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Home My WebLink AboutBuilding Permit # 2/17/2016 (4� 9 BUILDING PERMIT TOWN OF NORTH � ) APPLICATION FOR PLAN EXAMINATION Permit NO: 9 Date Received Date Issued: J T90US EVOORTANT: Applicant must complete all items on this page LOCATION �a U tA/e �ahJ G;rc l Print PROPERTY OWNEF ScG44 : A- t' r"Ly Poc k,'nd Print MAP NO: PARCEL: z-ONINO DISTRICT: Historic District yes F Machine Shcsp Village yep TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family D Addition ❑Two or more family F1 Industrial ❑Alteration No. of units: ❑ Commercial >Q Repair, replacement I I Assessory Bldg i I Others: ❑ Demolition ❑ Other I i Septic I I Weil I I.Floodplain I I Wetlands i i Watershed District Cl Water/8ewer rarc 1� 2k san5 w,aJcws, kv., new /,AK e'Sc 0w �. :140 1�2 2KS�;r.� rZU S Identification Please'Type or Print Clearly) OWNER: Name: S 4 �lock,r% Phone: Address: ` ou Lt ZIGvc) C;rcic iV• Av\Jovei, -- 'CONT CTOR Rhone. 5d2 S�-3- R63r Address ftiS7 A4ld*� CIs6urV r�lgsa. . l Supervisor's Construction License: Exp. Date: CS a?oo,y Horny ImprovCrae' nt Liconse: ' S� L ate: ARCHITECT/ENGINEER Phone: Address: Reg. No. PEE SCHEDULE:BULDING PERMIT:$12.00 PER$?000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.E. Total Project Cyst: ?, U,G• 00 FEE: $ ��. Check No.: t Receipt No.:_ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor NO R T-H own I of ... E .. 1 Andover 0 y fA h ver, Mass, T O LAKE COCKICK!WICK- d �QSTE0 7S u BOARD OF HEALTH Food/Kitchen t: R Septic System THIS CERTIFIES THAT .................. .... . ............ `� 1�............................................ BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ...(100... .. .� ................. ........... Rough to be occupied as ........... ... ................ ..... ............................. Chimney Al provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final ® PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CO STRCTI Rough 1,1111,110 0 Service ............... .. ..... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR ccupancy Permit Required to Occupy Buildin Rough' Display in a Conspicuous Place on the Premises — Do Not Remove Final- No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ` Smoke Det. BUILDING & REMODELING CONTRACTOR MASSACHUSETTS HOME IMPROVEMENTS CONTRACT This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners.Seek legal advice iynecessary.Any person planning home improvements should first obtain ocopy of'A Massachusetts Consumer Guide hHome Improvement"bofomuVmoioOt000yxmrkonyourmoidonoo.YoumoyoNoinoh0000pyhvooUin0(ho08iceofConoumnrAffairsood Business Regulation's Consumer Information Hot|ioeatM7-O73-8787or1-888-283-3757uronuurxmhoKo, Homeowner Information Contractor Information Name Mr.&Mrs,Hooking Company Name JuomoMonapomont.|nu Street Address(do not use aPost Office Box address) Contractor/Owner Name 16VNey|mndCircle Jondhmn0'8u||ivon City/Town State Zip Code Business Address(must include ustreet address) North Andover,MA 01846 185 At|mnficAwenuo Daytime Phone Evening Phone City/Town State Zip Code Sm||wbuq.MAU18SJ Mailing Address(it different from above) Business Phone Federal Employer|Dur8.8.Number 603 489-1568 01'14O3121 Home Improvement Contractor Reg.Number 15&444 Expiration date 4,'3&2018 The Contractor agrees to d0the following work for the Homeowner: Remove and reU�C8��8X��AO1��NWU��8D��D�C8#�hO��O�R08D��ShD0N8UDS�U��D��D�U�8� . ~ . � The new windows will h8similar to the existing Anderson window replaced this past January. Window units tobOpainted ODthe � interior. Interior trim and exterior will need painting, ,/Garage window(2): ^ Remove and replace the existing window units. Install(2)Anderson double hung windows unit, Windows to be White clad on the exterior,high performance,Tilt wash series,low Eglass with ufull screen. Grilles between the glass. ^ Field measurements needed prior toordering toconfirm sizing. v Work to include int/ext trim,permit,window unit and misc,siding repair as needed around the window. ^ VWndowmsizing has been figured vnAnderson standard stock sizing. Sizing may boslightly smaller than the existing unit due toadifferent manufacturer. " Rot may boexposed beyond the window opening. Rot/damaged wood at the sills,header and outside of the window opening will be considered additional work billed onaTime and Materials basis. TBD once the opening has been exposed. * Painting byothers. ^ Disposal ofall construction related debris. Total for the garage window units k0$2.235.00 Dining and Living Room(2):/ • Remove and replace the existing windows units. Install(2)double mulled Anderson double hung windows ung similar to the existing. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int I ext trim,permit,window unit and misc.siding repair as needed around the window. • Window sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the dining and living room window units @$4,125.00 First Bathroom window(1)&Master bedroom(1): • Remove and replace the existing window unit. Install(2)Anderson double hung window unit. Window to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc,siding repair as needed around the window. • Window sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot 1 damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the bathroom window unit @$2.125.00 Office Windows(4): • Remove and replace the existing window units. Install(3)Anderson double hung windows unit and(1)Anderson awning unit. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc.siding repair as needed around the window. • Windows sizing has been figured on Anderson standard stock sizing. Sing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. Disposal of all construction related debris. Total for the office window units @$4,075.00 Kids Windows(2): • Remove and replace the existing window units. Install(2)Double mulled Anderson double hung windows unit. Windows to be White clad on the '.. exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc.siding repair as needed around the window. • Windows sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot 1 damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the kids window units @$3.985.00 Window project total @$16,545.00 Rot Repair Work: Front left side water table board and detail trim at the start of the siding below the awning window. Replace approx 8'of the 1x10 and 1x3 boards. Install PVC trim. Left side comer board: Remove approx 2'of the comer board on both sides from the foundation up. Install new PVC trim. Left side water table and top detail trim: Remove the side trim and replace with PVC trim. The trim boards will be cut around the existing pipes. Front awning window siding replacement:Remove the siding approx 3'down from the window sill and approx 8'wide. Replace the plywood,flash and install new cedar clapboard siding. A/C side: Remove and replace approx 10'of the water table and detail trim piece along the AIC unit and the garage bumpout. Install PVC trim. The trim boards will be cut to fit around the pipes and electrical connections as needed. Electrical work by others. Total for the rot repairs @$1,475.00 Total for the above scope of work including the Allowance amounts: $18,020.00 Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following And will be secured by the contractor as the homeowner's agent: Building permit schedule will be adhered to unless circumstances beyond the contractor's control arise. (Owners who secure their own permits will be P/1/1 k, excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142A.) i k Date when contracted work will be substantially completed. Actual start and completion date to be confirmed once we Anderson confirms the date on the manufacturing. Weather may adjust the schedule completion date. Total Contract Price and Payment Schedule I%0)x 00 The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of:$3 , ) Payments will be made according to the following schedule: $5,406.00 30%Upon the signing of the contract and the start of the project $5,406.00 30%Upon the of the start of the project. $5,406.00 30%Upon Windows installed and the start of trim. $1,802.00 10%upon substantial completion of the contract not including the shower glass door install. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $0 to be paid for NIA ordered before the contracted work begins in order to meet the completion schedule. (')$0 to be paid for NIA) NOTES:(')Including all finance charges(")Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty•Is an express warranty being provided by the contractor? DNo 0 Yes(all terns of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement.See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ANY BLANK SPACES Two identical copies of the contract mpleted and signed.One copy ould go to the homeowner.The other copy should be kept by the contractor. Homeowner's Signafii�e ntractor's Signature i21I Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration f which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required mit to such arbitration as prow' ed In Massachusetts General Laws,chapter 142A. Home s ignature X-7 Antractoes Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights.If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments Acontractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure,However,ininstances where ncontractor deems him/herself hbe financially insecure,the contractor may require that the balance of funds not yet due be placed inajoint escrow account aooprerequisite tocontinuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties Additional Information |fyou have general questions mneed additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"AMassachusetts Consumer Guide toHome Improvement"contact: Consumer Information Hotline Office ofConsumer Affairs and Business Regulation 1OPark Plaza,Room 51T0,Boston,MA(0110 817O73-8787.808-2O3-3757urvisit the 0CABRwebsite athMpJ1vNflv,muan,gov1onab�/ |fyou want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component ofthe Home Improvement Contractor Law,contact: Director ofHome Improvement SontmdorRogistndivn Office ofConsumer Affairs and Business Regulation 1OPark Plaza,Room 510.Boston,MA02110 017-S73-8707.088-283-3T57V|visit the H|Cwebsite athKpJ/"iwmanm,Qomhcabri G000|iUutoviuwthudotusofmHumo|mpmvmentConhado/mRoViotration:hUp1ldh�statnmmuothomeimpmvemooNi*onsme|iianp For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office o(the Attorney General 617-7278400 � � AND/OR Better Business Bureau � 508-8524800.508-755-2(48or413-734-3114 � � � � � � � The Commonwealth ofHassachusetts Department of.TndustrialAccidents o X Congress Street,Suite 100 Boston,MA 02114-2017 wwm.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): '=cam S GGt?N, Address: •7 )_ Pre v,L)e y're z 11 Vt City/State/Zip: A� fit,,,O`^ M-( U"� c t r Phone#: 603 �(IeA- ( 5 �F Are you an employer?Check the appropriate box: Type of project(required): L '� I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $, .Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.[:]1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below shoving 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 shoving 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 attt att employer that ispfovidittg lvot'/rers'conipensaiiott insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.##: Expiration Date: i Job Site Address: I�o c ,e le City/State/Zip: Y�,- A" r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 Pine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify un er the pains and penalties of peijtuy that the information provided above is true and correct. Signature: Date: Phone#• ".S U e_ c� Ca 3'S— Official `SOfficial 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): i 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: LTan. 01.2012 1.2 :00 AM Advantage Insurance Agenc 978 794 4800 PAGE. 1/ 1 DATE( Y) CERTIFICATE LIABILITY I 10/201602/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLr)ER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED OY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE=HOLFtSR. e c Cate or an ADDITI NAL INIaURED, the ISD icy iea must I;IROGALTION IS WAIVED, auhject to the terms and conditions of the policy, certain Policies may require Art endeNtemant A statement on this certificate does not confer righbi to the certificate holder In lieu of such endorsement(s), CUNIArT PRODUCER NAME! PAUL DEVIN ADVANTAM INS. AGENCY INC. arTo -- ��x.978-79q�4t393 Ate No EM: 97@-6®1-1055 { 1• 184 PLEASANT VALLEY STREET E, L ADDRESS: METI HEN, MA. 01$$4 INSURERS)AFFORDMI COVERAGE NAILa INSURERA:ARBELLh PROTECTION INS, CO. INBUREC INSURERS: JOBCO14 b1MNAGE14ENT INC. __--- INBURERC: 72 PROVIDENCE HILL ROAD IN9VRER D ATX%NSON N H 03811 INBUREREt INSUReRF; COVERAGES CERTIFICATE NUMBER; REVISION NUMBER. TRIS 1$ TO CURTIFY 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 VATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 09SCRI$ED HEREIN IS SUBJECT TO ALL THE TERM$, MCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAID CLAIMS, LTH TYPE OF INOURANCH IN3R WND POLICY NUMBER lMMlODM-YY) (hV,t1D➢lYYYVI -UMITS A OBNEPAL 0AW1.1V 85000551580 09/30/201 05/30/2016 EACH OCCURRENCE g i"000,000 - . DAMAGETO-RE S lib DOD COMMERCIAL GENERAL LLABII,ITY PREMISES(FA owurranca) I CLAIMS-MADE OCCUR MED EXP(AnY00 parboil) $ 5,000__ ...... ',.. PERSONAL&ADV INJURY $ 11000,000 GENCRALASUREGATE 8 2,000,000 GEN`LAGGR[GAT9 WAITAPPLIESPEW PRODUCYE-COMPIOPA(XI s 2,000,000 POLICY I I£cT ----- LOC $ AUTOMOBILE LIACILITY '.. Ea a0cmnl S AAYAVTO 8O01LYINJURY(P"P.—n) $ ALL OWNED SCHEDULEO DODILY RJURY(Paro .._.._......._...... AUTOS _ AUTOS aaiWnt) g HIREDAU1`0 AUTOS g UMBRELLA LIAR MOUR w EACH OCCURRENCE $ EXCEED LIAR CLAIMe-MADE At3GREGATE DED RETENTI{X,_ A VIORKERSCOMPENRATION 9121461019 10/05/201510/05/2016 - AND UMPLOYER31 LIABILITY y I N TORY LIMITS X ER -- -------- – — .........--- ANY PROPRIET 4WARTMAMEOUTIVE E.L.EACH AOGIDENT S 1,000,000 OFPICERIMEIABER EXCLUDED? I Y 1 N 1 A ....._..__._._._. _ (hlondblory In NH) L—..l E.L DISEASE-EA EMPLOYEE $ 1,000,400 DESCRIPTION OF OPERATIONSb.f— E.LOISE&SE-FOUCYLIMIT a 1,000,000 L. OFSMUITIONOPOPERATIONS ILOCATIONS IVARiCLC9(AttmhACORD t01,AddiilohalRomarkaSchadila,ItAwwapar etq.jmd) BU-TLDING rp RR fODgLING CONTRACTOR SCOTT HOCKING 160 WETLAND CIRCLE NORTH ANDOVER 14A 01845 CERTIFICATE HOLDER CANCELLATION TOWN OF I.16nff Ammut BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLIM BEFORE THE EXPIRATION DATE THEREOF, NOTICIE WILL aE DELIVERED IN 1.600 OSGOOD STREET ACCORDANCE WITH THP POLICY PROVISIONS. BUILDING 20, SUITE 2ba5 AUTHORIZED REPRESENTATIVE NORTH ANDOVER MA 01845 Q 19S6.2010 ACORD CORPORATION, All rights retservati. ACORD 25(201 W05) The ACORD name and logo are registered marks of ACORD ffice of Consumer Affairs&Business Regulation bME IMPROVEMENT CONTRACTbR, mow, ` gistration: 159444 Type: aspiration: 4/30/2016 Private Corporal'o JOSCON MANAGEMENT INC. JONATHAN USULLIVAN 72 PROVIDENCE HILL RD, ATKINSON,NH 03811 Undersecretary tAass«achUsett:s -Deparirr:esrt Of Sa.aWr c Safety Board of Building RcgWatiOa 11- and Stardards CS-070043 Q'I Ucensie 0 0043 JONATHAN UrsT4 ,� 185,Atlantic Ave %j Salisbury MA 0152 r 4+. �. - 08/26/2016