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HomeMy WebLinkAboutBLDE-22-005154 'of. '''' q/156 Commonwealth of Official Use Only itt.'11% Massachusetts Permit No. BLDE-22-005154 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:3/16/2022 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 1C 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install five E.V.charging stations. 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grrnd. grnd. Battery Units No.of Receptacle Outlets 5 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 P Totals: Detection/Alertina Devices Space/Area HeatingLocal ❑ Munici al No.of Dishwashers P KW Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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: ROBERT D GREER LIC.NO. 26793 Licensee: Robert D Greer Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 140 PEACH TREE RD, MARSTONS MLS MA 026481841 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 re'. - aw.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent VIM Signature Telephone No. PERM FEE: $80.00 Thc it ef4A u1r 0 7h,bz/i: -- =IP 6,),41-,_ p,(7,,r,e6 l 1/ - ) r 1/,,,,„ 1 ECEIVED -..: - Commonwealth of t'//addach�cdetts Official Use Only I MAR 1 �' _�_ c'� �cc77� ) , 1 l A 2eparfmcnrt . `ire Serviced Permit No. ( �`}' l:�= ' o BUILDING U I L(U I N C� iJ r T Occupancy and Fee Checked _ _ _;._ BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] eave blank APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code NEC),527 CMR 12.00 (PLEASE PRINT IArWK OR TYPE ALL INFORMATION) Date:________ ______La a City or Town of: YARMOUTHe Wires:ector of By this application the undersigned gives notice of his or her intention to perform the�ctrical work described below. Location (Street&Number) 73-" .� A D ri: 6 r Owner.or Tenant Owner's Address � Telephone No. �� t�d j/ Is this permit in conjunctio with a building p Yes No �/ Purpose of BuildingI — L (deck Appropriate Box) ! " "�� Utility Authorization No. Existing Service, d 11 Amps J Volts Overhead 0 Undgrd�' V/ No.of Meters New Service Amps / Volta Overhead❑ Undgrd Number of Feeders and Ampacity ❑ No,of Meters Location and Nature of Proposwl Electrical Work: '- ,5 4-4` ion 0 r1 P4 rk�vl z�v �` ti'"✓ Completion theof ��d' following table may 1fe waived by the Inspector of Wires, oe No.of Recessed Luminaires No.of Cei1.-S (Paddle)Fans No.of Total �• Transformers gVA No.of Luminaire Outlets No.of Hot Tubs - Generators ICVA No.of Luminaires Swimming Pool Above ❑ In_ �No.of Emergency Lighting - - :rnd. °rnd_ � Battery units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges To Inmatnnz Devices No.of Air Cond. Tons 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 Low❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Whin Shots Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER No.of Devices or Equivalent L 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: IZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such c•v .ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 2 BOND ❑ OTHER 0 (Specify:) I certify, under the gins and penalties o perjury,that the information on this application is true and complete. FIRM NAME: n.6(0 t P `Pen Licensee: ! LIC.NO.: `Z Signature gel/li;�i,v cZI. LIC.NO.: (Ifapplicabl te�r '•_exempt in the licence r line.) f/Address: �G1i`tY`eb� /�cfP,7L6115' ///r//S / C ��p Bus.Tel.No.- I r W ►�� J Per M.G.L.c. 147,S.57-61,security work requires Department of Public SafetyAlt.Tel.No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liabilityLin.No.."—____ ----- - � law. insurance coverage n �ly S re required Agent By my signature below,I hereby waive this requirement I am the(check one ❑owner ❑owner's a env Telephone No. PERMIT FEE: $ cf0i