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HomeMy WebLinkAboutBuilding Permit # 5/7/2015 1 BUILDING PE MITof�O DT 6 TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION _ h Z Permit No 1 Date Received �Oq�R7EMD "�c5 ISsgcwus� Date Issued: MPORTANT: Applicant must complete all items on this page 5T��F���[-� f �mt PROPERTY OWNER:. � �� Pnnt 100 Year Sfrucfure yes no MAP—� ARCEL--�� ZONING DISTRICT�Histor%c District yes no Machine op,,,,,Village` yes no TYPE OF IMPROVEMENT PROPOSED USE Residents Non- Residential ❑ New Building e family ❑Ad ition ❑ Two or more family ❑ Industrial teration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic V1/ell O Floodplain '; 0 UVetlands' ❑ UVatershed District ater-,Wer DESCRIPTION OF WO�RK TO BE PERFORMED: J Al S Identification- Please Type or Print Clearly OWNER: Name: 9eZ2 U kn " -Se -r-1,` Phone: q15-6817- 2 (' Address 1 6SfTn iG V ca v Hitbn'Stred r: 1�9�4 Supervisor's Construction LicenseExp Home Irnprouement License 1.!!f f Exp Date �� 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: $ /O7j FEE: $ Check No.: 16 S'W^I— Receipt No.: J NOTE: Persons contracting with unregistered contractors do not have access to the guaranty find } A Signature of Agent/Owner nature of contractor ,- tt®RTH Town of Andover t_E. ...'.,�, ® ® bib -III ,••`,- _ h ver, Mass 'J O LA.c! 1• C OC NIC N!W,C N AO ¢�V .� SATED P'.? � u BOARD OF HEALTH E T Food/Kitchen L D Septic System THIS CERTIFIES THAT .....RTI # .. 4-oft.��r, �,', BUILDING INSPECTOR Foundation has permission to erect ...........®...........Yulidings onj. �....... ,. . (C.Aft�....... awk ..,,.... Rough to be occupied as ............ ... .� .. .... ... ........... chimney a e provided that the person accepting this permit shvery 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 l NTS ELECTRICAL INSPECTOR WV 'a ® LESS - T S Rough mooService ........ ... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR ccupaneV Permit Required t® Occupy ButldznRough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall T® Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No, Smoke Det: �Iassac>huse�s I�®Il'Ie IIn 1'®ve�acat'Sam le Contract fame sans&es all basic requirements of the state's Home hn ro language toa protecthomeorvners. Seek►agnladv7ceifnecessa P t'ement ContractorLaw(MGL chapter 142A),but does not include standard Massachusetts Consumer Guide to Home Improvement"before wry �YPerson Planning home improvements should Office of Consumer Affairs and Business Regttlaton§Consumer Information Hotline at 677-973 87g7 or 7-888 in a obtain a copy of"A Y residence.You may obtain a free copy by calling the Homeowner Informa tion 83-3757 or on aur tvcbsito. Nam Contractor Infa•mation e- S Companylartte Street Add do not use a Post OfficeBa��dam) ItAdawk S J _ Contractor/Salesperson!OnnerName 9 LLC City/fours ]�/j� State Zt Code Business Address(must include a street address) DayKime Phone Evening Phone City/Tonn State Zip Code ��tailing Address(It different from above) nusinessphone Federal Em 1 p ayerID orS.S.Number Loa.nquim ehatmwt home ttOt°rOIV..a ContraetorRee.Italia, rmpmrcmmt mntnrtors hate F-rpumun dse The Contractors °`.d`�O"' °nmaar grecs to do thefollottng wane for the Homeowner. Ja (Describe in detail the wvrk to completed, `specrfymg the WC,brand,and grade of materials to be used•use additional sheets ifnecess Required Permits_ The:::Id and ndll be secured by Wehomeowner's agent: be adhered to unless eiremnstances be and the conpereo are regwred Proposed Start and Completion Schedule_The followingschedulewill (Owners who securemits wit!beexcluded from the Gprovisions ofY tractors control arise MGL chapter 142A. Date when contractor will begin contracted work. Date i"hen contracted work will be substantially completed. Total ContractPricenndPnymentSchedule The Contractor agrees to perform the Pa toad,famish the material and labor specified above for the total sum of the following schedule: Payments will made according to S—�C.�-upon signing contract(not to exceed 1/3 of We tom contract price or the cost oft ecial order items,whichever is P greater) ��J-�_b} ��or upon completion of S 10---by�j�!/� or upon completion of 7-o4a sat tiJ ee 1 i®n] upon completion of the contract (late forbids demanding full pa�rhent uatrT contract is completed to both party's satisfaction) The fallowing malerial/equipment must be special S ordered before the contracted work begins in order epid for to meet the completion schedule.(**) S to be paid for NOTES.(*)Including all finance charges(°t)7 atvrequires that any not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of an which must be special ordered in advance to meet tfie comple ion seheduteit or ayment required by t contractor before work bel May special equipment or custom made material u cess{Nannie-_n c n rets warrnnh cin rovided b•the contra tor? El'NO❑y� net terms orthe warm n must be attic ed to file contract) Subcontractors t The contractor agrees to be solely responsible for comp►eton of the work described regardless of the actions of any third Party/subcontractor o d I;clb r utilized by We contractor. The contractor further agrees to be sole[ r materials and labor m er this anrce e t Contract Acceptance_U on si Y esponsible for all payments to all subcontractors for P �tiug,this document becomes a bindingcontract under late.Unless otherwise noted within this document the contract shat)not imply that any lien or otter security interest has been placed on the residence. Review the following cautions ti carefully before signing this contract and noces • Don't be pressured into signing the contract.Take time to read and full•understand it ° Make sure the contractor h a talid Home ho J Ask questions cost ho Wi- unclear. subcontractors to ti registered tvit4 ate Director ofHome Improvement Contractor Registration. you may inquire about contractor rovement Contractor Retastration. The late requires most Lome improvement contractors and registration by writing to the Director at 10 P ark ° Does the contractor have insurance?Ask the Contractor for his insurance company information so that ou can Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 889-283-3757. see a copy of "proof oftnsurance"document: nd ° Know tool,Ho s Improvement Read the Important Information-the reverse side of this form and get a copy of the Consumer coverage,or k to Guide to tee Home Improvement Contractor Laty. You may cancel this atseement if it has been signed at a place other than We contractorsnormal place of business,provided you notify the ce by third bucOn siness day follothti�t the sign ng Of this agreemech ennt. See two tt ched otic,of cancellation form for an ex ) mail posted, Y gram sent or by delivery,not later than midnight of the DO NOT SIGN THIS GpNTRACT IF 7I�RE planation of this right. Aro idenGeil copies orthc contrast ARE ANY BLANK SPACE. must b completed and signed.One cope should got°lh homeonrc The ollmreopt she-td be kept_6Uv ... t r '3 Horneotther Signature Date ctor. I Contractor's Sienature ualC Contractor Arbitration The Home improvement Contractor Law provides,homeowners tivith the right to initiate an arbitration action(as an alternative to court action)if they have a dispute ith 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,llomeotijmerpereby mutually agree in advance that in the event the contractor has a dispute aoriceriill7� ri ac l thdt��ti actor may submit the dispute to a private arbitration fug vvhichhas been approved by the a xeeu( Office of Consumer Affairs and Business Regulation and the consumer shall be required I�i4� . to s5 i such arbitration as provided In Massachusetts General Laws,chaI4—A- cot, A. r (DaLl / o $o7neo 1r's Contractor's Signature Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may norbe waived in any way,even by agreement. Howevert 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 worIunanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty forvvorlunanship 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 ts.contact the Consumer Information Hotline(listed below). questions about your consumerlhomeowner righ Execution of Contract d should not be signed until a copy of all exhibits and referenced The contract must be executed in duplicate an documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems hinilherself to be financially insecure. However,in instances where a contractor deems him./herself to be financially insecure,the contractor may require that the balance of funds notyet 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 Ifyou have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 ParkPlaza,Room 5170,Boston,MA 02116 617-973-8787-888-283-3757 orvisit the OCABR website at Ittb ait;tte;:anass.Uav:'ncabt 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 Lacy contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 orvisit the HIC website at huo:':ryN v.mass.uoyiocabrif Go online to view the status of a Home Improvement Contractor's Registration: illi!:'1'dl:.snu'tZ.n7a.11cfn7Ui77eitilnrU\•2rilli?1/11l'CnSe-1 1 a5i? For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 61V/27-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-734-3114 Version 21-1112J2010 The Commonwealth of Massachusetts Print Form Department - p tfreentoflndusti4•ialAccidents Office of1Investigations y• �' L—:4 Congress Street, ,Suite 100 Boston, MA 02114-2017 mMinass-g ov/dia Workers' Compensation Insurance Affidavit:iAffidavit: B A licant Information udders/Contractors/Electricians/Plumbers Name (Business/organization/Individual): Atlantic Wedth0[1z4tlul,; Please Print Leaibl Address: Saletr. M.A N970 City/State/Zip: Phone#: 7W- 879- Are y946 employer?Check the appropriate box: 3 1• ' am a employer with�_ 4. ❑ I am a general contractor and Ir8. E] of project(required): 2.❑ employees(full and/or part-time).* have hired the sub-contractorsNew construction I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' Demolition [No workers' comp. insurance comp. insurance.t Building addition 3.❑ required.] 5. [] We are a corporation and its Electrical repairs or additions I am a homeowner doing all work ofcers have exercised theirmyself. [No workers' comp. right of exemption per MGL lumbing repairs or additions insurance required.] c. 152, §1(4),and we have no 12.0 Ro epairs employees. [No workers' 13• Other 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. 7n7oan employer that is providing workers'compensation insurance for»iy en:ployees. Below is the otic and'ormation. p Y J b site Insurance Company Name: Z r`"� f r l Policy#or Self-ins. Lic.#: 562-70 1,;Z Expiration Date: Job Site Address: / q S ea V_ Attach a copy of the workers'compensation policy declaration page(showings the Policy number an 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. Id , v hereby certify ut r tjie arqs�andpenalkes ofperJury that the information provided above is nee and correct. off r w a Si nature: c' t 'A Date: (� Phone#: 9 7 7qO kl o 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.Hoard of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Rightfax N2-1 3/10/2015 10 : 11 :37 AM PAGE 7/013 rax Z)t;z-vcz DATE Ac ' ® CERTIFICATE OF LIABILITY INSURANCE 03-10-2015 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 TAFFORDED BY THE HE ISSUING INSURER(S),POLICIES BETWEEN AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)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). CONTACT PRODUCER NAME. EASTERN INS GROUP LLC PHONE AtC No FAX Eat: A/C No 233 W CENTRAL STREET E-MAIL A 