HomeMy WebLinkAboutBlde-19-001433 Commonwealth of Official Use Only
Permit No. BLDE-19-001433
tIFIN Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.1/07]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i t
All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 ('Z�3C
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/11/2018 en-d C t\11)`-'1' 173
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives no ice o is or her men ion o per orm a ica w scribed below.Location(Street&Number) 31 STONEY HILL DR V t U•C_ ,( / `..
Owner or Tenant DUARTE TAD A Telephone No.
Owner's Address DUARTE DEBRA L, 31 STONEY HILL DR,SOUTH YARMOUTH,MA 02664
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 ❑ No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wiring for basement area.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 9 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 14 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 7 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 0 Municipal 0 Other:
Connection
No.of Dryers 1 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 perjug,that the information on this application is true and complete.
FIRM NAME: A J PULLEY
Licensee: A J Pulley Signature LIC.NO.: 21843
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 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:$75.00
$40(e,t1 I/ic I I 8 'e.g
(to(Lf l ( ci -
R
Cnunonuwsa[lh of P addac l>`J Official Use Onl
fy
_- IIr LJsParfinartt ot7iav Serviced PermitNo. ✓4-j :.
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
' '``l` [Rev. 1/07j (leave blank)
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code ,52r 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: I 7tjiO
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) 31 5 I I,\l U r
Owner.or Tenant .y 6 1 11 aN C i; Telephone No.
el Owner's Address 5 cl �j7^�'���
1 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
`tom Purpose of Building C W�(1l i .
f\ ditty Authorization No.
tExisting Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters
Y� _ New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
r. Dumber of Feeders and Ampacity —
j `moo w 4,ocation and Nature of Proposed Electrical Work:
z c�m1e,1� iN�!'IJV� Flb r br�s�me�i�
1
awn` 'a ' Completion of the following table may be waived the
w � q by Inspector of Wires.
!No.of Recessed Luminaires 1 No.of Cei7.-Susp.(Paddle)Fans No.of
Transformers Total
%.Q [J= .Q I-N o.of Luminaire Outlets No.of Hot Tubs Generators KVA
ILI" c � No.of Luminaires Swimming PoolAbove ❑ In- ❑ BNaott.oefr yE mneLighting
i tre ncY htin
giM _.. _. s� g d. Qrnd.
Receptacle Outlets
o,of N
.,_ _ _�-�.,._�__..: i 9 No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners 'No.of Detection and
Initiating_Devices _
No.of Ranges No.of Air Cond. To No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number'Tons !KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
Connection 0 Other
No.of Dryers I Heating Appliances K, ,Security Systems:*
No.of Water No. No.of Devices or Equivalent
of No.of Data Wiring:
Heaters KW
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 El trical Work: a.70
, (When required by municipal policy.)
Work to Start: 11!71D 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 ❑ (Specify:)
I certify,under the il,ins penalties o perjury,that the information on this application is true and complete.
FIRM NAME: I♦� 0 Ci.e.r L,p4-t-NC "CAC. LIC.NO.:
Licensee: M .�V1 '1 Signature LIC.NO.:
(If applicobl rater"ex t"to theice numb fine.) 1 it' I 'l Bus.TeL No.1- -� rji u
. Address: ,jj C El RIP ON 5T iti s-Si'o�' Nils 0 0`1 Alt.Tel.No.: t
J '"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 norm
S required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent.
Owner/Agent ( PERMIT FEE: $ 7 5�
I Signature Telephone No.
ire gar•or E Inc
Industrial • Commercial • Residential
Generators.Automation
MA Lic.A21843,SC Lk 3121007
2045 Main Street,Marstons Mills,MA 02648
October 2,2019
Re: Electrical Permit Expiration
Mr. Kenneth Elliott
Inspector of Wires
Town of Yarmouth
1146 Route 28
South Yarmouth,MA 02664
Dear Mr. Elliott;
I am writing this letter on behalf of Mr. Guillemette,the owner of 31 Stoney Hill Drive in South
Yarmouth. Mr. Guillemette has been self-managing and working on his basement remodel for some
time. Due to constraints with spare time and financial budgeting,his remodel project has taken longer
than he expected. Rex Burger Electrical,Inc. applied for an electrical permit in September of 2018,
and we have since requested a rough inspection for work done. Finish-related work has progressed,
but not to completion prior to September of this year.
Per 527 CMR 12.00 Rule 8,I am requesting that an extension of my electrical permit for this project
be extended to no later than December 31,2019. I would like to afford Mr. Guillemette the
opportunity to have us finish his electrical work and have it inspected without purposefully
circumventing the proposed changes in the upcoming 2020 Massachusetts Electric Code.
I thank you in advance,and remain,
A.J. Pulley,
Vice President
Rex Burger Electrical,Inc.
ajohnpulley@gmail.com
(508) 250-2514
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