HomeMy WebLinkAboutBuilding Permit #684-11 - 22 BRIGHTWOOD AVENUE 4/11/2011TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER Z- ZS �3
Print
MAP NO: PARCEL: L� ( 'ZONING DISTRICT: Historic District yesno
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Resiggitial
Non- Residential
❑ New Building
&bne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ I.�ration
- No. of units:
❑ Commercial
kl�epair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
-4
p .,Well ;.
�0 Se ®
� _
❑ -.,�
,3Floodplain Wetlands
�-
ater
❑Wshed District
gWater
DESCRIPTION OF
-4 "A - � �
TO BE PERFORMED:
iJf
V/ CJ
Identification Please Type or Print learly)
OWNER: Name: Z-/ l/� / �p f% Phone:
Address:
61
i
CONTRACTOR Name: (//�j jC �"�/� L/C kpp one:
Address: & 5--42 A*91nE:?� IA -12 z'/L7�g
Supervisor's Construction License: ' 3 :5a Exp. Dater
Home Improvement License: /CP / K 04� Exp. Date:
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: $C' GV FEE: $
Check No.: Receipt No.:yo
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Locationen�- l.J at I-"71 000d' .
No. Date
Of 14OR7h TOWN OF NORTH ANDOVER
I L
1.
D
> Certificate of Occupancy $
c usEt Building/Frame Permit Fee $
I
Foundation Permit Fee $
Other Permit Fee $
r TOTAL $
Check # �4f
�
1i'
v Building Inspector
i
I�
I
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
DATE REJECTED DATE APPROVED
PLANNING &DEVELOPMENT 11
COMMENTS
CONSERVATION Reviewed on
� Si nature
COMMENTS
HEALTH Reviewed on
Si nature
COMMENTS
i
I
Zonirg Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision:
Comments
Water & Sewer Connection/Si nature & Date
Drivewa Permit
DPW Town Engineer: Signature:
FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Street
Located at 124 Main Street no
Fire Department signature/date
COMMENTS
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
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_21 A —F and G min.$1o0-$100o fine
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/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 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: Doc.Building Permit Revised 2008
I
p
x
04
a
:A
o.
w
O
o
a
a
a
o
G
U
�,
w
o
G
w"
W
o
w
G
w"
d
a�'
ro
w
w
mE
d
Un
v
..0
Un
c�
:L
m c
o
cj
o �
cc
� L
h
I� yr c
.i •cj
p. C
m m
m c
cc
�! E a
CF
..to;
{r_
.20
CO2
v$
u rn
I m C
: h W
C 1: m
3
q G -cc
= c
N W
W
1 :Em.
mo
nv
- H m OR
c IA
o.c.c
.mom
Ma O
ev '� Z
c o c
n
m y m c
W C m
� •d� •97:S O C
N
V •m LU E
O m = cm
C
CL CD;a
O
= N
A •O
$`
a.=.., m
7�
Cosc
O
w U
m
� f)
Cs
Cf)
S rel
cm
C
•C
N
m
_
O �
Z
cm
CD J
O
I
,
a
W
O
E
O
Z d
Oy
o =
co cm
O•_
CO) 0 'a
O
COD O O
.g m m
CD 0 CD
CL~ _ ♦_-+
CD
0
cc CD a
EL rma
o � _
O O
.CJ
CO) Z C
V CO)CL
O C
_
c
y
uj
uj
Y♦
w
W
19
W
U)
:A
7�
Cosc
O
w U
m
� f)
Cs
Cf)
S rel
cm
C
•C
N
m
_
O �
Z
cm
CD J
O
I
,
a
W
O
E
O
Z d
Oy
o =
co cm
O•_
CO) 0 'a
O
COD O O
.g m m
CD 0 CD
CL~ _ ♦_-+
CD
0
cc CD a
EL rma
o � _
O O
.CJ
CO) Z C
V CO)CL
O C
_
c
y
uj
uj
Y♦
w
W
19
W
U)
Toman
f )!239
UINNYS C(
,—RAQ .,
Employer ID #
Salesperson(s): Contractor Reg
We hereby submit specifications and estimates for:
'�,�- `� �',r2C/,vim• /-� ✓1 � , ,:'.-',f � r
II
�.-� ,�� !�>`' - � _iii,=✓
-,
The following scheduled will be adhered to unless circumstances beyond the contractor's control arse:
Work scheduled to begin:
(Date Contractor Will Be Contra/ Wo; j) Expected Date of Completion: � �
(Date When Contracted Work Will Be Sustantially Completed)
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
THE CONTRACTOR AGREES TO PERFORM THE WORK, FURNISH THE MATERIAL AND LABOR SPECIFIED ABOVE
FOR THE SUM OF: $ X.At t ✓' *includes all finance charges in this amount*
Payments will be made accordin to the following SCHEDULE:
$ a, upon signing contract (*Not to exceed 1/3 of the total contract price OR the cost of special order items, whichever
is greater*).
