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Home My WebLink AboutBLDE-22-005703 Cottage #10 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005703 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 detector(COTTAGE# 10) 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. Tonal No.of Alerting Devices 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 ❑ Municipal ❑ 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 Euuivalent 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 ❑ 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 A (.osmanaaa(pi o`ii/maocf'imartfa otfwd use Only • dlepe.6.st o�,.fire Services Permit No. �2i S 70`7 y Occupancy and Fee Checked � BOARD OF FIRE PREVENTION REGULATIONS [Rev. (les,,.woo APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfumed in accordance with the Massachusetts Electrical Code(MEC),527 OAR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e{(4 la City or Town of: 1a r/Y1 '1 To the Inspector of Wires: By this application the undersigned gives notice of his or her h electrical to perform the el trical work desenbed below. Location(Street&Number) I 5 Shore- I or r Owner or Tenant f&ci T�c e± BecLd-\ {Zt'_SO r t- Telephone No. Owner's Address Is this permit in emjaoetlu with a buBaBeg permit? Yea ❑ No 0 (Check Appropriate Bea) Purpose of Building Utility Antb.rhalbu No. Esteem Service Amps / Volts Overhead❑ Undpd❑ No.of Meters w ndce _ Asps / vas Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Leesds.and Naareof Proposed ElectricalWosic CoCl LL a9e I koplan. ._ •�C, smoke dd-ec'6r a. ; Wrlh SmntOn rle-l- �ecr. -1,.Plrtne/i,6i(ti. -1- hre&te_r -I-o arc ga.,.V -qpe- * Ones tignofakl6UowiseV tkdegbeindeedbysMbs ocearofFirm t) al No.of Recessed Lmhudres No.of Cell.-Snap.(Paddle)Fans TI Trans formers 1 A a p , No.of Laminate*Outlets Na of Hot Tubs CGeneratorsGeneratorsKVA rJ upon $ No.of Freer Swim's*Pool Above ❑ In- ❑ Bet er Units e9 t[rnd. >fr.d. Battery Units Ns.of Receptacle Outlets No.of OB Burners FIRE ALARMS Nov of Tuns of Detectimi and z.• No.',Switches No.of Gas Burners holliatIng Deevies IL{ ' No.'Mauves No.of Air Cond. T� Alerfhag Devices Ne.of Waste Disposers Heat� N.�►Tws KWI _, o.f of 3�Co l Devices Ne.of Diedrwoshe s Spare/Area Heating KW Local 0 Smelly ggy� t 0 Ober Pie.of Dryers Heatl g Appliances 1[t. eiDakes or EAivale.t N..aft Wailer Ne.of No.of Data WIrINF Heaters KW Slims Bats Nov of Devices or ecommunications No.Hydrae Bathtubs No.of Motors Total HP T Nod OTHER Ansel:additional detail p dstred or as required by the fspeso►of Wires. Estimated Value of Electrical Work: (Vibes requedby municipal policy.) Work to Start Inspections 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 egnivalst 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❑(Specify:) I cerdJy,ander the pairs ad pawkier ofpesjwy,that the btforrastiest an dds epp6neden b ewe ad cepfete:n RM FI NAME: FL(ler 'El�riric. Onr r'ty LIC.NO.: IV (01-19 Licensee: La tVe. Mag4e(11 eI , ) -- LIC.NO.: Address: A(If applicable,ester i in d T 1)r lite license line.) • ,, f�LU l�( Bus.Tel.No.:CoS-11,,C-06 3O vs, All.Tel No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability imma.ce coverage mtmmlly required by law.By my signature below,I hereby waive this relent. I am the(check one)0 owner 0 owner's agent Owner/AgeuSignature rt Telephone No. I PERMIT FEE:$ SO.oa