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Home My WebLink AboutBuilding Permit #524 - 53 GLENNCREST DRIVE 1/30/2006TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� Date Issued: r 0 � 0 4/ Date Received IMPORTANT: Applicant must all items on this LOCATION 1 3 G n c res l AV Print PROPERTY OWNER D IC Z V S k Print MAP NO.: /6 jI PARCEL: SZ ZONING DISTRICT: TYPE AND USE OF BUILDING TYPE OF IMPROVEMENT ❑ New Building ❑ Addition ❑ Alteration ❑ Repair, replacement ❑ Demolition ❑ Moving (relocation) ❑ Foundation only HISTORIC DISTRICT YES ❑ `� �9 cocmc wewnc ��/ PROPOSED USE Residential Son- V1 One family ❑ Two or more family ❑Industrial No. of units: ❑ Assessory Bldg ❑Commercial ❑ Other I ❑ Others: DESCRIPTION OF WORK TO BE P EFOR3ED Identification Please Type or Print Clearly) OWNER: Name: - 7g14 - N,�') - a Address: --5)--G-1 ( C f r CONTRACTOR Name: U T )Q HLY HGfYerll Phone - Address: a00 hone: Address:2oo �U��IC;I�'(r�P I�Sti(Qn�, ra 017�I Supervisor's Construction License: Exp. Date: Home Improvement License: 7 Exp. Date: I L ARCHITECT/ENGINEER Name: Phone: Address: Reg. No Li FEE SCHEDULE: BULDING PER IT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ a a FEE:$_ Check No.: ! 7 a I Page I of 4 Receipt No.: 17 Location ';,2) -TDrJ No. Sod `� Date �v ' O Of NORTH TOWN OF NORTH ANDOVER � • OOL Certificate of Occupancy $ •, sACMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ .40 Other Permit Fee $ TOTAL $ Check #fir_ 19961 Building inspector �� TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Tb Well o acco Sales m Food Packa /Sales wx Permanent Dumpster on Site ❑ `*' Private (septic tank, etc. ❑ Electric Meth- locatign to, projectx NOTE: Persons contracting with unregistered contractors do not have access to guaranty fund Signature of Agent/Owner Signature of contract Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ *mped Plans ❑ THE FOLLOWING SECTIONS FOR OFFIC%'�$E ONLY INTERDEPARTMENTAL SIGN OFF - 0 FORM �'�� DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS ------------ DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date A COMMENTS 4 /// z' i: Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: �'`11� _14,Comments Water & Sewer Co! n4iibn Building Setback Front Yard Side Yard . Rear Yard ed Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: goo IC -If f e (W I City/State/Zip: 11 � In I a Ad , NO Phone #: Are you an employer? Check the appropriate box: 1. U I am a employer with �3 4. E] I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 5. ❑ We are a corporation and its required.] 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. E] Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11. PPlumbing repairs or additions 12.rl Roof repairs 13.❑ Other *My 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. tContractors 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: H e Ir I y Policy # or Self -ins. Lic. #: Vu r 0 C) bo 6 20 Expiration Date:_ 1 /07 Job Site Address: S3 � I n (ra) At City/State/Zip: h, A n N ay(% 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 Investieations of the DIA for insurance coveraee verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct U Phone #: So �� _Ms use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # 0 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 M 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 -contractors) 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 for 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' compensation 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents off ce of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext.406 or 1-877-MASSAFE Revised 11-22-06 - Fax-#-6st-7=727=7749---— -- www.mass.govfdia LJOOV_e�7ff rye TV UI'3WJVV_ Iq United Home Experts & United Painting Co iric.) 100 B, utterfield Dr. Suite Ashland, MA01721. OoO 11508-881-8555 FAX 508-881-558 www.unitedpainting.net PROPOSAL PAGE Project: Bid Date: Any additional customer requested carpentry wor will be billed at 7 p er hour + materials. Attn: Phone #: f f 7W 1"If 2 Company: Work M Address: Fax #: y - City, St, zip: Hard of us by: Prices good for 30 days Base proposal as per attached scope of work: Alternates: ,14/fr' Any additional customer requested carpentry wor will be billed at 7 p er hour + materials. y - Prices good for 30 days V_ PAYMENT: A non-refundable deposit of 1/3 of the accepted proposal item(s) amount is due upon authorization in the amount of $ with 1/3 due upon half of completion in the amount of $ and the balance due upon completion in the amount of $ + any. -customer options DISCLOSURE: State law requires us to inform you of contract liens. Any contractor, supplier, or subcontractor may lien your real property if you or the general contractor fail to pay for goods or services delivered or installed at the work location. Some contractors and suppliers automatically send letters of notification similar to this notice. At your request, we will provide original lien release documents from anyone who provides said materials or service. Please call if you have any questions regarding liens. ACCEPTANCE: The signature on this proposal reflects acceptance of the proposal as per the attached scope of work, authorizes commencement of the work, and hereby guarantees payment as outlined above. An . y amounts not paid within thirty days of invoice are subject to service charges of 1 1/2% per month (1 8%APR). All costs of collection, including reasonable attorney fees are to be paid by the customer. . . M.M.-Catds A Contractor signature Ibate tusfomer-signature Date Great People, Quality Service, Fair Prices, That's United! How" "(W Project Name: PAGE 2 SCOPE OF WORK The .base proposal reflects furnishing labor and material to complete the carpentry and/or siding work following professional standards ps follows: Surfaee �`re aration/ Demolition: Areas for work to beperformed.:. / e/' rf; . . Rubb`ish`remova(� . �� 1no) Ifdum ster, location:.,0.�C?l,,! Q✓�, Item Included Not Other Items Included Included Not Included 1) Reinoval of existing siding. 4) # of layers ( Ifmote' layers, priced when seen 2) Permitting 5) 3) Electrical meter/7' 6) All sheathing rot repair will be removal/reinstall _priced when seen (� Installation Installation item'' ` ' -•' Size+ Style Material Specs Other Item Size+ Style Material I) Building Paper -r'" Secs 2)Wi`n'W' /Door Trim Flashing :; ,:5)E 3) Siding fasteners j �r 6 Siding Areas to be covered and descritxtion 4 Siding to be installed:..�'•r ✓iry: 1,?� c�yo�, 4 Approximate exposures: ... 44i&-��t... . Other.Installations: ...... /. l .�:.................... ......... .............................. . ............. I................. t� �-....................... ............................. ........................ OPTION #1 ................... . .................................... ................................. PRICE ON PROPOSAL OPTION#2............................................................................. Existine Job Conditions:RICE ON PROPOSAL I.E.EBroken or cracked windows Water damaged areas, ETC. Removal/ Replacing fixtures: . SPECIFIC EXCLUSIONS:.. We understand the following surfaces are to receive no work: All areas not mentioned above Clarifications: Basic clean up will be observed at the end of•eac1i working day, thorough at end of job. We understanding that if needed, landscaping will be cut back away from the house by others prior to starting the work.. See Definitions and Conditions on the back of this contract set for explanations of terms. Project: Full Siding estimate Residential pricing 2005 Double check by dividing total siding price by total siding square footage. Value per ft square for above Siding project under 1000 ft^2 must be priced higher due to inefficiencies 50-100% higher.11 Notes and Exclusions: SIDE 1 SIDE 2 SIDE 3 SIDE 4 TOTALS Unit Price $ Total Price $ Surface Yes/No Ft^2 or# Ft^2 or# Ft^2 or# Ft^2 or# ; Demo First layer siding $0.60 ?1 $.30 per extra layer $.30 +? elec meter? 