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Home My WebLink AboutBLDP-23-006082 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK i £ ( CITY YARMOUTH MA DATE I5/4/23 I PERMIT# BLDP-23-006082 i JOBSITE ADDRESS 711 ROUTE 28 OWNER'S NAME(PIER 7 CONDOMINIUM TRUST ram. P OWNER ADDRESS CIO R J+R A OSTELLINO TRS 711 ROUTE 28 SOUTH YARMOUTH,MA TEL I 02664-5138 TYPE OR OCCUPANCY TYPE COMMERCIAL 0 RESIDENTIAL ❑ PRINT CLEARLY NEW: 0 RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES NO FIXTURES a FLOORS— RSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTE DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION 2 WATER HEATER WATER PIPING OTHER OTHER DESCRIPTION: 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❑ 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. 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 Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME (Kevin Sullivan I LICENSE1t3041 I SIGNATURE MP ❑ JP ❑ CORPORATION ❑# I I PARTNERSHIP ❑# I I Lc ❑# I COMPANY NAME (READY ROOTER, INC. I ADDRESS 1117 Jan Sebastian Drive, Unit 16 CITY (Sandwich I STATE IMA I ZIP 102563 I TEL 15088886055 FAX I I CELL I ( EMAIL I v MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Yarmouth _�_.__" Virg MA D L/� ATE 05/01/2023 PERM # P Z 3- 40(per/ JOBSITE ADDRESS 711 Main Street,South Yarmouth P OWNER'S NAME?Pier.7 Condominiums r _mn m_ OWNER ADDRESS i711 Main Street,South Yarmou TEL 508-398-77777 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL =W i I RESIDENTIAL CLEARLY NEW:LI RENOVATION: REPLACEMENT: w PLANS SUBMITTED: YES 0 N0 FIXTURES 1 FLOOR- BSM 1 BATHTUB 2 3 4 5 6 7 8 9 10 11111®® 14 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM MINITIWairmillw DEDICATED WATER RECYCLE SYSTEM DISHWASHER — alliatail WBMIAFIIWBIIIIWWIWNWVMWIWIIIIIWWI DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN limmai inn ma maw am wank INTERCEPTOR(INTERIOR) m f imanasimieRiva---iii—immtwomermaimm_ immi----r_fuatHrwr___rm LAVATORY ROOF DRAIN SHOWER STALL - wramirmimiiimmimarimmairman NW SERVICE/MOP SINK TOILET URINAL WWI*MFEW111;1*.M.11111.11 MI MiailM: . WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHEROM limiliMIMMMWIMMIWN—INSURANCE COVERAGE: 0.I I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Y IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW ES NO LIABILITY INSURANCE POLICY ID ` OTHER TYPE OF INDEMNITY 0 BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee dos not the insurance coverage required by Chapter 142 of Massachusetts General Laws,and that my signature on this permit application waives this requirement. the SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 0 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 wit all rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. g PLUMBER'S NAME Kevin J.Sullivan LICENSE# 13041 SIGNATURE MP JP CORPORATION 0# Min PARTNERSHIP # LLC # COMPANY NAME Ready Rooter,Inc. ADDRESS P.O.Box 371 CITY Sandwich STATE MA ZIP 02563 TEL 508-888-6055 FAX 508-888-0242 CELL EMAIL kjs@readyrooter.com