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HomeMy WebLinkAboutBLDE-23-002125 Commonwealth of Official Use Only a-r ® Massachusetts Permit No. BLDE-23-002125 �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07j 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:10/20/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her intention to perform the electrical work described below. Location(Street&Number) 34 WILD HUNTER RD Owner or Tenant POWERS KEVIN D Telephone No. Owner's Address POWERS JULIETTE C,34 WILD HUNTER RD,YARMOUTH PORT,MA 02675 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: Unpermitted work exposed for inspections 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KR No.of Self-Contained Totals: Detection/Alertine 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 Sinus No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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. Qom/ CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 7 Q (p 24 ' I certify,under the pains and penalties of perjury,that the information on this application is true and complete. l�(�/t i 1—�S FIRM NAME: Rex A Burger 'l,/�657/1 Licensee: Rex A Burger Signature LIC.NO.: 17037 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2045 MAIN ST,MARSTONS MLS MA 026481864 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:$250.00 gtrrevcodkr roI(L 9 1a/1//2 2,l 11 2JQ4 i.Aac- '/1(2s • r /~` • RFC 1VED �� Cornmon .dg o`///addacAudeffd Official Use Only OCT20r,...,...___'=T ' Z3 - 21Z5 rt t �7 /`� Pcrmit No.ei-'43. h spartnunf°`Jiro�orilicsd LULU1Occupancy and Fee Checked Y ___. ' : BOARD OF FIRE PREVENTION REGULATIONS [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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /O/3o/a O I. ?- 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) 3 Li t()t / I Nun 4e_, 2 e ci f l/Q tk go u,�(t P01-j Owner or Tenant K I. v in �Jp w Q.C-3 / Telephone No. Owner's Address ,S, re,e._ l Is this permit In conjunction with a buildingpermit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building a w Q I (I.t C Utility Authorization No. Existing Service Amps ) / Volts Overhead Undgrd ❑ g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: S kea+r 044_ r e4)vpa{ elur` -fo y) D P?rtst rh f , C11ec(•-J t rrr�� ,e-) Ot,f(e4-5 a Nif 5.rtoec) fio Co.k V t Completion of the followiPgjab1e mDI be waived by the ins actor of Wires. U. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA IZI No.of Luminaire Outlets No.of Hot Tubs C, Generators KVA vt 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. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number._Tons . KW 'No.of Self-Contained Totals: ...._ _Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 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(([desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: .-1 c(,D (When required by municipal policy.) Work to Start:/D//K( a.D. 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 [1 BOND 0 OTHER 0 (Specify:) I certify,under th pain and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LA' sr - ec-i-r•r L LIC.NO.:A(-70 37 Licensee: c,r Signature i - LIC.NO.: (If applicable,enter"exempt'.in the license number line.) . Bus.Tel.No.51*3 3 a- 4 9 g r— Address: ao45 Main.&(-r•n - /49,1 f M, (K A4ft 0.2 G Ys-- 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)❑owner ❑owner's agent. CO* Owner/Agent Signature Telephone No. I PERMIT FEE:$ )3 90 ct( j °'1 Rex Burger Electrical, Inc. 113 •Commercial •Residential •Services •Generators •Fire Alarm MA Lic.A17037.SC Lic.3121007 2045 Main Street.Marstons Mills.MA 02648 ivivw.rexhnrgerelectrrcal.corn November 3,2022 Ken Elliot Town of Yarmouth Inspector of wires Re: 34 Wild Hunter Road Yarmouthport,MA Mr Elliot The property at 34 Wild Hunter Road was framed,wired and sheet rocked with no Permits. The owner had the sheet rock and two feet of the ceiling removed. We checked the wire boxes and added outlets where required. Because all the ceiling had not been removed you could not pass the job because you could not see all the wires. I have looked at the wiring in the ceiling the best I could and will take responsibility for that section of basement that was not visually inspectable. Thank you Rex Burger , 2).•• 1-"•1 g Rex Burger Electrical 2045 Main Street Marstons Mills,MA 02648 Lis#A17037