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Home My WebLink AboutE-19-2768 t Commonwealth of Official Use Only .fan. Massachusetts Permit No. BLDE-19-002768 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev.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 PRINTININK 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 of his or her intention to pertomt 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 ❑ 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations to UNIT 21. 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 Rind. 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 KW Security Systems:* No.of Devices or Equivalent No.of Water KV 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 0 (Specify:) I certify,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 LTC.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: $7100 ee ►c( /tg e F�rflgt. ✓4Pa)1 - : ® Mt�� Commonwealth 0/Itlaeeacluaelle O cial a On 1 v ? cc�� c7 ��77 Permit No. � — `L� l iNa p Th lmani o Jiro Jeraices -Hit'', r olar aii. S Occupancy and Fee Checked . w/ BOARD OF FIRE PREVENTION REGULATIONS i Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //- (—/7 City or Town of: Ynvxµ.9—it To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) P// Az es sr 2/ Owner or Tenant Pity .7' 4)N-r.hn.,H:kaft ¢r s-e$ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building 4.-.4 Utility Authorization No. Existing Service_ Amps / Volts Overhead ❑ Undgrd El No.of Meters _ New Service _ Amps _ / Volts Overhead❑ Undgrd ❑ No.of Meters _ Number of Feeders and Ampacity ocation and Nature of Proposed Electrical Work: J,_$4. a ie r a / /eeyso,„..eede e, Completion ol'the following table may be waived by the lnsp�etor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total (, Transformers KVA w No.of Luminaire Outlets No.of Hot Tubs Generators KVA R.: I- No.of Luminaires Swimming Pool Above ❑ fin- ❑ No.of Emergency Lighting I¢ grnd. grnd. Battery Units .. N ¢ W Co I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and (,? 0 Initiating Devices al I J No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained i n No.of Waste Disposers Totals: — Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P 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 IIP Telecommunications 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: fk 6'--if 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Coastal Light Electric ry/ LIC.NO.:2071 1-A Licensee: Alex Kuharenka Signature /-��` LIC.NO.: (If applicable,enter"exempt"in the license number line..) Bus.Tel.No.•508-P74-9981 Address:46 Nickerson Farm Way, S. Yarmouth, MA 02664 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent._ Owner/AgentPERMIT FEE:$ SignaatureureTelephone No.