7 SHORE AVE - BUILDING INSPECTION The Commonwealth of Massachusetts R�CE11 Stt ;11C'ITYOF
O Board of Building Regulations and Standgq p-LCTIG'�a- SAL O
Massachusetts State Building Code, 780 CMR A vf�O N.hir 2011
Q Building Permit Application To Construct, Repair, RenovatjTh 1��tDrto A
One-or Tivo-Family Divelling
f This Section For Official Use Only
N Building Permit Number: Date pplied:
fl Building OlTicial(Print N.vne). _ Signature . . - Date
SECTION I:SITE INFORMATION
L 1.1 Pro erty Address: �e� 1.2 Assessors Map&Parcel Numbers
Mrp-
I.la 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(sy R) Frontage(It)
1.5 BuildingSetbacks(R)
qFrontYard Side Yards Rear Yuni
RequireProvided 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? Municipal❑ On site disposal system ❑
Public❑ Private❑ Check if es❑
SECTION2: PROPERTY OWNERSHIP)`
2.l Ownert o,l car
0 A ccr�
4me(Print) }} City,,State,ZIP
:-7 Sl bre 97�
No. mid Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ L Existing Building Owner-Occupied 61 Repairs(s) Altemtion(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work': C�
6 >
SECTION a: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials)
I. Building $ 1. Building Permit Fee:$ Indicate how fee is determined.
❑Standard City/Town Application Fee
2. Electrical S ❑Total Project Cost'(Item 6)x multiplier s
3. Plumbing $ 2`� Qther Fees: S
y. `Icch;mical (I-IVAC) $ List:
5. Mcchan 1 (Fire $ Total All Fees:$
StippressioN
Check No._Check Amount: Cash Amount:
6. Total Project Cast: $ � 0 Paid in Full 0 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 Coon/structfnn Supervisor License(CSL) ut,C.�� -7 - 1 -
/ License Number Expiration Date
Name ooLf CSL Holder List CSL Type(see below)
ate- 1/e2No `v s7-
�Type' . . - Description
No.and Sued .
R Restricted I&2 Family Dwelling
Cityfrown,Stale,ZIP M Masomy
RC Rooting Covering
WS WindowandSidin
/� 1ps� SF Solid Fuel Burning Appliances
A/� 1 I Insulation
Telephone Email address D I Demolition
5.2 It istegreed Home Improvemen Co tractor(HIC) 7�?�'?f S 2t /6
pelf /�y/aN �fI �°"7-1 t HIC Registration Number Eipiratidn Date
f IIC Company ame or H C Registrant Name
s�� Lr,well J,-
No. mid Street Email address
City/Town, State ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L:c.15L$ 2$C(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 Isivance 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'
[,as Owner of the subject property,hereby authorize C1in1 t,("`/f w tee`-` / ' IrV
t9 act on my behalf,in all matters relative to work, t orized by this building ofermit application.
-Ti, F oyv0"9v� G'r^'y Z2 /S
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW ORAUTHORIZED AGENT DECLARATION
By entering my name below, i hereby attest under the pains and penalties of perjury that all of the information
n
lic igntr a and ac�atgo the best doff m knowledge and understanding.
Jvev CIT t I/ v
rat Owner's or Authorized Agent's Name(Electronic Signature) cite
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 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 mats,cov'oca Information on the Construction Supervisor License can be found at waw.mass.��ov:'dns .
2. When substantial work is planned,provide the information below:
Total floor area(sq. R.) .(including garage, finished basement/attics,decks or porch)
Gross living area(sq. 11.) - Habitable room coma
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of coolingsystent Enclosed Open
3. `Total Project Square Footage'may be substituted for"rota) Project Cost"
377 Lowell Street,Wakefield,MA 01880
Tel: 781-245-4900 I
t Ry Fax: RUdSoolOOf
nd www.PeterilvanandSonRoo9og.eom
ROOFING, mc.
8ubmltted io: lob location:
Tom Flanagan
7 Share Avenue 1 Shore Avenue
Salem, MA 01970 Salem,MA 01970
Phon8A 978-836-9385
Emell: Unknown
Proposal date: September 14,2015
We are pleased to hereby SphmhthIS gf@PGUI to h1mlSh materials and labor,eompletelll to aeeordance with We below specillcadoos:
(Additional charges may apply for any change's not included below in proposal either by request of owner,or if Peter Ryan and Son Roofing finds
unforeseen circumstances that will affect the performance,quality or integrity of this job).In the event legal action is taken to enforce any provision of
this agreement, the prevailingparty shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney's fees. Not responsible
for debris in attic.
