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Home My WebLink AboutBLDP-19-003192 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Turin_,' ` —'"iCITY Yarmouth ' MA DATE 11/26/18 PERMIT# .-ft- Y/ 2 -,-44-...-s JOBSITE ADDRESS 300 Buck Island Rd.unit 13K OWNER'S NAMEIPatty Bryson P OWNER ADDRESS 300 Buck Island Rd.unit 13K TEL JFAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO0 FIXTURES 1 FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE I DEDICATED SPECIAL WASTE SYSTEM 1 µf J;, $ I - I DEDICATED GAS/OIUSANDSYSTEM i li a _ • .. I �+1 • I r j DEDICATED GREASE SYSTEM f DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEMa. DISHWASHER DRINKING FOUNTAIN - , • la 1, . , FOOD DISPOSERil FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) I I I 1 I KITCHEN SINK -_ LAVATORY 4� �- V ROOF DRAIN 0- .1- , ., SHOWER STALL SERVICE/MOP SINK _I } - :t---1* -- " TOILET _ — TI _ - — --1r{ I . —7— URINAL — �.. 1,----'1 - ' 1..J '-‘..K.' WASHING MACHINE CONNECTION � , v4 pl '_DI. � DEF-1 WATER HEATER ALL TYPES r I L ny _— WATER PIPING �-J - .. - _ _ -- • _ OTHER ( 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 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 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 0 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 -• - . ; • I e •:-t o my 'r • edge and that all plumbing work and installations performed under the permit issued for this application will be in.• :'. :with all Pertinent provision o . e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Virgilio Silva LICENSE# 31395-J I MPO JPO CORPORATION❑# ,PARTNERSHIP❑#- LLC 0# COMPANY NAME Silva Plumbing 8 Healing ADDRESS 155 Sudbury Lane CITY Hyannis STATE MA ZIP 02601 TEL —1 FAX CELL 774-836-0176 EMAIL Ivirgiliomga@hotmail.com ° L G RH /02/917t i' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK U CITY Yarmouth MA DATE 11/26/18 PERMIT#,*/)n AgOdi/6Z JOBSITE ADDRESS 300 Buck Island Rd.Unit 13K OWNER'S NAME Patty Bryson GOWNER ADDRESS 300 Buck Island Rd.Unit 13K J TEL( FAX TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:El REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO0 APPLIANCES 1 FLOORS-• BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOST R CONON �f DRECTEVENTHEATER Frere. CONVERSION BURNER � �� DRYER FIREPLACE FRYOLATOR FURNACE 1111,,IiiIuuIIIIIItI GENERATOR GRILLE INFRARED HEATER a flafM.SnaMR 111111111111 s�a LABORATORY COCKS fl fLMIIIli MAKEUPAIRUNIT omi IN,m use OVEN � ��n�� POOL HEATER Se SWC a ,a ROOM/SPACE HEATER aaaaan ina !a$ p E ROOF TOP UNIT ttttR MttR1*' I UNIT HEATER rMff� nt� �f MA$ UNVENTED ROOM HEATER 1=I WATER HEATERr i � 1,r I-OTHER r INSURANCE COVERAGE I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142 YES Q NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE 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 true and accurate to u: •= } . ,,•ge and that all plumbing work and installations performed under the permit issued for this application will be In compliance w8, Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Virgilio Silva LICENSE •31395-J is :yJer•'-. MP❑ MGF❑ JP CI JGF❑ LPGI❑ CORPORATION❑# PARTNERSHIP❑# LLC at COMPANY NAME Silva Plumbing&Heating ADDRESS 155 Sudbury Lane CITY Hyannis STATE MA ZIPI02601 (TEL FAX CELLI774-836-0176 EMAIL virgiliomga@hotmail.cOm (1 4-i LID e_Ir1 11-;P/A7 6/a C