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HomeMy WebLinkAboutBuilding Permit #884-15 - 36 COLGATE DRIVE 5/6/2015Permit No#: U4 _ 1./ Date Issued: ''I Ill%' 117__ BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received ANT: Applicant must complete all items on this page LOCATION LOCATION 3 ro /Ga> -e � F c "J e r Print PROPERTY OWNER y1 CGiq e% th SrP Print 100 Year Structure yes no MAP 9_PARCEL: 01-7 ZONING DISTRICT: Historic Districtyes` 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 ❑ Well ❑ Floodplain ' ' ' ❑ Wetlands ❑'OWatershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: M c,tc%crel 0ye Phone: Address: 3 6 Contractor Name: Email: Address: Gare aPP��✓ r -arc Phone:' I Supervisor's Construction Licenser l ©C o t7 Exp, . Date ti%bili l ? �. Home Improvement License: joot ?,2 ,6 Exp: Date: f�-%olG 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.: lc::,� I NOTE: Persons contracting with unregistered contractors do not have access ^to the guaranty fund Location ?'(-oo No. Date '� Lo I Check #1( -PVL ,;.7, 1 , i , �� J i j " TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee TOTAL $ Building Inspector 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 e U FORM PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature_ CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes t ,4 Planning Board Decision: T S Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os000d Street 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: lies No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine 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 4, 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 TOTE: 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 All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 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 4, 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 mu t the the Town Clerks et this recorded at the Registry of Deeds. One copy and proof of rece must stamp the decision from the Board of cording peals that the appeal period is over. The applicant g must be submitted with the building application Doc: Building Permit Revised 2014 ON rA ti Q LL 0 cc 0 N u Y O LL v E � N O.. In o CL z - z m c O cyo LL 7 N _ � U _ m LL O z z J a � d' _ cu LL LU u z -j v F V .Wd LU L j cu _U VI c0 S LL O w N ? Q L j O OC c6O C LL z LU ce a W W I=m Y. cu j co z ++ i1 (n +� cu { Y O LI _ O •� L m � � L _ O O O O . o C E4.. 0 d o Z O- C N o 0 � •� c > o .s c o F- &- CL CL yr i 0O7 O = C Q L L m �. CD ~ 0 2 m co W 'a ++ O O LU P •MM � W E 0 V V V Q 0-0 0 U) N = O H t � CL 0 V 0 LU CO Z 0 Co v+ z F- O mO 11:0 z0- U.J X Z WO M Cl) WW LU -j a Z =D Al 0 E O Z � Q � y m ^O, �+ d ` in O cc so Q ai Q OM r A.) J .N O Z O CL VV/ c CL U) ------------- FederallD # RISE Engineering RI Contractor' Registration No MA ContractorRegM-attonNo A division of Thielsch Engineering CT Contractor Registration No 1 60 Shawmut Unit } #2, Canton, MA 02021 CONTRACT ' 339-502-6335 FAX 339-502-6345 Page 1 G PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE aAND-MCUSYOMER* RwoltKas• ENGINEERING DESCRIBED DMINEEERI ELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER Micbael' Hoye (978)61'8-9209 01/15/2015 400298 '00002 SERVICE STREET BILLING STREET 36 Colgate Drive 36 Colgate Drive SERVICE CrrY,STATE,ZIP BILLING CITY, STATE, ZIP North Andover, MA 01845 North Andover, MA 01845 JOB DESCRMTION 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 ah -,exchange -and indoor -air quality. Materialsto be used to seat your home can include caulks, fbams, weatherstripping and other products. Primary areas for scating•include air leakage to attics, basements, attached garages and other unheated areas (windows are not generally addressed.) (6) working hours. At the completion of the Awberization work, and at no additional cost to the homeowner, a fugal blower door andlor combustion safety analysis will be conducted by the sub -contractor to ensure the safety of the indoor air quality. $450.00 DAMMING: Provide labor and materials to install a 12" layer of R38 unlaced fiberglass batts to (40) square feet for damming purposes. $82.00 ATTIC FLAT: Provide labor and materials to install an 8" layer of R-28 Class I Cellulose added to (200) square feet of open attic space. $260.00 "VENTILAMON:. Provide labor and materials to install. ventilation. chutes in, (15) rafter bays to maintain. air flow.. $30.00 BASEMENT DOOR: Provide labor and materials to insulate the back of the basement door leading to the bulkhead with 2" rigid board,that meets the sections R-316.5.4 and 316.6 requirements of building code. Seal all edges and seams with FSK to.p c. $72.22 OVERHANG: Provide labor and materials to install 10" R-37 densely packed Class 1 Cellulose insulation to (40) square feet of exterior overhang located below a heated floor area, by drilling holes in the overhang from below. Holes drilled will be plugged. Plugs will be sealed with exterior grade spackle and left in a relatively smooth condition. Finish sanding and touch-up priming/painting will be the customer's responsibility. $160.00 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 Scaling measures up to $600. •Forthe 'safety andbealth ofyour homes indoor ak quality, we willbe conducting a blower door diagnostic of the available air flow in your home both before the work is begun, and after the weatherization 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 weatherization incentive is $2,690. $90.00 F E� 2 5 NIS E e federal M # RISE Engineering RI Contractor Registration No 14 AA•Contractor-Registration no A division of Thieisch Engineering CT Contractor Registration No 60 Shawmut Unit #2, Canton, MA 02021 339-502.6335 FAX 339-502-6345 CONTRACT R v PROGRAM Page 2 l THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING CMA -HES £NGINEEMNSANDTHECUSTOMERfORWORKAB' DESCRIBED BELOW 111 CUSTOMER PHONE DATE CUENTN WORKORDER Midbael 14oye (978)618-9209 01/15/2015 400298 00002 SERVICE STREET BILLING STREET 36 Colgate Drive 36 Colgate Drive SERVICE CITY, STATE, ZIP BILLING CITY,STATE,ZIP North Andover, MA 01845 North Andover, MA 01845 JOB •DESCRIPTION Total. $1,144.22 Program Incentive: $993,16 Customer Total: $151.06 WE AGREE HEREBY TO FURNISH SERVICES -COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS. FOR THE SUM OF ***One Hundred Fifty -One & 061100 Dollars $151,06 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGWEERRJG. CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1% WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 00 DAYS. SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES, RIGHTS OF RECISION, SCHEDULING, AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED SIGNATURE- 1I neering CUSTOMER ACCEPTANCE NOTE: CONTRA MMAIII RAWN BY IF NO LUTED WITHIN DATE OF ACCEPTANCE / �� - ACCEPTANCE OF CONTRACT -THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE 30 DAYS, SATISFACTORY TO US AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. 4 OWNER AUTHORIZATION FORM 1,114 owner of the properly loci at 6&/4- Lf hereby authorize ° (Suboonfiraotor) an authorized subcontractor for RISE En9inesrin9, to act on my behalf tha bui�ling permit and to perform work on my property. p15 0=94 Signaludr Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations •._�,.- ,,� „� 600 Washington Street _. x = ; Boston, MA 02111 IVIVIV Milss.govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers rA Hanle (Business!Organizationllndi+-idual): 1,0 lqf- k eQ r rns't k �'o M C 0 f `He Address: city/�itate/Gtp:_Ro(0� Are you an employer? Check the appropriate box: 1. Z I am a employer with — 4• ❑ I am a general contractor and I employees (hill and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner-- listed on the attached_ sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' o workers' comp. insurance comp. insurance required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [\o workers' comp. right of exemption per. MGL insurance required.] { c. 152, S ](4). and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ \ew construction 7. [❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 1 Ln Plumbing repairs or additions 12.0 Roof repairs 13.&Other 7-%v1 *Ang applicant that checks box YI must also till out the section helo+c showing their workers' compensation police inromatio I r Homeo++•ners who submit this affidavit indicating they are doing all work and then hire outside contractors must' a new affidavit indicating such. Contractors that check this box must attached an additional sheet shoring the name of the sub -contractors and state ++nether or not those entities have employees. If the sub -contractors have employees. they must provide their workers' comp. policy number. I «man etnplo3,er that is providing workers' compensation insurance for my enrplofees. Below is the polhg and job site h1fortuation. Insurance Company `acne: 4. Policy # or Self -ins. Lie. #: p ttJG- y $ Expiration Date: I / Mo Job Site Address: City/State/Zip: 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 S 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigations,of the DIA for insurance coverage verification. I du lrerebr c^if littler the pains and penalties of perjttr3- that the information provided above is trite and correct. Phone r: Cl i� " y a o - 2r Official ttse,on/t: Do not write in this area, to be completed by city or town offtciat City or Toy+m: Permit/License # Issuing Authority (circle one): 1. Board of health 2. Building Department 3. City/Town Clerk -l. Electrical Inspector i. Plumbing Inspector 6. Other Contact Person: Phone #• OP In! an CERTIFICATE OF LIABILITY INSURANCEuha�n 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 POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the CwMWft holder is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. If SUBROGA11ON IS WANED, subject to the terms and conditions of the Policy, Certain policies may requUe an endorsement A stft=nt on this tatificate does not center dghts to the certificate holder In lieu of such en s PROTUK R Durso A Jankowski ins Agcy LLC 198 Massachusetts Avenue North Andover, MA 01845 Durso & Jankowski ins. Agcy. I -009mar t HOW ADDRESS: =500g,POLAR-1 INSWOMAIFFIDMINGI COVEMGE Na[c a I A:PennAnterica 32659 04SURM traIt G P O Box 858 Andover, MA 01810 MSUMN B:SWW Insurance Co. 33618 INsuRwhc: D18URER D UWJM E: INSUM F - 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. mow TYPEOFQiBURANCE SUM POLMNUAIBEA !D� -pau—NILTR UNITS GBiEAALUABtUTY EACHO(�RRB�ICE S 110001 � s th0, MED EXP (AnY are Ban S %004 A X COMMERCIALGENERALupaU7Y UAIMS MADE �JX OCCUR PAC705M 03124WS 09I24120t6 PERSONAL, &ADV INJURY S 11000, G'eMULAGGREGATE $ 2,000, GENLACAREGATELIMIT AWLIESPER PRODUCTS-commOPAGG S 1,000, POLICY PRO JWT LOC $ B AUf0110W.E UABMM ANYAUTO 00926 01AAM5 01/04/2016 COMBINED SINGLE LIMIT Smsaod100000 ae<It) , BODILY INJURY (Per person) S BOMLY ALLONNEDAUTOS X SCHEDULED AUTOS X MW AUTOS BODILY INJURY (Peracddent) S PROPERTY DAMAGE $ (PER ACCIDENT) $ X I NON-MEDAUTOS a UMBRELLA LIAB X OOIxIR EACH OCCURRENCE S 1,000,000 AGGREGATE S A EXCESStae ACS906305 O32AMS 03124=6 DEDUCTIBLE $ $ RETENTION S WORK09COMPENSATKIN AND E MPLOYE W UABLLITY AMYP-- Y� OFFICERAGMBEREXCLUDE07 If yify�, � r DESCRIPTION OF OPERATIONS below NIAoftrAdw VYC STATU- ELL EACH ACCIDENT S 1� ELDISEASE- EAEMP $ EL DISEASE- POLICY LIMIT I S DESCRIPTION FOPERA IL0CA NOUCLES (A1,0eMh CORD 101.APhataftsddodub,RmamopmIsrequGad) Insulatlon �IVyo�ri rat• on r �ialf by°rthaavree ure111s Thiesch ERectsng THIELSM Columbia Gas �n� 195 Francis Ave Cranston, RI 02910 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHMWWREPRESOMMVE 0 I VWZM AGORD 001RP01RA7 hum. sur ngnm Tesm vee ACORD 25 (2009/09) The ACORD now and logo arca registered narks of ACORD ACORV CERTIFICATE OF LIABILITY INSURANCE �a,lo TYPE OF INSURANCE AOUL MD 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: Automatic Data Processing Insurance Agency, Inc. PHONE FA No): ADDru-PS l 11 Adp Boulevard INSURER(S) AFFORDING COVERAGE MAIC f Roseland, NJ 07068 INSURER A : NorGUARD Insurance Company 31470 GEWL AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT M LOC OTHER: INSURED INSURER B : POLAR BEAR INSULATION CO INC PO BOX 958 INSURER C: Andover, MA 01810 INSURER D: INSURER E : accident) $ INSURER F BODILY INJURY (Per aoddent) $ COVERAGES CERTIFICATE NUMBER: =194 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. MR LTR TYPE OF INSURANCE AOUL MD 3U0K WVD POLICY NUMBER POLICY EFF MMID POLICY EXP MMN LIMITS COMMERCIAL GENERAL LL4 UJTY CLAIMS -MADE F OCCUR EACH OCCURRENCE E DAMAGETORENTIED PREMISES Ea ocartence $ MED EXP (Arty one person) $ PERSONAL & ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT M LOC OTHER: GENERAL AGGREGATE $ I PRODUCTS - COMPIOP AGG $ $ J AUTOMOBILE LL481LITYIINE ANY AUTO AAUT� ED AUTOS D NON -OWNED HIRED AUTOS AUTOS accident) $ BODILY INJURY (Per pemsar) $ BODILY INJURY (Per aoddent) $ PROPERTY DAMAGE $ (Per acddent) S UMBRELLA LIAS EXCESS L1Aa OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION i $ A N►ORKERS COMPENSATION AND EMPLOYERS, LIABILITY Y l N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? My (Mandatory In NH) W9. desafbeumer DESCRIPTION OF OPERATIONS below H I A N POWC660980 01/01/2015 01/01/2016 X- STATUTE ER i EL EACH ACCIDENT $ 1,000,000 _ EL DISEASE -EA EMPLOYE 8 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 i DESCMP710H OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 107, Additional Ranaft Sdwdule, may be allwhed V more space M requtred) CONSERVATION SERVICE GROUPS 50 WASHINGTON STREET Westborough, MA 01581 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 All AL:UKU Z5 (ZU141U7) T ne Ac:UKU name ana logo are reglswrea marcs OT AwKL) 2—\ Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home lxnprovement Contractor Registration Registration: 102726 Type: DBA Tr# 249 Expiration: 7/2/2016 POLAR BEAR INSULATION CO. Vincent LeBlanc _ — P.O. BOX 958 ANDOVER, MA 01810 _ _ --- Update Address and return card. mark �reason for Ca d i Address Renewal ;_,_i Rtup Y lops -CAI 0 50M441044101216 1 Massachusetts =Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CrZL-106017 PETER A LEBLANC , 2 EAST PINE STREET, Plaistow NH 0386 1. y.; =i ni t, Expiration 04/28/2018 commissioner