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HomeMy WebLinkAboutBLDP-19-000442 Unit 404 4%. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ribs- WO CITY West Yarmouth MA DATE 7117118 PERMIT#PLOP—J7-07O • JOBSITE ADDRESS 345 Camp Street, Unit#404 OWNER'S NAME Ravenswood Condominiums tiD POWNER ADDRESS Charles White Management-330 Comm.Ave, Boston TEL 617-267.1283 f FAX TYPE OR OCCUPANCY TYPE COMMERCIAL D EDUCATIONAL ❑ RESIDENTIAL D PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:D PLANS SUBMITTED: YES❑ NOD FIXTURES 7 FLOOR—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUBIlar r. --atria' -sices CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM f-- RR DEDICATED GAS/OIL/SAND SYSTEM I IIII DEDICATED GRAY WATER SYSTEM }— DEDICATED GREASE SYSTEM r I DEDICATED WATER RECYCLE SYSTEM I DISNWNSHER. ail r _ � , ... DRINKING FOUNTAIN FOOD DISPOSER AREA FLOOR I AREA DRAIN INTERCEPTOR(INTERIOR) I - .... KITCHEN SINK LAVATORYi ROOF DRAIN SHOWER STALLSI,I 0111 I . ~ ;I ._. I SERVICE IMOP SINK ( .,�. j �y TOILET URINAL r WASHING MACHINE CONNECTIONall r WATER HEATER ALL TYPES i WATER PIPING 1 similli-- . 1 , OTHER I ' e I I .G INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY D OTHER TYPE OF INDEMNITY 0 BOND D 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 El 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 compliant with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / ta fi / PLUMBER'S NAME Frank W.Roderick ILICENSE# 7794 SIGNATURE MPD JP ID CORPORATION0# 1762-C PARTNERSHIP Eh/ LLCD# COMPANY NAME ADDRESS 222 Mid-Tech Drive 1 CITY West Yarmouth STATE MA ZIP 02673 TEL 508-775-1303 FAX 508-771-9310 CELL EMAIL mburke@rustysinc.com ct7m' ��� C pL_o 01-c za iJ- it/-7//? MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK "EI= CITY West Yarmouth MA DATE 7/17/18 PERMIT#z4P N'"yyz 4D JOBSITE ADDRESS 345 Camp Street,unit#404 OWNER'S NAME Chafe 1`,ya God.condo GOWNER ADDRESS lesaw)Whdc,kirk-33otom4iAcer Ec$14YELI 6I-I•Z1i7— IZ43 _1FAX!--------1 TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES NOD APPLIANCES 7 FLOORS—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER ' tl :i r. e .srwsv v. rpr--......�` BOOSTER I P I, lr I I - I t i' i' CONVE•• •STOVE• I ._wztteet it d'M I,. DRYER ati FIREPLACE FRYOLATOR l� i x I I _ GENERATOR POMOSSUMMYSOMMINSIONIUMINUOINIMIIIIIMIUMNIIII GRILLE10111001001.0111111a01111113111.3.11.10.100110.100001 INFRARED HEATERSlin10100011111111.1111.1110111110111110.011.11111011011110001111111111 LABORATORY COCKS OVEN amointaissiblistassiosiiiiitatim POOL HEATER ROOM/SPACE HEATER 31.10111111111.11111.010111.1110111.3.11111.110000111.11011111111101.1111 ROOF TOP UNIT =MS 1 I . a ! 1: Ii i TEST s ! _ 11111111 UNVENTED t .. _ niali . ' WATER HEATER at 0.5 .. . .._ SJILICR I I 0 r' INSURANCE COVERAGE I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑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 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 complian e with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ilK /joJ� ?csc_ PLUMBER-GASFITTER NAME Frank Roderick LICENSE# 7794 I SIGNATURE MP 0 MGF❑ JP❑ JGF❑ LPG'❑ CORPORATION D# 1762-C I PARTNERSHIP D# I LLC❑#P I COMPANY NAME: Rusty's I ADDRESS 222 Mid-Tech Drive 1 CITY West Yarmouth I STATE MA ZIP 02673 TEL 508-775-1303 FAX 508-771-9310 I CELL EMAIL mburkeRrustysinc.com 1 qz--12I-b lie if . • w/(1 44-6 6 P gvr'd'0,,er7" cili-9 &-At`� thar