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HomeMy WebLinkAboutBuilding Permit #868-15 - 136 OLD FARM ROAD 5/1/2015 BUILDING PERMIT N°oT"q� TOWN OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION . b Permit No#: �' Date Received �gSSACHUs���y Date Issued: 201 r PO�R-�TANT: Applicant must complete all items on this page ,LOCATION'- /r/n �. *r Print r PROPERTY OWNER „ P 1Pnnt 100 Year Structure, eyes no rM`AP ` ; -PARCEL:C ZONING DISTRICT�. _�HistorictDisfnct ye no ? Machineahop`Village , .yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other .Septic ❑ INeli K ❑ Floodpla 1Nefhands ! V1/atershed�D:stnci 0'Wafe�1S'ewer a DESCRIPTION OF WORK T BE PERFORMED, /f VC Identification- Please Type or Print Clearly OWNER: Name: Phone: �� Address: /j 6 0tc/ rb, K"t4 RC„� Contractor Name: cd .l �s 1/J f�vl/(;Phone Email:. Address; V. . Su ervisor's C. nst"-ction.Li.' ^'Oy 3�s,�3 E 1 F px Date.:` Home Improvement-License: ./�6, t. q" ' Exp. ARCHITECT/ENGINEER Phone: _ Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 3 FEE: $ Check No.: 1 �.,�� � Receipt No.: �J NOTE: Persons contracting with unr eyed contractors do not have access to the guaranty fund r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swhnming Pools ❑ Tanning/Massage/Body Art ❑ � i Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY II INTERDEPARTMENTAL SIGN OFF m U FORM I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature I I COMMENTS HEALTH Reviewed on Signature c j C014111MENTS 3 1 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Consgrvation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street ' FIRE DEP,AR<T.tMENT Temp Dwrnpster on sife= yep LL no [Located at1,24 Main Street;, Fire Depart�m n��ig at ru elda�e 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application iL Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) 4 Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4. 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) 4. Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i Town of ndover No. 0;;N.__.�� I h ver, Mass, COC NICNl WICK �7• �ds R4TED ll BOARD OF HEALTH PER.. Food/Kitchen T D Septic System THIS CERTIFIES THAT .............. .......... muo.4"vw. ............. .................................... BUILDING INSPECTOR . .. has permission to erect .......................... buildings on ..1&6..... 1d...... .. .....f ....N .. Foundation IF Rough to be occupied as .......Gj. ...... . . ' ! �... ... .... .4. .. ...........0...................... Chimney provided that the person accepting this permit shail"in eve res t conforo the terms f p g p every o 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 i PERMIT EXPIRES IN 6 MONTHELECTRICAL INSPECTOR • UNLESS CONSTRUCT L Rough Service ............ TM ............................ 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. i The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia SJ'v Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Le ibl A licant Information 4 Name(Business/Organization/Individual): Address: J/ City/State/Zip�U l Phone Are you an employer?Check the appropriate box: Type of project(required): 1.F1 I am a employer with employees(Rill and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.,[]Plumbing repairs or additions 5.�am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 14.