50 BRIDGE ST - BUILDING INSPECTION (2) �7 per, ocs�
oS A �
I� Commonwealth of Massachusetts
Sheet Metal Permit
Date: 11 Izi3111
Perm it #
Estimated Job Cost: S 31,000 Permit Pee: $
Plans Submitted: YES NO ✓ Plans Reviewed: YES _ NO *-'
Business License # b Applicant License# !?1 -✓g
Business Information: Property Owner/Job Location Information:
Name:Trnv s.+p.r.t�re �yrfi� d. Name: &ld4 G-m&-nSp?�J
Street \4WA'Tb2. Sr Street: f5O Q�li de�e
City/Town: WAt-Seri EL1r> City/Town: Scjer•r MA
Telephone: 761-ca.2-t--stjoo Telephone: I- ?tg - g03a
Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO_
slarnwn:d
J-1 M- 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 ✓ Mill ti-family_ Condo/ Townhouses Other
Commercial: Office_ Retail _ jlustrial_ Educational
Institutional Other
Square Footage: under 10,000 sq, ft. -I,/— over 10,000 sq. ft. _ Number of Stories: 2-
Sheet metal work to be completed: New Work: _ Renovation:
HVAC_ Metal Watershed Rooting_ Kitchen Exhaust System
Metal Chimney/ Vents_ Air Balancing
Provide detailed description of work to be done:
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his �:11 inclvd¢c C�u�F �oR it-. -6a. LZtlrl S 5+t,-hS atS je.( �
INSURANCE COVERAGE:
I have a current liability 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 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[],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.
Duct inspection required prior to insulation installation: YES_NO_
PrOflress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By ❑Master.
Title ❑ Master-Restricted
City/Town ❑Journeyperson
. , ,. Signature of Licensee
Perini(#
4pproval
urneyperson-Restricted
License Number:
Fee S i
ya^ Check at Www.masS.rioVhiPl
Inspector Signatur