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HomeMy WebLinkAboutBuilding Permit #701-14 - 29 ELMWOOD STREET 4/10/2011Permit N Date ISSL v: LOCA PROP MAP NO: ePARCEL:� _ ZONING DISTRICT Historic District - -- a s Miachine Shop TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received ANT: Applicant must complete all items on this yes TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial D(Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r _ ❑Septic ❑`Well ' , p Floodplain 0 Wetlands =- ❑ Watershed 0istnct ❑ 1Nater/S ewer..,_ DESCRIPTION OF _..�, _ BE �'ERFORMED: C• Identification Please Type or Print Clearly) OWNER: Name: Ja ro, %Z • 1110m oy) Phone: Address: a `l 61 l,J0 S N, hyL�Qe/' xm/+Ul $'Ll S """ Phone•- 6L_ �. t ONTRACTOR` Name: w-- _n� Address: � ,I 1e ` 51 a-4- Ct Sp ervisor's Construction License: (�l� Exp. `Date p _ a - SCJ} 'Dat Home Improvement-Licensoil-7-6-2' Exp e _ - r. ARCHITECT/ENGINEER Whchke/ 13;1(90 G' Phone: 6—1 / ?/3 �003,1 Address: Reg. No. FEE SCHEDULE: BOLDING P RMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 7o©, a 0 FEE: $ 15-0 Check No.: S,;2� ) Receipt No.:, -2 ?1 1,-5 �_( NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted �A Plans Waived 11 Certified Plot Plan 11 Stamped Plans 11 Location" Date .. t Check #�S� 27-438 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans -Submitted ❑ 'Plans Waived ❑ . Certified Plot Plan ❑ Stamped Plans 0 TYPE OF-:SEWERACEDiSPO-SAL ' ,Public Sewer ❑ Tanning/MassageBodyArt ❑ ... _Swimming Pools ❑ Well ❑ Tobacco.Sales El.. _Food Packaging/Sales ❑ Private:se.P tic tank etc._ Permanent Dempster. on Site ❑ =THE- FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE. REJECTED DATE:APPROVED PLANNING & DEVELOPMENT' ❑ ❑ COMMENTS CONSERVATION Reviewed on `7 .. I U- / 7 COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes F'lanning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connectionisignature & Date Driveway Permit DPW Tow;-, Engineer: Signature: Located 384 Osgood Street FIRE DIEPART(tflL iAfTemp Dumps#er on site .yes no Located at 3124�MairStreet r `` Fire Depar#me►it'signature/date COMMENTS _Dimension Number of Stories: Total land area; sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of. Meter,locatton-, r6ast or service drop requires approval of 'Electrical Inspector Yes No DANGER -ZONE LITERATURE:. Yes No MGL.Chapter 166.Sectlon 21A -F and G min.$100-$1000..fine ICU 1 tb and UA I A — (vor Cle ® Notified for pickup - Date Doc.Building Permit Revised 2010 ent use Building Department The fol swing i9"aA1tt 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%O'r°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 Copy of H.I.C. And C.S.L. Licenses o 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 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) N ❑ 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp tlfe decision from the Board of Appeals that the apwal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subn0ted with the building application Doc: Doc.Bui?ding permit Revised 2012 COMPLETE PROPERTY SERVICES CARPENTRY INTERIOR/EXTERIOR - LANDSCAPE MASONRY MICHAEL E. BILBO `> STONEHAM, MA 16 -2005 X104990 BILBOM@YAHOO.COM The Commonwealth of Massachusetts - Department of 1'ndlush!g1 Acc1d&ts Office oflnvestigations 600 Washington. Street Boston, MA 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit: Builders/Cont°actors/Electricians/Plumbers Applicant Xnformaiion Please Print Legibly % r Name (Business/Organization/individual)./,/w GHQ( 31,lo 0 Address: _517 City/State/Zip: �,2I �c/ Phone #: 6117 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. [] New construction employees (full and/or part-time).* 2. [� I am a sole proprietor or partner have Hired the sub -contractors listed on the attached sheet. 7• ❑Remodeling ship and'have no employees These sub -contractors have 8. E]Demolition working forme in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its 9, E]Building addition [No workers' comp. insurance officers have exercised their 1011 Electrical repairs or additions required.] 3111 am a homeowner doing all work right of exemption per MGL 11. ❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roofrepairs insurancere ed �' ] employees. [No workers' 13.[J Other comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they air doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an ddditional sheet showing the name of the sub -contractors and their workers' comp. policy information. .r am an emyloyer that isproviding workers' compensation insurance for my employees. Below is the policy and job site information. insurance Company N Policy # or Self ins. Lic. Expiration Date: Job Site Address: 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 requiredunder Section 25A of MGL o. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. f do liereby cert under the pains and penalt•es of perjury that the information provid�edd abov/e is true and correct Phone##: Official use 0111y. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other _- - - - Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract ofhire,- express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a- deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be. an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill, out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents fo; confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be -sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (ifnecessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamp ed or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses..A. new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Tho ComMojjwoajtbLofjtassachvsetfs Depatbint offadustdal .Accidents Offtoe of Investigations 60G WashiVon Street Boston,, MA. 02111 TO # 61.7-721-4.900 oA 406 ox 1-8.77, cASSA F, Revised 5-26-05 Fax # 617-727-7749 WWW. tass,g¢v1cha CD 0Z C O Cr >co .O O O C C C cr CD O C' O S• = CM CD C O Ow. �G n n' 0 2) m �F N O O CD 0 CD Z m Cl)� to nm Z cn 'm -4 Z -0 a) V+ W C_ r v z Q z. m O 70 0 = O O CD < M m a =ca Z1 O 07Q O CD T j 0CD c CL ;10T O orq O =r cn a „��' cn O O r+ CL n S W0� N o O m Q. 03 �, CD O O : 0 cc. 0 � ,..r. 0 rt (D (D (D (D rt C � rt G N' rt 'r oo� CD o 0, Cr rt D (D u' CL 5. = 0 CL O __ co (D _ o 2 0 m �1 m cn 2 O y CD N O O CD < M m a CD Z1 O 07Q D (A M T j (D r r ;10T O orq m m n z m j 0, Ms c Z Z H m 0 T j n S o :t C z v+ m O N (D N 3' T O w D v ° m m D x O O CD 3 (D (D cn (D O (D rt C � rt v 'r CD CD rt o � 0) o C (n(n 77 M Z< O co C M m a T O' Z1 O 07Q D (A M T j V1 (D ;10T O orq m m n z m j A O Ms c Z Z H m 0 T j n S S O T O 0' C z v+ m O N (D N 3' T O w D v ° m m D x 0 c Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of "A Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Contractor Information Name Company Name Street Address (do not use a Post Office tox address) a•7 Sf Contractor/ Salesperson/ Owner Name. 13/1.19e Elwi-Wood r City/rown State Nr 44 Y* Zip Code o 89 S" Business Address (must include a street address) 2s, mele S� Daytime Phone Evening Phone g1-S12-�Q�la 7_79 -79S -60a- City/Ibwn State Zip Code SrOACAA y7 04a Mailing Address (It different from above) Business Phone I Federal Employer ID or S.S. Number I.. requires that most home Improvemeor ronnncta. have void regutratiov number Home Improvement Contractor Reg. Number � � 631,6 3 / % 6 '{l1 Expiration date The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed, specifying the type, brand, and grade of materials to be used, use additional sheets ifnecess 4�dew) t;4 !tyl'1� 01 / fGKA( ot/c coXS7dtg'ydeck A164evw`rh STarf5 �j lh<gqaaua� 14/1 £!cera d'Ppm_9 qid77� r Required Permits - The following building permits are required Proposed Start and Completion Schedule - The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be r� / excluded from the Guaranty Fund provisions of �/ f ate when contractor will begin contracted work. MGL chapter 142A.) ilf-Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule 0 /{ Voq o O ( ) The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: $_Jj,j bn signing contract (not to exceed 1/3 ofthe total contract price or the cost of special order items, whichever is greater) $�//_ or upon completion of 0 by / q/Q/ or upon completion of y ��CC (�li� $ l (] upon completion of the contract. (Law forbids demanding full payment until contract is /completed to both party's p�aarty's satisfacJ�tiion) n yn The following material/equipment must be special $ �0 to be paid for i�S� D 1 f ✓N'� w` r� GAY / �`ua ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES: (*) Including all finance charges (**) law requires that any deposit or down -payment required by the contractor before work begins may not exceed the greater of (a) one-third of the total contract price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty - Is an express warranty being provided by the contractor? N[No ❑ Yes (all terms of the warranty must be attached to the contract) Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance" document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy shmAd be kept by the contractor. r . 7Z J Homeowner's Signature Contractor's Signature Date Date Contractor Arbitration �J The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor,,the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor h; as a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. Homeowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at llttp://www.mass.eov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1 - 11/22/2010 4> NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO [Name of Seller], AT [Address of Seller's Place of Business] NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. 45�Date: — i — l Buyer's Signature: 2 7)� Michael E. Bilbo Co. description Estimate Complete Property Services h Andover Ma pt n Proposal the ground according to plans provided. Date: 4/9/2014 Note: Change in estimate based in increase of deck size from 10'x12' Proposal # 201402 To (Estimated at $3200.00) to 12'x12'. Sara R Thompson - Original square footage estimate: $26.60 per sq. foot 29 Elmwood st - Additional square footage (24 sq. ft.) estimated at: $21 per sq. North Andover Ma Customer ID [ABC123] Carpenter Job Payment Terms Due Date Upon acceptance of proposal, work will be scheduled based on availability Mike Bilbo 29 Elmwood st Nort for 7 consecutive work days. Subtotal 3700.00 Required Deposit .2200.00 Total atter Deposit 1500.00 Thank you for your business! 25 Maple Street, Stoneham, MA 02180 Phone 617.913.1179 Email bilbom@yahoo.com Qty description Estimate h Andover Ma Upon invoice Qty description Estimate Remove existing 8'x8' deck replace with new 12'x12' deck with stairs to the ground according to plans provided. Note: Change in estimate based in increase of deck size from 10'x12' (Estimated at $3200.00) to 12'x12'. - Original square footage estimate: $26.60 per sq. foot - Additional square footage (24 sq. ft.) estimated at: $21 per sq. foot All Materials and Labor 3700.00 Upon acceptance of proposal, work will be scheduled based on availability for 7 consecutive work days. Subtotal 3700.00 Required Deposit .2200.00 Total atter Deposit 1500.00 CERTIFICATE OF LIABILITY INSURANCE DATE (MMA)DM'YY) 4/9/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES 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(ies) 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 CONTACT NAME: CORSO INSURANCE AGENCY INC PHONE FAX (AIC, No, Ext): (AIC, No): E-MAIL ADDRESS: 274 MAIN ST PO BR 80170 INSURER(S) AFFORDING COVERAGE NAIC p STONEHAM, MA 02180 INSURER A: SAFETY 781-438-9567 f) 781-438-3207 INSURED INSURER B: Michael E Bilbo Company INSURER C INSURER D: 25 Maple St INSURER E: Stoneham, Ma 02180 INSURER F: COVERAGES CERTIFICATE NUMBER: KtVIJIUN NumCCK: 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 INSR WVD POLICY NUMBER POLICY EFF (MM/DDNYYY) POLICY EXP (MMIDDfYYYY) LIMITS GENERAL LIABILITY X, COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR BMA0020687 10/3/13 -. 10/3/14 EACH OCCURRENCE $ 300,000 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE 0. El LOC PRODUCTS -COMPIOPAGG $ 600,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AU OSWNED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRTY DAMAGE OPER (Per accident) $ $ UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ -7$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA W_STATU- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H mora space is required) CFRTIFICATE HOLDER CANCELLATION Sarah R Thompson SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 29 Elmwood Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover, MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. IN AUTHORIZED REPRESENTATN 7'OQ'4U-IV NV VRIJ VVRr VRM11V1�. ~11{,IIW 1CACrvcu. ACORD 25 (2010105) The ACORD name and logo are registered marks of AC V Office of Consumer Affairs & Business Regulation - Mass.Gov The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints Registration # 176816 Registrant Name MICHAEL BILBO Address 25 MAPLE ST City, State Zip STONEHAM, MA 02180 Expiration Date 09/30/2015 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search © 2012 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. http://services.oca. state.ma.us/hic/licdetails.aspx?txtSearchLN=78736 Page 1 of 1 Home Improvement Contractor Registration Home Page 4/10/2014 Interstates I SR Roads Ce Easements 0 MVPC Boundary n Parcels 1"=64ft •�° a Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map was produced by Merrimack Valley Planning Commission (MVPC) using data provided by the Town of North Andover. Additional data provided by the Executive Office of Environmental Affairs/MassGIS. The information depicted on this map is for planning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION 7 F .= �8 • Y.. ! S� A f l oo A•. � 'I � r Y r t 'r•.'A aY 'fir �) .. )/ ._; r � ry Y' s ,� s Y ..i ;; `•� r a "w"' v+.�. / l} gi ,: �. l $AIL,. Lw g•� t r' t ,t r � t K, tiY; 4 .�Fi �_•�y�'�i_"]y�F. � i� ��/ i { Y� A �•h+ 1' Y ','(V7777 aylal�JTII ,r Y `h a Y `) �9 ' Y 'Y'2Y`1� Y 1 1 ��b }�f'k"T1 F;���i»gx t� Y r � `}��a Y Y Y •Y vfr :•,r ? r st'" `�, ,l Y l .a�' - ! • }� Y. a r �$•47, � Y Y ��1�� /9h i Y Y � 8 csC� .. ) Y �, Y Y 1 {. •i Y Y � 1 IIS .. a �.. � � �:d.. ,.JI�•J'a�� . `�' / M-. ?:.._ .. , . � � : ^f *r �E�\t �' �•�i �. �A-S$ a. _ .