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Home My WebLink AboutBLDP-22-000396 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH 7 MA DATE 7/21/21 PERMIT# BLDP-22-000396 JOBSITE ADDRESS 47 HARBOR RD OWNER'S NAME DOYLE MICHAEL J OWNER ADDRESS DOYLE J M&DOYLE BM &J C 11 HADLEY COURT ARLINGTON,MA 02474-3810 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL ❑ PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES FLOORS--a 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 1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER 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❑ 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 ,Daniel Asquino LICENSE#19715 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# [ PARTNERSHIP ❑# LLC ❑# COMPANY NAME DANIEL M ASQUINO ADDRESS 205 ISLAND POND RD CITY PLYMOUTH STATE MA ZIP 023601592 TEL 5 --- 3 tt7 FAX CELL EMAIL danasquino@gmail.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES ak -74zrrizi c-FI Yes No THIS APPLICATION SERVE AS THE ❑ ❑ pr'71P O plvmb£n N£Enc FEES$ PERMIT# PLAN REVIEW NOTES co A1£ffl /*WI ss,4ra h UN CI- k,S/Nk MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' en .-=w . CITY Y' ✓/H vt✓4-� MA DATE L D = �` PERMIT# R l Z Z Uvp 3 1 11.1 i JOBSITE ADDRESS 7 (i f►1 �✓ ✓y cv u ' OWNER'S NAME j qgQ—. , , 1 w OWNER ADDRESS TEL TEL FAX L. E QR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL U INEj - LL6 . CLgAR EY NEW: ❑ RENOVATION: El REPLACEMENT:❑ PLAN S S SUBMITTED: YES ❑ NO❑ FIXTURE�zl� FLOOR BSM 1 2 3 4 5 6 7 B 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 SYSTEM DISHWASHER r DRINKING FOUNTAIN FOOD DISPOSER I FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK I ' 1 LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK ' TOILET URINAL i WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER 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 [J 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 i Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT �4 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 complianc with:_. :'all tinent provision of the Massachusetts Stale Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Da`Z i•t I' A S ✓t'iv° '- LICENSE# SIGNATURE MP ❑ JP 0 CORPORATION❑# PARTNERSHIP❑.# LLC❑# COMPANY NAME 04,1 1 1 UU'^ 0 , 4.5 ADDRESS a-`2S— (S 1 `'ti ✓r/ , "`"`11v -"( CITY pq`t /",J✓-1 ) STATE . ZIP +Oa- 3 ‘ TEL /n TEL FAX CELL Sd� �%V ' 3i7 — � ' EMAIL Oc-`1 61Stec•-/ ( W//'� 6M.,. i • (3/-1 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES