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Home My WebLink AboutBLDP-22-007254 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK vn CITY YARMOUTH MA DATE 6/16/22 PERMIT# BLDP-22-007254 rt JOBSITE ADDRESS 36 KATES PATH VILLAGE OWNER'S NAME audrey saftlas P OWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL Ei PRINT CLEARLY NEW:0 RENOVATION:0 REPLACEMENT:0 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 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 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 Virgilio Silva LICENSE 3t1395 SIGNATURE MP 0 JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME IVIRGILIO SILVA ADDRESS 155 SUDBURY LN CITY 'HYANNIS I STATE IMA I ZIP 026012462 TEL FAX I I CELL I I EMAIL virgiliomga@hotmail.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE El 0 FEES$ PERMIT# PLAN REVIEW NOTES 1—7--- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK y�- - CITY (am outh MA DATE 66!15/22 --7 5- 1 ' PERMIT �� z JOBSITE ADDRESS 36 Kates Path OWNER'S NAME Audrey Saftlas P 36 Kates Path OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: O RENOVATION: REPLACEMENT: , PLANS SUBMITTED: YES NO vl FIXTURES 7. FLOOR—' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 'r' CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM II.. ...._ __ , r ,,i, irDEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM E [ — 1 DEDICATED WATER RECYCLE SYSTEM —11 DISHWASHER � . DRINKING FOUNTAIN L 1. ii i: ---, - i ,,,, ................6 ...Imo _,....0..ga FOOD DISPOSER _ '! - FLOOR /AREA DRAIN _ '_ INTERCEPTOR (INTERIOR) f ,- I t- . ., KITCHEN SINK I ii i, LAVATORY _ �_ ROOF DRAIN # , 7 - IL SHOWER STALL ,,, . ;. _._.... Ii _....._...,:. r SERVICE / MOP SINK . F---1 -' 11. VIE ii...., TOILET 1------ • --, ' ----1 „„,............ URINAL WASHING MACHINE CONNECTION _ 1.11144 ' WATER HEATER ALL TYPES � 1 11 WATER PIPING � _ �.. -:——. 6 'I .-i E N T OTHER if— 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 0 OTHER TYPE OF INDEMNITY C 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 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 ' Pertirrent- c vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws- PLUMBER'S NAME Virgilio Silva LICENSE # 31395-J ATURE MP JP El CORPORATION Ott'''. PARTNERSHIP❑#F I LLCE # COMPANY NAME L Silva Plumbing and Heating ADDRESS 155 Sudbury Lane CITY Hyannis STATE MA I Zip 02601 TEL FAX CELL 774-8360176 EMAIL virgiliomga@hotmail.com