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Home My WebLink AboutBuilding Permit # 11/5/2015 —.1II OORTH -OWL-DING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION „ Permit NO: 2 Date Received " 4 Date Issued: ITS CH 5 PORTANT: Applicant must complete all items on this page LOCATION _� z'� T Print PROPERTYOWNER _"T :r-� �rr cz ✓�� C ..C-fe.�.c; -r Ea��_ e t zc4-t of A,6-Rr t Print MAP NO: PARCEL: ZONING DISTRICT: t '-1 Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 Addition ❑Two or more family ❑ Industrial C9-Alteration No. of units: 11 Commercial ❑ Repair, replacement 0 Assessory Bldg 0 Others: ❑ Demolition ❑ Other 0 Septic ❑Well ❑ Floodplain 0 Wetlands ❑ Watershed District 0 Water/Sewer 5y s C 4 `- 'k 7—av+.r,t��cvi', ,'7-z-.,-r�rc,�,✓�5 Identification Please Type or Print Clearly) OWNER: Name: 1YC. n�f Address: CONTRACTOR Name; Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER- ,� �- , ,<, ,-, C Phone:1r0 Ss-z-/- Address:�cyz,, s-zi._Address:t�-cyz,, -� �,; � r � �u �� r..��° r EJ Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ /C" FEE: $ Check No.: I Receipt No.: NOTE: Pei-sons contracting with unregistered contractors do not have accessA the n rrnrd Signature of A ent/Owner �= 114 Xe�— L Signature of con r w �� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art r] Swimming Pools 0 Well ❑ Tobacco Sales 11 Food Packaging/Sales [I Private(septic tank,etc. ❑ Permanent Durapster on Site [J THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature— 14, COMMENTS -CCAY� C'G�L5 04 eJ T CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 6N 0 ® TH Town of ndover ® � • �+ No. 2At;p ver, ass, LAKE COC111c K@WiCK AoRATE® BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......... ...... ,, ,, , ,, ,,,. .... .. ... .. BUILDING INSPECTOR " �..�,,1.a.. ...... � �-...... .�.......... has permission to erect buildings on . Foundation ........................ ............... �!1/ ..... .. Rough tobe occupied as ......... . ........... . ... ....................... .......... .......................................................... Chimney provided that the person ac epting t is 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 ST R S Rough Service ............:.......... ...... ... ... ..... ... . ECTOR iN ............ Final IINSP gp GAS INSPECTOR dJ Occupancy Permit Required to Occupy u 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. 500 North Broadway ^A-ADVANCED^A- ADVANCED East Providence, RI 02914 ENGINEERING GROUP,P.C. Phone:401-354-2403 Structural Design Calculations 1 "I IL apt 5 E Site No.: 4BZ0023A—Trinitarian Church Client: J-Lee Associates Date: October 16, 2015 Client: J-Lee Associates Advanced Engineering Croup Sheet: 1 Subject: Structural Analysis 500 North Broadway Date: 10/16/2015 Site No.: 4BZ0023A East Providence, RI 02914 Calculated by:SO 72 Elm Street Ph: 401-354-2403 Checked by: MRC North Andover, MA 01845 Synopsis: The proposed T-Mobile equipment installation consists of a total of six (6) antennas: three (3) existing antennas, one (1) per sector, and three (3) proposed antennas, one (1) per sector. The antennas are to be installed in the existing belfry using steel angles lag bolted to the existing wood columns and joists. The proposed antennas will be installed at an approximate elevation of 80'. Material properties: Structural steel yield stress (shapes), Fys:= 36•ksi Modulus of elasticity of steel, ES:= 29. 