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Home My WebLink AboutBuilding Permit #263-2017 - 50 HIGH STREET 9/13/2016 ?/Pvs N c t 5,e PJc NORTH �4 BUILDING PERMIT °� cs`9D.1616 uo TOWN OF NORTH ANDOVER o . - I APPLICATION FOR PLAN EXAMINATION ; ` 7. pA � Date Received °RATED�Pay�S Permit No#:70 �SSgCHUS�t Date Issued: I IM ORTANT: Applicant must complete all items on this page LOCATION 570 t&$4 SG tot/cP✓L- Print i PROPERTY,OWNER �- �- 4�L s , Print 100 Year Structure yes no MAP_ PARCEL: ZONING DISTRICT: Historic District ye,V no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition ❑Two or more family 11 Industrial Alteration No. of units: *gCommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: -oZemolition ❑ Other x 0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer _ _ DES C IPTION OF WORK TO BE PERFORMED: l/ �v ,►5 4-Z �f s rI3 i (r �_ cr s- s i }cti P d - A-YL i TC-Me" JA04 w t N&J 6;14 C-10431 I� Identification- Please Type or Print Clearly OWNER: Namer9yrp.�G� wrt� �M, Phone: Address: v'ng D t1V I/ a oqi ' val/� ter LL,L Contractor Name Cia w r IN& 65r+U Phone Email ii5 0— "�',�. CO3NN ca- Address's. ,& \U� ,� �l�c�H �� C9 v 1 ®��P.n� �A ` till Supervisor's'Construction License:(f-� 6 b 1033 b Exp. Date: t Home Improvement License: Exp. Date: dSCA :1111, /v e- . ARCHITECT/ENGINEER Phone: i.9 v God -D Address: "L 4 1`��'i4-w�Hr4 i, 6!6vJ4J^,yP*6" Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. J Total Project Cost: $ 4' �z� FEE: $ OF --� Check No.: 2v) 1 Receipt No.: x4p-76 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund J I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ElSwimming 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 l Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connectionisic & Date Driveway Permit DPW Town Engineer: Signature: ' Located 384 Osgood Street FIRE DEPARTMEN,Tk ;'.T, umpster.on1! 1T..iy}es��, . k` ti itLocate�at�124ilVlainiStreet• "`""" # re�Depart�rrient�signati.rre/date.. _ ��./� _/ COMMENTS. _ J 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 Pennit Revised 2014 I Building Department r 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 I 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 4, Building Permit Application 4 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 4 5 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) I Copy of Contract 2012 I ECC Energy code Engineering Affidavits for Engineered products uire si n off from Fire Department prior to issuance of Bldg. Permit OTE: All dumpster permits req g In all cases if a variance or special permit was required t et this recorded aown Clerks t the Registry of Deedsce must stamp the . sion from the Board of one copy and proof of recording peals appeal period is over. The applicant mus g that the app must be submitted with the building application I Doc:Building Permit Revised 2014 I � I Location I U \ �- qa-z, No. .2 CD3 " 2G t" �—.r Dateq� • - TOWN OF NORTH ANDOVER r } Certificate of Occupancy $ .., Building/Frame Permit Fee d Foundation Permit Fee $ Other Permit Fee $ TOTAL $�� Check# `C751 Buildin f Inspector V t1VL� J u I t X Final Construction Control Document A To be submitted at completion of construction by a Registered Design Professional for work.per the 8`h edition of the Massachusetts State Building Code,780 CMR,Section 107 Project Title:Suite 42,Visibility Date:11/21/1.6 Permit No.263-2017 Property Address: 50 High Street,N.Andover,MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:Renovation of existing office space. I,Donald M Walter,MA Registration Number:9536 Expiration date:8/31/2017 ,am a registered design professional, and I have prepared or direct] supervised the preparationaration of all design Plans computations and specifications concerning:ncemin : X Architectural Structural ]vlechanical Fire Protection Electrical Other:Describe for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction,documents. 