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HomeMy WebLinkAboutBLDE-22-005018 Commonwealth of Official Use Only 4.11 h Massachusetts Permit No. BLDE-22-005018 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev 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) City or Town of: YARMOUTH Date:To the Inspec022 toBy this application the undersigned gives notice of his or her intention to perform the electrical work described below.r of Wires: Location(Street&Number) 297 HIGGINS CROWELL RD Owner or Tenant TOWN OF YARMOUTH Owner's Address WATER DEPT, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes El No 0 (Check a Utility Authorization No. .. Existing Service Amps Volts New Service Overhead El Undgrd 0 , 'IC Amps Volts Overhead 0 Number of Feeders and Ampacity Undgrd ElNo.of . '� Location and Nature of Proposed Electrical Work: Install new •ear&li• s''M,. =- ' `}' Completion of the following table ma tvvtvd`d by k litiec�o o fWires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ! Transformers - 16.14< � No.of Luminaire Outlets No.of Hot Tubs � 0 `»r' Generators `f ;' � A No.of Luminaires SwimmingPool Above In_ ' �K grnd. 0 grnd. ❑ No.of Emergency i No.of Receptacle Outlets Battery Unit No.of Oil Burners FIRE ALARMS No.of Zone No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatine Devices No.of Air Cond. Total Tong No.of Alerting Devices No.of Waste Disposers Heat Pump I Number ( Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: No.of Dryers Heating Appliances Connection KW Security Systems:* No.of Water , No.of No.of Devices or Eauivalent a ers No.of Ballasts Data Wiring: •No.Hydromassage Bathtubs , o ' t • i • i t i i • e i t No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Eauivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 I certify,under the pains andpenalties o (Specify;) fperjury,that the information on this application is true and complete. FIRM NAME: RYAN MELLO Licensee: RYAN MELLO Signature Tel. NO.:.: 22307 (If applicable,enter"exempt"in the license number line.) Address:7 Woodlawn Rd,Assonet MA 027021656 Bus.Tel.No.: 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 ,RECEIVED 1 7. MAR„ Com„onw.0a o`r//aaaae Official Use Only m Y 2eloarimeni oi,yyr,J.rvteei Permit No. e.)2,52--- 1, 0 Occupancy and Checked BUILDING E By _. !!._ . (l • RD OF FIRE PREVENTION REGULATIONS 1/07] Fee acne bleak) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be in a with the Massachusetts Electrical C� c (PLEASE PRINT IN INK OR TYPE ALL INFORMATT � ��: 3/4/2022 O ( .2 cHttt:z.00 �� mui3�City or Town of: Yau By this application gives notice of his the undersignedTo the Inspector of Wires: a or her intention to perform the electrical work described below. Location(Street&Number owner yamaph nvrrtavni- 02 Owner's Tenant t . Telephone No. 50S-771 7921 er or Tenna s .14 99 Arlo Tslarrl Thh , Nauru hl}.D® M3 CliIs thin permit in conjunction with Purpose of BuMng = Yes El No (Check Appropriate Box) rtS ... <„ cw Utility Authorization No. 7936497 cn rn , Existing Service Amps / x Volts Overhead 0 Undgrd❑ No.of Meters can Amps / Volts Overhead ` Number of Feeders and Andy Undgrd 0 No.of Meters Ni Location and Nature of Proposed Electrical Work: un Gaptn. t�tup (.:q1,r, . TNS�,o11 jut A/ _,` gL�TS °gOwn of No.of Recessed Luminaires Cornslatlon o1 thefollowtngtable rrey be woad by the f or of Wires. 1. No.of Rec No.of CM..SmR(Paddle)Fans Transformers KVA i n�Outlets No.of Hot Tubs Generators KVA 6 No.of LuminairesSwimming Pool d. 0 n' 0 o. No.of Receptacle Ovate UnitsNo.of Oil Burners FIRE ALARMS No.of Zones No.of Switch No.of Gas Burners o.o n a. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste :m ��., „ otale: Detection!o. ;r+;. No.of Dishwashen Devices No.of Space/Area Heating KW Local 0 v a ^., ❑Other o. Heating Appliances Kq, �'�-r �--, , o.a Na of ►,_ Heaters 1KW S s Baa.'laab Data Wiring: No.Hydro Bathtubs No` t No.of Motors Total HP OTHER: No.of Devices or t EstimatedValue of Electrical Work: Attach additional detail V or as Work toStart: (When required by municipal policy.)by the inspector of Wires. Inspections to be requested in accordance with MEC Rule 10, INSURANCE COVERAGE: Unless waivedthe and upon completion. by owner,no the licensee Provides proof of•liability insurance inn permit for pleted anone coverage of is substantial electrical work may issuentT unless CundersHECK Iertifies NSURANCE such coverage is in force, exhibited proof to�witequivalent I�$'.under the pars and � BOND 0 OTHER 0 ( fj,;) issuing office. FIRM NAME: : Gt�caf krr00',that the this nPe Is true and amplest 1ZYatz Nhl In LIC.N0.:4255 Al Licensee: tcoble,enter"exempt"In the license Signature Address: manber lb,�) LIC.NO.: 22307 A *PerM.G.L.c. 147 s.57-61Bus.Tel.No.• OWNER'S INSURANCE ►security work Alt.Tel.No.�- -ne __ WAIVER: 1 anent° bite Safety"S"License: Lie.No. �'��'°'4.423L required by SINS By my signature I that the Licensee not have the liability insurance coverage norr— ��Agent below, Y waive this mcNitttrtent. I am the(check one ■owner I owe . ,.y t Telephone No. PERMIT FEE:$ Sparks Company,Inc. ]y From: Eversource Do Not Reply <noreply@notifications.eversource.com> Sent: Wednesday, March 2, 2022 10:54 AM To: Sparks Company, Inc. Subject: [EXTERNAL] Work Request Submission Confirmation #7936497 0 = 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: 7936497 Disconnect/Reconnect Service - * Work Requested Date:2022-03-02 Overhead * Job Location:297 HIGGINS-CROWELL ROAD * Contractor Name: Ryan Mello Work Request Number: * Contractor Phone Number:4016352440 7936497 NOTE: This email confirms we received your request and does not Job Location: imply that work will be performed. 297 HIGGINS-CROWELL ROAD 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.corn Please save this confirmation email for your records. This is an unmonitored mailbox-please do not reply. 0 = 0 = EVERSURCE ENERGY Work Order Application Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 297 Higgins Crowell Road Suite: Town: Yarmouth, MA Zip: 02673 Customer of Record: Customer Responsible for Payment of Monthly Electric Bills Name to appear on Monthly Bill: Yarmouth Water Department DBA—CIO Name: Billing Address: 99 Buck Island Rd, West Yarmouth, MA 02673-3672 Telephone: 508-771-7921 Tax ID Number: Existing Account or Meter Number(if applicable): 1441-328-0018 Property Owner Name (if different from above): Owner Address: Owner Phone Number: Party Responsible for Construction costs associated with work order(if different from above) Name: Address: Phone Number: Please Note that Articles of Incorporation are required for new commercial Eversource Customers Type of Service Requested: (Circle Appropriate) New Service Service Upgrade Service Relocation Temporary Service Pole Relocation Disconnect/Reconnect Service Removal Metering Only OH Service from Pole, Pole#: UG Service from; Riser-Pole#: Padmount# : Customer Loading Brief Description of Work Type of Load New Connected Load in KVA Installation of new service disconnect Single Phase Three Phase meter socket and Panels Lighting Electric heat Air Conditioning Refrigeration Cooking Electric Dryer Water Heater Computer Process Equip. Motors/Elevators Miscellaneous Totals Number of Meters Required: Residential: Commercial: 1 Main Switch Voltage: 480 Amperage: 200 Phase: Phas Service Voltage: 480 e: 3 Amperage: 200 Phase:Facility Type (i.e.: school, hospital): Pump Station Newwtion B3 Building Square Feet: If more than 1 meter is required, how will meters be labeled?(ie: Unit 1, 2, etc, Unit A, B, etc.) 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 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(a,eversource.corn 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 • EVERSSURCE ENERGY • IDENTIFICATION OF METER SOCKETS Form M-13 Owner's Name Yarmouth Water Department Date 2/2/2022 Service Address 297 Higgins Crowell Road Work Order# Town Yarmouth 5#097083100000 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