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HomeMy WebLinkAboutBuilding Permit #704-16 - 66 COLONIAL AVENUE 12/9/2015BUI DING, PERMIT TOWN O NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 ' l6 Date Received 1 9 S Date Issued: EMPORTANT: Applicant must complete all items on this LOCATION t o Cain n i% l A V e- lV . A v, d a y e., - r Print PROPERTY OWNEI MAP NO: `a�, 2P M Print ZONING DISTRICT: Historic District yes Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE OWNER: Name: ive P Residential Non- Residential ❑ New Building ra.One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial EVRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other /� / V1 1 G Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer C or A 2 i l\. c hn w 5 l t v g Tyx t/tj r, /in ne_r•, ra a. I I kA/ u.11 S , Com; (;wr ci..v.d FIgol 01aI., I 1 C., S T_(" $ - �n �tg1 i A/'.t,w C ; X 1 v✓ - 5 4L aha ►nAi,C <-, Z-71 -e- c Te T Tc Cosi 2 Identification Please Type or Print Clearly) OWNER: Name: ive P �rjj e oL ,' r Phone:(On .l r_ Address: 1 vt vv iI v 1 t I S CONTRACTOR Name:/ _ Phone: cl7 J - v_' e- V � ✓ /� / V1 1 G � 0. Li d Address: 5-7 Go n C or A 2 - [1 R -,r I-c,A MoL v7l Fd Supervisor's Construction License:C S O g a1 a L/ Exp. Date: I_ -7 -aL QJ Home Improvement License: 13 (e Exp. Dae: Date.- -7_1-aol% ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ �1, O G O FEE: $ Check No.: Receipt No.: c2l ?5'4` NOTE: Persons contracting wiunr tend contractors do not have access to the guarantyfund Signature of Agent/Owner , /� /l � Signature of contractor ld_e g„',( BUILDINP.PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received Date Issued: /0.4SLED 1646�i/O� r IMPORTANT: Applicant must complete all items on this page I JLOC�A# ORN' ` PR®PE_R3T Z®NING� o ears rt uclure y;— j,enog MA,P, ___ __1PAmRCELL p ` �`''®ISTj_RICT iHstorc�®istrct �y�e�s; nQ:: _ - fAAarhina�.Sh`nril\"'Lllana� :vP�. riui TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other i gtSeptic �lWell tFloodplami ,;Wetlands; 0, Watershed®istr,�cfF� DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Cleary OWNER: Name: Address: Phone: FF,Coritracfor'Name'. ASupervlsor Home ARCHITECT/ENGINES Phone: 7 Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ EE: $ Check No.: Receipt N',).: NOTE: Persons contracting with unregistered cont>"actors do not he ve access to the guaranty fund S g'riature'of'AgeritlOvvne_r Signattare of,co.nfrac t ` r Location to e167 /0'i/ No. 6 L - �, Date Check # (� TOWN OF NORTH ANDOVER t Certificate of Occupancy $ Building/Frame Permit Fee $14 Foundation Permit Fee $ Other. Permit Fee $ TOTAL $ r Building Inspector Plans Submitted ❑ Plans Waived.❑ " C6.1ified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 m U FORM PLANNING & DEVELOPMENT -COMMENTS Reviewed On Signature CONSERVATION Reviewed on Signature ti COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Co Conservation Decision: Comme Water & Sower Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE,DEPARTMENT Temp+YDumpster onsite ,yes:., ` no,_ L►ocatedMaihf8treet FireiDepartment'sgnatureldate 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, 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 3 I Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products OTE: 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/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 New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan o 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 ATE: 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 _v U)• 10 C @ `••' p CD Z N CD o� Q �• y moa, vCD CL c 2 CD CD O W CD CD U• CL v � 0 y CO �D � v 0 1V z 0. o 0' CD O CD n Z tt N. O = O 2 D N -h < O N N O -yi "CDCCD n O 0�a.n 3 O S �� N 0 O CD N. rt -h =R m CD oo -1 o N C CD CL n CQUD • N r► W CD�� �: 0 a too CD o��� C co ~' O O CD n � cn rL ro�.�� cn c n: <CD m�•n o cn CD �� -v < CD N CD �c ♦r � � dl .C.) -t 01) y D0 CD x CD N o O ---w v_C CD 'o o ci A) o = = M N 3 7 fD o �p C. co O rD Z .Z7 O .m S T 7 °—' rn X O Deo S � � x O 0 S T �' °—' (� S 3 7 a cn T O = a - Drt' O N O ff < N T O a \ 0 O rn N Z cn rn O x z m D r 0 cn C °° Z G7 0 _ �rn 3 S ' oo O p Dm r = cn 0— Z o z �c O 70 -••I cn cn Z y m O O = O 2 D N -h < O N N O -yi "CDCCD n O 0�a.n 3 O S �� N 0 O CD N. rt -h =R m CD oo -1 o N C CD CL n CQUD • N r► W CD�� �: 0 a too CD o��� C co ~' O O CD n � cn rL ro�.�� cn c n: <CD m�•n o cn CD �� -v < CD N CD �c ♦r � � dl .C.) -t 01) y D0 CD x CD N o O ---w v_C CD 'o o ci A) o = = M N 3 7 fD o �p N '•*rD z O co O rD T 7 °—' .Z7 O .m S T 7 °—' N O rl• ro X O Deo S -n O Q1 x O 0 S T �' °—' (� S 3 7 a .Z7 O m S T O = a - Drt' O N O ff < N T O a \ rr v mm N Z cn rn O m D r 0 C °° Z G7 0 _ C ° z M A 0 3 S ' oo O p Dm r = QP Continental Window Company 357 Concord Rd. Billerica, Ma 01821 978-764-3353 Name / Address EMILY & GREGORY BOURBEAU 66 COLONIAL AVE. NORTH ANDOVER, MA_ 01845 Date %I -y;- 1 Estimate 9 Project Description Qty Rate Total DATE OF WORK STAMINATE 12-8-2015 BATHROOM WORK WILL CONSIST OF: 14,000.00 14,000.00 CONTRACTOR WILL DEMO BATHROOM CEILING,WALLS AND FLOOR DOWN TO STUDS AND SUB FLOOR. CONTRACTOR WILL REFRAME WALLS AS NEEDED TO CREATE NEW BATH DESIGN. CONTRACTOR WILL REINSULATE TO CODE. CONTRACTOR WILL BLUE BOARD AND PLASTER WALLS AND CEILING. CONTRACTOR WILL PERFORMED ALL TILE WORK AS NEEDED. CONTRACTOR WILL INSTALL NEW WOOD TRIM AS NEEDED. CONTRACTOR WILL INSTALL BATH FIXTURES AS NEEDED. CONTRACTOR WILL PAINT BATHROOM. JOB SPECS. COST OF ELECTRICAL WORK IS INCLUDED IN PRICE. COST OF BUILDING TYPE MATERIALS INCLUDE IN PRICE. COST OF TRASH REMOVAL INCLUDED IN PRICE. COST OF PLUMBING IS NOT INCLUDED IN PRICE. COST OF ALL BATH FIXTURES NOT INCLUDED 1N PRICE. COST OF TfLE,GLASS DOORS AND BATH FAN NOT INCLUDED IN PRICE. PAYMENTS WILL BE FOUR PAYMENTS DIVIDE EVENLY. CONTRACTOR WILL SIGN BELOW (GERARD MICHAUD) ,(GRA HOME 0 RS W L Sl N BEL6W — `� r1 I - 1 Total Page 1 Continental Window Company 357 Concord Rd. Billerica, Ma 01821 978-764-3353 Name / Address EMILY & GREGORY BOURBEAU 66 COLONIAL AVE_ NORTH ANDOVER, MA. 01845 Date Estimate # Project Description Qty Rate Total FIRST PAYMENT START OF JOB. $3,500.00 SECOND PAYMENT AFTER ALL ROUGH INSPECTIONS ARE SIGN OFF. $3,500.00 THIRD PAYMENT AT START OF TILING $3,500.00 FINAL PAYMENT JOB COMPLETION. $3,500.00 Total Page 2 $14,000.00 The Commonwealth of Massachusetts Department of IndustrialAccidents y 1 Congress Street, Suite 100 r tl Boston, MA. 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibly Name (Business/organization/Individnal): (J� ✓ o-� d �^ / C 1,.� Q Address: 3 5 7 C o n C ov d City/State/Zip: i'', l i l t- t LA ---J Are you an employer? Check the appropriate box: Phone #: T 7 419 am a employer with--:- •.L employees (full and/or part-time).* 2.F] I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. F] 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. FJ I am a general contractor and I have hired the sub-coiitractors listed on the attached sheet. These sub -contractors have employees and have workerscomp. insurance.t 6.FJ We are a corporation and ifs officgrs have exercised their right o£ exemption per MGL G. 152, § 1(4), and we have no. employees. [No workers' comp. insurance required.] 33 5 3 Type of project (Tgquired): 7. 