HomeMy WebLinkAboutBuilding Permit #537-15 - 10 WOODRIDGE DRIVE 12/10/2014 t` A t NQRtIf�
BUILDING PERMIT 34•��`i�
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION i �*
Permit NO: Date Received
Date Issued: I I 0J CNus£t
I RTANT:Applicant must complete all items on this 2age
LOCATION t
nt
PROPERTY OWNER
Print
MAP NO: PARCEL: ZONING DISTRICT: istoric District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Septic :;Well ❑ Floodplain ❑Wetlands Watershed District
Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: - ,14Phone: � -��I, C
Address:
CONTRACTOR Name: t Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: ' S I Exp. Date:
ARCH ITECT/EN4P IN ER C v .Phone:
Address: UReq. No.
FEE SCHEDULE:BULD G PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE $125.00 PER S.F.
3
Total Project Cost: $ , L/ FEE: $
Check No.: Receipt No.:
NOTE: PersonWbJftr1Xn67 with unregistered contractors do not have aReR V4g a fund" `
gnature of Agent/Owner Signature of contractor � —
`1s
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
i
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
i
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124.Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
I
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❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2014
Location a C
No. Date w
® • TOWN OF NORTH ANDOVER
e Certificate of Occupancy $
Building/Frame Permit Fee $4—&-'
Com- 'J Foundation Permit Fee $
Other Permit Fee $�
TOTAL $
il
Check#
or
Building Inspector
II �
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$ 149436.00 m
$ - $ 173.23
Plumbing Fee $ 21.65
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 21.65
Total fees collected $ 316.54
10 Woodbridge
537-15 on 12/1 D/14
Bath Remodel
� X10 R T!y
I ,
Town of �_ .6Andover
- � , I
No. 400V
6*31
I � 2
,� oh ver, Mass, o� t�
S U
BOARD OF HEALTH
PERMIT T LD
Food/Kitchen
Septic System
THIS CERTIFIES THAT Ocvotd /'CBUILDING INSPECTOR
........ ...I........., : .... ....
.. .. .... .....
VFoundation
has permission to erect .... buildings on ..�D ......D�1,6-(df.,e. OJl........... ..... .....� .... .. .......... Rough
1---w
to be occupied as ............. ... . ............................................................................................................. 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 Rough
Service
...........................................AV.................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildink 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.
t Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supenisor
License: CS-080522
EDWARD R AD S y9
16 Folsom Road f '
Derry 1VI1 03038= ` G
Expiration
Commissioner 08/08/2015
/Eanr.r,rT�rar��ecc-� eC�� ���JJ�cc/z.rr„eCls License or registration valid for individul use only
c Office of Consumer Affairs&Business Regulation before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
(DOME IMPROVEMENT CONTRACTOR
;I Cpli81 T
egistraton: 1545ype:
app 10 Park Plaza-Suite 5170
'Expiration: 3/23/2015 DBA Boston,MA 02116
E.R.A.CONSTRUCTION
EDWARD ADAMS ��p
16 FOLSOM RD. g_
DERRY, NH 03038 Undersecretary Not valid without signature
11-DEC-2014 09:23 FroIn:6038983506 Pa9e:2/3
` �bF CERTIFICATE OF LIARILIT
Y INSURANCE DATE(MMIDDMfYY)
1115/2014
THIS CERTIFICATE 13 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 certl$cete holder is an ADDITIONAL INSURED,the policy(les)must @e endorsed. If SUBROGATION IS WAIVE=D,subject to
the terms and conditions of the policy,certain pollcl$S may require an'endorsement, A statement on this certificate does not confer rights to the
certificate holder in lieu of such endors®men s).
IODUCER CT
Rhonda Noble
HE Ro=yAGfiNCY INC. PHONE - Ig03)224-2562 FAX
39 Loudon Road (40-1)224-ee12
•MAIL ,rnoble@rowle a ®n
i .O. Box 511 g CY.com
onto Gd NH 03302-OS3i INSURERS gFFORDING COVERAGE NAIC II
SURER iNagF2AA.I.M.
yr Lumber Co. , Inc. IN RER B:
D Sax 837 NSURERC.
INSURER D
indh'am NH 03087-0837 INSURER E:
OVERAGES IN ERF:
CERTIFICATE NUMBER:14/15 cert REVISION NUMBER:
THIS 15 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.
R TYPE OF INSURANCE PO IGY N ER P I FF OLICY p
GENERAL LIABILITY D LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
E TO RF
NT $
CLAIMS-RADE 1:1 OCCUR
MED EXP An I one emon $
PERSONAL S ADV INJURY g
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY PRO- LOC PRODUCTS•COMPtOP AGG ti
AUTOMOBILE LIABILITY $
CO BINED SING LIMIT
ANY AUTO cc d
ALL OWNED $CHEDULEO BODILY INJURY(Pet Person) $
AUTOS AUTOS
BODILY INJURY(Pot eccidanq $
HIRED AUTOS AUTOS ROPERTY DAMAGE $
UMBRELLA LIAR OCCUR $
EXCESS UAB CLAIMS-MADE EACH OCCURRENCE $
AGGREGATE S
DED RE TON
WORKERS COMPENSATION $
AND EMPLOYER$'LIABILITY A STATES: NB 6 Ml► Y VJC$TATU. TN-
ANY PROPRIETOR/PARTNER/EXECUTIVE YEN 0 EXCLUDED OFFICERS
OFF{CER/MEMBEREXCLUDED? El NIA E.L.EACH ACCIDENT $ 1 DDD ���
(
Mandatory lnNH) CC4000142012014 /1/2014 1/1/2015
I1yes dsecnbe under E.L.DISEASE•EA EMPLOYEE S 1,000,000
DEStd,RIPTION OF OPERATIONS foW
H.L.DISEASE•POLICY LIMIT S 11000,000
;SCRIPTION OF OPERATION$I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks SChadule,tf more apace is required)
Svering operations of the ir►eured during the PoliCy Period.
ERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
°FOL' Informational Purposes'• ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORISED REPRESENTATIVE
Rhonda Noble/RLN
CORD 25(2010/05)
iSn2s0A1nnstn1 01888-2010ACORD CORPORATION, All rights reserved.
Thn Arnpn nPmat mnr1 Innn ern renlQia—A—ibr4a of Arnpn
11-DEC-2014 09:23 From:6038983506 Page:3/3
CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDI")
10/20/2018
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(les)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 Ileu of such endorsement(s),
PRODUCER COOMMEITNALumber
Eastern Insurance Group LLC PHONE Fax
(800)333-7232
233 West Central St E-MAIL
INSURERS AFFORDINO COVERAGE MAIC aY
Natick MA 01760 INSURERA-PennS lvania Lumbermen
INSURED
INSURER B
Cyr Lumber Co Inc INs Rc:
A O Box $37 INSURER P
N URER E:
Windham. NH 03087-0837 IN ERF:
COVERAGES CERTIFICATE NUMBER,13/15 mastar with 14/15 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,
MR,
R TYPE OF INSURANCE A ICY NUMB PDLICY EFF P LI EXP) IM fDDfYYYYI LIMITS
GENERAL UABIUTY
EACHocGURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY G O RENTED
P $ 100,000
.A CLAIMS-MAbE [i] occurr OCCUR SCO240114 9/23/2033 /23/2015 MED EXP j6pyone arson ✓B 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE 9. 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOPAGG $ 2,000,000
_X]POLICY PRO. El LOC $
AUTOMOR14E LIABILITY =SINGLE LNI 1.-00 0 000
A X ANY AUTOALL OBODILY INJURY(Per person) $
AUTOS JED AUTOSSCHEDULED BC0140219 9/x3/2013 9/23/2015 BODILY INJURY(Per accIQaM) $
HIREDAUTOS NON-OWNED PROPERTY DAMAGE
AUTOS
d n S
Uninsured motorial combined $ 1 000 000
X UMBRELLA LIAR X EACH OCCURRENCEAEXCESS LIAB AGGREGATEi $ 7,000,000
D X REJENTION S 10,000 240314 9/23/2014 9/23/2015 $
WORKERS COMPENSATION
AND EMPLOYERS,LIABILITYANY WC STATU- OTM.
OFFICFRWMEMBER�ExCLUDED7 ARTNEFJEXECUTIVE(�7 N/A E.L.EACH ACCIDENT $
(Mandatory In NH) (—J
It yes,docribe under E.L.DISEASE.EA EMPLOYE $
DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE.POLICY LIMIT $
-71 i
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES
(Anesll ACORD 101,additional Remanca Schedule,It more space is redulred)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cyr Lumber Ce., Inc, ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 837
Windham, NH 03087-0837 AUTHORIZZDREPRESENTATIVE
John Koegel/MGI
ACORD 25(2010/06) ®1868-2010 ACORD CORPORATION. All rights reserved.
INS025mnennt;lm 'rho Arnl*ri nam&enel Innn are►&nietorart m?roe of arnp l
The Commonwealth of Massachusetts -
- De,�aYt aent of Xndifstrigl.A.ecident�s
Of
lee of bivestigaflons
600 Washington.Street
Boston,MA.02111
www.mass gov/dia
Workers' Compexisationbsuxance A.ffi'idadt:)Builders/Contractoxs/FIectxias g d Legibly
Apn xeant Mormatiion
Name(Businesslorgmizationgn(Rviduat):_ L-, U Y-11 1
Address.----3 `� �� c
LJ /�F, Phone 0:
CifylState/Zip: ' n o '
Are you an employer?Check with
approbriate box: Tyne orp�roject(required):
4. [] I am a general confractor and I 6. []NOW construction
1.[j I am a employer with C__Y _
__ _ have hired the,sub-
employees(full.and/or pax time, 7. �Remodeling
Med on the attached sheet.
2,E] I am a sole proprietor Orparttier- These sub-conteactors have 8. Demolition
ship and7aave no employees workers'comp.insurance. 9, ❑Building addition
worldng for ma in.any capacity.
[No workers'comp.insurance 5, ❑We are a corporation and its officers have eir
10,D Electrical repairs or additions
exexcisedth
required.] 11.❑Plumbiugrepairs oradditions
3.LII am a homeowner doing all work right of exemption per MGL
0,152,§1(4),andwe haven 12.0 Roofrepairs
Myself.[No workers comp. employees.Ego workers'
insuraucerequired.] 13.❑Other
comp.insurance required.]
applicant that checks bx*l mustalsofilloutthesection.helc)wshovagtheir"rkers'compensation polioyMonnation
H meowners who submit thus affidavit indlcaiangthey go doing allworlcaud then 1*0 outside contractors must submit a n w affidavit
indicating such.
TContractors that eheekthis box must attached an additional sheet showing the name of the sub-contractors andtheir workers eo olio information.
f am an employer that is providing workeps'compensation insurance for any employees, Below is file poricy anal job site
information.
Insurance Company Name'
ExpirationDate:
Policy#or Self ins.Lic.#:
City/State/Zip:
Sob Site Address:
pensatioit-p olicy declaration.page(showing the policy number and exphation date).
Attach a copy of the workers'com
Failure to secure coverage as required undex Section 2 w of sMGL G.nal lead g°f the imposition TOP WORK ORDER.and a fine
fma up to$1,500.00 and(or one=year imprisonment, e well p
of-up to$250.OD a day against the violator. Be advised that a copy oftlus statement maybe foxwardedto the Ofl"tce•of
Investigations of the DIA for insurance eovexage verification. ^
rdo liereby cert uncleNtlie•pcahV ancipenaXtae.s ofperlCary tl2attlae anfbrmntaon pYoyacleal above zs trUe and correct
Date:
Si afore-
Official use only. Do not write in this area,to be completed by city or town official
City or Town: I'ermit/i;icense#
issuing Authority(circle one):
1.Board of Health2.Building Department S.CitylTown Clerk 4.)Electrical inspector 5.Plumbing)inspector
6.Other
phone#:
- Information. and Instructions.
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Putrsuaat to this statute,an employee is defined as"...everyperson in the service of another under any contract of-hire,-
express or implied,oral ox.written!'
An employe. is defined as"aa individual,partnership,association,corporation or other legal entity,or any two oxzn0
re
of elle foregoing engaged in a joint enterprise,and including the legal representatives ofa•deceased employer,or the
receiver or trustee of wn fndfvidual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwellinghouse of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes"
MOL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal,of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not praduced.acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any ofits politleal subdiv cions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presentedtathe contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the,boxes that apply to your situation and,i£
necessary,supply sub-conixactor(s)name(s),addresses)and phone number(s)along with their certificate(s)of
insurance. LimitedUability Companies(LLC)or LimitedLiabItyPartnerships(LLP)withno employees other than the
members or partners,are not required to cauy workers'compensation insurance. If an LLC or LLP does have
employees,apolicyis required- Be advised thatthis affidavitmay be mbmfttedto thoDepartment of Tudusarial
Accidents fox confirmation of insurance coverage. Also be sure to sign and date the affidavit: he affidavit should
be returned to the city or town that the application for thepemmft or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtak a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should entertheir
self-insurance license number on the appropriate line. `
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Departm enthas provided a space atthe bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sura to fill in the permiteensenumberwhichwillbewedasareferencenumber. In.addition,anapplicant
that must submit multiple permit/liceme,applications in any given year,need only submit one.affidavit indicating current
PORGY information(if necessary)and under"lob Site Addtess"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been offkcfally stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fature permits or licenses. Anew affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to au business or commercial venture
(i.e.a dog license orpermit to burn,leaves etc.)sald poison is NOT required to complete this affidavit.
The Office df Investigations would like to thank you in advance for your cooperation and shQuId you have any questions,
please do not hesitate to giva us a call.
The Department's address,telephone anal faxnumber.
Tho COMMOnv MIth Of MaRaCRV40tN
' &Q��a�ai7pg�ola. est
Boston,MA. 02111
tell, 617-7.2.7 4.900 ort 40,6 or 1-$77:51 AMAM
Revised 5-26-05 Fax#617-727-7749
I J y � � N
ITS
, � A
&BMr
39 Rockingham Road,Windham,NH 03087--Phone:(603)898-5000--Office Fax:(603)898-4154
• If any amount that you owe becomes overdue,interest will be added to the balance due at the rate of
two percent(2%)per month(twenty-four percent per annum)or the maximum rate allowed by the law,
whichever is less,of the outstanding balance.In the event that it becomes necessary for Cyr Lumber to
engage a professional,such as an attorney,to collect an overdue balance from you,you shall be
responsible for the payment of all expenses incurred by Cyr Lumber in connection with said collection,
including but not limited to cost and actual attorney's fees.
• Once you place your order and Cyr Lumber accepts your deposit,you cannot make any changes to your
order.THERE ARE NO RETURNS ON SPECIAL ORDER ITEMS.
• Cyr Lumber has made no express warranties with regard to the ordered goods other than as set forth in
this agreement.
• If the above prices,specifications and conditions are satisfactory to you,by signing the below you are
authorizing Cyr Lumber to order all of the above items immediately and to complete all work specified.
• Dumpster is provided on site for Cyr Lumber and its sub-contractor's use ONLY.
• A key lock-box will be provided for use by Cyr Lumber and employees at the beginning of your project
and is required to stay in use until the completion of the project.This will allow uninterrupted access to
the project site during the construction process.
• Any materials that may come in damaged or below quality standards will have to be reordered.Lead
times will vary by manufacturer.
• Cyr Lumber reserves the right to adjust dates for install due to unforeseen scheduling conflicts.
