49 BRITTANIA CIR - BUILDING INSPECTION (3) The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
4h6YL�lll +), ; Massachusetts State Building Code, 7S0 CMR S,�LL�I
L Hr rr.,rJ.1/ur_'ill l
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Trtw-Fuutih Dn e/Inrnr
This Section For Official Use only
Building Permit Number: _ Date Applie )
Build
ing Otlicial(Print Name) Signature Date
SECTION 1: SITE INFORMATION
I.I Property A n 1.2 Assessors Slap 8t P rc ben
y4 'Z ddress: Alter
1.1 a Is this an accepted street?yes no Map Number Parcel Numtnr
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District I'roposcJ lJse Lot Area(sq 11) 14onungc Ill)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.t.c.40, §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Munici al ❑ On site disposal sstcm ❑Check ifcs0 P P )
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owpe of Record:
L7 Q y 4 Lo rv. 1 `r�t�
A
Name(Pant) City.Slate,ZIP
El ci i3at „ A , 9a 21,-1(750
No. and Street Telephone Fnnail Address
SECTION J: DESCRIPTION OF PROPOSED WORK(check all that apply)
New Construction ❑ Existing Buildin Owner-Occupied Repairsls�{ Alteration(s) ❑ Addition O
Demolition ❑ I Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work-: L LaJwo
T'n ,^'laTc.Gr
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and ..\laterials) Official Use Only
I. Building $ 3 ' '1 S I. Building Permit Fee: S Indicate how fee is determined:
2. Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier
?. Plumbing S I. Other Fees: S /y9,
4. \Icch;mical tll\'A('l S List:.—_-
Mechanical iFire
So,nession) S Tor:t All Fees: S
('heck No. _ _ eck amount: _ _ ash :\mount:
o. Total Project Cult: S ('h C 3 �S ❑ Paid in Full ❑Outstanding Balance Due: . . -
n
SECI'ION5: CONSTRUCr10NSFRVICF.S
5.1 Construction Supervisor License(CSL)
License Number F,piralion Dale
Name of C'SI. I odder
c List(-'.St.1)Pr'(scc heluwl —
_1-sr���-s2C �!0.--_------- 'F)PC Description
No. :md Street
11 (Inmstriaed I11uiIJings up to t$,UIN nr. It.l
�R ►j __i�_ N--C3—o0 It Itc,tricted I l .2 Family D"cllin
Citvi foeo,State,LIP NI Masmiry
RC Rooting Covering
--- W'S Window and Siding
SF Solid Fuel Burning Appliances
Insulation
fele hone Email addre,s D Demolition
5,277 Registered Home lmprovement Contractor(HIC) 9 �j�
t�.2.✓ n b..01--� C��.''t— I II/C Registration NumM:r spirntiun Umc
III 'C'om an N;une or I IIC' Itcgisirant Nano
wl . �Y-
N�wd,Strcet Email address -
{tee g L�oY MA o 9 6c7
City/Town. State, ZIP 'rele hone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Owner's Nurne(Electronic Signature) Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below. I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my_knowledge and understanding.
lZ-tB- ► z
Print Owner's or AuthorizedAgmt . Name(Flectrunic 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
(nut registered in the Hume Improvement Contractor(HIC) Program).will LLid have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be round at
%0%1% m.n. 1;0% ,"J Information on the Construction Supervisor License can be found at om,< „O% .lp.
2. \When substantial work is planned, provide the infonnatiun below: -
Total fluor area(sy. tt.) _ (including garage, finished basementattics, decks or porch I
Gross living area(sy. Q. Habitable room count
\umber of fireplaces._._. Number of bedrooms
Numberofbathroonis N'umberofhalfballu
I)pe of heating s)item -- _ . Number of decks, porches ,
I)lie afCooling ,Y,tent ... _ - Enclosed _ - --Open . . _
t "fatal Project Square Footage"m;q he>uh,titulcd Inr-total Project Cost" '
Y ,.:� dT�'i a '.ri a vi>lKljt�� J�, � °:>•u
' 4 15rY {+r I + i
, •�r T k � "y PaFx : MI�,�?•,t�ir '1'i�f�V'`hr! ;•i
Marane� Villag �( one Qmana rnl `T uSt
V' "
Ii
t ' c%�Crownins� e(d�l�fanagement Corp rn " ,
I8 CSowninshietd Street �2d �'
Peabody,+MA OI960
.17Zf)532-4800
it Jtl �I x F i r
December 12, 2012
Mr. & Mrs. Richard Bergstrom
49 Brittania Circle
Salem, MA 019701M.
