HomeMy WebLinkAboutBLDE-22-005731 Commonwealth of Official Use Only
.i °.1-t--'., Massachusetts
Permit No. BLDE-22-005731
%537
' 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:4/7/2022
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) 327 SOUTH SHORE DR
Owner or Tenant RIVIERA BEACH LTD PARTNERSHIP Telephone No. '—
Owner's Address 20 N MAIN ST, SOUTH YARMOUTH, MA 02664-3150
Is this permit in conjunction with a building permit? Yes 0 No 0 ( � rgox)
Purpose of Building Utility Authorization No. '� ,o,
Existing Service Amps Volts Overhead 0 Undgrd 0
New Service Amps Volts Overhead 0 Undgrd 0 e , �'
Number of Feeders and Ampacity "Prrf''
Location and Nature of Proposed Electrical Work: Replace existing FACP. ,/Completion of the following tabl"AA")
o ed by-the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers s� .__ 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 10
No.of Switches No.of Gas Burners No.of Detection and
Initiatine 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 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 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 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: $115.00
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• BOARD OF FIRE PREVENTION REGULATIONS (Re, ]and Pee Checked
(leave blank) .
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 Chat 12.00
�
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f lf(aop a
City or Town of: \(GrI iJ-01 To the Inspector of Wires:
By this application the undersigned gives notice of
his
or her intention to perfmm the electrical work described below.
Location(Street&N�uenber)3 fl..S7
It i N�11171IYYY_{,)Y 1 Vte.,
Owner or Tenant J(elfti, 8acx SO'i'' Telephone No.8Oi{-pjl5-.195
Owner's Address 3 a'7 a.,v 4 t S),oro br 1 N2
Is this permit in conjunction with a building permit? Yes ElNo (Check Appropriate Box)
cpt
Purpose of Building (o/vyylerc rc I Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: A olqu e�(IS�t1 vQC(6Ai aA-trot (cviel
i c ',ek iPvl- 1( .�k;c Io 20n,et,"
t Completion of the followingmbfe 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. artist. Battery Units
No.of Receptacle Outlets - No.of OIl Burners FIRE ALARMS No.of Zones (0
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
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❑Municnectionipal ®Other
Con
No.of Dryers Heating Appliances ICW 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 BP Telecommunications quig:
No.of Devices or Hquivaent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wbvs.
Estimated Value of El trical Work: as/4tf oft 76 (When required by municipal policy.)
Work to Start: $ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE VERAGE:.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¢J BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
PIRM NAME: AI./Wel AI<_cd , JC.LA-rJ r0 L L.4 LIC.NO.:2Z/3'A
Licensee: efi,l/.t f>'s ,erJaeS Signature 7. ��`-- LIC.NO.:00 7-33 c
(If applicable,enter"exempt"in the license number line.) / Bus.Tel.No..R6 A 616 77Ss r
Address: Alt.Tel.No.: O ?lI�-65d/'E
.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)❑owner 0 owner's agent.
Owner/Aver•
Signature_. _Telephone No. _ P8IfMII I' $ (I 5 �'v
Bc43.-39y s t'-.- /