❑Other g,❑We are a corporation and its officers have exercised their right of'exemption per MGL c. 152,§1(4),and we have no 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. $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: Gam` L l Policy#or Self-ins.Lic. 0 v/ Expiration Date:t� ��©U �"�� i Job Site Address: 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 MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a and/or one-year imprisonment,as well as civil day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify unde he ns a pe ties gf perjury that the information provided above is true and correct. Date: Si ature: Phone#: l Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# LLBoaard ority(circle one): ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector on: 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=contractors)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 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia i AM 1)aclinte)tt Alth Standard Form of Agreement Between Owner and Contract®r for a Small Project inhere the Basis of P���trnettr is a S'17I'rTl-ATED 5L'1'l 1993 SMALL PROJECTS EDMON llecause ll?fsdoctnnent lets ina{Vttcutt lct;al t olrcc+r{rreuces tre to consult 11`111.)all allomel`lx fo)•e signilkq it..iolite stult mmndale a ccntcelladon pc Joel orrequire equire otbe)'s1)'_'Jic tlicclosltrc+s,iltctuditkr rt al rilrrsfo) Dome inrpmveintwi crnmacls.whets a docimienl such as:IN,;it-111 I)e usecl for lvol kG oil tin+Oxvret:c pel oncrl l e,irlellcc�. 1'oin•uuomel-diould insert all lrnt{uelge"eff Timet fir sltttc+or local I[ttr to he incartded In t13is 11,1eement,Sttcl.)slalcntenls ntnr be e+ntc+vel in the space provided helots or if requireet 41`jell(,.crfir�te Ism sz;nattt�c n%t1x+pttrlic�s. This AGREEMENT is macle: r/krrrl April 27,2015 BETWEEN the Owner: Kevin Martin 136 Old Farm Rd. North Andover MA 01845 and the Contractor: Summit Design Build 29 Eames St North Reading,MA 01864 for the following,Project: Furnish and install new roofing,gutters,windows,siding,and entry doors as outlined in attached pricing proposal. The Architect is: N/A The Owner and Contractor agree as follows. *:`Cnpy01111C 199j by The:itnerlor..Indilwe of Ardlkecls. 1"3 1„rk Awro,".X.W..Wal-lington,D.t: .niii;n-Sd`)3.nepmt:a,von„f the 11'are6.13 11VI-011 lr.�:th�lanlial gnntatkm of at.pnaiSi•,re%A;)Kltu stn•wraten permi-fim of rttr al:\,i,tiaw%r1h rrgxns3:r 3s,a:,f IIIc t'ni:tyi sat w arnl„dl,t:Ml�t'r rL•r Lieuzutr:e• IC,P,,.1I tM1K'i.'nli:irt. . AIA DOCUMENT A105 •t)\\\F.'Kd:t)�IR1C IUfi 1GRF.F�sE�i' SMrtt.l.PRa)ECTa EDITION•.MAI,4011"3•TI IF.AsItOOLN Mn* -17.OF(,RCI In L V,1',iS 1IN-V Y()Rx • a�T\i!F�.1C.,WAjIllSG7Ux,1).0 2(xXx)A?Q•WARNING:Unlicensed photocopying b1115—1993 1 �La:' violates U.S.copyright laws and Win sublew the violator to legal prosecution- ARTICLE 1 THE CONTRACT DOCUMENTS The Contractor shall complete the Work described in the contract t)ocumcm for the project.The Contract Ducumrnt.;coni,;of. .1 this Agreement signed by the Owner and Contractor; 2 AIA Document.A_1(h.General Conditions of the Contract For Construction ofa,Small Project.current edition; .3 the Dra%vings and Specifications prepared by the 3cchirect.elated and enumerated as follnvm: oravdnp s: None Specifications: None .4 addenda prepared by the Architect as foilowN. None .5 Written change orders or orders for mincer chanev;in the Work issued after execution of this,-Agreement.and .S other documents,Warty,identified as follows: Customer may request changes in the work, and if agreed to by contractor, same will be documented by a written change order, prepared by the contractor, which will document the changes to be made, the resulting change in the contracted price, and the anticipated delay in the completion of the work due to the change. In the event that the change order request delays the progress of the work,verbal approval from the client is sufficient to begin the change. Contractor shall not be obligated to perform any change in the work unless and until customer signs such change order. Customer agrees to make payment of 1 00%of cost of the change, as shown on the change order at the time of next milestone payment. AIA DOCUMENT A105•OV�tiEKCO\7RlCTORAtiREE?St�'1—��tal•t.PROJECTS WL,no.N"ALr-V1993-TtlE rl�lEigC�1�tiv,51'in M OF ARt Hn'1::-M 1737JXM*V0I1K nN*TD;t,'%U•..WASTUr",T(^',IA.C:. Jarrtt9 WARNING:uniieensedphotecapytng A105-1393 2 Violates ti.&copyright taws and will sublect the violator to legal prosecution. I { AH 1 I%;LC G DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION DATE The date of contiftnceM. -ni sliall be the date of this Agreement unless otherwise indic-nw.d below.Tile Contrt(vir shall suhstantiall} complete the Work not later than SuhjcTt tt-)adjunment byChange0r(ler. Work to begin mid May,2015 (roof sooner) onl(W vdateornttmberaftart7rclardm:.4ttowtln t Work to be completed 4 weeks after start date ARTICLE 3 CONTRACT SUM 3.1 Subject,ro additions and(ILductions by Change Order.the QHitoct Sunt L-,: $68,848.03 (Sixty eight thousand eight hundred forty eight dollars and 03/100 cents) 3.2 For purposes(if payment,the Contract Sunt includes the follo winti values related to Pm-dons of the W rrk: Portion of Work Value Deposit due at signing of contract $10,000.00 Due on completion of roof $6.175.00 Due on completion of door installation $3,700.00 Due on completion of window installation $14,800.00 Due on completion of siding $21,200.00 Due on completion of gutters $2,250.00 Due on completion of project $10,723.03 3.3 The Contract Sum shall include all items and senders nucessn-for the pro�per cher urian and Conipirtion of tltr XC'nrk. AIA DOCUMENT A105•()V NU-CON'TILkCTOR AGREEMENT SMALL VROJE c;T5 7)1Tt0X•Altt"•(51994•T 1114"01LI 1"N I"%' IT'fG Ur ARC"rPl:('1 .i 35\FYC't"t.)RF AMILIF. nr WA%J ILNG7n-V.n.(:._tw{x+Sa4_>-WARNING:Unlicensed photocopying Ai 05--1993 3 Violates U.S.copyright latus and will sublect tete violator to legal prosecution. PAYMENT 4.1 Basecl nn Contractors Applit itions far Payment certified In•the o whitect,the Owner stnll pay file Cmitrtrtm as'oilent r {JJaar irta it Jtcty»mul/rm:c�rJrrrc:t trrKl prvr isit:rrcf u r.rttiru,j;+:i{rrrtr l Check due at times outlined in article 3.2 4 2 Payments clue :lrttt unpaid under the Contr.tcr tktctutletltti shall hear interest front tier(tate In►•ntent is Atte at titc rate of 180/0 or in the absence:thereof,at the legal rate prevailin,:n the place oitltr Prr,jtn rl awn,lenrs and rerprinmmrfLv rpxLv rJxr AT/errtl T)71tb 711Lerrdir4p ia.rimi/rrr.drKr arul Dual t'urr.<trprCr tr Tlit leer+'+recce!UIJa•r rti7 rafrrrngr.err rLr[xr rrrG<r,nd t:all. rrtre:ar;prowipal plerces q`bles4rrxs.ibe 1warion,rrho l nsj.w and cb;enis-rt.•aleft ?Jlt¢7 few eafutm-q11'?:pim•rsrrm.r ARTICLE 5 INSURANCE 5.1 The C:onfrtctor shall rn croide Contntctor s Whility anti other incur utce as follo«s: r11r.4 rr 3 nwl rC Drstrra,ht ra ra+trJ Jri t1><f rrner.1 / l 1 Complete liabBiity and workers compensation insurance for the duration of the project Insurance provided by: JJ Murphy Insurance Agency 1 Centre St. Malden, MA. 02148 5.2 The Owner shall prilvitie Owners I.i:tllility anal Ow ur s Propettc Insurance:n follows: rlrtserr<Jh�JJJC lirarrrnrecfirml.Jrrfif ln•tJrrtirrrrrr.r 5.3 The Contrarror shall ohrain an kndwser tent a1 its gencral liability insurance llc)lity to ccnrr the Contrtctnrs ohht alluns t)n(lrr rt � ? •rd oneiltinns of the;Cun;rft,�e for t;:orcfrae�.ips,OB-n-111 l ro;ects. Para,,raplt 3.1_o(AU,nnc•arnt-nt A_fh.G�nc . C 5.4 Certilicates elf insurance shall be prr)ridetl by C=711 p:lrt•she eiti;;their prior to cotnntenct:nWilt(r the\Vbrk. AIA DOCUMENT A105•(1WNFR-tiUVMACTOR.1GREF.%fF\T.%lAl-.Pk()JECTS };prrjo.\•:VA••Cil i•life W rU(A1 M,I'7!-1..OpmcttnT-.(C-.rti,17.45%—*FWY RK apt: IC,R'StitAGTO�,U.t 2i1FR*5.)�•WARNING:Unlicensed photocopying Al p5--1993 4 violates U.S.copyright laws and will subject the violator to legal prosecution. ls1 ARTICLE 6 OTHER TERMS AND CONDITIONS pmrr;m+t'rdl t r errm+fir c-rmdithals 10101c.; None TI»s IU-m-entent enteretl into ws of the clay and year fust written-.dxjri. +Nrrrinirer[fit•!sn;:l+rstncu;trrfiutlarr�rrlxl rifselrmrr�kar�dx7:ez'rnrii+;uute+Haar:>:rFxsty�;tr:rj�aur!r+rnl April 27,2015 c?N\-"NI;R coXTRACTOR Martin Summit Design Build (Primed newne,Nflc aur/r;rlrfrrsst (i rinitrl nan ,luth and addmssl 136 Old Farm Rd. 29 Eames St. North Andover,MA 01845 North Reading, MA 01864 LICENSE Na 083853 JURLSDICTION Massachusetts CAUTION: You Should sign} an original AIA document which has thiv C311t;.Gn larinteld in rad. t t ! An original assures that changes will not he obscured as may occur tvhen documents are reproduced. See Instruction Sheet or Limited License for Reprodt letion of this document. AIA DOCUMENT AIDS•o)r.xClt•C0'%7lL%CT0R AGRMIFNT—SMAU.rRO)R s; F.1)M0X•.ALV•01993•TItEAAll;lttG1V1,:t,NSTITIMOFARGi[iTFI il.1:i-NmrlYtrn At�ytF�..�c.a.�ctu.t:ray.tT.c;.2r>txx�s a�WARMNG:UnGcensedohotocopying ATUS-1995 5 violates U.S.copyright laws and will subject the violator to 10931 prosecution. l Pricing Proposal Date:April 22,2016 TO:Kevin Martin Job code:136 Old Farm Rd. North Andover,MA General Contractor: Architect: Summit Design Build Summit Design Build 29 Eames St. 29 Eames St. North Reading.MA018G4 North Reading,MA01994 Tei:781.507.0135 Tel:781.507.0135 1Me are pleased to submit the fallowing bid- Job idJob _Remove all existing wood siding and windows. Install new Tyvek housewrap and James Hardie fiber cement siding with James Hardie vented soffit(white). Siding is priced as James Hardie smooth Hardie Plank with CoiorPlus W exposure(Boothbay Blue). We will also remove all existing pine fascia and replace if with new Azek fascia, Strip e)istinsroof shingles,install 6 of ice and water sheiid,GAF Deck Armon and new lifetime GAF architectural shingles(Pewter Gray). SERVICE VESCRiPTIoN QUAMTITY Unit UNrf PRICE TOTAL GENERAL REQUIWAENTS Trash removal-20 Yard site dum ter 2.00 Loads $460.00 $920.00 All aluminum sidiM to be set aside for owner Pro ect Utilities Sv owner Parkin for three crew trucks daily By owner Site telephones By owner Final Cleaning Construction Cleaning 6.00 Hrs x25.00 $150.00 $1,070.00 DIV 2 SITEWORK Demolition Remove all e)ftfinQ siding Incl. $0.00 DIV 5 METALS Furnish all nails and fasteners 1.00 LS $200.00 $200.00 $200.00 DIV 6 WOODS&PLASTICS Sidin Furnish new 6-1/4"x12'smooth Hardie Plank with ColorPlus(Boothbay 32.00 SQ $235.88 $7,548.16 Blue Fumish and install new Hardie soffit with Azek fascia white LS $2.497.58 $2 49758 Furnish new Ha PVC comers w/.-channel P13.00 EA $164.76 $1,647.60 Furnish new HarveyPVC 9x33 to of walls and inside comer ' EA $20.13 $362.34 Furnish new HarveyPVC 1x8 EA 555.39 5186.17 Furnish new Harve PVC 3/4x10 for fi t blocks and outlets EA 586.59 $86.59 Furnish new Harve PVC therms-sto s ara a doors EA $7-99 $47.94 Furnish and install new custom PVC front door surround to match 1.00 LS 5335.56 $335.58 dicture r d owner and first floor win ows Install n vin din 12:00 Da $880.00 $10,560.00 $23,451.96 DN 7 THERMAL AND MOISTURE PROTECTION Furnish 6" eel and stick window and door flashing 12.00 