Loading...
HomeMy WebLinkAboutBuilding Permit #1183-16 - 315 ABBOTT STREET 5/23/2016 b ',2,�Jy ��2 L _ , BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: O 7 Date Received Date Issued: IMPORTANT Applicant must complete all sterns on this page S CHO Wj IVI TYPE OF IMPROVEMENT PROPOSED USE — Res jd ential Non- Residential 0 New Building One family 11 Addition D Two or more family n Industrial /Alteration �4L No. of units: u Commercial 0 Repair, replacement 0 Assessory Bldg P Others: 0 Demolition 0 Other d'D El Ji t"Wetlan Z kili�11'11"1'0 V141C S00 I iAJ .15 \)AC V Qy kv-A- \wSk- W1 %CL— Nki wcml \,\V-A- )IV QxAAA GdvAt Identification Please Type or Print Clearly) OWNER: Name: /JA/C�I' Phone: -/ 78)9 q-S 3'7 Address: I SA)ANu lslb-AtT Au 7)1 t ���-...-�.^�'�`��,} ty-.%,l a'.'.;`:.,'r�irT'� ,F �, C F� ���b',��_�,...r ,.+"�-�.w.w++w.w�w�..wr...ww - _ .,, Y 3,�",�?.�'� = '�} --� ARCHITECT/ENGINEER 611A Phone: Al Address: --- Reg. No._ FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost, $ IVQ - FEE.- $ q�A - Check No.: ---.—Receipt No.:_ q'_'- 41 NOTE. Persons contracting with unreki;l-ered contractors tier not have access to the -ua and Ig r1atUre,.0.�.d on,r or Location No. F-i .= Date • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ • �� Foundation Permit Fee $ _ Other Permit Fee $ _ TOTAL $ , Check# I t Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOL Public Sewer Tanning/Massage/Body Art. I__I Swiiaining Pools ❑ Well ❑ Tobacco Sales Food Packaging/Sales 1_1 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 ❑ �Z COMENTS CONSERVATION ❑ (O COMMENTS — bv, 1 DATE REJECTED DATE PPR VVED HEALTH ' Z2 / COMMENTS Zoning Board of Ap eals:Variance, Petition No: ___________Zoning Decision/receipt submitted yes ff Planning Board Decision: Comments Conservation Decision: Comments__ f Water& Sewer Connection/Signature& Date Driveway Permit f - Located at 384 Osgood Street rr y 7� ixi Dimension Number of Stories: Total square feet of floor area, base&da.Exterior dimensions. Total land area, sq. ft.: _ ELECTRICAL: Movement of Meter location, mast or service drraly,"wquires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No p. MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department ease) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 i 1 Building Department' The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit I Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract i Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ,4.. Building Permit Application Certified Surveyed Plot Plan 4. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 ` OTE: Ali dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) I Building Permit Application Certified Proposed Plot Plan ;rP 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 2014 0ORT-H Town of O No. - �3 � z _ h ver, Mass,LAKI 44 f i� C OC MIC M!., o P`y 44TED S U BOARD OF HEALTH Food/Kitchen PERMIT - T LD Septic System THIS CERTIFIES THAT .......... � C.e.`.".�.<. .../'�.d f $.� �/ .......... .. ......... BUILDING INSPECTOR 4—f Foundation has permission to erect .......................... buildings on .3.16...Idl.&x.71... ..................... IN //` y`, Rough /� !4 to be occupied as .................. F4.T�..... k:.Z`�r� feY.................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN-6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS ;� Rough Service ............ ..... ............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Set Service Agreement Date: April 18,2016 Customer: Mnie Rothschild(hereinafter the "Customer") Address: 315 Abbott Street,North Andover, MA. (I lereinafter the"Paject") PROJECT OVERVIEW This Agreement is for the extension of an existing deck off the back of the house,the extension will ctl approximately 15' x 8' and will be a direct continuation off the existing Art, Jre- PROPOSAL TKG Services,LW(hereinafter the"Contractor")for this Pr;,.)jcct.hereby offers to perform all of the work described within and to provide all materials and labor require-d to complete the Project within a specified timeframe.+ The Work will begin on or about 4/25/2016(the"Start Date"),and(subject to the availability of special order materials and project components)will continue expeditiously to completion,estimated to be on or about 5/1512016(the"Completion Date"). Subject to the Customers acceptance of this proposal,the Contractor agrees to perform the work, in accordance with the terms of this proposal for the total sum of. $71800.OQ_w.hich is inclusive of all materials and job components. We the Contractor represent and warrant to the Customer that(a)we are licensed and insured to perform the proposed work in the state where the Project is located and(b)we have the staffing capacity to complete the Project as proposed. This proposal is respectfully submitted by: the Contractor By: TKG Services,LLC Tom Morgan and Christopher Delpero Its: Owner's/Operator's Mass CSL 094297-Unrestricted Mass HIC 180169 Mass HIC 174646 Prior to Start Date: 1.3 Execute the Contract and collection of the initial deposit(s,1. 2.) Submit drawings and obtain all necessary permits. 3.) Begin to assemble other materials and coordinate sub-contractors scheduling, The OJ Pro ject Overview The customer has an existing deck(approx. off the back of the house and they are seeking to double the size of the deck by extending outward from the existing,keeping the deck extension the same height as the existing deck. Deck Extension (Permit required) Dimensions:is,x a,w/ PVC Railing System 1.) Obtain permit to construct 2.) Dig footing holes(3)- 4'deep 3.) Purchase and install sonar tubes, pour concrete and install 4"4"galvanized post plates 4.) Frame the deck extension off the existing deck using pressure Treated joists&4X6 posts secured with joist hangers,galvanized nails and carriage bolt. 5.) Purchase and install maintenance free AZEK composite decking and secure using the hidden fastening system(color to match existing). 6.) Finish the deck perimeter with paintable finish board. 7.) Wrap the new support posts with paintable finish board. 8.) Purchase and install additional PVC railing system with balusters&finishing trims. 9.) Repair the damaged section of railing on the existing deck melted by the gas grill Patffent Terms: 60%Prior to Start 20%Mid-point 20%Upon Completion By signing below you acknowledge that you have read and understand this Agreement and that you are in agreement with the scope and payment terms. Customer Signature: Date: Contractor Siignature(� Date: 2 F,7 11 } # r r 'z .,7, ..fir r� �'�, .• _: i s _ s c a �2 M41 tl All4 d i� j 1 k [��+�¢ � � x "��i{� � l .• e a .c_ V : t W i n !I� w s. to -= �4-scre ds 2 .�0 A-v QA-� J 40 Q . Lu tV, L 1632 315 ABBOTT 5M-ef-T POP-Ti4 PR t/2 FOX -C- D- 0v tr oE-�'-S c4acs pw-Le Pero 970 - 590-9t99 8 4-1 f6 Ltd "Tb r•► M ape,Aa+ 9?$ - 994-Ot c 7 ?Ro4EcT 5=OpE : int90 G r-r MATnruSt0A-)' -ra_ 'r-AtMAlG DTGt� OF, J OW l5 t 4 MA F-�t tSTt n�G f LFiDCE r,,v � / I ADD e#^ 5 !M P S onJ LATet3At~ t-vA to + D?AGEb r-P-0m JGI$T TO t. MDG-ER AwV 5x t$Tt Nc. AND /v Z&V J at 3'r -rte cath , l;.,ctStr+�c. �tRogp2 IL NOTE BAis wt. 3 -2yto G mmp- IS 3 uFocto Ci;r Nst.v P it C tL * I J otST NOTE 1 �1 CoNt`g+lt:.Fcatl Zo vgRtf`t -n}EP-t t* A Die.. Poor AT 1'%+1 k vCATr v N 2-Z.,t6 C0R6 Pw WM4 pAte ©R. R MtN►mt m t4`,-('-¢0 OF 5tmPSo" L ;FC -Z FvOTIVC- tF No CAPS TO CS t R o C R Fbc>-t° w& t S t!a+x.D 8 r- w tTN $)tM P$Cw%j Aop E P AL-'Fe 1Z4/4T E: ro AU X66 BAS C IN lZ`* CoNGRETt TU$ -#Ct7Dtn1G. f'or�T1NG t 5 TO APO Aw ADDrnpN (o,<6 Po sr -LLS" Fft.oM MatiSTtN4 poSr oN •:SES 8K -"� tJ�c NarSs a%TifeR Sipe WtTt4 1p„& Tvee Ont 20" MATPIP-iAt< S BE � SiMPSv�, At3eS0%.O Hrezn. LfetC.OW PtNde FoeYl Wi-6G 1344ZF'b ISOU = 4 oR EQuAt. $ "t's u R e TR q'f ti Ca }1gROWt4►ZE StMpSOM t�ptzQt?StDV pll7t�Y. FA P, ; to De PRE- NAruVPAe-TVP.E o -rO SuPPC4ZT LOADS 5HVLVJ) IN 'DECK NO'raob 0;t Co NST sz0a0- P PER SINPSGN+$ L-MresT- p�L� Coin ,Gtr o� A,N� LAWRENCE H.OGDEN.P.E. O R 198 EAST MAIN STREET RA S,�e N W6 �u t GEORGETOWN,MA.01833 978-352-8318, cell 978-502-5921 r �3Z 3 ► S AraBOTT 5T;LECT IvM114 4�06v1=R 5�41�6 GNp FOR. C.- P - SoJit-P ERS I EXTERIOR DECKS,PORCHES & STAIRS 9-10-13 DECKS, PORCHES AND EXTERIOR STAIRS TO BE DESIGNED FOR THE FOLLOWING LOADS. LIVE LOAD 40PSF.,SNOW DRIFT IF APPLICABLE AND WIND LATERAL AND UPLIFT FORCES. GUARD AND HANDRAILS: 200 LBS. IN ANY DIRECTION AT ANY POINT. INFILL COMPONENTS: 50 LBS. HORIZONTAL ON AN AREA EQUAL TO I SQ.FT. STAIR TREADS: THE GREATER OF 40 PSF.OR 300 LBS.CONCENTRATED LOAD. DECK CONSTRUCTION IS COVERED IN SECTION R502.2.2 OF THE 8t"EDITION OF THE MASS. STATE BUILDING CODE FOR RESIDENTIAL CONSTRUCTION. NOTE: NEW SECTION R502.2.2.3 REQUIRES A DECK LATERAL LOAD CONNECTION. SEE ALSO MASS.AMEDMENT TO SECTION R602.10 FOR UNCONDITIONED PORCHES. REFER TO AMMERICAN FOREST & PAPER ASSOCIATION (AF&PA)www.awc.org A PRESCRIPTIVE RESIDENTIAL WOOD DECK CONSTRUCTION GIIDE (DCA6-09) AS REVISED MAY 2013, MASS AMENDMENT R301.1.1. CONSULT A REGISTERED DESIGN PROFESSIONAL FOR ITEMS THAT ARE NOT IN COMPLIANCE WITH THIS GUIDE. SIMPSON STRONG-TIE ALSO PUBLISHES HELPFUL GUIDES TO DECK CONSTRUCTION. ALL WOOD FRAMING MATERIALS TO BE PRESSURE TREATED. ALL EXTERIOR CONNECTIONS TO BE CORROSION PROTECTED. CONTRACTOR TO COORDINATE TYPE OF CORROSION PROTECTION REQUIRED WITH THE TYPE OF PRESSURE TREATED LUMBER SUPPLIED FOR EXTERIOR FRAMING AND THE CONNECTION MANUFACTUERS RECOMMENDATIONS. STN OF n LAWRENCE H.OGDEN.P.E. Div 198 EAST MAIN STREET GEORGETOWN,MA.01833 �QNAL���`� 978-352-8318,cell 978-502-5921 315 Abbott Street, North Andover, MA = Proposed Deck = New Footings(10"x 4'Deep) 15' s' Existing Deck 15' s' Proposed Extension =a -.L Nd-ld ONIa'dbO 58 1noxv-1 lV bio N," tea, Ntnd lllna-sv ---- sszo x�a-a oars evry , —11—HS LzsL6dw aaodxOa »a�,�ann�,�wwanenna.3wnn� — _ Oa—IHM6 of sinoeswnoa♦s3rvxosvlsnoxina3i3 waia nxnoavxmavosnvisry „rw.aa rvrroaaoon-e� _ , n, 011Na3809 ♦3linonvao xouroxnoa olu3nnoo /� ��� -�-- � 1_-- oaoo3aaoadNMo N 9wn.00,ao eo..vxo awnnoaaxnoaa3aawx,ean,a3d,,»r.cx ,3,.nox aao x�.wxnwa_s —_____ _ �..'_ 't5 � -- n3sn.wx-e� vw a3noaNv'ry nn oac.o is lloesysic -n3.N xwads n�asx„os:n axx,nw�o�a-nor-nx„sno,anoo ._. aasn�on c� --_-____- _ .oi»awa3wsam�rx.�a�a�xr,awwn.n3wnbaoi n3ard3ae na3e sva nnn .a�sx. `-'�- "_- __ -__:_ t- _'`� .__-- ZOlOIOZNOOl98CdtlWril o3snion -- .LN�LCd07.7:1'd(1'.d.LIS — 3ion assn iary's 1 - 103fOad a35n ion a � M_ [e- sIr- (raan 3oanos3a woes ry w mi n rvo iwrvnoa a�n,ao v.oaa n w,o:lv3av nova Ol I O8 aaSs iou i N naav S310NA3)I Ndld 311S sMaoa el ewnry eiid _ / 1losev ror� LY���IYY"' aB�3,�yd rorr Nooa alva ioid a3lvos logia �' -� 91 10 ozoo Zo"; IN Id I alva -ne a3No1s3a ���', � Ili w I snnvM wane wnnOex.annl11-11oea em=;a�na3a N"NI"ieaeo3soaana xx....33n *1 13— - 2\ 08L 3oed L F!Nooa /cm aao, 'a vR ov./1 I 'oo> Z 105 oeol 1J05H 6F1 dery 11 o v e o ' sv,.n 3s�i aad,�r x.w��,awo�„�aa aos aw.no�a�s sia � 3no:Nansmox ooa.w3w3xa3 oz�\\ 5 ` sas� _ axn>x�ino ox.f«�� o aos,Nx _ no a 33nx�.sra, .rvawno.w3.w,.on.nN nn on,sx snawnar.saxes d o. � .oser i m N \ " 1 NIZH � Noaeaoda6a ad��a owxe—n —1111 snom nnn 3n11d 3aN aw” \ _ �� on ar,ann=3a 't N31.11,M-3- 3- -V 11.1113. — ———— _S and, 3x3nd3 — — bEES£0 H "i _ — Nx0 e3.wod INII. aoaa 6'ooi 3a a3noo Nxs ,amm�oa saonw in u # �_ .' wasoeoae Hood awsaa --3wN011d a0530 ON 2AIIII • ,� aN3�3� s�avw HoN�d 3NoilHn3�� \ The Commonwealth of Massachusetts Department of IndustrialAceidents 1 Congress Sli ee#,.Suite 100 Boston,MA 02I.14-201 7 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Brrilders/Conti-actors/Electricians/Plumbers. TO BE FILED WITI1 TIME PERMITTING AUTHORITY. Applicant Information `` Please Print Legibly Name(Business/Organization/Individual): Address: Jyj 41,4 City/State/zip: f7 i f�f�3, Phone#: -- --- Are y an employer?Check the appropriate box, Type of protect(required): 1. I am a employer with employees(full and/or part-time).' I 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in ! $, ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition I am a homeowner doing all work myself.[No workers'comp.insurance requii cd..I t ❑ 10 1 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. [will ensure that all contractors either have workers'compensation insurance or are Soto 11.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13. Roof re airs _, 6.Q We are a corporation and its officers have exercised their right of exemption per MGL,C. 14. Other �� [�X (/✓S!t% 152,§1(4),and we have no employees.[No workers'comp.insurance required.] —� *Any applicant that checks box Ill must also fill out the section below showing their woi kcis'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ani an employer iliat is providing ivorl(ei:r'compensation insurance for ary employees. Below is the policy and job site information. C-7— Insurance Company Name: SVL I A��� 649)01/L/S_. �J�Vs��ls✓CX Policy#or Self-ins.Lic,MW LC—Soo -50)2 3170-,ZQ� Expiration Date: J Job SiteAddrjav, ess:115 /'I DDt i(CL ______-_.