No preview available
HomeMy WebLinkAboutBuilding Permit #382 - 176 FRENCH FARM ROAD 11/17/2009 BUILDING PERMIT 0* "°oT"qti bf.`. "6 0 TOWN OF NORTH ANDOVER °3 4 - - APPLICATION FOR PLAN EXAMINATION X04 Permit NO: Date Received 7 p * oRATeo �SSACHUS��� Date Issued: o 5 IMPORTANT:Applicant must complete all items on this page LOCATION 1 `I r'�"-�t4 OW M PROPERTY OWNER C:.t `�-` �&Zln Print MAP NO: PARCEL: ZONING DISTRICT: Historic.District yes Nn Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family f Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: a 3 0�-� (�-, IAC"Mt-v LJ Identification Identification Please Type or Print Clearly) OWNER: Name: 2-ac--Q rv2rJ Phone: i Address: [ rZ(n3c-(- CONTRACTOR Name: T vA"A �' i%A, L� Phone: Address: 3t> HAS-5 C l Supervisor's Construction License: ©� 2 Q I C p Exp. Date:If 'T� Home Improvement License: `7 Exp. Date: t Z :z ! 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: $ ( t C)o 0 o FEE: $ �� Z Check No.: OOZ oc,3 S Receipt No.: 2 e NOTE: Persons contracting with unregistered contractors do not have access to the gqayntyfund Signature of Agent/Owner + Signature of contractor Location X121 �Y�/ ,l—fi�rar ` No. Date )/ �6 �ORTM TOWN OF NORTH ANDOVER �? o • OL Certificate of Occupancy $ ssCM us•E Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # e,2 226 � 8 _ Building Inspector Y N Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools ,f Y Well Tobacco Sales Food PackagingAalesy Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY 4 INTERDEPARTMENTAL SIGN OFF - U FORM j DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS honing 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 p DPW Town Engineer:S gnature: " Located 384 Osgood Street it • FIRE DEPAF�TMENT -~Tbmp Dumpster on site yes rid { Located at 124 MaimStrehet` Fire Department signature/date COMMENTS C 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 I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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/Crossectlon/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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy androof of recording g must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i I Revised 2.2008 I C ��G�DIC DG'jD ZZ EL CO CO EE:EEC ChiYnne'ys Residential & Commercial Roofing All Types Of CHIMNEYS POINTED-REBUILT-CAPPED Siding Expert Masonry Work Mass Toll Free *Roof Leaks Experts * Licensed & Insured 1-800-WAIT-4-US Locally Owned& Operated Since 1976 License#034200 (924-8487) IKO® 03aBB ? ozm 02'9VA-V We Work Year Round infrg Proposal To: Ellen Ford Date 9/14/09 Street: 176 French Farm Rd. 978-681-8713 N.Andover, MA Replacement Window proposal 1. Remove existing(23) double hung windows as careful as ossible to minimize interior damage if p g Total cost.. any at all. 2. Remove existing 1x4 exterior trim boards from(3) Harvey Classic = Sides. Paradigm Tapestry =$ 12,200.00 3. Install (23) new white replacement double hung ©,s�s.� A'p� � " windows from exterior and fasten. *Notes* /� °c' t Q' 4. Window Specs: Harvey Classic or Paradigm _If Paradigm windows are chosen, they must be or- Tapestry. Low/E Argon gas filled,fully fusion dered by the end of September 09 to retain existing welded, 1/2 screen, double locks and 6 over 6 GBG grill package. price. 5. Install insulation on all sides of new windows -may additional interior sill work is not included in this proposal. Additional work will be discussed and 6. Install window tape for draft prevention. confirmed with homeowner and will result in addi- 7. Install new 1x4 composite trim on(3)sides of new windows and seal tional costs of time and material. 8. Install new custom bent white aluminum coverage -Discount: All Under One Roof will deduct $300.00 to all (23) exterior sills and seal. from the final balance if homeowner awards us both 9. Seal interior and exterior as needed with white the roof and window proposals. sealant. 10. All windows are covered by mfg. warranties. Balance due upon completion 11. Both the Classic and Tapestry windows meet the Referrals available upon request new tax incentive programs (in your neighborhood) 1. Building permit included. Highly rated member of the BBB 2. Removal of all work related debris. Thank you! 3. Contractor workmanship warranty=10 years un- der normal conditions. In— House Crew, NO Sub Contractors! cceptance of Proposal—The above prices, specifications and conditions are satisfactory and are herby ac- epted. You are authorized to do(theworkas specified. I layment will be made as o lined above. Date of Acceptance: '4 \ l Signature: X tk©RT#j own o : 4 over . No.3 4'Z- 0 . . .... ...-ZAA - - dover, Mass.,//. T LAKE 1. COC MIC HE WICK V 7�ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... �. *........ • ' ' ' ' ' Foundation has permission to erect.................... �� ............. p buildings on ....�....................... �' .............n!!... . .. .............. Rough W k #W! Chimney to be occupied as.....p� ........... ... ..... .............. ....................... ................................................................................. y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Z .UNLESS CONSTRUCTIO S Rough g ........................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to ,Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department offtidustrial Accidents Office ofInvestigations 600 Washington Street " Boston,PM 02.711 www.anass:gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El lectricians/Plumbers Applicant Information Please Print LegibIy Name(Business/Organization/Individual): Address:-- ,3 -Y:, Tom"'►-n,� t �� t13Z� City/State/Zip: Phone#: Are you an employer? Check the appropriate box: I.Vl am a employer with S� 4. ElI am a general contractor and II- 8. Type of project(required): employees(full and/or part-time).* have hired the sub-contractors . E]New construction 2.❑ I am a sole proprietor orpartner- listed on the attached sheet . ED Remodeling ship and have no employees These sub-contractors have E]Demolition working for me in any capacity. employees and have workers' ` [No workers'comp.insurance comp.insurance_t g ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 tun a homeowner doingall work officers have exercised their 1 I.❑Plumbing repairs or additions myself. [No workers' comp• right of exemption per MGL insurance required.]t c. 152, §I(4), and we have no 12.E]Roofre pairs employees.[No workers' 13.❑Other comp.insurance required,] •Any applicant that checks box 411 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. [Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providitrg workers'compensation insurance for my employees. Belaty is the policy and job site information. Insurance Company Name: r`i`� )•dy j Policy#or Self-ins.Lie.#: 6 Expiration Date: t t l g Qs i C9 Job Site Address: >i City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pain andpenalties ofpei jury that the information provided above is true and correct. Sitamture: Date: I t I `� Phone#: 1!21 9 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): I.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#- a 1 The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code,780 CMR, 7t'Edition Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or 71vo-Family Dhvelling I SECTION 8:ADDITIONAL APPROVALS I 1. Ballardvale Historic District Commission: Date: Z. Board of Health: Date: 3. Conservation Commission: Date: 4. Design Review Board: Date: 5. Electrical Permit Number: Date: 6. Fire Prevention: Date: 7. Planning Board Lot Release: Date: if 8. Preservation Commission: Date: 9. Zoning Board of Appeals: Date: j I SII ' s .�i i I I I r t Massachusetts Home Improvement Sam .leContract Ff m satisfies ail basic requirements of the state's Homevlmprovement.Contras e to protect homeowners. Seek legal advice If necessa for leu(MGL chapter 142A),but does not include standIrd ucetrs consumer guide to home improvement"before a Ci A ing m person planning home improvements should first obtain a copy of"ence.You ma Consumer Affairs and Business Regulation's Consumer Information Hotline at 617m973-8797any work on your or 1.8-8 obtain 3 375 free copy by calling Homeowner Information /111 VVI 00 Contractor otrap Information �e {� % n i G 1 I` C'1 n l mPany ar°e U I' �+ r � �. Sttcel Address(do aot.use a Post Offim Box address) AnZA 1;*9PM Can actor/Salespasan/Owner Name -.Girylfown statezip Code usiness Address(must include a street address) (�a 5_7(3 (, w��/r���C Daytime Phone-.. Bveniag Phone - 1A v �� ity/Tovvo - - State 1 Zip Code Mailing Address(]t different from above) - 4 usiness Phone edam immlova ID or S.S.Numb,. Lu•req..:..<War mon nn. t mweams k+we � Souk�NwmmtGcauaaa.lug.N®6er Expintwn Nie V J The Contractor agrees 1 to do the following work for the Hnmeo mer // (�,py��1 ego o l � V2_61 4' m e ypr,, eau 3 0H R t"K-e,� Wit,noWLJ_5 Fb-- its The following building permits are required Propused Start and Completion Schedule-The following schedule will, red by the contracmras the hotoeowncrs agent be adhered to unless circumstances beyondthe contracmu s coatxol arise secure•their own permits will be the Guarantor.Fund provisions of U'i� m`�r 142A:) _Date when contractor will'oegin contracted work i t— Dam when contracted work will be substantially completed Total Contract Price and Payment Schedule / The Contractor agrees to perform the work,famish the material and labor specified above for the total sum of. t (*) Payments will-be made according to the following schedule; $ 0 upon signing contract(not to exceed 1/3 of the total'con to act price or the cost of special order items,whichever is greater) by_/_/ or upon completion of or upon completion of upon completion of the contract (Law forbids demanding ding full payment until contract is completed to-both party's satisfaction) The following material/equipment must be special g . ordered before the contracted work begins in order .g to be paid for to meet the completion scheddle.(") .. to be paid for NOTES:(•)including all finance chargesLaw requires that any deposit or doc.•a-pavmeut required by the contractor before wod:begins notch mus the peat,or(a)d in advance ceShe total he cornt.prim or(b)the actual cost of any special eguipmentor custom made material which taunt be special ordered th advance to mea the mmpletim schedule: Exresswarrahry-.lsan enress'warranrvbeiar rmlded.b.the.coatraeror? .. _ Subcontractors-The contractor agrees to be solely responsible for m No Yes all terms of sire warranty be attached to the contract puny/subcdntractor utilized by the contractor. The contractor furlber amPletron of the work described regardless of the actions of any third Materials and labor-under this agreement pr~✓s to be solely responsible for all payments to all subcontractors for f Contract Acceptance-Upon signing this document becomes a binding contract under law. Unless otherwise noted within this document the contract shall not imply that any lien or other security interest has ban placed on the residence. Review the following cautio ly before signing this contract ns and notices careful Dont be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear. Make sure the c ntrr toi as a valid pine Ito rovemont Contractor RMe 's lion The law requires most home improvement contractors and registration m be registered with the Director ofHpme Improvement Contractor Registration. You may inquire about contractor registration by writing to'the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727.3200 or 1400-223=0933. • Does the contractor have insurance? Check to see that your contractor is properly insured, • Know your rights and responsibilities Read the-Important Information on the reverse side of this form and get a copy of the Consumer Guide.to the Home Improvement Contractor law. You may cancel this agreement if it bas been signedat a place other than the contractor's normal place of business,provided you notify the contractor in writmg at his/her main office or branch office by ordinary mail Posted,b tele contractor business day following the signing of this a po .y perm sent or by delivery,not later than midnight of the ng agreement, See tilt attached notice of cancellation form for an explanation of this right DO NOT SIGN THIS CONTRACT IF TLFIERE ARE kNY BLANK tut 7woidartiral eopi conaaa.must be mmplaed and signed.Onc �`�SPACES.., eqPY should go m the homeown,.The er copy should be kept by rhe contrsaor. n igna it C n ctor's Signature Date Date Contractor Arbitratiod The Home Improvement Contractor Law provides homeowner;with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in courtunless both parties agree to the optional clause provided below, This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor'Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and BI1SIIIeSs Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts.General Laws,chapter 142A. Homeowner's Signature Contractor's Signature NOTICE.The.signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where.this section is not separately signed by the parties. Homeowner's Rights. A homeowner's rights under the Home Improvement Contactor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowner; may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law, Homeowners-who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home ImprovementContractorLaw. 'The contractor is responsible for completing the work as described,in_a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if-the contractor guarantees or provides an.express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all.goods sold in Massachusetts carry an implied warranty of merchantability and fitness-for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be'added to the terms of the contract as long as they do-not restrict a homeowner's basic co ns umern' ts..If you have questions Your-onsumd/homeowner rights,contact the Consumer Y q ons about fh Information Hotline(listed below). Execution of Contract The contract must be executed in duvlicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been_ filled in or marked as void deleted or not applicable. One original.signed_copy of the contract with atxachments is to be given to the owner and the other kept by the contractor. Amy modification to the original contract must be in writing . and agreed to by both parties,Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financial) insecure,tree,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account:would require si atures of both aerie eq the t� parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumeriighu,or if you wish to obtain a free co of " Y A Cons PY umer Guidetothe HomeIm Law,"contact: provement Contractor Consumer Information Hotline. Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 51 70,Boston,MA 02116 (617)973-8787 or 1-(888)2833757 If you want to verify the registration of a contractor or if on have Y questions or 9 additional information specifically 'about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 or 1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business,.call: Consumer Complaint Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 ISSUE DATE I 011312009 a RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ems,Insurance Agency LLC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE 22 Chickering Rd,Rt 125 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover,MA 01845 COMPANIES AFFORDING COVERAGE INSURED All Under One Roof 0 Temple Drive COMPANY A A.I.M.Mutual Insurance Co Chuen,MA 01844 LETTER A5 as , 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 BYTHE POLICIES DESCRIBED H:�REIN IS,SUAIECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMI"I'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS-COMP/01'AGG. Q COMMERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY Q =CLAIMS MADE Q OCCUR EACH OCCURRENCE Q OWNER'S&CONTRACTOR'S PROT. FIRE DAMAGE(Anyone tire) 0 MED.EXPENSE(An)�a person) AUTOMOBILE LIABILITY COMBINED SINGLE i LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per persmi) SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY HGARAGELIABILITY (Per=iderd) PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STAT LIMITS STATE OTHER EMPLOYERS LIABILITY x MA THE PROPRIETOR/ A ARNERSIEXECU IVE EL EACH ACCIDENT 100,000 FFICIERS ARE. 7009464012009 11/09/2009 11/09/2010 INCL ®EXCL EL DISEASE-POLICY.LIMIT S 500,000 EL DISEASE--EACH (OO 000 EMPLOYEE COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: ALL UNDER ONE ROOF IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY. Zi _.m ,. ., .. _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 15 WRITTEN NOTATE TO THE CERTIFICATE OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. TOWN OF ANDOVER 16 BARTLET ST ek C'e_o�j�*.NDOVER,MA 01810 UTHORIZED REPRESENTATIVE a.- L 64 Chw A-46tu on P#a - Room 1341 Hosson_ Mmmwhasetts 02 108 • i tonic Improvemem Cotlt&actor Restisuwiuu Retpn 137fl5? Twe ODA xtlr�itor! t QJ2/ZQ l U r+c At t UNUEN L4vt_ Fdt1OV ?ONN LANZAFAME ift A MERRlltM K S1 METHEUN. MA O T f 4 1•pd:tr.4dirws and#-:tufa cmrd. "of Addrms Renewsl tissrti rr[DWkftft fteaft am ss+E1 fid• Licomme er A We"ler tsl�ide{err rdr e7GtpfRliC7 t wi.!e ere. irayr t re N bow eraerev as . ,3 •...d t elstd 9entemse�,t Ift1fx<rB41 a Ort dr96t4 Om Alta,Jbm&, —%-Vum _..^=.::r AME � ) �1.t,,.t.tl;t.att, E)a•{t.aetalac'est .� }'dltlaa �.Itt'tt Eir.:talF ..1 Kuitdiae.1 f{r gt {utism,:atilt "/:aaeet.er rj, I.:t�n5tresCttC,n SuO6c:ISp� ! :Cerlsi �. l r..tt�sar CS 0124 RrsirH 4ecf tzt. W JCkfi W t.JUhi7WMAE 30TEMMEOR THUM MA 01844 4r3rM1 . -.,...,rr.....r... Ira 134Q to;tlat•tlt ,I Ntririea e0re. ll.re.rtil,.t B+►aielae:� Iit'::uala.n. ttNt �t.totei e:el, !-onsfri;ctioji Supet'a lsui S 6121 R.401H:fr.A to. 00