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HomeMy WebLinkAboutBLDE-22-005701 Cottage #7 Commonwealth of Official Use Only fl..ittmi Massachusetts Permit No. BLDE-22-005701 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#7) 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 Initiative 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 3 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 perjuiy,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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 C,..o...aak 4'm„„..k.a th Official Use only c�/, c7� r� � Permit No.vZ2 -"5'7 G l a26pad.w.f 4.7i,„s.,.iaa Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1N7] ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massmboactes Ekchical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IRFORMATIOP.9 Date: 4(L(Oda City or Town of: Va rm(u+{h To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Localise(Street&Number)_I 5 560 re�„ LET Owner or Tessin Qe,l ,f�C,Kr-1- Bead'm -Re SorA-- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ Ne ❑ (Cheek Appropriate Berl Purpose of Building Utaty Anther s.No. Esist ng Service Amps / Volta Overhead 0 Undgrd❑ Ne.of Meters i New Servial Amps / Vets Overhead 0 Magri 0 No.of Meters ': Number of Feeders and Ampsdty Loathe and Nature d Proposed ElectricalWork: (tom.#aye 7 KP,llanzs°.(3) 51r)d4e de -ors a. wig 5noK�Pn finr\b urn�ds Rep(nne_ rarya,ca-breaker #o1.ro..C&.I' --h/PC Completing**,lallowtt a Aengy e wand b rkha�ye*s'delf .. No.of Recessed laminalres No.of Cc.-Soap.(Paddle)Fan N of Tea handsrmers Ma pis I No.of Lumiutre Outlets Ne.allot Tuba Gese esters KVA i No.of Luninskes AL et Emergency Legating Swimming Pool d ❑ and. ❑ Nagy um, . No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Tones a Detentes mid F j No.of Switches No.of Gas Burners (motortlat Devices Ill ' No.of Ranges No.of Air Con& Total Ne.of Alerting Devices Ns ef Waste Dhupeeen Heat Pump NurmbaITen KW NE of Detection/ Devices / �s No.et Dishwashers Space/Area Heating KW Led❑C• ❑Other No.of Dryers Heating Appraises KW Security d�or Egnivalesd la ter o.if Ne.of Data Wirimp Heelers ICW Signs BaWta No.of Device ormmunications No.Hydremenage Bathtubs No.of Motors TotalHP T eleco Na of Devices orBaulvalrtat OTHER: Attach addUJonddetail ifdesired or a.required by the da2aeaor of Whoa. Estimated Value of Electrical Work: (When required by nsooicipd policy.) Work to Start Inspection to be requested in accordance with MEC Role 10,and upon conviction. INSURANCE COVERAGE:Unless waived by the owner,no permit for the perfarmeace of electrical work may house union the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivaieat.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE❑ BOND❑ OTHER 0 (Spau'y) I are,ruder the palms end penalties of perjarry,thet doe Womaew ea dais apptl etissa is awe and esesqieden / �j FIRM NAM FLA-r E P,k-r-i c_ c°o M my / LIC.NO.: A (11`t 7 Licensee: Lranee. "Meg/l a-)ey Signature I) - I1C.NO.: (Ifopplkabie,eater"ernmyr"ion the&e.ee a Nice.) Bus.TeL NE .Sa rl- 00 30 Address: Lq<v t1 FYI,d-Tech r VJ.yQ i'Yn0 t. Ak.TeL N..:. *Per M G.1L.c.147,s.57-61,security work requires Department of Public Safety"S"License: tic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer sot hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this rent I an the(check use)0 owner 0 owner's wpm Telephone No. (PERMIT FEE:f .4C7