-s
o1i
Address: Y.O 5 o t'5 2.o '_...4kfbt Alt.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires 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. I
Owner/Agent Telephone No. I PERMIT FEE: $
Signature
8/4/2021 Fwd:Parker Beach Lodge electrical permit affidavit-murleycontracting@gmail.com-Gmail
Michael Walsh <mswelectricj... 1:45 PM (3 minutes ago)
to me
Sent from my iPhone
Begin forwarded message:
From: Michael Walsh <mswelectricjr@comcast.net>
Date:August 4, 2021 at 1:43:03 PM EDT
To: Ken Elliott<kelliott yarmouth.ma.us>
Subject: Parker Beach Lodge electrical permit affidavit
Michael S Walsh Jr Electrician
PO Box 1320, Mashpee Ma 02649
P-(508)633-5019
License#E51043-E
Affidavit for Electrical work performed at:
Parker Beach Lodge
192 S. Shore Dr.
W.Yarmouth, MA 02664
P-(508)694-7688
Lobby
Install general outlets(6)
Remove existing outlets and reinstall inold work boxes for retail wall (7)
Relocate switches and install dimmers 5
Replace 3 Emergency lights
2 exit signs
Install 2 magnetic door controls
With remote 2 switches
Install 20 wafer lights
Install commercial fridge outlet
Install commercial freezer outlet
1 gfci outlet in foyer
1 bath fan and gfci added in employee bath in lobby.
Electrical room
Wire hot water heater system
1 gfci outlet
1 Washer outlet
14 wire dryer outlet
Label panels and install arc-fault breakers
8/4/2021 Fwd:Parker Beach Lodge electrical permit affidavit-murleycontracting@gmail.com-Gmail
Outside lighting
Replace 44 outside hallway lights
11 flood lights
1 wall pack
4 pole lights
Replace 2 time clocks
12 recessed cans trims replaced
in front over hang
Common area emergency lights and exit signs
3 emergency exit combos
4 exit signs
4 emergency lights
Electrical Closets and data closets
Install 2 quad outlets
Installed 3 led lights
Cleaned up existing non MC and replaced with MC cable and boxed devices
Added sub panel in electrical closet to pp-7
Relocate to septic alarm panels
Replaced septic alarm panel in 2nd floor closet
Michael S. Walsh JR
041 ,..Z\ LGkL 9t8/14zazi
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