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HomeMy WebLinkAboutBuilding Permit #300 - 101 HERRICK ROAD 5/12/2010 BUILDING PERMIT Olt No pT b�ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: C/ ° Date Received " I � �, .� ��SSACHUs�t� Date Issued: l IMPORTANT:Applicant must complete all items on this page LOCATION IIf 'I Ry ,/�17 If f Print PROPERTY OWNER ' 'NE FC , n-a � , �} Print MAP 210 L--d PARCEL: C ZONING DISTRICT: Historic District yes Machine Shop Village yes (not TYPEF O IMPROVEMENT PROPOSED USE l Residential Non- Residential New Building /--,�One family Addition Two or more family. Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: 4�—egok-& c ?jiv6,( A— Phone: I Address: /®1 l \ D CONTRACTOR Name: Phone: d - Address:_ . 6 Supervisor's Construction License: `� j Ll I Exp. Date: Home Improvement License: .5` Exp. Date: L5 )I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I Total Project Cost: $ j�, � - FEE: $ Check No.: ! Receipt No.: NOTE: Persons contracting with u egistered contractors do not have access tot ranty Snt/O ignature of Agewn r Signature of contracto i _ i �. 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. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature /.COMMENTS 9y 4 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) ❑ Notified for pickup - Date .............._........................................_.............................................................._.._..._..__......................._.__..._.........................._..................................._................................._.........................................__._........................._._.._..............................._....................................._.._......................................_............... Doc.Building Permit Revised 2010 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 E3 Building Permit Application Ei -Certified Surveyed Plot Plan o Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o' Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 a s (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy P P 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 2008 Locatior& ' ILA— No. 7d O Date r� MORT1y TOWN OF NORTH ANDOVER 3? a OG f � 9 Certificate of Occupancy $ roeT.ta Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check !/!1 � :Y E t 231 116 t Building Inspector Massachusetts Home Improvement Sample Contract 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. Seel[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 Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8797 or 1=888-283-3757. Homeowner Information Contractor Information Nameompany ante ��n C �5�► GtyS UIQ l�► I"o�cEi'k�.t�l,� Ca j Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name l 01 H��r i(-(c 2 oc c� ��rcn k �� �t d d D City/Town State Zip Code 3usiness Address(must include a street address) Daytime Phone Evening Phone ,ityffown State Zip Code se 0s Mailing Address(It different from above) 3usiness Phone - UV ZI qederal Employer ID or S.S.Number Law requires out most home hit- Home Improvement Contractor Reg.Number Expiration dare pmvrment contractors have a .I / and registrativo aumF�er ` I The Contractor agrees to do the following work for the Homeo nee: /52Z 93 9-15—Z010 e o p e e,Brand,ana gf iffe—b n n e eu.use Into luonal snee t ace � �1Ti P �X�S-h�r-Lq �jF I �✓�S�-�"-1,�'t v� ��-si`.�t,�.o�-�-e-r s h ��.l �.e,-vW-�d -e.� , V�-�(�s c� rl Maj-9- c h r'f�C+b---p -42, (Q /✓2�.tf- Required.Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the contractor's control atise (owners who secure their own permits will be excluded from the Guaranty Fund provisions of ���Z_/ Date when contractor will begin contracted work. MGL chapter 142A.) 5-3 u_'0Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: $35CO, upon signing contract(not to exceed 113 of the total contract price or the cost of special order items,whichever is greater) S 2500, b /�/ / or upon completion of Siry' by /�/�_or upon completion of S Gwy D�upon completion of the contract (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ _to be paid for ordered before the contracted work begins in order $ _ to be paid for to meet the completion schedule.(**) NOTES:(*)Including an finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special orderedin advance to meet the completion schedule. Express Warranty-Is an express warranty being Provided by the contractor? No Yes (all terms of the warranty must be attached to the contract) Subcontractors-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 aereement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise rioted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review cite following cautions and notices carefully before signing this contract • Don't be pressured into signing die 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 hnprovcment Contractor Registration. You may inquire about contractor registration by:writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or 1-800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • 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 otlier 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 orb y delivery,not later than midnight of cite third business day f lowing.the signing of[Iris agreement See the attached notice of cancellation form for an explanation of this right NOT SIGN THIS CONTRACT IF THERE ARE ;NLANK S ACES!!! Tw es of the contract must be completed and signed. One copy should go tot rrteown . Tenth o be kept by the contractor. i Homeowner's gnature C [tractors tgnature Da Date / I I 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 wiTia 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 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 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 stiction 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 regal 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 dupjicate 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 recission 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,or1f you wish to obtain a free copy,of "A Consumer Guide to the Home Improvement Contractor Law,"contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston, NLA 02116 (617)973-8787'or 1-(888)2833757 a 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 Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 ort-800-223-0933 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)652-4800 (508)755-2548 (413)734-3114 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations tT ... �.� :.i ` 600 JVasltingtott Street Boston,AIIA 02111 ipipminass.govIdta Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Car)( CY T Address: (yam Strom City/State/Zip: (� Phone#: � Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 1 _ 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors G. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g_ [] Demolition working for me in any capacity. employees and have workers' insurance 9. E] Building addition comp.[No workers' comp. insurance p• required.] 5. [] We are a corporation and its 10.[:1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself ' right of exemption MGL y �o workerscomp. mpon per 12.E] Roof repairs insurance required.]t c. 1.52,§1(4),and we have no 13.❑ Other ,�/E employees. [No workers' e comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ani an eiiiployci•that is provirlitig workers'conipeusation iiistirance for»iy employe.,es. Below is thepoliey and job site information. Insurance Company Name: j o5 U(ar --- Policy#or Self-ins.Lie.M UJ C i —3) S `-J UI 12,? ' b) aI Expiration Date: 5 -,3U/0 Job Site Addressl),/ Aero L� rz8I AJ- /"OVEN 1711� 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury drat the information provided above is true and correct. Signature: Date: 2/ C) bc) Phone#: I Oy7' /3 Z/ 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): 1. Board of.Heulth 2.Building Department 3.City/Town Cleric 4.EIectrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,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 dwelling house 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 employer." MGL 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 produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,y25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfonnance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit.should be returned to the city or town that the application for the permit 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 obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the 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 sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.# 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia &C6fl® CERTIFICATE OF LIABILITY INSURANCE OP ID JR DATE(MM/DDNYYY) CANDI-1 05/07/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Talbot Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 221 Chelmsford Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chelmsford MA 01824 Phone: 978-256-3367 Fax:978-256-8215 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Liberty Mutual Insurance INSURER B: Candido's Home Improvement Frank J. Candido INSURER C: 34 W. 6th Street INSURER D: Lowell MA 01852 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Mb AUV� POL Y EFFECTIVE POLIO EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD/MY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ UAMAM"jCOMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE �OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER A ANY OFFICEOPRIETEREXRTNER/?ECUTIVy--T WC1-31S-367128-019 05/30/09 05/30/10 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NHI LJ — E.L.DISEASE-EA EMPLOYEEI 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 5 0 0,0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance for work performed by Candido's Home Improvement. The Workers Compensation policy does not provide coverage for Frank Candido. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ANDOELE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL TOWN OF ANDOVER IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR BUILDING DEPARTMENT BARTLREPRESENTATIVES. ANDOVER MA 01810 ETT STREET AUTHORIZED REPRESENTATIVE ANDOVER ACORD 25(2009/01) 904069 A-CORD-CORP-MATION. AYricjhts reserved. The ACORD name and logo are registered marks of ACORD 4/9/2010 .11-:53-AM-FROM: Risman Byette Insurance Agency, Inc TO: +1 (978) 452-6073 PAGE: 002 OF 003 ACOR - CERTIFICATE OF LIABILITY INSURANCE o4/0/20 0 PRODUCER (978)851-6678 FAX (978)851-0106 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Byette Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 853 Main St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tewksbury, MA 01876 Shawna Lamarche INSURERS AFFORDING COVERAGE NAIC# INSURED Frank Candido INSURER A: Penn America DBA: Candido Cleaning Snowplowing & Roofing INSURER B: 34 West 6th Street INSURER C: Lowel 1 , MA 01850 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR INSR DATE IMMtDDffY) DATE 1 LIMITS GENERAL LIABILITY PAC6849403 10/03/2009 10/03/2010 EACH OCCURRENCE $ S00,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1-0-0-1000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ S00,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ S00,000 POLICY F7 PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMITS Ea__ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes•describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Lowell BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 375 Merrimack Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Lowel 1 , MA AUTHORIZED REPRESENTATIVE , Shawna Lamarche SHAWNA ACORD 25(2001/08) FAX: (978)452-6073 ©ACORD CORPORATION 1988 . Board(1fBuild ! HOME rMPROug Reguraho and Sd Re >" VEryrENT CpN ndards gisr�arhon: TRACTOR . Ecplratio 152283 8/15/2010 CA!gj)0'Ibo,S Type:.DBA Tr# 272693 FR,yNK CAN oM�W ppovEM rvr 34 W 6TH ST. O " ©1850 Adu _ � rr A r a r I I -.. ►!:I>:;ichusctt., -.I)epilrllimit of Pu!"lic tia!'ct� lei+;ii'd ui Btuldut; Rc,,aiatii:uS �:.L,.,,.;, � cl�-tructiora `>uperd: License: CS SL 99141 Restricted to: RF,WS r . FRANK CANDIDO 34 W 6TH STREET LOWELL, MA 01850 Expiration: 4/6/2012 Commissioner Tr#: 99141 . CANDIDO) S CONTRACTOR'S PROPOSAL OR INVOICE HOME WE TAKE PRIDE IN OUR WORK IMPROVEMENT Specializing in: Asphalt Shingle Roofs-Vinyl Siding-Windows-Gutters WORK PERFORMED AT: FREE ESTIMATES 978-804-1521 TO: , � . n 101 H eY r i c.k, DATEYOUR WORK ORDER NO. OUR BID NO. L010 DESCRIPTION OF WORK PERFORMED �-t r c h .Q- gL C llt1 i r'1 ' yoj� 1 cm rZ Wf All Material is guaranteed t be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above w and was completed in a substantial workmanlike manner for the agreed sum. TOTAL:$ /0' " 5w s U O DEPOSIT.$ BALANCE DUE:$ Customer Sig at rC,6ntractor Signature Date V40RTH F 0"� 0 : 4 over No. a _ .�-W/z - o =- A E dover, Mass., COCL IiEWICK �� ADRATE D �y. S BOARD OF HEALTH PERM11T . .T D Food/Kitchen Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT4 �.rr....... . Foundation has permission to erect......... buildings on ..��� r' .�r..�.. Rougt, ........... ..... ............ ... . ..... to be occupied as Chimney �....... l ... �K.�..`jr..... .... Ch' nay provided that the person accepting this permit shall in every .aspect conform to the terms of the ap kation on file in Final 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 PERT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR ST QSSRough ..... Service BUILD ECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the, Premises - Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE. SIDE Smoke Det..; V4ORTH T0 of' �._ Andover . 0 . No. LA dower, Mass., E _ COC MIC ME WICK %q ARRA TE `S E BOARD OF HEALTH PE R M, IT . .-T D Food/Kitchen Septic System Von- DIN INSPECTOR THIS CERTIFIES THATti BUILDING ..............44r.. i/%.........::.:..:... .. .r r.. ....................................... ............. F • oun atiton buildin s on .-lam �has permission to erectg ............bor....... !.. ................................ Rough to be occupied as............. ...... ....... e ..�.'.'.�.............. � .�..�j.....�ii"� �1�iiion ��� Chimney provided that the person accepting this permit shall in every respect conform to the terms n file in Final 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 CONSTRU IS TIS Rough ...................... Service . .. . . ............ ............ ....... BUILD ECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the, Premises = to Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE. SIDE Smoke Det.. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, July 28, 2009 3:10 PM To: Sawyer, Susan; Brown, Gerald Subject: FW: 101 Herrick Road, North Andover, MA Hi, In the event any letters need to be sent re: condition of this property, below are the proper addresses to send them to. Gerry, Susan was going to do a drive by to see if any further action is necessary. Please let her know if Brian made any determination. Thank you. Pam From: Barbara Shafii [mailto:BShafii@Newdayyes.com] Sent: Tuesday,July 28, 2009 3:02 PM To: DelleChiaie, Pamela Cc: Paul Alger Subject: 101 Herrick Road, North Andover, MA Your email to New Day Financial, LLC concerning the above referenced property has been forwarded to my attention for handling. Our records reflect that we originated a first and second lien mortgage loan in april of 2007. Both loans were sold in 2007 to the following: ➢ First Lien was sold to HSBC Mortgage Corporation, P.O. Box 4552, Buffalo, New York 14240-8851. Phone is 800 338 4626 ➢ Second Lien was sold to GMAC Mortgage LLC 6716 Grade Lane Building 9 Suite 910 Louisville KY � 9 40213. Phone 800 766 4622 I ' Tracking: 1 RECENED TOWN OF NORTH ANDOVER , Of tttic° JUL 20 9 F� Oar. _� •6 O`er Building Department * ,� 1600 Osgood Street BUILDING DEPT. Building 2- Suite 2-36 Building Dept �qs"•*�°��� North Andover MA 01845 SwcHusE Tel: (97-8),688.-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: 7- z a • 5' TEL#: NAW..OF COMPLA%W N. CRANE JR. ADDRESS: 25 EDMANDS ROAD NO. ANDOVER, MA 01845 COMPLAINT TYPE: Electrical: Plumbing: Gas: .Building: Property Owner: ? 6 \ Address: ��� CCIRW Mev Os �'Dr , I Other:/ 2z.0t__&74 At coq Signed: Compl nt orm-Revised 6.2007 TOWN OF NORTH ANDOVER RECEIVED -JUL ; 6 2009 Building DepartmentIL * ,� 1600 Osgood Street BUILDING DEPT. ° Building 2- Suite 2-36 Building Dept ySS•T.°� North Andover MA 01845 gcNuse Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: 2-0 - Q TEL #: o-- NAME OF COMPLMI T: CRANE N. JR. ADDRESS: 25 EDMANDS ROAD NO. ANDOVER, MA 01845 COMPLAINT TYPE: Electrical: Plumbing: Gas: Building: Property Owner: 7 b Address: ��� �,q CC oRw�2 41� vos Other:' '4g:' w -1) szr5e Signed: 1 Compl nt onn-Revised 6.2007 AJ LA N h�� h 41( .� b S . E ' ° f. t. Date/.1.. /..... N- f NORTI{1 a?;.t;�``°.;•.•. TOWN OF NORTH ANDOVER p PERMIT FOR WIRING • �' 3S^C14US� This certifies that ................................'...'.:....................................................... has permission to perform ......................................................... wiring in the building of.....:... . .......... ' at.;,.'.. ......•..................................r � / North Andover Mass. Fee : ...f Lic.No,/� .`L...........-f-.r.......... ..':..f.....'.......... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer =COWONWE4LTHOFM&"aRs 17S' Office Use only DEPAR73F.NTOFPUBLICS4FM Permit No. BOARD 0FMEPREVEW0NRWNAT10AN527CUR12:00 5 1 Occupancy&Fees Checked �. APPLICATION FOR PDV Vff TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 �- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat a LS UI Town of North Andover To the Inspector of Wires: i The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) fl /-Je r r i G A- IZGt Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes© No (Check Appropriate Box) Purpose of Building Iter 14p,�-c_ Utility Authorization No. Existing Service o 0 AmpsILPI YIOVolts Overhead Q- Underground No.of Meters New Service Amps Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' Cir(/C5 X cz�Iy No.of Lighting Outlets / No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground El ground No.of Receptacle Outlets No.of 0il Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Q Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER IrmraroeCaaage R�amtbtheragterertaits�GaraalLaws P IhaveaamatLia*lMu=Pd yit idTCMVI* CMBWCritS WiVilat YES �' NO Ihmesubm�validptod0=ne1othe0ffiX YES ✓� NO Ifjouha%edwdWYES,pleaseitdc*lheWofiwva'agebydxckingthe bcv- �--+ I, �1 INSURANU ® BOND Q OTIiEx 0 ft= )�(1�1�( X,,,, 1 A t. /14 Expoatim Dale Est&dVah otEkdrical Wait$ WC&IDStatt is 1Lr Inspedror n&Regtre W Ito# AFara) Signed uri iM of FIRM NAME / LiartseNa Lica= Lioa>seNo L A UjwOCle-l! sigira"He A 362— r9o/ Adams �''! AIkTdNa �__,�C__. , !