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Home My WebLink AboutBuilding Permit #Exception - 21 FULLER MEADOW ROAD 5/16/2012do= 6 4 CL u 0 C/) or. cz x L= co X to c3cj ZW 44 Q 0 C/) 0 co 4 CL ti E is CL .0 B 0 cc 'a cm 12 cm C13 f 0 cm "a I 2c C) cm zoo C/) z 0 w P-4 p u �D 0 C/) z 0 u Cf) Cl) a U3 0 WIN 2 (Z3 CD 0 E CD C z CL. 0 CD cm CD E clo ca 0 0 CD co cm C3 Cc CD ca. a- CM< S -0 0 cc = Cc CJ J -0 'FL 0 0 z ts CL C.3 CO) CL CO2 LLI I% w w W L= c3cj CL Cc =am Cc Ca= E dc CE t5 CL CIO .00 :40001 cm CD.s C CD cm El Cc Cc CA E .40D CLC.3 L.: CD 0 C3 C3 cc o r -L AD CD ts = 3: CL CO2 Cc CD w .0 ca M cc E CL LLI C.3 a- CD C3 CD cm 0.00.s ca CL ca CD -5 -0 ca cm CL C13 ti E is CL .0 B 0 cc 'a cm 12 cm C13 f 0 cm "a I 2c C) cm zoo C/) z 0 w P-4 p u �D 0 C/) z 0 u Cf) Cl) a U3 0 WIN 2 (Z3 CD 0 E CD C z CL. 0 CD cm CD E clo ca 0 0 CD co cm C3 Cc CD ca. a- CM< S -0 0 cc = Cc CJ J -0 'FL 0 0 z ts CL C.3 CO) CL CO2 LLI I% w w W I of I I W215/2W' 12:39 38PM N 1 .1 —.It 1114 'k- I I � I )k' o �I I I I I It. I I 1 4 h) h 11( *' j I I I Ho.wd id Bisdihov-, Rt--Wmum, wil o.- ClonstruCtion j, CS 69120 Allll� W Ufi . 1-7 EM' , M —OM jOHN W LANZAFAME fllllb� 30 TEMPLE DR METHUEN, MA 01844 Tra 14108 -AO' 4 'W� 44 I -)f Consumer Affairs and /U'SiInes/s Regulation 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02 1 16 i ionie Improvement Contractor Registration ALL UNDER, -)NE ROOF jOHN LANZA.FAME 1,66 A MERRIMACK ST METHEUN. rVA 01844 Reoistratior, I5-qLv7 /3*7o-7 Ivpe DBA Exotrallon 101212 1 i 2 Ppdale.Address and return ritra. Vlark rra-%4m Im � liarivc kddr".% Renewal i "Iplov'r"VI)l 1"'St ( ;ird OF LIABIUTY p4SURANCE DAlt CERTIFICATE 09107101" ............ ASA"MROFtHFORMATION T"19 5''1 E111'111111CAIE1 ISSU T"E CERTIFICATE CWSRS 00 RtGM UPO" 006LY AUD TMIS CERTWIWn DM VOT A&WXD. EXTM OR perry Insumnce Agency WWOOM ALTER im CaVERAGE AFFORM BY.THE POLICIES BELOW. I ng RoBd $22 Chickering Road f, M 01845 Wh AndOVef, MA 01845 "Air- 0 INSURERS AffOrdmG COVERAGE NAIC A AT CASUALTY MURANCE WAMRA: i0t4N LAANZAFOAME #45UMM g AIM DBA ALL UNDER ONE ROOF wrAJRER C. 3o TEmPLE DR ogs~ 0 METHUEN, MA 0 1844 L *,man* F L- I SUED To TW WMRFD kt#AjED ASOW FOR THE POLICY PERIOD EID- NOTWFrHSTANDING 0CpCtjMENT WffiH RESPECT TO WHICH TM CERT04CATE MAY BE JSSVEO OR MAY TK p== OF VOLVACE UMo BELOW HAVE BEEN IS IONS OF Sur REOUpEMEmT, TERM OR CONDITI(XI OF ANY COt4TRACT CgFt OTHER HqtW IS StALeCT To ALL T14E TEF&4S. EXCLUSOOkS AND COND" ANY DESCMBED *4SURAHCE AFFORDED By THE POU= 1 PERTAIN THE BY PAID CLAVINS. Y mWE BEM REDUCED MA POLICIES . AGGREGATE L"M SHMM LAMTS MAW Pautv "mm- am mcw m no 000 (vi M979/ IM12 am;m occtwcewA s --- 9111mil 50.000 or, A CAVERALUN!"Ll" Llie=227 s CDWEfCM GEW-4AL 10MLITY I WED EXP 1 2,5m 00 OCCUR PERSONAL & ADV t%JUPY s ".wl GLNERAL GC�REGATE 600.0w OP ---------- PSIODUCTS - CiDwfop AGO V, ew 1�00 (p) POLICY PAW -CT Loc wokc UJUVT A070wDeILE LAWLITY t$=91s Aw AUTO 8004LY tMAMY ALL OWNED Au"TON SCKE DULED AU70 MMAUTGS =11'TV 'P"IAGE ;AU�T(O �014-1 - F-A�ACC07E-' GARAGI LUd"Ln EA ACC I AW AUTO AGG I EACH OCVJRPXl1Ct $ . ... . .. 5A��IATI AGGREGATE I OCCUR El CLAW M&M RETENTION ON AND AWC7009464012010 Ulm, 11MI2011 12 EL EA04,ACC-MI'll ANy=:=r*R EXECUTNE E k DISEXSE - EA EMPLME mow,,, —I 17 UL DtSe"ff -T E J:': F RA.ATION CIERTWiCAVE 14OLDER $HOMO AW OF THE AbOV§ DIESCRI11*0 POLO=$ 'M CA"cle"Ito "Itfoat THE f1mi-p-A rOWN OF 0Ayj T"gaCW' TK MA04 040M* YftL EMEAV04TO MAIL DAYS VWtTT NOT" To THE CERTFICATE HOLDER KWAM TO THE LEFT. MY r4aupf TO 00 %0 SK Wi:IAJQI 10V %AA ^4009 The Commonwealth of Massachusetts Del)ai-ti�ieiitofIiidiisti-ialAccideiiis 3 Office of Investigations 600 H,ashington Street Boston,MA 02111 wjvw. tit ango v1dia Workers' Compensation bisurance Affidavit: Builders/Coi)tr,,ictoi-s/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �A tj 04,4�- Address: city/state/zip: -0-^ //MA�3 Pholle 4: f Are you an employer? Check the appropriate box: i. P-1 am demployer with r 4. F1 I am a general contractor and I employees (full and/or part-tirne).* have hired the sub -contractors 2. El I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance requ ired. ] 3.0 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t listed on the auachcd sheet. 'niese sub -contractors have workers' conip. insurance. El We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. El New construction 7. 0 Remodeling 8. El Demolition 9. E] Building addition I O.El Electrical repairs or additions I LEJ Plumbi ng repairs or additions 12.0 Roof repa;'xS 13;�I�Other *Any applicant that checks box N I must also rill 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. lContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. . policy inforTmtion. I am an employer that is pro viding workers' compensation insurancefor my employees. Below is the policy andjob site irtformation. insurance Company Name: 0 'cu Policy ft or Self -ins. Lic. #: At,3 Q_ t Expiration Date: C Job Site Address:— 21 r" /Z City/State/Zip:__../f /4 Attach a copy of the workers' compe nsation 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 criniinal penalties of a fine up to $1,500.00 and/or oDe-year imprisonment, as well as civil penalties in the forni of a STOP WORK ORDER and a fine of up to $250-00 a day agairist die 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 under the pains 6ndpenalties oflye?juty that the information provided above is true and correct. 21- / Z_ U Phone#: fY I 0fricial use onlj� Do not write in this area, to be completed by cio, or town official. City or Town: Perinit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. cityrrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone Page I of 2 5110/2012 7:24:32AM y 57K 4; Proposal To: Bill& Natalie Kissel Date 3/17/2012 Street: 21 Fuller Meadow Rd. 13 E F_J Ef U N. Andover, MA �,O) T� Q) Bill.kissel@comeast.net I - Protect house exterior and landscaping as best as 16. 1KO Shield Pro Plus Extended mfg. warrant- y possible. (tarps etc.) Extra caution and "TLC" Chimneys Residential & Commercial Roofing given to protecting rear glass addition. CHIMNEYS POINTED Siding -REBUILT-CAPPED All Types Of Mass Toll Free .. . .. ..... Exper-t Masonry Work Licensed & Insured 1-800-WAIT-4-LJS Locally Owned & Operafed I P76 License #034200 (924 -8487) IKO wa",V oe We- Work Year Round TZ�,,7 7 '77-77UnA- j7v-�4]='7�7 additional cost of $50.00 per sheet of 1/2" cdx fir. 0 ion: Upgrade to ce and)'5vter_shie1-d-.- pt __W.R,Gpe �i 5. Install heavy gauge 8" white aluminum drip edge (best av ila e ains s ffrom-iee-d—ams) to all eaves and rakes. 4; Proposal To: Bill& Natalie Kissel Date 3/17/2012 Street: 21 Fuller Meadow Rd. 978-688-3125 N. Andover, MA �,O) LRoof proposal Bill.kissel@comeast.net I - Protect house exterior and landscaping as best as 16. 1KO Shield Pro Plus Extended mfg. warrant- y possible. (tarps etc.) Extra caution and "TLC" 100% coverage, fully transferable, on material, la - given to protecting rear glass addition. bor, tear off and debris removal for a full non pro - 2. Strip all shingles from entire house and shed. Re- rated period of 20 years. Offered to our Angie's move cupola from shed. Remove and dispose of List customers and included in this proposal at no satellite dishes. additional cost. (only with IKO) 1 1 3. Inspect and re– nail any loose or lifted plywood. Total cost: $ 11,400.00 7� 4. Any compromised plywood will be replaced at an additional cost of $50.00 per sheet of 1/2" cdx fir. 0 ion: Upgrade to ce and)'5vter_shie1-d-.- pt __W.R,Gpe �i 5. Install heavy gauge 8" white aluminum drip edge (best av ila e ains s ffrom-iee-d—ams) to all eaves and rakes. 