HomeMy WebLinkAboutBLDE-22-005022 1016 Commonwealth of Official Use Only
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-E`sir_ �bC Massachusetts Permit No. BLDE-22-005022
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:3/10/2022
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) 104 MID-TECH DR
Owner or Tenant TOWN OF YARMOUTH Telephone No.
Owner's Address WATER DEPT, 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4463 r'
Is this permit in conjunction with a building permit? Yes 0 No 0 /Ay `-� t
Purpose of Building 'x Tri,
p Utility Authorization JrS
Existing Service Amps Volts Overhead 0 Undgrd ■ , ets
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install new meter socket,disconnect,&ligh. .` < :tw
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
Initiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Ton
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 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 Siens 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: RYAN MELLO
Licensee: RYAN MELLO Signature LIC.NO.: 22307
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:7 Woodlawn Rd,Assonet MA 027021656 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:$0.00
0 VZc(), (OISI . (Fee4A--to --en I iivrmigoi g be -2,77-ci,94
C
2,1
FtECEIVCED
Coanmorew� o rr/aaaac�rteel`ta Official Use Only 7 _
MAR 0 �" '' `-�./�arEn�e„E ol.t&,..�awt Permit No. Z---S [�J
_ BOARDand Fee
BUILDING D E F A'``'i ENT OF FIRE PREVENTION REGULATIONS [ eY [leave blanl
BY __ 1 ---APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
U An work to be
in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/4/2022
4-1
City or Town of: Yannath To the Inspector
co
• BY this application the undersigned , of his or her intention to of Wires:
o Location(Street&Number) . , the electrical work described below.
0 Owner or Tenant y ,t h t
U1 Owner's Address ' Telephone No. 508-771-'7921
' 99 Aric Miami i77 . Gk+c� Y�rm-, 02673 8-72
OS i; Is this permit incmpanction witha
0, Purpose of Buildings permit? Yes ® No (Check Appropriate Box)
Utility Authorization Na 7936463
ul
Existing Service Amps i Volts Overheard❑ Un
� New Service �❑ Na of Meters
Amps / Volts Overhead❑ Undgrd 0 Na of Meters
---.-
a t Number of Feeders and Ampacity
:n
Location and Nature of Proposed Elect icel Work:
Tit toll tn.� dewlet.Sec u OF Ma s Sor ltaf A,ua Lyia-s.
;a. I`�k hiscav`<H'r t 14.tgleit C.der- snits 1.45 tics
al
Na of Recessed L Completion c fthe� may be waived by the!vector of Wires..
Lambdas Na of Celt.-Snap,(paddle)Fans Na of
Na of Lumhalre Transformers KVA
Outlets Na of Hot Tubs Generator, KVA
Na of Lnadoatres Above ❑ In- �N o.or amergency tainting
No.of Receptacle Outlets Ns&mm�g rod 'trod' grade 0 Battey Units
Na of Switches No.
Oil Harder, FIRE ALARMS INa of Zone,
Na of Gas Berner, -No.OfDefeetion and-
Na of Ranges Na of Air Cond. Tone Tot
No.of Alerting Dewiest
Na of Waste Dbpper, :Tota�e, 1 , , r. ................,, ,a n;,. n ri
No.of Dishwashers 0 u i
Space/Area Heating KW Local❑ ^'•1 0 Other
Na of Dryers Heating AppliancesKW
o' Na of
or
Beaten KW
a o Datao. :
No.Hya 'Bathtubs'BathtubsNo. of of Motors Total HP
m
OTHER: Na of Devises or
Attach additional detail Vdeshw or as►egekedby the hrtpector of Wires.
Estimated Value of Electrical Work:
Work to Start: (When by municipal policy.)
Inspections to be requested in ac conience with MEC Rule 10,and
INSURANCE COVERAGE: Unless waived by the owner,no permit for the uponck maytiss
the licensee
provides proof of liability insurance including"completedof electrical work ,lent unless
unde signed certifies that such coverage is in force, exhibitedoperation"coverage or its substantial equivalent eM. The
CHECK ONE: INSURANCE proof of same to the permit issuing office.
. I�'i the palars,uud ® BOND 0 OTHER 0 (Specify:)
Pe ttalo s ofperjury,that the
FIRM NAME: r Inc- ott
Licensee: lt�ri bp114 LIC.NO 4255 Al
Aapplic'�enter'apt in the license number lire.) Signature~ LIC.NO.: 22307 A
*Per M.G.L.c. 147,s.57-61Bus.Tel.No.:�01 teen
' 'security work requiresPublic Safety Alt.dress:
Tel.Na: 3L
OWNER'S INSURANCE WAIVER: I am aware that the Licensee �'"S"License: Lic.No.
requited by law. Bymysignature below,I hereby waive this requirement. Team the(checkt have the liability insurance average
!Inay
Stjnatore � o�►ner ■ ,� ,�:�� �� .
