HomeMy WebLinkAboutBuilding Permit #278-2017 - 10 High Street 9/14/2016 1 �10RTFi
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BUILDING PERMIT of %
TOWN OF NORTH ANDOVER `a
APPLICATION FOR PLAN EXAMINATION 0
o
Permit No#: Date Received
C9 /4 z&z �gSSACHl1IPP- 5���9
to s ued:
a IMPORTANT: Applicant must complete all items on this page
L CATION �- S.P� 1-i t ( �. l 1. l-L % 1`1 l Circ S �JId�
C,
Print C.) ' 1
PROPERTY OWNER
Print 100 Year Structure a no
MAP ��PARCEL: _ZONING DISTRICT: Historic District no
Machine Shop Village ya) no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other - A
Septic ❑Well El Floodplain 0 Wetlands El Watershed District
,
El Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
`1 yr f?! 4 CA IkLdy 0 A— Q 5 YL— 4 07K) ('—R 0-0
Identification- Please Type or Print Clearly �-
OWN ER: Name: 'T) Av, tIv G'c ' I rrP.Cr-C-?, Phone:6(—Z'6 2-J —92IJ
Address' v Jq a
Contractor Name: '-.J Kc, t,(-'Phone: G 1 ?
Email: 16 '7Pe— 4-- e--PO P% C.0 fP%
Address: cu ,-ms ( a &P, L,- ills ft IG- , of • fyra L51k',
Supervisor's Construction Licenser Q 4-- Exp. Date:
-Home Improvement License: Exp. Date:
ARCHITECT/ENGINEERSalftH ANCJAi I Phone:
Address: SS q ttma - <49'4 d��/'0/� Reg. No. 0 Q 6 8
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ �/, FEE: $
Check No.: Receipt No.: on OA
G z�
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
{
-- - - - - - T
Plans Submitted ❑ Plans Waived ❑ Certified Plot flan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. El permanent Dumpster on Site ❑
i
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF e U FORM
PLANNING & DEVELOPMENT Reviewed OnSignature_ ^�
D( COMMENTS R,1 rV1�Q,(IG� j )UIL
�C,ONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Siqnature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
i
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Siqnature & Date Driveway Permit
]DPW Town Engineer: Signature:
Located 384'Osgood Street
` FIREDEPARRMENT ieniptDumpsteronsiter q S . ,� no ' F r
---s--�-
Located�at r1�24'cMam,iStreet• , '
�Fi.reDepartmentgnature/date;
COMMENTS;
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL Movement of(deter location, mast or service drop requires approval of -
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
® Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
r
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
4 Building Permit Application
;4. Workers Comp Affidavit
4 Photo Copy Of H.I.C. And/Or C.S.L. Licenses
4 Copy of Contract
Floor Plan Or Proposed Interior Work
4 Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
4 Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Mass check Energy Compliance Report (If Applicable)
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
Building Permit Application
Certified Proposed Plot Plan
Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
'n Plans One To Be Returned to Include Sprinkler Plan And
Two Sets of Building ( ) p
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2014
Location 14 -114 7� 1�77-1 ffaCv s_ ,q�
No. — � /"7`": Date v.;/f`r2�1,5
- o
• TOWN OF NORTH ANDOV L.
Certificate of Occupancy $
Building/Frame Permit Fee $'���_
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
" Building Inspector f
F NORT11 �9
Town of 6 ndover
O -
No. 1 -
1 n
h ver, Mass, el
COCNICMl WI[K �� W�-
�d p04AT E O 011F �
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT ...... + slap.. ..i�� A/.;.. BUILDING INSPECTOR
has permission to erect buildings on Foundation
Rough
to be occupied as .1.#.'rov..0......W. .. '� �ir.............................................. Chimney
provided that the person accepting this permit shall in eve 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CO ION Rough
Service
.. . . .. .. .... . ........ Final
BUILDING 1 ECTO
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF e U FORM
PLANNING & DEVELOPMENT Reviewed On Lino Signature_",-,
COMMENTS m lylmGr bjulL
CONSERVATION Reviewed on Signature
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 Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street _
y...._ ..�++.3}s-.......sw...,,., i - -;;r t 3 .. Y i _ x _, .. =r r "(" t`S_�w—•.,,.rr.�.,-S_.Y'-�«\, '.,
I
FIREDE,PARTMENT �Te"rnp Dumpsteraonksitenryes, �
;Locae ,4MamtSfeet 2
r i.l'i`'u t•. i s+� .+.; a r �� s i 1 " n. i 'ta .i - 21 $ '�', 1
i
JK Contracting LLC Proposal
4 High Street, Suite 108
North Andover, MA 01845
617-592-6775 (Kieran)
781-254-2862 (Judy) Proposal Date: 9/13/2016
Proposal#: 203-56
Project: 10 High St, Bldg 5...
Bill To: Ship To
RCG West Mill NA LLC 10 High St.Bldg 5
David Steinbergh
17 Ivalon Street Egress Corridor
Somerville, MA 02143 North Andover,MA 01845
Description Est. Hours/Qty. Rate Total
Project Description/Location
10 High Street, Bldg#5, Egress Corridor, North
Andover, MA 0184
Building Permits 242.00 242.00
General Conditions 500.00 500.00
Wale Framing 3,000.00 3,000.00
Interior Walls 4,000.00 4,000.00
Insulation 1,000.00 1,000.00
Interior Walls, Tape, Compound & Sand 3,000.00 3,000.00
Painting 3,000.00 3,000.00
Floor Coverings (Vinyl Plank) 3,000.00 3,000.00
Cleanup&Restoration 200.00 200.00
Supervision 1,794.20 1,794.20
Insurance 179.42 179.42
I
I
Estimate for your review and approval .
Total $19,915.62
Approved: _ (Initials)
SIGNATURE
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code,780 CMR,Section 107
Project Title: West Mill - Building 5 Egress Corridor Da09-12-16
Date: .......
Property Address: 10 High Street, North Andover, MA
Project: Check one or both as applicable: 0 New construction X Existing Construction
Project description: Common space egress corridor
Linda S. Smiley 10080 08
MA Registration Number: Expiration date -31-17 am
registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
X Arebitectural ' ( I Structural Mechanical
[ I Fire Protection [ ) Electrical Other
for the above named project and that to the beat of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 ChM),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
I. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2, Perform the duties for registered design professionals in 780 CMP,Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code. -
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit c rogress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building
Upon completion of the work,I shall submi t 'FiuA- Construction Control Document'.
No.JOW
Enter in the space to the right a"wet"or p *YALRYPW
electronic signature and sea]: trlg
Phone number: 978-518-9939 Email: linda@saam-arch.com
Building official Use Only
ffidding Wkial Nan= Permit No.: Date:
'Version(*_112013
f
JKCON-1 OP ID:CD
DATE(MMtDDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 07/2612016
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 CSR.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(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 endorsements
i PRODUCER CONTACT
NAME:
DeSanctis Insurance Agcy,Inc, p.PHONE FAX _............
100 Unicorn Park Drive (kExt? 11.11. ..... .... .............. _LArc,_NoL_—
'Woburn,MA 01801 E-MAIL
ADDFRESS:_.._..._.
INSURER{S)AFFORDING COVERAGE I. MAIC#
..... _.
INSURER A:Star Insurance Company 012245
,...-. ...._... .................. ........... ............... _........... ............ .. 1111_.. 1111.. F..'. _.. ...
I INSURED JK Contracting, LLC. INSURER B:Selective Insurance Company___
j 4 High Street Suite 108 _..
f NSURFR c
North Andover; NIA 01845 :
INSURER_ .1111.. ........ _.
INSURER E'
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS I$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 0=ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT'10 WHICH THIS
I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL i HE TERMS,
j EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOO IVN MAY HAVE BEEN REDUCED BY PAID CLAIMS
1111_
.. _...._.. __.........
INSR --- -- _. 'AfabL�SU OR.' POLICY EFF POLICY EXP ......... ........ 1111 .......__..,..........._—
i _I SD yVVD LIMITS TYPE OF INSURANCE LR � y )
B X '..COMMERC{AL GENERAL LiABI;ATY - EACH OCCURRENCE — 5 1,000,00
1111- __ C'FiIv1A £YC{
y cLAlrls-N�ADE i X OCCUR 52205113 021101201602,r10f201? h PRE !S
_t_. rE 3 —,'----- 100,00
...........{ 1111__ ................ ..._.... 1111.._ a"D EXP(An o"o person) S 10,00
... ........... PERSONAL& D`J-NJURY S .... ..-- 1,000,00
1111... 1111... 1111_ ....-- ._ __ _............
.__._.,......-1111._
i:tN'L fiG'GREv'f.i=LIMi i APPUESPER. _ ENER�L AGGH ECA'- 3,000,00
X 'POLICY: PRL- LOC PRODUCTS C').M;,)P AGG , 3,000,00
Jeer ---
_.
i �OTNER'
AUTOMOBILE LIABILITY — - COMBINED SINGLE::LIMIT �S
4
ANY AUTu - -80D:LY INJIIURY:Per perscr:
....,y .:
ALL Ov VNED SCHEDULED : __.....}... __. ............. ........_....._......
AUTOS _--=AI'TOS BGC:: �JUkY c e,amdena 5........................1....1.1..
4JN-CL1'N..C• : P ZOPCP Y DAMAGE
HIRED AUTOS i AIJ.OS FAra 1 nt
_._. ... .. . .. 1111.........._....
s
;UMBRELLA LIA6 I `OCCUR EACH OCCURRENCE t
j EXCESS LIAS CLAII fS<V`AOE AC(R CA r._ ___v._..�. _.......__..__......_.____
-~DED RETENTON,'o I$
!WORKERS COMPENSATION X PER i 0TH-
AND EMPLOYERS'LIA&LiTY Y,N ,7 TU Tr'.: _Fit„.,,,,,, ..,,
A - WC0853742 02/1712016 0211712017 F.I. F ,., i�o,o0
,hN',FROPRIETOt RTNEZi XF.t.;! 'JF: r'— ACCIDENT
a
OFFICERIMEMEER EXC-UDED'7 N Ni A _._ _
I.Mandatory in NH) "'"”" MA _ I' .-.�..DISEASE-EA!'+J L�1'cr's 100,00
tt yea describe under _ _ 1111.. ................... 1111_
IDESGRlP i ION OF OPERATIONS tds:v DIScASE-POLICY LItd11 ' 500,00
DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES(ACORD 141,Additional Remarks Scheduie,may be attached it more space is required)
"ADDITIONAL INSURED LIMITS ARE NO GREATER THAN THOSE REQUIRED BY WRITTEN
CONTRACT"Illustration of Coverage; Town of North Andover is add'i ins'd as
respects to the GL policy,
CERTIFICATE HOLDER CANCELLATION
NORTHA-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
n of North Andover ACCORDANCE WITH THE POLICY PROVISIONS,
43 high Street~
N.Andover, MA 01845 1 Au HOR17 PRESENTATIVE
I f
1
Oc 1988-2014 ACORD CORPORATION, All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
The Commonwealth ofMassachusetts
Department of Industrigl Accidents
Office of Investigations
600 Washington Street
Boston,MA.02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibiy
Name(Business/Organizatiorandividual): C` `N 1 } ri
Address: t Le H,CSM
City/State/Zip: 00 Us--•— , I Phone#: -7- 1- - b -l�
Are you an employer?Check the appropriate box: Typo of project(required):
1.I,Q 1 am a employer with_ 3 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.FJI am a sole proprietor or partner- listed on the attached sheet.: �•remodeling
ship and'have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp.insurance. g, El Building addition
Wo workers'comp.insurance 5. El We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance .re uiredemployees.[No workers'
required.] 13.n Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
7 Homeowners who submit this affidavit indicating they ire doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: \vc I's Gq—i V s Ivy t t/W&,J
Policy#or Self-ins.Lic.#: rYV 0 S L Expiration Date:` 2,1 17 1
�y
Job Site Address: rig
" (&H Q- City/State/Zip: 1� fir` N I
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 MGL c.152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA-for insurance coverage verification.
I do hereby certify under the pains and penalties ofperjury that the information pro videcd/above is true and correct. -
Sienature - Date: 1 /Z r to
Phone#: l 2 �
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#:
Information and Instructti®lms '
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or.written."
An employeiis defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any ofits political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of ladustr ial.Accidents
4foce of Iavestigatitons.
600 Washingtau Street
Boston}MA 02111
TO,#617-727-4100 oxt 406 or 1-877MMASS.A.FB
Revised 5-26-05 Fax 4 617-727-7741
WWW_mace orntrlrlia
1�
Massachusetts Department of Public'
ublic Safety 11
Board of Building Regulations and Standards !
? License: CS-066334
Construction Supervisor
KIERAN T WHELAW
31 RICHMOND STREET'
WEYMOUTH MA;pyjgg
it�J
)t't45 t
d
Commissioner t%l/A`— Expiration:
09/26/20'17 `
— A
¢ �+- �_flr.,�crxrnciriaerrlC�af'�ljrc.lJric�rrle/(s
Office of Consumer Affairs&Business Regulation
r -j,HOME IMPROVEMENT CONTRACTOR
Registration '`7,1393 Type:
Expiration 3/15/201;8 Individual
KIERAN WHELAN
KIERAN WHELAN
a 31 RICHMOND ST -
WEYMOUTH, MA 02188 -'
Undersecretary
License or registration valid for Judividual ease only
--before the expiration date. If found return to
00e of Consumer Affairs and Business Regulation- III
19 Park Plaza-Suite 5170
13.oston,MA 02116
1.
' Not valid without signature
i
_ C��e�a�ar.�aaonuinn�l�o�C���c�.rcialciaelao-
Office:off C6�Winer Affairs&Business Regulation �
HOIViIE IMPI{OVEMENT COhlTt"tACTOFt
Registry ion 171393 Type:
may/ Expiration:= 3/_ral2Q1 8 Corporation
!. JK CONTRACT!NG LLC-;-A. -
KIERAN
LCM KIERAN WHELAr1
31 RICHMOND ST
WEYMOUTH,MA 02188 Undersecretary
zi