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HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15605 - BLDX-23-15605 23649Chimney -- Roofing -- Windows and Doors -- Siding -- Demolition -- Tent -- Wood Stove -- Temporary Construction Trailer -- Temporary Mobile Home -- Solar System -- Insulation true Fence -- Other -- 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 -- State -- Zip Code -- 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? -- 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 -- Description of work General Details Zoning Information 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 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