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HomeMy WebLinkAboutBuilding Permit # 4/15/2016 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ^ .yq d�A Date Issued: IMPORT'ANT d A licant must com late all items on this ale a ,p w..y LOCATION u. .,, e, vv-, °i . A v, A, 6-V : ` F PROPERTY OWNER ' ° ,,,,, � Print Print MAP NO� PARCEL, ZONING DISTRICT: Historic District yes no Machine Shop Village yds no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building X One family ❑ Addition ❑ Two or more family ❑ Industrial 11 Alteration No. of units: ❑ Commercial Cl Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑Water/Sewer 2�0 / 01"L"vt. ou �-v e- 'c.- 0.1 Identification Please'Type or Print Clearly) OWNER: Name: :`w.. v . .` s; C(. 'w ,. � � .. �'i �".. I Ct o ,.." Phone: "� .W. . I a .. I F.I � .. Address: i CONTRACTOR Name: _Phone: i o i ° ., " Address: . Supervisor's Construction License; Exp. Cute: 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$125.00 PER S.F. ! .:w Total Project Cost: FEE: $ ,� .' Check No.: Receipt No.: ,-,,e,,.9 MOTE: Persons contracting with unregister �contractors(Io not have access to the guaranty fund Signature of Agent/Owner eAPO Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Sfarnped Plans ❑ [Public YPE OF SEWERAGE DISPOSAL Sewer Tanning/Massage/Body Art ❑ Swimming Poolsell ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORD PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS ( c H LTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Dafe Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRES®EP�gRl'iVjENT T RernpDurnpster on sites yes no a% ��d° � 1,�,-'� �i�cu,:✓Y�"� f r,`F7 k4§ �� "x t r � ¢ f ✓�� -. �.. -1 ,,,re v.:�s �Streele•�`" ���,%�F�zY�y���;��^�rr,. }�'a�rpf� r. .��s �s � E `Y l r 'z 1 �, r sun„r`,'� '�',L;x.:z'�3 S',�„'";.cN} 3�,ds'.{:. 'fi'.r;,.: n YY'r..r^w.i � f I � r✓�,� r� �f�r;�s� ,s£ r� ,y �"..,''c�` f" >9 Y,�. Fire De artmetit��. f � tnh I] .,r . ature/dates r ✓ a ✓ ,/ ✓. }r t i ;�. �, ,� s >r c✓ej ,�d,ryrr rr. ,+k-.. r r�" rid xC ��..�' r Y s r � 5 4,.,, r: 5r� � r �` �.�� ��,,1�r�.. � �X��" err F n- ..✓ � %� ,, �`c ,� [ ✓ ! ✓ l ri rr r s r COMMENS' r r t, r� f t f.Fflfr 'rt3s �„=�, 4y 1 ✓,y yd d.;.. ry 'Town of- t%®RTH 2 Andover ® 0 No. 015 . .26. t 1� �l iTeY'y SSS' ��4� .• ••. OLAKE �. C oC HIC Hi WIC K TED ®S R� NEr__ U BOARD OF HEALTH L DFood/Kitchen P I Septic System THIS CERTIFIES THAT OAT� °��`= BUILDING INSPECTOR .......................... ............................................................................................... has permission to erect.......................... buildings on ...yz:��.., zllf, :...:s�...................................... Foundation Rough w c' G S�d to be occupied as ..................................C.`9.:✓........... '..::..:.........Y.v:s.<..................................................... Chimney provided that the person accepting this permit shall revery respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and. Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERM.IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS I S ARTS Rough Service ............... ..... .. . .. . .. ... .7................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathingor Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. North Andover MIMAP March 25, 2016 0�5,o-ao6a 5.q-0372 g65.q-q�.�1 rr � r fir, q�r5, —qq-8. q6�.q—gg53 r/ g65.q—gg35 q65 q—gg43 uuu' /� cul X21 ��1fipUoi��U�� e; ' y iii l�f�yYl��ILib 065,q-Uq2^1 � � g65�q gq,'71 g66.q—gg54 ❑MVPC Be Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Meters Data Sources:The data for this map was produced by Merrimack SR ttORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads North Andover.Additional data provided by the Executive Office of amc Easements „, ytY4F °a4� Environmental Affairs/MassGIS.The Information depicted on this map is Parcels _ G for planning purposes only.It may riot be adequate for legal boundary O definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING {t K THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION �SQ� CHU5'� 1"=115ft . • o F 1 d •,inu G ; i1'j f ICl I I � i f I i 10.7 Jswu � ,illi Mil 11 41 . +G3k t7t.1P41,' 1�1.i �-rti C cz- SWIMMING POOL CENTER, INC. 603 South Union Street Lawrence, MA 01843 TEL: 978-682-6916 FAX: 978-685-0711 Federal Tax ID#04-37.60232 Home Improvement Contractor#118519 CONTRACT FOR SERVICES—ABOVE GROUND POOL INSTALLATION Customer Name: John Conides Customer Address: 874 Salem St. North Andover MA 01845 Customer Telephone: 617-699-2091 ___(Work) (Cell) or (Home) EMAIL Address: jconides(a).gmail.com _ Sales Person Name: Rick Varney _ Date of Contract by Parties: 03/19/2016 SERVICES TO BE RENDERED TO CUSTOMER Estimated Date Contract to Begin: _ Estimated Date of Substantial Completion of Services to,be Rendered: (NOTE: Contract for services DOES NOT BEGIN UNTIL any required pre••payment or materials deposit is received by SWIMMING POOL CENTER, INC.) TOTAL CONTRACT PRICE: $10531.00 MINIMUM PRE-PAYMENT OR MATERIALS DEPOSIT REQUIRED: _ $5265.50 MA-SPC CONTRACT- 2016 abovegroundpoolinstallation Page 1 SPC agrees to install ONE 30' Round Dynasty ______Above Ground Swimming Pool in a professional workmanlike manner pursuant to local installation standards and practice, This contract shall include all materials, tax and labor unless otherwise specified herein. MODEL SIZE PUMP/FILTER LINER PATTERN&GA Dynasty 54" _ 30' Round Pentair Above Ground f z_�> STANDARD STANDARD PREMIUM WINTER PACKAGE POOL ONLY POOL PACKAGE POOL PACKAGE $ $ $ 7806.00 $ 449.00 RADIANT ONLY: Wall Style Coping Color CHECK APPLICABLE PKGS STANDARD POOL ONLY INCLUDES: Pool, Skimmer, Pool Cove, Print Liner and Standard Installation, STANDARD POOL PKG INCLUDES: Pool, 1.0 - 1.5 H.P. Cartridge Filter, Shut Off Valve, Deluxe Vacuum Set (Pole, Vac. Head, Vac, Hose, Skim Vac.), Standard Resin Safety Ladder, Deluxe Skimmer, Inlet Fitting, 20 Gauge Printed Liner, Leaf Skimmer, Sustain Start Up Chemicals, Connecting Hoses, Hose Clamps, Pool Cove, Ladder Mat and Standard Installation. PREMIUM POOL PKG INCLUDES: Pool, 1.0 - 1.5 H.P. DE Filter, Shut Off Valve, Deluxe Vacuum Set (Pole, Vac. Head, Vac. Hose, Skim Vac.), ]3elux-e-R-esin-Sa�fety-L-adder, Deluxe Skimmer, Inlet Fitting, 25 Gauge Printed Liner, Leaf Skimmer, Sustain Start Up Chemicals, Connecting Hoses, Hose Clamps, Pool Cove, Ladder Mat, Armor Shield & Standard Installation. WINTER PKG INCLUDES: Winter Cover, Tie Down Cable, Winch, Deluxe Winter Chem. Kit, And Electric Cover Pump. OPTIONS Light $ Heater $ Auto Vac Dolphin Active 10 $ 599.99 Heater Install $ Step Unit Step 1 Bridge $_510.00 Armor Shield $ Perma Salt System $ Solar Cover $ Filter Upgrade $ Ladder Upgrade _ $ Fencing w/ Install: _ $ Liner Upgrade 20-25 GA $ 20-28 GA $__ 25-28 GA $ Water Delivery# Loads 2 $ 700.00 Misc $ TOTAL OPTIONS $ 1810.00 MA-SPC CONTRACT- 2016 abovegroundpoolinstallation Page 2 TOTAL AMOUNT DUE FROM ABOVE SELECTIONS MA RESIDENTS TAX CALCULATION: Total Before Sales Tax $ 10,038,00 Pool Package: $ 7806.00 Less Installation (See Book)$ 1450,00 Winter Package: $_ 422.00 Less Install of Options $ ---- Total Options: $ 1810.00 Less Water/Deck/Electrical $ 700.00 Taxable Amount $ 7888,00 Sales Tax @,.0625 $ 493.00 Total Before Sales Tax $ 10,038.00 Sales Tax: $ 493.00 Total Contract Price$ 10,531.00 Schedule of Payments Required Under Contract: Payment Amount Due Date Initial Pre-Payment (1/2) $ 5,265,50 At Signing—Payment Type Final Payment $ 5,265.50 Day of Installation Services included: The installation of the above ground swimming pool shall be completed as follows: 1) Preparation of the site for the designated pool; 2) Deliver the pool and other necessary items to the site; 3) Deliver and supply a stonedust base; 4) Assemble, erect and level the pool structure with a patio block under each upright; 5) Install pool liner and begin filling from the homeowner's water supply with a gal•den hose; 6) Assemble and install skimmer, ladder, and light. We will ONLY install drop in stairs if deck is present at time of installation. SPC cannot and will not guarantee an exact fit between an existing deck and a new pool installation, 7) Will schedule a start-up visit to explain the operation of the pool after the pool is filled with water to the minimum operating depth and electrical is complete, inspected and approved. 8) Such other work as the site foreman deems necessary to accomplish and complete the services to be rendered hereunder, MA-SPC CONTRACT- 2016 abovegroundpoolinstallation Page 3 NOTE: All work to be completed in a workmanlike manner according to local standard practices. Any alteration or deviation from above specifications involving extra costs will become an extra charge above this contract. Our workers are fully insured under Workman's Compensation Insurance. Homeowner responsibility: The homeowner is fully responsible at his/her costs the following items; 1.) Selecting a decisive location for the pool and proof of a building permit, if necessary, prior to pool delivery and install. 2.) Provide full access to the job site for a small digging machine and dump truck without obstacle or other impediment, including but not limited to landscaping, trees, stumps, sod, boulders, rock, ledge, lawn furniture, grills, fencing, pets, electrical, plumbing, gas or other utility, sprinkler lines and drainage pipes. Should it become necessary to remove, relocate or otherwise affect any above stated impediment as determined by the site foreman, then the homeowner assumes and accepts full responsibility and costs for the removal, relocation, or rebuilding of such impediment obstacle. The homeowner agrees to accept and assumes all extra costs of additional material or labor necessary to complete the job as a result of the obstacle or impediment. 3.) Be responsible for any lawn or driveway or sidewalk/walkway disturbances caused by the pool installation machinery or trucks gaining site access. 4.) Any sod, rocks, ledge, trees, stumps, excess dirt, or other material shall be the sole responsibility of the homeowner for removal, relocation, or disposal. 5.) Supply sufficient water to fill the pool including timely scheduling and delivery of any water the homeowner chooses to have trucked into site. 6.) Procuring a licensed electrician for the grounding and electrical supply to the filter system, lighting, heater, and any other electrical connection; 7.) Procuring and providing any landscaping and required backfill with crushed stone around the outside of the pool; 8.) Maintaining proper pool maintenance and winterization; 9.) IF THE HOMEOWNER CANCELS THIS CONTRACT DURING CONSTRUCTION OR CONSTRUCTION IS NOT POSSIBLE DUE TO IMPROPER SITE CONDITIONS, THEN THE HOMEOWNER AGREES TO PAY ALL COSTS OF LABOR AND MATERIALS ALREADY ORDERED OR PROVIDED BY THE SWIMMING POOL CENTER. HOMEOWNER ACKNOWLEDGES AND AGREES THAT THE SWIMMING POOL CENTER IS HEREBY GIVEN A MECHANICS LIEN AGAINST THE SUBJECT PROPERTY FOR THIS CONTRACT UNTIL SATISFIED IN FULL. MA-SPC CONTRACT- 2016 abovegroundpoolinstallation Page 4 CONSUMER NOTICES This Contract for Services is governed by Massachusetts General Laws Chapter 142A as supervised by the Massachusetts Office of Consumer Affairs and Business Regulation located at 10 Park Plaza, Suite 5170, Boston, MA 02116 (Tel: 617-973-8700) c/o Director Jacqui Chandler. The services provider hereunder the Home Improvement Contractor 4118519 Any disputes under this contract may be addressed through arbitration as provided by the aforementioned agency and should you wish to in6lude this service the Customer must acknowledge by his or her signature: Date signed by the customer for arbitrati' n servic _ 03/19/2016 Notice of Right to Cancel Q Days As the consumer you have a THREE (3) day right to cancel this contract from the date you sign at which point this contract shall become null and void in its entirety as governed by Massachusetts General Laws Chapter 93A, §48; or Chapter 255D, §14; or Chapter 140D, §10, as may be applicable. Limited Warrant Swimming Pool Center agrees to provide without charge for one (1) year from the date the pool is installed the labor to remove, replace or repair any component of the pool that is subject to an independent manufacturer's warranty, provided that the Swimming Pool Center has certified the Pool and the Warranty is not otherwise voided as set forth below. At the discretion of the Swimming Pool Center, this Limited Warranty shall be voided if the following event(s) occur: 1.) Homeowner buyer has failed to satisfy all payment obligations including any extra charges, late fees or interest permitted under this contract; 2.) Homeowner failed to have crushed rock spread around the outside of the pool within 2 weeks of installation; 3.) Homeowner fails to properly maintain said pool with all required chemicals, water levels, or filters, and fails to properly winterize. NOTE Homeowner is fully responsible for all costs of supplying chemicals or water to refill the pool in connection with any warranty service. ALL WARRANTY CLAIMS MUST BE MADE IN WRITING TO SWIMMING POOL CENTER DURING THE WARRANTY TIME PERIODS. ® • MA-SPC CONTRACT- 2016 abovegroundpool installation Page 5 Permits Required: The following permits will be required to commence this contract: Building Permit _ _ Electrical Permit NOTICE: The Contract named herein is required to obtain the permits stated above HOWEVER the homeowner may obtain the permits first at his or her own costs. BY THE HOME OWNER OBTAINING THE PERMITS YOU WILL BE EXCLUDED FROM THE GUARANTY FUND PROVISIONS OF MASSACHUSETTS GENERAL LAWS CHAPTER 142A. CUSTOMER UNDERSTANDS AND ACKNOWLEDGES THAT NO SERVICES UNDER THIS CONTRACT WILL BEGIN ON THIS MATTER UNTIL INITIAL PAYMENT ON ACCOUNT AS SET FORTH IN PAYMENT SCHEDULE IS PAID IN FULL AND ALL REQUIRED PERMITS ARE RECEIVED. We, the Customer and the SWIMMING POOL CENTER, INC., have read this Agreement on this 19 day of March _2016 and understand its terms and both have signed it as our free act and deed. SWIMMING POOL CENTER, INC., By its authorized Agent SEE NEXT PAGE FOR CUSTOMER ACCEPTANCE AND SIGNATURE. MA-SPC CONTRACT-2016 abovegroundpoolinstallation Page 6 The Customer acknowledges a frill understanding and agreement to the terms of this contract and hereby additionally acknowledges a receipt of a copy of this Agreement. THIS IS A LEGALLY BINDING CONTRACT. ASK TO HAVE EACH TERM YOU DO NOT UNDERSTAND FULLY EXPLAINED TO YOU SO THAT YOU UNDERSTAND THE AGREEMENT YOU ARE MAKING AND BY SIGNING THIS AGREEMENT YOU ACKNOWLEDGE AND AGREE THAT YOU UNDERSTAND AND ACCEPT ALL TERMS HEREUNDER. Cust i er Sig tore Print Name: ��'}�� l"�' 'l �� -� Date: 03/19/2016 SEE ATTACHED MECHANIC LIEN A GREEMENT FOR SIGNATURE MADE A PART OF AND INCORPORATED HEREIN THIS CONTRACT. MA-SPC CONTRACT- 2016 abovegroundpoolinstallation Page 7 I OP ID: PS CERTIFICATEOF LIABILITY INSURANCE IA'Y DATE(MM/2 YYYY) 02/12/2016_ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Pete Sullivan Foster Sullivan Insurance PHONE FAX 163 Main St. A/c No Ext:978-686-2266 we Ne; 978-686-6410 North Andover MA 01845 E-MAIL ADDRESS:p tlli sullivan fosersuvan rou @ g p.com Stephen Sullivan PRODUCER SWIIVIM-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE _ NAIC_# INSURED SWIMMING POOL CENTER, INC. INSURERA:ACADIA INSURANCE -31325 SWIMMING POOL.CENTER OF INSURER 13: HAMPSTEAD, INC R&S REALTY INSURER C_ Roy Charland INSURER D. 603 SOUTH UNION STREET INSURER 1: _ LAWRENCE. MA 01843 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1'0 THE INSURED NAMED ABOVE FOR THE. POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 01= ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR ADD SUB �POLICY EFF POLICY EXP LTR _ TYPE OF INSURANCE JN0 POLICY NUMBER MM/DD/YYYY MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0.0000 DAMAGE TO RENTED — A X COMMERCIAL GENERAL LIABILITY X CPA0290628 05/01/7.015 05/01/2016 PREMISES Ea occurrence $ 300,000 CLAIMS-MADE OCCUR MED EXP(Any one person) 1$ :5,000 PERSONAL&ADV INJURY $ 1,000,000 —{ GENERAL AGGREGATE $ 2,000,000 1GCli EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY JECT PRO- LOC — Is AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO MAA0290632 05101/2015 05/01/2016 BODILY accident) r— CAA0293871 05/01/2016 05/01/2016 BODILY INJURY(Per person) $ )�ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X i HIRED AUTOS (PER ACCIDENT) _ $ Yl NON-OWNED AUTOS $ _ $ X+UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 A X CUA0290633 05/01/2016 05/01/2016 --- DEDUCTIBLE $ _ RETENTION $ _ $ WORKERS COMPENSATION WC STATU- X0TH- AND EMPLOYERS'LIABILITY TORY LIMITS I ER _ A ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N/A WCA0290634 05/01/2015 05/01/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,00_0 If yes,describe under 5 DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ J00,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ** EVIDENCE** AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD !, Office of Consumer Affairs and Business Regulation 4 10 Park Plaza •- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 118519 Type: Private Corporation Expiration: 3/29/2017 Tr# 264474 SWIMMING FOOL CE=NTER INC ROY CHARLAND --- -- ----- _. _ _ 670 S UNION ST -- -- _..__.- —— -------- LAWRENCE, --LAWRENCE, MA 01843 -_----- -_--__-__.-- Update Address and return card. Mark reason for change, 201,1-05/11 Address F-; Renewal F'i Employment Lost Card -- office of Consumc Affairs& Business Regulation License or registration valid for individul use only ~ ' - " before the expiration date, If found return to: -_ibME IMPROVEMENT CONTRACTOR ecdistration: 118519 Type: Office of Consumer Affairs and Business Regulation `. %1, xpiration: 3!29/2017 Private Corporation 10 Park Plaza -Suite 5170 - =- i Boston, MA 02116 SWIWAING POOL CENTER INC ROY CHARLAND 670 S UNION ST LAWRENCE, MA 01843 Undersecretary Not valid without signature