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HomeMy WebLinkAboutBuilding Permit #136 - 40 AMBERVILLE ROAD 8/25/2008 BUILDING PERMIT OfpORT/.jt%0R b,ftio TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION Permit NO: 1v Date Received 4 V� �9SSACHUS K Date Issued: -0 S IMPORTANT:Applicant must complete all items on this page -C 70N .nnt PROPERTY OWNER .—sPnrat 1171P NOPARCEL �Ola11NG DJSTRICT wH�storc Oistfict yes no achine Shop UiJlage .;yes no TYPE OF IMPROVEMENT PROPOSED USE Resid ial Non- Residential New Building rbne family Addition Two or more family industrial /, -Alteration ' No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic` 11#lellA Y,x' loodplaari Wetlands Waterstied kDistr�ct r �WaterlSeuuer . w ` DESCRIPTION OF WORK TO BE PREFORMED: U >,-t--- s r'iy 4&0 0)14 Identification Please Type or Print Clearly) OWNER: Name:'S1Ken-r-/f? /04AF rM,g FL1q Phonel7 0:3 �2. Address: DC7 dv! r �� V 'yi Al, )q^-04"W7 14A of `V9" CONTRACTOR ,game ; - % ,f Phone " , dross-: 19. Supervisor's Construction License d :, Exp Date.lc ' Home Irnprovernt.: acen"se `��`7: at enL —D . ! _ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3 I Pao FEE: $ Check No.: a0s Receipt No.: t��3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Siaature of Agent/Quuner; Signature of contractor 1 ' Location ' 0 No. 236e Date 0:)(- d NpRT/y TOWN OF NORTH ANDOVER C: O� • _ : . Certificate of Occupancy $ nusEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � ` i 443 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerSwimming Pools 1 ', Tanning/Massage/Body Art Well Tobacco Sales '<,-.' Food Packaging/SaY>vs °'� ZS Private(septic tank,etc. �. Permanent Dumpster on Site Cd IDt1 .�m U)= THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U>AFQRM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENTS, D� COMMENTS / 6/ ��/�'�ti1 (�c✓ T��Ps ���� t9i �6�`I/i:t�`o�/ \, DATE REJECTED DATE A PROVED X CONSERVATION COMMENTS A zcl-4 0--P,;2 V,; - E DATE REJECTED DATE APP O ED A ,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 Located at 384 Osgood Streef; ^� .FIRE�.DEPARTMEIT ' �emP Dumpster on site yes-, Located at 3 24,Main Street: f. Fire,Departmeratignaure/elate _ COMMENT 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) *" S.i t#j I VI o , i ❑ Notified for pickup - Date i Doc.Building Permit Revised 2007 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 ❑ 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 .. l ❑ Photo Copy of KI.C. AndrC,,S.L.'Licerr o Copy Of Contract-, o Floor/Crossection/Elevation Plan Of Proposed Work With Sprin-der Flan And. Hydraulic Calculations (If Applicable) . ❑ Mass check Energy Compliance Report (-IfApplr6ab1e) - ❑ 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) o Copy of Contract o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 NORTH o" 6Andover o _ No. 1 .3 o dover, Mass. 'a b5 T O� - -LA �• 1) - COCNICNEWICK \ 7� ORATED PPV� y S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � BUILDING INSPECTOR BUI THIS CERTIFIES THAT.......,* f C.. !.......... /f................... o F undaaon has permission to erect....:................................... buildings on.....- . v...AIM ob*. i ......�4................ Rough to be occupied as.....5✓N.. iO! ...:....tom. ..... � tif�.................................................................... Chimney c provided that the person accepting this permit shall in every respect;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 38&-- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TS Rough ............ ............ .................................................................................. Service BUILDING INSPECTOR , Final Occupancy Permit Required to Occupy-Building a 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 °et: REVISION BY COUNTER FLASHING --- 1 1/2L END OF RIDGE (A*BRFG) AND BLOCKING BEAUTY CAP AND RIDGE CAP (A*4RC7) BEAUTY CAP (A*4 BC) (A*4BC) GLAZING'CAP GLAZING CAP (A*500B (A*5GCB) I - GLAZING CORD a � (RK5NGL) ' a � GABLE ADD-ON V] GLAZING CORD U N (RK5NGL) a d ----- -- E 5LBE (SHOWN) OR 3/B' 5HBE ROOF BAR I 0 3 5LBE (SHOWN) OR 5HBE ROOF BAR o oa � wm ' #8 X 1/2" TEK Q SCREW (7*150) W � � 1 3/4" H-CHANNEL 1:4 TOP OF _ — -—- SILL SUPPORT BEAM AND O A WINDOW FIXED JAMB GLAZING TAPE (HK1009) I OUTER EDGE OF ELECTRIC EAVE SUPPORT BEAM COVER (A*5GT) i AND POST ADEQUATE ELECTRIC EAVE FASTENER (A7*144) i ELECTRIC EAVE ON PEAKED WALL i (A7*144) DRAWN BY: TW 4/12 GLASS-- X30 5/8" OR 36 5/8" 1 11/16"-�{ CHECKED BY: TRAPEZOID TRANSOM ON CENTER DATE: 04-25-02 SCALE: NTS DWO# CD-I1 * PAGE: ® OF: j . 5LB3 OR 5HB3 REVISION BY BAR EAVE END CAP (C*8110) GLAZING'CAP 1/16~ GLAZING 00B) (A*5GCB DAVB CLIP (CN13004) MADE FROM 5EC EXTRUSION SETTING BLOCKS (HK1023) WALL BAR (A*BWHB) TRIM (7MT) 5LB3 OR 5HB3 s BAR #10 X 1 1/4- SCREW (HN2026) Z PER BAR U 4 GUs� F-i O TTER (A*740C) � 1/4" X 1 1/4" SCREW (HN2080) E U z EAVE(CN3004P) 435'1 § 43 d 0 TWO PDR BAR b�1R TOP WALL OF A 1 4" X 1 1/4" � i s EAVB (A*703B) 2 SIDE SECTION OF EAVE O SCREW (HN20B0� p„ TOP OF (� HREE PDR CLI # P" ELECTRIC EAVE Qy v0, BRIM (C*13003) >,, O ZHN2028)1/4" SCREW O vzz�� WEEP HOLES EAVE ASSEMBLY (A*7E3B) [LL (A*7CS) BELOW a O d EAVE AT 17.35° AVERAGEE]I OF CDRNER ti 3/12 AND 4/12 PITCHES F (16.26 / 18.44) O W� x J o SLIDING DOOR N `� HEAD (7AH) WINDOWggB X )/2" TEK SCREW w La EAVE DETAIL FIXED (7+150) z 1 F PILL. (A*70$) V BELOW W a a WINDOW VENT 3H w m OUTER DDGH OF m SUPPORT BEAM .. & POST N — ORNER (A*7C8) l DRAWN BY: TW CHECKED BY: PEAKED FRONT WALL — DATE: 04-25-02 FRONT WALL DEPTH SCALE: NTS 3 CORNER DETAIL DWG# CD-0e � PAGE: 9 OF: N�wN,R`vUkP'S a"bN,.[p'$uW91D'Al MaluifaeiureY I 230 SUN & STARS ROOM: CATHEDRAL DESIGN ENGINEERING AND STRUCTURAL LOADING INFORMATION EFFECTIVE DATE"4 LD Au YLT7IA/RA •LC Cf1M"fur REVISION:B FRONT Wal AmUIA LIVE LOAD END WALL FROJECTNJN(FEET)-ALLOWABLE LOADING CHARD LENGTH GOVERNED BY ROOF LDAP Psc (61[PosURe a(RESIOENTIALI WIND LOAD IN NPH) fE 11 1 12 13 19 1 18 1Y 21 1 2r— za RIDGE, i•'BEAM 64 100 70 550 54 160 33 150 23 140' 130 125 120: 126 BEAM .. 11 LOADS 12"BEAM 230• 1130 700 :150 182' 160 120• 15 104 140' 63 1J0 4"J 012$ 30 12D 1 O ROOF BAR 1-1'( ':M:6 r• .13 ! I. 0.:' _x:23 . '4 L SH83 250 180 250 150 250 160 256 , 130 236 140' 250, 1130 250 ;1� + Z50 120 230 120 RIDGE aa!;p1. :,..;,.'.7 ..,.,3N? :;Saar S '. ,`.r 1"3'91 ..L.t _ I x'1101 1 •.)f'. ar BEAU T BEAM&STEEL 178 10S 13$ :1551 '105 785 65 785 52 � 145 X28 135 18 X130 1$ ' 125 12 19 LOA08 :a ROOF BAR 61-83 95 165 80 165 96 163 80, .1159 •B6. 145 180 156 95 :130 80 126 O0 (20 LOADS '. :•'1': l.: !r g}, ..1 •in - WIN RIDGE ?"REAM 67 '185 50 155: 37 165 22 133 77�! 130' 14021 ;1351 125 II i..12D . BEAU '!: . y.r..1 :f: 51.i a` , P. i „r, •i. , 15 LOADS 12"BEAM 180 :185 13 155. 11 1 185 85 155 74 030 46 11140 32 1135mol 1 2' 120 ROOF BAR �•, ...t 7 ,. I.,1 ,.i,. ... a..,...Ip1f:C.1. .} :'11... LOADS 5HB3 120 '105 105' 155: 125 105 1 W 158 125. 150 `105 140 123 ;139 125 120 RIDGE ',' '. 1 M;•r,;•:' 'bb.,''•,': 4' 0, s6 :S$2 :ba �.a•7A:9::.�:'.1 t : r' 9:011 'Ii.tAOa S..e 11J1 n1 itBEAM T BEAM A STEEL 134 '155 1011 1$.5 78 155 4B ibb: 3B : 1301 20 140 12 013517 LOADS M�" ��R i•'. 1 R F 5L63 43 156 36 163: 43 163 30 185' 0 : 150; 38 140 43 !13b LLUDS %�I" -,8.')'i 91 6 i 'T $i! B• f 04E i^BEAM 51 145 3B 145; 2a 145 111 1145 12• 145 140 X13$ 125 1. BEAN .+'b 1 Ne1 ;'r, a�5;;, 7f LOADS f2"BL°AM 130 115 107 145. SIU 145 -60 163 37� 749 •34' 440 24 'f35 20 1 34 16 125 ROOF BM r•-• •r •` '1 ' LOADS SH83 62 1a5 52 :1a 745 52 143 e2 7q$ 52 1a0 62 -135 52 130 62 125 RIDGE ..!.:..�.... 5...,ya I. .. r4 v 25' 'i dy.rfq .. 1 .1b ..'9x7!`!.,C1$' I BEAM 7 pQAM X STEEL 10 130 B1 130 62 130 3T _,f_130 L 2B 1J0 14 730 Q •1 7 S - !,i 21 LOADS t 4r. r, 1 i 0. :6, ,:ro 'n ,3 3. •2 RDOFBAR L 3 23 '130 tY "730' 23 730 12 y134 3 23 130 I13 0 Z3 •tJ0 70 129 U I 23 25 LODS )4414. RIDGE 7"BEAM Al 10 30 t 120ji 2z 7201 12 ( 1Z0 9 1 0 ) 120 120 120• 120 BEAM il Z3LOADS 12"BEAM 105 •7 T 720 74 120 531 0ROOF BAR I :1!. 11R.1ar ILBOBS' 3$'• 120, ._..�.,......- ALVMINIAA TUBE BI"AM 2.,-�""I 101!2"WIT 2 3/8" ALUMINUM PN 7T8 S'ROOF 1.97 OUr F 'h PN BEAM ls?M TUWiFI-rCTRIC-H ROOF PANEL�11p� 3.97 lbs STEEL TUBE BE Par FT INSERT POSTAg7BP132U ` 7 1/8" 2 X 6 X 3116 12•• 12"BEAM 0D FOR 57 PSF WALL 9.421A0 PN 12LW 4'X 24'ROOM. FRp \r pet FT WITH A LLJ HEIGHT HT OF 11'40" LF�N. L\/ fNP�of) MUM PRIMED IN RIELO M "L In Accordance with the 2008 Massachusetts State Building Code 780 CMR, 7th Edition. NOTES: II RIDGE BEAMS TO BE 7TFL 7TB WITH STEEL OR 12LW 11011111jN,� 2) 51-83=3'LITE BAR,SH83:3'HEAVY BAR, SH Op SLBS-S"LYTE BAR,5C65=5"HEAVY BAR 3)ALUMINUM ALLOY FOR GLAZING BARS IS 6005-T5. 4) DEAD LOAD OF ROOF SYSTEM IS 7 PSF � AAIubC Z 51 ALL UNITS SHOWN ON THIS PAGE ARE ACC EPTABLE FOR CONSTRUCTION IN 4.4'I��r7CNriE SEISMIC ZONE 4. g F�.iH s -= a)DEFLECTION ARE BASED ON U120 DEAD+LIVE CRITERIA,U780 LIVE CRITERIA FOR THE RAFTERS AND U160 CRITERIA FOR THE RID43E BEAM. i = STRUCTUAAL7)WINDS ARE BASED ON AN ENCLOSED STRUCTURE 1171-IBS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO.BUT NOT 1NCIUOING,THE CONNECTIONS TO THE EXISTING STRUCTURE 1 O �Q AN01ORANY NEW CONSTRUCTION.ALLSUBSTRUCTURC DESIGN F p ► ((j" REQUIREMENTS AND CONNECTIONS TO THE EX15TING STRUCTURE ARF,NOT INCLUDED IN THE SCOPE OF WORK FOR THE FOUR SEASONS PRODOCr,AND MUST BE DESIGNED BY OTHERS. s•V7�AL FT' 9) E ENGINEERING DESIGN SCOPE USEASONS PRODUCT A"QU NI IT4 PCALLVAVWGA n MCNV THE EXISTING STRUCTURE.THESE MAY INCLUDE SNOW DRIFTING OR UNBALANCE SNOW LOADING.ANY SPECIAL LOADING CON041IONS MUST BE EVALUATED By OTHERS. 10)ENGINEERS CERTIFICATION:I CERTIFY THAT THESE ENGINEERING SPECIFICATIONS HAVE BEEN PREPARE UNDER MY DIRECT SUPERVISION ANO THAT IAM A REGISTERED OFE ONAL ENGINEER IN THE STATES SHOWN. REFERENCE NUINSER 1210 �^� 110 - izi I1 - 10 I � 13 is i� aP it i. t t a IEi I „ .t. 1 , • „ It tl ,; Ilia gV 101 11 ,. i •I t t, ,_t t i , a g I � C- 11 u��-shS aada� S MUTUAL POLICY CONDITIONS ENDORSEMENT MASSACHUSETTS WORKERS COMPENSATION ASSIGNED RISK POOL This policy is issued by Associated Industries of Massachusetts Mutual Insurance Company as a designated insurance carrier of the Massachusetts Workers Compensation Assigned Risk Pool. The Massachusetts Workers Compensation Assigned Risk Pool was created by statute to provide a means for Massachusetts employers who could not obtain coverage in the voluntary market to satisfy their obligations under Massachusetts General Law (M.G.L.) Chapter 152. The Workers Compensation Rating and Inspection Bureau of Massachusetts has been designated by the Commissioner