-a,.'k+l ff Z9 D N n 0 X S (D (D O � rr 1 1, I CL X 'r Ol LA r+ O �o = n O (D O '+ :3 cr A � � , (D (D 2 H V ., O (D SW 2) ml aQ 9 T O_ %N 'O �'p O N M_ fD rD O n O 7C' L E Z^ O � S D � O fD D I 0 rt (D N rr 1 fI. O Ort I cp c? tD N H X N t/1 r+ 1 x I (D �.s..6..e. F -t _ttom CP rn H 0 E O I ?7 O s � 1 �n N S i0 � O p F. 3 N `o' _ 0 AV ILI, CP rn H 0 E O I 3 a O s o �n N S � O p I Ln s O � O N � �p O M_ rD o O O L I V rt z Q O -n � cu D3 O 5' D n cm 0'4 O rh r C rF \ E O I 3 a O s r+ N m N N N � O p F. 3 N `o' _ I Ln s O � O N � �p O M_ rD o O O L I V rt z Q O -n � cu D3 O 5' D n cm 0'4 O rh r C rF \ U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Rood lnmranceProgram Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR ;INSURANCE COMPANYUSE Al. Building Owner's Name JOHN & SARA R. THOMPSON Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number ' 29 ELMWOOD STREET a. ' City NORTH ANDOVER State MA ZIP Code 01845 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A.P. 006.0-0010.0000.0, BOOK 13184 / PAGE 214 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential dential A5. Latkude/Longitude: Let. 42.6958 Long. -71,1408 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number Z A8. For a building with a crawlspece or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 1135 sq It a) Square footage of attached garage g/a sq It b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade Q within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b Q sq in c) Total net area of flood openings in A9.b Q sq In d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number 82. County Name B3. State N.ANDOVER,TWN - 250098 ESSEX MA B4. Ma Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 2 009CO209 F 07/03/2012 Effective/Revised Date Zone(s) AO, use base flood depth) 33.1 ® feet ❑ meters 07/03/2012 AE 33.7 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item 69. ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: 811. Indicate elevation datum used for BFE In Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 812. Is the building located Ina Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? [3 Yes ® No Designation Date: ❑ CBRS ❑ OPA . SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: MassHighway #16335 Vertical Datum: NGVD29 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (flnished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including structural support _9.1 ® feet ❑ meters 440.6 ® feet ❑ meters Na. ❑ feet ❑ meters rte. ❑ feet ❑ meters 33.1 ® feet ❑ meters 22.2 ® feet ❑ meters 91 ® feet ❑ meters &.1 ® feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. l certify that the information on this Certificate represents my best of bits to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ® Check here N attachments. licensed land surveyor? ® Yes ❑ No Certifier's Name Curtis Johnson License Number 41248 Title Princ at Company Name Express Surveying Address. . B 1 City Andover State MA ZIP Code 01810-4143 Signature ek Date 8/15/2013 Telephone 508-644-8299 a NO. 4"1248 APPLICANT.' LOCATION: CITY, STATE.- CERTIFIED TATE:CERTIFIED T0: MORTGAGE INSPECTION PIAN BOSTON 12-08286 SURVEY2 INC. P.O. Box 290220 Charlestown, MA 02129 (617) 242-1313 MAIN (617) 242-1616 FAX mpp@bostonsurveyinc.cofn THOMPSON 29 ELMWOOD. Sf-' a NORTH ANDOVER, MA DEED/CERT.' 1135-307 PLAN REF: # 463 SCALE. 1 inch = 30 feet PREPARED: 10-20-2012 LOTS 8,9 & part of LOT 10 1994 (e) eoalan surrey Sollwere The permanent structures are approximately located on the ground as shown. They either conformed to the setback requirements of the local zoning ordinances in effect at the time of construction, or are exempt from violation enforcement action under M.G.L. Title VII, Chapter 40A, Section 7, and that there are no encroachments of major improvements either way across property lines except as shown and noted hereon. NOTE: This Is not a boundary or title Insurance survey. This by the Massachusetts Board of Registration of protesslenel used for recording, preparing deed descriptions. or construe 2 STORY 029 o� GARAGE ELMWOOD SiR�Ej j�ytN Or �SfC' ' According to Federal Emergency Management Agency GEORGE 1" i maps, the major improvements on this property fall in an C. i area designated as Zone. > COLLINS Community Panel No. r- gem ca - oyes)p q No. 17c4 q Effective Date: o-} - �4— NOTE: Zone C Is areas of minimal flooding (no shading). This designation is not based on an elevation certificate. prepar In ccordance to procedural and technical standards for Mortgage Loan Inspections as adopted s and land surveyors, 250 C MR 6.05, and use for any other purpose is prohibited. This plan is not to be