HomeMy WebLinkAboutBuilding Permit # 11/30/2016 TOWN OF NORTH ANDOVER "ORTH
APPLICATION FOR PLAN EXAMINATION
0
p.
Permit IVC): Date Received--...../430 Ld-OL&
Date Issued:
IMPORTA lete all. items on this )1age
ANYX�
LOCATION
PROPERTY OWNER
Prit)t
ZONING DISTRICT:
MAP NO.'--,---PARCEL:_-----
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES 1-1
TYPE OF IMPROVEMENT PROPOSED USE
Resid ritial Non- Residential
1-1 New Building I ne family
F] Addition Two or more family 11 Industrial
No. of units:
F] Alteration
Cl Repair
replacement -J Assessory 6�ldg Commercial
on
OyLn_g
_(relocation) -1 Others:
L1 Foundation only
DESCRIPTION OF' WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
w.
OWNER: Name: c,� Phone:
2,T
Address: <
Pt
r v "'t c Phone:
CONTRACTOR Name:
yyll�
C
Address:
Exp
Date: �,,7 2
Supervisor's Construction License:
tLicense: Exp. Date: (A
Home Improvement (S
ARCHITECT/ENGfNEER. Name: Phone:
Address: Reg. No.
FEE SCHEDULE:B UL DING PERMIT-$12,00 T sl000.00OFTIIET07ALES77HATED COST S'ED,0N$12_5.001`ERS.F-
3
Total PrQject Cost S Z 27 x]2.00=FEE
<
Check No.: Receipt No.:
Page I of 4
IAORT
own of ndover
0
No.
ver Mass,
ATE D
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT fWnj.U*&AAU0j....goo. BUILDING INSPECTOR
........... ....
. .. ....MAV If%..........
buildings Foundation
has permission to erect .................... ildings on .... ...X...
Rough
to be occupied as ......... # ......... ............................................. 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCT TAR Rough
rWS A Service
......................... Final
BUILDING INSPECTOR
GAS INSPECTOR
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.
i0ftProfessional. Building Services Estimate
9 01de Woode Ind Salefn NH 03079
www,professiona]buildingservices.com pate Estimate##info ti professionalbuilchngservices.corn
603-898-2977 / 781-995-2335 11/10/2016 3699
Exp. pate
11/24/16
Name/Address
Eric Kozol
95 S Bradford Street
North Andover,MA 01545
Description Qty Rate Total
SCOPE: Remove existing siding and install James I lardiePlank
Smooth C3OLD PLAN This is for the North wall garage side and
the back wall only. Window 3"PVC all windows and doors except
for South side Wall. Hardie Soffit and Pacia Whole house except
South Wall.
1 375.00 375.00
Building Permit-Administration Pee
Home owner can pull building permit themselves.
If customer wishes Professional Building Services to pull permit,
please add
$375.
** Customer to reimburse Professional Building Services cost of
permit fee paid to Town/City. **
1 0.00 0.00
Building Permit Fee paid to Town/City-T1317
This fee to be reimbursed to Professional Building Services or
customer can pay directly to municipality
15 100.00 1,500.00
Demo NO Lead LEAD
-------------------------------------
Vinyl $75 $75
Wood $100 $180
Shingles $125 $195
Estimate Valid for 14 days of Issue Total
Page 1
Professional Building Services Estimate
9 Olde Woode Rd Saleni NH 03079
www.professionalbuiIdingservices.com
Date Estimate#
/ infoC(i7professionalbuildingservices.com USEROVICES
R 603-898-2977 / 781-995-2335 11i10i2016 3699
Exp. Date
11/24/16
i
Name/Address
Eric Kozel
95 S Bradford Street
North Andover,MA 01845
Description Qty Rate Total
15 950.00 14,250.00
Body of house coverage:I IardiePlank Smooth
Strip all siding Flown to exterior sheathing and dispose
Strip all window and door trim and dispose
Install 4"Vycor(or equiv)wrap around all windows and doors.
Install James IlardieWrap around entire dwelling.
Tape all wrap searns
Install James Hardie Hardieplank Smooth painted liberceanent
siding to manufacturers specifications.
Standard paint color-.lames Hardie Country Lane Red
Trim Color-white
Reveal:.= 4"
Corner boards-4" PVC
Window trim 3" PVC. boards on top and sides.
Window sill to be standard PVC sill
Ground break water table.
8sthitate Vedid,for 14 days oflysue Tota
Page 2
Professional Building Services Estimate
9 Olde Woode Rd Salem NH 03079
www.professionalbuildingservices.coin Date Estimate##��" ��� info(Gr7professionalbuiIdinp,services.corn
iajiLIQ
603-898-2977 / 781-995-2335 11n0/2016 3699
Exp. Date
11/24/16
Name/Address
Eric Kozo]
95 S Bradford Street
North Andover,MA 0'1845
Description Qty Rate Total
Whole house except North wall. Which has been completed 139 13.00 1,807.00
Fascia&Soffit Coverage OPTION:
Replace fascia with white Hardie Board
Remove existing and install new white Hardie Soffit
vented/non-vented soffit 139x 13.00=1807.00
Price per L.F.
0.00 0.a0
Trim Captions:Flashings&drip caps included
Water Table Pricing:
PVC; 5/4 x 6 water table per L.F.$12.00
PVC 5/4 x 8 water table per 1.,.F.$14.00
PVC 5/4 x 10 water table per L.F.$15.50
PVC 5/4 x 12 water table per L.F.$17.00
PVC water table cap per L.F. $8.00.Goes on top of above water
tables.
Frieze board Pricing:
PVC;4/4 x 6 frieze board per L.F. $10.00
PVC 4/4 x 8 frieze board per L.F.$12.00
PVC 4/4 x 10 frieze board per L.F.$13.50
PVC 4/4 x 12 frieze board per L.F.$15.00
j Garage Wrap:
Replace jams,trim and weather stripping with PVC
I Car$300.00
2 Car$450.00
Sot'fit&Fascia:
PVC 1x3 Shadow line per L.F.-$6.50
White Vinyl 12"Soffit.Vented or non-vented per L,F.$11.50
White Vinyl Ix8 Fascia trim per L.F.$11.50
Estimate Valid fvr 14 days of`Lssue Total
Page 3
Professional Building Services Estimate
9 Olde Woode Rd Salem N1103079 ---
I' www.professionalbuildingservices.com
Date Estimate#
OUR, a info a professionalbuilrlingservices.com
603-898-2977 f 781-995-2335 11/10/2016 3699
Exp. Date
11/24/16
I
Name/Address
Eric Kozel
95 S Bradford Street
North Andover,MA 01.845
Description Qty Rate Total
1 745.00 745.00
30 yard dumpster with 5 tons. If additional dumpster needed,
customer agrees to pay for additional dumpster or dumping fee of
$125 per ton,
check to see if they us to refer an electrician I 0.00
Electrical Allowance:
Estimate does not provide for any electrical work nor any alterations
to or upgrades of the electrical systems or wiring found to be
defective,deficient or illegal at the time such discrepancies may be
discovered during the course of the project
0 14.75 0.00
New Cutters&downspouts.I"rice per L.F.
() 100.00 0.00
R&R Vinyl Shutters per pair
0.00 0.00
CONCEALED CONDITIONS:This Agreement is based solely on
the observations Contractor was able to make with the structure in
its current condition at the time this Agreement was bid. If
additional concealed conditions are discovered once work has
commenced which were not visible at the time the proposal was bid,
Contractor will stop work and point out these unforeseen concealed
conditions to Owner so that Owner and Contractor can execute a
Change Order for any Additional Work.
0.00 0.00
ROT REPAIR-remove,dispose,purchase and install 4x8 plywood
-$100/sheet
Structure/fa•ame repair rates:
$165/hr for Master Carpenter&Carpenter Apprentice
Materials receipt to be provided plus 15%for administration fee
I
I
Estintate Valiel fray 14 days of Issue Total
Page 4
Professional Building Services Estimate
9 Olde Woode Rd Salem.NH 03079
www.professional buiIdingservices.com [late Estimate#
info(ihprofessionalhuiIdingservices.coan
+UIL 603-898-2977 f 781-995-2335 11/10/2016 3699
Exp, Date
11/24/16
i
Name/Address
Eric Kozo]
95 S Bradford Street
North Andover,MA 01845
Description Qty Rate Total
0.00 0.00
Ifthere are existing gutters,storm windows,storm doors or any
additional items affixed to the dwelling,they will not be reinstalled
in any manner as these items do not come off and go hack on a
property easily and we can not be held responsible for their
operation and/or functionality.
Windows and 1 door with Window trim 3" PVC,' boards on top 10 120.00 1,200.00
and sides. Window sill to be standard PVC sill 9 windows and I
door 1.0+120.00 1,200,00
Estimate Valid far 14 dreys of Issue Tota
$19,877.00
Page 5
" Professional Building Services Estimate
9 Olde Woode Ind Salem NH 03079
www.profess ionalbuiIdingseryices.corn Date Estimate#
1L 00 SERVICES info((),professionaftildingservices.coin
603-898-2977 / 781-995-2335 11/10/2016 3700
Exp. Date
11/24/16
Name/Address
Eric Lozol
95 S Bradford Street.
North Andover,MA 01845
Description Qty Rate Total
WINDOW PROJECT Harvey Estimate 112320
New construction window install 2 375.00 750.00
Labor to install with all proper sealants and flashings
2 1/2"colonial basing paint grade install
Primed interior
Disposal of old units
2 830.69 1,661.38
NEW CONSTRucriON SERIES 400 ANDERSON WINDOWS
O Size=3''2 1/8"W 3'4 47/8" Unit Size:3" 15/8"W x 3'47/8"11
Unit Equal Sash White Clear Pine,High.Perrorrnance Low E-E4
Heat Lock Glass,finelight grilles-Between the glass,colonial,
4W211,White/White3/4(each sach). Insect Screen White,U-
Factor:0.26, SI-IGC:0.27 ENERGY STAR.CERTIFIED
LABOR WARRANTY-3 YEARS 0.00 0.00
MATERIAL WARRANTY-T0 MANUFACTURERS 0.00 0.00
WARRANTY
Total $2,411.38
Massachusetts Home Im wovemens C.Ontract,
---------- ......................
`this Jolin satisfies all ba,,,jc requirements ol'the state's flouic I mpioverneut("ontraclor,J..aw(N161.chapter 142A),but(toes not
include standard language to protect homeowners.Sack legal advice if necessary.Any person planning home improvements
should first obtain a copy of"a Massachusetts consumer guide to hoof e finprovernefit"before agreeing to any work on your
residence. You may obtain a firce copy by calling the Office of Consumer Allairs and Business Regulation's Consumer
frif'orniation Hotline at 617-97.1-8787 or1-988-283-3757.
---------- ........
IFomeowner Infol-Illation Contractor Information
Name d n(: istiii Company Nalm THI
Street Address((to not osea Post Office Box), Contractor/Salesperson/Owner Name: 'I k A I
�I 1;I I ,"11 �,'d 1I, ".[, ; ; " � �r i Business Address(must include a street address)
Daytime Phone l"Vening,Phone 0 r<f,Ot "A(tOW H D , 0 t %L %h o"(i,J):
Va-4-m-g Address(it difWenl ftorn above) liminess Phone Federal Employer 11)Or S.S.Nt"I'M
603-899.2977 1 �! ,,
0"'1 olu>I burr,c rlIrrrJ,........I Cnrtlrace,ar Eyi,wi"I,Dwe
mpio,emem cofmaclom hmv 1,valid (tg Immbef
Rej0 Ifation Ivombel
_� __..........
The Conti-actol.Agrees to(10 tile following work fol.tile ljomeowller:
(Describe in detail tile work to be compleied.spccil,ing the type,bland,and grade of materials to he used,
kv hv¢Ifu h pf("....ki oat aalfuGl mo, tnool ach cd
hvn !o m 11 ,h0jH
.............
Required Permits-The lollowing htlildirlf,"Permits HI-0"O(jcirc d Proposed Start and Completion Schedule-'['be f0110 i1W
and will be secured 1)),the contractor as the homeowner's agent, Schedule will be adhered to unless circunistances beyond
Owners who secure their own hermits will be the contractors control arise.
excluded from the Guaranty Fund provisions of
MGI,chapter 142A.) I)ate koen contractor willbegin contracted work.
I p,w( onl i i.Jm � I,,I',,,p€of vuwk, CON"m,kw6 h�
InHj,1,,1 p ,@ j,md,r' I I I 'IkO oo��,�,wl o 0�mtvmpl W�,Ict
M IM Ow,mm II t h;Pp,°n
I)aic when contracted work will be substantially COMPIM&l"*)
v,uWk )I Ism w, d ewwk adiNww'd voqk
and uh unh�lc, [Hw, Im Ic,[m,iwfl,k 1)
d ,ompk Hmo ......I.,......
-----------
Total Contract Price and Payment Schedule
The Contractor agrees to periblill the\NoII,fornish the material and labut,specified above for the total Sun-,OF
$19,877,00('E'v 3(x99) 4.S2,41L.38 370MI
Payments will be made according to the lollowing schedule:
I � - // 55,767.95 4 S1,661_48(sI)ecial ot.&y windou?mateviaty J.,'st 370(1)1)upon shining contract(not to exceed 1/3 of
tile total contract price pr the cost of special order items,whichever is greater)
upon start ot'sidjug,stripped Jkst 36991
art of"windows installation 11,,si 30991
I f upon start
offiit installation llk'st 36991
Irl ulloa start of siding,trun, fascia,and s
HOH`,I ] " I ,I I ,, ; In I I,,, . 1 I Ul)ou Completion ol'd'ie contract.(I,a%v
forbids demanding full payment until contract is completed to both party's satisfaction)
Page I of 4
t 'JA
NOTES:(*)Including all finance charges of'1,5%per month from(life date until amount is paid in full phis$50 processing fee.
(**)Law requires that any deposit or down-pjiyr2jgpt required by(lie contractor before work begins inay not exceed the grealer of
(a)one-third of the.total contract price or(b)the actual cost ot'any special equipment or custom inade material
which must be special ordered in advance to meet the completion schedule,
..............
.-JAILLCulusAILthp Amanpu'Eflwi
11C
Subcontractors-'floe contractor agrees to be solely responsible for completion of the work describe(]regardless of the actions of
any third party/subcontractor utilized by the contractor."fits contractor further agrees to lie solely responsible f6r all payinews to
5111 gh ontroctors for materials and labor of d r
..........
Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this
document,the contract shall;-lot irriph,that ally her)of'other scenrity interest has been placed oil the residence.Review life
following cautions and notices carefully befirre signing this contract,
[)off'(be pressured into signing the contract.Take time to read and fully understand it.Ask questions il'something is unclear,
Rg&?jg!pn0.I be Lm,requires mom home improvement
contraclors,kind subcontractor;.:to be registered with the Director of,I forile Improvement(,'onlractot Registration,You may inquire
about contractorwgisoalron by wfi(org to(lie Dilutor at(fire Ashborloll Place,koont 130t,Hoston,NIA 02108 or try callrog 017-
727-3200 or 1-900.221-0933,
Does the conlractor have instriance?Cheek to see(hat year contractor is properly insured.
Know your rights and responsibilities,Read the Important lotbi-ma(iout on tire reverse side of this,loon and get vt copy of the Consumer
(illide to the I tome Improvement Contractor I'm%"
Pllr)Lq=1xktAL1-LUL%I4n oldb�
All PholosItestimornals and rights relating to thern,including Copyright and ownership lights it)the media in which(lie photos are stored,remain
the sole and exclusive properry ol'the Contractor.The Contractor has fight to relooduce,pablically display,and distribute Itot promotional and
advertising.
