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Home My WebLink AboutBLDE-22-006747 Commonwealth of Official Use Only finMassachusetts Permit No. BLDE-22-006747 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:5/23/2022 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) 28 SOUTH SHORE DR Owner or Tenant RED JACKET BEACH 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: Install relays to control outlets for sound equipment and interface with F.A.C.P. 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 Ton 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 Ballasts Data Wiring: Heaters Signs 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Lance A Macenemey 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 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 . RECEIVED A. AY 2 0 2022 1-o ,a l Official Use Only ,nw�a q ; c� n Permit Na. (7L7 r .al __ _ _ --_ t� • DINGDEPARTMEN a � .,ttrsJawiceb y: Occupancy and Fee Checked -._ - PREVENTION REGULATIONS [Rev. 1/07] (leaveblarilc) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR(2.00 (PLEASE PRINT IN INK OR TY ALL INFORMATION) Date: 51 ?O a City or Town of: 'all 6 cifk To the Inspector of Wires: ' By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1) Location(Street&Number) ( rj. cijh0(t. 10( Owner or Tenant -PeA Ia('. LC-k Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) 4 Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters J New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 0 Number of Feeders and Ampadty Location`_ and Nature nof Proposed ElecMcalWork: inS-�a(l ¢ u ',,e, �La S #0 (°Ov\�rO( �nAYld m d �`}u I e. an a •}ti t\c o vi k'x( (1 l k -:k tb l- r - ,,re__ Qko ryl Completion of the followinktable may be waived by the I for of Wires. Total lh No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- Ivo.of Emergency Lighting and. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones `,. No.of Detection and i:" No.of Switches No.of Gas Burners Initiating Devices l I•! No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Ale . Devices No.of Dishwashers Space/Area Heating KW Local❑� Munidncnm ' n 0 Other Cyoectio No.of Dryers Heating Appliances KW No ofat Devices or Equivalent No.of Water , Heaters Signs Ballasts No.of of No.of Data Wiring: Devices or Equivalenti�va No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications of Devices or Equivadent OTHER: Attach additional detail ifdesired,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 B BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. n FIRM NAME: r .l I e{ E teGtr,e_ Compar)� LIC.NO.: .A 1 1 1 I Licensee: La 11Lt_ Mae en e ave) Signature .� LIC.NO.: (If applicable,enter"exempt"in the license number line. Address: 1�Ip f I�►d 'l"eGk be- in f.tQ((Yl n u st-VA Bus.Tel.No.>`25D�775-0030 *Per M.G.L.c. 147,s.57-61,security workrequiresAlt.TeL No.: 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/Agent ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ $6,oe