Blde-20-001342 or Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-20-001342
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:9/10/2019
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) 97 SOUTH SHORE DR UNIT 21
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 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 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement HVA .
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
grnd. 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 ❑ 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 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
(If applicable,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
6ic Q / / i /
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Cornmonareaah 4Maddach dettd Official Use Only
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1Japarfmanf o�, -ire serviced Permit No. 1 Z
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
. 1/07] (leave blank) --
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:,527 CMRI z.00
City or Town of: yARMOUTH ~ /y o
By this application the dersi ed To the Inspector of Wires:
im gn gives notice of his or her intention to perform the ectricaI work described belo . •
Location (Street&Number) 9 7 Se,v•i-r-, f L
Owner or Tenant Telephone No.
" Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No
. 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
ii ` ' Existing Service Amps / Volts Overhead
❑ Undgrd❑ No.of Meters
1 ' '-.. New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
-'- --- "-lumber of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ed,to(c H-V i4 c SX ern 1G.n^1 2.15
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of C01.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No. of Luminaire Outlets No.of Hot Tubs Generators KVA
• No.of Luminaires swimmingPool Above In- No.of 5 mge i.ightm
�rnd.. � rind. � Battery Units
ncy g
No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS INo.of Zones _
No.of Switches No.of Gas Burners No.of Detection and
Total Inrtratin Devices
No.of Ranges No. of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump f Number!Tons I KW No.of Self-Contained
Totals:I I Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKWMunicipal
Local Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No. of
Heaters ' No. of Data Wiring: -
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
Q 01 HLR:
No.of Devices or Equivalent
Attach additional detail if desired or as required by the Inspector of Wires.
v Estimated Value of Electrical Work
J Work to Start: (When required by municipal policy.)
Inspections to be requested in accordance with MEC Rule 10,and upon completion.
E 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 covers a is in force,and has exhibited proof of same to the permit issuing office.
le CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I cep', under theeains and penalties of perfu7,that the information on this application is true and complete.
lr
U FIRM NAME: _)e✓h z S M 1- Fick.iv"C. ".J_vr
Licensee: J eon,'c_S !VI , 14rt d > Signature � L' LIC.NO.: 1 S 7
(If applicable,enter "eagnpt"in the licens,e�ben line.) / LIC.NO.:
Address: 30 S vS ti c S r`,h /,,V G�C • Bus.Tel.No.: - C
"`Per M.G.L. C. 147,S.57-6I,security work requires Department of Public Safety ��Tel.No.: �'
jii _
— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability' Lin.No.
Q insurance coverage normally
required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner 0 owner's a eat.
Owner/Agent
Signature
Telephone No. PERMIT FEE: $