B-17-475 - 0001 BROAD STREET - Building Permit Commonwealth of Massachusetts
Sheet Metal Permit
`Date:._05/26/17 Permit#
9000.00
`� ' .Estimated Job Cost: $ . Permit Fee: $ �D�.. 15—36 g
Plans Submitted: YES 'NO ❑ - Plans Reviewed: -YES E NO El
1 ' 52 '469
]Business License# Applicant License#
Business Information: Property Owner/Job Location Information:
Central Cooling and Heating, Inc. Megan Marchese
Name: Name:
9 North Maple St. . 1 Broad St. #1
Street: Street:
Woburn,MA 01801 Salem,MA 01970
City/Town City/Town:
(781) 933-8288. (617) 637-6307:
Telephone: 'Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES - NO.
i
Staff Initial
J-1 /OUnrestricted license
J-2/M-24estricted.to dwellings 3=stories or less and commercial up to 16,000 sq.1. /2.stories or less
Residential 1-2 farni y 1Vlulti-family Condo/Townhouses !7 Other
Commercial: Office Retail Industrial Educational
In
stitutional Other .
Square Footage: under 10,000 sq. fft. over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: 0. Renovation: ✓�
HVAC n Metal Watershed Roofing n Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
Replacement of their existing heat pump system. New.equipmentwill be installed in the same:
location as the existing,equipment. Reconnection to the existing duct distribution system:
INSURANCE COVERAGE:
I.have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes JZ] No 0
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity Bond 0.
OWNER'S INSURANCE WAIVER: I am aware that the licensee does.not have the insurance coverage required by Chapter 112 of the
I
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner Agent El.
Signature of Owner or Owner's Agent
By checking this box®,I hereby certify that all of_the details and information.l have submitted(or entered)regarding this application are true and
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
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
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:..
BY m Master
Title
Master-Restricted
City/Town []Joumeyperson
Signature of Licensee
Permit#
JA�
�Journeyperson-Restricted License Number: �IU"
Fee$ v El�- Check at www.mass.gov/dpl
Inspector Signature of Permit Approval