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Home My WebLink AboutBldp-19-005736 I,, ' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ` I __4i Mg R!� mmY. 1 MA DATE'3/29/2019 PERMIT# �i.)P/?� oa `/ 4 1 CITY s SOUTH YARMOUTH �� JOBSITE ADDRESS 527 BREEZY PT OWNER'S NAME;CHERYL BURKE OWNER ADDRESS TELi FAX L 1 TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 0 RESIDENTIAL J PRINT CLEARLY NEW:0 RENOVATION:rLi REPLACEMENT:U PLANS SUBMITTED: YES i NO FIXTURES 7 FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB .,..._...11111111111 a NM MOW __ _ _ _...,_ 1 CROSS CONNECTION DEVICE 10 ii1 1 DEDICATED SPECIAL WASTE SYSTEM sivistasiam anummainisnotimmom DEDICATED GAS/OIUSAND SYSTEM ing$P,a110'. ,o solis iu I DEDICATED GREASE SYSTEM SO MN 101111111101 M-091.111111111111110 mg altelismier DEDICATED GRAY WATER SYSTEM Iiiiikallt M---111111101111-11111111111M WSW On ,r. DEDICATED WATER RECYCLE SYSTEM st im _ elsilr DISHWASHER , 111 W 1/01 1_ _._ 1 DRINKING FOUNTAIN illialliII1111111111 FOOD DISPOSER _Ow 1.1140111001111111 MOI-NIMMONIC-- -1 FLOOR/AREA DRAIN sow ow o 0. ,. INTERCEPTOR(INTERIOR) NI �� 1 KITCHEN SINK lif � I >,LAVATORY 1 110 1 11111 ROOF DRAIN jai int 1011101111 i SHOWER STALL IMMO, Willi 1N � SERVICE/MOP SINK m � f TOILET 011 � 1111 101 � le I* _ lit URINAL Mil ' 111 IMIC r jlf'ti WASHING MACHINE CONNECTION alnt0, . �II • I• I WATER HEATER ALL TYPES 011 �- BUI WNW Arr I*t WATER PIPING intioniantiiiiiimitaillaramniii liTier OTHER ` jlnitllnrllinllMIMIIIIIMall,NailntillNaintWFMIIr �■ ■ 1 01 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES''. NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY I OTHER TYPE OF INDEMNITY BOND 1, 1 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 0 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 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 Perti nt provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Sean Hanrahan „�� „��LICENSE#1 15822 1 SIGNATURE MP;, , JP 0 CORPORATION[J# PARTNERSHIPUJ#I LLC i#I COMPANY NAME I Sean Hanrahan Plumbing and Heating_ ADDRESS 0 BOX 688 CITY Centerville STATE MA ZIP 02632 � ,� TEL 774-2380286„� ya FAX 508-775-4615 E 5 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑(P6/(-- / Ote FEE: $ PERMIT# Z p// L/ / q /r PLAN REVIEW NOTES 6 O 41. ,E t MASGACMWSETTSQNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK � � �� -� CITY MA DATE ' PERMIT# 1�,��'v�—wo-^ ^ �� ' -- | ]O8S|TEADDRESS 127 BREEZY POINT RD j OWNER'S NAME CHERYL BURKE GOWNER ADDRESS T E L FAX | TYPE ORX OCCUPANCYTYPE COMMEQC|AL_l EDUCATIONAL ] RESIDENTIAL ��] PRINT CLEARLY NEVV: _1 RENOVATION: '| REPLACEMENT: _J PLANS SUBMITTED: YES NO ! APPLIANCES 1 FLOORS— a5m l 2 3 4 5 V 7 8 8 10 11 12 13 11 BOILER . BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER FIREPLACE _j FRYOLATOR INFRARED HEATER _J1 LABORATORY COCKS POOL HEATER ROOF TOP UNIT J TEST LINVENTED ROOM HEATER ___J WATER HEATER 13 y OTHER INSURANCE COVERAGE I have a current liabilitv insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY _�] OTHER TYPE INDEMNITY L] 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 _J AGENT SIGNATURE OF OWNER ORAGENT 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 p sion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Sean Hanrahan i LICENSE# 15822 SIGNATURE MP �] MGF � JP J ]GF ( LP8|� � CORPORATION �#` PARTNERSHIP iLLC �#- _ . � _~ _� ._______� COMPANY NAME: Sean Hanrahan;1 � and Heating ADDRE8S' PO BOX 888 _--'- -_- CITY CenervUo STATE MA iZ|P TEL 774� | FAX CELL nemo EMAIL h �h ^ p` _ 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 (Q114 I