2: Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the we as performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor s� S r garding the provisions of 780 CMR 107. I Ip M.uy TF Enter in the space to the right a"wet"or - N 95 6 electronic signature and seal: i CI M s OF MNc Phone number:(718)499-2999 Email:desalt� 93r�aandwhittier.com Building Official Use Only Building Official Name: Permit No.: Date: i I Version 06 11 2013 i I as4CS�t'' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 263-2017 on 9/13/2016 Date: November 21, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 50 High Street— Suite 42 - Visibility MAY BE OCCUPIED AS a tenant fit up — Visibility- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG West Mill,NA LLC 50 High Street North Andover, MA 01845 ` Building Inspector Fee: PrePaid $100.00 Receipt: 30876 Check : 2531 V&ORTi1y Town of ?_ 6Andover , t 3 _ 0 y soh ver, Mass, COCNIC 41 WKK IJ - BOARD OF HEALTH T T D Food/Kitchen PERMI Septic System THIS CERTIFIES THAT `Z_ W� 1 % BUILDING INSPECTOR 1 ............................................................... .......... ... .... ..... .. .. . .. .. ......... :... .... has permission to erect ildings on .45b.... ... . . ., Foundation . . ... .... .... Rough �� tobe occupied as ...... ............... ......�.......... . .. ......�.... ..................................... Chimney provided that the person accepting this rmit shall i eve res ect conform to the terms of rI/ p 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 FinalIlk `1 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INs CTOR . UNLESS CONST CTION T rService . ... BUILD �NSPECT. R � GAS INSPECTOR Occupancy Permit'Reguired to Occupy Buildinz 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. NORTH q Town of 2 t IF, ndover o - �► No. 41)_ 17 * _ h h ver, Mass O L^KS 1, 1 COCMICKlwKK AORATED 0a`,`�y s V _ BOARD OF HEALTH -PERMIT . T D Food/Kitchen Septic System %THIS CERTIFIES THAT .... .... .... ............ ............................. BUILDING INSPECTOR . ... Foundation has permission to erect ......................... ildings on . .... ... ... ......... .. ... . . Rough to be occupied as ........ �f ....... ..........I- every .......................... ......�.... ..................................... Chimney provided that the person accepting this rmit shrespect conform to the terms of thea application pp 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 CTION T Rough Service .. . ... ...... . .. ............ Final BUILD NSPECT R GAS INSPECTOR Occupancy Permit'Repuired 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. r JK Contracting LLC Proposal 4 High Street, Suite 108 North Andover, MA 01845 617-592-6775 (Kieran) 781-254-2862 (Judy) Proposal Date: 9/12/2016 Proposal#: 203-53 Project: 50 High St, 4th FI... Bill To: RCG West dill NA LLC Daviid Steinbergh 17 Ivaloo Street Somerville, MA 02143 Description Est. Hours/Qty. Rate Total 4,438.00 4,438.00 Demo 50,000.00 50,000.00 General Conditions 7,000.00 7,000.00 Wall Framing 35,000.00 35,000.00 Doors &Trim 15,000.00 15,000.00 PIumbin g 5,500.00 5,500.00 Heating &Cooling 25,000.00 25,000.00 Electrical& Lighting 35,000.00 35,000.00 Insulation 8,000.00 8,000.00 Interior Walls, Board. 