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Home My WebLink AboutBLDE-22-005700 Cottage #5 ,r..� Commonwealth of Official Use Only fE` 1 Massachusetts Permit No. BLDE-22-005700 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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#5) 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 n No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 3 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 14 l.Osar.a..aitt 4 MadokalidIed Officir Use Only y T5�.� re. Permit NO. C��, 'boo ~ J Occupancy and Fee Checked • :' BOARD OF FIRE PREVENTION REGULATIONS (Rev.1/07) Ieue wink) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfumed in accordance with the Maw Electrical Code( C),527 CMR t2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L(( (a o� City or Town of: /a mi61.(4-h To the Inspector of Wires: By this application the undersigned gives notice of his for her intention to perform the electrical work described below. Leaden(Street&Number) I S Shoi�re. Dr Owner orTesaat QYd . GVe+ Bec,c I�e.sor-V- Tambov/No. Owner's Address Is this permit be anatomies with a balding permit? Yes 0 No ❑ (Cheek Approprfale Buz) Purpose of Baldkg Vt■ty Anhm'Is:afaa No. I Existing Service Amps / Volts Ove+beld❑ Unipd 0 No.of Meseta fitaminiAn Amps / Veks Overhead❑ Uudpr❑ No.of Meters Number of Feeders and Ampatity Lecalsa and Nature of Proposed Electrical Wain enf-&nee 5 Re e(aec(- smoke de f ejors a. ? hi'+hsmnke/r'_n nun w cts.-Replcee. eire-u;i- brec,ter+'err acc.k c ., -F t'Ype. Calvados of the a ybewd bysheh ec reJ<Nbes. No.of Recessed Luminaires No.ofCeB.smp.(Paddle)Fan TOW ltsader�mers KVA at ' No.of Luminaire Outlets No.of Het Tubs Geseratps KVA a ' Above it ate.er r y wag No.of Lmoieshas Swimming Pool ❑ Sad. ❑Halsey Veils . No.of Reeeptede Outlets No.of OB Burners FIRE ALARMS No.of Zoe It ite.of Detect/en and 1 No.of Switches No.of Gas Burners Isidathe Devices Ill ! No.of Ranges No.of Air Cond. T� No.of Alerflug Devices No.of Wash Disposers Heat imp N�ITs I KW No.of SelECeateMed Totals: r T-- os Detediss/Alertlng Devices Ne.of Dishwashers Speer/Ares Heateg KW Leal 0 0 Ober Ne.of Dryers Heather Appliances - Kw No.et er Esl.iodant ...oViibx lea of- Ne.of Data Widow Heaters KW Sfax Baleen TNo oaf Devices or M No.Hydremassage Bathtubs Ne.of Moans Total HP Ne.of Devices err OTHER: Attach additional dell fdedreat w as requirdhy dr.hateeaetarof Wirer. Estimated Value of Electrical Work: _ (When required by municipal policy.) Work to Start Inspections to be requested m acoade ce with MEC Rule 10,sad upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the perfoemmoe of electrical work may isms oaten the licensee provides proof of liability insurance including"completed operation"corsage or its substantial equivalent The undersigned 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) Isar fy,wales the pains aad penalties ofpAIloy,that the Lrfarustew ea this'apnoea'''.le tree a1 eoagbia FIRM NAME: I,,..Ilei tl-er£-riC Onm(aar\y LIC.NO.: A (/I(-IQ Licensee:_Lowe fr'&i7 rift t eta ) IIC.NO.: (lf •enter"exempt':in the license line) Bus.Tel.No. ")S-1l C-06 30 Address: GQ L A f 1;d Ter r 1nl• \I mo k Ak.TeL No 'Per M.G.L.c.147,a.57-61,security wink 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 . By my signature below,I hereby waive this requirement.I am the(check one)0 owner 0 ownr's agent OneterlAgent Sig ature. Telephone No I PERMIT FEE:i 116.0a