HomeMy WebLinkAboutBuilding Permit #257 - 222 MAIN STREET 9/30/2009 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 5 Date Received .2
Date Issued: v'
IMPORTANT: Applicant must complete all items on this page
LOCATION Z.Zz 1 AXo sw-c,,�
Print
PROPERTY OWNER C&% OJTTALt—
Print
MAP NO: PARCEL:. ZONING DISTRICT: Historic District ' e no
Machine Shop Village &es.> no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
N ilding nefamiI
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Ib XtZ S►JMDA^ acylt'V' WiYA C Y ` M�✓ADm ey*4• Pl6k ty-4(
Identification Please Type or Print Clearly)
OWNER: Name: Cf-A Ct NOTTPL,L Phone: q-N rn$} 019<'
Address: 2222 MAW
CONTRACTOR Name: --N&W WPk--T" i Phone: ' �
Address: Ca R
Supervisor's Construction License: O-IM 142 Exp. Date: g g 7z(o
Home Improvement Licensed Exp. Date: l l�
ARCH ITECT/ENGINEER_ tr4,Je£aX,-- Qc �J Phone: q�g SSa 83g
Address:% E. 1Vo�r S (,2af6 -,b, MA OV4 -n Reg. No. ;�:4165
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
C
Total Project Cost: $_ 84D FEE: $ D
Check No.: Receipt No.:_C
NOTE: Persons contracting with unregistered contractors do not have access to theuaranty fund
c
Signature of Agent/Owne W Signature of contractor
Plans Submitted ns Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sew Tanning/Massage/Body Art Swimming Pools
Well Tobacco Sales Food Packaging/Sales }'
Private(septic tank,etc. Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
a
CONSERVATION Reviewed on l Si nature
_ _ r
COMMENTS A-ni A ) i n
HEALTH Reviewed on Signature
COMMENTS
4
Zoning 2bard of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
I
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
I
Located 38 ood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
I
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)
❑ Notified for pickup - Date
Doc:.Building Permit Revised 2008
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ 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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Doc.Building Permit Revised 2008
1
Location ��Z ,l/1'ILri✓�
No. Date
MORTq TOWN OF NORTH ANDOVER
L
Certificate of Occupancy $
s
�'�a'•^°'t<�' Building/Frame Permit Fee $ y ��
s�CHUs
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
22L j -
building Inspector
NORT►y
® of : itAndover
No. '7
y Zy_ dower, Mass., �'-�3d • a"I
T O LAKE ^,
coC MI_...C:K V
�d ORATED PPS\ -`y
`S E BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
L ll
iAA<< BUILDING INSPECTOR
THIS CERTIFIES THAT.......... ........�4 ...............................:............................. Foundation
has permission to erect........................................ buildings on .2 ...AYV4..1.6... ............................ Rough
to be occupied as.....toxi-z ......50^. ... ......."fi'......!E69....( 0.4.epam..................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the-Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRU N STARTS ELECTRICAL INSPECTOR
Rough
......... . ........................ ........ ....................................
Service
BUIL ING INSPECTOR
Final
Occupancy Permit Required to Ocmpy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
t%ORTH
Town of Andover .
No. a17
yy C% dower, Mass.t
0 tL- LAKE
COCMICHEWI .
0RATE D
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT...........��nU.6.......... ..... ................................................................ BUILDING INSPECTOR
Foundation
has permission to erect........................................ buildings on .2 .....ANA- 1.6... ............................ Rough
to be occupied as.....1.o.x 1.-z ...... —t..........(69....0104.pka.w. ...................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUC
,UQN STARTS Rough
. . ......................... Service
UIL ING INSPECTOR
B Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Of NORTH
°p Town of North Andover
Machine Shop Village Neighborhood Conservation District Commission
. o45 1600 Osgood Street North Andover, MA 01845
PP�
SAGHUsE
Certificate to Alter
Date: -� 200
Contact Name&A dress:
9a O-L
Project Address r40 m al'i't. S
Project Description(attach additional pages,if needed):
1194A .mgj��5 2-
IJ d 2G�
�M do d 2400
Commission Vote:
Voted�to U to ant 1 deny Certificate to Alter on
Comments (attach additional pages,if needed):
Signed: ,
tt /� G
Machine Shop Village eighbor od Conservation District omm
MSV NCDC Page 1
Lawrence H. Ogden P.E.
19$ East Main St
Georgetown, MA 01833
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The proposed improvements shown hereon are based upon
information provided by the client.
OWNERS: N
Craig A. & Darcie M. Nuttall
Deed Bk. 8311, Page 4
n/f
Donald B. &Geraldine Elliot
4-0 and Wayne R. &Sandra D. Cannella
^W 110.08'
W
4-4 Craig A. & Darcie M.
(n 39.5' Nuttall
N Area 12,668±s.f.
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M91-13,
e
/7 Street
"I CERTIFY THAT THIS PLAN AND SURVEY WERE PREPARED AS
A RESULT OF AN ACTUAL ON THE GROUN REENAMW T
SURVEY PERFORMED IN SEPT. 2009."
RICHARD W.
REID, JR.
NO. 46861
•ems 9 C �
IS
R GISTERED PROFESSION LAND VRVEYOR DATE
(signature is not original if not signed in BLUE ink)
CERTIFIED PLOT PLAN DATE
09-16-09
#222 MAIN STREET - NORTH ANDOVER, MA
REVISION
�r -�y n/a
® Z hih-o' ueye an W ui1 V P zil SCALE:
775 KimberlyRoad,Taunton,MA 02780 TEL 508 287-0896 Y � 1"= 30'
� )
The Cora nweulfh ofMassachusetts
kl 1 De,Part"wmy of-1ndustrial Accidents
i'� OffICe of Investzgations
iii: ; 600fflasizingion Street
Boston, MA 02111
www mass gvv ldia
Workers' Compensation Insurance AffidaviLz Builders/Cantractors/Eleatricians/Plumbers
A p liicant aformatian.
Please Print Legibly
Name(Business/organizafion/individual): IkD2g7c=tr�%4br_,IR S
Address: C4g v Lr_;e
Phone A. . CIS ' L I ��
7,Areyewmployer?Cheek.the appropriate boz:mployer with ( 4. ❑ 1am a general contractor and IF7 .
ject(required):
ees(full and/orpart-time).* have hired the sutr-eot�acois consilvction
ole proprietor or partner. listed on the attached sheet 2 odeling
ship and have no employers' These suh-contractors have
working forme ut any opacity, _ ❑ workers' comp.insurance, oiitiom
[No workers'comp, insu ranee 5. We are a corporationanditsing addition
3.❑ required] offrce rs have exercised their trical repairs or additions
1 tiro a homeowner doing ail work right of exemption per MOL bing repairs or additiorus
myself [No-workers' comp. .c, 152, §1(4),and we have no
insurance. iced. t 12.[]Roof repairs
�N ]. .employees. [No woriCoes'
Comp. insurancx required.] !3.170ther
*Any appiicarrt fist checks bot,'!t must also MI oat the section below showing their workatc' Pei+setiori policy inforntatioa
t Iiomeownets who tnibmit this atiiFiavit indicating they Cts doing an work and then hke outside conuaetors most submit a nein affidavit indi
iCont►actors that check this box must attaches an additional sheat show'
the nems offic sub•ooumwtom and theu••workxxs' 6 such'
�,Fo?ick 1 ittinm>ation.am an employer that is rovidla '
information. p g wow � ^orr�senss.�ts insurance,�or Walz employees Below is the
poBcy Cued job site .
Insurance Company Name:
Policy#or self-ins.Lie.#: -b GJ%11?_D 4
- Expiration Date:
Job Site Addrass:_ZZZ flAt%, <
Attach a copy of the workers' cum Ctty/Statzl�rp` � �
peasation policy decfaratioo page(showing the policy number and expiration date), .
