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Building Permit # 4/5/2016
O A4,eD zg q. BUILDINGPERMIT TOWN OF NORTH N V _ O APPLICATION FOR PLAN EXAMINATION - - Permit NO: �/¢ `✓ Date Received � �qA� �,��.� . Ale � �RATRD Date Issued: Ss�cwus� IMPORTANT: Applicant must complete all items on this 2age / , / �✓ vi t l ✓ f � �v rr ,J tx� / ✓ i r i IVlaichtre shop,�tlla�e yep ria, TYPE OF IMPROVEMENT PROPOSED USE Residential , Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: XCommercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other d Sepfc I Welf f Fl�socllatr O Wetlands I Wtei heel I �sti icf Identification Please Type or Print Clearly) OWNER: Name: Phone: N Address: cS6 �uper�r►sor s �or�s�r �tro� Ll+ rl�ap D�t�� F ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 19 a7 Check No.: �'l Receipt No.: C7 ;2,5�3 NOTE: Persons contracting with unre ister contractors Flo not have access to the guara and "t tur titCO er- °:; na,,u df csrtr ctor ;. NORTH rillown 01E I Anuover OA ® _ R op 1j4111P Ibi C, h ver, ass cocNjc„ewICK �1. RATED �Pa��S M� IT TV BOARD OF HEALTH Emma Food/Kitchen ER LD Septic System tl THIS CERTIFIES THAT ............. a.! 7.L:....:��.: U(.4.<! ;;:4:.©:::::� ..C�� .:.................:.................... BUILDING INSPECTOR y, has permission to erect .......................... buildings on .....::....�...............�.��1.�.�..lLl.�'....................... Foundation / - Rough to be occupied as .............. .......%??. . 4:. ... 1......................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file.in.this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S TS Rough .................. .. ...................... Service ”' ' " ' Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Bunker Building & Remodeling,, LLC Home Improvement Contract THIS CONTRACT is entered into on this 5TH day of March 2016, by and between North Andover Country Club/Stephen Kohr (hereinafter"Owner")having an address of 500Great Pond Road North Andover MA. and Bunker Building& Remodeling, LLC (hereinafter "Contractor"),having an address of 6 Glendale Street, Haverhill, Massachusetts, 01832, Massachusetts Registration Number 104908. Whereas the Owner desires to engage the Contractor to perform certain work on the premises located at 500 Great Pond Road North Andover MA. ("premises"), whereas the Owner desires to rehabilitate,renovate,remodel and/or improve the aforesaid premises in accordance with local and state building codes, and whereas the Owner agrees to compensate Contractor for services performed and materials provided, Now,therefore,the parties to this Contract mutually agree as follows: 1. Scope of Work The Contractor shall perform the proposed improvements specified in the plans and/or specifications developed for this project, including materials to be utilized, attached hereto as Exhibit A. The Contractor acknowledges that the proposed improvements have been reviewed and that said improvements are accurate and consistent as to scope of work and the cost for said improvement. The Contractor agrees that it shall use materials consistent with industry standards in the performance of said contract. 2. Time for Performance The Contractor shall commence the work to be performed under this Contract by a date to be determined by both parties or as soon thereafter as a building permit is received. The Contractor acknowledges that time is of the essence in the performance of the Contract. The work shall be substantially completed by no later than sixty days plus or minus from the starting date, barring any unforeseen complications "Substantial completion" is defined as being the point at which the project is suitable for its intended use, or the issuance of a final building department approval, whichever occurs first. The parties agree that time shall be reasonably extended for substantial completion and final completion if it is determined that there was an excusable delay, including but not limited to strikes,acts of god, Owner's failure to comply with the terms of the contract or other (D) Materials and Labor The Contractor shall furnish all material,machinery,tools, equipment, services, labor and supervision for the project,unless otherwise provided by a subcontractor, independent contractor or otherwise agreed to in writing. (E) Premises The Contractor will keep the premises clean and orderly as reasonably possible during the course of work and shall remove all debris at the completion of the work, with the exception of any hazardous materials. Hazardous materials, if any, shall be removed by an agent of Owner. Materials and equipment that have been removed and replaced as part of the work performed shall belong to the Contractor. (F) Inspection The Contractor will cooperate with any inspector given access to the project by Owner. (G) General The Contractor will supervise and direct the work on said premises, using his skill and attention. The Contractor will be solely responsible for all construction means, methods,techniques, sequences, and procedures and for coordinating all portions of the work under the Contract. The Contractor will use reasonable efforts to employ only qualified persons properly skilled in the tasks assigned. The Contractor shall be responsible for the acts and omission of all its employees and subcontractors,their agents and employees and all other persons performing any of the work under a contract with this Contractor. This paragraph does not bar the Contractor's right to seek contribution and/or indemnification from any subcontractor or independent contractor. The Contractor, at the completion of the work, will remove all his waste materials and rubbish from and about the premises as well as its tools, construction equipment, machinery and surplus materials as soon as practicable. 3 4. Responsibilities of Property Owner (A) Utilities The Owner shall permit the Contractor to use existing utilities, including but not limited to light, heat, water, and electricity, at no cost to Contractor,when necessary to perform or complete the work. (B) Facilitation of Work The Owner shall cooperate with the Contractor to facilitate the performance of the work. (C) Payment The Owner shall be responsible for making prompt progress payments as payments become due, according to the schedule set forth at Exhibit B. Payment for change orders is due in full at the time the change order is approved by Owner. Payment for change orders is the sole responsibility of Owner and will not affect the payment plan set forth at Exhibit B. Payment for special order items is due in full upon order of each item. (D) Duty with Respect to Warranties If a manufacturer has provided a warranty with regard to a product used to complete the work,the Owner agrees to exhaust his remedies first with the manufacturer for any problems with that product. Only if the manufacturer has provided written denial of coverage under the warranty may the Owner seek redress against Contractor. However,by virtue of this paragraph, Contractor does not agree to assume liability. If a subcontractor or independent contractor has provided a specific warranty with respect to work performed by that subcontractor,the Owner agrees to exhaust his remedies first with the subcontractor or independent contractor for any deficiencies with that work. Only if the subcontractor has provided written denial of coverage under the warranty may the Owner seek redress against the Contractor. However,by virtue of this paragraph, Contractor does not agree to assume liability. Within 48 hours of discovering any alleged defect,the Owner agrees to notify the Contractor in writing of any alleged defects,whether within the scope of any warranty or whether outside the scope of any warranty. If said defects are within the scope of any warranty,the Owner shall provide Contractor a reasonable opportunity to remedy any defect and mitigate damages accordingly. 4 5. Compensation The Contractor proposes to furnish all the material and do all the work described in Schedule A to this Contract for the sum of Nine Thousand Four Hundred Forty Nine and 00/100. The Owner agrees to pay the Contractor this amount for performance of the work. 6. Payment Schedule Payment shall be made in accordance with the schedule set forth at Exhibit B attached hereto and incorporated herein. Acceptance of final payment by Contractor, including any payment for change orders, shall constitute a representation by the Contractor that any mechanics liens and or materialman's liens arising from said Contract have been or will be timely released and/or discharged and that all subcontractors and suppliers have been paid in full for labor and materials provided. Said representation shall not take effect until the final payment has actually been received by Contractor. If final payment is made by check,this shall occur upon posting of the check to Contractor's account. If final payment is made by cash,this shall occur upon Contractor's receipt of payment. It is understood and agreed that bills are due and payable in full at the times listed on the payment schedule attached as Exhibit B. The Owner agrees to pay a finance charge of 1.5%per month(annual percentage rate of 18%) on any unpaid balance. All costs and expenses of collection, including but not limited to reasonable attorneys' fees, shall be paid by Owner should collection procedures be instituted. If Owner should fail to make a payment in accordance with the schedule attached as Exhibit B, Contractor has the option to cease work on the project until payment is made. The total number of days that work is stopped due to a late payment by Owner shall be added on to the completion date for the project set forth in paragraph 2. 7. Provisions of the Home Improvement Law The provisions of the Home Improvement Contractor Law, Massachusetts General Laws Chapter 142A, apply to this Contract. The Contractor refers the Owner to the provisions of that Act. (A) Registration The Contractor is registered with the Administrator of the Board of Building Regulations and Standards, an agency within the Executive Office of Public Safety and any inquiries regarding the Contractor relating to a registration should be addressed to the 5 Administrator. All contractors and subcontractors must be registered by the Administrator. The Contractor's registration number is 104908. (B) Cancellation Rights The Owner has a three day cancellation right under Massachusetts General Laws Chapter 93, Section 48, Chapter 255D, Section 14, or Chapter 140D, Section 10 as may be applicable. The Owner may cancel this contract without penalty or obligation within three business days of the date of the contract. If the Owner cancels this contract within three business days of the date of the contract, any payments made by Owner under the contract will be returned within ten(10)business days following receipt by Contractor of the cancellation notice. If Owner cancels this contract within three business days of the date of the contract, Owner must make available to the Contractor, in substantially as good condition as when received, any goods or materials delivered to Owner under this Contract. If Contractor does not pick them up within twenty days of the date of cancellation pursuant to this paragraph, Owner may retain or dispose of the goods or materials without further obligation. If Owner does not make the goods or materials available to the Contractor or if Owner agrees to return the goods or materials to Contractor but fails to do so, Owner remains liable for performance of all of the obligations under the contract. To cancel this contract pursuant to this provision,the Owner must mail or hand- deliver a signed and dated copy of a cancellation notice not later than midnight of the third business day following the date of this contract. (C) Liens To the Contractor's knowledge, as of the date of the execution of this Contract, there are no liens or security interests on the residence as a consequence of this Contract except for any lien as provided for by the mechanics lien statute. Contractor may file a mechanics lien on the property if desired. In the event that it becomes necessary for the Contractor to file a mechanics lien on the property as security for payment from the Owner or an attachment of real estate, Owner agrees to be responsible for the costs and legal fees associated with perfecting that mechanics lien and/or attaching said real estate. (D) Acceleration of Contract No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure, he may require as a prerequisite to continue said work that the balance of funds due under the 6 contract,which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 8. Alternative Dispute Resolution Any controversy or claim arising out of or related to this Contract involving an amount which is equal to or less than the dollar limit of the Small Claims Court shall be heard in the Small Claims Division of the District Court in Haverhill, Massachusetts. Any controversy or claim arising out of or related to this Contract which is over the dollar limit of the Small Claims Court must be settled by binding arbitration administered by the American Arbitration Association in accordance with the Construction Industry Arbitration Rules,unless the parties agree to some other arbitration or arbitrator. Judgment upon the award may be entered in any Court having jurisdiction thereof. The parties agree that arbitration shall be the sole and exclusive remedy for any controversy or claim arising out of or related to this Contract, except that the Contractor may file the necessary documents with the egistry of Deeds and/or applicable Court to secure and/or perfect a mechanics lien pe ing resolution of the arbitration. Contractor's Initials Owner's Initials 9. Modifications (A) Necessity of Writing It is agreed by the parties that no modifications may be made to this contract unless the modification is in writing and signed by both parties. (B) Concealed or Unforeseeable Conditions This Contract is based solely on the observations Contractor was able to make with the structure in its current condition at the time this Contract was bid. If additional concealed or unforeseeable conditions are discovered once work has commenced which were not visible or foreseeable at the time this proposal was bid, Contractor will stop work and point out these unforeseen and/or concealed conditions to Owner so that the Owner and Contractor can execute a change order for any additional work. (C) Deviations from Scope of Work; Change Order Any alteration or deviation from the scope of work referred to in Exhibit A involving extra cost of materials or labor will be executed upon a written change order issued by Contractor and should be signed by Contractor and Owner prior to the commencement of additional work by Contractor. 10. Applicable Law 7 This Contract shall be governed by the laws of the Commonwealth of Massachusetts. 11. Merger This Contract,together with the exhibits attached, represents the entire understanding of the parties, and neither party is relying on any representation not contained herein. 12. Severability In the event that any provision of this Contract shall be deemed invalid, unreasonable or unenforceable by any court of competent jurisdiction, such provision shall be stricken from the Contract or modified so as to render it reasonable, and the remaining provisions of this Contract or the modified provision as provided above shall continue in full force and effect and be binding upon the parties so long as such remaining or modified provisions reflect the intent of the parties as of the date of this Contract. No work shall begin on the premises until this contract is executed By both Owner and Contractor. DO NOT SIGN THIS FORM IF THERE ARE ANY BLANK�PACES f% Lef., Mark nkerrD : Z //` uBunker Building&Remodeling, LLC Federal Tax ID No. 20-8362262 Dated: �d Owner Dated: 8 EXHIBIT A SCOPE OF WORK AND DESCRIPTION OF MATERIALS TO BE UTILIZED EXHIBIT B Remodel existing first floor ladies rest room and will include the following: 1) Remove existing two steel bathroom partition and replacing them with Hadrian LT Gray units. 2) Each to have one SS seat cover dispenser. 3) Each to have one double toilet tissue holder with shelf. 4) Each to have one feminine napkin disposal container. 5) Remove both toilet and replace with new white comfort height toilets. 6) Remove and replace existing two bowl counter and install one costume three door white vanity with granite top (no back splash),two white china under mount bowls and two chrome faucets. 7) Remove existing framed mirror and replace with a full size frameless one. ***This contract does not include the following*** Any dumpster for construction debris No permit allowance No electrical allowance. 9 PAYMENT SCHEDULE $ 3,164.00 due from Owner upon signing the contract (May not exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ 3,164.00 due upon installation of stall partitions $ 3,162.00 due upon completion. Any and all work done above and beyond this contract shall be done on a time and material basis which will be discussed and agreed upon by both the owner and the contractor prior to the start of such work. 10 The Commonwealth of1Massaehusetts F Department oflndustrial,Aceldents d 1 Congress Street,Suite 100 Boston,AM 02114-2 017 www mass.gov/dia ,�. Workers'Compensation Insurance Affidavit:Builders/Conti ctors/l;lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AtHORITY. Applicant Information Please Print Legibly Name (Business/Organzaat�io1n/fndivid1ual): s > ' �A .Address: City/State/Zip: Phone 34 Are you an employer?Check the appropriate box: Type of project()required): l.M I am aemployerwithI , employees(full and/or part-time).* 7. Q New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in $, EA Remodeling any capacity.No workers'comp.insurance required.] 9. El Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp..insurance required.]t 10 FJ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.F1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1- .0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E]Other 152,§l(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. Homeowners who sul3mft Us affidavit indicating they are 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 showing the name of the sub-contractors and state whether or not those entities have employees. Ifthe sub-contractors fiave employees,they must provide their workers'comp.policy number. T am an employer that is prdvidiizg fvor'Irers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: Expiration Date: fob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil pen ties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this stateme ay be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify underthe ai s anni erzalties of per jury_tliat the it formation pi-ovided�a/bove s true a d correct. Signature: .�' Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official.. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: .�c R CERTIFICATE T F LIA► ILITY INSU NC DATE(MM,DD/YYYY) 4/5/2016 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 CONT cT Katie Gregoire NAME: g Sullivan Insurance & Financial, Inc. pAHiCNE0 Ext: (978)372-2790 A/CAX Nu:(978)373-2281 487 Groveland Street E-MAIL ADDRESS:kg g re oire@sullivanIF.com INSURER(S)AFFORDING COVERAGE NAIC# Haverhill MA 01830 INSURERA:Preferred Mutual 15024 INSURED INSURER 8 Citation Insurance 40274 Bunker Building & Remodel, LLC, DBA: Mark Bunker DBA INSURERC:Travelers Indemnity Comnpany 25658 6 Glendale Street INSURER D: INSURER E: Haverhill MA 01830 INSURER F: COVERAGES CERTIFICATE NUMBER CL164502812 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 TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP LIMITS LTR I SD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 11 A CLAIMS-MADE YX OCCUR DAMAGEPREMISES S(Ea occurreRENTEDnce) $ 50,000 BOP0100721660 2/5/2016 2/5/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO u LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY 1:1JECT OTHER: I $ '.. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ '.. Ea accident B ANY AUTO BODILY INJURY(Per person) $ 250,000 '... ALL OWNED Ix SCHEDULED BX2140 3/3/2016 3/3/2017 BODILYINJURY(Peraccident) $ 500,000AUTOS AUTOS NON-OWNED PROPERTYDAMAGE $ 100,000 XHIRED AUTOS AUTOS Per accident '... $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYSTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICEtoryIn ER H)EXCLUDED? 7P,7DB-5B61451-2-13 12/27/2015 12/27/2016 C (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 '.. If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) '... General Carpentry Operations CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover, MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Diane Fraioli/KJG - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 rgntdti ublic Massachusetts Depeatistau Safety and Standards Board Board of BuildingRglo .. I, License: CS-054228 , ., ' Construction Supervisor 1� MARK S BUNKER " 6 GLENDALE STREET HAVERHILL MA 01832 Expiration: 0112412018 Commissioner &XI ncfzuJel/. r—\ Office of Consumer Affairs&Business Regulation Iij = • ME IMPROVEMENT CONTRACTOR egistration: '04908 Type: I' xpiration. 7/15/2016 DBA f MARK S.BUNKER BUILDING AND REMOLD r= Mark Bunker 6 Glendale Street i Haverhill, MA 01832 Undersecretary ,ti