HomeMy WebLinkAboutBLDE-23-000685 BLD.2 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-000685
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:8/10/2022
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) 497 ROUTE 28
Owner or Tenant GRIEF HOLDING CORP Telephone No. _
Owner's Address 497 MAIN ST,WEST YARMOUTH, MA 02673
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 ❑ 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: Over run &return for under cabinet lights(BLDG# 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 37 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
Tot
9f Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat PumpNumber Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Dgviscs
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 KW No.of No.of Ballasts Data Wiring:
Heaters Signs 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 my
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
r tr/Agent _
blgrature Telephone No. PERMIT FEE: $585.00
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! RECEIVED
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_ `_ BUD r'I i N G P A R T M D-N : Occupancy and Fee Checked
um BA -l3 OFVENTION REGULATIONS [Rev. 1/07] (leave blank)
4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
t All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
5; (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/24/22
,_- ' tr3 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) 497 Route 28 iill,J'Lj A
Owner or Tenant Delphi Construction ✓ Telephone No. 508-221-8060
Owner's Address 17 Cape Dr, Suite 2, Mashpee, MA
Is this permit in conjunction with a building permit? Yes x❑ No ❑ (Check Appropriate Box)
Purpose of Building multi-residential Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of undercabinet lighting
Completion of the following table may be waived by the Inspector of Wires.
No.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Above ❑ In- ❑ No.of Emergency Lighting
31 Swimming Pool 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.o f AlertingDevices
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❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.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: Of,oriel' /p ijii2k!_� rn Veil<
$g -�8-0 pear Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: t o (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.Na: A14492
Licensee: Matthew Glynn Signature v LIC.NO.: A14492
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 508-732-8933
Address: 70 Industrial Park Rd. 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: $
r. s,