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Home My WebLink AboutBlde-20-000290 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000290 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:7/17/2019 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) 931 ROUTE 28 Owner or Tenant LAUZON RAYMOND E Telephone No. Owner's Address LAUZON MYRNA L,931 ROUTE 28, SOUTH YARMOUTH, MA 02664-5642 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire two signs on exterior of building. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii: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 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 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 2 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 petjury,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: $80.00 Commonwealth of Official Use Only L. Massachusetts Permit No. BLDE-20-000290 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked lRev.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:7/17/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work descri ed below. Location(Street&Number) 931 ROUTE 28 00 NIP i N lam aU Q 2.2 Owner or Tenant LAUZON RAYMOND E Telephone No. Owner's Address LAUZON MYRNA L,931 ROUTE 28,SOUTH YARMOUTH, MA 02664-5642 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire two signs on exterior of building. 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 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 Heat Pump Number Tons _ KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 2 No.of Data Wiring: Heaters ,Siens 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 perjury,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:$80.00 /� yy��jj C.o► enonmsalth of�//a&lac ftt!C)' Official Use Only f _'/ Petit No. s �D D_ �l_ 2sparimsnt col"ireServices _ = BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-/7 re CMR 1 z.00 City or Town of: YARMOUTH7_t r t� By this application the dersi ed To the Inspector of Wires: Irn gn gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) q' 1 1 :;rc z , S./Aki.u J r1-1 Owner or Tenant 0400,,,S«-1insi- Lat A4s Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building (7al,,,tkuk&-yer,A . Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und gird❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 1� ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �( -; /1,32 rb i Z.-i P'*m er eit Tiii.f 0,�,c.4 (70 Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No of Cet1-S (Paddle)Fans No.of Total -_ . Transformers KVA = No.of Luminaire Outlets -7 _ No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting ***- • end. ❑ srnd. ❑ BatterT Units No.of Receptacle Outlets No.of Ott 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 tal No.of Alerting Devices No.of Waste Disposers Heat Pump f Number I Tons I KW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mupa Connectioniciln 0 Other No.of Dryers Heating Appliances KW 'Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring: Ballasts Signs Na.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: 7_Z4,—r t 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER I certify, under the pains and penalties o 0 (Specify:) FIRM NAME f perjury,that information on this a ication is true and complete. ii ` '`' LIC.NO.:Licensee: �,5 l2i i , —_ (If applicable,enter"erempr in the tense numbeline.) Signature LIC.NO.:�Z�� y Address: S SBus.TeL No.: ,J `Per M.G.L. C. 147,s.57-61,security work requires Department of Public SafetyAlt Tel.No.: OWNER'S INSURANCE WAIVER: I "S"License: Lic.Na. SQ am aware that the Licensee does not have the liability required by law. By my signature below,I hereby insurance coverage n� orrtla Owner/gent waive this requirement I am the(check one 0 ownero eat 0 owner's a t I Telephone No. PERMIT FEE: $ Rex Burger Electrical,Inc. Industrial • Commercial • Residential Generators.Automation MA Lic.A21843,SCLic.3121007 2045 Main Street,Marstons Mills,MA 02648 November 22,2019 Re: Electrical Permit BLDE-20-000290 Mr. Kenneth Elliott Inspector of Wires Town of Yarmouth 1146 Route 28 South Yarmouth,MA 02664 Dear Mr. Elliott; I am writing this letter to void permit numb; •n or about July 17,2009 I submitted an electrical permit application to wire two newly re`i laced exterior building signs on behalf of the owner. At that time,I told the owner I would be able to wire the signs at the end of the summer when the busy season slowed down. As of a few weeks ago,I was told by one of the owners that they were going to have a different electrical contractor wire the signs. At present,no work has been done by Rex Burger Electrical,Inc.,and this permit is no longer necessary. Any such work that has been or may be ongoing,if applicable,was or is being done by another entity. I thank you in advance,and remain, A.J. Pulley Principal Master Electrician Rex Burger Electrical,Inc. ajohnpulley@gmail.com (508) 250-2514 1