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HomeMy WebLinkAboutBuilding Permit #1058-2016 - 202 ROSEMONT DRIVE 4/11/2016 '�i gyyyn'►e � BUILDING PERMIT o` No oTN M Z 6 TOWN OF NORTH ANDOVER0 o� 11' APPLICATION FOR PLAN EXAMINATION Permit No#: � Date Received ��SSAC HU`-+�� Date Issued: �t MPORTANT: Applicant must complete all items on this page _ t= Pnn"t T PROPERTY OWNER__�4",? -� -_ Print 100 Year Structurte yes no, v / L __ZONING ©ISTRICT _ Histori'c ®istrict yes: MAP PARCE' t� _ r "� Machine Sho Villa e e_ nog . _ - 1� - �,=p... g=_-.��Y-�.. _ v _ _. TYPE OF IMPROVEMENT PROPO ED USE Resi ntial Non- Residential ❑ New Building Gebrie,family ❑Ydition ❑ Two or more family ❑ Industrial bL/Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other CI`Septic. El Ale, "` ❑ Floodplarnlr° ;0 Wetlands v- ❑ Watershed District' Q6 _�_`Wat. ewer. _ _ DESCRIPTION OF WORK TO BE PERFORMED: /,A— If V I OP Identification- Pose Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name. f3_/s4dL ,� � "Phone n e f 'Add'ress,:: �� ,.., _ 1ap.�� C`s .� Ir x s t: Supervisor s Construe#ton.License. ' -= - l Home Irmprove-ment Licens;e ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 ER(IIS11.F. 1 Total Project Cost: $ ' `L— �Uf/� FEE: $ / L e 14 �G�i�►uou Check No.: ) )— ;�L2 Receipt No.: 2� } NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner. , _ ignature ofcontrlit o,r m 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 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 f Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit I DPW Town Engineer: Signature: Located 384 Osgood Street DEPARTMENorS Teem Dumpster►on site Syes. ono }Locatetll�atR 1`24 M'� ,� T" 't am Street ',i �F;reDepayrt,�rnen,t� ig�na_ture/d�ate_N i� _:� , i d 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) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location Z-6 2 No. � 4.:> _c� Date1 f ` r . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ {' y Check# on 1 � + Building Inspector v 'own of North Andover layment Data Monday,April 11,2016 )eposit Number 1604111 )perator Counter pc 1 qCR(BUILDING INSPECTION) $144.00 'otal Paid $144.00 ' r :ash $18.00 :heck $126.00 :hangs $0.00 teceipt Number gov00004647 /11120161:21:47 PM :ashler Id. treascoll-17 F NORTh Town of 2 : _ '' Andover OmadswNo. . �+► ' h ver, Mass, � ,Q COC"IC Nl WICK 1' �.9s R^rjE ►�P�`,��5 V BOARD OF HEALTH Food/Kitchen PER T LD Septic System e THIS CERTIFIES THAT ......�� (Ij3ltl BUILDING INSPECTOR ............ ...... .......ka.14).e.m.04 ................... ............................. ' Foundation has permission to erect . ............... buildings on ,...... .................. Rough tobe occupied as ........... ... ....,. ..... !.. eA&P................................................................... Chimney provided that the person accepting this permit shall in eve res ect conform to the terms of the application p p p g p every p 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 MONTHS ELECTRICAL INSPECTOR , UNLESS CONSTRUCTION TARTS Rough Service .............. .. J ...................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Proposal AB Carnes Roofing,Inc. 30 Arrowhead farm Rd Page 1 of 1 Boxford,Ma.01921 978-887-1431 MA.CS-000230 and HIC Reg.176928 Proposal Submitted To: CHRIS WELCH Date March 22,2016 202 ROSEMONT DR Project Name SAME NORTH ANDOVER,MA 01845 Address 978-918-1156 We propose to fumish material and labor-in accordance with the specifications below: Eleven Thousand Five Hundred Eighty Eight Dollars($11,588.00) Payment to be made as follows:$300.00 Deposit,Balance Upon Completion Notice:All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the General Laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and status should be made to the Mass.gov/licenses website. ROOF PROPOSAL ® STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES.COVER ROOF DECK WITH THE UPGRADED RHINOROOF TITANIUM U20 HJDAMAGE. PERFORMANCE SYNTHETIC UNDERLAYMENT MEMBRANE.COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENICE DAM PROTECTION:INSTALL CARLISLE HIGH PERFORMANCE ICE&WATER BARRIER OVER ALL HEATED AREAS SIX FEET LEADING EDGE OF ROOF AND THREE FEET IN ALL VALLEYS.WRAP THE CHIMNEY(S)AND SKYLIGHT CURBS WITH ICE AND WATER ® COVER ALL PERIMETERS WITH EIGHT INCH PREFORMED ALUMINUM DRIP EDGE. ® INSTALL GAF COBRA RIDGE VENT AND/OR®OR ROOF LOUVERS FOR ADDED ATTIC VENTILATION. ® COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS AND FLANGE. ® REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST OF$25.00PLFT.WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK AND YOU MAY NEED TO HAVE A CARPENTER REINSTALL OR REPLACE THE SIDING THAT WAS REMOVED. ❑ CHIMNEY FLASHING:REMOVE EXISTING FLASHING FROM CaPR (, ).CUT NEW REGLET INTO THE BRICK AND SECURE THE NEW LEAD WITH METAL ANCHORS AND SEAL. PLEASE ADD TO VBLACK TAR USED BYOTHERS IS NOT FLASHING) ® COVER ROOF SURFACE WITHCERTAINTEED LANDMARK 2 LB LIFRRANTY DESIGNER SHINGLES. ® REPLACE DEFECTIVE ROOF DECK AS NEEDED WITH SIMILANAL COST OF$4.00PSOFT. ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF ® NAILING: SECURE SHINGLES WITH EIGHT IN TOTAL COATED ROOFING NAILS AS PER CERTAINTEED SPECIFICATIONS. SKYLIGHTS:REPLACE EXISTING SKYLIGHTS WITH NEW VELUX OR WASCO UNITS.WE WILL PROVIDE THE SKYLIGHTS&FLASHING KITS AT OUR EXACT COST FROM OUR SUPPLIER.OUR LABOR CHARGE IS$90.00 EACH IF THEY ARE THE SAME SIZE.INTERIOR WORK IS EXCLUDED. ❑ REPLACE DEFECTIVE TRIM BOARDS WITH CUSTOMERS APPROVAL USING NO.2 PRIMED PINE,ADD$15.00PLFT TO THE ABOVE PROPOSAL. CLEAN ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORK AREA. THE PROPERTY OWNER AUTHORIZES AB CARNES TO OBTAIN THE ROOFING PERMIT.WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS. CUSTOMER SHOULD COVER VALUABLES. GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HOWEVER,SOME MARRING AND OR-MINOR DAMAGE COULD OCCUR. IN ADDITION,WE CANNOT BE RESPONSIBLE FOR ITEMS FALLING FROM WALLS,SHELVES OR CEILINGS DURING THE ROOFING PROCESS. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALL SHINGLED ROOF SECTIONS OF THE HOUSE. SKYLIGHTS:WE RECOMMEND REPLACING SKYLIGHTS WITH THE NEW ROOF INSTALLATION. AUPGRADE SHINGLES TO THE LANDMARK 300LB HIGH DEF PREMIUMS,ADD$1705.00 TO THE ABOVE PRICE.YES( )THIS IS OUR EXACT COST WARRANTY UPGRADE:T CERTAINTEED WIND WARRANTY WILL BE UPGRADED FROM 110 MPH TO 130 MPH WITH UPGRADE TO THE CERTAINTEED HIGH PE MANCE HIP&RIDGE CAPS AND STARTER COURSE AT NO ADDITIONAL CHARGE.YE ) EMAIL ADDRESS: Warranty:All work warranted against installation defects for 5 years;this warranty is limited to the installed item(s)and its repair only.Material is warranted by the manufacturer against defects for 50 years;see the manufacturer's warranty for exact warranty performance. Cancellation:Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from the date of signing this agreement via Priority Mail Delivery Confirmation. Please see reverse side. Dispute Resolution:All parties agree that any and all disputes relating to this proposal shall be settled by arbitration as provided by the AAA.This forum is user friendly and does not r uire lawyers.Please see reverse side. Signing this Prop 1 me ns,you have accepted all the terms as stated on the front and back of this agreement. Please see reverse side. *Date of Acceptan 'Signature — /; — . !