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HomeMy WebLinkAboutBuilding Permit # 9/30/2015 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION I n Permit NO: Date Received " Date Issued: J"7! _ IMPORTANT:Applicant must complete all items on this page MAP O v PARCELS ZON7NC DISTRICTvvv�\HrstoncDlstnct\v��V�ye � nova , TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ftne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: ❑Commercial Repair,replacement E Assessory Bldg ❑ Others: Demolition E Other 't'iSeptic, Ll Well „,. C Fl6odpla'in ❑Wetlands Q Watershed Distract a o WBtef/SeWer DESCRIPTION OF WORK TO BE PERFORMED: Identification,Please Type or Print Clearly) OWNER: Name: C/V,.1f' �' °'* �`���. f0 Phone Address: :s e r Z '-,t CbNTRACTOR Name�� Rhone Address SuervlsorsConstructionLlcen�e A �- � �`� Exp Date`v � � P \~ \ \\ \ Home Im rovemgnt Gicense,� \ p ,Date � "` ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ f FEE: Z&6) e:�o Check No.: } Receipt No.: f OT : Persons contructin isteretZ contractors do not have ac =,- Plans the Signature ofAgent/Owne Sig ature of contract_`r Submitted 17 Plans Waived Certified Plot Plan ❑ Stamped Plans � NORTf� Town of 2 S E.... An0over No. ® u 1 h ver,Mass, S U - BOARD OF HEALTH Food/Kitchen PERM T ILD�\ Septic System THIS CERTIFIES THAT..................... .. • '^So BUILDING INSPECTOR ........... ...... ................................................ � Foundation - has permission to erect..........................buildings on.... ... U1C!.r 7wSRX"�s.............. � Rough to be occupied as................. .......�.e.....�....re(..... ....................................................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction,of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 WNTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIRough Service ................ .... .................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Regitired to Occupy Building Rough Display in a Conspicuous Place on the Premises—Do Not Remove Final - No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Let. Proposal AB Carnes Roofing,Inc. 30 Arrowhead farm Rd Page of I Boxford,Ma.01921 978-887-1431 MA.CS-000230 and HIC Reg.176928 Proposal Submitted To: CHRIS&LISA HANSON Date September 19,2015 84 SUGARCANE LN Project Nam NORTH ANDOVER,MA 01845-3248 Add.. 978-794-2121 OR 978-902-2477 We propose to furnish material and labor-in accordance with the specifications below: Fourteen Thousand Four Hundred Dollars($14,400.00) Payment to be made as follows:$300.00 Deposit Balance Upon Completion Ntracting,unless specifically exempt from registration by provisions of Chapter All em improvement c.-.-and suboon—is in home i-,-,-.nl wo 142A of the General Laws must be registered with the Convionwashi of Massuhusafts.Il about registration and status should be made to the Maaagovllxoafiaw website. ROOF PROPOSAL Z STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES.COVER ROOF DECK WITH THE UPGRADED RHINOROOF TITANIUM U20 HIGH PERFORMANCE SYNTHETIC UNDERILAYMENT MEMBRANE.COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE, N E CAM P-w0`ftCT-fiOvF INSTALL CARLISLE HIGH PERFORMANCE ICE&WATER BARRIER OVERALL HEATED AREAS SIX FEET WIDE AT THE LEADING EDGE OF ROOF AND THREE FEET IN ALL VALLEYS.WRAP THE CHIMNEY(S)AND SKYLIGHT CURBS WITH ICE AND WATER BARRIER. �'K,COVER ALL PERIMETERS WITH EIGHT INCH PREFORMED ALUMINUM DRIP EDGE, ti INSTALL GAP COBRA R03E VENT AND/OR._' ROOF LOUVERS FOR ADDED ATTIC VENTILATION, COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS AND FLANGE. REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST OF V5.00PLIFT,WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK AND YOU MAY NEED TO HAVE A CARPENTER REINSTALL OR REPLACE THE SIDING THAT WAS REMOVED X:CHIMi FWSHM:CUT ALL EXISTING TAR AND LEAD FROM ONE CHIMNEY(S),CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WITH METAL ANCHORS.PROPERLY SEALRg LET-:164T.PLEASE ADD S4E,1.00 TO ABOVE PRICE. COVER ROOF SURFACE WITHCEER TAINTEED LANDMARK240LC -�PE-!!kAs,,APale�,-YDE- NERSH�l,.GLES, Z,REPLACE DEFECTIVE ROOF DECK AS NEEDED WITH SIMILARAT AN ADDITIONAL COST OFS4.0DPSQF COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING:AT AN ADDITIONAL COST OF -51 NA11 NO:SECURE SHINGLES WITH E' t&ffl IN TOTAL COATED ROOFING NAILS AS PER CERTAINTEED SPECIFICATIONS. SKYUGH"IS;REPLACE EXISTING SKYLIGHTS WITH NEW VELUX OR WASCO UNITS.WE WILL PROVIDE THE SKYLIGHTS&FLASHING KITS AT OUR EXACT COST FROM OUR SUPPLIER.OUR LABOR CHARGE IS 575.00 EACH IF THEY ARE THE SAME SIZE.INTERIOR WORK IS EXCLUDED. REMOVE EXISTING GUTTERS I INSTALL NEW SEAMLESS A32 ALUMINUM GUTTERS USING THE HIDDEN ZIP SCREW HANGER SYSTEM. -REPLACE DEFECTIVE TRIM BOARDS WITH CUSTOMERS APPROVAL USING NO.2 PRIMED PINE,ADD S15-0OPL-Fir TO THE ABOVE PROPOSAL. -INSTALL NEW ALUMINUM DOWNSPOUTS AND MECHANICALLY FASTEN ALL CONNECTIONS. CLEAN ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORK AREA.THE PROPERTY OWNER AUTHORIZES AS CARNES ROOFING TO OBTAIN ALL PERMITS.WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS CUSTOMER SHOULD COVER VALUABLES, GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HOWEVER,SOME MARRING AND OR MINOR DAMAGE COULD OCCUR. IN ADDITION,WE CANNOT BE RESPONSIBLE FOR ITEMS FALLING FROM WALLS,SHELVES OR CEILINGS DURING THE ROOFING PROCESS, SPECIAL IN-STIR LIC 1: NS: THE ABOVE PROPOSAL INCLUDES ALL SHINGLED ROOF SECTIONS OF THE HOUSE. SHINGLE UPGRADE:UPGRADE TO THE LANDMARK 300LB HIGH DEF PREMIUM SHINGLES,ADD$2200.00 YES( )THIS IS OUR EXACT COST 'e WARRANTY UPGRADE.THE CERTAINfBED WIND WARRANTY WILL BE UPGRADED FROM 110 MPH TO 130 MPH WITH AN UPGRADE TO THE CERTAUNTEED HIGH PERFORMANCE HIP&RIDGE CAPS AND STARTER COURSE AT NO ADDITIONAL CHARGE YEW) EMAIL ADDRESS;-,1 War.- V anbj:All work warranted against installation defects for 5 years;this warranty is limited to the installed item(a)and its repair only.Material is warranted by the manufacturer against defects for 5(1 years;see the manufacturer's warranty for exact warranty performance. miam Cancellation:Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from the date of signing this agreement via Priority Mail Delivery Confirmation.Please sea reverse side. Dispute Resolution under Mi useft a Home Improvement Law 1422x:All parties agree that any and all disputes relating to this proposal shall be settled by arbitration.This forum is user friendly and does not require lawyers.Please see reverse side. Signing this Proposal means have accepted all the tens as stated on the front and back of this agreement.Please see reverse side. Sigmund-/ Date of Acceptano� z Signature Signature PLEASE SEE REVERSE SIDE The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia "."kers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auolicant Information Please Print Legibly Name(Business/Organmtion/Individual):AB CARNES ROOFING INC Address:30 ARROWHEAD FARM RD City/State/Zip:BOXFORD,MA 01921 Phone#:978-887-1431 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-thee).* 7. ❑New construction 2.❑1 am a sole proprietor orparmership and have no employees working forme in g. Remodeling any capacity.[No workers'comp.insurance required] 3.❑I are a homeowner doing all work myself.[No workers'comp.insurance required.]' 9. El Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct al]womy property rk m I will 10❑Building addition } ensure that all contractors either have worker'compensation insurance or=sole 11.F-1 Electrical repairs or additions r"`pmpriemrs with no employees. 12.❑Plumbing repairs or additions €5.Q[sin a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑�Roof repairs I ess sub-contractors have employees and have workers'comp.immancet ,:£6.Q We are a corporation and its offrcets have exercised their right of exemption per MGL c. 14.❑Other §1(4),and we have no employees.[No workers comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers compensation policy information t Homeown 'who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. : Contractors that check this box most attached an additional sheet showing the name of the sub-contractors and sate whether or not those entities have employees.tithe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as 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. do hereby ce nder the wins and p_e�natties of perjury that the information provided above is true and correct I Si�rta[ure � r� Date: Phone#:978-8$7'1431 Official use only.Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# Issuing Authority(circle one): I-Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: FORM 153 The Commonwealth of Massachusetts DIA Use Only Department of Industrial Accidents Office of Investigations-Dept.153 I Congress Street,Suite 100,Boston,Massachusetts 02114-2017 httpallwww.mass.govidia Invest./SWO In 4- AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE OFFICERS OR DIRECTORS Chapter 169 of the Acts of 2002 amended M.G.L.c.152,,¢1(4)by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding stock of the corporation.Notwithstanding section 46,these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter.Said commissioner shall promulgate regulations to carry out the purpose of this paragraph.Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C." Pursuant to M.G.L.c.151§1(4)as amended,I/We the undersigned officers of: AB CARNES ROOFING,INC. (Name of Corporation and Address) each holding at least 25%of the issued and outstanding stock in said corporation,do hereby invoke the right to be exempt from the provisions of M.G.L.c.152,§25A and therefore are not required to carry a workers'compensation policy covering the undersigned corporate officer(s)or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in M.G.L.c.152 for any injuries that may be sustained while in the employ of the above-named corporation. Further,I/we the undersigned do understand that,should the above-named corporation hire or have in its employ any employee(s)in addition to the undersigned corporate officer(s)or director(s),said corporation is required to obtain workers'compensation coverage for the employee(s)as prescribed by M.G.L.c.152,§25A. I/We the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the appropriate box below my/our name(s)indicating my/our desire to be exempt or not to be�acgmpf ff, the provisions of M.G.L.c.152. f4,ig eed�under the ains and penalties of perjury: BARRY CARNES,PRESIDENT 09/24/2013 s- to Print Name&Title Date(mm/ddlyyyy) 0 I wish to exercise my right of exemption or ❑I wish NOT to exercise my right of exemption ANASTASIYA CARNES,DIRECTOR 09/24/2013 SignaturePrint Name&Title Date(mm/ddlyyyy)f1 Q I wish to exercise my right of exemption or ❑I wish NOT to exercise my right of exemption -• - Signature Print Name&Title Date(mm/dd/yy ❑I wish to exercise my right of exemption or ❑1 wish NOT to exercise my right of exemption Signature Print Name&Title Date(mmldd/yyyy) ❑1 wish to exercise my right of exemption or❑I wish NOT to exercise my right of exemption Note:ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN.THERE CAN BE NO MORE THAN 4 SIGNATURES.Instructions on back. Form 153—7/2010 MA SOC Filing Number:201340178570 Date:6/26/2013 6:21:00 PM / The Commonwealth of Massachusetts Minimum Fee:$250.00 F William Francis Galvin Secretary of the Commonwealth,Corporations Division ).' One Ashburton Place,17th floor a 1 Boston,MA 02108-1512 so 71r 1 -117 r— 1 Telephone:(617)727-9640 Federal Employer Identification Number: 001110484(must be 9 digits) ARTICLE I The exact name of the corporation is: AB CARNES ROOFING,INC. ARTICLE II Unless the articles of organization otherwise provide,all corporations formed pursuant to G.L.C156D have the purpose of engaging in any lawful business.Please specify if you want a more limited purpose: COMMERCIAL&RESIDENTIAL ROOFING AND ROOFING RELATED WORK.THIS SHALL INCLUDE ALL TYPES EXTERIOR&INTERIOR REMODELING ARTICLE III State the total number of shares and par value,if any,of each class of stock that the corporation is authorized to issue.All corporations must authorize stock.if only one class or series is authorized,it is not necessary to specify any particular designation. Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares _ 0000_. ...0000. 0000 cNa $o.cooaa i.000 80.00 1.000 -_.. G.L.C156D eliminates the concept of par value,however a corporation may specify par value in Article IIL See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized,state a distinguishing designation for each class.Prior to the issuance of any shares of a class,if shares of another class are outstanding,the Business Entity must provide a description of the preferences,voting powers,qualifications,and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions,if any,imposed by the Articles of Organization upon the transfer of shares of stock of any class are: ARTICLE VI Other lawful provisions,and if there are no provisions,this article may be left blank. Note:The preceding six(6)articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. ARTICLE VII The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law.If a later effective date is desired,specify such date,which may not be later than the 90th day after the articles are received for filing. Later Effective Date: Time: ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b.The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: Name: BARRY CARNES No.and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State:MA Zip: 01921 Country:USA c.The names and street addresses of the individuals who will serve as the initial directors,president, treasurer and secretary of the corporation(an address need not be specified if the business address of the i officer or director is the same as the principal office location): Title Individual Name Address(.a PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code PRESIDENT BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA TREASURER BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA SECRETARY : ANASTASIYA V CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA DIRECTOR BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 USA DIRECTOR ANASTASIYA V CARNES 30 ARROWHEAD FARM RD BOXFORD,MA01921 USA d.The fiscal year end(i.e.,tax year)of the corporation: October e.A brief description of the type of business in which the corporation intends to engage: CONLMERCIAL&RESIDENTIAL ROOFING f.The street address(post office boxes are not acceptable)of the principal office of the corporation: No.and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State:MA zip: 01921 Country:USA g.Street address where the records of the corporation required to be kept in the Commonwealth are located(post office boxes are not acceptable): No.and Street: 30 ARROWHEAD FARM RD City or Town: BOXFORD State:MA Zip: 01921 Country:USA which is X its principal office _ an office of its transfer agent an office of its secretary/assistant secretary _ its registered office Signed this 26 Day of June,2013 at 6:23:02 PM by the incorporator(s).(If an existing corporation is acting as incorporator,type in the exact name of the business entity,the state or other jurisdiction where it was incorporated,the name of the person signing on behalf ofsaid business entity and the title he/she holds or other authority by which such action is taken.) BARRY S CARNES ©2001-2013 Commonwealth of Massachus— All Rights Reserved MA SOC Filing Number:201340178570 Date:6/26/2013 6:21:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that,upon examination of this document,duly submitted to me,it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles;and the filing fee having been paid,said articles are deemed to have been filed with me on: June 26,2013 06:21 PM WILLIAM FRANCIS GALVIN Secretary of'the Commonwealth A oo CERTIFICATE OF LIABILITY INSURANCE 046-2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:N the certificate holder ism ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED, subject to the term: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 endorsemem(s). tM2ODUCER CONTACT NAME: ACE INS SERVICES INC PHONE FA% 675 WARREN AVE Arc NP"' a ac- BROCKTON,MA 02301 E-MAIL INSURER(5)AFFOROING COVERAGE NAICM INSURERA:AMERICAN ZURICH NSURANCE COMPANY INSURED INSURERB APC CONSTRUCTION INC - INSURER.: 51 FORD STREET UNIT 1 BROCKTON,MA 02301 INSURER.'. INSURER E: INSURER F: COVERAGES U 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 AB POUCY EFF POLICY EXP LTR 7YPEOFIN9UMNCE INSR MMD PDLIGYNUMBER'M DNYYY) MM/WIYYYY LIMITS GENERAL LIABILITY _ ; EACH OCCURRENCE S COMMERCIALGENERALLIAHILRY =F 4y DDWAMGEETORENTED nrn S CLAIMSQ-E n O.CUR i-` `� MED EXP IAPy ono panen) S - PERSONAL&ADVINURY s f _ GENERALAGGREGATE 5 � - 1 GENT AGG0.EGATE LIMIT APPLIES PER - PRODUCTe-COMPWP AGG 5 POLICY JEGT LOC - S NOBILE LUUaUT( MSIRED GINGLE LIMIT S ANY AUTO - eOOILYINJURYIPmpprepP) S A —ED puroEWLED - - POOILV INJURY(Parac—) S _HIREDAUTOS N0N-0WNED _ -_ Y d3OPE TY MAAGE AUTOS S A = 5 UMBREUALMHOCCUR EACHOCCURRENCE 5 EXCESSUM CLAIMSRMDE AGGREGATE S DED1 IRETENTONS S WORKERS CgIPENSADCN x INCSTATU .m• AND EMPLOYERS'LI UrY IN TORY LIMITS ER ANY PROFRIErORlPARTNERIEXECUTIV❑[ NIA E.L.EACH ACCIDENT $1,000,000 OFFICEWMEMSERF.LU.E.1 N 6ZZU6 10-22-2014 10-22-2015 (Manaaloryn NH) 2E52818A E1,DISEASE-EAEMPLOYEE$1,000,000 it yes,Eeectiba Cotler OEGCR[PTIONOF OPERATIONS balm E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIFRON OF OPERARDRS I LOCATIONS I VEHICLES(Am ACORD 101,Atltllibnal FAmsHrs Sche4ule,if mora spew Is reRUIPM) ! CERTIF Ir A8 CARNES ROOFING INC. r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 30 ARROWHEAD FARM ROAD CANCELLED BEFORE THE EXPIRATION DATE THEREOF, BOXFORD,MA01921 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESBiTAT1VE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(21110105) The ACORD name and logo are registered marks of ACORD MA SOC Filing Number:201499735200 Date:1012112014 1:24:00 PM The Commonwealth of Massachusetts MSnimumFee:$250.00 { _ William Francis Galvin 17 t Secretary of the Commonwealth,Corporations Division One Ashburton Place,17th floor li Boston,MA 02108-1512 Telephone:(617)727-9640 rQ Federal Employer Identification Number: 001149988(must be 9 digits) ARTICLE I The exact name of the corporation is: A P C CONSTRUCTION.INC ARTICLE II Unless the articles of organization otherwise provide,all corporations formed pursuant to G.L.C156D have the purpose of engaging in any lawful business.Please specify if you want a more limited purpose: CONSTRUCTION RE-MODELLING AND OTHER OTHER SERVICES PERTAINING TO CONSTRU CTION WORK ARTICLE III State the total number of shares and par value,if any,of each class of stock that the corporation is authorized to issue.All corporations must authorize stock.If only one class or series is authorized,it is not necessary to specify any particular designation. Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num fsh—' Total Par V'1— Num of Shares CNP s000000 20,000 $0.00 0 G.L.C156D eliminates the concept of par value,however a corporation may specify par value in Article III.See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one Gass of stock is authorized,state a distinguishing designation for each class.Prior to the issuance of any shares of a class,if shares of another class are outstanding,the Business Entity must provide a description of the preferences,voting powers,qualifications,and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions,if any,imposed by the Articles of Organization upon the transfer of shares of stock of any class are: ARTICLE VI Other lawful provisions,and if there are no provisions,this article may be left blank. Note:The preceding six(6)articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. ARTICLE VII The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law.If a later effective date is desired,specify such date,which may not be later than the 90th day after the articles are received for filing. I' Later Effective Date: Time: ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b.The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: Name: ANGELO PINGUIL No.and Street: 51 FOR D STREET UNIT 1 City or Town: BROCKTOPN State:MA Zip: 02301 Country:USA c.The names and street addresses of the individuals who will serve as the initial directors,president, treasurer and secretary of the corporation(an address need not be specified if the business address of the officer or director is the same as the principal office location): Title Individual Name Address Ino PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code PRESIDENT ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA TREASURER ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA SECRETARY ANGELO PINGUIL 51 FORD STREET BROCKTON.MA 02301 USA DIRECTOR ANGELO PINGUIL 51 FORD STREET BROCKTON,MA 02301 USA d.The fiscal year end(i.e.,tax year)of the corporation: December e.A brief description of the type of business in which the corporation intends to engage: CONSTRUCTION AND RE-MODELLING I.The street address(post office boxes are not acceptable)of the principal office of the corporation: No.and Street: 51 FORD STREET City or Town: BROCKTON State:MA Zip: 02301 Country:USA g.Street address where the records of the corporation required to be kept in the Commonwealth are located(post office boxes are not acceptable): No.and street: 51 FORD STREET City or Town: BROCKTON State:MA Zip: 02301 Country:USA which is X its principal office _ an office of its transfer agent an office of its secretarylassistant secretary — its registered office Signed this 21 Day of October,2014 at 1:26:45 PM by the incorporator(s).(If on existing corporation is acting as incorporator,type in the exact name of the business entity,the state or other jurisdiction where it was incorporated,the name of the person signing on behalf ofsaid business entity and the title he/she holds or other authority by which such action is taken.) ANGELO PINGUIL ®2001-2014 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number:201499735200 Date:10/21/2014 1:24:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that,upon examination of this document,duly submitted to me,it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles;and the filing fee having been paid,said articles are deemed to have been filed with me on: October 21,2014 01:24 PM WILLIAM FRANCIS GALVIN Secretary of'the Commonwealth TOWN OF NORTH ANDOVER WASTE AFFIDAVIT As a result of the provisions of MGL Ch.40-s54,I acknowledge that as a condition of building permit# all debris resulting from the construction activity governed by this building permit shall be disposed of in a properly licensed solid waste disposal facility,as defined by MGL Ch.111-s150A. Waste Disposal or Solid Waste Facility: ALLIED WASTE Address: 300 FOREST ST Town/City,State,Zip: PEABODY,MA 01960 NAME OF HAULER: AB CARNES ROOFING,INC.DUMP TRUCKS DATE:9-30-2015 SIGNATURE OF APPLICANT: =f I u Massachusetts-Department of Public Safety Board of Building Regulations and Standa,ds ivi nSErnCrz4n Sapen'Sscr License:CS-000230 BARRY S CARNES _ 30 ARROWHEABFAR�R - I Boxford MA 01921 � �;�= - Expiration Cammissianer 03/07/2016 Office of Consumer Affairs and Business Regulation r 10 Park Plaza-Suite 5170 Boston,Massacliusetts 02116 Home Improvement Contractor Registration Registration: 176926 Type: Corporation Expiration: 10110/2015 Tr# 245633 AB CARNES ROOFING,INC. BARRY CARNES _ 30 ARROWHEAD FARM RD - - BOXFORD,MA 01921 - Update Address and return card.Mark reason for change. Address E]Renewal C Employment [_]Lost Card scAI t:2onr-asii