Failure to secure coverage as required under Section 25A of M(3L c. 152 can l
fine up to$1,5DU 00 ancad to the imposition of criminal penalties of a-
d/or one-year imprisonment,as wen as civil penalties in the form of a STOP WORK ORD
of up to$250.00 a day agairist.the violator.. Be advised that a copy ER and a fine
of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby c u d the and penalties of pe '
r�ury t:fiat the information prodded above is true and eons
Sr ttnr:
Date: 8 13 0 11
Phone
[I. Bo�a
l use only. Do not write in this area,to he completed or town.o
1
Town:
Permit/License#
Authority(circle one):
d of Health 2-Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plnmhiag laspectar
'rt Person•
Phone#:
Information a. lid Instructions
Massachusetts General Laws chapter 152 requires all emp 30yers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"..:every person in the service of another under any contract of hire,
express or'implied,oral or written."
An ra rleyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or mom
of the'fomgoing engaged in a joint enterrprise,and includis-ig the legal representatives of a dcceasod employer,or the
receiver ortrvstx-of an individual,pw nership,asmciatioin or other legal entity,empioying employees'However the
owner•of a dwelling house having not more than three apas-tmcnts and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maimtmumce,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every stage o.a-local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or *o construct buiWivp in the commonwealth for any
apPTcant who has not produced acceptable evidence.of aompiiance with the insurance coverage required."
Additionally, MOL chapter 152,PC(7)states-Neither t e commonwealth nor any of its political subdivisions shall
enter into arty contract for the pmformence ofpublic worse unci. cceptabIr evidence of compliance with the insurance
tequn-emcnts of this chapter have been presented to the contracting.authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary, supply sub-contractors)name(s),address(es):acid phone numbcr(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not requviedlto carry workers'cc>-rnperumfion insurance. lfan LLC orLLP does have
empioyees,a policy is requinsd. Be advised that this affid.-mot may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage.. Also*be sure to sign and-date the affidavit The affidavit should
be retraned to the city or town that the application for the permit or license is being mquested,notthe Department of
Industrial Accidents. Should you have any questions rep urviing the law or if you are required to obtain a workers'
oornpemsation policy,pleasecall the Department at the number.listed below, Self-insured companies should enter their
self=ins:UMncc"lieemsc Dumber on d='appropiiate tire.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. Tho Department has provided a space at the bottom
of the affidavit for yoir to fill out in the event the.Office of lnvest ptions has to contact you regarding the applicant
Please be sure to fiH in the permit(license number which%%-ill be used as a reference number. In addition,an appiicant
that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating-curma
policy'information(if necessary)and under"Job Site Address"the applicant should write;"all locations in (city or
town)."A copy of'the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid afFidavrt is on file for fid permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT.required to compiete this affrdaviL
The Office of investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a=11.
The Department's address,telephone and fax number.
The Commonvt zzxlth of Manachusetts
Departmznt of lmdustrial Acaideats
O iCt of LnVt9ti.%tEi9tns
600 Washington Sti=t
Boston, MA 02111
TeL #617-727-4960 ext .406 or 1-9.77-MASSAFE
Fax#617-727-7744
Revised 5-26-QS www,mass.gov/dia
Aim CERTIFICATE OF LIABILITY INSURANCE U022 09-2z 2009
a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PAYCHEX AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
210705 P: () - F: () - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
308 FARMINGTON AVE INSURERS AFFORDING COVERAGE
FARMINGTON CT 06032
mfs"" INSURER A:The Hartford Ins Group
INSURER B:
MORRETTI BUILDERS LLC INSURERQ
4 CHANDLER RD. INSURER D:
BOXFORD MA 01921 1 INSURER E:
COVERAGES
E POLJCIES OF INSURANCE LISTED BELOW HAVE 6EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IVSB FOUCYEFFECTM TYPEOFAMSURAMGE ADUCYlN PGUCYEXFIRA7M lalfl7S
GCi1tg7AL lJABJl17Y
EACH OCCURRENCE S_
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) �8
CLAIMS MADE r-1 OCCUR MED EXP(Any one person) a
PERSONAL&ADV INJURY S
GENERAL AGGREGATE 8
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG 8
POLICY n PRO- Loc
ECT
AUYVA90JMELIANKRY COMBINED SINGLE LIMIT $
(En accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY a
SCHEDULED AUTOS LPs+Pte)
HIRED AUTOS BODILY INJURY 8
;Per accidan)
NON-OWNED AUTOS
PROPERTY DAMAGE 8
(Per aoddenU
GARAy AUTO ONLY-EA ACCIDENT 8
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG S
CESS[.I46IL7lY EACH OCCURRENCE 8
OCCUR CLAIMS MADE AGGREGATE 9
a
DEDUCTIBLE a
RETENTION a TH $
S CO l7WNAM X I
WC STATU- 0,
A 13Rv.°Y&WLL4BV r 76 WEG TR0432 12/19/08 12/19/09 E.LEACH ACCIDENT $100, 000
E.L.DISEASE-EA EMPLOYEE $100, 000
E.L DISEASE-POLICY LIMIT $500 0 0 0
011ER
DGSCW7M OF OPER47IoASLOGtTIOA%4ffjffCLESAU=Lalo S AQDEP BY DWORSEWWWSPECM PROYJSIOM
Those usual to the Insured's Operations. Re: Permit
CERTIFICATE HOIAER slnpmontuaesoa�:�lsrn�erlerr> CANCELLATION ___
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Town of North Andover 30 DAYS WRITTEN NOTICE(40 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE
Building Inspector HOLDER NAMED TO THE LEFT,BLIT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
1600 Osgood Street REPRESENTATIVES.
North Andover, MA 01-B45 a A7"
,
ACORD 25-S(7/97) 0 ACORD CORPORATION 1988
AC40® CERTIFICATE OF LIABILITY INSURANCE 79/13/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Barry J. Kittredge Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
81 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 5206
Bradford, MA 01835 INSURERS AFFORDING_COVERAGE NAIC#
p,NuR INSURERA• Merchants Mutual Insurance C
Moretti Builders, LTC INSURER B:
John Moretti INSURERC:
4 Chandler Rd INSURER D:
Boxforg, MA 01921 INSURERS:
COVERAGES
THE POLICESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FORTHE 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 AU-THE TERMS,E)CLUSIONSAND CONDITIONS OF SUCH
POLICIS AGGREGATE LWfS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR JIRD _ POLICY NUMBER UCY EFFECIIYE MIUM LINTS
LIL "PE OF WISLqUNCF
GENERALLIABdlrY EACH %RRENCE $ 1,000,000
DAMAGE RENTED
A X COMMERCIALGEPERALLIABIUTY CCP1046180 7/20/09 7/20/10 Ea $ 100 000
CLAIMS MADE ®OCCUR MED EXP(Ary one paam) S 5,000
PERSONAL&ADVINJURY $ 1,000,000
GENERAL AGGREGATE $ 2 000 000
GENLAGGREGATELIMIT APPLIES PER: PRODUCTS-ODN'IOPAGG $ 2,000,000
POLICY PRO- LOC
AUTOMOBILE UABIUTY CON fNEDSINGLELIMIT $
QEa aatidert)
ANY AUTO
ALLOVOEDAUTOS BODILY INJURY $
(P-PSI)
SCHEDULED AUTOS
HIREDAUTOS BODILY INJURY S
(Peraoclderd)
NON OWNEDAUTOS
PROPERTY DAMAGE $
(Per auidery
GJIRAGELIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUW OTHER THAN .EA ACC S
AUTOONLY: AGG S
ELCESS I UMBRELLA A LIABILITY EACH OCCURRENCE S
OCA CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION S WC STATIM OrH-
WDRKHNS COWEMATIONPR
JVID EMPLOYERS'LIABILITY
ANY pROPRETOWARTNERJEXECUTPk Y7 El.EACH E.L-DISEASEE-EAAE EMPLOY $
OFFICERIIrEMBLREXCLUUED7 E" $
pAanda6ory In NH)
Ef yes desffi�a E.L.DISEASE-POLICY LIMIT S
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY CWTHE ABOVE DESCRIBEDPOLQES BECANCELLED BEFORE THEEMRATION
DATE rIgREM,THE WSUNO INSURER WLLI MDEAVOR TO MAL 20 DAYS wmTTEN
Town of North Andover NOTICE TO THECERnFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DD So SMALL
Building Inspector IMPOSE ND OBWATION OR UAWTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
1600 Osgood Street; REPHESEWATLYES.
North Andover, MA 01845 AUTHDRUMDREPRESENTATME 71
ACORD 25 iso 11 ®1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD Name and logo are registered marks of ACORD
ci �
Board of Building Regulati s and Standar ,s '
4I0ME IMPROVEMENT CONTRACTOR
Registration: 152844 }
Expiration: 1014!2010 Tr# 275812
Type: Ltd:Liability Corpor
MORETTI BUILDERS LLC 4
JOHN MORETTI
d-CHANDLER ROAD
.. 90XFORD,MA 01921 _-:- ' Administrator
• Mi sachusetts- bepartrnent of Public S;afetl
Board of Building Rte<gulations and Standards
Construction Supervisor License
License: CS 79425
Restricted to: 00
.JOHN C MORETTI
4 CHANDLER RD
SOXFORD, MA 01921
�--�- -�- Expiration: 8/8/2010
( inaiai.<i nuv Tr#: 1278
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-" REScheck Software Version 4.3.0
Compliance Certificate
Project Title: Nuttall Residence
Energy Code: 2007 IECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Project Type: Addition/Alteration
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
222 Main Street John Moretti
North Andover,MA 4 Chandler Road
Boxford,MA 01921
978 361 5049
. .
Compliance: Maximum UA:71 Your UA:60
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or D..
Perimeter U-Factor
Ceiling 1:Cathedral Ceiling(no attic) 180 42.0 0.0 5
Wall 1:Wood Frame,16"o.c. 240 21.0 0.0 5
Window 1:Metal Frame with Thermal Break:Double Pane with 137 0.280 38
Low-E
Door 1:Glass 18 0.410 7
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 180 35.0 0.0 5
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2007 IECC requirements in
REScheck Version 4.3.0 and to comply with the mandatory requirements I' ted in the REScheck Inspection Checklist.
r
IJ N\oeED(I-k - GQy+fat✓�ri'4-
Name-Title ignatu Date
Project Title: Nuttall Residence Report date: 09/24/09
Data filename: C:\Program Files\Check\REScheck\nuttall.rck Page 1 of 1
2007 IECC Energy
Efficiency Certificate
Ceiling/Roof 42.00
Wall 21.00
Floor/Foundation 35.00
Ductwork(unconditioned spaces):
�.. MMggij -g
xi
Window 0.28
Door 0.41 NA
£ .
Water Heater:
U
Name:
Comments:
MORETTI BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRUCTION (978)352-5465
200 Washington Street icmorettiamorettibuilders.com
Boxford, MA 01921 CSL079425/HIC152844
PROPOSAL
August 11, 2009
Darcie and Craig Nuttall
222 Main Street
North Andover, MA
Moretti Builders LLC, herein after referred to as Contractor, is pleased to present the following
proposal for the addition to your home at 222 Main Street.
General Project Notes:
1. Construction will follow all notes and plans as submitted to the town of North Andover.
Reference the attached plan schematics for details.
2. Pricing is for all labor and materials to complete the specified tasks, and includes removal
and proper disposal of all debris. The site will be swept and/or vacuumed daily.
Reasonable efforts will also be made to consolidate building materials and equipment so
as not to interfere with access to the home, or become unsightly as viewed from the
street. Final cleaning including dusting, wiping of surfaces, window cleaning, etc. is the
responsibility of the owners.
3. All subcontractors hired by the contractor will be registered and insured as required.
Inquiries concerning any contractor can be directed to:
Director. I lome Improvement Contractor Registration
One Ashburton Place
Room 1301, Boston MA 02108
"fel: (617) 727-898;
4. Owner understands and agrees that all communications concerning the job status.job
changes, pricing, or any other job issues outlined in this contract will only be between the
owner and Moretti Builders principals. Contractor will not be held liable for any
discussions or agreements made between owner and any other parties including
contractor hired sub or specialty contractors, Suppliers. or employees.
�. Contractor is solely responsible for securing all labor, materials, subcontractor work and
other related items included in the contract, and for scheduling, construction technigtleS
and procedures, and the coordination of all trades and sequences hereunder.
l;5
r
MORETTI BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRuc-riON (978)352-5465
200 Washington Street icmoretti(c)morettibuilders.com
Boxford, MA 01921 CSL079425/HIC152844
Owner, owner's agents or any other parties are prohibited from directing, or attempting to
direct in any way, the progress of the work. They are also prohibited from securing
labor, materials, subcontractors or other items that substitute or supplant those included
herein unless specifically authorized in writing by contractor.
6. Owner shall defend, indemnify, and hold harmless the Contractor, and its subcontractors,
from and against any and all claims, demands, causes of action, damages, liabilities,
losses, and expenses arising from the project and/or the contract to the extent caused by
the fault of Owner or its consultants, design professionals, or agents."
Contractor shall defend, indemnify, and hold harmless the Owner, but not any
engineering or design professional, consultant, or other agent of Owner, from and against
all liability to any third party for bodily injury, death, or tangible property damage caused
by the negligent acts or omissions of the Contractor.
Construction Details:
Plans and Permitting:
Contractor is solely responsible for securing all required permits, plans, and inspections. Permit
fees will be charged to the owners at cost. This cost is in addition to the contract cost.
Demolition:
The existing porch and exterior stairs will be removed to accommodate the new space. The roof
structure and rubber roofing will remain intact and be reused.
Foundation and site work:
1. New footing tubes www.foottube.com will be installed as shown on the plan.
2. All excess till and concrete debris will be removed from the site.
3. Disturbed areas will be left rough graded, ready for finish landscaping by others(e.g.
loam and seed, planting beds, etc.)
4. The area under the new deck will be covered with '/.," crushed stone.
Structure:
The addition will be framed per plan, including all engineering details. The frame will be 2x4
wall construction with 2x8 rafters and 2x 10 floor joists. Closed cell Spray foam will be used in
the walls. Iloor, and ceiling per plan.
2:5
MORE TTI BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRUCTION (978)352-5465
200 Washington Street icmorettiI( morettibuilders.com
Boxford,MA 01921 CSL079425/HIC 152844
Exterior:
1. Exterior siding, roofing, and trim will match the existing home, except for panel details to
be installed under the triple windows in the bay projection. Exterior painting will match
existing.
2. Windows will be Jeld Wen, with white aluminum cladding and painted interiors. Final
sizes tbd based on the engineering prints.
3. The entry door will be smooth fiberglass, nine lite, and will swing out.
4. The exterior landing and stairs will be composite decking by Correctdeck CX
www.correctdeck.com/products/decking/default.htm or equivalent. Decking will be
blind fastened where practical. Railings and posts will be wrapped with PVC composite
trim and balusters will be composite.
5. Note that gutters and drainage systems are not included in this proposal.
6. The area under the addition will be used as storage for outdoor items. An access gate will
be installed in the lattice work to allow egress.
Interior Finishes:
1. All interior walls and ceilings will be covered with blue board and smooth skim coat
plaster.
2. All new surfaces will receive primer and two coats of finish paint.
3. Flooring will be hardwood and/or tile. See allowance schedule.
4. Interior trite details to match those in the existing home including crown molding in the
waiting room area. Crown molding cannot be installed in the new room due to ceiling
geometry.
Plumbing:
N/A
I[eating:
1. Two new 6' electric baseboard units will be installed in the addition, and one in the
waiting area.
Electrical:
1. Outlets to code in the sunroom with one CATV and one phone line.
2. Four reccssed lights in the office, switched and dimmed at one location. Two recessed
lights in the waiting area, switched and dimmed in one location.
3. Two exterior flood lights to light the walking path and back yard, switched in one
location.
3:5
MORETTI BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRUCTION (978)352-5465
200 Washington Street icmoretti(cDmorettibuilders.com
Boxford, MA 01921 CSL079425/HiC152844
4. One exterior sconce Supplied by owner, for the deck/landing area. Switched at one
location.
5. One exterior outlet, location TBD.
Allowances:
Our pricing includes the following allowances. Any deviation from the following will result in a
credit or debit to the client's account, as appropriate. Please note that these allowances are for
the materials or products only except where indicated. Labor to install is included separately in
our price. These allowances are meant to be used as a guide in planning for budget needs but are
Subject to final selections and associated costs:
1. Flooring (labor and mat'ls) $10/square foot
Exclusions from our proposal (items NOT included in our price):
1. Any additional fees associated with this project. Permit fees will be charged at cost.
2. Work previously listed as not included.
3. Work beyond the scope of this proposal.
Change order policy:
Without invalidating this agreement, owner may order extra work or change the existing contract
by the use of a change order. A change may consist of additions, deletions, or modifications to
the original contract work, with the contract sum and contract time being adjusted accordingly.
Any change orders will be agreed to in writing prior to billing or crediting. Execution of any
change order requires only one signature from each respective party. Verbal authorization will
be accepted when both parties agree.
Execution of change orders is billed at an hourly rate of$65 per man hour for carpenters, with
materials billed at cost plus 24%. Subcontractors change orders are billed at cost plus 24%.
Owner understands a design/estimating and coordination fee of$65 dollars per hour will be
incurred on the design, drafting and pricing of the change or additional work, whether the change
is elected or not by the owner.
Payment l:or change orders is due in full at completion of the related work or as otherwise agreed
to by the owners and contractor.
Schedule and Duration:
The anticipated duration of this project is 7 weeks.
4:5
4�
a
MOREM BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRUCTION (978)352-5465
200 Washington Street icmoretti2morettibuilders.com
Boxford,MA 01921 CSL079425/HIC152844
Warranty:
All workmanship is guaranteed for a minimum of one year.
Price and Payment Schedule:
Total Price: (fifty five thousand eight hundred) $55,800
Payment schedule:
At contract signing $13,000
At start of framing $13,000
At start of siding $13,000
At start of drywall $11,000
At completion $5,800
Owner has read, understands, and agrees with the total payment schedule shown in this
agreement. Owner will pay contractor the initial deposit, progress payments, and the final
payment as per this agreement and without retention. Final payment of the entire contract price
is due on the day of substantial completion of the work.
If net amount due on progress payment is not paid within five business days, contractor reserves
the right to stop work until the progress payment has been made, increased by a reasonable sum
for the costs of shutdown, delays incurred, and startup.
Right of Recission:
Note: Massachusetts law requires us to inform you that you may terming y contract with us within 3
days of signing,and have all deposits returned to you.
"te Nuttall John ( . et ' (Contractor)
Craig Nuttall -- -- --�-
5:5
MOREM BUILDERS LLC John C. Moretti
RESIDENTIAL CONSTRUCTION (978)352-5465
200 Washington Street icnioretti Ommorettibuilders.corn
Boxford,MA 01921 CSL079425/HIC 152844
q
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E3 E3
SINGLE BIDE WINDOWS
MAXIMUM SPACE 1N61DE
FEWER WINDOWS
PLAN SCHEMATIC AS OF 8/10/09
6:5