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HomeMy WebLinkAboutBuilding Permit #912-15 - 82 LISA LANE 5/13/2015Permit No#: - I I nk Date Issued BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION S Date Received 'ANT: Applicant must complete all items on this LOCATION :� rint PROPERTY OWNER C� f/ Print 100 Year Structure yes MAP r (1 . PARCEL ZONING DISTRICT: Historic District yes Machine Shop Village yes n� .6cbro, m 1' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,(One family Address: ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial KRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other - 0 Septic 0 Well p Floodplain 5 Wetlands ❑ `Watershed District nCQr'D1DT1nM nF WnRK TO RF PERFORMED: lease Type or Print Clearly OWNER: Name: e b t-17 Address: ' Contractor Name: ti e Email. dem phone ,. Address: e.3 0 ^� � 0.2. / a ense: % 1 Supervisors Construction Lice ._ �✓ . / Home Improvement License. !// % Exp: SI:,F Exp. Date: Date: 6?/// AO/ ARCHITECT/ENGINEER Address: FEE SCHEDULE: Total Project C Check No.: 6 NOTE: Persons Phone: Reg. No. G PERMIT: $12.00 PER $1000.00 OF THE TOTAL ES, MATED COST BASED ON $125.00 PER S.F. FEE: $ f o zv Receipt No.: fr,. .-f;H�)/ m ere e ntractors do not have access to t e 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 4. Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks IOTE: 4 Building Permit Application � Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (IfApplicable) Engineering Affidavits for Engineered products 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 2012 IECC Energy code 4, Engineering Affidavits for Engineered products 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 appliaaht 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 � Plans Submitted [IPlans Waived [ICertified Plot Plan 11Stamped Plans [I I! TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS Signature. CONSERVATION Reviewed on Signature COMMENTS HEALTH P t G6MMENTS a Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter & Sewer Connection/signature>& Date Driveway Permit DPW Town Engineer: Signature: -Lviain Streets ° tment si,gnato /da+°TV 4_ "a air d Located 384 Osgood Street n situ }yes 77, _ 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 DANCER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup Call, Date Time Contact Name Doc.Building Permit Revised 2014 Location /7 No. q I Z- 14:5 Date 4511 Check # �� 7 28767 TOWN OF NORTH ANDOVER Certificate of Oc;cupa*n L Building/Frame I do I Foundation Permit Fee - Other Permit Fee TOTAL Building Inspector ;moo a� 0 1�O ti el rA 71M 0 f6 0 'Q � as OO �a o 0 tH V g JO CD U) CD r m v' CC Z c � Q 0 y.+ y W W d0 J i W m C d y � O O >O c 0 O U) a a Eo CD N z Z z Z a W 0 Ln OZQ Z U Z w Q coW Q C G V oc m E m J C J LL `Y U N O Y Y ra N Z U i C ai U OU OD to t — Y LL LL N LL K LL d' N LL DC LL [n N N 71M LA O O 3 a,'> o o CL mss c o tm O c Q CD L cc ~ y0.. y 0 v m W O -0 O O Li •2 m y c a s O y = .r *3 :6� Lu Em V C 0 'C 0 �. cn > c y 0 O .4—� H t +. 0 CL O 0 O W :a co Z 0 t m 2 H c E a. MA Z U W CL Z o xO �W— U W. c W J CL Z 0 c O N O t O z O Q NJ _0 9 Zi w ti E O O CD G� t V cu CL N V .Q U 00 O O' CL co Q Cu J -0 v CL N a 0 f6 0 'Q � as �a o 0 tH V g CD U) CD r m v' c � 0 y.+ y °' J: J i m C d y � O O >O c 0 O U) a a Eo CD N z LA O O 3 a,'> o o CL mss c o tm O c Q CD L cc ~ y0.. y 0 v m W O -0 O O Li •2 m y c a s O y = .r *3 :6� Lu Em V C 0 'C 0 �. cn > c y 0 O .4—� H t +. 0 CL O 0 O W :a co Z 0 t m 2 H c E a. MA Z U W CL Z o xO �W— U W. c W J CL Z 0 c O N O t O z O Q NJ _0 9 Zi w ti E O O CD G� t V cu CL N V .Q U 00 O O' CL co Q Cu J -0 v CL N a euil HaII Markgtplace pm,IVIA, 02109 NORTH ANDOVER MA, 01845 x CONFIDENTIAL.