�A/ � orl ,_/V P . . _ OWNER'SD,SLR WANER,IammmthsttheLimwdaesnot teWmdbyMssadas&C*nadLaws and iat my sigt�on$ris pan*erplicmn waii%fhis ragtmunat (Please check one) Owner Agent a Telephone No. PERMIT FEE Location /Lq/ 1 I"PIC is /C-V No. Date �aRT� TOWN OF NORTH ANDOVER 3?o'"•o I•,M�0 ` Certificate of Occupancy $ 'Ss►cNust� Building/Frame Permit Fee $ Foundation Permit Fee $ ' Other Permit Fee $ TOTAL $ Check # t 5 �+ 5 1 Building Inspector M s I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING RM BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: A A Building CommissionerAnspector of Buildings Date SECTION 1-SITE INFORMATION `1.1 Property/Address: —/ 1.2 Assessors Map and Parcel Number: �C7 L,2r,u — �_o Map Number Parcel Number L 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Pr used Use Lot Area Frontage ft i-6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide R red Provided 'red Provided. 7.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone information: 1.8 Sewerage Disposal System: Pubes ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 •+.da On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSE IP/AUTHORIZED AGENT M 2rv)�.Ow. a (Pnntj i �' Address for Service Signature Telephone A 2.2 Owner of'Record: —r— c1 _ Name Print Address for Service: Zi nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construcfroti Supervisor: ® 77,13 //G7,,K License Number Address ` GU/l/3/� � c 0/6/1 �6 Expira on Da na re Telephone a� 3.2 Registered Home Improvement Contractor Not Applicable ❑ .00 .,ompany Name Registration Number Expel atio ate i nature __ Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Descri tion of Proposed Work check alta licable New Construction ❑ Existing Building 01*' Repair(s) 0 Alterations(s) Addition I, Accessory Bldg. '❑ Demolition Other 0 Specify Brief Description of Proposed Work: 4 D eJ'�nl� /tea/ Nd u/R�/ l`�o l�"/ �'bo✓C ��dl /�a��°�i�/- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be -4111,11i"101 111'11111"-'A' Y . �'Ag ' Co leted b rmit aPIL licant '4'S5. ti 1. Building q (a) Building Permit Fee C Multiplier 2 Electrical �/ (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical AC 5 Fire Protection ((-J 6 Total.( ��J, Check Number SECTION 7a OWNER AUTHO TION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �����/`� �. l � '� ,as Owner/Authorized Agent of subject property Hereby authorize �VL.A) I /-6. ,�¢ t4- to act on My , ' all qua!:=work authorized by this building permit application. f6 /r A� ` Signature of Owner Date SECTION 7b OWNER/AU ED AGENT DECLARATION I, /' ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true.and accurate,to the best of my knowledge and belief Print Z��jez a e of Owner/A ent Date NO. OF STORIES / SIZE /�l BASEMENT OR SLAB SIZE OF FLOOR TIMBERS ,2,� 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIWNSIONS OF GIRDERS RD HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING ,2 X ��C MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE e FORM U .- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments p nts having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT -Xrelleti PHONECY �Y1����G LOCATION: Assessor's Map Number _ PARCEL_ SUBDIVISION LOT(S). STREET-4/`' ?X ST. NUMBER Al/ *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROV91) DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm i North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM i In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be j disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector of The Commonwealth of Massachusetts ,u Department of Industrial Accidents Office of Investigations Boston, Mass. 02919 Workers'Compensation Insurance Affidavit Please Print Name: ��t'/N G/O 'eel- t Location: C� �✓ Ci F-1 am a homeowner 11eirforming all work myself. am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policv# Company name Address ` Ci G���/c°a r' /�GT Phone#: /J�klr Insurance Co. /21efr°/%' /Iu zr o Policy# 1,4/rj�7/�®<5���� Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do herby certify under t pain enatti that the information provided above is true and correct. Signature Date 0 C i� �a Phone �� -e Print name /� �G'(�' 9 �_ Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION • t ,`� :��n, �n�nar�anrra�lf� �/. 