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Building Permit #1012-2016 - 48 HUCKLEBERRY LANE 3/28/2016
C•"p RT$f ASA BUILDING PERMIT 3 b.,:•_ ._' o� TOWN OF NORTH ANDOVER % D _ APPLICATION FOR PLAN EXAMINATION nit NO: I I �}° Date Received 3 � i .ate Issued: 1 �9SSACNUS I ORTANT:Applicant must complete all items on this page LOCATION y r� t�e/,- e Poff PROPERTY OWNER / �G'n -JL !!� Print MAP NO: PARCEL:6 !a ZONING DISTRICT: Historic District yesno Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ,e'Alteration No. of units: ❑Commercial ,e-Repair, replacement ❑Assessory Bldg ❑ Others: ,e'Demolition ❑ Other LrSeptic ❑Well F, Floodplain ❑Wetlands ❑ Watershed District ./Water/Sewer n �G•'M O'O�E"� �S'S��,i G 1'►Gi` /�4 h �C�Li Z-/�� J���O�/ Identification Please Type or Print Clearly) OWNER: Name: /V 6Z 1!9 Phone: g/ 78 3 76 --o Address: CONTRACTOR Name; ) Phone: S 7Fs S 3 /t/oO Address: i ce- G, 5 el 7 Sfy� �' °' Go4,e Z 5'-6 GveS� /41 Supervisor's Construction License:G S o 6 �.�- Exp. Date: 611 z0 16 Home Improvement License: Exp. Date: / S� � acs i✓d /6 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULMNGPERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ � r ° Check No.: Receipt No.: �o NOTE: Persons contracting th u re istered contractors do not have acces to the gu anty, and ignature of Ageit/Own e ignature of contract r -9----- 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 OTE: 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 OTE: 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 4. Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) Copy of Contract 2012 IECC Energy code 4. Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 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 lies No i DANGER ZONE LITERATURE: lies 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 Plans Subrni`tired'II Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL F 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori 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: (FIRE DEPARTLMENtTj : Tern Durnpster on?siteyes 3n© Located Osgood Street LLocdted)a0III2Q�(V 7h)CSfreetr 4F; r�e �'C®MMRNTS?L �_A_ Enter construction cost for fee cal - North Andover Fee Cakulat%Oh Construction Cost $ 4%45,0::.0;0 m $ - $ 581.40 Plumbing Fee $ 72.68 Gas Fee 100 comm. $ 1GO)0;0: Electrical Fee $ 72.68 Total fees collected $ 826.75 48 Huckleberry Lane 1012-2016 on 3/28/2016 Master Bath Remodel and main bath NORTh Town of tAndover p No. k4w ae i , ver, Mass, � O O l".. A- COCNICNl WICN V 7�ADRArED S V BOARD OF HEALTH PER T T LD NFood/Kitchen Septic System • THIS CERTIFIES THAT ...................... . .... .. .......... . .... .................................... .................... BUILDING INSPECTOR Foundation has permission to erect ................... ...... buildings on .... .. • jW t0 be occupied as .. �. ...... ... ........ .... .... .. ...... ... � Chimney p Rough 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ART Rough Service .......... ...... ... . .. .. .. ...66UIL6�IiN61NSPECTOR ............ Final 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. L ®� Wednesday, March 16, 2016 ----- Naga &Shoba Donti 48-Huckleberry Lane N. Andover, Ma. � Addendum - B We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR MASTER BATH AT ABOVE ADDRESS, AS PER PLANS AND AS FOLLOWS: PLANS AND PERMITS • All building permits supplied by Marlowe Building & Design, Inc. • All construction drawings supplied by Marlowe Building & Design, Inc. TEAR OUT • Existing closet and closet door to remain intact • Remove existing Toilet, Vanities, Shower and Bath tub • Remove existing bi-fold bath entrance door • Remove existing bi-fold toilet room entrance door • Remove existing flooring • Gut all interior walls in the bathroom • Remove ceiling (unless blown in insulation exists) • Remove existing window in bath PLUMBING (White and chrome fixtures standard) (SEE OPTION) TUB • Install one new Acryline Nirvana soaking tub left hand drain W-Crk- A — • Install one new Kohler K-438K deck mount valve with integral diverter • Install one new Kohler K-T102929-4 Forte deck mount high flow valve trim with sculpted lever handles • Install one new Kohler K-368 Forte deck mount hand shower holder • Install one new Kohler K-72414 Awaken G90 hand shower 1W Shower _ • Install one new Kohler 48"shower receptor Model K9488. Memoirs Drain right • Install one new Kohler K-304K pressure balance shower valve r Marlowe Building&Design 1 Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 s S Install one new Kohler K-T10276-4 Forte shower trim with sculpted lever handles Install one new Kohler K-728K Mastershower transfer valve.- * Install one new Kohler K-T10290-4 Forte transfer valve trim— Install one new Kohler K-355 Forte supply elbow — • Install one new Kohler K-98361 Awaken G90 hand shower kit —�CGr �l -1i • Install existing main bath toilet and toilet seat • Install new Staron vanity top and back splash in customers choice of Medium colors, with two Staron oval undermount sink bowls • Install two (2) new Kohler K-10215 Forte single control faucet ..-. • Install all necessary pipes and fittings to accommodate new floor plan • Installation of Owner Supplied accessories Example: towel ring/bar, robe hook, toilet paper holder etc. ELECTRICAL • Install wiring, switches and outlets where necessary as per code • Install 2 GFI outlets at vanity • Install Panasonic FV-15VQL6 exhaust fan and vent to outside • Install Three new LED recessed light fixtures above vanity as per plan INTERIOR WALLS • Install new cement backer board to walls surrounding Shower &Tub prepping for new tile • Install new wall tile and grout in shower in customer's choice of select tiles.($2.50/ sq' the allowance / Design in shower to be discussed) • Deco tile not included in this proposal • Install R-13 Insulation in party walls • Install 1/2" blue board to interior bathroom walls • Skim coat plaster interior walls CEILING COVERING • Install 1/2" blue board to interior ceiling • Skim coat plaster new smooth ceiling MILLWORK AND TRIM • Install new AWT European vanity base and soffit with supplied LED lights as per plans to be in a full overlay door style • Door. style Slant Raise/Elite Bead/C2 lip Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 • Finish: Matador White • Hinges to be soft closing. Draws to be wood with full ext. soft close • Install baseboard moldings and trim similar to style of rest of house • Install custom shower door system with 12" return wall • Install new window with tempered glass in tub area • Install 2 Medicine Cabinets as per plan FLOOR COVERING • Install new cement board underlayment to bathroom floor • Install new floor tile and grout in customer's choice of select tiles.($3.50/ sq' tile allowance) Deco Tile additional cost. PAINTING • Interior painting to be completed using Sherwin Williams or Benjamin Moore materials CLEAN UP • Removal of debris and cleanup of space to be completed by Marlowe building and design. REMODEL COST: $26,000.00 -t- 000 At �Zv OPTIONS: ,� • Nickel Finish $600.00 -16 - • Frosted sliding Pocket door $500.00 6_ 166 t Not included in this Proposal is a Frameless Shower door please budget $2200 to $2500. f Thank you for allowing us to quote your work. Sincer eter D.Marlowe Marlowe Bldg.&Desi Acceptance Date b _ Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 sk Manufacturing ACKNOWLEDGEMENT Ftnvey' es,I 1400 Main StreeL` am, 07451-1689 (781)899.3 hary Dorn Dealer Quote Summary BILL TO: SHIP TO: Nashua 90 Northeastern Boulevard NASHUA,NH 03062 Phone:6038800003 Fax:6038804003 MARLOWE BUILDING&DESIGN INC MARLOWE BUILDING&DESIGN INC III IIIII ��III�I�I�III) 258 WEST MANCHESTER ST 258 WEST MANCHESTER ST LOWELL,MA 01852-0000 LOWELL,MA 01852-0000 Phone: 978-649-8570 Fax: 9789371990 Phone: 978-649-8570 Fax: (978)937-1990 QUOTE NBR CfiST TBR YCUSTbM1;R PENTREU I Afi RT�EI#EDOR 1; 3959769 1019123 3/18/2016 Quote Not Ordered Charge °DEL I MAY ARI A peter None Whs �. NASHUA WEISE bud -Brendon Douglas donti r LINE# bESCRIPTIOIV ,QfiS : ,'C R PRICE :-FMONDEDi 10000-1 Vinyl Casement,Unit Size 48 x 48,RO 48.5 x48.5 1 $766.98 $766.98 Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Sash Limit Devices=None,Standard Overall Glass Thickness=11/16",Double Glazed,Double Low-E RS, Argon Filled,DSB,Tempered,Custom Annealed IG=No,Custom Temp IG,IG MFG=CL Base Color=White Performance Packages=E Star 6.0 2015 North=Yes,North-Central=Yes 4 Unit 1:U-Factor=0.26,SHGC=0.22,VT=0.40,NFRC CPD Number= .-stirs-2A315 975-. HII-M-38-01622-00002,Custom/Call Size Option=Custom Size,New Construction,Hinge Left,Venting Pattern Configuration=LR ~—Ro.a5 Unit 1 Glass,2 Glass:NFRC CPD Number=HII-M-38=01622-00002 Unit 2:U-Factor=0.26,SHGC=0.22,VT=0.40,NFRC CPD Number= HII-M-38-01622-00002,Custom/Call Size Option=Custom Size,New Construction,Hinge Right,Venting Pattern Configuration=LR Contour In-Glass,Colonial,Match Frame,2W4H Vertical Common Frame 0"thick,48"length Overall Rough Opening Width=48.5,Overall Rough Opening Height= 48.5 Integral L Fin Adaptor,Receiver Pocket Room Location: None Assigned Last Update:3/18/2016 1:30 PM Page 1 Of 2 Printed:3/18/2016 1:31 PM 'Po [FaaaAn po 37- ENTRANCE DOOR TO ;� -p TEAR OUT BE MOVED AND REPLACED N Existing closet and closet door to remain Intact Remove existing Toilet,vanities,Shower and Bath tub NEW DOUBLE VAN/rY 0 Remove existing bl-Fold bath entrance door lJ8/NG OVAL 6/NK8 0 Remove existing bi-Fold toilet room entrance door 2'-6" >_ LRemove existing flooring Gut all iriterior walls In the bathroom � � SEE 6EPERATE W C- Remove Remove eliing (unless blown in insulation exists) VAN/TY PLAN �f Remove existing window In bath Z Q m PbMBING (White and chrome fixtures standard) Y R- a tty 101- CD Install one new Acryline Nervana soaking tub left hand drain Q www Install one new Kohler K-438K deck mount valve with Integral diver Q p _ s Install one new Kohler K-T10292S-4 Forte deck mount high flow valve ti W FCs EA trim with sculpted lever handles 3 - N T/ O V Install one new Kohler K-368 Forte deck mount hand shower holder N Install one new Kohler K-12414 Awaken G90 hand shower 0 w EX/8r/NG B/FD Shower DOOR TO BE r Install one new Kohler K-9488 Memoirs shower receptor REPLACED WNright hand drain -� Install one new Kohler K-304K pressure balance shower valve Slope POCKErDOOR 2 Install one new Kohler K-TI0216-4 Forte shower trim with sculpted - as lever handles • " Install one new Kohler K-128K Mastershower transfer valve roXET ro BE r Install one new Kohler K-TI02SO-4 Forte transfer valve trim / REPLACED WIN Install one new Kohler K-355 Forte supply elbow ° -0 TO/LET FROM C0 Install one new Kohler K-98361 Awaken G90 hand shower kit / \ Install existing main bath toilet and toilet seat MAINBAN 0 Install new Staron vanity top and back splash in customers choice of " " L2 r Medium colors,with two (2)Staron oval undermount sink bowls m W Install two (2)new Kohler K-10215-4 Forte single control faucet NEW 4B"MEMO/R6 ACR YL/C J �J Install all necessary pipes and Fittings to accommodate new floor plan SHowER U//rH BU/LT/N 6EAr Installation of Owner Supplied accessories Exampiet towel ring/bar, t r/LED WALLS 0 V Q robe hook,toilet paper holder etc. ACRYLINE NIR VANA a C/)ELECTRICAL Install wiring, switches and outlets where necessary as per code SOAK/NG 7US c Install 2 GFI outlets at vanity Install Panasonic FV-15VG2L6 exhaust fan and vent to outside WINL70W TO BE REPLACED QI L N Install three new LED recessed light fixtures above vanity as per plan US/NG TEMPERED GLA66 Q A) INTERIOR WALLS "' to Install new cement backer board to walls surrounding Shower 4 Tub prepping for new the s a Install new wall the and grout In shower In customer's choice of select tiles. 2.4 02.50/ sq' the allowance / Design In shower to be discussed) Install R-13 Insulation In party walls Install Ia" blue board to Interior bathroom walls Skim coat plaster Interior walls CEILING COVERING Master BaTh Proposed rOpOsed tp Install Ig"blue board to interior telling k r Skim coat plaster new smooth ceiling SCALE: 1/4" V-011 MILLWORK AND TRIM Install new AWT European vanity base and soffit with supplied LED lights as per pians to be In a full overlay door style Door style Finish Hinges to be soft closing. Draws to be wood with full ext. soft close FLOOR COVERING • Install baseboard moldings and trim similar to style of rest of house Install new cement board underlayment to bathroom Floor .� Install custom shower door system with 12"return wall Install new floor the and grout In customer's choice of select tiles. Install new window with tempered glass In tub area 03.50/ sq'tele allowance) Install two Medicine cabinets PAINTING " Interior painting to be completed using Sherwin Williams or Benjamin Moore materials n � c� ��-65/4 C1 A trti � 2��n C-r- __ Q O V48D O W �. o LO N 8'-o" 't Marlowe Building d Design Donti Baths PAGE: 3 258 We .Manchester St. SCALE: 1/41' = 1'-0" / w Lowell,MA 01852 4 DATE:Thursday, February 25, 2016 s RUN P37" ENTRANCE DOOR TO L U -p TEAR OUT BE MOVED AND REPLACED N Existing closet and closet door to remain Intact y Remove existing Toilet,Vanities,Shower and Bath tub NEW DOUBLE VAN/rY O Remove existing bl-fold bath entrance door lr8/NG OVAL SINKS O Remove existing bt-fold toilet room entrance door 2_(o — i Remove existing Flooring L J� CL Gut all interior walls In the bathroom SEE SEPERATE Ll.lq1t Remove ceiling (unless blown In insulation exists) x VAMMY PLAN (� Remove existing window in bath 20 m PLbUM51NG (White and chrome fixtures standard) O a �ty d Install one new Acryline Nervana soaking tub left hand drain Q Install one new Kohler K-438K deck mount valve with Integral diverter O Q W Install one new Kohler K-Ti02929-4 Forte deck mount high flow valve NZ tlT trim with sculpted lever handles NE W r/X F OC R 0 VEX TO Install one now Kohler K-368 Forte deck mount hand shower holder , -_ — N Install one new Kohler K-12414 Awaken G90 hand shower 0 EX/Sr/NG B/FO N Shower CIO ((j Install one new Kohler K-9488 Memoirs shower receptor DOOR TO BE t- right hand drainREPLACED U/rTH Install one new Kohler K-304K pressure balance shower valve J' lope POCKET DOOR i Install one new Kohler K-T10216-4 Forte shower trim with sculpted I (IS lever handles Q Install one new Kohler K-128K Masterehower transfer valve r0/LEr r0 BE r Install one new Kohler K-TI0290-4 Forte transfer valve trim �+ REPLACED U//rH Install one new Kohler K-355 Forte supply elbowI - /o\ rO/LEr FROM ) Install one new Kohler K98361 Awaken G90 hand shower kit Install existing main bath Collet and toilet seat MAIN BATH CO :!!tN Install new Staron vanity top and back splash In customers choice of , Medium colors,with two (2)Staron oval undermount sink bowls LLJ Install two(2)new Kohler K-10215-4 Forte single control faucet NEW 40 MEMOIRS ACRYLIC m J LU Install all necessary pipes and fittings to accommodate new floor plan SHOIUER !U/rH BU/LT/N BEAT Q Installation of Owner Supplied accessories Example, towel ring/bar, I T/LE77!l/ALLB O U Q robe hook,toilet paper holder etc. ACRYLINE NIRVANA ELECTRICAL Install wiring,switches and outlets where necessary as per code SOAKING TUB Install 2 GFI outlets at vanity Install Panasonic FV-15VQL(o exhaust fan and vent to outside WINDOW TO BE REPLACED Install three new LED recessed light fixtures above vanity as per plan USING TEMPERED GLASS A Q) in INTERIOR WALLS w 1 to Install new cement backer board to walls surrounding Shower !Tub prepping for new the T1 Install new wall the and grout In shower In customer's choice of select tiles. 4 02.50/ eq' tile allowance /Design In shower to be discussed) Y_ Install R-13 Insulation in party wails Install ki" blue board to Interior bathroom walls Skim coat plaster interior walls /�QQ�� /� J CEILING COVERING Master ���r Proposed Install ls" blue board to Interior calling N Skim coat plaster new smooth calling SCALE= 1/4" o V-Oil MILLWORK AND TRIM Install new AWT European vanity base and soffit with supplied LED lights as per plans to be In a full overlay door style Door style Finish 1,7z, Hinges to be soft closing. Draws to be wood with full ext. sort close FLOOR COVERING Install baseboard moldings and trim similar to style of rest of house Install new cement board underiayment to bathroom floor Install custom shower door system with 12"return wall Install new floor the and grout In customer's choice of select tiles. Install new window with tempered glass In tub area (13.50/ sq'the allowance) Install two Medicine cabinets PAINTING Interior painting to be completed using Shemin Williams or 5en,�amin Moore materials r r C, 11'-1%z" rJ''40514' 5-65/4 n A M (n 0 U Ur V48D 0 X 1 — L LD ap rn �- v48D LD O - _N Zi lit Donti BathsJ j . Marlowe Bulid(ng a Design PAGE: `II ® 258 West Manchester St. , 4 , , Lowen, MA ois52 SCALE: 1/4„ = 1 -0 3/ 4 DATE:Thursday, February 25, 2016 t r _ FVrLIE QgrD 1J Oro- February February 16, 2016 Naga & Shoba Donti 48 Huckleberry Lane N. Andover, Ma. Addendum - A We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR MAIN BATH AT ABOVE ADDRESS, AS PER PLANS AND AS FOLLOWS: PLANS ANb PERMITS • All building permits supplied by Marlowe Building & Design, Inc. • All construction drawings supplied by Marlowe Building & Design, Inc. TEAR OUT • Toilet to be reinstalled in Master Bath • Existing door and threshold to remain • Remove existing Vanity, Bath tub and Toilet. • Remove existing flooring • Gut all interior walls in the bathroom • Remove ceiling (unless blown in insulation exists) • "CHECK VENTING IN ATTIC' • "BLOCK FOR CURVED SHOWER ROD" PLUMBING (White and chrome fixtures standard) • Install one new Kohler K-1184 Devonshire bath with right hand drain • Install one new Kohler K-304K pressure balance shower valve - • Install one new Kohler K-T10274-4 Forte tub & shower trim with ' sculpted lever handles • Install one new Kohler K-728K Mastershower transfer valve • Install one new Kohler K-T102904 Forte transfer valve trim • Install one new Kohler K-355 Forte supply elbow • Install one new Kohler K-98361 Awaken G90 3 function hand shower kit 7 Marlowe Building&Design!Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 Its r; (0, � ft • Install one new Kohler K-3837-Dev6nshire comfort height toilet with matching seat • Install new Staron vanity top and back splash in customers choice of Medium colors, with Staron oval sink bowl • Install one new Kohler K-10215 Forte single control, • Install all necessary pipes and fittings to accommodate new floor plan • Installation of Owner Supplied accessories Example: towel ring/bar, robe hook, toilet paper holder etc. ELECTRICAL • Install wiring, switches and outlets where necessary as per code • Install one new GFI outlet at vanity • Install one new Panasonic FV-08VQL6 exhaust fan and vent to outside • Install new owner supplied light fixture as per plan • Install 1 recessed can in tub area INTERIOR WALLS • Install new cement backer board to walls surrounding tub prepping for new tile • Install new wall tile and grout around tub in customer's choice of select tiles.($2.50/ sq' the allowance) • Deco tile not included in this proposal • Install R-13 Insulation in party walls • Install 1/2" blue board to interior bathroom walls • Skim coat plaster interior walls • ""BLOCK FOR CURVED SHOWER ROD" CEILING COVERING • Install 1/2" blue board to interior ceiling • Skim coat plaster new smooth ceiling MILLWORK AND TRIM • Install new AWT vanity base as per plans • Door style:Slant Raise/Elite Bead/C2 Lip • Finish Matador White Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 T t, T 1, • Install baseboard moldings and trim similar to style of rest of house FLOOR COVERING • Install new cement board underlayment to bathroom floor • Install new 12" - 18" floor tile and grout in customer's choice of select tiles.($3.50/ sq' the allowance) PAINTING • Interior painting to be completed using Sherwin Williams or Benjamin Moore materials CLEAN UP • Removal of debris and cleanup of space to be completed by Marlowe building and design. REMODEL COST: $18,000.00 OPTIONAL: Double Medicine Cabinet with crown $1000.00 ©.00 Brushed Nickel Finish $550.00 Thank you for allowing us to quote your work. Si rely, eter D. Marlowe Marlowe Bldg. &Design,Inc. Acceptance Date Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 TEAR OUT Toilet to be reinstalled In Master Bath N Existing door and threshold to remain RIM Remove existing Vanity,Bath tub and Toilet. ( o�(1�1/� O Remove existing flooring �J�Jj�=�ll/! 2 Gut all Interior walls In the bathroom Q, Remove ceiling (unless blown in insulation exists) PLUMBING(White and chrome fixtures standard) W Install one new Kohler K-1184 Devonshire bath with right (� m hand drain aQ Install one new Kohler K-304K pressure balance shower valve Install one new Kohler K-TIO214-4 Forte tub 4 shower trim With sculpted lever handles Install one new Kohler K-128K Maetershower transfer valve Install one new Kohler K-TIO2904 Forte transfer valve trim r Install one new Kohler K-355 Forte I elbow REPLACE TUB N p y SEE PROPOSAL FOR Install one new Kohler K-98361 Awaken G90 3 function MODEL., hand shower kit TILE IN WALLS I.n Install one new Kohler K-3831 Devonshire comfort height r toilet with matching seat DOUBLE MEDICINE Install new Staron vanity top and beck splash In customersCABINET SEE PLAN i choice of Medium colors,with I new Kohler K-2355 lh _ Archer sink bowl Install one new Kohler K-10212-4 Forte widespread faucet W/ sculpted lever handles Install all necessary pipes and fittings to accommodate new o D �� U Floor plan _ 0 Installation of Owner Supplied accessories Example, EE VANITY DESI U) towel ring/bar,robe hook,toilet paper holder etc. ELECTRICAL m F" Install wiring,switches and outlets where necseeary as J per code C Q i U Install one new GF-Cl outlet at vanity t2" O IB"T EFL Install one new Panasonic FV-08VQL6 exhaust fan and "� EXISTING DOOR V a vent to outside ER 1/2" EMENT BOAR TO REMAIN Q U 0 Install new owner supplied light fixture as per plan ETWRESHOLD SAV E c INTERIOR WALLS THRU1.j Install new cement backer board to wails surrounding tub QL N prepping for new the Q U1 Install new wall tile and grout around tub in customer's � O choles of select tiles.02.50/eq' tele allowance) b7t Deco the not included In this proposal q Install R-13 Insulation In party walls Install PV blue board to Interior bathroom walls — Skim coat plaster Interior walls Main Bath +� CEILING COVERING Proposed Install ui' blue board to Interior ceiling 0 Qz Skim coat plaster new smooth ceilingSCAL 3�Sn a ,I_OIt in MILLWORK AND TRIM Install new AWT Framed furniture vanity base as per plane Door et& Finish Install baeeboard moldings and trim similar to style of rest or house FLOOR COVERING Install new cement board underlayment to bathroom floor Install new 12" 18" floor tile and grout in customer's choice of select tiles.03.50/sq' tile allowance) PAINTING Interior painting to be completed using Sherwin Williams or Benjamin Moore materials i t i c 1 NZm AO � tpm0 b - m z -4 b ° n r Itt O r- m m � o X� N _ 1 z m X T O 2i_4ii �_0 _ } Marlowe Building t Design Donti Baths ® 288 West Manchester St. 1� — PAGE: SCALE: 1/2 11-011 1 Lowell,MA 01 /852 IDATE:ThursdayFebruary 25, 2016 4 TEAR OUT -v Toilet to be reinstalled In Master Bath N Existing door and threshold to remain 1i7 fq Remove existing Vanity, Bath tub and Toilet, O /„„1 _ Remove existing flooring U (�(��`()JI O Gut all interior walls In the bathroom L Remove telling (unless blown in insulation exists) �. PLUMBING (White and chrome fixtures standard) Install one new Kohler K-1184 Devonshire bath with right hand drain Q m Install one new Kohler K-304K pressure balance shower valve a O Install one new Kohler K-TIO2"14-4 Forte tub !shower trim with sculpted lever handles Install one new Kohler K-128K Mastershower transfer valve Install one new Kohler K-TIO2904 Forte transfer valve trim CO Install one new Kohler K-355 Forte supply elbow REPLACE TUB r0 Install one new Kohler K-98361 Awaken G90 3 function SEE PROPOSAL FOR N hand shower kit MODEL.. Install one new Kohler K-3831 Devonshire comfort height TILE IN WALLS tollet with matching seat DOUBLE MEDICINE t- Install new Staron vanity top and back splash in customers CABINET SEE PLAN U choice or Medium colors,with I new Kohler K-2355 , Archer sink bowl _ Rj Install one new Kohler K-10212-4 Forte widespread faucet W/ sculpted lever handles — — — Install all necessary pipes and fittings to accommodate new O OEE floor planInstallation of Owner Supplied accessories Examples VANITY DESI (n towel ring/bar,robe hook,toliet paper holder etc. M IF- -j ELECTRICAL Install wiring, switches and outlets where necessary as m W per code LU Install one now GFCI outlet at vanity Install one new Panasonic FV-08VQL6 exhaust ran and 12" o IB"T EFL Cr EXISTING DOOR O 0 Q vent to outside ER 1/2" EMENT BOAR N TO REMAIN � Install new owner supplied light fixture as per plan INTERIOR WALLS ESAVE Install new cement backer board to walls surrounding tub THRESHOLD prepping for new the Install new wall the and grout around tub in customer's Q choice of select tiles.02.50/sq' the allowance) '" Deco tele not Included In this proposal Install R-13 Insulation In party walls 6 Install 16" blue board to Interior bathroom walls Skim Coat plaster interior wells CEILING COVERING Fl �J a ath M 3 Install l4" blue board to Interior telling Skim coat plaster new smooth ceiling 1 MILLWORK AND TRIM SCALE= V_011 Install new AWT Framed furniture vanity base as per plane Door style Finish Install baseboard moldings and trim similar to style of rest or house FLOOR COVERING Install new cement board underiayment to bathroom floor Install new 12" 18" floor tile and grout In customer's choice of select tiles-03.50/sq'tile allowance) AIV PAINTING Interior painting to be completed using Sherwin Williams or Senjamin Moore materials N d m3 -4 Oil O -i N DEW m rte-- m O ZZ ---mr ,(� rz n_ � lam/ N O 1 x N N z rn x F,v 2'-4" 4V75 +. I Donti Bath Marlowe Building s Design s PAGE: 258 West Manchester St. � •. Lowen, MA 01852 SCALE: 1/2" 1/ 4DATE:Thursday, February 25, 2016 The Commonwealth of Massachusetts z Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORITY. Applicant Information G / Please Print Legib Name (Business/Organization/Individual):1114r, �o By J ' y Address: City/State/Zip: U e /1 jJv Phone#: SJd 6 Z 372- 5 Are you an employer?Check&e appropriate box: Type of project(required): 1. I am a employer with Z.. : employees(full and/or part-time).* 7. ❑New construction 2.E]I am a sole proprietor or partnership and have no employees working for me in 8.,aRemodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself[No workers'comp.-insurance required.]i 9. IR'DemOlition ❑4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. • 12. Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.❑Roof repairs • These sub-contractors have employees and have workers'comp.instuance.t 6.❑We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.❑Other r, 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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: G G 1/ S Z e r 5 yl l G ✓1/S Policy#or Self-ins.Lie.#: SSP 3 5 O 6 J Expiration Date: Job Site Address: �" G L'C /e 1�lee f 51 G City/State/Zipwoy44 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby ce ' under the pains andpenalties of erjury that the information providedabov is true and correct. Si ature• _; Date: 6 Phone#: S�0 7 3 7 0-5 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and-phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents fbi confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensatioti'policy,please call the Department at the number listed below. Self-insured companies should'enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-NIASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia MARNriJ-1 C7P tt}�'si� CJMPICA f OF L1A'R1L1TY N$U ANCE . ✓" C1.417t120�15. THIS CER"fIt=ICATE fS:iSSL1ED kS,h.;Mi1TTER'00 31VFf (lIMkT1nN ONS,fi'.4PIt5'GO[�1i=ftt8!'IQ•Ii1E15'up IaN 'CttitA' .}117lit3R:"TiS CERTIFICATE DOES NOT AFjt,ZMAavELY OR NBGATIVELY'MEND, W- EN9V011 ALTER THE COVERAGE,AFF {SY TitE ROLiGi_,ES 13EE tiW fIltS CTIFICkfE`13F II�IS,fltxAplCE' DtS fiiOT CZ7N5TITUTE/4 GQNT} L:BIrTVit TitE f55t1tNG-IN5UI ( ?� �AUtOR19t 17EpnE5ENiATNE=OI pROt7t1C R,l4NElTEJ,.'C. 1217 )GAttrtL(33LpiwR,. INIPORTANTn If*o cerLficate,flolder it,,an A001VONAL INSUI E0,the Pt2tlay eS7<: l�S E 00,00'. I$'SU��tb [17 5 11 Ety, Lab)eCY fo tte,terms,�lnd CoTiiliEidns ofthe polio,,cerEain;poliries;may"rec8#[re an e»cioCSeLnerit d:statement,'g ,thls cerfffltate< oes ndt° pntr rightsa fate Gerkltfipat"'FoLder�h'IietL'oi'susti,en41�r5�ttten, s:. ._ .. ,. FROaU�ER )NTACt Stephen J:Szczepai ilrfrrs.. I.0 1 471 Aiken,AuenuA• a, n 878-�f5a-31013, -454;93 5 Dracut,Ma•U1$Z� Aa kEss: . INSURERS.AFrORTI1NG>COVEEt7gGE NAIL A INSURERA:Harteoyllie Insurance CornZ37871i INSURED Marlowe Building and INSURER B:Commerce Ins 34758 DESIGN INC 258 W Manchester Sl msuReR:G Lowell,IAX0385 INSURER 6: r1tiSUR'ER F.;. .. coni=tAS ' 'A 14 IR� Iori 'l31IIPt ` . tlaiSlS T©GERT{FY 7 HAS FtE Pt?llCIES_'b�tNallI3ANCRrYLI.,"t ED 13luI CSN F�AS/E BEEN tSSUk'B TQ ZHE IliStlRfwb NA(vi ,�$ v ^1 bR"fP E� l tt'1'L�ELtIQt? INDICAFED_ At]TiNtItiaTANT)ING ANY f;(=QULRE11tlE(i1T TF.RtJ[OftrQt3DITI0N �r}CLVY GGINTRACT OR QtEEt2 DOC>t1NENT V�/j7kL FtE3i?EG3 YQ'1+Vli1Qf�TMis CEF2TII:IPATE MAY�;E iasil�D'bI�iJfAY �Ft1A1N'71�E ISUttAfiiG `ATZFRiIEE _ICY 7Hi L'Oj(Glu#3E5GI8EDF21"iN I�. U�FE�xT TQ ALL TN1 'TERMS. FJCGLU510NSANq GaNdITIQNa'bP SUCH POIJCIf=S,�tldliT$:5&tC){i4iN MAY:HAVE•i3EELd•REI3UCEt)BY LAID GI AIMS. ILT R - EFF PD4ICY;EXP- . TYPE OF:INSURANC,E .• ,. [k POQG la"JIBER. MMW MMID .::YY ... 7�dCr,S,-.. .. El x' GOM14lERCIAL GEp1ERAL UJAM ITY tACk bO.OUR rE►ICE 5 � Ii 1,OOO dD ^ - pP35 OJ, t.14lti8!`ltI'I S>"llad .Gt'AIMS•MADE. 'OCCUR EMISF..$EB..• 15co S. 11}O�U .0... t&AL7V1NJ47..1. 5. GEV'LAGWIRtGA`TE W0YAPPI.IE&7PER GENE{�ALACrG� rE POLICY d5G �LOC 'PR©nt1 B.'COINPIOP GGA 8 2,000,L OTHER �ry AUTOMOBILE LIABILITYBOO LIMIT. s cldeDt,INGLE § ANY AUTO gBQZVR 0412712015 04J27t2016 80b1LY INJU@Y.tPetperWnj; S 500 00ja ALL OWNED' -- SGHEOULEO BODILYINJURY(0o;dbkIsnl) � t6o;00 AUTOS AUTOS D PRoaaR.• s.. 100Q0• x HtREOAII,Tf:1S: X AUTOS UM9Rt Lt1YtlAB OGi,Uk EACFCiOGCURRENC6 EXCES,S�LIAB, _, SAMA10 AGCiREtgTE: .. ... ., . DC-D RMNTIONt. WORKERS ctlMPENSAfiIiJN P•FR GTH=: AND EMP4OfERS LIABILITY Y f N: E.L 1ftGN ACCIt5EN7 $ �—_ A'NYPROP.RIET.,ORIPAR7NERiEXECUTn1E, R f A: CIfFtGEt21Ma(]I9ER EXCLUT3ED4 (Mantlatoryln'NH), E:L,015EASE-EA EMPLOYE; �... Ii,'s5 aesCdpetaddet MLUIS1 JtSE.