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Building Permit #003-2016 - 1 VILLAGE WAY 6/29/2015
t� AaaAn1I ' �a/�{�+ * tkORTIi q """NN"ll.. j C s O tT�ac ba 1r0 BUILDING PERMIT 3� b� . .• ^. .6 0� TOWN OF NORTH ANDOVER z� APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received Date Issued: �9SSAC14US I ORTANT: Applicant must complete all items on this page LOCATION J Vrc e- 4--)eg y & zi Print PROPERTY OWNER ��.4.ea�- E' > Ave �ti-tisti �n o Print MAP NO: PARCELZt ZONING DISTRICT: Historic Districty s no' Machine Shop Village y s no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ;K One family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer /V El, � ff/�C,�if.v cA/3i.t.t rS C04-,A� /Ati C,6 S' .3)a S./��:..� /�'c 136e- G A K Fe-a vn 3 . 4/t4,j 134c,e J�P-Lei S,4 /9p Pi?t c i s s��� L i i r-/.c.:6- r!Sxc`���c%) Identification Please Type or Print Clearly) OWNER: Name: S/zrAi2Q,L, 7-)d2��i Phone: X76, 2S-7, (J)Aw4") Address: / ///GL 14 G-ff It, y Al, A A-PO CONTRACTOR Name: 97c'.6-77,//Sr-Phone: G'A�'i Address: 3 2 y / �e to 1l,,-.a n c e— 70/L 1"14 c,,l Supervisor's Construction License: Exp. Date: 17 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER IVLA Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 33 ` cc FEE: $ Check No.: Receipt No.: 93 NOTE: Persons contracting with unregistered contractors do not have access to th tyfund gnature of Agent/Owner Sir"47-74 �i,E�� Si nature of contractor �- T -- r. C OA- 7-,4,A&>- ' ��. NORTFI BUILDING PERMIT TOWN OF NORTH ANDOVER _ to APPLICATION FOR PLAN EXAMINATION _y Permit No#: Date Received Zj�SSgCHU5���9 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT:_ HistoricDistrict yes no Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg El Others: ❑ Demolition ❑ Other _ m �4Y ' W 5 ❑"Flood Fl a nF❑WetlantlsWr atersh£edl1:®istrict 0 Septi �, ells ,._per DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp.. Date; Horde Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: , Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si�n ture�r�fs��ntra�for �,;. -- i afar-�t J Flans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ ! 1 J TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic Tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS I i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes , lanning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection Driveway Permit ]DPW Town Engineer: Signature: P/AR �_ _ Located 384 Osgood Street FIRE DE �1"IIIiEIVT'r E ` ' r ` <' g �ernp D�umpr,, Upon&site, 111�,es � friLocated at 124�MainStr e . + ` •�; ' cin�.: zYf r � N �' S FSOp� l � n� Ur art"ment gig;_ 1 4 �r$'+�✓6�t.J'!. tP `,� ,. r...�����-�r �;h 7p f�' -* � ��t �Y s'k�`u} � ' •� Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine NOTES and DATA-- Igor department( ase) 1 i Ll Notified for pickup Call Email Date Time Contact Name 3 Doc.Building Pennit Revised 2014 - r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits -t Building Permit Application Workers Comp Affidavit 4. Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application �6 Certified Surveyed Plot Plan 4. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract 4. Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Mass check Energy Compliance Report (if Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) E Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses f Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit I required the Town Clerks office must stamp the decision from the Board of Appeals re In all cases if a variance or special permit was q that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i r Location No. C.� Date Z� i • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 2A� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ • . I i Check# 12-54 21j-' J Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 26,334.00 m $ - $ 316.01 Plumbing Fee $ 39.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 39.50 Total fees collected $ 495.01 1 Village Way 003-2016 Kitchen Remodel NORTH Town of . E : A'. Andover o -, - No. 00 * .T ver, Mass, .".j t 21. 2614T T O LAK! COC NIC Kl W1CK �.�AERATED PP�,��y S V BOARD OF HEALTH Food/Kitchen PE Septic System MIT npj A. NNi BUILDING INSPECTOR THIS CERTIFIES THAT .. ................. ... ................. ... ......................................................... w - Foundation has permission to erect ......................... buildings on ...,........ .A.. 1A.z*qr.. & ................. 3 Rough k, tobe 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 CONSTRUCTION TARTS Rough Service ................�: AV10.00FIM.W...................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. UNIQUE PERSPECTIVES,LLC—"Contractor" 324 Reedy Meadow Road Groton,MA 01450 Office(987)448-5124 Cell(978)877-1155 PROPOSAL/ESTIMATE/AGREEMENT Owner: Sharon& David Sonnenfroh Address 1: 1 Village Way North Andover,MA 01845 Tel.#: (978)257-5884 (Dave's cell) (978)257-5885 (Sharon's cell) Job Site: same as address 1 above PROPOSAL made this 22nd day of June,2015 by Contractor to Owner. THE WORK. The Contractor shall renovate the kitchen and perform all the work(the"Work")as set forth in Attachment"I"for the Owner at the Job Site. In pursuit thereof,the Contractor may and shall be permitted to subcontract portions of the Work to properly licensed and qualified subcontractors. TIME OF COMMENCEMENT AND COMPLETION. The Work to be performed under this Agreement shall be commenced on or about August 3, 2015 and shall be substantially completed by September 25, 2015;the"Completion Date". The Completion Date shall be subject to such extensions as shall be permitted by this Agreement and/or necessitated by delays caused by Owner,weather or unforeseen shortages or delays in labor and materials. CONTRACT SUM AND CHANGE ORDERS. The Owner shall pay the Contractor for performance of the Work,the amount of$26,334; hereinafter the"Contract Sum". The Contract Sum shall be adjusted by additions and deductions to the Work mutually agreed to, in writing,by the parties on Attachment"2" the"Change Order"form. The Contract Sum shall be paid to the Contractor as follows; 1/3 at start of job, 1/3 upon completion of items 1 thru 5 on Attachment 1, and 1/3 upon completion of the work. Failure of the Owner to make payment as required hereunder shall allow Contractor who then deems itself to be insecure,to immediately cease the prosecution of the Work until paid with interest due on any delinquent payment at the rate of eighteen (18%)percent,per annum from the date due.until the date paid; require that all future payments due under this Agreement by Owner be held in a joint escrow account by Owner and Contractor requiring the signature of Owner and Contractor for withdrawal; and, result in a delay to the Completion Date equivalent to the length of delay in making payment and subject to any further delay resulting from Contractor's preset schedule of construction on other projects which now conflict with the Work due to the delay caused by Owner. 1 ALLOWANCES. Included in the Contract Sum are allowances for which an amount is carried as Contractor's best estimate of the respective item based upon the Contractor's cost including shipping and tax. Attachment 4", lists allowances for various components of the Work. The Owner may use the allowances in any manner Owner chooses and shall make selections within the time reasonably requested by the Contractor so as not to retard the progress of the Work; failure to timely select shall result in a delay to the Completion Date commensurate with such failure. Unused allowances, if any,or portion thereof, shall be deducted from the Contract Sum and, as appropriate,progress payments. Costs in excess of allowances, if any, shall be added to the Contract Sum and, as appropriate, added to and paid with progress payments. THE CONTRACTOR. The Contractor is a licensed Construction Supervisor by the Commonwealth of Massachusetts and that license number is CS091038. The Contractor's federal identification number is 56-2436191. The name of the individual who negotiated this Agreement on behalf of the Contractor is Gary P. Reiss. All contractors and subcontractors employed for the Work shall be registered with the Chief Administrator of the Board of Building Regulations and Standards and any inquiries which the Owner has about such individuals relating to a registration should be directed to the Chief Administrator in accordance with Massachusetts General Laws, Chapter 142A, Section 2. PERMITS. The Contractor shall secure and the Owner shall pay for the Building Permit necessary for the execution of the Work. The Electrical and Plumbing Permits necessary for the work shall be secured and paid for by the electrician and plumber respectively. The Contractor shall not be responsible for any delays in the Work caused by the permitting granting authorities in the issuance of the Permits. SITE CLEAN-UP. The Contractor, at the completion of the Work, shall remove all its tools, construction equipment, machinery, surplus materials and all waste and rubbish from and about the Site. DISPUTE RESOLUTION. Owner and Contractor hereby agree in advance that any controversy or claim arising out of or relating to this Agreement,or the breach thereof, shall be submitted to a private arbitration program that has been approved by the Director of Consumer Affairs and Business Regulation, as provided in Massachusetts General Laws,Chapter 142A, Section 4 and governed in accordance with the provisions thereof. Agreed to by Owner this 22nd day of June, 2015. Owner 2 OWNER NOTICE OF RIGHT OF CANCELLATION. Pursuant to the provisions of Massachusetts General Laws