S 4 ! + 1 f
RE Replacgment Windows Mati ,Village Condomimwn's' '
,+2���hn '1 P }o Pa r• o f h i'� i r r l'
,
N' il>i'
Dear Mr. & Mrs" Bergstrom `' � l " ly`i rqu b u{ CIF tir7i��� Y i `
r ra
�'
':' � a }Ci x''i, ✓nil 1 { , 4�� ��� �',� 'i,FrJ u�i��"7� 1 al
1 .hf 1 .7 •y hril 1 die ,Mt N, P �u i} i �a� ( u r
Thank you for your in ur re ardor t�oW replace ents at your,umt Please be
advised thAt the'Bo rd of TrU'�ees�for �'a` ""
e• r 7 vg9r 1 w :� t r,{�'I,nvlll� e 0 1(OTnl llu �4 �Oes not object to
the replacement:of hthese windows pro, iding�l}at theya net h uiap'`p arance no crank.
outs, etc.) from the-existing;they musf:fI m the`existin'g opening;molding size must
remain the same and they will not allow
I
We also require the permits be pulled m advance, and that a copy of the final approved
permit once completed is also submitted to our office kale require that you hire only a
licensed contractor, with adequate insutanee ' :I
- o j ar t� a s ��w`, 4'dr51 t }t'fn ;�1 7
'iarl v.- �' d�'z~Y Ptnlla u r' p%hit.it 1.,rl4:24ii7II
.4
You will most likely need to'show a�ctopy'of tlus,}letter to the Building Department in
S�I
order to obtain your permit tie
1 1x N t v ✓,. T{ VI,
i^•+„� nl�^i'd`' ", , { 1r 1d11tilule5 R T �NX— ]r
Should you have any questionsior require d itional rmid re ease feel free to call
-me directly'at (978)532 4800`ezt# 3 ;� u ,lt
Y
Sincerely,
, 1
ma. f{,fi. ;Jii2 Y
egional Property.Manager,
Crowmnshield Management Corp "r.„
" dr�wnGrrl'�7rp t �k
Managing Agent for;Manner Village Condominiums { gg �
n , w�ryir�Ir79 { 4{ r 1 '��t iih 77 uC Iid rYd. p . .
cc: File
p ,W}�r,'HC6C�,
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organintlot✓Individuap: Len Gibely Contracting Company
Address: 23R Winter Street
City/State/Zip:
Peabody, MA 01960 Phone #: 978 531 -8234
Are you an employer? Check the appropriate box:
Type of project(required):
L® I am a employer with 12 4. ❑ I am a general contractor and I
employees(full and/or part-time).
have hued the sub-contractors 6. ❑ New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.. 7. ❑ Remodeling
slip and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.t 9. ❑ Building addition
- required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
9 ]
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. No workers' com right of exemption per MGL
Y [ P� 12.❑ Roofrepaus
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.0 Other
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 then hire outside contractors must submit anew affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the subcontractors 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: A. I .M. Mutual Insurance Company
Policy#or Self-ins, Lic. #:- /6010979012012+ Expiration Date: 08/03/2013
Job Site Address:__4. 021 t 1 may--lA.c+1 -4 1. t /L City/State/Zip: S A La -&-c ! -r�,�
A
Attach a copy of tine 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Sienature � Date:
Phone#:
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
JON-24-2012 14:35 Sennott Insurance 978 88'7 2404
f .-...... .i. — .�. _ .- - -
--• -----. _ .. -— — - -- -• - — — 1 of/za/zolz
PRODUCER 9 J5.887,4900 FAX 978,887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Edward F. Sennott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
16 South Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 457
Topsfield, MA 01983 _ INSURERS AFFORDING COVERAGE NAIC q
INSURED Len Gibely Contracting Co. , Inc. INSUAERA Catlin Specialty Insurance Co__ � _
Z3R winter street INsuq$Re. T �19038
_..
Peabody, MA 01960 NSURERD
INSURER to
.,_..
USURER E,-
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVVI'HS'rANOING
ANY REOWREMENT,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.
W9R DD' - P ICY EFFECTIV POLICY EXPIRATION ---
LTR N$A TYPE OF INSURANCE POUCYNUMBER D TE MMIODI'/YYY DATE MM1VIWYYY LIMITS
GENERAL LABILITY 170030101E 01/29/2012 01/29/2013 EACH OCCURRENCE L 11000,00
X COMMERCIA GENERA LA&LRV MOD
PREMI ES Ea e S .100r 000
CLAIMS MADE F—X1 OCCUR MEO EXP IAAY aw PPISw1) S 51000
A PERSONAL S AOV INJURY I s 1,000,00
GENERAL AGGREGATE S 2,000.000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCT$•COAVrpP AGC S 2i000 00
POLICY PROT LOC - -
ec
AUTOMOBILE UABIUT COMBINED_
ANY AUTO Ed eUMw 91NG1E LIMIT
1 Y
• ALL OWNED AUTOS
BOOZY INJURY
B X SCHEOULEDAUTOS (Pw pal eanl S
X HIRED ALTOS r60DILY INJURY S
X NON-OWNED AUTO$ (Per aoddW)
....... PROPERTY DAMAGE J
(Px u6d.ny
' OARAUE LIABJUT AUTO ONLY EAACCIOENT
ANY AUTO
--- I OTHER THAN EA ACC f
AUTO ONLY: AGO S
FXCFSS I UMBRELLA UARWT CACH OCCURRENCE a
OCCUR CWM9 MADE AGGREGATE S
DEDUCTIBLE --- S .__....__..... ..
COMPENSATIO
AND EMPLOYERS'LIABILITY
r/N rORY LMLj CI -
—_— f--
ANYPROPRIETORIVARTNEWEXECUTIVE-�� I E.L.EACH ACCIDENT S
MEM E
C OFFICER BER EXCLUDED? J
IM.datey In NH) E.L DISEASE-EA EMPLOYEE J P,{
Una,dPazdW under — __-
6 Una,
EL.OISEASE•POLCYUMIT S
OTHER —'
i
DESCRIPTRJN OF OPERATIDNB/WCATONS I VEHICLES/EXCLUSIONS ADDED HT ENDORSEMENT/SPECIAL PROVISIONS
VIDENCE OF 2012 RENEWAL COVERAGES.
I
CERTIFICATE HOLDER CANCELLATION J
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI uT;ON
DATE THEREOF,rHE*SUIN0 INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRIT-I EN
NOTICE TO THE CERTIFICATE HOWER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INOURETL ITS AOEN tB OR
REPRESENTATIVES.
AUTNOHUW REPRESENTATIVE
Sennott Ins. Agency
ACORD 25(2009101) 01988.2009 ACORD CORPORATION. All tights muurvvd.
The ACORD name and logo are registamd marks of ACORD
JUL-24-2012 10:42 Sennott Insurance 978 887 2404 P.01/01
r
CERTIFICATE OF LIABILITY INSURANCE °"'�`7t24/2012
o7narzotz
THxa C Tlr¢CATE IS IBa0S0 M A MR71FON Of D O IfOW .TION AND ONLY CONf[KS NO SLIGHTS UPON THE C9PTI't(lUZ NOLDIR, THIS CEAT%n hw
DO¢O NOT "VIANSTIVELT OR XI"TIVELT AEiRD, MC73 i0 OB ALTER TN[ COVERAGE MTORD[D BY TNN fM,ICIL6 BUM. TXIN CEATITIi=z Or
r+19GBANC¢ DOIa NOT CONSTITUTE A CONTRAIL BETMETLE THE X9EUT G IlEaURKA(a), AVEH06ISED PEPR[[[EITL'Tr/E OA PRODVC[R, ANO LX¢
CVBTzrYCAI[ NOIDTR.
xumaTmv IE On. CesliEieete Milder I. en ADDITIOl" MOVILEn, tlT Pe11OY(See) wet be endorh0. EE SUBROGATION IG NAIVND, .uDleet
to t➢e to. OT+d eondltloCA OE the POLICY, axtein V01141e9 s,, requise an eader.eaent. A .tatement On 'hi. oettlEle.t. doe. not
..Mer s.g➢ts to the Oe[t&SLe to IIOI et In ILOD of .nah endOLeaent(s)
.ur. wo
Edward S Sennett Insurance
Agency Inc ./a ..
+Ru
16 South Mein Street '°°^••"
rtm.u
To'psPield. MA 01983- tiMen. +.i.
IxPNUNIe A.rn.+IY WY.Ndi .ua r
L,en.Gibely Contracting Company Inc u..ve A: A.I.H. Mutual Insurance CO 33758
Len
23 Winter Street Rear n.. .u....YH n:
Peabody, MA 01960-5941
nwrA
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COVARAOBE CERTIFICATE NUMBER: REVISION NUEiBNR;
THf. Id To [YgTirt nYS Ile POL I@B OP 11 L15IW B4[DY 1pVL ILSVl9 re T itlf1011m ABOVE r0i T!@! POLICY P[RiOD [wiUr®.
MIMTANDINa ARE IEWIAI9PJTT, 19M Oi NHDITION OP AIH C*VT8=T on OTHpe MoVENT WITH MHFCCT TO HnICH "is C TTPIGTr NAT B¢ I9al® M NAT
OLy'TAIH. TNL IH8VPn0.Z A,,OVIED By TIM POLILILB MMIBW HIEEM 10 SV GT TO ALL THE TEIOI8, T1:LV5I0HS AND CONDITIONS Or 3VR1 PoL[CSB. LzbuTr SHOWN
NN' 1Y\2 65D1 NEVVm By DAM MD19.
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HOA EATIOH .n-
AND OOLOYEZS LIABILITY ME Lm�. i.
THE PROPRTSTOR/PAA'WSW LL. ..p c¢nn 1 500,000 �
A EVEWTIVE OYNCORS ARE
❑ iucl ® excl 6010 97 9012 012 oa...r. -wLxar ux+. 1 500,000
00/03/2012 09/03/201) —.—_ -00-01
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CERTIFICATE HOLDER CANOE .I➢'PION
r—
Evidence of Insurance SHOVID ANY Of TT@'A9OL'E OGSGRLGND mill= IN: uEvcu m BrIONr TTz
NTOIIAATION DATE TW=, NOTi1.TT HILL M OELIV¢VEO IN ACCOVDANcE WITH TIE
TOLILT VWn8IM.
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TOTAL P.01
Bay Contracting, Inc.
Exterior Restoration Specialists
Paul McGovern
project Manager
direct.617.602.S 153
Masonry paul.mcgovem@baycontracting.com
84 Lincoln Street
Waterproofing Boston,1v1A 02135
General Contracting o$1ce.617.779.8811
sww.baycontractingxOm
Masonry Metals
Waterproofing Pointing
EIFS Restoration
Concrete Thermal Protection
Epoxy Injection Caulking
Exterior Coatings Windows
i
-�- LEN GIBELY CONTRACTING CO., INC. Page No. �_
Of Pages
23R Winter Street �.2a2s5 ,.-';PROPOSAL
PEABODY, MASSACHUSEWS 01960 - -
All home Improvement contractors and subcontractors
(978)531-8234 Fax(978)531.9304 - engaged In home Improvement contracting, unless
www.lengibelyeontracting.eom specifically exempt from registration by Provisions of
Chapter 142A of the general laws,must be registered
Submitta0 1 \ with the Commonwealth of Massachusetts. Inquiries
To:—PcA r t d 1 A+ Vf eLii, � S /b^'I about registration and statue should be made to the
Director,Home Improvement Contract Registration,
B.
0 c� One Ashburton Place, Room 1301, Boston,MA 02108
- (617) 727.8698. Owners who secure their own
C construction related permits or deal with unregistered
_ J r/'A_(_�—d�4j�— contractors will be excluded from the Guaranty Fund
Provision of li c.142A.
