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HomeMy WebLinkAboutBuilding Permit #214-16 - 140 COLONIAL AVENUE 8/19/2015 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ' Date Received Permit NO:gj Date Issued: IMPORTANT: Applicant must complete all items on this page _ LOCATION ( mac G /�& C _ Print PROPERTYOWNER Aljah-el �A4.±'�Alc Print 100 Year Old Structure yes o MAP NO--(:) A?ARCEL:LS/9!:5;z ONING DISTRICT: Historic District yes no Machine Shop Village yes no. TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ElSeptic ❑Well ElFloodplain ElWetlands 11 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type`or Print Clearly) OWNER: Name: e,4' / Phone: "6 Address: 9 CONTRACTOR Name: k,% Az90i 1"Plione: 17 Address: _ �-✓�✓� � 4v.�/' /.✓��-.� ,�.r/�j �l v�G d n/ Supervisor's Construction License: z9 4740 'L Exp. Date: Home Improvement License: 7 �2. Exp. Date: .. ARCHITECT/ENGINEER Phone: ' Address: Reg. No.... FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMAT OST BASED ON.112 . PER S.F. Total Project Cost: $jAV ZZW` FES: $ Check No.: D Receipt No.: NOTE: Persons contrarPlans unre stered contractors do not have access a guar ty fund Signature of Agent/Own — Sig' ature of contractor I Plans Submitted ❑ aived ❑ Certified Plot Plan ❑ tamped Plans ❑ Location 4916V& No. Dat • - TOWN OF NORTH ANDOVER ME , . Certificate of Occupancy Building/Frame Permit Fee —; Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# AQ (� ce 0 Building Inspector 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGEDiSP.OSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ ' Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature i COMMENTS �Y HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments Nater& Sewer Connection/Signature Date Driveway Permit DPW'To`vb. Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT =Temp Dumpster on site yes_. no Located at 124,Mair., Street Fire Departtirier t,sigiiature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions._ j Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector lies No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fol'*wing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofl .i.�g, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ 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 apn,,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.136-ding Permit Revised 2012 tAORTH Town of . � E 1.. . Andover No. h ver, Mass,LAKI COC NIC Nl WICM 1s u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT i' ................ ...,E�'�Att, ......... BUILDING INSPECTOR has permission to erect .......................... buildings on ....1.0....... .!!.DSC..!`:W.........tv.............. Foundation _ Rough tobe occupied as ...... 5 .. . ......... ..... ....................... . ........................................................... Chimney provided that the person acc ting this permit shall in every resp cit 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 M0 THS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIMO&ARTS 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. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �� i // �t ►� C,- License Number Expiration Date Name of CSL Holde List CSL Type(see below) v 6 nag,�A-AeA P 8. A.and S t Ty Description U Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwellin City/Town,State,ZIP / M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone. Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /2 / HIC Registration Number Expiration Date H13C�panyrName oCis ant Name �� �� No.andiQ2 Street _ n� J�/y� �l Email address Cit /Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issua X—ofthe building permit. Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize_�� to act on my bfhalf,in all matters relative to work authorized by this building permit application. Print Owner's Kame(Electronic Sig ture) Dates SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION Tn .n na below,I hereby attest under the pains and penalties of perjury that all of the information in this app cation is true and accurate to the best of my knowledge and understandings. P int Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca_/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 'Proposal AB Carnes Roofing, Inc. Page 1 of 1 30 Arrowhead farm Rd Boxford, Ma. 01921 978.887.1431 MA.CS-000230 and HIC Reg.176928 Proposal Submitted To: MICHAEL&KATHLEEN FANNING Date July 29,2015 140 COLONIAL AVE _. Project Name SAME NORTH ANDOVER, MA 01845 Address 978-685-7877 We propose to furnish material and labor-in accordance with the specifications below: Nine Thousand One Hundred Dollars($9,100.00) Payment to be made as follows:$300.00 Deposit, Balance Upon Completion Notice:All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the General Laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Mass.gov/licenses website. ROOF PROPOSAL ® STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES.COVER ROOF DECK WITH THE UPGRADED RHINOROOF TITANIUM U20 HIGH PERFORMANCE SYNTHETIC UNDERLAYMENT MEMBRANE.COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE. ® ICE DAM PROTECTION:INSTALL CARLISLE HIGH PERFORMANCE ICE&WATER BARRIER OVER ALL HEATED AREAS SIX FEET WIDE AT THE LEADING EDGE OF ROOF AND THREE FEET IN ALL VALLEYS.WRAP THE CHIMNEY(S)AND SKYLIGHT CURBS WITH ICE AND WATER BARRIER. ® COVER ALL PERIMETERS WITH EIGHT INCH PREFORMED ALUMINUM DRIP EDGE. ® INSTALL GAF CORA RIDGE VENT AND/OR®THREE ROOF LOUVERS FOR ADDED ATTIC VENTILATION. ® COVER SOIL PIP S WITH NEW RUBBER FLASHING BOOTS AND FLANGE. ® REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST OF$25,OOPLFT.WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK AND YOU MAY NEED TO HAVE A CARPENTER REINSTALL OR REPLACE THE SIDING THAT WAS REMOVED. ❑ CHIMNEY FLASHING:CUT ALL EXISTING TAR AND LEAD FROM C IMNEY(S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW -- -EAD-FbkSHING-IN-PLACE WITH-MET-kt ANCHORS.--PROPERLY-S– - rl OINT-PLEASE ADD -TO-ABOVE PRICE —- ® COVER ROOF SURFACE WITHCERTAINTEED LANDMARK 240 B LIFETIM V ARRANTY DESIGNER SHINGLES. 0�0*&M® REPLACE DEFECTIVE ROOF DECK AS NEEDED WITH SIMILAR Al�iV-AIDDITIONAL COST OF$4.00PSQFT, " ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF ® NAILING: SECURE SHINGLES WITH EIGHT IN TOTAL COATED ROOFING NAILS AS PER CERTAINTEED SPECIFICATIONS. ❑ SKYLIGHTS:REPLACE EXISTING SKYLIGHTS WITH NEW VELUX OR WASCO UNITS.WE WILL PROVIDE THE SKYLIGHTS&FLASHING KITS AT OUR EXACT COST FROM OUR SUPPLIER.OUR LABOR CHARGE IS$75.00 EACH IF THEY ARE THE SAME SIZE.INTERIOR WORK IS EXCLUDED. ❑ REMOVE EXISTING GUTTERS ❑INSTALL NEW SEAMLESS.032 ALUMINUM GUTTERS USING THE HIDDEN ZIP SCREW HANGER SYSTEM. ❑ REPLACE DEFECTIVE TRIM BOARDS WITH CUSTOMERS APPROVAL USING NO.2 PRIMED PINE,ADD PLFT TO THE ABOVE PROPOSAL. ❑ INSTALL NEW ALUMINUM DOWNSPOUTS AND MECHANICALLY FASTEN ALL CONNECTIONS. CLEAN,ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORK AR THE PROPERTY OWNER AUTHORIZES AB CARNES ROOFING TO OBTAIN ALL PERM_/ $.VVE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS F L`L-ING -0,A74C AREAS, CUSTOMER-SHOULD COVER VALUABLES. GREAT CARE�ICIILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HOWEVER,SOME MARR Ni G ND OR MINOR DAMA E OUL`D OCCUR. ­1NADDITION,WE CANNOT BE RESPONSIBLE FOR ITEMS FALLING FROM WALLS,SHELVES OR CEILINGS DURING THE ROOFING PROCESS. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALL SHINGLED ROOF SECTIONS OF THE HOUSE. SHINGLE UPGRADE:UPGRADE TO THE LANDMARK 300LB HIGH DEF PREMIUM SHINGLES,ADD$1375.00 YES( )NO( THIS IS OUR COST WARRANTY UPGRADE:THE CERTAINTEED WIND WARRANTY WILL BE UPGRADED FROM 110 MPH TO 130 MPH WITH N UPGRADE TO THE CERTAINTEED HIGH PERFORMANCE HIP&RIDGE CAPS AND STARTER COURSE AT NO ADDITIONAL CHARGE.YE EMAIL ADDRESS: KafCU" Q Yi00- Czh'1 Warranty:All work warranted against installation defects for 5 years;this warranty is limited to the installed item(s)and its repair only.Material is warranted by the manufacturer against defects for 50 years;see the manufacturer's warranty for exact warranty performance. Cancellation:Customer has-legalright under-federal-law-to cancel—this—contract—without—penalty.or obligation within three business days from the date of signing this agreement via Priority Mail Delivery Confirmation. Please see reverse side. Dispute Resolution under Massachusetts Home Improvement Law 142a:All parties agree that any and all disputes relating to this proposal shall be settled by arbitration,This forum is user friendly and does not require lawyers.Please see reverse side. Signing this Proposal can",you haVaccepttedd all the terms as stated on the front and back of this agreement. Please see reverse side. *Date of Acceptance S Signature *Signature Signature PLEASE SEE REVERSE SIDE TOWN OF NORTH ANDOVER WASTE AFFIDAVIT As a result of the provisions of MGL Ch.40-s54, I acknowledge that as a condition of building permit# all debris resulting from the construction activity governed by this building permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL Ch.111-s150A. Waste Disposal or Solid Waste Facility: ALLIED WASTE Address: 300 FOREST ST Town/City, State, Zip: PEABODY, MA 01960 NAME OF HAULER: AB CARNES ROOFING, INC. DUMP TRUCKS DATE: 8-17-2015 SIGNATURE OF APPLICANT: -� i; The Commonwealth of Massachusetts Z Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 F�•�' www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):AB CARNES ROOFING INC Address:30 ARROWHEAD FARM RD City/State/Zip:BOXFO RD, MA 01921 Phone#:978-887-1431 Are you air employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3Q I am a homeowner doingall work myself t 9. ❑Demolition y [No workers'comp,insurance required.] 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions prietors with no employees. 12.E]Plumbing repairs or additions E6M )1,0m a general contractor and I have hired the sub-contractors listed on the attached sheet. [iese sub-contractors have employees and have workers'comp.insurance.: 13.�Roof repairs p are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 52,§1(4),and we have no employees.[No workers'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. olic number. P Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration p atton Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' nder the sins andpenalties of perjury that the information provided above is true and correct Si nature: Date: V Phone#:978-97-1431 L ' 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#: 6 ,i FORM 153 The Commonwealth of Massachusetts' DIA Use Only Department of Industrial Accidents Office of Investigations-Dept. 153 1 Congress Street,Suite 100,Boston,Massachusetts 02114-2017 http:/lwww.mass.gov/dia Invest./SWOJ,D:#::a,_'­ ,,,: .� AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE OFFICERS OR DIRECTORS Chapter 169 of the Acts of 2002 amended M.G.L. c. 152, ,¢I(4) by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding stock of the corporation.Notwithstanding section 46, these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter. Said commissioner shall promulgate regulations to carry out the purpose of this paragraph. Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C." Pursuant to M.G.L. c. 152, §1(4) as amended, I/We the undersigned officers of: AB CARNES ROOFING, INC. (Name of Corporation and Address) each holding at least 25% of the issued and outstanding stock in said corporation, do hereby invoke the right to be exempt from the provisions of M.G.L. c. 152, §25A and therefore are not required to carry a workers' compensation policy covering the undersigned corporate officer(s) or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in M.G.L. c. 152 for any injuries that may be sustained while in the employ of the above-named corporation. Further, I/we the undersigned do understand that, should the above-named corporation hire or have in its employ any employee(s) in addition to the undersigned corporate officer(s) or director(s), said corporation is required to obtain workers' compensation coverage for the employee(s) as prescribed by M.G.L. c. 152, §25A. I/We the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the appropriate box below my/our name(s) indicating my/our desire to be exempt or twish exemptof isions of M.G.L. c. 152. nder tenalties of perjury: BARRY CARNES, PRESIDENT 09/24/2013 Print Name&Title Date(mm/dd/yyyy) xercise n or ❑ I wish NOT to exercise my right of exemption ^, _b ANASTASIYA CARNES, DIRECTOR 09/24/2013 r Signature Print Name&Title Date(mm/dd/yyyy)rV o f ❑✓ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption Signature Print Name&Title Date(mm/dd/yy yy]' ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption 85 7 Signature Print Name&Title Date(mm/dd/yyyy) ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption Note:ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN. THERE CAN BE NO MORE THAN 4 SIGNATURES. Instructions ort hack. Form 153—7/2010 MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM The Commonweal Minim Commonwealth of Massachusetts um Fee:$250.00 'r William Francis Galvin Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 Special Filing Instructions 1,1i -:1.•'A Telephone: (617)727-9640 Federal Employer Identification Number: 001110484 (must be 9 digits) F ARTICLE I The exact name of the corporation is: AB CARNES ROOFING,INC. ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: COMMERCIAL&RESIDENTIAL ROOFING AND ROOFING RELATED WORK. THIS SHALL INCLUDE ALL TYPES EXTERIOR&INTERIOR REMODELING ARTICLE III State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify any particular designation. Par Value Per Share _ Total Authorized by Articles -~ Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares i CNP $0.00000 1.000r1,000 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized, state a distinguishing designation for each class. Prior to the issuance of any shares of a class, if shares of another class are outstanding, the Business Entity must provide a description of the preferences,voting powers, qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: ARTICLE VI Other lawful provisions,and if there are no provisions,this article may be left blank. ;4 Il 4 l 1; I, f{ tt t Note: The preceding six(6) articles are considered to be permanent and may be changed only by filing , appropriate articles of amendment. { i� l ARTICLE VII Ij I' it The effective date of organization and time the articles were received for filing if the articles are not rejected within the !; time prescribed by law. If a later effective date is desired,specify such date,which may not be later than the 90th day after the articles are received for filing. a Later Effective Date: Time: t c ARTICLE VIII ;. The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b.The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: 't Name: BARRY CARNES No. and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State: MA Zip: 01921 Country: USA c.The names and street addresses of the individuals who will serve as the initial directors, president, i I treasurer and secretary of the corporation (an address need not be specified if the business address of the officer or director is the same as the principal office location): I Title Individual Name Address(no PO Box) i First,Middle,Last,Suffix Address,City or Town,State,Zip Code j PRESIDENT W L _., BARRY S CARNES I 30 ARROWHEAD FARM RD t1 p BOXFORD,MA 01921 USA TREASURER BARRY S CARNES ; 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA SECRETARY ANASTASIYA V CARNES 30 ARROWHEAD FARM RD ; a i BOXFORD,MA 01921 USA y DIRECTOR BARRY S CARNES 30 ARROWHEAD FARM RD i BOXFORD,MA 01921 USA > DIRECTOR ANASTASIYA V CARNES 30 ARROWHEAD FARM RD Ij r i BOXFORD,MA 01921 USA Ii d.The fiscal year end (i.e., tax year) of the corporation: ;i October {` e.A brief description of the type of business in which the corporation intends to engage: j COMMERCIAL&RESIDENTIAL ROOFING i' ,1 I" f. The street address(post office boxes are not acceptable)of the principal office of the corporation: i No. and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State: MA Zip: 01921 Country: USA g.Street address where the records of the corporation required to be kept in the Commonwealth are located (post office boxes are not acceptable): t f No. and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State: MA Zip: 01921 Country: USA which is l X its principal office _ an office of its transfer agent an office of its secretary/assistant secretary _ its registered office fi Signed this 26 Day of June,2013 at 6:23:02 PM by the incorporator(s). (If an existing corporation is '{ acting as incorporator, type in the exact name of the business entity, the state or otherjurisdiction where t` it was incorporated, the name of the person signing on behalf of said business entity and the title he/she holds or other authority by which such action is taken.) BARRY S CARNES r ©2001 -2013 Commonwealth of Massachusetts All Rights Reserved �I R MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: June 26, 2013 06:21 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth A�® CERTIFICATE QF LIABILITY INSURANCE X028.20,4 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 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: ACE INS SERVICES INC PHONE FAx 675 WARREN AVE G o A/c o BROCKTON,MA 02301 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC it INSURER A:AMERICAN ZURICH INSURANCE COMPANY INSURED INSURER B; APC CONSTRUCTION INC INSURER C: 51 FORD STREET UNIT 1 BROCKTON,MA 02301 INSURER D: INSURER E: INSURER F: OVERMES ftERTIFICATE NUMBER4 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. INSRAD SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR NND POLICY NUMBER M DIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGETQ RENTED S n 5 x ce CLAIMS-MADE I I OCCUR t MED EXP(Any ono parson) S PERSONAL ADV INJURY S GENERAL AGGREGATE S GEN L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOP AGO S POLICY _ JEC LOC S d ALP OMOSILE LIABILITY O M8C1 ED SINGLE LIMIT S c ANY AUTO BODILY INJURY(Por parson) $ ALL OWNED SCHEDULED // $ AUTOS AUTOS BODILY INJURY(Par accident) NON-OWNED HIRED AUTOS AUTOS FADPER aV AMAGE S \!. S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS•MADE AGGREGATE S DEC) RETENTION$ S YORKERS COMPENSATION WC STATU. 0TH, AND EMPLOYERS'LIABILITY IN X TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIV NIA E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N 6ZZUB 10-22.2014 10-22-2015 I1 yas.describe in un 2ES2818A E,L.DISEASE-EA EMPLOYEE $1,000,000 II yes,descrlGe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) i AB CARNES ROOFING INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 30 ARROWHEAD FARM ROAD CANCELLED BEFORE THE EXPIRATION DATE THEREOF, BOXFORD,MA 01921 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESPNTATIVE O 1988-2010 ACORD CORPORATION.All rights reserved' ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD r MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin Secretary of the Commonwealth,Corporations Division f One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617) 727-9640 G3Cfl o . I Federal Employer Identification Number: 001149988 (must be 9 digits) ARTICLE I The exact name of the corporation is: A P C CONSTRUCTION,INC ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: CONSTRUCTION RE-MODELLING AND OTHER OTHER SERVICES PERTAINING TO CONSTRU CTION WORK ARTICLE III State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify any particular designation. Par Value Per Share Total Authorized by Articles Total Issuedµ Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CNP -r. $0.00000- 20,000 $0.00 0 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article 111. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized,state a distinguishing designation for each class. Prior to the issuance of any shares of a class, if shares of another class are outstanding,the Business Entity must provide a description of the preferences,voting powers,qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: .ARTICLE VI 0 Other lawful provisions, and if there are no provisions,this article may be left blank. Note:The preceding six(6)articles are considered to be permanent and may be changed only b filing p Y 9 Y Y , I 9 appropriate articles of amendment. I i `I ARTICLE VII z' I The effective date of organization and time the articles were received for filing if the articles are not rejected within the t; time prescribed by law. If a later effective date is desired, specify such date,which may not be later than the 90th day I after the articles are received for filing. I N Later Effective Date: Time: ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b. The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: it i Name: ANGELO PINGUIL 6 No. and Street: 51 FOR D STREET I c UNIT 1 City or Town: BROCKTOPN State: MA Zip: 02301 Country: USA I+I c.The names and street addresses of the individuals who will serve as the initial directors, president, ' treasurer and secretary of the corporation(an address need not be specified if the business address of the i officer or director is the same as the principal office location): Title Individual Name Address(no PO Box) + First,Middle,Last,Suffix Address,City or Town,State,Zip Code it �r._...�ti_..�......�_..._...-..,,.,_.�...._.-...--w--•`----------- -- --_.... -.__—t__.-.._-._....... _-. r. -^-- - + PRESIDENT ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA TREASURER ANGELO PINGUIL 51 FORD STREET i t BROCKTON,MA 02301 USA SECRETARY — t_ ^� ANGELO PINGUIL - _ - � 51 FORD STREET �. BROCKTON,MA 02301 USA q DIRECTOR ANGELO PINGUIL 51 FORD STREET i 'I• BROCKTON,MA 02301 USA 0 d.The fiscal year end (i.e., tax year)of the corporation: i December e.A brief description of the type of business in which the corporation intends to engage: CONSTRUCTION AND RE-MODELLING �f f.The street address(post office boxes are not acceptable)of the principal office of the corporation: u No. and Street: 51 FORD STREET City or Town: BROCKTON State: MA Zip: 02301 Country: USA fi g. Street address where the records of the corporation required to be kept in the Commonwealth are is , located(post office boxes are not acceptable): i ! No. and Street: 51 FORD STREET t City or Town: BROCKTON State: MA Zip: 02301 Country: USA which is ri X its principal office _ an office of its transfer agent an office of its secretary/assistant secretary _ its registered office Signed this 21 Day of October,2014 at 1:26:45 PM by the incorporator(s). (If an existing corporation is acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where it was incorporated, the name of the person signing on behalf of said business entity and the title he/she holds or other authority by which such action is taken.) ANGELO PINGUIL 14 i, 1' ©2001 -2014 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: October 21, 2014 01:24 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth u Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen isor License: CS-000230 BARRY S CARNES` _ - ��• 30 ARROWHEAIiFARMAW Boxford MA 01921 + '�'t' , r Expiration Commissioner 03/07/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massacusetts 02116 Home Improvement Cdhtrkctor Registration Registration: 176928 _ ( Type: Corporation Expiration: 10/10/2015 Tr# 245633 AB CARNES ROOFING, INC. ' BARRY CARNES 1" ,= ' al 30 ARROWHEAD FARM RD BOXFORD, MA 01921 Update Address and return card.Mark reason for change. 0 Address Renewal F-] Employment F] Lost Card SCA 1 es 20M-05/11