No preview available
HomeMy WebLinkAboutBLDG-21-002927 R MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK C TY YARMOUTH L MA DATE November 20,202( PERMIT# BLDG-21-002927 JOBSITE ADDRESS 41 IROQUOIS BLVD OWNER'S NAME ABBER JEFFREY A G OWNER ADDRESS ABBER MAUREEN D 518 FELLSWAY EAST MALDEN MA 02148 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES ❑ NO ❑ FIXTURES FLOORS BSM 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 ROOM I SPACE HEATER . ROOF TOP UNIT TEST , UNIT HEATER . UNVENTED ROOM HEATER WATER HEATER 1 . 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 0 NO 0 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 Cameron Natale LICENSE# MA 4600 SIGNATURE MP❑ MGF © JP❑ JGF 0 LPGI ❑ CORPORATION❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME: ( ADDRESS. 200 Audreys Lane, CITY Marstons Mills STATE MA ZIP 02648 TEL FAX 5085341272 CELL 7743537354 EMAIL ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No , THIS APPLICATION SERVES AS THE PERMIT � ❑ FEE:$ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK WEST YARMOUTH 11/06/2020 ti ti CITY MA DATE PERMIT# 3C162 - o JOBSITE ADDRESS: 41 I ROQ U O I S BLVD..._.-....... ..._.. .. ... ..� I OWNER'S NAME ABBER 978-9736168 OWNER ADDRESS - �• TEL FAX: ,..4a .IRO U _ .t� c . _z.. ,,.,.,�,.:��.. . �.w .. � TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL r.. EDUCATIONAL ; RESIDENTIAL Tti . CLEARLY , NEW.; RENOVATION: ...;I REPLACEMENT: =.. ` PLANS SUBMITTED: YES ,„: NO „",1 APPLIANCES `l FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER ' k 7`t l ' (}} }j( 7ij k{[ j '•*t-T-Yrr .....,a,mj• w+rc RA11., .rRslnnas� si"SATF 42 .•eeown." tr!" .t+7R'!!r. P •wnS11111• tii:1p r1Pv.) -.w ,..4.1 I.�.vi..4.. J .w,.tlt± ..12E isntilW .�. -- . BOOSTER f 1. i S [( nEtr-•-r..r• . .•�•"•r'r"` i-":-•"a•+J f' _._ ....... ....,►-"w+"•�....;,.�:N,.."^«;".r.�."r37�*•�"01M7{'"" `'�".,"•rrtr -wr.t...,... • CONVERSION BURNER .....,..J i i1 I ] (iy ( W I ✓R Xr"7:1; 7.....1 •'"".ry.)a v-l�RM .....__... .) + r•s�w+X�. �I 7,7..y '�i•'�•.,'12f1'� •iV�Ti v4i:• •'"••WILY• .Y._._._ ..iM.•. ACT* 1F COOK STOVE _ ..€ ..,. __. ,-_ i . , . f ... t _ _.... ... _.o_...r7 i ' .' .r.�crfrr..,t-t w. DIRECT VENT HEATER • .._..�; �• i ....�•�;.:. -- :"�.'`��'�"�;'•:. '�.- .. _ .. _ .._ .-�-��... r x :'7,!�..74• ,r i fpi»rau ir'-- '''.'.,'---...'' ^.'r'4, -.,.Z....-' ` ':," 7'w. .: 2,1n.rwr . ,-Ray aa�.farawt' .__`.� ...,I DRYER a _ i 1.. '•..•, ((( -. {] �•+•f•- Y ��•y jtlf_:,Yt}^�'Y.df. ._.7..art.7-rn*:nn 7777+� mnr�,.» ;wx.swwi f..w..n .1i,+rr.=. _ 7.7"..• (s FIREPLACE ' _�1`i 3.1.. trgri7.`"1.»"aka�lm;*E�n�'.•.� 1t''." . ..; •x»`a»rn'P. ?'?"77..4 atxw=•r»R esc,;t +I .au.w. wvww•+w f :,wy±. ' —i, FRYOLATOR _ i _ f -t r1,1,7o J• •4^ loft,�M.t i• YEti.1N .....f: YW=41•Ce*1q'0.l7LS •vawi.ureseLtrlrrP.S9P1nr� 4,7„,,4„,PM..f. !-iMaMw.MYrIM..MM,M.MM ... +.�. .w>Af• FURNACE f�[ S} Ili q'!TO `EF LYY.t OYf!- .t't f �N#�M11MMu.[.aww.•w C....y.,r+,� Y1FNl'�••Ar�.»REf1»EtESri�ilf'rYYf'H t {fQ•yeir•w ` +V �4. 7_!.•7.T�+�!.T !'"•M^f1R i GENERATOR - :, " ^f 1 X '�►+ '.l L 7 •.r . r{ .r r„ :,tfr f .t.(W-Yw •ww.uw .w"wt•`em- Tswo re : .4WNirNifti. XNN•�"}M•f vif MM... H..1 Y -.w!..=71 T^^•YYM•'2O.p u 1: ; GRILLE -, • • .f .,...�.......:.......-....»� .1..�.n. ,�f ,tr.l",. : ..a.W." , ., . ....N_".-. 'w..r .. .�, --. • r..,,ar..r.r r" ▪ INFRARED HEATER -- _ °� .. >... .,; K ._. I. f4-: -w _..,, e. I I ^-'-74,'•• r7- • fN..• .... u'.f'....."rt r••••••"•- .z,7,...-.Pf•% filar LABORATORY COCKS tt r___�: f , [[y` ` ' .`7µrta w<wL".•..w.w ,..wcw L,.. w..„Y' ...— 4.r ..w..w: n.....--.f.. w.....„ w.....wtt •. •fit ..,.. +•'•+ch--,-,--ac1. -9.ws�.....f sarimotnrl MAKEUP AIR UNIT ..•! Kt: ...."._... _..,..... ,.w.....r.. w ...$ w-.,:�..I_ ., ..I.<,.-r,fE..,, OVEN . 3 m. .11:.4r +oxew..•""r^ .....,�..r.,' .L� `•fi:iiir .. ..-.t..-.h ._-- �s'te,n ta!'g'�'"_�n".1• •'TiriMe+fr'aua �'�f.n . POOL HEATER _ ........... __... . _. .._. . ��;=r..,...., ...w.....� ... ......r....1 t i t i f ROOM I SPACE HEATER ` •.w. _. ` is s E a { q I� I ti.nu .�..• ......_........" ....-...• ..••• ':.. 'err P �+"••=•••...c • .__j_,. .w.... "•"!,..-...... •:.T„",Tf`,-__..... •- .... ;1,1aor�r .. ROOF TOP UNIT ' j - __ _ . a_--.- is r t ...� .-. R ; . . 7 t j`f'af ...'..`".._`.. .. .'"'"'.`"�. . :7";i '7{' xiil"r 'r""VR aYs.nr.E- .f.+.E-••• 1'�w-»-•. _ r,tr+trt•+.[•�.x,: :`,Ti��.lna�.�a �fr �,r ��r..,fw•_ ,..rw... .. TEST --- - A-.._._...... .- _ �. UNIT HEATER ., ...... ..=:..._. .:..�:. „_.,. : away - .... .. .. ..� 'IS n�' r g(t --: ■! • l.� � t .! � ..w.'.. .i �"�Cf S:3S31� YILwwKt.R ..Mw. "...si -. r w.._....k w..�. ..w .w ,.. .j,. .,f�Q��.�• ..... ..,.........-g. .,,, . +.fir (j( 3t __. ... ._ ......•r 1, .w, :^�^7^ .. .rD... ._....,..-.w J,y~• �r...0 +f ti3C1-S2RS.i ii9P7i�2Eii# __K..oYi_ aP= I UNVENTED ROOM HEATER . I ."Jrr, 1H E _a �{�'.� �fiR -•e. .-�r:r+.rg; ic.n:at.ral :bra ....r•.••• k� WATER HEATER : '••••••:%77:..17•!°+:744 :' ..: .:._.-:7.f"*."'''j'"`""''''''.-1 OTHER _ 2715 it F_ ,....._..".,_...- .............� ...._. L_.....'::._ _. -.::-_':.m.-.._._. { .a _ =:=,, G'�'�.}� .t� _i _ __ �. It ? .... - , s<�:aca•;<aasn...:afscwwawR`.w.."_ww.� --...... _... .,..,_. i'� ......� ` -.-s'--�'�� :a i�s'raE� .....-."1� ...�.,,1 '7S"_"�.""P" '�1;ft"1!'Tw G i,....w.wwr".v f:... ' _ {+.�•-•.•w.-,'.:.,G,'7-J'.. .. A�"r »t- �s� nrner t rL 1�-:a-7J,'r.'mQnnnrf RR^^L.7'D .pi4lrr>lrta ..,e -_-."� .. ......_..w....,,t>.-..y..•." .. R.r•.RS-�r.- _ .R '!Mf �-�-�M , ... )� �.w_�,I _ . ", .�/1i4 ..ii1'�Mi+THq:4ffR....n. •^t'. Rstl _. 1 - iw-... r ....� ........... �..._... ...__...- _......._ ....._. ......_._....... 1,.. 11tiV!!9ca)y�T '•• 1p .. v' .ySflir'F "f7t ft 1�VFfrf!1! 'xaan. w� .«" ww_. ie i, - 't:.,...,,..,..„,„,„..,.,„.,,,.,,.. E a...R.....t. ...wtwe•r',w..«..... +• >r• f • -y. ..•y:. i ,1;aaau =s .amert�:,ran�wosr�- a,�r.. » «...y`.. --man w, ..w..u»w _ '' Ord.•n• .,r..�. _Qrlirlie•34fi ararawvaF�.Eau»Ef»fart •.e•wnw•-w-...........1:.. -,. i�+n,.�•."f INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch, 142 YES �i. NO ...,,...i. I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ,iiJ OTHER TYPE INDEMNITY ;rwI BOND LM 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 .1 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 accurat t of my kno edge and that all plumbing work and installations performed under the permit issued for this application will be in complian ' all Pero pro i e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME CAMERON NATALE LICENSE # GF4600 SIGNATURE ". '� -•,-,ovttxs• xnw r•,.,,zEa•winvn:sv x sr �,evwe.a.."uwaul' .u.nF•a-+v�s,..iss. MP MGF JP . , JGF LPGI CORPORATION ii# 307 PARTNERSHIP . . # _ LLC ..„`# COMPANY NAME; ROBIES HEATING & COOLING j ADDRESS: 279 YARMOUTH. RD �.-- F_ CITY HYANNIS I STATE MA ZIP 02601 TEL 508475-30 3'- ` . .,.__...._._._... nte�,:..,�_ .......�...ara-r'ra..'.a...rnwxa•a�w<,c,•.ya..r.......:....... x-..F�.fP...,....pw«..y.. - ... _ FAX` 508-534-1272 CELL 508-775-3083 EMAIL MARYa ROBIES,COM --�— 1`I{ .. ... ... _.___.. ..... _......_.�.._T.._Yw•!:!.a.._e".-f-%. -.-.-rev.e.ytw '^`wf: :!:''f!fT•!.'evern:+nv..::vr.":..wr:T!N.u....r.w+rww•w....t-:'.aw ......nvw.nw�. - =-=�.Y;C�' 5 ulLDI V) ROUGH GAS INSPECTION NOTES THIS PAGE FQR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES