HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15403 - BLDX-23-15403 18762Chimney
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Roofing
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Windows and Doors
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Siding
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Demolition
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Tent
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Wood Stove
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Temporary Construction Trailer
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Temporary Mobile Home
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Solar System
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Insulation
true
Fence
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Other
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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?
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Gas meter or regulator within area of work?
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Name of electrician performing work
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Name of gas installer performing work
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Endangered Species
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Flood Plain Zone
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Historic Building
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Historic District
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Historic District Description
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Supplier
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Total Land Area
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Water Resource Protection District
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Wetlands Description
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Within 100 feet of wetlands
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Zone description
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Zone district
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Use Classification
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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