Loading...
HomeMy WebLinkAboutBuilding Permit # 9/7/2016 NORTH BUILDING PERMIT TOWN OF NORTH ANDOVER 3 APPLICATION FOR PLAN EXAMINATION a Permit No#: Date Received y4SSACNUSft{5 Date Issued: 0 V IMPORTANT:Applicant must complete all items on this page LOCATION SS"Lv�+an Print PROPERTY OWNER Cu v e'�+ `00 / / Print 140 ear Structure yes &no MAP V�1 PARCEL: �� ZONING DISTRICT: Historic District ye Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential 1 Non-Residential E New Building ❑One family G Addition ❑Two or more family 0 Industrial [,;,'Alteration No.of units: ❑Commercial i G Repair,replacement ( E Assessory Bldg ❑ Others E Demolition G Other i Sepftc Well E1 Floodplain , C]Wetlands E]1Nate erlistTt DESCRIPTION OF WORK TO BE PERFORMED: C� i Identification- Please Type or Print Clearly OWNER: Name: v .' Phone: i Address: r7 Contractor Name: ltc,.ro n Jeu r /l0 Phone el, ©3 ,658 039 f Email: " Address: ✓Yt•tc � 2.r �� em 11/fi! d 3®�� Supervisor's Construction License: d r7fi �� Exp. Date: I � Home Improvement License:A' /J 3 S`� Exp. Date: ARCH ITEGTtENGINEEtV R arrnn-in Sc�2E Phone: 603 rfzinKG�! 176Sfg✓t Address: 0 B13, Safa+�,� 7� Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE$125.00 PER S.F. r Total Project Cost:$15�'� FEE:$ C Check No.: Receipt No.: 2 \TOTE: Persons contracting lvith registered ontractors do not have access to th guaranty fi d Plans Submitted❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ [Public YPE OF SEWERAGE DISPOSAL Sewer TanningWassage/Body Art ❑ Swi:n'n;nv Pools ❑ ell Tobacco Sales ❑ Food Pact agiaWSales ❑ivate{septic tank,etc. ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On -iNu1jlIJ Signafure u i `1 COMMENTS 1�S CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decisionfreceipt submitted yes_ Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer ConnectionlSignature&Date Drivetvay PermiE DPW Town Engineer:Signature: ocated 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site .yes no Located atart nenMain Street Fire�!?epartinentsignature/date COMMENTS fila' ate,'/ Gs 6rr�s�i� fa Zvi ` ~ la. ANIS II Capachiett proposal 5/19/16 Rear Dormer Parties Aaron M.Scarpelio Home Improvements,LLC the"Contractor" Full Identification,The TAX ID of principal is 20-3306885 Contractor address:2 Magnolia Ave Salem NH,03079 The Contractor's Massachusetts HIC registration number is 153859 The Contractor's Massachusetts Construction Supervisor's number is CSFA-096462 The Contractor hereby proposes to perform the work described below for: Capachiett Family located at 55 Lyman Rd.North Andover,Massachusetts. 1. The Rear Dormer project at 55 Lyman Rd.North Andover,Massachusetts Address, consisting of the following: The said parties,for the considerations hereinafter mentioned,hereby agree to the following: o Addition to be built in rear of current residence • Approximate floor space 32'x 20'(dimensions to be confirmed prior to signing contracts) • Use of additional space is to create an additional bedroom and attached full bathroom. o Work to be done: • Beam sizing and plans + If an engineer's stamp/approval is required,the engineers fee will be extra • Permits • Preparation to 2ND level of existing structure for new addition: • Stripping away of any roofing or siding that may interfere with placement of new structure • Demolition of existing interior walls,flooring etc. • Excavation and footings: None required • Framing • All framing lumber will meet or exceed current code requirements(see plans) • Insulation Rolled fiberglass to all wall floor and ceiling cavities as is required by Massachusetts code and any interpretation by North Andover officials.