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Home My WebLink AboutBLDP-23-005750 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK T .. r CITY YARMOUTH ] MA DATE 4/14/23 PERMIT# BLDP-23-005750 i`, JOBSITE ADDRESS 14 MAINE AVE OWNER'S NAME GUYER JAMES M P OWNER ADDRESS GUYER MARIA K 40 WOODSTONE RD NORTHBOROUGH,MA 01532 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL 0 RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:El PLANS SUBMITTED: YES NO El FIXTURES 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 El NO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY El OTHER TYPE OF INDEMNITY El BOND El OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have he 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 t6668 SIGNATURE MP ❑ JP 0 CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME BRAGA BROTHERS HEATING, ADDRESS 110 Breeds Hill Rd, Unit 5 PI IIMRING ANfl AIR CITY Hyannis CONDITIONING STATE MA ZIP 02601 TEL 5088274260 FAX CELL 7744870199 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 Ri•= 4 r�T ar outh - MA - 02664 I MA DATE 4/5/2023 PERMIT# A' ' 13 SIT A RESS L14 Maine Avenue I OWNER'S NAME Maria Guyer JG DEPART DRESS L_ TEL FAX eY TYPE COMMERCIAL( I EDUCATIONAL D RESIDENTIAL j PRINT CLEARLY NEW:Lj RENOVATION:U REPLACEMENT: PLANS SUBMITTED: YES❑ NOQ FIXTURES 1 FLOOR—. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB { I1— �` II 1` 11 CROSS CONNECTION DEVICE --II - r DEDICATED SPECIAL WASTE SYSTEM 1(--7-1, -1T 1 _ ' DEDICATED GAS/OIL/SAND SYSTEM �' .1 1 --II _ III I' _ _Jr-- DEDICATED GREASE SYSTEM _ (I _ DEDICATED GRAY WATER SYSTEM IL t'i i[ r�1_ 1 4 DEDICATED WATER RECYCLE SYSTEM I 1 I.i I -I ff DISHWASHER , DRINKING FOUNTAIN -- , FOOD DISPOSER { � I ]� .- , -�; - FLOOR/AREA DRAIN -` i _� C . INTERCEPTOR(INTERIOR) —fir --1I-- ,I_ I' _� .� KITCHEN SINK LAVATORY I, ROOF DRAIN — -- ' SHOWER STALL E SERVICE/MOP SINK _f 1 �_- I F iL II- � ��( _ i )I_: �t__. i I TOILET II , .- � URINAL ir-----i—- L. ..d WASHING MACHINE CONNECTION I — 'J sit 11 I WATER HEATER ALL TYPES WATER PIPING I, h OTHER I i Iiii� �� `. Wig'—i . INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES O 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 0 BOND Li 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 wL 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.•• .ccur- e • • .•• of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli •i ith j .- e pr. ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ir.I PLUMBER'S NAME ALEX BRAGA LICENSE# 15668 SIGNATURE MPO JPD CORPORATION O#3618 (PARTNERSHIP[ # ILLC❑# COMPANY NAME[BRAGA BROS.INC. I ADDRESS 110 BREEDS HILL ROAD UNIT 5 I CITY HYANNIS I STATE MA I ZIP 02601 TEL (508)827-4260 I FAX 508 957-2960 I CELL 774 487-0199 EMAIL bragabros@comcast.net •" -..mk