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
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