HomeMy WebLinkAboutBuilding Permit # 7/17/2015 BUILDING PERM'T O��%A.LORTl q"
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TOWN OF NORTH ANDOVER 02 hti'`- -•'`,
APPLICATION FOR PLAN EXAMINATION
Permit No#. Date Received
�•9 q�Rgreo`PPa,�'�y
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Date Issued: 1 I I I
IMPORTANT:Applicant must complete all items on this page
LOCATION C r!L-1 lz� C-2 /to
Print
PROPERTY OWNER
Print 100 Year Structure yesQn
MAP PARCEL: ZONING DISTRICT: Historic District yesMachine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑'New Building ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
�,Se`ytic Well Ff, ❑ Flood lam , q Wetlands ❑ 1Natershed Distract jlf h
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DESCRIPTION OF WORK TO BE PERFORMED:
ce �T- 7 "r"L/� ' `r u1d' -J i
Iden tificatio - P ease Type or Print Clearly
OWNER: Name: a f� � L S Phone:
Address;
Contractor Name: Phone: z&-5 gj- %
Email: b
Address: 9094
4
Supervisor's Construction License:_._ Exp. Date: s /�
Home Improvement License: ,� Exp. Date:
_ 71 zz/z
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $_ j 0 cljcl FEE: $
Check No.: ®� Receipt No.: �
NOTE: Persons contracting with unregistered contractors do not ave access to the guaranty fund
t%oWTH
Town of ? _ t_� ndover
0to
. _ ,�
zIl 2d1 !5
h ver, Mass V
O
COC MICHEW.CK
A�RATE� AP���S
s U
BOARD OF HEALTH
Food/Kitchen
PERMI LD Septic System
THIS CERTIFIES THAT ............(4. .......... ...... BUILDING INSPECTOR
has permission to erect ... g , „ , �If�l�,r I Foundation
........ ............. buildin s on ...... ..... �....... .... ..%....................
Rough
to be occupied as ...... ........ ... .. .... ..... .... ... ................................. Chimney
provided that the person accepting this per it shall in every respect confo 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 CO STRCTI A S
Rough
Service
................. ....................................... ............ Final
BUILDING INSP
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.
AMS
PropDsed Kfthen I living room project:
Staff ftrrdly
56 Sugarcane.
N.Andover MA
6102115
1. The Gontractor agrees to provide all labor and materials required to pefform,
the following work-
* Design kitchen
* Obtain permit(fees included
Remove and dispose of all kitchen cabinets
go Remove kitchen appliances and store them on the property until new
appliances arrive
a Remove existing flooring in the kitchen area
a Remove wallboard as needed
a Install new hardwood flooring to kitchen and living room(estimate based
on$9/sf)
M New insulation added to walls and ceiling as needed
M Install new W blue board and plaster to ceiling(sand s'wirl texture)
a Plaster patching as needed to Its(smooth finish
® Install exterior venting for oven
Do to joist placement exterior venting is not ys possible. In
this case a recirculating feature of the oven vent vill be utilized
0 Cabinet installations
a Estimated install Ume fbr cabinets and trim(4 'days)
a Cabinet pulls included
0 (cabinet cost$14211.34)
M Coordinate granite counter template and installation
Granite cost not included(estimated at$6K)
a Existing vAndows to be kept as is
w Install new baseboard molding and window casings
Matching existing house molding as closely as possible
I
Pa e
Electrician to:
a Install 2 pendent lights
® Replace 2 recessed cans
® Add 4 recessed cans to the living room area
a Upgrade el receptacles
o Move for range
0 Cap off old wall oven electrical feed
® New dedicated circuits to all
0 Add a receptacle to kitchen island
a Price assumes gas stove not ele& l
a Plumber to:
Install new or reused sink,faucet dishwasher,!garbage disposal
and stove(iceer hookup included if already present)
a Paint walls
0 Prime as needed
a Paint 2 coats white
a Paint all stained him in the kitchen and living room area white
Total costs $26, e00
Not included in the above estimate: i
Cabinets
Granite
Pendent lights
Repairs needed for unforeseen damage
Unknown work required to meet current code(cam rpentry/plumbi ngle1eqkical upgrades)
Appliance costs
Stove
Range
Dishwasher
Refrigerator
Disposal
Sink
Lighting
Faucet
Etc.
