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Home My WebLink AboutBuilding Permit #150-11 - 31 JOHNSON CIRCLE 8/20/2010 BUILDING PERMIT of t4ORTh TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION , /5-0 Permit NO: Date Received °Po I.M.L. Date Issued: C tJ1E -EUP-ORTANT:Applicant must complete all items on this page Q_-A_� '06 P-A �10N :: J page g e ,Print "'t- 77 r r z PRO n o..- IF:: F bwkR P �tri _t'. e PARCM' C)NINO-'P18TRIC7"... '� ',A-0 01TV '-f C -y no Hi no of h oyes- Machine, - ,I I�ai`e. p"M �o : TYPE �� OF IMPROVEMENT PROPOSED USE Residential esidential Non- Residential New Building -One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Se C Wells �. Wofian Floodplain t A pain , DESCRIPTION OF WORK TO BE PREFORMED: C;", url6�111h2 C,7// "aJ "r/ xel'll-'t Identification P" ase Type or Print Clearly) OWNER: Name: all Phone: 974f6�f 9 o Address: \AoA4J,07 le_ No , 114W&vz!°i J— A. no�ne_., :0 NCtOW Name 7 -Z� _1 777_ 'ISU di '[H r Q1n1r1A!QPqsq_____- 5te Z_ tU den Exp, Dade ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.0t59R OF THE TOTAL ESTINUED COST BASED ON$125.00 PER S.F. SVC C." Total Project Cost: $ '/)J C EE: Check No.: 316, Receipt No.: ,-) NOTE: Persons contracting with unregistered contractors do not have acce"tb�gff r9wty-fund 9 nerz..," n Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Terrip Dumpster on s"ite yes no Locafed of 124 Main Street r - :. _ te FireDepartrent signature/da4 _ 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 i Doc.Building Permit Revised 2010 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 its ❑ 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 Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering 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 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 the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 Location J No. V ` Date — - 'w NORTH TOWN OF NORTH ANDOVE§ F?O•t"•O I•,hO R 9 (r ♦ i , Certificate of Occupancy $ �' b'••°''�� Building/Frame(Frame Permit Fee $ i cwust 9 Foundation Permit Fee $ Other Permit Fee $ NOTAL $ Check # ✓ �'"' 2351, Building Inspector NORTH 0 T '" o 6 over /,Sd v .?vi 1 ?_^ _ o LAKE dover, Mass., CO_HICHEWICK 0RTE D RATED U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System e ~" BUILDING INSPECTOR THIS CERTIFIES THAT ........... ......... ....................................................................................................................................... Foundation has permission to erect.................:........... g ' .......... buildings on . .... 3. 6.h?+.1. .:�-, ..... ..�. . Rough to be occupied as.... ....... ...... -.... -t - .:. -...�..... ..... . .. �'r. --.. �..l��a'�! ..r..! d o-z t, Chimney provided that the person accepting this permit shall in every aspect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TS Rough Service .......... .......................................... ......................... B DING INSPECTOR ' Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner, Street No. SEE REVERSE SIDE Smoke Det. DAVID CASTRICONE CASTRICONE ROOFING&SIDING INC. 9//g//o ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In HaverhW 978-374-7314 Uwe the owner(s)of the premises mertioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises below described: Owner's Name......I )I I X'I......".. 2V.la ..................................... ..........T7hone#..... Sa.1�..r[...� ...F.C9..1.l.�.... ! , Job Address... .......... ..... .C?aG.�.... .11..1:� ............City... :....kr..� .k':fl..r .............state.....,..' Specifications: ....................................I.....................\.. .. ..`.................................. -Areas to be covered: All .. .. . .... . ............... .. . ....... -Apply vinyl siding and corners. Type: // r .............................................................................................................. .......... �` �l.....................................................� .cover fascia boards and rake boards. Install vinyl soffit - solid rforated si,.(��S�F- ��r ......................................................................................... ...........y............................................................................................... -Eover wood casiw around dews. lace any gable vents and dryer vents with vinyl. �it[a FS -7001/.:....... -GID. 0000...... 0000. . ..... . . ............................................................................................. ,Apply underlayinent. T pe. ........................................... v ....: . : l,�r '...................................................................................... :fisting siding stripped go-over ITn-al disposal of If debris ..........................................�. ...........................l.....o.................................................................................................................................. Rotted wood replaced ra,'7"�a /sheet or foot. r- ......�¢......... .�.�i./r�...... Y 0000 0000 ........... :...... W `. ...s.,.. .,... .... .....1 . r.. .... . . .. ...................................................... P G .:.... .. ..1r1 �. ...... J ' .....................................................................................................................................................................................................................::. One Year Workmanship Warranty(Not Transferable) Manufacturer's Warranty as spec ifi n The ctor agrees to perform the work an h the materials specified above for the S .Q. ... f$..... ... ..4, .... ayable.....2z C).......on...zS 'fi s.......... Payable........==::::..........on............—:...............�alance o�able on completion of job Owner or Owners are not responsible for Property Damage or Liability while joAis in operation. Contractor is not responsible for any damage to the interior of property,including preexisting conditions(i.e.water stains,crumbling platter,exposed nails)or conditions resulting from application of materials specified above(i.e.objects coming loose Som walls,crumbling plaster,exposed nails,dust in attic or other living spaces).Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable:costs,attorney fees and expenses,in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties.The undersigned warnings) that be is(they are)the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s).There are no representations, guaranties or warranties,except such at may be herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no penalty (see notiticyc f cancellation). IN WITNESS WHEREOF,the parties have hereunto signItheirmesthis ..�.P.t.�t.day of.A 4L ,20.J.P. Accepted: c Sig ............ 0000.. Owner Signed..........................................................................». Owner David Castricone,President t�r License: CS SL 9935b Oft-ice of Consumer Affairs&B 4/.