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Home My WebLink AboutBLDE-21-007315 or Commonwealth of Official Use Only Art. Massachusetts Permit No. BLDE-21-007315 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•6/16/2021 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) 291 SOUTH SHORE DR Owner or Tenant BLUE WATER 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 Appr ft) '. Purpose of Building Utility Authorization No. ° Existing Service Amps Volts Overhead 0 Undgrd 0 4411?.'*:to i4 V New Service Amps Volts Overhead 0 Undgrd 0 g avi a. Number of Feeders and Ampacity �f I ip Location and Nature of Proposed Electrical Work: Install receptacles in kitchen. ` O Completion of the following table may be waived by the .o1 Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Ti Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative 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/Alertine 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 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 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 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 Signature Telephone No. PERMIT FEE:$80.00 Commonwvealih o/iassac/u jetis Official Use OOnnl c� n l / i' j P, r/ Permit No. 6 `^ ,S- ',--, g p .Department o f.fire Services =1 Occupancy and.Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave Mardi) 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: Go( I i ( I City or Town of: artyie,Ltil To the Inspector of Wires: By this application the undersigned gives no'ce of his or her in tion to perform the electrical work described below.. Location(Street&Number) D?/ 51. S a Map Parcel#a /`lo 'q.� " Owner or Tenant (U e. V,NA-e i' L i r\r‘ , i C d inte hip Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No,of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'n St-r> l I, X11 (\ a 4()V l(e c-teVo.eie_ %.n ,L die' Sn5+All .9-0A DIP 120V (ec.. Ar- in Kttvhe Completion of the following table may be waived by the Insector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.of Total Tranisfbrmers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emergency Lighting grad. grad. Battery Units 1 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. al No.of Ranges No.of Air Cond. TO No.of AlertingDevices Tons Heat Pump Number_Tons KW No.of Self-Contained No.of Waste Disposers Totals: '" `` """. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 .Conn ten 0.Oth r No.of Dryers Heating Appliances KW SecuritySystems:* No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wig: Heaters Signs Ballasts No.of Devicesor tuvalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommanicat1ons II ^. leo.of Devices or Et( 1 ' eat 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 cov , a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ElBOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of penury,that the information on this application is true and complete. ( l I FIRM.NAME: Fuller Ele( -• C � em :,"� Yly LIC..NO.: Licensee: L(AO e. rn C°Foe(1)ev Signature ' LIC.NO.: (Ifapplicable,, ter"exempt",i the license number ine) f5 'Bus.TeL No.( 7 0C).Ja Address: I'ik A I N\t is 1)( \ \arm 6 h 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 0 owner's agent. • Owner/Agent Signature Telephone No. I PERMIT FEE:.$ c3i6 *IMPORTANT:A ssnaratP nsrmit is rsnuirnd for this instillation of smnks dsfsr:tnrc_Firs Alsrm insnsntions ars n rfnrmsd by the Fr)havinn iris/Infirm.