HomeMy WebLinkAboutBLDE-22-004064 Commonwealth of Official Use Only
1� Massachusetts Permit No. BLDE-22-004064
�—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.1/071
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:1/24/2022
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 23 i,' Jt l )'.3
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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement HVAC. "\
Completion of the fallowing table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ` Total
Transfocntyt'g ,! KVA
No.of Luminaire Outlets No.of Hot Tubs Generaio�y\ , f, KVA
No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emerg f�+t/JJ O
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALA o `+ne?
No.of Switches No.of Gas Burners 1 No.of Detecti O
Initiating De ez
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Dearo
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained J
Totals: Detection/Alerting Devices'
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:"
No.of Devices or Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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: Kung-Po Tang
Licensee: Kung-Po Tang Signature LIC.NO.: 21928
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:518 COTUIT RD,MASHPEE MA 026492351 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
-, : REC IVED
.-.A., .. •afth o` Ma.4.4acitaletil Official Use Oni
'` * - 7 Permit No. �ZZ 06Lf)
. — _>� . .. i JAN N 21 2022 //'f :nl o _tee . eruice3
== ' �iii‘ " -.s Occupancy and Fee Checked
_ -- IL- M S" '. O' E "REVENTION REGULATIONS [Rev. 1/07]Y _c
?t,.��0-6 (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: 1/20/2022
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.
Owner or Tenant Ocean Mist Telephone No. 386-747-9665
Owner's Address
Is this permit in conjunction with a building permit? Yes El No Q (Check Appropriate Box)
Purpose of Building Commercial Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead El Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 4 HVAC units replacement. Units 2-1-3; 246 6
Completion of the following table may be waived by the Inspector of Wires.
Fans No. of Total
No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Transformers KVA
No. of Luminaire Outlets No. of Hot Tubs Generators KVA
No. of Luminaires - SwimmingPool Above ❑ In- ❑ No. of Emergency Lighting
grnd. grnd. Battery Units
No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones
of
No. of Switches No. of Gas Burners4 No. InDetection and
Initiating Devices
Tot
No. of Ranges No. of Air Cond. 4 Tons No. of Alerting Devices
No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained
p Totals: Detection/Alerting Devices
No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other
P Connection
No. of Dryers Heating Appliances KW Security f Devices*or Equivalent
No. of Water KW No. of No. of Data Wiring:
Heaters Si l ns Ballasts No. of Devices or E s uivalent
No. H dromassa a Bathtubs No. of Motors Total HP e eco o f Devices
o ors i��r�ng:
y g No. of Devices 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: 1/18/2022 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 0 BOND 0 OTHER 0 (Specify:) Email Address
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: LIC. NO.:21928-A
Licensee: Kung-Po Tang Signature LIC. NO.:52286-B
(If applicable, enter "exempt"in the license number line.) Bus. Tel. No.:781-68645°6
Address: 518 Cotuit Rd.Mashpee,MA 02649 Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires D ment 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) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $