Loading...
HomeMy WebLinkAboutBLDP-23-005559 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK i at V CITY YARMOUTH MA DATE 4/6/23 PERMIT# BLDP-23-005559 JOBSITE ADDRESS 165 LONG POND DR OWNER'S NAME pS��P�V ASSOCIATES LTD OWNER ADDRESS CIO WESTON ASSOCIATES MANAGEMENT CO INC 170 NEWBURY ST BOSTOPh NERGI-IIP TEL P MA 02116 TYPE OR OCCUPANCY TYPE COMMERCIAL m RESIDENTIAL D PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO 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 0 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❑ 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 16668 SIGNATURE MP 0 JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME BRAGA BROTHERS HEATING, ADDRESS 110 Breeds Hill Rd,Unit 5 PI I IMRIN(;AND A R CITY Hyannis CONDITIONING STATE MA I ZIP 02601 TEL 5088274260 FAX 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 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK j i y.._B--:;.-- It;2---= CITY Yarmouth - MA - 02664 MA DATE 14/4/2023 P MI# Z3 a�S SSA vie= _ i ' 4 JOBSITE ADDRESS 1100 Alewife Circle OWNER'S NAME wan Pond Village Apts. 1 OWNER ADDRESS f ._.. _�...��--.,._._.__.._.-...... _,..._._._e�__.+�..-..._._..� TEL��� _ FAX TYPE OR OCCUPANCY' TYPE COMMERCIAL EDUCATIONAL . RESIDENTIAL X._ PRINT i CLEARLY NEW: LI RENOVATION: Li i REPLACEMENT: PLANS SUBMITTED: YES L NOM FIXTURES 1 FLOOR--• 1 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I I - , CROSS CONNECTION DEVICE ;; ' ii.. t� . jig DEDICATED SPECIAL WASTE SYSTEM I "WOO. 11 .. r ^ AS DEDICATED GAS/OIUSAND SYSTEM �i DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM , 111.11111.':�' _ _ ! ,y .. (—min= DEDICATED WATER RECYCLE SYSTEM" n � ', _ Ui I DISHWASHER MUM ;ITI1 DRINKING FOUNTAIN ' lill'Ilia 011.11111111111111•111111111.11111111 FOOD DISPOSER 1111.11.111i i N FLOOR /AREA DRAIN 111111111111111 11111111111111111 ! � L INTERCEPTOR ,INTERIOR) INIEMIIIINI 11111.111111111•1111 m 111111MMINFIlliriiii KITCHEN SINK Mimi Am Imp;am gmtammumilliMallit } LAVATORY ' . IntiniiIMIN IMriM ROOF DRAIN 111110.111 ME MIMI. ii1111110i ' SHOWER STALL ! i ,. b., ._... _ , , SERVICE t MOP SINK t 111.1111111.wl 111111111.111111111110110 UMW mu � �- TOILET � �:��'.�- -- �����! -Mil URINAL NM; �? �c1il :; , ;,- i .. l II^ � z i t I � . . .. WASHING MACHINE CONNECTION 1 I�sr , WATER HEATER ALL TYPES r MN NE 11111111.11MM11.1 " ,. . _II_ _ _, WATER PIPING I, VI iiii Mi.,.___ L __-, I _.._ ' i . OTHERalliall11111111.111.111111111111111`' . I r __ . 11 iiiiiMMMIliiiiiiilliiiiiii 111111110111111111.1101M.M. .111111111111.11KIMMEMINIMMimitimilliiiiimi! .` i II INSURANCE COVERAGE: , I have a current liability insurance policy or its substantial equivalent which meets the requirements of MdL Ch. 142. YES NO Eli APR 0 2023 ....i 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW i LIABILITY INSURANCE POLICY I d OTHER TYPE OF INDEMNITY [j BOND i3U1LDING UEI'ARTMEN1 , f B : ------ --�--- E OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage requi o e/ Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: • j ER ' ___.i AGENT Li SIGNATURE OF OWNER OR AGENT AIMIP. 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 - j� ith .� •e e pre ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / PLUMBER'S NAME ALEX BRAGA I LICENSE # 15668 1 SIGNATURE -- MP Ej JP Li CORPORATION Ej# 3618 PARTNERSHIP L # H LLC LJ# ,. , i COMPANY NAME BRAGA BROS. INC. ADDRESS 110 BREEDS HILL ROAD UNIT 5 ___..� -___ __ �_..._t CITY HYANNIS I STATE MA I ZIP [02601 TEL 508 827-426 FAX L508 957-2960 j CELL [774 487-0199 EMAIL [bragabrospmcast.net 0 6 2023 _� BUL ING DEPARTMENT T