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HomeMy WebLinkAboutBLDG-23-000274 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY YARMOUTH J MA DATE IJuly18,2022 'PERMIT# BLDG-23-000274 JOBSITE ADDRESS 49 PAYSON PATH OWNERS NAME Robert Bowman G OWNER ADDRESS 49 PAYSON PATH WEST YARMOUTH MA 02673 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL 111 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 1 FRYOLATOR • FURNACE GENERATOR • GRILLE INFRARED HEATER • _ LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM!SPACE HEATER ROOF TOP UNIT TEST 1 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 LABILITY INSURANCE POLICY❑ OTHER OF INDEMNITY El BOND ❑ OWNERS 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 Andrew Leighton LICENSE A 16130 SIGNATURE MP©MGF❑JP❑ JGF❑ LPGI ❑ CORPORATION❑# PARTNERSHIP ❑# LLC❑# COMPANY NAME: ANDREW R LEIGHTON ADDRESS. 20 Brewster Rd, CITY W Yarmouth STATE MA ZIP 026735706 TEL FAX CELL EMAIL halloilcompanvltygmail.com 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 .... 6,6'''' , ......_______ .... _ _ _ _ MASSACHUSETTS UNIFORM APPLICATION T ON FOR A PERMIT TO PERFORM GAS FITTING WORK 1"---ITAT e -. � . ,� CITY -3 -- 2 -- PERMIT # ( 1 - --• „, .mac... .uu<r' •,..',:•.:.:>.v: ....„ NIS . JOBSITE ADDRESS a 40• `S • G OWN E R ADDRESS �`-- --- --_»—____ G �( ....__ _.._...______..w.__.. wr - r-'--- -r''--z-w.: s;s��r•_L—cr-�xr.� -.,•-+• ` ` ,. > / ' 1 A/ mow..%y . �� < I. .._ ... . . w». a.�. .!� fs :.J✓ n. ; • TYPE OR I PRINT OCCUPANCY/PE COMMERCIAL EDUCATIONAL 171 RESIDENTIAL CLEARLY NEW:7.. RENOVATION: REPLACEMENT. SUBMITTED: • PLANS YES NO APPLIANCES 7 FLOORS- , GSM 11111 2 4 5 6 7 8 9 10 11 BOILERION � � _ , .l-...:. _. �.-..r. �.. Ate•._'..;.... .-� ,._�>_�.T....T.�. __y'^.'r �'.�.._ V !-�" BOOSTER .111MNINIMMINIE _________ nim ne t p...._......_11r......_______..1 CONVERSION E3URNER i ( 11 --. ----v`� iOVI�. _ ▪ ._. _. _ cr ' iCOO . - ^: ..,:C:r -....., ...i�::: •ICJ...^-,"1.•ur"•40,. DIRECT VENT HEATER _.. �--- --- - _-1._ M _ww ... f_� .�.:.:.. I , F�f (f _ ._✓.a_. _r-:s7v:_.... ��if_c�� ..y'.(-•.�....� .r..� ,.,f, ' ,,,y2 --e' ,,- - - _ __ 4- t 3. �i DRYER ,. � __ _�_.._.� __ __ .- ....._ _......,r. ...�,::<'v:' rZ•+r .trr..: Y .r.-ay� _� �f FIREPLACE i r::,•�':.:,,'::.e.:.:•�,. ; . ....1JJJr_{•--•1- r. • r w,,,..-u r<:r7.,;::,•::... _ '.'a' ...11,.._-:�r% .- 7- ,eeu1 FRYOTOR �. �___ .� r _ . —ft1r FURNACE r J� --- • �� j GENERATOR I1. _ S GRILLE r f • _ .. »___.K..._.1,1 -;_-v`_,__--- i • ti.� •': �:: '..:,.-mr.-. .: .r.::.r�•4JLT'S1-1�',j�'�'}]+3{'' • _ �r'• .: ' ♦♦I INFRARED HEATER i : ii.);] i •I4.. i , li j'S LABORATORY COCKS , ,. - MAICEUP AIR UNIT - �- - .. I , . OVEN % jT - - ;Ngtiy ...•• r y.... _ .0 ,^=M_ _'t�• - -e•*a.✓m •<•..y7:1-_•S....e <.s.t•• __.-_'q s jjj1 "" "" U POOL ._._.____-.•..� -` -try':-=ram-- _�'.-.•� :r�----���- —�-----.