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7 BELLEVIEW AVE - BUILDING INSPECTION (3) � S The Commonwealth of Massachusetts Board ot'Building Regulations and Standards CITY ��� Massachusetts Stale Building Code, 780 C'MR, 7'edition OF SALEM Revr'sed Jurumry (p / Building Permit Application To Construct, Repair, Renovate Or Demolish a /. :141 One-or Two-Faindv Dwelling I� T1615ectionFor Official 'Onl 1 Building Permit Number: DaWCpplied: Signature: Building Commis onerl Inspeciti'Suildlings Date SkItTION 1:SITE INFORMATION 1.1 Propenr_ty Address: I 1.2 Assesson Map& Panel Numbers 1.L-a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use La Area(sq 11) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard rSignalu;�P� d Provided Required Provided Required Provided Supply:(M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if es❑ SECTION 2: PROPERTY OWNERSHIP' 'of Record: Address for Service: .�a.v�N_ .;.i+_aw.� 9 Telephone SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building 04 Owner-Occupied Erl Repairs(s) O 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Unit_ Other ❑ Specify: Brief Description of Proposed Work-: Ar 77 R-in I-' SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building S _ tf do I. Building Permit Fee:S Indicate how fee is determined: 1. Electrical S ❑Standard City/Town Application Fee ❑Total Project Cosl'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (IIVAQ S List: 5. Mechanical (Fire S Suppression) Total All Fees: S L� LJ Check No. Check Amount: Cash Amount: 6. Total Project Cost: S •(� 13Paid in Full 0 Outstanding Balance Due: � r SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) License Number Expiratiun Date Name of�C'SI List C'SL Type Isee below) /' f Description WJress - n (((JJ U I llnresiricttd(a to J5,000 Cu.Ft. R I Restricted Id2 Famil Dwellin Signatu .+ M Masonry Only � RC Residential Rocifing Covering fefephone WS Residential Window and Siding SF Residential Solid Fuel Bumin A IfarwC IrlYlalI:111U11 D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) 1'6�d Z .S W A.)Dd Registration Number I IIC Company Name or HIC Registrant Name b[ Q 5 cis A�,*E rz c r' R/.u/��ws-Actk d A �(— / - .Z o I nJJress i 2gG t Expiration Date Signature Tcleph-w SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.f 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 Issuanc •of the building permit. Signed Affidavit Atteched7 Yes .......... e No...........O SECTION 7n:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, V�l JL/ as Owner of the subject property hereby authorize rN to act on my behalf,in all matters relative to work authorized by this building permit application. 7— Sianature of Owner Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION I, r v �v dw /ram edL e't' z� <nz;Y ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the bat of my knowledge and behalf. fc?2ff-7k,9-Z—J Print Name Signor fOwner or Authorized Agent Date Si 'niter the paimand penalties of 'u NOTES: I. An Owner who obtains a building permit to Jo his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will_W have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 790 CMR Regulations I IO.R6 and I IO.RS,respectively. ? When substantial work is planned,provide the information below: Total floors 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 ). "Total Project Square Footage" may he substituted for"Total Project Cost" l: °`�� CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT :J\0::RLIt I'Uk11CUl.l. �Lvn'a 120 WAiHINGGION S MELT • SALh\4,M.vss.ua n:sr:I is01970 978.745-9595 • 1'Ax:978.740-9840 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A tnlicant Information Please Print Letibiv Namet13usiness/Organi7ation/indivittual): [t/7I1/ddJ-ij (4/1?L/4 Address: C6 5 HAvGlf' Sc �i- t�65, City/Stater%ip: Phone il: Are you an employer? Check the appropriate bo 'type of project(required): ' 4. am a gene 1 ral contractor and I I.❑ I ❑m a employer with 6. ❑ Ne construction en,ployces(full imWor part-time).` have hired the sub-contractors 7. Remodeling 2.❑ 1 ant a sole proprietor or partner- ,listed on the attached sheet. ship and nd have no employees - These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition No workers'cum insurance S. ❑ We are a corporation and its I P• 10.❑ Electrical repairs or additions required.) oRiecrs have exercised their right of exemption a MGL 1 I.❑ Plumbing repairs or additions 3.❑ I um n homeowner doing all work g P P' myself. LKo \v;orkers' comp. c. 152, j 1(4),and we have no 12.❑ Roof repairs insurance required.) r employees. [No workers' 13.0 Other 2 i , �� /� comp. insurance required] /yv -Any up plicant that checks box HI must also lilt out the xcliun 4-low showing lhcir w•orkcni compenvaion policy intint o ion. 