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Home My WebLink AboutBLDE-22-005901 Commonwealth of Official Use Only 11- Massachusetts Permit No. BLDE-22-005901 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:4/14/2022 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) 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 1� Is this permit in conjunction with a building permit? Yes 0 No 0 �aAPpr �'[ Box) N , Purpose of Building Utility Authorization , Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead ❑ Undgrd 0 w e Number of Feeders and Ampacity 0E4`'''''f.''i Location and Nature of Proposed Electrical Work: REPLACE EXHAUST FAN LADIES ROOM BY INDOOR PeCEY�,, LIGHT IN FLYING BRIDGE ROOM , INSTALL GFI BEHIND FLAT TOP GRILL, FOR FREEZER IN KITCHEN. INS4.A,�rr G It IdUEST Completion of the following table may be w7ucve�`ifb 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 /c/ 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent 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 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 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 .. • r E C E i V E D• ea[Ih of"/aaeachu4.Ela Official Use Only APR 14 2022 ,► , at of gin S1Y11Ge Permit No.--_..2D.7.. - 5 5O/ Occupancy and Fee Checked \\ ' tuit � A®ffAd" 'REVENTION REGULATIONS [Rev.1/071 (leave blank) BY_--— A- - CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC).527 CMR 12.00 v (PLEASE PRINT ININnK ORi TYPE ALL INFORMATION) Date: y 13 l a a City or Town of: yG t t1 1 u{h To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Al Location(Street&N}u-m��ber)291 ShG Dr v Owner or Tenant Ypiu _Mg p SG(1- Telephone No. 3 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❑ No.of Meters New Service Amps Volts Overhead❑ Undgrd❑ No.of Meters rJ Number of Feeders and Ampaci t rty Location and Nature of Proposed Electrical Work: Pep lace, 6x hc.v.S n+CCI Ln di e v 6wrn by'i n doc)C cot .. c g&nex L,u1* to Fl.itnvAcidyerocr. Lns�all 6 FC ,nd Qic�1- Ibp gc,ll1 Fec Q'(ee-7err'n 14+4het, v) Completion of the followingtable may be waived by the Inspector of Wires. vs Total lb No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.of Transformers KVA C.) No.of Luminaire Outlets No.of Hot Tubs Generators KVA n 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 z No.of Switches No.of Gas Burners No.of Detection and Z Initiating Devices ILI 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 No.of Dishwashers Space/Area Heating KW Local 0 Municipalnnection 0 Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KY,(, 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 0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and ro FIRM NAME: FLAME( jIec,{(tc. CA)M(xl- LIC.NO.: III45 Licensee: Lay) e V F n e WI e t Signature �-- LIC.NO» (ifapplicable,enter"exempt"in the lk a manber lire.), Bus.Tel.No: E- S 17 -DO3<D Address: 1Qi:,A Or\,aTs. r W.\G(((Y'10'0-1-In 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. 1 am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 1 a®.6a �r,S�t: �l GASlc. ciute5-- Iea1/4.i,ndr-y V b o bb.j co ec,. ‘e-cr\ 9e( v -(-ek'icvJe (1 by ccx)( +o Znd rlvor