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HomeMy WebLinkAboutMiscellaneous - 30 ROYAL CREST DRIVE 4/30/2018 (2),A iT This certifies that 111) Date ... I ..... ... TOWN OF NORTH ANDOVER PERMIT FOR WIRING has permission to perform \k,3 wirin in the building of ... 0 9 ............................................................................................ at ............................................... V. -A ..... .......... . North Andover, Mass. Fee ............ .................................................................................... �.a.5 .......... Lic. No.,ZCW�) ELECTRICAL INSPECTOR Check# A��C; -�-, 3 7, M&I", ip 11 Offloikil (Jse (�hily Permit No, Occupancy and I-ee Chocked BOARD OF FIRE PREVENTION REGULATIONS [11cv, 1/07) (Ionve blalk) APPLICATION FOR PERMIT TO PERFORMELECTRICAL WORK All work to be pedbrined inacqwdancc with the MassachusvtN 61octrical Codo (MEQ, 527 CMR 12.00 (PLE A SE PRINT.1Y.INK OR TYPRA LL XT, ORMA TION) Date: 9,"7-15 City or Town or.- P0,M 1"p 7i� /he fn.�peclor qf Wires: ­ ­­­ _L!_ -y By this application the undersigned gives notice of his or her intention to perform the electrical work describcd below, Location (Street & Number) 9,m�a,\ cmsm vnve Awomr OwnererTennnt v I-J�Yelcphon C �o Owner's Address Is this permit in conjunction with n building permit? Ves F1 No g (Check Appropriate Box) Purpose of Buillding—v—ww Wility Aul-horiz.9tion No. Existing Service Amps Volts Overhead J_J Undgrd J -J No. of Meters New Service Amps Volts ' Overhead[I Undgrd No. of Metens Number of Feeders nnd Amp-9city Location and Nature of Proposed Electrical Work: - -%-& & dW N , �Ll X A�f 'M (7onit)letlon oJ'the fbllowing able may be waived liv the Inspector Or wires, Q-5TO-0 No. of Recessed Luminaires No. of Ccil.-Susp. (Paddle) Polls No. )f Total Tran(stormers; KVA No. of Luminaire Outlets No. of Hot Tubs KVA No. of Luminaires Swimming Po I Above ��rnd. urnd. Emergency Elignting rB�Solitoeftx Untq No. of Receptacle Outlets No. of Oil Burners F IRE ALARMS IN,. of Zones No. of Switches No. of Gas Burners No. of Detection nd Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totftls�d I -1 TF< -W--.,— 1—— No. of Self-Contnined IDetectionJAIlertine Devices No. of Dishwashers Space/Area Heating KW Local rJ M"'CiP?l Otber Connection No. of Dryers Heating Appliahces KW Security Systemql* No. of Devices or C guivolent No. of Water Heaters KW No. of of Signs Rallaqts Data Wiring: No. of Devices or Couivnient No. Hydromflosage 13.9thtubs No. of Motors Total etommunientions W1 ing' No. of Devices or Egi:ivalent OTHER: -16 Affach addiflonal th.,fail f/ desh-rd, or as required ky the Inspector r�f 01tres. Estimated Value of Electrical Work, A -)000 (When required by municipal policy.) Work to Start: 1; Inspections to be requested in accordance with NIEX'Rule 10, and upon completion. INSURANCE COVERAGE: -Unless waived by the owner, no pcmift for Uw performance of electrical work may i%suc unless the licensee provides proo-Pof liability insurance including "compIcted operation" coverage of its substantial equivalent. The undersigned certifies that such covctagc is in force, and ling exhibited pixx,)17oFsainc to the permit issuing office. CRECK ONE: INSURANCE' Ox BOND ri OTHER [I (specify;) .1 certify, under thepains and penaftiev , 4Peduny, th(It the i4formadoll opt thisapplicafien is tnie and co"Wiete. FIRM NAMt: Ne-pon Eloctric LIC. NO., A20803 Licensee' David McMullen Signature IAC.NO-.- iiwm (If applicahIe, enter "exe177121 "in the ficense number Une.) Rus. Tel. No.: -4A1. -2,0--0R7 Address: 200 Highpoint Ave. Pcrtsmou!h, R1.02871 Aicrei. No.: 617-908-4193 *Per M,G.I-. c. 147, s. 57-61, security work require.5 Department of Public Safety "S" License- Lic, No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee dOCS 17(;l have the liability insurance coverage normally required, by law. By my signature below, I hereby wa.ive this reAluilremcni., ( nin the (check, c1nel Elowner El owner's agent, Owner/Apent Signature Telephone No._--._--_ FE, RMITFEE: $ Ilk N omt;j�ll Ose Only Porm it No I 15 Occupancy and Fee Checked BOARD OF FIRE PREVENTION RIEGULATION5 [Rcv,11071 19j" I ---- APPLICATION FOR PERMIT TO PERFORM 'ELECTRICAL WORK All work to be perlbri-nod in,100Tdancc with the Mossachusetiq t,loctrical Code (MEC), 527 CMR 12.00 (PLr�ASEF PRRVT WINK OR TYPE ALL IXT7ORMATION) T)ate: City or Town OF.* 7V P�w" To I -lie Inveclor qf Wires: ,.,. h 6N By.1his application the undersigned gives notice of his or her intention to perform the electrical work describcd below, Location (Street-!LNurnber) AfV- Owner or Tenant 't V Telepbone No. 6 Iq Owner's Address 60 C.W--)T Vnv� L�A Is this permit Ir conjunction with a building permit? Yes Purpose of Building --QW—Wk!! §!� Lkt�;11- %--I Existing Service Anips I Volts Overhead I._J New gervice Amps Volts ' Overhead[—] No N (Check Appropriate Box) Utility Auffiorizqtinn No. Number of Feeders and Amp-9city Undgrd 0 , No. of Meters tiodgrd C No. of Moterq Location and Nature of PropoSed U, lectriefli Work: No. (if Recessed Luminaires No. of Ceil-Su4p. (Paddle) Fans N6,. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Gencrators KVA No. of Luminaires Abov 18wimming Pool grnd.c El 0. 0 EffiOgency EJ -9 Battery Units No. of Receptnel . e Outlets No. of Oil Burniers FIRE ALARMS INo. of Zones No. of Switches No. OtGas Burner.; f Detection and Initiating Devices No. of Ranges No. of Air Cond. rons No. of Alerting Devices No. of Wnste Disposers I -Fent F n T,tn umber . ....................... I'll'ons I ..................... .. No. of Se r[-(7;nt.zzned Detect-lopJAlerting.Devices No. of Dishwashers Space/Area Henting KW Lmall D Mlln'C'P-91 F� Otber C-on"ection No. of Dryers Heating Appliahces KW Security system,4!* No. of Devices or Eguivalent No. of Water Heaters KW No. of No. of I Signs Ballasts Data Wir 11g: No. of evices or Uouivident No. Hydromassige 13.9thtubs No. of Motors Total HP Telecommunientions No, of Devices or OTHER: Estimated Value of Electrical Work: -)000 (When required by municipal policy.) Work to Start; 11 1 inspections to be requested in accordanoe with NIIEC Rule 10, and upon completion. INSI)RANCE COVERAGE,: Unless waived by tile owner, no permit for the performance of electrical work may iimuc-unless the licensee provides proofof liability insurance including "compIctcd operation" coverage of its substantial equivalent. The undersigned cortiflos that such covetagc is in foroo., and has exhibited proo-fofsaine to the permit issuing office, CRECK ONE: INSURANCE Ox BoND El OTHER [I (Specify;) I cert. if y, under thepahis and penalfies qfpe�ftrnl, thot the ittformation on this appliration i.v true and compi C-te. FIRM NAME: Ne-pon Eloctric LIC— NO.: A20803 Licensee' David McMullen Signature IAC- NO.: 116086 (1fapplicable, enter "exempi " in &L ficense number fine.) Rus. Tel. No.:AIQ1--ZQZL-.0Pt--, Address; 700, i h aint Ave. Portsrnuut.h,,R1,Q2871_ Alt -Tel. No., -617-9084193 *Per M,G.L- c. 147, s, 57-61, security work requires Department of Public Safcty "S" Licenw: Lic, No. OWNER'$ INSURANCE WAIVER: I -arn aware that the Licensee tioes nol. have the Iftmility insurance coverage normally required.bylaw. By n7ysignature below, i hereby waive this requirenocni., (nnithe(checkatielUxowner Downer's, agent, Owner/Agent Signature Telephone No. numormE, $ Date.1.1i(O.I.Id ............... TOWN OF NORTH ANDOVER PERMIT FOR WIRING --7 -C ... 400 This certifies that .. I . L �f.. ( e- I Af-'.,.� . ...... j pre,,,� - V�-A Cj .................... .......... ................... has permission to perform .64--P ...... q& ........ %c� wiring in the building of ...... &.V�VN � D ...................... A .................................................................... -3o )i&j orth Andover, Ma -at ................................. C/vc-A- A . ...................................... I ........... .Fee .............................. Lic. No. .1�7wk ........ L CTR . Ali&AL� iIN . OSPECTOR ..... ....... ...... Check # �3o-)- \ 7-, '7 (fominonwea& ol WaMac4aJeth Official Use Only Permit No. 2epartment olJire Servicei Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEA SE PRINT IN INK OR TYPE A LL INFORMA TION) Date: September 10, 2014 City or Town of*. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) 50ROyal CreSt Drive Building # 30 Apt 9 OwnerorTenant Royal Crest Apartments Telephone No. 978-681 -1 B-22 Owner'sAddress 50 Roval Crest Drive North Andover. MA 01845 Is this permit in conjunction with a building permit? Yes F-1 No Z (Check Appropriate Box) Purpose of Building Commercial - Apartment BuildingsUtility Authorization No. Existing Service Amps Volts Overhead Undgrd [—] New Service Amps Volts Overhead UndgrdF] Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Replace Electrical Panel Completion of the.following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above Ej In- Swimming Pool grnd. grnd. 0 No of Emergency Lighting Baitery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump I.NP.Mber].x9ns .......... J.I�W ........... No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local o Municippi E] Other Connection No. of Dryers Heating Appliances KW Security Syste!ns:* No- of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total Up Telecommunications Wir�m No. of Devices or Equiva5ent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $425.00 - (When required by municipal policy.) WorktoStart: 09110/2014 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ER BOND F1 OTHER 0 (Specify:) I certifjl, under thepains andpenalties oflierjury, that the information on this application is true and complete. FIRM NAME: The Electricians & Co., Inc. LIC. NO.: Al 0737 Licensee: Michael J. Parziale Signature aAJ,4-P C. NO.: E20269 (If applicable, enter "exempt " in the license number line.) qBus. Tel. No.: 781-322-9344 u� Address: 50 BranCh Street Maiden, MA 02148 A�11- Tel. No.: 791-322-3100 *Per M.G.L. c. 147, s. 57-6 1, security work requires Department of Public Safety "S" License: Lic. No. SS Q0 001021 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) 0 owner F1 owner's a t Owner/Agent Signature Telephone No. FPEI?MIT FEE. $ 12 4.7 The Commimealth of Maswchu-vetts Departmen't of IndustrialAccidenh Office of Investigations 600 Washington S&eet Bosion, MA 02111 www.mass.gov1dia 'Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Applicant Information Mase Print Legibly, Name o v U, I):- The E lectr ic ians� & Co., Int, W�hqi id Address', ,6.0 0ranchtt'reet Are you an employer! Checkthe appr 1.7X 1:arnaerrtP1qyer,-.,vJth� 16 ( � and/orbait- e) employees,, fu 'tilh 2.7.1�i . I .. 16 s . 01 t ..'f rt I I . ie . f4 P, PrOprip 0 )Upa� ship'pndba-ve,no e . mpl oym Workin Joirrneivany�capacity. [No workers"conip.-Isurance required.l. 1 arn A.h6nieowner:dom ai , I wor� i6surance required.]-' 1148 Phone (7 riate.box- 4�. 0 1 -�trn -,a gem�rwj:ciontrActor andA. have.hitOAe sub-tontrActors. 7M6 g'ub6con . tractors'lldve e p pye'es andl V11 I 11cive �Nbt erV comp. insurance.�� 5. We are�a,.corporationaud it's offlen&s 'have, exercised their rio d. 15.2' §1 (41;:5nd WeNoW no 'MO'Qy"'esr� o workei,'S' 322-9344 Type, -6tproject (required): 6, El New constfuetiofi- T. kemodehn-g 9'. M Bui - Iding,addition .0, EK Net �dl repa rs,6r additi6ns 1, 1, F-1 Plumbing repairs oradditions ,11[] R60Prepairs I 3.F1 Othier '�Aiiy:appli�aiit,ttiat.e.hecks,b,o-,.,#.I must'�Iijo rill out-tlie.,5octi , onhoo,�V-,.sho ine�theirwork . ers' conilmisation policy informit Ion. 1461neounem- vho,subrnitfhis,iiffidavit indicatingth6y H* doioja�all;,Work and didn hire otffkide dintradfim% muststibmit� now affid[Avit,iiidiciiting,such; ';Cori(ractoi-s:diat�lic�ki�is'66x:'rnusi�iii�6!icd an fi� of ih� S-ub-,Conlractoti�and mployces. If tlic sub-,contractors,h,av��,-c,niplo,�ces, thcy must providc th6f workers. comp.. policy number. j am ol -it providbig #vOrkerV comp wncef i es. Bo1okv.iVthe:p61j4qKand 0Y#plq!vP tht qpytoa i��yr ot Mij enploye lns.uranco,�Cornpany Narne: Hanover, Insurance tompany 'WHN605576202 ENpiratJo.n. DAte-. —.1 — 09/0112015 Jbb,Site Address-, 50 Royal Crest Dr. Bld 30 Apt 9 'City/State/Zioi North Andover, MA 01845 P,,,,,, deel r t Attach a colyyot the .woIricer,0 �com pensation a _a ionpage (show in g -the policy: ournberand'expivation date). C ['�5,2�:Cajj ,ed Ni I urelo,sec tire c 4mageAqrequiredunderrSee �A 6f�rMr I) thelin itioni ofeeirftim OV tion,15 G L t I PQS�' d penalties ofa fifie"opto $1�500;00 hhd1bnohe-yeaj' iniprisonment. a!�wdl, ascivij Pei icil b6ni the "Form --of STOP WORK ORDEPand a fine oi IL (0,$2,50.0,0: a aay agaiji�t'the vi6lat6r., Be ad d th Vj5e Copy of th s: st�ftqnient inay beforwarded toffie Qffio of IfiV estigations bftlyeDIA16f insumnc�rc'-O'Veragpveri iicatik. I do h ereby cerfifj,' u n der th e paiqs a it d 1) en a Ifies, 6j*p erju rj,� f h f th e ormadon provided abow,h true'aiid cor)-ect. Date: September 10, 2014 Official use,on�y., Do notwifti? in-this:ar,4a, to becoMpleledby cio� ortow'nofficiaL City or Town: Perinit[License # Issuing Authority (circle one): 1,19oard offlealth 2-guildingbepartment 3. City/ I T I own Clerh- 441lectrical I . nspector 5. Plumbinglaspector 4. Other Contact Person: Phone #: &4% e% r-2 ^ 'ML'WrxqT. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/02/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS WVD CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES POLICY EFF (MMIDD1Y`YYY) BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED LIMITS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r5CI OCCUR IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to VUMC0068250 the terms and conditions ofthe policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the 09101/2015 certificate holder in lieu of such enclorsement(s). DAMAGE TURENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ Excluded PRODUCER Appleby & Wyman Insurance Agency Inc. CONTACT -NAME: HONE FAX IPAIC' No, EII:978.922.2288 IAC N.I: 978.922. 2731 E-MAIL ADDRESS: $ 1S2 Conant St. Beverly, MA 01915 AUTOMOBILE X CRODUCER UST ERID#: 0000338S INSURERS) AFFORDING COVERAGE NAIC N 09/0112014 INSURED COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 INSURERA: Berkley Assurance Company 39462 The Electricians & Co., Inc. $ INSURER B: State Auto Ins. Companies 25135 50 Branch Street UMBRELLA LIAB EXCESS LIAB INSURER C: QBE Specialty Insurance Co. 11515 Malden, MA 02148 INSURER D: Hanover Insurance Company 22292 'INSURERF: EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 �INSURERE: $ $ COVERAGES CERTIFICATE NUMBER: 14-1S 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. INSR LTIR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MMIDD1Y`YYY) POLICY EXP (MM/DDNYYY1 LIMITS a GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r5CI OCCUR VUMC0068250 09101/2014 09101/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TURENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ Excluded PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: —]POLICY[ ] PRO- Ll LOC JECT PRODUCTS - COMP/01? AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS BAP2360955 09/0112014 09/01/2015 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE MQSX00005144 09/01/2014 09/0112016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ $ 4 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ,ANY PROPRIETOR/PARTNERJEXECUTCVE r___1 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WHN6055762 09/01/2014 09/01/2015 WC STATU- I 1OTH- A_LT110RY LIMITS ER E.L. EACH ACCIDENT Is 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If wre space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover Attn: Wire Inspector AUTHORIZED REPRESENTATIVE 1600 Osgood Street North Andover, MA 01845 Lisa Marciano/VAL @ 1988-2009 ACORD CORPORATION. All riahts reserved. ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD P 10M I CI ANS "I" S S U E S L LOWING ''TERE J1 D MA$ -R&ELECTR I E CTR I C I AN.S AND COMPANY'Iff C H -E L E A F, 50'BRA&qf, 04' 5*kL-,D E it. 0214 65846 1073 TM nV RA"�"6ii*C-M, Date .... ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING ............................................................ 01e��01 I . ........ ..... .... This certifies tha I . ................. .. has permission to perfortu . ........... .... .......................... wiring in the building of .............. . ................................................................... at ...... -50 ... North Andover, Mass. Lic.No.22��(8 I-te Fee ... u�-.6 .............. LE MT 0** ....................... � Check # 1 ? -*-*; 7 7 Commonwealth of Massachusetts DePartment of Fire Services Permit No, _J24M_� , Occupancy and Fee Checked BOARD OF F . IRE PREVENTION REGULATIONS Rev, 11"9) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed irl 80cordance with the MusachusOtts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE- AL4 IN,-, 0 TION) Date: City or Town of: N R BY this application the undersigned gi 0'fr1_K A "N TolheInsp_�ectoroff &resv:��� ves notice of is or er intention to Perform the lectrical work described below, Location (street& Number)_..., 1-Z-0 &?�( priNrIQ OwnerorTenant— AcyAco mov\\- - OwOerN Address Lt, 114. — Telephone No. (778- 1 8 this permit it, conjun Apj-*�Ley- 0 1 a 4 5 t Purpose Of Building ctiOn with a building permit? Yes 0 No [gX_ (Check Appropriate Box) J We �ihl� Utility Authorization No. Existing set -vice Amps Volts Overhead 11 Undgrd No. of Meters atluxlu Amps Volts Overhead 0 Undgrd Number of Feeders and Ampacity____� No. of Meters Location and Nature of Proposed El lectrical Work: T IKIIK !JU — fin No. of Recessed Fixtures No. of Lighting Outlets No. of Lighting Fixtures FNo. of Receptacle outlets No. of Switches N 0. o. of ERanges 0. OrW 8 No. OfWaste Disposers CA -S No. of Cell..sUsp. (Paddle) Fans No. of Hot Tubs SWIMMilIg pool A00Ve No. Of Oil BUrners No. of Gas Burners No. of Air Cond, 0 — fnu oe waivea b jh 0.0 Generators KVA FIRE ALARMS 1No, of Zones 90-57re—tee R.—nn­a'vn,;T­ 0, of Alerting Devices ­A4­&jjVU No. Of Dhhwashers Dete0lon/Alertin LD—evices L SPace/Area Heating KW ocal unle No. of Dryers ating pi Local unic p H ti �_�Connect n rl Other Hen ng Appliances K ty � o I KW ecurl� stems: 0 IN VIC .010 No. of evices j 0 1 �Vylc�or Equival Renters KW O.o ent. Data Wirin No. Hydromassage Butht Ballasts No )f Lices or E ulva!1ent . mun cat ons ubs No. Of Motors Total HP T _eTe ­cO m �N_"o'ns �"'ru'nv! ARWTW.,NT OTHER! 6 U��\ �-i C _. No. CIIT\\N a �,w rAO�A VIS� INSURANCE, J�ney- Ajl'70� "411101101 dela-(, V deilred, or 0j required by the Ins— COVERAGE: Unless waived by the owner, no permit for the Performance of electrical work may �eaor oivires, the licensee provides proof of liability insurance including issue unless undersigned certifles 't'ompleted operation" coverage OF its substantial equivalent. The that such coverage is in force, and has exhibited proof of same to tljj� Permit issuing office. CHECK ONE: INSURANCE Y' BOND [] OTHER [] (Specify: Estimated Value of Electrical Wor 71-51ration �Dve) Work to Start: (When required by municipal policy,) A Inspections to be requested in accordance I certify, under, dV=j0y_ with MEC Rule 10, and upon completion. hepalnS 4ndpenalties FIRM NAME: N OfPedurY, that the information Of? this application is frue and complete, Licensee: r\ r 1 L I C - N 0i W11cabie entcr -exempt in the IiATe number line,) LIC. NO.: 0 Address: �0 � R W, 05 OWNER-1821QU IN% Ile Bus. Tel. No.- �RA 044 0 1 f ar - Alt, Tel, No,- �gib required by law. By my Sig Licensee does not have the liability insurance 3 Owner/Agent nature below, I hereby waive this requirement. I am the (chee one) covera normally Signature owner's a nt. Telephone No, PERM1 T FEE,: $ 0 Oc Intl ("071typioll")ealfix OfAlassachifseta NPaPffilent OfIlld"Strial Accidents Office of bVesfigations I C01106SN Strget, Siiite 100 BOVOB� MA 02114-2017 WHIM" MUSSIgovIdia Workers' Compensation Insurance Affidavit: Bul.lders/Cointira�ctors/Electricians/Plumbers Apy —glease,P—rint Legibil Name (Business/()rgalli7,a�on/Iiidividual): Address: rn City/Sta Phone #: ArYyou an employer? Check t e appropr ate OX: I.YN I am a emp lOyer with 4 -DI atn a general contractor and I vmPlOYees (full and/or pait-time). have hired the sub -contractors 2,0 1. am a -sole proprietor or partn . er- listed on the atUched sheet, ship wid haye no employees These sub -contractors have workin'g, for mc in any capacity. employees and have workers, [No workeng' comp. insurance comp, insuranceJ required,] We are 9� corporation and its 3- D I am a homeowner doing 0,11 WO& OfficerS have exercised their MYself [No workers' oornp, right Of exemption Per MUL insurance required,] t C. 152, § 1(4), and we fiave'n() en'PlOYees. (No workers' COMM instirance. required I Type Of project (required): 6. (1 New construction 7. El Remodeling 8. EJ Demolition 9, D Puilding addition 1011 1 QXE lectTical repairs or additio'phs I 1 -0 Plumbing repairs or additions 12 -El Roof repairs 13.0 Other — - .. __ ! I I *Any.1PPlir9ntth.qtchCQks box 41 mijsta.lso fill 011tthc sectiort belowshowi,Z thQirworkcrq' (mrripensation POUCY informfition. 14orneowriers who siftilt this affidavit indiesting thcy nre doing all Workand thon hirc 011tSide =tractors muqt submit'g now affidavit indicafing such, -tContraotors thAt che4lc this box milst ittaebod an iidditional sheet showing the nal-ne of the sub-contrictott nnd � M1310YOUS. If the sub-contrputors bavt' , tAte whethq,�r or not those cntitiei have CM00Yee,9, thcY Must Provide thuir workers, rornp, policy flLunber, am an eft'Ployer that is proViding N?orkers I compensation in$11rancef0p 117y ej);pla in rmation. yees. Below is the Policy andjob site 'fo Insurance COM,pany Narnei �eg co POJ icy # Or Self -in S. Lic. #: --L—T a= Expiration Date: 0/ M4 Job Site Address: 6 Z16 4 City/State/Zip: Attach it copy Of the workers, compensgtion policy declaration page (showing the policy number and expiration date), Failure to secure coverage as required. under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a flttc uP to $1,500,00 aqd/or one-year imprisonment, as well �s Civil penalties in the form of Ei STOP WORK ORDER and a fine Of uP to $250.00 a dayagainst the violator, Be advised that a copy Of this state . mcnt may be forwarded to the Office of Investigations of theDIA for insurance coverage verification. I do here i cerfif Lull) fhaf!���nprovideij 06,ye is true and correct. Qfficial U.Te only. Do not write in t1zr-,s area, to be cop, 'pleted by el-ly or town of "r �c,al city Or Town: - Permit/License # Issuing Authority (circle one). 1. Board of Health 2. Building Department 3. City/Town Clerk 4, Vlect.rical 6, Other Inspector 5. PIUMbilia lintnaefe— Contact Person: Phone #, , I'— - "" F, Di—VIS11 Assu Rl PAT 4 9:; BURK 13, W CERTIFIr.ATt: nit i 1Ar!111 1""%ff affikffi�­ ID- LS I THIS IS TO CE ATED. NOTWITHSTANDING ANY REQUIREMENT,, C �EVISIO�NN5 .......... . ...... F1`111:11e I !'I A— THE POLICIES OF INSURAN INDIC E L S 11i 1 13 li� 1, WER: ��'3URED -ABOVE ERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. NAMED FOR THE_PiC_)LjCypERjOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS BY THE POLICIES DESCRIBED LIM11 INS 3 SHOWN MAY HAVE ,�PEO�IN_$U, RANCE HEREIN IS SUBJECT TO ALL BEEN REDUCED By PAID CLAIMS. THE TERMS, GENERAL LIABILITY POLIC NUMBE ------- A X COMMERCIAL GENERAL LIABILITY SCP00604 6448 CLAIMS -MADE 1­7�,71 I A I OCCUR EACH OCCURRENCE LIMITS $ 12/30/2013 i2/3ol 2014 1,000,0 !a_ 300,01 MED EXP An one erson S 10,01 PERSONAL & ADV INJURY $ 1,000,0( GEWL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,0( POLICY PRO- LOC AUTOMOSILE LIAINUTy PRODUCTS - COMPIOP AGG S 2,000,0( A ANY AUTO ALL OWNED SCHEDULED SCP005046448 AUTOS x AUTOS 0 aB NED SINGLE LI IT Ep ccl�eni) — 12/30/2013 12/30/2014 BODILY INJURY (Per 1100010( ­ HIRED AUTOS NON -OWNED x AUTOS pe— s-- rion) BODILY INJURY (Per accident) s P Rk' P E �RrY D �GE 29 ACCIDENT) $ UMOMLLA LIAO x OCCUR _ $ B X EXOEW LIAO CLAIMS -MADE B80019698 EACH OCCURRENCE 41 0 0 .1— _. ­ -- WO Jft COMPENSATION 12/3 0/2013 12/30/2014 A13GREGATE $ 1 6,000,00 C AND EMPLOYERS, LIAeIUTy $ ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 68861 OFFICER/MEMBER EXCLUDED? ndatory In NH) —1 N/A F WC STATU- OTH. S- _ER.- 01/18/2014 01/18/2016 ea d scribe under E. L. EAC H ACCIDENT S. 600,001 R I NOFO ERATIONS below A Empi Prac Liab E.L. DISEASE - EA E_ PL Y ; 500,00( SCP005046448 12/30/2013 12/30/2014 E.L. DISEASE - Pot iny 1 11— _i_00100( DESCRIPTION OF oPi!!i:1 'I I )IIS 11 1 I'll LOCAI 11 1 11 ONs I VIEHICLES (AttaOh ACORD 101, AddMonal Rwmii kil 4116C u1`1,1 If fftrf $PAO* Is r*4uir*d) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI IRATION DATE THEREOF, N0710E WILL BE DELIVERED IN Insured's Copy ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRES ---------- Daniel F, Dwyer ACORD 154 -ea, 3L-5 Ad - 04, Date ... ....... 7768 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... (.Y�A�� f�.,� �e: . . S.-/. � hp�� ). : has permission for gas installation M !7 ................ in the buildings of .... L: -r .............. at 0. North Andover, Mass. Lic. No.. ...... GAS INSPECTOR Check # �� �- -� 6, () 14 - CIVY1101=0 117— �� - -- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: 0, AoJ)-ot1j5,C — MA. Date: 9--Z-tt Permit# * Building Location: 94v14L- CA-iE5-ST, -0k Owners Name: - 126�114L C&R -S -i Type of Occupancy: Commercial E] Educational E] Industrial El Institutional El Residential New: 0 Alteration: El Renovation: [I Replacement: [Z Plans Submitted: Yes F� No CIVY1101=0 117— �� - -- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes E] No R If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V- Other type of indemnity El Bond F-1 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives. this requirement. Check One Only Signature of Owner or Owner's Agent Owner E] Agent El By checking this box E]; I hereby certify that all of the details and information I have submitted (or entered) reqardinci this aDolication are trun and I. .. . My n11VW1t;U!JV d1lu Uldt dn piumoing worK ano installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By 0 Plumber Title E] Gas Fitter Signature of Licensed Illumber/Gas Fitter NLA El Master City/Town MIJourneyman APPROVED (OFFICE USE ONLY) LP Installer License Number: E& ON 7 P I W z W =11 W 0 CO X 0 X Im z 1: 1-- LU 0-j>- LU 0 W W 2 W02WW 0 w Lu 0 z Lu M 9 Lu z Z-) W 0 W w W R b 0 0 1-- < M > COOZOW0 F- W W l'- < Lumo X a. Lu 16- w a W ME: X Lu > z 0 W W < 0 W —j _j W F- 0 U) Lu z -j 0 1-- LL co :C F- Z W Lu F- W W 0 0 >- W W a 0 W =) U) < 0 2 0 < Lu M W 0 z >0 0 0 t W Z > Z Z W F- W X COL wo > 0 SUB BSMT. —V—F BASEMENT Is' FLOOR 2 N ') FLOOR 3mu FLOOR 4'H FLOOR 6TH FLOOR 6 T" FLOOR '—FLOOR f 8T" FLOOR Installing Company Name: —Cowlnj. ealL-5e_ -EyS7Z7rAIS Check One Only Certificate # El Corporation Address: 15Z OUDA401 S:T, City/Town: 15bft9&Kj!F State: AIA El Partnership BusinessTel: 7S -�19XZ Fax: El Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes E] No R If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V- Other type of indemnity El Bond F-1 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives. this requirement. Check One Only Signature of Owner or Owner's Agent Owner E] Agent El By checking this box E]; I hereby certify that all of the details and information I have submitted (or entered) reqardinci this aDolication are trun and I. .. . My n11VW1t;U!JV d1lu Uldt dn piumoing worK ano installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By 0 Plumber Title E] Gas Fitter Signature of Licensed Illumber/Gas Fitter NLA El Master City/Town MIJourneyman APPROVED (OFFICE USE ONLY) LP Installer License Number: E& ON 7 P I if - 'I', ..N 9965 Date.... TOWN OF NORTH ANDOVER 0, 10 PERMIT FOR WIRING This certifies that ......... 7.�.�e .... e-z-oer, 5 ........ .... .. .... .............. ..... ... . ......... .................... has permission to perform ..... 4 ...... 47� .... :� ...................... wiring in the building of .............. & 0.%^ .... ................. 3Z> North Andovei, Mass. Fee ... Lic.No...&73.7�� ....... .. . ...... 3. Check # �L E CTMR I ACC A L N S P � C�M;TO Ile .1 (fommonweallk ol Ma-4.4achajettj Official Use Onlv Smicei Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS .[Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEA SE PPJNT IN INK OR TYPE A LL INFORMA TION) Date: — March 14, 2011 City or Town Oh North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)_ SoRoyal CreSt DroVe BUeldang Owner or Tenant Royal Crest Apartments Telephone No. 978-681 -1 0 RAL Owner's Address 50 Rnval Crp-qt nriva Nnrth Anrinvar MA ni RAr% -1 Is this permit in conjunction with a building permit? Yes No N (Check Appropriate Box) Purpose of Building Commercial - Apartment Building-SUtility Authorization No. Existing Service Amps Volts OverheadF-1 UndgrdF-1 New ServiLe Amps Volts Overhead Undgrd [--J Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: InStall 6 Gell Packs! Complotinn nfthp fnllnivina tnhlo niny ho iv�iiyod A ) t�e �Pl— i'wi— No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above o In- grnd. grnd. No orE—mergency Lighting Baitery Units 6 No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners f Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: .......... JKW .................. No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW M Local[] C unicipal El Other onnection No. of Dryers Heating Appliances KW Security S t s* No of evices or Equivalent No. of Water Heaters KW 0. of --1V0—.of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wir�in : No. of Devices or Equivalent ,OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $600.00 — (When required by municipal policy.) Work to Start: 03114/2011 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [J BOND [I OTHER El (Specify:) I certify, under thepains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: The Electricians & Co., Inc. /**% - r*\ I - LIC. NO.: Al 0737 Licensee: - Michael J. Parziale Signature Atuyae NO.: E20269 (If applicable, enter "exempt" in the license number line.) k - (J Bus. Tel. No.: 781-322-93" Address: 50 Branch Street Maiden. MA 02148 t. Tel. No.: 7AJ -122-ftl QQ *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS Co 001o2i OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) El owner 0 owner's agent. Owner/Agent Signature Telephone No. rPE"ITFEE.- $ 125.On DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, April 15, 2011 3:36 PM To: Grant, Michele Subject: Complaint - 30 Royal Crest Drive, Apt. 12, 3rd Floor - Another email from tenant (3rd today?) Attachments: dscn6619.jpg;dscn6620.jpg;dscn6622.jpg;dscn6624.jpg Here is another one from tenant at 30 Royal Crest Drive, Apt. 12, 3rd Floor ............. see Re"*&, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 I Fax - 978-688-8476 Eil Email - 12dellechiaiePtownofnorthandover.com -1� Website http: / /www.townofnorthandover.com/Pages /index "We can never see the path of our life if we are too busyfocusing on the pebbles under ourfeet. "--Anonymous From: MELANIE TAMBERINO rmailto:melanietamberinoayahoo.com1 Sent: Friday, April 15, 20113:12 PM To: Deana (042391 -Royal Crest Estates (North Andover))Susko Cc: DelleChiaie, Pamela; melanietamberino*yahoo.com Subject: RE: Hi Deana, I havn't heard back from you, just checking in to see what is going on with my ceiling. Also I e-mailed you in Feb about mold in my bathroom on the walls and ceiling. I think the bathroom may need a new vent. As I leave the bathroom door open when I take shower and the vent. I also clean my bathroom like everyday with the baby and all. Thanks, 0 Mel --- On Sat, 4/9/11, Susko, Deana (042391 -Royal Crest Estates (North Andover)) <Deana.Susko(&,aimco.com> wrote: From: Susko, Deana (042391 -Royal Crest Estates (North Andover)) <Deana, Suskogaimco.com> Subject: RE: To: "MELANIE TAMBERINO" <melanietamberino@yahoo.com> Date: Saturday, April 9, 2011, 2:52 PM I will get with the maintenance department on Monday and get back with you as soon as I figure out what is going on. I apologize for the delay and inconvenience. E�e'ana Susko Community Manager Royal Crest Estates — North Andover, MA p} 978-681-1822 f) 978-682-9064 Vantage Pointe — Swampscott , MA p) 781-598-0010 f} 781-596-0963 e} deana.susko@aimco.com From: MELANIE TAMBERINO rmailto:melanietamberino0yahoo.com1 Sent: Friday, April 08, 20114:06 PM To: Susko, Deana (042391- Royal Crest Estates ( North Andover Cc: melanietamberinoC@yahoo.com Subject: Re: HI Deana, I called the office a few days ago and spoke with Katlyn. I asked her if she knew when anyone was coming to fix the ceiling. She told me it was in the system as already fixed. I know Tom came over, when I was working and my Aunt was with the baby, they fixed the heater. I was hoping you could tell me when the ceiling would be fixed, b/c I am worried the there IS MOLD on my ceiling from the leak and it is not healthy with the baby. I know that lite last time that we had spoke the the ceiling were being fixed by who had it worse. I know that one of my neibors ceiling was fix b/f mine and that person didn't have it that bad as me. If you could please call me, that would be great! 978-590-9465, Thanks, Mel 9 --- On Fri, 3/18/11, Susko, Deana (042391- Royal Crest Estates (North Andover)) <Deana.SuskoAaimco.com> wrote: From: Susko, Deana (042391 - Royal Crest Estates (North Andover)) <Deana. Suskogaimco.com> Subject: To: melanietamberinogyahoo.com Date: Friday, March 18, 2011, 2:50 PM Hi, I just met with Kevin the Service Manager and he said when he went to your apartment he saw that the baby's things are directly under the area on the ceiling where it is separated. I would highly recommend that you move these things away from that area just to be safe. Your apartment is on the next batch of apartments to be done which will hopefully start late next week if all goes well. I'll keep you posted as we get closer. Thanks. beana Susko Community Manager Royal Crest Estates - North Andover, MA p) 978-681-1822 f) 978-682-9064 Vantage Pointe - Swampscott , MA p) 781-598-0010 f) 781-596-0963 M e) deana.susko@aimco.com Please note the Massachusetts Secretary of State's office has detennined that most emails to and from municipal offices and officials are public records. For more information please refer to: hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. Ar ZA _44 iw� WT, 2!1 �'T _44 iw� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Permit NO: Date I., ANT: Applicant must complete all items on this LOCATI Roygi Crest -BUILDING Print (1 17— PROPERTY OWNER AIMCO, Roval Crest Estates LLC UNIT 3 i 4, S 7, 'X1.1 Print MAP NO: -PARCEL: ZONING DISTRICT: Historic District yes no X Machine Shop Village yes no 1 TYPff-0-F -IMPROVEMENT El New Building El Addition o Alteration 734iepair, replacement D Demolition PROPOSED USE Residential Non- Residential El One family 0 Two or more family 11 Industrial No. of units: El Commercial El Assessory Bldg El Others: [I Other 77 B 4- gEj5E&�ZTWORK TO BE PERFORMED: a4( z" (Identification Please Type or Print Clearly) Phone: OWNER: Name: Address CONTRACTOR Name: Thomas H. Kinnal Address: 286 Broadway, Haverhill MA 01832 Supervisor's Construction License: CS 82747_ Homt Improvement License: Exp. Date: 6/20/2012. Exp. Date: Phon ARCH ITECT/ENGI NEE:1 Address: Reg. No Phone: 978-360-0051 I . - $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F. FEE SCHEDULE. B ULDING pERVIT, FEE: $ N 3 'Total Project Cost: � �150� Receipt No.:231Q_�_ Check No.: It nd. i rso s contracting with unregistered contractors do not have i cess to the guarantyfq NOTE: Plans Submitted F1 Plans Waived 11 Certified Plot Plan 11 Stamped Plans 11 h. 4; TYPE OF SEWERAGE DISPOSAL Public Sewer El Tanning/Massage/Body Art El Swimming Pools Well El Tobacco Sales El Food Packaging/Sales El Private (septic tank, etc. El Permanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED x DATEAPPROVED 01 CONSERVATION Reviewed on Signature COMMENTS I HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No:' Zoning Decision/receipt submitted yes Planning Board Decision: Comments I lonservation Decision: Comments E Water & Sewer Connection Drivewav Permit a )PW Town Engineer: Signature: 'IRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Street no )c ,ocated at 124 Main Street lire Department signature/date OMMENTS 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 )oc:.Building Permit Revised 2008mi a 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 c3 Building Permit Application ci Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses 13 Copy of Contract • Floor Plan Or Proposed Interior Work • Engineering Affidavits for Engineered products )TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Ei 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/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 rE: All dumpster permits- require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 13 Building Permit Application ci Certified Proposed Plot Plan u Photo of H.I.C. And C.S.L. Licenses c3 Workers Comp Affidavit ii Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) 13 Copy of Contract • Mass check Energy Compliance Report • Engineering Affidavits for Engineered products E: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Yermit ases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals B appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording a submitted with the building application )r-: Doc.BuRding Permit Revised 2008mi (A m m m m m X U) m m 0 a V-1 AM b I P Fj C/) C/) n 0 z C/) Le tz �d' C/) 2 0 z C/) C3 z 0 7" co co EK CD co C. co M CD C31" C2 I ccor CD CO) co CA CCD2 Ct C22 9's. Cc: rr C=M. ICIL Cl) 02 CA =CI, CD C#) C', C2 C2 z cal 0 LA. C2 0 CD C4, CL C, =r CD 0 CD CL CD Ca to = CO) C L Iff cr CD U2 4c CA CD C3 CD CA C, owl =r CD 0 0A CD P CD CO2 CD w CLIO C,* C=2 CD cn 0 Cl CA x CA 10 . Cl) 0 CD a z cop) CD 0 n x CL a, C: CL 0 0 C3. CO) 0 C-) CD CD 0 CL cr =r "C CD P-9. Er CD 0 '0 —1 CD CD tv co) CD CA CD C2 CD z CD CD 0 a V-1 AM b I P Fj C/) C/) n 0 z C/) Le tz �d' C/) 2 0 z C/) C3 z 0 7" co co EK CD co C. co M CD C31" C2 I ccor CD CO) co CA CCD2 Ct C22 9's. Cc: rr C=M. ICIL Cl) 02 CA =CI, CD C#) C', C2 C2 z cal 0 LA. C2 0 CD C4, CL C, =r CD 0 CD CL CD Ca to = CO) C L Iff cr CD U2 4c CA CD C3 CD CA C, owl =r CD 0 0A CD P CD CO2 CD w CLIO C,* C=2 CD cn 0 cn Pt x 0 W :v �) n x % -W pd or - 00 zr a, C: CL 0 0 cn F C/) CA 0 �lr z 0 IN, lll� )Mq 0 0 41� CD 04 > co < 0) o M UJ K > 0 ul 03 00 0 0 EL co 61 c) . . . . . . . . . . . . . . . . I The Commonwealth ofHassachusetts Deparlinent of bidush,141,4celdents Office of Investigations 600 Washington Street Boston, MA 02111 immynass.govIdia Workers' Compensation Insuran-ce Affidavit: )3uilders/Confiractors/El--ctricians/Plumb ers Applicant Information Please Mut Loob Narf1c) (B�usiness[Organization/Indi-vidual): Address- 2-r6 6 V,14 City/State/Zip: a4J-"-hA IM- o(,�-,'Z- Pho-no#:' Q 7,'�- '3�,6 Axe you an employer? Check the appropriate box: 1. 1 am a employer with Y 4. F1 I aria a general contractor and 1 I Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. E] New construction 2. EII am, a sole proprietor or partner- listed on the attached sheet. 1 7. E] Remodeling ship and have no employees These sub-contractois have 8. 0 Demolition working for me ia any capacit�. [No workeis' comp. insurance workers' comp. insurance. s. El we aic a corporation and its 9. F1 Building addition required.] officers have exercised their ME] Electrical repairs or additions 3.El. I am a homeowner doing all work right of exemption per MOL. 11. [] Plumbing repairs or additions myself [No workers' comp. c. 152, § 1(4), and we have no 12.E] Roof repairs insurance required.] t employees. [No workers, Un Other comp. insurance required.] -AnY applicant that checks box 41 must also fill out the section below showing their workers' compensatfonpolfoy information. f Homeowners who submitthis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. fContractors that check this box must attached an additional sheet showing the name of the sub -contractors; and their workers' comp. policy information, am an employer that isproviding workers' com efor my ettTloyee�. Below is thepolley andjob site ,pensation insurane information. Jhsuranca Company Name: I Policy # or Self-ius. Lic. #: qZ62-- iration Date: Z- 0 ( -z- lob Site Address: -5-0 4.11, 4 C�Iuw 01�2, City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policyrrumber and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of crimfnal penalties of a ae 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 ofthis statement may be forwarded to the Office. of N hivestigations of the DIA for insurance coverage verif[cation. I do herebY cert�9 under thepains angpenalties ofperjury that the informadonprovided above is tTue andcorrect. Signatu 0: Date: Phone# 605 - Official us-- onb;. -Do not write in this area, to be com pleted by city or town offl-cial City or Town: )?ermit[License -Tssuing Authority (circle one): 1. )3oard of Erealth 2. Buffdhag Department 3. Cityffowa Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other contact:Person: hone #: 81201� 5:02:12 AM PST (GMT -8) FROM: insurancevisions-com-TO: 197845411365 Page: z 01 -, DAT E (MMIDWMY) CERTIFICATE OF LIABILITY INSURANCE I 2tifl2211— THE CERTIFICATE HOLDER- THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 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. 7-- I'IOM IS WANED, subject to 150") must be IMPORTANT: If the certificate holder is an j%DDHIONAL INSURED, the pol , I. A statement an this certificate does not confer rights to the the terms and Conditions of the policy, certain Policies may require an endarsemen certificate holder in lieu of such endorsement(s). -RODUCER H INC Col"Acr HAME. FRED C CHURC M EAX (A/C� N-1- (978) 454-1 CONNECTOR PARK 41 WELLMAN ST LPHONE (AC N9. EAII. (978) 4 58-1865 LOWELL, MA 0 1851 54AML ADDRESS: NAIC NsuRm THOMAS H KINNAL DBA EAST COAST GENERAL CONTRACTING 286 BROADWAY HAVERHILL MA 01832 OVERAGES CERTIFICATE NUMBER: 9578452 HAVE 13EEN ISSYED TO THE INSURE tED OVE FOR THE POLICY PERIOD THIS IS ib CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW oNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS UIREMENT, TERM OR CONDITION OF ANY C INDICATED. NOTWIT HSTANDING ANY RED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS- 'c'Es. POUCYE-F POUCY EYLP um" ADI L SUOR pauCYNUMBER FAMODIYYY IMMMI) SR ltgpl' EACH OCCURRENCE TYPE OF INSURANCE IR 9�m2u'��— FF= I GENERAII-II-LASUITY q_,GE 0 RENTED Is MERCIAL GENERAL LIA131UTY I MED DO —(A'Y-- CLAIMS-h4ADE n OCCUR I I I I I FPERSONAL&ADV Llmrr APPLIES PER: AUTOMOBILE UABRITY BODILY INJURY (Pet POM-) ANY AUTO ALL OWNED AUTOS 11 SCHEDULEI) AUTOS NO"WNED rBoDII-Y INJURY (P- accide(d) HIRED AUTO S AUTOS I EACH OCCURRENf-E ---I-T NBRELLA LIA13 R SS EX ! CESS IUAA CLAIMS -MADE $ DED RETENTION $ $ WC2-31S-353816-021 212312011 2/23120`12 / j(6 -W- "I A WORKERS CompENS"ON EL EACH AM mm eWLOYERS* IIJIARILITY YIN ANY PROPRIETORIPARTNIERIEXECU I NIA EJ- DISEASE - OFFICERIMEMBER EXCLUDED? (Mandatorlf IB NH) EJ- DISEASE - lfrs describe -derp D SC�R FTiON OF 0 okTIONS below S uls, it n1ars space jig reqLdrod) 13ESCRrTIONOFOPERA'"ONSJEO-E,.::li5i,:,!iil;lEiiIEL ES (Mlech ACORD 101. Additional Renia Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensa. Bon Law of the state of MA. CERTIFICATE HULUrK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SIEFOK. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAT'VE Jeff Eldridge RD CORPORATION. All rights- reserved. @ iqn-au I U ACO The ACORD name end logo are registered marks of ACORD ACORD 25 (2010/05) DATE (MMIDD JYYYY] A KICE 02117/2011 CERTIFICATE OF LIABILITY INSURAN 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 5ement. A statement on this certificate does not confer rights to the the terms and conditions of the policy, certain policies may require an endor. certificate holder in lieu of such endorsement(s). CONTACT Danielle Plourde. CISR PRODUCER NAME: _-- _____[jF: Fred C. Church, Inc. PHONE 978 3227172 AA �X -1865 'C (978)454 A/C, No): --- 40 Kenoza Avenue I A I C_N_Q_ELx th Have hill, MA 0 1830 E-MAIL dpiourde@fredcchurch-coin (800)"225-IB65 ADDRESS: NAIC # Peerless insurance Company INSURED Thomas H Kinnal DBA East Coast General Contracting 286 Broadway Haverhill. MA 01832-2908 COVERAGES CERTIFICATE NUMBER: 17482 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 N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOT\AATH STAN DING ANY REQUIREMENT, TERM OR CONDITIO DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LICY X ADDL SU -11- LIMITS I E� _FF FN_S®R____ A R L TYPE OF IN I POLICY N MBER I IMMIDWYYYY) (MMIDDIYYYY) T SURANC I s V4VO 1 EACHOCCU BENCE S 1,000.000 GENERAL LIABILITY _[5KKA_G­E_T_0R�N`T "0'000 X _MMWS_ff_-aCN' U-iul)_ L1101000 COMMERCIAL GENERAL LIABILITY 5,000 TY OC _�IEDEXP_(Anyonepesmj) CLAIMS -MADE M_ OCCUR 1,000,000 COP8384091 211512011 2/15/2012 PERSONAL & ADV INJURY S A 2 BE,.00 GEN'L AGGREGATE LIMIT APPLIES PER: I -T F] LOG Pr)[ lr.y F PRO - AUTOMOBILE LIABILITY ANY AUTO A ALLOWNEDS F_-_1SCHEOULED AUTOS AUTOS X NON -OWNED HIRED AUTO [�- AUTOS UMBRELLA LIAB OCCUR EXCESS LIAS ' CLAIMS WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y I N, ANY PROPRIETORIPARTNERIEXECUTIVE 0 OFFICERIMEMBER EXCLUDED? NIA (Mandatory 16 NH) It yes. describe under _­­TInM OF: (7)PFRATIONS below GREGATE S�02P/OP AGG S 2.000,000 S T 1 1.000,000 LY INJURY (Per person) $ BAS38289i 211312011 2113120`12 12Z'�LY INJURY (Per accident) I S PROPERTY DAMAGE S EACH OCCURRENCE AGGREGATE S E L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE1 $ E.L. DISEASE - POLICY LIMIT I S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more spiace is required) The property owner, Apartment Investment and Management Co. (AIMCO) and any AIMCO subsidiaries and affiliates that may directly or indirectly own or manage properly(s) at or for which the vendor performs any work, shall be named as additional insureds on the general liability policies. CANCELLATION CERTIFICATE HOLDER Compliance Depot. LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1800 Preston Park Blvd ACCORDANCE WITH THE POLICY PROVISIONS. Suite 220 Plano. TX 75093 AUTHORIZED REPRESENTATIVE Fir Clie . nt # _30U38 i Nist 9 17482 Cert Holder # 2165:3 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SERVICES AGREEMENT 3 � -17his SERVICES AGREFMEN'r (this "Ag-reenient") entered into by and between tile Property O%kncr (as identified on Exhibit A attached hereto ("rroperty ONviler") and -[Zast Coast Cener-A Contractin- nkl Thonlas if. Kinnel (legpl nanie) ("Provider") with its principal place or business at 286 131-oadway. Haverhill. MA 01832. Together, Property 0%viier and Provider ara referrod to lwr�in individually its a "Party" and, coll�ctivcly, its ilic Property Owner nianages certain property located at the Property idcritified oil Fxhibit A attached hereto ("Properly"). Propwy O%viler desires to engage Provider to provide certain services to Property O%%ncr, and Provider is willing to furnish thesanic oil the ternis and conditions set for-th herein. Ili consideration of tile nintual Promises of the Parties contained herein and other good and valuable consideration, tile receipt and stit'ficiency of \yllich are hereby acknowledged, the Parties, intending to be legally bound, hercby agrcc as rollows: I SERVICFS Subject to the ternis and conditions ofthis Apreement. Provider will provide to Property Owner1he services (tile "Services" is more fully desLlibed ill Section 2.4 befoxv) that are ordered by Properly Owner in a jointly-ag-rced work order (tile "Addenduni"). Property Owner agrees that Provider is responsible Cor perrorniing only [lie tasks that are specifically sot foilh in a jointly -agreed Addendum. It DFYINITIONS 2.1 "Conjidetaial Tnfortnalian" nicans any inforniatiou or any kind, nature, or description concerning ally matters alfecting or relating to Provider's services for Properly Owncr, tile buiiinogg or orionttiong of Proporly �)Wner aud itz affikti.t.., iofornlati— concerning any of file tenants, residents or invitces of PropQrty Owner, employees of Properly Owner or its all'iliates, andlor the products, drawings, platis, processes, or other data of'Properly O%vncr or itsaffiiliale.�. 2.2 "Wectit-e Date" shall mean the dale that the Addendum has specified as the Ell"ective [);lie - 2.3 "Fees" shall mean all of tile fees, taxes, cxpenseq, charges, incidental expenses described in and payable tinder tile Addenduol, collectively: All Fees payable hereunder are payable solely in United States dollars. 2.4 "Services" shall mean work performed by Provider ror Properly Owner pursuant to the Addendum or under this Agreement. The schedule for the Services sha 11 be agreed upon by the Parties. 71iis Services Agreement is not an exclusive dealings contract; Property Owner may purchase services similar or identica] to the Services being provided hereunder from other service providers. Ill INVOICING. PAVIVIENT )�ND TAX ES 3.1 fil s-oicirig The Fees for, the Services shall be set forth in the applicable Addendurn- Unless otherwise agreed by the parties, Provider agrees to invoice ("Invoice") Property Owner for the Services, and provide a copy of all Invoices to such address or addresses as Apartment Investment and Management Company C'AIMCO-) or Property Owner may provide in theAddcridurri (N%bich may he changed by AIMCO at ,my time) or otherwise, within thirty (30) calendar days after the provision thereof. 3.2 11.,�pnetirfor.Vervices (_T11le, odwrwise agr"d by tha Partit� PropQrty Owner shall remit paynl,�llt to Provider as specified in the Addendum; provided, however, Propeily Owner slinil not be obligated to pay any poilion of ;in Invoice %Nhich it disputes in good laith and sidiiiiiis to arbitration pursuant to Section 8.13 or this Services Agreement. AIMCO (or ail zitliliate thercoo ,hall have tile right, but not the obligation, to make a pa)nient owed by the Property Owner hereunder-, provided, however, nothing contained herein shall result ill ally liability of AIMCO or its all-iliates, and no such Payment -,hall create or constittiteaCOLIrSCofdealin,-orcL)tirseut'coii(iticiby.;\Ji\ICO oritsaffilliates, and Provider hereby waives any such claim. Ili the event that ARWO has notified Provider ofits intention to make a payment due hcrCLllldCr and such payment is not made, Properly O%vncr shall remain Cully liable for such payments- Property Owner may take a 2To discount Crom the invoice price for payni , ent made within 20 days of receipt of invoice; otherwise, net paylliclit is to be tendered within 30 days. 3.3 TeLves Provider shall be solely responsible for all taxes with respect to ally compensation (tile hereunder or tinder the Addendum for any Services Provided hereunder. IV TERM ANOTEWMINXVION 4.1 Teriet This Agreement shall commence oil tile l"frective Date and shall continue ill effect until April M 2011 unless this �Xgrccnicnt is earlier terminated ([lie ", reml '). Property Owner may terininale (his Agreement at ;lily titile by providing Provider with thirty (30) calendar days' written notice. hi the event that Property Owner terininales this Agreement prior to Provider's completion of the Services tinder a Addendum, and Properly Owner or AIMCO has paid C -c Ru -1i S-rvic�g in fidl, Provider ghall pay to Properly Owilor or AINICO, as the case may be, ;lily Fees that (to not represent actual work perfoinned and/or actual costs incurred, as described in Article Ill of this Agrecillent. Upon termination, the sole liability and obligation ofilroperty Owner is ror Property Owner to pay for such Services provided by Provider prior to the c(fectite date of terniination; provided, however, Properly Owner may offset ally damages incurred by it against such amounts owed to Provider and Provider shall remain liable to Property Owner For any claniages caused by Provider's dcrault. 4.2 Terminationfor Breach Either Party shall have the right to lenninate this Agreement, as the case lilay be, if the other Patly fails to cure any material breach of the Addendum or this Agn-cment within ten (10) calendar days of receiving written notice of such breach (such time period is referred to herein as the "Cure Period"). Consent to exlend the Cure Period shall not be unreasonably withheld, so long as the breaching Party has commenced the Cure of the breach during the Cure Period and pursues cure of the breach in good fitith. Provider acknowledges and agrees that its sole recourse of any breach by Properly Owner shall be the assets of Property Owner, provided, however, that nothing contained herein grants Provider any lien or similar rights with respect to the applicable property or other assets of Properly Owner. 4.3 Effect of Termination Upon tcrrnination� the sole liability and obligation of Property Owner is for Property Owner to pay for such Services provided by Provider prior to the effective date oftermination;,provided, however, Property Owner may offset any damages incurred by it against such aniounts owed to Provider old Provider shall remain liable to Property Owner for any damages caused by Provider's default The provisions of this Aggreement whick by their reasonable terms, are intended to survive terniination of this Agreement shall survive (including indemnification and confidentiality provisions). Page I of 10 Master Service Agreement over $10k version 2.0 March 2009 '0 V COVENAN-rsAND WARRANTIES Covenatits Provider covenants and %%arrants to Proper-ty ONN-ner that: SERVICES AGREEMENT (a) the Senices shall he performed consi-tent with generally accepted industry standards by Acquately trained and competent personnel, in a professional mariner, utilizing sittlicient and suitable equipment, with ritiality stipplics, materials, in a manner so as to ininitnizc annoyance, interference or disruption to tenants, occupants or invitees of the Property, and in accordance with the terms and conditions of [his Agreement and file Addendl.1111; (b) ir the Services include file provision of products, such products shall be free of derects, fit flor their intended u.w, colirorill to'llic specifications, terms and conditions set Forth in this Agl­Mnelit and the Addendum, Cree orally liens and conveyed with good Litle; (c) Provider shall comply with all applicable federaL ;late and local laws, ordinances, regulations and or(fcrs (collectively, "Laws") its weil as with all rules and regulations promulgated by Property Owner with respect to entry olito the Property, and .,hall promptly notify Property Owner orally violation orpotential violation ofthe Laws; (d) Provider Atall, prior to comincocing any work helcUnder or toider file Addendum, obtain and maintain thrOLIgh0lit file Term all approvals, licenses and/or perillik IT(lilired by any 1,.aw or governmental agency,board or offierjurisdiction; . (C) upon complotion ofthe 3"viccr, Provider Oiall (i) telion property Owner's request, restore the Properly to its original condition, (ii) leave the Property clean and free ofall tools, equipment, waste materials and debris; and (iii) be liable for file cost orally utilities tell oil by Provider or its contractors, subcontractors or agents after completing the Services and ror any cost associated with Provider's noncompliance with this subseLtion (c); (f) Provider sliall be responsible for damage to or dieft of real or personal property of Property Owner or tenants located at the Property caused by Provider's employees, contractors or agents; (9) where requested by Property Owner, Provider �,hall provide reports to Property Owner regoarding the provision of Services; (11) Provider shall not infringe on any trademark, copyright, patent or other intellectual property right utilized in providing the Services; W Provider shall maintain insur-ance that is customarily maintained by others in the industry, but in no event -hall Provider have primary insurance in an amount less than the rollowing, For usual and customary activities the following requirements apply. Activities for which die following requirements (to not apply include higher risk services. Some examples of higher risk services include asbestos abatement, phase 11 environmental testing, moving and storage, and professional services performed by arcliitects� engineers, or accountants. Workers compensation insurance as reclitired by lavv, commercial general liability, including contractual liability, insurance on an occurrence basis in an amount ofnot less than $1,000,000.00, automobile liability insurance on an occurrence basis in -in amount of not less than $1,000,000.00, and excess liability (umbrella coverage) in an amount of not less than S 1,000,000.00 on in occurrence basis and an amount of not less than S1,000,000.00 in the aggregate. Upon commencement of this Agreement, Provider shall cause the insurer issuing Such Policies to issue a certificate to AINICO confirining that such policies have been issued and are in fill] force and effecl, and give 30 days prior written notice to AINICO of cancellation 'or non -renewal. In addition, Provider shall provide AINIC0 with written notice as soon as it becomes aware ofa material change in any policy. AINIC0, and AINICO's Subsidiaries and affiliates that may directly or indirectly ovm or manage any property or properties at or for which Provider performs any work, shall be named as an additional insured on the gencral liability and automobile liability coverage. 6) ricither Provider nor its employees, i.-onts or Ck)IItF.1Ct0r-, shall CaLISC or pormit to be cattsed any flazirdous Stibstances (defined below) to be located for %Nha(ever reason on the Property. "Hazardous Substances- incans (a) any chenlicals, matcrials or substances 'et-mcd as or included in the defirlition of-hazardoils substances," "hazardoits 1%aslcs," -hazardotis nialrizils," -oxtrenicly hazardoos misics," "r��slrict�d hazardous wasics ... .. to.vic sub�tances," "toxic pollittants," "containinatits" or "polhitants," or words of similar import, under any applicable Fliviroilincilial Law-, and (b) all), other chernical, material or stibstarice, e.\,postire to which is prohibited, limited or regulated by any governmental mithority. "Environmental 1-aw" ineans any federal, state or local statute, law, ride, re-gulaGon, ordinance, code, policy or rule of corunion law now or heroaflor ill effect and in each case as aincrided, and any judicial or administrative interpretation thereof, including any indicial or administrative ord,�r. consent decree oi-judg-nicrit, relating to the environment, health, safety or Hazardous Substances, including without limitation the Comprchnisive F-Awit-orinictital Response, Compensation and Liability Act of 1990, as aniended, 42 U.S.C. § 9601, et seq.; the I-laz;irdous Materials Transportation Act, as anicrided, 49 U.S.C. app. § IS01, ct seq.; the Resource Conservation and Recovery Act, as alliended, 42 US.C. § 6901, et seq.; the Federal Water Pollittion Control Act, as amended, 33 U.S.C. § 125 1, et seq.; the -ro.,zic stibtaricc.s Control Act, 15 U.S.C.§ 2601, et seq.; the Clean Air Act, -12 U.S.C. § 7:101, et seq.-I and the Safe Drinking Witter Act, .12 US.C. § 300f, ct seq.; (k) in the event that 11rovider riles for bankt-Liptcy or I-CCCiVCrslIip Under rCdCral or Sitnilar state laws or has filed agaills-1. it ;I similar proceeding, ProViLlCr Shall diSilliSS Sildi adioll Within SiNty (60) days aller f -I I i 11 g- (1) . neither Piovidcr nor its employees, agents or contraclors ;hall use Icad-baWd paillt (or any conslitkient or product that contains lead-based paint) ()It the Property; and (111) if tile provision of Services ii,citi(ics (he provision or pmdmds, risk of loss for any pvodl!c!,� shall remain �.vitli Prov;dcr im6l such Products slilall be delivered and acccl)lcd by Propcity Owner. ,\If delivery, NhipillCut, freight and other similar charges shall he the sole responsibility of 11rovider. Provider shall ship all orders in [kill, except where 1'roperty Owner has given its prior approval to receive Partial orders. Provider illay [lot substilutc prodocts without (fie prior written approval of Properly owner, in property Owners' sole discretion. Tinic shall be orthe essence with respect to this Agreement and the addendurn. 11' Provider rails to deliver ()It time, Propetly Owner may pLirchase replacements trom :I third party and Provider shall be liable for [he aCtnal and reasonable costs and damages incurred by Property Owner. S.2 lVarranlies (a) Provider has not and will not disclaim any implied or express warranties. (b) Property Owner shall not be required to inspect or approve any of the Services or products; the Failure of Property O\vner to discover defects or deficiencies therein shall not constitute an acceptance of Provider or arly defective or deficient Service or product, and sliall not relieve its responsibilities pursuant to this Agreement. Ifany products supplied do not conform to those warranted, Provider shall timely substitute confornihig products; provided, that, if Provider is required to produce and supply conforming products as a result of a breach orthis warranty, Property Owner .,hall not be responsible for any costs or fees associated therewith. V1 OWNERSHIP OF INIATERIALS Property Owner shall have all right, title and interest in and to all inforniation and work product, including but not limited to all inventions, original works of authorship, developments, concepts, know-how, discoveries, �rtprovcmcnts, trade secrets, secret processes, patents, patent applications, service marks, trademarks, trademark applications, cop) -right and copyright registrations, whether or not patentable or registerable tinder copyright, tmdemark or other similar laws, acquired, gathered, developed, made or conceived by Provider, in whole or in part, alone or with others, as a result of providing Services hereunder (the "Works" The Works shall be deenned to be "works made for hire" tinder LTnited States cop) -right law (17 U.S.C. Page 2 of 10 Master Service Agreement over $1 Ok version 2.0 March 2009 SERVICES AGREEMENT Section 10 1 et seq.) and made in the course of this Agreement_ 'ro the ex-te,it ,Such Works way not, by operation of law, vest in Property O%\ner or such \vorks may not be considered to be works niade for hire, all right, title and interest therein are hereby irrevocably assigned to Property Omier. Pro�ider understands that Property Owner may register the cop)TiSlit, tradcriiaik, patent alld other rights ill tho %Voi ks ill Properly Omi�zr's imma. Providcr a grees not it) use the Works ror the benefit ofarlyone oflier than Property Owner, \\ithout Property Owner's prior written permission. N't I R F AfEDIES, DAMAGES AND INDFMNIFICA�rioq 71 Cumulative Remediev Property Owner's rights and remedies herein shall be cumulative and in addition to any other or rllllllCF right-, and remedies avallable at la%v or equity. 72 Danirl"es Except willi respect to indemnification provided in Section 7.3 below, each Paily waives the right to special, indirect, consequential and Punitive daniages, including lost Profits. Not wit lisla riding anything to the contrary, in no event shall Property Owner be liable for daniages or losses in excess of tile actual aniount payable fly Properly Owner to Provider for the supply of a riatliculqr Ren-vica actoally provided herotinder. 7.3 Ill detil nificatioll Provider shall indeninify, hold harni1c.ss and, if requested by Properly Owner in its sole and absolute discretion, (1cf1crid (with comiscl approved by Vroperty 0\%,ner) Property Owner, its cnipioyees, agents, principals and stockholders (the "hideninified Parlies") and hold them harnifess against any loss, liability, deficiency, daillage, expense or cost (including reasonable legal expenses), actually incurred or paid (collectively,. "Losses"), which the Indemnified Parties may stiffer, sustain -or beconic subject to, as a rcSILIt Of (i) ally misrepresentation in any of the representations and warranties of Provider contained herein or in the AddeodUll]; (ii) any breach of, or failure to perform, any agreement or covenant of Provider contained herein or in the Addenclum; (iii) Provider's negligence or misconduct; or (iv) Provider's violation of, or noncompliance with any 1_.�lvv. 74 Waiver Provider hereby Waives any and all clainis against the Indellillit-led Parties for any Losses incurred by reason ororarising Out orally injury to or drath orally person(s), daniage to property, loss of use of any property, violation of Law, or otherwise ill connection with the condition of the Properly or any facilities therein, any event or occurrence oil or about the Property or the acts or omission orally person, except with respect to the gross negligence or willful misconduct ofan Indemnified Party. V111 C.FNERIZAL 8.1 Xand&closnre Property Owner may disclose to Provider Confidential Information; however, Provider agrees that it will not use the Confidential Information for purposes other than those necessary to directly rurther the purposes of this Agreement - Except as otherwise expressly permitted in this Agreement, Provider will not disclose tothird parties the Confidential Infonnation without the prior written consent of Property Owner. Provider shall protect the Confide-niial Information from unauthorized'disclosure or use with the same degree of care that Provider uses to protect its own like information. Provider shall notify its receiving employees, agents and contractors of their confidentiality obligations with respect to the Confidential Information of Property Orwrlet and shall require its employees, ageril-s and contractors to comply v%ith these obligations. Other than as to information related to Fets due under this Agreement� which slWl terinii�e two (2) years after the ternairiation, or expiration of this Agreement, the cordidentiality obligations of Provider and its employees, agents and contractors shall survive indefinitely after the termination or expiration ofthis Agreement Provider acknoNfledges that its breach of this Section 8.1 may Cause ii-Tepanable injury to Propetly Owner for %� hich nionelary damages may not be :in adequate reimcly. Accordingly, Provider shall be entilled to seek ilijklirictive or other equitable reliefin the event ol'such a breach. IT. 2 Relationship Ifeliveen the Parties Ilie relationship between the Parties shall at all tinies be that or independent contractors- Nothing contained in this Agreement shall lie consillied to create a partnership, joint venture, agency or other rorni of joint enterprise rclatioriNhip between the Parties. Each Parly shall tie solcly responsible for pnyment of all compensation o\\,cd to its employees, as well as eniploynient related taxes. Neither Party Jiall hav,! authority to contract for or billd the other Party in any manner \\hatsoever. 1 -his Agreement confers no rights upon either Party except those expressly granted herein. 8.3 Gaverning Lent, and.fitrisdiction -17his Agreement, and :kit malters arising out ofor relating to this Agreement, shall be governed by and construed in accordance with the laws orthe State or Colorado and shall be (1cerned to be executed in Deliver, Colorado. Any legal action or Proceeding relating to this Agreement shall be adjudicated ill the District Court ofthe County ofDcnvcr, State ofColorado orthe United States District Court. for the State of Colorado. The Parlies agrec to SUbIllit to the exclusive jurisdiction of' and agree Ili -it vctitte is proper in, (lie aforesaid courts in any such legal action or proceeding. 8.4 Notices AAI in.1 ... li,,g wlic­4 oftiJdro�u oliango, ro(pirod lo ll� mont lier�midor shall be in writing to the address listed in the applicable Addell(lulli, with a COPY to: Legal Department AIMCO 4582 South Ulster Street Parkway, Suile 1100 Denver, CO S0237 Notices ;hall he delivered and shall Ile deeined received: (a) fly hand delivery, upon receipt thereof-, (b) by inail, seven (7) days after deposit in the United States mails, postage prepaid, sent via first-class inail; (c) by facsimile transmission, upon electronic confirmation thereor; (d) by next day delivery service, upon such delivery, or (c) by c-niail. 8.5 Severability In the event that any provision of this Agreement is held to be illegal, invalid ar unciTorecable, -such provision Ol.all he eliminated or eliminated to the minimum extent necessary so that the remaining provisions of this Agreement will remain in full force and effect and be enforceable. 8.6 Waiver ne waiver by either Party of any default or breach of this Agreement, or the failure by a Party to exercise any rights hereunder, shall not operate or be deemed a waiver of any other or subsequent default or breach or of such Party's rights or any other rights in the future. Except for actions for nonpayment or breach of either Party's intellectual property rights, no action, regardless of foriln, arising out of this Agreement may be brought by either Party more than one (1) year after such cause of action has occurred. 8.7 Fnfire.-I.Ireeineid 'rhis Agreement, together with any associated Addendum that specifically references this Agrcemen� constitutes the complete agreement between tile Parties and supersedes all previous and contemporaneous agreements, proposals or representations, written or oral, concerning the subject matter of this Agreement Page 3 of 10 Master Service Agreement -over $10k version 2.0 March 2009- SERVICES AGREEMENT 8.8 ..Iniemlment Neither this Agrecownt nor an AddQ11(ittlil may be niMiGIQ'i or :111wildui except ill \�Titill-g signed by -,I tit I I y authorized representative ot'eac I I Party. No other let, document, usage or CLIStOol shall be deemed to aillend or modit , y Illis Agreement or an Addendum. It is CNpressly agreed that any terms Ind conditions or Property Omier's purchase order, terni shect, agreement or other negotiations with Provider shall be superseded by the terms and conditions of tilis Agreement arid theapplicable Addendum. 8.9 F&me z1 fqjeire r,ach Party shall be excused for f-.Iihire to perform my pall OfLiliS Agreement (file to events beyond its Control, inClUding hilt not limited to fire, storm, flood, earthquake, explosion, accident, riots and other civil disturbances, sabotage, .strikes or other labor disturbances, injunctions, transportation embargoes. computer viruses, acts of terrorism - or delay-, failure of perronnance of third partics necessary for the Parties' peribrinance under this ;kgreenient, or the laws or regulations of the rcrieral, state or local governmeitt or branch or agency thereof, provided, however, no lorce majeure event sliall excuse the obligation or [lie Party claiming the benefit of a force majCtLr_C CVent 11-0111 paying the applicable 1-,ces t -or any Services providcd; and, (brilier provided, that the party whose Performance is being interrupted ,hall provide ininicdiale notice to the other Party. Ifthe force majeure event continues for fell (10) or more days, then stich nori-perforriling Party Illay terminate this ageenlent. Property Owner may procure services rrom ;in alternative service Provider during and allera period of' florce majeure. 8.10 Avsigflahili�)�; succ&Vurs and, IsNigns Neither Party hereto shall assign this Agrccrilcril. in whole or in part without the prior written consent orthe other Party hereto, which consent sliall not he unreasonably withlicid or delayed, Provided, however that AINICO or Property Owner -,hall have the right to assign this Agreement without Vrovidor's oow�cnt. '116-1 Agrcciocnt Amil itit'r. to the I)CTICf-It orand Mialt bo binding upon the successor ;Ind permitted assi6ns ofthe Parties hereto. 8.11 Con.writetian De.9criptivo headings to Sections are rtw convctiienec only mid Mud[ not control or affect the nicaning or construction of any provisions ill this Agreement. 8.12 Counterparts 'rhis Agreement may be executed in one or more counterparts, each or which shall be deemed all original instrument, but all orwhich counterparts together shall constitute one and the same instrument. Transmission by facsimile ofan executed counterpart signature page hereof by a Party hereto shall constitute due execution and delivery of this Agreement by such Party. 8.13 Arbitration in the event a dispute shall arise between the parties to this Agreement or tile Addendum, it is hereby agreed that the dispute shall be administered in accordance with the then current Commercial Arbitration Rules of the A I merican Arbitration Association ("AAA). Any matter to be settled by arbitration shall be rubmitted to the AAA in Denver, Colorado. Tba Parties shall attempt to designate one arbitrator from the AAA- If they are unable to do so within 30 days after written demand therefore, then the AA_N shall designate an arbitrator. The arbitration shall be final and bindin& and enforceable in any Court of competent jurisdiction. The arbitrator shall award attorneys' fees (including those of in-house counsel) and costs to the substantially prevailing party and charge the cost of arbitration to the Parly which is not the substantially prevailing Party. Notwithstanding anything herein to the contrary. this Section 8.13 shall not prevent eitha Party from seeking and obtaining equitable relief on a temporary or permanent basis from a court of competent jurisdiction located in Denver, Colorado. Ile court's ;urisdiction over any such equitable manife;r, however, shall be expressly J limited only to the temporary, preliminary or permaneot equitable relief sought 8.14 G ift S Providcr is prohibiteA from Providing gifts cir odwr things of valua %toilh more than S25 cmindative during the Term of the Agroellient to Property Owner or its affilliates, elilplo�ces agents or contractols� 9.15 Third Part.), Beneficiarioq -Mis Agreement is t -(,r the sole benefit of the Parties, except that AIMCO and its alliliates are intended to be third part), beneficiaries of this Agreement with respect to Sections 3.2, 8.15, F. 17 and tile Ilidenini fied Parties with respeet to Provider's indemnification. 3.16 zVo Uve (if Matti e Vrovidershall not publicize, pnbli.qlI or otlierwise use the name of Property Owner, 1XIXICO or any of their affidiates in any advertising, clistonler list Or similar doCLI[Ilellt, or otherwise disclose (lie contractual relationship with Property Owner, AIMCO, or their arl'iliates, without file prior written approval OfAl%fCO, \%'biCh OULy be givcii or withlield ill AIMCO's sole discretion. 