HomeMy WebLinkAboutBuilding PermitsOFTOWN OF YARMOUTH Building Department BUILDING
+ _ _ _ _ _ _ _ _ _ (508) 398-2231 ext.1261
PERMIT NO B-12-1382 _
= = PERMIT
ISSUE DATE ; _ _5/2/2012_ _ ; PROPOSED USE ;
APPLICANT
" Be'nt ---'•"" JOB WEATHER CARD
...
AT (LOCATION) 10034HATCH RD ktZNG
SUBDIVISION MAP LOT BLOCK 1089.18 BUILDING IS TO BE:
LOT SIZE
two replacement doors
REMARKS
PERMIT TO Alterations
TRIC R-40 Bldg. Type: Residential
CONST TYPE 6-6USE GROUP R-3
AREA (SO FT) EST COST ($ $800.00 PERMIT FEE ($) $40.00
OWNER 1PUCHALSKY, DAVID H BUILDING DEPT BY
ADDRESS 10034 HATCH RD
South Yarmouth I MA 102664
CONTRACTOR
LICENSE 15578
Bent, Allen
46 Winsome Road
South Yarmouth MA 02664
5083947709
PHONE 15083946668
INSPECTION RECORD FIELD COPY
Date Note Progress - Corrections and Remarks Inspector
R E C I V S D Lu
. 'MAY 02 012nths from
IL I E ARTMENT
tw:
EXPRESS BUILDING PER.NIIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
CONSTRUCTION ADDRFSSt
ASSESSOR'S INFORMATION:
OWNER:
Map: ,Q I I Parcel:
PRESENT
TEL
uV;14e6ff
CONTRACTOR: lZf ISA a' P!�2A) 4- W, Aj f fV:5nm £ /2X 77O
NAME MAIL NU ADDRESS TEL N
Residenti Commercial 0 ESL Cost of Construction $ �6 d
House Improvement Contractor Lia it / D S7 ! Construction Supervisor Lie.
Workman's Compensation Insurance. (c ck en
1 am the homeowner 1 am the sole pruprieto I have Worker's Compensation Insurance
Insurance Company Name Worker's Comp. Polkyr
0 Tent (Fire Rclxdaw Cuttfkm w-%.hcsl) YORK TO BR P . FO M p
❑Wood Stove Shred
O Sldin11: N of Square.s 0 Replaarttsrt windows; N
OReplacement dooss N- ,
0 Electrical Permit r
0 Re -roof; N of Square 0 Insulation
() Suippla11 old shim• () 9011311 over ---- Iayers of exlstinr roof ❑ Old Klop Hithway/Hlstorie District
( / c, RoofIn11/Sldia11(Llke for Like)
'The debris will be disposed of at:
L )=Ion or Fact y
I ill bel under aforpenalties W cc my that the sLussnee ereln contained are tnw sad correct to the best of my knowledge and belief. I understand that any raise answers)
will be Just cause for tkalal a rev atlon f my posecvtbn urrkr M QL CL 268. SeedOo t.
ApplkaW's Sl11nanua Data I Z Q
Owners Sl11mture (or sltschmsnt)
Date..
Approved By: uIWDate
Dla11 Offklal (or dal11uce)
Zoning
Historical District Yes lik, Flood Plain Zone: Yes
Water Resource Protection District
W No
Within 100 It of Wetlands
Ya
31)1
The Commonwealth ofMauachuseth
Department of lndrrrtrlal Accldentr
Office ofLtveJNgadons
600 Washington Sheet
Boston, MA 02111
Workers' m oIWIRM�
IUcaat iatoruadlon8nsurnce AlMdviBulldenCo4tractors Ktrfclana/Plumben
Name
City/State/Zip: 5o
Are yon as employer? Cbeek the appropr(aa box Phone k
I.0 1 am a employer with 4. 13 1 am a genua( contractor and I
employees (Ml and/or part time).•
12.;6 I am a sole proprietor or parmer_
ship and have no employees
working for me in any capacity.
[No workers' comp, Insurance
require&-]
3.0 100 a homeowner doing all work
myself [No worker, comp.
insurance required.] t
3a. ❑ 1 am a homeowner acting as a
general cmuwtor (truer to M4)
have hired the sub-contractoa
listed on the attached sheet
These sub -contractors have
employees and have workers
comp, instuancat
s• ❑ we are a corporation and its
officers have exercised their
right of exemption per MOL
C. 132, j 1(4), and we have no
employees. [No workers,
Co
— 7 70.9
Type of prOJed (required).
