1 BOARDMAN ST - BPA-16-1419 HVAC Commonwealth of Massachusetts
CK �� 2_2_L�
Sheet Metal Permit
Date: 12/02/16 Permit#
Estimated Job Cost: $9,500.00 Permit Fee: $
Plans Submitted: YES NOPlans Reviewed: YES ❑ NO❑�
'Q Business License# 52 Applicant License# 469
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Business Information: Property Owner/Job Location Information:
l_ Name:
Name: Central Cooling and Heating,Inc. Joseph Blunda
I
Street: 9 North Maple St. Street: 1 Broad St. #11
City/Town: Woburn,MA 01801 City/Town: Salem,MA 01970
Telephone: (781) 933-8288 Telephone: (207) 232-9006
Photo I.D. required/Copy of Photo I.D. attached: YES X NO_
Sett Initial
J-1/ -1 unrestricted license
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 R Multi-family Q Condo/Townhouses 0— Other
Commercial: Office Ja Retail la Industrial_a Educational
Institutional—0 Other
Square Footage: under 10,000 sq. ft.—@— over 10,000 sq. ft.0 Number of Stories: 3
Sheet metal work to be completed: New Work: n Renovation: II
HVAC ✓V Metal Watershed RoofingEl Kitchen Exhaust System n
Metal Chimney/Vents Il Air Balancing
Provide detailed description of work to be done:
Replacement of the existing heat pump system. The Fan Coil Unit (FCU) is located in the
unconditioned attic. The heat pump is on the roof. We will be connecting back to the existing
duct distribution system.
INSURANCE COVERAGE:
I have a current liabili 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 type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
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
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 F� NO
Proeress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By 0 Master a�,
ITitle
[3Master-Restricted
City/rown
❑Joumeyperson Signature of Licensee
Permit# (] ,r
Jm
oueyperson-Restricted License Number: 1..�
Fee$ ❑
Check at www.mass.gov/dpi
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Inspector Signature of Permit Approval