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Home My WebLink AboutE-19-3869 Commonwealth of Official Use Only FE•_.�;►� Massachusetts Permit No. BLUE-19-003869 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked )Rev.)/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 (PL EA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/2/2019 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) 28 SOUTH SHORE DR Owner or Tenant RED JACKET BEACH LTD PARTNERSHIP Telephone No. Owner's Address 20 NORTH MAIN ST,SOUTH YARMOUTH,MA 02664-3150 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 },UUnndggrd�, ❑ No.of Meters Number of Feeders and Ampacity ll'JC//�'�- i /( Location and Nature of Proposed Electrical Work: Replacement service. 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 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 0 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 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lance A Macenemey Licensee: Lance A Macenemey Signature LIC.NO.: 11149 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:126A MID TECH DR,W YARMOUTH MA 026732560 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 SignatureTelephone nn Telephone No. PERMIT FEE: $80.00 lg • A Commanwea&o{Maimachadebia ,O�icciial Use Only // (n� cy c7 Services Pen:it No. eq_ % l o 3 t1PRa' -T eparG sa4 o/tire.Jerakes toes ` a I`I ' BOARD OF FIRE PREVENTION REGULATIONS Rev. cy and Fee Checked 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perforated in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 L (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10 I I II IT City or Town oft NiCtrAnnit 44- To the Inspector of Wires: •i By this application the undersigned gives notice of his or her intentiontito perform the electrical work described below. vLocation(Street&Number) _I Snt.jk Shnre, Uri et 1TA9 L° I I—I Z Owner or Tenant Re_d I O.c,K e -f- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) -- - Purpose of Building Utility Authorization No. a Existing Service_ Amps / Volts Overhead 0 Undgrd 0 No.of Meters sg New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters _ Et- Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: P4N`a r,e nbo A AN P ('1 vere c.hstni Cc, •• 'Y Completion of the followingtable may be waived by the Inspector of Wires, Lit No.of Recessed Luminaires No.of CefL-Susp.(Paddle)Fans No. TKVA 4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA . A t j No.of Luminaires Swimming Pool Above ❑ In- ❑ Pio.of emergency Lighting I trial. grnd. Battery Units . ' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t No.of Switches No.of Gas Burners No of Detectionnand Initiating Devices 11.i No.of Ranges No.of Air Cond. TotaloNo.of Alerting Devices No.of Waste rs Heat Pump Number Tons KW No.of Self-Contained Dispose Totals: I'� Detection/AlertL�Devices No.of Dishwashers Space/Area Heating KW Loral 0 Monneunicrpctional 0 Other, C No.of Dryers Heating Appliances KW Security Systems:* 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 Tri No.of Devices or Equivalent OTHER: Attach additional detail tfdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties fofperlury,that the Information on thiss application is true and complete. FIRM NAME: FuIlerfIccfrtc (1OenpxkP./ / LIC.NO.: All IIA Licensee: La ne e macEn a rn e I Signature LIC.NO.: (If applkable,enter"exempt'in the lic££rise romppeerr Or) Bus.TeL No:KOK 7) &'0030 Address: libA rnirdtee-in F r hl.‘ifir trocctin WA Alt.TeLNo.. "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)I-i owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ q.0 Oa