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Home My WebLink AboutBLDP-22-000215 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 7/13/21 PERMIT# BLDP-22-000215 `' fv JOBSITE ADDRESS 23 WINSOME RD J OWNER'S NAME POST STEVEN C P OWNER ADDRESS POST TRACY A 23 WINSOME ROAD SOUTH YARMOUTH,MA 02664 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL CI RESIDENTIAL 0 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❑ 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 Troy Gilbert LICENSE 18573 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME COASTAL MECHANICAL ADDRESS 21 L Fruean Ave CITY WAREHAM STATE MA ZIP 025711324 TEL FAX CELL EMAIL lisa@coastalphc.com 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 id :Yates w = 1 I CITY [South Yarmouth MA DATE 07/13/2021 PERMIT # tI-OP- 21— coo 21 f JOBSITE ADDRESS I 23 Winsome Road 1 OWNER'S NAME Steve and Tracy Post POWNER ADDRESS Same TEL FAX . w TYPE OR OCCUPANCY TYPE COMMERCIAL 1 EDUCATIONAL P RESIDENTIAL E PRINT CLEARLY NEW: RENOVATION: Li REPLACEMENT: [ PLANS SUBMITTED: YES fl NO FIXTURES Z FLOORS BSM 11111 I 2 3 III 5 6 7 8 9 10 11 12 13 14 BATHTUB 1111111111111111'; CROSS CONNECTION DEVICE I MR Will.11 , ' DEDICATED SPECIAL WASTE SYSTEM NM MIMI � � 1 DEDICATED GAS/OIL/SAND SYSTEM II um EN um mui DEDICATED GREASE SYSTEM '____________•, M! ;�MEIIDEDICATEDGRAYWATERSYSTEM � �l� M �l DEDICATED WATER RECYCLE SYSTEM IlI DISHWASHER II 1 IIDRINKING FOUNTAIN i� . �i _ FOOD DISPOSER IIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIF MILINIFINIIMEIMIIIIIIIIMI FLOOR /AREA DRAIN immosimomminummuminanummummitimr INTERCEPTOR (INTERIOR) 11111111IIII III- 11111LIIII 1 1 KITCHEN SINK 111111111.111Mmo IrWIIIIMNIIIIIIIII Eli 11111 011111 MINI Milli LAVATORY 1111111111111MMIIIIIIMMIIIIMMIIIIIIII Mil MINI Mill IIIIII M ROOF DRAIN BIN 111111! '11111I1■11 ; 11111 SHOWER STALL SERVICE / MOP SINK 111111111111111111111111111111111M11111111111111 TOILET 11111111111111111111111111111 111111111111111' I! INN 11E1 maiiiiiiiiiiii URINALrli 11111111111111.11111M w IIII WASHING MACHINE 111111,11111111111111111111111111.0„ ra,mwsei WATER HEATER ALL TYPES i !iliplipik.gpigwpww............1 WATER PIPING OTHER 1111111111 r I i i INSURANCE COVERAGE: I have a current liability_insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES U NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY i OTHER TYPE CF INDEMNITY C.— BOND L 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: OWNER AGENT Li 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. /27yGat2A-t— PLUMBER'S NAME Eby Gilbert LICENSE # [ 13573 1 SIGNATURE MP i JPO CORPORATION# _JPARTNERSHIPO#T . LLCE# 4350 COMPANY NAME Coastal Mechanical ADDRESS 21 L Fruean Ave CITY' South Yarmouth STATE ! MA ZIP 02664 TEL 508-737-8747 FAX , CELL 508-850-6955 J EMAIL lisa@coastalphc.com