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HomeMy WebLinkAboutBuilding Permit #104-15 - 42 PROSPECT STREET 5/1/2018 '9 BUILDING PERMIT °�ttNORTH ED 169 "O TOWN OF NORTH ANDOVER 32 h,�'- 6 APPLICATION FOR PLAN EXAMINATION Permit No#: I �, Date Received DQ `°`""" SAC HUS�t�� Date Issued: IMPORTANT: Applicant must complete all items on this page : LOCATIONt x fl PROPERTY OWNERL; -.4.__T'o -_ ► _�� �c� - _ r� RCPrint X100 Year Structure yes MAP lI PAEL ZONLNG D ISTRICT�Y His_tonc4Dis_tnct = a yesEnV - — �Machme Shop Village TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 2rRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Se tic ❑Well ❑Floodplain = D Wetlands x 1Natershed District ,. ❑'Wates/Sewer ffi W DESCRIPTION OF WORK TO BE PERFORMED: PVC (A.7 5�KC e l 't OG Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: ± C:bntractor Name: roc _ y� P=hone __ 0 _`7 C n (rte Address:_1 _ i x Supervisor's Construction License s _C_"t U�7 c _.'� ,_;Exp.:4�Date �� ` O Home ImprovementLicerse 1 3 - _ ARCHITECT/ENGINEER Phone: Address: Reg. No. II FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$_1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. e � Total Project Cost: $ CP 1�3�FEE: $ �J cry Check No.: I Receipt No.: 4 �0 ` NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of rig nature of contractor —�— 'i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/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 Water & Sewer Connection/Signature& Date Driveway Permit �tDPW Town Engineer: Signature: Located 384 Osgood Street ;FIRE D"EPARTMENT TempFpurn steh n `sit"e; ,yes r rno `Located at 124,Main.Strebt - Eire Dep artmentfsignature/date COMMENTS, a -- t.z I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: F 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 I i I ❑ Notified for pickup Call Email Date Time Contact Name 3 Doc.Building Permit Revised 2014 I' 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/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) a ❑ 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 re 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 i Location No. d ! Date .F o • TOWN OF NORTH ANDOVER . �ry a o Certificate of Occupancy $ Building/Frame Permit Fee . Foundation Permit Fee $ , ' Other Permit Fee $ TOTAL $ Check 27830 Building Inspector JUL/29/2014/TUE 01 ; 55 PM A&K FOULER INSURANCE FAX No, 9786642209 P, 001/001 ACCOR" CERTIFICATE OF LIABILITY INSURANCE D 1 7//29/29/2001414 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(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 UUNIACI NAME: A & K Fowler Insurance A/CNNo Ext: (978)664-0366 FAX No:(978)664-2209 200 Park St ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC A North Reading MA 01864 INSURER A:Preferred Mutual Insurance INSURED INSURERB:Safety Insurance Company Levesque Construction LLC INSURERc Associated Industries of MA 11 Wallace S t. INSURERD: INSURER E Methuen MA 01844 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1472906407 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY) (MMIDDIYYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY R PREMISES occurrence $ 100,000 A CLAIMS-MADE X❑OCCUR PP0180584571 11/30/201311/30/2019 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITYEaMBINEDtSINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED X SCHEDULED 5059073 1/16/2014 1/16/2015 BODILY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 14EXCESS LIAB - CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y I NFR _LIMANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) C10060180392013 12/17/2013 12/17/2014 E.L.DISEASE-EA EMPLOY $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance Verification CERTIFICATE HOLDER CANCELLATION 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 K Boutin, CIC CRM CIS / ( CL_ . X U\— ACORD 25(2010!05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025fgn1nnst n1 Thp Aropn names and Innn ares rpnictprprt markt of ACORN M'. RTf� Town of Andover 0 r , ,.- Von No. o — 15 W - b 2 C, h ver, Mass, COCHICKIWICK V�- �,4 A�R�rEo Ilk, U S - BOARD OF HEALTH Food/Kitchen PE Septic System R IT T LD• THIS CERTIFIES THAT .. . ��� ... ................................. BUILDING INSPECTOR ....... ...... ....................... .. .. _ .. .. Foundation has permission to erect .......................... buildings on 2.... .. ,� .�. ....�..........t ...... . ..... `. W .cal),. !4 II' ���. �.�J. Rough to be occupied as Jt ........ Chimney provided that the person accepting this permit shall in every respect con rm 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 LATHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TAT Rough \'. •,,,-'" 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. The Cormrtonwealth ofMassachusetts - Office of fAvesttgations 6`00 Washington Street .Boston,MA 02111 vimmass gov/dia . workers'Compensation.Insurance Affidavit:BuffderolCo).tcactors/Electrician-sTl*bex.a Applicant Wormation PleasePrimUOMIy Name(RusinesgorganizationlXnn&iduat}: L e:le se::w. Cc wLf-C- Address: --c e- S� Cijy/S tafet�ip: Mei KN.. �t i ®i Phone : - o -70n Are your an.employer?C&ek the appropriate box'. Type of project(regm"red): 1.❑ I am a employer with 4• �x�a general contractor and I 6. ❑New construction employees(TUlland/or par time)T haveliiredthe sub-contractors 2.❑ I am a sole proprietor or partner listed on the attached sheet `�• Remodeling In p ship and`havena•employees These sub-contractors have 8. ❑Demolition. workers'comp.insuance, working forma in my capacity. 9. Building addition pori-ors ' o 'comp.insurance 5. El we are a corporation and its[-�T w 10.[1 Electrzcalxepaus or additions xequired.] officers have exercised.their 3.❑ 1 am.a homeowner doing all work right of exemption.per MGL 11.�(Plumbing repairs or additions myself [No workers'comp. c.152,§I(4),and we,have no 12.❑Roofrepairs insurancere ed. employees.[No workers' � a� 13.❑Other comp.insurance required.] Any applicaotthat checks boxof mot also fM ouithe section beldw showingtheir workers'compensationpolicy information. Homeowners who submittbis affidavit indicatingthey go doing auworlc and then hire outside contractors must submit anew affidavit indicating such. TCoatractors that checktlus bqF must attached an additional sheet showingthe name of the sub-contractors andtheirworkers'comp.policy information. I am art emproyeN that isp av1ding workem'compet2sation insu�ar�ee fo xny employee SeXot Imp lie andl h site in,fo�matior�. Insurance CompanyNama% Policy#or Selz ins.LIG.#: ExpixatzonDate: lob Site Address; City/State/Zip: Attach,a copy a�the workers'comp ensatloxt-policy declaration.page(showing•the policy number and expirations crate). Failure to secure coverage as requixedunder Section 25.A.of o.152 can lead to the imposition of crlw alpenahies of a fine up to$1,500.00 and/or one,-year imprisonment,as well as civil p enalties in the form of STOP WORM ORDFR and a fne o£up to$250.0 0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DTA.for iissurance coverage verification. X'do pereby certSi under iepains and penaffles ofperkiy trud Me information provided above is true and correct, Signature• .� ✓.�� Date: - oZ `� - oo Phone#- Offricial use oVy. Do not write in this area,lobe eonVletedby c%ty or sown official City or Town: PermitlLIcertse# IssuingAuthority(circle dxte): 1.Board of Health 2.Building D epartment 3.City/Town.Clerk 4.Electrical Inspector S.Numbing laspector 6.Other - - - i i Information and rInstructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Parsuant to this statute,an eraployee is defined as",..every person iii.the service of another under any contract of hire,• express or implied,oral orwritten." An empfoye is defined as"an individual partnership,association,co oration or other legal entity, atwo ox more of t$e foregoing engaged in a joint enterprise,and includingthe,legal representatives ofa7deceased em 14 ex.or the receiver or'.trustee of an individual,partnership,association or other legal entity,employing employees. l�owevex the owner of a dwelling house having notmore than three apartments and who resides therein,or the occupant ofthe dwellinghcuse of another who employs persons to do maintenance,construction or repair work on such dwelling house or onthe grounds orbuilding appurtenant thereto shallnot because of such