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" � I�4��, I,i,i", �7­, i ,�I,��,r"- " f;"�11 .""ILI"' , -7"�,�,9"�,�,,�,,"�,,(.�/,t";'I i I , � I , ,,,, ­ , _�t ,�, "',"i 7: I� -, , ," , I �n"., 1I`-,"21;_,�� i i�k,��-N.J I!A x';;N:" ,:I...... L-;,:::::, ' ' ,' ' , ��,t�', ' " �' ..'I.1�- I i, I ,y?Ywxn0 �'J, ,� ft.,��,`�i ��I,� I­.l 'i� , - - i`,;'-.'��, ...- �i,�,,,� 1�� �, ���_ - ,4", , �4�, � �'4,((, Atli i L , 'i A ,!�k i t l!.�- ,,,,� , ��; F, , t _'i -, � �,l I'T'll� I _'_ , - , 11,11 �1- 11 .��' � , !0 :� "F", ,Tll,�_ A 1, ��,ji�,!l� .""'i -11' 1 ?,� 11' ij!!,,�,, . ,, X . "s""', ,,, 0, � t� " ­__�_­_- � -, . , - L,--_ 1: , I -le","%', 0!'i,�! , �:,,:�: 0iINErry, Town of Barnstable *Permit# E.rpires_4jnon11tsft0111 issue dote Regulatory Services Fe �— BAMSTABLE. - mtAS& Thomas.F. Geiler, Director Building Division SEP Tom Perry, CBO, Build ing.Commissioner v 8 2009 200 Main Street, Hyannis, MA 02601 �l(� www.town.barnstable..ma.us Office: 508-862J�03A!A Fax: 508-790-6230 �se EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /5(9 &t3.0)V 02 Property Address3w�­LsbAav lie Residential Value of Work ��D Minimum fee of$25.00 for worlc under$6000.00 . ,Owner's Name& Address Contractor's Name Inc' � � LS !- Telephone Numberb =/�.� Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance --. eck one: � t(-T I am a sole proprietor ❑ I am the Homeowner , I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be.on file. Permit Request(check box) ❑ Re-roof(strippingold shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roo fl Re-side ❑ Replacement Windows. U-Value (maximum .44), a *Where required: Issuance p permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Owner must sign Property Owner Letter of Permission. Improvement Contractors License & Construct Supervisors License is required. SIGNATURE: /� Q:\WPFIL:ES\FORMS\Ex`pre1XPR SS PERMIT.DOC The Commonwealth ofMassachttsetts Department of Industrial Accidents j Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): ®� PPct It Address: � l City/State/Zip: Lpf t t'T ai Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.6 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or pirt-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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 employees. [No workers' 13.0 Other 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. tContractors 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. 1 am an employer that is providing workers'compensation insurance for any employees. Below is the policy and job site information. Insurance Company Name: 1,ler u44j?F Policy#or Self-ins. Lic.#: Expiration Dater Job Site Address: S'��f �(� '""1 City/State/Zip: 0 6,_`�VU t 1 �,4 06 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 fo ance coverage verification. 1 do hereby certify and r t ains and penalties ofperjury that the information provided ab e1gs true and correct. Signature: Date: Phone /2J'o F6 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#: Information .and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee 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,constriction 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,MGL 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-contractors)name(s), address(es)and phone number(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 confirmation 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. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth oflMassachusetts 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 4-24-07 www.mass.gov/dia 09!08f2009 14:27 50843-97308 PAGE 01 ,,.�944120109 14:20 50877°1104 TSENSTADT rdr��at �i Town of Barnstable Regulatory Services Thomas F.Gamer,Director Ems 6® Tom?erry,110ding Coin Wssiorer 200 Maw Street,myanais.bLk 0260;. wpYW.taw'n.bsrns$itbAe.ma.>os ®ffiae: r08-8624038 Tay: •5Q8=9t~-6230 Property t],aner Must complete and Sign This Section n // rr 1 r.Yl ` as owner f the {.f• � txb�ect herrryb3p a zc�uize 7"1�..�- 'i ell � � / ' , to aCt on nr behalf, ----- in aU rnatten relative.to work authorized by this badu,S pcmt t apptcatio.for. ' ! Srg=u=of OW er Date �f p -WIler is applying fO r permit please: complete the Homeowners LIkense Exemption Fora on the;reverse side. Q:F[aP�2�c1iNrvEttT�Tt!.138[CJPd Board of Building Regulatio sand Standards License or registration valid for individul use only — HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registra4ion:, 155997 One Ashburton PlacjeRrn 1301 Expiration 5/29/2011 Tr# 283568 Boston,Ma.02 y Type Private Corporation 1 _ T D I REALTY GROUP INC ;p TATE ISENSTADT f 55 LAKE AVE. HYANNIS PORT,MA 02647 Administrator No valid without signature C°ard°f8 rig. trpCt pn SURegulations auV Lice perviso, Li ddstunda r' 1 se Cg Cense ds - Exptron 3/. 98j4g iI R/estrrChon -24/2011 T TATE iSEN r r 00 �r r# 98149 t N t { PO gOX 7g6STAD Hyv • ANN,SI'ORT _...�___.i� COmmissio4e� � 7 DATE(MMIDDIYYYY) �►� CERTIFICATE OF LIABILITY INSURANCE 4/1/2009 PRODUCER NORTHWOOD ESHBAU_GH INS AGENCY INCTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 540 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HYANNIS, MA 026010000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (508)771-1632 tINSURER URERS AFFORDING COVERAGt NAIC# INSURED T D I REALTY GROUP INC - A: Libert Mutual Group. . PO BOX 796 RER B: - _ HYANNISPORT MA 02647 RERC: RER D: RER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO, POLICY EFFECTIVE POLICY EXPIRATION LIMITS L POLICY NUMBER DATE MM DD Y D TE MM DID GENERAL LIABILITY - I _ - EACH OCCURRENCE $ �. DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY - - PREMISEq a_occurrence) $ CLAIMS MADE U OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG S POLICY M PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - (Ea accident) - ANY AUTO - - ALL OWNED AUTOS BODILY INJURY - $ .(Per person)_ SCHEDULED AUTOS - - - BODILY INJURY' HIRED AUTOS - - i $ (Per accident) NON-OWNED AUTOS - PROPERTY DAMAGE $ - (Per accident) GARAGE LIABILITY - - - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS I UMBRELLA LIABILI7-f . OCCUR CLAIMS MADE - - _ - I AGGREGATE $ $ DEDUCTIBLE - _ _ --- $ RETENTION $ WC STATU- OTH- A WORKERS COMPENSATION WC1-31S-365323-019 3�5/Z0O9 3/5/2010 �/ _ AND EMPLOYERS'LIABILITY - E.L.EACH ACCIDENT $ .100000 ANY PR0PRIET0RIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑Y - - E.L.DISEASE-EA EMPLOYE $ 10000 (Mandatory in NH) If yes,describe under I E.L.DISEASE-POLICY LIMIT $ S00000- SPECIAL PROVISIONS below - - - OTHER - OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS Y - DESCRIPTION OF OPERA SIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS �)) CANCELLATION CERTIFICATE HOLDER - - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BEC ANC ELLEDBEFORE THE EXPIRATION - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL '7 -.DAYS WRITTEN TOWN OF DENNIS - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT,FAILURE TO DO SO SHALL ROUTE 28 DENNIS MA 02638 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE - - - - Jeff Eldridge { Je g U � 4 ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.: 4116578 CLIENT CODE: 1365323 Anne Chandler 4/1/2009 6:51:28 AM Page 1 of 1 'Vt --46�s-r Engineering Dept.(3rd floor) Map / Parcel ,, a Permit# O 7 House# V Date Issued ?2 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30 Fee C)"� Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SINE Definitive Plan Approved by Planning Board 19 , • BARNSTABLE. ' �lED MAy p`eg TOWN OF BARNSTABLE u• ding Permit Application Project Street Address Village r Owner Address Telephone Permit Request9Z r First Floor so feet Second Floor square feet Construction Type Estimated Project Cost $ - � . Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 6--�Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes U -No On Old King's Highway ❑Yes ❑No Basement Type: ull ❑C wl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing:1New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes o Fireplaces: Existing New Existing wood/coal stove ❑Yes Eiq 10- Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ttached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use '1_ Fg� Proposed Use Sc,,s4� Builder Information Name l YU Telephone Number Address License# Home Improvement Contractor# j3o2c� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRU ION D MBRSESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE BUILDING PERMIT D IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. _ I DATE ISSUED r « MAP/PARCEL NO. - ADDRESS VILLAGE } ; OWNER DATE OF INSPECTION: r F FOUNDATION FRAME - INSULATION r. FIREPLACE - ELECTRLCAL: ROUGH FINAL ' PLUMBING: ROUGH . FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 6. The Town of Barnstable • e�srier� • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 t i Building Commission For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. , Type of Work: Est.Cost Addre ss of Work: Ow ner's Name �4'9 11114 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw ' Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE y ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby pply for a permit as the agent of the owner. ate Contractor Name Registration No. OR I •� +� `� TIl e Cllllllll(lll H'eallll Up fassacll uscin Department of Industrial.4ccidents `, 1. ;:� - � O�cea!lavestlgatlons h00 !f'asllirrtunStrcrt = Btivi) .Alas. 02111 NN orlcers' Compensation Insurance Affidavit .�.•. .sows i ii •in inf r i itin• - Inci,tion- CM. Mhnne I am a homeowner performing all work myself. [1 1 am a sole proprietor and have no one working in any capacity M I am an eniplover providing workers' compensation for my employees working on this job. ctrtnn•rtiv name, add rccc- city• nhnnc f�• incur•rncc cn policy d am a so �� tee the followina workers;eneral contractor, or homeowner(circle otte) and have hired the contractors listed below who h. ors listed below who h.compensation polices: cnm nn,k• name• cin i1� / nhnnc+1• a V "�' �/ P cL nniict t! tPLf t J �l LU � incur-incc rn .�.- cnm any name: addresc: rite.. nhnnc it• _-- not er it incurnnee co - Attach additional sheet itneces_sa_ry :...'_ :.r �_..r _.Ji":ai�..r: -.. .. r;.�...� ...,sir. .^�rr..va�.�►..v: a,• Failure tit secure co wer:tie:ts required underr Sccctt_on ZSA of AIGL 152 can lead to the imposition of criminal penalties of a lineup to S1.500,00 andru unc wears' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a tint of 5100.00 a dad against me. T understand that cope of this statement may be forwarded to the Omce of Investigations of the DIA for coverage verification. 1 do herebyccrrijt•1 1: 11 s nd pe ti ojperjuq that the information prorided above is true an orre Signature , Date Print name C. (2t. Phone# w - ,ya•.Yawrrr ' ofrrcial use univ do not write in this area to be completed by city or town official city or town: permit/license 0 rlt3uilding Department C ❑Licensing Board t ►_ (] check if immediate response is required ❑Sclectmcn's 0mcc ❑11calth Department contact person: phone#: r-101hcr Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovees to provide workers' compensation for their employees. AS'quoted from the an e»rplgree is defined as every person in the service of another under anv contract of lj`ire'e%press or implied. oral or written. An emplorer is defined as an individual. partnership, association. corporation or other legal entity, or anv two or morc the foreaoin;; cn�,a�,ed in n-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 dwellin_, house having not morc than three apartments and who resides therein. or the occupant of the d\%-cllin,, house of another who employs persons to do maintenance , construction or repair work on such dwelling, hous or oil the :_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL ch:iptcr i5? section 25 also states that ever• state or local licensing agency sltall withhold the issuance or -cneW.11 of at license or permit to operate a business or to construct buildings in the commomwealth for sm• .rhplicant who has not produced acceptable evidence of compliance with the insurance coverage required. -\dditionall,.. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the j )erformanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha seen presented to the contracting authority. Tplicants lease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and rppiying company names. address and phone numbers as all affidavits may be submitted to the Department of idustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The 'tidavit should be returned to the city or town that the application for the permit or license is being requested. of the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required obtain a workers* compensation; polio, please call the Department at the number Iisted below. its• or Towns =se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. ,e Office of Investi=ations would like to thank you in advance for you cooperation and should you have any questions. :ase do not hesitate to give us a =11- e Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents _ r r Office of Investigations 600 Washington Street Boston,Ma 02111 fax #: (617) 727-7749 �` phone rr: (6I7) 727-4900 ext. 406, 409 or 375 b Si:aN�th�a ::� F 'r4a ,�,.. y * '+ e •v.te..�' r . .a tS � �. e a. s. s ;i d .4�`. :.� r Y; y, y,}+� _,,< ,. •as �` -� ;r ,ad�+ � ;;}^.'x4i�tt Cttir� s„s,�.�. � 's } + � t�tr.+.. (,�p�� ry.b� tI Y{� aii�\ tKf +'�ys f'� a. , m>f a�'- lr� '�'�"K �!i'+ fa 1,tt. •a+ _ >'� r•- �.: ^�� 4`f.. A.�,.. 'k ;+,"cr. M1.;r�sj '.� S' .W`"�^,' M., ;;�;r Y',"`v,. 4d� t�'?: •< -'4�t ,s", ` . H 1 3 t x U, t..fit..V .,Fe e r.t• F •:.a ld .#,r' �rwd. �at3N,' l.i.�y, `•fcx 3 <e.' rcY' .f.c' },,s�+. 1§s �a ,x/; -;. ' . '`--";.v�, �� ,z+: .,r•.�7. t:s.:- ��0.. t 7BS;8� � .. .-T7 r T,.gS}: � .q••�•i� +t-C." _ .{u•; {y� Fc 3'.,3 ,k �p�r, i5 �u <S`q .','i'F... ;r-.r'. +�f '� Q '.� M 'eta �°' " rt: 2, n,FY st' `.tl;++_;1 `f.. .•A.:47' i r,"d r .r'�S' ,' ;{+' * i-r i'='.F..5" st. �Y. GISTRAT.._ION';, .45 rvx > 4�s krti :F {, HOME IMPROVEMENT'4 .CONTRAC'T,ORS-r RE t: V�Nr,< , { �:ft�;�4 r; k., R "'r = Boar.;d}rof�'Bui ldingPRegu'l:at; ons"and`SvStandar~ds�`� f � q Air . ,.. y F4 ;" % inr,.+' .� yr A ray{ �7r :Ate" ✓r'�'i' 2' •nya � �' Kt #. '�. b rf t� 1 o w.4 A ,.tr, i:d'•OneAshburtonz'Place. - Room 1301�t, q ,� �k - dr _ I :. .1•Z tiffs ,� y#'� bx�:�ti � Boston,,-'Massa6husetts,02108 , ,. r •.'�* Y4:..."x't t r .' -r �(c„'..uk t{f #G 4p .M i L"v",� ,d.K � o-r, S i.F!s'�k i kt";x �M` L. lt. 1�` HOME IMPROVEMENT'S CONTRACTOR �' - - l.r t. a.�r.".zr�, +,.'; •�. ��� tf� ,;: 3 39 Expiration05/27/99 � _ �, � f :xJ�is; lacy�,, �aa T x.Registrat�on 11 2.- .ts e;, .t b,.r. F:1d'.•. E ''a'"1.5:14' Ka:tti ,. 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