You fail)'Cancel this agreement it'it has,been signed at H place other thaw die Contractot's noun al place of horsiness provided)'()It soul)'
contractor in writing at his/her main offi"or branch office by ordinary mail posted,by telegrain sell(or by delivery,)lot later than lifidnil1�14tia of-
the third business day signing flit lie sigg oftht
is agreement See tire attachedkd'
noe rearic0liroes boll for fill CxPlallatioll orthisright
rig
`..........*...................... ..........
DO NOT SIGNTHIS CONTRACTIii"THERE,ARE ANY BLANK SPACES!!!
T%ko idollical 11111sl I)v siglw&title artery S1100d t"o lo lite holliv"I'llu, 1110 olhVI Copy should be kepi by tltc Coilhavlot
f
e
Contractor's Signature
Dille 1,ate
Page 2 of'4
Contractor Arbitration
'The Horne Improvement Contractor Law provides homeowners with the right to initiate,an arbitration action(as an
alternative to court action.) if they have a dispute with a contractor,'file same right isPot.autorriatically affo)rded to a
contractor,however. The contractor would have to resolve any dispute he/she has Nvith a homeowner ill Court trulleSS
both parties agree to tile optional clause provided below, Thi,,,clause would give the contractor tile Sallie right to
arbitration as is afforded to the horneowner by the Florne Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract,tile contractor may submit the dispute to a private arbitration firm which has beery approved
by the Secretary of the t,'xccutive Office ofConsumer Affairs and Business kegulation and the consumer shall be
required to submit to such arbitration as provide(] In Massachusetts General Laws,chapter 1,42A.
Homeowner's Signature Contractor's Signature
NOTICE: 'file signatures of the parties above apply only to the agreement of the parties to alternative dispute
resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution every where this
section is not separately signed by tile parties,
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and Other C011SUMCr
protection laws(i.e. MG1,chapter 93A)may not be waived in any way,even by agreement.However,homeowners
may be excluded front certain rights if tile contractor they choose is not properly registered as prescribed by law.
Ilonleowners who seeure their own building permits are Automatically excluded from all Guaranty Fund provisions
of the Home Improvement Contractor Law,The contractor is responsible for completing tile work as described, in a
timely and workmanlike manner, Homeowners may be entitled to other specific legal rights if tile contractor
guarantees or provides all express warranty for workinanship or materials. In addition totguarantees or warranties
provided by the contractor,all goods sold in Massachusetts carry tan implied warranty(if 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 Intbrination Hotline(listed below).
Execution ref Contract
The contract must be executed in(itPpI tate arid should not be signed until a copy of all exhibits arid referenced
i_
documents have been attached, Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void,deleted,or not applicable, One original signed copy of the contract with attachments is to
be given to the owner and the other kept by the contractor.Any modification to the original contract must be in
writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully
executed copy of the contract,and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the(fates specified on the payment schedule in cases where
the homeowner deems him/herself to be financially insecure, I lowever, in instances where a contractor deems
him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be place,(]in a
Joint escrow account as a prerequisite to Continuing the contracted work. Withdrawal of funds fl-orn said account
would require the signatures of both parties.
Additional Information
If you]lave general questions or need additional information about the Dearne Improvement Contractor Law or other-
consumer rights,or if you wish to obtain a free copy of"'A C011SUMer Guide to the Homo Improvement C'ontractor
Law,"contact:
Consumer Information hotline
Page 3 of
Office of G'onsurner Affairs and Business Rcgulatio 7
10 lark Plaza, Room 5170,Boston, MA 021 1 Ci
(617)973-8787 or 1-(898)21333757
If You want to verify the registration of contractor or if You have questions or need additional information
specifically about the contractor registration component of the Home Improvement Contractor Law,contact:
[Arector of l-lorne Improvement Contractor Registration
Bureau of Building Regulations incl Stanefar<Is
One:,Ashburton Place, Rom 1;3011, Boston,MA 02.108
(617)727-3200 or 1..800-223-0933
1'or assistance with inf6rmal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
0:)ffice of the attorney General
(617)727-9400
A N 17/0711
Boller Business Bureau
(508)6524800
(SOIL)755-25414
(ft 13)734-3114
I
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F'
7
Page 4 of 4
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I (C
Building Services
Professional
" / wNmv.professionaIbuildingfscrvices.crena Date Estimate#
Ii SERVICES ifllivii,I)IoIession Ib"iIdiIIgscivicesxcr(n
603-898-2977 / 781-995-2335 11/10,,2016 3691)
Exp. Date
Il/24116
Narne/Address
1?,ric 1Corol
95 S Bradford Street
North Andover,%v1A 01f145
Description (qty Rate Total
SC OPE: kornove existing sidiitV and it)stalI Carnes Ifardic,Plank
Smooth f)C>LF)PLAN Tills is for the M wall 6;arrrat,v side and
the back wall only. Window 3"PVC"all windows and doors except
North Wall, 1 Hardie Sof'i"rt still Faavi a Mole house except 1441fix Soul a
Wal I(11mineywde)-
l 375.00 375,00
Building;Permit-Adrnini.strai6on F'ce
Houle owner Can pull buildiup permit theatsek'es.
lfcuslomer nvixhes Professional Building Services to pull peratnii,
pleaasc add
5375.
" Customer to ruimburse Professional Building, Servieus cost of
permit fee paid to"I'own/City. a*
WOO 0.00
Building F'urnnit Pun paid to Town'City- HO
This fee to be reimbursed to Prott osioilI 1 Building Services or
custoaner call pay clircetly to nnuanieipality
15 100.00 1„5C)WOO
Demo No Lead LEAD
Vinyl S75 S75
Wood SIM SigO
Shingles $125 $195
1i"strnauze Mulirifiv lid duFrs r,�f'ar�°°sue �.��.�.��.. ...._... �.,�..�._�.�...�...�.�.,. "rotai_.�.� .. .. _.�,��...
Page 9
Professional Buil Rd in Services vic e
9 Olde wwwvwv,Iwrawiessiarnalbailditats(rein NH 03079
vices,cont gate Estimate
SERVICES
inl<t(rl�tirntussit,rrrttihttifctittp sctwri us.c,crtit _ µ„ _ _
603-898-2977 / 781-995-2335 11/10,,2016 3699
Exp. bate
d l i24 1 f
Name/Address
1Stic Kozel
95 S Bradford Street
North Andover,MA 018,15
Description � City � � Date � .. Total
15 950,00 14,250,00
{plod "cal'hottseeerw°eraale: llardieplank Smooth
Strip all siding down to exierior sheathing an(I dispose
Sit it)all window and door trim and dispo.w
ltastall d"VyWr(or eluiv)wrap around all wvitrdows and doors.
hastall James I IardieWrap around entire dwelling
"Cape all wrap Scam's
lustall James llardie Hardieplank Smooth painted f bercenient
siding to manufacturers speuilicali(nts.
.14andtard paint color-James Hardie(:otttatry 1.,ttno died
Trim e for-white
Reveal 4"
Corner boards-d" PVC:
Window trim 5" PVC; boards o a lop and sides,
Window sill to bo standard PVC sill
Ground break water table.(AlUrninurn).
Replace,Attic Gable Vent on North(garage)side of house.
E' tirnrrte M-didor 14 dgyts q/`Asue
Faye 2
,',' 'y;,
Professional Building Services Estimate
9 Olde Woode lid Salem NH 03079
www.prey'i`cwsionaIbit iIdiitp,reraic ,corn
C}atct Estimate#
SERVICES
info¢"Yx?prs,rfcssiorrallrtrildurls�rwrucs.cone _..
603-898-2977 1 781-995-2335 11 1€1)2016 3699
Exp. Date
11/24/16
Narrte!Address
1?ric 14orol
95 S Bradford Strutt
North Andover,MA O 18,15
Description City Fate Total
Whole house exoc ��,.._..��.„r... »... ... .,�.��,�� ..,. .._.. _
pt i'giiwcall. Which has been completed 139 13,00 1,8017,00
South(Chimney)
Fascia ft: Soffit Coverage OPTION:
Rcplaeeliascia with white I l ardic Board
Remove existing and install new white 1lardic Soffit
w°entcdlncart-werttcd so4Tit 13e XI.4,00 1807.00
Price per L F,
0.00 0100
Trim Options:Flashings be drip caps included
Water'I`able Pricing:
PVC 5/4 x 6 water table per LF.$12.f}(?
PVC 5/4 x 8 wwratcr lable per LF,$14.00
PWC 5/4 x 10 water table per L.F.$15.5O
PVC 3/4 x 12 water table,per L.F.S 1 TOO
PVC ww+nter chile,cap per 1-F—WOO,Ooei on lop ofabovo water
tables.
Frieze board Pricings
PVC;4/4 x fi frieze hoard per L.F.S i0,00
PVC 4/4 x 8 frieze board per LF..S 1100
PVC 4A x 10 friezc board per 1-F,$13,50
PVC 4,14 x 12 frieze,board per LT.515.00
Ciaragu Wrap:
heel acciarns,trim and wenilrcr stripping with PVC
I Car$.3001.00
2 Car$45O.00
Soffit&fascia:
PVC, l x3 Shadow line per L.1�.-S6,5O
White Vinyl 12"Soffit.Veined or nein-vented per L F,$11.50
While Vinyl Ix8 Fascia trim per L.F.5,4 1.50
tss"r'rrrzulcy P`rtlicJfirr^14 tlrrVs rrf'lssrecr
Page 3
S "�
Professional Building Services
M aaway.prcatcsyionaIbit iIdin gset icuti.00ll,
Date EstimateGSERVICESS
1t
oilori?prrrt��<rir�trarltruildin(t crvrccs.corrr ., _.. . �_,„
603-898-2977 / 781-995-2335 11110,2016 3699
Exp. Date
I
11/24 16
Narne/Address
1,1'rie Kozo(
95 S Bradford street
North Andover,'MAO 1845
Description ty ..�...., irate Total ....
1 7,�15.00 745,00
30 yard dunrpster with 5 tons.If additional dumpstc;r acceded,
customer apr vs to pay lbr additional dunipster or dumping fee of
5 123 per ton,
chuck to sec if ilrey its to toter an electrician 1 0.00
Fle chic al Allowance:
Vstirnale does riot provide lot-any electrical weak nor any alterations
to or upgrades of the electrical systems or wiring found to be
defective,(leficient or illek3al at the little such cliscrcpaticies mars be
discovered during 11rc course of the project
0 1.1.75 0,00
New Clutters&dwAlrsliorit's.Price per
O 1010.00 0.00
R&R Vinyl Shutlers per Pair
o.00 OJ)O
CONC1 ALI'D CONDH IONS:This Agrcoment is based solely on
the observations Contractor was able to make with the structure in
its cutrent condition at the tiro this Agivorew was bid.If
additional c(arccaled conditions tare discovered once work bus
corumelrccd which were not visible at the time the proposal %%as biel,
Contractor will stop work and point oat these unforeseen concealed
conditions to Owner so that Chwrler and Contractor can execute it
Change Order for any Additional Work.
