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HomeMy WebLinkAboutBuilding Permit #32 - 11 PEMBROOK ROAD 7/16/2007 BUILDING PERMITo� "ORTH q `ST,6 G. TOWN OF NORTH ANDOVER c? o� APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received gsSACH�1`��� Date Issued: MP RT T:Applicant must complete all items on this page LOCATION KA a rinti PROPERTY OWNER 0-4,f.Lc) 0 6G Print IV1AP NO _PARCEL: ZONING DISTRICT: CHistoric District - _ Machine Shop VPIage yesn TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family ✓Addition - - Two or more-family Industrial 1 Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain, Wetlands _ _ Watershed.District` �VUator/Ser u _'� _ DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: �A(xw w Umio\\G- Phone: 11� 1p(K5K42)K Address: \ uro U\! CONTRACTOR -Name ) 1Y = lW 'XPhone 1pJ6 Acldress 2 A -y45 1 .Supervisor's Construction-License: `��t7 � Exp. Date: rz w � P . Home Improvement License: -a o,ll Exp: [late:: 1107" ARCHITECT/ENGINEER S AS'SOCCL Phone: -7-91 • �G`� ( (�� Address:����I 3Sal Cb-nt0y) /l✓A 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: $ �--7T Oo d FEE: Check No.: �9.p0 Receipt No.: Oy 0-3 f`y NOTE: Persons contracting wi# unr gis red ontractors do not have access to the guaranty fund igna� f Agent/Owner ignat�re of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer 11VV 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 !� E EJECTED DATE APPROVED CONSERVATIO d I COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS I 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 Located at 384 Osgood Street FIRE DEPAR II fT -hemp Dum:pster on site yes r�o Located at 124 MainStreet "; ; Fire Departmerit.sicinature/date w 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.$100-$1000 fine NOTES and DATA— (For department use SII ❑ Notified for pickup - Date ...._..........._._........................-----..............-..-----._._......-........................................ —_......................_....--- --............._......................._.............--------._........................................---...._.........._—._..........-....--.._ Doc.Building Permit Revised 2007 ' I � I { 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 ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses j ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ 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 ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And 1 Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products i NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I New Construction (Single and Two Family) L3) Building Permit Application w- Certified Proposed Plot Plan ❑�--Photo of H.I.C. And C.S.L. Licenses o,-Workers Comp Affidavit ❑� Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And { Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 /-2 Location No. 2, Date s MORT� TOWN OF NORTH ANDOVER 0 n # Certificate of Occupancy $ s�cMusE`t� Building/Frame Permit Fee $ ,Z 1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20394 Building Inspector tAORTFj Town of Andover No. 3Z - -W 0 doves, Mass., LAK E COCHICHEW ot, 0RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� //E .}�� �O BUILDING INSPECTOR THIS CERTIFIES THAT...... ..... ..............................f ./...................... .................. . ............. .............. Foundation has permission to erect........................................ buildings on .. . ...... Rough to be occupied as............ Chimney ........ .. ... ... . . ......... ..................................... V provided that the person ac aping this permit shall in eery respect conform to the terms of the application on file in Final 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 PERMIT EXPIRES N 'S Final ELECTRICAL INSPECTOR. UNLESS CONSTRU S TS Rough .............. .. ................ ..... ....................................................... _Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Residential Property Record Card PARCEL_ID:210/021.0-0056.0000.0 MAP:021.0 BLOCK:0056 LOT:0000.0 PARCEL ADDRESS:11 PEMBROOK ROAD PARCEL INFORMATION Gass Cada.:. t11 r S*1e riu 140 wok >!'.. .9 : :.. 1 oad'i ype' T Inspect late /l8i2t11>4 Owner: Tax Class T sale Date: 05/09/2005 Page: 274 Rd Condition P Meas Date 03/18/2004 YID Ttaffin�. X IACOLLA,MATTHEW 1bt tr1 Af i 1 .ale T P Cit M Ets#reetra. Tot Land Area 0 37 Sale Valid A Water Collect Id RRC Address; at4tttG1, I.AD1"14,1A41 Ft 601NaC< {taspt R#8# 141 11 PEMBRROK ROAD . NORTH ANDOVER MA 01845 Exempt-B/L% 0/0 Resid-B/L% 1001100 Comm-B/L8t0 Indust-B/L% 0/0 Open Sp-B/L% 0/0 RESIDENCE INFORMATION LAND INFORMATION ` # morns Iii'Fn { NBHD CODE 5 NBHD CLASS 5 ZONE R4 Story Height1 75 Bedrooms 3 Up Fn Area 702 8smt Area 1912S. Y M +a pt. ;i Acres tnf{tY/1V talus Cuss Roof Li Rot Baths: 2 Add �Atha 1=31�smt Area 480. 1 P 101 S 16000 0.37 191,257 Ext Wall AV Half Baths Unfin Area Bamt Grade STRUCTURE INFORMATION MasO�r Tarn Eft tla itc Tt FiC4 Atm 4il'iT H D DETAC E Foundation ST Bath Qual T RCNLD 175828 Stir; Unit,:M 1 Msr-2:;: E�1i'R��It GraideCond"lotade�€P/f�1Ei'Ft t Class.: itGkl Qttaf 1~ffYG1 S 336 1988 A A W///50 6,100 1915; , '�Ikt�d1: Heat Type HW Ext Kitch Year Built 1955 Sound Value: VALUATION INFORMATION Fuel .>. .. .. E Oratle A CSti! 175801 ► Current Total: 373,200 Bldg: 181,900 Land: 191,300 MktLnd: 191,300 Fireplace 1 Bsmt Gar Cap Condition A Att Str Val1 Prior Total: 346,500 Bldg: 182,600 Land: 163,900 MktLnd: 163,900 Unpteta enteal AC mt 3a '.61 I ct Q � Att qtr Vail Aft Gar SF. %Good P%F/E/R. 1100/100/76 Parch Tvne Porch Area Porch Grade Factor E 104 SKETCH PHOTO xt- i 97d WL. 20 :. . £. . s�.. lie r 4 4 XX ; :: :. •. 1.1 PIE BROOK ROAD:<::::::>:................................................... �,� r.: Parcel ID:210/021.0-0056-0000.0 as of-7/16/07 Page 1 of 1 REFERENCES TOTAL AREA= 16,000 S.F. 100% EXISTING COVERAGE= 1,557 S.F.9.7% NORTH ESSEX EXISTING OPEN SPACE= 14,443 S.F.90.3% REGISTRY OF DEEDS: PROPOSED COVERAGE= 2,196 S.F. 13.7% PROPOSED OPEN SPACE= 13,804 S.F.86.3% DEED BOOK 9502, PAGE 274. PLAN No. 1708 ASSESSOR'S PARCEL ID: 210/021 .0-0056-0000.0 ZONING: Lot 15 IN ZONING: Res-4 Set r Lot 14 IP/ t g3.00 Lot 5 16,000 S.F. Z Oa O 00 U7 ` 0 10 O O 0 N O (� Lot 3 Oo00 tD O ` IP/ t Set 21 2616' 18.2' N ••••••�•. Prop .•.•.•. 0� . .... Addiostioned .. .. - .................. Existing Lot 60 To Be a: Garage Lot 4 411 ...R 21.i' Blk. ' 19.4' Z 1, 611 ... � a 14.6' Existing i .p: 2 Story' © 01) Porch Wood 0o O 14. rn 6' #il 0 6 �r M M I to 1 ( . 1 100.00' IviS25'37'10"E Fnd Set PEMBROO K ROA,b 'A Or . PLAN OF LAND �0- NORTH ANDOVER , I�iA . , QoU .Q� � r ,a.o NO. 1 1 PEMBROOK ROAD JAMES W. R.L.S. DATE PREPARED FOR: ZONING- � ¢ MATTHEW LACOLLA PERMIT `PLAN Demm. rao,. BRM BRADFORD ENGINEERING CO . S+M 1 OFDRAW11 aw .APPRM • �w6 RG 3 W A S H I N':G T O N SO . REVISIONS BY RG HAVERHILL MA . 018 ,30 07/09/07 rg SCAM p20 PHONE'(978) 373-2396 f'"` bradfo ` (978) 373-8021 rd.en r®verizon.net 07/10/07 rg 1 = DAM, APRIL 17, 2006 FUNORTHANo 11PEMeR00K.pwc ME NO. 140207s REFERENCES TOTAL AREA= 16,000 S.F. 100% NORTH ESSEX EXISTTIINNGG OPEN SPACRAGE E=14,443 S.F.90.3% REGISTRY OF DEEDS: PROPOSED COVERAGE= 2,196 S.F.13.7% DEED BOOK 9502 PAGE 274. PROPOSED OPEN SPACE= 13,804 S.F.86.3% PLAN No. 1708 ASSESSOR'S PARCEL ID: 210/021.0--0056--0000.0 ZONING: Lot 15 zai ZONING: Res-4 set Lot 14IN ! Set 1 , 1 Lot 5 16,000 S.F. Z 00 0 O 90 (.n p IV � O 40 a' rri O 1� W , Lot 3 91 (D tSet 1 21.2' 18.2' T"* "'*"'*'*"**"**""**'-*-***""IN ro .•.'... Proposed .... o, Addition o, Existing Lot 6 o To Be .:_:.:.:_ o� /Garage Lot 4 4" 21.1, .. Blk. ..... 19.4' Z 1- 6" � 14.6' Existing w 2 Story' O O 1 Porch Wood I Oo 14.6'. x#11 f*i I ci o I M M to i 100.00' rPi S25'37'10"E Fid Set -PEMBROO K ROAD PLAN OF LAND NORTH ANDOVER , MA . NO. 1 1 PEMBROOK ROAD 1= DA,t JAMES W. R.L.S. DATE PREPARED FOR: ZONING MATTHEW LACOLLA PERMIT `PLAN a'D: BRM BRADFORD ENGINEERING CO . %nT 1 O 1 RG 3 WASH I N IG T O N SO . REVISIONS BY CHECKED: RG H A V E R H I L L M A_ 01830 07/09/07 rg ewe [D:Aw7- A 1" = 20' �i01�`(978) 373-239—F (978) 373-8021 bradford.en �verizon.net 07/10/07 rg RIL17, 2006 NO�RTHANO 11 PEMBROOK.DWG No 140207s Ul I •e(•eUUb C:UGNT1—^J UHN H 1 Lkt-L l Nb- u CERTIFICATE OF L ABILITY INSURANCE "�.��y I,.�',..... lu/27/2/2006 PRODUCER (781)729-8770 FAX (791)129-00! 3 THIS CERTIFICATE IS 163UED AS A MATTER OF INFORMATION Sohn A. Pierce Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 Main St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chester, MA 01890-7,994 trace Russo INSURERS AFFORDING COVERAGE NAIC 8 INSURED Pine Cone ConstRiction Inc INSURERA: Western World Insurance 47 Sontempo Rd INSURER B: Safety 39454 Newton, MA 02459 INSURERC: American International Co 61 INSURER D: INSURER E: OV' G , THE POLICIES OF INSURANCE 1.OTED BELOW HAVE BEEN ISSU D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR I,'ONDITION OF ANY CONTRACT qR OTHER DOCUMENT WITH RESPECY TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE.AFFORDED BY THE POLICIES D SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUC D BY PAID CLAIMS. I T2 INSRu TYPE OF INSURANCE POLICY NUMBJR PO ICY EPFFLTNE POLICY PIRAT N LIMITS GENERAL LIABILITY �., ?BI 10/24/2006 10/24/2007 EACH OCCURRENCE S 2,000,0001 X COMMERCIAL OENEa It,LIABtLT DAMAGE TO RENTED $ S0,0001 CLAIMS MADE [i;3 OCCUR MED EXP(Any ons person) S 51000 A PER60NAL&AOV INJURY $ 11000.000 GENERAL AGGREGATE S 21000100 GEN'L AGGREDATE LIMIT NT PLI"PER. PRODUCTS•OOMPIOP ACG L 2,000,000 POLICY 7 j"W"rLOC AUTOMOBILE LIABILITY 2980595 06/18/2006 06/18/2007 COMBINED SINOLE LIMIT ANY AUTO (Es eocidenq S ALL OWNED AUTOS eoDlLr IruuaY X SCHEDULED AUTO$ (Par penoq) E 100.000 B X WIREDAUTOS AODILYINJURY X NON•OWNEDAUTOS (Pareooldegq S ROPERTY DAMAGE S Per eoo°dagp 100,060 GARAOELIABILITY AUTO ONLY-EAACCIDEM I ANY AUTO OTIiER THAN EA ACC E AUTO ONLY` AGG S EXCESBfUMBRELLA LIAV.ITY EACH OCCURRENCE s OCCUR (:I.AtMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION ASIV W 77631376 10/20/2006 10/20/2007 we u• TH• EMPLOYERS'LIABILITY C ANY PROPRIETORIPARTNE)VE(cCUT)VE E.L.EACH ACCIDENT % 100,000 01TICERIMEMBER EXCLVDE07 E.L.D1SEA8E•EA EMPLOY E 100,_00 B Yee.deseAba under SPECIAL PROVISIONS below E.L,DISEASE-POLICY LIMIT S S00100 OTHER DCSCRIPTION OF OPERATIONS I LOQ iT10NS I VEHICLES I EXCLUSIONS AD ED BY ENDORSEMENT f SPECIAL PROVISION6 CIERTIFICATE HOLOER C CEL ION SHOULD ANY OF THE A60VE DESCRIBED FOLICIES BE CANGELLED BEFORE THE EXPIRATION OATF THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE:NO ODUGATION OR LIABILITY City of Newtorl OF ANY KIND UPON TIJ9 INSURER,ITS AGENTS OR WiMEIIENTATIVE3. Newton, MA AUTHORIZED REPRESS TIVE ACORD 25(2001108) OACORD CORPORATION 1895 i. i The Commonwealth of Massachusetts Department of Industrial Accidents y 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 Legibly Name (Business/Organization/Individual)'— ,no, ,CLQ, CUf11jM1�C�fid��, Address:-''Al of4 fYN Do City/State/Zip: KkY� Phone #: �9 9(0S I 1 Are you an employer?Check the appropriate box: Type of project(required): LIZ I am a employer with a() 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. M Building addition [No workers' comp. insurance 5. ❑ 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 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees.[No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks boz#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are 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:(Y)Cf_l(zCU0 �Inkm"&Na_A CO Policy#or Self-ins. Lic. (.n�j 13'](D Expiration Date: 1 O 1Z Ot()-7 Job Site Address: 1 ��,rY�1�rt l� d City/State/Zip: N • A�)nkxgk ki 01 �t - Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 cern der the pains yndpenalties of perjury that the information provided above is true and correct. Si nature: a,%_ — Date: -7 /6/o Phone %351/9_�8 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 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 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 of its 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 may be 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(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 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 Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia i 8oartl of w r mg cru ahan and Standar s Construction Supervisor License License: CS 46341 Birthdate: 10/19/1947 Expiration: 10/19Q008 Restriction: 1G FRANCESCO UTANO 47 BONTEMPO RD NEWTON,MA 02459Commissioner s <�! ;'li� f%�nsxrriarr�r�/!/r n� ift�asxi��rta+ttG+ a r Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 6 Registration: 129763 Board of Building Regulations and Standards Expiration: t 1/1/2007 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation Pine Cone Construction Frank Utano 543 SAW MILL BROOK PKWY ,, NEWTON,Ma 02459 Administrator Not valid without signature Ccse, CanStrucPu—i �-7 &- )l p) ')�d mt�rwt?)n N0- jt,�-jl -1 , wu 7 fY a K U.fMc), d f- 1 Jn C, C6 n e- Con slyu c'h cin )'f Pembro6L '-Rd , Oor-f-h OF �Sc`d a d'c Ack-) c cyy ItA,C-)n . 04 b r I AA � D�ne,r , ku L,,,61�o-