!:
Ship entire roof to bare wood and re-shingle: $W0.00
• Strip existing shingles down to bare wood
• Check for rotted wood and replace(at time&material)
• Nail down any loose wood
• Install ice&water shield to first 6-feet,and in all valleys and around any protrusions
• Install premium synthetic underlayment(in place ofstandcmd 301b.felt paper)
BBB► • Install all new 8"white drip edge on perimeter and step flashing,where needed
• Install manufacturer suggested starter course of shingles -
• Install IKO or GAF Lifetime/architectural shingles in color of your choice
• Install ridge vent
• Cap ridge vent properly with manufacturers suggested cap(GAF Timbertex(&or IKO Hip&Ridge 12)
• Properly flash any protrusions and all new pipe flanges,if arty on roof
Clean Up:
• Cover area with tarps to minimize debris and remove debris related to work
• NOTE: Please cover any belongings in the attic,as they will get dusty,if applicable
lst payment due upon signing: $ 950.00
Total COSC O,QQ Total balance due upon completion: $3,500.00
� Kilidly rernit payment to "Peter Ryan". I
Respeeffullw Submmed bv: � — accepted BY: .q
_Our craftsmanship is 100%guaranteed a.10-years. A warrantees are through the manufacturer.All warranibes will b null&voM ifjob is not paid in full.
Peter Ryan an oofing,Inc.License 0 178871 1 Thank you for letting us serve you!!!
/ cc: Peter
,. � )' y.
CITY OF SALSA MASSACHUSEM
BLnDING DEFAR7MENr
120 WAgmgGTONS7REET,38DFLOOR
7kL(978)745-9595.
KIIvIBERLEYDRISODLL PAX(978)740.9846
MAYOR THMAS STMERRE
DnwcroR of ruBLlcmorER7Y/BUIIDm axwss7oNER
Construction Debris Disposa/Affiidavit
(required for all demolition and,renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris,
and the provisions of MGL 00, S 54; Building Permit 4 q is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111, S 150A.
The
/debris will be transported by:
(name of hauler)
The debris will be disposed of in:
(name of facility)
(address of facility)
Signature of applicant
Date
: -€ - - .�'Zu.e C'o�1r.�zrdrara�etrdfJt o��Vl�Essrrllt s€>�s
_ _ _ �3�Ircrrin�a€turf o f'Irrrl�rs#rlral.�: cltl a�r�s
UfJ%c e �f Irl:ves Ugatio s
I ctrergres's 5frcyr. ,S'lla'te 10%0
7 Boston 314 02114-20 7
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Worker's, Cal pexisaflou Insatirauce Afficlal tt: 51l11del:':s C0.1 tl :ct11 s/Elects leiatls/PIc1lnbel's
.A:Jjllc&T1tTIf6.1'ITantictbi .Pik?tiS@ e. il:rt '
lNli llle Peter Ryan and Spn Ro fin , Inc. Cb
�lEl,•e ; 383 [rear] Lowell Street,Suite 213
city/state/zits; Wakefleld,MA 61680 ph" re #, 61 -5 -9056
Aire yeti an e-txtlaloyei,? Cliec'k.njel €vpp.xeprbVte boa: Ty1s of pivoJeet (vegWred):
d, � I,titti a -ealea of corlti,10 r aact I.
l..❑ I ilia n etuploync s1 rth 6, ❑ News+ Coils ti.tletl Lill
eubployees (Rlltl alnllar part.thile).'!' lrive lurech dw Alb-contactor
listed aritlte atrr cheer sl eel., 7, ❑ Reilladeluig
y.❑ D n!n a suJe prolorletol car 1aarRuea• These stala-e,outli .eturs l a e
Spilt a'r1cY have no eniployces �, ❑ Dt.txlGlxtlo:!
tisnrkixtg for lilt in ally cap"wity. eurlrloyees null have veil+c rl:ers c� ❑ Buildutr: fidditioll
NOIA(1:1Serfi' CG911J ll1.91W'ri114C Cti+till 1lislr6Ar1C •1
( l 5, We are n eoq)orn iorl mid
ifs l0.❑ EJrcrrical tclmi.cs of ndchtiom
aryairecl )
3 ❑ I and a louse Ramer chcitn all seo9ic o.£ticcl, }taste arcls.eal their' I1.7 Plnrrlbiltr 1eplirs or odctitiotls
mp.se:Jf, [Nowovktry' wtilp. right ot'txeny,tionper. ie i2.❑.Roofreloairs
illsearalrce lequivCd'] r el 1 p oy ycs, [ aria of h ve t8
e!!alaloyzes• [Nod ssot:lcets• 13,❑ Qtlter
c:Gnap..rstn'ancg requrr cl ]
"Pony applicnnl thetcllecks box iyl trill-St also till out the section below Showing thea�workers' »jpejlSjftn 1>oAcy ira:Carnation..
t Honteasviiers waho subnuh this affidrtuit indicating Me),nredti ail viol arrd then bile outsi e cenit act rs must sub:trit o nest affidavit indicating Such.
ICbntrnclars that cheek thisbox must attached amadditional sheet shouving Ihelianie of the etr -contr,etor i and state:wbether or notilrore elxt:hies have,
employees. If the corrtracmrshnveetnplryees.they ort"t Provide then tsorkals conyp.Ix hcy fit❑tbe ..
Inver en errrpigrer drar Is proi+NdifIg rumrfra»'�s'rorra.Iarrrrsrrl�ora hlasrtra foe• 1, 1.1y erilp yves:. Below f's the poticp arid,/oh sire
lilTnriairrrlo r,
Inswalace Golrlpaatly h`c ue; NSA (I am not required to carry WC,C,as I have nil emPloye s) Please see the Sub-Contractor's W,C..affldavlt attar''
I
Policy#ar Self=ins :L;Q. #; 1+/A NI'ita:tiiiii Date,
JGU pile:Ailclless:
Attnth rt cop
y of the eollipeustrtaon Policy t7,eelnl at:iou js.tge (:s twit g t'ie polls tltrin'loer and e isir ntron clnfio).
Faillive to sewvee aoverige as 1er'jturecl tuide.9 Seetiolt 25 a of VIGL Q. 152 a n lea t tc the uul,*srtion of crirnliunt treualtrGs of a
fiva tip to 1.500.00 ALL&or orlr=year 1nr13risotuuettl iw5 well o's Clive it ptilinitics in t it Joilla of a STOP WORti ORDER awl a fitnc
Of Ill) to $250.00 a.flay nglutst the s lolotor. Be a&-i9ccl thit.n dopy�of this .tatcn lit clay be.. follvai rleel to the ORiot of
Invest:gatinne of the DI.A kw insNiraraut covelaa-e vttiticaua 1.
I tI wix.ler me a tt.f1xremaltiv-5 ofpeffuq ilf,(jr the hi ae iratlavt p. vi,Mcd rrbor'e is fxu�e alid opp-€0,
ills, . _.
'i 617-571-9056
Plloue _. ... . _. _ . . ..... . ... . .... .... ...... _.
0/f7 trrl rrsv ortlq'r. .Do rtz t 9nfltw I'll, hill rar�etr,�e 'r'. rclltph+irit Jill i*lip rsr tr'+rrt ., .tzrh..
City ov Tow.-tillPer�ilitlL•ic Ilse
Issllilag Alrthar'Ity(civcle one)
1 Bowl¢•al of HeiiMil 2, B•txfl.r hi,,g Depaxt merit 3, city/Town GVeclx 4. Elea vfc l Iusllrca Vt
ox• ,4,. Pkrnx9Utug juspector
6,'Nke v
colrknctPerson; P o.rr.e
The Cbararrabrr vea.t/h of Vial, ICht:s.e: IS
ITepertment gfIrt kflnlAccfd.err/
1 QTI e affratiestlgrtrlo is
s 1 Carr Tess 5'Ire� „Sfrld< 1O0
Bostort, MA02114-2 17
� 0 llftvry rrtrlsr,gov/tfidrr.
Mtoi,kers' Compellstltlon I.T S"I !"Ice. Affi.dmvit; Bllilclea•./Col tC ctot•s/Electi'tc m slPhimbeI's
A licxuh.I11foain•atioil. Pleiise Pipit Le. bl
77
Leme Consfi ol:ian, in .
1\T11Tle {Husuress/OrgnrlizatioadIndi.vdatal):. �
Add1'e,m 7'1 Pro.:pect Street
City/titala/Zip;
Brockton, MA 02301 Plhorle ',l: 00 -232-1104
Ave you rill employer? Clieck the npproPrlate.box: FE
t (t edarived):
'10 4. I aln a general (contract v silt I
1. 1 I'll
a arnployer 4vtt11 New nvtnrcton
employees(hilt nad/ox pm't-time;}.n' !nave lured flue Istllt-corn ract.o s
listed on the attached gleet. :l1 am a.sole prope:ietor or Iyal'tner- These sltQ1-couUaotors rave ion
worknxg for me in ally ollaacity. ttnployees awcl la tv sssrl<er. ' g addition
comp• imnyonoe.•
[Nu workers' camp• ulsnrrl ice c ale a cor7lorntroal<nd its 10.0 Electrical lepairs or additions
reyaired.]
3, [� �V
3.❑ 1,nail a hontecwmer doing.all Work officers have e'ercisz' their 1 I.❑.Plunrbvrg repairs or additions
myself• No workers' cowl!), right of exe11 tio11 pei NICH 121❑ Rod repairs
insurance reilniced.x t c. 152, §1(4), and usre.I ilive I
eniploye:es• (Vowork vs, l3•❑ Gillen
co 111), isms e requi-ed;]
`,4ny applicant thatchecks box fit roust also rill Qul the section below+allowing Their workers coulp nsat on policy iufornlotion.
t Hoaleomiers Who submit this atF¢dav[t indicating they_,ire doing all tvoal;,aid then hire runs de con rnci rs must stabmit a:neu'affid1Vlt IU({iCatin�AflCli.
tCoruractorslhatchecklhis box unestrrtachedmadditiolletsheo..shovAugiherrinleoNhesib-couiaoto IndsLate.whetheror"Or thoseWitte shave
employees. if thesubcontrndors have.em�ployees, they uaustprovide their worker`comp. oricV a ruib r,
I vru nrr cal/rdvyer tiant frhrvnfrltn:g ri ardiRr.r' cvnpemrua loin.iwaram•�ra•ree fw mi,p e anpf. ,yMe•s, Re(on' f:s the pollo,P mnd fob site
htforna.nriorr.
Insurer A: Northland Insurance, Insurer B: Arbell Protection, Insurer C: Travelers A/R
Insurance t:onipanyNetiste.
Policy 9or5eif-ins• Lic, 4t 656OUB-BB86069.2.15 Ex)irafianDate: 03-01-2016
Job Site Address: :i tytate+Zip:
Attach a copy of tl'ie workers' compensation pol-1011 dechll•atlQu, page( 11owi g. Ile policy number mid expfratlom date).
Faihireln seeclre coverage as retttltred cinder 4ectioli 25.A of MCiL Q. 15:2: an It ICl t tile imposition of VI'llllitlal pena.lt.ie's of a
tine up to$1.500.00 an.cVor one-year iniprisolullellt, m well m c,rvll pensrlf es in the onll of a.STOP s,V()RK ORDER 1 id a fine
of up to $250,00 a day agahrst the vio.6artot Be advised than:a cop! of this stater len may Lie :folrvvarded to the Office of
im'estigatious of the DIA for ilisuvance coverage yerificatiou.
L/v ltrrreby cerllf,T' rrnrler dlaha frnarns rrry ++ .n f rrrr/ar.rn'a''/liar(tine Info w.tatt n I t•ordeled above is tt eta' and
Sig✓y�t.�e;----._...._•----- .._. .. _... ---
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Ejt,y(�r only, Inv nor awrr're Ir 1Vnfs nigh, to be vompleaerl b�y erfl' ronvrr vfjctnl.
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i
DATE tMMIDO/YYYY)
CERTIFICATE OF LIA_BII-ITY INNSURANCE 04/0912Q15
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 0 RIGHTS UPON'THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENQ, EXTEND O ALTER HE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE � CONTRACT ET EEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE ORPRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If thG carllflcato.holdor Is an ADDITIONAL INSURED, the pollcy(los) ust b on orsed, If BUBRtl0ATI0N IS WAIVED, sub)act to
the terms and conditions of the policy, certain pollclos may require an ondprsemen , A at temant on this cortlflcato does net confer rlghta to the
certlltcate holder In lieu of such endoraemont e ,
PRODUCER CO AC
MossPaylnsurenoe Services,LLCE�BL "- '- - -•�•r FAX —
P, ONE (97B) 7A•41 38 X115 1 lac,No);(878) 77A-1318
27 Garden Street.Unit 10 MWI. nsurencecom
Denwr5,MA01923 ApORE,,: Ioe @mss P N -
_ IN SURE Rq AP POROINO COVERAGE NNC p
orihla d In uranco NOR
INSURER A: -_--_.—•.-- 41360
INSURED Lei ConsUucllon,)nC - IN9VRERB; rbella rot cllcn __ _ ___
Jesus Lema IN6VRHR c: ' RAVE ER 3 AIR TRC_
71 Prospect Slreel INVRER 0_ _.._.._.. .. ...........__.
Broobon,MA 02301 S ... ..
INSURER e:
' INISVRER P
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIIE$ OF INSURANCE LISTED BELOW INAVE BEE ISSUED O THE INSURED NAMED ABOVE FOR THE POLICY PERI00
INDICATED. NOTWITHSTANDING ANY REOUIREMENF, TERM OR CONDITION OF ANY CONTRAC' OR 0 E DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY ME POLICIES DE SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCCUSIONS AND CONDITIONS OF SUCH POLICIFS. LIMITS_SHOWN MAY HAVE BEEN REDUCED 11 Y PAIC CLA IMS. _
e Pm CY EFF -POLICY EX P LIMITS
MPOL - - -
oP"IN5VRANCa —_ POLICY NUMBER 111 DIY YY M IDD/Y YY _
Y —•W52361 Bi 01/ 1I2015 0 /31/2016 EACHOCCURRENCE __ 5 _ 2.000,00(
G E 100,00(
GENERAL LIABILITY SES Ee occurrent _MEO EXP An one Person) 5'OD(
-WOE F7 OCCUR 2000,00,
PERSONAL 8 AOV IWUPY S GENERAL AGGREGA3,000,001
E UMITAPPLIEb PER: 3,000,00(
PROLOC Go SIN 051 GLELMIT 1,000,OOI
0 AviomoalLE LIABILITY102000927A I I 61201 ' 1 /2812015 a at Id."
BODILY INJURY(Per pe(Son) S
ANY ALTO
ALL OWNEO ✓ SCHEOULED SODILY INIURV(Par eccldan) 5
AUTOS AUTOS FRO _ ....5..... . ........._.....
FERTY OFMAGE
J HIREDAUTOS AH�03WNE0 Per accbenll
, S _
VMBRELL N LIAR RE
. OCCUR EACH OCCURNOE _ S
EXCESS LIAR CLAIMS•MAOE AGGREGATE S
OEO RETENTION ISWGY I OTH
D WORKERS COMPENSATION 6560UB•5866069.2.15 OAS 01/201 I 3/01/2016 TORY I M11
Me EMPLOYeAVLIABILITY YIN 500 CC
ANY PROPRIETOMPARTNEWEXEOUTIVP O E.L.EACH ACCIOEM __ $ J_
OFFICEPIMEMBERErCWDED7 NIA • 500,0alwylni
E.L.DISEASE•EA EMPLOYEE $
(IK dow1b,NH
l 5000C
II VVea,deacdba Under E.L.DISEASE•POLICY LIMIT 5
DESCRIPTION OF OPERATIONS below —
DESCRIPTION OF OPERATIONS I LOCATIONS I VE HICLES (NTech ACORD 101.AddIlltnal Romerke Sa'a dVIe.If m ro a Pcc tar qulre d) `--
Proof of Insurance
CERTIFICATE HOLDER CANCEL ATIO
•I
"I'LL ANY C TH ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ESulte
d son Roofing,lno THE E PIRATI N AT
THEREOF, NOTICE WILL. BE DELIVERED IN
ACCORDANCE TH THE POLICY PROVISIONS,
well Street
AUTHORIZE REPRe ENT rIVEnA01880 a
19 5.2010 ACORD CORPORATION. All rights reservec
ACORD 26 (2810105) Thu ACORD name end logo ar regleta od marks f ACORD
LICENSURE
Pe er Ryan and Son Roofing, Inc.
HI!C#p . xF8,'7/T Pester Ryan
•_• r"){i Pit r ...........!{/,{ •/{ir ! i^!{r 11Ecnsum rol,liu nllon snlli fm lnd I�InI ian unh
04'W"
an bN lIvIkouvlih lnIIt n, If fuOMEIMPROVEMENT CONTRAOTOR om"nl'Cuu�nmsr A(L'nlr IIIW llm tress kPoVletmllon: 1'f8e71 Typo; 1(I t'nrklkvrl Suite M711
piration: 6/A020AE; Iluxmn.a9l114PE.7E RYAN 8 BON ROOFING,ING.
In Mill RYAN :f
101(RF:AR)LOWSLI.BT.CUI'rr2 •.v.y, .<,lr...— tyni vnlhUeRIV Lsignnw'c. '�I.
74ANEFIRLD,IAA otetU 4ndenevroinO•
S L4,eeti9s, #k';. CS>1(I
Maesachusotts •Oepertment of PUNIic Safety
eonrd of 0uilding Regulations and S'londnrdo
Construction Supurrisur
License. C3.10gt�86 Imo;
CLINTON A GAIy '"" 't; '.
229 vornun Streo ?.
Wakolield MA 08'50 -t ,
4.W+
xm"s Ezptratlon
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