HomeMy WebLinkAboutBuilding Permit #434-2016 - 153 ACADEMY ROAD 10/6/2015 ,Se��rv,D lv1i,5/.�' t_
SeAwA-,e D tt NORTFt BUILDING PERMIT Oc,gLED ,6gti
TOWN OF NORTH ANDOVER p
APPLICATION FOR PLAN EXAMINATION
� SRA o�s��s• ,. �
Permit No#: Date Received Ssgc►+us���y
Date Issued: � � � 1)
IMPORTANT: Applicant must complete all items on this page
LOCATION
Prip t
PROPERTY OWNER . 0,A % t cJ
Print 160 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
_Oidteration No. of units: ❑ ommercial
epair, replacement ❑Assessory Bldg Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
El Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
IJtc^ t" .t�1 Sly 't C � tY�C, tY C�rr�/
Identification- lease Type or Print Clearly
OWNER: Name: /(c6, Phone: fig'- -qa0
Address:
Contractor Na e:0 c, tet. �4111+`Pphone: f-
Email: fytell �: >UL N .
Address: 14 Qt w _
Supervisor's Construction License: CS— I OL ` UZ 1 Exp. Date: g I
Home Improvement License:. ._ _ Exp. Dater
ARCHITECT/ENGINEER —77� w���rnc I Phone: 91T�-��� —�1� �l
�tn 6Sue cr� j r e
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: $ /0g- , FEE-. $ ,011
Check No.: 2)4< Receipt No.: 0
NOT PeNso s contracti�Z with unyegist ed contactors do not have acces to the ty and
1.,Signature of Age t/ wner Signature_of contractor
Location �Jr� C4 r/4'/x• �y
No. ?y `/� Date !� (�/1".)
. • TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $ �
rrU Nva TOTAL $
Check
l�
s'� Z Building Inspector
'r "i J
J
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Y'x
3
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/MassageBody 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
M
CONSERVATION Reviewed on Signature
COMMENTS
i
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
,Planning Board Decision: Comments
V
Conservation Decision: Comments
Water&Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE' DEPARTMENT =Tem Qum: st_r on site yes _ no _
Located at 1.24 MainStreet
i Fire Department signature/date
�MMENTS,
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 Pennit Revised 2014
II
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
Li Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
o Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
❑ Certified Surveyed Plot Plan
Li 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)
Li 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
Li Workers Comp Affidavit
Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
Li 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
U Northeast Contracting Solutions,Inc.
Mark DelGreco
Sales
_. t T:978-685-0568
e' F:978-794-3780
mdelgreco@ncsne.com
Commercial Facility Service Provider
-.•-- www.ncsne.com
Commercial/industrial Contractor Services
•Electrical Concrete Work
Surveying Flooring
Fencing Excavation
Roofing Paving/Striping
Curb Installation Snow&Ice Management
For more information,visit our website at www.ncsne.com
pORTH
Town of t EAndover
G07 finNo. q +
Z _ Z6l
h ver, Mass 0
A� coc"icha W1CM V
7a A�R�TED ►`QA,`'�5
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ...
HAT � �'� � BUILDING INSPECTOR
........................................................`........... ..................................................
�53 •' •• Foundation
has permission to erect .. ................. buildings on ...... ........ ....�.... ...�...............
Rough
t0 be OCCUpled 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 CONSTRUCTION TARTS 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.
" NCS, Inc.
314 Clark Street North Andover MA 01845
978-685-0568/fax 794-3780
Construction Work VERS 3.0
August 28,2015
Proposal submitted to: NA Historical Society Address: 153 Academy Lane North Andover MA
Service Address: same Phone, Email: jdlai@aol.com
Salesman: Norman V. Lee Contact: Joe Lagrasse and Mark Yanowitz
We hereby submit specifications and estimates,subject to all terms and conditions as follows:
SUBJECT TO CHANGE, BASED ON ANY NEW DRAWINGS AND CHANGES IN SCOPE
Dig along foundation and expose along entire rear of building,as determined by plan date 7-2-15
Remove slab concrete on rear doors and replace in similar size in granite
Remove wall along Academy Road to create and facilitate work area and reinstall with additional 10'
45 degree angled wall,then graded to support soil again
Power wash and prep exterior of basement to allow waterproofing to reduce water infiltration
Install drainage pipe per plan and tie in downspouts as indicated
Back fill and compact as per plan
Clear,cut and grade rear of building in preparation for new New England field stone wall
Install new slab for new wall,install wall and install drainage behind per drawing
Install friable loam in damaged areas,grade, roll and seed all disturbed areas $77,120
Install new gutters,down spouts and leaf guards to replace existing, Drip extensions,wedges,
roof hangers, with 3 valley guards And 9 drain caps,fascia(18')removal of old gutters
(will need further discussion and review) Budget $4250
Remove and install 510 bit Conc.Walk Budget $8500
Spray foam and Waterproofing Actual $4900
Atrium Domes for four windows Actual $4760
Subtotal$22,410
Total Budget $99,530
Alt pricing
Repair sump pipe and replace catch basin w/assoc patchwork* Budget $7500
*need plan/design to quote real number
Notes:
Permitting by others,at client's expense
Does not include any steps or railings or fencing
Does not Perennials,Shrubs or Woody Ornamentals
Conservation Bond to be paid by client
Any changes to scope of work will need a change order with change to pricing.
Done during normal business hours of 7am-4pm
Price good for 15 days
Proper watering is critical for the health of the lawn-please review watering instructions contained in this contract.Ledge or other
issues encountered that will affect pricing,job duration,or other unforeseen issues as the project is ongoing will be discussed with the
client,and change order submitted and signed off on to continue work.
Client Initials L,!!5 - 1 -
I,
Questions?Call us,write us and check out our website @ www.ncsne.com for more information on our other services.
TERMS & CONDITIONS
PAYMENTS AND DISBURSEMENTS: Customer is responsible for obtaining any financing he deems necessary to comply with
this Agreement. If Customer is obtaining financing form a third party, Customer agrees to apply for such financing without delay and
this Agreement is subject to Customer being approved for such financing. All payments are due and payable as specified in the
Proposal/Contract. Northeast Contracting Solutions reserves the right to assess a$25.00 fee if Customer requests us to re-invoice
them for any reason. Overdue payments will bear a 1.5%service charge. Failure by Customer to pay any invoice within five(5)days
after payment is due per contract shall constitute a material breach of this Agreement. All legal,court or otherwise collection cost
incurred by Contractor are to be paid by Customer.
LABOR AND MATERIALS: Contractor agrees to furnish the materials for the project and complete the work to be done in a
workmanlike manner. All materials furnished under this Agreement shall be construction grade and meet industry standards. Where
brand names have been specified, Contractor may at his option select substitutes when such substitutions are due to unavailability or
previously specified. Contractor shall pay all subcontractors,laborers,and material suppliers, unless specified differently in writing.
SPECIAL CONSIDERATIONS: For those selections of materials requiring special considerations including, but not limited to,cash
deposits to insure their production, Contractor may at his option require Customer to pay such required deposits directly to distributor or
manufacturer rendering such services. It is understood that when matching existing conditions such as color,size, planes and texture,
Contractor will provide materials so as to match,as closely as possible,the existing materials. However Contractor does not guarantee
materials will match existing conditions.
DISCLAIMED WORK: No soil testing,surveying,plan design or engineering are included in this Agreement unless expressly specified.
Contractors shall not be held responsible for any existing violations of applicable building regulations or ordinances,whether cited by
the appropriate authority or not. Contractor is not responsible for any abnormal or unusual pre-existing conditions including, but not
limited to,damage caused by termites or dry rot,filled ground or ground of inadequate bearing capacity, rock and other material not
removable by ordinary hand tools, inadequate electrical wiring systems for the load imposed by the work under this Agreement,and
plumbing,gas,waste and waterlines not shown on documents or plans furnished by Customer. Correction of any such violations or
abnormal conditions by Contractor shall be considered additional work.
ADDITIONAL WORK: Contractor shall promptly notify Customer of any additional requirements necessary to facilitate the project's
completion. Any additional work required or ordered by Customer(or any regulatory agency having jurisdiction over the project)shall
be set forth in a signed change order,and the agreed price shall become due and payable as agreed upon between Contractor and
Customer, or within 30 days if not specified, payment is due in full. Contractor, his employees,subcontractors and agents are
unauthorized to perform any additional work or to enter into any agreement to perform additional work unless agreed to in writing by
Customer and Contractor through a properly executed change order,which shall become an integral part of this Agreement.
PROPERTY RIGHTS AND RESTRICTIONS: Customer represents that he owns the property described as"property address",or has
authority to order and sign for work. Customer shall locate and point out the boundary lines of the property to Contractor. Customer
shall be solely responsible for accuracy of markers and boundary lines indicated to Contractor and as detailed on plans and
specifications approved by Customer. If a land survey is required for any reason to confirm markers or boundary lines, Customer
agrees to pay for such survey. Prior to the start of construction,Customer shall give Contractor a copy of any restrictions, easements
or rights of way relating to the property.
ACCESS AND FACILITIES: Customer agrees to provide free access to work areas for workers and vehicles, and to provide areas to
store materials and debris. Unless otherwisespecified,all water,sewer, gas and electric utilities from the servicing agency to the point
of entry at Customer's property line(or to the metering device if such devices are required)are the responsibility of the Customer.
Customer agrees, at Customer's expense,to provide electricity at the project site as may be required by Contractor to effect the work
described herein in compliance with federal,state and/or provincial law. Contractor shall not be held liable for minor damage to curbs,
driveways,walks, patios, unless caused by the gross negligent movement of workers,vehicles, equipment, materials or debris.
START, DELAY AND COMPLETION OF WORK: Contractor agrees to commence work and to continue to work in a timely fashion so
as to insure the project's consistent development and ultimate completion. Contractor is bound by the terms and conditions regarding
start of work imposed by any licensing or regulatory agency having jurisdiction over the project. Contractor shall not be held
responsible for project delays caused"acts of God,"civil unrest,acts of Customer or Customer's agent, inclement weather,strikes,
labor disputes, material shortages, licensing or regulatory agency inspections,or any other actions or causes beyond the Contractor's
control.
CANCELLATION CLAUSE: Option of Customer to terminate contract in the event of Contractor's failure to complete work. If the
Contractor shall refuse to or fail to perform the work with such diligence and force as specified in this contract, or shall fail to complete
said work in a timely manner, or if Contractor does not perform the work in a professional manner according to industry standards,
Customer reserves the right to give written notice to the Contractor of its intention to terminate this contract unless said violations of the
specifications are corrected within fifteen (15)working days after serving of said notice. If after fifteen(15)working days the violations
have not been corrected or satisfactory arrangements for the completion thereof made,this contract may, at the option of the Customer,
be terminated. In the event of termination, payment in full for all services performed to date by the terminated Contractor shall be
made immediately at the time of termination. Option of Contractor to terminate contract in the event of Customers failure to make
timely payments as specified or to abide by all terms and conditions as outlined by this Agreement hereto,also, but not limited to any
Client Initials - 2-
actions by the customer to circumvent, interrupt or otherwise,any relationship with a subcontractor and the Company. Contractor's
e optiooto terminate will be immediate and communicated in writing.
DAMAGE AND INSURANCE: Contractor agrees to carry worker's compensation and business liability insurance to insure the
Customer against damages or defects caused by Contractor, his employees, or any agents acting in his behalf. A valid insurance
certificate will be furnished upon request.
MISCELLANEOUS: Contractor may subcontract all or any portion of the work and may assign this Agreement to another Contractor,
provided such assignment shall not affect the rights and privileges of Customer under this Agreement. In case one or more of the
provisions of this Agreement or any application thereof shall be invalid, unenforceable or illegal,the validity, enforceability and legality
of the remaining provisions and any other application thereof shall not in any way be impaired thereby. If any legal action shall be
instituted to interpret or enforce this Agreement,the prevailing party shall be entitled to recover all litigation costs,including reasonable
attorneys'fees. It is agreed that this Agreement shall be governed by,construed, and enforced in accordance with the laws of the State
of Massachusetts.
CONTRACT ADJUSTMENTS: In the event of an unanticipated increase in the cost of fuel or materials used by Northeast Contracting
Solutions, Inc., reserves the right to pass through to the Customer such increases or, if the Customer does not agree to pay any such
increases,to terminate the contract.
LIMITED WARRANTY: Northeast Contracting Solutions guarantees workmanship,subject to the following conditions.
• Contractor warrants all labor and material for a period of thirty(30)days from the date of completion of work, unless otherwise
stated or an Extended Warranty is purchased. This limited standard warranty extends only to Customer and is not
transferable.
• Contractor will provide replacements as stated above on a one-time basis only at the request of the Customer, at no charge to
the Customer except for supportive materials deemed necessary and labor. Please note,however,that Contractor is not liable
under this limited standard warranty for actual of consequential damages resulting from"acts of God,"excessive weather
conditions(extreme cold/drought,washouts, etc.),soil conditions, abuse,vandalism,poor drainage,salt damage.
Any warranties given by manufacturers pertaining to materials used by Contractor in with the project will be passed through
and inure to the benefit of the Customer.
• There is no implied warranty of merchantability or any implied warranty of fitness for any particular purpose.
There are no warranties either express or implied beyond the description within this section.
If you have any questions,call your salesperson for more information.
Payment Schedule-Third upon acceptance, 2nd third at initiation of job, and remainder
due upon completion. Change orders invoices to be paid upon completion of that
change orders description of work.
Accepted:The signatures below indicate that the above prices,specifications and conditions are satisfactory and hereby
accepted. Payment will be made as outlined above.
r _
C. Signature: 2�?b�IDate: d
Client Initials C� �- - 3 -
;;, Applicant �nformatlon Preparedon. 05/21/2015 Page2of5
agency: MTM Insurance Associates For: Northeast Contracting Solutions Inc
1320 Osgood Street 314 Clark Street
North Andover,MA 01845 North Andover,MA 01845
(978)681-5700 Bus: (978)794-1010
(978)681-5700 larmstrong@nlcinc.net
lauriem@mtminsure.com
www.mtminsure.com
Applicant Informatlori Amount/Limits Insurance GomoanV Policy Number Pollcy Perlod PremluErl
First Named Insured: Northeast Contracting Travelers Insurance Company 7PJUBBD88464915 1/7/2015-1/7/2016 i
Solutions Inc
jjjjjj I � 3
3
s
I £�
I S
jj
a
3
3(
S � F
These schedules are provided as a brief outline of your policy. You must refer to the provisions found in your policy for the details of your coverages,terms,conditions and
exclusions that apply.
t Summary of InsUrance Prepared on.:o5121rzo 5, Page,3ot5
agency: MTM Insurance Associates For: Northeast Contracting Solutions Inc
1320 Osgood Street 314 Clark Street
North Andover,MA 01845 North Andover,MA 01845
(978)681-5700 Bus: (978)794-1010
(978)681-5700 larmstrong@nlcinc.net
lauriem@mtminsure.com
www.mtminsure.com
Coverage
Mount/Limlts Insurance Gomoanv Policy Number Policy Period Premium
Wowker5 Compensation Travelers InsuranceCompany 7PJUB8D884649151n/2o1s-11712016'
Part 1-Workers Compensation States: MA
Part 2-Employers Liability:
WC&Employer's liability
Each Accident Limit: 500,000 s
Disease Policy Limit: 500,000
Disease Each Employee: 500,000
Deductible:
Deductible Type:
Applies To: )
Other Coverages:
State surcharge 1 3 I
Expense constant
Increased employer's liability
TERR
Experience Mod Factor 1
a
ADDA FOR MIN PREM EMPLOYERS LIAB INC LMl(
i
Part 3-Other States Included:
Part 3-Other States Excluded:
a £ �
1
These schedules are provided as a brief outline of your policy. You must refer to the provisions found in your policy for the details of your coverages,terms,conditions and
exclusions that apply.
t P��lcv OV.ervieW Prepared on 05/21/2015 . P990 1 of 5
.....
agency: MTM Insurance Associates For: Northeast Contracting Solutions Inc
1320 Osgood Street 314 Clark Street
North Andover,MA 01845 North Andover,MA 01845
(978)681-5700 Bus: (978)794-1010
(978)681-5700 larmstrong@nlcinc.net
lauriem@mtminsure.com
www.mtminsure.com
PP.Ii pe I Insurance Company Pohcy Number Policy Penod TofaI Cost
Workers Compensation Travelers Insurance Company 7PJUB8D88464915 1/7/2015-1/7/2016 877.00
t
1
I
I J
1 I
I
1
These schedules are provided as a brief outline of your policy. You must refer to the provisions found in your policy for the details of your coverages,terms,conditions and
exclusions that apply.
th
I I�
AGREEMENT FOR CONSTRUCTION SERVICES
BETWEEN
THE NORTH ANDOVER HISTORICAL SOCIETY
AND
NCS,Inc.
I
THIS AGREEMENT made this 3rd day of September, 2015 between NCS,Inc., a
Massachusetts company with a usual place of business at 314 Clark Street,North Andover,MA
01845, hereinafter called the "CONTRACTOR,"and the North Andover Historical Society,
acting by its Agent,with a usual place of business at 153 Academy Road,North Andover,MA
01845, hereinafter called the OWNER
The CONTRACTOR and the OWNER, for the consideration hereinafter named, agree as
follows:
1. Scope of Work
The CONTRACTOR shall perform the work set forth in the drawings by TTI
Environmental, Inc., issued July 21, 2015, listed under Exhibit A, and the contractors Scope of
Services proposal listed under Exhibit B. The Contractor agrees to submit a certificate of
insurance and a construction schedule prior to the execution of this agreement.
2. Contract Price
The OWNER shall pay the CONTRACTOR for services rendered in the performance of
this Agreement, subject to any additions and deductions provided for herein. The amount to be
paid to the CONTRACTOR shall not exceed One hundred eight Thousand five hundred and
thirty dollars ($108,530)without the prior written consent of the OWNER. See Exibit B—Scope
of Services for Summary of Cost Allowances.
3. Commencement and Completion of Work
A. This Agreement shall commence upon notice to proceed by the OWNER and
shall expire upon completion of the Scope of Work, unless terminated sooner in
accordance with this Agreement.
B. Progress and Completion: CONTRACTOR shall commence work promptly
upon execution of this Agreement and shall prosecute and complete the work
regularly,diligently and uninterruptedly at such a rate of progress as will insure
completion in a timely manner.
4. Performance of the Work
The CONTRACTOR shall supervise and direct the Work, using his best skills and
attention, which shall not be less than such state of skill and attention generally rendered by the.
i engineering/design profession for projects similar to the Project in scope,difficulty and location.
II �
A. Responsibility for the Work:
(1) The CONTRACTOR shall be responsible to the OWNER for the acts
and omissions of his employees, subcontractors and their agents and
employees, and other persons performing any of the Work under a
contract with the CONTRACTOR. Consistent with the standard of
care referenced in paragraph A. above, the CONTRACTOR shall be
responsible for the professional and technical accuracy for all work or
services furnished by him or his consultants and subcontractors. The
CONTRACTOR shall perform his work under this Agreement in such
a competent and professional manner that detail checking and
j reviewing by the OWNER shall not be necessary.
(2) Neither the OWNER's review, approval or acceptance of, nor payment
for any of the work or services performed shall be construed to
operate as a waiver of any rights under the Agreement or any cause of
action arising out of the performance of the Agreement.
B. Compliance With Laws: In the performance of the Work,the CONTRACTOR
shall comply with all applicable federal, state and local laws and regulations,
including those relating to workplace and employee safety.
5. Payments to the Contractor
A. Payment Schedule to be as follows: $35,000 within(15)days of invoice for initial
mobilization of equipment and delivery of materials. $35,000 within (15) days of
invoice for completion of approximately 65%of scope of work. Final payment
less 10%within (15) days of invoice for substantial completion, including
reconciliation of Budget Allowances. Final balance within (15)days of invoice
for completion of Punchlist items.
B. If the OWNER authorizes the CONTRACTOR to perform additional services,the
CONTRACTOR shall be compensated in an amount mutually agreed upon,
within two weeks of the completed work, unless otherwise agreed to. Except in
the case of an emergency,the CONTRACTOR shall not perform any additional
services until such compensation has been so established.
6. Final Payment,Effect
The acceptance of final payment by the CONTRACTOR shall constitute a waiver of all
claims by the CONTRACTOR arising under the Agreement.
7. Terms Required By Law
This Agreement shall be considered to include all terms required to be included in it by
the Massachusetts General Laws, and all other laws, as though such terms were set forth in full
2
herein.
8. Indemnification
A. General Liability: The CONTRACTOR shall indemnify and hold harmless the
OWNER from and against any and all claims, damages, losses, and expenses,
including attorney's fees, to the extent arising out of the performance of this
Agreement and to the extent the same relate to matters of general commercial
liability,when such claims, damages, losses, and expenses are caused, in whole or
in part, by the negligent or wrongful acts or omissions of the CONTRACTOR or
his employees, agents, subcontractors or representatives.
9. Insurance
A. The CONTRACTOR shall at his own expense obtain and maintain a Contractor's
General Liability Insurance policy for errors, omissions or negligent acts arising
out of the performance of this Agreement in a minimum amount of
$1,000,000.00.
B. The coverage shall be in force from the time of the agreement to the date when all
construction work for the Project is completed and accepted by the OWNER. If,
however,the policy is a claims made policy, it shall remain in force for a period
of six(6)years after completion.
Since this insurance is normally written on a year-to-year basis, the
CONTRACTOR shall notify the OWNER should coverage become unavailable.
C. The CONTRACTOR shall, before commencing performance of this Agreement,
provide by insurance for the payment of compensation and the furnishing of other
benefits in accordance with M.G.L. c.152, as amended,to all its employees and
shall continue such insurance in full force and effect during the term of the
Agreement.
D. The CONTRACTOR shall also maintain public liability insurance, including
property damage,bodily injury or death, and personal injury and motor vehicle
liability insurance against claims for damages because of bodily injury or death of
any person or damage to property.
E. Evidence of insurance coverage and any and all renewals substantiating that
required insurance coverage is in effect shall be filed with the Agreement. Any
cancellation of insurance,whether by the insurers or by the insured, shall not be
valid unless written notice thereof is given by the party proposing cancellation to
the other party and to the OWNER at least fifteen days prior to the intended
effective date thereof,which date shall be expressed in said notice.
3
i
10. Notice
All notices required to be given hereunder shall be in writing and delivered to, or mailed
first class to,the parties'respective addresses stated above. In the event that immediate notice is
required, it may be given by telephone or facsimile, but shall,to the extent possible, be followed
by notice in writing in the manner set forth above.
13. Termination
A. Each party shall have the right to terminate this Agreement in the event of a
failure of the other party to comply with the terms of the Agreement. Such
termination shall be effective upon seven days'notice to the party in default and
the failure within that time of said party to cure its default.
B. The OWNER shall have the right to terminate the Agreement without cause,upon
ten (10)days'written notice to the CONTRACTOR. In the event that the
Agreement is terminated pursuant to this subparagraph,the CONTRACTOR shall
be reimbursed in accordance with the Agreement for all work performed up to the
termination date.
14. Miscellaneous
A. Governing Law: This Agreement shall be governed by and construed in
accordance with the law of the Commonwealth of Massachusetts.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals,the OWNER by its
authorized representatives who, however, incur no personal liability by reason of the execution
hereof or of anything herein contained,as of the day and year first above written.
North Andover Historical Society:
By: Z1-
By:
CONTRACTOR
Name: 5
GLS l �
Type oo�r`P int Name: r,,/ Q C6
Type or Print
Title:
Title: G�. b-Q
Date: °t 3 )Z-G
Attachments:
4
i
EXIBIT A-Drawings b TTI Environmental issued Jul 2
g Y Inc., y 1, 2015 I
EXIBIT B -NCS, INC. Scope of Services
EXIBIT B—SCOPE OF SERVICES
The following items are a summary of scope of services associated with this contract:
Dig along foundation and expose along entire rear of building, as determined by plan date 7-21-15.
Remove slab concrete on rear doors and replace in similar size in granite.
Remove wall along Academy Road to create and facilitate work area and reinstall with additional 10'
45 degree angled wall,then graded to support soil again.
Power wash and prep exterior of basement to allow waterproofing to reduce water infiltration.
Provide spray foam and Waterproofing at exposed existing stone foundation walls.
Install drainage pipe per plan and tie in downspouts as indicated.
Back fill and compact as per plan.
Clear, cut and grade rear of building in preparation for new New England field stone wall.
Install new slab for new wall, install wall and install drainage behind per drawing.
Install friable loam in damaged areas, grade, roll and seed all disturbed areas.
Provide Atrium Domes for four basement windows.
The following allowances are included with the contract price:
Install new gutters, down spouts and leaf guards to replace existing, Drip extensions, wedges,
roof hangers, with 3 valley guards And 9 drain caps, fascia(I8') removal of old gutters
(will need further discussion and review) Budget Allowance $4250
Remove and install 510 bit Conc. Walk Budget Allowance $8500
Repair sump pipe w/associated asphalt patchwork. Budget Allowance $7500
Cost of Building Permit. Budget Allowance $1500
Total $
Budget $108,530
g
5
m�
Northeast Contracting Solutions, Inc. Invo1Ce
314 Clark Street
North Andover, MA 01845 Date Invoice#
9/3/2015 41339
Bill To
North Andover Historical Society
153 Academy Lane
North Andover,MA 01845
P.O. No. Terms Project
Net 10 Days
Quantity Description Rate Amount
RE: 153 Academy Road,North Andover,Mass.
Construction Work as per Attached Agreement Dated 9/3/15: 108,530.00 108,530.00
1st INSTALLMENT DUE WITHIN(15)DAYS: $35,000.00
Total $108,530.00
Payments/Credits $0.00
Balance Due $108,530.00
Phone# Fax#
978-685-0568 978-794-3780
�Gr w
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 167900
Type: Private Corporation
Expiration: 11/17/2016 Tr# 258009
NORTHEAST CONTRACTING SOLUTIONS
NORMAN LEE
314 CLARK ST
N. ANDOVER, MA 01845
Update Address and return card.Mark reason for change.
SCA T 0 2OM-05111 Address [:] Renewal [:] Employment Lost Card
e Wam."lonuueccllI olbffa jac/ccdef s
office of Consumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
registration: 167900 Type: Office of Consumer Affairs and Business Regulation
xpiration :11/17/201.6 Private Corporatioi; 10 Park Plaza-Suite 5170
$gston,MA 02116
NORTHEAST CONTRACTING SOLUTIONS INC.
NORMAN LEE
f
314 CLARK ST
/c AV;U
N.ANDOVER,MA 01845 Undersecretary Not valid without ignature
The Commonwealth of Massa chusetts
Department of IndustrialAccidents
I Congress Street, Suite 100
Boston,ALL 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legib
Name (Business/Organization/Individual
f): l ( c,�. �u ins -t-
Address: �'� c,. s4
City/State/Zip: 1� ) VV _Mpr G(Nl> Phone#: �1�l� Wis, 65(�
Are you an employer?Check the appropriate box: Type of project(required):
1.dI am.a.employer with 2 : employees(full and/or part-time).* 7. New construction
2.Q I am a sole proprietor or partnership and have no employees working for me in $, E]Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10❑Building addition
4.Q 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.Q Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.RRoofr ears �ti ! uThese sub-contractors have employees and have workers'comp.insurance.$6.Q 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 41 must also fill out the section below showing their workers'compensation policy information,
Homeowners who submit flus 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-conh•acfors have employees,'they must provide their workeis'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site
information.
Insurance Company Name: VV -2/ Vr�C(1r Q
Policy#or Self-ins.Lie.#: ��� (�� 5 1>��C " t W� Expiration Date: t Q
�1 �p
Job Site Address: r^ 1�-P/ City/State/Zip:_/V 4,J V),a 0 (vf
Attach a copy of the workers'c6mpensatioA 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
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 ver] ation.
Z do hereby c n r pat p lties of per jury that the information provided above is true and correct.
Si ature: q Date: to Z l
Phone#: —®5 DA
Official use only. Do not write in this area,to be completed by city or town official..
City or Town: Permit/License#
Issuing Authority,(circle one): ;
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written." '
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall.
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill-out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub=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 maybe submitted to the Department of Industrial
Accidents fok 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"fob 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
Massachusetts Department of Public Safety
�= Board of Building Regulations and Standards
License: CS-104241
Construction Supervisor
MARK DELGRECO , ',,
2 FOX HOLLOW ROAM-
DERRY
OAMDERRY NH 03038 -
Expiration:
Commissioner 08/18/2017