or upon completion of $
BY or upon completion of
$/�f�- upon completion of the contract�(*Law Lforbids demanding full
payment until contract is completed to both parties' satisfaction
In order to meet the completion schedule, the following material/equipment must be s
any deposit or down payment r peciat ordered before the contracted work begins Maw requires that
the actual cost of any special equipment or custom made material which must be ordered in advance to meet the completion schedule-):
required by the contractor before work begins may not exceed the greater of (a) one-third of the total contractor price a (b)
a
D O N G T H I CONTRACT to be paid for
Identical copies of the contract -should goTto E Rthe o A R ner and thBeLontratc contractor
PACES
Home Owners Signature: fi _
Contractors Signature: . a: Date:
You may cancel this agreement if it has been signed by a pa ~ Date: �",i►
main office or branch thereof, provided party thereto at a place other than an address of the seller, which may be his
you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram
sent or by delivery, not later than midnight of the third business day following the signing of the agreement.
�c�
6� 700
Tom Quinn `(Contract
(978) 265.2390
�- ''QUINN)S c CONSTRUCTION
/ S 868 Mammoth Road • Dracut, Massachusetts 01826
Name t I
4dDate
Job Name
Job Locationf
Job Phone
�. p (.D4/
Street Address (Not Post Office Box),
CitY/Town, State & Zipcode.
X44% r
Daytime Phone: Evenin Phone: .
pe nA�n .sir-� 9
Mailing address (if different from
Salesperson(s):/,�__ ��rjContractor R
We hereby submit specifications and estimates fa
J
Employer ID #
>;-4 Exp. Date:
ti
-40
121.
017
79l %ear , ✓ r� �r!r i % �"r.G ,-elz
> /_ i ,c..� S i s�"C /a f � J l'-•'i�'- �fr'� Of i /' c'i�' �'--� C�C./��[
�.�?/, ���1��. • �s=1:r=f% /t' lam- e3f 5,��>� .S^ L/,-Zf �''r�..�
" e�--.moi mac` ,.•
n
/, ,, .��a 5 iC i✓ro� r �uS17 S0 " �i�t/t'�t
The following scheduled will be adhered to unless circumstances beyond the contractor's contr I arse:
Work scheduled ll begin: �/�%?s yr Expected Date of Completion:
(Date Contractor Will Be Contracted Work) (Date When Contracted Work Will Be Sustantia y Completed)
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
THE CONTRACTOR AGREES TO PERFORM THE WORK, FURNISH THE MATERIALAND LABOR SPECIFIED ABOVE
FOR THE SUM OF: $/ *includes all finance charges in this amount*
P y entsS�w1 11 be made accordin to the ifollowing SCHEDULE:
$ pon signing contract (*Not to exceed 113 of the total contract price OR the cost of special order it
is greater*). P ems, whichever
$ BY_� /_ or upon completion of $ By / / or upon completion of
r------------_-_---------------------------------------- ------
$ f e' )1C upon completion of the contract (*Law forbids demanding full payment until contract is completed to both parties' satisfaction
If
In order to meet the completion schedule, the following material/equipment must be special c/1��
any deposit or down payment required by the contractor before work begins may not ceed the greater
fof (a) one-third re the O twork he total contractor pr ce or that
the actual cost of any special equipment or custom made material which must be ordered in advance to meet the completion schedule*):
a
to be paid for
O N T IGN THIS CONTRACT IF THERE ARE ANY BLANKS PACE
Identical copses of the contract should go to the homeowner and the contractor
Home Owners Signature: -11-'"
�- .. Date: <51/ I ��c//i'
Contractors Signature: -T %,�,.a
Date:`.i�J/.r
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his
main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram
sent or by delivery, not later than midnight of the third business day following the signing of the agreement.
z
I
From:Bonnie Welch Fax!D:9784549343
i
Page 1 of 1 Date :3i32011 11:54 .AM Page:1 of 1
i
OP ID- RW
CERTIFICATE OF LIABILITY INSURANCE
(MMI. DDN, YYY)
P��031031111
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 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 978-459-8681
Francis Provencher Insurance 978-454-9343
Agency, Inc.
