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Home My WebLink AboutBuilding Permit # 8/10/2016 ------------- BUILDING PERMIT %AORT TOWN OF NORTH ANDOVER go APPLICATION FOR PLAN EXAMINATION M Permit No#: lt)9- tad/ 7 Date Received ATED C14 Date Issued: _----- 4R1 —ORTANT: Applicant must complete all items on this page F— LOCATION Print PROPERTY OWNER k L,'JS-)-e �— 'Print' 100 Yea'r 8trUcture yes -nQ MAP PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes 70,) TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Li New Building E-1 One family i6Addition [I Two or more family Li Industrial .Miterationof units: --------P, Commercial .......... Ll Repair, replacement 11 Assessory Bldg [I Others: FJ Demolition 0 Other DESCRIPTION OF WORK TO BE PERFORMED: c-\ 2) V Identification- Please Type or Print Clearly OWNER: Name: ePhone:o n e: U Address: Contractor Name: Phone: k-l"V" -57371,"" Contractor Address: Supervisor's Construction License:— w -Exp. Date: V'L-cL Horne ARCHITECT/ENGINEER i-c--N Phone: L> "I "D Address: —Reg. No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ V V L) FEE: $, 3 3 2-- Check No.: Receipt No.: 711),61 �(.P NOTE: Persons contrac ith ure!gis ered contractors do not have access to the guar'antyfun(l, AC, i Plans Subrnitte Plans Waived ❑ Certified Plot Plan ❑ Stamped Flans TYPE OFSEWERAGE DISPo AL Public Sewer ❑ Tanning/Mas sage/Bady Ait ❑ Swimwing PooIs ❑ Well ❑ Tobacco Sates ❑ Food Packaging/Sales ❑ Pri nate(septic tank,etc. �� Permaneut Duntpster on Site ❑ THE FOLLOWING SEOTIONS .FOR OFFICE USE ONLY INTERWPARTMENTAL SIGN OFF - U FORM PLANNING DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Sinature COMMENTS �U 9 Zoning Board of Appeals �`# Zoning Decision/receipt submitted yes .Hanning Board Decision: Comments Conservation Decision: Comments Water Sewer Connection/si nature&©ate Drivewa Permit DPW Town Engineer: Signature: Located 384 Osgood Street IRE DEF�gRTMENT - �TerrrpDumpster"on site a es � z r� � aa.„� t IRO-310 I✓lre ®apartment sE�n tureldat� T ................................................................. . oven of � � _� �* 6 ndover ® No. .� _ -, � h �. . h ver, Mass, 5 1� �d C.C"e-OCK 1' 7,g °R�rEa APR,��(5 S U BOARD OF HEALTH PER Ir TW 4 Food/Kitchen LD Septic System THIS CERTIFIES THAT • � BUILDING INSPECTOR ............ .........I... ........................ .............. ..,............ .. ......... has permission to erect .......................... buildings on ... t.;x... � .... .. Foundation . Rough to be occupied asi �1�.. J .rFSjP.*:e 4 ... �, ..,. .. ..►. .,R...... Chimney provided that the person accepting thrmit sha11 in every respect nform to the terms f t eI ation pp Final on file in this office, and to the provisions of the Codes and By-haws 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. UNLESS CONST52NO Rough Service .BUIL©I�T INS ECTOR. Final GAS INSPECTOR Occupancy Permit Required to OccuiZE 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 Det. N-Amlu p K �or� rUt►�J � ° pt �7 - 7�- 5?9$ t- 4 o HuV n F otv o U t P- V. +-rc. H f ,v A\4 LAWRENCE H. OGDEN.P,E. RS.Ur-\�LrXNe E ?LA IVa R4 S'TFUF r:»O$T Iib! DA-Tkr o 198 EAST MMN STRUT GEORGETOWN,MA.OW3 978-352-8318, cell 978-502-592,1 6x6 pbgr w rr4 pA t Q JIMP500 A}aE 6 GA-PS TO L+)�-. C4Wrrk-4fVt,e, LUL TOC�ifAL k. FAi3nvDr�-'t'r� � W 5 t rh pS QPJ A•SU C6 0r+S F 1 -� 4 S l Q S 00 10 I � , cmi Co#jj &Vr 'T064114FR FAstE" F,%A$TIr.R rt— 7.A - MZ►V0 FLAB a r a w+t�F p is A04 ZX10 Li<06-aR Co+JA-)pr_7 i b e s = w i`Tr4 2. ROWS 5-5/6" C-A-sreou Mir-$T,E k i 'o NOTE CARFXULLY: SHOULD CONDITIONS OR DIMENSIONS AS DEnCTED ON DRAWINGS BE � *! ��5✓F DII�T TEiANSHOWN OR SHOULD ANY UNFORSEEN LATENT SJ k P$0/l9 3 /WC-LC COMMONS BE UNCOVERED DURING TM COUP"OF CONSTRUCTION THAT 90m $44R D T'o "PEAR QUESTIONABLE OR ARE NOT EX i 5 r'i A 1G . IVD IBJ H tom! IN COMPLIANCE WITH THE BUILDING ORDRAWINJ o l S f T M CO CNTRRACTOR IS TO GOTWV THE ENGUCKER FOR RADIAL _ CORRECTION DETAILS RF.5'0 EN C'V- l 1 i 5T0P4 MCLEAQ ( U vaU Z LAWRENCE H. OGDEN.P.E. 198 EAST MAIN STREET GEORGETOWN,MA.01833 978-352.8318,cell 9 -502-5921 c fMQQIA WITH -6 - 64 TOa 1[M-tL44. VAL IjA to t rzf'06 i SK-3 ci N GXtST IV ' _....___. _._.._._..__... Y To w �V 6T-t�u> r SI s B LISTER 513 rV I t 2 5 1 X:L L--A r F- to. -. Z.K ('Z R, L>el 2x10 t�e1 ti t Iut�tL Z" fax r14 slap A �R SpAt 9 f1117 ZxfdL4 lc R& L n� Zpt 10 9,�F7 P S W IT4 ! '� M � BE . ►?t T' 14 2 pG:rive f? r4 i 1 4-r Perr'� AND 1 't C .4'r 'ITo DS, PLATE cQuCt►��oUs V. (2 ?JA%LUV6. OF i M1MOLO STIL LAWRENCE H OGDEN.P.E. 198 EAST MAIN STREET GEORGETOWN,MA.01833 978-352-8318,ceH 978-302-5921 i? i 98 Forest Street Kevin Murphy • North Andover,MA 01845 • PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Chris&Mary Litster 112 Stonecleave Road All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8598 CC: Date: 8/10/2016 Job; Renovate second floor Date of plans: 8/16 Architect: Steve Foster Location: Same Section 1-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 8/22/16. Barring Delay caused by circumstances beyond Contactors;control,the work will be completed by 11/15/16.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III-Scope of Work Page 1 of 4 . ` &evirk Murphy Page 2 of Mdiding Contractor 98 Forest Street wwm Ardover,wmmmm PH:978-6W6335 FAX 97a68&7" General Proposal is to renovate reconfigure existing second floor, and add master bedroom over existing kitchen area. Permit will beobtained bycontractor. Plans tobaprovide byowner. Demolition Existing second floor area will begutted asrequired. Building All frmn/e, noof, and siding materials will be supplied and installed to match existing/aa shown on p|on, to meed code. Harvey windows will be supplied and installed as shown on p|ane. New interior petitions will be built as shown onplans. Plumbing Plumbing required to renovate/expand two existing baths as shown on plan,will be provided. Plumbing fixtures tobesupplied byowner, installed bycontractor. Electrical Electrical work required to wire second floor to code will be provided. General layout to be approved by owner. prior tnrough. Any surface mounted fixtures bJbe supplied bvowner, installed bycontractor, Noallowance has been made for any high def TVwiring/installation. Hmmting6AirConditioning Forced hot water heating will be added in new master bedroom area. Hent in existing second floor will be replaced/relocated ms required. Air conditioning will be provided in new master area, relocated in other areas as required. Insulation Added/renovated areas will be have fiberglass insulation installed to