Loading...
HomeMy WebLinkAboutBLDG-22-006276 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK . 3 CITY YARMOUTH MA DATE May 02,2022 PERMIT# BLDG-22-006276 1( JOBSITE ADDRESS 20 CENTER ST OWNER'S NAME TOORAEN ERIKA L G OWNER ADDRESS 16 MILLS ST WESTPORT CT 06880 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ 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 I 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 Vincent Marano LICENSE# 15136 SIGNATURE MP© MGF ❑ JP❑ JGF❑ LPG! ❑ CORPORATION❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME: BEST YET INSTALLATIONS INC ADDRESS. 10 Meadow Rd, CITY Spencer STATE MA ZIP 01562 TEL 5088852378 FAX CELL EMAIL permitsabestyetinstallations.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 . ti MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK , _(7 ltraiir 4 CITY rTo1 b poi(--. MA DATE[ of,1(9 ._ PERMIT# '?JZ-- (ot1G JOBSITE ADDRESS . ._ p___ _ • D OWNER'S NAME LC r\_ta, _` 21']G OWNER ADDRESS . TE qL •`655 .q0)1__. FAX TYPE OR OCCUPANCY TYPE COMMERCIAL 1 EDUCATIONAL i._ RESIDENTIAL 121 PRINT CLEARLY NEW: RENOVATION:D REPLACEMENT:[ PLANS SUBMITTED: YES 0 NO 21 APPLIANCES 1 FLOORS BSM 11 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER J i . I 1 t , BOOSTER il. I I .._ I01 k.._, CONVERSION BURNER J _ - i })-_ 1 11 ,, i 1. COOK STOVE DIRECT VENT HEATER ( E. DRYER J\ jI 1 , j I lj r. , i I FIREPLACE � t u._ , .. ,. . FRYOLATOR _®) ,. ' FURNACE I _ ._ - E ._-- _ I ..._-: 'i�- �. t..-.. GENERATOR ) _.. _ .. GRILLE __IL. .. 1 . 1 I ` INFRARED HEATER LABORATORY COCKS ,,. MAKEUP AIR UNIT I ( i t = I [ OVEN L i_ . POOL HEATER I ;. i 1. ROOM/SPACE HEATER (_. ROOF TOP UNIT TEST i i F - 0- f .._-_-_ - - UNIT HEATER , I i, ;,.. It , f ,. ,. n_ . ,.i..,- .il_., - UNVENTED ROOM HEATER l _ I_-_ I ..F . H t WATER HEATER -. J OTHER fI I E i ! r .... i 11 INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [j NO 0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 21 OTHER TYPE INDEMNITY El BOND n 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 [AGENT E 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 a 'nent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. z PLUMBER-GASFITTER NAME LICENSE# ��� � G� , �(!�CQ� t .. .,- . I✓cl3(Q., SIGNATURE MP 21 MGF El JP El JGF LPG'Q CORPORATION[# 153C PARTNERSHIP©# ' LLC 0# COMPANY NAME: `) Ve,`I {'15-1GtI�Gt fIL'Y1S �n ADDRESS N (U �(� PC CITY 2I(1G STATE LAR ZIP 1 015 _TEL �0 '`6�65_. ..g3 3 x J_._ EMAIL1 FAX R j CELL w_ � PAW i-1-s ep -8et on,Ycct 11 41-ons 4 )M. , QLb& 7- - o06,2_--)c, BEST YET INSTALLATIONS, INC. RECEIVED AUG 0 8 2022 BUILDING DEPARTMENT uy.-- — - --- Dear Gas and Plumbing Inspector, Our office is writing to notify you regarding the following patrons who refuse to schedule inspections for the work we have completed and the permits that we have pulled in your town to date. Not only do we have our customers sign an inspection agreement at the time of completion; we also, diligently try to close these permits by calling these patrons multiple times and by sending them via snail mail a demand letter enclosed with the Massachusetts state plumbing and gas codes. Our efforts have been futile and the enclosed patrons refuse to schedule the inspections of their permits. Per the State code our office is notifying you of our efforts to close these permits. Thank you Best Regards, )1dAvt4-/-(5/0q7122"----- Vincent Marino Master Plumber 4153C sz :: ; 15 South Spencer Road rigSpencer, MA 01562 I USA c.._. _`- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WOK CITY yotr1'ro.04-h O�-k- MA DATE 31 cj/c PERMIT# 1511-a a-my7 JOBSITE ADDRESS c () Ceh-fe V S'i". OWNER'S NAME L\r- K.Ck `-root'-G eh GOWNER ADDRESS Cl\nnQ, TEL 9 I .?7,„ • 011 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: i PLANS SUBMITTED: YES NO ✓ APPLIANCES 7 FLOORS-. BSM 1 2 3 4 5 6 7 8 9 10 i 11 I 12 I_ 13 14 BOILER I __ BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER \ . i FIREPLACE _•2 ` FRYOLATOR FURNACE GENERATOR 5 l0 GRILLE INFRARED HEATER ) j ' L , LABORATORY COCKS »• -• j MAKEUP AIR UNIT OVEN POOLHEATER L` - \ Co.tt t oc- . ROOM/SPACE HEATER ROOF TOP UNIT C I - TEST ' UNIT HEATER VJer k Self e� .-- .--- UNVENTED ROOM HEATER WATER HEATER %— OTHER I --- -i-Q-I - I I F i ! -_ I have a current lia APPLIANCE INSPECTION AGREEMENT I IF YOU CHECKED 1 '"'�' APARTMENT# FLOOR LEVEL '5em-Pa"t� OWNER'S INSetts RA Ge We are required by Massachusetts State Law to have your appliance installation inspected Massachusetts Ge within 30 days of installation. Someone over the age of 18 years of age will have to be present SIC to let the inspector into the home. If someone is not home or over the age of 18 on the date I hereby certify that and time we scheduled your inspection. You will be required to pay the towns posted and that all plumbing Massachusetts Stat€ re-inspection fee and /or any and all fines associated with the inspection not being PLUMBER-GASFIT able to be completed. Make checks payable to: Best Yet Installations, Inc. MP i MGF , ate'' CUSTOMER SIGNATURE: PERMIT FEE $ _ ( COMPANY NAME �7 PROCESSING FEE $15.00 - DATE 7 / Li2.- CITY 3,er qo// TOTAL = 7.S~ co2. _ BEST CUSTOMER CONTACT NUMBER FAX so it's 3 _ _ ORDER# hF ��o (OFFICE USE ONLY) TECH it IrYt- R61 Na. G6061 0 1 646 Deluxe!1-8�-886-6327