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HomeMy WebLinkAboutBuilding Permit # 9/15/2016 ®f IAORTH.1 BUILDING PERMIT $ `•s°� i TOWN OF NORTH ANDOVER ` APPLICATION FOR PLAN EXAMINATION Permit NO: i Date Received a , ' 3F .p`' 4SS'ACH445�t Date issued: I� P4R 1V =A licant must com fete all items on this page LOCATION 1 � t � _�� 4 Print PROPERTY OWNER AI IId L 4 pr nt MAP NO: PARCEL �:_ ZONING DISTRICT.�Hls=odc District yes Machine Soar Village yes ncr =ration PROVEMENT PROPOSED USE ; Nan-Residential Residential ilding iOne family 3 ' wo or more family Industrial on Na.oCommercial replacement ry gOthers: Assesso Bldtion Other Well -Floodplain WetlandsVYaterstted Districto Sewer 3 Identification Please Type or Print Clearly) aPhone Z(-( 339 OWNER: Name: Address CONTRACTOR Name: one: ( z ti l I iz : Address: . f_ it-d-11 L12- - 'XI- L`" u isor's Construction License: � Exp. [date. n JOS Florae Improvement License: L � Yi Exp. Date: � x ARCHITECTtENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDtNG PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. V Total Project Cost:$ 5- FEE:$ g Check No.: 4 . : Receipt No.: OTE: Persons contracting with unregistered contractor's do not have access to fhe guaranty fund i rte � Signature of AgentlOwner i r fir' nature of contract � � _ Plans Submitleed I Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERt1GE DISP Public Sewer TanningassagoBodyAtt ❑ SwiwningPools L1 Wel ❑ Tobacco Sales ❑ Food PackaginglSales Q Private{septic tank,etc. ❑ Permanent Dumpstox on Site ❑ l THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL S[GN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On S/11/1& Signature_ jJ t cOMMENTs_ /l�� V CONSERVATION Reviewed on O ti' J i� Si nature COMMENTS -43 QNt c-35-N_5 HEALTH Reviewed on Signature COMMENTS N� I Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submit'ed yes_ Planning Board Decision: Comments Conservation Decision: Comments Wafter&Sewer Connection/SDate Driveway Permit DPW flown Engineer:Signature: Located 384 Osgood Street �FIR)=tDE§PpRv�Temp Dulnps e� Located at��4 Main Street z �� � Ft e�Uepartmen`�stg f rPldate-- "�-�" � ��., Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: ELECTRICAL:Movement of Meter location,mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1o0-s100o fine NOTES and DATA-(For department use) 2 QEDCL luj�4 �S gfor Email iDate Time Contact Name Doc.Buildiag Permit Revised 2014 Town of ,tA40RT Andover 9''s ''� No. Ali- J1017 h ver, Mass, BOARD OF HEALTH Food/Kitchen PERMIT T ILD Septic System THIS CERTIFIES THAT......... .................................... BUILDING INSPECTOR has permission to erect.........................buildings on..... V Airc Foundation .......................................I............ ........................... to be occupied as....CA-it".im.....brok Rough .....3se.o.wiv .........(A..)K4�.It. Chimney 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR C N STAR Rough Service .... ................... Final BUILDING INSPECTOR GASINSPECTOR Occupancy Permit Reeuir ed tv Occupy Building 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 Cat. 9f— Nkyl t.L 1JIUC )- —� z "I" c;-WZ--,1 just- Vincent Brandolini Haverhill,Ma 01830 111Q��C (�(�rnn (978)265-6936 u QI!�JIStlLAJII B rwn do°;r ir-on, a -o.sFr , �®Lh.1c�?13 LI MMOM M W W SL#107805 cons#1579 n.com CSL#107805 MC#151949 CONTRACT IlWe the owner(s)of the premises mentioned below,hereby contract with and authorize Brandolini Construction to furnish all the necessary material,labor and workmanship to install,construct and place the improvements according to the following specifications terms and conditions on premises below described with reference to which IIWe warrant the IIWe are the record holder(s)of title: FOR:Audrey Martino Job Address:141 Autran Ave. (508)265-3541 North Andover,MA Scope of Work: • Remove existing deck from side of house • Frame new three season room approximately 12'x 12' • Frame deck off three season room at same level also approximately 12'x 12' • Install new electrical on ceiling&walls of room • Install Harvey double hung windows on three walls of three season room&fix units inside top of gable as discussed Install door to outside(to discuss with customer what type) • Install storm door over exterior door entry • Install insulation in walls&ceiling to meet code • Install spray foam insulation under floor of roof • Install sheet rock on walls and tongue and grove pine on ceiling of three season room • Install pine trim around windows&doors. • Install new file floor(allowance of$4.25 per sq.foot,if customer picks higher end file additional charges will be applied) Roofing: • Install 611 of ice&water shield on entire perimeter(sides)of roof,3'up all rakes,and valleys • Install Ice&water shield around any roof transitions or roof penetrations • Install breathable synthetic underlayment on remainder of roof. • Install new 8-inch white aluminum drip edge around entire perimeter of roof,then apply 6"strip of ice& water shield over exposed edge of drip edge. • Install new pipe flanges around any vent pipes. • Install new Architectural Tamko roof shingle(homeowner to choose color)nailed to roof surface in hurricane nailing pattern. • Check ridge vent for proper ventilation and cut as necessary,&install a new shingle ridge vent. • Clean job site on daily basis and run magnet around entire house to minimize nails left behind from roof, removal. • Install new siding(to match existing the best possible)and tie into house • Install Tamko decking on decks • Install white composite painted rails around deck • Enclose two sides of deck&3-season room using solid azek panels and PVC trim,leaving back side open for access&storage • All footings will be installed as needed to meet code. Total Contract Price and Payment Schedule: In consideration of the labor and materials furnished by the contractor,the Owner(s)agrees)to pay the contractor the sum of:$38,975.00 Payments will be made according to the following schedule: (1)Down payment of$15,975.00 and(2)$14,000.00 due upon 50%completion and(3)$9,000.00 Due upon final completion. Start&Completion dates are only estimated and contractor will not be responsible for reasonable delays It shall be the obligation ofthe Home Improvement Contractor to obtain such permits as the Owner's agent. The owners who secure their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty find provisions of MGLC,124A. All verbal agreements between owner and contractor or their authorized are null and void. Any alterations or deviations on the specifications listed above involving extra costs of labor will be furnished and performed only upon written order and will be in addition to the cost price of this contract. All work performed by the contractor is fully covered by workmen's liability Insurance The Owner(s)hereby certify(ies)that He/She has read this agreement,that the terms and conditions and the meaning thereof have been read and fully understood. If a dispute should arise under the terms of this contract,the owner(s)shall bear the expense ofthe contractor's attorney fees and costs unless the contractor is at fault. Subcontractors–The contractor agrees to be solely responsible for completion ofthe 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 labor under this agreement. Contractor Acceptance–Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contractor shall not imply that any lien or other security interest has been placed on the residence. • 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 by ordinary mail posted,telegram sent or by delivery,not later than midnight ofthe third business day following the signing of this agreement. Accepted by: U�� 1k� u — Authorized o fe.r signature Date Contractor: Co actor Signature Date L ACCEPTANCE.This agreement is expressly limited to and made conditional upon your acceptance efthis terms and conditions.Anyofyourtermsandcortdiuom whicharein mkfitl n to or different from those contained herein which a re not Separately agreed to in wrift freampt additional provisions specifying quantity,description of the products ofw mclered herein and shipping instructions)are deemed material and are hereby objected Wand rejected.You waive your objection to any terms and conditions contained herein If Contractor does trot receive written notice of your objection within 10 business days ofthe date of this agreement.Youwlllinanyeventbedeemedtohave ssenTed to all terms ande—ditars contained herain if any part ofthe productsar work describe herein are provided or performed.Pleasermteparthulariythefimited warranty,limitation of remedies and limitations on actions and liability provisions set forth below.You acknowledge that the prices Stated are based on the enforceability of these terms and conditions,and on the limited warraty,Uoulallon of remedies and limitation of actions and liability provisions below,thatthe price would be substantially higher R the cormactorcculd not limit IS liability as herein provided,and that you accept these provisions in exchange for such lower prices. 2. LIMITED WARRANTY.All work performed by contractorI,—tented to be free of from defects In material and workmanship for oneyearfman the date ofcompletion ofthe installanonsubjecttothetenosbelow.Contractor makes no wanantles regarding products said but assfgns to you anymanufacture warranties relating tothe products.THIS slr y ! 3 i � r /t 07 X 10 WAD v o 7Ax?! l 6C B-< ,n7C thy Or, : i,iNL•-,'r!%� tom"/`, f,` '',.FJ es ,e.F..AA' �tl dr57 ANS MIS TO 8 r' �� ,�;,_ �1 4-VI NA" J 17tf V✓r;t.5: 7� r .rte f�G.L i r } i .._.... _ _ -T I aI i I t 7 _ r f f i 1 i ��r I if �i ' I I i t o. i I ff i 1 i 1 1�J f .. - _ �� I ry _ _ _ .,._ _.. .-...._. _..._. __ .,__. _.. ...._,._. _ _. .. _ ._ _�, ..�_. __. .,._ .._.. . _.. - I, � i l i _ ... _ _ __:._ ; a ,; �a �i`I f � �-` V �'r „-i L? G1J,�rvf t,v r J99 � 4 i r I r I� i I r r �3by. t� 16ry L' North Andover ear +y%»® k MA k � ® ,as ~ ` ° >e. . . - - OF T f. - _ \} } - . 52 z- _. , ____� z � y. „ , � «=a; . 1` North Andover MIMAP May 2,2016 etaz -€�o A acne N'eDue ST l x`=-£ G45.F-0003 F2.4-0€350 100 ADAMS 045:F-0.311 102 ADAMS AVE 126 ADAMS, 022.0-0010 124:ADAPTS AVE 135 AUTRAN:AVE 022.0-0021 045:[}-0006 -422.0-0011141:AUTRAN:AVE139.AUTRAN AVE R 022.0-0457 - ;p,E{an aVenu 327'WOOD LN 045:F3-4416 �fy 022.0-0081 O aQ. � 045.[3-0171. g38 AtSTRAN:AYE 140 ADTRAN AVE 023.4-0041 317WOODL . 5. —l:seafe c., s mpaf.m nApsa. HSc*cU IU CP ti? 'frx dt 'y a. =9ccU Smart cpu.h{90 p=_aelcpm�m O st Q � '$ or We.pry. raO tl TH TO6N OF M1CRTH ANDOVER ns ::Hyc{e,tpAc Fea.Fres vek+Amef{Oa' SNO4�RRAhTiES ExaR£SSEp OR(AfPl1Ep,CONCEWt6vG CURACY1THE.COMPLETENE55 RFLNBtUTY OR SU TAB LkTY Farces - 1 r U.$ TY ASSUgA EO WTHO 415 FANYtTHHE USE OR kUSUEE OF "t .a't X ORMATION— Exem'.IaAs Nct cs2p�sr<t �$$,u 1"=44 ft µ The Commonwealth of Massachusetts Department oflndustrialAceidents Wworkers' 1 Congress Street Suite 100 Boston,MA 02114-2017wwwmassgovldia Compensation Insurance Affidavit:Builders/Contractors/ElE lectricians/Plumbers. TO BE FILER WITH THE PERARTTMG AUTHORITY. Applicant Information Please Print Le 'bl N2rne(BnsinesJOrganizationttndividual): 1 f Address: CQ I�Ifil11 DYl O t-H 1 k f-0 1 City/State/Zip:�'� t Nd 1 Phone#: t q�) E& -03tP Aro you an employer?Check the appropriate box: Type of project(required): l qn4 am a employer with-_ employees(full and/or pad-time).a 7• ❑New construction 2.❑I am a sole pmprietoror parhrership and have no employees working far me in $• '..Remodeling any capacity.lNo workers'comp.insurance required.] g. El Demolition 3.F1I am a homeowner doingallwrork myself[Naworkers'emap.humanco required.]t - 10(]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct alt work an my property. twill ensure that art contractors either Ixavo workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietorswith no employees. 12.❑Plumbing repairs or additions 5. I am a general contraetorand haw ave hired the sub-contractors listed on the attached sheet. ❑ t 13.❑Roof repairs These sub-contractors have employees and have wrorkers'comp.insurance. 6.E]We are a corporation and its offrcers have exercised their right of'exemption per MGL c, 14.❑Other 152,§1(4),and we have no cmployeas.[he workers'comp.insurance required.] =Any applicant that checks liox#I must also hll out the section Uelow shaving their workers'compensation goliey infinnation. - t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors 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.Ifthe sub-contractors have employces,'they must provide their workers'comp.policy number. - -rain an employer that ds providing workers'compensation insurance for my employees. Below is the policy and job site information. yy �_ � ��// Insurance Company Name: \ A a..& t1l �Sd.JC�'e-�1—AY—1 Policy#or Self-ins.Lic. ExpitaYion Date: Sob Site Address: J (( T_( ?_ Q CityiStaYe/Zip:_ /� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under AdGL 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 oft,STOP WORK ORDER and a fine 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. I do hereby eertif upder theirins and enables ofp rjmy that the information provided above is true and correct. Si nature: Date: _ Phone#: Official use only. Do not write in this area,to be completed by city ar 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 b.Other Contact Person: Phone#: 09-07-'16 10:38 FROM- 9785572130 T-305 P0003/0003 F-299 ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMOD YYYY) i 0910712016 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,PXTEND 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. It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this cortlflcato does net confer rights to the certificate holder In lieu of such endorsementle). CONTACT Krista McMahon PRODUCER NAME: PHONE 