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Building Permit # 12/27/2016
BUILDING PERMIT SO! ��bq� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '` .- r. Per No -- ° Date Received_ ��ATE❑hPC'^k�y ACHUS Date Issued: _ _. —. _-_ C?R'T 'T: Applicant must complete all items on this page �✓ LOCATION I,R Print PROPERTY bWNER ' Prltlt 100 Year Str"ucturo yes ' 40, MAP PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes ------------- -- -- TYPE OF IMPROVEMENT -PROPOSED USE Residential Non- Residential New Building WOne family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial __ _.. _ �_.. _------------ ❑ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other ❑ Septic ❑ Well ii Floodplain ❑Wetlands ❑ Watershed District ❑I/Vater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: - � 1,S,+-t V--.J �e> Phone: _.. ,Address: Ckt< ,r..t . M Contractor Name, d�, � .. Phone: .. �. . Address: S7 . ° ��� _'54( Supervisor's Construction License: . 05'µ 'T/ 1 Exp. Cate: Home improvement License., Exp: Date:_�� l �_ ARCHITECT/ENGINEER Phone: Address:_ _ Reg. No. FEE SCHEDULE;BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. rofial Project G®s"ir L0 __--_-- FEE. $ -� Check No.: ,N _.__ Receipt No.. NOTE: Peons contracting with unregistered contract do not have-access to the guaranty fund ig� aturewof Agent/C7wner Sign Pure cif contractor, - NORTH own of zAndover . 10 No. * C1 - Y -- ,Dif h ver Mass ;R K-P O LAKE �4 LOC+/1C Iil WICK`y RATEo U BOARD OF HEALTH Food/Kitchen P E Septic System THIS CERTIFIES THAT ... .. .......... ............ ...�... ...... .......... ........,....... BUILDING INSPECTOR .. . .. . ....... ..... ..... .. .... has permission to erect..........2.............. buildings on .,.. .., .. ..,,,, ,,. . .. ......94A ............... Foundation ......... 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 T LD VIOLATION of the Zoning or Building Regulations Voids this Permit, Rough Final I PERMIT EXPIRES IN 6 M®NTH ELECTRICAL INSPECTOR UNLESS CONSTR T- LON S T Rough g' - - Service s !� A. ,,.. .:x .... J .BUILDING.INSPECTOR} Final GAS INSPECTOR Occupancy Permit Required to Occupv Buildin 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. I� i TESTA Building and Remodeling Start date 5 AP L TON STREET Finish date NORTH ANDOVER, MA 01945 HIC Lic. 120295 Expires 11/19/17 I (978) 502 2023 CSL Lic. CSS 54719 Expires 5/8/19 Proposal Aug 18, 2016. Proposal Submitted Alex and Kristin Moody Cell Phone: Kristin -857 2721153 195 Barker Road Alex-978 807 6564 North Andover, MA 01845 Remodel kitchen Obtain building permit Complete removal of all demolition and construction materials generated By Testa Building and Remodeling and its subcontractors. DEMOLITION: Remove all cabinets and counter tops and appliances. Remove the plaster on the wall and ceiling. Remove the flooring and underlayment and prep for oak flooring. CONSTRUCTION: Move the location of the window framing an opening for an Anderson triple casement 7' Wide, Acid an Move the opening to the dining room. Remove the pantry closet and the short wall across the door opening. Remove bay window and frame wall. Patch siding as necessary. PLUMBING: Move the vent for the sink as it runs up the wall where the new window will be framed. Plumb new sink, two dishwashers and appliances. Re run gas from old Vocation to new stove location. Remove baseboard heat and replace it with a kick space heater. Ouestio ti :-:knout whether we could add plurribin g for loot t'ilk,,r above :ntcsve? Note: There is no allowances for plumbing fixtures for the kitchen. ELECTRICAL: Use the existing wiring in the kitchen area. Run new lines where necessary to bring the kitchen to code. Wire all new appliances.Wire for under cabinet lighting. Install 12 tl" recessed lights with Install under cabinet lights. Install a new sub panel near the existing panel to provide room for new circuits. Note: There is no allowances for light fixture other than the recessed lights. INSULATION: Install R 15 insulation with a vapor barrier on the exterior walls. PLASTER: Hang 1/2" blue board on the ceilings and the walls. Skim coat plaster will be applied to all the walls and ceiling in the kitchen. Ceiling in the kitchen will be sand finish to match the rest of the house. CABINETS: Install all cabinets and moldings in the kitchen according to the plan. Install all appliances. FLOORING: Install new oak flooring in the kitchen and Foyer, Butt up to the flooring to the dining room, Sand and poly three coats in the kitchen and Foyer only. TILE: Install and grout tile for kitchen back splash. Note: No allowance for tile and grout. Labor and adhesive only. VENTING: Pipe the exhaust blower for the cook top. Will provide all duct work needed. PAINTING: Prime all walls and new trim. Paint two coats of finish on ceiling, walls and trim. NOTE: There is no allowances for Kitchen cabinets, granite, plumbing fixtures, appliances,the and light fixtures. A finance charge of P/2%per month(18%per yeah)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attorney's fees. I propose hereby to furnish material and labor complete in accordance with above specifications, for the sum of: S 38,791 Thirty Eight Thousand Seven Hundred Ninety One Dollars One- third to start,one-third after rough inspection,one-third upon completion. Authorized signature I reserve the right to cancel this contract if not accepted in-30–days Signature--CA �,--- Signature_. DO NOT SIGN THIS CONTRACT IF THELE ARE ANY BLANK SPACES I f This form satisfies all basic requirements of the state's I Iorne Improvement Contractor Law(MGL,chapter 142A),but does not include standard language to protect horneowners.Seek legal advice if necessary.Any person planning ]ionic improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information hotline at 617-973-8787 or 1-888-283-3757 or on our website. (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of _Date when contractor will begin contracted work. MGL chapter 142A.) Express warranty-Is an express warranty being provided by the contractor? t No Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the 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 a]I subcontractors for materials and labor tinder this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract tinder law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract.'rake time to read and fully understand it.Ask questions if something is unclear. ["s]Make sure the contractor has a valid glome Improvement Contractor Registration,The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 for by calling 617--973-8787 or 888-283-3757. [DDoes the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document, ®Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. 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 or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement, See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies,of the contract must be„completed and signed.O ie copy should go to tfrc homeowner.The other copy should he kept by the contractor. m IloFner 'sSigttature Contractor's Signature; _ - i c� Date Date I 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.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home 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,the contractor may Submit the dispute to a private arbitration firm 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 In M c Ma General Laws,c r 142A. Homeowner's- Si re Contractor's----------- Signatu- NOTICE:The 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 even where this section is not separately signed by the parties, 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 Horne 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 Conti-act 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 tile 