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HomeMy WebLinkAboutBuilding Permit # 6/2/2016 I BUILDING PERMIT TOWN OF NORTH ANDOVER �� � :`` 46 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received L—L �Ss�acHus��c Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 4 �°"�,�c�'rtis LAfv(„ Print PROPERTY OWNER 4p,,i V `t.� Print 100 Year Structure yes no MAP �a PARCEL: r2 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other dr (,sn,:t 5 ! / a c y r,v� r :;m< r,< use .„ J " ,f w,J` i� � e F�icf�N�❑,1NelI � ������ .� ❑f Flooain��� p Wetlands J� � r:f �❑ �1NatersheclsDistrtct��rr��r,�,�% �; ,+r .x P- c", �r.:. ,�;, ,a✓ k �... .r ✓ z- ,, <:� .� r l r,,,,r,,.«, /r. , �%✓ra, r t x� �. ..w. 2 nsx}'f"..4�4x 'S*',G a �/r Xv i.f." r �r c4 .N. +� n-✓'!'u� b'-:urs ,.,.?f!!n. .�'. ;r,<rx.; x�,. ,;,. � „{, x ��r ;)� � x �. �?"<� -r, ..,r...r cr,' r ,:.x/x"it ";„s--,. x ,.. � .�,,. "fit r 1 s ,.-h.:, rd✓,"�.,,:�, ,.�.c���+r�% .,:t.�''�' ,:" :'z x,�"re..... ,r'L/aj r:,.,G rf o✓f „c. .£.. ,.:., r:. i` �?sus,.:� ."�`.�.?s` �'.5"r/ .. .1 � ✓� >1�.:'�/ yr ..`fir < 9.. ✓� ,v'..r'�"' ? �'l; ✓7 x K ,.t' -_ < , ..<,. `n/ xl ...m ;x -�✓ .,,.�..a,^ �r��. rF r� :u..f�. ,ji.x rf�t, r�� "'Jk v�.,.�fr. i. .�. 0` laerl�Sewer .r, ,. ,?✓a.J�rr Yl�:.�'„e l'r.,�. ..;:.,dl�.,,,' �:�%'r s:_,.�rr,/. r ,rrk��, `S�„ r �F-.>/ DESCRIPTION OF WORK TO BE PERFORMED: 't Identification- Please Type or Print Clearly OWNER: Name: �.�M- Phone' Address: r� Contractor Name:,Z)�,, N(, aPhone: �0 -t — — !a9't, Email: Address: Supervisor's Construction License:'�,'�'�^ ®��t `�tta€� Exp. Date: f ( 1 Home Improvement License: " fir �� 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. Total Project Cost: $ Z� _ � FEE: $ , Check No.: l Receipt No.: � NOTE: Persons contracting with unregistered contractors do not havelaccess to the guaranty fund AOR TH Town ofI , ndover 0 CO a a.cff ver ass, COCMIC M@WICK yIt- ,®� RATE® I,P¢��� L9 BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ® BUILDING INSPECTOR .............. ............ ........ ...... ......... . ® ....................... .......................... . Foundation has permission to erect .......................... buildings on .................. Rough tobe occupied as ........... . .. ...... . .. ...... . . . ........................................................ Chimney provided that the person accepting this permit shall in every 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service ..... ...... .. .... }}'' ....... Final BUILDI INSPE�i 'OR GAS INSPECTOR Occupancy Permit Required to Occupy Bu Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing r Dry Wall Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Proposa J Sash & Door Co., Inc. Quo #: 109948 Manafastur�rs&Distu'butm 1{ DOOR-WINDOW5 -MILLWOP& 280 Second Street,Chelsea,MA 02150 Route: NONE (617)88449.46 1-800-648-9339 Fax#(617)854-9288 Page: 1 of 3 OME OF OW anvwj6sash.cam Quote: 04/21/16 M: PRo300I Ship-'-Q: Sched: LINDSAY BUDZINSKI r_�,� INSTALLATION 36 HANNON�LANE �.. 36 SHANNON ri LANE Pnted H NOR ANDO IER MA 01845 NORTH ANDOVER MA 01845 Date: 04/21j16 Time: 07:50 AM Pho4e: (6170 365-7790 Phone: Atln: Cie Email: BRE7TBUDZNSKi@YAHoO.COM End: OD I n: Out: Terms: COD Your order: LINDSAY BUDZINSKI MEMer instruct3ons Net Lire # Item Number Description Quantity U/M Net Price Extended Remar : GARAGE 0002.00 SOHUTTIG PREHUNG THERMA TRU DOOR UNIT 1.00 EACH 712.10 712.10 2/8 X 6/8 (R/o 34 1/2"X 82 1/2 SMOOTH STAR FIBERGLASS S210 STYLE LH INSWING PRIMED W/ FRAME DEFENSE 8 1/8" JAMB **RIP TO 7 7/8" PRIMED FRAEM SAVER W SILL EXTENDER TRU DEFENSE COMPOSITE ADJ SILL LIGHT CAP MILL FINISH SATIN NICKEL HINGES DOUBLE BORE 1X10 AZEK EXT CASING CUT AS EXISTING CASING 2 1/2" COLONIAL INTERIOR CASING .(EXIST R/0 34 1/2 X 82 1/2 CLAPBOARD SIDING) LOU0 3.00 SOEMTEK EMTEK SATIN NICKEL.CORTINA 1.. EACH 214.00 214.00 LEVER KEYLOCK AND SINGLE CYLINDER DEADBOLT .00 STALL INSTALLATION OF ABOVE INC 1.0 EACH 1,249.00 1,249.00 REMOVAL DEBRIS FROM JOBSITE AND BLDG PERMIT FEE Propose S. A sCo., Inc. Quo #: 109948 Manufadxum&Distn'6ators H DOOR—WINDOWS -MILLWORK &D00- NOR 280 Second Street,Chebea,MA 02150 Route: NONE (617)s84-8940 1-800.648®9339 Fax#(617.)8849288 Page: 2 of .3 �Ml OF W BOYS www�'bsash com Quote: 04/21/16 IQ: PRo300 Sched: LINDSAY BUD, INSKI INSTALLATION 36 SHANNON LANE 36 SHANNON LANE PrJnted NOR ANDOv�R MA 01845 NORTH ANDOVER MA 01545 Date: 04/21/16 Time: 07:50 AM Pho e: (617 365®7790 Phone: Attn: CO- Emai : BRETTBUDZNSKI@YAHOO.COM En ! : EOD In: Out: 36 Terms: CUD Your order: LINDSAY BUDZINS I Net Lire # Item Number Description Quantity U/M Net Price Extended -7 k: NOTE: IF S206 STYLE 15 PREFERRED, THE COST OF THE DOOR WOULD BE $764.30 vs. $712.10 ® ALL ELSE TO REMAIN THE SAME *OWNER AUTHORIZATION* 1, ��``'��"` as Owner of the aforementioned property hereby authorize (print name of owner) JB Sash&Door Co:Inc.to act on my behalf during the work authorized pursuant to this application. Owners pulling their own permit or dealing with unregistered contractors do not have access to the Arbitration Program or Guar Fund et forth in MGL c.142A) Signature of Owner: Date: i Proposa.T-- -- JB Sash & Door Co., Inc. Quo #: 109948 Manufacturers&Dl m'butars DOOR—VMOWS -MILLWORK 280-Second Street,Chelsea,.MA 0215D Route: NONE (617)854-8940 1-800-6483339 Fax#(617)884-9285 Page: 3 of 3 Q OFE+ Q1 -wwwjboash.com Quote: 04/21/16 M; PR0300 Sched: LINDSAY BUDZINSKI INSTALLATION 36 )HANNON LANE 36 SHANNON LANE erinted NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845 Date: 04/21/16 Phone: (617 365-7790 Phone: Time: 07:50 AM Anna Ce 1: / Email: BRETTBUDZNSKI@.YAH00.COM Ent EOD In: 36 Out: 3b6l Terms: COD Your Order: LINDSAY BUDZ NSK JB Sash & Door company is a LeadmSate.Certified Fir has fulfilled the requirements If tndhe Toxic substances Control Act (TSCA) section 402, and has received certification to eouct lead-based paint renovation, repair and painting activities pursuant to 40 CFR Part 745.89 as required by the United States Environmental Protection Agency. Certification # NAT-21346-0 J.B. sash & Door Co. takes no responsibility for unforeseen deterioration of structural {rembers in walls in which new window or door units are to be installed. we also will not be held responsible for changes to plumbing or electrical systems. Furthermore, existing shutters, storm windows, and shades may not fit once your new replacement windows are Jnstalled,. and as such is the responsibility of the homeowner. Payment in full is to be collected by installers at the conclusion of all jobs. In situations where punch list items exist at the completion of installation, is Sash will determine a reasonable amount of the balance due to he retained by the customer 6til punch list item(s) have been completed. Any and all costs incurred in collection of outstanding balances, whether or not resulting in litigation, including but not limited to reasonable attorney's fees are the responsibility of .the undersigned/purchaser. We PROPOSE hereby to furnish material and labor - complete in accordance with above specifications,. for the sum of: 7w0 THOUSAND TWO HUNDRED THIRTY-TWO DOLLARS AND 98 CENTS 2,232.98 payment to be made as follows: 33. 1/3% DEPOSIT BALANCE DUE C.O.D. Authorized signature: I 78S MASS. HOME IMPROVEMENT CONTRACTOR REGISTRATION #152085 ACCEPTANCE OF PROPOSAL a The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of acceptance: "` signature: ,05 PRICES SUBJECT TO CHANGE WITHOUT NOTICE. Merc an ase...: 2, 75.10 Tax. ........... 57.88 Misc Charges..: 0.00 Quote Total...: 2,232.98 - -December--3j--201-5------ - ------- To Whom It May Concern, Gary Jenkins is authorized to be an agent for Rick Bertolami and JB Sash and Door Company as it pertains to the application of permits. Thank you, Rick Bertolami JB Sash and Door Company 617-884-8940 RThe Commonweam of massachusetts. FrIEM IT r�d Department of IndustridAcciden& O of lnvesdgadont - 1 Congress Stree4 Suite 100 r Boston,MA 02114-2017 wwttcmassgov/dio Workers'Compensation InsuranaAffidavitz Builders/Contractors/Electrics moffllumbers. Aoalicant Information- - Please Print Lege Name(Business/OMAizadodlndividuai) � �� - _ bjX Address: Ci /State/Zi • l�c .: Are you an employer?Check the appropriate boar 1. I am a employer with 4. I am a enerai TYpe of pro ject(required);. ❑. g. contractor gad L employees(tlrll andior part dme)*. have hired the• 6..❑New-construction . 2.❑.I am a sole proprietor,or partner listed on the attached sheet. 7. ❑Remodel ng: s and wave no—�--- -- ---The_e A&;4d_treatbts&M-7.— --- - --.-- -- emp oyees -- -- - — - . 8. Demalition.. .. . working-for me in any capacity: employees and have woricros# ❑ [No workers'comp.insurance, comp,insurances 9. ❑Building addition `• required.) 5. ❑ We are a corporation and its: 10.❑Electrical repairs or additions: 3.❑ I am a homeowner doing all worlr : officers have exercised their. 11. ❑Plumbing repasts or additions.. myself[No workers' 12.comp.. � right of daremptlae per MGL..: insurance required:}t•:.• c.152,11(4),%f and we have n0., ❑Roof repasts`.. eIDp1oyew.[N6 worloaist: 13.x3 Other} c t Mw applicant dot dmb boo[#t mut rico till outdo section below Aawing their wor'bw Homownswosuak he®dau1 at wet sd tltsbke astrd.Conu'kad" hkddtbamuttsdod•eddkimdsbmtftwiqdermolds=b-m eoetrtrsclatf aoodmrst suebwmbodsw naoer ns�odhnuit eadda he employee& if thenboftul=hm MPWYNM yaf mast poaide dteir warbo'romp.policy number.:.,. lam oa employerthat h pravidlnd,trorkas'conspptreNosr bran oP Informadon► j my axptoyom Below Is the polky and Job sits,. Insurance Company Name: Policy#or Self-tris.Lia C.