HomeMy WebLinkAboutBuilding Permit #1349-2016 - 183 WEYLAND CIRCLE 6/28/2016 (�QP,Q s 4 t3UILUINU IJLKMI I
I '\`^ TOWN OF NORTH ANDOVER °i
APPLICATION FOR PLAN EXAMINATION
Permit NO:� "y
�O Date Received
Date Issued:
'O (� �9SSACHUS Z
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER ()IQ iA, � P_ii-
J Print
MAP NO: S,,5' PARCEL: ZONING DISTRICT: Historic District yesnn
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Resi ential Non- Residential
❑ New Building ne family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑Other
❑ Septic 0 Well ❑ Floodplain ❑ Wetlands ❑ Watershed District
❑ Water/Sewer
,_46oe>(-rA' 6Q rA� . S6�) JACA.�, C4,4\6 W� WzQ
J
r Identification Please Type or Print Clearly)
OWNER: Name: i 1kcl Phone: 6 353- c Mo
Address: AAA
CONTRACTOR Name:_V� as� � llPhone:
AddressQOYrC7,G�
�. 1cS� L
Supervisor's Construction License: U �� Exp. Date: n '�
Home Improvement License: Exp. Date:
� n (oai� Ali
w
ARCHITECT/ENGINEER Phone: �.
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 0.00 FEE: $�-
Check No.: c�1�� Receipt No.: 0
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner Signature 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 ❑ ❑
COMENTS
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/S9nature& Date Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes C/ no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
r
1
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
I
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)
LI Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
t
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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
i"
Addition Or Decks
Building Permit Application
,aF Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Mass check Energy Compliance Report (If Applicable)
Engineering Affidavits for Engineered products
OTE: 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
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: 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:Building Permit Revised 2014
-SCJ
Location + �) A
No. , Date
• - TOWN OF NORTH ANDOVER
• Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ AW
TOTAL $ ��
Check#
r _. Building Inspector w'
NORTH
own of ndover
O - 0
1=00010
( 1? i
h ver, Mass
o COC� > > 21 2..o((p
ORATED
U BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT ................+... ......216. .. ................. .............
BUILDING INSPECTOR
«. .. � � Foundation
has permission to erect .......... .............+i.1dings on . ...... ..... �' .• Rough
to be occupied as ............. . . ... ....... ..� � ...................................................................... Chimney
provided that the person acce tin tTiis permit shall in eve respect conform to the terms of the application p p p g p every p pp Final
on file in 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
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS;jRtkCTIO Rough
Service
.. ... ........ .........
Final
BUILDII INS CTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz 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.
Smoke Det.
DIAMOND CONSTRUCTION,INC.
1 Worcester St.,Suite 10
Grafton,MA 01519
diamondconstructionma@gmail.com
HIC License#176910 DIAMOND
CS Lic.080830 CONSTRUCTION INC.
CONSTRUCTION AGREEMENT
THIS AGREEMENT iso made at
On this day of,� of 2016, by and between DIAMOND CONSTRUCTION, INC.
(hereinafter the"Contractor") andh - (hereinafter the
"Owner")located atB :va c
DESCRIPTION OF SERVICES
Diamond Construction,Inc.agrees to provide labor,materials,equipment and other
facilities required to complete the following work:
Scope of work
at the property located at
which owner warrants that it is the owner with full authority to enter into this agreement.
a
Diamond Construction, Inc. agrees to start this project onand shall
complete the work on !2/2-4 t �6- ; .If the project passes final inspection and Owner
refuses to sign Notice of Completion,then Contractor may sign this Notice of Completion on
behalf of Owner as it will be assumed that he is satisfied with the:work.
PAYMENT
G2015-This document is binding and has serious Iegal consequences.Feel free to consult with a qualified attorney
prior to signing.
SCOPE OF WORK
. ..
.. CF2 440) Elf
f T ere will be a Project Manager inspecting the
project
l ✓
! 1) h 3 g nsP g j
P l
1_
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2) Install Safety equipment before starting working 100% ✓
3) Cover house&shrubs with tarpaulins for the protection j 100% ✓
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4) Strip 2 layers roof shingle all thetaray strait to thewood. 100% ✓ {
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� 1
5) (Each additional layer plus$30.00 per layer/per SQ) (if I_ I
cedar$50/per SQ)(if Slate$90/SQ)
_ 1 L
6) Re-nail all loose roof boards 100% ✓
` 7) if wood is needed,the extra charge is$47.00 per plywood/or ( i ?
$4.00 linear foot }
8) Install 9 feet ice and water shield all gutter edges,and O feet 1 I 100% 1 ✓ 1
on the valley,and 3 feet on rakes,'h"over hang to the fascia j
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9) Tiger Paw felt[] or Deck arm❑ �i 100% # ✓ '
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Diamond Deck CertainTeed —� f
10) Install 8"to the roof deck inl"over hang to the fascia ; 100% ✓
aluminum drip edges to all edges. White 0 Silver[]Brown
9 ! j
11) Rc-dash comers anti ivall areas l 100% ! ✓ i
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12) Note:If the siding removal is needed,extra cost may apply i ?
for labor and materials.
13) Apply starter strip at eaves 100% 1 ✓
14) California cut or weave valley (1fany) i 100% { ✓
15) Jnstall new roof flanges on vent pipes (If any) 100% ✓
16) Install new ridge vent cobra snow country0 or CertainTeed 100% ✓
ridge vent.0 Customer choose
17) GAF TimberTex Ridge caps❑ Silk Ridge capsO OR 100% ✓
CertainTeed Hip&Ridge Caps 0
18) Install new aluminum chimney step flashing, ! 100% ✓
19) (Lead flashing at fair-market price$ ;r
20) Install new architect roof shingle,Brand&color(GAF 100% ✓
Timberline or CertainTeed Landmark)customer choose
i v
DIAMOND CONSTRUCTION,INC. 1 1 WORCESTER ST.,Suite 10,GRAFTON,MA 01519
Ph:-508-365-7300❖E-M4.1.:diamondconstructionma@gmail.com
21) Clean all the gutters on the new roof 100°/D
22) Use 3 feet magnet to remove all nails from a ound the house 100%
23) Include Q Hurricane nailing QPermits ODumpster ' 100%
24) Soffit
25) Sky Light
26) Gutters
27) Garage
28) Fascia
29) Material supplied by tlie customer X
3.0) Material supplied by the Diamond Construction INC. 100%
31) RED MEANS: NOT INCLUDED IN THE PRICE,ESTIMATE OR
CONTRACT.
ADDITIONAL CHARGE WILL APPLY FOR LABOR AND MATERIAL.
32) BI.I1E W,-ANIS: JUST THAT SPECIFIC AREA IS INCLtIDED ON
THE ESTImATL OR CONTRACT'PRICE.
GRANT TOTAL
DIAMOND CONSTRUCTION,INC. 1 WORCESTER ST.,Suite 10,GRAFTON,MA 01519
Ph:-508-365-7300❖ E-MAIL:diamondconstructionma@gmail.com
DIAMOND CONSTRUCTION,INC.
Owner agrees to pay Contractor the amount of$ 520 (subject to adjustments
such as additions and deductions pursuant to authorized change orders).Owner shall pay for
all permits,licenses and easements for permanent structures or permanent changes in
existing facilities.In the event Owner oftains their own permits,Owners shall be excluded
from Residential Contractor's Guaranty Fund pursuant to Mass.General Laws Chapter
142A.City permits and licenses to complete the work shall be paid by Diamond
Construction.All payments are due and!payable upon receipt.
Payments will be made according to the following schedule:
$4;L 00 Upon the execution of this agreement.Includes material costs,permit costs,
and dumpster fee;
$ .00(whichever is greater)of the contract sum upon commencement of the work;
$_j..>0 .00(whichever is greater)of the contract sum upon!completion of the work.
If material/equipment required were special ordered therewill be no exchanges,
refunds,credits,or returns.
Payments shall be made in available U.S.funds and payable to"Diamond
Construction,Inc."Payments made will be non-refundable once Contractor starts to perform,
starts to demobilize in any way,engaged subcontractors,or has ordered materials.All
payments will also be subject to deduction for administrative expenses.Owner agrees to pay
$50.00 for each and any non-sufficient fund checks.If an invoice is not paid when due,
interest will be added to and payable on all overdue amounts at 6°lo per year.Owner shall pay
all costs of collection,including without:limitation,court costs and reasonable attorney fees.
PLANS/SPECIFICATIONS
Prior to the start of the work,Owner shall provide to,the Contractor all plans,surveys,
specifications, drawings,blueprints, and reports describing the,physical characteristics, soil,
geological and subsurface conditions,utility locations,and simii ar documents that may assist
Diamond Construction,Inc. in properly I evaluating the extent and character of the work at the
estimate stage. If any drawing,blueprint,floor plan,or specification violates or is in conflict
with local law or/and ordinance, and where any such situation results in any necessary
changes in the work, then Diamond Construction, Inc. shall be entitled to a reasonable
adjustment to the Contract price and time to correct it.
2 i
G2015-This document is binding and has serious legal consequences.Feel free,,to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION,INC.
CHANGE ORDERS
All change orders shall become part of this contract and;incorporated by reference.
The Owner shall notify Contractor of any changes in construction or plan and shall provide
revised drawings,plans,or specifications followed by a change order.
If the changes in the change order pertain to differing site conditions,errors in the
plans and specifications, or other circumstances beyond the 'control of the Contractor
(including acts by the government,fire,flood,unusual delay ill transportation, abnormal
weather conditions, labor disputes, strikes, war, lack of worksite access, acts of God,
natural disasters, or acts of third parties), then Contractor shall submit to the Owner an
estimate and proper adjustments to the contract price and time If pricing is inapplicable,
cost of the change or the amount of the adjustment shall be determined based on the cost
to Diamond Construction plus reasonable amounts for overhead and profit. Contractor
shall not be obligated to perform changes in the work or additional work until the Owner
has approved,in writing,the changes to the contract price and time.
i
SITE CONDITIONS
Owner acknowledges the duty to disclose any and all pertinent and known
hazardous condition information to Contractor and subcontractors and may not mislead or
conceal any material or property facts such as how many layers i0f roof or type of roof was
originally installed. Where a site owner does not disclose facts that subsequently cause
delay or need further cost,then the Contractor will then be entitled to recover damages and
a change order shall be allowed for additional costs.
After consultation and agreement with the Contractor,i Owner must immediately
make an adjustment in the contract time and payment by issuing a change order if
Contractor discovers and notifies owner of any of the following:
(1)Hazardous Materials deemed by any federal, state or local;governmental authority to
pose a present or potential hazard to health,safety,or the environment;
(2)Any Subsurface, visible, nonvisible, or latent physical conditions that are found
unexpected or that seem different from the work agreed upon;
(3) Unknown physical or other conditions that seem strange or materially different from
those encountered by Contractor's during and based on his construction experience.
3
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
Upon discovery of any of the above, Contractor shall immediately stop work at that
particular site. Contractor shall have no obligation to perform'any corrective or remedial
work.
TERMINATION
Owner is required to first provide a 5 day advance notification of any alleged breach
and allow Contractor 10 days to cure such alleged breach.
Owner may terminate the Contract-f the Contractor kno�ingly disregards applicable
laws, statutes,ordinances,or local codes,has committed a material breach,if contractor
made an assignment for a creditor, or becomes insolvent.
I
Diamond Constriction, Inc. may tor
mma#e this
Contract if. Owner becomes
insolvent, will not allow access to the site Owner c
{
commits a material breach or fails to pay
an invoice on time;work is suspended for 10 consecutive days through no act or fault of the
Contractor or a Subcontractor, Sub-subcontractor or their agents
or employees; or there is a
stopwork order by co or an stop work order issued b
Y Y an town or authority.Y P Y Y If
any of the above occurs,then Diamond Construction shall send la written termination notice
to the Owner and recover from the Owner payment for work performed,including reasonable
overhead and profit, costs incurred by reason of such terminations and damages.
If the Owner terminates the contract on convenience, he shall communicate of this
intention writing to Contractor as soon as possible. Then, on or before the termination date,
Contractor shall be paid its actual costs for that portion of the work performed to the date of
termination and for all costs of termination, including demobilization and any termination
payments already made to vendors and subcontractors, plus 20 percent of all such costs for
overhead and lost profit.
INSURANCE
The Diamond Construction, Inc. shall carry and maintain throughout the project
period valid Workers' Compensation and General Liability 'insurance. Certificates of
insurance can be provided to Owner upon request prior to commencement of the work.
Contractor ensure that the general liability coverage to includes the Owner as additional
insureds for claims caused in whole or in part by the Contractor's inegligent acts or omissions
during the Contractor's work.
4
C12015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
CHANGE ORDERS
f this contract and incorporated b reference.The
all become art o
All change orders shall p p Y
Owner shall notify Contractor of any changes in construction or plan and shall provide revised
drawings, plans, or specifications followed by a change order. If the changes in the change
order pertain to differing site conditions, errors in the plans and specifications, or other
circumstances beyond the control of the Contractor (including acts by the government, fire,
flood, unusual delay in transportation, abnormal weather conditions, labor disputes, strikes,
war, lack of worksite access, acts of God, natural disasters, or acts of third parties), then
adjustments to the contract adj
Contractor shall submit to the Owner an estimate and proper �
price and time. If pricing is inapplicable, cost of the change or the amount of the adjustment
shall be determined based on the cost to Diamond Construction plus reasonable amounts for
overhead and profit. Contractor shall not be obligated to perform changes in the work or
additional work until the Owner has approved,in writing, the changes to the contract price and
time.
SITE CONDITIONS
Owner acknowledges the duty to disclose any and all pertinent and known hazardous
condition information to Contractor and subcontractors and may not mislead or conceal any
material or property facts such as how many layers of roof or type of roof was originally
installed. Where a site owner does not disclose facts that subsequently cause delay or need
further cost, then the Contractor will then.be entitled to recover damages and a change order
shall be allowed for additional costs. After consultation and agreement with the Contractor,
Owner must immediately make an adjustment in the contract time and payment by issuing a
change order if Contractor discovers and notifies owner of any of the following:
(1)Hazardous Materials deemed by any federal, state or local governmental authority to pose
a present or potential hazard to health,safety,or the environment;
(2)Any Subsurface,visible,nonvisible, or latent physical conditions that are found unexpected
or that seem different from the work agreed upon;
(3) Unknown physical or other conditions that seem strange or materially different from those
encountered by Contractor's during and based on his construction experience.
5
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
Upon discovery of any of the above, Contractor shall immediately stop work at that
particular site. Contractor shall have no obligation to perform any corrective or remedial work.
TERMINATION
Owner is required to first provide a 5 days advance notification of any alleged breach and
allow Contractor 10 days to cure such alleged breach.
Owner may terminate the Contract if the Contractor knowingly disregards applicable
laws, statutes, ordinances, or local codes, has committed a material breach, if contractor made an
assignment for a creditor, or becomes insolvent..
Diamond Construction, Inc. may terminate this Contract if. Owner becomes insolvent,
will not allow access to the site, Owner commits a material breach or fails to pay an invoice on
time; work is suspended for 10 consecutive days through no act or fault of the Contractor or a
Subcontractor, Sub-subcontractor or their agents or employees; or there is a stop work order by
any court, or any stop work order issued by any town or authority. If any of the above occurs,
then Diamond Construction shall send a written termination notice to the Owner and recover
from the Owner payment for work performed, including reasonable overhead and profit, costs
incurred by reason of such termination, and damages.
If the Owner terminates the contract on convenience, he shall communicate of this
intention writing to Contractor as soon as possible. Then, on or before the termination date,
Contractor shall be paid its actual costs for that portion of the work performed to the date of
termination and for all costs of termination, including demobilization and any termination
payments already made to vendors and subcontractors, plus 20 percent of all such costs for
overhead and lost profit.
INSURANCE
The Diamond Construction, Inc. shall carry and maintain throughout the project period
valid Workers' Compensation and General Liability insurance. Certificates of insurance can be
provided to Owner upon request prior to commencement of the work. Contractor ensure that the
general liability coverage to includes the Owner as additional insureds for claims caused in
whole or in part by the Contractor's negligent acts or omissions during the Contractor's work.
The Owner must have and maintain throughout the project and until completion property
insurance coverage (Builders Risk Insurance or other suitable cover) at minimum the amount of
the contract price. Property insurance including loss or damage shall cover the Owner, Diamond
Construction, Inc., Subcontractors and Sub-subcontractors for their interest in the Work and shall
6
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
insure against the perils of fire with extended coverage and physical loss or damage including
coverage for theft, vandalism, malicious mischief, collapse, debris removal. Owner waives all
rights of recovery against the Diamond Construction, Inc. for loss of use of the Owner's
property, including consequential losses due to fire or other hazards, however caused, If the
Owner does not have and will not obtain property insurance, the Owner shall inform Contractor
in writing prior to start of the work. If the Diamond Construction, Inc. is damaged by Owner's
failure to have or maintain insurance as described above, without notifying the Contractor, then
Owner will be responsible .for all costs associated to such damage. Owner and Diamond
Construction, Inc. waive all rights against each other and against all other Subcontractors and
Owner for loss or damage to the extent reimbursed by any property or equipment insurance
applicable to the work, except such rights as they may have to the proceeds of such insurance. If
any applicable policies of insurance require an endorsement or consent of the insurance company
to provide for continued coverage where there is a waiver of subrogation, the owners of such
policies will cause them to be so endorsed or obtain such consent. Owner must not use or borrow
any tools or ladders owned by Contractor. If Owner, without consent, uses Contractor's tools or
ladder,then he shall hold Contractor harmless of any liability whatsoever and will not place any
claim on Contractor's insurance.
DELAY
Diamond Construction, Inc. shall provide to the Owner notice of any delay in work.
for changes necessary due to work schedule, suspension of work or any other unforeseen cause
beyond Diamond Construction's control and/or where there is no fault by the Contractor, its
Subcontractors or suppliers. The contract time shall then be extended as necessary to
accommodate delays via change order.
SUSPENSION OF WORK
Diamond Construction, Inc., may suspend work for Owner's failure to pay invoice on time, due
to differing site conditions, or for changes requested by Owner where Contractor deems it may
suffer financial hardship. If work is stopped for a period of 10 consecutive days due to no act or
fault of the Contractor or a Subcontractor or their agents or employees; or if because the Owner
has repeatedly failed to fulfill the Owner's obligations under the contract then Contractor, at his
discretion,may immediately suspend work,terminate the Contract, and recover from the Owner.
The Owner may suspend work with advance notice to the Contractor. The written notice shall
specify the date and the estimated duration of the suspension. Any Owner suspension shall not
exceed 24 hours. Once the suspension is removed,the Contractor shall resume performance of
7
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
the Work as soon as it is possible. Owner will be liable then for all and any damages for
suspension of work which may include costs of demobilization, extended overhead costs,
jobsite costs,etc.Any suspension of work under this Contract will also suspend the progress and
completion dates.
FORCE MAJEURE
If performance of this agreement or any obligation herein is prevented, restricted,
interfered by reason of act of God, fire, flood, or other natural disaster, malicious injury, strikes,
lock-outs, or other labor troubles, riots, insurrection, war or other reason of like nature beyond
either party's reasonable control then performance of such act or obligation shall be excused for
the period of the delay. If any delay under these circumstances exceeds 5 days, then either party
shall have the option to terminate this Agreement.
INDEMNIFICATION
Diamond Construction, Inc. shall indemnify and hold Owner, its employees, officers,
directors,and affiliates harmless from any loss,cost,expense,or damage claimed by third parties
for property damage and/or bodily injury,including death,to the proportionate extent such loss,
cost, expense, or damage arises from the negligence or willful misconduct of Diamond
Construction, Inc., its employees, officers, or directors in connection with the Contract or
project. Owner shall indemnify, defend, and hold Diamond Construction, Inc., its
Subcontractors, employees, officers, directors, and affiliates harmless from and against any and
all claims, demands, causes of action,liabilities,loss, cost, expense, or damage claimed by third
parties for property damage and/or bodily injury, including death, to the proportionate extent
such loss, cost, expense, or damage arises from the negligence, fault, or willful misconduct of
Owner,architects,designers,its employees,officers,or directors in connection with the Contract
or project.
WARRANTY
Diamond Construction, Inc. warrants that the work will be conducted in good professional
workmanlike manner, and warrants that materials furnished will be of good quality and new. If
within two years after the date of completion any of the work, it is found not to be in
accordance with good craftsmanship, the Contractor shall correct it promptly after receipt of
written notice from the Owner. The Owner shall give such notice promptly after discovery of
the condition. During the two-year period for correction of Work, if the Owner fails to notify
the Contractor then Owner waives the rights to require correction by the Contractor and to make
8
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
a claim for breach of warranty. In the event that any of the provisions of the warranty shall be
held invalid,the remainder of the provisions of the warranty shall remain in full force and effect.
Where Contractor's repair warranty work involves the matching of existing finishes or materials,
he will use his best efforts to match existing finishes and materials. However, Contractor does
not guarantee an exact match due to such factors as discoloration due to the aging process,
difference in dye lots, and difficulty of exactly matching certain finishes, colors, and planes. This
warranty specifically excludes consequential damages and the following:
1. Damage on shingles due to ordinary wear and tear, abusive use, normal wear and tear,
improper use, misuse, or lack of proper maintenance of the home or its P
component arts or
P
systems.
2. Defects, or loss or injury not caused by the negligence of Diamond Construction, Inc. or its
subcontractors.
3. Defects in items installed by the Owner or anyone other than Diamond Construction, Inc. or
its Subcontractors or defects in items supplied by the Owner.
4. Conditions not caused by Diamond Construction, Inc. and or it's Subcontractors resulting
from condensation, or contraction of materials.
ACCESS
The Owner shall provide ample access to the site to Diamond Construction, Inc. throughout the
project. Any delay or blocking of access by Owner will entitle Diamond Construction, Inc. to a
reasonable adjustment in the contract price and time.
INDEPENDENT CONTRACTOR STATUS
The parties agree that the contractual relationship between Contractor and Owner is of an
independent contractor. No documents signed create a partnership, join venture or any
other relationship between the parties.
9
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
a claim for breach of warranty. In the event that any of the provisions of the warranty shall be
held invalid, the remainder of the provisions of the warranty shall remain in full force and effect.
Where Contractor's repair warranty work involves the matching of existing finishes or materials,
he will use his best efforts to match existing finishes and materials. However, Contractor does
not guarantee an exact match due to such factors as discoloration due to the aging process,
difference in dye lots, and difficulty of exactly matching certain finishes, colors, and planes. This
warranty specifically excludes consequential damages and the following:
1. Damage on shingles due to ordinary wear and tear, abusive use, normal wear and tear,
improper use, misuse, or lack ofro er maintenance of the home or its component p p p nt parts or
systems.
2. Defects, or loss or injury not caused by the negligence of Diamond Construction, Inc. or its
subcontractors.
3. Defects in items installed by the Owner or anyone other than Diamond Construction, Inc. or
its Subcontractors or defects in items supplied by the Owner.
4. Conditions not caused by Diamond Construction, Inc. and or it's Subcontractors resulting
from condensation, or contraction of materials.
ACCESS
The Owner shall provide ample access to the site to Diamond Construction, Inc. throughout the
project. Any delay or blocking of access by Owner will entitle Diamond Construction, Inc. to a
reasonable adjustment in the contract price and time.
INDEPENDENT CONTRACTOR STATUS
The parties agree that the contractual relationship between Contractor and Owner is of an
independent contractor. No documents signed create a partnership, join venture or any
other relationship between the parties.
9
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
ADDITIONAL CLAUSES
• Diamond Construction, Inc.'s suggestions are not a substitute for professional engineering,
architectural, or design services, and are not to be relied on as such by Owner.
• This agreement represents the entire agreement between the parties regarding the work described
above and supersedes any prior written or any oral agreements or communications. This
agreement may only be modified or terminated in writing.
• No breach of any agreement, warranty or representation shall be deemed waived unless
expressly waived in writing by the party who might assert such breach.
• If any clause of this Contract is determined to be illegal or unenforceable for any reason, it shall
be severed from the Contract and the rest of the Contract shall be given full force and effect. The
terms, covenants and conditions of this Contract shall be binding upon and shall inure to the
benefit of the successors and permitted assigns of the respective parties to this Contract.
• The agreement shall be governed by the laws of the Commonwealth of Massachusetts. The
parties hereby agree to submit to the jurisdiction of the courts located within this Commonwealth
for any controversies arising out of this agreement.
• Owner hereby acknowledges he/she has had ample opportunity to consult with independent legal
counsel,has read it,understands it,and is signing it freely and voluntarily.
• If Owner is signing this agreement at his home, or at a place other than at the contractor's office
or business,then there is a 3-day cancellation right.
• 1 as a Owner of the subject property, hereby authorized DIAMOND CONSTRUCTION INC to
act on my behalf,in wall matters relative to work authorized by any building permit applications.
Owner's Information (All sections required- PLEASE print clearly.)
Owner's Name: ��` '` `LP 71�11 Diamond Construction,Inc.
t
Contractor/Pro' anager
Owner's Signature: _
Xne: (5(08)Phone: 365-7300
G ? £�!� vl �. l� C� l Co-t-i ice -44
Email: Office: 688 3 9
info@diamondconstructionma.com
10
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
DIAMOND CONSTRUCTION, INC.
ADDITIONAL CLAUSES
• Diamond Construction, Inc.'s suggestions are not a substitute for professional engineering,
architectural, or design services,and are not to be relied on as such by Owner.
• This agreement represents the entire agreement between the parties regarding the work described
above and supersedes any prior written or any oral agreements or communications. This
agreement may only be modified or terminated in writing.
• No breach of any agreement, warranty or representation shall be deemed waived unless
expressly waived in writing by the party who might assert such breach.
• If any clause of this Contract is determined to be illegal or unenforceable for any reason, it shall
be severed from the Contract and the rest of the Contract shall be given full force and effect. The
terms, covenants and conditions of this Contract shall be bindingu and shall on p all inure to the
benefit of the successors and permitted assigns of the respective parties to this Contract.
• The agreement shall be governed by the laws of the Commonwealth of Massachusetts. The
parties hereby a to submit t
p y ree g o the jurisdiction of the courts located within this Commonwealth
for any controversies arising out of this agreement.
• Owner hereby acknowledges he/she has had ample opportunity to consult with independent legal
counsel,has read it,understands it,and is signing it freely and voluntarily.
• If Owner is signing this agreement at his home,or at a place other than at the contractor's office
or business,then there is a 3-day cancellation right.
• I as a Owner of the subject property, hereby authorized DIAMOND CONSTRUCTION INC to
act on my behalf,in wall matters relative to work authorized by any building permit applications.
Owner's Information(All sections required-PLEASE print clearly.)
Owner's Name: `1��r `?� Diamond Constructs n,Inc.
Contractor/Prgjec anager
Owner's Signature:
Phone: Phone: (508)365-7300
Email: z 17 e ll , 14.3 1'x Co-'r''1 Office: (508)688-4493
info @ diamondconstructionma.com
10
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney prior to
signing.
The Commonwealth of Massachusetts
Department of Industrial Accidents
- Office of Investigations
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Amplicant Information Please Print Legibly
Name(Business/Organization/In(Jividual):
Address: 6U )k io
�
j l
City/State/Zip: i(l 1S Phone#• 5 08 r i;S ' `U m
Are u an employer?Check t a appropriate box: Type of project(required):
,.Vu
I am a employer with 4. ❑ I am a general contractor and I
—* have Hired the sub-contractors 6. E]New construction
employees(full and/or part-time).
2.❑ I am a sole proprietor or partner-
listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P tY• 9. E] Building addition
[No workers' comp,insurance comp,insurance.t
required.] • 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.E]Plumbing repairs or additions
myself. [No workers'comp, right of exemption per MGL 12.❑Ro6f repairs
insurance required.]t c. 152, §1(4),and we have no
employees.[No workers' 13.F2/other
comp.insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy member.
I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site
Informatlon. I
Insurance Company Name: r h / v mag,
►y
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip: Q
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 herebx certify un er lite pains and penalties of perjury that the information provided above Is true and corre 1,
Date:
Siggature.
Phone#: a,
Officlal use only. Do not write lit this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Uzwdizu10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
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 policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER NAME: Jana Grady
NEIGHBORHOOD INSURANCE LLC. PHONE 50876-5535 Fac No):
9 MAIN ST E-MAIL ESS: jgrady@neighborhoodinsuranceagency.com
SUITE 3A1 INSURERS AFFORDING COVERAGE MAIC#
SUTTON,MA.01590 INSURER A: CATLIN SPECILATY INSURANCE
INSURED INSURER B: Mapfre/COMMERCE INSURANCE
DIAMOND CONSTRUCTION INC. INSURER C: A.I.M.MUTUAL
1 WORCESTER ST INSURER D:
INSURER E:
Grafton,MA01519 I INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMDPOLICY EFF MPM/DD/EXP LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE a OCCUR 20020028 04/06/2016 4/06/2017 DAMAGE TO RENTED 100+000
PREMISES Ea occurrence $
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY❑ PRO- ❑
JECT LOC PRODUCTS-COMP/OP AGG $ 2+000,000
OTHER: $
B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
Ea accident _ + +
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED XSCHEDULED D32577 03/01/2016 3/01/2017 BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PeOaccidenDAMAGE $
HIRED AUTOS
AUTOS
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
C WORKERS COMPENSATION PER I OTH-
AND EMPLOYERS'LIABILITY STATUTE I ER
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WWC 1006017419 04/23/2016 4/23/2017 E.L.EACH ACCIDENT $ 1,000,000
OFFICERIMEMBER EXCLUDED? NI N/A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
Twn of North Andover Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1600 Osgood St,BLD 20,Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS.
North Andover,MA 01845
AUTHORIZED REPRESENTATIVE
Jana Grady
(m,mm-7m4 annRn r.nRanRn nnta ati nnrnc racarvan
i
II
1
Office of Consumer Affairs d Business Regulation
10 Park Plaza - Suite 5170 .
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 176910
Type: Supplement Card
DIAMOND CONSTRUCTION.INC. Expiration: 10/10/2017
RYAN HANNA
1 WORCESTER ST-SUITE 10
WORCESTER, MA 01604
SOA 1 0 2oM_osn1 Update Address and return card.Mark reason for'change.
[] Address Renewal D Employment Ej Lost Card
&3Z,*44101#10NUAW111,01- 94-mie'r-l'i'Jelli J1
ce of Consumer Affairs&Business Regulation
License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
W. Reglstratlo& Office of Consumer Affairs and Business Regulation
Type: 10.Park Plaza-Suite 5170
Expiration: 10/10/2017 Supplement Card
DIAMOND CONSTRUCTION iNCr Boston,MA 02116
RYAN HANNA
1 WORCESTER ST SUITE'.,10` /���
WORCESTER,MA 01604
Undersecretary of valid without signature
I
Massachusetts Department or ru011c 041C.y
Board of Building Regulations and Standards
License:CS48O 30
Construction Supervisor
RYAN K HANNAr '
P.O.BOX#3372
'FAYVCt.E MA 01745
tYl
Expiration:
Commissioner 04/09/2018
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