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Home My WebLink AboutBLSM-26-4- RECEI �IED . /p YA ,A , SHEET METAL PERMIT oa JA 09 2020 • Commonwealth of Massachusetts -NT I° y y Town of Yarmouth Building Department BuiLpiN o 3 � ,.. ��«E a 1146 Route 28, South Yarmouth, MA 02664-4492 e' �'.`0_ ps__,iEO�b Date: / 9 ,,,I.�jo2 ce. Permit#:3Lsm ao-6-I Estimated Job Cost: $ s Permit Fee: $ asd.0— Plans Submitted: YES/ I, Plans Reviewed: YES Business License # Application License# Business Information Property Owner/Job Location Information Name: ,q t`�L +e 4)C;,edc,/lovv Name: ___S-4G —C 7q - - 7 Street: /' cf si-r' -g Street: // 27 zi# j�_'j2 City/Town:w.,s/ , �Y 444 City/Town: SYQt/'frii ,.,/h Telephone: Sj 9 5"d •-/Og Telephone: S �cefCeire- � corYl Photo required/CopSubf Photo I.D. attached: YES/ NO Staff Initial: J-1/M-1 unrestricted license 5Q3 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 Retail /lndustrial Educational Institutional Other Square Footage: under 10,000 sq. ft._over 10,000 sq. ft. Number of stories: Sheet metal work to be completed: New work Renovation:_ HVAC: Metal Watershed Roofing: Kitchen Exhaust System:_Metal Chimney/Vents:_Air Balancing:_ Provide detailed description of work to be done: 4eP/UGCti Tlv N5 Mt G>c/S/7t se v-v;cfl 1 %A.P S-,t/,r ?d�Y, ACC2RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/10/25 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(les)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 CVNEACT Rene Araujo Durcan-Cuddy Insurance Agy,Inc PWHCONNE e.a 508.699.7007 I rec.Nal: 508.699.7096 5 Man Mar Drive E-MAll-e Plainville,MA 02762 ADOREss: raraujo@durcan-cuddy.com INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Arbella Protection 41360 INSURED INSURER B:Number One Insurance Agency,Inc. Pierce Refrigeration Inc INSURER C: PO Box 40 INSURER 0: West Bridgewater,MA 02379-0040 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. Dis TYPE OF INSURANCE "OLBUBR POLICY EFF POLICY EXP LIMITS JNSD,WVO POLICY NUMBER (MMIDDM M/IYY)IMMIDDYYI X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 500,000 X Business Owners _MED EXP(Any one person) $ 10,000 A Y 850007067 02101)25 02/01/26 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RPOLICY j 1 COT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBIaEDISINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED Y 1020093745 02/01125 02/01/26 BODILY INJURY(Per accident) $ _HIRED ONLY AUTOS X AUTOS ONLY X AUTOS ONLYY (Perru PROPERTY DAMAGE $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS UAB CLAIMS-MADE 4620094065 02/01/25 02/01/26 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION XI STATUTE I I W- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVEY/N EL.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N❑N/A 4220093764 02/01/25 02/01/26 (Mandatary In NH) EL.DISEASE-EA EMPLOYEE$ 1,000,000 DECIPON O O PERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 aggregate 5,000,000 B cyber liability BCM-CB-01H7U8E34 03108124 03/08/25 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD I01,Additional Remarks Schedule,may be attached it mon,space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Shaws Supermarkets ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ENTATP/A f I ff��VV��yy// BE-2015 ACORD CORP TION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 Fold, Then betach Along All Perforations • tAi m • Nvv5A1,1 * • tiroV,NslifE DIVISION OF BQARD UPAtl'ONAL - - ' ofkKER&A• toteTAL w IsHEE 'Lid6E • THE FOLLOWING litEstRicrEp / • ' STEVEN M-RYAN 4 PIERCE TI9N 439 EASrgNTE W BPtipoiWATER• Mi.V..-:023790.1815 56-13 011 Fold,Then Detach Along All Perforatiohs CONTROL# J2373636 11 IMPORTANT ,I If your license is lost,damaged or destroyed; is inaccurate;or needs to be corrected,visit our Web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal • Application and any other correspondence. i � This license is subject to Massachusetts General Laws and regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or regulations. MASSACHUSETTS DRIVER'S LICENSE „ , 05116/2022 5844743 '' \ "`:111912027 ' 05/19/1964 4 m, 5 52 f 67 9a END l' ; * : NONE NONE i ,1•:::._„,',._i- ,,,;;;.,i,-.=1,-. ,At-e: '' ' K 2 STEVEN MICHAEL $ s 31 H0pLIDAY DR I. ' y% FAIRHAVEN,MA 02719v?,313 ,6EVE$.HAZ 05/19/64 1555EA M 16NOT S•09" 5 DO 05116/2022 Rev0212212016