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HomeMy WebLinkAboutBuilding Permit #1236-2016 - 24 SKYVIEW TERRACE 5/27/2016 v0I 044 44 -k V'✓ . NORTH 9 BUILDING PERMIT �rg`�"eD TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Argo Date Issued: Ab 9SSACHU`��t�y ORTANT: A licant must com Tete all items on this a e TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ;RzQne family ❑ Addition ❑ Two or more family ❑ Industrial dHL Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Identification Please Type or Print Clearly) (0'e—OWNER: Name: IV, bi I I Phone: Address: u i- --e Fm C e 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: $ O� `� -7 FEE: $ . Check No.: I Y&JReceipt No.: NOTE: Persons contracting with unregistere cont actors do not have access to the guaranty fund t%ORTH BUILDING PERMIT %'W't) '6V TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 70 - b Per,nit No#: Date Received �9A�g1Teu�Pa�q`� SSACHUS� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: 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 Elwell ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sianature of Aaent/Cdwne Sianature of contractor. - -- - - -- ------ - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ S-tan d 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 e 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 d � Conservation Decision: Comments f Water & Sewer Connection/Signature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street InIREDEPARTiMENT Tempi®umpster onaite eyes¢__ Ttnoa Y_y l - Fire,Departnient=signature/date COMMLNTS r r 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 Call Email Date Time Contact Name I Doc.Building Pennit 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 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 Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products IN 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 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 ,sn� `� ✓l ! _j ; �No. �-�� Date ' z7 l' • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �$—+ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# r r Building Inspector NORTH Town �� : _ LAndover No. 1 34 ( � 4LZh ver, Mass Z� � oa COCNIC�Nf M11C.I y1. S V BOARD OF HEALTH Food/Kitchen PERM T T LD Septic System • THIS CERTIFIES THAT ..........................t.. 0% d'C BUILDING INSPECTOR ............................................................... ... Foundation has permission to erect .......................... buildings on . ... N�« . .... ................................ ............... • Rough to be occupied as .......... `��� .... !....`.!!!!�• '.'... .. ..... .... .... ........ ........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTI TARTS Rough Service ...... . . ........ .... .....M . ................ ........... BUILDING INSPECTOR .. Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildin,:; 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. Federal ID#05.0405629 RISE Engineering RI Contractor Registration No 8186 RISE4� MA Contractor Registration No 120979 'y A division of Thielsch Engineering ENGINEERING 60 Shawmut Unit#2,Canton,MA 07021 CONTRACT 339-502-6335 FAX 339-502-6345 Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BBTINEEN RISE CMA-AES ENGINEERING An WE CUSTOMER FOR VKM As DESCRIBED URIM CUBTOAiER PHONE DATE CLIENTS wOR(ORDER Kevin Willoe (978)258-6602 12/11/2015 409432 00003 SERVICE STREET BILUNG STREET 24 Skyview Terrace 24 Skyview Terrace SERVICE CITY,STATE,ZIP eIUM CITY,STATE,IIP North Andover,MA 01845 North Andover,MA 01845 JOB DESCRIPTION HAZARD BARRIER:We have identified that there are recessed lights present in your hom&unless the recessed lights are certified as IC-rated(Insulation Contact Rated)we will create a 3"clearance space around the fixture by using fiberglass blanket insulation as a damming material,no insulation will be installed across the top and closed cavities which contain recessed lights will not be insulated. $0.00 AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) This will require(8)working hours.A reduction in cubic feet per minute(cfin)of as infiltration will occur,but the actual number of chn is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. $680.00 AUDITOR'S NOTES HOUSE BELOW BUILDING AIR FLOW STANDARD. BLOWER DOOR=3359 @ CFM 