7%naarr�lriJeffA i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR �iNumber: CS 077433 Birthdate: 09/05/1960 l Expires: 09/05/2003 Tr.no: 77433 Restr-icted To: 00 KEVIN P CROTEAU 7 GRANT RD """ % LAWRENCE, MA 01843 Administrator i ✓�r, Coan�mra�rur+r�f�. n, •�'�naar�r%fe/fd =-= Board of Building Regulations and Slanders License or registration valid for individul use oitly HOME IMPROVEMENT CONTRACTOP before the expiration date. If found return to: Registration: 124613 „' i Board of Building Regulations and Standards Expiration: 07/25/2003 One Ashburton Place Rm 1301 Type: Individual }i1 Boston,Ma.02108 Kevin P.Croteau RI Kevin Croteau 7 Grant Road Lawrence,MA 01843 ---' - = ----- -- -- _ - --- „.•,, ,. Administrau -. Not valid without signature SKETCH ESTIMATE Proposed Layout for: NAME ADDRESS>O/ / J PHONE NO. ESTIMATOR DATE cale 1/4" = 1 2 3 4 5 6 7 8 9 10 11 12 13AW 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 3 4 5 E � � 6 8 i -HL9 10 12 13 14 15bdlt�fl 16 I 17 18 I I i I 19 20 � . I oe 21 ' o 25i I I I "a Notes Materials Labor Tax Total DC8511 edarm MADE IN USA K ' 1 OWNER/ CONTRACTOR AGREEMENT l3 THIS AGREEMENT made the Wth_day of September__, 2001 by and between KEVIN_.P CROTEAU WC CONSTRUCTION) ,hereinafter called the Contractor and STEVE&GAIL TIERNEY , hereinafter called the Owner. Witnesseth,that the Contractor and the Owner for the considerations named agree as followes: Article 1. Scope of the work The Contractor shall furnish all of the materials annd perform all of the work shown on the Drawings and/or described in the Specifications entilted Exhibit A,as annexed hereto as it pertains to work to be performed on property at 101 HERRICK RD. NORTH ANDOVER.MASSACHUSETTS.01845 . Article 2.Time of Completion The work to be performed under this Contract shall be commenced on or before OCTOBER 15.2001 and shall be completed on or before NOVEMBER 30,20001. Time is of the essence, The following constitutes substantial completion of work pursuant to this proposal and contract: (1) Apply for and obtain building permit. (2) Take down existing porch leaving roof. (3) Check and/or redig footings to code. (4) Reframe with lumber up to or above Building Code. (5) Install new windows and door. (6) Install new electrical outlets and electric baseboard heating. (7) Insulate floor,walls&ceiling. (8) Sheetrock walls&ceiling. (9) Finish work on inteior&exteior with approitate material. i Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of Nine Thousand Four Hundred Dollars($9,400.00),subject to additions and deductions pursuant to authorized change orderes. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: Four thousand dollars upon start of job. One thousand five hundred every(2)two weeks. Article 5. General Provisions Any alteration or deviation fron the above specifications,including but not limited to any such alteration or deviation involving additional material and/or labor costs,will be executed only upon written order for same, signed by Owner and Contractor, and if there is any change for such alteration or deviation,the additional charge will be added to the contract price of the contract. I If payment is not made when due,Contractor may suspend work on the job until such time as all payments due have been made. A failure to make payment for a period in excess of 30 days from the due date of the payment shall be deemed a material breach of this contract. In addition,the following general provisions apply: 1. All work shall be completed in a workman-like mannerand in compliance with all building codes and other applicable laws. 2. The Contractor shall furnish a plan and scale drawing showing the shape, size dimensions,and construction and equipment specifications for home improvements,a description of the work to be done and description of the materials to be used and theequipment to be used or installed, and the agreed consideration for the work. 3. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 4. Contractor may at its descretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the completion of this Contract. 5. All change orders shall be in writing and signed both by Owner and Contractor,and shall be incorporated in,and become a pat of the contract. 