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Home My WebLink AboutBLDE-22-002881 or Commonwealth of Official Use Only =.''�`']\ Massachusetts Permit No. BLDE-22-002881 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: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) 18 KEARSARGE RD Owner or Tenant RED JACKET BEACH LTD PARTNER Telephone No Owner's Address 20 N MAIN ST, SOUTH YARMOUTH, MA 02664-315011110(T`�-- ,�n7 Is this permit in conjunction with a building permit? Yes 0 No 0 (C "1" Qi.Y"'- Purpose of Building Utility Authorization No , ,: ;;_ -, Existing Service Amps Volts Overhead 0 Undgrd ❑ . - r. • . 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 Initiatine Devices No.of Ranges No.of Air Cond. Tonal 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 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: 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 L tqd7„t (.e • ,`; r_ two ealth al Maseac & Official Use Only Nov 1 6 202123 , nt./ sm.. s ; Permit No. -Z --Z-863 6 al Occupancy and Fee Checked �u i L BOARD` MTP"EVE=NTION REGULATIONS [Rev. (leave blank) _ , , _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK il All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 r (PLEASE PRINT IN INK OR TYP�EELL INFORMATION) Date: I l 14 I a 1 J City or Town of: 64 rr c L• Inspectorof �'�l To the Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 'V Location(Street&Number) IF, €_1:,r S C.c.)z✓ 728 -15 Owner or Tenant -)a y Efl FA t-+- Re 1 4. Telephone No. Owner's Address Cy Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) lU Purpose of Building Utility Authorization No. '7a ZS '?L1 8 v Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters J New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters C Number of Feeders and Ampacity 0 i Location and Nature of Proposed Electrical Work: P e a,k-e pc e c c-(O M -1---,S 't c vt Completion of the followinktable may be waived by the Inspector of Wires. No.of Total 1 No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Transformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA n d No.of Luminaires Swimming pal Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units -,-2 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detention and Initiating Devices tal �' No.of RangesNo.of Air Cond. To No.of Alerting Devices Tons No.of Waste Heat Pump Number Tons _KW _ No.of Self-Contained Totals: • Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Oth Connection No.of Dryers Heating Appliances KW Secs:* Nth of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent mmunkations No.Hydromassage Bathtubs No.of Motors Total HP Te.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: 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 [5i BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 4 FIRM NAME: F�(,N f F t Ee t-r"i s 0 n t k ea n 7 � LIC.NO.: A ( i i q'7 Licensee: La v c e- a'6 h e v't1 ey. Signature `�/ ______ LIC.NO.: (If applicable,enter"exempt"in the license monkr line.) ^' Bus.Tel.No.: _1 s5-7-IS"C C 5() Address: in /a t'Y11 d T zJ', { `I v o(tyu i..l N Alt.TeL No.: *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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ 4L) &' Signature Telephone No. (