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HomeMy WebLinkAboutBuilding Permit #271-16 - 333 CANDLESTICK ROAD 9/2/2015 /- 2- TOWN OF NORTH ANDOVER `1 APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page z r6 - RAP PRQ,PERTY ®WNER; i ti - P nt Hi tome DiO%M-4e yes_ in �n MAP1NO: _r- —PARCEL Z0NINg)QIVTjam0T. _ i Re �- - _ Machine ShopVillage_ yesz no; TYPE OF IMPROVEMENT PROPOSED USE Res'dential Non- Residential ❑ New Building Alone family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ i;t t , - -� F' ❑ WatershecliDistrict� `� ;Flootlplain, ❑Wetland's D Septp is M ❑tWell k DESCRIPTION OF WORK TO BE PERFORMED: Identifion Please Type Pri Clerly) / .97 ' �/� OWNER: Name: Phone: (� Address: ICONTRA:CTOR 'Add ess 77 S*uperviso�;s�ConstrucfiohLcense 2 _ rEx"L Oafe 1 _ I �-77 Ezpr I Ab 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. r Q7 Total Project Cost: $� ® FEE: $ J d Check No.: � Receipt No.: a fl o have access t e uara and NOTE: Persons contracting with unregistered contractors do not h g tYf Siax . -ge / vrnt "-- .r«. gn ? j x Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ - : - f'•e.F - f 4 V 1. i, vim*S i x S R r �..r ._ ..,.. - _. ...:_.. .... .. _ - P _. .. ' _ _: z ._ : :: - 1. _ . - - - 1. ... .. -y , p 7 FY y S T ♦ �{ // T Location e� ..! - _ _ I No. . f — 1, Date-- /5 .. . , . .. . . . r • ' . TOWN OF NORTH ANDOVER • _ .I�bl . 2 �- , r =, Certificate of Occupancy $ 'I-,t _ • Building/Frame Permit Fee $ /�� x . Foundation Permit Fee $_� -� . Other Permit Fee - m $ -. , TAL r , ._ $ TOY y; =s - i Check#tf I. . - •S `L ...E "' 1 -!* , Bui///JJ/((i g Inspector Z9 t: a ,: - - � j7 �. < - _ T t w _ 4 i ' .... '. - _...-c� - _ _ h +w — �, --:.3 - Y...- 5 _ -_ % ,.-_ .� --., - .. - _. _. .:a - - - - _ . .f` - -.-4 .. hG f - Y _ I. .__ _.. _ _ ,_ _ .. - _ - - v� w4....... _ - .. .- .:- -.. - ... ... .ems _ - - - - i. - ..e.._ _. _. - 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 Piapning 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.Maln:Street - Fire Depar#inenf signatureldate COMMENTS 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.$10041000 fine NOTES and DATA— (For department use ® Notified for pickup - Date Doe.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 ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C-.S.L. Licenses o Copy of Contract o 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 o Building- Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculatio_ns (If Applicable) o 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 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: Doc.Building Permit Revised 2012 NORTH Town of t E 1jAndover No. - ,� o h ver, Mass, COC,ICHIMIK, A. X1,9 ORATED 1k?a�,(5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT zax. . .... ��.. '. ..11..................................................................... BUILDING INSPECTOR .... f / ,,®® Foundation has permission to erect buildings on .. ..j. '�P. <�. ! ...........4�.1�.... p ........... �`... C ... ......... .... Rough a. to be occupied as .............................:1. .............. .. .......................................................................... 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 CONSTRUCTION TS Rough s Service ...............` . ....... ......... Final BUILDING INSPECTOR - GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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 The Commonwealth of Massachusetts q Department of Industrial Accidents a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):AB CARNES ROOFING INC Address:30 ARROWHEAD FARM RD i BOXFORD, MA 01921 978-887-1431City/State/Zip: Phone#. Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.J 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition _ 10 Rnilrlinn a`l litinz -- 2'r®p®sal AB Carnes Roofing, Inc. 30 Arrowhead farm Rd Page 1 of 1 Boxford, Ma.01921 978-887-1431 MA.CS-000230 and HIC Reg.176928 Proposal Submitted To: LARRY MARSHALL Date August 3,2015 333 CANDLESTICK RD Project Name SAME NORTH ANDOVER,MA 01845 Address 978-697-7493 We propose to furnish material and labor-in accordance with the specifications below: Twelve Thousand Five Hundred Dollars($12,500.00) Payment to be made as follows: $300.00 Deposit, Balance Upon Completion Notice:All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the General Laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Mass.gov/licenses website. ROOF PROPOSAL Q ® STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES.COVER ROOF DECK WITH THE UPGRADED RHINOROOF TITANIUM U2 GH PERFORMANCE SYNTHETIC UNDERLAYMENT MEMBRANE.COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP ENT DAMAGE. ® ICE DAM PROTECTION:INSTALL CARLISLE HIGH PERFORMANCE ICE&WATER BARRIER OVER ALL HEATED AREA EET WIDE AT THE LEADING EDGE OF ROOF AND THREE FEET IN ALL VALLEYS.WRAP THE CHIMNEY(S)AND SKYLIGHT CURBS WITH ICE WATER BARRIER. ® COVER ALL PERIMETERS WITH EIGHT INCH PREFORMED ALUMINUM DRIP EDGE. ® INSTALL GAF COBRA RIDGE VENT AND/OR❑ ROOF LOUVERS FOR ADDED ATTIC VENTILATION. ® COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS AND FLANGE. ® REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST OF$25.00PLFT.WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK AND YOU MAY NEED TO HAVE A CARPENTER REINSTALL OR REPLACE THE SIDING THAT WAS REMOVED. ® CHIMNEY FLASHING:CUT ALL EXISTING TAR AND LEAD FROM TWO C S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WITH METAL ANCHORS. PROPERLYS EGL OIN PLEASE ADD$450.00 EACH TO ABOVE PRICE. pOd� ® COVER ROOF SURFACE WITHCERTAINTEED LANDMARK 24 B LIFETIME WAR NTY DESIGNER SHINGLES.QAOA%W# &J ® REPLACE DEFECTIVE ROOF DECK AS NEEDED WITH SIMILAR 7k�IONAL COST OF$4.00PSQFT. ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF ED NAILING: SECURE SHINGLES WITH EIGHT IN TOTAL COATED ROOFING NAILS AS PER CERTAINTEED SPECIFICATIONS. ❑ SKYLIGHTS:REPLACE EXISTING SKYLIGHTS WITH NEW VELUX OR WASCO UNITS.WE WILL PROVIDE THE SKYLIGHTS&FLASHING KITS AT OUR EXACT COST FROM OUR SUPPLIER.OUR LABOR CHARGE IS$75.00 EACH IF THEY ARE THE SAME SIZE.INTERIOR WORK IS EXCLUDED. ❑ REMOVE EXISTING GUTTERS ❑INSTALL NEW SEAMLESS,032 ALUMINUM GUTTERS USING THE HIDDEN ZIP SCREW HANGER SYSTEM. 0 REPLACE DEFECTIVE TRIM BOARDS WITH CUSTOMERS APPROVAL USING NO.2 PRIMED PINE,ADD PLFT TO THE ABOVE PROPOSAL. i �I i _ . ,---.___-_____.._._�.-,,..�.,+,,,,�,,. v.,n,nv nia�uvaa-�na v�av�avm�u��invirv��-�innyu ugly Ij211J31'Oad ll1/NV3l� 1 Y A R® CERTIFICATE OF LIABILITY INSURANCE 1028-2014 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, j 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: ACE INS SERVICES INC PHONE FAX 675 WARREN AVE c o Ext), No BROCKTON,MA 02301 E-MAIL INSURERS)AFFORDING COVERAGE NAIC R INSURER A:AMERICAN ZURICH INSURANCE COMPANY INSURED INSURER 8: APC CONSTRUCTION INC INSURER C: 51 FORD STREET UNIT 1 BROCKTON,MA 02301 INSURER D INSURER E: INSURER F: COVERAGES 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 TYPE OF INSURANCE AD SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER M D MMIDDNYYY GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMA SE TO RENTED c S CLAIMS-MADE OCCUR 0240(to 9MUM MED EXP(Any ono portion) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGO S POLICY PRO- JECT LOC S MOBILE LMILM - _ - - OMSInCCIDIESINGLE LIMIT S - n ANY AUTO BODILY INJURY(Por person) S ALL OWNED SCHEDULED J S AUTOS AUTOS / BODILY INJURY(Por accidanl) HIRED AUTOS NON-OWNED OPE EY AMAGE S S UMBRELLA LIAB OCCUR w EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ _ S WORKERS COMPENSATION X WC STATU• DTH. - AND EMPLOYERS'LIABILITY ���yyyyyy IN OFFICERIMEMBER EXCLUDED? N 6ZZUB 10-22-2014 10-22-2015 TORY LIMITS GR ANY PROPRIETOR/PARTNERIEXECUTIV NIA E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) 2E52818A E.L,DISEASE-EA EMPLOYEE $1,000,000 If yes,doscribo under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER _ __ _ - AB CARNES ROOFING INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 30 ARROWHEAD FARM ROAD CANCELLED BEFORE THE EXPIRATION DATE THEREOF, BOXFORD,MA01921 NOTICE WILL BE DELIVERED IN ACCORDANCE,WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE r� � ©1988-2010 ACORD CORPORATION.Ail rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM tiro: The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617) 727-9640 Cf�on im. Federal Employer Identification Number: 001149988 (must be 9 digits) ARTICLE I The exact name of the corporation is: A P C CONSTRUCTION,INC ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: CONSTRUCTION RE-MODELLING AND OTHER OTHER SERVICES PERTAINING TO CONSTRU CTION WORK ARTICLE III I State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify any particular designation. Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CNP $0.00000 20,000 $0.00 0 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article 111. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized, state a distinguishing designation for each class. Prior to the issuance of any shares of a class, if shares of another class are outstanding,the Business Entity must provide a description of the preferences,voting powers, qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: ARTICLE VI Other lawful provisions, and if there are no provisions,this article may be left blank. r,. i, la !I Note:The preceding six(6)articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. �4 I ARTICLE VII �I 7i The effective date of organization and time the articles were received for filing if the articles are not rejected within the it time prescribed by law. If a later effective date is desired, specify such date,which may not be later than the 90th day after the articles are received for filing. l �l Later Effective Date: Time: r i, ARTICLE VIII I' The information contained in Article VIII is not a permanent part of the Articles of Organization. r: r f° a,b.The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: ii i i Name: ANGELO PINGUIL �s No. and Street: 51 FOR D STREET �§ UNIT 1 City or Town: BROCKTOPN State: MA Zip: 02301 Country: USA !y c.The names and street addresses of the individuals who will serve as the initial directors, president, I' treasurer and secretary of the corporation(an address need not be specified if the business address of the officer or director is the same as the principal office location): Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code PRESIDENT ANGELO PINGUIL 51 FORD STREET 1 BROCKTON,MA 02301 USA TREASURER ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA SECRETARY { ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA DIRECTOR ANGELO PINGUIL 51 FORD STREET r � + r BROCKTON,MA 02301 USA r d.The fiscal year end (i.e.,tax year) of the corporation: December e.A brief description of the type of business in which the corporation intends to engage: CONSTRUCTION AND RE-MODELLING it f. The street address(post office boxes are not acceptable)of the principal office of the corporation: n. No. and Street: 51 FORD STREET City or Town: BROCKTON State: MA Zip: 02301 Country: USA g. Street address where the records of the corporation required to be kept in the Commonwealth are i; located (post office boxes are not acceptable): ` No. and Street: 51 FORD STREET City or Town: BROCKTON State: MA Zip: 02301 Country: USA which is ` X its principal office _ an office of its transfer agent _ an office of its secretary/assistant secretary _ its registered office Signed this 21 Day of October,2014 at 1:26:45 PM by the incorporator(s). (if an existing corporation is acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where t it was incorporated, the name of the person signing on behalf of said business entity and the title he/she holds or other authority by which such action is taken.) ANGELO PINGUIL `r i ©2001 -2014 