The URL can be used to link to this page

Home My WebLink AboutBLDP-22-002682 • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 11/9/21 PERMIT# BLDP-22-002682 r JOBSITE ADDRESS 1314 ROUTE 28 OWNERS NAME PATEL MOHANVHAI TRS P OWNER ADDRESS JALARAM VANI REALTY TRUST 1314 ROUTE 28 SOUTH YARMOUTH,MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL 0 RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENTS.0 PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1 FLOORS—r RPM 1 2 3 4 6 6 7 8 9 10 11 12 13 14 BATHTUB 40 41 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 40 41 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION - 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 0 NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY❑ OTHER TYPE OF INDEMNITY 0 BOND 0 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 Peter Riva LICENSE 18447 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME PETER E RIVA ADDRESS 9 BAYVIEW ST CITY MARSHFIELD STATE MA ZIP 020502906 TEL FAX CELL EMAIL peterriva@comcaslnet ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE 0 ❑ FEES$ PERMIT# PLAN REVIEW NOTES , , MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK t� " CITY Y MA DATE 2 tv„ IPERMIT # JOBSITE ADDRESS s\'�\ t3-1-2-4c `t` "r.."...,c,‘", OWNER'S NAME (1\R �" tQ-N -- '��P�- `A ( %7. t' j P _ OWNER ADDRESS 3 c,•�- TEL "f( FAX', . _ 1 , i TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ED RESIDENTIAL 7 41: PRINT J, CLEARLY NEW: CiljRENOVATIONS REPLACEMENT: L PLANS SUBMITTED: YES D NO-`' \t FIXTURES -1 FLOOR-+ BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 17i r i _ L �a� �_� • CROSS CONNECTION DEVICE 1 ,_.... . , _ _ , . . ,.: ,. �u Y _: .. . � DEDICATED SPECIAL WASTE SYSTEM _ __. -- , , ,. �� 1, ��, : I »,n..,»,�,,,�,n„J , ..»a<,:,,,,. ....rrmevem� n..,+,,,m:::,e»,,.,ec.�.,Man.�aa,'�''c max.+:. ...n.... .::.: DEDICATED GAS/OIL/SAND SYSTEM »,»„�....,, � _....... :».. ,,,, , _ :� DEDICATED GREASE SYSTEM . , ... DEDICATED GRAY WATER SYSTEM _,aa '_ I -h „ ,.. DEDICATED WATER RECYCLE SYSTEM DISHWASHER _ _ ' ., DRINKING FOUNTAIN � � : , FOOD DISPOSER _ �� _. i FLOOR I AREA DRAIN ) �� . y, ;. .; , » ,: , ,,,,. , ,.I, w , ; , _.. ,. ,.. TIL,,,_3 ._ W.. INTERCEPTOR (INTERIOR) KITCHEN SINK ` LAVATORY i L7 1 o 41 � 11 i,,,. ROOF DRAIN .- . _ _ ��: , 11 SHOWER STALL �. n _, _ . � 'i: .. . . ...: __.::... _ .. SERVICE / MOP SINK u . . ,,, .. ......, TOILET n _ . M URINAL I WASHING MACHINE CONNECTION E t t » I ' f '2 WATER HEATER ALL TYPES , f WATER PIPING OTHER ,...._ ,.,�� . ,. ��. I k ...vw,:i...' ,.. 7- =�,"""'�Y vww „„„:1�'� 'M.a..��,»:aa�k»..� w.... '»:,...... .. ,. ...... »..iaww ... .�..... ,-u.,w.,$i. H,....:w.. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO Li 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. CHECK ONE ONLY: OWNER 1,,.., 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 trued accurate 1 e best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli3n e with all Pe anent provision of the Massachusetts State Plu g Code andC ter 142 of the General Laws. % . / ` PLUMBER'S NAME '- :�, ,..�...r� ,,,t,-! , , . r�. _.._: ,» „ LICENSE # [ /3 S GNATUR Mbar" JP El CORPORATION S# PARTNERSHIP # LLC # COMPANY NAME Cc- _-c,,, r,,z,_. ,._,. ?r. j7, 7—:/3 ADDRESSL' < -57_,,,, „„„ „.„,„ „„„„,„„,,,. „,,,, , .„ CITY 1,-6STATE I f k-,z5.2._ �( / 4_ 4,'a G ZIP �_ TEL �1< <� FAX -- y CELL '�� . ,, „ EMAIL . -`t�..�': 1 ,. .:�.„...7 .... 37 ... f . . 3,. . .. .,.. ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Roans 2 3 S— z S 3 > 2/Z/2 Z Yes No 119 — 3 7 r 0THIS APPLICATION SERVES AS THE PERMIT ❑ El FEE: $ PERMIT# PLAN REVIEW NOTES