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Building Permit #762 - 24 HEWITT AVENUE 4/24/2012
Permit NO: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: MPORTANT: Applicant must complete all items on this page Iry TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ?t One family ❑ Addition 0 Two or more family. ❑ Industrial 11 Alteration No. of units: ❑ Assessory Bldg p Commercial ❑ Repair, replacement ❑ Others: ❑ Demolition ❑ Other � y t ©Sept�c'INell �'r �'F;.��. t pFloodplain Q 1(�/etands WateslledDi§tact' Q }f y ,,,y.++l'✓'� ?%" f' -" Y}-kx„c+.i •�' k'3`,�. � " i '++� r �g S --� t c �3ix i' - � '�k s � i :y'-"' wu� 1 �` � Yt rFt .{ .,;� *. s k .e.t .; �+ ;''`�,�` w fc �.. .,n R � y � DESCRIPT�nN OF WORK TO BE PREFORMED: r �- Q►,,��-:far .. " Tlenaication Ir ase Type or Print Cleariy} OWNEtt:+Name: KOC(L a l l �� Phone: 1P03 -fl ' v,0 Lin K3Q cv ion \-.Y-f t0t+ 03859 Address: a..w -z ♦ 4r t�...Tth z f*' i,..'° f z. € F' . +� w i �' s, �- d � "`#aT .Si .n Fe 0 ��t� SS,.�~'�SrY p. *. re f. s `F a -� �. v j �'^r• M1 z 7 k e: Cu®Ni�iP+OTC�R �1aie }�; �n I?hone-�> t Y J' _u .ail .. �- 'Xi ? N 1' T J'f ;x 't! .. 9xK xr'� t Ry map• sra`k y,x 4}`'x+Sa u`Ya"pe� r..,{v.,.i, sfytrs'or..nsa.trrtu- ?c-t�iao.`na'YvJ�..L.�ul'G�z eCI'.�S', e- Sp '+�t�'§" ^x' t s -�. i -.,$. ., eF �,_ �tz��, .ry +>. r p4 y-ti�Fb' v.G cpit. + 4Ccpaa si }� i �.��' .'+, � 4 t fir+ •s'^ at..S. ��+�I�'E Ra,�' �.b �'�� yt �.,., %, r �3. � r � 6. �,- � .� t � ,� , �, t �, -S,� f. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ C) �^ Check No.:Receipt No.:_!Q NOTE: Persons contracting !j#h unregistered contractors do not have access to thv!�Vr my and Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑��4. 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 ❑ COMMENTS CONSERVATION COMMENTS 0 DATE REJECTED DATE APPROVED 11 DATE REJECTED DATE APPROVED u 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/Signature & Date Driveway Permit Located at 384 Osgood Street IRDEPFAfiTMENT� Temp DtarYipstet r .„x'+ 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 Doc.Building Permit Revised 2007 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 h ❑ 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location Y ��L✓ a%�'i No. — ?6�� Check # 25222 Date l Z TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee or $ TOTAL $ 9S,—, Building Inspector N m m /mom/� VI m CA v m _v, y CD C � O 0 Z y 0. 6 � r � � o CL= CO) �C* CD ov CDCL o Q CD CD O CD C CL v y �cc, I S v CA O CD CD Z O r3* 0 CD O C CD 1+ 7 • t_ W 9� p^' =r -i C7 C• h O Q H = E ca E •c y =ami m mcia� m Z H ) �� y m o. m nod = y m 40 o �: o imm m a 0 CD ;CS ... •-i . . O O y O W O m C ?O�: c CR ac O m m N . c Qm CD Ca „Z• O 0 H H C• o C y m O -- 0 y . V) y� O en�m a CO 0 mo' 5� CD Om: N CD 1 � : O r CD: „ate • (� t7 X44\ ._-► cnr� G - Ix Plo Ix n 0� , O'G� IQ :j^• C/) �n O�- O. d p� f O IV I (1) m m m m m m m 0 c?==r w N car: CL 0 cco, 'D a 02 a CCDL C.) CAOC CD t Cr_ S*. to Era co M-0 !2. C. " CL 0 CD . C=,,r W, 0 O Co. - CD CD. -1 : -1 ca CD C.) cn,) 0 C2,- C0.4 = 02 'COO CA O 0 CL 0 CD C4, 0 CD CL co, H: CL C7 cm gym' W n) co) C, =r L: 0 cl CD C.) CD CD 0 O CD D) C3. -o 0 C. 0 (D o C/) gi 0C: A ZF" —44 C) g, A zr 7 0 rL O. (cnD cn 0 rL O CO2 CD a z CO2 '0 CD CD CL FS n) Co ca C2 CD cr CD CY\ CD 0 _. co y CD z my CA CD I. S7 CD Z oq CD CD CD 0 c?==r w N car: CL 0 cco, 'D a 02 a CCDL C.) CAOC CD t Cr_ S*. to Era co M-0 !2. C. " CL 0 CD . C=,,r W, 0 O Co. - CD CD. -1 : -1 ca CD C.) cn,) 0 C2,- C0.4 = 02 'COO CA O 0 CL 0 CD C4, 0 CD CL co, H: CL C7 cm gym' W n) co) C, =r L: 0 cl CD C.) CD CD 0 O CD D) C3. -o 0 C. 0 (D o C/) gi 0C: A ZF" C) g, A zr 7 0 rL O. (cnD cn 0 rL t7l CD ® Boise Cascade BC CALC® 3.0 Design Report - US Build 440 Double 2 x 8 SPF #2 1 span I No cantilevers 10/12 slope Floor Beamishort header Monday, April 16, 2012 File Name: BC 12054.BCC Job Name: Rock Valley Realtyl:LC Description: short header Address: 24 hewitt ave Specifier. Dan L Gelinas PE danigelinas@comcast.net City, State, Zip: North Andover, MA 01845 Designer. Gelinas Structural Engineering LLC Customer: Company: 579A North End Blvd Salisbury MA 01952-1738 Code reports: NLGA Misc: phone 978.3465.6436 [fax 978-465-5160] B0, 3-1/2" LL 415 lbs DL 430 lbs 07-09-15 Total Horizontal Product Length = 07-09-15 B1, 3-112" LL 415 lbs DL 429 lbs Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 attic Unf. Area (psf) L 00-00-00 07-09-15 106 99 01-00-00 Controls Summary Value %Allowable Duration Case Span Pos. Moment 1,466 ft -lbs 63.8% 100% 1 1 - Internal End Shear 652 lbs 33.3% 100% 1 1 -Left Total Load Defl. 0823 (0.107") 29.2% 1 1 Live Load Defl. U1,677 (0.053") 21.5% 1 1 Max Defl. 0.107" 10.7% 1 1 Span / Depth 12.2 n/a 1 % Allow % Allow Bearing Supports Dim. (L x W) Value Support Member Material BO Post 3-1/2" x 3" 845 lbs n/a 18.9% Unspecified B1 Post 3-1/2" x 3" 843 lbs n/a 18.9% Unspecified Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. note kneader not observed required is double W SPF No 2 Page 1 of 1 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALC®, BC FRAMER®, AJS-, ALLJOIST®, BC RIM BOARD-, BCI®, BOISE GLULAM-, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIMS, VERSA -STRANDS, VERSA -STUDS are trademarks of Boise Cascade, L.L.C. Q, UAWEL L. GEUNAS c0 STROCTURAL tido 33991 I �1►1 Boise Cascade \TJ � BC CALC® 3.0 Design Report - US Build 440 Double 2 x 10 SPF #2 1 span I No cantilevers 10/12 slope Floor Beamllong header Monday, April 16, 2012 File Name: BC 12054.BCC Job Name: Description: long header Address: 24 hewitt ave Specifier: Dan L Gelinas PE danlgelinas@comcast.net City, State, Zip: North Andover, MA 01845 Designer. Gelinas Structural Engineering LLC Customer: Company: 579A North End Blvd Salisbury MA 01952-1738 Code reports: NLGA Misc: phone 978.3465.6436 [fax 978-465-5160] B0, 3-1/2" LL 494 lbs DL 491 lbs B1, 3 -1/2 - LL 494 lbs DL 491 lbs Total Horizontal Product Length = 09-03-15 Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 attic Lint Area (psf) L 00-00-00 09-03-15 106 99 01-00-00 Controls Summary Value %Allowable Duration Case Span Pos. Moment 2,079 ft -lbs 60.6% 100% 1 1 - Internal End Shear 761 lbs 30.5% 100% 1 1 - Left Total Load Defl. L/1,002 (0.106") 24.0% 1 1 Live Load Defl. L/1,997 (0.053") 18.0% 1 1 Max Defl. 0.106" 10.6% 1 1 Span / Depth 11.5 n/a 1 % Allow % Allow Bearing Supports Dim. (L x W) Value Support Member Material BO Post 3-1/2" x 3" 986 lbs n/a 22.1% Unspecified B1 Post 3-1/2" x 3" 986 lbs n/a 22.1% Unspecified Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building cede -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALC®, BC FRAMER®, AJSTM-, ALLJOISTO , BC RIM BOARD-, BCI®, BOISE GLULAMTM-, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade, L.L.C. note deem is acceptable as is with minor cut into one side where sheet rock was removed observed Dain LG 444-12 DAN EL L. O STRUCTJRAL No. 33994 Page 1 of 1 6CIina5 5hdural �Nlneerinq LLC Phone 978.465.6436 Daniel L. Gelinas, P.E. Fax 978.465.5160 579A North End Blvd. Salisbury, MA 01952-1738 email danlgelinas@comcast.net April 16, 2012 Rock Valley Realty LLC PO Box 40 Newton Jct NH 03859 SUBJECT: E Product 24 Hewitt St, North Andover Ma Dear Annie: Per our request Gelinas Structural Engineering LLC (GSE) meet you on site Saturday to review the two attic headers Summary: Office analysis indicates: 1. observed long header in kitchen, 9'-4" span, double 2x10 with t/2" filler, header: a. satisfies code requirements structurally b. is adequate as is even with small cut in one side near support where sheet rock was removed c. post double 2x4 is adequate on the existing slab 2. short header in bath room was not visible, however: a. span is 7'-10" b. required by analysis is double 2x8 SPF No. 2 c. post double 2x4 is adequate on the existing slab 3. Structural criteria uses was IRC 2009 as amended by the Massachusetts Residential Code 8th Edition We believe this information is what you require to address your two header concerns, see attached, please call with any questions. Very Truly Yours, ��wijI 0=1 Daniel L. Gelinas, P.E E Product 24 Hewitt St r IVA of A41 DAN'EL L. GEUNAS 11A STRUCTURAL , No. :33994 i The Commonwealth of Massachusetts .Department 4 f 1'ndustrigl Accidents Office i (Investigations 600 Winhington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/ContractorsfFIectrieiatts/Plumbers Ap 1p "cant Information Please E'rint LeaiLbly City/state/zip: AW,1.61Aq Mb 11.13— Phone #: I TV ' ;) %0 t C _. Are you an employer? Check the appropriate box: Type of project ( required): 1. I am a employer with 4. ❑ I am a general contractor and 1 6, D New confit uctiou employees (fall and/orpart-time):" have hired the sub -contractors 1 7. Remodeling 2. (�1 am a sole proprietor or partner- listed on the attached sheet These -contractors have 8, ❑ Demolitior. ship and'haveno employees working for me in any capacity. sub workers' comp. insurance. ng s( g, D Buuildsildiridition [No workers' comp. insurance 5. F1 We aro a corporation and its 10,E] Bcal epairs or additions required.] 3111 I am a homeowner doing all work officers have exercised their right Of exemption per MGL 11. ❑ Plumbing. i epairs or additions myself. [No workers' comp, c. 152; § 1(4), and we have no 12,Q Roof ropafi s insurancerequire&] i employees. [No workers' .13.0 Other coma• insurancerequired.] — *Any applicant that checks box to musta]so fill outthe section bolow ahowi�fgtheir workers' compensation policy information. .. t Homeowners who submit this affidavitindicating they Die doing al( work and then hire outside contractors must submit a new affil st it indicating such. .. tContractars that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. p Roy information. . I am an employer Fiat is provldliig workers' compensation insurancefor my employees. Below 1s thepoh cy anti job rite Information. Insurance Company Name:. -- — Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address; City/Statelzip:_ ,Attach a copy of the workers' compensation policy declaration