HomeMy WebLinkAboutBuilding Permit # 1/27/2017 015 r�
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit Nod:
Date Received
7
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Date ISSUed:
IMTOWfANT:Applicaa t m-ast complete all items on tbis'page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non--Residential —-----
0 New Building line family
Viddition El Two or more family E Industrial
D Alteration No. of units: Li Commercial
F1 Repair, replacement [I Assessory Bldg 0 Others:
0 Dernolition [IOther
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wa ei�ghbd i
Ll Flood
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identifica-don- Please Type or Print Clearly'
Name:
OWNER Phone:
Address:
contractor N a* n e.
Su brvlso rwc) u
hstr J kibhL, :1av
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ARCH ITECTIE NG INEER Phone: ------
Address: Reg, N-o..
FEE SCI-JEDULE.BuLDING PERMIT,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER SF.
Z Vq,�o o Z
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jotal ProjeCoSt: $_____�� �, FEE: $____A&
Check No.: Receipt No
� � . m...�ersons con "'actizig--14) upregistered contractors dorzot have:access to the guraran � ��.��w� .��.a._
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2-2t-
Plans Submitted L�J Plans Waived Certified Plot Plan Stamped Plans El
_13-OF SE7RAGE D
G S,
-F7 _we
Typ,13 F SEWERAG-,DISPOSAL
Public Sewer TaDDiag/Massage/Body Art El Swiln1ning Pools Ej
W W
all
ell xo Tobacco Sales E] Food Packaging/Sales Cl
Private(septic tank, etc. El Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature
COMMENTS efoc'40) aA ko wx' 6N
?f
CONSERVATION Reviewed on 8i nature
14
-S
COMMENJ
HE LTH Reviewed on Si. nature
COMMENTS
Zoning Board of Appeals: Variance, Petition No- Zoning Decision/recelpt submitted yes.
Planning Board DeGision: Commenfs
Conservation Decision:----.---------,--,------—Comments
Water & Sewer Connection/Si
& Date
DPW Town Engineer: Signature:
........... Located 3840, god Street
FIRE DEPARTMENT- -- TemDumpster on site yes._,_ no
1-oc!;ated at 124 Main Street
Fire Department signatureldate
do To
�®RTH
wn of � _ �,: . Andover
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No. jqj_2A17 r h ver, Mas asS9 1A.1 ral 2ZI
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BOARD OF HEALTH
Food/Kitchen
PERMI Septic System
THIS CERTIFIES THAT ,,....��"' T4T
V � � .��� BUILDING INSPECTOR
r. ........................
*i .�. Foundation
has permission to erect .......................... buildings on .. ........... ... ................ ................, .........
� ♦ �� Rough
to be occupied as .........1q.f.14......&MI.....M'! ..�.. . .............. ........ .. 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 M® T ELECTRICAL INSPECTOR
UNLESS C®NSTRP N ST Rough
Service
... ,,.. .. .. .........................................
Final
BUILDING INSPECTOR
GAS INSPECTOR
®ccupy Buil
Rough
®ccupancy Permit Required t® . _
Display in a Conspicuous Place on the Premises - Do Not Remove Final
YY
No Lathing or Dry all To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
TLOP 16
•
CONSERVATION DEPARTMENT
Community Development Division
January 26, 2017
Joe Donovan
43 Acropolis Road
Lowell,MA 01854
65 Bear Hill Road, North Andover
Addition on Sonotubes
Conservation Conditions of Approval, NACC #182
Pursuant to section 4.4.2 (L) of the North Andover Wetlands Protection Regulations, applicants Joe
Donovan (contractor), filed for a small project for work proposed at 65 Bear Hill Road, North
Andover. The proposed work includes construction of a 14' x 14' addition on sonotubes within the
footprint of an existing deck and over an existing patio.All work is outside of the 50'No-Build
Zone and 25' No-Disturb Zone.
During the January 25, 2017 public meeting, the NACC voted unanimously to approve this project.
All work shall conform to the following:
RECORD DOCUMENTS: Small Project Filing Including:
Application Checklist,Joe Donovan Construction Company
proposal, Construction Drawings, Lot 5A Bear Hill Road plot
plan,Aerial Photo with distance to wetland resource area
Filing received.:January 17, 2017.
The following conditions are hereby mandated:
CONDITIONS:
1. Prior to the start of construction the applicant shall ensure that the site contractor has reviewed
the small project permit and is aware of the wetland resource area and the limits of the proposed
-work.
2. Excess construction material shall be properly disposed of offsite and accepted engineering and
a
construction standards and procedures shall be followed in the completion of the project. There
shall be no stockpiling of material within 100' of wetland resource areas.
120 Tkfain Street,Noith Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web ww%v.nottliandovetcna.gov
3. Wetland markers shall be installed at the 25' No-Disturbance Zone, and can be placed on
existing trees. Conservation Department staff can assist with wetland marker placement
locations if needed. Wetland markers are available at the Conservation office ($2 round/$3
square).
4. A biodegradable (no plastic netting) straw wattle or trenched siltation fence shall be installed
between the work area and the wetland resource area.
5. . Once erosion control and wetland markers are installed the applicant shall schedule a
preconstruction meeting with the Conservation Department.
6. Upon completion of the approved project and site stabilization,please contact the Conservation
Department for a final inspection.
7. This permit shall ex ire six months from the date of issuance.
Should you have any question or comments regarding the contents of this letter, please do not
hesitate to contact the undersigned at 978.688.9530 at your earliest convenience. Thanking you in
advance for your anticipated cooperation with this matter.
Respectfully,
NORTH ANDOVER ONSERVATION DEPARTMENT
z�hifet Hu s
g
onseivation Administrator
120 Main Street,North Andover,-Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web lvxv-,v.northaiido-�*erzna.gov
-JOE DONOVAN
• CONSTRUCTION COMPANY
43 Acropolis Road, Lowell,'MA 01854
(978) 453-6209 (978) 804-8415
Quality Custom Carpentry
Roofs-Additions • Remodeling
MA'
DATE DESCRIPTION AMOUNT
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MVPC 80 Zoning Overlay Zoning
0 Aduft Entertainment DIStdo Businei s I DistrictMLluICJPFd Boundary
CI machine Shop Village Ova Busing 152DIst C, Horixortal Datum:MA Staleplane coordinate System,Return NA083,
d
Rail Line Cr7 Watershed Protection Dist N ftsinci s3 Distric Motors Da Is Sources:Tl adata for this met)was produced by Merrimack
interstate. Historic Mill Area 0 B.sine!s 4 Dlst.� LORTN Valley Planning Comm,ss'.(iMVPC)using date Provided by the Townof
Interstate medical Madjuara M Genera Business District Noun Andover.Additional data provided by 01.Ex...6.Off...of
Major Road Downtown Overlay District 0 Planes,I Commercial Do Environmental AffrursfmassGIS.The information depicted on this main Is
E3 Historic District Corrido Development Dist for planning purposes only.
It may not be adequate for legal boundary
Roads Osgood Smart Growth(40 1 Corrido Development Dist 0 iidwL to dor�riitionorregulatoryinerpretati...THE TOWN OF NORTH ANDOVER
Easements I Dist I- 01W 2 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
0 Con I
Hydrographic Features uld Dovelopmen
Ind 1 trict 4t THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
G
Parcels Stretims Indu:b1n%1 12 Di:tuct OF THESE DATA,THE TOWN OF NORI H ANDOVER DOES NOT
Wetlands J :ndusw 0 3 District ASSUME ANY LIABILITY ASSOCIATED D WITH THE USE OR MISUSE OF
Eq 'dusduSDdsIdct THIS INFORMATION
Exempt lands R,,sdo qo 10 #",
Reside ce 2 D�:I`Oli "S" .0 US
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THE LOCATION OF PROPERTY LINES-SHOWN HEREON IS BASED ON PLANS BY OTHERS AND ON INFORMATION
FROM VARIOUS SOURCES AND IS TO BE USED FOR MORTGAGE PURPOSES ONLY AND NOT FOR ESTABLISHING
LOT LIIJES, LOCATION OF FENCES, DRIVEWAYS ETC.'7C97RSTRURRY—SURVEY HAS NOT BEEN PERFORMED,
AN INSTRUMENT SURVEY 1S ADVISABLE IF STRUCTURES ARE LOCATED WITHIN ONE FOOT OF A LOT LING. OR
ZONING SETBACK LINE.
CAMERON--81SHOP (ENGINEERING CORP 90 MONTVALE AVE, STONEHAM 02180 ce+»xn-a s3
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�1q3 ue),o. 151-5 sc+� s•-4-rr uooK ...,. rncc z3ra rur A z-
ecnm.eAcsk FobedT A F-4%9"244' VTR
J4PT'L_ tATta. COR Nro'AM UJURrns
BASED ON MY KtIOVA-EDGE, INFORMATION AND BELIEF, I CERTIFY THAT.
— THE BUILDING COIIFORIAS TO THE FRONT. SIOE AND REAR YARD SETBACK REQUIREMENTS AND THE LOT
CONFORMS.TO T#lI: AREA AND FRONTAGE Ri:OUIRI:MENTS Or 1111: ZONING BY—LAWS OF 11W TO4'R4 OF
4','FIICII WERE 114 EFFECT AT THE TIME OF CONSTRUCTION.
The Commonwealth ofMassachusetts
.Department ofIndustrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A licant Information Please Print Legibly
Name (Busitiess/orgaiiization/fndividual): U,
Address: 43
City/State/Zip: -1/ Phone#:
Are P11 an employer?Check the appropriate box: Type of project(required):
1. 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. El Now construction
struction
employees(full and/or part-time).* have hired the sub-contractors 7. Remodeling
2,El I am a sole proprietor or partner- listed on the attached shoot.$
ship and'have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp.insurance, 9. [glf3uilding addition
[No workers' comp.insurance 5. ❑ We are a corporation and its 10.n Electrical repairs or additions
required.] officers have exercised their
3.El I am a homeowner doing all work right of exemption per MGI, 11.F1 Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.Q Roof repairs
insurance required.] employees.[No workers' 13.0 other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
i Homeowners who submit this affidavit indicating they nic 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 their workers'comp.policy information.
lam an employer that is providing workers'compensation insurance for my employees. Belo iv is the policy and joh site
information. / e
Insurance Company Name.,_/x elex
Policy#or Self ins.Lic. �//-b( q�f,V4, /I P-3 rf Expiration Date:
Job Site Address: (:e6- City/state/Zip: A),
Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a
Mine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm 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.
I(to li erely certify under the pains and penal(W ofperjuiy that the information provided above is true and correct
/.1 3 /
Signature: -,
Date: z
Phone#:
Official use only. Do not write in this area,to be completed by city or town offletal
City or Town:. Permit/License 0
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 fl:
1/04/2017 10:16 ORourke I ns (FAX)781 391 2975 P.001/002
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CERTIFICATE OF LIABILITY INSURANCE
04T6(M1rlDDlYYYY) 7
THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TWO
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORD90 BY THE!POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BI=TWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certl cats holder 19 an ADDITIONAL INS4REC,-Itfiii polloy(lee) moat he a•Idarse ATION IS WAIVED;subject to
the terms and conditions of the policy,certain Policies may require an andamement. A atatement on this Certificate does not confer dghta to the
certlAcate holder In lieu of ouch endoraement(s),
PRODUCER MY l
Daniel N. O'Rourke Inauranaa '� 1 395-8244 (781)1 391w-2870
429 High Street sales ORourkelst•rsuranara.net j
Medford, MA 02155 INSURE 9 AFFORDING CQ R NAIC1
I MUNER A I COMMftr0ft
INSURED
JOSEPH DONOVAN CONSTRUCTION
43 ACROPOLIS RD INSURERa
LOWELL, MA 01854-1301INSURER F,,
Ii
COVERAGES CERTIFICATE NUMBER: RIV191ON NUMBER: f.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE!BEEN ISSUED TO THE INSURED NAME?ADOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANONG 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 DESCRIBrzD HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOTIONS OF SUCH POLICIES.LIMITS SHOWN PAY HAVE BEEN REDUCED BY PAID CLAIMS, l
R TYPE OFINSURANCS POLICY NUAMER UMTS
A 0ENERALLtASIU7Y BCDZZQ 8/9/16 8/0/17 F-ACHoCGURR6NCE 9 1,1990,000
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CLAIMS-MADE OCCUR ANEp W(A ore perev) 6 I9,000
PERSOr4,t,aAOVIt#JURY 6 111000 QDQ
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GEN%AaaRFGA"LIMITAPPLISA PER PRODU(;TS-COMPIOPAGO 6 1.1,OO
POLICY T& LOG 6
AUTOMOVILFi LIABILITY a ecetderf 6
ANYAUTp BODILY INJURY;Pef person) 6 j
AUOS NED SCHEDULED BODILY INJURY(Pet eooldent) b j
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CERTIFICATE HOLDER CANCELLATION I
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SHOULD ANY 0P THE ABOVE bF8OFd80b POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THBgBOP, NOTICE WILL BB DELIVERED IN
TOWN OF NORTH ANDOVER ACCORDANCEWITH THE POLICY PROVISIONS. l.
ATTN., PAUL HUTCHINS
AUTHORIZED REPRESENT
I
arras ISMO ACORD CORPORATION, All rights reearved,
ACORD 35(2010145) The ACORD name and logo are registered marks of ACORD
Phone: Fax: E-Mall:
07!04/2017 10: 16ORourke Ins (FAX)781 391 2975 P.002/002
_� � oAiE1MMrDDfrm)
ACOR47 CERTIFICATE OF LIABILITY INSURANCE 01/04i2017
THIS CERTIFICATE IS ISSUED AS A :NATTER OF INFORMA`nON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTIrR THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPAPOISNYATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cartlfloate holder Is an AD011IONAL INSURED, the pollay(los) must he endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain pollcles may require an ehdoreement. A statement on this certificate does not confer r1oks to the
certificate holder In Ileu of such andoreemerlt e.
PRODUCER -CONTAOTMartin Tildeley Jr
DANIEL N, O'ROURKE INSURANCE AGENCY, INC. 81 396-8244 fAfc.PAxNalm
[
J7Dma`R'LF551 sale6 oraurksinsurance.net I
429 HIGH SY. INSURER(S) APPOROINe COVfiRA01: i NAICM
MEDFORD MA 02155 IN6U N A r TRAVELERS INDEMNITY CO OF AMERICA 125666
(NSUREO INSURER e: [
DONOVAN JOSEPH DBA JOSEPH DONOVAN CONSTRUCTION INsuRERaI
IN URERD! f
43 ACROPOLIS RD INsuRERS: I
L,OWELL MA 81864 INSURERF
COVERAGES CERTIFICATE NUMBER: 115558 REVISION NUMBER: I
THIS 16 TO CERTIFY THAT THt~POLICIRS 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 AKFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,
EXCLUSfONS AND CONDITIONS OP SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INV TYPE OF INSURANCE INKM WVn POLIOVNUMQI!R 1P LI D LIMITS
COMMERCIAL URNGRALLIABILITY EACKOCCURRENC9 6 I
CLAIMS.MAOE OCCUR P $
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GEN'LAGGREGATELIMIT APPLIES PER; 0KNEMLAGGREGATE i I '
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AUTOMOVILaLTAMILITY nl S I
ANY AUTO
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ALL OYMED SCHEDULED BODILY INJURY(Per eeddent) S I
AUTOS Alres NIA
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ANYPAOPAIETORMARTNl!"EiECUTIVE E,L ACHACCIOE.NT S 100,000
A OFFICER/MGMUHREXCLU0501 NIA N/A MIA 5HUB4890P83A16 10/21/2019 10121/2017
(IAandtory In NH) E,L O13C,A9fi-t=A EMPLOYEE 5 100,000
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4@9G�R[PT O O O I?,L DI&EAKE-POLICY LIMIT 5 $00,000
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0E60RIPTION OF OPERATIONS 1 LOCATIONS IVEHIDLES (ACOAD 101,AddiUo,ut Remake Schedule,maybe Affaehad If Mori apace IN rapulnd)
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 Ota e,no authorization Is given t0 pay claims for benellits to
employees In states other then MaeseChueetta If the Insured hires,or has hired those employe*&outside of Massachusetts, }
s
This certificate of Insurance shows the policy In force on the date that this certificate was Issued(Unless the expiration date on the above pollcy precedes the Issue date or this
re(titioat9 of InsUrance), The status of this coverage can be monitor*d daily by accessing the Proof of Coverage-Coveroos Varinratlon Search loaf at
www.masa.goYilwdlwarksre-oompensatlorttnveatlgsllOnsl.
Sole proprietor hos not elected Coverage. I
CERTIF[CATE HOLDER CANCELLATION I
SHOULD ANY OF THB ABOVE DESCRIBED POLICIES BF-CANCELLSO B@FORE
THE EXP)RATiON DATE THEREOF, NOTICE WILL BE DELIVERED IN
TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS.
2 GYPRE$S TERRACE AUTHORIZED RHPRa91ENTA1IVE
NORTH ANDOVER MA 01846
Daniel M.Cr Y.CPCU.Vice President—Residual Market—WCRIBMA
4 1988.2014 ACORD CORPORATION. All right i reserved.
ACORD 25(2014I01) The ACORD name and logo aro registered marks of ACORD
I
I
Som rd 0 1 HL!!"'C-T R
Office ofConsurner Affairs&Business Regulation
CS-002604
HOME IMPROVEMENT CONTRACTOR
Registration: 155879 Type:
`Expiration: 5/1512017 DBA
JOSEPH E DONOVAN
43 ACROPOLIS RD JOE DONOVAN CONSTRUCTION
LOWELL MA 01854
JOSEPH DONOVAN
43 ACROPOLIS RD.
LOWELLA 01854
CA- ,MUndersecretary
05123/2019
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 Plan-Suite 5170
Boston,MA 02116
Not valid without signature
-JOE DONOVAN
CONSTRUCTION COMPANY
43 Acropolis Road, Lowell,MA 01864
(978) 453-6209 9 (978) 8044415
75.- Quality Custom Carpentry
Roofs Additions- Remodeling
V,
DATE DESCRIPTION AMOUNT
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TAX
TOTAL
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