HomeMy WebLinkAboutBuilding Permit #231-15 - 317 HILLSIDE ROAD 9/3/2015 L
BUILDING PERMIT OFr10RTIi
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION _
1•
Permit No#: Date Received X19 A�RA7E0 "�(`J
SSAC HU`-+�
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 7 LJi I)SIdE 19,4W
Print
PROPERTY OWNER C��� �`S /✓4P GGA
�. Print 100 Year Structure yes6no
MAPS PARCEL ZONING DISTRICT: Historic District ye
Machine Shop Village ye
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: iLI)OF- 4'A'9 'i. Phone:. Z 'j
Address: ' 70)9-
Contractor Name: 17v-61►x3 'hone: '179— 1-1'Z7 -,6� Y7
Address: �-7 A,
II
Supervisor's Construction License: -Y/U6- Exp. Date:
Home Improvement License: ��6 77 q Exp. Date-.-
ARCH ITECT/ENGINEER
ate:ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
C)41C
Total Project Cost: $ Z,,,Oj 112--1 FEE: $
Check No.: (goerD
ky Receipt No.: cqqci�
NOTE: Persons contracting with unregistered contractors do not have access to the gu an and
Signa
Signature of Agent/Owner re of contractor
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
a 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/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
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
❑ 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 2014
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 Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
I
Plans Submitted ❑ Plans Waived 0 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. ❑ Pennanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
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 - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Location
No. Date
. - TOWN OF NORTH ANDOVER
_ Certificate of Occupancy $ -•;
Building/Frame Permit Fee •
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check
Building Inspector
NORTH
Town of
s E ndover
No. -
h " ver, Mass,
0 Qp
01-
COC NIC NI_rC0
Rq TE D 114
U BOARD OF HEALTH
Food/Kitchen
PERMI. TT.. D Septic System
THIS CERTIFIES THAT ......... .`1. .I.S............. .. ..r , BUILDING INSPECTOR
Ghas permission to erect .......................... buildings on .� .......... ..... .` . � ......................... Foundation
Rough
to be occupied as ....... ..... �.... .. .... �. ....... .......ka�. Dlb .Ats.+...M. Chimney
provided that the person accepting this mit shall in every respectconfoto 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 TA T Rough
1 Service
1
................ ....... ...... Final
BUILDING
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
I �
Proposal
1 '
tcc s
TWOMEY & LEGARE
l
87 Belmont Street
North Andover, Ma 01845
Office: Fax:
978-685-7447*978-556-1547 978-685-7446
Name of Owner
Chris & Suzanne Nobile
317 Hillside Road
North Andover, MA 01845
Date 7/8/2014
We hereby submit estimate for:
Strip existing pressure treated decking off deck and stairs and dispose of.
Provide and install Timbertech Reliaboard decking to replace pressure treated decking. Install white azek trim
boards on risers of stairs.
Remove existing 4x4 p.t. posts on deck. Install new 4x4 p.t. posts mounted to inside area of flame to accept
Timbertech Rail post sleeves.
Provide and install White Radience rail system with post sleeves,aprons,railings
and post caps.
Provide and install new double door in storage area below master bedroom. Provide flair style locking handle
set.
Provide and install a 3 foot door with side light to lower level finished room. Door to be Smooth Star, full view
french door with internal blinds. Side light to also have blinds. Viewed from outside, side light to be on left.
Viewed from outside hinges to be on left, all black hardware.
We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of.
Total:
Payment to be made as follows:
Authorized Signature:
NOTE: This proposal may be withdrawn by us if not accepted within days
Acceptance of Proposal- The above prices,
specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Signature:
Payment will be made as outlined above.
Date of Acceptance: Signature:
Page 1
Proposal
-Its. TWOMEY & LEGAPE
87 Belmont Street
North Andover, Ma 01845
Office: Fax:
978-685-7447*978-556-1547 978-685-7446
Name of Owner
Chris & Suzanne Nobile
317 Hillside Road
North Andover, MA 01845
Date 7/8/2014
We hereby submit estimate for:
$5426.00 upon signing, $5,000.00 upon start of work, $5,000.00 upon 50%completion and $5,000.00 upon
completion.
We Propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of:
Total:
Payment to be made as follows:
ri'e�
Authorized Signature:
NOTE: This proposal may be withdrawn by us if not accepted within days
Acceptance of Proposal- The above prices,
specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Signature:
-_- �-�-
Payment will be made as outlined above. 61 r
Date of Acceptance: Signature:
Page 2
Proposal
TWOMEY & LEGARE
87 Belmont Street
North Andover, Ma 01845
Office: Fax:
978-685-7447*978-556-1547 978-685-7446
Name of Owner
Chris & Suzanne Nobile
317 Hillside Road
North Andover, MA 01845
Date 7/8/2014
We hereby submit estimate for:
We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of-
Total:
fTotal: $201426.00
Payment to be made as follows:
Authorized Signature
NOTE: This proposal may be withdrawn by us if not accepted within days
Acceptance of Proposal - The above prices,
specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified.