530 Rogers Street
Lowell, MA 01852
NAMEACT
PHONE FAX
A1C. No Ext : (A/C. No):
EMAIL
PRODUCER
CUSTOMER ID #: QUI NN -1
INSURER(S) AFFORDING COVERAGE NAIC #
I DAV" O R- 'v I z- D I v
liCBC10000052400 01/13/11 i 01113/12 PR=M!s=S xu-re 50,000
INSURED Quinn's Construction
wsURERA: Endurance American Specialty -
868 Mammoth Rd.
Dracut, MA 01826
INsuRERe:Commerce Insurance Company 34754
INSURER C
INSURER D :
-
INSURER E :
GENERAL AGGREGATE 1 $ 2,000,000
INSURER F :
I.IJVCIC fiI�['J l.! -K 11!"1[ [3 1 F- N1111lIk L-1.+' �<-\/IC Ill �1 �Il l�nn fin.
THIS IS TO CERTIFYTHAT 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 I
LTR '
TYPE OF INSURANCE IADDL
INSR!
SUBR POLICY EFF POLICY EXP
WVD 1 POLICY NUMBER MP 11DDNYYY c MMIDDIYWY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A
_
l X COVVERCOL GEN=RA LA3:: TY
I DAV" O R- 'v I z- D I v
liCBC10000052400 01/13/11 i 01113/12 PR=M!s=S xu-re 50,000
LA;MS-V,ADE X OCCUR
i
VIED EX? (A-iyone person) ' $ 5,000
i I
! PERSONAL & ADV;N-URY i $ 1,000,000
1
GENERAL AGGREGATE 1 $ 2,000,000
I—�
^=N'L
AGGREGA; E! W1T APPL S ?E3:PRODUCTSi
-CO o/ 0 AGG j $ 2,000,000
1. POLICY I! ?RO- I
: J -C1 -
! $
AUTOMOBILE
LIABILITY i I
I COM, BiNED SN GLE LiM1T $
B
ANY.AJTO
(Ea accident)
! IBBGS68 05/07110 1 05/07/11
1
ALL OWN ED AUTOS
i BODILYINJUPY(Perperson) $ 250,000
X
SCHEDULED AUTOS
1 BODILY INJURY (Per acadent)j $ 500,000
I PROPERTY DAMAG=
X
HIR EDAi;TOS
G
(Peraccident) i$ 250,000
X
NON -OWNED AUTOS
I $
�!
1 UMBRELLA LIAB
!, OCCUR
EACH OCCURRENCE $
EXCESS LIAB
CLAMS—MADE I
1 ! I o.-
, AGGREGAT E $
!
'
DEDJC T 131E
I G
I
I RETEN ;ON $
.WORKERS COMPENSATION
' WC STAT U- I. 'CTH-i
TL LT
AND EtrI PLOY ERS' LIABILITY Y 1 N
I T, ORY I ER i
ANY PROPRiETOPJPARTNER1=XrCUT VE
j I i EL, EACH ACCIDENT� $
-,
OFFiCERN,_V.3ER EXCLUDED? I ;NIA!
(Mandatory In NH)
i
i
! _ �a, . „_`
I DiSEASE - EA E LO : _-I $
yes, desc-be unde.-
D=
ESOR TON OF OPERATIONS delen•
DISEASE PY LiA4? I $
E -G- "'
-
I
I I
I I
I i
DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
"CERTIFICATE FOR WORKERS' COMP COVERAGE WILL BE ISSUED DIRECTLY FROM THE
COMPANY WITHIN 2 BUSINESS DAYS*
Ckr_K I IF1Cl.1� 1 F- H[)I 11F -R f AAIl-CI I ATIIIAI
U 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
-
AUTHORIZED REPRESENTATIVE
nl
U 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
RightFax N1-2 3/4/2011 9:02:27 AM PAGE 2/003 Fax Server
I
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DD.YYYY) 03.04:-2011
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 be endorsed. If SUBROGATION IS WAIVED, subject to the
terms and
conditions of the policy, certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder
in lieu of
such endorsement(s).
PRODUCER CONTACT
NAME:
FRANCIS E. PROVENCHER
530 ROGERS STREET
LOWELL, MA 01852
26F9G
INSURED
QUINN THOMAS DBA QULNNS CONSTRUCTION
PHONE FAX
(Arc, No, Ext): FAX
(A'C, No):
E-MAIL
ADDRESS:
PRODUCER
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE
INSURER A: HARTFORD GROtiP
INSURER B:
INSURER C:
INSURER D•
NAIC #
868 MAMMOTH RD
INSURER E:
DRACUT, LTA 01826
INSURER F:
COVERAGES CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED
REVISION NUMBER:
TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
BY RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN. THE
INSURANCE AFFORDED
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS.
INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE
TYPE OF INSURANCE POLICY NUMBER (MM',DD\YYYV ) (MM,DD;YYYY)
LTR INSR WVD
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS MADE OCCUR.
DAMAGE TO RENTED
$
PREMISES (Ea occurrence)
MED EXP (Any one person)
S
GENTAGGREGATE LIMIT APPLIES PER:
PERSONAL && ADV INJURY
$
POLICY PROJECT LOC
GENERALAGGREGATE
$
PRODUCTS - COMP/OP AGG
$
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE
$
ALL OWNED AUTOS
LIMIT (Ea accident)
SCHEDULE AUTOS
BODILY INJURY
$
HIRED AUTOS
(Per person)
BODILY INJURY
S
NON -OWNED AUTOS
(Per accident)PROPERTY
DAMAGE
$
(Per accident)
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMS -MADE
AGGREGATE
DEDUCTIBLE
$
RETENTION S
$
$
WORKER'S COMPENSATION AND
EMPOLYER'S LIABILITY YIN UB-41IGP704-11 01/15:'2011 01;15/2012
+.^.'C STATUTORY LIMITS OTHER
WN
ANY PROPERITORiPARTN'ERIEXECUTIVE N
E. L. EACH ACCIDENT
$ 100,000
OFFICERPME'.BER EXCLUDED? N
E.L. DISEASE - EA EMPLOYEE
S 100,000
oryin NH)
G11
yes, d descr,be uns
yes, er
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS bear:
DESCRIPTION OF OPERATIONS%LOCATIONS!VEHICLES%RESTRICTIONS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTD G WORKERS
CO1,II' COVERAGE.
THE WORKERS' CO'NIPE- SATION POLICY DOES NOT PROVIDE COVERAGE FOR QUIiN1 THOMAS.
CERTIFICATE HOLDER
CITY OF LOWELL BUILDING DEPT.
375 MERRLMACK ST.
LOWELL, AZA 01852
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Raman' A}ger
r
Office of Consumer Affairs and usiness
- Regulation
10 Park Plaza - Suite 5170
W.N. ..•
Boston,.Massackusetts 02116
Home Improvement
,��,Cnractor Registration
=:-- Registration: 121604
Type: Individual
Expiration: 5/24/2012 Tr# 293905
QUINN'S CONSTRUCTION
THOMAS
QUINN
MAMMOTH RD."` ----
' 868
DRACUT, MA 01826
DPS-CA1 a 50M -04/04-G101216
1 T�
Office of Consumer Affairs & Business Regulation
HOME IMPROVEMENT CONTRACTOR
Registratior3 -121604
Expiratttin _P_? -412D12 Tr# 293905
TYPe i=inalvldual '
QUINN'S CONST,ktf fiOw-
THOMAS QWINN-
868 MAMMOTH R:
DRACUT, MA 0182(1
ate Address and return card. Mark reason for change.
Li Address ❑ Renewal ❑ Employment [j Lost Card
License or registration valid for individul use only
before the expiration date. If found return to:
Office ofConsumerAffairs and Business Regulation
10 Park Plaza - Suite 5170 -
Boston, MA 02116
Undersecretary�"�
Not valid without signature t.—
i = N-11ts. achus tts - Depat nient of Public. Safet%
Board of BuiltlinL= Regulations and Standards
Construction Supervisor License
I
- License: CS 39732
i
Re$t'rieted to 00
THOMAS J QUINN..
668 MAMMOTH RD
DRACUT MA'0826
Expiration: 3/2512012
Tr#: 18330
Restricted to: 00
i 00- Unrestricted
1G -1 2 Family Homes
Failure to possess a current edition of the
Massachusetts State Building Code
is cause for•revocation of this license.
