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HomeMy WebLinkAboutBuilding Permit #503-2017 - 44 KARA DRIVE 11/14/2016411 � Y A- k 4 4o L,� Permit N0:5-& - ;Loy7 Date Issued: f/t-1 //" BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received //- ti' d# /6 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial VAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic• ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer REPLACEMENT OF 2 DOORS - NO STRUCTURAL WORK TO BE PERFORMED Identification Please Type or Print Clearly) OWNER: Name: TOM O'CONNELL Phone: 978-394-1086 W ]ulUbb. '+'+ rwrw UK1vt IVUK 1 r1 FUVUUVtK, MH U1t545 CONTRACTOR Name: JAMIE MORINPhone: 508=35'1:2082 Address: 30 FORBES ROAD. NORTHBOROUGH MA 01532 Supervisor's Construction License: Ex Date: 090'125 p 90/Qta/2415 Houle Improvement License: Exp. Date: 170810 i woAton47 ARCHITECT/ENGINEER Phone: Address: Reg. No. J� FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F,! Total Project Cost: $ 5755.00 FEE: $ b. - I Check No.: 1p �1 `>� 101 Receipt No.: � It'I'Z t NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Pi nature of Age Jee c-a3rve ature of co Plans Subimitted ❑ Plans Waived Certified Plot Plan ❑ C-/; —f— Stamped Plans ❑ TypE bF 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 v U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH 0 COMMENTS Reviewed on Sianature ' Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes ' Planning Board Decision: Comments Conservation Decision: Comments i { Water & Sewer Connection/Signature & Date Driveway Permit s DPW Town Engineer: Signature: FIRE DEPARTMENT = Temp Dumpster on site yes Located at 124. Main Street Fire Department signature/date C0MME-N— S Located :364 Usgood Street no c -►imension 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 dropYrequires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$10041000 fine No 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 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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy o CContract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products MOTE: 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 Location�- No. �" 2-G 11 Check # �� U �7/ r Date , � � 1-1 �I TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $- " Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Building Inspe tt5r- id ,i J Q 2 L? O QO m C OJ -C Y Y \ O LL � ate+ >O N U O. Q)C (n O W of Q J •`7 m C Y 0 f0 "a 7 LLL t 0 K T 01 CC G -C0 V c0 LL O W N Z O Z m J a t � C <o C LL O d Nf Z C u J W t j d' U > N ro C LL d' U a Z Z Q t7 t .7 O D' W O m _ Js < s.3 cu p Y O E N J Q 2 L? O QO m C OJ -C Y Y \ O LL � ate+ >O N U O. Q)C (n O W of Q J •`7 m C Y 0 f0 "a 7 LLL t 0 K T 01 CC G -C0 V c0 LL O W N Z O Z m J a t � C <o C LL O d Nf Z C u J W t j d' U > N ro C LL d' U a Z Z Q t7 t .7 O D' c0 C LL W Qa W 0 W LL m Z Y N i N s.3 cu p Y O E N D2 = X J 1,44 O •� *1 "] .�: 2 r I�5 1 i I Cj 0 ereal Agreement Document and Payment Terms: 11 -Andersen &z Rkme-d b!r An&ffcm of 0*;wm Tom O'connall i Lett Fevx4l by Ard-'4setl tt( Clara DPW HIC A 17081 a 'kcal A n d 0 k* r. 41 A 4184: W'Otcrough. -MA cri �32 C XF-1394-11186 ('ruiorno(h) N;ijn,-:.t0M'0C0-nnQII Date. 09121116 C'utfujorl (,%) iluxt.&Idrcm.: " Kafa,Driye, NOrth, And0yer, MA 0,194S SIVIXIntlaTy lArphume 'Nujulxr: (17$09440816 nii,ur, nuaii- t®rconne-11tomecomcast.not"'Vouthir Email: Bayeos) herk+y joinrly.1nd sevtrallyarra es ro purcham thepfoducm -and/or gen-ke-s-of Renewal by AnJc"n LLC dNa Renewal bv Andersen of 2rcordance %4Eh the rcTrm ard wrldid.onsdesrnbcd im thik'AFrremem Dorurnemnd Payrrmat Terms, Notice of Cancellation. firmimd Order Receipt. Tarns and CandiTi.3ns of Silt, If Using a Builder anxi am- other document int2ibcd. ars dais Agxxinart Docullif-11 L, die Loans u( Aids arc all agtmd tUr by the pw tzo,,aud inwrrurated firruin by I cretcuct (cu)fwivdy this 'Agrminent"). Buyerfi) hadrf agrees 10 Sijtjti, 2, Cagnrjnion conificate after Go-mr2acr has completed A work uinder this Agrecartimr- TOW Job AnumnL: $5,755 By 4prijig thLsi;rei:tnj:[-j.jL. wu is 6'vo.!rdgc dw Clic Ddiuwr Dur, said the Ainuwo Ff neriel mir; ' Fe"Onil Arrk- hark, 6"+' P--fdi; card, or ca5h. Ina he m.,adc! by' Dej�ii Roneived: S1119118 BA2ncr Mac: 53,837 Lititnajod SizriE-sitimital Cmij&t6u: Anntmim Pinarkud: so $ weeks I day Nprient: Credit, Card fcW � (je, iflg;jjj;L[i4)fts based on ilvedatc of the sigAcd contfaa and secondarily on the dair in vAich va cx)m plete the whnical mmsuremetum 11v instilbuon caste that MasterCard 113 vie are pridingatthis time i5 onh, an esfimate. Wre will communicate an 'Offici-A date Start of install 113 And dow ai a bEcr date. IL -da and C'2fraric WuLlIef vc die ""M tutor nun cause-. fur Substantial completion 1/3 dela.;: BaYet(s) 1.1r- BaYet(i) agrtvs and undefiLut& that this Agwemeni constitute-, the entire undetuan&W between [he mdes and flut Barre ;an: no %xtU U-irdmianding chAnging us suadityiII.9 211Y OfElke faitu ufLhiiArrvneat. NoArrimiujil,io ur deviaii-ins frard'diii Agirv cnicnt will k Aid ,aithnut the Isigped, -%%-ri'rrcn cowerl r of Nearly till! NA *t) ,r? and Conrrwtnr. Rum(s) h AgIrcem,ent, undersunds dhtLteffn m*, �w+ijm+dgp%Ux i Hn-rr(q) I ) has read this s ofthis AgrCCMr;q';znd ha's recei%vda corniAried S!,ped, and &trd cojt�voftfiis Air men[, includift the vvm on Am dArehast vaisicnAxwcand 2) w2s orally' infurnmed of, Btqw's right to ranee! this 4amn-11t. NOTICETO ()%"NM-: DOME!,igpi Lhik tv-Iltrxt ifb63L You art: ctititled (u A cupy of the contrict;Lt Litt li3neylki sign. YOU, ME BUYER, -Mff CANCEL THIS TRANSAMON AT ANY TIME NOT LATER THAN MIDNIGHT OF 0944/2016 ORTHETHIRD ]MINESS DAY AFTIERTHE DATE OFTHIS TRANSACTION, VMICHIEVIER l3mrE is LAMR. SEETHE AITACHM, N(Y]FICEOFCANCELtATIO N FORM FOR AN EXPLANATION OF THIS RIGHT. Lmd'.Nzma Rrjxwd iW An&nm UC ax br nen of 005= 5W7 L11 urr of Salcl llctlun KeVj'n Monahan Pit U -ti lNugliv. of '1;16 116 tun caftwV61 Tom 0"connell Ring 'N'401C 1� . Ignxurr Mine Kuur pace 2 1 5 Rn al IteMized Order Receipt e 4A emn &L Rtur-al br Amdcnem of 111a"a t ec. p FW -VAI b V A (Y -S-1 r W L K rara Dn%,e HJC I 1710210 Wt*) AKIUK MA 0 1 a4t. 33!vus FIDI-thhfough, 1W 1311:12 ME1394-lure corn 101 Basement Patio Door- 200 Seri -as Perm. a-Sh,eld, Glid Pg. 2 Panel, Stationary I Activ-,, 1EXTE&OR Wh,,(e, INTERM3 Wite, Glass: Sash All: Tempered High Peff , Hardware, Tebera -0. White, Screen: No Screen, Grille Style: xo Gr,.Res, Miss: No., 102 Basement Patio Door: 200 Servos Petrra-Sh,eld, Glid-mg. 2 Panel, Stationary I Active, EXTER.-OR Whte, INTERIM Glass: Sash All: Tempered Kg4 pelf , Hardware- Tr,b-?-,,::D, White, Screen: No Screen, Grille Style., No Grfles, Miu., Nwi WINDOWS: 0' PATIO! DOORS: 2 SPECIAM. 0 MISC.-0 TOTAL S5,755 UPDATED.- 09/21/16 gfrj fafo ceryl/ lyimg a4sh ahe Pidtr and lea-d-saft jmvil- pray: rif-trrpe-rfled bar rhe Fj'c QW21116 Face 4 1 F, rdk� F. PRODUCT PFRFORMAN"CF tr?L� A drsseae �11E' C C'-FUned Tota! UHI& PeferWanee (candnaed) Andeiseli FIaIbICi Gtssrype ll -Facia' SH6C* yr - 200 auks. aku Duel pale 0146 0.60 D-43 _ ClaouJ Pew stah &dlics OAS 0.54 0.58 _ + Lar£ 0.30 an Oaahle ewe Mncua Iwetis rile GA2 030 oss a.- wplar-4Saiwan 0.30 021 0.49 Hp lmrt64 sa d1M v/¢mles M31 119 o.c3 _ I7earaaW Ise 01016 ael 0.e4 warralfoe' owl Dud itas dtnGann 145 am 0.57 1loaWa4izope7odar larrF 0.30 0192 0168 ._ LOPE ft GUM am 029 am _ cbmauldpm0.