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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 $ k Check # 249 0 2wilding Inspector m m m C m m mm M, y d C O 'v O n Z CA r O. o n• MM CL y o o v CD cc) o CL CC � Cr c =r d CD CCD O CCD C CD in CL C2 y —• o to CD a v y O 'O Z CD O CD C CD 0 b cn cn n %O L -d cn C�n O cn C c?"o = _ O - •ycQ CA O d m .O CO) §4 O ® m mFid� rn GO z 70 d -C N Er m aid CLy m O m H p > > CD -y a O z<;C, O N C! VV �.� W a O m u. C_ ?O ,"o..F y O ra od 3-0 CD O m ca c O mCL CD O N N C= O _ O.� CS CC. j c � a :1 '11^, `C y C VJ � 5 : CA ti CASo '� `� o mCi � S: c C, O� co •a oCj OCD C0 z CO) CDa 0 C CD =CO) W m CD C=r m co o•M cal y C O O 1 O (�, �c�h1 m Cn 9 cn 4 of � CD �r1 O ,hd O -ql p Cn � pd O t14 p' O p x a O aq �T, O �j iL C/) () p CL -, vz z omq 0 0 c 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 I CMOBILF UAI31LrrY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTO9 HIRED AUTOS N04 -OWNED AUTOS 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