& PRIVILE �- wNvw. EarnedExi stence. com INDEPENDENT LIFE PROPERTY CA RE 82 Lisa Lane consists of two living levels and an attic. A failure to the boiler's fuel filter induced the temperature in the home to fall below freezing, causing the pipes to burst. The water damage is extensive and has left impacts throughout the entire home. The extensive damage needs to be repaired, and numerous items need to be replaced. The reason for this proposal is to outline the necessary materials and labor required to return the residence back to a "livable" environment. On the main level there are four bedrooms (master, bedl, bed2, bed3), sun room, living room, kitchen, dining room, laundry room, two full bathrooms and one half bathroom © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com Room by Room Analysis/Itemization Main Level Room Work Required MASTER BEDROOM • Remove carpet 207sgft • Remove pad 207sgft • Replace carpet 240sgft � Replace ad 240s ft p p g dosei7• Install pad • Install carpet —r: _ Master Bedroom Master Bit BEDROOM ONE • Remove carpet 160sgft • Remove pad 160sgft 12`x° • Replace carpet 185sgft • Replace pad 185sgft • Install pad _ Bedroom 1 • Install carpet Closet (1 i -s's^ .r- BEDROOM TWO • Remove carpet 178sgft .._ ... ... ---- .. _ • Remove pad 178sgft s ''` • Replace carpet 205sgft loset ) • Replace pad 205sgft ____�1 • Install pad Bedroom 2 • Install carpet J BEDROOM THREE • Remove carpet 182sgft • Remove pad 182sgft • Replace carpet 209sgft • Replace pad 209sgft set- 1) . Install pad .......... Bedroom 3 • Install carpet BATHROOM (HALLWAY) • Replace vanity • Replace double sink Install sink faucet s` Tr • Install vanity 1 Bathroom HALLWAY & 3 CLOSETS • Remove carpet 108sgft • Remove pad 108sgft • Replace Carpet 125sgft Closet loset . " • Replace pad 125sgft 25' 1" • Install pad Hallway 30' 2„ W • Install carpet LIVING ROOM • Remove carpet 307sgft • Remove pad 307sgft —13'7"- • Replace carpet 354sgft • Replace pad 354sgft -5'10" � • Install pad • Install carpet Living Room 19 5' © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com KITCHEN —_ 1 � Beheo Hall (1) - �., —� lid v a 14T t s`— • • • • • • • • • Remove drywall 900sgft Remove wood paneling 800sgft Remove back splash Remove upper cabinetry Replace drywall 900sgft Replace- cabinetry rylower &upper units Replace premium granite countertops 60sgft Replace double sink Replace back splash Install sub -floor 432sgft Install mortar for the 400sgft Install marble floor tiles 400sgft • Install tape, float, prime, paint (2 coats) 900sgft • Install cabinetry • Install granite countertops • Install drywall • Install double sink • Install back splash • Install electric range • Install dishwasher • Install refrigerator BATHROOM (KITCHEN) • Remove Drywall 64sgft • Replace Drywall 64sgft • Replace Cement Board 95sgft "17 • Replace Tiles 31sqft • Install Drywall 64sgft �r at ooit • Install Tape, Float, Prime, Paint (2 coats) .L Drywall154sgft • Install Sub -Floor 31 sqft Install Mortar Bed For Tiles 31 sqft • Install Drywall • Install Tiles • Install Vanity • Install Sink • Install Toilet • Install Faucet © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com LAUNDRY ROOM • Remove Remaining Drywall 82.53sgft • Replace Drywall 82.53sgft • Replace Cement Board 130sgft • Replace Tiles 57sgft Laundry .Room" • • Replace Cabinets Replace Vanity • Replace Double Sink • Install Drywall • Install Sub -Floor 57sgft • Install Mortar Bed 57sgft • Install Tiles 57sgft • Install Tape, Float, Prime, Paint (2coats) walls 213sgft • Install Cabinets • Install Vanity • Install Double Sink • Install Faucet © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com oll tank Fi i Family Room Bathroom _ rr Ft p :1 Fuma - 9's,• Garage, 3s S" Game Room = - -6S'7- On S'7" On the basement level there is a game room, family room bathroom and garage. Garage Garage • Install Insulation in ceiling 901 sqft • Install Drywall ceiling 901sgft • Install Tape, Float, Prime, Paint (2coats) ceiling 901sgft • Install drywall walls 616sgft • Install tape, float, prime, paint (2coats) walls 616sgft • Rewire overhead garage door opener • Rewire & Replace 110 copper wire, box and outlets Game Room • Remove wood paneling • Remove drywa11728sgft • Replace carpet 663sgft - - —,.5— �_._..._� • Replace pad 663sgft Game Room • • Replace 6" wide baseboard 60LF Replace custom cabinetry • Replace drywall 728sgft • Replace outlets • Replace switch • Install carpet 663sgft • Install pad 663sgft • Install prime & paint to baseboard 60LF • Install custom cabinetry • Install tape, float, prime, paint walls 728sgft • Install drywall on ceiling 577sgft • Install tape, float, prime, paint to ceiling 577sgft • Install GFI outlet • Rewire room with copper wiring Family Room • Replace drywall on walls 461 sgft • Replace 6" baseboard 66LF • Install insulation in ceiling 309sgft • Install drywall to ceiling Family Room • Install tape, float, prime, paint ceiling i 309sgft • Install insulation on walls 461 sgft • Install tape, float, prime paint (2 coats) walls • Install prime & paint to 6" baseboard 66LF • Install outlet • Install switch • Rewire room with copper wiring © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com Stairs FURNACE • Remove wood paneling 86sgft • Remove existing drywall 86sgft • Replace/Install carpet on stairs and landing 102sgft • Replace/Install pad 102sgft • Replace/Install drywall 86sgft • Install insulation 86sgft • Install tape, float, prime, paint (2 coats) walls • Replace bi-fold door • Install bi-fold door • Install Prime/Paint to Bi -fold door © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com BATHROOM (BASEMENT) • Replace Drywall ceiling 178.26sgft • Replace Drywall on walls 388sgft • Replace custom made cabinets (lower units) 6LF • Replace vanity 3LF • Replace fiberglass custom shower unit • Replace sink • Replace shower faucet • Replace sink faucet • Replace glass shower door, corner unit • Replace/install Outlet • Replace/Install Switch • Replace/install GFI outlet • Replace upper cabinets (wall unit) 30" tall & 6LF • Install Insulation 178sgft • Install tape, float, prime, paint (2coats) ceiling 178sgft • Install insulation on walls 388sgft • Install tape, float, prime, paint (2coats) walls 388sgft • Install custom cabinets 6LF • Install upper cabinets • Install vanity 3LF • Install toilet • Install shower unit • Install shower door • Install shower faucet • Install Sink • Install sink faucet • Install 220 volt run, box & receptacle • Rewire room with copper wire © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com Furnace Bi -Fold Door, Paint $450 Upon release from mortgage and/or insurance company. Used for stock, materials, labor, permits, plans. Materials total: Week 4 $21,250 (finish) $56,411 Electrical: Pennit, Labor & Materials $8,000 Plumbing: Permit, Labor & Materials $4,500 Utilities total: $12,500 Dumpster: two week rental, three ton limit, pick up & delivery $510 Out House: eight week rental, delivery, pick up $1,245 Permits: Remodeling permit.. The town of North Andover charges $12 per $1000 for permit $1,020 Incidentals total $2,775 Labor: All labor (excluding electrical & plumbing) $13,314 Labor total: $13,314 Total: $85,000 Payments of the Contracted price of ($85,000), shall be paid in the manner following: Payment Due $42,500 (deposit) Upon release from mortgage and/or insurance company. Used for stock, materials, labor, permits, plans. $21,250 (midpoint) Week 4 $21,250 (finish) Upon final deliverables. © 2015 Independent Life, Inc. Confidential & Privileged www.EarnedExistence.com Time Line: This is a complex job for scheduling and managing multiple tradesmen. From completion to end will be 8 Weeks. Week 1 Permits, materials, dumpster, outhouse, demolition, prep. Week 2 Plumbing & Electrical. Week 3 Utilities Inspection, dumpster pick up Week 4 Insulation & dry wall up, tape, plaster, sand, prime, paint. Week 5 Install cabinetry, vanities, sinks, granite. Week 6 Kitchen, laundry room, bathroom (kitchen), floors. Week 7 Bathroom (basement), bathroom (kitchen), laundry room tiles on walls. Week 8 Carpet, site clean-up, final inspection. �R Room by Room Price Break Down Room Materials Cost Master Bedroom Carpet & Pad $1,014 Bedroom 1 Carpet & Pad $780 Bedroom2 Carpet & Pad $858 Bedroom3 Carpet & Pad $897 Bathroom Vanity, Double Sink, Faucet, Tile, $2,611 (Hallway) Grout Hallway Carpet & Pad $507 Living Room Carpet & Pad $1,521 Kitchen Concrete Board, Marble Tiles, Dry $19,048 Wall, Primer, Paint, Cabinetry, Granite, Back Splash, Double Sink, Mortar Bathroom Dry Wall, Primer, Paint, Cement $3,133 (kitchen) Board, Mortar, Tiles Laundry Room Dry Wall, Cement Board, Mortar, $3,937 Tiles, Paint, Primer, Cabinets, Vanity, Double Sink, Faucet Garage Insulation, Dry Wall, Paint, Primer, $5,546 Game Room Carpet & Pad, 6" Baseboard, $2,847 Cabinetry, Dry Wall, Paint Primer Family Room Insulation, Dry Wall, Paint, Primer, 6" $5,229 Baseboard Bathroom Insulation, Dry Wall, Paint, Primer, $7,874 (Basement) Cabinetry, Vanity, Fiberglass Shower Unit, Glass Shower Doors, Shower Head, Sink, Faucet Stairs Carpet & Pad $429 Utilities: ELECTRICAL ($8,000 permit, materials & labor included) Currently, the home runs on an out dated panel that does not satisfy the current code for the state of Massachusetts, in the town of North Andover. This panel does not have an arc -fault circuit interrupter that de -energizes the circuit when an arc fault is detected. It also does not accept new code compatible breakers and, therefore, a full service change is in order to bring this residence to a "livable" status. Per code in Massachusetts, it is required that the electrical service be brought up -to current code when walls are opened for remodeling or repair. The home will need to be inspected by the city inspector of North Andover and will not pass if the current code is not met. This includes ground fault circuit -interrupter receptacles in all kitchens, bathrooms and garages, vents and fans installed in all bathrooms and current switches. On that account, walls have been opened in the kitchen, bathroom (kitchen), laundry room, family room, game room, bathroom (basement). It is not required that we change the outlets and switches in rooms we do not open walls, but it is highly suggested. The current fire safety system, including carbon monoxide detectors, are not hard -wired and no heat detector exists in the garage. This is also in violation of current code. A new system will need to be installed. Entire service update, fire alarm system, outlet & switch update PLUMBING ($4500 including materials, labor & permit) The originating issue that brings us to 82 Lisa Lane is burst pipes. Currently, the home has shut off the water in order to stop leaks. An emergency team has come to the property and stopped any noticeable leaks, cleaned up water. What remains presently is investigating the entire plumbing system for cracks and leaks. When a leak or crack is discovered we will need to replace and repair as necessary. We will also need to fit new sinks, and plumbing fixtures. This involves applying for a plumbing permit and for the work to be done according to code. Unusable items: Various items were saved in an attempt to reclaim or salvage the original product. While Independent Life, Inc. is able to recover and salvage some of the materials, many are not able to be restored in any manner. Listed below are items that CAN NOT be reused. Granite Counter Tops ($4,000 materials) Granite Counter tops are cut "Made to Fit" custom for each job. The stone is cut to align perfectly with the cabinetry it will rest on. The installer conceals seams and uses pre -drilled holes to secure the granite slab. Unfortunately, since the lower cabinets are damaged and were destroyed during removal (not by Independent Life, Inc.), they are no longer feasible; therefore, we are unable to use the same granite. Granite was on the counters throughout the kitchen. Cabinetry ($10,890 materials) Parts of the current cabinetry were destroyed and wood severed off during the removal process (not by Independent Life, Inc). This damage dictates that we replace the cabinetry entirely. Since the lower cabinets will not identically complement the upper cabinets after replacement, we will need to replace to upper cabinetry, as well. The current cabinets are custom built WOOD -MODE (brand) cabinets. Wood -Mode cabinetry is fully custom, meaning the cabinets were made to special & one of a kind requirements. They were custom cut, hand stained and finished, and built to match the exact space they were originally installed in. Speaking with Jeff Wolfe, Director of Marketing for Wood -Mode, the current cabinets are hardwood cherry cabinets, and cannot be repaired. He also informed me they no longer produce the same cabinetry that currently exists. This custom cabinetry was installed in the kitchen, laundry room, bathroom (basement), game room. Sheetrock ($5,192 materials) Some demolition has been done to the property. Regarding the topic of walls, in two rooms, approximately 3ft was removed from the floor, extending upwards. This is peculiar since the entire drywall was removed in basement. The nature of dry wall is that it absorbs water and other moisture it comes into contact with. Add to the situation that some of the leaks in the pipes have caused water to spread to the entire inside of the affected walls; we will have to remove and replace the entire affected drywall. This is essential for safety reasons, as well as, structural. Mold has already begun to grow at the base of some walls; it is critical that the generation of it spreading must be prevented throughout the affected areas to promote safer air quality than at the present moment. Clients signature below, indicates approval and acceptance of the terms. However with that understood both parties agree and understand fully that this contract is dependant upon insurance and mortgage company complying with amount and structure of bid. Independent life, inc agrees to provide insurance company and mortgage company billing, materials and labor costs upon request and to comply with Insurance and mortgage companies preferred billing practices. Barring any contrary action by the mortgage company, or the insurance company, client agrees that the price and time line of contact is acceptable and agrees to move forward accordingly. If for any reason mortgage company or insurance company are not willing to pay the amount bid for the work detailed in this bid, then Independent Life, inc agrees to release client from terms. By signing this Agreement, you certify and represent that you are authorized to sign this Agreement and fully bind such Party to all of the Agreement's terms and provisions. Client Name: Address: Print Name: VIBHA SHAHI VIBHA SHAHI - 638 VALLEY RD CHAMPAIGN IL 61820 Signature: DocuSigned by: Date Signed Phone Number: 1 (978) 430-1430 INDEPENDENT LIFE, INC. DocuSigned by: Signature: b�aS Date: 8082F56BD8A14D4... 3/30/2015 3/20/2015 Name: Daniel B. Thomas II Title: President Address: _8 North Faneuil Hall Marketplace Boston MA 02109 a Licensing & Proof of Insurance Independent Life, Inc is a complete property remodeling, maintenance and management firm servicing the Middlesex, Essex & Suffolk counties of Massachusetts. Independent Life, Inc holds a $1,000,000 liability insurance policy that ensures clients are covered in the slim chance they need compensation. We also hold a Workers Compensation insurance policy with the state of Massachusetts assuring that our employees are covered in case of on the job accidents and that we are in compliance with applicable employment laws. The Company holds a HOME IMPROVEMENT CONTRACTORS LICENSE which allows us to be the lead in: "the reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition or construction of an addition to any pre-existing building containing at least one but not more than four dwelling units, which building thereof is used or designed to be used as a residence or dwelling unit, or to structures which are adjacent to such residence or building." Independent Life has also bought into the Guaranty Fund. "The Guaranty Fund is a fund maintained by the Commonwealth, supported by registrant contributions. After certain conditions are met, any owner whose contractor violates any provision of the law may receive some or all of their Jamages from this fund. The responsible contractor must repay the fund for these payments or else he risks suspension or revocation of registration and administrative penalties and fines." Corporation Name & Contact Project Manager HIC# IIP Y�'rHA/rN�OratYTr�/% r f'(`71 riK. �rt.:M'1,� *. :*. 011ier of Consumer Afiairx fi )Su5lnas Rrgulxiinn c �OMEIMPROVEMENT CONTRACTOR egistration: 179,515 Type: ` xpiration: 81112016 Corporation INDEPENDENT LIFE fNC. 0..1d 0. Thomas 8FOSTON 11. HALL MARKETPLACE BMq 03109 _ lfudrrxrrPfar7' Independent Life, Inc 8 Faneuil Hall Marketplace Boston Ma, 02109 617-229-6484 Main 617-314-5122 Emergency IndenendentLifeInc CC Qmail.com www.EarnedExistence.com Daniel Thomas INDEPENDENT LIFE, INC REG#179515 EXP: 8/11/16 Insurance Agent Information CUSHMAN INSURANCE Sue Tenore 1776 Main Street Brockton Ma, 02304 508-408-1013 phone 508-584-8078 fax stenore @ cushmaninsure.com A� CERTIFICATE OF LIABILITY INSURANCE °"�0=12200115Y"' 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 he endorsed. HSUBROGATION IS WANED, sukgect to the terms and conditions ofthe policy, certain policies may require an endorsement Astatement on this certificate does not confer rights to the certificate holder In Ileu efsuch endorsement(s). PRODUCER CONTACT SUSINITencre — CushIm Insurance Inc. 1776MainStreet M(nl. (508) 586-5310 1 11 xp): (508) 584-8078 P0Box3009 E -Ml AGGRESS:steme@cushmaninsLre.com Brockton, MA 02304-3009 __INSURERS AFFORDINGCO%RAGE ___ — NMC9 �ItldBp&IIdS INSURERA• Pen-Amercalnstrarce Company INSURED III Lite, Inc. INSURER °. ArbellsProtection Insurance ConVany Indepeixient Life Prop" Care IINSURER c: 15 Greemille Street BostmMA 02119 INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCUCY 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 WAVE BEEN REDUCED BY PAID CLAIMS. ]NSR I -TRI TYPE OF INSURANCE !ARIL SIIiiA POLICY NUMBER POLICY EFF ID FODCY EXP MID YYY UNITSA GENERALuAaiLm PAC7070792 7110 14 7/10/2015 EACHOGCURRENCE 5- 11000,000 COM4ERClALGENFFALLIAeLmr CLAIMS MADE OCG OCCURMEDOP i .DsG— ETORENTED 100,ODO onn n s 5,000 PERSONAL a ADV RUBY. s 1,000,000 GENERAL AGGREGATE 5 20001000 GENL POLICY AGGREGAATTEI LIMIT APPLIES PER I i7 PRO- I LOCreT PRODtI-COMVOPAGG 5 Z000,000 B IWTOM°etLEL1ABILrrY 1020030344 ty7=4 6RM14 COh9PII-D SNGLE LIMIT cdden OODAYNA.RY(Perpe+San) 5 100,000 ANYALrr0 AUTOSV ac .SU 90DLY Nx1RY (Per awAenq 5 300.000 NONI KRED AUTOS AUTOSMNEDi PROPERLY DML1dE S 100,000 S.cbes�li 5 f I UMBRELLAUAB OCCURI FACHTE OCCIRREN T FJ(CFUAB CLALMSMAOE I AGGREGATE S DED RETEITOtd S .� S WORKERS COMPENSATIONAVrSTLL AND ETA PLOYERS'LIABILITY YIN!LI OFFrERRMEMBEREEYLLUDED'tVWiNE NYA SETH" EL. EACH ACCDFM $ E.L DCIEASE-EA tT.PLOY 5 - (Mandeta'y1n NH) ({ Pyae.deeBaeunder _.-.... EL CISEASE-PODCYLarT 5 D=_SCR6RKJNOFOPERATQNS— DESCRIPriON OF OPERAPONS I LOCARONS I VEHICLES (AOeeh ACORD iOi. Additional Remarks 5ohedula, H more ep— is required) OperatiaDsusuetoftbsiriessdtheinsLved Workers Conpesationcertificate tobesent drectlyhythe carrier. VibhaShad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 82 Lisa Lane ACCORDANCE WITH THE POLICYPROVISIONS. North Andover, MA 01845 aunloalgn REPRESENTATIVE ®1988.2010 ACORD CORPORATION. AU rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD T c 0 m t U co CA U) r L t m c 0 O i CL CD L co L U O U) O c c O C rn d � +� c m ::. O E U L i O to r- 0 O > U O O y c = LO 3 m wc. c TO- y Y O Q. Cn C) .y o c E u cu E CL c td O 0' rncl c m Co c d O CU O CL= Q coo J Q U LL W C) V From: Daniel Thomas IN Fax: (617) 229-6484 To: Fax: +1 (978) 688-9542 Page 2 of 2 05112/2015 10:16 AM '.J ll('. �(-Cllrllt r3Nra<'tf(f>I C��7%/713trlYrrl,tftlt Office of Consumer Affairs & Business Regulation WOME IMPROVEMENT CONTRACTOR egistration: 179515 Type: ftxpiration: 8/11/2016 Corporation INDEPENDENT LIFE INC. Daniel 8. Thomas 8 FANEUIL HALL MARKETPLACE 4 BOSTON MA, 02709 Undersecretary d V c NCom-•• N W y �+. N 'r7 � Wcl � Ot Q N y y � ZZ in � W � � 3 � FF�yII l ' C �• w N 7 11 C CL � Ili, oy�p G \� � 1.\� � �• � rA O d t C n 0 ►+� J r C 1p p Q ,� tQ 03 N S H72. o_► .,Ally,. y May, 7. 2015' 2;50PM' ''cushman insurance 6/yu t4 U2!(No.7930 P. 1 �T & CERTIFICATE 4F LIABILITY INSURANCE DATE(MNUDD/YYYY) 05/07/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVLLY 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statement on this certificate does not confer rights to the nar1Iflra1a hnlrIRr In IIR1r of -amh Rnrfnrcwmwnfk1 PRODUCER QO30S-001 Cushman Insurance Inc PO BOX 3008 Brockton, MA 02304-3009 NNMt: Wlfis-611): (508)586-5310 , No: (50B)559-5113 Ao��ae: INSU ER 3 AFFORDING COVE GE NAIC INSURER A A-I.M. Mutual Insurance Company INSUREO IndependOht Life Inc 15 Greenville Street INSll E C EACH OCCURRENCE $ DAMAG O RE T D $ INSURER F 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 C'eRT 1"'ATE MA'. 0E I��UeO OR MAY Pe RTA11J, T1�e IN*LIR^1J4E ^FFORDeD BY THE!rri L191E? DE?ARIEEO HERtIN la arlbiucT Tri ALL THC TCICMa, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED CLAIMS. I TYPE OF INSURANCE 10 11 e POLICY NUMBER yB�YppPAID MPOSS F Y ME1lDDIYYY^! LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_� OCCUR EACH OCCURRENCE $ DAMAG O RE T D $ MED E (P (Any one person) $ PERSONAL & ADV INJURY $ GRNERALAGGREGATE $ r.EN'L AGGREGATE LIMIT APPLIES PER: OUCY RO OC PRODUCTS- COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO AWNED LL OSCHEDULED AUTOS AUTOS HIREDAUTOS NON-OVvNEO AUTOS A COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY 1NJURY (Per acolden) $ PROPERTYDAMAGE $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS MADE EACH OCCURRENCE4 $ AGGREGATE $ RETENTION $ $ A yypaKDERD Cp gANNYDpERoPpLROYE I) L B�LIETRY�EX oFFICERiMEFn6ER EXC UDED7 ECUTIVE Y �N R E � (Mandatory InNH) D RI IONVUPERATIONSbelow NIA VWC-1 00-6019 651-201,4A 11/22/2014 11/22/2015 yyC g qTt� SH X TORYIIMITS O - E.L. EACH ACCIDENT $ 100,000,00 E.L. DISEASE - EA EMPLOYEE $ 100,000.00 E.L. DISEASE -POLICY LIMIT $ 500,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rarnwkv Schedule, If more space Is requlred) Job: 82 Lisa Lane ;.tK IOrI%_A I r- MULueK cgNGELLAI IpN Town of North Andover Attention: Brian Leath -Building Inspector SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 120 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover, MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMSD REPRESENTATIVE ACORD 25 (201 O/U51 The ACORD name and logo are registered marks of ACORD 9570 Insurance Agent Information CUSHMAN INSURANCE Sue Tenore 1776 Main Street Brockton Ma, 02304 508-408-1013 phone 508-584-8078 fax stenore gcushmaninsure.com ® OATE(MMIDDIYYYY) ACORU CERTIFICATE OF LIABILITY INSURANCE OZW12015 L 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 he endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement Astatement on this certifieale does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER p,w SUSan Tenore Cushman Insurance Inc. Min .—_ _o: 86 (508) 55310 I1A.FrC, Na): () 508 5848078 1776 Main Street PO BOX3009 6MNLADORES$: stenore@cushmaninsLire.com Broddon, MA 023D4-3009 INSURER& AFFORDING C0VERK.E NNC0 INSURERA: Perri-AnericalnsuranceCOnpaly OAhLAGE TO RFMED ]oo,l]oo 3BEN5E5.(EA.Rcc4�ow]._.._ 5..____.._...._.__� INSURER e: ArbdlaProtection Insurance Company INSURER C: Independent Life Property Care 1513reenvlleSVeet - I Boston MA 02119 ,nlsunmo:,______-_..___....__._.—'_—_`--_---..__..-.__._.__..-. ----__ INSURER E: - - INSURER F IN NI THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSLED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REITUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OBER 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 TERRS, EXCLLISIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. MR AtlrIL TYPE OF INSURANCE SIeR I TYMICY EFF POLICY NUMBER Y POLICY EXP Y A YY UMn9 A 'GENERAL UABILRY I PAC7070792 171104014 7/10/2015 EACHOCCLRRENCE S 1,000.000 _ _ C(XA VLAIRY WL GENERAL L 1 I ` I, I � OAhLAGE TO RFMED ]oo,l]oo 3BEN5E5.(EA.Rcc4�ow]._.._ 5..____.._...._.__� �.___/ CLAIMS -MADE M OCCUR { MED DP sea enoe S 5,OD0 PERSON& S ADV INJURY S 1,000.000 ` GEfEftAL AGGREGATE_ S Z�,� f I __ ._____—__—y GENT AGGREGA7ELMrAPPJE_S Pf:R 1 PRODUCTS _---- OPAGO S__._.__. _ _. _._... _ ..S. POIX:Y I —I PRP r^ LOC I ' B AUTOMOBILE LIABILITY i 1020030344 j OM14 1 60M14 COMBIEDSINGLEL"T IE, 11d,*111 BODILYINOURY(PaTpannnl S 100.000 AYIAUrO 1 I BODLYfti RY(PuaccCeni) S .---- 300.000 OA:NiGE� assl4r_ntL-- ALL �/ AUTOSlLFD1 AOLOtNID IQ3E0 AUTOS AUTOS I I (PROPERTY I S 1 i UMBRELLA IL,B OCCURI _ I I EACH OCC(RREICE 5 EXCESS UAB CIAAASNAOE DED RETENTON I WORKERSCOMPENSATON ! I WC STATLL 1 `GTIH 1 ANO EMPLOYERS' LIABnRY MY PRTPRETORPNRTNERR�RV CUE Y/N'tN i EL. EACHACCDENT S__—_—��__. FCEIA OFRNIEMBER ER UlEO.' (Mandalaryln NHl i ' E.L.DL%ASE_EAELPLOYc-E S - - ...__....._----..._.____ r re,. dewbe ander DESCRPTIONOFOPER,TIOASh— ) I 1 EL.DISEASE-PO4ICVs1T S 1 1 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 107. Addillanal Remark, Schedale'U more apace 1, reaalred) Operations usual to the business of the insured. Worlds Compensation certificate to be sent drectlyby the Carrier. CERTIFICATE HOLDER CANCELLATION ®1988-2010 ACORD CORPORATION. AB rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Vibha Shah THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N 82 Lisa Lane ACCORDANCE WITH THE POLICY PROVISIONS. North ArldDmr, MA 01&15 AUTHORQEO REPRESENTATIVE • ®1988-2010 ACORD CORPORATION. AB rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 85,000.00 m $ - $ 100.00 Plumbing Fee $ 127.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 127.50 Total fees collected $ 455.00 82 Lisa Lane 912-15 on 5/13/15 Kitchen Remodel Daniel Thomas v Fax: (.617) 229-6484 To: FAX To: Phone Fax Number I +1 (9 78) 688-9542 1 Fax: +1 (978) 628-9542 Page 1 of 2 05/1212015 10:16 AM Date: 05/12/2015 Pages including cover sheet: 2 From: Daniel Thomas Independent Life Property C 8 Faneuil Hall Market Place Boston MA 02109 Phone (617) 229-6484 * 7 Fax Number (617) 229-6484 To Brian Leathe Building inspector North Andover Send and receive faxes with RingCentral, www.ringcentral.com R r, °