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HomeMy WebLinkAboutBuilding Permit #438-2017 - 152 ANDOVER BY-PASS 10/25/2016 V. 4D I� Vl BUILDING PERMIT ����``l� TOWN OF NORTH ANDOVER �—M APPLICATION FOR PLAN EXAMINATIONoPermit NO: 43 Date Received Date Issued-. C HU`����9 IMPORTANT: Applicant must complete all items on this page LC,CATION; ti PROPERTYOWNERt' l 1 Q. l�Y:Print Y-7,T IPrint MAP' PAROL: ZONING.©ISTRICT Historic District yes no j Machine Shap Village,. y s no ; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building X!One family ❑ Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commjp4bal ❑ Repair, replacement ❑Assessory Bldg ❑ Ot rs: ❑ Demolition ❑ Other ❑ Septic El Well El Floodplain �❑Wetlands ❑_ Watershed Disiricct ©.Water/Sewer. Stt7%I Re- Ski V)Q I-e- a_ Is 1.1 V)r. e i_-_am �,v Dw)PA�,Y)Pk App mx - 1 Identification Please Type or Print Clearly) OWNER: Name. / YY1 (ROJ<E Phone:401 IOAQ Address: 1.Sne� e _ (JAndarO($ S CONTRACTOR Nam hone. Oki Address: $ 7 on -5lY1 Supervisor's Construction License; Exp. 1 ig Home Improvement License. .� # ; Exp. Date: ARCHITECT/ENGINEER A hone: Address: Reg. No. I FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �— FEE: $ 4 Check No.: 1 -- Receipt No.. 3 NOTE: Persons contracting with unre istered contractors do not have access to the guar my fund Signature o�enw Signature of contract BUILDING PERMIT 0.* "O pTti TOWN OF NORTH ANDOVER „b,66 3 _ o APPLICATION FOR PLAN EXAMINATION -V M. Permit No#: Date Received �9A°RArEo FP�'`c5� 'SSRC HUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page E LOCATCON41 iPrmt. PROPERTYO,WNER__� z no, MAP - _ __ __PARCEL:_ ZOMNG DISTRICT'. _-Aistoric Di's_tri- yens no{ _Mae the Shop'ingeyes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic Y :Well, T D Floodplain _-❑Wetlands_ V1latershedpistrict _&Wl ter/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: = Contradtor:Name . _ _ __ : , _' _Rhone:- - - -- - Address:__ j Supervisor's.ConstructionLicense , ;Hornelinp overnent'L'icense _ .. _ Exp Date _ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contvacting with unregistered contractors do not have access to the guaranty fund Signature ofi Agent/Ovvner Signature of contractor Location No. 3 — Z41 Z— a '"' Date /�Zj ZOf,6 r - TOWN OF NORTH ANDOVER i Certificate of Occupancy $ ( Building/Frame Permit Fee $_ F Foundation Permit Fee $ Other Permit Fee $ 4 TOTAL $ E . Check# r i L �; 4/ Building Inspector �' a Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 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 I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS f M CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Si gnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: FIRE�p Located 384 Osgood Street x - F _ , EPARTMENT TempDumpster.on site V"Loc�atedlat,12!Mainistreet 'Fr`e1De art mentisignature/date COiVI iVI E NTS,' - r Dimension I Number of Stories: Total square feet of floor area, based on Exterior dimensions. I i 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) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I 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 i { Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And i 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 ❑ 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 p p 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:Building Permit Revised 2014 1 t%O R T#i Town of s n over No. T Z � h ver, Mass, Z S coc��cNewrcw I. - �..9 AER6? ATED ►`Pa,�,�y S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT 4401 1.0..E .tV.......94106;AOLBUILDING INSPECTOR � .. S Foundation has permission to erect ................... .... buildin s?on #. Zi...Amw . ,�. 1�...... .... .. . ... Rough tobe occupied as ......f. ........� ........ ... ... . .. .................................................................... Chimney provided that the person accepting this p rmi shall veryrespect 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST 10 Rough Service ...... ..... ........ .. ........ ..... .. Final BUILDING PECT R 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. .r Page 1 of 2 CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108. 