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HomeMy WebLinkAboutBLDE-21-003651 , , Commonwealth of Official Use Only .. , Massachusetts Permit No. BLDE-21-003651 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked — IRev.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:1/4/2021 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) 18 SEDGEWICK PATH Owner or Tenant Derek Wright Telephone No. JO Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check App-i Purpose of Building Utility Authorization No. 2. Existing Service Amps Volts Overhead 0 Undgrd 0 No,of • • e-s O New Service Amps Volts Overhead 0 Undgrd 0 No.of Meter //f .... ! 4r Number of Feeders and Ampacity (1 Location and Nature of Proposed Electrical Work: Replacement distribution panel. 4.-Siti:e' Completion of the following table may be waived by the Inspector o :res. 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 Initiating 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/Alerting 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 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: Eric W Drew Licensee: Eric W Drew Signature LIC.NO.: 13118 (If 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 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 a (,U t s-s<, ,cie b = C't/fir ►z r s� 1�12[ --. 5 ° Oilt-i•&3o. (.7) Z, ©gi' /�ri �j, f C..omntotuvea fl.of///amaciuset/ Official Use Only _ -3 ,5( c� ePermit �o. e-24l 5 , eL1eparfinnt of .J ae-Se • { Occupancy and Fee Checked •,.,�;; BOARD OF FIRE PREVENTION REGULATIONS `i Rey. 1 o7J (lea«blank) _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 11.00 (PLEASE PRINT IN INK OR TYPE ALL INF 'VATIC.) Date: City or Town of: O To the Inspector of Wires: By this application the undersigned Ives notice of his or her mien ion to perform the electrical work described below, Location(Street& Number) f i( 1,6 ( A. '! Owner or Tenant at ( r lir Telephone No. Owner's Address IP Is this permit in conjunction with a building permit? Yes Ii No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service D60 Amps 1C� //DVolts Overhead Undgrd El No.of1cters New Service Amps �-,o'°Its Overhead& Undgrd f No.of Meters Number of Feeders and Ampacits Location and Nature of Proposed Electrical Work: i`f Aiall= n,�q`�� yi n Rotel • Completion oldie following table max he naived br the Insltec:or of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans N0 °f Otal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin_ g Pool 'fib°�e In- No.of Emergency Lighting g gird. girt). Battery units _ No.or Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No.of Detection and Initiating Devices Tota No.of Ranges No.of Air Cond. Tons gNo.of Alerting Devices No.of Waste Disposers 'eat 'imp . um a er ons. NA 'No.o 'el - "ontaine Totals + • Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local r--1 l4unicipal Other Connection No. of Dryers Heating Appliances KW . ecurth vstems: `""""—'"`" """ "" No.of Devices or Equivalent No.of Water 'No.of No.of Heaters KWSi ns Ballasts Data Wiring: Signs No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications W king: No.of Devices or Equivalent OTHER: Attach addirional detail ii devre<, or a) required l'r the ln.y,eetor a;"IS'ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MIC 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 co•erage is in force,and has exhibited proof of same to the per tit iSSUi ig office. CHECK UNE: INSURANCE ncmu 0 Ort-IER 0 (specify:) wCtrs ZSrtIp (ial (c t-el 6/cJ4 . I certify, under the pains and penalties ofp(�r�ury,,th/�t the information on this application rs true and comple e. l 1 FIRM NAME: .:-,7-1,(.) b(�.,Qp- '�(J t�y�-.l LIC.NO.: l 31 b A` Licensee: . •-'t z.. vj y Signature f -------.- LIC.NO.: a.7 a--- (:. (ll applicable,enter -exempt'• p rhe license number line.it S , a��3 Bus.Tel. No.: o 77 a 3 Address: �.�i(b �((� �P ( { IQ� �,(} �� ✓�(� Alt.Tel. No.:SOrp 737��.)--7 "Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lie.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, 1 hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S 'Y' TOWN OF YARMOUTH a BUILDING DEPARTMENT OFA 8 . y 1146 Route 28, South Yarmouth, MA 02664 MATTA „ «E ' 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a,va rmouth.ma.us January 6,2021 Eric Drew E.W. Drew Electrical 103 Mid-Tech Drive West Yarmouth,MA 02673 Location: 18 Sedgewick Path,West Yarmouth Permit Number: BLDE-21-003651 Dear Eric; The above noted location inspection failed to pass for the reason(s) listed. Article 110-12(A) Unused openings. Article 230-67 (D) Surge protection. Article 408-4(A) Circuit I/D's Required. 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