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HomeMy WebLinkAboutBuilding Permit # 12/8/2016 BUILDING PERMIT NoeTN FO TOWN OF NORTH ANDOVER Q APPLICATION FOR PLAN EXAMINATION 4� Permit No# Date Received �SSRCHLi`�i�y Date Issued: PORTANT: Applicant must complete all items on this page G Y PR `PERTY O1�UNER```�'` ' � �- =Y'�`�� � � f E� -f F� ��,:� . r �� N ; � ✓F `�4 S ,r lc -, r r,. ✓ s����r'1 ..^��.�' .�Nr F / r x,:�,�� ...l �� 4 f .� z �. �, i ✓ PIIiI� lo�Ye81 �'fft[GllCe �I25 f�10 MAPS � `P RCEh ' �ZOhIING DISTR GT r � ` ° ' F TYPE OF IMPROVEMENT PROPOSED USE Residen ,t'al Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial C�teration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg Li Others: ❑ Demolition ❑ Other ❑ Septic ` ❑WeII ❑ Floodplain 0,Wetlands Watershed Drstnct DESCRIPTION OF WORK TO BE PERFORMED: �lal v�,� �-1`r.� zC_ 12'�j9 !O'' b —x:e- Gm Ccs IT 4- Identification- Please Type or Print Clearly OWNER: Name: Ga r 5 Phone: Address: 7 ? Aas !JY- Contractor Name ., . Phone Nil 'Q / Superu�sor's Coristruefriar�L��c�nse' -�������r' Ex ,Date � ��� �`�� c ARCH ITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT,$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 6f " s FEE: $ Check No.: l Receipt No.: 1 NOTE: Persons contracting with unregistered contractors do not have access the guaran and • Signature of AgentlOwner Signature of'contractor sp F I own oftAORTH 2 over . ® : - r No. � -�� - 44 h a T o - LAKE ver, Mas A_ COC NIC Nl WlCK y1. 7,QS�RATED U BOARD OF HEALTH Food/Kitchen P ; RMIT T LD Septic System THIS CERTIFIES THAT .... ..®....,......, ® ..��I. ...� �.................... BUILDING INSPECTOR ...... has permission to erect ..................... U ngs on . .�. ,,,,,, . ,,. ,,,.,, , „ „., Foundation ........y • Rough to be occupied asA .ft.c .. ® .,. t., ... !�. ... .. JW chimney provided that the person accepting this permit shall in every respect colnform to the terms of the application f=inal on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,AlteratiDn amd Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Fina[ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS C® STR I®N S Rough Service ...... .. ........................ ...... .... Final BUILDING INS ECTO GAS INSPECTOR Occupancy .Permit Re uired t® Occupy Ruildin 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. MassachusetbHome roManfe 7'ftis farrrr sotishes aI1lr�io act tongttn9'-toPrated Gom airemt Es oflhastabe's73ttme7mprpvcmentContrsctoria,v(A�ii i�rasmeht�arrse snrritats 3eerclttadvieoffnecyft Ypersnn citter192,ry)6utdoe3notmelitdesfandarr3 onstmterCwdaty$an3aImProvetrreat"bafo$ FlmminghnmeimpmvaMM9ssbouldfimob InacoPY "A Office aFCattsumer,4ffairsaadBttsiaessR�ul:itiddsConsinna8seb toanyworkortyourrosldettte.Yanmay obtainafreeco UoMeOwncrjstforma Drs TnfamtztianHdtlinent617-973S7ti7orl-88B2833757urnnnurvra gthe: Nanta �E31l�Clor or@lAt lon ,e k?I/�t f (r t~S� C�DaW i�Tzme Sunt hddr=(donotusoaPQstpl iaK7 axfdd, , amuCity � Swe Code J Busio=Addrrss([mut Avqg AaytimePhana (vl+r � � ',.,-,q. Eg Phons -, City13'd,vn 51arc MAIDSAdd 1pCodt r-(itdifr'erentfimnabmz) $winces Phanc Tcdemt E�nloyrrtiyor9,3.Nmnb� LttrxeletnalE•.treu74s� ttirsra�ue�y."a�veustc'He�,Nratq � „ AMUMM str..cSaaiata 2 }� ThaCOr wilarga,eatracza- !/ tractor -""I todaetrefoltotvinyrvarlrfor neRI)meorrr�ej; 7 I (n scriba in detail th ;tacompfeted,sp s 0,e typ£,b,annd end tpsae of rwtexials to be 2/ al w� fid. � Qaddittnn�t sheds if ee�;�,....} r% � sem Requhztl 1'errulfs-?itofoflosving bttt7dm and Will besem-dbythecontractor asthe omenmreesageot beadlteradfotral ►c4tuted Etmguattl5tacgant3�orng1e23anSshednle- (O�'aor5 WhO seellre tijjeia'O)VO a ass ciroumstara cs6aYond the�ctntnaowin control o win OEdudeti�a 0113 VIC GUamniL��riE$be 1t/1fG�,eiaaptea'i��kc} f3r�"arsd is.'�vEslatrs o, dse _Dole molten contmctor will bc�t ceattitcted tvorlt Total corttMct price and c�a —��—Dais molten cotttranted work tivi•11 he substantiglly complcte8. Thecol"Mutor a 9mant5chedule 1s W perr'omr the irbrt;,,fivai�tTtemitedal trod labor f'a}mtcnts tvlJl be m died ab—fartha total sm CLP told,accordlttgtn thefollatviagsrhedulc; E¢? S--,upon sigaiagoonh tct(nottd exp e$I13 ofthe & total cnq et prear th-Mst ofspeeal ordp items tidnichevorisgrratcr , by I•.—_._�or Nunn completion 6f 5 or upon eamptetFor:of S•�-==�' ._upan cotaplclson affho contract, {F1r,Yfor6ids demaadingfnll Paymeatun Tnefolfonzngraartinl! ui contract is m fQtcdtdbotG �t Prarnimttstbesprxial g P P�3+'sSafisfactioa) otrne tthearedtacontrtcteduo t t:c�jt�vinonkr ----^- — tr for (`)of cxscc.Jl fiaance:cltarQn{'-1 Iuvrtcq„iros[Imt r,rtY d ,plot or doux,• . 4iictmustb� erof(alano-thirdorlholatalcan!r�t t'Wmvitroquirccthythneanlracrarhefvrcuart.heginsmny c:alardetvdieadwuncetomecttha coar(bjtLet;ctuateW,orrm sp, edmptetienschedule equipment ormllow-ada,ale w Cxnress;`•lnrra t -Lan c F-::yy Snheontrastors- 5T nfv hen e+,ridrd th*ma rnt ort ?lttaeani,actoragrcc;SQbesnlal � nll �'nv^orthcrrnra-�ntvm,c�tha Etaclrrdtnthnw7tr:t AarSylsutteantractorittiiirz t by thecontactat Th canftyrtorfttutftet ampletfan oftlrQzsorl matcriats- toh rundertrisa dtsan73edrogS$lrssottlteaclionsof.,U&d Contract Accs eeR7 t 3P stahes4lelyresAonst'bleforellpaymenfstoallsuba^oa ConttHctsllgllntstimpl}'thatam3, norotherthis secureintbeCammabindinp tractotsfor earefitlfy6efotesi t7riotorestLasb St oo4actuntlerlavr_Unlcssotherndenated3vithiniltisdnnuman Lmirt9thiscootrict been tacetlnatheresjdence Rccierrt][efal}otvio ge tidnsandnoTice;the Don't he prs:,red Tato signing the coa _ a t nkesura Stacontrsetor as a val d Q� TaL•e Sola to recd and fully twderstand it Asl[gaesfiansifsometbingis rutcltat nbconttactnrsldberc ravrtnent ntrctnrl2e�n gSsrstedlsythtltcl3irectarafbTome — "` �a 1-imlacvregahtsmast homeim registration h'Y fit ag to rite t)isectar at 10 pad,plaza, fm}ftnv�°ent Contrzetcr PTaucment contmctots and 1?aes the contractor hay.ins flnQat 5171 13aston,NIA pg dO3.Y�may inquim about wntreafor ecaca, urmtce7AslctheCoatme[orfarIris }CalhIn GI7-973-8787arg88-2833757. fY afa�raafoFins7n taa dncttmant. m' �n�1 1'infamtn'ton so thatyQu can ean8mt oovcrago,or ask to " 'Youl�norrycttrrightsttdtw�aast'b0ities.lte3dtltoLapatgantln4urmationotrtheravetsasldeofthisionnand eta Gaide fo the I3drsc ImFrovemant Conttbclnr Late g cnpyofdteConsomer may cancel this a rteotiFithnsbe tts�gnedata Ince Contraetarinfvrilingetlu;/heruia�o��or lhirdb!Isinessdaytoliowin Iltesi oIslauC'tof8oebyQ PlamQfbusine Pm�dedyeunotifythe B tin FtGisa€rrmt Scct3tc� P4sled,bytelcgtamseutnrbydelivery,natlaferthnnmitlnightoffItu ice' 4llr 4�� 72318 S9 taohednaticsofcsnrxlnioa£Iltnit5rranM;PlanafionoEthisrigltt rn-n iac�ur.] IO aru:IG �y CT li ^-'� i �,4may�t:t nay 01ceaFYstea3dgns,�� i f BLAWKSPA C!SM . TbeadxvapY" dbatsptb ' ® oc r Homc er'aSl� CantrnctQt's 3igna[urr g DatQ 7 Uatc e The Connnotnvetrftli of Massctchptsefts � Depardrnez:�t'®'Industrial Accidents {'l - Office ofPiavesfigagions A 600 Wreshhu.1on Street ` osi`oi`8,MA271 i s wway.ma55 bov/f1zr' Workers' Compensatlon Insurance Affidavit: Buil hers/Contrr~actorslElecl•ricllanslflumbers Applicant ;: forma-don Please Print Legibly NaIlle (BtisinesslOrganization/Individual): LC Address: Sr^i'iCV tri , tll9'71 City/State/Zip: Phone#: 7/W- P//-/3 Are yolu.-an employer? Check the appropriate box:^ _ 'hype of project(required): L[,]"(am Ea employer with��� `l• ❑ 1 am a general contractor and I employees (full and/or part-time).<: have hired the sub-contractors El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp• insurance.* required.] 5. E] We are a corporation and its 10.