HomeMy WebLinkAboutBuilding Permit #1068-2016 - 45 DAVIS STREET 4/13/2016 OWN OF NORTH ANDOVER �oRry'
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received ' '9 • •'
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION V ANOA n
Print
PROPERTY OWNER-2 rA, Lzma=Ln
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MAP NO.: V PARCEL: U U u�J ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building One family
❑Addition ❑Two or more family ❑Industrial
❑Alteration No. of units:
❑Repair, replacement ❑Assessory Bldg ❑Commercial
❑Demolition
❑Moving relocation Other ❑ Others:
❑Foundation only
DESCRIPTION O WORK O B PREF RMED
Z00
Identification Please Type or Print Clearly)
OWNER: Name: 2LZMn,cy Phone:
Address: y5 noIS 5T Hoot Wow, 'M A US 9 5.
CONTRACTOR Name: Phone:,50 - 30
Address: �A MA oiv)-i� ,
Supervisor's Construction License: 09(A310 Exp. Date: O� I ��
Home Improvement License:-. -J Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
s
Address: Reg.No. i
FEE SCHEDULE.BULDING PER T.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ -- x12.00=FEE:$ 101 -n
Check No.: 'G=et Receipt No.: Z X
Page Iof4
BUILDING PERMIT NORTH
O�tt`'eo ,bagti0
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION * ,�
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Permit No#: Date Received '�R.0'?Areo f°`y4`'
gSSAC HUS��
Date Issued:
IMPORTANT: Applicant must complete all items on this page
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
❑ 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:
Email:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING 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
9^=
Signature of contractor ., t
Location }�
No. tVu✓ �D� Date
i
• - TOWN OF NORTH ANDOVER
e Certificate of Occupancy $
Building/Frame Permit Fee $ 01
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ i
Check#,��g
- n Building Inspector
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL '
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swiunming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pennauent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
i
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Siqnature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
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 Town Engineer: Signature:
3
FIRE�DEPAR�TMEMaT TempDurnpsteron=safe yes___ - lno _3 _}2
Located Osgood—Street
Street
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},Locatedlat`ti12,4MaincStireet., h -• - _:_�_._ . _. �. F_ _W-.
FretDepar�trnent signature/d'a'te
00 WE f><S r,
Dimension
Number of Stories: Total square feet of floor area, based orrtExterior 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)
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Buildin;Pennit Revised 2014
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
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
4. 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
TYPE OF SEWERAGE DISPOSAL
Public Sewer F1 "-
Tanning/Massage/Body Art ❑ Swimming Pools El
Well
Tobacco Sales ❑ Food Packaging/Sales ❑
❑
❑ Permanent Dempster on Site ❑
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner ASignature of contractor 1W4,t Aa'o'
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
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
Temp Dumpster on site yes—no_ Fire Department signature/date
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NORTH
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IAQ C OC KIC M!W IC K
�s.9s R�reo �Pa��S
U BOARD OF HEALTH
Food/Kitchen
PER T T LD Septic System
THIS CERTIFIES THAT BUILDING INSPECTOR
................. ......�'r•1n .. ...a r� .......... .......... . ..........
... .. ..... ....... .. . .
Foundation
has permission to erect ........................ buildings on ..... ....... � ... .......p�
� .... ........ Rough
g
to be occupied as .......Sin ?......... ...fC(*.t................................................... ...... 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S ARTS Rough
. Service
................. ... "y2rr:�.. .J..:.......................................
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.
DIAMOND CONSTRUCTION,INC.
1 Worcester St.,Suite 10
Grafton,MA 01519
diamondconstructionma@gmail.com
HIC License#176910 DIAMOND
CS Lic.080830 CONSTRUCTION INC.
CONSTRUCTION AGREEMENT
THIS AGREEMENT is made at 45 Davis St,North Andover,MA 01845.
On this day 03 of 21 of 2016, by and between,DIAMOND CONSTRUCTION, INC.
(hereinafter the "Contractor") and Richard Lemack (hereinafter the "Owner") located
at
DESCRIPTION OF SERVICES
Diamond Construction,Inc.agrees to provide labor,materials,equipment and other
facilities required to complete the following work:
,Jc `F�f w�4e-w-j
Strip and Re- oof at the property located at 45 Davis St,North Andover,MA 01845
which owner warrants that it is the owner with full authority to enter into this agreement.
Diamond Construction,Inc.agrees to start this project on April 180' of 2016 and shall
complete the work on April 20"' of 2016. If the project passes final inspection and Owner
refuses to sign Notice of Completion,then Contractor may sign this Notice of Completion on
behalf of Owner as it will be assumed that he is satisfied with the work.
PAYMENT
Owner agrees to pay Contractor the amount of$8,400.00(subject to adjustments such as
additions and deductions pursuant to authorized change orders).Owner shall pay for all
permits,licenses and easements for permanent structures or permanent changes in existing
facilities. In the event Owner obtains their own permits,Owners shall be excluded from
Residential Contractor's Guaranty Fund pursuant to Mass.General Laws Chapter 142A. City
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C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
(sem- o1v �.��-�- l r3
SCOPE OF WORK
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1) There will be a Project Manager inspecting the project I j ✓ j
2) Install Safety equipment before starting working —1 1 100% ✓
I 3) Cover house&shrubs with tarpaulins for the protection ! 100% ✓ I
4) Strip'Z layers roof shingle all the way strait to the wood. j i 100% ✓ I
j5) (Each additional layer plus$30.00 per layer/per SQ) (If } X
cedar$50/per SQ)(if Slate$90/SQ) s
! 6) Re-nail all loose roof boards ! 100% ' V
j 7) If wood is needed,the extra charge is$47.00 per plywood/or ! X
$4.00 linear foot
8) Install 6 feet ice and water shield all gutter edges,and 6 feet i I 100% I ✓ 1
on the valley,and 3 feet on rakes,Y2"over hang to-the fascia f
1 9) Tiger Paw felts] or Deck arm❑ 100% ✓ —I
j Diamond Deck CertainTeed
10) Install 8"to the roof deck int"overhang to the fascia ! 100% ✓
aluminum drip edges to all edges. White 0 Silver❑Brown
❑
11) Re-flash dormers and wall areas -_ -- _— --- � 100% -------`��
--i
12) Note:if the siding removal is needed,extra cost may apply X
for labor and materials.
13) Apply starter strip at eaves -100% — ✓ _v
14) California cut or weave valley (If any) T ` 1 100% i ✓
15) Install new roof flanges on vent pipes (If any) 100% ✓
16) Install new ridge vent cobra snow country0 or CertainTeed 100% ✓
ridge vent.❑ Customer choose
17) GAF TimberTex Ridge caps® Silk Ridge caps❑OR 100p ✓
CertainTeed Hip&Ridge Caps❑
18) Install new aluminum chimney step flashing, 100% ✓
19) (Lead flashing at fair-market price$ 7 X
20) Install new architect roof shingle,Brand&color(Black 100% ✓
Charcoal GAF Timberline or CertainTeed Landmark)
customer choose
DIAMOND CONSTRUCTION,INC. 1 WORCESTER ST.,Suite 10,GRAFTON,MA 01519
Ph:-508=365-7300 ❖ E-MAIL:diamondconstructionma@gmail.com
s °
21) Clean all the gutters on the new roof 100%
22) Use 3 feet magnet to remove all nails from around the house 100%
23) Include Z Hurricane nailing QPermits QDumpster 100%
24) Soffit X X
25) Sky Light X X
26) Gutters ,+X X
27) Garage / AD 7 x
28) Fascia X X
29) Material supplied by the customer X X
30) Material supplied by the Diamond Construction INC. 100%
31) RED MEANS: NOT INCLUDED IN THE PRICE ESTIMATE OR
CONTRACT.ADDITIONAL CHARGE WILL APPLY FOR LABOR
AND MATERIAL.
32) BLUE MEANS: JUST THAT SPECIFIC AREA IS INCLUDED ON
THE ESTIMATE OR CONTRACT PRICE.
33)This Symbol✓means that is included on the estimate or
contract price.
L�vl1YK ARYT
DIAMOND CONSTRUCTION,INC. 1 WORCESTER ST.,Suite 10,GRAFTON,MA 01519
Ph:-508-365-7300 +:+ E-MAIL:diamondconstructionma@gmail.com
DIAMOND CONSTRUCTION, INC.
permits and licenses to complete the work shall be paid by Diamond Construction.All
payments are due and payable upon receipt.
Payments will be made according to the following schedule:
$4,200.00 Upon the execution of this agreement. Includes material costs, permit costs, and
dumpster fee;
$ .00(whichever is greater)of-the contract sum upon commencement of the work;
$4,200.00(whichever is greater)of the contract sum upon completion of the work.
If material/equipment required were special ordered there will be no exchanges,
refunds,credits,or returns.
Payments shall be made in available U.S.funds and payable to "Diamond
Construction,Inc."Payments made will be non-refundable once Contractor starts to perform,
starts to demobilize in any way,engaged subcontractors,or has ordered materials.All
payments will also be subject to deduction for administrative expenses.Owner agrees to pay
$50.00 for each and any non-sufficient fund checks.If an invoice is not paid when due,
interest will be added to and payable on all overdue amounts at 6%per year.Owner shall pay
all costs of collection,including without limitation,court costs and reasonable attorney fees.
PLANS/SPECIFICATIONS
Prior to the start of the work,Owner shall provide to the Contractor all plans,surveys,
specifications, drawings, blueprints, and reports describing the physical characteristics, soil,
geological and subsurface conditions,utility locations, and similar documents that may assist
Diamond Construction,Inc. in properly evaluating the extent and character of the work at the
estimate stage. If any drawing, blueprint,floor plan, or specification violates or is in conflict
with local law or/and ordinance, and where any such situation results in any necessary
changes in the work, then .Diamond Construction, Inc. shall be entitled to a reasonable
adjustment to the Contract price and time to correct it.
CHANGE ORDERS
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C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION,INC.
All change orders shall become part of this contract and incorporated by reference.
The Owner shall notify Contractor of any changes in construction or plan and shall provide
revised drawings,plans,or specifications followed by a change order.
If the changes in the change order pertain to differing site conditions,errors in the
plans and specifications, or other circumstances beyond the control of the Contractor
(including acts by the government,fire,flood,unusual delay in transportation, abnormal
weather conditions, labor disputes, strikes, war, lack of worksite access, acts of God,
natural disasters, or acts of third parties), then Contractor shall submit to the Owner an
estimate and proper adjustments to the contract price and time.If pricing is inapplicable,
cost of the change or the amount of the adjustment shall be determined based on the cost
to Diamond Construction plus reasonable amounts for overhead and profit. Contractor
shall not be obligated to perform changes in the work or additional work until the Owner
has approved,in writing,the changes to the contract price and time.
SITE CONDITIONS
Owner acknowledges the duty to disclose any and all pertinent and known
hazardous condition information to Contractor and subcontractors and may not mislead or
conceal any material or property facts such as how many layers of roof or type of roof was
originally installed. Where a site owner does not disclose facts that subsequently cause
delay or need further cost,then the Contractor will then be entitled to recover damages and
a change order shall be allowed for additional costs.
After consultation and agreement with the Contractor, Owner must immediately
make an adjustment in the contract time and payment by issuing a change order if
Contractor discovers and notifies owner of any of the following:
(I)Hazardous Materials deemed by any federal, state or local governmental authority to
pose a present or potential hazard to health,safety, or the environment;
(2)Any Subsurface, visible, nonvisible, or latent physical conditions that are found
unexpected or that seem different from the work agreed upon;
(3) Unknown physical or other conditions that seem strange or materially different from
those encountered by Contractor's during and based on his construction experience.
3
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
Upon discovery of any of the above, Contractor shall immediately stop work at that
particular site. Contractor shall have no obligation to perform any corrective or remedial
work.
TERMINATION
Owner is required to first provide a 5 day advance notification of any alleged breach
and allow Contractor 10 days to cure such alleged breach.
