Loading...
HomeMy WebLinkAboutBuilding Permit # 11/19/2015 %AORTH BUILDING PERMIT 0 4. TOWN OF NORTH ANDOVER 600 APPLICATION FOR PLAN EXAMINATION Permit No#: b 2- Z-,) Date Received US Date Issued: IMPORTANT: Applicant must complete all items on this page yii na 000" /,e TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ' One family 11 Addition D Two or more family 0 Industrial IMAteration No. of units: 11 Commercial 11 Repair, replacement 11 Assessory Bldg 11 Others: El Demolition El Other DESCRIPTION OF WORK TO BE PERFORMED: C>, Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: jj "'g/"// rr, 'A 20, 2 I Na M ;zz� RAN pq M 4� i# 111MIM, 01/10/61i, .............. Rug 'r a J f'P911111fJW110.11N", 0111111116 1 US A M� Gve ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED OST BASED ON$125.00 PER S.F. Total Project Cost: $ L; F Check No.. Receipt No 6, --A ( I NJ-OTE: Persons contracting with unregistered contractors my o th uarantyfund Signature_of q wher ignature `_or - AM OORTH F r V V lictove ® b NO 3 � n V �AKE h ver, ass, COC QNIC"t WICK �S ll BOARD OF HEALTH Food/Kitchen P E Septic System THIS CERTIFIES THAT ,� ,�+„ BUILDING INSPECTOR ........... ... .. . .. .... ............... .. ..................................... has permission to erect .... buildin s on ���`T $ Foundation ..... ............. ........ ........... ... .j......... ...... Rough to be occupied as ... ... Q_1 ....... q ........ .. ..em..... ....(..... .... Chimney provided that the person accepting this permit shall in every riect co form to the terms of the applica 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 LESS CONSTRUCTI T S Rough Service ............... ...... .... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Displayin 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. SIDING CONTRACT COASTAL J-11 C(,"II'-'a? C� - r.,,..11� st,...,,,'U_—, VVHl®7�®VV� �7 lel DATE.. /GiCJ t 'c u o &L`.(TliiaORS,INC. CC�)l )�1%l�-C_0+ (,.��)t'1�C' r �tr•etsu+ranvr ..). �is-c��✓ v -_. nxJ w+nm+,gse r. r. ar N 6. IvtlL GzoueeE—/�/. ora 3w-nasi nen.al a; rnT }nJ foz9 I('it.l-rt l.�%r�-'� LLl, (•�' � n 7 t ori d- on \ �� ---- t� y /I }} Phone:Res: �`` ✓�"- 'moi J Name'1 y ?c ( -���f d C (.d';;1: (;L - -- Bus: { 1J {{n (Residential)Home Address �(JAf�) ^+�(-r ')mac City: / i) { l�^)J4�L "n`" Zip: I/We.the owners of the premises described below,hereinafter referred to as'Purchaser"offer to contract with Coast INndows&Exteriors herein eferred to as"Contractor%to hIMISh.deliver and arrange for installation of all materials necessary to improve the physicial premises located at: heck(if addresses are the same) -- (Street) (City) (State) (Zip) According to the fol_I_o�roinN�cecificatinns NOT INCLUDED INCLUDED - / n rte. SIDING: 1. 1. J Remove Existing sidin Type: it of Sq.It. 2. -- ❑ Siding: Typestyle (J Ship Lap)4 _L df_ .L- Color* +1b ' 9 of Sq.Ft.: 1 3. J rte- Soffit areas of h me.with Vmyle Soffit System: 11 of Sq.FL. Color: Pattern. 1 Except those areas noted � - ❑ Fascia areas Cusl ulyl-^tad ununum #of Sq.Ln IV Home Except those areas note-, F r; "-i+'l f?c'�-o� LC; J L} 5. J I�u Home Owner Obtains ALL necessary permits and insurances. j PREPARATION:: 6. .'kms J Inspect surfaces work area,retail loose wood,replace rotten surface wood fas necessary)in work area (e'4m dra,gel 7. J r Fir out walls(f3rick.Block or Stucco)Siding Areas: Location: 8. ,' ❑ Caulk and seal around all sidings&doors in work area tas recommended by manufacturer). CUSTOM TRIM g. ❑ .:' .