106.psi Structural steel yield stress (pipe), Fyp:= 35•ksi Steel unit weight, -ys:= 490•pcf Loads: Equipment Loads: Proposed Commscope LNX-6513DS-VTM Antennas: Height, 1,,m:= 54.9in Width, wcom:= 11.9in Depth, dcom` 7.1in Weight, Wcom = 261b Quantity, ncom:= 1 2" dia. SCH.40 Pipe: Weight, W2p := 3.4plf Length, 12p := 5.5ft Steel L3x3x1/4: Weight, WL3 := 4.9plf Length, IL3 := 3.33ft Steel L4x4x1/4: Weight, WL4 := 6.6plf Length, IL4 := 1.33ft Weight of mounts & hardware, Wmisc:= 50•Ib Client: J'LeeAssociates Advanced Engineering Group Sheet: 2 Subject: Structural Analysis 500 North Broadway Date: 1016/2015 Site No.: 4BZ0033A East Providence, R| 02014 Calculated by: SO T2Elm Street Ph: 401-354-2403 Checked by: MRC North Andover, M/\U184S LL JI OF(P)T-.UORtZ ANTENNAS 4'EWBELMENIT � (P)T-WOBLE PANEL ANTENNkS LENGTH 3*-4*1 BELOW(E)T-VOB11E X47NNAS TO (P)VOUNT ASSEMBLY(1)PM Figure 1: Proposed Antenna Installation Steel Angle Support Bending Check(L4x4x114): Applied Load, M,-L4:= 0.043kip.ft (See Attached EnerCalc Output) Allowable Load, Ma11ow-L4:= 2.22kip.ft (See Attached EnerCalc Output) MountBendCheck:= OK" if Ma-L4 :!� Mallow-L4 "NG" otherwise � � � � � ! / � Client: J-Lee Associates Advanced Engineering Group Sheet: 3 Subject: Structural Analysis 500 North Broadway Date: 10/16/2015 Site No.: 4BZ0023A East Providence, RI 02914 Calculated by: SO 72 Elm Street Ph: 401-354-2403 Checked by: MRC North Andover, MA 01845 Lag Bolt Check (3/8 dia. Lag Bolts, 4in embedment): Distance from edge of steel to bolt, dib:= 2in Number of Bolts, nb:= 2 Ma_L4 Tension on bolts, Tib:_ = 258 Ib dlb le bolt, T Tib Tension on single Tb:= ® = 129 Ib nb Threaded Withdrawal Design Value, w,,:= 226 Ib (Reference 3, Table 7.24) in Assumed Threaded Penetration for Withdrawal, Ip:= 2.5in Nominal Withdrawal Design Value, WW:= ww.Ip= 5651b Withdrawal Safety Factor, W,f:= W 4, = 141.251b LagCheck:_ "OK" if Tb <Wsf "NG" otherwise LagCheck= "OK" Conclusion: Based on the results of the analysis, the proposed T-Mobile installation is structurally sound, as designed and depicted on plans by this office entitled "4BZ0023A_A and E CD_L700_V2". The analysis was conducted in accordance with the Massachusetts State Building Code, Sth Edition, and ASCE 7-05. References: 1. American Society of Civil Engineers (2005), Minimum Design Loads for Buildings and Other Structures (7-05), American Society of Civil Engineers, New York, NY 2. Massachusetts State Building Code, 8th Edition. 3. Timber Construction Manual Fourth Edition (1994), American Institute of Timber Construction, Englewood, CO 500 North Broadway Project Title: Trinitarian Church East Providence,RI 02914 Engineer: SO,Check By:MRC Project ID: 4BZ0023A 'ffADVANCED (401)354-2403 Project Descr: L700 ENGINEERING GROUP, PC. Printed:16 OCT 2015,9:579A steeMeam Pile=mT-wileProjects"Z0023ATrinifarianChurch1700MWEGstructure 4bz0023a-1700_sdc_v1`.ec6 EtJERGALC,INC-1983 Buiid:6.14,1,26,Ver:6.14.1.26 Elm Description: L4 Support Angle CODE REFERENCES Calculations per AISC 360-05, IBC 2009, CBC 2010,ASCE 7-05 Load Combination Set: ASCE 7-05 Materia[properties Analysis Method: Allowable Strength Design Fy:Steel Yield: 36.0 ksi Beam Bracing: Completely Unbraced E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending Load Combination ASCE 7-05 0(0.02775) Span=1.333 ft L4x4x1/4 Applied Loads Service loads entered. Load Factors will be applied for calculations. Beam self weight calculated and added to loads Load(s)for Span Number 1 Point Load: D=0.02775 k @ 1.333 ft,(Antenna Load) DESIGN SUMMARY Maximum Bending Stress Ratio = 0.019: 1 Maximum Shear Stress Ratio= 0.003 : 1 Section used for this span L4x4x1/4 Section used for this span L4x4x1/4 Ma :Applied 0.043 k-ft Va :Applied 0.03655 k Mn/Omega:Allowable 2.220 k-ft Vn/Omega :Allowable 12.934 k Load Combination D Only Load Combination D Only Location of maximum on span 0.000ft Location of maximum on span 0.000 It Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward L+Lr+S Deflection 0.000 in Ratio= 0<360 Max Upward L+Lr+S Deflection 0.000 In Ratio= 0 <360 Max Downward Total Deflection 0.000 in Ratio= 65950 Max Upward Total Deflection 0.000 in Ratio= 0 <180 Overall Maximum Deflections-Unfactored'Loads Load Combination Span Max.""Dell Location in Span Load Combination Max."+°Dell Location in Span D Only 1 0.0005 1.333 0.0000 0.000 Vertical Reactions Unfactored Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 0.037 Overall MlNimum 0.037 D Only 0.037 BEAM,-,» -0,011 -0.022 E 0 � :OA33 J. -0.044-. 0.09 0119 0.29: 0139 ::0:49 0.59 0.69 0.79 0.89 0.99 1.09 1.19 :1129 Distance(ft) e D 00y ®+D+L+H 14+D+L-+H M+D+S+H Fp+D+67SDL+DJSDL+H +D+D:7SDL+D-75DS+H +D+W+H 6+D+D:+H H+D+0:750L-+D 750L+D.7SDW+H ®+D+D.750L+6.7565+D.750Vf+H"0+0+0:7SDL.+D 756E+0.5;SDE+H.O+D+D.7SDL+6.7$05+D.SY5DE+ +0.6r-D+0.7DE+H 500 North Broadway Project Title: Trinitarian Church East Providence,RI 02914 Engineer: S0,Check By:MRC Project ID: 4BZ0023A (401)354-2403 Project Descr: L700 AfVADVANCED ENGINEERING GROUP, PC, Printed.16 OCT 2015,957AM Wel@21111 File=ptT-Mobile Prujectsl4l3Z6023ATrnitarianChurch1700MhztAEGSt7ticturaA4bz0023a 1704_sdc v1:e06 ENERCALC,INC,083 2Q14,Build.6.14.1,26,Ver:6.14.1.26 i Description: L4 Support Angle r,o37 0;020 v:o19 m s t BEAM... >. 0.09 0.19 0,29::: 0139 `. 0.49 0.S9 0169 0.79. 0.$9 ''0.99 1.09 1,39; '1.29 Distance(ft) L£DO+ty. ®+D+L+H a+D+i.+H N+D+S+NDLA+D.756L+H +D+0.75DL+D.7SDS+H +D+W+H M+D+D.70E+H q.+D+0.7SDL-D,7SDL+D,7SDW+H-0+D+D:756L+D.7SD5+D.7501y+H '.0+D+0;7SOL!+0 7SDL+D.5254E+H O+D+D:FSDL+D.7565+D.SZSDE+ In+0.604+W+H 0.+0,6DD+D 70E+H BEAM-- > -0.00012. c -0;000't5.- P -0,00037.< -0.00042' 0.10 0.21 0.31 0:42 053 0,63:. '0.74 .'0,35 - 0.95 1.05<` 1,17 1,27 1.33. Distance(ft) 3 D Only t 4dro[ ATT+IN: MetroPCS Derom Proiett 3617 131"Ave:SE Bellevue,WA 98006 SENT VIA: UPS OVERNIGHT DELIVERY Judy 23,2015 Trinitarian Congregational Church of North Andover 72 Elin Street North Andover,MA.0 18 5 Attn:Bill Pickles RE: Termination of Roof-Top Communications Site Lease Agreement dated on or about. March 20,2009,as the same may have been amended from thric to tine("Agrecinent") by and betty+eeii Trinitarian Congregational Church of North Andover and MetroPCS Massachusetts,LLC,a Delaware limited liability company("MetroPCS") Site Address: 70 Elin Streets North Andover,MA 01845- Site l l7 13OS0380 Lease ID: BOS0380 To Bill Pickles, This letter is written notice that MetroPCS, or the applicable affiliate of MetroPCS, is terminating the above-referenced Agreement pursuant to Section 13 of the Agreement, The Agreement will therefore terminate at 11:59 pm on October 31,2015. MetroPCS-requests the return of any security deposit or other funds previously paid to you or any predecessor landlord, All refunds should be maited_to-the address set forth-above,-MetroPCS will and expects that each party will execute any rurtlier documentation reasonably requested to evidence the termination of the Agreement, including, but not limited to a-release of any bonds or other form of security and release of memorandum of lease. MetroPCS highly values the relationship that was established with you. We would like the_opportunity to contact you in the future should our network or busines, requirements change. Should you have any questions or need additional information, please send aii email to MetroPCSDecom?@T-Mobile.com referencing the Site ID and Lease ID noted above in your email subject line, and a representative-ofThe decommissioa-team will contact you. Sincerely, Justin Corey Real EstateAcquisition Specialist DATE(MM/DD/YYYY) ® CERTIFICATE OF LIABILITY INSURANCE 10/22/2015 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 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 Marsh USA,Inc. NAME: ON Two Alliance Center PA/Co Ext A/C No): 3560 Lenox Road,Suite 2400 E-MAIL Atlanta,GA 30326 ADDRESS: Attn:Allanta.CerlRequest@marsh.com/Fax:212-948-4321 INSURERS AFFORDING COVERAGE NAIC# 605106-MasTe-GAWXP-15-16 NETSO INSURER A:ACE American Insurance Company 22667 INSURED MasTec North America,Inc. INSURER B:Indemnity Ins Co Of North America 43575 MasTec Network Solutions LLC INSURER c:Commerce And Industry Ins Co 19410 806 Douglas Road,11th Floor INSURER D:ACE Fire Underwriters Cc 20702 Coral Gables,FL 33134 INSURER E:Agri General Insurance Company 42757 '.... INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003927054-01 REVISION NUMBER:1 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY XSL G27397359 09/15/2015 09/15/2016 EACH OCCURRENCE $ 1,750,000DAMAGE TO '.. CLAIMS-MADE M OCCUR PREMISES(EaENTEoccu ence) $ 250,000 '.. X SIR:$250,000 MED EXP(Any one person) $ SELF INSURED PERSONAL&ADV INJURY $ 1,750,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 20,000,000 X POLICY❑ PRO- F LOC JECT PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H08858950 09/15/2015 09/15/2016 COMBINED SINGLE LIMIT $ 5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE $ XIHIREDAUTOS AUTOS Peraccident C X UMBRELLA LIAB X OCCUR BE 020688007 09/15/2015 09/15/2016 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ $ B WORKERS COMPENSATION WLR C48589571(AOS) 09/15/2015 09/15/2016 X STATUTE OERH AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WLR C48589583(AZ,CA,MA) 09/15/2015 09/15/2016 2,000,000 N/A OF EXCLUDED? E.L.EACH ACCIDENT $ A (Mandatory in NH) WCU C48589613(FL,GA,NC,TX) 09/15/2015 09/15/2016 E.L.DISEASE-EA EMPLOYE $ 2,000,000 Dyes,describe under SIR:$1.5M for FL,NC,TX/$1M for GA 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '. D Workers Compensation SCF C48589601(WI) 09/15/2015 09/15/2016 2,000,000 E Workers Compensation WLR C48589595(TN) 09/15/2015 09/15/2016 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:T-Mobile site builds J Lee Associates,Inc.is included as Additional Insured with respect to the General and Auto Liability policies where required by written contract or agreement. Waiver of Subrogation is applicable where required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION J Lee Associates,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 420 Northboro Rd Central THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Marlborough,MA 01752 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _1VLCX%AX0d>" @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t The Cotninottwealtlt of ffossacltusetts pepartttteut of IitilustrialAccidents I Cat:gress Street,S111te 144 Bostott,HA 02114-2017 Ivivw. nass.gov/dla Workers'Compensation insurance Affidavit,Builders/Contructgr&wlectriciatns/Plumbers. TO BE FILED WITIt THE PEt011i"1 ING AUTHORITY. Applicant Information Please Print Le 1bl Name(Business/prganizatiottAndividual):MasTec NorIth American,Inc.-MasTec Network Solutions,t,l.0 Address:806 S.Douglas Rd, 11th Floor City/State/Zip:Coral Cables,FL 33134 phone#:315-432-8967 Are you an employer?Check the appropriate box. Type of project(required): i.Q tam a employer with 15,554 employees(Pull and/or part-time).' 7. ❑New construction 2.®1 am a sole proprietor or partnership and have no employees working for me In $, Q Remodeling any capacity.[No workers'comp.Insurance required] 3.Q 9, El Demolition 1 am a homeowner doing all work myself[No wvorkers'gomp.insurance required.)t 1()[ ]Building addition 4.®1 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 t t.0 Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5Q 1 ant 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'camp.insumace.t 1.4.®OthcrTelecom upgrade G.Q We are a corporation and its officers have exercised their right ofexemption per MGL c: 152,k1(4),and we have no employees.(Na workers'comp,insurance required.[ "Any applicant that checks box 01 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 newaftidavit indicating such. tContractors that check this box must attached an additional sheer showing the name of the sub-contmctorsand state whether or not those entities have employees. Iftbe sub-contractors have employees,they must provide their workers'camp.policy number. I on;air employer that is providing workers'compensation hisarance for iffy employees.. Below is the police andjob site Information. Insurance Company Name:Indemnity Insurance Company of North America Policy#or Self-ins,Lic.M.WLR 048589571 Expiration Date:9/1512016 Job Site Address: city/Statetzip; Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MOL c. 152,§25A is a criminal Violation pnnlsilatile by a fine up to$1300.40 and/or one-year imprisonment,as Well his civil penalties in the forth ofa STOP WORK ORDER and a fine of up to$PO.OQ a day against the vicilator.A'cciOY of this statement Maybe forwarded to the Office of Investigations of'the DIA fariltsurancc coverage,veei5cation, I do hereby cert(jUj under the pains and penattles of perJrrry that the it fortnatlOn pi'avldeil above is tare and correct � Si ature: [Date: Phone#: Official nese only. Ito trot write lit thls urea,id be completed by city or town el iclat, City or Town: Permit/License# Issuing Authority(circle one): I.Board of health 2,Building Gtepartment 3.City/Town Cleric 4.Electrical,inspector 5.Plumbing Inspector 6.Other Contact Person: Phuiuc#f Massachusetts Department of Public Safety f Board of Building Regulations and Standards License: CS-086321 " Construction Supervisor ` AMY D LAVIN 3 CUNNINGHAM DRIVE DERRY NH 03038 r,,J ;�; �� Expiration: 1 Commissioner 07/30/2017