HomeMy WebLinkAboutBuilding Permit #387 - 57 HEWITT AVENUE 11/8/2012 i
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received
Date Issued: `
IMPORTANT:Applicant must complete all items on this page
LOCATION 57 Wn&h4 /7 .
rr PV
n'
OWNER 0 1114�C� �C
Print 00 Year Old Structure yes Th MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
,Alteration K-6&Nen No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
-
e� ce 1��, c, v�efs .- rini 1u bin -- VlfW o ter'
`Ideg'}tific n Please Type or Print Clearly)
OWNER: Name: O bQ,f h Phone: �'+S- 6P- (CiP
Address: Qv.� I�l>� �U4 r�-� A v,� zv, m A 4 18u !�
CONTRACTOR Name: (/'ni'(S ()� f` 4 hone: q`7 `
Address:
Supervisor's Construction License: 3/ � Exp. Date:
Home Improvement License: jDo?sb Exp. Date: /v I3 a26/
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED 125. PER S.F.
Total Project Cost: $ 10 06V f FEE: $
Check No.: Receipt No.: J
NOTE: Persons contract 'th unre red contractors do not have access to the guaranty fund
� Y
{ Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ Swi nmmg 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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
r
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
DPW Tow, Engineer: Signature:
Located 384 Os ood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Departinent signature/date '
COMMENTS
i
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 - Date
E
l
Doe.Building Permit Revised 2010
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
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/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
❑ 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 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 submAted with the building application
Doc: Doc.Building Permit Revised 2012
�s �l ;
Location Jt l/�^' Al-
Dat/
/--
TOWN
OF NORTH ANDOVER
Certificate of Occupancy $�
Building/Frame Permit Fee
` Foundation Permit Fee $
' Other Permit Fee $
TOTAL $ 4
Check#___
25931 Building Inspector
NORTH
Town of n
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No. .61mb
1*1
C% h ver, Mass,
C0CMIC"1WI[I[ y1'
pDRATED P' 5
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BOARD OF HEALTH
PER -IT T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT ............. .....+............... ............... ................. ......AV
...............
BUILDING INSPECTOR
. .
Foundation
has permission to erect ............... .......... buildings on ... �... ..... ................... ...... .........
Rough
to be occupied as ..........:-1cce
. .�...................... *. ..... ....................................................... Chimney
provided that the person pting 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES INT ELECTRICAL INSPECTOR
3 UNLESS CONSTRU ION R Rough
oft 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 �I
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SCC �31C�C�CE..Cl11� ��
i
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 32,000.00 m
$ - $ 384.00
Plumbing Fee $ 48.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 48.00
Total fees collected $ 580.00
57 Hewitt Avenue
387-13 on 11/8/2012
Replace Kitchen Cabinets
New Plumbing and Electrical
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Your Kitchen Imagined, LLC
201 US Route 1,Suite#216
Scarborough,ME 040749048 mwee v e-ACS�wA4A2 �v
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C° , 7 1=111 T. IDA= 0022
545 Sharpeners Pond Rd.
N0. ANDOVER, tVIA 01845
(978) V5-3736
LIC. #03"S0 ► ICR #110256
PROPOSAL SUBMITTED TO PHONE DATE
STREET l JOB NAME
CITY,STATE and ZIP CODE JOB LOCATION
� r
ARCHITECT DATE OF PLANS JOB PHONE
q267-.592-
WP proPOSP hereby to furnish material and labor—complete in accordance with specifications below,for the sum of:
G ood
470 ..._ yr,91 M.�F."f dollars($ � )
Payment to be made as follows: /
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from specifications be- Authorized
low involving extra costs will be executed only upon written orders, and will become an Signature
extra charge over and above the estimate. All agreements contingent upon strikes, acci-
dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note:This proposal maybe
insurance.Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days.
We hereby submit specifications and estimates for: V
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Arreptaure of Proposal —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature /�•'-',"� ���/=
to do the work as specified. Payment will be made as outlined above. If
Date of Acceptance: / If f/ .r�C f Signature
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M-223-=3 or rnt3=t
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
UT www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address: 5qS✓ Sj v pn!7 �- 'yon
City/State/Zip: Po r);l cJc cie d" cA j Phone#: 9 7k 9 ZY X 736
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. R I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.�I am a sole proprietor or partner- listed on the attached sheet.t ®Remodeling(Ki fel)
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.El 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.]t employees. [No workers'
13.❑ Other
comp.insurance required.]
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit 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 their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. f
Insurance Company Name: �(�y
Policy#or Self-ins.Lie.#: '7 P J Ub— glof L60—3— i(�, Expiration Date: /O � ZO/�
Job Site Address: 1&d( i11(i City/State/Zip: IUO A""-" " 'l 7 Ql f))
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required 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 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.
[do hereby certify 1 der the pains and penalties of perjury that the information provided above is trite and correct.
Signature: Date: 1 Z o(Z-
Phone#: 751 73�,
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):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
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 of hire,
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 be 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-contractor(s)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 carry 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 affidavit. The affidavit 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 you 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. Anew 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 Office of Investigations o
g would like to thank you in advance for your cooperation and should you have any
questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax# 617-727-7749
www.mass.gov/dia
Massachusetts Home Improvement Sample Contract
This form satisfies all basic requirements o£the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
language to protect homeowners. Seek legal advice if necessary. An y of„
Massachusetts Consumer Guide to Home Improvement"before agreeing to person
work on your residence.You may obtain first
a by callingthe
Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3157 or on our website.
Homeowner Informatiion Contractor Information
Name Company Name
n° - ay, Clh rls (2�64,,
Street Address(do not use a Post Office Box address) Contractor/Salesper n/Owner Name
s7ewi kris c 4
City/Town State Zip Code Business Address must include a street address)
IVO Aod?` 01,FKr
Daytime Phone Evening Phone Cityr?o State Zip Code
rv17--9s6 6 9Fo �! -G 7-/a7 o All&>r . 4i_ m eqq
Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number ' -ag5
Law requires tont most home Home Improvement Contractor Reg:Number Expiration date
improvement contractors lave
n valid registration numberr q ,+., !�
The Contractor agrees to do the following work for the Homeowner: f I U v CJ
(Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.)
�l�ii•ets� dcrLwi�cs i cczl;tib 1 in s��,(( ��il,NS.- C�,(o v�Gt� •-{'&orler_4rtokk u4,1n��
Required Permits-The following building permits are required Proposed Start and Completion Schedule-'The following schedule will
and will be secured by the contractor as-the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise
(Owners who secure their own permits:WM be
excluded from the Guaranty Fund provisions of 1 V Tt ZEAL Date when contractor will begin contracted work.
MGL chapter 142A.)
1 a 1 W1 -Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: _[(,j6)60-0V
(>)
Payments will be made according to the following schedule:
$ upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater)
$ ®'d by l '?'012-or upon completion of '4 Z)oe.t5 oyid t'/crrri�
by J� /!J'LA�/—or upon completion of C��
upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) .
The following material/equipment must be special i `�
P $ to be paid for
ordered before the contracted work begins in order
to meet the completion schedule.(**) $ to be paid for
N®TES;(*)Including all finance charges(21*)Law requires that any deposit or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which must be special ordered in advance to meet the completion schedule.
Express Warrnp r-Is an express warranty bein provided by the contractor
? ❑No❑'Yes(11l terms of the warrinty must be attached to the contract)
Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third
party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for
Materials and labor under this a Bement
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract.
C Don`t be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclean
alce sure the contractor has a valid Home Improvement Contractor Registration The law requires most home improvement contractors and
subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at 10 ParlcPlaza,Room 5170,Boston,MA.02116 or by calling 617-973-8787 or 888-283-3757.
Does the contractor have insurance? Aslc the Contractor for his insurance company information so that you can co an coverage,or aslc to
see a copy of a"proof of insurance"document.
C I mow your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer
Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normalplace of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right.
DO NOT'SIG•N TEIIIS CONTRACT II'THERE ARE ANY BLANK SPACES!!!
Two identical copies of the contract must be completed and signed. One copy should go to the homeodmer. The other copy should be Icept by the contractor.
Homeowner's Signature
Contractors Signa e
'Date —
Date /
i
Contracior Arbitridiion
The Home Impiovement Contractor Law provides homeowners with the right to initiate an arbitration action(as an
alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a
contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless
both parties'agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract;the contractor may submit the dispute to a private arbitration firm which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consinner shall be required
to submit to such arbitration as provided In Massachusetts General Laws, lzapter 42
Homeowner's Signature Contra or's attire
NOTICE:The signatures of the pat-ties above apply only-to the agreement o�the -ties to alive dispute
resolution initiated by the contractor: The homeowner may initiate alternative dispute res tion even where this
section is not separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A) and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a
timely and worlananlilce manner. Homeowners may be entitled to other specific legal rights if the contractor
guarantees or provides an express warranty for worlananship or materials. In addition to guarantees or warranties
provided by the contractor,all goods sold.in Massachusetts cant'an implied warranty of merchantability and fitness for
a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be
added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have
questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below).
(Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced
doctumnts have been attached. Parties are also advised not to sign the document until all blank sections have been
filled in or maxked as void,deleted, or not applicable. One original signed copy of the contract with attachments is to
be given to the owner and the other kept by the contractor. Any modification to the.original contract must be in writing
and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of
the contract, and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the.payment schedule in cases where the
homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself
to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said account would require the
signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other
consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the OCABR website at hitp://ww,,v.mass.gov/oc,:ibl•/
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the I-RC website at b=://www.tnass.gov/ocabtl
Go online to view the status of a Home Improvement Contractor's Registration:
ht- )://db.state.ma.us/homeimprovei-nent/licenseelist.asp
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800,508-755-2548 or 413-734-3114
Version 2.1-11/22/2010