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HomeMy WebLinkAboutBuilding Permit #174 - 114 SPRING HILL ROAD 9/4/2007 d BUILDING PERMIT o� No oTH �'►' ✓� TOWN OF NORTH ANDOVER �a t °op APPLICATION FOR PLAN EXAMINATION n e Permit NO: Date Received �l� 74`oN�rao PPy4`� 9SSACHU`'�( Date Issued:T-4�6:� IMPORTANT: Applicant must complete all items on this page LOCATION Pant „�. PROPERTY OWNER - Pring --- MAP NO; lam. PARCEL. ZONlNG'DI5TR[C7 n . ° HlTORIC DISTRICT "yds n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ;N One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial XRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition [I Other Septic C1 WeII ' ` C Floodp]ain ;� VV tlands 0 a,'tershed,District I Water/Sewers r DESCRIPTION OF WORK TO ct PREFORMED, fz & ��n �4z PW ( n c. A & 9 Ide ifcation Please Type or Print Clearly) OWNER: Name: CT13m i PhonezT - ��Z• /`��S^6 Address: //`"� N CONTRACTOR Namesk-5:iA, 0 `i ,J Phone9;; '<�t00 2rJ1_ A. Yom"”" Address: 2 ► ! 1 � �. sN 4 �. Supervisoes Construction License: Z qKExp., Date. p)� ;:. 10 ,1,g -VEx D > a e. Home Improvement License •'' ..wp . ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ !�3 FEE: $ / • � I Check No.: t�-U 3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guara fund Signature of Agent/Owner Signature'of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer L' 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 DTE REJECTED DATE APPROVED CONSERVATIO COMMENTS loo, DAT JECTED DATE OVED ✓� HEALTH COMMENTS 41 d�-GPCvwtJ- 2r`(iSS ✓v �'/ r--v, 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 Located at 384 Osgood Street FIRE;DEPARTMENT -Temp Dempster ori site es no Located'at't24 Main Street Fire Department siginature/date COMMENTS �t � 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 2007 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) Li Building Permit Application La Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location 1 W56� No. Date ' d� NORTH TOWN OF NORTH ANDOVER 0 9 # . Certificate of Occupancy $ i , �'�s''• Eco Building/Frame Permit Fee $ �+LG swCHus Foundation Permit Fee $ y Other Permit Fee $ TOTAL $ Check # 03 - Building Inspector NORTIy 0VM of over No. "-: L A K. dover, Mass., 14p✓� I� COCMICKEWICK 7,9 ADRATE D PPVS C, `s U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 0 BUILDING INSPECTOR THIS CERTIFIES THAT ............�..0.M..1........D.&I........................................................................... . ............ .............. ......... Foundation has permission to erect........................................ buildings on . Rough to be occupied as �.. r Cr T IA.� Chimney >7. .�..... ...........L............'�........ .� ....... .... ...... provided that the person accepting this permit shall in every respect conform to the term of the applicAn 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 Ir PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TARTS Rough ......................................... Service BUILDING INSPECTOR 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston,MA 02111 wM www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / ,( J Please Print Legibly KName(Business/Organization/Individual): eC Address:—Z I 1yE'aA1 i 7T A vE City/State/Zip: j(l. R N d Oy Zrz ad Phone.#: 9 7 8 '6 g/ -S Z O O Are you an employer?Check the appropriate box: Type of project(required):. 1. I am a employer with 7i 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 El 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 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Build insurance.$ ing addition [No workers' comp. insurance comp. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name: fL A u i'+-E S'T A 0,0 Policy#or Self-ins.Lic.