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HomeMy WebLinkAboutBLDSM-23-002007 N r SHEET METAL PERMIT *:-4t Commonwealth of Massachusetts OCT 13 2022 , 6�;; -:° Town of Yarmouth Building Department 'f3t11ENT �__ y 1146 Route 28, South Yarmouth, MA 02664-4492 By _ --- 1.10 Date: 10/10/22 Permit#: iLD5m-Q3— t OD7 Estimated Job Cost: $ 32,000.00 Permit Fee: $ 60.00 BU Plans Submitted: YES/[NO] Plans Reviewed: YES/NNO] Business License# 323 Application License # 25311 Business Information Property Owner/Job Location Information Name: M&E Mechanical Contractors Inc Name: Eversource Energy Street: 1 Allen Street Street: 484 Willow Street City/Town: Springfield,MA City/Town: West Yarmouth Telephone: 413-781-0014 (7I/(VS' Telephone: s00-592-2000r Photo I.D. required/Copy of Photo I.D. attached: YES/ NO Staff Initial: J-1/1M-11 unrestricted license J-2/ M-2 restricted to dwellings 3 stories or less and commercial up to 10,000 sq. ft./ 2 stories or less Residential: 1-2 family Multi-family_ Condo/Townhouses_ Other__ Commercial: Office x Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. x over 10,000 sq. ft._Number of stories: 1 Sheet metal work to be completed: New work Renovation: x HVAC: x Metal Watershed Roofing:_ Kitchen Exhaust System:_ Metal Chimney/Vents:_Air Balancing:_ Provide detailed description of work to be done: Install New ERV Unit and Duct Distribution for New Eversource Office Fit Out in Existing Building INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes x No If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy x Other type of indemnity Bond OWNER'S INSURANCE 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 waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent By checking here-* 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 sheet metal work and installation performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Inspections shall be called for prior to insulation installation. Duct inspection required prior to insulation installation: Yes No x Progress Inspections Date: Comments: Final Inspections Date: Comments: Type license:of M By: x Master Title: Master-Restricted '1`Signature of Licensee 1` City/Town: Journeyperson Permit#: Journeyperson-Restricted License Number: 25311 _ Fee: $ _ Check at www.mass.gov/dpl '1` Inspector S gnature of Permit 'I` of Permit Approval ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE 10/06/2022) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT David R Jerry Neill&Neill Insurance Agency Inc PHONE 413-732-4137 FAX 413-731-6629 662 Riverdale Street (A/C.No.Ext.): (NC,No): West Springfield,MA 01089 E-MAIL dj@neillandneill.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Safety Insurance Company 39454 _ INSURED M&E Mechanical Contractors INSURER B: Wesco Insurance Company A0249 1 Alien Street Springfield, MA 01108 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL TYPE OF INSURANCE INSDIN SUER WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MMIDD/YYYY) LIMITS A J COMMERCIAL GENERAL UABILITY X BMA0030374 08/31/2022 08/31/2023 EACH OCCURRENCE $ 1,000,000 r-VDAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 V POLICY JPE� LOC 2 000 000 PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY 1710518 04/21/2022 04/21/2023 COMaaccBINidEDt)SINGLE LIMIT $ 1,000,000 (Een ANY AUTO BODILY INJURY(Per person) $ — OWNED / SCHEDULED BODILY INJURYaccident) AUTOS ONLY �/ AUTOS (Per $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY V AUTOS ONLY (Per accident) $ $ A . UMBRELLA LIAB V OCCUR CM00006018 10/31/2021 10/31/2022 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WWC3609420 10/04/2022 10/04/2023 AND EMPLOYERS'LIABILITY Y/N V PER ERH ANY PROPRIETOR/PARTNERJEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION For Proof Of Ins. Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Permit Applications AUTHORIZED REPRESENTATIVE ba64014 R411 ,:;) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD M&E Mechanical Permit Info 2022 MECHANICAL C NT AC O SINC. v COMM•NWEALTH OF MASSACHUSETTS COMMONWEALTH OF MASSACHUSETTS DIVISION OF OCCUPATIONAL LICENSURE DIVISION,OF PROFESSIONAL LICENSURE BOARD OF BOARD OF SHEET METAL WORKERS SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE ISSUES THE FOLLOWING LICENSE w' BUSINESS MASTER-UNRESTRICTED g a z MARKS EDWARDS MARK S EDWARDS S g n 49 ADRICOT HILL LN N' M&E MECHANICAL CONTRACTORS INC w 1 ALLEN STREET U W SPRINGFIELD,MA 01089 1 SPRINGFIELD,MA 01108 9099 03/28/2024 •••i• 323 04/07/2023 999468 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE MASTER-UNRESTRICTED Sw MICHAEL M EDWARDS J 19 LONGVIEW DRIVE '� SUFFIELD, CT 06078 u z w U J 25311 01/28/2023 766 LICENSE NUMBER EXPIRATION @ATE SERIAL UAL NNUMBER DRIVERS LICENSE Conriecticul DRIVER LICENSE . -:' '- US END d NUMBER v� i 02-26-2016 NONE S90575881 n ?/ (� v,,EXP DOB �:.:,0197A'3005 Ct4SS D 03-10.2021 = FNb NNE 03.9 0=>)959 01105i1989 REST N$NE CLASS G'REST ,c SEX M '.,'.NGT 6.02 ,I ; � 40 f' D NONE # t 01105/2025 d ; 1212712019 , . M MARK S T„... °fir ,>, 101 BU5 .urvr� 49 APRICOT HILL LANE EDWARDS W SPRINGFIELD,MA 01089-4461 MICHAEL MATTHEW 19 LONGVIEW DR F/'l/u_...t._____,q________, '.SD 02-29.2016 Rev 07 15-2N9 �Z. r__, SUFFIELD,CT 06078-1222 1 Allen Street s Springfield, MA 01108 1: (413)781-0014 - F:(413) 781-0016