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Building Permit #329-14 - 285 REA STREET 10/7/2014
} tx NORTH i BUILDING PERMIT o?°�:`,`a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION . Permit NO: Date Received 4q s Date Issued: Z0 7 /y 1 gCHU G IMPORTANT: Applicant must complete all items on this page LOCATION os2.oc S--. Print PROPERTY OWNER 'S©2. c- ,,Q Aw,cc9e Re,- toS J' '� Print MAP NO: PARCEL ZONING DISTRICT: Historic District yesnn Machine Shop Village yes kz� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building XOne family il Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement :1 Assessory Bldg :1 Others: -1 Demolition J Other L Septic - Well _ Floodplain C Wetlands Watershed District Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: ZoQ- c,,g �� (��,,, 05 Phone: Address: CONTRACTOR Name: Phone: C1 7� -�7�9 4�p Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: /c)g�c�0 / ARCHITECT/ENGINEER.. �I Phone: " Y1, — Y3 Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. f Total Project Cost: $ 4<S, 4�5�k FEE: $ , aT� Check No.:. T Receipt No.: NOTE: Persons'contracting with unregistered contractors do not have acce to the g'u'arantyfund Signature of Agent/Owner e5ignature of contractor ✓�-4,.....� ` VOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION . Print. PROPERTY OWNER _ Print 100 Year Old Structure yes no MAP NO: 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 ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: _ Phone: _. Address: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AC605=Nner w - Sig'nature of contractor _ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted-[] Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_DF--SEWERAGEDiSPD%U Public Sewer ❑ Tanning/Massage/Body Art ❑_ Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc... ❑ .- Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED: DATEAPPR.OVED PLANNING'& DEVELOPMENT' ❑ ❑ COMMENTS .CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ono Signature. COMMENT - -r! t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tows! Engineer: Signature: Located 384 Osgood Street FIREDEPARTMf Temp Dumpster onsite yes no Located-at 124 Mair Streets -Fire Departme� f signature/date`~ s COMMENTS --Dimension i 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 i NOTES and DATA— (For department use EI Notified for pickup - Date Doe.Building Permit Revised 2010 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 o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products g NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apt),-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui?ding permit Revised 2012 Location 0 No. r? — / Date lee)A / J � • - TOWN OF NORTH ANDOVEP.- ' °= Certificate of Occupancy $ Building/Frame Permit Feer•La Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# J �' Bui'di`ng t spector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 85,454.00 m $ - $ 1,025.45 Plumbing Fee $ 128.18 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 128.18 Total fees collected $ 1,381.81 285 Rea Street 329-14 on 10/7/2013 Basement Renovations tAORTH own Of s EAndover o - ..�. to No. 379- ILI z wt I - h ver Mass �. 2%( O COC NIC IwICK V1 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT \7j .4A..... dr1 BUILDING INSPECTOR . . . . . .... .. .............................. .. 21M P a Foundation has permission to erect .......................... buildings on .....R............5..?..........�............... Rough to be occupied as .... . . ..Re'jp.. ........ chimney provided that the person accepting this permit shall in every ress 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 UNLESS CONSTRUCTIO ARTS Rough C� ........................... Service .......... .... ! .. .. .. ..... Final BUILDII SPECTOR 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. SEE REVERSE SIDE i SCOPE OF WORK DESCRIPTION & SPECIFICATIONS Contractor: Owner: Date: Howell Custom Building Group,Inc. Joe and Amanda Ramos 7/25/13 360 Merrimack St. Bldg 5 285 Rea St. Lawrence,MA 01843 North Andover,MA 01845 Phone: 978-989-9440 Project: C.S.L. #068232 Interior Renovations H.I.G. #123237 General votes • All Work includes labor and materials unless otherwise noted Owner Responsibilities • Owner to attend weekly project meetings on-site with Contractor. Meetings to be scheduled at a mutually agreed upon time on a weekday between the hours of 7:30am-4:00pm. • Owner to coordinate with Contractor on planning the detailed sequence of work. • Owner to provide information,selections and decisions to Contractor as requested by Contractor in a timely manner so as not to delay progress of the Work. • Owner to remove all personal items and furniture from the following Work areas: • Mudroom • Master Bath • Craft Room • Bathroom#2 (Kids bath) Permits& Inspections • Contractor to prepare building permit application,file application,and post permit on-site. • Allotment Item: Town of North Andover Building Permit Fee. • Allotment Item: Smoke Detector Permit Fee. • Plumbing Permit to be obtained and the fee paid,by Contractor's Plumbing Subcontractor. • Electrical Permit to be obtained and the fee paid,by Contractor's Electrical Subcontractor. • HVAC Permit to be obtained and the fee paid,Contractor's HVAC Subcontractor. • Except for permits and fees noted above,the Owner shall secure and pay for other necessary approvals,easements,assessments and charges required for construction,use or occupancy of permanent structures or for permanent changes in existing facilities. • Contractor to schedule and coordinate the various inspections required to complete the Work as described in this Scope of Work. Site Prep General Notes: • Contractor to provide and maintain a Portajolm on site during construction. • Contractor to seal off existing rooms adjacent to the areas affected by demolition and construction during the project with plastic sheeting and/or temporary wood-framed walls. • Contractor to protect existing finishes in affected areas,if those finishes are to remain. Existing Finishes to be protected with plastic sheeting,cardboard or other padding. • Relocate Washer/Dryer into Garage for temporary Laundry • Supply and Install Site Protection for the following areas: • Option item -Basement and stairs • Mudroom and entry to Kitchen • Stairs to 2,d Floor • 2nd Floor Hall to Master Bath and Kids bath Page 1 of 11 hiitials:" 1 I i WATER INPUT 1 2X FINISHED RAISED HE)RTH ALL CAP WALL 43" ABOVE CONIC SLAB Howell Custom Building Group pThe Ricenvalk Complex 360 Nferrimack Street,;E45 LLawrence,Itiassachusetts 1118.43 Z =0 T 978982943<1 F 973.982943t U- w-vw.howellcustombuild.com t I STEEL � U1 3" LALLY COLUMN z 0 2X4 STUD �ROPPED WALL (ROUGH N BEAM FRAME ONLY) I () \ CO Z I 5-3/4"x9-3/4"00 00 r1 cV z I In r EXISTING i--f EXISTING CONDITIONS: -' m X I BASEMENT CEILING HEIGHT 1 BASEMENT PLAN N o ° J t TO B.O. JOISTS ISTS X cN 2 7'-5 1/2" 4-4 •ri IAC-+ scale: 1/411 = 11-Ott uJ (CONCRETE SLAB) tzzt � i O c/� � � T.O. SLAB N • iEL.9t-8 1 2 v I/ I � 3" STEEL a LALLY COLUMNLn O z 00 0 _? 2X10 FLOOR 2X10 FLOOR ^► i/i+ (� JOISTS JOISTS DO ABOVE ABOVE 4-J0 = 4-4 UJ N JUJ Ff) EX TRANSOM EX TRANSOM EX TRANSOM 3'-10"x2'-4' 5'-10'x2'-4' 3'-10'x2'-4' h--i SILL HGT. 3'-8" SILL HGT. 3'-8" SILL HGT. 3'-8" z LF 66 m I 3" STEEL LALLY OL MN REVISIONS BASE / w CABINET I i a EXISTING CEDAR CLOSET 04/25/2013 / 1 DROPPED BEA STAIR STORAGE ROOM 5-3/4"x9-3/ UP EXISTING i I 1 R ® 8' v ONCRETE FOUNDATION CEIUNG HEIGHT WALL CAP ��� 1 © 10' TO B.O.JOISTS 6'-9' 33' ABOVE CONIC SLAB (CONCRETE SLAB) / 43" ABOVE CO C SLAB �} DROPPED F EXISTING BEAM f� STORAGE ROOM ABOVE T.O.CONCRET�3AB �S EW NG HEIGHT T-3' S-3/4 X9-3/4 UPPFR CARINFT L 91'-8 1 2 / S LI 0LEUM FLOORING ON SLAB EXISTING BASE CABINET LF STORAGE ROOM COLING HEIGHT 7'-r W/ COUNTERTOPS (DROPPED CEILING TILES) EXISTING 03/07/2013 LINOLEUM FLOORING ON MECHANICAL ROOM SLAB CEIUNG HEIGHT 7'-1' N MFLOORING- (DROPPED CEILING TILES) CO 3' STEEL EL 91'-9' LINOLEUM FLOORING ON SLAB -LALLY COtVIVIN To NOLEUM FOORING L0 ESTIMr�TE EL.91'-9" SET AIR HANDLE 2X10 FLOOR JOISTS WASTE LI M 2X ABOVE e\\ 2X12 FLOOR JOISTS DROPPED DUCTWORK 1 ABOVE ` OTCHED AT REAM 00 � B.O. DUCTS 5'-10" I� �p� OIL TANK EXISTING ABOVE BEAM BOILER �' 25o GAL. CONDITIONS: I ABOVE H.W. 5-3/4"x9-3/4" TANK BASEMENT PLAN STORAGE SHELVING I ` \ I EX100 EX DOOR EX TRANSOM EX TRAPlSOM PAIR 5'-6"X6'-z3" 5'-10"x2'-4" 3'-10"x2'-4" SILL HGT. 3'-8" SILL HGT. 3'-8" Zb11 I I I WATER INPUT t I I R/DNS X FINISHED RAISED HEARTH WALL (BRICK) fH �V ALL CAP I I T .HEAR oell Custom Building Croup 43" ABOVE L. 2— 12 CONIC SLAB ( I The RiVern�alk Complex I Z 360 N[errimack Street,#j ILawrence,\[assachusetts 01843 o "1'978.989.9440 E978.989.9441 z a""V.howellcustombuild.com I I � I uJ Of I /s z j� v 3' STEEL LALLY I V COLUMN 2X4 STUD --A Lr) I I /DNS WALL (ROUGH I- N I I DROPPED BEAM FRAME ONLY) \ _: I R/DNS 1 1 5-3/4"x9-3/4" O WALL CAP AND ALL XI4-JSTING O � �C14J M E FINISH MATERIALS. BASEMENT N N m'i EXPOSE FRAME. CEILING HEIGHT t� •.-1 N o_I TO B.O. JOISTS II �z X N J -5 1/2 i O ya W (CONCRETE SLAB) Q� NCRET�SLAB j c14 3' STEEL LALLY ( Lr) COLUMN � 00z to O N 2X10 FLOOR _ 2X10 FLOOR W " JOISTS JOISTS � ro x ABOVE ABOVE O ,j z O N W `V W X EX TRANSOM R/DNS /S 3'-10"x2'-4" IN PARTITION SILL HGT. 3'-8" WALLS 3' STEEL LALLY COLUMN s'vS Za �— — ��/ I I LEGEND REVISIONS g� B SE CABIN T ! [p awu l I — R/DN I — — \�O EXISTING EXISTING WALLS TO REMAIN Qi 04/25/2013 lz </ CEDAR CLOSET R/DNS 4/ I ( STAIR EXISTING WALLS TO BE REMOVED DROPPED CEILING r7 ,/ \ 1 RUQ 8„ - — _ EXISTING ITEM TO BE REMOVED L6 TRACKS ANELS AND � �� R/DNS 10' DROPPED BEAM 00 ABOVE 0 --/--/---- Ff XISTING 5-3/4"x9-3/4" I I g6j � TORAGE ROOM R DNS EILING HEIGHT 7'-3" 6 D OLEUM FLOORING ON R/DNS ( — UPPER CABINET SLAB INTERIOR BEARING R/DNS WALL DNS— — I r — BASE CABINET 03/07/2013 SHELVING EXISTING I ( W/ COUNTERTOPS R/DNS STORAGE ROOM I I INTERIOR PARTITION I CEILING HEIGHT T-1" I I I EXISTING WALLS (DROPPED CEILING TILES) I MECHANICAL ROOM LINOLEUM FLOORING ON ( I I CEILING HEIGHT 7'-1" 00 ��������� SLAB I I I (DROPPED CEILING TILES) �`�'7- LINOLEUM FLOORING ON SLAB Ln SET .�T.O.LINOLEUM FLOORING WASTE LINE AIR HANDLE EL.9Y-9" I A T.O.LINOLEUM FLOORING / M 2X10 FLOOR JOISTS ` ( 2X12 FLOOR JOISTS = I ABOVE — — — — — — — — — ABOVE �OTCHED AT BEAM O� DEMOLITION: h DROPPED CEILING R/DNS I ( I R DNS X11- OIL TANK BASEMENT PLAN PANELS AND DROPPED BE M ( I BOILER / 250 GAL. I1 TRACKS 5B0VE 3/4"x9-3 4" I I TANK ( PANELSDANDILING TRACKS DEMOLITION: R/DNS I I I BASEMENT PLAN STORAGE ( I SHELVING fi scae40- D100 �I 9'-6" EX TRANSOM 1 I � 2X rMSFiED WALL t FIAT f i - .. L V KJ C Vt� ' - - . OSET OAL_CLOSET ... ___.SHELVING 4' BASE CAB. y1aHNG .EN ATE I Powell Custom Building Group EN ERTAIt, ENT AREA The Riverwalk Complex CEIUNHEIGT.