The above is an estimate only and is subject to change based on the customers final choice
of materials and any changes to the work or brought on by hommmate, requests or the
need to meet current building code.
2- The Owner hereby agrees to pay the contractor,for the aforesaid estimated materials
and labor,the sum of$26,300.00. Costs for this project are estimated at this time. The
estimated costs are neither a minimum or maximum cost amount
2 P a - e
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Payment schedule not yet determined pending final agr Iestimate with
Owner
Fm is amount is subject to change based on actual choices
of finished materials made by the homeowner) t
100%due at time of order(finished materials will be ordered and purchased at varus
times during the duration of the job)
Some finished materials may not be able to be returned or cancelled once the order is
placed and some may to subject to a 20%restocking fee. These charges will be the
responsibility of the homeowner if it is the homeowner requests the exchange or return.
r
3. This remodel is scheduled to begin(July 201 a)
4.The Contractor agrees to provide and pay for all materials, tools and equipment
required for the prosecution and timely completion of the work- Unless otherwise
specified i
All materials shall be new and of good quality. There is a one y my on materials
and craftsmanship, i€manufactures warranty does not apply-
5. In the prosecution of the work the Contraclor shall employ a sufficient number
of workers skilled in thek trades to suitably perform the work.
£.All changes and deviations in the work ordered by the Owner should be presented to
the Contractor, by the homeowner in wfiting,the contract sura being increased or
decreased accordingly by the Contractor.
7,The Owner,Ownees representative and public authorities shall at all times have
access to the work.
i
8. Construction and Jobsibe Details:
Existing lawn&driveway may suffer some damage due to construction trimking;every
attempt is made to minimize the damage, however the homeowner shall not hold the
contractors liable for the:extra cost if damage situations appear.
Any unforeseen discoveries that may affect the construction costs are y
responsibilities of the homeowner. For example:asbestos, lead paint, [edge, high
water table etc.
i
9. In the event the Conhador is delayed in the prosecution of the work,by acts of
fire,flood or any other unavoidable casualties; or by labor stnikes delivery of
materials,or by neglect of theOwner-,the time for completionof the work shall be
extended
for the same period as the delay occasioned by any of the aforementi6ned causes.
10.The Contractor agrees to obtain insurance to protect himself, his Workers and
subcontractors against daims for property damage. bodily injury or death due to his
performance of this agreement
11.This agreement shall be interpreted under laws of the Mate of Massachusetts.
12.Attorney's fees and court costs shall be paid by the defendant in the event that
judgment must be,and is, obtained to enforce this agreement or any breach h thereo€.
13. Certifications
Massachusetts Construction Supervisor license 2
Massachusetts Home Improvement Contactor Registration 0 1533519
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3Page
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14. InLiability Insurance iavailable uesL
IN WITNESS WHEREOF,the parties hereto set their hands and seals the day and
year writtena _
ER E ERASSIG*A , D E
ICA
0 ® NEITS SIGNATURE DAT
DRESS
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CONTRACTOITS NME CONTRACTOR'S R'S SIG ATURE DATE
Ave Salem,NH 030_73 �
CCNTFiACTOITS ADDRESS
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1Page
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1444'
41" 63;" 39;" UF39�
§iS
27 42 83
WS`dt 5 X 24 FSP 9UT n
DISHW24 AWPTIS_
j S base filler
00
trimmad to fit
Wal Cabinets on B3 y
Back of Peninsula UF3Lj
bailt up off tier Blind cabinet built
ii2"High.Y base ? tvltti Cush sides
filler installed against Install dx3i3 baron Bcarpella
wall to give Full Overlap � � peed deer � G � 603=855=tt�si
door swing clearance on ails rs, 3460-5�866
t�i3PBtl3�sep�d� y C5 � !� tai
Molding instslied CEILING HEIGHT:95
ib TOP GAGINET ALIGN-go
MANUFACTURER:Araidrican Wood earl
1% Dishwasher End Panel ' DOOR:shorebrook Painted
irstislled to F of Feidge ! GvERLA`t Full
to allots swing clearance b C Wt�ti®=ttlspld
for Ease orrser Cabinet .- FINISH:Linen
FP4534 skin trimmed gridFP4834 � CGN=afkUCTION TYPE:Standard
installed at and of .� GLAS S:None
peninsula to hide seam _ _ m � TOP MOLDING:FSS355
flush rvecl.(2)19x311 � � � o
_ r E30TTOM HOLDING Bakes
Osco doors installed on sibs � E18R 815L ' 5XPOSED END APPLICATION:Flush 01
ex pt panlhruia with finished panels_
r HOOD39=1
M439 BUTT
r
OGPSiUmid as Baseboard molding — —
flushed to cabinets on f=lat
Screen Wail
a30 25WT BUTT 11�"
94 ,r
All dimenMons 4Mze de,;ignatio iq ('tris is an tit{i incl dei;lgn and must t Desikfllcd. 7/4
given are 'suC beet to veriiaeaiion on not be rale a:sed or;Copied unle.,q vited= 7/4/2
job site and adjassttttent to r1tjob applicable [dv hag, been paid or_jub
condition*,. order placed.
