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29 RAVENNA AVE - BUILDING INSPECTION
� .7s The Commonwealth of Massachusetts !r r CF104AL SERaiM& Board of Building Regulations and Standards SALEM Massachusetts State Building Code,780 CMR SS ccFF AA vi 2011 Q Building Permit Application To Construct, Repair,Renovate Or`''11 P��IJni ?h�3 H � One-or Two-Family Dwelling , ) This Section For Official Use Only U ' Building Permit Number: I Date Appf d: Building Official(Print Name) Signature Date I— SECTION 1: SITE INFORMATION Vr_ 1.1 P o ert Address: 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq II) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Zone? Municipal ❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP[- 2.1 Ow ert of Record: Rdv-t-rs. S� lxA o\G-lo Name(Print) City,State,ZIP I g, 5Qave-,nre, Alm �17f= S- 0'-us No.and Street Telephone Email Address SECTION 3: DESCRIPT N OF PROPOSED ORKZ(check all that apply) New Construction❑ Existing Building Owner-Occupied Repairs(s) d I Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ 1 Number of Units Other ❑ Specify: Brief Description of Proposed Work: 'o c, 2 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ aS 'S 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ - 2. Other Fees: $ 4.Mechanical (HVAC) S List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: " 6.Total Project Cost: $ asy 1ST 0 Paid in Full 0 Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License{CSL) AT1-I License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street - - Type Description A F �\ _,�C a. p ©- �l / o U Unrestricted(Buildings u to 35,000 cu.ft lty tw rT\ 9-aC /VV"\ l6 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid FueInsulation mingAppliances I Insulation Telephone Email address D Demolition �5'.)2 Registered Home Improvement Contractor(HIC CCLk-t2'C -\CN-\e '?1KM06e\1,�Qk hC)_. H1CI lRegistrationl Number Expirat`iioon/Date TC Company Name or HIC Registrant Name SO\ Se"ocAk tic. No.and Street I Email address C\-,eSAet, PA \qo\l CiLyfrown,State.ZIP Telephone SECTION 6:WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(M.G.L.'c,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 p . 1,as Owner of the subject property,hereby authorize � `(• C\ / v�c< c\\ to act on my behalf,in all matters relative to work authorized by this building permit application.�� CV t'Y tLS Print Owner's Name(Electronic Signature) Date '- _SKTION 7bi OWNERt.OR AUTHORIZED AGENT DECLARATION - By entering my n41ic ,I ereby attest under the pains and penalties of perjury that all of the information contained in this is ue and aceurat the best of my knowledge and understanding. �/� ,( - V t VIS Print Owner's or Author en' e(Electronic Signature) Date - NOTES,: 1. 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 not 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 ynyw.mass.gov/oca Information on the Construction Supervisor License can be found at www.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" - Project'31-67229- Signed Sales Agreement https://nitro.powerhrg.com/project_docwnents/6216265?pages=l Q. Project 3167229-Signed Sales Agreement ®JPEG 0.57 MD,244&3264) De1ice:1Pad5,4 rmen� ci_ NATIONAL.HEADQUARTERS M 19013 -- 2Sol SrgppTpmq C)Wii%, Helen and Room RTVara 6e InX�r�, POWER 31-6722R 888-R p E(� ""� '�^� saEeoros otzDlS CUSTOM REMODELING AND.IMPROVEMENT AGREEMENT Buy°rtq'I'n°^"°a^n.,u1De•nipann eloro Pnpary: Project Number:31-67229 sep+ at "is Rolm P,,,, a.ruA>.wwnt - Robert Pe9rere (aT6)393M55(Fb1enY CpJQ rip,,iii" ®Mmrra•IfIN 24 Ravenna Ace (ere)TOs-056•pkme) ewAas�, S•Iam,MA,0,8T0 C county;chp: ei - 1� `l� Tswa1 v Buyerls)listed above hereby loihtry and severefry egress a purchase the goods and/or services Of Power Home Remodeling Group and its vendors('Comreaor").in accordance with ga prices and terms described in this 8 page document and the product Specifications,which ore Incorporated as part of the Agreement(oOliectivsiy,this'Agreemem'). Thfe Agreement represents a cash sale of goods end services..Buyef(5)agrees a Pay the cost of Me goods and services purtdased asdescdped herein,regardless of timing or approval of any financing BuYer(s)may seek for their purchase. 