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Home My WebLink AboutBLDE-21-004935 BLD.1 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-004935 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] `J 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:3/2/2021 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) 497 ROUTE 28 Owner or Tenant Yarmouth Gardens(Building#1) Telephone No. Owner's Address 497 MAIN ST,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Wiring for BUILDING# 1: (Per attached) 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 l�of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 ❑ (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 �ture Telephone No. PERMIT FEE: $2,455.00 1&.) Y1 6\ ,per Commonweal o f Ma-Macluc46th Official Use Only c�r� Permit No. Ei — 4q 35 -fie 2apartment o`..Jc7 ire�arvicao Occupancy c 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: City or Town of: \(,fir' 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) Lk1 kL,L l( ) .� Owner or Tenant C,� ! i (,k)/ i„��L. (�1;i 1 i(t I ( _(`_ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes �'`� No P1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead I I Undgrd ❑ No.of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: /'; . li ,(2 J I jui fi r') )/ ty) 15 1S ICl / Completion of the following table may be waived by the Inspector of WiresTotal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf 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 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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:.. fjj,\1 \ 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 Glynn Signature ,.{ 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: $ YARMOUTH GARDENS BUILDING # 1 Price listing: Service (Main) (Up to 3 inspections) $350.00 Rough/Final (Up to 5 inspections) $1,275.00 Fire Alarm (Up to 2 inspections) $ 115.00 Tel / Data (Up to 2 Inspections) $ 115.00 Grounding (Up to 1 inspection) $ 80.00 Generator (Up to 2 inspections) $ 100.00 Exterior Lighting (Site) (Up to 3 inspections) $ 240.00 Sub-Total: $2,275.00 Additional inspections or re-inspections (Each) $ 80.00 V LI LI LiLYNN tLt(;1111U, IN(;. Remittance Advice Page 1 of 1 Check: 6015 Paid by: Glynn Electric Our Account#: Date: 02/25/21 Paid to: Town of Yarmouth-Bldg Dept Vendor Code: 444 )unt: 180.00 ..."15V.Date Invoice No. Job Number Inv.Amount Discount Amount Paid Retention Remarks 02/25/21 21JW01 BLDG 1 21JW01 180.00 0.00 180.00 0.00 21JW01 YARMOUTH GARDENS BLDG 1 Check Totals 180.00 0.00 180.00 0.00 67" DETACH AND RETAIN THIS STATEMENT REORDER FORM NO.524L USE WITH COMPANION ENVELOPE#40-224 WARNING:THIS DOCUMENT HAS A COLORED BACKGROUND,A MICROPRINT BORDER AND AN ARTIFICIAL WATERMARK ON THE BACK GLYNN HARBOR ONE BANK 53-8137/2113 43 Commerce Way Plymouth, MA 02360 Branch 22 DATE CHECK NO. electric QUALITY I EXCELLENCE I SERVICE I SATISFACTION 02/25/21 006015 70 Industrial Park Road Plymouth,MA 02360 Phone:(508)732-8933 MA Lic.A14492 6015 PAY "ONE HUNDRED EIGHTY AND XX/ 100 DOLLARS —180.00 aY Town of Yarmouth-Bldg Dept THE ORDER 1146 Route 28 OF S.Yarmouth,MA 02664 M' THORIZED SIGNATURE 00060L5ii' 1: 2 L L 38 L 3 ? 21: II' 1L03L L2L ?no \,...1 \-_, \..1 ULYP1IV tLtL.I111U, MR.:. Remittance Advice Page 1 of 1 Check: 5955 Paid by: Glynn Electric Our Account#: Date: 02/17/21 Paid to: Town of Yarmouth-Bldg Dept Vendor Code: 444 'mount: 2,275.00 `.rrty.Date Invoice No. Job Number Inv.Amount Discount Amount Paid Retention Remarks 02/15/21 21JW01 BLDG 1 PERMIT 21JW01 2,275.00 0.00 2,275.00 0.00 21JW01 YARMOUTH GARDENS BLDG 1 Check Totals 2,275.00 0.00 2,275.00 0.00 t „pit() 029 1/2k. • DETACH AND RETAIN THIS STATEMENT REORDER FORM NO.524L USE WITH COMPANION ENVELOPE#40-224 WARNING:THIS DOCUMENT HAS A COLORED BACKGROUND,A MICROPRINT BORDER AND AN ARTIFICIAL WATERM 4: BACK GLYNN HARBOR ONE BANK 53-8137/2113 43 Commerce Way Plymouth, MA 02360 Branch 22 DATE CHECK NO. electric QUALITY I EXCELLENCE I SERVICE I SATISFACTION 02/17/21 005955 70 Industrial Park Road Plymouth,MA 02360 MA L c.1A1449258) 2-fi933 5955 PAY "TWO THOUSAND TWO HUNDRED SEVENTY-FIVE AND XX/100 DOLLARS -2,275.00 4Y �.o Town of Yarmouth Bldg Dept E 1146 Route 28 ORDER ��—OF S.Yarmouth,MA 02664 !VP AUTH RIZED 21_ 9 Si 11'DO595511' 1: 2LL313L3721: ll' LL03L9L2L7ll' _ \..1 _./ ..•