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HomeMy WebLinkAboutBuilding Permit # 6/9/2015 S® .11FIE-4 AM TH -%' ver Town Of 0 ® ® I h C,o �AKE h ver, Mass, d l� COC NIC NE WICK S U AW BOARD OF HEALTH Food/Kitchen PERM T L1111111111F Septic System oTHIS CERTIFIES THAT6" PBUILDING INSPECTOR .......... . 19M Ts� has permission to erect ......... g � �� Foundation ................. buildings on ........ • AI.Q. . ........... .................................. Rough to be occupied as .� ... �-rviijl ... ............ .. ....... � �Vj.......................... Chimney provided that the person accepting this pin every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR _UNLESS CONSTRUCTI STARTS Rough Service �--� ......... .... . :..:7...... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Buildinga Rough Display in a Conspicuous Place on thereses — Do Not Remove Final No Lathing or Be® Wall To Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. _.. . __ MA Home Improvement ContractorRenewal - Andersen,CUR Renewal b Andersen Corporation License#170810(Expires#12l 9184 6) Federal Tax ID#41-1916413; wXMt,tCbi 3E6HLafti6 alekt '.s Yr .i•y,z:., 30 Forbes Rd. Northborough,MA 01532 (506)351-2200 Fax(508)•966-70172 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT 'Buyer(s)Name Date.- RICHARD ate:RICHARD VALLE - APRIL 3, 2015 .Buyer(s)Street Address city State Zip Cada 58 EVERGREEN DR NORTH ANDOVER MA 01845 Email Address Horne Telephone Number Work/Cell Telephone Number VALLE.ROVER IZON,NET 978-685-1022 Buyers)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation('Contractors`),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheat(s)(collectively,this"Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Est.Start Date Method of Payment TatalJDtrAmount $ 9,334 kmountFtnancedy 9,334 (Deposit Received(33%)$ 0.00 D it al sty:�.�g$ 4,667.00 Check/Cash 8-10 weeks Balance Start of Job(3a%)$ 0.00 Check� Balancer on Substantial gar SO Gant at Est.Install Time Credit Card Completion of Job(33%) 0.00 ComfAet'011 4,667.00 1-2 daysif C¢tilt Coat i9 eiGCted,grease M.)final a r»she,be eemwded wm ark w tees are aat4stsct set(3 Cr€dit Card Payment form ',.. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there ars no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent of bath Buyor(s)and Contractor. Buyer(s)hereby acknowledges thatBuyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed and dated copy of this Agreement,including the two attached Notices of Cancellation;on the date first written above and 2)was :orally informed of Buyer's right to cancel this Agreement, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyers Buyer(s) Signature of Consultant Signature Signature X GREG TAUTKUS RICHARD VALLE Printed Name 0r Consultant Printed Name printed.^dams YOU.THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE TFIiRD BUSINESS DAY AFTER THE OATS O!"MIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RICtHt ----------------------------- NOTICE OF C NCELIATION NOTICE OF CANCELLATION i Date af'traosaethot You may canes!this I Date of Transaction 111!0 You*nay Cancel this transatyiou,withoutany penalty or oldligialu.,within three busintss day's fmm the transaction,without any penalty,or obligation,within three business day* from the abuse date.It you cancel,any property traded in,,any payments made by you ander I abova date.If you cancel,any property traded lit,any payment&made by you under i the contract of Sale,and any negotiable Instrument executed by you will he i the contract.at Sale,and any negatiable inxtrumamt earcufed by yon will be "turned within t0 days fallowing receipt by the contractor("Seller'"}of pour i ree—od within 10 days following reteipthy the Contractor(°rSrllor"k of your Canr.tlatiou notice,and any security interest arishill.out of the transaction will he i cauCellation notice,and any security interest"Ing out of the transaction will be canceled. If yna cancel,you musk make available to the Seller w your reidden:;'e,1. 1 canceled. if you cauret,YOU must make available to the Sener at your rexldtace,is :substantially'as good caoditlon as wbeu received,any goods delivered to you under t substantially as good condition as when ricelvrd,any goods delivered to you under this Contract ar Sale,or you may,if you wash,comply with the instructions of the I this contract or Sale,or YOU slayy.If you wiah,comply withthe instructiona or the ',.. Seller regarding the return shipment of the goons at the Seller"s expense aid dik. I 'Seller cogartHng the return ahlpmcnt of the goods at the Sellees expense and rich. If you do utak.the goods available to the Seller and the Heller does notpick them up t If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of ilk,date of your Notice of Cancellation,you may retain at dispose. 1 within 20 day'*of the date of your Notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fait to make the goods avaTlaidt I of the goods.without any further obligation, if you fail to task*the goods available to the Setter,ne ifyou agree to returathe.gouds to the Selitr and tail to do ars,then i to the Seller,or if you agree to return the gators to the Seller and fall to do so,then You remain liable for prrfarmattCe of all Obligations under the Contract.In eaturl you"Main liable for Performance,of an obligations under the contract.'t'o cancer this waosactiou,mail or deliver a signed and dated copy of this caneell'Ad—notice t thio transaction,mail or deliver a signed and dated copy of this cancellation notice at,any other written notice,or send a telegram to contractor:Renewal by And.txtn,I or any other w=ritten nntice,at send a telegraut to C'.omractor: R.netxal try.Antl.rstn,!. 30 f'orbes Rd. Northborough RIA 01532. 30 Forbes Rd.Northborough,81A 01532. f1F:MBY C:ANCFd.TTDS TRANSAC-TION. I IIEREaY C&NCELTHIS'i'tANSAC'rioN,, i Gceytex:o tiyra t r`FIra N.— ©aka I Grrytxr'S,x�q,rwstucn rR''uJ Pimm. Da. i Renewal Renewal by Andersen Corporation MA(tome improvement Contractor � P byde a` 30 Forbes rd Northborough,MA 01532 License#1170810 (Expires 12123/2016) WINDOW R&PLAceMHRT ..,,Aa:i'l-l.;,,,,7111 (598)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet Boyr s)NoincDole of Agreenicnt RICHARD VALLE F'Rir APR 3, 2015 Tht IMV is listed show•htrreh,loinfly alul Sete-ralig agree to ptift-I w the gotAd at'cl/or s<rviv('>listed ht^loew,to accotdanct with the prices and terms dcseribed on thr 5ltecification Shevt and the from and tilt,ar,y°grae of,the.u-crHnpan�'ing C;I1 PC}l1 Wl\DOIIV AND DOOR or%dii(J) thi-Specification 5hret is brut. WINDOW&DOOR DETAILS ,fir �,rg, ar;n.x ExterioOntenor Calc,+` Hardware iGerciivvu LowE4 t Gr.=:e crus GlassRoom tF tvia:h t,enxt 1+.1.. Wind cavt"Go or St=let D3tati cosi, s Ext-Int Calor style &>a=x+s Smeutsv11 Grilles Srtsi,'M sass)2 Lifts OlAlms -------------- - Total 0 BAY BRW&BUILD OUT DETMLS Apt"ok Style Dotal/ vAdth+ Apprnx. Numhor Frame window End Certtor LowE f Root/ tiarchvaru Rooltt Caum Style F€a+5kers ht CasroNga Angie Llte^, Interor ExvfntColor Griner sashes ¢aslxis Screens SmarLsu!t Soffit Color Living 100 Bay 1:2:1 DLt.pw Dt3 ill`_' `rti E 1.MF 2e•c5 3 Birch STISI GRG 212 7th FAL Sman$un Scf. Stone SPECXALTY WINDOW DETAILS Full/ Arrprox. LmvE, Spoctalty B.#Y/BOW ADDXTXONAL WORK NO'I'E8 Count Room st to rose t1.L Smar18- Grilles Grill©Style ExtAnt Color t:mn­ is a.,,,to if:at s,,0.1—/1—,n 4A,,-nm V,72 4.6-, Ih, '011.,-iix:ilk;u�r,€tsc fear_ ADDITIONAL 1YORIC DETAIIS: All,tacksr,frxhwos&GftGi+csr<fe and out to be.andtottrr No Contractor will wrap exterior casings with coil stock color of Owner is aware that Contractor does not do any painting/staining or rembvailinstatlation of stern system ar window treatmanfsfharaRvara.1t tithe responsibility of the homeowner to have the alarm system and window treatn)ertslhardwate removed prior to fnstaflation. t1'a make no guarantee as to whether alarms or window treatinentsfhardware will fit after replacement Customer is also aware in same cases there will he glass toss. It there is,the amount will be dependent an the type of existing windows,Type of installation and window style.41e make no guarantee as to the amount of glass toss.Customer is aware and understands any and all unseat)rot is not included In this contract.Should any,rot be found there will be an additional charge for thite and materials unless so stated fn this contract Yes Contractor will insulate,caulk and seal windows with 3-pant system to prevent water and air Infiltration.Removal and disposal of all fob related debris, windows,doors,storm windows and vacuum nightly Included. upon completion of the job and payment in full,a limited warranty shall be issued. I yes Building Permit--Contractor will secure any and all necessary permits. The fee for the permit(s)is Included in the total contract price. Yens All discounts have been applied to this agreement. Y" No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). h i,rs,t;tr.d and nurleratu<xl€rr rte)+)batnr°«u alas ls:rrlice drat th✓ti 11+n ih+.;rlivn`ilre•t€E,:dutr}t tci€h du:(aiS'lY?tl ll`INBC}tY,!\C)1)t.;u'Ifi R1:1I1)i)hLl\Gr,tttlLl L\Il:�'t +rtuiitr+€es rlrc cctrim uel€rpr,uuliuu la ttaron the lmj lips,awl let wr llv+rA eerfrhl jury )f'tllo wrnlc"Th s Stn ritic<rttem 5nret feral'nm Ixi eiraryg tl..r its terHas tnealiluxl or E.0 rel in :utr+'gin•urrL:�s ve•h rirru+an.an•in-;til} rcicl-iyo'A ln•1>tiall rhe tiu}e r; uxl t;nn€Ctn t rr fimclt ll�I,heark,und'Ll"1h:11 f3ufrs si los wad 111i.c Spr i ifi+;tlioa Sltr"t. RenesvatbyAndersen Corporation ^ 13n1r�q ` /f�Ry%� ISu�ae`s'. —/--.T Signature of Consultant Signature T Signature GREG TAUTKUS RICHARD VALLE Print Name of Consultant Print Name Print Name Renewal Renewal by Andersen Corporation Rd, - 0151�2 byAndersert, Phone(509'13S 1--22100-F;ix C5081,k)86-'701, MA 4r I-ON 1,0 10,414Wi WINDOW "EPLACEMMT 41 CONMZAM AWND 1UN, 0010K RIA"WIPELING Oy bwd tvkweoli L'oowal[�y Atiklo,,,wn %,,;Jfle flililictiLi.,irldri3i,,,.tily th,. lfvlvkv. Other 111-al"a� q;kvitwally Illkhi-11,0il Al .'r4'.M1 titin 111.` 141111, ft-1%4n In ('1411 011,%, ttId M,ffo�L Th1 q IN stj[tJoa�w fji:,`W131,1A jild Tfto lo the jv,xfit,-b ar.,J,,wrvjtvtwwoalq)ordolvd aro Changing the Bay to a 1:3.1 ratio unit with a grid pattern of V2 flankers and a center 714 pattern,to match existing bay WindOM There is NO price change for this amendmeft 01 1h,:,,w 11w, territs 04 It AgvvCvI0'i1 J,,io uhanglr,�t, of IS !10 idl 10011 WIR bi" leh blailk cm� Nt,W fout J01,,i Atv,.,mute"$,11,33vLOO M"Wid; 01,qvi4it Re,.-ciwiJ (itetm Sky llivumc New luwj,;v 3t Swit of),A� Mnv 6 1 cQvi Skv 11 v*,gif wo It is Wwd aW wule"ood by and Wwun the paftA, that(WAmeindmW omA tho adgbW Agmawvit wwUhrbo the:mfire,undomandit% be- twivrt tho parda,and thm stv no YoAul vp chwW'>•�or mod Uft any if ft*m d this Amcndmm u) Do= hady admowl- I Ogo thwtSgv"( hip r1co4 this AvIcadmo*xod-Ms ro*wdx ooWnpldrd,aipod,mind d4iod M afMsATwnibnmf mtf 40vwri*ubP1Qrw, on al by An*rsm Corporatton ower(s) Richard F. Valle IP; 19,0 111,1,7 5 0 ijor.'D 2. 1 SO 51 31S 9 220 5V 13 j 15) of hw411.14t Nttitwr 111-4 1 Ren bylnndersene=-�2101 WINDOW, REPLACEMENT an MdeiariCornpAoy WoodNinyl Composite IF Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 019" 0w19 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Manufaclurar stipulates that these ratings conform to appfioable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed sat of environmental conditions and a specific product sea. NFRC does not recommend any product and does not wafrant the suhab7ey of any product for any specific use. Consuh manufacturer's faaratum for other product performance information. Www.nfM.01g -41 Thisproduct meets Green 1 - Seal's environmental Canaea ..��••• jy":`'•'•+ standards govarning energy s•�n..ao'.m.: tj, •+<•••.;• m••"•t•+^*- . wtkwt effwiancy,heavy metals n `the frame and sash ��� T'.^.;X;ii%%.`•-^'•.'.�'+'m-:� fmatarat packaging,and �• 'E-::•'t ;:, eonsumereducational t w :k: "'5;:;??"'•'• .ya...::i^o...sn.rn...:.r.a DESIGN PRESSURE(PSF) mom W� A w dow ane Doorbn ' htanhcwNm1uvrcfsmo6t ® 5 RbA DB Sloped Sill DIH IN ToslW tolIM42orM..tAA'A]MA/MIO1ASIANOUS MarufacUor st lames oonformu"To M a licable stannaras. daets or exceeds M.E.C.,C.E.C,&I.E.C.C.Au Inflihration requirements WMA Hallmark Canificatbn Program. t A Em " . UJL CIL vinyl/wood Composi#;s Material Pn3duat�Argon Law-E4 SmartSun ENERGY PERF"WANCE FgATINW U-Factor Solar Heat Gain Coetiioiant 0.27 11 . 53 C� w2�! U.S.n-P JSl McUic ADDITIONAL PERt=IoAMANC1= 17AT1NG5 VIW161e Transmittanoa w My+.rare,n�xp„ttatmnD+utrae,ipa cnNnrmID>•PPrcaIXe prx� nrrom+once.NfRCnor�;areatlmmnYteetoralWaDesCsfiefd rotes/a�WD�tm4WW.+rd.praduee rvFRC eeN neC teGOnImN1D i Pt'DquotInd I mndOfLlt ena!apdtafe Menrs:m. cocN.rtn°n,+e.�a,,.r.----°Ydv�.nte.arnntmaaWaouya f°`'eti+t+dreenaParlaernm 4thmtadan, aMr P�mtd:cTp any aPeoMa aaw.+the.arD MEN .:d.+. -n�..., amen O ora on; chine ndow etw or Standard Ratln9 RAF-=W uCEA Ia,A. WIGas DPpsf F-G50 L 'qp' daC.fii,t Mm�mean Green - r Ww4vgmetsw mn.4,- ,k Oie�riAD Nb'gr it tlu/Manu�d��t �� matarrt,PactsDYfD.vts ereeuadwm h+eem er teameat .,crc,s t.e.cc.,w tmtuaoon �00-005 1 1 006-00'1 . tay..romerowad,.,rruxrx may,,, The Commonwealth ofMassachuselft Department o f Industrial Accidents Ca-fICe Of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 ulp- www mass gov1dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leziblv Name (Business/orgattization/Individual): RENEWAL BY ANDERSEN Address:30 FORBES ROAD City/State/Zip:NORTHBORO, MA 01532 Phone#:508-351-2200 Are you an employer?Check the appropriate box: 1.N I am a employer with 30 4. E] I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. []New construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ME Remodeling ship and have no employees These sub-contractors have 8. EJ Demolition working for me in any capacity. employees and have workers' 9. FJ Building addition [No workers' comp,insurance comp. insurance.1 required.] 