HomeMy WebLinkAboutBLDE-22-004803 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-004803
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:3/1/2022
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) 37 NEPTUNE LN
Owner or Tenant VRI DEVELOPMENT&SALES Telephone No.
Owner's Address RIVERVIEW RESORT, PO BOX 399, HYANNIS, MA 02601
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 ❑ No.of Meters
New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Renovations rooms: 1,2, 3,4,5,6, 7, 8, 10, 12, 14, 16, 18,20,21, 22,23,24,25,
26,27, &28.
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. TotaloNo.of Alerting Devices
No.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 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 , Silas No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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 Macenemey
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:$300.00
(96C 6 7.)L•
.14 Commonwealth o/Madeachaeetre Official Use Qnly
;pig. t �] �`7 Permit No.
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I Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
Y
c APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
cJ All work to be performed in accordance with the Massachusetts Electrical Code(M ,527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c� o?�/�o�
City or Town of: �Q[�171()U -� 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) , ( kleP full e I tir e.
4/ Owner or Tenant v(2.1 Dc Jcmeniid- S0,Ie_5 Telephone No.
Owner's Address .
(Zi�et'v;Pr,l �.I�x 34 9 l��/Q/Inis hi A cao(al
C I Is this permit in conjunction with a building permit? Yes ❑ No E (Check Appropriate Box)
Q-)' Purpose of Building Utility Authorization No.
c
U ' Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
_ i New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Amppacity
Location and Nature of Proposed Electrical Work: kilo riv, j34 '7t y lot I a,1 if, ) 611312o, Z i 12 2
.23,21,2s126,27,23 Ad<{ rc tA►aCe,r li4kfs, C.ha.n9nncj klk-cker, I ;.,h�s 2�(oc a
Completion of the followinktable may be waived by the Ingector of Wires. 14 0
No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Tf a
Transformers KVA PA I'S
,. No.of Luminaire Outlets No.of Hot Tubs Generators KVA VJ
t No.of Luminaires Swimming Pool Above ❑ In- ❑ 14o.of Emergency Lighting .
grad. grad. 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
No.of Waste Disposers Heat Pump Number,Toga _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 KWSecurity *
s.of�or Equivalent
No.of Water ,
Heaters Signs Ballasts No.ofNo.of No.of Data Wiring:
or Equivalentn _
No.Hydromassage Bathtubs No.of Motors Total HP T No.of Devices iV'Equlvulent
OTHER:
Attach additional detail if desired oras 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 cerdf,under the pains and penalties ofperjury,that the information on this application is true and complete
FIRM NAME: ' LIC.NO.:
Licensee: Signature LIC.NO.:
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:
*Per M.G.L.c. 147,s.57-61,security work ires De Alt.Tel.No.:
�N' parlment 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)El owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$ .S 66 A