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Home My WebLink AboutBLDE-22-005900 #106 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005900 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: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) 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 ❑ (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: REPLACE RECEPTACLE IN KITCHEN , REPLACE LIGHT IN 2ND FLOOR STORAGE CLOSET, BLANK IN POOL ROOM ELECTRICAL PANEL, REPPAIR OUTLET NEAR ICE MACHINE (OUTSIDE 106) 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 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 ❑ 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 LW.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 ICEIVEO iZ' ,APR 14 2022'a ., ea�h.1 Maddac4uaeNa Official Use Only 4 C� Permit No. ,202 2-5-?.0 D 7\4a, i" _ ._.._ ____,cy�e• n(of Sire Seruicea '" DING DEPARTMENT Occupancy and Fee Checked �' _. -,e _.___. _. . 'REVENTION REGULATIONS [Rev.I/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 c (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4 13 (3Q, City or Town of: VC(r(Y)0 u* To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. "a'7( Location(Street&Number) I 5.Sho re,\-)( Owner or Tenant Rt'.-\. Tux,+ er,c_k "Q,P`Ctc Telephone No. w Owner's Address y 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 Al New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I '0 Location and Nature of Proposed Electrical Work: RePVUee- ire,pl-i .Ie t.J,j C,Ft i rs f;f,1ser', (I-o n q h+ s. ola-CZ ee.trnch,ne5 IGee. (icjhf-- i ic.ktlteS ,r\2^''FI-sforacle. CIOsi t 2n4, 'I hfer:.Ker-- .VI Completion of the followin table may be waived by the Inspector of Wires. 1bf No.of Recessed Luminaires No.of Ceil.-Sus (Paddle)Fans To•of Total P• Transformers KVA Z �l No.of Luminaire Outlets No.of Hot Tubs Generators KVA n Above In- N ut Emergency Lighting k No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units -,-.! No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ofand No.of Switches No.of Gas Burners —No.Initiating Devices 11 No.of Ranges No.of Air Cond. Taos No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municeh'on ❑other No.of Dryers Heating Appliances KW Sec No uriof Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsN. fD ceor Whin Y g No.of Deices 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 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. // c� FIRM NAME: i,t It,. E/e_cJ4( . C.o m pa n"I LIC.NO.: I i 1 7 l Licensee: Lc((lee rlIct (nerne`f 8lpftnre ------- LIC.NO.: (If applicable,enter"exempt"in the license number line.) Boa.Tel.No.56k-77 S-(3771) Address: la t.,fl (Yl i d Te..h tI C P .\.i1(IYl r!u+irl Alt.Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires t 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 PERMIT FEE:$ I Signature Telephone No. Tovk se.donn e (cam fir; a ‘c okx- nen( mck,c_h, nee. de_ 16Ej �"