Loading...
HomeMy WebLinkAboutBuilding Permit #337 - 66 MAPLE AVENUE 10/17/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 3317 Date Received Date Issued: ®" IMPORTANT: Applicant must complete all items on this page, LOCATION iF V► y Print PROPERTY OWNER Neiis/ V ti� Unit# Print MAP NO:_11PARCEL: ZONING DISTRICT: Historic District yes no -11--PARCEL: Shop Village yes no 100 year-old structure TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑AJteration No. of units: ❑ Commercial F'Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ ! DaSe tics q;Well� ❑Flood lain; OfWetlands A 0' WatershedfDistnct P>.. :_ �� . _ . a _.®'Water/Sewer:, DES�RI IO OF WO TQ�E PERFORMED: �w.bVY ¢- z� 0, T ( dent kation, Please Type or Print Clearly) OWNER: Name: Phone: Address: (.( CONTRACTOR Name: zlt%4jr LIL-C 7 Phone: J Address: 1'� Srlidlio Supervisor's Construction License: eS ���� Exp. Date: 5 Z Home Improvement License: ��� %8�Y — Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT--$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ l�f°�-��P FEE: $ vZ70b ©4� Check No.: ��� Receipt No.: a y � NOTE: Persons contracting with unregistered contractors do not have access to guaran f cl ,Signature of A'aent/Owner, Signature of_contractor i 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 Li Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 j o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract L3 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 submitted with the building application Doc: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ I Well ❑ T ❑ Tobacco Sales Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes f Planning Board Decision: Comments i Conservation Decision: Comments I Water & Sewer Connection/Signature& Date Driveway Permit j DPW Town Engineer: Signature: I Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department 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 i i ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi f Locationl� No. Date HpRTM TOWN OF NORTH ANDOVER 1 F t s * Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ + s�►cMust 9 Foundation Permit Fee $ Other Permit Fee $: TOTAL Check # D r: 24724 Building Inspector ACORO CERTIFICATE OF LIABILITY INSURANCEDATE (MMIDDIYYYY) 03/08/2011 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: Byfield Insurance Agency, Inc. (AIC"No, Ext): (978) 462-0833 (ac, No):(978) 462-2880 E-MAIL ADDRESS: P.O. BOX 400 PRODUCER CUSTOMER Lawrence LLC CUSTOMER ID A" � � Byfield MA 01922— INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A LIBERTY MUTUAL INS. Lawrence Hildebrand LLC INSURER B 30 Sheridan St. INSURER C INSURER D p INSURER E Woburn MA 01001— INSURER F_:_ COVERAGES CERTIFICATE NUMBER: 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. ILNR TYPE OF INSURANCE INSR WVD POLICY NUMBER M DDPOLICY EFF POLICY EXP ( NYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY / / / / EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE D OCCUR / / / / MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: / / / / PRODUCTS-COMP/OP AGG $ POLICY PRO-- LOC / / / / $ JECT F1 AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT $ ANY AUTO / / (Ea accident) ALL OWNED AUTOS / / BODILY INJURY(Per person) $ SCHEDULED AUTOS / / / / BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ HIRED AUTOS / / / / (Per accident) NON-OWNED AUTOS / / / / $ $ UMBRELLA LIAS OCCUR / / / / EACH OCCURRENCE $ EXCESS LIA9 HCLAIMS-MADE / / / / AGGREGATE $ DEDUCTIBLE / / / / $ RETENTION $ / / / / $ A WORKERS COMPENSATION C2-31S-374937-010 0/02/2010 0/02/2011 lam OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMIT XI ER ANY PROPRIETORIPARTNERIEXECUTWE / / / / E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Y NIA (Mandatory In NH) / / / / E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below / / / / E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 8 more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Lawrence Hildebrand AUTHORIZED REPRESENTATIVE ACORD 25(2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(2oo909) The ACORD name and logo are registered marks of ACORD � The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly i Name (Business/Organization/Indiviiddual): �z�f?�LZ i cid Address: 34 zP c�(4t1 City/State/Zip: 1 �uy,t./ Phone#:__7 8l 2Ffi Are you an employer?Check the appropriate b Type of project(required): 1. El am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling 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 10.0 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.] I employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. I do hereby certify der :e pain a p ties of perjury that the information provided abo a is tr a and correct. Si nature Date: Phone#: ?/( 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#: 4ORTH ToVM of over0 . � % low ` - o dover, Mass., �� T • CAKE I. GOC MI C.. ICK V BOARD OF HEALTH Food/Kitchen Septic System PERMIT D BUILDING INSPECTOR THISCERTIFIES THAT..........a....................... ......................................... ........ ............................................ Foundation /-�90AW.has permission toerect......................... ..... ..... buildings on ... ..... ........ . ..... .. ... ... . .................... Rough wr� . . t0 be OCCUpled as................................ .......... �. .......... ....... Chimney .. . .. . . . . . provided that the person accepting this pe it shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteratiorr and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final (3 PERMIT' EXPIRES IN 6 S ELECTRICAL INSPECTOR. Ivasoft �WL UNLESS CONSTRUC Rough ........................................................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. I Burner Street No. SEE REVERSE SQDE Smoke Det. Coeh riwc iviewcare iAuvanzagurra,,,z (Health New England) ##g Medicare HMO Blue (Blue Cross Blue Shield of MA) ## X) Medicare PPO Blue (Blue Cross Blue Shield of MA) ##X) NaviCare (Fallon Community Health Plan #8 Senior Whole Health 41 Tufts Health Plan Medicare Preferred (Tufts Health Plan) 4S r Medicare Card Number # I give permission to bill my insurance comps (Signature of person to receive vaccine or that person's gL X h For Clinic/Offic �:���t^ Vaccine name: Injection site: tatoV S given: Vaccine manufacturer: �_ �f1 • GVacc Name and title of vaccin RA&AHAN, R.N. Clinic/office addresNORTH ANDOVER HEALTH DEPT, Seasonal Influenza Forms—MAHPT1@@@dS-hgt Program 26 Building 20, Suite 2-36 C North Andover, MA 01845 l P. 1 Communication Result Report ( Oct. 28. 2011 9: 01AM ) 2) Date/Time : Oct, 28. 2011 8: 59AM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 3894 Memory TX 17819373157 P, 1 OK ---------------------------------------------------------------------------------------------------- Reasonfor error E. 1) HanB u or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size -N auaunr R100H € by LARRY HOAESRAND 30 Sheridan Street A DIVISION OF FERRANTE CONSTRUCTION Woburn.h01 Ot 801 757.799.9711 °• o3 csoeNs fld ~ IanyTildahraed®.edzonnet ¢wZ P�e7'RwMaty t..y lnlak..µnvd.Jh.rlmedm.."Camnar.bvdy.mp.omnadd momrrtaar.lr.w lkv mmw.m.wta.d4j N. .be..p.mim b•na4.�aaatvdA..mba.m.dr m.ra.mrmybke Poervlpp enr.mmidarn.dy...irime a tlreJtAen.11M vai.ndq.mreJeb b bark CAPREX FactoryCertified ManterSlits Roof InetallationI dlaEa+�bt°"'AumrfficFmncma'd;Ipo�afdrthuhvcvilFpm.idc__._.__...___..�__...-___. We wiHmdic•r9''au.nrlepetraSorvFehmg�uP•�Fahe�aFCIY�----__.._.__ C[_ 't}A6tlt'^t&►aLyaucpepfr�.e&valkYP-gsaril4Lielel4GAF-N'••a_,_,w^wh�� ---_ � }As14si'4LLts^4Ye��.frovwaod-rkswewi0iuetd}�P¢ecnhod.MiM+dHe e,l f,�--_. � --�AtaLLedgesu€.Yu¢IuuSaawiLLmvroll.C.AEt4ag yaltr.lmaafimL�.vinde __- - Y ' 418e1WLiRiCe••a.ae..b�h � Atmeippetioe of rintioa�letely"�RedP•dy ofdlrou{���ddauis._._—�_x��_. ..__.(,�_.__ 7aWemtvmtndmelllebe¢,melulule,yemBad'e�unlu ahmx, '�'��,��� QrNt: n 4Y tl 3/�s �rY�� 77V Ul1twYi � N�� tm.lratp.ele.er.ayreaem.a aa.lew..nt.srfwp�m.rb.r.r.� 7 ¢Paymmk CanV.NmP�vpwab rf.n.de.Wore..d,h.4Jwtte.q.e6ebo...dlmdcd..L'®pu.>.m m.M Imdc�h�BF 1'( r.tramara /�,$y$.60 O...rP•r.rtlP�rl► d�.ft+ Pd l ANQU 1. n.1.Pee. 1ec1.. .oa ey 0n.ea-P---4t of l ewlca z.c drdra.. •33 z. D dd ^eayre.t aben-c.ch.lees 00 3 ,� calnmr. 4. yrs R acr.w,.a„rr.rd CvvWltlw rlNwlc SLMriJ mamrommdeu bdJl.r®Jtiv av �����^� � y-�o=7� 3 pv.m.wrce dyld¢uddrll hrrvbjadbnlWmrRbddfHmP¢PmJion(3lm4nwsridcdOi.pmyu�ieWmp.ar�-,dm.tet.4 xm Ae pimn4m Appmfem.b emd 0.1: A'ppan.Y e;arepbeat 0.ryt 11mp.�ThhPmDvu1v gpra.d.ad�p..0.1(^a)vJvr¢d Nva am card Bacvtmn r.vdv.ey6 .d.mn Ne ie.q.nalJem,p4r(7.pJ W'P'J.adv.inkip�..¢abeemee � Duna(Nlr.Pmvvd Thaaninr �a^h•,ariN¢.w,svmm•Jmban v.da..atwa.r;mrrmNmJd�e., ar.m Nanl+�amv+inkh.e�..a»im.n h.dr.bi.aamab.aea NAddffl oo t.�a7— =b Prwr' "neaAl.arrn.w..,..�u.ANewye.ca.nnxeansbhr�ueltP.wfe..Pw.m.nm.ca hra W /n.alplleg Aged"Adlhre8olp dM t Oltpube^pmNJrwp.B•a.e tUprAtr td end the NOaCEfcA Mn aea ermhl.d"yeutgn¢[k.umbra.ttl.nvncE.hw.tw�.a.a.Ienbeuaam.pi.mmlEAc"caprerw.c MMVL 00 NOT 5 ff 711EAE ARE AN B�LAJpI1(SP may cartel Mh e8r.emaa"h hu hcr.Ign.d Ery a parer 9��az �� melnANc.aW.A 89 addeeaafl7r'.aliv.xhlah.W hoaUwbfn arrld.p.t bb nmin cLLlea a�hnSn dmf m ji telee��rme tab dellraryn.t later 0¢n mtd.118 dt Id hualnw def htteMnl ete eteub8.f On eple.melR See eLLached nkatdcciglhpeeterme.ptanadanalhhd¢A .e.E Thb �Jd.horn Fwm RPGC � anr.Ppr...d„rr mdby b.lh dlr. c.PyryroelasswdeacrcaaimJa, 779 M a..m_Trr .N:.P�f `'13,1�'�sstc.�fx�" r kkep—r_ SW/X� QUALITY ROOFIN � - r - by LARRY HILDEBRAND 30 Sheridan Street A DIVISION OF FERRANTE CONSTRUCTION Woburn, MA 01801 °�^"• 781.789.9711 �Y 61 •�r owner.no cad. ,,,�,,,, work Pharw CS090389 ;J �f--' larryhildebrand@verizon.net Raert Pr:=01�_B Project ZIP Code Project Phorr Dab J4�Z y Quality Roofing by Larry Hildebrand,hereinafter referred to as "Contractor ,h C - -the proposes to furnish to Owner all materials and labor necessary to roof and/or i rove the above premises in a good,workmanlike and substantial manner according to the following terms,specifications and provisions: a Description of the work and the materials to be used: GAF ELK Factory Certified Master Elite Roof Installation! Use-tarps-to-protect home 8t -propertyfrortrshingtt;removat-8tinstallation.------------------- -------------- --_.._...- -- .-------... - ----- Remove-all-old-shingles-frvmthe-home-and dispose of in-dumpsterthat-we-will provide:- — T� roof declt Wtwill-make-MY minff-Mpaimfree-of charge,u to-f-shcaof ------------— -------- m'8 P- plywood ----------- - —1-}-At-theedgeof-your roof,-&all-vallays--wewil�install-GAF-Weather-Wateh---IceB�Wate»Shi id ------.- --- y -2}At-lhoedges(,lryour-roof,eavea-and-rakes•we-wilLinstalfrpremium-dripedge.-- ---4.Atall-edgesofyour-roofwe-willinstall.GAFProStart-to-pmtertyourhome-frorn-high- -- - —__3)-InstallGAEShingle-.Matc.R.00fDeck 1totecbreathable. - ----- ---_--_ tdBo.Year.ArcWtecftm shingles�.Colo 511wWLGAF_Gm wRidgc_Yent_— �Ip_ _itll AFd aa�Shingles_.- --Atcompletionofstallation completely cleadproperty of all roofing related debris. Total cost includes all labor,materials,permit&disposal asdescri above.. b.Desc ptlon of anyareasareas that will NOT be worked on: 41 {k— ,�r0vc w� � �1 S �kr�tullr+ (��c►�o�Z J _ d orC� � � " ' �\sC This list of spsclfice ons may be comms on subsequent Pays(see pope number below). �+1 C.Payment:Contractor proposes to perfo�r/mp the above work,(subject to any additions and/or deductions pursuant to authorized change or ),`f t e Total Sum of S Down Payment(H any)i 60 e PAYMENT DUE NHEN AMOU PAYMENTS To BE MADE IN INSTALLM 1. Balance u on Com letion f ,Q By check upon receipt of invoice for draws as 2, U e _..7 � described under "Payment nue /When" to the left 3. J (� )7�- �i®a column. RWer' ROO 6, 43 CL Commencement and Completion ofWork: Substantial commencement of the job shall mean either the physical delivery of materials onto the premises or the Performance of any labor and shall be subject to any permissible delays as per provision(3)on the reverse side of this propossyconhact. Approximate Start Date: Approximate Completion Date: e.Acceptance:This proposal is approved and accepted I(we)understand there are no oral agreements or understandings between the parties of this agreemem The written terms,provisions,plans(if any)and specifications in this proposal/contact is the entire agreement between the parties.Changes in this agreement shall be done by written change order only and with the express approval of both parties.Changes may incur additional charges. NddAdditional siOwner tes ofThisis ProposaMontract Ars On The Reverse Side And May tae Continued On Subsequent Pages(see page number below).Read provision.K you page orb before signing.Read"Arbitration of Disputes-provision on page two(2),provision 10 and the NOTICE following this Y ag ,sign on the line below the NOTICE where indicated Also,sign in the same place on EACH COPY of this contract. DO NOT S THIS TRACT IF THERE ARE AN BLANK SP u may cancel this agreement if it has been signed by a party reto at a place other than an address of the seller,which may be Is main office or branch thereof, provided you notify the seller In writing at his main office or branch by ordinary mail posted, by MW- tial: telegram sent or by delivery, not later than midnight of the third business day folloyAng the signing of the agreement See attached notice of cancellation for an explanation of this right 3P,"d ta„bador1 d �/ NOTE:This proposal may be withdrawn after_days from N not approved and signed by both parties. Form RPC-C Copyright®1996-2008 ACT Contractors Forms(800)820.5656 www.caliorm-corn Pag one of�_Total Pages y � ho -et 4 G�,,sYr ��� � ,� z �' -3 x �,5 XWA /11 XI \ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Tyle: Registration:,,*.148422 Individual Expiration: 4i22/2013 LAWRENCE HILDEBRAND LAWRENCE HILDEBRAND� 30 SHERIDAN ST. g WOBURN,MA 01801` , ,;`"r_> Undersecretary '- Massachusetts - Department of Public Safety Board of Building Re-ulations and Standards Construction Supervisor License License: CS 90389 Restricted to: 00 LAWRENCE HILDEBRAND $ On 30 SHERIDAN ST WOBURN, MA 01801 Expiration: 5/24/2012 ('ummissiuncr Tr#: 25646