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Building Permit #837 - 15 WOODBERRY LANE 6/19/2007
VAORTIi BUILDING PERMIT O "I"D ,6t9�o TOWN OF NORTH ANDOVER F i A APPLICATION FOR PLAN EXAMINATION 41 M o4 # Permit NO: Date Received � ,T.o 9SSACHUS�� Date Issued: 4 IMPORTANT: Applicant must complete all items on this page s LOCA#IO21 N i3f1i'1 �i �t � ����. ��,�.gx3r lam* -': � »�1 tl�t "�`� v`�• � w ,���� �� �,�� �� ''p � TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building % One family X Addition ❑ Two or more family ❑ Industrial be Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: t-dDemolition ❑ Other I ` e ttc' �J 1t11e11 z F�ooc latr1let ands1lVtetsld Datrict P X �� �' ,-: .. r . ru '" r ° • as Water/Sewe � ,: . . ..... DESCRIPTION OF WORK TO BE PREFORMED: nein &oo .sy Fi- 14th Lon TZ( o SIf 4, it)lo Ji/1G FC1Mi (y (2oov^ CAhd I�GS�P� &-droom w` +h e 1 r\C` ,�s eo nyode(t' nl C Xi�S4(()Q )�i+(Ke( c.hd -fcao e kj ° i&:A C ihraowls n - I ntification Please Type or Print Clearly) t OWNER: Name: ,Gnire- f /1arrx (3i CK(-(y Phone: LS f Address: d boc eAl .,:Sm `iF rte+ ' �u.>„ ,..may '% - 3'.'„i �ig•. s, Yy._ sNTRACTfJR l�ame � t� � 1II4 l.�v ac�: �'"�"�'�u� �� > �� s �, v„ .,, '� 1 __ a v � ", `�^' '�`a�• Xrw ,� N-A SUp, ervros Erstrdtfon .�ceise 1� K q � ° -,64 Hom Ipdvemerat':LEc�rise � x ale ,w ARCHITECT/ENGINEER Gerard C oe-lch. ipC Phone:(`j zs) 736-0o91 Address: 11 14o3c e5 St. N. And Lw e rt c�t $ S' Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE`DION$125.00 PER S.F. Total Project Cost: $ MO vZ 9'5, 00 0--FEE: $ 7i�a Check No.: Receipt No.: 69W& NOTE: Persons contractin ith unregistered contractors do not have access to the arae fund n Signature of Agent/Own '71Signature o contract • Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ i L TYPE OF SEWERAGE DISPOSAL I Public Sewer ® Tanning/Massage/Body Art ❑ Swimming Pools y �} Well ❑ Tobacco Sales ❑ • '' Food PackagingIS36`° Z 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 & DEVOP NT ❑ ❑ X 400-- COMMENTS 74C �tie.Q-G�r�-'1�b 4s, awl"- s t�. l•j�.�/�IV.I Ar �, ter-. ,. Met .sem P /L, .. ! 3 fta? DATE REJECTED DATE APPROVED CONSERVATION ❑ �Q��� L COMMENTS O I r DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & SeW,er-�C'"nection/Si nature ate DrivewayPermit Located at 381 Osg;Mtr&et_ 1 ! >. a>.-•�. a r,-. a t'w FIREDEPAFiT�I�IT TerpDurr�pste onsl Located at 24 Marr treetwi Fire Departmentsignatureldate� �X^ Xtt+`._ mkt+.��'AX ��`�"AaY93 A•R r � ,.,, ���.(/ a5°N Y. ➢' mac' �aY S�q%° �Y/ 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 r ll ❑ Notified for pickup - Date ........................._.......................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................... Doc.Building Permit Revised 2007 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 o 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 d Building Permit Application d Certified Surveyed Plot Plan eK Workers Comp Affidavit J Photo Copy of H.I:'C.,And C.S.L. Licenses d Copy Of Contract W1 Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) i Mass check Energy Compliance Report (If Applicable) u� 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 o 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 2.2007 f Location / ij.�d .�` 1-111,15 r'iI le No. Date > i ,.ORTITOWN OF NORTH ANDOVER O� «t° ;•�q. 3? � • OL F 9 Certificate of Occupancy $ ssCH us•Eta' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ A Check # !`� r 203'1 t Building Inspector ::ter r s.A t-+w+ � ..._W..,_� _,.,•.,y.,,:..�r.«_-.�.« CAMARA CUSTOM CARPENTRY L.L.C. REG.#130545 PO Box 1923 LIC.#045604 Salem,NH 03079 (603)898-8683 Fixed Price Aereeme at SOW=TO:Janice and BaW Bickl Owners DATE:5104/07 PHONE:978-681-5672 STREET: 15 WbodbM Lane CITY-STATE:N Andover MA JOB NAME:Two Story Addition/Kitchen and Baths Remodel CaMrwcinmely 1 69 so ft total DATE OF PLANS:04-09-07 L3y Gerard E.Welch,inc.7-11 HodgLs SL N.Andc yer,MA 01845 JOB PHONE:Same I. GENERAL SCOPE OF WORK ACCORDING TO PLANS LU TED ABOVE: • Obtain all necessary permits and inspections. • Necessary excavation for new foundation.with full basement inc uding: Fill removal and trucking. Perimeter drain.-Re-grading existing hill as necessary. Backfill and grade. lelocate and replace existing sewer pump and tank. • New foundation for full basement to code, 96 If, including damr proofing. • New 4"poured concrete basement floor for new basement only • Cut through existing foundation for access to new-basement. Si ze of opening to be determined. • Frame new addition as r plans listed above including en inee floor joist sheet#8 plywood sheathing Pe P 9 9 l ( ). P Yw 9 and upgrade to all 2"x6"wall framing to increase insulation'R"value and allow for necessary plumbing. • Install..all new Anderson Tilt Wash Windows with High Perl'brmarice Low E Glass. Size and locations as per plans listed above. Install one new 6'-0"x 6'-11"Anderson Frei ich Wood Gliding Door from Family Room to new deck. One steel exterior door from Family Room to Screen Porch. • Install new trim and 6"cedar siding on all new exterior walls including house wrap. Match existing trim and siding as close as possible. • Install new aluminum screen panels in new screen porch includ ng removable glass panels. • Install new asphalt type roof shingles on new sloped roofs inclu Jing necessary Ice and Water Shield. Install new rubber type roof on flat roof over screen porch. Build new decks according to plans including all pressure treat I ype materials with standard decking and balustrades. • Demolition and Disposal of existing finished walls, ceilings and oors in existing Kitchen, 1 t Floor Bath and 2"d Floor Master Bath. Includes floors and fixtures only for 2"d Floo bath. • Install wiring to code and plan for kitchen,breakfast,fin ily room, and laundry bath, Master Bedroom, Master Bathroom including: Wire Electric oven a id cook--top,Separate line for refrigerator, dishwasher, disposal, washer, and electric dryer. Install 2-we er-proof plugs on deck and screen porch - wiring only for 3 outdoor fixtures. Wire Jacuzzi tub. Install we er-proof plug on balcony-wiring only for one outdoor fixture on balcony. Install 2 phone jacks for'kitch n and master bedroom. Install 3 N jacks for y q kitchen, family room and master bedroom. Install 2 smoke de ectors-family room and master bedroom. �C i� Install 10 - 5"recessed fixtures. Supply 5 under/counter fixtu es in kitchen. Supply 2 Panasonic fans for baths. Supply one recessed shower light. Wire new sewer pui ip. �'�• Plumbing to code including: REMODEL EXISTING KITCHEN One kitchen sink(stainless steel -two bowl)l) with faucet w/pull out spray. One ice maker connection. One dishwasher connection. f br5t�l lvilot `�� REMODEL FIRST FLOOR 1/2 BATH AND CHANGE OUT FDCTURES at On�._avate�r- y Move washing machine pipes as needed. ' SECOND FLOOR MASTER BATH AND MASTER SUITE: One elongated toilet with seat. Two lavatory sinks(oval type)with faucets. One 4'x 3'fiberglass shower stall with shower valve. One 5'x 5'comer whirlpool 3' tub with deck mounted faucet. One bar sink and faucet. TO REMODEL THE BOOTING SECOND FLOOR BATHROOM BY REPLACING THE FOLLOWING FDCIURES WITH NEW FDCTURES IN THE SAME LOCATION: One elongated toilel with seat. One two piece combination 5'tub and shower complete with valve. (Additional page(s attached: Yes No) Contractor ✓ Owner Owner C-ANLARA CUSTOM CARPEN Y L.Lc. REG.#130545 PO Box 1923 LIC.#045604 Salem;NH 03079 (603)898-8683 TO COMPLETE NEW HEAT ZONES AS FOLLOWS: Zone one to the first floor kitchen and family room complete with one kickspace heater mounted under the kitchen sink cabinets and one kickspace heater mounted under the island cabinets for the breakfast area. The of this zone to be baseboard heat. Zone two to be the second floor master bath and bedroom complete 1 vith one kickspace heater to be mounted under the master bath vanity. The rest of the zone is to be bas aboard heat. OTHER ITEMS INCLUDED: One outside faucet(frost proof) loca led on the new addition. Gas piping to two fireplaces (one located in the master bedroom and one located n the new family room, fireplaces not included). To reroute the basement plumbing to the new sewei stub incoming from the new pump tank located outside. All labor,materials and permit fees to complete the installation of the above described fixtures ***All foctures, Faucets and tub/shower valves to be Ko ler*** • Insulate to code all open and new exteriors walls and ceilings ir cluding necessary vapor barriers and fire- stopping. • Drywall type wall and ceiling finishes for all new and open walls as per plans listed above. • Install new standard paint-grade interior trim for all new doorsnd windows. Includes baseboards and Masonite interior doors at locations shown on plans listed abov . • Interior painting for all new walls, ceilings and trim. Eggshell w lis, semi-gloss trim and flat white ceilings. Includes five total colors. • Install new finished flooring for all new floors including second oor bath. TOTAL FLOORING ALLOWANCE...$9.00 per square foot 1 bor and materials. • Install new kitchen cabinets and vanities as designed and laid c ut on plans listed above. • Install new kitchen appliances. 11L. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE A. EXCLUSIONS 1. PROJECT-SPECIFIC EXCLUSIONS: Unless specifically included in the"General Scope of Work"sc4 tion above,this Agreement does not include labor or materials for the following work:Exterior painting of new Dr existing walls and trim. Upgrading existing mechanical systems. Replacing existing roofing or siding. Kitchen cabinets or bath vanities. New counter tops, labor or materials.Appliances or fireplaces.Any insulation or interior finishing r screen porch walls,ceilings or floors.Additional Smoke detectors. 2. STANDARD EXCLUSIONS: Unless specifically included in the"General Scope of Work" n above,this Agreement does not include labor or materials for the following work:Plans or engineering fie of any kind.Testing, removal and disposal of any materials containing asbestos(or any other hazardous material as deft ed by the EPA). Moving Owner's property around the site. Labor or materials required to repair or replace any Owner-suppli materials. Repair of concealed underground utilities not located on prints or physically staked out by Owner or Util' Companies which are damaged during construction.Surveying that may be required to establish accurate p rty boundaries for setback purposes. Landscaping and irrigation work of any kind.Correction of existing out-of-plumb or )ut-of-level conditions in existing structure. Correction of concealed substandard framing.Rerouting/removal of ve its, pipes,ducts, structural members,wiring or conduits,which may be discovered in the removal of walls or the cutth ig of openings in walls. Removal and replacement of existing rot or insect infestation. Failure of surrounding part of existing structure,despite Contractor's good faith efforts to minimize damage,such as plaster or drywall cracking and popped nails in adjacent rooms or blockage of pipes or plumbing fixtures caused by loosened rust within ides. Exact matching of existi g finishes. Public or private utility connection fees. Repair of damage to roadways, drives,or sidewalks that could occ ir when construction equipment and vehicles are being used in the normal course of construction. Cost of correcting e rs and omissions by the Owner's design professionals and separate contractors. Cost of correcting/testing/remediating mold fungus/mildew and organic pathogens unless caused by the sole and active negligence of Contractor as a direct result of a donstruction defect that caused sudden and significant water infiltration into a part of the structure.Cost of removing pondin ground water,ledge or other unusual concealed site conditions during excavation. (Additional page(s)attached:—X—Yes No) Contractor Owner Owner CAMARA CUSTONICARPEN9 RY L.L.C. REG.#130545 PO Box 1923 LIC.#045604 Salem,NH 03079 (603)898-8683 B.CHARGES FOR ADDITIONAL WORK: CONCEALED CONDITIONS, DEVIATION FROM SCOPE OF WORK,AND CHANGES IN THE WORK 1.CONCEALED CONDITIONS:This Agreement is based solely on :he observations Contractor was able to make with the project in its condition at the time the work of this Agreement was t id.If additional concealed conditions are discovered once work has commenced or after this Agreement is executed which re not visible at the time this Agreement was bid, Contractor will point out these concealed conditions to Owner,and thes 1 concealed conditions will be treated as Additional Work under this Agreement. Contractor and Owner may execute a Char ge Order for this Additional Work. Contractor is released, held harmless,and indemnified by Owner from all pre-existin mold,fungus,mildew, and organic pathogen problems and is not responsible for costs or damages associated with rreeting,containing,testing,or remediating the same. 2. DEVIATION FROM SCOPE OF WORK:Any alteration or devii tion from the Scope of Work referred to in this Agreement involving extra costs of materials or labor(including any overage on ALLOWANCE work and any changes in the Scope of Work required by Owner,Owner's design professional,Owner ;agent,or governmental plan checkers or field building inspectors)will be treated as Additional Work under this Agree nent resulting in an additional charge to Owner as set forth herein. Contractor and Owner may execute a Change Order fo this Additional Work.The amount of the Additional Work will be reasonably determined by the Contractor. above cati for the sum of VYe labor Tete in accordance with arta Propose hereby to Tarnish materialsand -comp specifi Two Hmidred Fifty Five Thousand Two Hundred Nmeteen dollars($255,219.00). Payments to be made as follows:5%down,30%Q starL 30%C4 water tiR&frame 300AQ&ywall. %upon completion All mataiatis gaffiantwd to be as spec&d.Ali wodcto be oomplded in warkaunlilm mamaaccor ft to sta�rd per.Airy shunfim or deviation from above speof'natimns involving exba cods will be eceaded a*Wm writtm ardor,wd will become an ache c acge ova and above fire estmzate.All agteanaft contmgod upar sft&as aatidons or delays bryaad am'conbaL Ownato cavy fere,tmado and otha racy msmamx. Our wow are fully covered byworlavues Compoaatian bsumstce. This proposal may be withdrawn by us if n a t wi 21 days Authorized Si Acceptance of Proposal- , The above prices,specifications and conditions are satisfactory Sigristtu� and are hereby accepted.You ate authonaed to do the wane as specified. Payment will be made as outlined above_ Signature Date of Acceptance r ' isw This' lWIsnot beu!4. te Certified Ins ect on Plan A MICHAEL for the establishment of p, property lines,erection ,. �/ MARTORELLA of fences,landscaping. S C • ET TOWN NO. 36863 DAVID E. ROSS ASSOCIATES,_INC. 111 FITCHBURG ROAD-P.O. BOX 368-AYER9 MA 01432 (978)772-6232 : 368-1065 448-3916 FAX: 772-6258 AURMYOR DATE: E��XPi 0 CERTIFY THAT THE EXISTING HOUSE IS LOCATED ON THE ,OT AS SHOWN. FURTHER CERTIFY THAT THE PROPOSED ADDITION,IF ,OCATED AS SHOWN,WILL CONFORM WITH THE FRONT, 1 ;IDE AND REAR YARD SETBACK REQUIREMENTS OF THE 1 TONING BYLAWS OF THE TOWN IN EFFECT AT THIS TIME. FURTHER CERTIFY THAT THE PROPOSED ADDITION IS ,OCATED WITHIN FLOOD ZONE"C"PER FLOOD INSURANCE LATE MAP(FIRM)FOR THE TOWN OF NORTH ANDOVER, 'OMMUNITY PANEL NO.250098 0006 C DATED JUNE 2,1983. PLAN N ZEFERENCES: 06/13/2007 05:57 9787726258 ROSS ASSUGlATE F'AUL bZ Cerfie ed Ins pection Fla MICHAEL0. "r» 8 MARTORELIA + STREE TOWN t NO. 80863 Dpi ROSS ASSOQATESil.. 111 FITCE[BuRG ROAD-P.O.BOX 368-AY)EX MA 01432 (978)772-6732- 368-1065 448-3916 FAX: 772-6258 DATE: f \ i \ C+ \ �b♦` `% _ ` Its CERTU Y THAT THE.EXIS77NG DOUSE IS LOCATED ON THE ,OT AS SHOWN. FURTHER CERTIFY THAT THE PROPOSED ADDITION,IF \ .00ATED AS SHOWN,WILL CONFORM WITH THE FRONT, ` WE AND REAR YARD SETBACK REQUIREMENTS OF TDE TONING BYLAWS OF THE TOWN IN EFFECT AT THIS TIME. FURTHER CERTIFY THAT THE PROPOSED ADDITION LS .00ATED WITHIN FLOOD 7.0NE"C PER FLOOD INSURANCE ' :ATE MAP(FIRM)FOR THE TOWN OF NORTH ANDOVER, :OMMUNITY PANEL NO.250098 0006 C DATED,TUNE 2,[983. V ,76 4L ov3t7l/LVv$ Tnv i0: IL r*L% rio 071 70rr •iinuuycpu nu-Ll vi-a wvv.ivv. BoiSE'. Double 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beam1F1301 BC CALL&9.2 Design Report-US 3 spans No cantilevers 10112 slope Thursday, May 31,2007 16:03 Build 141 File Name: BC CALC Project Job Name: BICKLEY RESIDENCE Description:2ND DECK BEAM AGAINST EXISTING HOUSE Address: 15 WOODBERRY LANE Specifier: City,State,Zip: N.ANDOVER, Designer: Customer: CAMARA CARPENTRY Company: Code reports: ESR-1040 Misc: 1 • 09-00-00 —�—— –----- _1006-00 • 09-06-00 - A B0.1-3/4" 81,3-1/2" B2.3-1f2" B3, 1-3/4" LL 3,593 lbs LL 9937 lbs LL 9937 lbs LL 3593 lbs DL 1508 lbs DL 4682 lbs DL 4682 lbs DL 1568 lbs Total of Horizontal Design Spans=29.06.00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area Left 00-00-00 29-065-00 40 psf 10 psf 06-06-00 2 Unf.Lin. Left 00-00-00 29-06-00 120 plf 72 plf n/a 3 Unf.Lin. Left 00-00-00 29-06-00 455 plf 275 plf n/a Controls Summa!y Value %Allowable Duration Load Case Span Location Disclosure Pos,Moment 10580 ft-lbs 49.7% 100% 14 1-Internal Completeness and accuracy of input must Neg. Moment -13817 ft-lbs 64.9% 100% 18 1 -Right be verified by anyone who would rely on End Shear 3823 lbs 48.4% 100% 14 1 -Left output as evidence of suitability for Cont.Shear 6004 lbs 76.0% 100% 18 1 -Right particular application,Output here based Total Load Defl. L/715(0.159") 33.6% 14 1 on building code-accepted design Live Load Dell. L/941 0.121" properties and analysis methods. ( ) 38.3% 14 1 Installation of BOISE engineered wood Total Neg. Defl. -0.071" 14.2% 14 2 products must be in accordance with Max Defl. 0.159" 15.9% 14 1 current Installation Guide and applidablo Span/Depth 10.6 n/a 2 building codes.To obtain Installation Guide+ or ask questions,please call Notes (800)232-0788 before installation. Design meets Code minimum(1-1240)Total load deflection criteria. BC CALCO,BC FRAMERe.AJ57m, Design meets Code minimum(U360)Live load deflection criteria. ALLJOISTO,BC RIM BOARD'"'.BCIO. Design meets arbitrary(1")Maximum load deflection criteria. BOISE GLULAIN"" SIMPLE FRAMING Minimum bearing length for BO is 2". SYSTEMS,VERSA-LAM©,VERSA-RIM PLUSH,VERSA-RIMQ�. Minimum bearing length for B1 is 5-518". VERSA-STRAND'"",VERSA-STUD®aro Minimum bearing length for B2 is 5-5/B". trademarks of Boise Wood Products, Minimum bearing length for 63 is 2". L.L.C. Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ 1/2 intermediate bearing Connection Diagram b d a i c I a minimurn=2" c= 7-7/8" b minimum=2-1/2"d=24" Momber has no side loads. Conneciors aro: 1/2 in.Staggered Through Boll Page 1 of 1 yi V7/71/Lvvf Inv IQ: 11 rmA y/0 07/ 70460 niinu+iyLV&A nu11401• wjvvj/vv% A BOISE, Double 1-3/4" x 11-7/8" VERSA-LAM@ 2.0 3100 SP Floor Beam1FB01 BC CALCO 9.2 Design Report-US 1 span No cantilevers 0112 slope Thursday, May 31,2007 15:54 Build 141 File Name: BC CALC Project Job Name: BICKLEY RESIDENCE Description: BEAM IN 2ND DECK Address: 15 WOODBERRY LANE Specifier: City, State,Zip: N.ANDOVER, Designer: Customer: CAMARA CARPENTRY Company: Code reports: ESR-1040 Misc: ', Y . n 1 •F •l R A G a 7 — — — y a �r • 'p L 9 9 P Y' 11-00-00 60.3-1/2" B1,3-1/2" LL 5115 lbs LL 5115 lbs DL 2127 ft DL 2127 lbs Total Horizontal Product Length=11-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% T►ib. 1 Standard Load Unf.Area Left 00.00.00 11-00-00 40 psf 10 psf 14-06-00 2 3 Unf. Lin. Left 00-00-00 11-00-00 350 plf 230 plf n/a Controls Summary value %Allowable Duration Load Case Span Location Disclosure Pos.Moment 18290 ft-lbs 86.0% 100% 1 1 -Internal Completeness and accuracy or input must End Shear 5555 lbs 70.3% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. L/338(0.375") 71.1% 1 1 output as evidence of suitability for Live Load Dell. L/478(0.265") 75.3% 1 1 particular application.Output here based r o on building code-accepted design Max Defl. 0.375" 37.5/0 1 1 properties and analysis methods. Span/Depth 10.7 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-112"x 3-1/2" 7242 lbs n/a 78.8% Unspecified (8ecified (8 ask questions,please call 00)232-0788 before installation, 51 Post 3-112•'x 3-1/2" 7242 lbs n/a 78.8% Unspecified SC CALCO,BC FRAMEROD,AJS'm, Cautions ALLJOIST0,BC RIM BOARD'"",506. BOISE GLULAM)- SIMPLE FRAMING Column at Bearing BO analyzed for bearing only column analysis has not been performed. SYSTEMS.VERSA-IAMV,VERSA-RIM Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. PLUS@,VERSA-RIMA, VERSA-STRAND'".VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum(0240)Total load deflection criteria, L.L.C. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1'•)Maximum load deflection criteria. Connection Diagram b~ ~ d a C a minimum=2" c=7-7/8" b minimum=2-1/2"d=24" Member has no side loads. Connectors are: 1/2 in.Staggered Through Bolt Page 1 of 1 6 V3/t3+?zvvi 'inu La: iL r'HA Y10 071 70064A wiinunycpn nuilPO O %WvVciVV% BOISE- Single 14" BCI@ 90s-2.0 SP Joist1J01 13C CALC®9.2 Design Report-US 1 span I No cantilevers 0/12 slope Thursday, May 31, 2007 15:47 Build 141 16"OCS Repetitive Glued&nailed construction File Name: BC CALC Project Job Name: BICKLEY RESIDENCE Description: 2ND FLOOR JOISTS Address: 15 WOODBERRY LANE Specifier: City,State,Zip, N.ANDOVER, Designer: Customer: CAMARA CARPENTRY Company: Code reports: ESR-1336 Misc: I • 2D•00•00 •-- B0,2-1/2" 81,2-1/2" LL 533 lbs LL 533 lbs OL 133 lbs OL 133 lbs Total Horizontal Product Length=20-00.00 Load Summary Live Dead Snow Wind Roof Live Tag Oescriettion Load Type Ref, Start End 100% 90% 1150/• 133% 125% OCS 1 Standard Load Unf,Area Left 00-00-00 20-00-00 40 psf 10 psf 16" Controls Summary value %Allowable Duration Load Case Span Location Disclosure Pos.Moment 3244 ft-lbs 28.5% 100% 1 1 -internal Completeness and accuracy of input must End Reaction 653 lbs 45.0% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl.. L/964(0.246") 24.9% 1 1 output as evidence of suitability for Live Load Defl. U1205(0.196") 39.8% 1 1 particular application.Output here based Max Defl. 0.246" 24.6% 1 1 on building code-accepted design Span I Depth 16.9 6% 1 properties and analysis methods. p Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x M Value Support Member Material building erodes.To obtain Installation Guide BO Wall/Plate 2-1/2"x 3-1/2" 667 lbs n/a n/a Unspecified or(800)232-07B8 nbeforese call 800 232-0788 before installation, 61 II - - } Wall/Plate(Plate 2 1!2' x 3 1/2 667 lbs n/a n/a Unspecified BC CALCO,BC FRAMER(b,AJS-. Notes ALLJOISTO,8C RIM BOARD TM".SCIV, Design meets Code minimum L/240 Total load deflection criteria. BOISE M@,VESAMTm.SIMPLE FRAMING g ( ) SYSTEM4o,VERSA-LAM1r9,VERSA-RIM Design meets User specified(U480)Live load deflection criteria. PLUS@.VERSA-RIMO, Design meets arbitrary(1")Maximum load deflection criteria. VERSA-STRAND'",VERSA-STUDpare Composite El value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise wood Products. L.L.C. I Page 1 of 1 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Bickley Remodel Report Date:05/29/07 Data filename:C:IProgram Files\Check\RES&eddtBiddey Project.rck Energy Code: Massachusetts Energy Code Location: Andover,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 19% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 15 Woodbury Lane Janice and Barry Biddey Carrara Custom Carpentry LLC N.Andover,MA 01845 15 Woodbury lane PO Box 1923 N.Andover,MA 01845 Salem,NH 03079 978-681.5672 603-898-8683 Ceiling 1:Flat Ceiling or Scissor Truss: 600 30.0 0.0 21 Floor 1:All-Wood Joisffr ss:Over Unconditioned Space: 600 30.0 0.0 20 Wall 1:Wood Frame,16"o.c.: 96 19.0 0.0 4 Window 1:Wood Frame:Double Pane with Law-E: 22 0.350 8 Wall 2:Wood Frame,16"o.c.: 72 19.0 0.0 3 Window 2:Wood Frame:Double Pane with Low-E: 22 0.350 8 Wall 3:Wood Frame,16"o.c.: 84 19.0 0.0 3 Door 1:Glass: 39 0.330 13 Wall 4:Wood Frame,16"o.c.: 160 19.0 0.0 8 Window 3:Wood Frame:Double Pane with Low-E: 14 0.350 5 Door 2:Solid: 17 0.350 6 Wall 5:Wood Frame,16"o.c.: 176 16.0 0.0 10 Window 5:Wood Frame:Double Pane with Law-E: 14 0.350 5 Window 6:Wood Frame:Double Pane with Low-E: 14 0.350 5 Wall 6:Wood Frame,16"o.c.: 96 19.0 0.0 4 Window 7:Wood Frame:Double Pane with Low-E: 22 0.350 8 Wall 7:Wood Frame,16"o.c.: 72 19.0 0.0 3 Window 8:Wood Frame:Double Pane with Low-E: 22 0.350 8 Wall 8:Wood Frame,16"o.c.: 84 19.0 0.0 4 Window 9:Wood Frame:Double Pane with Low-E: 14 0.350 5 Wall 9:Wood Frame,16"o.c.: 160 19.0 0.0 8 Window 10:Wood Frame:Double Pane with Low-E: 14 0.350 5 Door 3:Solid: 17 0.350 6 Wall 10:Wood Frame,16"o.c.: 176 19.0 0.0 9 Window 12:Wood Frame:Double Pane with Low-E: 14 0.350 5 Window 13:Wood Frarce:Double Pane with Low-E: 14 0.350 5 Baler 1:Other(Except Gas-Fired Steam):80 AFUE Air Conditioner 1:Electric Central Air.13 SEER Bicidey Remodel Page 1 of 2 Compliance Statement The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Cheddist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load ed in Sections 780CMR 1310 and J4A. �; l C Bruiider ner Company Name Date Project Notes: Architect:Gerard E.Welch,inc 7-11 Hodges Street N.Andover,MA 01845 I V Bickley Remodel Page 2 of 2 The Commonwealth of Massachusetts Department of Industrial Accidents vfjiee of Investigations ' d 600 (Washington Street Boston, MA 02111 QN 5� 3vww.mass.9ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n L Please Print Legibly Name (Business/Organization/Individual): (1(M64 M rc2 1,,C Address: D &4 n a 3 City/State/Zip: 3 G,/&/ /J P 030_ Phone.#: (,o3- 39F-9G93 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with 9 4. ® I am a general contractor and I employees (full and/or pa - ). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'- 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer tliat is providing;porkers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Trnu e ler-5 Cy, Policy#or Self-ins. Lic.M (,K U 6-J 35513 9 9 0`1.0`7 Expiration Date: 3�� Job Site Address: ) S LJOOJIxj�y in(nAL- City/State/Zip:k- /C Sc:,ieV 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 uder e p ins and penalties of perjury that the information provided above is true and correct. Si nature: Date:. J — -p Phone A O — � 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#: 1 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. 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 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia Ua/zaicUUl 10:ua rAA DUJ DUD OZOV rux 1SaUV-tUNkG aALnm 4jVVl DATE IMMIDDWYYY) ACORQ CERTIFICATE OF LIABILITY INSURANCE 05/29/2007 PRODUCER (603)898-6320 FAX (603)898-8269 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Foy Insurance Group - Salem ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 130 Matin St - Suite 103 HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Salem, NH 03079 Terri Truhn INSURERS AFFORDING COVERAGE MAIC III INSURED Camara Custom Carpentry, LLC INSIIRERA: Western World Ins Group 03132 9 Diana Drive INSURER& Travelers Indemnity Co Salem, NH 03079 INSURER C, INSURER V. INSURER E: CO-VERA-QFA _ THE POLICIES OF INSURANCE L13TED 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. INSR 001 TYPE OF INSURAW F POLICY NUMBER POLE EFFECiNE POL El{P N UMTS RE oENERALUABILITY NPPI009140 03/01/2007 03/01/2008 EACH OCCURRENCE ! 11000.00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAW MADE F OCCUR TINED EXP(Any ens Person) s 5.000 A PERSONAL a ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2,000,900 GENA AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 11000.000 POLICY F7 j R LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Eeacdderd) $ ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Pw pwawr) HIRED AUTOS BODILY INJURY NON-OWNED AUT011 (Per ec"nt) $ PROPERTY OAMAGE S (Per amWent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S 9LCES3IUMBRELLA IJABILJT' EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE ! S DEDUCTIBLE S RETENTION ! S WORKERS COMPENSATION AND 6KU973SSB99207 03/24/2007 03/24/2008 X wcsTATu- oTTf EMPLOYERS*LIABILITY E.L.EACH ACCIDENT i 100, B ANY PROPRIETORIPARTNEAE ERICUTTVE OFFICERIMEM IER EXCLUDED? EL DISEASE-EA EMPLOYEd S ZOO K 0.eeeerroe under SPECIAL PROVISIONS Lulaw El DISEASE-POLICY LIMB S 500.0 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE H LDER 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 MAWD TO THE LEFT, Janice dT Barry Bickley BUT FAILURE TO MNL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY 15 Woodbury Lane OF ANY IONO UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, N. Andover, MA 01845 A RES ACORD 25(2001106) OACORD CORPORATION 1986 i i i i� t A , A a ar rarcbi T1� . �, DATP rivl.n/YNI _. e. �. -_. as -E F BIL A 1l I��a�li u�i��,� WA t a AAa v,rvt t" srte�t tltzlrLCvt S ISSUED AS A NIA-ER OF N�UA1BAT ON vrsLr A4i}f OteFRs Stir?RIGHTS LTON THE vBl:TtclL'A'LE QfkC0llfal NtRliprc 9rta 0-1%r. LfQLL0t IIISCr:t IFICA"i`EDOESNOTVAVD,EXTSNL)OR j ,, xe_� a?a e ar V-21,v'h*o:1 A"vertue,3313:0 7`DO �ALTEI','1TL,P Mv*ACrz AFFORDED BY Tk4E POLICICS DI#Ld4i', I Deaver,CO 80237 ! Nis Tonal 11n;v., rim r 5 3 READ - o . I k :PFP f.t rM3_' K;'� r_e A FOR rak3.}` + s T A NG f NY t E Rn;t i r TER-PA€a R CON T 1ON OF ANY O:'4RACT GR QI HRR VAX V-;!NT tuFTH RL'SPE s To W1141CH Tlall99 ! 3 [tics--Ta ,:t L,�_•�E.1.,t,.F.Y¢��e�Lf 1-M INSURANCE APPue=,090 aY i r,F FOLriCIES tiAfiOP&FD- HE[EjF4IS SiifIIELT:`O fiLi .Y:E.FRMS, i EXI LUSIONS AICD CON SIIONS OF SUCH POLICIES•LIMITS SHOWN MAY HAVE BEEN REDOCBI3 BY PAIL)C-LAIMS. j {,o' TYI}E¢ IPS$;{NAS; :POLICY EFFPCSLV£ 1 ucy EXriLiL4ritkY i—� € I.T x Ce # POLICY rd{UtdirsER 1 }bk'fE(mM1A13:YY) flg2`£{trfAYAp,•1+YK j K _CENERAL ENHILITY 5756:268 - i07/01/2006 tGhNERAL AGGKPIiATB s Q7!(?IJ2407 ! 500000.00 A i :i�COh9hiERC)AL GENL-RRl.LIABILITY = ^'^• --i i - PRODU(Ifs-CtiamplopAGES .ao 1{i ti _iCLAIh1S MADE �x I dccuR � ��Q ,� - ,1iCwnittS t€ # PERSONAL&ADV INJUAY� � 1000000.00t'Oh1'f2ACTa}kSs 0T I EAcI:iXcufuk&or. 0.B T��•� 150000N}.Ua- --- 1FIRE D.iMACIS(Any anofiMl i 100O(100M t ! ti tPd+80M�(AayCDC Pef9on) •A€I•c�ii�ivillKL; LIAT32LII'Y i I I { Cf?•MBINED SINGLE LIMIT ANY AUTO i•s••..• t # 1 � i M jj�AL.LOWNED AUTOS 3 BODILY INDURY € 1.. iSC:aELVLiDAUTOS !14MED AUTOS 1 IIdDLLY INaUJRY 4 j({'cr Accident) tW_WiNON-06'1NEIx AUTOS • j"---t•t� PROPFRT'V DAMAGE j •'•I _GARAGE LIABILITY � -- � AUTO ONLY-EA ACCIDENT i ANY AUTO O71-HEA THAN AUTO ONLY, FALi-i ACCIDENT AGGREGATE 1 I ,_ XCESS LIABII i t Y J I owcvr.Ratic� [[ LIMBRELLA FOR,YI GRA;Alli 1 IUTHERTHAN UPrfI RFULA f(JMI WORKER'S cunnPeNSATac AND 973096(1 07/01/2006 07/01/2007 `LWItCt,LTSRfGGRYIL;f. i EMPLOYCR'SLIABILITY 1 r---- 0000 00 � t _ t I EL EACH AcctaelaT i _ 1fIQQQ_QQ,�sQ THE PROPIZ(FT0111 LNCL ! I PARTNERS/EXFCUrIVf EL DISEASE-POLICY LIMIT I11QQQ00,00 —,--_1tt CXCI. i PLDIS}�SE-EA L'MFLC?YE I660000,0Q 1 '.f)I'41L3T NOT APPLICAKE i � r # t ULSCRIPTION OF OPERATIO�S I LOCATIONS/ VEHICLES/SPECIAL ITEMS: THE ABOVE COVERAGES P.PPLY TO LABOR READY TEMPORARY EMPLOYEES DISP kTCeED TO � WORK ON BEHALF OF THE CERT1ACATE HOLDER 1 CERTIFICATE HOLDER CANCELLA SOBS SHOULD A OF THE ABOVE DESCAI6£D POLICIES BE CAa1C81.LSD BEFORE T14E CAMARA CUSTOM CARPENTRY LLC EICPIRATIO DAxs'fHERBOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL PO BOX 1923 30 DAYS N=CB TO TtaiE CSRTIpjCATE HOLI)sR NAMED TO THE I.O3•-f. SALI?1V1 NH 03079-1145 BLffFAILU TOMAILSUCH NOTICE SHALL IMFOSENOOBLIGATION OFLIAB1LrrY OF ANY K UPON THC COMPANY,rfS AGENTS OR RFORESCNTATIVES' MMERTATIVC ACORD CORPORATION 1988 ACORD 25$W95) _- .__ --.. 'aTH� 4f.RRiR98L6 I1=ZZ L00Z/Z0/50 I - i - - - . I '-I-- > L: w . a�r : CERTIFICATE NumLz X. n1nA024h nr, I l'rtL VULCi4 I iE5{3 LCtCIIf IL it{v fJJtf E<1 A3 ih P.�AS ILII 11i ffYFtir7iAIS�i1V tJiiLY li:d3 L'JIRFCI:3 ' f I WtAt{JI-t USA INC. f mu riiwfSlSUYf.iN ifii<[4t'KIiP'tE:AiL tfULUtK[]i t[E1�i?SiJV-1 HOSC YfLL31(ILiEU iIV THE f i UNE S 1 ATE E S I REE 1 I POIJCY.THIS gERTiFIGATE DOES NOT AMEND.EXTEND OR ALTER THE COVERAGE I HARTFORD,:;T 06103 AFFORDED BY THE POLICIES DESCRIBED HEREIN. j i..gsecss__:a __ - o-�p::c:�r-•!!4___F'. �v t ! LCFiaif'K3G8�3 FiI'F•i734.8JF5 ii.T-viJ 4'F=ZRiiSC I _-- ofa-ti i i-t37 i i A ULD IR' PUBLIC:INSURANCE 001 1PA lY I 1 COMPANY' ! ! iBUILDER SER-VI;CFS P_R_`IO: - IA . z hcr9:l I=Pcz pnnnr-n-ni���t IAI r: 1 CltllA r AP r'i'lP nR. TlnAi ilia/A 011A iTv -_:------ •�• -.-• -•. N il;!ri it �STt!`q° - _.. I ^e.•i.. _I I I .V�iJi iV.—1, iYi: 41JvL'v3^tJ\li I _vi,:,-r�i�i I i r �rt^ THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO Tf E INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEF MS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR OMITS OATE(MMIDDIYY) DATE(MMIDD1YYj GENERAL LIABILITY I GENERA!AGGREGATE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY MWZY55525 { 06/30/06 06/30/07 PRODUCTS-COMP/OP AGG $ 10,000,000 CLAIMS MADE F OCCUR PERSONAL&ADV INJURY $ 2,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000 i FIRE DAMAGE(Any one fire) $ 2,000,000 MED EXP(Any one non) $ 25,000 AUTOMOBILE UABIUTY A X ANY AUTO MWTB18398 06/30/06 06/30/07 COMBINED SINGLE LIMIT $ 5,000,000 i ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTpS { i HIRED AUTOS I, i BODILY INJURY I i I NON-OWNED AUTOS I j(Per accident) " PROPER Y DiivlAvE 1$ I I GARAGE LIABILITY I 1 AU T O ONLY-EA ACCIDENT I$ I �I ANY AUTO I OTHER THAN AUTO ONLY EACH ACCIDENT $ !i rr• cry rc I.� CoA EXCESS LIABILITY E 3 EACH OCCURRENCE i$ I !UMBRELLA FORM � ! ! �$ OTHER THAN UMBRELLA FORM i I$ woRl¢Rs COMPENSATION AND TCZJUB 1220025-8-06 AOS I WC sTATU- O H B i (AOS) 106/30/06 06/30!07 X I TORY OMITS I�ER EMPLOYERS'LIABILITY I ITRJUB 122D026-A-06 106/30/06 06/30/07 I EL EACH ACCIDENT $ 1,000 000 THE PROPRIETOR/ X INCL (AZ,HI,MA,OR,WI) 06130/06 06/30/07 EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTWE- OFFICERS ARE: IXCL �- TC2HUB 121 D127� _ ) �DISEASE� 6 N 06/30/06 06/30/07 6 EMPLOYEE $ 1,000,000 OTHER B EXCESS WORKER'S TWXJUB 122DO27-1-06(CA,CT, 06/30/06 06/30/07 STATUTORY LIMITS COMPENSATION DE,FL,MI,NV,NC,OH,OK,SD,TN 06/30/06 06/30/07 RETENTION:$2,000,000. &WA) 06/30/06 06/30/07 DESCRIPTION OF OPERATIONSILOCATIONSMEHICLESISPECIAL ITEMS CERTIFICATE HOLDER(S)IS/ARE NAMED AS ADDITIONAL INSUREDS AS REQUIRED E Y WRITTEN CONTRACT. GERTlFICATE#iOLDER ::;:a...;GANC ._ QN .... ..... . .. ........ .. SHOULD ANY OF E POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFF)RDING COVERAGE WILL ENDEAVOR TO MAIL 'tQ DAYS WRITTEN NOTICE TO THE CAMARA CUSTOM CARPENTRY CERTIFICATE HOLD ER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL NIPOSE NO OBLIGATION OR P.O.Box 1923 SALEM,NH 03079-1145 LIABILITYOF ANY D UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES.OR THE ISSUER OF THIS FICATE MARSH USA INC. BY: Donald R Eckberg :>:::«::::<::::_:;:::;::::;;<:»»::><:::<:::::»>:::>:><:»_::::<::>;:<::::;<;;:>.;:>:;»:::::::::>:::::::::>::;<>>:= ::><::«:;:»:::: :«:»:::<:;:>><: :::>::::: ,:.;- >_»_::: <:<::<<>::<<:_z>::>::::<..........::<::._.......... /15/06 - OFB6 _....._...... ._.........__....-_..:,._._::::.._:::;::.>::::::::.-:::::::::._:::::::----::._::::.-.: »;:-;;:.;>;;:.:;>;:- ::; :.;;>;;:;_;>:;.;;; :;.:»:;:r:»s:»:::: : VALID AS .:......:::._:. -.:-::: .: .:: :.:_:.:::_..: t A �z_- cr=r44% x OATF(MM/DDfYYYY) �Vy/tM.Jru l _�!'C 6 11�IIYl.I !! 11- I If I I al-t11 I I Y !!ll f *1PQIV1 76- I ;J1 1%ALV V% 1 -r^.vv�i'.�ii 1 THIS CERTIFICATE II.R m..Rim(1 AR A ruI r—P OF lN1CQRMAT!!1R1 M11V AMIll rnWICCDc (41n plf_Lj-r 1lmn#1 Tl3 f- rG�TerernT I is.s'.riVDCiPi7 tiv i�iJLf!lLV4G Ki,X3`lV t,X 11V C., - - s„as�4 R n r)^ _ 1 _ 1 e i _---- �..v� ••.�� 1 = F. r ...K v.i:.�Fvw:= ne i-viwt�.i ;it lhL;. rve_t_iazi "dcLvier. i NO3{'1'Pt AlN )()VIe W MA 9111$441- 1 - — --- _.___-..--.-.f._ - - u4asd15e cs v4.-c sir ti^ttz= i{�'4t�;r a.. __= e its.=-,+t,: hESfa—P:tr' ._ ��.. —'.•._` -e-- 6.-- t Lt_ sl. ., ct.-_ #. ..ems •.., r�..> :-c:. ,t r '; Rt(,tiirREIMEN ,TERN!vii CO NLi)110N OF ANY C"ONdTP-4i I OR OTHER fl.,sG'UMEN WtT,RESSPEC- O WFUGH THIS CERTIF.CATE MAY BE ISSUED OR MAY PERT AIN, I HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH � POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VSR Dt POLICY EFFECTIVE 0LICYEXPIRATION _TR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MIDDIM DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 R COMMERCIAL GENERAL LIABILITY UAMA :'PREMISES EaocrEU $ 100,000 CLAIMSMADE I xl OCCUR MED EXP(Any one person $ _ � ) 5 000 A PERSONAL&ADVINJURY $ 11000,000 000 CCP8550315 02/04/07 02/04/08 GENERAL AGGREGATE $ 2,000,000 GEN LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ 250,000 B $ HIRED AUTOS BODILY INJURY R NON-OWNEDAUTOS AMN-5551877-07 03/16/07 3/16/08 (Peraccident) $ 500,000 PROPERTY DAMAGE (Peraccident) $ 100,000 GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERSCOMPENSATIONAND TORYLIMTS R 'ER EMPLOYERS LIABILITY E.L.EACH ACCIDENT $ 50Q 000 ANY PROPRIETOR/PARTNE RiD�CUTIVE CfffURWABER`)(£LUDED?- _ _ - -- —_-_ `�llt-C�:5O0.3��.6G12O�1�_ �971.1`O`6 ��3.�./O�T E.L.DISEASE-EAEMPIOYE $ TjQQ (jQY Ifyes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER E BUILDERS RISK BR 65765648 03/01/07 3/01/08 BD:$160,000 DED:$1,000 )ESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIC NS FAR: 603-898-8272 '.ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF IHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TAMARA CUSTOM CARPENTRY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 9 DIANE DRIVE IMPOSE NO OBL ATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR SALEM, NH 03079 REPRESENTATI S. AUTHORIZED REP RESENTATIVE s Aft 4CORD25(2001108) `�1. c A ORD -'ORPOFWION 1988 1 05f 0312037 11:28 6352464 .HAM TN§MA1 rX TIME' PAGE 01 A.CC)RDCERTIFICATE QF LIABILITY INS RANGE 05/03/20' PRODUCER THIS CERT ICATE IS ISSUED AS A MATTER OF INFORMATION Pelham Insurance Services, Inc. ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. IS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 960 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 122' Bridge Street Pelham NH 03076 INSURERS AFFORDING COVERAGE NAIL# " INSURED INgURER A:Nautilus Thomas Doyle INSURER o:Associated Industries dba Thompson Construction & INSURER C: 8 west St. IN o: Salem NH 03079 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV FOR THE POLICY PERIOD INDICATED.NOTWITHS'fANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E 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. INSR A0, POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF WSURANCE POLICY NUMBER DATE IMMIDen DATE MM/OOM' LIMITS A GENERAL LIABILITY EABH OCCURRENCE 1 1,000,000 X COMMERCIALCENEIIALLIAOIUIY NC 532152 04/15/2007 04/15/2008 PRA MASES RF-TeOrence f 50,000 CLAIMS MADE UCC(:It _ MEO EXP ono Ielson) $ 1,000 PERSONAL AADV INJURY a 1'000'000 GENERALAGGREGAYE $ 2,000,000 CEWLAGGREGATE LINT APPLIES PER: PRODUCTS-COMP/OP AGO S 1,000,000 POLICY JECT LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO (Ea 0WRIent) f ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (P&WWI HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pm avcident) 8 PROPERTY DAMAGE f IPvI aaroenU GARAGE LIABILITY AUTO ONLY•EAACCIDENT S ANY AUTO 1H OTHER THAN EA ACC i AUTO ONLY: AGO I EXCESSIUM89ELLA LIABILITY EACH OCCURRENCE f OCCUR CLAIMS MADE AGGREGATE f . S DEDUCTIBLE S RETENTION S f WORKERS COMPENSATION AND 4WC7012214012006 04/21/2007 04/21/2008 X T �TA„NTU•_ oTH EMPLOYERS LIABILITY ANY PItUPR1ETOR/PARTNERIEkt:CUtIVE E.L EACH ACCIDENT S 100,000 01'1 ICI°WMEMBER EXCLUIJEDI 11 yes.aescrroe unser El DISEASE-EA E—LOPE 2 100,000 SPECIAL PROVISIONS Dela. Fl.DISEASE-POLICY LIMB f 500,000 OTHER OESCRIPnVN OF OPERATION5ILOCATIONSNEHICLESIEXCWyIONS ADDED BY ENDORSEMENTISPECIAL PROVISION Various Construction CERTIFICATE.HOLDER CANCELLATIC N SHOULD ANY O THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE YHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0 DAYS w irrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT Camara Carpentry FAILURE TO DD 5 D SHALL IMPOSE NO OSUGATION OR LIABILITY OF ANY KIND UPON THE 9 Dina Dr INSURER,ITS AGENTS OR REPRESENTATIVES. A NORMEO ROPS ESENTATIVE Salem NH 03079 L xo-� ACORD 25(2001108) (1)ACORD CORPORATION 1988 INS025(oioo).m AMS VMP Mvngoo sawtbna,Ane.M00}327-0%5 Pepe I oI l 5/7/2007 10:31 AM FROM: Risman Bvette Insurance TO: tl (6031 898-8272 PAGE: 002 OF 003 CERTIFICATE OF LIABILITY INSURANCE 05/;7//20 PRODUCE; (979)851-6678 FAX (978)851-0106 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AVLUd1!ml AW1E'gB'4 -Te'%Mr% 853 Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tewksbury, NA 01876 INSURERS AFFORDING COVERAGE NAIC# INSURED Tkachuk Excavating Inc. INSURER& National Grange Mutual Ins Co 14788 8 Box Car Blvd INSURER e: Tewksbury, NA 01876 INSURER C: INSURER D. INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING d'4"IleR'il0�i! i ETm iS1�41�'}( 'E'JISL 'd4ti'E�EA�'I'1�1�'STJE'3l.�T�s�"ani'1(�'h�1��'Tai'1! 'Znrrki'a &Itiy4�''�',f�2rJ3T2Sd1S'T�w"i1(�NvU'�Iti�"�r��r POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR�D TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICYEXPIRATION DATE iMWQDNYI LIMITS GENERAL LIABILITY NP122120 09/09/2006 09/09/2007 EACH OCCURRENCE $ S00 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ SOD,OO CLAIMS MADE Q OCCUR MED EXP(Puny one person) $ 10,00 A PERSONAL&ADV INJURY $ 500 00 GENERAL AGGREGATE $ 1'000,OO GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000, POLICY PJECTRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea acciderd) ALL OWNED AUTOS BODILY INJURY $ SCHEDIREDAUTOS (Pa 1.) HIRED AUTOS BODILY INJURY $ NON-0Vut�D AUTOS (Per ecdderd) PROPERTY DAMAGE $ (Per acdderd) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CACH OCCA.IRRENCE ; OCCUR ❑CLAIMS MADE AGGREGATE $ DCDUCTIDLC $ RETENTION $ $ WORKERS COMPENSATION AND W1122120 09/09/2006 09/09/2007 WCSTATII- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100 00 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,00 If yes,desaibe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S00,00 OTHER I :E DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE OLDE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRfTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Camara Custom carpentry 9 Diana Drive BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUABR.tTY P.O. Box 1923 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Salem, NH 03079 AUTHORIZEIDREPRESENTATIVE t � Shawna Lamarche SHAWNA ACORD 25(200 =) FAX: (603)898-8272 ©ACORD CORPORATION 1988 05/03/2007 17:22 Nikopoulos Insurance s (FAX)9784569170 P. 001/001 ACORD. CERTIFICATE OF LIABILITY 1N U CE 05/03`�r200' PRODUCER Serial# 11()487 THIS A IS ISSUED AS A MATTER OF INFORMATION MKOPOULOS INSURANCE AGENCY,INC. ONLY AND FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.BOX 671 ALTER THE CO GE AFFORDED BY THE POLICIES BELOW. HARVARD,MA 01451 PHONE 978.4SWOO FAX 9784564170 INSURERS AFFOF DING COVERAGE NAICS INSURED INSURER A: MERC�ANTS CARBONE ELECTRIC,INC. msuRER B: CITATION INSURANCE 100 STONEHEDGE PLACE INSuRET C: BOXBOROUGH,MA 01719 INSURER W. INSURER C COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE R THE POLICY-PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RES TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PATE RUAIDDIM MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICES DESCRIBED HEREIN IS SUB.IECTTO THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLANS. IL"i MR TYPEOFINSURANCE POLICYKUM" POLICY�E DA �1 umm GENERALUABILRY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY BOP7939970 7110106 7/10107 PRE ISES Waocomwcol $ 100,000. CLAIMS MADE Q OCCUR MED EXP(Any one petsat) S 5,000 PERSONAL BADV[NAM S 1,000,000 GENERALAGGREGATE S 2,000,000 GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S. 2,000,000 POLICY PRO LOC AUTOMOBILE LIABILITY MMTN5469 09/08/06 6107 COMBINED SINGLE LIMIT B ANY AUTO (Ea accident) S - ALL OWNED AUTOS BODILY INJURY S 500,000 X SCHEDULED AUTOS (PgrP-) X HIRED AUTOS BODILY INJURY S 500,000 X NON-OWNEDAUTOS (ParacWwl) (Pe►aa�t) GE s 500,000 *GELIABRJTY AUTO ONLY-EA ACCIDENT S AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S. EXCE5SAIMBRIELLAIIABI R[Y EACH OCCURRENCE 3 OCCUR CLAIMS MADE AGGREGATE s ' S DEDUCTIBLE $ RETENTION S - S WORIIER'S COMPENSATIONAND. WCA9092845 7110106 7110107 X To rrs IjA p A EMPLDYEP'LIABuff EL EACH ACCIDENT S 1,000,000 ANY PROPRIETOR(PARTNERUEUECUTIVE 1,000,000 OFFICERUMEMBEREXCLUDED? EL DISEASE-EA EMPLOYEE S Hyes ander EL DISFJlSE-POLICY LIMB s _1,000,000 SPEt:IAL PROVISIONS bebw OTHER DESmPmN OF OPFJtIQION511.00A ATS BY EwORSEMEHTIBPECIAL INiOV�ONS _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THEISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CAMARA CUSTOM CARPENTRY NOTICE TO THE CIA FICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL 9 DIANNA DR IMPOSE HO OBUGA ON OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR SALEM,NH 03079 REPTRFsemrvEs. FAX: 603-898-8272 AUTHDITI� ®ACORD CORPORATION 1988 ACORD 25(2001108) Date:5/72007 11:23 AM Senders Fax ID:603-890-6521 Page 2 oT 2 acoRv_ CERTIFICATE OF LIABILITY INSU NCE OP IDUDR °A'0`/04/0 BOUDR-2 05/04/07 PRODUCER THIS CERTIFI ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C NFERS NO RIGHTS UPON THE CERTIFICATE Santo Insurance - Salem HOLDER.TH CERTIFICATE DOES NOT AMEND,EXTEND OR 224 Main Street ALTER THE VERAGE AFFORDED BY THE POLICIES BELOW. Salem NH 03079 Phone: 603-890-6439 Fax:603-890-0315 INSURERS AFF RDINGCOVERAGE NAIC# INSURED INSURER Wittionwide Companies INSURER B: Southern Insurance Company Boudreau Concrete Construction INSURER C: PO Box 1288 INSURER o: Salem NH 03079 II�E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY pE ZIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE TIFICATE MAY BE ISSUED OR MAY PERTAIN,THE 04SUtANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCI LSJONs AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDONY) I ALAEy(MM DD" LIMITS GENERALLIABILRY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GE110M LIABILITY 51AC1415053001 04/07/07 04/07/08 PREMIsES(Eaoca,nnce) $100,000 CLAIMS MADE X❑OCCUR MED EXP(Arty one person) $5000 PERSONAL&ADV INJl1RY $1,000,000 GENERAL AGGREGATE s2,000,000 GEM AGGREGATE LIMIT APPLIES PER. ! PRODUCTS-COMP/OPAGG $1,000,000 POLICY PR LOC ++ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 ANY ALTO 51BA1415043001 04/07/07 04/07/08 (Ea accident) ALL OWNED AUTOS BODILY IN.II&2Y X SCHEDULED AUTOS i Ip ) $ X HIRED AUTOS BODILY INJURY RX NO"WNEO AUTOS (Per aocidert) $ i I PROPERTY DAMAGE $ (Per accidelt) i GARAGE LIABILITY i AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY I EACH OCCURRENCE $ OCCUR CLAIMS MME j AGGREGATE $ !� $ DEDUCTIBLE I $ RETENTION $ j $ IIAII WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS'LIABILITY SIC000330301 04/07/0 ANY PROPRIETORIPARTNERIEJECUTNE ''1 04/07/08 E.L.EACH ACCIDENT $500000 OFFICER/MEMBERIXCLUDED7 E.L.DISEASE-EA EMPLOYEE $500000 It yes.SPECAescnbeISIO E.L.DISEASE-POLICY LIMIT $500000 SPECIAL PROVISIONS belay OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIO 4S CERTIFICATE HOLDER CANCELLATIO CAMMARA SHOULD ANY OF I 4E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,1 4E ISSUING INSURER WILL ENDEAVOR TO MNL 10 DAYS WRITTEN NOTICE TO THE C RWICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIC kTION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR CAMMARA REMODELING 9 DIANA DRIVE REPRESENTATIVE;. AUTHORIZED SALEM NH 03079 AUTHORIZEDREPR �rarnE James A Santo C4 ACORD CORPORATION 1988 ACORD 25(2001108) ACORD,,, CERTIFICATE OF LIABILITY I SURANCE 01/23/2200 PRODUCER (603)432-6414 FAX (603)432-3852 THIS CERT FICATE IS ISSUED AS A MATTER OF INFORMATION Financial Ins. Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.I HIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 950 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Derry, NH 03038 INSURERS AFFORDING COVERAGE INSURED Christopher Royer INSURER A: Liberty Mutual DBA: Proform Drywall INSURER B: 124 Grand Ave INSURER C: Manchester, NH 03109 INSURER D: INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB VE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R0 PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T D ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTfl/E POLICY EXPIRATION LTR DATE MMIDD DATE(MMfDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADEF-]OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE ML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC JECT 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 $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND C531S323576-027 01/18/2007 01/18/2008 wc"A TORY LIMITS I I ER A EMPLOYERTLIABILITY CS31S323S76-026 01/18/2006 01/18/2007 E.LEACH ACCIDENT $ S00,00t - -- — - —-- -------- --�—---- - - — - - --- --E.t DISEASE=EPcEMPLOYE _$._ —"`SBOTOOC E.LDISEASE-POLICYLIMIT $ SO0,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROMS ONS CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER:_ CANCELLA ION SHOULD At Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CAMARA CUSTOM CARPENTRY ATTN� JOE CAMARA BUT FAILU E TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 9 DIANA DRIVE OF ANY KI D UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. SALEM, NH 03079 UTHOR¢ED REPRESENTATFVE ACORD 2"(7197) FAX: (603)898-8272 ©ACOORPORATION 1981 ,/1!�'�P47707Zf34LCl1Q(lf.(tL 6�✓1��63fLCl2Tlu'6�G - Board of Building Regulations-and Standards HOME IMPROVEMENT CONTRACTOR Reghstration: 130545 Expiration. 3722/2008 Type: :Ltd Liability Corporation CAMARA CUSTOM CARPENTRY JOSEPH CAMARA 9 DIANA DRIVE SALEM,NH 03079 Administrator J I26'�/6?IUilEQOEllIG�QIA,tt 4•�cir/�4'Zu92f'4tll BOARD"OF BUILDINCs REG t1LAT IPNP License: CONSTRUCTION SUPERVISOR ` Number__CS; 078981 Birthdate~09723/1965 Expires:09/23/2008 Tr.no: 2969:0 �JranstruS Restncted JOSEPH M CAMA_RA 9 DIANA DR - o SALEM, NH 03079 ; Commissioner COMPLETE REMODELING SERVICES w".camaracustomcarpentry.com CAMARA lull I 1111111IF--f- , CUSTOM CARPENTRY L.L.C. Ex��ueKce of" p►u&equa@A quAN" MA REG.#130545 FULLY INSURED JOE CAMARA MA LIC.#CS078981 (603)898-8683 NORTH Town of No. Pa ? _ 0o , '� dover, Mass., .//s' 6 0LAKE COC MIC ME WICK V IoRATED PPat�� BOARD OF HEALTH IT ` Food/Kitchen PERMIT T D Septic System y� BUILDING INSPECTOR THIS CERTIFIES THAT....,�.1a �... ...........l1.. . ........................................ Foundation has permission to erect........................................ buildings on . S"G�O�/,, ........ .............N6....................... Rough to be occupied as.........Gl .P[..��%.l.Q./.lyl.........../>..0.0.4-eXple-cl: �.. '.... E TQ/ rr.�..�s�.�....A7:W f' Chimney e h provided that the person accepting this permit shall in every conform to the terms of the application on file in Final 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 ST Rough ' `—�. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.