Refer to: WWW; Mass.Gov/DP'S
• :# auoga :uosxaa has;uo7
xaglp '9
xol.aadsq 2utqumla'S .xolaadsq learx;aala •I, xxaTO UMOJ,/14IO •£ �.uaurlxeda(I 2m. ng •-Z glleag o pxeog •9
:(auo alaxta) fjxxorIjnv �umssx
# asuaat�j/Irruxa� :u�oy xo �t�
7vgaLro muol.m &Iga e'q pa;apdwoa aq of'.va iv siv uz angrdi iou oQ •dfpuo asn zvgalffo
as rroa pu an[1 sz arcogv papgdo rd uo?�vzucofui az/I IV III rCtnYadfo saypvuad puv sugvdag1 aapun'�yjaa rfgajazi op x
uo.4BOUTxaA acdsxaAoo oousxnsm xoj VICL oill jo suolls$Ilsaauj
JO ()OUJO aql of papxstnzo aq Am luaiaaluls s. gldo f,doo -eluqjpasxaps oa 'xoluloTA agl Isup2-o .yup s 00"0SZ$ of do jo
Guff u Puu "JaC[2IO X2I0M dOZS udo uuoj 041 ur soillsuad IrAzo su 11om su -`luauruosrxdua xuaf-duo xo/pue 00.00S`I$ ol do einj
e jo saxllsuad luuturrxo jo uorizsoclmi a-ql olpsal use ZSI 'o `IJnjo VEZ uoPooS .rapun paxmbax ss a2exaAoo axnoos.ol emlmq
•(alep uoil sxtdxa pue xaqumu Ifatlod ag} fmmOgs) aged uox;exelaap �farlod uo esuaduroa sxwIxonA agl o Sdoa e gaejlV
:ssoxPPV al?S 9.o.f
:aluQ uollszldxg 0(7 '---�>�� :# •on 'suf jios xo # Borba
duuduroO aousxnsuZ
•u011vzuro�u2
a�gs gofpuv Tazlodaz/� s•1 dtolag saarfopdura rfur,ro,�'aauv.cnsug uo2�vsuadutoa �sra�.rodi �uzpgaoxdsc �vz/�.carfopdzua uv zuv�
'IIOT}EtIIIOjIII timTOd 'dTII00 ,SIaxlOtd I[0ia PiIE SIO}OE4II00-gII5 9LI} O OLIIEII 219 guimils jogs Ivuo.4ippE IIE P9L[OEj}E jSIISII XOq STi408T(0 jEIR SIO}OEI}IIOD
'BOAS 2II.4EoipTn iIAEpDg: Mau E;pgIIs jsnuI slojo-e4mo opis4n0 alnj uvgi pn )jIOM IIE Burop om Aoip 2q.4BoTpiq }TAEpTDja slim 4pgnS oijAL uotl&oaiimH i
'IIOIjEIIIIOJ¢I SOIIOd IIOIjESIIadTIIOO �SIa)IIOM Simi} iIIIMOTIS MOIaq IIOijoos ailj. jno Ig osIB jsulI Y# Xoq s)IoQgo I-eig jnEOTIddE suV,
x9rll0 FI'£I
quClaT JO0Z10 •ZI
suol;rppt xo sgedax gurgmnla ❑"I I
suORIPP-e xo sxrudax IsolxloaIa ❑"0I
uorlippt $utplmg ❑ 6
uomomo l ❑ •8
2urlapoutag n '/,
uo4on4suoo moN ❑ •9
: (paxinbax) Iaafoxd jo o(T4
[•paxmbax aousxnsur 'dMOO
csxaslxorA ON] -saa�ioldura
x [ paxmbax aoutxnsur
ouanugaAlput `(t)I§ `ZSI "o
'duroo'sxa*TOm ON] UIasliur
'jE)jq xad uor�duraxa �o Irl�rx
slxoM Ue $uiop xau�AoauxOTI t UM Z [� • £
xrarll paSToxaxa aAug sraoUJo
[•pazmbax ,
slY pus uopsxodxoo -e Om OAA E] •S
aousxnsur duroo �sxa�Ixonn oN]
aOU-emS Tr •durOO �Sxo3jTOM
'40-edso Aue m our xoj fuRIOM
aAsg sxolosxluoo-qns osagj,
sooSolduio ou ansg put digs
z •laags pagosl}u agl uo palsll
- orped xo xolaixdox alos t urs I Z
sxolouxluoo-qns ar(I paxrq anug
(auRi-Ixud xo/p and saa�oldura
I pue xolotxluoo Isxau92 t MBI El •l,
'—R11 ` ojdmo t We ;4-L] I .
:xoq aleixdoxdft-dgl
-IaaiIO ZxaSoldura ue os a.IV
-qa
:ssaxppv
:(IEnprATpui/aoT}EzTTre�Ip/ssauTsna) guae �
Iq• a'I �.urxa a��aZa uo�tuzxo� �.�z�ag '�-
saqu�nZ�/sortgatx�aaZ�/sxola� x�uo�/sxap�ng :�xn�p aaratamsu)[ trotsazaduxo� �sxa�xo
271,�7�r10�'sS7JZu MMM r
XXIZO Pw `uO)sOg
hails uo�4uggsv," 009
suo nklisa"WO aaifop
sluawaymuisnpul fo luau4ndaa
sjjasngovssvH o illivamuommoo arty