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Home My WebLink AboutBuilding Permit #647-13 - 1292 OSGOOD STREET 4/5/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received I Date Issued: PORTANT:Applicant must complete all items on this page LOCATION 92 Prin PROPERTY OWNER _,... Print 100 Year Old Structure yes no MAP NO: V ' PARCEL ZONING DISTRICT: Historic District, ye. no Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition 0 Two or more family ❑ Industrial ❑Alteration No. of units: Commercial *Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic, ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District, El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ( �5 `r ICJw c Identification Please Type or Print Clearly) OWNER: Name:. 1'� p-,— Phone: Address: - v ! CONTRACTOR Name:__�—) r ,ir _ Phone: to C 3 3 S 7 Address:_ L �: ��`�"t %2:2&-ne a Lo rj2 9' 4�� Supervisor's Construction License-'S v� (nip C,t(,, Exp. Date: 6L Home Improvement License: �71 Exp. -Date-., (13 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: $ Y O FEE: $ /i0 O Check No.:_ 4-R C< J Receipt No.: �2,C -2 rl:� . NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/ wrier � ' ' ~ ,Signature of contract Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Ian ❑ 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 I CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS M 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 Towz., Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMEI NT - Temp Dumpster on site yes no Located at'124 Main Street Fire Department-signature/date 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 El Notified for pickup - Date ' f i t Doc.Building Permit Revised 2010 Building Department The fol-awing 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 ❑ 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 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 pp Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ 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 ors special permit was required the Town Clerks office must stamp the decision from the Board of Appeals P P 9 P PP that the app:al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm;tted with the building application Doc: Doc.Bui?ding Permit Revised 2012 v jV.1/ LV IU 1 1 .VU UVUYLUUUU i K wvt) r. UUL/VVL CCAPI_LC-02 LMICHALS CORD' DATE M �rn WDD CERTIFICATE OF LIABILITY INSURANCE 8131/2012 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 pollcy(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 LIC@rlSe#365077 CONTACT Lorraine Michels lark Insurance PHONE (603)B22-2855 608 622.2854 B0,Canal St iycNo.Ext): Manchester,NH 03101 E•MAILss:Imichals@darkinsuranmcom INSURERS AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance 24198 INSURED WSURER e:Chards Casualty Company CCAPS,LLC dba Service Master Elite&MAJE,LLC dba Elite INSURER C:Philadelphia Insuranco Company ~ Construction 12 Continental Blvd INSURER D: Merrlmsck,NH 03054 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 OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ili'Sk _—"�— ISD P6 OLICV't7(P LTR TYPE OF INSURANCE _wPnt{oY NUY QR p LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1JfTO A X COMMERCIAL GENERAL LIABILITY CBP8868088 8/29/2012 8/29/Z013 AA65s ,omm, n� $ 100,000 CLAIM"ADE I^.J OCCUR MED EXP(Anyone :son) S 5,000 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 PRO X POLICY. LOC S AUTOMOBILE LIABILITY IERgeACOMBINED SINGLE LIMIT a t 11000,000 A ANY AUTO BAS867599 8/2912012 8!28/2013 BODILY INJURY(Par parson) $ X ALL ED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X NOWOWNED PR PE RTY DAMAGE X HIRED AUi03 S AUTOS Pa X UMBRELLA LIARX OCCUR EACH OCCURRENCE $ 51000,000 A EXCESS LIAR I Ir LAIMS-MADR CUBS62691 8/29/2012 8129/2013 AGGREGATE $ DED I X I RETENTIONS 10,000 $ 5,0()0,000 WORKERS COMPENSATION WC STAT% OTH- AND EMPLOYERS'LIABILITYL'M FR ANY PROPRIETORIPARTNERIEXECUTIVE YIN N/A 005.849433 8/28/2012 8/2812013 E.L,EACTORH ACCIDENT S 1x000,000 OFFICER/MEMSEREXCLUDEDI 011000,000 (mandatory In NH) E.L.DISEASE•EA EMPLOYE $ DESCRIPTION OF OPERATIONS mia„ E.L.DISEASE•POLICY LIMIT $ 11000,000 C ContractorsPollution PHPK764828 8/29/2012 812912013 Each Occurrence 1,000,000 C Liability PHPK764820 812912012 8129/2013 Includes Mold 1,000,000 DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addelonal Remerla 9etwdule,if more space Is nqulrod) Alan DeGeorge,John DeGeorge&Matt Troyer are excluded from the workers compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIFS BE CANCELLED BEFORE For Informatlonal Purposes AACCORDAA RCE WITH THE POLICY PROVIS ONSCE WILL BE DELIVERE(1 IN AUTHORM REPRESENTATIVE . ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV- . www.mass gov/ilia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name(Business/OrganizatiorAndividual): L Address:�C�� _ria-�nC1 -L-0-A tee( Lz cQ City/State/Zip: )�A�,!`!`i d✓L r.-cPhone#: kre you an employer?Check the appropriate box: Type of project(required): I am a employer with 4. ❑ I am a general contractor and I 6. F!New construction employees(full and/or part-time).* have hired the sub-contractors F, I am a sole proprietor or partner- listed on the attached sheet.t ?• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions E] I am a homeowner doing all work right of exemption per MGL 11.F1 Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' 13.[(]Other t/� comp,insurance required.] ry applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. )meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. w iin employer that is providing workerscompensation insurance for my employees. Below is the policy and job site grmation. \\ urance Company Name: "mac icy#or Self-ins.Lid.#:��5 _ � 413iration Date: p2 r � T Site Address: 1'�!R ZL S C5 City/State/Zip: _ (^ ach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). lure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a 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 Lp to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of astigations of the DIA for insurance coverage verification. hereby cert under the pains a el ' erjury that the information provided above is trite and correct. iatur : "� Date: ne#: ?fficial itse only. Do not write in this area,to be completed by city or town official. :ity or Town: Permit/License# ssuing Authority(circle one): .Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Other '.nnfarf PPrenn• PhnnP V. 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, ?lease do not hesitate to give us a call. he 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.4 617-727-4900 ext 406 or 1-877-MASSAFE Rax V 617-777-7740 1. ELITE CONSTRUCTION Authorization to Pay 1. Authorization to Perform Construction Services. - L-rccaAL —("Customer') authorizes and contracts with Eli n ,,��c,,((��on LLC, to perform any and all construction services to repair t structure(s)on Customer's property located at�C� d �cx�$� tnce,. (the"Property"). 2.Scope of Work. The Services will be particularly described in the scope of services to be provided to the Customer by Elite Construction LLC after it has conducted a walk-through with Customer's Insurance Co. , . �, S.S. "Insurance Co."), and has determined the most effective restoration procedures to accomplish the Service?. If there is painting of walls in the estimate,this estimate allows for painting the walls the same color as the existing,should you elect to change the color this may require additional coats of paint and preparation work. Additional work will be invoiced directly to you for the added cost. 3.Cost of Services. The cost of Services will be commercially reasonable and will be determined in accordance with standard industry practices and utilizing a computerized estimating system called Xactimate. Additional information regarding this pricing methodology will be furnished to Customer upon request. Customer agrees to this method of pricing. Furthermore,customer agrees to remunerate Elite Construction at commercially reasonable rates for any estimating costs incurred should project not move forward. 4. Customer's Payment Obligations. Customer agrees he is responsible for his insurance deductible (if any). Customer agrees to pay Elite Construction LLC within 60 days of each invoice date regardless of whether his insurance claim has been settled,paid or rejected in whole or in part by the Insurance Co. Customer hereby irrevocably authorizes Elite Construction LLC solely and directly for any Services. If any Insurance Co. check should come to or be made payable to Customer,Customer agrees to pay Elite immediately upon receipt of such check. Customer agrees that he is personally and fully responsible for any and all deductibles,depreciation,and any costs not covered by the Insurance Co. 5. Disbursement of Insurance Proceeds/Priority of Payments. Customer agrees-that immediaf@ly upon receipt of any insurance proceeds, Elite's outstanding invoices shall be paid first in their entirety before any other contractors or suppliers are paid. 6. Interest on Overdue Payments;Costs of Collection. Invoices not paid within 60 days after the invoice date will incur interest starting on the 6151 day at the rate of 1.5%per month or 18%per annum. Collection attempts may commence after the 6151 day without further notice. If Elite submits this account for collection,Customer agrees to pay interest at 1.5%per month or 18%annum and agrees to pay all court costs,reasonable attorneys'fees and all other costs of collection. Customer further agrees to reimburse Elite for administrative labor and costs associated with its collection activities at the rate of$50.00 per hour. 7. Elite's liability. Elite's liability is expressly limited to the total amount paid by Customer for the Services. Any warranties made by Elite in connection with this contract shall be null and void in the event of a breach by Customer of any of his payment obligations. 8. Confidential Information. At times, Elite may share certain confidential business information with Customer. This includes information regarding pricing and business methods. This information may not be disclosed to other parties without the advance written consent of Elite. The Insurance Co. may use this information ONLY to process Customer's claim. It may not disclose any of this information to Elite's competitors or any other third-party under any circumstances. Customer is responsible for any losses or damages that Elite incurs as a result of disclosure of Elite's confidential information. 9. Nature of Contract; Binding Agreement. Customer understands that this is not a contract of insurance. Customer agrees that Elite is working for the Customer and not the Insurance Co, Insurance Co's agent or adjuster, or pubtic adjuster. Customer understands and agrees that neither his Insurance Co. nor any of its agents has the right to cancel this contract. This contract is binding and enforceable upon execution by Customer and supersedes all other agreements or understandings(written or oral) made prior to execution of this contract. 10. Miscellaneous. As used in this contract,all pronouns and all defined terms shall be deemed to refer to the masculine,feminine, neuter,singular or lural as the identityof the person,persons,entity or entities or the circumstances may require. If any part of this contract is deemed to a invalid or P P .P Y . . shall not be affected and each remaining provision of this contract shall be valid and unenforceable to any extent, the remainder of this contract9 enforceable to the fullest extent permitted by law. I give Elite Construction LLC permission to photograph work in all stages of completion, thus permitting commercial use of photographs,of property designated at the above referenced address. 11. Customer's Representations and Warranties. Customer represents and warrants as follows: a)he is the record owner or authorized agent of the record owner of the Property and has full authority to enter into this contract;b)his homeowners insurance policy was in full force and effect as of the date of the loss and that such policy is adequate to cover the cost of the Services;c)the homeowner's insurance policy and its proceeds have not been assigned to any other party;d)he will execute any documents required to.process the payment of Elite's invoices;and 3)he has read this contract in its entirely and understands and agrees to its-terms. 1 t In order to release your confidential account information to our company with respect to your mortgage company and the check we are sending to them for release to pay your account balance,you must complete this form and return it to the address listed below.You may also fax it to us at(603)423-9897.Please allow a minimum of 24 hours for processing time. Borrower Information: Homeowner Name: Bank/Mortgage Company: Account Number: Signature: Third Party Information: I provide consent to my lender/mortgage servicer to release or otherwise provide information to Elite Construction (603 888-4100 Authorized Third Party Authorized Third Party Telephone Number access account information with respect to obtaining information as it pertains to the check sent to them for services rendered or as it pertains to sending or obtaining forms necessary to the processing of the payment through my mortgage company,including the status of the payment processing and to verify the location of the payment as to whether the payment has been returned to me,the customer for = -- forwarding to Elite Construction for their services.rendered._ _ ..... . .. . ... ... _ .__..... . ._.___.. The lender/mortgage servicer will take reasonable steps to verify the identity of the Authorized Third Party authorized above,but will have no responsibility or liability to verify the true identity of the Authorized Third Party when he/she asks to discuss my account or seeks information about my account.Nor shall the lender/mortgage servicer have any responsibility or liability for what the Authorized Third Party may do with the information he/she obtains concerning my account. This Authorization will not be valid unless signed by all borrowers and co-borrowers named on the mortgage and will remain valid until revoked in writing by any borrower or co-borrower. I agree to contact the servicer if I wish to revoke this Authorization. I AGREE WITH THE TERMS OF THIS AUTHORIZATION iaL 1 r Name U Date r Co-Borrower Name Date Co-Borrower Name Date IS CONSTITUTION DRIVE • BEDFORD NH 031 10 PHONE: 6031888.4100 SERVING NEW HAMPSHIRE, VERMONT, MAINE AND MASSACHUSETTS NORTH own of 2 ndover 0 o h ver, Mass, s� coc«rc«ewrcK �1' �,ps RATED V BOARD OF HEALTH Food/Kitchen PERMI'T T LD Septic System / THIS CERTIFIES THAT ......��.i.�Y.t'�l.....�.`.:�.�'��r'.......:................................................... BUILDING INSPECTOR............. �� has permission to erect... g .......�............... buildings ...... ......................... Foundation ` _ �f Rough LL to be occupied as ..... ....�� 17... ..� 11 ::�..... !' C::.::.. .....:,.... Chimney provided that the person accepting this permit shall in every 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 CONSTRUCTIO STARTS Rough ' Service .......... ..... .f... ....... :. ,�......................... 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. SEE REVERSE SIDE w F A�S�SACHELTSEK-TTS� 'COMMERCi of RIVER'S'LICENSE . v� 5\ \ Yh• V Ba END 4d NUMBER // " $12694644. i 3vM� ONE '3 sEx IY1 �iHer fr06 ... 1 GARY s 26 VALLEY VIEW FARM �, ROAD it HAVERHILL,MA O'l65 DD 11.16.2011 Rev 07152009 \ > fr ' -- 7; ` ��e iPaq?amza�eraeall�a��casaao�traeGt�t ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ulwi� ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration:..165712 TYp' 10 Park Plaza-Suite 5170 Expiration 3/22/2014 Supplement ,ard Boston,MA 02116 MAJE LLC./dba Elite Construction ELITE CONSTRUCTION. GARY PARTSCH 12 CONTINENTAL BLVD MERRIMACK, NH 03054 Undersecretary Not alid wit signature i r l� I I � Location i No. ; i' �12 — /2, Date C�� z • • TOWN OF NORTH ANDOVER SLED • Certificate of Occupancy $ . Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ s Check I 26256 Building inspector