Owner may terminate the Contract of the Contractor knowingly disregards applicable
laws, statutes, ordinances,or.local codes,has committed a material breach,if contractor
made an assignment for a creditor,or becomes insolvent.
Diamond Construction, Inc. may terminate this Contract if. Owner becomes
insolvent, will not allow access to the site, Owner commits a material breach or fails to pay
an invoice on time; work is suspended for 10 consecutive days through no act or fault of the
Contractor or a Subcontractor, Sub-subcontractor or their agents or employees; or there is a
stop work order by any court, or any stop work order issued by any town or authority. If
any of the above occurs,then Diamond Construction shall send a written termination notice
to the Owner and recover from the Owner payment for work performed, including reasonable
overhead and profit, costs incurred by reason of such termination, and damages.
If the Owner terminates the contract on convenience, he shall communicate of this
intention writing to Contractor as soon as possible. Then, on or before the termination date,
Contractor shall be paid its actual costs for that portion of the work performed to the date of
termination and for all costs of termination, including demobilization and any termination
payments already made to vendors and subcontractors, plus 20 percent of all such costs for
overhead and lost profit.
INSURANCE
The Diamond Construction, Inc. shall carry and maintain throughout the project
period valid Workers' Compensation and General Liability insurance. Certificates of
insurance can be provided to Owner upon request prior to commencement of the work.
Contractor ensure that the general liability coverage to includes the Owner as additional
insureds for claims caused in whole or in part by the Contractor's negligent acts or omissions
during the Contractor's work.
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C/2015-This document is binding and has serious legal consequences. Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
The Owner must have and maintain throughout the project and until completion
property insurance coverage (Builders Risk Insurance or other suitable cover) at minimum
the amount of the contract price. Property insurance including loss or damage shall cover
the Owner, Diamond Construction, Inc., Subcontractors and Sub-subcontractors for their
interest in the Work and shall insure against the perils of fire with extended coverage and
physical loss or damage including coverage for theft, vandalism, malicious mischief,
collapse, debris removal. Owner waives all rights of recovery against the Diamond
Construction, Inc. for loss of use of the Owner's property, including consequential losses
due to fire or other hazards,however caused
If the Owner does not have and will not obtain property insurance, the Owner shall
inform Contractor in writing prior to start of the work. If the Diamond Construction, Inc. is
damaged by Owner's failure to have or maintain insurance as described above, without
notifying the Contractor, then Owner will be responsible for all costs associated to such
damage.
Owner and Diamond Construction, Inc. waive all rights against each other and
against all other Subcontractors and Owner for loss or damage to the extent reimbursed by
any property or equipment insurance applicable to the work,except such rights as they may
have to the proceeds of such insurance. If any applicable policies of insurance require an
endorsement or consent of the insurance company to provide for continued coverage where
there is a waiver of subrogation, the owners of such policies will cause them to be so
endorsed or obtain such consent. Owner must not use or borrow any tools or ladders owned
by Contractor. If Owner, without consent, uses Contractor's tools or ladder, then he shall
hold Contractor harmless of any liability whatsoever and will not place any claim on
Contractor's insurance.
DELAY
Diamond Construction,Inc. shall provide to the Owner notice of any delay in work.
for changes necessary due to work schedule, suspension of work or any other unforeseen
cause beyond Diamond Construction's control and/or where there is no fault by the
Contractor, its Subcontractors or suppliers. The contract time shall then be extended as
necessary to accommodate delays via change order.
SUSPENSION OF WORK
5
C/2015- This document is binding and has serious legal consequences. Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
Diamond Construction,Inc.,may suspend work for Owner's failure to pay invoice on
time, due to differing site conditions, or for changes requested by Owner where Contractor
deems it may suffer financial hardship.If work is stopped for a period of 10 consecutive days
due to no act or fault of the Contractor or a Subcontractor or their agents or employees; or if
because the Owner has repeatedly failed to fulfill the Owner's obligations under the contract
then Contractor, at his discretion, may immediately suspend work, terminate the Contract,
and recover from the Owner.
The Owner may suspend work with advance notice to the Contractor. The written
notice shall specify ,the date and the estimated duration of the suspension. Any Owner
suspension shall not exceed 24 hours. Once the suspension is removed, the Contractor shall
resume performance of the Work as soon as it is possible. Owner will be liable then for all
and any damages for suspension of work which may include costs of demobilization,
extended overhead costs,jobsite costs,etc.
Any suspension of work under this Contract will also suspend the progress and
completion dates.
FORCE MAJEURE
If performance of this agreement or any obligation herein is prevented, restricted,
interfered by reason of act of God, fire, flood, or other natural disaster, malicious injury,
strikes, lock-outs, or other labor troubles, riots, insurrection, war or other reason of like
nature beyond either party's reasonable control then performance of such act or obligation
shall be excused for the period of the delay.If any delay under these circumstances exceeds 5
days,then either party shall have the option to terminate this Agreement.
INDEMNIFICATION
Diamond Construction,Inc. shall indemnify and hold Owner,its employees,officers,
directors, and affiliates harmless from any loss, cost, expense, or damage claimed by third
parties for property damage and/or bodily injury,including death,to the proportionate extent
such loss, cost, expense, or damage arises from the negligence or willful misconduct of
Diamond Construction,Inc.,its employees,officers,or directors in connection with the
Contract or project.Owner shall indemnify,defend,and hold Diamond Construction,Inc.,its
Subcontractors, employees, officers, directors, and affiliates harmless from and against any
and all claims, demands, causes of action,liabilities, loss, cost, expense, or damage claimed
by third parties for property damage and/or bodily injury, including death, to the
proportionate extent such loss,cost,expense,or damage arises from the negligence,fault, or
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C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION, INC.
willful misconduct of Owner, architects, designers, its employees, officers, or directors in
connection with the Contract or project.
WARRANTY
Diamond Construction, Inc. warrants that the work will be conducted in good
professional workmanlike manner, and warrants that materials furnished will be of good
quality and new.
If within two years after the date of completion any of the work, it is found not to be in
accordance with good craftsmanship, the Contractor shall correct it promptly after receipt of
written notice from the Owner. The Owner shall give such notice promptly after discovery of
the condition. During the two-year period for correction of Work, if the Owner fails to notify
the Contractor then Owner waives the rights to require correction by the Contractor and to make
a claim for breach of warranty.In the event that any of the provisions of the warranty shall be
held invalid, the remainder of the provisions of the warranty shall remain in full force and
effect.
Where Contractor's repair warranty work involves the matching of existing finishes
or materials,he will use his best efforts to match existing finishes and materials. However,
Contractor does not guarantee an exact match due to such factors as discoloration due to the
aging process, difference in dye lots, and difficulty of exactly matching certain finishes,
colors, and planes. This warranty specifically excludes consequential damages and the
following:
1. Damage on shingles due to ordinary wear and tear,abusive use,normal wear and tear,
improper use,misuse, or lack of proper maintenance of the home or its component parts or
systems.
2. Defects,or loss or injury not caused by the negligence of Diamond Construction,Inc. or
its subcontractors.
3. Defects in items installed by the Owner or anyone other than Diamond Construction, Inc.
or its Subcontractors or defects in items supplied by the Owner.
4. Conditions not caused by Diamond Construction,Inc. and or it's Subcontractors resulting
from condensation,or contraction of materials.
ACCESS
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C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
DIAMOND CONSTRUCTION,INC.
The Owner shall provide ample access to the site to Diamond Construction, Inc.
throughout the project. Any delay or blocking of access by Owner will entitle Diamond
Construction,Inc.to a reasonable adjustment in the contract price and time.
INDEPENDENT CONTRACTOR STATUS
The parties agree that the contractual relationship between Contractor and
Owner is of an independent contractor.No documents signed create a partnership,join
venture or any other relationship between the parties.
ADDITIONAL,CLAUSES.
• Diamond Construction, Inc.'s suggestions are not a substitute for professional engineering,
architectural,or design services,and are not to be relied on as such by Owner.
• This agreement represents the entire agreement between the parties regarding the work
described above and supersedes any prior written or any oral agreements or communications.
This agreement may only be modified or terminated in writing.
• No breach of any agreement, warranty or representation shall be deemed waived unless
expressly waived in writing by the party who might assert such breach.
• If any clause of this Contract is determined to be illegal or unenforceable for any reason, it
shall be severed from the Contract and the rest of the Contract shall be given full force and
effect. The terms, covenants and conditions of this Contract shall be binding upon and shall
inure to the benefit of the successors and permitted assigns of the respective parties to this
Contract.
• The agreement shall be governed by the laws of the Commonwealth of Massachusetts.The
parties hereby agree to submit to the jurisdiction of the courts located within this
Commonwealth for any controversies arising out of this agreement.
• Owner hereby acknowledges he/she has had ample opportunity to consult with independent
legal counsel,has read it,understands it,and is signing it freely and voluntarily.
If Owner is signing this agreement at his home,or at a place other than at the contractor's
office or business,then there is a 3-day cancellation right.
• I as a Owner of the subject property,hereby authorized DIAMOND CONSTRUCTION INC
to act on my behalf,in wall matters relative to work authorized by any building permit
applications.
Owner Name: Richard mack Diamond Construction Inc
John Malo, `
�'resldent
Owner Signature.
sect Manager,
Cell Phone: (954)931-1856
Phone: (508)365-7300
Email: richardlemack@bel(saith.net diamondconstructionma@amail corn
8
C/2015-This document is binding and has serious legal consequences.Feel free to consult with a qualified attorney
prior to signing.
The Commonwealth of Massachusetts
Department of IndustrialAccidents
. 1 Congress Street,Suite 100
Boston,MA 02114-2017
\y
www mass gov/dia
W,orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Leeibl
Name (Business/Organization/Individual): r
Address: f:
City/State/Zip: 5faF10Y). Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
I.dI am a employer with`��employees(full and/or part-time).*
7. [-]New construction
2 I am a sole proprietor or partnership and have no employees working for me in
8. f-1 Remodeling
any capacity.[No workers'comp.insurance required.]
301 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. [:]Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10E]Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions
proprietors with no employees.
12.QPlumbing repairs or additions
50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.
6.❑Weare a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 5 la
152,§I(4),and we have no employees.[No workers'comp.insurance required.] Q60
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f 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: �' �,.�,,CA,ix MoivaL .
Policy#or Self-ins.Lic..#: �p�-� 1� -�� Expiration Date:10110 a Qi
Job Site Address: ' S City/State/Zip: r 10 MA ��.g�fJf
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify"r the pai nd penalties of perjury that the information provided
/above is true jand correct
Signature: Date: U,7 (j
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#•
i
I
_
4. _ Jew•
Office of Consumer Affairs dnd Business Regulation
10 Park Plaza - Suite 5170 .
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 176910
Type: Supplement Card
DIAMOND CONSTRUCTION INC. Expiration: 10/10/2017
RYAN HANNA
1 WORCESTER ST SUITE 10
WORCESTER, MA 01604
Update Address and return card.Mark reason for change,scat t; zoM-osrt Address 0 Renewal ❑ Employment Lost Card
�e tpoiiunnrrrrreal/�o�'C?ithJf«c�yJrtlJ �' '
cc of Consumer Affairs&Business Regulation
License or registration valid for individul use only
'OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registrations 176910 Type: Office of Consumer Affairs and Business Regulation
Expiration: 10/10/2017 Supplement Card 10 Park Plaza-Suite 5170
DIAMOND CONSTRUCTION INC: Boston,MA 02116
RYAN HANNA '
1 WORCESTER ST SUITE_10 k�.r_.x_fi .�• _ �� �j�
WORCESTER,MA 01604
Undersecretary of valid without signature
I -
Massachusetts Department of runuc JQl CLy
Board of Building Regulations and Standards
License:CS-MB30
Construction Supervisor
RYAN K HANNA t, '
P.O.BOX#3372
'FAYVILLE MA 01745
Expiration:
Commissioner 04/09/2018
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