I
6130:lcfb All Drawing ; t No
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All diniemzionq sire desionationsThis i5 an original design and mut Designed, 714
givon are qub,i ut to verification on not be released or copied t.YTlita�ti Printed 7/4/22
job site and adjustment t l tjob applicable re has been paid arjob
condition::. order laced.
13p3hLl1b l•toont Of€Penn galaDrawing fid ] No
U F
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Y W3030 BUT� 2 ( :'
6341 � W
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90
All dig engions size deslanmions ,This is an original design and must Desi nc& 7/4
i e-ri tare-subjeet to S'Crirleation Oil not lie- role ase-d or coptzd unless Printed: 7,-4/-
job
r /-job site and adjuAnient to lit job applicable- fee- has been paid orjob
conditiotu. order placed.
l 30 cfi bail€Of Peninsula Drawing hf- 1 No
- 1441"
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UF392
i W3315 x 24 DP Bu IT
Wr=R2436L !236
Mws-PA Em W3518 X 24 0
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to create tall oven
uw
3� E - cabinet
?;8LB4 /48R fF)E� DISH V 4 '1 8836 BUTT_ TO : MB713-2-
= x' 34 _ 4_DP BRITT
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V -4243" '" 4"" q" a i"
All diatten ionq size designations '1'ms is an original design and muqt Designed 7/4
givers aresubject to ver ideation on not be released €r copied unless Printed: 7/4121
lob site and adju-stment to tit job applicable roc has bci� ri paid or job
conditions, order placed,
�40 Alj F
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W3315 S 24 �P 3lJTT 618 X 24 Ole BUT
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W1536L WER2 36L.
3318 XM . Pi #�� �
UFS €
M1--1OM
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I 3, ' ` ' 11111 }
BS a36L i
WRT
DWR3 L
OWTEP96 OWTEP9
All dimensions siva: designations `l'his N.:an original design and rawa Designed. 7th,
iven are subject to veritacation on nut he released or copied unless Printed: 7/4/2(
job site and aatljrastancnt to iit job appllcaal=le tons has been paid ua•jot)
conditions. nr€1`r placed.
1 101cfb Refrigerator Tall Drawing 4; 1 No
16 -R
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/ Pi _ 1$ f 'PPS
7 4HOOD30-1
ER 436L 2436 BUTT 3 B._ TT
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All dimensions size designations `i iig is an orl final design and must wigged 7/4
given are subject to verification on not be released or copled unic5q rintod: 7/412
job site and actiustment it) [ujob appiicabic rcc hus been paid or job
conditions, order placed,
61.1103et'b Ran. , Wall raving 4. 1 QTc
1 ro
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---DB4--- B3O_ 2FWT BUT` ----- --DB2 !j
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81 lei
All dimensions sire dcssigna[ions This, is an oriLinaal design and must Degigned3 71=1
given art subjjoct to verification an not be released or copied tsnloss printed* 7/4/2
job site and adjummant to rujob applicable rau has been paid ar job
conditions. Larder placed.
l 3 i�ctt Fiat Screen WalI Drawing 4: 1 No
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File.name: 61303cfb.kit:
DescripUort: DC:MAGNOLIA AVE DESIGN 6-13
CATALOG,AWCHO[CE
Supplier
AWCHOICE May 2015
WMI1 doors: Shorebrook Painted -Linen 48MPS Drawer fronts::
Tall doors.- Drawer pulls:
Base doors: Door pulls:
Door style, SHOREBROOK PAINTED
1Item Qty, Description User Code Manuf- Code Fin. Side
1 2 Deep Wood Tall End Panel DWTEP96 DWTEP96 B
DWTEP96
Modifications: width= 0 314"
width2 = 0"
height= 90"
depth = 29"
*2 1 Finished Paneling FP4896 FP4896 FP4896
3 1 Door For Decorative Use DR1830 DR1830 ND{L} DR1830 NDtLj B
ND{L}
4 1 3 Drawer Base DB24 DB24 DB24 B
4.1 1 Left,Base Decorator Door DMDB DMDB fLj DMDB{L) B
51 1 Base With 2 DROT 83012FWT BUTT 830 2FWT BUTT 83012FWT BUTT B
6. 1 Door For Decorative Use DR1830 DR1830 ND(R) DR1830 ND{R} B
NDJRJ
7 1 Finished Paneling FP4934 FP4834 FP4834 B
Modifications: width = 36'
width2= 0'
height= 34112`"
depth,= 0 3116"
8 1 3 Drawer Base DB24 DB24 DB24 8
8.1 1 Right Base Decorator Door DMDB, DMDB JRJ DMDB JRJ B
9 1 Base With 2 DROT B24 2F1+`4CT BUTT B24 2FWT BUTT B24 2FWT BUTT B
9,11 1 Field Installed Wood Tiered,Cutlet VVTCDK24 WTCDK24 B
Divider Kit WTCDK24
10: 1 3 Drawer Base DB30 DB30 1 DB30 B,
11 2 Base Super Susan BSS36L BSS36L BSS36L. B
12 1 Base Cabinet B15L BrI 5L B-15L 6
13 1 Base Cabinet B18R E188 13118R B
14 1 Base Pantry Pull Out BPP9 BPP9 BPP9 B
141 1 Right Base Decorator Door DMDB DMDB(R) DMDB,(R} 6
Is 1 Left Base Dec Matching Door DMDB DMDB fLj DMDB 1,L) B
16 1 Bend Comer Base BLB45/48R(F) BLB451418R (F) BL645148R{Fj B
16.1 1 Furniture Ends Option FE-Base FE FE B
File name: 61303cfbAit
Description: DC MAGNOLIA AVE DESIGN 6.13
[Item Ref Qty Descriptio.n User Code Manuf. Code Fin. Side
16,2 1 Recessed Toe Kick Both RTKB RTKB B
16-3 1 Blind Base Filter UF6 UF6 U176 B
17 1 Sink/Range With Fit TO TRAY SB36 SB36 BUTT TO SB36 BUTT TO B
BUTT TO,
18 1 Wastebasket Cabinet BWBT1 8-2 BWBT18-2 BWBT18-2 B
19 1 Left Dishwasher Return DWR3 DWR3{L) DWR3(L.} L
20 1 Wall Cabinet W2730 BUTT W27301 BUTT VV2730 BUTT B
21 2 Wall Cabinet W3030 BUTT W3030j BUTT W3030 BUTT B
22 1 Wall Cabinet W2436 BUTT W2436 BUTT W2436 BUTT 8
23 1 Wall Cabinet W2436 BUTT W2436 BUTT W2436 BUTT 6
23.1 1 Right Wall Decorator Door DMDW36 DMDW36(R.) DMDW36 tR) 8
24 1 Wal[Cabinet W3636 BUTT W3636 BUTT W3636 BUTT B
24.1 1 Right Wall Decorator Door DMDW36 DMDW36{R) DMDW36,fR) B
24.2 1 Left Wall Decorator Door DMDW36 DMDW36{1-} DMDW36,(LI B
25 1 Wall Cabinet W1236L W1236L W1236L 8
26 1 Refrigerator Wall Cabinet W3312 X W3312 X 24 DP BUTT W3312 X 24 DP BL B
24 DP BUTT
26-1 1 VDO Drilled For Hinges Option:% VDO-DFH VOO-DFH B
VDO-DFH
262 1 Matching Interior Option%ME ME ME B
27 1 Wall Cabinet W3336 BUTT W3336 BUTT W3336 BUTT B
Modifications: width= 33"
width2= 0"
height= 361/8
depth= 24"
27.1 1 VDO Drilled For Hinges Option% VDO-DFH VDO-DFH 6
VDO-D,FH
27.2 1 Matching Interior Option%M( ME MI B
27.3 1 Increase To 24!' Deep %[D-24 ID-24 ID-24 B
28 1 Refrigerator Wall Cabinet W3318 X W3318,X 24 DP BUTT W3318 X 24 DIP BL B
24 DP BUTT
28.1 1 VDO Drilted For Hinges Option% VDO,-DFH VDO-DFH B
VDO-DFH
28.2 1 Matching Ir nt.erior Option %MI ME MI B
29 1 Refrigerator Wall Cabinet W3315 X W3315 X.24 DP BUTT W3315 X 24 DIP EL B
24 DP BUTT
30 2 Wall!Easy Reach WER2436L WER2436L WER2.4361- B
31 1 Refrigerator Wall Cabinet W3618 X W3618 X 24 DP BUTT W3618 X 24 DP Bt. 6
24 DP BUTT
32 1 Walt Cabinet W1536L W1536L W1536L
33 4 Base Toe Kick BTK8 BTK8 BTK8
Hile,name: 61303cfb-kit
Description. DC MAGNOLIA AVE DESIGN 6.13
[item Ref Qty Description User Code Manuf. Code Fin- Side
34 4 Ogee Pilaster Molding OGP8 OGP8 OGP8
35 51 Finished Solid Stock jVertfcall 6," FSS6.96M FSS696
FSS696
36 & Angle Crown Molding ACM8 ACM8 ACM8,
37 4 Single Bead Molding SBM8 SBM8 SBM8
38, 1 Universal Base Filler UF3 UF3 UF3 B
39 11 Universal Base Filler UF3 UF3 UF3 B
40 1 Universal Tall Filler 3"X 92"UF392 UF392 UF392 6
*41 1 Painted Limen %LINEN LINEN LINEN
*42 28 Shorebrook Painted-Linen 48MPS 48MPS Shorebrook Painte(
`43 1 One Pint Stain STAIN PINT STAIN, PINT
*44 1 Putty Stick Exterior Qty2. PUTTYSTICK EXT2 PUTT` STICK EXT
*45 4 Scribe Molding SM8.WD SM8 WD
*46 1 Tall End'Panel TEP96 TEP96
*47' 1 Touch Up,Marker Exterior Qty2 TU MARKER EXT 2 TU MARKER EXT:
*48 2 Universal Filler UF642 UF642
*49 1 Painted Linen % LINEN LINEN LIMEN
Volume: 6,545.08 Weight: 7.,600.68
non m-plan item
The Commonwealth of Massa.chusetts
Department oflndustrialAccidents
a t d 1 Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
SJ•y Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERIVHTTING AUTHORITY.
Applicant Information Please Print Le0bly
Name(Business/Organization/Individual): 04 V 0 A �/ g
Address: 0, ��
City/State/Zip: `/cayN s C! 7 �I Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑I ar mployer with employees(full and/or part-time).* 7. ❑New construction
2. am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling
any capacity.[No workers'comp.insurance required.] 9, demolition
3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 F1 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.[]Electrical repairs or additions
proprietors with no employees. 12.F]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insurance.1
14. then
,p
6.n We are a corporation and its officers have exercised their right of'exemption per MGL c.
152,§1(4),and we have no.employees.[No workers'comp.insurance required.]
*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 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-contraciors have employees,'tliey must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for•my employees.'Below is the policy and job site
i formation.
surance Company Name:
blicy#or Self-ins.Lie.#: 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 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 DTA for insurance
coverage verificatio .
I ,,o hereby cer ' it o ry that the information provided above is tare and correct.
i nature:
hone# 0 3
Official use only. Do not write in this area,to be completed by city or•town official..
City or Town: Permit/Ucense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Penson: Phone#:
Massachusetts - Department of Public Safely
Board of Building Regulations and Standards
Conatf`uction Supervisor 1 &2 Famil`
License: CSFA-096462
. r,irx
AARON
MSC L
2 MAGNOLIA AVE ky
i
SALEM NH 0307-9
l 1`
✓,�,: �t1 lk Expiration
Commis's�iio'nnee'r" 07/07/2016
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