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HomeMy WebLinkAboutBuilding Permit #229 - 109 LYMAN ROAD 9/24/2007 VON 64 g �q) BUILDING PERMIT "°RT b 3 - c Q� TOWN OF NORTH ANDOVER o APPLJ-CATION FOR PLAN EXAMINATION V � s -ey~ � o Permit N0: Date Received 1• ��SS'GCHUS'��9 Date Issued: ' - v !J C:T I IMPORTANT:Applicant must complete all items on this page r LOCATION Prin PROPERTY OWNER r v Tint MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: I entification Please Type or Print Clearly) OWNER: Name: Gam' c U Phone: ? ?,73-02 G Address: CONTRACTORName: /G ' " Phone: b3Ct ? G Address: /d c � S J/6 U0111 Ak. otg 9J- Supervisor's Construction License: Exp, Date: A_ /0 Home'Improvement License: /1 Exp. Date: { ARCHITECT/ENGINEER 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: $ s�r FEE: $ �D Check No.: /Olfs— Receipt No.: I�)O NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner - Signature of contractor 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 ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit j ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And j Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance ors special permit was required the Town Clerks office must stamp the decision from the Board of Appeals P P Q p ppea s 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 I Revised 2.2007 I Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS 4 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT - Temp ©umpster on si yes no Located at 124 Main Street Fire Department signatureldate COMMENTS Dimension Totals square feet of floor area based on Exterior dimensions. Number of Stones. q � � 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.$100-$1000 fine NOTES and DATA— (For department use a i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 J Location "- r � No. Date �oRTM TOWN OF NORTH ANDOVER F 9 i • Certificate of Occupancy $ ESQ CM Building/Frame Permit Fee $ A3 o s� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # t,-S7 20627 ' Building In eeisi_ .NORTH Town of And over No. 2v 2w9 W- _ _7 dover, Mass.1 0 It. COCHICHEWICK Of?ATED BOARD OF HEALTH Food/Kitchen PERM IT T, D Septic System BUILDING INSPECTOR .. ... .... ..... .......... THIS CERTIFIES THAT ........................ .... . ............. ... ... Foundation has permission to erect in ........... ... buildings c ................................ Rough OM P 0 frhimney to be occupied as.....;e%w-. provided that the person acce p­il n**g' this permit shall in every respect conform io't" a e­rms­ the a­p­�- file Final 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 h terms 930 ,-- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR �2 S TS UNLESS CONSTRU S Rough .... .......................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building 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. SEE REVERSE. SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 M s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print Legibly Name (Business/Organization/Individual): s C Address: z�Z ���i9-•nS ���' City/State/Zip: &e halpt/Cy-,Z1,&A eNaOY.s Phone #: �)bo c" Are you an employer? Check the appropriate box: Type of project(required): I.❑ I am a employer with Z 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on the attached sheet. + E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. y9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: 4)& Expiration Date: // —Z/ " ? Job Site Address: City/State/Zip: ,-lv 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. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er the ai s and penalties of perjury that the information provided above is true and correct. Sip-nature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town 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 M IM A% TTjMj0qMjj2#V •be Construction & Remodeling Bnc. 102 Adams Ave. No. Andover Nass. 01845 (978) 686-0786 Phone / Fax Lic. *:058241 Reg. *:153811 DATE: 04/19/07 Owners Name: Mr. and Mrs. McVeigh 102 Lyman Rd. N. Andover.. MA 01845 PROJECT: Water Damage 11. GE SCOPE�74QPE Vi' 1!`Y`ORK DESCRIPTION ION KITCHEN 8X17 Demo kitchen cabinets, sheetrock wails, 3V4in. plywood undedayment Re-nail sub floor Re-nail ceiling strapping Insulate rear exterior wall 136 sq ft 8lueboard lac plaster walls 300 sq ft 8lueboard and plaster ceiling swiri finish 136 sq ft Remove rear exterior door unit Install new 3-0x6-8 full view entry door unit Install new 3\4in. underlayment 136 sq ft Install interior 2 1\2in. ranch casing to new rear door unit Replace 9ftx6ft-8in cased opening 2 1\21n ranch casing Replace 7ft-6inx6ft-8in cased opening 2 1\2 ranch casing Install new kitchen cabinets 28ft-61n Lin. Ft. Laminate with laminate sofFitt Install new kitchen laminate countertop 25ft-6in Lin. Ft. Install microwave Install dishwasher Install stove Remove and reset kitchen sink Case kitchen windo 2 1\2 ranch casing Contractor Ver CWner 11le back splash w\scattered Deco the 34 sq ft. Paint walls\ceiling 2 coats 436 sq ft. Paint trim 2 coats Install new Vinyl flooring 15.1 sq yds. Electrical Replace ceiling tight fixture Replace 7 Lin. Ft, track lighting Replace 3 Heads SIDE ENTRY ROOM Remove 3\4in, underlayment 126 sgft. Remove 3 5\8in. Ranch baseboard 27 Lin. Ft. Install new 3\4in. undedayment 126 sglt. Install 3 5\8in. Ranch baseboard 27 sq.ft. Install new Vinyl flooring 14 sq yds. Paint baseboard 2 coats DINING ROOM Remove blueboard & plaster 32 Lin. Fir. wall Remove 256 sq.ft. wall insulation Insulate 256 sgft. Wali R-13 Insulate ceiling along front 33 sq.ft. R-30 Re-nail strapping on ceiling 216 sq.ft. Re-nail sub floor 216 sq.ft. Blueboard and plaster 372 sq.ft: wall Blueboard and plaster 216 sq.ft. ceiling swirl finish Install new 2 1\21n. ranch casing 55 Lin. Ft. Install new 3 5\81n. window stool 10 Lin. Ft. Reinstall ceiling electrical box Install new ceiling light Allow $400 fixture Install 3 5\81n. ranch baseboard 27 Lin. Ft. Paint trim 2 coats Paint walls 2 coats, 372 sq.ft. Fo Finish Paint ceiling 2 coats, 216 sq.ft. Install new 2 1\2in. strip oak hardwood floor, 216 sq.ft. Sand & finish floor 3 coats Poly. Replace baseboard heat cover +2 end caps 22 Lin. R. Remove and refit front entry door 1st FLOOR HALL C:ontmmr ier f6er Remove plaster ceiling 35 sq.ft. Remove hardwood floor 35 sq.ft. Remove bathroom door unit 2-0x6-8 LH Remove hall closet door unit 2-0x6-8 LH Blueboard and plaster wall 128sq.ft. Blueboard and plaster ceiling 59 sq.ft. Swirl filnish Install 3 5\8in. ranch baseboard 22 Lin. Ft. Replace basement door unit 2=6x6-8 weather stripped Remove and re-hang light fixture and smoke alarm Paint walls 128 sq.ft. 2 coats Fo Finish Paint ceiling 2 coats 59sq.ft. Install 2 1\2in, strip oak flooring 59 sq.ft. Sand and Poly 3 coats 59 sq.ft. Install 3 1\2in. oak thresh hold at basement steps BASEMENT Blueboard & plaster basement stairwell ceiling 42 sq.ft. Paint stairwell ceiling 2 coats 42 sq.ft. Seal basement ceiling with Kiltz Primer\Sealer. 2 coats loot FLOOR BATHROOr4 Remove closet door unit 1ft-6in. x 6-8 HC lauan Remove 1\4in. underlayment 32 sq.ft. Remove and reset toilet Install 1\4in. underlayment 32 sq.ft. Install 1-6 x 6-8 HC Lauan Door unit Closet door Install new Vinyl Boor 3.5yds. Paint trim 2 coats Stain door Poly door 2 coats STAIRS to SECOND FLOOR Remove rail &starting post. Remove skirt board & 1st tread and riser 421n. Remove 4 step stringer Install 4 step stringer Install new hard pine tread 421n. Install 1x8 pine rise 421n.. Install starting post Contmetor erg er Install balusters & rail 5 Lin. Ft. Install new 1x12 skirt board Paint trim 2 coats Stain and poly post and rail Carpet and pad stairs 8sq.ft. Upholster 4 steps 2"¢ FLOOR BATHROOM Remove 48in, vanity Remove 1\4in. underlayment 49 sq.ft. Remove 2 door units Remove and reset toilet Remove and reset vanity sink top Install 1\41n. underlayment 49 sq.ft. Install 2-6 x 6-8 HC Lauan door unit Install 2-4x6-8 HC Lauan door unit Install 48in. vanity w\ 3 draws Install 16 Lin. Ft. 3 5\8in. ranch baseboard 8lueboard and plaster 9 sq.ft. wall Paint wall 2 coats, 272 sq.ft. Install new Vinyl flooring 5.5 sq.yds. Paint trim 2 coats Stain doors Poly door 2 coats 2nd FLOOR HALL ENueboard and plaster walls 16 sq.ft. Remove 5ft. laundry door unit Remove closet door unit 2-o Remove bedroom door unit 2-6 Install 5ft.-o x 6ft-8in. laundry bifold door unit Louvered Install 2-0 x 6-8 closet door unit RH Install bedroom door unit 2-6 x 6-8 RH Install 3 5\81n. ranch baseboard 10 Lin, Ft. Paint trim 2 coats Paint wall 2 coats 240 sq.ft. Stain doors Poly floor 2 coats Carpet & pad 4 sq.yds. 2"'d FLOOR BEDR+® M 22x10-6 Contractor Mer Remove 2-6x6-8 door unit 8lueboard and plaster 32 sq.ft. 2 corner beads Install 2-6 x 6-8 door unit HC Lauan LH Paint walls 576 sq.ft. Stain door Poly door 2 coats Paint trim 2 coats Carpet and pad 26 sq.yds. MISC. Dumpter Loving contents Test Electrical system Final cleaning Permit cost (Additional Scope of Work page(s) attathed: Yes _ x� No) A. LUMP SUM PRICE FOR ALL WORK ABODE44 $ ,2QO.Q4 This Agreement will expire 15 days after 'the date at the top of page one of this Agreement if not accepted by Owner-and returned to Contractor with deposit within that time frame. If any conflict should arise between the plans, specifications, addenda to plans, and this Agreement, then the terms and conditions of this Agreement shall be controlling and binding upon the parties to this Agreement. 1, PR03ECT-SPECIFIC EXCLUSIONS: 2. STANDARD EXCLUSIONS: Unless specifically included in the "General Scope of Work" section above, this Agreement does not include`iabor or materials for the fallowing work: Plans, engineering of plans Testing, removal and disposal of any materials containing asbestos (or any other hazardous 41'e, 0*61// lit"X, Contractor Pvver ?�Aer material as defined by the EPA MovingOwner's s pr operty around the site. Labor or materials required to repair or replace any Owner-supplied materials. Final construction cleaning (Contractor will leave site in "broom . swept" conditionn correction of existing out-of-plumb or out-of-level conditions in existing structure. Correction of concealed substandard framing. Rerouting/removal of vents, pipes, ducts, structural members, wiring or conduits, steel mesh which may be discovered in the removal of walls or the cutting of openings in walls. Removal and replacement of existing rot or insect infestation. Failure of surrounding part of existing structure, despite Contractor's good faith effort to minimize damage, such as piaster or drywall cracking and popped nails in adjacent rooms or blockage of pipes or plumbing fixtures caused by loosened rust within pipes. Exact matching of existing finishes.. Repair of damage to roadways, driveways, or sidewalks that could occur when construction equipment and vehicles are being used in the normal course of construction. Cost of correcting errors and omissions by the Owner's design professionals and separate contractors. Cost of correcting/testing/remediating mold/fungus/mildew and organic pathogens . B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work: Construction time through substantial completion: Approximate Six weeks not including chiding delays and adjustments for delays Ys caused by: holidays; inclement weather; accidents; shortage of,labor or materials; additional time required for Change Order and additional work; delays caused by Owner, Owners design professionals, agents, and separate contractors; and other delays unavoidable or- beyond the control of the Contractor. C.: CONCEALED CONDITIONS, DEVIATION FROM SCOPE OF WORK, AND CHANGES IN THE WORK 1. CONCEALED CONDITIONS: This Agreement is based solely on the observations Contractor was able to make with the project in its condition at the time the work of this Agreement was bid. If additional concealed conditions are discovered once work has commenced or after this Agreement is executed which were not visible at the time this Agreement was bid, Contractor will point out these concealed conditions to Owner, and these concealed conditions will be treated as Additional Work under this Agreement. Contractor and Owner may execute a Change Order for this Additional Work. Contractor is released, held harmless, and indemnified by Owner from all pre-existing mold, fungus, mildew, and organic pathogen problems and is not responsible for costs or damages associated with correcting, containing, testing, or remediating the same. 2. DEVIATION FROM SCOPE OF il4iORK: Any alteration or deviation from Contractor Pmer the Scope of Work referred to in this Agreement involving extra costs of materials or labor (including any overage on ALLOWANCE work and any changes in the Scope of Work required by Owner, Owner's design professional, Owner's agent, or governmental plan checkers or field building inspectors) will be treated as Additional Work under this Agreement resulting in an additional charge to Owner as set forth herein. Contractor and Owner may execute a Change Order for this Additional Work. D. PAYMENT SCHEDULE AND PAYMENT TERMS I. PAYMENT SCHEDULE: * First Payment:$15000.00 due when Agreement is signed and returned to Contractor: 2"d. Payment $15000.00 due after rough inspections . 3`d Payment $10000.00 due after interior trim is installed. • Final Payment:$4200.00 Balance of contract amount due upon Substantial Completion of all work under contract: * Interest in the amount of 0% per month will be charged on all late payments under this Agreement. - 2. PAYMENT OF CHANGE ORDERS/ADDITIONAL WORK: Payment for Additional Work is due upon completion of;either all or part of the Additional Work and submittal of invoice by Contractor. E. WARRANTY Thank you for choosing our company to perform this work for you. Your satisfaction with our work is a high priority for us, however, not all possible complaints are covered by our warranty. Contractor does provides a limited warranty against material defects on all Contractor- and subcontractor- supplied labor and materials used in this project for a period of one year following substantial completion of all work. This warranty covers normal usage only. You must contact the Contractor at the address on page one of this Agreement in writing for warranty service immediately upon discovering an item in need of warranty service. If the matter is urgent, you must also call the Contractor and send written notice of the need for warranty service. Failure to notify the Contractor of the need for warranty service within ten days of discovery of a warranty item may void this warranty. Additionally, Owner's hiring of others or direct actions by Owner or Owner's separate contractors to repair a warranty item are not covered by this warranty and will not be reimbursed by Contractor. 'z Contractor er e No warranty is provided by Contractor on any materials furnished by the Owner for installation. No warranty is provided on any existing materials that are moved and/or reinstalled by the Contractor within the dwelling or the property (including any warranty that existing/used materials will not be damaged during the removal and reinstallation process). One year after substantial completion of the project, the Owner's sole remedy (for materials and labor) on all materials that are covered by a manufacturer's warranty is strictly with the manufacturer, not with the Contractor. Repair of the following items and related damages of every kind are specifically excluded from Contractor's warranty: problems caused by lack of Owner maintenance; problems caused by Owner abuse, Owner misuse, vandalism, Owner modification, or alteration; and ordinary wear and tear. Damages resulting from mold, fungus, and other organic pathogens are excluded from this warranty Deviations that arise such as the minor cracking of concrete, stucco, and plaster; minor stress fractures in drywall due to the curing of lumber; warping and deflection of wood; shrinking/cracking of grouts and caulking; fading of paints and finishes exposed to sunlight are all typical (not material) defects in construction, and bre strictly excluded from Contractor's warranty. G. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any controversy or claim arising out of or related to this Agreement involving an amount less than $5,000 (or the maximum limit of the Small Claims court) must be heard in the Small Claims Division of the Municipal Court in the county where the Contractor's office is locatdd' Any dispute over the dollar limit of the Small Claims Court arising out of this Agreement shall be submitted to an experienced private construction arbitrator that shall be mutually selected by the parties to conduct a binding arbitration in accordance with the arbitration laws of the state where the project is located. The arbitrator shall be either a licensed attorney or retired judge who is familiar with construction law. If the parties can not mutually agree on an arbitrator within 30 days of written demand for arbitration, then either of the parties shall submit the dispute to binding arbitration before the American Arbitration Association in accordance with the Construction Industry Rules of the American Arbitration Association then in effect. Judgment upon the award may be entered in any Court having jurisdiction thereof. The prevailing party in any legal proceeding related to this Agreement shall be entitled to payment of reasonable attorney's fees, costs, and post-judgment interest at the legal rate. H. ENTIRE AGREEMENT, SEVERABILITY, AND-MODIFICATION This Agreement represents and contains the entire agreement and Contmctm � er er understanding between the parties. prior discussions or verbal representations by Contractor or Owner that are not contained in this Agreement are not a part of this Agreement. In the event that any provision of this Agreement is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement should be made in writing and executed by Owner and Contractor. 3. ADDMONAL 'PERMS AND CONDMONS I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. HATE CONTRACTOR S SIGNATU o� DATE OVV R'S SI TORE Contractor OWner r V i „per Jf7�E TGTINJGIJEtl9tllfEllf.(IG O�iJNla'd1Lt�bfXQ6�� � wj Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registi+�fi::-153811 TMhort. 1/9/2009 Tr#'253$66 r fiype Private Corporation R.S.HEBERT CQ,-A- EM6b'9(- G INC. RONALD HEBE� _ C .a 102 ADAMS AVE. NO ANDOVER,MA 01845 Admi Esfrator ^e � 0i - 1 'rl:lei COt�tST*•kN +,f`tf+'6" z;r}'r±+FRYi ., r a R' U79+1 fF i. exp �.ifQ' ,20?40. 2 1 2A AVEC - N--NDS, Mk 04046 ' - . „ ACORD_ CERTIFICATE OF LIABILITY INSURANCE Op ID C DATE(MMI RSHEB-1 09124/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Michaud, Rowe And Ruscak Ins. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 198 Massachusetts Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover NA 01845 Phone: 978 688 8829 Fax:978 557 2130 INSURERS AFFORDING COVERAGE MAIC# ff�SURED INSURER A: rrotorred Nutual Insurance Co. . 