50 PA. BLDG STANDARD=3788®CFM50 PA. \ OWNER NEEDS TO INSTALL A BATH VENT FAN TO MAKE UP AIR TO BUII-DINR AIR FLOW STANDARD. PANASONIC WHISPER SELECT IS ONE SUCH FAN.CAN FIND AT EFI.ORG. $0.00 AUDITOR'S NOTES HOUSE BELOW BUILDING AIR FLOW STANDARD. BLOWER DOOR-3359 aQ CFM 50 PA. BLDG STANDARD=3788@CFM50 PA OWNER NEEDS TO INSTALL A BATH VENT FAN TO MAKE UP AIR TO BUILDINR AIR FLOW STANDARD. PANASONIC WHISPER SELECT 1S ONE SUCH FAN.CAN FIND AT EFI.ORG. $0.00 DAMMING:Provide labor and materials to install a 12"layer of R-38 unlaced fiberglass batts to(48)square feet for damming purposes. $98.40 ATTIC FLAT:Provide labor and materials to install a 6"layer of R-21 Class 1 Cellulose added to(1667)square feet of open attic space. $2,100.42 ATTIC ACCESS:Provide labor and materials to insulate the back of(l)attic hatch with 2"rigid Thermax board.Weatherstrip the perimeter. $60.00 ATTIC ACCESS:Provide labor and materials to insulate(1) back of the kneewall hatch with 2"rigid Thermax board,and seal the edge of the hatch with weatherstripping. $60.00 Federal to#054405829 ., RISE Engineering RI Contractor Reglsbatlon No 8186 S E A division of Thielsch Engineering R I �� MA Contractor Registration No 120979 �a ENGINEERING60 Shawarut Unit#2,Canton,MA 02021 /+ 339-502-6335 FAX 339-502-6345 CONTRACT Page 2 PROGRAM THIS CONTRACT B ENTERED INTO BETWEEN RISE CMA—HES ENGINEERING AND THE CUSTOM FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE CLIENTS WORK ORDER Kevin Willoe (978)258-6602 12/11/2015 409432 00003 SERVICE STREET BLAND STREET 24 Skyview Terrace 24 Skyview Terrace SERVICE OTI,STATE.LP BALING CITY,STATE,IIP North Andover,MA 01845 North Andover,MA 01845 JOB DESCRIPTION VENTILATION:Provide labor and materials to install(1)insulated exhaust hose with soffit mounted flapper vent to exhaust existing bathroom fan(s). $118.75 COMMON WALLS:Provide labor and materials to install 2"FSK faced semi-rigid fiberglass board insulation to(118)square feet of common wall area. THIS IS THE BACK OF MASTER BATH VAULTTO ATTIC! $413.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will only be billed the Net amount Currently, for eligible measures,Columbia Gas offers 75%incentive,not to exceed$2,000 per calendar year,and an incentive of 100%for the Air Sealing measures up to the first$680 and an additional 5340 if savings are justified by the auditor. For the safety and health of your home's indoor air quality,we will be conducting a blower door diagnostic of the available air flow in your home both before the work is begun,and after the weatherizadon work is complete.We will also conduct a full assessment of the combustion safety of your heating system and water heater.This has a value of$90 and is at no cost to you. Total allowable weatherizedon incentive is$3,110. $90.00 Total: $3,620.57 Program Incentive: $2,770.00 Customer Total: $850.57 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eight Hundred Fifty&57/100 Dollars $850.57 UPON FINAL INSPECTION AND APPROVAL BY RBE ENMEER[NG.CUSTOMER AS TO REMIT ANOINT DUE W FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER DAYS.SEE REVERSE FOR ANT INFORMATION ON GUARANTEES,RIGHTS OF RECISRK SCHIMLING,AND CTDR REGISTRATION. NOT SIGN THIS CONTRACT tF THERE ARE ANY K SP CES Z AUTHORt== TU RE-RBEEnglae CU8 ER ACCVPTATE NOTE:THM CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ` 1� 30 ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPEC[FlCATIONS AND CONDITIONS ARE GAYS. AS SPECIFIED.PAYMENT V"BEMADE AS OUTLINE)ABOVE TO DO 77ff WORK .F OWNER AUTHORIZATION FORM 2 Gvi Iloe.- i (Owner's Name) owner of the property located at(Proftft Address) (Property Address) — hereby authorize A(Subcontrracto an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner=s Sigr.,6 ture \IA-VS Date - F } 1 f i S The Commonwealth of Massachusetts rtnt Harm , Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 kqttwt� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Builders Services Group d/b/a Quality Insulation Address: 110 Perimeter Rd City/State/Zip: Nashua NH 03063 Phone #:603-324-1974 Are you an employer? Check the appropriate bog: Type of project(required): 1.2 I am a employer with 100 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.