HomeMy WebLinkAboutBLDE-20-006089 Commonwealth of Official Use Only
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Massachusetts
Permit No. BLDE-20-006089
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:6/4/2020
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) 112 DRIFTWOOD LN
Owner or Tenant PENNY ROBERT H TR Telephone No.
Owner's Address DRIFTWOOD LANE RLTY TRUST, 13 ORTON ST,WORCESTER, MA 01604
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro , : ' ) j
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd k e O G
New Service Amps Volts Overhead 0 Undgrd 0 pp,
, . ,, • ft/B0117
Number of Feeders and Ampacity 4,
Location and Nature of Proposed Electrical Work: Wire Single Ductless
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42:)'
Completion of the following table may be waived by t t ; ires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of
Transformers KV
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 No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW 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 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: ROBERT E BOWDOIN
Licensee: Robert E Bowdoin Signature LIC.NO.: 51981
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:502 PITCHERS WAY, HYANNIS MA 026012582 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: $50.00
P4rcJ - 2 3 74 t e. 6t o -3,Te MAk SV--ethAo Ge t.Si4 304 43
,91.1(.4R,t TOWN OF YARMOUTH
oc BUILDING DEPARTMENT
o - 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliottAvarmouth.ma.us
February 3,2021
Robert Bowdoin
502 Pitchers Way
Hyannis, MA 02601-2582
Location: 112 Driftwood Lane
Permit Number: BLDE-20-006089
Dear Robert;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-3(B) Max 15 amp circuit
breaker required. (30 amp C/B in place)
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth, Building Department
K. Elliott,
Inspector of Wires