HomeMy WebLinkAboutBLDE-21-006833 Official Use Only
if/. Commonwealth of y
l` Massachusetts
Permit No. BLDE-21-006833
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:5/24/2021
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) 192 SOUTH SHORE DR UNIT 1
Owner or Tenant Windjammer Telephone No.
Owner's Address SOUTH YARMOUTH, MA 02664
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 ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade fire alarm system.
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 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 ❑ 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: BRIAN REZENDES
Licensee: BRIAN REZENDES Signature LIC.NO.: 22213
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:7 GOELETTE DR, PLYMOUTH MA 023601228 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:$115.00
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Commonwealth o/Maddac/moth OfficialUse 33
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(T- ' • Occupancy and Fee Checked
• BOARD OF FIRE PREVENTION REGULATIONS [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: 5 j I I la
City or Town of: 5 o Le\V "44v!fro To the Inspector of Wires:
By this application the undersigned gives notice of his orr intention to perform the electrical work described below.
Location(Street&Number 1 la Sp t,�+h 5iciy€. br t VC
Owner or Tenant WI ca01/1ZeY BeS f j y� Telephone No. �17-3 Ia—c L7e
Owner's Address aq 1 vl + /el(idle ,b Uy , MA 01113
Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service __r_ Amps / Volts Overhead❑ Undgrd ElNo.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: "U'p'1 c2 . e`41S 4_,n 1-- Ne ci\roti 1 s,i S-Ie,M .4-r, �h
alda't;S5OA)16W YU( T-1Yelite. Sl1STkvr1.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil;Susp.(Paddle)Fans K
Trans
formers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires swimming Pool Above In- No.of Emergency Lighting
g grnd. ❑ grnd. ❑ Battery Units
—
No.of Receptacle Outlets - No.of Oil Burners FIRE ALARMS No.of Zones $rf
No.of Switches No.of Gas Burners 1No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Toons No.of Alerting Devices
0Lf
No.of Waste Disposers Heat Pump Number Tons KW tNo.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local Municipal
El Et 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 ofEl trical Work: 63t 960• Cc • (When required by municipal policy.)
Work to Start: 5121 ( 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 7J 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: 4L/W ,a/4,/ F„L6Lkn1'D Z.4 L LIC.NO.: 22213-A
Licensee: Le/Art / zFJ DE S Signature ' LIC.NO.: 00=j 6
(If applicable,enter"exempt"in the license number line.) r' Bus.Tel.No.: e 00`61 L3 75.thS
Address: 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)0 owner E owner's agent.
' .. gnatur —Telep oneli NNoo, ®®� PERMIT FEE: $/I 5.0 0 f
i
A. P. Caputo P.E.
Registered Fire Protection Engineer
Mr. William Murley
RE: Temporary Use of Existing Fire Alarm System & CO Alarms for Windjammer Hotel.
Dear Mr. Murley. 0 Z5o• ct-toe Da2--
This letter is provided to document my recent visit confirming the use of the existing fire alarm
system until the new system is installed. Additionally,we reviewed the location of the one wired
Carbon Monoxide(CO) alarm and battery powered single station CO alarms. The CO devices are to
be located as follows:
Single hard wired CO Alarm—Outside of Mechanical room in hallway.
Battery CO Alarms:
In Guest rooms Immediate adjacent the mechanical room on first floor.
In lobby area immediately adjacent the mechanical room.
In handy capped Guest rooms on first floor.
In Guest rooms directly above the mechanical room on second floor.
Should you have any questions or concerns please feel free to call on my Mobile number.
Sincerely.
i )
0:0 Of ikett,
A. P. Cap o PE al►
NINNY P
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