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HomeMy WebLinkAboutBuilding Permit #396-2017 - 29 MAPLE AVENUE 10/13/2016 ✓ BUILDING PERMIT �I pNj��wNE & yaORTy I � a• y� \( ., Ih .6 TOWN OF NORTH ANDOVER 0p APPLICATION FOR PLAN EXAMINATION �o Permit No#: 7 Date Received 1 ' j I �gSsacHus���5 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATIONZ y� Print PROPERTY OWNER Print 100 Year Structure yes MAPb ITPARCEL: ZONING DISTRICT: Historic District yes 5� Machine Shop Village yes A TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [I Addition El Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other F - I t[]°�WatershedlE®istrict, �q Sept c 51,el1; ❑tFlo.©dpla�na ��Wetlands� 6 DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly Phone:fZr- OWNER: Name: 7 Address: c< Contractor Name: iS�G��-� y � Phone Email: co _ v� L'� ,oS`z�; �� `� Address .2,02 41/,t�,-Cf y-T /Jo °V,0.,e1,r z Supervisor's Construction License: �%�a�' Exp. Date: Exp. Date: 1 -7 V Home Improvement License: IS 477 p ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ v?o�.. FEE: $ Check No.: [ 0 Receipt No.: 03 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd _ - — ra -- qn5tuM,q ,6 f Flans Submitted ❑ Plans Waived ❑ Certified Plot flan ❑ Stamped Flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swirm ing Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature'— COMMENTS ignature_COMMENT S I I CONSERVATION Reviewed on Signature ` 1 COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning 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 ]DPW Town Engineer: Signature: „1 r y Located 384 Osgood Street FIREDEPARTIIIINT'� TernpDumpster on-site ,yes �: ��z�;:Lt¢ino `'_ • ;, ' •� ' : € ) 3.aa Located 124yMaintStrEbt �* _; } . :,�«} • *� ,, - �. -- --« a`f {� trnen.�r Firerr, sir ¢Depart�signature/date !rill` � « `� 1 _.�t t �/ «1.,i.. «t ` r.°gyp iZ,'{ ��*4.. 2•t 1 ;",«{Ytr*.t_'Sf a( e' ,-j*i^'.'—. v_ "` - ° COMMENTSt • r r f 1 ._'�. i.. « • «i J Lt;s i+ �+r ; # r j,r% (`t. 'y .r[tlrl. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, wast or service drop requires approval of � Electrical Inspector Yes No I DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1o0-$1000 fine NOTES and DATA— (For department apse) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 J 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 �6 Copy of Contract Floor Plan Or Proposed Interior Work � Engineering ineerin 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) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products 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 46 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 OORTFi '9 Town of 2 t 1�, s ndover No. — * - ,� oh ver, Mass, COCNIC NlWKK �d pDRATED PP���� S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ........ 5.......:k.vvjz�T......................................................... BUILDING INSPECTOR .:.� �.. .. ..... .. �....... .�..� Foundation has permission to erect .......................... buildings on ... .... Rough to be occupied as r ..... e. . ....... I. ..1. .. .................................... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC ION STA TS Rough G 'AZAMF Service .... ... .... ........... ..... ..... ....................................... 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. i a a a PROPOSAL Marie Daw 29 Maple Ave. North Andover,MA 01845 (H) 978-683-3408 (C) 978-387-0848 mariedaw@verizon.net Porch Decking and Railings September 14,2016 Work to be completed includes: • Building Permit • Removal of all decking and railings on side porch. • Replace decking with Azek Slate Gray Composite Decking. • Replace Railing with White Radiance Railings. • Wrap exiting posts with PVC. • Install new PVC lattice around porch • Removal of all debris TOTAL LABOR AND MATERIAL $ 7,322.00 Terms: $2,400.00 to start $4,922.00 when complete Submitted By: Chris Rivet MA Lic#C 07217 # Y S 3 HIC 139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel:617-727-3200 ext.25239. All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. Date 16 f L / Homeowner Signature C Date /� Contractor Signature T ,tractor Arbitration ,e Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they .ave 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 court unless 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 Business 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 Contractor 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,homeowners 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 Improvement Contractor Law.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 cavy 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 consumer rights.If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate 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 attachments is to be given to the owner and the other kept by the contractor.Any 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 rescission 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 financially insecure,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 the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Consumer Guide to the Home Improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 I Sales: 800.448.3636 AOTS F Phone: 804.271.2363 NEXT GENERATION Fax: 804.743.7779 O LET'S GET IT DONE STORMWATER MANAGEMENT SOLUTIONS acfenvironmentai.com Site Development and Retrofit . Low Impact Development . Green Infrastructure FOCALPOINT(high flow biofiltration) - R-TANK(modular subsurface storage) - PAVE DRAIN(paving,drainage,storage) - FABCO(decentralized treatment) > I t — � , Ri 4 ' , l I I. i � a . i i f O North Andover MIMAP October 13, 2016 ��,� � �`��� � �' �.:� 16 MAPLE AVE ����' �`:;" • MAPLEAVE I 039.0-0064 19.0-0008 13 MAPLE A,VE y � ` ` • 98WAVERLY RU - �: 22 MAPLE AVE ,019 U0016 ' 15 MAPLE AVE <,� 019.0-0005 01.9.0-0023 - 102 W'AVERLY RD � � ` ' -- 30 MAPLE A•1/E 019.0-0024 71 MAPLE AVE N,yG � •' A A, � �'� 019.0-0006 0.19.0-0018 ; O * 36 MAPLE ANE ' 019.0-0019 r 31 MAPLE AVE. �+ t � ,, 65 SECOND ST T" 019.0-0025 " . 3 19.0-079�021 ° or 4 t fi` 75 SECOND ST �1911-000 019.0-0038 ;019.0-0026„ /? 019.0-0030 9.&0 o ,a 4 to �' •� �s :�� � 9.1 SECOND ST 103 SECOND 5794 SECOND ST95 SECOND ST e` I`i 49 MAPLE ANE 039.0-0034 f> z 55 WEVAM19 AN 039.0-0031019.0-0032 019T�0-0 40� `" 019.0-0039 0]9.0-0035' 0 MVPC Bo Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —IMeters Data Sources:The data for this map was produced by Merrimack — SR Meters Valley Planning Commission(MVPC)using data provided by the Town of RoadsO!a«�e r s�ti North Andover.Additional data provided by the Executive Office of t r Easements *� a OO Environmental Affairs/MassGIS.The information depicted on this map is Cl Parcels 3 L for planning purposes only.It may not be adequate for legal boundary O p definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ✓K www # THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY # i ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION SACNUS t 1"=61 ft 4- I North Andover MIMAP October 13, 2016 161MA'PL,E;AVE 01`9::0 OOS '` X18{NIAPLE;rAVE` RS 019:0,-0001• ;0.19'0=0003) (.019 0=0064 10:19 14008'. 13,MA'PLEIAVE a WAVERL MV 22 MAttIE!rANE SR 19:0;00'0T t115MAPL€AVE' 0:19 0=,00055 '019 0=0023' 102�WAUERL�Y�RD� 0.1'9 0=0017 �'>, 30'lMAPhE A--' ' '9L Q49%O0=0024' s2 (MAPQ1-EAVE ' � 01.9 0 0006,4 `f' �36�MAPL,E�VAVA Et Z 2j MA 01"9:010065; /`. (651SEC`ONDfS, A 31�IN- PLtW h % t_)t 00251 i019s0=oo20, 19;0=0021; 019:0=0028.. 019;0=0026' 751S700ND$7T' 1019:0=000f, 10391.090020} 1%1 0._19,0 0030; 0:19 t O'002-?1�11 0190 00;55A 91$1SECON©,# 5- 1 --°2 49 MAPLE AVE 99 SECOND S�T�- �� v95FSECOND.}ST'' eeti 51' 50' 50 120' n 5e�o 019'0=U038i 55,5{NIAP . f019:0.=003'1• 019'0-0032 019,:0=00,40'` 01'9 0 0039' 019,;0 0035 Q MVPC Bo Zoning Overlay Zoning ®Municipal Boundary 0 Adult Entertainment Distric Busine s 1 District 0 Machine Shop Village Ove Q Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line 0 Watershed Protection Dist Q Businei s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates Historic Mill Area Q Busine s 4 District �10RTM Valley Planning Commission(MVPQ using data provided by the Town of Medical Marijuana Q Genera Business District Of Sao r 'a� North Andover.Additional data provided by the Executive Office of SR B Downtown Overlay District Q Planne Commercial De ? *<<t •s 00 Environmental Affairs/MassGIS.The information depicted on this map is Roads 0 Historic District Conido Development Dist 3 ( for planning purposes only.It may not be adequate for legal boundary UOsgood Smart Growth(40 Q Corddo DevelopmentDist O definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Easements Hydrographic Features Q Comdo Development Dist F _ MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri il 1 District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ❑Parcels Streams Industri 2 District 'A i ^ X OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Q Industri 13 District Wetlands Y o • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Q Industri il S District Seo Oft" " THIS INFORMATION O Exempt Lands Residei oe 1 District �,� •�*•o��,�� :J Residei ce 2 District SSwCNUS� 0 Reside ce 3 District de ce 4 District 1"=61 ft de ce 5 District de ce 6 District a aResidential District The Commonwealth of Massachusetts Department of IndustrialAccidents RI Office ofInvestigations 600 Washington Street r Boston,MA 0211.1 -www.mQssgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Aunlicant Information Please Print LeAbly Name(Business/Organindonandividual): Address: e9c 7 �',�✓!i j'"i5 City/State/Zip: �!r^,--: : v��� � %-?t 9q Phone#: Are you an employer?Check the appropriate box: Type'of project(required): 1.❑ I am a employer-with. 4. ❑ I am a general contractor and I 6. ❑ ew construction loyees(full and/or part-time).* have hired the sub-contractors 2.2 I am a sole proprietor or partner- 8. on the attached sheet 7.. Remodeling ship and have no employees These sub-contractors have g. ❑Demolition work' for me in an capacity. employees and have workers' � Y P t3'• 9. F]Building addition [No workers'comp.insurance comp. insurance.; re ired. S. ❑ We are a corporation and its 10.❑Electrical repairs or additions �N ] 3.❑ I am a homeowner doin all work officers have exercised their 11.❑Plumbing repairs or additions g ri t of exemption per MGL P P myself.jNo wotkers comp. � 12.❑Roof repairs insurance required.]t' c.152,§1(4},and we have no . employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing thea worker'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: Policy#or Self-ins.Lic.#: O '%:Q / Expiration Date: ltd `. i lob Site Address: or �F CitylState/Zip:Xj-: �/i/��'✓�'�, 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 io 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. Ido herebycertify u p 'ns penalties ofperjury that the information provided abpve/is true and correct S e. !-� Date: f�10 Phone#: �s' Official use only. Do not write in this area,to be completed by city or town gfJrciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health'2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector . 6.Other Contact Person: Phone#: f OP ID:GOGL CERTIFICATE OF LIABILITY INSURANCE DA09/15DD 09/15/2001616 � 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 pol(cy((es)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 NTACT Phone:978-688-6921 NAME: Kim Landry Macdonald&Pangione Insurance Fax-978-688-5350 PHONE FAX 104 Main Street a .978-688-6921 No):978-688-5350 North Andover,MA 01845 KIM@mpins.net Michael Pangione Pe RESER p CUSTOMER ID :CHRIS-5 INSURER(S)AFFORDING COVERAGE NAIC C INSURED Christopher Rivet INSURER A:Preferred Mutual Ins Co 15024 207 Winter St. North Andover,MA 01845 INSURER B: :INSURER C: INSURER D: 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. ILTR TYPE OF INSURANCE DL UB POLICY NUMBER POLICY WDY POLICY M ODI EXP UMC GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 DAMAGE TO HEN I ED A X COMMERCIAL GENERAL LIABILITY BOP 0100719749 09/26/2016 09/26/2017 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ rl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS IJAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONINC STATU OTH- AND EMPLOYERS'LIABILITY Y/N RY LIM ER_ ANY PROPRIETORIPARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Ifes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ?VSCppIPTION OF PEpATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) tvlQence o Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. No Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Pubiic'Safety Board of Building Regulations and Standards License: CS-072173 Construction Supervisor , CHRISTOPHER F RIVET 207 WINTER ST ' N ANDOVER MA 01845 I _/1L"^'� l� Expiration_ Commissioner 06/0212018 �.,, �/e`�nnrnrn�raiea/G/c`C-.11�z;.;ric�ruell� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR - 7TA Registration: 139962 Type: Expiration- 9/8/2017 9/812017 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET -- 207 WINTER ST. - i N.ANDOVER,MA 01845 - Undersecretary f Location R-7- a cz m tit et r ) v if No. 3 )(P < dt'7 Date lU• lam?-r�(�/ �a J • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ 4. Other Permit Fee $ TOTAL $ F Check#9f J ' 4� `v�Building Inspector