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HomeMy WebLinkAboutBLDE-22-005019 Commonwealth of Official Use Only �., , • it Massachusetts Permit No. BLDE-22-005019 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) 469 HIGGINS CROWELL RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address WATER DEPT/WELLFIELD PURPOSES, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (C i• ry; tOtox) Purpose of Building Utility Authorization , " t Existing Service Amps Volts Overhead 0 Undgrd sti y, New Service Amps Volts Overhead 0 Undgrd 0 i. O.o eterr Number of Feeders and Ampacity ,° Location and Nature of Proposed Electrical Work: Install new gear&light w -r i ,,,, +,' 4 1i> Completion of the following table may be teed yyh r ?it of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of "'',tal • �_§ i Transformers ci/ j , No.of Luminaire Outlets No.of Hot Tubs Generators Pool Above ❑ In- ❑ No.of Emergency Lightin �? No.of Luminaires Swimming 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. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Space/Area HeatingKW Local ❑ Municipal 0 Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 22307 Licensee: RYAN MELLO Signature (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 a4 RE }C ? E D Can, eat a/niaancluiddh Official Use Only _ �., Permit N�� t MAR��� �!' �• � ..�. icy and Fee Checked 1 : o -D OF FIRE PREVENTION REGULATIONS [[tev.1ro7] Ilawe blank) USING DC ARTMENT eyB • — _ —-. TION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM 12.00 q (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOA9 Date: 3/4/2022 ›, City or Town of: yaI:tt . lh To the Inspector of Wires: ° By this application the undersigned gives notice of hit or her intention=o perform the electrical work described below. cc a Location(Street&Number) - u. no Owner or Tenant yarrnm l'hi r r ,,p, ,,,i- Telephone No. 508-771-7921 Owner's Address 99 Ark Tslarrl R7 , ti=t1- V,rm,* h _hp cam /4 , Is this permit in con junction with a , ,i ,,, , a ,* Yes ® No [ (Check ., to Box) rts Purpose of Building .. Utility Authorization No. N E Existing Service Amps / Volts Overhead 0 Undgrd ElNo.of Meters co New Service Amps / Volts Overhead El Undgrd 0 No.of Meters a 4 Number of Feeders and Ampacity N Location and Nature of Proposed Electrical Work: i b tf eveaut q,,,Q (sy1413 , Di.Satnll,'a►t7 • xlew Grua. LsgkkTS Consaktlon of thefollowingt able may be waived by the!vector of ice. • No.of Recessed Luminaires Na of CeIL-Soap.(Paddle)Fans of Tn®sformers TEA No.of Luminaire Outlets No.of Hot Tabs Generators KVA No.of Luminaires S P� Above ❑ In- ❑ no.or amiergeacy L1gnaug grad. crud. Battery Units • No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners yAo.of and evices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ons No.of Waste Disposers 'lam Pump Number.Ts__,KW__ 'No.of Self-Contained Totals: an Detection/ -a ,I Devices No.of Dishwashers Space/Area Heating KW Local 0 M'' "'' 0 Other No.of Dryers Heating Appliances KW Securityof Devices or Equivalent No.or Water No.of No.of Data : Heaters s Ballasts 'I'eieNo.ofcom= _ or _,;!. ? �t No.Hydros Bathtubs No.of Motors Total HP No.of Devices or OTHER: Attach additional detail Vdestreet 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Specify:) I eandy,under the pains and penalties of perjury,that the this application is true and complete. FIRM NAME: SParks CyYr Inc- LIC.NO.:4255 Al Licensee: Ryan N.Lh Signature itit, I i ' iiiiA LIC.NO.: 22307 A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.-4012A4Q Address: gnu Th]1 1 iwr, tvQ. t1777( Alt.Tel.No.:,.774.644.17 •Per M.G.L.c. 147,s.57-61,security work requires Department ogiblic Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVEER: 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 Downer's t. Signature Telephone No. ( PERMIT FEE:$ Sparks Company,Inc. 0 2y 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#7936429 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:7936429 Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02 Overhead * Job Location:469 HIGGINS-CROWELL ROAD * Contractor Name:Ryan Mello Work Request Number: * Contractor Phone Number:4016352440 7936429 NOTE:This email confirms we received your request and does not Job Location: imply that work will be performed. 469 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.com Please save this confirmation email for your records. This is an unmonitored mailbox-please do not reply. ❑x a 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(asparkscompanyinc.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@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 • EVERS®URCE ENERGY • IDENTIFICATION OF METER SOCKETS Form M-13 Owner's Name Yarmouth Water Department Date 2/2/2022 Service Address 469 Higgins Crowell Road Work Order# Town Yarmouth 509# 74-6) 00000 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