The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #822-14 - 19 YOUNG ROAD 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO* w2 2�'�� Date Received Date Issued: - IMPORTANT:Applicant must complete all items on this page LOCATION ! s 4/0 rent PROPERTY OWNER rt Print MAP NO:Dj� PARCEL O�a ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial 6/Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other lam [7WetlaudsU' � �S0 Watershed�District" �.,. D�Se tick ®Well ' p lz , a = , Y iR.� '�`( 1 t sy y�� v t1f [ '� z �� M i • a S ; ? t �(� j- �{ _ �rFSe rt x' c=__.��'#. 1 EVi _.r..lef >�.i .. (]6W_ater/Sewer_ -- - -- - DESCRIPTION OF WORK TO BE PERFORMED: rr�o�oe l _ a Identifica on Please Type or Print CIearIy) (? 3 OWNER: Name: /'�'I Phone: S/o S Z g 2— Address:Address: CONTRACTOR Name: ltIv A e i � �� Phone: Address: 7 S-o- m /U Supervisor's Construction License: 0) Exp. Date: Home Improvement License: -3� 7 9 Exp. Date: 2� ARCHITECT/ENGINEER _ Phone: °— Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 925.00 PER S.F. S .�� Total Project Cost: $ FEE: $y Check No.: 39`Sy Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t ran nd of%A"enf/Ownerx = ra -S ignatur_ I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWS RAGE DISPOS Public Sewer Swimming Pools ❑ Tannmg/MassageBodyArt ❑ Wel ❑ 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 _ I COMMENTS HEALTH Reviewed on Siqnature COMMENTS I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Siqnature&Date Driveway Permit DPW Town]Engineer: Signature: L FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Street no ' Located at 124 Main Street Fire Department signature/date . COYRVIENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq, fl:.: ELECTRICAL: Movement of Meter location,�tion 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 — I Doc:.Building Permit Revised 2008 ti 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 g ng Affrdavlts for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses : ❑ - Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products . OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals it the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording ist be submitted with the building application Doc: Doc.Building permit Revised 2008mi Location No. 2 / Date � • - TOWN OF NORTH ANDOVER �;�,��.v jam';, • Certificate of Occupancy $ Building/Frame Permit Fee $ o Foundation Permit Fee $ Other Permit Fee $ TOTAL $ + Check# G.jf b '/ 4 BuildiW rfspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 25,45-0,".00, m $ - $ 305.40 Plumbing Fee $ 38.18 Gas Fee 100 comm. $; 10:0;0:01 Electrical Fee $ 38.18 Total fees collected $ 481.75 19 Young Road 822-14 on 5/13/2014 Remodeling Existing Kitchen I I i I I tAORTFi Town of o - No. w — h ver, Mass, zz " i COC NIC Me� AWICR �•o P`.. �qs R^TED U BOARD OF HEALTH Food/Kitchen PERMIT T LD> /� Septic System THIS CERTIFIES.THAT ......�r�.....�....v..� ....�............................................................................ BUILDING INSPECTOR has permission to erect .......................... buildings on l,�....�G?..f/.�.. ....... ...................................... Foundation . . Rough to be occupied as ................................................... .r�.((.f.: �r-............ : . ................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service —_ ................. _ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Rightfax C3-1 9/19/2013 5 :15 :55 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYYI RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEAS 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. D THE CERTIFICATE ODE . IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 CONTACT NAME: DOHERTY INS AGENCY INC PHONE FAX PO BOX 1985 (A/C,No,Ext): (A/C,No): E-MAIL ANDOVER,MA 01810 ADDRESS: 22YMX INSURERS)AFFORDING COVERAGE NAIC# ------------ INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA TWOMEY&LEGARE CONTRACTING INC INSURER B: INSURER C: INSURER D: PO BOX 366 INSURER E. NORTH ANDOVER,MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NAMED ASMIFORTHEPOLICYPERODINWATEDL NOTWTHSTANDINC ANYRECIIR6MIM,TEFIAAORCM37MCFANYCOWRACTOROIHERDOCIMNTWTHREWECTTONiCHTHSCMrFKATEMAYBEIS'S MORMAYPERiAN TFENSURANCE ATURDEDBYTHEPOLICIES DESMBEDHEREIN ISSUBJECTTOALLTWTEWE)(CLU9CN5MDCCrDR10N50FSUCH POLICIES LIMITS SHOMVMAYHAVEBEEN REDUCED BY PAIDCtAIMS NSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF NSUFWJCE L R POLICYNUMBER (Mu MYYYY) (NADDIYYYY) LIMITS r GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ❑OCCUR. DREMISES(Ea occmence) ED EXP(Anyone person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY [:]PROJECT❑LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINEDSINGLE $ ANY AUTO LIMIT(Ea accident) ALLOWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR []OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WCSfAmmw OTFER EMPLOYERS LIABILITY YM UB-029ONS94-13 09/182013 09118/2014 UHTS ANY PROPERITORIPARTNEWD(ECUrIVEy❑ WA E.L EACH ACCIDENT $ 500,000 OFRCERT BVBER S(CLUDED? 011mikory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 BES describe trder [)E9CPoPTICN OF OPl9.7ATIONS belowE.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVERCLES/RESTRICTIONSISPEaAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET IN EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN�YVE NORTH ANDOVER,IVA 01845 ACORD 25(2010/05) The ACORD dame and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. Ali rights reserved. JUN-20-2013 THU 04:06 PM FAX N0, 9784750303 P. 14/17 Client#:13298 T OMEYS ACORD," CERTIFICATE OF LIABILITY INSURANCE DATE I 0�3 YY'' PRODUCER THIS CE TIFICATE IS ISSUED AS A MATTER OF INFORMATION Doherty Insurance Agency,Inc. ONLYA D CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 1985 HOLDS .THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 21 Elm Street ALTER E COVERAGE AFFORDED BY THE POLICIES BELOW. Andover,MA 01810 INSURER AFFORDING COVERAGE NAIL;p INSURED INSURER A rbella Protection Ins Company Twomey&Legere Contracting,Inc. PO Box 366 INSURER B: North Andover,MA 01845 INSURER C: INSURER D: I COVERAGES NSURER c= THE POLICIES OF INSURANCE LISTED BELOW HAVE 13BEN ISSUED TO THE INSURED NAMED AE OVE FOR THE POLICY PERIOD INDICATED.NOTWITH$TANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED OY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED AY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER LI V EFFE E P I N UMTS A GENERAL LIABILITY 8500043255 06/22/13 06122114 EACH OCCURRENCE $1,000.0 0 X COMMERCIAL GENERAL LIASILITY OA AGFORENTED $1QQ QQQ CLAIMS MAOf a OCCUR . IFMED Exp(Any one Pmon) 55 Q00 PERSONAL&AOV INJURY 31,000,000 GENERAL AGGREGATE $2,000.000 GEWL AGGREGATE LIMIT APPLIES PER; PRODUCTS-COM?/OP AGG 52,000,000 X POLICY PRO-jEr.r r-1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Es accident) S ALL OWNED AUTOS SCHEOULEDAUT05 BODILYINJURY 8 (Per person) HIRED AUTOS BODINON-OWNEDAUTOS (Para dard) 5 {Per aCCidenl) PROPERTY DAMAGE 3 (Perncgnens) GARAGE LIABILITY AU)O ONLY-EA ACCIDENT 5 ANY AUTO OTHER THAN EA ACC S AUTOONLV. AGO 3 EXCESSAOMBRELLA LIABILITY EACH OCCURRENCE S OCCUR D CLAIMS MADE AGGREGAW 5 i DEOUCTNSLE S RETENTION S 5 WORKERS COMPENSATION AND WCSTATU- OTH- EMPLOYERS'LIABILITY I ANY PROPRIETOR/PARTNERIEXECLRIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? ItyeS,COS01-re under E•L DISEASE-EA EMPL:OYCE S SPECIAL PROVISIONS dew I.L.OISEASF-POLICY LIMIT S OTHER AESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES!EXCLUSIONS ADDEDBY ENDORSEMENT I SPECIAL P VISIONS Covering operations usual to Twomey&Legare Contracting,Inc... CERTIFICATE HOLDER CANCELLA ION 10 0a s for Non-Pa ment SHOULO AMY 0 THE ABOVE DESCRIBED POLICIES of CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL --In._ DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT FAILURE TODD SO SHALL IMPOSIi NO OB IGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATI WFA AUTHORIZED R RPRESENY ACORD 25(20e1/eB)1 of 2 #S293741M29371 OML 0 CORP CO TION 9988 Zlassichusetts- Department of Public S.afet} Bti.ii d of Building-Rei(Fulation and Standards Construction Supervisor t icense License: CS 67560 a' SHAUN M-TWOMEY . 61 PATROIT ST N ANDOVER, MA 01845 - Expiration: 10/25!2013 Commissioner Trg: 4913 u Massachusetts -Department or Public Safety Board of Building Regulations and Stas dafd� Construction Supervisor :cense: CS-055108 DOUGLAS J LEGARE ' 79 GARY AVE HAVERH LL MA 01830 Commissioner 09/0212014 -. - -. .Jdtr. �renrncaararea�iit c��•�1tJlrrcleri;ell'�l'. Office of consumer Affairs&Business Regulation 'OME IMPROVEMENT CONTRACTOR registration: .136779 Type' 2, expiration ,812612014,--_ Partnership TWO +LEGARE CONTRACTING INC. SHAWN TWOMEY 87 BELMONT ST. N.ANDOVER,MA 01845 Undersecretary IN ! Y O i tai LEGAR CONTRACTING INC . "Couldn't your home use a little TLC?" Specializing in residential additions 87 Belmont Street, North Andover, MA 01845 HIC #136779 North Andover- 978.685.7447 Facsimile- 978.685.7446 EXHIBIT B Proposal/Specification Homeowner: Contractor: Matt& Liz Twomey&Legare Contracting, Inc. 19 Young Road. 87 Belmont Street North Andover MA 01845 North Andover MA 01845 603-540-5282 (978)685-7447 Thank you for the opportunity to quote the following project. The Twomey&Legare Contracting, Inc.price is based on our discussion on March 18,2014 concerning your project at the above captioned address. The following is a description of work to be completed as discussed: • Renovation of existing kitchen. 1) Demo and strip sheetrock off interior walls of kitchen. Strip and fir 1 wall in eating ` area. 2)Floor to remain. Fill in area where wall was,blend as close as possible. 3) Remove existing cabinetry and countertops. 4)Frame new window opening for a Harvey double casement window. Make doorway as big as possible, and match trim as close as possible. 5)Add bead board to out side wall,wall to kitchen area with chair rail. 6) Insulate exterior wall, and Repair exterior siding. 7)Blue board and plaster on ceiling and walls that are disturbed. 8) Smooth walls&ceilings. 9)Provide and install new cabinets. (Allowances to follow) 10) Provide and install new countertops. (Allowances to follow) 11)All painting by owner. 12)Install customer supplied appliances. 13) Contractor resp for all permits and inspections. 14)Contractor r ponsible o removal of all debris. 15) Contractor 11 w rk owner for final kitchen plan. Owner Initial : Page 5 of 13 Contractor Initials: CONTRACTING INC .. "Couldn't your home use a little TLC?" Specializing in residential additions 87 Belmont Street, North Andover, MA 01845 HIC #136779 North Andover- 978.685.7447 Facsimile- 978.685.7446 CONTRACT 1. Date of Contract Signing: 2. List of Documents/Counterparts of this agreement: A. Contract B. Specifications/Proposal(See Exhibit B below) C. Drawing/Plan(see Exhibit C attached) D. Payment Schedule(see Exhibit D below) E. Limited Warranty(see Exhibit E below) F. General Notes(See Exhibit F below) 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: Matt&Liz Gabree 19 Young Road North Andover Ma, 01845 603-540-5282 4. Description of work to be done and the materials t o be . used: See Specifications (Exhibit B) P 5. Total amount agreed to be paid for work to beerformed under the contract: ct. 6. Time schedule of payment to be made under the contract,finance charges for late fees(if Z. ee ent Schedule(Exhibit D) Owner InitPage 1 of 13 Contractor Initials: *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 or 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 51.70 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:, Page 2 of 13 Contractor Initials: 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: • 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 other r' surance. Owner agrees to provide copy of hazard insuranc ired by contractor to coordinate policies. �C Owner Signature: Date: Owner Signature: Date: Contractor Signature: Date: Owner Initiallo Page 3 of 13 Contractor Initials: Notice: The signatures s 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 4Owne Date Owner Date Contractor Date Contractor Date Owner Initial : Page 4 of 13 Contractor Initials: 16) Vent microwave,if possible. • Plumbing Specs 1)Provide gas and connection for new stove 2)Provide new shutoffs under kitchen sink. 3) Connect kitchen sink and dishwasher. 4) Supply water line for ice maker. 5)Remove base board heat and install toe kick heater. 6) Correct plumbing in bathroom wall. (Vent) • Electrical 1)Install new 200 Amp service. 2) Wire plug for microwave. 3)Provide GFI plugs as required by code. 4)Wire toe kick heater. 5) Switch locations as needed 6) Install center light. • Window Specifications 1) 303-2 Harvey casement window. • Material Allowances 1) New cabinets—knobs by owner. Material only $3,560.00 2) Granite countertop, including installation $1,800.00 3)New 200 Amp service $2,000.00 4)Vent Microwave $150.00 • Items not included. To be purchased by Y b owner 1) Sink and Faucet. 2) Cabinet knobs and pulls. 3)Appliances. 4)Kitchen light. Job Total ---------- $259450.00 Contractor Signature: Date: Homeowner Signature: Date: Owner Initials: Page 6 of 13 Contractor Initials: 10 NLTWOMEY & LEGARE" CONTRACTING INC . "Couldn't your home use a little TLC?" Specializing in residential additions 87 Belmont Street, North Andover, MA 01845 FHC #136779 North Andover- 978.685.7447 Facsimile- 978.685.7446 E XI-IIBIT F General Notes Unforeseen Changes & Extras 1. Existing,unforeseen code violations are not included in this contract and will be priced at time and material. 2. Any unforeseen frame or sheathing rot is not included in this price. 3. All subcontractors are in contract with Twomey& Le are Contracting, Inc. and are no f available for direct hire by homeowner for a time of six(6)months after completion of project. 4. Contractor will keep home and site as neat as possible. At end of job,the homeowner is responsible for final cleaning and window washing. 5. Any plumbing, electrical or miscellaneous material purchased by homeowner is homeowner's responsibility to get product to site in a reasonable time for installation. Contractor does not hold warranty on these items. 6. If contractor is needed to pick up product,homeowner will incur a trip charge of$50.00 per hour,with one hour minimum. 7. Any ad ditional work beyond contract will only be done with a signed and agreed to price change order sheet. Said payment is due in full on next progress payment. 8. Please review all items on Specification pages. Verbal additions and wants,if not in writing, are not included in the project. 9. Due to large trucks, equipment, dumpsters, etc, driveway may crack, create divots, etc. Also during construction, lawn may be damaged. Contractor is not responsible for same. 10. During excavation, any ledge or boulders over 20 inches will be an extra price on site. 11. Please review plans when received to ensure design is correct. 12. Any h e a e when customer is with architect will not be included if not on original Spec' c 'o ges. It will only be included if a change order sheet is created and exec t, Contractor Signature I bate Homeowner signature Date Owner Initials: Page 12 of 13 Contractor Initials: . . OM ` AE CONTRACTING INC , "Couldn't your home use a little TCC?" Specializing in residential additions 87 Belmont Street, North Andover MA 01845 HIC #136779 North Andover- 978.685.7447 Facsimile- 978.685.7446 EXHIBIT D Job Total & Payment Schedule Payment No. Amount Due Date Received Remaining Balance JOB TOTAL $257450.00 1st on signing $3,000.00 On Signing '� ' S 6?j` $ 22,450.00 2nd payment $5,000.00 Day work Starts $ 17,450.00 3rd payment $2,000.00 Completion of siding $ 151450.00 00 4th payment $7,000.00 Cabinets installed,No Granite $ 81450.00 5th paymen $51000.00 Completion of 90% Of trim $ 31450.00 6th payment $3,000.00 Completion of 90%of painting $ 450.00 7th payment $450.00 Final inspection by town Thank you for considering TWO LE ARE CONTRACTING for your project. Please feel free to call with any questions er Homeowner Signatu Date - Owner Initials: Page 6 of 12 Contractor Initials: -- -- - 9911 W1842L W3024 CCM 942 _ WW362424 B18WB2 30-RANGE1} T L 691 ------ 3/4REP249 VL; I N ----------- ...... -- -.: bZ8 LZ9S MHSIC't7Z Zt7tiZM 0£LZM Z�tiZNI ..LL CD w 0 w The Commonwealth of Massachusetts Department of Indv_strial Accidents ' Office of investigations . 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PluDabers Applicant Information Please Print 1!.edbly Name (Business/Organization/Individual): ��41>')7 L'"`� -' C' ��cT � fZ•s"r GJ�' i�% Address: �I�cr�� ?�: City/State/Zip: /I/ i #AVc3�1k- Phone# A6rIaraaemployerw*ith an employer? Check the-appropriate box: Type of project(required): 1. 4- ❑ I am a general contractor and I 6. ❑ ew construction employees (fnU and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet Remodeling ship and have no employees These sub-contractors have 8. M Demolition working for memi any capacity. workers' comp. insurance. 9. F� Building addition [No workers'.comp.insurance 5. ❑ We*are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a hflmeowner doing all wdrk right of exemption per MGL l LE] 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.❑ Other comp.insurance required. *Any applicant that checks box#1 must also fill out the section below showing'their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContracton 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 is providing workers'compensation insurance for my employees. Below is the.policy and job-site information. Insurance Company Name: Policy#orSelf-ins.Lic.#: ✓ r 6 It'► CI`q �-- Expiration Date: Job Site Address: City/State/Zip: k10, ee� 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 againsttbe violator--Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA-for ' g verification. 11 I do hereby cer fy un er sat penalties of perjury that the information provided abo e is tr a and correct - Siature: Date: /fif3 7� i �/ Phone#: 7 '— `f 2- ?6' Oficial use only. Do not write in 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#: