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Home My WebLink AboutBLDE-22-002880 Commonwealth of Official Use Only elteit Massachusetts Permit No. BLDE-22-002880 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:11/18/2021 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) 14 KEARSARGE RD Owner or Tenant RED JACKET BEACH LTD PARTNER Telephone No. Owner's Address 20 N MAIN ST,SOUTH YARMOUTH, MA 02664-3150 Is this permit in conjunction with a building permit? Yes 0 No 0 (Che Purpose of Building Utility Authorization No '/41r 7 , Y Existing Service Amps Volts Overhead 0 Undgrd .o.o • • • •" s: 1. c New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Separate power source 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 Initiatinu 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/Alertinu Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Sins 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: Lance A Macenerney Licensee: Lance A Macenerney 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 my 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: $80.00 N L- tt(t174 R Li .�. E..0_E 1 V)�inino aaltii Official Use only L.o ntv of IYlaeeackuidfe >ii ;'/ N O V :t 6 202 9`�pa tn„nE oli S'sruic" Permit No.C31-2' Z�(0 i; _ Occupancy and Fee Checked -. ", I L - E i REVENTION 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(M )4),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (� I ' /Z I '� City or Town of: 7a(ryl/)Lt-f k To the Inspector of Wires: ti By this application the undersigned gives notice of his or her intention to perform the electrical work described below. y Location(Street&Number) f y k IrSckq L Owner or Tenant Doo(e p r# {1 Telephone No. Owner's Address 1 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Aatirorhiation No. rl()€ Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters J New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters v Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: J N(Q{-d pa 0 e_,( (.)M C ( ekr\a tryS{ct t vl Completion of the following ay table m be waived by the! r of Wires. vi No. i Total kb No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA ';1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA r, No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting g crud. 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 t K No.of Ranges No.of Air Cond. Tons Tons No.of Alerting Devices 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 Municionn ectipalon 0 Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevices or q No.of 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: 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`V BOND 0 OTHER 0 (Specify:) I certify,under theiudns and penalties of peduty,thRt the information on this application is true and complete: I FIRM NAME: VGA_(It{ E 1 - cc►1" cI ►'Y\pa11'f LIC.NO.: A I 1 1 4 1q Licensee: L&t ' e Eyie.rn e it Signature r- LIC.NO.: (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: 566-/?3--G v SC% Address: 106) A On t'' 1 � vc VY"C;0L'k K Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Depart` nlaG�(ent 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:$ .26.66),