HomeMy WebLinkAboutBLDE-23-002125 Commonwealth of Official Use Only
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® 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
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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
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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