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Building Permit #668 - Suite 205 4/12/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 1 �� LI Date Issued: 4 2 ORTANT: Applicant must complete all items on this page LOCATION Lis I NN3 ��1 -lir 5? r Print PROPERTY OWNER Ir - j��� Print MAP NO 0�PARCEL:Vf- ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sew 1 ��t s T `_��Flooclplam` �W,etlands� i �w®WatershedtDistrict; PES r E 4•C } � 7 tom.. F � .� 5�)�}(J t" •_+..:.d__ �T i® lr atVrei Y�erfi „4 •� �. .. :.r__ _t:. `� __ - �"a.e_hi;l� i4....',c-. ,w DESCRIPTION OF W ORK TO _B .Fhxr UxMhi): NI — — re �e ✓o© r Identification Please Type or Print Clearly) OWNER: Name: NA(Dp t ur. Phone: (o14 - 33Q (.04co Address: q� tlN1C�N S! St1 I'i �I� N�uYfON . !"1�-1 O�y54 CONTRACTOR Name: S I TOWU FRODEF-Kn SERV. Phone: 03%- fit{ T- (paj'4 Address: SIS UQW �L-- NA C) t 9 COCA Supervisor's Construction License: y 35 0 Exp. Date: Home Improvement License: 171 S 3 Exp. Date: 3 / /a -:V ARCHITECT/ENGINEE QSO C, - Phone: q7g-1470 - 3 Address: ONE ��I. JC.S� ' r�VS� Reg. No. Ll 15 3 FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. � f ° Total Project Cost: $ �S FEE: Check No.: -5� Receipt No.: �l�Q7i i NOTE: Persons contracting with unregistered contractors do not have access to the guara and F--- = - Sinature ofcontractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ I Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ I permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: J®TEeservation Decision:, Comments Comments n all cas.-^ 'er & Sewer Connection/Signature iii Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no "`$`_ •'' _ Located at 124 Main Street Fire Department signature/date COMMENTS Location4-�51A,b Ev en &ke e I ` 2(,,5 No. Date Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL 26281 Building Inspector Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No, MGL Chapter 166 section 21A—F and G min.$10041000 fine Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit - Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording . !ust be submitted with the building application Doc: Doe.Building Permit Revised 2008mi Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit - Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Pian ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iatL the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording !ust be submitted with the building application Doc: Doc.Building permit Revised 2008mi #,4;-1 4-, Aw- � 4- 6�, le - Location No.664�— /0�- Date 6,)-, q112-11-3 TOWN OF NORTH ANDOVER I Certificate of Occupancy $ 160. 91-0 Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL $ Check # 2- Y7 26366 /Building Inspector OµORTF, r o *y no M 'fSgC HU`'tt CERTIFICATE OF USE & OCCUPANCY TOWN OF NOR'T'H ANDOVER { Building Permit Number 668-13 on 4/12/2013 Date: May 7, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 451 Andover Street, Suite 205 MAY BE OCCUPIED AS Tenant Fit Up for Office Space IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: NADP, LLC 93 Union Street Suite 315 Newton, MA 02459 Buildird Inspector Fee: $100.00 Receipt: 26366 Check :R202861108802 0 g U) m m m CO) v m v C � y 0 O CD Z N CD0-0 F CL =• > cc -v moa, < vCD C = Cr 23 � CD m O 00 00 CD CD O y. (c. m � v 0 CD 0 O O CD a C CD O m cn0 cn C7 Z f7 y a 0 O m M x N Cl) Z a) 0 CA O a 0 z 0 CD O O O cc O Ll 041 CD co a N 0. N N CD 0 o .a C � ~• < cao N _"• CD CDCL 0 �Q o •� y 7 N O N .� CD . O O r+ 0. 00 WCD'0vi p CD CD o .A+ U3 O. 7 N p fy on ��0 (D -a -01 O to N E = 0 cn ZCD S S r+ CSS` a �:�a. CL CL N CD <N� o < l o IM CD r N •` s� m co O �; �" 2 0 to S4 -� :� '�C Oo:1 1 S S CD , O :/ _ CD N (D <D N rt D CD o N. D •a :4� O O 0CL e -I y 0 V)N W '� T .Z1 3 T N O Uq O. O C O.. N T 'O O (D O O O PD P\ m q M C 9 _fD O C r- Vl N 3 S m m O a D D �D W Z 2 z O Z 2 W 0 c m m m m y v m _ 1 <_ 0 p 0 -h C r r �D _ < .a CD Q. G CD M rt Q = N. t/1 Z p -a N O� f/! ?f CD O. 0 0 CD CD 0 N W CD 'a N y CD A)�• Q. cD U) O ca CL o rt p o �n CD 00 CD m CD O "� cm � �n' t•� r m � � cn zr i � C 0 O '"� U) -0 CL C c 12E CD �' cn �� n = - - _ CL (Q UC �' = SU Q �� C C/) 3 `D cr U)CD cr) :. •� W as � CD O p rt cn CD ou � cnco,� � CL CD , At U' ki to rt co o cn D ID y =o o rf Q G7 n CD :w CD Z o @ •a < n o A CL C� 2 N 0 m m N W 0 o o S rDo N o o_ CD , o (D o N 7C � r, r- m ` C _. C w m v' D L y V� r - O O T m Z Z\ Lt)y Z m W W Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 25,000.00 m $ - $ 300.00 Plumbing Fee $ 37.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 37.50 Total fees collected $ 475.00 451 Andover Street 668-13 on 4/12/2013 Tenant Fit U - Conference Room Suite 205 CO) m m m cn m mm 00-0- 0 i 0 = -.. 0r N CD C O CD 0 Z C -I. r N. o N °: N �_ N WCL �0u' p� o CD e� CD to n to C.0U, p �0 CDW co m Z N C = CD �D O Z -0 E--45* 0 c cc a, m f -IP- Cl)c� o 0' (n � zo o CL �• U) rt 0 - c. Z>< c Q0U2 C'1 Cl) o o CL — 1 0 C � cp X70 `CD U) CD O Z. �m rt ��C c Cny CLCD Cr ...� 0 CD CD CD o ° O y 0o oo cn 0 a 0 CD Z CO ft CL CD N b N rt 0 CQ M cn CDCD U) 0�• NCD ao CD O F a o ^� O 70 c� : y CD J :C N CD'0 @� m o CD -cap o 0) 0 1 �. mc cn 0 m F, -n Fn cun) m r v 3�W � " O�i m m M 3 m o H H O �. �o (D m m f1 LA V n 0O a o M C W Z %ice "a m A q 0 a m (DN o o p � W C Z (D rD 3 o n m -n m W 0 O a _ W ti Po AL No. 124 2219 STAR'TOUCH PROPERTY SERVICES 515 Lowell St., Suite 2 Pae 1 of 3 Peabody, iMA 019601 A 04!09/13 1. General Information Proposed by: StarTouch Property Services, Inc. Office Hours: Monday — Friday: 7:30am — 3:30pm 515 Lowell St., Suite 2 Telephone: (978) 548-6297 Peabody, MA 01960 Fax: (978) 548-4613 Submitted To: First General Realty, Corp. 93 Union Street, Suite 315 Newton Centre. MA 02459 Work Description:. Interior Carpentry & Painting Work Performed At: 451 Andover St, Suite 205 N. Andover, MA 01845 II. Work Description We hereby propose to furnish the materials and perform the labor necessary for the completion of the work described herein and to commence on the date listed above: Demo Work • Cover appropriate areas for protection • Remove existing front door • Remove 2 walls from the existing conference room • Remove a closet from the rear hallway • Remove walls in front of offices # 4 • nerrmove waiis,couniers & giass from the old reception area Remove the two book shelves from one specified office Remove one wall on the office # 3 • Remove 2 door frames from the rear hallway • Cxtend the wall height to match the existing ceiling height This price includes a dumpster Construction • Cover appropriate areas for protection Build a new conference room - 13'xi4' with two doors • Build a new wall in by front door • Reframe new door way for office # 5 and 3 • Build a one new wall on office # 3 and 4 • Reframe opening and install new solid -core entry door with new hardware • Includes a wooden frame to match existing trim work • Remove 6 hollow doors Install 6 new commercial solid -core doors and metal frames with new hardware StarTouch Property Services, Inc. • Tel: (978) 548-6297 Fax: (978) 5484613 www.startouchpropertyservioes.com • info@startouchpropertyservices.com 01 07 u STARTOUCH PROPERTY 515 Lowell St., Suite 2 Peabody, MA 01960 • Remove & install about 2,000 sq. ft. of drop ceiling tiles & grids • Use 2'x4'933 ceiling tiles & 15/16 in -stock Home Depot grids Electrical Work • Cover appropriate areas for protection • Install new switches & plugs for the new office & conference room Interior Painting • Cover appropriate areas for protection • Patch and sand where necessary • Apply 1 coat of primer to walls & wood work • Apply 2 coats of finish paint to walls & wood work Office Cleaning • Post -construction Cleaning TOTAL FOR CONSTRUCTION EXTRA WORK • Remove & install 7 replacement windows • Match windows from Unit 185 III. Exceptions • Plumbing • HVAC • Carpeting • Fire Alarms / Sprinkler Systems ROPOSAL NO. SERVICES2219 AGE NO. Page 2 of 3 ATE 04/09/13 N In El Cost: $ 22,330.00 Cost: $ 2,670.00 ❑ IY. Terms �. P;rriit fe^:va ar8 iiCitluCu ii, iiis pPu{�osal. b. Interior Painting: Price includes up to 5 total colors; additional colors will be an additional cost. (Each sheen and/or tint is considered a separate color.) c. We allow one punchlist at the completion of the project to allow for touch-ups. d. Color/material selections are final; any changes made may result in additional charges. e. Any necessary materials will be stored in an orderly fashion, All debris will be removed on a nightly basis. f. StarTouch Property Services, Inc, is not responsible for any cracks resulting from the expansion & contraction of wood. g. All StarTouch Property Services, Inc. proposals include a one-year warranty on all labor performed. "Please check the box next to the amount(s) on the previous page to confirm your approval. StarTouch Property Services, Inc. • Tel: (978) 548-6297 Fax: (978) 5484613 www.startouchpropertyservices.com • info@startouchpropertyservices.com STARToUCH PROPERTY 515 L.oxvell St., Suite 2 Peabody, NIA 01960 PROPOSALN0. SERVICES ?219 AGE NO. Page 3 of 3 ATE 04/09/13 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for a bove work, and completed in a substantial workmanlike manner for the sum of Twenty-five thousand dollars and 00/100 Dollars ($ 25,000.00 } Payments to be made as follows: 1/3 deposit, 1/3 work in progress, 1/3 at project completion 'Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. "Note — This proposal may be withdrawn by us if not accepted within 30 days. Respectfully SubmittedFrank Gomes, Project Manager On behalf ofStarTouch Property Services, Inc. d/b/a U.S. Property Services ACCF.PTANCP OP PROPOSAL above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the as specified. Payments will be made as outlined above. ignaiure Date ignature Date StarTouch Property Services, Inc. • Tel: (978) 548-6297 • Fax: (978) 5484613 www.startouchpropertyservices.com • info@startouchpropertyservices.com FIRST GENERAL REALTY CORPORATION 93 Union Street, Suite 315 Newton Centre, MA 02459 Phone: 617-332-6400 Fax: 617-5274176 April 9, 2013 StarTouch Property Services 515 Lowell St, Suite 2 Peabody, MA 01960 Re: 451 Andover Street— Suite 205 Interior Carpentry & Paiting Dear Frank Gomes: This is confirmation of the work to be performed at the above referenced address. We mutually agree the amount will not exceed Twenty - Five Thousand Dollars and 001100 ($25,000.00), for the work described on the proposal, attached as Exhibit °A". Your engagement is acceptable subject to the following conditions: 1. All work shall be performed in a good workman tike manner and in accordance with all town, state and country codes and regulations. 2. Your company and personnel will clean up after completing their work. 3. Your company will provide us with a certificate of insurance to include public general liability and workers compensation, NADP CONDO TRUST and First General Realty Corporation as additional insured. 4. Your company wiii be responsible for obtaining all necessary permits if applicable. 5. If you cause a violation to the contract, we can send you written notice and remove you from the job within 72 hours of notification limiting payment obligations to only the work completed. 6. The project will be scheduled on a mutually agreed upon date by Contractor and Landlord. 7. The payment terms are as follows: 1/3 Deposit, 113 work in progress, 113 upon completion of work. 8. Your company will be responsible for making sure all permits are closed upon completion of work, if applicable. 9. Should any part of this agreement contradict Exhibit °A°, this contract shall govern or supersede. Please sign on the line provided below and this will serve as the basis for our contract. Sincerely, I Joe Pa alar o, ProO er Agreed to and accepted by: Frank Gomes President DATE I t '�� II �I UNI• 2 V 5 �r/i R ♦./ S S S.F. Ardalom - Eap)em - ISMS - (� P1= 20511One Elm Square, AfOover, MA 01810 T. 47&470-3675 F. 978A70-3670 .�.., m.... �.�, x ; �k # } s { 1 � #F.++�_.n.�.,.•.. r � r<ff' ifs I t '�� II �I UNI• 2 V 5 �r/i R ♦./ S S S.F. Ardalom - Eap)em - ISMS - (� P1= 20511One Elm Square, AfOover, MA 01810 T. 47&470-3675 F. 978A70-3670 .�.., m.... �.�, _ � t II \ CZZ II F=---��} --- u_� 1�n LL \ 1 I -11 �-� z �- T- Ii m N O N 0 '1=0 � N I 00 a FIRST GENERAL REAL TY 0 z> a UNIT 205 f-" D p o I- AVOI IT JD LaGrasse Architects - Engineers - Interiors - Land Planning One Elm Square, Andover, MA 01810 'V 079_n'Tn-14'K F a74_,a7n_'Iti7n The Commonwealth of Massachusetts R Department of Industrial Accidents Office of Investigations i' 600 Washington Street `— Boston MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):S/�%)i� �Q(X-P Pk0PF_e'N sFPyVlms )f\)C,. Address: S 1�,' WFLJ,Seo i c I City/State/Zip: 0MPx')1)V , MA Carl (Dn Phone #: g3Tr54` _- (_paCi Are yoarn an employer? Check the appropriate box: Type of project (required): �. WI a employer with � 4. ❑ I am a general contractor and I 6. ❑ ew construction employees (full and/or part-time).* have hired the sub -contractors ?. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance., required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #I 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 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: T-96VEues Policy # or Self -ins. Lie. #: (,45 — L( Ol O oZ P9'1S' A — ) k Expiration Date: I 0/a7/13 Job Site Address: a A(UDCjV F1K S l SU 01�. a0<T City/State/Zip: a Nb0Q N(.A 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 DIA for insurance coverage verification. I do hereby ceq; ajunder thepains andpenalties ofperjury that the information provided above is true and correct. 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 #: 03/05/2013 10:50 19785486280 INSURANCE- PAGE 03 RightfaX N1-2 3/5/2013 6:00:59 AM PAGE 2/002 Fax Server CERTIFICATE OF LIAI IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANI ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTI HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAC gCaESjKj8T1VF OR PRODUCER AND TME CER IFICA HOLD APORTANT: If the certificate holder Isan ADDITIONAL INSURED, the polh ie terms And conditions of the policy, certain policies may requiro and en PRODUCER SABRINA GILI IS INS 85 MAIN STC7 PEABODY, MA 01960 77R6X INSURED STAR TOUCH PROPERTY SER VICL-iS INC 313 LOWE1.1. SZ STE i PEAF ODY, MA 01960 IILITY INSURANCE DATE (MM/DOIYYYY) CONFERS NO RIGHTS UPON THE CERTIFICA OL . TH !ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. r BETWEEN THE ISSUING INSURER(S), AUTHORIZED y(les) must be endorsed. If SUBROGATION IS WANED, subject to (orsement. A statement on this canificata does not confer fights t0 CONTACT NAME. PHONE FAX (A/C, No. EAU: (A1C, No): EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC A INSURER A: TkAVEL hK9INUEMNITY C(?. INSURER -; INSURER C: INSURER D: - F: INSUR: COVERAGES CERTIFICATE NUMBER: nom••"•"•• -. IN O OR N Y PERC ICAs . NO TIMTNSTANON6 ANY REQUU%VMMT, TERM OR CONDITION Of ANY CONTRACT OR OTNER DOCUMENT WITH RESPECT TO WM1CH THIS CERTIFICATE MAY OE LsbUEO OR MAY PERTAIN. THE tISURANCE AFFORDED BY THE POLICIES OESCRNED HEREIN b SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES LMTS SHOWN MAY HAVE oCeN REDUCED aY PAID CLAMS. NSR ADO SU6 I POLICY EFF OATS POUCV ExP DATE LIR TYPE OF INSURANCE L R POLICY MUM9LR (~OO+YVYY) (MMMOD1Yyyy) LIMITS GENERAL LIABILITY 71 COMMERC'AL GENERAL LIASILO Y CLAIMS MADE [:] OCCUR GENA AGGREGATE LIMIT APPLTES PER POLICY ®PROJFCT [D LOG AUTOMOBILE LIABILITY ANY AUTO Alt. OWNED AUTOS SCHEDULE AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIABOCCUR EXCESS LIAR R CLAIM,S•MADF >MAGF 10 RF,NTEO 3 tEMISES Me dcdurralwo) =1) EXP (Any one person) i :RSONAL & AOV INJURY S :NERAL AGGREGATE_.! ?ODUCTS . COMP/OP AGG IS OMNINhI) S:NGLI 5 MI1 Ica aectde,d) :)17111 Y INJURYis eccldani) S RETENTION S I I I A WORKER'S COMPENSATION AND X wt STATLITQY OTHER EMPLOYER'S LIABILITY YM UB-4902P95A•12 10/28/2012 IOM12013 1 LIMITS ANY PROP6RII0Rfi-ARTNER1I:XECU1'Nt © NIA E L. EACH ACCIDENT S 100,000 OFFICEQA'.E4(" EXCLUCEOT (AMPa�+ey In NHI FI DISEASE • EA EMPLOYEE s 100,000 tr yrs oeovroe uMa' F 1 DISEASE. • POLICY LIMIT S 500.000 C*sCRtPTrON OF OPERATIONS W,jw DESCRIPTION OF OPERATIONS)LOCA7IONSfVD41CLESIRESIRICTIONS/SPECIAL ITEMS 1 HIS RSPLACPS ANY FLUOR CERTIFICATE MSUBU TO THU CERTIFICATE Hr)LUEk AFFECTING WORY,ERIS COMY c'OVEkAOP. FIRST GF,NF.kA:. REAL TY r'0'K K PAT(ON AND ALL VW; 7 Pk-, MS MANAGED THF:RF,HY BOSTON VB VELOPMENT GROUP F1 AL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 93 I.ITTjl7N STREET, SUIT'S zl5 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH INC POLICY PROVISIONS, AUTTIORMEO REPRE:SFNWVF \ I NEWTON CB7,1TRE, MA n2459 �� � i ea a �G�"•.� AC614D 25 120`10105) The ACOND name and logo are registered mars ofACORD1988-2ACORD CORPO P. All rilIfits roservod. ACORD7DATE TM. GERTIFICATE- OF LIABILITY INSURANCE. (MMIDD/YYYY) 03/05/2013 PRODUCER Phone: 413.781-7475 Fax: (413) 781-0050 THIS CERTIFICATE- IS -ISSUED AS A MATTER OF INFORMATION INSURANCE CENTER SPECIAL RISKS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 20 GOLD STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 13O 1250 ALTIER THE POLICIES BEL�U. AGAWAM MA 01001 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Essex Insurance Company INSURER B: STAR TOUCH PROPERTY SERVICES INC 515 LOWELL STREET, STE 3 PEABODY MA 01960 INSURER C: INSURER D: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVE DATE MIDDY POLICY EXPIRATION DATE MWDD/Y OMITS GENERAL LIABILITY 3DM3272 1Oft Wl2 10/19/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 50,000 PREMISES Ee occurence X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MEB. EXP (Any one person) $ 1 �� PERSONAL & ADV INJURY $ 1,060,000 A X $500 Deductible GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1,0)0,000 X POLICY JE _T LOC AUTOMOBILELIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY ALL OWNED AUTOS (Per person) $ SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY-PROPRIETORIPARTNEiVEXECUTIVE - - WC STATU- OTHER TORY LIMBS E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If Yee, deeoribeunder SPECIAL PROVISIONS below E.L. DISEASE-POUCY LIMIT $ OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Carpentry -Residential -Construction of residential property not exceeding three stories in height -Excluding Roofing. Painting & Decorating -Interior -Buildings or Structures. Painting Exterior -Buildings or Structures -3 Stories or less in height CERTIFICATE HOLDER CANCELLATION Boston Development Group, First General Realty Corporation and all properties Man SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO aged DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 93 Union Rose Sf suite 315 AC;FNTS nR RFPRFSFNTATIVFS, Newton Centre, Ma 02459 Attention: AUTHORIZED REPRESENTATIVE Iavid ACORD 25 (2001/08) Certificate # 3147 © ACORD CORPORATION 1988 .} IMPORTANT IT the certlTlcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).- If ndorsement(s): 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 certaFcQ.;~ holder in lieu of such endorsement(s). V DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) Certificate #3147 iit'taatturrnt "t t d3rr:rt tt w. e(littiirt.. + r+r;ih' !F;,iit OnstaTz�;t-!r7iirupervisor :tr♦tt.lt:ita t•rtt. , �lcense License: 104350 LISA GOMES 40 HIGHLAND ST PEABODY, MA 01960 t •,nnui.�i�•n:•r 9/1/2013 ;r 104350 ✓iie �aza airs &l od, ✓ Zaoac/u�e�a Office of ConsumernznAffairs & B mess Regulation HOME IMPROVEMENT CONTRACTOR Registration: X171532 Type: Expiration: 3127/2014 Corporation ST TOUCH PROPERTY SERVICES, INC. FRANK GOMESTi 515 LOWELL ST STE 3:::z PEABODY, MA 01960 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 i Not valid wit on siannhirp m m m 4 x CO) CA mm CO) 'O � =o ® Co CD CD Z y CL A -12. C � � 0 CL y O � o CD CD CLQ " d CD CCD Cl CCD w s rA CD CL 1= cow CA A CD CDo CD 0 Ml Ml cn cn n � of C C y c c d i ao SCD H CL o Cl) C H CV CL0 m Z =r'p N cL ME Er m yamCA O --Iomy p OIE =r OCD m Z > > O n co p .� O O y,C2� ?aIV : :e N c o m CL ..: -► co c ? ca =0 O m H O CC2O. m �q m CMD N d D7 C `•W = G rr ^^ H CD R i0 VJIE CD CA �y N m � m nl CCA » f co oC �o: � CD CD 3,3 cn m C,-2 CDso a T ;_T h 0 Q M M rf RL r- ••T ^/ 1y J Cm (9 ," t14rF% R �.y V _ R oGn }.�y n rte' CL �. W \\ 0 �^ A.. cp y \ O b(�D �i W F L Q e • CD m o z m d � n m y , o on yx m go O �yn 0 Z n Q L A � O I Q o� d �b zo e >o r n H � V d G� CD m o z m d � n m y , o on yx m go O �yn 0 Z n Q L N2 1 15 5 64 5;F Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ... ...... .................................................................... has permission to perform .-f�44 .. ...... . .......................... -1.1 ................. wiring in the building of ...'.Z� e-v�- (2"L� ........................................ ..................................... at . ...... CZ"4�.. ..... . 1r ................. North Andover, Mass. Fd� ...... Lic. N—o ............................................................... ELEcriticAL INspEcroR 06/17/98 12:10 25- 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Only Permit No_ N ' �us� s 9eArw»ac Pa6lte Sa6ay Occupancy & Fee Checked ` BOARD OF FIRE PREVENTION REGULATIONS 5 7 R 12:00 APPLICATION FOR PERMIT TO All work to be performed in accordance with the (Please Print in ink or type all information) Town of North Andover PERFORM ELECTRICAL WORK Massachusetts Electrical Code 522/7 CMR 12:00 Date fD & Aq To the In ectifir of Wires: The undersigned applies for a permit to perform the electrical work described below. 1�.c t f� Location (Street & Number &52 Afo �UU,e-P S /QORZ' ee ' 0^)WACR of 449— t`"RR", Owner or Tenant A Owner's Address Au DoyL s.I ►�Pr�� ASS Is this permit in conjunction with a building permit Yes W.1- No ❑ (Check Appropriate Box) Purpose of Building to l Za Utility Authorization No. Existing Service Amps Volts New Service Amps Volts Overhead ❑ Overhead ❑ Undgmd ❑ Undgmd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity pp / , {� Location and Nature of Proposed Electrical Work SoTE �S3 f,E-Pr�� PAaE>_ �1�LGXA7�Si�i•zIclY ) fit- ar-IN 4/ PPCrICE) T2!' A? C INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General laws I have a current Lability Insurance Policy including Completed Operations Coverage or its substantial equivalen YES NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the coverage by checking the appropriate box BOND = OTHER = (Please Specify) 'r� (Expiration Date) Estimated Value of lectn Works vna�t7 Work to Start Inspection Date Resquested Rough Final Signed under n Idea f peri %eZC FIRM NAME LIC. NO. G J / Licensee Signature ( %±%} �C�S S l L G LIC. NO. 46ey&,50 d C2 t y�us. Tei No. Address / / �G LJ/�G t91..Df Alt Tel. No.yi�'�'s-V �!G OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE �- (Signature of Owner or Agent) Total No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ in ❑ No. of Lghbng Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Svntch Outlets / No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers S acewea Healing KW DetectiorvSounding Devices ❑ Municipal ❑ Other No. of D rs Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. H m massage Tuds No. of Motors Total HP _J INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General laws I have a current Lability Insurance Policy including Completed Operations Coverage or its substantial equivalen YES NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the coverage by checking the appropriate box BOND = OTHER = (Please Specify) 'r� (Expiration Date) Estimated Value of lectn Works vna�t7 Work to Start Inspection Date Resquested Rough Final Signed under n Idea f peri %eZC FIRM NAME LIC. NO. G J / Licensee Signature ( %±%} �C�S S l L G LIC. NO. 46ey&,50 d C2 t y�us. Tei No. Address / / �G LJ/�G t91..Df Alt Tel. No.yi�'�'s-V �!G OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE �- (Signature of Owner or Agent)