HomeMy WebLinkAboutBuilding Permit # 10/5/2016 tAORTH
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BUILDING PERMIT
TOWN OF NORTH ANDOVER °
APPLICATION FOR PLAN EXAMINATION ,� ,.
Permit No: 3(4'7` - ")--o. I Date Received ��; �. � * Q�
5 S�ATOO �
Date Issued: '�
IMPORTANT: Apphcant must com lete all items on this page
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1J BOARD OF HEALTH
PERMIT T Food/Kitchen
LD Septic System
'HIS CERTIFIES THAT ..................Y4.��.......�. 6. .......................+.. .... . ...... BUILDING INSPECTOR
as permission to erect .......................... buildings on ....... ..�......................................
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rovided that the person accepting this permit shall in every respect conform to the terms of the application
n file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final
'onstruction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
IOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MOTS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TS Rough
Now.'... -Service
BUILDING INSPECTOR Final
GAS INSPECTOR
Occupancy Permit„Required t® Occupy Building
Rough
Display in a Conspicuous Place on the Premises = Do Not Remove Fina'
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke bet.
MASSACHUSETTS HOME IMPROVEMENT CONTRACT
Homeowner Information
Dean and Laura Bates
26 Woodbridge Rd.
N. Andover, MA 01845
978-988-9261
Contractor Information
Turner Carpentry CSL# 108738 EXP 10/17/2018
Ryan Turner HIC # 178626 EXP 5/5/2018
17 Baypoint Ln. Tax ID 46-4976419
Haverhill, MA 01835
978-478-7756
WORK TO BE PERFORMED AND MATERIALS TO BE USED
Work to be done by contractor:
Remove and replace 2 exterior door. Install 2 double hung windows. Frame all walls to spec for
windows and doors being installed. Open wall to kitchen and install Beam per engineers specs
being provided by homeowner. Insulate walls and ceilings as necessary. Hang drywall only. No
taping or finishing.
Materials to be used by contractor.
All materials to be supplied by homeowner.
Work Scheduled To Begin 10/20/2016 on or around
Expected Date of Completion: 11/20/2016 on or around
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
The Contractor agrees to provide the work, furnish the material and labor specified above for the
sum of$3,379.83
Payments will be made according to the following SCHEDULE:
$1,115.34 Deposit before work is started.
$1,149.14 Due after framing and windows are complete
Balance of$1,115.34 due upon completion of the contract.
In order to meet the completion schedule, the following material/equipment must be special
ordered before the contracted work begins:
Doors,windows,beam
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
.Dan.6akl*�15 ....�r
Customer's Signature Contractor's Signature
Dean Bates Ryan Turner
Sep 20, 2016.
9i2012016
Date Date
You may cancel this agreement if it has been signed by a party thereto at a place other than
at the address of the seller,which may be his main office or branch thereof, provided you
notify the seller in writing at his main office or branch by ordinary marl posted, by
telegram sent or by delivery, not later than midnight of the third business day following the
signing of the agreement. See attached notice of cancellation for an explanation of this
right.
REQUIRED PERMITS
The following building permits are required: Town of North Andover,MA Building permit. It is
the obligation of the contractor to secure such permits as the homeowner's agent and any costs
which contractor will incur in doing so are included in the price for this job as set forth above.
Please note that homeowners who secure their own permits or deal with unregistered contractors
are excluded from the Guaranty Fund provisions of MGL C. 142A.
Is an EXPRESS WARRANTY being provided by the contractor? No Yes X
The following warranty will be provided by the contractor under this contract: 1 Year
Workmanship and material warranty any materials under warranty will be through manufacturer
of such materials.
u
2
3.
Please note that all home improvement contractors and subcontractor shall be registered and any
inquiries about a contractor or subcontractor relating to registration should be directed to:
Director, Home Improvement Contractor Registration, One Ashburton Place,Room 1310,
Boston, MA 02108, 617-727-8598.
Unless otherwise noted within this document, the contract shall not imply that any lien or other
security interest has been placed on the residence.
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,
ARBITRATION
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 such dispute to a
private arbitration service which has been approved by the Secretary of the Executive Office of
Consumer Affairs and Business Regulation and the consumer shall be required to submit to such
arbitration as provided for in MGL C. 142A.
