HomeMy WebLinkAboutBLDE-22-005020 Commonwealth of Official Use Only
_"` Massachusetts Permit No. BLDE-22-005020
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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) 573 HIGGINS CROWELL RD
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 (C
Purpose of Building Utility Authorization No °,""
Existing Service Amps Volts Overhead 0 Undgrd 0
New Service Amps Volts Overhead 0 Undgrd 0 �f4Me 7s
'
Number of Feeders and Ampacity `ti_ 1 i
Location and Nature of Proposed Electrical Work: Install new gear&lights.
Completion of the following to py be wzived h/the'1n *-, or of Wires.
No.of Recessed Luminaires No,of Ceil:Susp.(Paddle)Fans Transformers -N,f^ .) A
No.of Luminaire Outlets No.of Hot Tubs
Generators '; , A
Swimmin Pool Above ❑ In- ❑ No.of Emergency
No.of Luminaires g grnd. grnd. r 7' 4-
Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zori3
No.of Gas Burners No.of Detection and
No.of Switches Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers Totals: Detection/Alerting Devices
Space/Area HeatingKW Local 0 Municipal ❑ Other:
No.of Dishwashers P Connection
HeatingAppliances KW Security Systems:*
No.of Dryers PP No.of Devices or Equivalent
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.
required bymunicipal policy.)
Estimated Value of Electrical Work: (Whenq P P y'
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
Bus.Tel.No.:
(If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:
Address:7 Woodlawn Rd,Assonet MA 027021656
*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 (PERMIT FEE: $0.00 I
Signature Telephone No.
R E C E D Comnfoaweaatpia e/ aaeacleeeEta Official Use Only
'r{ 2)•parimen F 4 ".,Sawircr� Permit No. 'C)U L. A—
Mai Checked
'` - :OARD OF FIRE PREVENTION REGULATIONS [Rev. 1�7]Occupancy andFee(learve black)
BUILLNG DEPA: MENT '
eY ATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/4/2022
�, City or Town of: Yaurcuth To the Inspector of Wires:
b By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
P Location(Street&Number) r - �,,,.,r.
no Owner or Tenant y -„th ,-- ,at,,,t,,,.,t- Telephone No. 508-771 7921
.k Owner's Address 99 Ark TGlarrl Di , — Var rrreHN,AA 02673
• Is this permit is conjunedon with a I , Yes ® No U (Check Appropriate Box)
O Purpose ;,„4. Utility Authorization No. 7936866
cn
N I Exlstlng Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
N F New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
0,' Number of Feeders and Ampadty
N :.
Location and Nature of Proposed Electrical Work: 7Ela to of r :,i, Alb L.q L,zs . rti Mo7i,*/
A kw Gbtsu. A O Gici 4TS
Completion ofthe bllowingle be waived by the In or of .
No.of Recessed Luminaires No.of CA.-Snap.(Paddle)Fans o.of chi
Transformers KVA
No.of Lumhmh+e Outlets No.of Hot Tubs Generators KVA
No.of Luminaires $ Pool Above Inw rto.or amergeaey Lighting
Sand. gnu'. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
f Detection and
No.of Switches No.of Gas Burners No.Maudlin Devices
No.of Ranges No.of Air Cond. TonsTotal No.of Alerting Devices
Na of Waste Disposers Pump Number Tons.__.KW.___.. No.of Se�Contained
Totals: iislDevices
No.of Dishwashers Space/Area Heating KW DLocal Q 0 Other
No.of Dryers Hating Appliances KW Security
o$or f a or Fiovalent ,
No.of Water Data Wiring.
KW No.of No.of .
Heaters Sims Ballasts No.of Devices or :kR' = t
No.Hydro massage Bathtubs No.of Motors Total RP 'Teleeo ofDe ces or ,
No.of Devices or , , .,
OTHER:
Attach additional detail Paired or as regtdred by the inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work m issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or it ays substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specilj+:)
I car*,under the pains and penalties of perjury,that the ,, on this aapp�taa ls arse and c erupl{ate.
FIRM NAME: SParks (lalY, LIC.NO45 Al
Licensee: Ryan Mello Signature ' 1 ILL LIC.NO.: 22307 A
(Uapplicable,enter"exempt"In the license number line.) Bus.Tel.No.:401-635-2440
Address: co Aioc cni4 Pall Riw r, M4 07773 / Ale.Tel.No.:..77�544-1V31
*Per M.G.L.c. 147,s.57-61,security work requires Department Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner Q owner's t.
Owner/AgentI PERMIT FEE:.$
Signature Telephone No.
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 #7936866
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: 7936866
Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02
Overhead * Job Location: 573 HIGGINS-CROWELL ROAD
* Contractor Name: Sparks Company Inc.
Work Request Number: * Contractor Phone Number:4016352440
7936866
NOTE: This email confirms we received your request and does not
Job Location: imply that work will be performed.
573 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.
0 ' 0 =
EVERS=URCE
ENERGY Work Order Application
Customer Request In-Service Date: Eversource WO Received Date:
Service Address: Street: 573 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—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): 1441-167-0012
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: Public:
Residential: Commercial: 1
Main Switch Voltage: 480 Amperage: 200 Phase: 3
Service Voltage: 480 Amperage: 200 Phase: 3
Facility Type(i.e.: school, hospital): Pump 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: Sparksasparkscompanyinc.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
EVERSvURCE
ENERGY •
IDENTIFICATION OF METER SOCKETS
Form M-13
Owner's Name Yarmouth Water Department Date 2/2/2022
Service Address 573 Higgins Crowell Road Work Order#
Town Yarmouth
#
5097476 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