0 New, construction 8. [] Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.0 Electrical repairs or additions 12.F] Plumbing repairs or additions 13.E] Roof repairs 14.E] Other *Any applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information. Homeowners who sulimif 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 , gave employees, tkey must provide their workers' comp. policy number. employees. If the sub-con$ac ors I am an employer that is providing workers' compensation insurance fog• my employees '.below is the policy and job site information. f Insurance Company Name: r t ✓ d rn' Policy # or Self -ins, Lie. #: (v (- , - s (p 3 ty l 0,�3 Expiration Date: �// ,� f✓ /�_ Job Site Address: -�— City/State/Zip: /l/e.11h A in i ✓ Attach a copy of the workers' compensation policy deelaration 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. I do hereby certify under the pains and penalties of perjar'y that the information provided above is true and correct. signature„ Date Phone 3 3 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 outer 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 b0 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 filtout the workers' compensation affidavit completely, by checking the -boxes that apply to your situation and, if necessary, supply sub-'contractox(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 fok 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 yo'u'are required to obtain a workers' compensatioil policy, please call the Department at the number listed below. Self-iii'sur0d 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-NUSSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia AC4 Ro® CERTIFICATE OF LIABILITY INSURANCE TE (MMIDDIYYYY DA 2/07/201 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER CONTACT NAME: Darlene VillaraS MERRIMACK VALLEY INSURANCE AGENCY INC. PHONE Ne 97s 667-2541 a EMAIL ADDRESS: dv*illaras@mvins.com INSURERS AFFORDING COVERAGE NAIC# 655 BOSTON RD #1A INSURER A: LIBERTY MUTUAL FIRE INS CO 23035 BILLERICA MA 08121 INSURED INSURER B GERARD MICHAUD INSURER C: DBA CONTINENTAL REMODELING INSURER D: INSURER E : 357 CONCORD RD INSURER F : BILLERICA MA 01821 COVERAGES CERTIFICATE NUMBER: 16413 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. _LTR" TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY MND EFF PMLICY EXP I YY LIMITS N Andover MA 01845 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE FlOCCUR DAMAGE TO RENT PREMISES EaoccuneD nce $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ NIA GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT F-] LOC I GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG S $ OTHER: AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LNABOCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR N/A DED I I RETENTION $ $ A WORKERS COMPENSATIONX AND EMPLOYERS' LU1BILF Y Y I N ANYPROPRIETORIPARTNER/EXECUTNE OFFICER/MEMBEREXCLUDED? [-NIA] NIA N/A WC231S365342035 04/25/2015 04/25/2016 SPER TATUTE OER El. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEd $ 100,000 (Mandatory in NH) If yyes describe under DESdRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMB $ 500,000 N/A DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage -Coverage Verification Search tool at www.mass.gov/lwd/workers-compensabonriinvestigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gregory Bourbeau ACCORDANCE WITH THE POLICY PROVISIONS. 66 Colonial Ave AUTHORIZED REPRESENTATIVE L r' N Andover MA 01845 Daniel M. Crowley, CPCU, Vice President — Residual Market — WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ,�� �/r� �a»rrirarrrueall� c��jj{r,;;rc•.. . Office of Consumer Affairs & Business Regulat, -rOME IMPROVEMENT CONTRACTOR egistration: 136279 Type ' Expiration: =< .71112016 _ Ind'nr;dua! GERARD MICHAUD GERARD MICHAUD 357 CONCORD RD. ` BILLERICA, MA 01821 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Pfaza - Suite 5170 Boston, MA 02116' a�_ Not valid without signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS -082124 GERARD J iacEk" _- 357 CONCORD RD3 s BILLERICA MA -701821, ` r Expiration 01/07/2016 Commissioner