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Home My WebLink AboutP-14-047 .- . --.. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Lr nn /�l/ . r, CITY Yarmouth MA DATE 07/16/13 PERMIT # /"�4" 0Y7 JOBSITE 40 Aft Rad(South Yarmouth) M#026/P#49 OWNER'S NAME Pahizzi POWNER ADDRESS SAME , TEL fr,FAX I TYPE OR OCCUPANCY TYPE . COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL PRINT : CLEARLY NEW: 0 RENOVATION: 0 REPLACEMENT: 9 PLANS SUBMITTED: YES 0 NO0 FIXTURES FLOOR BSM 1 2 , 3 4 5 6 7 8 9 10 11 12 13 . 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS 1EM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM '• / DEDICATED GRAY WATER SYSTEM / DEDICATED WATER RECYCLE SYSTEM . J DISHWASHER .._ .. f A _ . J DRINKING FOUNTAIN i 1 f FOOD DISPOSER ' FLOOR IAREA MIN INTERCEPTOR (INFERIOR) 1"-----27 ' r KITCHEN SINK \ !/ - LAVATORY \ . ` • ROOF DRAIN . -SAOWERZTALL L - . • SERVICE / MOP SINK • . . ' TOILET URINAL PtCCEPTEC 7 a-;-/1- WASHING MACHINE CONNECTION Bi: IVATERREATI AEDIPES I WATER PIPING .. OTHER . INSORANLh COVEHA(,E;: I have a current liability insurance policy dr its substantial equivalent which meets the requirements of MGL Ch:142. YES 0 NO0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW •' "'' LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY ;0 BOND 0 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: OW ' C AGENT 0 • SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and mfornabon I have submitted or entered regarding this application are tru rate to the best of y knowledge and that all plumbing wodc and installations performed under the permit issued for this application will be in come • AI Pertinent provisi•. of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME James Pazakis LICENSE#PL-150 r : SI a TUR,F/� i MP ®; JP 0 CORPORATION ®#C-2803 P•' ' IP Q# LLC Q# COMPANY NAME Hall Plumbing&Heating,Inc. - •447 Old Chatham Road - RECEI T '. I • .. CITY:South Dennis ' STATE:MA • ZIP:02660 ' TEL•508-385-9127 • FAX 508-385-6604 CELL �ik4 4°fl8✓�u.ZMAIL Halltechniaan@comcastnet' BSU-ID_INGP�j7 RTMENT By: f11!'C� • • k :i �., ra \ I ,--... i r-.1, 1 f., ... - - x.. r.. S3.LON M3IA3 'Id $1lW213d $ :331 ❑ ❑ 11W213d 3Hl SY$3A213$NOIiYOIlddY SII-11 - ON SBA - S3.LON NOI133dSNI'IVNI3 AINO 3sa 33 1-4,10 110.4 M013fl S3lON NOLLO3dSNII 9NIHI1IR'Id HJROUI MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK- -- r tkersdiCITY Yarmouth MA DATE 07116/13 PERMIT# bill;� : JOBSITE ADDRESS 40Aft Road (South Yarmouth) ' M#026/RI 49 OWNER'S NAME: Patrizzi (i OWNER ADDRESS SAME TEL FAX r i. TYPE OR OCCUPANCY TYPE . 'COMMERCIALEDUCATIONALRESIDENTIAL PRINT 0 0 CLEARLY NEW:0 RENOVATION:0 REPLACEMENT: 9 ' • PLANS SUBMITTED: YES 0 NO❑ APPLIANCES 1 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 ••F•ORNACE GENERATOR . GRILLE . INFRARED HEAL ER - LABORATORYCOCK • S (EUf AIRUNIT OVEN POOL HEATER • ROOM / SPACE HEATER ROOF I OP UNIT AC CCPTIID " Itbi •1^ UNIT HEATER UNVENTED ROOM HEATER WATER HEATER I OTHER INSURANCE COVERAGE I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES © NO 0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW r LIABILITY INSURANCE POLICY Si OTHER TYPE INDEMNITY 0 , BOND 0 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. . r . CHECK ONE ONLY: Ord• • - 0 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 , .-best of my kn• --•ge and that all plumbing work and installations performed under the permit issued for this application will be in complia .- a. • • - • th= Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME:James Pazakis UCENSE#PL-15030-M K SI •r• I.1 MP ® MGF❑ . JP 0 JGF ❑ LPGI 0 , CORPORATION ®,#2803 • r. R:HIP ❑# f LLC ❑# COMPANY NAME Hall Plumbing & Heating, Inc, ADDRESS 44 :d ChatlaR E'Q E I V F D CITY South Dennis STATE MA ZIP 02660 TEL 508-385-9127 t /.I1 L 18 013 FAX 508-385-6604 CELL EMAIL HallTechnicianCrDcomcastnet f0 ��§, BUILDING p ptMENT -,•fl-. ..:r - - - _. .. • • • • • , C., - _ f l ' ' - S3.LON M3 321 NV7d $lint! d $ ;33j ❑ 0 11WM3d 3Hl S S3A2l3S NOIIY3IIddV SIHI. ON S A - S3.LON NOLL73dSNI'IVNLII A'INO 3SII 2IO1.33dSNI Hal 39V4ISIH.L SAION NOLL3adSNI SVO H911011 i .