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HomeMy WebLinkAboutBLDE-21-006054 Commonwealth of Official Use Only railik' Massachusetts Permit No. BLDE-21-006054 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:4/21/2021 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) 703 ROUTE 28 Owner or Tenant Verizon Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check.,Appropriate Box) Purpose of Building Utility Authorization No. 2223525 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters- New Service 100 Amps Volts Overhead ll Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install service for pole mounted equipment 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 Transformer /'� KVA No.of Luminaire Outlets No.of Hot Tubs Generator• 4) 0/1 t.,,•''''''/ KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No. en grnd. grnd. Ba 144,4 O No.of Receptacle Outlets No.of Oil Burners FIREo. V No.of Switches No.of Gas Burners No.of D Initiatine Devices 41 8?e No.of Ranges No.of Air Cond. Total No.of Alerting Devic Tons No.of Waste Disposers Heat Pump Number Tons KW ,No.of Self-Contained Totals: Detection/Alertine Devices D No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ t er: 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 Sites 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: John J Borkowski Licensee: John J Borkowski Signature LIC.NO.: 15694 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:98 HILMA ST,QUINCY MA 021712744 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: $80.00 Commonwealth of///addacettd Official Use Only �` -_*74-i--gi/, c� c7 Permit No. �� —Le 0 J 9 g 2epariment o f..tire Serviced 4 Occupancy and Fee Checked ''t,,„--------/ 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:4/16/2021 City or Town of: EVERETT 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)703 Rte 28 Utility Plole 37/1245 Owner or Tenant Verizon Wireless Telephone No. 781-585-0040 Owner's Address 118 Flanders Rd,Westboro MA 01581 Is this permit in conjunction with a building permit? Yes ❑ No RI (Check Appropriate Box) Purpose of Building UTILTY POLE #37/1245 Utility Authorization No.2223525 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 100 Amps 2 4/ 0 Volts Overhead 21 Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity 3-3 THHN 100 AMPS Location and Nature of Proposed Electrical Work: 100 AMP OH SERVICE on utility pole,meter socket,mast and panel TO PROVIDE POWER TO POLE TOP ANTENNA AND ANTENNA RADIO EQUIPMENT ON POLE Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof Traa onKVAsformers 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 of No.of Switches No.of Gas Burners No. InDeteand Initiatinnggon Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of D ers Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW 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:*1400 (When required by municipal policy.) Work to Start:4/20/21 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 [ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is t and complete FIRM NAME: NEW ENGLAND ELECTRICAL CONT CORP LIC.NO.:A17295 Licensee: JOHN BORKOWSKI Signature i LIC.NO.:A15694,E36258 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:781-585-0040 Address: 21 MARION DRIVE KINGSTON MA 02364 Alt.Tel.No.:617-293-8433 *Per M.G.L.c. 147,s.57-61,security work requires Departure t 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. Owner/Agent PERMIT FEE: $ Signature Telephone No. ...,.: 1)0(..)*I---- 35---(9,.s ,, SITE NAME: PREPARED BY. YARMOUTH_SC05_MA w LOCATION CODE: �+++ '� \ w ,r\p I U S 387755 ft w 'V Cn SITE ADDRESS: A&E OFFICE: UTILITY POLE NO.: 37�124S 'A LY) 55 WAY L4 tlES1FOM,NA t01886 ae2 703 ROUTE 28 '(°n)'ss '6°Z YARMOUTH, MA 02664 ,Sk OF399C '-. .#'''' JIMMY , C)ENDANA ✓" " N0.53634 � A.A..,Clio...U.1.A ��4AFWFCAS�l473.. � f'f~ �"'" THIS DOCUMENT IS THE DE NEJ(NE PROPERTY AND COPYRIGHT OF Liy TN AND THEEXSrNG 142 .,r M� 1 TITLEOR XCLUSIVE CLIENT.EDU DUPLICATION USEOR N WITHOUT THE EXPRESS WRI,45 CONSENT OF THE CREATOR �..€R'�'''S,RL'u�F STRICTLY PROHIBITED. FOR 141 ^''- 1 DRAWING SCALES ARE INTENDEONLY- IXU ,,.-+`�"-' 1 11':17'SIZE PRINTED MEDIA O �`."`1' - ALL OTHER PRINTED SIZES „,..6 --- __ ";; i DEEMED'NOT TO SCALE- ...-- - • rr SUBMITTALS y O REV DATE DESCRIPTION or las a�d,2as H sua�r s T r E �G • loan NW I/ 4 '''" "�� - iArOtr`Mfl.243,'-�` tS .'- �.�".,^ `�'`' .•_� �,. 1 1I/21/17 IMOD POW CONMf .00 a gA11N7 FaltrwEr ✓ KairA man `l. ? r f 3 SITE INFO SITE NAME" YARMOUrH_SCOS ; '« ^ ( �� ( SITE ADDRESS: USP NO.: 37/124.5 S; 703 ROUTE 28 YARMOUTH. MA 026 64. ® CHECKED BY: O O '� 200Ke KEY PLAN L_ i scorF:T•—BO. 50 APPROX. PROJECT NUMBER. NORTH GRAPHIC SCALE: 1:50 (IN FEET) 20151250597 SHEET NUMBER: lilt POLE COORDINATES LATITUDE(NAD63) LONGITUDE(NAD63) 41'36'57.15'N 7O 13'21.67'W Il_I/E-GROUND ELEVATION7'0.M.S.l.(NAVOB fi) ? z $i m Q 4 t V0,243 0, IL1I: o g N n 1 1§1 "IV —4 .LIHIHX3 3SH3'I r 3 oak �{ W ■ U yy p '�dt� � `7 ppia � f o ofgE • VI 3 zW qr d Boz1'< ,i1 , IiIiI vi J JJZJZMMJ uJ OJ MCS NCS MM tI 5 1 I I I X I I pt! H A o 3r. : m iiçJ t I tlH 1 _. <�, i,I € .&. - gid. --1---' 5. ,� t. ' Z 0 , 9-2 11 !! il � :1Il62 i!! V§ i ii li 5 Y W k4!R § ii . I' V , T PREPARED BY , � 1 E- r lb: ..� . EXISTING -PROPOSED \PARKING LOT - 0 O w N EX I U S (TOT&OF 2) NETER.BELOW° °M - .'1 .' EXISTING U/P NO.: ` ¢ A&E OFFICE: 'j. 77/12aS 7A LYBERTY WAY I. 12Y W MESTFORD,MA 01886 \EGRASS be .• 1 l''.-'''' = I 61' j•N . � ,.' "') 1(972)73S-lee2 r V PROPOSED PROPOSED OFLE7mlS(IOpIL OF_43_ _, ' 'J\'�N OF 1t9sSC PLS RM MOUNTED TO RIM BrMORET TO SUIT _, PROPOSED POLE MOUNT ' cosmic. FOR OWL RV Q BRACKET 1 \ '" ]M4NA ym. PAVED WIRELESS CONSTRUCTION,INC. STRtt1(!i(AL SIDEWALK © �M POLE/WALL MOUNT FOR DUAL d No.53634 ti \\\»> RADIO BRACKET © REM DESCRIPTION Ott. .'