=40163 IN werreams a®ru onPreesiyl Gen aA4 0.37 ass _ Lra•E 0.27 Q_U ase _ Las•E VU Gnles 027 a30 0-9-1 omDudpare GAS am 0.63 C�ff-,0w, P, eI VO SMIe 01015 ass ass _ o ansdar Ln�E' 03o am us laa�E.1h sd� 03o ass am '' J Lau•ESecit 030 0.71 0149 _; loe E �_wmaun ram P.as a31 G.73 0.45 ''] � OeaDudPaoe 0.43 ab1 ahs - ©asr Duel Arne r0h Gds aA3 0.5.5 = am -� - Feed, TrrnsM las-E 0.28 am a58 -1 t a Tap Wwdaw L"atp Gnles 0.78 a39 asp :1 . J [afESn tsda 0127 G.M 0.51 Ias•E Samson un WIN a27 as aA6 ckwDuw Paas ado aB1 ass My Dual Pie wb Gdbs OAS as3 0.58 - Iesr 029 03? 0.56 - wsrmDrrc� mY.frGll Gnlee o30 029 oAB :' :j� siding Patio Doors taf•# San 0..29 020 031 A IaaSunad QML.i 0131 a1s a2r 1q",r amd&n on ost 0150 _� :3 il IaN E SeanSmi adh Sn? s a30 019 0.A4 &� ClarIDnlPone 0.4; aG1 as4 QvuDtmL ftw %Q QH es aa.9 CIA ash - lacr E am a32 BAG Pmaa4Wald" las Esifh Gds 030 029 0.48 slldlag Path Doors Lrr•$ yon 0.29 0.19 0130 Law -,g Sun goSoGes 0.30 017 0127 Ler'e6ala4gaa 027 am am LW -E sMnsee Huhn sees am am 010101 � CAazaouip[ne OA3 ass I47 _ MEW flaw Pane ren Qfts 0143 039 aaD _ W" I37 0124 0.41 urswiag lautE sdm aft 0.33 a.21 a36 Ma Doors L WE Sm 0.32 als 0179 I$ Lai -ES vMG0es 034 am 0119 LWES Baaw am ale oaT ;2® _ Lash 5m2r&h Wlh Gdaes a33 0.34 0,31 - tr?L� The Commonwealth ofMassaehnsew Deprtneent of industrial ,Accidents Offi%e ofInvesdRalI ns 600 Washington Strut Boston, MA 02111 www.massgoY1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant InfaMSnon Please Print LeWbly Name (aminose/Organi ation&avi&wy RENEWAL BY ANDERSEN Address: 30 FORBES ROAD NORTHBORO, MA 01532 Phone #: 508-351-2214 Are you an employer? Cheek the appropriate box: 1. 91 I am a employer with 30 4. ❑ I am a general contractor and I employees (full and/or Part-time).* 2. ❑ 1 am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. hunlrance 3. ElI aa im ahhomeowner doing all work myself [No workers' comp. insurance required.] t 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 perMGL c. 152, ¢ 1(4), and we have no employees. [No workers' comp. insurance reouired.l Type of project (requh": 6. ❑ New construction 7. F] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Eloctricalrtpairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof lira 13.❑ Other 'Any apploctnt flat checks boot #1 must also fill out the section below showing their wo*m- oomPonsetion policy Womudon. t Iiomoownas who SuhMA this affidavit kilieataog &w aro doing all wohk acrd thea hire oatside cmtmcbm mu9sukut a new effiftvit md=tmg px, k'ontracbors that check this bm mast attached an additional sheet showing the Mme of the 60homulcm and statowhether or not those cooties have employees. If the sub -c t have employces, they must provide their wodcess' cMjp. policy number. Ism ern eslployer dial Is p»vidktg workea' coxa pmsaelon kwumee for my eNrjoyM Below is thep in o ma on. T 'fibe InatusomCompany Name. OLD REPUBLIC INSURANCE COMPANY Policy # or Self -ins. Inc. M MWC30823100 10/01/2017 Slgmation Date: Job Site Ate; 44 KARA DRIVE City/ShfttZip: NORTH ANDOVER, MA 01845 Att seh a copy of the workers' compensation policy dedaration page (showing the poky amber and mpiratlon date). Faihue to secure coverage as requited 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 88 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 dist a copy of this statement may be fmwarded to the Office of Investigations -Q 31VDIA for insurance coverage veri£cation. Ido hqr* cel' the pains xtd penalties ofped&7 that d w iwfOnM&n pM&ed eboMe k tree aid oOtt�== 14 O, frdd use Only. Do trot write IR dds era% to be compkled by city or Gown of'idaL City or Town: Issuing Authority (circle one): Perudalcense # 10/28/16 1. Board of Health 2. Building Department 3. Cky/To wn Clerk 4. Eleetried IuMmetur S. Plumbing Inspector Contact Person' Phone M. ANDECOR-01 SALWAN.iv CERTIFICATE OF LIABILITY INSURANCE DATE GGEEN'LAGGREGATE LIMIT APPUES PER 9/3012016YY) 9/30/2016 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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certlflcate does not confer rights to the certificate holder in lieu of such endorsemern(s). PRODUCER Willis of Minnesota, Inc. do 26 Century Blvd P.O. Box 305191 Nashville, TN 37230-5191 NAME: T Willis Towers Watson Certificate Center A!C N E,11, (677) 546.7378 F No ; (888)467-2378 F -M IL: OeftlflCaW8@WI01S.COm INSURER(S) AFFORDNG COVERAGE NAIC N BODILY INJURY (Per person) E INSURER A:Old Republic Insurance Company 24147 INSUREDDINSURER 6: INSURER C : Renewal by Andersen 30 Forbes Road Northborough, MA 01532 INSURER D: INSURER E: INSURER F: wwv�e . wry KCVIBIUN 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 POLICY NUMBER PMlDOM'YY LIDO LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Is 1,000,000 W CMS -MADE 0 OCCUR IImWZY 308234 1010112016 1010112017 a0 --r-- 1. 5nn nn UMBRELLA LIASOCCUR EXCESS LIAR I r1 Awe A IWORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEfOR1PAKRJERfEXEcu7rVF r-t MED EJB Any one person $ 10,00 PERSONAL A ADV INJURY I S 1.000.000 j I GGEEN'LAGGREGATE LIMIT APPUES PER PRODUCTS-COMMPAGG $ X POLICY ❑ JECT Al M LOC COMBINED SINGLE UNIT $ OTHER: BODILY INJURY (Per person) E BODILY INJURY (Per aoddenI) $ AUTONOBILE LIABILITY A X ANyAWO EACH OCCURRENCE $ _ AGGREGATE I3 AU ED AUTOS 8 AUTOSULED HIREDAUT08 NON -OWNED AUTOS UMBRELLA LIASOCCUR EXCESS LIAR I r1 Awe A IWORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEfOR1PAKRJERfEXEcu7rVF r-t MED EJB Any one person $ 10,00 PERSONAL A ADV INJURY I S 1.000.000 N I A !M W G3US23100 10101/2016 11010112017 F -L EACH ACCIDENT $ 1 EL DISEASE-CAEMPLO $ 1 E.LDISEASE-POUCYLIMIT $ 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AddNanal Remarks Schaduta, may be aMchW If more space is requhed) SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Proof of Insurance I 'f. bi-! 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD j I PRODUCTS-COMMPAGG $ $ 308232 { 10/01/2016 COMBINED SINGLE UNIT $ 1010112017 BODILY INJURY (Per person) E BODILY INJURY (Per aoddenI) $ Peru olden DAMAGE $ EACH OCCURRENCE $ _ AGGREGATE I3 N I A !M W G3US23100 10101/2016 11010112017 F -L EACH ACCIDENT $ 1 EL DISEASE-CAEMPLO $ 1 E.LDISEASE-POUCYLIMIT $ 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AddNanal Remarks Schaduta, may be aMchW If more space is requhed) SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Proof of Insurance I 'f. bi-! 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 3 s Massachusetts Department of Public Safety `; Y= Board of Building Regulations and Standards License: CS400125 Construction Supervisor JAIME L MOWN 88 GARDINER ST4V "���}� LYNN MA 01805 ` 'oir _ Z^^ CA__- Expiration: Co1nmissloner 1b106 18 i « Construction Supervisor Restrided to: Uhrestrided - Buildings of any use group which contain less than 33,000 cubic feet (901 cubic meters) of enclosed space. r Failure to possess a current edition alike Massachuseus State BWd" Code is cause for revocation of this license. CIPS Licensing infornu4tbsn visit: WWW:MAII"011/0PS C��e �iamnao�wreaf.J,�C o��auu�Cuaelld ece of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR ; Regi type: =�_' , Expi tis _ ^ 7f Supplement Card RENEWAL BY AND y JAIME MORIN 30 FORBES RD NORTHBOROUGH, MA 01532 Undersecretary r