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Home My WebLink AboutBLDG-19-002258 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK " ` CITY e.4470'61 7Ot--71/7 � MMS, DATE 43/07 PERMIT JOBSITE ADDRESS 3.2 62/m Sa- )/J', OWNER'S NAME PA/euer%fie d/nrar2 OWNER ADDRESS TEL-y 24//-enn FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL r' PRINT CLEARLY NEW: / Lt7 RENOVATION: 0 REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO❑ APPLIANCES 1 FLOORS-. BSN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER, COOK STOVE DIRECT VENT HEATER DRYER _ FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER _ LABORATORY COCKS . MAKEUP AIR UNIT OVEN POOL HEATER • a 70 ROOM I SPACE HEATER I d r ,: i f ROOF TOP UNIT a211 TEST /. . . . .. UNIT HEATER — UNVENTED ROOM HEATER / • IL. `C WATER HEATER OTHER INSURANCE COVERAGE I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL.Ch,142 YES 2110 0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE—/ BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY LAS OTHER TYPE INDEMNITY 0 BOND 0 • 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 ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this application will be In compliance with all Pertinent/ provision of the Li) Massachusetts State Plumbing Code and Chapter 142 of the General Laws. - PLUMBER-GASFITTERNAME (parre LOOS LICENSE fl23/76 SIGNATURE INP ❑ MGF❑ JP 0 JGF[3- LPG!0 CORPORATION 0 fs PARTNERSHIP 0 it LLC❑it COMPANY NAME��D , nog t1/4-7-024/3;7.--,447,7 yADDRESS 7o A'r e y ch• CITY /Pion'S/c27 - ' A STATE/W4, ZIP 0244-/S- / �1 TEL 509- x/./20"CJG/ Z_ FAX CELL EMAIL] eCbc PHI pa 3d) pahco •can D� A Wil./ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No 61% Cj, THIS APPLICATIONSERVES AS THE PERMIT 0 0 th /� zf�` l Y�/d,��, FEE: S PERMIT tI ` l MAA /� PLAN REVIEW NOTES c� csmdachaza aRy 'r „= ' .0 1.0,6,..1 r..t 4 J& &s — 4 the, &iv Jinz Mattatai sin 613.0. en 1025, Rabb Ob4 bk., mA 01775 =_lig PERMIT DIG SAFE NUMBER City or Town: Yarmouth Date: 10/15/2018 Start Date: 1 Permit Number(if applicable) 102395 In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted to: DC Cook Plumbing and Heating For permission to: Unvented Gas Heater Installation 527CMR 1.12.8.6 Restrictions: Strict and complete compliance with all federal,state and local laws, rules, regulations and codes. Notify YFD before and after work Is complete. At: 32 GLEASON AVENUE/South Yarmouth, MA 02664 Fee Paid$ $50.00 This permit will expire on Signature of Official Granting Permit Title 0-A 97-4 ) 4 do el This permit must be conspicuously posted upon the premises uic..s a cc) lw !� v II O at W J cor mo • 1? 1;: t. I i VENT-FREE GAS „ peaprwz--, eat ,,,42/7)44t ,I , DUAL FUEL HEATER Warming Your Home. Warming Your Heart. MODEL #VFS2-PH2ODT/VFS2-L2ODT t rVFS2-PH3ODT/VFS2-L3ODT 1A WARNING: This appliance is Patent Pending Dual equipped for(Natural Fuel Technology and Propane) gas. — 'lull u Field conversion is �o �° ARA) ` . not permitted other O w ..r>%' , than between natural • � 0 '! ,y� I3 IRS it '' r �_ Dual Fuel or propane gases. f-jjZt..; iii, \ ANSI Z21.112-2013 Vii; A CAUTION - FOR YOUR SAFETY )'` A WARNING: IF THE INFORMATION IN THIS MANUAL IS NOT FOLLOWED ',"7", EXACTLY,A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY c °"> DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. t`'': t`: -Do not store or use gasoline or other flammable vapors and liquids in vicinity of this or any other appliance. ' , WHAT TO DO IF YOU SMELL GAS t; • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. . • If you cannot reach your gas supplier, call the fire department. - Installation and service must be performed by a qualified installer, service agency or 3 4, the gas supplier. iiThis is an unvented gas-fired heater. It uses air (oxygen) from the room in which it is installed. Provisions for adequate combustion and ventilation air must be provided. Refer to Air For Combustion and Ventilation section on page 8-10 of this manual. INSTALLER: Leave this manual with the appliance. CONSUMER: Retain this manual for future reference. This appliance may be installed in an aftermarket, permanently located manufactured (mobile) home, where not prohibited by local codes. This appliance is only for use with propane or natural gas. This appliance is equipped with a simple means to switch between propane and natural gas. Field conversion by any other means including the use of a kit is not permitted. cx7 Questions, problems, missing parts? Before returning to your retailer, call our customer IC- u service department at 1-877-447-4768, 8:30 a.m. —4:30 p.m., CST, Monday—Friday or kt email us at customerservice@ghpgroupinc.com. IMVFSG2L -2017-03-13 ;`F 1 1 T h. 1 REPLACEMENT PARTS LIST For replacement parts, call our Technical Service Department at 1-877-447-4768, 8:30 a.m. —4:30 p.m., I CST, Monday—Friday. a 1-5 z \� 1-4 1 a 1-1 oa , • Q9443 �`�) \' I 1-2 1-3 -a i � • 0 -z m 6 ;lv • ITEM PART NUMBER No. DESCRIPTION onVFS2-L20DT VFS2-L3ODT VFS2-PH2ODT VFS2-PH3ODT 1 Log Set(complete) 1 700-51018 700-M1018 1-1 Log 1 1 700-S1018-01 700-M1018-01 1-2 Log 2 - 1 700-51018-02 700-M1018-02 1 -3 Log 3 1 700-S1018-03 700-M1018-03 1 -4 Log 4 1 700-51018-04 790-M1018-04 1-5 Log 5 1 700-81018-05 700-M1018-05 2 ODS Pilot-NG 1 GZ20-30B GZ20-30B 3 ODS Pilot-LP 1 GZ20-29B GZ20.29B 4 Selector Knob 1 GZ20-17 GZ20-17 i; 5.1 Regulator,(NG)5"WC 1 CR-130(20k) CR-130(30k) s' 5.2 Regulator,(LP)10"WC 1 GR-130A(20k) GR-130A(30k) 6 Ignitor Module 1 GZ20-32a GZ20.32a 7 Control Valve,EuroSIT 630 1 0630560 0630560 r. ACCESSORIES NOTICE:All accessories may not be available for all heater models. BLOWER KIT - PBAR-2427 For all models. Provides better heat distribution. Makes heater more efficient. I(D 27 3 2 GLJ.4. _ ') � Ivy VENT-FREE GAS �� -� „eat DUAL FUEL HEATER Warming Your Home. Warming Your Hearr. (A-0-DEL #VFS2-PH2ODT/VFS2-L20D9 z.� VFS2-PH3ODT/VFS2-L30DT A WARNING: This appliance is Patent Pending Dual equipped for(Natural S/ _� Fuel Technology and Propane)gas. �'�- -�- ;(Uj a(A)Field conversion ism not permitted other i r than between natural : ; -7.4 o , Dual Fuel or propane gases. r„.1I)- US ANSI Z21.112-2013 A CAUTION - FOR YOUR SAFETY AWARNING: IF THE INFORMATION IN THIS MANUAL IS NOT FOLLOWED EXACTLY,A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. -Do not store or use gasoline or other flammable vapors and liquids in vicinity of this or any other appliance. WHAT TO DO IF YOU SMELL GAS • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. - Installation and service must be performed by a qualified installer, service agency or the gas supplier. This is