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HomeMy WebLinkAboutBLDE-22-005760 Commonwealth of Official Use Only E"„: Massachusetts Permit No. BLDE-22-005760 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:4/8/2022 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 2C 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 App riate Box) Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 o.oAN s New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity �j ALocation and Nature of Proposed Electrical Work: Replacement HVAC(ROOM 203) <4;:r‘r.r. °2-> Completion of the.following table ma e aty b h nt or of Wires. No.of No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans J\ otal Transformers < ye KVA No.of Luminaire Outlets No.of Hot Tubs Generators y ° ') 1 KVA No.of Luminaires SwimmingAbove ❑ In- ❑ No.of Emergency Li 1(Pool 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 0 Other: Connection 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 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 ❑ 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 my 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 RECEIVED ECE IV E D `+ C mah o` m shmatt e Official Use Only r• 0 8 2022 owa ''4ife?P Permit No. 22-57 6,0 F _�rPartmnt oi7iro Serviced G DEPARTMENT Occupancy and Fee Checked N ' J----,.aRanPflRE 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 cC (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: `{/g l Z Z O City or Town of: YARMOUTH To the Ins ector of Wires: V By this application the undersigned gives notice of bis or her intention to perform the electrical work described below. 6 Location(Street&Number) 9.? 5c..Ti-v s+-,z.2 17r. V N.7 2 0 0 Owner or Tenant (ems,-7 M I r Telephone No. Owner's Address `j Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 14 Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity - Location and Nature of Proposed Electrical Work: H V yr-L '. of cry cot- i kg A, Completion of the followingtable m be waived by the Inspector of Wires. Q., No.of Recessed Luminaires No.of Cell:Snap.(Paddle)Fans No.off 1 otal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA '1• No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting and. Rrnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.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 Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑M Connection cipal 0°ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Ballasts Signs Data Wiring: 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: 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 c�ove9S a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE II,}'BOND 0 OTHER❑ (Specify:) I certify,under thip_ulns and penalties of perjury,that the information on this application is true and complete. FIRM NAME: J Gm,c_5 fe'] V.,J`l r o1v-, //// LIC.NO.: /}I S 7 c7 cY Licensee: J,,,,,c Al VCn,t Signature 4 .. ' LIC.NO.: (If applicable,enter"awing."in the license numbeline.) ��—/// . US;chS T Bus.Tel.No.. L/2c-7oo Address: ,3n o w ' /S='»Sr-�(c-- Alt.Tel.No.: bc/8-S" E,Er' °Per M.G.L.c.147,s.57-6I,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ is ` � i;! ;�,�r .-