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HomeMy WebLinkAboutBLDP&G-21-000398 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 7/28/20 PERMIT# BLDP-21-000398 _tom JOBSITE ADDRESS 125 HOMERS DOCK RD OWNER'S NAME MARTIN JOSEPH M P OWNER ADDRESS MARTIN LINDA L 125 HOMERS DOCK RD YARMOUTH PORT,MA 02675 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL ❑v PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO 0 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 0 NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 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 Ralph Giangregorio LICENSE 9639 SIGNATURE MP 0 JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME RALPH J GIANGREGORIO ADDRESS 188 Route 28 CITY Dennis Port STATE MA ZIP 02639 TEL FAX CELL EMAIL office@3gsplumbing.net ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE PERMIT FEES$ PERMIT# PLAN REVIEW NOTES • f`'1 fc r°-----z NIASSACHUSET.:S UNIFORM APPLICATION FORA P .11.41T TO P1= _PORN PL Ui RING WORC - J Z_ g; CIW 1/g.z��t ;� I% �.t� 3 NIA DATE 74 7A? (PERI IT# Lp.�.aj DUO ��4 JOBSITE 'ADDRESS z.,� r7f-R.S \ark QD OWNER'S WANE. -1/41 GSCilA 2,,L), P OWNER.ADORESS l h_ ,Nn,,cfc,.Q s ,j)of-K, b 1 TELIAS-b97-t2.fb 1FAX - . i . TYPE OR OCCUPANCY TYPE COniMMRCIALD _ EDUCATIONAL] RESIDENTIAL) - PRINT _ / CLEARLY NSW:i? - rat 1OVATtON:D REPLACEMENT:2 :PLANS SUBMIr CED:YES0 NOD FIXTURES 7 FLOORS• - 1 85m 11 ) 2 I 3 1 4 1 5 1 6 I r 18 i 9 ] 10 I 11 12 13 , 14 BA I H T UB - • II !l ill .'I 'l =11 F=1 III ' _I_. i_--P, V ----13_.__--i1 CROSS CONNECTION DEVICE L. 7 a II _ 1 p _C i___A__ l__.21_--_._II. { DEDIC-TEDSPECIALWASTESYSTEM 11_ al !j1_ 1_ . _ 111., _ -_ —.j ^ _2_ Tf.. __ i__._.sl DEDICATED GAS(OIUSANO SYSTEM j _I! 1 i;l ^V 1: :.I -_, sJ tr -l____3! { DEDICATED GREASE SYSTEM ji s� it iI 1— III ►I___A1 rl II____ 1_____Il I '`——il si ( DEDICATED ED C-RAY WATER SYSTEM EM ,! !! 5 ;;l• - J 1! lit.. _ ;14 r1 `i - 1 DED'CFTEDW TE _ECYCI ESYSt _ r i - It L' :,: `Eiyi II f0 =i��i� 11 ,�1 _1 ii! >-- 1 11 ,.ram DISHWAS��H_R _ - ,1(_ —_II ILiI -I1II -.il ;l rll__JI— _4 ;{1 .11 =J_..---,i! DRIfl��liLC`OJI'TAIN 11. ...0.„ __!1_..il >•I - `II a .-li 7; _� _ii__J „_:d 11 - I FOOD DISPOSER - if ii . ii _ I__^f; _lII� d - f'i 'rI t1 gJ._-_=1_-�il - FLOOR/AR~=OR.=;III 11 if 11 ; rl `!I q ii G__A 111 1 ill Er 'll—i INTERCEPTOR(INTERIOR)ERIOR) II 1 __ I I kl I iI.I 11_Si_ I_____ij t1' PI___.54 1 KITCHEN CHEN SINK II 1 11 i a ,- tli -'1 � III -i`I Il l .I 1 -I__J=i I! LAVATORY II • y - i t i' I fl i;I I;1 '>I ';hll .4 `I .4____I ROOF DRAIN =1 =l IA pl- 11 I I t PI ill-_Jil_ - Il _;JI?L-7_1?L SHOWER STALL Il -1 III !I - ..._ 1 it a;a Hl _.I{ ;i iI ;;____.'sl SERVICE/MOP SiNK j ) II^III �I 11 - - I - _ i _1-..__11T-_. _.—J.I__ 11:_-_! ' TOILET li itg fi AI H ,1 Fl___1— 1 - -Ii!