HomeMy WebLinkAboutBLDE-22-001591 r,�
a Commonwealth of Official Use Only
t. , Massachusetts Permit No. BLDE-22-001591
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:9/20/2021
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) 25 WEST WOODS VILLAGE
Owner or Tenant SUMMERFIELD MARTIN A Telephone No.
Owner's Address 441 ROUTE 6A,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: Replacement HVAC
Completion of the following table m be wai ed by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofA
�� Total
Transf KVA
No.of Luminaire Outlets No.of Hot Tubs G: a 1 rs /�/Se.o. KVA
y* •
No.of Luminaires Swimming Pool Ag rnd.bove 0
-grnd. 0
q•`�g•n IPA/No.of Receptacle Outlets No.of Oil Burners FIRE A 6' 4 /* O
No.of Switches No.of Gas Burners 1
No.of Detection
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices 40
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 No.of Ballasts Data Wiring:
Heaters Signs 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: ERIC W DREW
Licensee: Eric W Drew Signature LIC.NO.: 13118
UT applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 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:$50.00
C-k_ _o— 1ti3121VL (CLtWZGAJc C A) e $ gec J
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
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TOWN OF YARMOUTH
BUILDING DEPARTMENT
01 . y 1146 Route 28, South Yarmouth, MA 02664
.� M [S[ ••
` �MATTA 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a,varmouth.ma.us
December 2,2021
Eric Drew
E. W. Drew Electric
103 Mid-Tech Drive,
West Yarmouth, MA 02673
Location: 25 West Woods Village, Yarmouth Port
Permit Number: BLDE-22-001591
Dear Eric;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-26 Clearance in front of
service switch.
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