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HomeMy WebLinkAboutBuilding Permit #560-2017 - Exception 11/23/2016 poRT}� n fL� BUILDING PERMIT ?oF�t��o TOWN OF NORTH ANDOVER p + APPLICATION FOR PLAN EXAMINATION � Permit NO: 540 O -r�0 t 7 Date Received l l- 93•-901 b '� 9 ��.�-: �.9 g0144.TED Date Issued: I t - d-t-0I b SSACHUS� IMPORTANT:App licant must complete all items on this page LOCATION ' J QQ. PROPERTY OWNER Print 44MAP NO: PARCEL: ONING DISTRICT- kstorin Distri t yes no Machine Shop Village yes no I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ O�e family ❑Addition Wrwo or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial _ ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic E Well ❑ Floodplain D Wetlands 0 Watershed District Water/Sewer r ' Identification Please Type or Print Clearly) OWNER: Name: 444-ir4A ZA14LA MOJQ114hone: Address: C�60620-y CONTRACTOR Name: C - Phony: /. ho Address: ro n K. Supervisor's Construction License: /, Exp. Date: Home Improvement License: Exp. Date: . X7. 17 ARCHITECT/ENGINEER N Phone: Address: Reg. No. FEE SCHEDULE.BULDINGGPERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ O FEE: $ 4a Check No.: S S'7 7 Receipt No.: o NOTE: Persons contracting-w1unregis r d contra ors not h es o the guaranty f nd A & All i nature of A ent/Owner int o_ con_ra g - g _9 _ FORTH BUILDING PERMIT of LED , '9 TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION ~ permit No#: Date Received �9 Q°RATED SSacHUS Date Issued: INIPORTANT:Applicant must complete all items on this page LOCANT Olj NI Print '° PRt,�O_�_PERLT�YR®WNERI Pnnt 100 Year StructureE Lyes no MAPSPARCEL'. Z®NING ®1STRICT �'' ° Histor�cj®istrctl eyes. ' noa -pc � aehiM—Shoe la9e Y n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ' •."^*T"S�J7":'.4. Y"• "id t�*`R o r �, - v �i�e(, p + ...A x.. d .yam".-�'"T.SE'7'^_ ' ;❑ Septic �' Vl/ell' '` ❑ Floodplain- -0 Wetlands D�Watershed�District - 9:•^�� F�.,".,"'' Water-Sewer `' � � +�. ,� � J ,c .e -�. " r<'.d.+,.t.l..< •, i.we =:„•. ,�+ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly' OWNER: Name: Phone: Address: ^fit' iJ+ f'._. Kj;r 1r � �� .p. :r f �-_ .--�� .. x, s �.♦� 4 ..v�.�`�t{ks.`��,����:�` �,St �', COntraCt'Or Name t. � -� P)lone x s •,-�.' '. jr„E •. "•. r* �'� Ya «."'` $+"' + ., ��..,,'i �mayw � ;w,�',[=1, i Y:• �-•�.�i�A�,r.�, � +�� �� jj '.a.'.�'r"�N ,`�`''��,M'.�'�"'r"d"�... �3 i ��.�t*�j7x���^*-s+3�a*� � F� 2- J[Address.tZ,X, x :u•£, c +��, h,-',`r.e 3' r�s�' k: ar-�•.». * - •� ssP7r�ry ti � , }`z"�"� fY'�,f.."£I.. y y ['•�.;,th'sl�.;, . - a ~T 1� `„ kk3,, Stapervisor�. Constuction License,, ; "" sa -41 3r` Exp�,Date4 ._:� 77 t rs`' :%' T C �2 uu"is dome Irnprovernert-Lce e=; i.:�. .. = t.w �:: r w. .�: Ex = D ate' ..E,.a' s � ARCHITECT/ENGINEER Phone: } Address: 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: $ FEE: $ Check No.: Receipt No,. NOTE: Persons contracting with unregistered contractors do not have.access to the guaranty fund Signatu�e;otACent/Owner` Signature of eoritractor 3 –i . ... _- _..._..-. rs— /r Location 58- (00 E -D&),,rCj4r::,) AJ D4 No. S90' --Pb!7 Date //- *-t.3-a or G ,I • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $9,96"" Foundation Permit Fee $ Other Permit Fee $ a TOTAL $ Check# .r 51239 Building Inspector Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ 9tamped Plans ❑ TYPE"OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS } WEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments t Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located.at 124.Main Street Fire.De 'artmentsignature/date COMMENTS limension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service droprequires approval of Electrical Inspector Yes No ®ANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email ate Time Contact Name Doc.Suilding Pennit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. —, Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (if Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe:Building Permit Revised 2014 NORTfi Town of O y" 0 No. 5w, 17 t • o : h ver, Mass, / 1 A C 110 COC MIC He SCM y1. �as R�tED pPa��S V BOARD OF HEALTH Food/Kitchen PERMIT T LD 11 Septic System THIS CERTIFIES THAT L ....M�I.� ....CON.SI .`.. ... �t.1�.