page (showing the policy number ani: a:xpkation date). Failure to secure coverage as required.under Section 25A of MGL o.152 can lead to the imposition of crinii nal penalties of a fine up to $1, 500.00 and/or one-year imprisonment, as welt as civil penalties in the form of a STOP. WORD: ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to ih , Office of Investigations of the DTA for insurance coverage verification. I do hereby wider — _1 /JA -_27A- ofperjury drat flte.informatioii provide7above is true c'r d correct, Official use only. Do not write in this area, to be completed by city or town official. City or Town: per # _ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. CityPAown CIerk 4. Electrical Inspector 5. Plumliiag Inspector 6. Other - Contact Person: Phone 6dina5 5hdurA �rgweriN LLC Daniel L.Gelinas, P.E. 579A North End Blvd Salisbury, MA 01952-1738 Rock Valley Realty LLC PO Box 40 Newton Jct NH 03859 Invoice Date Invoice # 4/16/2012 12054 Phone 978.465.6436 Fax 978.465.5160 P.O. No. Project danlgelinas@comcast.net 12054 Item Qty. Description Rate class Amount Structural Engineer 24 Hewitt St n Andover 450.00 Residential 450.00 STRU,- i jRAL U, 1 NO Thank you for your business. Total $450.00 Dan L.Gelinas Payments/Credits $0.00 Phone 978.465.6436 I Fax 978.465.5160 danlgelinas@comcast.net alanee Due $450.00 Vie Commonwedth of Massachusetts " Departnte`nt oflndus&WAcerdenis Office ofinvestigations 604 Washington Street Bostoi4 MA 02111 www massgov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Eleci> dzl3s/Plumbers Applicant information Please PrintLe b Name (Bussnessldrgaoixst on/IudMdnal) -- Address: 69 4 >lls+.tes,�tNy `L dry hone #•` Are you an employer? Check the appropriate box: Type of project ( required): 1.Q I am aemployerwith 4, ❑ l am ageneral contractor and I 6. ❑ New cOn:9 action employees fullandtor art -timer have hired the sub -contractors listed on the attachedshe.st 8 ?• ❑ Remodeling 2,;4.i am sole proprietor or partner? ship and'have no employees These snb-oontractors have 8. ❑ Demolition. working for me in any capacity. [No worlow, comp. insurance workers' comp. insurance. 5. ❑ We atre a corporation and its 9. ❑ Buildmg ai ldidon lo.D Electrical repairs or additions required.] officers have exercised their MOL right of exeean MOL 1l.[] Plumbing?epairs or additions 3. E]I am ahomeowner doing all work myself. [No workers comp. a 152, §1(), andvretion.per 12.❑ Proof reps cu insuranceraquirod ] t employees. [Nowrakers' 1, ❑ Ot#rer�� comp. iustnanoe:required.] othatdhteksboxirlmustatsofillouttlioseatonbclowttowieg&drwodmewmpewAHonpaticyinfonnaHon w Any applicant eawnuswho submitthis affdavitindteatingtbeyaiedotngallworkandth�hite outside coorsmustsabmH anew WdxIIkymfwoWation. ey ...._.si..,�,a,�Lehla/,n�mrzet aMac}ted anSddlHCn9l3itCCtBI}bwiC$ii3CnamC CFtbCSCi1-CCCiiaCtCTS midthekwoliCCt9'_=P•j - lam on employer that isprovifflng workers' compensation iasaraneefor myenployees: Below is the policy and job site lnfomtatlon. Insurance Company Name: Policy#! or Self ins. Lia #: Expiration Date: Job Site Address* pity/Statcaip: _ _ Attach a copy of the workers' compensation'polley declaration page (slowing the policy number an expiration date). Plailnre to secure coverage as required under Section 25A ofM(3L o.152 can lead to the imposition of criminal penalties ora fore upto $1,500.00 and/or one-year imprisonment, as well as civilpenalties in the form of a STOP! WORD ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of thisstatementnawybeforwardedtoAaOffice of Investigations of the DIA, for insurance coverage verification. I do hereby certder the pains �alties ofperJary t1:at theinfomirdionprovicIed abov % arae c on official use only. Do not write in this area, tobe eo)Vleted by city or town offrdal City or Town: PernritiLicense # __ ___ Issuingduthority (circle one): 1. Board of Health 2, Building Department 3. Cibaowu Clerk 4. Electrical inspector S. PIumblig Inspector 6. Other Cnnt�et Perrone _. _-- Phone #: 1l tslach isctts - Deparlineut tat' Public s•afetN ANVOL lfjl Board d o Buildim; Re°,:tdmiotax and Standards Cc)nsmiction SuDerlisor License . License: CS 31517 Restricted to: GJ TODD S MAYO 325 MAIN ST W NEWBURY, MA 01985 �i--- - Expiration: 5/20/2012 ('oa+r++issi+,nri Tr-#: 27576 To: Rock Valley Realty LLC, P 0 Box 40,`Newton Jct, NH 03859 Total Scope of Work Remaining 24 Hewitt Ave, North Andover MA Remove walls between kitchen and dining room, and between dining room and living room Remove existing bathroom and build two new bathrooms Remove existing kitchen Install Support Beam for Walls Removed under attic Install two new windows in front of building with Headers per code Move front door to center of building Patch and repair openings where old door and windows were placed. Insulate Plaster over existing walls throughout, with new wall in front of building Vinyl side exterior Total: $35,500 JO '01//9 A Rock Valley Realty LL 4/11/2012 i ACCRO® DATE IMM/DDIYYY'fj CERTIFICATE OF LIABILITY INSURAI'll 4/4/ M'12 THtS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 1'HE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAG i AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CFRTIFIrATF: Writ neo �r,..t. n me cerrmcate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBFjOGATION IS WAIVED, subject to terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifi:ate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rick Pinciaro `West Newbury Insurance Agency PHONE (978) 363-5285 Fax ,322 West Main Street EMAIL rale Noj: (97;)353-122s wnia@ West Newbury MA 01985 TODD MAYO 69 CONGRESS STREET 1R AMESBURY �.VERAGES ADDREss: greennet.net -� INSIJRER(S) AFFORDING COVll INSURERA:Main Street AmericA INSURER B INSURER C INSURER D INSURER E MA 01913 _ INSURER F CERTIFICATE NUMBER:CL:L24434603 REVISI(:?N NUMBER: :'.t.t116 IS IU 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 DOCUMEMT 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 R !NSR EDUCED BY PAID CLAIMS. L7ft': TYPE OF INSURANCE ADDL SUBR POLICY NUMBER PO74/04/2013 POLICY EXPMMMM/DD/YYYY GENERAL LIABILITYEACH l'' OCdX COMMERCIAL GENERAL LIABILITYPREMISE5CLAIMS-MADE �OCCUR PT1004E 04/ GEN'L AGGREGATE LIMIT POLICY n PRO - AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS lr HIRED AUTOS UMBRELLA LAB EXCESS LIAB PLIES PER: LOC SCHEDULED AUTOS NON -OWNED AUTOS OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 7` ^ ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) If yes, describe under } DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requ CERTIFICATE HOLDER CANCELLATION ROCK VALLEY REALTY LLC 1 RIDGE' RD PO BOX 40 NEWTON JUNCTION, NH ;-R..CORD 25 (2010/05) ?NS025 (201005).01 i--.:.. A LIMITS 5 e1 S MED EAP (i,ny one person) S _, PERSONfil; & ADV INJURY GENERAL. PRODUC' BODILY BODILY i EACH OCL: i AGGREGFI' i COMP/OP AGG S S SINGLE LIMIT 5 )RY (Per person; S JRY (Per accident) S DAMAGE S S RRENCE S - 5 S E.L. EACH Ff 3CIDEN1 S E.L. DISEP£jE-EA EMPLOYE SE.L. DISEA'' OLICY LIMIT S i 500.-,000 500,000 10,000 500,000 1,600,000 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBEC {'OLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, NdTICE WILL BE DELIVERED IN ACCORDANCE WITH THEI POLICY PROVI&C.NS. A (Rick Pi*ia / IC © 1988-4 The ACORD name and loan arp rpni¢fnrprf m Lr f A ACORD CORFIORATION. All rights reserved. 04/09/12 To: Rock Valley Realty L.L.C. 1 Ridge Rd. P.O. Box 40 Newton Junction, NH 03859 From: T.S.Mayo Const. 69 Congress St. Amesbury, MA 01913 RE: Continuation of Agreement dated 4/1/12 9. Provide labor to install tile in Master batty floor and shower, kid's bath floor, and kit- hen backsplash. Total Cost $1510.00 10. Install floating hardwood floor as agreed in kitchen and living room. Material and IaEi)r. Total Cost $3800.00 11. Install kitchen cabinets as per plan. Total Cost $700.00 /S.Mayo Const. f Rock Valley Realty L.L.C. 4/1/12 To: Rock Valley Realty LLC. 1 Ridge Rd. P.O. Box 40 Newton Junction, NH 03859 From: T.S. Mayo Const. 69 Congress St. 1R Amesbury, MA 01913 Re: Agreement We agree to do work at Hewitt St.,,N. Andover, MA. This agreement is based sOIely on the ! following details; ! 1. Repair 3 exterior doors and provide skirt boards. j ui mg. 3. u e. 4. ,Paj :t shPrf and..&%j la exto4ar sarfaEe� Cost of UeW5 1_A C�cnn nn 5. Provide 20 yard dumpster. Dumpster will be charged at cost plus 5%. 6. Supply and install 10 interior hollow core Masonite textured doors, 2 %" primecl":olonial trim to doors and windows, primed baseboard, 3 5/8" primed crown molding in living room and kitchen. An allowance of $96.00 is included in this category for door locks. Cost of item #5 $3895.00 7. Paint interior walls, ceilings, and trim 2 coats Cost of item #7 $4000.00 8. Payment Schedule: On Demand Rock Valley BUILDING DEPARTMENT (ommunitq Development Division April 23, 2012 RE: 24 Hewitt Street North Andover Ma 01845 Rock Valley Realty Anne Collyer 1 Ridge Road P.O. Box 40 Newton Junction NH 03859 As observed in our meeting April 17th at 24 Hewitt Street. In our multiple meetings and conversations I've expressed to you that in order to proceed with issuing additional building permits, the building department need someone with a valid Construction supervisor's license to take responsibility for the work completed without permits. To date, 80 Sheets of sheetrock were hung, the entire house was vinyl sided, and (2) full baths remodels were not permitted. Additionally, since areas were open up for inspection, other hidden violations were observed such as water piping running along the header without freeze protection and lack of double jack studs at header spans for exterior bearing walls with a greater than 48" opening. Thank you for your attention to this matter. If you have any questions, please call the office of the Building Department at 978-688-9545. Very truly yours, BUILDING FILE r--� *�`��A Brian Leathe Building Department 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9545 fox 978.686.9542 Web www.townofnorthandover.com BOILD1NG DEPARTMENT {ommunity Development Division April 23, 2012 RE: 24 Hewitt Street North Andover Ma 01845 Rock Valley Realty Anne Collyer 1 Ridge Road P.O. Box 40 Newton Junction NH 03859 As observed in our meeting April 17th at 24 Hewitt Street. In our multiple meetings and conversations I've expressed to you that in order to proceed with issuing additional building permits, the building department need someone with a valid Construction supervisor's license to take responsibility for the work completed without permits. To date, 80 Sheets of sheetrock were hung, the entire house was vinyl sided, and (2) full baths remodels were not permitted. Additionally, since areas were open up for inspection, other hidden violations were observed such as water piping running along the header without freeze protection and lack of double jack studs at header spans for exterior bearing walls with a greater than 48" opening. Thank you for your attention to this matter. If you have any questions,. please call the office of the Building Department at 978-688-9545. Very truly yours, BUILDIN'TILE Brian Leathe Building Department 1600 Osgood Street, North Andover, Massachusetts 01845 -Phone 978.688.9545 fox 978.688.9592 Web www.townolnorthandover_com 3•r b6 �,, »b 1r3 OL O ti A 9_ BUILDING DEPARTMENT (ommunity Development Division 24 Hewitt Street North Andover Ma 01845 April 17, 2012 In our multiple meetings and conversations I've expressed to you that in order to proceed with issuing additional building permits, the building department need someone with a valid Construction supervisor's license to take responsibility for the work completed without permits. To date, 80 Sheets of sheetrock were hung, the entire house was vinyl sided, and (2) full baths remodels were not permitted. Thank you for your attention to this matter. If you have any questions, please call the office of the Building Department at 978-688-9545. Very truly yours, Brian Leathe Building Department 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9545 Fax 918.688.9542 Web www.townofnorthandover.com This independent contractor agreement is entered into on this 9th day of Sept(Inber2011, between Rock Valley. Realty LLC, a Massachusetts Foreign. Limited Liability Com fan r Anne j Collyer, Manager, CUR") located at 1 Ridge Rd, P.O; Box 40, Newton Junction,1JH 03859 and Newburyport Home Improvement LLC,(NHI) for work to be performed at 24 Hewitt Ave, N Andover MA 01845 1. Agreement to Perform Work and Supply Materials: Independent Contracts: r, NHI, will perform all the work described herein and provide the necessary materials 1 ) complete said work at the above referenced worksite. All work performed and materials used shall be in conformity with the terms and descriptions provided in the section labeled 1he Scope of Work'. All services described herein are to be performed by the Independet Contractor in accordance with the most commonly accepted standards and practices of the Residential Construction Industry. I The Scope of Work The Property project's main goal is to renovate the house as described below. All detai.Ls in this proposal have been derived from conversations with Anne Collyer. Ail line items of the proposed work are listed as follows, with details on Construction I'soposal attached and incorporated herein. 2. Terms of Payment: The owner agrees to pay the Independent Contractor,(,!e following amounts at the following points of construction. The total price including laJor, materials, and permitting, exclusive of any change orders, is contracted to be $60,000, A. $10,000 upon signing two (2) originals of this contract. 13. $25,000 upon completion of patio door, demo, master access, a Rough framing of baths, rough electric, plumbing, HVAC. C. $20,000 upon completion of plaster and paint, cabinets, hardwood install'iJon and tile (Phase II). INDEPENDENT CONTRACTOR AGREE UNT A detailed scope of work with each Phase defined is attached to this contract ani made a part thereof. The Independent contractor reserves the right to collection activities if it becon :,s necessary due to'late or missed payments. Owner agrees to pay all related collection fees!, 3. Notice Regarding lien Release: As a condition precedent to the Independent Contractor's receipt of each progress payment as well the final payment, the Independent Contractor agrees to provide the Owner with Lien releases that include any subcontract)r that the Independent Contractor hired and that performed any portion of the work tieing paid. 4. Change Orders: Any extra work which is requested by the Owner shall be Iii--rformed only after original written change orders are agreed to and signed by the Owner f nd independent Contractor. A change order may increase or decrease the price, provided more or less time is needed to complete the work and/or more or less mate ial is needed to complete the job. When a Change Order increases the price of the job, 50% of the payment must accompany the signed change order and the remaining 50% will be dui! upon completion of the Change Order. From time to time the Independent Contractor may uncover work which needs to be performed in order to meet code. At no time should such work commence i= the cost will exceed $2,000 without notice to Owner in writing within 24 hours of discovery. 5. Inspections and Building Permits,* The Independent Contractor is responsi; le for all permits and respective fees imposed for work, labor, materials, and services re,4;',jired to fulfill all work described in 'The Scope of Work'. The Independent Contractor will apply for`,permits; and will stand for and be responsible for the passing of inspections. All laborers and subcontractors will be licensed or supervised by Massachusetts licensed contra( ors. 5. Insurance Certificates: Independent Contractor agrees to provide its insurar, ce certificates to the Owner naming the Owner as an additional insured for Commercial Gene, -01 Liability and Workmen's Compensation and including same for any subcontractor hired by tl*a Independent Contractor. 7. Term for Commencement and Completion: Independent Contractor will coirimence work on or before November 10, 2011 and will complete the work in its entirety on or; before pg 2 Initials/Date ,,, .% l i r INDEPENDENT CONTRACTOR AGREE RENT December 3, 2011. Independent Contractor agrees that a $250 per day penalty will be enforced for delay of the project not agreed to in writing by the owner. 8. Acts of God and Delays: In the event the completion of the work is prevented or delayed due to damage or destruction of the property by fire; accident, vandalism, eart) movements, hurricane, tornado, wind storm, labor strike, warfare, material shortages, delay 1)y any ,governmental agency in issuing any required permit or certificate or in performing inspections, the Owner agrees to waive the $250 per day penalty in paragraph 7. 9. Warranty: Upon completion of the Scope of Work and upon full payment pc r the terms stated in paragraph 2, the Independent Contractor will provide the Owner of the property a (1) year warranty on materials and workmanship that is transferrable to a new ow1ar of the property. In the event of a claim of defective workmanship, a notice of warrant+! claim must be submitted in writing to the Independent Contractor detailing the nature of the problem and must be signed by the' property owner. r In the event that work has been done by any third party, then the warranty Wil�=)e mull and void. This warranty is not assignable by the Independent Contractor. 10. Right of Promotion: The Independent Contractor reserves the right to proniote the complete project within its marketing material, on-line portfolio and/or any other medium used to promote its products and services. Owners name and address will not be dir-�,ilayed. 11. Litigation: Any disputes arising from this contract will be litigated or arbitr<ted in the State of Massachusetts, This Agreement shall be governed and construed in accordance with the laws of the State of Massachusetts. USA. i s s INDEPENDENT CONTRACTOR AGREE TENT' 12. Entire Contract: No Prior Representations: Amendments: This is the entire Independent Contractor Agreement between the Owner and tete Independent Contractor. There is no representation, past or present, by contractor or any otller person acting for the independent Contractor which does not appear herein. Neither iilrty may amend this Agreement except by mutual, written Change Order or Amendmen�` In Witness Whereof, Owner and Independent Contractor, hereby do agree to the tern's herein by affixing their true signatures below, each being duly authorized to enter into this agreo nent;. Owner: Rock;Valley Realty, LLC Independent Contractor 'y+s Signature: Ann 6flyer, Manager Scope of Work 24 Hewitt Paint Exterior, Shutters and Door I $ 1,500 II III Add Patio Door $ 1,500' Add heat;, AC $ 6,000 $ 3,000 Re do one Bath $ 3,000 $ 2,000 $ 1,000 Add Bath $ 5,000 $ 3,000 $ 1,000 HW Floors in LR, Kit, MBR $ 5,500 Electric Updates, Recessed in K $ 2,000 $ 3,000. $ 1,000 Open Walls $ 1,500 Kitchen Cabinets $ 5,500 Appliances $ 6,000 Granite $ 3,000 Paint $ 4,000 Carpentry MBR $ 500 $ 11000 Total $ 21,000 $ 23,500 $ 15,500 $ 60,000 t F Y. 4 tg I' t} t` P v v Scope of Work for 24 Hewitt Ave, North Andover Hardwood Living/Dining Room and Hall and Kitchen, Master Bedroom- Prefinished, Glued over Slab, MBR over Subfloor Take down wall between 2/3 LR and DR- Leave most of Kitchen Wall for Cabinets- close off existing entry to LR and foyer Take down wall between Kitchen and DR- will have Eat -on Peninsula from rear wall to center Remove paneling and wall paper, prepare walls for paint Add Hall behind existing Bath to Master Convert Existing Bath to Master Bath with Custom -Tiled Shower, Vanity and Commode, Tiled Floor, door to MBR Add door to Master Bath, close off existing door Change closet doors to middle small BR and front BR Remove MBR window and build walk-in closet Carpet 2 BR's, 6 Ib padding Add main bath next to existing bath, with shower/tub, 36" vanity and commode- tiled floor, fiberglass surround Kitchen appliances: Jennair Stainless DW Jennair Stainless French Door Firdge Jennair Stainless Cook -Top Jennair Stainless Microwave Hood Jennair Stainless Double Wall Oven All with 5 year Warrantees Granite Countertops as at 184 Elm- Giallo Napolean Cream all -wood cabinets with dovetail self-closing drawers- brushed nickel door knobs Recessed lights and pendant over peninsula Semiflush mounts in LR, BR's, foyer, Chandelier in Dining area, Hall Hardwired smoke detectors as needed for code Trim- Crown molding kitchen cabinets, LR/DR/Foyer/Hall and MBR All trim throughout to match cabinet color, Paint designed in beiges and other to match Granite- New HVAC — FHA from attic area down Retain existing Radiant Heat if possible and place in new bath as well. Convert bb to radiant in Master BR Updated Electrical throughout Exterior Paint Optional, exterior trim needs to be done Repairs and paint to shed as well Tie Washer to kitchen sink plumbing New HW heater- 50 gal + Install new 6 panel solid doors with brushed nickel hardware This independent contractor agreement is entered into on this _2nd_ day of _February_2012, between Rock Valley Realty LLC, a Massachusetts Foreign Limited Liability Company, Anne Collyer, Manager, ("RVR")located at 1 Ridge Rd, P.O. Box 40, Newton Junction, NH 03859andNewburyport Home Improvement LLC (NHI) for work to be performed at 24 Hewwit ave North Andover ma("Property"). 1. Agreement to Perform Work and Supply Materials: Independent Contractor, NHI, will perform all the work described herein and provide the necessary materials to complete said work at the above referenced worksite. All work performed and materials used shall be in conformity with the terms and descriptions provided in the section labeled 'The Scope of Work'. All services described herein are to be performed by the Independent Contractor in accordance with the most commonly accepted standards and practices of the Residential Construction Industry. The Scope of Work The Property project's main goal is to renovate the house as described below. All details in this proposal have been derived from conversations with Anne Collyer. All line items of the proposed work are listed as follows, with details on Construction Proposal attached and incorporated herein. 2. Terms of Payment: The owner agrees to pay the Independent Contractor the following amounts at the following points of construction. The total price including labor, materials, and permitting, exclusive of any change orders, is contracted to be $41,000. A. $10,000 upon signing two (2) originals of this contract. B. $10,OOOupon completion of rough inspections by city and lender (Phase 1) C. $S,OOOupon completion of Phase II. D. $5,000 upon total completion of Phase III, and E. $11,000 upon completion of Phase IV and final inspection signoffs and issuance of smoke certificate and certicate of occupancy. A detailed scope of work with each Phase defined is attached to this contract and made a part thereof. The Independent contractor reserves the right to collection activities if it becomes necessary due to late or missed payments. Owner agrees to pay all related collection fees. 3. Notice Regarding Lien Release: As a condition precedent to the Independent Contractor's receipt of each progress payment as well the final payment, the Independent Contractor agrees to provide the Owner with Lien releases that include any subcontractor that the Independent Contractor hired and that performed any portion of the work being paid. 4. Change Orders: Any extra work which is requested by the Owner shall be performed only after original written change orders are agreed to and signed by the Owner and Independent Contractor. A change order may increase or decrease the price, provided more or less time is needed to complete the work and/or more or less material is needed to complete the job. When a Change Order increases the price of the job, 50% of the payment must accompany the signed change order and the remaining 50% will be due upon completion of the Change Order. From time to time the Independent Contractor may uncover work that needs to be performed in order to meet code. At no time should such work commence if the cost will exceed $2,000 without notice to Owner in writing within 24 hours of discovery. 5.Inspections and Building Permits: The Independent Contractor is responsible for all permits and respective fees imposed for work, labor, materials, and services required to fulfill all work described in 'The Scope of Work'. The Independent Contractor will apply for permits, and will stand for and be responsible for the passing of inspections. All laborers and subcontractors will be licensed or supervised by Massachusetts licensed contractors. 6. Insurance Certificates: Independent Contractor agrees to provide its insurance certificates to the Owner naming the Owner as an additional insured for Commercial General Liability and Workmen's Compensation and including same for any subcontractor hired by the Independent Contractor. 