15024 INSURER 8: R g Hebert Const & Remod, Inc. INSURER C: 102 Adams Avenue ENSURER D: N Andover NA 01845 INSURER E: COVERAGES 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 CONTRACTOR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N= TYPE OF INSURANCE POLICY NUMBER DA. DATE M UNITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A $ COMMERCIAL GENERAL LIABILITY CPP010059202808/09/07 0.8/09/08 PREMISES Eaoaxxerxe $100000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $5000 PERSONALBADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'LAGGREGATE LIMI.APPLIES PEP, PRODUCTS-COMPIOPAGO s2000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Me accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per P—) S HIRED AUTOS BODILY INJURY $ NON-0WNED AUTOS _ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTOEAACC S OTHER THAN AUTO ONLY: AGG 5 EXCESSIUMBRELUI LIABILITY EACH OCCURRENCE $ OCCUR Q CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ----- ANY PROPRIETORtPARTNERIEXECU7NE E-L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L DISEASE-EA EMPLOYE $ If yes describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION MM IG1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF,THE ISSUING INSURER WILT:ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL Michael oae1Qh 109 Lymann Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover MA 01845 I'tEPRESENTAT IM A REPRESENT ACOND 26(2-001/08) ©AGGRO CORPORATION 1981 Jan 23 07 03:44p Matthews Insurance Agency 97858 3855 p. 1 ACORDS, CERTIFICATE OF LIABILITY INSURANCE01/23/2007 P&O WER Matthews Insurance Agency THIS CER�FICATE IS ISSUED AS A FATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 162 Parker Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lawrence, MA 01843 ALTER THE COVERAGE AFFORDED BY M49 POLICIES BELOW. 978-681-1112 INSURERS AFFORDING COVERAGE I NAIC0 Remodeling Inc, � R S He er Construe ion nd wsuRMA: L oy s 102 Adams Street INSURE 6: No. Andover, MA 01845 INSURER C: r INSLRER D: COVERAGES INSURER I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING I ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSUPWNCE AFFORDED BY THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS,EXCLUSI POLICIES.AGGREGATE LIMITS SHOW f;MAy HAVE BEEN REDUCED BY PAID CLAIMS. ONS AND CONDITIONS OF SUCH OF 11121 n ME POLICY NUMOM P r OEilRAL LIAMLI" UTATS X COMWACIAL CENEUABiL TY EACH OCCURRENCE E S , 00 RPL CLAIMSMADE -)OCCUR •ME S , O MlCE5(Es rruurer,� jNACO259/05 08/09/06 08/09/07 I WEDEWV ce ) s , I 1 r RsoeuLaADvr,sIRY a 0, 000 4AUT0M=LELjMUTy A COY GATE LIMN PPPLast PER: I f i �Z�EOALAGG�G4TES1, 00,O OPOLI $•COMPIOPAG6 OO �� i 1 ii �ANYAUTO I I COI'11I'48t SINGiELIM71 ALLOWNEDAUPJS E IEa su;clent) S 1 SCFEDULEDAU)DS (1*0 PURY i I HIRWAUTOS ( S NO0.L0L1,fVEDAUTOS I ( `JIRY i I PRCP&RTY DAMAW G'AARAA31 LMU'IY S AUTO ON(Y-EA ALCS?EKi 'ANYAJTO S f I I FAACC S I i OFhERTIiAN 67ft�SCC:MRELLA LL43tRf)Y I AUTOONLY: AG6 S { EACH OCWRRENCE S a OCCLR D CLAC+ MACE I -. I AGGREGA'E S 3@pUCTIpI& I i S i RETENTION S $ O AND S A 0TH 41, y>'RL7�'R�CUt; We 2922401 11/21/06111/21/07 El.EACHACCDENT _. 15100,I •I5`0 SPE{LALP sbdcw E.L.DISEASE-EA EWLOYFF S i00,0 V LI •OS rum t E.L.DLSFAX•PoLiC Y LNMIT 1$100,0 a j f D �PT>ONOF-'gWMFLOCATioNSS/VEHCLE9=LUMNSADD®BYFI00I Eh YI/9FECIALPRpVfgO1LS I I CERTIFICATE HOLDER CAAICELLAT[ON I Charles Carr 3MUW ANY OF T'HE ALCOVE DMRSED POLICIES BE CANCELLED 13UO E THE ExPIRAMN 15 Bare Meadow Rd.ndo DATE THS THE ISBUNG WAVIER wlL EN9GVOR To MNL DAYS wla;TEN NDT)CE TO THE CERTIFICATE HOLM MINED To TILE L@FT,BUT FAILURE To DD So%4ALL Methuen, MA 01844 IMPOSE NO OBLIGATION OR UABHliy OF ANY Ki1fi_UyON THE ALSURFR ITS AC,ENYS OR REPR�ENTAMM FWRESENTAM i ACORCA25(POIi1A16} WACORD CORFORATI{ i t98$