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Home My WebLink AboutBLDE-22-005699 Cottage #4 Commonwealth of Official Use Only IC` Massachusetts Permit No. BLDE-22-005699 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#4) 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. Total No.of Alerting Devices Tons _ 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 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 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 ❑ (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 lastwowrroad a elc7I aeeac�e tie Official Use Only '''') spa' f of Jrr'�a.Icn Checked and Fee Occupancy Permit No.&;7-Z'16, 9 Ch • BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (ym,yba) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Z All work to be performed inaccordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 V (PLEASE PRINT 4IN INK OR TYPE ALL INFORMATION) Date: (4(,3 L. City or Town of: Va rmael-h To the Inspector of Wires: By this application the undersigned gives notice of his or her intension to perform the electrical work described below. Location(Street at Number) I S 5hore—Dr- owner or Tenant R Ccl Ti O vet- Bec4m Re.SO t-k- Telephone No. — , Owner's Address Ctj 1 Is this permit in conjunction with a building permit? Yea 0 No 0 (Creek Appropriate Ben) Purpose of Building Ut (y ANheriratloa No. Existing Service_ Aatps / volts Overlain*0 Undg d El No.of Meters — New Service Amps / Velts Overhead❑ Uadgrd 0 N..of Meters Number of Feeders and Amenity Lecaisa and Nature of Proposed Electrical Work CArt44. Li Vef(ac.e (2.")SrroKe_d e42c4-nr5 Wjk .. SfY,nke./to uni+s. Qeplaee_ r;re,,',-I- breaker i n,,. ace -CA,L.11- -1.f.ce. CaetpkHo.of the f6llowhocre.sagbrwakdbyateinvaderofWes. ad allo.of Recessed Luminaires No.of Cd.Smp.(Paddle)Pam N a[Tra 'Insformers AA 14 No.of Luminaire Outle*s No.of Het Tubs Generators KVA N.ot irenergamy wrung ve No.of Lmahrainis Swimming Pool Above d. ❑ grad. ❑ JBattery U ' No.of Reoephde Outlets No.of Oil Bunters FIRE ALARMS No.of Tama FNo.of Switches No.of Gee Burners Detection of otal Ili No.Mileages No.of Air Cond. T N..of Alerting Devices Waste Disposers KW1 No.ofSdf: mia Coed No. » Tout:I TT--DetectionDevices No.of Dishwashers Space/Ara Heating KW Load❑ _ 0 Otter No.of Dryers Hag Appliances - KW Security Systeme No.of Devito,or Eewivdst Nair _, No.of N..of Data Wichap Heerlen Sits Bahasa No.of Devices er No.Hydnmasmge Bathtubs No.of Motors Total HP No.of Devices or OTHER: Attach mi i:boat davit ydeaed or as rsydredbv the kapumr of mores. Estimated Value of Electrical Work: _ (When remind by numicipel 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 ante mica the licensee provides proof of liability insurance including"completed operation"coverage or ks 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,ander the pates a*I peaddes ofpetjwy,that the krfarmaiaw ea aids appilatisa Is tree ad oaaglehc FIRMNAIifE: Fuller tlec ric. 0nmppany LiC.NO: A ((/t(Q Licensee: Linde Mad Filea) - LIC.NO. (ref:pliable.aver"exempt'',in the Ikeate line)` ' Bus.Tel.No.:COS-11 S--Od 30 Address:_ to f1 YYI t d Ter1A r W• \iQirOW 1A- v, 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 norm* required by kw. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent. own tune t Signature Telephone Na I PERMIT PEE:$ S(.46