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Building Permit # 2/29/2016
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: s Date Received Date Issued: 2— l J ,' ORTANT:Applicant must complete all items on this page LOCATION 19 Rrc(4 :p7A j-�_ Print_ PROPERTY OWNER `� ( Unit# Print MAP NO:OPR, PARCEL�b( ZONING DISTRICT: Historic DistrictY es ' Machine Shop Village yes 100 year-old structure yes CO TYPE OF IMPROVEMENT PROPOSED U E Residential Non- Residential ❑ New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial - epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ❑{Septic (7Well�`$ x (jkFloociplaviw t " 0 Wetlands t <] p� ` ]District ' r f �ateTShP.d ' ❑°Water/Sewer':. � ,"'"`� DESCRIPTION OF WORK TO BE PERFORMED: �9 Iia ELL (Identification Please Type or Print Clearly) OWNER: Name: - S / Phone: Address: 219 l „IvCt+ EAR H A 0 CONTRACTOR Name: H Phone: Q9 621 Address: a' Supervisor's Construction License: (, Exp. Date: -r -t7 Home Improvement License: / �( I Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $_ �, FEE: $ Check No.: q.J Receipt No.: - NOTE: Persons contracting with unregistered Contractors do not have access to the guaranty fund Si nature of.Agentl0w_er �'.. `. . .�_ __ ,;;Signature oftcont[actor':; � _-- --' i F NORTH _fown ot . . -11d®ver ® :, tir• ® 9 )3-aoi� h , ver, Tdass, 02`'1 1 CoCMICHl WICK � O, ATEIDIMMS NEEML S V BOARD OF HEALTH Food/Kitchen rERMIT L D Septic System THIS CERTIFIES THAT `J� BUILDING INSPECTOR . .. ............ . ..... ...... Foundation has permission to erect....... buildin son ..... ....4�.. .��..���,�!!�..... ....... • .. ..... ... Rough tobe occupied as ................ ®....... . . ......ej...... . ...................................................... 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 PERMITXI ES IN 6 MOTHS ELECTRICAL INSPECTOR LESS CONSTRUCTION RRough 4000�� Service .......................... .................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinga 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 Det. LL DM Construction Building with the QUALITY and Characterof yesteryear. 44 Addison Ave Ext. Methuen, MA 01844- (978) 685-3037 Estimate Submitted To: Justin & Jody Hayes Construction Supervisors License 66342 219 French Farm Rd. Honte Improvement Registratimi 124961 N. Andover, MA We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of 1" floor renovation (See specifications sheet) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and com letion in a substantial 'j, 40 114% 6 w (manlike manner in the sum of If�900 orl Payments to be made as follows: $ 1,000.00 Upon execution of contract. $10,000.00 When work begins. Remaining payments as work progresses. Respectfully submitted: Darren Martino Any alteration or deviation from the 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 accidents, or delays beyond our control. Note-This proposal may be withdrawn if not accepted within 10 days, Proposal Date 01/29/16 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date: k- ti- Signature: -,7 Date: Signature: 1-f?Z6 -- DO NOT SIGN THIS CONTRACT IF THERE, ARE ANY BLANK SPACES HA YES RESIDENCE S�ecitications Sheet GENERAL SCOPE OF WORK Renovation of 1St floor including: kitchen renovation, bathroom renovation, new doors, new flooring, etc. PERMITTING DMConstruction will file all necessary paper work to obtain the following permits: building, electrical,plumbing, gas, and debris removal. The cost of all permits and fees necessary is not included in this estimate and will be billed separatelK. SITE PREP In an effort to limit the dust generated from the renovation process. Doorways and openings to other areas of the house will be sealed off within reason with plastic or drop clothes. DEBRIS REMOVAL DMConstruction is responsible for all debris generated. A container will be placed on site to ensure a clean work site. The container is for debris generated by DM Construction only, it is not intended for homeowner use. DEMOLITION Kitchen—Remove existing appliances, countertops,plumbing futures, and the backsplash. Powder room—Demolition of fixtures and flooring. General—Remove flooring in the kitchen,front hallway, and great room down to the original sub floor. Remove all interior door units. Remove baseboard in the kitchen,front hallway, %Z bath, and great room. Remove one side of cased openings to the living room(playroom) and dining room. FRAMING Enlarge pantry closet door opening for larger door if possible. DRYWALL All existing drywall will remain as is. This estimate does not include any drywall or plaster. FINISH WORK Installation of five (S) new interior door units on the P floor. All new door units to match the 2"d floor existing door units. Installation of new baseboard in the kitchen,front hallway, % bath, and great room. Installation of new casings on one side of cased openings into dining room and the living room(playroom). CABINETRY REPAIRS/UPGRADES Installation of new cabinet hardware (pulls & knobs only). The cost of the hardware is the responsibility of the homeowner. The existing hinges and drawer glides will remain as is. Installation of new toekick and baseboard around the cabinet bottoms as necessary. Modify cabinet to accommodate new refrigerator. Reinforce miscellaneous cabinetry as necessary. HA YES RESIDENCE Specifications Sheet APPLUNCE INSTALLATION DMConstruction will install the following appliances: refrigerator, dishwasher, range, microwave, and garbage disposal. If the microwave has a built in exhaust, it will only be vent to the exterior if it can connect to the existing duct work. The cost and delivery of the appliances is not included in this contract and is the responsibility of the homeowner. PAINTING Kitchen—New trim will be primed and receive two coats of finish. Walls and ceiling will receive two coats of finish. Kitchen cabinetry— The existing kitchen cabinetry will be painted as follows: all doors and drawer heads will have their hardware removed, holes filled&sanded,primed, and receive two coats of finish. All cabinet face frames will be sanded,primed, and receive two coats of finish. All the baseboard,fascia, and moldings will be sanded,primed, and receive two coats of finish. "Note: The interior of all cabinetry, including but not limited to the drawers, shelves, cabinet box sides& rear, etc will not be painted, they will remain as is. Bathroom—New trim will be primed and receive two coats of finish. Walls and ceiling will receive two coats of finish. Great room—New trim will be primed and receive two coats of finish. Walls and ceiling will receive two coats offinish. Front hall/stairwell/upstairs hallway-New trim will be primed and receive two coats of finish. Walls and ceiling will receive two coats of finish. All stair parts (risers, skirts, balusters, etc.) currently painted will be painted two coats offinish. All stair parts (newel posts, handrails, etc) currently stained will be lightly sanded and receive 3 coats of poly. Note: This estimate does not included any painting in the dining room, sunroom, or living room (playroom). HVAC Add register(s) as possible to cool sunroom. PLUMBINGMEATING Demolition—Disconnect and remove all plumbing fixtures and appliances in the kitchen and powder room. Kitchen—Provisions for and installation of the following fixtures: one main sink, one garbage disposal(on an air switch), one dishwasher, one dual fuel range, and a recessed box for the refrigerator ice maker with a no burst hose. Powder room—Installation of a new toilet with a new shutoff. Installation of new sink/faucet with new shutoffs. Installation of new baseboard heat covers. All plumbing fixtures including: sinks, faucets, etc. are covered under the Plumbing Fixtures Allowance. HA YES RESIDENCE Specitrcations Sheet ELECTRICAL Appliances-Provisions for the following appliances: refrigerator, dishwasher, range, microwave, and garbage disposal, All new appliances to be GMIAFCI protected as required. Powder room— Installation of a new light fixture. Installation of new GFI receptacle. Install of a receptacle in the closet. This estimate does not include any recess lights under cabinet lightiM pedants etc. Ifdesired these will incur extra cost. This estimate does not include any work on fire protection (Smokes CO2 etc) NOTE: The cost ofall recess lightin pendant lighting, vanity lights under cabinet in cabinet accent lights, ceiling fixtures, exhaust fans, coach lights etc is covered under an allowance. TILE SETTING Powder room—Installation of new subfloor(hardibacker) on floor. Installation of the on the floor. The cost of the tile, grout, sealers, enhancers, etc. is covered under the flooring allowance. The cost for materials and labor of the backsplash is covered under the the backsplash allowance. HA YES RESIDENCE ALLOWANCES The following allowances are included in this estimate. The allowances exist to cover the purchase of materials only, unless otherwise specified. Any amount spent in excess of an allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued. COUNTERTOPS-$7,500.00 This allowance covers the cost of all countertops and their associated template and installation costs. PLUMBING FIXTURES-$4,000.00 This allowance covers the cost of all plumbing fixtures including but not limited to: sinks, faucets, soap dispensers, toilet, accessories, etc. TILE BACKSPLASH- $1,500.00 This allowance covers the cost of all tile, materials, and labor associated with installing, grouting, and sealing a the backsplash. FLOORING- $11,000.00 This allowance covers the cost of all materials and labor associated with flooring. This allowance covers the cost all materials and labor associated with work on the main stair case including, treads, risers, handrail, balusters, newel posts, skirting, etc. HA YES RESIDENCE, MISCELLANEOUS Note: Due to the nature of wood and the drastic temperature and humidity changes in our region,you may notice the movement and shrinking of the flooring and exterior and interior trim. This is typical of the region and is not due to defective installation. Change Orders Any changes from the existing plans or increased scope of work involving extra costs will become an extra charge over and above the contract price. Change order agreements must be signed before any work,commences. The following schedule will be adhered to, unless circumstances beyond our control arise: Tint e(rant efor completion.- Wien demolition be, to completion&9 weeks* *Subject to delays beyond our control. (ie delays associated with delivery of products, customer change orders, etc.) All work to be done Monday-Friday between the hours of 7:00 am—6:00pm, If deemed necessary to work any other times, the homeowner will be consultedfifrst. MEMBER OF THE BETTER BUSINESS B UREA U HOME IMPROVEMENT CONTRACTOR: 124961 CONSTRUCTION SUPERVISOR LICENSE.- CS 066342 All home improvement contractors and subcontractors shall be registere(L Any inquiries about a contractor or subcontractor relating to registration shall be directed to: Office of Consumer Affairs and Business Regulationgh/s/h a Ten Park Plaza, Suite 5170 A Boston, MA 02113 do/o/l/ah Phone: (617) 973-8700 IIC/211/11,�R DMConstrucdon E wim, il Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext, Methuen, MA 01844 (978) 685-3037 CONTRACTOR ARBITRATAION AGREEMENT The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor however. Tile 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 as is afforded to the homeowner by the Home Improvement Contractor/Law. The Contractor(Darren Martino)and the Homeowners (Justin & Jody Mayes)hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. Homeowner's Si Lure Cant s Sig u"" 4.._m Hameawner's 'gnxture DM Construction nowBuilding with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 NOTICE OF CANCELLATION January 29, 2016 You may cancel this transaction, without any penalty or obligation, within three business days from the above date If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel,you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement;or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice to: NAME OF SELLER: DARRENMARTINO ADDRESS: 44 ADDISON A hE EXT METHUEN,MA 01844 NOTLATER THANMIDNIGHT OF.• February 2, 2016 I HEREBY CANCEL THIS TRANSCATION Date: Buyer's Signature: I(we each)ackno ed 777mies of this forBuyer: Buyer: To AT \. .. a,.., \,. ... ..... .._ .. \\\\ .. \ .� a. '...... .....:....... ..,.o' '. .:� <' .. .A \ \.o ot offl'll Too"" \. v \\ \ TA \\\sem \v Ay �g \\io \ \: Y - � \ ol FURNITUREi I Or W100 t SIMS "TALLAT _NDN 0 RLLE v i \ i _ ? 6: W1721L as KE � � L � � , 4 \'� 8: VY024SOR s o y € �� INN OF soul) DAc 1 WOW� AW r 1111-11111111 22 T � veldl A, V A . 1 930B DE INNS is- � fly � \ AART . . jnv in ;IT- :. jv \ .. :. Shot L,\\ 1:11111 t .: : . ,\ \\\\o \\ \ \ \\\ \ _ \ \ \ \ A\vA vAv v y\V A. yv y v Ay A \ vA V\y v v\ v A y A\v v y � v vvv v v v v v y v v � y\yv vyv \ v v v\y vvv v_ vvv v v v v WAS Tf v �\yy\yy\yyyyy v v vv WE Ay v \\y\\y v \ y \ yy\\y\ v v v The Commonwealth ofMassachusetts .Department of IntlustrialAccidents Office of Investigations 600 Washington.Street Boston,MA 02111 -www.mass gov1dla Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly MEMO(Business/Organizationlindividual): Address: ^L7-- - city/state/zip: /�� /U s, IXA Phone#: Are you an employer?Check the appropriate box: Type.of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have Hired the sub-contractors 2\-I am a sole proprietor or partner- listed on the attached sheet.T7•remodeling ship and'have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers'comp.insurance, g, ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c.152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] Any applicant that checks box#I must also fill out the section belovi showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they Rre doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showingthe name of the sub-contractors and their workers'comp.policy information. X am an employn-that is providing workers'compensation insurance for my einployees. Below is the policy and job site information. In Company Name:. Policy 4 or Self-ins,Lic.#: Expiration Date: Job Site Address: City/statemp: Attach a.copy of the workers'compensation p olicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.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 fo-rwardedto the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby cert'under the pains andpenalties oferjury that the information provided above is true and correct. - Si afore: �� Date: d 70 6- Phone 4: 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): Z.Board of health 2.Building Department 3.CitylTown Clerk 4.EIectrical Inspector S.Plumbing Inspector 6.Other - - Contact Person: Phone#: Client##: 968806 DARREMAR2 ACORDCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrvv) "" 2/2212016 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 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 NAME: Terri Younes USI Insurance Services LLC-SCL PHONE855 874-0123 F 877-7T5-0110 103 Main Street E-MAIL F,1):855 No: ADDRESS: terri.younes@usi.biz South Glens Falls, NY 12803 INSURE S AFFORDING COVERAGE NAIC# 855 8T4-0123 INSURERA:Nautilus Insurance Company 17370 INSURED INSURER B: Darren Martino dba D M Construction INSURER C: 44 AdISOn Ave Ext INSURER D: Methuen, MA 01844 INSURER E! INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMfDD1YYYY) (MM/DDAym LIMBS A X COMMERCIAL GENERAL LIABILITY NN610631 9!2112015 09121/201C EEAACMHpOEC7CURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMIGSES Eaoau or.) $100000 X BI/PD Ded:500 MED EXP(Any one Person) $5,000 PERSONAL&ADV INJURY $11,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000,000 JECT LOC PRODUCTS $2,000,000 POLICY❑ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS AUTOSULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acddent UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAe Id CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORI(ERS COMPENSATIONpER OT}{_ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If ea,describe under DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT IS DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) CERTIFICATE HOLDER CANCELLATION Justin Hayes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 219 French Farm Rd ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014109) 1 Of 1 The ACORD name and logo are registered marks of ACORD #8172898931M16306571 TXYCX Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066342 Construction Supervisor DARREN MARTINO 44 ADDISON AVE EXTo' METHUEN MA 01844 f ff � Expiration: Commissioner 08/16/2017 \ Office of Consumer Affairs&Business Regulation N — �iOME IMPROVEMENT CONTRACTOR 2egistration: 124961 Type: y Expiration: 9/17/2017 Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE.EXT. METHUEN,MA 01844 Undersecretary