HomeMy WebLinkAboutBuilding Permit #652-2011 - 542 SALEM STREET 3/30/2011Permit NO:
Date
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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MAP NO: yPARCELZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
®Septic®Well' u®
� Flooclplain'i�-f®Wetl'ands®
Watershed�District`
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en}kation Please Type or Print Clearlvl
OWNER: Name-- ,5 P"rC,,l p� Phone:
Address:
CONTRACTOR Name• l` � e sk-4LS Phone: i ��
Address:
J,
Supervisor's Construction License: `a Exp. Date:
VZd
Home Improvement License: 1'6-2- -20 Exp. Date: / 6
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $9000.00 THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $ '
116 Li 4-1
Check No.:_3�/ t Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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)
❑ Muss 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
DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
Lust be submitted with the building application
Doe: Doc.Building Permit Revised 2008mi
Plans Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
E
WERAGE DISPOSAL ❑ Tanning/MassageBody Art ❑ S�'�'�g Pools❑ Tobacco Sales ❑ Food Packaging/Sales ❑c tank, etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICF,USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED
7
DATE APPROVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
C6, servation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COM 4ENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
Doc:.Building permit Revised 2008
Location
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
CHU
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
24UU7
Building Inspector
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14 Westridge Drive, Hampton NH 03842
Tel 978-378-4778, Cell 978-533-9416
CONTRACTOR AGREEMENT
THIS AGREEMENT made this 28th day of February, 2011, by and between All In One
Contracting Services, Inc. (Home Improvement Contractor # 162701), hereinafter called the
Contractor, and Jonathan and Jen Strauss, hereinafter called the Owner. WITNESSETH, that
the Contractor and the Owner for the considerations named agree as follows:
ARTICLE 1. SCOPE OF THE WORK
The Contractor shall furnish all of the materials and perform all of the work (per the scope
of work listed on the quote dated (February 281h, 2011) on the house located at 542 Salem Street
North Andover, MA 01845.
ARTICLE 2. TIME OF COMPLETION
The work to be performed under this Contract shall be commenced on or before March 28th, 2011
and shall be substantially completed by April 151h, 2011.
ARTICLE 3. THE CONTRACT PRICE
The Owner shall pay the Contractor for the material and labor to be performed under the Contract
the sum of Sixteen Thousand and Seven Hundred Dollars ($16,700), subject to additions and
deductions pursuant to authorized change orders.
ARTICLE 4. PROGRESS PAYMENTS
$ 4,000.00 @ Job Start
$ 4,000.00 @ 33% Completion
$ 4,000.00 @ 66% Completion
$4,700.00 @ 10019 Completion
ARTICLE 5. GENERAL PROVISIONS
1. All work shall be completed in a workmanship like manner and in compliance with all
building codes and other applicable laws.
2. Contractor warrants that workers are insured as required by. law.
3. Contractor agrees to remove all construction debris and leave premises in broom clean
condition.
4. In the event Owner shall fail to pay any periodic or installment payment due hereunder,
Contractor may cease work without breach pending payment or resolution of any dispute.
5. Contractor shall not be liable for any delay due to work done by Owner.
6. Contractor shall not be liable for any delay due to weather.
IAII In One Contracting Services, Inc.
14 Westridge Dr. Hampton, NH 03842
TEL 978.378.4778, CELL 207.269-9168
2128111
HardlePlank ColorPlus Quote
Labor Only
Jonathan and Jen Strauss
642 Salem Street
North Andover, MA 01846
All In One Contracting Services. Inc. Is a James Hardie Preferred Contractor
$10,401 Remove and haul -away existing siding and Install Hardiplank brand HZ5 cement
siding (ColotPlus.15 veer paint warranty). Siding will be installed blind -nailed on a
r lap. Includes Hardie -house wrap and all flashing.
Included Toilet and dumpster.
$160 Rotted Framing or Substrate Replacement: $40 per sheet on plywood or OSB, $4
per lineal foot on 20, 1x6, or 2x6, $5 per lineal foot for 1x8 or 1x10, $10 per lineal
foot on 2x8,$12 per lineal foot on 2x10 and 2x12. This price can vary, depending on
the actual amount of rotted framing to be replaced. Rotted framing will be
Immediately brought to the owners attention and will be handled on a change order
as required. The hourly labor rate for replacement of any materials not itemized
above is $32 plus cost of material.
Included install comer trim, eave fascia, and rake fascia. Includes all light blocks and triming
around utilities. Does not Include replacing any soffits or the porch beam wrap or
columns.
$ 834 Trim the new windows with Brickmould and sill nosing. Includes painting and
caulking.
Included Install PVC 414 or 614 material, where necessary, to allow for proper clearances to
Hardi-products.
Included Replace the 514x4 and 1x6 garage door trim with PVC trim.
$1,966 Paint and caulk all door trim, garage door trim, all overhangs, friezes, fascias, and
corner trim with 1 -additional coat of paint to give a freshly painted look to the
home, Add $1,966.
Included Replace all gable vents with vinyl gable vents.
$ 639 New Gutters and Downspouts. Back only.
$ 0 Install Gutter Helment. www.leafree.com - Add $672
$ 2,700 Remove all existing windows and install new construction windows In the existing
openings. Does not Include the bay window. Does not include any'Interior trim or
painting.
Included All James Hardie Siding Products will be installed In accordance with the Best
Practices-ilastallation Guide Version 5.0. _
$16,700 Total (Price valid for 60 days)
A� I material will be supplied by oVnrials supplied by contractor will be
3'Li reimbursed by owner.
$ 0 Windows provided by owner.
$16,700 Approximate Total not including ha es
By_
v y, All in On Contracting ces, Inc.
James Hardie Inc. offers a no ro 30 -year Limited Transferrable Product
Warranty on the HardlPlank Lap siding and a non -prorated 16 -year Limited
Transferrable Product Warranty on HardiTrim. All In One Contracting Services, In .
gives a product lifetime limited warranty on labor Installation and a limited
warranty on other work performed for a period of 5 years following completion A 1
year warranty 14 given on, painting of existing surfaces.
- Ytassacnusetts - uep.trtment of Ptilflic tiafet,.
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 104055
Restricted to: 00
DAVID BRADLEY
14 WESTRIDGE DR
HAMPTON, NH 03842
( unani�aiuncr
✓�e rt��t�nzcncue�c� ilUu�r�ael}b
— _ Board of Building Regulations and Standards
"— HOME IMPROVEMENT CONTRACTOR
j
Registration: 162701
Expiration: 4/6/2011 Trd 282565
Type: Private Corporation
ALL IN ONE CONTRACTING SERVICES, INC.
DAVID BRADLEY
38 MAPLE AVE.
ELIOT, ME 03903 Administrator
C�
Expiration: 12121/2013
Tr=: 104055
License or registration valid for individul use only
before the expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ala. 02 $7 �
without
From:Addenne Frazee FaXID: Page 2 of 2 Date:9/16/201010:30 AM Page:2 of 2
OP ID: AD
'4`-R®r CERTIFICATE OF LIABILITY INSURANCE
°A�`` '°°
09116/100
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S} AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, 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 781-444-6790
Metro West Insurance Agency 781-444-3318
Northeast Insurance Agency Inc
648 Highland Avenue
Needham Heights, MA 02494
House Account
E CT
PHONE Est: arc No:
E-MAIL
ARODC R
CU
CUSTOM RDtODSSIA
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED ODS Siding Application Inc.
24 Auburn Street
Everett, MA 02149
INSURER A: Preferred Mutual Insurance Co. 15024
INSURERB:American international Group
INSURER c
INSURER D:
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: =M_QInNI pi"U011=08
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR I
LTR
TYPE OF INSURANCE
AD
INISR
SUB
POLICY NUMBER
POLICY EFF
MMADIYYYY
POLICY EXP
MIDDNM
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
CPP 0180561823
05/30/10
05130/11
PREMISES jEa occurrence) $ 100,00
MED EXP (Pay one person) $ 5,00
PERSONAL & ADV IN URY $ 1,000,000
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG $ 2,000,00
POLICY PRO LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT $
(Ea accident)
INJURY (Perperson) $
ALL OWNED AUTOSBODILY
BODILY INJURY (Per accident) $
SCHEDULED AUTOS
HIRED AUTOS
PROPERTYDAhfAGE $
(Peraccident)
NON -OWNED AUTOS
$
$
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE $
A
EXCESS LIAR
1:1CLAWS-MADE
UC0110600290
05/30110
05/30111
AGGREGATE 5
DEDUCTIBLE
X
RETENTION $ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE❑
OPRCERIMEMBER EXCLUDED?
N I A
G003603310
08113/10
-
08/13111
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT $ 1,000,00
E.L. DISEASE- EA EMPLOYEE $ 1,000,000
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
-
E.L. DISEASE - POLICYLIM IT $ 1,000,000
A
rommercial Applica
_
_
JCPP 0IM5618M
05130110
05/30/11
DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
SIDING CONTRACTOR
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2009109)
O 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
All In One Contracting
g
Service, Inc
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14 West Ridge Drive
Hampton, NH
AUTHORIZEDREPRESEMTATIVE
C+"A
ACORD 25 (2009109)
O 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
nnlieant Tnfnrmatio-n Please Prinf Leaibll
c
Name (Business/Organization/I dividual): rr e
Address: / "/
City/State/Zip: �/!�1�.! r vy��G� hone ##: 00
Are you an employer? Check the appropriate bo
The Commonwealth of Massach usetts
I I
Department of Industrial Accidents
have hired the sub -contractors
Office of Investigations
listed on the attached sheet. #
600 Washington Street
e _
Boston, MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
nnlieant Tnfnrmatio-n Please Prinf Leaibll
c
Name (Business/Organization/I dividual): rr e
Address: / "/
City/State/Zip: �/!�1�.! r vy��G� hone ##: 00
Are you an employer? Check the appropriate bo
1. ❑ I ama' employer with
4. am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. El 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.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] ,
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. n New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11.0 Plumbing repairs or additions
12.❑ Roof repairs
13. ❑ Other
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
TContractors that check this box must attached an additional sheet showing the name of the sub -contractors acid their workers' comp. policy information.
.I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:.
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the fonn of a STOP WORK ORDER and a fine
of up to $250.00 a day a ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the for i surance'coverage verification.
I do hereby
use only. Do not write in this area,
or Town:
Issuing Authority (circle one):
1. Board of Health 2. Building
6. Other
that the information provided abgve is tfue and correct
completed by city or town official.
Permit/License #
3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
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 -contractors) name(s), address(es) and phone numbers) 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 cant' 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 confinnation 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 pen-nit/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 pen -nits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or pen -nit 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 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
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-7-274900 ext 406 or 1-877 MASSAFE
Revised 5-26-05 Fax ## 617-727-774
www.mass.gov/dia
7. James Hardie Building Products, Inc. offers a 30 -Year Express Limited Transferable Product
Warranty on the HardiPlank Lap Siding and a 15 -Year Express Limited Transferable Product
Warranty on HardiTrim. The Contractor gives a product lifetime limited warranty on labor
installation and a limited warranty on other work performed for a period of 5 years following
completion. A 1 year warranty is given on painting of existing surfaces. The Contractor guarantees
the construction performed to be free of defects in workmanship. The warranty is limited to
construction work that has not been subject to accidents, modification, misuse, abuse, material
deficiency, and/or had repairs made or attempted by others.
8. Contractor is not liable for any fees that might be incurred by the Owner for any and all consulting
with any third party inspection service, the Contractor must be notified of the use of a third party
inspection service prior to contract acceptance. The opinion and/or recommendation of the
pertinent manufacturer representatives will supersede those made by any and all third party
inspection services.
9. Contractor is not responsible for any damage to any items hanging on walls or any delicately
placed items on shelves, etc., or any other household items damaged because of the shaking
or vibrating that occurs during construction. Owner is urged to safeguard any delicately
placed items.
ARTICLES. OTHER TERMS
The contractor and the homeowner hereby mutually agree in advance that in the event that the
contractor has a dispute concerning this contract, the contractor may submit such dispute to a
private arbitration service which has been approved by the Office of Consumer Affairs and Business
Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c
142A.
Owner: �� Jonathan Strauss
NOTfCE. The
by the conhwtoi,
a Cr. �+ /
Signed t4
By —
Davi
Xjj��
By
J
�By —
Jen Strauss
tareofthepartie above apply only t4be agreement of the pastier to alternate di pate resolution initiated
owner may initiate alternative di putt resolution even where this semen it not aned 4ateEy_by the
92011.
All In One Contrasting Services., Inc.
Strauss, Owner
Owner
Date
Date -3/7/1