1 meter $350 dum ster 4k ftA2 max./ dump $750/per ZP permitting ave house $300 ,3n) tyvek ore uiv tyvek or typar $,35/ ft -2 N Flashing (size/type alum=free, lead= $20/window Install Siding type + size Square footage -don't take out windows/doors / Corner boards: (description +size 1'�/ CB 1 ' U(f cr9 ��``''�� 0*b t: (' d ro h) CB 2 Window + Door trim: Description + size: Window + Door count (#) Soffits Descri tion+ size) -F Soffit feet T-1 I 1 1 Rake (Description + size Rake feet A' Other trim: } Other trim: Other: Generator needed? (if no electricity) $500 per house Sub Total Miscellaneous @5% of tot Total Double check by dividing total siding price by total siding square footage. Value per ft square for above Siding project under 1000 ft^2 must be priced higher due to inefficiencies 50-100% higher.11 Notes and Exclusions: Project Name: L �!!i l ; ;�: �rlc /'&6/J 6/J 4-9 - / %ar c- 71��;. s /ii !�.a _ f�, PAGE 2 SCOPE OF WORK The base proposal reflects furnishing labor and material to complete the :painting work following professional..standards as set forth by the Painting and Decorating Contractors of America and the American Institute of Architects for this project as follows: Maintenance Description Specific areas to be. covered Vashin hand/ ower/ to1ia11 unexposed areas/ other(/- ! 17 �' ',;�:! (' f�w� Washing r `U �,.. It •�' __.. ;-,�.-�--�� P � t3� .:� • , : Vit,: r-��:.�. �: �1 LCaulki�i g., .......... none/! ..ssi g/er c �'o total Q.. j(.t :=: riQl!l. . . 1'u t rtg .......... none% missing/ or loose/ total t: -,) .` 7�t . ezz df�!�/ �r! 1.� . �ir��r- ............... . Carpentry.............................................................................. ................................... Other................................................................ ............. Surface preparation: Key areas to be sanded Lev l-2 Full Scrape to remove loose and peeling paint ........ . . . . . . . . . . . , Level 2 + light sand to Key Areas (see right) Level 4 Level 3 + power sanding (see right) ............................ Primin Description Specific areas to be covered 57 special Areas Remove Re lace . Paint ITEM Include Exclude 1) Storm Window Frames (No. ) /D?7 X A- /v/; 4) r l ILP -P SCJ 2) Screens (No. ) 5)' ' 3) Shutters (No. �` Z . !� Back ti) existing, jou Lonuigons: a.r_ tsroKen or cracxegwmdows Faint spills, Water damaged areas, ETC. Finish Coatings: ......... . Area # of Coats Type of Product Gloss Level Paint Specs Color rla X 0*,z;/-f c� /D?7 X A- /v/; U L4141 a, �'z " 4' �4��ya OPTION{#1................................ :........................ ...... ....................... I ......................... ......PRICE ON PROPOSAL OPTION#2............................................................................... ..................................................................PRICE ON PROPOSAL SPECIFIC EXCLUSIONS: We understand the following surfaces are to receive no work: ® jill,Utrf )wtS/ ' �e1� o All areas not mentioned above Clarifications: Basic clean up will be observed at the end of each working day, complete at end of job. We understanding all landscaping will be cut back away from the house by others prior to starting the preparation work. See Definitions and Conditions on the back of page one of this contract set for explanations of terms. Notes: Materials Labor Other CALCULATION SHEET (Special equip. needed, Lumber/ stock, etc) Done by (Its.) Item Quantit X Price= Cost Total Hours /,70 l-. X $ y,- /hr = labor and material calculations CONTRACT PRICE $ .w + 5704-'Y Total Hours /,70 l-. X $ y,- /hr = labor and material calculations CONTRACT PRICE $ .w + 5704-'Y EXTERIOR ESTIMATE SUMMARY Customers Name Pnone`# Customers Address wk # -- � . TOTAL$ .< , SIDE:1;`. SIDE.2 SIDE 3 :: SIDE.4 OTHER ..' Prepara4ton Mork FI^2 ' . " Hours.:: Ft^2 .. Hours :' '. .' .: .:. ': .::.�.: '..... Ft^2 .:� Hoi,rs 11. Ft^2` Hours `; " .,r3,; :. . Rmv/ R I storms/screens .�. .� '. 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I b: ., b . � ...; .:I :. .:--%. . .I r % -...... .. TOTAL. HOURS PAINT .b,:.....�: 4-.v. Set-up/ clean up - . —.: k. — .' -"� y; Total prep'and paint rl hours timesr 05 `. v ../z .TOTAL PROJECT BUDGET -.:- I ' ,a'*--' .-.,-1 ` '='- "';--rJ ';-- ' L—...� { 9OI :--r,-; . .,--:��. .r� r1 Project Name:.PAGE 2 SCOPE OFI The base proposal reflects furnishing labor and material to complete the roof ng, remodeling, carpentry and/or siding work following professional standards as .follows: ��Y,�rc,�e�'1T.,�n t ! �'`�" ''� °/�r�h� Ada Surfae,e preparation/ Demolition: Areas for work to be peifo . , r; . ,c`;�f;` -f��F T;S L i''�ao- -`� f ,, (�.r9C%;�7f/ , • i . . �. . . , , f ..... . .......... •. Rubbish removal ,( /x�nl / If rimmnctpr lnnntinn• A4. • /A/274 r:. • + Item Included Not Included 1) Removal of existing roofing. --# of layers ( } if more layers, priced when seen Necessary Permian 3) Inspection of all sheathing and-roof..penetration flashings. No charge for re -nailing loose roof boards 4) All sheathing rot repair will be priced when seen: priced at $ per 4x8' sheet 5) Install Ice and water shield under shingles above all gutter edges, in valleys, and around roof penetrations 6) Install 30 lb. felt 6 ei:t'ayment under shingles .� r .. 7) Install new aluminum flashing` around roof edges (color: Brown, white, al?thin t\{/ 8) Install new pipe vent boots~ 9) Install new ridge vent. Cut new ridge vent if needed. 10).Protect house and bushes with tarps. Clean and remove all debrit when finished 11) Certainteed SureStart Plus Coverage Warrantee Shingle Type 3 -Tab shingles A) CertainTeed XT Seal King AR 25 yr or Tamko Elite Glass .Seal 25 yr - - - 4rchitectt.r4:al/Laminate shingles IS?U-) Cep rtairtTeed Woodscapa.3Qyr or Cert inTeed Landmark 30yr or Tamko Heritage 30yr C) CertainTeed Landmark TL lifetime or ertainTeed Carriage House lifetime or Certainteed Grand Manor lifetime SPECIFIC EXCLUSIONS: We understand the following surfaces are to receive no work: ♦ '% ♦ Chimney repair work (inspection is included) ® ♦ All areas .not mentioned above Clarifications; Basic clean up will be observed at the end of each working day, thorough at end of job. We understanding that if needed, landscaping will be cut back away from the house by others prior to starting the work. See Definitions and Conditions on the back of this contract set for explanations of terms. ROOFING ESTIMATE SUMMARY r S, Customers Name: I Customers Address: Diagram- (bird's eye viev�r) � 1� VL- Date of estimate Phone # Wk <<< 3 Unit Price Demo-- Remove # of layers Total square footage of roof 1 Type total square footage of roof 2 Type Ridge vent existing? OYES NO Skylights Cut new ridge vent needed? YES 'NO Other Color of new drip edge VAS- Other Other:(replace fascia, exclusion, special access issues, generator needed) Other Other Dumpster Permitting TOTAL PRICE � g' 4 r Total Price $ to 5v /6�-R, D i uL The Commonwealth of Massachusetts Department of Fare Services Office of the State Fire Marshal P. 0. Box 1025 State'Road, Stow, MA 01775 PERMIT Date: North Andover Permit No Dig Z— This (City of Town) (If ApplicableIn accordance with the provisions of MG.L_l 4 8` �Chapter_ ]�_—Q_ as provided in section 5 2 7 (' MR 3 4 Start Date Permit is granted to: Jt ;� j 1(� f t 0A( t� X )rt I S Fu4 name of person, Firm or Corporation Pemiissionto locate dumpster for construction/renovation/demolition of building_ Comments: dumpster must be. 25' from structure if unable to place with required Restrictions: clearance must be covered with plywood or tarp end of work 'day C at 3 GIC r ( Give location by street and no., or describe FeePaids 50.00 1-�. z�lzlle� This Permit will expire 07 ( S ignature of61rical as to provied adequate identification of location ) Fire Chief t) Offical granting permit ( Title ) #25632 PAGE: 2/3 a OT,r CERTIFICATE OF LIABILITY IIVSU�,�� C E DATE (MMIDO/YYYY) PRODUCER 0$/16/06 Herlihy Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 65 Elm Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Worcester, MA 01609 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 756-5159 .1—mcD INSURERS AFFORDINaERAG NAiC N United Painting Company, Inc. INSUREla Insu200 Butterfield Drive, Unit i INSURrican I Ashland, MA 01721 INSUR JNSURCOVERAGES INSUR THE POLICIES OF INSURANCE L(STEO ANY REQUIREMENT, TERM BELOW HAVE BEEN ISSUED THE INSURED NAMED OR CONDITION OF ANY CONTRATO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING CTOR OTHER iTOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED T MAY PERTAIN, THE INSATE LIMITS AFFORDED BY THE POLICIES DESCRIED HEREIN IS SLBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFOR SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T NSR TYPE OF INSURANCE POLICY NUMBER POUCX'EFFECTNE POLICY EJIPGIATION A GENERAL.LtABRJTy DAT MJDD/Yr GATE MMJp01YY LIMITS CPA011338711 104/15106 04/15/07 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY $1 OOO ODO DAMAGE TO RENTED CLAIMS MADE X OCCUR ncal IS25o_nnn WORKERS COMPENSATION AND WC8960828 a EMPLOYERS' LIABLITY 08/15/06$ 08115/07 WCSTAILL orH ANY PROPAIETOR1PgRT}IEA/EXECUTIVE _ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT S1 OO OOO It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA.EMPLOYEE $100,000 OTHER E -L DISEASE _PM Irv.,..,. ernn nnn 11 1 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS I-H:A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL � DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE.LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UAeIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE MED EXP (Any One person) $5 000 PERSONAL 6 ADV INJURY $1 00000C GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 00C . POLICY PRO. LOC PRODUCTS . COMPJOP AGG $2 000 0010 A AVTONIOSILE LIABILITY MAA011338812 ANY AUTO 04/15106 04/15/07 LIMIT ALL OWNED AUTOS Ea ecaUe�rySlNGtf $1,000,000 X SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $ NON -OWNED AUTOS ODDLY INJURY X Drive Other Car (Para cadent) $ OPERTY AMAGE (Per GARAGE LJAHII-ITY accident) $ ANY AUTO AUTO ONLY . EA ACCIDENT s A OTHER THAN EA ACC ; CUA011339112 EXCESSAJMBRELLA LIABLITY5/07 AUTO ONLY: AGG $ X OCCUR � CLAIMS MADE 04/15/06 04/1EACH OCCURRENCE S1 000 000 AGGREGATE f1 0 00 000 DEDUCTIBLE WORKERS COMPENSATION AND WC8960828 a EMPLOYERS' LIABLITY 08/15/06$ 08115/07 WCSTAILL orH ANY PROPAIETOR1PgRT}IEA/EXECUTIVE _ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT S1 OO OOO It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA.EMPLOYEE $100,000 OTHER E -L DISEASE _PM Irv.,..,. ernn nnn 11 1 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS I-H:A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL � DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE.LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UAeIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Board of Building Regul tions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration UNITED HOME EXPERTS INC. JONATHAN STEWART 200 BUTTERFIELD DR. STE. I ASHLAND, MA 01721 OPS -CAI Q 5OM-WO5-PC8698 ✓/�e �ommanwea�i o�✓uamxsc/uraeQa Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 147685 Expiration: 8/1/2007 Type: Supplement Card UNITED HOME EXPERTS INC. 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