employment be deemedto bean employer" MGL chapter 1.52,§25C(6)also states that"every state or local Ifeensiag agency shall withhold the issuance or renewal of a license or permit to operate a 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapterhave bcon presented to thb cpotracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checlang the boxes that apply to your situation and,if necessary, mTplysub-contractor(s)name(s),addresses)andphonenumber(s)along with their cerMcate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees outer than the members oxpartners,axenotrequfredto carryworkers'compensationinsurame. If anLLC oxLLl?does have employees,apolicy is required. Be advised thattbis affidavit may be submittedto the Department of lindustial Accidents for confirmation of insurance coverage. Also be sue to sign and date the affidavit. The affidavit should be xetatmed to the city or town that the application for the pemrit or license is being requested,not the Dq�artm.ent of Industrial Accidents. Should you have any questions regarding the law or if you are required to abtaiu a workers' compensadonpolloy,please call theDepartnentatthenumberlisted below. Self-lu=edcompanies should enter their ' self insurance license number on the appropriate line. City or Town OfUcials PleasebesurethattheafizdavitiscompleteandpxintedXegibly. TheDeparbmenthasprovided aspace atthebottom 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 pemiit/11cense number whichwill be used as a reference number. In.addition,an applicant thatmust submitroultiple pemtit/ilcense applications in any givenyear,need only submit one affidavit indicating cw&nt PORGY information(ifnecessary)and under"Ybb Site Address•the applicant should write"all locations in (city or tovrn)." copy tithe affidavit that has been officially stamp ed or marked by the city or town may be provided to the applicant as proof fhat a valid affidavit•id on:ele�(or f Aero permits or licenses. Anew a fixdavit must be filled out each year.Where a.bome owner or citizen is obtaining a license or p ormit not related to any business or commercial venture (i.e.a dog license orpermit to bum leaves eto.)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 no i hesitate to give us a call. The Department's address,telephone a-hd fax number: I ` ` Cax4raw�aIt�Z oMSachyP - ` �Q0waoir�g mstreet BDAM,: 0.2111 49 Revlsed 5 26-05 Fq:X# • v4vl�•aS�,g4��c�� • l k-9001-11M V*11�41*wffiw Steve Levesque levesqueconstruction@comcast.net 978-702-7095 -.Contract Agreement This agreement made the Q I day of`I'/, PLO* by and between Steve Levesque, hereinafter called the contractor and To„,a- Us4 6,,r V_e_ ,hereinafter called the owner. Witnesseth, that the Contractor and the Owner for the considerations named agreed follows: Article 1.Scope of Work The contractor shall furnish all the materials agreed upon and perform all the work shown on drawings and/or described in the specifications to be performed on property at: q gL Pros?e-c-i 5�-. No c Vcc, Article 2.Time of Completion The work to be performed under this contract shall be commenced on or before, and shall be substantially completed on or before, Sep Article 3.Contractor Price The owner shall pay the contractor for the materials and labor to be performed under contract the sum of Dollars($32,37 3). Additions and deductions pursuant to authorized change orders. �Y ov �he�n5aa�„cJ�� 7'1►tl.e I�°�Hw�-p�r� a' Sly V CYI,Ty �'�YG�' A / Article 4. Progress Payment Payments of the contract price shall be paid in the following manner: LAPOW® el v'tn con$rwci ���]� va ov. Cow����Tior� �; r►d.c� �.w® �6°7o e A^ a n Corw��G�'eVe o� teo`t c9t �r cacJctCJ► �.:n� Article S. General Provisions oA 1.All work shall be completed in a workman-like manner and in compliance with local building codes and other applicable laws. 2.All contractors shall be licensed and provide proof of insurance upon request. 