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HomeMy WebLinkAboutBuilding Permit #787-14 - 104 CASTLEMERE PLACE 5/5/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION.., (, Permit NO: v C Date Received J Date Issued: I PORTANT:Applicant must complete all items on this page LOCATION 104- _ - _ - Print PROPERTYOWNER_ _ �"7 Print ` 100 Year Old Structure yesAno MAP NO:G ff PARCEL ZONING DISTRICT: Historic District yesMachine Sho Villa a es P g Y._ .TYPE OF IMPROVEMENT. PROPOSED SE Resideal Non- Residential ❑ New Building u-6ne family ❑Addition ❑ Two or more family ❑ Industrial ❑AIJ@<ation No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Ty a or Print Clearly) OWNER: Name: i—,2 Phone: Address: CONTRACTOR Name: .�8 � (� Cgv�hnc � ne: -:J Address: p _ _ ? Supervisor's Construction License: Exp. Date: Home Improvement License: , Exp. Date: H __1 N ARCHITECT/ENGINEER Phone: Address: Reg. No. Y FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ rZ 3 , cS C, C'2 FEE: $ Check No. Receipt No.: ��S^ NOTE: Persons contracting unregistered istered contractors do not have access to aranty fund g Signarof Age O ner" Sidnatturetof contractor' Plans Submitted LJ Plans Waived 0 Certified Plot Plan ❑ Sta a tans ❑ 4 Location V Tom. No. ` (c Date y • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $6 Foundation Permit Fee $ . Other Permit Fee TOTAL $ Check# w r Building,lnspeetor - Plans Submitted ❑ -.Plans-Waived-[] ..;'.:Certified Plot Plan ❑ Stamped Plans ❑ -TI'PE_OF_SEWERAGE-DISP-O.SAL"- Public Sewer ❑ Tanning/Massage/Body Art ❑. . _ Swimming Pools ❑ Well ❑ Tobacco.Sales . .Food Packaging/Sales ❑ -Private-(-septic tank,etc - Permanent Dempster on-Site - <THE_.FOLLOWING SECTIONS FOR-OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF'- U FORM - _q....'DATE REJECTED: DATE:APPR-OVED PLANNING & DEVELOPMENT, ❑ ❑ COMMENTS CONSERVATIO N Reviewed on . Signature COMMENTS HEALTH Reviewed on Signature . COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: :Comments ` Water & Sewer Con nection/S_ignature& Date Driveway Permit DPW ToNv2 Engineer: Signature: Located 384 Osgood Street FIRE DEPARTmeN'T Temp bum on site :yes no Lbcated7bt-124.Mair Street.- Fire Depar`tme►it signature/date " 4P k 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 NOTE4,6nd DATA— (For department use (D t � ® Notified for pickup - Date S [ FEp Doc.Building Permit Revised 2010 Building Department ,The folt` wing is a-list of:the required.forms to be filled out for:the appropriate.permit to.b.e obtained. Roofivg, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit ,❑ Photo Copy Of H.I.C. And7Or"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 a Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o 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 Li Mass check Energy Compliance Report Li 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 aper?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.BuiHing Permit Revised 2012 . From:Nicole Boudreau FaxID:Santo Insruance Page 2 of 4 Date:5/5/2014 11:31 AM Page:2 of 4 EDMUN-1 OP ID: NB TE ACORO" CERTIFICATE OF LIABILITY INSURANCE 705/05/2014 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: James A Santo Planright Insurance-Salem PHONE 603-890 6439 603-890-6521 224 Main Street Suite 3C Alc No Ext: AIC No Salem,NH 03079 E-MAIL amie santoinsurance.com James A Santo ADDRESS:j INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:St Paul Surplus Lines Ins Co INSURED Edmunds General INSURERB:Liberty Mutual Insurance Co Contracting, LLC PO Box 2214 INSURERC:Essex Insurance Company Salem, NH 03079 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fk]OCCUR WS197699 11/11/2013 11/11/2014 DAMAGET E ENTED__ce $ 50,000 PREMMED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT F—]LOCPRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNEDSCHEDULED BODILY INJURY Peraccidenf AUTOS AUTOS ( ) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accidenf $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C ExcessLlAe CLAIMS-MADE CUBW4880813 12/02/2013 12/02/2014 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PERTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER B OFFICER/MEMBER IEXCLUD IE ECUTIVE NIA WC5-31S-602821-014 04/03/2014 04/03/2015 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) 3A: NH E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AC ORD 101,Additional Remarks Schedule,maybe attached if more space Is required) David Edmunds is excluded from work comp coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover, MA ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD From:Nicole Boudreau FaxID:Santo Insruance Page 4 of 4 Date:5/5/2014 11:31 AM PageA of 4 EDMUN-1 OP ID: NB ACOROr CERTIFICATE OF LIABILITY INSURANCE 7TE(MMIDDNYYY) 05/05/2014 