B-17-829 - 0001 BROAD STREET - Building Permit Commonwealth of Massachusetts
1011 AUG 30 :A . 8 5
Sh
eet Metal.Permit
August 23,20.17
Date: . . Permit# +
Estimated Job Cost: $6,000 Permit Fee: $
1
Plans Submitted: YES E1 NO Plans Reviewed: YES 0 NO Z
Business License# 52 Applicant License# 469
,( Business Information:. Property Owner/Job Location Information:
Central Cooling and Heating,Inc. Richard Cella III
Name: Name:
9 North Maple St. 1 Broad St.,#8
Street:_ Street:
Woburn,MA 01801 Salem
City/Town: 'CityLTown:
Telephone: (781)933-8288 (978)852-3709
Telephone:.
Photo I.D.required/Copy of Photo I.D. attached: YES X NO.
J-1. M-1- nrestricted license
Staff
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: , ' Officer Retail Industrial 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:Il Renovation:.
HVAC ✓� Metal Watershed Roofing II Kitchen Exhaust System
Metal Chimney/Vents. Air Balancing
Provide detailed description of work to.be done:
'4612
0
141
INSURANCE COVERAGE::
have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes® No Q
If you have checked Yes,"Indicate the type of coverage by checking the appropriate box below:
A liability insurance policy® Other type of indemn(ty. ❑ Bond 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 1.12 of the
Massachusetts General Laws,.and that my signature on this permit application waives this"regyirement.
Check One Only
Owner 0 Agent [I
Signature of Owneror Owners Agent
By checking this boxn;I hereby certify that all of the details and Information I.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 forthis 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 Inspectiions
Date Comments
I
Final Inspection
Date Comments
Type of License:
BY 0 Master
j r
Title
®Master-Restricted .
QWTown
❑Joumeyperson
- $ignature of Licensee
Permit#
OJoumeyperson-Restricted
License Number:.
Fee$
Check at WwW.mass.govldal
Inspector Signature of Permit Approval