Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
11 HUBON ST - SHEET METAL
2 q q , 14 3 C�stj Commonwealth of Massachusetts CC Sheet N[etal Permit Date: &f - /RX-, Permit #_ _ Estimated Job Cost: S �OZ) Permit Fee: S Plans Submitted: YES f NO— Plans Reviewed: YES -- NO Business License # (v S Applicant License # -- Business Intbrmation: Property Owner/Job Location Information: Name: -IaruES S1lw(0-(LJ Name•. pave wvkbf-f Surd: oscln L) i3W Street: I � s�v l fh,Ioeg �Se-} City/Town: /JGSkva Nit City/Town: Saw. rMH Telephone: to D 3-)3l, -510 8 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO — siurnntri:d J-( / J1-l-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 P/ Nlulti-family— Condo/Townhouses— Other— Commercial: Office— Retail— Industrial_ Educational Institutional Other_ Square Footage: under 10,000 sq. ft. I/ over 10,000 sq. ft. — Number of Stories: Sheet metal work to be completed: New Work: f Renovation: IIVAC— Nictal Watershed Routing— Kitchen Exhaust System— Metal Chimney/ Vents— Air Balancing — Provide detailed description of work to be done: �ft }}VAC s�Sdev INSURANCE COVERAGE: f�aa I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Ye [j No❑ If you have checked Yes, Indicate the a of coverage by checking the appropriate box below: CC// __ A liability Insurance polic 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 Owne>l<J'/ Agent ❑ ature of Owner or Owner's Agent C 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. Duct Inspection required prior to Insulation Installation: YES_NO PCOHress InspC010119 Date Comments Final Inspection Data Comments Type of License: By - ❑ Master rice ❑ Master-Restricted CityrTowri ❑Journeyperson Signature of Licensee Pernut x ❑Journeyperson-Restricted License Number: I '. Faa 5 ❑-- -- Check at%:r,vw ma is Iovl(lj)l I Inspector signature of Permit Approval \1-� #ko w a qa Wssac \ � j . . . #sue : « © q3T METAL Von qRs� < f '� N 7RK+m. > : . . THE V.St �... , . \ : . :yy . 2 12 { \ rs\ Xu . . w>� » <« �s � . .. , . � - . . . a�< k . . . .