#: W C Q S j�•© �"3 Expiration Date: l ^ Q 9 B Job Site Address: / 2 i h r, 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 pain ndpenalties ofperjury that the information provided above is true and correct. Si ature: Date: Phone#: 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 Health 2.Building Department 3.City/Town Clerk 4.Electrical 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, §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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)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 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 bum 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. #6.17-727-4900 ext.406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia r p� �'le e,,,,.14 a�✓�ilaaa�rrlu ae�a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratinit 108383 40400tsaa: 4V18/2008 KEENZONSTRUCTO. 4C61. Kenneth Keen t 21 Hewitt Ave I No Aridbver,MA 01'845 + Deputy Administrator j . l.. ��r'[�4rynirizo�zu�ea`C�i � c;c�iuu� BOARD OF BUILDIN' REGULATIONS ieen5:@.. CONSTRUCTION SUFERVISdR Numbbcolb S 058245 rrthQ3/24/�:943 � LL xp r`e,'d8/�4T308 .Tr:no It, eg ?, 1�F{EWITA�/E z<AE�� f. I N- ;lt b YRS 41 �s✓/ ' yf�.a ' 4!;e - t�'^ Comm(ssiorieP i _ � I i DE0< FLAN 14' 12' -NEW DECK-) r,.,-EXI5TIN6 DECK-<?�, TIMBERTEK RAIL SYSTEM WITH EXISTIN6 SUN ROOM 12' �/ 12' SQUARED PRIVACY CEDAR LATTICE �--NEW DECK NEW DECKS SHALL BE FLUSH WITH SUN ROOM FLOOR (5)5TEP5 DOWN (I)5TEP UP NOTE: ' ALL NEW DECKIN6 SHALL BE 4' DN CANBERRA MAHOGANY, 5/4 X h RAIL SYSTEM SHALL BE "TIMBERTEK RADIANCE" ALL HARDWARE SHALL BE "LEDGER LOCK" LEDGER BOLTS ENOI NEER: LANRENOE H. OC DEN FE 1118 EAST MAIN STREET GEORGETOWN, MA. 01833 1178-352-8318, Call 11-75-502-5121 DRAWN BY: MARTHA MACINN15 FROFOSED DEOK DESION 58 REGENT AVE. BRADFORD, MA. 01835 SUM I DOLBEN (1178)374-8711 114 SFRINO HILL RD. NORTH ANDOVER, MA. I 7 FOUNDATION FLAN 1 /4 1 1-0 12' 14' 2' -- i — Ji NOTE` EXI5TING SUNROOM ABOVE I EXISTING DECK ABOVE NEW DECK ABOVE AS AN ALTERNATIVE, INSTALL I6"X48" CONCRETE FOUNDATION 121 WALL FOR DECK 5-I/2" STEEL POSTS ON 10" CONCRETE FILLED 50N TUBE 12" CONCRETE FILLED 5ONOTU5E FOUNDATION FOR DECKS W TH ATTACHED FOUNDATION F R DECKS WITH ATTACHED 24" "BIGFOOT" FOOTING I 28" "BIGFOOT FOOTING CARRY DOWN TO UNP15TUR113EIP SOIL, CARRY DOWN TO UNDISTURBED SOIL, KN-. 2000 LB. BEARING �_�\ MIN. 2000 LB. BEARING I II I II (oil 8' 20' 14 OF4 � l LA RENCE Q lei 7r� / J P.i.,;LD N �7 C0 rn -4 - �' 765 0 y � C' �- F '04 L 0A ENO I NEER: LAWRENCE H. OO DEN PE IcI8 EAST MAIN STREET OEOROETOWN, MA. 0055 Ql8-552-8518, cell ct-l8-502-5Q21 DRAWN BY: MARTHA MACINN15 FROF05ED DECK DESION 58 REGENT AVE. SUK DOLBEN e BRADFORD, MA. 01855 114 5PR1 NO HILL RD. NORTH ANDOVER, MA. ti ROOF LEDGER ADD SIMPSON J015T HANGER 2 ROWS 5/16" X 5 5/16" 2 FASTEN MASTER EXISTING RIM AT SUN ROOF LEDGER LOOK 2 ROWS 3-5/16" X 5/16" ��R ® 6" O.G. LEDGER LOOK INTO STUDS ® 16" 2X8 LEDGE ADD 2X4 STUD DETAIL GEILIN6 O F> (Di DETAIL 2 12' 14' INSTALL (2) 5/16" X 5-5/6" LED6ER LOOKS IN EVERY STUD BENEATH EXI5TIN6 DECK (3)2x10 (3)2X8 IIINSTALL 51MP50N HANGERS AT DOUBLE UP FLOOR JOISTS EACH END OF EVERY JOIST (2)2x10 ® 16' ox— AT SUN ROOM - ADD (2)2x8 ® I6„ ox , 12' W/ LV5210-2 HANGERS DOUBLE J015T HANGER W/ LV5210-2 HANBERS EXI5TIN6 DECK ABOVE SUN ROOM ABOVE (3)2X1 (3)2X8 7WIOX50 STEEL BEAM - CONTINUOUS 26' LONG - -61-611 SUPPORTED AS 5HOWN 6X6 P05T WITH SIMPSON ABA66 BASE AND PG 46-26 GAP EP046-16 AT END POST , TYPICAL DECK FRAM I NO OF y �gc / /411 I ISO LA ENCE '.'LDm ✓ �11 J� DE51ON LOADS: l U LIVE LOAD 60 LBS. ALL HARDWARE SHALL BE A 9. 