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Home My WebLink AboutBLDP-23-000591 common area MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK w CITY YARMOUTH J MA DATE 8/4/22 PERMIT# BLDP-23-000591 _ I JOBSITE ADDRESS 1376 BRIDGE ST OWNER'S NAME JOLLY CAPTAIN CONDOS ] P OWNER ADDRESS CONDO MAIN 1376 ROUTE 28 SOUTH YARMOUTH,MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL m RESIDENTIAL ❑ PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO El FIXTURFS • 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 WATER HEATER WATER PIPING OTHER 1 OTHER DESCRIPTION:icemaker 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 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 Sean Hanrahan LICENSE 15822M SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# Lc ❑# COMPANY NAME HANRAHAN PLUMBING AND ADDRESS PO box 688 HFATING _ CITY (Centerville SIAIE IMA ZIP 02632 TEL FAX CELL 7742380286 EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE 0 ❑ FEES I PERMIT# PLAN REVIEW NOTES • SACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK _- CITT 1 �t Cti r-Mv MA DATE FJ—`-k"'ZJ 2Z PERMIT# L 3 _ O 5 `7 i i 7I 4 2Q. SITE ADDRESS 1 g�CO ��C Sr- ac-e w OWNER'S NAME ::u1LI) DEPAAQDRESS TEL FAX iy TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEV RENOVATION: ❑ REPLACEMENT: E PLANS SUBMITTED: YES❑ NO FIXTURES 1 FLOOR-4 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/OILISAND SYSTEM ----7 DEDICATED GREASE SYSTEM — -- DEDICATED GRAY WATER SYSTEM , DEDICATED WATER RECYCLE SYSTEM DISHWASHER _ DRINKING FOUNTAIN FOOD DISPOSER _ FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) _ _ KITCHEN SINK ' LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET URINAL ' WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING , OTHER 1 G M r-I-- LP_____ l INSURANCE COVERAGE: ,_,_,/' { I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Lr�' NO ❑ IF YOU CHECKED YES, PLEASE INDICATE THETY OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW UABIUTY INSURANCE POUCY 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 i Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT Vl 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 - ecr �,�^ � LICENSE# 1 5 8 ZZ SIGNATURE L MP t/J JP❑ CORPORATION El# PARTNERSHIP❑.# LLC❑# COMPANY NAME ke, -r„(,-,A, P + ADDRESS Y D g 25 6) CITY C-?n f'-zCJ k_ STATE Mk ZIP G2� - Z, TEL FAX CELL 7-14--23`a.-OZb(O EMAIL y r a n 7-r—kc,..,-, Pl sr03 g4')^1GkC(-.0.14 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES •