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HomeMy WebLinkAboutBuilding Permit #845-14 - 105 HILLSIDE ROAD 5/22/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: v I Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page ' LOCATI®N 7 "� _ z -- -- � a - Print a fPRQ.PERTY 01/UNER ¢ 711-Mr,i n�t� 1 OOYYea Old Str t rel yes 4-0� �MAPN® �' FARCELaZONINGDIS,TRICT �� :�HistoncDistnet yes ;ro _ - M'a hop V lag 0 ;. chtne_, S �il e yese not TYPE OF IMPROVEMENT. PROPOSED USE NV Residential Non- Residential ❑ New Building AOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑_Co.m.mercial XRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑S tIG ❑Well ` ovdpDVetlads] Flo # Watersh di®istrict� glNate[/Sevver" DESCRIPTION OF WORK TO BE PERFORMED: �E'/�'!vY'B o/t.� S'o�i'f? �6/I�f /1eN/lsCC l/✓i'�-dr �� �9 i Identification Please Type or Print Clearly) OWNER: Name: Da�rg/� yu��/e�h Cn ego.'ra e Phone: Address: —e----5r'— =-a; kn ;GONTRACTOR"',N-amePhone ?y` _% s 7; - l�( Lt/f!G Gti z `. ✓'lylG''� /'rLL �` J�G ! J . Address, Superviso6,Construction License d `s "# A HomeIrnprovernentLicense ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. qt� Total Project Cost: $ -371 2,3-0 �B FEE: $ -q Check No.: 2 Receipt No.: Z � � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 7 ' Si nature�of A "ent/Owner� � ,���� Plans Submitted LE Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ : 'Plans Submitted ❑ Plans Waived F1.:_ ._.Certified Plot Plan ❑ .. Stamped ed Plans ❑ TYPE OF:SEWERA:GED1S-POSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . .Swimming Pools ❑ Well ❑ Tobacco Sales .Food Packaging/Sales El Private{septic tank,etc._ . ❑ Permanent Mmpster on-Site ❑ THE"_FO.LLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM :. DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS ,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 a Conservation Decision: :Comments. Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIREDEPART`K NT Temp Dumpster on site yes no Located at:124AMair Street k, qi Fire Departme►It signature/date r.. `i. t ! f ti..•.1 a';.'' -,Z, gY:. .1 a 9' •*rs# Y Y',Yt a'R�{ {h}...r. rt*r pry -may.- r x _ COMMENTS ) it Dimension- Number imension"Number of Stories: Total square feet of floor area, based on Exterior dimensions._ _Total land-area; sq. ft.; a ELECTRIGAL: Movernent ®.f.Meter,I.ocatIdn-, mast-®r service drop requires approval of Electrical Inspector Yes No DANGER-ZONE LITERATURE: . Yes No M.GL.Cti6pter166.Sect1on.21A.-F and G min.$100=$1000:fine NOTES and DATA— For department use i El Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department artment l The foie ing is a'list of the.required=forms to be-filled out:for.the appropriate.permit to-be obtained. Roofii g, Siding, Interior Rehabilitation Permits R.oilding Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I:C. And/Or G.S:L Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Q Engineering Affidavits for Engineered products NOTE: All dumpster_permits require sign off from Fire'Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses Q Copy Of Contract Q Floor/Crossection/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application Q Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Q Copy of Contract Q Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 tlie'decision from the Board of Appeals that the apw.-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must by submAted with the building application Doc: Doc.Building Permit Revised 2012 Location No. � Date'31 .1-4 . S o • TOWN OF NORTH�ANDOVER o -x? Certificate of Occupancy $ building/Frame Permit Fee $ 'j. Foundation Permit Fee $ Other Permit Fee TOTAL $ 2 Check# .J 27603 B'uAing Inspector NORTh Townof t ndover 0 �. Nov Iq * _ h ver, Mass, b lq COC NICNl W1CN ��� A�RATEo HfP��S S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THATa 4 kcciot-- a Q.� C a � BUILDING INSPECTOR .. . .................. ........................... ... .................................... Foundation has permission to erect .......................... buildings on .. ... ..1� ......... ..... ....:�................................. Rough to be occupied as ...........Y.. .. ... ....... ..P!.. .