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Home My WebLink AboutBLDG & P-22-005242 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 3/21/22 PERMIT# BLDG-22-005242 JOBSITE ADDRESS 280 NORTH MAIN ST OWNER'S NAME Deanna Jennings P OWNER ADDRESS SOUTH YARMOUTH,MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL El PRINT CI CLEARLY NEW: 0 RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES NO FIXTURES • FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTE DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER —WATER PIPING 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 El NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY❑ OTHER TYPE 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'S NAME Andrew Leighton LICENSE 1 130 SIGNATURE MP El JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME 'ANDREW R LEIGHTON ( ADDRESS 20 Brewster Rd CITY (W Yarmouth I STATE MA ZIP 026735706 TEL FAX I I CELL EMAIL halloilcompany@gmail.com ClO W 0 1 , II ,? MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK —f, . ' CITY --4 4-!,_, r A 0-t0 C.,ri4 ! MA JOBSITE ADDRESS I R.IC) A/OA-t4 ia/A./ Sr i 0 ER'S NAME!ala Via Zan!)i Ats OWNER ADDRESS TEL!g:),s-73P-42 P9 IFAX i TYPE OR OCCUPANCY TYPE COMMERCIAL Li EDUCATIONAL 7 RESIDENTIAL'Y.'.--- PRINT CLEARLY NEW:I..j RENOVATION:L-3 REPLACEMENT:; 1 PLANS SUBMITTED: YES n Nt FIXTURES 1. FLOOR-. , esmii 2 A 5 6 7 89110111112 ' 13 BATHTUB _ _fi ___IIMAJMNIAMITM___ __IINIIII_MINIU_ _ CROSS CONNECTION DEVICE _ aimailigigt .11 ' i-14-1LAL ' -1.AAtAALAI- 3°--"Ilamilw—MINFAIN._fflimiti.M.M._.1 __Nm111111_ 1-1•WiTtiMISIMMili. . DEDICATED GAS/OIUSAND SYSTEM _ till11.11111111114-11.01111 .1111,1111. ° ___,M141111.111111111.11101M.111111111M111•11 DEDICATED GREASE SYSTEM 110111 — GRAY WATER SYSTEM __:, ---_ _ 1011.111, .1111111111MillitaM DEDICATED DEDICATED WATER RECYCLE SYSTEM wiwomimpimmillairill111111Milit DISHWASHER ntiti.swoulimmummmiffitompoilui_ DRINKING FOUNTAIN - _11.111.1~.1111 FOOD DISPOSER il_iMIMINAMiliiMUMINNIWINME_Siliiii ___ FLOOR/AREA DRAIN ___,_MILImpiimufOulgigrairsitit INTERCEPTOR(INTERIOR) _allA _W..1.1111-111111111.111.11,1111111.11M11.1111111111. KITCHEN SINK I iiniallill._ am W migiummorifissmiummuusit _ SPICIP.111 .11111.111111110111 LAVATORY - 4.011-11_11111-11_11., 11.11.111Wit_1.71.1iWW11.11-11171 --NIIWIO ROOF DRAIN -- NWILI• _ SHOWER STALL g—_SIII_MILCIPMFOOWIFW*1._ SERVICE/MOP SINK I isisfamtimumitafir TOILET ii_A-AWN101.111114ffspgraniiiiiimillow 1111W- allikti__iiiIIINHIlispit.Wa _ -- WASHING MACHINE CONNECTION i ---1_111111/110101111111111111.1.11111111111111.111 - WATER HEATER ALL TYPES WWI*PM im am iiirgillitWeifimitM iiiiremiFirna- WATER PIPING - alliilaillallitailiaimporlINF 11111 1111111111111111111111111.. ON ER i _ __________ ____Wiligimplirtamaiiiusavias 1111111Wilmfliiii .7iMINW10111•11111.441111.111ii ._ __MIIIPOINIAPPIAWJWCfrolliiiirramt 111111 .1.1-11-1411.11M1WoMalltillmillinWirri IMIIMWITOi' 1 INSURANCE COVERAGE: I have a current liabLI W...r insurance policy or its substantial equivalent which meets the requirements of NIG_Ch.142. YES'7;1 NO IF YOU CHECKED YES.PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKINGHE APPROPRIATE BOX BELOW ',ABILITY INSURANCE POLICY M . . OTHER TYPE OF INDEMNITY .J BOND :2 , . OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage required by Chapter 142 of the 1 Massachusetts General Laws,and that my signature on this permit application wars this requirement. SIGNATURE OF OWNER CHECK ONE ONLY: 0 ER -NAGE OR AGENT i I hereby certify that ail of the details and inforrorl I have submitted or entered regarertg this appffoati toe as= to th , my ic and that all plumbing wad<and instailations performed under the permit issued for this e.pprrcation will in=imp' with Pert * ion c Massachusetts Sta'a Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME 1 ANDREW LEIGHTON _____ _ _ i LICENSE#1'I6130-M GNATURE MP17::' JP 1 CORPORATION',U#1 3734C 1PARTNERSHIP' !