- . i ' -- 360 D4errimack Street,#5 Ff -w (C RPET ON DRICOR PANELS) I s 6 Lawrence,Nlassachusetts 01843 _l. 4" _ 7/8" i - $" —3-11_l. T 978.989.94441 F 978.989.9441 --- w\tw.howellcustombuild.com OTTOM TARN ¢o OTTOMAN _.. _ _-_'_ m j END I m END J - - TABLE 3 s TABLE - -- LL u SECTIONAL `NEW - - -- -- PLASTER CEILING COUCH PLASTER CEIHN PLUMBING & HEAT Z GENERAL NOTES-PLUMBING: a a0 C) -DISCONNECT & CAP EXISTING PLUMBING AT MIM KITCHEN (SINK) T,, yO 4-J GENERAL NOTES-HEAT: m, -- N -COPPER AND/OR PEX HEAT PIPINGs o i -NEW ZONE OF HEAT OFF OF EXISTING BOILER Nnu DROPPED BEAM 3 l 4-1 —SLANTFIN #30 BASEBOARD RADIATORS; w ", STEEL NEW V NEY COLUMN, PREFINISHED WHITE STEEL COVERS PROVIDE ACUSTICAL BOXED OUT W/1X S--I ¢ EXISTING N ��\ VERIFY EXISTING WATER INPUT LINES WILL MEET SECTION OF DROPPED BEAM \ I TO REMAIN. W O —NEW HOT WATER TANK—INCREASE SUPPLY CEILING TILE NEW MASTER BATHROOM FLOW REQUIREMENTS Y BOXED OUT W/PLASTER FINISH. O 11��11 n/ PROVIDE ROUGH AND FINISH HEATING AS PER PLANS w Y--t ,�:�y-I a z i--i wow RENOVATED (� Z' - • o 3 GAME AREA O POOL TABLE 1 CEILING HEIGHT 48" DIA. TJ .i GAME TABLE PING PONG TABLE 70 B.O. JOISTS T-6 1/2' 5'x9' ,. (CARPET ON DRICOR PANELS) 7 � y 0Q1 O-___-_ OI H ( • ,. ACUSTICAL EX TRANSOM EX TRANSOM (f i CEILING TILES 0'-10"x2'-4" S-10 x7-4" _8 SILL HC H _ _._. .ilo�. T.O. NE`N CARPET - y L COLUMN —t P� EL 91-9 1 2 _ LEGEND REVISIONS OPEN BANISTER EXISTING WALLS TO REMAIN 0 04/25/2013 DESK I I - -- ® NEW WALLS / ¢ A 5� M CgI�AF7 RE - - i ! ---- m� TREADMILL d .(BELOW S�AIRSj ''� STAIR - — _ _ = EXISTING WALL TO BE REMOVED Z� --/--/---- EXISTING wa w (36"x80") ( l I UP TING XIS STORAGE ROOM w o ISE I J FOR LIST E NEW FINISH _ CEILING HEIGHT / 0 3 NEW FLUSH FRAME 'E I I FLOOR TO B.O. JOISTS AB) BE y ABOVE (CONCRETE SLAB) RENOVATED , EO BARiSfE -/ -/ - STEEL COLUMN T.O. CONCRETE SLAB ( I EXERCISE AREA I _ EL. 91-8 1 2 Ps CEILING HEIGHT ( s -- - 13,---1/2* _-1 2 TO B.O.JOISTS T-5 1/2" I _ - ... _._ __.. .._ - _- (RUBBER MATS ON DRICOR - 2'-Z_5 8"-t__ —5'=0 1/4' _ 4=2-3/8' 1:"-4 t 4 PANELS) -_--_.--_-_ u 03/07/X013 STORAGE Ds d� 6 - / -. .. 1 PLASTER CEILING M Imo? ryO6 If UNI MACHINE I ¢ 6 E STORAGE , {,` MACHINE 0 SHELVING - SHELVING EST'INL TE 5'-3 3 8" WASTE t1NE SET 6'—Aof 1/2 6 1/2— M' EXISTING PROPOSED: r l MECHANICAL ROOM �T `�7 CEILING HEIGHT 7'-1" EXISTING BASEMENT PLAN EXiSTiNG (DROPPED CEILING TILES) OIL TANK NEW 2-2066 2-2066 BOILER LINOLEUM FLOORING ON SLAB n 250 GAL. I STORAGE RAGE EREMOVEI ALL EXISTING SHELVING EXPROPOSED 'oK BASEMENT PLAN N scale: 1/4" = 1'-0" A100 IF i EX TRANSOM EX TRANSOM � i { I � 1 I•.a'c!i t.va•.m liud.lv;;;t Lr•xic� Y ko, rr.It. = l atctona \[t uhu�ctt< 71;7,1,t� ;xtcs *L.)u�t J0+s _x. _<!? Fi- t;R JOS; ; v� JOSEPH "•. ! T' 6E CU' 3 '? 3E ;j- .;a,H u ;�"x,iS'J Jaa, f J":s"Jrt. ,.y,t{ �j!+ FD ,t tt.�iv�t.clicua•,mburl.!.c•;m x., .,:.. xe �� yt STRU L No. 051 I ov rJ N n + WAa LJ ��'_:��r°i.— n. "'-'--5i$ tP. _t�5'iNl `.3Gt1�.•i { tj�^�R'�'t'" 19T J TO BE REMOVE? /7^ �:L /!!!! � � i"_..—�c�1 3-!f�•�DiA. ,�'"`�� t'�1 T' `�J t'(i/l�'�j VI/''��� _ALL'f COLUMN REVISIONS - E!xtS71,!v !??uR?ED BE AV, .�`1\- 1) 4 ' lilt -ALLY C0LJMI1f -/J--�-- Y t1 ,,t / •� (/'J tjJ 1;Sri"1:j�LVIT FRAMING UFFRAI 10Ns -- __j i ; FIRST t I.t)()1Z t h,�c�[INt� c. I S100 Demolition General Notes: • Owner shall notify Contractor and mark locations of all known underground water/sewer pipes, gas lines,electrical conduits/wires, irrigation pipes,dog fence wires,etc. that may be in the area of demolition or construction. • Contractor to disconnect electrical,cable,phone and plumbing as required in affected areas prior to demolition. • Where Contractor is removing and saving an item,he will use his best efforts to remove that item with minimal damage. Storing&protecting the saved items is the responsibility of the Owner. Re-installation of the saved items is not included unless otherwise specified. • Where Contractor is removing existing tile,assume tile is laid on plywood or gypsum wall board. Removal of cement board underlayment or a mud base would be extra. • The abbreviations R/S=remove&save,R/DNS=remove and do not save. • Contractor to perform demolition work per the following notes: • Option item-Basement Demo o Storage Room#1 —Gut to Slab,remove partition walls,R/DNS sink and plumbing o Storage Room 92—Gut to Slab,remove partition walls o Cedar Closet—R/DNS,gut to slab,remove partition walls o Mechanical room—Gut to slab,remove partition walls o Main Room—R/DNS Brick hearth,R/DNS existing wall framing. Strip staircase finishes. • Mudroom Demo o R/DNS Cabinetry o R/S Washer and Dryer(see site prep for re-location) o Gut to studs, including tile floor and underlayment o R/DNS door from kitchen+(1)side of casing(leave casing and jambs on kitchen side) o Door to garage to remain(remove mudroom side casings) • 2"d Floor Demolition o Master Hall—gut to studs and sub floor o Bathroom#1 —gut to studs and subfloor o Craft room—gut to studs,hardwood to remain o Bathroom#2—gut to studs and subfloor and portion of existing hall o Strip Siding for(2) new window placements o R/DNS (1)—Window existing bathroom#1 o R/S Window Craft room Excavation/Sitework General Notes: • None at this time Concrete General Notes: • Concrete mix: Sakrete standard mix • Rebar: #4 Bar • Supply and install Concrete lvork in the following areas.- Option reas:Option item -Basement: o Cut concrete,excavate for(3)footings at new Lally colunm locations o Place concrete and rebar for(3)3'x3'xI' footings o Concrete coring for heat pump lines tt � Page 2 of 11 Initials:J / / Masonry General Notes: • None at this time Floor Framing and Beam Work General Notes&Specifications: • All framing materials to be#2 KD SPF unless otherwise noted. • Frame floor systems per plans and the following notes: • Supply and install Floor Framing and Beam work:in the following areas: • Option item -Beam 1 —New Flush Beam TV Area o Build temp walls for flush beam and temp support(2)4x4 posts bearing on existing beam. o Remove existing beam and(2)columns o Cut back existing joists for new flush beam o Install new beam,(3) 1 3/"x 11718'*LVL o Hang joists on new beam • Beam 2—Sister Existing beam(dropped)—Rec Area o Sister 9 112"LVL to either side of existing beam(2 total) o Through bolt with(1) %"bolt staggered every 24"O.C. o (2)Steel Lalley Coulmns: 4"X 8',5x5 cap and base plates • Beam 3—New Flush Beam—Exercise Area o Build temp walls for flush beam o Cut back existing joists for new flush beam o Install new beam,(3) 1 3/"x 117/8"LVLs o Hang beam 3 to beam 4 coped mechanical connection in the field o Hang joists on new beam 3 • Beam 4—New Flush Beam(Parallel to Joists)—Exercise Area o Install new beam,(3) 1 3/"x 11 7/8"LVLs o (1) Steel Lalley Coulmn:4"X 8',5x5 cap and base plate o (1)Hanger to Beam 5 • Beam 5—Sister Existing Beam—Exercise Area o Sister 9 '/2"LVL to either side of existing beam(2 total) • Stair Work o Adjust treads for new floor finishes • Subfloor/DriCore o Install(2'x2' tongue and groove)Dricore panels in all new areas of renovation: entertainment area,craft area,exercise area. Approx.915 SF. Wall Framing General Notes&Specifications: • Framing lumber to be kiln-dried#2 SPF unless otherwise noted. • Frame walls per plans and the following notes: • Supply and install [Fall Framing in the folloiving areas: • Option item -Basement Renovation o Interior Walls(2x4@ 16"O.C)— PT bottom plate 0 2x6 Blocking @16"O,C. in walls and ceilings for finishes(paneling/cabinets etc...) o Pad out existing framing to accommodate plumbing/mechanicals • MudroomfLaundry o Interior Walls(2x4@ 16"O.C)—Approx 10' LF/80 SF o Pocket Door Kit:(1)STD 3068 including track,hardware and metal studs o Reinforce Pocket Door frame with %"Plywood n Page 3 of 11 Initials/ '� / o 2x6 Blocking C16"O.C. in walls and ceilings for finishes(paneling/cabinets etc...} • 2"d Floor Baths o Interior Walls(2x4@ 16"O.C)—Approx 62' LF/500 SF o Pocket Door Kit: (4)STD 3068 including track,hardware and metal studs o Add PSL studs to pocket door&•amen 4 0 2x6 Blocking @16"O.C. in walls and ceilings for finishes(paneling/cabinets etc...) o Cut and frame(2)new openings in existing 2x6 wall for new window locations: dressing room and master bath o Cut and frame(4) new medicine cabinets into existing wall: (2 master,2 kids bath) Roof Framing Supply and install Roof Framing in the following areas: • Option item -Basement Renovation 0 1 x3 Dry furring @ 16"O.C. in areas where new ceiling finish is plaster • 2"d Floor Baths and Mudroom o 1 x3 Dry furring @ 16"O.C. Roofing&Flashing General Notes &Specifications: • None at this time Gutters&Downspouts General Notes&Specifications: • None at this time Exterior Trim General Notes &Specifications: • Window casings: 1x5 PVC • Window sills: 1-7/8"x 2-1/2"PVC • Supply and install Exterior Trim in the follolving areas.- 0 reas:• (2)new window locations: Master bath and Dressing room Siding General Notes &Specifications: • Tyvek housewrap, taped seams • %x6 WRC VG Finger Jointed Primed Cedar Clapboards • Install at 4"exposure with rough side out, face-nailed with stainless steel nails • Prime all end cuts in the field during installation. • Inside corners butt to '/"x '/"PVC grounds. • Outside corners butt to corner boards. • Supply and install Siding in the following areas: • Areas around new window locations: Master Bath and Dressing room(Approx. 180 SF) Exterior Windows General Notes &Specifications: • Manufacturer: Anderson • Series: 400 • Exterior: Brown Aluminum Clad • Interior Finish: Primed pine • Muntins: Permanent 7/8"simulated divided lights(Muntin patterns per elevations) Page 4 of 11 Initials. j • Glazing: Low"E"II insulated Mass with Argon gas. • Exterior Casing: None • Jambs: 4-9/16" • Window Screens: Charcoal fiberglass mesh with brown aluminum surround. • Window Hardware: Antique brass sash locks • Supply and mstall Exterior Doors & ff"indoits In the follolv1ng areas: • (1)3 wide casement RO 5' 1 %2"x 2-0 5/8"in master bath • (1)existing double hung,relocated in master closet Porch&Deck Finishes General Notes&Specifications: • None at this time Plumbing and Heating General Notes&Specifications: • Allotment Item: Plumbing Fixtures to be selected by Owner and supplied by Plumbing Subcontractor. • Type L Copper Water pipe or Pex • PVC Drains&Vents. • PVC Plumbing vents through the roof. • Supply and install Plumbing Work in the following areas: • Option item-Basement Renovation o HCBG support labor as needed o Disconnect and cap plumbing to Craft sink o Disconnect and move existing water heater to new location • Mudroom/Laundry o HCBG support labor as needed o Eliminate 2 existing sections of baseboard heat o Toe kick heater on existing zone o Disconnect and cap plumbing for sink o Re-rough plumbing for new washer connection o Supply and install electronic safety laundry valve • MasterBath o Disconnect and cap plumbing and heat for demo o Install 3/"hot and cold water pipe risers from mechanical room o Install rough waste,vent and water piping for toilet,sinks and shower o Rough valves and piping for shower o Copper shower pan and strainer o Toe Kick heater on existing zone o Finish plumbing o Fixtures—Allotment Items ■ Toilet and seat • (2) Vanity sinks ■ (2)Bath Faucets • (2)Shower Valves,(2) handles,(2)trims/heads • Hand held shower,diverter valve and slide • Bath#2 o Disconnect and cap plumbing and heat for demo Page 5 of 11 Initials: /�/ ���`1 o Prep waste and water for toilet going back in the same location o Rough waste,vent and water piping for 2 sinks o Prep waste and water lines for tub o Set tub and install shower valve o Toe Kick heater on existing zone o Finish Plumbing o Futures—Allotment Items • (2)Vanity sinks ■ (2) Bath faucets • (1)Cast Iron tub ■ Tub/Shower Fixture and trip waste • (1)Toilet and seat • Master Closet o Slant Fin#30 per plans HVAC • Supply and install HVAC Work in the following af'eas: • Option:item-Basement Renovations o Install a wall mounted Fujitsu ductless heat pump M#15RLS2(21.5 Seer, 12 EER, 12 HSPF)to service renovated space,both heat and cooling. o Location to be confirmed with.Owner • 2"d Floor Baths o Relocation of one 2"d Floor ceiling return box. Box to remain in same joist bay, moved approx 1 foot towards the attic pull down stairs. Electrical General Notes&Specifications: + Allotment Item: Decorative Electrical Fixtures. Selected by Owner. • Fixtures supplied by Electrical Subcontractor: recessed lights with standard white trim and baffles, fluorescent lights in garage&closets,bathroom exhaust fans, low voltage under-cabinet lights,exterior flood lights. • Outlets and switch plates to match existing • Dimmers switches to be toggle style • Supply and install Electrical Work in thefollowing areas: • Option item -Basement Renovation o Demo all existing electric in basement as needed and rework wiring for beam installation 0 100 Amp,30 circuit sub panel to the left of existing panel,remove twin breakers from existing panel o Porcelain fixture and switch for electric closet o Entertainment Area ■ (4)4"recessed light fixtures(incandescent)with(2)switches and dimmers • (7)receptacles to code ■ (1)cable TV jack o Game Area • (8)4"recessed light fixtures(incandescent)with(2)switches and dimmers • (5)receptacles to code ■ (1)4"recessed light fixtures(incandescent)with(1)switch for craft area o Exercise Area ■ (5)4"recessed light fixtures(incandescent) with(2)switches and dimmers ■ (6)receptacles to code • (1)cable TV jack �� Page 6 of I I Initials. !,4 / DAV o Mechanical Room • (2)4"recessed light fixtures(incandescent)with switch for hall ■ (2)Porcelain fixtures and switch for meth.room ■ (1)GFI receptacle ■ (1)Carbon monoxide/smoke detector off existing system in mech. Room ■ All wiring for Fujitsu ductless heat pump • Mudroom/Laundry Renovation o HCBG support labor as needed o Wiring for hot water toe kick heater o 30 AMP 4 wire dryer line o Relocate washing machine receptacle o Install (2)counter top GFI protected receptacles o Install (1)wall mounted receptacle o (2)4"LED recessed cans with two switches and dimmers(option for incandescent) o (2)2' LED under cabinet lights with switch over machines(option for incandescent) • 2°d Floor bath Renovations o HCBG support labor as needed o Demo existing electrical as needed o Option iters: (4) new bedroom smoke detectors off existing system o Master Bath ■ (2)4" LED recessed fixtures with switch and dinuners ■ (2)Panasonic exhaust fan/light combos with switches • (2)vanity light with switch ■ (3)20 AMP GFI receptacles o Bath#2 ■ (2)4"LED recessed fixtures with switch and dimmers ■ (1)Panasonic exhaust fan only with timer switch ■ (2)vanity lights with switch • (2)20 AMP vanity GFI receptacles o Master Closet ■ (3)4"LED recessed fixtures with switchand dimmers • (3)receptacles to code Insulation General Notes&Specifications: • Draft stop caulking in framing as required by code • Supply and install Insulation 6Vork in the following areas: • Option item-Basement Renovations o Walls—Kraft Faced fiberglass batts R-11 3 YT approx 10 68 SF o Ceiling—Un Faced fiberglass batts.R-30, 10"—Entertainment area • Mudroom/laundry o Walls—Kraft Faced fiberglass batty,R-19,6",approx 80 SF • 2""Floor Baths o Walls—Kraft Faced fiberglass batts,R-11, 3 %a", approx 300 SF o Interior Walls: Sound Dampening,un-faced fiberglass,R-11 (approx 50 SF) • Attic Rafter Bays and Gables o Roof—Open Cell Foam: 9.25", R38.1, sprayed into open framing-40' Eave, 16'2 rake at 7/12=1300SF o Gable Walls-Open Cell Foam: 3.5", RI 1.1,sprayed into open framing Plaster Page 7 of I I Initials/ /�-V 0 General Notes&Specifications: • Walls: ''/2"gypsum blueboard screwed to studs; smooth skim-coat plaster finish. • Ceilings: %z"gypsum blueboard screwed to strapping;smooth skim-coat plaster finish + Supply and install Plaster IVork in the following areas: • Oration item -Basement Renovations o Walls—Approx. 1400 SF o Ceiling—Entertainment area: Approx 300 SF o Accoustical Ceiling Tile(Ceiling area behind entertainment area)Approx. 650SF • Mudroom/laundry o Walls—Approx. 300 SF o Ceiling—Approx. 80 SF • 2"`'Floor Baths o Walls—Approx 1460 SF(all new work areas and tie ins) o Ceilings—Approx 300 SF Tile General Notes&Specifications: • Allotment Item: Tile and grout materials to be selected by Owner and supplied by Contractor. • Unless otherwise noted below, installation labor has been included with the following assumptions: o Ceramic tile of consistent size and thickness(natural stone tile or"hand-fired"ceramics would be extra) o Tile sizes of 4x4 up to 12x 12 on floors,walls and ceilings(smaller or larger sizes may be extra) o Tile sizes of/"x'/"up to 2x2 on shower floors(smaller or larger sizes may be extra) o Tile to be laid out in a rectangular pattern,parallel to walls. Diagonal or special patterns, setting of accent tiles or patterns that include large amounts of cutting would be extra. o Contractor may revise pricing once the actual tile and patterns are selected by Owner. • Supply and install 1/2"cement board underlayment over new or existing plywood subfloors to receive tile. Cement Boards to be set in thin set and nailed with galvanized nails to the sub floor • NOTE: Existing plywood must be '/"thick with T&G edges. If not,additional underlayment will be required at extra cost. • Supply and install 1/2"durarock screwed to stud walls and strapped ceiling in shower. • Tile to be set with"thin set"over Durock. • Tile to be sealed with(2)coats tile sealant • Supply and install Tile TVork in the following areas: • Basement—None at this time • Mudroom Floor-88 SF o Threshold: Marble,white Carrera 3/4" x 36" • Master Bath and WC o Floor—85 SF o Shower Floor—25 SF o Shower walls and ceiling— 105 SF thin set over waterproofed Durock o Vanity Wall—30 SF o (1)Shower Set—includes(2)quarter round seats, (2)quarter round shelves or niches, (1) threshold, (2)jambs o Threshold: Vanity Marble 3/4" x 36" • Bath#2 o Floor—58 SF o Tub Deck and surround—73 SF o Threshold: Vanity Marble 3/4" x 36" Interior Doors General Notes&Specifications: • Interior doors to be 1-3/8"thick 6-panel solid core Masonite doors,primed, unless otherwise specified below. Page 8 of 11 Initials. /� / i • Interior doors to be pre-hung on solid pine jambs, and pre-bored for hardware unless otherwise specified below. • Hinges and door hardware are assumed to be bright brass.Other finishes are available and may be extra. Owner to select hinge finish prior to ordering doors. • Allotment Item: Interior Door Hardware; Owner to confirm style,finish and privacy/passage options prior to ordering. • Supply and install Interim Doors in the follow ing areas: • Option iters:-Basement o (3)2068 Closet Doors—Storage, Coat and Electrical closets o (2)3068 Unit pair,mechanical room and closet o (2)Bi-Fold units for Exercise storage area • Mudroom/Laundry o (1) Solid-core,Pocket Door Slab • 2"d Floor Baths o (3) Solid-core, Pocket Door Slabs o (1)2666 Unit pair, Linen Closet o (1)2668 Passage Door Interior Trim& Millwork General Notes&Specifications: • Window Casing: 3 pes,butted paint grade FJP. 5/4x5 head casing, 1x4 side casing, 1x4 bull nosed stool, 1 x4 apron,style to be confirmed by owner • Door Casing: 3 pcs,butted paint grade FJP. 5/4 head casing, Ix4 side casing • Baseboards: 1 x 5 paint grade FJP with 1 3/8 scotia cap • Beam Wraps: 1x6/1x8/lx6 paint grade FJP w/reveals • Column Wrap: 7x7 square,built up with mouldings • Supply and install Interior Trim &Millwork in the following areas: • Option item -Basement o Door casing on all new doors,2 existing windows to be cased,baseboard at all new work o Crown Moulding: B8009 9/16"x35/8"TV area to Faux beam o Ceiling Beam work: wrap existing dropped beams at renovated game area and exercise space. Install faux beam separating entertainment area and game area o Wrap new steel column at end of dropped beam in entertainment area o Wall Cap: 5/4"x8 wall cap w/scotia moulding at existing half wall o Allotment Item: Carpeted Stair Finish o Allotment Item: (5)Closet Interiors • Mudroom/Laundry room o Door casing on garage door and pocket door(mudroom side only,kitchen to remain). Base board to 611 in between cabinetry,no windows. Style to match Kitchen, 1 x5 square edge,butted. o Door Jambs: Ix6 FJP paint grade,at pocket door • 2""Floor Baths o Door casing on all new doors, 3 window casings,and interior transom window picture framed,baseboard at all new work. o Door Jambs: I x6 FJP paint grade..at pocket doors o Cased opening at master bedroom: I x6 FJP o Allotment Item: Closet Interiors—Master Closet, Linen Closet,Hall shelves/niche Cabinets General Notes&Specifications: • Cabinet Allotments include cabinets, mouldings,hardware and finishing. • Suppl-and install Cabinets in the follolcing areas: • Option item -Basement Page 9 of 11 initial$ o Allotment Item: Craft Center(prefinished,including hardware) • Mudroom/Laundry o Allotment Item: Mudroom and Laundry cabinetry(prefinished,including hardware) • 2"d Floor baths o Master-Allotment Item: Toilet Topper, including hardware o Master-Allotment Item: Vanity Base cab,including hardware o Bath#2 -Allotment Item: (2)36"Base vanity cabs,including hardware o Bath#2-Allotment Item: Toilet Topper,including hardware Countertops General Notes&Specifications: • Countertop Allotments include all materials and installation labor including materials and labor for templating. • Supply and install Countertops in the following areas: • Option item-Basement o Allotment Item:Craft area Laminate countertop • Mudroom/Laundry o Allotment Item: Solid Surface countertop • 2nd Floor baths o Master-Allotment Item: Stone Countertop o Bath#2 -Allotment Item: Stone Countertop Appliances General Notes&Specifications: • Installin-Owner supplied washer and dryer Specialties • Supply and install Specialties in the folloiving areas: • Allotment Iters: Custom Glass Shower enclosure,3/3"glass,door,hardware and installation. Aprrox. 55 SF • Allotment Item: Master Bath Accessory Set: (4)towel bars,(2) rob hooks and(1)TP dispenser • Allotment Item: Bath.Accessory Set: (2) towel bars,(1)rob hook and(1)TP dispenser • Allotment Item: (4)Mirrored Medicine cabinets Floor Coverings • Supply and install Floor Coverings in the following areas.- 0 reas:• Oration item-Basement • Allotment Item: Prefinished/Engineered hardwood flooring—approx.670 sf for entertainment area and craft area • Allotment Item: Interlocking Rubber Gym the for exercise area—approx 250 sf • See Tile for mudroom and bath floors Painting General Notes &Specifications: • Owner to select colors;Contractor to supply 1 materials and labor. • All paints to be Benjamin Moore,Latex unless otherwise specified below • Colors&Sheens: o Ceilings: flat,white;other colors or sheens would be extra. o Walls: flat or eggshell; (1)color per room,dark colors may require additional coats to cover, which would be extra; o Trim.Doors&Windows: satin or semigloss; (1)color per room different than walls;dark colors or dramatic contrast to wall color may be extra. Page 10 of 1 1 Initials. 1A� /!5 f o Exterior Trim: satin or semigloss; (1)color different than siding;dark colors or dramatic contrast to siding color may be extra o Siding: flat ore--shell; (1)color different than the trim:some colors may require additional coats to cover,which would be extra. • Unless otherwise noted below, interior painting of existing rooms if included,shall generally include,prep plus(1) finish coat of paint on ceilings, walls, trim,windows and doors. • Supply and install Painting in the following areas:� • Allotment Item: Interior Painting of all new work • Allotment Item: Exterior Painting of new siding and 2 new window trims Clean-up General Clean-up notes: • Jobsite to be cleaned up daily. • All construction debris to be removed from site. • At completion of the Work,the Contractor shall remove construction equipment,tools,machinery and surplus materials from site. • The house shall be left"broom clean"upon completion. • Contractor to provide on-site dumpsters during demolition and construction. Owner and Contractor to agree on exact location. Page 11 of 11 Initials i C§-068232 STEPHEN D HOWELL 15 MT VERNON RD BOXFORD ASA 01921 02/14/2014 i Office of Consumer Affairs and Business Regulation g 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175166 Type: Corporation --- - Expiration: 4/29/2015 Tr# 239150 HOWELL CUSTOM BUILDING GROUP- - STEPHEN HOWELL - 360 MERRIMACK ST LAWRENCE, MA 01843 = Update Address and return card.Mark reason for change. SCA t 20M-05/11 Address [] Renewal E Employment Lost Card {: J2P Lr L'7Yf//�1.QilZLIlCfGllt2 O�'�/� 9LCG'rG'C�ll -_ _ '� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ,ROME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 175166 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 �. ,=expiration: 4/2.9/291;5; Corporation ✓f ' _ = Boston,MA 02116 HOWELL CUSTOM BIJILD1NG-GROUP STEPHEN HOWELL 15 MT VERNON RD Ile— BOXFORD,MA 01921 Undersecretary Not va without signature The Commonwealth of Massachusetts Print Form Department of Industrial Accidents ' Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): c„D16� r 11 V-1 r2 r-yu(J Address: S A-:Q t(AJ City/State/Zip: LG c,)r ✓ ,zz�- Phone #: 9-7g-9 F, -9 Y Yo Are you an employer? Check the appropriate box: Type of project(required): 1j�jI am a employer with CZ 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. E] New construction 2.❑ I 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. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. [J We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.E] 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: (-rc�.c�r c� Z,i,S� c�•�cSL Policy#or Self-ins. Lic. #: Expiration Date: I aQ 1 q Job Site Address: 9�.5 (Z QQ S� City/State/Zip:,/Jo-4-A+.da.,er XA 01g 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 pains and penalties o eru that the in ormatron provided above is true and correct Si nature: Date: /0 �f Phone#: Official use only. Do not write in this area, to be completed by city or 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#: CHANGE ORDER FORM AND,-ACCOUNTING SUNINIARY HOWELL CUSTOM BUILDING GROUP, INC. Riverwalk:Building#5 360 Merrimack Street. Lawrence,MA 01843 (978)939-9440 C.S.L.4'068232 H.I.C.#123237 DATE: 9/3/13 OWNER'S NAME: Joe and Amanda Ramos ADDRESS: 258 Rea St.,North Andover, MA PROJECT: Renovations CONSTRUCTION CHANGE ORDER#1: I. GENERAL SCOPE OF WORK DESCRIPTION Pursuant to the Construction Agreement between Contractor and Owner dated July 25,2013,as requested by the Owner, the Contractor agrees to make the following changes to the work in the original agreement: 1. Change Order 1: • Construction Estimate#4—(Basement Renovations) $85,454 Total of CCO #1: $85,454 II. ACCOUNTING SUNINLXRY A. Original Contract Budget: $ 159,661 B. Net Change by all prior Change Orders: $ 0 C. Adjusted Gross Contract Amount prior to this Change Order: $ 159,661 D. Amount of this Change Order: $ 85,454 E. Adjusted Gross Contract Amount including this Change Order: $ 245,115 III. GENERAL CONDITIONS A. PAYMENT Payment is due upon signing of this change order and receipt of Invoice from Contractor. B. INCORPORATION This Change Order, by agreement of Owner and Contractor, is incorporated by reference into the Construction Agreement between Owner and Contractor. All ten-ns and conditions in the"General Conditions" section of the Construction Agreement between Owner and Contractor apply to this Change Order. 1 Initials I have read and understood the Change Order above, and I agree to all of its ten-ns. Date 0 1i lER'S SIGNATURE Date OWNER'S SIGNATURE � 1 ate CONTRACTOR' GNATURE Initials I l CHANGE ESTIMATE # 4 DATE: 8/29/13 PROJECT: Basement Renovations REFERENCE: Basement Owner: Joe & Amanda Ramos Architect: HCBG Address: 28 Pine Plain Rd. Address: 360Merrimack St. City: Boxford, MA City, State: Lawrence, MA Attn: Matt Howell Custom Building Group (HCBG) hereby submits the outline and conditions of the change in the scope of the work: -Change Estimate#4 references the Basement Renovations detailed in the Scope of work dated 7/25/13 -Schedule of Allotments dated 7/25/13 -As Per Plans dated 4/25/13 (5 Sheets) Total $85,454 *Note on Substantial completion: Due to the sequencing nature of this project and need for finished bathrooms, the Substantial completion date will be extended with this change. A closer estimate of completion date will be forthcoming. Notes: I. The time adjustment reflects this single change estimate. Further time adjustment may be required if changes in total effect the projects progress in a collective manner. 2. The above change estimate will adjust the Contract Amount and upon authorization below, will form the basis for a Change Order to the Contract. 3. When signed below by the Owner and received by the HCBG, this document becomes effective immediately as an approved Change estimate.and HCBG shall proceed with the change(s)described above. Submitted by: Name: Matt Bendle Project Manager �`�--- Approved and Authorized by: Owner Proj t Ma age Date: �� Date: AX / '``C"R"® CERTIFICATE OF LIABILITY INSURANCE DATE MMID 06/24/2013013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: NORTH ANDOVER INSURANCE AGENCY, INC. (AIC,No, Ext): (978) 686-2266 AC. No):(978) 686-6410 M.J. FOSTER INSURANCE SERVICES ADDRESS: llariviere@nafins.com 163 MAIN STREET USSTTOMER COMER ID_ k.HOWELL CUSTOM BUILDING GROUP INC CU _ NORTH ANDOVER MA 01845-2508 INSURER(S)AFFORDING COVERAGE NAIC# INSURED -- INSURER A_MAIN STREET AMERICA ASSURANCE 29939 HOWELL CUSTOM BUILDING GROUP INC INSURER B :NATIONAL GRANGE MUTUAL INS. 360 MERRIMACK ST BLDG 5 INSURER c :GUARD INSURANCE Ste 4N - INSURER D INSURER E LAWRENCE MA 01843-1740 INSURER F COVERAGES CERTIFICATE NUMBER: 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 ADOL SUBR - "" _- -- -- - -- TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DD/VVVY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY Y Y MPT7773E 06/01/2013 06/01/2014 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY / DAMAGE TO RENTED PREMISES(Ea occurrence) S 500,000 CLAIMS-MADE X OCCUR / / / / MED EXP(Any one person) S 10,000 PERSONAL 8 ADV INJURY__ $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. / / / / PRODUCT_S_-COMP/OP AGG S 2,000,000 X POLICY PEC LOC / / / / EPLI $ 100,000 B AUTOMOBILE LIABILITY M1T7781E 06/01/2013 06/01/2014 COMBINED SINGLE LIMIT S 1,000,000 ANY AUTO / / / / (Ea accident) _ ALL OWNED AUTOS BODILY INJURY(Per person) S / / / / ------ - - - X SCHEDULED AUTOS BODILY INJURY(Per accident) S / / / / — — PROPERTY DAMAGE X HIRED AUTOS / / / / S (Per accident) X NON-OWNED AUTOS S B X UMBRELLA LIAB X OCCUR CUT7773E 06/01/2013 06/01/2014 EACH OCCURRENCE S 3,000,000 EXCESS LIAB 3,000,000 CLAIMS-MADE / / / / _. A_GGRE_GA_TE_ __ S DEDUCTIBLE RETENTION S C. WORKERS COMPENSATION HOWC321401 06/01/2013 06/01/2019 WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/N _ X TORY LIMITS ER CNV PROPRIETORIP.ARTUERIEXECUTVE E.L.EACH ACCIDENT S 500,000 (Mand OFPICERliv1 y in-NH) EtCLUDEO1 ❑ NIA - _. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.S 500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ( ) - (978) 688-9542 ATTN: BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF NORTH ANDOVER 1600 OSGOOD STREET AUTHORIZED REPRESENTATIVE NORTH ANDOVER MA 01845- ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025.200909) The ACORD name and logo are registered marks of ACORD