HomeMy WebLinkAboutBuilding Permit #700-2016 - 50 HIGH STREET 12/8/2015O�
BUILDING PERMIT OO
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TOWN OF NORTH ANDOVER O a :�
APPLICATION FOR PLAN EXAMINATION _
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Permit No#: ',) o Date Received�gSsacHus���y.
Date Issued: �2
IMP RTANT: Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER I-� o LL -C,
Print 100 Year Structure yes no
MAP PARCEL: 6_ ZONING DISTRICT: Historic District no
Machine Shop Village no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
El Industrial
Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
Septic q Well
❑Floodplain p Wetlands
❑ 1/Vatershed District
DESCRIPTION OF WUKK IU tit r1=K1-U ctvtl=u: l
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Identification -Plea a Type or Pr t Clearly
OWNER: Name: G- LL C- 9 ucb ZMf 19 H Phone: G �6.2, = laC53/ J
Address: I 'i —V^ v .0rC- u 0-6 1001 S '5rt
Contraytor Name: rGL5 Phone: ( t-7
Email:`tTCrvo,,J CQ --TK e� C -6m
Address: y t i6
Supervisor's'Construction License: -(--.S 0 b L 3 3 Lf- Exp. Date: Lh l �-
Home Improvement License:
Date:
ARCH ITECT/ENGI NEERI, a tL%r Oki-1716YR Phone: G, c'y
�-
Address: Reg. No.__, `i S- 3
FEE SCHEDULE. BULDING PERMIT. $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
kk
Total Project Cost: $,cc=EF- FEE: $_ �i d
Check No.:,�6 �I Receipt No.:
NOTE: Persons cont acting with unregistered contractors do not have access to the guaranty fund
Plans Submitted ❑ flans 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 - U FORM
o � ok
PLANNING & DEVELOPMENT Reviewed On I30 II`' Signature_
COMMENT'S W&&Y 0-0
CONSERVATION Reviewed on Signature
COMMENTB
WEALTH 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
DPW Town Engineer: Signature:
AFIRE D,EPA TME(VT y� f Located 384
�'�� Tern - g�
L�o�c ecf at1a24Ma n '` ``-�p,�DumpsteraVgn site; �y�es_3 y tcic
Street: �{
,
FaireDepmentsignaure/date _ ! �Pz
COMM
ENT�S, � - .•
Street
1146-1s
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
®ANGER ZONE LITERATURE: Yes
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA -- (For department use)
No
Doc.Building Permit Revised 2014
Building Department
,I
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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
4 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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
I.
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)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
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 —5— � �1 I
No. 7,06-,;7o16
Date A9
r
TOWN OF NORTH ANDOVER
4 fF
Certificate of OccupancT $
Building/Frame Permit Fefo--- - $ %
Foundation Permit Fee < $-
z
Other Permit Fee $
TOTAL $
Check # -23 G
l
M 8 9 Building Inspector
1`
7
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 608, 934.00
m
$ -
$
7,307.21
Plumbing Fee
$
913.40
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
913.40
Total fees collected
$
9,234.01
50 High Street
700-2016 on 12/8/2015
Floors 1,2,3 Tenant Fit UP
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OFFICE OF BUILDING INSPECTOR
TOWN OF NORTH ANDOVER
4 CONSTRUCTIONC ONTROL
PROJECT NUMBER: 15-0718
PROJECT TITLE: West Mill FLR 1-3
PROJECT LOCATION: 50 High Street, N. Andover, MA
NAME OF BUILDING: West Mill
NATURE OF PROJECT: Tenant demising and tenant fit out.
IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
I, 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 ' ARCHITECTURAL STRUCTURAL*
FIRE PROTECTION ' ELECTRICAL ' OTHER (SPECIFY)
MECHANICAL '
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 &AA
with6the progress and quality of the work and to determine, in general, if the work is beinq��► �`STER •
performed in a manner consistent with the construction documents. * � pL0 OgRC !
OpN
PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REP E N 9�m ��,
TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING I
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE AA�l �
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANC�\��y
e� SIGNATUR
SUBSCRIBED AND SWORM TO BEFORE ME THIS; 3 DAY OF 1�(AeO4fYI� 20
CHERYL L. BURKINSHAW
Notary Public
NOTA PUBLIC MY COMMISSION EXPIR Commonwealth of massachusett
y ommission Expires
March 7, 2019
JK Contracting LLC
31 Richmond Street
Weymouth, MA 02188
Bill To:
David Steinbergh,
Floorsl-3, 50 High St,
N.Andover, MA 01845
Description
Plans and Permits
Demo 2-1 t M vim- eip G 3'1-- Z.a (SO
Wall Framing
Roofing, Flashing
Exterior Trim & Decks
Doors & Trim
Windows & Trim
Plumbing
Heating & Cooling
Electrical
Cabinets & Vanities
tel/data, Demo only.
Insulation
Floor Coverings
Painting
Cleanup & Restoration
Sprinkler Work
Contingency
Supervision
�4'
Thank you for the opporti
Est. Hours/Qty.
Proposal
Proposal Date: 11/25/2015
Proposal M 195
Project:
Rate
7,340.00
45, 000.00
75,000.00
600.00
32,000.00
30,000.00
7,000.00
20,000.00
80,000.00
78, 000.00
8,000.00
2,000.00
7,500.00
72, 000.00
75, 000.00
2,500.00
3,000.00
25,000.00
56,994.00
Total
7,340.00
45,000.00
75,000.00
600.00
32,000.00
30, 000.00
7,000.00
20, 000.00
80, 000.00
78, 000.00
8,000.00
2,000.00
7,500.00
72,000.00
75,000.00
2,500.00
3,000.00
25, 000.00
56, 994.00
Total $6 ,
(Pe2' 1� 3q . b -b
The Commonwealth of Massachusetts
Department of IndustrialAceldents
:, 1 Congress Street, Suite 100
Boston, MA. 02114--2017
www mass.gov/dia
sV•
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Auplicant Information Please Print Ledbly
-^
Name (Business/Organization/Individual):
Address: KU 19-E 10W O 0y'�
City/State/Zip: �] ' 1-I Np6 Jy — 6 Vef� Phone #: 6 c'? ' 'r q 2 —6
Are you an employer? Check the appropriate box:
1. �am. a employer with • �loyees (full and/or part-time).*
2. ❑ I am a sole proprietor or partnership and have no employees working for me in
any capacity. [No workers' comp. insurance required.]
3.FJ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t
4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers' compensation insurance or are sole
proprietors with no employees.
5. [1 I am a general contractor and I have hired the sub -contractors listed on the attached sheet.
These sub -contractors have employees and have workerscomp. msurance.t
6. Q We are a corporation and its officers have exercised their right of exemption per MGL c.
152, § 1(4), and we have no. employees. [No workers' comp. insurance required.]
Type of project (required):
7. [] New construction
8. Remodeling
9. P�pemolition
10 ❑ Building addition
11. E] Electrical repairs or additions
12. F1 Plumbing repairs or additions
13. F1 Roof repairs
14. ❑ Other
*Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information
f Homeowners who subin it this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
$Contractors that check this box must -attached an additional sheet showing the name of the sub -contractors and state whether or not. those entities have .
employees. If the sub-coutraciors fiave employees, they must pro.vide their workers' comp. policy number.'
dam an employer that is pr•dviding workers' compensation insurance for my employees.' Below is the policy and job site
information.
Insurance Company Name: &D L,, �v
z --f3 (S — b 0 t � — /Ex irationDate: 2. 1-7 .
Policy # or Self ins.
Li,. #:'J, p
Job Site Address: —r� �'k r City/State/Zip: Vg U
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
do hereby certry under thepains andpenalties of peejury that the information provided ab ve is ue and correct.
-L
Official use only. Do not write in this area, to be completed by city or town official~
City or Town:
Permit/License #
Issuing Authority (circle one): i
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone
i�
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract 6? liire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing 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 of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill -out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) and -phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to cavy workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affiidavit. The affxdavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if yo'u'are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should'enter their
self-insurance license number on the appropriate line. -
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
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 permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 02-23-15 www.mass.gov/dia
A ORdCERTIFICATE OF LIABILITY INSURANCE DATE(a"MMM)
3215
THS 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, EXMND 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 certif(calle holder is an ADDITIONAL INSURED, the policypes) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A etabmellt on this cerdit to does not corker rights to the
certlicats holder in lieu of such endorsame
PRODUCER
Dupont Insurance Agency, Inc.
