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HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15403 - BLDX-23-15403 18762Chimney -- Roofing -- Windows and Doors -- Siding -- Demolition -- Tent -- Wood Stove -- Temporary Construction Trailer -- Temporary Mobile Home -- Solar System -- Insulation true Fence -- Other -- Total Job Cost 7000 Occupancy Type Residential Is Homeowner Doing The Work ? No Contractors Name ADAM GLENN Business Name ADAM GLENN License # CSSL-106148 License Expiration Date 07/30/2024 License Type Construction Supervisor Specialty License Status Active Mailing Address 19 CHARGE POUND RD, WAREHAM, MA, 02571 City WAREHAM State MA Zip Code 02571 Phone # 781-205-4516 Email wxpermitting@homeworksenergy.com Building Permit - Express BLDX-23-15403 Applicant Adam Glenn 781-205-4516 wxpermitting@homeworksenergy.com Location 8 CAPT BLOUNT RD SOUTH YARMOUTH, MA 2664 Express Permit Information Contractor Licenses Detailed description of work Residential weatherization/air sealing. No structural changes. (4947320) Construction debris will be taken to: (name) NA - No Debris Electrical drop within area of work? -- Gas meter or regulator within area of work? -- Name of electrician performing work -- Name of gas installer performing work -- Endangered Species -- Flood Plain Zone -- Historic Building -- Historic District -- Historic District Description -- Supplier -- Total Land Area -- Water Resource Protection District -- Wetlands Description -- Within 100 feet of wetlands -- Zone description -- Zone district -- Use Classification -- Are you an employer? Select from the options below. I am an employer with full and/or part time employees Insurance Company Name Policy # or Self-Ins License # Description of work General Details Zoning Information Use Group and Construction Types Workers' Compensation Insurance Affidavit Policy and Job Site Information Federated Mutual Insurance Co 1847910 Expiration Date 01/01/2024 Type of Insurance Coverage Liability Policy I do hereby certify that under the pains and penalties of perjury that the information provided above is true and correct. true Applicant is Authorized Agent Workers' Compensation Affidavit Signature