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Home My WebLink AboutBLDP-18-004933 Unit 302 t MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK �= 8 CITY WYarmouth MA DATE 3/1/2018 PERMIT# Din-/7-0W J JOBSITE ADDRESS 345 Camp St Unit 302 OWNER'S NAME Charles White Management 10 POWNER ADDRESS Same TEL FAX I TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑+ PLANS SUBMITTED: YES❑ NOD FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 CROSS CONNECTION DEVICE ��— BATHTUB 7-1 rn NOR 1111.1En j- +-,� �a-41. I. i . _. DEDICATED SPECIAL WASTE SYSTEM �.- �1 } �il� ' � ffi ( � � �+ DEDICATED GAS/OIUSAND SYSTEM I' I I I ll III i____ „I 1 „ , 4 DEDICATED GREASE SYSTEM I IN 11 M1 _ I DEDICATED GRAY WATER SYSTEM _- . I DEDICATED WATER RECYCLE SYSTEM it 1 I h DISHWASHER 1- �I 1 DRINKING FOUNTAIN 11 11 . II II / I �� a I. 4 FOOD DISPOSER - I 1(-_ II (I` I ', In, Lir �_41 I I FLOOR/AREA DRAIN T iP ✓r �- r INTERCEPTOR INTERIOR I c +�II�i�II 1 4 I r r`"I KITCHEN SINK II �'II r 'I "I LAVATORY 4 cif-0 II-11—II I I 1 „ II E4 „- �4 ROOF DRAIN . II _1I II 1I (v t _ F 4i I, _, — _ . a -I SHOWER STALL _ 1I_ Ii III`II . tI-1 _ 1-I _ 1-4 SERVICE/MOPSINK ,, I(-1 I-4 ( 1�-1 TOILET 1 - 1 i IF ( ( I - II �.I URINAL -'�(�1[_._i�l— i(-�1(�ir i T. I �. WASHING MACHINE CONNECTION [— iI II II-IL _ 1 (�1 im WATER HEATER ALL TYPES 1 , 1r C 1� WATER PIPING I II-II IF- Il�-Iy . I-I OTHER _BACKFLOW _ I >-.. I rim 1' . �,., , 1i —. ! I ISI ' - *I I II jm __ 1. . ..1I 'yI�„Ent_ Inn _ .1 .. - " 1 INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES D NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABIUTY INSURANCE POLICY D 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 ❑ 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 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. APC W,4Q'"""' PLUMBER'S NAME Frank W.Roderick LICENSE# 7794 SIGNATURE MPD JPD CORPORATIOND# 1762-C PARTNERSHIP❑# LLCQ# COMPANY NAME Rusty's Inc. (ADDRESS 222 Mid-Tech Drive CITY West Yarmouth STATE MA ZIP 02673 TEL 508-775-1303 FAX 508-771-9310 CELL EMAIL ssavery@rustysinc.com L2/f- e MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 'ilffsf CITY WYarmouth MA DATE 3/1/2018 PERMIT# /9-fir-asq .S •`k, JOBSITE ADDRESS 345 Camp St Unit 302 OWNER'S NAME Charles White Management G OWNER ADDRESS Same ITEL /FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL E3 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:10 PLANS SUBMITTED: YES a NOD APPLIANCES 1 FLOORS-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER I'�-I .. _I I �I J ��E IIIII II BOOSTER —JI_lI LIPI,..___I'- JI___II.�.._JI_ Jl..a.m.....fl.._.._.jl,_ J ,..—P _ J ,J CONVERSION BURNER _ __I -I' 11_ I "I_- Li, i "-=i--------.1'____D. '=.1„„ I T _!' I I• �.,- _I COOK STOVE I TI I, _I T I' I' I I , I I I 1 DIRECT VENT HEATER _IIT/ _Jlil 1'__t..,, _I' DRYER LI' I —(L__ 1 -J _-_ _ ; I' J!TJ —1 TJ =-JI_i—1 _I) FIREPLACE I I ( I' J _J ____f'_! 1'____I ,I__I ____I �I _J _I FRYOLATOR I I,—,.1' .__II_j;-J',_� _I,--fr I;_J�_ I,.�...,L_! -_J, ! FURNACE =� --- I _._1=____11 I -._I I �1 I - 11_1' _ -- _..� — -- FURNACE I I� I 11_11_11____I ____11_1'� !�......,.-,I'___I' f _,-I'_.-.) _ .__._.I �,I ! __1,�_ J GRILLE I 1111,'_l-J1' 1' ---I I1:_-11 IL .__Il .--i i 11:-1,. I :_--. I LABORATORY COCKS - INFRARED HEATER - Ii I' 11__li L_J'L_Ji II=t___= li I . .___ 1 MAKEUP AIR UNIT I I 1 ----) I I l I_�_I I �II I I I,- 1 _1' 1, II; I. I - I' 1,11, I I -1 it OVEN 11-1i1:11-1:: _-I _-I __J _ J'.._),il, -IL—J - 1 it .__ I 1 POOL HEATER 1 I -- -”- ROOM/SPACE HEATER 1 I'.__r_11=1=1:11 _LID i 1 i ' j'',_I,._..ICD'_I'' _J „.m,_I ROOF TOP UNIT IL-II-P 1 _-J!..__I - CI h _j'nj, Jam_ iJRA __ ___ 1f ___1 TEST ___J,'i; —I',J'L I n�..I1____1' .I..___l;._.J l'_�! -I'I.J UNIT HEATER ill...___I,-_1_J,-_J'iI;TJI.. ...J .-_.1'n1 jji=_11-._._.1 i. i_I UNVENTED ROOM HEATER __1' l'_Jl—li_IL J _II IL_11i1I_li i- 1'_l'' ---1 WATER HEATER _'I 1 TJ _J _J il'i 1 --I____J_I il' I' I I OTHER �' ._ I _J' I I—I'-� — I J Jr I—_ J I —_ 1 . I _I II I I ' ,_ I 1 ...1 J J TJ __I _ i I .l _J 1 __._-I I Ill — --- - - INSURANCE COVERAGE I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES 0 NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 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 ❑ 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 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. NX / 14244, PLUMBER-GASFITTER NAME Frank Roderick LICENSE# 7794 SIGNATURE MP 0 MGF❑ JP❑ JGF❑ LPG!0 CORPORATION[]# 1762-C PARTNERSHIP❑# LLC❑# COMPANY NAME: Rusty's Inc. I ADDRESS 222 Mid-Tech Drive CITY West Yarmouth I STATE MA ZIP 02673 TEL 508-775-1303 I FAX 508-771-9310 CELL EMAIL ssavery@nlstysinc.com y H7 e5o 056-4r a 89f t {