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HomeMy WebLinkAboutBuilding Permit #008-16 - 265 BLUE RIDGE ROAD 6/30/2015 Th q ' p BUILDING PERMIT YC1�u� KX-� TOWN OF NORTH ANDOVER ° �1 APPLICATION FOR--?LAN EXAMIN TI N + Permit NO: V ^o _ n Date Received I� ' b�r « � � CRATEDED Date Issued: CH SS MPORTANT:Applicant must complete all items on this page r. LOCATION (OYr PROPERTY,OWNER 11 l�v S b c „ Print: MAP NO:�`(�� PARCEL: ZONING DISTRICT:, Historic District yes no M Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building P,6ne family edition ❑Two or more family ❑ Industrial R/Alteration No. of units: ❑ Commercial - ❑ Repair, replacement ❑Assessory Bldg ❑ Others: t9'bemolition ❑ Other ❑ Septic ❑ Well ❑Floodplain ❑Wetlands ❑ Watershed District El Water/Sewer Identification Please Type or Print Clearly) b I OWNER: Name: ks Phone: 7— 7P' — X63 fkI M I Address: CONTRACTOR, Name: Phone: Address I Supervisor's Construction License: Exp. Date: Home Improvement"License: Exp. Date: 7 ay 5�i6 ARCHITECT/ENGINEER ` (/�r•Uk�Ca � Phone: Address: ST Lo Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATE OST BASED rA ON$125.00 PER S.F. d Total Project Cost: $ a� /0 FEE: $ �, Check No.: `l�' Receipt No.: f NOTE: Persons contracting witkunregistered contractors do not have a es to he guaranty fund Signature of Agent/Owner A, Signature of contractor 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 4� Building Permit Application u Workers Comp Affidavit iL Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract j Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products . OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit .New Construction (Single and Two Family) 4, Building Permit Application Certified Proposed Plot Plan 4. 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 BUILDING PERMITO� NORT.1 CT VEU TOWN OF NORTH ANDOVER �� rye''`- h 46 APPLICATION FOR PLAN EXAMINATION ' n0 m Permit No#: Date Received 0R4 rEo 0Pa"�5 gSSACHU�� Date Issued: IMPORTANT:Applicant must complete all items on this page i LOCATION Print h PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0lSe tipellg - r '❑°Floodpl`ain ,TT Weil- ® IWakters}ied ®stnct D Water /Sewer _ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: f Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: b Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: m Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 9 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund A- i - _ r 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 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4 4, Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit .New ConstructionSin le and Two Family) ( g i 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL _ Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ AWell ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dwnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM XLANNING & DEVELOPMENT Reviewed On Signature_ C MENTS CON'SERVATION Reviewed on Si nature e-i Jj UA COMMENTS W©s-"1< "I HEALTH Reviewed on Signature 1 COMMENTS i" ac �-✓� i jZoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments 1 Water& Sewer Connection/signature& Date Driveway Permit i DPW Town]Engineer: Signature: Loc 384 Osgood Street - x'sA.^.s..wT .ts; °{ n � v :y,�p'rt'�•r,s FIR DEPARkT19IENT 'TeIlk, urrip�ster on sit , ,yes E =: � x �'no Located at 124 Main Street- ► � 7x �,�': ri�"a,8` `tt„ efi+- +L� 7.��.+ /"i k t+.v:•¢r'w' 4'`. ? Fre Department signature/date ° ��i a 37X�! r33 $ sy�`t • a ' z `" .. at�,4 S`pprr � �` t3 ver s f� � .�,. }.':« *c ss £.fe*g4(`"-r`�3.s ��i 4�•t s�.r;� '�T�;�.'n,-�.rf.:a�"�e `h��,..'S+i�,rilL��^.'�v�i�y,�f;,��`.:Y ; "'�7t'r3.. .� 6 �t�`- >. !�`. • .e,•�mv c�sk.a,3t�w''Yy rr+ � 'f '+ F u� ,.+ g ? � r R rr' `�°,�. St9vS��{ a � ° 1r'st� .+,,3- ata. ,�•' a:.,.xs..sla.,;.s'...s........._a=,r�..e't....x+io.�.s1.�. .«a..aT::.�. X7 w-wa.�L�..,•St+. a+�klpt l:r... F�.€..,..'+..Yrs..i .....r, `3.,..r T i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) Ll Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 i V I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i ELECTRICAL: Movement of deter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) I I ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 Plans Submitted +� Plans Waived ❑ Certified Plot Flan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Sw'm-a'ng Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM LANNING & DEVELOPMENT Reviewed On Signature_ C MENTS a J CONfSERVATI®N Reviewed on (� Si nature I. £a COMMENTS w©r-�- T HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments • Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPS'Town Engineer: Signature: S Loc 384 Osgood Street AFIRE "'k— ' _E = l emp ®u ptfrster�on sit °tet"" n ,. CYT-" v '� " ' '.Fi»"7 M, s 71-77- Located at 1.24 Main Streets `� y'f` .+ �• f x '�,. F IF Depa entigraturqe�,/date's �flM�' � fie" '�U a w� ° � z♦ � c p ct-.r.,a x, i d � � ,�.;,''"? ¢t h'S � S ?�'�` T �}fit •' a i,♦ CO M I V I G N�v �a,.+�e...:,2.�''� r�..a«.t,.rxi..r�a .�-.1 �..♦1;.,..„ .�..-.--'w..�+wa-a..rY�.,eAt+..lit,�r.�fr.3.t.,s..�i+.�.E�... - �r t Building Department M 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 4. Engineering Affidavits for Engineered products OTE: 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 a. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (if Applicable) Engineering Affidavits for Engineered products . OTE: 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 4- Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit 4. Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 BUILDING PERMIT OF�t��D NORTH .r y6'.,• ..'•'h x6 TOWN OF NORTH ANDOVER a - APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received RATED AU Date Issued: cH IMPORTANT:Applicant must complete all items on this page ry LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other OtSept Of' ells ©��FlootlplairrWetlards� ' ©� 1Naters etl ®Stncttr x - z� a � ;u �. . `. 4, ...� G DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: c Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: e Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ i o Check No.: ' Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location No. — Date 40 � . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee _ Other Permit Fee $ TOTAL $ Check#t L K� ti 28998 Building Inspector Enter construction cost for fee cal - Norfh Andover Fee Calculation Construction Cost $ 224',9}1f©a.00 m $ - $ 2,698.92 Plumbing Fee $ 337.37 Gas Fee 100 comm. $i 1100,0:0} Electrical Fee $ 337.37 Total fees collected $ 3,473.65 265 Blue Ridge Road 008-16 on 6/30/2015 Kitchen Remodel New Foundation under Sunroom NORTH Town of 2 t � ,, Andover No. 2ol - ,� , h ver, Mass, COCKICKl WICK a• S V . BOARD OF HEALTH Food/Kitchen PERML D Septic System ITJ 4Yl� BUILDING INSPECTOR THIS CERTIFIES THAT ........... .................... ......................................................................... has permission to erect .......................... buildings on . ........61Y-C,.RJ+42.-,40(..................... Foundation Rough g to be occupied as Kldc�1..4. .,� :.......� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR R� UNLESS CONSTRUCTIO AS Rough h Service ....................... ... ........ ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Proms Joel Siiveowatch Location:Hutchins Residence 285 Blue Ridge Road North Andover,MA prof Q Siiverwatds Architects,LLC Uniformly Loaded Floor Beam 155 Londonderry Road [2009 Intemafional Buikting Code(HISC 13th Ed ASD)] Windham,New Hamphire 03087 A36 W10x39 x 20.0 FT Section Adequate By-8.0% StruCalc Version 8.0.113.0 121211201510-05:30 AM Controlling Factor:Deflection -. LOADING DIAGRAM DEFLECTIONS Center Live load 0.62 IN LJ389. Dead Load 0.14 'in Total Load 0.76 IN L/316 Live Load Deflection Critedw.L/360 Total Load Deflection Criteria.L/240 REACTIONS Live Load 10394 lb 10394 lb ; Dead Load :2390 ib 2390 lb Total Load 12784 lb 12784 lb Bearing Length 1.03 in 1.03 in BEAM DATA Center L Span Length 20 fte Unbraoed Length-Top..:;: 0 .ft. STEEL PROPERTIES W1 Ox39-A36 FLOOR LOADING Properties: Side 1 Side 2 Floor Live Yield Suess: Fy= 36 aksi Load FLL 40= Of 100 psf Modulus of:Elasticity E= 29000 ksi Floor Dead Load FDL=. 15 psf 15 psf 9.92 in Floor TributaryWidth FTW 4 ft a d ft Depth' Wall Load WALL- . . 20 p1f Web Thickness: tw= 0-32 in Flange Width: bf= 7.99 in LIVE LOAD REDUCTION Flange Thidmess: tf 0.53 in Average Uniform Load: -L Ave`_. .93.3 Of Distance to Web Toe of Fillet : k`- 1.03 in Floor Loaded Area: FLA 240 sf Moment of inertia About X X Axis: bk 209 in4 Reduction Based on Total Area: R1= 0.07 Section Modulus About X-X Axis: Sx= 42.1 in3 Max.Reduction Based On DULL Ratio: R2= 0.27 Plastic Section Modulus About X4 Axis: Zic= 46.8 in3 Max.Reduction Based On Total Area' R3- 0.4 Design Properties perAISC.13th:Edition Steel Manuals Controlling Reduction Factor R= 0.07 Flange Buckling Ratio: FBR= 7.54 Design Live Load With Reduction: LL= 86.6 :psf Allowable Flange Budding Ratio: AFBR= 10.75 Web Buckling Ratio: WBR= 24.95 BEAM-LOADING Allowabie Web Buckling Ratio: AWBR= 106.72 