The URL can be used to link to this page

17 BRIDGE ST - BUILDING INSPECTION "jam r -i q�u $ ZZo Commonwealth of iNlassacimsetts C-K - Sheet Metal Permit t);ttc: . Pen„it ti A M -4m Estimated Jot) Cost: S q — Permit Fee: S _ o zn coDm Plans Suhmittrd: YES _ NO�C Plans Reviewed: YES m -- U- mo Business License k L d 7 Applicant License # g < n Business fhyyitixmation: Property Owner/Job Location fit forma on: Name: MACrrOIJrmoCz�/ p{ �,� Name: A—n> �cj � L©K.rnoG rO�xS� Street: /2 6f r�9 / S> / Street: h2jC�i City/Town: 8 ,1/B/)`eq City/"Town: / A22 --- Telephone: 97Q EGG/GS�j Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO — sa:rndn:d 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_ Nlulti-family Condo/ Townhouses_ Other Commercial: Office— Retail— Industrial— Educational Institutional Other Square Footage: under 10,000 sq. ft. _ over 10,000 sq. ti. _A__ Number of Stories: Sheet metal work to be completed: New Work: _ Renovation: IIVAC -4& Nfetal Watershed Roofing_ Kitchen ExhaustSystcm_ Metal Chinmcy/ Vents_ Air Balancing— Provide detailed description of work to be done: / Z4: rl' S INSURANCE COVERAGE: 1 have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes o-N61 If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability^Insurance policy ly Other type of indemnity ❑ Bond ❑ L7 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. c Check One Only W Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By chocking this box[],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 for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Ouct inspection required prior to insulation Installation: YES_NO Progress 111speCti0119 Date Comments Final Inspection Date Comments Type of License: By aster rare_ ❑ klaster-Restricted CltyiTown ❑Jcurneyperson III Signature of Licensee Perini)X ❑Journeyperson-Restricted License Number: Fez 5 ----- ----- ❑ --- Check at'.v,vsv.m.tss.rlovi�fitl Inspector 519naturo of Permit Approval � . - : rv�, :w� £oMoWEALko MASSACHUSETTSa]kyjti ) , » f% / y} ® ^ < * EEMETAL", # y &E T +bRR« i -q . AS u kf \ . �... -. , �. . . � ¥� . ko « $GTON 7 q _ a #dam 4¥ y. . . \ . . . . . . � � . � . \ ) �