3.Any change orders or modifications will be written,signed and dated and become part of the original agreement. Signare Owner: date: Contractor: date: -7- A a-o't®i Y LjLevesque Construction LLC Wallace Street �,�ethuen MA 01844 Date 4/11/2014 Estimate# 4-1875 Name/Address Lisa Burke 42 Prospect St North Andover MA i i i e JOB DESCRIPTION: LIVING ROOM REMODEL `SCOPE OF WORKS INCLUDES: i Pulling permits Demo of all wall and ceiling panels down to framing members. Remove all existing insulation. Remove ireplace mantle. Add new insulation and add proper ventilation within the scope of work Rough in new electrical according to code Remove all small trim around staircase to allow room for drywall NOTE: If staircase needs to be addresses then an additional charge will be added to the original invoice Drywall, plaster and paint Finish work includes: i Base boards window trim ------ Feel free to contact me with an --- - - ---- Yquestions - -- - - ---- ___ -----....-..-- Subtotal levesqueconstruction@comcast.net Total !Fax# ne# 978-702-7095 t i 978-258-1472 Page 1 i 9 Levesque Construction LLC Iii e 1 1 Wallace Street Methuen MA 01844 Date 4/11/2014 Estimate# 4-1875 Name /Address Lisa Burke 42 Prospect St North Andover MA i Description Replacing of stair trim ( if existing trim can not be reused than material for this will be added to invoice) Custom book shelves i Electrical: ' Furnish and Install to code the.following Living Room outlets in living room 3 way switch for chandelier six sloped recessed light fixtures with 3 way switch LED puck lights in bookcase and switch outlet for TV i Bedrooms 1.recessed lighting with new circuit and switch I 2.surface mount lightht(provided by owner) new circuit and switch Price includes labor, materials, disposal and permit fees 18,770.00 18,770.00 -------------------- .. -------------- --------------- - - . --.......- -- -- - ;.__..- - - Feel free to contact me with any questions Subtotal levesqueconstruction@comcast.net Total Phone# 978-702-7095 Fax# 978-258-1472 Page 2 —1 "s5 Levesque Construction LLC F? s t e 11 Wallace Street Methuen MA 01844 Date 4/11/2014 Estimate# 4-1875 Name Address Lisa Burke 42 Prospect St North Andover MA i Des criptionQty Rate Total PLEASE NOTE: If damaged framing members or any unforeseen issues are in need of repair, and or if the Building inspector requires work to be done above and beyond the scope of work mentioned then it will be added to the invoice as an extra. i j I --.- _.. ..,_ .. _ ..... -. .. --- ... . Feel free to contact me with any questions Subtotal $18,770.00 levesqueconstruction@comcast.net Total $18,770.00 Phone# 978-702-7095 Fax# 978-258-1472 Page 3 u.' te Levesque Construction LLCE ,;fitcM 1 1 Wallace Street Methuen MA 01844 Date 4/26/2014 Estimate# 4-1884 AddressName / Lisa Burke 42 Prospect St North Andover MA Description JOB DESCRIPTION: REPLACEMENT WINDOWS Quoted are 9 windows on the first floor Vinyl 2-lite Rolling Window Full screen, fiberglass mesh Double glazed, double low E, Argon Filled Double locks Base color-White 8 windows 48"x 48" Furnish and install 6,280.00 6,280.00 includes New PVC exterior trim 1 window 48"x 72" Furnish and install 1,123.00 1,123.00 includes new PVC exterior trim Feel free to contact me with any questions Subtotal levesqueconstruction@comcast.net Total Phone# 978-702-7095 Fax# 978-258-1472 Page 1 d Levesque Construction LLC 11 Wallace Street Methuen MA 01844 Date 4/26/2014 Estimate # 4-1884 Name /Address Lisa Burke 42 Prospect St North Andover MA I DQty Rate Total escription- -- — — NOTE: - This price includes disposal of old windows If any framing members need to be replaced due to water damage or an other source of damage then it will be 9 Y 9 addressed and charged accordingly as an extra to the final invoice. No such work will be done without the notification and approval of the customer. i i Feel free to contact me with any questions Subtotal $7,403.00 levesqueconstruction@comcast.net Total $7,403.00 Phone# 978-702-7095 Fax# 978-258-1472 Page 2 i _. . ._ _. _ c�%�ze rpomunw�uuea�i,o�C/�,Czaoaclutoc�ta Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 186392 Type: . ;`Expiration:.'H 4/2.1/2015_, Individual i STEVE LEVESQUE `; STEVE LEVESQUE 71' 7 11 WALLACE ST. `fk' .v' j METHUEN,MA 01844 Undersecretary I Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-090705LE```:r STEVE LEVESQUU 11 WALLACE SY METHUEN MA 8184 i Expiration Commissioner 05/28/2016 i i