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
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`) 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
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tu rCITY Yarmouth MA DATE 05/0112023 PERM #
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JOBSITE ADDRESS 114 Standish Way, West Yarmouth I OWNER'S NAMEIPier 7 Condominiums E t i •
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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:-
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:
DEDICATED GREASE SYSTEMrill,r ! MI _ V .: _
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DEDICATED GRAY WATER SYSTEM MM�` �€� � � � 1 I
DEDICATED WATER RECYCLE SYSTEM 5_ .:":"111.1M
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DISHWASHER -1 - M:. ... ,
DRINKING FOUNTAIN w _.. __.
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FOOD DISPOSERMill
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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. __
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URINAL
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WASHING MACHINE CONNECTION ;... .2 . MI - , =.� ,L-. .)' f .;.
WATER HEATER ALL TYPES • I ---- i
[.WATER PIPING rim, , �"
OTHER
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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
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CITY i Sandwich STATE MA . ZIP 02563 1 TEL 508-888-6055
FAX 508-888-0242 CELL 1 EMAIL kjs@readyrooter.com
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