This Quote was provided by Jeff Zduniak, Cyr Lumber Company and is valid for 30 days.
PLEASE SIGN CONTRACT BELOW AND INITIAL ANY/ALL 3-D PICTURES TO VERIFY THAT THE
ITEMS BEING ORDERED ARE BASED UPON YOUR APPROVAL OF THE DESIGN.
C t mer/Owner Signature Dated:
12/9/2014
ilwa ,
EN
D fim Gwer
39 Rockingham Road,Windham,NH 03087--Phone:(603)898-5000--Office Fax:(603)898-4154
Installation: $10,650.00
Demo down to studs. Open floor to access and replumb traps.Replace tub,toilet
and pedestal sink.Secure hot water pipes in basement. Blueboard and plaster walls
and ceiling.Replace window. Insulate walls for sound and insulate ceiling. Install
beadboard wainscoting.Mount curtain rod and towel bars,etc.Replace door jamb,
hinges (nickel) and customer supplied knobs.Build melamine shelves in closet.
Install ceramic flooring with heat mat.Change wall switch configuration.Paint walls
and trim.Radiator,fan light and wall lights will stay.
Total: $14,087.28
I
I
When Contracting a Remodel:
Possible unforeseen circumstances such as concealed deficiencies or code violations often occur and
may prolong job completion. Such items are not included in this Contract. Upon discovery of additional
work to be required,Cyr Lumber will give the option to provide any services within our means. If you
choose to complete the"unexpected"work through Cyr Lumber Company,a Change Order Form will be
required to amend the existing contract. Additional work specified becomes part of and is to be performed
under the same conditions as the existing contract unless otherwise stipulated. Additional material cannot
be ordered until Change Order Form has been signed and returned to Cyr Lumber Co. If you choose not to
use Cyr Lumber Company to complete the"unforeseen"work,the remainder of the job will be rescheduled
to our next available time.
TERMS &CONDITIONS:
• Tax is not included;it will apply to any job delivered out of state.
• Prices do not include any product or services not specifically described or stated.
• A 50% deposit for materials is required at the time you place your order.The remaining balance and
50% of install labor is due in the form of cash or bank check at the time the cabinets are delivered.If you
wish to pay the balance due in some form other than cash or bank check,payment must be made seven
(7)days prior to the scheduled delivery date.After rough work is complete,25% of install labor is due,
with the remaining 25% due upon job completion.
12/9/2014
.� KITC,',RE N
B,
D'Vgo &xfer
39 Rockingham Road,Windham,NH 03087--Phone:(603)898-5000--Office Fax:(603)898-4154
Joanne Foran and Dave Diresta
10 Woodbridge Rd
North Andover, MA
978-681-1266
Bath Fixtures: $2390.38
K2345-8-0 Lav Top
K2267-0 Pedestal
K4387-0 Toilet Bowl
K4434-0 Toilet Tank
K4639-0 Seat
K310-4M-CP Faucet
KT3954-CP Trim
K304-KNA Valve
GER41818 20g Trip Lever
JAC62162CTPCH Angle
JAC251PCH P-Trap
71370110 Ensemble Tub Set
Window: $409.96
Andersen New Construction Window
Hardware: $26.94
Nickel Hinges
Flooring: $TBD
Ceramic Tile: TBD
Grout TBD
Heat Mat: $610.00
NuHeat 110v mat with solo digital thermostat and mat sense pro
12/9/2014
81"
4511 3311
1611-f---508'1 --J1 4 `1
0
0 (0
--
------ -------- M
0
J -------------------------i
CD
O
(CDLJ
1611---7(--18"
AIS
0)IN (0
Ilk
C_02
9F
A 34'--
36"
t 2
A 7" A
All dimensions-size designations 20 205FP This is an original design and must Designed: 3/12/2014
given are subject to verification on TECHNOLOGIES U/A
not be released or copied unless Printed: 11/25/2014
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed.
jrz-diresta bath All Drawing#: 1 No Scale.