6. Contractor agrees to remove all debris and leave the premises in broom clean condition. 7. In the event Owner shall fail to pay any periodic or installment payment due hereunder,Contractor may cease work without breach pending payment or resolution of any dispute. r shall a resolved b binding arbitration in accordance with rules of the 8. All disputes hereunde s a b y g American Arbitration Association. 9. Contractor shall not be liablefor ay delay due to circumstances beyondits control including strikes,casualty or general unavailability of materials. 10. Contractor warrants all work for a period of 12 months following completion. Article 6. Indemnification Tothe fullest extent permitted by law,the Contractor shall indemnify, defend and hold harmless Steve&Gail Tierney and its agents and employees,from and agenst claims, damages,losses and expenses, including but not limited to attorney's fees,arising out of or resulting from performance of the work or providing of materials to the extent caused in whole or in part by negligent or wrongful acts or omission of,or a breachh of this agreement by the contractor,a subcontractor,anyone directly or indirectly employed by them or anyone whose acts they are legally responsible.. Article 7.Insurance The Contractor represents that it has purchased and agrees that it will keep in force for the duration of the performance of the work or for such longer term as may be required by this agreement, in a company or companies lawfully authorized to do business in the State of Massachusetts, such insurance as will protect Kevin P.Croteau (KPC Construction) and the owner of the site, if the site is not owned by Steve &Gail Tierney, from claims for loss i project,or injury which might arise out of or result from the Contractor's operations this s p o�ect wether such operations be by the Contractor or by a subcontractor or its subcontractors. The Contractor represents and agrees that said insurance is writtenfor and shall be maintained in the amount not less than the limits of the liability specified or required by law,whichever coverage is greater. The Contractor cerities thhat coverage written on a"claims made"form will be maintained without interuption from the commencement of work until the expiration of all appficaable statutes of limitation. Article 8.Additional terms Signed this ,j day of Sentember,2001 nJ Name of er Name of Own By: � BX Signatu�'e Signature Name of Contractor By: ature 7 Grant Rd. Lawrence,Ma.01843 (978)683-6707 Ma.License No. CS 077433 Act. . CB...... :Q LIABILITY N: U RANG P{R JY DATE(MM/DD/YY) ...... ...xPeco.l..... 10/01/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Insurance Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 198 Massachusetts Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845-4190 COMPANIES AFFORDING COVERAGE Landmark Insurance Agency, Inc COMPANY Phone No. 978-688-8829 Fax No. 978-975-3987 A Preferred Mutual Insurance Co. INSURED COMPANY B KPC Construction COMPANY Kevin P. Croteau DBA C 7 Grant Road COMPANY Lawrence MA 01843 D vE. ... CO RAGE :: S 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 REQUfREMENT,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. CO TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 A COMMERCIAL GENERAL LIABILITY CPP0120546885 07/01/01 07/01/02 PRODUCTS-COMP/OPAGG $ 2000000 CLAIMS MADE 1-1 OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 X BOP FIRE DAMAGE(Any one fire) $ 50000 MED EXP(Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: HEACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU- OTH- , EMPLOYERS'LIABILITY TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPE RATION S/LOCATIONSNEHIC LES/SPECIAL ITEMS CE�71> ICATE:NOLD>=R: .. .................................................................CANC.�LLATION.. TIERNEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILLAE AVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLAMED TO THE LEFT, Steve and GRo1 Tierney BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OB ON OR LIABILITY 101' Herick Road North Andover MA 01845 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPREIVES. AUTHORIZED REPRESENTATIVE Landmark Insurance Agency, I (00R..:.0 ... A RP RA J ;ORTTIy LED o o over 0 -civ U COCHIC LA � . dover, Mass., / 0RATEJ.,v �C2 S H � BOARD OF HEALTH Food/Kitchen PERMIT ' T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ....... ........................... (p �L..........................................................................ti.�...!'...................... Foundation has permission to e+�.. 'e.��!�'S ' buildings on ... �.