HomeMy WebLinkAboutBLDSM-23-003857 y� (1/1 ( -ed 1)21 Z3
RECEIVED
�rL SHEET METAL PERMIT t ..
9 JAN 17 2023
t7"„— Commonwealth of Massachusetts
Town of Yarmouth Building Department BUILDING DEPARTMENT
By
Date: 11171 p2 3 Permit#: ,th-23-0),_3'
Estimated Job Cost: $ p2 l i d Permit Fee: $ 5-0
Plans Submitted: YES/ Plans Reviewed: YES/ NO
Business License# 19 j 'g Application License# '')
Business Information Property Owner/Job Location Information
Name: C-okvs. ( .iv1.O _Alt Name:/bee 3er04 y LLB- I
Street: ? C(' / �# Street: -7 5 old 14/c0Hr7i ' rot
City/Town: Pt)j40'Plitk g° City/Town: 11'tv'kttbc,
Telephone: C5o47 L fl '— 3Z 3a- Telephone:TU li) y oO 10
Photo I.D. required/ Copy of Photo I.D. attachyad: YES/ NO Staff Initial:
J-1 / M-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) Multi-family Condo/Townhouses Other
Commercial: Office Retail _ Industrial Educational Institutional Other
Square Footage: under 10,000 sq. ft.X over 10,000 sq. ft. Number of stories: oZ
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:
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to vA-C ue, - �ad(� , (341� 1^��
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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 X 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
(„Aar Owne< Agent
Signature of Owner or Owner's Agent
By checking here- ,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 installation 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.
Inspections shall be called for prior to insulation installation.
Duct inspection required prior to insulation installation: Yes No
Date: Comments:
Date: Comments:
Type of license:
By: Master
Title: Master-Restricted 'I` Signature.of Licensee T
City/Town: Journeyperson
Permit#: Journeyperson-Restricted License Number:
Fee: $ Check at www.mass.gov/dpl
/45-- a3
1' Inspector Vature of Permit 1`
of Permit Approval
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ail! • 11 11 •► 1 ■ • 1,1 —• ■
DIVISION OF OCCUPATIONAL LICENSURE
BCIARD CIS
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SHEET METAL WORKERS •
• ISSUES THE FOLLOWING LICENSE 4.4
MASTER-UNRESTRICTED
CARLJ BRUNO •
I .
67 CLIFF ST
PLYMOUTH,MA 02360-2045
8912 06/28/2024 233892
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
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