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HomeMy WebLinkAboutBuilding Permit #507-13 - 28 ROYAL CREST DRIVE 1/9/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: )V 1' 1 J Date Received Date Issued: ' IMPORTANT: Applicant must complete all items on this page I LOCATION I Royal Crest BUILDING # Print PROPERTY OWNER AIMCO. Royal Crest Estates LLC UNIT # MAP NO: 07� Print PARCEL: ZONING DISTRICT: Historic District yes ; Residential Non- Residential Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition 'Two or more family ❑ Industrial ❑ Alteration No. of units: 2 ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑'Sepdi ,, DTWellf _ toodplainiA� ❑,Wetland's YWaterslied�District; �v . ❑ ��Vater/,Sewers z, " F : _ . , _ , �.__ DES 'RIFTION UP' wUKK TU lir; PtFPUKMrll: S QLv (Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Thomas H. Kinnal Address: 286 Broadway, Haverhill MA 01832 Supervisor's Construction License: CS 82747_ Home Improvement License: Phone: 978-360-0051 Exp. Date: 6/20/201t Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE. BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ % I g7 FEE: $ .n Check No.: �91��....ReceiptNo.: 2�4 0 st NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfun Plans Submitted 11 Plans Waived 11 Certified Plot Plan 11 Stamped Plans ❑ f TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ ' Well ❑ Tobacco Sales ❑f Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED 0 DATE APPROVED CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS 4 �s Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comme Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street no 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008mi 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 o 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan o 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) u Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract .o Mass check Energy Compliance Report Li Engineering Affidavits for Engineered products VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit Fn all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals :hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording nust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi U— PI - 0 1=0 • 4-_' O :v � O CD •Q. L r � Q U) Q Q. P°'m �• 0 0 1i�1• `° _ a 3 CL M � L C d d O OO O -0 y a C=': �_ s L `~ c - o Z C W U,00 > o COL • o� Q m � 0 Z5 __ � ca o .N -a Im N = _ Q L L ca f— O w Q' CD v m W_ _ - O -0 O LL '2N % N = N •0 , .. v 0 V C W ` V O co�«- 0c N O F- +o+ a. o F. 2 z m CDz W x LUH W CL 0 .a Z f Z CO H a . Z OAC . Cl) 0 U) LUJ m 01 s 2 �•1 _ O0 I. JZ W w0 w Z ? a = Z cc O C7 Q Q Z CL Z Z V_ W cc coo o Q C = Q J G W m C EmJ J LL O O C d W u O v O O N co Z C L L U L N N .� Y O O- 7 O L C O C O C C Z Q) E LCL In LL W U 11 LL OC I(N 11 d' 11 m N N • 4-_' O :v � O CD •Q. L r � Q U) Q Q. P°'m �• 0 0 1i�1• `° _ a 3 CL M � L C d d O OO O -0 y a C=': �_ s L `~ c - o Z C W U,00 > o COL • o� Q m � 0 Z5 __ � ca o .N -a Im N = _ Q L L ca f— O w Q' CD v m W_ _ - O -0 O LL '2N % N = N •0 , .. v 0 V C W ` V O co�«- 0c N O F- +o+ a. o F. 2 z m CDz W x LUH W CL 0 .a Z f Z CO H a . Z OAC . Cl) 0 U) LUJ m 01 s 2 �•1 To: Tom Kinnal at East Coast General Contracting From: MATULA, DAN, Executive Vice President Redevelopment & Construction Services ORGAN, TONY, Vice President of'tonstruction, Construction Services STEICH,.MATTHEW, Regional Director of Construction, Construction Services Milinazzo,' Dan, Project Manager, Construction Services Date: January 3, 2013 Re: Executed Contract and Related Matters Attached is your copy of the executed contract with AIMCO NORTH ANDOVER, L.L.G., an affiliate of Apartment Investment and Management Company ("Aimco"), for construction services at Royal Crest Estates (North Andover). We want to take this opportunity to inform you that Aimco is committed to conducting its business in accordance with applicable laws, rules and regulations and the highest standards of business ethics. If during the period of your business relationship with Aimco, you believe the Aimco team members with whom you are dealing are not living up to these standards, we ask that you report such conduct to one of the following: • MATULA,DAN, Executive Vice President Redevelopment & Construction Services: (303) 691-4547 • COHN,LISA, Executive Vice President and General Counsel: (303) 691-4415 • HANSON,MIKE, Vice President — Internal Audit: (303) 691-4376 If you prefer to remain anonymous, you may make a report using Aimco's anonymous and confidential reporting system, MySafeWorkplace, which is available 24 hours a day, seven days a week via the Internet at www.MySafeWorkplace.com or by calling 1-888-481-7123. We encourage you to use MySafeWorkplace only if you do not feel comfortable reporting issues directly to an Aimco representative. We would also like to remind you that Aimco has a Code of Business Conduct and Ethics, which prohibits Aimco employees from accepting meals, entertainment, services or gifts from anyone who does business with Aimco unless the amount of such item is less than $25. AIMCO Construction Services has a $0 policy. This provision is to specifically include, but is not limited to, suppliers or other contracted labor utilized under this project. It is the responsibility of this Contractor to advise any subcontracts or suppliers of the AIMCO Code of Business Conduct and Ethics. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 is �"kMamve^�µ�ea � To: Tom Kinnal at East Coast General Contracting From: MATULA, DAN, Executive Vice President Redevelopment & Construction Services ORGAN, TONY, Vice President of'tonstruction, Construction Services STEICH,.MATTHEW, Regional Director of Construction, Construction Services Milinazzo,' Dan, Project Manager, Construction Services Date: January 3, 2013 Re: Executed Contract and Related Matters Attached is your copy of the executed contract with AIMCO NORTH ANDOVER, L.L.G., an affiliate of Apartment Investment and Management Company ("Aimco"), for construction services at Royal Crest Estates (North Andover). We want to take this opportunity to inform you that Aimco is committed to conducting its business in accordance with applicable laws, rules and regulations and the highest standards of business ethics. If during the period of your business relationship with Aimco, you believe the Aimco team members with whom you are dealing are not living up to these standards, we ask that you report such conduct to one of the following: • MATULA,DAN, Executive Vice President Redevelopment & Construction Services: (303) 691-4547 • COHN,LISA, Executive Vice President and General Counsel: (303) 691-4415 • HANSON,MIKE, Vice President — Internal Audit: (303) 691-4376 If you prefer to remain anonymous, you may make a report using Aimco's anonymous and confidential reporting system, MySafeWorkplace, which is available 24 hours a day, seven days a week via the Internet at www.MySafeWorkplace.com or by calling 1-888-481-7123. We encourage you to use MySafeWorkplace only if you do not feel comfortable reporting issues directly to an Aimco representative. We would also like to remind you that Aimco has a Code of Business Conduct and Ethics, which prohibits Aimco employees from accepting meals, entertainment, services or gifts from anyone who does business with Aimco unless the amount of such item is less than $25. AIMCO Construction Services has a $0 policy. This provision is to specifically include, but is not limited to, suppliers or other contracted labor utilized under this project. It is the responsibility of this Contractor to advise any subcontracts or suppliers of the AIMCO Code of Business Conduct and Ethics. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 GENERAL CONSTRUCTION SERVICES ONE-PAGE CONTRACT Contract Number: 14729 - 404879 - CP - 00003 Signature: �� \i Contractor: East Coast General Contracting Property: Royal Crest Estates (North Andover Address: 286 Broadway Street Haverhill, MA C 1823.. Location: 50 Royal Crest Drive North Andover, MA 01845 Representative: Tom Kinnal Issuing Officer AIMCO Regional Office Telephone: 978) 360-0051 Address: Two Greenwood Square 3331 Street Road Bensalem, PA 19020 Facsimile: 978) 372-4215 E-mail: tkinnaI@crTicast.net Contract Sum: $6.987.00 Contract Type: Lump Sum This General Construction Services One Page Contract ("Contract") is effective as of 1/2/13, by and between "CONTRACTOR" (as identified above) and AIMCO NORTH ANDOVER, L.L.C. ("OWNER") for construction and services to be performed and/or material to be supplied for the property known as Royal Crest Estates (North Andover) (the "Property"). In consideration of the acceptance of CONTRACTOR's bid and/or proposal for furnishing supplies, goods and/or services to the Property, CONTRACTOR agrees to perform the following services and/or supply the following materials (the "Work"): CONTRACTOR acknowledges that the Work shall be for the benefit of both OWNER as well as the beneficial owner of the Property. The Work shall be performed in accordance with the following dates (the "Construction Schedule"): Date of Commencement: 01/07,12013 Date of Final Completion: 01116/2013 This Contract does not establish an exclusive right to furnish supplies, goods and/or services to the Property and OWNER reserves the right to terminate this Contract at any time without cause. All services, materials and employees used by CONTRACTOR shall comply with all applicable federal, state and local laws and regulations, including, by way of illustration and not limitation, the Americans with Disabilities Act ("Laws'). To the fullest extent permitted by law, CONTRACTOR shall indemnify, protect, defend and hold OWNER, the beneficial owner of the Property, their affiliates, parent and subsidiary entities, including, without limitation, Apartment Investment and Management Company (AIMCO), and any of AIMCO's subsidiaries and affiliates that may directly or indirectly own or manage the property at or for which CONTRACTOR performs any Work, and their respective partners, managers, members, employees, officers, directors, trustees, shareholders, counsel, representatives, agents, successors and assigns (the "Indemnified Parties") free and harmless from any and all liabilities, claims, demands, actions, costs (including reasonable attorneys' fees), suits or matters arising from or related to (i) injuries to persons or damage to property (excluding the Work), (ii) any alleged violation of any Laws and (iii) a notice or claim of lien. CONTRACTOR's obligations under this Contract, including its indemnity obligations, shall not be limited by a limitation on the amount or type of damages payable by or for CONTRACTOR under worker's or workman's compensation acts. CONTRACTOR waives and releases all claims for or right to any consequential, incidental, exemplary, punitive or special damages. CONTRACTOR shall not bring claims or lawsuits against any principals, employees, agents, officers, directors, stockholders, partners or affiliates of OWNER, the beneficial owner of the Property, AIMCO, AIMCO Properties, L.P., or AIMCO-GP, Inc. CONTRACTOR further agrees that the sole and exclusive remedy of CONTRACTOR for payment and/or performance of this Contract shall be against the assets of OWNER. OWNER: AIMC N RTd By STEIC M u Signature: Print Na e: Matt CONTRACTOR shall purchase and maintain, at its sole expense, commercial general liability insurance with limits of no less than $500,000. The liability insurance shall cover all labor, materials, or services furnished hereunder and shall include a contractual liability endorsement. CONTRACTOR shall furnish OWNER with a certificate of insurance, naming the Indemnified Parties as additional insureds. CONTRACTOR shall also purchase and maintain workers compensation insurance as required by Laws and shall furnish OWNER with evidence of such insurance. Nothing contained herein shall create any third party beneficiary rights in any person not a signatory to this Contract except OWNER will be third party beneficiaries of CONTRACTOR's agreements with all of its subcontractors and CONTRACTOR shall include or cause to be included similar provisions in each of the aforementioned agreements naming OWNER as third party beneficiaries. The undersigned shall be solely responsible for the employment, control and conduct of its employees and nothing set forth herein shall have the effect of creating an employer-employee relationship between OWNER and any of CONTRACTOR's employees. All trade discounts, rebates and refunds and all returns from sales of surplus materials and equipment shall belong to and accrue for the benefit of OWNER. CONTRACTOR is prohibited from providing gifts or other things worth more than $25 to OWNER or any of its employees. CONTRACTOR's violation of this precept shall constitute grounds for immediate termination. CONTRACTOR's obligation to properly and timely perform and complete the Work shall be absolute. CONTRACTOR shall carry on the Work during all disputes or disagreements with OWNER. Conflict of Interest: Although CONTRACTOR and its contractors, subcontractors, consultants and vendors may employ relatives of employees of the OWNER, its affiliates, parent and subsidiary entities, including, without limitation, AIMCO and any of AIMCO's subsidiaries and affiliates that may directly or indirectly own or manage the property at or for which CONTRACTOR performs any WORK (the "AIMCO Employees"), CONTRACTOR shall immediately so inform OWNER as soon as known, or discovered. OWNER reserves the right to require that CONTRACTOR and/or its contractors, subcontractors, consultants, and any vendors to modify work assignments of the AIMCO Employee's relative where a conflict of interest, or the appearance thereof, is deemed by OWNER to exist. CONTRACTOR shall include this provision in any of its subcontracts and material agreements. CONTRACTOR acknowledges, understands and agrees that OWNER may execute this Contract by an authorized representative. Notwithstanding anything contained herein to the contrary, such authorized representative and/or its affiliates shall not incur any liability, or other obligation, under this Agreement to CONTRACTOR, for any reason, including, but not limited to, for any payments that may be due CONTRACTOR hereunder. This Contract entered into as of the day and year first wrttten above. CONTRACTOR: East Coast General Signature: �� \i Print Name: Tom Kinnal Print Title: Regional Director of Construction Print Title: President 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 EXHIBIT "A" SCOPE OF WORK For Contract: 14729 - 404879 - CP - 00003 CONTRACTOR shall perform the following Work in strict accordance with the terms of the Contract: 1.0 WORK SYNOPSIS Interior Restoration Post -Abatement - Unit 28-3 2.0 SCOPE OF WORK ROYAL CREST ESTATES NORTH ANDOVER UNIT RESTORATION 28-3 Construction Requirements: The work of the CONTRACTOR and their employees shall be performed in a good and workmanlike manner. Workmanlike quality is defined as workmanship that meets or betters those criteria indicated in applicable building codes, using materials and installation methods identified in the construction plans and this Scope of Work. Code Requirements: All jobs shall conform to those standards stipulated in the building code, health code, mechanical code, plumbing code, and electrical code applicable in the local jurisdiction. All construction on the OWNER'S properties shall meet or exceed NAHB Performance and Building Standards. CONTRACTOR is responsible for acquiring any and all needed permits/certificates for the work and any associated costs. Safety: CONTRACTOR agrees to comply with OSHA and/or any other governmental agency's safety rules and regulations. Should any citations, fines, and/or penalties, etc., be incurred by the OWNER due to the negligence of the CONTRACTOR, the CONTRACTOR agrees to indemnify the OWNER for any and all penalties, fines, etc., incurred. CONTRACTOR shall perform the following Work in strict accordance with the terms of the Contract: Location: Royal Crest Estates -North Andover, 28 Royal Crest Drive, Unit 3, North Andover, MA Turnkey Job: The CONTRACTOR will furnish all equipment, supervision, material and labor necessary to deliver a finished project/product which completes the scope of work and successfully addresses the projects intentions. Intent: Restore unit and building damage resulting from moisture damage and ACM/Mold abatement procedures in Unit 28-3 to the OWNER'S quality standards, such that the unit and building can be used and occupied comfortably after the work. Scope of Work: (Base Bid) 1. Remove master bath vanity, mirror, light bar, and toilet prior to demolition, save for re -installation after repairs or provide to maintenance office as overstock if requested. 2. Detach and reset existing wall heaters. 3. Discard removed fixtures as debris if property does not wish to retain. 4. Replace vanity with property provided vanity. 5. Install new 3 piece vikrell tub surround. 