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HomeMy WebLinkAboutBLDSM-19-001782 9iEEr M ETAL PERM IT Cbmmonwealth of Massachusetts Town of Yarmouth Building Department 1146Wute28,33uth Yarmouth, MA02664-4492 Date: 9/25/2018 Fbrmit#: Estimated.bb Cost:$ 1,000 Fbrmit Fee:$ Pans3Lbmitted: YS/ NO PlansFbviewed: 'rS/ NO Business license# 423 Application Ucense# 423 9rsfnesslnfonnatlon RopertyOwned.bh loagtlon Information Name: Alec Mitsis Name: Thomas Joyce Sreet: 30 Melissa Dr 3reet: 55 Highland St Oty/Town: West Yarmouth aty/Town: West Yarmouth Telephone: 508-737-2001 Telephone: Photo I.D.required/Cbpyof Photo I.D.attached: YE/ NO Staff Initial: 41/ M-1 unrestricted license 42/ M-2 restricted to dwellings stories or less and commerdal up to 10,000 sq.ft./2 stodes or less Fes/dentla): 1-2family X Multi-family Cbndo/Townhouses Other_ Cbmmerdal: Office Fbtail Industrial Educational Institutional Cther 3luare Footage: under 10,000 sq.ft. X over 10,000 sq.ft._Amber of stones: Sheet metal work to be completea: New work Fbnovation:_HVAC: X Metal Watershed Fbofing:_ lKtchen Exhaust System:_Metal Chimney/Vents: Air Balandng:_ Rovide detailed description of work to be done: Install new HVAC system in attic serving the home on one zone. � � Cit '47f g-;; 2018 BUILDING DEPARTM6Nl • By: ,. - INSURANCECOVEFIACE: I have a current liability insurance policy or its equivalent which meetsthe requirements of M.G.L Ch. 112 Yes X No If you have checked Mag,indicate the type of coverage by checking the appropriate box below: A liability insurance policy X Other type ofindemnity_Bond _ OWNfff S INSJRANCE WAIVfft 1 an aware that the licensee does not have the insurance mverage required by Chapter 112 of the Massachusetts C,eneral Laws,and that my dgnat ore on this permit application babas this requirement. Check Qte Chly Owner_Agent_ Sgnature of Owner or Owners Agent Bydecking here-s I hereby eel ltythat ell cf the details and Information I have submitted(or entered)regarding tNs application ere true aid serrate to the best of my Ivawledge and that all sheet metal work and ingallstion performed under the permit issued for this application will be in COmpliance with ell pertinent proNson of the Massachusetts BuildingCede and Chapter 112 of the General Laws Ins edlonsshall be called for prior to Insulation installation Dud Ingedlon required prior to Insulation Installation:Yes_No Progresslnspections Date: Comments: Anal ln!wed ions Date: Comments: Type license: By: Master X M Mager Title: Master-Fbarided 1`SgnatureofLicensee t Oty/Town: _ .burneyperson Ftermit//: .burneyperson-fastrided license Number 423 Fee: $ (heck at www.massgov/dpi T Inspector Sgnature of Fbrmit T of Permit Approval *COMMONWEALTH OF MASSACHUSE S • DIVISION OF PROFESSIONAL LICENSURE y _ -.. v '•ARE, • . .. . . \I • 1 SHEET METAL WORKERS , ` I N` ISSUES THE FOLLOWING LICENSE S' ' MASTER-UNRESTRICTED ALEXANDER E MITSIS" r°R; y _ ,*'` 0 MgLISS/a DR• ' i t _L' EST YAR(Jle3c1p I MA 02673-1463,.- ;. 11 423 : 'a , 10/28/2018 ,.- 354760 't. ... - --- - - - ---`,