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HomeMy WebLinkAboutBuilding Permit #50 - 300 WEBSTER WOODS 7/22/2008BUILDING PERMIT TOWN OF NORTH ANDOVER �l APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received o Date Issued: -7 -9z-!U I IMPORTANT: An'Ficant must complete all items on this Daae I LOCATI MAP NO: PARCEL:- ZONING DISTRICT: Historic District Machine Shop Villaai yes no ves 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 /nIC,RCC ,0 G 1AInre per. Septic Well FloodplainFei1an Watershed District DESCRIPTION OF WORK TO BE PREFORMED: 7 l�l/�ROC/&P 2S, Identification Please Type or Print Clearly) OWNER: Name: 5//Mk Phone: 2$Y2036 Address: CONTRACTOR Narne:I!FA��� PhoheL 9!7 Address:r r Supervisor's Construction License:....J_SL Exp. Date'._ Home Improvement License: 107_M3 Exp. Date ARCH ITECT/ENGINEER SEE SrAUe_7[/RA,L, A1.,4Y 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: $ 9'00® FEE: $ 3 Check No.: Receipt No.: � 1 3q NOTE: Persons contracting with unregistered contractors do not have access "e gua,1gntyd re of Aaent/Owner 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 9 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION DATE REJECTED DATE APP OV D s f n COMMENTS DATE REJECTED DATE APPROVED HEALTH 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 Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS Dimension Number of Stories: N Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 6-¢ 97 1 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 - Date Doc.Building Permit Revised 2007 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location yV, k/tv 1� No, ri (J Date NORTH TOWN OF NORTH ANDOVER OL Certificate of Occupancy $ • �'� s''•°' E<� Building/Frame Permit Fee $ 3 AC MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2, 343 Building Inspector CA m m .m m m C��� z O —• fI! < Q N d m y = mO mO O N Cl CL Cl 3 R1 m n s of O CO) ffi m 64O O y = p N O =r� m o� n to O y n 00 o k C �y n0m�< co O m O N m00 o CL m cr O p� y H d d �t • C O 0. 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APPROYRL RE©U/RED FOR ',4C/AC Type POOLS. ;N CONFOMIS TD LOCAL CODE AND V ?, RE,9SONA& y LEVEL S/TE YL=I1 NATURAL CR'0VN9'fW17 //N-2 Fffr ,BOND /345,91'9, ANY eY CEP 170NS �F SL/PPL E M,=N TR ARY DfTR/L t DES/ PROY/DE FENCING //Y CO171PL //aNCf C17 -lot TO GUN ORDINANCE SE[F CLAS/NG e CATCH/NG c YR,91L pm -iv& ro STATE RFOU/REiyENTs _AE/NFOR'C/NG STE dr RE/NFORC/NG STEEL S1YRZI- CONFOeM M A.S.T.M. DES/GNAT/DNS A-/S"FA3oS 119P-5'S/V.9LL BEA M//V/---eVAf OF TH/RTYj DIRMETERS OR OCCUR �N U / TE CONS TROs' T/ON GUN/If VI&1 dE 1,vsCH/.,i/E /►�/xf0 �4NO ,9PPL /45D PNEUMA T/CAL L Y. M/ r .JHI9Df BE ave PRRT CEMENT • TD FOUR h'/VD A NRlf PARTS/9/VD 41 -f vz ULT. COM)7 STifENCrIq JtVO PS/ e-0 33- DAYS • ulfrzv- CEMENT ,rAT/D SHALL 1wr 4-met'D &y 3/z CA Z.5 u,,.#ree PER SACK OFCemeNr • CU,PE GUN/TE BY A L /GHT I.URTfie ,SP",r T•Y,Cfe r1m.'rS A DRr F -V e SE'vEN 17)7)-s �PtSNOFMgS Sy C'yGN o PAUL A. e < PYELAN JR. 1 STRUCTURAL I NO. 4253 8 _ -C/STEF 0, NA 'sign Excellence `,� - oS gvi4Z a7{ Andrew Everleigh euonai�ouci President 978-256-0200 1-800-696-6976 Fax 978-256-6620 _AE/NFOR'C/NG STE dr RE/NFORC/NG STEEL S1YRZI- CONFOeM M A.S.T.M. DES/GNAT/DNS A-/S"FA3oS 119P-5'S/V.9LL BEA M//V/---eVAf OF TH/RTYj DIRMETERS OR OCCUR �N U / TE CONS TROs' T/ON GUN/If VI&1 dE 1,vsCH/.,i/E /►�/xf0 �4NO ,9PPL /45D PNEUMA T/CAL L Y. M/ r .JHI9Df BE ave PRRT CEMENT • TD FOUR h'/VD A NRlf PARTS/9/VD 41 -f vz ULT. COM)7 STifENCrIq JtVO PS/ e-0 33- DAYS • ulfrzv- CEMENT ,rAT/D SHALL 1wr 4-met'D &y 3/z CA Z.5 u,,.#ree PER SACK OFCemeNr • CU,PE GUN/TE BY A L /GHT I.URTfie ,SP",r T•Y,Cfe r1m.'rS A DRr F -V e SE'vEN 17)7)-s All - WRr,KE SHALL Pf,f -T1XrF CDMjy. 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INSURER B: 184R Riverneck Road INSURER C: INSURER D: INSURER E: Chelmsford MA 01824 THE REQUIREMENT, THE A POLICIES INSURANCE R OF INSURANCE LISTED BELOW TERM OR CONDITION OF ANY AFFORDED BY THE POLICIES ATE LIMIT WN MAY HAVE TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE CONTRACT OR OTHER DOCUMENT WITH RESPECT DESCRIBED HEREIN IS SUBJECT TO ALL THE N R E Y PA D POLICY EFFECTIVE POLICY NUMBER DATE MMIDDIYY ZAGLB9044500 5/14/2007 FOR THE POLICY TO WHICH THIS CERTIFICATE TERMS, EXCLUSIONS POLICY EXPIRATION DATE MM/DDIYY 5/14/2008 PERIOD INDICATED. NOTWITHSTANDING A MAY BE ISSUED OR MAY PERTF AND CONDITIONS OF SUCH POLICI LIMITS EACH OCCURRENCE $ 1,000,0 INSR ADD'L A DAMAGE TO RENTED 100,0 PREMISES IEa occurrence $ MED EXP An one person)$ 5,0 1,000,0PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE S 2,000,10 PRODUCTS - COMP/OPAGG $ 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - X POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC$ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE - AGGREGATE $ $ DEDUCTIBLE A RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERJEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ZAWCI908 6000 5/14/2007 5/14/2008 . _ X WRY LIAMIT OTR E.L. EACH ACCIDENT $ 1,000,( E.L. DISEASE - EA EMPLOYE $ 1,000,C E.L. DISEASE - POLICY LIMIT $ 1 , OOO , I. OTHER DESCRIPTION OF OPERATION SILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *Except for ten (10) days cancellation notice applies for non payment of premium. CERTI EVIDENCE OF INSURANCE ACORD 25 (2001108) I AI C (I1 F --w — cwnctLLA I IUIV -7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE '. IE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO M IL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, E IT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON' iE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Peter Godfrey 0 ACORD CORPORATION 988 ❑en. I of 7 05`16/2007 WED 14:28 FAIL 25V8L15 1'ALISU'1 DATE (MWDWCM FTao:j, CORD„ CERTIFICATE OF LIABIL�TYmN�+�IFIi SATE IS ISSUED AS A AAATTi"R OF INFO �� N 07 :Ex ONLY AND CQNFER8 NO RIGHTS UPON TH5 CERTIF{ BOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR of 2nsuranGe AgeaCyr IAC • ALTERTHE COVE'RAGH AFFORDED BY THE POLICIES BEl-ONv 221 t:'helmsiord Street NAIC# Che: =ford Xh 01824 INSURERS AFFORDING COVERAGE — Pho ie: 978-•256-3367 Fa�c:978-256-8215 INsuRERA. Merchants ing!rance Grou — INSUPJ D .INSURER B- INSURER C; — Saviro?�e .tal pools, Inc • - 184R Riverneck Rd wsuRERD_ chalmsford Ileo► 01824 INsuRERe- COVI.1RAGES msuEa TO _ THE LMIAN R LICI SS OF I AANeg TUMOR BTECONDITION O F WAVIE ANY CONTRACT OR OTHER DHE OpJ�NT WWrTM ECT TO '� CEA F� MAY BE ISSUED OR DING RPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES O6SCR� HEREIN IS SUBJECT TO ALI TME TERMS• EXCLU51oNs AND CONDITIONS OF SUCH CIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMLIMITSr--"- DA �FX" ��� rwF OF INSURANCE IOCCUH+Ntx S — GENERAL L(A61LITY {JfVw.IS , v r0+• W $ __ PREMISES 6 osuallCe) _ COMMERCIAL GENERAL LIABILITY MED co (MY one Pem S — CLAIMS MADE 7 OCCUR PERSONAL d ADV INJVRY i GENGRALAGGREGATE S pRODUCTS-COMP/OPAGG 5 GENLAGGREGATE LIMIT APPLIES PER POLICY PECT LOG COMSIN6D siNGLE LIMIT S1,000,00 ' AUTOMOBILE LIABILITY 05/14/07 05/14/08 (En"Omen') A 1 ANY AUTO 7AM027-•7014363 BODILY INJURY g ALL OWNED AUTOS (Per Person) X SCHEDULED AUTOS BODILY INJURY $ X HIRED AUTOS (Per acodcnt) X NION.OWNED AUTOS I PROPERTY DAMAGE S (Ppr acmd<S'tl) - AUTO ONLY • EA ACCIDENT S GARAGE LIABILITY EA ACC I AM, AUTO AUTO ONLY•. AGG S EACH OCCURRENCE S _ EXCESWUMBRELLA LIABILITY AGGREGATE - OCCUR I CLAIMS MADE S DEDUCTIBLE $ -- RETENTION i TORY LIMITS ER - WORKUS COMPENSATION AND E.L. EACH ACCIDFM S EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIMCUTNE E.L,DISEASE - EA EMPLOYEE S OFmCMWEMBERD=UDED? E.LDISEASE -POLICY LIMIT S ff ycs dGr,�3e unEer SPEGr1AL PROV1.+10N3IfebwI . OTHERT' I �— Ev:.dence of Insurance - CEF .TIFICATE HQLDER Evidence of Insurance ACCORD 25 (2001108) 'ANCELLATION SHOULD ANY OF THE ABOVE DESWRIDED POLICIES BE CANCELLEDIATION IQ �DAYS W, TTEtR DATE THERWF, 7 4ISSUING IN WILL EMDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, aUT FAILURE TO DO SC M— IMP= NO pBt,IGATioN OR LIABIIM OF ANY MD UPON THE INSURER, ITS AGENT OR A71VES. �e, a .ARD CORPORA71( V 9948 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street .Boston, MA 02111 5www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Leeibly Name (Business/Organization/Individual): CNV/I�dN��DDLS .L/V �� Address: 4 i� �l�l C,� J��• City/State/Zip:C/�ZR5/egb, YA O/e�Z-� Phone. #: -0,200 J Ar u an employer? Cheek the appropri. 1. employer I am a e 0 4 y with _ ', employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t :e box: ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.$ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type 9f project (required): 6. New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10..❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other /,(Z J10 20/— *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: Policy # or Self -ins. Lic. #:, ZA WC1911)f 6 600 Expiration Date: r A Job Site Address; 3 1�/ r�f2 ���s ,j/L/• City/State/Zip: / 1?¢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 ce5 de a pai an a s of perjury that the information provided above is true and correct. .71 � Phone #: .9%�-alS�~Os2C2�V Offleial.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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." ' An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "ever state or local licensing agency shall withhold the issuance or renewal of a license or permit to,operate7a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for, the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 6.17-727-4900 ext 406 or 1-877-MASSAFE ` Fax # 617-727-7749 Revised 11,22-06 www.mass.govldia CER TIRED PLOT PLAN S,E.0 & ASSOC/A TES, INC. P.a BOX 1337 PLA/STOW, mit. 03885 TELEPHONE (8049)-382-5085 FAX (603)-382-5218 DATE: FEBRUARY 5, 2008 SCALE 1" = 60' / HEREBY CER77FY TO TOWN OF NORTH ANDOVER, MA SU/LD/NG DEPARTMENT 7HAT THE ExinNG FOUNDA770N DRAWN ON THIS PLAN /S LOCATFD AS SHOWN AND THA T /T DOES COMPL Y TO 7HE MINIMUM BU/LD/NG SETBACKS TO PROPERTY LINES. TAX MAP 109-A / LOT 21A JOEL & PAMELA SITAC 300 WEBSTER WOODS LANE NORTH ANDOVER, MA. MINIMUM SETBACKS: FRONT - 30 FEET SIDE - 30 FEET REAR - 30 FEET 1529CPP21A .DW pR1�WA� �0 " k sv' WF 3S'TEpl wo®DS s f U (FORMERLY JOANNE DRIVE) os. - 0001'n �I 1 � <! > 384 BB—a H oil5 \ (F�a�,N BB -9 Z O O t r 7 O OOa BB -10 1 fn r . 50' WE 1I AND ¢2't BB -11 SETBACK PROPOSED 4' HIGH FENCE WITH SELF CLOSING AND SELF LATCHING GATE BB—i2 \ PER CODE 3 f 3 ,,,/ 1?�i BB -13 46'f PROPOSED POOL LOT 21 A 23'x4O' \ 54.971 SF _ Cb W OF Mgrs e6-14 88—I6 C'4 i ✓,fie ¢�am�narrr�sez��. ��, i��iz:l�ac�iu6e�,%ri BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 093190 Birthdate: 06/28/1964 Expires: 06/28/2009 Tr. no: 93190 Restricted: 00 DAVID BRABANT 54 MCDONALD ROAD G— WILMINGTON, MA Commissioner i Gf oz�.tr.�uarJ o�./� Standards • License or registrs tlon valid for Ukdhidul use only Board of B�S R Ruts ass and uri before the date. If found return to: 0+ ijOtRE QRt�ROVEHIEAiT CONTRACTOR ufidingexpiriR and Standards gp�j of Buildfin8 Regalatfons 1301 :-�„ . � M 1 ry.�,;s-�•. � ti F w s�sistr'�.'s� � 47483 408 . �_ One Ashburton Ylace RM • . Boston, Ma. 02108 ;T, : - to ^_;�oratlon W . tivi;. ,O vN!c�17 i � . tS:j Y' '.% �.��rev Rivemewk G�f� •• ova •S ��'.:=`�. RoQ ✓ ` Not valid withoQt 0 p fY