6. Install 6' of IKO Armourguard ice and water . n on rea. ine(l) new Lo - shield along all eaves and top to bottom in all val- M ostat/ stat controlled power vent leys. 6'MA state code. (black) nea ectrician in- 7. Install all new pipe boots. clude .00 s 8. Above the ice and water shield, install IKO cool roof guard synthetic underlayment to the remain- Notes: Please be advised, valuables in the attic ing sheathing up to the ridge. should be moved or covered due to minor debris, 9. Install IKO Leading Edge shingles to all eaves. dust and asphalt particles that will accumulate 10. Install IKO Cambridge AR(algae resistant) or Cer- during the stripping process. All Under One Roof tainteed Limited Lifetime architectural shingles to not responsible for any damage or clean up that entire roof and shed. 15 year non pro -rated war- may occur in attic. ranty by IKO mfg. 10 year non pro -rated period by Certainteed mfg. 11. Install (2) Broan vents in rear for bathroom ex- Balance due upon completion haust. Attic connection by homeowner. 12. Counter -flash chimneys and roof protrusions with Rdferrls available upon request ice and water shield, seal and tie into new roof 13. Building permit included. Highly rated member of the accredited BBB and 14. Removal of all work related debris. Angies' List Loi 15. Contractor workmanship warranty =6 years under nThank: normal wind and rain conditions. Acceptance of Proposal—The above prices, specificaj,"ons and conditions are satisfactory and are herby ac cepted. You are authorized to do the work as specified. I Pavrnent will be made a-, ontlined ahnve TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:3ak— Date Received Date Issued: IMPORTANT: Applicant rn this page IMT 0M TKTUD Print MAP NO PARCEL: d14ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT 0 New Building [I Addition El Alteration epair, replacement 0 Demolition PROPOSED USE Residential El One family Ei Two or more family No. of units: Ei Assessory Bldg El Other s� M �, 'UM �Nfi rxi �w bt Non- Residential [I Industrial [I Commercial 0 Others: 111"Im V� —a B�g-�6 TO BE PERFORMED: OWNER: Name: Address:—Z—,-�,F, CONTRACTOR Name: Address: b/1 1.4entification Please Ty#Vo 4e-5 -e 404 Ze, c_ -O— t — /41 (1) OM. Clearly) Phone: Phone: e-�da�6vea,?� 1( e CU -4 L�� DS5 / : Supervisor's Construction License: Date Home Improvement License: 72- ___�Exp. Date: L4 ARCH ITECTIENG I NEER__--------, Phone: -1 "24 (t - Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $JZOO PER $1000.00 OF THE TOTAL ESTIMATED COS ASEDON$125.00PERS-F. C919 -Z ?— ,-- Total Project bost: FEE: $ q, — �)t 3 �v q Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to th 70�fund . 761r, . , .2ifri wh Plans Submitted El Plans Waived F1 TYPE OF SEWERAGE -DISPOSAL Public Sewer well Private (septic tank, etc. Certified Plot Plan El Stamped Plans El Tantiffig/Massage/Body Art SwimmingPools Tobacco Sales Food Packaging/Sales 11 Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENT F1 11 COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Siqnature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comm Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Sign , ature: Located, .384,0§gpod Street FIRE DEPAATAM Temp Dumpster on site yes ino Located at 124 Main Street Fire Department signatdre/date COMMENTS V - 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) Ll Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits • Building Permit Application • Workers Comp Affidavit • Photo Copy Of H.I.C. And/Or C.S.L. Licenses • Copy of Contract • Floor Plan Or Proposed Interior Work • Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks • Building Permit Application • Certified Surveyed Plot Plan • Workers Comp Affidavit • Photo Copyof 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) L3 Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) • Building Permit Application • Certified Proposed Plot Plan • Photo of H.I.C. And C.S.L. Licenses • Workers Comp Affidavit • Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) • Copy of Contract • Mass check Energy Compliance Report • Engineering Affidavits for Engineered products 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals Ut the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording iust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi Locationa� &1e,,Re4Jov,) Of No. ?)::�f - // Date 2- 7/D kF �,60 TOWN OF NORTH ANDOVER + No Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # L/ 2360 Building Inspector Al n One Contpacting S E R V I C E S �j 14 Westridge Drive, Hampton NH 03842 Tel 978-378-4778, Cell 207-289-9168 CONTRACTOR AGREEMENT THIS AGREEMENT made this 24th day of October, 2010, by and between A -U In One Contracting Services, Inc. (Home Improvement Contractor # 162701), hereinafter called the Contractor, and Bill and Natalie Kissel, hereinafter called the Owner. WITNESSETH, that the Contractor and the Owner for the considerations named agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall furnish all of the materials and perform all of the work (per the scope of work listed on the quote dated (October 15th, 2010) on the house located at 21 Fuller Meadow Road North Andover, MA 01845. ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before October 28tb 2010 and shall be substantially completed by November 181h, 2010. ARTICLE 3. THE CONTRACT PRICE The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of Thirty Five Thousand Nine Hundred and Ninety Dollars ($35,990), subject to additions and deductions pursuant to authori2ed change orders. ARTTCT.F.4. PRnGRFSqPAVM-P.NT.q $ 15,990.00 @job Start $ 8,000.00 @ 40% Completion $ 8,000.00 @ 80% Completion $ 4,000.00 @ 100% Completion AKI A-U:� -'). UENhKAL MUVIMUN6 1': All worlC-�h-all be completed mi a workmanship like manner andm:* compliance with an building codes and other applicable laws. 2. Contractor warrants that workers are insured as required by* law. 3. Contractor agrees to remove all construction debris and leave premises in broom clean condition. 4. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment orresolution of any dispute. 5. Contractor shall not be liable for any delay due to work done by Owner. 6. Contractor shall not be liable for any delay due to weather. A I 4 rA M Cd ui 13. ice Cc CL Cc Cc a =CD E4Z COIL Ca Q 0 C.2 0 - c E all Ago CD Cf) 'D Ca Cos CO) C% Go ME A CL3 LO2 =0 4>2 Cr. Cm CM -S CD.9 Q m) Q C3 L 0 m8z -S CM c CD CD 'Cc L A4 C40) M:s ID a *2L.2 C!.s z Cr. Uw CC.D, C42 Cm LLJ Q Co Cm O:s C.3 CL 40 CA m Q 92.— CD cc 0 CL 0'. = 4- L":E &C C/) z 0 C/) a a 40 ri u 0 �21 4-J P�b -CI4 CO E ts Co CL CO CM CO) CO2 -E 0 C/) 00 CD x C3 16. C2 C/5 Co W :s Cd w 0 0 CO ui 13. ice Cc CL Cc Cc a =CD E4Z COIL Ca Q 0 C.2 0 - c E all Ago CD Cf) 'D Ca Cos CO) C% Go ME A CL3 LO2 =0 4>2 Cr. Cm CM -S CD.9 Q m) Q C3 L 0 m8z -S CM c CD CD 'Cc L A4 C40) M:s ID a *2L.2 C!.s z Cr. Uw CC.D, C42 Cm LLJ Q Co Cm O:s C.3 CL 40 CA m Q 92.— CD cc 0 CL 0'. = 4- L":E &C C/) z 0 C/) a a 40 ri u 0 �21 4-J P�b -CI4 CO E ts Co CL CO CM CO) CO2 -E Ca Co CL CD CD C3 16. C.3 m CL. CL CL Ca cc —J CO) Z ts Co CL CM) Ca cc CL CO2 LLI LLI U) 19 LLI LLI 19 uj LLI U) 7. Tames Hardie Building Products, Inc. offers a 30 -Year Express Limited Transferable Product Warranty on the HardiPlank Lap Siding and a 15 -Year Express Limited Transferable Product Warranty on HardiTtim. The Contractor gives a product lifetime limited warranty on labor installation and a limited warranty on other work performed for a period of 5 years following completion. A I year waixanty is given on painting of existing surfaces. The Contractor guarantees the construction performed to be free of defects in workmanship. The warranty is limited to construction work that has not been subject to accidents, modification, misuse, abuse, material deficiency, and/or had repairs made or attempted by others. 8. Contractor is not liable for any fees that might be incurred by the Owner for any and all consulting with any third party inspection service, the Contractor must be notified of the use of a third party inspection service prior to contract acceptance. The opinion and/or recommendation of the pertinent manufacturer representatives will supersede those made by any and all third party inspection services. 9. Contractor is not responsible for any damage to any items hanging on walls, or any delicately placed items on shelves, etc., or any other household items damaged because of the shaking or vibrating that occurs during construction. Owner is urged to safeguard any delicately placed items. ARTICLE 5. OTHER TERMS 1. The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract� the contractor may subnUit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be reqw'red to submit to such arbitration as provided in MGL c 142A. Owner: Bill Kissel INOUCE: Thl by the contractor. ,�es- " ' � Signed tl� �IWA By ��y lures of the parfies above abpl y onl y to the opiner mg initiate alteimfive dis pute nso dAy of October, 2010. In One Con Bill Kissel, Owner Natalie Kissel, Owner Natalie Kissel of thepaaies to alternate Apute resolution initiated wbere this section is not shoned ji�alel � by the Inc. Date hoc"� IS )bj-0 Date -16 - QL.S- - ae 10 All In One Contracting Services, Inc. 14 Westridge Dr. Hampton, NH 03842 TEL 978-378-4778, CELL 207-289-9168 10/24/10 HardiePlank ColorPlus Quote Bill & Natalie Kissel 21 Fuller Meadow Road North Andover, MA 01845 All In One Contracting Services.. Inc. is a James Hardie Preferred Contractor $ 29,729 Remove and haul -away existing siding and install Hardiplank brand HZ5 cement siding (ColorPlus - MONTEREY TAUPE, 16 year paint warranty). Siding will be installed blind -nailed on a 6" lap. Style - 6 1/4" Select Cedarmill (cedar -grain appearance). This price includes house wrap and all flashing (painted to match trim or siding as -required). $ 0 Rotted Framing or Substrate Replacement Allowance: $34 per sheet on plywood or OSB, $4 per lineal foot on 20 or 2x6, $8 per lineal foot on 2x8, $10 per lineal foot on 2xl 0 and 2xi 2. This price can vary, depending on the actual amount of rotted framing to be replaced. Rotted framing will be immediately brought to the owners attention and will be handled on a change order as required. The houly labor rate for replacement of any materials not itemized above is $32 plus cost of material. Included Install comer trim (5i4x6 & 6/4x5), window trim (5/4x6 & 5/4x6), and eave trim (4/4x8 fascia, vented soffit, 4/4x4 bed) using ColorPlus - ARTIC WHITE Hardi-products. Also includes re -capping the window sills. Included Replace the 1x6 and 1x5 trim on the garage doors with PVC trim. Included Paint the window trim, all soffits, friezes, fascias, and corner trim with I -additional coat of paint to give a freshly painted look to the home. Also includes painting exterior door trim. $ 2,179 New Gutters and Downspouts (includes adding two additional downspout locations) $ 1,658 Install a new front door - any of the styles that were emailed. Inciudes interior trim and painting. The door knob and deadbolt allowance is $100. $ 875 Replace the lalley column between the garage doors using a stainless steel plate, and install a double pressured treated plate under the garage door supports at the same location. $ 1,160 Install new 11 pairs of 