400 West Cummings Park, Suite 1725, Woburn,MA 01801 888-49BUDGET • Fax (978) 299-0218 • budget-exteriors.com I/We hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described which I/We represent that we have good record title in our own name. Owners Name: William Baker Home Phone 407-435-1996 Work Phone Email billiambaker@gmail.com Job Site Address 152 Andover By Pass St N Andover MA 01845 Massachusetts Contractor Registration# 161932 Work Specifications described attached on pages of. Permits: The contractor agrees to apply for and obtain all construction related permits(building/electrical/plumbing)but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting,or inspection agencies,authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGI-Chapter 142A. Price:The contractor agrees to do all work described by the contract for the total price of $8,280.00 Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater. Payment Terms: Advanced Deposit $2,760.00 Payable on signing of contract Interim Payment 1 $P 760.00 Payable at start. Halfway Payment Halfway through project. Final Balance Payable on completion unless otherwise specified. Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about . Barring delays caused by circumstances beyond the contractor's control,the work will be substantially completed on or about The homeowner hereby acknovdedges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes,accidents,weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of 7(seven)years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor,which may be his main office or a branch thereof,provided you notify contractor in writing at his main office or branch by ordinary mail posted,by telegram sent or delivered,not later than Midnight of the third business day following the signing of this agreement.The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties.Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33%on custom products and 25%on non- custom order products. HOMEOWNER: Do not sign this contract if there are any blank spaces. IN WITNESS WHEREOF, the parties hereurito signed their names on 10/19/2016 k Budget Exteriors, Inc. Rep. — Homeowner Accepted Budget Exteriors, Inc. Homeowner I r Page 2 of 2 Owners Name: William Baker 354 Merrimack Street (Entry C, Suite 500) • Lawrence, MA 01840 Work Summary 888-49BUDGET• Fax(781) 333-5240 • budget-exteriors.com I We hereby propose to furnish and perform the labor necessary to- i • Drape outer wall of house with tarp to prevent damage to house and adjacent landscaping from falling debris • Strip and dispose of all roofing material down to roof boards of which the first two layers are free then only 35¢ per square foot for each additional layer • Provide a comprehensive inspection of deck to include replacing damaged lumber, of which up to 64 square feet of plywood or 64 linear feet of roof boards will be replaced free of charge. Additional square feet/linear feet is $3.00. • Inspect and replace damaged step flashing, where needed. • Install 8" white drip edge on all edges of roof • Install Cobra style ridge vent at peak of home • Install Bitumen self-adhering high temperature ice shield 6' up from bottom edge of roof, 3' in valleys, and around all protrusions • Install synthetic underlayment where no ice and water shield is installed • Install GAF Pro-Starter Starter Strip Shingles and GAF Timbertex Hip and Ridge Cap Shingles • Replace all pipe boots • Storm nail (6 nails) all roofing shingles • All manufacturers product warranties will be provided to homeowner at job completion • Budget Exteriors will obtain all permits and shall be reimbursed by customer for cost of permits and/or any city fees • All workmanship guaranteed by Budget Exteriors for 7 years • Project does not include any outbuildings • Project does not include the garage Remove dome vents and replace decking USE GAF AMERCAN HARVEST For Low and Steep Roofs Only Roof Color Nantucket Edge Metal Color White i The Commonwealth of Massachusetts ( w Department of Industrial Accidents '( 1 Congress Street, Suite 100 i; Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. k Applicant Information Please Print Legibly Name (Business/Organization/Individual): Budget Exteriors/ C/O Lou Milano Address: 354 Merrimack Street ( Entry C, Suite 500 ) City/State/Zip: Lawrence, MA 01840 Phone 4: Home/Fax:860-315-5266 Cell:860-753-0452 Are you an employer?Check the appropriate box: Type of project(required): 1.[D 1 am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2.E]I am a sole proprietor or partnership and have no employees working for me in $. E] Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑ Demolition 3.[]1 am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10 E] Building addition 4.F]I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 1 I.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.®1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.* 13.PQ Roof repairs 6.❑We are a corporation and its officers have exercised their right ofexemption per MGL c. 14.®Other ee 152,§1(4),and we have no employees.[No workers'comp.insurance required.] t ^ S *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.ll 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an emplQver that is providing workers'compensation insurance_for my employees. Below is the policy and job site information. Insurance Company Name: Atlantic Charter Insurance Co. / 781-593-1200 Policy#or Self-ins.Lic.