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HomeMy WebLinkAboutBuilding Permit #167-2016 - 116 HIGH STREET 8/6/2015 NoKrh q A44 � � BUILDING PERMIT �?°��```� ' "°� o . 10 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION14 Permit N0: t Date Received Date Issued: � �9SSACNUSE��� IMPORTANT: Applicant must complete all items on this page LOCATION r ; not PROPERTY OWNER`" � Pini �- : MAP NO; ; � PARCEL: pNING D.ISTF )=CT�� Atori&District tx" yes no ~ tl me _p Village yes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑ Addition KTwo or more family ❑ Indus [IAlteration No. of units-.-3 Fa ❑ C mercial X Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Se tic D Well iFl w£ p oodpla n an s " D W,atershdd Dis .l~..--- D Wat er ' /Jo-yl - _77k,S -fa sior" U rS i r1 0, .2 - FrAwt i Identification Xe Type or Print Clearly) e OWNER: Name: M401 r2 Phone. Address: CONTRACTOR Name: ,:. . Ph, e Address: 7L I& (fib Supervisor's Construction Lcense Ela date`:,. ra Home,Imptovement,�cein p Y j(4 exp Date ARCHITECT/ENGINEER N� 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: $ ��000 --_ FEE: $ -1 � - n Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu d Signature Agent °wn Signature of contractor` — c t Plans Submitt4d'lj Plans Waived ❑ Certified Plot Plan ❑ • Staanped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature 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 Town Engineer: Signature: Located 384 Osgood Street FIRE,DERARTiMENT TemPA©umpster eon=site eyes.. ino� E Locatediaf 124MaincStr'eet� Firpartment COMMENTS Dimension Number of Stories: , Totals square feet of floor area based on Exterior dimensions. 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) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 ,a Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location�-�' �. No. -7 V Date J TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ _*� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check e Building Inspector . -, Ia r , � NORTH - W. � � tE1, ve" 'o 0 1 261� C, NNLAKI h ver, Mass u �I� C OC NICNl WIC,[ /.Q��,�S S V BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT ........ .............. N� BUILDING INSPECTOR has permission to ct ..................... buildings on '�(� e .,.,.,..,.,..,......, foundation .. .......T.......... ....... ........ Rough to be occupied as ...... ... .. ......... .... ... ! .................... Chimney provided that the person accepting this permit sha I in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T RTS Rough ................... Service ................ ..... . . ................ . • Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. CONTRACT WORK SPECIFICATION f Mass HIC# 177704 GAF Certified Roofer CE 18650 14 14 6= 0e 6,aalltty am-1,apace of` /b/' ltms?'_;i. 354"Merrimnck Street(Entry C.Suite 500)•Lawrence,MA 01840 888-49BUDGET•Pax(9713)299-0128•www,Budgct-Ext.criars.com Matt and Betsy Cote a 116 High Street North Andover, MA July 21, 2015 Proposed Window Renovation Project: 1. Remove existing doors and discard from 4 openings. 2. Prepare frames for installation of new doors per manufacturer specification. 3. Supply and install 2 custom self-storing storm doors. 4. Insulate perimeter of doors. 5. Caulk and seal doors. 6. All interior and exterior finish carpentry provided. No paint or stain if needed. 7. Remove all work-related debris from job site upon completion. Broom clean. 8. Lifetime 100%transferable warrantee will be provided to homeowner. 9. Seven year workmanship warrantee provided by Budget Exteriors on windows. 10. Budget Exteriors is responsible for work related pen-nits. 11. When on premises, work crews will act in a courteous and professional manner at all times. t Front door style: Side door style: Total Proiect Cost Tax,Labor, Materials: Four Primary doors and two storm doors: $6,000 Accepted by: Homeowner Date1 / . Budget Exteriorly ,.,-�'r�,;�'',.; � �� _ Date CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Contracting,unless specifically exempt from registration ' by the provisions of Chapter 1 42A of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108, QQlity a&'Peart Of"ved for less 354 Merrimack Street(Entry C,Suite 500)•Lawrence,MA 01840 888-49BUDGET•Fax(978)299-0128•www.Budget-Exteriors.com I/We hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described which I/We represent that we have good record title in our own name. Owners Name:��e.., LJ t ; Home Tel. No. %� %`�i= Bus.Tel.No. e-mail Job Site Address ?` tea' , `� City ' -� ,�s'� ST l v ,Zip Massachusetts Contractor Registration#161932 Work Specifications described attached on pages of Permits: The contractor agrees to apply for and obtain all construction related permits(build ing/electricaVplumbing)but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting,or inspection agencies,authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGL Chapter 142A. Price:The contractor agrees to do all work described by the contract for the total price of$ r i Notice: No agreement for home improvement contracting work shall require a down paymen (advance deposit)of-no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater. Payment Terms: Advanced Deposit $ 1,00—0,_ Payable on signing of contract Interim Payment 1 $-77- Payable Final Balance $ r r Payable on completion unless otherwise specified. f Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about; / 'i S(date). Barring delays caused by circumstances beyond the contractor's control,the work will be substantially completed in wee "fdaysThe homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the conthaetaf shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes,accidents,weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor,which may be his main office or a branch thereof,provided you notify contractor in writing at his main office or branch by ordinary mail posted,by telegram sent or delivered,not later than Midnight of the third business day following the signing of this agreement. See the reverse side of this form for an explanation of this right. The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties. Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33%on custom products and 25%on non-custom order products. HOMEOWNER: Do not sign this contract if there are any blank spaces. IN WITNESS WHEREOF, the parties hereunto signed their names this 71 day of ? { , 201 Budget Exteriors, Inc. Representative Homeowner Accepted Budget Exteriors, Inc. Homeowner'% J Page 1 of The Commonivealth of Massachusetts IQ Department of Industrial Accidents Office of Investigations ky 600 Washington Street Boston, MA 02111 ivj+w.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Infonnation Please Print Legibly Name (Business/Orgatuzation/lndividual): Budget Exteriors—C/O Lou Milano Address: 354 Merrimack Street( Entry C,Suite 500) City/'State/Zip: Lawrence, MA 01840 phone #: 860-753-0452 Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with I Z 4. ❑ I am a general contractor and 1 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. t E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E]Electrical repairs or additions 3.❑ 1 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' q ] comp. insurance required.] 13.� Other � ' �h ``� "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 anew anidavit indicating such. TContractors 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 empl6yer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Atlantic Charter Insurance Co. / 781-593-1200 Policy#or Self-ins. Lic. #: WCV01161200 Expiration Date: 06/05/2016 ` 0184.5 Job Site Address: City/State/Zip Attach a copy of the workers' compensate n 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ce y der the p ' s andpenalties of perjury that the information provide above is true and correct. Si natur {Budget Exteriors Auth. Agent) Date: Jio �s Phone#: Home—Fax : 860-315-5266 / Cell: 860-753-0452 Official use only. Do not write in this area, to be completed by city or torten official. City or Town: Perinit/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#: DATE(MMIDDIYYYY) 4RD CERTIFICATE OF LIABILITY INSURANCE 08/03/2015 HI CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ALTER THE COVERAGE AFFORDED BY THE POLICIES HIS HTS UPON THE CERTIFICATE :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND IELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 2EPRESEtdTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. MPORTANT: If the certificate holder is an ADDITO A may U quDre an endorsement.st be end on this 11 dUe certificate cafe does not confDer rightsttoothe he terms and conditions of the policy,certainpolicies ;ertificate holder in lieu of such endorsement(s). TACT ____ ODUCER NAME: _---j 781 593.7260 PHONE 781 593.1200 (Lam.N��—.593.7 uffy Insurance Agency, Inc. ac No Ext _ _ -- --- — E-MAIL _ 17 Broadway ADDRESS:_ —T NAIL# INSURER(S)AFFORDING COVERAGE _ yoma Square Endurance American Insurance C ynn, MA 01904-2602 — — INsuRERA: —___� ---- SURED Budget Exteriors INSURER B: Charter ItlSllranCe Co.__ 10005 C/O LOU Milano INSURER -- D: 354 Merrimack St Entry C S 500 INSURER _—..-- I --- Lawrence, MA 01840 INSURERE:— — INSURER F :OVERAGES CERTIFICATE NUMBER: 74 REVISION NUMBER: THIS IS TO CERTIFY THAT 7H NG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDTHE POLICIES DESCRIBED CERTIFICATE MAY BE ISSUED ORMSUCH POLICIES.LIMITS TS INSURANCE MAY HAVE BEEN REDUCED BY PAID CLAIMS. HEREIN IS SUBJECT TO ALL THE TERMS.---- EXCLUSIONS AND CONDITION — LIMITS RTYPE OF INSURANCE NDSR WVD POLICY NUMBER MM/DDIYYYY MM DDIYYYY GENERAL LIABILITY I CBC2000001740 07/3112015 0713112018 EACH OCCURRENCE $ _11000,00 PREMISES(Ea occurrence —.— lOO,OO --� ____5 000 I COMMERCIAL GENERAL LIABILITY I MED EXP(Any one person) I$ {-- —1 UR I' I NJURY $ 1,000,000 OCC ADVI I I I CLAIMS-MASE L. f I i I RERS�NAL t —_��___---- A __----_— I i 11 j GENERAL AGGREGATE $ 2 r OOO+OOO - ; PRODUCTS_COMP/OP AG G $ 2,00 O,OOO GEN--L-AGGREGATE LIMIT APPLIES PER: I PRO- POLICY POLICY JECT LOC } Ea accident $ — AUTOMOBILE LIABILITY I BODILY IN (Per person) $ _ ' I�— BODILY INJURY(Per accident)— ANY AUTO ~ --- —" DAMAGE-- ALL OWNED � SCHEDULED � I I I j AUTOS L—!AUTOS I I Per accidentL__— ------- -- NON•OWNEO I I I — $' HIRED AUTOS —�AUTOS CCURRENCE $ EACH O I —i UMBRELLA LIAR OCCUR I I AGGREGATE ---_. _—. r EXCESS LIAB CLAIMS-MADE $ DED RETENTION$ S A U- j WORKERS COMPENSATION WCV012341 06105!2015 108/05!2016 4 I TORY LIMITSL— ER E L —.---- AND EMPLOYERS'LIABILITY Y/N! .EACH ACCIDENT $ SOO,000 B OFFICER/MEM ER EXCLUDED? I 500,000 ANY ECUTIVED NIA! E.L.DISEASE-EA EMPLOYEEI $ (Mandatory in NH) 5O0 OOO if yes,describe under E.L.DISEASE-POLICY LIMIT i$ s DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE TATWE Betsy Cote and Mary Windle 116 High St Norlth Andover, MA 01845 ©1988-2010 ACORD CORPORATION. All rights reserved ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ACORD,,, CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 06/22/2015 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: Duffy Insurance Agency, Inc. PHONE FAX — ac No Ext): 781.593.1200 � c,N 317 Broadway E-MAIL — 781.593.7260--- Wyoma Square ADDRESS:_ INSURER(S)AFFORDING COVERAGE _ NAIC# Lynn, MA 01904-2602 _ INSU_RERA: Endurance American Insurance C ^- NSURED Budget Exteriors c/o Lou Milano INSURER 8:. Atlantic Charter Insurance Co. 0005 � -- - INSURER C 354 Merrimack St Entry 00 C S 5 - - - INSURER D: ' Lawrence, MA 01840 INSURER E: INSURER F: ---_- ---- -�--- _ OVERAGES CERTIFICATE NUMBER: 71 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. TR TYPE OF INSURANCE AM ICY EXP (NSR I WVD I POLICY NUMBER MM/DD/YYYY)I[MM/DD/YYYY LIMITS GENERAL LIABILITY { CBC2000001740 07/31/2014 07/31/2015 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY I AIOfA�,E7UAENTEI� PREMISES1Ea occurrence) $ ___10q,000 _ CLAIMS-MADE C� OCCUR ( MED EXP(Any one person) $ 5 000 A I - - _ PERSONAL 8 ADV INJURY 1 $ 1,000,000 r GENERAL — AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- �' — __- JECT LOC $ j AUTOMOBILE LIABILITY COMBINED SIRGrETTN97— Ea accident) ($ ANY AUTO I BODILY INJURY(Per person) i $ i 1 ALL OWNEDSCHEDULED AUTOS _ AUTOS ! I BODILY INJURY(Per accident) $ NON-OWNED HIRED AUTOS AUTOS I I rPR� T4 6aIE $ ! , Per accident) _— f $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HEXCESS LIAR B CLAIMS-MADE AGGREGATE $ I DED RETENTION$ $ WORKERS COMPENSATION TBD 06/05/2015!06/05/2016 I W TAru- OTR- AND EMPLOYERS'LIABILITY TORY LIMITS' ER _ ANY PROPRIETOR/PARTNER/EXECUTIV Y/N B OFFICER/MEMBER EXCLUDED? NIA E.L. ACCIDENT_ $ 500,000 (Mandatory In NH)nE.L.DISEASE-EA EMPLOYEE $ 500 000 If yes,describe under I _ , DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I i I I i ESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Budget Exteriors ACCORDANCE WITH THE POLICY PROVISIONS. c/o Lou Milano 354 Merrimack St AUTHORIZED REPRESENTATIVE,,, Entry C S 500 'C ..-~` La rence, MA 01840 ©1988-2010 ACORD CORPORATION. All rights reserved. CORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ,t CONTRACT TERMS AND REQUIRED NOTICES Notice., All harry improvement contractors and sulacontractfors engaged irI home improvement Contracting,unless specifically exempt from registration ty the provisions of Chapter 1 a?A of the general laws,must be;egis2ered �\ with the Commonwealth of Massachusetts, inquiries about registration and statin should be rude to the director,Home Improvement Contractor Registration.One Ashburton Plate,Room 1301,Boston,MA02108. !(7 afrrf.e�'1eare 0,17,mm'd AorY less 1 354 Merrimack Street(Entry C,Suite 500)•Lawrence,MA 01840 8S8-49BUDGET•Fax(978)2519-0126 www.Sudget-Exteriors.com f ' l/� ,t�rr�lxr t .vt'��r>fl e�"'l(> rz•�i�r,,.d/,. w' Offi4e of C oneunter AffAirs&iiu€lnes4 ttcf,ulitioa Licenseor ra istratien valid for indrvi8uf use only w� OMZ IMPROVEMENT CONTRACTOR before the expiration date. 1f faancl return to: �" i ,egistration: 177704 Type, Office of Consumer Affairs and Business Regulation � C;i�A 10 Park Plaza-Suite 5170 ��xprratian: 102?12010 Boston,MA 02116 BUDGET EXTERIORS LOUIS MILANO � ? 354 MERRIMACK 5T ENVY G / ;��/ , � .. _ od r� LAWRENCE,MA 01840 t=r,drr�circrsr�� � t` �� t vali tv�ltout Signature l l Massachusetts -Department of Public Safety Board of Building Regulations and Standards C onstruc fi,an Supen ist,r License. CS-097519 LUBOSSVEC 827 THOMPSON.120 w �» Thompson CT 06177 v r ✓.�..� .11.c"�, sr rat, Expiration Commissioner 08/31/2016 l en+ )Ors Aa ' r � I �- a d