an unvented gas-fired heater. It uses air(oxygen)from the room in which it is installed. Provisions for adequate combustion and ventilation air must be provided. Refer to Air For Combustion and Ventilation section on page 8-10 of this manual. INSTALLER: Leave this manual with the appliance. CONSUMER: Retain this manual for future reference. This appliance may be installed in an aftermarket, permanently located manufactured (mobile) home, where not prohibited by local codes. This appliance is only for use with propane or natural gas.This appliance is equipped with a simple means to switch between propane and natural gas. Field conversion by any other means including the use of a kit is not permitted. cx-s Questions, problems, missing parts? Before returning to your retailer, call our customer NA service department at 1-877-447-4768, 8:30 a.m.-4:30 p.m., CST, Monday-Friday or email us at customerservice@ghpgroupinc.com. IMVFSG2L -2017-03-13 1 • 10/162018 Accepted Plumbing Products Online System by Massachusetts Board of Registration of Plumbers and Gas Fitters + dim PRODUCT, DESCRIPTION, MANUFACTURER MODEL ACCEPTED EXPIRES APPROVAL CONDITION CODE APPROVAL Pleasant Hearth Pleasant Hearth 30"Dual Fuel Mountain Oak Vent GHP Group Inc VFL2- 6/7/2017 6/7/2020 61-0617- Free Gas Log Set 33,000 M030DR 548 BTU Pleasant Hearth • Pleasant Hearth 24"Dual Fuel River Oak Vent Free GHP Group Inc RVQ R 6/7/2017 6/7/2020548 17- Gas Log Set 33,000 BTU Pleasant Hearth Pleasant Hearth 30'Dual _ Fuel River Oak Vent Free GHP Group Inc RVFL2- ODR 6/7/2017 6/7/2020 548 17 Gas Log Set 33,000 BTU Pleasant Hearth • Pleasant Hearth 18'Dual Fuel Southern Oak Vent GHP Group Inc VFL2 6/7/2017 6/7/2020 G1-0617- Free Gas Log Set 30,000 S018DT 548 BTU Pleasant Hearth Pleasant Hearth 24'Dual Fuel Southern Oak Vent VFL2- 61-0617- Free Gas Log Set 30,000 GHP Group Inc 5024DT 6/7/2017 6/7/2020 548 • BTU Pleasant Hearth Pleasant Hearth 24"Dual 54 Fuel Valley Oak Vent Free GHP Group Inc VO 42 DR 6/7/2017 6/7/2020 618-0617- Gas Log Set 33,000 BTU Pleasant Hearth Pleasant Hearth 30'Dual Fuel Valley Oak Vent Free GHP Group Inc V030DR 6/7/2017 6/7/2020 55480617- Gas Log Set 33,000 BTU Pleasant Hearth Pleasant Hearth 18"Dual Fuel Wildwood Vent Free GHP Group Inc WW18DT 6/7/2017 6/7/2020 61-0617- 48 617_ Gas Log Set 30,000 BTU Pleasant Hearth Pleasant Hearth 24"Dual _ Fuel Wildwood Vent Free GHP Group Inc VFL2- G1-0617- 6/7/2017 6/7/2020 548 0617 Gas Log Set 30,000 BTU Pleasant Hearth Pleasant Hearth 20,000 BTU G1-0617- Dual Fuel Compact Vent GHP Group Inc VFS2-L20DT 6/7/2017 6/7/2020 548 Free Gas Stove Pleasant Hearth Pleasant Hearth 30,000 BTU 61-0617- Dual Fuel Intermediate GHP Group Inc VFS2-L30DT 6/7/2017 6/7/2020 548 V-• -Ga Stove ^ Pleasant Hearth Pleasant Hearth 20,000 BTU -Dual Fuel Compact Vent GHP Group Inc PHH22ODT 6/7/2017 6/7/2020 5 8 0617- Free Gas Stove Pleasant Hearth Pleasant Hearth 30,000 BTU _ Dual Fuel Intermediate GHP Group Inc p 3ODT 6/7/2017 6/7/2020 2- 61-0617 548 Vent Free Gas Stove Pleasant Hearth 20.000 BTU 23.5 In.Compact Vent F 61-0216- Pleasant Hearth 20,000 BTU GHP Group Inc VFS-PH2ODT 2/3/2016 2/3/2019 339 23.5 in.Compact Vent Free Gas Stove httpsJAicensing.reg.state-ma.us/pubLic/plyroducfs/pb searchaspTtype�8manufacturer-GHP+Group+IncaBstype-nvikl&modela8product-8desc... 10/15