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 lieu of such endorsement(s). P aonright Insurance-Salem NAME:CONTACT James A Santo 224 Main Street Suite 3C PHONE 603-890-6521 A1C No E,,11:603-890-6439A1C No Salem,NH 03079 EDMAIL James A Santo ADRESS: jam ie santoinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:St Paul Surplus Lines Ins CO INSURED Edmunds General INSURERB:Liberty Mutual Insurance Co Contracting, LLC PO Box 2214 INSURERC:Essex Insurance Company Salem, NH 03079 INSURERD: f INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSINSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYYL(MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR WS197699 11/11/2013 11/11/2014 MA E TO REI ED PREMISES Ea occunence $ 50,000 MED EXP(Any one person) $ 5,000 PERSONAL SADV INJURY $ 1,000,000 GENT AGGREGATE UMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY 1 JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ r $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ X UMBRELLALIABX OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE CUBW4880813 12/02/2013 12/02/2014 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER B ANY OFFICEOPRIETORIEXCLUDED?ECUTIVE NIA WC5-31S-602821-014 04/03/2014 04/03/2015 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) 3A: NH E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) David Edmunds is excluded from work comp coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover, MA ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD - The Commonwealth o,f Massachaasetts - Department oflndustrigl Aceldiints Office oflnvestigations 600 Washington Street .Boston,MA 02111 •www.mass gov1d1a Workers'Compensation][assurance Affidavit:Builders/Cont°actors/Electricians/Pliimbers Applicant Information Please Prima LegUy Name(Busynesslorgani'zationitndividual): n�S `-j' -x Vv,,ftJ-1, . Address: 0 e�©�� City/State/Zip: 5&- `R*v\ N R Phone#: ( S -?-73Z Are y an.employer?Check the appropriate box: Type of project(required): 1.YI alas a employer with 4• ❑I am a general contractor and I 6. New construction employees(full.and/or part time)* have hired the sub-contractors 2.[] I am a sole proprietor or partner- listed on the attached sheet. 7• Remodeling ship and'haveno employees These sub-contractors have 8. [(Demolition. working for me in any capacity. workers'comp.insurance. 9. (J Building addition [No workers' comp.insurance 5. ❑We are a corporation and its xecluired.] officers have exercised.their 10.E]Electrical repairs or additions 3.[( I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions myself.LEO Workers'comp. c.152,§1(4),andwehaveno 12.❑Roofrepairs insurancerequixed.]; employees.[No workers' 13.❑Other comp.insurance required.] xAny applicantthat checks box#1 must also fill outthe section below showingtheir workers'compensation policy information. T'Horeowners who submit this affidavit indicating they 2're doing allwork and then hire outside contractors must submit anew affidavit indicating such. TContractors that cheokthis box must attached an additional sheet showkgthe name of the sub-contractors and their workers'comp,policy information. I am are employer that is providing workers'compensation insurancefor my efnployees Below is the policy and job site information. Insurance Company Name% �-1 hni�vA Policy#or Set£ins.Lic.#: W 0-2.3 [g `t IS Z Expiration Date: k /Z C. / l Job Site Address: 10 H C c-52- N 4-1-4 v-e Mcn- -c- pity/State/zip: N flu c-V: �!{ U(c�l�5 Attach a copy ofthe workers'compensationpoltey declaration page(showing the policy number and expiration date). Failure to secure coverage as regniredunder Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of investigations of the DIA.fgr�surance coverage verification. I do hereby cel fy Uri or 2ep ins andpenalties ofperjury that Me information provided above is true and eorrect. - signafore: i Date: V (Phone#: a - - 2 Oficial use oply, of write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6 Other - Contact Person: Phone#: Information and Instrucdons 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 ormore of the foregoing engaged in a joint enterprise,and including the legal representatives of a•deceased employer,or the receiver or trustee ofan individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having notmore than three apartments and who resides therein,or the occupant ofthe dwelling house of another who employs personas 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 lie-ening 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,§25C(7)states"Neither the commonwealth nor any of its political subdivisions 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 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-contractors)name(s),address(es)and Mahone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other that the members or partners,are notrequired to carry workers'compensation insurance. If an LLC or LLP does have employees,apolicyisrequired. Be advised thatthisaffidavit maybe submitted tothe Department of Industrial Accidents fox 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' compensationpoliey,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 thatthe affidavit is complete andprinted legibly. Tha 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(ifnecessary)and under"Iob Site Address"the applicant should write"all locations in .(city or town)."A copy of the affidavit that has been officially stamp ed or marked by the city or town maybe provided to the applicant as proof that a valid affidavit-is on file.for future permits or licenses. .A.new affidavit most be filled out each year.'Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves eta.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and shquld you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: TN CQMTAonwealt� ofM_assarlh_u tts Depaftent dlndustxiai,Accidents Of e QURVestigationa d4 washiiag(w Street Boston,MA 021 It `QL 9-QM27,4900 at 406 Qx 1.8777�MASSA Revised 5-26-05 Fax#617"727'7749 www-Mas,%gov/dxa Massachusetts -Depart . Board of Buildin ment of Public Safety. g Regulations and Standard Construction Supervisor s License: CS-104728 DAVID C EDMUjS ` P.O.BOX 2214 c- r SALEMIVII030 ..4:` Commissioner' Expiration 10/03/201 ��c �Po�n��ao�rrrrserrl�/z d�C�/fj�ccttucicr�lells Office of Consumer Affairs&Busibess Regulation OME IMPROVEMENT CONTRACTOR egistration: 166661 Typ2: xpiratiOn- . 6/21[20.1,4. Corporation EDMUNDS GENERAL CONTRACTING,LLC. i DAVID EDMUNDS .18 ASHFORD RD HAMPSTEAD,NH 03841 Undersecretary License or registration valid for individul use only ~ '( before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 +! Boston,MA 02116 ! j•• r of valid thout gnattire NORTH -town of ver, Mass t " � c0c«1c"1W#C" P`� S U BOARD OF HEALTH PERMIT LD Food/Kitchen Septic System THIS CERTIFIES THAT ..................�.C......1.,... ............. BUILDING INSPECTOR ......... ............................... has permission to erect .......................... buildings on ....t�./1....... ,�, , / ,, Foundation Rough to be occupied as ....... .. . ... .......�......... ........... . Q... ..... .................................. Chimney provided that the person accepti g this permit.shall in every respect c orm 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 I MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S Rough Service ......... ....... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. C>vC (.,�� ,r;M• �c�^.71C___—�-n�}—��'P"'Q�`S``�Z���' ,f�c��'�ate` 1 l Contractor's employees are fully covered by workmen's compensation and liability It is further agreed that this contract may be assigned by the contractor,and also insurance. that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties. Upon completion of the above work,all undersigned agree to execute and deliver to the contractor,their joint note in accordance with his(their)above obligations as Edmunds General Contracting LLC guarantees all workmanship performed for requested by contractor.Upon refusal to do so,contractor may at its option declare If- years. the entire contract price or so much as then remains unpaid,immediately due and f payable.It is agreed that,if permitted by law,contractor shall be paid by the We will register_ 5 fC ti factory enhanced warranty f owner(s)all reasonable costs,attorney fees,and expenses,in addition to the providing .�s"O yedrs of material defect�_p;erage and X years of t unpaid,that shall be incurred in enforcing the terms and conditions workmanship defect coverage through [.74�' far: amount due and u g P , additional cost of of the contract and/or any lien in connection herewith. �no charge the add Edmunds General Contracting LLC will provide the materials,labor and disposal to replace up to 64 sq.ft.of roof decking and 20 ft of fascia at no additional cost. Any additional materials including labor and disposal will be replaced a_ 7�per sheet or+�linear foot. - L' F eneral Contracting, LLC agrees to furnish the material and All material is guaranteed as specified.All work to be completed in a workmanlike manner according to standard practice.Any alteration or deviation from above specifications involving extra costs will be executed only upon written ete in accordance with the above specifications, for the sum orders,and will become an extra charge over and above the stated contract price.Contractor is not responsible for / damage due to high winds,tornadoes,hurricanes,fire or other hazards.Owner(s)agree to carry fire tornado and other �T3 Irc!4. ?i f�iu4l� dollars ($ �� necessary insurance.Contractor is considerate of owner's landscaping and but due to the nature of the roofing `/ �• installation some damage may occur.We attempt to minimize any damage,and will not be held responsible if any "v Nt�('LD S �'�• � w QO damage occurs. Contractor is not responsible For any damage to the interior of property,including pre-existing rms �(f� /1 conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials as _•J3' V0,0apecified above.Items in the attic may need to be covered by the owner.Contractor is not responsible for damage • �4 / caused by ice dam build-up.All agreements ar co ngent upon strikes,accidents,or delays beyond our control. A deposit o .(not to exceed 1/3 of the total contract) is due upon start of work.The balance ofMdue when work Authorized Signature: /Y: is completed to the satisfaction of all pagles. 3 Co, 00 E mlunds General Contracting LLC • A finance charge of 1.5% per month (18% per year) will be charged on Note: This proposal may be withdrawn by us if not accepted within past due accounts over 30 days days. CCe1tdTCCC Of �OlO�dY The above prices,specifications,and DO NOT SIGN THIS CONTRACT IF TH 'ERE A ANK SPACES. conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as{outlined above. Authorized Signature: -•->r Date of acceptance: ` Authorized Signature: All home improvement contractors shall be registered.Any inquiries about a contractor or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,10 Park Plaza,Suite 5170,Boston,MA 02116(Phone:617-973-8700). Owners who secure their own construction—related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund provisions of MGL.c.142A The owner will receive a signed copy of this contract before work will commence.The owner has three(3)business days to cancel this contract and Incur no penalty.Correspondence should be directed to Edmunds General Contracting LLC at the above address. Rev.01/13 r ..^�,,.� n4'p"'7.,•(1.b+,:'y. ,., r.'.r ._ f`-.. Fully Licensed and Insured • Member of MA Better Business Bureau proplozat Member of NH Better Business Bureau GAF Cert.ME#20212 HIC Reg#166661 5 Owens Corning Preferred Contractor#212828 MA CSL#104728 OSHA 30 Hour Construction Safety Trainipg �I II fl i ri l�/ �►/ �(�� �-_.. EPA Lead Safe Certified General Contracting, ct.c 51 S. Broadway #2214 • Salem, NH 03079 • (603) 890.0084 1 10 Stevens Street#141 Andover, MA 01810 (978)475-0095 PROPOSAL SUBMITTED TO PHONE I I DATE /_i7 X17 104, STREET /r E-MAIL IC> CG Sf f�- Y1eC� �1GtCG CITY,STATE,AND ZIP CODE i JOB LOCATION XA__1C44A X0 Completely protect the home with tarps to catch falling debris. Respect and protect shrubbery and flower beds. Strip off I layers of roofing material down to the bare roof deck. Inspect the roof deck for structural defects. Determine the condition of the underlying plywood or boards, and repair and replace as necessary*. Inspect roof ridge for proper 11/2" spacing on either side of ridge for maximum exhaust ventilation. Cut in if necessary. Install new heavy gauge (color) i41r f"ory i(V( . drip edge at roof eaves. Install /,rc��-1�e•c'L. cz h ice and water shield to meet manufacturer's specifications (i.e. 6 feet from roof edge, 3 feet centered in valleys, around all skylights, chimney bases, roof penetrations and at all sidewall transitions). Install 1\.-c (` ��(YYaC" breathable roof deck protection to remainder of the roof deck. Install new heavy gauge /- )In,"4e_ (color) I 1MZ>'tA fyN drip edge at roof rakes. Install starter strip at roof eaves and rakes. Install2.4 P "T".mh,r/fr ',��r4� cme 1 0 desired color. ��/�_(color) Install new flashings to meet manufacturer's specifications. (i.e. sidewalls, chimneys, skylights and roof penetrations). Install /4/& (feet) of Cc Larr , ..Sr0QcA) Cex_x.jiw ridge vent at roof ridge to allow maximum ventilation. Hand nail to ensure proper fastening. Install l aO (feet) of Tn,47, 464 distinctive hip and ridge cap. Hand nail to ensure proper fastening. Thoroughly clean up and dispose of all roofing debris on property. Magnetically sweep property for nails. Notes: 7_,--_4,,,k1 / kL—) 1t,oZ -SA v/[' err t k.,11r-.,s ,6 «11 (k.,0e < 1 7:-,c{r kv 4 .C_ca rv_1 wi i2,,� C -,r,,%/man �,.a - rte >� f> E i b ,IQ ;y S.a ICA'(4 Q, +0 'fC h a",4, I�ht .f 1C &n2 �tti/1 Yx- Aw� �ir. VV Edmunds General Contracting will: • Obtain all necessary construction-related permits to complete this project. • Perform work as efficiently as possible without sacrificing quality. • Furnish and install all necessary materials to complete the project. • Provide a thorough clean-up and disposal of all debris generated during project. Edmunds General Contracting LLC agrees to commence work on/or about ;14 and described work will.be completed in abouto?72) days. Product Upgrade 1: 7N�, \\ f»t.s fir' GAtM�res Sof 'i'nJ - ✓ JLi�t Q�-4tsC �.tocyn+ ��", ,. 1 1.---