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Home My WebLink AboutBLDP-18-006348 I ' A T MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TOPERFORM GAS FITTING WORK ,6”yin=Vt. ST ft IA .t: CITY south yarmouth MA DATE 4/23/2018/ PERMIT#*OW-06,63V JOBSITE ADDRESS 97 eldridge rd OWNER'S NAME robed madden GOWNER ADDRESS TEL 3946278 IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL El PRINT CLEARLY NEW: RENOVATION:DI REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER r h : r f i �� BOOSTER MS MI5�MMI,MIMNMIMR�,WI�,MMt CONVERSION BURNERIl � � i ', COOK STOVE ,111111111 DIRECT VENT HEATER �flf�aS lii :a:, misflfIa, DRYER FIREPLACE Mr 1111111111-111 l ,�1 ''flR FRYOLATOR S flfWf,W,SiS-OM Ma_,Pa st FUNNACE ��i, lall.Ian Milan IM �5. S51 .. GENERATOR imm GRILLE I N'��,a— ��I��IINM�� INFRARED LABORATORY COCKS . II, ,� III , MAKEUP AIR UNIT M',MIMIa,_,m,�55fl �,5m OVEN MI MI MIMI ,I _lte UM WIC MI Nola S a POOL HEATER IS II � M ROOM/SPACE HEATER flf �u t: s ROOF TOP UNIT i l �,�,fla s � �aM 5 TEST flws�l�"�'!�'i�JIMentm —aa:aSil ,�► siMMI( ��IA�li�imiam WI UNIT HEATER , UNVENTED ROOM HEATER MN MIN MMR■11,jFS',IS,001.11 NA MIS Milli MIMI MI WATER HEATER inalramillislitinnilimiontlE1/11111111;1111.1111•11111111,1111111SI OTHER MitilliMariairSaltiiMIWISOWIRana 11111111.11111...MINOMIM:a"MalliligWINAraMLISMil I, I , , h INSURANCE COVERAGE I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES Q NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are t ' n rate to the st of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in co ian 1 ertin provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Keith J.Famham LICENSE# 11601 SIGNATU MP Q MGF❑ JP p JGF❑ LPG(❑ CORPORATION Q# 3698C PARTNER HIP❑# LLC❑# COMPANY NAME: South Shore Heating&Cooling,Inc ADDRESS 57 White's Path CITY South Yarmouth STATE MA ZIP 02664 TEL 508-398-6901 FAX 508-760-2681 CELL EMAIL L-f/ i I1- �-�r//� /to ofr J MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Maw- f CITY south Yarmouth MA DATE 04/23/2018 PERMIT#n 4 x$"'02 ' r JOBSITE ADDRESS 97 eldridge rd OWNER'S NAME robed madden POWNER ADDRESS TEL 3946278 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL U PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED: YES 0 NO❑ FIXTURES 1 FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB II 1 Ir lIr 1 I II [ I r it _ '1 _ CROSS CONNECTION DEVICE p li I DEDICATED SPECIAL WASTE SYSTEM II i I Ir I I DEDICATED GAS/OIL/SAND SYSTEM ii 1 u I I II I DEDICATED GREASE SYSTEM if I 'I DEDICATED GRAY WATER SYSTEM fo DEDICATED WATER RECYCLE SYSTEM f, mi ,f,fl] f ea MN r 0111.111,� DISHWASHER IIIIIIIIIIIIIIIIIIIIIIIIIIIININKONSININIIIIIIIIIIIIIII, , DRINKING FOUNTAIN Oa 1111111111111111111111,MINI NMI MK,AIIIII,Mi��,S,l_i_ FLOOR I AREA DRAIN SR.�I �I�FOOD DISPOSERI, ,, ,�,, ,•,�I�I INTERCEPTOR INTERIOR a�rir=l�,�j____ a_,�i�� KITCHEN SINK SiNINIJIIII,aIIIIIIIIRIN1f,f,11111111111111111111•flfl1al LAVATORY I. h"��ramimi ■a,!a ROOF DRAIN � _ I, /, ..._ ,J ll11 ,, .I� SHOWER STALL a+ Gni__ r ,•a In___� A�a s Ma Mal l SERVICE/MOP SINK a��a�isw�I�r rfl fl nnfl TOILET amilainimra_pir,liamu„ ituan as us a as URINAL —Ali [ at iris- lr _ I ailitiJ��ME�—�55, WASHING MACHINE CONNECTION '�I[ d ;r i i WATER HEATER ALL TYPES ',M1' ' WATER PIPING I 1 '.r r r r OTHER PT II In 1r 1'711—,r r — r -F r �r lh „ I , I' , I u I , I I ii i I I li i . I, I I I' INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES U NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POUCY 0 OTHER TYPE OF INDEMNITY ❑ BOND❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT 0 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and Information I have submitted or entered regarding this application arr- e :nd a ate ta'the best of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be I 7 p' n I Perti t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Keith J.Farnham LICENSE# 11601 / SIGNA '!IT! MPU JP❑ CORPORATIONU# 3698C PARTNERSHIP,A# LLC0# COMPANY NAME South Shore Heating&Cooling,Inc. ADDRESS 57 Whites Path CITY South Yarmouth STATE MA ZIP 02664 TEL 508-398-6901 FAX 508-760-2681 CELL EMAIL Lle 4L •• FF./74ot_ th;//y_ z-g/7 y/s/4..„.. ; .. , ,