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12 BROWN ST - BPA-14-1917 GK `ISaS $ 121 4--t q l ti The Commonwealth JP%g1 6Mv'GES'; Department of Publiic�cSaf tf " Qv hlassachusetls State Building UM QJIV) A T 02 Building Permit Application for any Building other than a One-or Two-Family Dwelling _(This Section For Official Use Only) ' Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) • No.and Street City/Town O Zip Coded '0 Name of Building(if applicable) ni J _y_. 0 n( - SECTION 2:PROPOSED WORK y.. Edition of NIA State Code used_ If New Construction check here❑or check all that apply in the two rows below .✓ Existing Building❑ Re Alteration ❑ Addition❑po Demolition ❑ (Please fill out and submit Appendix l) Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit applicaticnK Yes ❑ No ❑ I\ \ Is an Independent Structural Engineering Peer Review reyui d? P'rr7pYes ❑ No ❑ -►-t- Brief Description of Proposed Work: 64sr O c3 SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CNIR 34) ❑ Existing Use Group(s): I Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)6r Area Per Floor(sq. ft.) Total Area(sq. ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-I ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-I ❑ F2❑ H: High Hazard H-I ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ h Institutional 1-1 ❑ 1-2❑ 1-3❑ 1-4❑ NI: Mercantile❑ R: Residential R-I❑ R-2❑ R-3❑ R-4❑ S: Storage S-I ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCrION TYPE(Check as a licable) IA ❑ IB ❑ IIA ❑ 1100 111A0 11I60 IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed ❑ Railroad right-of-way: Ifazards to Air Navigation: }I 1 t ,�,��_�; nnu ipp_I', , Pro,,,,: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Fdition of Code: Use Group(s):_ Type of Constriction:_ Occupant Load per Hooe Does the building contain an Sprinkler System?: __ Special Sl ipu lal ions: >TI\'1,'., ' 1 wv-- s---m p iv (A Po/t.f Jl�h1UErL5 m ra t t-E-r�- 1 ZI 1-1 SECTION 9: PROPERTY OWNER AUTHORIZATION ne and Addy• s of Property,Owner ., Name(Print) NO—Ind Street City/Town Zip _ Property Owner Con tact.lnfonnat inn: JY i-jrt 1 Title Telephone No. (business) Telephone No. (cell) Mail address � If apf p/icaIbGl1q th pIe o/ri rnc p Lea Name Street Address City/Town State Zip to act on the property owner's behalf, in all matters relative to work authorized by this budding permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and or not under Construction Control then check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control NamefRegystr, t) ,No. r e-maf ss D f Registration Numb2 r qg Street Address City/Town } State Zip Discipline Expiration Dote 10.2 General Contractor J Co. my Name 0� i f �✓�� b d iL Name of Pilsen espbn�ib(y f Construction n 60a)aPv�e No. and Ty LO4- bl Street Address �Cl�/. //(/ /" City/Town fi/ �/G/State Zip Telephone No. business Telephone No. cell a-mail address SECTION II: WORFEKS COMPE.NSA PION INSURANCE AFFIUAVII M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the NIA Department of Industrial Accidents 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. Is it signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Budding S Building Permit Fee—Total Construction Cost x (Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ d. Nlechan ical (FIVAC) $ Note: Minimum fee=$ (contact municipality) S. Mcrhanical Other �r�' Enclose check payable to 6.Total Cost $ Iff, V (contact municipality)and write check number here SECTION 3:SIGNATURE OF BUILDING PERMIT APPLICANT 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 the best of my knowledge and uncle ailing. Plead prigritnMa J _ itle Telee�phvn•No Date IV Street AddressS City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date T CIZ•Y OF S:ULEINI, INWSACHCSETTS BuI DING DEPdu-NiE.\T 120--\Y/aSHLNGTON STREET,-3"FLOOR- 'Waa •ILL (978) 745-9595 FAx(978) 740-98.16 KI NIBERLEY DRISCOLL THO,%LU ST-F4ERA6 `';,q.%YOR DIRECTOR OF PUBLIC PROPERTY/BCBDfNG CO\L\1155fONER 1Vorkers' Compensation Insurance AfIldavit: Builders/Contractors/Electricians/Plumbera A t tlicant Information yc� Please Print Le ibl Vai11t:(nasinassOrganiration'Indiv'loge): ` r Address: City/State/Zip: Phone N: F you an employer?Check the appropriate boa: 'type of project(required): I am a employer witb�_ 4• I] I am a genii contJd and 1 6. ❑New construction alliployens(full and/or pan-time).• have hired the sub- ctors I am a sole proprietor or partner- listed on theatmchet. t 7• ❑Remodeling ship and have no employees These sub-contracte S. ❑Demolition working Misr me in any capacity. workers'camp.ins . 9. 0 Building addition No workers'coin insurance - 5. (] We are a corporatioitsI P• 10.0 Electrical repairs or additions requimd.J o1'ticen hove exercieir2.0 I am a homeownerdoing all work right of exemption pL 1I.0 Plumbing repairs or additions myself.(No workers'comp. c. 152. §1(4),and w no 12.0 Roorrepairs insurance required.) t employees. (No wor13.0 Othcmnp. inwrance req -.any upphcaan Slug ehltilla bad 91 most alau rill uul the scdWn bclowshownTg ttletr"ilum eompemmiun policy intimation. 'I f,..uwm".vha submit this atArhvit indicating they an doing all wort[and then hire ougidecontmemn midi athmit a slew anidavit indicating such. :Cwurxlun that check ibis bud mine anaahud an addwunol chest showing ibo name of the sub ronlncton and their waken'wrap.policy infurmalim. I am an earptuyer that ii pravldinif workers'cumpetstalon insurance for my employees. Below is she policy and job site infornralian. insurance Company Name:_ _ _/�-�-- Policy U or Scif-ins. Lie d: x _I _ Expiration Date: Job Site Address: 1L 7 /'�ywn �'t— City/Stale/Zip: d Attuch a copy of the workers'compensation policy declaration page(showing the policy number and expiration cl te). Failure to wcure coverage as required under Section 25A o1'MGL c. 152 can lead to the imposition oferiminal penalties of al line up to SI.500,00 und/ur one-year imprisonment,as well as civil penalties in the farm of o STOP WORK ORDER and d line: of up co S250.00 a day against The violator. Be advised that a copy of this statement inay Ix: furwarded to the Office of blvestigaliunx ol'the DIA for insurance coverage verification. - I du hereby terrify ender the pubis mad penalties oftorrju a infunnutiorr pruvideJ ubuve i.v true mad c orres e � � L Si • � '�•�' � Datd� Lz d Phonc d: 6 Cy FOflkiul rnJy. Da nor rvrire in r/�Lr arru, ro be cunrplel¢J by city ar mrun o/Jlrtu[ n:thority (circle one): Ilealih 2. Building Department 1.cilyfruwn Clerk s. Electrical luspector 5. Plumbing Inspectornon: Phan.R. 12/11/2014 3:44 PM FROM: Fax Microsoft TO: 919787409846 PAGE: D02 OF 002 aco CERTIFICATE OF LIABILITY INSURANCE 0ATE MMI ' 1212/11/20142014 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 endorsement(s). PRODUCER CONTACT James Tarpey, CIC, V Pies NAME Tarpey Insurance Group PHO� (781)246-2677 AIC No: (731)229-0973 442 Water St .jim@tarpeyinsurance.corn PG BOX 567 INSURERS AFFORDING COVERAGE NAIC# Wakefield III. 01880 INSURERA Nautilus Insurance Co INSURED INSURERB-krbella Protection 41360 A.C. Castle Construction Co.Inc INSURERC:Continental Casti 9 Tibbetts Avenue INSURERD: INBURER E Danvers IIIL 01923 INSURER F' COVERAGES CERTIFICATE NUMBER:2014 GL 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 rypE OF INSURANCE R POLICY ERE POLICY E%P LTR POLICY NUMBER MMUDOIYYYYL MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Edoccur6nra $ 50,000 A CLAIMS-MADE FO OCCUR N483445 /20/2014 /20/2015 MED EXP An one arson) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATELMI T APPLIEG PER'. PRODUCTS AGG $ 1,000,000 LE X POLICY PRO TO C $ AUTOMOBILE LIABILITY Ea M acci INdent IN L ANY AUTO BODILY INJURY(Per person) $ 250 000 B ALL OWNED SCHEDULED 1 020002817 /28/2019 /28/2015 AUTOS X AUTOS BODILY INJURY(Per acdtlenl) .$ 500,000 NON OANED PROPERTY DAMAGE HIREDAUTOS AUTOS Fere'aden $ 200,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ E%CESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION r VIC STATU- OTH- ANO EMPLOYERS'LIABILITY YIN TORYLIMITS ER ANY PROPPIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED4 NIA fiS59UB9638L41613-AR 1/13/2014 1/13/2015 (Mandatory in NH) EL.DISEASE-EA EMPLOYE $ 500,000 i wB d.crae U,Aw, DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATO NS 1 LOCATIONS I VEHICLES (Attach AGO RD 101,Additional Remarks Schadul e,if more space is required) CERTIFICATE HOLDER CANCELLATION (978)740-9846 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. 93 Washington St Salem, MA 01970 AUFHORIZEDREPRESENrATIVE - J Tarpey, CIC, V Pre ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD A.C. CASTLE CQNSTRUCMIDN CO.INC. got Tefllhona(fyAO)sGSLFAK(s3zs)•Fax(m)rn-7750 r 11 1 Orkin(aBtxnc.Prof elloW Olden is? PP IIP` i Plolua mad TOa Prod pmpoeel ro fire ofte recaled or. I 7 66 �8—f'7 9 beffw Avenue•Danvers,MA 01923' t all. 1V0-fK4A82 Carltraorore RoA)slroHon No.1 BBfiGG PHONE DATE I I ELT Ain JOe ,y c M STATE D CODE JOB 7 OATfi TO tltOiry 0117E WORKiSSCHEUULEDTDOC f.Ofo9•L JOB PHOfitH e pep0/i nbiby °' _ h maMnd and aempeM er amwd.06i with specifiraoansbakm for of. (_ / 0� 0O nDn 'v7.Nb:w i.gnr+e„ae mova n-%an aEmnraaaca owe AU*Wtetl .. �t ao,earur,p aNrw'.w.Beer a.wpf�pp+x+aen ar sige, w aaNOMr 141A 0 uw fseewd Isu.,m Wrii!]P rMen Ayrn M pllllaeeiaRA N rialMad�uene InWeriaa aamn reamr e-I Mour Thai prom rM fro • . tM raaea w ins Jfilw of alaxawr N000 w.eaee MMM Rrybaaon,Tin ar.0 ra.A:•`• s.in.rl..an,luaalta. r wplldnion Wesinotaaaatadwillari din. McMi9®T earaarerEa WAYWW ANPBRMA7w KNI I . A HOOF BIW We win m ale aiding,buahea,aiitl graewae with f O TAM$In Order m prated the Wqm V during 3"Pli g. W i will wtnp ip to 2layem Of roofing and remove all nails,Osman and ateiplas dawn W am from wood.The roe and water shleld will glen be :reWlda a lino eamm M m adBoc,under all slap tlseNrrJa,uride.vl rbl nuiir,p,erwad d d,l�,.wy9,at)dglity wtl inm ail vaMGn,in YedM anon ordy. We will WAM t5 pound underhyMrlt"all sonar Maaw of the m,iduuk The ar W..mbwm dripadpp Win then to iMlled to an mot Any axisft pipes will be 0OVered With um rufiber a Thefaanng malarial to be used WO Wa wN dearmi ali glMm Bred downspouts All do debriswill be dawned and dumpod by w on a dally bWis.eAag braema kill be uetl to MdISM ao reign from yowpFWgdy.We xrdl prMWa your OW"as bast ire can,h0naver some lMlaga matfin0,breai®pe.or manbro Mold occur, We owdea(memo mapwnlbdry Iona poweedons Inside of the house,or debris Wing into iMcc arem CuMaw should pieracl psreand balw4rige. E7 M WORK IN WWCHIA COSrWILL RP OO TO THE ABOVE PRICE. Rapmpo Rafted Fluirlbowduti0 ._ Install Alumlmm Guitars Relead Chimney(s)J Jam:. Install A)urninum Oomnpoutw RtPliew Face Boards install&A*gtate) Inildl Rldgevent _ /I� ___ Rained Raul To Wafi Paitdrigs in"PAW Lomers�/Y.1C�vY l� .f .. .. Guoer Hepmr __ NOTi4: a^ Wartany m um to tree Mf ddr!eat fo� ,rue manulxWrer'o weimhy for aXaat ydllraldY pltdormaroe. AN vd unaertsh act shill be d good cuagly antl free troth dOMI not orherom M the quelrty requhetl or permllmtl roe a p odd , �••,,�rr"Th'e rtamy excludes remedy for dNpogo or dofocf caused by abuse,moAficatlon,krtprPper or InaulfofBnS 2 'd 919B99EBL61 u�eg sewoyl �� Y yf F T sj �an/ lm in omrddwae MII epenlaaaaw 61dpw NfR wm000 , Paymerdb be d RAGWtr CO NCTIL'E: All Mme unuw.nnrnc oxlonaea anf.utaWwadar. tiara AUVWMAM l.yNarnnarrl nnaartre under gedMtlll'ewer than rt9lebeUon M SIIInaWre. waMabna o•chwkr seen ww final tthra mane. e tar, Aged as CMwhwuwael as tdaWamecel>L hpulwea sail reg —'h. „o,d ..r_ gC .u..0 e. NOLN�(11140mgg5Al nono gOplMM.TMPWPatti Llal,SI e.Sri MANT10. �� ' ah� � ✓r^ Wr{I�ReaY SelaNr 9Raa'IrJlTlare ANa tSr11M1F3 yOR: A all S redP we w19 ommr nw aiding,bushes.and grow aa.with BWa Twp.in order to Protect tit/PromeM outing stripping. We np oWp up to 2layem of rooting and operates all nails,ecaws and awplea dV Wn to the bee whoa.Tne Ice altl wow shield win glen be Mewiled sift badvm d me"untar all slap flaehhmgs.underdl roll tatNng,sand all chimneys,sltyligke,and Into Be Weis,In heated arm 0*. Wit MR insilar 16 pound Wgedaymiml alAo ae d wr areas of the ruoWeos.Thu a"aluminumr)lrlpa wwol teen tiehrslMled q s all fast edge Any existing p4pl9 vrie be covered with env mi um rabbet c�.�1//K1Yf V'/I/7�R� Thetnoling material to be used sae b (�j We Will chmmA an Ousea and damn pouiv.All live debi.will be clauned and dumped by us w act*basis.Mailroie brooms twill be Wad le aayaot all ruse tram your property•We Will protuct your pmpurty ey bast We can.hw ialwraolrle fanage maaln%Message.or mining wattl occur. Wo mad amopt nceporldtlKy tar poeeosdwls irlsidn d ttw Owero,or QeAIN 1aglg tnU ells area-Cuitwlwr.houre Dteucf Primal barentympa. EXTRA WORK IN WNICHIA COST WILL B TO THE ABOVE PRICE. Replace Roved Manes __.... bletadl Aluminum Gunned - RabW ChI1MW(e) bung Aluminum.oamnspoule Rgrlaoo Facial Boards brawl Seyllgn(s) trawl RNWWBW— p _ Ratted Red To Wall.Flashbgir mewl Roof LowW.s9 MC _ Guitar Real RNOTE& ` mfp We early �rh u m Iran M dnhrd.lor nee rmrMactureYo warranty for mraetwaRardY parfbRa9nCB• At under s shall be of good duality and free hem deduct:not inimramt in the quefey"Word a permitted for a d Pill ty eackldea remedy for damage a earned reused by abuse,nlodff mWn,Improper or IraluNlclam nanae,Improper ;or nomad wear and tear under normal uaaga.This warranty shall be Ill. d to the no*performed by A aatle omlimbon .,Irma.wd IimdeO to emlhef fsmair ar repsacemalt by 0.C.Castle ConabuGlon Co..Inc,al Kn'cols dlawallon end as clams we wabed unlit=mane In will to A.C. Castle ConOruoeon Co., Ina WINn 21 days altar the omunenae of fie avant giving rise to such claim.This warranty,shall not wlbrmd beyond anY Isnll Imposed by applicable law. It is our obllgaton to obtain my add all rwnhoalaly related permits.PLEABC NOTOt owners who secure their own Iwnclrucbon•relawd permits share be ealudod ham access to the Cumantpo Fund. P�mad And pannil-Upon 9ubstantbd complrtoh of all work under this contact,customer adhadl wilun t!days make final and hull payMent of Ma oongaol pe". Any end all unp rld bolanaw&4"seams wllh Interoat at 5%tntaest per month.You agree to pay all peon costs and eollaction sameness incurred by A.0 Cases ConMortan Ca., Ina.In the aallptdbn of any amount you oat WWW mla eomMor,Instating salon stld eal Itmon Mrson9 aeomey's fees.Please note:any ilepa)layers of roofing beyond a several layer wig be w antraount of ad Carte par aquas foot. Arbirlmron•Any mrvinnoW or steer arising auf of or rmma to tors Iowan,Or Um breach thereof,shalt be settled by erbtration with . the Amalcan Arbitration Association or a rm"Iy aglved upon third-parry.Any judgment upon an award entail In arbi agon may be enterod in wry owurt tvawing jurlwdAhar therad.Thre vecHan aW rid apply to claims of A.G.Caste I.bnwLtdarl CO.,mar.W coeloolffon of parer due wooaNe owed by The"Wmar Tha hamenemu'B dues day oweallellen riama urdar MGL o 03 r.40,MGL c 140D a tot or MGL c MD a 14 w may be ugplbaWil, >a[ttlpmlvc d�frapmY -Signing tie moans you have amap•d all terra a5 slated us all agent for pai mmhlg. Dam of Aceepamx I_ Slgnalu 1 �22.L - =cal E 'd ST989SEBL6I UZLD Sewol41 CITY OF SALEM, MASSACHUSEM BUII.DINGDEPARTMENT 120 WASHNGTON STREET,3 -FLOOR TEL (978)745-9595 KIMBERLEYDRISOOLL FAX(978)740-9846 MAYOR THomAs STTmRRE DIRECTOR OF PUBLICPROPERTY/BUILDING OOMUSSIONER Construction Debris Disposal Affidavit (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 c40, S 54; Building Permit# 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 fa ility) Up & .�a (address of fa lity) Signature of applicant � 7 Date Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 166565 Type: Corporation Expiration: 6/9/2016 Trk 251720 A.C. CASTLE CONSTRUCTION CO I,P1C BRIAN LEBLANC 9 TIBBETTS AVE DANVERS, MA 01923 Update Address and return card.Mark reason for change. - -- Address Renewal Employment Lost Card SCA 1 C,� 2OM-05111 ... ._.. .C�JL¢ IOdYYL)J2dIL O�V//UlM2fa Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistrabon 166565 Type: Office of Consumer Affairs and Business Regulation xpiration fi/9/3016 Corporation 10 Park Plaza-Suite 5170 - Boston,MA 02116 A.C. CASTLE CONSTRilCTIOtd-CO°INC. BRIAN LEBLANC 9 TIBBETTS AVE q�— DANVERS,MA 01923 - Uudersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards - Construction Supenisor License: CS-054882 BRIAN A LEBLAI�' 9 TIBBETTS AVS' Danvers MA 01913 Expiration Commissioner 09/17/2015