of Insurance, in accordance with Sections 65A and 65C of M.G.L. Chapter 152, to administer the Pool. This policy is issued utilizing forms and in consideration of premiums, additional fees (if any) and charges as prescribed by the Pool Administrator and approved by the Commonwealth of Massachusetts. It is understood and agreed that the "Mutual Policy Conditions" of this policy jacket are amended as follows: MUTUAL POLICY CONDITIONS THIS POLICY IS NON-ASSESSABLE. NO PERSON OR ORGANIZATION WHICH IS AN INSURED NAMED IN THIS POLICY SHALL BE A MEMBER OF THE ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY (THE CORPORATION) OR BE ENTITLED TO ANY OF THE RIGHTS OR BENEFITS OF MEMBERSHIP IN THE CORPORATION. SUCH INSURED ALSO NEED NOT BE A MEMBER IN GOOD STANDING OF ASSOCIATED INDUSTRIES OF MASSACHUSETTS. 1314 WITNESS WHEREOF, the issuing Company has caused this policy to be signed by its president at Burlington, Massachusetts, and countersigned on the Information Page by a duly authorized representative of the Company. This endursement Is attached to the policy Indicated below and is elfactivo an the dale stated heroin.at 12:01 A.M.,standard time at the address of the insured as described in the Information page. Policy No. Group Expiration Date of Policy Effective Date of Endorsement Endorsement No. AWC 7012452012008 103/21/2009 03/21/2008 Issued to Additional Premium Return Premium Paul J O'Toole dba Milltown Contracting ISSUED BY: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY Counlersigned AIM-2 6/96 RA Authorized Representative 2 -d dBT =ZT BO BZ W DATE(MM/DDNYYY) A+C060 CERTIFICATE OF LIABILITY INSURANCE 65/28/2008 1 PRODUCER (617) 698-2200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ATLANTIC INSURANCE GROUP, AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 530 ADAMS STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MILTON MA 02186— INSURERS AFFORDING COVERAGE NAIC# 1 INSURED INSURER A:NORFOLK & DEDHAM INS. CO. MILLTOWN CONTRACTING INSURER B: 125 CHERYL DRIVE INSURER C: 'PO BOX 381 INSURER D: MILTON MA 02186— INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �iNSR ADWL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER GATE MMfDD DATE MMIDDhIV LIMITS A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABIUTY DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ CLAIMS MADE F-I OCCURR0311232 0714 2007 0714 X200$ MED EXP An one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECT LOC / I AUTOMOBILE LIABILITY / / COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS / / BODILY INJURY NON-OWNED AUTOS (Per acaden0 $ / PROPERTY DAMAGE (Per accident) $ GARAGE LIABIUTY AUTO ONLY-Flt ACCIDENT $ ANY AUTO I I I I OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY / / / EACH OCCURRENCE $ OCCUR O CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION 3 $T $ WORKERS COMPENSATION AND / TORY L1M�rrS DE li EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CARPENTER: SUNSPACES INC. DBA FOUR SEASONS SUNROOMS IS LISTED AS AN ADDITIONAL INSURED IN REGARDS TO THP COMMERCIAL GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT SUNSPACES INC. FAILURE TO DO SO SHALL IMPOSE NO OBLIGLITY OF ANY KIND UPON THE DHA FOUR SEASONS SUNROOMS INSURER ITS AGENTS DR RE NTATIVES. 2300 SOUTH MAIN STREETAUTHORIZEOREPRES TIVE MIDDLETON MA 01949— ACORD 25(2001/08) ©ACORD C PORATION 1 B NS025(oioapa 2 Z00/Z00'd 069# OZ:£l 800Z/8Z/90 SLLL969LL9 dno)g aoueansui oiiueiiv:wojd 5 / 29 / 2008 11 : 04 : 49 AM 8966 1ji U2/ UZ "'UU-N®RRI-1-1- §�'g , ", 2: 0, — R-1 U-7 P ............. k, ISSUE DATE 0512912008 'Y ..............I" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Atlantic Insurance Group CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Agency Inc POLICIES BELOW. 530 Adams Street Milton,MA 02186 COMPANIES AFFORDING COVERAGE INSURED Paul J O'Toole dbLL Milltown Contracting coivTANY A A.I.M.Mutual Insurance Co 25 Cheryl Drive LETTER Milton,MA 02186 7— ROK"g,"", 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTH DATE(MMIDD/YY) DATE(MMIDDIYY) GENERALAGCREGATE GENERAL LIA131LITY PRODUCTS-COMP/OP AGC. t COMMERCIAL GEN EFLkL LIABI LITY PERSONAL&ADV.INJURY $ I—]CLAIMS MADE=OCCUR EACH OCCURRENCE S OWNER'S&CONTRACTOR'S PROT. FIRE DAMAGE(Any-,ti,,) $ MED.EXPENSE(Ay...pm-) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO BODILY INJURY ALL OWN ED AUTOS (Per person) SCHEDULED AUTOS HIRED AUTOS 13U-ILY..IURY NON-OWNED AUTOS (P.,_i,ent) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ 1 UMBRELLA FOItM AGGREGATE $ k%5,?P- mgm T', -g 10 GTHERTHAN UMBRELLA FORM `NS 010ill ME, RSCOMPENSATION AND STATUTORY LIMITS OTHER ENI-PLOVERS LIABILITY x THE PROPRIETOR/ EL EACH ACCIDENT S 1,000,000 A PARNERS\EXECUTIVE SARE 7012452012008 03/21J2008 03/21/2009 ELDISEASE--POLICYLIMiT S 1,000,000 7"111,71- MEXCL EI,DISEASE--EACH COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATION'S: S 1,000,000 EMPLOYEE PAUL 3 O'TOOLE IS NOT COVERED BY THE WORKERTICONWENSATION POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 WRITTEN NOTICE TO THE CERTIFICATE SUNSPACE S,INC. HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION DBA FOUR SEASONS SUNROOMS OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. 230 C SOUTH MAIN STREET MIDDLETON, MA 01949 JAUTHORIZED REPRESENTATIVE 2233 „ "�.. . ;•J�r 'tr/lU!)t.)Jt4)!!f)fIZC[eL a�✓��.trvxtcreu6c�a aoARD OV-BUILDING REGUlJAT1C1NS CONSTRUCTtOP!SUPERVISOR Number- CS 078157 •`'� -7ti,M1;�;',.::3 �ir2i7date: •t 0/30/9968 ' t Expires: 10/3012008 Yr_no: 3228.0 _... -.__. Restricted: 00 PAUL J OTOOLE 25 CHERYL DF: C�— ,G MILTON, NIA 02186 Commissioner .f�c "�o�)ri�rartur ,zt(�. n��!lrIJ90!'ltU6G•'�li Kloard of Ruilding$e8111a1i0ns and Standards r HOME IMPROVEMENT CONTRACTOR Di Registration. 323626 E:cpiration: 3/79/2009 TdFt 127254 Type: Individual Paul J.O'Toole Paul O'Toolr- _ -�::ERYL DR. "L"'ON, MA 02186 •.dmiuistratnr T -d 0113T :2T 80 132 RL W Date:7/152008 11:56 AM Sender's Fax ID:Cole Insurance Agenc Page 2 of 3 D DC ACORD OP I CERTIFICATE OF LIABILITY INSURANCE SuD ps, DATE 07/15(MM/DD/YYYY) /os PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cole Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 194 Haven Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Reading MA 01867 Phone: 781-944-1245 Fax:781-942-1797 INSURERS AFFORDING COVERAGE NAIC4 INSURED INSURER A: Harleysville eoreeater Tns co 26182 INSURER B: Commerce Insurance Company 34754 Sunspaces Inc. dba Four Seasons Sunrooms INSURER c 230 C South Main Street INSURER D: Middleton MA 01949 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FA IS NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY B0887740 PREMES(Eaoccurence) $ 100000 CLAIMS MADE F—] OCCUR MED EXP(Any one person) $ 10000 X Business Owners 11/01/07 11/01/08 PERSONAL a ADV INJURY $ GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 }{ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B ANY AUTC RHX954 02/26/08 02/26/09 (Eaaccidant) ALL OWNED AUTOS BODILY INJURY $250000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ 500000 PROPERTY DAMAGE $ 100000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ At ITO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 171 CLAIMS"MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE WC OJ9401 11/23/07 11/23/08 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,desenbe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those operations Sun Room Kit Show Room CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL Eff09==YrAXNAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR r REPRESENTATIVES. A[ `.J 6STIVE ACORD 25(ZUU1/uu) ©ACORD CORPORATION 1988 DISPOSAL AFFIDAVIT In accordance with the provisions of MLG C40, S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste facility as defined by MGL C111, S150A. This debris will be disposed of at Name of facility -------------------------------------------------------------------------------------------- Address S S C F Signature of applicant 230-C south Main Street Middlew MA 01949 -To"'Te(II40�424�11�g9_�fi 4 �ases:net. --------------------------------------------------------------- Address of applicant Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street =� Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): gig Address: mrww Ci /State/Zi 230-G South,ggain_ 5ttg�t City/State/Zip: Middleton �`0�� Are you an employer? Check the approp a Type of project(required): 1.❑ I am a employer with 4, I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' insurance.$ 9. Building addition [No workers comp.comp.insurance p• required.] 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have ni 13.0 Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'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. #Contractors 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C0 H°w P" 4/5 U RA/V e-1' de , Policy#or Self-ins. Lic.#: W/,P— Q L/(j l Expiration Date: /,Q-,3 f(n" Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby-certify der ftpains and penalties of perjury that the information provided above is true and correc4 1� d��4� Si nature: 121#1p }� Date: / � Phone#: A I a P�`7 q�' Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CONSUMER INFORMATION FORM.- "SUNROOMS" Massachusetts State Building Code (78.0 CMR, Appendix J, Section JI.1.2.3.1) The Massachusetts State Building Code (780 CMR) includes:provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom" of any size, configuration, orientation, form of construction or.percent glazing, but rather.is only ing aware of some of the important energy conservation and year- intended to assist homeowners in becom " " addition. round comfort considerations involved in selecting and utilizing a sunroom The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction installation of"sunrooms", included below. is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/instalIing a "sunroom". It is recommended that consumers carefully review these options with their designer,'builderi or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the.company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SLINROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather,tightness of the sunroom • Adequate ventilation- Operable windows and fans Applied Shading Systems • Insulation level in floors,walls,.and ceilings Possible Sunroom isolation.from the main house via a.wall and/or door or slider Heating and Cooling Methods: Efficiency,Zoning and Controls . Homeowner Acknowledgment The Massachusetts State Building Code, Section.Jl.1.2.3.1, requires that the actual property