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Building Permit #238-14 - 1135 SALEM STREET 9/17/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 3 r Date Received /cy /wf Date Issued: a u IMPORTANT: Applicant must complete all items on this page L. LOCATION e'h PROPERTY OWNER P � � >c�p Print_.. 100 Year Old Structure yesnno MAP NO: J0 PARCEL:(% / ZONING:DISTRICT: Historic District. yes Machine.Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE i Residential Non- Residential ❑ New Building ❑ One family Y , 11 Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: IS ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: I i Identification Please Type or Print Clearly) OWNER: NamePhone: 1,715 rte" Address: I S fa^i` A0 (�%I, CONTRACTOR Name: �hon�: Address: A47- � -- e ' Supervisors Construction License: �� �5'l0 Exp. Date: �l Home Improvement License: 04':% _ Exp. Date::Z/ ARCHITECT/ENGINEER �1� yV A V-44Z, Phone: � `t•5�r 4S/` (e Address: 000 St � Re g. N 01:1(e FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0� FEE: $ _ Q ,ice Check No.: ( 2 Receipt No.: NOTE: .Persons contracting with unregistered contractors do not have acces he guaranty fund Signature_of AgenUOwner Sigature of contracfo 577A_�, �^ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ p, TYPE-:OF.SEWERAGE.DISPOS Public SewerSwimming Pools ❑ Tanning/MassageBodyArt ❑ . Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ 1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY } INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE.APPROVED PLANNING & DEVELOPMENT ❑ �j COMMENTS J CONSERVATION Reviewed on I'2' I Si nature E� i COMMENTS HEALTH Reviewed on Signature COMMENTS 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 DPW To` o Engineer: Signature: � Located 384 Osgood Street FIRE-DEPARTMENt -' Temp Pum ster' on site es no p Y � Located at 124,Mair Street '}. "' Fire'Department�sigriatiireldatd' COMMENTS i i i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i 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 U Notified for pickup - Date i Doc.Building Permit Revised 2010 I I Building Department The fohrpwing is:a list of the r-equi-red forms to be filled out for the appropriate permit to be obtained. Roofivg, 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 Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ 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 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 or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm-tted with the building application Doc: Doc.Bui ding P;rmit Revised 2012 1 Location <: ra o No. r Date Y r N G 01' TOWN OF NORTH ANDOVER T• o Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Mfr .'' Other Permit Fee $ TOTAL $ Check# 268 56 Building Inspector Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost 1 00000.00 m $ - $ 1,200.00 Plumbing Fee $ 150.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 150.00 Total fees collected $ 1,600.00 1135 Salem Street 238-14 on 9/17/2013 Inground Pool The Commonwealth of Massachusetts Department of Industrial Accidents r Q)Yice of investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization4ndividual): South Shore Gunite Pools and Spas, Inc. Address:7 Progress Avenue City/State/Zip:Chelmsford, MA 01824 Phone#:800-649-8080 Are you an employer? Check the appropriate box: Type of project(required): 1.❑N I am a employer with 130 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp'msurance' 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ eP officers have exercised their 11. Plumbing repairs or additions 3.El I am a homeowner doing all work p myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no Swimmin Pool employees. [No workers' 13.0 OtherSwimming 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:National Fire Ins. Co Policy#or Self-ins. Lic. #:SAP4013391888 Expiration Date:4/1/2014 Job Site Address: City/State/Zip: 0a�Oi_er 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 NORTH Town of ndover O .:.1. _ ....� a No. 3 - y h , ver, Mass, I1 -7 COC"ICK.wICK ��• S V - BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System l • THIS CERTIFIES THAT ............d .. ........... ........................................... BUILDING INSPECTOR has permission to erect.......... ............. buildings on .A.1.Sg..... ..�-.. �................. Foundation ,/ • ` Rough -77 to be occupied as ....... 4�.� 4s�.��..........I� 'L/. )6 .....��.. ..J..++......=................. 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 1d� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0 TS Rough Service .................. ............................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE NORTH Town of � t E , ndover O 0 No. �Ah o LK. , ver, Mass, C00041c K(WICK ��• S t) - BOARD OF HEALTH Food/Kitchen PERMIT T LD�� 1 Septic System THIS CERTIFIES THAT (I �G. �..&. ..! .. ............................................ BUILDING INSPECTOR .A.I.S �.. .. Foundation has permission to erect .......................... buildings on ...... . ...................... T_ % ` Rough to be occupied as .......rl .. 45. ........ 14 ..... ..��..i...+...... ................. 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 Iaz) D , PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0 TS Rough Service .................. ............................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE ., .--._...'.,,,mow,,.,-�� M�w ��• ��"`,�,��, ,� r'+ --. 3 -r+.° ;< w t `# !Cs•�xy yr + '"�"' .. .�s >< "#'. a. .*. ,. ?'. "^r > :a+i �F,. yIVA . 'sr'j :,tX ,...,'.zr1 -.r•:T�ax'y....�,.� �� � ;; ,. �.. ,'f. e � +� ¢ ��`t-s „;ae1��,y.ry,'e+ ~:';'^°T.L, .>t�,�.t ��"d.,q'"g• .ti}''Y'°'�+...,,'*. 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Y t§;uw r}' ;S.:• t ice' ( -t.w' x fir, • t„'..'� ,e: � , ^,�x` X`� � '��'r�y1� W � a�.�+rr;^c,� 4!'t -r '-acX�, z. , ;i ;+, z., €•.� _.. *•” '�..�•. t,�� C :.«4 S•^ ,c�`,.>r P rb�-tw'”. k#:`�4Xi` 3 - ) A, - - Office ofd Consumer A airs i n usiness ulat�on _. g 10 Parr Plaza - Suite 5170 5!� Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105485 Tvpe: Supplement Card SOUTH SHORE GUNITE POOL & SPA INC. Expiration: 7/17/2014 SCOTT PANCAKE - -- - 7 Progress Ave. --__- Chelmsford, MA 01824 - - - Update Address and return card.Mark reason for change. Sens c: tows-osn s [] Address 1 'I Renewal j Employment ' Lost Card Rice of Coasnmer Affairs&Business Regulation License or registration valid for individul use only t)ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 Office of Consumer Affairs and Business Regulation egistration: 105485 Type: 10 Park Plaza-Suite 5170 f Expiration: 7/17/2014 Supplement ;ard Boston,MA 02116 ` SOUTH SHORE GUNITE POOL&SPA INC. l SCOTT PANCAKE 7 Progress Ave. Chelmsford,MA 01824 undersecretary _ Y of lid without signature s ACoREP CERTIFICATE OF LIABILITY INSURANCE M oircs/22/ 3 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: Judy George FIAT/Cross Insurance PHONE 603)206-9904 FAX (603)645-4331 1100 Elm Street Aum :jgeorge@crossagency.com INSURER(S)AFFORDING COVERAGE NAIC# Manchester NH 03101 NSURERA.ValleY Fore Insurance Company INSURED 01SURER B National Fire Ins Co of South Shore Gunite Pools and Spas, Inc. InsuRERcAmerican Alternative Ins. Corp 7 Progress Avenue IrMRER0: INSURER E: Chelmsford MA 01824-3606 INSURER F: COVERAGES CERTIFICATE NUMBER:SSG 2013 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 POLICY EFF POLICY EXP LTR Policy NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 A CLAIMS MADE a OCCUR 4013391907 /1/2013 /1/2014 MED EXP(Arty one person) $ 5,000 PERSONALS ADV INJURY $ 1,000,000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE LMR APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO- X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALLOSOWNED AUTO S UL4013391888 /1/2013 /1/2014 BODILY INJURY(Per accideM $ HIRED AUTOSNITON-O,SWNED PROa(ParPE.R�DAMAGE $ Undennsured motorist BI swit $ 20,000 X UMBRELLA LIAB $ OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS Like CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,OOC 82A2UB0000865-01 /1/2013 /1/2014 $ B WORKERS COMPENSATION 4013391891X IMC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (a) NA, NH, CT, RI, ME _ OFFICER/MEMBEREXCLUDED? ® NIA E.L.EACHACGDENT $ 1,000,000 (Mandatory In NH) VT /1/2013 /1/2014 EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 A Limited Pollution54013391907 /1/2013 /1/2014 Oca,mence: 1,000,000 Worksites Liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD V",Additional Remarim Schedule,if mon:"ace is required) Covering swimming pool construction and related operations of the named insured during policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bret Cerasoli ACCORDANCE WITH THE POLICY PROVISIONS. 1135 Salem Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Judith George/LM5 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. A11 rights reserved. INS025 oninn51 nt Tha Af'_npn name anel Innn aro raniefarari marlre of Annpn 41 flomeowtierNanic, RretCerasoli —1 t2 t-Li—te-f� I�vss: �1 Street North Andover. 101845 SOUTH SHORE Egli NITE POOL& SPA, INC. Addendum to Contract Dated 7-14-2013 This addendurn becomes part of.and in confori-nance with,the existing contma docurnents. Addendum applies to a)I checked items following: DECK. F-I'LECTRICAL, GAS. FENCE,, and any or all WORK BY OTHERS. South Shore Gunite Pool & Spa, Inc. provides the best quality swimming pool in the industry. We accomplish this by providing best in class construction practices andan integrated construction process using "in house" employees to manage and install all required products; as; well as deliver service and warranty after the pool is completed. South Shore Gunite Pool & Spa. Inca takes complete responsibility for all scope of work as, defined, in writing, by our contract with the owner- and only that work, As the oxvner you may decide to hire other vendors,or do the work as the owner.to complete your total pool project. If you opt for this approach it is vital that you understand requirement--;and responsibilities as pan of the construction process. IndustrylRegulatory standards stipulate the owner. take complete responsibility.and management!or any and all work provided by other vendors or owner.and is accountable for any:and all costs associated with the completion of that work. and its compliance with regulatory requirements. Requirements and Responsibilities for work provided by others including but not limited to following chccked-., POOL. DECK, El-EcrRICAL. GAS, FENCE, ALARMS: • Obtaining and paying for any and all necessary permits required. • Adhering to and complying with an), mid all building plans.. • Adhering to and complying with any and all build ing/clectricallpl umbing,"fence and safiety codes. • Requesting any and all jnspections and muking,any necessary changes required as a result of those inspections, a To perform and complete any and all work in a timely manner so as not to delay construction of pool • For damage to any and all work performed under South Shore Gunite Pool & Spa,Inc, contract, including but not limited to tile. coping, pool shc]L pool finish,underground piping, pool equipment and subsequent daniages.to,South Shore Gunite work resulting from improper deck installation or shifting of deck. • For any and all re-inspection fees, revisions, or renewal costs for permits, or engineering plans resulting from an inability to secure any inspections for the pool resulting from Owners failure to complete work purstjar?t,to-app-i-o-'p^'r"t'at,e building or zoning codes. i rl SSU Representative-N,, Home weer Page I of 2 HomeownerName, Bret ("grqzn1J J I 1� _Address:- 0 Proper deck installation Including but not be limited to - fill material and back-filling,compaction,, drainagre, grading, relief/expansion joints, sealants, f-Aectrical bonding of deck, railings, ladders and diving board as required b) local codes. Inspections must be completed prior to installation of pool interior finish, a Proper Electrical installation including but not limited to.--installation nf all electrical wiring and conduits per applicable code to po-wer all pool equipment included in P001 contract. Supply any switches,dimmers, transformers, lighting systcnns.control SYqtcnls or any other hi or low electrical voltage lines needed to supply power to any and all electric items. fnspee',tions must be completed prior to installation of pool interior finish m Accountable for any costs incurred by South Shore Gunite Pool &Spa; Inc. due to improper work-Or incaT ,piete-%ork perfiomed-by owner or owners contractor. These include but not "A41400-6bns1ruction delays prodiict'ddmapcs. inspection, failures, inability to obtain final irrsp6clions or certificate to use. x, i4onn caner Signature I lomeowner Print Name Homeowner S ignatfffL-_ o'_vvner—Print dame ........ J4 , �outh_S hbG .re unite Representative Date 7 C SSG Representative Print Name -(j Reprcsen tativ Homd�%wiwr Page 2 of 2 _„eraSojj JobsileAddress Sale -eg N � SOUTH SHORE GUNITE. POOL& SPA, INC. Homeowner InforictiationInformation .ontractoil "'rime, ecr .LIL5alenj Street !'std N. Andover—sme_MA I_ip01845 OLEW' FtA4,vJ f,,molty:or ID 7 Same as above Contractor v�a1wj rferrel to as herein for sonic Sr— PUrPOSes I kf tts Phone 781-771-0925 W—k.Phone Kill igkdiaiji -�cotp (�IL.dn L 0 -,p Date: traUoao 1 Work to be Performed and Materials to be Used Contractor will build-an inground swimming pool to be located at t_13S Salem Street N-Andover, M A in accordance with the drawings and specifications which are or shall be attached hereto as Exhibit A, and in accordance with the provisions of Exhibit B. The Contractor expects to use the materials which are of shall be specified in Exhibit A and those which may be needed tinder the provisions of.Fxhibit B. f DalQontnvior --ill begin cwtraoed wrrl'j 'Dalc SSU Repmfe ntative,_ Pace I psi`1t? Horricowiler Name: fret Ceraso Address:_1],,'5 a , r Total Contract Price and Payment Schedule TIV ontraLtor tip perform the iw)rk,flumish the Mawial and Labor specified aN;ve,tc)r the S(,N 19 6 ot.$ 1 8 5 PAYMOIS will be made accordilig to the tall,)wIng Sj_�,HFDME: 5 2,000 .11pon%igning contract "VI P",ik rd (if I&I Isvit"ct�wi.,,Tcl/)1,4, OR tfiv t-,v S 45,946 547,1946 OfWrain Joe dic gunitc .S 17,979.75 of-.�Axitraz,-due e:jv ,itjj, S5993,25 ek Aart c,f, In order to meet the coniriel 1j,,ti schedu(c.,dic follo-A itiv ,,ateriA1,eqUipr;vnt must I<c special;,,vdvC4J tvii)?t the 1�wltmfcd-.Noik,beggim 0 to IYv paid for 0,I NOT'SIGNTHIS,CONTRACT JV Yfff,Rt ARE ANN 81"kNKSPACES Signaturc Y644,.ma-- cancel this agreement if it ht,, heen signe,*'by a party thereto ret a Mace other than an addresi, of the seller, (the contr"O-19ich may be his main Mile"r-broirci thereof,prvvidedyuu notify thewiler in»ritingathis main offiLverbratich by ordinary mail or kj delivery,,not'later than midnight of the thirdh agreement. uin, jay fallowing the signing of the S"attached notice of cancellation fdr an explanation of this right. /57 SS6 Repr Senlative 1�"Mee't'v net- Pajgc 2 of 10 Floinvounci-Nainc-, Bret C,erasoli Jobsite Address: Sect North Andover,MA 01845 RLQUIRVD PFRAIII S Tfi:i ft itw,vw. permits arc rcquirW.It is the obliptior tai the rri.7ntractfjr to ecurc!woi pernuts as the hvncw'vnck't' agent NO Z'E Ownez,, %fw recure their uwti Vcrwjt.� ,-, dea! Nkwl c;wareviry�,Wia I�an INPRE S',,WA RRAN'1"t h,'i ig provided by t h:c i t-ntraCl or? N 111/4 8 �'x. fhi� wwr>4e�' N`O'I E, All home ifinpn�vernent and subcontractors,shall he register and any lnquiri�s about a c�nitracior of subaxumicr Mating toa rqgistmion 4xxild tie dirocted to. 11,nne ('c,raravior Regim-,;ai^n A,Iihurtoo PL'ivc,Roorn Boston,'N4A 0.108 ARRITRAI ION Tier:contrawtor aiut,ilii;i'o"rnvo%4,jer hereby a&,-tnc, that in the cat the oontracter ht°a disrute Lonocri,ing this Contriciz,UIC nw4v'sublytit such iiispim:It,a prkra-.,,arbilr'ltiun servici:wNch hag been apprtvknd by the sctrtuary of she Offire oft-ow.,itner Aft airs and,Bti,inex" Mld I'lle consujxior shgAf bu required to%utintit w mich pt*,Med in M.G R-c, 1422. Onararunv-,N§putuiv. Date date HiLsclaw',e koptional,mm out h'not sppliie) Contractor'-, Financial Insecurity- In ins'tanc'� WheTv. a cotltTactor dverl, I;- IV f�aattolajjv insc�:ure. that is t1le comractor beiie%kN;the rxtynioitod funds due:him may be in c, the conLmvior may,rrquire that the valance of iiinds not yet due be placcd in ajoini cscAm..avount as a otervquiskc.to continuing thic cmitrzvicd vvork. Withdrawal hom fjid scz,-Am,wwld ILquire the sip,iatures of INoth panitm, CON I'RAlUTNIUSTAL,0 CON. JXEN: I fx, tiptien of tiny orb which arpar',ofific sgrorre.nt; 2) A LvivO De-etipticti of other twitters vpon%,.hi,"h the oxitractor and home em nir lawFull-vagivo. Am Othcr Prnvi,�ions othem isu*re,44ired by applicabic laws ot the Common-A ralth, I he Contmet must hL the crwip!c,',,A,4cdinvw,bctwt:cn the contractor and the honle�vvncr Fxhibit A attached hereto contains the specifications of construction which form part of this contract. Exhibit 8 attached hereto contains the guarantees and conditions which form part of this contract. SSG Represizntativv� Woaieoxvne; J I f0nirowner Name: Bgi,=t Cgrasol i -U-35�-alv,t,,rig O-Ngfth-ALI uil-vu-7-MA Pk,ff�4i _ SOUTH RHORr.G UNITE POOL fir SPA,IXr, EXHIBITA CONSTRUCTIONSPEC IF(CATIONS 11001 Size M!X 18, Depth 4-1 to 9' Surface Area 665 sf Perimeter ig-1V -ShapeFree-1,. g-tr plana and. _p,jp , working drawings. Included 'Y)) Gas or Propane connectins,venting and nicl 2) Swimming pool construction permits z, Permits... ............ ........Not Included as required by state and local codes........_...By Owner 23) 'Heater othenAquacciin It Purn Included 3)E-Stablished shalic, location and elevation Prior to e:xcavatlori or swimming pool ......Included 4)Normal cKe-.1valion of pry-tl, removal of soil. and Placement cif wtod frame work *24) Non corrosive plumbing and fittings (up to 16 .......--Included throughout........ ............ ......... ...:included A Iditional Excen-alion$200.00 per lvnw *25)Self u4justingsurfacc, ekimmm--Q)........-Included *26) Press.urc raurn outlets , to pool;..........,... .....Included 5)Engineered stcel,reinforcing throughout 27) Main drain re ccPtacles(2.)with grate- ........Included Pool......................... ................--.............Ancluded 28) Max. piping between filter and P001-2-5—ft-Included 6)Engineeredo cncrefe,yunito siructurc.to 29)Additionalpiping ki��JALper fl..............Vat Included meet or exc4cd suite loca I code........... .......Included 7)Water cure gunite shell twice daily for 7 days..................... ... -81,; ......***...... .. .......By Owner -CLE ANEit 8) One set ofihallow end steps; ........... AT!�C MCALLAT-JON, -.................- ...... (See j��M))....................Included 9)Swi rn out deep crid...(2),at 6' length.,_..........Included *30) Floor recirculation........:.....................Nat�Included 10)Stunips.concrete,or other debris '°31) Dcluxc PC(:2000 W/leaf canister... Included removal.......... ............ ..............Not Included 32)Poo)ocaner,oth _ er _......................Not Included 1,1)One 6"hand waterline, Frostwproof tile............ SIN F EC T 10 N,5 Y-5-CE ......... ........... Included '-- _K -12)Coping style: Bulin.osePitver(sec�.,(>2)....... Inciuded '33) Type ............ (sce o6.i)...........................Included 13) Interior tinish to be water proof.Included *34) --......-Wl-.......i.................................Not included -35) : ........-.0,"U.........--.............--..........Not Included (Refer to footno te A***) MMS--U,-L 14) Filling cil'pool within 24 hrs...(see 0611.....Included E1ERS,I!F *36)k7�LUJ..Arproved inarine undemitier lights) , 5K cord(s) 120 Volt......lntcllibrite l F C)-Included 15) Filter:type( *37) U.L.Approved deck [-x(es)and Conduit(s) L'artriftug Size -00q ). ...........Included for light(s)........... ................-- ...........Included 16) Pump and Motor:Lntcllinro VS---SVR-,S-......Included *38) Diving board Size,-N�-,tA--Color N/A.. Not Included 17) U.L. listed cxtcrior timing control...............included *'C)) 8)Complete 1100okup,of all pool lines to •••••type...... ....................._Not Included filter............ ............................ Included *4()) Stainless steel step rail,figure:4...........Not Included P �Rf *. , ,lj-M-A,TF --, -CIF - , 19) Approved Healer type.-Stgi-R iteN4ax. =-EzD1— Fuel .-IN-atural GAS....... .................Included 20) 1 leater BTU rating jjideo r Out-door. Included -2 Water lines to heater eornicctcd by contractor...-...................... .......... Included SSC Representative % 111age 4 oi Flonicowner Navic: Bret Cerasoli JobsitcAddreNs: t','l5Sgjc 'NorthAndover.MA01845 r et 41) F1Icctr4;a-I to motors clocks and switch 48) Therapy Spa:Sire ELdia Jets-S.Bubblers.-j-Included Iranel ........... ............. ......__....Included 49) 1 ficrapy Spa:Attachcd 4iO4). Included E,lectrical i ut 5 0) Spat Light 120 Volt 50'cord...Llj invL-Lcd nicans,up to 60' frim panel. _2___.......Included no change and,or upgrade to service into 51) Water oruwsuitablcsojl conditions—i ....[-oads residence, switch and time clock location at crushed stone at StM Ivr 20 ton load.....................Included pool equipment.pool related electrical only,170 Additional stone atil-MrAr 20 ton loaad. landscape lights,�hcds;etc. 52)Plough backfill to pipe grade ......................Not Incl. I-Jectrical nor_jn(-lLided meansyour cicctrician 53) Grading and compacting of deck area up does it all. Wiringschernutic not av-ailable, they to'9 he .....__..... ................. .......included call in thoir own inspections and notify SS(l 54) Gravel for under dcck..(jj'rriaNe I g)qds.. eluded I j n when they are completed and signed off for SSG to proceed to next pha.w.they install pool lights 5iT_A_RT_UP—A-1AINT- EXAN-U and or spa side,Nvitchcs. No electrical consul- 5 5) Deluxe cleaning tocIs t.wall brush, lea I' tation or technical support provided by SSG. skimmer, pale,.vacuum head and hosc, 42) Electrical bonding of steel test it. fherrm)meter)............ ..... ............ reinforcement..............................._....... . Included 56) start up and operations instructions..........Included 43) Saticty rope and float......:...........................Included 57) Start tap.and balance chemicals.,. ................Included 44) r1roperty damage negligence insurance 58) Daily testing&, Adjustment of ph Icv0.,...By Owner during,construction..................._:,.............Included S ) Bru.shing of interior surfacc after pool 45) Public liability mid workmen's conipensation: is tilled with water............. ........ ......_.....By Owner iarsuracnce ........ ...........—...........Included Deponding on interior.fins sli. hrushin, 46).-.-,-',ta(e and fWeral.sWes tax..._.. ..... ...... ....Included .vvi/1 be I to 2 ffines dai!v 47) Written lifetime structural gtLarantCC........Included 5 YEAR PARTS AND LABOR WARRANTY FILTER 14AS 5 YEAR WARRANTY—FILTER TANK HAS A 10 YR WARRANTY r XH I BIT 8 "**PLEASE REFER' 0 IN ?CI} ****SLIGHT VARIATIONS.INTHE PLASTER WILL BE.ACCENTUATED AT NIGHT WHEN THE POOL LIGHT IS TURNED ON.W141CH MAY CAST SHADOWS ACROSS"THE FLOOR,THIS IS NOT CONSIDERED A DEFICIENCY. By NATuIRE,COLORED PLASTER WILL ACCENTu;XTE ALL OF THE CHARACTERISTICS NORMALLY FOUND IN WHITE PLASTER.MOTTLING CAN HE MORE PRONOUNCED.THE PLASTER CAN EXHIBIT PIGMENT STAINS.STREAKS,MORE NOTICEABLE CHECKING AND CRAZJNG AND BE UNEVEN IN COLOR.COLOR SHADE VARIATIONS WILL EXIST BETWEEN COLOR AND COLOR SAMPLE CHIPS ANDACTUAL MIXED PLASTER.THE COLOR MAY FADE COMPLETELY OR GET GRADUALLY LIGHTER OVER TIMLANI]OFTEN W1I..L NOT BE"THE SHADE ANTICIPATED. NONE OF THESE CONDITIONS ARE CONSIDERED A DEFICIENCY. SS(.i Repres_vntativkt Page 5 of 10 HotneowncrNanic: Brct-- S0.1i 3obsite AJdress-,-U-^:3I�rtlnd�Ivfr M�A Q0.1.845 ADDITIONAL SPECIFICATIONS 60.) TX 4—Tannin., Ledpc" in shallow end attaclicd tri ejjDy.,,tcps is included. Ledge to qlope tlriim 12"deep it) IS"deep. 61.)(3)loadsOl'Potahle water upon cornpletion c.q*pool Urc included. 62.) BUllnQ5C Paver coping at the Pool /,qia is included atas,'25/per iineal foot allowance. 63,1)COntroller to bc Pentair IJSyt(',Uch SSC-TC40 p/n 520543 POOV$-pa Including Salt Chlorine Gk!ncrator Integration and IC40(c)lvvith(2)Actuated vaINC mechanisms 63.2)Chennicil Controller to be Pentair Intellichem p,11, 52135 acid. Includes 4 gallon acid container. 6 JbTsYstenis using Intellichlorand murialic, 63.3)Indoor Interface to be Pentair Easymuch p,-n 5205 1 49 Indoor wired control panel. 63.4.) Smart phoneand computer integration to be Pentair p/n 520500 i Phtnicli Padii Pod touch Mobile Digital Devieeip(: and Mac Computer Intertace Kit. 64.)Spa to be Raised 18"with natural stunk Vencer wida I"thick granite spillway. 65.)SPacol lingto beffislInosc pavers. Coloriobedetermine d. 66.) Paver patio to be 856 square t%`ct of pavers at an of It NN,ance cif$151persquare foot, 67.1)Chester Granite 3-tiered,wateri-ail included on gonitc pad. 671)Waterfall to be installed valvcd o1rof'fie PCC pump including additional talvc actuator. Pentair p1r] 263045 68.1)Interior finish at pool and spa t.,,v be, \Aet Ede„e'l*'cel-int.iitigies"Satin Matrix”. 68.2) Inter4ir finiNh color at both pool and,spa ro be one of the following: "Northshore Caribbeim""€vonhshore Tahoe", . "Northstisore, p41n,". Gold",or"Orlacial White- 69.)(3) FriaxJe loads(A-fopsoil are included \.v-ith 16 hours-of bobcat grading time. 70.)First year closing is included with all pltjjw+and chemicals. 71.) Refer to attached proposal dated 7-14-2013 tier'*'I*he CerasOli Family Pool andSp MA"for additional clarification. S a,North Andover. SSG RcpnsentatiN I himt,own Pa c 6 of 1 ..... ..... Homeowner Name:,-&-g-t Cerasol i JobsitcAddrc", 1135 SaltinStrizvt North Andover ,N AA 0 845 EXHIBIT B LIFETIME GUARANTEES,GENERAL TERMS AND CONDITIONS Contractor guarantees its work to be free from defects,in material and workmanship fbr a period ofONE YEAR from date pool is plastered provided owner has complied inl=eadwith terms and payrnemsand other conditions.of this contract, Contractor l'unticr guarantees that the,,,iructurc will remain structorally.,,ounil t6r the lifetime of the pi-iol.'rhe learn, "Lilainie of the Pool"shall he con trued to rni;=the period that the pool is owned by the original purchaser. The term "Structurally Sound" implies That theswinilming Pool is capable of containing and holding water and in the event of failure to do so the contractor will within said period rep.,air the same No that it docs hold-,inter: The Lifetime structural guarantee there lore wouid not extend to or cover ticnis external to the pool. such as coping, coloring. plaster,p1timbing. e1cctricityifilter.heaters,decking or pool av�:essorics. Pla'ster is not auarantecd. against discoloration orstaining in as much-,is this is comitionly due to the local water,wrong.use of chernicals or 1.tck of cleaning. The 1,itelime stitietural guarantee is at,o invalid should the pool not he kept full Cxcept when emptied by the contractor or under his supen-T,;ion-,should the water table be abovc the lowest point of the pool;should the stnicture be damaged by earthquake,war,earth or earth tilt movement,of disasters not occasioned by the COntTactor such as explosions,wreckingandthe like,licins damaged due to ncgligenc c of unproper winterization or vandalism.- shall have the sole right to replace or repair any warranted item.. And that further,there is no transfer or change of ownership in the subject property. AGREED CONDITIONS Uplans andspecifications are attached to within norcement..they form part of this contract.In case orconnict between the.ptovisions stated in such plaits and specifications and the terms of the within contract,the terms of the within contract—shall prevail. 2. (,'ontractor shallpay,ales,t*ax on all materinis.shall pay necessary W\ics on its men.and shall carry public liability, workman's compensation,and prapirty damage ncgligence insurance.Contractor agrees to do all work provided in this Contract in good trrd workmanlike manner.but shall not be rr-Ponsihle ii)r delay or failure to petfi.,viiri work when due to actso God,strikes,war.govern hent prohibition.non-issuatice of all r-equi I red pc units affecting poot onistruction,or reasons bcvond its control. 3. (..)wner is required to do all acts necessary,all.con-struction nccc�sary.or.irtect all conditions necessary to allow contractor to complete construcOoti of the pool land utilities a-.,provided in this contract All Fueb act-,,construction and i-tzrciiiigofnecessai-yet)nditioiis.NhalI bepaittlorby-theowner, *1*0wriershall furnish any necessary variances and perrnits other than building peniiits. llroper drainage from around swimming pool is to he provi tied It y owrier and must meet municipal,county and state:regulations. All water mitstdrain away from pool deck's.II'Scwercormcction is required by city cir county,owner is responsible ll�r sante,Owner is responsible for location of pool and equipment other than public utility or other assessments.No grading will be&,ine unless specified, No soil will be removed or returned except on excavation day. rhe pool elevation is to be upprovcd by owner or his representative on the day of excavation.Conlraclor is not responsible for damage tostwh iteinsas.but not limitod to,curbs.sidewalks,dtivcways,,sx;%&,er,,and patios, lawns,shrolis and=appurtenances. 4. Owner shall vcrify the actual location ol'the pool and there shall he rio liability on the pan of the contractor for incorrect location thereof,whether on owners,properry,or a third person.'Mc contract price is based on the owners representations charts the circ isnot fill ground(fill ground mezm%soil not compacted to 90%and beating capacity of contains no rock Rinnation or boulders.and has adequate bearing capacity before and aftcr cxcavaiion for the pool,land,and improvements of the owner and Ianitl and improvements ofadjacent land owners, contains no cesspool,septic tank,gas linea,-,ester pipe,drainage!pips., irrigation pipe,or underground electrical conduit;contains no cAlier obstructions or other unknown ground conditions,,no unifergroand or surface water condition,-will imcrterevvith the vtork or operation of the compIcied structure or installation: no blasting or jackhammer work, is mluirccl- there are reasonable mean-,,of access for contractorsandequipment. It is understood and agreed that,alter guniting,contractor is not responsible for flotation of pool due to external water.It is understood and agreed that if any ot'efts,foregoing representations should be incorrect,and ifany additional.work or materialsarc required to complete the contract,t.;omractor is hereby authorized to make such corrections Quad the cost,shall he added to the contract price plus l0%" 11'.after the pool is staricd,the soil condition mquires extra steel or-unite(other than expansive soil),otfwr than specified Osct,%here in this contract,owner agrees,to pay tor the additional labor and material,,,plus I(PI'lt,if survey,geological report,topography maps,or soil report should be required by building department,owner is reqponsibic—Removal(if blasled ledge is not included in contract price: i a4 SSG Representative 1V titative ge 140111cowner Name: Bret ('Crasoji —Joh-site Address: Andnv;r M —ASALM—5 5Additional equiPMent or size.changes added to t P01"nent for added work is to be in advance t)it's"n""acl must be signed for be fore work f w(�rk can be Performed. authorized in writing UnIciS cast is, unknown,. If cc 5t is unknown, work must be and.paytuL:nt must be made on c,(mpletiolljadded wor C011tractor's()pQ0n. k WIth a reasonable advance at 6, in event Uscof n6ghbors'property hv contractors during, icssrYprcparation and cOnstruction ilaecedath.owner aheres to he respnn$Ne and k) indemni6and hoist harnjlcqS the contract authoforri7aeny mdamages dm agescuereto ,jr con. 7. W'dlksand dcck-i are not a pan ol'thc pool and owner that there is i cracking,checkjnX raising Setting 10 warra,nty covering-sarne re&-ading Setting or discOlOration.Any damn C ' e('�c "Mng ((�Pool FvSu1tin,*z:.frnt'n decks and w--%dks not being installed in aLcf g ns is not covctCd ally tile guarantees e0n&jined hereiii. 8. All Pool diniension,,, are Measured from water line and are appro Liquidation datnage.s For errors of the contractor in the j';, xi,11,11c with reasonable toicr�ancc"'either way, 1,c to the pot),are PaYment s,hcdufcs mu, ag)�;edto be $20M per k` f ;t be met regardless clot. of"any nccessitY Of'%�Pairing previously completed w4j . 9. This agirementconstitutes the entire cofltra'Jof the parties WrIO'supplemertled by any addendilm orretail installment sale agrec,71,111 in"-dting and sigticd by floth parrit-,'I'lle parties are ilot bomlid by any('n]expre-Sionor rePresentation in,any agcnt q,citho.-r rmrty to act '-()r On bLhall'()I'CiLhe.r txtrty whi collirtetor i-,nett tx)und to any corn ch i,�not tt-;ited fiervirl and litj 0ents(-,T aWtvn-=jt not.,Wei I jeXI i 11 thio contract. 0. lfwcamity is given to the contractor or lender for payments due under thic contract.it is tigrecd that such ty is and Pursue security ojjjv,and that contractor has tile opt and Pursue any O'ther leg at remedy.. ion to divegard.said sc��uriiyin case ordefaultscCuri ill pay acne 11. If Mvilersbould dcrktult fora ptrind of da .,; per mc)nth(18% vcontractor shall char&�c owner wih a delitlquency charge of per v0m-).A Ist u,;fl payrnj�tnj �l owner agrecs to pay rcaso' sti ill dcl' ult is referred terra ny attornev fur'!lactic rt, nable altorney*s fee,with tbeayxxint 12. Waterto.fill pool upon completion due plus ail court ck)rAs. TVPlacernew c-frt(Vreplac,�,ncqlj s included. Any rej%airs that I'lay be ncce,,�,sary t')pool shall nol include!h , I Wdter. c 13. -nic owner is respon--ible for,,jpvtend all iencing..temPor.-IM and peinianent..li`0111'd POPI as required by slate or 1(je ai code. 14. ()w1ler is Solely reSPOnsl ble f- constructio "I-.any and a" 'Li(JIaTiOrts Of 411Y ea�sernents Which occur as a reMllt of the pool ,11. ()-vvncrugroi�7-sito ijidemnilcontractor ft'�r andagainst all Claims Of` c-,lSement violations hN�as person or kmfity. 15. If any P"IviSi011 of this Agrcementor the application for any reason and to iny ext I ent. beinvalidr unenforceable. neither the remainder of this Agreement nor the application cif the provision to o o entities or circumstanvcs shall be affectud the ther persons, law �,'Jlut instead shall he enforced tile muximull)o!X101t Permitted by SSG Re, j3cf 13L et C-t raS Address: I N)nh Arldovm MAX-L45 South Shore Gun to Pool & Spa, Inc. Partnership in Excellence (Main Office) 7 Progress Ave 5-Year to Lifetime Cheimford,MA 01824 Limited Pool WarranSouth ty Shore(,unite P001& Spa.Inc., ''ill duflue the hve lc.coluiplilent in 4t COrdance%Vitll the Wmis and,conditior��,%ci birth her-'Ycay N".rrant� Pcrivd repair or%place the Covered !%-%A RRA NTY Cur Pt-v�l%�'ructtlttll items and "'INS limited',k'arrantY outlines the,,;pccirjc ,wVtra1C 4.Interior Finish lx)0h C01--eMP-C includes ej %WARRA7NTf,,-L) - Suh* -only the ite-'-')V started- dociantent. feat to condilic-ris t)f'eParlte 5 year warranty (s rbicct tar certain limititiopt,,and Wndili�'�ns)-All cquipmcnt unless indicated as -jlf(qirjjt��are Whtr items and NOT WARRANIFL) - Other than standard t0lmo(2)de:3rSassPvc&cdunder s covered l')r it Pcri''d UP Quartz. ter, M Chas"m'led%4 arranTY covers oflj,� tea pr j)ri,�naj iard5, 1,quipment not be tri ,ferred, "i '-'�nct,acrd may WARRAVI'Ln pt)jIl Properties",hich are Uwd for rental nurpc�,,e�t%arc' f-Ifatter f 10 year��arm jtv()a rim,ui vered bN,th:, f . arranty. k�luc' Sna lVowen manmil valyts. IACC and PC'dcbri�caslistcr cartridge clemcni% R.WARRANTY PERIOD NO 11VARRAN rE'D Other than standard w.,jrr3rrj,,* ruht cr f)-rinks, Pump basket. deck lids, fitilt,,pumpscall and limited Nvarran"' is in efftct fto'31 1v dat,;:the interior sumac' 94'ttizlc,filter grids.filter mcdia ani liqbt ure "PP"'d*,Ind crintinucs fcr a pc-,iod()ffjvC(5) ear',,fr��ra thi't J,�C. NVARRANTED BRAND NAME VQ1 C' %V,k R All Jand% Tvlanujj"ntrt).l ValvesSkimmer 1.The Pool k"'wilvr PCC -1001 Main 1-i'lin 01%cr, Debris CO"tainment Cani., or ,,Zen(must ter mantictio 08-lia n n"N"Irranted it-M wid equipment b.,'callin�,978--73 soon a�Problem is discovered, C'- l'i'lle Clc"'Punip(s) M(>fvrl�s),"'Iter,Spa and it: cr AN'V'TltfN*G,,N,OT 3i j 2.Service C311S will be Chipatched promptly bj SSCI in�hausc OVITEMS , IN"rT'F-A'BO`%`E DF8CRIPTJONS Warririq flcparfmcnj'Some repair's or"Tv,, �'Nl)COMPO"Nl',NTS IS WARRANTED FOR SSG ytt-Nllher condi tinn��.Iqj*0rj jv ill cc ma) be s,,t4iect j(-j I be ma&10 CNpedi(e warran1v scmicc in east:of em�genLN:,War-13 st:rvicc call, - F-SPkA"ll'JC DESCRIPTIONOF urrunF all '�wlandard c,.-the W.%R RU NT V ""rr"Jary Period eVifeS will be Qharged at the current I.Pial Structure Shell service call fee plus the Current lsotirly \-o WARRANTFI) - ( I lARCJV FOR RFPAlR.c;:0R SLRVICI�'ON wAj�- r-at'rc P001 `h�M including fru.tura[ t I n RTA4& RA'qITT) (7junitc, Subject 10 COI)Jilions of zcparaie see and "Oticc of:malfunction inus,be s document. lifetime w4rranty tO SSG prior to the expiratit,)n 2-p(,(� W this\%-,uraniy: 20000r2aing and Direttor Noz7les 4. Warrant),senrvjcc C,jlp4.regalis or MPI-cment of iterris."ht f!b WARRANI'Ff).;"P('C ia-4001`Omitting and dirwar n07.7.1cs, r1face card in llli�,limited%)��arrarrryat no ct�jig t(N I deemed its cta 3. Interior Su eXCept fir fhe sery ie,- Outlined ill�cctkAtl C2 , pt WARRAINIT'j) - ,k,(ITkalaMbir And material. Material will not dclwninaw froill'ounitoshell: I)-$PYCIFIC DISCRlP'j'lO,\OF 5-VFAR LINlyll-LI) NU1'%AARRAN:.FFD-C")lor' mottling or&zcoluratic rl, NVA RR.k NTIV S14"i'lle.scafffig Orpitting due tt,),.,o-,jtcr or chcIllieal imbala ) Plumbing System Cho*crackvir..crazing(file f%)exwjjjcd dr nce. r sure. WARRAN 11,'13-1,e�tk,and br"ks in pV(,prix P1 1,Nt,1�1 F.I.J*fllT.vrjONS anual cornNli\-al%C!;xld eplinwors to all equipment,r,kjmrn PCC Cleaniqg N3 stem and IIC(, er irisin dam' I.SS(') (,'Ontitint"CM Canibler, tic M-Smid cjujpnjCqt that mathinctions ay r tip%rravthlc<Trl} far repair or dtalne the co arw cif normal 'V ball 'to'rc"'O 10 repair or replace any it jn,(r tither thall standarj 1�arranr% u SS finings, ,kihjnjcj,vvier, lid and haSk-CL any rubber giisAct,,, t)-rings vtliuTrac"t which is Jamag or daivagc� ged or malfilnetions as a result of'. 2.Steel Svstrnl City water;widg A condit.h)n jvftich constitutes a violation 0 pipetz, codes. f current building UARRXNTFD-All rebar sted in ltrticture')fpVf Improper rer-Ar or"Olk not Performed bv aulboriz - SNC xd against must Inigyali�)p through Shcll.a6o rellarswel gUalanu J wrtace finish: c",l-il;IUTC to 0111intain or service equipment c,Oncrcte to interior s gh d 3.-tile rlanujlt�lurct's'owner's M, in WARRAN"IT'D -AP irvincrtiric cz!- xnria d.Aitcrations made ro,itein, cature ceramic d of equip, 'f m tilt and kvatcr f file. art a ecrumic 'I from k c.F;Iilum 4)maintain prp V)T WNRR.AN)+'D . Other ilian situWard watyajjjy; caflle� all Per chemical balance of-leo}%�,-af,:r p i,mi'-ing part%mrUctural Changes.bre.electrical failure or surge. .rout.fliding or calcium depmit build-ap, �cparati -bentezn deck _-_............. Wtiler damage.lightning,mud.;;t"1114NAW.,storms,fret zing. iIIIJ tile due to decL-PlOvenwent. ice damage_ 7- 1.-1=$ . pe,-A dam.1ge,or acts uf Giyt llamat attseti a<a rcyult CUstetner neglect()r abt1se, SS0 Reprcsejjj,jt N pavu 9 4)1' 10 J "Olneowner Nadas;: Bret Ce raloii JobsitC Addrs:5 7 5 ScII�laa t S Net North 3 c. C ,'Andea Ler urx .z.ndztdnm axsrs r utting -----_�A1 C 194 titibicfotram MWrvi _ <xf\vaaxeuaTcd Uetn or to dcnj L dur to ccn ctitions fixe°c�nd its cu 2rsxltstO 1t 3.stbuttnsit olnAt -d Ter dein\,in obta,nmT Ikaris ur ctyuipmsatats o, iabontith,:ultSes SSC;eds trtr ,rile richt tis dclermtne if hens or gtaiptxaent ahall be repaired�r repi"ccd.SS(:,will nc)E u;.gradt and i4 n(q r,sl+ixns btc for matching c xiss nr bx;rntl.Sh€>uld rtpiac�mcnt part ar it,:' lc bs:aaailabie.Or for\vixalts\er reap:>n�;S(3+nab dcena ncrys<arF t:j aC na}r c.,r mplact parts or iteans,ti, n,Irts car ncM:s, 'rs 5:trvs<the H011 1C=Str#+stitute f,fn poe,(Tr Tatacc P)t'gerv", Cmal`it'Cit',d \° ivj85 so that rC,4tiXT5f74ft'�17 clrlg;anai ealndatiCt}x?laiid�t';,tr 5fmliazr lnc 'iarrequircIno 'IC cc?tgmateri;lnr:lzfditi;tn�le:,n'yaTve3 n�sxbligatrnn for the aclditie)m c=e t, r� SC,h s,SSG is not respt?R,ibis.*nr prn.idii;�;acs;�:�s Ttx err from tnay s\atTstnte>d iwin Oregigpn;cnt. cant>inx arce.�,, not respaxnalble t6dr tansla<ape \c r r r,sets ctrica[.!xr c'aamic Wil rx l,t xc to;nt Costs"' r suit sjt'repair. off re•piucC'ment of,ts \sIu pmsnt, I crIP°} "'CPI and agree gar all the above tcarni'i�#xh:°Iizxnr d+aa t,enF rccabit ilnttl tlacr imcric7r �r#iac ,-1,3pplied :.nd tt=,tel tt : wanty>vixiei€l ham read east#under�aand Thi-4;iitaritd vxn 3xad alt#1nanU'ial obllc;atfions arc p,lid to fcttl. prnl ril. ;"'"Pted and sippj, #i,. Y South?tarrrz:Cit1n to E'o & shall br�r Pool Owner: M Inc.. N',:'ac Bret C "rasoii Srm 1135 Sale ,1,ss 7-14-->0 0 1. 7eleph as 1-4771- 771- 9 4 . . _ _..� sl„•X1.,4? 01845 rt^ <':}4Y7{IlJ!'rs�afFffrf.lt3`8 - ., P001 OWne raer Date:"•,---4 �_ Date - .—-------- U.,)leer o( rju h', ---- Shore(iunitL. - 1 ltst4' i ° "w SSG Re;preser W,t�,'s Ifl t=1 la"r s ro r a c K � F�'x Nom• �'l •�, � r rte'," � �' �� �z' � � '� r p.. - +�•� �`� €ys 2'��:: � '.:� ��.., C ����. � � ,.0 # gi" Pik. �,� 1�'�;• 4 �, 3:��.� � �� � a4 y 3 r R ,< a c Proposed Pool r, ✓ � (3)surface.returns-with MDX debris catching: base Wool lnclttdea maindrain.,with 3 point safe suction and pre- RMR, equired plans and structurel engineering plumbing for Polaris pressure type vacuum, included, Any additional plans/engineering (conservation commission and/or plot plan p Deluxe set of maintenance equipment,brush, for example),would be additional. Building pole,net, vac hose,vac head,start up permit with town of North Andover,MA chemicals,instruct,test kit,thermometer, Included. rope and floats. m The pool will be 38 x 18 Free Formed in a Bright White plaster interior finish,with all shape, It will be constructed with a steel white fittings: reinforced pneumatically applied concrete shell, engineered for the New England 104 lineal feet:of 6"tall band of the around -limate,warranted structurally for lite, perimeter made up of 3x3, 2x2, or 1x1 tile. Two days of excavationiforming is included One set of steps leading into the pool will be with(1) 18-20 tor,loads of crushed washed provided,with one 6'long bench in the deep q"stone included. Any unusual and end. unknown subsurface conditions such as ledge,unsuitable Fitt, etc,to be removed at additional cost,depending on the extent of removal and type of removal required. a Surface area of 665 square feet,and perimeter of 104 lineal feet,with a depth extending down from 3'at the shallow end to 9'deep in the deep end. approximately 3,0,000,gallons Equipment wilt be locatedwithin 20`of the Pool, assuming outdoor installation on included pre-cast concrete pads, consisting of(1) 1.5 hp Sta-Rite Max-E-Pro pump, (1) 300sf cartridge filter. automatic chlorinator.. intermatic time clock.and Pentair Junction box. o (1)Incandescent 500 watt lights with Pentair junction voxes,pvc niche,and 3'of conduit included. Electrical is listed below in the additional options. All PVC to be schedule 40 or 80 as required. (End Base Pool) — --------.._.......... r South.Sfiorr <ullitc ftofa 'Sipa inc, f ;-�, r ,a>.,.. .,� �,�a d«mac�•: ��m.�a• �� ,c.... � ,-•,�. wv<,.?u�;��. "� ,..... M ,F;� .. '� ,. Proposed Pool. x Base Pool -$32,040 (3)surface feturns,with MDX debris catching Base goal includes: maindrain,with 3 point safe section and pre Required plans and structural engineering plumbing for Polaris pressure type vacuum. included. Any additional plans/engineering (conservation commission and/or plot plan + Deluxe set of maintenance equipment;brush, jji for example),would be additional. Building pare,net,vac hose,vac head,start up 10 permit with town of North Andover, MA chemicals,instruct, test kit,thermometer, Included, rope and floats. The pool will be 38 x 18 Free 1"ormed.in a Bright white plaster interior finish,with all shape. It will be constructed with a steel white fittings, reinforced pneumatically applied concrete shell,engineered for the New England a 104 lineal feet of 6'tali band of the around climate,Warranted structurall for life, perimeter made up of 3x3, W,.or 1x1 tile:. Two days of excavationlfarming is included a One set of steps leading into the pool will be with(1) 18-24 ton loads of crushed washed provided,with one 6'long bench in the deep j/"stone included. Any:unusual and end. unknown subsurface conditions such as ledge, unsuitable fill etc,to be removed at a additional cost, depending on the extent of removal and type of removal required. Surface area of 665 square feet,and perimeter of 104 luteal feet, with a depth extending down from 3'at the shallow end to 8'6"deep in the deep end. approximately 30,000 gallons Equipment will be located within 20'of the pool, assuming outdoorinstallation an included pre-cast concrete pads,consisting of(1) 1.5 hp Sta-Rite Max-E-Pro pump, (1) 300 sf cartridge filter, automatic chlorinator, intermatic time clock,and Pentair Junction box. (1)-Incandescent-600 watt lights with,Pentair junction boxes; pvc niche, and 3'of conduit #ncluded. Electrical is listed below in the additional options. ® All IVC to be schedule 40 or 80 as required, (End Base tool) southShore '-ulzFtf Pi?o ' Spa inc. y t Plumbing/ Heating I Sia Rote lntehal ee urn x with integrated electronic VGB Act Compliant Suction Vacuum release system as main filtration circulation pump: $985- 6 Heater poOnnI Sta-Rite Max-E-Therm 400,000BTU Propane Tater.84%efficiency:$3,100 Meat y Aaflan Acuacomf r(A�Heat.Pump for pool:$s75 CleaniUSI gyjteim: Paramount PCc 9000 in Flaar Clean na system, Designed by paramount for this pool.no Polaris Vac required with this option:$6,200 Disinfection§Lgg :, Safi chlorination Systems is part of Easytouch and intellichem system listed below in -Spa Controls Therapy Via: ase_Spa:8'diameter'Therapy spa with$jets.3-floor bubblers,2 hp"silent"blo;uer,:2 venturi's,1,100 waft light,tiled damwall:and integrated bench,and sten fntc staa,flush with 000#(tit"higher water level):$7,150 m Controls:Easytouch 6 Control.system: $6,875 includes the following Wired in-house c. ontrol parcel o tphon.e f 1pad integration kit o lnteilichem PH Controller with 4 galloh Arid tank o IC-40 Salt Chlorination System Raised Soa 18"Mth Natural stacked stone exterior; and 9"thick:grande-spillway; $7;326 C2p nq& Deck: Mkinas 856 Square feet of deck at arc allowance of$15/per square foot:$12,840 e CoPi > 118:lineal feet of bulfrlose brick coping at an allowance of$251per:square foot., $2;050 Prep 2t'k for 04008 hours of grading and compaction time,4 triaxle loads of processed gravel(for.highly_;cornpac ed substrate), and all installation materials and labor:$3;t}50 Electrical: BY V#1898 Electric—SSG APProved Contractor—fincing is be included ift contract, and guaranteed. Base Fool Electrical including the Electrical permit with Town of North Andover,Supply and installation of weatherproof S'ubpanel, (t)GFCI outlet with cord,cover.Wiring of,(1)pump,(,1)tfineclock,"C adifit"fvr(?° dightlncicfding or to deck instaflaticrt:$3switching, Bonding of pool shelf prior to gunite,deck bonding after deck backflllr pri25#} • (3)LED lights x$860 per.fixture=$2,550 a Gas heater Electrical Hookup.$176 o fry-Floor Cleaning System Hook-up;$186 Heat Pump Electrical Hookup:$900 0 lntellichlor Salt System Hookup $250 Pentair Easvtouch Control system€^ookup.and p=r lar tf1 inn $1",t15€l 3 F;i Interior Pool Features: 0 Shallow eh: Install GunitO bench in shallow end opposite entry steps: $na ® I-Tiered.Vjte.Call:Chester granite Waterfall,valved off of POC pump with Actuated valve,controlled,:by,Easytouch systern,-SS600 7'x4*area connected to the steps between 12'. —18"deep°.$2,960 Pool Interior Finish: AAtq_Ka_td&Northshore Caribbean,Tahoe,.Plum,Gold or Glacial white Pebble Interior $7,315(pool) +_$2,500(sgal $9,815 Total Water: NICE AtCOMOILVeLl. 3 loads of,potable water required-at Completion @$550,1 load:$1.6so Loam and landscaeing_Prep work: Ascom Teti f:(3)Loads of Topsoil, and 16 hours of bobcat grading 1 spreading and beautification,$3,460 Baseftol Items H19h1jqkited above,- $1-19,865 The Payment terms are as follows: $2000 at contract signing 40%-$2000 at Excavation 40%at Gunite IS%at Tile Installation 5% at Start-up of equipment(at completion) Fencing, Gas, Water atGunite&Plaster.additional landscaping by Owner 0 i N O N r r �, IN Ln 00 in LOT J44 cD AREA=48,758 S.F. =1.1193 AC. 1 1 0 1 � F-- o 0 1 LSI ►= W L o O Lu Lu x o co W 0 � ^ J o a "' 00 N Q0 PROP. INGROUND ^ SWIMMING POOL j PROP. GUNITE PAD PROP. 8' DIA. SPA 18, FOR WATER FEATURE ROP. 12" THICK GUNITE BEAM 24.1 on N O 21.5' N 000 1 00 0 cD GAR. 30.10' — o 3 STY. rtW.F.D. t° ^ #1135 30.10' cd 0 rn of rn w w O I 86.74' NOTE PLAN OF LAND 00 SITE IS SHOWN ON TOWN OF NORTH ANDOVER ASSESSORS IN Q, ASAP #106A LOT #44 AND E.N.D.R.D. BOOK #7728 PACE #221 NORTH ANDOVER, MASSACHUSETTS 3 FOR SITE DEED. v o DRAWN FOR a BRET CERASOLI 1135 SALEM STREET NORTH ANDOVER, MA SCALE: 1"=60' DATE: AUGUST 30, 2013 0 30 60 120 180 2 K.. r° MERRIMACK ENGINEERING SERVICES i 8/30/13 eA11rD01 MAS'SACHIISMW 01810 STEPHEN H.-'S A I R.L.S. DATE PHONE (97'8) 475-9555 FAX: (978) 4775-1448 EMAIL• NG®AOL COM The Commonwealth of Massachusetts Department of IndustrialAccidents h a Office of Investigations d I Congress Street, Suite 100 t Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (BusinessiOrganizationAndividual): South Shore Gunite Pools and Spas, Inc. Address:7 Progress Avenue City/State/Zip:Chelmsford, MA 01824 Phone#:800-649-8080 Are you an employer?Check the appropriate box: Type of project(required): 1.FEI I am a employer with 130 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance. 10. required-] 5. ❑ We are a corporation and its ❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 1 employees. [No workers' 3.0 OtherSwimming Pool 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:National Fire Ins. Co Policy#or Self-ins. Lic. #:SAP4013391888 Expiration Date:4/1/2014 Job Site Address: 1135 Salem Street City/State/Zip:North Andover, MA 01845 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 he Yc deand enaldes o erIu'7that the information provided above is true and correct. uSi at Date:17 Phone#. 800-649-8080 Official use only. Do not write in this area,to be completed by city or town ooicial. 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#: ACC) CERTIFICATE OF LIABILITY INSURANCE DATE oi3 Y' 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(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 Judy George FIAT/Cross Insurance PHONE -9904 FAX (603)645-4331 1100 Elm Street a ADDRESS:jgeorge@crossagency.com INSURER(S)AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURFRA.-Valley Fore Insurance Company INSURED INSURER B National Fire Ins Co of South Shore Gunite Pools and Spas, Inc. mwpERcAmeri.can Alternative Ins. Corp 7 Progress Avenue INSURER D: INSURER E: Chelmsford MA 01824-3606 INSURERF: COVERAGES ICERTIFICATE NUMBER.-SSG 2013 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 POLICY NUMBER MAIDDL SUER MID EFF POMIfDDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES aocomence $ 100,000 A CLAIMS-MADE ExI OCCUR ENS4013391907 /1/2013 /1/2014 MED EXP(Any one person) $ 5,000 PERSONAL&AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PECTRO LOC $ AUTOMOBILE LIABILITY C0aaccia MSINGLE LIMIT 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ AALLOOS NEO AUTOS EEDULED 4013391888 /1/2013 /1/2014 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PeracadeM Underinsured motorist Bl soft $ 20,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION 10,OOC 2A2UB0000865-01 /1/2013 /1/2014 $ B WORKERS COMPENSATION 4013391891X WC sTATU ITT AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (a) MA, NB, CR, RI, MB E.L.EACH ACCIDENT $ 1,000,000 OFRCER/MEMBER EXCLUDED? FI-41 NIA VT /1/2013 /1/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 describe under — IPnON OF OPERATION below DISEASE-POLICY LIMIT $ 1 000 WW000 A Limited Pollution rNS4013391907 /1/2013 /1/2014 Oma: 1,000,000 Worksites Liability DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Atlach ACORD 101,AddMonai Remarks Schedule,%more space is required) Covering s1r+rm ng pool construction and related operations of the named insured during policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN Bret Cerasoii ACCORDANCE WITH THE POLICY PROVISIONS. 1135 Salem Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Judith George/LMS ' ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN9025tminnsn ni Tha Ar`nQn n2ma 2nrl Inn^aro rania4atarl marka of AI`non I ��- ��•."};a-i��.,!�7"��s�if""t.��°1�. 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Office o(Consumer Af airs Winess Ke ulat�.on g 1 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor :Registration Reqistration: 105485 Type: Supplement Card SOUTH SHORE GUNITE POOL & SPA INC.. Expiration: 7/17/2014 SCOTT PANCAKE 7 Progress Ave. Chelmsford, MA 01824 — Update Address and return card.Mark reason for change. SCA 1 0 20M-05111 F-1 Address 0 Renewal E] Employment D Lost Card �'',I�! C((''AiHjJjf+Nj/.'f'I!�/�r��''��irsun�rr.tr•/1t ' ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only t ft)ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation eglstration: 105485 Type10 Park Plaza-Suite 5170 Expiration: 7/17/2014 Supplement Card Boston,,VIA 02116 SOUTH SHORE GUNITE POOL&SPA INC. i SCOTT PANCAKE 7 Progress Ave. Wwvith�outsignat�ure Chelmsford,MA 01824 —Undersecretary l F. 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It found return to: I� Office of Consumer Affairs and Business Regulation Registration: 105485 Type: 10 Park Plaza-Suite 5170 ' Expiration: 7117/2014 Suppiement r:ard Boston,MA 02116 SOUTH SHORE GUNITE POOL&SPA INC. 1 I SCOTT PANCAKE 7 Progress Ave. �- Chehnstord,MA 01824 Undersecretary g of lid without si nature r I II I I I',