� U, � __ Expiration f _— Jots Site Address: Attach a co , �ry/statdZip• � � !y of the worker compeasatbe policy decladtb Failure 2 page(showing the policy numher and expiration date). to secure coverage as required under Section 25A of MGL a 152'can lead to the imposition of criminal fine up to$1,500.00 and/or one-year impdsomna*,as well as civil penalties of a Penalties in toe-form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a*copy of this statement may be forwarded to,the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certYJjr undo the pains d enakin ojpajrrq that the Infonnadonprovided above it tme and correct ` Signaturm Da Phone Of,jletal use only. Do not write in thb area,to be compIdad by city or town ojjtcia[ City or Town: Permit/License# Issuing Authority(circle one): ------------ 1. Board of Health 2.Building Department 3.ClWrown Clerk 4. Electrical 6.Other Inspector 5. Plumbing Inspector i Contact Person: Phone#• JSSAS"DO ClkanW:635081 N THE CERTIFICA DATE.(fi=DivYM AGOR ,M. ! I . LIA : 9 I INS 1129!2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION�NM�NN®°� D�®�R AL ER THE RIGHTS AFFORDED BY THE POTE L CIESR. IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.THE ISSUING INSURER(S),AUTHORIZ REPRESENTATIVE OR PRODUCER,AND ThE CERTIFICATE HOLDER. IMPOR terms andOcthe ceons of the policy,certain. policies N BLPna���q�re an enidorCleme g Astatementeon this certificate does of con®e$righfs to the the certificate holder in.lieu of such endorsement(s). coNTAcrChris SmithPRODUc NoCER NAME. 877-775-0910 USI Insurance Services LLC E CC NNo EXI: ar 103 Main St aoD�ssr christine:srinifih�usi.biz INSURER S AFFORDING COVERAGE NAICN So Glens.Fails,NY 12803 23.043 . IrIsuRERA:Lib"Ml�ttsal Insurance Co First'Liberty insurance Corp 335.88 INsuRER e: INSURED J S Sash.&Door Co Inc INSURERC: 280 Second Street INSURERD.-. Chtiisea,MA 02150.710 INsuRER E INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION:NUMBER: ' LICY RIOD THIS•IS TO'CERTIFY TMAN ITHE NC ANYCREQUIREMENT, TERM!OTR®ONDIT ON OFBELOW EANY CONTRACT ORH THER DEOCUMEND WITCH RESP CTETDOW ICHETHIS INDICATED. NOTWITHSTANDING BE TA 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.BS. LIMITS SHOWN MAY HAVE BEEN P EIf B I,I'1Df eXB�IMS' LIMITS, MORE LR. TYPE OF INSURANCE INSR W W POLICY NUMBER MMIDD EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY M��Ea Mrtence $ CLAIMS-MADEF-I OCCUR MED EXP An one Person_$ pERSONALAADVINJURY $ GENERALAGGREGATE $ GERLAGGREGATE LIMIT APPIIESfER: PRODUCTS-COMP40,PAGG $ PRO= POLICY Q JECT '�LOC $ OTHER: COMBINED SINGLE LIMIT 1,000,000 g AUTOMOBILE L1AB8 rrY AS6Z11243358036 //0112016 01161/201. Eaacdaen BODILY.INJURY(Per person) $ ANY AUTO BDDILYINJURY(Per aWdent) $ ALLOOWNED X SCHEDULED PROPERTYDAMAGE $ NOT0SWNED Per accident X HIREDAUTOS IX AUTOS $ EACH OCCURRENCE $ UMBRELLA Los. OCCUR AGGREGATE $ EXCESS.LIAB CLAIMS-MADE $ DED RETENTION$ A' pop mtscoMPtNSATIONLIASILITY VIN WCCZ11243358015 7101/2015 07101/20.1 3CE.L EACH ACCIDENT om- $500000 ANY'PROPRiE. PARTNERIEXECUTNE DFFICER►MEM 0 EXCLUDE NIA E.L.DISEASE•EA EMPLOYEE $50O 000. . (Nandatoryin NH) E.L.DISEASE•POLICY LIMIT $500 000 .ifyes,dessrlbe under • DESCRIPTION OF OPERATIONS below DESCRI AS E1/1DENCE Pan ®F taOVERA�E ASO 7TIiE�®ATE OF ISSUANCE be.eased itmore space�raqu►red). ISSUED CERTIFICATE H . CANCELLATION OLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE J.13.Sash&.Door Coinpany,Inc. THE EXPIRATION. DATE' THEREOF; NOTICE tMLL'BE DEllVERED' IN . ACCORDANCE WITH'THE POLICY PROVISIONS:' 28O Second S4 Chelsea,MA 02150 AUTH6RLEb REPkESEPiTATWE ©99884014.ACORD CORPORATION.Ali rights reserved: ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACOR.D e�nn�rt� -. ewawotRAA4DA B6o2�� JBSASHDOOR URANCE DATEIMM111111"Y" A C 0 RDT. CERT CATS OF UABOUTY WS 410312016 THIS CERTIFICATE 13 ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER I INCATE 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 REPRESENTA11VE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the poucy(ies)must be endorsed.It 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 NAME: Certificate Desk HUB International New England P AIC,No FAX (At Et):978667-5100 (A/C,No): 978-986-0038 600 Longwator Drive ADDRESS: Norwell,MA 02061 INSURER(S)AFFORDING COVERAGE NAIC# 781 792-3200 INSURER I.Hanover insurance Company 22292 INSURED INSURER B J B Sash&Door Company,Inc. : INSURER C: 280 Second Street INSURER D: Chelsea,MA 02150 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 IN CD-DL —POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR!d=D POLICY NUMBER (MrVUDDIYM A GENERAL LIABILITY ZDN908109903 D312312016 0312312017 EACH OCCURRENCE_ $1,000,000 D RENTED PREMISES occurrn,) $100,000 X COMMERCIAL GENERAL LIABILITY AE CLAIMS-MADE 51OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 RO POLICY51SECi M LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (E, .dd.ntl $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per acdclent) $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED $ HIRED AUTOS AUTOS Per accident A X UMBRELLA LIAB X OCCUR UHN904569703 D31.2312016 0312312017 EACH OCCURRENCE_ $6,000,000 4EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X1 RETENTION$O $ WORKERS COMPENSATION %0 OTH- S1 IER AND EMPLOYERS'LIABILITY YIN ANY PROPIRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT _ $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If E.L.DISEASE-POLICY LIMIT $ DESCRIPTION describe under OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATEHOLDER" CANCELLATION EVINDENCE OF COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE.WILL. BE DELIVERED IN JB SASH&DOORS ACCORDANCE WITH THE POLICY PROVISIONS.' AUTHORIZED REPRESENTATIVE CQRArese ed. 0 ORA: ts ry _s _RD_ 0 TION.All.righ D QL_ ACORD.2542 CORD-name and logo are registered marks of Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-067268 = _ Construction Supervisor 1 a 2 `� F Family F i RICHARD L BERT&Ad 35 SUNSET DR y BURLINGTON VA 0: f Expiration: Commissioner 11/2112017 j i Office of Consumer Affairs and Business Regulation ,= 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement drector Registration Registration: 152085 Type: Private Corporation l s(1Expiration: 7/28/2018 Tr# 419291 J B SASH & DOOR CO, INC. RICHARD BERTOLAMI ? r SECOND STREET ` ' 280 CHELSEA, MA 02150 <=., ' Update Address and return card.Mark reason for change. Address Renewal Employment E] Lost Card SCA 1 � 20M•05/11 99L Office of Consumer Affairs&Business Regulation License or registration valid for individual use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Registratio '°y 52085 Type: Office of Consumer Affairs and Business Regulation k, �^ 10 Park Plaza-Suite 5170 Expirati= /-^Q18 Private Corporation ! ``� Boston,MA 02116 J B SASH&DOOR,—Wd111C r"rte � F RICHARD BERTOI ,�M U9 << 280 SECOND STREET. CHELSEA,MA 02150 Undersecretary Not valid without signature