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HomeMy WebLinkAboutBuilding Permit #594-14 - 88 SAUNDERS STREET 2/13/2014 L 4 , f ti TOWN OF NORTH ANDOVER ct NORTot 1 APPLICATION FOR PLAN EXAMINATION F � 9 o*p r Permit N0: t Date Received y T•P ,SSIGHUS�� Date Issued: / IMPORTANT:Applicant must complete all items on this page LOCATION 44 q® � e,&j PROPERTY OWNER ` ' Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition ATwo or more family ❑Industrial alteration No. of units: Repair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving relocation ❑Other ❑ Others: ❑Foundation only DESCRIPTyQN OF WORK TO BE PREFORMED Aiff Id tification Please Type or Print Clearly) OWNER: Name: Ci�y s Phone: Address: Dd 9 CONTRACTOR Name: �a l �'� 5/- Phone: �o Address: 2 3 f gd,,W dnve— l,ct i4q Supervisor's Construction License: C6- ello Exp. Date: Home Improvement License: t q q r7 r4, Exp. Date: Z �b ARCHITECT/ENGINEER ! Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDINGPERMIT:•$1 0 PER$1 00.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ x12.00=FEE:$ Check No.: / / ReceiptNo.: Page lof4 • V IL TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. El Permanent Meter location to 11 1 project NOTE: Persons coniracti "h unregistered contractors do not have access to the guaran and Signature of Agent/Owner Signature of contractor Plans Submitted ❑ lans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING &DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS 1' DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Sienature&Date Driveway Permit Temp Dumpster on site yes no_ Fire Department signature/date -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 I I EJ Notified for pickup - Date Doc.Building Permit Revised 2010 l: Building Department The fol;,owing is-a-li'st of the required-forms to be filled out for the.appropriate-permit to.be obtained. Roofhf g, Siding, Interior Rehabilitation Permits o B.tailding Permit Application o Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract D Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster..permits require sign off from Fire Department prior to issuance of Bldg Permit u Addition Or Decks u Building Permit Application o Certified Surveyed Plot Plan u Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) Li 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) u Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses L3 Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract u Mass check Energy Compliance Report a 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 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 submAted with the building application Doc: Doc.Buil,jing Permit Revised 2012 . Locationl�4 ,14 W"- No. ! - Date i . - TOWN OF NORTH ANDOVER Certificate of Occupancy $_ Building/Frame Permit Fee $:d Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# r• f y "Erdiiding Inspector Location J No. �'�`r' -/ �/ Date 7 e - TOWN OF NORTH ANDOVER LED6` . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fw—�- TOTAL $ 0.0 Check# 1 I ' G16-13u'ding Inspector 0F 14oertf TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street �1.9S A�Teo�*P'�qy Building 20 Suite 2-36 SgCH North Andover,Massachusetts 01845 Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the co struction including all related construction costs* of the building located.at amounts to y �� bein the g person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction.costs. Signature of Owner COMMONWEALTH OF MASSACHUSETTS c )Ale , s.s. a 20 1 Q� Then personally appeared the able named 1c,c],,( 7�n,r, tc g02 mid Made an oath that the above statement is true. ASHLEY E. CAMPBELL Notary Pub;Fc 13/ re, Me, orrr: i, s«,nl h of Mossachusett5 tr.'y Expires J u l 2019 —`" — �� ,I L�jz_ Notary Public OFFICIAL USE: ✓�'" �( Final Cost: '75— D� Original Estimate cost of general work: 006-- Cost 0 Cost Difference: D�l� Additional Fee Required: TO AMEND FEE UNDER PERMIT NO.: Inspectional services Department 2005 FMiinalcostaffidavitfonn Strict code enforcement makes the town safer Before buying, renting,leasing check zoning BOARD OF APPEALS 698-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Ot HORYN 1N 3�'°+,,.°.•''St`s S1ACHUSt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 594-14 on 2/13/2014 Date: June 27, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 88-90 Saunders Street MAY BE OCCUPIED AS a two family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: City Light Home,LLC 246 Andover Street Peabody,MA 01960 Buil ing Insp ctor Fee: $100.00 Receipt: 27717 Check : 1228 oNo°7M� II F � '4O4r.° rr"19 'SS�CINSES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 594-14 on 2/13/2014 Date: June 27, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 88-90 Saunders Street MAY BE OCCUPIED AS a two family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: City Light Home,LLC 246 Andover Street Peabody, MA 01960 Building Insp ctor Fee: $100.00 Receipt: 27717 Check : 1228 r 1 V NORTH Y . ve- 0 �_' - --a' ""k' Z o�h , ver, Mass, 1 coc Nlc Nlw1cm y1' �d A0RATED PP�,`'�5 S U BOARD OF HEALTH Food/Kitchen PERM T L D Septic System 01 THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect . .. buildings on ... Foundation �� ��� Rough (0 � to be occupied as .....��1! !� 1�. .......�h. ...........................�. ... ....�............ Chimney provided that the person accepting this permit shall in eve respect conform to the terrrib�6flthe application / r p p p g p every p pp 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( i�S &CU PERMIT EXPIRES IN 6 MONTHS ELECTRICAL IN PECTOR /sQv . UNLESS CONSTRUCTIONS � �� Service 610t ....BUILDING.INSPECTOR. na z''� GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough g � r � „ I Display in a Conspicuous Place on the Premises — Do Not Remove Fina' aJ,'. � ;+h w No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det SEE REVERSE SIDE . L�_ c�`s r NORTH - . ve' 'o - , oh , ver, Mass,LAKE 1 c0c.41c Ml WIc. y1' �,95°R�reo ►'P�`,`�(5 U BOARD OF HEALTH Food/Kitchen PERM T LD Septic System f - - THIS CERTIFIES THAT .............. . .....5.�4.Y.1....... 44' 5......... BUILDING INSPECTOR Foundation has permission to erect R�0*6*1v.4ke ... buildings on ...8,00..'10.......QuAd*0ft...... 1 A .*&0V/ �� ��� Rough ID to be occupied as ..... .......... ..... ............................. ... ........................... Chimney provided that the person accepting this permit shall in every respect conform to the ter f 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 Finall �s �+ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL IN PECTOR /Tvo . UNLESS CONSTRUCTION S � --I? -/��_4;� Service ...............%..........61� ......... ........ BUILDING.INSPECTOR� na Z`'� GAS INSPECTOR Occupancy Permit Required to Occupy Buildin U V q l�V 1: Rough Final }rbc. �' ';" Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until, Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE c�`s Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 125,000.00 m $ - $ 1,500.00 Plumbing Fee $ 187.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 187.50 Total fees collected $ 1,975.00 88-90 Saunders Street 594-14 on 2/13/2014 Interior Remodel New Kitchens and Baths, New Flooring NORTF1 own of ndover O No. 154q- lqh71 i ver, Mass t o LA A- COC NIc" WKK y7 �Jd AORATEO 0'*' �S S U BOARD OF HEALTH PERM Food/Kitchen Septic System THIS CERTIFIES THAT ............. .. ... ...�.S.a!4-�'....k.a� 5.................................................... BUILDING INSPECTOR �� •• • � •..•.. Foundation has permission to erect . ....................... buildings on .. ....: ..... � ! ••........s Rough to be occupied as � �✓ 4 �..vk ,I�r.,l� ....... !�... ... .:............ Chimney p ..... .. ..... .... ...... Ch' e provided that the person accepting this permit shall in every respect conform to the ter f 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 T LD Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR dv UNLESS CONSTRUCTIONS 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. SEE REVERSE SIDE eavzvnzayzzaefc �a���crrJnc✓zcuelr Office of Consumer Affairs&Business Regulation CTpME IMPROVEMENTCONTRACTOR gistration177721Type: iration: 1/ 2812016 Corporation DONALDSON HOME IMPROVEMENT,INC. TODD DONALDSON 23 ELLIOT DRIVE LOWELL,MA 01852 — 'Undersecretary iii Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-105410 D T DONAIASON- 23 ELLIOT DRIVE; 'f LOWELL MA 01852 " Expiration Commissioner .11/30/2015 The Commonwealth of Massachusetts07 - - Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/ElectricianslPlumbers Applicant Information Please Print Le l Name(Business/Organi'zation/Tndividual): ( 1 --'-l'/ Ve IV Address: C;23 C///,: f City/State/Zip:_,/d W 4 Phone#: Are u an employer?Check the appropriate bog: Type of project(required): J. I am a employer with_e," 4• ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time)* have Hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• F1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working forme in any capacity. workers' comp.insurance. g• El Building addition [No workers' comp.insurance 5. ❑ We area corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.El I a homeowner doing all work right of exemption per MGL 11.(]Plumbing repairs or additions myself.[No workers' comp. c. 152,§ 4 1 ,and we have no � ) 12.❑Roofrepairs insurance required.] employees.[No workers' �Niced.� 13.[j Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached anadditional sheet showing the name of the sub-contractors and their workers'comp.policy infonnation. I am an employer that is providing work rs,compensatio insurance for my employees Below is the policy and job site information. Insurance Company Name:. v�` Policy#or S elf-ins.Lie.#: 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 requiredunder Section 25A of MGL c. 1522 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP-WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi u der tl ains andpenalties o f er-ury that the information provided abo a is true and correct: SiZR ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If au LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain aworkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permithicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fillgd out each year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Cox 0aweaxthofM_,gssarhvsPt�s Department of Industrial.Accidents (fake ofIuyestigaMng 600 Washington Stroet Boston,MA.0.2111 Tei,#61.7-727-4900 est 406 or 1-877�MASS.AJFB Revised 5-26-05 Fax#617-727-7749 WWW.=s,gov1dia CERTIFICATE OF LIABILITY INSURANCE otilz 2014°"`�`r'r' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Paychex Insurance Agency Inc NAMEa PAYCHEX INSURANCE AGENCY,INC. 150 SAWGRASS DRIVE PHONE , 877.266850 FAx . 585-389-7426 ROCHESTER,NY 14620 E-MAIL Certs@paychex.com ADD ESS* INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AmGUARD Insurance Company 42390 DONALDSON HOME IMPROVEMENT LLC INSURER B: 23 ELLIOTT DRIVE LOWELL,MA 01852 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. NS TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR NSR (MMIDD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ =ICLAIMS-MADE[:�]OCCUR MED EXP(Any one person) PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: POLICY =--=LOG Loc PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED SCHEDULED BODILY INJURY $ AUTOS AUTOS (Per person) HIRED AUTOS ARRA OWNED BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCEss uAB wins-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOYERTUABILfTY DOWC446026 09/21/2013 09/21/2014MIT, E.L.EACH ACCIDENT $ 100,000.00 ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? � E.L.DISEASE-EA EMPLOYEE $ 100,000.00 (Mandatory in NH) I r l N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00 If yes,describe under DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) CERTIFICATE HOLDER CANCELLATION City Lights Homes LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 88-90 Saunders St. DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY North Andover,MA 01845 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID:WC CERTIFICATE OF LIABILITY INSURANCE DATE1121YYYY) 022/12114 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 978-975-1300 NAME:CONTACT Todd Donaldson Segrove&Hall Insur.Assoc.InC 305 North Main St 978-975-7596 PHONE E1<t:978.502-7789 p[C No Andover,MA 01810 E-MAIL Patrick D.Hall ADDRESS: PRODUCER TODDD-1 CUSTOMER ID 0 INSURER(S)AFFORDING COVERAGE NAIC If INSURED Todd Donaldson INSURERA:Arbella Protection Ins.Co. 41360 dba Donaldson Home Improvement INSURER B:Utica National Ins.Co. 23 Elliot Drive Lowell,MA 01852 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. � PO LTR TYPE OF INSURANCE POLICY NUMBER MMID Y EFF MWD Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY ART5041769 06/25/13 06125/14 DAMAGE TO PREMISES EaRENTED occurrence) $ 50,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2.000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2.000.00 POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO 1020014164 02115/13 02/15/14 BODILY INJURY(Per person) $ 20,00 ALL OWNED AUTOS BODILY INJURY(Par accident) $ 40,00 A X SCHEDULED AUTOS PROPERTY DAMAGE $ 100,00 X HIREDAUTOS (Peraccident) X NON-OWNEDAUTOS Underinsured $ 100/3 Uninsured $ 10013 UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY IMIT�S ER ANY PROPRIETOR/PARTNERIEXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci Light Homes LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 88-90 Saunders St N Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD FOR Ll'�"} DATE �� TIME ', '01:-TO-QD CQ Ciera PHONED RETURNED PHONE YOUR CALL AREA CODE NUMBER EXTENSION MESSAGE PLEASE CALL WILL CALL i SS AGAIN CAME TO SEE YOU WANTS TO SEE YOU SIGNED �rWrSar 48003 V tyl I Y t CityLight Homes 246 Andover Street I Peabody, MA 01960 P: 978-977-0050 1 Email dave@citylighthomes.com January 30, 2014 Cost to Cure. 88-90 Saunders St North Andover MA Construction Budget $175'000 Bid attached. Construction Loan 15% $ 26'250 lyr% only 6mth min $13'125 per day $71.90 Loan Origination 2pts $3'500 CityLight Homes OHP $31'5001.8% Legal $7500 ' Insurance/Utilities $4500 Sales Commissions $6500 5% Souhleris Reality Sale price $325'000 Total Cost to Cure $254'750 C f � ' Signed. David Seymour 781-244-3804 �1 i • Donaldson Home improvement, LLC Donaldson Home Improvement LLC Estimate 23 Elliott Dr Lowell,MA 01852-3703 Dafe. Esfimate No (978)502-7789 01/26/2014- -- 1004 k9diesel@comcast.net Exp. Date 02/26/2014 Address Dave Seymour 88-90 Saunders Street North Andover.Ma 01845 Service ActJv�ty Amount Demolition •Clean out existing building all floors into dumpsters 10,550.00 demolition of bathroom down to studs on second floor demolition of kitchen cabinets only remove all carpeting on all floors will need at least six thirty yard dumpsters for all debris and construction material labor and material , Doors •new front and rear door supplied and installed 1,250.00 screen doors not included Roofing •strip existing roof down to ply wood/ roof boards 11,340.00 install grace ice damn all edges install new lead around chimney install 8 inch drip edge on all edges install 30 year architectual shingles and caps all debris removed in dumpster labor and material Siding •install 3/8 foam insulation over existing siding 14,345.00 wrap all window trim and facare boards with white aluminum install double four vinyl siding on entire exterior outside comers will be white all soffitts will have vinyl siding installed front porch will have vinyl on both ceilings Continue to the next page ` Page 2 of 4 ~ Service - = -- Acttw -- Amount ty:: Front Porch •remove existing front porch roof and second floor deck 18,340.00 dig four new 12 inch sauna tubes four feet deep and fill with cement Frame in new deck on first floor with pressure treated stock Composite decking installed Composite railing system used Build over hang roof exactly like neighbors house Roof will.Be trimmed out and have 30 year architectural installed on roof Soffit will be white vinyl soffit with four recess lights installed on porch labor and material Rear porch •remove porch on rear which is unsafe and deteriorated 4,200.00 build new egress porch out of pressure treated materail shed roof will be built over second egress to comply with building code labor and material Windows •remove existing windows in entire house 10,075.00 install new replacement windows with Massachusetts energy specifications total amount of windows will be 31 labor and material Electrical •new electrical service is required 11,850.00 house meter needs to be added for common area lights and smoke alarms hard wired smoke alarms need to be added to entire house in every bedroom,common area, stairways etc both kitchens need to be wired to current code bathrooms both need 20 amp ground fault circuits all new lighting fixtures are needed throughout entire house and porch lighting Six recess lights in each kitchen will be supplied and installed first floor will need a new 40 circuit 100 amp panel all plugs and switches need to be swapped out all lighting circuits will be arc volt breakers All new cellar lighting will be installed labor and material g Continue to the next page i Page 3 of 4 Service;:.;. Advity Amount •install new toilets,sinks,faucets,second floor tub/shower,mixing valves, 22,750.00 plumbing install two new boilers install two new water heaters update alt new base board finish in entire house handle any and all frozen pipes encountered upgrade gas line New vanity and pedastil sinks included as well as brushed nickel faucets Washer and dryer hook ups will be removed from kitchen areas on both floors and installed in basement. Each floor will have designated washer dryer area. All tile included in bathrooms •entire interior of house needs to be painted 8,680.00 all wall,ceilings and wood work all will be primed and painted with califomia paint neutral wall color and semi gloss white trim dors •entire house needs new interior doors 11,560.00 Solid core six panel doors with brushed nickel hinges and knobs will be used new locking door set front and rear door Flooring •most of hard wood flooring can be sanded down 11,650.00 floors have a heavy layer of glue that will require extra sanding but should be fine .kitchen file floors will be removed down to sub floor New hardwood flooring will be installed in both kitchen areas . dining rooms have subfloor and tiles.this will be taken up hoping to refinish hardwoods under Install new hardwood flooring as needed in entire house front stairs will be sanded and sealed as well as back stairs kitchen •same exact cabinet layout will be used 15,400.00 JK cabinets solid maple wood with Esspresso finish will be used in both kitchens Stainless dishwasher,microwave and range will be included on each floor basic sinks and faucets included labor and material •any walls opened will have R15 insulation installed 5,510.00 basement floor ceiling will be insulated with R30 in each bay Blown in insulation will be completed in entire house from the outside to cover any areas not insulated Continue to the next page Page 4 of 4 Seniice :Acfivi Amount Sheet rock •numerous holes and cracks need to be repaired throughout the house 4,750.00 all areas will be patched and skim coated All areas that had walls opened up,bathrooms and kitchens will have blue board and plaster installed with a smooth glass like finish Permit Fee •all permitting through town of North Andover will be included 1,300.00 Asbestos •Asbestos testing and removal of material on site. 4,500.00 Cement floor •Poor new cement floor in entire basement which is currently dirt.Cement will be four inches 5,000.00 thick and smooth finish. Parge and paint •Entire foundation will be checked any loose mortar will be.taken out and new mortar 1,950.00 foundation installed. Once complete entire foundation will be painted battle ship grey terms •all sub contractors will be required to have liability insurance and workers compensation 0.00 any major unforseen changes will be addressed immediately with owner if payment terms are not met during construction work will cease attic will be broom finish clean only one third due upon start of work second third due upon all rough inspections are complete and new roof and windows are installed half of final third due upon kitchens cabinets installed and painting has started final half third upon completion Construction •Construction from start to finish will take approximately 104 days. 0.00 time frame Demolition and clean out of house will tale approximately 13days. Roof,windows,siding,exterior decks,interior framing,pour cement floor,rough electrical and rough plumbing will take approximately 21 days Insulation,blue board,heating systems,install hardwoods in kitchen,,install all interior doors, install kitchen cabinets will take approximately 21 days Painting,finishes all hardwood floors,tiling,counter tops,finish electrical and plumbing,finish trim work, and kitchen counters will take approximately 21 days. Punch lists,final touch ups,inspections 14 days. Have a grace period of 14 days for anything that slows our process during construction. e Accepted By Accey.: 0 feJ — All e,7 d