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Home My WebLink AboutBuilding Permit # 4/14/2015 VAORTH BUILDING PERMIT 6 0 TOWN OF NORTHA OVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#:�-v pp Date Received ATED SSSSC C US Date Issued: L) IMPORTANT: Applicant must complete all items on this page 04 1 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building a One family [I Addition El Two or more family El Industrial A Alteration No. of units: [I Commercial da Repair, replacement El Assessory Bldg El Others: [a Demolition El Other g Me ^.u.,i^,,,F�`^.;.,,, � �nP"e,.',��ili„>I��,��..n,,,� ��II,i�I��,IF./,��91 )J��I��/�l'��t�� `�i;Nf 1�, I r r /l�� i J./,..,r� �l��/.� i� DESCRIPTION OF WORK TO BE PERFORMED: 4c.rvey e'-J CO-6q06J Cc'-,'14400-S 0),Xm (�kCL6'J!Qf')'LL'e *, A(Q n eh� kl,112a i le,1� nl-e� v Frevc,� ck,,' — c � k I V1 A C.J.-t-ri IV) V, ,he", I re 0'-71 A(r)k� r)e'J q'o's 1-1 6fe, ,, ,Identificati on- Please Type or Print Clearly OWNER: Name: 5gl!65c-r Phone: 9 7§ ' -337,-o,-),01 Address: ME ""WE 9111 1110 ...........11 N=1111 MORMONISM I I I IN,W1111111111 MIEN I Q, AGO, l� Irl ....... ,KJ? �'^ Q, �`,hr' �"U ,�'� .« ,I 1+�^, nSV�r, � �� ,� I ' ��1��II� F�'��'� � ,!� �Y� �� ,u�� 1��1 �� . ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 02r "e Check No.: 1 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 7, Si nature ofcontractor! Si natur A „n4 _V-6 - F FORTH Town E 1, ndover ® ® ti• h ver, Mass, COCNICIIl WICK 1' 7�A°RgTED ►P�,��(5 S fJ BOARD OF HEALTH PERMIT LD Food/Kitchen Septic System THIS CERTIFIES THAT 01_ 1N& �.��i.1n. BUILDING INSPECTOR .......... ..... . ........... .....�........ ... .... .... Foundation has permission to erect .......................... buildings on ........ ........dvairml4q.,04A................... Rough e 6 to be occupied as ....... .. �.. ... ..... .... .....}}.....0.�. ►.d� R. ...t................... chimney provided that the person accepting this permit shall in every I'espect conform to the terms o the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR 601R LESS CO STR CTI S S Rough Service ............. .... ....... ............... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin:; Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. ZALANSKAS CONSTRUCTION 34 BIRCH ROAD ANDOVER NIA 01810 978.835-5194 GREG.ZALANSM5000MCAST TET Estimate# 8 Order# Date �3�/19/1 QUOTE SUBMITTED TO: WORK TO BE PERFORMED AT: Name Lynda&Peter Belanger Name SAME Address 68 Bearhlil road Address City-State North Andover MA lPlanned Date Phone 978.337-0291 email Job Description. Replace 28 Double hung windows Harvey Classic,pocket replacement,Reframe header in kitchen to accept new Pella awning with bonded grills. Materials&Windows$8202.00 and labor$3500.00 /Disposal$150.00/permit$225.00 = $12,077.00 for Harvey windows Kitchen window,Pella architect series Awning,low•e argon,white clad exterior,painted interior,with bonded grills across the top. Window cost$1285.00 /labor and materials for new header$1100.00/Labor and trim to install $575.00 = $2960.00 for The Pella install Please read the Harvey contract for all the specs on the windows. Please read Pella Specs for sizing and details. Harvey classic,low�e argon,tilt in,white,grills between the glass. Ail material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: 15,03 .00 PLEASE MAKE CHECK OUT TO ZALANSKAS CONSTRUCTION with payments to be as follows Dgppsit X9300.00 received to ager windows Submitted by: Balance due at completion$5737.00 GREGORY ZALANSKAS Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work specified above. Payments will be made as outlined above. Accepted by: Please note: This proposal may be withdrawn by us if not accepted within 30 days ZALANSKAS CONSTRUCTION 34 BIRCH ROAD ANDOVER MA 01810 978-835-5194 GREG.ZAL6NSKAs9000MCAST.NET Estimate# 8 Order--# Date 4/12/15 QUOTE SUBMITTED TO: WORK TO BE PERFORMED AT: Name Lynda&Peter Belanger Name SAME Address 68 Bear hill Road Address City-state North Andover MA Planned Date Projected start May Phone Peter 50$-284-36851E ,!!da 978-337-0291 Ismail P I r Job Description: Kitchen,excludes cabinets and countertops;appliances,all li ht fixtures,plumbing fixtures, Kitchen Demo,remove cabinets and granite countertop(to dispose)remove tile floor $2700.00 change opening to office and install single French door and hardware.$875.00 i install 2nd single French door into 2nd office opening$575.00=$1450.00 Install new kitchen per design $6,500.00 /repair ceiling and walls were needed ,re plaster office wall and laundry wall$900.00 Install ceiling stove exhaust and vent threw ceiling out to back of house.HVAC installer needed.$1100.00 Electric,plugs,switches,10 new recessed lights,power for garbage disposal,1 pendent light,power for heater,electric for stove&exhaust fan,$3500 Plumbing,disposal,sink,fridge water line,under cabinet heater,gas supply for stove,$2900.00 Laundry Closet,widen opening to accept new double doors,build base and install draws,shelve,and steel closet pole,plaster repairs,$1650.00 Hall cabinet install into opening,$650.00 Remove tile in front hallway,remove tile in hallway and bathroom,remove toilet(save toilet?)$1200.00 Tile Work ,bathroom,hallway and laundry area **Estimate$2350.00**includes Dura rock and cement.***Not included Tile,grout and marble threshold rile backsplash$1600.00*Estimate*Doesn't include the or grout. Hardwood/Kitchen install new 2 1/4"oak raw,26'x 14/install new 2 1/4 in front hall 125 sqft,/sand dining room and office to match kitchen 3 coats water,one coat oil,to match new kitchen hardwood.Includes stain if needed.($700.00 for stain) $7920.00 Dis osal $700.00 /Permits$465.00 Kitchen Work$34420.00 All material is guaranteed to Be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: T36,595.00 PLEASE MAKE CHECK OUT TO ZALANSKAS CONSTRUCTION IST deposit at signing$12,000./2nd at electric rough in$12,000 Submitted by: GREGORY ZALANSKAS 3rd at start of flooring$8,000./final at completion$3,585.00 OF ZALANSKAS CONSTRUCTION Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work specified above. Payments will be made as outlined above. Accepted by: Tease note: This proposal may be withdrawn y us if not accepted within 30 days Contract - Detailed Pella Window and Door Showroom of Concord Sales Rep Name: DombrosId, Brian ® 341 Loudon Road Sales Rep Phone: (603)568-9194 Concord, NH 03301 Sales Rep Fax: (603)428-3551 Phone:(603)225-1953 Fax: (603)225-3169 Sales Rep E-Mail: DOMBROSKIBJ@pellaboston.com Customer Information Project/Delivery Address Order Information Zalanskas Construction Bellanger--N.Andover,MA Quote Name: 3/30115 Architect Series Large Awning Order 34 Birch Road 139 Lawrence Road Order Number: 185BD3460 ANDOVER,MA 01810 Lot# Quote Number: 5513600 Primary Phone:(978)835-5194 SALEM,NH 03079 Order Type: Non-Installed Sales Mobile Phone: 9788355194 County: ROCKINGHAM Wall Depth: Fax Number: (978)4699461 Owner Name: Payment Terms: 2%101Net 30 E-Mail: segheai@comcast.net Zalanskas Construction Tax Code: NH TAXABLE Contact Name: Owner Phone: (978)835-5194 Cust Delivery Date: 0412212015 Quoted Date: 3114/2014 Great Plains#: JJZALANSKA Contracted Date: Customer Number: 1003040220 Booked Date: Customer Account: 1000556078 Customer PO#: Line# Location: Attributes 10 None assigned Architect,Awning Vent,59 X45,Vanilla Cream Item Price Qty Ext'd Price 1 $1,071.00 1 $1,071.00 s f 1:Non-Standard Size Vent Awning Frame Size: 59 X 45 General Information: Standard,Clad,Pine,5",311/16",No CertificationPfC# Exterior Color/Finish: Standard Enduraclad,Vanilla Cream 702 interior Color/Finish: Primed Interior Sash/Panel: Standard Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: No Limited Opening Hardware,White,Sill Screen: Full Screen,White,InViewTm Grille: ILT,No Custom Grille,7/8",Top Row(7W1H) Wrapping Information: No Exterior Trim,No Interior Trim,6 9/16",7 7/8",Standard Four Sided Jamb Extension,Factory Applied,Pella Recommended Clearance,Perimeter Length=208,Glazing Pressure=50. Rough Opening:59-3/4"X 45-314" For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 313112015 Contract-Detailed Page 1 of 3 QUOTE NBR CUSTRWIT7 CUSTOMER POI ENTEREDDATE ORDERED ORDER TYPE 3745740 -4 1036881 3/5/2015 Quote Not Ordered Cash ORDERED BY STATUS I SHIP VIA` DELIVERY AREA GREG None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON jdd -James Dillavou BELANGER 1 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 14000-1 Classic DH,Unit Size 31.75 x 45.5,RO 32 x 46 2 $222.91 $445.82 Full Screen,Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Double Locks,Sash Limit Devices=Night Latch Double Glazed,Low E,Argon Filled Energy Star Unit 1:U-Factor=0.3,SHGC=0.28,VT=0.49,AL-,NFRC CPD & Number=HI1 M 3101482 00002,Custom/Call Size Option= Custom Size,Replacement,Fully Welded Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=HII M 31 01482 00002 31.75 k0.32 -- Foam Filled,Sill rise extender =No Base Color=White Contour In-Glass,Colonial,Match Frame,4W2H _ Foam Fill=Yes Overall Rough Opening Width=32,Overall Rough Opening Height =46 Head Expander=Yes Room Location: None Assigned Page 5 Of 6 QUOTE NBR CUST NBR CUSTOMER P ENTERED DATE ORDERED ORDER TYPE 3745740 1036881 3/5/2015 Quote Not Ordered I Cash ORDERED BY` STATUS SHIP VIA DELIVERY AREA GREG None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON jdd -James Dillavou BELANGER 1 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 13000-1 Classic DH,Unit Size 31.75 x 59.5,RO 32 x 60 13 $239.49 $3,113.37 Sash Split=Cottage Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Double Locks,Sash Limit Devices=Night Latch „ Double Glazed,Low E,Argon Filled Energy Star Unit 1:U-Factor=0.3,SHGC=0.28,VT=0.49,AL-,NFRC CPD Number=HE M 3101482 00002,Custom/Call Size Option= Custom Size,Replacement,Fully Welded 3,73— Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=HE M 31 01482 00002 Foam Filled,Sill rise extender =No _ Base Color=White Unit 1 Bottom:Contour In-Glass,Colonial,Match Frame,4W3H Unit 1 Top:Contour In-Glass,Colonial,Match Frame,4W2H Foam Fill=Yes Overall Rough Opening Width=32,Overall Rough Opening Height =60 Head Expander=Yes Room Location: None Assigned Pace 4 Of 6 QUOTE NBR CUST NBR . CUSTOMER P ENTERED DATE ORDERED ORDER TYPE 3745740 1036881 13/5/2015 Quote Not Ordered Cash ORDERED BY STATUS SHIP VIA DELIVERY AREA GREG None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON jdd -James Dillavou BELANGER 1 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 12000-1 Classic DH,Unit Size 31.75 x 59.5,RO 32 x 60,EXTENDED 3 $288.57 $865.71 LEADTIME Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Double Locks,Sash Limit Devices=Night Latch 8 Unit 1 Lower:Double Glazed,Low E,Argon Filled,DSB,Tempered, g Custom Temp IG Unit 1 Upper:Double Glazed,Low E,Argon Filled Unit 1:U-Factor=0.3,SHGC=0.28,VT=0.48,AL-,NFRC CPD Number=HII M 3101482 00002,Custom/Call Size Option= 7115-- Custom Size,Replacement,Fully Welded Unit 1 Lower Glass:NFRC CPD Number=HII M 3101533 00002 Unit 1 Upper Glass:NFRC CPD Number=HE M 3101482 00002 Foam Filled,Sill rise extender =No Base Color=White Contour In-Glass,Colonial,Match Frame,4W3H Foam Fill=Yes Overall Rough Opening Width=32,Overall Rough Opening Height =60 Head Expander=Yes Room Location: None Assigned Page 3 Of 6 QUOTE NBR CUST NBR I CUSTOIMERPOI ENTERED DATE ORDERED ORDER TYPE 3745740 1036881 1 1 3/5/2015 Quote Not Ordered Cash ORDERED BY STATUS SHIPVIA DELIVERY AREA GREG None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON jdd -James Dillavou BELANGER 1 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 11000-1 Classic DH,Unit Size 31.75 x 59.5,RO 32 x 60 9 $243.07 $2,187.63 Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Double Locks,Sash Limit Devices=Night Latch Double Glazed,Low E,Argon Filled „ Energy Star ¢ mu Unit 1:U-Factor=0.3,SHGC=0.28,VT=0.49,AL-,NFRC CPD Number=HII M 3101482 00002,Custom/Call Size Option= Custom Size,Replacement,Fully Welded Unit 1 Lower Glass,I Upper Glass:NFRC CPD Number=HII M 31 3,,-- 01482 00002 fW.� Foam Filled,Sill rise extender =No Base Color=White Contour In-Glass,Colonial,Match Frame,4W3H Foam Fill=Yes Overall Rough Opening Width=32,Overall Rough Opening Height =60 Head Expander=Yes Room Location: None Assigned Pape 2 Of 6 HARVEY Manufacturing e BUILDING PRODUCTS ACKNOWLEDGEMENT Harvey Industries,Inc. 1400 Main Street.Waltham,MA 02451-1689 (781)899-3500 harveybp.com Dealer Quote Summary BILL TO: SHIP TO: Salem 4B Raymond Road SALEM,NH 03079-9283 ZALANSKAS CONSTRUCTION ZALANSKAS CONSTRUCTION Phone:(603)893-1611 Fax:(603)893-8196�II'I �Ib�� Ia� 34 BIRCH ROAD 34 BIRCH ROAD �roHO m ANDOVER,MA 01810-0000 I)I�� ANDOVER,MA 01810-0000 Phone: 978-409-1773 Fax: 9783730736 Phone: 978-409-1773 Fax: (978)373-0736 QUOTE NBR CUST NBR I CUSTOMER-POICUSTONIER-POI ENTERED DATE ORDERED ORDER TYPE 3745740 1036881 3/5/2015 Quote Not Ordered Cash ORDERED BY STATUS SHIP VIA DELIVERY AREA GREG None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON jdd -James Dillavou UE- 1 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 10000-1 Classic DH,Unit Size 31.75 x 37.75,RO 32 x 38.25 1 $222.91 $222.91 Full Screen,Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Double Locks,Sash Limit Devices=Night Latch Double Glazed,Low E,Argon Filled Energy Star Unit 1:U-Factor=0.3,SHGC=0.28,VT=0.49,AL-,NFRC CPD Number=HI[M 3101482 00002,Custom/Call Size Option= Custom Size,Replacement,Fully Welded Unit 1 Lower Glass, i Upper Glass:NFRC CPD Number=HII M 31 01482 00002 Foam Filled,Sill rise extender =No W"n Base Color=White Contour In-Glass,Colonial,Match Frame,4W2H Foam Fill=Yes Overall Rough Opening Width=32,Overall Rough Opening Height =38.25 Head Expander=Yes Room Location: None Assigned Page 1 Of 6 The Commonwealth of Massachusetts M Department of IndustrialAceldents Y ay d 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERIVHTTING AUTHORITY. Applicant Information Please Print Leizibl Name (Business/Organizationllndividual): I iAddress: Q 1 r 1 City/State/Zip: A-A `�`'cT / Phone#: Are you an employer?Check the appropriate box: Type of project(required): i.Q I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.el I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ®Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 0 Building addition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.®Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.F-1We are a corporation and its officers have exercised their right of exemption per MGL c. 14.F1 Other 152,§1(4),and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,'they must provide their workers'comp.policy number. lam an employer that is providhig worlkers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lia#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby certify under the ains andpenalties ofperjuiy that the information provided above is true and correct. Signature: Date: Phone#: O �5— L Official use only. Do not write in this area,to be completed by city or town official.. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:10322 ZALANSKASCONST ACORD- CERTIFICATE OF LIABILITY INSURANCE 4113/2 5°"Y""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Doherty Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 1985 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21 Elm Street Andover,MA 01810 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arbella Protection Ins Company Zalanskas Construction INSURER 8: Gregory Zalanskas (DBA) INSURER C: 34 Birch Road INSURER D: Andover,MA 01810 INSURER E: '. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NSR 1kD LTR SR TYPE OF INSURANCE POLICY NUMBER DATE O EFFE YYiTIVPOLI —EX—P1—RAT– N LIMITS A GENERAL LIABILITY 8500022056 06/15/14 06/15/15 EACHOCCURRENCE $1000.000_ NCOM MERCIALGENERAL LIABILITY DAMAGE TO RENTED $100 000 CLAIMS MADE �OCCUR MEDEXP(Anyoneperson) S5 000 PERSONAL 8 AOV INJURY S1 000 000 GENERAL AGGREGATE s2.000.000 GEN'.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPrOP AGG s2,000,000 X POLICY M PAO M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea awdent) S ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Por person) HIRED AUTOS BODILY INJURY S NON•OWNEO AUTOS (Per awrdenl) PROPERTY DAMAGE S (Por acddeol) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSA)MBRELLALIABILITY EACH OCCURRENCE $ ''.. OCCUR CLAIMS MADE AGGREGATE S S I DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC STATU- 0TH- ER 'Y LIABILITY t)LLII E.L.EACH ACCIDENT S ANY PROPRIETOMPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE b 11 yes.doscnbo wide, SPECIAL PROVISIONS bobw E.L.DISEASE-POLICY LIMIT E OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Covering operations usual to Zalanskas Construction... CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ DAYS WRITTEN 1600 Osgood Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL North Andover,MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES, AUTNORU!EDREPR TIVE ACORD 25(2001/08)1 of 2 #S31825/M30661 DML 0 ACOPISCORPORATION 1988 ��e�poo�a��aa�acaecc�t�a��foJO�calaccJel�i Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Wepgistration: ;126875 Type: Office of Consumer Affairs and Business Regulation iration: :-8/3201 -== Individual 10 Park Plaza'-Suite 5170 Boston,MA 02116 GREGORY J.ZALANS GREGORY ZALANSKAS 34 BIRCH RD r ANDOVER,MA 01810 Undersecretary t valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-072201 GREGORY J ZAINS ', 34 BIRCH RD Andover MA 01810 ` Commissioner Expiration 03/18/2016