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Home My WebLink AboutBLDG-20-002363 a ii f ,0 - :er.5n- 30 ` `� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK `-. 10 N CITY ri-1/241/ecA-12--bE MA DATE - 0 e ( PERMIT f C�9" �"Q� o s=t` JOESITE ADDRESS / ( l?f Aut OWNERS NAMES-6/cm/ 81 C4 GOWNER ADDRESS TEI(0f7(9/6 1.6 TYPE OROCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL& PRINT CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT:a- PLANS SUBMITTED: YES❑ N.dr APPLIANCES 1 FLOORS-+ 6SM 1 2 3 1 5 6 7 6 9 10 11 12 •13 1 BOILER BOOSTER _ • CONVERSION BURNER COOK STOVE DIRECT VENT HEATER - DRYER FIREPLACE i FRYOLATOR FURNACE GENERATOR. I J GRILLE l INFRARED HEATER --i LABORATORY COCKS _ i 1 MAKEUP AIR UNIT - OVEN .1 POOL HEATER 1 ROOM I SPACE HEATER ' ROOF TOP UNIT TEST .. .•_ UNIT HEATER 1 UNVENTED ROOM HEATER 4 j WATER HEATER I OTHER _ 1 1 INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YEW NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY l OTHER TYPE INDEMNITY ❑ BOND ❑ 1 • OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the ` Massarhus.etts 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 co ppance with all Pertinent provision of the • Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Li 4 PLUMBER-GASFITTER NAME LICENSE# 97, 7 SIGNATURE MP IPMGF❑ JP ❑ JGF❑ LPG! ❑ CORPORATION❑# PARTNES.SHIP❑#� LLC❑# P COMPAN 'NAME " �__• dam ADDRESS (:. ' ig. `I` ( 7- CITY ) �j'1/-('i.� STATE Nix- ZIP 0'T 0 oi TEL5 a / 75-60 X FAX CE /i8 7 75 3-075 AIL I Crj I� 4 I G1 H P i I i I z I 0 «E i 61 g at r4 rat C qw_, C i 6x1 S F- I— Ci2 I i to ? 14 a 14 w - -‹CD a 0" I— r iz Imo. LO Ili T I— lU U- GO I 0 I PI GO 1 4 i "" C9 a a I I I9Pf, nd 0/ t/uw, )QIuw & of Alalz ccjiit, 77 ,>1J 1 ei V .N. UJ i 1 025, AU, , XJ(.xu-, MA 0 1 775 OEPt PERMIT DIG SAFE NUMBER City or Town: Yarmouth Date: 10/28/2019 Start Date: Permit Number(if applicable) 102533 In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted to: Pipe Doctor/Sorin Bica 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: 14 BAKER AVENUE /South Yarmouth, MA 02664 Fee Paid $ $5 0.o o This permit will expire on Signature of Official Granting Permit fG lam'' Title c A I i(uCf This permit must be conspicuously posted upon the premises SAFETY QUALIFIED INSTALLING AGENCY 3. This heater needs fresh air ventilation to 10.Operating heater above elevations of Only a qualified agency should install and a)Installing,testing,or replacing gas piping run properly.This heater has an Oxygen 4,500 feet could cause pilot outage. replace gas piping,gas utilization equipment or Depletion Sensing (ODS) safety shutoff 11. To prevent performance problems, do or accessories,and repair and equipment ser- b)Connecting,installing,testing,repairing, system.The ODS shuts down the heater not use propane/LP fuel tank of less than vicing.The term"qualified agency"means any or servicing equipment;that is experienced if not enough fresh air is available.See Air 100 lbs.capacity. j individual,firm,corporation,or company that in such work;that is familiar with all precau- for Combustion and Ventilation,pages 7. 12. Do not use this heater as a wood-burning either in person or through a representative tions required;and that has complied with If heater keeps shutting off,see Trouble- heater.Use only the logs provided with the is engaged in and is responsible for: all the requirement of the authority having shooting,page 22. heater. jurisdiction. 4. Keep all air openings in front and bottom 13.Solid fuels should not be burned in a of heater clear and free of debris.This will heater in which a vent-free log set is PRODUCT FEATURES ensure enough air for proper combustion. installed. Do not use this heater to cook 5. If heater shuts off,do not relight until you food or burn paper or other objects. SAFETY PILOT THERMOSTATIC CONTROL have provided fresh,outside air.If heater 14.To prevent sooting,follow the instructions keeps shutting off,have it serviced. This heater has a pilot with an Oxygen Deple- The control automatically cycles the burner in Care and Maintenance. see page 20. tion Sensing(ODS)safety shutoff system.The on and off to maintain a desired room tern- 6. Do not run heater: 15. Do not add extra logs or ornaments such ODS/pilot shuts off the heater if there is not perature. •Where flammable liquids or vapors are as pine cones,vermiculite,or rock wool. enough fresh air. 2 GAS OPTIONS AVAILABLE used or stored. Using these added items can cause soot- PIEZO IGNITION SYSTEM Your heater is equipped to operate on either •Under dusty conditions. ing. Do not add lava rock around base. This heater is equipped with an electronic Propane/LP or Natural gas. The heater is 7. Before using furniture polish,wax,carpet Rock and debris could fall into the control piezo control system. This system requires shipped from the factory ready for connect- cleaner, or similar products, turn heater area of heater. After servicing, always one AAA battery(provided). ing to Propane/LP.The heater can easily be off.If heated,the vapors from these prod- replace screen before operating heater. changed to Natural gas by having your quali- ucts may create a white powder residue 16.This heater is designed to be smokeless.If fled installer follow the instructions on page within burner box or on adjacent walls or logs ever appear to smoke,turn off heater furniture. and call a qualified service person. 10 and the markings on the heater. 8. Do not use heater if any part has been Note:During initial operation,slight smok- under water. Immediately call a qualified ing could occur due to log curing and the LOCAL CODES service technician to inspect the room heater burning manufacturing residues. heater and to replace any part of the 17. Do not use this heater if any log is broken. Install and use heater with care. Follow all control system and any gas control which Do not operate heater if a log is chipped local codes. In the absence of local codes, State of Massachusetts:The installation has been under water. must be made by a licensed plumber or (dime-size or larger). use the latest edition of The National Fuel gas fitter in the Commonwealth of Mas- 9. Turn off and unplug heater and let cool Gas Code,ANSI Z223.1/NFPA 54*. before servicing.Only a qualified service *Available from: Selle se of person should service and repair heater. American National Standards Institute, Inc. Sellers of unvented propane or natural 25 West 43rd Street gas-fired supplemental room heaters shall SPECIFICATIONS New York,NY 10036 provide to each purchaser a copy of 527 National Fire Protection Association,Inc. CMR 30 upon sale of the unit. Model QNSD250T 1 Batterymarch Park In the State of Massachusetts the gas Gas Type Natural Gas Propane Gas Quincy,MA 02269-9101 cock must be a T-handle type. The State Maximum Input Rating 25,000 Btu/Hr 25,000 Btu/Hr This heater is designed for vent-free op- of Massachusetts requires that a flexible eration.State and local codes in some areas appliance connector cannot exceed three Minimum Input Rating 13,000 Btu/Hr 21,000 Btu/Hr prohibit the use of vent-free heaters. feet in length. Ignition Electronic Piezo Electronic Piezo Regulator Pressure Setting 4"W.C. 9"W.C. Inlet Gas Pressure*(inches of water) Maximum 9.5" Maximum 14" (*for purposes of input adjustment) Minimum 5" Minimum 11" A PROCOM HEATING, INC. PATENT INFORMATION Heater Dimensions(HxWxD)•25"x 33.5"x 13" This product may be covered by one or more of the following United States patents: Carton Dimensions(HxWxD)•24.8"x 34.25"x 13" 8,915,239 8,851,065 8,764,436 8,757,202 8,757,139 8,752,541 8,568,136 Stove Weight•49.8 lbs 8,545,216 8,517,718 8,516,878 8,506,290 8,465,277 8,317,511 8,297,968 8,281,781 8,241,034 8,235,708 8,152,515 8,011,920 7,967,006 7,967,007 Shipping Weight•60.4 lbs 7,654,820 7,730,765 7,677,236 7,607,426 7,434,447 4 www.usaprocom.com 200198-01 B 200198-01 B www.usaprocom.com 5 10/26/2019 Accepted Plumbing Products Online System by Massachusetts Board of Registration of Plumbers and Gas Fitters . Tire Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies Home>Division of Professional Licensure)Board of Registration of Plumbers and Gas Fitters> r ONLINE SERVICES ePlace Portal Accepted Plumbing Products Online System Contact the Agency By the Division of Professional Licensure More. ,,,... ...:.. _..: _.. .,.a ....:, .,� .... Table. ONLINE PLUMBING PRODUCTS SYSTEM: SEARCH RESULTS Search Criteria: There are[ 21 record(s)in our database T e Gas fitting your search criteria. Please note that yP ' if your product is not displayed in the Manufacturer contains: .411 search results,you can refine your search criteria. Product: Model:QNSD250T Displaying page n of 1 search results Description: pages New Search Requested products per page:( 50 I. PRODUCT, DESCRIPTION, APPROVAL MANUFACTURER MODEL ACCEPTED APPROVAL CONDITION CODE 'Vent Free Stoves 25K BTU Free Standing Dual Fuel Gas IProCom Heating QNSD250T 10/7/2015 G3-0818-22 Stove Manual T-Stat Inc � 4 'Vent Free Stoves I 25K BTU Dual Fuel Gas Stove Manual T- ProCom Heating IQNSD250T- 10/7/2015 IG3-0818-22 Stat&Blower 'Inc B First Pa9e I Previous Page I Next Page J Last Page 2007-2017 Commonwealth of Massachusetts Site Policies Contact Us https://licensing.reg.state.ma.us/pabLic/pl_products/pb_search.asp`typed&manufacturer-&stype--wild&model�NSD250T8tproduct=&description=&prize=50 1/1