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146 MARLBOROUGH RD - BUILDING INSPECTION (3) CX 4s g q 3 R z The Commonwealth of 10assachusetts z Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM _ Reniserl iblar?0l1 'Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two Pandly Dwelling - This Section For Ot'fici se Only Building Pennit.Number. Date pplied: 1 4" Building O(licial(Print Name) Signature Date r SECTION 1:SITE INFO"IATION I1.11Pru6p g"' 111A t1 1.2 Assessors Nlap &Parcel Numbers —L I a is this an acceptedstr t?yes_ no Map Number Parcel Number 1.3 Zoning Information: - 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(fl) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6\Yater Supply:(hi.G.L c.40,§i4) 1.7 Flood Zone Information: 1.3 Sewage Disposal System: Zone: _ Outside Flood Zone?Public❑ Priizte❑ Checkif yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTI'O\VNERSHIP' 2.1 Ot%cr'of Re ord: JeRerev liftoff spa Nanr�(Prin� City State,ZIP � _/Nalrl6oro�41� fa � �-261b No,and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED ArORK=(check all that apply) New Construction❑ Existing Building Owner-Occupied Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessoq,Bldg.❑ Number of Units Other ❑ Specify: Brief Description of rop sed\V44N/ Z. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: , Official Use Only (Labor and Materials) l 1.Building S 7 S 1. Building Permit Fee:S Indicate how fee is determined; �.Electrical g ❑Standard City(Ibwn Application Fee - ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ ��- 4.Mechanical (HVAC) $ List: I S.Nlecharical (Fire $ Su ression) Total All Fees:S t / Check No. Check Amount: Cash Amount: 6.Total Project Cost: S 1317 yr' ❑Paid in Full O Outstanding Balance Due: 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) QS7 ��),\"1( License Number Expimlion Date Name o CSL ( } '� n' -'rt \C L.isICSLTvpc(sccbelow) (/ No,A�und StreeViI�U Type Description O"��I/ /) U Unrestricted(Buildings u to 35.000 cu.R.) Citvll'own.State.7lP uL It }• $j�V R Restricted 1&2 FamilyDwellin - M Masonry MD� Roofin Coverin Window and Sidin S �� Solid Fuel Burning Appliances Insulation Telc hone Email address Demolition/ `5.2 R stered Home Improvement Contractor(HIC) IM 6 /� low INN HIC Registration 3 /stration Number Expiration Date HIC C zany Name or HIC RcgWrant Name } No.�s;ttd Street U _ ( Email address 4e(F PACi F/Town,State,ZIP Tel hone / SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.a:152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........❑ No..........,❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize AmIYl ww; to act on my behalf,in all matters relative to work authorized by this building permit application. . .Print Owner's Name(Electronic Signature) SECT1 - 71b:qVffElle OR AUTHORIZED AGENT DECLARATION By entering my name low,l ere y at est under the pains and penalties of perjury that all of the information CO ntained in this appli ion i true and ccurete to the best of my knowledge and understanding. /o 1 II f b Print Owner's or Authorized A s ame(Electronic Signature) Date 'NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will got have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at n2nK, ass.go it Information on the Construction Supervisor License can be found at mvw.mass.eov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage'may be substituted for"Total Project Cost" about:blank National Headquarters - Jeffery and Charlene Knorr 2501 Seaport Drive,Chester,PA 19013 32-11857 OW736.OM August 17,2016 W W W.POWERNRO.COM MA HIGY 100616 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyer(s)'hnlormatbn and Desalptlon of the Property: Project Number:32-11857 August17,201 Jeffery Knorr ^:. (97a).a78-2et0(JMwrySCeal Charlene Knorr I (r/It11�pw 1A6 MMlbmeugh Rd T� Salem,MA,01970 county:Ea :�. . - Township:. _ - Buyer($)listed above hereby jointly and severely agrees to purchase the goods arM/or services of Purer Home Remodeling GrouP and its vendors('Contractor')in accordance with the prices and terms described in this 6 page document and ere Product SpeGticatbns,which are Incorporated as part of the