978 688-6629 cNol:' MICHAUD,ROWE AND RUSCAK INSURANCE ASSOCIATES,INC. N �. aro &s: kmcmahon@mn-insumnce.com P-O-BOX 188 INSURERS AFFORDING COVERAGE NAIG# NORTH ANDOVER MA 01845 INSVRERA: ACE AMERICAN INSURANCE CO 22667 INSURED IxSU RB: BRANDOLINI CONSTRUCTION LLC xsuRBRc: IxsuREa D: 6 PROVIDENCE HILL ROAD INS ER E I — ATKINSON NH 03811 INSURER FI `COVERAGES CERTIFICATE NUMBER: 82800 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE 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 ADDLEU POLICY EF P cY EXP 'D� TYPE OEINSURANCE POLICY NUMBER MMA} IMMID COMMERCIAL 09NMALUABILITY EACH OCCURREN✓G !S CLAIMS-MADE OCCUR I PREMISES Ea ASAurcence !$ MED EXP{Ju1Y ere pereat) $ N/A (PERSONAL&ADVINJURY $ I GEVL AGGREGATE LIMIT APPLIE&PER: ( GENERALAGGREGATE_ $ C PRO- 1 LOC PRODUCTS-COMPIOP AGG S POLICY JECT OTHER: I AUTOMOBLELIASK-HY OMCBINEDLSINGLE LIMIT $ BODILY INJURY(Perperacn) $ ANY AUTO - - -- ALL OWNED SCHEDULED N/A 1 BODILY INJURY(P.-ceAem) S PROPERTY DAMAGE AUTOS AUTOS NONAWNED (Par accidaas)_ $ HIREDAUTOS AUTOS f I $ —_ UMBREMALIAB I OCCUR I EACH OGCVRRENGE S Excess UAB CLAIMS-MADE WA I AGGREGATE S DEQ RETENTION$ ( $ WORKERS COMPENSATION ( PER OTH- AND C-MPLOYFRS'LIABILItY � STATUTE EJ YIN; E.t_FACHACC(DENT I $ 100.000 A.Y WROPRIETORfPARTNERlEXECUrIVE A OFFICERtMEMSEREXCLUDED? N/Ai N/A NIA. 6S62UB4511P55616 03/2712016103/27/2017 EL,DISEASE-FA EMPLOYE $ 100,000 (Mic, l-y in NII) UN yes,de9 under IONS DISEASE-P0UCYtJMIT S 500,000 DESCRIPTION OF OPERATIONS pelew NIA DESCRIPTION Or OPERATIONS I LOCATIONS l VEHICLES(ACORD 101,A"N"01 Remadrs fthTule,may be eeateed amore apace is required) Workers'Compensation benefits wdl be paid to Massachusetts employees orgy.Pursuant to Endorsement WC 20 03 06 B,ne 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 Massachusens. This certificate of insurance shows the poiiCy in force on the date that this certificate was issued(unless the expiration date on the above policy precedss the issue date of this certificate of insurance)- The status of this coverage can be mani orad daily by accessing the Proof of Coverage-Coverage Verification Search toot at wvrw.moss,govliwd/workerscompensation/investigations/. .CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE QESCRIBED pouciES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Town of North Andover 1600 QSgOOd Street AUTRORIZED REPRESENTAIDVE North Andover MA 01845 DanietM,Dr y,CPCU,Vice President-Residual Market-WCRIBMA Q 1988.2014 ACORD CORPORATION.A8 rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 09-07-'16 10:38 FRO{- 9785572130 T-305 P0002/0003 F-299 '`�CQRp CERTIFICATE OF LIABILITY INSURANCED09/0712016 �---''� oaro7rzal s 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 poricies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsemen s. 1 PRODUCER CONTACT Michaud,Rowe&Ruscak I Michaud,Rowe And Ruscak Ins. NAME: P.O.Box ISO PAt"OCNNa :978 688 8329 1aArc Ma:978 557 2130 North Andover,MA 01845 E-MML s: Michaud,Rowe&Ruscak ' INSiJRER3 AFFORDING COVERAGE � NAICk INSVRERAt RIVer ort lnsuranc®Co � INSURED Brandolini Construction LLC WSVRER e:Hanover Insurance ComAa Y n j 122292 6VincentProvidence Hill INSURER c-Essex Insurance Company 39020 6 Providence H)II Road Atkinson,NH 03811 INSURERO: _ I M URSR_B: 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. I RLITSRR TYPE OF INSURANCE i D POLICY MBER MWD MMNQ� LIMITS C X COMMEROiALGENERALUAIII-ITY f CR OCC I $ 1,000,00 C.AudS-bUOE OCCUR I 3ED4968 02729/2016 02/26/2017 PR ES Ea ecai ai S $0.00 I MEDEXF(ArN—p— iS 1,00 IT"ONAL 4 ADV INJURY $ 1,000,00 GEN'LAGGRECATEUMtT PPPUES PER: GENERALAGGREOATE S 2,000,0 X POLICY PECQ LOC PRODUCTS-COMP/OP AGG.$ 1,000,00 OTHER:AM $ X"UMoeaE 7"'Y €MeIRm Swo's— g 1,000,00 B X ANY AUTO AWNA81997400 F0110512016 01/05/2017 SODCYINJURY(PCrp..* 3 R ALL OWNED SCHEDULED AUTOS NON-OWNED i BODILY INJURY(Per axidettt) E HIREDAUTOS AUTOS PROPERTY DAMAGE ' $ I ' $ i VMBRELLA Lbta OCCUR EACH OCCURRENCE I $ ExcESs UAB eLgrMS,A,gDE AGGREGATE DED RETENTION WORKERS COMPEJVSATON AND,EMPLOYERS'LUaltm' X PER £I A UMy RCERIIMEBERI MLUDR/E7(EGUTIVE YIN C-28.83-00702$-00 0110512018 01/05/2017 EL.EACHACCIDENT i 5 100,00 OFFICERANEMBER EXCLUDED't ]NIA �,yy {Myyanda�ary N NMI I INH WC EL.DISEASE-EA EMPLOYEE$ 100,00 t0 SCRiPTI NmFOFERATIONSM— ELDI9EASE-POLICY LIMIT $ 500,00 f I DESCRIPInON OF OPERAT10NS/LOCATIONS!VEHICLES(A00Ra lei,gperyanel Remadrs Sebedulq may ba attacneG if mare apace ie regaGcdl - I j CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of North Andover E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1600 Osgood Street North Andover;MA 01845 AUTNORQEDREPRESENTATIVyEq p /j 01988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD License or registration valid for individul use only -.._.Offc f Consumer Affairs&Rosiness Regulation before the expiration date.If found return to: HOME IMPROVEMENT CONTRACTOR Type office of Consumer Affairs and Business Regulation :Registration: 157949 10 Park Plaza-Suite 5170 Expiration:= 11116/2017 DBA Boston,MA 02116 BRANDOLINI CONSTRUCTION VINCENT BRANDOLINI 1 f _ 109 DILE ST -�'—" �Not valid without signature HAVERHILL,MA 01830 Undersecretary CS,107805 VINCENT BRANDOLINI '.. 109 GILE STREET - Haverhill MA 01930 02/05/2018 N/F N/F ROBERT McCECAN RONALD HEBERT 138 WF \0 1,32. 0' Jr wr 7 1 1 PROPOSED 14' X 10' A)OD DECK , WF 8 (PROPOSED R ION' CONTROL (TYf SUPPORT POSTS BEY01 D 50' BUFFER I0 142 EXISTING WOOD 10' X 15' DECK ENCLOSE FOR 3 SEAS, N ROOM 21.3 25.0' — WF 17 0 2 STORY W.F.D. p0 W 10N/F U T L UNIT R % � DANIEL JAQUES #135 l \ 7 wr # 14\1 . # 139 TERRY COOK #133 WF I )d Nl��l N/F '\% -11 o. SUSAN OLSON 144 �12 24" HOPE DRAIN OUT INV. 136.80 WF RIM 141.3 C.B 0 DM 140.7 EOP _BUTE C.B. 140- 14 , TR AN (PUBLIC 50') AVENUE 50'BUFFER N/F SVETLANA GRIMAYLO #140 GERALD CASALETTO #138 NOTES LEGEND: i. EROSION CONTROL TO BE 1' DIAMI. "SILT SOCK" STAKED IN PLACE AS PER PLAN, PRIOR TO START OF WORK. 0 IRON PIN OR PIPE 2. 1EROSION COTROL SHALL DEFINE THE LIMIT OF WORK. NO WORK 0 C.B. CATCH BASIN BEYOND THE BARRIER. WF IW WETLAND FLAG 3. ALL DISTURBED EARTH SHALL BE GRADED , LOAMED, SEEDED EOP EDGE OF PVMT. AND MULCHED AS SOON AS POSSIBLE 4. EROSION CONTROL TO REMAIN IN PLACE UNTIL APPROVED QD DMH DRAIN MANHOLE ESTABLISHMENT OF VEGETATION. WETLAND AND BUFFER 5. INTERMITTANT SWALE AND WETLAND FLAGGED BY DR. GREGG MOORE, ZODIAK ENVIRONMENTAL MAY 2016 —138 EXIST 2' CONTOUR —x— EROSION CONTROL PLOT PLAN OF LAND AT 141 AUTRAN AVENUE ICERTIFY THAT THIS LOT IS NOT IN THE F.E.M.A. FLOOD ZONE, NORTH ANDOVER, MA. AND THE BUILDINGS APF LOCATED AS SHOWN. MAY 31, 2016 Baa AS DRAWN FOR: SCALE: 1" 20' AUDREY MARTINO DEED BOOK 4304 PAGE 14 ROBERT ALA4 1 141 AUTRAN AVENUE s. AREA 0.24 AC. 0 MASYS NORTH ANDOVER, MA. PLAN J406, E.C.N.R.D. No.2S1,74 ............. REV. SEPT. 13; 2016 ASSESSOR PARCEL # 210/022.0-0011-OOOO.L L R--A JIM ZONE.- RES. 4 IL 450 Z*. -13m 15*cvmmwt Afinvadwaseft 01830 R BERT A.14ASYS,AE. VAXO"VA-71*11