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HomeMy WebLinkAboutBuilding Permit #546-2016 - 69 HEATH ROAD 11/12/2015Se,11AI&P Q BUILDING PERMIT c %; ._ oik\ TOWN OF NORTH ANDOVER .� APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received '� ,... - •> '` pq ca �r• ` ACH Date Issued: �� 7/ �9SSUS IMPORTANT: Applicant must complete all items on this page LOCATION flegfk aa� Print„ PROPERTY OWNER Pao l a►vld A MY FP- 75a >n Print MAP N f�� PARCEL: ZONING DISTRICT: Historic District yes NO Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )(One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial V Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer ao d1 OWNER: Name: Address Identification Please Type or Print Clearly) Pa o I a,A my Fe f --j vsoh Phone: CONTRACTOR Name: Phone: ( 17X) R,99 • g yYC �1h we 0 Cu-sfo w B., i r� U Address: 36 d X i(e y r v►c a c �L �J� (. n Lw re aP YV( l� O t Y 4 Supervisor's Construction License: Exp. Date: C5 - 0,6 2.2-3 oa Home Improvement License: Exp. Date: 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: $ o2/t (9FEE: $ 0-`5 -- Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have a es a guaranty fund Signature of Agent/Owner a,- Signature of contractor A.14 ,�✓►v�'eG3(�"a f 14 4 e Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS Signature. CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRGPAMENT a Temp, Du_mpste.r on site y E D_RUTes; .. +Located.at 12'Main Sfreet; Fire Department 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, 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 Doc.Building Pennit 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 NOTE: 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 o 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 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 Li 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 VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 Location No. Check #4 25610 Date Z `7 TOWN OF NORTH ANDOVER t Certificate of Occupancy $_ d Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ J Building Inspector O N= < CD -0 O > CD C 0 CD n • 0 0 CLC vs Z o = - OA cn m .� N S. p 00 CD: C 2 r N to N rt (D oo r+ mC n z �, c S. CD CD O-0 Z Z-0 CL :3 = _ fA• O bCn�_ ' •0 = - CL cl) Z CD cc= _ ' �• O m 0 " C� � cD co �-i � � CD 0 CL cn C=L CJD Cr tyZ CD CD (D U) O C U) —1 c � ^ co b —1 On o g '� :S c Er f: 1, CQ �D tiCD � O C �, x ' 0 rt CD O CD � : �+: CfD C Z F�_ Z < n 0 03 CD �i 0 CD= 0 0 A� • CL vs VI 3 o N 0 rte! (D rt 0 co c 3 (Dz -n m D -ZiO T �' m o � D N T �' V1 rD < :D o opo m m A m 0 T �' m o arc C W m 0 T �' a n s 7 rD w o S T o p C r Z N m N rD Ln <ID D T 0 Q n rD 0 00 D :0 OT 2 m D 2 CONSTRUCTION SERVICES AGREEMENT (short form) Where the basis of payment is Cost of the Work plus a Percentage Fee Contractor; Owner: Date: Howell Custom Building Group, Inc. Phone: 978-989-9440 Paul and Amy Ferguson October 28, 2015 360 Merrimack St. Bldg 5 License: CSL 068232 69 Heath Road Pro'ect: Lawrence, MA 01843 License: HIC 175166 North Andover, MA 01845 Ice Dam Repairs I. PARTIES & DATE OF AGREEMENT This contract (hereinafter referred to as "Agreement") is made and entered into on this Id'h day of October, 2015, by and between Paul and Amy Ferguson, (hereinafter referred to as "Owner"); and Howell Custom Building Group, Inc., (hereinafter referred to as "Contractor"). II. SCOPE OF WORK, PAYMENT & TIME A. SCOPE OF WORK: In consideration of the mutual promises contained herein, Contractor agrees to perform the Work as described in the attached 3page Scope of Work & Specifications dated October 14, 2015. B. PAYMENT: Owner shall pay Contractor for the cost of Contractor's labor (per the attached rate schedule), plus the cost of materials, equipment and subcontractors at Contractor's cost plus 20%, as required to perform the Work of this Agreement, not to exceed $23,250. C. TIME: Commence work on or about November 2, 2015 and achieve Substantial Completion of all work in this Agreement on or about November 27, 2015, not including delays caused by: inclement weather, accidents, additional time required for performance of Change Order work (as specified in each Change Order), delays caused by Owner, and other delays beyond the control of the Contractor. III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE A, PROGRESS PAYMENTS: Contractor shall submit invoices to Owner approximately every two (2) weeks and /or upon completion of the Work, at the Contractor's discretion. Owner shall make payments within five (5) business days after receipt of the Invoice by Owner. Payments due and unpaid under this Agreement shall bear interest from the date payment is due at the rate of one and one half percent (1-1/2%) per month. The Owner shall be responsible for reasonable attorney's fees incurred by Contractor in collecting any sums due hereunder. B. COSTS TO BE REIMBURSED: The tern "Cost of the Work" shall mean costs necessarily incurred by Contractor in good faith and in the proper performance of the work. The Cost of the Work shall include: 1) Cost of Contractor's labor including supervisory labor, 3) cost of time spent picking up materials and transporting to the job, 4) cost of subcontractors, 5) cost of materials incorporated into the Project, 6) cost of permits and fees, 7) cost of equipment rental, 8) cost of portajohn, dumpsters and trash removal C. COSTS NOT TO BE REIMBLRSED: 1) Office salaries, 2) office expenses, 3) employee taxes, insurance or benefits (these are included in Contractor's labor rates), 4) commuting time to and from the job site, 5) vehicle expenses, 6) cell phone expenses, 7) tool purchases or repairs, 8) correction of defective work due to the fault or negligence of Contractor. D. LIMITED WARRANTY: Upon final payment by Owner of the entire Contract Sum including all change orders (if any) due to Contractor, Contractor warrants to Owner that the Work performed under the Agreement is free from defects, not inherent in the quality used, in materials, equipment and workmanship for a period of two (2) years after the date of Substantial Completion. E. ENTIRE AGREEMENT: This Agreement represents the full and complete understanding of every kind or nature between the parties with respect to the services set forth in this Agreement, and all preliminary negotiations and prior representations, proposals and contracts, of whatever kind or nature, are merged herein and superseded hereby. F. OWNER'S 3 -DAY RIGHT OF RECISION: Owner may cancel this agreement with no further obligations by notifying Contractor in writing that they wish to cancel the Agreement within 3 business days of the date they signed the Agreement. I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. A� Dat t Stephen D. Howell, President Howell Custom Building Group, Inc. Date Owner i^. S Dat6 ner Page: 1 of 1 Initials:J)) / OF /A E CD Q O N N O r ❑ ❑ b ►� N r.-1 00 J Q\ CII A W N � x � fJi A W N� O� 00 J O� CII A W N ►+ O� C N C _ p, O O O OO O 110 o O CD CD 0 O CD CD CD a G o CD` y O x � o a 00 A �.A N O O 0 0 - ; F -I I �1 W �l In 00 �O to •A O O O O i ft fD O cn rn A7 t 0o O I 1 I 1 I 1 1 O • S N F y A W W 00 0000 J� O 00 Ch N lh th A I-' 0 00 p O Oo •P I"1 O O J w � W O I 1 I J 1 O � I I I 1 I I 1 I I •iJ O O S R O O O � r O O C I 1 ... I 1 1 ... I I 1 1 W k K 1 I I 1 I 1 1 I 1 I I 1 1 1 I I 1 1 O O H ,O 000 00 n O O -1 -j ZA W I--1 �O w A O 00 (A N VI W W (A W W A O N ON 00 �O O 00 A -j r+ W 'z A O I 1 I J I O 00 I 1 I 1 F+ I 1 (\ 1 I I I 1 I b N I -- N C f - W Hr --j - O\ — CII - F+ I - r+ O x ❑ ❑ IMA n W The Commonwealth of Massqchusetts z . Department of IndustrialAccidents 1 Congress Street, Suite 100 v Boston, MA 02114-2017 www.mass.gov/dia Sys Workers' Compensation Insurance Affidavit: Builders/Contractors/Elpetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ,J Please Print Legibly Name (Business/Organization/Individual): J We- CU 546rY1 1 �V1 ro U Address: 34 4 MEY'X'l..j/YiCiCk ST 01gq5 City/State/Zip: k-0 LA -)K e Y1 W_ J� Phone #. 7'd �l �� 'f Lf() Are you an employer? Checktheappropriate box: Type of project (required): 1.❑ I am a employer with employees (full and/or pari time).* %. Q New construction 2. ❑ 1 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity. [No workers' comp. insurance required.] 9. F1 Demolition 3. ❑ 1 am a homeowner doing all work myself, [No workers' comp. insurance required.] t 10 [] Building addition 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 11. ❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5. ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. 13. Roof repairs These sub -contractors have employees and have workers' comp. insurance.# 6. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Q Other ICE -ah I ✓t Fo11 1 152, §I(4), and we have no. employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 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. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub-conlraci6rs have employees, ley must provide their workeis' comp. policy number. I am an employer tl:at is providing workers' compensation insurance for my employees.' Below is the policy and job site information. Insurance Company Name: A l 114 m V `1 U ed —T—v15 C6 Policy # or Self -ins. Lic. #: £ CC pp y ©/Opfo �6) ao I Y Expiration Date: Job Site Address: to I ale 4+ 2(/t city/State/zip: �Jwk A ad 6 of r m,• o Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration datg). 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 andpenaldes ofpefjury that the information provided above is true and correct. 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=contractors) name(s), address(es) and -phone numbers) 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 fbi 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 Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 wwwmass.gov/dia HOWEL-1 OP ID: BC '4 CERTIFICATE OF LIABILITY INSURANCE °A�`NN'°°"YYY' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 06110/2015 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(les) 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 Faster Sullivan Insurance CONTACTNBrian Clancy — — — -- 163 Main St. PHONE 978,686-2266 TAX aK,No Es1);,_. Vic, Mol: 978.686-6410_ North Andover, MA 01845 __ a�lESS: bclancy@fostemullivangroup.com Michael J. Foster - — 16,00 _ INSURERS) AFFORDING COVERAGE _�_NAIC 0 INSURERA: HARLEYSVILLE INSURANCE GROUP ;23582 INSURER y: A_ MUTUAL INS CO f 33758 _ INSURED Howell Custom Building Group, Inc _.I.M _ --- -- —..— — - 1 -- 360 Merrimack St Bldg S Ste4N INSURER C : — — — — — - -- - Lawrence, MA 01843 PRODUCTS • COMP/OP AGG S_ INSURER E. PRO_ RO I LOC — I POLICY X INSURER F: COVERAGES rFRT1FICATF NI ISARFR- netnernu ur rumen. 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. TOWN OF NORTH ANDOVER IN SR7 TYPE OF INSURANCE $��NUMBER-- — POLICY OMID Y EFF SDP I LIMITS I GENERAL LIABILITY _ A LX COMMERCIAL SPP44402T OCCURRENCE S G RENTE6 10610112016 11000100 GENERAL U ABILITY 10610112015 PREMISEACH _D ES (Es oearrenee) _ _� $ 600,00 CLANS -MADE I I OCCUR MED EXP (Any one person) S 16,00 [PERSONAL & ADV INJURY IS 1,000,00 1 GENERAL AGGREGATE S 2,000,00 GEN•L AGGREGATE LIMITAPPLIES PER I PRODUCTS • COMP/OP AGG S_ 2,000,00 PRO_ RO I LOC — I POLICY X _ - - AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Eaa_a,a�uL_ �s 1,000,00 A i ANY AUTO BA44403T ALL OWN I 0610112015 06101/2016 BODILY INJURY (Per person) 4 FBODILY X AUTOS INJURY (Per awdoM) I S . NON -OWNED PROPERTYDAMAGE X HIREOAUTOS AUTOS S PER ACCT-ENTL.___. _ _ � --- I ig X I UMBRELLA LIAR OCCUR EACH OCCURRENCE S 3.000,00 A ~~_ °(cam LIAB CLAIMS -MADE ICMB44404T06101/2015 06/0112016 AGGREGATE Is — 3,000,00 DEC) X RETENTIONS 10,000 I � _ — f— S WORKERS COMPENSATION I WC STATU• OTH•. AND EMPLOYERS* LIABILITY YIN B ANY PROPRIETORMARTNERIEXECUTIVE IECC60040006812014A X 1 TORYYLIMITS:_ _ _ER — 0610112016 i Is EXCLUDED? OFFICE(Man NIA I 10610112015 El, EACH ACCIDENT_ 600100 �En NH) L DISEASE - EA EMPLOYEE S 500100 DESCRI N N 0 OPERATIONS be: �E FE DISEASE • POLICY LIMIT 13 500,00 I 1 i I I , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddMornal Remarks Schodula, H mora space is required) CERTIFICATE HOLDER rANrFI I ATInu 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 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 TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET AUTHORIZED REPRESENTATIVE _0,. NORTH ANDOVER, MA 01845 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD (252 ' fr/JJaclue'je , J. f = - Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175166 Type: Corporation Expiration: 4/29/2017 Tr# 263220 HOWELL CUSTOM BUILDING GROUP _ STEPHEN HOWELL 360 MERRIMACK ST --- — -- LAWRENCE, MA 01843 - - - Update Address and return card. Mark reason for change. C1 Address F] Renewal 0 Employment F-1Lost Card SCA 1 it 20M-05/11 ��c� �onr»co�t[ueci�C� c�^-7l`rJJnelcrJe��J sa� Office of Consumer Affairs & Business Regulation License or registration valid for individul use only "OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ;registration: 175166 Type: Office of Consumer Affairs and Business Regulation xpiration: 4/29/2017 Corporation Park Plaza -Suite 5170 -� •�`� Boston, MA 02116 HOWELL CUSTOM BUILDING GROUP STEPHEN HOWELL 15 MT VERNON RD BOXFORD, MA 01921 Undersecretary G Not valid without signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen'isor License: CS -068232 + �rrti STEPHEN D HOWOLL© '' k 15 MT VERNON RD BOXFORD MA 61421, ff Expiration Commissioner 02114/2016