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Home My WebLink AboutBLDE-22-005696 Cottage #1 Commonwealth of Official Use Only fi_ Massachusetts Permit No. BLDE-22-005696 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:4/6/2022 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: Replace smoke detectors(COTTAGE#1) 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 2 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 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: $80.00 g4 COMPI011100a&01c�I� Mara`MO hY ' `.7 apGwuat o1.7W.&mica Permit No.I Z"I'— Occupancy and Fee Cl>ed:ed X BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (iave6l�) t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All week to be performed m aeceedmce with the Mom Eleeuicat Code(MEC),$27 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOIR'M^ATION) Date: U(liE(o1o� City or Town of: yes r1Ylal,4h To the Inspector of Wires: By this application the undersigned gives notice of his a her intentim to perform the electrical wort dmeibed below. 0 Location(Street&Number) i S Shore- I-)r-, Owner a Tenant Qi°_J :VI c,I:t°+ BecLd-\ R So c-F- Telephone No ti Owner's Address Is this permit in injunction with a h permit? Yes ❑ No 0 (Check Appropriate�) Faience of Banding Utility A.d:O:Mh m No. Egg Sei lee_ Amps I Voles Overbook❑ Umdgrd❑ No.of Meters sl Amps / Vohs Overhead❑ Umdgrd❑ No.of Meters � jVew Servlat Number ee Feeder's and Amenity ' Ica fir.aadNat re.rrr.p with iea1W.r+a (wage I l2eplaet_(2) 5mo&. clef&kb r5 .. w't+-h 5mck6/Co (ornbr w- 4',,'eplace_ [ 1,rru',+hrea-ker 1AI 'I-hav\ At2C4cu.A- * Compktion of the joliawbeg tabk nag be waived bi**lap.abreFlt4a. No.of Recessed Luminaires Na of Cdt-Step.(Paddle)Fans end ndwrmees '1HVA 4 No.of Lamlnake Outlets No.OHM Tubs Generators KVA Above in. ,--, No.a Emergency Lignite; air No.of Luudnalres Swimming Peel grad. 0 mud. ❑ Buttery Units . 4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMSZooms IN..et Zoo � t No.of Swnehss No.of Gas Burners No.of Detection sod IaiWfia[Devices ILE } No.'Manses No.of Air Cond. Total No.of Alerting Devices Beat Number Ton KW of eiFCoataim No.of Waste Disposers ot is No. No.of DWwashers Aces Heating KW Load❑. 0 Other N.of Dryers Beating M KW Seem.yet Devices et Ewivelemt No.of No.of Data WtraF Beaters KW Shras BaWt No.af Devices er eemmunicatims No.Hydre Bathtubs No.of Motors Tend HP T Na B� fYIN sR: Attach additional detail taut eN4 or as Eby the 6gec'anof Wien Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MC 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"convicted 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 ) this app&+wism&our am[osmyLk I cane,Wader doe pins aed peneides of perigee, tIC.Noes ('/ FIRM NAME: K.,_Iter Elerc-ric. 0nM()any IR Lioem ee: LOW Ma f,it e ) IIC.NO.: (1fa pbaoble.enter"eoe mpt"in the Beene lbw), I I- Ba.Tot.lte<4�R l l S-Od 30 Address: 1404 4 YI'1;cl Tech r" W.yes trato Let- 1 AIt TeL No.:_ 'Per M.GS_c.147,s.57-61,security work requires Department of Public Safety"S"License: lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove the liability insurance coverage nonnelly required by law. By my signature below,I hereby waive this request I am the(check one)0 owner 0 owner's agent. Owner/Agent Telepheae No. I PERMIT FEE:$ •66