Loading...
HomeMy WebLinkAboutBLDP-23-006081 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 9:el `0(# CITY 'YARMOUTH J MA DATE 5/4/23 PERMIT# BLDP-23-006081 t71411-0s- �� `) JOBSITE ADDRESS 114 STANDISH WAY OWNER'S NAME OCEAN RESORTS MARKETING INC P OWNER ADDRESS C/O COLONIAL ACRES RESORT 114 STANDISH WAY WEST YARMOUTH,MA TEL 02673 TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW: D RENOVATION:❑ REPLACEMENT:El PLANS SUBMITTED: YES NO FIXTURES FLOORS BSM 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 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 El BOND El 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 LICENSE 13041 SIGNATURE MP El JP 0 CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME READY ROOTER, INC. ADDRESS 117 Jan Sebastian Drive, Unit 16 CITY Sandwich STATE IMA I ZIP 02563 TEL 5088886055 FAX CELL EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES, Yes Na THIS APPLICATION SERVE AS THE ❑ FEES$ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PI UMBING WORK F ik— z e� � Z3 -d6 DG tu rCITY Yarmouth MA DATE 05/0112023 PERM # Y _ a..ix,euo;wcx.xon...:.wJ.oc. JOBSITE ADDRESS 114 Standish Way, West Yarmouth I OWNER'S NAMEIPier 7 Condominiums E t i • 4TMZROD .�.':Y&:�'DXfJdiASJ)31 P OWNER ADDRESS 114 Standish Way, West Yarmouth TEL 508-398-7777 ]FAX TYPE OR OCCUPANCY TYPE . COMMERCIAL EDUCATIONAL J RESIDENTIAL rill PRINT CLEARLY NEW: ' RENOVATION: REPLACEMENT: ...� 1. j .✓ , � PLANS SUBMITTED: YES 3 m _ NO �w, FIXTURES 1 FLOOR--4 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB , L. = _ L _ .M. £ CROSS CONNECTION DEVICEw_ "' „ DEDICATED SPECIAL WASTE SYSTEM .fi ian= . i . . ' lowam: NM DEDICATED GAS/OIL/SAND SYSTEM r:- i a +. . : DEDICATED GREASE SYSTEMrill,r ! MI _ V .: _ aim DEDICATED GRAY WATER SYSTEM MM�` �€� � � � 1 I DEDICATED WATER RECYCLE SYSTEM 5_ .:":"111.1M .:"." 1 � _ DISHWASHER -1 - M:. ... , DRINKING FOUNTAIN w _.. __. , .."-,-]1, FOOD DISPOSERMill 3€[ i[€ t li. 3i FLOOR I AREA DRAIN mA _ ... f:.. y INTERCEPTOR (INTERIOR) t �- . 3 KITCHEN SINK �...� I - A. . " . ..- f 4,. „ . £ 7,- .. LAVATORY :# l�, ... � ROOF DRAIN EMIN 7 . 1 . SHOWER STALL L_ - I _ ..., .. I 0, ...� W . .._ . 3..._ SERVICE / MOP SINK E _ . f ( . b . ,,. E i ._._,. TOILET r ,.._..."_" „mi. ___ A. __ i URINAL -ii WASHING MACHINE CONNECTION ;... .2 . MI - , =.� ,L-. .)' f .;. WATER HEATER ALL TYPES • I ---- i [.WATER PIPING rim, , �" OTHER � i hUIL1 NG PA p► 11_ . _IN anumuifeems,......,1...,*ims INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES .y NO (_. _f IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY v 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 T I hereby certify that all of the details and information I have submitted o- 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 appiication will be in compliance with all?ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Kevin J. Sullivan LICENSE # L 13041 1 l SIGNATURE MP JP[ CORPORATION 1#N2433 j PARTNERSHIP0# LLC _ ;, #r----- . COMPANY NAME[Ready Rooter, Inc ADDRESS P.O. Box 371 a F CITY i Sandwich STATE MA . ZIP 02563 1 TEL 508-888-6055 FAX 508-888-0242 CELL 1 EMAIL kjs@readyrooter.com ;'ri r,