#I i LLC: 1 COMPANY NAME HALL OIL COMPANY INC. I ADDRESS i 435 RT 134 ---- CITY i SOUTH DENNIS _ !STATE- MA i' ZI P i 02580 I TEL'508-398-3831 - , 4 i -01....eanNoMMIS4 L........--.......................----- FAX i cnP,-vi-3058 I CELL 1 EMAIL halicilconpanagmail.com _ : MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY YARMOUTH MA DATE March 21,2022 PERMIT# BLDG 22 005242 mI_i=�: Z 3u { JOBSITE ADDRESS OP NORTH MAIN ST OWNER'S NAME Deanna Jennings G OWNER ADDRESS SOUTH YARMOUTH MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES ❑ NO 0 FIXTURES FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER 1 BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE 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 0 NO❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER OF INDEMNITY❑ BOND El 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 Andrew Leighton LICENSE# 16130 SIGNATURE MP El MGF 0 JP❑ JGF El LPG! ❑ CORPORATION❑# PARTNERSHIP 0# LLC ❑# COMPANY NAME: ANDREW R LEIGHTON ADDRESS. 20 Brewster Rd, CITY W Yarmouth STATE MA ZIP 026735706 TEL FAX I I CELL I I EMAIL halloilcompanyCa gmail.com ! SAOHUSETrS UNIFORM APPLICATION FOR A PERM IT TO PERFORM GAS FITTING WORK t 1 r I CITY .S,G. v,AR f- U T M MA CAE -� /�0 2- Pam.- 21- S Z`1 2 i V 1 JOBSITEADDRESS ,?30 ,/afe 14 /VIM 57 -OWNER'S NAME -Ae>n�. V)C( S - OWNER ADDRESS TEL �'O3`- 73'7-4,3 FAX TYPE OR PRINT' OCCUPANCY TYP_ r- tMERC!Ai DUCAT NA.i. RESID tAL o CLEARLY �N1 EN: RENOVATION: RFL&CEMEN<: V PLANS SUB :;t.c?: YES NO V E APPLIANCES i FLOORS i 3sM i 1 } 2 1 3 ' 4 1 ., ,E a 7 } 8 ; . ; 10 J 11 ; 12 k 13 k 14 BOILER I I ; I I t BOOSTER ] k . , E l [ _ CONVERSION BURNER ? I f 1 f f k } k COOK STOVE i -i I . -i- I • DIRECT VENT I IEA T PER j -t k i i k ! k i i t DRYER I` 1 j i i -I 1 FIREPLACE i i ' !—f I k !E k FRYOLATOR I .i I FURNACE -' # k GENERATOR s E i 1 I I GRILLE ; . I I } k , .. - -I INFRARED HEATER } i i . E . I ! ! . E LABORATORY COCKS f :, f _ . I i I 1 MAKEUP AIR UNIT I k ` • 1 i € } , } =! OVEN ? ; i 1 1---- POOL HEATER __ ; . E i _ __ . ROOM f SPACE HEATER _ I } k - - I ROOF TOP UNIT 1. ' I - ' k - • - TEST I } _ [ --.7. t UNITHEAiER f [ € i + 4 } UNVENTED ROOM HEATER 1 ! ; i } ' ( { - . -_t - wATER HEATER - . . ! ( _ ( i k 1 . 1 . - ! • QTHER ii 1 i k ; 3 [ i ! ? 1 t I i i i F 1 f : i - INSURAtMCE COVERAt I have a current liability insurance policy or its su'ostartal equivaiei tiafhicb mks the requirements of MM..Ch.142 YES NO I IF YOU CHECKED YES;PLEASE INDICATE THE TYPED!:COVERAGE BY CHECKING THE PROPRIAT E BOX BELOW I RiLITY INSURANCE POLICY V OTHER ;=I'IQetNITY BOND OWNER'S INSURANCEWAIVER:I am aware that the licensee does not have the t --rance coverage ri quired by Chapter 142 of the lfassachuse is General Its,and t my signature on this perttit application Arai�-this requir`went. CHECK ONE 0 : OWNER AGENT SIGNATURE OF OWNER OR AGENT €hereby Garay tl. ail of tier s and irfarmalon I have submicea or errand my` - aeon are and or my imumeclge and that an plumbing' wrack and tnsiallaSorss parsers :alder Ile pamitiSataed far this appii iF will tle in pan of the c A €viasse"cnuse State Phrithirio Code and Chap r 142 of the Genf?Laws. I I PLUMBER-GASFIT T ER NAME ANDR*EIGI TON LICENSE 151304 SIGNATURE MP ' MGF JP JGF LPG CORPORATION i T 373 C PARTNERSHIP # LLC COMPANY NAME HALL OIL CCMFAM'IN;. ADDRESS 435 RT t . CITY SOUTH DENNIS STATE MA ZIP 0 TEL 50a-398-3831 FAX. 508-394-3O6e CFI i E24111..IL t ,lmny aacrriaLcarri I • \