Loading...
12+14 WOODBURY CT - BUILDING INSPECTION Z 7 Zci Conun oil wealth of Iilassachusetts Sheet Metal Permit Date Permit # ,I o 0 Eslimated Joh Cost: S 1^I Pcnnit Pcu: S f ---/— --- 1 / �7& 1'Icu,s SUbmined: YES _/ NO 1/ Plans Reviewed: I.ES _ NO v Business License# Applicant License # --- Businesss� Infi,rmation:LL�� / n / property O%vner/Jo{b� Location Information: Name:( )IM.LQL'C .`TVV y`�tCI Namc: rVIAP�L l/CViI (i© street: l<f�j �rz �e-L, t-t� )-ot ft3 street: atlii W - ©mod �nU Ot-_ City/Town: IM�U24 - ma OJff city/Town: ��Ijg."yl. 44[� Telephone: �`7 -�f /�/o Telephone: Photo I.D. required/copy of Photo I.D. attached: YES_ NO_ J-t / D(-I-unrestricted license s„rn un,, J-2/ M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. It. /2-stories or less ll Residential: 1-2 Family v Multi-family_ Condo/Townhouses _ Other_ C'onunereial: Office_ Retail_ Industrial _ Educational _ Institutional_ Other_ Square Footage: under 10,000 sq. ft• °✓ over 10,000 sq. th _ Number of Stories: Shect metal work to be cou,pleted: New Work: / Renovation: I IVAC•v Metal Watershed Ruufing_ Kitchen Exhaust System_ ` etal C'hinnmey/ Vents_ Air Balancing Provide detailed t1lescription of work to be done: :ZI � � o ®.E'yy�YJ� /Q ���{'!7 fi"/I Ina-r2 __kn +6P A8- INSURANCE COVERAGE: 1/ I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes 0 No❑ If you have checked Yes, Indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other tY�J{/ ❑ ype of Indemnity ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee doesa—e waives this requirement.nsurance gquired by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be By checking this box ,1 hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 0!the General Laws. Duct Inspection required prior to Insulation Installation: YES__NO Prorrrcss luspections Comments Date Find Inspection C011111lenIS Datc Typ of License: By Master nne ❑ Master-Restr d i:;iy,To..n ❑Jair yperson Signature of Licensee i P,nout a Journeyperson-Restricted License Number Foe i .- Check at'-,v-v.v n.ts, 110v:112I �•- �i, ;?jam _..�-,../ i': 1 Inspector SignaliGlyLof-PCntni Approval