code. Plaster All added/renovated areas will beb|ueboardedand ehinncoedplastered. Interior Trim/Doors Pre-primed interior him and doom will be supplied / installed to match existing. Bathroom cabinets will be supplied by owner, installed by contractor. Counters toba provided by others. � Painting All intehur, and any minor exterior painting, will be provided. One coat of phmer, and two coats offinish will be applied. ! . . . K(:.Wh&Murphy Page 3of4 muflding�m�� 98 Forest Street North Andover,MA 01845 PH:978688-6335 FAX:978-6W7207 Flooring Hardwood floors will be supplied / installed and finished with three coats of oil based urethane in all added / renovated areas, Existing floors toberefinished where possible. Tile floors and shmwor/tub mmUe will be supplied/ installed in both ba8lrmoms. An allowance of$7 per square foot has been in|udedfor tile materials. Waste Removal All demolition/construction debris will bedisposed ofbycontractor. Other Allowances An allowance of$2000 has been included to supply and install glass shower door in master bathroom. Kevin Mtirphy Page 4 of 4 Builrhing Contractor 98 Forest Street North Andover,PAA 01845 PH:978-68&,5335 FAX:97868&7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ...... ... ... ....$ 111,000 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained / deposit $3000 2 Roof framing complete $25,000 3 Siding /windows installed $15,000 4 Rou h plumbing /electric complete $20,000 _._.....__ ___. 5 Plastering complete - $10,000 6 Interior trim installed $8000 7 Flooring /the complete $20,000 8 Job 1000/0 complete $10,000 Total $ $111 ,000,00 "Notice:No agreement for Home improvement contracting work shall require a dorm payment(advance deposit)of more that one-third of the total contract t prig of the total amount of all deposits or payments which the contractor must make,in advance,to order arWor otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 98 Forest Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications, and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature ;f -w,M,> Date i Signature Date r-——————————————-- —————— —————— OF-"� /--=RE maw ROOF V L SL BAT BATH BEDROOM C CL. CL. t - j CL. DOWN CL CLI MASTER BEDROOM J BEDROOM I IBEDROOM up ---Ki SECOND FLOOR PLAN UDUSMG) LITSTER RESIDENCE 112 STONECLEAVE FKM NORTH ANDOVER MA PROPOSED 2ND PL ADDITION NEIN D.H.WINDOW. - MATCH E7aSTING. ............ .. -.- - -._... RElAOATEDlNEW WINDOW UNITS FINISH 2ND FLOG _. ............. ........_ FINISH IST FLOOR{ ... -:: .... .. ........... MODIFY M7tlS1TNG SCREENER ...... .. OPOUNG(S)AS REWIRED FINISH BASEMENT FLODf2 NEW SCREENED PORCN DOOR REAR ELEVATION LITSTER RESIDENCE ,,2 STONECLEAVE ROAD NORTH ANDOVER, NSA orcw-ra oa�amw ......................... ........................ .. PROPOSED 2ND FL ADDTTION ASPHALT SHINGLES NEW MR VYINDOW. ...'.__.. MATCH OWMIG ......... .... .. NEW AWNING W7NDOM ENE SDINGTU MATCH DQ37WG FINISH 2NO FLOOR ®® ®®® ®®® E%ISTING REN UNLESS NOTW O OTEb OTHEHEF'tWI9EMAI :_.. ._. : ..._ .. FINISH HST FLOOR :...... I---- Emsmmo PROSAOE TREATED WOOD STAIRS Ll '.'.'.::'.. ... AW RAILING SYSTEM. FINISH BASEMENT FLOOR TING POURED CONCRETE FOUNDATION — � GARAGE RIGHT ELEVATION L[TSTER RESIDENCE 112 STONECLEAVE ROAD NORTH ANDOVER, MA �nacw.r-v wnxmR PROPOSED 990 PL ADDITION ASPHALTSHINGLES SIDING A TRIM TO MATCH E)GSTINO FLASH EXISTING DWELLING FINISH 2ND FLOOR EGSnNG PORCH ROOF TO REMAIN. O MaSTING RAILING PORCH PORCH OPENING OPENING FINISH'SST FLOOR MODIFY E)=NG STAIRS —AS REQUIRED --- .:._.. ...i- FINISH BASEMENT FLOOR LEFT ELEVATION LITSTER RESIDENCE 112 STONECLEAVE ROAD NORTH ANL)OVER, MA �OMl WET-P pNl Sg11{ NEW D.FL WINDOW. MATCH EXISTING D.N.WINDOW STYLE MIN.SI2E PER EGRESS REQUREMENRS PROPOSED 2ND FL.ADDMON EICISTiNG FORCH . . . .. .._ - ROOF TOREMAIN I .. SECTION B-B t _ W/LLKaN �N I' .. GLOSET iV EXHAUST FAN S MASTER HARD DUCTED TO E)CTERIOR �.. - BEDROOM NEW AWNING WINDOW'S(3) - I 1 we B TH * BATH `� U7,01, © {q O b's E7ISTIKG WINDOW TO RETNUFI. BEDROOM SINKrVANrKS A Y CL. 0 VAN TY vANrrr NEW D.N.WIINDOW. MATCH EQNG V.LF.K%J.WAY W IM. STI EXISTING STAIRS RAIiBJG TO REMAIN $� .n HALL Z C� 9 CL. DOWN EXISTING WINDOW W T013T M REMAIN a 7-W NEW WALLS SHOWWN SFIADED EXISTING NKDOW TO REMAIN. riN BEDROOM BEDROOM � f EXISTIKG UNSNADM ATTIC x v WALLS TO REMAIN E7ISTWp(5)4VWDOYV9 T FRONT WALL TO REMAIN SECOND FLOOR PLAN (PROPOSED) LITSTER RESIDENCE 112 STONECLEAVE ROAD NORTH ANDOVER, MA �w-r•a axrnr NOTE REFERENCE DRAWINGS SK-1,SK-2 SSK-3 DATED 7.28.78 FOR ALL STRUCTURAL COMPONENTS OF THIS RBMATION. RIDGE VENT AS REQUIRED 2XIOAT1(.O.C. MP SYSTEM'ROOF SHEATHING R-49 INSULATION. ASPHALT SHINGLES(MATCH EXISTING) TYIPCAL ALL Ct7LTNGR 2XS AT18'O.C, TYPICAL EAVES DETAIL FASCIA&SOFFIT TO MATCH EMSTING 2 X 8 AT 18'O.C. PROVIDE SOFFIT VENTING AS REQUIRED DOUBLETOP PLATE TYPICAL INiERIORWAIL: METAL DRIP EDGE 2X 4 AT 18.O.G. ICEIWATERSHIELD GWI3 EACH FADE TYPICAi.EX7BT[OR WALL' FLASH SIDING TO MATCH ETIST'IN = ETGSTING PORCH ROOF STFd1CTURE O BUILDING WRAP = W 'ZIP SYSTEW SHEATHING - 2 X IIAT 18'O.O.NSUEATIOW MASTER _ p VAPORBARFUMBEDROOM CL. a ° (NEW) trKEwl _ NEW BEAM NG BEAM FINISH 2ND FLOOR Z STINGIOTC IEN WAIAS i ,tolsi HANGERB W 2X 1G�78'O.C. 1M G(T.PLYWOOD KITCHEN FUJO CAVIrr FULL STIPORCH NG DEPTTi I INSULATTON. (EXWn G) I FINISH 1ST FLOOR EXEB71I1G KITCHEN FLOOR i 3 PROVIDE SUPPORT POSTS TO EXISTING FOUNDATION. ! TYPICAL EACH EW OF BEAM. V-11' GARAGE ( aSTKNG) EXGSTING GARAGE FINISH BA.SE:MENT FLOOR FOUNDATION WAIT' SECTION S-B NMRI LITSTER RESIDENCE 112 STONECI..EAVE ROAD NOKM ANDOVER, MA raw-r-r eoerur E - i 3 idel ENTERGY CONSERVATION /,PPLICATION FORIA FOR L0VV-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CNM Appendix J Applicant Name: Site Address: V LIJI-L—IL P',UU1 Uss. f-p VI" U J t-y-/T own: Use Group: Date of Application: Applicant Phone: 4,n47- ilk-53 3 Applicant Signature: Compliance Path (check one): 0 Prescriptive Package(Limited to I- or 2-family wood frame buildings as heated with fossil fuels only) Package(A through KY,from Table J5.2,1 b): Heating Degree Days (HDD65) from Table J5.2.1 a: (For items d, through i,fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area] sq.ft, g. Floor R-value R- c. Glazing % (100xb-a) % h. Basement wall R- d. Glazing U-value U_ i. Slab Perimeter R- e. Ceiling R-value R_ j. Heating AFUE 0 Component Performance: "Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) D Zone 12 Q Zone 13 El Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable) F-1 MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher) F-1 Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered i;vfp� st-ed .architect or Engineer Analysis A-LTERNATIVE FORADDITIONS ONLY: a. Truss Wall +Ceiling Area 6 64, sq.ft. b. Glazing Area].j.,k.? �sq.ft. c. Glazing% (100 x b-a)❑ % kDDITION with Glazino, % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: or Basement Wnll I f3lah Perimeter,Depio 0.34' -37 9 R-10 -- [P --l-R-10.4 ft I Glazina-Area may be either Rouh 0pe`ntifi,6"6.-Unit dimensions, 2 Bused On NT-RC Applies either to every unit, or to area-weighted average of all units. R-30 ccilijil- in...ulation .-nay be used in place of R-37 if the insulation achieves the full R-v._h1e ever the C-idrf, Ceiiin-area notI Dver(,aeriorv,alls, and h)cluding any access openings.) ti -iddition (oTeater fhan 40% glazinig-to-wall and ceffing gro,,,s til oa) ,'It adl _!_X.,M1rner hl-P)imn J oil Form" from 780 ChfR.2.pp,.;mdiX 13, The Coninionwealth of Massachusetty Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 kvi ;,vivw.masggov1dia Workers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PEPJV1ITnNG AUMORITY. ADr)flc2ut Information Please Print Leg e JbI Name (Business/Organization/Individual): Address: CiyState/Zip: �,Tv , (h Phone#: Are You an employer?Check the appropriate box: 1.0 lama employer with em loyces(full and/or Type of project(required): p 7. El New construction 21]1 am a sole proprietor or partnership and have no employees working for me in 8. 19 Remodeling any capacity.[No work=s*camp.insurance required.) 9- F1 Demolition 301 am a homeowner doing all work myself.[No workers'co insurance rcqtdrcd,l t 4-E]I am a homeowner and will Inc hiring contractors to conduct all work on my property. I will 10E]Building addition ensure that all contractors either have workers'compensation insurance or are sole- 11.0 Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 50 1 am a general contractor and I have hired the sub-contractors listed on the attached slice!, Tbcsc sub-contractors have employees and have workers'comp,insurances 13.n Roof repairs 6.n We am a corporation and its officers have cxcrcL-cd their right of exemption per MGL c. 14.E]Other 152,§1(4),and we have no employees.(No workers'comp.insurance required.] `Any applicant that checks box ft I must also fill out the section below showing their workers'couipcnsation policy kfbrmation- t Humeowticrs who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. 1COOMctors diat check this box must attached an additional sheet showing the name Of the sub-contractors.and state whether or not those entities have c-PIOY-- If the sub-contractors have employees,they must provide tbcir workers'comp.policy Dumber, am an employer that is providing workers compensation insurance-for my employee__s. Below isthe policy and job site information. Insurance Company Name: J, Policy#or Self-ins.Lic. n Expiration Date Job.Site Address: C." City/State/Zip: KA Attach 2 copy ofthe 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 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 Off-ice of Investigations ofthe DIA for insurance coverage Verification. I do hereby certify"der the pains and penalties of perjury that the information provided above is true and correct. O„Jj`acaal use only. Do not write irr this areas to be completed by city err town offaciai - City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/ own Clerk 4.Electrical Inspector S.plumbing Inspector 6.Other Contact Person: Phone 9:-. DATE(MMT]nTr ) " CERTIFICATE OF LIABILITY INSURANCE 7/11/2016 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURFR(S),AUTHORIZED REPRESENTATIVEOR PRODUCER,AND THR CERTIFICATEHOLDER. IMPORTANT:It the certificateholder Is an ADIJITIONALINSURED,the pollcy(les)Yust have ADDITIONALINSURED provlslonsor be endorsed. It SUBROGATIONS WAIVED,subject to the termsand condif ionsof the policy,certain policiesmayrequiman endorsement.A statementan this certlNcatedoesnot confer rights to the cerliNcstehulder in Rau of such on forsement(s). PRODUCER NAME CT Sandi Munroe M P ROBERTS INS AGCY INC PHONE LAX. (978)683-3147 AG,Ne,E,: (978)683-8073 106y0 Osgood Street DRESS : sandi@mprobertsinsurance.com North Andover, MA 01845 INSURER(a)AFFORDING COVERAGE NAIC# INSVRERA: MERCHANTS INSURANCE INSUREDKEVIN MURPHY BUILDING & REMODELING INsuRERB; GUARD INSURANCE 98 FOREST STREET INSURERC: NORTH ANDOVER, MA 01845 NsuRERD: INSURER E INSURERF: ;OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWHHSTANDING 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, EXCLUSIONSANDCONDITIONS OF SUCHPOUCIES.UMITS SHOWNMAY HAVESFENREDUCED BY PAID CLAIMS. i TYPEOFINSURANCE ' POLICY EFF POLICY EXP Inm POLICY NOIABER LIMITS X COMMERCIAIGENERALLIABILITY EACI OCCURRENCE S 1 000'40 0 CLWM53M0'c 1 A F OCg1R PREMISES Ea oawraiuu $ 50 �Q 1� BOPI068945 11/22/15 11/22/16 AIED ExP fAnY�nn P«�na> s 15x000 , A PERSONAL&ADV INJURY $ 2,000,000 � INC/L�UDED GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY J� LOC I1000t:T5-COMPIOPAGG $ 2,0001000 S OTHER: y /� 3 AUTOMOBILE LIABILITY COMBINEUSINGLEOW S 1,000,000 I ANYAUTO BDDILYINJIIRY{Per person} $ OWNED SCHEDULED MCA7013608 01/23/16 01/23/17 I A AUTOS ONLY X AUTOS BODILY INJURY{Peraaldont} $ HIRED NOI-0 NED PROPERTY DAMAGE $ I AUTOS ONLY AUTOS ONLY PH flcUtlenl I $ UMBRELLA If OCCUR EACH OCCURRENCE $ 1,000,000 A X EXCESS LIAR CL IMS-WDE AGGREGATE $ 1,000,000 DED X RETENTION $ 1a QQO CUP91.45304 11/22/15 11/22/16 s WORKERS COMPENSATIONS PER OTFk OYERS'LIABILITY STATUTE AND EMPLER _ YIN 500,000 B ,mcEsv�r"�mm�mnnw.cecvnv� � E.L.—HACCIDENT r 11M�1 NIA KEWC726509 ii lMendatoryn NHl rV ^^•If/C726509 O7/01/16 O�/O�.I17 EL.DISEASE-EA EMPLOYEE $ 500,000 Ify-,d—dbeunder 500,000 I� DESCRIPTION OF OPERATIONS hefnrr 13.1 mSEASE-POLICY LIMIT $ V h DESCRIPTION OFOPERATIONS I LOCATIONS 1VEHW1ES(ACORU 10t,Addifimat Remarks Schedule,may aealtaehed N mxe spans Is rupi d) �9 p0. Il u CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER 1 600 OBGOOD TrErle SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATFON DATE THEREOF, NOTICE WILL BE DELIVERED M NORTH ANDOVER MA 01845 ACCORDANCEWITHTHE POLICY PROVISION& AUTHORRED REPRESENTATIVE 1 I. ©19BB-2015 ACORO CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public safety Board Of Building Regulations and Standards License: CS-053099 Construction Supervisor KEVIN W MURPHy 98 FOREST ST NORTH ANDOVER )j,M Ilk Commissioner Expiration: 06/2-9/2017 Office 9f C011sumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR � Registratilow.. '101874 Type.- Expiration- 6129720.78 Individual KEVIN MURPHY Kevin Murphy 98 FOREST ST. N.ANDOVER. MA 01845 Undersecretary