�� 'er' l Rough to be occupied as `S CojC[os C Gp edm � Q 1•J �C �/`C Chimney p' �'.9!.......................... .... .......................................... ........................... provided that the person accepting this permit shall in every respect,conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating Inspection, Alteration and Construction of Buildings in the Town of North Andover. 02 n );the 0 �-8, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Fina' UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............/P.C000t-.Pr000i ..0 ...... ......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. w MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING - � (Print or Type) - ' --- NORTH ANDOVER ___ , Mass. Date ! /27/ 19 92 Permit # C­v�II BuildingLocation 101 Herrick Road Tierney l� Owner's Name y — Type of Occupancy RES EN AL New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No cn cc N W to Y z Q V) N N U rn cc cco D N y W WN W O U m ~ x 0 d Z p W t- Q ¢ Z M O T, w Q Cr o M N t- W W o a. C es )- N d cc W 'Q x Z t- rn Q 0 cc W Z N W Q O W W W V) J Q = M OC d cc W W = V) Z 4 W , 4 L Fr' ( Y N m z O z W O0 W a W > Cr W � z. Q ¢ q a N x ¢ x o d z u. S o d cZ) y o m o SUB—BSMT. BASEMENT 1 IST FLOOR 2ND FLOOR 3R0 FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH f LoOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # /Address 55 MARSTON STREET � Corporation 64C _. LAWRENCE, MA 01840 ❑ Partnership Pusiness Telephone_ 508-687-1105 ❑ Firm/Co. aflame of Licensed Plumber or Gas Fitter I INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 14 Yes 11 No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy ® Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required t: Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owners Agent Owner❑ Agent El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the XV. 714 By 7-H T e of License:Plumber Signature of Licensed Plumber or Gas Fitter Tit!e Gasfitter Master LicenseNumber _ M-429 City/Tow - Journeyman /U'P(tOV . U`- n YI BELOW FOR OFFICE USE ONLY -:71-NAL 1NSPEC'ION 3 K E-7C(4,ES ?ROGAESS 1NSP_C� cE 140. APPLICATION FOR PERMIT TO DO GASFITTING NAME TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE �9 Date. . AORTH TOWN OF NORTH ANDOVER 1e��e tt Fo 6'6 0 PERMIT FOR GAS INSTALLATION O A � O9 �..�.e •. ,0n# SSACHUSE� This certifies that . . . �,af ''•Fr' !w• . ' . . . . . . . has permission for gas instal ation( (",.,,,,-,1;;/.r.,;i,:s , , ;;, in the buildings of7.rT rj at . . 1.0� , .;: � . . . . .. North Andover, Mass. Fee. /:). .-:7. Lic. Nol2l., . . . . . . . . . . . . . . . . . . . . . . . . . . . f�7 GAS INSPECTOR WHITE:Applicant - CAWBuilding Building Dept. PINK:Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date a4 V building Location 16f e A-1C p ed Permit # Owners Name i e 2 4/ Y _ New Renovation Replacement Plans Submitted D d y FIY.TUP_1 W w to z rn ¢ m a oCC ua m o v m f- z (0 d III to W a M O O � O z to a w d w w F N a cC W 4 N � rn a v w to ' a Q o c �' W LU w W W Z a = a cc a a W w t- z c� tr t- z ►= z t.. r >. to a z o ~ w o (1) = a w e a m '" c ,u > a w d a a o o w a w t- O t: _ u_ n O ra U Q y Q a t— O BASEMEMT 1ST FLOOR 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TT1t FLOOR RTH FLOOR (Print or Type) Check one: Certificate Installing Company Name /it��� ,}�� 0 Corp. Address Partner. Firm/Co. Business Telephone: Gd�'d-d'1.3 Name of Licensed Plumber or Gas Fitter'' Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond Insurance 'Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 0 Agent 1 hereby certify that all of the detsils and information I have submitted (or entered)in above application are true and accurate to the best of my knowledge and that sll plumbing work and lnstattlations performed under Permit izu:ed for this application will be in compliance with all p=tlnent proyuions of dho Massachusetts State Gas(rude and tlmaptes 142 of tho General Laws. By T LICENSE: x umber � Title Gasfitter Signature of Licensed t�. r Plumber or Gasfitter City/Town: 'Our, SJR a APPROVED (OFFICE USE ONLY] License Number �, Date.. i _ 81 r: aT to NORTH TOWN OF NORTH ANDOVER pF ,a 1ti0 �? y •e Op PERMIT FOR GAS INSTALLATION SSAC USE / t t r. This certifies that . . __ I. . . . . . . . . . . . . - has permission for gas installation . ... . . . . . . . . . . . ... . . . . . . . . ... . . in the buildings of . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .! . . .. ... . . . . !r � . . . �: +�.`.: . ., North Andover, Mass. Fee." . . .-n . . Lic. . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File