❑✓ Other comp. insurance required.] *Any applicant that checks box#1 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 am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: ACE American Insurance Company Policy#or Self-ins. Lic.#:WLRC 48151553 Expiration Date:6/30/2016 �p g Job Site Address: Q S3, V i,-e c___5 IT f M e---e City/State/Zip: N4 CJ uL�S 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 WORK 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. I do hereby certify under the pains andpenalties ofperjur that the in ormation provided above is true and correct. Si ature: Date Phone#:603-324-1974 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#: CERTIFICATE OF LIABILITY INSURANCE DATE(M5YYY, 06/24420112015 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:It 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 CONTACT AOn Risk Services Central, Inc. NAnaE. Southfield MI Office PAHONIU.E„). (866) 283-71?? FAX (800) 363-0105 ¢3 3000 Town Center tac.No.): E-M,A1L p Suite 3000 ADDRESS: _ Southfield M1 48075 USA INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A Old Republic Insurance Company 124247 TODBUi Id Corn. INSURER B: ACE. American Insurance Company 22667 260 ]immy Ann Drive Daytona Beach FL 32114 USA INSURER C: ACE Fire Underwriters Insurance CO. 2070= INSURER D INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: 570058348882 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. Limits shown are as requested INSRI TYPE OF INSURANCE S POLICY NUMBER LTR INSD V✓VD MfNDD1YYYY I POLI I(MMIDD/YYYY) UMITS A I X COMMERCIAL GENERAL LIABILITY Mh2Y304834 Ub/3 1J b%3 !Ol EACH OCCURRENCE $2,000,000 CLI IMS-MADE 1-71 RENTED A I OCCUR. PREMISES DAMAGE TO c—ence) `12,000,000 MED EXP(Any one person) S25,000 PERSONAL S ADV INJURY S2,ODO,OOO o GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S4,000,0001m FR0. X POLICY JECT El LOC PF.ODUCTS-COMP/GP AGG 5-0,000,ODO m u7 OT1-IEP.: o 0 A AUTOIMOBILE LIABILITY MhF,-B 304835 06/30/2015 06/30/?016 COMBINED SINGLE LIMIT E a ac'dent) d ent 55,000,000 ANY AU70 BODILY INJURY(Per person) O Z ALL r OWNED SCHEDULED BODILY INJURY(Per—dem) pl AUTOS AUTOS ru X HIRED AUT OS X NON-OWNED PP.OPE P.TY DAMAGE O AUTOS Per amdenl — N UTEEiRELLA LIAR OCCUR, EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED I RETENTION B WORKERS C OMPENSATIO N AND WL RC4&151553 06/30,2015 06/30/2016 PER OTH- EMPLOYERS'LIABILITY )` ST PTUTE ER YIN All Other States C ANY PP.OPF:IE70F./PAF,TNEP./EXECUTIUt N EL EACHACCIDGN7 S1,000,000 OFFICEPJMEMBcR EXCLUDED- ❑ NIh SCFC4815190 06/30/7015 06/30/-016 (Mandatory b n wl Only E L DISEASE-EA EMPLOYEE S1,000,000 I/yes, JPTIO a under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT 11,000,000— I ESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addnional Remarks Schedule,may be anached if more space is requved) vidence of Coverage A 75 q� -J RTfFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP IP,ATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Builder Services Group, Inc. AUTHORIZED REPRESENTATIVE A TopBuiId Company 260 -Timmy Ann Drive Daytona Beach FL 32114 USA -1 ©1988-2014 ACORD CORPORATION.All rights reserved. >CORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i I;,,It ''It itt•11 It.: k - �' t Id CRAR USCIINVARTZ Moo WbAildiV�(ey Nil (13 102 0W26/2016 Zc:Sklir.;Fc�d To. C:;SL•IC-IiasUl;tiicsn Cantr,lr-inr ilurc to possess a current edifiorl of the NbSSachuset'tt at.cs(5iritdink;Cot!(^is caus(a fcsr"'VOcatinn of this licet sp, •'` ��G*' �:�'€`.=�.�s,d g r!`j j!/i 1.•p�''�!F;�t�,r 6 f`!/° ',��'� a/` s,°.l 4°��''•f z',�t:��,, --its C } 1si�'I i�?aIIJ aI' uS3II�JS ��� aLIoI _= 1 C) F-la-i k Ill aza — \1..+l l iis' > 1 Repisiration: 17141 Type: Supplement Card BUILDER SERVICES GROUP, INC. Expiraticn: E/25;2016 RICHARD SCHVL/ART? 110 PERIMETER RD NASHUA, NH 030363 1.1lt@ate Add res,and return card. Atari, reason for chant c. Address Rellc%S'a1 Flllplo3n;ert; Lust Garr! _... f>l73re of Co,-Sun1cr Affair Q BUSMtSS Re;;Ula tiar Y h License U. realsiri7tl It�'a!!d for lnL.ti-idul use onl MAPROVEMENT CONTRACTOR htfvre the e':;�iraltior este. ii-found return to: Office of Consumer r•.3seirs ant?Business Regulati+l:r "fiagistration: 179141 Type P2rl, 3 az�z511-10 Expiration: Eie51201E Supplement --a rd Bostor.;h1A 02116 UILDER SERVICES GROUP, M. ]CHARD SC`—'JJARTL f :10 JiMMY ANN DR!VE AYTO6EA,C-i. EL 211 ; i1(lerSi:f r:is�"," tifrt 6'31111:N'lt}3 t)L't Si-nature