Beam Total Live Load: wL= 1039 Off Beam Total Dead Load WD= 200 pif Controlling unpraced Length.. . Lb- Oft Beam Self Weight: BSW 39 Off Limiting Unbrakxxt Length- Total Maximum Load: WT= 1278 plf. for lateral torsional buckling: Lp= 8.24 ft Nominal Flexural Strength w/safety factor. Mn= 84072 ft-lb - Controlling Equation: F2-1 Web height to thickness ratio: h11w= 24.95 Limiting height to thickness"rafio for eqn'GZ 2 lJ4w-frmit= 63.58 RED.gigC 1 Qv Factor `SCE Controlling Equation: G2-2 Co SlLVE9� FO t Nominal Shear Strength w/safety factor. Vn= 44997 lb O No.967 ma Controlling Moment: 63918 ft-Ib 1 O.O ft from left support.. �y Created by combining, dead aril Ince loads ! QG Controlling Shear. 12784 Ib °: OF.N�`SS At support.. :- Created by combining all dead and live loads_ Comparisons with required sections: Reced Provided Moms nt of Inertia(deflection): 193.5 in4 209 in4 Mom4nt 63918 ft4b 84072 ft4b: . Shear. 127841b 449971b f i i HOME IMPROVEMENT AGREEMENT i Agreement made this 17th day of June, 2015 between Henehan Co struction LLC. , having a principal place of business located at 61 Brown Street, Andover, Massachusetts (hereinafter "Contractor") and Anthony and Courtney Hutchins ok North Andover, Mass. (hereinafter "Homeowner") . SECTION ONE SCOPE AND DESCRIPTION OF WORK i Contractor agrees to perform for the Homeowner certain i alteration and improvements in and upon the home of the p Homeowner ocated at 265 Blue Ridge, North Andover Mass. in accordance with the specifications set forth in the attached list of labor and materials which is hereby incorporated into this Agreement by reference. See Attached Exhibit "A ' Estimate #304 SECTION TWO CONTRACT PRICE a C Homeowner will pay Contractor for the performance of the work described in the specifications set forth in the attached list of labor ant2,O% dmaterials as follows: $44, 982.00 lupon the execution of this reement. i E $22, 491. 00 loo upon foundation complete $22, 491 . 00 10% upon framing complete P { $22, 491. 00 loo upon siding complete $22, 491 . 00 10% upon rough inspections complete $22, 491. 00 loo upon plastering complete $22, 491. 00 loo upon hardwood flooring Installation complete $22, 491. 00 10% upon Trim Installation complete 1 Initials: Contractor r Homeowner Homeowne I 3 r $22, 491. 00 10o upon final completion of the work (refer to Section two) $224, 910. 00 Total Payment If an installment under this Agreement is not paid when due, Contractor may require as a prerequisite to continuing, said work that the balance of funds due under the contract, which are in the possession of the Homeowner, shall be placed in a joint escrow account requiring the signature of the Contractor and the Homeowner for withdrawal. j I No payment due shall be detained due to any. particular item(s). needing special attention i.e. : defective, damaged k or backordered items such as cabinet doors, moldings, drawers or fixtures provided work is in progress. The price agreed upon herein does not include possible expenses entailed in coping with hidden, unknown, or j incidental{ items not included in pricing. (example: inspector or engineer requirements or overlooked conditions found after Contractor has commenced the work. ) In the event that such hidden or unknown conditions are found after Contractor has commenced work, and Contractor is required tp perform additional alterations and improvements not set forth in the attached list of labor and materials. Homeowner agrees to pay all costs thereof upon completion of any such work. The Contractor shall inform homeowner of any such conditions in the form of an additional work authorization. (see attached copy) . In the event that the Homeowner does not pay any installment or billing when due, the Homeowner agrees to pay eighteen percent (180) per annum upon any unpaid balance. If it is necessary to file suit for the collection of any amounts due from the Homeowner under this i Agreement, the Homeowner shall pay the reasonable i Attorney' s fees, together with court costs for this collections. At th'- completion of the agreement the Contractor with the Homeowner will prepare a punchlist of any work needing special atfLention ie: miscellaneous adjustments, replacemenJts or repairs to any item(s) , and/or the installation of any item which might be backordered. Once I 2 Initials: Contractor Homeowner Homeowner 1 i a punchlis is agreed upon, final payment must be paid, less a hol back for the punchlist items. Completion of Agreement to be defined as a space or remodeled area that is operable and functional. Miscellaneous items to be completed la re part of the `punchlist". The hold back amount will be equal to the value amounts of any item(s) , which have been backordered or needs to b,,-_ replaced or repaired. The hold back amount will incluIe any labor involved and will be determined by the Contractor at that time. f If after the initial punchlist additional items are found to naed attention, they will be considered "Warranty Work" which will be followed up after the balance of the contract hps been paid in full. E SECTION THREE TIME OF PERFORMANCE The wrk shall commence on or about the 06/22/2015 and shall be substantially completed on the 10/29/2015 Contractor shall not be liable for any delay or nonperformance caused by weather, strikes, unavailability of materials, alterations or modifications initiated by the 1 Homeowner,lor any other contingency beyond his control. SECTION FOUR CANCELLATION In the event Homeowner cancels this Agreement after 1 the execution of this Agreement, Homeowner shall forfeit the amount of the down payment given to the Contractor at the time o((,f� the execution of this Agreement, and in addition, 6hall pay to the Contractor such proportion of the total Agreement price as the amount of labor and materials furnished bears to the total amount of labor and materials agreed upon to be furnished under this Agreement, i including any and all items on order which cannot be returned for full credit, the same to be paid within thirty (30) days from the date of such cancellation. In the event } the Contractor is unable to complete the performance of its obligation under this Agreement due to act of God, strikes, unavailability of supplies or materials, or any other contingency beyond its control, Homeowner may at its option cancel thi6 contract, in which event, Homeowner shall be liable to pay Contractor the amount of labor and materia s 3 Initials: Contracto Homeowner Homeowner ' , i 1 1 1 already furnished. Such payment is to be made within r thirty (30) days after the date of such cancellation. i SECTION FIVE ALTERATIONS OR MODIFICATIONS fi Any alterations or modifications initiated by the Homeowner must be agreed upon between the parties and the price fixed by them before work on such alteration or modification shall commence. Payment for such alteration or modification shall be made before the order is placed or the work is commenced. I. SECTION SIX PERMITS AND LICENSES 1 Contractor is responsible for securing the following necessary permits and licenses for the work at its own cost and expense: j Buil .ng Permits Electzical Permits � Plumbing Permits l Homeowner acknowledges that Homeowners who secure their own permits will be excluded from the guarantee fund provisions of Massachusetts General Laws Chapter 142A. SECTION SEVEN LIMITED WARRANTY I I Contactor guarantees that the work will be constructed in accordance with accepted home improvement practices, land it will guarantee against defects in workmanship and materials for a period of one (1) year from the date of its completion. This Limited Warranty does not cover damages or defects which are the result of characteri6tics common to the materials used, or conditions resulting from condensation, expansion, or contraction of such matera.als. Warranty work will be completed within sixty (60) 1days from the date of receipt of written request s from Homeowner. Pleas note that this Limited Warranty specifically excludes cnsequential and incidental damages and there are limitation in the duration of implied warranties. Thi ! 4 Initials: Contractor Homeowner ! Homeowner i t warranty ils extended to the above Homeowner and is not transferable to succeeding homeowners. Contractor hereby passes thrugh and assigns to Homeowner any and all manufacturers' warranties on all appliances and equipment supplied by Contractor in the home. j I Contractor specifically does not assume responsibility I for any of the following items, each of which is specifically excluded from this Limited Warranty: Ii 1. Most people are aware of the "natural" characteristics of wood. Since no two trees are exactly the same, wood is a unique material and natural variations in grain, texture and color are the ingredients that create the "beauty of j wood" . These variations can also cause noticeable differences between your sample and your finished cabinets . These grain and tone differences are a natural and acceptable` condition of quality wood finishes and will be even more pronounced in a complete kitchen. Our suppliers only use select woods to insure their quality. 2. Defects in appliances or pieces of equipment which are covered by manufacturers' warranties. As these will have E been assigned directly to Homeowner, each manufacturer' s warranty claim procedure must be followed where a defect y appears in any of those items. 3. Damage due to ordinary wear and tear, abusive use, misuse, orl lack of proper maintenance or the home or its component parts or system. 4 . Defect{� s which are the result of characteristic common to materiaU used. Such as, but not limited to: i a) warping or deflection of wood; C b) fading, chalking and checking or paint or stain due to sunlight; C) racks in concrete due to drying and curing of ! concrete plaster, brick or masonry; and I d) drying, shrinking and cracking of caulking and �weather stripping. 5. Defec s in items installed by Homeowner or anyone other than Contractor or its subcontractors at Contractor' s 1 order. I } 4 5 Initials : Contracto Homeowner ' Homeowner l I 6. Work done by Homeowner or anyone other than Contractor or its subcontractors at Contractor' s order. 7 . Defec--s in items supplied by Homeowner. 8 . Loss or injury due to elements. 9. Conditions resulting from condensation on, or contraction of materials . All implied warranties including, but not limited to warranties of merchantability and fitness for a particular purpose, ate limited to the one year warranty period as set forth above. This Limited Warranty is the only expressed warranty given. Inthe event that any of the provisions of this Limited Wajranty shall be held to be invalid, the remainder of the pro ision of this Limited Warranty shall remain in full force and effect. SECTION EI4 HT ALTERNATIVE DISPUTE RESOLUTION PURSUANT TO MASSACHUSETTS GENERAL LAWS CHAPTER 142A The parties acknowledge and declare that the Contractor may initiate alternative dispute resolution through any private arbitration services program approved by the secretary of the executive office of consumer affairs ank business regulation under Massachusetts General Laws Chapter 142A, sub-section 4, to consider any dispute between the parties concerning or arising from this Agreement. We, the Contractor and the Homeowner, have read the above provision and both have signed it as our free act and deed, thereb assenti t the procedure. HOMEOWNER Date HOMEOWNERDate i CONTRACT -R Date 17 6 Initials: Contracto Homeowner Homeowne { i SECTION NINE OTHER NOTICES REQUIRED PURSUANT TO MASSACHUSETTS GENERAL LAWS CHAPTER 142A All contractors and subcontractors must be registered j by the chief administrator of the board of building regulations and standards, an agency within the executive office of public safety, established by Massachusetts General Laws 6A, sub-section 19. The Contractor holds Home Improvement Registration Number 172582 {I{ I The s lesperson who solicited and/or negotiated this Agreement is John Henehan G 1 Liability insurance is provided by Henehan Construction, LLC. for their employees and subcontractors. A certificate of insurance will be provided to the customer upon request. SECTION TEN ENTIRE AGREEMENT The parties acknowledge and declare that this j Agreement contains the entire agreement between the parties I hereto and that there are no agreements, promises, terms, conditions, or understandings and representations or inducements leading to the execution hereof, expressed or j implied, other than those herein set forth and that no oral I! statement or prior written matter extrinsic to this f Agreement shall have any force or effect. Any changes or alterations in this Agreement shall be valid and effective h only if agreed upon in writing between the parties. Please review carefully all parts of your agreement which includes your kitchen/bath agreement, drawings, and quote, to assure their accuracy for scope of work, cabinetry layout, pricing, and terms of agreement. With kitchen planning, design, and/or remodeling the work scope is quite detailed and individualized, in some cases more than others, and our agreements are presented and formatted to describe the work proposed as best as possible in a simplified and descriptive manner. Several options, ideas, and sugges ions have been presented and this agreement j summarizes all the final decisions discussed and agreed upon and ay verbal discussions are not part of this 7 Initials: Contracto Homeowner Homeowner agreement and if purchaser feels anything needs clarification, we would be happy to put it in writing at this time. The attached Exhibit "A" which may include drawings and list o labor and materials, if any, are hereby incorporatld into this Agreement by reference. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES! We, the Contractor and the Homeowner, have read the above Agreement on this 17th day of June, 2015 and understand its terms and both have signed it as our free act and deed at 265 Blue Ridge Road, North Andover Massachuse ts. HOMEOWN CONTRACT HOMEOWNER THE HOMEOWNER ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT HOMEOWNER -�--� DATE (OU7 HOMEOWNER DATE f 8 Initials: Contracto Homeowner Homeowner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Legibly Name (Business/Organization/Individual): !� Address: w / 61-owx � City/State/Zip: &4/9/0 Phone #: 737—el(li— Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4. E] I am a general contractor and I e4*oyees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2. 90 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. F1 Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.F1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 certi unde the pain and penalties of perjury that the information provide/ / d above is Ir a and correct. Signature: - Date: 40 /f Phone#: A 7—d , )� Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitJLicense# 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#: T ® DATE IMMMDYYYY)A CRCAA � NSRNC6/15/2015 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 poticy(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 joan Street NAME: SOUCY INSURANCE AGENCY PHOC.NE (97HJ744-7110 FAX No:(978)741-2059 P. O. Box 4467 AOIRESS:]soucyQsoucyinsurance.com 85 Lafayette Street INSURERS AFFORDING COVERAGE NAIC1t Salem MA 01970 INSURER A:Western World INSURED INSURERB:Safety Indemnity 33618 Henehan Construction, LLC INSURER C: 61 Brown Street INSURER D: INSURER E: Andover MA 01810 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1522302396 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR TYPE OF INSURANCE POLICY NUMBER MM DDtYYY MMIDD/YYY GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES EaEoccurrence) $ 50,000 A CLAIMS-MADE FOOCCUR MPP1375865 /1/2014 /1/2015 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000,000 X POLICY PRO LOC I I $ AUTOMOBILE LIABILITY CO(Eaac idem)INGLELINIIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDIx SCHEDULED 226071 1/13/2014 1/13/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AUTOS Per accident PIP-Basic $ UMBRELLA L1AB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STALIMTU- OTH- AND EMPLOYERS'LIABILITY 1 ER ANY PROPRIETORMARTNERtEXECUTIVE� NIA E.LEACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatary in NH) E.L.DISEASE-EA EMPLOYE $ If yes,desedbe-under DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fAttach ACORD 101,Additional Remarks Schadule,If more space Is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town. of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 1600 Osgood Street AUTHORIZEDREPRESENTATfVE Bldg 20, Suite 2035 North Andover, MA 01845 s. . ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. Alt rights reserved- INS025(201005).01 The ACORD name and logo are registered marks of ACORD AC�® DATE(MM/DDIYYYY) �,. CERTIFICATE OF LIABILITY INSURANCE 6/29/2015 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 SOUCY INSURANCE AGENCY INC NAME: P O BOX 4467 PHONE FAX 85 LAFAYETTE STREET E MAILo AIC No SALEM, MA 019706467 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual Fire Insurance 33600 INSURED INSURER B: HENEHAN CONSTRUCTION LLC 61 BROWN STREET INSURERC: ANDOVER MA 01810 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25342731 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF/YYYY POLICY /YYYY LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE 71OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC2-31S-384098-015 1/6/2015 1/6/2016 �/ STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 OSGOOD STREET BUILDING 20 SUITE 2035 ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE ov Liberty Mutual Fire Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 25392731 11578933 1 2015-2016 1 Anne Chandler 1 6/29/2015 12:21:15 PM (EDT) I Page 1 of 1 _Massachusetts -Department of Public Safety - Board of Building Regulations and Standards Construction Supervisor License: CS-061755 JOHN J HENEHAT� 61 Brown Street. ' Andover MA 0180 �1 i' ��.�•,t�` Expiration �J,•G..J1J` i1/fl612015 commissioner _ uittiuea���:��' e station .. UiLe Cumz•�3 airs&Business R g OtTice of C°nsumer A CONT�GTOR Type- OM�1MpROVEh'iENT ' egistrMPR %772582 LLG 719=2016� ation r Expiration r / -AO LLG GONSTRUG - HENEHAN EHAN JOHN HEN STREET Unaersecretar9. g1 BROWN 01810 ANDOVER,MA r