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HomeMy WebLinkAboutBuilding Permit #170-13 - 137 HILLSIDE ROAD 8/29/2012 BUILDING PERMIT pf No Dr b TOWN OF NORTH ANDOVER �? h "` �0 APPLICATION FOR PLAN EXAMINATION 0 Permit NO: Date ReceivedArgo ��SSACHUS���� Date Issued: IMPORTANT:Applicant must complete all items on this page 1 2 PROPER. lG _ TY 01NNER_ 2 } - - Ment 7; MAFaN®: y rARCEL .; ZONI"NGRDISTRICT' <� _ _ _ Hist ric=Distract yes nog i yes:rio , --r .Machin TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One fa Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Well Flootl lamb 3 1 ,F p 1Netla 5epticl nds� #.Yx WatershedDistrict ' �1Nater/Sewers °' , _ SC IPTION OF WORK TO BE _ �j t� .� ��� ._;�� PREFORMED: • n ' cation Please Type or Print Clearly) OWNER: Name: R&t7! C(Aele Phone '0-/ Address: Z� P(l� _ - - X� C®N9 RACE OR3 NameI,"' Phone (�Y Y j Address s Il(1 i ffi �Superviction fHpme�Imptoent LicFvem erase V ` -rLi- ate ' 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: $ , I'y � FEE: $ Check No.: 12 K l Receipt No.:_ Q NOTE: Persons contracting with unregistered contractors do not have access to the ar� nd Signature of Agent/Owner - 'Si nature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I 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 I I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS I. I 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 ++ rc fa' a �"�a+ h .s4,c ¢�� s �. , �e.� , •4 0'F-IRE DERARTMENT} Tremp Dumpsterfonysite `yes `. no` ,Y . . . x ry Located;at 124;Main.Streetx "r` k,t� ` 44 711Ike V Y ;' r x m�.r s 8-x.•..: �.a . Y.f A ♦ f s F 3 ,,,. t ,y< ' #.'^r xt .{�, j. . :F,ire3Department;signature dlate - >ow?r' � tr`^ <y 'yx.e Sn— � it t s'+-ar"'� y'=`;i�' .+�.,�" "-r.., ,lG�{ •. .7� T.. s `1 wig ��i • . �t'w c} � -`^� � s c:s�r'�- a.'a �� �-§s :� L�'� .. �a '��t- n..+,'- _i�;.# y.. , ': Dimension t of floor area Number of Stories: Total square fee , based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA— (For department use) I ❑ Notified for pickup - Date —_..............-....._.... ------------- ..._...._. Doc.Building Permit Revised 2008 i i 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 i ❑ 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 ❑ 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 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 Revised 2.2008 t : Location3� No. Date I o • TOWN OF NORTH ANDOVER e ' Certificate of Occupancy $ Building/Frame Permit Fee $� T Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check ff 25663 Building Inspector NORTfy Town of tAndover oVAI"t No. ®� ,� �}`. 0 h ver, Mass, . 29 20M Y O LAN■ COC NIC MI WICK p�R^TEO S L) BOARD OF HEALTH Food/Kitchen PERMITIT LD Septic System RTHIS CERTIFIES THAT ........ �'� ���`� ............ BUILDING INSPECTOR ...............+... ........................................ ....... ..... Foundation has permission to erect wf"F ............... buildings on .....� ..�e� .S►tdc W. A.......... Rough tobe occupied as ......... ............................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final I3�_ PERMIT EXPIRES IN 6C LATHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTT 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 NORTFI Town of ` E 1, Andover 0 to Ah ver, Mass, 29 2M O LANE COCNICNl WICK S U BOARD OF HEALTH Food/Kitchen PERMI� T T LD Septic System THIS CERTIFIES THAT . Rew.40. A�40� BUILDING INSPECTOR .............. ... .... .................................. ....... ..... ........... ...... ..... .......... . .. Foundation has permission to erect.,,.................. buildings on ..... �� -si .— �.......... a .... ...... .... Rough to be occupied as ........ .left y provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final _ PERMIT EXPIRES IN 6 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT T 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 Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer,Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor I[nforlffiation N e Com an Name P Y a (LC 4onotuse—al'o st OfficeBox address o ctor/ alesperson/Owner Name 3 ifs A s4eelm _ ity/Town State Zip Code Business Address(must include a street address) �i �� 4-1 Daytime Phone Evening Phone City/Town State Zip Code Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number — Law requires that most Uome Home Improvement ContractorReg:Number Expiration date improvement contractors have *�f—/' I valid registration number l/ /¢ The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) I i Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as-the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be C excluded from the Guaranty Fund provisions of o � /Aate when contractor will begin contracted work. MGL chapter 142A.) j JJ f —bate when contracted work will be substantially completed. Total Contract Price and Payment Schedule r The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: / �,/[ (*) Payments will be made according to the following schedule: t $ / upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ *H-95 by /3 / (�-or upon completion of $ by or upon completion of .$ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) . The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. x ress Warranty-Is an ex ress warrant-,bein rovided b the contractor? ❑Na❑Yes all terms of thg—w_arranty,must be attached fo the contract Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this a eement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices careUly before signing this contract. 0 Don't be pressured into signing the contract.Take time to read and fally understand it. Ask questions if something is unclear, 0 Make sure the contractor has a valid Home Improvement Contractor Re 'stration. The law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA.02116 or by calling 617-973-8787 or 888-283-3757. 0 Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or aslc to see a copy of a"proof of insurance"document. 0 Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business provided you contractor m writing at his/her,main office or branch office b ordinarysenP y notify the third business day following the signing of this agreement. See the attached notice of cancellation tion form for or by dan explanation elivery,not tof thiser right g midnight of the I DO NOT'SIGN TEO[S CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the ho ovine The or copy should be kept by the contractor'"" Homeowner's Signature ntractor's Signature - / Date � Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner.in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract;the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, c t 42A.. Homeowner's Signature ontractor's Si Ire E:The signatures of the pal above apply only-to•to the a ement of the parties to alternative dispute loI®T)<C p pp Y Y . l� resolution initiated by the contractor: The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their:own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the.original contract must be in writing and agreed to by both parties. Contracted work,may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other condoner rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA.02116 617-973-8787, 888-283-3757 or visit the OCABR website at 1___ptt ://ww,,v.mass.gov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at liM://vrww.mass_„aov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: . h�.)://db.state.ma.us/liomei=rovement/licenseelist.asl2 For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 Wee(,11'7.;;',I ......................... .............. ................. .... �1 1H. II-1 Pvd)iic 102-DOLN ON­,1rAVA',-:` AP-11- OWE"I.A. MA ............. ........... TMIMI 4 114, .......... men Holy;I- p EAD91 )N SA ........... ACOR n CERTIFICATE OF LIA131LI` Y INSURANCE DATE(MMIDDIYYYY') —..._..��_�.11/16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS Ui'ON THE CERTIFICATE HOLDER,THIS CFR'TRFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND,L=X-1 END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A :ONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE:HOLDER. WMPdl2TAN7: If the cert@fecate holder is aee ADDITIONAL.INSURE®,the poticy(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 a.ertificate holder in lieu of such endorsement(s)- PRODUCER GAME: Duffy Insurance Agency, Inc . ac,rlu,exf) 78.1 S93 1201➢ -(ruc No) 78I 593.7260 �7 Broadway -MAIL - _ ._... \llDRESS: W(I@yoma Square INSURER(S)AF`ORDING COVERAGE I NAIL r) II. ynn, MA 01.904-2601 INSURERA, Seneca Sp,�cialty Insurance Co ._ : Roofing, U.. ..... .._. ..__.. ._..__. .. ---. .._. .._._. � _.. ..- . ... r�,uREn Idyan $r 5®n R�c�iFi ng; .I:nc.. - INSURER H r 93 New Salem Street INSURER C Wakefield, NIA 01.880 INSURER U, INSURER E; I .._.—.__.._--. ---------- 1NSURER.F: OVL`RAGES CERTIFICATE NUMBER: Bidding Purposes REVISION NUMBER: THIS IS'TO CERTIFY THAT TI_-Ira POLICIES OF INSURANCE LISTED BFLOIN HAVE BEEN ISSUED TU 7RE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHSI"ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER D DCUMENT wi'm RESPECT TO WHICH THIS (1FR'1'11!(:ATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE'POLICIES DESCRIBED F EREIN IS SUBJECT TO Al 1,TI IF TERMS. :XCLI_ISIONS AND CONDITIONS 01=SI)CH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIOIS. d2.) _ ADDT_SUER•.. .. . .. .POLIES' It TYPE OF INSURANCE_ _ 1NSR WVD____. POLICY NUMBER — I(MMIDDNYYY) MMIDDlYYY Y) LIMITS i GENERAL LIABILITY I I BAG1100?D®88111108/20'1.1 i 11/08/20 2 FAC I OCCURRENCE -1,000,000 COMMERCIALGF.NI_RAI LIABI1.IlY i 1 _T)AVAiMISFS�E'TORa ou uifeIIQIEU c ._ —. ... _. PRE (Ca O 000 __ 1 I:L.AIM.`i MAl)F L I 0CCt1R . _ _ —_ j0 ?.._ MED FXP(Any nn(per on) 5 5,000 lI( PERSONAL 8-ADV INIURY S GEN ERAL AGCRf GAIT= 1 2,000,000 GEN'! -�Gt.trlva"E 1.110i I"APP!IFS PER: I I PRODUCTS C OMPIOP AGt 1 PR 0- - _._.. -- -� ,EC -1 I_-. -_-l._.. --- -- AUTOMOBILE LIABILITY i (Pad accident) S ANY 1' U 1 BODILY IN.I(1RY(Per person) - - !•L 0 /'!ED S(HF.D1)I_FI} - (ITO` i _I AUl US I I BODILY INJURY(Per ac(xi,nt))`. - NON-OWNED i rnPJ.I?„IJTOS � I 'PROPFRTYUATNXb`E--- (Per accident) i c UMBRELLA UAD OCCUR ) EACH OCCURRENCE S ;EXCESS LiAB ` ..AIMS-MAD{: 1 - .. AGGREGATE '-K-A) RFTFNI ION Iq 'WORKERS COMPENSATION j I -I(� WC91T`1U AND EMPLOYERS'LIABILITY Y r N I I LORY IIMiTS I _-,1.1ER ANYPROPRIE'I-ORlPARTNFRIEXFC(!ll\/C -- Et_ EACH ACCIDEN`I OL-S((RIP ON Or OPERA below( N r A { I j {Mandatory in NH) l _ l li es.descroe un(Jel I 1 E I_.DISEASE FA EMPI C) I: F..t DISEASE-POLICY I r-SCRIPTION Of:OPERATIONS f LOCATIONS!VEHICLES (Att7rh ACORD 101,Additional Rrrnarkec Sr.F edule,it more space is requucd) ..._..._ I k @ i RTIFICAfiE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESC RIBED POLICIES BE CANCELLED BEFORE THF EXPIRATION DATE THEREOF,,IOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY P ROVISIONS. A}TRORI:CED RGPRE_S`ENl"ATJ '.y For B_i_dd_i-n—g _Pu-r._p..-o._s-e--s-—On-l`y ------ ----------------------- -Ma—rc --D-u-F fy....------- ©1988-2-0-1—p �—CO'R—C- OR. I ORATBON_ A@@ rights reserved. ORD 'S(2010105) 1-he ACORD name and logo are registered marks ofACORD UP lu;fwk; CERTIFKATE OF LIABILITY INSURANCE DAM(MWOWYY" .. - 1 04/09/12 THIS CERTIFICATE IS ISSUED AS A MAI-r;-:R OF INFORMATION 0 NU( AND CONFERS NO RIGH FS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELN OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSUIRMCE DOES NOT CONSTITIT,*E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PROVUCER,AND 1+E CERTIFICATE HOLDER. IMPORTANT: It the certlificalle holder is a i ADDITIONAL INSURED, thO Poficli!fws)must be endorsixi. If SUBROGATION IS WAIVED,subject to the,terms and conditions of the policy,ceFt,-In Policies may require an �idorsemenrt A statement ai,this certificate does not confer rights to the cq!±ffearte holder in lieu of such endorsem,nIti(s), " I PW*UCER 5�W_FACT 9798-689 i iMas&Poy Insurance Services,L.1-C I NAME: __ ............ 127 Garden Street Unit 1B 978-998-689?i PHONE FA Beverly,MA 01915 iwp_ft.Epl�____ ..........._­­___­_LA ............. E-MAW Sharlene Wulleman ADDRESS: ................. ..................... NsU Rs A, NAIL u INSURED Ryan&Son Roofing,Inc —9!!P- 11]t",­ INSURER A,!�qq American Insurance Co 93 New Salem St ......._ ___.............. .................. ........................ J�§URFR±!,:.............. ..................... .......... .......... Wakefield,MA 01880 asuRER o: ....................... INSURER E INSURER F; COVERAGES CERTIPCATE NUMBER: REVISION NUMBER: i THIS Is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW t t v-L BEEN ISSUED TO THE INS JRED NAMED ABOVE OR THE POLICY P RI INDtCATED, Nal'WITHSTANDiNG ANY REQUIRI'MENT, TERM OR CONDITION OF ANY CONTRACT OR OTH-_R DOCUMENT WITH RESPECT T(3 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER'N;IN, THE INSURANCE AFFORDEU BY THE POLICIES DESCRIBED HEREIN IW SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL C ES,LIMITS SHOWN MAY HAV:w BEEN REDUCED BY PAID CLA MS. rYPE,OF 2INSURANCE. _06_LfzFiF T—PO-U—CY E KP t INEF3 pvvl)I POUtCV NUMBER (MNMCVYY"I(MMOD/Y)YY LIMITS CEAMAL LIABILITY T I ET01 EACH OCCURRENCE S DAMAG �-N ff'­ ]L(�MMERCIAIL GFNLRAL L.A1411.1 l Y N .............. CLAIMS-MAD OCCUR MED EXP t ... .. ..... . ................. IIIERSONAL,A AOV INJURY S .......... .......... L I of NERAi AGGREGA I L ��'(,AGO�RF',GAM LIMIT APPI IF�S PER. PRO. POLICY: i JFr r I LOC, S T AL; OMOBILE 1„ABILJTY COMSINF0 SINGLE LIMIT ANY AU 10 (PA oczicant} BOD11,YINJUR ALI,OWNED AUTOS .......... BODILY INJURY �nil iL&WOULE-0 AUTOS .................... MWPERTY DAMAf.I". HlReLIAUIOS I{Per accident} NOWOWNEDAUTUS f .............. UMBRELLA LIAS 0(.'.C(JR EACH OCCURRENCL $ .......... EXCESS UAB Ct Al 'MADE I AGOREGAIE $ ................... ................ ................... RETENTION $ WORKERS(4111411`15NSATION --+--1-WC—ST1,TU torfl- AND EMPLOYERS'LIABILITY YIN 'A ANY PROP RIEI'ORA-ARTNEIJEXE(:tJTII�: l6S62US-4571 P66--9-1-1 03/16/12 03/116/.3 i $ 1,000,00C On LXCLU01-07 (Mandatory in NH) E1.,DI3FASEA-.AEMPLOYf+ 1,000,000 If under , 0 Cir�e L) r6d 'PERAYIONS below ICY LIMIT R 1 El DISEASE -POLI 1,W0,00C ............. . UeSC"IPTION OF OPERA-171ONIS I LOCATIONS/VEHICLES IAI Mh ACORD 101,Additional Rivirmirle;ioftWula,if mom sp.,"m is reqij iF,Vidence of Insurance -CERTIFICATE HOLDER CANCEkik TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N01-ICE WILL BE DELIVERED IN ACCORDANCE WITH THE P)LICY PROVISIONS, AUTHORMED REPRESENTATIVE .......... ACORD 25(2009/09) I h 1986-211091986-21109ACORD CORPORATION. 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Omer. . . ®f Proposal 93 New Salcin.Street,,Wakefield MA 01880 Tel:617-571-9056'Email:RyaaiAiSdSonSC(Pivle.cotii www.ByanAndSonReafing.com Submitted To: lob location: Rohit Patel 137 Hillside Road 137 Hillside Road North Andover,•MA North Andover,MA Phone#: 508-294-9916 Email: RohitPatel.NA@gmail.com Proposal date: February 17,2012 Reuissd: July 23,2012 Revised: August 15,2012 We are pleased to hereby submit this proposal'to furnish materials and labor,completely in accordance with the below specif-i cations: (Additional charges may apply for any change's not included below in proposal either by request of owner,or if Ryan and Son Roofing finds unforeseen circumstances that will affect the performance,quality or integrity of this job).In the event legal action is taken to enforce any provision of this agreement, the prevailing parry shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney's fees. Not responsible for debris in attic. THIS PROPOSAL IS TO: Strip main roof a hip reel on right side of house a garage roof to bare wood and re-shingle:$11,000.00 • Strip existing shingles down to bare wood • Check for rotted wood and replace as needed • Nail down any loose wood • Install ice&water shield to first 6',which is 2-rows and in all valleys • Install Palisades premium underlayment in place of 301b felt paper to remainder of roof • Install all new 8"white drip edge on perimeter and step flashing,where needed • Install GAF Lifetime/30-year architectural shingles in color of your choice • Install ridge vent • Cap ridge vent properly with manufacturers suggested cap(GAF Timbertex®or IKO Hip&Ridge 12) • Properly flash any protrusions and all new pipe flanges,if any on roof OPTION:Reaead chimney:$495.00 Clean UP: • Will cover area with tarps to minimize debris • Remove debris related to work • NOTE: Please cover any belongings in the attic,as they will get dusty,if applicable Payment Terms made as follows: (This includes labor, dump&materials) Strip a shingle house roofs price: $11,000.00 Kindly remit a merit t py o OPTION price: S 495.00 Peter Ryan Total Cost:41'no chungesl $11,495.00(with OPTION) Thank you! V payment due upon signing: $1,000.00 Balance due upon completion $10,495.00 PRespectfully Submitted by: Accepted by: All work is 100%guaranteed for 1 -years on 11 craftsmarishother warrantees are through the manufacturer.-A 1 NVarrahtees will be null&void if job is not paid in full.Thank you for lettin s e you!!!Ryan And Son Roofing,Inc.is fully licensed(#159797)&insured. CC:Andy