Loading...
HomeMy WebLinkAboutBuilding Permit #223-2011 - 80 CHRISTIAN WAY 9/16/2010 BUILDING PERMIT Of "ORT" t1LED /6 2 �t,.,, •r, •6 0 TOWN OF NORTH ANDOVER � - .- APPLICATION FOR PLAN EXAMINATION o - A 9 n Permit NO: D// Date Received �9SSA15Et�y . Date Issued: illb Co MP RTANT Applicant must complete all items on this page t ��lJi'10 �'�s"C..z. �� �- e k_ '_ IS ^�-`" + mss` rv'._d� 'r f3 z AR R �a E1 'r x y a�� i,'�''� - 7� 1 '.+f^ `�'f . 2Atl`Jr�A ) —2��..�.*-✓� i.�-�/w't�ti#,.*�7�+z 3 '* y sx... ,�a �-xY.a+�r t..t ..,a .,.i"}.P�i�`1"`�4"`�� "r�- $���y15k rk n. 6 `� S- .r*_.. .r..o-.: .._�._ v-1,•..ro_ ry ..:su6r:;aY' Y....��� ..J_'-+. .`_� 1.F1`v!f"1 Jx-d'r .:�::`� �;-.:.- .1_,.:Cr1:` ..'.1�B��llle�h��p��11�G''Q5 "�ew7!' ���� �.� _ r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial epair replacement Assessory Bldg Others: Demolition q9 Other r Al ���� 1A /�etla . ac i P� sr � ersE3astac#� r >t ,_ ,rr/7swQir'T: DESCRIPTION OF WORK TO BE PREFORMED: �ZfYta /r�5� ,o aTh e7V_n J 40 Identification Please T e or Print Clearly) OWNER: Name: Phone 978- t!o k(o - ///) Address: gD 6�r'lshan I-V.AV. l`v- 1qn 6t,tq ?'�,�gg,��y'� s�•Sgx".�{3 .q,F� n -' 'k�F ._2�` tai-�'�i''�. `4-i'' r._.>���.'J, .,� ',y, `, 'L��"R al t"w c^kR✓S'F;k' P.R'Y .., s ys z" �. �''^(- ti s+ -•-sk us w - F ai --r -Z rrcy, x,,, '� -' ' Ja .3 ''+P- - r --+r. .."°' 7 s'S�ibtM"7 F. as, A''-�..,' .r y,`• 1 " t3'"+.+Y �' " `�` rn§t� { +S hs. }.. i F3' .. 'gc`, k 4jr ,rxs,t :;. �-x.,'nr ,k, �1'. ' 3a ,� .t F"?-�. "9 FisT I-u �r •a 7j _ � x �3 51"1 s1�8��`�' ARCHITECT/ENGINEER )&�GIln S 1fjT6i7 Q,,&fA Phone: //F)�V, 333 Address: )a /! ?A s_�p DdWla A/,. 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: $ /�� �f�0 FEE: $ IF 7- 00 Check No.: ! ZI-2 Receipt NOTE: Persons contracting with unregistered contractors do not have access to the gualanty_fund S�naturef Agnt/Ouuner Signatureofcon Location �Q 0�"^/rflC,14 Q No. a�� 20// Date MOR,M TOWN OF NORTH ANDOVER f D a Certificate of Occupancy $ E Building/Frame Permit Fee $ -7 CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2J � � � Build ng Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMEiv T S HEALTH Reviewed on Signature COMMENTS + Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street IREEP ►RTIENT �ern Dempster bn S yes` no ti 1- catat 974 1aira S#ree# r 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.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date I Doe.Building Permit Revised 2010 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 o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Ceitif led Proposed Piot Pian ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 Date.GI. .- � TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING • S sSACMUS� This certifies t#rat has permission to perform plumbing in the buildings of . . i'Z.✓.!-, f v C_... . . . . . . . . . . . . . . at . 000 . .C. ! r .�.s. . �t.r . . . ;�,� .t? ,. ••. . ., North Andover, Mass. .3.J�- Fee. 1, S�.Lic. No..`'.I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check it 1 � � 3 5 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: NLY�'n &rv3tNr-✓ , MA. Date: �Q Permit# y Building Location: 2b Lhrl s2Cl CA-,,. I0111u Owners Name: Sy er-A lc.k Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential [� New: ❑ Alteration: ❑ Renovation: Replacement: ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z z O Lu Z IL z z z Fa- rn a N z z rn = a w U) ~ w cn Y N a X i D a y m a W C3 o W uz—i W z W 0. a = w w w LL 1- o m I— _ ° u_ J z m w v = a 0 H v z a O p a 1 Ce a a y N ° a O = Q Q o = ° Q a a a a m m G a U. t7 = Y J J m N m I— 5 z 0 SUB BSMT. BASEMENT 15T FLOOR 2 Nu FLOOR 3 FLOOR 4 1H FLOOR 51H FLOOR 6 1H FLOOR 7 FLOOR 8 FLOOR B.F. Murphy Plumbing & Heating Inc. Check One Only Certificate# Installing Company Name: P Y 9 9 ®Corporation 2903C Address: 72 Holten Street City/Town: Danvers state: MA ❑ Partnership Business Tel: 978-774-3174 Fax: 978-774-8709 ❑ Firm/Company Name of Licensed Plumber: Brian F. Murphy INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes[n No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of Licenser Title ❑ Plumber Signature of Licensed Plumber Cityrrown ® Master License Number: 9325 APPROVED OFFICE USE ONLY ❑Journeyman FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER LICENSE NUMBER: PERMIT GRANTED❑ DATE: PLUMBING WSPECTIOR Town of R-TH Andover 0 ._ No. CN5111r -0 over, Mass., /6 LAK COCHICHEWICK 7,9 RA-rED BOARD OF HEALTH Food/Kitchen PERM1T T D Septic System 1I BUILDING INSPECTOR THIS CERTIFIES THAT.......... .....3 � '"°.. �� ................:...... .. .......................................................................................................... Foundation 7 . . . .. ............... has permission to erect... buildings on ...�f .....(I..e..7 ........ .......... Rough to be occupied as........x14z1:We:?.'0.r1_ 4..^Iq..'e:�J_.174�11:7. .....a.6.th..........................................I'** '*"***'****'** Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ........................... Service 6INSPECTOR Final. Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIREDEPARTMENTUntil Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSES-I Smoke Det. 5082537019 09:59:45 a.m. 09-13-2010 1!1 BROWN'S KITCHEN & BA TH CENTER 15 Elm Street • Danvers,MA 01923-2058 Mailing address: 72 Holten Street,Danvers.tblA 01923 Telephone(978)774-3333 • Fax(978)774-8709 Hare hnprovement License#103611 • Mass.Builders License#073375 CONTRACT This oontrar dated below,for materials and/or tabor to be supplied by Browm Kitchen k Bath Ceder (Herewalter,rekmcd to o the eoeNa Wt at the sok request and order of: NAME:An Skile& MOM 1-9n-W-111S DATE:August 16,2010 ADDRESS:80 Cbrbtba Way M An6wer,MA 01845 (Nueimfr re>Aaed to,as the awwr orboyto oobe sap bo&pafarmod d prcmeaes set forth d we,subject to all ofthe turns and comifto aryl forth on beth sides of the Avwwtot,as follows: RMM'S dAld M mrdB&Ar cmfa its kWff mfitmttliYon W*h a gteote ons our Badbroom pro}ert AUS7ER We will dlawo out the whirlpool tab acrd ptayb w making this a new S'x 3'showr r. We will racoons euta169 shmo a and mokt At a d6set The closet will have shelves and naw door.We will refrome the back wat tgrarbrgoftlrecAud atedplastier the watt No changers to the shelving in toaster closet nue shower waft wilt hm Dwoek(cement board)and owner supplw4 Brown's installed the M&%&% rl Lxw wiflh vt owner supplied&ownIt Installed file We will patch the waft where needel Wt wilt sappllrOW'6 L%*a vwrity rise:60"x 21"color:Natural Cheery-,boo&are included with vanity. TU twrlYklrwfllhavt a Coulon cot obW top with hmerat bowl: AbomzkvwftywWbsa mirrw.64"x40"- of A 4rterea Peerneo nku tit, tnl:',4c�tep VWjloar wilt be prepared for ownersrpplied and Brown's installed tile. Wt wW disco n ea all furfures. Wt will supplpmud listall a Symmons shower valve Modell!596.1 We will an*mid htstall a Kohler 8"Forte lave faucet We will s and install a Highline comfort height toilet wItiongated seat All work to be cam ected to existing plumbing.If any upgrades are needed a quote will be provided newer fta Now(Will quote when choice is made). lleattntr We will supply and install 6'of baseboard heat. tt . Fan light vented to outside. We will replace wall sconces and fan in the same location. We will change light in closet and add a light in the new shower stall. The electricity to the whirlpool will be disconnected(5180000 is allowed for the electrical worn,this price could come dawn). P&hft,Removal of wallpaper and painting are not included is this quote. We can quote this separately. t_e.-,All dk is owner sopplied *ills quoit Is band on a s&Wght installation Intricate patterns are higher in price for install Marble like tit*is a higher price for bstalt ".•tr tiro*of job attknobs.handles.TP holders.towel bars etc.mast be on site far installation.If not tin site during jab lmUffltat&rn to senieefer will he charged to return to job and install these items. NalhMg a&w tk w skirted above is bodwed br this quote No paint or piper.All sales tax is Included All work is i ANY IMMMA AN debuts created by Browns will be disposed of by Browns.Local'yernait fees not Included, l DaarSuyla Xi AGREED PRICE:S 16,100.00 HanOeMolls Cormtar BALANCE DUE: IbispWis edkr MThaWD4ysftm4ctaabm The ownarepresem odwarrantstheabeisownerofafaesaWpraWswaryl thb bddre bm raartthia agroeatsnrt get"on both sides. IT IS EXF"RESSLY A at"'$EW THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR WWf't'EN, EXREMED OR WLTED NOT CONTAINED HEREIN WUI L FIF.RECOGNIZED AND THIS CONTRACT CONSTITUTES THE ' ENTIRE AGREEMENT, It Is tlrnpud dMtWx wdmct is m subiect to l llaRnn� ."m d i'H 1reiNww......«+wf►.ne4—...+i:.,. !1 to rwatter.rermw to as lite contractor},at the:4Ate rtq"VA alfa of NAME:Air,Sherlock PHONE: 1-97"W1115 BATE:August 16,2010 ADDRESS:80 Christina Way N.And ovtr,MA Oi845 (HereinaRa refitted m as the owner of buyer)m be wpptieWperfarnbd at pmmises act forth above,subject to ail of ft on aid eonditiaan set hifi on bods sides of the Agteetneny as foomm. Brown's Kitchen mid Bath Centel'is happy to furnish you with a quote on your Btahwart prtojea MASTER QEWU We will demo out the whirlpool tub and platform making this a new 5'x 3'shower, We will remove existing shower and make it a closet. The closet will have shelves and new door, We will reframe the back wadi squaring gg'the closet and plaster the wall.No changes to the shelving in master closet. The shots walls will have Durock{cement board)and owner supplied Brown's installed tiler The shower,#"will have owner supplied Brown's installed tile. We will patch the walls where needed We will supply and install a vanity size:60"x 11"color.Natural Cherry-knobs are included with vanity. The vanity will have a Corian counter top with integral bowl. Above the vanity will be a mirror.60"x 40" - 0 t a th fall g g-mov , f)41W th ai Aco*[.t ev tt�oO ft ,Ae Jloor will be ptVared for owner stytplied and Brown's installed tile. PhnWWw., We will disconnect all)kIwa. We wX srpply and install a Symtaons shower valm Model#596-1 We will supply and hwtaii a Kohler 8"Forte lave jancet We will sip.*and install a HtghlineCovnfort heighitaller w/eloVaredicat All war*so be connected to eristingpliabin$lfany taWades are meded mote willbeprovldead SAttwdD 0r,Noes(WXquot'e when choice is»rade). HOW W"eW67supplyand bWaff 8'ofbawboardint. bMft Fan light vented to osiulda 'We WX replace waff sconces and fan In the trance location.We will change light intdow and add a light in the nets shower stall The electricity to the whirlpoa will be dttcom ected(S1800.00 is allowedforOn electrical work,this price could comedown). Pehabm-Rnrroval of wallpapw and pairuing are not itldaded in this gaaue.We can quM this sepwsttely. IjkLAH the is ownersapplted •7Yle game it based on a straight iradlarlom hoi ante pmerns are higher in price far install.MtvNe like file is a higher price for install. '.41 time of job alt knoll.handles,TP holders,towel bars em must be on site for installation.If nor on site daring jah installatrion a service fee will be charged to return to Job and install these items. NoAft odMw than trtataad ebm Is breaded in elite qwft No pelm or pq w.AN sofa tar lr btebtdtd All work Is jWb bssweid Any debris aewd by drowns W be disposed of by do mm Local Permit lees mot included. Door Style:2inpmn AGREED PRICE:$1MM.00 thmW tP IS Floor W DEPOSIT: cows" BALANCE DUE: This gook a Swd for(3M Thirty Daryl ftm date above. the a wact teas rand wzrwts that he is owns of aforesaid premises and that hddn has read this agrerssa 4 set fbA on both sides. IT IS EXPRESSLY AGREED THAT NO STAMAENT,ARRANGENOff OR UNDERSTANDING,ORAL OR WRITTEN, EXRESSED OR WUED NOT CONTAINED FIERExN WILL BE RECOGNU ED AND THIS CONTRACT CONSTMrMS THE ENTIRE AGREEMENT. It is feather agreed that this coot ect is not subject to cancellation except by written o xamt of bath parties. SALESPERSON: ACCEPTED: ACCEPTED BY: X le�q,, z X (SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE) U L OIOZ-£1-60 'w'e L£ MOL 6LOL£SZ80S 96" +' i t ; ------- - ---- 76 8►� --- ------ - --- ---- - 19.8 1E .---- i i i 56" 40" (600 1 cv 19 AL --- ---- --- - -- Drto TOILET-1 i ti LO i t W /r L Shower �z i � I I i • i 1 t 48" All dimensions-size designations 20 ')O C��[,'� This is an original-design and must Designed:7/9%2009 c given are subject to verification on TECMNOLO ,Es 6j not be released or copied unless Printed:7/9/2009 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. li Design3 _ eY DG All Drawing#: 1 Ji The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street 19 Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Rawm L Izyl2n a-L-4,(t.,L, '--s.'F. milt s?U Mbinc Address: -12 1-I�i r St • 7 City/State/Zip: 1 ander& . 44. o tq L3 Phone#: q-1'zs -1-7 4- ail 4- Are you an employer?Check the appropriate box: Type of project(required): 1. d I am an employer with Z 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. 5(Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ 9. ❑Building addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required]'t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers' 13. ❑Other comp.insurance required.] "Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContactors that check this box must attach 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. 1 Insurance Company Name: Ar heUa �roiec l Lh lY.c Policy#or Self-ins.Lic.#: a1C(ASb-lblop6ii Expiration Date: Job Site Address: gb Chr154ta1. [1�n4 City/State/Zip:h1.ArnAWer. MN o16Sk5 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: �✓! 222t i1� "il Date: 111 bl lD Print Name:__�r Phone#: q1Y 114-311t1 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 Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: OP ID CR °A� MM(°OnYYY) I ACORD CERTIFICATE OF LIABILITY INSURANCE PIDBFMC H 0( 13 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas Gregory Associates Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 601 Edgewater Drive S235 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVY Wakefield MA 01880 Phone: 781-914-1000 Fax:781-246-2601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arbella Protection Ins. (A) INSURER B: BF Murphy Plumbing & Heating INSURER C: Inc &Browns Kitchen & Bath Inc 72 Holten Street INSURER D: Danvers MA 01923 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NbIl POLICY ECPOLICY EXPIRATION LTR NS TYPE OF INSURANCE POLICY NUMBER EFFECTIVELIMITS GENERAL I'ABILITY EACH OCCURRENCE $1000000 UAMAU A X COMMERCIAL GENERAL LIABILITY 8500025389 06/01/10 06/01/11 PREMISES Eaoccurence) $_300000 CLAIMS MADE [X]OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY JELac Emp Ben. 1000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $1,000,000 A ANY AUTO 99770400002 06/01/10 06/01/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1000000 A X OCCUR CLAIMSMADE 4600025390 06/01/10 06/01/11 AGGREGATE $1000000 $ DEDUCTIBLE $ X RETENTION $10000 $ TU- WG STA WORKERS COMPENSATION AND X TORY LIMITS ER _ A EMPLOYERS'LIABILITY 9095020609 06/01/10 06/01/11 E.L.EACH ACCIDENT $500000 ANY PR/PARTNEWEXECUTNE OFFICER/MEERIMEMBBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $500000 Ifdescribe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION NORTH-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of North Andover IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover MA ACORD 25(2001/08) RD CORPORATION 1988 Massachusetts- Department of Public S;tfet% Board of Building Regulations and Standards Construction Supervisor License License: CS 73375 BRIAN F MURPHY 11 KENMORE DR DANVERS, MA 01923 Expiration: 9/3/2012 (ummiaioner Tr#: 1799 �., _ ��ee Taom��zoouuval� o��✓�aaacu,�zuael�a -\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: >'1,03611 Type: Expiration; 7%94012 Private Corporatio BR WN'S KITCHEN&$AH ClN7ER 1 BRIAN MURPHY 72 HOLTEN ST. Danvers,MA 01923 Undersecretary Ct�Ml1�IC��lWEAL.TH ©F MASS/�CHU�ETT�` - . �. �,iR*s�,9w�wtaan�arr+r�rr� YLUMtfCK� t�ivu ur��rt r r�r<�, L1'�ENS�C� AS A M�►STER PLUM��"Ft� t j ISSUES THE ABOVE LICENSE TO: Y a AF1i KtS M 01J .1126 k