PHONE Sec _ REfiumor10XNO. -__
a)?10 �K ly /Z Wiz MA.REG.300811
—pF/N JOB LOCATION �
SqM�
We h shy submit specdlcadons and estimates ar w to ba pedormO and materials N be used
_�a.K4_4_WS II ( I
ooI L/ r;['ire eP, 6 14 'o,�' Z
Ito
1 L _I 1
_LaOX
CI�UL--ty1&zk A. —eirer 0.AV 4/.IQIS
>.—_ `
Construction related permits:
WORK SCHEDULE
Contract III b w M1 or order the m areas tMei Me Nlrtl day bol r i signing or 1Ms Agreement unless sparmr hers w�MApp�t��^^11yyoo Im ,will illbegin IM1e work on or
nboul (tlete).Barr delay ceusetl by cVcu dances bays d Conlmcter's control,me woM1 will be hall not
ot be by[he{.a[l cl ass TM1a Owner M1a,aby
e0.nnxled is tla9 athas the schearting data.am epptmlm9b amid that socn mNy]11u1 are Not eNNdewa by the cMuaclor shall nol6e WnslEarad Iolations of this Agreement.
WARRANTY
The Contractor wertenls Net the work lurnlshetl hereunder Nell be tree irom dalecb In matetlal and wo(xmansMp br a podM t 3 y0_f bllawina complellon end shall comply wilM1
the requi,ementa gd Nis Agreement In the auenl any del S In xmkrnanaMp m matedab,w damage wuaetl by th contlactop Na.....ueclo,e,employees of agates,Is discoaeted within
an.
year otter wmpletlon pl any lab,InduNtp clean up.Ne ConbecW eMll,et It6 oxn e.ponse,bMwiN haveri repeat correct,repkce,or cause to be remedied,repaired.or replaced,
such damage or such deed In moderate m wMessoldP.The lees,warrantee NN sands any Inspeaden pelbmead In ronnectbn wIN Me egraedupon vsks.
We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum Of:
dollars($ )
Payment to be made s follows:
Q3 up i2&j tr(6 L 16
A(s�) on sigh,Contras: r�e„q a Contntlu,masiµwtea F.galreot—__�__ _
%184*L)upon completion of 9raet Aedreu ---- ---- —_--
)upon comPlagon of ---
. e
( shall be made Inrevi N upon
% E Icompbdon of wM under the Contract Paono -- �� Fodeml lO Na
C
Notice: No agreement for home improvement contracting work shall requireedown eaa
ant(advance tleposin OI more Than one-third of the hotel contract price ar Ne on
too"amount of all deposits or payments whist Me contractor must make,In otivance, Art.„ d ure
to order and/or adhe ba obtain delivery of special order materials and equiamem,
..spot is sear Rwpr[ghL may the^NA M aev nor oa.plad wimm day..
Acceptance of Proposal I have read both Sides of this document and accept the prices,specifications and conditions stated.I understand
that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above.
You,the Buyer;may:cancel this transaction at any time prior to midnight of the third business day after the
date of this transaction.Cancellation must be done In writing.
DO NOT SIGNTHIS CONTRACT IFTHERE ARE ANY BLANK SPACES.
ks"
sgnmare �Yt as Ale-fAu.C/l/Yt1 o.m /%/ 0/,Z nawre Date ... I'I IMPORTANT INFORMATION ON BACK
Massachusetts - Department of Public Safety
Board of Building Regulations and Standards
Sul"1)],,,1
License: CS-094763 r�
THOMAS R.
19 Cedar Hi]L;Dr!YIR
Danvers MA,419 A
Expiration
Commissioner 05/1412014
orrice of Consumer Affairs& Business Regulation License or registration valid for inclividul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 100811 Type: Office of Consumer Affairs and Business Regulation
,YX 10 Park Plaza-Suite 5170
xpiration: 6/23/2014 Private Corporation
Boston, MA 02116
LEN GIBELY CONTRACTING CO., INC.
Brian Dobbins —
23 R WINTER ST.
PEABODY, MA U1960 Undersecretary -t"I'd:7