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Home My WebLink AboutBLDP-23-005658 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK rk,,,,*I CITY YARMOUTH MA DATE 4/11/23 PERMIT# BLDP 23 005658 ins; F/P JOBSITE ADDRESS 39 MICHELLES PATH OWNER'S NAME MICHELE KROM g v- P OWNER ADDRESS BARR SHERRY L 44 ROCHELA DRIVE SOUTHINGTON 06489-0000 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES El NO❑ FIXTURES I FLOORS-, BSM . 1 2 . 3 4 5 _ a 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 El 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 Alex Braga LICENSE 1b668 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME BRAGA BROTHERS HEATING, ADDRESS 110 Breeds Hill Rd, Unit 5 PI IIMRING ANL)AIR CITY (Hyannis CONDITIONING STATE MA ZIP 02601 TEL 5088274260 FAX I I CELL 7744870199 EMAIL bragabros@comcast.net ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE ❑ FEES$ PERMIT# PLAN REVIEW NOTES i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK I ,,�1 _ �' � ;. _ a f- . rmouth - pMA -02664 MA DATE 4/4/2023 _ _ ! PERMIT # - 0 2O BITE ADDRESS 39 Michelle's Path OWNER'S NAME' ichelle----„---,,- • rom BU LD►N ER DDRESS TEL[ FAX L By: PAR � NT TYPE OR • " + NCY TYPE COMMERCIAL El EDUCATIONAL [1 RESIDENTIAL X 1 PRINT CLEARLY NEW: _ ' RENOVATION: [„ _I REPLACEMENT: LX J PLANS SUBMITTED: YES I, I NOI X FIXTURES 1 FLOOR BSM !MI3 E 5 i 6 7 8 I 9 10 11 12 13 14 BATHTUB 1 _- ` CROSS CONNECTION DEVICE all':11111.111f witimilligliiit a nI am DEDICATED SPECIAL WASTE SYSTEM Min mimioNtam [ DEDICATED GAS/OIL/SAND SYSTEM 1111111111111M11111111111111111111111,11111111111110.111011 MEI'moininiM imii DEDICATED GREASE SYSTEM 'M .' I j[ .. WI DEDICATED GRAY WATER SYSTEM i��L_[ 1I ;M:IIMI DEDICATED WATER RECYCLE SYSTEM L i,E �' DISHWASHER 11.11 DRINKING FOUNTAIN liallailliiilliiIIIIMM1111111.1111111M1 [ FOOD DISPOSER 1111111111111111111111111111111111111111111111111111111111111111111111111111111i _ FLOOR /AREA DRAIN „_ ___ WM-- M. , . . INTERCEPTOR (INTERIOR) 1 #114,111141111,11111 _. .KITCHEN SINK , -- , LAVATORY �' ROOF DRAIN Mr---- , L ale PM liiinn uniti.1111111M, ,' SHOWER STALL IIIIIM i SERVICE 1 MOP SINK IlinieliMMINOM MIN NM 1.111 MI E I TOILET i------ ; I -- URINAL Mir l__ _ ' MillitWASHING MACHINE CONNECTION M WATER HEATER ALL TYPES NM Am MEM Eli:Illin Ells Mir WATER PIPING _ [1.111111 a gig- mi OTHER {1 1M i i I _111Maiiam iiii 1.11111Mi um Mai 1111111111111•01MIMINMITIMIntimulliM 11111•111111.11Maill MOM f I M[ I.- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES Li NO Li 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. / CHECK ONE ONLY: * i ER ` - AGENT j 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 .•• .ccur. e - •- of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli - +� ith r ``e er pr (ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r PLUMBER'S NAME ALEX BRAGAfLICENSE # 15668 I SIGNATURE MP I , I JP [I CORPORATION FI# 361$ PARTNERSHIPS# ' LLC U# COMPANY NAME BRAGA BROS. INC. 1 ADDRESS 110 BREEDS HILL ROAD UNIT 5 CITY HYANNIS STATE MA I ZIP 102601 I TEL '(508) 827-4260 FAX 508 957-29601 CELL 774 487-0199 I EMAIL [braabroscomcast net _____.........._i