13NATICK,MA 01760 INSURER(S)AFFORDING COVERAGE NAIC a INSURER A;AMERICAN ZURICH INSURANCE COMPANY ENSURED INSURER 8: ATLANTIC WEATHERIZATION LLC INSURER C: 61 REAR JEFFERSON AVE INSURER D: SALEM,MA 01970 INSURER E INSURER F: O E CE TIFIrAlE NUMB92rVIQlANBER: 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. IN5R ADDL SUB POLICY EFF POLICY EXP UNITS GENERAL LIABILITY LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDIYYYY) MM/DDlYYYY EACH OCCURRENCE S DAA $ COMMERCIAL GENERAL LIABILITY M,,ETORNTDnce CLAIMS-MADEn OCCUR MEOEXP(Anyoneperson) S PERSONALBADVINJURY $ GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPrOP AGG S POLICY JECOT LOC S AUT OMOBILELIABILITY Oa--1 aD SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED OPE Y AMAGE $ HIRED AUTOS AUTOS ere e S UMBRELLA LIAR OCCUR nlL- EACH OCCURRENCE S EXCESS LIAR CLAIMS,MADE AGGREGATE S '.. DEDRETENTION$ $-F '.. WORKERS COMPENSATION X OR LIMIT ER AND EMPLOYERS'LIABILITY TORY LIMITS ER YIN �N,� ANY PROPRIETORIPARTNERIEXEbUTIV� E.L.EACH ACCIDENT $500,000 OFFICERIMEMBEREXCLUDED? U NIA 6ZZUB 03-20-2015 03-20-2016 E.L.DISEASE-EA EMPLOYEE $500,000 (Mandatory in NH) 58270121 it yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OP OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) TI C E O DE CNC L 0 WN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE TOWN BEFORE THE EXPIRATION DATE THEREOF, N. 0 OSGOOD OSGOOD SS T 01845 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESET1TA71VE � 1 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ® CERTIFICATE ww'' DE(MM/DD/YYY1) LIABILITY N F373/2015 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 pol(cy(ies)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 COriBt ruCtlOri Eastern Insurance Group LLC PHONE (800)333-7234 FAx 233 West Central St E-MAIL arc N°: ADDRESS: Natick INSURER S AFFORDING COVERAGE =Co. 1360 IKPi 01760 INSURER A:Arbella Protection Ins. INSURED Atlantic Weatherization INSURER B:Nautilu8 Insurance CO 61 Rear Jefferson Avenue INSURER C: INSURER D: Salem INSURER E: MA 01970 INSURER F COVERAGES CERTIFICATE NUMBERNASTER 2015 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. INSR LTR TYPE OF INSURANCE 1M WVD A D BR POLICY NUMBER MM,DDYlYYYY MM,DNYYY LIMITS GENERAL LIABILITY 7DAMAE RENCE $ 1,000,0001 X COMMERCIAL GENERAL LIABILITY ENTED A CLAIMS MADE OCCUR 500092816 /20/2015 /20/2016 a occur ce $ 50,000 one person) $ rj000 ADV INJURY $ 1,000,000 REGATE $ 2,000,00o GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO Ea n --$-.. 1,000,000 ALL OWNED X SCHEDULED 1020015871 BODILY INJURY(Per person) $ AUTOS AUTOS /20/2015 /20/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNAUTOS ED PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X PIP-Basic $ OCCUR A EXCESS LIAB CLAIMS MADE EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION$ 4600058654 /20/2015 /20/2016 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WC STATU- OTH- ANY Qsy LIMITS OFFICER/MEMBER EXCLUDED � N/A (Mandatory in NH) E.L.EACH ACCIDENT $ If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B POLLUTION LIABILITY PL200378613 0/1/2014 0/1/2015 GENERAL AGGREGATE $1,000,000 EA POLLUTION CONDITION $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE John Koegel/PMA ACORD 26 ninn��m(2010105) INS026 r�m01988-2010 ACORD CORPORATION, All rights reserved. Tho A(Inp l nnmo 2nA Innn aro ronic}orori mnrtcc of Annpn 1 assachusefts -Department of PubHc Safety Board Of SWkfh'tg fR fW:tffons andStandardis � Conntr ¢afro,Supegr ijanr Ucans: CS-087977 ERIC W PALM - ; 3 HILTON ST Salem AM 019707 ; !fP Explinaflon 0412312016 Ofiice of Consumer Affairs&Bu t'.�/✓ac+~`�a�nr�rca�rrnrrrl! smess 11cgulatlon 11ME IMPROVEMENT CONTRACTOR egistration: 142089 Type: xpiration: 3/12/2016 Ltd Liability Corpo ATLANTIC WEATHERIZATION L,L.C. ERIC PALM 61R JEFFERSON AVE - SALEM,MA 01970 Undersecretary