HomeMy WebLinkAboutBuilding Permit # 8/26/2015 No DT 6 d�
BUILDING PERMIT �2 y�:,£. . . o�
TOWN OF NORTH ANDOVER t �
APPLICATION FOR PLAN EXAMINATION e
Permit NO Date Received °� <�
Date Issued:
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IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ';K One family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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Identification Please Type or Print Clearly)
OWNER: Name: Ctir i"S�,hc. %h/e.- Phone:6) ( 7y)
Address: ft
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATE 0 BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.: C
NOTE: Persons contracting Ah un a istered contractors do not have A cess`o Ke—'guaranty fund
tkORTH
To' 'wn ofAndover
2 � a ...1,.,
® .:�.. M
® ® ' T '. - 00000
P �.o LAK! h " ver, Mass, IN
COCMI[Ml WIC�( 41.
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BOARD OF HEALTH
ER..M T T LU Food/Kitchen
Septic System
•
THIS CERTIFIES THAT ,. ... ....... . . .......... BUILDING INSPECTOR
.................... .... .�. ... C.Con..Low ............ . ...... .......
has permission to erect .... buildings on • Foundation
.................... .... .......U. .... ............ ........................ Rough
to be occupied as �'�
............. ............. ...... ............. ........... .... ......................................................... Chimney
provided that the person accepting this pe it 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
IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
t3l ® UNLESS T CTTRough
to� 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 Approvedby the Building Inspector. Burner
Street No.
Smoke Det.
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
August 7, 2015
Christine Erle
8 Little Road
North Andover, MA 01845
Dear Christine,
Thank you for the opportunity to bid on your home improvement project. I would
briefly like to tell you about Morgan Exteriors, LLC and why you should choose us for
your remodeling project.
Morgan Exteriors protects your property by covering you with $2 million of Liability
Insurance. Workers Compensation Insurance covers all of our employees so you are not
exposed to any liability. We are registered in the state of New Hampshire and licensed
and registered in Massachusetts. Home Improvement Contractors Registration #146964,
Construction Supervisor License#CS-092194, and Lead-Safe Renovation Contractor
License #LR001659.
We are members of the Better Business Bureau (BBB), and the National
Association of Remodelers. We have been awarded Angie's List Super Service Award
as well as Elite Pro Status with Home Advisors.
All of our window mechanics and estimators are certified installation experts, and
attend pre-approved on-going training to keep them up to date on the latest
technological advances in windows including the local building codes and window
specifications. As a legitimate and dependable remodeling company, we maintain these
affiliations and credentials to provide you with the highest level of confidence and
customer service.
With a permanent place of business and over 17 years in the remodeling industry,
we take pride in our quality workmanship and specialty services offered to our clients.
Very Truly Yours,
f
Lou Chalifourn
978-973-8375(mobile)
1Morgan Exteriors LLC
Tel: (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
This project has been specified in accordance with local building codes,
industry standards and the manufacturer's specification requirements.
Certified craftsman will install all work, to insure qualification for the
manufacturer's Lifetime warranty.
Standard window install consists of:
• Remove interior trim stops from the sides and top of the windows.
• Care is taken to cut the paint line to minimize chipping of the interior finish.
• Expect paint to chip at the joints. Touch up of the interior trim is not included.
• Remove the existing wood sash top and bottom.
• Insulate any cavities with fiberglass or low-expansion foam insulation where possible.
• Remove the parting bead if existing at the sides and top.
• Apply Silicone sealant to the interior of the exterior stops.
• Insulate the base/sill of the wood openings.
• Insulate the head expander of the new window system.
• Install the new replacement windows plumb and square.
• Screw the new windows to the original wood frame.
• Adjust the expander on both sides to remove any bow in the master frame.
• Insulate both sides of the new windows with low-expansion foam insulation. This will
prevent air movement at the perimeter of the window and reduce any drafts. The
insulation also reduces noise infiltration.
Interior Finish:
• Reinstall the original interior trim.
• Caulk the perimeter of the interior with paintable Silicone sealant.
• Clean all windows upon completion and vacuum work area when done.
• Canvases are used during installation when needed.
• Replace any rotted framing lumber at$6.00 per foot.
• Replace rotted sills at $70.00 each.
2 Morgan Exteriors LLC
Tel: (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
Window Specifications:
OKNA 500 Series Insul-Tec Deluxe
Glass Type: �_XR-5 Double-pane with Argon.....U-Factor: .25
XR-9 Triple-pane with Argon.....U-Factor: .19
Remeasure, order, inspect, and install:
Qty: 1 Style: 8' Sliding Patio Door
Qty; Style:
Qty; Style:
Qty; Style:
Interior color: white Ext. Color: white Grids: —con our flat
Wrap exterior trim with aluminum.... Style:
A- Solid UPC Vinyl Construction
Will not scratch, dent or corrode like aluminum and wood materials.
� Fully Welded Frame and Sash
Eliminates separations and air leaks, supplying maximum strength and energy efficiency
� Foam-Filled Frame & Sash
Adds Improved Energy Efficiency
A- Power Lift"'m Balance System
Smooth Window Operation-Never needs adjustment
Full Interlock with Triple Weather-Stripping
Provides Low Air Infiltration for Increased Comfort and Thermal Efficiency. This Window has an
air infiltration rate of 0.02cf nIft2 which is 15 Times Less Air Draft than Industry Allowed Air
Infiltration Rate of 0.3cfm/ft2
• One Piece Sloped Sill
Eliminates Clogged and Frozen Weep Holes-Stops air infiltration and chimney effect drafts.
® Insulated Extra-Strength Glass Package
Increased Strength and Sound Reduction.
� HeatSeal®Warm Edge Spacer
Guarantees Your Home the Warmest Glass and Least Condensation Possible.
• ClimaGuardTm Heat Reflective Coating
Keeps Your Home Cooler in the Summer and Warmer in the Winter. This Reduces Heating and
Cooling Costs and Significantly Reduces Harmful UV Radiation. This Window has a U-Value of
.25 which is the Lowest in the Industry for Double Pane Windows.
� Push Button Spring-Loaded Night Latches
Adds Security While Allowing Both Window Sashes to Remain Partially Open for Ventilation.
,A- Factory Installed Half Screens
Thru Vision Plus Fiberglass Screens are Removable for Convenient Seasonal Storage.
3 Morgan Exteriors LLC
Tel: (603) 895-2092 Fax: (603) 895-114.0
Email morganexteriors @yahoo.Com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
General Details:
1. Dispose of old windows and scrap material.
2. Work area shall be kept neat and clean on a daily basis and returned to normal upon
completion of the project.
3. All work shall have a Lifetime workmanship warranty.
4. A Lifetime materials warranty shall be provided upon receipt of final payment.
5. We are a Lead-Safe EPA Certified Renovation firm and follow all lead-safe work practices
as required by law. If your house was built prior to 1978 and lead paint is detected on the
windows that are being replaced, there will be an additional $75 charge per window in
order to comply with these laws.
6. All work will follow local building code requirements and any permits required will be
obtained by Morgan Exteriors, LLC. Actual cost of these permits are the responsibility of
the homeowner and will be added to the final bill. (Owners who secure their own permits will
be excluded from the Guaranty Fund provisions of MGL chapter 142A.).
7. We maintain a current General Liability and Workman's Compensation Insurance Policy.
A copy is available upon request to verify coverage.
8. Windows will be installed 4-6 weeks from the day of re-measure (please add 2-3 weeks
for custom colors or tempered glass), and will take approximately 1-2 days to be installed.
Special Instructions:
4 Morgan Exteriors ITC
'dela (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
Contract Acceptance:
Upon signing, this document becomes a binding contract under law. Unless otherwise noted
within 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 10 Park Plaza, Room 5170, Boston Ma
02116 or by calling 617-973-8787 or 888-283-3757.
� Does the contractor have insurance?Ask the contractor for his insurance company
information so that you can confirm coverage, or ask to see a copy of a "proof of
insurance" document.
Know your rights and responsibilities. Read the Important information on the next page
and get a copy of the Consumer Guide to the Home Improvement Contractor Law.
5 Morgan Exteriors LLC
Tele (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, IVH 03106
Certifications & Affiliations:
Angie's List Super Service Award Winner 2014-2012 Energy Star Retail Partner
Elite Pro with Home Advisor New Hampshire Better Business Bureau (BBB)
Factory Direct OKNA Window Dealer Factory Direct Authorized Sunspace@ Dealer
INVESTMENT TOTAL FOR SPECIFIED WINDOWS
We hereby propose to furnish all labor and materials in accordance with the above
specifications for the sum of:
$2,616
Price includes all coupons and discounts.
1/3 Due at acceptance of proposal Deposit received: Date: 08/07/15
2/3 Due at completion Check#: 771 Amount: $870
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Homeowner's Signature Date 08/07/15
Homeowner's Signature Date
Contractor's Signature G� �l-�-�� Date 08/07/15
"You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. See the attached notice of cancellation form for an explanation of this right."
Terms and Conditions
Since this contract is for made-to—order goods,it is not subject to cancellation other than the inability to obtain financing or
proper permits.If you cancel this contract any time subsequent to the third business day after the date of the contract and prior
to the start of work.You agree to pay us the difference between our estimate of the cost of material and labor and the amount
of the total sale.(Our lost profit)You agree to pay according to the above schedule of payments.If you fail to pay according to
the terms above then you must pay a collection cost equal to our actual costs of collection up to 15%of the total amount you
owe.Plus attorney's fees and court costs.Any unpaid balances will incur interest charges of 18%annual or 1.5%monthly.
6 Morgan Exteriors LLC
Tel: (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Morgan Exteriors LLC 78 Londonderry Turnpike Unit E-1 Hooksett, NH 03106
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR
OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE
BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE
INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN
BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR
CANCELLATION NOTICE AND ANY SECURITY INTEREST ARISING OUT OF
THE TRANSACTION WILL BE CANCELLED.
IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT
YOU'RE RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF
THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE
SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF
CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY
FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,
ORIF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN
YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE
CONTRACT.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND
DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE, OR SEND A TELEGRAM TO MORGAN EXTERIORS AT 78 LONDONDERRY
TURNPIKE UNIT E-1 NOT LATER THAN MIDNIGHT OF
08/11/15
1 HEREBY CANCEL THIS TRANSACTION.
Date: Buyer's Signature:
7 Morgan Exteriors LLC
Tel: (603) 895-2092 Fax: (603) 895-1140
Email morganexteriors@yahoo.com
Okna Windows & Doors
215—788—7000
N KCI—IG-161—1
r- — — — — — — — — — — — — — — —
-
5500DHdx—New Construction Double
ka
;
Hung Deluxe (5500DH—D)
National Fenestration ;Vinyl Frame Foam Filled•314"Insulated Glass unit,
Rating Counoil( i•Low—E High Pert.Glass with Argon Gas With Grids
1 .11B
11017a Ir 01 I �
Vertical Slider Window
— — — — — — — — — — — — — — — — —
ENERGY PERFORMANCE RATINGS
U—Factor(U,S,/l—P) Solar Heat Gain Coefficient
0 .25 0 .27
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance Condensation Resistance
0 .49 62
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole
product performance. NFRC ratings are determined for a fixed set of environmental conditions and a
specific product size, NFRC does not recommend any product and does not warrant the suitability of any
product for any specific use, Consult manufacturer's literature for other product performance Information.
www,nfrc,org
ENERGYSTAR"
fiiri1In A1150 States
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/Organization Name: /1nor'5
Address: Ifs Loy►c-Y�u 'J'rIle-.-
City/State/Zip:&e)kkV f-' 03/e Phone #:(603L kX
Are you an employer? Check the appropriate box: Business Type (required):
1.0 I am a employer with Ll employees(full and/ 5. ❑ Retail
or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales (incl. real estate, auto, etc.)
employees working for me in any capacity.
