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Home My WebLink AboutBLDE-23-000686 BLD.2 Commonwealth of Official Use Only 011641 Massachusetts Permit No. BLDE-23-000686 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 GRIFF 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 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: Over run &return for under counter lights(BLDG#2) 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 38 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 if Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Pump Heat 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 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. er/Agent Serrature Telephone No. PERMIT FEE: $590.00 V V OZZMAR 2 5 Z j�� _ _ .__ �cial Use Onl T sa adeaclaudatte j (.2K) i ��4 """': lNG OcrHR x/ v c� n Permit No.T,�/ J ' °=-R`:=: _ spartmsni o`-}irs Sorvicse �/ � � _.1i,= Occupancy and Fee Checked ;7/� �'' S BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Igo 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 �y c City or Town of: YARMOUTH To the 1 spec or of Wires: By this application the undersigned gives notice of his or her intention to perf rm the electrical work described below. Location(Street&Number) //7 �1c ifi— (P�Z 6,,ii4,-7 1 Owner or Tenant ?/hl ,,,5,,)7 {, ,,, , Telephone No. 5/-c./d g()li� Owner's Address 17 (d / "7 t)1), t', J fr/g,cApe,/e,/ Is this permit in conjunetijou with a b ild�i'g rmit? Yes No El (Check Appropriate Box) Purpose of Building Re114 Y:S/r•�i17)e,7 Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd No.of Meters New Service Amps / Volts Overhead C Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _0�/ � z,tt)f f 2 � 7,/ \r t Completion of the followingtable maybe waived by the Inspector of Wires. "U No.of- Total L1.) No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans r'' Transformers KVA '-;'t No.of Luminaire Outlets No.of Hot Tubs Generators KVA t`\ A. No.of Luminaires - SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting � irnd. grnd. Battery Units �" No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones - Initiating Devices Nov. .of Switches No.of Gas Burners 'No.of Detection and 1 i No.of Ranges No.of Air Cond. T si No.of Alerting Devices f-Contained No.of Waste Disposers 'heat Totals: Number Tons KV� No.of Detection/lerting Devices No.of Dishwashers Space/Area Heating KW Local El Municipal n Other C _ HeatingAppliancesSecurity Systems:1 No.of Dryers KW 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: CS 1,\N.,"`(- Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El trieal Work:rt i��D ',Ak�e (When required by municipal policy.) Work to Start: 'I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 thepains and enaltjes pf perjury,that the information on this application is true and complete. FIRM NAME: (- r', 1 T)( LIC.NO.: .2 G c Licensee: it ^, 4/i,,n,A, Signature LIC.NO4 c al-applicable,enter"exempt'/n the license number line.) Bus.Tel.No.• Address: Alt.Tel.No.: c e F 7 5) ?"," " *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 7 PERMIT FEE: $9 Signature Telephone No. '� u U