- Install inulation on flatwali areas to be sided with"318 insulation(fan-fold)Preservation only. 10 r ❑ Ll Remove-or- J Remove and reattach of existing gutters. Remove-or- Vd-Remove and reattach of existing downspouts. Custom\*.rtalr(Sills/Adults/Headers)with Viery�L�daluminunr j Calor. � f. 12. k1-- J Remove and ri t(existing)Shutters. LSV -c��e ri,C d. [�.-,I[y;?-�C 13. - -1 Custom vrrep door facings vriR:alurxirmm. Location: ,-;;y-(_!Color 14. I>1 J Custom-"q garage door single/double with V9rt r!;}ad-afaeafaera,- Color: 15. J `�T3� Standard Vinyl(J-Channel) Type'1 1/2'Face(Integra Only) Color: 16. J F7- Standard Vinyl(J-Channel) Type V Face(Preservation Only) Color. 17. O ;& Deluxe Vinyl(J.-Channel) Type 2 1/2'(Preservation Only) Color. (white only) I8. rJ %J- Deluxe Vinyl(Window- Trim Channel) Type 3 1/2"(Integra or Preservation)COIgC (wbila oni (,t 19. �- J Standard corner-Posts 14rrrttntegra-3=-wlRresewatign! Color: -- j�' - r.d- .`-� 20. J r3' Deluxe 3-Piece Corner System:2 pe 3 112-1 1 pc.Bull-nose(Interitra Only)Color:_ ivhue Only) CLEAN UP: 21 J Clean up and removal of all job related debris' 22 J Each job is over-shipped to avoid delays.Remove excess materials and re-stock. WARRANT_IES; 23. 't J Mall customer warranty after satisfactory completion. ' :, /q^� $tU 1ftTY IN H41FSL YES NO7' I FST START DATT: (�j L,ti} Gtr /�1(yt, FSI-COMP OA, i+r 1 �D r + � / PRICE - .S '1 J Df PDSIflVIIHORDER S DALANCE TO RE FIIJNdCED' S C, 7 �1) ADDITIONAL DEPOSIT t SALLS TAX 5 $ // /^ DUE UPON DELUERY l Payment Method -�J PALACE TO EF PAID -� TOTAL.DIIE ^ S r + I-inanced By ,✓ v L� 7 .� CAtiH O I l Of.1PL GT10N �. `Thio agrt`(•ment is mbject to financing which you must secure within thirty(30)days after l he date of t his Agreement.if Flnane trig da ell able to Coeslal Wiindoces f}Exteriors is not 0,wined wilhir,30 days,this Ameenuvd may ba,'nailed by either,party. All homeimpmvenu•nl convacrors and sObconuArm nim beregistered by theChW Adminisualor of the P.L..admsetts IT ]of Building Elmi-Elions and SG+ndarus-Any inquiries 'bent a cenuarsur or nibcontrataor r,lacing b d mgisuation slrould lx•rlimrted to:Ulreaor o(Home Improvement Contmc(or Regisvation,Ch+e Ashbunnn placq Rgnm 1 ifl1.Bonon,LiA QIUII,161/1 721 Bti98 (hc(onuauorshall obninand pal'Int the buildinq permit and other peniliisand gownri alfees,h(msesand impeoiom n<;essoyTO,pmpe+exeudinnand(ompirtiun of the II II, O+:nrr dr<Is lu riotain rhe Inrrgoinq permits,nr rodealVJlII unregislcaed(ITdrdrtol S,the 01-111rr:'ill hec<duded from the guaranty pm,4,ionsof J3(A N?A.The O,,O,+.hall ohtain znd poy(nr all other necessary appun'al+,easements.aweanmms.+rid<hanTes. li oil,on dli I rme rh (hyt nullly Icer.c vznrelhatmihec.rmtheGnivaaorli� c�plt cam yrm�jtiiN Durr o,ihG Convaaot m.,y subo,�lescharbivaiion P ri d F1 ".0 .'oC IL.zvr,?h nt 11211, j,; 7 '� i sx un t\Ohe TICE:TSfy rnu c of thr LTme..hus.al) ty to 010(Onmxt of the JOIWS m alamve al dispute resolution initial�x�y{hetomncter> eh >m rnrrynotnt.+h.n ni". e Idinn.•tiny+i+r II ct s nl:p dciy s+gued by tic pauu�s /// NO,"'f hillIni- lou- onitili of Ili,Co rola dtrauma(to the o'mcr ora copyof this COOImCi Thiscont-I cor,tituws Chep ic:Int l geemant lhis«nnra<I may lex I.1 is pI l- -I-I lylyat lt- Ian9eouferaynedby oemerz ul mntrarlor All vupimnatefal isj+>,opertyol COASTALW WS&EXIT-BURS.Yoi 9n Io be bound by the grnrml c ond+l,am g(Ihe mvrr.e vde. ihe,lvn+,•rh's seen"san,plr's+,mm�lies tliat hill he provided hylOA5TAL IVIND01'JSu E:(iFRIDRS upon installation +.ample v+ammiespmvided to Owner. NO ORAL AGREEMENTS ARE ACCEPTED DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 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 Notice of Cancellation fors provided to you herewith for an explanation of this right. r-- G L rl'V n( II I IAfNFSS WHl11FUF rho panms h.rvt�hcreunm signed Ihe,r n'mes this -__- ��- -�--- �a9 nrd 7r� - - _. ----- ----. -_-. ,igned MAKEALLC CKS PAY/ABLE TO COASTAL WINDOWS&EXTERIORS ortnR a,nuH 'rtLLo49!i p11i 15¢a± The Commonwealth of Massachusetts Department of Industrial Accidents 114 t 1 Congress Street, Suite 100 Boston,AM 02114-2017 www mass.gov1dia S. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information / f ' Please Print Legib Name(susiness/Organizationllndividual): Address: _I b 0 b)M X11 rQ 0 LIP—P- _15­1f� 2� City/State/Zip: ,G L,,LJ PA 01 1 S''Phone Are you an employer?Check tine appropriate box: Type of project(Tequired): 1.0 I am.a.employer with_: employees(full and/or part-time).* 7. 0 New, construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 15�Remodelhig any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.[J I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 FJ 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.[]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.$ 14.EJ Other 6.Q We are a corporation and its offlcers 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 T Homeowners who subriiif 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,. ldiey 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 information. Insurance Company Name: Policy#or Self-ins,Lic.#:�S y L Expiration Date: Job Site Address: tLaf C, 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 DIA for insurance coverage verification. - I do hereby cer ' der i ai 'ndpen 'es ofpei jury that the information provided above true and correct. un Si nature: Date: ll t Phone#: 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MM/DD/YYYY) Ac" CERTIFICATE OF LIABILITY INSURANCE 11/19/2015 lh. � 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 NAME: Joyce ce M Keller MassPay Insurance Services, LLC PHONE978 774 4338 x115 F (978)774-1318 27 Garden Street, Unit 1 B AMA LADDRESS:o Ext o ce ) hilrichardinsurance.com A/c No Danvers,MA 01923 I y °gyp INSURERS AFFORDING COVERAGE NAIC# INSURERA: The Hartford A/R HAR INSURED Coastal Windows&Exteriors Inc INSURERB: 100 Cummings Center Ste 236H INSURERC: Beverly,MA 01915 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD/YYYY MM/POLICYLICY EFF LTR / YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE 1:1 OCCUR PREM SES a occu ante $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D PRO ❑LOC JECT PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ '... HIREDAUTOS AUTOS Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ '.. DED RETENTION$ $PE '... A WORKERS COMPENSATION 6S60UB-9995L15-5-15 11/14/2015 11/14/2016 isiATUTE °RH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A '... (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Workers Compensation Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St Bldg 30 ACCORDANCE WITH THE POLICY PROVISIONS. Suite 2035 North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD nA UaLCI i 1111 III IVtLV Ia IJ.VI 3r LlJdld14& r.vv1 11/10/2015 15:58 9785315142 PAGE 01/05 AC R0 CERTIFICATE OF LIABILITY INSURANCE 11/10/20 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFF)RMATIVELY 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: It the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. N SUBROGATION IS WAIVED,Sul fact to the terns and conditions of the policy,Certain policies may require an endorsement. A statement on this cartlRcate does not confer rights to the certificate holder In!leu of such ondorsement(s). PRODUCER CONTACT John V. Zannino Insurance Agency PHONE /ycNc):978T53i-5142 16 Poster Street Peabody, MA, 01960 ADDRES9, INBUAEf2(8J AFFOROINO LOYERAOE NW CB INSURER A:M"Q� CONNERCE INSURANCE COMPANY INSURED COASTAL WINDOWS & EXTERIORS, INC. INSURER 9: 100 CUMINCS CENTER STE#E236H INSURER C: ]BEVERLY, MA 01915 INSURER 0: 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 AL1.THE TERMS. EXCLUSIONS AND CONOMON50F5VCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. liY UF ra TYPE OF INSURANCE LIMITS IN OL SUR POLICY NUMBER MW ICYYYY MM1DOrYYYY X COMNEACIAL GENERAL LIAMLIrY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE I --IOCCUR PREMISES E,occurranw S 300.000 RGj, 11/14/15 11/14/16 IJEOEXP(Anydnnpaton) $ 5, )00 A 'y PERSONAL AAOVINJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL, AGGREGATE s 4,000F000 POLICY❑,JECT El LOC PRODUCTS-COMPIOP AGG s EXCLUDED OTHER; S AUTOMOBILE LIABILITYS e a.IMBI"Ohe r" ANYAUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY PM Seddent) S AUTOS ALTOS HIRED AUTOS NON-OWNED I Par aC0ldent TRUFMY A $ I $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS I.IAD CLAIMS-MADE AGGREGATE 3 OED 1 RETENTION 5 WORKERS COMPENSATION ' AND @MPLOYERS'LIABILITY STATUTE ER YIN E.L EACH ACCIDENT $ ANY EEWMEMkTORkEXCLUDrU:Y,F,GVt71� OFFICEW1JEMeER EXCLUDED? D NIA jAAMdUory In NH) E.L.DISEASE-EA EWI.OYF s IIY es,danfteundw DESCRIPTION OF OPERATIONS below E,L.DL$EA$E-POLICY LIMIT I s DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addluoml Remarks SCAedule,may be ettacned N more space Is required) CUMMZNGS PROPERTIES LLC AND BUILDING OWNER(S) ARE INCLUDED AND LISTED AS AN ADDITIONAL INSURED AS REQUIRED BX LEASE OR WRITTEN CONTRACT. LEASED PREMSSES: 100 CUMMINGS CENTER, SUITE 23613, BEVERLY, MA 01915. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN 1600 Osgood St Bldg 30 ACCORDANCE WITH THE POLICY PROVISIONS. Suite 2035 North Andover,MA 01845 AUTHO EPRESEM'ATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are reglstered marks of ACORD �r Office of Consumer Affairs and Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 174725 Type: Private Corporation Expiration: 3/14/2017 Tr# 263330 COASTAL WINDOWS & EXTERIORS, INC. _ STEPHANIE VANDERBILT 100 CUMMINGS CENTER, STE 236H -- -- BEVERLY, MA 01915 Update Address and return card.Mark reason for change. SCA t {) 20M-05/17 Address D Renewal E] Employment ❑ Lost Card -T/C 4ZZ --Office of Consumer Affairs&Business Regulation License or registration valid for individul use only I h—� OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: "� Office of Consumer Affairs and Business Regulation l� _ egistration: 174725 Type: g ;Expiration: 3/14/2017 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 COASTAL WINDOWS&EXTERIORS, INC. STEPHANIE VANDERBILT 1 � 100 CUMMINGS CENTER,STE 23 §�-VERLY,MA 01915 Undersecretary Not valid without signature A A A ( Massachusetts-Department of Public Safe�y , i' Board of BuUdingg Regulations and Sta..- -ds COB5"ctiGn Superviwr _ License:CS-04629$ i SHA TO i M4Cffi0 112 ROCKMAM �f1Atr10LTONMA=0]982,_;;_. �:. v.+`_ Expiration Commissioner 10/432016