[No workers' comp. insurance required] g• Non-profit
3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152, §1(4), and we have 10.F-1 Manufacturing
no employees. [No workers' comp. insurance required]** 11.0 Health Care
4.❑ We are a non-profit organization,staffed by volunteers,
with no employees. [No workers' comp. insurance req.] 12.0 Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:
Insurer's Address:
City/State/Zip: /Lj AqC 0lee1
Policy#or Self-ins.Lic.# /k20 c,-"C 9"7*_/�>-Q Expiration Date:_���5S jff
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.
I do hereby cer ify,under the pains and penalties of perjury that the information provided above is true and correct.
11
_
Si nature: ___ (� Date:
Phone#• le 6 C)-3� . U `
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.Licensing Board 5. Selectmen's Office
6. Other
Contact Person: Phone#:
www.mass.gov/dia
CERTIFICATE OF LIABILITY INSURANCE 04/23/2015D/YYYY)
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 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).
NT
Paychex insurance Agency Inc
PRODUCER NO
PAYCHEX INSURANCE AGENCY,INC.
150 SAWGRASS DRIVE PHONE 877.266-6850 (AICFAX 585-389 7426
ROCHESTER,NY 14620 E-MAIL Certs@paychex.com
ADD FSS,
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: Nol-GUARD Insurance Company 31470
MORGAN EXTERIORS LLC INSURER B:
130B ROCKINGHAM ROAD
LONDONDERRY,NH 03053 INSURER C:
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.
NSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES(Ea oixurrence $
E�ICLAIMS-MADE[::�:]OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
EN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG $
POLICY F]PROJECT=LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '..
ANY AUTO (Ea accident)
ALL OWNED F--1SCHEDULED BODILY INJURY(Per
AUTOS AUTOS (Pef person)
HIREDAUTOS NON-OWNED BODILY INJURY $
AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION AND X WC STATU- 0TH-
A EMPLOYERS'LIABILITY MOWC578120 09/15/2014 09/15/2015
E.L.EACH ACCIDENT $ 100,000.00 '..
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? —M E.L.DISEASE-EA EMPLOYEE $ 100,000.00
(Mandatory in NH) T N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00
If yes,describe under
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
ATTN BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
120 MAIN STREET DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
NORTH ANDOVER,MA 01845 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE _
ACORD 25(2010/05) @1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-092194
Construction Supervisor
MARC W COUTURE
ff
42 SHERMAN DR
RAYMOND NH 03077ar
nn ,
Expiration:
Commissioner 07/17/2017
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement C&tr�actor Registration
Registration: 146964
Type: Ltd Liability Partne
MORGAN E XTERIORS LLC ?=3; - c. Expiration: 6/2/2017 Tr# 265529
. °.i ,l: r-� `�
MARC COUTURE ?1
78 LONDONDERRY TURNPIKE '� V",j�_ "''
HOOKSETT, NH 03106 ��= "J='
^y =j Update Address and return card.Mark reason for change.
SCA1 01-20M.05111 Address n Renewal E] Employment E] Lost Card
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: c'r415964 Type: Office of Consumer Affairs and Business Regulation
WExpirationLtd Liability Partne 10 Park Plaza-Suite 5170
�'•"'"''�
MORGAN EXTER16j.
Boston,MA 02116
MARC COUTURE
78 LONDONDERRY
HOOKSETT,NH 03106 '''r= _}—
Undersecretary Not valid without signature