HomeMy WebLinkAboutBuilding Permit #552 - 1770 SALEM STREET 2/20/2007 TOWN OF NORTH ANDOVER NORTH
APPLICATION FOR PLAN EXAMNATION 0 -06to 8, -
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Petmit NO: Date Received
Date Issued: 20 D
�9SSACHUS try
IMPORTANT: Aeplicant must complete all items on this page
LOCATIOL4r'wT 5g
Print
PROPERTY OWNER dXr-,N d� L4,"y 144AZ"Cl-e—
Print
MAP NO.:/ PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building VOne family
❑ Addition ❑Two or more family ❑ Industrial
[Alteration No. of units:
❑ Repair, replacement ❑ Assessory Bldg ❑Commercial
❑ Demolition
❑ Moving(relocation) ❑Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
r
•
Identification Please Type or Print Clearly)
OWNER: Name: 6't'k fol&AtLOf Y" #,4")60 G12 Phone:
Address: /77/ SA -Sr
CONTRACTOR Name: c,4 cle 'p oc e6ui s /,/e- Phone: 6 07`al?--2 F6 t—
Address: I K4-!D AIX- s,��.�,�t ,N1a• 0 3,9?•9
Supervisor's Construction License: ` Exp. Date: ' 3
Home Improvement License: /016 Exp. Date: "7_ 2s-_ 67
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PER T:.1,12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F.
Total, Project Cost :� S 3:177/1 ass x12.00=FEE:$ 45 C/6
Check No.: 142-0 Receipt No.:
Page I of 4
I
• i
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
o Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
o Floor Plan Or Proposed Interior Work
Addition Or Decks
o Building Permit Application
o Surveyed Plot Plan
o Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
o Mass check Energy Compliance Report
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:INSPEc'rIONAL SERVICES DEPAUMENT:BPFORM1IU5
Paur 1 nl'd
TYPE OF SEWERAGE DISPOSAL_
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools
Well Tobacco Sales ❑ Food Packaging/Sales []
Permanent Dumpster on Site �_
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaran „firnd
Signature of Agent/Owner Signature of contract
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FOR�INI
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
.CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals: Variance,Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection/Si natur & Date Drivewav Permit/
Temp Dumpster on site yes ' no Fire Department signature/date
i
Building Setback
Front Yard Side Yard Rear Yard
Required Provided Required Provides
Required IProvided
I
Dimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area,sq. ft.:
NOTES and DATA—(For department use)
Page 3 uf4
IN)c:INSPECTIONAL SERVI('U,DEPARTMENT UPFORMUS
('rctted 1MC.1,m.:006
v
LocationS�-
No. � - Date ? 7
NORTIy TOWN OF NORTH ANDOVER
O? •. • Ow
Certificate of Occupancy $
Building/Frame Permit Fee $
s�cMus
Foundation Permit Fee $
t
Other Permit Fee $
TOTAL $
S
Check #
19991
661Iding Inspector
NORTH
Town of R dover
No. %$:TZ
dover, Mass., +
T O
GOc LAKE
C MIC HE WICK V
7�S RATED C7
�i BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......&.11F.�..�......... .. ..O.IV...C.O.&*f.......................................................... ....... Foundation
has permission to erect................. buildings on .... ..7..Q..... oa/walw......C/07............ Rough
to be occupied as.................., �!.!llM�.tr.. ..........Wionoao
.... Chimney
Ch' eprovided that the person accepting this permit shall in every resp t rm of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMU EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO STAR'S Rough
Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocmpy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
99'—e"
3 �
32-41" 32-81" 32,'
3i
SINI t1
I Sia NJ,
co lx N CH 90''
(7 kz
33'
zrgq 3
�Ey
yaa� i
:�G
I � R
35-49I 28 c <j
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ry
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24" 3411 37"
—71;8"
All dimensions size designations given are sa,+y' This is an original design and must not be Designed: 11/13/2006
subject to verification on job site and TECHNOIOGE released or copied unless applicable fee has Printed: 1/23/2007
adjustment to fit job conditions. been paid or job order placed.
Hancock AS BUILT 1 st floor bath I Structual Changes Drawing#: 1 Scale : 0 1/2" = 1'
g g
99;5"
3
3243" 32a" 32,e"
_ NO STRUCTURAL CHANGES
Candlelight Cabinets
Swanstone vanity top 4 ::y I Madison door style-1/2" overlay
``' Slab drawer heads
with ck and side splas s
I N
Natural Birch
NI-
c� A 1. WB3030
RD TO 10"
33"-. ; WIDE TOP RAIL 3"
E53" LEFT AND RIGHT
k�
I'«. 60x36 shower re ptor s `I
F(; 2 .VSBB3602
28, wanstone shower surround s I ESWLEFT AND RIGHT
with accessories
34 1/2" HEIGHT
Semi-frameless b . ;pass F:?+
h>< shower door t?={ Un 3_ CM--1-96" PC
;n, OD
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5. SML--2-8'PC
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24" 34'— 37"
e"
71 ,5i
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All dimensions_size designations given are . This is an original design and must not be Designed: 1/17/2007
subject to verification on job site and ZO TECHNOLOGIES released or copied unless applicable fee has Printed: 1/18/2007
P
adjustment to fit job conditions. been paid or job order placed.
Hancock 1st floor bath FINAL LAYOUT 1-17-07 Structual Changes I Drawing#: 1 Scale : 0 1/2" = l'
..........
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Note: This drawing is an artistic2Designed: 1/17/2007
20 �'-" Printed: 1/17/2007
interpretation of the general appearance ol.Ir TECHNOLOGIES
the design. It is not meant to be an exact
rendition.
///07
Hancock 1 st Hancock I st floor bath FINAL LAYOUT 1-17-07 1 Drawing#: 1
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All dimensions size designations given are This is an'original design and must not be Designed: 2/5/2007
TECHNOLOGIESs
subject to verification on job site and 20 ' lEreleased or copied unless applicable fee has Printed.: 2/5/2007
adjustment to fit job conditions. been paid or job order placed.
Hancock 1 st floor bath ELECTRICAL Structual Changes I Drawing #: 1 Scale : 0 1/2 — 1
868„ 824"
5„
32" 37" 178„ 174" 322„ 322" e 144„
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All dimensions-size designations given are20 2
Vim' This is an original design and must not be Designed: 11/18/2006
subject to verification on job site and TECMN( 1�E5 released or copied unless applicable fee has Printed: 1/23/2007
adjustment to fit job conditions. been paid or job order placed.
Hancock AS BUILT 2nd Floor Bath All Drawing #: 1 Scale : 0 1/2" = 1'
— 914" 828"
372" 37" 174" 178" 324" 322" a 144"
y:,,��r'f 5 �->x.:�sr•M, y'�>' 5 ! 'S., �{"�]'__I____—.._..._.r___�—_ —Yfi 'y�,,y,'x '3 P. S,..A'a4J :f'�. '�f`_� ,s'„"+'it, F71
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Remove closet , wing wall and back wall and
extend bathroom into master bedroom 17 1/_ .' fir' 2 Install Pella Precision Jrlr
(to right side of window asing-) M Fit window
Master Bedroo ' CH 96”
4�
0
,�3
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r, New the on floor
6y 1
Chase remains. Reframe wing wall
Miris+, to enclose chase.
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, 1g door
Reinsta I existin d
Soh
s„ra+n i Yi��ez t
94"
m I
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All
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All dimensions size designations given are '' "" This is an original design and must not be Designed: 1/23/2007
subject to verification on job site and ~® .Greleased or copied unless applicable fee has Printed: 1/23/2007
adjustment to fit job conditions_ been paid or job order placed.
Hancock Structural Changes 2nd floor bath All Drawing#: 1 Scale : 0 1/2" = 1'
99110
1 5 n
1 5�� 1 11 3 � 9
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19 37 �- 32-� 32 a
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Mission FO doors with Mahogany Pegs s4 Swanstone tub surrou Y<.
5 c matching drawer heads 2 large drawer
` with trim to ceiling- Wco
p g g recessed shampoo
Slab drawer heads on top drawers
;r soap dish
Maple wood-- Oasis stain
Semi frameless by-pa
1.WB2430--BEF A shower door ---
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DEC DEPTH TO 10"
FI
W/PI
2.MCR1730---H/R Fes`'a Drawers on left W '
INC WIDTH TO 21
3.VBC39-LDW--FEL--H/R
:� F Recessed medicine cabine
ESR 3"
ADD 2-9" WIDE DRAWERS TOP
�' �s + +..`+t'-�. J�a`�S1r�- _—_---1�"_��kMw FC � y.�^"�.. r�
LEFT AND RIGHT OF SINK �:-�Tw i��;r"� tz"��y
34 " HIGH CABINET _. ".
4.AC-08-----ARTS AND CRAFT MLD 35" 41"
1-96" PC 1
5.WF0336--USE ON LEFT OF VANITY —77e
6.MTK
1-8'PC
7.SML-08
,.
All limensions_size designations given are �� �� ��,�.€� This is an original design. and must not be Designed: 1/8/2007
subject to verification on.-job site and T¢cNOL oc s U released or copied unless applicable fee leas Printed: 1/18/2007
adjustment to fit joy conditions. been paid or job order placed.
Hancock 2nd floor bath FINAL LAYOUT All Drawing #: 1 Scale : 0 :,/E=::P
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Note:This drawing is an artistic2O irl' Designed: 1/i 7
interpretation of the general appearance of fz motoGIES TJ Printed:
the design. It is not meant to be an eruct
rendition.
07
Hancock 2nd tloor Hancock 21 n dour bath FINAL LAYOUT Drawing 9: 1
-
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-- W 4
Note: This drawing is an artistic zn.tg Designed: 1/8/2007
interp.retat.ion of the general appearance of TECO LOGIEs Printed: 1/18/2007
the design. It is not meant to be an exact
�g107 rendition.
11107
Hancock 2nd floor I-lancock 2nd floor bath FINAL LAYOUT Drawing #: l
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°'"' �# This is an original design and must not be Designed: 2/5/200
All dimensions _size designations mations given are € g
b b 210 `� � released or copied unless applicable fee has Printed: 2/6/2007
subject to verification on job site and TECHNOLOGIES: been paid or job order placed.
adjustment to fit job conditions.
n
Hancock 2nd floor bath ELECTRICAL
All Drawing #: 1 Scale : 0 1/2" — 1
Section I I
Construction Contract
of the
Contract/Proposal
for
Beth and Larry Hancock
BUSINESS CONDITIONS TO THIS
CONSTRUCTION CONTRACT
This Contract, dated 1/19/2007 is by and between:
Beth and Larry Hancock
1770 Salem Street
North Andover, MA 01845
Blackdog project code HANCO-6756-B
(Hereafter referred to as OWNER), and
Blackdog Builders, Inc.
7 Redroof Lane, Unit#1
Salem, NH 03079
(603) 898-0868
Hereafter referred to as CONTRACTOR). Work will be performed at:
1770 Salem Street, North Andover, MA 01845
(Hereafter referred to as PROPERTY)
1. GENERAL
This CONTRACT is for the following work and materials to be performed by the CONTRACTOR on the
PROPERTY address shown above. The project is generally described as follows:
Remodel First and Second Floor Baths---Miscellaneous Carpentry
(Hereafter referred to as WORK)
The CONTRACT consists of this document, any plans, the specifications, the Blackdog client package and the
Construction Contract. (Hereafter collectively referred to as the"CONTRACT")
2. PRICE
The total price for the WORK agreed upon is $53,771.35. Payment terms are set out below in Paragraph 6. This
proposal may be withdrawn by us if not accepted within thirty(30) days.
3. STARTING AND COMPLETION PROVISIONS
The WORK will begin on approximately 3/2007 and will be completed, absent unusual or unforeseen
circumstances, on 5/2007 providing this CONTRACT and an related CONTRACT documents are accepted when
p 9 Y P
presented. Projects requiring two contracts (one for construction work and one for bath or kitchen product)will not
be slotted into the schedule until both agreements have been executed. The aforementioned dates reflect our
present workload. Projects are assigned a slot in our work schedule as they are accepted, on a first come
first served basis. These dates may move based on the completion time of the project that immediately
preceded yours.
4. PERMITS AND APPLICABLE CODES: COMPLIANCE WITH LOCAL LAW
a. All work to be done under this CONTRACT will be in accordance with local, state and county building code.
The CONTRACTOR shall obtain all necessary permits and pay all required permit and plan fees from the
CONTRACT sum, unless otherwise agreed. The CONTRACT price does not include any fees, which may be
incurred to obtain a variance, if required. The CONTRACT price does not include any unbid items required by any
local building official to bring the project into compliance with any relevant local, state and county building code.
b. All home improvement contractors/subcontractors working in the state of Massachusetts must be licensed and
01/18/2007 Contract Proposal—Page 4 of 25
registered by the Bureau of Building Regulations and Standards. All inquiries concerning the CONTRACTOR
should be transmitted to that office. In Massachusetts Blackdog Builders, Inc. operates under License number
CSO48847 and Registration number 106877.
5. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP
a. This CONTRACT will be completed by the CONTRACTOR in a good and workmanlike manner, using quality
materials.
b. If applicable, the CONTRACT price includes the following allowances: See allowances under specifications.
6. PAYMENT
a. Timely payment by the OWNER of all sums due under this CONTRACT is of the essence to this
CONTRACT. The parties agree to the following schedule of payments:
Deposit with this contract: $2,688.57
Payment Schedule amounts reflect a Partner Plan credit of$2,500.00
b. Payment Schedule
Start of bath #1 $4,858.28
Substantial completion of bath #1 $4,858.28
Start of bath #2 $8,744.90
Start of bath#2 rough-in $8,744.90
Start of bath#2 drywall $8,744.80
Start of bath#2 Tile $8,744.90
Substantial completion of bath #2 $2,429.14
Completion of Punch list $1,457.48
c. Allowances for Owner Selected Components
N/A
d. The CONTRACTOR may cease operations if any payment is not made by the OWNER as required herein,
and proceed to collect any balance due through any remedy provided by law. Payments are due when the
aforementioned progress milestones have been reached. It is understood that minor adjustments to the
payments schedule may be necessary due to the flow of work or delays beyond the control of the
CONTRACTOR.
e. DEFINITIONS
Substantially complete -The space or project is substantially complete when the space or project can be used
for its intended purpose and only punch list items remain.
Punch list-Work or product that has not been performed or provided.
Warranty item -A product or service that has been provided or performed that does not meet or exceed industry
standards.
THESE CONDITIONS MUST BE ACCOMPANIED BY THE CONSTRUCTION CONTRACT
01/18/2007 Contract Proposal—Page 5 of 25
CONSTRUCTION CONTRACT
This Contract is by and between:
Beth and Larry Hancock hereafter referred to as "OWNER", and Blackdog Builders, Inc hereafter referred to as
"CONTRACTOR" for work at 1770 Salem Street, North Andover, MA 01845 dated 1/19/2007. This CONTRACT
consists of this document, any plans, the Specifications and Business Terms that are enclosed and the Blackdog
Builders Client Package. (Hereafter collectively referred to as the"CONTRACT")
1. CONTRACTOR'S DUTIES--GENERAL
a. To direct and control the work contracted for in accordance with the terms of this CONTRACT and all
applicable codes, laws, and regulations, and as the building permits issued for this project, if any, require.
b. To inspect the site, examine the plans and specifications, if any, and supervise all of CONTRACTOR's
employees, and to direct the work of all subcontractors selected by CONTRACTOR.
c. To maintain the work site in a safe and clean condition, to the extent consistent with the CONTRACT.
d. To advise the OWNER promptly if concealed conditions are ascertained which require additional or different
work, and to proceed in such event in accordance with this CONTRACT.
e. To provide locked storage for any equipment, tools, or other PROPERTY used in the performance of this
CONTRACT, unless otherwise agreed in writing.
2. OWNER'S DUTIES--GENERAL
a. To provide adequate utilities for the work agreed upon.
b. To advise the CONTRACTOR of any condition of the PROPERTY which affects CONTRACTOR's ability to
perform.
c. To provide secure storage areas for materials delivered to the work site.
d. OWNER shall be entitled to make periodic inspections of the work site, provided such inspections do not
interfere with the work and can, in the judgment of the CONTRACTOR, be made safely. Any other entry onto the
construction site shall be at OWNER's risk.
e. OWNER shall notify his insurance agent of the execution of this agreement and obtain any necessary riders to
his current coverage or any locally customary forms of coverage, such as builders risk, to cover OWNER's
interests and liabilities during the construction process.
f. To perform no work on the project without a written agreement with the CONTRACTOR.
g. To make no agreements with any trades person, subcontractor, or CONTRACTOR'S employees outside the
scope of this CONTRACT without the written consent of the CONTRACTOR.
01/18/2007 Contract Proposal—Page 7 of 25
3. MATERIAL SUBSTITUTION
CONTRACTOR reserves the right to substitute other materials, products and/or labor of equal or superior quality,
utility, or similar color.
4. DELAY
CONTRACTOR shall not be responsible for delays caused by events beyond the control of the CONTRACTOR,
including but not limited to: strikes, war, acts of God, riots, governmental regulations and restrictions. Delays
caused by OWNER's failure to make allowance materials selections or caused by the performance by
CONTRACTOR of extras or necessary work(as described in Paragraph 6) shall likewise be excusable delays.
5. INSURANCE
CONTRACTOR agrees to maintain all necessary forms of insurance to protect the OWNER from liability for any
occurrence arising from the performance of this Contract. CONTRACTOR agrees that he shall cover his own
employees for workers compensation and carry general liability insurance, and that all forms of insurance
referenced herein shall be with reputable companies licensed to do business in the state where the project is
located.
6. HIDDEN, CONCEALED and UNFORESEEN CONDITIONS
a. The parties agree that in the event CONTRACTOR discovers a hidden, concealed or unforeseen condition
requiring an extra cost that they shall proceed as follows: The CONTRACTOR shall notify the OWNER verbally
to expedite agreement as to any charge necessary to correct or cure such condition, and provide a written Work
Order (as described in paragraph 7a) as soon as practicable. The parties must agree to such extra charges, or
agree to a resolution method, or this CONTRACT may be cancelled by either of them.
b. For purposes of this section, a "hidden, concealed and unforeseeable condition" shall mean a condition not
readily observable to a prudent CONTRACTOR inspecting the subject PROPERTY for the purpose of performing
this Contract. Examples of such conditions can include, but are not limited to; rot under siding; ledge below grade;
pre-existing plumbing or electrical work not performed to code and pre-existing mold.
c. Any change in the WORK required by building officials assigned to this project, including structural and/or any
environmental hazards will be billed as an EXTRA charge to this CONTRACT and paid for by the OWNER as a
Work Order. CONTRACTOR may cease operations if OWNER refuses to pay
7. EXTRAS
a. Any extra work or materials desired by the OWNER shall be agreed upon in writing and such extras shall
become a part of this CONTRACT as if fully set forth herein. Unless otherwise agreed, extra work shall be paid
for as performed. Failure of the OWNER to sign a change order shall not preclude recovery for any work
performed by CONTRACTOR, and acceptance of said extra work or materials shall be presumed, unless there is
written notice to the contrary.
b. CONTRACTOR shall advise OWNER, at the time of agreement on an extra, as to any additional time required
to perform this CONTRACT.
01/18/2007 Contract Proposal—Page 8 of 25
8. ESCALATION
CONTRACTOR reserves the right to pass on additional costs to OWNER resulting from the escalation of the cost
of lumber or lumber byproducts. This cost may be passed on only, if after the CONTRACT is signed but before
the construction commences, an increase in lumber costs is experienced. The CONTRACTOR must substantiate
the change with evidence of the difference between lumber costs at the time of the CONTRACT and lumber costs
at the time of construction. Only direct cost differences may be passed on, no allowances for overhead and profit
shall be included. Any additional costs will be collected per Work Order(as described in paragraph 7a.).
9. EXCESS MATERIALS ON SITE
CONTRACTOR routinely stores extra materials on site to improve efficiency and reduce the likelihood of running
out of stock in the middle of a task. Unless otherwise specified in writing all excess materials on site at the end of
the project are the PROPERTY of CONTRACTOR.
10. SUBCONTRACTORS
a. CONTRACTOR shall select subcontractors as required to complete this CONTRACT. OWNER acknowledges
that subcontractors will do various portions of the work. Any subcontractor selected by the CONTRACTOR shall
have all requisite licenses for the work to be done by such subcontractor.
b. It shall be the duty of the CONTRACTOR to use reasonable care in the selection of subcontractors. Absent
objectionable performance by any subcontractor, the selection of subcontractors shall be an exclusive right of the
CONTRACTOR. The CONTRACTOR shall require all subcontractors to have workmans compensation and
liability insurance in force.
c. CONTRACTOR shall pay subcontractors in a timely manner and obtain from subcontractors any necessary
documentation required to release their liens, if any, as the work proceeds..
11. TERMINATION AND CANCELLATION
The CONTRACTOR may terminate and cancel this CONTRACT if any payment called for hereunder is not
received as scheduled, provided that notice is given to the OWNER as provided below. Upon such termination,
the CONTRACTOR shall have all remedies provided by law, including such lien rights as then apply.
The OWNER may terminate this CONTRACT upon the following conditions:
a. Failure of the CONTRACTOR, or his subcontractors, to pursue the work contracted for, absent excusable
delay, as provided in Paragraph 4 above, for a continuous period of fourteen (14) days, without a written
agreement permitting same such agreement may be satisfied b a single notation to this CONTRACT.
9 P 9 9 Y Y 9
b. Failure of the CONTRACTOR to rectify any condition for which building code enforcement authority has issued
a citation of violation notice, within fourteen (14) days notice of such violation, unless OWNER and
CONTRACTOR otherwise agree.
c. Any other failure to perform this CONTRACT required by the terms of this CONTRACT.
01/18/2007 Contract Proposal—Page 9 of 25
d. No termination shall be effective unless 10 days notice of OWNER's intent is given as required below, during
which time the default may be cured by the CONTRACTOR.
e. Deposit monies - Cancellation of this CONTRACT prior to the commencement of work shall result in the
forfeiture of any and all deposit monies collected. All deposits are non-refundable. The parties hereby agree that
upon such cancellation, the CONTRACTOR shall suffer damages including but not limited to the cost associated
with designing and preparing the project for commencement.
f. You may cancel this agreement by observing the requirements of The Notice of cancellation you have
received.
g. If a dispute arises out of or is related to this Contract, or the breach thereof, the parties shall endeavor to
settle the dispute first through direct discussions. If the dispute cannot be settled though direct discussions, the
parties agree the dispute shall be settled by arbitration administered by the American Arbitration Association
under its Construction Industry Arbitration Rules. In the event that arbitration is necessary, the parties agree that
arbitration proceedings shall be conducted by a mutually agreed on arbitrator in Rockingham County, New
Hampshire. If the parties cannot agree on an arbitrator, either party may file a written demand for arbitration in
accordance with the rules of the American Arbitration Association. The arbitration award shall be final and
judgment on the award may be entered in any court having jurisdiction thereof. This CONTRACT shall be
governed and interpreted in accordance with the laws of the State of New Hampshire. The parties acknowledge
that this agreement to arbitrate shall be governed by Chapter 542 of the New Hampshire Revised Statutes
Annotated. Either party may, without waiving any remedy under this CONTRACT, seek from any court having
jurisdiction any interim or provisional relief that is necessary to protect the rights or PROPERTY of that party,
including but not limited to the right to seek liens or attachment. The prevailing party in any dispute arising out of
or relating to this CONTRACT or its breach that is resolved by a binding dispute resolution process shall be
entitled to recover from other party reasonable attorneys' fees, costs and expenses incurred by the prevailing
party in connection with such dispute resolution process. Consumers in Massachusetts shall be required to
submit to such arbitration as provided in MGL c. 142A.
Beth and Larry Hancock Patricia Taylor
Design Consultant
Blackdog Builders, Inc.
Notice: The signature of the parties above constitutes an acknowledgement of the agreement between the parties
to alternative dispute resolution. Massachusetts consumers may have the right to initiate alternative dispute
resolution even where this section is not signed by the parties.
h. Unless otherwise agreed in writing, CONTRACTOR shall continue the WORK and maintain the agreed work
schedule during any dispute resolution proceedings. If CONTRACTOR continues to perform, Owner shall
continue to make payments in accordance with this Contract.
12. ENVIRONMENTAL HAZARDS
a. The CONTRACTOR is NOT responsible for the inspection, discovery, abatement or removal of any
01/18/2007 Contract Proposal—Page 10 of 25
environmental hazard including, but not limited to: asbestos; mold; lead; radon; ground water or environmental
pollution at the work site, unless specifically covered in the specifications.
b. In the event that any hazardous material is discovered during the course of construction, the testing,
abatement and/or removal shall be the sole responsibility of the OWNER.
c. Any additional costs incurred on account of suspension of the construction or changes to the specifications
due to a hazard or its removal are the responsibility of the OWNER and will be handled by a Work Order.
d. In the event that work does not resume within 30 days of the stoppage, OWNER agrees to immediate)
Y PPa9 9 immediately pay
the CONTRACTOR the pro rated amount of the CONTRACT price applicable to work done up to that point
pursuant to the Contract.
WARRANTY
OWNER warrants that as of the date of this CONTRACT: (1)the PROPERTY(including the land, surface
water, ground water, and improvements to the land) is, and will continue to be,free of all contamination,
including (a) "oil, petroleum products, and their by-products"(b)any"hazardous waste"as defined by
the Resource Conservation and Recovery Act of 1976, as amended from time to time, and regulations
promulgated thereunder; (c)any "hazardous substance"as defined by the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980, as amended from time to time, and regulations
promulgated thereunder, specifically including asbestos and mold; and (d)any other"hazardous
substance"(2)the PROPERTY is in compliance with all environmental laws and regulations; and (3)there
are no underground tanks on the PROPERTY
INDEMNITY
OWNER expressly acknowledges and agrees that it will reimburse, defend, indemnify and hold harmless
CONTRACTOR, all Sub-contractors, their successors, assigns and employees from and against any and all
liabilities, claims, damages, penalties, expenditures, losses or charges (including, but not limited to, all costs of
investigation, monitoring, legal fees, remedial response, removal, restoration or permit acquisition)which may,
now or in the future, be undertaken, suffered, paid, awarded, assessed, or otherwise incurred as the result of:
a an contamination, existing in, on, above or under the PROPERTY(including, but not limited to, contaminated
( ) Y 9 ( 9
soil, mold, buildings,facilities and/or ground water);
(b) any investigation, monitoring, clean up, removal, restoration, remedial response or remedial work undertaken
on the PROPERTY; and
(c)OWNER'S breach of any warranty given herein.
13. WARRANTIES
a. The work of the CONTRACTOR, including materials and labor, shall be warranteed for a period of three (3)
years, during which period CONTRACTOR shall at its own expense correct any defect arising from its work
unless it is a non-warrantable condition as set out in the Blackdog Builders Client Package. That package shall
become a part of this CONTRACT as if fully set forth herein.
b. Any and all warranties for appliances or mechanical systems shall be delivered to OWNER as the
CONTRACTOR receives them.
01/18/2007 Contract Proposal-Page 11 of 25
c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be
brought against the CONTRACTOR on this CONTRACT for the performance of this work, except as provided
above.
d. The quality of any work in question will be held to the standards issued in the Residential Construction
Performance Guidelines—Third Edition published by the NAHB.
14. SEVERABILITY
If any portion of this agreement is found invalid or unenforceable by any court, the remaining provisions shall
remain in force between the parties.
15. ENTIRE AGREEMENT
This CONTRACT consists of the documents defined herein, and constitutes the entire agreement of the parties.
It can be modified only by a written document. OWNER acknowledges that he has read and received a legible
copy of this agreement signed by CONTRACTOR, before any work was done, and that he has read and received
a legible copy of every other document that OWNER has signed during the negotiation of this Contract..
SU TTED:
DATE 9 4-1
Patricia Taylor I A W200
Design Consultant
Blackdog Builders, Inc.
ACCEPTED:
G6 DATE: b
Beth Hancock
DATE: 1ltq�c��
Larry Hancock
01/18/2007 Contract Proposal—Page 12 of 25
The Commonwealth of Massachusetts
Dep artineitt of Industrial,4ccidents
��: ,.ya►'» `�1 Office of Investigations
600 Washington Street
Boston, AM 02111
www.mass.gov/din
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
applicant Information Please Print Legibly
Name II1USiness/t)r°j11U/III ioIlilll(li�ikill!"):Address:City!State.Zip: /z*03v Phone#• ( o7 8=0
Fnl
employer?Check the appropriate box: Type of project(required):
employer with—� 4• ❑ 1 am a general contractor and 1 6. ❑ New construction
ees(full and/or part-tone).* have hired the sub-contractorssole proprietor or partner- listed on the attached sheet. = ❑ Remodeling
d have no employees These sub-contractors have 3. ❑ Demolition
g for me in any capacity. workers' comp. insurance. y• ❑ Building addition
orkers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions
requred.] officers have exercised their
3.ElI am a homeowner doing all work right of exemption per MGL I I.[] Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12•❑ Roof repairs
insurance required.]t employees.•[No workers' 13.0 Other
comp. insurance required.]
\ny applicant that checks box 1:11 must also fill out the section below showing their workers compensation policy information.
'I lomeowncrs%vho 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:m additional sheet showing the name of the sub-comrlctors and their workers'comp.policy information.
I am nn employer that A providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:-----_,, -Xj(�/!Dt/-F _--__-- --- ----
Policy !t or Self-ins. Lic. .'t:— GJ o 0 b 11,9 q!s' — _ Expiration Date:__
Job Site Address: 1220 5A644.'A- S7- CityState/Zip:_ A,,_ �!�✓'�a�/ "j"'�
.kttach 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
tine up to 51,500.00 and/or one-,year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine
Of up to 5250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Invcstioations of the DLA for insurance coverage verification.
1 du hereby certify ander dte 1 ' s r ri penalties uj• erjury that the information provided above A true and correct.
Date:
`inaturc: ,
1)Ijichd use only. I)o ilut write ht this arra, to be wItipleted by ci(y t►r town qljicial.
City or Town: Permit/License 4
Issuing,Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk d. E!eetrical !nspector 5. Plumbing Inspector
6. Other
ContactPcr-ion: —__ Phonell:_—__- -- -- _-- -- -.-- J
AWRD„ CERTIFICATE OF LIABILITY INSURANCE 07/11/22006006)
DATE M1D
07/1
PRODUCER (603)669-0704 FAX (603)669-6831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Infantine Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 5125 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Manchester, NH 03108 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Joyce Dunlap INSURERS AFFORDING COVERAGE NAIC 9
INSURED Blackdog Builders, Inc. INSURERA: Peerless Insurance 24198
7 Red Roof Lane Unit 1 INSURERS: Acadia Insurance Co. 31325
Salem, NH 03079 INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADCrW TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY CBP9869957 07/01/2006 07/01/2007 EACH OCCURRENCE $ 1,000,000.
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00ol
CLAIMS MADE F5�OCCUR MED EXP(Any one person) $ 5,00(
A PERSONAL&ADV INJURY . $ 1,000,00(
GENERAL AGGREGATE $ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS-COMPIOP AGG $ 2,000,00(
POLICY JEa LOC
AUTOMOBILE LIABILITY BA9860458 07/01/2006 07/01/2007 COMBINED SINGLE LIMIT -
X ANY AUTO (Ea accident) $
1,000,00
ALL OWNED AUTOS
BODILY INJURY $
A SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Par accident)
I
AGELIABILITY AUTO ONLY-EA ACCIDENT $ANY AUTO EA ACC 5
OTHER THAN
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY CU8145733 07/01/2006 07/01/2007 EACH OCCURRENCE $ 1,000,00
X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000
A $
DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND WCA006920415 07/01/2006 07/01/2007 X I we STATU- OTH-
EMPLOYERS'LIABILITY TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000
B OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER AGENTS OR REPRESENTATIVES.
For Informational Purposes AUTHORIZEDREPRESENTATIVE 1 I
ACORD 25(2001!08) FAX: 898-0821 OACORD CORPORATION 1988
License or rCgstra_leostY lkoF`, aotd Sind d>I
llStitlliaBBia+•
before the exotratiou date. if found return to: 11OM 19[�b�`�ObL'6�KLTOR
Board of B,404141 Regutatlons and Standards
Out AsWArtou 1flace Ran 1301
Boston,Me.02108
� t��or,QoraUon
BLACKQQO BUI
DA1VID BRYAN
N _y-ga.ot valid wit" atare
- RRD ROOF LN
Salem,NYi'03079 Deputy Adm
✓�ie-Coominzoreu�ea�i a�✓�aaaaT/zuaP,t�6
BOARD OF BUILDI G REGULATIONS
License: CONSTRUCTION SUPERVISOR
Numbe f CS 094515
{ Birthdate 02/03!1959
* Expires 02%03/20'•10 Tr.no: 94515
Restricted s
THOMAS E CARR
7 WESTWOOD DRIVE �J,
LONDONDERRY, NN 63053
Commissioner