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HomeMy WebLinkAboutBLDP&G-23-003469 • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK yr,_ CITY YARMOUTH MA DATE 12/22/22 PERMIT# BLDP-23-003469 JOBSITE ADDRESS 12 MARGARET JOSEPH RD UNIT 5 OWNER'S NAME GONYEA PETER R P OWNER ADDRESS GONYEA KATHLEEN R 12 MARGARET JOSEPH RD YARMOUTH PORT,MA TEL 02675-2440 TYPE OR OCCUPANCY TYPE COMMERCIAL RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1 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 1 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❑ NO❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY❑ OTHER TYPE OF INDEMNITY 0 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 Peter Gonyea LICENSE 16720 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME PETER R GONYEA ADDRESS 12 MARGARET JOSEPH RD CITY YARMOUTH PORT STATE MA ZIP 026752440 TEL FAX CELL EMAIL kath.plum@yahoo.com • ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE FEES$ PERMIT# PLAN REVIEW NOTES • TION FOR PESM1T TO CC PLUMBING UNIFORM APPLICAG MtASSACNU5ETT5 BILL # Z 3 ~ 3 e7 9 (print or typo % / Pen" thi__•_ ' _ _/�� 1� l�'t �'t-� 7l1 P� , lodes. Cate � '' ?' _ . _ gei Cwnet's Name /�" E Ia r - - Budding for' /..) 3- drys t i tT_ _ _ Type at CccuaancY r _ w.-'., I. 'V Plans Submitted: Yes C No New C Aenciat ion C Replacement afr FTURE3 - T i H T 7 r 13 a . _i t Q a >r r w O ' Z y y IMP 0 mi } v < N : Q = 9 <1 a - , 4. I. 41 w r digaI — Si 3 . V a a a 4. — �— Z 0 7 a 4 a 4 4 y ,A C .4 .` Ca C a = j s =II .14 : r• ; 3 c a : 3ern c o re s x < W 4. a i 4 3 a M a a r 3 - p. 41 ih, a > a < 3 ,S 13 ( 0 ! sue—when. I i I I I I 1 I I I I I I I I 1 I I i i 11.63tJr eNT I I I I I I 1 1 I I I I I I I I I I ' 1ST Pt_oaN I I 1 1 I I I I I I I 1 1 1 I I I I I i ' l ' zro FLOOR l I i I 1 I I .1 1 I I I I I I 1 t f 1 r 2A001.00ft i I i I I I I I j I I I I i I 1 I i 1 I 1 11 v ` .1'14 oe.00a I I I I 1 I I 1 I [ I I I I I I ► I I 4 ST1, >re.0 O R I I I ( I I 1 I I 1 1 1 I 1 1 11 1 1 1 v T R� . ,t oaR I I I I I I I L I l I I 1 11 1 1 1 1 1 1 1 ' 1 I ! �' TTx .ao Pea ( I ( 11 II t[ I 1 I I I 1 `� 11" s-aa4 I 1 1 1 � 11 1 1 1 ► 1 ! l I ► 1 1 1 I i Qa IttmMUlq C mcany Marne .:fly-i _2 , ifCnecx are: ..Mfi`fczLe Addrla= I ✓41A-1yeel . j./`1-� C Carpvradon '4,4 U C Pieretstmzo Business Tdectione • 112 : "' 5r 6'`7'7 C Ftrrm/CJ. Marine at Licensed Phi:noes R- ,i4 INSURANCE COVERAGE:I ?nve a currant Iiaciity Insurance odic/ or its substantial eaurealent «ntcr meets the reruirernents :f MG,_ ' _ Y �' Yes Ne ' t you tnve c."etxe i yes. =east irtatct1Ic the ripe cZwzimgz, ry c"etxzng the waroarate ncx A Iv:Wit? Insurance odic/ _ CI:her type of indemnity C Bona C OWNER'S INSURANCE WANER: I am aware that the licenses does not ?lave the Insurance ccvera.;e m oire-:' s•: Qlaatet 142 at the Mass General Laws, and that my signature an this permit at:01=tton waives :t'is -ec~tltrer,ert 2 ,,�i Q�ecx one: e/6--tf- If ./1/ '`-�F' t- ()wrier agent Sprawl of Omit or Owner i Aq t mime r cxnty that ad of the drags mid information I have submitted (ar entered) In above aoofrcztron Ora true ant icc.:rate ca '!"e zest :' tnevoeCQti And that 3U plumping weft yid PnStaeattGrls performed Under time otemst 133ued tar !MIS wwo1=tlan .'4 ::e n :CTT'G '1f1C! +'('1 ?eftimmt arcw arcs of the masssacr'usatts State Mvnrouty Cade and Ctacter t 42 of the General Laws ef -76-ef-et 4 qrature G: •__ansad ?u�,.., me _ Type of License Master C _aumexnan f Cryfrawn APPIPPC'v€i (CF►Z USE CNt_f 1 Licsn•ra Number /-1 -7 6-' BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCIIEa PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME I TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK `ti,::,,rj CITY YARMOUTH MA DATE December 22,202;PERMIT# BLDP-23-003469 JOBSITE ADDRESS 12 MARGARET JOSEPH RD UNIT 5 OWNER'S NAME FGONYEA PETER R 1 G OWNER ADDRESS GONYEA KATHLEEN R 12 MARGARET JOSEPH RD YARMOUTH PORT MA TEL 02675-2440 TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL❑ PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED:YES 0 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 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 1 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 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY❑ OTHER OF INDEMNITY BOND ❑ OWNERS 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 as 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 'Peter Gonyea LICENSE# 15720 SIGNATURE MP 0 MGF 0 JP❑ JGF❑ LPG' ❑ CORPORATION❑# PARTNERSHIP 0# LLC❑# COMPANY NAME: 'PETER R GONYEA 'ADDRESS. 112 MARGARET JOSEPH RD, I CITY YARMOUTH PORT 'STATE MA ZIP 026752440 TEL ' FAX CELL' EMAIL 'kath.plumlla,yahoo.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 MASSACHUSETTS UNIFORM APPUCATION FOR PESM!T TO CO GAS ►� �5 BILL # i 1 �"' Pint at Typel -_ �' K4-47,, H G T l Mass. Cate 1 : fg Permit s Cn �+o '� net's Name /� � R /� "e-� _ _ r� Building Locztf u v .4 k Type at Occupancy G, Near C Renovation C Replacement Q- Plans Subrnittee: "es= `la r T. r T T ' , N a • r NA 1 Y = a w or r v a t• a es a Ili s O a • a Mir la 4 • � S � ti 4 sl Q - � • t a seI M• y W & c I � 4 a d d W < . — t O j. ;_r W W W J ! W W v 0 1 A. }. w �i 2 , a I I 1 O r• Z - - - C WI C us � 1 = s yg — t G s = t s C C Ai Z C Y i " 1 sus-45447• i 11 I I I I I 1 I I I I I 1 i 1 ► I I ' ' !I41!,41N1' 1 II I I I I I I I I I I I I , 1 sT Irt.aolI 1 I I I I i I I I I I I I 1 I I V40 Pc.00A 1 1 1 1 1 1 1 1 1 1 I I I l I 1 ► I ' z>Ra )111.0014 i 1 1 1 1 1 1 1 1 I i l l i ! I 1 1 4fl4 g4.0o1 11 1 1 ( 1 1 1 I I I 1 1 I 1 1 I STH Pc,ov. I IIIII I ( I I I I I I 1 I i I I I 8714 'tacit IIIII I I 11 1 1 1 I I I I I I ' .�. rise FLOG* I I I I t I t I I I I I M III 1 1 I I rim isio la 1 1 t 1 _ l F l l _ 1 I 11 1 1 I I 1 I ' ... Installing Corm+oarry Name 1 �: 1 A data one: Certificate Addre3s I a 'Ater i Q'IL- 9 - rf.�� r1� , Corboration r ' . '2.-Atk /1—i2 Partnersnto d ' Business r ieonone 5c? -21 '1 1�r7 f Frm/Co. '-J warn i of Ucersect Plumber or Gas F ter ` .9_,.T� t_, V7 _,,''Xti-71.--/ificw. INSURANCE C;VERAGE: I ?'cave a current ;taco ty ,neuronce policy or is substantial equivalent vouch meets the requirements ct 'AGL C- Yea No `: It you have checxed 'Je . tersa inCtate the type coverage by c lecxtng the aooroonate `zax. A jaciity instuance optic/ Cther type of Indernntty Bone OWNER'S INSURANCE 'tyAIVEA: I am aware that the licensee does not 'lave the insurance overage -e' irec _•/ ;"zaoter 142 of the Mass. General Laws. and that my signature an erns ;ermtt abdication *varies 'Ns •e�trlrer^ert '� C ecx are: ,r'' �L�L �� Cwnett�y Agent 4�i ai r or er s A•gerrt� I hire y partly that all of the detests and information I Mare submitted for Intend' In above aoolicaben are true and accurate 'o 'he Wiest t rnawsedgs and that ail Dturnotnq want and installations concurred under 'he caret issued tar 'Ills application wed t;e ,n ccmottancs M'tri au :emn' It oro'nstons of 'Ni Messacttusacts Slate Gas Code and Claoter 142 of the General t1wi. ?y j�e 7t License. r� c 2 7'i.. 1 C __ ..Plumber .gnature of Lcanseo ''urreer ;r '..1 •tier nth! —Sastitter 1—� r�Master l:csnss Number / O . t r.,Nr wr aumeyrnan ♦P9ricvED'CFF•Cc iJSc CNC '1 . 1 ;, n 12 11 In I r . v.P C e° > oo to 2 ; A A G to G S • 7 0 re �1 2 0. s O • C w 0 • •r r s qs Z. e C • t w 2 r 2 2 O O O 3 ' f 2 j p n ] 1 - a a u a I r i • 2 2 a O a IJ 0