HomeMy WebLinkAboutBuilding Permit #840-2016 - 853 TURNPIKE STREET 1/27/2016BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: 0-I U 'i W 1� Date Received
kh 1
Date Issued: 1
IMPORTANT: Applicant must complete all items on this Daae
tORTk
O
LOCATIONImo-
Rnot
PROPERTY OWNER EJ
Print 100 Year Structure yes(no
o
MAP_PARCEL: 012-2— ZONING DISTRICT: Historic District yeso
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
ZAlteration
No. of units:
19Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
[]---Demolition---
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Waters hed District
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
en -c (�) e..T1—jam S L2�
a C C)
Identification - Please Type or Print Clearly
OWNER: Name:-- T2,Grn.e_ M,,ck-est Phone:9--�--6 (�'-75
Address
Contractor Name:
X 5 3 TO f -A P, kle- S:�- t`J , 4A n J, <)
(A'-/(\ e-- Ccxx�6oCl\
CtDn , r - rte
7 sb3-(:�9S�
Address: �a"-1 �T�c- er- V� Sc -U G v;
Supervisor's Construction License: CS 05 ) y 9 -7 Exp. Date:
Home Improvement License: 1-19q19 Exp: Date: 9 " 201 '
ARCHITECT/ENGINEER Phone: OV -VV Z2,9C 'S'f 1
Address: 1,0 t S ion (-,] J%lam 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: $ FEE: $ 2L52-,
Check No.: Receipt No.: �-q 9
NOTE: Persons contracting with unregistered coVtractors do not have access to the guaranty fund
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 El
Private
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 Siqnature
COMMENTS
WEALTH
COMMENTS
Reviewed
Sianature
Z90ing Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Piaining Board Decision: Comments
i
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
uocatea J64 usgooa Street
MIRE DEPARTMENTf ,Tern Dum ster on site�es`;
{Loca"ted at 12,2 Main Street .^ g.
e`n� ,
Fire Depa fimsa.re/dat��c
g�tu.�
'G.®MMTS=�
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
DANCER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use
1 U Notified for pickup Call Email
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
TOTE: 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)
4 Mass check Energy Compliance Report (If Applicable)
4. Engineering Affidavits for Engineered products
TOTE: 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
2012 I ECC Energy code
Engineering Affidavits for Engineered products
TOTE: 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. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ --A—A
TOTAL $
Location
No. —&*o Date
A
Check #163S�"
0 2 8 3
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ A-61
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee $
TOTAL $-
//Buildihg Inspector
O` ,,ORT"
O
3r °t
•'`19
�7SACRU`'ES
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 840-2016 on 1/27/2016 Date: April 25, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 853 Turnpike Street
MAY BE OCCUPIED AS a tenant fit up IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to: Ed Manzi
853 Turnpike Street
North Andover, MA 01845
M
Fee: $100.00
!.Receipt: 30283
Check : 1538
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 840-2016 on 1/27/2016 Date: April 25, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 853 Turnpike Street
MAY BE OCCUPIED AS a tenant fit up IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to: Ed Manzi
853 Turnpike Street
North Andover, MA 01845
Fee: $100.00
Receipt: 30283
Check: 1538
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Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 23755' 00.00
m
$ -
$ 282.00
Plumbing Fee
$ 35.25
Gas Fee 100 comm.
$ 100.00
Electrical Fee
$ 35.25
Total fees collected
$ 452.50
853 Turnpike Street
840-2016 on 1/27.2016
Demo Existing Bathrooms create new kitchen area
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T. I. A. CONSTRUCTION
37 Spencer Ave.
Saugus, MA. 01906
Mass. License #051097
Mass. Registration #179998
Bill To
MANZI & ASSOCIATES
855 TURNPIKE ST.
NORTH ANDOVER, MA. 01845
r
Estimate
Date
Estimate #
12/22/2015
130
Description I Total
** ELECTRICIAN TO COMPLETE FINISH ELECTRICAL.
** PLUMBER TO COMPLETE FINISH PLUMBING.
* REMOVE ALL DEBRIS ASSOCIATED FROM SITE
** TOTAL LABOR & MATERIALS
** PAYMENT SCHEDULE AS FOLLOWS **
** $8000.00 DUE UPON ACCETANCE
** $6000.00 DUE UPON COMPLETION OF FRAMING.
** $5,000.00 DUE UPON COMPLETION OF BD. & PLASTER.
** $4,500.00 DUE UPON COMPLETION.
**
CONTRACTOR: Wayne Cocorochi`o
** OWNER
THANK YOU FOR CONSIDERING T. I. A. FOR YOUR CONSTRUCTION NEEDS. I Total
Phone #
(617)803-9950
E-mail
tiaconstruction@comcast.net
Page 2
23,500.00
$23,500.00
T. I. A. CONSTRUCTION
37 Spencer Ave.
Saugus, MA. 01906
Mass. License #051097
Mass. Registration #179998
Bill To
MANZI & ASSOCIATES
855 TURNPIKE ST.
NORTH ANDOVER, MA. 01845
Estimate
Date
Estimate #
12/22/2015
130
Description I Total
** APPLY FOR BLDG PERMIT.
** PROTECT EXISTING SURROUNDINGS. (best effort basis)
** DEMO EXISTING PARTITION WALLS AND BATHROOM AS PER PLAN.
** FRAME NEW EGRESS HALLWAY AS PER PLAN.
** ELECTRICIAN TO OBTAIN PERMIT AND INSTALL ROUGH ELECTRICAL AS PER PLAN.
** PLUMBER TO OBTAIN PERMIT AND INSTALL ROUGH PLUMBING AS PER PLAN
** INSTALL 5/8" FIRECODE BLUEBOARD TO ALL NEW WALLS AND PATCH EXISTING
WALLS AFFECTED BY CONSTRUCTION.
** PLASTER ALL NEW WALLS AND EXISTING WALLS AS NEEDED. (smooth finish)
** PREP EXISTING CONCRETE FLOOR AS NECESSARY AND INSTALL FLOOR -TILE AS PER
PLAN.
** INSTALL NEW BASE & WALL CABINETS IN KITCHEN AREA AS PER PLAN. (cabinets to be
supplied by owner)
** GRANITE COUNTERTOP TO BE SUPPLIED AND INSTALLED BY OTHERS.
** INSTALL NEW TILE BACKSPLASH AS PER PLAN.
**
PREP, PRIME, & PAINT ALL NEW WALLS AND ALL WALLS AFFECTED WITH
CONSTRUCTION.
** PAINT RE -TOUCH AS NEEDED EXISTING WALLS AFFECTED WITH CONSTRUCTION AS
NEEDED AND AS VERBALLY DISCUSSED.
** REPAIR & RE -INSTALL EXISTING CEILING GRID AND CEILING TILE AS NECESSARY.
THANK YOU FOR CONSIDERING T. I. A. FOR YOUR CONSTRUCTION NEEDS. Total
Phone # I I E-mail
(617) 803-9950 1 1 tiaconstruction@comcast.net
Page 1
From: ron albeit aia[mailto: ronalbertaia(5)comcast. net]
Sent: Thursday, January 14, 2016 2:42 PM
To: Hopkins, Thomas (DPS)
Subject: Manzi Associates Project, 855 Turnpike Street, North Andover, MA 01845
Dear Mr. Thomas,
Pursuant to application for a building permit for the above referenced project, the local building
inspector Mr. Gerard Brown requested that I contact the AAB for clarification concerning
possible required upgrades to existing toilets facilities.
I have attached my architectural plan for your use.
Work is being undertaken to connect an adjacent business unit to (2) existing business units
serving as an account's office, namely connecting Unit #144 to existing Units #136 & #140, as
shown on my proposed first floor plan. The connection is accomplished by removing the
existing Mens Rooms in Units #140 & #144. The question brought up by the building
department was weather or not we are required to provide handicapped accessible toilet
facilities?
The building inspector is saying that if the space is classified as a public building, that by
touching the existing toilets to be removed, we must provide (2) handicapped accessible
toilets. He indicates this is required from dollar one for proposed work.
My understanding under 521CMR 3.3.1, where the work being performed amounts to less than
30% of the full and fair cash value of the Unit(s) and that the work costs less than $100,000, that
only the work being performed is required to comply with 521 CMR.
Would you be so kind as to provide clarification so we can proceed with permitting.
Sincerely,
Ronald H Albert
P.S. I have closely analyzed the percentage & the three year window for permitted work limits
for the subject location and can certify that we are blow the respective thresholds.
ronald henri albert, aia
architect
69 island road
lunenburg, ma 01462
978-374-0547 O.
978-828-5411 C.
ronalbertaia@comcast.net
From: "Thomas Hopkins (DPS)" <Thomas.Hopkins(@-MassMail.State.MA.US>
To: gbrown[a)townofnorthandover. com
Cc: ronalbertaiaa-comcast.net, "Kate Sutton (DPS)" <kate.suttona-state.ma.us>, "Kate
Sutton (DPS)" <kate.sutton c@ - state. ma.us>, "William Joyce (DPS)"
<william.joyce .state.ma.us>, "David Sullivan (DPS)" <david.f.sullivan2(a-state.ma.us>
Sent: Friday, January 22, 2016 7:53:31 AM
Subject: FW: Manzi Associates Project, 855 Turnpike Street, North Andover, MA 01845
Inspector Brown,
I have reviewed the email below and attached plans from Ronald H. Albert, AIA with regards to 521 CMR
Section 3, Jurisdiction. The architect for the project indicates that the spending will be below 30% of the
assessed value and will not trigger 521 CMR Section 3.3.2. In addition, the architect states that the
spend will not exceed $100,000. and 521 CMR Section 3.3.1b is not being triggered. The project involves
the joining of two tenant space shown on the attached plan as units 140 and 144. The route being
created to join the units involves the demolition of two existing noncompliant toilet rooms. There is no
work proposed to build toilet rooms to replace those being demolished. Therefore 521 C.MR Section
3.3.1a is not trigger by the "work being performed"
I would insure with the plumbing inspector and or State Plumbing Board that decreasing the fixture
count is allowed without the need for variances by that Board.
These are the facts that I have, if there is something I am missing, like other spending on the building in
the last three years that added together with the current spending (see 521 Section 3.5) would trigger
the jurisdiction differently, let me know.
If you have any questions please contact me.
Thomas P. Hopkins
Executive Director
Architectural Access Board
617-727-0660
www.mass.gov/dps
Ed + Jeannie,
Here is the letter I received from Thomas Hopkins the Executive Director of the Architectural
Access Board. I think it is pretty clear that he agrees with my interpretation of the applicable
regulations. As discussed, you might want to get with the building inspector now that the
questions he raised have been addressed.
I've attached a copy of my revised plan, which addresses the overall toilet count as well as
showing your entire (existing and new) office area. Please call with any questions or if I can
help in any way.
Thanks,
Ron A.
ronald henri albert, aia
architect
69 island road
lunenburg, ma 01462
978-374-0547 O.
978-828-5411 C.
ronalbertaia n,comcast.net
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The Commonwealth of Massachusetts
= Department of IndustrialAccidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Name (Business/Organization/Individual):
Address: T-) S?,CAC-c/ V_
City/State/Zip: YVI'� Phone #: (l %
Are you an employer? Check the appropriate box:
1.❑ I am a employer with employees (full and/or part-time).*
2. ❑ I am a sole proprietor or partnership and have no employees working for me in
any capacity. [No workers' comp. insurance required.]
3. F1 I am a homeowner doing all work myself. [No workers' comp. insurance required.] t
4.F-1 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. I am a general contractor and I have hired the sub -contractors listed on the attached sheet.
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.
152, §1(4), and we have no employees. [No workers' comp. insurance required.]
W
Type of project (required):
7. ❑ New construction
8. 'Remodeling
9. ❑ Demolition
10 ❑ Building addition
11. ❑ Electrical repairs or additions
12. ❑ Plumbing repairs or additions
13. ❑ Roof repairs
14. ❑ Other
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 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
employees. If the sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company
Policy # or Self -ins. Lic. #: V W Zs —too V L S ZEiration Date: Al22 G
Job Site Address: y �� (tel Le— �d�''— City/State/Zip:rJ-
Attach a copy of the workers' compensation policy declaration 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 aMpenalties of perjury that the information provided above is true and correct
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 #:
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 with 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 may be 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 (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-MASSAFE
Fax # 617-727-7749
Revised 02-23-15 www.mass.gov/dia
12-02-'15 14:12 FROM -Phil Richard Ins.
1-978-774-1318 T-180 P0002/0002 F-427
sk, � '� CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE IN ISSUED A® 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(lee) must be endorsed. If SUBROGATION 18 WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doss not confer rights to the
certificate holder In Ilau of such andorsama s .
PRODUCER
Phil Richard Insurance, Inc.
27 Garden Street
wONTL,ACT Jacqueline Maria Melanson. CLCS
PHONE 978 774-4339 x105 FAx
( ) (978) 7741318
Unit 1B
irdinsurance.com
Danvers. MA 01023
INSURE S AFFORDING COVERAGE NAIL 0
INSURED Wayne Coccrochio dba TIA Construction
INSUNRA: Safetyrance09 39454
INSURlRa: A.I.M_ Mutual Ins Co AIM
37 SpancarAve
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Saugus, MA 01908
INBURERE:
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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. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN
ACCORDANCE WITH THE POLICY PROMSION6.
AUTHORILlD RIPRISlNTA71VE
®1888-2014 ACORD CORPORATION. All rights reserved.
AUUMD Z5 (Z014101) The ACORD name and logo are registered marks of ACORD
Massachusetts - Deparrnent of Public Safety
Board of _Quiiding Regulations and Standards
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License: CS -051097
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Saugus MA 01906
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37 SPENCER AVE
SAUGUS, MA 01906
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