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Building Permit #185-11 - 258 BRIDGES LANE 9/2/2010
BUILDING PERMIT of t10RTh quo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ° t � r Permit NO: Date Received �.y q°gwreo SSACHUS� Date Issued: — 2—, t IMPORTANT:Applicant must complete all items on this page LOCATION ! e- Print PROPERTY OWNER { Vl Print MAP NO: Q PARCEL: ZONING DISTRICT: Historic District yes no _ Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addi ' Two or more family Industrial Iteratio No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 0413 Ste_ size__ `�-G�G /�0 -17-P;R�J T nwT C k4 n4-pl Identification Please Type or Print C1earl ) OWNER: Name: k� lc 14- to ay), hone: : & Address: CONTRACTOR Name:. t ll M1Prhone: Address X 11 e rk-1O Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ -C�.� FEE: $ 4-5`Z Check No.: 5� Receipt No.: -2— � -- NOTE: Persons contracting with unregistered c tractors do not have access to the guaranty fund o Signature of Agentwn/Oer Signature of contracto Plans Submitted Plans Waived Certified Plot Plan Stamped Plans T EWERAGE DISPOSAL Pu�Sewe 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 CONSERVATION Reviewed on A& I la �O Si natureIN I COMMENTS 0 vJ a � HEALTH Reviewed on Signature e COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i i Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street EIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Location 2� -�d res Ir, -� No. � Date NORTIy TOWN OF NORTH ANDOVER 3?O��*`,o •,h00 f R D Certificate of Occupancy $ CMUsE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .233 l Building Inspector '2114/ ,141j,�C(c- IODoClltle)A/ DuDfifAPPLE IXJU R E N O V A T I O N S Red Apple Renovations DECK STRUCTURE ADDENDUM Project: Deck and Sunroom Renovation - - 1 - Maureen Magauran and Patrick Hanks , Location: 258 Bridges Lane ''' . �'f North Andover, MA 01845 TOWN A t�OfTt�AtdgAvE3Ft Date: October 7, 2010 REALTH DEPAI�TM NT Subject: Deck Structure Details: The following work will be done: • Deck to be built per dimensional specifications dated October 5, 2010 provided by Lisa Bailey of Bayleaf Studio and attached as Exhibit A. Please see drawings revised by Red Apple Renovations dated d October 7, 2010 applying Exhibit A [attached as Exhibit B]. • Six new footings will be excavated and poured to support a new deck [see details below]. • A 500 Square Foot [approximate] deck will be framed using#2 or better SYP Pressure Treated Lumber. The materials that will be used are as follows: • 3 "Big Foot" Concrete 12" Tube Footings $650 each $1950 • 3 Concrete 12" Footings $500 each 1500 Additional Cost $3450 Note:This is a portion of the remainder of the original footing extras. To date you have paid $2000 for additional footings. New 2 x 10 Pressure Treated Deck Framing with 24' S%" x 14" Paralam PSL Beam • 3/4" crushed stone 12" deep under beam • All Fasteners, hangers, bolts, lags, etc. • 500.Sauare Feet of IPE 1 x 4 decking and hidden fasteners • �4' x 4' Deck Panels in ,,parquet pattern. Patten to be approved by homeowner. Additional cost $16,000 NOTE: If composite decking materials is used with colored screws,the additional cost would be $13,000. Total Additional Total Cost: $19,450 Payment Schedule Due at Signing $6,400 Framing Complete $6,400 Final Payment $6,650 This contract addendum will be performed under the rights and obligations of the master contract between Red Apple Renovations and Maureen Magauran and Patrick Hanks dated August 18, 2010. All rights, obligations and warranties in the master contract apply to this addendum. Contractor //' `"c Date Owner Date Cb o 00 f/0 v ie s 1 x Gem r C� Fide rl*es �ec� dr 2�+ cedar avn rail Y9 11 =11-,elf yad / o �J/ CA 5,l2 !, a„ .. t7 7-Ir-MINI L4 tt� it f r r W L t l W Y, . lz �� (71 - a 019 28'-3" — — c 1 \\ z 1 14'-5 3/4" 3'-9 1)�" T-0„ i 1 \ x 5 1/4•x 14" valla PSL rim-joist this edge ig.Foo"footing \ D utile 2x1 Big-fy01 tooting DMble 2x10 O � � Solid bridging Triple 2x10 'rt V / b \ Z I Existing Deck � New footi s to code: locations as shown c g \\ Double 2x10 O Double2xl J o �OIStS: X10'S 16"O.C. \\ O m Dou a 2x10 joists at pergola post locations (see deck�plan) Deck Perimeter U_ 'Big-Fo Jt"footing \ I \ LO 00 C _00 Lv 10'-0" CO O I � � C 1 CU� J > I EC 0 I 12'-4" Existing SUnrOOm 1 _ (V � �� { < 1 i U m A-- =3 0 Co Q_ N Z j 2x10 ribbon lagged to exist'g with 3/6 x 4 1/2 galv.lags 16"OC. - - — 1 - - - - - - - - - - - - - - - - - - - - 2 rr � � � a A r lo d N O�t0 C cn � c� CL F N W 4'-0"— —T-5"— ---T-8 1/2"—� 19'-0 1/2' m —F x 13 o o A N la 1 1 1 1 I I i 1 I I I 1 11 1 I I I I I 1 1 I 1 i 1 1 1 r 1 1 I 1 1 1 1 I I I 1 1 1 I I I \ I 1 1 1 1 I 1 I I I 1 I I I ti Iv 1 1 I 1 I 1 1 I 1 I I I I 11 I I I 11 I I 1 1 I 1 i I I i I I I 1 11 I I 1 I 1 1 I I I 1 I I 1 1 I 1 1 I I 1 1 1 I 1 1 1 1 1 4 i-0,1 1 1 1 I E � OD CL m W n � vl 11 11 / -----------------�-__ . ' ----------------- A / a ----------------- 0 Cn ---- / TI CD ---------------- A / (D 4 i----------� ----- ---- W I 1 � / i / N 11 / 11 II / II 12'-0,1 —T-011 5,- 11 m X. to � co S awn By:SS n"DO,A.PPLE Scale: Maureen Magauran and DECK PLAN (with 3/16"=1' W R F. N O V A T ! n N S -0" � 3116"-V Patrick Hanks pergola post locations) i 258 Bridges Lane — 97-8-409-.1293 North Andover, MA 01845 .a, `�. ..\' .tea�,altff�`�q�.:•-�\�� }. �i ' i-^.. � . a Vi + 437 -:. i a , , .. T•\f-.i R .lam � ' V .5.. Lw 19 00 W I �• r `� ��( r`` `,kyr. '. �..�•-= �_�. . R tw r + F X- R � - '' .- .nom-�"... e, ._ � 1 • • 1 1 J,r n .• r I.., '� _;..�+. t �.`� F�1 Location of steps to yard TBD by \ owner on site i i \ � CrOcQ Q --------------- ----------------- \ _ \ z Remove:existing decking and railings.Assess frame \ damage.Repair frame(and footings)as needed. \ New decking(TBD)installed with[X]fasterers. Decking type TBD.New railings,type TBD(cable rail and posts shown). \ I \ 18'-6 1/2" \ i S650RS 6068 5650RS \ 0 r - - - - - - - - - - - - - o --- ---------------------------- J LL i I RE-USE EXISTING KITCHEN SLIDER i New Velux skylight to match existing to i as closely as possible in size,type c _ o and hardware Symmetrically spaced c00 Existing skylight to remain.New paint- with existing o Remove existing windows/doors, r grade trim after new GWB ceiling [ install new(see window spec).New O installation O paint grade trim interior and exterior. C Q Align opening with existing paving i i I I (Lf C (unless the landscape architect Demolish existing plywood ceiling. EQ. I EQ. V. ne� ow sill walls with MINIMUM G has changed the paving) New Electrical(TBD),New MINIMUM I lation:recommend (Z (Z i R-30 insulation:recommend R-30 i n u type insulation for I type insulation for � N J () R-value.GWB and paint (Z `1 maximum R-value.New GWB. Remove:all existing"interior"siding U) grade interior trim.New exterior siding O Q i o and trim.Remove existing and trim to match existing.Trim to (Z 7C3n floorboards:assess frame damage. include water-table board and _ Q aluminum flashing,bituthene(ice& Repair frame as needed.New floor sheathing(TBD),new finish flooring water shield)backer. V m (TBD) 2'-2" i 4- i — — — — — — — — 00 CCCZ (jj Ln O Remove(relocate)existing slider. install new fixed frosted/etched glass G 0' N Z New interior paint-grade trim at framed panel in existing window opening. existing opening "Picture-frame"mitered trim both sides,no NOTE.all dimensions shown from as- sill or apron.NOTE:a decorative panel may be selected.NOTE(2):1/2 bath may built measurements taken by Kate need new mechanical ventilation(exhaust fan)when window becomes a fixed panel. Jessup. Windows sized on-site by a Pella Window representative. Skylight size and location approximate. U o O to i+) rn -Wlz - - 04 c oc � aC�l Ac � z W w Aw/ a H=�H EEHZ Existing skylight to remain. New matching skylight on U.1 opposite side.New paint- J grade trim after new GWB LU ceiling installation New window sill walls with MINIMUM d'' F1 sulation:recommend "lc ne e"type insulation for C m ximum R-value.GWB and paint grade interior trim.New exterior sidingCz Q and trim to match existing.Trim to (D include water-table board and C aluminum flashing,bituthene(ice& � v) J water shield)backer. cz � N > O O O Q N U m 3 00 i CIJ N d Z 3 PLEASE SEE ALL NOTES NEXT PAGE Co Co m - �` N 3 � r-LI " � z A4 a A c � z x Demolish existing plywood ceiling. Ne ctrical D), New MINIMUM R-30 insulation:recomme "'Icenene" a Remove:all existing"interior"siding insulation for maximum R-value. Ne B. and trim. Remove existing floorboards:assess frame damage. Repair frame as needed. New floor sheathing (TBD), new finish flooring (TBD) Z O 1 Remove existing windows/doors, W install new(see window spec). Existing skylight to remain. New matching New paint grade trim interior and U) skylight on opposite side. New paint-grade exterior. trim after new GWB ceiling installation LO _0 00 T Remove:existing decking and NOTE:window sill height to be N O railings.Assess frame damage. I determined by the new header C Q Repair frame(and footings)as height. Headers to be installed as � needed.New decking(TBD)installed high as possible relative to the M C with[X]fasterers.Decking type TBD. existing roof structure. Cz CZ New railings,type TBD(cable rail and N J > posts shown). New HVAC TBD N N C: C: window sill walls with MINIMUM CD Y 3 insulation:recommend Co Ice ene"type insulation forLC)ctf p maximum R-value.GWB and paint 0.. N Z grade interior trim. New exterior siding_ and trim to match existing.Trim to _ include water-table board and /� aluminum flashing,bituthene(ice& 4 water shield) backer. U � o m � t6 5 t/1 a5 rn t/7 AA�• z �i NOTE:exterior outlets and/or switches TBD / \ A' z A I / I Receptacles to be centered 12"A.F.F. I ( I I C'7 I I I I ELECTRICAL FIXTURE KEY J =0 I Exterior wall sconce TBD by I — L — — — — j _ owner U I- N LLI W 4"recessed ceiling light, housing I I I I for sloped ceiling \ I I I I I (D Interior decorative pendant light U') :' I \\ I I I I I TBD by owner -p 00 C I - I I I I I cd - 4'-0" —�I I� I ti- 4'-0" - O Q 91 Cz 17 c - - - -7'-0"- - - -:� rE - - - -71-0"- - - Cz CZ Ll - I I I I CZ Y N > I I cz N -0 - - - - - - - - - - - - -18'-61/2---- - - - - - - - - - - - � c = � � Y U m c i 00CZ 0i a- N Z 5 � o T - O m II �U� �(nM Of �1 10 Mane Assigned � c frnpervie, Sliding Window Fixed l Vent, 59.5 X 59.5, White 1:6060 Fixed P Vent Sliding Window b e Frame Size:59 112 X 59 112 General Information: Standard,Duracast, Block Frame, Foam Insulated o 01 n Exterior Color!Finish:'White lnterior Calor 1 Finish:White Interior z Glass:lnsuWed Low E Advanced Argon Gas w Viewed From E,tterior Hardware Options:Color Matched a Rough Opening: 60"X 6l}! Screen: Half Screen,Conventional Fiberglass p g' Grille: Wrapping Information: Standard Fin,Perimeter Length=238", Glazing Pressure=45. _ U Q Line# Location:: Attributes LU X 15 None Assigned Impervia, Sliding Window Fixed /Vent, 71.5 X 59.5, White 1:7260 Fixed 1 Vent Sliding Window O 4� Frame Size:71 112 X 59 112 Z General Information: Standard,Duracast; Block Frame, Foam Insulated Exterior Color 1 W Finish: hite Interior Color 1 Finish:White Interior LO Glass:Insulated Low E Advanced Argon Gas Viewed From Exterior Hardware Options Color Matched 00 Rough Opening: 72"X 6T Screen:Half Screen,Conventional Fiberglass N O Grille: Wrappings Information:Standard Fin, Perimeter Length=262", Glazing Pressure=60. � c Line# Location: Attributes � J L. Cn za None Assigned Impervia, Sliding Window Fixed 1 Vent, 55.5 X 59.5, White � � a -0 c = -0 c � Y � Q 1:Non-Standard Size Fixed 1 Vent Sliding Window .0 Co Frame Size:65 112 X 59 1120 Co General Information: Standard, Duracast,Block Frame;, Foam Insulated 0N Z Exterior Color 1 Finish:White Interior Color 1 Finish: White Interior tob Glass:Insulated Low E Advanced Argon Gas 6 Viewed From Exterior Hardware Options: Color Matched Rough Opening: 66"X 6T Screen: Half Screen,Conventional Fiberglass Grille; Wrapping Information: Standard Fin, Perimeter Length=250",Glazing Pressure=60. U) C o a o m N �(n Nf O .. r iNt 4 1 a 141 L , i S Tp Yl i I C( e M a ' 1 3 a A I � 5 �w Drawn By:SS R.EDAPPLE Scale: Maureen Magauran and 3"6"=''-°" y Patrick Hanks RENDERING R E N o v A T l 0 N s 99/l/2010 258 Bridges Lane 978,409,1293 North Andover, MA 01845 i i 1 n CD C M 6 N CD f CL O 3 O � N , _ iC (D 0 s hL D n •� .47 R ti Drawn By:SS X �-{� APPT E �;se=�,0• Maureen Magauran and j�.�J j� Patrick Hanks CABLE RAIL R E N O V A T I O N S 9"2010 258 Bridges Lane 978,409,1293 North Andover, MA 01845 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— (For department use i I i ❑ Notified for pickup - Date Doc.Building Pernut Revised 2008 w i it r RED9APPLE R E N O V A T I O N S Construction Contract This construction contract (the "Contract"), dated August 18, 2010 is by and between the following homeowner(s) and contractor: Homeowner(s): Maureen Magauran & Patrick Hanks Property address 258 Bridges Lane City, State, Zip North Andover, MA 01845 Contractor: Red Apple Renovations, Inc. Representative: Chris Matey, President Street 206 Andover Street, Unit 10 Andover, MA 01810 Telephone 978.409.1293 Federal Identification Number: 56-2309042 Massachusetts License Numbers: Construction Supervisor CS 083511 Home Improvement 138132 1. GENERAL In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: furnish all labor, materials, tools, equipment, and supervision to construct or renovate the Homeowner's residence according to this Contract and the following documents (collectively with this Contract, the "Contract Documents"). The project is generally described as Remodel the Sunroom and Deck (the "Project"). The Contract consists of this document, Exhibit I - General Conditions, and Exhibit II - the Project. Change orders and modifications shall be in writing and shall become part of this Contract. 2. PRICE The total projected price for the work agreed upon is $45,975. Payment terms are set out below in Paragraph 6. 3. STARTING AND SUBSTANTIAL COMP ETION PROVISIONS The work will begin on r abouti �-� The work will be substantially completed on or about 11 13` - 11130' 4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This Contract will be completed by the Contractor in a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed in the Contract Details Section. Red Apple Renovations Page 1 S. EXPIRATION OF THIS CONTRACT This Contract will expire thirty (30) days after the date first written above if not accepted in writing by Homeowner and returned to Contractor within that time. 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract is of the essence to this Contract. The parties agree to the following schedule of payments: 1. Initial payment: $15,275 (due at time of Contract signing). 2. Progress payments: The Homeowner will be billed weekly for the milestones substantially completed through the end of that week. The deposit paid by the Homeowner will be applied to the final invoice. Deck and Railing Removal Complete 2,500 New Decking Installed 4,000 New Railings Installed 4,500 Sunroom Walls Framed 4,000 Sunroom Windows Installed 5,000 Sunroom Insulation Installed 3,000 Sunroom Drywall Complete 2,500 Sunroom Flooring Complete 2,700 Sunroom Paint &Trim Complete 2,500 The Contractor shall provide the Homeowner with his own waiver or cumulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations if the Homeowner as required herein does not make any progress payment, and proceed to collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts governing contracts and mechanics' liens, and acknowledge the right of the Contractor to place a lien or security interest on the property of the Homeowner. IN WITNESS WHEREOF, we have hereunto set our hands and seals this F," ' day of 4.4 _, 20 1 0 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Homeowners Contractor Homeowner(s) The Homeowner may cancel this Contract if it has been signed by the Homeowner at a place other than the office of the Contractor, provided that the Homeowner notifies the Contractor in writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later than the midnight of the third business day following the signing of the Contract. See attached Notice of Cancellation for further explanation of this right. Red Apple Renovations Page 2 I EXHIBIT I GENERAL CONDITIONS These General Conditions are part of the Contract between Maureen Magauran and Patrick Hanks ("Homeowner") and Red Apple Renovations, Inc. ("Contractor") for work at 258 Bridges Lane, North Andover, MA 01845 dated August 18, 2010 1. CONTRACTOR'S DUTIES — GENERAL a. To direct and control the work contracted for in accordance with the terms of this Contract and all applicable codes, laws, and regulations, and as the building permits, if any, issued for this project require. b. To inspect the site, examine the plans and specifications, if any, and supervise all of Contractor's employees, and to direct the work of all subcontractors selected by Contractor. c. To maintain the work site in a safe and clean condition, to the extent consistent with the Contract. The worksite will be left in a broom clean condition. d. To advise the Homeowner promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this agreement. 2. HOMEOWNER'S DUTIES — GENERAL a. To provide adequate utilities for the work agreed upon. b. To advise the Contractor of any condition of the property which affects Contractor's ability to perform. c. To provide secure storage areas for materials delivered to the work site. d. To execute in a timely manner all permit applications and other documents necessary for the work to proceed. e. To perform no work on the project without a written agreement with the Contractor. f. To avoid interfering with workers. g. To make no agreements with any tradesperson, subcontractor, or Contractor's employee outside the scope of this Contract without the written consent of the Contractor. h. Homeowner shall notify his insurance agent of the execution of this Contract and obtain any necessary Riders to his current coverage or any locally customary forms of coverage. 