you,the Owner,have the right to cancel this Agreement and the transactions represented hereby,without any penalty or other obligation,within three(3)business days of the date of this Agreement. Owner and Contractor acknowledge and agree that Owner has received a duplicate notice of such right by separate Notice of Cancellation from this date. HAZARDOUS MATERIALS. Unless this Agreement specifically calls for the removal,disturbance or transportation of asbestos or other hazardous substances,the parties acknowledge that such work is not anticipated hereunder and requires special procedures, precautions and/or licenses. Therefore, unless this Agreement specifically calls for same, if Contractor encounters such substances, Contractor shall immediately cease work and allow the Owner to obtain a duly qualified asbestos and/or hazardous material contractor to perform the work. Any such work shall be treated as an extra under the Agreement for which the Owner shall remain and be responsible and any resulting delay shall not be deemed a Contractor delay. BINDING EFFECT,GOVERNING LAW ETC. Owner and Contractor acknowledge that they have.carefully read all of the terms herein and agree that the same are necessary for the reasonable and proper protection of the respective parties. All parties; agree that they will abide by, and be bound by the aforesaid agreements and that this Agreement shall be binding not only upon the parties hereto but also upon their heirs,personal representatives, successors and assigns,but only to the extent assignment is allowed hereunder,and each party hereto agrees to execute any instruments in writing which may be necessary or proper in carrying out the:purposes of this Agreement. This Agreement has been drawn in the Commonwealth of Massachusetts, and shall be governed, construed and administered in accordance with the laws of the Commonwealth of Massachusetts. In Witness Whereof,the parties have executed this Agreement this 22nd day of June, 2015. TO.OWNER: . DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES i Contractor: Owner: Unique Perspectives,LLC Sharon&David Sonn, rroh By: Gary Reiss,Manager i 3 NOTICE OF RIGHT OF CANCELLATION Owner: Sharon&David Sonnenfroh Contractor: Gary P.Reiss Pursuant to the provisions of Massachusetts General Laws you,the Owner,have the right to cancel this Agreement and the transactions represented hereby,without any penalty or other obligation,within three (3)btisiness days of the date of this Agreement. For purposes hereof,the date of this Agreement shall be deemed to be June 22, 2015. If you cancel, any,payments made by Owner under this Agreement,and any negotiable instrument executed by Owner will be returned within ten business(10)days following receipt by Contractor of the cancellation notice and any security instrument will be cancelled. If you cancel,you must make available to the Contractor at the Site, in substantially good as condition as when received, any materials or supplies delivered to the Site pursuant to this Agreement; or,you may comply with the instructions of the Contractor regarding return shipment of such materials at Contractors expense. Materials and/or supplies made available to the Contractor as required hereunder and not retrieved by Contractor within twenty(20)days of the date of the Owner's notice of cancellation shall become the property of Owner without further obligation. Failure to provide the Contractor with materials and/or supplies delivered to the Site and requested by Contractor shall result in the Owner remaining liable for the reasonable cost therefore. To cancel this transaction,you must mail or deliver a signed and dated copy of this Notice of Cancellation or writing similar hereto to: Unique Perspectives,LLC 324 Reedy Meadow Road Groton,MA 01450 This Notice of Cancellation must be received by Contractor not later than Midnight on June 25,2015. Owner acknowledges having received two(2)copies of the within Notice of Cancellation this 22nd day of June, 2015. Owner RAN I HEREBY CANCEL THIS TRANSACTION ON THIS DAY OF S 2015. Owner 4 Unique Perspectives, LLC Sharon& David Sonnenfroh; Kitchen renovations Attachment 1; 6/22/15 ' Statement of Work: 1) Remove dishwasher, faucets, sink, garbage disposal,refrigerator, stove,microwave, and counter tops. Refrigerator,stove,garbage disposal and dishwasher will be reinstalled. 2) Remove existing upper and lower cabinets. R 3) Remove handrail, spindles,and baseplate that divide kitchen from family room. 4) Supply and install 35"wide by 41"high Pella ProLine casement window over sink. Window will have satin nickel handle and operator, a removable screen,white aluminum clad exterior and the interior will be painted Pella white. We will supply and install Azek (maintenance free)trim on exterior and 3 '/z inch wide primed casing on interior. 