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Home My WebLink AboutBLDG-21-005475 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY YARMOUTH MA DATE March 23,2021 PERMIT# BLDG-21-005475 JOBSITE ADDRESS 36 WREN WAY OWNER'S NAME joseph remmers G OWNER ADDRESS 36 WREN WAY SOUTH YARMOUTH MA 02664-1634 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL 111 PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES ❑ NO 0 FIXTURES FLOORS—+ BSM 1 2 I 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 1 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 _ 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 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 Joshua Carlino LICENSE# 30034 SIGNATURE MP❑ MGF 0 JP❑ JGF❑ LPG' ❑ CORPORATION❑# PARTNERSHIP 0# LLC ❑# COMPANY NAME: JOSHUA A CARLINO ADDRESS. 108 CAPN CROSBY RD, CITY CENTERVILLE STATE MA ZIP 026321606 TEL FAX CELL EMAIL awesomeguysplumbingagmail.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 I - MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK =Ewa-N. 1.. i:l—> CITY y et f n"?.0 _.__-.".._. . ( MA DATE (PERMIT# L l�G- 1-1 - oc ,�i s JOBSITE ADDRESS` W 2 i,. W _«_` }T OWNER'S NAME '• JYl Y11 1 _5' _ GOWNER ADDRESS . . . . -. TEL. v, . . G f TYPE OR OCCUPANCY TYPE COMMERCIAL; EDUCATIONAL PSTRESIDENTIAL; CLEARLY ,,,. •-, RENOVATION:25 REPLACEMENT: PLANS SUBMITTED: YES D. N0)4 APPLIANCES 1 FLOORS-0 8SM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER _______I_____i_J_ _ 1__I—_I I__J J 1___I_J 1--J_J BOOSTER :__I• I I: 1 I_ J—J' J___1 J._I. 1 CONVERSION BURNER I__I•__I 1_1 I__1!_______1.______1:______I I—J_____1: __1__J COOK STOVE —_I i I:.____:J'_—j_I I— —J:_J— -__._I -1—J—J DIRECT VENT HEATER DRYER. :.J—1_____1. ice: -. . l 1_ 1. .. .. I.� -- I. I:____I___I FIREPLACE -I__I—I i___I..___J_--__/ I._�____ . I _ -I_I._. I . - I FRYOLATOR - .... ._ __..... 1-1._.-I:: I...-.�1 1 I __1 I_____Vj-1 J FURNACE __I_ 1'__i__I_—J I—J.-_ I __1____I I._._.I_-_..J._.. 1 1GENERATOR q _ ___I_ J... I I_I.-1 __J�_-I___-� I - I_J ____I—1_.1—_i : —!`J°-J . _I._I-J:_.__I___I—.._1 GRILLE INFRARED HEATER . .—_1_—J—J.J . . ._ I _-i . .-. I J _---...I-J -J_I'___II . .._ LABORATORY COCKS 1._..I.._._.i i_____I_I _: - I._.__J._Y.._.,I.. J____ I__-1_1__1,1 it MAKEUP AIR UNIT .1 l .... _ , _ -ICI.._____.I_1�`—J__I f ..�..; -1 � I.. .. _ I OVEN i__J POOL HEATER _J___J I_ I J`! I .._.J__-_J—__I�..J_____I ___._I_..J,--.__I ROOM 1 SPACE HEATER .I !____i I I _I 1 I . i I_ I I_ I______l ROOF TOP UNIT _____...I ! '- I___-_I _J 1__.._J J___.j'_J __I TEST I i 1_-- m____1 I _TI i I i i J I I UNIT HEATER _____I i I _..____I______I :I:..__.._J _,i—J __I I_1,—1 UNVENTED ROOM HEATER • _ _J—I t -_____i, ;__J,_,_J —I_,_J_ I_.J I..__1 WATER HEATER ____ .____.._.._ I 1, I_.._J.,._I . I ___-..._I____.J__I 1 1__J____J____J . ',_.3 _ ._.I I______I_.__,1_-J—II_I_Li,__.I 1 !—� I__I _,___J I I_ 1. _I__ I_J . _ LIP .-.. . -. .. .. I 1______I_ `_1 ._I 1 I i_._..._1---1—I-.J_—I--I I• 1I I I___1 I .....1 _i .1 _ I. 1_! I INSURANCE COVERAGE kI have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES YZI NO "J I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY .J OTHER TYPE INDEMNITY ._I BOND Ii 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 ._._I AGENT _I 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 compl' ce w' all Pertinent provisio Massachusetts State Plumbing Code and Chapter 142 of the General Laws. - PLUMBER-GASFITTER NAME O. OS A Ci CI ---COrii,,,1 orucENsE#I5574 SIGNATURE MP 1__I MGF',J JP -A JGF;J LPGI J. CORPORATIO :;J# I PARTNERSHIP # — ( LLC D#`- �� -� _ ..--- -- --- - - -.._. _.. ,gip J' ---- . . _. _. .. .__ .._ .. COMPANY NAME:. 4 v✓e5c G �' u/5 /( ADDRE&S /01 C �'} C 6'a f�7 1 cL , CITY .•...(Pe n�z 4(--v if) f..f.i_..___ , _.-. _ _ _ ( STAR�/�'ZIP TEL ,�j G��-,�� FAX 1 CELL: . . ... [EMAIL! A we Jo ay)e ,9'�7 S' . pIin.. ) r y J 6-- d71 C1 l' ) I Q ) ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT El FEE: $ PERMIT# PLAN REVIEW NOTES UNt.lt, V1.1 C.' •