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HomeMy WebLinkAboutBuilding Permit # 2/7/2017 FI BUILDING PERMIT 2oa,"��T 89�a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION d Permit No#:'(014`a € Date Received � a,R^oR rip a;¢"�sa SSACteus£s Date Issued: IMPORTANT:Applicant must complete all items on this pagge I MAPS ��`� �A}�6ELv��v���ZO INC DISTR}CTS Hi�tor�c Drstnet��� `w ` V`� TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building /One family _Addition Two or more family Industrial Alteration No.of units: V Commercial o Repair,replacement o Assessory Bldg 0 Others: FJ Demolition El Other e�tac WeII A Floadpla€n Wetlands Watershed Dlstriet h\1101\\tea. .\.. \� ..•.\ ` �c \..\ a oAa� DESCRIPTION OF WORK TO DE PERFORMED:.. Identification- Please Tape or Print Clearly ;; OWNER: Name: r � vljoye „ iJ SAA Phone: c! Address: Nk 'Iy1 L. e Aoclou-e.v I'v'JA L>F I�16 i ContractorName � Phone : 1 ` Address ����� SuperllsorsCons#r sft4� Llsensey � Exp `Dates Vyy, ` �w���"������.. .. ARCH ITEGTIENGINEER Phone: IA/50b Iial Address: 6 --6ekxJn ,M4 Offl?, Reg_No. r— FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST&ASEO ON$125.00 PER S.F. Total Project Cost:$ f 0 FEE: g Check No.: & = Receipt No.: NOTE: Persons contracting with unregistered contract do not h ueracceys to the gaarantp fund { Signature of Agent/Owner Signu of contractor Plans Submitted Plans Waived? Certified Plot Plan i Stamped Plans T F SETY§rE&AGE DISPOSA ! Public Seeker � �Tanniig,MassaeeHodg Art iSwinaning Pools LIJ well Tobacco Sales ❑ Food Packaging"Sales Private(septic tank,etc. C 111— Permanent Dumpster on Site ,— THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On Z)1Signature� r COMMENTS w {. ¢« CONSERVATION Reviewed on a Signaturef! COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connectionisignature&Date r= Driveway Permit DPW Town Engineer:Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site no Located;at 124 Main Street Eire Dspartment signatueeldate a, COMMENTS To1'rn of F NeaRrH Andoverq 4 0 {� a . n ver, Mass, • '7• Aot7 WPQa��S U BOARD OF HEALTH PE Food/Kitchen wKftMIT TUANO6 ILLJ�++` Septic System THIS CERTIFIES THAT.........l�,WKCS.......V.....CrA .A.t..r. .IL4.......................................... BUILDING INSPECTOR .3►.. ibr. 'I�I�i�/ , � Foundation has permission to erect..........................buildings on... ,,.. .... � , � Q w1� ♦- Rough to be occupied as.........,,; Yf�-b........s ry .r....vnv...... ...to&x.........Q' * .� Achimney provided that the person accepting this permit shall in every respect c8nform 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS C® STR CTI S..(AT Rough Service ........... .... .. .. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy BuRough 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. APPLICATION FOR SEWER SERVICE CONNECTION North Andover,Mass. ' Application by the undersigned is hereby made to connect with the town sewer main in ? - Street, subject to the rules and regulations of the Division of Public Works. / . 7 {/ I The premises are known as No. ?�'1 V,,t:4! T 1 Street or subdivision lot no. l Owner Address Contractor Addres �f Applicant's Signature '.. PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to r , I�f to make a connection with the sewer main atStreet subject to the rules and regulations of the Division of Public lw' rks.. D}ivis`io/�}of Public Work< By Inspected by Date See back for rules and regulations APPLICATION FOR WATER SERVICE CONNECTION 7North Andover,Mass. 20 Application by the undersigned is hereby made to connect with the town water main in G- Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. -. "f f� Y Street or subdivision lot no. A ) f� /V Owner Address Contractor Addrez, - �� pp=-.ica`"nt`s Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to A'-A 1/ _ �d- to make a connection with the water main atStreet subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations BYPASS METER SETUP - DEDUCT METER USE THIS ARRANGEMENT NOT ALLOWED IN MUST CASES 1 IGATION METER IRRIGATION HOUSE HOUSE METER 11 METER METER rim- TO IRRIGATION TO IRRIGATION W SYSTEM I SYSTEM TOWN'S MAIN TOWN'S MAIN 4 f 44®®��,,yy,�r+;; Registry ID: L , Rating Number: ff dd Certified Energy Rater: Ian Rex Rating Date: 9112/2016 L-5 egency Place Rating Ordered For: North Andover,MA 01845 Estimated Annual Energy Cost Projected Rating 5 Stars Plus .- Use MMBtu Cost Percent Projected Rating:Based on Plans,Field Confirmation Required j Healing 103.2 $ a5% Uniform Energy Rating System Energy Efficient Cooling 2,9 $151 1$15511 3 "_ --- "- - ? Hot Water 22.2 $415 9% 1 Star 1 Star Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus.l 5 Stars 5 Stars Plus — rs — --- -- - Lights/Appliances 36.2 $1798 39% 500-401 400-301 300.251 250-201 200-151 i50-16i-1-1 50 101 100 91 90-86 85-71 70 or Less photovoltaics -0.0 $-0 -0 HERS Index: 53 Service Charges $190 4% General Information Total 164.5 $4654 100% Conditioned Area: 5046 sq.ft. HouseType: Single-family detached J Conditioned Volume: 44502 cubic ft Foundation: Unconditioned basement Bedrooms: 4 This home meets or exceeds the minimum Mechanical Systems Features criteria for all of the following: Heading: Fuel-fired air distribution,Natural gas,96.1 AFUE. Cooling: Air conditioner,Electric,13.0 SEER. Water Heating: Conventional,Natural gas,0.67 EF,50.0 Gal. IECC 2009MA Stretch Duct Leakage to Outside: 160.00 CFM25. Appendix Ventilation System: Exhaust Only:88 cm,6.0 watts. Programmable Thermostat: Heatng:Yes Cooling:Yes '... Building Shell Features Ceiling Flat: R-44.4 Slab: None '.. Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: NA Window Type: U-Value:0.300,SHGC:0.190 Above Grade Walls: R-21.0 Infiltration Rate: Htg:3.00 CIg:3.00ACH50 Foundation Walls: R-oA Method: Blower door test Lights and Appliance Features TITLE Percent Interior Lighting: 100.00 Range/Oven Fuel: Natural gas Company Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Electric Address Refrigerator(kWh/yr): 691.00 Clothes Dryer EF: 3.01 City,State,Zip Dishwasher(kWh(yr): 259.00 Ceiling Fan(cfmMlatt): 0.00 Phone# The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Fax# REM/Rate-Residential Energy Analysis and Rating Software v14.6.3.1 '. This information does not constitute any warranty of energy cost or savings. a 1985-2016 Noresco,Boulder,Colorado. I AIR LEAKAGE REPORT Date: December07,2016 Rating No.: Building Name: NAND RegencyPl L-5a Rating Org.: The Energy Hound Owner's Name: Phone No.: 781-369-5921 Property: L-5 agency Place Rater's Name: tan Rex Address: North Andover,MA01845 Rater's No.: 1454792 Builder's Name: Weather Site: North Andover,MA Rating Type: Projected Rating File Name: NAND RegencyPl L-5a.blg Rating Date: 9/12/2016 Blower door test Whole House Infiltration _ Heating _Looting NaturalACH __ 0.22 _ 0,181 ACH @ 50 Pascals 3.00 3,001 CFM @ 25 Pascals _ 1418 1418 CFM @ 50 Pascals: 2225 22251 Eff.Leakage Area:[sq.in] 122.2 I 122.2 LSpecific Leakage Area: 0.00017 O.00017 ELAt100sfshell:[sq.in] 1.38L -.. _.. 1.38 Duct Leakage Leakage to Outside Units _ Throughout @ CFM 25 Pascals: 160 GFM251CFMfan: _ 0.1600 CFM25 CFA: 0.0317 GF_M per SM 152: N/A CFM per Std 152 t C FA N/A CFM @50 Pascals: 251 EffLeakage Area:[sq.in] 13.78 Thermal Efficiency N/A Total Duct Leakage Units CFM251CFA Total Duct Leakage: 0.0317 Ventilation Mechanical'. Exhaust Only, ASHRAE _Sensible Recovery Ell.I%). 0.0 62 2-2010 Total Recovery Eff.(%) 0.01 Rate(cfm): 881 881 Hours/Day: 24.0 24 Fan Watts: 6.0 Cooling Ventilation: Natural Ventilahon. Regarding ASHRAE 62.2 Ventilation Compliance The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the 'whole-building'requirement under that version of the standard.Both values incorporate any appropriate'infiltration credit. Intermittent mechanical ventilation maybe used if the flow rate is adjusted accordingly.For example,the runtime can be reduced to 12 hours per day using a doubled flow rate,as long as the system provides ventilation at least once every 3 hours.For more detail,refer to the appropriate standard. REM/Rate-Residential Energy Analysis and Rating Software v14.6.3.1 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco,Boulder Colorado. s�DENv P.E. 198 EAST LAWRENCE as978-502-5921 198 � TM�aara �,EE`a' �, cn t�E€RGE'd'4�i�'P3,NaA.191 33 'o ° W ` 978-352-8318, . zo e 1. M`ti'�V v;,t Ebti CONT,R.OGE VEN Ar,CFf II EC;TUP AI 3E Id(i,LES X12 F„UOF (5?1 Gd NAIL5 CEILING JO15T TO RAFTER,TYP.AT TOY"LATE &IMP50N h2.5A-IUR.RICAFdE CUP �� END OP T'N'RAFTER',T // \ �,Z. 2X3 5LOCrQNG E',•ETWBEN RAFTERS , CONNECT WITh(3) A 8d TOE NAIL5 "i0 PLATE ---- 2X8 COLLAR T'R:5 f: ^. d SLOPE GUT-NAIL WITH(5)12,1 \\`^ --4V ER,FR..AME—,,, R=49 INSUtATIC>N 1/2"GYF.WAL.L31D WAL[L5$CI_C;S. C'rf �P to QF y� LAWRENCE H.OGDEN.P.& ros•i 19$EAST MAINS STREET a �aaaauaas y� GEORGETOWN,MA.€11$33 i o 0G.4a97$-352-$31$,cell 97$-502-5921. .•t ` u F .°,..__ (% ^`.SS�u,�„t T."�` —C(DUI RIDGEE.VENT K)F n,r, � •.., _.... �----�—' fes---_ A ChITecrur HL br rJCLES FST,P4 YJ1D Sf'.E<+TtiWC ,..,...,..�..n..,_i u. RX <�ROOF E,Ar EF y (5)1 6d NAILS CEILING J015T TO RAFTER,TYP.AT TCP PLATE 511UP50IJ h2.5A hURPICANE CUP \ END OF EACtt R.AM' ,',[YT �/✓ 9 � 12 2x8 BLOCKING 5ETWEFN R.AFfEF'.5 f:ONIJECT WiTh(3) E,I TOE NAILS / TO PLATE 8 COLLAR TIES SLOPE CLOT-NAII.WITH(5) 12d ~`C F1=45 INSULATION 1/2"i YP.WAU..59 -WAL.5 4 CLGS.7IT PEAK=199.64' ----- _ - _ - - 13.33' -- - 34.98' - - ® 32.64' 8.00' --o F , L1.03' '2.33' 9.00 TOP FND.= 167.00 ti - rl MIN. F.G_-164_66- - ---------E--------t - ------- ----------a-J ` 8.00' 1.28 2.33'IS THE MAXIMUM HEIGHT OF FOUNDATION THAT CAN BE EXPOSED ALONG THE FRONT OF THE HOUSE TO MAINTAIN A ROOF HEIGHT LESS THAN 35'HIGH. BUILDING HEIGHT PLAN FOR . #33 REGENCY PLACE , R 7PG yR (LOT 5A) 4 r Q,e GISTEP�Q F`t¢ IN NAL NORTH ANDOVER, MASS. PROFESSIONAL ENGINEERS&LAND SURVEYORS PREPARED FOR: CHRISTIANSEN & SERG1, INC. NORTH ANDOVER REALTY CORP. a 160 SUMMER ST. HAVERHILL,MA 01830 WWW.CSI-ENGR.COM DATE:FEBRUARY 3,2017 TEL.978-373-0310 FAX.978-372-3960 © COPYRIGHT 2017 Dwg.No.11053028 Lot 5A PEAK= 199.64' 13.33' —_ 34.98' — - HBO 32.64' 0 0 8.00' 11 111 oil III 1.03' *2.33' TOP FND.