6. 0 New construction
7 0 Remodeling
8. 0 Demolition
9. 0 Building addition
10.0 Electrical repairs or additions
11.0 Phunbing repairs or additions
12.0 Roof repair
13.13other
Any appUced ►hat ctweb
box al nnnt alp atI our din recr{oa blow tnstuaace [
Homwworrt *fro at mir shit wn&vk iodiatin 'dna dM* *orksm• Comp lod
WWMUkmL
'Caaontelwa ttut chtek this Gas mut umchod ger i�didooul rhwt i6ow{q amt of Ow thom As=11coon a �+fMdarit indkaNna ac6
�e ran (ribs n tum �y nam po" fir . camst" of ant dota mddo have
ln
----r-�••••.NKPiv►7a•IIfjINDMY77'CO/Ifj(JLTQ:joAw -
jonnrafoK wwrtci jar my satpla; Bdonr b r�Me po!lcj, fob:Jti
Insurance Company Name:
Policy M or Self -ins. LIe.
Job Site Addresa:3 /,�j�� Expiration Dam
Attack a copy of the workers' comcV
peasadoa C/S�p' 1 u
i?ailure to secure covers as p°�7' deelandoa pap (showing the poUCY number and eaplrat(on date).
g° tinder Section 23A of MOL c. 132 can lead to the impogt� of criminal
tine up to S 1,300.00 and/or one•yar imPrlsortment. as well as civil penalties of a
of up to $230.00 a day against the violator: Be advised that a c o� penalties in the form ora STOP WORK ORDER and a fine
Invesdgadons of the DIA for insurance coverage verification. PY tatemeat may be forwarded to the Office of
/ d* Aereap eerO ruder rhe f e
P o/P�+rf yFar ilia lirJoraretfoa prorla!t/obow !t dw oRl comm
5~o g 41 _ D
QQlefat rare onljt Do not wr/le Gr this ars, 40 be coa+Dlelrd bJ' c!!J, or fbwn o,0%daL
City or Towel
Issuing Authors Permit/Llcense N
I Board or Kealth( 2. Building Department 3. CitYfrowo Clark 3. Electrleal Inspector S. Pin
6� Other mbing Inspector
Contact Perron..
Phone Mt
OF y4
g
WTTKM[tS[
�.A O
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TOWN OF YARMOUTH
APPLICATION FOR PERMIT TO DO GASFITTING
(OFFICE USE ONLY)
By
Fee: $ 2
PERMIT NO.
Date /o /X7 0< -
Building Owner's
AT: Location -?!V /-14AC14 Q Name iAyt Gd
Type of Occupancy
New ❑ Renovation ❑ Replacement I)r
Plans Submitted Yes ❑ No W
(PRINT OR TYPE)
Installing Company Name D�uF%tart �T/}/1l�C-C�Fri/e/
Address 6 Q lrii_
, Zc,e .00c�J' 2
JF 1;1A1f &, i c1,1 Ir14 0 %L
Business Telephone 't�W- - ��/ 'r/mss
Name of Licensed Plumber or Gasfitter
Check One:
❑ Corp.
❑ Partnership
L9"'Firm/Company
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2ND FLOOR
3RD FLOOR
(PRINT OR TYPE)
Installing Company Name D�uF%tart �T/}/1l�C-C�Fri/e/
Address 6 Q lrii_
, Zc,e .00c�J' 2
JF 1;1A1f &, i c1,1 Ir14 0 %L
Business Telephone 't�W- - ��/ 'r/mss
Name of Licensed Plumber or Gasfitter
Check One:
❑ Corp.
❑ Partnership
L9"'Firm/Company
CID
n1f n " .IIID,
INSURANCE COVERAGE: Check Cane
have a current liability insurance policy or its substantial equivalent. Yes No ❑ I
If you have checked yes, please indicat the type of coverage by checking the appropriate box.
A liability insurance policy V 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and Information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing'work and installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Signature of Licensed
Plumber or Gasfitter
License Number
�
/ TYPE LICENSE:
Plumber L'7 Gasfitter 0 Master 1` ourneyman
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TOWN OF YARMOUTH
�FIELD--77COPY PS� •
BUILDING
PERMIT
(
IN DATE A1Stt)at 11- 2001 PERMIT NO. B-02-141
APPLICANTDavid Com ADDRESP,O• B Z 401 S•Y. 02664 _100497
(NO.) (STREET) (CONTR'S LICENSE)
PERMITTO—repairs I—) STORY
(TYPE OF IMPROVEMENT) NO.
