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Miscellaneous - 15 Longwood Avenue
15 LORRAINE AVENUE 210/047. -OpOq-0000.0 COMMUNITY and ECONOMIC DEVELOPMENT DIVISION Building Conservation Health Planning Stevens Estate Zoning December 18, 2015 Michelle Saracusa 210 Andover Street North Andover,,MA 01845 Dear Ms. Saracusa: As I assume you are aware, I have had conversations with your father regarding the shed located on property at 15 Lorraine Avenue. I spoke with him again today and he asked that I forward the notice letters issued by the Inspector of Buildings Please find enclosed copies of: 1. Notice letter form the Inspector of Buildings to the owners of property at 15 Lorraine Avenue dated October 30, 2015. 2. Second notice letter form the Inspector of Buildings to the owners of property at 15 Lorraine Avenue dated December 14, 2015. If you have any questions or require further information, please do not hesitate to ask. Very yttruly yours, Eric J. oury Director, Co munity& Economic Development Gerald Brown, Inspector of Buildings TOWN OF NORTH ANDOVER NORry Office of the Building Department artment =Ob,;LEO C6 6"0 Community Development and Services p 1600 Osgood Street,Building 20,Suite 2035, North Andover,Massachusetts 01845 4SSACHUS�� Telephone(978)688-9545 FAX(978)688-9542 October 30, 2015 CONNOLLY, RYAN, T. CONNOLLY, LINDSAY, K. 15 LORRAINE AVENUE NORTH ANDOVER MA 03814 RE: 15 Lorraine Avenue 047.0-0004-0000.0 Please be advised that the shed on your property was installed without proper permits and is in violation of Zoning setbacks In Districts 3 Accessory buildings no larger than 64 square feet shall have a minimum five (5') foot setback from side and rear lot lines and shall be located no nearer the street than the building line of the dwelling. Larger sheds shall meet the 20' side and 30' rear and 30' front setback. You have 30 days to obtain a permit and move the shed within the proper setback. Please contact me upon immediate receipt of this letter so that the process to remedy this situation may be addressed. Respectfully, Gerald Brown Inspector of Buildings TOWN OF NORTH ANDOVER NORTy Office of the Building Department 3=�b';`E. 6"°� Community Development and Services - p 1600 Osgood Street,Building 20,Suite 2035, ; North Andover Massachusetts 01845 °' `�_"-`• '' 4SSaCHue�� Telephone(978)688-9545 FAX(978)688-9542 October 30, 2015 CONNOLLY, RYAN, T. CONNOLLY, LINDSAY, K. 15 LORRAINE AVENUE NORTH ANDOVER MA 03814 RE: 15 Lorraine Avenue 047.0-0004-0000.0 Please be advised that the shed on your property was installed without proper permits and is in violation of Zoning setbacks In Districts 3 Accessory buildings no larger than 64 square feet shall have a minimum five (5') foot setback from side and rear lot lines and shall be located no nearer the street than the building line of the dwelling. Larger sheds shall meet the 20' side and 30' rear and 30' front setback. You have 30 days to obtain a permit and move the shed within the proper setback. Please contact me upon immediate receipt of this letter so that the process to remedy this situation may be addressed. Respectfully, Gerald Brown Inspector of Buildings - /2c,// Date..........................�'........ 4ORr## - i' °� "'° '•�tio TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,gs+cHus�t This certifies that .............:.... !.t-.... � G� �iv�............ ..... n. n to cX,+, has permission to perform ... 1 n E e A ..... 5,... wiring in the buildinof...... ��'•, ` ........................................................................................ at .......}.. ..... R 2 Q . ?�:.... e. ...........................North And°ove as Fee..j.�-- 0. Lic.No.%3�4. M ................ E CAL INSPE Checkit "1't V .11477 u/c/,( ox&, _00�90 Commonwealth of Massachusetts Official us Only " Department of Fire Services Permit No. 11 LA1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) d it?IR yg 1-ti E /9V 19NUE Owner or Tenant Telephone No. Owner's Address 9 b G Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service (�,X Amps /70 /sPY0 Volts Overhead❑ Undgrd � No.of MetersIL Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 2-wP Completion of the followingtable ma be waived by the Inspector of Wires. of No.of Recessed Luminaires �® No.of Ceil: TransSusp.(Paddle)Fans Total Trsformers KVA No.of Luminaire OutletsNo.of Hot Tubs Generators ISA No.of Luminaires Swimming Pool Above [:] - ❑ o.o Emergency Lighting 1 rnd. nd. Battery Units cC� No.of Receptacle Outlets &0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and Initiating Devices No,of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers f Heat Pump Number ...........s KW No.oSelf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local E] Municipal Connection E] Other No.of Dryers Heating Appliances KW SecuritySystems:* Ballasts No.of Devices or Equivalent Heaters No.o Water KW o.o BNo.al o Data Wiring: Signs No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommunicationsrrmgg: No.of Devices or E uivalent OTHER: t Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 006. - (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10;and upon completion. � INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless a the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) I certify,under the ins and penalties of perjury,that theitiformation on this application is true and complete FIRM NAME:. T V1s4 k C LIC.NO.:�y Licensee: P7 ti = fod Signatu a LIC.NO.: (If applicable,enter"exempt"in the license number line. Bus.Tel.No: Address: Alt.Tel.No.: S,03 Y *Per MG.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Signature ent Telephone No, rPERMIT FEE: $ 1,3 ty 1 s' .{ ff r ,S i J i i Division of Professional Licensure: License Search Page 1 of 1 t"+ The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES .........................................................................................................:....................................................................................................... .... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency More... LICENSEE Name:MARK E. CONNOLLY REFERENCES& SOUTHBOROUGH,MA ( RELATED INFO Disclaimer Regarding Website License Searches Licensing Board: ELECTRICIANS Enforcement Process 1 Glossary License Type: JOURNEYMAN ELECTRICIAN YP TYPE CLASS: E Glossary of License Status Codes License Number: 18744 f Status: CURRENT jE More... Expiration Date: 7/31/2013 Issue Date: Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Tuesday,March 26,2013 at 3:14:36 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://Iicense.reg.state.ma.us/public/pubLicenseQ.asp?board_code=EL&type class=_E&li... 3/26/2013 09$ $ 0 .I. �. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . ! .�. . . �d`j� '". . . . . . . . . . . . . . . . . . . . has permission to perform . -- i.- plumbing in the buildin s of + r at-. . .�Or�¢a+��. , , , . ,North Andover, Mass. Fee � � . . . Lic. No. lI . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR t Check# 4toq� 4o4) -13 i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY P IMA DATE - 431 PERMIT# JOBSITE ADDRESS LOVrG1 - - OWNER'S NAME Iq1-0 _ P OWNER ADDRESS L TYPE OR OCCUPANCY TYPE COMMERCIAL EI EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: J�A RENOVATION: REPLACEMENT: Q PLANS SUBMITTED: YES Eq NO© FIXTURES'l FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN __....,.-I _._-__J __--..._f FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK _—1 { ---._...J ..— ( E ..___....._} .._..--.._._! ! __i LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK ___j -i ___. ) _--_) __._ TOILET URINAL ! .______J _-__-_.} _____J _._.._.__1 __._..__J _...-___a __._....._( _.-___-► -____f .._..._.� .__._.._J ..._.___._1 ...___._I .__.._-) WASHING MACHINE CONNECTION ( i _-.-._..� _ _.J . J _. I � _ } _ _ WATER HEATER ALL TYPES I ( I f [ } 1 M t _ i _., _ WATER PIPING OTHER INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO Ell IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY i BOND Q OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mas tachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER _i AGENT SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and ccurate to the best of my knowledge end that all plumbing work and installations performed under the permit issued for this application will be in comce with all Perti provision of the \'Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME % €LICENSE# Z SIGNATURE IVIPY JP R CORPORATION n}# _ _ _;PARTNERSHIP Fj#=LLC j COMPANY NAME �/ ADDRESS p CITY LP _ ,._ _..I STATE ® ZIPO 3 —1 TEL � _ —{ FAX L----.--_-_ I CELL EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# G//fid/ l PLAN REVIEW NOTES ' - t The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):I (w t Address: City/State/Zip: 14 /J Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with�_ 4. ❑ I am a general contractor and I ' 6. F1 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. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11:Wlumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.[i Other comp.insurance required.] *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they aie 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 thepolicy and job site information. ON Insurance Company Name:. Policy#or Self-ins.Lie.it: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cerfi r the p ' s andpenalties of perjury that the information provided above is true and correct. Signature 1 Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: 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-contractor(s)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 bum 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 Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1.-8777MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass,govfdia K 't ::COMMONWEALTH OF MASSACHUSEI rs iE • • • ..• • • • • ; j PLUMBERS AND GASFITT.ERS �= ` LICENSED AS,,,��A-MASTER PLUMBER° { ,ISSUESAE ABOVE:LICENSEIK TIMOTHY C COY,UE & 4 CROWN; HI,LL ROAD j �ATKINSON �, 'NH 03811 2213 i `; 1274-1 05/01/14 [167:3894 j K • • • �' \L3tifM?��a } .I .q' l �s s r. r Date . . . .0 . . . . . . . �. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . t .►.�!YM� 1.�d `Q. . . . . . . . . . . . . . . . . . . . 4has permission for gas installation . `�,a in the buil ings of. . . . �. .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . 65. ►6 . . . . . . . . North Andover Mass. Fee . .JW. . . Lic. No. � `�� . . . '. 1". . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check 8649 MASSA-CHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE ��PERMIT# I ' .- JOBSITE ADDRESS jf -- ffra OWNER'S NAME � ,p jp II OWNER ADDRESS z TEL[�— FAX TYPE OR OCCUPANCY TYPE COMMERCIAL _J EDUCATIONAL PRINT RESIDENTIAL/ CLEARLY NEW: RENOVATION: REPLACEMENT:Ell PLANS SUBMITTED: YESE] NOF APPLIANCES I FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER I , . . . .:_ _.� I I ( 1 BOOSTER _ CONVERSION BURNER COOK STOVE J — DIRECT VENT HEATER .- DRYER - FIREPLACE FRYOLATOR — FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN .. POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT �J TEST UNIT HEATER I _ _ JNVENTEDROOM HEATER WATER HEATER THER IT I j INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES P NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ]f OTHER TYPE INDEMNITY Ej BOND �] OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance Y coverage required b Chapter 142 of the q p Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT Q SIGNATURE OF OWNER OR AGENT 1)hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge iE?nd that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pert' t provision of the PVlassfbchusetts State Plumbing Code and Chapter 142 of the General Laws. i PLUMBER-GASFITTER NAME p LICENSE#_ SIGNA URE MP I MGF ( JP JGF[_( LPGI CORPORATION E]# _ PARTNERSHIP[ # _.--. LLC®# -_ COMPANY NAME: r--- ADDRESS CITY STATE ZIP[ /T F6U \� FAX -�CELL (EMAIL r ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION N TES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ Cvl® FEE: $ PERMIT# PLAN REVIEW NOTES ti. s^ ' _4 Y The Commonwealth of Massachusetts ' Department of IndustrialAccidints Office of Investigations 600 Washington Street Boston,MA. 02111 UV www mass gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly E I- Name(Business/Organization/Individual): . add �/v Address: oro6J dl f'A P� I rr11 City/State/Zip: �( � N d-j�/ Phone Q. Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z _ 4. ❑ I am a general contractor and I 6. ❑New construction eAtployees(full and/or part-time).* have Hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. �• F1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11:E'lumbing repairs or additions .lf m seo workers' comp. c. 152,§1(4),and we have no. y [N p 12.[]Roofrepairs insurance required.]f employees.[No workers' comp.insurance required.] 13.E1 other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they ace 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. ONInsurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 coverage verification. Ido hereby cern r thep ' s andpenalties ofperjury that the information provided above is true and correct. Signaturef Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: I �4 �f hCOMMONVIIEALTH OF MASSACIiUSETTSj I PMBERS AND GASFITTERS LU LICENSED AS A-MASTER PLUMBER f _ ISSUES,aHE ABOVE Ll wENSE r TIMOTHY G coCo I _4 CROWN;4H IL L' ROAD P f. 4 ATKINSO.N ` ~' NH 03811 2213 i � ' ' x12741 05/01/14 167389 • I 1 f