'Purchase Prim: 525,158.ae Pre Instellation Inspection Dates: Down Payment: 'SDAa rwenspa.•.ns:nm.a++sp Balance Due on ..SMIS9.94 Estimated Project Start:3 to A weeks Substantial Completion: - Method of Payment War Estimated ect Proj Complained:I to 2 days aewnq_ .imaevw•aern't•wnae DJrWbgap•eigrau..wu,oyn GaYrrepY mrad noi"vrAWeEnu41tl�1meMm.Sm biryAM•m.n Co�o,a. Buyers)hereby acknowledges receipt of a COPY Of the Pemphlet.'The Lead-Safe Cenifled Guide to Renate Rigor".,Worming Buyar(s)of the Potential risk of lead hazard emosure from renovadon SCINiy to be performed In Of al Buyer(sy Property,at the address written some.Buyers)received this pamphlet on the date of this Agreement,before commencement of work. QtE _Buyer(s)•lnnials. This Agreement constitutes the mike agreement and understanding between the pedies,and this Agreement replaces art'and as prior negotiations,representations,or agreements,either written ororal. No amendment.modification or waiver of tits Agreement shall be valid or effective unless In writing and signed by both parties. Buyers)hereby atlmwNedges eat Suyef(s)1)has read the entire Agreement and has received a completed,signed,and dated copy of this Agreement.Including the two accompanying Notice Of Cancellation fortes,an the date first whim above and 2)was oraly informed of hisiber right to cancel edsJren iactipn,. Buyers)also agrees and understands that H Buyer(s)finances the work with a Mind-parry.the terms of then financing will be contained on separate documents,including any finance charge. Future prooations rat applicable. _ DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. h hew read and salved NNI pop of this 6 pap agreement. Poxrec Nome Hemo�linp Group fB�u�y�sr(t) n. QIWer(ai �•,'_ /09/01/15 Signature Of Remodeling Consultant Signature Signature Gregory Holm Neon Power Hobert Pavers • ti 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. September 01,20152231 Page I of e - 1 of 1 9/19/2015 11:34 AM a' NATIONAL HEADOUARTERS Helen and Robert Powers 2501 Seaport Drive,Chester, PA 19013 s,.�s POWER 31-67229 - `+ ^-^^^•r^. - September 01, 2015 888-REMODEL MA HIClt 168616 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: Project Number: 31-67229 September 01,2015 Helen Powers Data of Agreemm�l Robert Powers (978)395-0455(Helen's Cell) rjpowem@comcast.net 24 Ravenna Ave (978)745-0564(Home) E-Mail AEtlress 1 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 9115 between 3:10p and 4:10p. Roofing -GAF Inclusions: Includes Timberline Ultra HD Lifetime shingles with 50 year non prorated labor warranty.Also includes removal of existing shingles,installation of F-Style drip edge,Weather Watch ice and water shield, Deck Armor breathable roof deck protection, Pro Start starter strip,Snow Country ridge vent exhaust,Timbertex premium ridge cap shingles, PowerVent intake ventilation, all flashing where needed and 6 nails per full shingle.All steep slope installation applications used only where applicable, Low slope roofs,ones below a 2/12 pitch and flat roofs do not apply. Clean up and haul away all job related debris. "Low slope roofing installations include a 15 year non prorated labor.and material warranty, removal of all existing roofing materials, new decking,TriBuilt base and cap sheet,drip edge and flashing where applicable. To protect our clients,Power HRG includes at no additional cost,the removal and replacement of up to 300 square feet of soft or rotted roof decking if needed. Low slope roofs below a 2/12 pitch and roofs with cedar shingle removal do not apply as they will include all new decking as part of the installation.Any additional wood replacement needed,over and above the 300sq/ft we provide,will be done at a cost to the homeowner of$3.57 per sq/ft.(Buyer initials ) For Example:After the shingles have been removed, if we find there is a need to replace 325 sq/ft of wood, Power HRG will pay for the first 300sq/ft. It is the responsibility of the homeowner to pay for the cost of 25sq/ft of replacement wood at$3.57 per sq/ft,which in this example is$89.25 Attic Insulation-Solar Eclipse with R19 Inclusions: For Solar Eclipse projects of 1000 square feet or more,a promotional Nest will be provided and installed at no additional charge.The Nest is not compatible with all HVAC units/configurations. Should the Nest not be compatible with your system,you will receive a$250.00 gift card in lieu of the Nest.(Buyer initials ) 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 3 page agreement. Power Home Remodeling Group Buyer(s) Buyer(s) /09/01/15 /09/01/15 /09/01/15 Signature of Remodeling Consultant Signature Signature Gregory Nolan Helen Powers Robert Powers 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. September 01, 2015 22:31 IIIIIIII II IIII IIIII I IIIII IIIIIIIIIIIIIIII Page 1 of 3 i� NATIONAL HEADOUARTERS Helen and Robert Powers 2501 Seaport Drive,Chester,PA 19013 "OWER . 31-67229 September 01, 2015 888-REMODEL Wn MA HICiI 168616 Project Specifications Roofing: Whole House less Low Slope 1 1335.0'xl.0' ROOFING: Models GAF Styles Architectural Shingles Types None Configs None OPTIONS: Color Fox Hollow Gray I Removal Standard Shingle I Installation Details None ODRPORATION Foot Ftallow Gray Roofing: Low slope 1 615.0'x1.0' ROOFING: Models GAF Styles TriBuilt Low Slope Types None Configs None Options Color: Black I Installation Details None C RPORATION Roofing: Whole house 1 850.0'x1.0' ROOFING: Models GAF Styles Replace Wood Types Plywood Configs None Options None I Installation Details None [iAF 1�J1TERaALS CORPORATION 1f W #1 L . ,t►��. .. o/ \�� Aerial-Measurement September 01, 2015 22:31 IIIIIIIIII II IIIIIIIIIIIIIIIIIIIII I III IIII Page 2 of 3 NATIONAL HEADO UARTE RS Helen and Robert Polders 2501 Seaport Drive,Chester,PA 19013 - -=ter`+•-.F +.'POWER 31-67229 September 01,2015 888-REMODEL - •• • •• ••• MA HIC#168616 Project Specifications Attic Insulation: Main house 1 2000.0'x1.0' ATTIC INSULATION: Models Solar Eclipse with R19: Styles: None Types None Configs None Options Nest I Installation Details None September 01, 2015 22:31 IIIIIIII III III IIIIII IIIIIIiIII I IIII II IIII Page 3 of 3 POWER-1 OP ID: EL ACORo CERTIFICATE OF LIABILITY INSURANCE D09/1112 014 09/11/24 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 endorsements. PRODUCER CONTACT Lacher 8:ABSOCIateS Ins Agency - NAME:PHONE FA% Lacher Insurance Group IAIC No,En:216-723-4378 ac Na: 216-723-8604 632 E Broad St P O Box 64398 E-MAIL Souderton,PA 18964 ADDRESS: Chad Lacher INSURERS AFFORDING COVERAGE NAIC# INSURER A:Harleysville Preferred Ins.Co 35696 INSURED Power Home Remodeling Group, INSURER B:Harleysville Worcester Ins Co 26182 LLC INSURER C:Nationwide Mutual Ins Company 23787 2501 Seaport Drive,Suite B110 Chester, PA 19013 INSURER D:Pennsylvania Manufacturers 12262 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 EXP TYPE OF INSURANCE AODL SUER POLICY NUMBER MM/DCYDM'YY MMNCYD/VYW UNITS TR SO VV/Q A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE �OCCUR MPA00000089793N 10101/2014 1010112015 PREMISES Ee o=mence $ 1,000,00 MED EXP(Any one person) $ 16,00 PERSONAL B ADV INJURY $ 1,000,000. GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,00 POLICY PET 11 LOC PRODUCTS-COMP/OP AGO $ 2,000,00 OTHER. $R%AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ 1,000,00 Ea aooden[ B X ANY ALTO BA 00000089796N 10/01/2014 10101/2015 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident E UMBRELLA IIAB X OCCUR EACH OCCURRENCE $ 10,000,00 C X EXCESS Like CUIMSt.MADE CMBOOOOOO89794N 10/01/2014 10/01/20115 AGGREGATE $ 10,000,00 DED RETENTIONS $ WORKER$COMPENSATION �( - AND EMPLOYERS'UABIUTY STATUTE ER H D ANY PROPRIETORIPARTNERI ECUT YIN 2014006620967 10/01/2014 10/01/2015 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? 1—Y] NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 It es,-..rube under 1,000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Mass Auto BA 00000018227P 10/01/2014 10101/2015 Auto Liab 1,000,00 B NY Auto BA 00000074849R 10/01/2014 10/01/2015 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he anachad if more space Is required) CERTIFICATE HOLDER CANCELLATION SALEM 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 3rd Floor AU1110MEDED_REPRoESENTATIVEE 120 Washington St Salalem,MA 01970 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD fi'mkvc loci AlTC BE z �=' r-�lity � a2F4L 14a7�EI¢e}5�x GT.e�1a c?u'c.+ram/��r cm— �n�e-ad.un� N2721edsi-, s/Org;a,izati f tl�aiYtllii.17 T I�1, < ••, t �. .� r.� Ad&-ess' t , 15 Phone t-: _f v.,! G+C' 54 chesh she ape,E p'J'a,bos: 1. 1 am employer with 1 omP}oyr. (roll snd�m Eii�p'SQ9E'L'4'{rC4airEdr: pan umc)--r. -N CAn5tY4iCt10D W 7nvq- or p-�mma'tup mdhaveno eegr7r gees wos'kmp fmmein auy sty.IT�a ml;taa'comR>m'mance tegaar.QJ �. eIDOdfJi'8g 3.�7 am e bome"",dcag ill�vcrrk m}�se-li jJvowmlaa�,camp.frsvznce 7cuuvc3j i 9. DeIIlO on amreAomooaner mtd"rvl bs canurclma 1c eamnact all tsoxk®>ay7'n j- 7 I Q ED I3QUim$addilicM Lave•saava`coa,P msmmkx of se aeie 7�ofnieton"�$ac cmp}oyu=. 33.�j�ies3ricsi Te§�vs_os�iP y� . f-L] x€�eulc em adlli?ehirxc�e -,tea,:li oz a caw saes. i2.�1 PSamiung Tr ;nm #,sms 7he�c e�atrxtr�a ) roe emgloye,+�e hesrt v+ap]cefa'comp.�aaasace.= l3"G RodllT�T_ . 6-©We are a sorpompm;and s oifiosaa 3svr.exucisrd>hes Jig7ot oPexempfian per7�iG1 c. 14.©olha L i31,E:(4):and we have na employees.[No workers'cm I . mF.m5tarorc.reguire6] . *An'apphcant that che..ks box vi must also fil3 ou the serEon below showing their wotkeTs' I Aomeownerr who submil this a93idavii c•Omp=,,tmn PolieY information. tComtectm that Check this box must m i1g�'ate doing all work and a=hi msside eanuaciots mmsz 6nhmil a Eew etfidsvit mdmeatiEg awl,1 �chul aE additional shoat showing the»ame of the sob-coxmeetors and ygete whptbq or not9hose entitles have amp oYees. If the sub-co�ac7oxs have employees,fheY mazst pmvide their woricas'comp.policy aumber, ram an employer that is providing workers compensohon Insurancef or information:. 66 my employees Below is drepotiey andjob aide Insuraoce CompanyAiame: Ak, LE �!ntt C S7�YL hl j «r LLEt�c Policy#or Self-ins.Lic.#:_ ?P I q O® t UAR rj F.apimtion Date: ®($' Sob Site Address_�L' (}�\ Attarb a copy of the vrorlrers' compensatiDn PDlicy declaration POP Csh&WW CitylState/Zip: � w `l g the pDlicy ntmaber expiiratian date). Faihae to secure coverage as required under MGL c. I52,¢25A is a miminW vmhdDn punishable an by a 6ne up to SI SDD.DD and/or on�year imprisonment as weii aS cic•il pe�mWfiM in the€M of a STOP WORK ORDER and a fine of tp to SZSD.DD e day against the violator.A copy of this statement may be forwarded to the Oftice of Investigations of the DIA for instsance coverage I do hereby the pains and penaides afpr{/ury dart die information prtwkied above is trine and Correa signature, Date:. V Ofjicfal use only. Do riot write it ads area,ro be completed by dfy or town offrw City or Town' Permit/License# Issuing Authority(drele one): L Board of Healfh 2.Building IDepartment 3.City/Ibwn Clerk 6.Electrical Impe rt®r S.Plumbing Inspector 6.Other CDntmet Person: Phone#: . V/ce Waynmramwecc�t�i-a PJ�'CaaxdT�rra¢((d � - i �.. 'Mce of Consumer Affairs& Business Regulation I - License or registration valid for individul use only ' OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: { Office of Consumer Affairs and Business Regulation 'Registration 168616_ Typ,:� 10 Par Plaza-Suite 5170 Expiration: 3%18/2017':: Supplement.?;ard Bo on, 116 - - POWER HOME REMODELING.GROUP LLC. - -MARK MORDINI 'qtr ' 2501 SEAPORT DRIVE STE 61�0 � - - CHESTER,PA 19013' - Undersecretary of valid without signature - I Massachusetts Department of Public Safety ? Board.of Building Regulations and Standards License: CS-057645 Construction Supervisor i `sric q - MARK E MORDINI` '•. 18 NEWELL DR �. .. - N ATTLEBORO MA W714 - ,e nnr�r,s• .,rro�a :. Expiration: Commissioner 09/18/2017 MAS'�SPGH�USE;TT' 4 Rg L C NS , e � 1 e 78 NEWELL DR+ �f� a• ��. ' NATfLE80ROUGH MA aY76a'7525 ; k� - -� �- J / � 1