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Home My WebLink AboutBLDP-18-003709 J / 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ,�i ^I{ cITY� 50O y/ 1.,thOUThl MA DATE U:]n/arPERMIT#( pP-/P-00 f21 JOBSITE ADDRESS P3 h.,yA, LLP IMVf, IOWNER'SNAMEI/Q/CN74,P "Jives P OWNER ADDRESS TEL , V 1f -740 3 411FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL G PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED: YES❑ No ID FIXTURES 7 FLOOR-4 BSM f j 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB Ua—,nif lmai SE —al�—. CROSS CONNECTION DEVICE a al NMIJaif;f;fi 5 so a NM DEDICATED SPECIAL WASTE SYSTEM sou la S :a ,aak;as. DEDICATED GAS/OIUSAND SYSTEM aft OM r� h Om aall Laat:;aaaaa.AM laa�lam a�a DEDICATED GREASE SYSTEM SI Ma fad MX Ian AM ME a NM Mil MI an DEDICATED GRAY WATER SYSTEM .111111.0.1)11.11011.11.111111O inianstintrsa — DEDICATED WATER RECYCLE SYSTEM n■i IS lanSIS 011 If S ronif S ls IS SI;5 DISHWASHER M,fa an a all MK INS all of MI Mt SI alb nil DRINKING FOUNTAIN liElltlara. a aMN a_NS fiat a a FOOD DISPOSER s, �a1 5 a a alataaaaaa,fl 5'aaaa;aa■a FLOOR/AREA DRAIN NE a N a,fes a J♦a MI I♦A n n INTERCEPTOR INTERIOR NM a a la a a,aa♦Una,,!• KITCHEN SINK Nig;a,a a-aass,1r is am SS St S"_inn LAVATORY n n ,aral■aa la is aI,aam'aaa,SIM h,a ROOF DRAIN MIN Ma Jai NM JIM. NM acral NM M SHOWER STALL INS.n; a ilmmo SERVICE/MOP SINK .11.11.1.I faa IMI Saar•pia Villa*Ma,_[In iaaaaa 5 TOILET aaaaaaaXIII MS MN a■n aaaara MN aaaaa.alw fares jajtna MI URINAL alas— inl — aanalflh—. WASHING MACHINE CONNECTION gni Uag.Ian n a I—is Ia■I.',f.ra,fawl';a;n Sot al WATER HEATER ALL TYPES MKS Nal al—aaaaaa NMI MI MI spa awn alga MK WATER PIPING soma UmNI_I_I_ NMI la_6 rsrssI OTHER TUB/SHOWER VALVE alike Imo ,a—a_.;S mooli_ aate, awlS SAM an II=as—MS n al la MI aajaa a■l■a laanalinallainaawraa loos a a mo in limmtlootioso.lomtimmoi'S S laaaaa yaw aa�S ID'S alb ai lallllt atwigsram flls rte.S INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES ID NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q 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 ONLY: OWNER ❑ 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 .�,• rat • . best of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in - th al -erti•.nt provision of the Massachusetts State Plumbing Code end Chapter 142 of the General Laws. /I ' „ „//`_ PLUMBER'S NAME PAUL OWEN LICENSE# 11061 W (�c SIG ATURE MP PO CORPORATION❑#3943 PARTNERSHIP❑# LLC❑# COMPANY NAME BATH SYSTEMS MASS DBA BATHFITTER ADDRESS 25 TURNPIKE STREET CITY WEST BRIDGEWATER STATE MA ZIP 02379 TEL 508-521-2700 FAX 508-5884303 CELL 508-649-4586 EMAIL POWEN.'BATHFITTER.COM ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 FEE: $ PERMITS PLAN REVIEW NOTES . BATH FITTER® . PA/ 4/ Dear Inspector OW ,a 1u"/ Please accept this as my official notice that after repeated attempts to schedule access for you to perform the FINAL plumbing inspection at the following address, that the owner has been uncooperative or non- responsive. A copy of the "Final Notice" sent to the customer is enclosed and I request that it and these documents be attached to the original permit application. Ref: 5 gr. fit, , t** �� '' "37°/ Sincerel mar P_• •e-- Plumbing Supervisor Master #11061 800-479-8827 25 Turnpike Street West Bridgewater,MA 02379•www.bathfitter.com Phone:800-479-8827• Fax:508-588-4303 rr BATH FITTER® 12( i/i Final Notice �j� Ref: 2 3 inc�mo.2C io 11, /Q- 03709 bear�•�a-�Q atnbkKd4 We have made numerous attempts to contact you and schedule a Final Inspection for your Bath Fitter Project. The Massachusetts General Laws and the Commonwealths Plumbing Code require that inspections be performed on all plumbing work, repairs, alterations and installations. There are no exceptions to these legal requirements, and it is for your safety as well as the safety of others that these inspections are performed. Until the plumbing inspector is given access and the final inspection is completed for the work we performed at your home/business we will not perform any further services at your home/business, including service repairs or warranty work. A copy of this letter will be placed in your file and a copy provided to the Local Inspector and your account will be flagged. This is an important issue that needs to be resolved immediately. Please contact my office so that we can help scheduling your local plumbing inspector to secure the final inspection and close out the open plumbing permit. Paul M. Owen Plumbing Supervisor Bath Fitter 800-479-8827 Customer File, Plumbing Inspector 25 Turnpike Street West Bridgewater, MA 02379 •www.bathfitter.com Phone:800-479-8827• Fax: 508-588-4303