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HomeMy WebLinkAboutBLDP-22-002887 • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY YARMOUTH MA DATE 11/18/21 PERMIT# BLDP-22-002887 JOBSITE ADDRESS 48 SEAVIEW AVE OWNERS NAME Tom Ives P OWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL El RESIDENTIAL El PRINT CLEARLY NEW:El RENOVATION:El REPLACEMENT',El PLANS SUBMITTED: YES El NO❑ FIXTIIRFP FLOORS—, RPM 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 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❑ 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 1 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 Michael Mcbride LICENSE 18681 SIGNATURE MP El JP El CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME MICHAEL R MCBRIDE ADDRESS 9 Rustic Drive CITY West Yarmouth STATE MA ZIP 02673 TEL FAX CELL EMAIL stinger.mcbride©gmail.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 maP .' Pi?Re 6'C MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 'lM1 � � PERMIT# 2-Z— ZW t i = eCITY - C rill Q U MA DATE . �. i_ Y �,,_ JOBSITE ADDRESS =�i 11._e,fred OWNER'S NAME '7 Z2 .V f pOWNER ADDRESS _ . 1 TEL ___.. �..____..� JFAX TYPE OR OCCUPANCY TYPE COMMERCIAL 1 EDUCATIONAL —I RESIDENTIAL El PRINT CLEARLY NEW: 0 RENOVATION:a REPLACEMENT: -5 PLANS SUBMITTED:'YES ® NOD t FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB _..o_� _____ _1i_ 1L_11-.�_.._Ii_,�_ - ,JL _ I; ,. ,,11._._,,:_.11____ _. L_ 11 .. ,- L i[___�.�i CROSS CONNECTION DEVICE =I_ 1 --�-! _-,- t =—_' 7=3 7I� DEDICATED SPECIAL WASTE SYSTEM 1 I I �.__� = 1,1 �- ' AL 1I- 1� ' ii DEDICATED GAS/OIUSAND SYSTEM _jI=, ..._11��.J _ -,_ ___. !_rn--�- •,_w-. i!----r- -1 - -s. DEDICATED GREASE SYSTEM t o?y -._ _ _-i CT =_ i,�- - ',---.� =-p ..-i?-__, L,�-�._� ' -_i4 � L� I _I.� �� DEDICATED GRAY WATER SYSTEM �,__ I-_,.. .1, ..�._ � 1 11I 1 -i_[� .-�: ► . L=~�,,. _.,_-. _____._ T- DEDICATED WATER RECYCLE SYSTEM ( � I ,� �- 1--- _=- -�-y .,L._�[- DISHWASHER _� ' �,�� �_- �Lo_ .�. .,_. 1 ,� _ _ �. - --,L,w DRINKING FOUNTAIN LJrt_ -C_.-_--J' ._ _ ir=14....-...-,; jL_ __A L_ L,_-A= _,IL_____J FOOD DISPOSER I 1I _ 7r 1 — 11_1 ,„r =. �-m._j��.i.,r ,.IL, I„__,1. A _ , _,_. FLOOR / AREA DRAIN -I_ ., i=I _IL. 6, L._,_. ! - ! o'L. - -_ ...1I - l INTERCEPTOR (INTERIOR) I ,. ! t' r_- i=I -�a ,- fL—JI - _ I • ii r_ . MI ",um KITCHEN SINK f? il L a'.1_ H J1 .1 +i _ _ 4' - — -- -_ _ � �-__ -rI ;i �___i _d .,-—.1_ 1 I—_- ► 1�!. __ R .�.,.�..:r.,� , '.�-.-.1= LAVATORY ROOF DRAIN 1 _ _�41 tl_ 11 _ .�l J , _'_ _ '_'11 SHOWER STALL r �i, 'i , ,. �� 1' I—�T ,,,,�,a.. '.. -ib R I �-�'1 ..a � 4�I.--4 �Lrarai+..h'!W�+'aezvr�,4�sa �J.�-:� 7..�<anr_� SERVICE / MOP SINK L L L 73L.., .._.�L:7 --':1 R +r�»�-1I.�.r__I _.r. .�-�_�t —IL.,.w..�., r- ... I �--- TOILET _ . _Jr_ URINAL !.. �- -3L, II ___CnI- ---�. ! {,L„� 'i �.�._. !.,�,�..w_.li. . __, i..��� L...�._..J, _ 1 , 2/1 WASHING MACHINE. CONNECTION a' ' _. i 1 ��., . - r�=_�- - i. ____1I _.r..___ I_��n, !.__ .i �---� �� WATER HEATER AL_TYPES _ �. . WATER PIPING #>r Y �....�.-1I.s.... _ 9 . -IL—IL I --j_ L __.i'____, ! L JL..,_ _ L.. ...J OTHER L� � �r,� - L. 1L f _ I__. i_ w . ji7---ji= ii Tji. __i '-'''-ir-'.a ."-- *"-''"s' --I *1" -"2.11r--1 ----''' '-''-r-- r-- ). J-1:'-'''-' 1-12- ii'''''77---n- i' ''-. LF-Ji - IL----1 -3 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NI NO J , IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 0 BOND E 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 U AGENT Ej 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 bi compliance wit all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ` s. •, a PLUMBER'S NAME ,41,,,,rakif, I LICENSE # %EdSIGNATURE MP 11 JP fili CORPORATION(I#_1 (L PARTNERSHIPS#L LLC 0#... COMPANY NAME V\L (. ^ , pi_ii I ADDRESS057 LcL,, /46“...., , ,E, CITY I;_L•n n L-- j STATE FA= ZIP 6 7 fa O 1 TEL FAX - -__; CELL - J EMAIL j 4 1 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 FEE: $ PERMIT# PLAN REVIEW NOTES • q;M .w"1 410 yr/ w I) It+` •