-NQWGY Cr'"¢. D6SbRIP tION:OF OPERATIONS DESCRII�TIONOF'QPERA71ffN5'%LOCh�ICtdS•7'VF�iiCLE'�(ACOitDZ61,,AdifflLon�l•Rgiflltli9SCh6d�11;_rodY'froaltarhadiF�iloYb:npaco'I4:rcqu7rAii):• Caicperntrg CERTIFICATE:HOLDER CANCELLATION MARLOWE 3ROl7ti;L)ANY oF:3HE ABOVE DESCRIBEU P.OLiGTE.S BE';EANCBL•t'BI�f BEFORE TSE LXPIkATtON DATE THEREOF, Nome WILL -$E ,DEC-WRED LN 4660tt6ICE-{NITH'FHE#,0LiCY:PROV1S(ONS: dilgairlowe mild"ung Assoc;:tilt. 04'MtddtesexRbazi:i of€1 i;`+'aTIIa REPt;Es��'A,>vs Tiyngibero,MA 01'87-9 {�3A9&8; 1�i`A OL CO.A.Pdf2 TICIN. AtfrWhtimsorved_ ACORD 26(2094101) `TheACPRD name and tago:are>regiSEe"led marlcs:of ACARi7. 07/22/2015 16:29 4137318255 BATESFULLAM WEST SPF PAGE 01101 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 7/22/2015 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 Ileu of such endorsement(s). PRODUCER CONTACT NAME Gloria LiitZi Bates Fullam Insurance Agencty, Inc PHONE �,: (413)737-3539 p Ne:(413)731-3255 975 Elm Streat &MAIL iinzi@bat�afuilam.com ADDRESS:Q _ INSURER(S) AFFORDING COVERAGE �NAIC# West Springfield MA 01088 INWRERA;Berkshire Hathaway Guard insurance INSURED INSURER H: ACCUSERVICE CORP INSURERC: I 19 Leisure Dr INSURER D: �. INSURER 6; Holland MA 01521 INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 we 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. NOTIMTHSTANDING 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 THrPOLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBRUUL bUt5W POLICY EFF POLICY EXP LTR TY PE OF INSURANCE P40LICYNUMBER MMIDD MM/DD LIMY$ COMMERCIAL GENERAL LIAeIurY EACH OCCURRENCE $ I I CLAIMS-MADE OCCUR P BMI E8 Me occurrence) Is MED EXP(Arty one per5on) $ PERSONAL$,ADV INJURY ;$ GEN•L AGGREGATE LIMIT APPLIES PER: 1 GENERAL.AGGREGATE ;$ POLICY E�7 LOC PRODUCTS•COMPlOP AGO 8 OTHER Is AUTOMOBILE LIABILITY '$ --•-. I ccidernl , ANY AUTO 900)LY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per ecMart) $ AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS _ANON-OWNEDUTOS (Per accldernl $ �f I$ UMaRtLLALIAB OCCUR I EACH OCCURRENCE Is EXCE$$UAB CLAIMS MAGE AGGREGATir S �.: DED RETENTION 15 ;S' WORKER6 COMPENSATION ER ANO EMPLOYERS'LIABILITY Y/N R STATUTE I F+R :ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ 100,000 OFFICER/MCMBFR EXCLUDED? �' N/A' A (MAndatory In NH) IR2NC63675D 6/14/2015 . 6/14/2016 EL DISEASE-EA QMPLOYEd$ 100,000 ff yoa,deacrbo under i DESCRIPTION OF OPERATIONS beloW E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERA'nONU I LOCATIONS/VEHICLE$(ACORD 707,Additional RemarlR Schedule,may be attached if mora spans to required) Temporary Agemay CERTIFICATE BOLDER CANCELLATION (978)937-1990 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marlo Building & Design THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Peter Marto ACCORDANCE WITH THE POLICY PROVISIONS. 258 West Manchester St Lowell, MA 01852 AUTHORIzEOREPRESENTATIVE ^ E Bates, Jr. Acc Ese/ ®1888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014107) The ACORD name and logo are registered marks of ACORD INS025(201401) y Office of Consumer Af=fairs and Busin s Regulation '. 10 Park Plaza Suite .5170 Boston y Massachusetts:02116 tr Home TpVtove lei�C i4toy.R eg stratzon 0 K, " --J Registi Iron 12241 Tvm Povi me Gorpo) #fc5n Expiration_ 81301204:6 Tr# 2562 MARLOWE BUILDING & DESIGN i�i PETER MARLOWE f �t r 4044 MIDfDLESEX.RID. #1 15 TYNGSBOkO... MA 016: ,? " pd#e-AAdrewand:retuzu card;M�nk:Cg�so�1 dor�httnge., { dos#Card A.ddaress Renewal F-1EmpWtnefit . SCA'.T it 24Stv105fti �j // j &!C Z;'GlyP])l(J7lC!lCClfjld f��t��Q+f�tYCIGL{af('�. ' office of Colnsumer Affairs&Busmess;�egutation License or registration valid for individul use only ( IOME:IMPROVEMENT CONTRACTOR before the expiration trate. If found return to: +•33egsstration 122415 Type- Offii;e o'F Consumer Affairs and-Busiizess Regulation jEx.piratfon $13D12016 Private Oorporatian 10 Park.Naza Splte 5170 MARLOWE BUILDIN-- ,"", i�laN PETER MARLOWE f 404 MiODLESEX RD # _ TYNGSBORO,MA 0187 ''` Undersecretary xTowA.did ivithoilt signature Alassach s .pop u.biic sate+. i3barcof stria, tcs #eStandards a iw<snsttastisn�s' ,�, �: LaFrltx+ t 'atkIh" t?i; ~ - n Ya-V°AVviGN - `:tib, 4N ��1w F_ 25$'WestMan+chi" r� �. �4f«04�1T� kDlGtly�^,�E)Cgt 8tk ,� laovvi 11 — 11 65 a` Expr3 iG<i Expiration u. 0610612016 .�C�om mirssiionner 06119120/6 oevat3rssio�:Q- 55ff�r Fe. V J Y 4.1 .yY Location No. 1 l'1 1 - c- l C� Date • - TOWN OF NORTH ANDOVER � ��`��� lea • Certificate of Occupancy $ Building/Frame Permit Fee $` '�f .� Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# � �; 'Building Inspector