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Home My WebLink AboutBLDE-23-005816 �� Commonwealth of Official Use Only • '41k Massachusetts Permit No. BLDE-23-005816 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:4/20/2023 _ 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) 110 KATES PATH VILLAGE Owner or Tenant ANDERSON DONALD L Telephone No. Owner's Address ANDERSON BARBARA W, 110 KATES PATH,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Miscellaneous work per attached. 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 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 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: MANUEL A ANDINO Licensee: Manuel A Andino Signature LIC.NO.: 52474 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 YANKEE DR, BREWSTER MA 026311876 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 ohs q(c(23 ( .., C,,omnwnwaa[pe o1 Massachusetts Official Use Only # Permit No. �'�� nl / 1 V!.: 2apartment ef firs Sarvicesik s ‘to " BOARD OF FIRE PREVENTION REGULATIONS Rev.Occupancy and Fee Checked 1/07] (leave blank) l 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: Lt 1 55 -L 3 City or Town of: '\((t.e vi o u rt-k, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. --c Location(Street&Number) ;i0 K, 11-s 170:4 k.r� Telephone No.(17 )`�iy_9 S3 — Owner or Tenant FJ(�,r i�a;r 0� ,�,r��e�rs`a:, Owner's Address @a Is this permit in conjunction with a building permit? Yes ❑ No a (Check Appropriate Box) S Purpose of Building Utility Authorization No. • Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters d Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 30 e. et-4«c k a=4 see-V .y vl Completion of the followingtable may be waived by the Inspector of Wires. v. 1.13 No.of Recessed Luminaires No.of Ce1L-Susp.(Paddle)Fans No.of Total Zte Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA a 4 No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool�rnd. ❑ 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 1` No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: " ' Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 gr=onal 0 Other No.of Dryers Heating Appliances KW S ecuriofSDevicess: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 Wi�g No.of Devices or EQttiva�Ient 0 MLR: 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: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ,A wetCN r, E Le,-1'nc I r,c . LIC.NO.: 62 4'7(( 45 Licensee: A.a,,,Ni:l A Signature (tl. �,- � LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel No.: (tip 4)77 -2 3`f 7 Address: P^ ,� . .1^'1 Pam+ +.4 -et M-A ol-6 3+ 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 0 owner's agent. Owner/Agent Signaturegn Telephone No. PERMIT FEE:$ 273 0 Barbara Anderson 110 Kates Path Yarmouthport, MA 02675 Electrical Work Performed Kitchen & Breakfast dining area: Replaced all undercabinet lighting. Replaced two overhead fixtures. Replaced all plugs and switches. Installed two 120 AFCl/GFCI QO breakers, and one 215 AFCI QO breaker, and one 115 AFCI QO breaker. Dining room: Replaced dining chandelier. Cellar bathroom: Replaced the bathroom fan/light with one new Panasonic 110 whisper-quiet. Lower level den room w/furnace closet: Replaced damaged one decora outlet right of walk out glass-slider door Installed one 115 AFCI QO breaker. All work was performed utilizing previously existing circuits and wiring. Manuel Andino, Electrician 52474 B