-.e-ss Regulation Restriclerj to.. 1-"1-'W5 HOME IMPROVEMENT CONTRACTOR Registration: .104569 Type: DAVID CASTRICONE Expiration: 71.14/2012 Private Corporatio fb CASTRICO -ING.SIDING& 3*1 COURT STREE'l DA NORTH ANDQVL--Ij, MA O'l 8,[5 tj David Castricone 200 SUTTON ST SUITE.,,226:. jam ,P E vill'.1 ion: 1211612D1I NORTH ANDOVER, MA 018.45 Undersecretary T rn: 9935a DAVID CASTRICONE . g,//?A) CASTRICONE ROOFING&SIDING INC. ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In HaverhMI 978-374-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor aid workmanship,to install,construjapdaace the improvements according to the following specifications,terms and conditions,on pre ' es below describe :Owner's Name.....t .......... .4.97. ..............Tel one#..�p.�� ` -..[..k. .. . Job Address............ . .. `�1 ..... 1./•�GE.�.....City... t...... 1 Ghee!—.............Stat..../V/t...... Specifications: ................................................I............................ .......�.�............................................................................... ✓Strip existing shingles. Apply new drip edge to all edges. )�,�e g ....... ................................�.;..............................................g........................................................................................................ 'apply feet ice and water s.r.eld membrane to bottom ed es of house. 3 feet ice and water shield membrane in valleys and bottom edges of any unheated areas of house. ............................................................................................. .......� . .............................. Apply felt paper underlayment. -ustall ridge vent to �, �; .............................. ...` ... ...............................� � .................................... . .......................... .-Reroof using a 0 1 a 15 shingles with a lb year warranty. ...................................................................................................................................................................................................................... LGounterflash chimney. —New vent pipe(lashing. •4bgal disposal of all debris. ............................................ .�.j :. .Arrgia(s)to be worked on: f .......... ...........`................... ......t o-Z....... .... .. 4. ...... ........................................................... 1`hrxt.� .........L-4.........).,zL .e ........................................................................................................................ ........................... J-.....-...... ...................................................................�.................. , .................................................................................................................. Roof board replacement if necessary @ 60 /sheet Br K-'/foot. ...........................................................................................................................................................�. $by . �.j ...... .........Two Year Workmanship Warranty(Not Transferable) Nranufacturer's Warrnty as specif acturr�The actor agrees to perform the work ish the materials specified above for the SUM ... a p.... ....... ayable...,3..9..Q.,:?.......on...S .............. Payable.............................etl................................ Balance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability whr a job is in operation. Contractor is not responsible for any damage'..,the interior of property,including preexisting conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above (i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces).Items in attic may need to be covered by homeowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon completion of above work,all undersigned agave to execute and deliver to contractor,theirjoint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,anomey fees and expenses,in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties.The undersigned warrant(s)that he is(they are) the owners(s)of the above mentioned premiss and that legal title thereto stands of record in his(their)names(s).'There are no representations,guaranties or warranties,except such as may be herein ince;:orated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in refuence hereto shall he binding only if in writing and signed by all parties. All Home Improvement Contractors mall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no penalty (see notic of cancellation). IN WITNESS WHEREOF,the parties have hereunto signed their names this..11i'[1 o.day ofA a .....,20.. .. Accepted: Signe .... ..... ...z........ Owner Signed............................................................................. Owner David Castricone,President j PRODUCER (500652-7700 FAX 508--(j53-8D8q TI11,9 CERTIFICATE IS Ili:51-IED A5 A MATTER OF INFORMATION Eastern Insurance Group LLC - Comme*rc-fal ONLY AND CONFERS NO RIGHTS UPON THF GFRI-IFiCATE 233 West Central Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTV1,N1)OR ALTER TLj[LrOVE;RAQ-E AFFORDED HY THE POLIGIFS EJELOW. Natick, MA 01.760 Select Ext.53389 INSURERS AFFOROING COVERAGE NAIL# INSURED David Ca5tricone F67179—& SidingInc_ INIZURERA: The Insurance Co or State: PA 200 Sutton S INSURER 0: sul to 226 INWIrR C; A"Ouver, MA 01845 INSURER 0: �INSIIIER 1.* 111E POLIGIEJ OF IN,'AJRANGL LISTED BE,WIN WIN HAVE UEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI 1L POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIREMW,,1,0w OR c',c)NE)i 1,10N Or ANY CONTRACT OR OTH911 00CUMEN-r wITFi Qjt.spECT TO b�'HICH TI-HSCERTIRCAI F MAY BE ISSUED 013 MAY PERTAIN,11 Ir-.W!;1J1-IANCr--AFFORDED By THE FIOI-IciES Dc-scmpm i-jr-RE.IN Is SUBJECT TO ALL THE I-ERNIS.EXCLUSIONQ'm4D QQ61QIT-IQN1$OF!;UCH POUCIL15.AGGRL;ATL LIMITS'JI IOWN MAY HAVE DEL N R U(- YPA M ED CDU—I0CLAI 3. INRII��Jlllwlll POLICY rrI:pcTIVr V(LIMY NUMBER —POLICY EXPIRATION LIMITS GENCRAI.LIAIJILII Y 1-.A('1-4 WCARP I-N(;(- ,C)MMENCIAL('31-NERACLIAMILI ry f1AM—A—ff-- CIAIMS MADE- OCCUR M1113 cAr tAny one f)OM011) PERSONAL K ADV INJURY CtKLA(30,111*('3All-LIMII AITLIL-5 ITI1. POLICY ALITOMOI)II-r.LIAMI-iYY C0h4I2IhIEDAINrLr LIMIT ANY AUTO ALL OWbirzp okU iot, 110 JILY INJURY SCHUAILLOW105 pomoril HIRED AOT05 INJU NON-OWNED AIJ rOS 1300ILY (pw ala: PY PROPVAVY I)APAAt.71" (Per v0dem) GARAU C.LIAIIIIJ-1 Y AI)TO ONLY,CA ACCIDENT A14Y ALI1 0 OTHEII THAN PA-AC� AUTO ONLY: AGC CXGUAWLIMLIREI-I-A LIABILITY UACI I OCCURn'NCI- OCUIII CI-AIM$PAM)C. RUI r.NIIDN 5; WORKERS COM11ENRATIDN AND WC975274-6 09/23/2009 —6-9/2—3FZ .0 —)(-T—WC sTAT1.71-75YN- EMPLOYCHT LIADILITY I-TOITY-LIME-U- i I ER I.a i - A ANY E.L.EACH ACCIDENT 5 100,000 OFFICIPIMEWCR EW1101-1-14 11• �,Owcoor,k Or.-( E.L.DISFIASU.-LA EMPLOYEE 1 100,000 3PECIA1.PzN4,510K. E.I.,01,�FASr.-P01)(;Y 1,1m 500 000 OTHEIR 7 .J:q 1 V- X(1-0410P,13 ADDED RY rvNL)cR.qFmrNT I f,:.PPCIAI-PnrjV1910N& -CE-p=-If—ATIEI AN David Castricone Roof i.Rg & Siding SHOULD ANY Of`!'Ila ADQVL POLICIES ,C Ca)Nr.C1,LrzO DLFORk THE 200 Sutton S�reet EXPIRATION DA1ETH1-:REpr1` ! 1C MULPING 1110U:11]h WILL ENDEAVOH TO MAIL Siiite 226 -1()DAYS WRITTEN NOT,,�`TO THF CE,ITIF GATF HOI.F.)FTI NAMED TO I HF LEFT, MLIT rAlLunr TO MAIL SUCH 4',-rr-F SHALL IMPOSES NO CjfSI-I('.Arjc.)a OR LIABILITY North. Andover , MA 01845 Or ANY KINILii JPOI,17HF W-Si. ii'A,JY$AO15NT5 Oil UuPI(C5CNYA7IVc-!i. AUTHORIZED REPRESENTATIVE R Shricvy Brice/PKG ACORD 25(200,1108) Ci-.;AG0RD(MRPORATION 1988 .up'� vl�'ul :IIx laity Ucrnse � � License: CS 5L 993.513 ��ie llOrrtrruYruu6�xlCfL a 'ti.Gla�d liuoeC4 Office of Consumer Affairs&13u1siucss Regulation Restricted Io: I"F,WS .�� '� HOME IMPROVEMENT CONTRACTOR Registration: 104569 Type: DAVID CA5[RICONL Private Corporatio 7 /2012 31 COURT STREET r Dill" D•CASTRICONE ROOFING,SIDING& NORTH ANDOVER, MA 01846 David Castricone . 200 SUTTON ST SUITE 226 Expira#ion: 12/161".'_01'1 NORTH ANDOVER, MA 01845 Undersecretary l mnli»ilul ---• Tr;: 99:15L1 Y I mal)LICER -A—X-508 IIJ53-$D89 -THIS CERTIFICATE: 15 ISSUED A5,"_ATTF__R OF IWORMATK ONLY AND CONFERS NO RIGHTS Iff)ONTHE CERTIFICATE :astern Instirance GrOLIp LIX Corruneircial HOLDER.THIS CERTI 17 ICAT�DOE$ WT AMEND,F.XTV,-ND OR 233 West Central SLI'LILt ALTER THE GOVERAI51F_AFFORDED BY THE 1`000IES BELOW. Natick, MA 01.760 5elect r_x-t.53389 INSURERS AFFORUING COVERAGE NAIL It I9UREIJ pavid Inc INSURER& The ln.5urcincc- Co or State. PA ZOO Sutton 5'1: INSURER Bi Su,,'to. 226 IWSUI:1rp,C; NQr0i AnOuver, MA 01845 INSURER: INSURVII C. ,AVERAGES THE pOLICIEJ 01--INSURANCE 1_115TED BELOW HAVE BI--EN ISSUED TO THE INSURED NAMED ABOVE FOR THL"POLICY PERIO-0 llqDICATED.NO'I"VYITH!)TPINDINCI ANY R501JIPEN4E1\11*,T011A OR I.,'C)NL)H'ION Or ANY CONTRACT OR OTHI;k DOCUMENT'WITH Q1=3PPCT TO WHICH THIS C.ERTIFICATF MAY Be ISSUED 013 MAY PERTAIN,11 Ir..WSURANICE AFFORDED BY TI IE POLICIES,DESCI41133121D HEREIN IS SLIeJr-(,-r TO ALL THE TEIRIVIS.EXCLUSIONS AND QQ11I0ITQNI$OF*UCI1 POLIC11:3,AGC,,RECATL WITS SHOWN MAY HAVE VEL-N RC[)LJ(',ED DY PAID CLAIMS. JR11ADDII. I YIIE OF INNURANCE POLIGY NUM POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL.LIAIIILH Y GENFliACLIABILITY I)AMA('r TO RL.NTF.0 CLAIMS&IAF.)F- pCGUR HIED CXr(Any one portion) PERSONAL K ADV INJURY I AQcOUQAK 11 OtN'L A00 111*-GAT I LIMIT(IT'I'LIEU I"Imll. POLICY AUTOMOI-)ILE Llf%AILITY COM1411,1ED SIf4rLr LIMIT ANY AUTO ALL()Wblfzp mJ105 BODILY INJURY $ SCHENLED AUT05 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Por mrijr.lutil) PROPKFIVY 0AfAAI_!,I`! (Pot anldmt) GARAGI!LIA1111-11Y AijTO ONLY I Eik ACCIDENT !r ANY AUTO OTI IER THAN PA ACQ AUTO ONLY: AGO Lin' UACI I OCCI_lRR---NCr XCI�.14.31UMUREIAA I-JAI31 OCrLIfA RE FV.NTI 0 N t� WQnKPR9 COMPR44ATIDW AND WC975274.G 09/23/2009 09/23/20.1..kT_)_(_j__rATL._T—j_n_T"__ E.L.EACH ACCIIT-Iff S 1110,000 A ANY E.L.D15r:A5E-i:A EMPLOYEE $ ICI0,000 lig,dojri tt�r -AS r. 0-0-0- C GtAI.PRON46)IONS 1101W E.J.,01,;F PI)I.ICY I,IMIT om"Ripylom 6VU FL(TCA C)CIIVI;[IIC.C.L:91rXCl.t)910?43AI)Dr,[]BVfw'NDOR3 EMFIIAT I SPECIAL P1110VISIONS C6.NgELL__b_jj N Q.HOULCI ANY Or YI15AI)0VL!"!i:SCRIDW VOLICIC$;iC 0ANCCI,LW Or.-VOACME David Castricone Roofing & Siding VEXPIRATIONDATETHIEREPIF !!,IE 19,9UINC,Ir45VI3[-RYYILLI-.N[?FAVOHT0 MAIL 200 Sutton Street 10 DAYS WRITTEN Nmi,;`TO THF CERTIFIGAIF HOLVER NAMPO TO THF LEFT, Suite 226 BUT rAILUR.r TO MAIL SUCH `,.TIGF SHALL IMPOST_NO 0111-MAY10W OR LIABILITY North Andover , MA 01,845 OF ANY KINh.%1PONYHE IYF,ArrNY5 nil AUTHORIZED REPRESENTATIVE State y Brice�.KKI0 ACORD 25(21001108) (0,ACOYID CORPORATION 1988