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HomeMy WebLinkAboutBuilding Permit #510-15 - 34 SARGENT STREET 12/1/2014TYPE OF IMPROVEMENT PROPOSED USE Res'dential Non- Residential ❑ New Building One family ❑ A,ddition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Others: ❑ Repair, replacement ❑ Assessory Bldg ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Ploodplain ❑ Wetlands 0 Watershed District ❑ Water/Sewer UtaL.rur i 1UN Ur VVUKK I U BE PERFORMED: Cabe, e, L5 , RemeOc d /,yo✓q l�- nSu/ct4-� a 11 I A�J r7. 1�s�af� n�a> �abr�►� SSI drywo, Identification - Please Type or Print Clearly OWNER: Name:_ ON -0r/ an z h L- Phone: Address: 35a,q CM - Contractor Name: -Phone: Address: Supervisor's Construction License: S `7 /061� Exp Home Improvement License: ExD Date: Date: 0'/10 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: $ 3, 6,rt 00 FEE: Che, No.: `�q Receipt No.:���� L _NOTE: Persons contracting with unregistered contractors do not have access to theuaran and g �f 4i 4Signature of Agent/Owner Signature of contractor -�' 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine ur%rMc ....A nATA — /Gnr rinnnrfmP_nt IISP_� No J Cob— ❑ Notified for pickup Call Email Date Time Contact Name Doc -.Building Permit Revised 2014 4 -- 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 T' Q LLI m LL O C� mN u E v 0 O W Ln Z Z m c O 0 Z C7 Z d d Z V W lL O w y z v' F- W Q CL lL a LU LL a+ Y O O LL Ln U Q w (n o 'p 7 O LL t 7O O �' v C E L U N C LL t j O d' f0 C LL L j O C� cu U i Ln N c LL K c LL E m z N L N cu O N O N kl Q N O O R Q' J � Z > M O Rcn L O =_ R C N L _ O t V Q N 0 o m O Z Q C .�- • n O ma L . CL co 0 �. orCM- w = c_ Q L L R -0 co AW R d V m W C .a- O O LL ! R N �S t = O .E ~ .t W V Q O -0 d �L+ co (D > N N - O O F- t 0 CL 0 L) cn 2 Z G co Z W w EL W W a. n F- U) O V J m L d N O 00 O CL Q m Q O J 0 OD Z v CL N C r-1 Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 231,165.00" m $ - $ 277.98 Plumbing Fee $ 34.75 Gas Fee 100 comm. $, 1'GG-00 Electrical Fee $ 34.75 Total fees collected $ 447.48 34 Sargent Street 510-15 on 12/1/14 Kitchen Remodel CONSTRUCTION CONTRACT This Construction Contract (hereinafter the "Contract") is hereby made on by and between Brian Donahue of 34 Sargent Street, North Andover, MA 01845 (hereinafter "Client' and Devin Collins of 95 Granite Street, Hooksett, NH 03106 (hereinafter "Contractor"), collectively referred to herein as the "Parties." ARTICLE I ENGAGEMENT/DESCRIPTION OF THE WORK A. Contractor shall provide the following construction services (the "Project"): Kitchen Remodel. Demolition of entire kitchen will include removal of existing cabinets, suspended ceiling, paneling, plaster and flooring. Framing of new 2x4 ceiling will be installed at the same height of existing suspended ceiling. New sub -flooring will be installed as needed prior to cabinet installation. All exterior walls will receive a minimum of R-15 insulation. Drywall will be installed after all rough inspections have been approved including plumbing, electric, framing and insulation. The entire area will receive three coats of compound and will be sanded and primed only. Installation of new cabinets and counter tops according to plans. Four Harvey double hung Tribute windows will be installed in replace of existing windows in three -season room. A new 32" x 80" Therma-Tru door will be installed at rear entrance and a new french door will be installed to replace existing slider. Building permit will be provided by contractor. Electrical and plumbing permits will be provided by electrician and plumber. All debris removed will be disposed in a dumpster provided by contractor on site ( location of dumpster to be placed in backyard). Any unforeseen damage (i.e. rot or insect damage) will be brought to the homeowner's attention before repairs are made. B. Client engages Contractor and Contractor agrees to provide to Client all necessary services, materials, and labor necessary for the completion of the Project including, but not limited to, all building and construction materials, requisite labor and site security, and all necessary tools and machinery needed for project completion. All construction materials should be new and of the highest quality, unless previously specified by Client. C. Contractor shall provide the construction services for the Project at the property located at 34 Sargent Street, North Andover, MA 01845. D. This Contract shall be comprised of the following: this Construction Contract, Plans, Specifications, Addenda, Drawings, Photos or other visual representations of the proposed work, and the written Modifications attached to this Contract, properly signed and witnessed, all of which are attached hereto as exhibits. ARTICLE II SCHEDULE AND TIME OF PERFORMANCE A. Contractor will begin work on December 01, 2014 to be completed by December 31, 2014. 0 Copyright 2013 Docstoc Inc. t. B. In the event that Client and Contractor agree on changes to the Project after this Contract is executed, the Parties will agree to new time deadlines that are reasonable in light of the modifications. ARTICLE III PAYMENT SCHEDULE A. In consideration of the performance of this Contract, Client agrees to pay Contractor the sum of Thirteen Thousand Three Hundred Forty -Five Dollars ($13,345.00) (the "Contract Price") on the following payment schedule for the services. B. Contractor shall be paid as follows: Total cost of project $23,165.00.Allowances are as follows Electric $1500.00 Plumbing $3200.00 Cabinets and Countertops $5120.00 to be incurred by homeowner. The remaining balance of $13,345.00 will be billed on the following basis: First payment or deposit due on 12/01/14 in the amount of $4,448.33. Second payment will be due upon completion of rough inspections. Amount due $4,448.33. Last payment of $4,448.33 will be due upon completion of project and final inspection. Any additional credits or debits will be made at the time unless otherwise specified in a "change work order". ARTICLE IV CHANGES TO THE WORK A. All changes or modifications to the work ordered by Client must be made in writing, with appropriate adjustments made to the total payment and payment schedule. The approval of both Parties shall be required for substantial project changes such as the date of completion, project price, and substantive modifications to the project itself, and notification of these changes must be made in a timely manner. B. If these changes should require additional expense to Contractor, Contractor must make a claim for increase in payment, in writing, to Client, in a timely manner. Client must approve this claim for increase in writing prior to any changes to the work, project, or schedule. ARTICLE V DELAYS A. If Contractor is delayed from completing required work due to unavoidable casualties, Client shall grant Contractor an extension for the completion of work equal to the delay. Unavoidable casualties include, but are not limited to, fire, flood or natural disasters, delayed acquisition of materials or material delivery, and negligence on the part of Client. © Copyright 2013 Docstoc Inc. 2 h B. In the event of unavoidable casualties, Contractor shall properly document both the event and the impact of that event on project completion. Documentation shall be presented to Client in a timely manner. ARTICLE VI RIGHT TO STOP WORK A. If Contractor fails to correct defective work or persistently fails to supply materials or equipment in accordance with the Contract Documents, Client may order Contractor to stop the work, or any portion thereof, until the cause for such order has been eliminated. ARTICLE VII ACCESS AND CONDITION OF PREMISES A. Free access to the work and project site shall be granted by Contractor to Client, the designated agents of Client, and all necessary public authorities. B. Contractor agrees to keep the premises clean and orderly. Contractor shall remove all debris as needed during the hours of work in order to maintain work conditions free of health or safety hazards. ARTICLE VIII WORK PERFORMANCE AND WORK QUALITY A. Contractor shall conduct its activities in a professional manner and adhere to the reasonable wishes of Client in relation to its working schedule. Additionally, Contractor's work shall adhere to and be in compliance with both the Standard Practices of the Trades and any relevant Manufacturers Specifications. B. Contractor shall protect all work adjacent to the Project site from any damage resulting from the work of Contractor and shall repair or replace any damaged work at its own expense. Contractor shall take all precautions to protect persons from injury and unnecessary interference or inconvenience. ARTICLE IX LICENSES AND PERMITS A. Contractor will be responsible for obtaining the necessary permits and licenses to fulfill the services specified in this Contract. ARTICLE X FINES A. Contractor is responsible for maintaining proper work, safety, and environmental protection standards. Contractor agrees to hold Client harmless for all fines from federal, state, or local agencies and regulators. Contractor will work in compliance with all standards required © Copyright 2013 Docstoc Inc. 4 by the EPA, OSHA, and other applicable federal agencies. Contractor will be responsible for paying all fines and judgments levied by these agencies resultant from the performance of this Contract. ARTICLE XI RELATIONSHIP OF PARTIES A. The relationship created between the Parties shall be limited to that of independent contractors. Neither party shall undertake any actions that would imply or seek to establish, any partnership, ownership, employment, joint venture, or trust relationship between the Parties, except by amendment to this Contract. ARTICLE XII GENERAL A. Both Parties are expressly prohibited from assigning this Contract or any rights or interest flowing therefrom. Assignment will only occur with the express written consent of both Parties. B. This Contract contains the entire agreement and understanding between the Parties and supersedes any prior or contemporaneous written or oral Contracts, representations, and warranties between them respecting the subject matter of this Contract. C. This Contract will be interpreted and enforced under the laws of the State of MA, without regard to conflict of laws. IN WITNESS WHEREOF, the Parties hereto execute this Contract: CLIENT Authorized Signature Name and Title D Copyright 2013 Docstoc Inc. CONTRACTOR Authorized Signature Name and Title License Number: CSFA-106119 HIC179246 4 Note: This drawing is an artistic interpretation of the general appearance ofthe design. It is not meant to be an exact rendition. 20 2Qp'r'7, LecLww%ioc� s 1 Designed: 9/15/2014 Printed: 9/20/2014 JO Donohue Wolf Plan A 9-15-14 All Drawing #: 1 '�*,O,ddu/3 C4 CU,� Note: This drawing is an artistic�Y1 interpretation of the general appearance of the design. It is not meant to be an exact rendition. 7r10''� rcxavoioai¢a Designed: 9/15/2014 Printed: 9/20/2014 JO Donohue Wolf Plan A 9-15-14 Architecture I Drawing #: 1 — — 135" 24" 5111- — 12" 43" --.—_ 2731, q gry 4 75eP 60" n 29e 3aa{ ' (D ,".'1236 N A S830 —18,DISH',IVVP3 � i m co 00 m 4-• w LO r z i t ® ♦ N �/�S W <D CO 0 w 'y Oryq V W Ur 0 ® . G5 -- — - CO � N CO :In CO hm I 12" 29" 3°' ---31%tl 1115 -32" 12" . — ----- — 135" --_---------------- _---- ____---_. . All dimensions size designations20 THs is an original design: and must Designed 11/19/2014 given are subject to verification on «A not be r;.leased or copied unless 'Printed: 11/22/2014 job site and adjustment to ft job appItcable fee has been paid or job conditions. order placed JO Donohue Wolf Plan B 1t-19-14 All Drawing 4 1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) IFICATE 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX FOY INSURANCE GROUP 1889 ELM STREET (AIC, No, Ext): (A/C, No): E-MAIL MANCHESTER, NH 03104 ADDRESS: 76Y7B INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA COLLINS, DEVIN DBA DEVIN COLLINS RESIDENTIAL INSURER B: REMODELING INSURER C: INSURER D: 95 GRANITE STREET INSURER E: HOOKSETT, MA 03106 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMWDIYYYY) (MMIDDWYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE Is COMMERCIAL GENERAL LIABILITY CLAIMS MADE CD OCCUR. H� AMAGE TO RENTED DREMISES (Ea occurrence) $ ED EXP (Any one person) $ ERSONAL & ADV INJURY I $ GENT AGGREGATE LIMIT APPLIES PER: POLICY EJ PROJECT 0 LOC ENERAL AGGREGATE Is DRODUCTS - COMP/OP AGG Is AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULE AUTOS (Per person) BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB ID OCCUR EACH OCCURRENCE is EXCESS LIAB CLAIMS -MADE AGGREGATE Is DEDUCTIBLE Is RETENTION $ I $ A WORKER'S COMPENSATION AND`r EMPLOYER'S LIABILITY YIN UB -8D885394-14 01/09/2014 01/09/2015 A WC STATUTORY LIMITS OTHER ANY PROPERITORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? 1 ' I �-j NIA E. L. EACH ACCIDENT is 1 QQ,QQQ E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) if yes, describe under D DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS' COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR COLLINS, DEVIN. CERTIFICATE HOLDER CANCELLATION NATICK BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13 EAST CENTRAL STREET BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NATICK, MA 01760 AUTHORIZED REPRESENT VE '� AGURU 2s (2UIWUs) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. E4 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 Q !, Please Print Legibly Name (Business/Organization/Individual): �� tJ t ✓1 �!' � 1 � � % 1 � � �'t " �n � �u � Re_,,li\� Address: q !r �j�urn � 5 k_fc Citv/State/Zim 1400 k�( f. 04 03/0( Phone #: & 03 dL 6 tf —9 q 3 1 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. E] 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. 7. ❑ Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance required.] comp. insurance.$ 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their ILEI 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 13.❑ Other employees. [No workers' coma. insurance required.l *Any applicant that checks box #I 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. /p Insurance Company Name: �a t- !7 _P9. f (. Q �� 4 n y 0 �- Policy # or Self -ins. Lic. #: U . J �/ �g l q Expiration Date: 0 /X0 a®i5� Job Site Address: 3q �A rq t' ji�— '5 " . City/State/Zip: AmIg oe r 0 / C� 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under thepains and penalties of perjury that the information provided above is/rue and correct. Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone ]j m R !\ ^ \ ƒ5$ r)?f . m z o Zi o : i . /®, x 2 E § 2. ' )§ ® A0m 0 a § , %? g \ m »wg»a m � ;\ - � w �2w&o Z �$ m\�� © ' ± » all \ o §\�\ ok k §. �. �_ \� m 0 \ m & L ƒ � 4$ \/k E$ . co\/ ]j m R !\ ^ \ \ \ P . m z o Zi o : i . /®, x 2 E § 2. ' )§ ® A0m 0 a § , \. E R 2 * ] g \ \m:«& o ;s s »wg»a m � ;\ - � w �2w&o Z �$ © Z-1 to \ o §\�\ ok \ §. �. Locationy q J'` r- �. 1 No. 510 Date 2 1 ' Check # c ! ► \ 283' 3 TOWN OF NORTH ANDOVER.. Certificate of Occupancy $ Building/Frame Permit Fee -4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector