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HomeMy WebLinkAboutBuilding Permit # 3/19/2015 f- c; E� Ifl NORTH BUILDING PERMIT 01y6 0 ..6*Er°� TOWN OF NORTH ANDOVER ° t �► I APPLICATION FOR PLAN EXAMINATI N - Permit NO: Date Received Dq^TeD/.PPS�5 Date Issued w � �� SgcHus IMPORTANT: Applicant must complete all items on this page LOCATION 13 Union Street, N.Andover, MA Print PROPERTY OWNER Justin Neal Print03 MAP NO: "PARCEL: ZONING DISTRICT: Hi pr rstnct es n6 210/014.0-00270000,0 Machine ShoP Village yes rio TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition [ Two or more family ❑ Industrial X Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑Well o Floodplain ❑Wetlands 11 "Watershed District Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: Justin Nealy Phone: 978-686-6717 Address: 13-15 Union St N.Andover MA CONTRACTOR Name: Phone: 603-864-8239 Crossroads Contracting Address: 15 Londonderry Rd#6, Londonderry, NH', 03053" Supervisor's Construction License: Exp. Date: CS-104779 6/4/16 Home Improvement`License: Exp. Date:" 160986 9/17/16 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 18,360 FEE: $ X20:32 Check No.: Receipt No.: 5'-' -7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty Signature of Agent/Owner Signature of contractor NOFZTH -Town of' 2 . t ` : I, over _MOM ® No. 2016 y r ah ver, Mass, �. T O LAME COC MIC N!WICK RATED I'7 C, U BOARD OF HEALTH Food/Kitchen PERMIT � � � LD Septic System THIS CERTIFIES THATBUILDING INSPECTOR JWA ................ ........ ....... Foundation has permission to erect ...................... buildings on . . !AAA441,................ �.a .... ................. Rough tobe occupied as .......... ...... ..................... ...... ...................................................... chimney provided that the person accepting this permit shall in every respect 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR - UNLESS CONSTRUCTION FARTS Rough Service ................... �..... ..r............................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit.Required to Occupy Building 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. 5 CROSSROADS CONTRACTING OF DERRY, LTD. 15 Londonderry Road, Londonderry, NH 03053 603-434-1611 FAX 603-434-9391 PROPOSAL SUBMITTED TO: Heather McNeil and Justin Nealey Phone: 978-686-6717 WORK TO BE PERFORMED AT: 13 Union St. North Andover, MA DATE: January 16, 2015 EMAIL: h mcneila-hotmail.com iustin.nealey(a.gmail.com CONTRACTOR REGISTRATION NUMBER: 160986 SPECIFICATIONS THANK YOU FOR ALLOWING CROSSROADS CONTRACTING TO SUBMIT THE FOLLOWING PROPOSAL. WE WILL SUPPLY THE MATERIAL, LABOR AND EQUIPMENT TO PERFORM THE FOLLOWING WORK: INTERIOR REMODELING LEAD SAFETY FOR RENOVATION, REPAIR,AND PAINTING 1. Determine if Lead-Based Paint is present using an EPA recognized test kit in all homes built before 1978: 2. If it is determined that Lead-Based Paint is present, all work will be performed according to EPA lead safe renovation guidelines. 3. Pricing to be determined and reported within 48 hours of test results. 4. Payment for lead testing to be made directly to the lead testing contractor per Massachusetts state law, DEMO Crossroads to remove and dispose of the following: 1. Tile flooring, baseboard trim, Closet door and casing, and window trim. 2. Toilet, sink, sink faucet, tub, tub/shower walls, and shower faucet. 3. Ceiling fan/light combination. 4. Suspended ceiling system. 5. Remove the existing steam radiator and save for reinstallation after paint is applied by Homeowner. Steam pipes are to remain in place during construction. FRAME 1. Frame in ceiling where the suspended ceiling is removed with 2x4 studs 16"on center. 2. Replace floor sheathing where damaged with plywood to match the existing subfloor height. Note: Replacement of unexpected water damaged framing material that may be uncovered is not included in this Proposal. ELECTRICAL Supply and install the following as per National Electrical Code 2011: 1. One (1) Customer supplied Vanity Light with single pole switch. 2. One (1) Panasonic WhisperLite Exhaust Fan Light(Model#FV-08VQL5)with two pole switch. Fan/light will be vented to the exterior. 3. One (1)dedicated 20A circuit for GFI receptacle. 4. One (1)combination Are Fault—GFI dedicated circuit. Page 2 Heather McNeil and Justin Nealey 13 Union St. North Andover, MA PLUMBING Supply and install the following: 1. One(1) 36"X 21" Kemper Whitman Maple vanity and medicine cabinets per East Coast Lumber Design 1/10/2015. (Allowance=$860) 2. One(1) 37"X 22° L-Series Cultured Marble vanity top with molded sink with 4"back splash. (Allowance=$505) 3. One (1) Kohler Alteo single handle lav faucet(K-45800-4-CP) in Polished Chrome finish. (Allowance = $140) 4. One (1) Kohler Bellwether 60x30 Cast Iron tub(K837WH1). (Allowance=$500) 5. One(1) Kohler Rite Temp valve(K-304-K-NA)with Alteo valve trim (KT-45110-4-CP), Alteo wall mount bath spout(K- 45131-CP), Forte supply elbow(K-355-CP), Mastershower metal hose(K-9514-CP), shower slide bar(K-9069-CP), and Forte handshower(K-10286-CP) in Polished Chrome finish. (Allowance=$475) 6. One (1) Kohler Cimarron (K3888-0)White Comfort Height®two-piece round-front 1.6 gpf toilet with AquaPistonTm flush technology and seat(K-4639). (Allowance=$250) Note: Included in this proposal is a total allowance of$860 for the vanity and medicine cabinets. Note:Included in this proposal is a total allowance of$505 for the vanity top. DRYWALL 1. Install %" moisture resistant drywall to the ceiling in the Bathroom. 2. Mud, tape and sand to a paint ready condition. Ceiling to have a smooth finish. 3. Patch and skim coat the reworked walls to create a smooth surface. TILE 1. Supply and install cement backer board and ceramic tile to the floor in the Bathroom in a straight set, non-pattern fashion. Note:$5.00 per square foot file and grout allowance for all areas.Additional borders,patterns,accent pieces,etc.will result in additional charges. TUB/SHOWER WALLS 1. Supply and install cement backer board to the walls above the new tub where the wall panels are to be installed. 2. Supply and install 60" high L-Series Cultured Marble panels with one large, and one small recessed niche to the walls above the new tub. INTERIOR DOORS and MILLWORK 4fYI& Supply and install the following: ckronn E 1. One(1) 18"x 80° pine interior door wither hardware and passage set. (Closet) 2. 5" pre-primed pine casing to the new door and existing window. 3. 5 '/2" pre-primed speed base baseboard in the Bathroom. PAINTING 1. Apply one coat of latex primer to all new and reworked drywall, 2. Apply two coats of latex interior finish paint to the walls and ceiling. 3. Apply two coats of latex interior semi-gloss to the doors, window and door casing, and baseboard trim. MISCELLANEOUS 1. Any changes needed due to building code issues that are not included in the scope of work outlined in this proposal, will be billed accordingly. 2. We will clean up and remove our construction debris, and leave the site vacuum clean. 3. Permits will be obtained by Crossroads Contracting and billed at face value to the customer. 4. $250 Partner Agreement retainer fee has been applied to the contract and is reflected in final price below. EIGHTEEN THOUSAND THREE HUNDRED AND SIXTY DOLLARS ($18,360.00) Page 3 Heather McNeil and Justin Nealey 13 Union St. North Andover, MA 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. PERMIT NOTICE: 1. The following permits will be required to complete the agreed scope of work: a. Building Permit, Plumbing Permit, Electrical Permit 2. Permits will be obtained by Crossroads Contracting and the face value will be billed to the customer. 3. It is the obligation of the Contractor to obtain such permits as the Owner's Agent. 4. Owner's who secure their own construction-related permits or deal with unregistered Contractors shall be excluded from access to the Guarantee Fund provisions of MGL Chapter 142A. 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: $18,360.00 Payments will be made according to the following schedule: 590.00 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) 590.00 upon Start of PROJECT $4,590.00 upon Start of TILE $4,590.00 upon SUBSTANTIAL COMPLETION (Law forbids demanding full payment until contract is completed to both party's satisfaction.) The following material/equipment must be special ordered before the contracted work begins in order to meet the completion schedule. Not applicable. (Law forbids demanding full payment until contract is completed to both party's satisfaction.) The following material/equipment must be special ordered before the contracted work begins in order to meet the completion schedule. Not applicable. NOTE: 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. Proposed Start and Completion Schedule: The following schedule will be adhered to unless circumstances beyond the contractor's control arise. Contractor will begin contracted work on: APRIL, 2015 Contracted work will be substantially complete(At least 95%) on: MAY, 2015 EXPRESS WARRANTY—Is an express warranty being provided by the Contractor? Yes(all terms of the warranty must be attached to the contract.) Contractor warrants that Work will be of good quality, free from defects and in compliance with the requirements of the Contract Documents, as well as applicable local, state and federal laws, ordinances, rules and regulations. At the Owner's request Contractor shall promptly repair or replace defective work for a period of one year after the date of Work is substantially complete. All other statutory or common law warranties are specially disclaimed. Page 4 Heather McNeil and Justin Nealey 13 Union St. North Andover, MA 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 agreement. Contract Acceptance—Upon signing, this document becomes a binding contract under law. Unless otherwise noted with 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 Registration. 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 One Ashburton Place, Room 1301, Boston, MA 02108 or by calling 617-727-3200 or 1-800-223-0933. • Does the Contractor have insurance? Check to see that your Contractor is properly insured. • Know your rights and responsibilities. Read the Important information that follows on this 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 place other than the Contractor's normal place of business, provided you notify the Contractor in writing at his/her main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other should be kept by the Contractor.) —JkCA� ��)Az�-C�p Homeowner's Signat on actor' Sig ature Date Date JB/INT/P84 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 pr��2ded inachusetts General 1-9", chapt a&,-rd n ,r-7/�v% 1-16m wner's SignatuW ractoe i" ature Page 5 Heather McNeil and Justin Nealey 13 Union St. North Andover, MA 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 dispute resolution even where this section if 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 you consumer/Homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate 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 recision period has expired. 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: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170 Boston, MA 02116 (617) 973-8787 or 1-888-283-3757 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 Bureau of Building Regulations and Standards One Ashburton Place, Room 1301 Boston, MA 02108 (617)-727-3200 or 1-800-223-0933 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 413-734-3114 17 V � I JL - I I I . f I I I i b I - I � I I , ! ' : - f I I r , I r f ' I I. I , I I r I I I - I I I � I � h I I ! r I : i r ` r , I I i �.L Y EEifIE I C- I ' I I � - � I3 0I `!r r TLA 6 i / i 1Z. V '1/ 1� ! CROSS-2 OP ID: SG '4 CERTIFICATE OF LIABILITY INSURANCE °A11/18/2014TE ' 11/18/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Planright Insurance-Salem PHONE Jason M Mlocek FAX 224 Main Street Suite 3C A/c Ne Ext:603-890-6439 Alc No): 603-890-6521 Salem,NH 03079 E-MAIL Jason M Mlocek SS:jason@santoinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Indemnity Ins Co 18333 INSURED Crossroads Contracting of INSURER B:Excelsior 11045 Derry Ltd 15 Londonderry Road Unit 6 INSURER c:Netherlands 24171 Londonderry,NH 03053 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ?LTR TYPE OF INSURANCE POLICY NUMBER MM DDY� POLICY EXP LIMITS '.. A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE P�IOCCUR BKS55672507 11/01/2014 11/01/2015 DAMAGE FO RENTE PREMISES Ea occurrence $ 300,00 MED EXP(Any one person) $ 15,000 '.. -PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY M EC [X]LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 B ANY AUTO BA8814314 11/01/2014 11/01/2015 BODILY INJURY(Per person) S ALL OWNED X SCHEDULED BODILY INJURY Peracc dent $ AUTOS AUTOS ( ) XNON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Peraccdent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB i CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X I STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN C8875773 11/01/2014 11/01/2015 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA A 3A: MA NH E.L.DISEASE-EA EMPLOYE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Jan Jacome as elected to be excluded from work comp coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massach usetts Department oflndustrialAccidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 , -�"t www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Crossroads Contracting Address: 15 Londonderry Rd, Unit#6 City/State/Zip: Londonderry, NH 03053 Phone#: 603-434-1611 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. []New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ©Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.n I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 []Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.FX]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am all employer that is providing wortfers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Peerless Indemnity Insurance Co Policy#or Self-ins.Lic,#: WC8875773 Expiration Date: 11/1/15 Job Site Address: 13-15 Union St City/State/Zip: N.Andover, MA 01845 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 cert fy under the pains and penalties of pel jury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write ill 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachgsetts 02116 Home Improvement C r'd for Registration Registration: 160986 Type: Private Corporation z IL Expiration: 9/17/2016 Tr# 256801 CROSSROADS CONTRACTING O �a JAN JACOME � { n 15 LONDONDERRY RD. #6 ��1_.` LONDONDERRY, NH 03053 \�ff✓�N 5���`� Update Address and return card.Mark reason for change. sCA1 0 20M-05/11 E] Address [] Renewal F-� Employment Lost Card ,,q �e�oair.nz�oicueal�✓a�,C/j�,avJacrtuJe�1. \ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ,.;60,986 Type: Office of Consumer Affairs and Business Regulation Expiration:„.y9/1Z)Z.0. :6, Private Corporation 10 Park Plaza-Suite 5170 ;r, Boston,MA 02116 CROSSROAQS COi1 iIbERRY LTD Iffil1. Wq JAN JACOME 15 LONDONDERRY F�C,;ifi LONDONDERRY, NH 0306E Undersecretary Notali without signature 71VMassachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-104779 NICHOLAS A CojhrM_ }3 12 BIRCH ST _ LITCHFIELD Nil 0305'x' Expiration Commissioner 06/04/2016 SUBCONTRACTOR/SUPPLIER LIST Owner: Justin Nealy 13 - 15 Union Street N. Andover, MA 01845 Contractor: Crossroads Contracting 15 Londonderry Rd#6 Londonderry, NH 03053 603-434-1611 Electrical Sub: Border Electric PO Box 461 Londonderry, NH 03053 603-860-2617 Plumbing Sub: Shanley Plumbing 71 Pleasant St Danville, NH 03819 603-382-0933 S:Sales.Subcontractor.Supplier List(template).xls