6. Replace tile window sills in master bedroom. 7. Remove specified door trim prior to demolition and replace. 8. Provide and apply Drylock foundation coating to interior of exposed foundation. 9. Provide and install unfaced fiberglass batt insulation in approximately 345 sf of exposed exterior walls. 10. Provide and install approximately 345 sf of 6 mil poly vapor barrier over installed insulation. 11. Provide and install approximately 1,182 sf of M. R. sheetrock on all areas removed by others. 12. Provide and apply compound and corner bead to all new sheetrock as well as paintable caulking as necessary. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 3 of 10 13. Sand smooth, prime and paint all sheetrock surfaces (new and existing wall area on same plane) two coats minimum. 14. Provide and install approximately 134 If of 3'/4 inch wooden baseboard. 15. Provide and install approximately 149 If of door casing/ac casing to match existing 16. Paint baseboard and casing to match existing. 17. Patch/skim, as necessary, walls where wallpaper has been removed by others. 18. Prime ceiling with BIN primer and apply new matching popcorn texture to approximately 336 sf to match existing. 19. Paint new popcorn/texture 2 coats to match existing. 20. Provide plastic floor and wall protection as necessary throughout the project. 21. Remove and replace existing master bath exhaust fan and ductwork, including wiring hook-up/modifications as necessary for proper functioning. (Fan to be provided by Aimco Service Manager) 22. Clean up and removal of all job related debris. 23. Household cleaning of affected areas. 24. Provide plastic floor and wall protection as necessary. 25. Provide a written schedule for the project. 26. Provide a minimum 1 year workmanship warranty effective starting from the date of final acceptance by OWNER. Inspection Reports (if required by OWNER): 1. The CONTRACTOR and the OWNER must walk the job together and complete the pre -work section of the inspection report(s) before work may begin. The pre -work section of the inspection report(s) must be signed -off by both parties. 2. The CONTRACTOR and the OWNER shall walk the job together and complete each section of the inspection report(s). 3. The CONTRACTOR and the OWNER must sign -off on all sections of the inspection report(s) attesting that the job is 100 -percent complete and is correct per the job requirements found in this Scope of Work. The final section of the inspection report(s) must be completed and signed -off on by both parties. 4. The CONTRACTOR must correct any deficiency found during the inspections and the job must be 100 -percent complete before payment will be made. Proiect Requirements: 1. Provide all materials, tools, equipment and labor, in appropriate quantities, to complete the following work in a workman -like manner to the best of industry standards, following all Manufactures (see contractors proposal) required material installation specifications 2. Provide protection of all surrounding areas, including, but not limited to landscaping, driveways, gutter systems, walkways, doors, roof overhangs, windows, masonry, etc., from falling debris and or material maneuvers during work in progress, or any material storage. 3. Additional work (if required due to unforeseen conditions) must be brought to the attention of Construction Services and be approved in writing prior to the commencement of additional work outside of this scope. 4. All new materials must be installed securely, and show good appearance including, but not limited to being installed straight and true. 5. All work must follow CONTRACTOR provided schedule, with daily updates through the site management team, with a minimum of 48 hours notice of any changes to schedule. This allows management to notify residents that this work will be taking place and whatever restrictions to normal traffic and or pedestrian traffic flow. 6. All work related debris must be kept clear of walkways and must be cleaned -up and removed to the dumpster or to an area designated by the OWNER at the end of each day of work. CONTRACTOR is responsible for removing all scraps and debris and placing them in the dumpster or designated trash site. The job will not be considered complete and payment will not be issued until all trash and debris are removed from the house and/or site. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 4 of 10 7. Upon passing inspection by Owners Rep (Construction Services Rep), contractor may request payment for work completed by submitting an invoice accompanied by a waiver of lien identifying the same dollar amount as invoiced and indicating the percent of the contract amount that is due and payable. 8. Building/Property will be occupied during the project. CONTRACTOR shall make all reasonable efforts to limit the disruption and impact on regular users of the Building/Property, including but not limited to, the OWNER and its employees, residents, guests, visitors, etc. 9. CONTRACTOR is responsible to field verify all quantities, dimensions, and layouts. Actuals may not match those provided to the CONTRACTOR by the OWNER, or any third parties. Third party information may not be all-inclusive of the specified scope or the project intentions. 10. CONTRACTOR is responsible for temporary utilities, facilities, storage containers and signage as necessary unless otherwise specified. Some site utilities MAY be offered temporarily at the OWNERS discretion, but may be withdrawn by OWNER with minimal advanced notice. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 5 of 10 EXHIBIT "B" SPECIFICATIONS AND DRAWINGS For Contract: 14729 - 40457' - CP - 00003 The Work shall conform to, and be performed, in strict compliance with the Specifications and Drawings identified below: 1.0 SPECIFICATIONS AND DRAWINGS Document Number Title or Description Rev. No. PART 1 —GENERAL 1.1 SUMMARY A. Section Includes: 1. Insulation/Vapor Retarders 2. Finishes a. Wallboard b. Paint 1.2 DELIVERY, STORAGE, AND HANDLING A. Store materials in dry spaces protected from the weather, with ambient temperatures maintained within range recommended by manufacturers, but not less than 5 deg F= or more than 90 e 1.3 QUALITY ASSURANCE A. All work is to be done by trained, experienced individuals. 1.4 PROJECT CONDITIONS A. Paint 1. Paints and solvents should be maintained at a temperature between 50 degrees Fahrenheit (F) and 90 degrees F, and stored in a well -ventilated area. Freezing temperatures may permanently damage water- based paints as may subjecting paint to frost. 2. Paints not stored within the recommended temperature range should be conditioned for at least 24 hours at a temperature of 65 degrees F to 85 degrees F. Paint materials should be mixed prior to delivery to the job and then hand -mixed just prior to use and periodically during application. Caution should be taken not to over mix, causing the incorporation of excess air. 3. Paint should be maintained at 65 to 85 degrees F at all times during application. Paint should not be applied when temperature is expected to freeze prior to drying. Paints should be applied at manufacturer's spreading rates. When successive coats are used, allow sufficient time for each coat to dry thoroughly before the following coat is applied. Materials below or adjoining the work should be covered or otherwise protected. 4. Surface and air temperatures should be between 50 and 90 degrees F for water-based coatings and 45 to 95 degrees F for other coatings unless the manufacturer stipulates otherwise. B. Paint 1. Painted or finished surfaces should present a smooth, unblemished, homogeneous appearance without drops, runs, lumps, streaking, or visible color variations. Each coat should be allowed to dry prior to the application of the next coat. 2. The final interior paint job will be inspected in both sunlight and normal room lighting. Any defect visible from a distance of 6 feet under these conditions will be considered unacceptable. C. Wallboard 1. Drywall panels should be cut to fit easily into place, with no gaps greater than 1/2 inch. Drywall should be securely fastened using fasteners of a type recommended for the intended application. Fasteners should be driven squarely and placed at least 3/8 inch from the edges and ends. Heads should be seated no deeper than 1/32 inch below board surface and should not break the facepaper. 2. The finished drywall should present a smooth, unblemished, homogeneous appearance with inconspicuous joining between boards and no visible fasteners. There should be no areas of raised fibers on the facepaper due to over -sanding. Clearly visible nail pops, seam lines and cracks are considered unacceptable through the first-year Warranty period and are absolutely unacceptable at the completion of the job. PART 2 -PRODUCTS 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 6 of 10 2.1 INSULATION A. Fiberglass Batt insulation B. Low expansion spray polyurethane around exterior wall openings 2.2 4-6 MIL POLYETHYLENE VAPOR RETARDER 2.3 FINISHES A. 5/8" TYPE -X GYPSUM WALLBOARD B. 5/8" MOLD RESISTANT GYPSUM WALLBOARD C. PAINT 1. Walls a. Non -Kitchen, Non -Bath: Single Tone Scheme: 1) Sherwin Williams 2) Flat, 3) ICI 1221, 4) Color to be site selected 2. Trim a. Sherwin Williams b. Semigloss, C. ICI 1427 d. Color to be site selected PART 3 - EXECUTION 3.1 EXAMINATION A. Examine substrates, with Installer present, for compliance with requirements for maximum moisture content and other conditions affecting performance of the Work B. Verify that finishes of substrates comply with tolerances and other requirements specified in other Sections and that substrates are free of cracks, ridges, depressions, scale, and foreign deposits that might interfere with adhesion of floor plank. C. Proceed with installation only after unsatisfactory conditions have been corrected. 3.2 PREPARATION A. General 1. Prepare substrates according to manufacturer's written instructions to ensure adhesion of resilient products. 2. Fill cracks, holes, and depressions in substrates with trowelable leveling and patching compound and remove bumps and ridges to produce a uniform and smooth substrate. B. Doors/Windows 1. Protect all frames, jambs, and doors against warping delamination, and splitting. 2. Doors/Windows shall be shimmed, squared, and plumbed. 3.3 INSTALLATION A. Doors/Windows 1. If any framed opening is not correctly sized, or is out of square or not level, and the CONTRACTOR cannot easily correct the problem, the OWNER should be immediately notified. 2. All windows and doors shall be installed so that they are centered in the framed opening and level within 1/16 of an inch. Casing trim margins shall be between 1/8 in. to % in. 3. Set and putty all nails in wood to receive paint or stain. Nail trim with finishing nails of proper size to hold the member firmly without splitting the wood. Pre -drill if necessary. 4. Sand all finished wood surfaces to provide a uniformly smooth surface. Always sand in the direction of the grain. 5. Windows shall be square, plumb, and level to 1/8 in. and shall operate freely and latch securely. B. Paint 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 7 of 10 1. All nicks, gouges, scrapes, damage, etc., should be repaired, treated, or otherwise taken care of before painting begins, both in the drywall and trim. 2. All nail holes in trim are to be filled with wood filler, sanded, and smoothed. All nail holes in drywall shall be repaired with drywall mud, not caulk. 