HomeMy WebLinkAboutBuilding Permit #804-13 - 59 MAIN STREET 5/28/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: 7i
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT
PROPOSED USE
5 S e It H
e+-+- c k Phone: I% 6"
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Al ration
No. of units:
❑ Commercial
iQ,Kepair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
®ISep its O�WeI i �'�1Floodpla
n) ��Wetlands�
v
��WWatershedDis rt ict
r
DESCRIPTION OF WORK TO BE PERFORMED:
:i � �J �-i- '�� �e Tf\S4 /lrtA ov— eAS4,ijvo cA
New Ced.— 5 4, 4,1) 7-,> is
Identification Please Type or Print Clearly)
OWNER:
Name: -Ku
5 S e It H
e+-+- c k Phone: I% 6"
Address:
2 81 (4
L4 --en ce, M F} a l 4 /
=CWNTRAC,Ri Name t` J S.4o %�e:� e - s� rL :_ Phone 3-6 3 /,5'
n
A�ddrew Y f`;� Ss t.. S f- /het► r�, rpt _ (� (�
Supervisor'sConstructon�License•;Exp?, -�_
ARCHITECT/ENGINEER
Address:
Phone:
Reg. No
FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ �,0 0 - FEE: $
Check No.: J'7qJ _ Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
8i nature _of Agent/Ovvne6it
� naure of contractor9 t' g _._.,d
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
I/
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE.DISPOSAL
Public Sewer ❑
Tanning/Massage/BodyArt ❑ ..
,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
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
a
DATE REJECTED
U
DATE APPROVED
.❑
Reviewed on Signature
Reviewed on Siqnature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connection/signature Dafe Driveway Permit
_ DPW ToivA! Engineer: Signature:
Located 384 Osgood Street
FU E DEPA_F2TMI�'Nf - Temp Dumpster on siteyes - no
Located at ,124 Main Street
Fire Depar ..mer t�signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, roast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A -F and G min.$10041000 fine
NOTES and DATA — (For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
`rine fol owing is a list of the required forms to be filled out for the appropriate.permit to be obtained.
Roofivg, 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
MOTE: 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/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
Li 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 apt. al 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: Doc.Building permit Revised 2012
Location 101 HAn--j S-kP P
No. --S Date J
Check #72
26441
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
..r
'VERMONT MUTUAL GROUP
Ix 89 State Street, PO Box 188
HCl Montpelier, VT 05601-0188
Policy Number: BP11036349 - NEW POLICY
Named Insured / Address
RACK REALTY LLC
281A BROADWAY
LAWRENCE, MA 01841-3509
POLICY PERIOD From 05/09/2013
`Standard Time`at your mailing address shown above.
INSURANCE PROVIDED BY: VERMONT MUTUAL
TOTAL POLICY PREMIUM at inception is:
BUSINESSOWNERS POLICY DECLARATIONS
To report a claim call your Agent
or the Company at 800435-0397
Type of Billing:DIRECT BILL TO INSURED
Agency / Address
NO. ANDOVER INS
163 MAIN STREET
NORTH ANDOVER,
AGENCY, INC.
MA 01845-2508
D05/09/2014
686-2266
To 12:01 A.M.*
IN
$2,951 and at each anniversary.
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE
INSURANCE AS STATED IN THIS POLICY.
BUSINESS DESCRIPTION
Form of Business: LIMITED LIABILITY COMPANY
DESCRIBED PREMISES
Prem. No. Bld . No.
Location/Occupancy Location/OccupancyMortuacieholder
Name and Address
001 001
CANDY STOREWITH,::2APARTMENTS,` (See
Schedule of Mortgageholder(s) -
59-67 MAIN -ST BPDEC5 - If Applicable)
NORTH ANDOVER, MA 01845
PROPERTY - Limits of Insurance for
BUILDINGS
$ 955,000
• Actual Cash Value - Buildings Option (YIN)
N
• Automatic Increase - Building Limit (pct.)
4%
BUSINESS PERSONAL PROPERTY
$
EARTHQUAKE DEDUCTIBLE (pct)
%
DEDUCTIBLE $ 2,500 OPTIONAL COVERAGE/EXTERIOR BUILDING GLASS DEDUCTIBLE
$ 250
OPTIONAL COVERAGES - Applicable only if an "X" is shown in the boxes below:
1. []Outdoor Signs
Limits of Insurance
$ per occurrence
2. ❑ Tenant's Exterior Building Glass
$
3. Interior Glass ❑ Basement/ground floor level ❑ All Floors
included
4. ❑ Employee Dishonesty
5- ❑ Money & Securities (Special Form Only)
$ per occurrence
$ Inside the Premises
$ Outside the Premises
COVERAGE EXTENSIONS
1. Optional Higher Limits - Accounts Receivable
$
2. Optional Higher Limits - Valuable Papers
$
ADDITIONAL COVERAGES Optional Higher Limits - Forgery and Alteration
$
LIABILITY AND MEDICAL PAYMENTS
Except for Fire Legal Liability, each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period.