Conti-act o -- HomeownerZ)ean,Bates(Sep 2 , ,
Date: T 912 012 0 1 6 Date: S 2 0 •2016 -_
NOTICE: the signatures of the parties above apply only to the agreement of the parties to
alternative dispute settlement initiated by the contractor. The owner may initiate alternative
dispute resolution even where this section is not separately signed by the parties.
3
ACCELERATION OF PAYMENT
Homeowner's Financial Insecurity. A contractor 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.
Contractor's Financial Insecurity. In instances where a contractor deems him/herself to be
financially insecure, the contractor may require that the balance of fiends not yet due be placed in
a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said
account would require the signatures of both parties.
Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10
Park Plaza, Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the
OCABR website at http://www.mass.gov/ocabr/If you want to verify the registration of a
contractor or if you have questions or need additional information specifically about the
contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration Office of Consumer Affairs and
Business Regulation 10 Park Plaza, Room 51.70, Boston,MA 02116 617-973-8787, 888-283-
3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of
a Home Improvement Contractor's Registration:
http://db.state.ma.us/homeimprovement/licenseelist.asp For assistance with informal
mediation of disputes or to register formal complaints against a business, call: Consumer
Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business
Bureau 508-652-4800, 508-755-2548 or 413-734-3114
OTHER CONTRACTUAL DOCUMENTS
This contract includes as contract documents the following additional enumerated documents:
4
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR
OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE,
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY
YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS
EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS
FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND
ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE
CANCELLED.
IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR
RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY
GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF
YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE
RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE
SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF
CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY
FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE
SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO
DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS
UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED A DATED
COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR
SEND A TELEGRAM TO (Name of Seller), AT (Address of Seller's Place of Business)NOT
LATER THAN MIDNIGHT OF (date).
I HEREBY CANCEL THIS TRANSACTION.
Date: Buyer's Signature:
5
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KITCHEN
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DOOR DOOR
GARAGE EXISTING WALL TO
BE REMOVED AND
REPLACED WITH
NEW LVL BEAM —/
9'-SNzu
a ST ki WAY
BREEZEWAY
o �
9" DRYWALL TO BE
INSTALLED ON THIS
EXISTING DOOR TO SIDE OF WALL
BE REPLACED WITH
FIRE RATED DOOR
EXIST. WINDOW EXIST. DOdR EXIST. WLOW
EXISTING WANDOWS AND
DOORS TO BE REMOVED AND
REPLACED WITHIN NEW STUD
WALL 26 0 16" O/C
PARTIAL FIRST FLOOR PLAN
SCALE. y4„
BREEZEWAY FLOOR PLAN PREPARED FOR
BATES RESIDENCE LAURA AND DEAN BATES
A- 1 28 WOODBRIDGE ROAD 26 WOODBRIDGE ROAD
10/03/16
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
12
8
EXISTING RAFTERS
TO REMAIN
EXISTING CEILING
JOISTS TO REMAIN
i
EXISTING WOOD
PLANK CEILING
TO REMAIN
PROPOSED Y2"
DRYWALL
NEW WINDOW —
DOOR BEYOND T
NOT SHOWN FOR
CLARITY EXISTING
CONCRETE SLAB EXISTING HARDWOOD
ON GRADE TO FLOORS
REMAIN EXISTING SUBFLOOR
NEW 2x6
STUD WALL
' EXIST. FLOOR
--- - JOIST TO REMAIN
EXISTING CONCRETE , EXISTING CONCRETE
FOUNDATION TO
` FOUNDATION
TO
REMAIN _ 1 REMAIN
BREEZEWAY SECTION
SCALE; %8"
BREEZEWAY SECTION PREPARED FOR
BATES RESIDENCE LAURA AND DEAN BATES
A- 2 26 WOODBRIDGE ROAD6v000aRSOc E ROAD
NORTH ANDOVER, MA 01845
10/03/16
NORTH ANDOVER, MA 01845
GENERAL NOTES AND MATERIAL. SPECIFICATIONS
ALL WORK SHALL CONFORM TO THE 8th EDITION OF THE COMMONWEALTH OF
MASSACHUSETTS STATE BUILDING CODE, ARCHITECTURAL ITEMS (WALL FINISHES, WINDOWS,
EXTERIOR FINISHES, INSULATION) BY OTHERS.