(see plans) o Roofing • Rolled rubber roofing in the rear 21 level of the home.Asphalt architectural shingles in the front,rear breezeway and garage • Ridge vent and/or other types of non-mechanical roof venting added where possible. • Maximum cost of additional vents and installation$250.00 1 Page o Siding • Tan vinyl on new areas to match other areas of the exterior as closely as possible o Doors and windows • 5 new windows to be installed,4 in the bedroom and 1 in the bathroom o Window brand Harvey Classic double hung • There will be 3 interior primed solid core doors installed to best match the existing doors of the house. o Door brand TBD 1. Maximum cost per door$200.00 • Electrical o All electrical,switching,lighting and outlets needed to be code compliant o Any additional accent lighting,recessed lighting,outlets etc.will be an additional fee o The estimate includes a vent/light and over vanity light for the bathroom and 1 ceiling light for the bedroom o Smoke/CO detection system wired throughout the home o Any problems with the existing circuits or electrical panel(exceeding $500.00)that may need to be fixed in order to accommodate the new wiring and lighting will be an extra charge. • Walls and ceilings o Blueboard and plaster with a smooth finish for the walls and ceiling. Random texture for interior of closets • Painting and paint prep. o All new walls,trim and ceilings to be primed and painted 2 coats. Inside of closets painted flat white • Interior trim o To match existing trim as closely as possible using readily available stock.Custom stock would be extra 0 • Plumbing o All plumbing needed to accommodate the new bathroom fixtures. (Tub/shower,vanity sink and toilet) 1. Any additional fixture,multiple shower heads or body sprays will be an additional charge TBD a. Any problems with the existing water supply lines, drains or vents that may need to be fixed in order to accommodate the new bathroom will be an extra charge. • Bath fixtures c TBD(not included) • Flooring o(not included) Also not Included o Unforeseen work(if needed)to Update(per building codes)Existing Electrical Wiring;Plumbing and Structural Building Integrity. 2 P a g e �'.,,� o Any additional electrical work not required to satisfy building code for the receptacles and fixtures added for the addition o Any additional plumbing work not required to satisfy building code for the plumbing fixtures added for the addition 1. Any additional costs will be built to the homeowner at my costs plus ten percent.(note:my labor is built out at$50.001 hour per man) • Construction and Jobsite Details: o Existing lawn&driveway may suffer some damage due to construction trucking;every attempt is made to minimize the damage,however the homeowner shall not hold the contractors liable for the extra cost if damage situations appear. o Any unforeseen discoveries that may affect the construction costs are they responsibilities of the homeowner.For example:asbestos, mold,ledge,high water table etc. 1. Any additional costs will be built to the homeowner at my costs plus ten percent.(note:my labor is built out at$50.001 hour per man) • Reference to incorporated documents: o Full drawings to be supplied after contract is signed but at least 2 weeks prior to start date. • More fully described in the sketch/plan attached,prepared by TBD and dated TBD and by the attached list of specifications of even date,both incorporated by reference. Estimated Price$52,500.00 SUBJECT TO CHANGE IF WORK IS MODIFIED AND AGREED CHANGES ARE SIGNED BY BOTH PARTIES 2. Payment Schedule The Owner hereby agrees to pay the Contractor,for the aforesaid materials and labor,the estimated sum of$52,500.00 in the following manner: •$5000.00 down payment and materials expenses ew. 141 •$15000.00 start date •$10000.00 upon completion of all rough framing $10000.00 upon completion of roofing and siding •$10000.00 upon completion of wall board,insulation,rough plumbing,rough electric, •$Remainder upon completion of project Payments for extra work done will be paid with the next scheduled payment. (example-extra work is required to repair rot in the floor framing$100.00 due at the start date) Finish Materials approx. $(This amount is subject to change based on actual choices of finished materials made by the homeowner) 100%due at time of order(finished materials will be ordered and purchased at various times during the duration of the job) 3l'agc Some finished materials may not be able to be returned or cancelled once the order is placed and some maybe subject to a 20%restocking fee. These charges will be the responsibility of the homeowner if it is the homeowner requests the exchange or return. 3.This remodel is scheduled to begin Fall 2016,both parties understand that an exact start date or completion date cannot be determined at this time because the contractor has several jobs ahead of the Capachlett project. 4.The Contractor agrees to provide and pay for all materials,tools and equipment required for the prosecution and timely completion of the work.Unless otherwise specified All materials shall be new and of good quality. There is a one year warranty on materials and craftsmanship,if manufactures warranty does not apply. 5.In the prosecution of the work,the Contractor shall employ a sufficient number of workers skilled in their trades to suitably perform the work. 6.All changes and deviations in the work ordered by the Owner should be presented to the Contractor,by the homeowner in writing,the contract sum being increased or decreased accordingly by the Contractor. 7.The Owner,Owner's representative and public authorities shall at all times have access to the work. 8. Construction and Jobsite Details: Existing lawn&driveway may suffer some damage due to construction trucking;every attempt is made to minimize the damage,however the homeowner shall not hold the contractors liable for the extra cost if damage situations appear. Any unforeseen discoveries that may affect the construction costs are they responsibilities of the homeowner.For example:asbestos,mold,ledge,high water table etc. 9.In the event the Contractor is delayed in the prosecution of the work by acts of God,fire,flood or any other unavoidable casualties;or by labor strikes,late delivery of materials;or by neglect of the Owner;the time for completion of the work shall be extended for the same period as the delay occasioned by any of the aforementioned causes. 10.The Contractor agrees to obtain insurance to protect himself,his workers and subcontractors against claims for property damage,bodily injury or death due to his performance of this agreement. 11.This agreement shall be interpreted under laws of the State of Massachusetts. 12.Attorney's fees and court costs shall be paid by the defendant in the event that judgment must be,and is,obtained to enforce this agreement or any breach thereof. 13.Insurance: Liability Insurance certificate available upon request. 14.NOTICE to Homeowner:All contractors must be registered and display the contractor's registration number.You have the right to rescind this contract within three days of signing.The Home Improvement Contractor Regulation Statute,M.G.L.A.c.142A gives you certain warranties and homeowner's rights under the act.In the event of a dispute,your or the contractor have the right to request non-binding arbitration. NOTICE:DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. IN WITNESS WHEREOF,the parties hereto set their hands and seals the day and year written above. r��,-rt-lur..ty' fv� . car>r�aCl-t�E'�1 t�1a/�h OWNER'S NAME E S15NATURE DATE 41P3ge OWNER'S NAME OWNER'S SIGNATURE DATE i OWNER'S ADDRESS _Aaron Scarpello CONTRACTOR'S NAME CONTRACTOR'S SIGNATURE DATE 2 Magnolia Ave Salem,NH 03079 CONTRACTOR'S ADDRESS 51 P ai c a say ads Triple 1-3/4"x 10"VERSA-LA 2.0 3100 SP Root Rearn\RB01 Dry(2 spans(No cantilevers 10/12 slope August 22,2016 08:28:20 BG CALC®Design Report Build 4516 File Name: Capuchietfi.bec Job Name: Capuchietti Description:Designs\RBOC Address: 55 Lyman Rd Specifier: City,State,Zip:N.Andover,MA Designer: Kimberly Hankey Customer: Company: Cyr Lumber Co.,39 Rockingham Rd,Windham,NH Code reports: ESR-1040 Misc: 1 12 21-04-00 I� 13-00-00 Bo 61 B2 Total Hodaontal Product Length s 34-04-00 Reaction Summary(Down/uplift)(lbs) Beadn Live Daad Snow Wind Roof Uva B0,3-1/2" 1,119/45 2,363/0 6,03410 B7,11" 2,727/0 5,996/0 15,000/0 B2,3-1/2" 737/333 88810 3,136/0 Uva Dead Snow Wind Root Live THIG. Load Summary Tag DescripSon Load Type Ref Start End 100% s0% 115% 160%125% 1 cathedral ceiling&r...Unf.Area(lb/ft-2) L 00.00-00 3404-00 10 20 55 12-03-00 Controls SUmmanf Valua %Aitowatllo Duration Casa Locoften Pos.Moment 35,481 ft-lbs 55% 115% 10 08-11-04 Neg.Moment 39,958 ft-lbs 621/6 115% 12 21-04-00 Neg.Moment -39,958 ft-lbs 621/6 115% 12 21-04-00 End Shear 6,864 lbs 37.4% 115% 10 01-07-08 Cont.Shear 10,155 lbs 55.3% 115% 12 19-06-08 Total Load Defl. U372((L68") 64.51 n/a 10 09-11-10 Live Load Doll. U511(0.496") 70.5% n/a 25 09-11-10 Total Nag.Dell. U999(-0.093") tJa n/a 10 25-07-07 Max Deft. 0.68" 68% n/a 10 0911-10 Span/Depth 15.8 rda n1a 0 00-00-00 %Allow %Allow Bearing Supports Dim(L x w0 Value SU..rt M rnber M. '191 BO Post 3-1/2"x 5-114" 6,397 Ibs n/a 60.9% Unspecified B1 Post 11"x 5.1/4" 20,996 lbs n/a 48.51/6 Unspecified 82 Post 3-1/2"x 5-1/4" 4,024 lbs n/a 29.21/6 Unspecified Cautions For roof members with slope(114)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope(112)112 or less final design must account for Rain-on-Snow gtta 9S arm surcharge load. - — , Notes 6iSU0TEU Page 1 of 2 '.. solea cascaa. Triple 1-3/4"x 16"VERSA-LAM@ 2.0 3100 SP Roof 13eam\R1301 Dry 12 spans I No cantilevers 10112 slope August 22,2016 08:28:20 BG CALCO Design Report Build 4516 File Name: Capuchietti.bcc Job Name: Capuchietti Description:Designs\RB01 Address: 55 Lyman Rd Specifier: City,State,Zip:N.Andover,MA Designer: Kimberly Hankey Customer: Company: Cyr Lumber Co.,39 Rockingham Rd,Windham,NH Code reports: ESR-1040 Misc: Design meets User specified(U240)Total load deflection criteria, Disclosure Design meets User specified(0360)Live toad deflection criteria. Completeness and accuracy of Input must Design meets arbitrary(1')Maximum total load deflection criteria. be vodtied by anyone who would rely on Calculations assume Member Is Fully Braced. output as evidence of suitability for particular application.Output here based Deflections less t Design basad than 18"wDry 1t18"Service Condition, on building code accepted design were ignored In the results. �mperuse and analysis methods. Fastener Manufacturer:5impson Strong-Tie,Inc, nstallation of Boise Cascade engineered wood products must be In accordance with User Notes current Installation Guide and applicable building cedes.To obtain Installation Guide CCO64SDS2.5 COLUMN CAP BEARING Bt or ask questions,please call (880)232-0788 before Installation. 6C CALCO,BC FRAMER®,AJSTM, Connection Diagram ALUOISTS,BC RIM BOARD-,BCI®, 6. Fra—►{o - --� 80t8ESIMPLE FRAMING SYSTEMS. VES VERSA-RIM PLtSS,VERSA-RINO, o VERSASTRANDO,VERSASTUO®are • ® trademarks of Boise Cascade Wood ® Products LL.C. a minimum=1-1/2%=6-1/2" b minimum=6" d=12" a minimum=1" Calculated Side Load-1,041.3 Wit Install Screws with screw heads in the loaded ply, Connectors are:SDW22600 ,The commonwealth of'Massachuse#s Department of•XndastrialAccidents X Congress street,Suite 100 .Boston,M4 02V4-2017 7VW massgov1dta . ' e VTaa�kers'CompensaifonEnsazanceAffIdavit:BuilderslContraetoxs/PIeetrzeianstPlnmbers. TO BE,yffgAVTMTTHgR MCTBXGAUT}IO),UTX. lzcant.Tn£oxmation // j/ Please Print Ledbly Name,(Basinesalotgmizanontlnaividu4:�+K.B n a t c�Jl t� 1Y7,a-y,� L .rC1✓e'���..�" � .Addzess: `�- �C, 5✓>o%�-L ��� ��/,�.� �fi C13y City/State/Zip: Phone Areyou an e.plover?Cheektlie appmprixte�ox: 'l'gpe of Project(pcj[dred}: l.(EJT emPloya—ft' •:.._. c�nntoyeea(fm andlerpatthne).- `Z:El New coiistmetion 2. amaso?a pmp-ze orarpa,-faersh%p andhzveno rnployees wcoiaag£nrme in $. �Renlode lig any cagaoity.[No W--e,s'comp.i—requimd l 9, Q Demolition 3.Q Ismahomootvnerddega?S wmrkmysw]f INawmkers'eemp.- mance squired-]t 10 ding addition 41 T ae,ahemoewmerandwIU behidng eentactmto cooduetatl wadconmyProperty.Iwiu 11. Elechic4xe airs oradditions ensmetfiot sIIo?ntaciors eitberhave woxim'compensatiieninsora--orate sole ,0 p proprielers withnoemployees. 11[jPlumbing repairs or additions S.❑Ism agnea-r1 coniaa"orar�3ZfiaQeh�ed be sob-coa*tacEarslisted oafhe afffiche3 sfieet. 13_��iofSepalSs mese s„b-cxznetorsJiade employees and bapewodce*s'comP.insistence.? 14.El 6.E]We=a corpomtiom Pdifs o ffigm have exercisedtherrght o£tsenTrian prMGL c. 2527§I(4),andwehaeeR4�mpla3rcxe[Nowa "S'comp.iraziu ncereq�rir .] a.(3�oK�;:771 "AnYaPplicanttfiat uhec&sbox#1 const atso'Sff outtLa seconbetowshowtiugtheirttinrkcrs'aompeasaaonpolinyinio,�ation. tHomeawnes tvho siilSuiit'�.iv's af6da'r'it Batm$tbey are doing aIlwora.andth-hire ontd je indicating suoEi. •. . Pei.. F{aufraobis_batche;.leilrisbc�muSc2Emc�had au addifmnal sheetshoct*IDethename offhesub-centea^tars andstat whethei orosa rsu'tiashgve employees.Zftbesub-o!�clnrsbave employ:zs,iiiey mustprovidefhes wndceis'comP.policy number.• I aiaz a,�z e tployer ftz xapi�ovidir g-Workers,compensation insura9cejor my empZcyees.'Belois�is the,poZiey aaedjob site information. Insurance CompanyTtame: ExpirationDate: Poliey#or Self-ins,ED.#: Job Site Address: V✓v1 C v� n City/Statel�ip: /f 17h O✓�/// r Attach a copy oftha5vaYkers'ca�nlationpolxcy declazafionp_go(showing thepolicynnmber and expiration date}. Failure to secure coverage as required uuderidOL o.152,§25A is a criminal v=iolation perishable by a fine up to$1,560.00 and/or ane-year imprisonmanf,as well as civil penalties infhe rano of a STOP WORK ORDER.and a fine o£up to$250.00 a day against the violator.A.copy ofthis statement maybe fo-warded to iho Offtco oflnvestigadons oft6o DIA f"orinsarance coverage vverifioation. ' Xdoherebycertifyza2!rF�dpainsandpQ aides ofpezpupygetaeinform a-ionpro videdahaveistruF9andcon ect// Si are- Phone# e�&3 Official isse only. _I?o notwrife an tFzzs stent,to be completed by cid or town ofjze%aL City arToxan: Pexmitlliceuse# Sssuiug Authority(circle one): - I.Board ofmaM2.33uildingDaPazfinent 3. Clark 4.Llectricalfasp ector 5.Plumbiugluspector 6.Other Contact Pers on: Phone'#' 09-07—'16 07:48 FROM— 9785572130 T-302 P000_21J_0.003 F-296 A6"h'L?r CERTIFICATE OF LIABILITY INSURANCE 009/07/201ZE YY) �-�" � 09107!2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),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 endomemen s. PRODUCER CNAONMEADT Mark S,Rowe,CIC I Michaud,Rowe And Ruscak Ins. PHONE .9'111681 8 688 8829 arc too:$78 557 2130 P.O.Box 188 North Andover,MA 01845 L ' Mark S.Rowe,CIC ADa 6I INSURE 3 AFFORDINO COVERAGE NAH 9 Ns9RERA:Essex Insurance Company 39020 INSURED Aaron Scarpello Home Imp,LLC INSURER e: 2 Magnolia Ave. -SURER C; 3 Salem,NH 03079 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. IN TYPE OF INSURANCE A.QU POLICY NUM9ER Mwo h"Po YYY LIMITS A X COMMERCIN.GENERAL LIA8IDTY EACH OCCURRENCE I $ 1,000,00 GtP.IMS-MAOE GccuR 3EC8512 12!10!2015 12MO12016 I Ee aeeurrc,�j $- 100,00 MED£xP W,r ane Parsers fI 5 5,0 i I PERSONAL&ADV INJURY, $ 1,000,000 GEN'LAGGREOATELIMITAPPLJESPERf j - GENERALAGdFGATE I S 2,000,00 ' X POLICY C JE a 600 PRODUCTS-COMProPASG S 1,000,00 OTHER: $ AVYOMOBIU LM OILnY [COMBINED SINGLE LIMIT i S A-- BODILY INJURY Terpa Ii)ALLOWNS AUTOS ED ASULED i II BODILY I[d1URY(Per 'Weiti') S NON-0WNED PERTY DAMAGE HIREDAL AUTOS I Ferax S UMBRELLA LUrB OCCUR � ! 'EACH OCCURRENCE $ EXCESS LIAR CLAMS-MADE' 'AGGREGATE 3 DFD ETENTlON9 $ WORKERS COMPENSATION iP DTI¢ ANDPMPLOYERS`IJABILITY YIN! _ X STATUTE l B ANYflROPAIETOWPAR0SJ-EXECUTIVE ! WC CERT TO COME EL.EACH ACCIDENT S OFFIGERIMEMBER EXCLUDED, ��NIA iMandetory in NH} 'DIRECTLY FROM INS CARRIER EL DISEASE-FA EMPLOYEE 3 ndesfinc u„der DESCRIPTION OF OPERATION$W- 1 E.L.D*W -POLICY LIM€i S � i I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Aftif sI P—m Echedule,m9y ha eNeched it more zpgpp la.40l d) metier carpentry and residential remodeling TE:55 Lyman Road North Andover,MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES WI8E�.ANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE LL I77 BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover,MA 01845 AUTiroR¢ED REPR,EEENTATW9 {gyp 1988-2914 ACORO CORPORATION.All rights reserved. 4CORD 25(2014101) The ACORD name and logo are registered marks of ACORD 09-07-'16 07=49 FROM- 9785572130 T-302 P0003/0003 F-296 ,4iC<>R,bc CERTIFICATE OF LIABILITY INSURANCE °aTE`—°Y " 0 910 7/201 6 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 iSSU1NG INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polloy(Ies)most 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 endomemeht(s). PRODUCER NpN�FCT Krista McMahon MICHAUD,ROWE AND RUSCAK INSURANCE ASSOCIATES,INC. 978686�929 'rmlr_- EoolEss: kmcmahon mninsurance-Com _ P.O.BOX 168 INSURER(S)AFFORDING COVERAGE j NAIL tF NORTH ANDOVER MA 01845 INSURER A: LIBERTY MUTUAL FIRE INS CO i 23035 INSURED INSURERS: AARON SCARPELLO HOME IMP LLCRERc� INSURER-Py 2MAGNOLIA AVE [ IusuaER E. SALEM NH 03070 INsuRER P: COVERAGES CERTIFICATE NUMBER:82$53 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 RESIPECT 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, j INSR TYP£OPINsURANC£ ADOL UBR CYNUMBPR M60i EFF P6�L p ExP LIMITS COMMERCIALCENERALLIABILITY I EACH OCCURRENCE $ CWMS•MADE F71 OCCUR I MAMA ET REN IE ml $ I MISES tea MED EHP M oice Pets g S i I N/A - PERSONAL&ADV INJURY=, S GEN'L AGGRE13AYE LINT APPLIES PER: l � GENERAL AGGREGATE I $ POLICY JECT LOC i PROOUGTS•COMP/OP AGG'$ (OTHER; AUTOMOBa.E 47Ae{UTY COMBINEDS G LIMIT $ ES—iG 3 BODILY INJURY(Per person) 5 ANY AUTO ALL OWNEDSCHEDULED N/A - BODILY INJURY(Pot aoddrir) $ a0111 Nou-owNEo ( PRaPERTYO A $ HIRED AUTOS AUTOS Per atGiE9nt j $ UMBRHUALIAB OCCUR EACHOCCURRENCE { $ EXCESS LIAB oLAIMa-xaAaE WA AGGREGATE $ DED RETENTION$ 1 fi WORKERS COMPENSATION P R OT[�- ANDEMPLOYERS'WrBILITY ' X STATUTE E ANYPROPRtETOR1PARTfr=R/EXECUTNE YIN EL,EACHACCIDENT i s 10o.01m A OFFICER&EMBERExCLUDED. NIA NtA WA W0231S380493026 104/19(201$ 04119/2017 I(Manaa7«y n+NH) I EL.0IaEASE•EAEMPLOYE6$ 100,000 If Y..'C Mbo urasr 1 DESCRIPTION OF OPERATIONS Mw E.L-DISEASE-POUGY UMiT 1 S 500,000 N/A OC&CRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(AOORO tei,Ada,Yanel Remerke SehnJuie,may be attached if morespaep is regolrpC} ' Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration data on the above policy precedes the issue date of this certificate of insurance). The status of this covorage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/fwdfworkers mmpensetion/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1 1600 Osgood Street Alrf HORp.ED REPRCSENTATNE r1 f`L Q .. North Andover MA 01845 Daniel M.Croy,CPCU,Vice President—Residual(.darket—WCRISNIA ©1988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ' Massach0se#s_ erl"Of Board nst uctreBusdang Regislarans an F S£a�Safefy PEnisnr 1&-gawl V s f se:CS -096462 f.. AARON .�isrzrs 5 AYAGNO A t' C�79nissioner Expiration 0710712016 7` W.. HOME IMP " Regrst ROVEME'NT CONTe%ulanon Ex n- 45385g�—RACTOR iijg Vie.SCAf�PELLO HO' A 7' AAf'O r� .MPF?OVEMENT - N SCARPEL O Ii < t„ 2MAGNOLIA AVE{� -t{1 SALEM,MA 03079 "\ f ilndersecretarg s"' Massachusetts Department of Public Safety € Board of Building Regulations and Standards License:CSFA-096462 Construction Supervisor 7&2 Family AARON M SCARPELLO 2 MAGNOLIA AVENUE SALEM NH 03079 - Commissioner Expiration: Commissioner 07107/2079 � Q CA a z 0 w i a 00 12 _ z 12 --- -- 53 - - - - g+�- t f [ I111 L Ls � = I7 � TIC . T s _s ' II � 1 P FFH F-1 .1 __ 1-c-, I J------1 w z � Jim ❑❑❑❑ w z � > EXISTING EXISTING ❑❑F-1 F-1 � EXISTING ❑❑ ❑ Q L Q � NEW A RIGHT VIEW THESE PLANS ARE DIAGRAMATICAL ONLY DATE: 8/22/16 ALL CONSTRUCTION PRACTICES TO FOLLOW IRC 2009 THIS PLAN DOES NOT COVER ALL ASPECTS OF BUILDING THIS BUILDING THE GENERAL CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL BUILDING CODES AND MEMBER SIZING _ I/4"SCALE THE GENERAL CONTRACTOR SHALL RESEARCH ZONING AND SITE LIMITATIONS PRIOR TO START OF CONSTRUCTION ALL DIMENSIONS TO BE FIELD VERIFIED AND CHANGES MADE ACCORDINGLY THE GENERAL CONTRACTOR(OR PURCHASER OF PLANS IF NO G.C.)ASSUMES FULL RESPONSIBILITY FOR USE OF THIS PLAN OR ANYPART THERE OF W F— Q f/J O t/I W IA I F NECESSARY RAISECHIMNEY v-1 ,? Ef CRICKET 12LLLI z`� -- Ell, 1- — -- d - _ _ g S I T Z L : - ICE&WATER SHIELD - _ 1 MIN.3'UP FROM EAVES - _ ? AND MIN.2'UP CHEEK WALLS g V F , iR a G& V S a - 1 t _I, 1 n, lL El L-1 FFH u EXISTING EXISTINGLn Li DECK&RAILING NOT SHOWN U z EXISTING RUEKHEAD NEW LEFT VIEW THESE PLANS ARE DIAGRAMATICAL ONLY DATE: 8/22/16 ALL CONSTRUCTION PRACTICES TO FOLLOW IRC 2009 THIS PLAN DOES NOT COVER ALL ASPECTS OF BUILDING THIS BUILDING THE GENERAL CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL BUILDING CODES AND MEMBER SIZING 1 f 4"SCALE THE GENERAL CONTRACTOR SHALL RESEARCH ZONING AND SITE LIMITATIONS PRIOR TO START OF CONSTRUCTION A- 2 ALL DIMENSIONS TO BE FIELD VERIFIED AND CHANGES MADE ACCORDINGLY THE GENERAL CONTRACTOR(OR PURCHASER OF PLANS IF NO G.C.)ASSUMES FULL RESPONSIBILITY FOR USE OF THIS PLAN OR ANY PART THERE OF