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Home My WebLink AboutBLDE-22-005021 0 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005021 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) 72 HORSE POND 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 x) Purpose of Building Utility Authorization n Existing Service Amps Volts Overhead 0 Undgrd 0 No.o Meters New Service Amps Volts Overhead 0 Undgrd 0 No f:, ters Number of Feeders and Ampacity t ' Location and Nature of Proposed Electrical Work: Install new gear&light "`-1. 'rN 4 -_ a Completion of the following tabs tZiAy Wyaivcd by the las��e r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of + s' Yo Transformers "+ , No.of Luminaire Outlets No.of Hot Tubs Generators �Y°'� J No.of Luminaires Swimming Pool Abovegrnd. 0 In- 0 No.of Emergency Lig �, r°-1 grnd. Battery Units L No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 3 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 Signs 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 11 RE`CE EIS/ /� tf .� l.omnrornweatfR��Jl 6-12---"S� � �J�--MA'i . 4 .[Jpartment of tar.�.rvtcsPermit No. .__._ : . -D OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked BUILDING TMENT � • 1/I17] (leave blank) By ' ''- ' TION FOR PERMIT TO PERFORM ELECTRICAL WORK U • 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: 3/4/2022 '1, City or Town of: nth To the Inspector of Wires: o By this application the undersigned ves naive 'bieor her intention to al perform the electrical work described below. a Location(Street&Number)''; E o ' Owner or Tenant yarirrith Telephone No. 508-771-7921 U .t..1 Owner's Address 99 Ark Tg1arr1 141 , w I- varrr„d-hp n® 02673 872 b Whit permit In conjunction with a building permit? Yes Ea No (Check Appropriate Box) ui Q' Purpose of Building ,s Utility Authorization K xI Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters " w ro New Service Amps / Volts Overhead El Undgrd El No.of Meters Cli N' Number of Feeders and Ampacty Location and Nature of Proposed Electrical Work: bgmb or G,rx42 mob LjhTS . Tit.Sfie/d'rn, 41 Ob1wt. L:ytiIs Completion elite folknvbnttabk may be waived by the Impostor of Wires. No.of Na of Recessed Luminaires Na of CdleSanp.(Paddle)Fans Transformers KVA No.of Luminah+e Outlets No.of Hot Tubs Generators KVA d' Na of Luminaires $ PoolAbove M Pia Ot Lmerge cy Lighting . grad. ❑ I grad. ❑ Battery Unit No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na oDetection and No. ota of Ranges No.of Air Cond. T ` No.of Alerting Devices 'Beat TonsSNFContalaed No.of Waste Pump Number _ Kw No.of Totals: -.�-..._.. .__.... Detection/ i Devices No.of Dishwashers Space/Area Heating KW Local 0 un *� 0 Other No.of Dryers Heating Appliances KW Security No.of WaterBeatersKW No.of No.of Data a '�Equivalent Sinus Ballasts Na �,, ' t No.H�Bathtubs No.of Motors Total HP l'el of t'of Devices or ; , OTHER: Estimated Value of Blooded Work: (When additional detail rdesired or as required 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 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 (l BOND 0 OTHER 0 (Specify:) I caret,ander the pains and peter ofpeinry,that the info on this application Is iris and complete. FIRM NAME: SP3rks 031P3nY. l LIC.NO.:4255 Al Licensee: Ryan MUD Signature' ;I LIC.NO.: 22307 A (Ifapplicable.enter"exempt"In the license number line.) Bus.Tel.No.:401-635-2140 Address: to 14-st cnu pal Rimer-, tea, n77723 Mt.Tel.Na:, T u_1731 *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 does not have the liability insurance coverage normally required re by law. By my signature below,I hereby waive this requirement. I am the(check one)C J owner ❑ 's agent �gAgent Telephone No. 1 PERMIT FEE:$ Sparks Company, Inc. 0 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#7936799 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: 7936799 Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02 Overhead * Job Location: 72 HORSE-POND ROAD * Contractor Name: Sparks Company Inc. Work Request Number: * Contractor Phone Number:4016352440 7936799 NOTE: This email confirms we received your request and does not Job Location: imply that work will be performed. 72 HORSE-POND 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. LP 0 EVERSURCE ENERGY Work Order Application Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 72 Horse Pond 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): 1441-343-0019 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): 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: Sparks(c�sparkscompanyinc.corn 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 n 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 EVERS®URCE ENERGY • IDENTIFICATION OF METER SOCKETS Form M-13 Owner's Name Yarmouth Water Department Date 2/2/2022 Service Address 72 Horse Pond Road Work Order# Town Yarmouth :090460 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 Rvan Mello Telephone# 401-641-5944 License# 22307 A Requested date of Meter Installation Received by: Date Page of Revised 03-15-06 , f ; I,rM f !--11, ','::,':70,.11tems/ ,.: t, ? iy s fih r- "'w yyy yet !sue i b � 5, 1 s I A 1 A • • t ` • • ff j i` ��NF 'Jt. nF t�hcc t I ` • ij ('• n, N�.