HomeMy WebLinkAboutBuilding Permit # 10/6/2016 %AO
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BUILDING PERMIT
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TOWN OF NORTH ANDOVER ° 4
APPLICATION FOR PLAN EXAMINATION
ON
Permit NO: .., � D- Date Received 16-3 , b, a
Date Issued: cNu�
IMPGJRTANT: Applicant must complete all items on this 2age
LOCATIONJJJ4 Cara
Print
PROPERTYOWNER id
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MAP NO: 101A PARCEL:61513 ZONING D1TRlT: " J HBistoricDistrit yes
Machine Shop Village yes tea
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
D New Building X One family
Addition ❑ Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑ Well 0 Floodplain` [I Wetlands ❑ Watershed District
Water/Sewer
I-RID Z 1-e p(4 ce r. l be v ov . 2. ame 10ow- e ► 6 i e
Identification Please Type or Print Clearly)
OWNER: Name: 6a) (Y er Phone: 0
Address: r� On Lavie wovik Andover M/L , `—
CONTRACT'OR Name;: Phone: 3 y
Address:
Supervisor's Construction License: Exp, Date
Horne Improvement License: (151612 Exp. Cate.
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Protect Cost:
$ 31) 133 FEE: $ t
Check No.. k-1 4, Receipt No. /r T
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor,
t'
t%OR TH -4
Town of
Andover
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No. do * �,
�w.[� h ver, Mass,
'QQ CQ[MICR�WMR�V�•
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BOARD OF HEALTH
Food/Kitchen
PERMIT. T LD Septic System
THIS CERTIFIES THAT ...... v � � � �•. � BUILDING INSPECTOR
has permission to erect .......................... buildings on ...... .. ..y......CAOLL+9.. .LO ..t...... Foundation
to be occupied asAi N.".ve ! Chimney
provided that the person accepting this permit shall in every respect conform to the terms o the applica Ion 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
IT EXPIRESI ELECTRICAL INSPECTOR
LESS CT
Rough
..... �. .................................... Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Buiddin 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.
CONSTRUCTION SERVICES AGREEMENT (short form)
Where the basis oEpayment is a Stipulated Sum
Contractor: Owner: Date:
Howell Custom Building Group, Inc. Phone: 973-939-9440 Ken&Sally Heffron Julv 29, 2016
360 Merrimack St. Bldg 5 License: CSL 063232 [84 Carlton Lane Pra'ect:
Lawrence, LMA 01843 License: HIC 175166 Vorth Andover, SMA 01345 Renovations
I. PARTIES & DATE OF AGREEMENT
This contract(hereinafter referred to as"Agreement") is made and entered into on this 29`h day of July,2016 by and between Ken&Sally Heffron,
(hereinafter referred to as "Owner"):and Howell Custom Building,Group, Inc.,(hereinafter referred to as"Contractor").
11. SCOPE OF WORK,CONTRkCT SUV[ & TIME
A. SCOPE OF WORK: In consideration of the mutual promises contained herein,Contractor agrees to perform the Work as described in the attached 4
pale Scope of Work&Specifications dated July 29,2016.
B. CONTRkCT SUFI: Lump Sum for all Work described above:S39,I33.
C. TME: Commence work on or about September 12,2016 and achieve Substantial Completion of all work in this Agreement on or about October 7,
2016,not including delays caused by: inclement weather,accidents,additional time required for performance of Change Order work(as specified in each
Change Order),delays caused by Owner,and other delays beyond the control of the Contractor.
III. GENERA-L CONDITIONS FOR THE AGREEMENT ABOVE
A. PAYMENTS: Invoices shall be prepared by Contractor and submitted to the Owner as the Work is completed and according to the Payment Schedule
below. The Owner shall make payment within rive(5)business days of the Invoice Date. Payment for each Change Order is due upon completion of the
Change Order Work, and submittal of invoice by Contractor. Payments due and unpaid under the Contract Documents shall bear interest from the date
?ayment is due at the rate of one and one half percent(I-1/2%)per month.The Owner shall be responsible for reasonable attorney's fees incurred by
wontractor in collecting any sums due hereunder.
I Initial Deposit due when Agreement is signed and returned to Contractor S6,000
2 Due upon completion of Cork Flooring S7,000
3 Due upon completion of Wood Flooring and Refinishing $7,000
4Due upon completion of Bathroom Renovation $1 ,000
5 Balance of Contract Sum due upon Substantial Completion of all Work under Contract: $5,133
Total of Payments CONTRACT SUS[)
$39,133
3. EXCLUSIONS: Unless specifically included in the Scope of Work described above,this Agreement does not include labor or materials for the
I
btlowing work: fees for design or engineering work;correction of concealed substandard framing;removal and replacement of existing rot or insect
nfestation; re-routinglremoval of vents,pipes,ducts,wiring or structural members which may be discovered in the removal or cutting of openings in the
;risting structure; failure of surrounding part of existing structure,despite Contractor's good faith efforts to minimize damage;repair of damage to existing
Iriveway that could occur when construction equipment and vehicles are being used in the normal course of construction;exact matching of existing
inishes.
u. :. CRA—NGE ORDERS: If conditions are encountered at the site which are([)unforeseen,subsurface or otherwise concealed or(2)unknown
onditions which differ from those ordinarily Found to exist in construction activities of the character provided for in this Agreement,then the Contract Sum
hall be equitably adjusted upon claim by Contractor. Any change from Work described in this Agreement involving extra costs of materials or labor will be
erformed upon a written Change Order issued by Contractor and signed by Contractor and Owner prior to the commencement of Additional Work by
'ontractoV.
). LWITED WARRANTY: Upon final payment by Owner of the entire Contract Sum including all change orders(if any)due to Contractor,
ontractor warrants to Owner that the Work performed under the Agreement is Free from defects,not inherent in the quality used,in materials,equipment
nd workmanship for a period of two(2)years after the date of Substantial Completion.
;. ENTIRE AGREEMENT: This Agreement represents the full and complete understanding of every kind or nature between the parties
pith respect to the services set forth in this Agreement,and all preliminary negotiations and prior representations,proposals and contracts, of
rhatever kind or nature,are merged herein and superseded hereby.
OWNER'S 3-DAY RIGHT OF RECISION: Owner may cancel this agreement with no Further obligations by notifying Contractor in writing
iat they wish to cancel the Agreement within 3 business days of the date they signed the Agreement,
have read and understood,and I agree to,all the terms and conditions contained in the Agreement above.
We SteP en D. Howell,President Date Owner1 Date Owner r VV
Howell Custom Building Group,Inc.
Page: l of t Initials:�� l�l
SCOPE OF NVORK DESCRIPTION
& SPECIFICATIOi\iS
Contractor: Owner: Date:
Howell Custom Building Group, Inc. Ken&Sally Heffron July 29,2016
360 tMerrimack St. Bldg 3 184 Carlton Lane
Lawrence, MA 01843 North Andover, IIA 01843
Phone: 978-989-9440 Project:
C.S,L. #068332 Renovations
H.I.C. #175166
Project Overview
• Cork flooring in Kitchen
Wood Flooring in Living Room and Dining Room
• Master Bath Renovation
General dotes
• All Work includes labor, materials and equipment unless otherwise noted.
• Contractor shall have sole control over the means, methods, and sequence of construction.
• Items marked Allotment Item have been included in the Contract Sum for the amounts listed
below. Allotment Items are to be selected by Owner and supplied by Contractor.
• Items marked Contract Option have not been included in the Contract Sum,but may be added for
amount listed on List of Contract Options. See Separate List of Contract Options for amounts
carried for each Contract Option,
Owner Responsibilities
• Owner to attend weekly project meetings on-site with Contractor. Meetings to be scheduled at a
mutually agreed upon time on a weekday between the hours of 7:30am-4:00pm.
• Owner to coordinate with Contractor on planning the detailed sequence of work.
• Owner to provide information,selections and decisions to Contractor as requested by Contractor
in a timely manner so as not to delay progress of the Work.
