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HomeMy WebLinkAboutBuilding Permit #843 - 41 FOXHILL ROAD 5/28/2012 WILDING PERMIT o*"°DT,qti TOWN OF NORTH ANDOVER 3? y r`''- ''° APPLICATION FOR PLAN EXAMINATION * °� ~ s, : ,� 41 Permit NO: Date Received A ��SSgcHus���� Date Issued: 1 12--7- IMPORTANT:Applicant must complete all items on this page 'v3ry "t4af ,t i' # '��4* �*{;'b4 e*xe j s� .�. '?. MOM ., ..° il-.r,r"}'' i'�§" iS�'r��' { LOCATIOyNx .� .� lf +� wP ' � � .; �MP.n l�Et W "n.- S"F�w.'+`.t+fh,1 v ..,� t,�. ,:jIS�:' i 74 # xL.i 4 rdi jIPR®PERT OWNER _ .: >c;�' � � er F� `i St �' e a3 � � s 't�:'+�7 f M:�, 'd.; ° ry r•,:t. i tPflflt k u�', -,�C '•''�. Ti" -`' d }'i'E -l. "ti° k ML 'I„ T HistoricDistrict �f- eyes l'Jx' � .. ShopVillageyeS` ' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Two or more family Industrial Iteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other `� odpplairi`' '�� �W- tlandst 6 r 4-Watershed ;District= SeptiW,ell � Y x 4 w �Wate/Sewer» }w u u. k � tia R 11 DESCRIPTION OF WORK TO BE PREFORMED: r S IR��CJc.� ar � '��� 4.G�� �✓� �Ci� U�c�t IPJ a 1iI,t\.f, 1SV l L Vr e Identification Please Type or Print Clearly) OWNER: Name: Jv-e- / c k e..nNil Phone: Address: H ' i r� r4wa, .. :..�+y g:., `.._tw t±y .rya�3;� '� t.' R 3•." ts.a. f!t T c."'fir, i' 't �M•'T �K�l" t''7"xfi. .����`, 1 �x� .��' ,.r*�_�A'h 7y_ �d¢� ®NTa,.'q�"-Ew�..sN,,a' ?- '.Wcfi .-ixA <.».`.z�''.t'"�t'�h`.Y4f f•'��e#'��� y•rY:a y"a Pr .d•'�.`�iy �+e�t >e.s�'sio ms� #a_ .4JCv . -,� ��z " �Home ,lrfipro�ement Lcense������_� �-�� � �'��' �` �, ��� ��� ¢' ` ""�. <•� �` '� f� � r• 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. Total Project Cost: $ Z61. 912 c1_ Qc> FEE: $ �Z Check No.: Receipt No.: --33 NOTE: Persons con ratting with unregis red ontractors do not have access to the aran n 5ignatu°re ofAgent/Ovvrier Signature oflcontractor, a Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools '. Well Tobacco Sales Food Packaging/Sales Private(septic tank;etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE'DEPARTMENT T;emp`Dumpster on site ayes rr` ono r:F«•%ir"re-D'�'`cre't'.`� +yR'q,"'"!''+k�re�l".t�.- ,fiit y'�G't"k�r':!y-k'lrt�'3r' S 'r:. t�_���i'n.!>#:�.�� '� ^Ms• rn�� 'vini'S)��4 h.}�,S,.jr.�� w -a :�-}`Sf'4wr��s1*M.�'.d s^k�" :;ocated atM24ain•Sfeet ensignpartmt{ # ' 5 �`, yt Alt .;e }" '{ `,.`' , +`t ,y C \`"^ 7�t E 4 +`'sx •• Fy,s�`i�`,a.+ •5 *�.t• '.COMMENT, ��'- M g x 2'..� t r =-_,: • ..� .q.,•.- kl. :�-s a.. fi'�i •r ,,�,�f 't ^5.Y,,. Y2,- f It Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I 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 i NOTES and DATA— (For department use) I I + ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 i i 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 ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 NORTH 01" 0 o Andover .. ]( o , clover, Mass. LAKE 1• COCMICMEWICK 7�S/?ATE D p`P� C� BOARD OF HEALTH LRMIT -1 0 Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... ............� —G/! '�- V. ............................................................................. Foundation I- has permission to erect........................................ buildings on ..4.. ........ �C.. !A.@. . ...... ............................ Rough Chimney ........................................ to be occupied as......Y.'.�..n .........:... .... . ..:.. .. ........ .. .................................................................... e provided that the person accepting this.. ..perm. .it 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 ,3 PERMIT EXPIRES IN 6 MONTHS ........................ � ELECTRICAL INSPECTOR_. UNLESS CONSTRVCTIO MT................... Rough \_ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector.- Burner. - Street No. SEE REVERSE SLIDE Smoke Det. r Inlaid Quality Builders Date Estimate# 28 meadow Ln INLAND Westford, MA 01886 3/26/2012 248 QUALITY BUILDERS Phoue# 617-839-2659 GENERAL CONTRACTOR NEW Buiiders.com NEW CONSTRUCTION/REMODELING Daii@bd-,uidQualityBuildei-s.com Proposal For: Name/Address Joe&Joanne Henningsen 41 Foxhill rd North Andover,MA Project Master Bath/Maste... Description IQB proposes the following scope of work listed below: -IQB will disconnect all plumbing fixtures before the start of demoing. -IQB will demo bathroom and dispose of old fixtures and floor,walls and ceiling into the dumpster.Bathroom will be a complete gut. IQB will frame new opening for shower and new half wall. -IQB to install all new plumbing in the new master bathroom.IQB will rough plumb for a new shower with one shower head,new toilet,one new sink.IQB will supply new copper pan for the base of the new shower. IQB allowed a$1000 allowance for bath fixtures. -IQB will add one new GFCI outlet and install one new vanity light and one recess light in shower.IQB will also supply new exhaust fan/light and vent to the outside.IQB will bring a new 20 amp line into the bathroom to bring it up to code.IQB did not include light fixture above vanity, but will supply bath fan/light and recess light. IQB will insulate any exterior walls and ceiling with R-15 in walls and r-30 in ceiling and fire proof all areas. IQB will plaster new walls,ceiling and new half knee wall that will be built to accommodate new shower. -IQB to supply and install new durra-rock on floor and walls of new shower.IQB will water proof all seams on shower wall. IQB to install new vanity that will be supplied by IQB. Allowance for new vanity+granite countertop$1500'00 IQB will install new casing for existing door,existing window and new baseboard around the bathroom.IQB will supply all labor and material. IQB will tile floor on a square pattern and tile shower with two thresholds and one niche.IQB will tile in a subway pattern or square pattern.One marble threshold will be towards the bottom of the shower and the other threshold will be on the half wall. IQB allowance for the and grout.$1500.00 IQB will paint the entire bathroom walls,ceiling and trim.IQB will prime and apply two coats of Benjamin Moore paint.' IQB will install and supply new 3/8"glass seamless door with door handle and hinges.Homeowner to pick color of hardware. IQB to hang any bath accessories and minors ormedicine cabinets. Thank you for giving IQB the opportunity to provide this quote for you! Tota This proposal expires one month from the date written All work is warranted for materials and labor for a minimum of one year.This proposal is valid for one month from the date above.The total listed above is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work.Each change order must be approved by you before work begins.Payment for all change orders is expected at the time they.are signed.If this proposal is accepted please sign one copy and return it to Inland Quality Builders.We also understand that Inland Quality Builders reserves the right to delay completion of the work for nonpayment of any invoices.Signature below acknowledges receipt of two Rights of Rescission forms included Signature ate / /20.12 Customer Signature nate / /2012 Inland Quality Builders Represenitive Page 1 Inland Quality Builders Date Estimate# 28 meadow Lai INLAND Westford,MA 01886 3/26/2012 248 QUALITY BUILDERS Phone# 617-839-2659 GENERAL CONTRACTOR NEW CONSTRUCTION REMODELING Daii@lidaiidQuafityBuilders.com `wit.Lu]<mdQ:u,�lilya3uilders.i•c»n Proposal For: Name/Address Joe&Joanne Henningsen 41 Foxhill rd North Andover,MA Project Master Bath/Maste... Description IQB,to supply all permits to complete job. IQB to supply dumpster for the bathroom project that will be located on site. MASTER BEDROOM: IQB will demo closest area by taking down each side wing wall and the header to make it a flush ceiling.IQB will re-frame areas that need to be in order to make closest area work.IQB will also trim out attic stairs and re-fasten pull down stairs. IQB will then plaster over the entire area and make smooth to match the existing walls and also plaster the ceiling to make one continuous ceiling. IQB will install and supply new baseboard for that area to match the existing baseboard in that room. IQB will frame new closest towards the bathroom side,that was discussed with the homeowners.IQB will build new wall and leave a opening that will be cased out. IQB will add electrical outlets per code and one new light in closest area. IQB will plaster new closest wall inside and out. IQB will install new baseboard and also trim out new opening and install and build new shelves and some shoe racks for closest.IQB will discuss with homeowner what to build for closest shelves and racks. IQB to paint entire bedroom walls,ceiling and new closest with Benjamin Moore paint.IQB will apply a primer coat and two finish coats. i Note: IQB did not include new carpet in this price.IQB will price carpet out for homeowner after homeowner goes to carpet supply house and picks out pad and carpet.IQB will do its best to save old carpet. IQB will set up dust protection and floor protection before and during the project. IQB will leave job site clean and free of debris on a daily basis. Thank you for giving IQB the opportunity to provide this quote for you! Tota I This proposal expires one month from the date written All work is warranted for materials and labor for a minimum of one year.This proposal is valid for one month from the date above.The total listed above is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work.Each change order must be approved by you before work begins.Payment for all change orders is expected at the time they are signed.If this proposal is accepted please sign one copy and return it to Inland Quality Builders.We also understand that Inland Quality Builders reserves the right to delay completion of the work for nonpayment of any invoices.Signature below acknowledges receipt of two Rights of Rescission forms included Signature nate / /2012 Customer Signature nate / /2012 Inlaid Quality Builders Represeuitive Page 2 Inland Quality Builders Date Estimate# 28 meadow Lal E INLAND Westford,MA 01886 _ 3/26/2012 248 QUALITY BUILDERS LLC Phone# 617-839-2659 GENERAL CONTRACTOR NEW CONSTRUCTION/REMODELING Daft@lttlattdQualityBuilders.com ttl�tiv.Iu l.m d Qu al i 1y13uild c rs.c om Proposal For: Name/Address Joe&Joanne Henningsen 41 Foxhill rd North Andover,MA Project Master Bath/Maste... Description esc iption Payment: Deposit$5000.00 1 st payment After demo of bathroom and bedroom closest.$5000.00 2nd payment after rough inspections.$5000.00 3rd payment after plastering complete$5000.00 4th payment after completion of tile$6000.00 Final payment upon completion$929.00 Thank you for giving IQB the opportunity to provide this quote for you! Total $26,929.00 This proposal expires one month from the date written All work is warranted for materials and labor for a minimum of one year.This proposal is valid for one month from the date above.The total listed above is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work.Each change order must be approved by you before work begins.Payment for all change orders is expected at the time they are signed.If this proposal is accepted please sign one copy and return it to Inland Quality Builders.We also understand that Inland Quality Builders reserves the right to delay completion of the work for nonpayment of any invoices.Signature below acknowledges receipt of two Rights of Rescission forms included Signature Date / /2012 Customer Signature Hate / /2012 Inland Quality Builders Represetutive I Page 3 i Y U - V INLAQUA-01 SWHITEHURST ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(7/2D01/Y2 4/27/22 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(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: Knapp,Schenck&Company Insurance Agency,Inc. PHONE (617)742-3366 a°iC,No; 617 742.2832 137 Lewis Wharf A/C No Ext): ( ) Boston,MA 02110 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Hermitage Insurance CO INSURED INSURERB: Inland Quality Builders,LCC INSURERC: dba Inland Quality Builders 28 Meadow Lane,Westford MA 01886 INSURER D: Westford,MA 01886 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INR ADDLSUBR LTR TYPE OF INSURANCE POLICY EFF POLICY EXP INS WVD POLICY NUMBER MM/DD MMIDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY HGL56802211 9/1/2011 9/1/2012 DREMISETEa occurrence $ 100,000 CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY E 4 LOC $ AUTOMOBILE LIABILITY CO "INFDtSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Pendent $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �' ....:� t:FRTIFICATF AF 1 IARII_ITY INSURAWIF DATE(MWDDIYYYY) TWI&COMFICATE IS ISSUED ASA 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($),AUTHORIZED REPRESENTATIVEORP DUCER.AND THE CER FSA IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policl(les)must be endorsed. 0 SUBROGATION IS WANED,subject to e terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder In lieu of such endorsemen s. PRODUCER CONTACT NAME KNAPP SCHENCK&COMPANYPHILNG- FAX No Ed 137 LEWIS WHARF PRODUCER BOSTON,MA 02HO 10 CUSTOMER ID N: 265KW INSURERIS)AFFORI'1M COVERAGE NAIC 0 INSURED INSURERA: ACE AMBBICANINSURANCECO?JPANY INLAND QUALITY BUILDERS LLC INSURER B: INSURER:C: INSURER D, 28 MEADOW LANE INSURER E: WESTFORD,MA 01896 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS CE LISTED 89LOW HAVE REM ISSUED TO THE INSURED NAMED ABOVE FOR THEPDIlCY NOTWUMTANDNO ANY REOIIIREMENT,I OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REBPPECT TO VOUCH TMS CERTIFICATEUAY BE ISSdI®OR MAY PERTAIN.THE INSURANCE AFFOROEO BY THE POLICIES QED lrEREIN B SUBJECT TO ALL THE TOWS.EXCLUSIONS AND COMINIO S OF SUCH POLICIES.LIMITS SHOWN MAY HAVE B®1 REDUCED BY PAD CLAIMS. DISK ADD SUB POLICY EFP DATE POUVr EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (M®MODMYYYYI mow" LAM GENERAL LIABILITY OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGETORENI D $ CLAIMS MADE �OCCUR. MISES(Ea ocrarrarim) [EDE)P(Any one person)AL&ADV INJURYGENL AGGREGATE LIMIT APPLIES PER: AGGREGATE $ POLICY �PROJECT❑LOC 5COMPlOP AGGAUTOMOBILE LIABILITY DSINGLEANY AUTO acdder11) ALL OWNED AUTOS JURY $ SCHEDULE AUTOS n) HIRED AUTOS JURYNOP-OMED AUTOSant► TY DAMAGE S eril) UMBRELLA LIMBOCCUR OCCURRENCE $ EXCESSLIAB CLAIMS-MADE kGGREGATE ; DEDUCTIBLE $ RETENTION $ $ A WORKER'S C N-ENSATION AND X We STAlUTO RY OTHER EMPLOYE`9LIJ% tL1TY YM UB-47MP898-11 O M5Y2011 06M5=2 urAITS ANY PROPERITORPARTNE RAD(ECUTNE E.L EACH ACCIDENT S 100.000 OFFICERfMEMBER EXCLUDED? (Iledn"Inl q EL DISEASE-EA EMPLOYEE $ 10D,000 ayes,desorlbe under EL.DISEASE-POLICY LIMIT $ 300 000 DESCRIPTION OF OPERATIONS below DESCMPTIDNOF OPEtAIIONSWCATIDN&VB4CL ES41MTRICITONS MPECIAL ITEMS THIS REPLACES ANY PRIOR.CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER APFHCrING WOBIMRS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THER ,NOTICE WILL INACCORDANCEWRHTHEPOLCYEE AUTHORIZED REPRESENTATIVE ACORD 25 1 1988-2009 ACORD DORPORATRWAlffolMed. Office of"�onsur PNO u news HOME IMPkbVEMENT CONTRACTOR' Registration: 167038 Type a Expiration: 8!2!2012 Dgq 1 QUALITY BUILD7R5 ' DANIEL MCGONIGLE 69 ARNOLD AVEC L0:Jw LL, MA 01852 - TJtS�erse'eretary': " Massachusetts - Department Of Public S7lfCtN BOM'd Of Buiidin" Realliations and St.uidur('Is Construction Supervisor License License: CS 94579 DANIEL J MCGONIGLE 28 MEADOW LANE WESTFORD, MA 01886 Expiration: 10/23/2013 c umrisi ncr Tr#: 6831