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Home My WebLink AboutBLDE-23-005393 RM 2 , Commonwealth of Official Use Only E' !►1` Massachusetts Permit No. BLDE-23-005393 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:3/30/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her mtention 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 ❑ No 0 (Check Appropriate Box) Purpose of Building _ Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Replace devices on exterior walls(Room 2) 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 'All. 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 Imtiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Foos No.of Waste Disposers Heat Pump Number Tons t''' 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 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 of perjury,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:$100.00 Psi-0 mrt tf 13(23 KC k17t r _, Commonwealth o f Ma.4JacLett. Official Use Only pi -=* - ��]]t Permit No. z, s3cTh w == 1 .2epartment of ire Service-4 '- Occupancy and Fee Checked �: — BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) 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/ 3D I?j City or Town of: Varrno(+k 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) 3.7 iVep >r t r Lam, L , -a r) Owner or Tenant kivfe,e.vi� J 1 e or-(-- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No. of Meters New Service Amps / Volts Overhead Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Nre ota c, ° IA)1 f t r‘Of an_d ae kr c e S G n k CiO r 'kik (onrn . Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. T Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above In- No. of Emergency Lighting No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No. of Receptacle Outlets :No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners ,Na. of Detection and Initiating Devices _ No. of Ranges No. of Air Cond. Total 1No. of AlertingDevices Tons . No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: _ _ _ - Detection/Alerting Devices E,No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other o 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: 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 [x BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: FL& Itx- 1 " � n tear-CC, CO J0.`(\ LIC. NO.: A j( (L(-/ Licensee: 1'\0...�° aC i :�},�({(��.� Signature LIC. NO.. (If applicable enter "exempt" in the license number line.) Bus. Tel. No.: 6 -7 7 tC Address:applicable., $ r,t c Te.c..4\ \I t�k S— fl ti p � 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 1 _)c