HomeMy WebLinkAboutBuilding Permit #337-2017 - 15 MERRIMACK STREET 9/29/2016 ���as �C faN�1/E.II
1�I� t-r/l J u � '�1 r► ,. . � NORTH 9
BUILDING PERMITo m
TOWN OF NORTH ANDOVER t
APPLICATION FOR PLAN EXAMINATION -
Permit NO: -9-01 Date Received �'— �' "oob
CRATED
Date Issued: - #101(b 9SSACHus��
IMPORTANT:Applicant must complete all items on this page
LOCATION.-- V'
Pot H
RROPERTY OWNER -
in
NtAI� NOPARCEL �4NING CtSTRICT Hastor1c 13tstrlct yas no
<Machine Sf�o Ila e3 n
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7777
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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
4. peptic � 1111e11 _ 'T Fopd{� 'Wo -a
IlUatershed Dis#riot
_ate-/Sewer,
r� o� Rtn ®•,1Awl -- ( d r-e4k6L
Identification Please Type or Print Clearly)
OWNER: Name: L/ -GVAlidA-elCvd'LA:!a. Phone: 9 _ �� 7 �� 33
Address:
CONTRACTOR Name a Phone
Address
Su'pervisor's Construction`Lice se exp ;Date
fQt -
--____
Horne lrnprovernent License Xp late
r
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ T 3 0 r FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered c n ractors do not have access t e gu my nd '
Signa#ure ofrwAgentJ?wr�er 5igture afconractor
1
1
s. `�• NORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER o?
APPLICATION FOR PLAN EXAMINATION
h T
Permit No#: Date Received �'"oRArE,
�SSpCHU`'E�
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER - -
Print 100 Year Structure yes no
MAP 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 j
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
Il Water/Sewer - -
DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address:
Contractor Name: Phone:
Email:
Address:
Supervisor's Construction License: Exp. Date:
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.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agerft/Owner Signature of contractor �� 1
a� s
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
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION
Reviewed on Signature
_ 9
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:Dempster on site
yes na
Located at 924 Main Sfreet - --
Fire Department signature/date
COMMENTS _. /"
p
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 _ T _^ _ 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
o Workers Comp Affidavit
a 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
❑ 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)
o Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li Copy of Contract
o Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2014
1
Location /5 for-4tty-100k -f-
i
No. 337 - ot7 Date aorta
• - TOWN OF NORTH ANDOVER
t
Certificate of Occupancy $
Building/Frame Permit Fee $ +'�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
j 1 �/ Building Inspector
Massachusetts Home Improvement Contract
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A
Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the
Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website.
Homeowner Information Contractor Information
Name: Laurie and Michael Curran Name: Kevin Smith
Smith Construction Company
Address: 15 Merrimack Street Address: 37 Linden Avenue
North Andover,MA 01845 North Andover,MA 01845
Phone: 978-857-9033 Phone: 978-687-7064
Mailing Address if different from above: Const. Super.Lic.# CS-102589 Exp.Date: 3/5/2017
HIC Lic. # 108511 Exp. Date: 8/19/2018
The Contractor agrees to do the following work for the Homeowner:
Furnish all labor,materials,and equipment necessary to renovate the kitchen and two bathrooms,replacement windows
throughout house(new windows in kitchen), replace electric panel,remove knob and tube wiring in attic,replace front
door,remove wallpaper in Foyer,Living Room/Family Room,Downstairs Bedroom,expand Foyer closet,block vent in
upstairs bedroom,remove partition within limits of pocket door in Living/Family Room.
Two emails dated July 28,2016 and one email date August 1,2016 are included as part of this agreement.
The following permits are required and will be secured by Proposed Start Date: 9/22/2016
the contractor as the owner's agent:
Building Permit Substantial Completion Date: 1/15/2017
Electrical Permit
Plumbing Permit
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,furnish the material and labor specified above
for the total sum of: $119,930.00
Payments will be made according to the following schedule:
Permit,front porch,first floor renovations $ 13,900
Window replacement $ 10,900
First and Second Floor Bathrooms and Kitchen:
Demolition and debris removal: $ 14,000
Frame walls,Rough-in plumbing and electric $ 30,000
Insulation and Blueboard/Plaster $ 25,000
Completion of Bathrooms and Kitchen $ 21,130
Electrical Work $ 5,000
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract.
• Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.
• Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and
subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757.
• Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to
see a copy of a"proof of insurance"document.
• Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide
to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!!
TAidentleal copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy should kept by the contractor.
4
Homener' Si a Cont tor's Si e
gel
Date Date
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an
alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a
contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless
both parties agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and thyco umer shall be required
to Qbmi arbitration as provided In Massachusetts General Laws, cha ter 1 A.
Homeowner's Signature C ntract Signature
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution
initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not
separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a
timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees
or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the
contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular
purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the
terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about
your consumer/homeowner rights, contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void, deleted,or not applicable. One original signed copy of the contract with attachments is to be
given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing
and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of
the contract, and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the
homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself
to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the
signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other
consumer rights, or if you wish to obtain a free copy of A Massachusetts Consumer Guide to Home Improvement
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
h!ip://db.state.ma.us/homeimprovement/licenseeli
assistance with informal mediation of disputes or to register formal complaints against a business, call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800 508-755-2548 or 413-734-3114
Version 2.1-11/22/2010
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR
OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE
BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE
INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN
BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU
CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF
THE TRANSACTION WILL BE CANCELLED.
IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT
YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF
THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE
SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF
CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT
ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE
TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER
AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL
OBLIGATIONS UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND
DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE, OR SEND A TELEGRAM TO [Name of Seller], AT [Address of Seller's Place
of Business] NOT LATER THAN MIDNIGHT OF (date). I HEREBY
CANCEL THIS TRANSACTION.
Date: Buyer's Signature:
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Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 119,930.00 m
$ - $ 1,439.16
Plumbing Fee $ 179.90
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 179.90
Total fees collected $ 1,898.95
15 Merrimack Street
337-2017 non 9/29/2016
Interior Renovations
j NORT11
Town of :. _ �� Andover
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' S U BOARD OF HEALTH
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Food/Kitchen
PERMIT _T LD kxrvo.
Septic System
THIS CERTIFIES THAT ....... AS.M..70Y.......................................................... BUILDING INSPECTOR
has permission to erect ... buildings on M �. .��'. .O� .. Foundation
....................... .... .. ............. ..... .......
to be occupied as .0fto..d.�..9000.8..k.1�P�,Q+.�lt....,�.........�... ..s ... himney
Rough
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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
1 Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
{ PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR....
UNLESS CONSTRUC ON STAR Rough
..... .. .
............................... Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
I
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NORT1i
oven of � Andover
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No. * =
' h ver, Mass,
coc"Ic NIW".
�ie A�q�t7E0 PQP��S
S U BOARD OF HEALTH
i
Food/Kitchen
MIT Septic System
PER LD
dIL THIS CERTIFIES THAT ........ BUILDING INSPECTOR
.. .... ... .. ... .............................. .... ...
Foundation
has permission to erect ............... buildings on .b
"elY.1 -01M
Rough
tobe occupied as ... �... ..... .. ........, ..... .... ............................... 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 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST ION Rough
Service
.
Final
BU. LDI. . STOR
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.
Curran 9-27-16
ei-a_t N,Andover,M.A. 3:24pm
loft
CS Beam 4.11.26.1
bnBeatnEtgine 4.11.26.1
MaterialsDatabase 1516
Member Data
Description: Member Type: Beam Application: Floor
Kitchen Top Lateral Bracing: Continuous
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL
Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF
Filename: Beaml
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Additional Uniform(PSF) Top 0' 0.00" 10' 3.W' U 8.00" 30 10 Live
Additional Uniform(PLF) Top 0' 0.00" 10' 3.00" 0 80 Live
Additional Uniform(PSF) Top 0' 0.00" 10' 3.00" 6 0.00" 20 10 Live
Additional Uniform(PSF)--- Top a 0.00" 107 3.00" 16 0.00" 55 15 Snow
I
10 3 0
10 3 0
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 a 0.000" Wall SPF Plate(425psi) 5.5W, 2.738" 6110# --
2 10' 3.000" Wall SPF Plate(425psi) 5.500" 2.738" 6110# --
Maximum Load Case Reactions
Used for applying point loads(or line loads)to carrying members
Live Snow Dead
1 853# 4171# 1939#
2 853# 4171# 1939#
Design spans
9' 5.750"
Product: 2,0 RigidLam LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS
Connect members with 2 rows of 16d common nails at 12.0"oc
NOTE:Nails must be applied from both sides
Design assumes continuous lateral bracing along the top chord.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 14480.# 25122.# 57% 5.12' Total Load D+S
Shear 50904 11089.# 45% 0.4' Total Load D+S
Max.Reaction 61104 122724 49% 0' Total Load D+S
TL Deflection 0.3122" 0.4740" U364 5.12' Total Load D+S
LL Deflection 0.2131" 0.3160" U533 5.12' Total Load S
Control: LL Deflection
DOLS: Uve=100% SnOw=115% Roof--125% Wind=1600/o
Design assumes a repetitive member use increase in bending stress: 4%
i
All product names are trademarks of their respective owners
Copyright(Q2013 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED.
"Passing Is defined as when the member floorjoist,beam orgirde(shown on thisdrawing meets applicable design criteda for loads,Loading Conditions,and Spans listed on this sheet.
The design must ba reviewed by a quallfii,d designer ordesign professional as required for approval.Thlsdesign assumes product installation according to the manufacturers
Cifications.
e
HARVEY Manufacturing
ri.►'Rv~ ORDER
.e BUILDING PRODUCTS
Harvey Industries,Inc.
1400 Main Street.Waltham,MA 02451-1689 Dealer Quote
(781)899-3500 harveybp.com Summary
BILL TO: SHIP TO: Salem
413 Raymond Road
SALEM,NH 03079-9283
Phone:(603)893-1611 Fax:(603)893-8196
SMITH CONSTRUCTION COMPANY SMITH CONSTRUCTION COMPANY III I'II����III���I�IIII3IIIIIIIIII
37 LINDEN AVE 37 LINDEN AVE
NORTH ANDOVER, MA 01845-0000
NORTH ANDOVER MA 01845-0000
Phone: 978-687-7064 Fax: 9786877064 Phone: 978-687-7064 Fax: (978)687-7064
QUOTE NBCU
l7 S,T NBItCUSTQMER P " ENTERED:` DATE ORDERED URDER,TYP1 r
4070163 1030485 9/19/2016 9/19/201612:32:20 Charge
ORDERED`BY , STATUS SFTIP vIA= ;DELIVERY AREA
KEVIN Ordered Whse Pickup SALEM WAREHOUSE
CLERK' �UB.,NAME.` 7777777COUPON,; -
ewt -Eric Trefry CURRAN
LINE# DESCRIPTION QTS UNITPRICE ANT ENDED:'
10000-1 Classic DH,Unit Size 31.25 x 60.5,RO 31.5 x 61 2 $246.25 $492.50
Half Screen,Fiberglass Mesh,Screen Shipping Separate=No _
Window Label=Harvey,Double Locks,Custodial Lock=No,Sash Limit
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS,
Argon Filled,Custom Annealed IG=No,IG MFG=HY ,
Base Color=White
Performance Packages=E Star 6.0 2015
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25, SHGC=0.27,VT=0.48,NFRC CPD Number=
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, ?5--
Replacement,Fully Welded
Unit 1 Lower Glass, l Upper Glass:NFRC CPD Number=
HI I-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,3W2H
Overall Rough Opening Width=31.5,Overall Rough Opening Height=
61
Head Expander=Yes
Room Location: None Assigned
Last Update: 9/19/2016 12:32 PM Page 1 Of 5 Printed:9/19/2016 12:36 PM
i
UOTCNBR CUST NBR` CUSTi)MER P' ENTERED' DATORDERIWJVPC
; .
4070163 1030485 9/19/2016 9/19/201612:32:20 Charge
"ORDERED BY STATUS, SHIPVIA DELIV>ErRY AREA
KEVIN Ordered Whse Pickup SALEM WAREHOUSE
CLERK' ,SOB NAME COUPON
ewt -Eric Trefry CURRAN
DESCIMPTION QT) UNIT PRICU EXTENDED
11000-1 Classic DH,Unit Size 23.25 x 60.5,RO 23.5 x 61 4 $246.25 $985.00
Half Screen,Fiberglass Mesh, Screen Shipping Separate=No
Window Label=Harvey,Single,Custodial Lock=No,Sash Limit
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS,
Argon Filled,Custom Annealed IG=No,IG MFG=HY -
Base Color=White r
Performance Packages=E Star 6.0 2015 a
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25, SHGC=0.27,VT=0.48,NFRC CPD Number=
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, —23.25
-- ---+
Replacement,Fully Welded RO,23.5
Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,2W2H
Overall Rough Opening Width=23.5,Overall Rough Opening Height=
61
Head Expander=Yes
Room Location: None Assigned
DES -0 QT) UNIT PRICETENDED
12000-1 Classic DH,Unit Size 32.5 x 60.5,RO 32.75 x 61 3 $246.25 $738.75
Half Screen,Fiberglass Mesh, Screen Shipping Separate=No
Window Label=Harvey,Double Locks,Custodial Lock=No, Sash Limit --—-�
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS,
Argon Filled,Custom Annealed.IG=No,IG MFG=HY
- -
Base Color=White i
Performance Packages=E Star 6.0 2015 i
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25,SHGC=0.27,VT=0.48,NFRC CPD Number=
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, —32:—
�- -+
Replacement,Fully Welded Ro-.n
Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,3W2H
Overall.Rough Opening Width=32.75,Overall Rough Opening Height=
61
Head Expander=Yes
Room Location: None Assigned
Last Update: 9/19/2016 12:32 PM Page 2 Of 5 Printed:9/19/2016 12:36 PM
QUOTE NB R GUST.NBR ' CUSTOIvIR P ENTERED DATE.`ORDERED . . ORDER:TYPE
4070163 1030485 9/19/2016 9/19/201612:32:20 Charge
ORDERED_BY STATUS . SHIP;VIA DELIVERY AREA
KEVIN Ordered Whse Pickup SALEM WAREHOUSE
CLERK JOB NAME. - COUPON
ewt -Eric Trefry CURRAN
LINE# DESCRIPT JCJ►N,. Q UNIT PRICE EXT EKED
13000-1 Classic DH,Unit Size 31.25 x 56.25,RO 31.5 x 56.75 7 $246.25 $1,723.75
Half Screen,Fiberglass Mesh,Screen Shipping Separate=No
Window Label=Harvey,Double Locks,Custodial Lock=No, Sash Limit
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS, 3
Argon Filled,Custom Annealed IG=No,IG MFG=HY a _ _
Base Color=White .
Performance Packages=E Star 6.0 2015
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25, SHGC=0.27,VT=0.48,NFRC CPD Number
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size,
Replacement,Fully Welded
I
Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial Match Frame 3W2H
Overall Rough Opening Width=31.5,Overall Rough Opening Height=
56.75
Head Expander=Yes
Room Location: None Assigned
:LAVE#� .;, :' '.D1ES.GRIPTION,' ". ;;QTS• .': , UNIT.PRICE" EXT'ENDEI3`.
14000-1 Classic DH,Unit Size 27.25 x 56.25,RO 27.5 x 56.75 1 $246.25 $246.25
Half Screen,Fiberglass Mesh,Screen Shipping Separate=No
Window Label=Harvey,Double Locks,Custodial Lock=No,Sash Limit l
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS,
Argon Filled,Custom Annealed IG=No,IG MFG=HY
Base Color=White
Performance Packages=E Star 6.0 2015
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25,SHGC=0.27,VT=0.48,NFRC CPD Number=
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, -2715---
I----
Replacement,Fully Welded
Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,3W2H
Overall Rough Opening Width=27.5,Overall Rough Opening Height=
56.75
Head Expander=Yes
Room Location: None Assigned
Last Update: 9/19/2016 12:32 PM Page 3 Of 5 Printed:9/19/2016 12:36 PM
i
QUOTE NaRGUST NBI2 CUSTOMIER P ENTERED' DATE.ORDERED ORDERT.YPE
�.
4070163 1030485 9/19/2016 9/19/201612:32:20 Charge
ORDERED;BY .. STATUS" - ; :SHIP:VIA -D "R AREA "
KEVIN Ordered Whse Pickup SALEM WAREHOUSE
CLERK rOB NAME;; COUPON
ewt -Eric Trefry CURRAN
LINE# DESCRIP, 'tON Q-TV UNIT PRICE EXTENDED;
15000-1 Classic DH,Unit Size 27.25 x 52.5,RO 27.5 x 53 1 $246.25 $246.25
Half Screen,Fiberglass Mesh, Screen Shipping Separate=No
Window Label=Harvey,Double Locks,Custodial Lock=No, Sash Limit
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-E RS,
Argon Filled,Custom Annealed IG=No,IG MFG=HY
Base Color=White
Performance Packages=E Star 6.0 2015
I�
North=Yes,North-Central=Yes !
Unit 1: U-Factor=0.25,SHGC=0.27,VT=0.48,NFRC CPD Number=
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, ---27.75--
�---:.
Replacement,Fully Welded
Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,3W2H
Overall Rough Opening Width=27.5,Overall Rough Opening Height=
53
Head Expander=Yes
Room Location: None Assigned
'LINE# DESCRIPTYON QT3. UNIT PRICE: EXTENDED
16000-1 Classic DH,Unit Size 27.75 x 36,RO 28 x 36.5 2 $246.25 $492.50
Half Screen,Fiberglass Mesh, Screen Shipping Separate=No
Window Label=Harvey,Double Locks,Custodial Lock=No,Sash Limit T
Devices=Night Latch
Overall Glass Thickness= 11/16",Double Glazed,Double Low-.E RS,
Argon Filled,Custom Annealed IG=No,IG MFG=HY
Base Color=White c
Performance Packages=E Star 6.0 2015
North=Yes,North-Central=Yes
Unit 1:U-Factor=0.25,SHGC=0.27,VT=0.48,NFRC CPD Number= _
HII-M-31-02273-00002,Custom/Call Size Option=Custom Size, 2775—�
----�
Replacement,Fully Welded ao-ze
Unit 1 Lower Glass, .l Upper Glass:NFRC CPD Number=
HII-M-31-02273-00002
Sill rise extender =No
Contour In-Glass,Colonial,Match Frame,3W2H
Overall Rough Opening Width=28,Overall Rough Opening Height=
36.5
Head Expander=Yes
Room Location: None Assigned
Last Update: 9/19/2016 12:32 PM Page 4 Of 5 Printed:9/19/2016 12:36 PM
UOT -NBR CUST NBR CUSTONTER P " )ENTERED AT O
4070163 1030485 9/19/2016 9/19/201612:32:20 Charge
ORDERED.BY STATUS , Ski';VIA DELIVERY AREA
.;.
KEVIN Ordered Whse Pickup SALEM WAREHOUSE
CLERK JOB:NAME COUPON
ewt -Eric Trefry CURRAN
This quotation is based on our interpretation of the information provided. All quantities,sizes,extensions, SUl#TOTAL $4,925.00
grand totals,and specifications should be verified by the contractor prior to his/her bidding or ordering of
materials. Harvey Industries,Inc.,is responsible only for the items as quoted above. Any changes or $0.00
addendums will be subject to a requote. We propose to supply the materials as described above,subject to
the terms and conditions as required by our credit department. The prices are guaranteed.for 90 days from ORDER TOTAL: $4,925.00
the date of quotation unless otherwise noted. Delivery charges may apply and are not reflected on this - --
q rY g Y pp Y
quote.We appreciate the opportunity to quote this job. If you have any questions,please call your local
warehouse.
CUSTOMER SIGNATURE DATE
Last Update: 9/19/2016 12:32 PM Page 5 Of 5 Printed:9/19/2016 12:36 PM
The Commonwealth of Massachusetts
Department of Industrial Accidents
a 1 Congress Street, Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Aimlicant Information Please Print Le ibl
Name (Business/OrganizatiorAndividual): J
Address: �qJ,
City/State/Zip: -l� O 60hone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction
2.F1 I am a sole proprietor or partnership and have no employees working for me in 8. NRemodeling
any capacity.[No workers'comp.insurance required.]
3.[J I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. ❑Demolition
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' airs or additions compensation insurance or are sole 11. Electrical re
p ❑ p
proprietors with no employees.
12.EJ Plumbing repairs or additions
5.14I 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.t
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
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.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#; D xpiration Date: 1111-01120,
Job Site Address: /5,Ke((-'' Ad:A (. City/State/Zip: A, e/ ttil 0/5y
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expira ion 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
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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereb cer ' ' un e-the ins d enalties o eij r t
y p p f p �u y that the information provided above is true and correct.
Si nature: Date: �l0
Phone#: 7t'O G d cP
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 Cleric 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Office of Consumer Affairs&Business Regulation
- � HOME IMPROVEMENT CONTRACTOR
7; Registration 108511 Type:
l Expiration_,. 81"1g/2018 DBA
SMITH CONSTRUCTION,CO
= - i
i
Kevin Smith
37 LINDEN AVE
NORTH ANDOVER,MA 01845
Undersecretary
e
Massachusetts-Department Of Pubs!C Shy
$Board of 86iidirt Re ui `
9 g at+ons andS a s 'r€
Q''fr3)�rtrl3i% r73 Sr�"are;:vis;;t•:
License: CS402S89
���rVJ1%
�11� !) s
KE J +�`
:smm
63I1+1GLEW0UDCS y
North Andover hft 0
� Expira#ion
Commissioner 03/05/20,17
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t
1
LIVING ROOM N
1
-N
,. U1
•� KITCHEN Z
2,6
PORCH uo
a
® �ti BEDROOM CL.
HALL
o _
,2 CL.
ov
D
9/ FAV
FFPLANS FOR
CLU��RRAN RESIDENCE
FIRST FLOOR PLAN 15 MERRIMACK STREET
(EXISTING) NORTH ANDOVER, MA
SCALER/4"=1'-0" DATE:9/1/2016
O
IC
< co
BATH �
•' ® BEDROOM
2,6
E.F.
CL.
ROOF BELOW
ROOF BELOW
BEDROOM HALL
9�
'•9
:Z
BEDROOM
DOWN
PLANS FOR
FFCURRY5ANRESIDENCE
SECOND FLOOR PLAN 15 MERRIMACK STREET
(EXISTING) NORTH ANDOVER, MA
SCALE:1/4"=T-0" DATE:9/1/2016
ALL EXISTING WINDOWS
TO REMAIN UNLESS REFERENCE CABINET
NOTED OTHERWISE SUPPLIER DESIGN
11'-4" � 12'-0" 61_ 2�1
i
ALIGN
REMOVE EXISTING - -
NON-LOADBEARING WALL. REMOVE EXISTING 2 -2 X 4 POSTL *es I
--\
PATCH FLOOR, WALL& NON-LOADBEARING I II (TYPICAL)
CEILING TO MATCH. i - WALL & PROVIDE ` It STOVE
I i �N NEW C.O. O II 19'-7"
U I - III �-w
LIVING ROOM ; ; FAMILY ROOM z co I NEW HEADER KITCHEN
r�N I � IIID 2 1 3/4 X 9 Y4
is I III MICROLAM LVL
NEW WALLSi i ( I III REMOVE EXISTING c (n
SHOWN SHADED i � ALIGN SII
(TYPICAL) CLOSET WALLS. r- Z
- - - II
r---
--
ii 1TI 4'-0" DW
NEW STORAGE AREA o: a
(SEE DETAIL) EXISTING CHIMNEY
CL. O TO REMAIN C W C o U. M
W
PORCH
(NEW) m ? 5,_6„ EXISTING M I
C.O. 6 ' SL G 0F2
EXHAUST FAN. — -
- HARD DUCTED — —
�1T1 rrmnn TO EXTERIOR_
uululi NEW C.
O. -9c.4 `—NEW SLIDING DOOR.
REMOVE �N 2 - 2 X 8 HEADER
EXISTING HALL SEE ��� l�.Z •.n,F�
RADIATOR SECTION �g,2 BEDROOM BAT ,
�eZ 12'-3" (NEW). DECK NEW DECK AREA
UP D EXISTING WINDOW.
Z
V.I.F. LOCATIO
REGLAZE FRONT DOOR-) EXISTING CEILING
WITH TEMPERED GLASS. RAILING
NEW SINK&VANITY REMOVE EXISTING DOOR.
NEW W.S. ALL SIDES. MATCH EXISTING HEADER HT. PROVIDE NEW WINDOW
PROVIDE STORM/SCREEN DR.
- STORAGE CONTAINERS. TO MATCH EXISTING
OWNER VERIFY SIZES
EXISTING WALL COAT PEGS
ifl PLANS FOR
3/4"VENEER PLYWOOD.
PAINT GRADE. OCURRAN RESIDENCE--::-
HARDWOOD EDGES.
15 MERRIMACK STREET
DBL. 2 X 4 (PROPOSED) NORTH ANDOVER, MA
FINISH FLOOR
SCALER/4"=1'-0" DATE:9/25/2016
EXHAUST FAN EXISTING WINDOW
HARD DUCTED TO EXTERIOR
BOX-OUTS" (V.I.F.) 7,
PEDESTAL SINKS (2).
OWNER SPECIFY
000
NEW TUB &TILED *1 �C
SURROUND. z
BATH
NEW WALLS. BEDROOM
OWN SHADED
(TYPICAL) b
D
S
ROOF BELOW
D
ROOF LOW
STACKABLE S >-%er
WASHER/DRYER
2•
�s.
2'-6" BIFOLD DOOR
(VERIFY WITH W/D
DIMENSIONS)
BEDROOM
HALL BEDROOM
0
SECOND FLOOR PLAN
(PROPOSED)
MIRROR
BATHROOM -2ND FLOOR PLANS FOR
ELEVATION VIEW /Fu RESIDENCE
15 MERRIMACK STREET
NORTH ANDOVER, MA
TOILET
PEDESTAL SINKS (2) SCALEA/a"=1'-0° DATE:9/25/2016