HomeMy Public PortalAboutSheet Metal Permit ApplicationCommonwealth of Massachusetts
Sheet Metal Permit
Date: ________________ Permit #_________________
Estimated Job Cost: $________________ Permit Fee: $_______________
Plans Submitted: YES ____ NO ____ Plans Reviewed: YES ____ NO ____
Business License # ___________________ Applicant License # ____________________
Business Information: Property Owner / Job Location Information:
Name: ______________________________ Name: ______________________________
Street: ______________________________ Street: ______________________________
City/Town: __________________________ City/Town: __________________________
Telephone: __________________________ Telephone: __________________________
Photo I.D. required / Copy of Photo I.D. attached: 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. ____ 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:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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 _____
Progress Inspections
Date Comments
_____________ ____________________________________________________________________
_____________ ____________________________________________________________________
_____________ ____________________________________________________________________
_____________ ____________________________________________________________________
Final Inspection
Date Comments
_____________ ____________________________________________________________________
By ______________________________
Title _____________________________
City/Town ________________________
Permit # __________________________
Fee $ ____________________________
__________________________________
Inspector Signature of Permit Approval
Type of License:
Master
Master-Restricted
Journeyperson
Journeyperson-Restricted
_______________
____________________________________________
Signature of Licensee
License Number: __________________
Check at www.mass.gov/dpl