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Home My WebLink AboutBLDP-23-005791 I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Ire - e CITY YARMOUTH MA DATE 4/19/23 PERMIT# BLDP-23-005791 7.rri JOBSITE ADDRESS 822 ROUTE 28 OWNER'S NAME MACLYN LLC P OWNER ADDRESS 822 ROUTE 28 SOUTH YARMOUTH,MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL El RESIDENTIAL El PRINT CLEARLY NEW:El RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES I 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 4 ROOF DRAIN SHOWER STALL 4 SERVICE/MOP SINK TOILET 4 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 El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY El 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. 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 LEVESQUE LICENSE 16162 SIGNATURE MP El JP El CORPORATION ❑# PARTNERSHIP ❑# LLC El# COMPANY NAME HARWICHPORT HEATING AND ADDRESS 461 LOWER COUNTY ROAD cnnl INC,'I I C CITY HARWICHPORT SIA1 IMA I ZIP 02646 TEL FAX CELL EMAIL emily@hphciil.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE El El FEES$ PERMIT# PLAN REVIEW NOTES s \ MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM PLUMBING WORK • '''"^s—' CITYlTOWN S )Lit)-` q R AA OL�4 MA DATE Ul ! I'O i a2 3 PERMIT# 2 S 5 7`f I;I. JOBSITE ADDRESS cD-a gout-6 a B OWNER'S NAME 0 1iSl-4 ILi- (-, P • OWNER ADDRESS TEL `13 ?-5 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION REPLACEMENT;El PLANS SUBMITTED: YES❑ NO❑ FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 6 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE • DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM _ , DEDICATED GREASE SYSTEM • DEDICATED GRAY WATER SYSTEM _ , DEDICATED WATER RECYCLE SYSTEM DISHWASHER • DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY LI ROOF DRAIN ' • SHOWER STALL L{ ' SERVICE/MOP SINK • TOILET `` • URINAL WASHING MACHINE CONNECTION • WATER HEATER ALL TYPES _ _ WATER PIPING ' OTHER • INSURANCE COVERAGE I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES IVNO El I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY V OTHER TYPE INI EMNITY ❑ 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,end that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER El AGENT•❑ SIGNATURE OF OWNER OR AGENT I hereby certify that ell of the details and Information I have submitted or entered regarding this application are true and 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 wit nil Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Andrew Levesque LICENSE# PL15162 GIVATU MP g_..MGF❑ JP❑ JGF❑ LPG!❑-. . CORPORATION❑# PARTNERSHIP❑# LLC I2(# 3944 • COMPANY NAME Harwich Port Heating& Cooling LLC ADDRESS 461 Lower County Rd CITY Harwich•Port STATE MA Zip 02646 TEL 508-432-3959 FAX 508-432-6075 CELL: , EMAIL andy(cr�,hphcilc.com kecia@hphcllc.com 6/24/24, 2:48 PM Mail - DiBenedetto, Mark - Outlook Closing Plumbing Permits Keith Field < keith@hphcllc.com > Mon 6/24/2024 11:48 AM To:DiBenedetto, Mark <MDiBenedetto@yarmouth.ma.us> Cc:Brian Clark <brian@hphcllc.com>;Andy Levesque <Andy@century-mech.com> Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Hi Mark, I hope this message finds you well. I am writing to formally request the closure of all plumbing permits associated with the property located at 822 Route 28, South Yarmouth MA 02664. As of 6/24/24, HPHC will no longer be engaged in plumbing activities at this address. Please proceed with the necessary steps to close these permits in your records. If there are any specific procedures or forms that require my attention to facilitate this process, please do not hesitate to inform me. Thank you for your attention to this matter. I appreciate your prompt handling of this request. Best regards, Keith Field PLUMBING MANAGER Harwich Port Heating and Cooling LLC. 1508-432-3959 hphcllc.com Keith@hphcllc.com Electrical Manager Electrical Manager Electrical Manager Electrical Manager https://outlook.office365.com/mail/inbox/id/AAQkADc1YmYOZGViLTIONTgtNDMONC1 iZWQ1 LTQOMzYOYzRjOWZmYQAQAJFf3DosekTgiyHOBf%2Fd... 1/1