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HomeMy WebLinkAboutBuilding Permit # 2/21/2017 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO;c�`�`�} �" �`� Date Received Date Issued: 492- ! .. IMPORTANT:Applicant must complete all iteLus an this page L®GATI N - ►f Pr" t PROPERTY WNER17- PAR Print 7 DD Year Old Structure yes rid MAP N® CELZONING DISTRICT Hlstortc Dastnct yes no ..1 Mach�rte Shap Village Y_e _ no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building '?r One family ❑Addition Cl Two or more family ❑ Industrial ❑Alteration No_ of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other D Septic El WeI1El Floodplain 0 Wetlands ❑.watershed District ❑Wat(WS-Ower DE,SC IPTION OF WORK TO BE PERFORMED; ,,tEfE LJ hri-9 Identification Please Type or Print CIearly) OWNER: Name: ? iCied Phone: d Address: / iol-i= A�JD�V-. C �c cONTRACTR Name: hone: P: � - Address. % tt _ f x.36 5uervisot's Cons true#ion License. . ( ��If� Exp Date: . . '. p Horne lmprovement License ���. �1� Exp Date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 DF THE TOTAL ESTIMATED COST'"BASED ON$125.00 PER S.F. Total Project C®St: $ QC p FEE: $ -- Check No.:_ �A_ ��). .......... _ Receipt No.: � .e NOTE: Persons tracting wi Yegistered contractors do not have access to the guaranty fund q, contractor.-. .... . 1gnaure:a Agent ner Si �atuie o Plans Sub Plans Waived ertified Plot Plan ❑ Stamped Plans NH ORT awn of a ndover p h ver, Mass, � Z 4ArlEa P9 CO U BOARD OF HEALTH PERMIT T Food/Kitchen LD Septic System THIS CERTIFIES THAT .404OVWkf.....Z.1a.AC ..... .......................... ................. BUILDING INSPECTOR has permission to erect .......................... buildings on ..!9?--.,1...VA Foundation Rough to be occupied as � + IG,`' rin 0 '' t/ �� Chirrtney provided that the person accepting thispeM"1 shalevery respect conform the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and final 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 CONSTRU ION=4G Rough Service ... .. I PECT Final GAS INSPECTOR Occupancy hermit Required to Occupy Buildin 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. ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis@elitesvm.com Tax TD#26-3242142 Insured: Hanna Lepicka Home: (978)857-8236 Property: 97 Maple Street N Andover,MA 01845 Claim Rep.: Bill Mancttinton Business: (781)983-2742 E-mail: wjm@mccormackadjuster.com Estimator: Dennis Cushing Business: (800)338-5311 Reference: Company: Commerce Contractor: Company: ServiceMaster Elate Business: 58Rear Pulaski Street Unit L2 Peabody,MA 01960 Claim Number: NCKP53 Policy Number: Type of Loss: Fire Date Contacted: 2/12/2017 2:44 PM Date of Loss: 2/12/2017 Date Received: 2/12/2017 2:44 PM Date Inspected: 2/13/2017 12:45 PM Date Entered: 2113120.17 8:30 PM Price List: MAEM8X FEB17 Restoration/Service/Remodel Estimate: LEPICKA HANNA-DEMO j Source:Fire Deductible Collected Y/N:N Amount: $ CCAPS LLC, 12 Continental Blvd.Merrimack,NH 03054 TAX 113 26-3242142 ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-"3-1819 Dennis@elitesvin.corn Tax ID#26-3242142 LEPICKA HANNA-DEMO 97 Maple Avenue Basement Ai Source Room Height: 8' I 1,117.65 SF Walls 1,069.49 SF Ceiling souRum N� 2,187.14 SF Walls&Ceiling 1.,069.49 SF Floor 118.83 SY Flooring 137.79 LF Floor Perimeter 149.29 LF Ceil.Perimeter Door TV X 61811 Opens into STORAGE-AREA Door TV X 6'8" Opens into DEF_99_BASEM Missing Wall 3' 112"X 8' Opens into STAIRS Door 216"X 61811 Opens into DEF_97_BASEM Door 11 6"X 618" Opens into BATHROOM Door 21611 X 61811 Opens into Exterior DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 13. Contents-move out then reset- 1.00 EA 0.00 78.78 0.00 78.78 Large room Move content to mitigate from water damages and remove layer of cardboard and lauan from tile floor 14. Remove Batt insulation-6"-R 1.9- 1,069.49 SF 0.25 OAO 0.00 267.37 paper faced Pull insulation due to odor 15. Water Extraction&Remediation 7.50 HR 0.00 70.33 0.00 527.48 Technician-after hours technicians to pick up debris and sort content-set content aside for adjuster evaluation-clean fallen insulation from content and floor-remove cardboard and lauan from floor-mop floor due to silt under cardboard-set aside loose brick and stone work-had to clean bathroom tub due to water discharge from multiple moppings of tile floor 16. Water Extraction&Remediation 3.00 HR 0.00 46.84 0.00 140.52 Technician-per hour technicians to pick up debris and sort content-set content aside for adjuster evaluation-clean fallen insulation from content and floor-remove cardboard and lauan from floor-mop floor due to silt under cardboard-set aside loose brick and stone work-had to clean bathroom tub due to water discharge from multiple moppings of tile floor 17. Clean with pressure/chemical 400.00 SF 0.00 0.41 0.25 164.25 spray-Heavy 18. Water extraction from hard surface 400.00 SF 0.00 0.21 0.00 84.00 floor 19. Water extraction from hard surface 180.00 SF 0.00 0.32 0.00 57.60 floor-after bus.hrs LEPICKA HANNA-DEMO 2/1612017 Page: 2 ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis @elitesvm.com w Tax ID#26-3242142 CONTINUED-Source Room DESCRIPTION QTY REMOVE REPLACE TAX TOTAL Totals: Source Room 0.25 1,320.00 Total:Basement 0.25 1,320.00 Total:97 Maple Avenue 0.25 1,320.00 99 Maple Avenue Main Level Main Level DESCRIPTION QTY REMOVE REPLACE TAX TOTAL, 1. Single axle dump truck-per load- 1.00 E.A. 355.84 0.00 0.00 355.84 including dump fees Total: Main Level 0.00 355.84 X15 7 -- Master Bedroom Height: 8'2" 0 15'7" 474.50 SF Walls 191.63 SF Ceiling 5e'ctl 666.13 SF Walls&Ceiling 191.63 SF Floor 4'4" aster Hedw ih `4'z' 21.29 SY Flooring 57.00 LF Floor Perimeter athroaw� � 63.00 LF Ceil.Perimeter 9'T Door 2'6"X 6'8" Opens into KITCHEN u 0 Subroom: Clooset(1) Height:8' 1 4"-a z' fi 72.31 SF Walls 7.91 SF Ceiling a X5411 80.22 SF Walls&Ceiling 7.91 SF Floor 0.88 SY Flooring 8.46 LF Floor Perimeter 11.96 LF Ceil.Perimeter Bathroom Door 3'6"X 6'8" Opens into MASTER_BEDRO DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 9. Contents-hove out then reset- 1.00 EA 0.00 78.78 0.00 78.78 Large room 2. Tear out wet drywall,cleanup,bag, 16.33 LF 4.26 0.00 0.80 70.37 per LF-up to 4'tall o` LEPICKA_HANNA-DEMO 2/16/2017 Page: 3 1. ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis @eli tesvm.com Tax ID#26-3242142 CONTINUED-Master Bedroom : DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 3. Tear out wet drywall,cleanup,bag, 8.17 LF 2.93 0.00 0.20 24.14 per LF-up to 2'tall 4. Tear out and bag wet insolation 78.94 SF 0.65 0.00 0.35 51.66 5. Tear out wet non-salvageable 36.00 SF 0.49 0.00 0.16 17.80 carpet,cut&bag for disp. 6. Batt insulation-6"-R19-paper 78.94 SF 0.00 1.01 3.06 82.79 faced Temporary insulation for heat loss and sound insulation for next door unit 11. Cleaning-Remediation 2.00 HR 0.00 46.84 0.00 93.68 Technician-per hour Pick up and bag debris from firemen and soil through content for tenant to dispose Totals: Master Bedroom 4.57 419.22 Total:Main Level 4.57 775.06 Total:99 Maple Avenue 4.57 775.06 Line Rein Totals:LEPICKA_HANNA-DEMO 4.82 2,095.06 Grand Total Areas: 7,278.14 SF Wails 3,607.90 SF Ceiling 10,886.04 SF Walls and Ceiling 3,695.19 SF Floor 410.58 SY Flooring 888.58 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 960.57 LF Ceil.Perimeter 3,695.19 Floor Area 3,850.86 Total Area 6,312.23 Interior Wall Area 4,147.35 Exterior Wall Area 46650 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length tl i Q LEPICKA_HANNA-DEMO 2116/2017 Page:4 ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis@elitesvm.com Tax ID#26-3242142 Summary for Dwelling Line Item Total 2,090.24 Material Sales Tax 4.82 Replacement Cast Value $2,095.06 Net Claim $2,095.06 l ' Dennis Cushing { A r� I LEPICKA_HANNA-DEMO 2/16/2017 Page: 5 ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis@elitesvm.com Tax ID#26-3242142 r r Recap of Taxes Material,Sales Tax(6.25%) Clothing Sales Tax(6.25%) Storage Tax(6.25%) Line Items 4.82 0.00 0.00 Total 4.82 0.00 0.00 LEPICKA_HANNA-DEMO 2/16/2017 Page: 6 9 1 i i i ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis@elitesvm.com Tax ID#26-3242142 Recap by Room Estimate:LEPICKA ]FIANNA-DEMO Area:97 Maple Avenue Area:Basement Source Room 1,319.75 63.14% Area Subtotal: Basement 1,319.75 63.14% Area Subtotal: 97 Maple Avenue 1,319.75 63.14% Area: 99 Maple Avenue Area: Main Level 355.84 17.02% Master Bedroom 414.65 19.84% Area Subtotal: Main Level 770.49 36.86% Area Subtotal: 99 Maple Avenue 770.49 36.86% Subtotal of Areas 2,090.24 100.00% Total 2,000.24 100.00% LEPICKA HANNA-DEMO 2/16/2017 Page: 7 ServiceMaster Elite 12 Continental Blvd Merrimack NH 03054 Office: 800-338-5311 Fax: 800-443-1819 Dennis @ elitesvm.com Tax ID#26-3242142 Recap by Category Items Total % CLEANING 257.68 12.30% CONTENT MANIPULATION 157.56 7.52% GENERAL DEMOLITION 785.67 37.50% INSULATION 79.73 3.81% WATER EXTRACTION&REMEDIATION 809.60 38.64% Subtotal 2,090.24 99.77% Material Sales Tax 4.82 0.23% Total 2,095.06 100.00% LEPICKA_HANNA-DEMO 2/16/2017 Page: 8 99 Maple Avenue-Main Level 47' 11"- 171 1"17'4" IT gt 15' 71T � E E 4f, T 2' os� Living Room _ n Master Bedroom OC Kitchen �41 41' L33 oom x � - 'tai s 1 . 3' 2" 2' 11" N3 9' 7"-- �-3' 10" 10' 7711 Main Level LEPICKA_HA A-DEMO 2/16/2017 Page: 9 97 Maple Avenue-Basement 56'8" 12'10" 13'3" 29'3" Storage Area/Room 0 —13'7" 99 Basement 26'5" Source Room 97 Basement DC 4 4'9� S'3 9" 63 2" 6'3" _8'Y C s C tj C� Bathroom I 8 8'4" Basement LEPICKA—HANNA-DEMO 2/16/2017 Page: 10 ................. ...................... The Commonwealth of l assse"S Department of.�r dustrial.Aco lde nts ti Z CoggTess Streei=,sate 100 017 Boston,M 02114 2 Y Y• ,� -Www mass.gov1dIa 45 Syf a Kers'Compematioto �a axrce A davit:B �1exTs �A o �xcia I X€�xn eirs. T(}B ALM B Tease pr oat �e 'ToI A Iicaut Infarmadon� • atzonli'ndiviclual): Name(Businesslf7zgav9z/� Address: 34 City/Statcaip 'fie ofprOjoct(recce ed r erY CTieek,tI:ia apgxoPriatebax: ,Axe you an ezupiopj7• p Ie 'donsiriictto7n 1- I attc a Gmpinyer with /� �mFlayMIR 06 andlor parttime). 2-�Iam as€rleprnpziotororpartnershigaudhagenG empinyees�,rorkiug fozmain g, � emodelhig any capani`Y.['oworke e comp.insurance zecluirad �. Aemolitiort ailworkzayself.[No-rozkers'comp,iusoranceregnired-I t 10❑Building additioxt 3.p l am.ahoraeowner doing roe I will airs or clditions he}izingcoatactozstocondactallworlcoremYP F 1• 11❑EjgG ieal �,... g 4-[JI am a h0meowII6I audwill ! ensnare that all contractb=s sii lorhave workers'compensation insuuancs nr are sole 24 :I?1im3�ifzg repairs or ad.ditiom praprietars withnomQ�oYee a. �.�S a3n a general coni?racfor and I]iava hir edfhe sub-confzaGtors listed anfhe attached sheet 13•,��Roofzepairs These sub-onntracfnrs have employees andhaYewarkGVe comp.ins ince � Other . mptionperluIU'La. 6, Wesreacorpnravo�andits.of�ecerS,haPeex�acisedtT�eSsiigE�tof�xe QI 752,§k(h),and comp.3ns svehavno employees.[Novlorkers' uzanaezequired iastalsot€11 flutthesecfionbein sbowingtheirworkers'compensation.polieyinfozmation �ry app7icani that aheolcs Boit x n .he are doing all work audtheuhire ou€<side coniractozs must sabrr a neW affitdavit it diva ng sucTa iHazneownersthatChbmzt•, zolavitindeatizig Y eoftbesub-contractomaadstatewhetherquot�osepntifiashave ConiraGtozs that Checkt N boxrhust attacheo ee they mus provides the r workers'comp,policy number. cmployaes. Ifthe sub-oonfractors have emP y is xoviding-wox'kefs'cornpe=ation xnsuranee fog°my e�tzproyees EZofv is tiiepolicy aradj oar site f am all employer Ilzcct p in orination. ], f an �7afaae:. fnsurauce Cc)mp y 9 LxpiraiionData', I?olioy 0 or Self-ins.Lia. aty/State/zip: fob SiteAdclxess: olicy tlecla'rationpage{shaWiugthepoky o ben aude h'at><oudate). I €tach a colog of the t�orIers coxupensattonp to x.,500.00 e as re »axed uudexMGl o.-152,§25A,is a,criminal violationpunishable by a f€tie up $ Failure to sod a Ra Of cure coverag 9 en as well.as civil p enaltses in the form of a STOW O ORDEkZ of the D7A.fox�svxan 0 a and/or one yeaCi�nprlsonm �e lorruarded to t1aB Office Of)h'vestg" day agate st the Violator.A copy oftl�is statement away covcxa a-verif oa-don. rovz�en"a vve is free and carreet e�t7aepair�s andper�at ies ofpe�IaY1'tTiut the ixcfarxnatior� - I do 12 ereby certify /.7 pate: Si nature: {� Phone#: OfftciaZ e orzZy. Da riot�vz ite in this area,to 7�e ca�vrpktud by cid or town affacial 2er=WfIcewe#---------------- City or Tom= one}: ' ectox 5.PIUMMU �sPector �ssuiugA.ntfoxiLY(circleoxle)g3.OiitylTovnClexl d,Blectrzcalx77ap x.Board of lfe&h 2-B 6.Other Rhone#: CoutactPexsa�• CCAPLLC-02 AN SE ACORN►% DATE IMMIDWYYYY) CERTIFICATE OF LIABILITY INSURANCE 02120/2017 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 poIIcy(les)must have ADDITIONAL INSURED provisions or 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 License#AGR8150 gRN[,cT Ann Morse,CIC Clark Insurance PHONE NexFAX, (603 622-2854 One Sundial Ave Suite 302N t);(fiO3)716-2367 ArcNo): ) Manchester NH 03103 E IIDABEsS amorse_Clarkinsurance.com --�_-._. ._,.._ ....... _ ._.....,.. - INSURER(S)AFFORDINGCOVERAGE---.--......._ .- NAlpp INSURER A.Peerless Insurance 24198 INSURED INSURER B:Netherlan_.d_s _ 24171. CCAPS,LLC dba ServiceMaster Elite INSURER C;Crum&Forster Specialty_Insurance Co44520 MAJE,LLC dba Elite Construction — —- - 12 Continental Blvd INSURER D;- Merrimack,NH 03054 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 ADDINSDL SUBp POLICY NUMBER - POE ICY EF IMMIODJYYYY POLIDI�Y EXPY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR CBP8869089 08129/2016 08129/2017 PREMISES{Ea occurrence) s MED EXP{Any one person} S ---........__. 6000 - ---------------.._.._..-----...._...---- 1,000,000 PERSONAL&ADV INJURY­­$­..........-- - ......- ........ .. GENT AGGREGATE LIMIT APPLIES PER: GENPIERAL AGGREGATE $ 2,000,000 _-_-. }gyp JECT POLICY X P LOC PRODUCTS-COMOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EaaMaccdclen;SINGLE LIMIT $ 1,000,000 --- X ANY AUTO BA8867299 08129/2016 08/29/2017 BODILY INJURY Perperson) $ - OVMED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Par accident) $ IIRREE� C OWNEp R 7 p - X AUTOS ONLY _X. AUTOS ONLY „SPeacddeni]-AMAGE 5 A X UMBRELLA MAB X OCCUR EACH OCCURRENCE $ 10,000,000 ExcE55 LIAR CLAIMS-MADE CU8862891 08129/2016 08129/2017 AGGREGATE $ 10,000,000 - - -- -- ----- - DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION X I STATUTE OCH AND EMPLOYERS'LIABILITY 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE YIN WC8994621 08/29/2016 08/29/2017 E.L_EACH ACCIDENT _$_ OFFICE'0 MINIM EXCLUDED? NIA ....1,000,000 l�anda ory n E.L.DISEASE-EA EMPLOYEE S If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S C Contractor Pollution PKC104371 0812912016 0812912017 Each Occurrence 2,000,000 C Liability PKC104371 0812912016 0812912017 Includes Mold DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Alan DeGeorge&Matt Troyer are excluded from Workers Compensation coverage. Workers Compensation States covered in 3A: NHIMAIMEIVTINY Cyber Liability: BCS Insurance Company: Policy#1RPS•P-0302360M: 11/23/16 to 11123117: Limit: $1,000,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main St North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r Office of Consumer Affairs zlnd Business Re uation g _- 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 .Home Improvement Contractor Registration 3 Registration: 165712 Type: Supplement Card MADE LLCJdba Elite Construction Expiration: 312212018 ALAN DEGEORGE 12 CONTINENTAL BLVD MERRIMACK, NH 03054 Update Address anti return card. Nlark reason for change. Address Renewal — Employment Lost Gard SCA I CP 20M-05111 -� ---. -. ,� c-�/�•Y��,,,r�,,,,,,,�,�/�/,���ill.,.;.,., %,,,.,gra �O.ff3ce of Consumer Affairs&Business Regulation License or registration valid for individual use only before the ex iratiou date, 1t found return to: J OME IMPROVEMENT CONTRACTOR p Office of Consumer Affairs and Business Regulation yr Registration: 165712 Typo' 10 Park Plaza-Suite 5170 Expiration: 3/22/2018 Supplement Card Boston,MA 02116 MAJE LLC.ldba Elite Construe€'sora ELITE CONSTRUCTION ALAN DEGEORGEI 12 CONTINENTAL BLVD - - / --•`� MERRIMACK,NH 03054 Undersecretary Not valid without siprnture I B i Massachusetts Department of Public Safety Board ❑f Building Regulations and Standards License. CS-106109 Construction Supervisor n ALAN DEGEORGE 12 CONTINENTAL BLVD MERRIMACK NH 09054 Expiration: Commissioner 09116/2018 i Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WVVW.MASS.GQVIDPS