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HomeMy WebLinkAboutBuilding Permit # 7/22/2015 NORTy BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#,c' 1 1__2CiY Date Received O Date Issued: EMYORIAIN I:Applicant must complete all items on this page LOCATION mA oiVlc Print PROPERTY OWNER IAA6, C_ ' Print Print IODYear Structure yes no MAP PARCEL ZONING DISTRICT:--- Historic District yes 11 no 1 Machine Shop Village yes lk no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building one family Ll Addition Two or more family El Industrial AAlteration No.of units: [I Commercial n Repair,replacement ❑Assessory Bldg D Others: Demolition ❑Other LTi -- Will PEfCRIPTION OF WORK TO BE_PERFORMED: Identification-Please Type or Print Clearly OWNER: Name: fAicyqQ J CAr;Faj Phone: C)'70 508� J�aR Address: RD Contractor Name: Fgis Phone: 11� 22`o i-40- Email: Address: 4qi Supervisor's Construction License: C "A893 Ext). Date: Home Improvement License: —Exp. Date: i ARCHITECTIENGINEER Phone: Address: Reg.No. FEE SCHEDULE.B ULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ J Jr Z O —FEE:$ Check No.: L, Receipt No.: NOTE: Persons contracting/ with unregistered contractors do not have access h guarantyfund oiw_�6 WOO it own of Anctover 2 h '" ver,Mass, � oP c arc a. �®A"RATEOWP'P�,�°(� s u � 0 ILD BOARD OF HEALTH Food/Kitchen /+��+/ Septic System THIS CERTIFIES THAT............................................ ~' BUILDING INSPECTOR .........................E.q..p........I.,..(.......C.....l....®............ has permission to erect..........................buildings on.. .... 7�.!..�lY, Sy( s..�7{ ,,,,,,,, Foundation ...... ..... Rough to be occupied as..... .� .�41.�`......�LT? � ...........�d ....... ... chimney provided that the person accepting this permit shall in everyspect 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 Rough Service ............................................................................... 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. .r&s eowtutcuaa,fm 441JrQW Xuaf"d,AM 01835 Homeowner lufonnatiou � (.'OniraC,IOr Iuformatital _ °I/ NW Compmy Nun. Bu.et A drw(do nut we a Post Ouitt Poi address) Contractor/S:ilesp.rson/OwncrN— N cay"I'own sure Zip Code nus ss Address(mus[include a suc<t a{ldress) Lr3 S Daytime Ph—, Lvenivg Phare City�Cown Swe "Lip code Mmling Add—,(1,diff—,from above) easiness 1'hon. FWaal Emoloycr ID or s.S.Nmnb<r Ho,re lu,pm+in¢m Concvtor keg Numt.r p�,pir-wo Ju.e .....�r t 77037 The Contractor agrees to do the following work for the 11mucowuer: illescrib in detail the-L L t -ompleted p eilying rhe type,trend,and grade of m..teri.ds to be used, r� hpv� wrI/ £'vAf Q'i/ �zarh i-a/S- yhre� A/ - ve�!F �t�jr�J c (�4 rpt Sc- r, r^- Cabl'14,1 �,1 licquircd Peruats-Tlm hollowing budding permits are required Proposed Start and CumpleGou Schedule-The following schedule will and will be seamed by the contractor as'the homeowner's agent: be adhered taw unless circumstances beyond the coma-wfs control:rue (Owners who secure their own permits will be r excluded from the Guaranty Fund provisions of 7 Z Lr Date when eonvacmr will begin convected work. �IGL chapter 142A.) ��_Date when cmttractcd work will be substantially completed. Total Contract Price and Payment Schedule 3�' s The Convector agrees to perform the wort,fu furnish the material and labor specified abate for the total sum af. () Payments will be road,according to the following schedule: sI/� upon signing contract(not to exceed 1,13 ofthe total contract price or the cost of spccwl order items,wiaehcver is greater) S by /_/_x upon completion of S 3 by L!/4'I,�or upon completion of IM e' S upon completion of the contract.(Law forbids demanding full payment until contract is completed.both patty's satisfaction) fire follawing materiaPequTr em most be special $ to be paid for ordered before rhe contracted work begins in order to meat the completion schedule.(") D to be paid for NOTES:(`)lnclading.115nanc.charg.s(")Law icqui,cs that any dopuiic or down-pnyment tcgaued by na;connector befom wvfc bcgias may not c—d the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or"Moot mail,,-,.dl l which mux,be special ordered in advaneq to meet the comple¢on sche.dYu�l�e. I'l "w r 1- rl - dill I t "ISVNr ❑Yea f'll ter,.rl'lo at br uJi el[nrlie vctl Subcontractors-The contactor ayTzes to be solely responsible for completion of the work described regardless of the actions of any thud party/subomtvactnr utif¢ed by[he convacmr.Thi conpactor fuNizr agrees to be solely responsible for all payments to all subcontractors for matcriuls and labor under tlnis a��reemzn[ Contract Acceptuuce-Upon signing,this document becomes a binding convict under Ines.Unless od—ise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Revia the following cautions and notices carefully befom signing this contract. • Doti t be pressured into signing the convict Take time to read and fully understand it.Ask tr tustions if something is unclear. • N4 k h t�-t h' I'd]-lama improvement Contrmaor Rc n tratian.The law rcquires most home improvement contractors and subconvnctors to be regist,red with Luc Director of Home Improvement Contractor Registration.You may higoira about contractor registration by writing to the Director at 10 Fork Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-870 or 898--283-377. • Does the contractor have uuurarue?Ask the Cpntractor for his insurance company information so that you can conn coverage,or a,k to sce a copy of a`prootbf insurance"document. • lino"your righrs and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consuotcr 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 notifyrare contractor m writing at his/her main o81ec or branch office by ordinary mal posted,by telegram sent or by delivery,not later man midnight of the third business day following tho signing of this agreement.See rhe attached notice of conrpllation form for an explanation orchis right. DO NOT SIGN THIS CONTRACT IF TR RE ARE ANY BLANK SPACES!!! Tui id<nr�:J copies of tiro connect must be wmpleted aM signed.Drs eoPY sMuld ge wdx kumourcr.iTs oPu copy siwwd xupt by�wn¢ocw. . ll,meawnerb ig oto Cod�racior's'ignature _— /a,72 Date Date Page: 1 F&S Construction Estimate 441 Kingsbury Ave. Bradford,MA 01835 Fax 978 702 4629 Number: E691 Dave 978 886 1250 Todd 781 953 1211 Date: July 15, 2015 Bill To: Ship To: Mike Caffrey 24 Edmands st N Andover,MA 01845 PO Number Terms Description Amount demo ceiling and walll paneling in porch area(remove heating element temporarily) i I demo dividing wall between porch and kitchen(temporarily suupport load above) install triple 7-114 Ivl beam to existing house sills demo flooring in porch area to joists below as necessary sister porch floorjoists(to level floor with kitchen)using 2 x 8 U.spruce and install hangers as necessary install 314 sturdi-floor system being sure to glue to floor joists remove and replace existing bathroom door and jamb(change to 214 x 618 RH inswing) insulate walls and ceiling as necessary to maximize R-value i install 112"blue board on walls, ceiling and new beam !,apply skim coat plaster to walls and ceiling that have new board install new trim on windows to match existing interior door trim I Page:2 F&S Construction Estimate 441 Kingsbury Ave. Bradford,MA 01835 Fax 978 702 4629 Number: E691 Dave 978 886 1250 Todd 781 953 1211 Date: July 15, 2015 Bill To: Ship To: Mike Caffrey 24 Edmands st N Andover,MA 01845 PO Number Terms Description Amount re-install existing porch heating element I Install island cabinets (approx 24"x 60") install upper cabinet at infilled bathroom window area above sink install two base cabinets on each side of oven aqpprox 9"and 18" install three upper cabinets on oven and fridge wall install new granite counter tops on existing cabinets,island and on oven wall new cabinetry is to be made of paint grade materials Island counter will overang back side of cabinets by approx 12" Install new narrow door slab approx.14-1/2x 80 install shelves as necessary in old ironing board cabinet to create pantry cabinet install under mounted stainless steel sink and faucet i prep,prime and paint walls,ceilings,cabinets and trim in kitchen and porch area hardwood flooring material and installation by others Page:3 F&S Construction Estimate 441 Kingsbury Ave. Bradford,MA 01835 Fax 978 702 4629 Number: E691 Dave 978 886 1250 Todd 781 953 1211 Date: July 15, 2015 Bill To: Ship To: Mike Caffrey 24 Edmands st N Andover,MA 01845 PO Number Terms Description Amount harwood floor sanding and finish by others electrical lighting,switching and outlets etc.by others all labor and material provided by F&S Construction unless otherwise noted 33,250.00 i I I Total $33,250.00 Lawrence HMom RE. 198 East Main St Georgetown_ A 01833 s Bass S'D ,. S OF c y R 2"- o Ao 70: -- I e a z 7 �. 9 �Y4 , �� �. ���'��e L ��rf few,-,«uW �I '. � �4. � I it lulu loom I IIIIIIII �. lr d" a, j ,j N r�;, p Y !�'�� P i h j (� r�, j �� "` " ,r III � ji, rw,id4'xll�� %�' �� i �i ii j ��� i of ��jj�I� ��. nj� � �'�:iF�i�u��iariiai�llllll � �/� ���.... .. / i / Ir, � ,�� „ � r-_ i� �I�� �% �f I ��I �� u�� ������b���.a�F i ISI ^. �// f',��'� I � r ��J �` T I „i //� ��j;' l' r .�l. V� ! s ivD mmrraiimi r ' r �fi, j £f.� �t j_,,, %J 4 � �ii / f� �'i r / �'� / 1 F-� �'j /�� / 11 1 �� � ,��j" Fir / jG �r !,� e /� / � � / j r � 4 � { � � �j` �;� i�, �����;f�/ f l i l � ���i'jjjjylr���i/'� I � 111111 � „�� j,° ,��j , � r! l , j �� j� l f : j j rr P - �` f �F � j��r � � � � ,/, � � �j ,j � ' ! l � f � f � / , � � � ���` � � j ��� / j � � r � � � ///ff/F � V l �� � ( ! � ff � � �, / � � ,� � �f � � � � �` j' � f l�j ! � /� I r � � ,� I The Commonwealth ofMassaehusetls Department oflndustrtalEAceidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia •'Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORM. Applicant Information / 7 /Please Print Legibly Name(snS IIe55IOL$amZa on Ad V dllal): /` ( C"r S� Y%N / F C Address: City/State/Zip: Phone Are yon an employer?cheek the appropriate boz: Type of project(required): I. T am a employer with ./._: employees(full and/or part-time)." 7. Q New construction 2. Ism asole proprietor or partnership and have no employees working for me in & Remodeling any capacity.p1Qo workem'comp.insurance required.] 3..Q I am a homeowner doln all work.self workers'eem.'surance rewired. 9.E]D Building lop g Y lTo P m 4 I t 10 Building addition 4.Q I am a homeowner and will be lilring contmateao conduct all work on my property.I will me that all contractors either have wodeco,'compensation insurance or are sole I Ln Electrical repairs or additions praprictona w;dano employees. 12.0 Plumbing repairs or additions 5.❑I am a general contactor and Ihave hin dthe sub-contractors listedon the attached sheet. 13.0 Roof repairs These sub-contractors have employees and bane workers'comp.insurance.: 6.0 Me are a corporation and its offices have ea—hedtheirxight ofexemption perMGL c. 14.Q Other 152,§1(4),and we have no employees.We workers'camp.insurance required.] _ .. Any applicant that checks box#1 must also fill out the section below showingtbeirworlcers'compensation policy information. t Homeowners who submit Ibis affidavit indicating they are doing all work andthenhire outside contractors must submit a new aMdavit indicating such. ?Contact..tbat check this box mustattached anadditionat sheet showing the name ofthe sub-contractors and state whetfier ar notthos entities have employees.Ifthe sub-contractor,have employees,Ri mnst provide their workers'comp.policy number. .I am an employer dist is providing workers'conepensadon insurancefor my employees.'Below is the policy and job site information. ) 1 Insurance Company Name: �-P/-, f 1 y° 17 S C'G O� �ll� S"�/jh.:t<?5 Policy#or Self-ins.Lic.#: S'/ Z 1 7 2 2 Expiration Date: Sob Site Address: 2 y U- 12 tc 114 Sf City/State/Zip:/I//,4Lo/tie✓' -'7c O/a'?� Attach a copy ofthe workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL o.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 o£a STOP WORK ORDER and a line 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. Y do hereby certify under dxe pains andpenalties ofpeijury that the information provided above is true and correct Si atrse: 2rL Date: /Z Phone#- �7 - �/'0w'—/ ��G 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.CityJTown Clerk 4.Electrical Inspector 5.Plumbing lnspector 6.Other Contact Person: Phone#: F&SCONS-01 KMCMAHON CERTIFICATE OF LIABILITY INSURANCEDA 7/2112015 THIS CERTIFICATE IS ISSUED ASA 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 endomement(s). PRODUCER CONTACT NAME: Salem Five Insurance Services,LLC PHONE AX 445 Main SVeet A/c Ns :(787)933-3100 AI No:(781)933-9048 Woburn,MA 01801 ADDNLEss:insumncezervices@salemfive.com 1NSURERIS)AFFOROING COVERAGE NAIC# INSURER A:Selective Ins Co of the Southeast 39926 INSURED INSURER e:Citation Insurance 40274 F&S Construction LLC 1NSURERC:TWIn City Fire Ins.Company 29459 441 Kingsbury Ave INSUREN D: Bradford,MA 01845 INSURERE: 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 CONTRACTOR 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. Has. ADDLSUBR M TYPEOFINSURANCE WSO WVO POUCYNUMSERMM ER MIO.VLDU EXP UMRS A X COMMERCIALGENENALUARILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MAGE®occuN 31887422 03129/201$ 0312912016 PREMISES(E.