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Home My WebLink AboutBlde-20-001344 or Commonwealth of Official Use Only � � Massachusetts Permit No. BOLDE-20-001344 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 pertorm 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 ❑ (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 HV 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- ElNo.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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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 ( A 9b diel -. C.-orrunonrusa th o////a46achu4ettsOfficial Use Onl y424. i ,/ � r- g,t eP�ani of services Permit No. 80ARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked tRev. 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: 9'- I C)-1 T City or Town of: YARMOUTH To the Inspector of Wires_ By this application the�mdersigned gives notice of his or her intention to perform the 1ectrical work described belo . Location(Street&Number) 9 7 �a,� `< o C& Cc - Owner or Tenant ,. Telephone No. Li Owner's Address �, _ Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate 1 Purpose of Building PP P �Box) f Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd - !! ❑ No.of Meters C'`' ?� New Service LLi ;v:, jE Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity C0 "" Location and Nature of Proposed Electrical Work: /J 00 .__..,,. ...�_. kt„elece.. H-i/" G S rr") IZn-7* vZiCf Completion of the following table may be waived by the Inspector of Woes. No.of Recessed Luminaires No.of Cen.-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 Lightmg =rnd. mid. � Battery units No. of Receptacle Outlets No.of 0H1 Burners FIRE ALARMS 1No.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 No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water , 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: Q OTHER: No.of Devices or Equivalent V Attach additional detail if desired or as required by the Inspector of Wires. 6 Estimated Value of Electrical Work U 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 c�overs a is in force,and has exhibited proof of same to the permit issuing office. .c CHECK ONE: INSURANCE LH' BOND ❑ OTHER ❑ (Specify:) I certify, under the airs and penalties o P�fY) P fPerfu7,that the information on this application is true and complete. U FIRM NAME: e✓�cS E/c.c i�n L err Licensee: .� S M , Signature LIC.NO.: �r cr►z� ' • (If applicable,eaterG"��` LIC.NO.: e, npt in the license ber line) Address: 3O 10� c h S fl fe E. Bus.Tel.No.: - c j "Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety _ Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No. 5� insurance coverage required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner o Owner/Agent ❑owner's a ent Signature al Telephone No. PERMIT FEE: $