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Home My WebLink AboutBuilding Permit #927-15 - 63 EMPIRE DRIVE 5/15/201544 BUIL61NG PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: Applicant must complete all items on this page LOCATIONLO P Print PROPERTY OWNER-Li2n_�- MAP NO: /R�ARCEL Print _&�ONING DISTRICT: Historic District yes Machine Shop Village yes t no TYPE OF IMPROVEMENT PROPOSED USE ResidLe-Atial Non- Residential El New Building E-10'ne family M Addition 73_,-,� ibL4N�_ P154 E Two or more family 11 Industrial [I Alteration No. of units: 11 Commercial [I Repair, replacement E Assessory Bldg 11 Others: 11 Demolition 11 Other F - Septic ---Well L Aater/Sewer Li Floodplain Wetlands -- Watershed District cn�=, raAQ, Poo J OWNER: Name: Address: IF—cONTRACTOR N Address: Identification Pleas.e Type or Print Clearly) Phone:uij)--7)�-- S I bj� Supervisor's Construction License: Home Improvement License: � )I -� 0 D, -Phone: \ ()a t,� Exp. Date: Exp. Date: Lq / 1/1/�o ARCH ITECT/ENGI NEER Phone: Address: Reg. -No. FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $-,5 3. aou FEE: $ (0 40.. bb % Check No.:— /_4117 174 Receipt No.: Lial. OTE: Persons colll�� 4sfered-omwactors do not have acress to the guarantyfund Signature of A lignature of contracto 1j, 0.0196j�', Ila r wt ti f0i dilt 6 1. BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page 0 LOCATION Print PRbPERTY.OWNER Print 100 Year Structure yes no 'MAP- PARCEL: ZONING DISTRICT: s Historic District yes no Machine Shop Village yes: no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 0 One family 0 Addition 0 Two or more fam-ily El Industrial 0 Alteration No. of units: 0 Commercial 0 Repair, replacement 0 Assessory Bldg El Others: El Demolition El Other El Floodplaih 0,WetIJ6ds 'W bi at&f�hed -istriQt E1,Water/S0wpr DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: Phone: Address: ARCH ITECT/ENGI NEER Phone: Address: Reg. No FEE SCHEDULE: BULDING PERMIT: MOO PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. ? Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund S- b Location No. Date / v- j Check #(��O� 0 r 287�., 0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL $ Building Inspector Plans Submit d'E- Plans Waived Certified Plot Plan []'..'Stamped Plans TYPE OF SEWERAGE DISP.OSAL Public Sewer A/ Tamijag/Massage/Body Art E] Swimming Pools 0 Well Tobacco Sales Food Packaging/Sales 11 Private (septic tank, etc. Permanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM F P LANNING & DEVELOPMENT Reviewed On Signature'— r COMMENT LeaK :T)6 CONSERVATION Reviewed on SignaturelLA COMMENTS. P0 0\ Lo - PJ" HEALTH Reviewed on COMMENTS W Uj elIz- I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection IiPW Town Engineer: Signature: Located 384 Osgood Street H I EROW.ROTME-Iff ',Jff)'616RR)*_nYs Qea e atWi ,C24:1,MfflyQ=redi� 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 IM DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) I �j Z-0 ALP, U Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 4, Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C. L. Licenses Copy of Contract 4 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 4, Copy Of Contract 4 Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) 4, Mass check Energy Compliance Report (if Applicable) .& Engineering Affidavits for Engineered products OTE: All durnpster 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 4; 2012 IECC Energy code 4 Engineering Affidavits for Engineered products 10TE: 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 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 53,306.00 m $ - $ 639.67 Plumbing Fee $ 79.96 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 79.96 Total fees collected $ 899.59 63 Empire Drive 927-15 on 5/15/15 Inground Pool Ar .0 Ut) AOVA O;JTC*O* AGREEMENT This agreement dated the 1 1th day of December 2014, by and between Jim and Dawn Tiorano of 63 Empire Drive, North Andover, MA. hereinafter referred to as "owner") and New England Hardscapes Inc. (hereinafter referred to as "Contractor"). In consideration of the mutual covenants hereinafter contained, the parties hereto agree as follows: 1. APPOINTMENT Owner appoints Contractor to perform certain services, as hereinafter set forth, in the premises as defined and Contractor accepts said appointment, said services shall commence in the spring of 2015, as soon as weather.permits and construction permits can be obtained from the town of North Andover, MA. The Contractor is prepared to meet the 6-8 week target of completion, but the Contractor shall not be responsible for delay or failure to perform work because of acts of God, strikes, governmental prohibition, and non -issuance of required permits, freeze or thaw damage, rain or other reasons beyond Contractor's control. Non-payment by Buyer of amounts due is a breach of this contract and relieves the contractor of any responsibility for delay or failure to perform work and the consequences thereof; the event of such non-payment by the Buyer, the Buyer grants to the Contractor the right to enter upon Buyer's real property, order to repossess equipment and materials installed by the Contractor pursuant to this contract. No warranty adjustment of any kind shall be made until the Buyer has paid the full purchase price of this agreement. If repairs are delayed due to non-payment by the Buyer, and deterioration of the site and work in progress during this period will be the Buyer's responsibility and prior to resumption of repairs the Buyer shall pay the cost of correcting such deterioration plus 20%. If repairs are delayed beyond 60 days due to non-payment by the Buyer, any increase in the material or labor cost to complete the repair shall be borne by Buyer. Any overdue balance at the time of Final Payment is to be remitted by either Bank Check or Cashier Check form. Working days are to be defined as any weekday, Monday through Friday, within the hours of 8:30 a.m. to 4:30 p.m. (weekends, legal Holidays, days with precipitation exceeding 1 /10 inch in any 24 hour period, and days with temperature below 38 degrees in any 24 hour period as determined by the State Climatologist are not considered working days, but work may still commence on some of those days if certain conditions allow.). Scheduled completion dates shall be extended three (3) working days for each day Buyer shall be late in making any of the payment\s agreed to be made by Buyer. Scheduled completion date will be extended one working day for each day supply of products to Contractor necessary to perform this contract is late in delivery beyond the anticipated start date. 2. QUALITY ASSURANCE New England Hardscapes will conduct regular quality assurance inspections during each phase of construction. An onsite project construction manger will be assigned to manage the day-to-day construction of this project. 3. THE PREMISES The Premises referred to in this Agreement consist of the Tiorano's home and yard at 63 Empire Drive, North Andover, MA. Contractor at all times shall keep the Premises free from accumulation of waste materials or rubbish caused by its operations. Upon the completion of its work hereunder, Contractor shall promptly remove from the Premises all tools, construction equipment and surplus materials belonging to Contractor or any of its employees. 4. DUTIES OF CONTRACTOR The duties of the Contractor under this Agreement shall be the Construction of a new gunite swimming pool and all other specifications, and conditions that Contractor submitted in the proposal. New England Hardscapes, Inc. is responsible for Specifications, standards and conditions of which were submitted for proposal. 5. EMPLOYEES Contractor may at its discretion and under its supervision, hire such employees as may be required in order to carry out Contractor's obligations under this Agreement. Contractor shall at all times enforce strict discipline and good order among its employees and shall not employ on the Premises any person not properly skilled in the task assigned to him/her. 6. INDEMNITY Contractor will indemnify Owner against and hold Owner harmless from any loss, liability, damage, or third party claim, including all related cost and expense (including without limitation reasonable attorney's fees) sustained or incurred on or about the Premises as a result of Contractor's actions or negligence. 7. COMPENSATION Owner shall pay to Contractor as comReqsafiQQ in full payment for the following the satisfactory completion of its services here under, the sum f 53,306 1 shall be the Contractors responsibility to provide and pay ��'6 s, equipment, tools, machinery and other facilities for the building, swimming pool, labor, m necessary with respect to its services hereunder. Contractor will physically obtain permits as an agent for Owner, but Owner agrees to secure variances and permits necessary for work described. Contractor will assist Buyer with Permit[Variance necessary for only the work described. Buyer is responsible for all permit and variance costs associated with the application process. Payments to the Contractor will be paid on the scheduled days of construction as stated in the payment schedule. Construction permits will be presented to Owner prior to start. Contractor cannot obtain said permits until after signing of agreement. Payments are as follows: $ 4,376 mobilization at signing of agreement /1rJ $14,326 upon excavation layout and mobilization $14,326 upon gunite application $ 5,330 u'pon tile install $10,660 upon patio set up $ 4,288 upon pool plastering and filling &INSURANCE Contractor shall maintain at a minimum $1,000,000 of general liability insurance, $1,000,000 of automobile liability insurance, and workers compensation insurance at statutory limits. Contractor's insurance agent shall provide copies of such related insurance certificates. 9. WARRANTY Contractor shall promptly correct any work performed hereunder, which fails to conform to the requirements of this Agreement so long as Contractor is notified thereof within one year following the completion of its services hereunder. Contractor shall provide written warranties that cover all workmanship and materials on all aspects of this project. 10. NOTICES All notices required or permitted to be given hereunder shall be in writing and shall be hand delivered or sent by certified mail addressed to Contractor at 930 Main Street Acton, MA 01720, and to Owner at 63 Empire Drive, North Andover, MA or to such address of which either party has duly notified the other. 11. TERMINATIONS If Contractor shall fail to perform its duties under this Agreement, Owner may terminate this Agreement by notice to Contractor, specifying in reasonable detail the respects in which Contractor giving of such notice on which this Agreement shall terminate. In the event of a termination contractor will be paid for all costs incurred to date including but not limited to all materials supplied to the site and all labor incurred up through and including the date of termination. Any such termination shall be without prejudice to all other remedies available to Owner. 12. MISCELLANEOUS This Agreement, executed in duplicate, constitutes the entire agreement between and shall be binding upon the parties hereto and their successors and assigns provided, however, that this Agreement may not be assigned by Contractor without the prior written consent of Owner. This Agreement may not be changed orally but only in writing signed by the party to be changed thereby. IN WITNESS WHEREOF, the parties hereto have executed this Agreement and have affixed their seals of hereunder the day and year first above written. 0 Owner, Jim and Dawn Tiowo Contractor, New England Hardscapes, Inc. Its: President A AC#UA OW100001 930 Main St. Acton, MA 01720 800-659-7701 Jim and Dawn Tiorano 63 Empire Drive North Andover, MA Project Specifications Gunite Swimming pool and patio: 'Included in the base price of pool Pool size 18' x 28' Depth T -V to 7, Shape Freeform ,,,Construction Specifications 1 . Engineered structural plans and pool specifications for permitting. (exact elevation and placement to be determined by Owner at pre -site meeting. 2. Normal excavation of swimming pool to exact engineered specifications. Normal excavation is such that the site does not include.- stumps, organic material, peat, ledge, rocks, boulders that require blasting, utility pipes or wires or under surface ground water round or any other immovable objects. One full eight-hour day is normal. 3. Steel reinforcement grid, put together at engineered specificationgthroughout poJi. diameter reinforcing steel placed 12" on center in two directions. In addition, walls where water depth is five feet and greater receive extra vertical reinforcement. 1/2" diameter reinforcing steel is place on the upper one -foot portion of entirepool (bond be a m) -for e x-tra- strength. 