HomeMy Public PortalAboutSheetMetalCommonwealth of Massachusetts
Sheet Metal Permit
Date:
Estimated Job Cost: $
Plans Submitted: YES NO
Business License #
Business Information:
Name:
Street:
Permit #
Permit Fee: $
Plans Reviewed: YES NO
Applicant License #
Property Owner / Job Location Information:
Name:
Street:
City/Town: City/Town:
Telephone: Telephone:
Photo I.D. required / Copy of Photo I.D. attached: YES NO
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
Staff Initial
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 111 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 111 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.
Date
Date
Duct inspection required prior to insulation installation: YES NO
Progress Inspections
Comments
Final Inspection
Comments
By
Title
City/Town
Permit #
Fee $
Type of License:
❑ Master
❑ Master -Restricted
❑ Journeyperson
❑ Journeyperson-Restricted
El
License Number:
Signature of Licensee
Check at www.mass.gov/dpl
Inspector Signature of Permit Approval