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HomeMy WebLinkAboutBuilding Permit #192-14 - 174 COTUIT STREET 8/30/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit.N0: I Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page 'PR©P,ERTtYfow, I � ' T ti' Pnnt Y 100 Ye' ®Id `f } yes �S cure o� Z©,NINGID � ' ►� � - Hlstor ci ®Istrlct MAP, NO, PARCEL ,9 +ISTF2ICT� . yes no Macfiine?Sillage) rio) TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential ❑ New Building x1one family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ,'Septic D�1Nell; ❑1Floodplain� ��Wetlands �,UVatershediDistrlct I v,VVatws-,o er,. i DESCRIPTION OF WORK TO BE PERFORMED: Identification Ple se Tpe or Print Clearly) OWNER: Name: (� ,. \ © �. ��� Phone: Address: n -CONTRAC}TO.R,, Name--,,Z7 C .�.. •Supervisor,,.,O,, ruetion�Llcerise: -_'LSi: _ J _ Expo Date:. �(- �S �_ 114 Home:Imp�rovement;Lticense ��j � ExpDate�... .'I � .3 3 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 'Total Project Cost: $ FEE: $ x o Check No.: ��g�b� Receipt No.: 9—(DI NOTE: Persons contracting with acnregistered contractors do not have access to the guaranty,fund 9 . . . S�gatu.reof contract rature of°A ent/Owner. : . Plane giihmitfarl n Plane Wnivarl F1 ('ArFifierl Pint Plan i1 C+amnarl Plane Fl Location No. ! Date TOWN.OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#206-3 6 _ Buil ing Inspector Plans Submitted ❑ Plans Waivedf❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OYSEWERA.GEDISPOSAL Public Sewer ❑ Tanning/Massage/BodyArt F.J. Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc, permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY � INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED I PLANNING & DEVELOPMENT ❑ ❑ 1 COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zn,ning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes-.- Planning es ._Planning Board Decision: Comments Conservation Decision: Comments ➢Yater& Sewer Connection/Signature&Date Driveway Permit DPW To-tura! ]Engineer: Signature: Located 384 Osgood Street FIRE ®EPARTIVV'WT -Temp Dumpster on site yes no 1 Located'at-'124 Maim]Street Fire Dear i�ee t signature/elate COMMENTS Dimension umber of Stories: Total square feet of floor area, based on Exterior dimensions. otal land area, sq. ft.: ALECTRICAL: Movement of Dieter location, mast or service drop requires approval of :lectrical Inspector Yes No ANGER ZONE LITERATURE: Yes No GL Chapter 166 Section 21A-F and G min.$100-$1000 fine 40TES and DATA—(For department use B Notified for pickup - Date oc.Building Permit Revised 2010 Building Department The fol owing is a list of the required forms to be filled out for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ - Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L.- Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products TOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Af idavits for Engineered products 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 Q Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ® Engineering Affidavits for Engineered products LITE: 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 aw)) al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording roust be subm:-tted with the building application Doc: Doc.Buildiug permit Revised 2012 � NORTF� Town of Andover 20 No. t ver, Mass - Z d� COC NIC MI'WIC K V ADS^TED /.PP�,�S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System &Ah em, Aife t/ .,.. BUILDING INSPECTOR THIS CERTIFIES THAT ....................................................................has permission to erect .... buildings on ZiA, I Foundation Rough to be occupied as ........... . Q q. ••� ....... .....&"A'o.......�# S...................... Chimney provided that the person accepf g 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 CONSTRUCT STARTSRough .� ............................ Service .............. .... ..... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE RenevWal MA Home Improvement Contractor's byAndet License#170810(Expires 12/23/2013), wrNaow REPLACEMENT m.4nkr.,rnC mnvn. Renewal by Andersen Corporation Federal Tax ID#41-1918413 104 Otis St. Northborough,MA 01532 (508)351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date: CHARLOTTE MELE - JULY 25, 2013 Buyer(s)Street Address,Cfty,State and Zip Code 174 COTUIT ST. NORTH ANDOVER MA 01845 Email Address Home Telephone Number Work/Cell Telephone Number 1 Ctml74@verizon.net 978-685-0828 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance i with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount$ 3,668.00 Amount Financed$ 0.00 Est,Start Date Method of Payment Deposit Received(33%)$ 1,224.00 G Check/Cash 7-10 weeks Balance Start of Job(33%)$ 1,222.00 Front Deposit(50%)$ 0.00 Est.Install Time Credit Card Balance on Substantial Substantial Completion of Job(33%)$ 1,222.00 Completion (50%)$ 0.00 1-2 days If credit is selected,please see Credit Card Payment Form. jBuyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal )understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the I isigned,written consent of both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the Iterms of this Agreement,and has received a completed,signed and dated copy of this Agreement;including the two attached Notices of Cancellation, on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation `` �Buyer(s) n Buyer(s) / IBy: / V dada r6y- �l.yy etiifi n( Signature of Project Manager Signature Signature MITCHELL TORO CHARLOTTE MELE Printed Name of Project Manager Printed Name Printed Name YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE ; DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTCIE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. I --------------------------------------------------------------- NOTICE OF CANCELLATION I NOTICE OF CANCELLATION Date of Transaction 7/25/13 .You may cancel this Date of Transaction 7/25/13 .You may cancel this transaction,without any penalty or obligation,within three I transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any property I business days from the above date.If you cancel,any property i traded in,any payments made by you under the Contract of Sale, I traded in,any payments made by you under the Contract of Sale, land any negotiable instrument executed by you will be returned I and any negotiable instrument executed by you will be returned within 10 days following receipt by the Contractor("Seller") of I within 10 days following receipt by the Contractor("Seller") of i your cancellation notice,and any security interest arising out of 1 your cancellation notice,and any security interest arising out of the the transaction will be canceled. If you cancel,you must make _ I transaction will be canceled. If you cancel,you must make available to the Seller at your residence,in substantially as good � available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to you under I condition as when received,any goods delivered to you under this i this Contract or Sale;or you may,if you wish,comply with the I Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the I instructions of the Seller regarding the return shipment of the f goods at the Seller's expense and risk. If you do make the goods I goods at the Seller's expense and risk. If you do make the goods i available to the Seller and the Seller does not pick them up within I available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may 1 20 days of the date of your Notice of Cancellation,you may retain retain or dispose of the goods without any further obligation. If I or dispose of the goods without any further obligation. If you fail lyou failto make the goods available to the Seller,or if you agree I to make the goods available to the Seller,or if you agree to return I (to return the goods to the Seller and fail to do so,then you remain I the goods to the Seller and fail to do so,then you remain liable for Mable for performance of all obligations under the Contract.To performance of all obligations under the Contract.To cancel this (cancel this transaction,mail or deliver a signed and dated•copy 1 transaction,mail or deliver a signed and dated copy of this i Eof this cancellation notice or any other written notice,or send a 1 cancellation notice or any other written notice,or send a telegram telegram to Contractor: Renewal by Andersen,104 Otis St. I to Contractor. Renewal by Andersen,104 Otis St.Northborough, i Northborouch,MA 01532,BY NOT LATER THAN MIDNIGHT' I MA 01532, BY NOT LATER THAN MIDNIGHT OF 7/28/13,.(Date) 1 HEREBY CANCEL THIS TRANSACTION. I OF 7/28/13 (Date) I HEREBY CANCEL THIS TRANSACTION. I I 1 I Buyer's Signature Print Name-. Date I Buyer's Signature Print Name Date ! 1 ---........._............. ....... _.... . ReilE'Wa� Renewal by Andersen Corporation MA Home Improvement Contractor Andersen. 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2013) 'WINDOW REPLACEMENT `.,Am,:lcru C�c i"m _ (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 j Window Specification Sheet Buyer(s)Name Date of AgTeement CHARLOTTE MELE - IJuly 25,2013 The buyer(s)listed above herebyjoindy and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described I on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,of i which the Specification Sheet is part. WINDOW DETAILS Style Full/ United Exterior Interior Hardware Hardware LowE4/ Grille Grille 'Temper/ Room # Sty], Detail Insert Inches Casings Sills Color Color Color Style Screens Smartsun Grilles Sash 1/3 Sash 2 Lina laminated Living 2 GW Equal Full 90 Full Flat WH WH White Standard FTS SmartSun No No No 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 2 BAY&BOW DETAILS *See Ba /Bow Measure Sheet Style Detail/ United Approx. Number Exterior I InteriorCenter LowE/ Roof/ Hardware RoomF-00u­ qPVrIALTY S le Flankers inch Casin An a L Les Color Color Grilles End sashes sashes Screens Smartsun SoRt Color Full/ United LowE/ ADDITIONAL WORK DETAIL NOTES Room Count Style Insert Inches SmartSun Grilles Grille Style 0 0 0 0 ADDITIONAL WORK DETAILS ( I No Qty of 0 Sills 0 Sill noses to be replaced by Contractor. r 2 No Contractor will remove metal frames of windows. t i 3 No Contractor will install new 0 paint-ready or 0 Stain-ready 0 Interior 0 Exterior casings in 0 Pine 0 Maintenance-free material 4 No Contractor will install new 0 paint-ready or 0 Stain-ready 0 Interior 0 Exterior stops in 0 Pine 0 Maintenance-free material G 5 No Contractor will wrap exterior casings with coil stock of color. 8 Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system/hardware.It is the responsibility of the homeowner to have the alarm system/hardware removed prior to installation. Customer is aware in some cases there be glass loss.If there ias the amount will be dependent on the type of existing windows,type of installation,insert or full frame and Iwindow style.We make no guarantee as to the amount of glass loss.Customer is aware and understands any and all unseen rot is not celtulpd' this contract,Should my rotbe found them will be an additional charge for time and materials unless so stated in this contract, 7 Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. Removal and disposal of all job related debris,windows, Estorm windows and vacuum nightly included.Upon completion of the job and payment in full,a limited warranty shall be issued. (8 yes Building Permit--Contractor will secure any and all necessary permits.The fee for the permit(s)isnot included in the Contract Price and a separate check is required at the time of sale for this fee. Check# 4079 8 48 9 Yes All discounts have been applied to this agreement. i10 Yes LJ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or varied in zany way unless such changes are in writing and signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. !Renewal by Andersen Corporation Buyer(s) Buyer(s) ( /1/(it �aro� f��7-Pa tfe,7n e Q Signature of Project Manager Signature Signature MITCHELL TORO CHARLOTTE MELE i Print Name of Project Manager Print Name Print Name 1 Renewal nenewal by Andersen Corporation MA Home Improvement Contractor by 1t,n ,;,; 104 Otis Street•Northborough,Massachusetts Ol 532 n /1 dersen• . MA License/ Phone(508)351-2200•Fax(508)986-7072 se#170810(expires WINDOW REPLACEMENT an Andersen Company 12/23/2013) Federal TaxID# 41-1918413 CONTRACT AMENDMENT This Amendment ("Amendment")is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT("Agreement")by and between Renewal by Andersen Corporation and Charlotte Mele("buyers"). Contractor and Buyer(s)hereby agree to amend and modify the Agreement as indicated below. Other than as specifically indicated below,all the terms and conditions of the Agreement will remain in full force and effect. This Amendment is subject to the terms and conditions of the Agreement. The following additions,alterations,or deletions to the products and services Buyer(s)ordered are being made: We are changing from gliding windows to casement double windows. As a result of these changes, the following terms of the Agreement are also changing (if there is no change, an item will be left blank or marked as"N/A",indicating that no change applies: NEW Total Job Amount: $5,322.00 Payment Method: New Deposit Received(33%):$1224.Received Check New Balance at Start of Job(33%):$2049.00 Check/Credit Card New Balance on Check/Credit Card Substantial Completion of Job(33%):$2049.00 "Please Note—Your job will be delayed until amendment is signed and received. It is agreed and understood by and between the parties that this Amendment and the original Agreement constitute the entire understanding be- tween the parties,and there are no verbal understandings changing or modifying any of the terms of this Amendment. Buyer(s)hereby acknowl- edges that Buyer(s)has read this Amendment and has received a completed,signed,and dated copy of this Amendment on the date written below. Renewal by Andersen Corporation Buyer(s) lite, Signature of Product Manager Signature Date Mitchell Toro 8/12/2013 Print Name of Product Manager Signature Date Yke Conownweeft of'Verswanwo 0.,m 0.0xv4*&*nr . 60® washbooR&*a. BoMos MA 02ll1 Wolk€'Com e=at�on K'a'oWINMrovIdle . � t L�fora�aot� �� Awmate°Bwdea°s/Co1��eQott� cf�IP NTadie(Rusin P! t Address: City/State/ ' ..�� r S 3c3 Phone#: —c�otp Are you an etiegby�Check the 9FproPaiaate bo:: _ 1.0 I am a employer with� 4. [] I am a general contractor and I �of Prolaxt(�I 2.❑ employees(full and/or part-tmme).* - have hh ed the sub-eonhnetma 6. ©New caea�� I ani a sole'p or partner- listed oai the adached ate. 7, ship and have no employees These sub-coafmctors have . wodding for me in ate►copcity. emPloyas and have workers' S. p,���o; �On [N°workers'comp.ios�narace comp.iastuance.: - 9. ❑Building Ul"on 3.[) I hoaneowner doing all work ' 5. ❑ We a 6 and its 10.Q Ble��repain or additions m self o � ��� ' Y [N wgilM.0°mP, right of exe�iOn per MGL 11.D Plumbiiog Mpain or additions msauatncx r' +ed.j t c. I52,X1(4),and we have no 12•[j Roofrepah 1eMP .[No workers' 13.[]td c°mp'msau*a=gWmd] t •M fid,*�:k°su out 16e.eofbi�6eio,v tLo�y�e •ooh . . =00>omrUh=dW the kdd5 box asra °�'ee 'll�adt and tbdeo bite oxhide egetrap a 0p �Ia�. Ifabe>tttb-oodo�cbn brave 1°'ddili°ad'beet the mme a�•>tie sad ��vt isdita��. ! .�Y must Provide dM*Wain q=MP.P0ft=wbw �osE a have a3sJaaw ia: �g>�n ass d�srglra egos kK9="for NW aqbyga N*w h Insunence Company Name: d, G'�n S C6 Policy#or Self-ins.Lk.#:_tel t., C 1 l 3 Site � nate• - Job Address• I�� -Ly T - - t3 Attach a copy of the workere emPeOSS ton �i'� Zip: Failure to secure co a s porky declsetatlon pc€ge(ehowing the polk9 NuMber cud e rtquk d udder Section 25A of MGL c. 152 can lead to the.imposition of e�i�tlon a�tel fine up to S1,500.00 and/or one-year imp honment;as well as civ$ of up to$250.00 a day against the viohimr. Be penalties in.the Mg of a STOP WORK ORDER n of i Invfthpoons of the M for insurance 0d that a copy of this a �,be f to the a Sue cova�aBe verification. OiEicx of Ito kt'ra6y,. 7 atke paliaa�� aacdan� [6.- eW We only. Do not wr&e be thk�,to be co�ldeti by d&'or lows os'icid y or Town: Peeenit/Idceaese# ieu f Authority(drele one): ourd of 1 [t>e Z.Bulldh OeParta>c€eat 3.City/'I'own Clerk 4.Electricaal�peetorS.Piamb 'DthEr . kg Ynspector nted Perton: . phone#• � . It.Ail CERTIFICATE OF LIABILITY INSURANCE os/2a/2012 TIPS CEIf71gCATE IS N3SI►ED A$A MATTER OF ItFORMATION ONLY AND CONFERS NO RlGNTB CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATMELY AIII EXTEND OR ALTER THE UPON THE CEItT>FI CATE MOLDER.TMT! THE 1110%= REL RESOW- TNS CERTIFICATE AN TME DOES NOT CONSTffM�1FICATE NOLOER, A SACT BETWEEN VERAW �), AuTNORQE[ REPRESENTATIVE OR PRODUCER, IMPORTANT: K the osri lleltie holder l6 an ADDIIITIONAL INSURED,the polteT(Ns)must be WWDM*d, the twrt�s S and CWHIII oas o4 the po ft.cmdW o poNdes malt r"I an tndassnwnL A ststpnant on ihk K S ROGATpN a WANED,subjoet to ouMcats holder Nn Neu of such endorse s MMleds don not MRW rlghbc 10 IN PRODUcot 1-612-333-3323 xlilyn Camidoneiis 3[owe or Brie Jol�asos ~m .612-333-3323a3 EO South !th street :612-373-7270 Suits 700 KinusapOlic, XV SS402 t'soo11C� ------------- oNsulrED AFroRosrs°oma of NArc o Rel BY &Udersen Corporation ■ISUR A: OLD RID�L=C V_ CO 24147 10f Otic Street 0004ms. ItlI+T1QIrAL D><IOIr -in CO or JrZiTB 19445 MSIa1HtC Irorthborough, ITR OIS32 NalalBlD: MIUREEE: COVERAGES atalal6e . CERTIFYS IS TO CERTIFICATE NUIRBER: 29229436 OLICIES OF INSUPMli!il: IJSTED BELOW _ REVISION NUMBER: HAVE DIICATED. NOTWITHSTANDING THAT T14E PANY REQUIREMENT,TERM OR CONDITION OF ANY ��TO THE MIStIREp NAt�IEp AgO� OR THE POLICY PERIOD CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED By THE CONTRACT��R VH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN, BY PAID SCRIBEAIMSDEIN IS SUBJECT TO ALL THE TERMS, TMPEOFMURANCE CL* POLJLI'MU1IaER A OENERALLIAaum 9AIZY 59120 l0 01 I 10/OI 13 Lam VGENL AfA$tGALOENERAlLU1BILITY MAarSWM OCCUR = 500,000 $101800 PERsoNAL 6 ADY ONANY $ 2.000,000 GREOATELUt APPLES PF/t Gel i 4.000,000 cY mo LOC �°D -COW/OPAGG 13,00o,060 A ALnnrloall LpALfn 1flfITS 21700 10 01 i 10 01 i3 Co�eINEDs LarR $ _ mm" 83,000,000 ALL OWNED AUTOS aOD&ywAIRY ftp m) _ SCHEDUMAUMS BODILYMimv ftmcddw0 $ HIREDAUTOS PROPEMYDAMAGE Z NON4WN®AUrW _ f E �LDAs Z OL7CtIR 13273355 10/01/1 10/01/13 EACH 125,000,000 DEDUCTIBLE $25.000,000 z 25,000 $ AmwaxavEMANYA'L CRY YIN IMC 117941 00 10/61/1 10/03/13 Y MfCSTATU VIED OED? N i A My E1 DAOCOBti i 1,000,000 DESCR"TIOId OF OPERATIONS bdm E.L. 'EA EMP $ 1,000.000 EL WSFNSE-POLICYLW 11.000.008 OF OPE#A /LOCb7gNS I Wlod� 101,Apltlwd Rwaeeke ERS�k�� 3bidenCe of mamuzzace. CERTIFNC/G,TE HOLDER -CANCELLATION Er+idencs of iarurzuce THE SHOULD WI �DADESCRIBED POUCIES TE CMCELLED BEFORE ACCORDANCE WITH THE TNEREDF, NOTICE WILL BE DELIVERED IN POLICY PRQVIINI AUTHORM IIEIRESHITATIYE C��e tpamiaaancueat'.t�a�G��ac�ivaeGt fricc of Consumer Affairs&Business Regulation vME IMPROVEMENT CONTRACTOR { egistration: 176810 Type:? Expiratloin: 12123/2013. Supplement RENEWAL BY ANDERSON CORPORATION JOSEPH REZZA 104 OTIS STREET g NORTHBOROUGH,MA 01532 Undersecretary Massachusetts -Department of Public Safety ' Board of Building Regulations and Standards Construction Supcn'isor License: CS-065272 JOSEPH P REZZ�` 168 KELLEY BLVD s N ATTLEBORO MA Expiration Commissioner 04/25/2014 I ' Do W NW110"soda b . dee rbd iorlihn n*nm c I ry e El I o e 1 Renewal. byAndersprL Mr. AW PwWud� GPdar srno�s�n EWGY FMCUMCE RA*KG5 U-Fader solar Heel Galn Coe#Wm t 0.-29 ' 1.65 021 ADMOM lEBM MMM LATINOS . Vlslble Trsnemitlsnoe J 04,49 U-A*Uws I VVWW _ '.. :.r. pre�rrMUMwouaaR�eusa■n ••ppm. . i 1OG dGM12="j6