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Home My WebLink AboutBLDE-22-005704 Cottage #11 Commonwealth of Official Use Only ft1 Massachusetts Permit No. BLDE-22-005704 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# 11) 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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 ❑ 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 IZ, C..a„.„..Aol yn�e Mehl uwOnly w:_ dJepaefiwenf e/tiro pia., Permit No. �Z S'7Q v Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Revy�( e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I2.O0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4(4(era City or Town of: yes rly-0, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical wink described below. Leanne(Street&Number) I S Shore Dr ow.orTenaat R dct ,j�c,Vp+ 13PasS, "Qcsor-A- TelephanmNo. : Owner's Address i Is this permit is coajaaetloa with a heading permit? Yes ❑ N. ❑ (Cheek Appropriate Bea) • Purpose of Beading Utility Authorization No. j Existing Service Amps / Vohs Overhead❑ Undgi❑ Net.of Meares New 3erwlre — Amps / Volts Overhead 0 Undg d 0 No.of Meters ': Number of Feeders and Ampadty Leaden and Nature of Premised Electrical Woric C -I-I Il �eplae,A(i,srnoie de�PcJI-or I (n } .. Wtl-hn SrruiKe/C'n l'�imbn un�f. Sh5/rl /tV1QfN, c.( AaJior.+a +eei- Ciro ctit�L, Cerspldlatort1efoaaw tkrIttearyeeudreditiaMisIrelaratMtra it'C' No.of Recessed Lemiadres Ca No.afCeR.-Saep.(Paddle)Fans Transformers KVA A No.dLasnio•ke Oafhua Na OHM Tabs Gersareere KVA st Emergency upon; k No.of Lamdaaires Swimming Peel Above ❑ gra ❑ attery Inks . No..(Receptacle Outlets No.of Oa Burners FIRE ALARMS N..of Zones Z of Detection and t. No al Switches No.of Gas Burners Initiates Devices Ili ' No.efRanges No.of Mr Coed T� Ne.of Alerting Devices N.d Waste Disposers Heat� Number(Toss I KR De efien D evices No.of Dlskwsakss Space/Area Heating KW Local 0 0 Other No.of Dryers Heating Appiaaces KW Security d=w Equivalent W oR ems— Ns.of Data Tdeammo Devices No.Hydrate:na ge Bathtubs No.d Meters Total HP Nw ofDeviae or OTHER: — A#ach additbrwl detail ifdesired era required by the lauisusr cf Mfrs Estimated Value of Electrical Work: (When required by namicipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon campittioa. INSURANCE COVERAGE: Unless waived by the owner,no peace for the peefamaece of electrical weft may Moe mime the licensee provides proof of liability insurance including"completed operation"coverage or its aabstaodal equivalent.The undersigned certifies that such coverage is in force,and has exhibited goof ofsame to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,ander the pains and Pe ofpesirtry,that the Lrfaraseden on this application d arse wit 1es aplsoe, FIRM NAME: Fuller Ele rie ('1 rr arvy LiC.NO.: A (iiti Licensee: Larsen Thu fern e Sigatere c LIC.NO.: (lfapplic able,aver"exesnpr"M the lkeane line) Bus.Tel.Ns.:CIS-1 l C-06 30 Address: Lglo AI Ill,d Tech r v4 `i4rnio ltii6 Ark:TeL No.: *Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement.I am the(dock one)❑owner 0 owner's agent Signature Telephone No. I PERMIT FEE:$ %.0a