12" shutters. $ 390 Replace 12'8/3'2 basement window with a vinyl window. Included Porta Potty Included All James Hardie Siding Products will be installed in accordance with the Best Practices- Installation Guide Version 4.0. $ 35,990 Note: (price is valid for 30 days) �f I By / / &11 /1 [ AZI L,"' L` 4E --\ da�id 61/adl6y,'Xill in dne Contracting Services, Im rv'ces, James Hardie Inc. offers a non-pr4ated 30 -year Limited Transferrable Product Warranty on the HardiPlank Lap siding and a non -prorated 1 5 -year Limited Transferrable Product Warranty on HardlTrim. All In One Contracting Service , Inc. gives a product lifetime limited warranty on labor installation and a limited arrant on other work performed for a period of 6 years following completion. A I ear warranty is given on painting of existing surfaces. 10/7/2010 5:13:31 AM PST (GMT -8) FROM: insurancevisions.com-TO: 16036581146 Page: 2 of 2 AC40RIY CERTIFICATE OF LIABILITY INSURANCE 111%�' DATE (MWDO/YYYY) 710/7/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE "OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER STANIS INSURANCE AGENCY CONTACT NAME: PHONE (A/C. No. Ext1l: (978) 562-7620 FAX WC. NO: (978) 562-7988 16 MAIN ST H U DSON, MA 0 1749 E-MAIL ADDRESS- INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Liberty Mutual Group DAMAGE TO RENTED PREMISES (Ea occwence) $ INSURED R IF SIDING INC 587 LINCOLN ST APT 2 INSUPERB: INSURERC: GEN'L AGGREGATE LIMIT APPLIES PER: nP,L,,YFI PFRC"T- M Loc MARLBOROUGH MA 0 1752 14SURERD: SURERE: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS INSURER F : COVERAGES CERTIFICATE NUMBER- Rwnm REVISInN NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AMDLSUBR INSR WVD POLICY NUMBER POILICYEFF JMMMDIYYYY) POLICYEXP LIMITS GENERAL LIABILITY r COMMERCIAL GENERAL LIABILITY CLAIMS -MADE DOCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occwence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: nP,L,,YFI PFRC"T- M Loc PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS W-71-60LE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRO RTY DAMAGE (P.'M dent) $ UMBRELLA LIAB EXCESS LIAB OCCUR cLAIMS-MADE EACH OCCURRENCE AGGREGATE $ DED " RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PR0PRIETORJPARTNER1EXECUT' I N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below N 1A WC2-31S-371098-020 6/2/2010 6/2/2011 TATU TOCRYS LIM S CkV E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 10000 E.L. DISEASE -POLICY LIMIT 500000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Rernarks Schedule, If rnore space is required) Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the State of MA CERTIFICATE HOLDER CANCELLATION ALL IN ONE CONTRACTING SERVICES INC 14 WESTBRIDGE DRIVE HAMPTON NH 03842 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VnLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR12ED REPRESENTATWE Jeff Eldridge (V 1Vt5t5-ZU1U AGUKU GUKFUKA I IUN. Ali rignts reservea. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERT NO.: 8507064 CLIENT CODE: 1360339 Deb Derochemont 10/7/2010 5:11:41 Am Page I of I Massaciluset's - oepatiment (it Pumic safet, Board of Buildint-, Re--,ulations and Standar('Js Construction Supervisor License License: CS 104055 Restricted to: 00 DAVID BRADLEY 14 WESTRIDGE DR HAMPTON, NH 03842 oard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 162701 WE, - B Expiration: 4/6/2011 Tr# 282565 Type- Private Corporation ALL IN ONE CONTRACTING SERVICES, INC. DAVID BRADLEY 38 MAPLE AVE. ELIOT, ME 03903 Administrator Expiration: 12/21/2013 Trt: 104055 lAcense or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ala. 021A) ot-valid without signature www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contrac.tors/Electricians/]?Iumbers Applicant Information