Loading...
HomeMy WebLinkAboutBLDG-20-000740 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK - CITY YARMOUTH MA DATE August 08,2019 PERMIT# BLDG-20-000740 Ii a` JOBSITE ADDRESS 28 VESPER LN OWNER'S NAME BENNETT BARBARA A(LIFE EST) G OWNER ADDRESS 28 VESPER LN YARMOUTH PORT MA 02675 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:© REPLACEMENT:0 PLANS SUBMITTED: YES ❑ NO 111 FIXTURES FLOORS—• BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 1 DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER OTHER DESCRIPTION: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES © NO❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY © OTHER 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. 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. PLUMBER-GASFITTER NAME (Eric Whiteley I LICENSE# 15920 SIGNATURE MP© MGF ❑ JP 0 JGF 0 LPG! 0 CORPORATION 0#I PARTNERSHIP ❑# LLC 0# COMPANY NAME: IERIC T WHITELEY I ADDRESS. IPo Box 248, CITY IWest Chatham STATE MA ZIP 026690248 TEL I FAX I I CELL I EMAIL I ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES., Yes No THIS APPLICATION SERVES AS THE PERMIT El FEE: $ PERMIT# PLAN REVIEW NOTES Pkil- FAO CW • W. VERNON if 70 ryo INC. .s, T 508.945.1100 F 508.945.5549 November 21, 2019 28 Village Landing,P.O.Box 1266 West Chatham,MA 02669 www.wvwhiteley.com Town of Yarmouth Attn: Plumbing & Gas Inspector 1146 Main Street S. Yarmouth, MA 02664 RE: CANCELLATION OF GAS PERMIT 28 VESPER LANE,YARMOUTH Dear Lee, Please cancel gas permit 20-000740 for the gas stove for 28 Vesper Lane. The stove ended up being electric. Sincerely, rt.'"1.14'..)AA/UV Eric T. Whiteley President W.VERNON WHITELEY, INC. ETW/crm PLUMBING•HEATING•AIR CONDITIONING SINCE 1952 �i 1 • i7-:: d. . 1 + x / � / x k. f • 7 ,A ,7St ire, P �. .gas ' - , q,. Eye - ... ! ;, fit; ¶rt 8 . ya;. m fin„ a' sit ..� r� is r�°d N �, N4 .6, '4444- pi.. 1 ay� • .rt s 4 4'; ,° 18