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HomeMy WebLinkAboutBuilding Permit #776-13 - 171 KARA DRIVE 5/16/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: _ k3 Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION: I 1 `CA, ring PROPERTY,OWNER Print 100,Year,.01d Sfructu_re yes no MAP NO: Qq_..PARCELPIQI>, ZONING DISTRICT S .. Historic District, yes no. _ Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building A-0ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑-Septic ❑ Well. ❑ .Floodplain ❑ Wetlands: El Watershed Distri& Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: -1 k A'A AAk I& — /I N LLeV6(! Identification Please Ty a or Print Clearly) OWNER: Name: 0_�\r,o" Phone: Address: A �, �:� M/;, 0 77 Al; r ,�} CONTRACTOR Name- z`P n�n Ce ��. Phone:- IS- t-_QJ(.b Addtess:l()q 'Supervisor's Construction License::_ Exp: Date: y -d_S -1 9, Home Improvement'License:: Exp, Date: _ I 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: $ -4,�; 3 % 4, o0 FEE: $ t L Ou Check No.: a 7U>JC( Receipt No.: L6 `t' � NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund 'Signature of AgentJOwner __ "^ r e Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑amped Plans ❑ t 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 ❑ 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 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 or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appal 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: Doc.Building Permit Revised 2012 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 D Notified for pickup - Date 1 Doc.Building Permit Revised 2010 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED 11 DATE APPROVED Reviewed on Signature Reviewed on Signature `Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comme Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no--. Located at'124 Main Street Fire Departiberit-signature/date COMMENTS Location I �t- l V4 r� :b No� Check # �91, 26404 Date TOWN OF NORTH ANDOVER w Certificate of Occupancy $ Building/Frame Permit Fee "---- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ uilding Inspector RenewalMA Home Improvement Contractor bYAndersen. ..,ense #170810 (Expires 12/23/2013) WINDOW REPLACEMENT an Andersen Company Renewal by Andersen Corporation Federal Tax ID #41-1918413 104 Otis St., Northborough, MA 01532 (508) 351-2200 • Fax: (651) 351-4810j�— S''T G CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s) Name Date of Agreement Buyer(s) Street Address, City, State, and Zip Code )%I E -Mail Address Home Telephone Number Vdork-Telephone Number Cp%I C�SY.1/ 171 P/rac. c0.ticl;f'k ,2 / - 'j l& -Sl Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen Corporation ("Contractor"), in accordance with the terms and conditions described on the front and the reverse of -this agreement and on the attached specification sheet(s) (collectively, this "Agreement"). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. 7 Total Job Amount: 7s ! Estimated Starting Date: Method of Payment: Amount Financed ❑Check ❑Cash Deposit Received (33%): 0 ? 26 k OVisa/MC ❑Discover this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any Balance at Start of Job (33%): O 0 property traded in, any payments made by you under the E16nanced ❑AMEX Balance on Substantial Estimated Completion Date: ��S If credit card is selected, please b 376 6--1 Completion Job _ 2 see Credit Card Payment Form. 7 of (33%): be canceled. If you cancel, you must make available to the Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties, and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on the date first written above and 2) was orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation By: �22� Signature of Product Manager Print Name of Product Manager Buyer(s) / Signature Print Name Buyer(s) Signature Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION 0 F THIS RIGHT. c1sA1- deci 417e r;56f5 QwI>17, ,•„/,frs �F C-o�eello><'c�� NOTICE OF CANCELLATION I Date of Transaction ?/,_ . You may cancel NOTICE OF CANCELLATION Date of Transaction />/ . You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the property traded in, any payments made by you under the Contract of Sale, and any negotiable instrument executed Contract of Sale, and any negotiable instrument executed by you will be returned within 10 days following receipt I by you will be returned within 10 days -following receipt by the Contractor ("Seller") of your cancellation notice, I by the Contractor ("Seller'l of your cancellation notice, and any security, interest arising out of the transaction will I and any security interest arising out of the transaction will be canceled. if you cancel, you must make available to the be canceled. If you cancel, you must make available to the Seller at your residence, in substantially as good condition I Seller at your residence, in substantially as good condition as when received, any goods delivered to you under I as when received, any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply I with the instructions of the Seller regarding the Contract or Sale; or you may, if You wish, comply with the instructions Seller return shipment of the goods at the Seller's expense and risk. I of the regarding the return shipment of the goods at the Seller's expense and risk. if you do make Ifyou do make the goods available to the Seller and the I the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date I Notice Cancellation, pick them ujp within 20 days of the date of your Notice of your of you may retain or dispose I of the goods without any further obligation. If you fail to make the goods available to the Seller, or if ou agree I of Cancellation, you may retain or dispose at the goods without any further obligation. If you fail to make the goods available to the Seller, or if you agree to return the to return the goods to the Seller and fail to do so, then I you remain liable for performance of all obligations under I the Contract. To this transaction, deliver Dods to the Seller and fail to do so, then you remain liable for performance of all obligations under the Contract. cancel mail or a I To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any I other written notice, or send a telegram to Contractor: dated copy of this cancellation notice or any other written I notice, or send a telegram to Contractor. Renewal by Andersen Corporation, 104 Otis I Renewal by Andersen Corporation, 104 Chis Street, Street, Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF 4!/,4 . (Date) Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF iY . (Date) I HEREBY CANCEL THIS TRANSACTION. i I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name DataI Buyer's Signature Print Name Date RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink ©JBLLP2009.RBA-Ph.MANH m m m m y m y mm ^� O p O o CO)_ r N = < m to 1, F CD D � CL CD n o 0 CL C) �n z cro. p �w cU)-n C ,� O% =fto � 0 - m N _.. CD ; CD 2 5 O S CD c N co y � � rt n n ,o O ° .� CD W CD CD Z N A C = o� cD Off_ Z'� Q. �o� -a _Orn �M O �. Z cyg 0.I�QNO oCL m=' �rn �O CD CL Q C Cn E CD to •� `a Z CD W 4J 41D CD C n o �D vo 00 41° ; O o _ CD 5,m N `C �tn rto CC CD cn `° C O .f N y Z C O C) (n n0 o -* r•r z O G)CD D m N CD < n o' CD a' p ; a) o CL N N W T AT N ;;DT ;o T () :)D T N T 3 O 'r � r `r,° Z c m D > m •zI O c � > (A m A p �' N rD C O C m '° A � Z H m A 0 N O c s _� z NM m AEl 0 �' - p� 3 = G O c � O c a p' :0 W ° z z m 0 m 'a n on N r.. O O CL C) S lD O > O "n m r 2 4( Renewal ^ •newal by Andersen Corporatio. ` MA Home Improvement Contractor 104 Otis St., Northborough, MAO License #170810 (Expires 12/23/2013) bYAndersene WINDOW REPLACEMENT mAndersen Company (508) 351-2200 • Fax: (651) 351-4810 Federal Tax ID #41-1918413 ,5 17. WINDOW SPECIFICATION SHEET Buyer(s) Name Date of Agreement The Buyer(s) listed above hereby jointly and severally agree to purchase the goods and/or services listed below, in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of 11 windows in Owner's home, using the following individual quantities: � Double Hung (DB) equal sash —Cottage sash (1/3 top, 2/3 bottom) _ Oriel sash (2/3 top. 1/3 bottom) _ Flat sill ✓S(custof Glass loss) mer is of _quare Check Rail _Curve Check Rail aware o Casement (CS) _ Hinge right _ Hinge left (as viewed from exterior) Double Casement (CD) 2 Lite Gliding Window (GW) Casement / Picture / Casement (CI) _ 1:1:1 or _ 1:2:1 Glider / Picture / Glider (GFW) _ 1:1:1 or _ 1:2:1 Picture Window Bay or Bow Awning Window _ # Lights Soffit / Roof Shingle / Copper Specialty Window Patio Doors (see separate door spec sheet) Seat to be Primed / Oak / Pine E]'E] 2. '``©' Qty of Windows to be Custom Fit Replacement: 3. ( L Qty of Windows to be Custom Fit FuII frame (INCLUDES NEW INTERIOR & EXTERIOR CASINGS) Exterior casings: _ Pine ✓Maintenance -free material _ Factory applied 908 Fibrex brickmold 4. Glazing to be: _ HP Low- E-4 Tm _ Tempered _ Other If other, please specify: 8n,- - /-F , 5. Exterior color to be: White _ Sand _ Canvas _ Terratone _ Cocoa Bean _ Dark Bronze _ Forest Green _ Black G. Interior color to be: White _ Canvas _ Pine _ Maple _ Oak _ Same as Exterior Note: Wood interiors need to finished by Owner. 7. Hardware: ✓White —Stone _ Canvas _ Estate Hardware: Style: 8. _,,� Install Lifts with Double Hung Windows 9. Screens: windows to have: _ Half or "-Full screens Screens to be: — Fiberglass ✓Aluminum _ TruScene GREU,E DEFAIIS 10. l )Y�ndows have grilles: ✓Grille Between Glass (GBG) _ Removable Interior Wood MTM _ Full Divided Light (FDL) 711 ) Owner approved (initials) 7 ` 1 OtIr Otv: Draw grille patterns below Otv: Otv: Oft, `Use additional sheet if needed rim ADDITIONAL WORK DETAILS 11. Qty of _ Sills _ Sill noses to be replaced by Contractor 12. J57_ Contractor will remove metal frames of windows. 13-0 Contractor will install new _ paint -ready or _ stain -ready _ Interior _ Exterior casings in _ Pine _ Maintenance -free material 14.0 /Contractor will install new — paint -ready or _ stain -ready _ Interior _ Exterior stops in _ Pine _ Maintenance -free material 15. Intls - Owner is aware, contractor does not do any painting or removal installation of alarm system/hardware. It is the responsibility of the homeowner to have the alarm system/hardware removed prior to installation. 16. _C' Contractor will wrap exterior casings with coil stock of color. Note: Wrapping may be required with storm window removal; removal of storm windows will leave screw holes in casing. 17. Contractor will insulate, caulk and seal windows with 3 -Point system to prevent water and air infiltration. Removal and disposal of all job related debris, win- dow rm windows and vacuum nightly included. Upon completion of the job and payment in full, a limited warranty shall be issued. 18. Yes ❑ No Building Permit—Contractor will secure any and all necessary permits. The fee for the permit(s) is not included in the Contract Price and a separate check is required at the time of sale for this fee. Ck # q 01 7 $ 9 6 19. t rJ Yes ❑ No All discounts have been applied to this agreement price. 20. Additional job details: 21. ER -Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form (s). It is agreed and understood by and between the parties that this Specification Sheet, along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, constitutes the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms. This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read this Specification Sheet. Renewal by Andersen CO - oration By%A Signature of Product Manager Print Name of Product Manager Buyer(s) Signature ✓25- � Print Name Buyer(s) Signature Print Name The COMMitweaft ofMassachrssem Depar nt ofind l.4eddei 0fte OfInva*agons 600 Washington SYreet• BOWN.. MA 02.111 Workers' Compensation Ins Affidawww-vit: s-govIdia i / aiieant Ynformatton s COIItra.eton/F-'ectri/Phlmbers Name(B.usinessogsdzauow�idw):_ Address: Phone #• 52� Are you an employer? Cheek the appropriate bo= 1. I am a employer with 3 4. ❑ I am 00 a general COnftctor ad I employees (full and/or put -time). 2. ❑ I am a sole'proprietor or have hired the sub-conftctom listed partner ship and have no employees on the attached sheet• These sub-couft sem have working for me in any capacity. employees and have workers' [No workers' cmp. insurance comp. insurance t . 3. ❑ 1 am a homeowner doing 5• ❑ We are a corporation and its officers all work have exercised their Myself [No w0mrs, comp• right of exemption per MGL insurance requhv&j t c. 152, § 1(4X and we have no employees, [No workers' comp. msumceiequeed.) Type of project (required): -- 6• ❑ New consauction 7, (;�'Ramodelmg 8• ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roofrepain ME) Other -------------- tAr IIMH aatetas �Ail-�ahs fin out me s Cd=below � t— Ieomaad*� c> ark this box mat `ti a ear an aomg an wotk.nd nes l+ueditimud � af6dsv r iftAkatin IW employees. flee cpbyshed Phe m at name w� Gf� X00 and 5"ft wA�r or notftse ave - comP• POHWm=bw lam an eployAW thatir providing woFrtrr' �mlparuallon insrownce or lnforraatioa f m!' peloW Is Mepollcy d"Ab Iasumce Company Name: C1, p �L11n� �G ��f1 S C Policy # or Self -ms. Lie. #: C � Job Site Address:_ l it ri; Dr. Cby� Attach a eopy of the erorhers' eon fil: bl 8 `i 5� peesatlon Polleyde page (ahawlag the Polley number and Failure to secure coverage as requited under. Section 25A of MGL c. 152 can lead to the •' expiration date). fine up to S 1,500.00 aadlor one-year imprisonment, as well as civil *03ition of criminal penalties of a of up to $250.00 a da Peres in. the form of a SToP WORK ORDER and a fine Y against the violator. Be advised that a copy of this statement may be faM,arded to the Office of Investigations of the DIA for insurance coverage verification. f) L a w isrrWy WNW and pwabies ofperjnry that the Inforar am provided above ftewd coned D 13 13 01!%ial rose only. Do not write In t iIs dreg to be toi R pMed by city 'or town ojkW City or Town: Permit/L,icenae # Issuing Authority (circle one): 1• Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Luapettor, S. Plumb 6: Other • int Inspector Contact Person: Phone Md - CERTIFICATE OF LIABILITY INSURANCE 01" 5/'� ;"r' DN CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RKiHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMIITNELY 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 INSU REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER RER(S), AUTHORIZED IMPORTANT. -N -#w eertNBCOta holder is an ADDITI NAL INSURED, the poliry(las) mush be endorsed, N SUBROGATION IS YIIAIVNeD, subJe� to the tOrr110 and conditions of tM policy, certain poUebs may require an holder In Neu of such endoendomemenl. A statement Cordori this OOrUfleate docs not confer rights b0 the BCats rsemw4s). PRODUCER gays Convanios 80 South Oth Street Suits 700 Niuneapolie, ION 55402 wKwi D Renewal BY Andersen corporation 104 Otis Street 1171 01532 1-612-333 COVERAGES CERTIFICATE NUMBER: 19229436 Jane"* Eargrove or Brie Johnson 612-333-3323 1F .. C7 612-373-7270 IN15 15 TO CERTIFY �.Nevn nvesloCK: T 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. R _ - TYPE OF INSURANCE ...r sm ft ..-- - -- POLJCv sse r w e . A GENERAL LIAMMY X COMMERCIAL GENERAL LIABILITY CLNMS-MADE OCCUR - GEN'L AGGREGATE OMIT APPLIES PER: X X POLICY PRO LOC KRZY 59928 . � IO/01/1 -- LE M 10/01/13 EACH OCCURRBrCE f 10000,000 $ 500,000 MED EXP one t 10, 000 PERSONAL A ADV IN.AIRY $2,000,000 $ 4,000,000 PRODUCTS- COMP/OP AGG $3,000,000 10 03L 13)SINGLE LIAR A Auragoe" UNEMll a 21700$ 10 Ol 1 Z ANYAUTO f 3, 000, 000 ALL OWNED AUTOS BODILY INJURY (Per Peron) $ SCHEDULED AUTOS BODILY INJURY (Per ndderq $ X HIRED AUTOS PROPER7YORMAGE Xi NON4)wN®Aures 10/01/13 i CH B Z UNBRELLAUAB Z OCCUR 13273355 10/01/1 MICESS UM CLAIMS DE OCMIRRENCE: 25, 000, 000 DEDUCTIBLE AGGREGATE $ 2S, 000, 000 Z RETEIITION 125,000 = i!AND SWUNERS' VVORIMRSCOMPENIATION RITY YIN WC 117949 00 20/02/x, 01 1 10/01/13 we STATU- Z OTFF ANY NRTCIlTNE OFFICERM MMM EXCLUDED? a aftb,No NIA El- EACH ACCIDENT $1.000,000 dftwW OFwERATiONSbelow E.L. DO OWE -EA EMP $ 1,000,000 EL DISEASE -pOUCy LMBT Ii 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHIBLES Leh AOOM Evidence of insurance. of Insurance ericj Anne 1 ge i-sn"mmet SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRIT THE POLICY PROVISIONS, AUTHORa3O REPRESENTATIVE 012718.2002 v ice of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR egistratiOn 170810: Type: Expiration 1212312413 Supplement RENEWAL BY ANDERSON CORPORATION } JOSEPH REZZA 104 vIS STREET— NORTHBOROUGH, MA 01532 ! Undersecretary i r 4 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS -065272" JOSEPH P REZZEj-` 168 KELLEY BLVD ; N ATTLEBORO RA 0 Expiration Commissioner 04/25/2014 Kew, Rawl r Duel mvmft FL40 E4 &knft 1 ERAY PERFORI CE PATINN U-FmctOr (UW-p ler Hat %M Coef"nt ,29 . - 1 ftrble Trar�amftQanm fames e mom= nddm Dol pRE98llRE�9 -_ -- tIQ �leped Si m Ilt j i• . i 1