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Home My WebLink AboutBld-22-000146 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK - 14' =.7 CITY YARMOUTH MA DATE July 09,2021 PERMIT# BLDG-22-000148 JOBSITE ADDRESS 34 TOWN HALL AVE OWNER'S NAME James Grinell G OWNER ADDRESS 34 TOWN HALL AVE SOUTH YARMOUTH MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL 0 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 1 FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST 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 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 Spencer Hallett LICENSE# 16224 SIGNATURE MP© MGF ❑ JP❑ JGF❑ LPG' 0 CORPORATION❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME: SPENCER HALLETT ADDRESS. 381 Old Falmouth Rd Unit 36, CITY MARSTONS MLS STATE MA ZIP F26481372 TEL FAX CELL EMAIL spencertithallettplumbinp.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 ok Z/ZC/Z/ C f=S FEE:$ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK xm .Vi. s CITY _`�.G„�'1fYlc4�..�i4-� ...,:...,, . ,_ _. .,#...1 MA DATEI, ( ,� to-�_L ,.,PERMIT# 13tDI"o -i -oo0(H$ JOBSITE ADDRESS . ' ._ ._...__. _ . { U 1` 7. HCiI Y4V :::..: .-.dOWNERS NAME Le_,.hr _ i: .)4_,. Gv_1T,.n:o_ejt GOWNER ADDRESS �S�YY rt — TELC �4 . by_ �SFAX(.:- j TYPE OR OCCUPANCY TYPE COMMERCIAL[_,_i EDUCATIONAL I RESIDENTIAL[. " PRINT �; CLEARLY NEW:Li RENOVATION:CI,I REPLACEMENT:I,T PLANS SUBMITTED: YES[7,1 NO 1—,_,.. APPLIANCES 7 FLOORS--* BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER , I 11 1 I L - I ..,.__.'i.. :: I I _ n 1 BOOSTER I 1 .1I 31air,„ t I. jr— -- 1 E i CONVERSION BURNER IV 'IJriI $1 ,L- '! _ - :-_ -- __ __---_ ,._..::I_ -_.III,., I_,. 1 °! ..11� r . ; COOK STOVE I. 'I i l :.n I .._......a r 1 ..._ _ _ IF IL,__.. - -__ --..... f DIRECT VENT HEATER __.—,f_._...._-. i—� l r i �:; _ DRYER FIREPLACE , I `I ;I r, 1 ,I l I �( • FRYOLATOR 1-._-- 1 i a 1: # i I f I I o [� �I:. J .I 1 ,I ,I FURNACE —._ _ 'i._. _,__._ _ _._._,,__. _. �_ ., I.:_ _.:..fl:_.-::.:....!I 1-.::.w� L.- �f i1. 1I. __L— ?L _ f _.i�-.. ..I GENERATOR ____._..___._..._ ._._____.._ .__. _..__.- __--_ _ -- ' .-_---- -_-- ' _�.�_Y__._ _; GRILLE .-:, �:� _ ' __---- INFRARED HEATER IT I Ii jH T , a.'(.: '[ f I _ it LABORATORY COCKS C. T .I� �I ! 7I I I r I I ( 'I MAKEUP AIR UNIT I.-�.� I 11 ii ;I ,I II 1... .._.i1 II r ( h__..,.,1._ ,1 . ... OVEN —..._ POOL HEATER ( 11 1117. ,i(.-__IL_, I JL if- I n I _y `...1 ROOM/SPACE HEATER E ,,:a l 'i '1__ —11- ..1[^�^.1 11 1 f -. __..t.., I_ I.._ .. ,l 'I.27.4- ROOF TOP UNIT r 'jI II.,. _ —11._., Ii__-c.7..� I jl II_. 1__ [_., _ 1 I -11-.___µ,i12'4_ TEST 1 „H I I._: i i:," 1 _ .!I_,.,. '1 f_ 0 1 . 1 I ' _ t r. UNIT HEATER I.,- ...=1 . MV.11,:__"_.1__---_IE -, [,�.. ,I___..�.ai —;I .. 'f__T.'f__ I., 1...:,.TC:_u,..'I UNVENTEDROOMHEATER I_ - 1.....---~:.,1 .=f.::-.,,:. ITT:viY:_,., 1[ -:f1-�w...:€(,u.-.:_1T.. ..- r: _...;1'. ~ __ `_IL_____._I_.-- WATER HEATER C. ' 1____. 1 E TI I OTHER I ri I I._. i 1 ,..�, i ` ___ �._.�....�..�___ � :._� I �IOW,.�"�!.: I `_,I `: .:.C �I •�:� v1 II Jr. 1 11 Al- f _ I jIM .,...11`� ,I.. 1_... 17 ,,IT i,_..__.. E I I I.... (--- J1__. 17 ..--_1._- ,:1.. -- 1n,: if—„....A .,, _.:�f ".._I __ 'l_ `L_ I T1:..__.it. .... i INSURANCE COVERAGE ' I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES „ NO [.Uf I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY I I OTHER TYPE INDEMNITY (,_,# BOND L,.., 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. 4: CHECK ONE ONLY: OWNER [y._4.1 AGENT 0 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 e best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance wit P I rovj on of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Spencer Hallett LICENSE#1 16224 j SI MP 1..4 MGF[_] JP L,_] JGF[1 LPGI ID CORPORATION M #13834 -._.--_..[PARTNERSHIP[ #I.w.` `....'_ LLC I.1111- 1 COMPANY NAME:Spencer Hallett Plumbing and Heatin Inc _p __ _ ___ g ADDRESS 381 Old Falmouth Rd Unit 36 9 CITY Marstons Mills . STATE Ma ;ZIP 02648 TEL 508-428-6080 . FAX 508-428-7991 CELL EMAIL spencer halleti lumbin .corn 1