3. Excess damage to drywall, trim, or doors is to be reported immediately to the OWNER. 4. All interior trim paint shall be applied with a brush and shall have two (2) coats. 5. Paint drippings and spills must be cleaned from tubs, showers, countertops, and all other areas. 6. All over -spray on window glass and aluminum window trim (inside and outside) must be wiped off with a damp rag before it dries. Aluminum window trim, especially the white baked -on finish, is easily damaged by razor blades and other items when the cleaners try to remove dried paint over -spray. 7. Paint drippings or spills on vinyl or wood flooring must be cleaned immediately without damage to the vinyl or wood flooring. 8. The final interior paint job will be inspected in both sunlight and normal room lighting. Any defect visible from a distance of 6 feet under these conditions will be considered unacceptable. 9. The CONTRACTOR is to take care not to damage work done by other CONTRACTOR& If any sink is used for washing brushes, etc., the sink shall be cleaned of any paint residue prior to the job being considered complete. 10. Exterior paint shall be specified by OWNER. 11. Exterior paint shall be two (2) coats, both of which may be sprayed. 12. Exterior trim paint shall be specified by OWNER. 13. Exterior trim paint shall be two (2) coats, both of which must be brushed. 14. All exterior areas to be painted, including the foundation, shall be free of dirt, mud, excess caulking, and any other foreign matter. 15. No thin spots in either interior or exterior paint are allowed. 16. Finishes shall be uniform and smooth, with no lumps, drips, runs, streaking, or visible color variations. 17. Any over -painting on trim must be cleaned from surrounding area. 18. Paint must be cleaned from all hinges and other hardware. 19. All door painting must be smooth, with no lumps, bumps, runs, color variations, and of a uniform appearance. Any defect visible from a distance of 6 feet in sunlight and normal lighting is unacceptable. 20. Over -spray must be cleaned from any brick, stucco, or other finish. 21. Decks, porches, outside handrails, etc., are a part of the outside paint package and shall be painted, stained, or left untreated per plan. 22. Any defect in outside paint (walls, trim, etc.) visible from a distance of 6 feet in normal sunlight will be considered unacceptable. 23. Interior handrail coatings shall be uniform with no drips, runs, light spots, etc. Any defect visible from a distance of 6 feet in sunlight and normal lighting is unacceptable. 24. All interior base, casing, shoe molding, door, and window jams, crown molding, chair rail and any other wood trim will be caulked. 25. All exterior siding joints, corner boards, fascia boards, overhangs, cantilevers, windows, doors, vents, and any other wood trim or siding shall be caulked. On houses with brick fronts, all gaps between the brickmold and brick will be caulked. 26. All thresholds must be caulked to prevent moisture and insects from entering the house. 27. All exposed metal lintels shall be wire -brushed to remove any rust and painted with a black, rust -proof paint 28. All doors that have been taken down to paint shall be rehung, straight, level, and undamaged. C. Wallboard 1. Seam lines and cracking can be minimized by avoiding large gaps during installation and by installing panels in a manner that avoids conspicuous butt -end joints. When butt -end joints must occur, they should be staggered and as far from the center of walls and ceilings as possible. Whenever possible, panel ends and edges that are parallel to supporting members should fall on those members. 2. Measurements should be taken accurately at the point of installation to allow for irregularities in framing. Cut edges should be smoothed to fit accurately. Ceiling panels should be placed first and cut so as to fit easily into place without forcing. Tapered panel edges should butt tapered edges and square job -cut or mill -cut ends should butt other square -cut ends. 3. Fasteners should be applied starting in the middle of the panel and moving toward the outside. Nails or screws should be seated squarely while the board is held in firm contact with the framing support. Where adhesive is used, bonding surfaces should be free of dirt, grease, oil, or other foreign material6. 4. All beads must be installed per the manufacturer's instructions. All corners, ceiling lines, etc., must be straight with no hairline cracks. 5. Three coats of joint compound are required: an embedding coat to bond the tape and two finishing coats over the tape. Each coat must be thoroughly dry before the next is applied to ensure -that the surface incurs maximum shrinkage and can be readily sanded. For the final coat, sufficient lighting must be utilized to ensure a quality finish. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 8 of 10 w• 6. Drywall is to be installed either vertically or horizontally depending on the most efficient use of the material. 7. CONTRACTOR will keep waste to a minimum. 8. Ceilings will be stippled unless notified otherwise. Stipple shall be uniform with no thin or missed spots. Stipple must be uniform from room to room. 9. All corners, lines of tray, and vault ceilings shall have beads and be installed per the manufacturer's instructions. 10. Drywall should be cut accurately and should fit together with a maximum 1/2 -inch gap between sheets. 11. No cut -on-site edges shall be used in vault ceilings. Factory -cut edges must be used at the peak of the vault. 12. Drywall should be firmly attached to all framing using nails, screws, and adhesive. There should be no give, bows, or warps in any board. 13. Heads of fasteners should be seated no deeper than 1/32 inch below board surface and should not break the facepaper. Fasteners shall be installed every 16 inches on center. 14. All drywall edges shall be smooth and clean. Drywall shall not be cut with anything that leaves a ragged edge. 15. Hairline cracks in corners are unacceptable. 16. There should be no areas of raised fibers due to over -sanding. 17. All electrical boxes are to be free and clean of any drywall debris or mud before the CONTRACTOR leaves the job. 18. Drywall installed around tubs and showers shall fit snugly with no gaps larger than 1/4.inch. 19. Drywall around the fireplace box, any door, window, or electrical box shall fit level and snug against jacks, fireplace box, or electrical boxes. If drywall is broken around electrical boxes, it shall be cut and patched with drywall to fit snugly around the box. 20. The CONTRACTOR and its employees are not to stand on tubs, sinks, or countertops, or place any materials on them. Any fasteners dropped on tubs and sinks shall be picked up so as not to damage the finish of tubs and sinks. 21. The CONTRACTOR shall not leave any holes in storage rooms, around heating units, etc. All areas that receive drywall shall be taped, mudded, and sanded. 22. After primer coat of interior paint is applied to walls, CONTRACTOR is responsible for touch-up on walls and ceilings at no additional charge. 23. CONTRACTOR is responsible for a final touch-up, as required, after the OWNER's walk-through. 24. The CONTRACTOR shall furnish heaters as required. The CONTRACTOR is not required to leave his or her own heaters overnight unless they are returning the next day. If the job requires heat overnight notify the OWNER. 3.4 CLEANING AND PROTECTION A. Comply with manufacturer's written instructions for cleaning and protection of materials. B. Perform the following operations immediately after completing material installation: 1. Remove adhesive and other blemishes from exposed surfaces. 2. Sweep and vacuum surfaces thoroughly. 3. Damp -mop surfaces to remove marks and soil. C. Protect products from mars, marks, indentations, and other damage from construction operations and placement of equipment and fixtures during remainder of construction period. D. Unit is to be left clean and broom -swept. 1 Page Form, GC, Lump Sum, Contract, 2 -Jan -12 9of10 s Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS -082747 THOMAS H KINNAL 286 BROADWAY; HAVERHILLMA 018324 e FX piraTiOr Cos missmner 06/20/2014 amo:zonu�e a� /j�aa�acivaCc Office of Consumer Affairs &Business Regulation, 4 HOME IMPROVEMENT CONTRACTOR ` �� Registration 148212 Type: �< Expiration 9/1312Q13 DBA EAST COAST GENER_ AL CONT}:gCTING t a THOMAS KINNAL =; 286 BROADWAY HAVERHILL, MA 01832 .: a Undersecretary The Comwimeafth ofHassachrrsetts Deparbnent ofbdrrstr°iar.Accidertt5 Office of-Tywatggations 600 Washington Street BostoY4 MA 02111 UV Mm.mmsgovIdia . Workers' Compensatioix Imu ranee Affidavit: BvffderalCont ractors/FIectdcians/Plumbers Applicant Information Please Prim Le�iblY Name (B:usirmdorgaaiz gondaaiviauao: LCAjjC co45T G AV t 60 rf! e�J•u tra Address• ZgG 6 City/Sta eMp: - � G�� �A� 0 t 9.7 Z Phone #: 9 7C :960 e�1 Are you aaa employer? Check the appropriate boa: 1.9I am a employer withAli' 4. Q I an a general contractor aadI employees (fnll-and/orpart thMa) * bavebiredfha sub-conhacfors 2. [� I am a sole proprietor orpmrmex- +ship aridhaveno employees working forme in any capacity'. [No workers' comp. bsmance • required.] : 3. Q I am a homeowner doing all -work myself~ [No workers' comp• im5mmee required.] t hated on the auachedsheet These sub -contractors have workers' comp. insurance. 5. ❑ We are a corporaii m and ifs officers have exercised1heir right of exemption per MOL. o. 152, §1(4), andwehaveno employees. [No workers' comp. insurance required.] Type ofproject (required): 6. ❑ New construction 7. ❑ Remodeling . 8. [] Demolition 9. [] Building addition 10.0 Electrical repairs or additions 11.]] Plambingrepairs or additions 12.❑ Roofrepaim 13.❑ Other *Any applicantthatcbedmbox#ImustabofUoutthoswtkmbdowshowbgteitwedmW WMPasdNonpoliayiafamiaiion. tHomeawn a who submitfl& dM vitkdi�g tbw am d ft a work and $Len hue oubd& conf *M mwtsabmit anew e6Owk indicating snob. #Conhacio:s that nheckft boxmmtattachedaa adddionalsheetshowingthemime ofibe sub-eonhaab n andtheswodm' comp. polieyfi fnmation. Jam an wFlo3►er that isyrbvic3Yxg workers' con, perrsadoB insrawxa-formy eMlgyees. Be%w is tlaepo7icy aradJob site Informadox I Int i-4 Ius3uance (+�, -awavamor [ tf policy #orSelf w. Lie, �(i�' 31s - 3S3g1(o— D ZZ- Bxpira mPata: Z' / Z za,3 3bb Site Address- �0 X57' ��` City/Zip: • f/�l�G s l �`� Attach a copy cftheworkers' compensation polieydeelarationpsge (showiaagt%epolicynmaaberaud expiration date). Failure to secure coverage as regd:eduader Section 25A of MOL c 152 oan leadto tha impoddm of criminal ponaMm of a - ftne up to $1,5003.00 andfor one-year hq3 risomne-, as well as civil penalties is the form of a STOP WORK ORDER and a fine ofup to $250.00 a day sgdWtthe violator. Be advised that a copy ofthis s€atm—tmiaybe fomarded to the Of goo of Iuvestigaiions ofthe DIA. for insurance coverage vecificfttion. I do Tiereby certrfy undertlse paha penaUft ofyerfwy that the ittfonnatwnprovided ove true axdcorrect o:....•..r...._. �-----tom/..,� Date., Y • /'3 Official use osely. Do not wrhe in this are4 to be com„ Meted by city or town of}iciai Cfty or Tower.: PeaxraitbL.f cense # . Issuing Authority (circle one): x. Board ofHealth 2.330dingDepartment 3. C1fylTown Clerk 4. Medrical hVeetor I Plmnbing7nspeetor 6. Other ContactPerson:. Phoue #. ACS CEWIFICATE OF LMBILIW INSUMNCE F 912712012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGIM UPON THE CiR2 RCATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRWIATIVELY OR NEGATIVELY AMEND, EXYEIwID OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CO al1U'MTE A CONTRACT 8E7WEEN THE ISSUING INSURER(S), AUTHMM REF SENTATIVE OR PRODUCER, AND TM CERTIFICATE HOLDER. IMPORTANT: U the oertfficate how is an ADOMONAL INSURED, the ~ms) must be emlorsed. N SUDATION IS WAIVED, subject to Ute teams and conditions of the policy, certain policies may require an endorsenwnL A statement on this cerdfLcate does not confer lights to the certificate holder in lieu of such mnent(s). PRommm FRED C CHURCH INC CONNECTOR 18 1 41 WELLMAN ST MA PARK CONTACr WNL: ,�s-j ¢ u, 454-4 E-RftL ADDREM aFFa�ccovmAc.E aas:s INSURER A: 'H MAS H KINNAL DBA EAST COAST GENERAL CONTRACTING 286 BROADWAY HAVERHILL MA 01832 pec arc: WSURERD. INE. DoPiRot F- THIS IS TO CH2I IFY THAT THE PCIMES OF INSURANCE LISTED BELOW HAVE BEEN WaJED TO THE MURE D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTANDff4G ANY REQU REMENT, TERM ORCONDMON OF_ANY CONTRACT OR OTHER =WMENT Wff 4 RESPECT TOW 4M TM CFR7WM''TE MAY BE IS6UED OR MAY PERTAK THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE IV RMS, EXCLUSIONS AND CONDITKNS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN Rim BY PAID CLAIMS. E TWEOFWSURARCE Poucyvemm PCLICYEFP P�CY UNITS GENERALUA90JIY COMMERCIAL I AL GENERAL LL40 UN CLARPSNiADE ❑ OCCUR EACHOC URRENCE a ocau — a MED EXP ( w o" a PERSOM&ADVOLKW a GENERALAGGREG-ATE s GENIAGGREGAIELIWAPPLiESP6i POUCH M CAC PRODUCTS -OOMPMPAGG E $ AUT090M9UABRJW ANYAU O Au """ED ll "" CG A HIRE�AUT�_ 8 g BODiLYOlJURY(Perpeuconj S IIOOiLYMRJRY(Peracdderdi a s ` a a UNBRIM1AUAS EXCESS UAB OCCUR CLAIMS -MADE EACHOOCURRENCEa AGGREGATE a DFD RETENnONS $ a s Aw os moffox ANYISZ 1'ORIPARINEWEXECUtWE Y/N OFFiCERIMENAM EXCLUDED? El (Mandbtarylnwo ttyes a9esameurldw DEBCRIRnON OF CPERATIONS W1 w N!AJ VVCr,,-3is imie4)22 11232012 212312013 ELEACFIACCKA3ff $ 5000 ELDI8EASE-FAEN1 a SO EL iSSEASE- POUC W f s L "M OF OPERATWNSI LOCATIONS/ VDMW .~ AOS 101, Addiliw d %xvaft &ft&ft Name "am Es requn" WbAers compensation insurance coverage applles only to the workers ewrpensation laws of the stats TIRO. AIMCO NORTH ANDOVER LLC_ 50 ROYAL CREST DRIVE NORTH ANDOVER MA 01845 SHOULD ANY OF TIS ABOVE DESCRIM POLICIES BE CANCELLED BEFORE THE 00nUIM DATE THEPMDF. NOTICE WILL BE 08lVEP" E ACCORDANCE WffNIMPaLICYPROVORM. AuMMMEo_4 M-%t�L Ei�rRF. HraTLYE 4 Jeff Elthifte 01988-L@ ACORD CORPORATION. AN rights veseved. ACORD 26 (ZO'lOMj The ACORD nam and logo are fegislered mals of ACORD COO NO.: 14235761 ratherine Nicholas ;W/2012 2902s}0 PM Page L of 1 !chis certificate cancels and supersedes previously issued certificates. C10 A� EP CERTIFICATE of LIABILITY INSURANCE OWSM12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TMS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TMS 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 pollcy(ies) must be endorsed. N SUBROGATION IS WAIVED, Subject to the teens 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 endomement(s PRODUCER Fred C. Murch, Inc.PHONE man 41 WellStreet ��ACT Arnmea 9783717172 Fxx 97a 4541865 AIC Ido . E Land. MR 01851 (800) 225.1865 AIFFOROHNO COVERAGE NAiC S INSURER A peedesshm"neecornpany 24198 INSURED Thomas H K=W DBA East Coast General Contracting INSURERS: X COMMERCIAL GENERAL LIABILITY INSUFIER C INSURER 0: 286 Broadway Haverhill, NIA 01632-2906 Daum-TZRENTED 100.000 �iSES IES Occurrence S INSURER £ : INSURER F' CWMS4AADE a OCCUR Mi_ n�vr•nA --=& r-x:xmFrr•_aTF NJ IRAFWR• -. --- ntvr.241.0111 murnor-m: 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. LTYPE TR OF INSURANCE POUCY NUMBER POLICY EFF FOM � LIMITS GENERAL LIABILITY EACH OCCURRED 5 1000.000 X COMMERCIAL GENERAL LIABILITY Daum-TZRENTED 100.000 �iSES IES Occurrence S MED EXP Any am person) S 5.000 CWMS4AADE a OCCUR Mi_ PERSONAL 8 ADV INJURY'S A CBP8384091 2tt5f2012 2115/20131.000:000 GENERAL AGGREGATE S 2000000 GENL AGGREGATE UMIY APPLIES PER: PRODUCTS - COMPIOP AGG $ 2000000 S POLICY PR LOC AUTOMOBrLE LIASIL1TY - - _. _ -. _ _ 8SiNGLE UMR 1.000.000 Com.( ac accident) BODILY INJURY (Per person) S — ANY AUTO BODILY INJURY (Persodd-1) S A ALLY D X SCHEDULED X HIRED AUTOS X AUNT ED SA1x18289i 2M3r2M2 21132013 Pur em 5 S I UMBRIA."LIAIOCCUR HOED EACHOCCURRENCE $ AGGREGATE S EXCESS ltAa CLAIMS -MADE I RETENTIONS S WORKERS COMPENSATION VYC STATU- OTN- iH AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEX£CUTIVE Ya 'E -- E.L. EACH ACCIDENT S E.LDISEASE -EA EMPLOYEE s OFFtCERIMEMBER EXCLUDED? (IMandalwyInNH) NIA E.L. OISEASE - POUCY LIMIT $ K Yes. des rilm under DESCRIPTION OF OPERATIONS Wow OFSCR9=TiON OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101. Additional Remarks Schedtft it more space is, Property Name: Royal Crest Estates (Nmih Andover) Contract No. 14592- 404879 CP - 00003 CoveragetrrdudesOVNERasAdditional Insureds. ,ACO UORTH ANDOVER ILC Royal Crest Drive rth Andover MA 01845 A �— MSI e SHOULD ANY OF THE ABOVE RSD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VV17H THE POLICY PROVISIONS. AU7HOI:3ZEDREPRESENTATIVE rnrt 1-r„ Irirx it 41596 © ISM2010 ACORD CORPORATION. Ail riahts reserved. ACORD 25 (2010105) The ACORD name and logo are regishmd marks of ACORD MAL� l ` (y UA4 Location U 0�� l,L+tU 2iS No. v � Date_ Check # b195 •ISI TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ — Foundation Permit Fee $ Other Permit Fee $_ TOTAL $ 1 1 Building Inspector