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HomeMy WebLinkAboutBLDE-22-005698 Cottage #3 Commonwealth of Official Use Only .ten441 Massachusetts Permit No. BLDE-22-005698 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: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 ❑ (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#3) 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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained 2 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 S4 Comm:wowiii elc7yI7� #O�;r use __ Y = Jiro Snvicw Permit No. l'�2�-"5`c-DC'( i �` Checked BOARD OF FIRE PREVENTION REGULATIONS `yandF«dub) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Masseclanetts Electrical Code(MEC),527 ChM 1200 Id C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: `f( (era City or Town of: yes flYlO To the Inspector of Wires: f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. v Loads'(Street&Number)f� _I S Shore I I `1 Owner or Tenant K eel Tx, �GV e,+ 1 Jecic.1,-). Rc So r-- Telephone No. Owner's Address C1 ' Is this permit in coajoctieo with a Miaow permit? Yes 0 No ❑ (Cheek Appropriate Box) Purpose of Betiding Utility Authorization No. 4) ; Ex6Wg Service_ Amps I Volts Overload El Undg d 0 No.of Meters New Service _ Asps / Vohs Overhead❑ Undgrd❑ No.sot-Meters p ' Number of Feeders and Ampmity Location and Nature of Proposed Electrical Work &}{age ."4 Qua o (2)is e clef c c+cts .. i w,+h sniaP.e%o t1OMbf cthl+s 'ZPgIac( Ci rc.ss.I breaker#o an arc tit. ilpe Completion ofueFollowi g-�NNkdkoeuo[ '1' asJ be,adwdby de IieeadofWbrs. t_it No.of Recessed Luminaires No.of Cat.-Sap.(Paddle)Fans Transformers KVA 4 No.of Lumioke Oathtts No.of Bet Tabs Generation KVA A I Above on In- 1-1 Ito.et Emergency upping No.of L..daaires Swimming Peal gm, ❑ gad. ❑ Battery Oaks . Z.4 , No.of Receptacle Outlets No.of OF Burners FIRE ALARMS No.of Zs.a No.of Switches No.of Gas Boners z- lsitl•tia[Devices Ili ' No.of Ra.Bes No:of Air Cond. T� No.of Alerting Devices ed No.of WauteDispse s Heat Number IToa KWI Devices No.of Dishwashers SpaoelArea Heating KW Laud 0 C ❑Other No..f Dryers Hem APl+Raaees Kw Security Ns.d er Ee.lvalmt WVWiaer oTr-a— No.of Data Wirier KW Heaters —NW— Babas No.atDevices alat Tdeumm. m gllL1.yy No.Hydsemamage Bathtubs No.of Motors Total HP No,of Devises or EY.ly lent OTHER: ` Attach addhiond detail Ideabad or as repined by the leupo.or of Wks. Estimated value of Electrical Work: _ (When requited by moicipel policy.) Work to Start Inspections to be requested in aocadance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work nay tame alms the licensee provides proof of liability insurance including"completed operation"covaa@e or its awl 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❑ (Specify:) I eertitt,ander the pains and penalties ofpAJa/p�,that the htfa..tadea ea this appscrdau is kite ad c.a iuteFIRMNAME: FLI(df 1fC r(C.. l Are\f my LK.NO.: AlIV (ff Licensee: Lane:° Theleg/lpm e ) LIC.NO.: (ffappllaable.aver"craws':in the license line.) Bea Td.No.:SIR-1 l C-Co 30 Addres: II In l Ill,d Tech r \"1. 7`'r{rno LA t 1 Ale.TeL No.: _ 'Per M.E.L.i c.147,s.57-61,security work requires Department of Public Safety"S"Erase: Lie.No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability imwrace coverage normally required by law.By my signature below,I hereby waive this relent.I am the(check one)❑owner 0 owner's meat Owaer/re Telepwee No. I PERMIT FEE:$ So.06