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HomeMy WebLinkAboutBuilding Permit #1261-2016 - 36 SHANNON LANE 6/2/2016 L O� NORTH q BUILDING PERMIT "t,_E° :6 " . TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION ^/ C, �.• I ✓ P Permit No#: � Date Received gSSgATED cHus���y Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION LAty S Print PROPERTYOWNER Print 100 Year Structure yes no MAP Ia PARCEL: 2n ZONING DISTRICT: Historic District yes no Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family El Industria) [I Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain El Wetlands 0 Watershed District 0 Water/Sewer - - DESCRIPTION OF WORK TO BE PERFORMED: �,.,��A\\ �od•t�. tri�-�' , •--� � Identification- Please Type or Print Clearly OWNER: Name: �.\&.XIN�, Phone: Address: A+`�� Contractor Name: " �-�R �� Phone: �otl Email: w w . Address: e5ol> Supervisor's Construction License:Z, �& Exp. Date: i i ki Home Improvement License: 1 �`Z��� Exp. Date: ARCHITECT/ENGINEER Phone: No. . Address: Reg. 3% FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ -L fi g8 FEE: $ Check No.: 1'1,5z `z. `i� Receipt No.: `�S3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund T J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL , Public Sewer ❑ Tanuiag/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 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 Conservation Decision: Comments Wester& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: -- F LlDEI, R.ANENtT Temp Dempster onsite ,yes, _, _ - - _ LocatedOsgood Street .Locatedlat �1�24tMam,Street � - ,_ - ! ffi�Y Fire 4Department, agnature/date. +`CQMMENTS. 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) ❑ Notified for pickup Call Email Date Time Contact Name 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 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 IN 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 IN OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ;6 Building Permit Application ;r 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 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 A j Location ] -�1n �• `'` L N No. 2t, ZG 1l� Date `:' (z I tP • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# /.. ti / r .__• y Building Inspector✓� OORTH Town of �� _ Andover O No. Z h ver, Mass, � �Q COCNIC"RWICK 1' V BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System r 1 THIS CERTIFIES THAT ........... ��S �slu BUILDING INSPECTOR ... ............ ...... ........... ........................................................ ` has permission to erect .......................... buildings on ..�.. ..... �V .... ..�.................. Foundation to be occupied as 1 4.— ull. �.►......6-oot.. y ........... ..... ....................................................... 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 CONST TIO Rough Service .. . . . ..... ...... .. .... . ........ ....... Final BUILDI INSPE OR 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. Proposal A Sash & Door Co., Inc. Quo #:. 109948 ray, &DLft AR 1 DOOR-WINDOWS-MILLWORK 280$econd Street,Chelsea,MA 42130 Route• NONE (617)884-89.46 1-800-648-9339 Fax#(617.)8849288 Page: 1 of 3 OME OF THE WINDOW I www.1'bsash.wm Quote: 04J21/16 IQ: PR0300 � I� shipTO; Sched: LIN SAY BUDZINSKI INSTALLATION 36 �HANNON LANE 36 SHANNON LANE PH ntad NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845 Date: 04/21%16 [rime; 17:50 AM Phoge: (617) 365-7790 Phone: At n: I Ce : Email: BRETTBUDZNSK•I@YAHOO.COM n OD ( n: ut: TermS: COD Your order: LINDSAY BUDZINSKI stom r Tnctrurtions Net Lie # Item Number Description Quantity U/M Net Price Extended 00ii. 7mark: GARAGE 0002.00 SOHUTTIG PREHUNG THERMA TRU DOOR UNIT 1.00 EACH 712.10 712.10 2/8 x 6/8 (R/o 34 1/2"x 82 1/2' SMOOTH STAR FIBERGLASS 5210 STYLE LH INSWING PRIMED W/ FRAME DEFENSE 8 1/8" JAMB **RIP TO 7 7/8" PRIMED FRAEM SAVER W SILL EXTENDER TRU DEFENSE COMPOSITE ADJ SILL LIGHT CAP MILL FINISH SATIN NICKEL HINGES DOUBLE BORE 1X10 AZEK EXT CASING CUT AS EXISTING CASING 2 1/2" COLONIAL INTERIOR CASING (EXIST R/O 34 1/2 X 82 1/2 CLAPBOARD SIDING) 00 3.00 5OEMTEK EMTEK SATIN NICKEL.CORTINA 1.00 EACH 214.00 214.00 LEVER KEYLOCK AND SINGLE CYLINDER DEADBOLT 00 I 4. 0 INSTALL INSTALLATION OF ABOVE INC 1.0 EACH 1,249.00 1,249.00 REMOVAL DEBRIS FROM JOBSITE AND BLDG PERMIT FEE I 'JBProposa SHJB Sash & Door Co., Inc. quo #: 109948 �ufg &Dign DOOR-WINDOWS-MILLWORK 280 Second Street,Chelsea,MA 0215D Route: NONE (617}884-8940 1-800.648-9339 Fax#(617.}884.9288 page:• 2 of .3 OME OF TM'WDMW BOYS www.jbsash.c= quote: 04/21/16 Ta: PRO 00 shite: sched: LINDSAY BUD�INSKI INSTALLATION 36 SHANNON LANE 36 SHANNON LANE Printed NORTH ANDOVER MA 01845 NORTH ANDOVER' MA 01845 ' Date: 04/21/16 pl Time: 07:50 AM Phoge: (617 365-7790 Phone: AM: Ce Email: BRETTBUDZNSKI@YAHOO.COM En7 : EOD I in: Out: Jb Terms: COD Your Or er: LIND Y BUDZINSKI I e Lie # Item Number Description Quantity U/M Net Price Extended �emarK: NOTE: IF S206 STYLE IS PREFERRED, THE COST OF THE DOOR WOULD BE $764.30 VS. $712.10 - ALL ELSE TO REMAIN THE SAME *OWNER AUTHORIZATION as Owner of the aforementioned.property hereby authorize (print name of owner) JB Sash&Door Co:Inc,to act on my behalf during the work authorized pursuant to this application. Owners pulling their own permit or dealing with unregistered contractors do not have access to the Arbitration Program or Gu Fund et forth in MGL c i42A) Signature of Owner: Date: i IJ i ---- _ _December 3,-201.5-----... . _..------ To Whom It May Concern, Gary Jenkins is authorized to be an agent for Rick Bertolami and JB Sash and Door Company as it pertains to the application of permits. Thank you, ?'74$, Rick Bertolami JB Sash and Door Company 617-884-8940 The Commonwealth ofMassaehusettr PERMIT No. - DeParbnent ofInd=WAeCiden& j Cffla ofInalxgW010 - . . 1 Cap=Sfte4 Suite 100 Boston,MA 02114.2017 wwWfi1W ZgoWd1a Workers'Compensadon InsuraneeAffidavits BundeWCoatraeto�/ElectrlciansfJPlumb A fi a Ino a era. Pleas Name(Budnessl0rgeniyWonlladividud).~ t - _ Address. Ci /StatNZi • C�' ;Phone#: . - a Are you an employer?Check the appropriate,bort 1.4 employe"am a employer 4..0 I am a general oo�esctm and>4 Type.of project.(required):. ft and/or pert em p. have hired the� 6-13 New-construction . -.--- 2'[l_I am a sole proprietor-or parbjur listed on the attached sheet,;, 7. stip aad6ave no — --F. ----- - Q Remodeling_ ---- working for me � ----- �U S. 0 Demolition.... any mpkryaat and have woltn eq ire fl. 'comp;in�Ce. comp,insm�t . 9. [3 Building addition requia ho 5. [] We ase a corpoeadbn and its: 10.0 Eleetrl�fePe"or additions 3.❑ I am s homeowner doing a!1 worlr : officeea hme exmased thele myself(No wodoarre' comp.• right of per MOTS., 11.0 Pbmftg reptt�n or antis•. }f c. 152,41(4k and we hi"no, . 12.0 Roof repaint.- emPbyft(N6 wn&ire 13.(]Other,.•. c . *A"aPP1fCM dut dWb bust mut deo Bll out We 8Wd=bdbw � tHomeawserewboaibmit.ddtamdwkhdloedq"yti tbeirwerlaaeroompeueyapdky dao• :Co aoboeemetdW*d*beamutattaahedee7 .. nhaet�na�kddteahbaatddeoost:aatoti rabmitasewa�darit �+Pbi'a u tis sub•oontraolom bare asptom they mut panni •attAe wY•ooe 1*n ad sft who"or not ft"OWWW bend Camp►pdkyil m *-- Ian an dnPbjer tbgtb information► Proadbrg , . QDnV° fOr my arjoyeai. Blow is.the poky.and Job sits,. Insurance Company Name: Policy#or Self-1m.Lia -Expiration ate! '7 Job Site Addross,• �3.(� taa�1 r t J'. r;.:ATI t �V Attach a co of thew r 41�11MWZ1 t» erken compeandoa Polley declaeatba page(showing the • A�g���� Failure to seeure coverage as r�gym,Section 25A of MOL L 152'can lead to number and expiration date) fine up to$1,500.00 and/or one-year imprisonMeM as we,,as civil hnPosition of criminal penalties of a Of up to$250.00 a penalties in the-form of a STOP WORK ORDER and a fine �'against the violator. Be advised that a�copy of thin statement may be goru,��to-the Office of Investigations of the DIA for instnmtce coverage verification, 1 do hereby cerddjj under the pains enalllea ojper/aq►that tha ornadon Provided oboae is true and correct Si Ph #• — tA Ofjlclal use only. Do not write in this area,to be completed by city or town o&IRL City or Town: PermitiLlcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.CltyiTowa Clerk 4.E 6.Other lectrical Inspector 3. Plumbing Inspector j Contact Person: Phone#• Client#:63508' JBSASHDO _ DATE.(MMIDD1YYYll) AIC'ORUM CERTIFICATE F LI:A ILI :(NSU:.� �. NC.E �r2sr .016 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,EMEND 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 nt( in.lieu of such endorsemes). PRODUCER REACT CItrIS Smith USI Insurance Services LLO ac°"ry Eid: FAX No:877-775.0110 103 Main St AnD ed): christine.smith@usi.biz So Glens,Fells,NY 12803 INSURERS AFFORDING COVERAGE NAICd INSIIRERA:Liberty Mutual Insurance Co 23.043 . INSURED INSURER B:First Liberty'insurance Corp 335.88 J B Sash&Door Co Inc 280 Second Stre6t INSURER C: Chelsea;MA 02150-710 INSURER D.: INSURER E.' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS•IS T0-CERTIFY THAT THE (POLICIES OF INSURANCE'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE�FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCEADD UB POLICY EFF POLICY EXP (NSR WVD POLICY NUMBER MMND D LIMITS COMMERCIAL GENERAL LIABILITY �EAACCHAGOEC7CURRENCE $ ]CLAIMS-MADE 1 OCCUR PREMISES a o rtn. $ MED EXP An one pawn $ PERSONAL&ADV INJURY $ GEITL AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE § PRO= POLICY Q JECT LOC PRODUCTS-COMP40PAGG $ OTHER $. •g AUraMOVIRE LIABI M AS6ZI 1243358036 D110112016.011011201. 'COMBINED SINGLE LIMIT(Ea 1,000,000 ANYAUTO BODILY.INJURY(Per person) $ ALL OWNED X SCHEDULED (P BODILY INJURY e AUTOS' AUTOS :raxfdent) $' NON-OWNEDPROPERTY DAMAGE X HIREDAUTOS X AUTOS ora6Mt $ $ UMBRELLALEAB. OCCUR EACH OCCURRENCE $ EXCES&LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ . A. woslcElts coMi+ENsanoN WCCZ11243358015 71011201'5 Q71011201 X: R °TM` A�NyD EMPLOYERS-LqIA�B�B.I Y YINATrrr OFF( EM EREXGLUDED7 C� ® N/A E.L.EACH ACCIDENT IS500.000 (Nlandalaryln NH) E.L.DISEASE-EA EMPLOYEE $500 000. . Ifyyeess d9kribeunder DESCRiFn0N'OFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT $55.00000 DESCRWnON OF OPERATIONS