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Home My WebLink AboutBLDE-21-004666 Of r Commonwealth of Official Use Only t`. ,; Massachusetts Permit No. BLDE 21-004666 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:2/17/2021 City or Town of: YARMOUTH To the Inspector of Wires. By this application the undersigned gives notice of his or her intention to pertorm 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 Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations Room#'s: 101, 102, 103, 104, 201, 202, 203,204,405, &406. 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 ❑ 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 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 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: $190.00 72 Commonwealih o/Madiac1 u4eitd Official Use Only ** _ 't cc�� Permit No. C 2-k--1-�'cp C,(�, 2)epartnmnt o/.ire Serviced C BOARD OF FIRE PREVENTION REGULATIONS Occupancy. 1//0 anleavd a Checked ,r� (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 �CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I l City or Town of: ^Y171,{(1.)0u.:1 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) °�q l ci,„i.4k Wire, It/ Map Parcel# //D-6Owner or Tenant -ji l ie_ Ala e( (. ct, Pak r erSK;. Telephone No. R60M5 Owner's Address 90 vri-k rY AC1i f1 Si- Is��l this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) Purpose of Building Utility Authorization No. i O Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters D 3 New Service Amps / Volts Overhead ElUndgrd IDNo.of Meters [ 1 b Number of Feeders and Ampacity Do ( Location and Nature of Proposed Electrical Work: Rpom r ,LeA f r V, Q cid;A9 p fi t. 36 a tree- Aaelcs bey 1 at.A-ables tbd-hra n-v ±IV re_loeaV,e.il Completion of the following table may be waived by the Ins o ector of Wires. gb3 No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA A Lt No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4�5 No.of Luminaires Swimming Pool Above ❑ In- ❑ Bate EmergencyUnitsLighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Liao No.of Switches No.of Gas Burners No.of Detection and Initiating Devices. No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons _KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KVV 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 0 1'lER: 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 ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the ains and penalties of perjury,that the information on this application is true and complete FIRM NAME: �Her EIec.--r,e ( v pa ny LIC.,NO.: AOI Licensee: kYt� �aa�Grle(ne4 Signature ) LIC.NO.: (If applicable,enter"exempt"in the license number lien,. Bus.TeL No.:* 017 S=Oi 36 Address: )°�lo,4 ►(Yl id te_Jr- 1)r W./2(m u+k Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires epartment.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 Signature Telephone No. PEST FEE:.$ /fo.c)d *IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are Derformed by the FD having iurisdirtinn_