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HomeMy WebLinkAboutBuilding Permit #568 - 140 BRADFORD STREET 4/4/2008 BUILDING PERMITO�"O oTH qti TOWN OF NORTH ANDOVER 32 4� '` *` APPLICATION FOR PLAN EXAMINATION yy n y Permit NO: 5- Date Received �� �gA7ED I.PP��y SSACHUS� Date Issued: Z. °� IMPORTANT:Applicant must complete all items on this page LOCATION ,1-"4 9 . AR-, p:`_ r. t�!ZtK ( ® ,_ Print .PROPERTY OWNER ,Z)6' A00-11 Itt� 4i«"A t Print MAP NO: PARCEL: ZONING;DISTRICT: .Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial emernt Assessory Bldg Others: Demolition Other Septic Well F`leodpla�n ' Wetlands' '- Watershed District Water/SeWee DESCRIPTION OF WORK TO BE PREFORMED: (Zt:pAAC 0r- LVA-MZ �AAAA%4e ^O CAJWETS wa..-%QAAa ��►, ywArrin,4 Identification Please Type or Print Clearly) OWNER: Name: n Cty4u 3A^,I Phone: Address: `AO Ria,IoM. -ST, Nva t ANw-J,--2 i CONTRACTOR -Name: QltA& ►JIKeNS Z� n�;gL Phone: t . „ • 2 iZ Address 3L Yc=• 1 57. M/ Q 5 rt Supervisors Construction .License: � exp. _Date;._ +`© Home Improvement License:. 1 3 - - Exp. Date: t ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Z-`j i`A S. Z-b FEE: $ 2� 'r- Check No.: 6) Receipt No.: L NOTE: Persons contracting with unregistered contractors do not have access to the uar my fund ignature of—Agent/Qwner; Signature of—contract—o­ Location No. Date z 1 NpRTM TOWN OF NORTH ANDOVER F � Certificate of Occupancy • � , . $ ss�CNuSE< Building/Frame Permit Fee $ : Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ^1 fi Check # 2 1 0 4 8 v Building Inspector Location t If(2 )9 r 0 4 No. /I • . t 3 Gi t• Date • TOWN OF NORTH ANDOVER • '�� Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# L q l 31222 C�/ Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sale's Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS :FOR OFFICE USE'ONLY INTERDEPARTMENTAL SIGN OFF . U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature 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 DEPARTMENT -;Temp Dumpster on site yes no ,Located at 1,24 MainStreet: Fire.Department:signature/date COMMENTS , G Dimension• Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) t I f I 1 I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 o 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application u Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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 a 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 I FORTH T0�9m-n. 0 t� Andover 0 No. 00 � LAKE ® 1dL ®Ver9 Mass., COC MIC HE WICK ��� �I DRATED Pf RIS OF HEALTH . Food/Kitchen y � z. w s Septic System 4® ® BUILDING INSPECTOR THIS CERTIFIES THAT....... ... .. ...... �' ':. . .... Foundation has permission to ®rest........................................ buildings on ... ......... � :.:'... .... ..... Rough to be occupied as......................... Chimney .......:...................................................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laves 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 ® PERM1T EYLPMES b MONTHS ELECTRICAL INSPECTOR'I . LESS CO.NSS � �Jl01 S Rough :......::.................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous dace an the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE'DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NEW ENGLAND BUILD & RESTORE INC. 590 Washington St. Pembroke, MA. 02359 Professional building damage evaluation& repair experts (781) 826-7212 Fax(781) 826-0240 4485GUGLIEMI Demolition DESCRIPTION QNTY General Demolition-per hour 32.00 HR Final demo and prep for repair Dumpster load 1.00 EA Kitchen LxWxH 24'6" x 117" x 7'1.0" DESCRIPTION QNTY Note: Electrical by others Refrig.water line-Disconnect&reconnect 1.00 EA Dishwasher-Detach&reset 1.00 EA Sink-double-Detach&reset 1.00 EA Includes faucet Countertop subdeck-plywood 80.25 SF (Install)Underlayment-3/4" BC plywood 283.79 SF Labor only to secure subfloor Batt insulation- 4" -R13 128.00 SF Thin coat plaster over 1/2" gypsum core blueboard 128.00 SF (Material Only)Cabinetry 1.00 EA Lower Level LxWxH 24'8" x 17'6" x 77" DESCRIPTION QNTY Batt insulation- 4" -R13 160.00 SF Thin coat plaster over 1/2" gypsum core blueboard 288.00 SF Middle Hallway LxWxH 6'8" x 5'1" x 7'11" Subroom 1: Entry Formula Peaked 4'2"x 3'0" x 67" DESCRIPTION QNTY 1/2"drywall-hung,taped, floated,ready for paint 142.28 SF Replace drywall in doghouse walls only Thin coat plaster over 1/2" gypsum core blueboard 64.00 SF Hall area Grand Total 24,145.28 4485GUGLIEMI 4/3/2008 Page: 2 NEW ENGLAND BUILD & RESTORE INC. 590 Washington St. Pembroke, MA. 02359 Professional building damage evaluation& repair experts (781) 826-7212 Fax(781) 826-0240 Client: Domenic Gugielmi Business: (781)397-1004 Property: 140 Bradford St. Fax: (781) 397-1000 North Andover,MA 01845 Cellular: (781) 858-9829 Operator Info: Operator: DAVID Estimator: Brant Guthenberg Business: (781) 826-7212 x 28 Business: 590 Washington Street Pembroke,MA 02359 Type of Estimate: Water Damage Date Entered: 1/18/2008 Date Assigned: Price List: MAEM5138A Restoration/Service/Remodel Estimate: 4485GUGLIEMI This estimate is based solely on the findings at the time of our inspection.NEBR Inc.reserves the right to amend this estimate should hidden or unforeseen damages and/or building code violations or unsuitable job site access be discovered during or prior to construction. NEBR Inc.has estimated this project based on completing the entire scope of work as written,performing all phases in a continuous workman like manner. All work to be performed within normal working hours. NEBR Inc.to have complete control of job site at all times which includes the following but not limited to: Job supervision and scheduling, Subcontractor selection and scheduling,fob site access,and construction methods and materials. Job site access may be limited by NEBR Inc. for safety reasons at any time during construction.No work to be allowed by owner or any other parties without written approval from NEBR Inc. After the pre-construction meeting is completed,any and all requests for changes to the scope of work or changes to the project under construction,shall be addressed in writing to the contractor NEBR Inc. on the form provided to the owner by the contractor,called"change order request". Once the form has been submitted to NEBR Inc.,we will calculate the cost of the requested changes,if any,and submit them in writing to the owner for approval.Upon approval of both parties will sign the change order and the changes shall be completed.Payment for approved change orders are due at the signing of said change orders. Change orders can affect the construction schedule and projected completion date. HE - RR NEW ENGLAND BUILD & RESTORE, INC. Fire, Water&Storm Damage Repairs WORK AUTHORIZATION & PAYMENT REQUEST FORM Friday, January 04, 2008 NEBR JOB #: 4485 CLAIM #: INSURED: Domenic Guglielmi Address: 140 Bradford Street North Andover, MA 01845 I, Domenic Guglielmi do hereby direct New England Build.and Restore, Inc. to perform any and all necessary work including: Q.cPA�2 CSF WA1crL � le I also authorize my insurance company; Safety Insurance Company to pay NEBR, Inc. directly for the work performed and request that their name be included on any check issued to me relative to this insurance claim. I am also aware of my responsibility as the property owner to pay my deductible of $ to NEBR, Inc. Z� Domenic Gugliem' Date B , Inc. rant Guthenberg, Account Manager 590 Washington Street Pembroke;Massachusetts 02359 •TEL:(781)826-7212 •Fax:(781)826-0240 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): NEW S Qa.ST�2c Address: Seto City/State/Zip: p2MQ20v�c tAA 013S1 Phone #: ''61 • 8Z6 Are you an employer? Check the appropriate box: Type of project(required): 1.� I am a employer with 7.5 4. F1 am a general contractor and I 6. E] New construction employees(full and/or part-time).* have hired the sub-contractors 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. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.F] Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.F] 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' 13.0 Other 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 14yAth, 1A+5 V92A•Jcc (44�0J A Policy#or Self-ins. Lic. #: N CW G 903 61 b Expiration Date: I I • O 1• ()F-s Job Site Address: 140 &1Ar%,(-g" ST, City/State/Zip: H 4014 AX.J2 W , MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r the ains andpenalties ofperjury that the information provided above is true and correct. Si nature: Date: y V U Phone#: 41 . evo. lz,17— Official use only. Do not write in this area, to be completed by city or town official! City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. i The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 0211.1 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia j OTI. eoarurno�uueal�i o� acLu�aelta 1 i Board ofBwldmg Regulations and Standards j Construction Supervisor License a. License GS 89597 q; Ezprratw_-9-324/201 0 Tr# 203.14 " , Restncfion 00 j BRANT RGUTHENBERG` I YEW STREET w i DOUGLAS,MA 01516 'S Commissioner` { I �) , Board of Building Regulations and Standards' HOME IMPROVEMENT CONTRACTOR 1 Registration: _137817 i, E-_iratpn>=%g/,2009 yp pe: S pplement Card NEW ENGLANDi bLUJILff-g §INT GUTHENBESTOR ��, RG3 EI � ^',J I r\ �> 590 WASHINGTONIT �-,5`. _^,jBROKE,MA 02359 _ [ Administrator stir,__ ------.----------"— -----_-- --- i MTG M CERTIFICATE OF LIABILITY INSURANCE 03/120/2008' PRODUCER (781)447-5531 FAX (781)447-7230 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Masan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 458 South Ave. HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Whitman, MA 02382 Kimberly Wood INSURERS AFFORDING COVERAGE MAIC#r INSURED New England Build and Restore Inc INSURERA: Steadfast Insurance Company 590 Washington St INBURERB: National Grange Mutual 14788 Pembroke, MA 02359 INSURER C; INSURER D: INSURER E: C TH8 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 SUSJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ELAIMS, INSR DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT1yE POLICY EXPIRATI N LIMITS I TR GENERALLIABIUTV GPL596S627 03/08/2008 03/08/2009 EACH OCCURRENCE 4 11000F000. X COMMERCIAL GENERAL LIA131LITY DAMAGE TO RENTED 16 50,00C .AIRFC IG_�vvvurnnr CLAIMS MADE OCCUR MED EXP(Any Otte parlson) S 1,00 A PHRSONAL&ADV INJURY S 11000.000 GENERAL AGGREGATE $ . 21000,000 GEMLAGGREGATE LIMIT APPLIES PER; PRODUCTS•COMP/0P AGG S 1,000,000 POLICY F7 JECi 7 LOC AUYOM031LE LIABILITY M9M25428 1Z/19/Z007• 12/19/2008 COMBINED SINGLE LIMIT g ANY AUTO (Ca accident) 11000,000 ALL OWNED AUTOS BODILY INJURY $ 0 X SCHEDULED AUTOS (Perpernvn} X HIRED AUTOS BODILY INJURY X NON.OWNED AUTOS (Per accident) 6 PROPERTY DAMAGE (Per eGGitl6n1} GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC Y AUTO ONLY:I R AGO 3 EXCESSIUMBRELLA LIABILITY SE05965633-00 03/08/2008 03/08/2009 FACKOCCURRENCE $ 11000,000 OCCUR CLAIMS MADE AGGREGATE S A 1000000 $ DEDUCTIBLE S RETENTION $ WORKER6 COMPENSATION AND DO STATU. 0TH- EMPLOYERV LIABILITY ANY PROPRIETORMARTNERIEXECUTIVE E.L.EACH ACCIDENT I OFFICERIMEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE S If Yee,dasoribe under SPECIAL PROVISIONS below E.L,DISEASE-POLICY LIMIT S OTHER 1;PL596SG27 03/08/2008 03/08/2009 General A r $1,000,000 ontrctorS Pollution 99 A iabiltity Defense and Damages $10,000 per Claim DESCRIPTION OF OPERATIONS I LOCATION5I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMANT I SPECIAL PRCMSIONS perationsc Carpentry IGATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE N0 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESI"NTATIVE ACORD 25(2009108) FAX. (7813$26-0240 ©AGORD CORPORATION 1988 From:Amy Kelly At:Hannon-Ryan Ins Assoc Inc FaxID:781-293-7943 To:Mike Bozik Date: 11/1/2007 11:47 AM Page: 1 of 1 ACORD� CERTIFICATE OF LIABILITY INSURANCE CSR AM DATE(MMlDDMW) NEBRINC 11/01/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hannon-Ryan Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Associates, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 166 Center St. , P.O. Box 457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pembroke MA 02359 Phone: 781-293-5500 Fax:781-293-7943 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Guard Ins Group INSURER B: New England Build &Restore Inc INSURER C: 590 Washington St INSURER D: Pembroke M INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM) DATE(MMIODlYY) LIMITS GENERAL LIABILr Y EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY 7 PE4 El LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I I ER A EMPLOYERS'LIABILITY NEWC803610 11/01/07 11/01/08 E.L.EACH ACCIDENT $500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE I$ 500000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS . USUAL TO THE INSURED I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Hannon-R an N N M Ld 2701" Q _75" 76" gq" 38"— 5 tl 63" 31}^ 1 }' 37 L" 36" 16' 9 21' 22}` 1 " 10B' rW38SBLL 1N39J6RR DBiSd Z4.DlShNY aw�1B�'S3S i!2 M7 2-TRO&4 r a s Y SUSAN TRAYS SINS m Q I _ CJ M SOFT CLOSE ON ALL WALL DOORS H i n AND BASE ORAWERS AND DOORS Z INCLUDED -Ff: 1 LARGE CROWN INCLUDED C3 M I GLASS NOT INCLUDED Ld m rr N rr 3RE —_� PAGED END PANEL 2 4- 3 CD '1d 4or" 168 ' 53z" CD 2Bf" b1:' $9f" 1063" N CT) 24' B1,' 36' 134'" m m $78° 98" 35' 18" -- - --a1elf" Cn All dimensions_size designations given are KitchenViews This is ars originai design and must not be Designed:2J!2120081 subject to verification on job site and Designed by: released or copied unless applicable fee has Printed:_3!2512008 II adjustment to fitJob conditions. Kevin Schlosser been paid or job order placed. i OD CD CD N ao 140 Bradford Street Extra Wall Ail Drawing ft: 1 NEW ENGLAND BUILD & RESTORE INC. 590 Washington St. Pembroke, MA. 02359 Professional building damage evaluation& repair experts (781) 826-7212 Fax(781) 826-0240 Brant Guthenberg Grand Total Areas: 1,489.40 SF Walls 763.21 SF Ceiling 2,252.62 SF Walls and Ceiling 761.85 SF Floor 84.65 SY Flooring 194.33 LF Floor Perimeter 431.75 SF Long Wall 263.69 SF Short Wall 195.24 LF Ceil.Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 0.00 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 4485GUGLIEMI 4/3/2008 Page: 3