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Home My WebLink AboutBLDP-22-004468 • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 2/10/22 PERMIT# BLDP-22-004468 JOBSITE ADDRESS 32 DANAS PATH OWNERS NAME ZACHER JOSEPH A P OWNER ADDRESS ZACHER LAURA A 2817 STROHL RD ALLENTOWN,PA 18100 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL 0 PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURFS FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE 1 _ 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 1 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 0 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 at 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 Troy Gilbert LICENSE h5383 SIGNATURE MP 0 JP 0 CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME TROY J GILBERT ADDRESS 39 STATION ST CITY WAREHAM STATE MA ZIP 025711324 TEL FAX CELL EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE FEES$ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 4CITY Yarmouth MA DATE 02/07/2022 PERMIT # JOBSITE ADDRESS 32 Danas Path OWNER'S NAME Joe Zacher JOWNER ADDRESS 2817 STROHL RD ALLENTOWN, PA 18100 TEL 610-554-0973 FAX 1 TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO d FIXTURES -1 FLOOR-* BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 CROSS . . 1 ME MI RIM OMMOMMI DEDICATEDII �■�t C 1 ImoI_I1 WATERDEDICATED GREASE SYSTEM --'11111111 11111M11.1111111111111111M==11111111Mil MM.ilia NO DEDICATED GRAY SYSTEM —TIMM 11111111111111 - �� I DEDICATED WATER RECYCLE SYSTEM ��-J�' 1. II m iI� mu NEI DISHWASHER 1111111111111111111111111111Miiii NM NEM =NMI DRINKING FOUNTAIN IMO -MM MINI MEM MIN1=Mi ••i DISPOSER FLOOR /AREA DRAIN !IIII ,PIRMIMP111111111111‘PIMMIP INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK !Ei-Hrv.,RRERraenrur! TOILET Mill MEI , 1111111 111111111111.111111111 IIIIII 1 URINAL WATER PIPING OTHER 11111111111111111111111111111111111111111111111111111111111.111111111111111111111111111111111 I 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 C OTHER TYPE OF INDEMNITY Li BOND ri 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. i 429140. CHECK ONE ONLY: OWNER LJ AGENT L. SIGNAT/E 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. �/1� _ PLUMBER'S NAME Troy Gilbert LICENSE # , 25383 alcoATuRE MP❑ JP Li CORPORATION❑# 4350 PARTNERSHIP # I LLC I # COMPANY NAME Coastal Mechanical ADDRESS 21 L, Fruean Ave CITY South Yarmouth 1 STATE MA ZIP 02664 TEL 508-737-8747 I FAX 1 CELL 508-850-6955 EMAIL L Katherine coastalphc,com