The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #374 - 164 HILLSIDE ROAD 11/13/2007 OORTFf BUILDING PERMIT 0* P.D TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received S r-mus Date Issued: �/Z/__7/1 0^ IMPORTANT:Applicant must complete all items on this page J Q -�,LOCATTJ �kR t n TY-0. V-8 V XA NEAn- P MAT'X10 �PARCEI_ ZONING01 IS M. Machine ozllage y e S:� TYPE OF IMPROVEMENT -PROPOSED USE -Residential Non- Residential New Building �-�ne family --T-" re family Industrial Ion ti it i A addition No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other t r :e&I-Is "6 S' Septics DESCRIPTION OF WORK TO BE PREFORIVIEQ. AN'i M AAAi3ir)d) K1.TC._11C&2 Identification Please Type or Print Clearly) OWNER: Name: UJ�XsNA ,4. \WTF\�'ne_ L4, Phone 7A-696:9204VA Address: 16q -Je 'k v1 wit I- X, P onen Name N A 0 TRA ,':-,N T �k` Z 4.0 ddress'-� un S visbf Zlldhst' f:�rrK"': �.-,-Home.'] rovernenhLLibeh at -mp ARCHITECT/ENGINEER.gj.J,kjt - Phone: Address: Reg. No. 42ZZ -,2, 77 42 FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ),-2e/ "'171910, 0 D FEE: Check No.: OJ 00 2- 0 20 Receipt No.: NOTE: Persons contractin th unregiste access to ara tyfund !!��ed contractors do not have access to Al Signature 'A6 Sid "�;(Yifb g--env.,Own f _,Si hatu 01;': 10 1? 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 ❑ 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 L 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 64/3 O T ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL ; =PublicSewer e I Tanning/MassageBody At:;~# Swimming Pools F 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS TE REJECTED DATE APPROVED CONSERVATIO COMMENTS T-1' ds WAId AY DATE REJECTED DATE APPROVED HEALTH 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 ocated at 384 Osgood Street FIRE;DEPARTMENT -TempDumpster=on site yes ;no .Located F�eDetl 24'Main artmen street>` p a signature/date `COMMENTS Location ! Date No. � NaRT� TOWN OF NORTH ANDOVER • i ; ; Certificate of Occupancy $ �as+cHuSE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0.2,?,;- 2 0 7 0.2,?,;-207 A /Building Inspector I CERTIFY THAT THE STRUCTURES I.P. SHOWN WERE LOCATED BY AN FND INSTRUMENT SURVEY AND EXIST j ON THE GROUND AS SHOWN. ZONING INFORMATION: ZONING DISTRICT R3 MIN. BLDG. SETBACKS: FRONT 30 FEET SIDE 20 FEET REAR 30 FEET ASSESSOR INFORMATION: y `�q � ' MAP 98C PARCEL 22 DEED REFERENCE: BOOK: 3857 PAGE: 180 Of + , ted, OWNER INFORMATION: o�' 8 WILLIAM & SARA WELLOCK o -� 164 HILLSIDE ROAD , 13872 LOT AREA o6,ro; NORTH ANDOVER, MA 01845 W 33,4 76 S.F.f to w W O S EXIS77NG SEWER LINE CONTINUES O I TO 81 WESLEY STREET. OWNERLo # . t PROP. ADDITION OF 81 WESLEY STREET HAS EASEMENT co � W in RIGHTS TO MAINTAIN SEWER LINE THROUGH PROP. PRECAST I #164 HILLSIDE ROAD (DEED: 3857/180) BULKHEAD I n r< S I.P. 475' 23.0 +� •� FND B' 35.3 7 7 7 7 7 . 7 ; . r fEX. 2ST 1 ST. / WD. FR. EXISTING SEWER LINE /STRUCTURE / GAR. I 37.1' I � 1.35' SECOND I N o FLOOR OVERHANG 00 j o PLOT PLAN OF LAND 73.1' 75.2' Z , 164 HILLSIDE ROAD I NORTH ANDOVER, MASS. I _ i PREPARED BY: N2430'08"E I JOHN D. SULLIVAN III, P.E. I.P. 149.74' (MEASURED) JI.P. 22 MOUNT VERNON ROAD FND 150' (DEED) FND BOXFORD, MA 01921 HILLSIDE ROAD (978) 352-7871 SCALE: 1 "=4o' DATE: 11 /5/07 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: PLAN NO.6731 Report Date: 11/03/07 Data filename:Untitled.rck Energy Code: 2000 IECC Location: North Andover, Massachusetts Construction Type: Single Family Glazing Area Percentage: 24% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 164 HILLSIDE ROAD WILLIAM WELLOCK JERRY BRUNO N.ANDOVER,MA 01845 164 HILLSIDE ROAD BRUNO ASSOC. N.ANDOVER,MA 01845 28 BERKELEY ROAD N.ANDOVER,MA 01845 Assembly • �.. Ceiling 1:Flat Ceiling or Scissor Truss: 610 30.0 30.0 10 Wall 1:Wood Frame, 16"o.c.: 496 13.0 13.0 18 Window 1:Vinyl Frame:Triple Pane with Low-E: 48 0.330 16 Door 1:Glass: 72 0.330 24 Basement Wall 1:Solid Concrete or Masonry: 372 19.0 0.0 27 Compliance Statement.The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2000 IECC requirements in RE hecKVersion 3.7. nd to comply with them datory requirements listed in the REScheck Inspection Checklist. Q Buil r/Desig Company Name Date oject es: ADDITION TO EXISTING HOUSE KITCHEN AND FAMILY ROOOM PLAN NO.6731 Page 1 of 4 TAndNORTty o'" o over No. _ - L L-AK o' dover, Mass., �. COC MIC HE WICK V ADRATED PPP��S `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �/ /� BUILDING INSPECTOR THIS CERTIFIES THAT N(�� '"? 11'J6 11c t' .....................�............... ......................l�....................................................... ................................... Foundation `}' l , has permission to erect........................................ buildings on .��..'�..f'�.�'..�/.............................................................. Rough ........... - te Chimney //1�® r l to be occupied as.............4 .l ... ..f.�t 1�.....:r ..... ................ .., ................................................. �'/........ y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspe ion, Alter yry� Construction of Buildings in the Town of North Andover. el� /mss/ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION SRough ... ........ ... ..... ....... .... Service BUILDING INSPEC Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. REScheck Software Version 3.7.3 Inspection Checklist Date: 11/03/07 i Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R-30.0 continuous insulation Comments- Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity+R-13.0 continuous insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Triple Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ poor 1:Glass,U-factor:0.330 Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces must be insulated to R-5.Ducts outside the building must be insulated to R-6.5. Duct Construction: ❑ All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181 B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: I PLAN NO.6731 Page 2 of 4 ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. .l,prc6liting Hot Water Systems: 9rnisula4a circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. PLAN NO.6731 Page 3 of 4 i Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes i Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(°F) Up to 1" Up to 1.25" 1.5 to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 i I Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ff) 2"Runouts 1"and Less 1.25'to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) PLAN NO.6731 Page 4 of 4 r Q Ro1RELL.A GoRR. Design Build Develop PO BOX 606,HAMPSTEAD,NH 03841 Office:603-606-1899-Cell:603-759-4407 fpappafardo@corrrcast net HOME IMPROVEMENT CONTRACT This contract satisfies all basic requirements of the state's Home Improvement Contractor Law(MGI,c. 142a). HOMEOWNER INFORMATION NAME BILL AND SARAH WELLOCK • ADDRESS 164 HILLSIDE ROAD?,NORTH ANDOVER MA 01845 • PHONE(DAITIME/EVENING/CELL)978-688-9182 CONTRACTOR INFORMATION COMPANY NAME ROBELLA CORPORATION • CONTRACTOR/OWNER NAME FREDERICK PAPPALARDO • BUSINESS ADDRESS PO BOX 606 HAMPSTEAD NH 03841 • BUSINESS PHONE.603-606-1899 CONTRACTOR REGISTRATION #151124 EXP.DATE 5/17/2008 WORK TO BE PERFORMED • CONTRAC`I'OR AGEES TO DO THE FOLLOWING: SEE ATTACHED DETAILED CONTRACT THE FOLLOWING SCHEDULE WILL BE ADHERED TO UNLESS CIRCUMSTANCES BEYOND THE CONTRACTORS CONTROL ARISE: • DATE WORK SCHEDULED TO BEGIN 10 / 31 / 07 EXPECTED DATE OF COMPLETION 2_! 15 ! 08 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE i (The law requires that any deposit or down-payment required by the contractor before the contracted work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment of custom made t material which must be special ordered in advance to meet the completion schedule) • THE CONTRACTOR AGREES TO PERFORM THE WORK, FURNISH THE MATERIAL AND LABOR SPECIFIED ABOVE FOR THE SUM OF$ 130,682.00 • PAYMENTS WILL BE MADE ACCORDING TO THE ATTACHED PAYMENT SCHEDULE. Frederick A.Pappalardo,Licensed General Contractor Construction Supervisors License#063173 * Home Improvement Contractor Registration#151124 `r f DO NOT SIGN THIS CONTRACT IF THERE IS ANY BLAND SPACE HOMEOWNER'S SIGNATURE / E' HOMEOWNER'S SIGNATURr M1�"" DATEJO CONTRACTOR'S SIGN'_ATURE � .--� DATEA) ! /;LdO PERMITS REQUIRED • THE FOLLOWING PERMITS ARE REQUIRED: IT IS THE OBLIGATION OF THE CONTRACTOR TO SECT RE SU CH PERMITS AS THE HOMEOWNERS AGENT.LISTANYAND ALL NFCF_S.SARYC0A'STRLTCTION-RF..LATFD PERMITS:BUILDING,PLUMBING,FLFCTRICAL. • OWNERS WHO SECURE'THEIR OWN PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS ARE EXCLUDED FROM THE GUARANTY FUND PROVISIONS OF MGL,c.142A. • IS AN WARRANTY BEING PROVEDED by the contractor? Yes. Warranty-One year from project completion,materials and labor. • ALL HOME IMPROVEMENT CONTRACTORS AND SUBCONTRACTORS SHALL BE REGISTERED AND ANY INQUIRIES ABOUT A CONTRACTOR OR SUBCONTRACTOR RELATION TO A REGISTRATION SHOULD BE DIRECTED TO: DIRECTOR,HOME IMPROVEMENT CONTRACTOR REGISTRATION ONE ASHBURTON PLACE,ROOM 1.301 BOSTON,MA 02108 617-727-8548 UNLESS OTHERWISE NOTED WITHIN THIS DOCUMENT,THE CONTRACT SHALL NOT IMPLY THAT ANY LIEN OR OTHER SECURITY INTEREST HAS BEEN PLACED ON THE RESIDENCE. ARBRITRATION THE CONTRACTOR AND HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT THE CONTRACTOR HAS A DISPUTE CONCERNING THIS CONTRACT,THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND TITE CONSUMER SHALL BE PTOREED SUBVtTTO SUCH ARBITRATION AS PROVIDED IN M.G.L,,c. 142A. CONTRACTOR /t`�Q.y DATE_ / / �f� HOMEOWNER DATE/,R V �1 41 HOMEf)WNC rL11,1)ATFL/ _/�?,� o ' -� 1 NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR,THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT HOMEOWNERS FINANCIAL INSECURITY-A CONTRACTOR MAY NOT DEMAND PAYMENTS IN ADVANCE OF THE DATES SPECIFIED ON THE PAYMENT SCHEDULE IN CASES WHERE THE HOMEOWNER DEEMS HIMIHERSELF TO BE FINANCIALLY INSECURE. CONTRACTORS FINANCIAL INSECURITY-IN INSTANCES WHERE A CONTRACTOR DEEMS HIMSELF 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. WITHDRAWL FROM SAID ACCOUNT WOULD REQUIRE SIGNATURE OF BOTH PARTIES. 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 your cancellation notice,and any 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 dispose 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 the performance of all obligations under this 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(Robella Corporation)at(PO Box 606,Hampstead,NH 03844)not later than midnight of three business days following the signing of the agreement. I herby cancel this transaction. Date: Buyers Signature: R® B E LLLA Cop-P. Design • Build • Develop PO SOX 606,HAMPSTEAD,NH 03841 Office:603.606-1899-Cell:603-759.4407 October 20,2007 fpappalardocAcomcastmet Bill and Sarah Weliock 164 Hillside Road North Andover,MA 01845 We propose to complete the following renovations at the address listed above,as per print;G.J.Bruno Associates,#6731,dated 8/16/07. PERMITS AND INSURANCE Building,electrical and plumbing.Liability and Workers Comp. EXCAVATION To be 4'frost protection.Excess fill to be removed from site.Included is 100'of perimeter drain to homeowners specified location.Existing loom to be spread and seeded. FOUNDATION To be 10"poured 3000 psi.Bulkhead to be poured concrete 3000 psi.Doors to be pre- primed Bilco Steel.Covered porch to remain on existing foundation. CHIMNEY No extension of existing chimney required. CEMENT FLOOR To be poured concrete with wire mesh and a burn trowel finish. LANDSCAPING Please see allowances. DEMOLITION Demolition of proposed family room and exterior brick at covered porch.Existing floor framing to stay.Demolition as per print.Debris to be cleaned up on a daily basis. Dumpster to remain on site for the duration of the project. FRAMING Framing to be as per print with the exception of plywood,tongue and groove.This item to be replaced with Advantech Engineered,tongue and groove.Steel beams by other. Installed by Robella Corp. SIDING AND EXTERIOR TRIM Siding to be Cedar,finger joint primed,on all new construction and blends to existing.The gable end on the existing house,above the proposed addition,to be James Hardee Cement Board siding.All new construction to have Tyvek House Wrap and Tape.Vicor Membrane Sealant on all windows.Siding fasteners to be stainless.Exterior trim on proposed to be PVC Versitek on roof trim,corner boards and window casings. ROOFING Roofing to be 30 year Asphalt to match existing as close as possible,with Ice and Water Shield as needed and in all valleys. Kitchen addition to be rubber EPDM as per print. Garage to be stripped and re-roofed. Frederick A.Pappalardo,Licensed General Contractor Construction Supervisors License#063173 * Home Improvement Contractor Registration#151124 WINDOWS,DOORS,SKYLIGHTS Windows to be as per print, (1)FWH9066 SASLO,grills between glass,pre-finished French Door with Satin Nickel hardware. (1)0335 White pre-finish,grills between glass. (1)TW34310 White pre-finish,grills between glass. (2)QVE 152 Self flashing,tempered skylights. (2)Therma-Tru,Smooth Star,fiberglass S262 doors with Plymouth Satin Nickel hardware. FRONT PORCH ENTRY See custom porch and trim package, INSULATION Insulation to be as per code with the addition of fire blocking and mineral wool ,as required,on all penetrations. ELECTRICAL To be as per code with the addition of a sub feeder panel to be added to proposed basement.Switches to be basic white or ivory with GFCI protection in bath,laundry and kitchen area.Two outside GFCI to be added in front and back of home.Family room closet to have fluorescent lighting.Lighting includes outlets over island,family room fan receptacle,and(10)recessed cans.Two cable and video source outlets to be added. Fixtures by other,installed by Robella Corp. PLUMBING Plumbing to be as per print Plumbing installation includes basic fixtures,dishwasher, sink,garbage disposal,icemaker.Professional/Commercial appliance installation to be priced by Change order if necessary. HEATING By other. PLASTER To be 1/2"Skim coat,Blue Board with textured ceilings and closets.Plaster to be primed, ready for caulking and paint by other.Front entrance way ceiling to be new,terminated at stairwell and existing doorways. COOLING SYSTEM To be central air to proposed and existing.System to be 2 zones. FLOORING Please see allowances.Hardwood to be in new kitchen,family room,bath/laundry room hallway.To be terminated at front foyer the and living room doorway. TILE Tile to be in bathroom and laundry room.Please see allowances. EXTERIOR PAINTING To be same color.One coat primer as needed,2 coats of Benjamin Moore exterior paint, and blends. INTERIOR PAINTING By other. INTERIOR DOORS AND TRIM Interior doors to be 6 panel,Smooth Masonite,with Plymouth Satin Nickel. (1)double door. Z (3)single doors. Trim to match existing as close as possible and to be pre-primed paint grade. CABINETS,VANITIES AND TOPS Please see allowances. GUTTERS To be on new construction only.Gutters to be seamless. ALLOWANCES Lighting: 10 recessed cans.$1,000.00.Fixtures by other. Hardwood:$8 per foot,865 square feet.Material and labor. Tile:$10 per foot, 100 square feet.Material and labor. Custom porch package: $1,800.00 Landscaping:$1,000.00 Cabinets,vanities and countertops:$15,400.00 Plumbing fixtures:$2,000.00 TOTAL JOB COST $129,382.00 PERMIT $1,300.00 TOTAL $130,682.00 • As a courtesy to our customer,a portable toilet will be available,and stored on site, for all employees and subcontractors of Robeila Corp. • Job site is to be cleaned at the end of each work day. • Change orders are to be paid in full,prior to the execution of work detailed in the change order. Change orders may be approved by the homeowner through e-mail notification or signed hard copy. Change orders can significantly affect job progress and must be taken into consideration in regard to the estimated project completion date. • Progress payments will be collected as the items in the payment schedule are completed.E-mail notification,with as much notice as possible,will be given for the anticipated due date of each payment.Progress payment schedule is not listed in order of job progress. • Robella Corp. removes itself from any liability of materials purchased by the homeowner outside of this contract and contract specifications.In the event of a defective product or material purchased by the homeowner,the contract warranty does not cover labor of removal, and or re-installation,of such defective product or material.This labor and any additional material needed,will be priced through a change order. • Homeowners and Contractor to initial each page of the contract and sign where appropriate. • One week will be given for homeowner to compile a complete,signed,final punch list. One week will be given for Contractor to complete signed,final punch list. ✓ R -21393-L-A7r�F- CORP. Desild • Develop PO BOX 606,HAMPSTEAD,NH 03841 Office:603-606-1899-Cell:603-759-4407 ktober 20,2007 fpappalardoocomcastnet Bill and Sarah Wellock 164 Hillside Road North Andover,MA 01845 We propose to complete the following renovations at the address listed above,as per print G.J.Bruno Associates,#6731,dated B/16/07. PERMITS AND INSURANCE Building,electrical and plumbing.Liability and Workers Comp. EXCAVATION To be 4'frost protection.Excess fill to be removed from site.Included is 100'of perimeter drain to homeowners specified location.Existing loom to be spread and seeded. FOUNDATION To be 10"poured 3000 psi.Bulkhead to be poured concrete 3000 psi. Doors to be pre- primed Bilco Steel.Covered porch to remain on existing foundation. CHIMNEY No extension of existing chimney required. CEMENT FLOOR To be poured concrete with wire mesh and a burn trowel finish. LANDSCAPING Please see allowances. DEMOLITION Demolition of proposed family room and exterior brick at covered porch.Existing floor framing to stay.Demolition as per print.Debris to be cleaned up on a daily basis. Dumpster to remain on site for the duration of the project. FRAMING Framing to be as per print with the exception of plywood,tongue and groove.This item to be replaced with Advantech Engineered,tongue and groove.Steel beams by other. Installed by Robella Corp. SIDING AND EXTERIOR TRIM Siding to be Cedar,finger joint primed,on all new construction and blends to existing.The gable end on the existing house,above the proposed addition,to be James Hardee Cement Board siding.All new construction to have Tyvek House Wrap and Tape.Vicor Membrane Sealant on all windows.Siding fasteners to be stainless.Exterior trim on proposed to be PVC Versitek on roof trim,corner boards and window casings. ROOFING Roofing to be 30 year Asphalt to match existing as close as possible,with Ice and Water Shield as needed and in all valleys.Kitchen addition to be rubber EPDM as per print Garage to be stripped and re-roofed. Frederick A.Pappalardo,Licensed General Contractor Construction Supervisors License#063173 * Home Improvement Contractor Registration 0151124 ZT,7BF—L-L-Ak CORP. gnd • Develop PO 13OX 606,HAMPSTEAD,PIH 03841 Office;6,03-606-1899-Cell:603-759-4407 October 20,2007 fpappa7ardococomrastnet Bill and Sarah Wellock 164 Hillside Road North Andover,MA 01845 We propose to complete the following renovations at the address listed above,as per print,G.J.Bruno Associates,#6731,dated B/16/07. PERMITS AND INSURANCE Building,electrical and plumbing.Liability and Workers Comp. EXCAVATION To be 4'frost protection.Excess fill to be removed from site.Included is 100'of perimeter drain to homeowners specified location.Existing loom to be spread and seeded. FOUNDATION To be 10"poured 3000 psi.Bulkhead to be poured concrete 3000 psi.Doors to be pre- primed Bilco Steel.Covered porch to remain on existing foundation. CHIMNEY No extension of existing chimney required. CEMENT FLOOR To be poured concrete with wire mesh and a burn trowel finish. LANDSCAPING Please see allowances. DEMOLITION Demolition of proposed family room and exterior brick at covered porch.Existing floor framing to stay.Demolition as per print.Debris to be cleaned up on a daily basis. Dumpster to remain on site for the duration of the project. FRAMING Framing to be as per print with the exception of plywood,tongue and groove.This item to be replaced with Advantech Engineered,tongue and groove.Steel beams by other. Installed by Robella Corp. SIDING AND EXTERIOR TRIM Siding to be Cedar,finger joint primed,on all new construction and blends to existing.The gable end on the existing house,above the proposed addition,to be James Hardee Cement Board siding.All new construction to have Tyvek House Wrap and Tape.Vicor Membrane Sealant on all windows.Siding fasteners to be stainless.Exterior trim on proposed to be PVC Versitek on roof trim,corner boards and window casings. ROOFING Roofing to be 30 year Asphalt to match existing as close as possible,with Ice and Water Shield as needed and in all valleys.Kitchen addition to be rubber EPDM as per print. Garage to be stripped and re-roofed. Frederick A.Pappalardo,Licensed General Contractor Construction Supervisors License#063173 * Home Improvement Contractor Registration#151124 WINDOWS,DOORS,SKYLIGHTS Windows to be as per print, (1)FWH9068 SASLO,grills between glass,pre-finished French Door with Satin Nickel hardware. (1)C335 White pre-finish,grills between glass. (1)TVV34310 White pre-finish,grills between glass. (2)OVE 152 Self flashing,tempered skylights. (2)Therma-Tru,Smooth Star,fiberglass 5262 doors with Plymouth Satin Nickel hardware. FRONT PORCH ENTRY See custom porch and trim package. INSULATION Insulation to be as per code with the addition of fire blocking and mineral wool,as required,on all penetrations. ELECTRICAL To be as per code with the addition of a sub feeder panel to be added to proposed basement.Switches to be basic white or ivory with GFCI protection in bath,laundry and kitchen area.Two outside GFCI to be added in front and back of home.Family room closet to have fluorescent lighting.Lighting includes outlets over island,family room fan receptacle,and(10)recessed cans.Two cable and video source outlets to be added. Fixtures by other,installed by Robella Corp. PLUMBING Plumbing to be as per print.Plumbing installation,includes basic fixtures,dishwasher, sink,garbage disposal,icemaker.Professional/Commercial appliance installation to be priced by Change order if necessary. HEATING By other. PLASTER To be '/P"Skim coat,Blue Board with textured ceilings and closets.Plaster to be primed, ready for caulking and paint by other. Front entrance way ceiling to be new,terminated at stairwell and existing doorways. COOLING SYSTEM To be central air to proposed and existing.System to be 2 zones. FLOORING Please see allowances.Hardwood to be in new kitchen,family room,bath/laundry room hallway.To be terminated at front foyer the and living room doorway. TILE Tile to be in bathroom and laundry room.Please see allowances. EXTERIOR PAINTING To be same color.One coat primer as needed,2 coats of Benjamin Moore exterior paint, and blends. INTERIOR PAINTING By other. INTERIOR DOORS AND TRIM Interior doors to be 6 panel,Smooth Masonite,with Plymouth Satin Nickel. (1)double door. RRIOBELL-A CORP. Design • Build - Develop PO BOX 606,HAMPSTEAD,NH 03841 Office.603-606-1899-Cell:603-759-4407 fpappatardo@comcast.net PAYMENT SCHEDULE \0?A C �4 DOWN PAYMENT:$31,682.00 LUMBER DELIVERED:$13,000.00 FRAMING COMPLETE:$14,000.00 ROOFING COMPLETE:$9,000.00 SIDING AND WINDOWS INSTALLED:$6,000.00 ROUGH ELECTRICAL COMPLETE:$6,000.00 ROUGH PLUMBING COMPLETE:$6,000.00 INSULATION COMPLETE:$6,000.00 BLUE BOARD AND PLASTER COMPLETE:$9,500.00 CABINETS ORDERED:$7,500.00 CABINETS DELIVERED:$6,500.00 FINISH TRIM COMPLETE:$6,000.00 FLOORING COMPLETE:$8,000.00 SIGNED PUNCH LIST COMPLETE:$1,000.00 OCCUPANCY CERTIFICATE ISSUED:$500.00 Frederick A.Pappalardo,Licensed General Contractor Construction Supervisors License#063173 11 Home Improvement Contractor Registration#151124 (3)single doors. Trim to match existing as close as possible and to be pre-primed paint grade. CABINETS,VANITIES AND TOPS Please see allowances. GUTTERS To be on new construction only.Gutters to be seamless. ALLOWANCES Lighting: 10 recessed cans.$1,000.00. Fixtures by other. Hardwood:$8 per foot,865 square feet. Material and labor. Tile:$10 per foot, 100 square feet.Material and labor. Custom porch package: $1,900.00 Landscaping:$1,000.00 Cabinets,vanities and countertops:$15,400.00 Plumbing fixtures:$2,000.00 TOTAL JOB COST $129,382.00 PERMIT $1,300.00 TOTAL $130,682.00 • As a courtesy to our customer,a portable toilet will be available,and stored on site, for all employees and subcontractors of Robella Corp. • Job site is to be cleaned at the end of each work day. • Change orders are to be paid in full,prior to the execution of work detailed in the change order. Change orders may be approved by the homeowner through e-mail notification or signed hard copy. Change orders can significantly affect job progress and must be taken into consideration in regard to the estimated project completion date. • Progress payments will be collected as the items in the payment schedule are completed.E-mail notification,with as much notice as possible,will be given for the anticipated due date of each payment.Progress payment schedule is not listed in order of job progress. • Robella Corp.removes itself from any liability of materials purchased by the homeowner outside of this contract and contract specifications.In the event of a defective product or material purchased by the homeowner,the contract warranty does not cover labor of removal, and or re-installation,of such defective product or material.This labor and any additional material needed,will be priced through a change order. • Homeowners and Contractor to initial each page of the contract and sign where appropriate. • One week will be given for homeowner to compile a complete,signed,final punch list. One week will be given for Contractor to complete signed,final punch list. The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations 600 Washington Street Boston, MA 02111 wM 5� �•�" www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): Address: `L,L_ Pt � � 12 City/State/Zip:AID Ak ec ti-CoA A)�1 Phone.#: (,!�c)3- '75a yqo 7 Are you an employer? Check the appropriate box: Type of project(required)': 4. ❑ I am a general contractor and I 6. ❑New construction 1.El I am a employer with employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have & ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurancecomp. insurance.# required.] 5. P"'We are a corporation and its 10.❑ Electrical repairs or additions 31-11 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (}ia`3 Policy#or Selbif- s. Lic.#: (9 � �7 Ll Expiration Date: IoA Job Site Address: 41 ��s P City/State/Zip: A) _A,.,,j , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DL4,for insurance coverage verification. I do hereby certi d he ins and penalties of perjury that the information provided above is true and correct. Si ature: it VC 6 et-/.1 sll10. Date: '6 Phone#: - Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector - 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to,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, §25CO)states""Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext.406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 1122-06 www.mass.gov/dia COMMERCE AND INDUSTRY INSURANCE COMPANY 73619-0000 WC 688-84-64 15172 --------------------------------------------- 013-82-1007-00 .••.•• . NEW YORK • ..- . • ROBELLA CORP P.O. Box 606 Member Companies of HAMPSTEAD, NH 03841-0000 1" American International Group EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 I.D# NH I -•. ..- WACHOVIA INS SVCS INC DBA AGENCY RESOURCES INC WORKERS COMPENSATION AND EMPLOYERS 190 R I VER ROAD, CN 101 1 LIABILITY POLICY INFORMATION PAGE SUMMIT, NJ 07902-1011 INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 00897 704 OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC 0610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 10/29/07 TO 10/29/08 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: NH B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NJ NM NV NY OK OR PA RI SC SO TN TX UT VA VT WI ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Pians. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $100 OF Re- Premium ❑X Annual ❑3 Year muneration Annual ❑3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $160 N H MINIMUM PREMIUM $750 NH TOTAL ESTIMATED PREMIUM $788 If indicated below, interim adjustments of premium shall be made: ❑ Semi-Annually ❑ Quarterly ❑ Monthly DEPOSIT PREMIUM ENDORSEMENTS(FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 09/14/07 PARSIPPANY 82 Issue Date Issuing Office Authorized RepresentiAive we 00 00 01 39967 IKI`I lR1=f1'C (Inc)v