The URL can be used to link to this page

Home My WebLink AboutBLDP-21-005160 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH ] MA DATE 3/11/21 PERMIT# BLDP-21-005160 JOBSITE ADDRESS 1 MAUSHOPS PATH OWNER'S NAME KENNEDY AGNES M(LIFE EST) P OWNER ADDRESS C/0 JOANNE M KENNEDY 1 MAUSHOPS PATH WEST YARMOUTH,MA 02673 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL 0 RESIDENTIAL ❑ PRINT CLEARLY NEW: 0 RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES NO❑ FIXTURES FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1 CROSS CONNECTION DEVICE - DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTE DISHWASHER 1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY 1 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET 1 URINAL WASHING MACHINE CONNECTION - WATER HEATER _WATER PIPING OTHER 1 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 0 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 Peter Hassett LICENSE#1682 SIGNATURE MP 0 JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME PETER J HASSETT ADDRESS 8 Skipper Lane Hassett Plumbing & Heating Inc. CITY Yarmouth Pon STATE MA -1 ZIP 02675 TEL FAX CELL f I EMAIL peterjhassett@gmail.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE PERMR ❑ ❑ FEESE PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ,. e_ CITY [Yarmouth MA DATE 3/11112021 PERMIT#RLUW_ 2-1 - 00 5 I ce() JOBSITE ADDRESS 1 Maushops Path W. Yarmouth OWNER'S NAME Joanne Kennedy P OWNER ADDRESS TEL _I FAX I._______ _._- TYPE OR OCCUPANCY TYPE COMMERCIAL '1 EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: v PLANS SUBMITTED: YES J NO FIXTURES -1 FLOOR--I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1 ,F CROSS CONNECTION DEVICE �' I DEDICATED SPECIAL WASTE SYSTEM r _ L., u� - �. d DEDICATED GAS/OIUSAND SYSTEM i r IL 'rerwM1 � DEDICATED GREASE SYSTEM `� . DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM _ - I DISHWASHER Mila __ I DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN ! WITEI IIII INTERCEPTOR (INTERIOR) : _ -,,t. — --4-- _ v,„ KITCHEN SINK � 1 !�,�' NM LAVATORY u' Iu` ontillIMINIMM ROOF DRAIN III m.y _. SHOWER STALL ..�. i SERVICE / MOP SINK � : _. . IIIIII '. Y� .ter imigiliMINIMIIIIIIIIIIIIWO TOILET i �_ URINAL 7 1' WASHING MACHINE CONNECTION 1111111•IiiiilleMIIIIMINIWIllium 01111111MIIIMINE1111 WATER HEATER ALL TYPES } WATER PIPING ` 1 .. OTHER _ IIII ._ t _ - INSURANCE COVERAGE: I have a current liabiliyinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES , NO 171 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 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. CHECK ONE ONLY: OWNER 1:1 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 true and accurate to the .besi....Qf my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in c• pli- ce wi. ,. `A ent provi .o •f the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r_ ___. .. - ‘ : d PLUMBER'S NAME[Peter J. Hassett LICENSE # 116 22 SIGNAT MPF JP CORPORATION '71#11506 IPARTNERSHiprD# LLCL# COMPANY NAME Hassett Plumbing and Heating, Inc. 1 ADDRESS 8 Skipper Lane _ _ _ CITY Yarmouth Port —1 STATE L MA ZIP 102675 TEL 508-744-7555 FAX CELL 508-237-2175 I EMAIL [peterjhassett@gmail.com