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Home My WebLink AboutBuilding Permit #233-15 - 7 CANDLESTICK ROAD 9/3/2014 BUILDING PERMITof N°DT 6 qti TOWN OF NORTH ANDOVER - °� APPLICATION FOR PLAN EXAMINATION VL / h Permit No#: s Date Received �, "0R TEo 11Pa"�5 g Date Issued: SSAC HUS�� IMPORTANT:Applicant must complete all items on this page LO.CQTrI O N .�j1 ,. t�i►1 -Lane- XV �� - T- ---� PROPERTY OWNER C61T__ P,II � _ _5 a _ Pnnf`� 100 Year Strucfure .yes nq MAP 4� r MAP PARCEL ZONING:DIST_RICT _ .Historic District yes' ono �Machine'Shop Villa e, ;yes �Or TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building PrOne family ❑Addition ❑ Two or more family ❑ Industrial - ❑Alteration No. of units: ❑ Commercial C�rRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other g Sepfic ❑UVell, ❑ Floodplain El, lands' `R ❑_ Ullatersh d Distract Ly a .r DESCRIPTION OF WORK TO BE PERFORMED: Ide tification- Please Type or Print Clearly OWNER: Name: �C->" � 1�V1�i� Phone ��(p Address: �6 r� i ContractorlName _ LlPhone- - 7j Addeess L, w_.. _3 ,_ -rid s r ✓ �, 7 P� ter, f�F�i Sup:eruis:or's tC�onst�ruction.License L,S^rt.d�s2 XP_ j — 4Homelmprovm.ent`Lieense� _. , Exp :1Date; 3l� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASEQ ON$125.00 PER S.F. Total Project Cost: $ I FEE: Check No.:_ LL� Receipt No.: NOTE: Persons contractiAg with unregistered contractors do not have access to the guaranty fund ,Signature gW Owned Signature of contractor . '<-,, :.� . I � . Location �-'^f L /1 � - . No. Date . . Ij2IIt(�I . . • - TOWN OF NORTH ANDOVER s 6�I • - • . I . :- ,, . Certificate of Occupancy $ „ ' , .. - u� i rame ermi ee B 'Id'ng/F P t F $� :'i 1 ` Foundation Permit Fee $_ , - Other Permit Fee $ y TOTAL $ -.. :, , Check# �'� I q )�I . .. 1 I-) r-+ ... 4 ,::D i 119 - Building Inspector . , 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 Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit y DPW Town Engineer: Signature: Located 384 Osgood Street ` FIREsDEPARTMENT Temp ®umpste n�site dyes - �� In - .._ �fLocated�at 124}MainStreet -� '_ `} tF�irelDepartmen`tfsigriature/date u - - 09M EN _ = 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 foricku Call Email P P Date Time Contact Name t ; Doc.Building Pennit Revised 2014 t' 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 ❑ 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 ❑ 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 submitted with the building application Doc:Building Permit Revised 2014 c10RTH Town of ? E : 1, nd over "rth " ver, Mass, CCICNICMl WICK of Q ` �,9 Q°RAreo F. S U BOARD OF HEALTH Food/Kitchen PER T D , Septic System • THIS CERTIFIES THAT GM` BUILDING INSPECTOR ............ ... .. .. .r... .............................................................. . ' has-permission to erect .......................... buildings on . r, ........C—Co -L-f Dr..1�........st"o....... Foundation 11 .................................................... Rough to be occupied as .................utni..1�/.......CVinevery . ... ... .. Chimney provided that the person accepting thispermit shall resp t 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TS Rough Service ............. ................ ..................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. Burner Street No. Smoke Det. Masspehusetts Home Imon-c erne -,s.:x2pg /_ t This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first 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 Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name c Company Name Street Address(do not use a Post Office Box address) Contractor/Salespe r!/Owner Name 3'1 Car Lv*% /3,1_4�,/ SKI n/ City/Town State Zip Code Business Address(must include a street address) wv M 0 t Daytime Phone Evening Phone Cityrro State Zip Code Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number Hame Improvement Contactor Reg.Number Expiration date Ia,v requires that most home improvement contractors have valid registration number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) 7'4 9— Required Required Permits-The following building pennits 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 will be excluded from the Guaranty Fund provisions of / /y Date when contractor will begin contracted work. MGL chapter 142A.) XfDate 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 /-57-0 Payments will be made according to the following schedule: $ gOG'J 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 $ /0,0 UU upon completion ofthe contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)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 Warranty-Is an express warranty beine provided by the contractor? ®No❑Yes(all terms of the warranty 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 aereement 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. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Reeistration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confine coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side ofthis form and get a copy of the Consuuner Guide to the Horne Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place 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 ofthis agreement. Seethe attached notice of cancellation form for an explanation ofthis right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two i e tical copies of the contract must be completed and signed.One copy should go to the homeewner.The other copy should be kept by the contractor. H u owriet Sigi tature Contractor's Signature �( Date Date � Contractor Arbitration The Home Improvement 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 consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A. Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties 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 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 workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry 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 plicate 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 until 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 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 joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds 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 littp://www.niass.gov/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 HIC website at http:/hvww.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/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 Cee C�omrimo9uaPcci r /�faaaacfuaefa Board of Building Regulation and Standards 'Uw HOME IMPROVEMENT CONTRACTOR Registration:., 161684 +_ Expiration: 11/14/2010 Tr# 277607 Type: DBA 3 PARSONS CONSTRUCTION ANDREW PARSONS-. 334 FERRY RD WARD HILL,MA 01835 Administrator t Massachusetts -Department of Public Safety �! Board of Building Regulations and Standards Construction Supervisor Specialty 4e n License: CSSL-101786 1C.� ANDREW SPARSONS 334 FERRY ROAD jjIj WARD HILL MA Ol$ Expiration 11/2912014 Commissioner Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-M513 BLAINS A SCRIBj�IER 385 SUTTON ST. N ANDOVER MA 01;jj A " Expiration Commissioner 12/18/2015 De C'owdonweaM of.IV.tassachusetts • , Office of.Imstigadons ti I1'0 WasUngton Street .Boston,.tom 02111 wwwwaasy.gov/cfza Wo rckex,gl Comp exgaflon boyance, xdadt:BWlaer ofGoi&actoxofFIectrezcianWl*i erg A-P- eanf orczna.-0on Please.I?'xin ii ? NaMa(Busia0S8j 7rgani-zationllv&iduai): a41 e;q (�in, 1410 Address: 1�i_ ��sh—1--- Are yon2n employer?Cheek ther aPPrOPxzate lbox- Tyke o��xojee�(r�egui�et��: �, f Z am. l a generacontractor and S L[( T am a exnployex with. � 6. fj New cbnstrizction employees @CMand(oxpazttime).T have lvredthe sab-contractors 2.El am a sole proprietor or parinex listed on.the atcached sheet T 7• �(E-emodeliug ship and`7�avena.employees These sulr contractoxshave 8. [{Demolition workers'comp.insurance. g, Building addition working foxxrte in any'capacity. � g Wo workers'comp.pnsurance 5. ❑We are a corporation and its 10.[1 Electeicalrepairs or additions egaired.] officers have exercised.their l3.[ am a 7mom eownex clging all work right of exemption per SOL 1111 Plumbing,xepaixs or additions myseZ.Uiowgrkers'comp. c.152,§1(4),andwehaveno 12.PRoofxePair9 insurancexe�zixed.]i employees.ENO workers' 13[]O tliex S� m 2P0�.9Z P.np 7� COMP.insurance required.] Atyapplioantthat checkshoxffSmust also Iloutthesectionbeldgtshowingtheirworkers'compensationpoltcyinformation. 1Irbmeovtnerswilts mtmitfbigaWdavitiadicatingtheygedoing altworxaadthennooutside contractorsmust sulm tanentaftxdavitindicatvigsuch. xContracfors tT�at cltecktbis bo�mustattached anaddiiional sbeetsho�ingtheuame o�the suT}-eonEraefors andtheirworkers'comp.policyinfomiaiion. am ax2 empfoyep tA aj i.provic�1vg workers,comperasadon zrtsurancefoxry e�Ioyees: B6 1P 1 t° palicy�trtcTja�,�ite infox-mation Insurance Company Name: A, S D �_� �� on D3 e"z-S �► `� policy#or gel in s.tic.#' C t.. 1.e a i 2S 7 on Date: 7—; rob Site.A.ddress-, Attacha coley a tewoxkers'conmpensation-policy declaration page(showing-the polzey numher•and expirations trate). Failure to securo oovexage as xequired.under Section 25A.ofMOL 0.152 can lead to the imp oAlan of criminal penalties of a 3rne up to$1,500.00 and/or one�yeax i�nprisoxnnextt,as well as civil penal es itsche form ofa STOP WORK ORDER and a f me ofupto$250.0Qaday againsttfseviDIatox: Be advised that a copy of thigstatementmaybeforwardedtothe Offao-of Investigations of:the DTA.fox insurance coverage ve1383ation. Z do liexeby Corauric ea< Ii Bain artci'penaZties of perjw&at ifte inforwation provided above is r�•ue and eo rect. Si ature• Data: Rhone#: O reial ztse axtly. Do nojvVite in dais area,t°o die conVfeted by city or t°orvn 0 to! City or Town: Eerzaitlicense# Dsuing Authority(circle one): Z.Baard of fealtlx?.Building7D►epartmee, 3.GlyffowA Clerk 4.Electxicalxnspeetor .I'lunabingTuspector• 6.Other - - _ information and instructions Massachusetts General Laws chapter l52xequires allemployers fapxovideworlcexs'compensation foxtbeixemployee . Pursuanto tbis statute,an e�nplayee is dei7ned as"...every person iai the sexvice of mother under any coaifract ohne; • expxess onimplied,oral oxwxitten." Apt= loyeNdewedas"an individual,partnership,association,corporationoa<ofherlegalentity,oxanytwooxmoxe" . ofthe foregoing engaged in a joint enterprise,and includingthe legal I. ofa-deceased emplQyex,.or the receiver o trdsfee of an individual partnership,association or other legal entity,employing Q oyees. ovTevexthe Ow erofadwellinghousehaviugnotmoxethaathtoaaparfmentsaudw,loxesidestherein,orfbeoccupanto owe dwelling house of another who employs persons to do maintenance,comfmotion orrepair woxl on such dwelling house ox onthegrounds orbuilding appu�enantthexefo shallnot because ofsuch employmentbe deemedto be an employez:" UQL chapter 152,§25C(6)also states that"every state or to cal licensing agency shall v,ithftold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who leas not prnduced•aceeptable evidence of compliance with the Insurance coverage re�ured;' Additionally;MOL chaff ter 152,§25C(7)states'Weither the commonwealth n0 any ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements oz this chaptexhave beenpresented to the copfracting authority.>' App.acants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,ic necessary,supplysub-contxactox(s)name(s),addresses)andphononumber(s)along with their certrficate(s)of insurance, LimitedUability Companies(LLC)oxLimitedLiabilityPartnerships(LLP)withno employees oth rthaathe, members orpaztuars,arenotrequiredto can7workexs'coanpensatioazinsutance. Sf anLLC orLLP doeshave exnployees,apolicyisxequired. Be advised tlaathisafxdavitrnaybesubmitgedtothe))epartmentofhidud-dal .Accidents fox coaafni atton ofinsurance covexage. Also be sure to sip and date the 2fflcTavi.t. The afrcdavit should be xetumedto the city or town thatt7ie applicationforthepermt orliceazse is beingrequested,nod theDepattirtent ox fndustrial Accidents. Shouldyon have any questions regarding the law ox if yo-u ate required to abfain a*oxkexs' Compensationpolicy,Plea-so call the Department attbemamberlistedbelow Solfinsuredcompanies shouldenter Fick self-insurance,license number on the appropriate line. City or Tom Officials Pleasebaswathatthoa Edaei iscompleteandpxintedlegibly" T$eDeparEmenflzaspxovidedaspaceatthebottom of Me a�clavit£oxyou to M out in the even-tthe 0.fdce ozf vestigationsbas to contactyouxegarding fine applicant. Please be-sure to fill in thepexmxt/license number wh'tcb v,7i11 be used as a xaforence number. In addition,an applicant thatinust submitmi0ple pexmitllicense applications iaa any givenyeax,need only submit one azfxdavitindicating current palicyinfOnuation(irnecessmy)and uuderI'M NoAddress"the applicant shouldW t '111ocadonsin (city or town)"A copyo tlieai€idavlGthathasbeen.of-Rdallystatnpedormarkedbythecityortowxxxnaybapxovidedtotbe applicant aspxoofthatavalidaf davit•isoni7le oriutuxepermzfsor3 co off. ,A-new affidavit �nustbe�lledot�teacla year•.Caere a'Lome ownex or citizen h obtaining a license orb omit not relate d to any business or commercial venture (Io.a dog license OrieMdt to burn leaves etc.)said person is NOT xequired to complete this affidavit. The Office ofInvestigations would Mato thank you in advance for your coop eration and should you have any questions, Please,do no-hesitate to give us a call. The Department's address,telephone ajA fax numb or: ThQ CQM-J MO JINGa t OfM—&.spaWVo I?tpa QtI Q u z cc t e E 69 asgare TO, 617-7-2t-49-00 P406 QT Revised 5 26-05 " i - Office of Consumer;Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,'Massachusetts 02116 Home Improvement Contractor Registration Registration: 174751 Type: Individual T 237119 Expiration: 3/15/2015 BLAINE A. SCRIBNER BLAINE SCRIBNER F.O. BOX 973 ------- NIIDDLETON, MA 01949 Update Address and return card.Mark reason for change. Address R Renewal Employment Lost Card SCA I Co 20rn.0411 ,,,,,,,,ea///n,1'QilK�asar/r,jrllJ License or registration valid for individt.1 use only Oftice of Consumer Affairs&Busidess Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Type• Office of Consumer Affairs and Business Regulation egistration: 174751 10 Park Plaza-Suite 5170 xpiration: 3/15/2015 Individual Boston,MA 02116 BLAINE A.SCRIBNER BLAINE SCRIBNER 385 SUTTON ST g—�"�'z�`- Not valid without signature NO.ANDOVER,MA 01845 Undersecretary I