8.17 Xn Rerordettion Provider shall not record this Agreenient, the Wdenduni or a menioranduni of either. F'1ec1ronic.YI-.vfvm lutegration Provider agrees to provide all reasonable cooperation requested fly Property Owner as Property dectils liccessai-y in order to allow Property Owner to implement ;Ind integrate :in electronic method Or purchase order submission; cler Aronic metbod of Procurement and payincid; and ;ill c-corrinierce program sysiciii. Upon iniplenientalion of such electronic systems, Provider Oiall ;L"ollt atid rec(�d ptircba�o ordora mld Paymontg From Propoily Owner through such electronic systenis. 8.19 flifellectlial 1roperl�v a. It, tho event that the Services involve tho provision of :my soft ware, material, inFormation or products that ill\,01\,c Intellectual Property, Provider represents that it has agreements in place with its employees and independent contractor,.; gullicient to convey all ownership ill work product to Property Owner, and that Provider will, during the terra ofthis Agreement, including any renewal term, enter into agreements with its employees and independent contractors, sufficient to convey all ownership in such work product to Property O%\ tier. b. If Provider refuses or Property Owner is unable for any reason to secure Provider's signature to execute any assignment or to apply for or to pursue any application of any United States or foreign patents, Lrademirks or copyright applications or registrations covering the Intellectual Property, then Provider hereby irrevocably designates and appoints Property Owner and its dLIly authorized managers, members, representatives arid agents as the Provider's agent and attorney in fact, to act for arid in the Provider's behalfand stead to execute arid file any such applications and to do all other lawfully permitted acts to further the protection and issuance of letters patent, or copyright registrations thereon with the same legal force and effect as if a?cecuted by Provider. Provider further agrees that Provider's obligation to execute or cause to be executed, when it is in Provider's power to do so, any such instrument or papers shall continue after the termination of this Agreement until the expiration of the last such intellectual property right to expire in aily country in the world. 8.20 Websile Acceys f1roperty Owner or ABIC0 may permit, ill their sole discretion, Provider to access certain websites which contain information about AINICO, its affillates, andfor their properties or business. If Property Owner or AIIMCO permits such access, Pro\ider will be given a user name arid password. Property Owner or AINICO may change the user name or password at any time or deny access to the website(s) at any time. Property Owner or AlT,,ICO Page 4 of 10 Master Service Agreement over $1 Ok version 2.0 March 2009 SERVICES AGREEMENT als -171le so Illay ciliji-e the information oil the ikebsitc(s) at any little. information contained oil the websitc(s) is confidential and SUbject to tile colifidelitiality provisions ofthis Agreement. None ofAIMCO, property O\\ tier or 111cir affiliates Illake ally representations or \\arranties regarding tile information contained oil tile website(s) and provider Uses SUCh illrOrIllati011 at its ox\n risk. provider nmy use tile information oil file website(s) only for ptirposcs of furthering its activities under this Agreement. 8.21 Hooks and Records provider shall 11jailitain books and records with respect to the Services to ba provided and the Compensation to be paid hereunder. property Omier Shall, for a period of Ifirce years after (lie e.�piration or termination of this Agreement, ha\%, tile right to review and audit tile books and records of provider xvith respect to such Services. hi tile event such audit determines that property Owner has oN,cf-paid provider, Provider shall immediately pay the ,111101111t Of Overpayment Pills interest at 12114 per annurn rrom the date when -iginally " Compensation of -as paid. 8.22 S�gnolure.,luthoriq, and Validity Any t I.—G.11 0".r $10,000.00 ;n ounittinfivo valuo ovor tho Turin of' thia Agreement; or bii)(ling illore than one (1) property Owner, shall be valid only if signed by a vice president or higher ranked individual Nvidlin Property Owoer. [the remaindei- of1hispuge intentimally left blariki Page 5 of 10 Master Service Agreement over $1 Ok version 2.0 . March 2009 . I rl SERVICES AGREEMENT ADDE-NDUM TO SERVICES AGREENIENT — EXHTBIT A I., Mime of Property O\Nner: AIMCO NORTH ANDOVER, L.L.C. 2. C01111111Mily Name (if Ipplicable):Roayl Crest Est�ites 3. Apm-tincilt. Property Address (include street address, city, stitcand zip code): 50 Royal Crest Drive, North Andovei-, MA, 01845 4. Apartment Property Tcicphonc Number & Facsimile NLlliibcr (inchide area code): Plione: (978) 681-1822 Fax: (973) 682-9064 I 5. Address for Invoices: AINIC0, P0 Box 98 1725, Ell Paso TX 79998-172i (w/duplicates (o propei-ty) 6. Uull Legal Ninic of Provider: F-ast Coast Cexler.il Contractingraka Tlioni.is If. K innel 7. Provider's Address (include strectaddress, city, statcand zip code): 286 Broadway, Haverhill NIA 01832 8. Provider's Telephone Number & Facsimile Number (include area code): Plione: 978-360-00il F a X: 979-372--12 IS EASTC0,4STGENERAL C09VTMMNG 286 �Broadwqy JfaverhiffW,4 01832 Vendor # 292836 Royal Crest Estates North Andover, MA Work Order/Change Order Date: 3 16 /2011 Building: _30 Apartment # 3,4,5,7,8,11,12 Description/scope of work: - As per the attached scope. Estimated cost for- work including- all labor- and- materials. $ 9450.00- AIMCO Management East Coast Representative: East Coast General Contracting BUILDING RESTORATION PROFESSIONALS 286 Broadway Haverhill, Ma. 01832 Phone 1-978-360-0051 Fax 1-978-372-4215 Estimate Building 30 Ice Dam Damage. Units 3, 4, 5, 7, 8, 11, 12 Unit # 3 Prime stain, paint ceiling. Unit # 4 Prime stain, paint ceiling. Unit # 5 Prime stain, paint ceiling. Unit # 7 Sheetrock 220 sq./ft. Mud, sand and prime. Insulate exterior walls. Paint ceilings and walls. Carpet Unit # 8 Sheetrock 208 sq./ft. mud, sand, prime. Insulate exterior walls. Paint ceilings and,%Valls. Carpet Unit# I I Prime stain and paint ceilings. Unit # 12 Sheetrock 24 sq./ft. mud, sand, prime. Texture ceiling area. Paint ceilings. Building 30 Repairs Demo for all above listed units. Building Total Estimate is good for 30 days. 3/16/11 $240.00 $210.00 $ 130.00 $ 1,560.00 $3,410.00 $340.00 $710.00 $6,600.00 $2,850.00 $9,450.00 Sincerely, SMITIM WESSEL ASSOCL4 TES, INC. HAz4RDous BuiLDi.\rG AL4TERL4LqA'V-DArR ot.-4Lm7 SpEcL4mvs AIR MONITORING AND RELATED SAFETY AND HEALTH PROCEDURES DURING ASBESTOS ABATEMENT PROJECT Royal Crest Estates 50 Royal Crest Drive North Andover, Massachusetts Prepared for: AIMCO 45 82 South Ulster Street Parkway, Suite I 100 Denver, CO 80237-2662 Prepared by: Smith & Wessel Associates, Inc. 8 Church Street Merrimac, Massachusetts 0 1860 Project No. 11044 March 9, 2011 8 Church Street Telephone: (978) 346-4800 Merrimac, MA 01860 FAX: (978) 346-7265 �5- Sam le Sampling Volume Result No. Date Period (liters) Description/Location (fibers/cc) 54 2/15/11 10:3.5 a.m. 2.308 Back -ground air st pk 311-8 on 0.004 to 'Z�� wall bv slider doo . , 'r" 9 prep -3. 3 1 P. in. 55. 2/15/11 11: 17 a.m. 1.599 Area air sample, 32- 10 at living 0.004 to room, decon- during removal 142 p.m. 56. 2/15/11 11.18 a.m. V599 Area airsample- 312- 10 at 0.005 to bodroom, decon, during removal 2:41 p.m. 57. 2/16/11 NA NA Field Blank 0 fibers/ 100 fields 58. 2/16/11 9:47 am. 1,313 Post -abatement clearance air 0.004 to sample, 32-10, master bedroom 12:01 p.m. 59. 2/16/11 9:48 am. 1,326 Post -abatement clearance air <0.004 to sampte, 32-10, master bedroom 12:02 p.m. 60. 2/16/11 10:25 a.m. 1-349 Area air e trance e eEiiwv�ayw 0.005 to to -%,,ork- .� � uring 1: 18 p.m. prep / removal 61. 2/16/11 11:49 a.m. 1-350 Background air sample, 35-5 in 0.004 to living room 2:40 p�m. 62. 2/16/ 11 11:3 1 a.m. 1343 Background air sainple, 35-5, in 0.004 to master bedroom 2:41 p.m. 63. 2/16/11 12:40 p.m. 1.,950 Area air simuple. 32- 10 in hall-%-,�ay 0.00S to at entrance- during removal 4:50 p.m. 64. 2/16/11 1: 18 P.M. 1,575 Area air sa ple� 30-8, in iallwa-y Overloaded to ZFffig removal 4:40 p.m. 65. 2/16/11 2:50 p.m� L280 Background air sainple, 43- 1, in 0.004 to living room by boxes 5:30 p.m. 66. 2/16/11 2:52 p.m. L272 Background air sample, 43-1, in 0.005 to master t)edr(x)m 5:31 p.m. A Smith & Wessel Associates, Inc. SWA 11044 3/09/11 rM Sample Sampling Volume Result No. Date Period (liters) Description/Location (fiben/cc) 6T 2/17/11 NA NA Field Blank- 0 fibers/ 100 fields 68. 2/17A 1 8:52 a.m. 837 Area airsainple, decon entrance. .006 to hallway 32- 10, during fine 10:38 a.m. cleaning 69. 2/17/11 9:02 a.m. 926 Area air sample, decon entrance. .006 to hmlq�' 10:48 a.m. 70. 2/17/11 12:03 p.m. 1,283 Post -abatement air sa <0.004 to hallway bathroom, following 2:14 p.m. abatenient acthity 71. 2/17/11 12:04 p.m. 1,296 Post -abatement air sampit,-30-8--, <0.004 to haflMTav following abatement - 2:15 p.m. ac"' 72. 2117/11 12:06 p.m. 1,274 Post -abatement air samr1e,-3"-j <0.004 to Wing room area, following 2:16 p.m. abatement activity 73. 2117/11. 12:08 p.m. L290 Post-kqatement air sample, Bldg <0.004 to -11 '304klfnmg room, following 2:17 m. ikbatement activit) 74. 2/17/11 12:25 p.m. 1,411 Post -abatement air sample, 32- <0.004 to 10 living room, following 2:49 p.m. abatement activitv 75. 2/17/11 12:26 p.m. 1411 Post -abatement air sample, 32- <0.004 to 10 dining room, following 2:58 pm. abatement acti%itv 76. 2/17/11 2:07 p.m, 1-115 Area air sample. dec,,Ai entrance- 0.007 to 31 -11 master bedroom -area, during 4:30 p.m. removaffload out 77. 2/18/11 NA NA Field Blank- Ofibers/100 fields 78. 2/18/11 8:18 am. 1,524 Post -abatement air sample, 31- <0.003 to 11 master bedroom, following 11:36 a.m. abatement actiNitv 79. 2/18/11 8:20 am. 1,497 Post -abatement air sample, 31- <0.003 to 11 master bedroom, following 11:37 am. abatement activitv Smith & Wessel Associates, Inc. SWA 11044 3109/11 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 Insured: Royal Crest North Andover Property: 50 Royal Crest Dr. North Andover, MA Claim Rep.: Troy Stackhouse Estimator: Troy Stackhouse Claim Number: P 110423919022 Policy Number: Date of Loss: 1124/2011 Date Inspected: Price List: MAB07X-FEB I I Restoration/Service/Remodel Estimate: PIT-PROP-057144-ALL2 Business: (615) 271-1703 Business: (615) 271-1703 Type of Loss: Weight of Ice & Snow Date Received: 213/2011 Date Entered: 2/18/2011 10:52 AM VERY IMPORTANT! - PLEASE READ: This document is an initial estimate ONLY concerning the probable cost of repair of the damage observed during inspection of the claimed loss. Additional inspection and/or investigation of the cause of loss and the damage related thereto may be required before this estimate canbe finalized -Please note this document is NOT a promise or agreement of payment for the claimed loss from Your insurance company or Engle Martin & Associates, Inc. ["EMA "]. Instead, this document will be forwarded to Your insurance company forcoverage and payment review and decision. This estimate is to final review and approval by Your insurance company and is thus subject to further revisions until final written approval is received. All final payment and coverage decisions are made by Your insurance company and NOT by EMA. While You await final review and approval by Your insurance company, we request that You present this estimate to Your contractor for its review and comment In the event of a scope of work or pricing discrepancy between this estimate and Your contractor's estimate, if any, we will work -with You and Your contractor to aftempt to rcsolve any such discrepancy; however, the authority to make a final decision on any such discrepancy belongs to Your insurance company, not EM.A. Finally, please not that You are responsible for selecting and hiring the contractor (s) that You want to perform Your repair work. Neither Your insurance company, nor EMA guarantee the work of any contractor, nor do either inspect or monitor the work of any contractor. It is solely Your responsibility to make sure that Your repair work is properly and timely completed. Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 10th Ave S Suite 344 Nashville, TN 37203 Living Room Prr-PROP-057144-ALL2 Building 30 Unit 3 498.00 SFWalls 779.72 SFWalls& Ceiling 32.41 SY Flooring 157.33 SFLong Wall 61.00 LF Ccii. Perimeter LxWxH 19'8" x 14'10" x 8' 291.72 SF Ceiding 291.72 SF Floor 61 -00 LF Floor Perimeter 118-67 SF Short Wall Tfflssing Wall: I - SIX81 Opens into Exterior Goes to Floor/Ceiling DESCREMON QNTY 590. Protect contents - Cover with plastic 291.72 SF 59 1. R&R 5/8" drywall. - hung, taped� ready for texture 10.00 SF 592. R&R Batt insulation - 12" - R39 15.00 SF 593. R&R Acoustic ceiling (popcorn) texture 15-00 SF 594. Seal then paint the ceiling (2 coats) 291.72 SF NOTES Dining Room 233.33 SF Walls 319.04 SF Walls& Ceiling 9.52 SY Flooring 80-67 SF Long Wall 29.17 LF Ccil. Bairucter LxWxH 10'1" x 8'6" x 81 85.71 SF Ceiling 85.71 SF Floor 29.17 LF Floor Perimeter 68.00 SIR Short Wall Missing Wafl: I - 8'X 8' Opens into Exterior Goes to Floor/Ceiling PIT-PROP-057144-ALL2 2/28/2011 Page: 2 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 DESCREMON QNTY 595. Protect contents - Cover with plastic 85.71 SF 596. Seal then paint the ceiling (2 coats) 85.71 SF NOTES: Hallway LxWxH 15'x Yx 8' 264.00 SF Walls 45-00 SF Ceiling 309.00 SF Walls& Ceiling 45.00 SF Floor S.00 SY Flooring 33.00 LF Floor Perimeter 120.00 SF` Long Wall 24-00 SF Short Wall 33.00 LF Ceil. Pe4ifacter Missing Wall: I - YX 8' Opens into Exterior Goes to Floor/Ceiling DESCRIMON QNTY 597. Protect contents - Cover with plastic 45.00 SF 598. Seal then paint the ceiling (2 coats) 45.00 SF NOTES: Unit 4 PIT-PROP-057144-ALL2 2/28/2011 Page: 3 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 Living Room 488.00 SFWalls 779.72 SF Walls & Ceiling 32.41 SY Flooring 157.33 SF Long Wall 61.00 LF,Ccil. Pcrimctcr Missing Wall: 1 - 8'X 8' Opens into Exterior DESCREMON LxWxH 19' 8" x 14' 10" x 81 291.72 SF Ceiling 291.72 SF Floor 61.00 LF Floor Perimeter H 8.67 SF Short Wall Goes to Floor/Ceiling QNTY 599. Protect contents - Cover with plastic 291.72 SF 600. R&R 5/8" drywall - hung, taped, ready for texture 16.00 SF 601. R&R Batt insulation - 12" - R38 20.00 SF 602. R&R Acoustic ceiling (popcorn) texture 20.00 SF 603. Seal then paint the ceiling (2 coats) 291.72 SF NOTES: Dining Roorn Missing Wall: I - SIX81 DESCRIMON 233-33 SFWalls. 319.04 SF Walls& Ceiling 9.52 SY Flooring 80.67 SF Long Wall 29.17 LF Ccil. Pcrimr-tr-r Opens into Exterior LxWxH 10'1" x 8'6" x 8' 85.71 SF Ceiling 85.71 SF Floor 29.17 LF Floor Perimeter 68.00 SF Short Wall Goes to Floor/Ceiling QNTY 604. Protect contents - Cover with plastic 85.71 SF 605. Seal then paint the ceiling (2 coats) 85.71 SF PIT-PROP-057144-ALL2 2/28/2011 Page: 4 Engle Martin & Associates, Inc. Engle Martin & Associates -Inc - 209 1 Oth Ave S Suite 3" Nashville, TN 37203 DESCRRYnON N01 -ES: Missing Wall: DESCRIMON Hallway 1- YX 8' CONTU*4UED - Dining Room 264.00 SF Walls 309.00 SF Walls & Ceiling 5.00 SY Flooring 120.00 SF Long Wall 33.00 LF Ccil. Pcrimctcr Opens into Exterior Lela a LxWxH 15'x Yx 8' 45.00 SF Ceiling 45.00 SF Floor 33.00 LF Floor Perimeter 24-00 SF Short Wall Goes to Floor/Ceiling QNTY 606. Protect contents - Cover with plastic 45.00 SF 607. Seal then paint the ceiling (2 coats) 45.00 SF NOTES: unit 5 Prr-PROP-057144-ALL2 2/28/2011 Page: 5 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 Living Room 512.00 SF Walls 832.00 SF Walls& Ceiling 35.56 SY Flooring 160.00 SF Long Wall 64.00 LF Ceil. Perimeter LxWxH 20'x 16'x 8' 320.00 SF Ceiling 320.00 SF Floor 64.00 LF Floor Perimeter 128.00 SF Short Wall Ntissing Wall: I - 81 X 81 Opens into Exterior Goes to Floor/Ceiling DESCRIMON QNTY 608. Protect contents - Cover with plastic 320.00 SF 609. R&R 5/8" drywall - hung, taped, readyfor texture 10.00 SF 610. R&R Batt insulation - 12" - R39 15.00 SF 611. R&R Acoustic ceiling (popcorn) texture 15.00 SF 612. Seal then paint the ceiling (2 coats) 320-00 SF NOTES: Dining Room LxWxH 13'x 7'x 8' 256.00 SF Walls 91.00 SF Ceiling 347.00 SF Walls Ceiling 91 -00 SF Floor 10. 11 SY Flooring 32.00 LF Floor Perimeter 104.00 SF Long Wall 56.00 SF Short Wall 32.00 LF Ceil. Pc4imeter Missing Wall: 1 - 81 X 81 Opens into Exterior Goes to Floor/Ceiting DESCREMON QNTY 613- Protect contents - Cover with plastic 91.00 SF 614. Seal then paint the ceiling (2 coats) 91.00 SF Prr-PROP-057144-ALL2 2128/2011 Page: 6 Engle Martin & Associates, Inc. Engle Martin & Associatcs, Inc. 209 10th Ave S Suite 344 Nashville, TN 37203 DESCRIPTION NOTES: Hallway Mssing Wall: I - YX 8' DESCRIPTION 615. Protect contents - Cover with plastic 616. Seal then paint the ceiling (2 coats) NOTES: CONTINUED - Dining Room 264.00 SF Wall-, 309.00 SF Walls& Ceiling 5.00 SY Flooring 120-00 SF Long Wall 33-00 LF Ceil. Perimeter Opens into Exterior Uuit 7 QNTY LxWxH 15'x Yx 8' 45.00 SF Ceiling 45.00 SF Floor 33.00 LF Floor Perimeter 24.00 SF Short WaU Goes to Floor/Ceiling QNTY 45.00 SF 45.00 SF Prr-PROP-057144-ALL2 2/28/2011 Page: 7 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 Living Room 51100 SFWalls 832.00 SF Walls & Ceiling 35.56 SY Flooring 160.00 SF Long Wall 64.,00 LFCcil-Peritneter Mssing Wall: 1 - 8'X 8' Opens into Exterior LxWxH 20'x 16'x 81 320.00 SF Ceiling 320.00 SF Floor 64-00 LF Floor Perimeter 128.00 SF Short Wall Goes to Floor/Ceiling DESCRTMON QNTY 617. Protect contents - Cover with plastic 320.00 SF 618. R&R 5/8" drywall - hung, taped, ready for texture 160.00 SF 619- R&R Batt insulation - 12" - R38 160.00 SF 620. R&R Acoustic ceiling (popcorn) texture 160.00 SF 621- Seal then paint the ceiling (2 coats) 320.00 SF NOTES: Dining Room 256.00 SIR WaRs 347.00 SF Walls &Ceiling 10. 11: SY Flowing 104.00 SFLong Wall 32.00 LF Ceil. Perimeter Missing WaU: 1 - 81X81 Opens into Exterior LxWxH 13'x 7x 8' 9 1.00 SF Ceiling 91 -00 SF Floor 32.00 LF Floor Perimeter 56.00 SF Short Wall Goes to Floor/Ceiling DESCRUMON QNTY 622. Protect contents - Cover with plastic 91.00 SF 623. Sa then paint the ceiling (2 coats) 91.00 SF PrT-PROP-057144-ALL2 2/28/2011 Page: 8 Engle Martin & Associates, Inc. Engle Mmlin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 DESCRIMON NOTES: Hallway Missing WaH: I - YX 8' DESCRUMON CONTWUED - Dining Room 264.00 SF Walls 309.00 SF Walls &- Ceihng 5.00 SY Flooring 120.00 SF Long Wall 33-00 LF Ccif. Bmitnctcr Opens into Exterior QNTY LxWxH 15'x Yx 81 45.00 SP Ceffing 45.00 SF Floor 33.00 LF Floor Perimeter 24-00 SF Short Wall Goes to Floor/Ceiling QNTY 624. Protect contents - Cover with plastic 45.00 SF 625. Seal then paint the ceiling (2 coats) 45.00 SF NOTES: unit 8 PIT-PROP-057144-ALL2 2/28/2011 Page: 9 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 Living Room 832.00 SF Walls& Ceiling 35.56 SY Flooring 160.00 SF Long Wall 64.00 LF Ceil. Pcrimeter Missing Wall: 1 - 8'X 8' Opens into Exterior LxWxH 20'x 16'x 8' .320.00 SF Ceiling 320.00 SF Floor 64.00 LF Floor Perimeter 128.00 SF Short Wall Goes to Floor/Ceiling DESCRIMON QNTY 626. Protect contents - Cover with plastic 320.00 SF 627. R&R 5/8" drywall - hung, taped, ready for texture 208.00 SF 628- R&R Batt insulation - 12" - R38 320.00 SF 629- R&R Acoustic ceiling (popcorn) texture 320.00 SF 630. Seal then paint the walls and ceiling (2 coats) 832.00 SF 640. R&R Carpet pad - Standard grade 320.00 SF 1,255. Remove Carpet - Standard grade 320.00 SF 643. Carpet -Standard grade 368-00 SF 15 % waste added for Carpet - Standard grade. L "@All Dining Room Missing Wall: I - 81 X 81 256.00 SF Walls 347.00 SF Walls &Ceiling .10. 11 SY Flooring 104.00 SF Long Wall 32-00 LF Ceil- Perimrtrr Opens into Exterior LxWxH 13'x Tx 8' 9 1.00 SF Ceiling 91.00 SF Floor 32.00 LF Floor Perimeter 56.00 SF Short Wall Goes to Floor/Ceiling Prr-PROP-057144-ALL2 2/28/2011 Page: 10 Engle Martin & Associates, Inc. Engic Martin & Associates, htc. 209 10th Ave S Suite 344 Nashville, TN 37203 DESCREPTTON 63 1. Protect contents - Cover with plastic 91.00 SF 632. Seal then paint the ceiling (2 coats) 9 1.00 SF 64 1. R&R Carpet pad - Standard grade 9 1.00 SF 1,256. Remove Carpet - Standard grade 9 1.00 SF 644. Carpet - Standard grade 104.65 SF 15 % waste added for Carpet - Standard grade. 51.75 SF NOTES: Hallway Mssing Wall: 1 - YX 8' 264-00 SF'Wafls 309-00 SFWalls&Ceiling 5�00 SY Flooring 120.00 SF'Long WaH 33.00 LF Ceil. Perimeter Opens into Exterior LxWxH 15'x Yx 8' 45-00 SF Ceiling 45.00 SF Floor 33.00 LF Floor Perimeter 24-00 SF Short Wall Goes to Floor/Ceiling DESCRIMON QNTY 633. Protect contents - Cover with vlastic 45.00 SF 634. Seal then paint the ceiling (2 coats) 45.00 SF 642. R&R Cat -pet pad - Standard grade 45.00 SF 1,257. Remove Carpet - Standard grade 45.00 SF 645. Carpet - Standard grade 51.75 SF 15 % waste added for Carpet - Standard grade. NOTES: PIT-PROP-057144-ALL2 2/28/2011 Page: I I Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 10th Ave S Suite 344 Nashville, TN 37203 Bathroom LxWxH 8'x 6'x 8' 224.00 SF Walls 48.00 SF Ceiling 272.00 SF Walls& Ceiling 48.00 SF Floor 5.33 SYFlooring 28.00 LF Floor Perimeter 64.00 SF Long Wall 48.00 SF Short Wall 28.00 LF Ceil. Perimeter DESCRUMON QNTY 635. Protect contents - Cover with plastic 48.00 SF 636. R&R 5/8" drywall - hung, taped, ready for texture 10.00 SF 637. R&R Batt insulation - 12" - R38 15.00 SF 638. R&R Acoustic ceiling (popcorn) texture 15.00 SF 639. Seal then paint the ceiling (2 coats) 48.00 SF NOTES: unit 11 Living Room 512.00 SF Walk 832.00 SF Walls& Ceiling 35.56 SY Flooring 160.00 SF'Long WaR 64.00 LF Ccil.. Pcrifftctcr Mssing Wall: 1 - 81 X 81 Opens into FAterior LxWxH 20'x 16'x 81 320.00 SF Ceiling 320.00 SF Floor 64.00 LF Floor Perimeter 128.00 SF Short WaR Goes to Floor/Ceiling DESCREMON QNTY 646. Protect contents - Cover with plastic 320.00 SF 647. Seal then paint part of the walls and ceiling (2 coats) 416.00 SF 2 walls & ceiling Prr-PROP-057144-AI-L2 2128/2011 Page: 12 Engle Martin & Associates, Inc. Engic Martin & Associatcs, Inc. 209 10th Ave S Suite 344 Nashville, TN 37203 DESCRUMON NOTES: Mssing WaH: Dining Room I - 81 X 81 CONTTNUED - Li-ving Room 256.00 SFWaM 347.00 SF Walls& Ceiling 10. 11 SY Flooring 104.00 SF Long WaU 32.00 LF Ccil. Peritrictcr Opens into Exterior QNTY LxWxH 13'x 7x 8' 91 -00 SF Ceffing 91.00 SF Floor 32.00 LF Floor Perimeter 56.00 SF Short Wall Goes to Floor/Ceiling DESCRFMON QNTY 648. Protect contents - Cover with plastic 9 1.00 SF 649. Seal then paint the ceiling (2 coats) 9 1.00 SF NOTES: Unit 12 Prr-PROP-057144-ALL2 2/28/2011 Page: 13 Engle Martin & Associates� Inc. Engle Martin & Associates, Inc. 209 10th Ave S Suite 344 Nashville, TN 37203 Living Room 5 12AM SF Walk 832.00 SF Walls& Ceiling 35.56 SYFlooring 160.00 SF Long Wall 64.00 LF Ccil. Perimeter Mssing Wall: 1 - SIX81 Opens into Exterior LxWxH 20'x 16'x 8' 320.00 SF Ceiling 320.00 SF Floor 64.00 LF Floor Perimeter 128-00 SF Short Wall Goes to Floor/Ceiling DESCRTMON QNTY 650. Protect contents - Cover with plastic 320.00 SF 65 1. R&R 5/8" drywall - hung, taped, ready for texture 20.00 SF 652. R&R Batt insulation - 12" - R38 25.00 SF 653. R&R Acoustic ceiling (popcorn) texture 25.00 SP 654- Seal then paint partof the walls and ce7dmg (2 coats) 208�00 SF Exterior wall & ceiling NOTES: Nfissing Wall: DESCRIMON Dining Room I - 8X 8' 256.00 SF Walls 347.00 SF Walb; & Ceffing 10.11 SYFlooring 104.00 SF Long Wall 32-00 LF Ceff. Perimeter I Opens into Exterior LxWxH 13'x 7'x 8' 91.00 SFCciling 91.00 SF Floor 32.00 LF Floor Perimeter 56.00 SF Short Wall Goes to Floor/Ceiling QNTY 655. Protect contents - Cover with plastic 91.00 SF 656. Seal then paint the ceiling (2 coats) 91.00 SF PIT-PROP-057144-ALL2 2/28/2011 Page: 14 Engle Martin & Associates, Inc. Engle Martin & Associates, Inc. 209 1 Oth Ave S Suite 344 Nashville, TN 37203 DESCRIPTION NOTES: Grand Total Areas: 6,826.67 SF Walls 3,082.86 SF Floor 2,460.00 SF Long WaH 0.00 Floor Area 0.00 Exterior WaU Area 0.00 Surface Area 0.00 Total Ridge Length CONTINUED - Dining Room 3,082.86 SF Ceiling 342.54 SY Flooring 1,461-33 SF Short Wall 0.00 Tot2l,Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 9,909.53 SF Walls and Ceiling 853.33 LF Floor Perimeter 853-33 LF Ceil- Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length QNTY PIT-PROP-057144-AILL2 2t28/2011 Page: 15 Locatio 4710 Z- QL-47--- No. Olt Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ -TS —U Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 23963 Building Inspector