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Home My WebLink AboutBLDP-22-005744 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK k.7 CITY YARMOUTH MA DATE 4/7/22 PERMIT# BLDP-22-005744 I JOBSITE ADDRESS 34 WILD HUNTER RD OWNER'S NAME Troy Thomas P OWNER ADDRESS 34 WILD HUNTER RD YARMOUTH PORT,MA 02675 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL❑ RESIDENTIAL El PRINT CLEARLY NEW:❑ RENOVATION:El REPLACEMENT:El PLANS SUBMITTED: YES NO El FIXTURFS • FLOORS—. BSM 1 2 3 4 5 6 7 , 8 9 10 11 12 13 14 BATHTUB 1 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 1 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET 1 URINAL WASHING MACHINE CONNECTION WATER HEATER WATER PIPING OTHER 1 OTHER DESCRIPTION:ejector pump 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 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 (Sean Hanrahan LICENSE 15822M SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP El# LLC El# COMPANY NAME HANRAHAN PLUMBING AND ADDRESS PO box 688 CITY Centerville STAFE IMA I ZIP 02632 TEL FAX CELL 7742380286 EMAIL I 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 „„,„„„„„„,„„.„„.„....„_„„„„„„„„,...„________„„„......_, i (\4 IPI ., MADATE • - r.,,_ .,.---.: //r�l2 / /// //// H//H/N/ ! /N/ll//////!//d// !Y//////H///// //Y/ / //N/N// ///iii ,iiri,,,iii,..iiirZZ ' PERMIT # 4((iT[ E A DRESSjJ - izJOWNERS NAMEAp O ...ern)///AJ/ 4,,,, / //////////////////////N,W/HN//////// /%/N/, /N/l L OWNER AI DRESS J TEL: %FAX; 1 N//HH.LLP%H,,H/////////////////////////////////////////////////////////l/l/l///%////////%//ll//l9/HHi NNVO2%////////%%////l/%////%//%%///////////////N///% ////////////NML Y///,Y!!!! ;///r/////////////////////////////////////r%!!//llllHllll!!H////Fr//////lu'/lil///NA, isWl/!//////N//N////NN///llllNN/NH/HNHH//W .1l) t'_DING DEPARTMENT "`` ` - -- 'TYPE COMMERCIAL EDUCATIONAL ,/!! RESIDENTIAL PRINT CLEARL " NEW' ,„ RENOVATION: VS, REPLACEMENT: U�i PLANS SUBMITTED: YES NO //ll//l, FIXTURES 1 FLOOR--' BSM 1 2 3 4 5 6 7 8 9 10 .,i 12 13 14 BATHTUB % S ,;laNrmNai laid ,umNaiNNNi// Ni liiN, /r, A.% A%.. ,.,_....,. ;/ � !f/ioaNlo .,.,,,.,� ,4 CROSS CONNECTION DEVICE WM 'a,,,,,,, iNc.;, i ..._.... >rr/lr/oN/vNiii%/ivr/,illl % ,'/.• ... A J ! :,;,... „ .,... DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL-SAND SYSTEM £, ,.!,,,lN ,H,/rr. �7fff I DEDICATED GREASE SYSTEM r DEDICATED GRAY WATER SYSTEM ANN", is41MMI DEDICATED WATER RECYCLE SYSTEM , , l DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER ; A FLOOR AREA DRAIN , y i INTERCEPTOR (INTERIOR) • y KITCHEN SINK i a LAVATORY I % _ ... ROOF DRAINIMO SHOWER STALL • SERVICE I MOP SINK `' � A A,,,,,,�,,,,,,,,,,,,,,� .,, � i 1. l;, ,,•,. s TOILET ' 4. URINAL y „ -_ -. WASHING MACHINE CONNECTION I WATER HEATER ALL TYPES , WATER PIPING OTHER • rd,.3fiifffiffGykASN/�fflffb .•.. ... , , S % .. .. , ., l .'..r -.,/ rd INSURANCE COVERAGE: .� I have a current liability insurance policy or its substantial equivalent which meets the re I uirements of MGL Ch. 142. YES ,!;J NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPRO 'MATE BOX BELOW LIABILITY INSURANCE POLICY i 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 th s 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 with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME 1 Sean Hanrahan I LICENSE # 15822 SIGNATURE MP i JP /1,,,,J CORPORATION!////// # PARTNERSHIP /NN/N # / LC,,/,NNN/3#1 roW// //N////HHH/////!///N//N� N/HH///////N////////H!/////H////H/HH/.5G COMPANY NAME Sean Han rahan Plumbing ADDRESS PO BOX 688..,,, yg r ,,:;;„ „/ar/lr:, /' :riiir,:, ,,,..„ / ,/,.rr: - r.„„„ii,...,ll//ill////////„.„.LU///.1 /l!////////ll///////////////////////////////////lN!//!////////////////////////////////////////////H//H/ll//!l////l,Lw////!!HH!!/l!!///////////////////////N//& Ci i t, Centerville ; STATE MA ; ZIP 5551 N0/26321VN1/„lN/N,/N/,/,,,,,,,/,�/N,,,,/NINIIA /N, TEL 774-238-0286 N�N/N/„!,//N/„/N/N,,,,,ll, //,!!!N,/�Nl//, //A ,,, -„i:,i„,,,:isiin,,,rrririr„ir/;w,,,,rrNl„kkY//N////bYY//hWH///HhWH/H/H/HH//HH///////////////N////NN///H//////////// /%/////N//NN/////HN/N///// FAX 508-775-4615 CELL 1 EMAIL hanrahan Iumbin mail.com same r///////////////i/////N/////////!� ////////////N////////l/////////////N!/lN/Nl///!/l//lINN H/H/::. p �,;,/i ,,;,iii///l///F�'W/N/////////N/////////////N////NNNNN/l//l/N,/N!///A/..'/.R k/Yy/.dyyNN//lN/N/AN.%Yqq/AWiDYqI/yHHNN///////l///l///N/!/////////l////!//////!/////NN/!/N/N///l////N//////ul//4 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 r