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41 ROSLYN ST - BUILDING INSPECTION The Commonwealth of Massachusetts °i>!d Board of Building Regulations and Standards " '"' 1 I�p C�IY OF WC Massachusetts State Building Code, 780 CMR 11 $p EM Building Permit Application To Construct, Repair,Renovate OrTSemtolisha Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only I Building Permit Number: Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION _ 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 41 Roslyn St L 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 ft) 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: Zone: _ Outside Flood Zone? Public❑ Private❑ Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Vianela Pimentel Salem,Ma 01970 Name(Print) City,State,ZIP 41 Roslyn St 978-853-8613 aharding269name.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction ❑ Existing Building® Owner-Occupied M Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units 2 Other ® Specify: Insulation Brief Description of Proposed Work2: Install weatherstripping on doors,Seal and insulate silUmudsill in basesment, Insulate attic walls with cellulose, Insulate exterior walls with dense packed cellulose,Insulate pipes. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ 8945,55 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) $ List: 5. Mechanical (Five $ Su ression Total All Fees:$ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 8945.55 ❑Paid in Full ❑Outstanding Balance Due: M1�ti� �-o C3.C. i z1 zi SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-052576 10/03/2017 James Fortin License Number Expiration Date Name of CSL Holder U 50 Rundlett Way List CSL Type(see below) No.and Street Type Description Middleton, MA 01949 U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 FamilyDwelling City/Town, State,ZIP p M Masonry RC Roofing Covering UU WS Window and Siding SF Solid Fuel Burning Appliances 978-998-4684 phil@air-tightweatherization.com I Insulation Tele hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 165640 3/15/2018 Air-Tight Weatherization,LLC James Fortin HIC Registration Number Expiration Date HIC Companyy Name or HIC Registrant Name 50 gun Jett Way phil@air-tightweatherization.com No.and Street Email address Middleton, MA 01949 978-998-4684 City/Town,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 .......... d( No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize James Fortin to act on my behalf,in all matters relative to work authorized by this building permit application. %ate A% Dec 16, 2016 Vianela Pimentel Vianela Pimentel(Dec 16 2016) Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of pequry that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. James Fortin 12/16/16 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: L 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 www.inass.gov/oca Information on the Construction Supervisor License can be found at www.mass._ov/dos 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" Work Order North Shore Community Action Programs,Inc. Job Number: Harding 119 Rear Foster Street,Building 13 Work Order Date: 12/6/2016 Peabody,MA 01960 Ownership: Renter Phone:978.531-0767 Air-Tight Weatherization Auditor:Marc Lorah 50 Rundlett Way Email: mlorah@nscap.org Middleton MA 01949 Cell:978-587-5104 Email: inbox@air-tightweatherization.com Phone: 978-531.0767 x777 Phone: 978.998.4684 Amy Harding NGRID Gas $4,470.69 41 Roslyn St Total $4 470.69 Salem Ma 01970-4636 Safety Issue(s):Lead Paint Possible Authorized Actual Measure Description Qty Price Total Qty Total Comments Basement Insulation SiWmudsill seal&insulate to R-19 168 $2.58 $433.44 168 $433.44 Doors Automatic Sweep single flange 5 $27.30 $13650 5 $13650 Weatherstrip s/Q-Ion or equal 5 $53.55 $267.75 5 $267.75 Misc Insulation Steampipe insulation 3 in.iron pipe 50 $8.95 $447.50 50 $447.50 R-5 Steampipe insulation to 1.5-2 in. 75 $7.47 $560.25 75 $560.25 iron pipe R-5 Misc Measures Attietbasement blower door guided 2 $88.20 $176.40 2 $176.40 sealing with two-part foam Replace Clothes Dryer Transition 1 $47.25 $47.25 1 $47.25 Duct only Date: 12/6/2016 Page 1 Work Order: Job Number: Harding Permit Building Permit 1 $100.00 $100.00 1 $100.00 Wall Insulation Wood clapboard/shakes/shings or 1096 $2.10 $2,301.60 10% $2,301.60 vinyl(dense pack) Total $4,470.69 $4,470.69 Air-Tight Weatherization Al J1I' Vila 50 Rundlett Way Middleton, MA 01949 978.998.4684 CONTRACTOWNER AUTHORIZATIONFOR CONTRACTOR TO PERFORM WORK I as owner/authorized agent of the subject property,hereby authorize James Fortin to act on my behalf,in all matters relative to work authorized by the building permit. l Pi tamente Owner/Authorized Agent(Print): Viane Date: Dec 16, 2016 I�.11...fLQ �in.G.rP1 Owner/Authorized Agent Signature: Vianela PimenWl(Da 16,2016) Contractor Signature: ��*"^^-•9� �' ^ Contractor:James Fortin Construction Supervisor License:CS-052576 Exp:10/03/2017 Date: 12/6/2016 Page 2 Work Order North Shore Community Action Programs,Inc. Job Number: Pimentel 119 Rear Foster Street,Building 13 Work Order Date: 12/6/2016 Peabody,MA 01960 Ownership: Renter Phone: 978.531-0767 Air-Tight Weatherization Auditor:Marc Lorah 50 Rundlett Way Email:mlorah@nscap.org Middleton MA 01949 Cell:978-587-5104 Email: inbox@air-tightweatherization.com Phone:978-531.0767 x777 Phone: 978-998.4684 Vianela Pimentel NGRID Gas $4,474.86 41 Roslyn St Total $4,474.86 Salem Ma 01970-4636 Safety Issue(s):Lead Paint Possible Authorized Actual Measure Description Qty Price Total Qty Total Comments Attic Insulation R-18.20 restricted-slopes/floored 436 $1.63 $710.68 436 $710.68 floored attic check with owner fill w/cellulose R-18-20 unrestricted-settled 260 $1.51 $392.60 260 $392.60 Knee wall floor equal to R 49 cellulose Basement Insulation Perimeter 1 in T-max or equivalent 56 $2.63 $147.28 56 $147.28 Block off the connection in-between the foam board(IECC zone 5=15-19) house and porch roof back of house Misc Insulation Steampipe insulation 3 in.iron pipe 50 $8.95 $447.50 50 $447.50 R-5 Steampipe insulation to 1.5.2 in. 40 $7.47 $298.80 40 $298.80 iron pipe R-5 Misc Measures Attic/basement blower door guided 2 $88.20 $176.40 2 $176.40 sealing with two-part foam Wall Insulation Wood clapboard/shakes/shings or 1096 $2.10 $2,301.60 10% $2,301.60 vinyl(dense pack) Date: 12/6/2016 Page 1 Work Order: Job Number: Pimentel Total $4,474.86 $4,474.86 Air-Tight Weatherization AirTight 50 Rundlett Way Middleton,MA 01949 978.998.4684 CONTRACTOWNER AUTHORIZATIONFOR CONTRACTOR TO PERFORM WORK I as owner/authorized agent of the subject property,hereby authorize James Fortin to act on my behalf,in all matters relative to work authorized by the building permit. l Pi lamente Owner/Authorized Agent(Print): Viane Date: Dec 16, 2016 ✓iRirC[R�in,P�rTf� Owner/Authorized Agent Signature: Vianela Pimente (Dec 16.2016) Contractor Signature: C'•"� '�'�— ^ Contractor:James Fortin Construction Supervisor License:CS-052576 Exp:10/03/2017 Date: 12/6/2016 Page 2 \ The Commonwealth of Massachusetts Department of IndustrialAccfdents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia W'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'blv Name (Business/Orgmization/Individuaq:Air-Tight Weatherization, LLC Address:50 Rundlett Way City/State/Zip:Middleton, MA 01949 Phone#:978-998-4684 Are you an employer?Check the appropriate box: Type of project(required): I.Q I am a employer with 20 employees(full and/or pan-time).' 7. ❑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.] 3F1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 4.❑I am a homeowner and will be hying contractors to conduct all work on my property. 1 will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.rl 1 am 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'comp.insuran . ce.= p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.QOther Insulation 152,§I(4),and we have no employees.IN workers'comp.insurance required.] 'Any applicant that checks box#1 most 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. :Contractors that check this box most 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Guard Insurance Companies Policy#or Self-ins.Lic.#:AIWC781370 Expiration Date:7/1/2017 Job Site Address:41 Roslyn St City/State/Zip:Salem, Me 01970 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 certify under the(pain and penalties of perjury that the information provided above is true and correct. Signature: Date' 12/16/16 Phone#:978-998-4684 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: '4`�b® CERTIFICATE OF LIABILITY INSURANCE "Osn;a0016' 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 ondorsement(s). PRODUCER IONTACT AME• Jacqueline Marie Monies MassPay Insurance Services,LLC PHONE 27 Garden Street,Unit I (978)774-4338 z105 1 9eL•(978)774.7318 Danvers,MA 01923 A MIULSS, Jackie®phitrichardinsurance.com INSURERISI AFFORDING COVERAGE NAICa INSURER A: AmGUARD Insurance CoMRany 42390 INSURED Air-Tight Weatherization,LLC INSURER.a: 50 Rundlett Way Middleton,MA 01949 INSURER C: 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 LATH 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 A L BUSH POLICY NUMBER POLICY EFF POLICY EXP UNITS EACH OCCURRENCE $ CLAIMSAIADE OCCUR r $ MED ExP aw ) S PERSONAL A ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: I�PRO. u LOC GENERAL AGGREGATE S POLICY PRODUCTS-COMPIOP AGO S OTHER: S AUTOMOBILE LUUM.nY COMBIeccNED SINGLE LUAR S ANYAUTO BODILY INJURY(P.Perim) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per acc4an0 S HIRED NON-OWNED R PEHTY DAMAGE AUTOS ONLY AUTOS ONLY P I S S UMBRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMSAIA_D_E AGGREGATE S DIED RETENTIONS S A WORKERS COMPENSATION AIWC781370 07/01/2016 07/01/2017 PER TH• AND EMPLOYERS'LIABILITY YIN A. TA TER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? O NIA EL.EACH ACCIDENT $ 1.,000,000 IfiNumlamry In NHi E,L.DISEASE-EA EMPLOYEE S 1,000,000 It you tasoibeI xw DESCRIPTION OF OPERATIONS beiow E L DISEASE•POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional RamaMs Schedule,maybe albcheel it morn space Is required) Proof of Workers Compensation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Salem ACCORDANCE WITH THE POLICY PROVISIONS. 120 Washington St 3rd Floor Salem.MA 01970 AUTHORIZED REPRESENTATIVE �> 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIgDIYYYYI 3/9/2016 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 have ADDITIONAL INSURED provisions or 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 endomement(s). PRODUCER TGA Cross Insurance, Inc. CNAME:ONTACT TGA Cross Insurance Inc. 401 Edgewater Place, Suite 220 PHONE FAX Wakefield, MA 01880 c No 781-914-1000 ac No: 781-246-2601 ADDRESS E-MAIL SS: switchboard ft across.com INSURERS AFFORDING COVERAGE NAICa wanvAgacross.com INSURER A: Arbella Protection 41360 INSURED INSURER 8: Air-Tight Weatherization, LLC 50 Rundlett Wayy INSURER C: Middleton MA 01949 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 28898957 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 ADDLSUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMMD/YYYY MWDD1YY1YI LIMITS COMMERCIAL GENERAL LIABILITY 8500046432 3/5/2016 3/5/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 12 OCCUR PREMISES Ea omnence $ 100,000 MED EXP(Any one Person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY 171 JECOT Lac PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILELMBILITY 1020015286 3/8/2016 3/8/2017 COMBINEDSINGLE LIMIT $(Ea aoddent) 1,000,00 ANY AUTO BODILY INJURY(Per Person) $ ONMED SCHEDULED AUTOS ONLY AUTOS ( ) accident BODILY INJURY Per $ ✓ HIRED NON-0VvMED PROPERTY DAMAGE ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident $ B `/ UMBRELLA UAB OCCUR 4600052930 3/5/2016 3/5/2017 EACH OCCURRENCE $ 4000000 EXCESS LIAB ✓ CLAIMS-MADE AGGREGATE $ 4,000,000 DED ✓I RETENTION$10,000 $ WORKERS COMPENSATION I PER 0 H- ANDEMPLOYERS'LMBILITY YIN STATUTE ER ANYPROPRIETOR/PARTN ER/EXECUTIVE OFFICERMEMBEREXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ (Mandatory In NH) ELDISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS belm EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks SehedYM,my be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION CIty of Salem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 120 Washinggton Street, 3rd Flr THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATME /I Thomas I Gregory ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 28898957 1 223720 1 16-17 GL, AI0, UMB I Sill DaHetre 13/9/2016 8:32:51 AM (EST) I Page 1 of 1 9 G fw W04mnowlwea,>%G d � Office e of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165640 Type: LLC Expiration: 3/1512018 Tr# 419291 AIR TIGHT WEATHERIZATION, LLC-,) JAMES FORTIN ( _ 50 RUNDLETT WAY MIDDLETON, MA 01949 ' ) — 'c Q'`$U date Address and return card.Mark reason for change. --- Address -Renewal G,I Employment ❑ Lost Card SCA1 G 20M1 SA1 <tT11r ?-1' n,0.,",Vn/!b 011C-.�!'leunrluxlle Massachusetts Department of Public Safety 5t.. Office of Consumer Affairs&Business Regulation Board of.Building Regulations and Standards OME IMPROVEMENT CONTRA CTOR qj VVRogistration: 185640 TYPe: License: CS-052576 xpiration 3656D.18 LLC Construction Supervisor 1 ��'1 r 4 \`.1 1 1♦ „ sJ AIR TIGHT WEATHERIZATIONILC!} . JAMES E FORTIN-, p 50 RUNDLETT WAYS JAMES FORTIN y .L�,E-�, MIDDLETON MA;01 50 RUNDLETT WAY MIDDLETON,MA 01949 .F' Undersecretary (�•IZU CA— Expiration: Commissioner 1 010 312 0 1 7 t t t e ,