(PROPOSED USE)
NUMBER OF
DWELLING UNITS
ZONIN
AT (LOCATION) 34 Hatch Road S.Y. 02664 D STRICTR 40
(NO.) (STREET)
BETWEEN AND
(CROSS STREET( (CROSS STREET(
SUBDIVISION "I'd LOT_
BUILDING IS TO BE FT. WIDE BY FT. LONG BY
BLOCK SIZE_24
FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE 5B USE GROUP R4 BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:re—roof 22 squares{ going over one lnyer.
AREA OR PERMIT
VOLUME ESTIMATED COST $ -3.000.00 FEE $ 25.00
(CUBIC/SQUARE FEET) / ^/ /)
HatchADDRESS 14 1 • i
INSPECTION RECORD
DATE NOTE PROGRESS • CORRECTIONS AND REMARKS INI P TOR
G—, EXP
AUG 13
gA,
CONSTRUCTION ADDRESS:
BUILDING PERMIT API
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 261
Permit# 3-03-14Vj
Fee $
Permit expaes 6 months hon
issue date. '
Z4?D
ASSESSOR'S INFORMATION:
Map: rg Parcel: %
NAM— PRESENT ADDRESS TEL #
CONTRACTOR: L:S
NAME MAILING ADDRESS TELJ
identical 0 Commercial ESL Cost of Construction
Home Improvement Contractor Lie. # /Z)/) ��� Construction Supervisor Tic. #
Workman's Compensation Insurance: (check one)
0 T am the homeowner 0 T am the sole proprietor 0 I have Worker's
Compensation Insurance
Insurance Company Name:: e UM22?.a &W,/ oL / L" Worker's Comp. P01iry#
WORK TO BE PERFORMED
0 Tent (Fire Retardant Certificate attached)
Donation
❑ Siding: # of Squares
0 Replacement windows: # D Replacement doors: #
❑ Re -roof N of Squares_ 0 C ' /
() Stripping old shingles* ( ) going over layers of existing roof
*The debris will be disposed of at:
Location of Facility
I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief: f understand that any false answer(s)
will be just cause for denial or revocation of my license and for pro tion u der M.G.L. Ch. 269, Section 1.
Applicant's Sig..= �fJ /� ////%�J�. tate:
Owners Sigoaturo(or tutachment) JAf� �ZtA61L 9 / Date:
Approved
Zoning Distric
Historical District: 0 Yes de"No
Water Resource Protection District:
❑ Yes ❑ No
Date:
Flood Plain Zone: ❑ Yes 0 No
Within 100 ft. of Wetlands:
0 Yes ❑ No
3ro1
F6
1
TOWN OF YARMOUTH
-T 7'7.o6 0
Building
AT. Location . w I& C4 A hl)
APPLICATION FOR PERMIT TO DO PLUMBING
(OFFICE
By, gL ism
Fee: $
PERMIT NO.
Date 6 L—
Owner's,_ vJ9- u IP -
Name
Type of Occupancy fi',r�iyl+v�l�C
New ❑ Renovation ❑ Replacement Zi,�
Plans Submitted Yes ❑ No ❑
(PRINT OR TYPE) Check One:
Installing Company Name S&
c� /t C&IM Jr6orp. —.2 -?QSr
Address 350 fwl r/ s w&67— ❑ Partnership
Lf)RST WAryID[ nt ln4 0 X 73 ❑ Firmnl/Company
Business Telephone 77S �ffCo Name of Licensed Plumber - 2 « -
INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent. Check One: Yes 2" No ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy IEI� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature or Owner or Owner's Agent
I hereby certify that all of the details and Information I have submitted
(or entered) In above application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Check on Owner ❑ Agent ❑
' 7nat re of Licensed
Plumber
License Number
Type: Master Journeyman 0
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1ST FLOOR
2ND FLOOR
3RD FLOOR
(PRINT OR TYPE) Check One:
Installing Company Name S&
c� /t C&IM Jr6orp. —.2 -?QSr
Address 350 fwl r/ s w&67— ❑ Partnership
Lf)RST WAryID[ nt ln4 0 X 73 ❑ Firmnl/Company
Business Telephone 77S �ffCo Name of Licensed Plumber - 2 « -
INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent. Check One: Yes 2" No ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy IEI� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature or Owner or Owner's Agent
I hereby certify that all of the details and Information I have submitted
(or entered) In above application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Check on Owner ❑ Agent ❑
' 7nat re of Licensed
Plumber
License Number
Type: Master Journeyman 0
U
TOWN OF YARMOUTH
cF1—
APPLICATION FOR PERMIT TO DO GASFITTING
(OFFICE USE ONLY)
M
Fee: $ 15.