5) Supply and install a 71.25"wide by 79.5"high Pella Designer series sliding French door in place of existing sliding door. The door will be triple glazed with wheat fabric shades that stack at the bottom(between the glass), prairie grilles(between the glass with the shade),will have a satin nickel handle and the left panel (when viewed from the exterior) will open. The door will be clad with white aluminum on the exterior and the interior will be stained cherry. There will be a self-closing screen on the interior. We will supply and install Azek trim on the exterior and 3 ''/z"wide primed casing on the interior. 6) Plumber will move location of gas pipe to stove to right and bring to code; rework drain and water supplies as needed for kitchen,faucet, sink, and garbage disposal including new shut offs; add ice maker box behind new refrigerator location with new shut off and water filter in basement; install customer supplied sink and faucets; reinstall dishwasher, garbage disposal, stove and refrigerator. 7) Upper and lower corner cabinets will be constructed to accommodate the existing 3 ''/z" plumbing stack pipe. We will make every effort to move the stack pipe into the wall between the kitchen and the bathroom but cannot guarantee that we can do that. 8) Electrician to add 7 recessed lights in kitchen ceiling(one over existing table and 6 spaced evenly in ceiling)all controlled by existing three way switches on a dimmer; add 1 recessed light over island controlled by existing table light switch; add 1 recessed light over sink controlled by existing light switch; add under cabinet lights controlled by 1 new switch near sink; wire new counter plug next to new refrigerator location;wire new refrigerator plug; move microwave plug into new cabinet;wire new island plug; move plug over for gas stove;rewire dishwasher with plug under sink to meet new code requirements and rewire garbage disposal. 9) Patch sheetrock as needed.Assumes ceiling will remain with existing swirls. 10) Install customer supplied microwave. 11) Install customer supplied tile on backsplash along sink wall, stove wall,and over small counter near refrigerator. 12) Supply and install new white oak edge board between kitchen and family room, change two rows of flooring between the kitchen and hall,then sand and refinish kitchen floor and apply four coats of polyurethane. 13) Sand and refinish wood flooring in dining room,hall and front entrance then apply three coats of polyurethane.. i Allowances: None Notes: 1) Contract does not include cost to supply or install cabinets,cabinet trim, or cabinet knobs and handles. , 2) Contract does not include cost to supply or install countertops. 3) Contract does not include cost to supply faucet, sink,microwave,or tile for backsplash. 4) Contract does not include painting The Commonwealth of Massachusetts UWDepartment oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A_nnlicant Information Please Print Leeibly Name (Business/Organization/Individual): (;,41t Address: 3Z 5, /?CZPP �r-14_7>oe-- City/State/Zip: 61? IA o/Asa Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.to I am a sole proprietor or partnership and have no employees working for me in 8. S Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition In i am a homeowner doing all work myself.[No workers'comp.insurance required.]► 10E]Building addition 4.[J 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 ME]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ME]Roof repairs These sub-contractors have employees and have workers'comp.insurance.= 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 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 new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding ivorkers'compensation insurance for my employees Belmv is thepolicy and job site information. Insurance Company Name: C Agit/Z e-,.5-9 .1_ C 0 L G- A, S Policy#or Self-ins.Lic.#: /L T �_G S-S-/9 8 O J Expiration Date: Job Site Address: / VI LC,4 6-Z 6u llt City/State/Zip: ,V• A-1-17>G V,67/2 'ham- O 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$1,500.00 and/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. Ido hereby certify t p ' and penalties of perjufy that the information provided above is true and correct. Si ature: Date: Phone#: 972? 6377, //1-E Official use only. Do not write in this area,to be completed by city or totvn official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A� CERTIFICATE OF LIABILITY INSURANCE DA�06/29/2015YY) 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 poiicy(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 CONTACTGI er M Maroon Charles J Coughlin Insurance NAME: 14 DinleyStreet ac°No Exit: FAX No): E-MAIL P.O.BOX 10 ADDRESS: gI rigerC� ougHiriris.com Dracut,MA 01826 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Utica First Insurance Company 15326 INSURED Unique Perspect%es,LLC Gary Reiss INSURER B: 324 Reedy Meadow Road INSURER C: Groton,MA 01450 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. INSR TYPE OF INSURANCE AD11L SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDNYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY ART505519801 06/25/2015 0625/2016 EACH OCCURRENCE $ 500,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT-ED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE F—I OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INIt1RY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1 ow,OOD POLICY JECT PRO- RO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY RyIURY(Per accident) $ HIRED AUTOS PION-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSA71ON WC STATUS OTH- AND EMPLOYERS'LIABWTY Y/N T ANY PROPRETORIPARTNERIE)(E JIVE EL.EACHACCIDENT OFFICERWEMBER EXCLUDED? N/A $ (Mandatory describe In and E.L.DISEASE-EA EMPLOYEE $ ff yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LINT $ . L TF DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,i1 more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION Fax#.(978)688-8476 Town of North Andover,Massachusetts SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Inspector THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE VNTH THE POLICY PROVISIONS. Building 20,Unit 2035 North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD sachusetts-Oepattment of d standards Mas Re Regulations an Board of Building g Su+lcpiiSO CS-0910.38 License: ,;. n,. GP324 gELSS A1� REEDY ON50 y''s ,i►4�`� Expiration `J �fF• 0310912017 Commissioner Vtze�a�iz��uv�utleul��a���i,?auc�iu:sn, Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR gistration: 143921 Type: xpiration: 8/16/2016 . Ltd Liability Corpor I' UNIQUE PERSPECTIVES LL C GARY REISS 324 REEDY MEADOW RD GROTON,MA 01450 Undersecretary The .cornmodwealth of -Mass'* Department of Fire Services Office of the State Fire Marshal l P. O.Box 1025 Stritc'Road,.stow,MA 01775 ' PERMIT North AndoverDate: y IJ )Permit No (City of Town) (If Applicable) Dig Safe 3Yum er In accordance_with the provisions of Ni GL 4 8 GhaFiter_j•0,asprovided in section S 7 (fig 34 / Start Date This Permit is granted to:. �iZ�nampafperzcn, s (- F Firm or Corporation Pccmissionto locate dumpster truction/renovation/demolition of building Comments:• dumpster. must be . 25"' from structure if unable to Lace with re uired Restrictions: clearance �dumps-ter must be covered with 1 wood or tar end of work -day at (Give location-by street and no.,or desclobc in s-twh manner as to provied adequate identification .of 1'ocatioa) Fcc P aid 50 .00 This Permit will expire-/ (5 ignature of o inFire Chief g perms )`-Z emu[ (Title) I 2108" rr 93116" 33r1 48 a"---- 15"-f-19;8 r ,e trr 9n 1rr 3n / 7 18,8 73,6 39a rr 40 a -38w" r N 93;8' 15"��24" 352" 12" 28;e" BROOKHAVEN I FRAMELESS CABINETRY STANDARD ON ------- -------.--..--- __-=r __.::_.::. _::__::.-:::_.....2.. � --- Oo SPRINGFIELD RAISED PANEL DOOR OESPCHERRY WOOD WITH NATURAL WITH DARK GLAZE CEILING HT: 90 3/8" +/- O O W3330 1530 HANGING HT: 84" ............ ... _ ...... ... _................................... M..... MOULDINGS: MTTB806 WITH MCR8312 TO CEILING J co LIGHT RAIL VALANCE: MTV �C lay' 3C35342 his 00 TOE KICK COVER: MSU805 FURNITURE TOE BOARD MOULDING AROUND SIDE B4D1534 SINK OFF CENTER AND BACK OF ISLAND: MBB BY 3/8" HARDWARE: DRILLED/E86 PULLS ON DRAWERS AND O O 3 X VCSA36 7 ni W N B74 KNOBS ON DOORS D w A ON DOORS G M U1 9O X` r`w. i EXISITING APPLIANCES STAYING: 36" REFRIGERATOR, DISHWASHER, 30"G 472"Tor4 TCBF34 ` I� NEW MICROWAVE ABOVE RANGE O a A. co O O A N B.3D2434 1 D 1834. ar 2" ? N e i O I N 1-TRAY DIVIDER 3 - 0, Go Cr) TCBF34 PWS463401 TCBF34 p ! v 2-LAZY SUSAN ~TIC248413 `r w (o - I 3-DOUBLE PULL OUT TRASH -- �: — — ILL OESPR 4-REVOLVING SHELVES ???? IF THEY FIT WITH PIPE AND FLOOR AIROESPR CABINET SPECIAL SIZE. IF NOT WILL BE WAC WITH SHELF . RETURN LU W364224 Id 64222241 5-FIVE ROLL OUT TRAYS M I i � W4230: i i 6-MDC MOULDING TOP, BOTTOM AND SIDES NO RECESS TOE KICK A/C PIPE - ------ - -.._._ . . ..._ _.. .--...-- -- ----- - -....._............._ ...... 24 " 4 42" 998" 7- COTTAGE STYLE A FURNTURE TOE VALANCE 36 rr rr ,6 87e" 352" a" 352"�i-162" 8-TCDF10/FLUTED POSTS MAKE 12" HIGHT TO ACCOMODATE ROOM NEEDED FOR FLOOR AIR RETURN GRATE 36" k 42"� 998" CABINET OFF FLOOR 12" 4 185 9-TCBF34/SPLIT 3/4 10-VSX 0236/36" HIGH CUT DOWN TO 30" USE 6" PART AND ALIGN WITH TOE KICK All dimensions -size designations LUCY ROSS This is an original design and must Designed: 5/5/2015 given are subject to verification on JACKSON not be released or copied unless Printed: 6/23/2015 j ob site and adjustment to fit j ob KITCHEN applicable fee has been paid or job conditions. DESIGNS order placed. SONNENFRO, SHARON AND DAVID All Drawing #: 1 Scale : 0 3/8" = 1'