ILOCAT10NsdYEHICLES(ACORO 101,Additional Remm arks Sdheduia, ay be attached If more*6is•requlnid). ISSUED AS'EVIDENCE OF GOVERAGEAS'OF THE DATE OF ISSUANCE. CERTIFICATEROLDER . CANCELLATION J.B.Sash 8r.Door Coinpany,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE .THE gPIMTION. DATE' THEREOF; NOTICE WILL BE.DELIVERED IN 280 Second St ACCORDANCE WITH'THE POLICY PROVISIONS,' Chelsea,MA 021510 AUTHORIZEDPR 'REE5ENTATIVE. OED low ©1988-2014:ACORD CORPORATION.All rights reserved: ACORD 26(2014101) 1 of.1 The ACORD name and logo are registered marks of ACORD 411e4.04r04A9raa119le►aaa� Me mlt :131473 J BSASH DOOR _ 1 DATE(MMIDDNM ' APORDTM CERTI CATS OF MBILITY INSURANCE 4/08/2016 THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS . CERTIFICATE DOES NOT AFFIRBATIVELY 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 Bees of such endorsement(s). PRODUCER cAMEACT Certificate Desk HUB International New England arc°Nlv E :978 657-5100 arc No): 978-988 038 600 Longwater Drive E-MAIL ADDRESS: 7S7 792 Norwell,81792-320200 02061 INSURER(S)AFFORDING COVERAGE MAIC# INSURER A:Hanover Insurance Company 22292 INSURED INSURER B: ' J B Sash&Door Company,Inc. 280 Second Street INSURER C: Chelsea,IIIA 02150 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MM/DD MM1DD LIMITS A GENERAL LIABILITY ZDN908109903 D312312016 0312312017 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISESO REoNccTu D nce $1;0,0' 00 1 OO 0' CLAIMS-MADE ®OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X JE� LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTYDAMAGE AUTOS Per accident $ $ A X UMBRELLA LIAB X OCCUR UHN904569703 3/23/2016 03/23/201 EACH OCCURRENCE $6.000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X1 RETENTION$0 $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $ OFFICER/MEMBE,R EXCLUDED? N/A . (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT It DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE-HOLDER - CANCELLATION EVINDENCE OF COVERAGE SHIJULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICEWILL WILL BE DELIVERED IN JB SASH:$DOORS ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAME - ------------ .. .. - --.. _ - _... 2198810�OACORD CORP_ORATIO_N All,rights reserved.. ACORD 25 2070105 f1-=The ACQRD name and logo are re Istered marks of ACOR - 87a/�rss�, a . s _- - __DIZ004__ Massachusetts Department of Public Safety } Board of Building Regulations and Standards r License: CSFA-067268 Construction Supervisor 1 & 2 I Family ,v,l I.. ,lf RICHARD L BERT&AM) 36 SUNSET DR J s• BURLINGTON MA W 03 r. � _ k { JZU CA— Expiration: Commissioner 11/2112017 j i 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza-LSuite 5170 Boston, Massac usetts 02116 Home ImProvement o , torRe is tration Registration: 152085 Type: Private Corporation Expiration: 7/28/2018 Tr# 419291 J B SASH & DOOR CO, INC. RICHARD BERTOLAMI 280 SECOND STREET CHELSEA, MA 02150 Update Address and return card.Mark reason for change. ti Address [] Renewal n Employment Lost Card SCA 1 Co 20M-05/11 C��ie�pomzinea�o�Gac�ucaeCta Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratio ,52085 Type: Office of Consumer Affairs and Business Regulation Expiration[w--X1—18 Private Corporation 10 Park Plaza-Suite 5170 J� Boston,MA 02116 J B SASH&DOOR' C ==_j it �t RICHARD BERT-0- 280 ERTO280 SECOND STREFT� CHELSEA,MA 02150 ^? Undersecretary Not valid without signature