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HomeMy WebLinkAboutBLDE-22-005015 pump sta. #18 Commonwealth of Official Use Only '4 Massachusetts Permit No. BLDE-22-005015 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) 67 CHICKADEE LN Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address WATER DEPT, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec *. Purpose of Building Utility Authorization No d"""-*"""' --.F- Existing Service Amps Volts Overhead 0 Undgrd 0 , , New Service Amps Volts Overhead CIUndgrd 0 iN, r s 'Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of new •ear&Ii•h '` Completion of the following table t y, xieved iy4th '`IAs Qr of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ' / `'; 7 l„ Transformers :' No.of Luminaire Outlets No.of Hot Tubs Generators `~ No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. f 2)6nes• • 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 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 ❑ 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $0.00 f It RE1C-EIVED —� COMMOAWORi i 4 ma,dadu.d lta Official Use ,., MAR ': i, Permit No. Z l `�' Occupancy and Fee Checked BUILDING ►-.tei_____ „.,I.: , E N BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 a (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/4/2022 '�,k City or Town of: Yam To the Inspector of Wires: 0 . By this application the undersi•, . , es notice of his or her intention to perform the electrical work described below. a Location(Street&Number) 8 . Owner or Tenant y h Telephone No. 508-771 7921 x Owner's Address 99 Aric TS1arr1 A-1 , Worst- Vary- t-h}y 02673 Is this permit in conjunction with a building • Yes ® No LIU (Check Appropriate Box) N Purpose of Buildings' , Utility Authorization No. 7936819 u)1 Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters x , cc Amps / Volts Overhead 0 Undgrd 0 No.of Meyers N Number of Feeders and Andy Location and Nature of Proposed Electrical Work: DENtb oc C no. a o (4.d.,f3 . fI Jm l!.n., Al bW Gen. kwn (.4g4►TS I Completion of the � a 7 be waived by the leftitir of Whys. No.of Recessed Luminaires No.of CeIL.Susp.(Paddle)Fans Transformer KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires gig Pool Above ❑ In- ❑ No.or hrmDriberrerey Ltgaa ng hlrnd. rand. Batters► No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.ofDetection sad No. Initiating Devices of Ranges No.of Air Cond. Toons No.of Alerting Devices No.of Waste Dispssen 'Reid Pump I Number I Tous I[W..._,...'No.of Self-Contained Totals; T """1 Detection/ .I Devices No.of Dishwashers Space/Area Heating KW Local❑ M' : , ' 0 Other No.of Dryers Heating Appliances ' No.of Water No.of No.of Se Nraky�$�,or Equivalent Heaters : Signs Ballasts Data No.of ► t No.Hydroma ssahge Bathtubs No.of Motors Total HP Telecom= 177: No.of Devkq or OTHER: Estimated Value of Electrical Work: Attach additional detail if desired or as by the Inspector of Wires. (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 the licensee provides proof of liability insurance 'issueunless undersigned certifies that such including"completed operation"coverage or its substantial equivalent. The coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ed BOND 0 OTHER 0 (Specify:) I artily,under the pains and penalties ofpeNns,',that the on this application b tram and ample*. FIRM NAME: SParks CbicanY. ] c. LIC.NO.:4255 Al Licensee: Ryan Nlel.lo Signature' t j ,� WC.NO.: 22307 A (1fapplicable.enter"exempt"in the license number line) Bus.Tel.No.:401-635-2440 Address: A')'Few rind Fa]1 River, NM n7771 Alt.Tel.No.: 774 611 1731 *Per M.G.L.c. 147,s.57-61,security work requires f 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)0 owner CI agent O Signatures Telephone No. I PERMIT FEE:$ I Sparks Company, Inc. From: Eversource Do Not Reply <noreply@notifications.eversource.com> Sent: Wednesday, March 2, 2022 11:13 AM To: Sparks Company, Inc. Subject: [EXTERNAL] Work Request Submission Confirmation#7936819 Li 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:7936819 Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02 Overhead * Job Location: 67 CHICKADEE LANE * Contractor Name: Sparks Company Inc. Work Request Number: * Contractor Phone Number:4016352440 7936819 NOTE:This email confirms we received your request and does not Job Location: imply that work will be performed. 67 CHICKADEE LANE 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. 0 0 EvERSeURcE ENERGY Work Order Application Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 67 Chickadee Lane 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—C/O 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): 1441-287-0017 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 Public: Main Switch Voltage: 480 Amperage: 200 Phase: 3 Service Voltage: 480 Amperage: 200 Phase: 3 Facility Type(i.e.: school, hospital): Puma Station New 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: Sparksc 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 EVERS®URCE ENERGY . IDENTIFICATION OF METER SOCKETS Form M-13 Owner's Name Yarmouth Water Department Date 2/2/2022 Service Address 67 Chickadee Lane Work Order# Town Yarmouth 115097481 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