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HomeMy WebLinkAboutBLDSM-23-000602 Vflat,1(id- Ref:Building Permit#BLD-22007111 ' RECEIVED 4/� MECHANICAL PERMIT AUG 0 4 2022 -kieft Commonwealth of Massachusetts "�"' Town of Yarmouth Building Department B uiLttt � 1146 Route 28,South Yarmouth, MA 02664-4492 Date: Permit#: SLf rn-23- L7X6002 Estimated Job Cost: $ $120,000,00 Permit Fee: $ (22)UNITS X 60.00- $1,320 Plans Submitted: YES/NO Plans Reviewed: YES/NO Business License# 108 Application License# Business Information Property Owner/Job Location Information Name: E,Amantl&Sons,Inc Name: Owner;Town of Yarmouth Street: 390 Highland Ave Street: 1175 Route 28 City/Town: Salem,MA 01970 City/Town; South Yarmouth,MA 02884 4463 Telephone: 978-745-4144 Telephone: Photo I.D, required/Copy of Photo I.D.attached: CD NO Staff Initial 1-1/® unrestricted license 1-2/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 Retail Industrial Educational ✓Institutional Other Square Footage: under 10,000 sq.ft._over 10,000 sq.ft._Number of stories: 2 Sheet metal work to be completed: New work_ Renovation: ✓HVAC: VMetal Watershed Roofing:_ Kitchen Exhaust System: ✓Metal Chimney/Vents:_Air Balancing:V Provide detailed description of work to be done: Remove and replace or add new;(13)unit ventilators,(4)AHU's,(1)makeup air unit.(3)exhaust fans,and(1)CUH INSURANCE COVERAGE: I have a current liability insurance policy 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 checking the appropriate box below: A liability insurance policy ✓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 here4 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 Progress Inspections Date: ` Comments: Final Inspections Date: Comments: Type of license: By: Master Tale: Master-Restricted 1'Signature of Licensee 1' City/Town: Journeyperson Permit f#: Journeyperson-Restricted License Number: Fee: $ _ Check at www.mass.gov/dpl 't`Inspector ignature of Permit'(` of Permit Approval y y [A9i w 'ab °� 3 Air 1 - ,%,..t-.50,'''';:-.17,f-::,777"*:--,-',.t l'ir, c4.4‘..4 timi ,•: rr" :ems > ;, , s -i . CA ,. o c.Jl , .s. I% = � �, — - ) ha Zrn 411. I cri f'11U3 _.: m ilaoros ; r e. ' CD CT1 al . ev g ono s z v+ _ {n 0.1 z cf) 14 mG n aa � ZZ cn -+ m -4n 3 la 0 ( 0 • - N COms, O lg m o Z r ar Tt = - t7. W to O r O tn mn c Z O #. r° o 0 ;° z o- .32 v073 I—m to r 0 rF an Cl) a ; •t m rn Z , zcoo g an C i/3 C 49 C . 73Iii rn I . Foie,Then Det1ach Along Ali Pert orations DIVISION OF PROFESSIONAL LICEtISURE BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE BUSINESS t THOMAS A AMANTI ?, E AMANTI AND SONS INC 390 HIGHLAND AVENUE SALEM,MA 01970 108 11J1012022; 940695 UCENSE NUM " EXPNIATION DATE SERIAL NUMBER �,,.+.•AN EAMANTI-01 MVERTENTES '° '� CERTIFICATE OF LIABILITY INSURANCE DATE �s 2o2`2) 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 poilcy(tes)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 License#17801162 NAMEACT Maria Baia HUB International New England PPION"No,Ext): 3r,►-2216 FAX(508)2 ,No): 222 Milliken Boulevardt. Fall River,MA 02721 AR 6 raria.baia§hubinternation al.corn INSLIRER(AOAFFORDING CDVERAGE ---__ NAIC M INSURER A:Liberty Insurance Corporationpr_......__._ 42404 INSURED MISURER B:Liberty Mutual Fire Insurance Company 23035 E.Amanti&Sons,Inc. INSURER C:Employers Insurance Company of Wausau 21458.____ 390 Highland Avenue iesurteRe;Indian Harbor Insurance Company 36940 Salem,MA 01970 resume E;The Continental Insurance Company 35289 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSIJED 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. DAR AFL USR: POLICY EFF POLICY EXP LTR 'TYPE OF INSURANCE IM O SIND POLICY NUMBER b Nlli/ODNYYY1 LIMITS A X:I COMMERCIAL GENERAL LIAMLITY EACH OCCURRENCE $ 1,000,000 I l CLAIMS-MADE Ii X I OCCUR X 1( TBZZ11259976061 7/112021 7f 1/2022 ' pA I g gni f 100,000 MEO EXP(Anyone parson) $ 15,000 PERSONAL B ADV NARY I$ 1,000,000 I GENL AGGREGATE user APPLESPet: GENERAL AGGREGATE f 2,000,000 POLICY X: LOC Pic oucTs-COINNoP ASO $ 2,000,000 X OTHER,SDelductHde , EMP BENEFITS AG i 2,000,000 B , COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident} $ X ANY AUTO j X X 11259976021 7/1/2021 711/2022 BODILY INJURY(Per person) .$.,_.._ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY...NJURY(per accident) $ I HHI1 E -OWN i PERTY DAMAGE AUTOS ONLY ALI OS ONLY accident} _..�-:.�... s A 1 X UMBRELLA LIAR r X I OCCUR EACH OCCURRENCE $ 15,000,000 Excess uAe 1 cuutis-rave X ' X TH7Z112SSO78121 7/1/2021 111/2022 AGGREGATE f 15,000,000 X DED RETENTIONS _..-104001 _... $ C I WORKERS COMPENSATION X l bTA UTE i Kt" NAND EMPLOYERS'LIABILITY X INCCZ1125*76131 71112021 7/1i12022 1,000,000, ANY PROPRIETOR/PARTNER0E?IE.t3'11THIE �YIN �YY E.EACH ACCIDENT ._- ;.. _ I OFFICER/MEMBER in NHR EXCLI P]rfl7 I^' NIA 1,�A00 E.L.DISEASE EA EMPLOYEE-$ NyyBs describe under 1,000,000 DESCRIPTION DF OPERATIONS below El DISEASE-POLICY UNIT $ D Pollution/Environm EC003704509 7/1/2021 711122 Each Claim/Aggregate 5,000,000 E Excess Umbrella { 017753637 10/1/2021 7/1/2122 Each Claim/Aggregate I 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORO 101.Additional Remarks Schedule,may be attached if more apace is required) Job:Cape Cod Collaborative Charter School-Plumbing-1175 MA 28,Yarmouth,MA CJM Services Inc.;Cape Cod Collaborative and Rowse Architects Inc.are included as Additional Insureds on a primary and non-contributory basis for ongoing and completed operations where required by written contract.Waiver of subrogation applies in favor of the Additional Insureds where required by written contract.A 30 day notice of cancellation applies to all policies. L CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C.J.M.Services inc. ACCORDANCE WITH THE POLICY PROVISIONS. Charles J.Morris 50 Kerry Place P.O.Box 424 AUTHORIZED REPRESENTATIVE R Norwood,MA 02062 r l/ 6 3 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:EAMANTI-01 MVERTENTES LOC#: 1 ACCORD' ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#1780862J NAMED INSURED HUB International New England E.Amanti&Sons,Inc. 1390 Highland Avenue POLICY NUMBER Salem,MA 01970 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EF ecrnre DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability insurance Equipment&Installation Policy#YM2Z11259976100: Equipment Leased or Rented from others,total Limit S400,000 Deductible$2,500 Installation Floater: JobsitelTemporary Storage Limit 52,000,000 Deductible$5,000 List of Underlying Coverages for Umbrella Underlying Schedule: Auto Liability:Liberty Mutual Fire Insurance Company General Liability:Liberty Insurance Corporation Employers Liability:Employers Insurance Company of Wausau The Umbrella is Follow Form for Additional Insureds and Waiver of Subrogation per policy form#s: LC000010118 and LCU24070118 ACORD 101(2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD