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Building Permit #393-15 - 148 MAIN STREET 10/24/2014
f pORT#1 q BUILDING PERMIT � 3 4•`+`•�_� "°0 TOWN OF NORTH ANDOVER o I I� APPLICATION FOR PLAN EXAMINATION Permit NO: I I Date Received �,9ss Oreo��t'h Date Issued: lw RTANT:Applicant must complete all items on this page LOCATIONClf j Print PROPERTYOWNER �Gtf(i+e ��Jp�Ts�l not MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial Rr oration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer I V Identification Please Type or Print Clearly) OWNER: Name: ia4 �( La ii Phone: Address: CONTRACTOR Name: 9 /� : Z23- '7 � Phone Address: — t Z/ V Supervisor's Construction License: �g f 7 y Exp. Date: Q/ j Home Improvement License: G Exp. Date: ` _ `- l ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.0 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: //J'r Receipt No.: - NOTE: Persons contracting with unregistered contractors do not have acc0hY t u ranty d Signature of Agent/Owner� Signature of contractor F 't 4 BUILDING PERMIT � NORT►� �/ �. O��t�eD ib�ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received 7�.DRATED I•PQ•�.(5 SSACHUSS Date Issued: IMPORTANT: Applicant must complete all items on this page i LOCATION Print I PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no j Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other i ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Address: a Supervisor's Construction License: Exp. Date: i Home Improvement License: Exp. Date: 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. J Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -Signature a Agent/Owner Signature of contractor ; "I Y • 'r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL I Public Sewer ❑ Tanning/Massage/Body Art ❑ Swirmning Pools ❑ ;4 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ k Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ III I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i 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) i I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pen-nit Revised 2014 — - r- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan Li 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location 14 A 4 ` ( No. Date • - TOWN OF NORTH ANDOVER P Certificate of Occupancy $ Building/Frame Permit Fee $ 1 Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# Z v `� Building Inspector Y Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 40,000.00 m $ - $ 480.00 Plumbing Fee $ 60.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 60.00 Total fees collected $ 700.00 148 Main Street Unit A411 393-15 on 10/24/2014 Kitchen Remodel ATE CERTIFICATE OF LIABILITY INSURANCE 05/05/D2014) /4 C�R� 05/05/2014 THIS CERTIFICATI 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 terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PR000CER UUNTAUNAME: Emily Costello COSTELLO INSURANCE AGENCY PHONki AIC No. o Ezt: 978.374.63 52 978.521.5127 2 South Kimball St. hMAIL ADDREBa: ecostello@costelloinsurance.com PO BOX 5248 INSURER(S)AFFORDINGCOVEM09 NAiCif Bradford, MA 01835 INSURERA: Merchants Insurance Group INSURED RUSSELL BOURQUE INSURERS: Merchants Ins. Co. 9 LIBERTY STREET INSUAERC: Travelers Ind. Co of IL-ARWC 13579 MERRIMAC, MA 01860 INSURERD: INSURER 12: INSURER F: COVERAGES CERTIFICATE NUMBER: 2014 Master REVISION NUMBER: _THtST8-r0_C_E-RTIFY THAT THE POLICIES F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED-ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN'IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE.BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MWDD/YYY MMIDDr/YYY) LIMITS GENERAL LIABILITY SOPI05427312108/2013 12/06/2014 EACHR OCCURRENCE S 500,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 CLAIMS-MADE 4-1 OCCUR MED EXP(Any one person) $ 15,000 A PERSONAL&ADV INJURY $ included i GENERAL AGGREGATE $ 1,000,000 GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 11000,000 POLICYX JECPRO-T r7 LOC 1 S AUTOMOBILE LIABILITY MCA7015587 09120/2014 09/20/2016 (Ea accidev�c g 500,000 ANY AUTO BODILY INJURY(Per persoq) $ ALL OWNED X SCHEDULED 0 AUTOS AUTOS BODILY INJURY(par accident) $ X HIRED AUTOS X AUTOS SWNED $ Peracoident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ AND EMPLOO RS'LI BILITY YIN 6KU84719P2021 06/24/2014 06124/2015 X I.TOGRYLIMI% ER 11- ANY PROPRIETORIPARTNERIEXECUTIVBM 61,EACH ACCIDENT g 100 000 C OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NM) EL.DISEASE-EA EMPLOYEE 6 100,000 D yee,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AMCh ACORD 101,Additional Relnarka Schedule,If more space Is roquire[l) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DFXCRIBED POLICIES BE CANCELLED BEFORE YHP EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover AUTHORIZED REPRESENTATIVE 120 Main street North Andover, MA 01845 William Costello r "`r. 01988-2010 ACORD CORPORATION. All rights reserved, ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD I AICO)RPM DATE(MtdlDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/05/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE:DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CUNTAUT NAME Emily Costello COSTELLO INSURANCE AGENCY PHONEa NoEt: 979 374 6352Sil.S127 ac No 2 South Kimball St. ADDRESS: ecostello@costelloinsurance.com PO BOX 5248 INSURER(S)AFFORDING COVERAOE NAIC# Bradford, MA 01835 INSURERA: Merchants Insurance Group INSURED RUSSELL BOURQUE INSURER B: Merchants Ins. Co. 9 LIBERTY STREET INSURERC; Travelers Ind. Co of IL-ARWC 13579 MERRIMAC, MA 01860 INSURERD: INSURER E: INSURER F! COVERAGES CERTIFICATE NUMBER_ 2014 Master REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAV SEEffISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A1)13LjF>U POLICY EW-_Pb1TCV1)W- LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER MMIDDIYYYV MM/ppfrM LIMITS GENERAL LIABILITY BOP105427312/0812013 12/08/2014 EACH OCCURRENCE S S00,000 X COMMERCIAL GENERAL LIABILITY PREMISES E8 O'.urrence S S00,000 CLAIMS-MADE zX OCCUR MED EXP(Any one person) 8 1$ 00 A PERSONAL RADV INJURY s included GENERAL AGGREGATE $ 110()0,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY X JEC I LOC 7- AUTOMOBILE LIABILITY MCA7015S8 09/20/2014 09120/2015 eccldentLIRIII $ S00,000 ANY AUTO BODILY INJURY(Par person) S ALL OWNEDSCHEDULED B AUTOS X AUTos BODILY INJURY(Per ecddent) S X HIRED AUTOS X AON -OWNED UTOS (PeracGdent S UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION 6KUI3a719P2021 0612412014 06/24/2014 XWC STATU- 01 AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNERlEXECUTIV $ 100 C OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT100,000 (Mandalory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 D ee, he undar 500,000 DESCRIPTIIPTI ON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCAVIONS/VEHICLES (Attach ACORD 101,Additionhl Remarks Sahedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover AUTHORIZED REPRESENTATIVE 120 Main street North Andover, MA 01845 William Costello 01988-2010 ACORD CORP RATIO II rights reserved. ACORD 25(2090105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustriqlAccidints Office of Investigations 600 Washington Street Boston,MA 02111 UqV www.massgov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0b Name (Business/Organization/Individual): Address: City/State/Zip: jci ��T (>jc, Phone#: Are you an employer?Check the appropriate b Type of project(required): 1. I am a employer with 4.JQ1 am a general contractor and I 6. ❑New construction loyees(full and/or part-time).* have Hired the sub-contractors �,/ 2, 1and'haveno m a sole proprietor or partner- listed on the attached sheet.t �• Kemodeling ship employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers comp.insurance. Y [No workers' comp.insurance 5. El We are a corporation and its 9. ❑Building addition required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.F1 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' comp.insurance required.] 13.[i Other *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 tiie 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 their workers'comp,policy information. I am an employer that is providing workers compensation insurance for my employees: Below is the policy and job site information. J� / Insurance Company Name:._�©E k, h G r Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 1�� Lkl—a Iley J 7 �/ City/State/Zip: 0i )a Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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. X do hereby c urt er ins and penalties ofperjury that the information provided above is true and correct. Signature: Date: Phone/ �4K~ 79— 7Y6 7 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 j oint 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,constriction 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.'Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone aiid fax number: The Go onwealthofM9 a.,chvsPtts Department of Jadustrial,Accidents Office of Investigations 604 Washiugtan.Street Boston,MA.42111 T01,#617-727-4900 ext 406 ox 1-877 MA.SSAFE Revised 5-26-05 Fax#617-727-7749 www.to,ass,govfdia NORTH Town of s : 1. Andover 0. 0% No. 1W soh ver, Mass, COCNIC"1WICK y1. �ds RATEO I•PP� G� 7V BOARD OF HEALTH Food/Kitchen PERIWIT T LD Septic System THIS CERTIFIES THAT .......................................L.ud.. —................. BUILDING INSPECTOR .... . .�.................. ....... .............. Foundation ... ... has permission to erect ......... ... ........ b 'Idings on .�. .. ......,�/��(A...IS.�....... ......... .�.. ........ � � _ Rough to be occupied as .......K . ..... .......... (................................. ....................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTIJ2 ELECTRICAL INSPECTOR • UNLESS CONSTRUCTI AirsS Rough Service ................ ..... ..................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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 September 19,2014 Robert Ludgin 148 Main Street Unit A411 North Andover, MA 01845 Dear Robert, Your request to install new flooring, kitchen, and replacement fixtures in the bath and paint in your unit has been approved as submitted. • Please be reminded of the following with regards to contractors: Hours permitted for contractors are between 8:30 am and 4:30 pm Monday through Friday. • Contractors must park in visitor parking or the unit owner's space. • Contractors should not lean on nor mar any common area walls. • No debris or trash of any kind is to be put in the community dumpster. All supplies,trash, and materials of any kind must be removed from the property. • Unit owner and/or contractor is responsible for vacuuming and cleaning any common area or hallway upon completion. Thank you. R'O'�� a wici'a Rosemary Riccio First Realty Management Agent for the Board of Trustees,Sutton Pond Condominium COMMON HALL 3,-7" 4'-8" L 4 L HW � YO R M in WASHER BEDROOM \ I DRYER N I ro LAUNDRY/ MECH. ENTRY ELEC. HALL ;_______ �00 CLOSET O PANTRY CLOSET BATH Ou V O I o KITCHEN 1/2" 3'-8" 1/2" m s-s 1/2 LINEN CLOSET 6'-10 1/2" N O a DINING 16'-5 1/2" 11•-4" 0 1 BEDROOM I LIVING ROOM BALCONY 1 EXISTING FLOOR PLAN-UNIT 411 A AUGUST 28,2014 1 li Work Agreement Date: 10/18/2014 Contractor: Russell Bourque Building&Remodeling 143 Haverhill Rd Salem NH 03079 CSL#098174 HIC#160743 Job Location: Jackie Ludgin 148 Main St Unit A411 North Andover, Massachusetts Job Descrintion: The contractor agrees to do the following work for the homeowner Condo Remodel: Renovate Condo as per Specifications Dated 9/18/2014 Flooring: -Remove and replace all flooring in unit. -Install New carpet in master bedroom and closet,Glue down hardwood in all other main living areas, kitchen and first bedroom, Marmoleum Tiles in both baths Renovate Kitchen: -Remove Existing cabinets and minor interior partitions separating kitchen from rest of unit. -Relocate refrigerator to closet with new framed wall. -Install new cabinets as per plans including all related moldings, panels and scribes -Install Tile backsplash Plumbing: -Relocate plumbing in kitchen remodel as per plans -Replace all plumbing fixtures as per plumbing spec(all fixtures to be supplied by homeowner) Electrical: -Update/Replace all kitchen wiring back to panel (if necessary) -Install and connect power for all necessary appliances -Install 2 track lighting fixtures selected by homeowner -Replace only circuits related to kitchen renovation with new Arc Fault Breakers *Materials and installation for under cabinet lighting not included at this time *Power to kitchen island not included at this time Finishes -All new wall surfaces to be smooth finished sheetrock -All walls,ceilings and trim to be re-painted per homeowners specifications. -Replace all trim/moldings disturbed by renovation to match existing -Install new NEST thermostat -Install new closet shelving(to be supplied by homeowner) -Install new miscellaneous fixtures including grab bars,towel hooks and medicine cabinets (to be supplied by homeowner) Owner Supplied Materials Only: The following materials shall be supplied by the owner,and shall be installed by the contractor per project specifications: 1. Kitchen Cabinets(per drawings supplied to contractor by owner dated 10/XX/14) 2. Tile at Kitchen back splash, including grout. 3. Vinyl Tile flooring for each Bath, including adhesive as required 4. Hardwood flooring throughout all spaces except Baths and master bedroom,including glue. 5. Carpet for Master Bedroom 6. All Plumbing Fixtures 7. Master Bath Vanity 8. Bath Accessories(including medicine cabinets,mirrors,towel bars,etc.) 9. Under cabinet light fixtures at kitchen 10. All Kitchen Appliances Owner Supplied Materials&Labor: The following materials and installation labor are to be provided by owner: 1. Kitchen Countertops; Installer:,Stone one Marble&granite-Methuen, MA Contractor shall coordinate installation to coincide with his project schedule.These material and installation costs are not included in this contract sum. The owner shall order and provide payment for the above items directly through each respective material vendor as agreed to with contractor, and provide a copy of the order and all contact information to the contractor. Per this agreement,the contractor agrees to assume responsibility for coordination of material delivery to the site,if applicable(i.e. hardwood flooring,cabinets).All delivery fees, if any, associated with these materials will be paid for by the owner.The contractor shall notify the owner at once if any materials delivered to the site, or available for contractor pick-up(i.e.carpet)are damaged in • � i any way or do not match indented project specifications.The owner shall make indented install locations clear to the contractor,if products are not identified in drawings or specification.The owner shall advise the contractor of anticipated procurement dates for each of the items listed above. However,the owner shall not bear responsibility for any losses,financial or otherwise, regarding project schedule or delays incurred b the contractor as subject to the procurement y � p m t of any owner provided items.These material costs are not included in this contract sum Quote: -All work to be completed in accordance with above specifications for the total sum of$20,755.75 Payment Schedule: Payment#1.Initial Down Payment. Due before start date of project $7,000 Payment#2. Due once walls are finished and flooring is ready to be installed $6,000 Payment#3. Due once the majority of work is complete and only"punch list"items remain. $6,000 Payment#4 Punch list Payment. Due upon final completion of the project $1,755.75 Total $20,755.75 Proposed Start and Completion Schedule -The following schedule will be adhered to unless circumstances beyond the contractor's control arise Date when contractor will begin contracted work 10/25/2014 Proposed date when contract work will be substantially completed 11/25/2014 General Requirements: -The contract sum stated in this agreement includes all materials and labor to complete the job, unless otherwise noted -All Materials to be guaranteed as specified,and all work to be performed in accordance with drawings and/or specifications submitted with above work. -All estimated pricing is made in good faith and based upon observed conditions and normal expected building practices for elements hidden during initial inspection. Contractor not to be held liable for additional work deemed necessary to complete the project discovered during the construction process. -All work must comply with local and state building codes. -Contractor is responsible for all permit fees and scheduling building inspections -Contractor is responsible for removal of any and all construction related debris -Contractors and sub-contractors to adhere to Sutton Pond work guidelines -No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract Warran ContracW guarantees work k to be free,from. defe M. In rnaWrlalland workmarishlo for a peTiod of one year from the date the final payrme+nt Is recrlved, This Standard Vinited Warranty applies and Is,Il mkW as follows: 1.To the conmuction,work that has not been.subject to acd*nt,misuse or abuse.. 2.To the cororudion wwvrk tW has,not been modAK akm-A p,defaced,or had repairs mate of attempted by others, 3.The contractor shag not be held re�ponsibla fear darn:ageIncurred by normal expected use ,natural weathering or extreme weather damage Wamtt Cotrdnued h 4.Tit contractaor be notliled In within ten Jflyj days of first knowledge,sof clefett by owner orchis agent. 5:TIS contractor shall be given first opportunity tip make any rgw1rs,re;pfacentents or,00rrattlons to the defedive cortUructlon at no cost to owner wlthin two weeks of ung notified. The above prices,speclfloatlxrs and conditions are hereby acted.Russell bou°rque Suilding& Remodeling is auth udzed to do the work as Wdfied.Payments wo b.made as outl;reerf a#�+re.any changes made to spedirkat;ons of the job mu-st be agreed upon first;,in writing,; buff4er.and homeowner before preceecling in the form of a Cisme Order. DO,IMM SIGN THIS CONTRACT IF THERE ARE AWSLANX SPACESM Two edent"t rtrp*5s of the twttatj Mug be COMOOW ark fid,Oft aM 9=16 1p to thae Mv**wW.ttae~espy %haunt be k 0* 0MAIN vn�rar ate owner Dam . �a ♦vu oa..io- � s � MECH. ENTRY \ w ELEC. HALL c 0 0 �KISt)�Cp \ ---✓— --:--- -- ------ --- aa t CLOSE KITC-H F ' (f Dll� I I � 0' I I DOUBLE SINK TRASH { PULL-0* DW j --- i -- --------------- Y t � - t I N'EW l�1r ll�s PROPOSED FLOOR PLAN @ KITCHEN SCALE: 1/4"=V-0" t i 1 i Massachusetts -Department of Public" `ety Board of,Building Regulations and Star Is Construction Supervisor License: CS-098174 RUSSELL S BOUgOUE. - '•,. 9 LIBERTY STREET., MERRIMAC MA 01860 i � R Expiration Commissioner 10/03/2015 �e tpb�iwr�soauuealG�cL��jlrra ac%roel/ I .0frice of Consumer Affairs&Business Regulation bME IMPROVEMENT CONTRACTOR egistration: 160743 Type: :expiration: .8121/2016. I =, _ Individual RUSSELL BOURQUE RUSSELL BOURQUE 9 LIBERTY ST MERRIMAC, MA 01860 —� Undersecretary I I