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 dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, 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 placed in ajoint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require tile signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 1.0 Park Plaza,Room 5170,Boston,MA 02116 1 617-973-8787, $88-283-3757 or visit the OCABR website at http:/fwww.mass.g,ovlocal:)l•/ f 1 If you want to verify the registration of a contractor or if you have questions or need additional fi 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 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http//Nvww.ln�rss,gov/oc-il)r/ Go online to view the status of a.Horne Improvement Contractor's Registration: http:f/cll�.�:talc.lira.1.ts/11c>trrc:.itnpaoverr7ent/"licclrseelist.a.s I 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 Version 2.1—11/22/201 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 INS'T'RUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED. 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 TETE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SE;LE,ER'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 DESPISE;OF THE GOODS WITHOUT ANY FURTHER OBLIGA'T'ION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER. AND TAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE;OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL, OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NO'T'ICE OR ANY OTHER WRI"T-I'EN NO'T'ICE, OR SEND A TELEGRAM TO [Name of Seller],AT [Address of Seller's Place of Business] NOT LATER THAN MIDNIGHT OF I HEREBY CANC:;L THIS TRANSACTION. Date: / Buyer's Signature: i i i r r 235.25" 83.00" 62.25" {R � NN, B16; 621; 48"PRO HOOD *. W2853 SB36;FARM SINK B38 36 BC3D53 K , DS4 D/W DILV OS3 / 16"DP E5L 1*' L/R STD.FS DOWN LZ-SUSAN SPICE4.25"DP S`e y';z yaESA 3/4" ESL 1/2" 48"RANGE L SINK BASE WILL COME ' Ila� 35-1/2"H-TRIM AS 67.50" s B32 NEEDED TO SCRIBE TO FLOOR W2853 � i ESR 1" PULL BASE CABS B6;WINE IG"DP 1/4"FROM WALL W3735 108,00" TEP 1.5 X 26 X 90 BEV TRIM TO88.75H CUTLERY FRG ; TRIM TO 25-112DP PLATE DRA " � 1?ani B27;DS3 B27;MICRO BEP 1-1/2-36-27 OLID WOOD R STILE DWN L STILE DWN TRIM HEIGHT AND 90VE FRIDGE 62.00" WIDTH AS NEEDED /4 X 4.75 X 48 39,04" ?h`s a PLAIN PANEL 54 X 3-1-112 is TEP 1.5 X 26 X 68.75 �' 82.00" TRIM TO 68.75H TRIM TO 25-1/2DP 4a.7z° "BUILD SOFFIT ABOVE TALL CABINETS4 tf PULL AS NEEDED TO ALIGN W/CORNER �a T3384-11"DP; T3384.1i"DP'Mo ($ 1 e ESR 314" ESL 314" 67.50"- FINAL COOPY, I I 1 The Commonweata,o,f`Hassachusetts .Deearhrtent affndustrialAccldefats 1 M h Congress Street,,S`Oe 100 _80stov,AfA o2114-2017 K www.rnass.go�vIdza a eVXOntra W0,V�ersq cornper�sationf s'ar'mc e A�tr�av9tj') RVffTT1JVG, .T11'A0RTRY �r%cia7as/E'Xnxp�rers. TO BE].+'SLED�WS"S'S please prjnt Le 'bl A ' Ixcant[n nrrnatian Name;(fitrsinesslOxgariszat�anLCvdivzdual}:��e' Thom CiGyl atelGzp: LI M11 — ro ect(� R Ae4l 'p'ype oi~p j eci •'1 r' Axe-you an enrpSOyer?Checls.tiie appropxlafe box: 7 e9 "doTTsiz Tctian ]. S ama employcx with __ PloJees(full and/or partzme7. 8. �Romo delldg 2. S am a sole proprietor or partnership andhave no employees vaorkingforme in 9. L1eTtrolitiaTa any capacity.[�7iaworkars'comp,insurance required,) allworkmysel# [Noworlsers'comp,iasmanaererluiredj et 10❑Building addxtinn 3.F]x am ahoineowmr doing x will. d.�xamahomeowuerandwillhehiringcontzaaforstaconducta7JwarkonmY-property. 11�BJectrJGaXepaso ac17t]o#1s 12 ensure that all cantractots ei#herhave workers'compensation insurance or are sale � .1'] mbixtg repairs or adclz€Ians proprietors withno erugoyees. l_I 5. Z am a general contractp i and S have hi-ad the sub-contras#ors listed onthe attached sheaf X3'.�T.i..bofreliairs J`hesosub-confractors have employees andhavoworkers'comp.insurance 1 Other_ — ,, We are a corporai%ori and its,officers haw oxercisedtheir right of eXemptian per li�xL a- 1—t 152,ro a c and. nava n,employees.LNo workers'comp.insaranca required_( liaantthatch�oksb°a#1??ru�`dsoiil(outthescation below showingtheirworkexs'compensattonPolicyinfomration; u6lL Any aPl? an hire outsidr 6,�jtiug they arc t ITamcawnazswhosubmnijthis affdavit ndY i an addifionaldhseneg owingthename aftt sub contracforos an uters must wh the�azn tl�sew affidavit en f?e have Tcontractors tbat checkthiq tion n-snst atta . �ployees. 7fthe sub confracfars have eznplPyees,they must provide their workers'comppalicy nurnlrar. an em to ex tlzatis avidz"n i�arXcels'campGrasation ix�stzjanceforrny employees, �3elaW is tTiepalzcy arzdjo i site lam p 7' infor=mation. — f surance ExpirationDatel_. Policy#or Soffins.Lin, City/State/Gip�� _ lob Site Adr�gess:_.��_ __ .� . _— so nwnal;Lf.e poTicyn abex and expiralJon.date). f lac;h a copy at the_W():: :ers' comper�sa ion policy decla_ratiorr.pag pailuxe to sectrxe coverage a s xeq�Ared-Linder MOL 0-e52,§2e form isc a S G CRKpC7RD Bland a:fin nfup to $250.00 a and/or one-year imprisonment'as yell as ci�zii penalties � day'against the�rzoiatar..[�nnpy of this Statement na aS''be forward to theOffice,a�`Snvest7�atrnns oft�o l��'A.fox��Trr.'anne coverage Verification- ���— — --__ =-- --� -- ==— [cZa rZet'eX�y eerti zaxzrlet Eriepains ar�cl,�enalties ofper jury Mat tTxe i�z/arrrzationk�raPic�ed move is true and correct m � j C)j bate__:__. pff sial zcse axzly. Ua zat Write in this area,to lie ca�rzpleted by czty or ta7vra official. CRY or Tcfwn• • S,'erxuit/License�_ ________---------- �' ISSCirgAltbn:tity(Circlecle One) . 'tor 5.plxclng TTISPeCtOy 1.33aardoiffe2th 2,130dixg bepartnent. ® DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 12/27/16 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 NAMEACT : Rich Testa R.W. Testa Insurance Agency, I PHONE F�f (978) 685_1150 Fa,X No: (978) 681-9002 s 855 Turnpike Street ADDRESS: rich@testainsurance.com North Andover, MA 01845 INSURERS AFFORDING COVERAGE NAIL# INSURER A:COMMERCE INS CO INSURED INSURER a: Testa Building And Remodeling INSURERc: 5 Appleton Street llVsfIRERD: North Andover, MA 01845 INSURER E: INSURER F: COVERAGES CE RTI FICATE N UM B E R: 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 � ADDL t�U 3D -� POLICY EFF7PERSONAL& LTR TYPE OF INSURANCE NSR WVD POUCYNUMaER MIDDN LIMITS A GENERAL LIABILITY 516388 6/2/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRFMI $ 100,000 CLAIMS-MADE �OCCUR MED EXP(Anyone person) $ 5 000 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2 000,000 17 POLICY PRO• LOC $ T F AUTOMOBILE LIABILITY GONG INED SINGLE LIMIT aaccldent $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNFO SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPER€Y DAMAGE $ HIRED AUTOS AUTOS eraccident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ '.. EXCESS LIAR CLAIMS-MADE AGGREGATE $ '.. DED RETENTION $ WORKERS COMPENSATION WC STATU- OTH- '.. AND EMPLOYERS'LIABILITY Y I N I ER ANY PROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT OFFICERiMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE If yyes,describe under DESCRIPTION OF OPERATIONS 6etow E.L.DISEASE-POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 161,Additional Rermrks Schedule,If more space Is requi red) 195 BARKER ST, NORTH ANDOVER, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE RICHARD W TESTA JR ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: !We YFommojgrnerrl//1 r/C`,/(�r�,ar/rrur:v Office of Consumer Affairs&Business Regulation a FHOME IMPROVEMENT CONTRACTOR i Registration: 120296 Type; Expiration: 11//912017 DBA TESTA BUILDING&REMODELING JAMES TESTA 5APPLETON STREET N.ANDOVER,MA 01845 Undersecretary ------------- Massachusetts Department of Public Safety ' Board of Building Regulations and Standards License: CS-054718 Construction SLiperuisar JAMES M TESTA 5 APPLETON ST N ANDOVER IAA 41845 �•^.� Expiration: Commissioner 06/08/2818