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Home My WebLink AboutBuilding Permit # 11/13/2015 00RTa BUILDING PERMIT TOWN OF NORTH ANDOVER ° W APPLICATION FOR PLAN EXAMINATION Permit IVB Date Received Date Issued: wu��l � IMPORTANT: Applicant must complete all items on this page rj / P* / `. 'Y M% P IwJJ '% ' ,// taARt L" ONINC 0 TRICT ' H�sfori�lit tra+ t /°�i /o/ Mli"i �h V�11Ulu TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement i I Assessory Bldg i i Others: ❑ Demolition ❑ Other 1 1 epti l"E WelI 11 IFlogdplain i i Wetlands i Watershed District 11lofer/ wer' < s C Lie- Identification Please Type or Print Clearly) OWNER: Name: .Noe. A- my � �`� �,+` 1 Phone:. 0 �� _ 6 Address: I V'C?C'� � 1 �0� rv, Ar" ovev I C) iTRCTO me �� Ili+ rt t pervi or' ,c nstr ie#M n l e er E � — t n1+ Irprorrnef f.r rre ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDUVG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. re Total Project Cost: $_ a �S f0. 0" FEE: $ " Check No.: Abu Receipt No.: „ .,,7 NOTE: Persons contracting with unregistered contractors do not have access o th guaranty fund signature of Agen't1townerSig nature of contractor nw ttORTH 2 E ' nuuver 0 Q .`••. ® - I IwPAC, y O LAKE � ver, aSS' cocKicHEwrcK AERATE® P,4a.�,�5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT0...................... . . BUILDING INSPECTOR 3.04."Ov . .. .... Foundation has permission to erect .. buildings on ... • ........................ .....�.... .. � .. ........ ........ ..IFF...... Rough to be occupied as y ..... ...... ........... . .........�..... .... .... ................................................... Chimney provided that the person accepting this permit shall in every respect orm 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 EXPIRESAmhog�ol' PERMIT MONT HS ELECTRICAL INSPECTOR LESS TI Rough Service ................. .... ..... .. .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® 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 Approvedy the Building Inspector. Burner Street No. Smoke Det. BUILDING& REMODELING CONTRACTOR MASSACHUSETTS HOME IMPROVEMENTS CONTRACT This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Mr.&Mrs.Nahil Company Name Joscon Managernent,Inc Street Address(do not use a Post Office Box address) Contractor/Owner Name 1492 Great Pond Road Jonathan O'Sugivan CitylTown State Zip Code Business Address(must include a street address) North Andover,MA 01846 185 Aftific Avenue Daylime Phone Evening Phone 508-776-7269 City/Town State Zip Code nonapa@com cast.not Sahsbwy,MA 01952 Mailing Address(it different from above) Business Phone Federal Employer ID or S.S.Number 603-4%'1568 61-1403121 Home Improvement Contractor Reg,Number 159444 Expiration date 4-30-2016 The Contractor agrees to do the following work for the Homeowner: Scope of Work Master Bathroom I Laundry i Carpentry work The following Scope of work has been developed based on renovating the existing master bathroom. Work to include expanding the existing bathroom foot print by adding in a custom tiled shower unit and constructing a laundry closet in the hallway adjacent to the master bedroom. The bathroom and laundry layout to be similar in design as the floor plan drawn by Joscon Management dated 11- 5-15. Final layout and selections will determine the actual bathroom size. Several items below have Allowance amounts provided and will be adjusted accordingly once all materials have been selected. 6 Building permits per the Town of N Andover. 0 Temporary protection and daily cleanup throughout the remodeled areas. ® Demolition work to include the following: Removal of the flooring,shower,wall board around new shower area,remove the walls for the new layout and existing closet. Disposal of all construction related debris. Remove the drywall and framing in the hallway for the new laundry layout. ® Rough carpentry to include re configuring the existing bathroom creating a laundry set up along with adjusting the existing shower location. Construct a new wall between the bedroom and bath area. ® Remove the existing sub flooring at the new shower to access plumbing for the new layout and code upgrades. Drywall may need to be removed on the first floor to access the plumbing and to run pipes to the basement. Further exploratory work needed to determine the final layout. ® Insulate and fire caulking as needed. ® Install new Y2"drywall on all new walls and disturbed areas. Ceiling touch ups will be done at the disturbed areas. New drywall and finished smooth ready for painting. ® Construct a new custom tile shower unit. Final dimensions will determine the actual quantities. Currently figured on a 3'x 4'shower unit. ® Install homeowner purchased bathroom towel bars,robe hooks and toilet paper holder. ® Plumbing work to include disconnecting the existing shower,toilet and vanity sink. Re configure the existing shower connections for the new shower and run a drain/supply lines for the new laundry setup. Plumbing work has an allowance amount listed below. Code upgrades may be needed and further exploratory work needed to determine once the sub flooring has been removed. Disconnect the existing baseboard heater on the wall to be removed. ® Plumbing fixture allowance per Peabody Supply quote S016954487 dated 11-4-15. Quote includes the kitchen sink and components. Quote Price @$4,078.00 ® Install a dryer vent to the exterior of the house. ® Electrical work has been figured on code upgrades throughout the bathroom area,rework the existing electrical at the wall removal area,run power from the basement form the laundry units,install a new fan light combo unit,install a(6)recessed lights with one in the shower unit. Install homeowners supplied vanity lights. Code upgrades may be needed and further exploratory work needed to determine. Electrical allowance listed below. ® Carpentry work to include baseboard moldings and install(4)new interior doors. Door(1)is for the bathroom entry,door (2)is the laundry closet door(3)is a linen closet and door(4)is the bedroom closet door unit. Install white wire vented shelving in the linen closet and one row over the laundry units. ® Install a new vanity and associated hardware. ® Install the backer board throughout the bathroom floor area and the new custom shower walls. No tile for the shower has been figured. ® Install new ceramic tile throughout the bathroom floor area. Tile material allowance listed below. Install has been figured on a square pattern. ® Custom shower tile work to include the installation of a rubber&mud shower pan,shower floor tile and tile on the walls. Custom niche to be built,install a corner shower seat,install a shower curb threshold. Wall tile to have a boarder. Final layout TBD. Tile material Allowance listed below including the shower seat and thresholds. ® Install a shower glass door for the custom shower. Door allowance listed below. '... ® Painting by others. ® Final post construction cleaning throughout the project area. Allowances: ® Plumbing work @$4,500.00 '.... ® Plumbing fixtures per Peabody Supplies quote 5016954457 dated 111A-1 5 @$4,078.00 '.. o Toilet @ by others ® Electrical work @$3,000.00 '... ® Vanity @ by others ® Vanity top and bowls figured in the Plumbing quote by Peabody ® Tile floor(Materials) @$500.00 ® Custom tile shower materials @$1,100.00 ® Shower glass enclosure @$1,675.00 Additional Carpentry Work: 1. Remove the existing patio door in the kitchen and re install it at the deck area. Work includes interior/exterior trim similar to the existing. 2. Enclose the existing 6'opening at the kitchen patio door and install a new 36"or smaller door unit. Door unit allowance @$900.00. Enclosure work to include installing drywall on both sides and insulation. 3. Install a new bulk head entry door weather tight in the basement. 4. Remove and install new dining room crown molding throughout the dining room. Crown to be paint grade and a 2 piece crown system. Total for the above scope of work including the Allowance amounts: $36,480.00 Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following And will be secured by the contractor as the homeowner's agent: Building permit schedule will be adhered to unless circumstances beyond the contractor's control arise. (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of 11-10-2015 Date when contractor will begin contracted work. MGL chapter 142A,) 12-18-2015 Date when contracted work will be substantially completed. Shower glass enclosure install date to be longer due to template and install. Including the shower valve trim&Vanity. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of:$36,480.00 (*) Payments will be made according to the following schedule: $10,944.00 30%Upon the signing of the contract and the start of the project $10,944.00 30%Upon the of the completion of bathroom demolition and start of carpentry items $10,944.00 30%Upon Completion of bathroom rough in inspections and the start of tile. $3,648.00 10%upon substantial completion of the contract not including the shower glass door install. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $0 to be paid for NIA ordered before the contracted work begins in order to meet the completion schedule. (**)$0 to be paid for NIA) NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty•Is an express warranty being provided by the contractor? oNo 0 Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. � � � � � � You may cancel this agreement ifKhas been signed atoplace other than the contractor's normal place of business,provided you notily the coirtractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent mby delivery,not later than midnight of the � third business day following the signing ofthis agreement,See the attached notice ofcancellation form for oo explanation ofthis right, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Two identical copi the contract mus be pleted and signed.0ne cop houl o to the homeow r.The other copy should be kept bythe contractor. YV Homeowner's SlgTre Contractor's Signature Date / Date Contractor Arbitration � The Home Improvement Contractor Law provides homeowners with the right toinitiate anarbitration action(as unalternative tocourt action)Kthey have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration � uoioafforded tothe homeowner hvthe Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree ioadvance that inthe event the contractor has adispute concerning this contract,the contractor may submit the dispute tou privatearbitration firm which has been approved kvthe Secretary of the Executive 0ffiooWC000umorAffaimuodBuoiooss Regulation d the consumer shallh |md ohhitmUchapter 1�A. 'Le— tv Homeowner! gnature "oWactor's Signature dn N0T|��Thb��n�u�o�\hopudiw;uhmmopp�onh��ooVmomo��NopmdiooiooKom�kediopu�mno|��oin�i�odbyNnoo�mdmcTho homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights Ahnmoowmoh»rightsunderNeHmne|mpmvmon\CnntmdmLmv(MGL<hopter142A)oodoNm0000umoryrotedioo|awm(i.o.MULohapter93A)mayoot be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner,Homeowners may be entitled to other opemifiolegal rights 9 the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose,An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract oxlong uothey dnnot restrict ohomeowner'obasic consumer rights.|yyou have questions about your consumerihomeowner rights,contact the Consumer Information Hotline(listed below). GxmooWnomfContract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached,Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable,One original signed copy ofthe contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the originalconmdmudhoinwritio0unduUmed tohyboth parties,Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments Acontractor may not demand payments ioadvance ofthe dates npooifiodoothe payment schedule incases where the homeowner deems him/herself to be financially insecure.However,ininstances where ucontractor deems him0omnlf tohofinancially insecure,the contractor may require that the balance o(funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures ofboth parties, Additional Information |fyou have general questions mneed additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Massachusetts Consumer Guide toHome Improvement"contact: � | � � � Consumer Information Hotline Office ofConsumer Affairs and Business Regulation 1OPark Plaza,Room 5170,Boston,NNO211V 817-873-8787.888-283-3T 7mv|oitNoOOA8RwohoKoathMpJfwww,musS.0ov6oCabf./ |fyou want toverify the registration ofacontractor or ifyou have questions nrneed additional information specifically ahou\1hoono|mdormUistndion component of the Horne Improvement Contractor Law,contact: Director ofHome Improvement Contractor Registration � Office ofConsumer Affairs and Business Regulation 1VPark Plaza,Room 510.Boston,MA011O 017-V73-807.08V-203'S7S7urvisit the H|Cwebsite at http:0wwm.mmss,gox/oc br/ Go online toview the status ofaHome Improvement CoUiracto sRemidratiuU:hdp1idb.atato.ma,umihmmmjmpmv mmn0ice�i see|kdamp For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office ofthe Attorney General 617-727-8400 AND/OR Better Business Bureau 508-0524000'508-75-2548or413-734'3114 The Commonwealth of Massachusetts Department of Industr•ialAccidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 "t www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address:_7�k, P-CA1,�ev,c-(, tt '' City/State/Zip: fes--��'�,ScV\t N�l 0390 Phone#: o `� '` 1 S6 9 Are employer?Check the appropriate box: Type of project(required): 1. I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.F1 I am a sole proprietor or partnership and have no employees working for me in $, X Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We 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#1 must also fill out the section below showing their workers'compensation policy information. t 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. I I ani an employer that is providing wor•/vers'compensation insurance for•my employees. Below is the policy andjob site infolwiation. n Insurance Company Name: /"1V��)�` �l CAP C•\tt'`^ — I fp I U Ex iration Date: I G�`° 401 6 Policy#or Self-ins.Lia#: p Job Site Address: IM V-(_,-k f6c) City/State/Zip: ly.* y,,i I 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 WORD ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerJqfy under thepains andpenallies ofperjrtty that the informationprovided above is tine and correct. Signature: V Date: '&/)j Phone#: (00"N._ Official use only. Do not rvrite in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: San.01.2012 12:00 AM Advantage Insurance Agenc 978 794 4833 PAGE. 1/ 1 CERTIFICATE I LIABILITY INSURANCE DATE(M�DNYYY) _ 111/09f20R5 I THIS CERTIFICATE IS iissur1> AS A MATTER &F-IN"F"ORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS cERTiFicATE DOES, NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 0Y THE POLICIES BELOW, THIS CURTIFi ATE OF INrURAHC= voES NOT CONSTITUTE A CONTE:CT BETINIZEN THE LSSUIN; 1USURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. e cartlFc-sTe KiRaer re an a poi ([w must bo andmid, If SUBROGATION IS WAIVBD. subject to the terms and conditions of the policy, ceRtaln poliefssl may require an endorsement. A alffiomont an this carts icate does not cDnfor rights to the certificate holder in lieu of such endorao ment(a), PROat10ERNAME..� PAUL DRAIN ' �"t' INC. pH°W 978-681-1055 *&DV - z ? N'1 �AiYEZ YlRE?T �'No MC,No197$-79-4--4 8-33 iLFL — --- ADDRESS: _ METHUEN, MA 01844 wstlREe(S)AFPDgCINccCYEFAaE NAICY INWRERA:ARHHLLA PROTECTION INS. CO. INSURED .. .._._.� INSURER 8: .'70PiG'Qt1 .*:P=L`.`A,^�F.i�...;`7R_' INC. INSURER C e 2 PRt3vIDENICE riSLL titi[AD INSURER D: ATKINSON N A 03811. INRURERE, INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PHIS IS TO CERYIFY THAT THE POLICIES OF INSURANCE LISTED BSLOW HAVE= BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICHTEQ. NOTYJITHSTANpiNG ANY REQUIREMENT, TERM OR CONDITION OF ANY OONTRACT OR OTHER DOCUMENT WITH RESPECT TO 104HICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCM13ED HEREIN I$ Sue,IEC,T TQ ALL THE; TERMS, EXCLUSIONS ANO COPMIY(ONS Or SUCH POLICIES.LIMITS$HOVYN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OFINBURANCE - SUBY['....._..�... - INSn WVD POLICY NUMBER (MWI)n'YYYY) (A1R1JD6lYYYYI LIMITS A aMERALLIaen.mr 8500055690 05/30/201 06/30/201151 EACHPCWRREICE s 1,000,000 C0MMERC(ALG6NPRALLVUOIll'rY PREi119C4(Euaavronco)w E 1001000 -^,Cu11t,18-MADE � ..JQWUR MEDeXP(AnyonnpenSn) 5 5e001) PERSONAL A ADV INJURY S 1,000,000 GENERAI,AGGREGATE S 2,000,000 OEMLAGORFOATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s 2,000,000� POU ...., PRO. Aeft I I LOG a ...... ALROMDISI ERdAm.-!TY ERaOcklaM __ S ANY ALTO i DODRYINJURY(P2rpeaw', S ALLOWNEO OCHEOUL® I SCQILYIVJURY(?2fS :�;tt} S T AUTOS AUTOS HIREDAUTONON-OWNED S AUTOS d (P rteddeM) t uweRElRn use OCCUR EACH OCCURRENCE S EXCESS LRAB ... 1• I CLAIMS r.RM- I I ACGREW TF i CED- RETENTION 'a L. WORKERS COMPMSAMON 9121461013 10/051201910/05/203. - ic7RYuuiTs n AND r;MPLOYERa2 LIAOILiTY YIN I Ert ANY PRDPRrFTOP,*PAPTNF_R7-JS<_G-?IYSN!A `E CH AGCICENY OPPICERIA1Eh'�ER EXCLUDED? Nye dwAbe(MArdalffly In tmder EA.C1W5E-IFA ELIPLQYEE S 1.000.000 DE3CRIP'YJH CFOPEW.TIL;:3b;'a,: EL.IYZEASE-POLICY LIMIT S-1,00Dy Q00 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEB(AHAth ACORD 101,AddMOdO RIidwk6 S<hOdule,if,Hoe#soba U rtqukod) I BUITADZNG & nWI)ZX41NG CONTRACTOR vvE AND =4 10d= EAHIL 1482 GMATPLJgo ROAD iiORWA AND VER"tea 01845 I CERTIFICATE HOLDER CANCELLATION T TOWN OF NORTH ANDMR H'UILDXNG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE .., EX MATION, DATE THEREOF. N07IC5 WILL BE DELIVERED IN 1600 ORGOOL�-STREET ACCCIRDANCB MTN THE POLICY PROVISIONS- -SvILDING 20, SSU3:TF.,- 2035 AUIHORRED RERRES NORTH ANDOVER MA 0-16145 - 1969-2010 ACORD CORPORATION, All rights reeervsd. ACORD 25(2010105) The ACORD name and lagO are ragtetared marks of ACORD f C,� /! / I-I®!l' 1.(/+/ j)10 Nwe"f111(l�(�1�lYaJI'Ifll/Gr(Ee free of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR, 1 gistration: 159444 Type. xpiration: 413012016 - Private Corporat'o i JOSCON MANAGEMENT INC. f. JONATHAN O'SULLIVAN 72 PROVIDENCE HILL RD. ATKINSON,NH 03811 Undersecretary ► M*j„sachusetts Department of P>~W'K;" afetY 119' I owd of EuUding RcgWatlons and Standards s Co n"a(f,'a'Aa4.tiol'a�3ujlr.k"RE7,osa' -' Lacense: CS-070043, JONATHAN OSWX-1W, -� 185 Attantic Ave#4 Salisbury MA 01152 / r0 r Expirak'd0rr' S121 08/26/2016 Conjfyaissioner