rolls $19.32 $231.84 Furnish Geocel SW silicone caulking to match siding 4.00 Tube $6.38 $25.52 Furnish and install new Tyvek housewrap and tae 3100.00 SF $0.20 5620.00 $877.36 DIV 8 DOORS AND WINDOWS 1 window and,doorpilcing is included to window and door quote DIV 16 ELECTRICAL Re-install exterior lights and GFCI outlets 1.00 Sub $300.00 $300.00 $300.00 General Conditions Proect Manager WA Structural engineer review NIA Plannin /Develo menu(includes meetina with kitchen designer) N/A Shqp Drawings&Reproductions NIA Pre ect meetings N/A Construction Subtotal S25,699.32 8 Overhead 10% $2,569.93 Construction Foo 10% $2 569.93 Construction TOTAL $31276.07 Sq,ppIled B v Other or Paid Vat Purchase Order All furniture fixtures.and equipment Gutters Furnish and install new 5"white gutters with 2x3 down outs 1.00 Sub $3,200.00 $3,200.00 Roof Strip existing roof shin les down to the wood decking.Install new 1.00 Sub $8,820-00 S8,820.01) ice and watersheild along the a roof edge.valleys,and around all penetrations. Install GAF Deck Armor throughout roof area. Instal!new White aluminum drip edge. install new LifeCine GAF architectural shi les,ridge vent and new pipe flanges. Prins;includes disposal of all old shingles. Pewter GWJ Credits Credit to bring overhead and construction fee to original 1.00 LS (S1,000.00) 51 000.00 Sar?total: TOTAL: $42,296.07 Pricing Proposal Date:April 22,2015 TO:Kevin Martin Job code:136 Old Faun Rd. North Andover,MA General Contractor. Summit Design Build 29 Eames St. North Reading,MA 01864 Tel:781.507.0135 We are pleased to submit the following bid: Job Furnish and install Harvey Tribute series new construction windows. Ail windows are white vinyl with double tow-E argon filled glass Then have 616 grids between the glass with applied lift handles. All windows come with Views locking half screen 3"Etat exterior Casings with built in J-channel in a picture frame configuration applied to all windows. Furnish and install exterior doors as listed SERVICE _ WN DESCRIPTION 8U NnTy Unit UNIT PRICE J TOTAL. GFNERAL RMUIREMENTS Trash removal(dispose of all old windows 1.00 incl. Project Utilities owner Parkin -for three crew trucks daily By owner Site protection-floor mask finishes protections 1.00 LS $200.00 $200.00 Final Cleaning Construction Cleaning 4.00 Hrs $25.00 $100.00 $300.00 DIV s WOODS&PLASTICS Fumish white cedar shim shingles 2.40 Bndls $12.34 $24.68 Fumish new 2-112"colonial casing trim kits with sill and a ron ME 1.00 LS $1 788.91 $1788.91 $1,813.59 DIV 7 THERMAL AND MOISTURE PROTECTION Fumish Geocel silioone caulking8.00 Tubes $7.54 $60.32 Fumish fiberglass insulation for around window frames 1.00 LS $60.00 $60.00 $120.32 DIV 8 DOORSAND WINDOWS Windows Fumish and install Velux fixed skvllqht wl flashina kit 2.00 FA 5475.00 $950.40 Fumish new construction windows 1.00 LS $10,247.71 $10,247.71 Fumish Rams Crown molding above first floor front windows 4.00 EA $56.38 $225.52 Install windows and trim kits install rice based on existingsidingbeing23.00 EA $125.00 $2,875.00 $14,298.23 removed and new sidingand housewra installed Doors Fumish new 3068 Therma-Tru CCA260 entrydoor with matching1.00 t_A $3,159.88 $3,159.88 CCA220SL side hts. Door is hinged on the left as viewed from the exterior,virp 11 corn osile lambs,with adjustable sill and brushed nickel hardware. Exterior ccs have been left oft so door can be tinned to match picture provided by owner. includes Natural Oak stain kit Furnish new Hance H944 atummum or storm dowhite with Dakata 1.00 EA $457.93 5457.93 Plated pull handle and keyed deadboft Brushed nickel Fumish new 2-112-colonial casings 3.00 EA $9.30 $27.90 Furnish Schia 9 Centuryhandleset w/deadbolt satin nickel 1.00 EA $209.00 $209.00 Install a door 1.00 EA $225.00 $225.00 Install storm door 1.00 EA $100.00 5400.00 Fumish new 2868 Therma Tru FC10 entivdoor. Door is hin ed on the 1.00 EA $830.20 $830.20 ri ht as viewed from the exterior.vinyl composite'ambs adjustable sill and brushed nickel hardware. Y vi exterior casina factory applied to match windows. Includes Natural Oak stain kit Fumish naw 2-11T colonial cas s 3.00 EA $9.30 $27.90 Fumish Schta e Plymouth en knob wl deadbolt satin nicks 1.00 EA $72.50 $72.60 Install en door 1.00 EA $175.00 5975.011 a DIV 9 FINISHES PaintfWall covering and Spec!ft finishes All ainth-7g1 staining done 6 owner General Conditions Pro eat Manager NIA Planning/Development N/A 'Shop Drawings&Reproductions NIA Project meelin s NIA Construction Subtotal $21817.55 PERMIT AND APPLICATION FEE 1.00 LS $370.90 $370.90 Overhead 10% $2181.76 Construction t= 2181.76 Construction TOTAL 2 56 6 Supplied By Other or Paid Via Purchase Order AFI furniture,fixtures and equipment Subtotal: TOTAL: $2a551.96 I � I ' I lot is A 00 i a )VD '� V 4 W r ,,• 7.1 ' •o /,'%' $L At ck ML N l N �\ ►��.' - ` Seekamp Environmental Consultinc 29 South Main Street,Newton,NH 03858 \ Tel.603-382-3896 FAX 603.382-945' �:'V V'aTu SY*yY J�wx�'�fi' Ytl Hir iY �i/N •x.�,.*��r'yy �.•�rr,t JJ,.a r'�z 11•.e `�� �NNX XA" X XMY' XX h X' XXXX Mf�'H !�X XXYf�XA POOL LOCATION PLAN r1 Ck® \ 136 OLD FARM ROAD �1 NOT TO SCALE 4-20-98 North Andover MIMAP May 1, 2015 11)J&........... -b--0112Z '1' -662-1 #191 #95 062.0-0113 06- #10006-2'10-0110 034.0-0621 0046 '0 #105 4155 062.0-0114 ...... 061.0-0009 034.0-00fiifg&.: ,J&. #111 4108 109 0,62.0-,0115 '0 0 2.10� 1Q9. 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Bullne! 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD8?, SIR u s sfi. ac u:i- 3 Di icl Meters Data Sources:The data for this map was produced by Merrimack 0 B ine s 4 District Valley Planning Commission(MVPC)using data provided by the Town of Roads 0 Genem Business District Of North Andover.Additional data provided by the Executive Office of t,Easements r13 Planne,I CommencialDev 11 Environmental Affaim/MassGIS.The information depicted on this map is , Corrido Development Dist e 0 for planning purposes only.It may not be adequate for legal boundary E3 MVPC Boundary 13 Corrido Development Dist 0 Ivilalli to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER ;&� E3 Municipal Boundary 0 Corrido Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Zoning Overlay Indu I D�:jnc THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY District'Ir 13 Adult Entertainment G Indu r� D OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT [3 Downtown Overlay District 0 Indu:tri it 3 District a ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF o v 9 Ind.sti-iflSIDisuict C3 Historic District THIS INFORMATION 0 Water Protection Reside ce 1 District A,— Reside i ce 2 District A US 0 Parcels 0 P-idei ce 3 District 13 Hydrographic Features deice 4 Distric 1" 274 ft del ce 5 Distric -Streams 1-8 District go esidential District CERTIFICATE OF LIABILITY INSURANCE151511 `MM`°°IYYrY' 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 La Cowan _ AME RY Cowan Insurance Agency,Inc. PHONE JOU 978 372-1451 FAx 978 5214669 359 Main Street E-MAILDRESS. larry@co%mninstirance.com Haverhill MA 01830 INSURERIS)AFFORDING COVERAGE NAIC e INSURER A:Associated Employers Insurance Company INSURED INSURER 13: Summit Design Build Inc. INSURER C: 29 Eames Street INSURER 0: North Reading MA 01864 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 LT, pREDUCED BY PAID CLAIMS. (NSR TYPE OF INSURANCE DDL!SUBRvArnI POLICY NUMBER € POLICY EFF N IDDPOLICEXP , LuArrs GENERAL LIABILITY ii EACH OCCURRENCE is DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY ISES.(F_BIOSCxi3[Plr-EI s .�...' CtA1MS MAD£ OCCUR i MED EXP{Any am verson)IS X _ _ I PERSONAL&AOV INJURY Is –�----- GENERAL AGGREGATE 1S GEN1 AGGREGATE LIMIT APPLIES PER PRODUCTS-COUPIOP AGG S �j }� $ i t POLICY P'a 1 I LOC # -- 1 AUTOMOBILE UA131UTY - COMBINED SINGLE LIMIT ANY AUTOBODILY IN.p1RY IPE;pemm) S ALLOWNED NODULED BOD INJURY NY JURY(Per z xiftE@ S — AOS _m PROPERTY DAMAGE S HIREOAUTOS ( AUTOS _. ) UMBRELLA LIAR HOCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE Is DED RETENTIONS I i S WORKERS COMPENSATION3YlL STATU- AND EMPLOYERS'LIABILITY 4 LRY11Ml7S 3 ANY PROPRtETORiPARTNERiEXECUT1tyITY�!N [E.L.EACH ACCIDENT gg I S 109,800 A OFFICERIMEMBEREXCLUDED? L:J N!A WCC5610993012015 0511212015 05117/2016 , i (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE!S 180,800 O SCRIPTION MFOPE TI S below J EL.DISEASE-POLICY LtMn S 500,000 }1 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Residential carpentry contractor. Michael Coughlin in not covered by the worker's compensation policy, CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THEABOVE DESCRIBED POLICIES BECANCEL.LEDBEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REP E ATTVE I Fax:(978)688-9542 ; C�?1988-201 CORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks o CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) AC"ORa► 05/01/2015 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JAMES J MURPHY INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ONE CENTRE STREET, 2ND FL ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MALDEN, MA. 02148 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER& WESTERN WORLD INS.COM. SUMMIT DESIGN BUILD INC. wsURERB: 29 EAMES STREET INSURER C: NO. READING, MA 01864 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. POLICY-EFFECT POL[CY-EXPIRATION INSR LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE(MM1DD ► GATE(MMIDDIYY LIMITS A GENERAL LIABILITY NPP1375522 05/18/2014 05/18/2015 EACH OCCURRENCE $ 1,000,000.00 COMMERCIAL GENERAL LIABILITY DAM& E ( RENTED 50,000.00- PREMISESS Ea occurence $ CLAIMS MADE ® OCCUR MED EXP(Any one person) $ 5,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 POLICY n PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS 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 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROP RIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF NORTH ANDOVER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 1600 OSGOOD STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL NORTH ANDOVER, MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE JO-ANN P. DICHIARA &CORD 26(2001108) 0 ACORD CORPORATION 1988 Massachusetts -Department of Public Safety IV Board of Building Regulations and Standards Construction supervisor License: CS-083853 MICHAEL S COUFHITUJ4'� �t`" 29 Eames Street North Reading MA U Expiration 05/20/2016 Commissioner ' fie�poanin2aaua �����. � Office of Consumer Affairs&c Business Regulation I OME IMPROVEMENT CONTRACTOR egistration: �i66149 Type: xpIration:--4T2-&k1.6 Private Corporatic SUMMIT DESIGN BUILD MICHAEL COUGHL,'= 29 EAMES ST , ^•. -'-. NORTH READING,MA 01864- '~ Undersecretary I Location No. Date I . - TOWN OF NORTH ANDOVER F Certificate of Occupancy $ �. Building/Frame Permit Fee ;7 Foundation Permit Fee $ o�• ( �^ Other Permit Fee [a . TOTAL $ Check.# 2 J Building Inspector