�'(i( �A I /DOUBLE MOUNT 2 ANIOMA WM61CA11010 4Sl@PNL 1: 2 STIPPLED HARDWARPCS RRH FLACK E 1 COMMSCOPE-NHJ600M-DG-2XR .�.. ROUTE (MAIN STREET) J AWS RRH RACK W/SUPPLED HARDWARE 1 DIMENSIONS 12-0.36.7' C:0144r4./ WEIGHT 33.7 LBS 4AF97FCOS857423_. RRH MOUNTING BRACKET SPEC. 3 ANTENNA SPEC. THIS DOCUMENT IS THE DESIGN ® O RRH ORIENTATION PLAN OO N.T.S. O TILTS FAND COPYRIGHT BY THE 1 AND FOR THE EXCLUSIVEPYIGUSE N THE W:E:N.T.S. FI FCTRIAL NOTES. TITLE CLIENT. DUPLICATION OR USE PROPOSED WITHOUT THE EXPRESS WRITTEN APPROX. NORTH 1. GENERAL WIRING DIAGRAM TAKEN FROM ANTENNA CON STRICTOF T LY HICREATOR IS E-MEMO PROVIDED BY JAMES F. ANTENNA WAZDAUSKAS,P.E.DATED 01/12/2017 MOUNT/BRACI(E7 DRAWING SCALES ARE INTENDED FOR 1r I 9.5' • 11117'SIZE PRINTED MEDIA ONLY. 2. ELECTRICAL CONTRACTOR SHALL INSTALL ANTENNA GROUNDING ALL OTHER PRINTED SIZES ARE THE`PROVIDED WIRING HARNESS'PER THE REQUIREMENTS OF THE NEC AND (DEPENDING ON DEEMED-NOT TO SCALE'. _ LOCAL CODES. • ANTENNA MODEL) SUBMITTALS 111 AME7NA 1 74 REV DATE DESCRIPTION BY 1 SECONDARY ONES t �� !4 w MEND 1 HON • M/14/17 PIM.It Kt MOWI (2)1/r COAX CABLES Q(1)RET ` ' —WEAT"ERHEAD f W1AAdE HLT,WOKE I CABLE 1N r IN RATED U-GUARDS �'� CONY CO. FOR 1 11/21/17 was 222 comas KF It_ I — FIBER FRONTIWR i i yIt;A71W11wRetll ) ASM ABY * ? 1! t UTILITY CO.TE INS) __ R B4CKWWL __ 1 _ ♦ I_ • ,t -i WARM�e 10 i6F M I Mil 5� L I FIBER DEMARC ON POLE-� H • !1 • SITE INFO (2)DIPLEXER t • MO 66H LHS. BIS,'PCS RIM 111146-801.7 -1A T Q FIBER JUMPERS IN 1-1/2• ^ IA�m MIR t IRONER; W RATED U-GUARD IF (4) 1/r COAX SITE NAME LENGTH EXCEEDS 4' YARMOUT}(_SCO5j_MA 11.8' 7.r 10'IL-44 POLE TOP IOUENSION. '-1 ! 7.1 • CABLES Aws 1 7.3' 1 121_1' _ r I OICF7t PROP IIMRFACRN01 TO I MIL PCS '-` (3),6 AWG WIRE IN i Ai VIM PILL-BRlID HOLES PER FIBER JUMPER(TMP.) i. ...RRH 11 • 1-1/1'W RATED PVC SITE ADDRESS: _ PORE TOP HOUND MNNUFACIONEA a v DCPOWERh{t ^r /2 AWG COPPER U/P NO.: 37/124S CONVERTER°((iw.OF i) \ r / GROU"o ) YARMOUTH, MA 02664 .l w , III . 1 t�1 v • WEAT/ER PROOF SOUME ■.� - POWER HATE'IFF PRONOFG SCOT NO,SURGI175 703 ROUTE 28 DELTA MMFACRRS WIRING ARREST AR'I SURGECHECKED BY�- ARRESTOR ON 20A 2P-_ EXISTING U/P CIRCUIT BREAKER Im 0010 DENIM SOUARE 0°0-10°A,0 SP , 16 R. _u� OUTDOOR MAIN LOAD CENTER WITH COVER. /2 AWG COPPER GROUND PROJECTNUMBEREBO111 SIDE 804 2P WAIN CIRCUIT BREAKER WITH(3) J} IN I/2 IN-RATED PVC 20151297 RIM 20A.2P BRANCH CIRCU T BREAKERS(1EOR SURGE ARRESTOR&(1)PER RRH) SHEET NBERD ODM:60.0 LBS. iiAC MILBANK CAT NO, RRH SPEC. U2272-124001,9-BL A LEVER �-C 0 COPPER [_ J 3 DIPLEXER SPEC. N.T.S. © ANTENNA MOUNTING DETAIL 12°/2+av, '°3w 125A METER CLAD GROUND"°° ® N.T.S. H.T.S. O GENERAL WIRING DIAGRAM ALTS IL PREPARED BY: 41 NEXIUS w ,...a.,WM.IWd...st < A&E OFFICE: W 7A LYBERTY WAY I — a WESTFORD MA 01886 1(972)755-1882 TAD E 6H-3 Sinai SXAFING ROM TYPE DISTANCE BETWEEN SIGNS- • • A B C URBAN(LOW SPEED)* 100' 100' 100' URBAN HIGH SPEED). 