Sian atuz e:
Payment will be made as outlined above.
Date of Acceptance: Signature:
Page 3
HOME IMPROVEMENT CONTRACT TERMS AND CONDITIONS(M.G.L.142A)
1.WORK:Provided the Homeowner performs under this agreement,the Contractor shall perform the work on the Property as specified Proposal,attached
incorporated herein.The work does not include extraordinary conditions of which the Contractor could not reasonably be aware.If such conditions are
encountered,this shall be an additional cost to the Homeowner.Materials selected by Homeowner may have to be ordered or custom made,which items are
specifier)in the Proposal.The Contractor is not obligated to agree to any modifications,extras or change orders unless such items are agreed to in writing by
the Contractor.All extras and changes shall be at an additional cost to the Homeowner.Contractor shall perform the work in a good and workmanlike manner
using materials consistent with this contract.Lawn or Driveway may be damaged by dumpster or equipment.Due to material shortages Contractor may
substitute materials of equivalent grade.
2. PERMITS:If a building permit is required for the work,the Contractor shall obtain same as Homeowner's agent.Contractor is not responsible for any
other permits that may be required for the Work,and Homeowner is responsible to determine whether any zoning,planning or wetland related permits or
approvals are necessary.Homeowners who secure their own permits or deal with unregistered contractors will not have access to the Guaranty Fund.
3. COMMENCEMENT AND COMPLETION:Homeowner acknowledges the commencement date of the work is fluid,and is subject to numerous factors
such as scheduling other contractors,delivery of materials and weather.Contractor and Homeowner shall determine the commencement date of the Work
when a more definite determination can be made and shall execute a written acknowledgment of same.The Work shall be substantially completed withjvr j
days of commencement,except for longer periods as may apply to particular projects as Contractor shall notify Homeowner in the Proposal,and subject to
delays for circumstances beyond Contractor's control.Notwithstanding,the commencement date and substantial completion date may be extended,and the
Contractor will not be liable for delays caused by,labor or material shortages,delays in delivery of items selected by the Homeowner,governmental action,
and unforeseen events beyond the Contractor's control,including but not limited to weather,strikes,war,the acts of third persons or the acts of the
Homeowner.The Homeowner recognizes that the commencement date may be delayed due to scheduling or the completion of Contractor's other jobs.
4. PAYMENTS:Contractor agrees to perform the Work and to furnish the materials and labor specified in the Proposal for the amount as stated in the
Proposal.Thirty percent(30%)of the total is to be paid as a deposit with the signing of this contract.Upon cancellation prior to commencement of the
Work,any remaining deposit will be returned less the costs for materials ordered for which Contractor was unable to cancel.Final payment shall be due
upon completion of the Work and Homeowner agrees it may not hold any retainage.Late fees may be applied for late payments.Homeowner shall pay
Contractor's reasonable costs of collection,including attorney's fees and costs.Time is of the essence hereof.
5. WARRANTY:For a period of lyear after substantial completion of the Work the roof will be free of leaks caused by defects in workmanship,
but not those caused by ice backing-up or extraordinary weather events,including blizzards,tornadoes,hurricanes or storms of greater than a twenty-five
year duration or intensity.Contractor gives no warranties with reference to any materials or equipment installed in the Premises,passes any such warranties
directly to Homeowner,and Homeowner agrees to look only to the manufacturer with reference thereto.This limited warranty extends to the Homeowner
only and is not transferable to succeeding Homeowners.This Limited Warranty specifically excludes(i)all consequential and incidental damages;(ii)
damage due to ordinary wear and tear,abusive use,misuse,or lack of proper maintenance;(iii)defects which are the result of characteristics common to
materials used;(iv)defects in items installed or supplied by anyone other than Contractor;(v)work done by anyone other than by Contractor;and(vi)loss
or injury due to the elements.There are no other expressed or implied warranties or representations made or given.
6. ENTIRE AGREEMENT:This contract and all documents referenced herein constitute the complete and final agreement between the parties.In the event
that any of the provisions of this contract shall be held to be invalid,the remainder of the provisions of this contract shall remain in full force and effect.Two
identical copies of this contract have been completed and signed.Homeowner acknowledges receipt of a completed contract signed by the Contractor.
7. HOME IMPROVEMENT REGISTRATION:In accordance with M.G.L.c. 142 A,§9,Contractor is registered with the Bureau of Building Regulations
and Standards Registration Noc454377.'Homeowner may verify by contacting the Director at(617)727-3200,ext.25205.A Homeowner's rights under
the Home Improvement Law(M.G.L.c. 142A)and other consumer protection laws may not be waived in any way.Homeowner acknowledges receipt of a
copy of 780 CMR R6 and Massachusetts General Laws chapter 142A,and which are available online at www.mass.gov.Questions may be directed to the
Consumer Information Hotline,(617)727-7780.
8. ARBITRATION:Contractor and the Homeowner hereby mutually agree in advance that in the event the Contractor has a dispute concerning this contract,
the Contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs
and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c. 142A.No lien or security interest is
imposed on the Property as a consequence of this contract,but Contractor has the right to record this contract or a notice of this contract,or seek a lien if the
Homeowner breaches this Contract.
9. HOMEOWNER COVENANTS:The Homeowner agrees,represents and warrants that(a)the Homeowner grants permission to the Contractor to enter the
Property to perform the work as covered by this contract;(b)the Homeowner has funds available to make full payment under this contract to the Contractor
upon completion;(c)the Homeowner understands that construction as contemplated by this agreement creates a dangerous condition,and agrees not to enter
portions of the Property under construction until the Contractor advises the Homeowner that the construction is completed;(d)Contractor may need use
landscaped areas of the yard during the Work and Homeowner is responsible to provide protection for landscaping and(e)that code requirements may result in
roofing nails penetrating through roof decking and will be visible on the underside of some surfaces.The Homeowner indemnifies,exonerates and holds
harmless the Contractor from any loss,damage,claim,liability or expense(including reasonable attorney's fees,deposition costs and court costs)resulting
from a breach of this provision.Contractor is not responsible for damage to landscaping that will grow back during the next growing season.
10.CANCELLATION:Homeowner may cancel this agreement provided Homeowner notifies the Contractor i writing at the address listed in the Proposal not
later than midnight of the third business day following the signing of this agreement.
HOMEOWNER: DATE:
.moi,, Otck"A ryl t'SDEPOSIT: / ?'6
(�� -271
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CERTIFICATE OF LIABILITY INSURANCE ! (MMIDDIYYYYITE
-TW%QEr
RTiFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE S 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 ERR AND THE CERTIFlCATE IMPORTANT:If if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed It SUBROGATION IS WAIVED,subject to the
terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not canter rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
DOHERTY INS AGENCY INC PHONE FAX
PO BOX 1935 (A/C,No,Ext): 1C.
Nola
ANDOVER,.MA 01310 E-MAIL
ADDRESS:
2'-)YMX
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: TRA%Tl=PS INDEMNITY COMPANY OF AMERICA
TVdONIEY&L FGARE CONTRACTING INC INSURER B:
INSURER C:
PO BOX 366 INSURER D:
NORTH ANDOVER,MA 01545 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
ANYREWREMENT,TERMOR REDNAMEDABOVEFOR THE
POLICY PEfQOD RCATM=WTHST
AFMRDEDBYTWPOLK7ESDE BEDS �R�OROTHERDOCt>m +fiwTHRESPEGTTOYmCHIMSCEmFK—ATEmAyBEISSUEDORMAYPERTAKTtfA�5m4cE
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9S5R ADD SUB POUCY EFF DATE POLICY EXP DATE
LTR TYPE OF 11,61A NICE L R POLICY NUhBER (tsMaDDMYYYY) (WADD;YYYY) LIMITSGENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
CLAIMS MODE OCCUR. DAMAGE TO RENTED $
REMISES(Ea ocurrenca)
ED EXP(Anyone persm) $
GEN'L AGGREGATE LIMIT APPLIES PER ERSONAL&ADV IN IURY $
POLICY Q PROJECT❑LOG ENERALAGGREGATE $
RODUCTS-COMPIOPAGG $
AUTOMOBILE LIABILITY
ANYAUTO COMBINEDSINGLE $
ALL OWNED AUTOS
LIMIT(Ea accideni)
BODILY INJURY $
SCHEDULEAUTOS (Per person)
HIRED AUTOS BODILY INJURY S
NON-OYVNED AUTOS (Per acciderit)
PROPERTY DAMAGE $
(Per andderd)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS UAB — C-LAIMSfilIADE AGGREGATE $
DEDUCTIBLE is
RETENTION $ I$
A WORKER'S COMPENSATION AND inlC STATUTORY OTWR
EMPLOYER'S LIABILITY YIN UB-0290M94-13 (19118;2013 0911812014 t UMTS
ANY PROPE191IU'9+PARTNEWEXECLRIVE I v l WA
OFRC3>lfdBuSER IXCUJDED? E E.L EACH ACCIDENT $ 500,000
(MwdataYnw) E.L.DISEASE-EA EMPLOYEE $
500,000
VAesaihe urcta
PTION OF CPERATIONS Wc+.v E-L DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONSILOCA-nONS/VEHCLES'RESTRiCTIONS/SPECIAL ITEMS
TINS REPLACES ANY PRIOR CRTIFICATE ISSUED TO THE CDti1FICATE HOLDER AFFECTING'WORKERS COMP COVERAGE.
CERTIFICATE HOLDER CANCELLATION
} SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED d
-- –-------
BEFORE THE EXPIRATION DATE THEREOF;NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS- t
AUTHORIZED REPRESENT,TINE w" .1 r
--
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION- All rights reserved.
JUN-20-2013 THU 04:06 PM FAX N0. 9784750303 P. 14/17
Glient#:13298 T OMEY6
ACORD,. CERTIFICATE OF LIABILITY INSURANCE I
06/20/206120/2 O0/YYYY)
013
PRODUCER THIS CE iTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Doherty Insurance Agency,Inc. ONLY A ID CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O.BOX 1985 HOLDS .THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
21 Elm Street —ALTER'HE COVERAGE AFFORDED BY THE POLICIES BELOW.
Andover,MA 01810 INSURER AFFORDING COVERAGE NAIC#
INSURED INSURER A: krbella Protection Ins Company
Twomey 81 Legare Contracting,Inc.
PO Box 366 INSURER B:
North Andover,MA 01845 INSURER C!
INSURER D:
WSUHER c:
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED AlVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RI SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED DY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TME TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 9Y PAID CLAIMS.
IN3R PI LM TYPE OF INSURANCE POLICY NUMBER u V EFFECTE P I N
I.MMTS
A GENERAL LIABILITY 8500043255 06/22113 06/22114 EACH OCCURRENCE $1 00 000
X COMMERCIAL GENERAL LIABILITY OA AGF 0R(nNTED mirmneel 1100 DDD
CLAIMS N.AOE a OCCUR MED EXP(qtly ortr,porson) $6.000
PERSONAL SAOVINJURY 5-100010110
GENERAL AGGREGATE s2.000.000
GFMLAGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG 12000000
)( POLICY PRO-JECT IOC
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT 1
(ES BCCtIIaM)
ALL OWNED AUTOS
SCHEDULEDAUT'OS SODILYINJURY 1
(Per person)
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY 1
(Per w4den)
PROPERTY DAMAGE S
(Per utziamnt)
GARAGE uABiLRY AU)0 ONLY-EA ACCIDENT S
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OTHER THAN EA ACG IS
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EXCESSIUMBRELLALIABIUTY EACHOCCURRENCF g
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WORKERS COMPENSATION AND WCSTATU- OTH-
EMPI.OYERS•LIABILITY f LIMIT:
ANY PROPHIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S
OFFICERIMEMBER EXCLUDE07
Il yes.des[dba under E.L DISEASE-EA EMPLOYEE S
SPECIAL PROVISIONS haiew
OTHER E.L.OISBASF,_POUCYLIMIT IS
QESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES/EXCLUSIONS ADOEO BY ENDORSEMENT I SPECIAL PF OVISIONs
Covering operatlons usual to Twomey&Legare Contracting,Inc...
CERTIFICATE HOLOER CANCELLA ION 10 DaYS for Non-Payment
SHOULD ANY O THE ABOVE DESCRIBED POUCIES eE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMOO TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSIi NO 051 JGATION OR LIABILITY OF ANY KING UPON THE INSURER ITS AGENTS OR
REPRESENTATI VFS.
AUTHORIZED REPRESENT
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ACORD 25(2001/88)1 of 2 d1,S293741M29371
DML 0 CORP CO TION 1988
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'tassachuscTts- 1)epilt tinent of Public SufetN
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Construction Supervisor !icense
License: CS 67560
SHAUN M TWOMEY ."a t
61 PATROIT ST
N ANDOVER, MA 01845 .="=
Expiration: 10125/2013
+,nmiis<=.aper Tr#: 4913
790 u
UlassachusettS -DepaFttrnerat o ':lv.7!ic yc't'er1
Boa-d of.Building Req-uiatio s and- S-Lan a-,i du.
Construction Supervisor
CS-055108
DOUGLAS J LEGARE
79 GARY AVE
HAVERHILL Na 01830
Co„ ?tssicr ar 09/02/2014
J//<���„�����, • a�f c _-1`h����„/,,,raj•\.
a usiness Revelation
office of Consumer b
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t;;��:=�#OME IMPROVE NT CO RACTOR
`��--�� egistration: 136779 Type: 20 I
-a;��-'`=�Expiration• 8/26/20 Partnership
TWOMEY LEGAR RACTING INC.
SHAWN TWOMEY
87 BELMONT ST.
N_ANDOVER,MA 01845 Undersecretary
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