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Home My WebLink AboutBLDP&G-22-000450 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK c CITY YARMOUTH MA DATE 7/23/21 PERMIT# BLDP-22-000450 JOBSITE ADDRESS 146 ROUTE 6A OWNERS NAME SUSAN WITTE P OWNER ADDRESS 146 MAIN ST YARMOUTH PORT,MA 02675-1712 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL 0 PRINT CLEARLY NEW:0 RENOVATION:0 REPLACEMENT:0 PLANS SUBMITTED: YES NO❑ FIXTURFS FLOORS RSM 1 2 3 4 5 6 7 8 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 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❑ 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. PLUMBERS NAME Ralph Giangregorio LICENSE 9839 SIGNATURE MP © JP 0 CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME RALPH J GIANGREGORIO ADDRESS 188 Route 28 CITY !Dennis Port STATE MA ZIP 02639 TEL FAX l CELL I EMAIL !office@39splumbing.net ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE El CI FEES$ PERMIT# PLAN REVIEW NOTES Y it MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING•='� �= WORKx; 7 _� _ CITY L.1, lvlra , S?!"} MA DATE -7�/`? -di PERMIT# dLOP- 2.7---0001-15-1 JOESITE ADDRESS I LiK. -e- Jo OWNER'S NAME )7 (cj/tie OWNER ADDRESS 1 LI(4' T 4-e 6 0- TEL S0('1 -3CC1 Fq TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL Q RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES 0 NOT' FIXTURES T FLOOR-* BSM 1 2 3 4 5 8 7 8 9 10 11 12 13 14 BATHTUB 11111-___ an CROSS CONNECTION DEVICE IIIIII__IIIIIII'—_—ME--Ell DEDICATED SPECIAL WASTE SYSTEM ER all __ DEDICATED GAS'OIUSAND SYSTEM _INI__�_�-'�_� DEDICATED GREASE SYSTEM =�� '�i-_-__�_ DEDICATED GRAY WATER SYSTEM --'_-_all ____ DEDICATED WATER RECYCLE SYSTEM NM =MI _ DISHWASHER I I IIIIIIIIIII__ DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL 111Illimm. �� SERVICE/MOP SINK � �MI � TOILET i Eli URINAL Ili — Eli WASHING MACHINE CONNECTION all 11111--all WATER HEATER ALL TYPES ll�_-�_-�-__-- WATER PIPING Min_--��'�-- OTHER �-- __�1111 1111 INSURANCE I have a current liability Insurance policy or its substantial equivalent hich mee s the requirements of MGL Ch.142. YES I:1 NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ta OTHER TYPE OF INDEMNITY ❑ BOND 0 1 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 CHECK ONE ONLY: OWNER ❑ 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 appllcaltonvw"Il be 1n �npliance with all Pertinent provision of the Massachusetts Stale Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME �Pt -Ark�=� /� --��yy, A ! C'lt-�;1 ,>J, LICENSE# S3C7 SIGNvk1RE MP;Y� JP❑ CORPORATION 0#/"�'t.r�v C PARTNERSHIP 0# LLC[]# COMPANY NAME-72;',.c P(;y,:,- 10;-,,,,�_ ;. Necd 1.�1 . ADDRESS / J�V�ziL, c t� CITY �')P,;In; I ,-4r STATE ti7)1 ni ZIP (=%-?/,,3 ci TEL FAX , Y��T rl (, U.�1 CELL `� EMAIL ;r ice)�rx -,plc;/ i✓ 'la l�r—r— - • • • • ' . . _ Is'"IttP-ttt€ ' , -,--, • _ . . • • .- •• • _ • • ^,- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r �e ` CITY YARMOUTH MA DATE July 23,2021 PERMIT# BLDP-22 000450 JOBSITE ADDRESS 146 ROUTE 6A OWNER'S NAME SUSAN WITTE G OWNER ADDRESS 146 MAIN ST YARMOUTH PORT MA 02675-1712 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:El 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 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 HEA-'ER 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 JVAIVER: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 El MGF ❑ JP❑ JGF❑ LPG' ❑ CORPORATION❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME: I RALPH J GIANGREGORIO ADDRESS. 188 Route 28. CITY Dennis Port STATE MA ZIP 02639 TEL FAX 1 CELL EMAIL offcena.3gsplumbinq.net S310N M3IA3?J NVId #1IW2i3d $:333 ❑ ❑ 111,1213d 3H1 SV S3M3S NOI1VDIlddV SIHl oN saA S310N N01103dSNI 1VNId WINO 3Sl 2J0103dSNI 210d 30Vd SIHJ S310N NOI103dSNI SVO HOf10H f ' WI T d I TT IN\..,Jc,1 '^a MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK ��i CITY � ;: N i,se ,._.A..,� ..mcc .f _ �,,,.J MA DATE LLS:allPERMIT# JOBSITE ADORESSLI .(,,., _ j. .-., j OWNER'S NAME1..... a.A.....L.Ltits„....„ ,,J-_�"�! T- .-�...a��- GOWNER ADDRESS .A.k.,,,.. - �� TYPE POR OCCUPANCY TYPE COMMERCIAL CI EDUCATIONAL RESIDENTIAL CLEARLY NEW:0 RENOVATION;L.i REPLACEMENT: [ PLANS SUBMITTED: YES LJ NON APPLIANCES 1 FLOORS-* BSM 1 2 I 3 4 5 6 7 8 9 10 11 12 13 14 BOILER 1y� -- i,.. -in . j �. ```� ---•�BOOSTER i 4'„- ,. - ,T-:arn�r... ,r,..„ .-. ..-..,. - . , -,V-.cc-. . , I..,I.• .-� -•�„' _: .._ ....,.0 s r• . . .wi UNIWIIITOMPUftr 11111111.....i. .:. 'l..L _ 7 _ _ .. . W '!. ,� .,., �r_ .CONVERSION BURNER r „w.. I �: - I( \COOK STOVE ; llif .,- _r- _ _ ._. . _ _._ - ' _.. �.. .__...:__ -- --=-- -- - •-- !�.=- �-t � •-- .. DIRECT VENT NEATER ! I ,11`] .,if > I . �� „�,or�,I ,� r. .� ^°iG A•�..i �4� re . �Rw.�...n..-rWQiSrZ . ' : - • •DRYER { 'I� ��ru .� _ _ .:..5 . •.�. _ cr�-n-r. _....__:�:�� !��.. •3t e�`-• �... , E�. FIREPLACE _ ! :� _� 1, _ •M N FRYOLATOR .Lf.K -__ - �.'-MN �J"r+1Y•+.I 'MOW t P..n-,lw.v. f.rf ._.,1 `�,.� C .S.XYL �Y FURNACE ?- _ � -�� - GENERATOR ` . . ,; _ 1 APP., .t•_ _•-1.��.rn v.7a�'�_ !w{rn..r•_�`rM-r�.r. .xZn•er. zs� GRILLE _ 1 '� ' . _ �.. /Yi. ta`r. r .a :_: ..e r•M1T..l.v:.-•�.�fi• l' r•. _...(l_ Y• - INFRARED HEATER ._...__ _ _ : _ .- ' -- -_•- LABORATORY COCKS i .__. _-r - __ _ _.___. MAKEUP "" --._ - --- -- ---- AIR UNIT __._ 15Y __.� �rcKt.s.•.s^yl" s ilia= _-- -- Jw..�+:.xs.r 1 ']i '71iG J_ ».OVE -- _rPOOL HEATER : NOW .. .�..: � i . _-� - _._..._ �-_ ROOM/ SPACE HEATER +J •-„ 't i , .-,.ate, _.,-, _ rr::::1 ..�,++rr ea..a�.c _ i��.S../.��. ., �l s..k„". ..'T"r — ROOF TOP UNIT Ind' i , I .TEST , - 3J UNIT HEATER11011MMOCI -0..-, l *. T ~ UNVENTED ROOM HEATER [ - WATER HEATER jU _ ! -� R �. ., _ t OTHER"- ..._._. ..__.. 1'.:i -s r aa:n•�cswtr.. . .;.:.1 I ,.,,,.; .y,7 . 1 .. `, .I.,-C;l--�E�- ,Mcg. .,. rs i„rr�Jz cr . 1..s.r-...-...-1 1- rru.: ;wr ses Ftk tr x.. _. .:._.-Li* _j .. i . . -- — 7.471'1 - -'�+•�i'rlif-_,I . ..1; . . �� •:j\ Yr- �.e:wi.rw..�•....�»+ .� f -., a:r• maasu(sv�.'rrr.u:a4aa,ee.ar- - ,N,.. tir.--..a _ . - At . - :. -_ : —_ S, w.- . . _ .. .,.. . . • _ _ .__ • INSURANCE COVERAGE I have a current Iabllitx,insurance policy or its substantial equivalent which meets the requirements of MGL, Ch, 142 YES O LI I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERA BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY 11 BOND Li 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 0 AGENT 0 SIGNATURE OF OWNER OR AGENT t 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 ail Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 1 PLUMBER-GASFITTER NAME 1-17/(arlit-1 vg,e&y,:::17----1LICENSE #�.. ,d�. i4--- SIG MP En MOP 0 'JP El JGF 0 LPG!0 CORPORATION 121#Baeigcl PARTNERSHIP[. #L, .,..-1 LLC 0# COMPANY NAME: _(, 5 1 L, if)i'r stika,16vw j ADDRESS Lai,, -Y ,. ,s r .....j CITY 11.2..1a: .5 tay.„-±_„_„____,,,,,,,„,„ ...,..__ . STATE tald C 7, - ` 1 `i 4"r 1-? FAX CELL ti 1 ( t........, 1 r3•..« om v-.^-....,...-.-.-/.,.,. EMAIL �.