�". ,,,, y BUILDING INSPECTOR ...... .....4&r! • T � .... Foundation has permission to erect .......................... uildings on ..> �.......... ..0 .. bOf� ................. .. Rough A 4 to be occupied as ........STOA .... ....... ® ............................................................ Chimney provided that the person accepting this 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 STARTS Rough Service ... ...�. ...... ........ BUILDING INSPECTOR.. Final 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. Nov 21 2016 08:01PM HP Fax%itage Green 19786850521 page 1 L. E. MORGAN CONSTRUCTION INC. 86 BILLERICA AVE., N. BILLERICA, MA 01862 PH: 978-670-4747 / Fax: 978-670-6477 PROPOSAL Submitted To: Affinity Reeky Management Date: 11-20-16 Address: 39 Rear Farrwood Rd.,(Clubhouse N.Andover,MA 41845 Cell/Fax: 978-376.9687/978-685-0521 Job Site: Heritage Green Condominiums 58-60 Edgelawn Rd.,N.Andover,MA,Approx.5,279 SQ FT WE HEREBY submit our proposal for the following scope of work; 1. Remove the existing shingles down to the wood deck and dispose of off-site. 2. Install 6'of ice&water shield at the leading edges and X in all valleys. 3. Install RHINO SHIELD Synthetic Underlayment to the remainder of the wood deck. 4. Install 8"white aluminum drip edge to the entire perimeter&mechanically fasten. S. Install Certainteed Swiftstart shingles as a beginning course. 6. Install Certainteed Landmark Silver Birch architectural shingles&hurricane nail. 7. Install 4 new pipe flanges, 3°-4",with neoprene collars. 8. Install new Attic Slant Vents to replace the existing on rear of the building. 9. Install new ridge vent and matching cap shingles. 10.Remove the metal siding on dormers,&install 100%ice&water shield on the walls. 11.Install new white vinyl siding on all 3 dormers with white vinyl corners. WE propose hereby to furnish materials&labor,complete in accordance with the above specifications,for sum of; Eight usand Eight Hundred Twenty Dollars: $18,820.00 AUTHORIZED SIGNATURE Lawrence E.Mor President ACCEPTANCE of PROPOSAL:The above prices,specifications&conditions are satisfactory and are hereby accepted.Y are authorized to do the work as specified. AUTHORIZED BUYER1, IGNATURE DATE THANK YOU ORJCHOOSING MORGAN CONSTRUCTION The Commonwealth of Massachusetts Department of IndustrialAccidents - 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aimlicant Information Please Print a ibl Name(Business/Organization/Individual): T&J(Address: 'D ft -e P b06 �9 V/) City/State/Zip: - t )o, l 1 l r l 1,,�1 01 �,��1�� ' Are you 'employer?Che be appropriate box: Type of project(required): I am a employer with employees(full and/or part-time).* 7. E]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]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.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof re ars o These sub-contractors have employees and have workers'comp.insurance) 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other i 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 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-contractors have employees,they must provide their workers'comp.policy number. I I I am an employer that is pro vidi worlrers'compensation insurance or n:y employee . Below is the policy and job site r in ornration. , Insurance Company Name: D' Policy#or Self-ins.Lic.#: 1 /�� Expiration Date: 2. �p� �r Mlob Site Address: s'�DU01down City/State/Zip: N , U��•C, `! 0I 1W-5 Attach a copy of the workers'comp nsation 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 Y riflcation. I do/r ey c rtify under the pains and enalties p ' r th t t i ormation provided a ove is tr re and correct. Si na re Date: Z rcia kr V use only. Do not write in tins 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: � R®^ LEMORGA-01 BBOYER CERTIFICATE OF LIABILITY INSURANCE DATE(MNIIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.16 HIS 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 endorse ent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAC Welsh 8 Parker Insurance Agency,Inc./Hudson Office NAME: 131 Coolidge Street,Suite 100 PHONE F Hudson,MA 01749 (Arc,No, xt):{978)562-5652 (vc,No):{978)562-7120 E-MAIL i ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER :Western World Insurance Company INSURER' :SAFETY IND INS CO 33618 LE Morgan Construction Inc INSURER::Scottsdale Insurance PO Box 75 Billerica,MA 01821 INSURER INSURER COVERAGESINSURER CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE I TO WHICH THIS EXCLUSIONS AND CONDITIONS OF INSURANCE AFFORDED BY HE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE T SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RE UCED BY PAID CLAIMS. TERMS, INSR ADDL S BR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBEROLICY EFF POLICY EXP M/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE S 1,000,000 CLAIMS-MADE n OCCUR NPP8381620 04/13/2016 04/13/2017 DAMAGETORENTED PREMISES(Ea occurrence) S 100,000 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- I� GENERAL AGGREGATE S 2,000,000 JECT I 'LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT B 6230688 (Ea accident) S 1,000,000 ANY AUTO 1 /13/2015 10/13/2016 BODILY INJURY(Per person) S ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S X HIREDAUTOS X NON-OWNED AUTOS PROPERTYDAMAGE S Per accident UMBRELLALIAB S I X I OCCUR C X EXCESS LIAR I� I{CLAIMS MADE XLS0099346 EACH OCCURRENCE S 5,000,000 0 /13/2016 04/13/2017 AGGREGATE S 5,000,000 DED RETENTION S WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN STATUTE OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT S (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aft ached if more space is required) WORKERS COMPENSATION CERTFICATE OF LIABILITY WILL BE SENT DIRECTLY BY THE CARRIER. CERTIFICATE HOLDER CANCEL TION 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 Street,Bldg 20,Suite 2035 ACCORE ANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 -ZTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registe I d marks of ACORD CERTIFICATE OF LIABILI i INSURANCE DATE(MM/DD/YYY11 TktSLERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE S NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR I LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETW EN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE TR PRODUCER AND THE CERTIFICATE HOLDER. .PORTANT:If the certificate holder is an ADDITIONAL INSURED,the policAies)mt st be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorseme t. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT BALDWIMWELSH PARKER INS NAME: 131 COOLIDGE ST,SUITE#100 PHONE FAX (AIC,No, xt): (A/C,No): HUDSON,MA 01749 E-MAIL :77 27KLD ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED L E MORGAN CONSTRUCTION INC INSURER IA: AMERICAN ZURICH INSURANCE COMPANY INSURER B: INSURER : PO BOX 75 INSURER NORTH BILLERICA,MA 01862 INSURER INSURER COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODSION ItNDIICAEED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONpITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD SUB POLICYEFFDATE POLICY EXP DATE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ACH OCCURRENCE $ CLAIMS MADE 1:1 OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occurrence) MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY E]PROJECT❑LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE $ ALL OWNED AUTOS LIMIT(Ea accident) SCHEDULEAUTOS BODILY INJURY $ (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY YM UB-5B738312-15 12/14/2015 12/14/2016 X LIMITSATUTORY OTHER ANY PROPERITOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.EACH ACCIDENT $ 1,000,000 if yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT is 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WO RS COMP COVERAGE. ERTIFICATE HOLDER CANCEL TION TOWN OF NORTH ANDOVER SHOULD A 4Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET,BLDG 20,SUITE 2035 BEFORE TT iE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORIIANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER,MA 01845 AUTHORIZE)REPR ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. — - Massachusetts Department of Public Safety ---- . Board of Building Regulations and Standards �zocmvnzorzaea�t!c�f'�/ rsaelcc�elt • License: CS-079476 Office of Consumer Affairs&Business Regulation Construction Supervisor .- .I "� HOME IMPROVEMENT CONTRACTOR Registration:,: 13.7913 Type: LAWRENCE E MORGAN,JR VExpiration-tet._--"--41272,7 Individual 100 IRON HORSE PARK LAWRENCE E. MORGAkIR ~ NORTH BILLERICA MA 01862 Y LAWRENCE MORGANMI ', 100 IRON HORSE PARK,_ .`