• Owner to remove all personal items and furniture from the following Work areas:
• Kitchen
• Dining Room& Livin; Room
• Master Bathroom
Permits& Inspections
• Contractor to prepare building permit application, File application, and post permit on-site.
• Allotment Item: Town of North Andover Building Permit Fee-$454(M).
• P[umbin;Permit to be obtained and the fee paid, by Contractor's Plumbing Subcontractor.
• Electrical Permit to be obtained,and the fee paid,by Contractor's Electrical Subcontractor.
• Contractor to schedule and coordinate the various inspections required to complete the Work as
described in this Scope of Work.
Site Prep
Genera[Notes & Specifications:
• Contractor to provide and maintain P.ti on site during construction.
• Contractor to seal off existin;rooms adjacent to the areas affected by demolition and construction
during the project with plastic sheeting and/or temporary wood-framed walls.
• Contractor to protect existing finishes in affected areas, if those finishes are to remain. Existing
Finishes to be protected with plastic sheeting, cardboard or other padding.
Scone of Work:
Page 1 of4 Initials:
Supply and Install Site Protection in the follotiving areas:
• Kitchen
• Dining Room& Living Room
• Master Bathroom
Demolition
General Notes & Specifications:
• Owner shall notify Contractor and mark locations of all known underground water'sewer pipes,
gas lines, electrical conduitsiwires, irrigation pipes,dog fence wires,etc. that may be in the area of
demolition or construction.
• Contractor to disconnect electrical,cable, phone and plumbing as required in affected areas prior
to demolition.
• Where Contractor is removing and saving an item, he will use his best efforts to remove that item
with minimal damage, Storing&protecting the saved items is the responsibility of Owner. Re-
installation of the saved items is not included unless otherwise specified.
• Where Contractor is removing existing tile,assume tile is laid on plywood or gypsum wall board.
Removal of cement board underlayment or a mud base would be extra. .
• The abbreviations R`S =remove&save, RIDNS=remove and do not save.
Scope of Work:
Contractor to perform demolition in the following areas:
Kitchen
• R'S fiberglass insulation batts from kitchen floor and lower staple up radiant heat;save for
reinstall.
• RS Refrigerator.
• RIS Dishwasher.
• R'S cabinet toekicks.
• R,DNS interior Door Casing from Kitchen door to deck.
• RUNS baseboard trim.
• RUNS Tile floor including plywood underlayment.
Dining Room/Living Room
• R"DNS Carpet,pad and tackstrip and underlayment.
• R DNS triangle portion of wood flooring at peninsula.
Master Bathroom
• Cut(2) access holes to shower and tub.
• R/DNS Glass Shower Door.
• R'DNS stone cap on shower curb.
• R'DNS Vanity Top.
• RDNS vanity faucets, shower fixture and tub fixture.
Floor Framing
Kitchen
• Repair uneven floor at addition.
• fnstall L/2" AC plywood cork flooring underlayment glued&nailed to subfloor.
Plumbing
• Allotment Item: Plumbing Fixtures to be selected by Owner and supplied by Plumbing
3
Subcontractor.
Master Bathroom
• Disconnect and cap (2)sinks for Demo.
• Finish plumbing for(2) vanity sinks and faucets.
• Replace shower valve and finishes.
• Replace tub valve and finishes.
• Pluntbing Fixture Allotments
o (Vanity Sinks$400)M ff
Page 2 of 4 fnitials:'7� /,,dry
i
I
D (Vanity Faucets 5800)M
:) (Tub Fbcture 5600),U
o (Shower Fixture S1,200) bl
Electrical
Master Bathroom
• Replace existing bathroom exhaust Can with a Panasonic l IOCFM Fan.'L.a t. Connect to existing
ductwork and wall vent.
Insulation
Kitchen
• Reinstall staple up radiant tubing and fiberglass batt insulation.
PIaster
Master Bathroom
• Patch(2) access holes to shower and tub fixtures.
Tile
Supply and install Tile Work in the following areas:
• Allotment Item: Stone Curb for Shower; match existing stone -$500 (rl&L).