�.... "' .'.�. ................................................... Chimney provided that the person accepting this permit shall in ev respect conf8rm 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 CONSTRUCTION STARTS Rough Service ................ .... .... .. ................... Final BUILDING I SPECTOR GAS INSPECTOR Occupancy Permit 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. AF ?eCh NOTICE OF RIGHT �OWindow & Siding LInstallations, Inc. TO CANCEL NATIONAL TOLL FREE 1-800-851-0900 MASS REGISTRATION #118836 �l%(AI J C, Py Ips ctylluk Pursuant to the Truth-In-Lending Act and Regulations, we are delivering to each Consumer Name of Consumer two copies of this Notice. ame of Consumer HI-TECH WINDOWS & SIDING INSTALLATIONS, INC. 1u) 15I'it R Seller Street III S� By.Nu�� &�Mj City/State/Zip 1 I Identificati n of Transaction YOUR RIGHT TO CANCEL. the address below. If we do not take possession of the You are entering into a transaction that will result in a money or property within 20 calender days of your offer, securityinterest on your home. You have a legal right you may keep it without further notice. under federal law to cancel this transaction, without cost, within three business days from whichever of the HOW TO CANCEL. following events occurs last: If you decide to cancel this transaction, you may do so 1. The date of the transaction, which is; ' by notifying us in writing at: OR HI TECH WINDOW& SIDING INSTALLATIONS, INC. 2. The date you received your Truth-in- 29 ARROWWOOD ST. METHUEN, MA 01844 Lending disclosures: OR You may use any written statement that is signed and 3. The date you received this notice of your right dated by you and states your intention to cancel, and/or to cancel. may use this notice by dating and signing below. Keep If you cancel this transaction, the security interest one copy of this notice because it contains important is also canceled. Within 20 Calender days after we information about your rights. receive your notice, we must take the steps necessary to reflect the fact that the security interest on your If you cancel by mail or telegram, you must send the house has been canceled, and we must return to you notice no later than midnight of any money or property you have to us or anyone else (Date) in connection with the transaction. [or midnight of the third business day following the latest of the three events listed in the section "Your Right to You may keep any money or property we have given Cancel"] If you send or deliver your written notice to you until we have done the things mentioned above, cancel some other way, it must be delivered to the above but you must then offer to return the money or address no later than this time. property. If it is impractical or unfair for you to return the property, you must offer its reasonable value. You I WISH TO CANCEL may offer to return the property at your home or at the (Date) location of the property. Money must be returned to Consumer's Signature Each Consumer signal below acknowledges two copies of this Notice of Right to Cancel. sumer's ure (Date) Consumer's Signature (Date) ORIGINAL COPY—White CUSTOMER COPY—Yeiiow OFFICE COPY—Pink 4/25/2014 8:15:06 AM PST (GMT-8) FROM: 100005-T0: 19782081356 Page: 2 of 2 AC4C>R O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 4/25/2014 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 policy(ies) must be endorsed. If SUBROGATION IS WANED, 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 BARRY J KITTREDGE INSURANCE NTACT 81 S MAIN ST NAME: PHONE BRADFORD, MA 01835 EMAII AIC No: ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED NSURERA: LM Insurance Corporation 33600 HI TECH WINDOW& SIDING INSTALLATIONS INC INSURERS: 29 ARROWWOOD STREET NSURERC: METHUEN MA 01844 NSURERD: NSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 19954990 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 DL SUER POLICY NUMBER MMIDDY EFF POiJC-Y-EXP LTR MMiDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY ECURRENCE $ CLAIMS-MADE � ACH OC OCCUR PREMISES(Ea occunwca) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY El JPERCT [7 LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABLrrY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS PeraccideM $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION A WORKERS COMPENSATION WC5-31 S-383602-013 11/29t2013 11/29/2014 PER E''R $ AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER3EXECUTNE OFFIC£R/MEMBER EXCLUDED? FN N/A E.L.EACH ACCIDENT $ 100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If yas,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING INSPECTOR ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ERT NO.: 19954990 Anne Chandler :/25.'29:3 9::3:5' A. !F0- Faye _ The Commonwealth of.Massachusetts - bepaYtment of lndifstrigl Acelde is Office oflnvestigations 600 Washington Street -Hoston,MA 02111 www.mass gov/clza Workers'Compensation Insurance Affidavit:Builders/Cony°actors/Blectricaiansglt6 bers Applieant Information Please Print Ledbl Name(Busvnesslorganization&&vidual): h1lT c�1 �✓�i7ot'<4/ S s� ;'�!S �l io�S jrIC Address: 1 - City/State/7 ip: ,ge_4i well Mg Phone ff: 1`�'7 f- kT 9- Are your an employer?Check the appropriate box: Type of project(required): 1.A I am a employer with/7%`'T ry 4. ❑ I am a general contractor and I 6. []New construction employees(full and/or part time)* have hired the sub-contractors 2.❑ Zama sola proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship and'have no.employees These sub-contractors have 8. []Demolition working forme in.any capacity, workers'comp.insurance. 9. ❑Building addition DTo workers' comp.insurance 5. ❑We are a corpora�on and its required.] officers have exercised.their 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),andwe have no 12.❑Roofrepairs / insuraucerequired.]? employees.[No workers' 139 Other comp.insurance required.] xAny applicant that checks box#I must also fill out the section below showingtheir workers'compensationpolicy information. i Homeowners who submit this affidavit indicating they Aire 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. I am an employer that is providing workers'compensation insurancefor my employees Below is thepolicy andlob site information. Insurance Company Name% /.3g/t A P/ x7— A(',•'7e-1A Policy#or Self-ins.Lie'.#: w�.3�.�/S" 8"-��0-� c�/-3 Expiration Date: Job Site Address: /�� !��'l✓J'<�e' A`-. City/State/Zip: /✓ /��-- Attach a copy oldie workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as requireduuder Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. X doitereby cert under Me.pains andpenalties o fperaury that the information provided above is true and correct. - — 22 Si afore• �� Date: � Phone#: `/ 78•- �7�' �9� � Oficial use only. Do not write in this area,to be completed by city or town official. 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 9: Inform atian and Instructions 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 wxitten." An employer is defined as"an individual,partnership,associat ion,corporation or other legal entity,or any two orrnoxe of the f6regoing 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 xesides therein,or the occupant of 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 bean employes." 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 fox 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 of its political subdivisions shall enter into any contract for the performance ofpublic 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-contractors)name(s),address(es)and phone numbers)along with their certifxeate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are notrequired 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 fox 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 thepermit 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 he. 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 whichwill be used as a reference number. In addition,an applicant thatmust submitmultiple.permit/license applications is any givenyear,need only submit one affidavit indicating current policy information(if necessary)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 maybe provided to the applicant as proofthat a valid affidavit-ii on file:for futureermits or licenses. Anew affidavit u p _ v m st be filled out each year.Where a home owner or citizen is obtaining a license ox p ermit not related to any business or commercial venture (i.e.a dog license orpermit 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 shQuld you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tho Co o oaTtlzo assachvs�tES Dap.Ut ont offadustria-1.accidents Offtce QTuvestiaQus 600 Wasbhagton,8freet Boston,,MA 02111 `Fed,#61M-2.7�4900 ext 406 or 1-877-WASS.AFF Revised 5-26-05 Fax#617-727-7749 • ��.�uass.gov�dia i Hi-Tech Window & Siding, Inc. SIDING v P.O. Box 8234 Ward Hill, MA 01835 MA Reg. # 118836 29 Arrowwood St. Methuen, MA 01844 MA Lic # 016201 1-800-851-0900 -- T dS ` www.hitechcorp.biz QSY .1L Date. - Consultant: me �0 `4 Qhs lcn _ 707Job Na : _ C= 83 00 9 Job Address: �� — _ Town: CONTRACTOR agrees to start described work on/or about_ weeks after final fittings and(nilde cribed work in about working daysCONTRACTOR shall not be held liable for delays due to causes beyond our control. ' C!/ �f �j�The following work includes all labor and materials needed to complete your job in a woiplike mannkr � vJob Includes Trim UGombination Job-Siding With Other Work El P.V C.Coated Alum Aluminum wilding and Elec Permit asc a Trim Fascia Treatment Iding Removal 3_6ffit Trim Fascia Color r Ivrepaialion Package U11�11dow&Door Trim MI-ful Custom None ccessory Package []/Shutlerst Location Underlayment laculai nn VP Gutters Soffit Treatment Iding Downspouts 114n'v 4r Soffit Color ` emove Debris Umpq WhK Lock.Elec Meter ;enter Vent f=ully Vented Non-Vented Preparation Includes ovp is _kAr om n eplace Visible Rot Vented as Needed Window And Door Casing Treatmen w Energy Savings/Bug Guard Starter Window And_Door Casin C r VCR 4( Full Custom Formed J-Less Full Custom Formed Accessory Packag Includes Blind Stop Capping None Color. 1 Location �inyl Light Blocksinyl Dryer Blocks ffA Gutter&Downspouts YVinyl Electric Outlet Blocks Vinyl Ezhausl Vents Gutter Color Downspouts Culor Vinyl Faucets Blocks E�rvinyl Gable Vents r, Location Q 4 I^S Underlayment Insulation To Be Used ` Special Notes 7 Hi-Tech 3r8 �Vlher `J SC4 S Location Area To Be Sided 11, /' omplete House Garage +\ d tr ,4 t -V Siding To Pe Used W h 1 K h I Color Payment Policy ;* t S LfQ-V n itN110V rt Bank Financing Cvxer To Arrange Hi-Tech`c Arrange Brand Profile Cash Or Check Master Card lft Corner Post To Be Used ° #� N P Total Investment 7 a 5 0. 0 0 Comer Post Color: 1 0�4ide Insulated Wide Non-Insulated 113 Deposit I�� �0 O Regular Insulated El Regular Payment Regular Non-Insulated y �;W 113 Balance of Day Completion V You may cancel this agreement if it has been signed by a party thereto at a place other than the address of the seller,which may be his main office or branch thereto, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent,or by delivery, not later than midnight of the third business day following the signing of thisrreernent. See the attached notice of cancellation form for an explanation of this right. S _ .An interest charge of 1.5per month(18%per year)will be Date of Acceptance, addedto any amount unpaid after 30 days from invoice date, i in the aevem of del-11 of Pay em of?his order or any oars;hei eof and Ir,,,Ir,,,.commis Ocueo Signature ! io n aVorney fo:zctachon.Vie purchaser agrees to pay reasonable attorney fees. (Homeowner) _ I t We give Hi-Tech permission to tain all necessary permits. _ r Signature � Signature Hi TeciuN. Iffice of Consumer � �a�'v� { Affairs&Business Regulation i - ME IMPROVEMENT CONT RACTOR y Registration - 4 Expirations 1` 83" 6 I 4/26/2015/" z Type:.; HI TECH WINDOW&r iDIN' ix. S.upplernent Gf mINSTALL INC TIM WICKS NR� 29 ARROWWOOD ST METHEN f ,MA 01.844 --- Under i • secretary ' Massachusetts -Department of Public Safety I Board of Building Regulations and Standards { Construction Supensor License: CS-09651 TIMOTHY W WICKS 3 ELLIS STREET Methuen MA 01844 Expiration Commissioner �— _ 09/09/2014