THE CONTRACTOR SHALL VERIFY ALL CONDITIONS AND. DIMENSIONS IN THE FIELD & WITH
THE ARCHITECTURAL DRAWINGS AND SHALL NOTIFY THE OWNER/ENGINEER OF ANY
DISCREPANCY BEFORE PROCEEDING WITH THE WORK, EXISTING CONDITIONS SHOWN ARE NOT
GUARANTEED.
THE CONTRACTOR SHALL PROVIDE ALL NECESSARY BRACING & SHORING UNTIL ALL
STRUCTURAL WORK IS COMPLETE.
LOADING — RESIDENTIAL CONSTRUCTION PER 780 CMR 53.00:
LIVING AREA — 40psf LIVE LOAD & 12psf DEAD LOAD
SLEEPING ROOMS 30psf LIVE LOAD & 12psf DEAD LOAD
ATTIC AREA — 20psf LIVE LOAD & 12psf DEAD LOAD IF >42" HEIGHT, 10psf LIVE LOAD IF
<42" HEIGHT
ROOF — DEAD LOAD = 15psf
GROUND SNOW LOAD 50psf
WIND SPEED = 100mph
ALL CARPENTRY WORK SHALL CONFORM TO THE LATEST NLMA STANDARDS USING:
SPRUCE PINE FIR #2 KD, Fb - 870 psi (2x12) & E = 1.4 x 10~6 psi FOR DIMENSION
LUMBER
Fb = 2,600 psi (12" deep beams) & E = 1.9 x 10^6 psi for LVLs
NAILING PER TABLE 5602.3(1) OF THE MA STATE BUILDING CODE.
i
ALL POSTS SHALL BE CONTINUOUS THROUGH FLOOR FRAMING AND BEAR DIRECTLY ON THE
2-2X6 SILL OR SUPPORTING BEAMS.
PROVIDE JOIST HANGERS AT ALL FLUSH FRAMING WITH FULL LENGTH NAILS. ALL METAL
CONNECTORS/HANGERS SHALL BE AS INDICATED AS MANUFACTURED BY SIMPSON
STRONG—TIE OR APPROVED EQUAL.
LEGEND ABBREVIATIONS
V.W.O. = VERIFY WITH OWNER
VIF = VERIFY IN FlELO
UNO = UNLESS NOTED OTHERWISE
SIM. = SIMILAR .r, 1,
GALV. = GALVANIZED `j( ;' ''
EXIST. = EXISTING
Yds..
N.T.S. = NOT TO SCALE
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BREEZEWAY WALL REMOVAL PREPARED FOR
M Brie LLC GENERAL NOTES
I LAURA AND DEAN BATES
SK
-- Structural Desigi Sales BATES RESIDENCE 26 WOODBRIDGE ROAD 1
16D SYLVAN STREET TEL. 978-646-0097 26 WOODBRIDGE ROAD NORTH ANDOVER, MA 01.845
09/22/16 49J>PlERS.Rd.? 5�9?3 FAX�lPfY8.i4C Rid G'J1i NQF,TK 41131 SY ER, MAI 011B45
KITCHEN
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t—JACK STUD AND
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SIDE OF HEADER
PARTIAL SECOND FLOOR FRAMING PLAN � a
SCALE: Y4 = -0r
M Brie LLC BREEZEWAY WALL REMOVAL PREPARED FOR
PARTIAL SECOND FLOOR FRAMING LAURA AND DEAN BATES
SK - 2 Smictuxal Design&Sales BATES RESIDENCE 26 WOODBRIDGE ROAD
160 SYLVAN STREET TEL. 978-646-0097 26 WOODBRIDGE ROAD NORTH ANDOVER, MA 01845
09/22/16 2nd FLOOR FAX 978-646-0087 NORTH ANDOVER, MA 01845
DANV€RS, FAA 01923 WWW.MCBRIE.COM 1.
2"
TYP,
TWO ROWS OF DOUBLE
SIMPSON SDS2.5x6" SCREWS
0 24" 0/C STAGGERED (12'
2" NET SPACING)
T NEW BEAM
MEMBER—TYPICAL
FOUR MEMBER DROP BEAMS
TYPICAL NAILING DETAILS FOR BUILT UP BEAMS
SCALE: NOT TO SCALE
mr3 — 2x10 WITH 2— 200 WITH
TWO LAYERS OF ONE LAYER OF
1/2' PLYWOOD 1/2" PLYWOOD
SPACER SPACER
ALL 2x6 EXTERIOR & LOAD ALL 24 EXTERIOR & LOAD
BEARING WALL HEADER BEARING WALL HEADER
ABOVE DETAILS ARE TYPICAL AT ALL OPENINGS UNLESS OTHERWISE NOTED
ON FRAMING PLANS
PROVIDE DOUBLE JACK STUDS FOR SUPPORT OF BEARING WALL HEADERS
UNLESS OTHERWISE NOTED ON FRAMING PLANS
STANDARD EXTERIOR & LOAD BEAMING WALL_HEADERS.
i SCALE: HOT TO SCALE
HEADER POSTS FROM ABOVE POST UP 0 LVL HEADER
(WHERE APPLICABLE) PER FRAMING PLAN
LOCATION OF LVL HEADERS DOUBLE TOA PLATE
INDICATED ON FRAMING PLANS
(NAIL TO TOP PLATE) CRIPPLE STUDS AT 16' O/C
DOUBLE JACK STUDS UNDER STANDARD HEADER (SEE ARCH.
LVL HEADERS U.N.O. DWGS. FOR ELEVATION —TYP.)
AD BRG. WALLS FOR
OPEN 2—JACK STUDS (LO ROUGH OPENINGS 38" & GREATER AND
2 FULL HEIGHT STUDS LVL HEADERS U.N.O.)
(LOAD BRG. &EXTERIOR 1—JACK STUD (NON—LOAD BRC. WALLS do
WALLS) BRG. WALL W/OPENINGS LESS THAN 38')
1 FULL HEIGHT STUD DOUBLE SILL
(HON—LOAD BRG. WALLS) CRIPPLE STUDS AT 16" 0/C
WALL BOTTOM PLATE
FLOOR ,JOISTS
SEE PLANS t 1,
F
POSTS BELOW--TO:BE WALL BELOW DOUBLE TOPCONITNUOUS BETWPLATE (WHERE APPLICABLE) 1
WALL PLATES—TLP.
WAL LIOOOR OPENING CONSTRUCTION SIMILAR
SEE PLAN FOR JACK STUD QUANTITY FOR LARGE OPENINGS Fc
EEVA ON - TYPICAL WINDOW FRAMING 1r Ig�t s
NOT TO SCALE
BREEZEWAY WALL REMOVAL PREPARED FOR
NI B ieLLC DETAILS
® 5 LAURA AND DEAN BATES
SKStxiicturd Design& Sales BATES RESIDENCE 26 WOODBRIDGE ROAD
160 SYLVAN STREET TEL, 978-646-0097 26 WOODBRIDGE ROAD NORTH ANDOVER, MA 01845
09/22/16 2nd FLOOR FAX 978-646-0087 NORTH ANDOVER, MA 01845
DANVERS, MA 01923 V1WW.MCBRIE.COM
The Commonwealth of Massachusetts
Department oflndustrialAccidents
w 1 Congress Street, Suite.100
a
Boston,MA 02119-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO IBE FILL,D WITH THE PERMITTING AUTHORITY-
Avpdicant Information Please Print Legib
NaMe (Business/Organization&dividual): I ,r V\k)c
City/State/Zip: �r 1 '%3 5 Phone#:
Are you an employer?Check the appropriate box: "Type of project(required):
1.Q I am a employer with omployecs(full and/or part-time).* 7. Q New construction
2�41 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
9, ❑Demolition
3.Q lam a homeowner doing all work myself,[No workera'comp,insurance required.]t
10[]Building addition
4.Q 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.El Electrical repairs or additions
proprietors with no employees. 12,Q Plumbing repairs or additions
5.Q I 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,E]we are a corporation and its officers have exercised their right of'exemption per MGL c.
14.[l 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 showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such,
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
,tarn an employer that is providing Ivor Jeers'compensation insul altce for lrty employees Belotp is the policy and job site
infor trlatiotl.
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Data:
Sob Site Address: City/State/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 MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.D0
anal/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of Up to$250,00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cert fy under a pains and penalties of pe#jut y 11101 tke infoi 1}tatiort provided above is 11we and correct.
Signature: Date
Phone#: 1
Official use only. Do not sprite in this area,to be completed by city or tolpn official
City or Town: Permit/License#
Issuing Authority(circle one): E
1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
A� DATE{MMrnom^rY)
CERTIFICATE OF LIABILITY INSURANCE F7/11/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIER. 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 policies may require an endorsement, A statement on this certificate does not confer rights to the
certificate holder in Iieu of such endorsement(s).
PRODUCERKiml�eriy Savage
tt (978) (978)373-2281
Sullivan Insurance & Financial, Inc. 372 2790 C No
987 Groveland Street E ksavage@suliivanIF-com �
INSURER(S)AFFORDING COVERAGE MAIC f!
Haverhill MA 01830 INSURERA:xarle sville Worcester 26182
INSURED INSURER B:
Ryan Turner, DBA: Turner Carpentry INSURER C.-
17
:17 Baypoint: Lane INSURER D: -
INSURER E:
Haverhill MA 01.835 1 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1671102909 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.
rA
ADDL SUBR POLICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDfYYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED $ 300,000
CLAIMS-MADE I X OCCUR -RFMh5ES fEa occUrre
SPPOG000027152Y 7/1/2016 7/1/2017 MED,EXP An aneperson $ 15,000
PERSONAL&ADV INJURY 004,040
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
I IPRODUCTS-COMPIOPAGG $ 2,000,000
X POLICY L JE O Ll LOC $
OTHER:
AUTOMOBILE LIABILITY Ea agr'dent S
BODILY INJURY(Per person) $
ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ -�
AtITfIS NON OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS $
UMBRELLA LIAB. TOCCUR EACH OCCURRENCE $
EXCESS LIAR LAIMS-MADE AGGREGATE $
$
DED RETENTION
WORKERS COMPENSATION STATUTE OEH
AND EMEPLOYERS'LIABELITY y 1 N E.L.EACH ACCIDENT
ANY PROPRIETORIPARTNERIEX .CUTIVE $
OFFICERIMEMBER EXCLUDED? NIA
E.L.DISEASE-EA EMPLOYE $
(Mandatory In NH)
IF ves.describe under E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Construction Operations
CERTIFICATE HOLDER CANCELLATION
North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Department ACCORDANCE WITH THE POLICY PROVISIONS.
1600 Osgood St.
suite 2035 AUTHORIZED REPRESENTATIVE
N. Andover, MA
01845
I.Kayt Holland/KSAV
O 1988-2014 ACORD CORPORATION.All rights reserved.
ernpn 2R d2n1d1011 The ACORD name and logo are registered marks of ACORD
9 Massachusetts Ucq+q wtrnent of Panb6c Safety
Hcawrl of Budding R(?gLdafiM1S and Stcw dards
d.�27Y948i'tf4Ytt�Ea �@Gill"f"pi���a' �1
�censc: CS-108738
RYAN TURNER
17 BAY POINT LANE:
Haverhill MA 01 335
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t��:r;�mulau uarR�m^rr 10/17/2018
�'/�<? a(E,r�rnrcarrru<ur ff rr C'�. �a'
/�{aaWC lre,tcft
�151,"\. OfGee of C:onsumcr-Affaur•.s& Ilusiiiess Regulation
i (�HOMEIMPROVEMENT CONTRACTOR
k� Registration: 178626 Type:
h Expiration: 5/55/2018 DBA
7<
TURNER CARPENTRY
RYAN TURNER
17 BAY POINT LN .,
HAVERHILL,MA 01835 Undersecretary
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