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HomeMy WebLinkAboutBuilding Permit #818-2017 - 106 BOSTON STREET 3/2/2017 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIO Permit NO: /�Noq Date Received l I Date Issued: 3& w/7 IMPORTANT:Applicant must complete all items on this page LOCATION OS lv . i Print PROPERTY OWNER .�tGty1 f) IpUV,I�LZi Print 100 Year Old Structure yes rno MAP NO: PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial E Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: '1£litJ SIIC-C-NOCK. av€s FIE �tiC_ cmgj jeahais I,cwdwood 1nSlal1 � '�o� shy /� u�i,YGI Identification Plse Type or Print early) OWNER: Name: Jea, A6v -2.2 i Phone: Address: TOLD Bbslon AhjvE(, CONTRACTOR Name: kA I A I n o-ka Chi V"4 Phone: -4 -- SQ Address: 20) t§Scx- Srice aC4 Ql rcl Supervisor's Construction License: J Q 9 251 Exp. Date: 11-15-11 Home Improvement License: t (10261 Exp. Date: 15-24.17 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ • f1 U •o© FEE: $ Check No.: Receipt No.:_ NOTE: Persons contracting with unregistered contractors do not have access to-tbe guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Samped Plans ❑ Location t UV A✓� r U�1 No. Date 84 - ! ' rrw 7 j . - TOWN OF NORTH ANDOVER f Certificate of Occupancy $ • Building/Frame Permit Fee Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check# , r �� / f Building Inspector 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 - 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 w Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW ToNv;: Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair"Street Fire DepartmeNt signatureldate COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions_ Total land area, sq. ft.: ELECTRICAL: Movement of Meter 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.$10041000 fine NOTES and DATA— (For department use Ll Notified for pickup - Date E Doc.Building Permit Revised 2010 Building Department Tine following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Li Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application Li Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li Mass check Energy Compliance Report o 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 the 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 be- subwted with the building application Doc: Doc.Buhding Permit Revised 2012 F 00RTh Town of 2 � _ s ndover 0 ti No. , gi%-vaq T n b oh 14 ver, Mass,LAKI �I pCOCHICHIWIC y7' 7� TE0 S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System • THIS CERTIFIES THATM.1.4.V.C0` .........e0AA... ..... . gilt. .......2: cft BUILDING INSPECTOR has permission to erect ..........................buildings on .......1. 10.....a.os.*.A......� Foundation .. ......... Rough to be occupied as ......J ........S."Af s6k.........J .....Offin.4vii....f..�C Chimney provided that the person accepting this permit shall in eve respect conform to the terms of the liCation p p p g p every p Pp 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 A T Rough Service .................. .. ... . . ..Iw.qv..................................... Final BUILDING INSPECTOR 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. i y MIGUELIN CONTRACTING INC. 289-291 ESSEX STREET, LAWRENCE MA 01840 978-794-1182 Cell 978-420-8052; Fax 978-327-5599 *ROOFING*SIDING*REMODELATIONS*BOILER *LEAD PAINT REMOVAL*ASBESTOS REMOVAL CONTRACTOR LICENSE#175629 MAXIMO GUERRERO CS-089346 DELEADER CONTRACTOR#DC001924 FREE ESTIMATE-FULLY INSURED E-MAIL: miauelincontract(a�gol.com PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME: JEAN ABOU AZZI 106 BOSTON ST. ANDOVER, MA DATE: January 13, 2017 We hereby submit specifications and estimates for: SCOPE OF WORK: GENERAL REPAIR- PUT SHEETROCK ON THE ALL HOUSE OVER THE EXISTING SHEETROCK MAKE ALL ELECTRICITY TO THE HOUSE IT WILL INSTALL NEW ELECTRICAL PANELS AND ALL POWER LINES. THIS INCLUDES ALL LIGHTS IN THE HOUSE AND FANS IN THE BATHROOMS PUT NEW HEATING AND CENTRAL AIR PUT HARDWOOD FLOORS INSTALL CERAMIC IN THE BACK PORCH REPLACE THE FLOOR OF THE PORCH THE OLD WOOD FOR NEW WOOD,THIS PORCH IS ON THE BACK ON THE RIGHT SIDE MAKE THE PORCH GOING TO CLOSE THE WALLS AND YOU WILL LEAVE THREE WIMDOWS IN THE PORCH REMOVE KITCHEN CABINETS AND ARE TO BE PUT BACK REPLACE THE OLD STORE IN THE YARD EXISTING AND WILL MAKE A NEW ONE FINISH AND PAINT BASEMENT: MAKE THE NEW BASEMENT, PUT FRAMER, BLUE BORD AND PLASTER INSTALL TWO NEW ROOMS INSTALL STANDAR SHOWER REPLACE FLOOR WITH CERAMIC INSTALL LIGTH IN THE STANDAR SHOWER FINISH AND PAINT PLUMBER WORK DO PLUMBING INSTALL 50 GALLONS OF HOT WATER FINISH AND PAINT BAR: REMOVE SHINGLE WALL IN THE BAR PUT SHEETROCK FINISH AND PAINT JOB COST: $951,000.00 r NOTE: THIS COST NO INCLUDE SHOWER, TOILET, SINCK AND LIGHTS JOB TOTAL: $95,000.00 The propose hereby to furnish materials and perform the complete labor according with above specifications, for the sum of: NOTE: MAKE CHECK PAYABLE TO LUIS MIGUEL TEJEDA- MIGUELIN CONTRACTING INC All material is guaranteed to be as specified, all work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our co trol. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by workmen's Compe at surance. :Thank, ou f our b ess and look forward to our relationship. Authorize Signature Date: 1/13/17 Luis guel Tejeda J bou i ACCEPTANCE OF PROPOSAL the above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Pay ent will be made as outlined above. Signature: 54� Date of acceptance: 1/13/17 V/ Ike Commonwealth of Massachusetts ,Department of l-ndlustrialAccidents N = X Congress Rfeet,SAWeX00 02XX4 2€17 $oston,MA .� 4C wWwmassgo-vldza a,�M �iv9 Warkers'Compensationlusux'aned AOda�=B'adders/Contractors/ElecixiciaxLs/'Irm� ers. TO BE Fff"V9M TBE P IING AUTB[OItT Y -,P:lease print I, i A licantInfo xnlation Name(Business/Orgaimaiaon/Inrlividual) Address: I Phony#: g"��f`:�ZQ•��s� City/State/Zip: ► �.,;�.� ,r, _ Are you an employer?Check tfie appropriate box: Type of project(req&ecl); 1.❑I am a employer with employees(fun and/or parttime)-" 7. []NdVd6nsirlidaon g. �emod6.9 m. 2.oIaasoleproprietororpad,,brpandhavenoem&YeesWorkng forme in [�Demohtzon any capacity:jNoworkers'cur omp.insance required.] 9. 3.0 1 am ahomeowner doing all•workmYse�[No workers'comp.insurancereq bred] 10❑Building addition 4-❑Iamahomeownerandw>71behitngcontractorstoconductallworkonmyproperty_ 1wM 11.❑EleaTicalrepairsor ,dditions enm a that all coniracfFors ei erhave workers'compensation insr¢ance or are sole , pr 'etorswiFh.no ezriployees. 12.[(Plumbsng repairs or additions 5. am a general confractor and Ihave hiredthe sub-coutractors listed onthe attached sheet 13•.0 Roof repairs These sub-contractors have employees andhave workers'camp.inscsancet 14.n Other 6.Q We are a corporatiq?i and its.offices have exercisedtheir right of exemption per MGL c. 152,§I(4),and V have no employees.jb?o workers'comp.insurance_1aTnred] *Any i applica�that chcks box#1 miicfi also fiti outiho sectionbelow showngtheirworkers'compensationpo&cy mfonaaiion i Homeowners-who snbmitrthig afficiav%t indicafing they are doing all work andthenhire outside contractors.. must submit a new affidavit indica ing such Co�ractors that checkthis Bok must attache d'an additienal sh r vsihde their workers'comp.policy n�ber. state whether or not�ose.entities have employees. If the sub-contractors have employees,they mus p ,[am an employer that is providing-workers'compensation insurancefor my employees Below is t/iepoRe cnzd�ob szte information. Jus-arance,Company Name:. ExpirationDate• Policy#or Self-ins-Lic.#:. - - ��S�Y� City/State/Zip: &- kA Job Site Address: e(Showing the policy num er and expiration(ate). Attach a copy of the workers' compensationpolicy deelaxationpag p allure to secure coverage as requv ed under MGL c.152,§25A is a criminal violation punishable by a die up to$7, 500.00 ear im rkraga f T well as civil penalties in the form of a STOT'W ORK ORDER and a fine of up to $250.0 0 a and/or one-y p of this statement may be forwarded to the Office,of Investigations of the DTA.for insurance day against the violator.A copy coverage verification. andpenal =37 cern under tTi pain ties ofgerjury tJiat the information pr pdo heovided above i� Ued correct Date: Si ature: Phone#: officia use Y. Do not1W.1te in this area,to he corripleted by city or town official Permit/License# City or Tovan- Issuing.Authoxity(circle one): Inspector 6. 1.Board of Realth 2.Building Department 3.eitylTown Clerk 4.) lectrical Inspector 5.Plumbing 6.Other Phone#- Contact Person: Information 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 written." An employer is d'ef`ined 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 trastde of an individual,partnership,association or other legal entity,employing emplbyees:.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 shallnot because of such employment b6 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 buildnags iu the commonwealth for any applica't•wlid has not produced acceptable evidence of compliance with the insurance coverage requited." 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 insurame 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 phonenumber(s)along with theircertificate(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 m LLC or LLP does have employees,a policy is required. B e advised that this affidavit maybe submitted to the Department of Industrial Accidents for confum.ation ofinsurance 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-Accidenis. Should you have any questions regarding the law or if you are required to obtain a vrorkers' compensation.policy,please call the Department at the numberlistedbelow. Self-insured companies shouldenter 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 atthe 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 peimit/license applications in any given year,need only submit one affidavit indicating current PORGY 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 pemnits or licenses. Anew affidavit must be filled out each year.Where ahome owner or citizen is obtaining alicense or permit notrelated to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Depa tuent of IndustrialAccidents 1 Congress Street, Suite 1.00 Boston,MA 02114-2017 Tel. #617-727-4900 ext.7406 ox 1-877•-MA.S,SAFE Fax# 617-727--7749 Revised 02-23-15 wwwmass.gov/dia �1 MIGUCON-01 LBIGELOW ACORO° DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 812412016 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 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 CONTACT NAME: Thomas J.Woods Insurance Agency Inc. aCNN 50g 755-5944 ac No: 508 T55-6412 20 Park Ave WI, Worcester MA 01605 E-MAIL ADDREss:info@woodsinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:MaXum IndemnityCo INSURED INSURER a:Miscellaneous Miguelin Contracting Inc INSURER C: 289-291 Essex St INSURER D: Lawrence,MA 01840 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 POLICY EFF POLICY EXP LIMITS LTR IND WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DOCCUR BDG3005358-03 03/25/2016 03/25/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 1,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY El JECOT- F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (P.'.. UMBRELLA LU18OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION IPER AND EMPLOYERS'LIABILITY Y/N STATUTE OERTH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B General Liability CPL105090 03/25/2016 03/25/2017 POLLUTION LIAB 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) POLLUTION LIABILITY INCLUDES LEAD&ASBESTOS REMOVAL 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 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE �f t ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD NN NOTICE NOTICE MW TO r" . a TO EMPLOYEES A. EMPLOYEES ,o The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston,Massachusetts 02114 — 2017 617-727-4900 — http://www.state.ma.us/dia As required by Massachusetts General Law,Chapter 152,Sections 21,22&30,this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ZURICH-AMERICAN INSURANCE GROUP NAME OF INSURANCE COMPANY P-0. BOX 1450 MIDDLEBORO MA 02344-1450 ADDRESS OF INSURANCE COMPANY (6ZZUB-OG31068-3-15) 09-17-15 TO 09-17-16 POLICY NUMBER EFFECTIVE DATES .�� DEGNAN INSURANCE AGENCY 85 SALEM STREET m-- LAWRENCE MA 01843 NAME OF INSURANCE AGENT ADDRESS PHONE# MIGUELIN CONTRACTING INC 291 ESSEX STREET 0= LAWRENCE 0- MA 01840 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE o= MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the 'u �— provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the -- cost of the services injured employee. The employee may select his or her own physician. The reasonable provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably •— connected to the work related injury_ In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS qr" RF D"Qgrli Tl RV iRMPT ."V RR Office of Consumer Affairs and Business Regulation t 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cottrctor Registration Registration: 176629 Type: 'Corporation MIGUELIN CONTRACTING INC. Expiration: 6/24/2017 Tr# 288019 LUIS TEJEDA 291 ESSEX-STREET LAWRENCE, MA 01840 Update Address and return card.Mark reason for change. SCA 1 » 20M•o5h1 [� Address M Renewal E] Employment Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for Individul use only wI �f HOME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: Registration: ,176829 Type: Office of Consumer Affairs and Business Regulation Expiration: , 6/24/2017 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 MIGUELIN CONTRAG-ING INC: LUIS TEJEDA 291 ESSEX STREET LAWRENCE, MA 01840 Undersecretary Not id wit KtAgnatuie Massachusetts Department of Pu* iic Safety Board of Building Regulations and Standards License:CS-109251 Construction Supervisor C JOSSERY DIAZ 7 NORTH STREET HAVERHILL MA 01838-- CA 1830_C `-- Expiration: Commissioner 01/1312019