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Building Permit #632 - 165 REA STREET 4/29/2008
BUILDING PERMIT* "� o � q� 6 76 C TOWN OF NORTH ANDOVER c - APPLICATION FOR PLAN EXAMINATION Permit NO: 3L�1- Date Received 9q Date Issued: v �SSACHU`��� IMPORTANT: Applicant must complete all items on this page LOCATION �05Et4 Sr Print �--• PROPERTY OWNER CWC % Yg,66 -V c)a inf Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes (h -o-1 A16 038 • O --- Od-63 0000 • o Machine Shop Villaqe ves diioT , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair,replacement Assessory Bldg Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer 1Jta6rur i 1UN ur VVUKK I O BE PREFORMED: WCMUvc- �o�rSn�ac, 444-ovU�0 I/J�ir (nr()Qr1 LiGtP46 C43(- '—" "�l/�t,E WIN /VEW dentificatiop Please Type or Print Clearly) OWNER: Name: Phone: 9?8—(oFA-8(.W Address: CONTRACTOR Name: i/j/7�1� ��f1� P liI Phone:�(?���j' / y7 ✓ (> Address:—J-3 5al2l?'15d Supervisor's Construction License: / z %6 Exp. Date: 4) /2 2 Home Improvement License: Exp. Date: /,d,)LO) 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: $ 86 , x(30 • oD FEE: $ (0 3-� --- Check No.: 3q S3 Receipt No.: d // NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owneignature of contractor. 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS IL Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comm Com Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: LOcatea J64 usaooa Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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 - Date ..---._ ...... ........ _....... ----._._.._._........................................................................_.__.._.................................................................. ......... .... _._..... _............................................ __... _............ Doc.Building Permit Revised 2008 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 2.2008 Location 1'�r Ae�,4 No. Date TOWN OF NORTH ANDOVER 4L Certificate of Occupancy $ /0-3 2 CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 93 5-3 2 1 4 Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations a 600 Washington Street r Boston, MA 02111 i www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): P) Address: _6& A i —(— � —3� City/State/Zip: /G/CLyDU Phone.#: T/�//0 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I .❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.0 Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverase verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Phone #: Z — 24V�f _ 3ZIA not write in this area, to City or Town: or town officiaC Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 6'.. Other Contact Person: 4. Electrical Inspector 5. Plumbing Inspector Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 3. ❑ 1 am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I .❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.0 Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverase verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Phone #: Z — 24V�f _ 3ZIA not write in this area, to City or Town: or town officiaC Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 6'.. Other Contact Person: 4. Electrical Inspector 5. Plumbing Inspector 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,opera'te-a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for. the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone 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 ` Revised 11-22-06 Fax # 617-727-7749 voxw.mass.gov/dia 4,► CAIJ �SI 11-1 1) March 18, 2008 Project Scope Kitchen Carpentry Portion: Beaulieu Cabinetry, Inc. 3 Westville Road Plaistow, NH 03865 603-382-4038 / F603-382-8139 www.beaulicucabinetry.com d.beaulieu@comcasLnet Please review Plan #OB 110307 for the new kitchen cabinet layout and new window configuration along with the new reworks corner wall section. Carpentry Demo: Prep space for construction: Dumpster Delivery Protective covering on any existing floor not to be removed Install dust barriers on all door openings. Relocated refrigerator to selected room, with delivery of new appliances Barons will remove unwanted appliances. Remove and temporally relocate the existing hutch. Disconnect the existing appliance and ready -for disposal Disconnect the kitchen sink and remove laminate counter tops Remove and relocated existing kitchen cabinetry for sale or donation by the Tobin's. Remove the Remove existing sophit and existing plastered ceiling. Prep sitting room corner wall for new build. Remove existing kitchen window New Build: Rework new Dinette/Sitting room wall per plan. Frame, drywall and plaster finish coat Trim new cased opening in clear pine and patch in base trim. . With the completion of the rough in electrical Beaulieu will install new blue board and plaster with a random swirl plaster sand coat. 3 WESTVILLE ROAD Telephone (603) 382-4038 PLAISTOW, NEW HAMPSHIRE 03865 Fax (603) 382-8139 www.beaulieucabinctry.com Email: d.beaulieu@comeast.net 2 w .r Project Scope Electrical continued. Beaulieu Cabinetry, Inc. 3 Westville Road Plaistow, NH 03865 603-382-4038 / F603-382-8139 www.beaulieucabinctry.com d.beaulieu@comcast.net The electrical process will be two parts; first rough in phase which will include the fishing of all new wires, installation of rough in fixture cans and new pendant receptacles. Rough in new appliance wires, relocate / install any new outlet receptacles and switches. Run wires for island receptacles. Run the wires for the under cabinet lighting. The final phase of the electrical installation will be scheduled for the final leg of the remodeling portion. The finish will include; installation of the recessed can trims and bulbs, pendant fixtures, new wall receptacles and wall plates, installations of the under and in cabinet light fixtures. The final electrical will also include the installation and hook up of new appliances. Electrical: $6,183.00 Plumbing: Please purchase the sink and faucet along with any accessories from the Peabody Supply House located in North Andover, MA. Please notify the salesperson that you are with Beaulieu and Uptack. The items selected will be placed on an estimate to Uptack's account and then purchased by Beaulieu through Uptack Plumbing & Heating. You will not have to pay any monies to Peabody Supply; the transaction will be through Beaulieu. Materials purchased will be at Beaulieu's cost and will include no markup. This is done for warranty related issues. Uptack will warranty these fixtures for one year. If you decide to purchase these items on your own any service related issue in that first year will be charged. Once the fixtures are needed Beaulieu will coordinate the delivery of the fixtures. Peabody Supply Showroom hours: 25 Commerce Way Monday, Tuesday, Thursday & Friday: 9am North Andover, MA 01845 - 5pm Voice: 978-682-5634 Wednesday: loam - 8pm Toll Free: 800-725-8835 Saturday: 9am - 4pm Fax: 978-685-7397 The fixture allowance will include a kitchen sink & strainers, faucet and hot water dispenser. With final selections made Beaulieu will confirm order and final costs Disconnect existing sink works Install and hook up new sink and faucet and hot water dispenser Install and hook up new DW Supply and Install new water line for the refrigerator Allowance for fixtures and labor: $3,331.00 3 WESTVILLE ROAD Telephone (603)382-4038 PLAISTOW, NEW HAMPSHIRE 03865 Fax (603)382-8139 www.beaulieucabinetry.com Email: d.beaulieu@comcast.net 4 o A's Project Scope Kitchen and Dinette Flooring: Beaulieu Cabinetry, Inc. 3 Westville Road Plaistow, NH 03865 603-382-4038 / F603-382-8139 www.beaulieucabinetry.com d.beaulieu@comcast.net Remove existing tile and underlayment Supply & Install New Tile Floor Reset existing sitting room carpet to new tile floor. Reset existing family room carpet to new tile floor in kitchen Allowance based on tile that is priced at $4.00 per square foot Flooring Allowance: $7,381.00 Paint: Repaint ceiling with once coat ceiling flat white Paint & prep kitchen walls Stain and finish and new trim Paint the walls and ceiling sitting room Painting: $3,100.00 Total Project Cost Breakdown: Cabinetry, Counter Tops, & Installation: $50,703.00 Remodeling Total as Outlined: $35,727.00 Total Estimated Proiect Cost: $86,430.00 Remodeling part of the project is expected to take five (5) weeks on top of the estimate three (3) weeks for the cabinet and counter top installations. The total project is expected to take 7-9 weeks to complete from start to finish. Terms: The deposit for the remodeling portion of the project will be 25% ($8,931.75) which is due with the acceptance of the proposal. The second payment of 25% ($8,931.75) will be due with the completion of the demolition, rough electrical new window installation and the back corner wall reworked. The third payment of 25% ($8,931.75) will be due with the new ceiling installed and plastered, the installation of the tile floor and complete area prep for the cabinet installation. The final payment of 25% ($8,931.75) will be due at the time of substantial completion of the remodeling portion of the project. 3 WESTVILLE ROAD Telephone. (603)382-4038 PLAISTOW, NEW HAMPSHIRE 03865 Fax (603) 382-8139 www.beaulieucabinetry.com Email: d.beaulieu@comcast.net J 4 Project Scope Carpentry portion continued Kitchen Window: Remove existing vinyl siding around existing window Remove old casement window Reframe the opening to accommodate new larger window Install new window Install new vapor barrier Supply and install new vinyl trim and siding Harvey Majesty Casement 41.5" w x 48" h +/- Exterior Finish: White Interior Material: Pine Beaulieu Cabinetry, Inc. 3 Westville Road Plaistow, NH 03865 603-382-4038 / F603-382-8139 www.beaulieucabinetry.com d.beaulieu@comcast.net Installing and venting of new stainless steel hood. Reinstall existing hutch. Prep for cabinet installation The project space will be cleaned and organized on a daily basis. The project work area and surrounding areas will be left free of clutter and construction debris. Carpentry & Materials: $15,732.00 Electrical: Please refer to plan #013110307-Electrcal Installed low voltage lighting on all under cabinet areas and in cabinet where specified Installed 13 white 5" recessed cans 2 4" Recessed cans above kitchen sink Replace switches and outlets in kitchen Supply power and hook up new appliances Power supply for new hot water dispenser Fixture above dinette table is Tobin's Responsibility to Purchase, Beaulieu will install 3 WESTVILLE ROAD Telephone (603) 3824038 PLAISTOW, NEW HAMPSHIRE 03865 Fax (603) 382-8139 www.beaulieucabinetry.com Email: d.beaulieu@comcast.net 3 Board of Building Regulations and Standards HOME .IMPROVEMENT CONTRACTOR Registration: 113224 Expiration: 5/26/2009 Tr# 129226 Type: DBA R.J. HUSERDEAU CARP/BUILDER t. RICHARD HUBERDEAU, t 53 SUNRISE ST,,,,Q.a...` HAVERHILL, MA 01830 Administrator Bo�"�a�ug���o7sa�e�ars Construction Supervisor Uce" LicBnse: CS 11761' Bi rtht#iite: 10/12/1954 4,40W 09 Tr# 5023 RICHARD J HUBERDEAC!"" -. 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TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 17613 "0 ----Aq�il �ing Ins4e6tor • ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT RE PAI RENOVATE, OR DEMOLISH A ONE .OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: //_ Li DATE ISSUED: �� �Q J • SIGNATURE:✓� "" Building Commissioner/I ctor of Buildings Date o SECTION 1—SITE INFORMATION 1.1 Property Address: 1.2/ Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water SupplyM.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8' S2"a Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal On Site Disposal System. 0 SECTION 2 - PAOPERTY OWNERSHW/AUTHORIZED AGENT ► 2.1 Owner of Record Name (Print) Address for Service Signature Telephone 77 C1 / 2.2 Owner of Record: Name Print Address for Service: Signature Telephone .jEU11UN J - CUNY1XUUTIUN SERVICES I 3'.1 Licensed Construction Supervisor: k6N NU -±6 2, Licensed Construction Supervisor: 7z I Address 97 S-6 re Telephone 3.2 Registered Home Improvement Contractor I�GE� Co�Sf2Jc��a,y Company Name z[ Address Not Applicable ❑ 62.Z))5-� License Number . —31 ` Z= Expiration Date Not Applicable ❑ Registration Number 2 -gig. Q Expiration Date location: �i � 44ffew; 17 110 Ccity fJ P7,VJ-p OL., I am a homeowner performing all work myself. Q/1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job coinnanv name: phone policy #. ai I ure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the forni of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the its and penalties of perjury that the information provided above is true and correct. Signature Date 4/ Print name i✓.L� �?. ..�Ef........ —� — Phone # 441 official use only do not write in this area to be completed by city or town official city or town: permit/license # 0Building Department O check if immediate response is required (]LicensingBoard' pSelectmen's Office ❑Health Department contact person: phone #;Other (revised 3/95 PJA) BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:, CS 058245 I Birthdate: M/24/1943 itko ret.',O/24120.06 Tr. no: 21031 Restricted: 00, KENNETH B KEEN 21 HEWITT AVE Q N ANDOVER, MA 01845 Acting Cc mis oner t= _ -Board of Building Regulations and Standards . HOME IMPROVEMENT CONTRACTOR { Registration: 108383 c 'Expiration: 8/18j2004 Type, DBA KEEN CONSTRUCTIONCO. Kenneth Keen ?` .-3 21 "Hewitt Ave ' No. Andover, MA 01845" _-- Administrator w KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Tobin, Eric & Angela 165 Rea St. N. Andover, MA 01845 (978) 681-8664 Contract # 1630; Appendix A Date:7/27/04 Finish Basement: • Frame partition walls to create approx. 800 sq. ft. finished area • Create four closets (3 finished, 1 unfinished) • Insulate and install vapor barrier on all exterior walls • Supply & install one window on back of house to match existing • Supply & install one 9 lite Smoothstar fiberglass door unit • Supply & install blueboard on all finished walls and skimcoat plaster to smooth finish • Supply & install doors and all trim to match existing • Paint walls and trim( 2 coat finish, 2 neutral colors) • Supply & install 2'x 2' revealed edge suspended ceiling • Supply & install ceramic tile in entry ($260.00 material allowance) • Supply & install carpet in remainder of finished area except for kitchen ($ 22.00 sq. yd. installed allowance) • Supply & install Kabinart cabinets as follows: Kitchen area: • two 24" x 84" x 24" towers • one 30" x 30" x 12" wall cabinet • one 30" x 24" x 34" base cabinet Desk area: • one 24" x 84" x 24" tower • two 24" x 21" x 32" base cabinets • two 24" x 24" x 12" wall cabinets • two 36" x 24" x 12" open wall cabinets • Supply & install laminate counters Electrical: • Supply & install all outlets to code • Supply & install ten recessed lighting ceiling fixtures • Supply & install switching to code • Supply & install electric baseboard heat to code with standard thermostat • Supply & install one phone outlet & one cable outlet 1 C,E ,J -F -n tq t_ v f4 c KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 au tLET. Total price:$33,555.00(thirty three thousand five hundred fifty five dollars) Price does not include cost of permits, plastering walls smooth, exterior painting, kitchen flooring, moving waste pipe or a new water heater. All extras to 'be paid in full upon ordering. Payment schedule:$1.000.00 due upon signing co' tact -- <. K. �, - ., ,,„ ,., „„,,•�w, ��__ ..r. •., $4500.00 due when cabinets are ordere` $5000.00 due the first day of work j. $5000.00 due when the door and window are installed $5000.00 due when rough framing is complete $5000.00 due when rough electric and insulation is complete $3000.00 due when blueboard is hung $3000.00 due when plaster is complete $2055.00 due at completion of contracted work Cust mer 791�� Date 2 4ee;B..keen Date -°7 FORM U -LOT RELEASE ORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT /�� % PHONE. LOCATION: Assessor's Map Number c 0- PARCEL SUBDIVISIO LOT (S) STREET , ST. NUMBER OFFICIAL USE ONLY****k*** ****** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD IN CT -HEALTH DATE APPROVED DATE REJECTED TH DATE APPROVED !!t/ 7 Ctf DATE REJECTED COMMENTS�,- PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT. FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm J 1 • rA rA z CL c o :cm�Q o H Ma CIS a � O o a 0 C 0 a x .0 CL CGM L M 4D O A �SID Z= c— .ey ri a t `° 5 O � v w V CE w _ t is � = 4- CLCOD o a N w rR ° cn cn z CL g O O C C.— CD p� Aa O O 'F m m CD 0 CDCL CD O p i Ccrma c as ca zco CL V y O C C c y p LLI In N LLI U) W W I% W U) c o :cm�Q m c Ma CIS o O o O y 0 C 0 a O V V .0 CL CGM L M 4D O A �SID Z= c— .ey ri a t `° 5 O � .n Ea V CE O _ t is � = 4- CLCOD o a N .O= cm C ca 0 V) 3 01 C m C _m H W N L3 : IL �mm g O O C C.— CD p� Aa O O 'F m m CD 0 CDCL CD O p i Ccrma c as ca zco CL V y O C C c y p LLI In N LLI U) W W I% W U) :cm�Q J IM o v �z w 0 C 0 a = o o r CGM L M 4D W �SID Z= c— .ey ri a t `° 5 .n CD V O C4 • � = 4- CLCOD g O O C C.— CD p� Aa O O 'F m m CD 0 CDCL CD O p i Ccrma c as ca zco CL V y O C C c y p LLI In N LLI U) W W I% W U) KEEN CONSTRUCTION CO. G 21 HEWITT AVENUE NORTH ANDOVER. MA 01845 Tel: (978) 691-5201 Fax: (978) 682-3231 Submitted 11 i To:..._.. 1630 PROPOSAL All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. F.I. D. NO. 7 75 — �7L `� - 2 � _U MA. H.I.C. 108383 04-325-8052 C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: ._E.. ......... ...:.__`�C,.._G`,..� ... ..... . _..`........... Construction related permits: WORK SCHEDULE .. .............................................................................................. ......................................................................................................................................................................................................................... Contracto will not begin th work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contrac r will begin the work on or about - - (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by - (date). The Owner hereby acknowl dge and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall of WARRANTY be considered as violations of this Agreement. The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of t r following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of —_—�_ r C' , X12' -a C • L C dollars ($ �. '15 �.. Payment to be m de as follows. ), % ($ ) upon signing Contract; % ($ ) upon comple on o °� ($u ~completion of ; shall be made forthwith upon completion of -work under -this contract. - KENNETH B. KEEN Name of Contractor / Designated Registrant 21 HEWITT AVE. Street Address N. ANDOVER, MA 01845 Gty / State -- (978) 691-5201 (978) 682-3231 rnone - - Fax Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third of the total contract price Name of Salesman or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and Authorii Si' equipment, whichever amount is greater. i Note: This proposal maybe withdrawn by us it not accepted within days. Acceptance Of Proposal - I have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. j Signature Date Date _ IMPORTANT INFORMATION ON BACK ► I• LTJ n �� L � ON W, N� m MA fA Q1?I �3 ?1 fn �o D --W T 0 m o c 3 Q C` C MA fA Q1?I ?1 fn 37 i --W T 0 m 3 G c 3 °-' o m C) °-' cu -. o m m °' o =r � C °-' 3 o =rv O vIV 19 n 0 z 19 0 �o n M 0 Z M v 0 _ ' _ M z m m CA z r� C c cn 0 c c� �yy C�! y d d H O � rnn to r• -r 0 �(D Po Y rt ti O n � C 3 0 VJ H y H d m V O x N .� ,b> o o H N y �rJ _ u In y :A 1h`f�3 y � H 0 i Y Ili y c � � z H Y �-C CrJ n � A � A J J ff A M• N n ctq -n m rn Q l\ m z X O • 'Cl v• rn C CO) w T n n m to 4Z -- rn t, �I \ �pw \"IRt 199, 1J 7\l 0 Date ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ...... ............ 3 ..................... ............... ................ has permission to perform .. ............. W ........... .. .. . .... ........ ........................... wiring in the building of ............ .. .................................................................. at . . ......................... . North Andover, Mass. A7 -'�-2) Fee./ .......... Lic. No27 ............................................................ ELECTRICAL INSPECTOR Check # VZ 5 4 6 �L\ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No.MOW JT BOARD OF FIRE PREVENTION REGUTIONS Occupancy and Fee Checked �rA [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with,de Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORAL4TION) Date: City or Town of: to AJo,�,4 To the Inspector of Wires: By this application the undersigned gives notice of his br her intention to perform the electrical work described below. Location (Street & Number) S i Owner or Tenant Iy � k, r Telephone No. t Owner's Address Su A --- Is -- —•Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building�� h « ��¢�1"- Utility Authorization No. Existing Service 2-00 Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �� �� Sy� Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixturestj No. of Ceil: Susp. (Paddle) Fans .- No. of Total Transformers KVA No. of Lighting Outlets --- No. of Hot Tubs - Generators KVA No. of Lighting Fixtures g g S Swimming Pool Above D -In- ❑ g rnd. rnd. o. o Units Emergency Lighting ^ Batte Units No. of Receptacle Outlets l -Z No. of Oil Burners — FIRE ALARMS No. of Zones - No. of Switches lv No. of Gas Burners — No. of Detection and _ Initiating Devices No. of Ran es - g No. of Air Cond. Total _ Tons No. of Alerting Devices - No. of Waste Dis osers _-- Heat Pump Number Tons ...— KW . - ....... No. of Self -Contained '- p Totals: ...... Detection/Alerting Devices No. of Dishwashers - • Space/Area Heating KW p bC) Municipal Local ❑ Connection 0-9ther No. of Dryers Heating Appliances KW _ SecurityNo. of Devices or E atvalent No. of Water_ KW _ No. of No. of _ Data Wiring: Heaters Signs - Ballasts No. of Devices or Equivalent No. -Hydromassage Bathtubs - ' No., -' Total HP' = "'``".- T-elecam-inu�ations Wiring: .. �„No::ne ice.:,or: ,! uivalegl_ i FOiHER: r Attach additional det6d f desired, pr as regzif 1nspector• 9f Wires. INSURANCE COVERAGE: Unless waived by the owner; no permit for•the performarice of elechci6l,-Wo rk inay issue unless the licensee provides proof'of liability insurance including" . 6ieted operation." cov_ezage or=its salistamiaLequivalent.. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. . CHECK ONE: INSURANCE X BOND ❑f OTHER ❑ (Specify-)' 7, "On.F,ile ` (Expiration Date) Estimated. Value of Electrical Work: ('When.required by,mun-icipa) policy:) .•Work:rto Sidi •, Inspections to be requesited in acodfdance'wi,& vlEC Rule 10, and upon completion. `'I certify; under the pains and penalties of per,�ury; that,th, a information on this'#Ppl eaiion-U'true and complete , FIRM NAME: r ::.,'IG: NO:: Licensee: Kelly �iVI. Casgy Signature 4T, - liIC.'N6.1 00 1 applicable, enter; zem t °'in the lic nse number line t (f pp . P ) ;'.lr iBus:'Tel.•N'o:i`918-697-4453 Address: 700 Robbins' Ave. Unit 3 Dracut; Mass'91826 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have,the,1ja. Pity l surance coverage normally required by law. By my signature below, I .hereby waive this. requirement. --h am the`(check.o* owner ❑. owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 1 S Oc7 rAl Date. . �/�/w TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'S'SACHUS t This certifies tha .......... Z -Or ......... has permission to perform plumbing in the b ildi f ......... u so a t .................. North Andover, Mass. Fee-;�N�, Lie. No. . . ............ ................ r5 Check # PLUMBING INSPECTOR 6'1 �0 A Installing Address_ Business 'MASSACHUSETTS UNIFORM APPLICATION Print or Type) N06;\- 6d-0QC2�. Mass. Date_,; Building FOR P6hMIT TO DO PLUMBING g® --j Pefmtt * "07D t-4-Z ra Name (.0 f L `'t 0 �v of Occupancy New O Renovation O Replacement Pians Submitted: Yes O No O FIXTURES Impany Name i (-3 K -M k 741 7 e�' tY Check one:. Certificate L4 !jA1j t5,corporation 132 INSURANCE COVERAGE: I have a cur" liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142: Yes No O If you have checked y.W, please indicate the type coverage by checking the appropriate box A liability Insurance policy IA Other type of Indemnity ❑ _ Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General laws, and that my signature on this permit application waives this requirement. Check one: _of r Owner O Agent ❑ 'nnshvm u .... A.,..w.•. ♦---• 1 hereby certify that all of the details and information I have submitted for entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in Pertinent provisions of the Massachusetts State Plumbing Coe dChapter 142 of the Generalyws,Pliarrce with aft Signature of Wen3ed Humber Title Type of License: Master ' /� O t�tyRown • L Uoense Number Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ �',OtherrP6rmit Fee $ T Water Conned $ TOTAL. Building Inspector Div. Public Works . Mo Location I Np. TOWN 0 RTH ANDOVER 0 ccupanci, Certificate of Q Building/FramePl��e $ Foundation Permit Fee Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works L�ocation—" No. Date /0 -22 &ORT TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ -11�� Building/Frame Permit Fee $ /Z-Lr� 5-0 Foundation Permit Fee $ Other Permit Fee $ ---------- - wwer Connection Fee $ -3 17 � I nnection Fee $ OTAL Building Inspector Div. Public Works Lo oat i -on x N8. Date L 7, A � 01 In TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ 11?6i,her Permit Fee $ SeVer Connection Fee $ 37d Water Connection Fee $ TOTAL $ z building Inspector Div. Public Works 1-7 Locatlon/4�15 )eelllo� Nd. Date a TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ SSewer Connection Fee s water Connection Fee $ e5 TOTAL $ B Ildng Inspe6tor .04 �,P,k L -I -L,, U bl-v. 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Z _.. • ..4 �i O z ©o x o s. i m o o -n m N Tl` ` 0 0 � m z z o x x x C ,..-n r" m m. n D �• m O > c p f �J z -n D D D l!n H C Co 0 3 (� fn fese nuo m O z .Z . �A r -� m z �. c m m x n O m m cn M D O r N N n D E M M C w I oov 3 ap �ti Qh o r fC N r r�o.gr� r N�, r tir�acu� ? r � r r , ro i N 76' 23'Z9" /50. 00' a: i r FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Appl icant fills out this section***************** APPLICANT: Cid ft c o ,, Phone � %o 10 q LOCATION: Assessor's Map Number 7S Parcel`� d Z 3 ill Subdivision 179- l ] / Lot (s) -47 Street St. Number_ ************************Official Use Only************************ RECOMND;NDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Town Planner Date Approved Date Rejected Comments Heal hA�e g nt Comments Date Approved Date Rejected (6 Public Works - sewer/water connections `KAA - drivewayp rmit (,S,5 (11� ra ` L Fire Department •V--i- Received by Building Inspector �'y GJ -o1 Date �_ g■ O Z rn i do m m X m D U) m m z --q 3. 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