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Home My WebLink AboutBLDE-22-005697 Cottage #2 Commonwealth of Official Use Only FEP4Hr Massachusetts Permit No. BLDE-22-005697 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#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 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 Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 2 Totals: Detection/Alertine 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 Siens 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 (Ifapplicable,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 cy� Maddadlitaid. Official use Only / c JJ _.pin Serviced Permit No. 2z- �5( (7 al . / Occupancy and Fee BOARD OF FIRE PREVENTION REGULATIONS [Rev. oczve APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All week to be pafoemed in accordance with the Massachusetta Electrical Code(MBC),527 CA4R 1200 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4 I�f(era City or Town of:undersignedVa 1lYlntti 1 To the Inspector of Warr: J By this application the gives notice of his or her intention to perform the electrical work described below. v Locating(Sleet&Number) I S Shore_ Drb Owner or Truant Owner'sQ ,rU e.-I-- � IZe_sc 4- Telephone N. Owner's Address cg ' Is this permit is coajimetiou with a baidieg permit? Yes ElNo El (Cheek Appropriate Box) Purpose of Building Vi ty Asdiorfauioe N. / Volts Oveaidd 0 Undpd 0 No.of Metersj Existing Service Amps ew N Service Amps / Votes Overhead 0 Undue(El No.of Meters Number of Feeders and Andy Leman and Nature a Proposed EteetrialWork Pnt-tagG ,Q -2CpI4e,(2 awoke�le+�4or.s y.i.#h oK 5rne/Co combo ur t45. 'Replace. r:eccc.:,t breaker t t -k an. Arc + re. * C ndeanofthsfolkoM sitarar9be mired ion L11 No.of Recessed Lt No.of Cei.-Soap.(Paddle)Fans Flo.oTransformers TKVA Cs No.of Luninbre Outlets N.OHM Tubs Generators KVA 41, Above In lie.et Kmaieaty Liming .t No.of Lutalindres Swims Peier p , ❑ mad. ❑ SWOT IIits No.of Receptade Outlets N.of Oil Burners FIRE ALARMS IN..of zones of Detection and iNo.of Switches No.of Gas Burners Initiating Devices 14t N.of Ranges N.of Air Cond. T� N.of Alerting Devices Ne.ofWash HeatPumpt Number1Tons KW 1•p. ion/ � > Totals: r No.of Dishwashers Space/Area Heating KW Local❑CI ❑Other N.of Dryers Heating APPliaaces KW Security et�or Eaivaient lira e?� , Na of No.a Data Wkteg _NW— Ballasts Ne.of Devices or M Heaters IC No.Hydro awge Bathtubs No.of Motors Total HP Na.sf Dea nts or OTHER: Attack additional deadd Owens(or as rap erodby the le p sect crinnts. 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 completions INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work rosy isle unless the licensee provides proof of liability insurance including-completed operation'coverage or its s.heteotid equivalent The unassigned certifies that such coverage is in face,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0(Specify:) I certify,Oder the pallets andp °foQiesy,that the information ore this application le one and weepier. FIRM NAME: FL 1ler tleckr-tc. 0l r xlr\y LIC.NO.: A (017 Licensee:_t'at1CL MaeZne 1 a Signature c. ) -- LIC.N0.: (lfappliooble enter"exempt"in the license line) I 'I Rm.Tel No.c g-1l c-00 30 Address:_G1loA1 illid Terh r 4 "Q(ow t(*v\ Alt.Td.No.8 •Per M.G.L.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 have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent. Owaa/re Telephone N. (PERMIT FEE:i 'O.00)