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Home My WebLink AboutBLDE-20-005770 or Commonwealth of Official Use Only n4- \ Massachusetts Permit No. BLDE-20-005770 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:5/11/2020 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) 241 WILLOW ST Owner or Tenant BIO-MEDICAL APPLICATIONS OF CAPE COD INC Telephone No. Owner's Address CIO FMC 1112, ONE WESTBROOK CTR STE 1000,WESTCHESTER, IL 60154 7.4 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check : 'riat o Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 i =, y New Service Amps Volts Overhead 0 Undgrd 0 No.o At _____ Number of Feeders and Ampacity /2/7 Location and Nature of Proposed Electrical Work: Upgrade fire alarm system.Completion of the following table may bby the Insp .o 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- ElNo.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 SecuriSystems:* 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 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: $115.00 n ��// // ..'' Print Form I i Commonwealth o` addaChuaa�e Official Use Only �/ I _•- - 't c� c7 Permit No. c7 / al•= 5 JOB #:20CR02 . spartmani o`.tira�srvica! =`C1- " Occupancy and Feer : ed -,,-�k BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave •14 APPLICATION FOR PERMIT TO PERFORM ELECT - A ' +. All work to be performed in accordance with the Massachusetts Electrical Code(MEC), '.27 (M1jl} ,00 ' �, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/4/2020 11 ' j " City or Town of: Yarmouth Port To the Inspecto kt j?0'8 / By this application the undersigned gives notice of his or her intention to perform the electrical wor' rt w. Location(Street&Number)241 Willow St. ��'T Owner or Tenant Fresenius Medical Care Telephone No. / Owner's Address 360 Cedar Hill St. Ste. 3, Marlboro, MA 01752 Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box) Purpose of Building Medical Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Fire Alarm System Upgrade Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof Traa onKVAsformers 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 Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of AlertingDevices 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.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: $37,000.00 (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 ❑✓ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Glynn Electric, Inc. LIC.NO.:A14492 Licensee: Matthew P. Glynn Signature -e.,er-- LIC.NO.:A14492 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:(508)732-8933 Address: 70 Industrial Park Road Plymouth MA 02360 Alt.Tel.No.• (508)732-8933 *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. Owner/Agent Signature Telephone No. PERMIT FEE: $115.00