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HomeMy WebLinkAboutBuilding Permit #403-2016 - 84 SUGARCANE LANE 9/30/2015 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received Date Issued: �l O IMPORTANT:Applicant must complete all items on this page yj, fp LQCATIOIVI _ 3¢ r74, Plf PROPERTY 01NNER" k = - •� _ " - g / �P[int 1:OOEYeBrPDid(St�ucture, r �P ARCELL_bZ�'.r. ZONI,NGD STRICT �__ iHistonc�Distnct yes rt1o+ in TYPE - e� Yes om ` achiie�Shop Villag � TYPE OF IMPROVEMENT. PROPOSED USE R sidential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ,Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Sept c.` o Well �1;A r� ❑ Floodplari �Wetlands ❑ .Watershed=Districts v4, p ❑Water/:Sewer.._ DESCRIPTION OF WORK TO BE PERFORMED: c' S' r5� � off' Identification Please Type or Print Clearly) OWNER: Name: /° Pn� /1 �/v���.�' Phone: 9�� J L _ � a Address: X CA. -f L�r✓t ` CONTRACr AOR`►N me �Y _!+ J %__ Rhone i a Adtl.ress k+Supeervis�or'sConstruction License _ d T iExp Date 0 . ,i ; ome�lmprover ment License T/ � �_2%c �, `Exp tDate _ ARCHITECT/ENGINEER 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: $ l 7 FEE: $ Check No.: I Receipt No.: NOTE: Persons contracti istered contractors do not have ac ss tot -g anty fund II i gna ut re� of Age ne �g�at a of trnoC a ct r. .:w Plans Submitted LJ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ II _ Plans Submitted ❑ Plans Waived ❑ ::Certified Plot Plan ❑ Stamped Plans ❑ -.::TYEE--OF SI;WERAGE:DiSP-OSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . .Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ •Food Packaging/Sales ❑ Private(septic tank, etc._ ❑ - _Permanent Dmpster on-Site11 THE.FOLLOWING SECTIONS FOR•OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE:APPROVED PLANNING & DEVELOPMENT- COMMENTS ❑ ❑ COMMENTS "CONSERVATION Reviewed on Signature 8 COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments m Conservation Decision: :Comments !plater & Sewer Connection Signature� Date Driveway Permit DPW Tow; Engineer: Signature: Located 384 Osgood Street FIRE DEPARTfti}r NT Temp Dumps#er on -.yes no Fire Departure►�t signature/date °� 4` ° ' - imensl®n Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land area; sq. ft.: -ELECTRICAL: Movement of Meter,location, Wiest 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 NOTand DATA— (For department use). \ I ® Notified for pickup - Date Doc.Building Permit Revised 2010 i I Building Department The fol!�wing is'-a=li'st of:the required.forms to be filled out for.the appropriate-permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/OrC.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 j ❑ 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 ❑ 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 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 ttie decision from the Board of Appeals that the apw-�al period is over. The applicant must then get this recorded at the Registry of Deeds`. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 No. ( DateTS r • - TOWN OF NORTH ANDOVER 27 Certificate of Occupancy $ / Building/Frame Permit Fee {. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i Check# 1 v t 29432 Building Inspector OORTH Town of 1 E adover O - ;`.. 0 No. C, b h ver, Mass � 0� O� . 9 COC HICHI CK A�RATE0 S V BOARD OF HEALTH Food/Kitchen PERM LD Septic System THIS CERTIFIES THAT ....... .. ............ SBUILDING INSPECTOR .............. ............. ........ ...... ..... ........................................�......... - has permission to erect .......................... buildings on .... ... ....:S� .. .. ............ ......... Foundation Rough to be occupied as .kje �. ��./if...................................................... Chimney ................. .......... ..................... provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 NTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI Rough Service ................ .... .................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100. Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):AB CARNES ROOFING INC Address:30 ARROWHEAD FARM RD City/State/Zip:BOXFORD, MA 01921 Phone#:978-887-1431 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. New construction 2.F 1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10 Q Building addition. 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions oprietors with no employees. 12.F1 Plumbing,repairs or-additions- 5. ,/ I aCm a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑'ll ew sub-contractors have em to ees and have workers'com .insurance.$ 13.�Roof repairs P Y P 6.❑✓ We are a corporation and its officers have exercised their tight of exemption per MGL c. 14: Other 12,§1(4),and we have no employees.[No workers'comp.insurance required.] *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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce nder the airs an�enalties of perjury that the information provided above is true and correct. Si nature: Date: V .9- Phone#:978-47-1431 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 Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: FORM 153 The Commonwealth of Massachusetts[ ;A i se�n ly, Department of Industrial Accidents ` Office of Investigations -Dept. 153 t 1 Congress Street,Suite 100,Boston,Massachusetts 02114-2017 a o htt ://www.mass: ov/dia I --�- P g InvL)rl I SWON!D#+r„ sc� c r is AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATES .. OFFICERS OR DIRECTORS Chapter 169 of the Acts of 2002 amended M.G.L. c. 152, §1(4) by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued-and outstanding stock of the corporation.Notwithstanding section 46, these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter. Said commissioner.shall promulgate regulations to carry out the purpose of this paragraph. Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C." Pursuant to M.G.L. c. 152, §1(4) as amended,I/We the undersigned officers of: AB CARNES ROOFING, INC. (Name of Corporation and Address) each holding at least 25% of the issued and outstanding stock in said corporation, do hereby invoke the right.to be exempt from the provisions of.M.G.L. c. 152, §25A and therefore are not required to carry a workers' compensation policy covering the undersigned corporate officer(s) or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in M.G.L. c. 152 for any injuries that may be sustained while in the employ of the above-named corporation. Further, I/we the undersigned do understand that, should the above-named corporation hire or have in its employ any employee(s) in addition to the undersigned corporate officer(s) or director(s); said corporation is required to obtain workers' compensation coverage for the employee(s) as prescribed by M.G.L. c. 152, §25A. I/We the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the appropriate box below my/our name(s) indicating my/our desire to be exempt or not to be provisions of M.G.L. c. 152. Ig ed under the ains and penalties of perjury: BARRY CARNES, PRESIDENT 09/24/2013 S` �toexercise Print Name&Title Date(mm/dd/yyyy) ✓❑ 1 wish my right of exemption or ❑ I wish NOT to exercise my right of exemption q. ANASTASIYA CARNES,DIRECTOR 09/24/2013 r�r1 Signature Print Name&Title Date(mm/dd/yyyy)i\.) ❑✓ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption U7t") ;.r f1-1 Signature Print Name&Title Date(mm/dd/yy yy]' "1 ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption CJ c Signature Print Name&Title Date(mm/dd/yyyy) ❑ I wish to exercise my right of exemption or ❑ I wish NOT to exercise my right of exemption Note:ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN. THERE CAN BE NO MORE THAN 4 SIGNATURES. Instructions on back. Form.153—7/2010 MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin 6i .� 1 ioj ' r Secretary of the Commonwealth, Corporations Division t t One Ashburton Place, 17th floor r, +. Special Filing Instructions '# ;,!�• Boston,MA 02108-1512 i r '411 Telephone: (617)727-9640 I I Federal Employer Identification Number: 001110484 (must be 9 digits) i `' ARTICLE t; +, l' The exact name of the corporation is: �f ;a i AB CARNES ROOFING,INC. i FS ARTICLE II i !i }_. ..Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose , 1 of engagingin an lawful business.Please specify if you want a more limited purpose: Y P fY• Y PrP ;,. si COMMERCIAL&RESIDENTIAL ROOFING AND ROOFING RELATED WORK. THIS SHALL INCLUDE ALL TYPES EXTERIOR&INTERIOR REMODELING r ARTICLE III 11 State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to la r issue.All corporations must authorize stock. If only one class or series is authorized, itis not necessary to specify i any particular designation. 1 if i't Par Value Per Share Total Authorized.by Articles f Total Issued I i : Class of Stock l Enter 0 if no Par i of Organization or Amendments I and Outstanding ; 'Pi i n i Num of Shares Total Par Value Num of Shares t I CNP � � $0.00000 t 1,000 € $0.00 1,000 1 `I _u G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. 4 C156D Section 6.21 and the comments thereto. 1' ARTICLE IV i t 1 If more than one class of stock is authorized,state a distinguishing designation for each class.Prior to the issuance of 't any shares of a class, if shares of another class are outstanding, the Business Entity must provide a description of the ' preferences,voting powers,qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. k ,� I1 ;i ARTICLE V �l i` The restrictions P Y if any, imposed b the Articles of Organization upon the transfer of shares of stock of any class are. 1 s, ARTICLE VI is Other lawful provisions,and if there are no provisions,this article may be left blank. i t i rt Note: The preceding six(6)articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. r }} ARTICLE VII l The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law. If a later effective date is desired, specify such date,which may not be later than the 90th day after the articles are received for filing. { t Later Effective Date: Time: t ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. ji i� a,b.The street address of the initial registered office of the corporation in the commonwealth and the name I of the initial registered agent at the registered office: #€ I �t Name: BARRY CARNES . j,. I No. and Street: 30 ARROWHEAD FARM RD i City or Town: BOXFORD State: MA Zip: 01921 Country: USA z I c.The names and street addresses of the individuals who will serve as the initial directors, president, s I, treasurer and secretary of the corporation (an address need not be specified if the business address of the officer or director is the same as the principal office location): fi _4 fF :` i? Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code w . PRESIDENT BARRY S CARNES 30 ARROWHEAD FARM RD �����✓������� l ➢ t i BOXFORD,MA 01921 USA 1 TREASURER BARRY S CARNES SUR 3 30 ARROWHEAD FARM RD 4 BOXFORD,MA 01921 USA t SECRETARY ANASTASIYA V CARNES 30 ARROWHEAD FARM RD F BOXFORD,MA 01921 USA .j x' DIRECTOR BARRY S CARNES 30 ARROWHEAD FARM RD .It +: t BOXFORD,MA 01921 USA s + DIRECTORANASTASIYA V CARNES s 30 ARROWHEAD FARM RD t z 3 BOXFORD,MA 01921 USA z� id.The fiscal year end (i.e.,tax year)of the corporation: ( October I I e.A brief description of the type of business in which the corporation intends to engage: { I `i COMMERCIAL&RESIDENTIAL ROOFING f. The street address(post office boxes are not acceptable)of the principal office of the corporation: .i tt No. and Street: 30 ARROWHEAD FARM RD f_ is City or Town: BOXFORD State: MA zip: 01921 Country: USA r P, 9. Street address where the records of the corporation required to be kept in the Commonwealth are ` located (post office boxes are not acceptable): ,! { is No. and Street: 30 ARROWHEAD FARM RD i City or Town: BOXFORD State: MA Zip: 01921 Country: USA if which is 3 X its principal office _ an office of its transfer agent t _ an office of its secretary/assistant secretary _ its registered office f} Signed this 26 Day of June,2013 at 6:23:02 PM by the incorporator(s). (If an existing corporation is i acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where i j it was incorporated, the name of the person signing on behalf of said business entity and the title he/she holds or other authority by which such action is taken.) K BARRY S CARNES li it S s� ©2001 -2013 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number: 201340178570 Date: 6/26/2013 6:21:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: June 26, 2013 06:21 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Ac R® CERTIFICATE OF LIABILITY INSURANCE 1028.2014 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(les)must be endorsed: If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies.may require an_endorsement. Astatement on this certificate.does not.confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ACE INS SERVICES INC PHONE FAX 675:WARREN:AVE c o E c o BROCKTON,MA 02301 EMAIL INSURER(S)AFFORDING COVERAGE NAIc it INSURER A:AMERICAN ZURICH INSURANCE COMPANY INSURED INSURER B-: APC CONSTRUCTION INC INSURER C: 51 FORD STREET UNIT 1 BROCKTON,MA 02301 INSURER o.: INSURER E: INSURER F:: COVERAGES CERTIFICATE NUMBER* REVISION NUMB911: 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 ADOL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR 01 -POLICY NUMBER M MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE S. COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPReS CLAIMS-MADEF,—] OCCUR + MED EXP(Any ono Porson) S PERSONAL&ADV INJURY S i GENERAL AGGREGATE S GENL AGGREGATE LIMITAPPLIES PER: - -PRODUCTS COMP/OP AGO $ POLICY, PRO. JECT. — LOC $ LE LIABILITYMBcli ED SINGLE LIMIT S ANY AUTO BODILY INJURY(Por person) $ ALL SCHEDULED. AUTOS NEO . AUTOS BOOILY.INJURY(Par accident)S HIRED AUTOS NON-OWNED - OPE TY AMAGE - S� AUTOS R S. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB wA CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION X WCSTATU• OTH. AND EMPLOYERS'LIABILITY IN TORY LIMITS ER NIA A ANY PROPRIETOR/PARTNER/EXECUTIV� E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED?. LN 6ZZUB 10-2272014 10-22-2015 (Mandatory in NH) 2E52818A E1,DISEASE-EA EMPLOYEE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Addidonal'Remarks Schedule,If more space Is required) CERTIFICATE HOLDER AB CARNES ROOFING INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 30 ARROWHEAD FARM ROAD . CANCELLED BEFORE THE EXPIRATION DATE THEREOF; BOXFORD,MA 01921 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010.ACORD CORPORATION.All rights reserved. ACORD 25.(2010/05) The ACORD name and logo are registeredmarks of ACORD MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM 4 ; The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin Secretary of the Commonwealth,Corporations Division '{ One Ashburton Place, 17th floor , Boston,MA 02108-1512 " Telephone: (617)727-9640 j 0o . .i t Federal Employer Identification Number: 001149988 (must be 9 digits) E t ARTICLE i l The exact name of the corporation is: ( A P C CONSTRUCTION,INC '! i ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose i llr. of engaging in any lawful business. Please specify if you want a more limited purpose: ,E CONSTRUCTION RE-MODELLING AND OTHER OTHER SERVICES PERTAINING TO CONSTRU CTION WORK ! ARTICLE III 11 ' State the total number of shares and par value, if any, of each class of stock that the corporation is authorized to ' issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify , any particular designation. i _ f Par Value Per Share �� Total Authorized by Articles Total Issued t. ' Class of Stock. I Enter 0 if no Par of Organization or Amendments and Outstanding t Num o Shares t rr� Num of Shares Total Par Value ofShares _ "$0.00000_._ 20,000 _..i $0.00 r G.L. C1561)eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. 4 C1 56D Section 6.21 and the comments thereto. 1 iR ARTICLE IV E If more than one class of stock is authorized,state a distinguishing designation for each class. Prior to the issuance of �j any shares of a class,if shares of another class are outstanding,the Business Entity must provide a description of the 4; lpreferences,voting powers,qualifications, and special or relative rights or privileges of that class and of each other, i' class of which shares are outstanding and of each series then established within any class. ARTICLE V EThe restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: tt C I ' 5 41 ARTICLE VI 4 Other lawful provisions,and if there are no provisions,this article may be left blank. :dl 1 �b l. Note: The preceding six(fi)articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. + ARTICLE VIII 3 The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law. If a later effective date is desired, specify such date,which may not be later than the 90th day after the articles are received for filing. Later Effective Date: Time: k� ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b.The street address of the initial registered office of the corporation in the commonwealth and the name j of the initial registered agent at the registered office: 4 Name: ANGELO PINGUILi No. and Street: 51 FOR D STREET + UNIT 1 City or Town: BROCKTOPN State: MA Zip: 02301 Country: USA _ c.The names and street addresses of the individuals who will serve as the initial directors, president, a treasurer and secretary of the corporation(an address need not be specified if the business address of the j officer or director is the same as the principal office location): I .li { Title Individual Name Address(no PO Box) # t First,Middle,Last,Suffix Address,City or Town,State,Zip Code •f t ENT p L ANGELO PINGUI PRESID � i - �� 51 FORD STREET �l 9 I i I ! BROCKTON MA 02301 USA { ^TREASURER t ANGELO PINGUIL 51 FORD STREET , ~ BROCKTON,MA 02301 USA } SECRETARY �ANGELO PINGUIL�y~~� 51 FORD STREET iy I BROCKTON,MA 02301 USA DIRECTOR ANGELO PING UIL I 51 FORD STREET t BROCKTON,MA 02301 USA l ( d.The fiscal year end(i.e.,tax year)of the corporation: fi December Ir e.A brief description of the type of business in which the corporation intends to engage: 3. CONSTRUCTION AND RE-MODELLING ' �i i f.The street address(post office boxes are not acceptable)of the principal office of the corporation: No. and Street: 51 FORD STREET City or Town: BROCKTON State: MA Zip: 02301 Country: USA fg. Street address where the records of the corporation required to be kept in the Commonwealth are f located (post office boxes are not acceptable): No. and Street: 51 FORD STREET City or Town: BROCKTON State: MA Zip: 02301 Country: USA E which is � X its principal office _ an office of its transfer agent an office of its secretary/assistant secretary _ its registered office Signed this 21 Day of October,2014 at 1:26:45 PM by the incorporator(s). (If an existing corporation is q . acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where }P jit was incorporated, the name of the person signing on behalf of said business entity and the title he/she a ' holds or other authority by which such action is taken.) �3 ANGELO PINGUIL � f� i :I i ©2001 -2014 Commonwealth of Massachusetts i4 All Rights Reserved �� MA SOC Filing Number: 201499735200 Date: 10/21/2014 1:24:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination of this document, duly submitted tome, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: October 21, 2014 01:24 PM I i WILLIAM FRANCIS GALVIN Secretary of the Commonwealth TOWN OF NORTH ANDOVER WASTE AFFIDAVIT As a result of the provisions of MGL Ch.40-s54, I acknowledge that as a condition of building permit# all debris resulting from the construction activity governed by this building permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL Ch.111-s150A. Waste Disposal or Solid Waste Facility: ALLIED WASTE Address: 300 FOREST ST Town/City, State, Zip: PEABODY, MA 01960 NAME OF HAULER: AB CARNES ROOFING, INC. DUMP TRUCKS DATE: 9-30-2015 SIGNATURE OF APPLICANT: .0 9 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor ' License: CS-000230 Q BARRY S CARNES 30 ARROWBEAIYFARN_i RD Boxford MA 0191 Expiration Commissioner 03/07/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Cot ctor Registration _ V Registration: 176928 Type: Corporation Expiration: 10/10/2015 Tr# 245633 F. AB CARNES ROOFING, INC. a y� BARRY CARNES 30 ARROWHEAD FARM RD =J�1 BOXFORD, MA 01921 - f-/ Update Address and return card.Mark reason for change. 0 Address Q Renewal F� Employment E] Lost Card SCA.1 es 20M-05/17 Proposal AB.Carnes Roofing, Inc. 30 Arrowhead farm Rd Page 1 of 1 Boxford, Ma.01921 978-887-1431 MA.CS-000230 and HIC Reg.176928 Proposal Submitted To: CHRIS A LISA HANSON date September 19,2015 84 SUGARCANE LN Project Name NORTH ANDOVER, MA 01845-3248 Address 978-794-2121 OR 978-902-2477 We.propose to furnish material and labor-in accordance with the specifications below: Fourteen Thousand Four Hundred Dollars($14,400.00) Payment to be made as follows: $300.00 Deposit,.Balance Upon Completion Notice:All home improvement contractors and subcontractors engaged in home.improvement contracting,unless specifically exemptfrom registration by provisions of Chapter 142A of the General Laws,must be registered with the Commonwealth.of Massachusetts: Inquiries about registration and status should be made to the Mass.gov/licenses website. ROOF.PROPOSAL Z STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES.COVER ROOF DECK WITH THE UPGRADED RHINOROOF TITANIUM U20 HIGH PERFORMANCE SYNTHETIC UNDERLAYMENT MEMBRANE.COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE: 0 ICE DAM PROTECTION:;INSTALL CARLISLE HIGH PERFORMANCE ICE&WATER BARRIER OVER ALL HEATED AREAS SIX FEET WIDE AT THE LEADING EDGEOF ROOF AND.THREE FEET IN ALL VALLEYS,WRAP THE CHIMNEY(S)AND SKYLIGHT CURBS WITH ICE AND WATER BARRIER. M COVER ALL PERIMETERSWITHEIGHT INCH PREFORMED ALUMINUM DRIP EDGE. ® INSTALL GAF COBRA RIDGE yENTjAND/OR❑ ROOF LOUVERS FOR ADDED ATTIC VENTILATION: ® COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS AND FLANGE. REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM.OR.LEAD AT THE ADDITIONAL COST OF$25.00PLFT WE MAY NEED TO REMOVE THE SIDING.TO PERFORM THIS WORK AND YOU MAY NEED TO HAVE A CARPENTER REINSTALL OR REPLACE.THE-SIDING THAT WAS REMOVED. ED'CHIMNEY FLASHING:'CUT ALL EXISTING TAR AND LEAD FROM ONE CHIMNEY(S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WITH METAL ANCHORS. PROPERLY SE� LE- T. PLEASE ADD$450.00 TO ABOVE PRICE. ® COVER ROOF SURFACE WITHCERTAINTEED LANDMARK 240E ETIME WAR NTY DESIGNER SHINGLES. 0.REPLACE DEFECTIVE ROOF DECK AS NEEDED WITH SIMILAR AT AN AD IONAL COST OF$4.00PSQFT. . ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO:REPLACE OR REPAIRDEFECTIVE DECKING,AT AN ADDITIONAL COST OF ®_: All ILINGSECURE SHINGLES WITH EIGHT IN TOTAL COATED ROOFING NAILS AS PER CERTAINTEED SPECIFICATIONS. El SKYLIGHTS:REPLACE EXISTING SKYLIGHTS WITH NEW VELUX OR.WASCO UNITS,WE WILL PROVIDE THE SKYLIGHTS&FLASHING KITS AT OUR EXACT COST FROM OUR SUPPLIER,OUR LABOR CHARGE IS 575.00 EACH IF THEY ARE THE SAME SIZE.INTERIOR WORK IS EXCLUDED... El REMOVE EXISTING GUTTERS.❑INSTALL NEW SEAMLESS;032 ALUMINUM GUTTERS USING THE HIDDEN ZIP SCREW HANGER SYSTEM. El REPLACE DEFECTIVE TRIM BOARDS WITH CUSTOMERS APPROVAL USING NO.2 PRIMED PINE,ADD$15.00PLF.T TO THE ABOVE PROPOSAL. ❑ INSTALL NEW ALUMINUM DOWNSPOUTS AND MECHANICALLY FASTEN ALL CONNECTIONS; CLEAN ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORK AREA. THE PROPERTYOWNER.AUTHORIZES AB CARNES ROOFING TO OBTAIN ALL PERMITS.WE CANNOT ACCEPT.RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS. CUSTOMER SHOULD COVER VALUABLES. GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE,HOWEVER,SOME MARRING AND OR MINOR DAMAGE COULD OCCUR. IN ADDITION,WE CANNOT BE RESPONSIBLE FOR ITEMS FALLING FROM WALLS;SHELVES OR CEILINGS DURING THE ROOFING PROCESS. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALL SHINGLED ROOF SECTIONS OF THE HOUSE. SHINGLE UPGRADE:UPGRADE TO THE LANDMARK 300LB HIGH DEF PREMIUM SHINGLES,ADD$2200.00 YES( ):THIS IS OUR EXACT COST 417� WARRANTY UPGRADE.THE CERTAIN EED WIND WARRANTY WILL BE UPGRADED FROM.110 MPH TO 130 MPH WIT UPGRADE TO THE CERTAINTEED HIGH P RFO/RMANCE HIP&RIDGE CAPS AND STARTER COURSE AT NO ADDITIONAL CHARGE.YE9V1 EMAIL ADDRESS Warranty:All work warranted against installation defects for 5 years;this warranty is limited to the installed item.(s)and its repair only.Material is warranted by the manufacturer against defects for 50 years;see the manufacturer's warranty for exact warranty performance. Cancellation:Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from the date of signing.this agreement via Priority Mail Delivery Confirmation. Please see reverse side. Dispute:Resolution-under.Massachusetts Home Improvement Law 142a:All parties agree that any and all disputes relating to this proposal shall be settled by arbitration.This forum is user friendly and does not require lawyers.Please see reverse side. Signing this Proposal means you have accepted all the terms as stated on the front and back of this agreement. Please see.reverse side. *Date of Acceptance Signatur� / V *Signature Signatur, PLEASE SEE REVERSE SIDE Date of Transaction NOTICE OF CANCELLATION You may cancel this transaction,without any penalty or obligation,within three business days from the Date you signed this agreement. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the Contractor of your cancellation notice. In addition, any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the Contractor at your residence, in substantially as good condition as when received,any goods delivered to you under this agreement; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make goods available to the Contractor,or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations under the agreement. If this agreement is canceled after the three day rescission period has expired,AB Carnes Roofing,Inc. shall be entitled to an amount equivalent to 1/3 of the total contract price as a penalty for the late cancellation.AB Carnes Roofing, Inc.may use any forum arbitration or court to collect the late cancellation penalty. To cancel this transaction please sign and date a copy of this Notice of Cancellation and send via US Priority Mail delivery confirmation to: AB Carnes Roofing,Inc. 30 Arrowhead Farm Rd. Boxford,Ma. 01921 no later than midnight of the 3rd business day after dating and signing the front of this agreement. . I HEREBY CANCEL THIS TRANSACTION. Date: Owners Signature Owner's Address If any portion of this agreement is invalid or not in compliance with M.G.L. 142a for any reason,only that portion of the agreement will be affected and all other parts of the agreement will be valid and enforceable. DEFECTIVE ROOF DECKING: When repairing the roof deck with CDX plywood(4x8)and or 1x8x16 foot spruce boards the actual footage billed is higher than what has been installed onto the roof.This is because we are billing you for the complete 4x8 sheet and or the full 16'board even though we did not use the full 4x8 sheet of plywood or the full 16 foot board. HIDDEN HVAC FREON LINES,ELECTRICAL WIRES AND PLUMBING: We cannot take responsibility for damage to any of these items.We need to be able to freely secure the roofing shingles and roof decking without piecing any hidden items. Some tradesmen put locate these items in inappropriate places where they can be hit by nails.This is the responsibility of the property owner. HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK:Hidden conditions may require adjustment in the overall price of the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and where necessary a written amendment will be executed if needed by the Contractor and Owner.If the owner is not immediately available to execute an amendment and hidden conditions beyond this agreement exist,we will,where possible,photograph these conditions and make the necessary repairs at$125.00 per man-hour,plus materials. WALL AND CEILING FIXTURES:During the roof installation project there is a lot of banging and vibrations from the demolition and installation of the shingles.We cannot accept responsibility for items falling from walls,shelves or ceilings etc.Please make certain all items are secured to help prevent any damage to these items. DISPUTE RESOLUTION UNDER M.G.L 142a:Any and all disputes relating to any portion of this proposal shall be settled in arbitration as provided by the American Arbitration Association prior to commencing any other actions.All awards and successful defenses to and by AB Carnes Roofing,Inc.shall include all costs and fees. DISPARAGING REMARKS:All parties in this agreement agree that they will not disparage the other for any reason.For the purpose of this Section,"disparage"shall mean any negative statement,whether written or oral about AB Carnes Roofing,Inc. and its officers or the other party in this agreement. I