35,000.00 35,000.00 Interior Walls, Tape ,Compound ,Sand 25,000.00 25,000.00 Cabinets&Vanities, Granite tops. 6,500.00 6,500.00 ,,Millwork&Trim, Build Island, One wood wall.[Estimate] 6,000.00 6,000.00 Floor Coverings 25,000.00 25,000.00 Painting 30,000.00 30,000.00 Cleanup& Restoration 2,000.00 2,000.00 Sprinkler Work 10,000.00 10,000.00 Glass Door/Panel Installed 7,50000 7,50Q.00 Supervision 33,293.80 33,293.80 Insurance3,329:38 3,329.38 Estimate for your review and approval . Total $368,561.18 •" OFFICE OF BUILDING INSPECTOR -- * TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 15-0718 PROJECT TITLE: West MITI - 50 High St. 4th Floor PROJECT LOCATION:_ 50 High Street, N. Andover, MA NAME OF BUILDING: West Mill NATURE OF PROJECT: 4th Floor demising and tenant fit out. IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ' RCHITECTURAL STRUCTURAL ' MECHANICAL FIRE PROTECTION ' ELECTRICAL ' OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being h.AA wa performed in a manner consistent with the construction documents. 0ED A Cy/ PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPOF TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING IN 40 'IT w � UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANC �5 OF b4 F SUBSCRIBED AND SWORM TO BEFORE ME THIS DAY OF Se SIGNATURE20 I CHERYL L. BURKINSHAW Notary Public N Y PUBLIC MY COMMISSION EXPIRE �Commonwealth of Massachusetl ission Expires March 7, 2019. ANN*",j cod VtiAitt.t!}!L'�I� .- 'a/p�pt�1 t�f1�.3lif ti.s4z�'°f r' rf�l#F.l3rl�FtV:.1 • ' S i { r The Commonwealth ofMassachusetts - Department oflndustriglAccidents Office of Investigations 600 Washington Street Boston,MA.02111 ir www.mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrgmizationAndividual): P K �'1s . 'I�(� G' UL, Address: r15 Joe 4- H,CSM1� City/State/Zip: Phone#: �1 - L - b 29-1 t Are you an employer?Check the appropriate box. Type of project(required): 1.LR 1 am a employer with _ 4• ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.t �• temodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner,doing all work right of exemption per MGL 11.[]Plumbing repairs or additions myself.[No workers''comp. c.152,§1(4),and we have no 12,❑Roof repairs insurance required.].f employees.[No workers' 13.❑Other comp.insurance required.] *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. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is fhe policy and job site information. I I'sInsurance Company Name: \v �G't ✓S Ivy d a(Wdvy C.- - Policy#or Self-ins.Lie.#: 0 it Sr �f7' L Expiration Date:' 2, I"} Job Site Address-,_C C 9 t&m S -, City/Statein): N - Ow d ✓'r` 6 Pq (718 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.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. Ido lsereby certify under the painsff an d penalties ofperjury that the information provided above is true and correct Signature: C ✓1.�1Date: q�/Zb i. Phone#• _ 2 — b � Official use only. Do not write in flits 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.CitylTown Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone#: --, JKCON-1 OP ID:CD ,4CVRv CERTIFICATE OF LIABILITY INSURANCE D 07126/201TF YY) o7lzsrzo�e 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 INSURERS), 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 endorsements. :PRODUCER CONTACT NAME: ................................_..._......... - ,_.._. DeSanctis Insurance Agcy,Inc. PHONE FAX' ! 100 Unicorn Park Drive A C.,_Ng,..Exti......................._......................................................._. .......I _ ; E-MAILE PnaILWoburn,MA 01801 !Aq[)RESs ..........................— I iNSURERIS)AFFORDING COVERAGE NAIC# (INSURER,A,:Star Insurance Company ;012245 _...._....... ......... ....... j INSURED JK Contracting, LLC. INSURER 8.Selective Insurance Company X19259 4 HighStreet Suite INsuftEft C North Andover, MA 01845 INSURER D f..... _ ... . .._ ... INSURER E t ..... INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE FOLIC!ES 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL 'THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN h,AY HAVE BEEN REDUCED BY PAID CLAIMS ......... _ ._..._... ... .................aOUCY EFF�...POLICv EXP -- - INSR:, TYPE OF INSURANCE POUCYNUMBEft MM/DD;YYYY MW0D,YYYY) LIMITS LTR I D EACH OCCURRENCE S 1,000,00 !B X j COMMERCIAL GENERAL UABILITY.. —_.. ---r'-- CL..IMS MADE .x•:OCCUR S2205113 0211012016 02(1012017 ParMitS,!E a,ac�ck ranee'• S__.._..__.. 100,0Q :........... ................................. .. VIED EXP(Any, tr 10,00 _.... .............._ ....... ....................... -..._.i-._ .. ........... PERSONAL&ADADVINJURY...... 5....................._.... 1,000,OO .. _.._._...... GEN-1GEN-1AGiGRE:u,A'i'E UMI'APPLIESPER GEN-RAL AGGREGATE ...... '.TS _.._....._..._ 3,000,00 Pao P;ego a Ts coMyioP AGc =. 3,000,00 X POLICY � ,7EC f - .. _.. OTHER' __ _ S i CCh•181NED SINGLE LIF.91T i< AUTOMOBILE LIABILITY Ea ac dar'.0 ,. BOD"41,. INJURY P6r Oerso^; !W ANY AUT _ ALL OWNED S(.HEJULEU BOULY NJURY(Per accident)!$ AUTO$ AUTOS .».. p;6PEPTY DAMAsE.............._..._ ........- i ! :NON-OWNED . $ HIRED AUTOS AUTOS P a er acc:dant l i UMBRELLA LIAB OCCUR EACH OCCURRENCE I S j EXCESS LIAB CLAIMS-MADE AGGREGATE 3 ii DED l I RETENTIONS j WORKERS COMPENSATION I X ER H- T Tt7F E_ S., AND EMPLOYERS?LIABILITY Y 7 N A 'ANYPROPRIETORr"..%RTNERicXEC:)T:VE -�;.N A WC0853742 02/1712015 02117/2017 r .r c _. =..i. FA r r Gro_n: s 100,00 OFFICERNEMEER EXCLUDED'? 1= ;MA _ 0ISEASE•EA E1,,APLUVEE:$ 100,00 IMandatory in NH) n yyes.dasaibo Under _ _....._...._.............. ..............__. ..... DESCRIPTION OF OPERATIOt;S oo:cw _..,..DISEASE S , cls_A E-POLICY urhlT 500 00 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) "ADDITIONAL INSURED LIMITS ARE NO GREATER THAN THOSE REQUIRED BY WRITTEN CONTRACT"illustration of Coverage;Town of North Andover is add'I ins'd as respects to the GL policy. CERTIFICATE HOLDER CANCELLATION NORTHA- , 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN —Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, 43 High Street N.Andover, MA 01845 f AUTHORIZ PRESENTATIV=_ s I i ) 9)1988.2014 ACORD CORPORATION, All rights reserved. ACORD 26(2014101) The ACORD name and toga are registered marks of ACORD ri �ILI, Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 Construction Supervisor KIERAN T WHELAN 31 RICHMOND STREET !- WEYMOUTH MA-02188 r • f — Expiration: C oioner mmiss 09/26/2017 _ ' Via, ��f!(- r1+Q71(J)707lCltf'lY�� OffiG�(r?��•GCC.I:SCYC�fI.:J.C�t1,1 mice of Consumer Affairs&Business Regulation -19 L5, - GNOME IMPROVEMENTCONTRACTOR (A > Registration: 171393 Type: VMS Expiration 3/15/20:]8 Individual ' r KIERAN WHELAN KIERAN WHELAN 31 RICHMOND ST WEYMOUTH, MA 02188 - �� Undersecretary License or registration valid for individaial use only Shefore the expiration date. If found return tos �ffce of Consumer Affairs and Business Regulation. •:t8 Park Plaza-Suite 5170 46ston,MA 02116 r' r � - i Not valid without signature • i _ .JC�,.fze V�arnnzo�lullcr��a�C%ULaaJacf2tute(,lb Office;offCaissismer Affairs&Business Regulation -- .: _ : .HOh7E IMPRCVEMEN7-UuNtRACTOk ! l egistratlon :7 '(71383 Type: Expiratiokn: 5/2018 Corporatioh JKCONTRACT!I`!G`L '=i KIERAN WHELAN 31:RICHMOND ST `' .4`- r`` :�:•:... : _`� ,,;.. I WEYMOUTH,MA 02188 , �i Undersecretary