=167.00 MIN.F.G. 164.66± 8.00' 1.28 . --------- ------ — --------L----------al *2.33'IS THE MAXIMUM HEIGHT OF FOUNDATION THAT CAN BE EXPOSED ALONG THE FRONT OF THE HOUSE TO MAINTAIN A ROOF HEIGHT LESS THAN 35'HIGH. BUILDING HEIGHT PLAN FOR f �<N d � — #33 REGENCY PLACE (LOT 5A) '`<, CMI ' No.28895 IN NORTH ANDOVER, MASS. PROFESSIONAL ENGINEERS&L RVEYORS PREPARED FOR: CHRISTIANSEN & SERGI, INC. NORTH ANDOVER REALTY CORP. 160 SUMMER ST. HAVERHILL,MA 01830 VVIWW.CSI-ENGR.COM DATE:FEBRUARY 3,2017 TEL.978-373-0310 FAX.978-372-3960 Q COPYRIGHT 2017 Dwg.No.11053028 Lot 5A yhe Cortassaotzwea th of'Atasst 1husetts Department of'XndustriodAceldents 1 Congress Street,Suite 100 BostOn,,TjA 02,114-.2017 3F` svwlumossgov/ia Workers'CompenBuilde,£,y�G, Dactor �ytidci �y0� D��,�PEanslPiumbexs. Please Print Legibly spPlicantInforntatiron NaXriE(Susime d0,g ni..n nll'ndh idual): .Address: City/StatelZip: Phone#: y p y pP Pr '1`ypeo£project(}'equired}: Are on xn am Zo er?G`fieckffie s sa iafa box: '. em Ia eas fuIl andlar parE tune}$ 7.Ej NTcw constmetlon 1.❑Iamaemployerwitri ,.: P Y ( 2Qf ara a sole proprietor ar partnership and h ve no employees working hr me in 8. []Ramodoling any capacity.a(`—,—hers'"'P.insurance requrzad.] }.❑Demolition I am ahmneownardainga""mysal�[No wortere Op.ursumnce eatoued.]t 10[j Building addition ¢,❑Z am a homeo mer andwil£be hiring conhactors fo em+duc{all work on my property.Ivrill 11.Q Electi'ical repairs or additions ensure that alieonmetozs either have vxelers'compeesst"ah"uranee or are sole— l 0Plumbingrepa7ra-oLadditZaSiSe,_� _�'_g�op`rie�osvi nae loyaas� -`� 5.❑Iam ageneral contractor yndZhaYe hu'edth sub aiiiracfors fisted oaths attached sheet. 13.[]Roofxepahs Thesasnb-conhacfarshava ainployees and havewukers'comp.insnrance.t 14,El Other 6.❑Weare a eorporationand ifs offiaea savaoworkecs'eomginsuraneerequired]ption per d�gc. 152,§2(4},andy kava nnRmP Y.•� "Any applicentthat checks)iax#1 mnsf also 611 outtha sectionbeiowshawingffieirwarkers'comgensatianpoliny inform at oew Y onfrabto That chockthls bora atfacfied an�adde enol sf:eetsb winkthe oma os the snb confrctors and s�tcbheLlrez osnott ore enh'fias ave davitWift—h employees.I£tha sub-eanlracEorsTiaYe emplayee�iliey must providefheir vrorkeis'comp.policy number.- 1an�an employer tPiat is pi ouidii g varkers'eompensat an iszsurarace far nzy employees.'BeZoPr is the policy and job site lf Insm'ance CompanyNamo: a ,�, 1 h [' �_ IL,�ExpirationDate: i ` Policy#or Self-ins,Lie.#: v c Site Address: —11� �[ --z`C_y t-7 —CitylState/zip i r i 1G r'� t t i � Altfob `� ti •? Attachacopy aftheWoxtceis coPnpensatconpoheydeclalattonpage(rho'ntingthepoheynumbarandexpn'aLondate). Fa lme to secure eovexago as required under MGL c.152,§25A is a criminal violation punishable by a fano ug to$1$00.00 and/or one-year imprisonment,as well as oldi penalties inthe form of a STOP WORK ORDBR and a fine ofup to$w?50.00 a day against the Violator.A copy of this statement may be forwarded to the Oft"ice of InVost gat ons of the DTA for insurance coverage YeTlilcatlOn. rrce and correct. -fdo hereby certify ander tlaepains aradpenalties o-f`perj!`ry t_7aad fhe%nformation pr'ovartect above zs t Dal- sign ate:Si n Phone#: OfficBad use anty.Do not write in this area,to be completed by city OF tOTM official. • PermitlLicense# City or Town: Issuing.A.nthority(circle one): ' ector 5.plumbingybspectar . 1.Board of Health 2.J3uildingDepartment 3.Ciey!Town Clerk 4.l lectrieal Tnsp 6.Other Phone#: Contact Person: '_-"1 DATE(MMKIDYYYY) A`oRD CERTIFICATE OF LIABILITY INSURANCE 9/21/16 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 file certificate holder is an ADDITIONAL INSURED,the Policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe Policy,certain Policies may re4uire an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). C PRODUCER NAME, Sandi MllnrOe M.P. Roberts Insurance Agency PHONE Lal (978) 683-8073 %AAic No} t97©> 6R3-31a7 1060 Osgood Street Ao Ess: sandi@mprobertsinsurance.coal North Andoyer, MA 01845 INSURE,ryslAp?FORDI�coveRacE --_. HAIG9 -- INSURERA.Arch Specialty Ins Co INSURED INsuRER e_Merchants Mutual Insurance Co NORTH ANDOVER REALTY CORP INSURER c:Associated Employers Insurance _. C/O CHARLIE CARROLL INSURERD. -- 12 MARTINGALE LANE INSURER E_ ANDOVER, MA 01810 INSURERF: 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 P0.'ICY PERIOD I INDICATED. NOTVTMTHSTANDING ANY RERUIREMENT,TERM OR CONDITION OF ANY CONTRACT QR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,7HE INSURANCE AFFORDED 8Y ThE P�IClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONCdTlONS OF SUt1i POLICEES,LIMITS SHOWN MAY HAVE BEEN REDIKED BY PAID CLAIMS. NSRI IAODUSUBR POUCY EFF POUCY UP LTR: TYPE OE INSllRAN CE 'I R D POUCY NUMBER MMtEOIYVYY MAfIDb"VYYY LINTS A GENERAL LI ABILITY ' �AGL0038376-00 ! 6113f1fi. 6/13/172 EACH OCCURRENCE 5_--1,QOOrgOp DAMAGE TO RENTED .5 100,00 }{ICOMMERCNL GENERALL'A80.1TY (.PREMISES{F.--w'i e'1 jCtAIMSMAOE!){_i OCCUR (MED EW IArq ae»pa I PFRSON448 AOV INJURY 5 1,000,000 :GE NERAL AGGREGHTE 32,000,000 GEN'L AGGREGATE LIMIT APPLIESPER i I PRODUCTS cow.{W AGO S 2,000._000 S x i POLICY FRO (LOG F �--j —�ON'91NED SINGLEL T B AUTOMOBILEUABIUTY ( 'lMCA7015484 6/13116; 6/13/17 lEaa �n7. s _1,000,_000 ! BODILY INJURY I ANYAUTO _- i ALLOWWD X SCHEDULED I + I BODILY N URY(Per d :} $ i AUTOS AUTOS j (pROPCRTY DAMAGE X NON OWNED E 1 I PROPEcldY t$ t— HIREDAUTOS AUTOS [UMBRELLALIAB OCCUR 3 i EACH GCCURRENCE i$ j' E EXCESSLIAB CLAIMS MADE' I I I AGGREGATE ^_DFD RETENTION$ ` S WC STAT WORKERS COMPENSATION IWCC501073401-2016A 3113f161 3/13j173}(�.TORY LHJTS I OERI _ AND EMPLOYERSLIABILITY YIN' ANYPROPRIETOR/PARTNER,EXECUTNE RM �INt A) tE .EACH ACCIC[Nr $ -_. 500,000 OFFICEEMBEREXCL:AED1- --(Marclabryin NHl i ( EL.DISEASE EA EtA'LOYCE(S 5MO00 - Iy d Ce urWer -POLICY LM.IIT'$ 500,000 OP OESCR'PTION Cf E RATIONS II 'EL DISEASE I E � I )ESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Aliacn ACORD lei,AtlrlrBonai Renvlks Bchedelo,If more s}xce is requ rN) ;ERTIFICATE 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, BUILDING DEPT _ -- 1600 OSGOOD STREET -I AUT{ORt2ED PEP NTj?J71VE i, NORTH ANDOVER, MA 01845 - - OO 1988.2010 ACO RD CORPORATION.AH rights reserved.J '.. %CORD 26(2010105) The AC ORD name and logo are registered marks of ACORD # I s -. - Massachusetts Department o1 Public Safety y,,,.,,, f Board of Building Reg mations and Sta ndaros Office of co sumer gfiT�rs nus�nc R gulatmn License:CS-063503 HOME IMPROVEMENT CONTRACTOR Construction Supervisor Registration: 171245 Type: - ` Expiration: 311/2018 Individual JAMES V CARROLL 21 JOHNSON CIRCLE CARROLL V.JAMES NORTH ANDOVER MA 47845 CARROLL JAMES 21 JOHNSON CIRCLE - --- NO.ANDOVER,MA 01845 and s retarr u ,� Expiration: tCoinmissioner 071/8/2017 I I Construction Supervisor Restricted to: License or registration valid for individual use onl} Unrestricted-Buildings of any use group which contain before the expiration date.if found return to: fess than 35,000 cubic feet(991 cubic meters)of enclosed pfg¢e of Consumer Affairs and I➢usjness Reguiatim' space 10 Park Plaza-Suite 5170 Sosto A 02116 �^ f "'-f-� Failure to possess a current edition of the Massachusetts ` vafid}rithout si aturc State Building Code is cause for revocation of this license. -sit: MASS.GOVfDPS i` DPS Licensing information Vi- WWW.