- _ 5�3.-SL�S ...... -�-',:-,-. HEATER t r• 4 ROOM 1 C� .._..� ---' ••'' "Sv"..J•: .g..z.:' y/.•,,,Z7.. .r:-:-1t::r3. _.SZ.iT' '1rr • s,.::::.X:_:�,... ..rz.;...... •ig 7 • ... _.RVai�[ ! VPACEEAT`R I } yµ... �.rL 3>l r . r_. � ilr_ ' . i _.._=ir •cf:::r•, .::;<.-YF-•S-y�,.—..::•-� '.:.;':.. -.cam-....._.�_ 'x'.c:;.c ._.. _ ROOF TOP UNIT t r �_ yr-- _ �_� TEST �_ _ :�,w_ : . ,ftr�.�_ �.'��'F,��-. _,�:�. .Lp_�..__......_ ^ — t M- .—.._.w ._._. '• .�_• �:.,->-... t ..•:-.�:.s.'y-n.+.;+ F-tid.'r;i � u1-rr-^.: �4:r��'`�•--.• � s' r�....;•;- � •c.' � �� � �� -Y � UN IT HEATER .___ = _ _� �_ . �n__r. s':,,�Y __--_�_ ._:r~:�, ate,'_. c t 1 ! _ UNVENTED ROOM E�EATER .� --~--T-si - t . _ ____'- _ = ,� mow_ ___ .- �f - ��#._ f,� i_ WATER HEATER, _-� r- = ___-. . __ ..-- OTFIER IIlI • J1JL - --- --_ ___ I. .F-„' JTIlTI _ .:Y'r" %}'� �.i=✓�: __..::1 �:!-+•__J:e_-':ytti__-r ��.::J >' n..,u . ___I r ........... .1 ♦.�•:TW:+`+_i'7P:'�..0•Ida.+0a.f.YSr'.d:5.ft]ECii+G.�D`s•�+Gy.�_I[::a. - - _ _ ._.. ^.-....._t• .... -, i _ ^ .'... <.'a-i , -.✓r.:i>,;T;s.. L.. r-:r.��;•,;�- t .�.>!< =�' '-i:`'•sr�'.-i 1, t _..L_ / <. . .......-...+...,.,i-.a�.v.�..,rs.•--'+..-a•v-..r..r...rricvr.csty v•...a_•>.r',•... 1 '- - _ _... - ,'S3W ,f_3=,s-T-T_. .r.,.�.l-f7.•....; ...:-: `•w...r_ .n...........:.�....,, > .. � � 1S • I .1.4-0rl-"'•-m....t..�G._S.. i.:Cs.i•1Jr:.::l><_ -v`f�✓L:w'r' -7d'rT,�:rfT' • • - _ • z_ «._,.. t::'•....::.<...:.� ..Gw'tu•.5..,. ! .+...,4,,,-,,._..u...i. .H -.-j..� r . >.`�.c'..r...,......a. '_ I-. ▪ V• r .,, r.. INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL, Ch. 142 YES E. NO Li I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY E, OTHER TYPE INDEMNITY .T BOND [Ill 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 J(� AGENT : ` SIGNATURE OF OWNER OR AGENT _ __, I hereby certify that all of the details and information I have submitted or entered regarding this applicali are truand curs to the fr est of my knowledge and that all plumbirg work and Installations performed under the permit issued for this application will e In compfianc with Pertin t provision of the Massachusetts Stale Plumbing Code and Chapter 142 of the General Laws. .......L......----- _________ _......2. PLUMBER-GASFI-rTER NAME �.1zi l� -�. ---� LICENSE # .__-- - . :. ,���.y ��,�-. ' 4.�.-. SIGNATURE MP MGF _I� JP JGF LPGI CORPORATIONitiril � - PARTNERSI-IIP�. # - LLCF-14 [... __._— i_______. COMPANY NAME: 4 • cf4 C C/ . rite' ADDRESS �' _--___ �. - _ ' �+ Y r.avp;y�7..„:..„.. ♦. S•_,.. .mac.. C.... - . _...L — 'i.1..C:....... ..i�L" .:.rJ6:.tYr....,„..'.:..rf:i.[J_:._' : CITY `` c -- __--; � - P---,—'" +, ---- -- . 5 ! �,. STATE .. Z#P ..4 T E L 1..1:.5/vT 'A..'.t.' .'*Lli`.Yr`'•..irC'_'..^r"sr'- V- +/.'L.Lt,'1.C{�'Z F-./.1.nrw..'+S7L•':STM.Ut•..�r.I'..Y L J.-ri t FAX -�,, �' _ -- - _ '` �' CELL M _� _ f �'/ar'�` E AIL. C,..