PERMIT NO. a "Od" Y'oo
Date-t8,2a22_
Building Owner's
AT: Location LM7W AOF}D Name >,W1ZA Lj&T
SocIT1-J- y�MOJf�f
Type of Occupancy ^_WAV12u&lli/`K-
New ❑ Renovation ❑ Replacement Ql
Plans Submitted Yes ❑ No ❑
(PRINT OR TYPE).nn Checck�kOne:
Installing Company Name (4123 e14"Cn C�Corp. <:930_S7 -
Address 35-6 'sD& n'If ld SH4j-�4 ❑ Partnership
40&7- �/Ai2MG1 M*- 09673 ❑ Firm/Company
Business Telephone V7_ —gka Q
Name of Licensed Plumber or Gasfitter l� GKit/
INSURANCE COVERAGE: Check One
6! I have a current liability insurance policy or its substantial equivalent. Yes No ❑
If you have checked yes, please indicate th"pe of coverage by checking the appropriate box.
A liability insurance policy L[Y 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑ Agent
Signature of Owner or Owner's Agent e
I hereby certify that all of the details and Information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing work and installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
'of Licensed
or Gasfitter
License Number
TYPE LICENSE:
❑ Plumber ❑ Gasfitter aster ❑ Journeyman
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(PRINT OR TYPE).nn Checck�kOne:
Installing Company Name (4123 e14"Cn C�Corp. <:930_S7 -
Address 35-6 'sD& n'If ld SH4j-�4 ❑ Partnership
40&7- �/Ai2MG1 M*- 09673 ❑ Firm/Company
Business Telephone V7_ —gka Q
Name of Licensed Plumber or Gasfitter l� GKit/
INSURANCE COVERAGE: Check One
6! I have a current liability insurance policy or its substantial equivalent. Yes No ❑
If you have checked yes, please indicate th"pe of coverage by checking the appropriate box.
A liability insurance policy L[Y 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑ Agent
Signature of Owner or Owner's Agent e
I hereby certify that all of the details and Information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing work and installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
'of Licensed
or Gasfitter
License Number
TYPE LICENSE:
❑ Plumber ❑ Gasfitter aster ❑ Journeyman
v. i1. r r.. .. .: .A.-..-,. i. r`. '1:<i /_\... ... .. � .: ,, E• , w�.-.,+.: '+'.nor JC.: rIt^r.--...�
APPLICATION FOR PERMIT TO DO PLUMBING
TOWN ,OF YARMOUTH f (OFFICE USE ONLY)
.By
Fee: $ /�15
t PERMIT NO -00 3h
i
Date_t
Building 1 _ Owner's-h�wA- [S j
AT Location �,1?� <Fl �f A) Name
Type of Occupancy_/r'Sirui✓��
New ❑ Renovation ❑ Replacement
Plans Submitted Yes ❑ No ❑
(PRINTORTYPE)���•>•; Check One:
Installing Company Name WW LJ <AW. -O (!�. 26orp. r'2?tj
Address 3J0 M811+/ S'TPZirl ❑ Partnership
lc)FST Vrl�?i,�Ol�i�l /Ylf� o�z3
• ❑ Firm/Company _
' Business Telephone %J%�rs(XJ Name of Licensed Plumbers
INSURANCE COVERAGE: I Yve a current liability insurance policy or its substantial equivalent. Check One: Yes Ey No ❑
If you have checked YES, please Indicate the type of coverage
�by/checking the appropriate box.
``A liability insurance policy L7 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check on Owner ❑ , Agent ❑
Signature or Owner or Owner's Agent i
1 hereby certify that all of the details and Information I have submittedSionattrre of Licensed
(or entered) in above application are true and accurate to the best of , " Plumber.
my knowledge and that all plumbing work and installations performed i
under Permit Issued for this application will be in compliance with all ���—
pertinent provisions of the Massachusetts State Plumbing Code and 'cense Number
Chapter 142 of the General Laws. Type: Master Journeyman 0
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1ST FLOOR .
2ND FLOOR
3RD FLOOR
(PRINTORTYPE)���•>•; Check One:
Installing Company Name WW LJ <AW. -O (!�. 26orp. r'2?tj
Address 3J0 M811+/ S'TPZirl ❑ Partnership
lc)FST Vrl�?i,�Ol�i�l /Ylf� o�z3
• ❑ Firm/Company _
' Business Telephone %J%�rs(XJ Name of Licensed Plumbers
INSURANCE COVERAGE: I Yve a current liability insurance policy or its substantial equivalent. Check One: Yes Ey No ❑
If you have checked YES, please Indicate the type of coverage
�by/checking the appropriate box.
``A liability insurance policy L7 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check on Owner ❑ , Agent ❑
Signature or Owner or Owner's Agent i
1 hereby certify that all of the details and Information I have submittedSionattrre of Licensed
(or entered) in above application are true and accurate to the best of , " Plumber.
my knowledge and that all plumbing work and installations performed i
under Permit Issued for this application will be in compliance with all ���—
pertinent provisions of the Massachusetts State Plumbing Code and 'cense Number
Chapter 142 of the General Laws. Type: Master Journeyman 0
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OF r49 - . ' ` '; APPLICATION FOR PERMIT TO DO GASFITTING
? �g TOWN OF YARMOUTH a (OFFICE USE ONLY)
KEW t `
Fee: $ r'J
PERMIT NO.
G
ate
Building Owner's
AT: Location ��y �%1Tt'f= POAD Name �nwv-4 WF_ST
�SorliN t/�PMOt�h� ,
Type of Occupancy w✓Ci�i cwJ�fiZ-
New ❑ Renovation ❑ Replacement EY
Plans Submitted Yes ❑ No ❑
I
(PRINTORTYPE) Check One:
Installing Company Name (d�.73 ifAwm B'Corp. C9367-7—
Address 356 ❑ Partnership
[ GST %2tira . /l'149 oa6*23 ❑ Firm/Company
t Business Telephone m -d
Name of Licensed Plumber or Gasfitter,�4�Qjl1,Cl
INSURANCE COVERAGE: Check One
... I have a current liability insuranceolicy or its substantial equivalent. Yes I� El
If you have checked yes, please i ica�te thyiype Qf coverage by checking the appropriate box.
A liability insurance policy L!Y J 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑" Agent
Signature of Owner or Owner's Agent
c I hereby certify that all of the details and Information I have submitted ignaty9 of Licensed
(or entered) in above application are true and accurate to the best of Plu er or Gasfitter
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be In compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and License Number
Chapter 142 of the General Laws.
TYPE LICENSE:
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
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(PRINTORTYPE) Check One:
Installing Company Name (d�.73 ifAwm B'Corp. C9367-7—
Address 356 ❑ Partnership
[ GST %2tira . /l'149 oa6*23 ❑ Firm/Company
t Business Telephone m -d
Name of Licensed Plumber or Gasfitter,�4�Qjl1,Cl
INSURANCE COVERAGE: Check One
... I have a current liability insuranceolicy or its substantial equivalent. Yes I� El
If you have checked yes, please i ica�te thyiype Qf coverage by checking the appropriate box.
A liability insurance policy L!Y J 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
Owner ❑" Agent
Signature of Owner or Owner's Agent
c I hereby certify that all of the details and Information I have submitted ignaty9 of Licensed
(or entered) in above application are true and accurate to the best of Plu er or Gasfitter
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be In compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and License Number
Chapter 142 of the General Laws.
TYPE LICENSE:
❑ Plumber ❑ Gasfitter aster []journeyman
6117/2015
Document Category
Map -Block Number
Street Number
Street Name
SlipGen- Portal Home
Town of Yarmouth
Template [Building Dept]
Slipsheet Identifier [sg28081]
Building Permits
089.18
0034
HATCH RD
Department Building
Parcel ID 12288
Backfile Batch Scan
Document?
Additional Naming Info
Index Operator
Date - Time
No
Operator, Yarmscan
2015-06-17 - 11:56
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