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HomeMy WebLinkAboutE-19-2772 a 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 bra!- it(q/g r LJWO • l.ommomesa&of Massachusetts _ Official Use Only e� .� 2epartins rf of.-fin J .Permit No. ��� (i �L. trviafl F,�_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 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 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: $