3. DELAY Contractor shall not be responsible for delays caused by events beyond the control of the Contractor, including but not limited to: strikes, war, acts of God, riots, governmental regulations and restrictions. Delays caused by Homeowner's failure to make allowance materials' selections or caused by the performance by Contractor of additional or necessary work shall likewise be excusable delays. i Ii Red Apple Renovations Page 3 i II 4. PERMITS The contract will obtain the following permits: Town of North Andover Building Department It is the obligation of the Contractor to secure such permits as the Homeowner's agent. 9 P 9 Note: if the Homeowner secures its own permits or deals with unregistered contractors, the Homeowner is excluded from the Guaranty Fund provisions of MGL c. 142A. S. INSURANCE Contractor agrees to maintain all necessary forms of insurance to protect the Homeowner from liability for any occurrence arising from the performance of this Contract. Contractor agrees that he shall cover his own employees for worker's compensation and carry general liability, and that all forms of insurance carried hereunder shall be with reputable companies licensed to do business in this state. Homeowner agrees to carry full coverage on the subject property covering Homeowner's risk of loss during the construction period, together with all special forms required by reason of the performance of this Contract. 6. HIDDEN, CONCEALED and UNFORESEEABLE CONDITIONS The parties agree that in the event Contractor discovers a condition requiring an extra cost that they shall proceed as follows: The Contractor shall notify the Homeowner verbally at once to expedite agreement as to the charge to correct or cure such condition, and provide a written estimate as soon as practicable. The parties must agree to such extra charges, or agree to a resolution method, or this Contract may be canceled by either of them. For purposes of this section, a "hidden, concealed and unforeseeable condition" shall mean a condition not readily observable to a prudent contractor inspecting the subject property for the purpose of performing this Contract. 7. ADDITIONAL WORK Any additional work or materials desired by the Homeowner shall be agreed upon in writing and such extras shall become a part of this Contract. Unless otherwise agreed, any additional work shall be paid for as performed. Failure of the Homeowner to sign a change order shall not preclude recovery for same by Contractor, and acceptance of said additional work or materials shall be presumed, unless there is written notice to the contrary. Contractor shall advise Homeowner at the time of agreement on any additional work as to any additional time required to perform this Contract. S. TERMINATION and CANCELLATION Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor in accordance with the payment schedule set forth above, or if Homeowner repeatedly fails or refuses to furnish Contractor with access to the job site or product selections or information necessary for the advancement of the work. Simultaneous with stopping work on the project, Contractor shall give Homeowner written notice of the nature of Homeowner's default. If work is stopped due to any of the above reasons (or for any other material breach of Contract by Homeowner) for a period of seven (7) days after notice, and the Homeowner has failed to cure the default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Contract to Homeowner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, Red Apple Renovations Page 4 including the balance of the Contract. Thereafter, Contractor is relieved from all other contractual duties. Upon such termination, the Contractor shall have all remedies provided by law, including such lien rights as then apply. The Homeowner may terminate this Contract upon the following conditions: a. Any other failure to perform this Contract required by the terms of this Contract. c. No termination shall be effective unless 10 days notice of Homeowner's intent are given as provided below, during which time the default may be cured by the Contractor. 9. DISPUTE RESOLUTION AND ATTORNEYS' FEES a. Disputg-Resolution. The Contractor and the Homeowner hereby mutually agree in advance that:_'�the event that the Contractor has a dispute concerning this contract, the Contractor m submit such dispute to a private arbitration serv�hich has been approved by theffice of Consumer Affairs and B iaess"Kegulation and the consumer shall be require o submit to such ation as provided in M.G.L. c. 142A. Contractor: Ci Homeowner Hort1 canerr: �v MOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not signed separately by the parties. b. Small Claims Court. Any controversy or claim arising out of or related to this Contract involving an amount of less than $2,500.00 (or the maximum limit of the court) must be heard in the Small Claims Division of the District Court in Essex County. c. Attorneys' Fees. In the event of any litigation between the parties relating to this Contract, the party against whom any adverse final judgment is entered (as specifically determined by the Court), following the expiration or exhaustion of all appeals, shall reimburse the other party for such party's costs and expenses (including, without limitation, all reasonable attorneys' fees, expenses and disbursements) of such litigation. d. Inquiries Regarding Contractor. All home improvement contractors and subcontractors shall be registered and that any inquiries regarding a contractor or subcontractor relating to a registration should be directed to: Registration Division, Program Coordinator One Ashburton Place, Room 1301 Boston, MA 02108 Tel: (617) 727-3000 ext. 25239 10. WARRANTIES a. The work of the Contractor, including materials and labor, shall be guaranteed for a period of two (2) years during which period Contractor shall at its own expense correct any defect arising from its work unless Paragraph 7 of these General Conditions applies. This provision is in lieu of all other warranties, express or implied, Red Apple Renovations Page 5 and Homeowner has no action at law or in equity against the Homeowner after said date. b. Any and all warranties for appliances or mechanical systems shall be delivered to Homeowner when Contractor's final payment is received. c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be brought against the Contractor on this contract, for the performance of this work, except as provided above. 