5. EJ We are a corporation and its 10.F1 Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their I I-®Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.E]Other comp, insurance required.] *Any applicant that cheeks box 41 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. fContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site informative. Insurance Company Name:OLD REPUBLIC INS. CO. Policy#or Self-ins. Lic. #:MWC 30293800 Expiration Date: 10/01/16 Job Site Address: City/State/Zin- Attach a copy of the workers' compensation 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 fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D�Ifor insurance coverage verification. I do hereb a de the pains and penalties of perjury that the information provided above is true and correct. Si tures Date: 05/19/15 Phone- 8-351-2200 Offk1al use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person, Phone#° ANDECOR-01 YADAVYO C RTIFI `T OF LIQ ILI 1 SIJ NC DATE(MMIDOtYYYY) 10/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CGNTTEACr certiflcateTs�wlOis.com Willis of Minnesota Inc, PHONE 877 $45-7378 FAX c/o 26 Century Blvcj No Ext:( ) AIC No,:: 888)467-2378 P.O.Box 305191 DDRE ASS: Nashville,TN 372305191 --� INSURER(S)AFFORDING COVERAGE NAIC i! INSURERA:01d Republic Insurance Company 24147 INSURED INSURER 0: Renewal by Andersen Corporation INSURER C: 30 Forbes Road INSURER D: Northborough,MA 01532 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE INSO WVVD POLICY NUMBER (MNVOONYYYIMMlO LIMITS A X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 1,000,00 CLAIMS-MADE a OCCUR MWZY302940 10101/2014 10/01/2015 PREMISES Ea occurrence $ 500,00 MED EXP(Any one person) S 10,0 PERSONAL&ADV INJURY $ 1,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 4,000,00 X POLICY❑JEC LOC PRODUCTS-COMPIOPAGG $ 4,000,00 OTHER: $ AUTOMOBILE LIABILITY COaMa�d Sl E IMIT $ 5,000,00 A X ANY AUTO MWT8302676 10/01/2014 10/0112015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS AUTOS DA A E H R DAUTOS OSP ecdda $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY AND ER A ANY PROPRIETORIPARTNERIEXECUTIVE Y!N MWC30293800 10(01/2014 10/0112015 E.LEACH ACCIDENT $ 1.000,00 OFFICERIMEMBEREXCLUDED7 N_1 N/A (Mandatory In NM E.LDISEASE-EAEMPLOYE $ 1,000,00 ifyea,describe under DESCRIPTION OFOPERAIIONS below E.LDISEASE-POLICY LIMIT S 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached I mon:spew to mqubvd) 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. AUTHORIZED REPRESENTATIVE Evidence of Insurance 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD \S Massachusetts-Department of Public Safety Board of Building Regulations and Standards Con%truction Supen'iwr License:CS-ON 25 JAIl41E L MORIIrT ` 5 96 GARDMM SIS LYNN MA 01903r Expiration Commissioner 110108/2018 C9if e�pommem�urerx o�e�Cw,aa�uvetit . ffice of Consumer Affairs&Business Regulation OMEIMPROVEMENTCONTRACTOR Registration: 170810 Type; � Expiration: 12/23/2015 Supplement RENEWAL gY ANDERSON CORPORATION i, JAIME MORIN 104 OTIS STREET NORTHSOROUGH,MA 01532 Undersecretary ti i i t