HomeMy WebLinkAboutBLDE-21-005649 (2) a' Commonwealth of Official Use Only
"L_ ,I Massachusetts Permit No. BLDE-21-005649
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:3/31/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 39 CHANNEL POINT DR
Owner or Tenant KENEFICK JOAN E TR Telephone No.
Owner's Address C/O THE STORAGE SHED;ATTN : FRANK, 275 BAILEY ST, CANTON, MA 02021
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 ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace two exhaust fans&add receptacles in two bath rooms.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 4 No.of Ceiil: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 2 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
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
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
HeatersWater KW No.of No.of Data Wiring:
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 perjury,that the information on this application is true and complete.
FIRM NAME: Rex A Burger
Licensee: Rex A Burger Signature
LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 17037
Address:2045 MAIN ST, MARSTONS MLS MA 026481864 Bus.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.:
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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$75.00
I
PJL1K .3/ /74 -
14 Comnwnwsa/ri o/f7asoac% Official Use Only c
.,3 .. • `' Permit No. � c� 't
D
`,f _ : 2)spa tmeni o/.Z a Services
pan
BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occu1/07]cy and Fee Checked(leave blank)
4 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: 3/ 3 0/a 0 a,
(.6 City or Town of: r loboi4-L, To the Inspector of Wires:
vBy this application the undersignyo
ves notice of his or her intention to perform the electrical work bed below.
Location(Street&Number) 3 9 C h A N h e. I Po l n f- ,D ri v.e t.%) e Va r fr 10 v-FL
Owner or Tenant K e n cz Ci G K Telephone No.
41 Owner's Address ,c c Z.
0 Is this permit in conjunction with a building permit? Yes
L/J No ❑ (Check Appropriate Box)
4 Purpose of Building O t„t e.l 1 I v% Utility Authorization No.
Existing Service Amps ) / Volts Overhead 0 Undgrd❑ No.of Meters
3 New Service Amps / Volts Overhead❑ Undgrd
gr ❑ No.of Meters
• Number of Feeders and Ampadty
"" Location and Nature of Proposed Electrical Work: e?c v.I\q S+ -�at N c 1.11 4 I.-).J )
t, ha+-kroo,45 av 1 ,Aid do ,ip}-01JO 1-Z- IA Q.ac.ti.
vt
Completion of the following table may be waived by the 1nsyecfor of Wires.
No.of Recessed Luminaires L( No.of Cell.-Snap.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.otLaminalres g pal Above In- No.of Emergency Lighting
mi
°g grad. ❑ grad. ❑ Battery Unite
`/ No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones
No.of SwitchesNo.of Detection and
No.of Gas Burners Initiating Devices
tal
l 1_? No.of Ranges No.of Air Cond. To No.of Alerting Devices
No.of Waste Disposersns
Totals:
Pump Number Top: _._KW No.of Self-Contained
Totals: "'��`� Detection/Alertin Devices
No.of Dishwashers Space/Area HeatingKWMunid
p Local❑ Cytonnection 0 Other
No.of Dryers Heating Appliances KW Security
o'f Devices or Equivalent
No.of Water� KW No.of No.of Data Wiring:
HeaSigns Ballasts No.of Devices or Equivalentiva• _
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsof Devroro Egquivsient
OTHER:
Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: // 0 0 0. O d (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 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 miss penalties ofpe ry,thatthe infotma ion on this application is true and complete.
FIRM NAME: x y r a eC_ etc 0,. NC• LIC.NO.: A17637
Licensee: Signature LIC.NO.:
(If applicable,enter"exempt"in e license nu line.) Bus.Tel.No.:r04 3 3X 6 q q s—
Address:)U t(C rt a 4-r1 5+ /VI e i s Alt ((S 4/1 A- Alt.TeL No.:
*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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$
Rex Burger Electrical, Inc.
113 •Commercial
•Residential
•Services
•Generators
•Fire Alarm
MA Lic.A17037,SC Lic.3121007
2045 Main Street, Marstons Mills, MA 02648
www.rexburgerelectrical.corn
Hi Ken,
The key for the house at 39 Channel Point Drive is in the in use cover by the door nearest the garage.No
one is living in the house. We worked on the first floor and basement bathrooms.It is ready for inspection.
Thanks,
Rex Burger
508 332 6985