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Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-19-002772
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.l/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:11/6/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice 01 his or her intention to pertomr the electrical work described below.
Location(Street&Number) 711 ROUTE 28
Owner or Tenant PIER 7 CONDOMINIUM TRUST Telephone No.
Owner's Address C/O R J+ R A OSTELLINO TRS, 711 ROUTE 28,SOUTH YARMOUTH, MA 02664-5138
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 ❑ 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: Renovations to UNIT 41-B.
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 0 In- 1:1No.of Emergency Lighting
At?! 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. 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 ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances ICW 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 fdesired,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. I
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:)
I cernfy,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Aliaksei A Kuharenka
Licensee: Aliaksei A Kuharenka Signature LIC.NO.: 20711
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:564 W YARMOUTH RD,WEST YARMOUTH MA 026731456 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: $75.00
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l.ommomesa&of Massachusetts _ Official Use Only e�
.� 2epartins rf of.-fin J .Permit No. ��� (i �L.
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F,�_ Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS . 1/07) " (leave blank)
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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 1N MK OR TYPE ALL INFORMA77O119 Date: 1/—G —6'
City or Town of: YARMOUTH To the Inspector of Wires:
. By this application the undersigned gives notice of his or her intention to orm the electrical work described below.
Location(Street&Number) .7/( 12.1 ZS' •t A!//4' •
Owner or Tenant Pre-A-- a<•2, 74-1,-T'4— Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ty 0 (CheckAppropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters _
New Service _ Amps / Volts Overhead 0 Undgrd❑ No.of Meters
Number of Feeders and Ampacity
•
Location and Nature of Proposed Electrical Work 4j, %,Z a.` yy'
Completion of the followm_ table may be waived by the Inspector of Wires.
CO .- I No.of Recessed Luminaires No.of Cert.-Susp.(Paddle)Fans Transformers Total
No.of Lnmtnaire Outlets (CVA
ro No.of Hot Tubs Generators [CVA
co w • No,of Luminaires Swimming Pool Above ❑ In- No,oTBmergenry Lighting
O crud. min- 0 Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones
No.of Switches No.of Detection and
No.of Gas Burners• t
Initiating Devices
No.of Ranges No.of Air Cond. Total
Tons No.of Alerting Devices .
No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW' LoralMunicipal
❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:'
No.of Water No,of Devices or Equivalent
No,of
No.of
Heaters KW Si• s Ballasts No.
Wiring
No.of Devices or E.uivalent
No.Hydromassage Bathtubs (Telecommunications irin :
No.of Motors Total HP g
No.of Devices or Equivalent
OTHER:
Attach additional detail if desirect or as required by the Inspector of Wires.
Estimated Value of EIf kcal Work: (When required by municipal policy.)
Work to Start: �I'r'rt 7 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 equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE aBOND 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:,E/,� &'''irt•.t' G,, L,r 5'(��`,Y, LIC.NO.: Z09//-d
Licensee: Afro l er-
c"n Signature LW.NO.:
Alddress applicable, / Qemp `tri the license number(pre,) w
b caert a- e. .....- V Bus.Tel.No.: tD8 e f f 9
��'"'"�- Alt.Tel.No.— F��
j 'Per M.G.L.c. 147,s.57-61,security work requires Department of Isublie 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. 1 am the(check one)❑owner ❑owner's agent
r Owner/Agent
1
Signature. Telephone No. I PERMIT FEE: $