HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15605 - BLDX-23-15605 23649Chimney
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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
8625.39
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
Contractors Name
HOME WORKS ENERGY INC.
Business Name
HOME WORKS ENERGY INC.
Building Permit - Express
BLDX-23-15605
Applicant
Adam Glenn 781-205-4516 wxpermitting@homeworksenergy.com
Location
5 CADET LN
WEST YARMOUTH, MA 2673
Express Permit Information
Contractor Licenses
License #
181138
License Expiration Date
03/02/2025
License Type
Home Improvement Contractor
License Status
Current
Mailing Address
101 Station Landing Ste 110 Medford MA 02155
City
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State
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Zip Code
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Phone #
781-205-4516
Email
wxpermitting@homeworksenergy.com
Detailed description of work
RESIDENTIAL WEATHERIZATION/AIR SEALING THROUGH THE MASS SAVE PROGRAM. NO STRUCTURAL CHANGES. SITE ID
#: 5007828
Construction debris will be taken to: (name)
NA
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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Description of work
General Details
Zoning Information
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
Federated Mutual Insurance Company
Policy # or Self-Ins License #
1847910
Expiration Date
01/01/2025
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
Use Group and Construction Types
Workers' Compensation Insurance Affidavit
Policy and Job Site Information
Workers' Compensation Affidavit Signature