HomeMy WebLinkAboutBuilding Permit #522-12 - 171 GREENE STREET 1/6/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:
Date Issued: 6 Aa-
'IMPORTANT:
a-
"IMPORTANT: Applicant must corn
L•OCAT,ION
PROPERTY QV NER C?/moi Cr4
A97
Pnnt
`MAP NO PARCEL: ZONING :DISTRICT
Date Received
all items on this
iDistnct
yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
R6ne family
O'Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
O'Septic D,Well
❑ Floodplain E1Wetlands
0 IlVatershed►_Dist"rict
C Vater%Sevver�
ESCRIP,TION,OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly) K
OWNER: Name: e5 4g::"'� Phone: �' f /
ArldrecG•
CONTRACTOR Name:
-Phone--,
Address:--- %��--_
- _ --
p Gy�:. _- :Exp:
Su ervisor's`Const`ruction'License.
Homo Imptoyernerit }License:.
6 77 % ... .. .Exp.
ARCH ITECT/ENGINEE .,",a 'c�!"��--� Phone:2j� f7f
Addr/ss:`7��� �ri/llt-- &P?/-e�'�J�/� /�`�- Reg. No.
FEE SCHEDULE. BULDING PERMIT: $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F.
Total Project Cost: $4�4P FEE: $
Check No.: los;z Receipt No.: �2 �J 2
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Stgnature:of_Agent/Owner _' Signaturb.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
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comme
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site -yes no
Located.at 124 Main.Stieet
FiteDepattmentisignature/date �_..... �..
COMMENTS
Dimension
Number of Stories. dimensions/
Totalsq uare feet of floor area, based on Exterior dimensions/%W
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
Ce" Building Permit Application
❑ Pertified Surveyed Plot Plan
LAI Y�v
orkers Comp Affidavit
hoto Copy of H.I.C. And C.S.L. Licenses
PY
Of Contract
Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
^�'�\Aass 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
No. .%j2 2" Date K, / 4:t -
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ Do
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
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Check #
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, AlA-02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
AppIica.nt Information Please Print Legibly
Name (Business/Organization/Individual):
Address: c:57
City/State/ZiA_4Z6_��Zl
— ,��� Phone
Are you an employer? Check the appropriate bog:
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
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
3. ❑ I am a homeowner doing all work
myself. [No workers' comp.
insurance required.,] t
These sub -contractors have
workers' comp. insurance.
5. V;,We— are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. [W]De olition
9.ding addition
10.❑ Electrical repairs or additions
11-❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
`niy aupiicau� rna: CneCiC$.ISGx ni must also ttll out the section below showing their vrnrkPrc' cmmpPneqtin—•.
.n policy
r- -
t Homeowners who submit this affidavit indicating they are doing all work and then hire outsidecontractors must submit a new affidavit indicating such
xContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
I am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:�,/.��
Policy # or Self -ins. Lic. #: f�D Gjd Expiration Date: /f Job Site Site Address: /�/� �!" 6�r City/State/Zip:��ay--��`
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 coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Official use only. Do not write in this area, to becompleted by city or town official
City or Town:
Permit/License #
V
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, of 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 may be 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. 0.21.11.
Tel. 4 617-7274900 ext 4406 or 1-877-MASSAFE
Fax # 617-72.7-7749
Revised 5-26-05
wur"7.mass.gov/dia
Nl Board of Building-, Re�aulations and Standard .
Construction `Sgperuisor ,License
License: CS 67560
SHAUN M TWOMEY _
61 PATROIT ST a /
N ANDOVER, MA 01845
Expiration: 10/25/2013
('ununi�siiutcr Tr#: 4913
i
'kla.sachusetts - Dcparintent of Puhlic S;tt'ctN
Hoard of Buildinu, Reutil-ation. anti Stanil:t:tl,
License: CS 55108
DOUGLAS J LEGARE
79 GARY AVE
HAVERHILL, MA 01830
T�
Expiration: 9/212012
4'ucun�i�si ttct' . Tr=: 2766
�a:xon c ✓f
Office of0ousmer fzfairs &rBVnessliegularioiiZ
HOME IMPROVEMENT CONTRACTOR
Registration:. 136779 Type:
Expiration: 8/26/2012 Partnership
TWbN1EY + LEGARE CONTRACTING INC.
SHAWN TWOMEY
87 BELMONT ST.
N_ ANDOVER, MA 01845 Undersecretan
,
24-2011 WED 04:09 PM
M C0RD., "rue
CERTIFICATE OF LIABIL
OOUCER
party Insurance Agency, Inc.
�- Box 1985
EIm Street
dover, MA 01810
Rr:O
Twomey S Legare Contracting, Inc.
PO Box 366
North Andover, MA 01845
FAX N0, 9784750303
P. 05
IT INSURANC�MA
DATE(MMlool YY!
THIS CERTIFICATE 1S ISSUED AS ER OF INF RMA08/24111
TION
ONL AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOL ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALT R THE COVERAGE AFFORDED 13Y THE Pal rocs cc,
INSURER
S AFFORDING COVERAGE
Ar6111 Protection Ins C
NAIC #
INSURER :
C ERAGES INSURER :
E I'OUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ROVE FOR THE POLICY PERIOD INDICATED, NOTWITHST
Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ESPEGT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
Y r ERTAIN. THE INSURgNC[ AFFORDED By TME POLICIES DESCRIBED HEREIN IS SUBJE T TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
I.ICIES. AGtiREGATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ANDING
T a �TYPEOFINSURANCE SUCH
AGENERALLIABILITY POLICY NUMBER OUTC EP EC VE POU EXPIRATION
X COMMERCIAL GENERAL LIABILITY 8500043255 06/22/11 0 A A 2112 EACH OCCURRENCE LItKITg
CLAIMS MADE Jt OCCUR
DAMAGE TO RENTED j1 OOO OOO
PRcurece �__.
TL AGGREGATE LIMIT APPLIES PER:
Loucv JF o n LOC
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ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTO9
HIRED AUTOS
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GARAGE LIA13JUTV
ANY AUTO
EXCESSIUMORELLA LIABILITY
OCCUR CLAIMS MAGE
OEDUCTIBLE
RETENTION j
ERs COMPENSATION AND
IYERW LIABILITY
OF OPERATIONS I LOCATIONS, VEHICLES I EXCLUSIONS ADDED BYENDORSEMENT/ SPECIAL
operations usual to Twomey 8 Legare Contracting, Inc...
ComwoP
COMBINEO SINGLE LIMIT
rEe accident) S
BODILY INJURY j
P )
BODILY INJURY
(Per auadent) S
PROPF.RTYQAMAGE
(Per amideM) 5
AUTO ONLY -EA ACCIDENT S
OTkER THAN EA ACC S
AUTO ONLY
AGG S
EACH OCCURRIiNCE y
AGGREGti` S
S
Town of North Andover I
SHOULD ANY OF YIIE ABOVE DESCRIBED POLICIES Of CANCELLED BEFORE THE EXPIRATION
1600 Osgood Street :ATE THEREOF, ISSUINGJNBURE:R WILL ENDEAVOR TO MAIL
North Andover, MA 01845 N:TICE TO THE CE TIFICATE HOLDER NAMED TO THE LEFT. OUT FAILURE TO DO SO SMALLL
IMPOSE NO OBPGA rION OR LIABILITY OF ANY KIND UPON THE INSURER, I79 AGENTS OR
REPREBENTATNES
AUTHORQEp REPR n,r. _
ACORO z1(200110811 of 2
#S27512/M27508
o ACO CORPORATION 8
Vw!rightFax N1-1 10/8/2010 8:54:54 AM PAGE 2/002 Fax Server
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD/YYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 10!08/2010
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the POIIcY(!es) must be endorsed. If SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain Policies may require and endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
DOHERTY)NS AGENCY INC
PO BOX 1985
ANDOVER, MA 01810
22YMX
INSURED
TWOMEY & LEGARE CONTRACTING L\TC
CONTACT
NAME:
PHONE FAX
(A/C, No, Ext): FAX
EMAIL (A/C, No):
ADDRESS:
PRODUCER
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE
INSURER A: TRAVELERS I NDEMNTrY COMPANY
INSURER B:
INSURER C:
PO BOX 366 INSURER D:
NORTH ANDOVER, MA 01845 INSURER E:
COVERAGES CERTIFICATE NUMBER: INSURER F:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELONI HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTVIRHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO I'MiCH THIS CERTIFICATE MAY BE ISSUED
OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR.
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALLOWNED AUTOS
SCHEDULE AUTOS
HIRED AUTOS
NON -OWNED AUTOS
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
DEDUCTIBLE
RETENTION $
ADDLSUBR POLICY EFF DATE POLICY EXP DATE
L4SR 1YVD POLICY NUMBER (MW..DMYYYY) (MMOMYYYY)
LIMITS
EACH OCCURRENCE $
DAMAGE TO RENTED $
PREMISES (Ea occur(ence)
MED EXP (Any one person) $
PERSONAL && ADV INJURY S
GENERAL AGGREGATE S
PRODUCTS - COMPIOP AGG S
COMBINED SINGLE $
LIMIT (Ea accident)
BODILY INJURY $
(Per person)
BODILYINJURY S
(Per accident)
PROPERTY DAMAGE S
(Per accident)
EACH OCCURRENCE S
AGGREGATE $
WORKER'S COMPENSATION AND WCSTATUTORYOMITS OTHER
EMPLOYER'S LIABILITY Y/N US -0290M994-10 09/18/2010 09/18%2011 E. L EACH ACCIDENT
ANY PROPERITOIL?ARTNERIEXECUTIVE Y $
OFFICER/MEMSER EXCLUDED? - E.L DISEASE - EA EMPLOYEE $
(Mandatory in NH)
It yes, describe under E.L DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS bejoa,
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS
THIS REPLACES AN PRIOR CHRTIFICATE ISSUED TO THE CERTM- CATE HOLDER AFFECTING WORKERS COMP COVERAGE
CERTIFICATE HOLDER
TOWN OF NORTH ANDOVER
1600 OSGOOD STREET
NORTH ANDOVER, MA 01845
ACORD 25 (2009/09)
MAIC R
500,000
500,000
500,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Charles J Clark
1988-2009 ACORD CORPORATION. All rights reserved.
Twomey & Legare Contracting Inc.
Building & remodeling
87 Belmont Street
North Andover Ma 01845
Office 978-685-7447
Fax 978-685-7446
To: Gina Muldoon
171 Green Street
North Andover Ma.
01845
December 3, 2011
Phone- 978-697-4946
Ref Frame space over garage into new family room. Frame shell only.
Thank you for the opportunity to quote the following project. The TWOMEYAND
LEGARE CONTRACTING price is based on our discussion on December 3,
2011 concerning your project at the above address.
The following is a description of work as discussed.
• Finish second floor of cape with full dormer.
1. Remove back roof line and frame in full shed dormer. To plan
2. Frame floor plan to plan. Interior partitions for bedrooms and 1 full bath.
3. Remove sheetrock wall to continue stair well.
4. 2nd floor, floor joist to remain the same.
5. Extension of stairs to be finished with oak treads and pine risers with oak rails.
6. If final plan has any changes, to be priced at time of construction.
7. All windows and doors supplied by contractor.
8. Flash and repair areas of the house due to connection of new frame.
9. Exterior siding match as close as possible. fascias / rakes and soffits in #2 primed
pine. We will wrap new area with Tyvek house wrap.
10. Match existing roofing as close as possible. Roof only new dormer area.
11. Insulation to code.
12. Sheet rock blue board plaster. Textured closets. Smooth walls and textured ceilings.
13. Flooring to be rugs in hall and bedrooms, tile floor in bath.
14. Gutters on back side of addition only.
15. Closet shelving in bedroom closets & bath closet. 1 shelf with pole.
16. Exterior painting, blend new area as close as possible to old area. All interior paint,
only in sections disturbed by contractor. Blend first floor area to new stair case as
close as possible. Includes 1 trim color and 4 wall colors. Any additional color after
that to be $100.00 per color change.
17. Contractor to provide stamped construction plans.
18. Landscape, and any repairs to lawn or shrubs to be done by other.
• Plumbing
1. All water and sewer lines for new bath in second floor.
• Sprinkler system
1. None
• Electrical
1. Specs with final plan.
2. All lighting fixtures by owner.
• Window specs
1. 7 — Harvey new construction unit. Half screen, no grids.
2. Low E with argon.
• Exterior Door Specs.
1. None
• Interior Door Specs.
1. 9 — 6 panel hollow core masonite doors with grain texture.
?. 2 — weather striped door for storage areas.
Sing Date
Job total & payment schedule
Job Total $69,500.00
I st Payment on signing $8,000.00 $81,500.00
2nd Payment start of project. $20,000.00 $61,500.00
3rd Completion of exterior framing. $15,000.00 $46,500.00
4th Payment completion of interior $15,000.00 $11,500.00
Trim.
5th Payment substantial completion $6,500. 00
Painting.
Final payment $5000.00
On final inspection. Of our work.
Allowances
1. Tile & grout. $200.00
2. Rug $2,500.00
3. Bath fixtures $2,800.00
$5,000.00
Thank you for considering TWOMEY AND LEGARE CONTRACTING Inc. for your
project. Please feel free to call with any questions or concerns at 978-685-7447.
Respectfully,
Shaun Twomey
DATE
t
3
L
Twomey & Legare Contracting, Inc.
Professional Building / Remodeling
87 Belmont Street
North Andover, MA 01845
HIC #136779
North Andover - 987.685.7447 Haverhill - 978.556.1547
CONTRACT
1. Date of Contract Signing:
2. List of Documents/Counterparts of this agreement:
A. Contract
B. Specifications/Proposal (See Exhibit B attached)
C. Drawing/Plan (see Exhibit C attached)
D. Payment Schedule (see Exhibit D attached)
E. Limited Warranty (see Exhibit E attached)
F. General Notes (See Exhibit F attached)
3. Parties to Contract:
A. Contractor: Twomey & Legare Contracting, Inc.
Shaun Twomey/Doug Legare
Federal ID# 20-3436110
Address: 87 Belmont Street, No. Andover, Ma 01845
Contractor Registration No.: 136779
B. Homeowner: Gina Muldoon
171 Green Street.
North Andover, Ma. 01845
978-697-4946
4. Description of work to be done and the materials to be used: See Specifications
(Exhibit B)
5. Total amount agreed to be paid for work to be performed under the contract:
6. Time schedule of payment to be made under the contract, finance charges for late
fees (if any)*: See Payment Schedule (Exhibit D)
Owner Initials: Contract Contractor InitialsJ/-
Page 1 of 4
it
Contractor Signature:
Contractor Signature:
Date:
1
Date:��
Notice: The signatures of the parties above apply only to the agreement of the parties to
alternate dispute resolution initiated by the contractor. The owner may initiate alternative
dispute resolution even where this section is not signed separately by the parties.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Owner Date Owner Date
ontractor Date Contractor Date
Owner lnitial
Contract
Page 4 of 4
(11''J
Contractor Initials:xi
11. Contractor reserves the right, if he deems himself to be insecure, to require, as a
prerequisite to continue work, that the balance of funds due under the terms of the
contract, which are in possession of the owner, be placed in a joint escrow
account requiring the signatures of the contractor and the homeowner, for
withdrawal.
12. The parties agree that no work shall begin prior to the signing of the contract,
transmittal to the owner a copy of the contract and the expiration of any
applicable rescission period.
13. Arbitration Clause: The contractor and the homeowner hereby mutually agree in
advance that in the event that 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 Office of Consumer Affairs and Business Regulations and
the consumer shall be required to submit to such arbitration as provided in MGL
Ch. 142A.
14. Other Provisions:
A. Commencement and Completion of Work - Contractor agrees to proceed
diligently with the agreed upon work, commencing promptly, following:
• The completion of the Title V installation and certification of
compliance by the town.
• Issuance of a building permit by the town.
B. Final payment shall be upon the satisfaction of the homeowner. The
parties agree that the issuance of a certificate of occupancy and/or final
inspection shall be the objective standard that the contract has been
complete and the parties satisfied. Any final punch list items shall be
reduced to writing, with an estimated date for completion. The parties
agree that no escrow will be held for punch list items.
C. Insurance — Contractor agrees to provide evidence of liability, workers
compensation and other risk insurance. Owner agrees to provide copy of
hazard insuran e as is required by contractor to coordinate policies.
Owner Signature: Date:
V
Owner Signature:
Owner InitialL Contract
1
Page 3 of 4
Date:
Contractor Initials: f
.o
*Any deposit required to be paid in advance of the start of the work shall not
exceed one third of the total contract price or actual cost of any material or
equipment of a specific pr custom made nature, which must be ordered in advance
of the start of the work to assure that the project will proceed on schedule. No
final payment shall be demanded until the contract is completed to the satisfaction
of all parties.
7. A. Date work is scheduled to begin: (see No. 14 below)
B. Date work is scheduled to be substantially completed: (see No. 14 below)
8. Notice:
A. All home improvement contractors and subcontractors shall be registered
and any inquiries about a contractor and/or subcontractor relating to a
registration should be directed to:
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Suite 5170
Boston, MA 02116
(617) 973-8700
B. For contractor's registration number, see first page.
C. Homeowners have a three (3) day cancellation right under MGL Ch. 93 §
48; MGL Ch. 140D § 10; or MGL Ch. 255D § 14 as may be applicable.
See attached Notice of Cancellation.
D. For homeowner's warranty rights, see 780 CMR R6 and MGL Ch. 142A.
9. There is no lien or security interest on the residence as a consequence of this
contract.
10. Permit Notice:
A. The following permits will be required in connection with the work to be
performed on your property: Building — Electrical — Plumbing
B. It is the obligation of the contractor to obtain these permits as the
Homeowner's agent.
C. Any homeowner who secures their own construction -related permits or
deals with unregistered contractors shall be excluded from access to the
guarantee fund.
Owner Initials. Contract Contractor Initials:
?i Page 2 of 4
.iwERGi t.O SE V_A.TIO1'`S APPl P"G.";= ;i,NER`tsY y-• it..� ;i,l'��E�`;, _.•�_
ONE- AN- T-V0-KA1 4HL e DE 14L EMD O N ST n i5 ` n s TN' ar
� yy� /n a icy_ , lvc• �..�`�: _• r_. ,
APplimint Phone._ -
Applicant Signature: _ bate of Application:
INTW CONSTRUCTION: (choose ONE of the following two options)
r
I 780 CIiIR TABLE 6107.1
PRESCRIPTIVE ENVELOPE COMPONENT CRI'T'ERIA FOR
MEW €3l AND TWO-FAMILY BUILDINGS
SF
_._..SF
100 x -7' J- -✓ % of glazing
(b) Glazing area equals �SF b a
MMMU-M,
780 CMR. TABLE 6101.3
PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING
Ceiling or
R-AXIMLWI.
MMMUM
Slab
Ceiling and4
� tion � :
-P
Fenestration
exposed
Wall
Floor
Basement
Perimeter
Perimeter
Basement Wall {
I R -Value
U -factor
I
R -Value
U -factor
floors
R -Value
1R -Value
Wall
R-Value
AFUE
SPF
SEER
a R-30 ceiling insulation maybe used in place of R-37 ifthe insulation achieves the full R -value over the entire ceiling
area (i.e. riot compressed over exterior wails, and including airy access openings).
R -Value
glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the
and Depth
R-10'
Nafional Appliance Energy
Co�'ation
35
R-38
R-19
R-19
R-10
Act (NAECA)of
fL
1987 as amended, minimums or
greater as applicable
Note: This form- is not required if you choose either of the two versions of REScheck as listed below.
Option 2:
REScheck Version 4.1.2 or later variant software analysis Aust be completed
(780 CMR b 107.3.2
REScheck-Web which can be accessed at http://,,vww.energycodes.gov/rescheck/
ADDITIONS OR ALTERATIONS TO EXISTING BUILDINGS OVER 5 YEARS OLD
*Buildings under 5 years old must use option #1 or #2 in New Construction section above. '
Complete the following formula to determine the % of glazing:
a)
(a) gross Wall & Ceiling Area equals Formula: (100 x b --a)
SF
_._..SF
100 x -7' J- -✓ % of glazing
(b) Glazing area equals �SF b a
If glazing is :5 40% use the chart below. If glazing is > 40 % proceed to "SUNROOM" section
780 CMR. TABLE 6101.3
PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING
LOW-RISE RESIDENTIAL BUILDINGS
R-AXIMLWI.
MMMUM
Ceiling and4
Slab Perimeter
Fenestration
! Exposed floors
WalI
Floor
Basement Wall {
I R -Value
U -factor
I
R -Value
",'-Value
Fe value
R -Value
and De th
.39
R-37 a
R-13
R-19
R-10 R-10, 4 feet
a R-30 ceiling insulation maybe used in place of R-37 ifthe insulation achieves the full R -value over the entire ceiling
area (i.e. riot compressed over exterior wails, and including airy access openings).
s I S tJNROOM - An addition or alteration to an existing builldtng/d welling unit where the total j
glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the
I addition.
Noted Owner to ill out rnmr. Form (found in Appendix 120