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