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Home My WebLink AboutBldsm-20-004062 RECEIVED n 9�TMETALPERMITr' - —..�Commonwealth of Massadwsetts JAN 2 4 ?.l?i Town of Yarmouth Building Department ,I L i. N�. - fv1ENT 1146 Fbute 28, Bluth Yarmouth, MA 02664-4492 -=Y- Date: I -- 016 Fbrmit#: Estimated.bb Cbst:$ 7)Dor) Fbrmit Fee:$ Rans Submitted: MESI NO Hans Fbviewed: ltES/ NO Business License# Application License# Btssiness►nfonnation F operty Ow ,bib ner/. location Information Name: R'c r i ©.1 a Name: Pcx.vwt, S Pt TV- Sreet: L 7 COc9A ti L c(.a..e greet: 70 id4.ee is Oi fit Rd City/Town: Vs1./1►1cs 611- City/Town: you W Th MGM Telephone: cl9c6 off- -S S'6 ( Telephone: 59 LW-7 74 4 q Photo I.D. required/ Copy of Photo I.D.attached: ltE/ NO gaff Initial: j i/ 6)- unrestricted license J2/ M-2 restricted to dwellings3 stories or less and commercial up to 10,000 sq.ft./ 2 stories or less i3sidentiai: 1-2 family Multi family Condo/Townhouses Other_ Cbtrrrnerdal: Office Fbtail Industrial al_Education _Institutional_Other_ & arteFootage: under 10,000 sq.ft.I//over 10,000 sq.ft._Number of stories: 9ieet metal work to be completed: New work Fbnovation: HVAC6 Metal Watershed Fbofing:_ Ntdten Exhaust *stem:_Metal Chimney/ Vents: Air Balandng:_ Provide detailed description of work to be done: q v`0 mac,Li LkS(900 Q v , (Jr pli 0 V-tk,4 fit(' fu.J f u(At re w tT' 0(` . p_ dc. p etsN,kfir hem re,_ tic t 6o.lia ti cH a,`i `Lc C. tv t-Os A Q1 t I ck%twe-Of UQk'-f 1 \\c 'In 1�4'�- in5`E�a 4. -ivy\ iC� Gks i s 1- 6 c a P�Iry U 1.1 /('�n(� �. Ocal 11/ �A ti (c32• 81- tr1tJ '/ ✓• 1 YN►eIA_ t ri'YY i f LC•tl) 1`T vA V•til tv- l 1 't l` i Sc)1cA_I:cx) 0:•ki v\ dam \t c, C,A5,9-- o 4 .0 Q`c UC1— 'c(5 tykC) 6-bty\ 561- Ca tC tftlj Cut;A( ins 4t, Pi oi- 5C16v11 PWS. GuI if %tISZ ,VSvC1 c 5 ,,K R<<K 70 02-* Crm INSURANCE COVERAGE: I have a current liability insurance cy or its equivalent which meets the requirements of M.G.L Ch. 112 Yes No If you have checked YeS,indicate the type of coverage by chedcing the appropriate box below: A liability insurance policy Other type of indemnity Bond 0 NNB TSIN9 JRANCE WAIVER I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General laws,and that my signature on this permit application%limn this requirement. Checkthe ty. '1"7VIVT7X½kJ Owner V Agent Sgnatureof Owner or Owner's Agent Bydieddnghere- 1 ,IherebyaertifythatanofthedetailsandinformationIhavesubnrtted(orentered)regardngthisapplicationaretrue and aoairate to the best of my knowledge and that all street metal work and installation performed under the permit isa:ied for this application will be in compliance with all pertinent provision of the Massachusetts Buildng Cbde and Chapter 112 of the General Laws inspedionsshall be caned for pIa to insulation installation Duct inspection required prior to insulation installation:Yes No /&ogress In lions Date: Gbmments: Final Inspections Date: Gbmments: Type of license: Br Master 76d2- - ?tun, v1/\ Title: Master-Fbctricted T Sgnature of Licensee T City/Town: .burneyperson F�rmit#. .burneyperson-Restricted license Number: ?(p,)?1. /51014.??q Fee: $ - Check at www.massgov/dp1 T Inspector Sgiature of Fbrrnit T of Rarmit Approval ` 9=OOMMONWEALTH OF MASSAOHUSE:: DIVISION OF PROFESSIONAL LICENSURE • SHEETMET,L"WORKERS. ISSUES THE FOLLOWING LICENSE • TASTER UNRESTRICTED RICHARD M TOMA d7 C9UNTRY.LN,., DENNISPOR...MA 026391111: 7622, • 07/28/2020 512379 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER • • i.