__J1 IiI - lil___:iil__ll URINAL 1 1) i7 :11_�I •d I___iu : f�'I—_lit t< =I I WASHING MACHiNE CONNECTION - (I - rll iii II) `I f_11 'H - UI - U 1 H) ill 11 l it WATER HEATER ALLTYPES 1 �l, 5 ,i. Il (1. i_ �11�I 11__.__r11____ pl I III_ f PIPING it __ �I_ l - I -_.1( OTHER I, L =1 — it II III J i— =�1_ _ h__.zl�_ fl ;:_J,i___=l �! �l _.�l 3I 1 `i i p[ :'i _ 11 11 Ii i 1J it if S -1- 1I III - ,II a 11_ ('1._ __=I '+:i 11 iq Pi J._J_ r1-11 tt�fs R.A.NCi=Ca"V-P >;E: '.0 .: E I) I have acurfentliiability insurance poliicybr its substarttialequiva1eni!:�hichreststheraquiretnen oi2'IGL Gil-i4? YES •• .- .. .. IF YOU CHECKED YES,.PLEASE10.01CATE THE TYPE OF COVERAGE BY CHECKING THE APPROPFSATE BOX BELOW Jul. 28 2 20 UABIUTti'iNSURANCEFOUCY2— OTHER TYPE OF INDEMNITY D BOND - _ - OWNER'SINSURAIJCEWAIVER:IamawarethatthelicenseedoesnothavetilaInsurensecoveragerequiredbyChaptetl ING DEPA TMFNT . _Massachusetts General Laws,and that my signature on this permit application waives this requiranent. -- . - CHECK ONE ONLY: OWNER 0 AGaIIT D SIGNATURE OF OWNER OR AGENT r I hereby certify thetell aF the decals and information I have submMed arenie ed s t yattimg iris ppfnamn are true and accurala iota fi°Si of my Itnoeldedge end that all plumbing t+rodc and installations performed under The permit issued for this application c v"ll be in c mplience with el Peranentprovisian afhe Massnehus=_ds Slats Plumbina Code and Chapter 142.of the General i ews j - PLUMBER'S NAME _. (;./rr 67,-*(3�7'�->J.r. U 11 ?LICENSE# ? - SiGNA - . MP I>n'- JP CORPOPPATiON I#J g1-ipARTINERSHIP LJ 1I,LC - COMPANY NAME ;j C 3',D/cj/-4Jvq c 5/ t� ADDRESS�far�� %+�f r%—..,./? 4l s:/t./r om%/1 q Ci T Y1 c=NOi/l��Gf f 8 STATE I 'I--''�} T - FAX rm. rx^ 1 _ �v _ + - _ CELL f-d;, v°51AIL 1 c ('CQ mbi J•n .. J MS ilahraEnay.•tlJh era reap,=tyta=lancsrt raea¢Lst`prriss.-.aitZ ,euh;=theiL-caul==sanzi:raritsbaurctFF:flexeeftsia,...cm.'vm=vraA-,-.=-.a cc,nn'`.ichietL=n1mrr a-:i.e....'t.teft =txtr?e =tt:�^arurearpr-Ta.Tzr=rt- _ -err_=.• i —b�=.i.--ita cra`srar c .... aca= L-r� r,=-rur"'sf-.-ntlw extles?.="tea by�eadz, nrvrdedtt fiatthsr=urcera'rr stm alaatce.. tialsLe przsrar.vita mcr•--,r~,-caul,requested.csaat =. c..psrr sac..--,t.in.L.-.•;_z..:an fa.-;=1.•ce^�-e =t=tz:h_cv.-r—cr etur3lmafmiaEdarzaar=drriaitimouta ramnicaadrsquar. tre y-c,a:ssis ad,thnuuara-sia2tmrercacrxc02tis:rm:xT,•sP+a rdarlavtescesceavir- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY YARMOUTH MA DATE July 28,2020 PERMIT# BLD621-000398 11 • JOBSITE ADDRESS 125 HOMERS DOCK RD OWNER'S NAME MARTIN JOSEPH M G OWNER ADDRESS MARTIN LINDA L 125 HOMERS DOCK RD YARMOUTH PORT MA 02675 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL PRINT CLEARLY NEW: 0 RENOVATION:❑ REPLACEMENT:© 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❑ 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 Ralph Giangregorio LICENSE# 9339 SIGNATURE MP© MGF 0 JP❑ JGF❑ LPG' ❑ CORPORATION 0# PARTNERSHIP 0# LLC ❑# COMPANY NAME: RALPH J GIANGREGORIO ADDRESS. 188 Route 28, CITY Dennis Port STATE MA ZIP 02639 TEL FAX CELL EMAIL office(,3gsplumbing.net 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 [7:,..s..-.16. iw 3 IU S ? 3 N11 O'IN t1S'J:siGJ TJ dtl R A PEPIN TO PERFORM!.GILS R MO W JS.. f M. CITY j//IR,milt I- TA : MA. DOI 1 7'.7 /A ,. ) i lV 'i 9-'/"l 391 Lit?f`' DUBS.EADDRES$t //% �:�L IL 'A' 1 OWNER'S'aI�1 AE ,,j:us�/6f 7 8IQ 11,LJ I t1 . atolitEK ADDRESS:I/,-,2..c/7ri,r/ - ,i)i,c R P i) i 11S1:-1,5 t 4`z "i i l4.i 1 FA a � occur NCY;rnE cow-tow/ID ftiCATION.4L 0 - REBID NTti1L 0 CLEI-aL;rNair: iOVA IO 1:t ii REPLACi3Ct M2/• PLANS SU81NN!11 tLI: i'G;zn NO 0 it'nU I a "t. FL OO — 1 sen_ Z ` ? I 3 • _. I ' 6 . I t 1 13 n 1 iD ► 11 I12. 1 13 11" _BOILED _ 9DOSiER 1 1 1 - 1 1 1- ( I I CONVERSION ELM ER 1 T., I l—T---1 1 1 1 1 cocl,;;IO - 1 1 1 I 1 1 I I ali;°C Vail!HEATER 1 . - I I FIR.ITLAM - i - - 1 • I I I I Fti OR - 1 I l I I FURNACE 1 I 1 l I I I I !_SNE•-AT O I t I I I '•_ 5OR'r oRY 00.018 I - i I I 1 :a;MIP AIR UNIT 1 1 Oti alto i 1 f 11 -HT POOL i•11 A1'w.s ( I I •I -OOi?i I SPACE ice=,i=.� 1 I 1 1 moor-TOP UNIT - • I- i 1 7EF1• - i ` 41 - 1 UNlili yr 1 1' 1 ikIV.N i fD ROOM 1=IEATw" - i l I - weiiusii HEATER I I 1 - I 1- I - I 1 I 1 I 1 ! ! 1 1 i ' • I I I 1 I 1 1 I I I 1 • IiIISLIR ItICE OCf1ERAGI:I have current liabnir:ins-um-Ica or itssefbstaniial apivalemullichmagi Lie L'?e 3 of WIG CRiC C q of I you have c;occad uES.,oiaaee ind? the i.3 or coven—ins—fly chectaag theapprap iaiebra7tbalm LIASILETY IllLsuR_AlliCC lri7'_e zr- OTHER t?pF Ii<asilltillrr Li 0443 2$ 2020 O W ER'S InSTRAn!CE LIMA V :I arm cl a e h ilia iiceis haw;?rr la;rE the.irtar!aaizcB clltteaga regE AMEN 7 1 - 1\liaachuse-i Gem-al Lam:.and that att.siE1n3EIIre C61rii paorz a pplicata walvo ibis rPa`;uirames'It, - ' CFCCIC ONE QK\IL OWNER 0. A s 0 SIGNATURE OF O?I'N R OR AGENT -- hereby Geary than•all dills details and inin naon I have submitted for entered)regarding this appliu iion are tile.and ac rrale to is beg dray Kne ladge and iiiatall plumbing twit Trig Irisnlla&Qns perintned under the plink fortis application will be in ourn.pllano+iiIlr all Patient provialhn of the M ssgGliusel Stain Plumbing Coda and Ciapt '? 2 of the Gamin'Laws. - PIaLliti CRI( 1'`'i-f11 tri ili:iti; 1RfilrA L r.1=;ti 6A -soRit,7 LICI�rISE ; I SIGil I / COMPA'1Yigtitile .? C�s�.i�� y1lys—v- i- rr tr•G I ADDRESS:1 '=S. lr?flir S✓.`' • :n'i 2 f ,rf - 7 f�... CITY: ..,f�//evi -C-4 O J"7.� , 1 cS TAM i {r7� > zyt. I Q G�f 1 ��FIvt O r �irg%.~.( ri I L; V U'IC I CE L:�r� tl'7F/t 4( MAIL: 1 0)-c21 c .3C}Sptc Crt 10f Cy` e-+ — _....I iviASIF d 1UPINI=`•Aikl0 LP IN I"LLiF:0 CgRPOROO .#1:2479u P zlN RSHIP 0 t!" lLLC Il,r