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Home My WebLink AboutBLDE-22-005705 Cottage #12 Commonwealth of Official Use Onlyf °Th Massachusetts Permit No. BLDE-22-005705 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 ❑ 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace smoke detector(COTTAGE# 12) 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. grad. 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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:) I 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 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: S80.00 Ael maafaclusemite Official Use Only 2) t4 PermitNo. J7C'� BOARD OF FIRE PREVENTION REGULATIONS ° j sea Fee Chattel APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massechnietts Electrical Code(MEC).527 CUR 12_00 (PLEASE PRINT Al INK OR TYPE ALL INFORMATION) Date: `I 14(era City or Town of: Va(!)'I60 -l'l To the Inspector of Wires: By this application the talersigned gives notice of his or her intention to pafmm the electrical work described below. Landon(Street&Number) I S Shore- !u/r Owner el'Te.aat Qe.,,i .1/4G Ke--i" c_k Rc so c-k- Telephone No. Owner's Address Is rib permit in conjunction with a Waidirg permit? Yes ❑ No ❑ (Check Appropriate Bad Purpose of Banding Utility Authorization No. Existing Service_ Amps / Vas Ovestesid❑ U.dg d❑ Ne.of Meters New See _ Amps / Voles Overhead 0 Uadgrd❑ No.of Meatus ' Number oI Feeders and Asepadty ff a IweaW nor or Nacre of Prmpmed lieetricai Worts: en 1-17/ .P (1)5md Ke d tree- r i i 1-h o. ice%/o .. i Uvi,-4-arc, ,..k-I- ct'_%/IC -1-b c;fokec_k A'irrv:t-I- v-IorKe...\ Commissars<tith lobleatrgmae se y be wawa the lwipeeanef Wbw. a No.of Recessed Lmiadres No.of Can.-Sup.(Paddle)Fans 1Tlransforme s TKVVAA C A L�o I No.of imaire Osatids Na of Het Tabs Gemvratsrs KVA A IAbove I. tee.efEmeryaey Limitiqg No of I imodsaires Pool eruct. ❑ mid. ❑ Battery Units . No.of Receptacle Outlets No.of OR Banters FIRE ALARMS No.of Zeroes Ne.of Detectisa and z. Bantersj No.of%Bebe No.of Gas Banters Initiatina Devices ILl ' No.of Ranges No.of Air Coed. T� No.of Alerting Devices Ne.of Waste Disposers HeaICW Ns.of ScIPCsataited r� Number Two I nr Devices No.of Dishwashers Space/Area Heating KW Loral CICI 0 Odom Ne of Dryers Beating Appliances KW Security Sydow:* at Dinh=srEmnivYat Later Ne.of Nor of Data Viking: Heaters KW Sips Bdads No.of Devices or Telecommmicatlems No.Hydromessage Bathtubs No.of Motors Total HP Ne.of Devices or OTHER: Attocb misbrand detailljdeabad or as tapered by the hupsrorof Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Mart Inspections to be requested m accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may bone unless the ficumre 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❑ OTHER 0 (Specify:) I cadfy,trader the pains and pefflaides ofperjsoy,that the kptwraamdem en this ayp8naabus is one Dad cvaspfek FIRM NAME: F,,.11er Etexf-ric. 0nmkxtny L}C.NO.: )Q HII'1' Liceasee: Londe fcfilem c 1 LIC.NO. (Ifappli able,aver"exempt"in the Namara lined f/- ems.Td.No.•c')Ec-oO 30 Ammer: /46 d 111,d Terh r VI.�Qirrno ik+k AB.TeL Ne 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: lie.No. OWNER'S INSURANCE WAIVER: 1 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(check cos)0 owner ❑owner's nmt. Owner/AgentSignature Telephone Na. I PERMIT FEE:5 S. .60