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Home My WebLink AboutBLDE-19-001663 � �a .. i aCommonwealth of Official Use Only kr Massachusetts Permit No. BLDE-19-001663 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:9/19/2018 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 descri?be•w. 21 I Location(Street&Number) 97 SOUTH SHORE DR UNIT 21 - Owner or Tenant SHORE ROAD ACQUISITION 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 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:_ Replacement furnace. 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- 1:1No.of Emergency Lighting grnd. gnd. Battery Units No.of Receptacle Outlets No.of OB 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Siena 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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 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:$50.00 `� z/1lib g A Cunrno. mon&of tr/aasac tie 'official Use Only 3 y cy / Ss Permit No. �� C " (tp(p 3 =..�f a .[JsParfinant o! sroiue f T BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • ev. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1200 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9.' /9—/1 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) 9) Sa,.s Short. Dr. Ocsen /v1 est— vAt ler 24 __ Owner or Tenant Telephone No. F Owner's Address ' v w Is this permit in conjunction with a building permit? Yes ❑ No❑ (Check Appropriate Boz) r Purpose of Building Utility Authorization No. w Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters L ''-' O New ServiceAm ❑ Und O ps / Volts Overhead gid 0 No,of Meters I�� o I NuMber of Feeders and Ampacity } Location and Nature of Proposed Electrical Wo : w;�, n 'f t t-Crr+tll -ctn."-ctn.",etc,. vitt t r Z.I' nlm ,/T Completion of thefollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires NoFans of Cert Susp.(Paddle) • o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- Natto.of) Unimergeutscy Lighting rind. Brad. 0 Battery No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners ' 10•of Detection and Initiating Devices To No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump'Number'Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers SpacelArea Heating KW' !dialMu�ciPa1 — Connection � �� No.of Dryers Heating Appliances KW Security Systems:* — No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: — r No.of Devices or Equivalent L OTHER • O (,f Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) U Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. r INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless L the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The g undersigned certifies that such cov a 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 thins and penalties of perjury,that the information on this application is true and complete. SFIRM NAME: J m e c, NI_ Vets 0 ee t.— LIC.NO.:Ai 579 y Licensee: ^ �`, M . I�e t J Signature ��..t11(1 (Ifapplicable.enter`peempt"in ti¢elicensjnwnberline) Lel.NOo.•. CO Address: 3c ,\o*,teitIS Y.:m W , 15%en g blt_ • AltBus.TeLl.No.` ____ j 'Per M.G.L.c. 147,s.57-61,securitywork requiresAlt TeL No.: r .lad 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 trequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's ag t t Owner/Agent al Signature Telephone No. I PERMIT FEE: SSLY I