350' 350' 350' •QQ RURAL 500' 500' 500' DS WORM AREA \,`N OF NE1ys9 EXPRESSWAY/FREEWAY 1,000' 1,500' 2'640' I MIS: •SPEED CATEGORY 70JIIMY cyG DETERMINED BY HIGHWAY AGENCY "� EXISTING U/P NO.:37/1245 m 1. WHEN PAVED SHOULDERS HAVING A WIDTH OF 8'OR MORE ARE / LAYOUT NO.:2977-9 STRUCTURAL 11 -. CLOSED,CHANNEUZING DEVISED SHOULD BE USED TO CLOSE THE NEAREST STATION: 141 L, NO.53634 SHOULDER IN ADVANCE OF THE MERGING TAPER TO DIRECT I• SIDE OF HIGHWAY:EAST p,. E°��a- VEHICULAR TRAFFIC TO REMAIN WITHIN THE TRAVELED WAY. TADEE 6H-4 TAPER LENGTH OETFRNNATION %'%ISi 2. ALL CONSTRUCTION SIGNING,DRUMS,BARRICADES&OTHER SPEED(5) TAPER LENGTH(1)IN FEET III AONLL 0 DEVISED SHALL CONFORM WITH PART 6.*TEMPORARY TRAFFIC ma CONTROL DEVISES(WITCO)LATEST REVISION. 1DMPHOR L. �. WORK VEHICLE LESS 3. TEMPORARY TRAFFIC CONTROL ZONE ARE TYPICAL APPLICATIONS 45MI PH OR L.WS Caw BE USEDDESIGN S FtHOR HCONSTRICTION PU FOR GENERAL FRPOSESEFNAL MANAGEMENT ONLY a,ARE NOT TO LESSTRUCK PIANS 70 BE DEVELOPED BY MA P.E.TRANSPORTATION ENGINEER WHERE: IMI ATTEN ANTED AFnFcosesT423... IN ACCORDANCE WITH MASS DOT PRIOR TO CONSTRICTION. L.TAPER LENGTH(FT) BUFFER SPACE (OPTIONAL) THIS DOCUMENT IS THE DESIGN W.WIDTH OF OFFSET(FT) (OPTIONAL) PROPERTY AND COPYRIGHT OF NEXIUS 4. PROVIDE TRAFFIC CONTROLLER AS REQUIRED BY APPLICABLE STATE S L.POSTED SPEED LIMIT(MPH) AND FOR THE EXCLUSNE USE BY THE TITLE CUENT. DUPLICATION OR USE &0:LOCAL AGENCIES IN ACCORDANCE WITH PLANS&701 BMR WRITTEN 7.OR:USE ROADiAPPUCA E POLIES DETAILSOCONG PUBLIC WITHOUT THE COUNTY RD(RT1381 CONSENT OFT EXPRESS IS WORKS PROJECTS.&APPLICABLE STATE&LOCAL AGENCIES. PARAPFTFR5(01 allot.RY PROHIBITED. 5. CONTRACTOR SHALL MAINTAIN ACCESS AT ALL TIMES TO SPEED UMIT:40 MPH PROPERTIES ABUTTING THE WORK. LANE WIDTH: 15'3 _• DRAWING SCALES ARE NTENOED FOR FUNCTION CLASS:RURAL MINOR ARTERIAL 11 ALL7'HSIRE PRINTED MEDIAS ONLY. OR URBAN PRINCIPAL ARTERIAL ALL OTHER-NOT PRINTED SIZES ARE DEEMED"NOT TO SCALE-. _.,. .. l•.:1. .,. It:._ .....I,•.. I,......n LY•••'.400'3 0O SUBMITTALS A•••: 100'3 B•••: 100.3 SHOULDER TAPER REV DATE DESCRIPTION BY a S (SHOWN FACING DOWN) C..: 100'3 (SEE NOTE 1) SIGN • I1/I41/17 MAL LL C • CHARNELIZING DEVICE ••BASED ON TABLE 6H-4 FORMULAS 1 11/•t/e as Fel mom 44 \� FOR DETERMINING TAPER LENGTH OF THE I 1•/IWI?Ii POW I= WORK AREA MUTCD 2009 EDITION BASED ON TABLE 614-3 MEANING OF • a 7 3101/11 WA=PIR NI AA LETTER CODES ON TYPICAL APPLICATION 4, II M 4 WORK VEHICLE DIAGRAMS OF THE MUTCD 2009 EDITION. SITE INFO ARROW BOARD m SITE NAME ARROW BOARD SUPPORT DR TRAILER YARMOUTH_SCO5_MA O 0 O (SHOWN FACING DOWN) • •4 SITE ADDRESS yDIRECTION OF TRAFFIC U/P NO.: 37/124S 703 ROUTE 28 O SYMBOLS ON TYPICAL APPLICATIONS YARMOUTH. MA 02664 SCKL•N.T.1 • •4 CHECKED BY DATE I® 08/20/18 PROJECT NUMBER: 20151250597 O SHORT—TERM STATIONARY DMDED CLOSURE SHEET NUMBER 2 > N.T� LE-4