HomeMy WebLinkAboutBuilding Permit #109-2016 - 155 REA STREET 7/27/2015 / NORTH
BUILDING PERMITo�t,L�D o
TOWN OF NORTH ANDOVER �? h�'` ._h_Ta
APPLICATION FOR PLAN EXAMINATION
Permit No#: ` b1 Date Received
— � gSSACHUs�,�(
Date Issued: ! 21 1
IMPORTANT: Applicant must complete all items on this page
LOCATION -�.� e 6t �Ta /U,�6nc�uyer /,7A
P 'nt
PROPERTY OWNER RHren l� �7�GVY- X�UG ,Q70er
Print 100 Year Structure yes no
MAP 09g PARCE0>17— ZONING DISTRICT: Historic District yes no
Machine Shop Village yes 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
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFO MED:
-/4?e M b✓c S)09�n� V-4o� A rr.t rr n ,-cie)Q) e_
Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address:
Contractor Name:Prs Ee,t T s4, .-- -iL-r- Phon Q 3 4 S - 1 s I o
Email: M ro
Address:
Supervisor's Construction License: /0& 033 Exp. Date: 1 a G 8 a 1 g
Home Improvement License: /8 Exp. Date: 1 -7
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: $ 9,q, a,0b'cm FEE: $ c9le),(�D
Check No.: b--b 2:�� Receipt No.: C2-")16
NOTE: Pei-sons contracting with unregistered contractors do not have access to the guaranty fund
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
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
�
Conservation Decision: Comments
Wafter & Sewer Connection/semnature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street `
(EIRE DEPAR�TMENTr - } p r.on s �� �. -T ...
ri~ , ti ,TempDum ste , t.ite yeses,
+ L+ocatat,')12�4 MamiSt[eet
F'i"r'e De artment si'n a T�~ `
!
N- : •t _,;�,'!"•• i s "`.Y,f t.'� rt'• .{..`n.Y�T!.S�•t,;�r? qtr;��r�'t�ii�ir t�
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
DANCER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
i
NOTES and DATA— (For department use)
® Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
Building Department
C
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
S
Building Permit Application
Workers Comp Affidavit
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
4 Copy of Contract
6 Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: 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
;rP Floor/Cross Section/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
OTE: 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
6 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
2012 IECC Energy code
�. Engineering Affidavits for Engineered products
OTE: 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
Location 155
No. V t— �)-0'5-0 Date
. - TOWN OF NORTH ANDOVER ,
• T� �
Certificate of Occupancy $
Building/Frame Permit Fees`w
Foundation Permit Fee $
Other Permit Fee $ r_ '
TOTAL $
f
Check#
29105 uilding Inspector
NORTH -
Town of t E : �. .c . . ve" 'o
No. I- 2AY t -
In �NAh r Mass
ju
COG NIC Nl WICK V
A0RA7-eo ►Pa,��(5
S U
BOARD OF HEALTH
PER .MIT T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT .. �! BUILDING INSPECTOR
...... .. ..... .............. ............. ..... .... .............................
has permission to erect ` Foundation
.......................... buildings on ..!!. ....................... .�
` L 'Chimney
to be occupied as .. ..1� .. . .... ...... ... 'r.�. .. . . ...... t t�....5 Chimn y
'1 u
provided that the person accepting this permit shall in eve res ct conform t terms of thea lication e
p p p g p ry 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 MON HS ELECTRICAL INSPECTOR
UNLESS CONSTRU9MN A TS Rough
Service
........ ... ..... .................................................
BUILDING INSPECTOR Final
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.
Pro Entry Installs LLC
7 Cassidy Ave
Salem NH 03079
george@myproentry.com George Williams 603 7651312
Proposal for;
Karen and Steve Knuepfer
155 Reqs St
No Andover Ma 01845
978 257 3397/978 376 9721
Siding project;
Remove and dispose of shingled areas down to sheathing
Repair all non structural rot
Vertical area front of house will get Hardie wrap vapor barrier and side over
Vertical porch area to get composite water table and door kick plates
Composite material is (white)
All other areas that are being sided that had shingles will get foundation cap
Then they will have Hardie wrap vapor barrier seam taped
Any questionable flashing issues doors and windows will be redone
At this point house will be water and air tight with modern vapor barrier
The Charter Oak panel has a special starter strip that we will use
Siding will start from bottom up
Alside Charter Oak panel/Siding color (Platinum Grey) 4 Y2 clapboard
J channel for windows and doors to be 45%mittered (picture frame look)
PVC coated aluminum custom bent(brickmold for windows and entry doors)
Garage doors to get PVC coated aluminum over casing
All spickets,electric and light fixtures in sided areas to get mini mounts
New vinyl gable vents
No work is being done to front porch beam and ceiling
No work inside of back glass room
No work to exterior of back glass room (it is only framed nails would come through)
All roofline fascia is to be covered with PVC coated aluminum (white)
All soffit roofline to get Premium Triple 3"hidden vent soffit
Fifteen beams in soffit areas to get covered PVC coated aluminum
Front door to get side flutes and mantle composite (white)
Electrician included
Reimbursement of permits added to completion
There will be a job permit and electrical permit
Composite attachment for clothes line (white)
Five pairs of vinyl shutters louvered (black)
Install four picture windows
This will require interior stops and will take up the frame area of the openings
Stops will need to be painted or stained
Fiberglass insulation used between frames
Windows to be used are Pro Series 3000
White interior and exterior
Clima-Tech glass (exceeds energy star)
Low E and Argon
Doulbe pane/double strength glass
Glass breakage (condensation between glass or rock)
Entry door
Remove existing door
Clean opening and repair all nonstructural rotted wood
Grace ice and water shield flashing to sill and up sides 6" -8"
Install custom sill pan/this will help with water management
Seal sill to bottom of the door with premium sealant
Install door into opening with proper shimming to maximize security
Insulate door with hand stuffed fiberglass insulation
Doors ordered with adjustable threshold
Exterior casing to be covered with custom bent PVC aluminum
New interior casing included
New interior casing will need to be primed and painted or stained
Install lockset and deadbolt
Pro Via Door Company
Model #006 door and #130EXT sidelites
Legacy steel dipped galvanized 20 gauge smooth
Factory painted door is Mountian berry both sides
Sidelites are white both sides
Sidelites have external grids
Keypad lockset with handle (flat bronze) C G-,, r� ,,c t ✓i r
Bronze threshold and hinges
Complete clean up
Lead paint certified
Two year craftsmanship warranty
Manufacturer warranty
Maintain proper insurance
Dumpster and removal of all job related material included
Total$24,200.00 deposit$8,000.00 completion$16,200.00
We need to call Rick Cloudier to get price for gutters 603 234 9709
PRO-ENTRY INSTA66S, 61.0
www.MyProEntry.com
7 Cassidy Ave. Salem, NH 03079 (603) 765-1312 Date:
CUSTOMER INFORMATION
Name VC rl vdtlorr Home PhoneAXA 0-17 (f 7
t�b�'[M5/�
Address /'ss Rem r7 1 Work/Cell# t✓t $ 3 I(r— ( /e�
Wor* Work/Cell# (We
Installation Address E-Mail ,9ve p, rr- oS�i�A
WINDOWS
OTY STYLE SERIES INT COLOR EXT COLOR SCREENS GRIDS WRAPS NOTES
%'�foie 3000 hie o h%fe
DOORS
LOCATION MODEL SKIN SIDELITE INT COLOR EXT COLOR HW FINISH LOCKSET INT KNOB OPTIONS
f*el I_qt) 1W._Rcey N, 8r RAfe,1J
ADDITIONAL SPECIFICATIONS Com Ole-lc .S,W,,74 Qn D� �J�.G T' Ca yOQS `�yle0/ con
C-eha-,1 da-Ic to /�G�aolS T`r-a �+� Cr�o�clt my��o�ntry, Cu/hto
Dl ;,7 reFEx�cr.Gr'
CUSTOMER RESPONSIBILITIES Any staining or painting as a result of project, removing existing blinds and curtains, moving any
furniture or items that prevent access to the windows or doors to be worked on.
Pro-Entry will remove and dispose all project related debris and provide material as specified above.Pro-Entry maintains proper liability and
Workers'Comp Insurance.Binders available upon request.Pro-Entry has a two year craftsmanship warranty in addition to the manufacturer's warranty.
Pro-Entry will obtain all permits and will be reimbursed by the customer for said permits and any city/town fees_
You may cancel this transaction,without penalty or obligation,within three business days(excluding Sundays and Holidays)of the date of this transaction.To cancel this transaction,mail or deliver written
notice to Pro-Entry Installs,LLC,7 Cassidy Ave.,Salem,NH 03079 no later than midnight of the third day of this transaction(excluding Sundays and Holidays).After the third day there will be a service
charge equal to 25%of the total contract.
Authorized By: 4R�qqf 'ns peri Pro-Entry Installs,LLC
ACCEPTANCE OF PROPOSAL PAYMENT
The above prices,specifications and conditionsre satisfactory and are hereby accepted.You are ry ""
/ TOTAL INVESTMENT y�{U0 '" TYPE
autho' ed to do the work as specifi .Payments will be made as outlined.
Deposit(1/3 at signing) 030
Signature: f/ I Date: lllligq J6 Balance(2/3 at completion
1
Signature: �0� Date: dc)l aOX5
4 /_
The Commonwealth of Massa chusetts
Department oflndustrialAccidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dna
yJ• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE PILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please• rint Legibly
Name(Business/Organiz(.._�+ C.S� �
ation/Individual): ,�D �n T �I 1-kc eo �'�) `���
Address: `7 J A y
City/State/Zip: S L1,12..rn IM/ Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.eI am a employe rwith employees(full and/or part-time).* 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling
any capacity.[No workers'comp.insurance required.]
' 9. F1 Demolition
3..Q lam a homeowner doing all work myself[No workers'comp.insurance required.]t
10 FJ Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12..E]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E]Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$ )
6.FJ We are a corporation and its officers have exercised their right of•exemption per MGL c, 14. her r n� i Ad r^�5 L+1
W
152,§1(4),and we have no.employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
fi 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-con1rac6s have employees,tfiey must provide their workers'comp.policy number.
I am an employer that ispi'oviding workers'compensation insurance for my employees.'.Below is thepolicy and job site
information.
Insurance Company Name: Ne r C 4.Ai e)` s A n Ce- /UA;C
Policy#or Self-ins.Lic.#: O YC�`O�'� S Expiration Date:
Job Site Address:—/ s S C a- .�J: City/State/Zip: N 4&10✓ " A 0/8 Y_�
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,§25A 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.
I do hereby certif nder t e pains penalties of perjury that the information provided above is true and correct.
Si nature:
Date:
Phone#: + 0
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 fox confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for 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 Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel.#617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
"&Af ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1/2015 )
FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOTAFFIRMATIVELY 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to
he certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
PLANRIGHT INS&FINANCIA PHONE FAX
224 MAIN ST STE 2A (AIC,No,Ext): (AIC,No):
E-MAIL
SALEM,NH 03079 ADDRESS:
76-JW INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: HARTFORD UNDERW-BITERS INSURANCE COMPANY
PRO ENTRY INSTALLS LLC INSURER B:
INSURER C:
INSURER D:
7 CASSIDY AVE INSURER E:
SALEM,NH 03079 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 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.
INSR ADD SUB POLICY EFF DATE POLICY EXP DATE
LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYYI (MMIDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED $
CLAIMS MADE ❑OCCUR. PREMISES(Ea occurrence)
ED EXP(Any one person) $
PERSONAL 8 ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY [::]PROJECT Q LOC PRODUCTS-COMP/OP AGG $
AUTOMOBILE LIABILITY COMBINEDSINGLE $
ANY AUTO LIMIT(Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULE AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
(Per accident)
NON-OWNED AUTOS PROPERTY DAMAGE $
(Per accident)
L
LA LIAB80CCUR EACH OCCURRENCE $
LIAB CLAIMS-MADE GGREGATE $
IBLE $
ON $ $
A WORKER'S COMPENSATION AND XWC STATUTORY OTHER
EMPLOYER'S LIABILITY YIN UB-2E565334-14 11/06/2014 11/06/2015 LIMITS
ANY PROPERITORIPARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED'? El
NIA E.L.EACH ACCIDENT $ 100,000
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
CERTIFICATE HOLDER CANCELLATION
TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
120 MAIN ST IN ACCORDANCE WITH THE POLICY PROVISIO
AUTHORIZED REPRESENTATIVE
NORTH ANDOVER,MA 01845
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP SNI?' ? Fdhts reserved.
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 181492
Type: LLC
Expiration: 4/6/20.17 Tr# 264499
PRO ENTRY INSTALLS LLC
GEORGE WILLIAMS
7 CASSIDY AVE
SALEM, NH 03079
Update Address and return card.Mark reason for change.
20M-05/11 Address E] Renewal L] Employment D Lost Card
��e�poo��n�zoncueall.�o�C%liGtr�a�icfuc�eCl`�
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
gistration: 1814.92 Type: Office of Consumer Affairs and Business Regulation
xpiration: ""4/6/2017- LLC 10 Park Plaza-Suite 5170
Boston,MA 02116
VTRY INSTALLS LLC
3E WILLIAMS
iIDY AVE
NH 03079 Undersecretary —�
Not valid without signature
1 Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction SuperN icor SpcciultN
License: CSSL-106033
GEORGE WILLIAMS
7 CASSIDY AVENUE
Salem NH 03079'
r
rr
�, Expuration
Sal12/08/2018
Commissioner
a