HomeMy WebLinkAboutBLDE-19-001366 Commonwealth of Official Use Only
% Massachusetts Permit No. BLDE-19001366
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IRev.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:9/5/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 97 SOUTH SHORE DR UNIT 23
Owner or Tenant OCEAN MIST LLC Telephone No.
Owner's Address C/O NEWPORT HOTEL GROUP,28 JACOME WAY,MIDDLETOWN,RI 02842
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Replacement HVAC.(UNIT 230)
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
rnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners 1 No.of Detection and
initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump - Number Tons KW No.of Self-Contained
Totals: Detection/Alerting 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 Data Wiring:
Heaters Signs Ballasts 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 ❑ (Specify:)
I certify,under the pains and penalties o(perjury,that the information on this application is true and complete.
FIRM NAME: JAMES M VENUTI
Licensee: James M Venuti Signature LIC.NO.: 15798
(If applicable,enter"exempt"in the license number lined Bus.Tel.No.:
Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 Mt.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
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:150.00
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_ lammerwreaCth of aseac tlS Official Use Oply2.
. _.`�1= Thaparmenl ot1.7dra Jervien Permit No.
�_ Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS • 1/07j ' (leave blank)
•
APPLICATION FOR.PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Eleeuical Code(MEC),527 CMR 12.00
p i (PLEASE PRINT IN MK OR TYPE ALL INFORM/MOM Date: 9" 5-15
W m ' City or Town of: YARMOUTH
Bythis To the Inspector of Wires:
c application the undersigned gives notice of his or her intention to perform the electri work d bed below.
. ii Location(Street&Number) 9� 3 octin S Cn o re_. 'cr. U yt i' 3-3 u
W d z IOwner orTenant Telephone No.
V V, Owner's Address
W to ° I Is this permit in conjunction with a building permit? Yes 0 No
IX
... 0 (Check Appropriate Box)
ea m Purpose of Building Utility Authorization No.
Existing Service_ Amps / Volts Overhead 0 Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Und
grd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: a VA.c_. r r c^" m 0, \
• Completion of thefollawmvmble may be waived by the Inspector of Wirer.
No.of Recessed Luminaires No.of Ces7.Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Na.of Luminaires Swimming Pool Aboved. d. 0 B❑ In- No.attery Uof lrmergency Lighting —
ttroBronits
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of lletection and —
Initiating Devices
No.of Ranges No.of Air Cond. Ton No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingMunicipal
lL. L0�❑Connection ❑ Otho
No.of Dryers Heating Appliances KW Security Systems:"
No.of Devices or Equivalent
No.of Water No.of
Heaters Na.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
g No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Waring:
No.of Devices or Equivalent
OTHER —
•
V Attach additional detail 0J-desired or ar required by the Inspector of Wirer.
Estimated Value of Electrical Work: (When required by municipal policy.)
U Work to Start: Inspections to be mp
0
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 cov9g a is in force,and has exhibited proof of same to the permit issuing office.D
CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
0
I cemfy, under ttrs and penalties of perjury,that�rythe information on this application is true and complete.
FIRM NAME: 3 amlg gLN M.VC-14t*i E cdt)^;c.. LW.NO.: 9S
5 Licensee: Temc� Alk.Yoe;ul: Signature // . LIC.NO.:
(If applicable.enter••exeregf"in the lipense nwyb lint) Bos.Tel.No.: /ri�
Address. .3o .1oStehs t'e t/�t , (�ecosh&(e„ moa•
J 'Per M.G.L.c. 147,s.57-61,securitywork Alt.Tel.No.: TL' L'f[�![
requires Department of Public Safety"S"License: Lie.No.
— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required
A y law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent
01 Signature Telephone No. I PERMIT FEE: S ,