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HomeMy WebLinkAboutBLDE-22-005022 1016 Commonwealth of Official Use Only omket -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