7. Term for Commencement and Completion: Independent Contractor will commence work on or before February 2, 2012and will complete the work in its entirety on or before March 22, 2012. Independent Contractor agrees that a $250 per day penalty will be enforced for delay of the project not agreed to in writing by the owner. 8.Acts of God and Delays: In the event the completion of the work is prevented or delayed due to damage or destruction of the property by fire, accident, vandalism, earth movements, hurricane, tornado, wind storm, labor strike, warfare, material shortages, delay by any governmental agency in issuing any required permit or certificate or in performing inspections, the Owner agrees to waive the $250 per day penalty in paragraph 7. 9. Warranty: Upon completion of the Scope of Work and upon full payment per the terms stated in paragraph 2, the Independent Contractor will provide the Owner of the property a (1) year warranty on materials and workmanship that is transferable to a new owner of the property. In the event of a claim of defective workmanship, a notice of warranty claim must be submitted in writing to the Independent Contractor detailing the nature of the problem and must be signed by the property owner. In the event that work has been done by any third party, then the warranty will be null and void. This warranty is not assignable by the Independent Contractor. 10. Right of Promotion: The Independent Contractor reserves the right to promote the complete project within its marketing material, on-line portfolio and/or any other medium used to promote its products and services. Owners name and address will not be displayed. 11. litigation: Any disputes arising from this contract will be litigated or arbitrated in the State of Massachusetts. This Agreement shall be governed and construed in accordance with the laws of the State of Massachusetts. USA. 12. Entire Contract: No Prior Representations: Amendments: This is the entire Independent Contractor Agreement between the Owner and the Independent Contractor. There is no representation, past or present, by contractor or any other person acting for the Independent Contractor, which does not appear herein. Neither party may amend this Agreement except by mutual, written Change Order or Amendment. In Witness Whereof, Owner and Independent Contractor, hereby do agree to the terms herein by affixing their true signatures below, each being duly authorized to enter into this agreement. Owner: Rock Valley Realty, LLC Independent Contractor: Anthony Lowther Managing member Newburyport Home Improvement Services LLC re: Anne Collyer, Manager Date Signed Independent Contractor Federal Tax I.D.: 27-1967584 Cell#: '978-618-6302 Date Signed c�) - / — / Z Wiring for the future Annie Collyer Box #40 Newton jct NH 03859 Estimate AGB Electric 6 Ironwood Road Date Estimate:No: Windham, NH 03087 L12/27/2011 534 E 7719 4-8758 ol.com t Total $4,700.00 Project Hueitt street Description Qty Rate Total This estimate is for work to be completed at huitte street in north Andover. The following work to be 1 4,700.00 4,700.00E completed will include changing the service to a 200 amp, adding over head lights to all of the bedrooms, and dinning room. New wiring to accommodate new construction, smoke detectors to be installed to the requirements of the town. Replacing all of the switches and receptacles Total $4,700.00 Ron's Heating .and A/C 59 Observatory ave. Haverhill Ma. 01832 978-382-2640 Bill To: Annie Coulier Hewitt Ship To: Hewitt Estimate Number: E123 Date: January 23, 2012 PO Number Terms Sales Rep qoute Ron Comtois Date Description Price Amount Installation of one hydro air system in attic 7,500.00 7,500.00 install radiant in master bedroom 1,000.00 1,000.00 add bath and sewage ejector for laundry.— 8,800.00 8,800.00 All gas piping and permits -,G:09. S f�` kD QL_; Y 1 Total $17,300.00 F0 00 41 _v, y d C d CACD �■■� Cal Z .CA CLO �• r c > >' c d = CA 0 O CO -i CD o v CD O cr* ? - d CD Er CD O CD C CD y CD � O y CD I v CO) O -v Z CD .CS O CD O CD P 0 0 Oq V I n 0 �n C n m CN a C 0 w -*= g =r -4 c 0NO Q " N no5o•o co CO) U � C m Cl m d C =r -S N JC=L CL 0CD =r 0= m -4O O N o �y -1 E m : 'CD n Z� n. O N C9 go• O N = _ co 0•�...F CD CA C� m�: N cr CL r m Dt C =CD N _ 1 2 m� Z' 0 Z lcn O U) w n O w A tz � 7d ' O r- b w D- .O r �-x [ W OO A " O M x .>..�+� " w„- ,•-fix'='--„ � �.. .� Pn .�•.. pI'tPr 'it'ta7Y'S av SuStn¢ss Reaulatton ita•?i•v:�viENT CQNTRACTOR , s ' Registration: 165582 Tri 294059 y 312/20. i Expira.ion:: Type.. Corporation NEWBURYPORT 60ME IMPROVEMENT ANTHONY LOWTH k t1 LUNT ST - gu--- Undersecretary NEWBURYPORT @itA'ms50 _ { �1ass.tci)t��ktt+ - D i)artrr)crtt ot, vul)Eic t B,)j rd g.43ttil�iinf�iR�{�aii.ttrftnti xyttl tut)ci to cis '� c nstructidn Supervisor License License: CS 85395 i ANTHONY J LOWTHER } PO BOX 1265 NEWBURYPORT, MA 01950 . Expiration :. 12/1712012 -dr#: 9530 ('un��ni..iunca•