HomeMy WebLinkAboutBuilding Permit #633 - 12 HERRICK ROAD 4/29/2008 pORT11--
BUILDING PERMIT "'l-RD -,I
TOWN OF NORTH ANDOVER ��
APPLICATION FOR PLAN EXAMINATION p
22 h T
Permit N0: 7 l Date Received ` ' ^°4
TED
�►/ SSACHUS�
Date Issued: DIl
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Resid tial Non- Residential
❑ New Building (?6ne family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Meration No. of units: 0 Commercial
Repair, replacement ❑ Assessory Bldg Ej Others:
❑ Demolition ❑ Other
' �pttc= 1711e1fi� Flr od la n "i 1lVetlarads 1Natershedlgistn'dr
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: / r;;9LO/��
ir��r� Phone:
Address:
CONP.A+GT
T7R Nrae � h4nE
K
'. �, :°. r �i - s x iIz ✓�' Mt �,.
� �rl dI�y�{�._
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prvas 'sc� �rietirt �� se s Ecp Date cam"` r
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASEDTN$125.00 PER S.F.
Project Cost: $ 1
Total Proj �� FEE: $ �� `
T
0
Check No.: �Y" Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to th guaranty fund
Signature of Agent/Ov�Iner. FSjgna b ee of contract
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
I
DATE REJECTED DATE APPROVED
PLANNING &-DEVELOPMENT ❑
{
COMMENTS
DATE REJECTED DATE APPROVED
i
CONSERVATION ❑ . ❑
COMMENTS
i
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
i
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
FII ?fPARTMENT Temp bumpster on slte yes no
{ Located at 124 Main Street
Fire Depart,nent s>Ignatureid
777777a
u sr i
s
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
J
Building Department
i
r
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
i
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
o Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit j
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ 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
i
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
i 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
I
Location C
No. Date
NORT1TOWN OF NORTH ANDOVER
3� • Ow
9 f
i � • i
Certificate of Occupancy $
CNust, Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2 i I V� Building Inspector
x.10 R TIy
Town of _: , ove-r-
No.
01
F_
LAKE o� dower, Mass., O
/� COCHICHE.CK
004 TED fkIV
1 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING .INSPECTOR
THIS CERTIFIES THAT.............� ............................. w,..................
............ .............................................. Foundation
has permission to erect........................................ buildings on < < ................ Rough
..... . .......... .... . ........... ..............
to be occupied as.... ..... ....:. I�N!'......1.. .. � .!� ................. �...... ^!r............................. Chimney
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 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
3 •
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR.
UNLESS CONSTR ST S Rough
...........
BULDING IN TORService
Z& 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.
The Commonwealth of Massachusetts
Department of Industrial Accidents
v Office of Investigations
d 600 Washington Street
Boston, MA 02111
M 5� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / -GPlease Print Leiibly
/
Name (Business/Organization/Individual): ZU y2l �`-�{ l o L )rPlL.
Address: o'
City/State/Zip: // �Gl� �1/S Phone.#:
Ar,u an employer? Check appropriate box: Type of project(required):;
1. II am a employer with ' 4. ❑ I am a general contractor and I
employees(full and/or p -time).
* have hired the sub-contractors 6. ❑Ne onstruction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9. Buildingaddition
[No workers' comp.insurance p• insurance.$ ❑
required.] 5•OWe are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I 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
employees. [No workers' 13.❑ Other
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t HomeoNwiers 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#:' � rl� Expiration Date: / �0
Job Site Address: 14 eY(7 - 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 and penalties of perjury that the information provided above is tr a andcorrect.
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,oper. fWa 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 permittlicense 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
Revised 1122-06 Fax# 617-727-7749
www.mass.gov/dia
` 1
14:19 UN 19, 2007 ID: FRED C. CHL)RCH TEL NO: 978-454-1665-5 #239858 PAGE: 112
ACACORA. CERTIFICATE OF LIABILITY INSURANCE DATEIMIWDD
ORA. 1 Rl2CJ07 16:0464
PRODUCER 1300)=3-1863 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fled C.Church ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
40 henoza.Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Haverhill.NIA 0It530 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SOO-225-1865
INSURERS AFFORDING COVERAGE I MAIC#
INSURED rNsuRERa Arbeila Protection Insurance Company
Twomey&LegareCJmiactingInc
_-- ------____-- ------'--_ +--- --
INSURER F:
P.O.Dox±tib G-._..- -- -- ---—-------------- �------—'—
tiaLth Andover.VIA 01341. ,VSUY.kRC: -- --
INSURER V.
.NSURER E.
COVERAGES
THE POLICIES OF INSURANCE UST ED BELOd4'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 AFFORDEED BY T HE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IllaRIALIUL -- POLICY EFFECTIVE I PSM11M1r4VU11RATION i
T -- TYPE OF INSURANCE I POLICY NUMBER DATE(MWCIXYYI DATE ."yl ,� LNNRS
GENERAL UABII rY i I I EACH COCURRENCE S lo)00,000.00
i
X .
COMMERCIAL GENERAL I i DNA(*=NTEG
s ) I i PREMISES 9ao=,en_w S Ion,00o.on
I CLAIMS MADE X I OCCUR I ! MED ExP(hny a=e irssx} S 5.01010.00A i —t— 85(XN);:70? I 6:221'2007 6 >?ccYJR I PERSCNAI B Am-NjtR y s 1,000A00.00
I --- _I fIf I GENERAL AGGREGATE 5.2.000000.00
I GEMLAGGREGATFUtAITAPPLIES PER I PRODUCTS•CORIPIOFAGG S 2.000,000.00
! i
POLICY I FRC- `LOC F--- ------
AUTOMOBILE LWErlLITV ! j COMBINEDSiNGLELM!T
I ANYAL;TC- (Ea acci3eA?
! —1
ALL.OWNED AUT OS BOCILYINdURY S
�a SCHEC•cIlEDAUTOS I ! ±(PerPSMF,)
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i BODILY INJURY
'I4ON-OWNED AUTCS ( ( - iPSr e,ddatA: 5
—i 1I t r-
-T PROPERTY DAMAGE
! I I (Per a:cideW S
GARAGE LLAMLITY ( AUTO ONLY.EA ACCIDENT S
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ANY AI.RJ I I EA ACC S
OTHER THAN
AUIb ONLY: AGC, $
EXCESSIUMBRELLA LIABILITY I EACH CCCURRENCE 5
-- , -- i -
-I OCCUR --�CLAIMS MADE ! ! !AGGREGATE 5
DEUL C I"YALE S
i
—�RETENTION li S
WORKERS COMPENSATION AND l L'WC STATV- t if OFT; T 1/l—f ITS I i FR
ANY PROFRIETOMPARTNERJEXECUTidE I E.L.EACH ACCIDEKT 5
OFFtCER/MEMEEtEXCLUDED? IE.L.DISEASE-EA EMPLOYEE S
H yes,desctbe ender
SPECIAL PRCVI°IONS bebw I E.L Dt4ASE-POLICY LIMIT S
OTHER ii
DESCRNMON OF OPERATTCNSI LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT:SPECIAL PRONASIONS
CERTIFICATE HOLDER CANCELLATION
Town of North tWover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
27 CharlIai Street GATE THEREOF,THE ISSUING INSURER WLL ENDEAVOR TO MAIL _30 DAYS VLNITTEN
North Andover,MA 0184.$ NOTICE TO THE CE RTWICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SC SHALL
IMPOSE NO OBLIGATION OR LLRSILITY OF ANY NItJD UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZ.EDREPRESENTATNE /�
ACORD 25(20DI,08) CJient;: 5458 N st GL Ce;T Cert tr 6 AC/OYRD CORPORATION 1988
RightFax H2-2 . 11./6/2007 8:40:12 AM PAGE 003/003 Fax Server
ACORD. CERTIFICATE OF INSURANCE DATE(MMkDDV Y) 11-OG47
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DOHERTY!NS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2. ELM STREE.T, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 198i COMPANIES AFFORDING COVERAGE.
AJ-00VE R,MA G 188 f.,
COMPANY
«YMX A TRAVZ'LERS DIRECT ASSiGNWM.NT
INSURED COMPANY
B
"WOMEY&LEGARL: JN fRAC171NC
INC COMPANY
PCI BOX 366 C
NORTH ANDOVER,MA 0i845 COMPANY
D
COVERAGE
V-63!370 CERTIFY THATTHE POLICIES OF INSURANCE LISTED BENAW HAVE BEEN iSSUED TOTHE INSLAED NAMED A80VE FOR THE POLICY PERIOD INDICATED,NOTYATHSIAND!HG
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OF OTHER.DOCUMENT VTR'F?RESPECT TO WHICH THS CERT£ICATE WAY BE SSUED OR MAY PERTAIN.THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBi c HEREIN S SUB.IECT TO AL_THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POL:CiES. umms8HOWN NAY HAYS BEEN REDUCED BY
PAID CLAIMS.
CO POLICY EFF POLICY EXp
LTR TYPE OF INSURANCE POLICY NUAISER DATE(MMIDDIYYI DATE(MIAtDDIYY) LIMITS
GENERAL LIABILITY GEN?P.AL AGGREGATE a
COMMERCIAL GENERAL L!ASILIT'r PROOUCTS-COMPIOP AGG. 5
CLAIMS MADE OCCUR. PEE.RSONAL&8 ADV INJURY 3
OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE S
FIRE DAMAGE iAnt'one fire;
MED.EXPENSE-,Anyone Imrsorl) 3
AUTOMOBILE LIABILITY
AMYAJTO COMBINED SINGLE LIMIT 5
ALL OWNEC AUTCS SODILY INJURY,Per Pelsor) $
SCHEDULE AUTO: 3OD!LY INJURY(Per Accident; $
HIREDAU103 :IROPEPTYCAMAGE $
NON-OWNED AI;TCS
GARAGE LIABILITY
ANY AUTOS AL''O ONLY-EA ACCIDENT 1
OTHER THAN AUTO ONL f
EACH ACCIDENT 5
AGREGATE S
EXCESS LIABILITY
UMBRELLA"ORM EACH OCCURRENCE x
OTHER THAN UMBRELLA FORM AGGREGATES
WORKER'S COMPENSATION AND
A EMPOLYER'S LIABLITY U2-5647C422-07 05-1€-C7 09-19-LIE STATUTORY!-WiTS X
THE PROPRIETOR/ EACH ACCIDENT 560.G00
PARTNERS)EXECUTIVE IIJCL DISEASE-POLICYLIMiT i 500.000
OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE < 500.000
OTHER
DESCRIPTION OF OPERATIONSILOCATK)NSIVEHICLESJRESTRICTIONSISPECIAL ITEMS
C1f iS REPLA('ES A?,Y PRIQR CERTTFiC 4 CF.ISSUED TO THE C IRI]FIC ATE HOLDER AFFECTINO\VOkti kS CO1X?C0 VF kAGE.
CERTIFICATE HOLDER CANCELLATION
SH.XLD`M^:JF-N£1SOe_DESCP!SW PCUCIES32 CAIKE1i=D EEFCRE THE
01wN OF NORTH AF•:[yJV1 R ENDEAvOR TO MAIL 10
DAiF'AR!.77E`4Nv 7CSTOTNE:l-r:'1=iCATE HOLDER!:3'v cG'tC THE LEF-BJ7
161.91.7S(jt.i(_..DST FAP-LRE TOhiA�l?UC�jNOT'CESH Ll.AIPOCENrC'M.!G47Cv4RL'49:L!T OP ANY
.INC iFC':THECO'd290, SAGENTSORR?PRE5E-:VTA'nv=_,.
NORTH A111DOVER,NIA 0'.34 AUTHORIZED REPRESENTATIVE
Charles.l Clark
ACCORD 25.5(3143)
f.a Door& Window Specifications
'r 1. Demo existing Mud Room, exterior door,& 16 lin. Ft. Of fascia boards&dispose of
2. Contractor to provide&install 2 5262 smooth star doors with 5263 sidelights with
molded sidelights. Doors to have frame saver jambs.
3.- Contractor to provide&install 1 S108 2-8 x 6-8 door to Sun Porch with molded grids
4. All handles to be schlage brass
S. Trim to match existing
6. Contractor to install 2 new Majestry Replacement Windows in Dining Room
7. Twomey&Legare to dispose of related debris
i
Sign Date
M =
i
zf
Payment Schedule-Exhibit D
Job Total $15,285.00
Payment Balance
1st Deposit on signing $5,000.00 $10,285.00
2nd Completion of exterior demo $5,000.00 $ 5,285.00
&framing
3rd Completion of installation of $3,000.00 $ 2,285.00
window&doors
4th Balance upon substantial completion $2,285.00
Sign Date
!� ✓� �J07)L1�ldI2f!/PiQ�(JZ ,//i �,.. _/a4
Board of Building gegulation/s and standards[4_
HOME IMPROVEMENT CONTRACTOR
'Registration: 136779
E.131m iom'-8/26/2008
Type .Partnership
TVWOMEY+LEGARE-CONTRACTING INC.
SHAWN TWOMEY
61 PATRIOT ST
N.ANDOVER,MA 01845
_ Deputy Administrator
✓!ie {
Board of B did gRaul ns anad ds/
*Construction Supervisor License
Llcetise: CS 67560
`� Birthdete: _10/25/1966
E*p P4 on'
10125/2009 Tr# 6403
Rstrlctioo: b0,
- r
SHAUN M TWO ' C j
61 PATROIT ST
t
N ANDOVER,MA Oi845 �y
t Commissioner
TWOMEY & LEGARE CONTRACTING, INC.
Professional Building / Remodeling
P.O. Box 366
North Andover, MA 01845
North Andover 978.685.7447
Haverhill 978.556.1547
CON'T'RACT
1. Date of Contract Signing:
2. List of documents part of this agreement:
A. Contract
B. Specifications(see Exhibit B)
C. Drawing (see Exhibit C)
D. Payment Schedule (see Exhibit D)
E. Limited Warranty(see Exhibit E)
F. Notice of Cancellation
3. Parties to Contract:
A. Contractor: Twomey&Leg,i-•e Contracting, Inc.
Shaun Twomey/Doug Legare
Federal Id#: 04-3610112
Address: P.O. Box 366 North Andover, MA 01845
Contractor Registration No.: 136779
B. Homeowner: Tom&Elaine Mead4-
12 Herrick Road
North Andover, MA 01845
978-682-0466
3/12/08
4. Description of work to done and the materials to be used:
See Specifications(see Exhibit B)
5. Total amount agreed to be paid for work to be performed under the contract:
6. Time schedule of payments to be made under the contract, finance charges for late fees,if
any.
See Payment Schedule(see Exhibit D)
*Any deposit required to be paid in advance of the start of the work shall not exceed one-
third of the total contract price or actual cost of any material or equipment of a special or
custom made nature,which must be ordered in advance of the start of work to assure that
the project will proceed on schedule.No final payment shall be demanded until the
contract is completed to the satisfaction of all parties.
7. A.Date work is scheduled to begin: See No. 14.
B. Date work is scheduled to be substantially completed: See No. 14
8. Notice:
A. All home improvement contractors and subcontractors shall be registered and that any
inquiries about a contractor and subcontractors shall be registered and that any inquires
about acontractor or subcontractor relating to a registration should be directed to:
Director,Home improvement Contractor Registration
One Ashburton Place,Room 1301
Boston,Massachusetts 02108
Telephone No.(617)727-8598
B. For contractor's registration number,see top of first page.
C.Homeowners have a three-day cancellation rights under MGL c 93 §48;MGL c 140D
10 orMGL C 255D § 14 as may be applicable(see attached Notice of Cancellation).
D. For owner's warranty rights,see 780 CMR R6 and MGL c 142A.
9. There is no lien or security interest on the residence as a consequence of this contract.
1 O.Permit Notice:
A. The following permits will be required in connection with the work to be performed on
your property: Building-Electrical-Plumbing
B. It is the obligation of the contractor to obtain these permits as the owner's agent.
2
C. Any owner who secures their own construction-related permits or deal with unregistered
contractors shall be excluded from access to the Guarantee Fund.
11. Contractor reserves the right when he deems himself to be insecure to require as a
prerequisite to continuing work that the balance of funds due under the contract,which are in
possession of the owner,shall be placed in a joint escrow account requiring the signatures of
-the home improvement contractor and the owner for withdrawal.
12.The parties agree that no work shall begin prior to the signing of the contract, transmittal to
the owner of a copy of the contract and the expiration of any applicable rescission period.
13.Arbitration Clause:The contractor and the homeowner hereby mutually agree in advance
that in the event that the contractor has a dispute concerning this contract,the contractor
may submit such dispute to a private arbitration service which has been approved by the
Offtce of Consumer Affairs and Business Regulation and the consumer shall be required to
submit to such arbitration as provided in MGL c 142A.
14.Other Provisions:
A. Commencement of Work/Completion-Contractor agrees to proceed diligently with the
agreed upon work,commencing promptly following:
• The completion of the Title V installation and certification of compliance by the
Town.,
e Issuance of a building permit by the Town,
• Estimated date of completion:
■ Completion date shall be automatically extended by the number of
days equal to those on which seller shall be prevented or hindered
from completion due to weather conditions,other acts of God,inability
to obtain materials or schedule work due to delays caused by
homeowner's selection process or change of orders, and/or failure of
homeowners to make timely payments as agreed.
B. Final payment shall be upon the satisfaction of the homeowner. The parties agree that the
issuance of a certificate of occupancy shall be the objective standard that the contract has
been completed and the parties are satisfied. Any punch list items shall be reduced to
writing, with a date for completion. The parties agree that no escrow will be held for
punch list items.
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D. Insurance-Contractor agrees to provide evidence of liability,worker's compensation
and other risk insurance. Owner agrees to provide copy of hazard insurance as is required
by contractor to coordinate policies.
Owner:
Contractor:
Notice: The signatures of the parties above apply only to the agreement of the parties to
alternate dispute resolution initiated by the contractor. The owner may initiate alternative
dispute resolution even where this section is not signed separately by the parties.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLAND SPACES.
Owner Dateontracto ate
Owner Date Contractor Date
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