HomeMy WebLinkAboutBLDE-22-005023 pump sta. 15 a tv
Commonwealth of Official Use Only
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0Massachusetts Permit No. BLDE-22-005023
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.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 nonce of his or her intention to perform the electrical work described below.
Location(Street&Number) 107 NORTH DENNIS 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 (Check Appropriate Box)
Purpose of Building Utility Authorization No. 79368
Existing Service Amps Volts Overhead 0 Undgrd 0 /� `eter\s
New Service Amps Volts Overhead 0 Undgrd 0 ,/�I.of yt�(b�///\��
Number of Feeders and Ampacity )7 v/O)
Location and Nature of Proposed Electrical Work: Install new gear&lights.(PUMP STA#15) /�VL//I��r n
Completion of the following table may beNdvFgpy t /1 • r f Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Vim(/`r/A�v�+-J) VT.
Transformers �// 4///���,,, A
No.of Luminaire Outlets No.of Hot Tubs Generators I'G
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightih fz3
grnd. grad. 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
Initiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW Na.of No.of Ballasts Data Wiring:
Heaters Sims No.of Devices or Euuivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Euuivalent
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 ❑ 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
R E 1C E ;A
E a! Official Use Only
/om Commonwealth o/Maesachneefla
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cry� ec77 Serviced
Permit No.
MAR ;1 , 2)eparlment al ire Serviced
i Occupancy and Fee Checked
BUILDING D'_�,' f��F-A7ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) leave
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eY o PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
8 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/4/2022
�, City or Town of: To the Inspector of Wires:
Ec By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 107 N. D r s SLiwL
;
C Owner or Tenant ya- n�t-h TAiatar.. nTarturrii- Telephone No. 508-771-7921
U
x Owner's Address 99 Ruck Tmiarr1 i p w i ya,,,,,„�
Is this permit in conjunction with a build!
pe Yes ® No Li (Check Appropriate Box)
Purpose of Banding Rztp Statical Utility Authorization No. 7936856
En Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
x
" New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters
CI, Number of Feeders and Ampacity
VI
1 Location and Nature of Proposed Electrical Work:
•% Ak C3 -012, q up Les 14T5
Completion of thefollowin&table may be waived by the Ing ector of Wires.
No.of Recessed Luminaires No.of Ceil.-Seep.(Paddle)Fans No.of Total
t Transformers KVA
q No.of Luminaire Outlets No.of Rot Tubs Generators KVA
No.of Luminaires Swhumi pool Above In- No.ofkmergency Lighting
ng grad. ❑ grid, ❑ Battery Units
No.of Receptacle Outlets No.of OH 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. Taos No.of Alerting Devices
No.of Waste Disposers Totals:
Pump Number Tons KW 'No.of Self-Contained
Totals: ". Detection/Alertingpevices
No.of Dishwashers Space/Area HeatingKWMuoicipai
p "cal 0 Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
Heaters , No.of No.of Data Wiring:
Signs Ballasts 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: 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 ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties afperJary,that the inform on this application is true and complete.
FIRM NAME: SPrics CtstBeny, Inc. LIC.NO.:4255 Al
Licensee: Ryan rib In Signature . �M J LIC.NO.: 22307 A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:401 j35-2440
Address: Pr)F c 5014 Pal River, MA nrn1 , Alt.Tel.No.•
*Per M.G.L.c. 147,s.57-61,security work requires Department o 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/Agent owner 0 owner's gent.
Signature Telephone No, I PERMIT FEE:$ I
Sparks Company, Inc. , I S
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 #7936856
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: 7936856
Disconnect/Reconnect Service - * Work Requested Date: 2022-03-02
Overhead * Job Location: 107 NORTH-DENNIS ROAD
* Contractor Name: Sparks Company Inc.
Work Request Number: * Contractor Phone Number: 4016352440
7936856
NOTE: This email confirms we received your request and does not
Job Location: imply that work will be performed.
107 NORTH-DENNIS 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.corn
Please save this confirmation email for your records.
This is an unmonitored mailbox - please do not reply.
EVERS=URCE
ENERGY Work Order Application
Customer Request In-Service Date: Eversource WO Received Date:
Service Address: Street: 107 N. Dennis 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—CIO 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): 1471-754-0018
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(a)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
charlcs.ravares(t ev ersourcc.ann
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
EVERSoURCE
ENERGY
IDENTIFICATION OF METER SOCKETS
Form M-13
Owner's Name Yarmouth Water Department Date 2/2/2022
Service Address 107 North Dennis Road Work Order#
Town Yarmouth
5117587000 0
000 0 0 0
00 000 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