11. OTHER ITEMS a. The Contractor may place a trash container, commonly called a dumpster, on your property during the course of the project. The Contractor will make every effort to locate the dumpster in a location that is convenient for the Homeowner. The Contractor is not responsible for any damage to your lawn or driveway caused by the delivery or removal of the dumpster. b. The Contractor may place a portable on your property during the course of the project. The Contractor will make every effort to locate the portable restroom in a location that is convenient for the Homeowner. The Contractor is not responsible for any damage to your lawn or driveway caused by the delivery or removal of the portable restroom. a. The Contractor may place a lawn sign on your property during the course of the project. The Homeowner will notify the Contractor of any objections to the sign being placed prior to the start of the project. 12. NOTICES Notices may be sent to either party at the addresses shown above, or mailed by certified or registered mail. Any mailed notice shall be deemed given as of the date of mailing. 13. SEVERABILITY If any portion of this agreement is found invalid or unenforceable by any court, the remaining provisions shall remain in force between the parties. 14. ENTIRE AGREEMENT This Contract consists of the documents defined above, and constitutes the entire agreement of the parties. It can be modified only by a written document. Red Apple Renovations Page 6 NOTICE OF CANCELLATION You may cancel this Contract, without penalty or obligation, within three (3) business days from the date this Contract is fully executed. If you cancel, any property traded in, any payments made by you under the Contract, and any negotiable instruments executed by you will be returned within ten (10) business days following receipt by the Contractor of your Cancellation Notice, and any security interest arising out of the Contract will be cancelled. If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this Contract; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty (20) days of the date of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations of the Contract. To cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or any other written notice, or send a telegram to RED APPLE RENOVATIONS at 206 ANDOVER STREET, UNIT 10, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third (3rd) business day after the execution of the Contract. I HEREBY CANCEL THIS CONTRACT. Date: Homeowner: Massachusetts's law requires that all home improvement contract contain two notices of cancellation. If you do not intend to cancel this contract, please do not sign this page. i Red Apple Renovations Page 7 j NOTICE OF CANCELLATION You may cancel this Contract, without penalty or obligation, within three (3) business days from the date this Contract is fully executed. If you cancel, any property traded in, any payments made by you under the Contract, and any negotiable instruments executed by you will be returned within ten (10) business days following receipt by the Contractor of your Cancellation Notice, and any security interest arising out of the Contract will be cancelled. If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this Contract; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty (20) days of the date of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations of the Contract. To cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or any other written notice, or send a telegram to RED APPLE RENOVATIONS at 206 ANDOVER STREET, UNIT 10, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third (3rd) business day after the execution of the Contract. I HEREBY CANCEL THIS CONTRACT. Date: Homeowner: Massachusetts's law requires that all home improvement contract contain two notices of cancellation. If you do not intend to cancel this contract, please do not sign this page. i Red Apple Renovations Page 8 j II i i RED10APPLE R E N O V A T I O N S Exhibit II - The Project The following work will be done: Overall • The cost of the North Andover building permit is included in this contract. • All required building inspections will be managed by the contractor. • The contractor will handle all Town of North Andover building permits required for this project. • All specifications in this contract are meant to be read in accordance with the drawings for the sunroom dated August 18, 2010. • All debris will be removed and disposed of. • A dumpster and portable restroom will be on site for the duration of the project. Deck • The existing decking, railings and posts will be removed from the deck. • The existing deck framing will be inspected to determine if repairs are required. This contract does not include the cost of any required repairs. If repairs are required, the homeowner will approve all additional costs in advance. • The deck will remain the same shape. • New Azek (www.azek.com) synthetic decking from the Harvest Collection will be installed on the deck framing. The new decking will be installed perpendicular to the deck framing. • The homeowner will approve the decking color prior to installation. • Alternatively, another decking, such as Timbertech or Trex can be substituted. The homeowner will approve any price change for a substituted decking in advance. • The new decking will be installed with color matched deck screws screwed in through the top of the decking. The top of the screws will be below the top surface of the decking. • The new decking will be 1 inch thick and 5 1/2 inches wide. Red Apple Renovations page 9 • New railing support posts will be installed. These will be 4 x 4 pressure treated lumber bolted to the deck framing. • The support posts will be hovered with an Azek Trademark Rail post covering and post cap. The homeowner will approve the post covering color in advance. • New cable railings will be installed on the deck. The railings will be made from 1/8 inch thick stainless steel cable installed per manufacturers instructions. • A cap rail will be installed across the top of the railings to provide additional support to the railings. The color of the cap rail will be approved by the homeowner in advance. • The area between the decking and the ground will be trimmed with Azek trim boards. Sunroom • Temporary supports will be installed to support the existing roof of the sunroom. • The existing exterior walls and ceiling of the sunroom will be removed. • The siding will be removed from the interior wall of the sunroom. • The existing flooring of the sunroom will be removed. • The framing and foundation support underneath the sunroom will be inspected to determine if any repairs are required. If repairs are required, the homeowner will approve any additional costs in advance. • New walls will be framed as shown on the drawings. • This contract does not include the construction of a pergola as shown on the drawings. • The exterior of the walls will be covered with 1/2 inch plywood and Tyvek housewrap or equivalent. • New horizontal wood siding will be installed. Siding will be kiln-dried, straight grain and sealed at all ends. The new siding will be installed with stainless steel nails. • New exterior trim will be installed to match the trim on the existing house. • The existing sliding door to the sunroom will be removed and reinstalled in the location shown on the drawings. • The existing sliding door doorway will be trimmed to be an interior finished opening. • The flooring around the location of the sliding door will be patched to match the surrounding floor. • New windows will be installed in the exterior walls of the sunroom as shown on the plans. I Red Apple Renovations Page 10 • The windows will be the following type: o Pella Impervia Sliding Windows o Interior Color - White o Exterior Color - White o Glass - Insulated Low-E Argon o Hardware Color - White o Screen - Fiberglass • The window sizes will be as shown on the drawings. • The windows will be installed and flashed per manufacturer's instructions. • New electrical wiring will be installed in the sunroom to support the following: o Four (4) six inch diameter recessed lights. The recessed lights will be switched from near the doorway to the main house and near the door to the exterior. o Two pendant lights - This contract contains and allowance of $300 for pendant lights. The pendant lights will be switched from near the doorway to the main house and near the door to the exterior. o Five (5) new outlets to be located on the walls. The final location of the outlets will be approved by the homeowner. o Two (2) exterior lights will be installed. The lights will be switch from a location near the door. • New Icynene (www.icynene.com) spray foam insulation or equivalent will be installed in the walls, roof and floor of the sunroom. • New 1/2 inch drywall will be installed on the walls and ceiling of the sunroom. The drywall will be finished with three coats of joint compound sanded to a smooth finish. • New baseboard hot water heating will be installed in the sunroom. The heat will be connected to the existing heating unit. • This contract does not include the cost of installing of an air conditioning unit. The method of air conditioning the sunroom will be finalized and approved by the homeowner in advance. • New door, window and baseboard trim will be installed in the sunroom to match the trim in the existing house. • New flooring will be installed in the sunroom. This contract includes an allowance of $1,400 for materials and labor to install the new floor. The homeowner will approve the type of flooring prior to installation. Red Apple Renovations Page 11 • The new interior and exterior walls will be painted with one coat of primer and two coats of finish paint. The homeowner will approve all colors in advance. • Prior to painting, all nail heads shall be set below the surface and finished smooth. Exterior walls shall receive a primer coat and one coat of flat or semi-gloss paint. Prior to installation, we will pre-prime the backside, edges and ends of all wood trim and siding. • All paint will be Benjamin Moore or equivalent. I Red Apple Renovations Page 12 Client#:237039 REDAPPLERE ACORO. CERTIFICATE OF LIABILITY INSURANCE 6/09/20 0"""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB International New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardvale St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington, MA 01887 978 657-5100 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Selective Insurance Company of 19259 Red Apple Renovations, Inc. INSURER e: 206 Andover Street Suite 10 INSURER C: Andover, MA 01810 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DA ECMWDDNYYY DATEYMM/DD EXPIRATION LIMITS DD A GENERAL LIABILITY BINDER1123298 03/25/2010 03/25/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 CLAIMS MADE 7 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s3,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s3,000,000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY BINDER1123329 03/25/2010 03/25/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY LIMITS I I ER ANY cPROPREIETgOER/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ QFe Ida Rry InMNH)EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ (If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS EVIDENCE OF COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EVIDENCE OF COVERAGE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2009/01)1 Of 2 #S394617/M365056 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKO05 i IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009/01) 2 Of 2 #S394617/M365056 Client#:237039 REDAPPLERE ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/09/2 OD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB Int'I New England(WILSB) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardvale St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington, MA 01887 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: AIM Mutual Insurance Co. Red Apple Renovations, Inc. INSURER B: 206 Andover Street,Suite 10 INSURER C: Andover,MA 01810 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD/YYYY DATE MM/DDNYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPR zS_tEe $ CLAIMS MADE FlOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WMZ8006243012010 06/08/2010 06/08/2011 TWO STATUMIT- OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 FFI ER/M M R EXCLUDED? e^ Ory n ) N E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $5OO OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS EVIDENCE OF COVERAGE. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EVIDENCE OF COVERAGE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZEP REPRESENTATIVE ACORD 25(2009/01)1 of 2 #S394614/M392512 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKO05 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009/01) 2 of 2 #S394614/M392512 i �1.1,�.1ch�l•ctt•- Depal•lnll'nt 11t P1111111• tiatct� Blrud of Buildim� Rcuulatiun• and 'ruxlal"d` Construction Supervisor License License: CS 83511 Restricted to: 00 qk CHRISTOPHER J MATEY 32 WASHINGTON AVE ANDOVER, MA 01810 Expiration: 10/2812010 ( umii..i.nrr Tr--: 4178 I i i i �*,� ✓/rte-tna�c,nnnr,ealr�r v��l�rluz�/ucae� � Board of Building Regulations and Standards License or registration valid for individul use only h HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 138132 Board of Building Regulations and Standards Expiration: 2/20/2011One Ashburton Place Rm 1301 Type: Private Corporationn Tr279536 Boston,Ma.02108 RED APPLE RENOVATIONS, INC. CHRIS MATEY 32 WASHINGTON AVE. }) ANDOVER,MA 01810 Administrator Not valid without signature NORTH own o _ Andover 0 No, -pit�� /� x - �,o A K E -o dover, Mass., cl - Z - I C� COCHICHEWICK - %ADRATED S ` BOARD OF HEALTH Food/Kitchen PEMMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... .�r�..4.. •-r.....�6.4-�,-s......f...................... .!IYIGw�..........1..►!.1..�....{.. ..�1..VV'�' Foundation 2 _I J has permission to erect........................................ buildings on�.B........I... .A4.0(4j_4a...........qA.C.......,........ Rough C e to be occupied a �y.1.. ......denc-t,...-..'C;5 '1!� C..� .4�..17,r. ..... ... ............. A..G ...... J.�1. Yom. himn y _ provided that the person accepting this permit shall in every respect c orm 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. nl b '(� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations"Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC S TS Rough .......... ....... ...................................... .... ........................ Service BUILDING 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. To:North Andover Building Dept, Page 2 of 2 , INDUSTRA - , m : 46 r - . , , �r j4j' .. , Em to-M 41. , _ , i s Date............. ...... HORTp Of,�`1D '•,'I'O o? ,•^,� ,� TOWN OF NORTH ANDOVER i ' PERMIT FOR WIRING �,SSACHU This certifies that .'.`..........,i....� —.......... ...................... has permission to perform ........r.. .............................................................. wiring in the building of................... :---'.............. at.. ............................ ? .. . .. .. ,North Andover,Mass. Fe;...... ............ Lic.No.l 71?13v-/....... . . . _ ELECTRICAL ImPE f Check # 8763 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Ll 76 Op Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/073 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRWflV INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Insp c�tf Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Z 5 a jos �G e Owner or TenantljU��CIy �C�'�jU�a /1/ Telephone No. Owner's Address �1%/"e Is this permit in conjunction with a building pYes No ' permit? � ❑ (Check Appropriate Bog) Purpose of Building 110,mp Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Ams / P Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: L Com letion qf the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 0.0 mergency ig g md• rnd• Batte Units —. No.of Receptacle Outlets No.of Oil Burner's FIRE ALARM.IS No.of Tones No.of Switches No,of Gas Burners No.-o Detection and Initiatin Devices ` No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of elf-Contained Totals: _._......._............__.... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* - No.of WaterNo.of No.of Devices or E uivalent Heaters KW 42,ns Ballasts Data Wiring: No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP No. Wiring: OTHER: No.of Devices or E uivalent 1J Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: C7�cl (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. AV�EZR�/I/GEYINSURANCE : Unless waived by the owner,no permit for the performance of electrical work m the licensee provides proof of liability insurance including"coin ay issue unless "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [I BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury, that the information on this application is true and complete- FIRM NAME: LIC.NO.: Licensee: l/�� �_Signature (Ifapplicable,,en er "exem t"in the license number line. / LIC.NO.: �—' Gl'' Address: Bus.Tel.No.: 6 Alt.Tel.No.: 3/(0 *Per M.G . 147,S. 57-61,security work requires Department o Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) []owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ y � Y The Commonwealth of Massachusetts k� t! Department of Industrial Accidents Office of Investigations 600 Washington Street �'Aa Boston, MA 02111 c ` www.,Vassgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/plumbers Applicant Information Please Print Le-*bly Naive(Business/Or`ganiradonllndividual):_ Address: City/State/Zip: /�/� Phone Are you an employer?Check the appropriate box: 1.( I am a employer with____y 4, Type of project(required): ❑ 1 am a general contractor and I employees(full and/or part-time).* have lured the sub-contractors 6. ❑New construction 2.❑ I am a.sole proprietor or partner_ listed on the attached sheet.x 7• Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for mein any capacity, workers' comp.insurance. [No workers'comp. insurance 5. 9• El Building addition P ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions ' myself.[No•worke'rs'comp, c. 1.52, §1(4),and we have no insurance required.]t 12.0 Roof repairs 9 ] employees. [No workers' comp. insurance required_] ME]Other *Any applicant that checks boJ#I must also fill out the section below showingtheir workers'com t Homeowners who submit this affidzAt indicating they are doing all work anthen hue outside c ntractrors mast subicy mit as new affidavit indicating such. 4contractors that check this box_must attached an additional shot showi ng the name of the sub-corttrnctom and their workers`comp.policy informadon. ant an employer that is providing workerscompensation insurancefor or information. my employees: Below is the policy and job site Insurance Company Name: Policy#or Self-ins. Lic. G Z30 Expiration Date: Q to '9 . Job Site Address,.--,?�� Attach a copy of the workers' compenCity/State/ZiPf/, jj� sation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under'Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a- ` fine up to$1,500,00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of d investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si tur Date- Phone:!" ate:Phone# [[6.0the& l use only. Do not write in this area,to be completed by city or town official r Town: Permit/License# Authority(circle one): rd of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector t Person: Phone#• i Date ".�oT:��o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING lo ,SSACMUS� This certifies that . . �. �-��� . , ,J.c c — has permission to perform . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .f?f?!?.h, l. . . . . . . . . . . . . . . . . . . . . . at . . . . . . . L.... . . . . . . . . . . . . .. North Andover, Mass. ,,!! Fee Y.7 . . .Lic. No../�??t � ',�� . . . . . . . . PLUMBING INSPECTOR Check # t 3 8003 i I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) _ NORTH ANDOVER,MASSACHUSETTS Date Building Location JD LAWS ltk4Q, Owners Name Qin I'1Ul O�ll� `�Permit# o Amount L%-1 Type of Occupancy > New Renovation Replacementa Plans Submitted Yes No C�` D FIXTURES v� z F" H a o Qr a � � Hix x c °o 0 H SUBM" • PASEWM mRfm LL M ItOCR Moa 5M EWM 6MFff= 7MHfM (Print or type) - t` ��/�ffone- Certificate Installing Company Name �� �Arl rp. gws Address Partner. Business Telephone 7Firm/Co. Name of Licensed Plumber: Insurance Cove raee: Indic to the ty e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 0 Agent 1-1 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code 142 of the General Laws. By: Igna re ot Licenseaum er Type of Plumbing License Title lid-0 City/Town License Nu—mer MasterJourneyman a PPROVED(OFFICE USE ONLY 10/ The Commonwealth of Massachusetts Department of Industrial Accidents dffice of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name(Business/Organization/Individual): Address: City/State/Zip: d Phone ,A--you an employer? Check he appropriate box: Type of project(required): I am an employer with 4. -- I am a general contractor and I 6, New Construction Employees(full and/or part-time)* have hired the sub-contractors /� 2. — I am a sole proprietor or partner- listed on the attached sheet. I �% — Remodeling Ship and have no employees These sub-contractors have 8. ' — Demolition Working for me in any capacity. workers' comp.insurance. 9. — Building Addition i j jNo workers' comp. insurance 5. — We are a.corporation and its 10. - Electrical repairs or additions required.] officers have exercised their 3. — I am a homeowner doing all work right of exemption per MGL 11. — Plumbing repairs or additions myself [No workers' comp. C. 152, ' 1(4),and we have no 12. — Roof repairs insurance required.]H employees. [No workers' 13. — Other comp.insurance required. • *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. H Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. I Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and their workers' - I am an employer that is providing workers' ompensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: s. D"l� tk),k Policy#or Self-ins.Lic. #: I;; �0 I aD Y Expiration Date: O Job Site Address: For all FCCIP24S 64W 61-k City/State/Zip: J Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p allies of perjury that the information provided above is trZand correct St ature: Date: �/ 9 Phone 9: —UJ— 31; Official use only. Do not write in this area,to be completed by city of town official. City or Town: Permit/License#: Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o 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 'i Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit o 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) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Li Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract a Mass check Energy Compliance Report o 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 2.2008 jam` L