owner (notthe owner's agent or representative) acknowledge receipt.of this CONSUMER INFORMATION FORM.prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing.residential. building. In accordance with this requirement, the undersigned hereby acknowledges that shellie has read the information in this d u ent concerning sunroom.comfgrt and energy conservation. \ Si ature Actual Building Owner Date,Q/ V V , Project Print Name Address of Permitted Y Owner.Address (if different thanproject location) Owner's telephone number Sunspaces Inc. D.B.A. Four Seasons Sunrooms 230 South Main Street Middleton Ma 01949 978-774-4999 Fax 978-774-8422 c0>'\uv NIEIRL A\1L LT H[OIRLI GAT110-N TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR A BUILDING PERMIT as Owner of the subject property � ��" y� z °=�' 4Aa'11'4- Four Seasons Sunrooms to act on my hereby authorize Sunspaces, Inc. my behalf in all matters relative to work relating to this building permit application, and all permitted work. Dat Signature of Owner V ratio 0aeA Agb �UT-oa--4-creno 9 2x10 Added & �agged 2x10 LLL-2 Lo/ Added & �agoed 2x10 0 -6111�J 8 � 68' 21 - 011 0 91te Bor o uil ing glat e u "ons an Mn �ars One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement. Contractor Registration Registration: 140780 Type: Private Corporation Expiration: 11/20/2009 Tr# 260976 SUNSPACES, INC. r JOEL SALEM a 230 C MAIN ST -- — MIDDLETON, M 01949 Update Address and return card.Mark reason for change. F-] Address ❑ Renewal D Employment ❑ Lost Card �F 0 0 C7 �1 - co O 0 0 9'-7" T-5 1/4" , 1 0 9'-7" T-5 1/4" COD \ 0 N O a 0 a ,t . , �� �� �� �1�1 `� // ii �� \ // 1\ // it // i �i rr 0 0 0 0 i C) 1 c 0 AUG-20-2008 07:40P FROM:TERENZONI 978 531 1755 TO:19787748422 P.1 0 S -4 r,p 0 40, f � o � Gr�G 70- •P ift, 1 2,p was r�0 ae No p6, n S'ov F Assessor's Map 1076 L 0 T 50 f 6 Map 160 12,28J S.F-* ryC . PROPOSE Lot 49 S,iNROOM >>- No.40 10 x 12 —1100" 1 1/2 Story Z \ Dwelling YY q 93 \r1v �^\' Assessor's Map 1078 44, 62• Lot 162 l 4 -61 N Lot 51 �O -4 p �Qy�t+ CF iygs a� `9 R=175.00' o G DOU L=6.38 A. A PMA N r N0.4186 rn -SSSO��P~ a Deed Reference: Book 5994, Page 161 qNn SJR'JE��4 Assessor's Map 1078, Lot 161 Proposed Lot Coverage = 19% t Existing deck to be removed PLOT PLAN OF LAND NORTH AND 0 VER, MA. PRSP.4"D FOR: Note: This plan was prepared from a tape survey JYOTIRIJIBAN BHATTACHARYA and is intended for building inspector purposes only. 40 AMBERVILLE ROAD Offsets shown on or scaled from this plan are SCALE: 1"=SO' VATJr. AUCUSr 80, 8008 approximate only and should not be used to determine property lines. DOUGLAS A. CHAPMAN, P.L.S. DAVID P. T8'RENZONI, P.L.S. P08-050 FO gEs= ��NSPACES FOURR SEASONS" ® SUNROOMS ....W.._._ ^aeoc,aomis(.w:,xo l:4uratea 230 C South Main Street,Middleton,Ma 01949 978-774-4999 Fax:978-774-8422 tads _s »k 7-s>�'l 1'�4'��'sons a��s.let Lic# 140780 Page 1 of 3 pages August 4, 2008 978-683-4132 978-758-1682 cell Jyotirj iban Bhattacharya 40 Amberville Rd. N. Andover,MA 01845 One Four Seasons Sunroom System 230 Sun & Star Cathedral Eve Sunroom Model: AGR4DH1311 4/12 Pitch Width: 12' 10"Depth 10' 6 7/8"Ridge Height 9'7" Frame: White thermally broken aluminum exterior&Alum. Interior. Glazing: Insulated double tempered clear throughout with MC56(code 745 verticals,MCI 6 (code78)roof glass Front: 2-6' Sliding Windows. Traps. Left Gable: 2-5' Sliding Windows, Glass basewall Right Gable: 1-5' Sliding Door, 1-5' Sliding Windows, Glass Basewall A $1,250.00 electrical allowance has been included in the price of this contract.Any additional amount will be charged via a change order contract and paid for upon customer approval. LrL. S n}2-r- -l- Materials &Installation $ 40,058.00 Less Summer Sale $ 8,906.00) Sub-total $ 31,152.00 Shipping&Handling $ 998.00 Total $ 32,150.00 Sunspaces Inc. proposes to furnish the materials as specified above for the sum of: Thirty Two Thousand,One Hundred Fifty Dollars and 00 cents $32,150.00 Deposit of$9,645.00 with signed contract,$9,107.51 upon material delivery,$69696.75 when construction work begins, $2,271.84 when roof beams are installed,$2,178.90 when substantially weather tight&Balance of$2,250.00 upon completion. If unable to accept delivery to site, owner will be responsible for storage and re-delivery charges. Installation will not be scheduled until balances of materials, storage, and redelivery charges(if applicable)are paid in full. All materials are guaranteed to be as specified. Work will be completed in accordance with standard practices in a workmanlike manner. Deviations or alterations from the above specifications generating additional costs will be executed upon a written change order,which will include additional charges over and above this proposal. In the event the purchaser breaches this agreement, Sunspaces,Inc. shall be entitled to retain that portion of the deposit that will satisfy any and all damages that may be incurred, including but not limited to costs and lost profits.Any additional work shall not be a reason for the purchaser to cancel this contract. All agreements contingent upMem, rSunspaces,lnc. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covere If this proposal is not accepted by 8-4-08 it may be withdrawn. Authorized Signature:Acceptance You are authorized to proceed with this proposal and we agree to complete payment as indicated above. The specifications,conditions, and prices as indicated in this proposal are 117reby accepted. No Verbal A eem�j.Wit Date Be Accepte Signature Signature (~ BUILD the BEST FOUR SEASONS' SNSPACES SUNROOMS m.<i e.c.•.:den tl;pwep t;Uin ateci 230 C South Main Street,Middleton,Ma 01949 978-774-4999 Fax:978-774-8422 info-2—unspacr_i c{ u'�m'��_sirnspaces_ncc Lic# 140780 August 4,2008 Jyotirjiban l3hattacharya 40 Amberville Rd. N. Andover,MA 01845 SCOPE OF WORK • To demo existing deck that is needed to build sunroom and remove from the property. • Jo build a sleeper system on top of existing deck to be level with house floor to accept the sunroom dimensions. Includes: 3%4 tongue and groove plywood sub floor,R30 Icynene insulation is to be applied. (Owner to choose the interior flooring within 30 days so the height of the sub floor for the room can be determined. floor not supplied by Sunspaces,Inc) Lattice work etc. from rim joist of deck to grade is not included within this contract.-Sunspaces plans on using the existing sono-tubes and carrying beam. • To provide all wood nailers and flashing to properly install sunroom to the house. • To erect and glaze the sunroom structure. • To install flashing&caulk the sunroom to the existing house structure. • To remove the existing siding inside the sunroom area. • To install blueboard&plaster inside the sunroom area. (House wall) • To remove all rubbish derived from the building of the sunroom.CA ro Ovs C6—ke— _ Note: Not included: Interior flooring, interior& exterior painting or staining, any drawing fees or additional work needed or requested by the building department to obtain b ilding permit. Initialize Date Initialize