HomeMy WebLinkAboutBuilding Permit # 6/16/2016 NORTH
BUILDING PERMIT 0& ....
TOWN OF NORTH ANDOVER
�2 a
APPLICATION FOR PLAN EXAMINATION
Permit No# � �� Date Received ��A'�
eco-us
Date IssuedtJ ._ �Ifl O�
( - IIb fl A�plrc ant must complete all items on ihisage
L.. - - - - --- a-�---
LOCATION & � "o& eft °
Print
PROPERTY OWNER
Print
100 Year Structure yes no .,
MAP UQ PARCEL: ZONING DISTRICT:-------Historic District yes n
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
- —-
Residential Non-Residential
- _ _- _ _._..-
-- - -- -- - - - - - - - -.
[,i New Building One family
❑addition ❑Two or more family ❑Industrial
-- Alteration No.of units: L.J Commercial
CI Repair,replacement ❑Assessory Bldg ❑ Others:
Fj Demolition ❑Other
dr,d � �elyiF
/,
DESCRIPTION OF WORK TO BE PERFORMED:
------ Identification- PleaseType or Print Clearly ----
OWNER: Name: C Idents Stion Pl Phone: 9 7 Oe
Address: C7 �e �e� IM A9: .vt,
- ..... �_. _. — _ —
Contractor Name: Phone: l Zr'3 50O
Email: 5&A6WAL� exec cV� k
Address: ,V� stt+ AeV\ VA
Supervisor's Construction License: )676 JS Exp. Date:
Name Improvement License i M60 p -_ � �.0
Ex Date:
ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT.'$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PERS F
Total Project Cost:$ � . ' ,_. FEE:$
Check No.: Receipt No.: �L
Is 0 1EPersons eontr actr.ng w Iz unr egrstered contractors do not have acct ss to the guaranty fund
✓°a
r �.ot
----.._Sag_,..,..u,- ,�
Plans Submitted[] Plans Waived Certified Plot Plan [_] Starnped Plans [_I
_. .--
CYI'.hO.l STwpl(A(3TU.C,SPOSA7^ — _ _----
Public Sewer
Tarming/Massage(13ody 1rE ( Sw n rung pools CI
well L.J
Tobacco Sales [--� FvodPaalurging/Sales
Private(septic anile,etc. n— permanent Dmpster on Site [J
El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
.—INTERDEPARTMENTAL SIGN OFF-1)FC)t2M
PLANNING&DEVELOPMENT Reviewed On ���7�� Signature_��t,���
9MMENTS_ 4i kk ktp �. - -------—--
C ONSE VATION Reviewed on `; 1 Sianafure
MMENTS___L
HEALTH Reviewed on -- �---
COMMENTS
Zoning Board ol'Appeals:Variance,Petition No:
-----.___Zoning Decision/receipt submitted
Planning Board Decision:__ — Comments
Conservation Decision:_ -_ comments_
'later&Sewer C onneotieaa/Signatcare tae —---------------
-------__ DriveWq permit
DPW Town Piaagineea;Signature:
--— _ _ Located 384 Oe og Street
FIRE,DEPART-MENT -Temp,l7umpster an site
Locate at 124 Main Str et yes, — —ne
Fire Departraoent=signataare/date , '
COMMENTS -
of2 �,
And,�®RTS, over
leo®
%
* � � h ver, Mass, ZA/46
0
F-% BOARD OF HEALTH
Food/Kitchen
PERMIT T I L OLO"J' "0"Y"'m
THIS CERTIFIES THAT.............. .... .4D. &Ae..... ... ............. BUILDING INSPECTOR
% Foundation
has permission to erect..........................buildings on../a.....#,S#.r#..... .......... Rough
to be occupied as. . x............................................................... chimney
W...permit shall in every respect conform to the terms of the application
provided that the person Otc, in-� 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 CO TR TION SRough
Service
Bul D.iN Final
G PE OR
GAS INSPECTOR
Occupancy Per Required to Occupy Building 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 Approved by the Building Inspector. Burner
Street No.
Smoke Det,
archadecka Contract# 3689
C7
THIS CONTRACT is.made and effective on the 's1 day of r4 L r 201�—in the Town of Burlington and the Commonwealth
of Massachusetts,by and between
(PURCHASER),at—L0 C(AL No f%1',A,�A ovff t�,A and
loaa 0—--Q
Advantage Design&Construction,Inc.dba Archadeck of Suburban Boston(BUILDER),for work to be performed at
VA CaA�l G1 CCIU- 13 �AA ,written terms and
(the PREMISES)in accordance with the
specifications of this CONTRACT(the WORK
THE WORK shall include the Deck IN/Porch Q Sunroom ZI Patio Q Other
(5-,c
1. BUILDER shall furnish the services and material for performance of the WORK on the PREMISES described on the Design Proposal(s)(signed by
PURCHASER and BUILDER)and numbered 3689 and as specified on the Archadeck Specification Sheet(initiated by PURCHASER
and BUILDER),each attached to and made a part of this CONTRACT,for and in consideration of the payment to BUILDER by the PURCHASER of
$ 5 94Z for the WORK
4M
$ -1 700 for other(describe)-A 0 -5 L-�� ot4�6,/S --.__Jet a total of 4
$ Lgw,4 2-
together with any amounts set forth in any addenda her (TOTAL CONTRACT SUM)
2. The TOTAL CONTRACT SUM shall be paid to BUILDER as follows: P�31 at=date su completion date 7 J 6
Down Payment(due at signing this CONTRACT)$ 44 U1
Progress Payments: due on
fo 4, f
due on r.,
$ 8 due on
$ 6609 dueon 54'otl'r ratty
$ 3 due on substantial completion of the work
Down Payment by IJ C.11 'lack J Other
3. OTHER TERMS:
4. The Down Payment may be used to purchase material necessary for performance of the WORK.BUILDER shall be entitled to final payment upon
substantial completion of the WORK.The WORK is substantially complete when all items described in this CONTRACT have been constructed or
installed.Substantial completion shall not include adjustment,repair,replacement or cleaning of any item so constructed or installed or final inspection
by code official.PURCHASER shall be entitled to one punch list prior to final payment.Requests for adjustment,repair,replacement or cleaning of any
constructed or installed item shall not be cause for delay of final payment,but rather shall be considered warranty items.After five business days from
substantial completion or from any progress payment milestone,the unpaid balance of the TOTAL CONTRACT SUM or of the PROGRESS
PAYMENT(S)will be subject to interest charges as allowed by applicable state law.PURCHASER acknowledges and agrees that this CONTRACT shall
serve as the invoice for progress payments and for the TOTAL CONTRACT SUM and that no additional invoice will be provided to PURCHASER for any
part thereof.
5. Modification to the WORK or CONTRACT will be made only when a written addendum describing such modification has been signed by both
PURCHASER and BUILDER.There may be additional charges for any changes,
6. The WORK will be warranted by BUILDER in accordance with the terms of the Archadeck Warranty,Existing structdies to which the WORK may
be affixed to or interconnected are not part of the WORK and will not be covered under the Warranty.This Warranty is issued to and only applicable to
the PURCHASER after payment in full of the TOTAL CONTRACT SUM,A sample Archadeck Warranty form is attached to this CONTRACT.
7. The WORK will meet or exceed the live load bearing capacity required by all applicable local codes,provided ho.ever,that installation
of overweight deck accessories(such as,but not limited to,porches or spas)that are not disclosed as set forth below(1)may exceed the load
bearing capacity of the WORK,(2)may lead to damage,and(3)will void the Archadeck Warranty.
When overweight deck accessories are specifically identified in the CONTRACT(Disclosed Accessories),the WORK will be designed to
accommodate Disclosed Accessories and the Archadeck Warranty shall be in force as to the WORK bearing such Disclosed Accessories,
provided the use of the Disclosed Accessories corresponds to the part of the WORK that is designed to accommodate them.
PURC ASER and BUIJ,DF,R b—hv snecifically acknowledge the fnreening Archadeck Warranty limitations by the executir�.n and delivery of
this CONTRACT.
8. PURCHASER and BUILDER shall each have the right to cancel this CONTRACT without penalty or obligation prior to midnight of the third business
day after the Effective Date of this CONTRACT.Upon cancellation of this CONTRACT within this three-business-day period,BUILDER shall return to
PURCHASER any consideration paid to BUILDER hereunder and PURCHASER shall return any material or drawings provided by BUILDER.In order
to cancel this CONTRACT,PURCHASER or BUILDER shall send a written notice ofeancellation to BUILDER or PURCHASER,as dre.case may be,at
the address for BUILDER or PURCHASER set forth in this CONTRACT within such three-business-day period. I/
9. This CONTRACT shall not be effective and binding upon BUILDER until countersigned by a duly authorized officer of BUILDER.
ADDITIONAL TERMS ON BACK
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
PURCH7SER BUILDER: A az�D sign&Construction,Inc.
-a
,a�
Tsig t
6,l,C,
(Prior Name) (Pont N—a) _J (Design Consultant)
COUNTERSIGNATURE:
(signature) (Signature)
(Pd`ot Name) (Print Narce) (Acth.ri7ed Cumerce,Office,)
16 Adams Street,Burlington,Massachusetts 01803 Fed.Tax ID: 04-3736549 Home Improvement Contractor's Registration Number 138160
whit.-Offi". P-1—e.
Wall Framing Plan
Delobis 4 Mark Rohrer
10 Heath Circle, North Andover
5-April-2=
Drawn by:AC Scale 1/4"=1'
(2) 2xI2 Seams
——-----------
fa ;41
..........
Archadeck of&,burbo,r3o,,k—,
Debbie 4 Mark Bohrer
10 Heath Circle, North Anidover
2l-April-2016
Drawn by:JRF Scale 1/4"=I'
8�nr hs, 2u}2 Rfclos f5car'tr'I
_. 1. __.. .._.... . ..
Rcc�f Outline
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Arc4r as:U�ck cf;auHa�.irFaeln 13"Wcri
.. xj ca lI '�!u'�'7'"+,� ',.;+Y2i"', f'-Asad lswYa I 'r 15 �""7,aaf,a.
amine l 2 or stn^„°mgr FF:
_,.. I" .a1f hr, a 1,41y,,� i"ullh Flit , rulllr"lc,
R 'at' fs 9upr.%,,rt„r;,'i Gal e..cgitfr7luc,,ru.,, k1.:"!dar, (2.) 2,M.6
afll.n° ars k.Hpr'ar tl,'r: ;a l t
I�°� ?�'Ir,w,, 1 R i s 1
it Ir
Callinq Framing Plan
Debbie 4 Mark Bohrer
10 Heath Circle, North Andover
27-Apm-2010
Drawn by:JRP Scale 1/4"=I'
Strnn5;J'•b6c, on
top of Ca ,Jo lata
files'*2411A
^^
Roof Outline
4X6 r B ilia f Ja.izta if r""
�. ArcdJac'evwt e faatene 4i to raftexs
1
(2)2x4~Cellirt„J JOVA¢a Eva;a OUJ Hip
,� _ , � Hip
o �e^e I �t �'�.�a4't,Kr te
' ,�nr,�u,loM�rd vr^�Esncil
t,,; rvzaft r, Third .. ,JoH,^t filla few
qbetween, wa4a,are feasible
_a e rt 2xS C elliu°Ix.J Joists
Y'npyrl�hh Y.CJIi&+,
A�Ychil.:deG.k wv4'4aU»'aurbr'.In 2�v.�CiEYJrY
eflfror °r m1rJ: Notes;
�I
_A. Ce-, Hnq .Joists are 2x6, 16" 010
'.e19Yw ,.)oa ats are adjacent $ Fast ned to FRaFterre
-eIIinl.d Joiistrr are Nastened to WaH sadsra tae.✓ "rfmb'sv Lok az reaJa
2x s / 2x4 Strom-j e4ck to attached to top of fes", Joists
UNHEATED
PORCH SECTION
SCALE:314"-I'
Copyright 2015,A-hadeck
12
ASPHALT SHINGLES 2,5
BITUTHANE ICE
WATER SHIELD
CWHOLE RODF) '
5/a'CDX SHEATHING—
2X8 RAFTERS
DRIP EDGE-
RAKE MOLDING y ,
BEADBOARD PANEL
(2)2x12 H.—-1,1 U2'Sp—
b X 6 PT PINE POST
EXISTING RESIDENCE
t
F"
d DECKING
BLOCKING AT
KIST MIDSPAN STAINLESS STEEL
FLASHING
V�
BITUTHANE FLASHING
2.8 KIS1S,ib"C �RANG6�
-- - LEDGER LCK
SCRBLS 6"OIG
eU 2 x ID BEAn _ [atsgEsred3
EXISTING FOUNDATION
FOOTING BRACKET �
� > L
/r
Z\ J r
HELICAL FOOTING
DECK SECTION
SCALE:314".I'
rz.p�,Ight 2012,A-.HacI..k
I F-
PVC-06T 1
EXISTING RESIbEMCE
PT 4X4 RAIL P06T -0, stlill",st'll
FLASHING
1.4 C.—
BLCCKING QOcklr, J015T HANGER
PE.K TRIM vi
2x B J,'T
(2)2.. LEDGERISER LOK
CREWS 6"O/C
EXISTING FOUNDATION
BITUTLANE PLASHING
Fix 6 COLUMN
GALV,S EL B AGK
HELICAL FOOTING
3 3/4"
s' Tc7�RAIL.
_._....._. ...!„aUE RAIL
.......2x2 Cs44 ar EAAU5TER.6 ..r_.