___..__City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration data Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. _ I do here rbfy gArjer the isanpenalti peijiii)tberet the iiiforiiiatioii provided, cove i true and correct. Si toeLll r - - --- -- Phone#: Official use only. Do not wrife in this area,to be completed by city or town official. City or Town: __Permit/License i#_ _ 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: Plione#: --.� TKGSE-1 OP ID ��10RL7' CERTIFICATE OF LIABILITY INSURANCE DATE(AIMIDanvyY)`'"' �„�.. 09103/2015. f THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, TH)S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC(OS BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEt3 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A Statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT' NAME_-.-_Philbin Insurance Group __—__-- !Edmund Flanagan-Philbin Ins. -PHONE - --v— —[PAX ---" — PHILBiN INSURANCE GROUP (NfG,_N�fxt);781_272_8210 No):781-584-4445 One Mountain Road n DRES......... Philbin Insurance Group _____ iNsuuER{s1 AFFORDING COyERAGE_-_ ____ ,_ NAIL M INSURERA;Arbella Protection Company 41360 — !iNSURED TKG Services LLC INSURER B:Associated Employers Insurance Morgan g Thomas Mor -------_._.--------------.. INSURER C 420 South Main Street ----___-- j Bradford,MA 01835 INSURER D: � INSURER E: _ s INSURER F: ^- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TI IIS 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 i 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 RECUCED BY PAID CLAIMS. AODL SUBRI"' POLTCY[iF POLICY EXP LTi2 TYPE OF INSURANCE POLICY NUMBER M_nC YYYY1 IMMIDDIYYYY LIMITS t A COMMERCIAL GENERAL LIABILITY EACI4 OCCURRENCE $ 1,000,000 �ATviAG 0 NT - ------ _- eLwMs-MADE l�OCCUR 9520044634 10118/2015 t0118/2016 PREMISES/Faoccurrence $ X00,000 X Business Owners MED EXP(Any one person) $ 5,000 -'---......... __ _-._.._._....---- PERSONAL SADV INJURY $ 1,000,000 .................__.___ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 j.J POLICY L-�JECT LOC PRODUCTS-COMPlOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ .__._.._-._........_..........--_._--... ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - .. ...------------------___..__.--- AUTOS AUTOS BOL`ILl'INJURY(Peraccidenl) $ ! ----- ._.._-..------ ._...-._.._.-___...._..._.._...._,NON-OWNED PROPERTY DAMAGE ... HIRED AUTOS AUTOS _......._.------- $ --- - UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB _ CLAIMS-MADE AGGREGATt-,.,..-.--, -.,-.-..-_.-_ $_ OEDi IUTGNTION$ _ _ OTH- E WORKERS COMPENSATION I ANA EMPLOYERS'LIABILITY STATUTE- ___ ER_ _,_,,,,_.___.._.-.....___..._.-___. B ANY PROPRIETORIPARTNERIEXECUTIVE Y� WCC-500-5012300-2015A 07118/2015 0711812016 E.L.EACHACCIOENT $ 100,000 D NIA OrFICERIMEMBER EXCLUDE --_-----.__ ._ _ - -.... _.... -_...._.._.__.------_--_-.._ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ .1 00,000 If yes,describe under .....___..____._..__.____ _.-....--....__......__................._............_. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 1A Property Section PROPERTY 5,000 I i I:i=SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mom spaco is required) lCarpentry and Carpet Cleaning t I I I CERTIFICATE HOLDER CANCELLATION j SHOULD ANY OF TH5 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f TKG Services LLC ACCORDANCE WITH THE POLICY PROVISIONS. j AUTHORIZED REPRESENTATIVE -/vt ovh",Y►t�u•�t O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD .- X/c Wr';, Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 0211.6 Home Improvement Contractor Registration Registration: 180169 Type: LLC Expiration: 10/15/2016 Tr# 258915 TKG SERVICES, LLC. THOMAS MORGAN _.. _. 420 SOUTH MAIN ST HAVERHILL, MA 01835 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card � '.-flr! i„(.'•fl.+',3>7<=17/fi[tt!(17 fjr'.,r ��t a.ll.f lIS,J�i. =. Office of Consumer Affairs&Business Regulation I..icense or registration valid for individul use only s, 10ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: " ;;Registration 180169 Type: Office of Consumer Affairs and Business Regulation ;t Expiration: 161152016 LLC 10 Park Plaza-Suite 5170 I Boston,MA 02116 TKG SERVICES,LLC _ THOMAS MORGAN ' n_. Af 420 SOUTH MAIN STt: HAVERHILL,MA 01835 Undersecretary Not valid without signature I rl a" A . �.. s.,<y.' .<rt,., x.�..F....::.: ..i..,: .. ,`5._ :,,a .s�'..,_"_. .YX. ,P:=.&f _ ,�^; 3..f„.tk..�. ��.k" ,�y.hi - '�'.-��§Y.. ...e.• ->� x` y,., �f,.L,,L �-r .:... ._:_. :...: ,. ..'�. .� y ..:.., m.# �,'v r ,. y,: ... c ;. f" 'e.. .:4• S,�;�� -.a ,f_-, d'�- ..t� �z r' > MIMM AQA 61 - � : ''' ;. S HIM% h: g M11 a , '4; a �4111��,'��', "Le ..s.:3 :4�..,.. :' ';4n.• ,:s ,.. ,5,- WS, �, x ,41�IW&"4 :. ^E, �;j MN 10 �F,.;:y`y R - t`�-x•. i\=i. F : Z �l.", MAP s a a -a ,e M"W", r .;. ...a . s tib, t ,,, ., r �'. <�a e s .� .�'z.. e k ,. '�.4,� 0 cow Man coo n" R 141 M RAW MON a 3` s 1rt x:t 'A I N "TOR `?A � 40 43 1' '` ✓. "b 3#;.::f ,y, �- icy,' ­Av :� LN � .zago 9. a >t r � ��-a2h c a a : - VINT { a.,� m a e x j a s?Sk SAW,a <�. #Y,a x3 6.: a s 1 A �. :.a;k ; << .,x „fir::, a 3 " ., r ztzs i r .;>a x,', ;:F Aso :." " , k �-'�` s.. � '� .� y s .-.a x s.. {r a v �''.`w ,� ,•a,«: .:.� �i., a>� e rc � �� ,�'-:a .�---7'. -.z.M r- � :? fi^. „„ -s `�>.:�.� ,w:t� fi a e �`..:r� •..s u. Wood ^ : •3� � app a -s' ,.Y ^ � is "3 G "Ail . 441, , '�'> ..ata ..;.. ^,. ' a '�-. .a � x:la Y> , ;..J 2''"',-,tom ',�,�?; 's � -�,;s.> s&'>>� s" -:s t b" •�7;:�,, "�� '� >-�, � ,1:E Vit,. 'r fr - , > r <? l F M. Fg. N:.:r e t4,. Y 5 �+. r- .... s- ,mS:.- 1 � \ ..-:. .>s .w. -.,, :::: �.:P.,. a. rs l.,..v. ,,,, s-:..<::. R<�,. v ,x�K .;sa ,.:.£. .�. ::."�'a€#` .,.,.... ,.. ." ,z...F. >'.., Ems.: ..,.:. RAWA ,. rRa � >:''• �.<.a�'� N'R° ^.r ..�, $ .f' ': .,x�i.z. ..,,a;.. >=a„xit h-E•: `'_.a <,a+ ,,�'.cf:... x .� _:as q �a a 3 ,xa•_.,c�: { ,� ”. ":� :::>z-, .v,. rA u:K+ �;�'t <�' ar'A� "�'.:zn' 1.., ,#: x ?, 'ri,kx.. ,,r'<. .. -.. .. r r....'>. :x e , .s.,..T.. ,. �#,... 'z a`i*> - ',� sap`.", < - v ,., k. .A„.,'�:::a" � .a� `r'�.,_ •;:� '.a..„ L. .> :... ,„:. r z t.;`... = •' ..,� �-..x.. <. ..»rx, '.fi &:, �"��.,2k- a' �a. `§`�.. � .��tiRe M�z.+ a �r„ SIX i�eyv R; a a-. BPI