HomeMy WebLinkAboutBuilding Permit # 1/28/2016 BUILDING PERMIT t%ORTH �
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION ®
Permit Not#: `\ G Date Received �°`°` `"
�gS�9CHu5y
Date Issued:
tM ORTANT: Applicant must complete all items on this page
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LOCATION 1 0 ylc4oyv ( Lad ,, e4, I&I 6
r� Print
PROPERTY OWNER
Print 100 Year Structure yeso
MAP PARCEL: _ZONING DISTRICT: Historic District yes r
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building X One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
XRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septicf ❑;Well' r ❑ Floodplain ❑XWetlands ❑ UVatershed Distract
�.�,c � r f a f; ✓ l /IIx �'k< r f t f T f � � .� -'sir r� '✓. f�G„rai'�t� -`"w^`_ f I
®Water/S @Wer' s,� ,; ,,.w f ;.4;•�„„ ,�,; ,"` � 'r ;I`���IiTIr' r' �f s?v � .s ff
DESCRIPTION OF WORK TO E PERFORMED:
(� Fi)o/yl � -ad P) 'd SQ Gori CbI)Y
Identification- Please Type or Print Clearly
OWNER: Name: Eley,a 1�,I lex� Phone:
Address: �lU ��%
Contractor Name: do Se i Phone: M— y76P— 6 /�
Email: rr e v! f�L Goy
Address: 8,3
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE;BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ _ �1�( FEE: $
Check No.: � -Receipt No.: ��
NOTE: Persons contracting with unregistered contr s do nit1/ '/ acc to t1,ke guaranty fund
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Town of
ndover
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COCHICH!WICH
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BOARD OF HEALTH
PrMMMI I T Food/Kitchen
Septic System
toeTHIS CERTIFIES THAT ........ ........ . BUILDING INSPECTOR
.. .... . .... ..................... ....... ..................... ...
. ..................
has permission to erect................ .... buildings on .. ... 1 Foundation
.. ........
to be occupied as .... ...............J...... ..... . .... !� Rough
u h
..... Chimney
provided that the per ®n accepting this permit shall in every respect conform to the terms of the application
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
40. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS
ITS Rough
CONSTRUON
Service
...... ... ........................................
BUILDING.INSPECTOR' Final
OccMpancy Permit Required to OccupyGAS INSPECTOR Buildin
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
Erinna Construction Services Estimate
Ph:978-478-8215 Date Estimate#
583 North Broadway 1/14/2016 1
Haverhill, MA 01832
978-478-8215 Customer Job
CS-066182 Elena Figler Figler Bathroom
Customer Information
Elena Figler
Ph:781.234.4563 W:978.682.7689
Em: Elenashana@hotmaii.com
140 Hickory Hill Road
North Andover, MA 01845
Description Qty Rate Amount
The customer will provide all fixtures and finish materials such as:
cabinets, mirrors,faucets,tiles,grout, paints,tub and tub surround,
toilet, paints, etc. Erinna Construction Services will provide actual
construction materials such as underlayment,2x4's,drywall,joint
compound,trim, etc.
All paints and painting is by others and no estimate is given for paints
or painting
We will provide an additional$100.00 promotional discount to the
customer which will be issued in the form of a rebate check at the
conclusion of th job.
This estimate is valid until February 1,2016 abd may change after
that without warning.
Permits for carpentry and plumbing for the second floor bathroom
2
Set-up to protect the floors along the walk path
1
Cleanup and disposal of debris offsite
1
Demolish bathtub
1
Demolish bathroom floring
1
Demolish the above bathtub
1
Demolish bathroom cabinets
1
Repair drywall as necessary
1
Install new two piece tub and shower walls- Provided by others
1
Page 1
Erinna Construction Services Estimate
Ph:978-478-8215 Date Estimate#
583 North Broadway
Haverhill, MA 01832 1/14/2016 1
978-478-8215 Customer Job
CS-066182 Elena Figler Figler Bathroom
Description Qty Rate Amount
Install new Hardibacker board underlayment on bath floor
1
Install new floor tiles and grout- Provided by others
1
Install new tiles and grout above the tub walls -Provided by others
1
Install new cabinet,sink, and faucets-Provided by others
1
Install new toilet- Provided by others
1
Install new mirror or mirrors-Provided by others
2
Install two new wall sconces above the mirrors in the bathroom-
Provided by others
2
Install new colonial baseboard as needed
1
Existing wooden louvers in the bathroom is not to be painted
Project material,labor
Material,per job 1 2,175.00 2,175.00
Labor, per job 1 5,300.00 5,300.00
Project Subtotal 7,475.00
*Project Total 7,475.00
6.25%Tax on Materials 1 135.94 135.94
*Tax Charges 135.94
Total 7,610.94
Page .2
CONTRACT PRICE
PAYMENT: Owner agrees to pay Contractor a total price of Seven thousand six hundred ten dollars and ninety four cents Dollars
($7,610.94). The payment schedule will be(1)Down payment of$2,283.94 (2)Payment schedule as follows: $761 on the day we start
work,$2,283 after demolition, I,522 afterr the tub and flooring are installed,$761 after finish or substantial completion. $100 rebate to
customer after fmish and full payment.
All payments will be made within five(5)days after billing.Overdue payments will bear interest atthe maximum legal permissible rate.If
any payment is not made when due,Contractor may keep the job idle until such time as all payments due have been made.A failure of
payment for a period in excess of said five(5)days shall be considered a major breach.
Contractor or Owner prior to commencement of construction and subject to lending institution(if any)approval,may request funds to be
placed in an Escrow or Funding Voucher Control Service prior to commencement of work with funds to be disbursed to Contractor in
accordance with the escrow instructions or voucher orders signed by the Contractor.In the absence of an Escrow or Funding Control
Service,funds will be paid directly to the Contractor.in accordance with the progress payments schedule referred to above.
NOTICE TO THE BUYER:(1)Do not sign this Agreement before you read it or if it contains any blank spaces. (2)You are entitled to a
completely filled in copy of this Agreement.Owner acknowledges that he/she has read and received a legible copy of this Agreement
signed by Contractor,including all Terms and Conditions herein included,before any workwas done,and thathe/she has read and received
a legible copy of every document that owner has signed during the negotiation. If owner cancels this Agreement after the right ofrecession
has expired,and before commencement of construction,owner shall pay Contractor the amount of expenses incurred to that date plus loss
of profits,
TERMS AND CONDITIONS
The Terms and Conditions on the following are expressly incorporated into this Agreement.This Agreement constitutes the entire
understanding of the parties.No other understanding or representations,verbal or otherwise,shall be binding unless in writing and
signed by both parties.This Agreement shall not become effective or binding upon Contractor until signed by Contractor or a
principal of Contractor.By Owner's signature below,Owner acknowledges receipt of a fully completed copy of the Agreement.
THIS AGREEMENT CONSISTS OFFOUR PAGES AND ONE ATTACHMENTS
z
X o _
y
OWNERBI3YER SIGNATURE DATE
4pooX
CONT�TOR SIGNATURE OWNER/BUYER SIGNATURE DATE
200 ABCAForms Page 2 I—mtia-1sF Dae Initials Date
TERMS AND CONDITIONS
ASBESTOS/HAZARDOUS MATERIALS or Owner's agent,acts of God,stormy or inclement weather,strikes,lockouts
Owner represents that the property being remodeled does not contain asbestos boycotts,or other labor union activities,extra work ordered by Owner,acts of
and/or other hazardous materials.This contract does not contemplate the public enemy,riots or civil commotion,inability to secure material through
removal of,testing for appropriate corrective work and any other additional regular recognized channels,imposition of government priority or allocation of
expenses incurred by the corrective work, materials,failure of Owner to make payments when due,or delays caused by
CONTRACTOR'S RIGHTS AND RESPONSIBILITIES inspection or changes ordered by the inspectors of authorized governmental
1, SUBCONTRACTORS,Contractormay subcontract all oranyportion ofthe bodies,or for acts of independent contractors,or holidays,or other causes
work. beyond Contractor's reasonable control.
2. Contractor shall have the right to stop work and keep the job idle if 3. Contractor is not responsible for matching existing paint or texture and
payments are not made when due.Failure to make payment within five(5) further,there is no guarantee againsthairline cracks or discolorization in stucco
days of the date that payment is due will be considered a material breach of this or concrete,
Agreement.If the work shall be stopped for any reason,for a period of sixty OWNER'S RE SPONSItBILITIES
(60)days,then Contractor may, at Contractor's option,upon five(5) days UTILITIES
written notice,demand and receive payment for all work executed and material 1. The Owner is responsible for water,gas,sewer and electric utilities,from
ordered or supplied and any other loss sustained including Contractors usual the appropriate agency to the metering device,unless otherwise agreed.to in
fee for overhead and profit based upon the contract price. Thereafter, writing.It is the Owner's responsibility,at Owner's expense,to provide toilet
Contractor is relieved from any further liability.In the event ofwork stoppage facilities,electricity and water to the site as needed by the Contractor.
for any reason,Owner,shall provide for protection of and be responsible for,
any damage,warpage,racking,or loss of material on the premises. ACCESS TO PROPERTY
3. Contractor,at Contractor's option,may alter specifications only so as to 2. Owner agrees to keep driveway clear and available for movement and
comply with requirements of governmentall agencies having jurisdiction over parking of tucks and other equipment during normal working hours.If Owner
same.Any alterations or work undertaken to further this end shall be treated as denies access to any worker or material supplier during the scheduled working
an Extra Work. hours,the Owner will be held in breach of theAgreement and will be liable for
CONTRACTOR'S RESPONSIBILITIES AND LIMITER WARRANTY such breach
1. Contractor agrees to furnish the materials for the project and complete the FINANCING
work in a professional manner.All materials furnished under this Agreement 3. The Owner is responsible for having sufficient funds to comply with this
shall be construction grade and meet industry standards.Where brand names
have been specified,Contractor may select substitutes when such substitutions Agreement.This is considered in law,a cash transaction.
are due to unavailability or other circumstances beyond Contractor's control. INSURANCE
All substitutions shall be consistent in quality and character to the selections 4. Owner will purchase insurance at Owner's expense before any workbegins.
previously specified,The liability of the contractor for defective materials or Such insurance will have course of construction,fire,vandalism,malicious
installation is hereby limited to the replacement or correction of said defective mischief and other perils,clauses attached.The insurancemustbe in an amount
material and/or installation,and no other claims,or demands whatsoever shall at least equal to the contract price and provide that any loss be payable to the
be made upon or allowed againstthe contractor.This limited warranty extends Contractor,The insurance is to cover the Owner,Contractor,Subcontractor and
only to owner and is not transferable. There is no implied warranty or Construction Lender in the amount of their respective interests.
merchantability nor any implied warranty of fitness for any particular
purpose. There are no warranties either expressed or implied which extend If the
the Owner does not purchase such insurance,the Contactor,as agent for
beyond the description within this paragraph#1,This warranty shall terminate the Owner may purchase and charge such cost to the Owner,
one year from final building inspection or the date of the completion, DAMAGE OR DESTRUCTION
whichever is fust 5. If the project or any portion of it is destroyed or damaged by fire,storm,
Note that equipment,assemblies,or units purchased by contractor,included flood,landslide,earthquake,theft,or other disaster or accidents,any workdone
in this contract are sold and installed subject to the manufacturer's or by the Contractor to rebuild,etc.,shall be paid for by Owner as an Extra and
processor's guarantee or warranties, and not contractor's. To the extent dealt with as herein provided for under"Extra Work",
permitted by applicable law,all warranties given by manufacturers pertaining In the event of any of the above occurrences,If the cost of replacement
to materials used by contactor in connection with the project will be passed work,for work already done by the Contactor,exceeds twenty(20)percent of
through and inure to the benefit of owner. the contract price,the Owner has the option to cancel the contract but,if the
2. Contractor shall pay all subcontractors, laborers and material suppliers. Owner cancels the Contractor shall be paid for all costs incurred plus
Contractor shall,to the best of Contractor's ability, keep Owner's property Contractor's usual fee for overhead and profit for all work performed by
free of valid labor or material suppliers liens. Contractor to date of cancellation.
ITEMS NOT RESPONSIBILITY OF CONTRACTOR
1. EXISTING VIOLATIONS AND CONDITIONS.Contractor shall not be OWNER'S PROPERTY
held responsible for any existing violations of applicable building regulations 6. It is the Owner's responsibility to remove or protect any personal property
or ordinances,whether cited by the appropriate authority or not.Contractor is including,but not limited to,carpets,drapes,furniture,driveways,lawns,and
not responsible for any abnormal or unusual preexisting conditions or any shrubs,and Contractor will not be held responsible for damages or loss of said
unusual or abnormal concrete footings,foundations,retaining walls,or piers items,
required,or any unusual depth required for same,such as,but not limited to BOUNDRY LINES
that condition caused by poor soil,lack of compaction,hillside,or other slope 7, The Owner represents ownership of the property where construction is to
conditions,Correction ofsuch violations or abnormal conditions by Contractor occur.It is the Owner's duty to point out boundary lines of the property and
for under"Extra Work".
shall be considered additional work and shall be dealt with as herein provided Owner is responsible for the accuracy of such lines and how they are
represented on drawings.If required,the Owner will pay for a survey to chart
2. DELAYS.Contractor agrees to start and diligently pursue work through to boundary lines.
completion,but shall not be responsible for delays for any of the following
reasons, failure of the issuance of all necessary building permits within a
reasonable length of time,funding of loans,disbursement of funds into funding
control or escrow,acts of neglect or omission of Owner or Owner's employees %Lials
ICont'
Terms and Conditions Page 3 Da Initials Date
EASEMENTS,ETC. ADDITIONAL REQUIREMENTS FOR COMPLETION
8. Prior to construction the Owner is to give the Contractor a copy of any 5. Contractor shall promptly notify Owner of any additional requirements
easements,restrictions or rights of way relating to the property.If Owner does necessary to facilitate the project's completion.Any subsequent amendment,
not do so,Contractor will assume that none exist, modification or agreement,which operates to alter this contract,and which is
signed or initialed by Contractor and Owner,shall be deemed a part of this
ENGINEERING AND GEOLOGY contract and shall be controlling in case of conflict,to the extent that it alters
9. Unless specifically agreed upon in writing between Owner and Contractor, this contract.
and made a part of this Agreement under "Description of Materials",
"Specifications"or"Plans",this Agreement does not include any engineering EXTRA WORK
or geology surveys, drawings, studies, reports or calculations as may be 6. The Owner and Contractor must agree in writing to any modification or
required by a public body or building authority as a condition for issuance of a addition to the work covered by this contract.The Contractor shall do no extra
building permit or as a condition to securing final building inspection.The cost work without the written authorization of the Owner.Any written agreement
of any such required professional services shall be paid by Owner. shall list the agreed price and any changes in terms and be signed by.both
OTHER parties.Failure to have written authorization shall not be deemed fatal to the
collection of the extra work.
DRAWINGS AND SPECIFICATIONS For any extra work performed, Contractor shall be compensated in an
1. The project will be constructed according to drawings and specifications amount to be determined before the extra work is performed and such amount
that have been examined by Owner and that have been or may be signed by the including Contractor's usual fee for overhead and profit shall be made as the
parties to this contract.Unless otherwise specifically provided.Contractor will extra work progresses,concurrently with payments,made under the payments
obtain and pay for all required building permits. Owner will pay any scheduled.
assessments and charges required by public bodies and utilities for financing or
repaying the cost of sewers, storm drains, water service, or other utilities Any change-order forms for changes or extra work shall be incorporated in,
including sewer and storm drain reimbursement charges,use fees,revolving and become part of the contact.
fund charges,hookup charges and the like. STANDARDS FOR SPECIFICATIONS
ITEMS EXCLUDED 7. If all or any part of the following is included in this Agreement under
2. Unless specifically agreed upon in writing between Owner and Contractor specifications,the following will apply:All cabinets to be paint grade,or if
and made part of this Agreement,under"Description of Work","Description same is noted to be other than paint grade,to be of veneer construction.All
of Material","Specifications",or"Plans",this contract does not include: cabinet doors to be lipped construction.All inside portions such as shelves,
a. Plumbing, gas, waste and water lines outside foundations of existing bulkheads,and partitions may be of other species than exposed portions,but
buildings or any required relocation or replacement of any such existing lines not limited to solid stock plywood,or particle board with fixed shelve without
that may be discovered within the boundaries of any new ground floor addition backs.All plumbing fixtures to be white in color and selected by Contractor.
All appliances and fixtures to be Builders models. Medicine cabinets to be
b. Electrical service,other than addition of circuit breakers or fuse blocks to single,recessed,and metal.Tile,if ceramic,to be domestic,non-decorator,
distribute electric current to new outlets; 4%4"x 4'/4". All fireplaces to be prefab with a metal flue. All extra materials
c. Any work which may be required regarding cesspools or septic tanks. remain the property of the Contractor. If any of the materials used vary from
d. Rerouting,relocating or replacing vents,pipes,ducts or conduits not shown the above,such variation must be agreed upon between Contractor and Owner,
or those encountered during construction or changes required to existing m Ming and listed in this Agreement under"Specifications","Description of
wiring,vents,pipes,ducts or conduits in areas undisturbed by construction. Materials" or attached to this Agreement and initialed by Owner and
Unless specified elsewhere, existing wiring and electrical systems are Contractor,
represented by the Owner as adequate to carry load for existing structure and CORRECTIVE WORK
work to be performed herein; 8. If minor corrective or repair work remains to be finished after the project is
e. Any additional work required for excavation or foundations due to completed,Contractor shall perform work expeditiously and Owner shall not
inadequate bearing capacity or rock or any other material not removable by withhold any payment pending completion of such work.If major corrective or
ordinary hand tools repair work remains to be finished after the project is completed,and the cost
£ Any work to correct damage caused by termites or dry rot; exceeds one(1)percent of flee gross contract price,the Owner may withhold
g. Changes or alterations from the specifications which may be required by payment sufficient to pay for completion of the work,pending completion of
any public body,utility or inspector. the work,but may not withhold an amount which is greater.
It. Painting,preparation, filing, finishing, grading, retaining wails, new or GENERAL
relocating gutters and downspouts,screen doors,weather stripping,staining, 9. This contract,including incorporated documents, constitutes the entire
seeding,landscaping,or decorating.Any work necessary to confect,change, agreement of the parties. No other oral or written agreements between
alter or add the above items will be considered additional work and shall be Contactor and Owner,regarding construction to be performed exist.
dealt with as herein provided for under"Extra Work". 10. This agreement shall be construed in accordance with,and governed by,
the laws of the state.
MEASUREMENTS
3. Measurements,sizes and shapes in plans and specifications are approximate . NOTICE
and subject to field verification.Unless otherwise specified,all dimensions are 11. Any notice required or permitted under this contract maybe given by
exterior dimensions.In the event of a conflict between the plans,specifications, ordinary mail sent to the address of either the Owner or Contractor as listed in
etc., and the Agreement, this Agreement is controlling. Contractor is not this contract,but the address may be changed by written notice from one party
responsible for any existing illegal conditions. to the other. Notice is considered received five(5)days after deposited in the
MATERIAL REMOVED AND DEBRIS mail,postage paid.
4. Unless specifically designated by Owner in writing,prior to commencement ATTORNEY FEES
of construction, Contractor may dispose of all material removed from In the event legal action or arbitration is instituted for the enforcement of any
structures in course of alteration. Contractor is to remove construction debris term or condition ofthis Agreement,the prevailing party shall be entitled to an
at end of project and leave premises in a neat broom-clean condition. award of reasonable attorney fees in said action or arbitration,in addition to
costs and reasonable expenses incurred in the prosecution or defense of said
action or arbitration.
Terms and Conditions Page 4 Initials ate Initials Date
The Commonwealth ofMorssa�hasetts
Department ofindust ial Aceidents
M 1 Congress Street,Suite 100
Boston,MA 0�1142017
www.mass.govIdia
WovkeW Compensation Insu�rance.Aifidav�it.,BuzXdexs/Con.tracto�s/Electxicians/PXumbexs•
TO BE FILED WITS THE PER1&TTIlNNG.A.'UT-UOMTY Please Print Le iT�X
A licant Information.
a117e(Business/Organization/lndividual):
.Addxess: S-6 ,3
City/State/Zip:
Are-you eraployer7 Che' t&appiopriatebox:
Type of project(.Tqq fired}:
em to ees full.and/or part-time,).* 7• [�Now construction.
JQ I am a employerwith • •.. - p y
ty.[Ne no employees working for me in 8. Remo delirig
am a sole proprietor or partnership and hav
ac
i oworkers'comp.insurance required.] 9• n Demolition
anyAW cap
3.[]I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition
4.❑lam a homeowner audwill be hiring contractors to conduct all work on my property. Twill 11.0 Electrical repairs or additions
ensure that.all contractors either have workers'compensation insurance or are sole --12:.��PlUm�ing repairs-orC additions
�– propiietors with no employe —T
5,E]I am a general contractor and I hage hired the sub-coixtractors listed on the attached sheet. x3•E]Roof repairs
These snb-contractors bade employees and hav0 workers'comp.insurance. 1.4•El Other
6.0 We are a corporation and ifs ofC9ers have exeroised their right of exemption per MGI,G.
152,§1(4),andwe have nq employees.[No workers'comp.insurance required.]
t;.
xAny applicant that checks box#1 must also fill outthe section below showogtheirworkers'compensationpolicy infozrrration
T Homeowners haffidavit doing
all work name
e ofe outside rindicating
such.
an additional sheet the namethe sub-contractors os ad state whether ornotthosentitieve
Tcoutracfos that check boxmatta bed
e employees,&l rirnst provide their workers'comp.policy number.
employees. lfthe sub-conlracfors hav
_d'am an erriployer•that is pi'6vidiiig workers'compensation insurance for my e�nproyees' below is thepolicy and�o�site
information.
Insurance Company Name:
ExpiratiorlDate: '
Policy#or Self-ins,I,ic.#:
L/0 G r a City/State/Zip: /1 ��
.ob Site address:
"jach a copyoftlxe workers' compen tionpo.,,declara-10 page(shoIliugtlaepoXicynui.)' 'and expiration ate}.
on punishable by a fine UP to$1,500-00
Failure to secure coverage as required under e 0. 152,
in§hg f TM is aof OPrWOtRK ORDER and fine fup to$250.00 a
and/or one-year imprisonment, iminal
a p
statement may be forwarded to the Office of Investigations ofthe DIA for insurance
day against the violator.A,copy of this
coverage verif'icatioD.
p do hereby c rider thepains andpen hies ofperjar"�that thein formationprovided above is true and correct.
�
Or
Si nature•
Phone#:
Official use on y. Do not-write in this area,to he completed by city or'town official:
Permit/License
City or Town: #
Issuing.A.uthority(circle one):
1.Board ofE(ealth 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6,Other
Phone#:
Contact Person'
i
V�e Ipo�j7a�720JdcoeuL��4SIG CajjcedwjefJ ( "I
1 Office of Consumer Affairs&Business Regulation
r— ME IMPROVEMENT CONTRACTOR
gistration: 135503 Type:
xpiration: -4/9/2016 DBA
ERINNA CONSTRUCTION SERVICES
i
Ramon Erinna
j 583 NORTH BROADWAY -9i-�
HAVERHILL,MA 01834 Undersecretary
I
- - -
.� Ma'ssachusetts -Department of Public Safety
Board of Building Regulations and Standards
, LI/II.1L1 Ul.l11/11 JUI/CS-V 111'11 '.
License: CS-066182
RAMON M ERIlVN`�
583 N BROADWAY rl
HA'VERHILL MX 01
Expiration
Commissioner 04/16/2017
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Lllll\LI UlLll/11 JlI i/CI V111/1
I
License: CS-066182
I `tib T l ti p'.
RAMON M ERINN•A
M3NBROADWZY
HAVERHILL Mk 01
r
9,21 Expiration
Commissioner 04/16/2017