21 BENGAL LANE - BUILDING JACKET universal®
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�Y Sheet Metal Permit 101b APR 13 A 11: 24
Date: /
Permit #
Estimated Joh Cost: $
Permit Fee: �
1'1ans Subnnittcd: YES NO ----
Plans Revicwcd: YES_ YO
Business License N Applicant License t/ ---
Business Intbrntation: 7 Property Owner/Job Location Intirrmation:
Wile:
// Name. ✓i
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Street: C2Z
y � Street:
City/1'own:��1�Ur^yJ City/'Town:_ �! ✓!
fckplwne: iJ1?-77V-CJIf:./L/ Telephone: - 92- :3y5-6o(Il
Photo I.D. required/Copy of Photo I.D, attached: YES NO
J-1 /.M-1-unrestricted license Staff 111111A]
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq, 11. /2-stories or less
Residential: 1-2 family 'X Multi-lantil
Y_ Condo/Townhouses_ Other
Commercial: Ottice Retail
-- _ Industrial— Educational—
Institutional—
ducational_Institutional_ Other—
Sq,uare
ther_Square Footage: under 10,000 sq. It. -X— over 10,000 sq, tl._ Number of Stories:
Sheet metal work to he completed: New Work: —
— Renovation:
I IVAC_ Metal Watershed Roolin
6_ Kitchen Exhaust Syslcm_
Metal C'hinnncy/ Vents— Air Balancing—
Lde detailed description of%fork to be done:
�'1G.:
re .
INSURANCE COVERAGE:
I have a current dabiii insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No❑
If you have checked Yes,indicate the type of coverage by checking the appropriate boa below:
A liability Insurance policy Z Other type of Indemnity ❑
Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application&&ej this requirement
Check One Only
Owner ❑ Agent ❑
Signature of/Owner or Owner's Agent
By chocking MIs boar,l hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and
accurate to In compllanceew h alaimy pertinent Provision of Meil shoot metal work and Massachusetts Building Codieealons nd Chaptern1/2 of lder the he General permit issued for this application Will be
Duct Inspection required prior to insulation installation: YES_NO
Proaress l 1ss Cctlena
Comments
Datc
Final lusnection
Comments
Type of License:
By ❑Master
Title ❑Master-Restricted
i
❑Journeyperson Signature of Licensee j
Pemol x,_ ❑Journeyperson-Restricted License Number:
Poe i --' — -- _
-- ❑ _---- Check at :,•.v:v m_J1'1L i
I
Inspector signature of Permit Approval
CITY OF SALEM, MASSACHUSETTS
s � BUILDING DEPARTMENT
N ' 120 WASHINGTON STREET,3RD FLOOR
TEL. (978) 745-9595
FAX(978) 740-9846
KIMBERLEY DRISCOLL
MAYOR TY-omAs STTIERRE
DIRECTOR of PUBLIC PROPERTY/BUILDING COMaHSSIONER
MAY 13, 2016
ADDARIO, Inc
228 Central Street,Suite 1
Saugus, MA 01906
Dear Mr.Addario:
We received the enclosed permit on April 13, 2016. The second page was not filled out.
I called your office and spoke with a woman and explainedRhe problem to her. I was assured that I
would get a new page two and copies of the licenses and a signature of the licensee. She would send it
out that day.
Last week, I called again to your office and spoke to a woman who stated that she would send out a new
page two and licenses that day.
Today is May 13,2016. The Building Superintendent,Thomas St. Pierre, instructed me to send back
your incomplete permit as REJECTED.
Normally,we do not send back the check, but since I saw that the application was incomplete, I did not
deposit the check. I am returning that check also.
If you plan to do the work @ Bengal Lane,we will need a new application, new check and a letter from
the Condo association stating that they know the work is scheduled to be done.
Sincerely,
Marcia Kirkpatrick
Clerk in Building Dept.
Enclosure