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Home My WebLink AboutBLDP&G-22-001763 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ,a CITY YARMOUTH MA DATE 9/28/21 PERMIT# BLDP-22-001763 JOBSITE ADDRESS 48 SEAVIEW AVE OWNER'S NAME Margaret Ives P OWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL ❑ PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO 0 FIXTURES FLOORS > BSM 11 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE t 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 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY❑ BOND 0 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 Flumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Michael Mcbride LICENSE t9681 SIGNATURE MP ❑ JP ❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME [1ICHAEL R MCBRIDE ADDRESS 9 Rustic Drive CITY West Yarmouth STATE MA —I ZIP 02673 TEL FAX 7 CELL 7 EMAIL stinger.mcbride@gmail.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes TO THIS APPLICATION SERVE AS THE ❑ FEES$ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPUCATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY �'`�G r �� ^ MA DATE I7/2_ ?/ PERMIT# Z Z- n6.-3 JOBSITE ADDRESS -(�4 f r }Pjf 0 ER'S NAME S/Yj �Z LA 'S OWNER ADDRESS // LQ/J/e[_,_ ( Z n ,Qf i t/1P T �S)5 q- v.- 0 r CQ T !'�'` ! GOB'.3 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL(' PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:( PLANS SUBMITTED: YES❑ NO ikj FIXTURES 1 FLOOR-+ 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/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM —,—� DEDICATED WATER RECYCLE SYSTEM • DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL i WASHING MACHINE CONNECTION WATER HEATER ALL TYPES ' / WATER PIPING OTHER l ' INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NT NO ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW UABIUTY INSURANCE POLICY !;0 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. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT Ll..I 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 14 of the General Laws. PLUMBER'S NAME:M 1k r LICENSE# SIGNATURE MP❑ JP E CORPORATION 0# PARTNERSHIP❑.# LLC❑# (Qv NAME ( r i - Pf11 ADDRESS 7 2 6 i 5 7-7 ( O f LI -- CITY ,Cl FM V,1 J STATE ZIP l�I�D / TEL 7> y M q/2-2- FAX 1 CELL 7 EMAIL 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 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK i- +� C TY YARMOUTH MA DATE September 28, 202 PERMIT # BLDP-22-001763 JOBSITE ADDRESS 48 SEAVIEW AVE OWNER'S NAME Margaret Ives G OWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ RESIDENTIAL ❑ PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO 0 FIXTURES FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE ,DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER 1 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 OF INDEMNITY El BOND 0 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-GASFITTER NAME Michael Mcbride LICENSE # 19681 SIGNATURE MP 0 MGF ❑ JP ❑ JGF ❑ LPG! ❑ CORPORATION 0 # PARTNERSHIP ❑ # LLC 0 # COMPANY NAME: EIICHAEL R MCBRIDE ADDRESS. 9 Rustic Drive, CITY West Yarmouth STATE MA ZIP 02673 TEL FAX ] CELL EMAIL stinger,mcbride(c�gmail.com S310N M2IA3a NVld # $:33d iJIN 3d 3H1 SV SW 9S NOIlv011ddv SIH! oN saA S310N NO1103dSNI TYNId AINO 3Sf12l0103dSNI LIOd 30Vd SIHl S310N NO1103dSNI SVO HOfOi1 MASSACHUSETTS TS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Cry•- to �. .s- CITY / �{ �M��/ MA DATE 'Z PERMIT f< CZ- I (°3 4.tt JOBSITE ADDRESS y.=r (se a(//,w/'tie OWNERS NAME __ GOWNER ADDRESS f f I-4(/it Lc.tJ�j-�� ILJf f EL FAX TYPE OR �Q is-Cam- S y--Q� PRINTOCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL Esr. CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO E' APPLIANCES 1 FLOORS BSM 1 2 3 4 5 6 7 B 9 10 11 12 13 14 BOILER a —� BOOSTER CONVERSION BURNER all I COOK STOVE DIRECT VENT HEATER DRYER ■ ■■■ I FIREPLACE FRYOLATOR FURNACE GENERATOR I J GRILLE INFRARED HEATER ❑ ❑ ❑ LABORATORY COCKS MAKEUP AIR UNIT ■ P1 POOL ■❑� ❑ HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST ... . . . .__ . ..... .. _.... UNIT HEATER UNVENTED ROOM HEATER WATER HEATER �' I I 1 OTHER • INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of IUIGL.Ch,142 YES aziNO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY NI OTHER TYPE 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, .y 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-GASF!TTER NAME LICENSE# SIGNATURE MP E] MGF❑ JP 0— JGF❑ LPGI ❑ CORPORATION❑4 PARTNERSHIP❑# LLC❑# COMPANY NAME V v` G8 r j jed P p -1--ti-- ADDRESS ff Q (Jl -- Alle:1 „O CITY ] - ‘-la '-Q r A G i/ " I STATE / •' - ZIP 0�-(O 7 1 TEL�j f/p/ /'�lZ FAX q 1 v511 C /.ICI CELL EMAIL / 0 • ROUGH GAS IN .FEE= IGI�I Pd4)TES 'Fills PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yea No • THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT ft PLAN REVIEW NOTES