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Building Permit # 10/11/2016
KaRrH L UIDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: �>eDate Received 'li °waren��p�yt`� C HtISEC ©ate Issued: 16 IMPORTANT: Applicant must complete all items on this page � {.::01✓AT�ON� tii//�j iNER , ,� /�,, ,�„ i> TJ tl7� E[.JT' o' ....,, ,,,[� /i �i/ //i/ rlTl i% // / E231/ tfUCIICB 4ESOJ%�//RO MAF? PARCEL ..,;'ZOBII DlSTR1CT 1-1Nstorac is /%ago �„ Mac �[nShop Villa e , ye no � TYPE OF IMPROVEMENT PROPOSED USE _ Residential _ Non- Residential CJ New Building ❑ One family .�_ .� ❑Addition [I0 Commercial Two or more family Industrial _ lteration No. of units D Repair, replacement _..._.. ❑Assessory Bldg C.7 Others: D Demolition E Other D Septic 0 Well P Floodplain .D Wetlands D Watershed District Q Water/Sever DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly —_. " — - OWNER: Name: a F Y Phone: t Address: a., Contractor Na rme: ��, ,gym Phone: Email: �� � Address:,,',,. " ; EDate / supervisor's, ori�iriaction�License: �� p Horne"8rnprovemenk license: _�019 10 Fzp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ C' 00 1 .-FEE: $ Check No.: Receipt No.: A NOTE: Persons contracting with tanregistcred contractors tlo not have access to the guarantyJand contractor signature of Agent/Owner� _ Signature of IAORTH Town of _ s _ s ndover No. �.. �O LK�lE h _ " ver, Mass, a . // • ' d/ 6 COfNI[NE WICK R �4 `V �,4 °R'•areo �ga,�'C5 S U BOARD OF HEALTH LD Food/Kitchen PERMIT T T Septic System THIS CERTIFIES THAT ..............r+ .+.�.......,T.C. 'r.$4.................,,,...................................,.. .. BUILDING INSPECTOR ...... . ..... ..... ... .... has permission to erect ........ buildings on ...... SO" 4006440 Foundation on., �,P . Rough tobe occupied as ...... .... �.......&r.4144. ...�....................................................... 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 p� Final PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUCTION STARTS Rough ..... ............�. .,.. .. ................ Service Final BUILDING INSPECTOR' GAS INSPECTOR Occupancy Permit Rflulred 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. TES TA BUilding and Remodeling Start date October 10"' 2016 6 APPLETON STREET' Finish date, Decenriber I1' 2016 NORTH ANDOVER, [VIA 01845 H1('.' LJc, '120296 Expires '11/19/17 (978) 682 2023 CSL, Lic. CS 54718 Expires 6/8/18 Pro osal October 4, 2016 Proposal Submitted To: Kathy Ferlito Phone: (978)521-6262 770 South Bradford St. Cell: (978)681-0899 North Andover, MA 01845 job.- Remodel kitchen Obtain building permit Complete removal of all demolition and construction materials Generated by Testa Building and Remodeling and its subcontractors. DEMOLITION: Remove all cabinets, counter tops, appliances, tile floor and underlayment, walls, ceiling And remove all insulation. CONSTRUCTION: Remove approximately 10" of the non-load bearing wall going into the Livingroom. PLUMBING: Kitchen sinks to stay in same general location. Hook up the rest of the kitchen plumbing fixtures. Hook up the gas cook top. Vent the hood over the cook top. Note: There is no allowances for plumbing fixtures ELECTRICAL: Add new circuits in the kitchen area where needed. Rewire kitchen to code. Supply and install 8 recessed lights. Wire all new appliances. Install under cabinet lights. Once the electrician is on site he will determine if a new panel is needed. Note: There is no allowances for light fixture other than the Recessed. INSULATION Insulate the walls to code. PLASTER: Hang '/2 blue board and plaster all walls and ceiling. CARPENTRY: Install all the kitchen cabinets and molding as per the designers drawings. Install new trim in the kitchen around the windows and doors to match the existing trim in the house. Installation of all kitchen appliances. Note: There is no allowance for cabinets and or countertops. FLOOR: Patch the oak floor as needed. TILE: Install tile along the back splash. Labor and adhesive supplied by contractor. Note: There is no allowance for tile or grout. PAINTING: Prime and paint the ceiling, walls, and new trim in the kitchen. A finance charge of 11/2%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attorney's fees. I propose hereby to furnish material and labor complete in accordance with above specifications, for the sum of: $25,593 Twenty Five Thousand Five Hundred Ninety Three Dollars One-third to start, one-third after rough inspection, one-third upon completion. Authorized signature9 I reserve the right to cancel this contract if not accepted in 30_days Signature 's - Signature DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties, Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described, in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired, Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at littl)://Nkr%N�w.ii,iass.gov/o(.,ib�-/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at littp://NV��vw,iiia,ss,gov/o(,at)i-/ Go online to view the status of a Home Improvement Contractor's Registration: lil:tp://db,st�,,.ite.iiia.us/tiotii(.iniprovoYiierit/ll(,ctiseelist..,,Is This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of ConsumerAffairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 942A.) Express Warranty-Is an express warranty being provided by the contractor? No Yes(all terms of the warranty must be attached to the contract) Su bcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. •Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. •Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at to Park Plaza,Room 5170,Boston,MA 02115 or by calling 617-973-8787 or 888-283-3757. •Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. •Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES111 Two identical copies of the co[nntraet must be completed and signed.One copy should go to thweer.The other copy s'ho�uld_be kept by the contrartor. Homeowner's Signature Contractor's Signature — Date Date Contractor Arbitration 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. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Howe Improvement Contractor Law. The contractor and the homeowner 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 Signature Contractor's Signature For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-6524800, 508-755-2548 or 413-734-3114 Version 2.1-111221201 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT 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 CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED, 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 CONTRACT OR SALE; 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 CANCELLATION,YOU MAY RETAIN OR DESPISE 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, OR SEND A TELEGRAM TO [Name of Seller],AT [Address of Seller's Place of Business] NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: f 168;,, 22„ 7 � ,,. � 40-4L'3 � 73 z' I9� i 5* a" —256„ 21" 42" =14 ' 36" 24 27" 2 P 2 -2L 2 W1536 f W3036 (n CJ /Z W382024 f— F42L GGG1580 1•. e<DT765SSFSi B3Dz7 � r' �t blind optimizer - .. BSBW36 ZN Lo r N 1f r DW -STTtve7We3fe l"l.I_'-C` i /• EP01SP279001 EP01SP279oo1 OD- � � r 39" Spic MICRO TRASH I e drawer - - � _,i � € B3� MW1D283424B € nl� �€ _ Cq co � ca c', N ( N[ j t 24 deep 15 i5 i -- 24 73" - -— 41 m,- tray dividers over -----Ys -.-double ovens f j - __ 2790DOY318024— 12790 Recess these o the wall to ding —262'-'--7,'--27—' 31 13041„ 358„ 264„ -1938" ;All dimensions_size designations This is an original design and must Designed: 8/19, given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 8/31/2( job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. I ' F The Commonwealth of Massachusetts Department ofIndustrial.A.ccidents 1 Congress Street, S° 1 100 Boston,MA 02114-2017 u 9� 1Www mass.gov/dia °�� s• Workers' Compensation Insurance Affidavit:Builders/Contrcactaxsl�IectrzczanslPlumbexs. TO BF,FILED WITH TSE PERM TItNG please C'rint Le 'bl A licautTnfortnation Na1SIt;(BusinesslOzgari.: tion4ndi�vidual)' Address: 0% 61-1 � �5 #: ''l �7 S` 6 0 CityIState/Zi�� NO vA A Phone � ? • :� .:. .. : ..,�K,,; � • - Type of prosect(required): Axe you an employer?Check the appropriate box: employees fitllandlorparttime}."•` 7, p�e`{�aonstractioxt 1.❑I am a employer.with____:._ 2• rn a sole proprietor or partnership sndhave no employees Working forme in 8. Remodeliizg �a any capacity.[No workers'comp.insurance required.] 9. ❑Dernolitiort 3 1 am a homeowner doing all work myself;.[No workers'comp.insurance required.]` 10�Building addition 4,❑I am a homeowner and will be hiring contractors to canducE all work on my prnparty. I will l�.❑Eiecxical rppaus or additions ensure that all contracfczs either have workers'corapeusation insurance or are sole ams or additions proprietors with no eiripleyees. ��I 1 pt= g repairs 5. I am a general contractor and X have hired the sub-contractors listed oar the attached sheet. 13•.[]Rb6frepairs Thaw sub-contractors have employees and have workers'comp,insurance. 14 n Other 6,❑We are a corporatinli and its,officers have exercised tbeir right of exemption per MGL c. 152,§1(4),and!va have no employees.[No workers'comp.insurance required.] Any applicantthat checks'bbx,#1 must als6 fill out the section below showingtheirworkers'compensatractors must submit information.affidavit indicating such I Homeowners wn Suleckthis lioi mdfi arttac}ied arms aadditional sheetgshowing the name of the subconfra tots and state whether F those entitties have $Contractors that h employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer tliat is providing-worlcers'compensation insurance for my enrplayees. Below is the policy and jots site information. Insurance Company Name- Expiration Date• Policy#or Self-ins.Lic.#: City/State/Zip: lob Site Address: aupeztsatiortgolicy declaration page(showing the policy number and expiratioa�.date). Attach a copy of the�vvox'l�ers' co Failure to secur.'e coverage as required as ivior ld penalties in the form of a S'T'OP nal violation WORC�.ORDER anal a fie of up to $250.00 a anal/or one-year iraprlsonme*,as w P day against the violator.A copy of this statement may be forwarded to the Office of Tuvestigations of the DTA for ixtsutanc8 covexage verification. Y do Hereby cer'ti der the pains anti artier ofper jury that the information provided ahovee is true and cor'r'ect. Date: Si ature: _ official use only. Do not write in this area,to he completed by city or town Official: City or Town.: Perrnmicense# Issuing Authority(circle one): 1.Board of Health 2.Building Depaxtnnent 3.Cityi'T'own Clerk 4.Electrical inspector 5.Plumbing inspector 6.Other Phone 4: Contact Person' AC"R® CERTIFICATE OF LIABILITY INSURANCE DATE""�'°°'"^"' 8/25/16 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: ff the certificate holder Is an ADDITIONAL.INSURED,the policy@as)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 endorsemen PRODUCER NAME: Rich Testa R.W. Testa Insurance Agency, I PHONE 978 685-1150 W . (978) 681-9002 855 Turnpike Street M- • rich@ testainsurance.Com North Andover, MA 01845 INSUREWS)AFFORDING COVERAGE NAICW INSURER A:CONMRCE INS CO INSURED INSURER 8: Testa Building And Remodeling INSURERC: 5 Appleton Street INSURERD: North Andover, MA 01845 INSURER R- INSURER F' COVERAGES CERTIFICATE N UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME)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 CONCITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF LTR TYPEOFINSURANCE AW R POUCYNUABER 0MIDD NLY�IDI1lYYYY LIINTD; A GENEERALUABN.ITY 516398 6/1/16 6/1/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERALLIABILITY DAMAGE TO RENTEDgmMonw $ 100,000 CLAIMS-MADE li]OOCUR MED EXP(Anyone ersm) $ iJ 000 PERSONAL&ADVINJURY $ 1 000 000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMIT APPLIES PER PRODUCTS-COMPlOPAGG $ 2,000,000 POLICY PRO-JECT LOG $ AUTOMOBILE LIABIE3TY COMBIN�D SSNGL£LIMfT e accl rE ANYAUTp BODILY INJURY(Per poman) $ AJTO5 NED SCHEDULED BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ eraccdent $ J;111BRE'1L "ABOCCUR EACH OGGURRENCE $ CESLIAB CLAIMS-MADE A13OWGATE $ DED RETENTION S 11103RKFRSCOMPENSATION WGSTATU- OTH- AND ENPL.OYERV LIABILITY ANY PROPRIETOIRIPARTNERIEWCUTNE Yr 7 N!A E.L.EACH ACCIDEW OFFILERGEMBER EXCLUDED' ,__...,J "a dal,ry In NH) EL.DISEASE-EA EMPLOYEE Ifrdesaibaunder O �RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEH CLES(Attach ACORD 10i,Additional Rerrerlrs Schedule,If mom space hrrequl red) 42 TANGLEWOOD LANE, NORTH ANDOVER, MAI. 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION !SATE THEREOF, NOTICE WILL BE DEUVEFRED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE RICHARD W TESTA JR O 1888,2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The AGORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Massachusetts Department of Pudic Safety Board of Building Regulations and Standards License: CS-054718 Construction Supervisor JAMES M TESTA 6 APPLETON ST N ANDOVER MA 01845 Expiration: Commissioner 0610812018 > S � •' ����a»r»rn�rrueri�(�n/C=?�lra�crc•�n���t Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR s Registration:. 120296 - Type: Expiration 11/19/2017 DBA TESTA BUILDING&REMODELING JAMES TESTA ! 5 APPLETON STREET UndersecretaryKANDOVER, MA 01845 J I ':S f 1.