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Home My WebLink AboutBuilding Permit #891-16 - 160 WEYLAND CIRCLE 2/17/2016 y I � NORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ;o < ,* Permit NO: Date Received Date Issued: -- � �4ss�c►+us ORTANT:Applicant must complete all items on this page LOCATION V Print PROPERTY OWNERSca�A t• 0aJL:X floc k,'na NO Print MAP NO: 5 PARCEL:025;RZONING DISTRICT: Historic District yes dig !Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )<One family ❑Addition ❑Two or more family Fl Industrial ❑Alteration No. of units: ❑ Commercial X Repair, replacement i i Assessory Bldg i I Others: ❑ Demolition ❑Other Septic i Well Floodplain Wetlands Watershed District Water/Sewer aC� 1� 2kS�iny �v►� ws, �/ �� ne►v / k(Jeow lj,�,Ooks v -,vto fie- Identification Please Type or Print Clearly) OWNER: Name: S,01� -lock:v,J Phone: Address: koo ( Jl�lG,rJ C,'rc)c Ah�ov{\- CONTRACTOR Name: Phone: sUe• S3-3- q('35- Address: itis Aila4t Aw-I Sal,s6o V T-A ulg5� Supervisor's Construction License:CS• o Exp. Date: ?ooy3 Home Improvement License: Exp. Date: l sg WWy 4�3�/a-o�� ARCHITECT/ENGINEER Phone: Address: Reg. No. r FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: 0 O0 FEE: $ -ON 16•0-Q Check No.: Receipt No.: tr1 NOTE: Persons contracting with unregistered contractors do not have access to he guaranty fund Signature of Agent/Owner O� Signature of contractor 0 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Sfalmped Plans ❑ TYPE OF SEWERAGE DISPOSAL E Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments In Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: i Located 384 Osgood Street FIRE DEPA r' �_. ,,,..�_ r,r-• �� ,�fRdT�ME(VT,� .�Temp�Du�mps�er�onfsit �; :•y��`: k�no�' '� �L�oca¢ te�d afs124tMain{Street �" , y.� y ■ Kiry* .. .1..�A*..—..r.. Y * l.ar !'.�..-��' it,# y 1k rs • r ttJf1 zFirOJD.ysepar, mtment4§iignatur�e/datex.� �,.� ., , •' , � , ; 4t,j r ~,I J.�. ,Ft .,r �..,;-i. Yk...y r r rq,r •fr r .,,,.f.....—_.,„ r« ....�M� .. -.w:•;� COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, rust or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10o-$1000 fine NOTES and DATA— (For department use) L] Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits 4� Building Permit Application 4. 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ;rE Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products IS OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) Copy of Contract 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location t n_ e, No. 1 — 1 Sri Date 1 . - TOWN OF NORTH ANDOVER 3q Certificate of Occupancy $_ Building/Frame Permit Fee $._4N Q' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building Inspector NORTH Town of Andover O No. 1.- 2 .01 o h ver, Mass, \NOW+ COCHICHlwIC«- Ot• �Acc) RATEO NpP`y�5 BOARD OF HEALTH Food/Kitchen PER LD Septic System THIS CERTIFIES THAT ................... BUILDING INSPECTOR .. has permission to erect .......................... buildings on ...�:�i,... .. .�I ...............�'.r........... Foundation Rough to be occupied as ........... ....... ........................ ............................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI Rough Service .. .... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy BuildinzRough/ Display in a Conspicuous Place on the Premises - Do Not Remove Final— No inalNo Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. JOSCON Management. BUILDING&REMODELING CONTRACTOR MASSACHUSETTS HOME IMPROVEMENTS CONTRACT This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Mr.&Mrs.Hocking Company Name Joscon Management,Inc Street Address(do not use a Post Office Box address) Contractor/Owner Name 160 Weyland Circle Jonathan O'Sullivan Cityffown State Zip Code Business Address(must include a street address) North Andover,MA 01846 185 Atlantic Avenue Daytime Phone Evening Phone City/Town State Zip Code Salisbury,MA 01952 Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number 603-489-1568 61-1403121 Home Improvement Contractor Reg.Number 159444 Expiration date 4-30-2016 The Contractor agrees to do the following work for the Homeowner: Remove and replace the existing 12 window units and replace with new Anderson Tilt Wash new construction windows. The new windows will be similar to the existing Anderson window replaced this past January. Window units to be painted on the interior. Interior trim and exterior will need painting. ,Garage window(2): • Remove and replace the existing window units. Install(2)Anderson double hung windows unit. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. Field measurements needed prior to ordering to confirm sizing. . • Work to include int/ext trim,permit,window unit and misc.siding repair as needed around the window. Windows sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot/damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the garage window units @$2,235.00 / Dining and Living Room(2): • Remove and replace the existing windows units. Install(2)double mulled Anderson double hung windows unit similar to the existing. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc.siding repair as needed around the window. • Window sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening, Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the dining and living room window units @$4,125.00 First Bathroom window(1)&Master bedroom(1): • Remove and replace the existing window unit. Install(2)Anderson double hung window unit. Window to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc.siding repair as needed around the window. • Window sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the bathroom window unit @$2.125.00 Office Windows(4): • Remove and replace the existing window units. Install(3)Anderson double hung windows unit and(1)Anderson awning unit. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int I ext trim,permit,window unit and misc.siding repair as needed around the window. • Windows sizing has been figured on Anderson standard stock sizing. Swing may be slightly smaller than the existing unit due to a different manufacturer. • Rot may be exposed beyond the window opening. Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. • Disposal of all construction related debris. Total for the office window units @$4,075.00 Kids Windows(2): • Remove and replace the existing window units. Install(2)Double mulled Anderson double hung windows unit. Windows to be White clad on the exterior,high performance,Tilt wash series,low E glass with a full screen. Grilles between the glass. • Field measurements needed prior to ordering to confirm sizing. . • Work to include int 1 ext trim,permit,window unit and misc.siding repair as needed around the window. Windows sizing has been figured on Anderson standard stock sizing. Sizing may be slightly smaller than the existing unit due to a different manufacturer. Rot may be exposed beyond the window opening. Rot I damaged wood at the sills,header and outside of the window opening will be considered additional work billed on a Time and Materials basis. TBD once the opening has been exposed. • Painting by others. Disposal of all construction related debris. Total for the kids window units @$3.985.00 Window project total @$16,645.00 Rot Repair Work: Front left side water table board and detail trim at the start of the siding below the awning window. Replace approx 8'of the 1x10 and 1x3 boards. Install PVC trim. Left side comer board: Remove approx 2'of the comer board on both sides from the foundation up. Install new PVC trim. Left side water table and top detail trim: Remove the side trim and replace with PVC trim. The trim boards will be cut around the existing pipes. Front awning window siding replacement:Remove the siding approx 3'down from the window sill and approx 8'wide. Replace the plywood,flash and install new cedar clapboard siding. AIC side: Remove and replace approx 10'of the water table and detail trim piece along the AIC unit and the garage bumpout. Install PVC trim. The trim boards will be cut to fit around the pipes and electrical connections as needed. Electrical work by others. Total for the rot repairs @$1,475.00 Total for the above scope of work including the Allowance amounts: $18,020.00 Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following And will be secured by the contractor as the homeowner's agent: Building permit schedule will be adhered to unless circumstances beyond the contractor's control arise. (Owners who secure their own permits will be a./i/1 excluded from the Guaranty fund provisions of 4-&-T— Date when contractor will begin contracted work. MGL chapter 142A.) a t (o Date when contracted work will be substantially completed. Actual start and completion date to be confirmed once we Anderson confirms the date on the manufacturing. Weather may adjust the schedule completion date. Total Contract Price and Payment Schedule I S,oa.r, 00 The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of:U47) Payments will be made according to the following schedule: $5,406.00 30%Upon the signing of the contract and the start of the project $5,406.00 30%Upon the of the start of the project. $5,406.00 30%Upon Windows installed and the start of trim. $1,802.00 10%upon substantial completion of the contract not including the shower glass door install. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $0 to be paid for NIA ordered before the contracted work begins in order to meet the completion schedule. (**)$0 to be paid for NIA) NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty•Is an express warranty being provided by the contractor? ONo 0 Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions I something is unclear. Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement I it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement.See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE 6RE ANY BLANK SPACES Two identical copies of the contract mpleted and signed.One cogot the ehhomeowner.The other copy should be kept by the contractor. Homeowner's 5 ure V Arontractoes Signature IZ211 L Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required mit to such arbitration as prov' ed In Massachusetts General Laws,chapter 142A. Horn signature ntractoes Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowners rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not property registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights I the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights.If you have questions about your consumedhomeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or 9 you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement"contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-913.8781,89283-3757 or visit the OCABR website at http:/Iwww.mass.gov/ocabrl If you want to verify the registration of a contractor or 9 you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at http:tlwww.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration:http://db.state.ma.us/homeimprovemenVlicenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-7343114 The Commonwealth of Massachusetts jug Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 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): '=C.)S Cc C v\O-�C i`t i— Address: Prcv.deKrC City/State/Zip: A qtr=c w4( C3 t ,( Phone#: GG - y�A- 15- C it Are you an employer?Check the appropriate boa: Type of project(required): 1.dI am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in $, .Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole ME]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.Q Roof repairs 'These sub-contractors have employees and have workers'comp.insurance.t 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. I Iain an employer that is providing ivorlcers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ir 6C Policy#or Self-ins.Lie.#: &I G 13 Expiration Date: I V511 L Job Site Address: 1�G L"/-e 1,16'd e 4,rc 1( City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showin 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 certify un#er the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: C) 6,3 r 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Jan. 01.2U12 1L:uu AM EiavanLayG 1jinU-L CERTIFICATE OF LIABILITY INSURANCEDATE(MMWWYYYY) k02/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONPERS 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 MOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT, If s c holder an ADDITIONAL INSURED, the Pc icy les must en orae , I SUBROGATION IS WAIVED, Buhject to the terms and Conditions of the policy, certain policies may require an endotsemsnt. A statement an this ceKtficaW does not confor rights to the certificate holder In lieu of such endorsement(s), PRODUCER NAME RUL DEVIN ADVANTAGE INS. AGENCY INC. .0'TONE 978-681-1055978-T94-4633 AIC N9 Ext: _._.... ....-- 'N.). E. 1$4 PLEASANT VALLEY STREET AML .,._.. MBTIi►M, MA 01844INBURER(8)AFFORDMIDCOVERAGE NAICrt . --.._.... - ..__.._......._.. ._....._............._....... . - INSURERA:ARSELLA PROTECTION INS. CO. IN8URED INBURERB: LTOSCON MANAGEMENT INC, IN6VRCR c I _ 72 PROVIDENCE HILL ROAD INSURERD: A`XINSON N K 03811 INBUREREf _----._.._..... INWRCR r; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS I$ 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 'r0 WJICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRISED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS QF SUCH POLICIES,LIMITS SHOV44 MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1110 . .... _ ,.—_. —..._... ,. _ LTR TYPE OF INSURANCE INSR VWVD POLICY NUMBER tMMIODl" (MMMIDA M) UwT$ ORMERALLIAIMUTY 8500055690 05/30/20 05/30/2016 EACH OCCURRENCE S 1,000,000 DAMAGE'T(TRENT OOMMERCJAL GENERAL LIABILITY PREMMPAS(Ea deeuaen.a) S 100,000 CUUMB-MADE ®OCCUR MED EXP(Any 4)159 peftOA) $ 5,000 PERSONAL&ADV INJURY $ 1'000,000 GENERAL AGGREGATE S 2,000,00() GEN'LAGGREGAYELIM(YAPPUESPEW PRODUCYS-CCMFMPAne $ 2,000,000 POLICY JmT LDC $ AUtOMOSILE UAIHUTY eaid.nt s ANYAUTO BODILY INJURY(FMpt n) $ ALL OWNED SCHEDULED BODILY INJURY ... .. .._..._-- , AUTOS AU'fOs DOOILY INJURY{Par tmld.nt) NONX."[D A)aA.k�E ItIREOAUTOs AUTOS (Pere...:......- S - UMBRELLA UAB nGCUR EACH OCCURRENCE $ EXCE98 LUB CLAIM$-MADE AuGREGA'rE S _ DED RETENTI(XJ S A WORNERBCOMPEHBAYION 9121461013 10/05/201510/05/2016 - gim ER_ TORYLIMR$ _x , AND EMPLOYflRS'LIAt#ILtTT YIN --- ---------- ANY PROPRIETORIPARTFERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 -- OFFICERNEMBER EXCUJDE07 I Y 1 N I A IMendetory In NH) U E.L.DISEASE-EA EMALOYEE $ 1.000.000 DESCRIPTION OF OPERATIONS 13.1_DISEMO-FOUCY LIMIT S 1,000,000 DESCRIPTIONOF4PERATION�6.I.w OIERMPTIPN Of OPWTW0I LOCATIONS I VEHII:LEe tAtWA ACORD 101.Addltronel Ramtrk4 Bcnt&III,Irm.m spam It ngulred) SUILD=0 FA RM ODELING CONTRACTOR SCOTT HOCKING 1.60 1'i'EYLAND CIRCLE NORTH ANDOVER MA 01845 CERTIFICATE HOLDER CANCELLATION Tow OF,visit ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIJSi BEFORE BUILDING DEPARTMENT TNF EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 OSGOOD STREET ACCORDANCE WITH THE POLICY PROVISIONS, I BUILDING 20, SUITE 2035 AUTHORIZED REPREBENTATNE NORTH ANDOVER MA 01845 ®1988.2010 ACORD CORPORATION, All rights retterved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I f ��e�tarrrurrrrractr�/�tf C'`h�n.:iar�itr�/C. t free of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR. istration: 459444 Type: x0ration: 4/30=16 Private Corporafo t JOSCON MANAGEMENT INC. i JONATHAN O'SULLIVAN 72 PROVIDENCE HILL RD_ /1 �, ATKINSON,NH 03811 Undersecretary Massachusetts Department of Public Safety €; utataorts and Standards Board of Building Conitruction Superni+nr License: CS47 ti0043r JONATHAN OSWIAI�AN 185 Atlantic Ave#J Salisbury MA 01952 Expiraticin q- 08 Commissioner