❑ Electrical repairs or additions 3 i❑ I ain a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself ' right of exemption per DIOL �o workerscom p. 12.0 Roof repairs insurance required.]; c. 152, §1(4).and we have no employees. [No workers' 13.Q Ther 27 comp. insurance required.] "Ativ applicant that checks box-I must also fill out the section below showing their workers'compensation policy information. ' Fratt1eoa•ners n,ho submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. AContractors drat check this box mus€attached an additional sheet showing the name of the sub-contractors and state whether or not those entities Dave employees, If the subcontractors have employees.they must provide di it workers`comp.policy number. I"ani an employer drat is providing workers,compensation irasarrance for azy eaatployees. Below isthe policy and jolt site information. f nsurance Company Name: 1'`r G Policy or Self-ins.Lie.;i: 2 2 7 0 12- i Expiration Date: Job Site Address:--7 ! arra fir'. City/State/Zip:_&• doves Attach a copy of the 3vorkers' compensaiior poiic;y declaration page(showing the policy number and expiration date). 1~ailLire to See Lire coverage as required under Section 25A of1AGL c. 152 can lead to the imposition of criminal penalties of a the up to 51.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WOFX ORDER and a fine oT Lip to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of !nvesti,;ations of the DTA for insurance coverage verification. 7 do hemby c:?rtop w2der thepains andpanalties ofper;lur y that the iaaformation provided above is tate and correct. 7=�y, yz°. - �1. Signature: i"13R il �; (IYr _ Date: 1Z L Phone 9: - 7�fW d/1-i S Official use only. Do not awrlte M this area,to be completed by elty OF tofvar offs al. City or Town. het mitl3,negate�` Issuing Authority(circle One): 1. Board of.Health 2. Building Department 3. City/Town Cleric 4.Electrical Inspector S.Plumbing inspector 6. Other Contact Person: Phone#: MVI kllftu✓ GiVVG rax DGL-VVI' CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDDIYYYYI T TIFICATE 15 ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOGS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE ORPRODUCER,A D IN9 Cgfl1IEI2ATR HO DE . IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. 1f 5UBROGAT(ON 15 WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: EASTERN INS GROUP LLC PHONE FAx 233 W CENTRAL STREET (A)C,No,Ext): (AJC,Nn): 1=-MAIL NATICK,MA 01760 ADDRESS: 22MLW INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURERA: AMERICAN ZURICRINSURANCE COMPANY ATLANTIC WEATHERIZATION LLC INSURER B: INSURER C: INSURER O: 61 REAR JEFFERSON AVE INsuRER E: SALEM,MA 01970 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIPY THAT'THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF AHY,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 AHD CONDITIONS OF SUCH POLICIES. LMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MFSR ADD SUB POLICYEFFDATE POLICYEXPDATE LTR TYPE OF INSURANCE L R POLICY NUMBER IM31N4DD1YYYY) IWAUD1YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEq $ CLAIMS MADE ®OCCUR.' OREMISES(Ea occurrence) [COMBINED ED EXP(Any one petson) S ERSONAL&ADV INJURY 3 GEN'L AGGREGATE LIMIT APPLIES PER:', ENERAL AGGREGATE S POLICY ®PROJECT F]LOCRODUCTS-COMPIOP AGG S AUTOMOBILE LIABILITY SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY 3 (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE S (Per accident) UMBRELLA LIAR M OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE DEDUCTIBLE S RETENTION S S A WORKER'S COMPENSATION AND � VJCSTATE71oRY OTHER EMPLOYER'S LIABILITY YIN UB-513270121-16 03120/2076 0312012017 LIMITS ANY PROrERITORIPARTNEMEXECVTIVE MN OFFIG£ARMEtheER EXCLUDED? NIA E.L.EACH ACCIDENT $ tj(}Q 4lJI) (MlsndetatylnNH] E.L.DISEASE-EA EMPLOYEE S 5p0,000 II yes,describe under DESCRIPTION OF OPERAT40INS below E.L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESIRESTRICTIONSISPECIAL ITEMS 1I{15 REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CBRTMCA M HOLDER AFFECTING WORKERS CONIP COVL{RAGE. i CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 160D OSGOOD ST BEFORETHE EXPIRATION DATE THEREOF,NOTICE WILL.BE OF-LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZ150 REPR TA. V6 ' �r :�• .:>` N.ANDOVER,MA 01845 T+I'+I'2�_ L•.-<r3 v•� •�•.�:: ACORD 25(2090!08) The ACORD name and logo are registered marks of ACORD 9986200 ACORD CORPORATION.All rights reserved. i i I m DATE(MM OOMYY) CERTIFICATE OF LIABILITY INSURANCE 3i9i2016 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,ANp THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL.INSURED,the pollcy(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 Construction NAME: Eastern Insurance Group LTC` PHONE (800)333-7239 AC a' 233 West Central St E-MAIL ADDR INSURERS AFFORDING COVERAGE NAIC 4 Natick MA 01760 INSURERA:Arbella Protection Ins. Co. 41360 INSURED INSURER B'Nautilus Insurance Co Atlantic Weatherization INSURERC: 61 Rear Jefferson Avenue INSURER D: INSURER E: Salem MA 01970 INSURER F: COVERAGES CERTIFICATE NUMBER�t ater 2016 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 I TYPE OF INSURANCE ADn 9 POLICY EFF POLICY FXP EMITS LTR POLICY NUMBER MMIDDF DDIYYYY GENERALIUABILITYEACH OCCURRENCE $DAMAGE TO 1,000,000 X COMMERCIAL GENERAL LIAINLITY PREMISESERENTEDg uccurrence $ 50,000 A CLAIMS-MADE a OCCUR 8500042816 /20/2016 /20/2017 MED EXP(Anyaneperson) $ 5,000 X C011TRACTC}AT. L7 ILITYPERSONAL&ADV INJURY 5 1,000,OOD X CG0001 10/01 FORM GENERAL AGGREGATE $ 2,000,000 GEWLAGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG S 2,000,000 POLICY X PRO- LOC S AUTOMOBILE LIABILITY COMBINE SINGLE LIMIT E ..den! S 11000,000 ANY AUTO BODILY INJURY(Per parson) S /` ALL OWNEDSCHEDULED 1020015871 /20/2016 /20/2017 AUTOS X AUTOS BODILY INJURY(Per accident) 5 NON-OWNED FROPERTY DAMAGE 9 HIRED AUTOS X AUTOS Peraccidenl PIP-Basic 5 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5 1,000,000 A EXCESS LIAB CLAIMS-MAOE AGGREGATE S 1,000,000 LIED RETENTIONS 10,OOC 4600058654 /20/2016 /20/2017 S WORKERS COMPENSATION I I WC STATULIM - OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETQRIPARTNERIEXEcu"vE Y I N P.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? N IA (Mandatory In NIL) E.L.DISEASE-EA EMPLOYEE S If yea,deseribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B POLLUTION PL200378614 10/1/.2015 0/1/2016 EA POLLUTION CONDITION $1,000,000 GENERAL AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace 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 ANDOVERACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE John Koegel/SNE ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. IN%0251amnnsini TIna Af:riQr%nnma and Innn era raniafararl marlro n€Anmmn Massachusetts Department of Public Safety Construction Supervisor Board of Building Regulations and Standards Restricted to: License: CS-00'7977 Unrestricted-Buildings of an use group which contain less than 350000 cubic feet{991 cubic meters)of n� . c „���trarRla� nVnni „� 1, ��r enclosed space. ERIC W PALM 3 HILTON ST SALEM MA 01970 , Failure to possess a current edition of the Massachuse is Ccnrrrnvaissicaner Expiration: pratlae: State Building code is cause for revocation ofWlais license, 04/23/2018 IFPS Licensing information visit.WWW.MASS-G0'VADPS �°'!�f'.l Cl7JJJ1JC�ItPdtc"CFf�II f ro"!£Cf.F.iCP�IJCC.iN.tC�;.- )License or registration valid for individul use 0n.1y Ufffice of Consumer Affairs&Business Regulation before tiie expiration date, if found return to: y l? 4r ME IMPROVEMENT CONTRACTOR office of Consumer A,WMrs and Business Regulation egistration: 142089 Type- 10 parlt plaza-Suite 5170 ` js „tnd )ration-p 3I12/2018- Ltd Liability Corpor Boston,MA,.02116 �. x ATLANTIC WEATHERIZATION.l.L.C. ERIC PALM 611 JEFFERSON AVE SALEM,MA 01970 Piot valid without signature Undersecretary •n ..,,_mow v. . 4 - n • r