O,oO 0.00
ROTREPAIR-remove,disperse,purchase.aid itrstall 4x8 plywood
-S I OOl'slreet
Sit actutoTrarno ropair rate,:
S165do (or Master Carpanter&Carpenter Apprentice
Materials receipt to be provided phis 151,6 for administralion fire
Estimate Kifi lfiv Ind`dqj s oy'. ssaae:
Page 4
Professional Building Set-vices Estimate
9 Olde Woode Rd Saloai N1.1 03079
wmN,proles'sioiraIf)tIiI(Iill pervicv,S,cortt Date Estimateif
SERVICES
60r-898fat-r �� rl�tl ` rf . rari .�. ..
t' -C 4„ `� 1- I11t)F2016 3699
Exp. (date
i
Name/Address
95 S Bradford Siroct
North Andovor,Pvl.A 018,45
Description G1#y Iia#ta � � Total
0.00 0,00
11,11lerc;are;exiMilig puffer,,storm windows,storax doors or xny
additional itcrrtss affixed to the d,,volin ,tltvv will aoi be reirrst,alled
ill any manner as these items do not como 0iYanld 8o hack oil is
property casily and we our sot l)c head responsihle Ior their
oporation and/or fim(dionaliiy.
'Addtional for w Mow/loot tial oo tiont(F:;ac1)wall of houasea. All othekr trial,
fast>r`a and solfit on house(exr�frt South(Cham sy)wall)is onctuded on
pages 1•3 of this rslrrnaate Wives).
Win(Jow:;and ) door with Window Willi 3” PVC' bonids crr1 top l0 120.00 1,200.00
and sides.Windorar sill to lac:standard PVC sill 9 windows€rtd I
door 10I 120,00 1,200.00 and inclusive of midline trim,
I
I
Estimate'f%'rrlirlfio+r l4 rCufrs qf'Lssare
19,877.00 p
page.'13
001
,
.e:" m
r � ,
Professional Buildiflig Services Estimate
www.pccrlcssiofIIk1bIli I(Ii1)rscteices,will
Date _ Estimate#
SERVICES irttc>'r(ipt�.�icsstc7nadbnilclinlx�ct rtccs.e�,nn
6013-898-2977 / 781-995-2335 11/10,12016 37oo
Exp. Date
I
1 1/24,;10
Meme!Address
Brie 1Co/ol
95 S Bradford Stmt
North Andover,MA 018,15
Description � Qty Rate � Total
W IN1:)()W PRC),1I;t"T I lar vc:y Esitimatc 42320
Now cnnstructinft cvirrdrrw iastrtll 7 05 00 7.40.00
IAtbor ler install with all prcrper sealtrnts and ilaointts
2 1/2"colonial basing paiftt Sracic irrelall
Primed interior
Disposal e71"cold unfits
r 830,69 1,661.38
NI:W C'C;)NS'1'RUt"T1()N S1iRIES 400 ANDER,',ON WINI)OWS -. .
0 Size Y2 1/8"W 3'447,9" Unit 'size;.3' 15x8"W h:3'4T8"If
Unit T{c1ual Sash White C.'1uar piste,I ltplt performance Low F-F4
IIcat Lock Glass,fincliplrf grilles-1iet4c°ecu file plass,colotfial.
4W211,White/Whi(OA(each such). hisect Screen White,U-
Facim 0,26,SIRK,:0.27 FN1,RGY STAR(:LR"1"1FIFI)
LABOR R WARR.AN'I`Y-3 YEARS 0.00 0.00
MA FRIAL WARRANTY-'TO MANI.7FAt:RJRFId8 17.00 0.00
WARRANTY
i
Total S2,41 1.;38
I
Professional Building Scat-vices
rur" rauuiiiremfmomwmmuuArv,uwiummnmii;rtauuGnnmmiiuimmrttu�"mrmrm"rvirvrmnreuw,uWrmnuuudiraav"r ".....". ., ..... ....__ ..
vmaa�;nrvmmmurm,�iavamMr,�mrurrmummuurrcaram+kwmnzrrirw,munmcvr�u�rruu,�mmHniri ^a�u�uvsmviun;gxrr,�i6vrwiancowtnorvarimur`;�aouii�ru'iiinrmbvwrowkwarmni7z`: roagri G
i
OUR PERSONAL GUARANTEE TO YOU:
1. Your crew will beat your home everyday for fall workdays until your important
project is completed. We will notify you of inclement weather conditions or pre-
approved days off such as national holidays.)
2. Your Meld Supervisor (Pete, Joe, Angelo, or Johnny) utilizes our exclusive
checklist for a "during the job" inspection. Your Meld Supervisor will visit at least
every other day throughout the project. They are usually there everyday and
quite often are present multiple times in one day.
. Acquire the remodeling permit and coordinate the city required inspection.
4. Conduct a Pre-Construction meeting with you before;job start. We will go over
all details to make certain we have no miscommunications once the project is
started.
S. Communicate with you as long as you need on a daily basis. We need you to be
100% satisfied in every way throughout your project.
I
6. Install all products according to the manufacturer's published instructions. Only
work that is done right will stand the test of time.
i
7. Carry all necessary insurance and worker's compensation for all workers. We
want to protect you from any unknown liabilities.
8. Provide an open line of communication to address any customer concerns. Your
satisfaction translates into more referrals for us.
q. Address all concerns or warranty calls within 24 hours. We care about you long
after the project has been completed.
10.Have a final walk-around with you to ensure your 100% satisfaction. Our most
commonly received compliment is how much our customers love their home!
Authorized Representative � Cute
Customer Satisfaction is the foundation of our company.
Communication is critical to your satisfaction.
l elep[aone MA,— 781,996,2335 V/ X111 (1)3M .297
_. ff
Professional Building ervic es
. siir�nwrumrcurarnunrrer^�rsrw,m ,,zm.rr,�znr"�w�mra�tuawmttwv�;ii�eumamurmgr,��or!�mamwow� umuar�rirrma �niimiww,wmt�w ,�",y�cere�m%�ia�,�r,
30-year warranty on Hardie Plank 15 Year Paint Warranty
Workmen's Camp and General Liability Insurance carried .. Certificate of Insurance Provided
CSL#: 105443 NIC##::170870
r
Total Price:
Lien Waivers Furnished For Material and Labor upon Completion ofJob.
i� hi �`t{Fl I1 '11 [{�, �i ?[(.' �r�i i.<it,��i `l fl. 411d ;d ..,
YOU,THE OWNER MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSAC," 101. SEE THE NOTICE OF CANCELLATION CLAUSE
ATTACHED FOR AN EXPLANATION OF THIS RIGHT.
j This proposal is based upon current material and labor cost. This proposal may be withdrawn if not
accepted within ten (10)days.
ACCEPTED AND AGREED:The prices, specifications ,and conditions contained in this Agreement are
satisfactory and hereby,accepted. You are authorized to perform the work specified. (MUST BE SIGNED
BY ALL OWNERS) j
OWNER: DATE:,__.
OWNER: ell,
AGREEMENT IS NOT FULLY EXECUTED UNTIL APPROVEI)ANO SIGNED 13YA REGISTERED OF ICEROF
Professional Building Services,
Pete Ciaaaldi,manager Data
We at PBS would like to thank you in advance for this opportunity to review and prepare this proposal for
your home. We are totally committed to providing 100% customer satisfaction before, during and after
your project. We have taken much time to make sure this proposal is suited to meet your needs now and
in the future. Please call me at your convenience if you have any questions at all. We look forward to
working with you.
Sincerely,
f
Pete Ciaraldi, Project Consultant
i
i
r
rephone M d 95,23 i ��� ��� N[ 6 �i 1,39 � �"
"
1
i
i
I
The Com►11011wealth of 1Vassachusetts
Department of,Industrial Accidle►its
Office Of ltivesttgations
GILD Wasbittgton Street
Boston, Nt4 02111 vi
IvsUw.nurss.gov/rlia
Workers' Corn pen sa tion Insurance Affidavit: Builder•s/CotitrActors/Elcctricians/Plumbers
Applicant ihuforrnatiion ._.....�. Ptease Print l;t: ibly
Name{Business!()r�aniUltiarvlttcrivitiuttl}:—�r�>.�fj)�1_ �. _..._-_... <�
Address:
�_._.._C}i-!2 :_.__ .._.....__......._,._._.. .__ _...
City/State/Lip:—SA-LE.AA_...._.N_4_....-0� -7,cl. Phone ,' ...._.(Q Q`5 �sIi
C'
Are you an employer?Check the appropriate box:
I 'Type of project(rcquiwed);
1,r] L am a employer with 4. attt a general contractor Ncv+ construction
and I �
ti.
etrtpioyees(full andlar part-time).* have hir4d the sub-contractors E
2.❑ 1 am a sale proprietor or partner- fisted on the attached shi;et. t 7. :4 Remodeling;
ship and have no employees These sub-contractors have 8. IJ Demolition
working for me in anv capacity,
workers'comp. insurance.
jNa workers'cpm insurance 5. `). L3uilding addition
P• ❑ We are a corporation and its
required.] officers have exercised their I0.� Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right ofexemption per:m(il. I I f�..Jl Numbing repairs or additions
myself: (No workers'comp. c. 152, §1(�1,),and we have no 1?�� Roof repairs
insurance required.]t employees. (No workers'
h
I.1. ._ other
_ s:orap.
insurance required.] I. .._.__....._.._---._..-_ ..._....-�....
Any applicant that checks box#I must also Fhl out the section Wow showing nccir Iion policy inrormawn.
t 110meownLrs who submit this affidavit indientiq.they.tri doing all work and then hire orpsidc cualracturs must suhn=it a new affidavit indicating sash,
'Contractors that check this box roast attached an additional sheet showing the nano of hhe sue•.-cpnftactor's and their worlim'cutup,policy rntOrmailon,
1 am an employer that is providing workets'compensation insurailve for my enr{rloyec.s. Below is the policy and job site
infotmatian.
r..
Insurance Company Name_.._ ok 'f {? 1 ce
Policy#1 or Self-ins-L.ic.►l: �j.Q_ c }t t t - j Lj Expiration Uatr.: f LL
............._.-..__.............._.._ P
Job Site Address: � 2
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of'MGL c. 153 can feud to the imposition of criminal penalties of a
fine up to$1,S00,00 and/or one-year imprisonment,as wale as civil Penalties in the form of STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this Statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
r n hereh} eerfifv u►rr/er Jhe pains ant!pcnalties of periRry that the informution provided above is True and correct,
f,
Phone P:
Official use only. Ort nut write in this area,to be completed by-cite,or town official.
City or Town: Perm it/Llicclist
Issuing Authority(circle one):
1. 11oard of Health 7, wilding Department 3. City/To,wn Cterl: •t. 1•:lcetricul inspector 5, l'lunibi:ig 1nspccta1
G.Other
Contact Person;____ Phone ..._. .-_--_-
3
aco CERTIFICATE OF LIABILITY INSURANCE ;;23.2o,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 policies may require an endorsement. A statement on this certificate does
not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
HAYS INSURANCE BROKAGE PHONE FAX
133 FEDERAL ST AIC No,Ext): AIC No):
BOSTON,MA 02127 ADDHLrss-
€NSURER(S)AFFORDING COVERAGE NAIL#
INSURER A:THE TRAVELERS INDEMNITY COMPANY OF AMERICA
INSURED INSURER B:
SURGE RESOURCES II INC INSURER C:
820 CANDIA ROAD
MANCHESTER,NH 03109 INSURER D:
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.
ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY
MNVDDNYYY POLICY EXP LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
CLAIMS-MADE OCCUR PREMISES Ea occurrence
MED EXP(Anyone person) $
_ PERSONAL&ADV INJURY $
GENERALAGGREGATE $
GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $
POLICY JEC LOC $
AUTOMOBILE LIABILITY RDMBIl,4EQ SINGLE LIMIT $
a acmdan,
ANY AUTO BODILY INJURY tPer person) $
ALLOWNED SCHEDULED
AUTOS AUTOS BODILY INJURY{Per accident} $
HIR[Q AUTOS NON-OWNED F' !OPCEgde t AMAGE $
._.......... AUTOS
UMBRELLA LIABHOCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION X I WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y!N TORY LIMITS ER
ANY PROPHIETORlPARTNERIEXECUTIV NIA E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? y 6HUB 12-31-2015 12-31-2016
(Mandatory in NH) 9F438417 E.L.DISEASE-EA EMPLOYEE $1,000,000
if yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required)
Coverage is restricted to the leased employees of"Professional Building Services"
CERTIFICATE LDER CANCELLATION
TOWN OF NORTH ANDOVER MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
95 S BRADFORD ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
NORTH ANDOVER,MA 01845 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE Q ..
O 1988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
AC RD® CERTIFICATE OF LIABILITY INSURANCE DATE{MM1ODlYYYY}
11/17/2016
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(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 endorsement(s).
PRODUCER CONTACT patricia BlaiS
NAME;
Financial Insurance Services Inc PHONE (603)432-6414 we Nc.(603)932-3652
PO Box 950 E-MAIL ADDRESS:p blais@fisins.com
INSURERIS)AFFORDING COVERAGE NAIC#
Derry NH 03038 INSURER A.-National Grange„Insurance Co 14788
INSURED INSURER B:
Professional Building Services By PMC LLC INSURERC:
9 Olde Woode Road INSURER D:
INSURER E:
Salem NH 03079 INSURER F:
COVERAGES CERTIFICATE NUMBER:16-17 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.
INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMI�DIYYEYYY I POLICY EXP
LIMITS
LTR
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000
DAMAGE TO RENE
A CLAIMS-MADE Fx-1 OCCUR PREMISES a occur ence $ 500,000
MPT1630H 2/5/2016 2/5/2017 MED EXP(Any one person) $ 10,000
PERSON AL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
% POLICY❑JECT PRO ❑LOC PRODUCTS-COMPIOP AGG $ 2,000,000
OTHER: Employment Practices Liability $ 100,000
MB
CO
AUTOMOBILE LIABILITY BIT1630H 2/5/2016 2/5/2017 I
A Ea accideNEDnt SINGLE LIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED X, SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
X HIRED AUTOS X AUTOS Par accident
Medical payments $
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS€.IAB HCLAIMS-MADE AGGREGATE S
DED I I RETENTION $
WORKERS COMPENSATION
PER -TH-
AND EMPLOYERS'LIABILITY v1N _STATUTE ER
ANY PROPRIETOMPARTNERIEXECUTEVE ❑N!A E.L.EACH ACCIDENT $
OFFICERWEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5
DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES (ACORD 101,Addillonal Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
Jordan@professionalbuildin
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
95 S Bradford Street ACCORDANCE WITH THE POLICY PROVISIONS.
North Andover, MA 41845
AUTHORIZED REPRESENTATIVE
Sam Fragala/SETH
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
IN3025 f2ntant�
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er,rtc;Itrscd space
CS 108443
PETER(TARALD1
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Salem NI-1 03079
f side to p0YWY,rr G.ur(ont oditgarr of Tho tVx"")¢hnauwit';
;f<rte Budding 4 odc>"r,nh f'fol l evrrc miol'r of thr,11(on"o
06/0112018
License or registration valid fur inrfivi(jol rase^old)
before tfrc e xpinl6on date, I I'found reUrrrl to:
Ao
nuWr';117:nryOffice of('onsurner lffarirs and Business Regulation
fi frrAi �rf'd'on�,n ,k; Ytu rna^�s^:
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