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HomeMy WebLinkAboutBLDE-22-005702 Cottage #9 Commonwealth of Official Use Only ,((LMassachusetts Permit No. BLDE-22-005702 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 ❑ 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#9) 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 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal D 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 0 (Specify:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lance A Macenemey Licensee: Lance A Macenemey 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 &, Cmunenweek a<Maesaclumeth Official Use only V__ .2).pag...1 4 Permit No. Zz7c� Occupancy and Fee Checked . BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07) (leavebtak) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massarhmetts Electrical Code(MEC).527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L((4'aa City or Town of: Va rn')nitia-h To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descrbad below. Local.(Street&Number) I S Shore Dr Owner or Tenant QeJ ,f,ore,ve+ dr, (Rc_so r{- Tdephore No. Owner's Address Is this permit is wajoetiea with a budding permit? Yes 0 No 0 (Cheek Appropriate Bee) Purpose of Buidiag Utility ANbrla tIuu No. Exbdsg Service_ Amps / Volts Overhead 0 Undgrd 0 No.if Meters New 3vvkg _ A®ps / Volts Overhead 0 Uadgrd❑ No.of Meters - Number of Feeders and Ampadty Leads.old Naatue of'mimed Fkctrlal wont 0"ffe q e., 9 Repla e.e (I)Srn6 et. ciefeaor W I a. I Smoke/P.o Comb Uy rl r.i ra i,-i-brec r - r '-xruler, deicer 'S'u n on U.r;,-I- In ruin'ts flu.-Cw,Qf CaaphSaa of the idowrgm6Je salty be matvedb rte its babre nv& 1Vo o[ Toad No.of Recessed Luminaires No.of Col.-Snp.(Paddle)Fan Tra.dormers KVA AI KVA No.of Lmhaire Oatleta No.of Hot Tabs Generation $ No.of L res Swimming Pool Above ❑ is. ❑ Baer Units trey 1 rg.BK grad. !Land. Battery Units . i No.of Rreeptade Outlets No.of OBE Burners FIRE ALARMS No.of Zoo FWe.of Detect/se awl j No.',Switches No.of Gas Burners Initiating Devito IU ' No.of Ranges No.of Air Cond. Tom No.of Alertl g Devices of Waste Heat Pimp Number ITon I KW No.of SdFContaied No. Disposers Totals: I T-- Detection/ Devlea s No.of Dishwasher SpaedAres Heal.g KW Local 0�. 0 Other No of Dryers Heating Appliances Kw Newity Pia at Devices or Equivalent No"(Water KW Na el No.of Data Widow Heaters --* Bedsits Ns of Devices or ,relecommunicatians 1� No.Hydtromasage Bathtubs No.of Motors Total HP Ns.of Devices or OTHER: ` Amick add tionddetatt y'destred was rgrirdbp the inpaaar of Mina. Estimated Value of Electrical Work: _ (When required by onoicipal policy.) Wait to Start Inspections to be requested in aceordsooe with MEC Rile 10,and upon compie6os. INSURANCE COVERAGE:Unless waived by the owner,no permit for the petformmce of electrical wait may issue soles the licensee provides proof of liability insurance including"completed operation"coverage or is 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 con Older the pains and penalties ofperfasy,that the information as this application is oar and csmpiere FIRM NAME: Fearer Elerfrl. 0nre\(xtny LIC.NO.: A (//(pi) Licensee: i4i)Cr° e'f_e m e�{ LIC.NO.: (lfapplicable,aver"exempt"in the license rhpnber lineal 1/- Bus.Td.No.:4'ig-11 C-OO 30 Address: lq lv A YYI)d Tec_k I))r 1/4 11-mo IA , AIL TeL No. 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"Licence: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nomslly required by law. By my signature below,I hereby waive this requirement.I am the(check one)❑owner ❑owner's meat Signature Telephone No. (PERMIT FEE:$ .oa n -a . . ,t