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Home My WebLink AboutBLDE-24-298 #220 S S DR 2/23/24,7:23 AM about:blank Commonwealth of Massachusetts Ov • yak Uf * Town of Yarmouth f�� o �o _ ., y ELECTRICAL PERMIT y ' °` .� y' Job Address: 0 SOUTH SHORE DR Unit: Owner Name: TOWN OF YARMOUTH Owner's Address: 1146 ROUTE 28 Phone: Email: 1 Purpose of .1 Building Commercial Utility Authorization No.: 16361318 Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-298 Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps /Volts Overhead ❑ Underground O No. of Meters: Description of Proposed Electrical Installation: Temp Service (220 South Shore Drive) No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: No. of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No. Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating. Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 0 Work to Start: February 23, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: PATRICK . LEWIS License Number: 56834 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST ROXBURY, MA, 02132 WEST ROXBURY MA 02132 Fee Paid: $0.00 Email: Paulb@revoliconst.com Business Telephone: 508-520-2350 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. INSURANCE: N6/(C (0(V-1 V-i--- (04404144 e• 602k6QC1-4-k. 1 —)3 009 about:blank 1/1 igr- e. ..r Vki nv 3 '.':.tan OS}. A , ,... t..rt7leiai � �" i... eta a fist of + ac .. = l .0, t No �► Permit .., i' O trpttn y aryrl f ee C'1y+ecked it BOARD OFFIREPREVENTION REGULATIONS rev. llfi7 (tesre 1 ) APPLICATION FOR PERMIT T'O PERFORM ELECTRICAL WORK AD work to be performed in o with the Massachusetts Elect: .at Code(MEC . 527 C MR 12,OO (PLEASEPRINTIN INK OR TY ALL INFORMAT ON) Date: f;.. City or Town of: To the Ins e.for 1 Wires: By this application the undersigned gi notice of hts or ber intention to perform the electrical work described below, Location (Street & Number) :"Zr ' ,� c)t� Owner Tele or Tenant No. . . �.� ,,,, Owner's Address _ Is this permit In conjunction with a building permit? Yes [] No 0 (Check Appropriate Box) Purpose of Building Utility Authorization So. Existing Service Amps i Volts Overhead fl Undgrd 0 No. of Meters ____. New :vice (2,0 Amps i Volts Overhead „t Undgrd,,,is No. of Meters Number of Feeders and Ampacitt° -Z.,- 'V.° .0.,,- Location and Nature of Proposed Electrical Work: , ll,..` :-Q � .=- 5. , LP t . t V) Completion 9f the follawin,table may be waived by the Inspector of Wires. ' seal !No. of Recessed Luminaires No. of Celt.-Sus . Fans No• of m ices P (Paddle) Transformers KVA KVA No. of Lurn.inaire Outletsat No. of Hot Tubs Generators I CI No. of Luminaires SwimmingPool Above ❑ in- ❑ *,No. o�l'1~mergencti° i<.ighting grnd. grnd. Battery Units i - No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones 'No. of Detection and No. of Switches No. of Gas Burners Initiating Devices Total No. of Ranges No. of Mr Cond. Pons No. of Alerting Devices Meat Pump .Number ;Tons • 'No. of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices ; 'Scours No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ (*her , ' Na. of Dryers Heating Appliances l '4 ' No o Systems:*f Devices or Equivalent No. of Water KW u. a — No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. H ydromassa _e Bathtubs No. of Motors "fatal HP a ecomnxun ce o or Wiring:q � g No. of Devices Equivaent 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 Stan: 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 0 BOND 0 OTHER 0 (Specify;) I certify, under the ins and penalties of perjury, that the Information on this application is true and complete. i, , i..,-) FIRM NAM': :u ( iiI ,kLIC. NO.: , / Licensee: #/ � I (1" ..�Lt.%: . Signature } i �-` "' LIC. NO.: ill applicable! enter "exempt"in the I%ense►number ./ l Bus. Tel. No.: _nA .A_,.. . Address: Mt. TeL No.: 'Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. 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) [1 owner ❑owner's agent. Owner/Agent ' ."R `1 ' � ' : Signature Telephone No. ! .�....__ . EVERS=URCE ENERGY Work Order Application tr. 1 1318 �Z�{_ZR� c,3 Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 220 S. Shore Drive. -Town: Yarmouth Zip: 02664 Customer of Record: Customer Responsible for Payment of Monthly Electric Bills Name to appear on Monthly Bill: Revoli Construction Co. Inc. DBA—C/O Name: Billing Address: 90 Earls Way Franklin, MA. 02038 Telephone: 508-520-2350 Tax ID Number: 04-2897790 Existing Account or Meter Number(if applicable): Property Owner Name (if different from above): Town of Yarmouth Owner Address: 74 Town Brook Rd. Yarmouth MA. 02664 Owner Phone Number: 508-398-2231 Party Responsible for Construction costs associated with work order(if different from above) Name: Revoli Construction Co. Inc. Address: 90 Earls Way Franklin, MA, 02038 Phone Number: 508-520-2350 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 emporary Services Pole Relocation Disconnect/Reconnect Service Removal e erlrlg urny OH Service from Pole, Pole#:Between UP 22/56&22/55 on S Shore Drive UG Service from; Riser-Pole#: Customer Loading Brief Description of Work Temporary service for dewaterinq purposes for Type of Load New Connected Load in KVA I Town of Yarmouth Sewer Project. Single Phase Three Phase Lighting Electric heat Air Conditioning Refrigeration Cooking Electric Dryer Water Heater Computer Process Equip. Motors/Elevators <30 KvA Miscellaneous Totals <30 KvA Number of Meters Required: Residential: Commercial: 1 Public: Main Switch Voltage: 240 Amperage: 200 Phase: Single Service Voltage: 240 Amperage: 200 Phase: Single Facility Type (i.e.: school, hospital): Outdoor Temporary Service 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: Revoli Construction Co. Inc. (Paul Bunker) Street Address: 90 Earls Way City, State, Zip: Franklin, MA. 02038 Telephone: 978-815-7825 Best Time to Call: 7am-5pm Pager: Fax: 508-520-2355 Cell: 9788157825 Electrician: Patrick Lewis License Number: 23565-A Business Name: HMS Street Address: 351 Grove St. City, State, Zip: West Roxbury, MA. 02132 Telephone: 6179471526 Best Time to Call: 7am-5pm Pager: Fax: Cell: 6719471526 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 8 Requirements for Electric Service (Blue 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: Brian Mello Eversource Energy 50 Duchaine Blvd. New Bedford, MA, 02745 Tel: (508) 441 — 5832 bri an.mello@ever`ource.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: Month/Date/Year: Existing Summer Peak Demand: 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: Revoli Construction Co. Inc. (Paul Bunker) Street Address: 90 Earls Way City, State, Zip: Franklin, MA. 02038 Telephone: 978-815-7825 Best Time to Call: 7am-5pm Pager: Fax: 508-520-2355 Cell: 9788157825 Electrician: Patrick Lewis License Number: 23565-A Business Name: HMS Street Address: 351 Grove St. City, State, Zip: West Roxbury, MA. 02132 Telephone: 6179471526 Best Time to Call: 7am-5pm Pager: Fax: Cell: 6719471526 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 (Blue 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: Brian Mello Eversource Energy 50 Duchaine Blvd. New Bedford, MA, 02745 Tel: (508) 441 — 5832 brian.nlello@eversourcc.con1 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: EVERS=URCE ENERGY Work Order Application c.3 Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 220 S. Shore Drive. Town: Yarmouth Zip: 02664 Customer of Record: Customer Responsible for Payment of Monthly Electric Bills Name to appear on Monthly Bill: Revoli Construction Co. Inc. DBA—CIO Name: Billing Address: 90 Earls Way Franklin, MA. 02038 Telephone: 508-520-2350 Tax ID Number: 04-2897790 Existing Account or Meter Number(if applicable): Property Owner Name (if different from above): Town of Yarmouth Owner Address: 74 Town Brook Rd. Yarmouth MA. 02664 Owner Phone Number: 508-398-2231 Party Responsible for Construction costs associated with work order(if different from above) Name: Revoli Construction Co. Inc. Address: 90 Earls Way Franklin, MA. 02038 Phone Number: 508-520-2350 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 emporary Servic Pole Relocation Disconnect/Reconnect Service Removal eteri-rlg UfTy OH Service from Pole, Pole#:Between UP 22/56&22/55 on S Shore Drive UG Service from; Riser-Pole#: Customer Loading Brief Description of Work Temporary service for dewaterinq purposes for Type of Load New Connected Load in KVA Town of Yarmouth Sewer Project. Single Phase Three Phase Lighting Electric heat Air Conditioning Refrigeration Cooking Electric Dryer Water Heater Computer Process Equip. Motors/Elevators <30 KvA Miscellaneous neous Totals <30 KvA Number of Meters Required: Residential: Commercial: 1 Public: Main Switch Voltage: 240 Amperage: 200 Phase: Single Service Voltage: 240 Amperage: 200 Phase: Single Facility Type (i.e.: school, hospital): Outdoor Temporary Service _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.)