41 LAFAYETTE ST - BUILDING INSPECTION (2) .i
Ct Z21,p3q
Commonwealth of Mas " sF
Sheet Metal Perm t
Date: 161b 00 2b A II: 33
- —` Permit#
I� Estimated Job Cost:
� $��l— PermitFee: $�-
(� Plans Submitted: YES_ NO Plans Reviewed: YES _ NO
1 Business License# t Applicant License# �� —
Business Information: Property Owner!Job Location Information:I
I� Name: SC.Q= 'S lyl- mot ame: 14
l Street:_ Lf 10 "UA LL Street: L Pr`f E-7—rC
City/Town: City/Town: / LEW & 0/970
Telephone: 71
-aa�1 "--57 tEW Telephone:
Photo I.D. required /Copy of Photo I.D. attached: YES _ NO_
J-1 / M-1-unrestricted license Staff Initial
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_ Multi-family_ Condo/Townhouses Other_
Commercial: Office— Retail _ Industrial— Educational
Institutional _ Other
Square Footage: under 10,000 sq. ft. V/over 10,000 sq. ft. — Number of Stories:
Sheet metal work to be completed: New Work: — Renovation: _
HVAC— Metal Watershed Roofing_ Kitchen Exhaust System
Metal Chimney / Vents_ Air Balancing—
Provide detailed description of work to be done:
We' w
-' T-lo C; C_
3a`lT IpI2-�
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 M- 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 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
Progress Inspections
Date Comments
Final inspection
Date Comments
Type of License:
By 0y aster
Title
❑Master-Restricted
City/Town
❑Jeurneyperson Signature of Licensee
Permit#
❑Joumeyperson•Restricted License Number: T 0 O /
Fee$ ❑
Check at www.mass.gov/dpl
Inspector Signature of Permit Approval
I ,%�Pe MMONWEALTH OF Mi118S1►GHLUSET, Sk
WORKERS * a
ISSUES THE FOLLCWING LICENSE AS A
BU ES
� JAMESR STEWART
lLSTT SH �1 METAL�CO INC
UVAYi�F1ELD' MA 01880- .die 1�%x
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GOIVIMONWEALTH OF MA"XdktISETT
A
60AR Of
SHEET.MttAL WORKERS
'-,`'ISSUES THE FOLLOWING LICENSIt AS
V AWA°STER UNRESTRIMD "a
,J4NMESRSTEWART
SC�?fil SHEIT IyIUAL CO
xF „410 LOVIif
4001 07128/2018 92653 ter,
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