-------�` *Signatur Signatur PLEASE SEE REVERSE SIDE TOWN OF NORTH ANDOVER WASTE AFFIDAVIT As a result of the provisions of MGL Ch.40-s54, I acknowledge that as a condition of building permit# all debris resulting from the construction activity governed by this building permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL Ch.111-s150A. Waste Disposal or Solid Waste Facility: ALLIED WASTE Address: 300 FOREST ST Town/City, State, Zip: PEABODY, MA 01960 NAME OF HAULER: AB CARNES ROOFING, INC. DUMP TRUCKS DATE:4-11-2016 SIGNATURE OF APPLICANT: !� "� The.Commonwealth of Massachusetts y w Department of IndustrialAccrdents a l Congress Street,Suite 100 Boston,_MA 02114-2017 1'vwtu mass gov/dia Wurkers'.Compensation lnsurance Affidavit:Builders/Contractors/Electt'icians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print L Name(Business/Organization/Individual):AB CARNES ROOFING INC Address:30 ARROWHEAD FARM RD City/State/Zip:BOXFORD,MA 01921 Phone#:,978-887-1431 Are you an employer?Check the appropriate box: Type of project(required): 1.2]1 am a employer with Some employees(flail and/or part-time).* ?. []New construction 2.M 1 am a sole proprietor orpartnetship and have no employees working for me in 7. ❑Remodeling ,aty capacity.[No workers'comp,insurance required.] 8. IM 1 an a homeowner doing all work myself.[No workers'comp.insurance required.]' 9. ❑Demolition 10[].Building addition 4.n I ant a homeowner and will be hiringcontractors to conduct all work on nay.properly. twill ensure that all contractors either have workers'compensation insurance or tae sole l 1.❑Electrical.repairs or additions proprietors with no employees. 12.0 Plumbing repairs or-additions 5.Q 1 am a general contractor and I have hired the sub conuuctors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurances 1.3•�Roof repairs 6.❑We are a corporation and its officers have exercised their tight of exemption per MGL c. 14.Q Other 152,§1(4),and we have.no employees.[No workers'comp,insurance required.] *Any applicant that checks box#I must also till out section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they arc doing all work and then hue outside contractors must submit a new affidavit indicating such, , tcouuauurs that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities have employees. If the sub-conuuctors'have employees,they must provide their workers'comp.policy number. 1 am an employer that isprovidinbr workers'..compensation insurance fur my employees Below is the policy ant!job site injarmution. Insurance Company Name.TRAVELERS INDEMNITY CO OF AMERICA _. -- — Policy#or Self i s.Lia M 6HUB-OG36156-6-.15LxpirCo.Date:10/15/201600, t� �- .. Job Site Address: — City/State/ii :A — .4 r' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tender MGL c. 152,§25A is a criminal violation punishable by a tine up to$1,500.00 and/or one-year imptisomnent,as well as civil penalties in the-form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office ofllrvestigations of the D1A for insurance coverage verification. I do hereby certify uu h e p?lfn's�d pe-41ties oj'peryury that the information provider!above is true unrl carred. Signature: _ � .__ Date: Phone 978-887-1 31 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.CityiTown Clerk 4.Electrical Inspector'5.Plumbing Inspector 6.Other ContactPerson: Phone#: ACC) CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD"YYY) 4/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR.NEGATIVELY AMEND, EXTEND OR ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT - NAME: BRIAN L. PRESCOTT&SONS INS PHONEFAX _ .. _ - - x A/C No): 963 EASTERN AVE E-MAIL _,,,� - - ADDRESS: MALDEN!MA 0214$ - INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: IN URED - - -- AB CARNES ROOFING INC INSURER B: Travelers Indemnity Company of America 3�ARROWHEAD FARM RD INSURER C: D,MA 01921 INSURER D - - I INSURER E: - 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 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. INSR TYPE OF INSURANCE - ADDL SUBR - POLICY EFF POLICY EXP- LTR - - - --AM&WVD POLICY NUMBER MM/DDNYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ GE TO RENT COMMERCIAL GENERAL LIABILITY FI r—i PREMDAMAISES Ea cc ".'c.) rence $uED CLAIMS-MADE OCCUR FI III _ - _ -- MED EXP(Any one person) $ . PERSONAL&ADV INJURY $ GENERAL AGGREGATE $, - GEN'L AGGREGATE LIMIT APPLIES PER: - - PRODUCTS-COMP/OP AGG $ - POLICY PRO- LOC - $ AUTOMOBILE LIABILITYF—I r) - EO accident) SINGLE LIMIT $ - ANY AUTO - u u - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED .BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED - PROPERTY DAMAGE HIRED-AUTOS AUTOS Per accident $ - - - .$ UMBRELLA LIAB H.00CUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE III AGGREGATE. $ - DED RETENTION$- - - $ WORKERS COMPENSATION - `jTWC STATU- - 9TH- AND EMPLOYERS'LIABILITY - Y/N - _ TORY LIM TS ERB ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.. CH ACCIDENT- $ 100���OFFICE/MEMBER EXCLUDED? N �At 6HUB-OG36156-6-15 10/15/2015 10/15/2016 _ . (Mandatory in NH) - - E. DISEASE-EA£MPLOYE $ 100,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) - ROOFING.CONTRACTOR CERTIFICATE 40CDER CANCELLATION 1 TOWN OF NORTH ANDOVER \ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ))) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. (.NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE Brian N.Leary,PRESCOTT&SONS INS ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD NOTICE _ W NOTICE w TO o TO EMPLOYEES a -i EMPLOYEES O,�M SJR The Commonwealth of Massachusetts DEPARTMENT OF-INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114 - 2017 61.7-727-4900 _ http://wwrw.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21,22&30,this will give you notice that I (we). have.provided for payment to ourinjured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO MA 02344-1450 �"---� ADDRESS OF INSURANCE COMPANY (6HUB-OG36156-6-15) 10-15-15 TO lo-15-16 POLICY NUMBER EFFECTIVE DATES PRESCOTT & SON -INS 963 EASTERN AVE - ---''- J '— MALDEN . . . MA 02148 rAB £GP--INSUR_ ANCE`A�G�ENT ADDRESS PHONE# o� RNES ROOFING INC. \ 30 ARROWHEAD FARM RD o /! BOXFORD f MA 01 921 )EMPLOYE-�„R � ADDRESS o= EMPLOYER.'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act: A copy of the First Report .of Injury must be given to the injured .employee. Theemployee may select his or her own physician. The reasonable cost of the services provided.by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention; employees.are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL. ADDRESS 000849 W20P1G16 TO BE POSTED BYEMPLOYER IOUMassachusetts Department of Public Safety . OU] Board of Building Regulations and Standards License: CS-000230 Construction.Supervisor BARRY S CARNES w" 30 ARROWHEAD FARM RD + BOXFORD MA 0.1921 Expiration: Commissioner 03/07/2018 Office of Consumer Affairs and Business. Regulation - 10 Park Plaza - Suite 5170 Boston; Massachusetts 02116 Y_ Home Improvement Contractor Registration Registration: 176928 Type: Corporation Expiration: 10/10/2017 Tr# 269957 J AB CARNES ROOFING, INC. - ._ _ ,. BARRY CARNES 30 ARROWHEAD FARM RD BOXFORD; MA 0192.1 x -- --- - Update Address and return card.Mark reason for change. SCA I Co 20M-05/11 D Address ILI Renewal r7. Employment (� Lost Card I