4. Gunite-concrete monolithic structure applied to exact thickness and shape. One set of steps. Gunite is pneumatically applied concrete, which can achieve strengths of 6000 to 7000 PSI. (owner to water cure gunite shell for 10-14 days) 5. Install decorative 6" frost proof tile inlaid at the waterline around entire pool. Owner to choose color pattern on in stock tile. 6. Interior finish, two coats of waterproof white pool plaster. (Swimming pool water can be arranged to be trucked in cost is additional) Plumbing Specifications 7. Non -corrosive plumbing pipe throughout pool, schedule 40 PVC. Piping size 1-1/2" and 2" 8. 2- Pressurized water return inlets, with directional flow inlet fittings. 2- heat return inlets in lower section of Pool. 9. Two interconnected main drains in deep end of pool with VGIBA compliant. 10. Hydrostatic pressure valve in deep end of pool. 11. One Hayward self-adjusting skimmers, with leaf basket in chamber. 12. Complete circulation system connection to filter system Filter Equipment Specifications 13. Hayward 325 Swim Clear Cartridge Filter with pressure gauge and air bleeder valve. Mm" 14. Hayward 1-1/2 HP energy efficient pump with leaf and hair catch basin. 15. Complete plumbing set-up and connection to filtration system. Miscellaneous: 16. One Hayward underwater pool light. 17. Pool cleaning tools: telescoping pole, 18" nylon brush, leaf skimming net, deluxe water test kit and vacuum set up. 18. Safety equipment including: Rope anchors, with safety rope with floats. 19. Complete instruction on pool equipment and maintenance procedure .. TOtal Base Price $31,000 "-A ditional items needed: 1. Hayward H Series 300,000 BTU Propane heater. Electronic ignition, $3,800 Temperature setting. (Propane Gas line installs and trenching not included, by plumber.) 2. Install 900 sq. ft. of expo!25-2ggre $11,782 .gate concrete with a cantilevered edge. 3. Install Hayward Salt System. $1,800 4. Install Techo Bloc sifting / retaining wall, approximately 28' long by 18" high. Install coping cap on wall. $3,030 30 tip 5. Provi _jjs of processed gravel fill material for patio. $900 N 6. Electric connection forpool pump, heater, lights and electrical bonding of the pool .......... and patio. $3,800 �T�hal with all items $56,112 iscounted cost $53,306 iscellaneous Items that you will need, and other potential items, not included in total: 1. Supply and install large boulders near fence to retain elevation. (Labor Only, $880 one day with machine) 2. Gas line piping, by gas fitter. 3. Water for pool, approximately $700 4. Installation of battery powered alarm for door. (Home Depot item) 5. Changing gates to open outward. 6. Landscaping 7. Building Permit 8. If ledge is present cost is $2,000 per day for removal. (Price Excludes town and local permit cost, permit secured by NEH.) NOTES: 0 IF LEDGE, STUMPS, IMMOVABLE BOULDERS, PEET MATERIAL EXISTS DURING EXCAVATION THE COST OF REMOVAL AND DISPOSAL WILL BE ADDITIONAL. 0 IF GROUND WATER EXISTS, COST FOR 3/4" CRUSHED STONE LAYER UNDER POOL IS ADDITIONAL AT $650 PER 10 WHEELER LOAD. 0 PROPANE CONNECTION FOR POOL HEATER ARE BY PROPANE COMPANY AND ARE SEPARATE COST. r,",7 (�10 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 7:9 . www.mass.gov1dia Workers' Compensation Insurance Afridavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual):'()P W �arl &9-2ej �J Address: S11 Phone#: Are y5lea, n employer? Check the appropriate box: 1. &KI am a employer with 4. E] I am a general contractor and I employees (full and/or part-tirne).* have hired the sub -contractors 2. 1 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. required.) 5. EJ We are a corporation and its 3.0 1 am a homeowner doing all work officers have exercised their myself [No workers* comp. right of exemption per MGL insurance required.] c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. E] New construction 7. E] Remodeling 8. E] Demolition 9. EJ Building addition ME] Electrical repairs or additions I LE] Plumbing repairs or additions 12.[] Roof repairs 13.0 Other "), t* Any applicant thatchecks box#1 must also fill out the section below showing thcirwori-cTs' compensation policy information. JHomeowners who submit this affidavit indicating they arc 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 ofthc sub -contractors and state whether or not those entities have employees. Ifthe sub-oDritractors have employees. they must provide their workers* comp. policy number. I am an employer that is providing workers' compensation tsurancefornryeniplqyees. Below Is the poliqv andjob site information. Insurance Company Name,.OPA�fv-) � -��(Ala nrilnr Expir ation Date: Policy # or Self -ins. Lic. #-W-\,kZ 3 � 3 Job Site Address: Los City/State/Zip:\�(Yk� 01M IF— 'i Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). UFailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment. as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. lgaAembyvemiA, under thepains andpenallies ofperjury that the information provided above Is true and correct Official use only. Do not write in this area, to be completed �y chy 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 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYM r 04/01/2015 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 CO . NSTITUTE 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 7inequire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (978)263-3500 Fax: (978)263-1438 GALLANT INSURANCE AGENCY, INC. 199 GREAT ROAD / P 0 BOX 975 ACTON MA 01720 CONTACT NAME Gallant Insurance Agency, Inc. PHONE FAX (,._ No, Ext): (978) 263-3500 1('C' No): (978) 263-1438 E-MAIL ADDRESS* INSURER(S) AFFORDING COVERAGE NAIC # MED. EXP (Any one person) $ 5,000 INSURER A The Charter Oak Fire Ins. Co. INSURED NEW ENGLAND HARDSCAPES INC. ..INSURER B Wesco, Insurance Company INSURERC DBA THE HARDSCAPES GROUP P 0 BOX 559 ACTON MA 01720 INSURER D: INSURER E INSURER F PRODUCTS - COMPIOP AGG $ 2,000,000 ---------- ---- 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 LTR ADDLISUBRI I POLICY EFF I POLIC TYPE OF INSURANCE INSO WVD' POLICY NUMBER MMtDDfYYYY) (MMIDD= LIMITS A X COMMERCIAL GENERAL LIABILITY 680-2D563867 05/24/14 05124/15 �i EACH OCCURRENCE $ 1,000,000 ICLAIMS-MADE X I OCCUR DAMAGE TO RENTED I PREMISES (Ea omurenw) $ 300,000 MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _! GENERAL AGGREGATE $ 2,000,000 PRO - POLICY LOC El r JECT PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER: $ ��UTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acddent) $ BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED BODILY INJURY (Per accident) $ 1HIREDALITOS IPROPERTYDAMAGE $ AUTOS (per amident) $ UMBRELLA LIAB i OCCUR EACH OCCURRENCE $ EXCESS LiAB CLAIMS -MADE i AGGREGATE $ $ 1 DED I IRETENTION $ B WORKERS COMPENSATION AND PER WWC3132069 03/31/15 1 03/31/16 1 1 STATUTE E'R' EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in H) NIA E.L. OISEASE-EA EMPLOYEE $ 500,000 ffyes,desc %Nundar Rrp.nq DESC 0 dF OPERATIONS bebw E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) W�_W&m L.ANLt:LLA I ILIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For informational purposes only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V17:7 Attention: Ray Gallant, President ACORD 25 (2014/01) @ 1988-2014 ACORD CORPORATION. All riahts reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5 170 'D—+-- 011 19 .SCA 1--r- 2OM--05/1 1-- dl� 4L /7X-1 . \ Office of Consumer Affairs & Business Regulation VrME IMPROVEMENT CONTRACTOR elgistration: .171.702 Type: X1 '72016 xpiration: :4/11 Corporation NEW ENGLAND HANbsc ES 'INC. RICHARD CAPACHIONE.:* 930 MAIN ST. ACTON, MA 0 1720 Undersecret�ry 171702 Corporation 4/11/2016 Tr# 250825 U d te Address and return card. Mark reason for change. p a E] Address F� Renewal R Employment R Lost,Card License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 '4J, O-A� �-- Not valid without signature LOT22 26 10.31 I>\ 3s FOUNDA TION L OCA TION CLIENT ORCHARD VILLAGE, LLC THIS CE"FrAnoN IS MA DEAND LWTTED TO THE AB 0 VE a /ENT LOCATION. NORTH ANDOVER, MA. DATE: 11115110 SCALE:1�--20' jq� 0 11.6' I I �o LOT24 C06 6 ��A OF A,[, M I CHIA EL 0 J. Ln :2 SERGI m --q 19 0 No331 ICER77FY THAT THE PRMARYSTRUCnjRE ' SHLy;�W CoNFORA4S To THE "OROONTAL SETBACK REOUIREWNTS OF THE LOCAL APPLjr-AAX ZONING 8 NA WS IN EFFECT WHEN CONSTRUCTED. (T7 -OS CERTIF)CAT)ON DOES NOT CONSIDER ANY OTHER RESTRICT"VS SLACH AS COVEkWTS, WE7LAN0SE4SEME`ArTS, ORDERS OF C0NDn70NSETC) 77-#S DOZA WNG 94ALL NOT BE USED By Th'E CLIENT FOR ANY PURPOSE OTh" Th" TH4 T OU77 INED A&OVE D(CFPT K7M THE "RITTEN PERWSSAON OF CHRIST1,01SBst 9 SERGI IAAC FURTHERA40RE n -#S DRA WNG IS THE COPYR)GHTED PROPERTY OF CHRISTIANSEN A SERGI INC. AND ANY Lft4LfrHOR2ED USE 15 PROHlBrTED. CWRfSTbWSEN,6 SERGI TAPXS NO RESPONSIBILITY FOR THE UNALrf"ORCED USE OF THIS ORA WING Of? ANY IWOR W T"V CONTAINED HEREON PROFESSIONAL ENGINEERS 8 LAND SURVEYORS CHRIS TIA NSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 0 183D WWW CSI-EAIGR. 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