Please PrintLegjhh Name tn pi u anization/individual): 411 ill /�47 42_ Address: City/State/Zip: fl- 2'-( �' " i?ho5nr'e #: en3 Are you an employer? iCheck the appropriate box: The Commonwealth of Massachusetts 4,._O-1 am a general contractor and I Department ofIndustrial Accidents have hired the sub -contractors listed on the attached sheet. Office of Investigations I These sub -contractors have 600 Washington Street Boston, MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contrac.tors/Electricians/]?Iumbers Applicant Information Please PrintLegjhh Name tn pi u anization/individual): 411 ill /�47 42_ Address: City/State/Zip: fl- 2'-( �' " i?ho5nr'e #: en3 Are you an employer? iCheck the appropriate box: I am a employer with 4,._O-1 am a general contractor and I employees (full and/o� part-time) have hired the sub -contractors listed on the attached sheet. 2.0 1 am a sole proprietor or partner- I These sub -contractors have ship and have no employees working for me in any capacity. workers' comp. insurance. 5. We are a corporation and its [No workers' comp. insurance officers have exercised their required.] 3. 0 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] employees. [No workers' comp. insurance required.] Type of project (required): 6. E] New construction 7. F1 Remodeling 8. [] Demolition 9. El Building addition 10.[-] Electrical repairs or additions ILEI Plumbing repairs or additions 12.[-] Roof repairs 13,E] Other *Any Applicant that checks box # I must also fill out the se " ction below showing their workers, compensation policy information. idavit indicating such. t Homeowner's who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affi TContractors that check this box must attached an additional sheet showing the name of the sub -contractors add their workers' comp. policy information. I am an employer that is providing workers' compensation insurancefor my employees. Below is the policy andjob site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Si Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Se6tion 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine upto $1500.0-0 and/or e-yearimprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine Office of a of up to $250.00 day ai t the v r. Be advised that a copy of this statement may be forward d to the th surai; , e coverage verification. 01 or i Investigations oft e IA r in Ido hereby certO. $erthe , lun pro vided aboye is true and correct. ,l+- / // �///q I/ / mplete'd ff Offic * u only. Do not write in this area, to be completed city or town o iciaL 'f u e er] City o' Town: ermit/License # Issui Authority (circle one): I 1. Board of Health 2. Building Department 3. Ci own Clerk 4. Electrical fnspector 5. Plumbing inspector 6. Other Contact Person: Phone Infok mation 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 th e 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 y6ur situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone nurnber(s) along with their certificate(s) of insurance. Limited Liability Companies (LLQ or Limited Liability Partner * ships (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 confin-nation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit sh6iild 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 req�ired 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 sur8'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 pennit/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 "Jo.b Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially starnped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen -nits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or pen -nit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 Investiptions 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia