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Building Permit #050-15 - 245 BOXFORD STREET 10/24/2015
0ORTH AH 0�4t yE D..•'646 OCL E 1131L0ING P VER 0 N * ORTH ANppE 1NAT1 �q ORATE '< -fowl OF N PLAN X6 ASAC APIC FOR eceived Date R s p all itemsage o#: comp ermlete on� ' pit N licant must TANT: ApP Issued' IMPS Date yes no r print 100 Year`Stru�ture JOS n°,. pistnet es - LCATION print Wistonc op village . .y . pWNERDISTRICT Mach►ne SIN PROPERTYz PARGE►-: _ _ Residential Non- . MAP � _ OPOSED USE pR Industrial NIENT esidential mercial TYPE OF IMPROVE R❑one farnily family Com ❑Tw° or more 0 Others: 1 As. d p strict �New Building N°, of un Bldg pssessory 0 \Natershe Addition , 0 Alteration 0 other �letlands replacement lain O 0 Repair, . 0 Floodp TO BE PERFORMED: Dem°I►t►on 0 0 Well OF WORK 0 Septic p-S(;? T10N r f Ee- 1 0WaterlSewer` 1 e orYrint Clearly Phone• � please TyP Identification- 1 OVV NER� Name• �� l 15 1 y Address � lvir iMtk°Ikn-7, Phone Name AAV ,+ b = ate:, .. , Contractor T Date - rExp• r � Address:; se: __: _ Exp.•. on coLicen onstru SupeNisor's C Phone: �a � ement L��ense• � 1 Home lmprO� Reg• No. 125.00 s'F' NGINEER COST BASED ON$ ARCHITECTIE STIMATED 1000.00 OF THE TOTAL E Address• G PERMIT:$ 12.00 PER$ FEE: L)LE:BOLDIN t No.: uarantyfnn FEE SCHED Receip to the g I role�t Cost: $ have access tai P contractors do not h � T° istered ith nnyeg® .. n raft° N° contra ting ��-°-- ' tore Check Sig NOTE: persons - ..��----,.� - ��`"nature 0f A9�- Location No. Q S / Date v . - TOWN OF NORTH ANDOVER f- w • Certificate of Occupancy $ Building/Frame Permit Fee $ .. Foundation Permit Fee $ Other Permit Fee TOTAL " $ Check#28176 /Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments b- Water & Sewer Connection/Signature& 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: Totals square feet of floor area, basted on Exterior dimensions. q 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.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 r. The follow;n BUIL 9 is a list of the required fo ding department � Roofing, Siding, rms tO be lute filled out for the ppro per r: rior Rehabilitationappropriate priate ° Building permi mit to be obtained• l g Per is o Porkers Comp q ppI kation Photo Copy o Copy of Con f H.I.C. 'And/Or 'VOTE: ❑ Engineering r Plan Or Pro o CSL. Licenses All du Affid Posd Interior Work mpster per avits or A Perm require sign � Addition Or pecks gn off fro products m Fire pepartme ° Building p nt prior to issuance o ° Certifie errnit Applic f Bldg Permit d S atio o Workers C rn eyed Plot plan ❑ Photo Cop o p Affid r Copy Of Co f H.I.C.qnd / ° loor/Cross Seact CSL Licenses Hydraulic ctlon/Eley o Mass check l ulations (If gion plan Of pro ergy NOTE All durmglneering'Affidavits COm lippl icable) posed work With Aster per av�ts p ance Re Sprinkler j N Permits require sir Engine Report (IfApplica plan And C sign ° from d products ble) 1 New construction m Fire De (Single and Two partment prior to ❑ Building Permit Family) issuance of Bld Certified p Applicatio g Permit ❑ Photo °t0 °f H.1.C ed Plot Plan ❑ Workers Corn And C.S L L. Tw p Affidavit Icenses Hydraulic is Of Building Plans o Copy o f Contract alculations (1 f (Ane To Be ❑ Mass checAppergy licable) Returned) to Incl i NATE: All dumps te Bring Affidav Com nce Include Sprinkler plan r permits Its for En Report And In haall cases ifa pari 'quire sign off Pro du du ce must b Sub Bal Period is or Over-special mit ff from Fire pepacts mutedper was re with the ildhe as required t rtment prior to issuance ng application PAlic most then get t°�'n Clerks o DOC.Bu;Id n ati in his recorded Office must sta gPerznit d at the'Regis the nce of Bldg. Permit Revised 2014 Registry of Deeds clone cooin the py °AY and roof of Appeals of recording i r =.BEE McKsnz'r'� , October 7, 2014 Homeowner Information Contractor Information The Contractor agrees to do the following work for the Homeowner: Name Carol Rogers William McKenzie Street-Address---do_not-_use-a--P-.0,Box -Contr-actor-/-Sales r-son/Owner-_-Name 245 Boxford Street 34 Harbor Street Daytime Phone/Evening Phone Business Phone 617 691-4448 978 762-3959 Mailing Address (It different from above Scope of work: 20 x 20'6" addition with farmer's porch • To include: • Remove existing chimney • Remove existing floor system on addition • Remove existing siding on gable end and store for patching back end • Frame addition with farmer's porch approximately 6'x 20' • Excavate and install footings for farmers porch • Supply and install an all-joist floor system with rim-board • Install Advantech plywood, glued and nailed to system • Exterior walls 2x6 16" on center with 1/2" cdx plywood • Roof will be framed with engineered scissor trusses with 5/8"cdx plywood, nailed and clip supported • Roofing will be a Certainteed 30 year architectural roof shingle over Ice &Water protection on all rakes and fascias Strip-ip_existing_house and reroof with same roofing Furnish and install 3 Harvey classic windows with grilles between the glass Reuse 1 existing window • Furnish and install Harvey classic transom window 74"L x 18"H Furnish and install an Andersen 8'x 6'8" patio door with screen • Siding to match existing on house • Rake, soffits, and frieze board to match existing • Gutters on addition Farmers porch decking will be 5/4"x 6 Azek PVC decking Hand rail and ballusters will be Azek trademark system • Insulate addition to today's codes Walls and ceilings in new room will be 1/2" blueboard with skim-coat plaster • Blueboard over existing 1st floor ceilings with 3/8" blueboard with skim-coat plaster • Interior trim-doors, windows and baseboard will match existing • Install 2 1/2"crown moulding in existing 1st floor • Install 2 round tapered poly-fiberglass columns (locations to be discussed) • All trash generated will be removed • Owner is responsible for: • All painting-interior and exterior • All electrical • All plumbing • All heating • Plans and any enviromental requirements Required Permits-The following building permits are required: plumbing,electrical,building (Owners who secure.their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of:$75,000.00 Payments will be made according to the following schedule:As per inspections $10,000.00 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) Payments to be discussed since you are also contracting with others (Law forbids demanding full payment until contract is completed to both party's satisfaction) NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. •Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. •Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170, Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. or for his information so that you can confirm Ask .Does the contractor have insuuranc f a proof of insurance'document- side company et a copy of the coverage,or ask to see a copy �Know your rights and responsibilities.Read the Important Information on the reverse side of this form ang Provided you lace of business,p y Consumer Guide to the Home Improvement Contractor Law. ordinary mail posted,by telegram sent or by delivery, You may cancel this agreement if it has been signed at a place other than the contractor's normal p following the signing of this agreement.See the attached notice of cancellation notify the contractor in writing at his/her main office or branch office by not later than midnight of the third business day form for an explanation of this right. 111 DO NOUl,e mel.od.iiie; ift other T SIGN THIS CONTRACT IF THERE ARE ANY BLANeK SPAopy should C kept ESyeeonttactor. Two identical copies of the contract must be completed and signed.One PY 4,11 1 Contr=n- Date Homeowner's Signature I v Date Contractor Arbitration Home Improvement Contractor Law provides homeowners i a contrataro Theist e right se an not theri The Hom p dispute of she action(as an alternative to court action)if they have a dispute the o tional clause provided below.This automatically afforded to a contractor,however.The contractor p uld have to resolve any e has with a homeowner m court unless both parte would give the contractor the same right to arbitrationadthe homeowner hereby mutually agree in clause Home Improvement Contractor Law.The contractor an of the Executive Office the advance that in the event the contractor has a dispute concerni ed b i the Secre�tarY contractor may submit the dispute to a private arbitration firm which has been approved y Affairs and Business Regulation and the consumer142Abe required to submit to such of Consumer 6�V/c hantearbitration as provided In Massachusetts General L ) --COntraetOr!S-S gnature Homeowner's Signature • he signatures of the parties above apply only to the agreement of the parties to alternative NOTICE.T s� resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution dispute resol the arties. even where this section is not separately signed by p Homeowner's Rights improvement Contractor Law(MGL chapter 142A)and went. er A homeowner's rights under the Home Imp may not be waived in any way,even by agr consumer protection laws(i.e.MGL chapter 93A) y the c ontractorthey choose permits are automatically er homeowners may be excluded from certain rights ifowners who secure own building p is not properly However, registered as prescribed by law.Homeprovisions of the Home Improvement Contractor Law.The contractor is _ excluded from all Guaranty Fund p provides an express warranty responsible for completing the work as described,in a timely and workmanlike manner.Homeowner resp g rights guarantees or p may be entitled to other specific legal ri is if the or warranties provided by the contractor, all for workmanship or materials.In addition to guarranty of merchantability and fitness for a particular goods sold in Massachusetts carry an impner and rights'If purposo not e.An enumeration of other matters on which the he mict a homeowner's basic co lsumer righay e added tothetions about your con sumer/homeowner rights,conts of the contract as long as they d act the Consumer Information Hotline have ques (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties deleted lo�not applicable.Oadvised not to nethe origmal signed ent until opy of the sections have been filled in or marked as void, P contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: hqp ///db statstate ma us/homeimprovement/licenseelist.as For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION,YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE - TO=RETURN=THE-GOOD-S-TO-THE-SELL-,ER AND�FAIL-TOzDG SO THEINYOUREMAIN— LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO THE MCKENZIE GROUP,AT 7 OAKLAND ROAD,DANVERS,MA 01923 NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: i CJ/r"ers�rr�,rararae�rll/r..� �? aacrc%cra�lli License or registration valid for individul use only Office of Consumer Affairs&Business Regulation bi:fore the expiration d " ate. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: =;.144018 Type: 10.Park Plaza-Suite 5170 — Expiration:= 8%27/r2aa6 DEA i Boston,MA 02116 THE MCKENZIE GROI/P�Ft WILLIAM MCKENZIE `!ri 34 HARBOR STREET DANVERS,MA 01923 Undersecretary Not valid without signature t Msssactu►setts:Department of i'ublic Safety Board of Building Regulations and Standards I Construction Supervisor License: CS-030038 W II.LIAM D MCI&NZIE_ 'r 34 HARBOR STREET r. Danvers MA 01923 1 E�piration .� Commissioner-' 10/16/2015 ACORO CERTIFICATE OF LIABILITY INSURANCEF10/14/2014 DATE(MM/DD/YYYY) `..•� 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ME T Christopher Kennedy Farquhar & Black Insurance Agency, Inc. PHONE (781)599-2200 FAX (AIC.Nok(781)581-3940 85 Exchange Street - Suite 101 ADDRIAIC ADDRESS. FandBInsurance.Com INSURER(S) AFFORDING COVERAGE NAIC 0 Lynn MA 01901-1475 INSURERA:Safety Insurance 39454 INSURED INSURER BQuincy Mutual Fire Ins. Co. 15067 The McKenzie Group, DBA: William McKenzie INSURER C lied Underwriters 28258 34 Harbor Street INSURER D: INSURER E: Danvers MA 01923 INSURER F: COVERAGES CERTIFICATE NUMBER-Carol Rogers 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. IL1R TYPE OF INSURANCE POLICY NUMBER PO DDPM I EFF M /DY EXP RLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTS15-- X COMMERCIAL GENERAL LIABILITY PREMISES Me occu encs $ 100,000 A CLAIMS-MADE Fx1 OCCUR BMA0019412 6/2/2014 /2/2015 MED EXP(Any one person) $ 10,000 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 ED SINGLE LIMIT ccident) $ 1 000 000 _t B ANY AUTO BODILY INJURY(Per person) $ ALL OWNEO X SCHEDULED kMO6058 2/20/2013 2/20/2014 BODILY INJURY(Per accident) $ AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION XT WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N I TORY LIMITS fil- ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? F-1 NIA 6-842232'01-04 /30/2014 /30/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Carol Rogers ACCORDANCE WITH THE POLICY PROVISIONS. 245 Boston Street Boxford, MA 01983 AUTHORIZED REPRESENTATIVE bilarian Cruz ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r9Mnnsi m Tho arrion name and Innn aro ronic4orod mar4a of A('f1Pn /