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HomeMy WebLinkAboutbld-23-002687 il - ii-/—ZZ RECEIVED ONE & TWO FAMILY ONLY- BUILDING PERMIT 9 5 2022 Town of Yarmouth Building Department i, "of• "y 1146 Route 28, South Yarmouth,MA 02664-4492 +; 1n,i NT 508-398-2231 ext. 1261 Fax 508-398-0836 ", iii �',� ii • Massachusetts State Building Code,780 CMR '` Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: B Lb. 3-'0b2 2,77 Date Applied: i r•N cS21A 115 i l 'l U- Building Official(Print Name) • Signature Date SECTION 1:SITE INFORMATION 1.Pro, erty S r s@ s:st/..0 `r 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? _ Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` /� 2.rOcm'it.R�ecordE , a,�n _Ictri-YL6L�� 4r4 // 7,N e{ t) (� ( City,State,ZIP )&St: e tan 70)\'11. 1 u-tc614,cre T( . No.and StreetTelephone 1 Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK"(check all that apply) New Construction 0 Existing Building/ Owner-Occupied OV Repairs(s) 0 Alteration(s)yi Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:uti act Brief Descriplion ofS proC(/ope rip' I- b 5k V 114 orra&rzt of i 1Is ll pwr wait OfdJ ( SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Mate i ls) 1.Building $ O 6 v/ (f 1. Building Permit Fee:S 1 D Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ .3 4.Mechanical (HVAC) $ / List: 5.Mechanical (Fire �S. Suppression) • � $ Total All Fees:$ - � \\ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ C907 ❑Paid in Full 0 Outstanding Balance Due: J r :ti) J \\, SECTION 5: CONSTRUCTION SERVICES 5.1 Co9syudAn Supervisor License(CSL) 1 1 / f 3 .3-st( License Number Expiration Date Name of CSL {O Ct a � List CSL Type(see below) No.Id_Street Type Description S ,- -1(tA/LCjIL tritP R CI,0 _ _ U Unrestricted(Buildings up to 35,000 cu.ft.) City/To ,State,ZIP R Restricted l&2 Family Dwelling f �p M Masonry 0"# ��'�.^`� Se,r 6/ ���'P. W r v RC Roofing Covering WS Window and Siding 40/. �o i' -V o f� SF Solid Fuel Burning Appliances Telephone i Insulation Email address D 1 Demolition 5.2�. Qgistered Home Improvement Contractor(HIC) ' (/�W "G'�L "I S,�' �3 Hl m a ,e a gistrant Name HIC Registration Number Expiration Date itp Antec 1 an 1 tt‘. I '`e 0 i DOl �/J f • ( 37•(i VI° Email• address �t CityfTown,State,ZIP Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes t No C . SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERiVIIT iq.4.1) I,as Owner of the subject property,hereby authorize C6 n Y)ors to act on my behalf,in all matters relative to work authorized by this building permit application. 0_0v VO /rnil �.o� ( --,) Print Owner's Ne(Electronic Signature) �� �� Date • SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the painc and penalties of perjury that all of the information contained in this plication is true and accurate to the best of my knowledge and understanding. ia nnoYS _ Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration , program or guaranty fund under M.G.L.c. 142A.Other important information on the IIIC Program can be found at www.rnass.aov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) . Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks!porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 1 3,;e ;-urs7rriurzpv al1eoOf layiJaticEttaeu DeVa,rasnea o` uizLstr atAccidents iF ItF,` Office of Il vestcgazions 1 . -' ' Lafayette a y e Gi Center x ^I 2 A vena�e de Lafayette, Boston, N 4 02�a1-1750 ``,,-- -- '` wwwvanass.gov/dia Workers' Compensation Insurance Affidavit: 73iiders/Contracto±s/Eiectrbcsans/Fluinbers Applicant Information Pease Pr-iin Le` P id Name (Business/Organization/Individual): NEWPRO OPERATING LLC A ddress:26 CEDAR S T ity/State/Zip: WOBURN, MA 01801 ?hone#:781-933-4100 Are e you an employer? Check the appropriate be::: (required): of uroecr 1. I am a employer with20 4. l aim a general contractor and I have hired the sub-contractors 6. .Nevi construction em ployees (full and/or part-time).* 2.El I 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 I 'Building addition [No workers' cornp. insurance comp.insurance.; required_ l 5. 1 I Nile are a corporation and its 10.7 Electrical repairs or additions I anra a homeowner doing all work officers have exercised their i i.L Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL i C. I52 t 1� we: -n Roof repairs insurance required.) _. , 5_(4),and nave no employees. [No workers' I3.0 Other comp. insurance required.] I Any applicant that checks box/i must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contactors 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. 7 ant an employer that is providing workers'co insI?Fance for my employees. Below is the lol cy -a-Ju site infor i zaticn. Insurance Company Name: NEVI/ HANIPSHIP.E INSURANCE CO Policy' or Seli ins. Lie.#:INC 024266477iVlA Expiration Date: '-G'1.2023 — Job Site Address: 6-11 ti L1. City/State/Zip: I V `7 Attach yworkers' compensation policy declaration page(showing the polies number and expiration date). _�.r.s.�C�a a copy of the n� policy l� `i � c '- 3 r r� �� i Failure to secure coverage as required under Section 25A.of IU OL 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 DLa for insurance coverage veriEcation. _' o hereby cer/-%/i14)r;d th , n, Sd ghatnes oy petrol'that t'ae in or aza�'io pz-cvsucc above is true e anti col:ec Si>�nature `1`1//i- / r" Date: , 0 • o " U Phone#: 781-933-4i 00 Official.nse onAv_ Do not mite in this area, to be completed by city or i.`own of j cid_ City or own Permit/License ` Ls;'sauin Authority(check�--�one): .'�0Board of Health 20 Building Department 3U'C atj/Town Clerk 4_1 3 Electrical inspector 9:7.. .ti m�mbinu Inspector 6.1 hedger Contact Person: Phone#• • 1, 2050 Springdale Rd, Ste 500AAA/ Date of Agreement: Cherry Hill,NJ 08003 August 30, 2022 WINDOW NATION Sales: 866-446-2846 License#: PA104611 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (215) 688-6555 Primary Mobile chhamilton1971@gmail.com Cortez Hamilton (215) 771-4013 Secondary Mobile markeaj3062@gmail.com Markea Hamilton 177 Blackburn Ave Lansdowne,PA 19050 Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively, this "Agreement"). Windows - Envision inclusions: Beveled exterior frame, Fusion welded frame and sashes, Limit lock on double hung windows, dual-fin wool pile weather stripping, cam-action lock, special formula uPVC, Certa-Force balance system on double hung window, Integral lift rail, stainless steel spacer system, reinforced fiberglass composite in meeting rail and bottom sash rail, comfort foam insulation, Dura-Sill engineered sloped sill, Soft-Seal straddle gasket, exterior custom capping, installation by factory certified crew, clean up and haul away of all job related debris. Windows - Imperial LS Inclusions: Beveled Exterior Frame, Stealth sash lock, Recessed tilt latch, Engineered sloped sill on double hung windows, Special Formula uPVC, Ultrasmart triple fin weather-stripping, Integral ergonomic lift rail,Enduraforce balance system on double hung window,Robotically fusion-welded seams,Comfort Foam insulation in sash and frame, K-Beam Kevlar composite reinforced meeting rails, Vent latches on double hung windows, stainless steel spacer system, Mortise-cut sill dam wall, exterior custom capping, installation by factory certified crew,clean up and haul away of all job related debris. Refer to attachment for complete description DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. It is agreed and understood by and between parties that the Product Specifications, along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties, and replaces any and all prior negotiations,representations, or agreements, either written or oral. The Product Specifications may not be changed,modified, or varied in any way (with exception that installation materials may be substituted with similar products when inventory shortages exist)unless such changes are in writing and signed by both Buyer(s) and Window Nation, LLC. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. I have read and received each page of this 3 page Product Specification. Window Nation Buyer(s) Signature of Exterior Design Consultant Signature Joshua Papa-License#On File YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. August 30, 2022 www.windownation.com Page 1 of 3 2050 Springdale Rd, Ste 500 Date of Agreement: Cherry H'>11,NJ 08003 August 30, 2022 WINDOW NATION Sales: 866-446-2846 License#: PA104611 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (215) 688-6555 Primary Mobile chhamilton1971@gmail.com Cortez Hamilton (215) 771-4013 Secondary Mobile markeaj3062@gmail.com Markea Hamilton 177 Blackburn Ave Lansdowne, PA 19050 Work Order Details: Model:Envision W:25"H:59" Location:Level 1,Sun Room 171 1 Quantity:2 1 • Style:Double Hung • Configuration:Equal Sashes if • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White Model:Envision W:17"H:36" Location:Level 1,Living Room 2 Quantity:2 • Style:Single Casement • Hinge Left(inside facing out) • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Full Screen • Color:Interior White/Exterior White Model:Envision W:17"H:36" Location:Level 1,Living Room 3 Quantity: 1 • Style:Single Casement • Hinge Right(inside facing out) • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Full Screen • Color:Interior White/Exterior White Model:Imperial LS W:125" H:62" Location:Level,Sun Room L ... H 4 Quantity: I • Style:Triple Casement • Configuration:1/4-1/2-1/4 t • Factory Recommended Pattern • Grids:Colonial Contour-Ends Only • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Full Screen LLL • Color:Interior White/Exterior White i ;I i � August 30, 2022 www.windownation.com Page 2 of 3 2050 Springdale Rd, Ste 500NAAFI" Date of Agreement: Cherry IThi,NJ 08003 August 30,2022 WINDOW NATION Sales: 866-446-2846 License#: PA 1 0461 1 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (215) 688-6555 Primary Mobile chhamilton1971@gmail.com Cortez Hamilton (215) 771-4013 Secondary Mobile markeaj3062@gmail.com Markea Hamilton 177 Blackburn Ave Lansdowne, PA 19050 Work Order Details (cont.) Model:Special Product W:32" H:80"Location:Level 1,Sun Room 5 Quantity: 1 • Style:Special Product • Provia Entry Door:Refer to Provia App and Entry Link# EL#9074836 Model: W:32"H:80" Location:Level 1,Sun Room 6 Quantity: 1 • Style:Special Product • Provia Entry Door:Refer to Provia App and Entry Link# EL#9074836 Additional Items 6-EPA Lead Containment Install-Window(Per Opening) 1 -EPA Lead Containment Install-Any Door(Per Opening) Special instructions: Customer is responsible for removal and replacement of blinds and window coverings. Customer was made aware inside mount blinds may not be able to go back up as inside mounts. Installation Details: Window Removal Type:Replacement Vinyl Additional products needed in the future:No Exterior Trim:G8 Exterior Trim Color:Glacier White V 1 Customer agrees to allow Window Nation to post a yard Sealant: OS1 Quad Max sign until 30 days after install:No Insulation Around Window:OSI Quad Foam Year house was built: 1928 Clean Up and Haul Away:Yes EPA Lead Containment Required: Yes EPA Lead Testing Required:No HOA Approval Required:No August 30, 2022 www.windownation.com Page 3 of 3 ATTN: Building Dept. To Whom it May Concern, I have attached a pre-paid return envelope with this building application. Once this permit has been issued, please send the permit back to me in the enclosed self-return envelope. I appreciate your help with getting these permits back. In case you can not send the original permit back, would you be kind enough to send me a copy of the issued permit, as it is very important to me to obtain a copy of the issued permit? If you prefer to scan a copy of the permit and email it back, that would be fine also. Whichever is the easiest process for you. If you have any questions or concerns with the above request, please do not hesitate to reach out to me directly to discuss. Best Regards, Cathy Bedard Permit Services LLC 224 Broad St. # 2-L Cumberland, RI. 02864 cathy@permitservicesne.com Office: 401-601-7400 §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223t1 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 36,t(u-eit,01, � Work Address bl S� iai'nitle -- Is to be disposed of oat the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. On/IWO e of Application Date Permit No. Page 1 of 10 CT Reg#0605216 MA Reg#146589 RI Reg#26463 HOME SOLUTIONS 26 Cedar St Woburn, MA 01801 830-242-9974 Federal ID#20-2625129 Luxury Contract Customer Information Carolyn Lodders (Home): 508-362-2392 Date: 09/07/2022 3 Belvedere Terrace (Email): carolyn652@verizon.net Rep: Ryan Gaucher Yarmouth Port MA 02675 Office# 401-829-5983 Location Agreement NEWPRO hereby agrees that it will, for the consideration hereinafter mentioned, furnish all labor and material necessary to install the goods purchased by Owner in accordance with the terms described on the following pages of this agreement (collectively, this "Agreement")at the premises located at: 3 Belvedere Terrace Yarmouth Port MA 02675 Custom Shower Details Package: Tub to Shower(Custom Acrylic/Spray Foam) Wall Color: Sierra Sand Size - Drain: 60"L x 42"W - Center Wall Style: Smooth Base Color: Almond Walls To Ceiling: ab 13( Yes Threshold: Single 1 Fixtures Gibson 8" Shower Trim&Valve QTY 1 Brushed Nickel Moen Annex Rail ONLY QTY 1 Brushed Nickel Moen Multi Function Hand Shower ONLY QTY 1 Brushed Nickel 12" Grab Bar QTY 1 Brushed Nickel Liquid Accents 24"Grab Bar QTY 1 Brushed Nickel Liquid Accents Single Tier Metal Shelf QTY 2 Brushed Nickel Liquid Accents Labor Remove Jetted Tub QTY 1 Tub will NOT be removed in one piece Wall Repair(As Needed) QTY 2 This space intentionally left blank Page 2 of 10 Build Wall QTY 1 Back side of new wall to be covered with wall board, (CUSTOMERS RESPONSIBILITY TO FINISH) Remove Wall QTY 1 Extensive Plumbing QTY 2 Sliding Glass Door Details 5'Platinum Riviera Euro Series (Semi-Frameless) Door Height: 75 3/4" Finish: Brushed Nickel Glass: 5/16" Clear w/C-10 EZ-Clean Coating Handles: Towel Bar with Pull Knob Installation & Promotion Details Newpro will remove any demoed or installation debris from the property in relation to this contract. All promotions were applied at the time of purchase and can not be combined with any future offers. Discounts Senior Discount Applied Payment Total Price: $20,934 Deposit: $7,000 Due Upon Completion: $13,934 Payment Method: Cash Estimated Start &Completion Estimated Start: 18 to 20 weeks Estimated Completion: 1 to 3 days Customer understands they will be contacted to set a firm installation date once all product is received. State MA Year Home was Built 1971 LSWP NO This space intentionally left blank Renovate Right Pamphlet Receipt Page 3 of 10 Carolyn Lodders 3 Belvedere Terrace Yarmouth Port MA 02675 Your family's health and safety is our top priority! I hereby acknowledge receipt of the pamphlet, "Renovate Right." This pamphlet informs me of the potential risk of lead hazard exposure from renovation activity to be performed in my home. I confirm that I have received this pamphlet before any work began on my home. Carolyn Lodders 09/07/2022 Date Residential Exemption Clearance Form I ENVIRONMENTAL PROTECTION AGENCY RENOVATION, REPAIR, AND PAINTING RULE Carolyn Lodders 3 Belvedere Terrace Yarmouth Port MA 02675 The type and scope of the planned remodeling project is described further herein. On behalf of Newpro, the undersigned individual hereby states that the following exemption from the Renovation, Repair, and Painting Rule is applicable to the planned remodeling project: Work Performed on Paint-Free Surface. To exempt the work area as paint-free, BOTH of the following must be completed: On behalf of Newpro, the undersigned individual has personally examined the specific areas upon which the remodeling work will be performed, as well as any adjacent or adjoining areas(interior and exterior)that are expected to be impacted by the remodeling work. Upon such examination the undersigned has determined that there is no painted surface that will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project; AND By initialing after this line, the undersigned states that to the best of his and/or her knowledge, the areas upon which the planned remodeling project will be performed do not appear to contain any painted surfaces that will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project. C 9 Customer Initials NEWPRO Representative: I certify under penalty of law that the above information is true and complete to the best of my knowledge as of the date first written above. Ryan Gaucher 09/07/2022 Date This space intentionally left blank leaptodigital.com 2.10.0 Page 1 of 17 CREATE A 5 STAR EXPERIENCE FOR EVERY CUSTOMER ASK FOR A REVIEWIIIIII wpm! . HOME SOLUTIONS Luxury Work Order Customer Information Carolyn Lodders (Home): 508-362-2392 Date: 09/27/2022 3 Belvedere Terrace (Email): carolyn652@verizon.net Rep: Ryan Gaucher Yarmouth Port MA 02675 Rep#401-829-5983 Bathroom 1 Details Swap both end walls to soap dish walls w/ bullnose bends Remove tub/ left pony wall. Center the drain & build left wall to contain plumbing for new shower Package Includes Selected Base, 3 Walls, 1 Corner Trim, Floor Repair if needed Shower Measurements Package Tub to Shower(Custom Acrylic/Spray Foam) Wall Color Sierra Sand Size - Drain 60"L x 42"W - Center Wall Style Smooth Threshold Single Walls to Ceiling - Room Height Yes - 96 Base Color Almond Left Side Wall Width 42 Opening Length x Existing Base Width 60" x 42" Left Surround Width 42 Trim Skirt YES Right Side Wall Width 42 Right Surround Width 42 Fixtures Gibson 8" Shower Trim&Valve QTY 1 Brushed Nickel Moen TRM-M-3002-BN Annex Rail ONLY QTY 1 Brushed Nickel Moen TRM-M-3661-BN Multi Function Hand Shower ONLY QTY 1 Brushed Nickel TRM-M-4927-BN 12" Grab Bar QTY 1 Brushed Nickel Liquid Accents LAGB-12-BN 24"Grab Bar QTY 1 Brushed Nickel Liquid Accents LAGB-24-BN This space intentionally left blank leaptodigital.com 2.11.2 Page 2 of 17 Single Tier Metal Shelf QTY 2 Brushed Nickel Liquid Accents LA-ST-BN Labor Remove Jetted Tub QTY 1 Tub will NOT be removed in one piece Wall Repair(As Needed) QTY 2 Build Wall QTY 1 Back side of new wall to be covered with wall board, (CUSTOMERS RESPONSIBILITY TO FINISH) Remove Wall QTY 1 Extensive Plumbing QTY 2 Sliding Glass Door Details 5'Platinum Riviera Euro Series (Semi-Frameless) Door Height: 75 3/4" Finish: Brushed Nickel Glass: 5/16" Clear w/C-10 EZ-Clean Coating Handles: Towel Bar with Pull Knob Installation Instructions Left Wall Valve- Shower Fixture - 1 Corner Shelf- 12" Grab Bar- Remove Wall - Build Wall Back Wall Wall Repair- 24" Grab Bar Right Wall Wall Repair- 1 Corner Shelf Pre-install Checklist Variance Required NO Property Type Single Family Parking Options Street- Large Driveway Fixture Install Annex Rail Curtain Rod or Glass Doors to be Installed Glass Door Bath Location 1st Floor Existing Base Type Jetted Tub Existing Walls Wall Board -Tile Is there access behind wet wall or below base? YES Below Base This space intentionally left blank Page 3 of 17 Ceiling Panel/Soffit NO Window Within Wet Area NO Wainscoting/Accessories NO Second Full Bath YES Additional Items to be Installed None Are there any existing problems with the plumbing? NO This space intentionally left blank leaptodigital.com 2.11.2 Page 15 of 17 Ima,e: 1.12 r )• 1iiiir. atip ( , ,....„ „„ Ieaptodigital.corn 2.11.2 Page 16 of 17 Image: 1.13 ww S +A�i'+<f 3"�.Y!J , `u�' �e�$ 7, .bfYryL , :.pro'R... 'r 4�, .�}..,� ,�, .. fiO r it 1 n �h-Z ,\ 3_. --i:- :-:,..,.!,,,,_:-,,,..:::.:-.i.f,,,..:.,..,,,,,,- ,..,„..„..,:.1.,,,,,,,-.,:. -. _., .. ..:!: r . „ K Q, e %am O w 41''r 7 • o a , 'a rL, 0 ;df i►. vi:/4' w: .. fig, r 'y, 41' g.1TT'-t BAN';4" ' * .: 1:, "at &O.— -—4,-_,'.- -:---..:'-'-',' 24. -, ,sto.-1 e--"..i,,,, 'kw%441, "--.7 r' leaptodigital.com 2.11.2 Page 17 of 17 Image: 1.14 1.\\..."-_',r•- ` k A f. 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Registration: 1c5669 26 CEDAR ST. piration: 0."vU4/2022 11NO5URN,MA 01801 UpWtoaddrass and Par C . affirm or Consumer Afiaus S aus:n,•spny}atirn HOME IMPROVEMENT CON1RACTOR Regisiauon lalla for iodriittual use only r Y PE Suoolemeft Cord Serorethe expiration date.If found retum m: .lo inn rion Unnon Office Of Consumer-Affairs and Busines:RogMatron 1a6584 0510'_tl.023 1000 Washmgton Street-9ute710 rPP,O OPE A124G,U.C. Boston,taA 7ll.8 P.='GONNORS ' n�t -SOAR ST. �.-�,_-,..`i.�,;�v{• S irs'I! U�---� SURN,diA 01801 i,i4f atthoutsgnatureUnderEeepta N Commonwealth of i • Division of Occupational L. tire Board of Building Regulations and Standards Constt4t�ffidn S rvisor C5-110763 • • empires:05/05/2024 • JEFFREY CC3JUNORS 64 OLD FIELD RD ° SOUTH BERltF1JCK ME D390S i. a •F r r.J.- • Commissioner �t .-c ii• A`R m® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOP(YYY) 12/30/2021 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 NONE CT Melissa Pflug The Hiib Group of New England PHONE (508)366-6161 FAx (A/C,No,Extl: I(AlC,No): 120 Turnpike Rd.Ste 300 ADDRESS: Melissap@mackintire.com INSURER(S)AFFORDING COVERAGE NAIC# Southborough MA 01772 INSURER A: Employers Mutual Casualty Co 21415 INSURED INSURER B: Newpro Operating LLC INSURER C: 26 Cedar St. INSURER D: INSURER E: Wobum MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 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 AUUL SUtlN POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR MD POLICY NUMBER (MWDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ' �i OCCUR DAMAGE TO RENTED 500,000 l CLAIMS-MADE I PREMISES(Ea occurrence) $ — MED EXP(Any one person) S 10,000 A N'L 6D15090 12/31/2021 12/31/2022 PERSONAL BADV INJURY $ 1.000.000 GE AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE ' $ 3,000,000 POUCY❑JE�CT- 17 LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER. EMPLOYEE BENEFITS $ 1,000,000 AUTOMOBILE LIABILITY GOMBINE9SING1_ELIMIP•• $ 1,000,000 -'- (Ea accident) ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED 6Z15090 12/31/2021 12/31/2022 BODILY INJURY(Per accident) 5 AUTOS ONLY X AUTOS X HIRED ONLY A X NON-OWN UTOSONEDLY PROPERTY DAMAGE (Per accidentl $ AUTO Uninsured motorist BI s 250,000 - X UMBRELLA UAB OCCUR EACH ter"•OC 5,000,000 — OCCURRENCE $ A EXCESS UAB CLAIMS-MADE 6J15090 12/31/2021 12/31/2022 AGGREGATE $ 5,000,000 DEO X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABIUTY YIN X STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE � 500,000 A OFFICER/MEMBER EXCLUDED? I ' N I A E.L.EACH ACCIDENT $(Mandatory In NH) EL.DISEASE-FA EMPLOYEE S 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 50O,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD in Additional Remarks Schedule,may be attached if more space is required) Contractor/Carpentry/Siding Install 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC ORE) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD,WIY) ‘1611.,! 05/30/2022 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Marsh Affinity PHONE FAX Marsh Affinity (NC,No,Ext): 866-237.4079 (NC,No): a division of Marsh USA Inc. A DRESS: ADPTotalSource@marsh.com PO Box 14404 Des Moines,IA 50306-9686 INSURER(S)AFFORDING COVERAGE NAICC INSURER A: New Hampshire Insurance Co. 23841 INSURED INSURER B: ADP TotalSource CO XXII,Inc. INSURER C: 5800 Windward Parkway INSURER O Alpharetta,GA 30005 Alternate Employer: INSURER E: Newpro Operating LLC INSURER F: 26 CEDAR ST Woburn,MA 018010000 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. INSR LSUBR WVD (MM/DD EFF POLICY EXP LIMITS LTR NSD TYPE OFINSURANCE POLICY NUMBER IYYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS MADE OCCUR PREMISGE TO NTED ES(E occurrence) S MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY JE LOC PRODUCTS-COMP/OP AGG S OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _AUTOS ONLY (Per accident) UMBRELLA UAB _OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION WORKERS COMPENSATION PER O1H- ANDEMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIErOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 2,000,000 OFFICER/MEMBER EXCLUDED/ N/A WC 024509800 MA 07/01/2022 07/01/2023 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for NEWPRO OPERATING LLC,paid under ADP TOTALSOURCE,INC.'s payroll,are covered under the above stated policy.NEWPRO OPERATING LLC is an attemate employer under this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Newpro Operating LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26 Cedar St Woburn,MA 01801 AUTHORIZED REPRESENTATIVE • ACORD 25 2016/036�Q ( � ©1988-2015 ACORD CORPO ION. All rights reserved.- The ACORD name and logo are registered marks of ACORD