#: CBC20000017401 Expiration Date: 07/31/2017 Job Site Address: AVIA lover' Gem City/State/Zi • ar MA 0)949--- Attach )94 'Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,525A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 4 do hereby ce 'y der th ains and penalties o perju y that the information provided above is true and correct. SignatSO Date: Phone#: Home / Fax : 860-315-5266 Cell : 60-753-0452 Official use only. Do not write in this area,to be completed nv 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#: RESET FORM i i A CERTIFICATE OF LIABILITY INSURANCE DATE 07M820 6YYY) 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 have ADDITIONAL INSURED provisions or 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 .a NAME: Aon Risk Services Central, Inc. PHONE (g66) 283-7122 FAX 800 Chicago IL Office (A1C.No.Ext): AIC.No.: ( ) 363-0105 y II 200 East Randolph E-MAIL c Chicago IL 60601 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# k INSURED INSURER A: ACE American Insurance Company 22667 Sears Holdinqs corporation INSURER B: ACE Fire Underwriters Insurance Co. 20702 dba Sears Home Improvement Products, Inc 1 Attn: Risk Management E3-219A INSURER C: 3333 Beverly Road INSURER D: Hoffman Estates IL 60179 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570063208310 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. Limits shown are as requested INSR ADDL BIR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG2 8 71 08 Ol 2016 08 Ol 2017 EACH OCCURRENCE $S,000,000 CLAIMS-MADE X❑OCCUR DAMAGE TON TED $S,000,000 PREMISES Ea occurrence MED EXP(Any one person) EXCI uded PERSONAL B ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 X POLICY PRO- LOC 0 JECTF-1PRODUCTS- $5,000,000 o OTHER: o r A AUTOMOBILE LIABILITY ISA H0904419A 08/01/2016 08/01/2017 COMBINED SINGLE LIMIT $S,000,000 N A ISA H09044188 08/01/2016 08/01/2017 Ea accident AANY AUTO ISA H09044176 08/01/2016 08/01/2017 BODILY INJURY(Per person) O OWNED SCHEDULED Z X AUTOS ONLY AUTOS BODILY INJURY(Per accident) .O+ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE N V ONLY AUTOS ONLY Per accident ;:. t: tU UMBRELLA LIAROCCUR EACH OCCURRENCE V EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND wcuc486092S9 08/01/2016 08/01/2.017 X PER OTH- EMPLOYERS'LIABILITY YIN OH, WA, WV STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S2,000,000 A OFF ICER/MEMBEREXCLUDED' NIA WLRC48609Z47 0$/01/2016 0$/01/2017 (Mandatory in NH) All other States E.L.DISEASE-EA EMPLOYEE 12,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000- -_ I I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 1101,Additional Remarks Schedule,may be attached if more space is required) I CERTIFICATE HOLDER CANCELLATION N_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of North Andover AUTHORIZED REPRESENTATIVE 1600 Osgood Street North Andover MA 01845 USA e� i�%"l�faKe�sbvu�.D «nllaG✓nia. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . 1 I I AGENCY CUSTOMER ID: 570000034159 �-1 ® LOC#: ,a►v o ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Central, Inc. Sears Holdings corporation POLICY NUMBER 1 See Certificate Number: 570063208310 CARRIER NAIC CODE See certificate Number: 570063208310 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SURR EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE IVSD WVD POLICY NUMBER LIMITS DATE DATE MM/DD/YYl'Y MMA)U/YYYY WORKERS COMPENSATION B N/A scFc48609260 08/01/2016 08/01/2017 WI I ACORD 101(2008/01) ©2008 ACORO CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD i= Office of Consumer Affairs a d. Business Regulation 10 Park Plaza - Suite 5170 2 Boston, Massachusetts 0.�1 6 ass setts 1 Dome Improvement Contractor Registration Registration: 177744 Type: Supplement Card BUDGET EXTERIORS Expiration: 2/1/2038 LUBOS SVEC 354 MERRIMACK ST ENTRY C LAWRENCE, MA 01840 T pdFate Address and return card.Mark reason for change. address . .Renewal F:naployinent Lost Card .I'k Y3tlire urCoosaituerAfrairs& Husiuess Regulalion Licensee or registration valid for individual use only � .HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; ` Office of Cowmrner 'Affairs and Business.Regulation -Registration: 177704 Type: 10'Park Plaza-Suite 5970 Expiration: 211/201:8 Supplement Card Boston, IA 02116 EUDGET EXTERIORS USOS SVFC 354 MERRIMACK ST ENTRY C;W.NRENCE,MA 01840 tindedsecretary Not valid without Sl(_) E e e l Massachusetts Department of Public Safety Board of Building Regulations and Standards I s License: CS-097519 I Construction Supervisor t LUBOS SVEC 827 THOMPSON ROAD { THOMP'SON CT 08277 "� ? ". Expiration' t Commissioner 08/31/2018 3 3