Owner/AgeTelephone No. PERMIT FEE:$
t.
ti
Sparks Company, Inc. ,fs23
From: Eversource Do Not Reply <noreply@notifications.eversource.corn>
Sent: Wednesday, March 2, 2022 10:54 AM
To: Sparks Company, Inc.
Subject: [EXTERNAL] Work Request Submission Confirmation#7936463
Dear Valued Customer,
Work Request Submission
Confirmation We received your work request with the following information:
*Request Type:Disconnect/Reconnect Service-Overhead
Work Request Type: * Request Number: 7936463
Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02
Overhead * Job Location: 104 MID-TECH DRIVE
* Contractor Name:Ryan Mello
Work Request Number: *Contractor Phone Number:4016352440
7936463
NOTE: This email confirms we received your request and does not
Job Location: imply that work will be performed.
104 MID-TECH DRIVE
Log into your Eversource.com account to track the status of your
request.For questions or to cancel your request,call or email us and
we'll be happy to assist you.
Sincerely,
Eversource Electric Service Support Center.
18886333797
MANewService@eversource.com
Please save this confirmation email for your records.
This is an unmonitored mailbox-please do not reply.
r,
L
Additional Equipment:
Generator: KW: Phase: Purpose:
Motor(S) : Total# : Largest HP: Phase: Locked Rotor AMP:
Type of Starting Compensation (choose one): Hard Soft Capacitor VFD
*See Article 802 of Eversource Information and Requirements Book for Maximum LR current and Three Phase Protection *
Contact Name (circle appropriate):
Customer/Contractor/Consultant: Sparks Company, Inc. - Jared Mello
Street Address: 168 Stevens Street
City, State, Zip: Fall River, MA 02721
Telephone: 401-635-2440 Best Time to Call: 7AM-4PM
Pager: Email: Sparks(a,sparkscompanyinc.com
Fax: 401-635-1633
Cell: 774-644-1231
Electrician: Ryan Mello License Number: 22307 A
Business Name: Sparks Company, Inc
Street Address: 168 Stevens Street
City, State, Zip: Fall River, MA 02721
Telephone: 401-635-2440 Best Time to Call: 7AM —4 PM
Pager: Fax: 401-635-1633
Cell: 401-641-5944
Please note that by Interconnecting with Eversource's Distribution System the Customer of Record acknowledges
that they have reviewed and are in compliance with the Eversource Information & Requirements for Electric Service
(Red Book).
For New Commercial Services, New Residential Developments, New 13.8KV Two Line Station Electric Service, please
provide (2) copies of City/Town approved site plans that illustrates the new facility location and the proposed location of the
new utilities(electric, gas, water, sewer, telecommunications) and a One-Line Diagram.
For Service Increases at existing facilities, please submit a One-Line Diagram if available.
For New Residential Services where a pole must be set, please provide (2) copies of a site plan that illustrates the proposed
location of the new facilities.
For Temporary Service Requests, please provide (2) copies of a site plan illustrating service location.
You may Fax this Form or mail any additional correspondence to:
Charles J Tavares
Eversource Energy
180 MacArthur Dr.
New Bedford, MA, 02748
Tel: (508) 441 —5832
charles.tavares@eversource.com
FOR EVERSOURCE USE ONLY
Eversource Revenue Allowance: Eversource Rate:
KVA or KW rating of Existing Loads (if applicable):
Existing Winter Peak Demand: Month/Date/Year:
Existing Summer Peak Demand: Month/Date/Year:
Revised 03-05-04
6
EVERSSURCE
ENERGY •
IDENTIFICATION OF METER SOCKETS
Form M-13
Owner's Name Yarmouth Water Department Date 2/2/2022
Service Address 104 Mid Tech Drive Work Order#
Town Yarmouth
15097426 00000 0
000 000 0
000 000 0
NOTE: This form must be completed and returned before any meters can be installed. EACH meter position must be marked
according to Eversource Information&Requirements for Electric Service. Labeling on this sheet must agree with the labeling on the
meter sockets. Fill in the number of circles to correspond with the number of meter sockets
Section 708. Identification of Meter Sockets
Sample
S-#302
Please complete and submit this form for each meter location for multi-unit buildings
Electrician Ryan Mello Telephone# _ 401-641-5944
License# 22307 A
Requested date of Meter Installation
Received by:
Date
Page of
Revised 03-15-06