—.1 $ 100,00 MED EXP(APy one parson) $ 10,000 1 PERSONA—VWURY $ 1,000,00 GEN'LAGGREGATE UMn APPLIES PER: GENERAL AGGREGATE $ 3,000,00 X POUCV❑1ECTPRO- F7 LOC PRODUCTS-COMP/OP AGG S 3,000r00 OTHER. $ ;A" MOBILEIJABIDTYEaamIEeDSINGLE LIMIT S SOO,OOBNYAUTO HSY382 1111512014 11115/2015 BODILVINJURY(-Person) $ OVMED X SCHEDULED BOUILYINJURY(PeTacddem) $ UTOSAUTOS IRED AUTOS X NON AUTSWNED PROFE�RdDAMAGE S S UMBRELLA IWe OCCUR EACH OCCURRENCE 5 EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERSCOMPENSATION X I PER OTH- ANDEMPLOYERS'LUUHH TY STATUTE ER C ANY PROPRIEroRmARTNER�ExecuTNE YN/A 08WECIW2882 04/011201$ 04/0112016 EL EACH ACCIDENT $ 500,00 OFFICEHIMEMBER EXCLUDED? '• (MYantlMory in NH) E.L.DISEASIT E-EA EMPLOYE S 500,00 DE SCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/—ONS/VEHICLES(ACORD 161,A Himial Remarks--s,may es afti N Nmore space is required) CERTIFICATE HOLDER CANCELLATION SHO ULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mike Caffr THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN OY ACCORDANCE WITH THE POLICY PROVISIONS. 24 Edmands Street North Andover,MA 01845 AUTHORMED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD F&SCONS-01 KMCMAHON acoRO CERTIFICATE OF LIABILITY INSURANCE DAT2112OIYYYY) nzvzols 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(ies)must be Endorsed.If SUBROGATION IS WANED,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 endomement(s). PRODUCER CONTACT NAME: Salem Five Insurance Services,LLC PHONEo FA 445 Main Street ;(781 9333100 a N.),(781)933.9048 Woburn,MA 01801 A M"S:insuranceAemices@salemfive.com INSURERIS)AFFORDINGCOVERAGE NAIC# INSURER A:Selective Ins Co of the Southeast 39926 INSURED INSURER B:Citation Insurance 40274 F&S Construction LLC INsurreac:Twin City Fire Ins.Company 29459 441 Kingsbury A- wsuRER D: Bradford,MA 01835 INsu—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. ILNTSRR TYREOFINSURANCE NO POLICY NUMBER 0 EP(NJ-.P MMIO MIDD LIMIT$ A X COMMERCIAL GENERALUABRITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE LK OCCUR 51887422 03/2912015 03/29/2016 PREMISES Ea bmrr— $ 100,00 MED EXP(Ary one pe—) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 3,000,00 X POLICY L-]JEC LOC PRODUCTS-COMP/OPAGG $ 3.000,000 OTHER: $ AUTOMOBILE UABILITY CEOs a..IINeEECSINGLELIMR $ 600,000 B ANY AUTO HSY382 11115(2014 11/15/2015 RODILYINJURY(Per—.) $ AUTOSINEO X AUTOSULEO BODILY INJURY IPelaq rr) $ ON- EO X HIRED AUTOS X ANUiOEWNPerem0em0AM4 E $ E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB Cccl" HIDE AGGREGATE $ DED I I RETENTION$ $ WORNERSCOMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C AN V PROPRIETOR?ARTNER/EXECUTIVE YIN OBWECIW2882 0410112015 04/0112016 EL EACH ACCIDENT $ 500,000 OFFIC—EMBEREXCLUDEDT C N/A (Mamlatory In NH) EL DISEASE-EA EMPLOYE $ 500,000 Mtt yes,Re beu,ger DESCRIPTION OF OPERATIONS belmv EL.DISEASE-POLICY LIMIT 1$ 500,000 DESCRNT QN OF OPERATIONS I LOCATHINS I VEHICLES(ALORD 10'1.Atltlltloml Remarlm Scl,etlulS may be aneMetl amore apace Is require CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN Building 1220,Ste 2035 ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover,MA 01845 AUTHORDIEDREPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014201) The ACORD name and logo are registered marks of ACORD t Massachusetts Department o`Public Safely Boa-cc said Sta^coos .Office of Coos Attairs&Business Regulahoo 9 � CONTRACTOR � � kTME,1,MPROVEMENT� an: 1Type: icense:CS-064693 pi2on: 192312016 Individual TODD B STEVENSON ::� TODD B.STEVENSON-. 26 SUNIlOIIT AVL "+T``"�„> _ WAKEFIELD MA DISSO L"z _ TODD STEVENSON - 26 SUMMIT AVE WAKEFIELD,MA 01880 cXPiration Uudersa ury Commissioner 09/19/2016