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B-17-547 - 0059 BOSTON STREET - Building Permit I ' I Com III of]wealth OrNIassar`h�,et#�� < Sheet Metal Permit 4,t011 .:ItIN I b )ate: -,� Permit t# Lo Estimated Job C'osc s 4/� ---- t C*, C)(=>2� 1'I;uis Submitted: YES NO_� Plans Reviewed: YES-- Business License tt Applicant License rt Business Inti�rnu►tion: Property Owner/Job Location Intirrmation: Name: N&!I z f,- Name: ST?5— Street: �-,- X1.44jAlly' Q/tji, 1/nir l Street: ��jo f�r✓ ,� . - 04- City/Town:�A/ I�0,141-h^ 194A ply" City/"Iown: IWe,,-► A4,A ©l f 7 t 'telephone: W-1- 5 33--C 3 k7 Telephone: 1,/J- 7(/ - (7� Photo I.D. required/Copy or photo I.D. attached: . YES ,NO CJ��t-t unrestricted license Staff I"1Hal J-2/ 1-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq, It /2-stories or less Residential: 1-2 family Multi-Iantil Condo/Townhouses Other Commercial: Oftice Retail V Industrial Educational Institutional Other Square Footage: under 10,000 s tt q. . over 10,000 sq. tt. . Number of Stories: Sheet metal work to he completed: New Work: Renovation: 11VAC Met, Watershed Rooting Kitchen Exhaust System '"etal Chimney/ Vents ,fir Balancing Provide detailed description of work to be done: --- -- AvstL; Z Z C t✓� - ✓fitL INSURANCE COVERAGE: &,/ I have a current IlaU insurance policy or its equ ivalent which meets the requirements of M.G.L.Ch. 112 Yes L1 no❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy U/ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware nature Ion this permit application waives this requirement.icenses does not have the insurance guired by Chapter 112 of the Massachusetts General Laws,and that my g Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent its and Infrmation I have application will be By chocking this box0,I hereby certify that all of the dem aond installations perform submitted ( regardingor entered) under the permltissuad forthid appn are true and accurate to the best of my knowledge and that all shoot metal work in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct Inspection required prior to Insulation installation: YES NO ProLwess 1I1SPceti0lts Comments Date Final Inspection Comments I)a[� n� /Jn Type of License: By ❑Master roue �t✓n k��I't'�'�� ❑Master-Restricted � City;ro.�n_II�Q«mow'-" �ourneyperson Signature of Licensee I, per,mtx.___ ❑JourneypersonRestricted License Number: ouD / roe 5 �� -. --- -- ❑ — --- i , I - Check at :��,,.,, •n.t�s.�t��'� t I � I Inspector Signature of Permit Approval t_