27 es ti LEDGER LOOK LEDGER BOLTS c_ O q- DEAD LOAD 10 LBS. o, � HOT TUB 88"X68" MAX WEIBHT WITH ALL LUMBER FOR DECK STRUCTURE �NAL EN�'\C, WATER 4200 LBS. SHALL BE PRESSURE TREATED I I I,� ALL FLASHING IN CONTACT WITH ENO I I SEER: LAY`4RE I AGE H. 00DE I`i FE PT WOOD SHALL BE COPPER I18 EAST MAIN STREET OEOROETOWN, MA. 01855 178-552-8518, Coll clla-502-5121 DRAWN BY: MARTHA MACINNI5 PROFOSED DECK DESION 58 REGENT AVE. R BRADFORD, MA. 01855 SUMI DOLBEN (178)374-8711 114 5FRIN5 HILL RD. w NORTH ANDOVER, MA. STEL COLUMN DETAIL STEEL BEAM DETA I L 5"X5"XI/2" PLATE FIELD HELD TO BEAM STANDARD STEEL PIPE— HIOX50 2X6 PT SILL BOLT TO WELD PLATE A56 BEAM WITH 2 ROH5 AISGE TO COLUMN 1/2" 0 BOLTS ® 24" EA. STANDARD STEEL PIPE Q NOTE! SX5XI/2" PLATE — HELD TO BEAM AND COLUMN Fy 56K51 THIS 15 NOT A CONCRETE 10 WALL THICKNESS FILLED LALLY COLUMN 3" .216 w 5-1/2" -0 STANDARD STEEL COLUMN .226 IL TH15 15 NOT A LALLY COLUMN 4" .25'1 1/2" 8X8XI/2" PLATE — WELD TO COLUMN WITH 4-1/2" (P ANCHOR BOLT 12" 0 5ONOTU5E 1—I/4" ---,,\ 4MI ' N. I OF 4 41/16" oV HOLES i FOR 1/2" X 4-1/2" I—I/2" MIN. SIMP50N 5TRON6 BOLT „ I HED6E ANCHOR 8 BOLTS ARE NOT REQUIRED IF 5A5E 15 ENCASED IN FLOOR SLAB �P�SH OF y LAW ENCE Lp m 4/27/07 T4 y c 765 O v ANAL ENG\ ENO I NEER: LANRENCE H. OO DEN FE q8 EA5T MAIN STREET OEOROETOWN, MA. 01833 x{78-352-8318, Coll ci78-502-54121 DRAWN BY: MARTHA MACINNI5 FROF05r-D DECK DESIGN 58 REGENT AVE. BRADFORD, MA. 01835 50-11 DOLBEN (878)374-8711 114 5FRIN5 HILL RD. NORTH ANDOVER, MA. KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978) 691-5201 Dolben, Sumi 11.4 Spring Hill Rd. N. Andover, MA 01845 (978)682-1456 Contract# 1665; Appendix A Date: 9/2/07 Remodel existing deck: • Remove existing 1.2' x 16' deck and 4' x 20' walkway and build 12' x 12' grill deck in it's place • Build new hot tub deck(approx. 12' x 14')and stairs using 6"x 6"posts and 12' x 16"x 4' free pour foundation as per engineered drawings • Remove deck boards on remaining existing deck • Supply& install 5/4"x 6"Cambara Mahogany deck boards on entire deck and stairs • Attach deck boards using blind fasteners(powder coated black) • Supply& install Timber Tech Radiance rail system around entire deck and stairs • Trim all outside framing using 1"x 10"Windsor One PFJ pine • Dispose of all debris • Paint trim boards(trim white,two coats) • Treat Mahogany with natural Timber Oil Structural work on sunroom&decks: • Engineer sunroom&decks to meet recent code requirements as per Building Inspector Jerry Brown and certified by Engineer Larry Ogden: • Supply&install 28' steel beam under sunroom and new grill deck • Double existing 2"x 8"floor joists with hangers and ledger lock screws as per drawing • Reinforce sunroom roof as per drawings Total Price: $43,136.00(forty three thousand one hundred thirty six dollars) Price does not include cost of permits, engineering costs,relocating gas pipe for grill, problems digging,electrical work or changes required by inspectors. l KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Payment schedule:$10,000.00 due upon signing contract $8,000.00 due when beam is installed(plus permit fees) $8,000.00 due when frame is complete $5,000.00 due when decking is installed $5,000.00 due when the rails are installed $4,000.00 due when work is complete except painting and staining $3,136.00 due when contracted work is complete ustomer Ke B. Keen Date Date 2 KEEN CONSTRUCTION CO. ` n 21 HEWITT AVENUE PROPOSAL NORTH ANDOVER. MA 01845 Tel: (978) 691-6201 All home improvement contractors and subcontractors Fax: (978) 682-3231 engaged in home improvement contracting, unless specifically exempt from registration by Provisions of �- Chapter 142A of the general laws,must be registered with Submitted , j the Commonwealth of Massachusetts. Inquiries about To: _...... -� _{Y.l _......... i � q i registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton �- �-.- Place, Room 1301, Boston, MA 02108 (617) 727-8598. J1 Owners who secure their own construction related 4 ` ,.... 4F� 1 �^ L 1�,! , I?Jc v.� � /,�� , �: I � 1 � permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. ONES. r -1 t DATE REGISTRATION NO. F.1.D.NO. MA. H.I.C. 108383 04'=32.5-8052 > C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: _. _._.._._.._. ._._...... ... _..._.._..... s.. � ... k 1 �( ......._.._ .. ................ .-_-------- > Construction related permits: __ — -- .............................._...............................................................,.......................................,,,.............................................................................................-.-...............-.....,.................................................................................................................................................................................. ...................................................................................................................................__.,...........,..,.-.... WORKSCHEDULE _._......._........................................_.... _...................,...,................,..................................................................................................,.................,.............. Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of ".1 e C� • (�following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnis material and labor-complete in accordance with abve specifications,for the sum of V: t : t _ ! I 1wT o`t F i l 1 dollars($ { - ( , Payment to be Imade as follows: ) % ($ ) upon signi g Contract; KENNETH B. KEEN Name of Contractor/Designated Registrant ($ on,cor RI 'oh of 21 HEWITT AVE. Street Address R. > �. N. ANDOVER MA 01845 %� $1 u or-completion of City/State '$ shall be made forthwith upon (978) 691-5201 (978) 682-3231 / ( ) completion of work under this contract. Phone Fax Notice: No agreement for home improvement contracting work shall require a , >down payment (advance deposit)of more than one-third of the total contract price Name n!Zadman or the total amount of all deposits or payments which the contractor must make, in ;,( advance, to order and/or otherwise obtain delivery of special order materials and Authoh ed Signatdre + a f equipment,whichever amount is greater. Note:'fhis proposal may be withdrawn by us if not accepted within days. Acceptance Of Proposal -I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature ` ¢` Date 1 ' Signature Date IMPORTANT INFORMATION ON BACK ► ,ACORDM CERTIFICATE OF LIABILITY INSURANCE . DATE(MM/DDNYYY) 03/22/2007 PRODUCER (781)942-2225 FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 137 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Reading, MA 01867-3922 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Kenneth B. Keen INSURERA: NORFOLK & DEDHAM INSURANCE 23965 DBA: Keen Construction Company INSURERS: Granite State Ins. Co. 0077 21 Hewitt Ave. INSURER C: North Andover, MA 01845 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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. INSRLTg DD' TYPE OF INSURANCE POLICY EFFECTIVE7N4 AT __DA POLICY NUMBER LIMITS GENERAL LIABILITY ND-P-010078/000 03/13/2007OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY 1 000 iGE TO RENTED $ loo'oCLAIMS MADE �OCCUR XP(Any one person) $ IA 5,0NAL&ADV INJURY $ 1,000,01AL AGGREGATE $ 2,000,01GEN'L AGGREGATE LIMIT APPLIES PER: rALL PRO- CTS-COMP/OP AGG $JECTLOC 2,000,01ILITY NED SINGLE LIMIT $ (Ea accident) UTOSUTOS BODILY INJURY $ (Perperson) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKEREMPLOYERS' SCOMPEILITY NAND WC8855053 01/09/2007 01/09/2008 WCSTATu- OTH- EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE $ 100,00 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER NCELLATION 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, KEEN CONSTRUCTION CO BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 21 HEWITT AVENUE OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE DOREEN M DONOHUE ACORD 25(2001/08) FAX: (978)682-3231 ©ACORD CORPORATION 1981 NOTICE OF SCHEDULE CHANGES The Contractor agrees that when deays becorne known to the Contractor,the Contractor will advise the Owner as soon as is reasonable, DELAYS IN COMPLETION DUE TO HIDDEN CONDITIONS The Owner hereby acknowledges and agrees that in certain remodeling work, the dertiolition of portions of the pre- existing structure may reveal additional defects, conditions or the need for additional work, which must be repaired, altered or carried out in order to commence or to complete the work described under the contract. In such case(s), the Owner agrees that the price, duration of the work and the scheduled date of completion may differ from the date stated on the front, and that such variation which is not avoidable by the Contractor shall not be considered to be a violation of this contract. ADDITIONAL WARRANTY INFORMATION All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufactur- ers of such equipment, which shall be and are hereby passed through directly to the Owner, Under such manufactur- ers' warranties, the Owner nlay be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's tailure to mail in or register such documen- tation, which failure voids the rnanufacturer's warranty, shall not create any responsibility for the Contractor to war- ranty such equipment. The warranty gives the Owner specific legal rights, and the Owner may also have other rights which vary from state to state Under Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for a particu- lar purpose. All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to stan- dard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over the estimate, All agreements contingent upon strikes, accidents or delay-, beyond our control. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Payment Section (front) for the reason that he deems himself or the payments to be insecure. If, however, he deerns himself to be insecure, he may require, as a prerequisite to continuing the work described herein, that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his Subcontractors in the performance of or as a result of the work under this Agreement. Contrac- tor agrees to carry insurance to cover such damage or injury. CONSTRUCTION RELATED PERMIT ACQUISITION The Contractor under provisions of Chapter 142A of the C eneral Laves is required to apply for and obtain all construction-related permits. The Contractor shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting or inspectional agencies, agencies, authorities or individuals. Notice. If the Owner obtains his own construction-related permits for the work described under this agreement or deals with unregistered contractors,the Owner is hereby advised that in tile event of a dispute, judgment and nonpayment of the Contractor,the Owner will not be entitled to make a claim to or collection from the guaranty fund established by Chapter 142A, M.G1. MODIFICATION This Agreement, including the provisions relating to price and payment schedule cannot be changed except by a writ- ten statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation, COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that fie should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or riot applicable,'and until all exhibits and related or referenced doc- uments that are incorporated herein are attached hereto. COPY OF AGREEMENT TO BE C31VEN TO OWNER This Agreement is governed by the Laws of Massachusetts, It must be executed in duplicate, and an original, signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of a copy thereof.