Please refer to Paragraph D.4. of the Businessowners Liability Coverage Form.
Limits of Insurance
Liability and Medical Expenses $ 11000,000
Medical Expenses $ 5, 000 Per person
Fire Legal Liability $ 50,000 Any one fire or
ex sion
FORMS / ENDORSEMENTS 8YAf&HED TO THIS POLICY: (See Schedule of
Endorsements - BPDEC4)
COUNTERSIGNED BY £^
(DATE)7NPOUCY
HORIZED REPRESENTATIVE)
MTHESE DECLARATIONS TOGETHER WITH THE COVERAGE FORM(S), COMCONDITIONS, FORMS AND .ENDORSEMENTS, IF ANY,
ISSUED TO FORM A PART THEREFORE, COMPLETE THE ABOVE NUMBERED POLICY.
Includes copyrighted material of the Insurance Services Office, Inc.
Copyright, Insurance Services Office, Inc., 1997
BPDEC1 01/10 INSURED COPY 04/10/2013 (TREP)
The Commonwealth of li?-assachusetts
Department o f IndustriglAccidents
Office of Investigations
600 Washington Street
Boston, MA. 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builtiers/Contractor8fElectricians/Plumbers
Applicant Information Please Print Ledbiy
Name (Business/Organi'zation/individual):C \a�l
Address: +t(<n fon 54 -
City/State/Zip: M c+((.� 1 M FJ 0 (� tl `t Phone #:
Are you an employer? Check the appropriate box: -
Typo of project (required):
1. ❑ I ap a employer with
4. ❑ I am a general contractor and 1
6. ❑ New construction
ployees(Rilland/orpart-time).*
have hiredthe sub -contractors
listed the attached sheet. t
7• ❑Remodeling
2., I am a sole proprietor or partner-
ship and'have no employees
on
These sub -contractors have
8. ❑ Demolition
working for me in any capacity.
workers' comp. insurance.
9,D Building addition
[No workers' comp. insurance
5. ❑ We are a corporation and its
10.❑Electrical repairs or additions
required.]
3. ❑ I am a homeowner, doing all work
officers have exercised their
right of exemption per MGL
11.0 Plumbing repairs or additions
ofrepairs
myself. [No workers' comp.
c.152, §1(4), and wehave no
12 (
insurance required.] t
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 Ere doing all work and then hire outside contractors must submit anew 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 1s providing workers' compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name: _rLt 0 S
Policy # or S elf -ins. Lic. #: S� ,S �p `] SS Expiration Date: d 2 Z/
Job Site Address: _f;l 0 M w f n .s f City/State/Zip: A) i On ka , a M A O 1 '�_ k•-(—
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 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 maybe forwarded to the Office sof
'Investigations of the DTA. for insurance coverage verification.
X do hereby cerfify under the pains andpenalfies of perjury that the information provided above is true and correct.
S/Zg-113
Phone #• t % i_' 3W " S3 / �_
Official use only. Do not write in this area, to be completed by chy or town official.
City or Town: PermitMcense #
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 Instruction -8
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 em
ployer'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 -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 carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit maybe 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 (ifnecessary) 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 bum leaves etc) 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 not hesitate to give us a call.
The Department's address, telephone and fax number:
The Con .oawoaltl of Massacl�v..setts
Dep.adwent ofzndustrlal Accldonts
OfRce of 1"Ostigations
600 Was toga. Street
Boston , 02111
. Tel, #617-727,4900 W406 or l;-g77,MASS.AF'B
Revised 5-26-05 Fax # 617-727-774'9
i S 'k Con
This form satisfies all basic requirements of the slate's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard
language to protect homeowners. Seck IegaI advice if necessary. Any person planning home improvements should fust obtain a copy of "A
Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the
Office of COnsunoexAffairs andBusiness Regulation's ConsumerinfoimationHotlinOat 617-973-8787 or 1-888-283-3757 or on ourwebsiie.
A _ lffnmPnwn .rJ'nfn7.nto,;,M
���•��� -Ul uoLuu Uuc woncto completed, specifyingthe type, brand, and grade of materials to be used, use addifional sheets ifnecessa .)
.New Cap(ar y 4c*IJ
Required Permits -'The following building permits are required
and will be secured by the contractor as -the homeowner's agent:
(Owners who secure their own permits :will be
excluded from the Guarantp F.nd provisions of
MGL chapter 142A.)
Proposed Start and Completion Schedule - The following schedule will
be adhered to unless circumstances beyond the contractor's control arise
Z �ko Date when contractor will begin contracted work.
ILID—Date when contracted work will be substantially completed.
lotaT Contract Price and Payment Schedule
The Contractor agrees to peT-orm•the work, fuinishthe material and labor speciixed above for the total sum o£
Payments will be made according to the following schedule: i
goo
$ upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is
greater)
$ by / or upon completion of
$-------- by / / or upon completion of
$ 200 upon completion Of the contract,
(Law forbids demanding full payment until• contract is completed to both party's satisfaction) .
The following material/equipmentmust be special $
ordered before the contracted worIc begins in order to be paid for
to meetthe completion schedule.(**) $
to be paid for
NOTES: (") Including all finance charges (**) Law requires that any deposit or down payment required by the contractor before worlcbegins 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.
pattySubcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of Iftl any third contract
/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for
material and Iabor under this a Bement
Contract Acceptance - Upon signing, this document becomes abinding contract under law. Unless otherwise noted within. this document, the
contract shall not implythat any lien or other security interest has been placed on the residence. lowing cautions and notices
care-Szily before signing this contract. Re-ai, N the fol
o• Don't be pressured into signing the contract. Take time to read and fuliy understand it. Ask questions if something is unclear.
ub ce sure the contractor has a valid Home Im rovement 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 ParkPlaza, Room 5170, Boston, MA 02116 or by calling .617-973-8787 or 888-283-3757.
Does the contractor have insurance? Athe Contractor for his i
see a copy of a "proof of insurance" document. nsurance company information so that you can, confum, coverage, or ask to
o Know your rights and responsibilities. Read the Important Infonnation on the reverse side of this form and et a co
Guide to the Home Improvement Contractor Law: g copy of the Consumer
You may cancel this agreement if it has been signed at a place other than ontractor's normal place of business, provided you notify the
third business day following the signing of ththe c
contractor ewriting at his/her main office or Branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the
business agreement. See the attached notice of cancellation form, for an explanation of this right.
D® NOT SIGN TMS C®NTRACT g' TIMIL
Two identical copies ofthe contract mu be completed and signed, Otte c ART. 3BLAMT, SP.A.CES 11!
opy should go to the homeowner. The other copy sho1gdbe Iceptbythe contractor.
I�P� Homeowner's SignatureContractor'sSigna
'Date
Date
cCouuiracior Arbft ration
The Home Iroapiovement 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 affordedto a
contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner.in court unless
optional provided below. This clause would give the contractor the same right to
both parties agree to the optiona
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 fi -ra which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required
to submit to such arbitration as.provided In Massachusetts General Laws, chapter 142A..
i6t� Nt.Unii� • ,
Homeowner's Siguattire ,
ontractor s Signature
NOTICE The signatures of the pau-des above apply only -to the agreement of the pm -des to alternative dispute
resolution initiated by the contractor: The homeowner may initiate alternative dispute resolution even where this
section is not separately signed by the •parties.
Homeowner's Rights
A homeowner's rights under the Flome Improvement Contractor Lew (MGL chapter 14.2A) 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 exchuded'aom all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a
timely and worlananlike manner. Homeowners may be entitled to other specific legal rights if the contractor
guarantees or provides an express warranty for worlamnship or materials. In addition to guarantees or warranties
provided by the contractor, all goods sold•in Massachusetts tarty 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 tena.s 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 du licate and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document tw.til all blank sections have been
filled in or marked 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 uuutil 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 ontlae.paytuent schedule incases 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 joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of fiunds :from said account would require the
signatures of both parties.
Additional Woarmation
.If you have general questions or need additional in format ion about the HomeImprovement Contractor Law or other
consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Horne Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Roam 5170, Boston, MA 02116
617-973-8787, 888-283-3757 or'visittile OCABR website atl ://wwtiv.mass Dov/ocabr/
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 IRC website at 11ttn://www mass gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
hit 7r//db.state maus/ho7neim��rovement/licenseelist asp
For assistance with informal, mediation of disputes or to regisf er formal complaints against a business, call:
Consumer Complaint Section
Office of the Attorney General.
617-727-8400
AND/OR
Better Business Bureau
508-652-4.800, 508,755-2548 or 413-734-3114
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for planning purposes only. It may not be adequate for legal bounds
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definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER
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MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING
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OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT
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ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
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THIS INFORMATION
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Massachusetts - Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS -087832
CHRISTOPHER 44URTRICH
48 ATE INSON ST -;
Methuen MA 01$-44i `
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!72, Expiration
commissioner 04124/2014
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