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Home My WebLink AboutBLDP-19-000891 • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Mr Mr= �O p it1 CITY YARMOUTH / �MA DATE in-:22 PERMIT#ADP-11-W i71 - JOBSITE ADDRESS yg —1 P u . -eeii OWNER'S NAMEr ,C, vpn ek- POWNER ADDRESS TEL .,& FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL 0 PRINT CLEARLY NEW:0 RENOVATION:❑ REPLACEMENT:Er PLANS SUBMITTED: YES❑ NO21 • FIXTURES1 FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB t�e #. G _ f ). 1 . E. s' CROSS CONNECTION DEVICE DEDICATED WASTE ATEED SPECIAL SYSTEM ' --`111k -1 1 -+Ii . ...I I _—� .a.-_a 1._ e- .. .a_ . '‘',4•°- .. • - . ., — � DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM 8 . DEDICATED GRAY WATER SYSTEM n , DISHWASHER k DRINKING FOUNTAIN FOOD DISPOSER FLOOR IAREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK i _. _ _-. LAVATORY - ROOF DRAIN l i SHOWER STALL 1 SERVICE I MOP SINK ._. TOILET r ,� _ I URINAL rl- —. 1 —11 —{ — I „ --- .---- 1 WASHING MACHINE CONNECTION , WATER HEATER ALL TYPES -' I 1 .. , WATER PIPING I 1 I OTHER , i 1 1 tl i .. • i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[i NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:lam 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 ❑ 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 bes.. knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian - ith all Pertinen n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. - A PLUMBER'S NAME KEVIN LAMOUREUX LICENSE# 15383 AT RE - a MP El JPQ CORPORATION❑# ' PARTNERSHIP 0# LLC0# COMPANY NAME LAMOUREUX PLUMBING 1 ADDRESS 61 JOBYS LANE . CITY OSTERVILLE STATE MA ZIP 02655 1 TEL 508-420-2068 FAX 508-420-7992 CELL 1508-292-5085 EMAIL 'lamoureuxpIumbinj verizon.net ait ROUGII PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No 6 THIS APPLICATION SERVES AS THE PERMIT �� ❑ 0 `� �� FEE: $ PERMIT# OK Cie 6/ PLAN REVIEW NOTES losik 4 oda 12:>. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK „` CITY YARMOUTH MA DATE 7-/4-/f PERMIT#/hP/%000 791 JOBSITE ADDRESS 12 j Gyre,] Oa eA0, kNVNER'SNAME}fitWrier �r GOWNER ADDRESSTELJ 774-3s 6-ay97FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL E] RESIDENTIAL V PRINT , CLEARLY _,❑ RENOVATION:❑ REPLACEMENT:LEK PLANS SUBMITTED: YES❑ NO APPLIANCES'I FLOORS- ESM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER - r BOOSTER I 1 I� I 1 I I CONVERSION BURNER i i - 1-71--1 l ' , COOK STOVE I I DIRECT VENT HEATER :y J I DRYER I V 1 ii_ ._ FIREPLACE U 1 FRYOLATOR I I FURNACE 1 .111I 1_1 GENERATOR I iGRILLE I !INFRARED HEATER jLABORATORY COCKSMAKEUP AIR UNIT I11I1 I I J POOL HEATER I _ ROOM I SPACE HEATER laneI It I T TOP UNIT _I _I- r TESTST UNIT HEATER , f i INVENTED ROOM HEATER I 1 I I I I I I 1) WATER HEATER / l 1 l I I 1 I i OTHER _f� f i. . _i I i I ' INSURANCE COVERAGE I have a current'liabifity insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YES Q NO ❑ 1 IE YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 - OTHER TYPE INDEMNITY ❑ BOND 0 OWNER'S INSURANCE WAIVER:lam 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 ❑, SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information 1 have submitted or entered regarding this application are true and accurate to the best . ,owledge and that all plumbing work and installation perfumed wider the pemtit issuedtot ares application will be in " F. - ,• all Pertineil• the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-Gi �i . • ASFI1TER NAME LAMOUREUX LICENSE# 15383 `_ ice/ i._ , 1 MP 0 MGF❑ JP D JGF❑ .LPGI❑ CORPORATION p# PARTNERSHIP❑# 11C❑# COMPANY NAME:KEVIN LAMOUREUX PLUMBINGBHEATING ADDRESS 61 JOBYS LANE CITY OSTERVILLE1 STATE MA ZIP 02655 TEL 508-420-2068 FAX 508-420-7992 CELL 508-292-5085 EMAIL lamoueuplumbing@verizon.net • ROtlGII GAS INSPgC FIoN NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yet No THIS APPLICATION SERVES AS THE PERMIT 0 0 FIE: $ PERtIFIL rzP114.1 7' 'L/ PLAN REVIEW NOTES • e 0_///t