Interior Trim & Millwork
Kitchen
• Casing for Kitchen door to deck; match existing.
• Install(2)piece baseboard moulding; match existing.
• Reinstall cabinet toekick.
Countertops
Genera[Notes & Specifications:
• Countertop Allotments include all materials and installation labor including materials and labor
a for templating.
Scope of Work:
Master Bathroom
0
• Allotment Item: Vanity Countertop including side and backs-plash-$2,150 (NI&L).
4
Appliances
Kitchen
l • Reinstall, Dishwasher and Refrigerator.
Specialties
Master Bathroom
• Allotment Item: Custom Glass Shower Enclosure including 1/2" ;lass, door, hardware and
installation-$2,400 (M&L).
Page 3 of 4 [nitiais:
Floor Coverings
General Notes & Specifications:
Hardwood Flooring:
• '.�"x 2-1`4"Select Grade Red Oak.
• Sanded and Finished onsite with(3)coats of oil-modified polyurethane.
• Owner to select sheen(satin, semi-gloss, high-gloss).
• Owner to select stain color, and the sheen of the polyurethane(satin or semi-;loss) .
Scope of Work:
Kitchen
• Allotment Item: Supply and install cork flooring over underlayment including taping of seams in
underlayment and glue down of cork floor—225SF C $12/SF=$2,700(NUL).
Dining Room Living Room
• Supply, install sand,stain and finish approximately 493SF of oak flooring including triangular
area at entry to kitchen. LA V -5A-s-
0 Sand,stain& finish existing floor in Hallway, Front Entry, and Closet.
Painting
General Notes &Specifications:
• Owner to select colors;Contractor to supply materials and labor.
• All paints to be Benjamin Moore, Latex unless otherwise specified below
Scope of Work:
Master Bath
• Allotment Item:Paint Vanity cabinet in place and existing bath trim; wallpaper to remain-$1,500
(�tgl ). bayebnarc }-y-Im tin K��ckevt 4 �o��kv��S. S� t_4
Clean-up `
• Jobsite to be cleaned up daily.
• All construction debris to be removed from site.
• At completion of the Work,Contractor shall remove construction equipment, tools, machinery and
surplus materials from site.
• The house shall be left"broom clean"upon completion.
• Contractor to provide on-site dumpsters during demolition and construction. Owner and
Contractor to agree on exact location.
Page 4 of 4 Initials: ])*/JAI_/
Sales: 800.448.3636
Phone: 804.271,2363
A CN
CENEXT (1'11-�NERATION Fax: 804.743.7779
.A1ZX-LM=T
LET'S GET IT DONE STORMWATER MANAGEMEN'r soi,mrim's acfenvironmental.com
Site Development and Retrofit 9 Low Impact Development ® Green Infrastructure
I"OCALPOINT(high flow bi0filtration) R.-TANI((iiio(i(ilarstil)scarfacestowage) PAVE DRAIN(paving,drainage,storage) FABCO(decentralized treatment)
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The Commonwealth ofMassachusettr
Department of Industrial Accidents
I Congress Street, Suite.100
Boston,MA 02114-2017
wivmmass.gov/dia
Workers' Compensation Insurance Affidavit:Builder•s/Contractors/FIectricians/Plumbers.
TO BE FILED WITH THE PT,RARTTING AUTIIORITY.
Applicant Information /�--.Please Print Leeibly
Name (Business/Organizationllndividual): I• C7 i'e
Address: rY 1 w1a e{L
City/State/Zip: /a^ c.�r�j1 ce , A 61883 Phone#:U781 99-?
Are you an employer?Check the appropriate box: Type of project(required):
1.F0 lam a employer with 12— employees(full and/or part-time).* 7. ❑New construction
2.❑t am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
9. N Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 E]Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repair&or additions
proprietors with no employees.
12.E]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t p
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'camp.insurance required.]
*Any applicant that checks box 41 must also till out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such,
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I alit all employer that is pr'ovidiltg wor-tiers'conrpefisation insurance for my employees. Below Is the policy and job site
infor'ntatiort.
Insurance Company Name: M Phu L U r-a GF (24
Policy#or Self-ins.Lie.#: "'CC. " COO -• g000 -,ao)ii A Expiration Date: 04L/m 1217
Job Site Address: 18 y_(Q 41-1{a rl 1.11+'1..2. City/State/Zip: AJVrA gr7,d0V er W14 4 t'S S
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 c. 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 DTA for insurance
coverage verification.
I do hereby certify render the pains and penalties of perjrtry that the Information provided above is true and correct.
Signature: Date: 0 4
Phone#: 9 7 8) 9 69-
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
+1 HOWEL-1 OP ID: LL
,4�o�zo CERTIFICATE OF LIABILITY INSURANCE 706/27/2016
TE Y)
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(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 endorsement(s).
PRODUCER CONTACT
Foster Sullivan Insurance NAME: Lisa Lariviere
163 Main St. arc°No Ext:978-686-2266 (AlNo: 978-686-6410
North Andover,MA 01845 E-MAIL certificates@fostersullivangrvup.com
Foster Sullivan Insurance LLC ADDREss:
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Union Insurance Company 25844
INSURED Howell Custom Building Group INSURER S:ACADIA INSURANCE 31325
Inc.
360 Merrimack St Bldg 5 Ste4N INSURER C:A.I.M MUTUAL INS CO 33758
Lawrence,MA 01843 INSURER D:
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 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 TYPE OF INSURANCE DDL BR POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMIDDIYYYY MMIDDr(M
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY CPA5250937 06101/2016 0610112017 DAMAGE TO RENTED 250,000
PREMISES Ea occurrence $
CLAIMS-MADE= 1XI OCCUR MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PRO- LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
accident 1,000,000
Ea
A ANY AUTO MAA5250938 06/01/2016 06/01/2017 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS
AUTOS AUTOS BODILY INJURY(Per accident) $
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
AUTOS PER ACCIDENT
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
B EXCESS UAB CLAIMS-MADE CUA5250939 06/0112016 06/01/2017 AGGREGATE $ 3,000,000
DED I X I RETENTION$ 10000 $
WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS'LIABILITY TORY LIMITS YIN ER
C ANY PROPRIETORIPARTNEPJEXECUTIVE ECC-600.4000681.2016A 06/0112016 06/01/2017 E.L.EACH ACCIDENT $ 500,000
OFFICERIMEMBER EXCLUDED? N I A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5500,000
If yes,describe under
DESCRIPTION OF OPERATtONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I 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
Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS.
1600 Osgood Street
North Andover, MA 01845 AUTHORIZED REPRESENTATIVE
O 1988-2010 ACORD CORPORATION, All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
Office of Consumer Affairs al�ci. Business Regulation
Y 10 Park Plaza - Suite 5170
Boston, Massachusetts 021. 16
Home Improvement Contractor Registration
Registration: 175165
Type: Corporation
Expiration: 4/29/2017 Tr# 263220
HOWELL CUSTOM BUILDING GROUP
STEPHEN HOWELL
360 MERRIMACK ST
LAWRENCE, MA 01843 ------...
Update Address and return caret.Mark reason for change.
Addressj Renewal f Employment Lost.Card
SCA 1 0 20M-05/11
r' Ar /c�rr/Irarrrfiltre°e
^ Office of Consumer affairs& Business Regulation License or registrationvalid for individul use only
L / OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to;
�egiskration: 175166 Type: Office of Consumer Affairs and Business Regulation
Expiration: 4/29/2017 Corporation
10 Park Plaza-Suite 5170
err. Boston MA 02116
HOWELL CUSTOM BUILDING GROUP
STEPHEN HOWELL °
15 MT VERNON RQ
gnatare
BOXFORD, MA 01921 Undersecretary ok valid without si
G
Massachusetts Department of Public Safety
Board of 03u kling RegulaatPons and Standards
License; CS-068232 rit
Constri,ictlon u perviscrr
STEPHEN D HOWELL
15 MT VERNON FAD
BOXFORD MA 01521
Expirahow
C,,'o°nra°a ssuonpr 02/14/2018
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