Agreement(cdiecWe&this'Agreement}. This Agreement represents a cash sale of goods and services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase. "v Purchase Price:' ` •13,M06 Pre InsfaRallon Inspection Dail: Doan payment $0.00 'Tar are eetwan aa0a me 10.a 8aiarce Due on 3113,7411.013 Estimated Projedi Start:6 to 7 Weeks �. Substantial Completion: £etlrnaiad Project Completion:S to 6 days )d, Methods Payment ` Other Buser(e)sm,aNedgesweeMwhaaan endefnpbdm dew Me cars ueauanow ahers 1 Goltrar�xH mraolMbWude,fNadruWulg ben hors ass Deiwm4 1n cwww o. Buyer(s)hereby acknowledges receipts a copy of the pamphlet,"The Lead-8efe Certified.Guide to Renovate R4W.irdwming Buyer(s)of the potential risk at lead hazard wpm"from renovation activity to be performed in or atBuyer(s)'Property;at the pd�d�[q��q carmen above.Buyers)received this pamphlet on the date of this Agreement.before commencement of work. .�2_Buyer(s)'mhlais, `,. This Agreement constitutes the entire agreement and understanding between the parties,and this Agreement replaces any and all - v _ prior negotiations.16MRSOmationS,Of agreements,elther written or oral. No amendment,modification or waiver of this Agreement shall be void or effective unless In writing and signed by both parties. Buyer(s)hereby acknowledges that Buye r(s)1)has read the r entire Agreement and has mc~a completed,signed,and dated copy of this Agreement,IncluCahg the two accompanying Ndbe s of Cancellation forms.on the date first written above and 2)was orally informed of his/her right to cancel this transaction. Buyen(s)also agrees and understarWa that M BVYer(a)finances the work with a third-party,tre terms of to financing will be I contained on separate documents,including any finance charge. Future promotions not applicable. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. cA+x: alp , . t r `x I have read and received each page of this 6 page agret a o"L n e Re g Group P Buyer(s)_ .� Buyar(s) 17/16 17116 t+[�/� -* l'�--- xleli7/16 .. PSIgnatouali ufartceManager ignature - Signature Ryan Ha�ertY " Jeffery Knorr Charlene Knorr YOU,THE BUYER(S),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.- - 4 August 17,201618:33 I � Page 1 of 6 1 of 1 9/23/2016 2:39 PM r ' , National Headquarters Jeffery and Charlene Knorr 2501 Seaport Drive,Chester,PA 19013 32-11857 888-736-6335 August 17, 2016 WWW.POWERHRG.COM MA HIC#168616 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: .. Project Number: 32-11857 August 17,2016 Jeffery Knorr Charlene Knorr (978)578-2610(JeNery's Cell) 146 Marlborough Rd Salem,MA,01970 County:Essex - Township: Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Tue 8/23 between 9:00a and 10:00a. Doors-Dynasty Inclusions: Includes all new hardware,ball bearing hinges,foam core, reinforced wooden lock block, installation,clean up and haul away all job related debris. Windows-SL 2700 Inclusions: Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only,welded corners,foam injected frames,Sashlite technology, Heatshield, Duraglass, exterior custom capping, installation,clean up and haul away of all job related debris. It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and Improvement Agreement,constitutes the entire understanding between the parties,and replace any and all prior negotiations, representations, or agreements,either written or oral. The Product Specifications may not be changed, modified,or varied in any way unless such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. . I have read and received each page of this 4 page agreement. Power Home Remodeling Group Buyer(s) Buyer(s) /08/17/16 /08/17/16 /08/17/16 Signature of Quality Assurance Manager Signature Signature Ryan Hagerty Jeffery Knorr Charlene Knorr YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. August 17, 2016 18:33 IIII IIII IIIIIIIIII IIIII II IIII I II IIIIIII Page 1 of 4 r National Headquarters Jeffery and Charlene Knorr 2501 Seaport Drive,Chester,PA 19013 32-11857 888-736-6335 August 17, 2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Gutters: Gutters 1 130.0'x1.0' GUTTERS: Models Gutters Styles Gutters Types 6K Seamless Configs None Options Color: White I Installation Details None Il AGE N,OY AVAILABLE Gutters: Downs 1 90.0'x1.0' GUTTERS: Models Gutters Styles Gutters Types 3x4 Downspouts Configs None OPTIONS: Color While I Installation Details None IMAGE NOT AVAILABLE August 17, 2016 18:33 IIII IIII IIIIII IIIIIIIIIIIII IIII I IIIIIIIIIII Page 2 of 4 National Headquarters - Jeffery and Charlene Knorr 2501 Seaport Drive;Chester,RA 19013 32-11857 888-736.6335 August 17, 2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Doors: Dynasty Doors 1 32.0"x79.0" DOORS: Models Dynasty Styles Entry Door Types 32"Series Configs Smooth Steel Options Composite Options Half Moon: Autumn(Platinum)Color 2-Color Interior Color Fire Red I Exterior Color White IMAGE NOT Hardware Hancock Knob Handleset: Deadbolt: Satin Nickel I Additional Details None AVAILABi_- Doors: Doors 1 36.0"x80.0" DOORS: Models Dynasty Styles Entry Door Types 36"Series Configs Smooth Steel Options Composite Options Half Moon: Autumn(Platinum)Color 2-Color Inferior Color White I Exterior Color White I IMAGE NOT Hardware Avalon Handleset: Interior Hancock Knob: Deadbolt: Satin Nickel Additional Details None A x�)p ILABL� ��} A E August 17, 2016 18:33 IIII IIIII I IIII IIIIIIIIII II IIII I I IIIIIIII Page 3 of 4 • National Headquarters Jeffery and Charlene Knorr 2501 Seaport Drive,Chester,PA 19013 32-11857 888-736-6335 August 17, 2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Windows: Picture window 1 50.0"x39.0" WINDOWS: Models SL 2700 Styles Picture Types None Con/igs None OPTIONS: Color White I White: Grid Pattern: None I Removal Wood I Additional Details None Windows: Shutters 2 1.0"X1.0" WINDOWS: Models SL 2700 Styles Shutters Types No Hinge Configs Panel OPTIONS: Color Black I Additional Details None !MAGE NOT AVAILABLE August 17, 2016 18:33 IIII IIIIIIII IIIIIII IIII I II IIII I IIIIIIIIII Page 4 of 4 wwr, a*•rt #r a,+t4. / w�.r @ 4. w ra i�x4lt.�w t•� ^a wL. �+ w aLM'...+» ar.� �, y :!.+. +h}�� .�-.� a a - 4 h. -L--a"rwg.. '.u"«?S».y s T�. rt 7-. � ysi 5�..... «++�T..a.. " ✓'F'�.«..:`uB"cxyvAa� y '€.e. �( k` F<,c a5]lw+. The Commonwealth ofMassachuseffs Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02 114-2 01 7 wit,mi tass.gov/dia Ubrkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERAHTTISC AUTHORFI). A r tlic:nt Information Please Print Le ibly Name tBusinessrOrganizaliongndividuaUl Power Home Remodeling Group Address:2501 Seaport Drive City/State/Zip:Chester PA 19013 Phone#:610-874-5000 ext 2509 Arc you an employer?Check the appropriate boa: Type of project(required): 1.0 l am a employer with 20 employees(full and/or pan-tirne),* 7, ❑ New construction 2,7 1 am it sole propriemr or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.(No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers comp.insurance required.]' 9. El Demolition 4❑I am a homeowner and will be hiring contractors to conduct all work an my property. [will 10❑ Building addition ensure that all comractors either have workers'compensation insurance or are sole ]I.❑Electrical repairs or additions proprietors with na employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractars listed on the attached sheet. 13.❑Roof re at These sub-contractors have employees and have workers'comp.insurance.t p fi.❑We are a corporation and its officers have exerciud(heir right of exemption per MGL c. 14.DOther �t I V1 Qk-1 J 152.§u4),and we have no employees.[No workers comp.insurance required.] *Any applicant that checks box 41 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[hen hire outside contractors must submit a new affidavit indicating such. �Conlractms that check this bnx must attached an additional sheet showing the name ofthe sub-conpaetors and state whether or not those entities have employees. Iflhe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for nor employees. Below is Ilse policy and jab site information. Insurance Company Name: Harleysville Worcester Insurance Company 201600 6620967 10/1/2017 Policy#or Self-ins. #: Expiration Date:\/'� — Job Site Address: 14 b I - r AT U ojw, / p)- City/State/Zip: ��"-� �l'1'1 /r r• r_ Attach a copy of the workers'compensationhon 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 S1,500.00 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 'o ator.A 71 op this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi ation. I do hereby ce i -a der t e pas ss arrd penalties ofperjupr that ll a information providedjabove i/s trae and eorrect. Sienature: - Date: Phone#:610-874-5000 ext 2509 Official use only. Do rent write it,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.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: N a t n • 3 fft,>r« .0 - 'lw t r• Nr ,± s :. ys,. ,tr t "s""- 1^ 3 h Ms y,"tie a. 4.. 4 _ 1 iaj � Myp by L � „ IPOWERCL-01" fELISEC ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE/MMIDWYYYI 0 912 812 01 6 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). PRODUCER CONTACT - NAME: Lacher&Associates Ins Agy Inc. PHONE 723-4378 FAX Lacher Insurance Group,LLC (AIC,No,Est): 215) (AIC,No): (215)723-8604 EMAIL 632 East Broad Street AODREss:lacher@lacherinsurance.com __ _ _ Souderton,PA 18964 _ - INSURER(S)AFFORDING COVERAGE NAIL N INSURER A:Harleysville Preferred Ins. Co _ 35696 INSURED INSURER B:Harleysville Worcester Ins Co__ _ 26182 Power Home Remodeling Group,LLC INSURER C.National Union Fire Insurance Company of Pittsburgh 19445 _ 2501 Seaport Drive,Suite 8110 INSURER Pennsylvania Manufacturers _ 12262_ _ Chester,PA 19013 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' 'ADDCSUBR POLICY EFF POLICY EXP LIMITS LTRi TYPE OF INSURANCE INSD WVDI POLICY NUMBER MMIDDNYYY MMIDD A X1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X . MPA00000089793N 10/01/2016 10/0112017. DAMAGETO RENTED ----- 1,000,000 CLAIMS MADEOCCUR PREMISES Ea occurrence ' $ MED EXP(Any one pomon) I $ 10,000 PERSONAL dADV INJURY $ 22000,000 GEN'L AGGREGATE LIMIT APPLIES PER - „GENERAL AGGREGATE $ 4,000,000 ` POLICY r_X JECT LOG PRODUCTS COMP OTHER IOP AGG $ _ 4,000,000 _- : — _ AUTOMOBILE LIABILITY ' COMBINED SINGLE LIMIT I $ 1,000,000 _ I (EdCO accident) _ B f X ANYnuTo IBA00000089796N 10/01/2016 10/01/2017 BODILY INJURY(Per person) $ F—IALL OWNED SCHEDULED BODILY INJURY(Peraccidenl) $ AUTOS AUTOS _— — I� NON-OWNED PROPERTY DAMAGE $ — HIRED AUTOS r� AUTOS (Per accident) —1$ — X UMBRELLA LIAR �X I OCCUR EACH OCCURRENCE $ 5,000,000 C r EXCESS uAB 1 CLAIMS-MAD EI BE 067941520 10/01/2016 10/01/2017 rAGGREGnTE ''. $ 5,000,000 X DED� RETENTION$ 10,0001 $ 'WORKERS COMPENSATION 1 j X PER OTH- IANDEMPLOYERS'LIABILITY STATUTE ER D .ANY PROPRIETORIPARTNERrEXECUTIVE Y�iNIAI 2016006620967 110101/2016' 1 0101/2 01 7 EL EACHACCIDENT $ 1,000,000 AFFICERIMEMBER EXCLUDED' r-- (MantlatoryinNH) E.L.DISEASE-EA EMPLOYEE S _1_000,000 D yes,describe under �DESC RIPTION OF OPERATIONS below ELDI$EA$E-POLICY LIMITS 1,000,000 B ;Mass Auto I 'BAOOODOO18227P 10/01/2016 10/01/2017(Auto Liab 1,000,000 B INY Auto BA00000074B49R i 10/01/2 01 6 1 10101/2 01 7(Auto Liability 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1111,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Salem AUTHORIZED REPRESENTATIVE 3rd Floor �' S Ap 120 Washington St (�/j�a( C Salem MA 01970 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 12014101) - �,' The ACORD name and logo are registered marks of ACORD �,e ae) Y I .�'y�� ry'P � r,5 t1$' n �$ ,pyR^ yy k'' et 3g• '. ,+3' CF !�Ar ...v�4M I A.aLow�.` ` 7.drn.. rev+134 h :lveaxL'n✓.,,,-r�&t�.,w.,mxsk:rs.,.a..uwv. ' ,•i^e k *+'144 rie.�1�'.tl�'�Fw±��w�. �s,k„ .wiy4 w�-�`-',�1i6ww'. 1 !"'�Ir'�rnr,wnnvrrr/l�r�"i'fsLrr}•Inav/!: — _ #`� Office of Cnnsumcr.Ufairs S Business Re�uladnn License or registration valid for individul use only. vfiOME IMPP.CVEMENT CONTRACTOR before the expiration date. If found return to: � ' Office of Consumer Affairs and.Business Regulation re Registration: 168616 Typ, 10 Par�Plaaa-Suite 5170 + 'cam Expiration: 3/18/2017 Supplement lam Boston.5l�k000222I1fi POWER HOME REMODELING GROUP LLC. MARK VORDINI Ii 2501 SEAPORT DRIVE STE 8110 --- CHE$TER,PA 19013 Undersecrelnrr N t valid without signature Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-057645 Construction Supervisor MARK E MORDINI. _ 18 NEWELL DR N ATTLEBORO MA 0,66 Expiration: Commissioner - 09118t2017 h- a ` a {cf9 ixmyC°'� x�`xfd ,�' 'W'�`ewdW ��N' 'asx+fw�dn�e �aA . 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