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HomeMy WebLinkAboutBuilding Permit #174-2011 - 93 PLEASANT STREET 5/1/2018 BUILDING PERMIT oFpoRry ,�t+-�o TOWN OF NORTH ANDOVER y . `_ o APPLICATION FOR PLAN EXAMINATION Permit NO: ®� Date Received = �,'"bc, �SSgcHus�'� Date Issued: IMPORTANT:Applicant must complete all items on this page : k F x yy .fit k ,�?�,+w. �,. '� d i,. a • '� -� �- '# -�� f C# 2P _0 / � D .� - t �5 Gf C.. � Y x Print � � ""''" „ � $ ,� � x= •` n ` .#`x '�+.-sX--. e' t' a � .•.w..�a '�''"" r ry�G MA �10 � RCEL `Zq®O�NINGDISTRICyTHistonc�Distit t yes? n 1 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 76'0, .-�, -- yf-, '-,.mss -�„_:��2� " Septic 1Nell r ==Flood lain a "11Ve,an,s Ul/atershee DiIN Pstnct� P � R"4i ` +. •,�'.+,:`3�+�-+ } .!t. �+r.��-r Ytg-F�� rte, a5�q r � '`•1w .k�=�'* ,��csc�} ;.,; i �`.�. ew DESCRIPTION QF WORK TO BE PREFORMED: 0 /2e,m©v,*Z. AG D Identification Please Type or Print Clearly) � d Ass >� G '�-.u7, �' �'� D Phone: �7�'�� -��� OWN ER: Name. / i Address: /PGE°rO'f owr � l►/D A'V'Cdy41z 1117/9- 0/&'s . — rL�NI[lT� V 1-'W 4 J n c .y�+5 x+es`�t.�°.�.,e r '� 3, y - #a g 't s a # •rf `t y. yri�s� �+� "C®NTCTORNane§ i -l.� �Sc'a .S Phone ` i q 9e �M ALL 'k �` "' vn {Y�+' •Y 1/zG���s,. / .+-'._+'".rte. �Lwn �.w.+r-.'^ r Addreess M war- ----. c +7,-*rr� *"�r �,•�t��`'�--�F�i Supe�� isorsConstrucfion License i ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $-//all- Check //all-Check No.: �2 _Receipt-No.: �23 3 7 NOTE: Persons contracting with unregistered contractors do not have access t!the guaranty fund ,.�Slgnatu�e�ofz�coritractorx ` Plans Submitted Plans Waived Certified 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 I, THE FOLLOWING SECTIONS FOR OFFICEUSEONLY i INTERDEPARTMENTAL SIGN OFF - U FORM 1 . DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS 7 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: Comments T - 9 -Water & Sewer Connection/Sinature& Date Driveway Permit DPW Town Engineer: Signature: r ___ ate 3 ood Street Located t eet - �t - .- - � FIRED rMEN 'Tem D '§'t EP RT J�p k '§'t :r� slte�es e ! M Lloca�ted`a ig �u1am Sty eta = t ,X El) p m e G � gqe artment�signa '- •'. �s'�=`"' � C*'t�� '4`S• �f" ' `� �'!'�' �.,R.y-.:w- 'v°..���"' ;r"R�'�+��_" ,=Y�� .�. ± .x a�a.ar.r � IT COMME 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 Il NOTES and DATA— (For department use) y ❑ Notified for pickup - Date 3 3 Doc.Building Permit Revised 2010 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/Crossection/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 copyand proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 r Location 93 — �p L 2 ro No. 7/—.;20 1 _ Date MGRTh TOWN OF NORTH ANDOVER � R .. 9 ' Certificate of Occupancy $ s,uM�st<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 212-- 23374 Building Inspector ORTH F TO" of , An dover 0 No. 7//d u o lover, Mass., T o - LAKE COCHICHEWICK V 0RATED p`P�`-`y BOARD OF HEALTH MIN- Food/Kitchen Pr. RMIT T D Septic System �-f BUILDING INSPECTOR THIS CERTIFIES THAT......... .... ... ./�SS!°!�` ' .. .:.......... ?. f!I.L�....... 15 :............................. Foundation 1".�►- has permission to erect..............:......................... buildings on ...... ....... ... ......... ..... c ......................... Rough G' r* Chimney to be occupied as -- �.D........ ...................... ... ........ ...................................................:........................................................... provided that the person accepting this permit 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, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough c„�..,,,, �, .......... .................................. Service BUILD SPECTOR 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. Burner Street No. SEE REVERSE SIDE smoke Det. r The Commonwealth of,41assachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston, AM 02111. ��M s.a'' wlvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): (/1/ L f q' ,0/y Address: %L Y�/as f'g A/ City/State/Zip: IN42 06) � /V /- 'Phone- 'Phone #: � `—� 67 Are yo employer? Check the appropriate box: Type of project (required): 1. I to er with 4. F-1I 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. ❑ Remodeling ship and have no employees, These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Buitriclding.addition [No workers'comp. insurance 5. El We are a corporation and its 10.❑ Elec required.] officers have exercised theiral repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions _:. e. 152; §:1(4.)i and.w.e have no myself. [No workers' comp: 12.❑.Roof repairs . insurance required.] # employees. [No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: f 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: / I"/.�L �J �' IMC Policy#or Self-ins. Lic. #: 7�ly�i�� / Expiration Date: Job Site Address: 723 / Zz�/ �•yi City/State/Zip:_A,//J 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 maybe forwarded to the Office of Investigations of the DIA for insurance cover�age.verification: I do hereby certify 2der the pains andpenalties of perjury that the information provided above is true and correct- Signature: Dater. Phone#: !�U�O —6 3 Oficial 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/Toivu 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 ons to do maintenance, construction or repair work on such dwelling house dwelling house of another who employs pers 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 workuntil acceptable evidence of compliance with the in 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-contractor(s)name(s), address(es) and phone numbers) along with their certificates) 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 submittedxo 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 Official Please be sure that the affidavit is complete and printed Ieglbly.. 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 m the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitnicense 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 Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . The Department's address,telephone and fax number: The Commonwealth of Massachusetts s Department of Industrial Accidents I Office of Investigations O 600 Washington Street Boston; MA 02111 .Tel. # 617-727-4900 ext. 406 or 1-877-MASSA FE Fax # 617-727-7749 li Revised 5-26-05 w�v-w.mass.c ov/dia MAS9,ACfftJSETTS HOME IMPROVEMENT CONTRACT This foam satisfies all basic requirements of the state's Home Improvement Contractor law(MOL chapter 142A) but does not Include standard language to protect homeowners: Seek,legal advice if necessary."Any person'Phnninig home itnpmvements should fust obtain a copy of"a Massachusetts•consmmer guide to home improvement"before agreeing to arty work on yonnrsidence You may obtain-a free copy by'calling the ' Office of Consumer Affairs:and Business Regulatiodi Constimer Information Hotline at 617-9734787 or 1.8$9-283-3757. Homeowner Information Contractor Information sore Z;ompany Name P�>e i sr royyga 6SS& Vis. G/#L ,4Saks Street Address(do not use a Post Office Box address). tractor/Salesptason/Owner Name City/1 nova State Zip Code ess Address(must include a sicca attdresg) . ��� ►Pal7PJ�,p� d /7G::�9S�iy� Daytime Phone Evening Phone.- ity? State Zip Code ��vtrjDOc/eiZ /''7,4 Mailing Address(It different from above) lusiness Phone ederalI F.mp Byer ID orS.S.Nnmtier /) . - las myavesnW mop home�I Home Gonanes Re8 Tlymtiv�Bxlmalwd�/ .' . The Contractor agrees to do the following work for the Homeo ner., all me worK 16 admplet-4 /too f- vv� RNs T - moi .acs y� ►r� shy� s Required•Permits-The following building permits are required Proposed Start and'Completion Schedule-The following schedule will and will besecuredby the contractor as the'homeowners agent; he adhered to'unlass circumstances lieyond:tite contractor's'control arise- (Owners who secure their own permits will he excluded from the Guaranty Fund`provisions of Date when contractor will begincddhaeud work MGL chapter 142A.) Date when contracted .work will be substantially completed Total Contract Price and Payment Schedule , The Contraetor.agrees to perform the work,fiupisb,the material and labor specified above for the total sum of. (t) Payments will be made according to thefollowing schedule: $ upon sighing contract(not to exceed 1/3 of the total.contract price 22 the cost:of special1 order items,whichever is.greater) $ by �n completion of y $ %--7—or upon completion of r $ 0 upon completion of the contract (Law forbids demanding full payment until.contract is completed to both party's satisfaction) F' 1Le following material/equipment must be mat �� be 'd forImmordered-before the contracted work begins in order in be paid for to meet.the completion schedule.(••) NOTES:(•)Including all finance charges(••)Law requires that any depositor down-payment mvired by the contractor before work begins may: not exceed the greater of(a)one-third of the total contract price or(b)the actual con of any special.equipmmeat or custom made material which must be special ordered in advance to meet the compiction schedule. Exoresr Warranty-Is an express warranty being provided by thesontraetor+ No Yes (go lerat,of the warranty soit'be �t.•.t o he conn scO Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any thiiid party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors fur materials and labor under this agreement Contract Acceptance-Upon signing,this document becomes a binding contract underlaw. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest)w 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 nhelear. • Make sure the contractor has a valid Horne lu movement contracWT ReWstration. The hew requires most home improvement contractors and. subcontractors to be registered with the Director ofHome Improvement Contractor Registration, You may.ingaire about.contractor registration by writing to the Director at Ashburton Place,Room 1301,Boston,MA 02108 orby,calling 617-727-3200 or 1-800-223-0933. • Doan the contractor have insurance? Check to see that your contractor is properly insured • Know your rights and responsibilities. Read the Important Information on the everseside of thus form and get a copy of the Consumer Guide to the Home Improvement Contractor law. You may cancel this agreement if it has been signed at a plaoe'other than theecontrae es'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 sort or by delivery,not later than midnight of the. thud business day following the signing of this agreement.See theatrached.noti"of cancellation form for an explanation of.this right DO OT SIGN THIS CONTRACT IF THERE ARE ANy BLANK SPACES!!! coo i 1 of mut be eonvleted and ' One copy ahmdd go to tbaho nwo .The otic copy absurd be kept by the cwM.aer. .. omeowner's r to Contractor's Signature Date , T Date yKa - Contmetor Arbitration " The Home Impmvement'Contractor Law provides homeowners with the right-to initiate an arbitration action(as an alteniative to,court actroa)if they Ai with a,contractor. lbe.same fight is not automatically afforded to'a contractor,however. The contractor;would have:tp 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 e Secre of the ecutive Office of Consumer Affairs and Business Regulation and-the consumer shall be required 'it t 6 s provided In.Massachusetts General Laws,c pter 142A. VA ll eowner's Mgmiture Contractor's Signaturf 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 signedty-:the 'es.: Homeowner's.Rights A homeowner's rights underthe 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. Homeowner 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 maybe entitled to.other specific legal,rights if the contractor guarantees. or provides an.express warranty for,workmanship of materials. In addition to guarantee§or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability:and fitness-fora particular purpose. An enumeration of other matters on whicb•the homeowner and contractor lawfully agree:maybe 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 dunUate 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 theoriginal 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 recission period has expired. Accelerated Payments A contractormay not demand payments in advance-of the dates specified on the payment schedule in cases where the homeowner deems him/herself m 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 Consumer.Guide to.the Home Improvement Contractor Law, contact Cgnsumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)2833757 .. _ If you want to verify the zegistration of a contractor or if you have questions or need additional information specifically about the contractor registration component ofthe Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton PIace,Room 1301,Boston,MA 02108 T (617)727-3200 or1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business,call: . . Coli siimer Coiaplaint:Section Office of the Attorney General ' (617)727-8400 AND/OR Better Business Bureau (508)652-4800 508 755-2548 (413)734-3114 J x Page# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 55 Pleasant Street 1-866-AJWALSH ! North Andover, MA 01845 Proposal Submitted To: �6b-Name-.--' Job If Address � � f Job Location Date � + / �fO Date of Plans Phone# Fax If 7� Architect We hereby submit specifications and estimates for: ................. .................. .................................... .............................. .. ...._... ..... .... .. _ ._..– �P .......................... __._...._ ----- .--- -- _ '_._. � -. ' , .- _F�_ - _ 67 .__........._.... . ............. ............................. - c//( � / -----------_ _ - ....._...._........_._............ 5 _..............._......._.............X.....F..1 __.._....__.-___-...__.__._.._._-_ I _�..__._`- .__..__. ... ._. ...... .._. ._'',_ .r, ..... - :-1-�r%- - --�Jta 1.....�.... .................... -- .-----....._._.._... s ......._.................................__.......:........_ _................................................................................._..............................._..................:..............._..._._...................._.................._.......................................__...-----"---"---'--...._._.._._.._.._.._...__....__..._.:........._._...................._......................_.....----_...._..___.._..._......_.._..._.._.................................... . 40 We propose hereby to furnish material and labor-=complete in accordance with the above specifications forthe sum of: $ �,/(,�GUv A"4441- cw / Q Dollars with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order,and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays - = beyond our control. Note—this proposal may be withdrawn by us if not accepted within 'relays. acceptance of eoipool The above prices,specifications and conditions are satisfactory and are Signature AIMI ,.-- hereby accepted.You are authorized to do the work as specified.) Payments will be made as outlined above. / { Date of Acceptance ✓ ?, �� Signature } I sem,, ZOO�i92i!)20921!/6 ,1L M —'�7-CJJ11111,11&1 Office of Consumer Affairs&Business Regulation . HOMEIMPROVEMENTCONTRACTOR Registration: 103358 Type: Expiration 7/7/2012 Private Corporatior A.J WALSH&SONS,INC:. Arthur Walsh,Jr. 55 Pleasant St N Andover,MA 01845 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation i 10 Park Plaza-Suite 5170 Boston,MA 02116 Not val-Avit srg tore ,. 11assachusetts - Department of Public Safety Board tit' Buildin„ Re--ulatimis and Standards Construction Supervisor License License: CS 22680 ARTHUR J WALSH JR : 159A WAVERLY RD I N ANDOVER, MA 01845 s r Expiration: 6/9/2012 l nuui..i nrr Tri: 29327