18 Copeland Street
Quincy, MA 02169
MITMaria
P
17 376-0795 . (617) 479-9121
1519": me du ntinsurancea en .com
INSURERS) AFFORDING COVERAGE NAIC S
INSURERA:Main Street America
NBURED
JK Contracting, LLC
31 Richmond Street
Weymouth, MA 02188
INSURER B :
INSURERC:
INSURER D:
INSURER E:
INSURER F:
PERSOML&ADVINJURY S 1,000,000
UUVCKAUt.S CERTIFICATE NUMBER: REVISION NUMIRER'
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.
IINSR
LTR
TYPEOFINSURANCE
AGO
31J19R
VAID
POUCYNUMBER
■��
POLICY EV
MYADIYYYY
Lam
A
GENEtALLIABRJTY
)( CCMMERCUILGENERALLUIBIUTY
CLAIMS -MADE ❑X OCCUR
MPT7794M
2/10/15
2/10/16
EACHOCCURRENCE $ 1,000,000
DAMAGE TO RENTED $ 500,000
MED EXP(Any one person) $ 10,000
PERSOML&ADVINJURY S 1,000,000
GENERAL AGGREGATE $ 2.000,000
GEN' LAGGREGATELIMITAPPUESPER
POLICY F LOC
PRODUCTS - CC) MP/OP AGG $ 2,000,000
$
AUTOMOBILELUUMLI Y
ANYAUTO
ALLOWNED AUTOS AUTOS LED
HIREDAUTOS _ DOSED
aFINED LIMIT
ddert$
BODILY INJURY (Per pemon) S
BODILY INJURY (Per aeddent) S
Perlac DALAAGE $
S
4MFMLLALIA8
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION
WORKERS CCIMPENSATpN
IND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERUTiVE/EXECYIN
OFFICERMIEMBER E) CLUDED7
pMandebry In NH)
Myyeeag deeaibeunder
DESG�RIPTION CF OPERATIONS below
NIA
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E.L. EACH ACO [ENT �—
E.L. DI - EA EMPLOYEE
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i
DESCRIPTION OFOPERA71ONS I LOCATIONS /VEHICLES (Attach ACORD 101, AdMWW Renew Sohs", amore spec IsregWrsd)
CERTIFICATE HOLDER CANCELLATIAN
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
Phone: I Fax: E-mail: apedranti@crowninshield.com
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
■��
AUTHORED REPRESENTATIVE
Bridget McGowan
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
Phone: I Fax: E-mail: apedranti@crowninshield.com
"y3/3/Z015 '/:ZZ:03 AM PST (GMT—d) PROM: lUUUUt�—'1'O:' lb; 401ylZ1 resyrs: c �� c
561"Pf I ITY INSURANCE
CERTIFICATE OF LIAR L ,6
THIS CERTIFICATE W 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 CERTWATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MUM INSUNJIM, AUTHOR=
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER
IMPORTANT: E the alrOR holder to an ADDRIONAL INSURED, the policy(les) mutt be endorsed. K SUBROGATION R WAIVED, subject to
the terms and condblone of the po ft, ot9lsln poldee may nquhe an an lersom L A etehment on this arIM' I does not confer rights to the
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31 RICHMOND STREET
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THIS 18 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 18 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS.
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BNOULD ANY OF TKE ADM DEQ POLICIES BE CANCELLED BEFORE
TIIS EXPRATICH DATE THEREOF, NOTICE WALL BE DELIVERED B
ACCORDANCE WITH THE POLICY PRIMAIMM
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ACORD 2E (2014101} The ACORD nems and baso am mgm W or' memos of ACORD
CES! NO.: 23677622 CL=ft COOT: 1644469 Lucy Gasli*Ld 3/9/2019 10:19t07 Aa (CST) Page 1 of L
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Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS -066334
Construction Supervisor
KIERAhf T WHELAN` xY
31 RICHMOND S i
WEYMOUTH MIS
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t-1jZCK CA— Expiration:
Commissioner 09/26/2017