'i iomeimnen whu subunit this affidavit indicating they are doing colt work and then his uutside contrneron must submit a new anutavil indicating such. �C,,nlmcto"Thal check this box must ailachod an additional sheet showing the name of tho sub�contraetors and their w'orkets'comp.policy infer matiun. l am an employer that is providing workers'compensation insurance fur cry employees. Below is the policy and job.site information. Insurance Company Naine: 4� e-f'2— 7!�ZGIl-t .t Policy 4 car Self-ins. Lie. #: Expiration Date: Job Site Address: '7�'�.L✓l�r-/ �r C;--�,4`Sr�` City'Statei'Lip: 5At.r ed, 1,14 eJ �77!f .kttach it copy of the workers'eumpensation policy declaration pale(showing the policy number and expiration date). Failure Lo secure coverage as required under Section 25A of`IGL c. 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or une-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. lie advised that a copy of this statement may be iorwarded to the 0111ce of In\'esligations ul the DIA for insurance coverage vcritication. 1 do hereby certify under theeppainnss and penalties of perjury that the htforrnution provided above is true and correct. Official use only. Do not unite in this area,to be completed by city or town official. City or Town: _. .. Permit/License d____--- —. ...__.____. . ._.... . _ . issuing.iLuthurily(circle one): 1. Iluard of Health 2. Building Department 3.Cilyffown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: _ -_--- Phone#: Information and Instructions x1assacitusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an emplgree is defined as"...every person in the service of another under.any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, 'vlGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s) name(s),address(es)and phone nunrber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial .Accidents for contirniation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. ['lease be sure to till in the pennitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple penniti icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write "all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. I he ottiec of Investigations would like to thank you in advance for your cooperation and should you have any questions, plcasc do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax #617-727-7749 Revised ;-2fi-Os www.mass.gov/dia CITY OF SALEM 'r r 1 ;; PUBLIC PROPRERTY DEPARTMENT •,I I'C %C'.\;n .v i��.:,� fir!<ur 4 SA rat, \L�,; Construction Debris Disposal Affidavit (retluired fior all demolition and renovation work) In accordance with lire sixth edition of[hc State Building Code, 780 Ch9R section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit z _ is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal lacility as defined by MGL c 111. S 150A. The debris will be transported by: l�/i yaiP✓ P%/elzl" OF 5 (name of hauler) 'I lie debris will be disposed of in - (uame ul'lacility) //nn� l (1 Ld rf2✓u i/294 /✓U ✓6®1p i / (ad(lress of tacilitV) signature or permit applicant date - ' dchini:da CERTIFICATE OF LIABILITY INSURANCE DAE(MMDD Y) OP IDKO WINDO- O-2 03/31/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Senn Dunn - GSO - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3625 N. Elm St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P O Box 9375 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greensboro NC 27429-0375 Phone: 336-272-7161 Fax:336-346-1397 INSURERS AFFORDING COVERAGE NAICN INSURED 114WRER A'. tlan.vac Aw.cic.. Insucam. C. 36064 INSURER e'. Window World of Boston, LLC INSURER 119 Shaver Street INSURER D: North Wilkesboro NC 28659 INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAv1E0 ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHI TAFDING ANY REQUIREMENT,TERM OR CONDITION OF PNl'CONTRACr OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFUIRDED B'I THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONNS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF N6URANCE POLICY NUMBER DATE t MMIDDTM"Y) DATE(MMIDDIYYVY)DDIYYVY) LIMITSGENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIALGENERALLIASILITY OZR7902527 04/01/10 04/01/11 PREMISE nnnn,erine 4300000 CLAIMS MADE X❑ OCCUR MED EXP(Any ale P.renn) 4 5000 PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GENL AGGREGATE LIMIT APPLIES PER: PROIXICTS-COMP/DP AGG 42000000 POLICY JJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 4 ANY AUTO IEa eccldaNl ALL OWNED AUTOS BODILY INJURY 4 (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY 4 (Per accideNl NOWOWNED AUTOS PROPERTY DAMAGE 4 (Per eccidenq , GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO tLIMITS ACC 4 GO 4 EXCESS I UMBRELLA LIABILITY 41000000 A X OCCUR ❑ CLAIMS MADE OZR7902527 04/01/10 04/01/11 $ 1000000 4 DEDUCTIBLE 5 RETENTION 4 4 O If R OMPE SA LION - ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECIRIVE ❑ E L.EACH ACCIDENT 4 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE 4 II yes,deecnibe Under E1.DISEASE-POLICY LIMIT 4 SPECIAL PROVISIONS below OTHER DESORIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS - Certificate holder is additional insured Policy is primary and non-contributory CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Cummings Properties, LLC REPRESENTATIVES. Attn: Robert Yacobian AUTHORIZED RESENTATNE 200 West Cummings Park oburn MA 01801-6396 ACORD 25(2DD9101( (P1988-2009 A601RD CORPORATION. All rights rese"ed- The ACORD name and logo ano reglslerod marks of ACORD •04/12/2010 13:24 15087529303 UNIVERSAL INS AGENCY PAGE 07i DATE IML//Dp/Y'YYY) AC Dom, CERTIFICATE OF LIABILITY INSURANCE 41U2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Universal Int.Agency Inc. HOLOERLY NTHIS CERTIFI NO CATERDOES NOT AMEND EXTEND OR IGHTS UPON THE CERTIFICATE 374 Belmont Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Route 9 Worcester, MA 01604 INSURERS AFFORDING COVERAGE NAIGN_ MapIO.Dream Home Irnprovementa,1no. w- uRERA. SENTINEL INSURANCE -Qj- P2WA 34 Crabtree Lane INSURDR B: H TFORD CASUALTY INS CO 2 24 Leominster,MA P1453 INSURER C; _ �— IN6URER 0: INSURER E: C RAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TVW 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I I WE TYPE OF II(I "NOR POLICY NUMHER LICY 1W A N � — ira A USNSRALGABILRY OBSBMFO3134 1,1?2102110 02/02111"-! 2ACHOc6URRENcu a 1,000.000-- COMMERCNLOENEflALLIMILnY IQFB_IEPDpcuVn„vl__ S 1, DGLAIMS MADE ®OCOIRt MED E%P N,ry on.PAIeAHI _ { '1 D, _ P R6ONAL A ADV INJURY S __1,1OR GENERALAGGREGAT6 S 2 QOQ.O GENL AGGREGATE LIMIT APPLIES PER: PRQDUCTS-COMPgP AEG ,(i(1O D0 IOLICV PRO LOC -- " AUTOMOBILE LIABILITY ANY AUTO COMBINED Ea Soda NJ SINGLE LIMIT { T_. ALL OWNED AUTOS . BODILY INJURY { ECHEOULGOAUTDS IPer PAm°Fl j WIRED AUTOS BODILY INJURY % NONOWNHD AUTOS (Per Ad"N PROPERTY DAMAGE E (PPl ASdDAN) GARAGE DAMLITT AUTO ONLY•EA ACC DENT { ANY AUTO OMEN TIN SA ACC S ' AUTO ONLY: APO S F%ClSSNMBRELIA LNBRITY EACH OCCURRENCG i Tj OCCUR ❑CLAIM6 MADE AGOREGATE E DEDUDTISLs g RETENTION { E B WORKERS COMPENSAVION AND 08 WEC LE3025 :03121110 03L21/1.1 !Tony nmrs_Ldsz EMPLOYERS'LU BILRY E.L.GAON ACCIDENT S !� ANYCERMEETORIPAAqq UDEDJ(EDURVE NO 10• 0 OfFICHRIMEMBHR E%OLUOBO] - ql.DISEASE-EA EMPLOYEE { 1,000,000 ARADIM Intl ! P IALPFtQVI01 8 Iw El.DISEASE-POLICY LIMIT { 1 Q OTHER DEBCRRTN)N OF OP6RATgNSf LOCAl10NS IVENICLEgI ECCW8IONS ADDED Bnl MlDOREGMENTISPECWL PROVIEIDN9 I CERTIFICATE OLDER CANCELLATION SHOULD ANY DI THIS ABMs DESGRIDED ROIICIES BE CANCELLED BEFORE THE E+RATION WINDOW WORLD OF BOSTON DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL_20 DAYS !/KITTEN 24 CUMMIN©S DARK STE 168 SOME To THE cERTIFICAn HOLDER NAMED W THE LEFT,BUT FAILURE TO OD®D g"ALL VVO8URN( MA 01601-2122 IMPOSE NO O IOATION DR LIAR V MHO UPON THE INSURER nS ASENTE OR RCM1G9iNTA GD. AUTHORE'EDRE NTATWE FAX: 888-7224962 ACORD 25(2001/08) ®ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual): (i✓�'�'•'�0/+�-� '�'�� G - S Address /S i'f [JA4 A, rti� City/State/Zip: Phone Are you an employer? Check the appropriate box: Type of project(required): t 4. ®.I am a general contractor and I 1.❑ I am a employer with 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workers'h employees and working for me in any capacity. 9. ❑ Building addition [No workers' comp. insurance comp.insurance.[ � �required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑ Other 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. [Contractors 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �7 't7U1 t^ ASU�2 '(% Policy#or Self-ins. Lic.#:Q 6,9 1,1 C- 1-6 3o)-S Expiration Date:_ 3( a ( t t Jam] 1/e3' i/�• sf �✓ CiTy/State/Zi Zlf/'.--4 6/ .l4 6l w� Job Site Address: p Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cceer�fr` der thepio and allies ofperjury that the information provided above is true and correct SiRnaau�Y; lam!r Date: J/ice/U Phone#: —7 9 Official use only. Do not write in this area, [i a 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#: Office of Consumer Affairs and gusiness Regulation ,� 10 Park Plaza - Suite 5170 . W, Boston,Massachusetts 02116 Home Improvement Contractor Registration Regiatratlon: 168025 Type: LLC Expiration. 402/2012 Trq 295878 WINDOW WORLD OF BOSTON, LLC. HOWARD INGLE 118 SHAVER ST N. WILKESBORO, NC 28659 Update Address and return card.Mark reason for change. Address Renewal --? Employment j".-1 Lost Card ooscA, 0 50ya-W04.G10121e __._. Massachusetts- Department of Public Safcth Board of Building Regulations am1 Standards Construction Supervisor License License CS 103478 Rettricted to, t r v v HUGH MX6 b'ON�LT�' A FALES PLACE :FQXBORObbFt, MA'02035 ,•_ 1 ' Expiration: 2/1 51201 3 (-rr...... inner Trg: 103478