1 ...._--EBOTTOM RAIL
----
V�'EG7'fJ �
..._ ...,.-._....tSEhINr,RAIL PC.?5T i
A X A POST ATTACHED W/(2) 1
',..._.._... _.....-...,.,-1/2" X 6" CARRIAGE EULT5.
fPC75'f::SPAN 5' U.G. MAx,)
Mw^
pp
Dock and Porch Plan
Debbie 4 Mark Bohrer
10 Heath Circle, North Andover
5-April-2016
Drawn by:AC Scale 1/4"-I'
Down Down
a r Glad'7C2 column. ..
i Pow board
box stere ;. -
Open below Edge band
construction
�- 'CI6'd column r
A ....... _
Lattice skirting _ �'
below Lattice ek
1rttng
Roof outline '�
.... .... ._. ....,.__ .......r—
below
crapgrfOht 2016,
A-Ihadeck of 3ul�vi4 an'i-Bo, ,cm
NO IES.
1) THIS PLAN IS NOT 70 BE CONSIDERED AN Rp v
ALTA/AGSM LAND TITLE SUR VEY. 25 ,28(C) 7 14') -��)SI� ,
2) BUILDING OFFSETS ARE TO WOOD CORNER BOARD. (r
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arc r=• QUINN
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a3� ELJ N X666pLA
,
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CH L � 7nnCf
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0
PROPOSED
tT1 22"x29" �Q kW �✓ l �.
ADDI TION c r " (1
M1N.) v cti
r _ 29.3' d U
v cin 118.4' dYooD J1
�a DECD I s7ON
N GARAGE 7 y
29.4 2 -
SHED01
`�� ✓ r,.
ABOVE
GROUND ?`
POOL.0w
z flLOT 19
36,Ch 6:i- S.F(C) r
34-,778.± S.F(R,)
e 1 c;�
7 m 5
O
DRILL. HOLE, (FL.).) �
° MAP 60A, LOT IG
yz
zsmbtGL
R3 DIS7RICI
I CERTIFY' 70 7HE NORTH ANDOVER - '-
BUILDING INSPECTOR THA T THE DWELLING DEED BOOK 4733 PAGE 6
SHOWN HEREON IS L OCA TED ON THE N.E.R.D. PLAN 13764
GROUND AS SHOWN, AND IS 71-IE RES'UL 7 OF
AN INSTRUMENT SURVEY.
PLOT PLAN CHK 9
OF LAND CWG
70 HEA 77 CIRCLE, NOR 7H ANDOVER, MA
MICHAEL PREPARED FoR.- MARft <z & DFRRA 110HR-H' A
91-25107
. vim K
NO. �
Survey Associates, Inc„ SCALL: I" r JO
p?,)�L7"' gj
1t3a CENTRE 9'1f�L�T, UANVLI2S, MA. 0)173 PR FFSSIC7NAL LANG SURVF_YORVOICE (976) 777-3050, FAX (978) 774--781e 0 1.3°____.50 60
The Commonwealth ofMassachasetts
Department ofdndlrstrinlAceldents
T o X Congress Street,Suite 100.
Boston,MA 02114-2017
www.mass.govldia
' Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians]Plumbers.
TO BE MED WITH THE PERMITTING AUTHORITY.
Applicant Information Please
(, Print Legibly
NaMe(Business/Organization/bidividual):�(,7✓�"TGr I/ti t vt+'^i`S� T kY�
Address: t& 4,76,1S %`(
CitytState/zip: e(�`^ �0, Phone#: `184 2 t 3 3Sca o
Ar yo an empleyer?Checl laife appiopria x: Type or project(required):
l. am aemployer with i9. , empioyees(fullandlorpait-tune).' 7, e§V construction
2.❑I an,a sole proprietor or partnership and have ne employces working for me in &. WJ Remodeling
say capacity,[No worker'comp.insurance required]
3.Q I am ah—a—doingsit work myself M.workers'comp..msmance required.]t
9. 0 Demolition
10[]Building addition
4.Q I am a homem,mor and will be hiring contractors to conduct all work on my property.I will
ensure that all contractors eiaherhave—1cers'compcusathm irnammceor are sole I Ln Electrical repairs or additions
proprietors vithno employees. 12.Q Plumbing repairs or additions
5.❑Ism ageneral camcintmend l havehired the sub-earstamtors listed onthe attached sheet. 13.[_I Roof repair's
These sub-contractors have employees and have workers'comp.insunmaJ
6.Q We are a corporation and its officers have exercised their right ofexceeption per MGL c.
14.❑Other
152,§S(4),and are have no employees.[No workers'comp.insurance required.] ..
'Any applicant that checks box C must atso fill out the section below showing theirworker'compensation policy imormation.
4 Horneovmarswfio submifthis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
temse.etma that check this boxennstattached an additional sheet showing the name ofthe sub-contractors and state whether ornot.those entities have .,
employees.If the sub-con}racfors hav^employees,lhey roust preside their workers'comp.policy number.
I alta ata etnzpioyer that is providitig ivorkers'cotnpensation insurance for my employees.Below is the policy and job site
information. A
Insurance Company Name: ¢15 C t a�t �^^^(1�e �t iA t�
Policy#or Self ins.Lic.4, LUC.f_0 -4�b' 116 A Expiration Date: 7
t'S i
Job Site Address: i0 14e(X- ` p�r�Gvc CityfStatelZip: N•� caltl K&
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL a.152,§25A is a criminal violation punishable by a fine up to$1,500.00
and(or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cern y oder the pains and penalties ofpeijary that the information provided above is trite and correct.
Signature/ � Date: .S�2Y�16
Phone#: 7`c5'
Official use only.Do not write in this area,to be completed by city or town official.
City or Town: PermitlLicense#
Issuing Authority(circle one): 1
1.Board of Health 2.Building Department 3.City/Town Clock 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:_
ACC>I?®® CERTIFICATE OF LIABILITY INSU NCE DATE(MM412712016
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 cerUOcate holder It an ADDITIONAL INSURED,the policy(les)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 endorsements.
PRODUCER E:
The John M.Sullivan Insurance Agen PHONE 8 FAX . 781.449-3511
P.O.Box 920047oL .__sullivan.insadv(Mvedzon.net
Needham,MA 02492 INSURE a AFFORDING COVERAGE �—NA1C#
e1SURERA:ESSEX INSURANCE COMPANY
INSURED INSURERS;ASsocaed mpoyers VILE
Advantage Design and Construction,Inc. INSURER C:
dba Archadeck of Suburban Boston INSURER D;
16 Adams Street INSURERS:
Burlington,MA 01803 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 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,
g�gEXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L R RK SUSR POLICY EFF PDUCYEXP LIMITS
TR TYPEOFORIURANCE POLICYNUMBER YY WD 1,000,000
GENEMLLUIeIUTY 3EE1016 4/22/2016 4/22/2017 FAC"OCCURRENCE 's
COMMERCIAL GENERAL LIABILITY E 1.4ES Ea ac 100,000
AT CLAIM&MADE OCCUR MED EXP ..P-- S `51000
PERSONAL&ADV INJURY $ 1000000
GENERAL AGGREGATE �$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMPIOPAGG S
POLICY PRO- LOC 6
M E NGL i T
AUTOMOBILE UAffl Co. day
BODILY INJURY lPwpanwn) S
ANY AUTO _
AUTOS ED SCHEOU O BODILY IN
(Perecddani) $
AUTOS
NONAWNED PRPERDAMAGE s
HIREDAUTOB AUTOS
$
UMBRELLA UAB OCCUR EACH OCCURRENCE S
EXCESS WIe CLAIM84AADE AGGREGATE $
DED ft ENTiON W STATU- GTN•
WORKERS COMPEN8ATKIN
ANDEMPLOYERVUhRNTY YIN 4/15512016 4/15!2017 E.L.EACH ACCIDENT $ 5500000
ANY PROP IETOR excLUDE CGT ❑N/A I WCC•5005004436-2016A
B (Mandatary In NN)
E.L DISEASE-EA EMPLOYEE$
500 wo
(Mqu"tsalve Mtlat E.L.01650.65-
POLICY LIMIT $
DESCRIPTION OF OF balew
OEBCRIPnON OFOPERATIONSI LOCATIONS iVEHICLES(Adaah ACORD 101,Additional Ramarte SU dui%K more$paaeis mgWtd)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
_ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENT
ys� 1 %
(D1988-2010 ACORD CORPORATION.All rights reserved.
ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License:CS-066851 _ •;
JAMES RFINLAY _
2WATER70WN$T � '�
LEXINGTON MA 0212
� f
r-JZ;� \.Jl— Expiration:
Commissioner 08/2112017
_.....
:w_�z�.. _...(.fJ.rYirrrurirr rvrrl/I,f /�r /rar!!�
-`. OrBee or Consumer Affairs&Ruslaess Regulation
_ OOMEIMPROVEMENT CONTRACTOR
egistration: 138160 Type:
xpiration: 314/2017 Private Corporatlf,,
ADVANTAGE DESIGN&CONSTRUCTION INC.
ARCRADECK OF SUBURBAN BOSTON
JAMES FINLAY
16 Adams Street
Burlington,MA 01830 undersecretary