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Home My WebLink AboutBLDP-19-002458 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK `; { air_st CITY WEST YARMOUTH MA DATE 10/19/18 PERMIT#fi1✓.��0115 6 JOBSITE ADDRESS 39 HARBOR RD OWNER'S NAME FOLEY OWNER ADDRESS 39 HARBOR RD • TEL 781-752-6539 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO0 FIXTURES 1 FLOOR— SSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I r 1 4 9 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM I I r— I DEDICATED GAS/OIL/SAND SYSTEM I 1 I I I DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM I I DEDICATED WATER RECYCLE SYSTEM I DISHWASHER DRINKING FOUNTAIN I FOOD DISPOSER - MEI I ; ! FLOOR/AREA DRAIN �'- S 111-61 �■ an- KITCHEN SINK INTERCEPTOR(INTERIOR) LAVATORYr'��isi—ra.� ROOF DRAIN R t i `r;= SHOWER STALL Jr_ SERVICE/MOP SINK , I p�, I A �r0 i1 !fi' TOILET , U URINAL WASHING MACHINE CONNECTION yr ' `t iDEP- Ri M. WATER HEATER ALL TYPES 1WATER ,. _ ur.....+....... OTHER PIPING 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 UABIUTY 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 CHECK ONE ON : OWNER El AGENT ❑ 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 a rate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this application will be in complianc th al •- nent provisi.n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / a// PLUMBER'S NAME MARK MORAN LICENSE# 20786 - " SIG IAT RE MP JP0 CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME MORAN PLUMBING&HEATING ADDRESS 16 BRAMBLEBUSH DRIVE CITY FORESTDALE STATE MA ZIP 02644 TEL 508-648-2934 FAX CELL 508-648-2934 EMAIL MORANPANDH@GMAIL.COM/MARY@ROBIES.COM G-ft( 3cD ' �G 51 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 FEE: $ PERMIT# fr 1/2" - A— PLAN REVIEW NOTES / / /f • Y • • I ,. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 9 =_FJ� CITY s WEST YARMOUTH I MA DATE 10/19/18 I PERMIT# b0P71r-1:0_C45$ JOBSITE ADDRESS 39 HARBOR RD I OWNER'S NAME FOLEY 1 GOWNER ADDRESS 39 HARBOR RD I TEL 781-752-6539 IFAXI I TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL j RESIDENTIAL PRINT CLEARLY NEW:j RENOVATION:❑ REPLACEMENT:a PLANS SUBMITTED: YES NO] APPLIANCES 1 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER � BOOSTER = ._. - -' �..- _. _ —.. .� T_ _ �� .1 _ — CONVERSION BURNER s I sI • f — COOK STOVE , DIRECT VENT HEATER J _ ��. —r' —ems _ _ _+ DRYER s s s s ,. , _ _ e,— FIREPLACE — _ _ T FRYOLATOR FURNACE GENERATOR GRILLE — —+ INFRARED HEATER _ LABORATORY COCKS MAKEUP AIR UNIT OVEN '' I i I i I + POOL HEATER .s ROOM/SPACE HEATER s ' —` ROOF TOP UNIT _ _e TY EllT_ TEST UNIT HEATER _ Q 'T ? !.2Q �t UNVENTED ROOM HEATER _ �s + _ s 1111111_ WATER HEATER 1 -- WW1 G_:ppj :EN ' OTHER I , 1I t. n t: - t .i INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 0 NO iU I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY a- OTHER TYPE INDEMNITY LJ BOND U 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: WNER ID AGENT ❑ SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and ac to to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co ce all Pertine • provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME!:MARK MORAN I LICENSE# 20786 / 1 GNAT RE . MP EI MGF EJ JP'a JGF i...1 LPGI U CORPORATION:U#' I PARTNERSHIP U# I LLC-U# I COMPANY NAME::MORAN PLUMBING&HEATING ADDRESS' 16 BRAMBLEBUSH DRIVE — I CITY j FORESTDALE I STATE MA I ZIP,02644 TEL'508-648-2934 FAX 508-534-1272 CELLI 508-648-2934 (EMAIL)MORANPANDH@GMAIL.COM 4- c`�fkAILD..--/ ROUGH GAS INSPECTION NOTES THIS PACE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 FEE: $ PERMIT# / `r W/ "' //64'5 1 PLAN REVIEW NOTES ///0//0 i w 3 � 1 P C� - rc}xrK}�X71 � s w !.... gym; C:7:-..!:2,. '''',':'=, • . . . . ......,_ . ,...., „. . . .. . ..., . ,.. . ..,.• . .. , .. , 1 - a 1 Tar s • a d" 7 e. 'P� ''"..' 'i k✓wmY "�` { � Kr*H✓n -�i'� .S "Ac�b qi PS. � p- x'a:-'$'.�y .. � ✓cas EY .'V�- cY' tsef �" . r s e A _ �`� t P w s3 .' ..•�. sav-*d .. ,;. ^k,F .gip :' ,,a&. " i++rn, ;. ;.•. . 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