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HomeMy WebLinkAboutBuilding Permit # 5/4/2016 BUILDING PERMIT %AORT#1 ED 16 TOWN OF NORTHA OVER V,5 #0 APPLICATION FOR PLAN EXAMINATION Permit No#. Date Received ArED 10 CHU Date Issued: i140—RTANT: Applicant must complete all items on this page LOCATION c () (-tau,)- No(-a- IQC. Print PROPERTY OWNER W ('W'om Fat-ra Print 100 Year Structure yes no C11 MAP PARCEL:MA ZONING DISTRICT: Histori c District yes no 3 Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building M6ne family El Addition Li Two or more family El Industrial El Alteration No. of units: 11 Commercial El Repair, replacement El Assessory Bldg F-1 Others: 11 Demolition El Other 04 se rrr low rr/ grg g OWNS, ME w �Vgg U/ ri,("sals. ❑l Water's P", Owl I IN IN r IN/ DESCRIPTION OF WORK TO BE PERFORMED: a 5 r-0,0 (C"el S Identification- Please Type or Print Clearly OWNER: Name: l t,'Q v, F:k v-, o, Phone: Ci­�,3 Address: .)0 N c " -10C-AR O(CX(-Q- 14, AJ17,Ck4U2,r- , t1) 4 10t F?y3- Contractor Name: SCO Phone: Email: Address: 3S-b" -MA - S4 AT 1q, jot,Q, /1 0/E LJ S7 Q _7 Supervisor's Construction License: (S- ) 0106 3 —Exp. Date: Q*tIA401 7 Home Improvement License: 3Rci Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 00L FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to th guaranty fund 71 ------- 157 'f�77' �'s – 'bftire-dfi, I iq t Rif Q,k F tto " dover Town o-11 All r ® y li Ver, Mass, AAA T Q LAK111 COC HIC KH W4 ICK ADRATiEDR M� LD S U BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT ................. ... ......�...... ............. ... BUILDING INSPECTOR . .... ....... ....................... .......... .. . .. .. . .. has permission to erect g Foundation . Rough tobe occupied as ..... .. ...... . ....... ....%JA .. .. ..... . .. .... ... ...................... Chimney provided that the per ccepting this permit sha every respecconform 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN-6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service • ... ..... .. . .... ....... Final BUILDIN SP TOR GAS INSPECTOR Occupancy Permit Required to Occupy BurldlnRough 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. FREE ES TI ITES PROPOSAL Construction Supervisor Lia# CS102663 F,ULLY MS'URED H.I.C. Reg,# 138569 All Types of Roofrmg& Gutters 350 BERRY STREET e NORTH ANDOVER, MA 01845 TELEPHONE: 978®687-2247 PROPOSAi � QarEP ryIOU 3 16,gl.�BMITTEDTO 8,10" 3AO STREET JOB NAME f LOCATION to Plctcf— CITY,STATE AND ZIP CODE g JOB START DATE Roof', ,�),3 s � , C�SO•a0 CL std:., 0- (S[A1� ) G-0 ®v Q-r 3 T cx 16 tslk i`► rl�of ial s t -, ?C� �r i',�.e�`�-e� 0 r\ 0, L� �AvtzF y r-G`K e.S, A(p t-.t1 v jLhf b©o t 5 Wo Go a rd e\t- �,,, ,+I,\ n e,-,j 3 ,�) `X• +�fl' c,r�. � �c s�t r� �.e s ► t f fe n; IVA �, inC� �'c���c� "fir tr,� V� p ,� 2�1lC iW t desi rae� it rThc� N04, 0309q dQ-S"�IhAfed 00 We Propose hereby to furnish material and labor-complete in accordance w4th above specifications,for the sum of:$ 5-7501- Payment to be made as follows: J.Qi?�s ,) /c)-//6 All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike Authorized manner according to specifications submitted,per standard practices.Any alteration or deviation from abovespecficationsinvolvingextracostswillbeexecutedonlyuponwrittenorders,andwillbecomean Signature extra charge overand above the estimate.All agreements contingent upon strikes,accidents ordelays beyond our control-Owner to carry fire,tornado and other necessary insurance.Our workers are fully NOTE: This proposal maybe covered by Workmen's Compensation Insurance.Non payment by agreed party may result to litigation withdrawn by us if not accepted within days, with penalties including court cost and compensation both real and punitive. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted,making this a valid contract. Signature •4' You are authorized to do the work as specified.Payment will be made as outlined. `� / Date of Acceptance: d ! Signature F RIGHT GUrTERS 354 Berry Street No. Andover, Ma 01845 ffomeowner Information Contractor Information l noCompa:iylame CCVT t Q ► K*f- C� S iti •2 V` StrectAddress(dorotwoaPestOhic-00)c ddres>) CO3-,traCt0:/Sztesp .JOt�rer d104Cihhorne- Place Sceffi�J�t T Cityir"n stela Zip Cone 3w^:res5Addre55(-,stircicdEas, zd.re>s) 350 P ex\r BayimePhota Evetungihor,a city/10"n .tate Zip Coe �fal:ingAdd;E s(Itdihe:ertfromalo;E) BmsnersPhore ' b 7-d y` 7:edaralEmpioyerIDorS.S.Numb j!r:<tiTsrJrG=•.t CG:].:rRe:.tia-r.".� ?�—_—oc7t±`: Lo��n:,viref tt�t mrit kc�o . ns rFttzna:t: , The Contractor agrees to do the foltowlug tvorkfor the H'oweownert W (De-scribe!n detail the ti eck to completed,seer!yirgtha yge,bland,a^dgcadEoi mn;aim's to ba,:cd,use additiorzt shtats!fret sz v,) •�oo'�_ C�© overs' �i�`�'�''$ S/h� (cl��=r- �,' •�.� rr�U� � � Ckrdli[��t s�t�` s. P/ sem s�� � �c Pf-P3sC'I a RequiredPermlts-7Ite.folloriingbtvidingpennitsare required Proposed Start and Completion Schedule-The following schedttlewill and ivill be secured by'Le contract 011 M to agent: be adhered 10;less dre!unstances beyor:d tila contractors control'.tiso (Owners who secure their own permits will be exsllllded from the Guaranty Fund provisions of �___ D.=.'evvLe:l contractor vvitlbe n contractedwor r. UGL chapter 142A.) Data trllea contracted work will be substt+nti ally completed. Total ContractPrlce and Payment Schedule `.rite Contractor agrees to perform the work,rlunish thematerial and labor spech9cd above fnr the total sum of 'k5'7"—)0.00 (•) Payments will be made according to tha foLo`sing schedule; g—�,ad0,0b upon gningco,-.uac:(nottoexc:aiV3aftht,&.alcc- tra tprcape-thecostofspeci?1e:deritess,wMcheverisgea'er) 000,Q0 by /_orupucompletion of , S iso 00,00 by or/or upon completion of r '751-00uponcompletion ofthe contract. (Late rbidsdeznanding;itllpayznentuntilcoutsactiscompleted±obothparty'ssatisfactDx) T.afol!ci.i gmz:edaL'eaipr..erar >tL'as; izl S ___,:oc ,z:3 � �� �^ o:de:eibefo:aic ce:;!raedvro;kl:;irsinerd:r :Ori'•^.�t t'r;9 CC rip',ettectschedti:0(,•) S� :7�'9 r�'d;.. _..� _,.._ _ NOTES:(")Lnc:Cdi:igall f7namecltargs(11)Lav;req.jltst`atany depcsitordotia•nzymentreniredbyt^econtratArbefe:e wo.khap-smay rot exccedtho Graatecof(a)one;h?rd of the total con ractprica or{b}1hE ac;use test ofzr y space l qjiprnantor vistem made material iihl:h r.,ust bE spa:zl txdEred in edvcce:o n:eetthE comple:ica sehedu!s. Djirf 2Wnrranby-Ts an expresswarrantvbeing pwidedby_the coMrittor? \o0Yes bill fernisof the viarrantvmust henftathedtatincontmul Subcontractors•I1e conxccter agrees to be sole':y responsiblo for complod on of the wmic described regardless of ti-a actions of any third n rty/subce:tt ac:ar ut izcd by ti e ren tactor •Cee contractor fuller agrees to be solely responsibio for ail pa};rents to all sub-contrac:ors or materials acd labor tinder this axle>ment Contract Acceptauce-Upon signing,this document becomes a binding contract under law. Unless othendsenoted widtlrtVuseoct:ment,L:e contract,saailnot bnplythat any l±eacrotilersecur'tyinterest has beeaplac�doailia re-,idenca, Retie,vtIlefollut':ugcautio�sand;:aticas mxefidly before signing this contract. ® Donc be prwaedLato 5,-'gningtho contract.Tht-othno to read and fully ucdesiand it. Ask questions ifscmethingisunclear, ia.'•co sure d:e contractor Jim nval'd Hone Improvement Contractor Reaistration. 7 to law requires lnostLen:simproveulent contractors c:nd suacontractcrstoberegistere3tvithtboDirectorofdomeImprovementContractorRegistration, You may iaquireabout contractor xegLttration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by catling 617-913-8787 or 888-283-3757. ® Do.at;iecoetractorItaveinserauc,>,? Ask 10Contractor for Ids insuraacecompany infbrmatioasotltatyoacaacongnncove:aas,orascti. see a copy of a"proof of losluance"docunwal, 1{no•.v your rights and responsibilities.Read t*e Important Information on the reverse side of this fcrnl and get a copy of the Consume: 0nidet0tL•e vvmtImlrovement CoMr actor Lv" You may cancel this agreement if it has been segued at aplaca other than rite contractors Aormai place of business,provided you notify tae con tactor is writing at Itfsrner main ofce or branch office by ordinary m ail posted,by telegram seat or by delivery,not later than midnight of the bird bw ness day Mwiving the signing ofthis agreement. See the attached notice of cancellation form for an explanation oftllis right DO NOT SIGIN7 TMS CONTRACT IF TBERE ARE AINY BL.AaNK SPACES!!! .1�DLtg:'�'atueNaCGDC ) DntraCt r'S Sl�'lattlld /` o• Data Data The Commonwealth of Massachusetts z Department ofltadustrialAccidents X Congress Street,Suite 100 $OSt012,MA 02114-2017 b�. t www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Conti• ctors/Electricians/Plnmbexs. TO BE FILED WITH THE PERMITTING AUTHORITY. please Print Le 'bl A licant Information �� � ����S Name(Business/Organizationftdividual): 1 Address: 3 20 Q�C " � o l V s Phone#: City/State/Zip: - ` box: r7. E11N project(required); Are you an employer?Check the appropriate em to ees full and/or part-time),' ew'ConstYuctlon 1.Q Iam a employer with P Y2.Q I am a sole proprietor or partnership and have no employees working for me in . emodeling any capacity.[No workers'comp.insurance required.] 9• ❑Demolition 3. am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 11❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole 12.[]plumbing repairs or additions proprietors with no employees. 5.F1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E]Roof repairs These sub-contractors have erirployees and have workers'comp.insurance i i4. ther �9 0 0 y P r! � 6.QWeare a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tside contractors must sub t Homeowners who submit h X aff dt att lied an additional g they are sheegshowing the name of the eA work and then hire usub contractors and state whether or mit a now not ho eent ties have such, $Contractors thatcheck this employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ensation insurancefor my employees. Below is titepolicy and,job site X am an employer that is pr'ovidingworlcers'comp information. b 'M �V of 'h S, Insurance Company Name: L e V a ` CS _ 3 S, 3 9'719'7- 0 i S — Expiration Date: °! �'� aU(6 Policy#or Self-ins.Lic.#: (� O rob Site Address: o�0 i,�UAL-() `n P— ��G C e City/State/Zip: � >����� �� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). on e by a fine UP to$1,500-00 Failure to secure coverage as required under d ivIil penalties inthe form of criminal25A is a TOPiWOIRK ORDER Iand a fine f up to $250.00 a and/or one-year imprisonment,as w p be forwarded to the Office of Investigations of the DIA.for insurance day against the violator.A copy of this statement may coverage verification. t erti, under hepains ai dpertalit- ofpeijury that the information provided above is true and correct Xdo hereby c . Date: Signature: Phone#: Official use only. Do not write in this area,to be completed by city or town official. Permit/License City or Town: # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person: AIC�RQ® DATE(MM/DD/YYYYJ �✓ CERTIFICATE OF LIABILITY INSURANCE 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), CONTACT PRODUCER T A SULLIVAN INSURANCE AGENCY INC NAME: 135 MERRIMACK ST PHONEDE AX No METHUEN, MA 01844 E-MAIL ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED INSURER 8: I SCOTT WRIGHT DBA WRIGHT GUTTERS INSURER C: 350 BERRY ST INSURER D: NORTH ANDOVER MA 01845 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 26890575 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. INSR ADDLJSUBRPOLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S ,I DAMAGE TO RENTED S CLAIMS-MADE OCCUR PREMISES(Eaoccurrence) MED EXP(Any one person) S PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ r� — OTHER. S MBI AUTOMOBILE LIABILITY {EOa accc deD SINGLE LIMIT S ANY AUTO BODILY INJURY(Per person) S ALL OWNED r—! SCHEDULED BODILY INJURY(Per accident)', $ AUTOS jAUTOS j OWNED eacadnDAMAGE S i;HIRED AUTOS AUTO (Prret — UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DED RETENTIONS $ A WORKERS COMPENSATION ! WC5-31S-387187-015 9/30/2015 19/30/2016 f STATUTE fiRH AND EMPLOYERS'LIABILITY YIN �— ! ANY PROPRIETORIPARTNER7EXECUTIVE - E.L EACH ACCIDENT 5 100000 O=FICER/MEMBER EXCLUDED? FY N I A (Mandatory In NH) E L.DISEASE-EA EMPLOYEE S 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500000 ' I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers compensation insurance coverage applies only to the workers compensation Jaws of the state of MA. THE WORKER'S COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR SCOTT WRIGHT. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. 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. AUTHORIZED REPRESENTATIVE a LM Insurance Corporation ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 2.890575 1 1-387197 _5-1E 'r:C ( JagadeshO59C.Ap :,ibercyMucual.co,. 1 i gage 1 of 1 05/04/2016 15:06 9786817775 TASULLIVAN PAGE 02/02 A6C>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 05/04/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO.I THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERI,GE 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 la an ADDITIONAL INSURED,the pollcy(los) must be endorsed. if 3116ROGATION IS WAIVED,Subject to the terms and condltlone of the policy,certain policies may require an endorsement. A statement on this ca di icate does not confer rights to the certificate holder In lieu of such endoraemont(s). PRODUCER NAM NTA T Thomas Sullivan _ T.A. SULLIVAN AGENCY INC, PHONE PA S,, (978)681.8200 �MAr4 aDDr��s; ann(�lasulllvana enCy,Car 1 _ 135 MERRIMACK ST, INBURRR(S)AFFOROING:AVERAGE NAIDR _METHUEN MA 01844 INSURERA: LM INS CORP 33600 INSURERS: SCOTT WRIGHT INSURER C: DBA WRIGHT GUTTERS INSUpEFtD; w 350 BERRY ST INSURER E: - NORTHANDOVInR MA 01845 I auReRF; COVERAGES CERTIFICATE NUMBER: 50116 REV,SION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N/IMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOL IMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE'IEIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R TYPEOFINSURANCPPOLICY EFF POLICY PP POLICYNUMBER D1YYYY LIMITS I COh1MERCIALG2NERALL1A91lITY SACI OCCURRENCE ;< '.. CLAIMS-MADE 7-1 OCCUR j —..�..... 1 9E.3_(Es_occurrence>� - _ MgO�Xp(,Any cne_pe�vn) a NIA PER'ONAL&ADV INJURY 9 GEN'L AGGREGATP LIMIT APPLIES PER: GENI aALAGGREGATR $ POLICY CI PROT F-1LOCPROINCT9-COh1PlOPAGG S ^^y J5C7 OTHER: $ AUTOMOBILRI(ABILITY a e IN lil) CjLE LIMIT ANY AUTO BOD(.Y INJURY(Per person) $ ALL AUTOS CD AUTO$ULED N/A BOOI,YINJURY(Per socldont)!R NON-OWNED P�i X 3RTY DAMAGE 5 — HlRRDAUT09 AUTOS dn;:o a t UMBRELLA UAB OCCUR EACI OCCURRENCE $ EXCE99LIAB EjCLAIMS-MADE N/A AGGI,EGATE orzi, RETENTION& R V WORKERSCOMPENGAYION X ER TH- AND EMPLOYERS'LIABILITT Y/N TATUTE ER ANYPROPRIETOR/PARTNEWEXECVTIVEE.L.E\CH ACCIDENT a 100,000 A OFPICERrMI M6EREXCLUDED1 NIA NIA NIA W0531$387187015 09/3012015 08/30/2010 (Mandatory In NH) E.L.t ISEASE-RA EMPLOYt:E R 100,000 � . RIPTION OF OPERATION$below E.L.I ISEASE-POLICY LIMIT S 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addnron4i Remarks Schedule,may he ottoehad It more spate Is required) Workers'Cornpenaetlon benefits will be paid to Massachusetts employees only.Pursuant to Endorsemont WO 20 03 06 B,no suthc'izatlon h given to pay claims for benefit&to employees in States other than Massachusetts If the insured hires,or has hired those employees outsido of MassachusBttB. This Certificate of insurance shows the policy In force on the date ths(thlB certl(Icate was ISSuod(unless the expiration date on the al ove policy precedes the Issue data of this certificate of Insurance), The status of this coverage Con be monitored daily by ACCeSsing the Proof of Coverage-Coverage Vertfic Itlon Search tool at \www.meas.govnwd/workers-compensailon/(nvestigdtlons/. Sole propriotor hes not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THR ABOVE DESCR BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOI', NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PR(IVISIONS, 1500 Osgood St BLDG DEPT Bldg 20 Ste 2035 AUTHORI2EO REPRESENTATIVE North Andover MA 01845 Danlel M.CrD�yjfay,CPCU,Vice Pres dent—Residual Market—WCRIBMA ®1988-2014 ACORD I'.ORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are reglstered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-902663 s»r yrs Construction Supervisor SCOTT W WRIGHT rs 360 BERRY ST NORTH ANDOVER M�18 �- CA Expiration: ' Commissioner 08/12/2017 Unrestricted-Buildings,of any use group which contain less than 35,000 cubic feet (991M)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. for DPS Licensing information visit: www.Mass.Gov/DPS b - -Office of Consumer Affairs&Business Regulation fy `'IOME IMPROVEMENT CONTRACTOR _x - Registration: •138569 Type: %Expiration: 4/14/2017 DBA WRIGHT GUTTERS SCOTT WRIGHT 350 BERRY ST. NO.ANDOVER,MA 01845 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 t Not valid without sIgnature