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that,upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: October 21, 2014 01:24 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth DIA Use Only FORM 153 The Commonwealth of Massachusetts] y Department of Industrial Accidents f T � 1 Office of Investigations -Dept. 153 1 Congress Street,Suite 100,Boston,Massachusetts 02114-2017 http://www.mass.gov/dia ' j Invest./SWO 1D:#s>. AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE- "t ` = '=- OFFICERS OR DIRECTORS Chapter 169 of the Acts of 2002 amended M.G.L. c. 152, §1(4) by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding stock of the corporation.Notwithstanding section 46, these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter. Said commissioner shall promulgate regulations to carry out the purpose of this paragraph. Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C." Pursuant to M.G.L. c. 152, §1(4) as amended, I/We the undersigned officers of. AB CARNES ROOFING, INC. (Name of Corporation and Address) each holding at least 25% of the issued and outstanding stock in said corporation, do hereby invoke the right to be exempt from the provisions of M.G.L. c. 152, §25A and therefore are not required to carry a workers' compensation policy covering the undersigned corporate officer(s) or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in M.G.L. c. 152 for any injuries that may be sustained while in the employ of the above-named corporation. Further, I/we the undersigned do understand that, should the above-named corporation hire or have in its employ any employee(s) in addition to the undersigned corporate officer(s) or director(s), said corporation is required to obtain workers' compensation coverage for the employee(s) as prescribed by M.G.L. c. 152, §25A. I/We the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the appropriate box below my/our name(s) indicating my/our desire to be exempt or twish ��cempt"fra the provisions of M.G.L. c. 152. nder the ains and penalties of perjury: BARRY CARNES, PRESIDENT 09/24/2013 Print Name&Title Date(mm/dd/yyyy) xercise my right of exemption or ❑ I wish NOT to exercise my right of exemption ,.�, © r'1 ANASTASIYA CARNES, DIRECTOR 09/24/2013 ,CIO - Signature Print Name&Title Date(mm/dd/yyyy)r\,) 1�t ❑✓ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemptionZZ 7 t Signature Print Name&Title Date(mm/dd/yyy8 -1 C , ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption Signature Print Name&Title Date(mm/dd/yyyy) ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption Note:ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN. THERE CAN BE NO MORE THAN 4 SIGNATURES. Instructions on back. Form 153—7/2010 MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM �t�. �•.. ,yr The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin Secretary of the Commonwealth,Corporations Division �1 One Ashburton Place, 17th floor Boston,MA 02108-1512 Special Filine Instructions Telephone: (617)727-9640 �l�C •D �iQ�• �C�3u' �� Federal Employer Identification Number: 001110484 (must be 9 digits) r. ARTICLE The exact name of the corporation is: AB CARNES ROOFING,INC. ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: COMMERCIAL&RESIDENTIAL ROOFING AND ROOFING RELATED WORK. THIS SHALL INCLUDE ALL TYPES EXTERIOR&INTERIOR REMODELING ARTICLE III State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify any particular designation. _ Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Nuni of Shares Total Par Value Num oj'Shares -CNP $0.00000 _.._1,000 $0.00 -_-- - - � 1.000 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized, state a distinguishing designation for each class. Prior to the issuance of any shares of a class, if shares of another class are outstanding,the Business Entity must provide a description of the preferences, voting powers, qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: ARTICLE VI Other lawful provisions, and if there are no provisions,this article may be left blank. 0 i t , a Note: The preceding six(6)articles are considered to be permanent and may be changed only by filing j " appropriate articles of amendment. ARTICLE VII i i The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law. If a later effective date is desired,specify such date,which may not be later than the 90th day after the articles are received for filing. f I, Later Effective Date: Time: " ARTICLE Vlll i I The information contained in Article VIII is not a permanent part of the Articles of Organization. r a,b.The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: t r Name: BARRY CARNES ; No. and Street: 30 ARROWHEAD FARM RD E City or Town: BOXFORD State: MA Zip: 01921 Country: USA { ,q I, c.The names and street addresses of the individuals who will serve as the initial directors, president, t treasurer and secretary of the corporation (an address need not be specified if the business address of the I l officer or director is the same as the principal office location): t " 3 " Title Individual Name Address(no PO Box) f .I First,Middle,Last,Suffix i Address,City or Town,State,Zip Code I s� P-RE SIDENTBARRY S CARNES 30 ARROWHEAD FARM RD t r , I BOXFORD,MA 01921 USA ` TREASURER BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA SECRETARY z uANASTASIYA V CARNES w 30 ARROWHEAD FARM RD �+ i } BOXFORD,MA 01921 USA I DIRECTOR BARRY S CARNES f 30 ARROWHEAD FARM RD I " BOXFORD,MA 01921 USA DIRECTOR ANASTASIYA V CARNES 30 ARROWHEAD FARM RD I I BOXFORD,MA 01921 USA r d.The fiscal year end (i.e., tax year) of the corporation: ' October e.A brief description of the type of business in which the corporation intends to engage: t COMMERCIAL&RESIDENTIAL ROOFING '{ f. The street address(post office boxes are not acceptable)of the principal office of the corporation: i No. and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State: MA Zip: 01921 Country: USA g. Street address where the records of the corporation required to be kept in the Commonwealth are located (post office boxes are not acceptable): No. and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State: MA Zip: 01921 Country: USA which is X its principal office _ an office of its transfer agent , an office of its secretary/assistant secretary _ its registered office I .r s; Signed this 26 Da of June 2013 at 6:23:02 PM b the incor orators . I an existing corporation is g Y � Y p � ) (.f g P acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where I it was incorporated, the name of the person signing on behalf of said business entity and the title he/she F holds or other authority by which such action is taken.) BARRY S CARNES ©2001 -2013 Commonwealth of Massachusetts All Rights Reserved r i MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM THE COMMONWEALTH OF MASSACHUSETTS i I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: June 26, 2013 06:21 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth 9 { Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-000230 g, ti ; BARRY S CARNES -- 30 ARROWHEAI FAR'ltil�RDIjP Boxford MA 01911 °'X— Expiration Commissioner 03/07/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contzactor Registration Registration: 176928 Type: Corporation Expiration: 10/10/2015 Tr# 245633 AB CARNES ROOFING, INC. 7,11 BARRY CARNES 30 ARROWHEAD FARM RD BOXFORD, MA 01921 Update Address and return card.Mark reason for change. 0 Address E] Renewal F] Employment Lost Card SCA 1 Cr 20M•05/11 TOWN OF NORTH ANDOVER WASTE AFFIDAVIT As a result of the provisions of MGL Ch.40-s54, I acknowledge that as a condition of building permit# all debris resulting from the construction activity governed by this building permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL Ch.111-s150A. Waste Disposal or Solid Waste Facility: ALLIED WASTE Address: 300 FOREST ST Town Ci / ty, State, Zip: PEABODY, MA 01960 NAME OF HAULER: AB CARNES ROOFING, INC. DUMP TRUCKS DATE: 8-31-2015 SIGNATURE OF APPLICANT: