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HomeMy WebLinkAboutBuilding Permit #428-15 - 22 FULLER ROAD 11/3/2014 NORTH BUILDING PERMIT o`tz�Eo 1116"6 TOWN OF NORTH ANDOVER _ . 0 APPLICATION FOR PLAN EXAMINATION yy t ~ R . © t T b Permit No#: 4 Date Received A7ED IPay.�S �SSACHUS�� Date Issued: 1 r IMPORTANT: Applicant must complete all items on this page LOCATIONy�`�'� A zo'Ao v-J �?A PROPERTY OWNER Print 100 Year Structure yes no MAP _t�"[ PARCEL: 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 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well. p-Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ntifi io Please e or Print Clearly OWNER: Name: ��� } �'`��```� ^Type'ass@-� Phone: Address: 1;7uW``f A�eaact\t-) f Cck Q Contractor Name: _" �� )Ja%'*% Bone: �7 3 3— Address:- Supervisor's —Address:Supervisor's Construction License; 7 5 Exp. Date: Home Lmprovement License:_ 1-7 1 30 9 _ _ µ: . Exp. Date: 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: FEE: $ C Check No.: t q m Receipt No.: 2_5;�2A `[ NOTE: Persons contracting wit 7un4istered contractors do not have access eto anty fund ,Sig a of Agent/Owner Signature of contractor I Location" , - � Le ✓jA e G kz�w VS. No. Date . - TOWN OF NORTH ANDOVER e Certificate of Occupancy $— Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit FeeTED $ TOTAL $ Check# t� Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE"OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swi nming 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Con nection/Siqnature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street _ ! Fire Department signature/date,__ COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 II 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 i i ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses j ❑ 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 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 o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals t"at the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording m ust be submitted with the building application Doc:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost is 2,51820.©0 m $ - $ 309.84 Plumbing Fee $ 38.73 Gas Fee 100 comm. $; 1100i0,0) Electrical Fee $ 38.73 Total fees collected $ 487.30 21 Fuller Meadow Road 428-15 on 11/3/2014 - Remodel Common Bathroom Insurance Solutions Corporation - Page t of 2 CERTIFICATE OF LIABILITY INSURANCE D1/2/201lDD/Y 11/3/ 4 4 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(los) must be endorsed. If SUBROGATION IS WAIVED, subject to the farms 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). PRODUCERNA Kathleen Miller, CISR, CPIW Insurance Solutions Corporation PHONE (603)382-4600 1 FAXfiNg pa ati. Nola(EO,)2152-2021i 60 'Kesltville Rd kmillerpisc-insurance.com Plaistow NH 03865 INSURER Northland Insurance Conn an INSURED INSURER B M R Norman LLC dba X R Norman Builders INSURER 63 Peaslee Crossing Road INBURERD; INSURER E: Newton NH 03858 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1491218288 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. LTR TYPE OF INSURANCE POLICY NUMBER MM/DO/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED rRE $ 100,000 _M18aa IF A CLAIMS-MADE ®OCCUR 217861 /22/2019 /22/2015 MED EXP(Any oneperson) 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per acddent) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acddent UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAO CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITYTORY L IM ITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN *SEE BELLOW E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) FEL.DISEASE-EA EMPLOYE $ Ifg.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) *The insured has purahased Workers' Compensation coverage through the MA Worker's Compensation Assigned Risk Pool. We have requested the servicing carrier issue a Certificate of Insurance on your behalf. Agents are not permitted to issue Certificates of Insurance for Workers' Compensation coverage on policies issued through the MA Worker's Compensation Assigned Risk Pool. CERTIFICATE HOLDER CANCELLATION (978) 688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL GC DELIVERED IN Town of North Andover Del ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept AUTHORIZED REPRESENTATIVE 1600 Osgood N. Andover, MA 01845 Keith Maglia/KRM ACORD 26(2010106) ®1900-2010 ACORD CORPORATION. All rights reserved. INS025 r2n1on51 n1 Tho arms )name.and Innn aro ronlafLriarl markt of ArnRn _ Insurance Solutions Corporation - Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE PATS(MM/DDIYYYY) 11/3/2014 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 polloy(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 cartlflcata does not confer rights to the certlflcate holder In lieu of such endorsement(s). PRODUCER Kathleen Miller, CISR, CPIW Insurance Solutions Corporation PHONE (603)382-4600 FAX .(0103)382-20214 60 Westville Rd 1kmiller0i5c-insurance.Com Plaistow NH 03865 INSURERA Northland Insurance Cam an INSURED INSURER B! X R Norman LLC dba M R Norman Builders INSURER C! 63 Peaslee Crossing Road INBURER9: INSURERE: Newton NH 03858 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1491218288 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY $ 100,000 A CLAIMS-MADE ®OCCUR 217861 /22/2019 /22/2015 MED EXP(Any one emon 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY r7 PRO LOC $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT ANYAUTO BODILY INJURY(Per pamn) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAO OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/NTORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE N/A *SEE BELOW E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEq$ Ifri.de=aibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) *The insured has purchased Workers' Compensation coverage through the MA Worker's Compensation Assigned Risk Pool. We have requested the servicing carrier issue a Certificate of Insurance on your behalf. Agents are not permitted to issue Certificates of Insurance for Workers' Compensation coverage on policies issued through the MA Worker's Compensation Assigned Risk Pool. CERTIFICATE HOLDER CANCELLATION (978)688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover DAL ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept AUTHORIZED REPRESENTATIVE 1600 Osgood N. Andover, NA 01845 Keith Maglia/KRM ACORD 26 26(2010/06) ®1988-2010 ACORD CORPORATION. All rights reserved. INS025 r9niom)ol Tho ar()Rn name.and Innn aria ranlctprorl marks of ArnRn Massachusetts-Department of Public Safety �f Board of Building Regulations and Standards Construction Supervisor License: CS-087851 .� AUCHAEL R NORMAN 63 PEASLEE CRASSII�la k s NEWTON NH 0581! Expiration Commissioner 09/23/2015 CJ/ee cpa�u�r�zonrneallf o�,C�/t�ssac�usell Office of Consumer Affairs&Busidess Regulation ME IMPROVEMENT CONTRACTOR Ve. gistration:' ,1743M Type; piration:_-2%4!2015 DBA M.R.NORMAN Buw RS MICHAEL NORMAN 63 PEASLEE CROSS[NG`RD= NEWTON,NH 03858 `"-` Undersecretary I f i • I � NORT1i own ofAndover . _ O 0 No. _ h ver, Massy DL# o 7 9 cocHicnew�c" �70 RATEO U DBOARD OF HEALTH Food/Kitchen PERMIT T L Septic System 1 THIS CERTIFIES THAT .. •1�....... • C .Ics I. ,,,,, BUILDING INSPECTOR .�. , ....... .... ...... .......... . .... ..... .... . .. .... 1 Foundation has permission to erect ........................... buildings on \.A. ........ �w `�• ........... ...................... . ................. Rough to be occupied as .........a�. Y.X%Iftoh. ....................................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES 1N bMONT ELECTRICAL INSPECTOR UNLESS CONSTRUCTIR 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. FIXED CONTRACT AMOUNT THIS AGREEMENT,Made as of September 51h in the Year of 2014 Between the Owner: Bill &Natalie Kissel 21 Fuller Meadow Road North Andover,MA And the Contractor: M.R.Norman LLC dba M. Ryan Norman Norman Builders Norman Properties &Development CS 87851/HIC 160921 63 Peaslee Crossing Road Newton,NH 03858 603-974-2874 For the Project: Bathroom Remodeling 21 Fuller Meadow Road North Andover,MA ARTICLE 1. CONTRACT DOCUMENTS 1.1 The contract documents consist of this agreement,general conditions,construction documents, specifications,allowances,finish schedules,construction draw schedule,information disclosure statement,all addenda issued prior to execution of this agreement and all change orders or modifications issued and agreed to by both parties. All documents noted herein shall be provided to the Contractor by the Owner. These contract documents represent the entire agreement of both parties and supersede any prior oral or written agreement. ARTICLE 2. SCOPE OF WORK 2.1 The Contractor agrees to purchase and construct the above mentioned structure and fixtures attached thereto in North Andover according to the bathroom remodeling specifications,allowances,all addenda,change orders,modifications and specifications set forth in the specification booklet. ARTICLE 3. TIldE OF COMPLETION 3.1 The approximate commencement date of the project shall be November 10'h,2014.The approximate completion date of the project shall be January 16`h,2014;however any change orders and/or unusual weather might delay or otherwise affect the completion date. ARTICLE 4. THE CONTRACT PRICE 4.1 The purchase price of the project shall be set at the sum of twenty five thousand eight hundred twenty dollars,($25,820.00), for remodeling on property at 21 Fuller Meadow Road to be started in November and completed in January,as agreed upon in this entire contract with specifications,subject to additions and deductions pursuant to authorized change orders and allowances. 4.2 The Owner and the Contractor acknowledge that the Owner has paid a non-refundable sum of � p three thousand dollars,($3,000.00)as part of signing this contract. ARTICLE 5. PROGRESS PAYMENTS 5.1 The Owner will make payments to the contractor pursuant to the attached construction draw schedule as work required by said schedule is satisfactorily completed. Owner shall make draw payments to contractor within 3 days after request by contractor. Should the owner fail to make payment, contractor may charge a penalty of 18% annually upon the unpaid amount until paid. 5.2 If payment is not received by the Contractor within 5 days after delivery of payment demand for work satisfactorily completed,contractor shall have the right to stop work or terminate the contract at his option. Termination by Contractor under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. Termination by Owner under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. 5.3 Payment Schedule and Amounts 1. Signing of Contract: $3,000 2. Bathroom Special Order Items: Actual Cost 3. Bathroom Start Date: $8,000 4. Bathroom Rough Ins Inspected: $7,000 5. Bathroom Complete: $3,820 THE ALLOWANCES HAVE BEEN DEDUCTED FROM THE PAYMENT SCHEDULE,BUT WILL NEED TO BE PAID FOR WHEN THE ORDER IS PLACED BY THE CONTRACTOR ARTICLE 6. DUTIES OF THE CONTRACTOR 6.1 All work shall be in accordance to the provisions of the plans and specifications. All systems shall be in good working order. 6.2 All work shall be completed in a workman like manner,and shall comply with all applicable national,state and local building codes and laws. 6.3 All work shall be performed by licensed individuals to perform their said work,as outlined by law. 6.4 Contractor shall obtain all permits necessary for the work to be completed. 6.5 Contractor shall remove all construction debris and leave the project in a broom clean condition. 6.6 Upon satisfactory payment being made for any portion of the work performed,Contractor shall furnish a full and unconditional release from any claim or mechanics' lien for that portion of the work for which payment has been made. ARTICLE 7. OWNER 7.1 The Owner shall communicate with subcontractors only through the Contractor. 7.2 The Owner will not assume any liability or responsibility,nor have control over or charge of construction means,methods,techniques, sequences,procedures,or for safety precautions and programs in connection with the project, since these are solely the Contractor's responsibility. w 7.3 All persons working on this,i.e. sub-contractors,foremen or laborers will be notified that no payments will be made by owners of property to them,that only Norman Builders is responsible for payments to them. All contractors shall be insured to the minimums provided as described by Norman Builders and not the responsibility of the owner. ARTICLE 8. CHANGE ORDERS AND FINISH SCHEDULES 8.1 A Change Order is any change to the original plans and/or specifications. All change orders need to be agreed upon in writing,including cost,additional time considerations,approximate dates when the work will begin and be completed,a legal description of the location where the work will be done and signed by both parties. 50%of the cost of each change order will be paid prior to the change,with the final 50%paid upon completion of the change order. A 0%fee shall be added to all change orders and overages in excess of initial allowances. Additional time needed to complete change orders shall be taken into consideration in the project completion date. 8.2 Any delays or changes in finish selection schedules will delay the projected completion date. ARTICLE 9. INSURANCE 9.1 The Owner will purchase and maintain property insurance to the full and insurable value of the project,in case of a fire,vandalism,malicious mischief or other instances that may occur. 9.2 All Workers will be covered by Workman's Compensation and Liability insurance coverage as needed and required by law. ARTICLE 10. GENERAL PROVISIONS 10.1 If conditions are encountered at the construction site which are subsurface or otherwise concealed physical conditions or unknown physical conditions of an unusual nature,which differ naturally from those ordinarily found to exist and generally recognized as inherent in construction activities,the Owner will promptly investigate such conditions and,if they differ materially and cause an increase or decrease in the Contractor's cost of,and/or time required for,performance of any part of the work,will negotiate with the Contractor an equitable adjustment in the contract sum,contract time or both. ARTICLE 11. HAZARDOUS MATERIALS,WASTE AND ASBESTOS 11.1 Both parties agree that dealing with hazardous materials,waste or asbestos requires specialized training,processes,precautions and licenses.Therefore,unless the scope of this agreement includes the specific handling,disturbance,removal or transportation of hazardous materials,waste or asbestos,upon discovery of such hazardous materials the Contractor shall notify the Owner immediately and allow the Owner/Contractor to contract with a properly licensed and qualified hazardous material contractor. Any such work shall be treated as a Change Order resulting in additional costs and time considerations. ARTICLE 12. ARBITRATION OF DISPUTES 12.1 Any controversy or claim arising out of or relating to this contract,or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules, and judgment on the award rendered by the arbitrator(s)may be entered in any court having jurisdiction thereof. ARTICLE 13. WARRANTY 13.1 At the completion of this project,Contractor shall execute an instrument to Owner warranting the project for 1 year against defects in workmanship or materials utilized. The manufacturer's warranty will prevail.No legal action of any kind relating to the project,project performance or this contract shall be initiated by either party against the other parry after I year beyond the completion of the project. ARTICLE 14. TERMINATION OF THE CONTRACT 14.1 Should the Owner or Contractor fail to carry out this contract,with all of its provisions,the following options and stipulations shall apply: 14.1.1 If the Owner or the Contractor shall default on the contract,the non-defaulting party may declare the contract is in default and proceed against the defaulting party for the recovery of all damages incurred as a result of said breach of contract,including a reasonable attorney's fee. In the case of a defaulting Owner,the Earnest money herein mentioned shall be applied to the legally ascertained damages. 14.1.2 In the event of a default by the Owner or Contractor,the non-defaulting party may state his intention to comply with the contract and proceed for specific performance. 14.1.3 In the case of a defaulting Owner,the Contractor may accept,at his option the earnest money as shown herein as liquidated damages,should earnest money not cover the expenses to date,the Contractor may make claim to the Owner for all work executed and for proven loss with respect to equipment,materials,tools,construction equipment and machinery,including reasonable overhead,profit and damages applicable to the property less the earnest money. ARTICLE 15. ATTORNEY FEES 15.1 In the event of any arbitration or litigation relating to the project,project performance or this contract,the prevailing party shall be entitled to reasonable attorney fees,costs and expenses. ARTICLE 16. ACCEPTANCE AND OCCUPANCY 16.1 Upon completion,the project shall be inspected by the Owner and the Contractor,and any repairs necessary to comply with the contract documents shall be made by the Contractor. 16.2 Building inspector of North Andover,MA must sign off on final inspection prior to final payment by owners to Norman Builders,for completed work at 21 Fuller Meadow Road. ARTICLE 17. CONTRACT LANGUAGE REQUIRED BY THE COMMONWEALTH OF MASSACHUSETTS 17.1 All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone: (617)973-8700 17.2 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 17.3 PERmiT NOTICE 1. ANY AND ALL NECESSARY CONSTRUCTION RELATED PERMITS SHALL BE THE OBLIGATION OF THE CONTRACTOR TO OBTAIN SUCH PERMITS 2. IF ANY ADDITIONAL APPROVALS OR PERMITS ARE REQUIRED OTHER THAN THE BUILDING PERMIT TO START CONSTRUCTION,THERE WILL BE ADDITIONAL DELAYS AND FEES INCURRED THAT WILL BE THE RESPONSIBILITY OF THE HOME OWNER 3. OwNERs wHO SECURE THEIR OWN CONSTRUCTION RELATED PERMITS OR DEAL wITH UNREGISTERED CONTRACTORS SHALL BE EXCLUDED ACCESS TO THE GUARANTEE FUND 17.4 The contractor and the homeowner herby 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 Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Witness 3 -� Witness Contractor Signature Owner Signature C 0_LkJ Owner Signature Owner Signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ;vane mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Le2iblv Name(Business/Organization/Individual): K M 6LL Address: 1��0-J 1�,Q City/State/Zip: W G%5t Phone#: N;- 3 3-7 5. Are you an employer?Check the appropriate box: '} I am a employer with 4. E] I am a general contractor and I Type f project(required): 1.f to employees(full and/or part-time).* have hired the sub-contractors 6. New construction listed on the attached sheet. 7. "Remodeling Z.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ®Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance. [J Building addition required.] 5. E] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12_❑Roof repairs insurance required.]; c. 152,51(4),and we have no 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 hive outside contractors must submit a new affidavit indicating such. -Contractors 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 number. I antt an employer that is providing workers'compensadon insurance for fray employees. Below is lire policy and job site information. Insurance Company Name: CtRIG� Policy#or Self-ins.Lic.#: W C— .�a-CIG H M)-OC) Expiration Date: 9 L-t),oliq Job Site Address:- � � ""`� �'t City/State/Zip: � v �" Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under in a enallies of perjury that the information provided above is trite and correct. Signature: Q y Date. 10 'A 'I Phone#- t [ ; 2- J 3--7 2 J-3 7 Official ase 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.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: c c�G� �► � �G c�c� yi � r 1