The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #927 - 5 SKYVIEW TERRACE 6/25/2012B UILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: q a-�� Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page 0) c -C... /\Joz�w AklPovvZ, 'LOCATION PrHnt' 'PROPERT-Y OWN�-R,. 91-Ak f",4 167TO IZ64�-( knf -720NING DISTRICT- -Historic; Distdct "P ARCEL ,MAP NO: yes no 0 MachineShop Village y Th es, 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 .-.:'te tic Well p Floodplain Wdands'- Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 4 /,� 74-61 e— A44i ewA-1� 4 //V J #o&4/C— bx-1-711efs I /*-t-, 0, 4- AA --Q A�,V I 111-Z�5 Idenlification Please Type or Print Clearly) OWNER: Name: J,-41Z1f..V I," ?6Z741,5-4-61 Phone: Address: 51-1 Y V1, 6 1, TAE-AFZ14-6 L �QONTRACTOR Name-�. --'%one: Address: 0 &0 Sq0ervisoC.s Construct I ion License-,- 0 5-0-8 c Exp. Date,.- '.1610 Horne.Imp Lid rove ehse*-. Lxp. Pate: . -1 . . -- - --- — 1/-// ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULDING PERMIT. $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ .0 0 0 , 00 FEE: $ Check No.: Receipt No.:- 3S 4 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund SigpatureofAdpnt/Owner- Signature of contract6� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL 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 DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: —Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osqood Street 0(9E`.D_t]P_AktM__1ENf"". T66i b' -ni- 77-77, _p§teronsge yes�:, - .:no 7 Lo� C af6d,,at-124'MainSt�det- Fire D ppaFfibenhM�nAturd/date- COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For deDartment use Q Notified for pickup - Date Doc.Building Pennit Revised 2008 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 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 Lj 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 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 Doe: INSPECTIONAL SERVICES DEPARTAIENT:BPFORM07 Revised 2.2008 Location ,5' No. 9 a-3— Date Check 25451 TOWN OF NORTH ANDOVER b Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $- TOTAL $ Building Inspector -u , Z -Y --y 0 7:, f77 Cb I 77 co Zr 4zS-;- (D Z 0 X. m q CO 0 C 0 X, 1 0 z 0 X 0 0 M 0 m ;u :c < A 0 - X M 0 m F m g > (D 0 -u m -n cn (Cn m co Z -4 0 0 z 0 0 X (IQ '13 Cf. RightFax C3-1 6/26/2012 8:59:43 AM PAGE 2/002 Fax Server 0 4ir trig" CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) F 06126/2012 T44c,"ERTIFICATE 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 and endorsement. A statement on this certificate does not confer rights to ,the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONh (A No, Ext): FAX (A/C, Nolu ALLMASS FERNEKEES INS IADDRFSS, 95 MAIN ST PRODUCER READING, MA 01867 CUSTOMER ID #: 77RCB INSURER(S) AFFORDING COVERAGE INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY INSURER B: KELLEY, THEODORE DBA TMK REMODELING INSURER C: INSURER D: 214 SUTTON HILL RD INSURER E: NORTH ANDOVER, MA 0 1845 4S -MER F; Er COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIESOF INSURANCE LISTED BELOW HAVEBEEN ISSUED TO THE INSURED NAMED ABOVIEFOR THEPOLICY 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 P ERTAIN. 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 POLICYEFFDATE POLICYEXPDATE ILTIR TYPE OF INSURANCE L R POLICY NUMBER (MMMDXYYYY) (MMDD\YYYY) LIMITS GENERAL LIABILITY �ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PCO, CLAIMS MADE 0 OCCUR- DAMAGE TO RENTED :1REMISES (Ea occurrence) $ VED EXP (Any one person) $ :1ERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: 3ENERAL AGGREGATE $ PPOLICY [:] PROJECT LOC DRODUCTS - COMPIOP AGG $ AUTOMOBILE LIABILITY -OMBINED SINGLE $ ANY AUTO -IMIT (Ea accident) ALL OWNED AUTOS 30DILY INJURY $ SCHEDULE AUTOS 'Per person) 30DILY INJURY � 'Per accident) HIRED AUTOS NON -OWNED AUTOS DROPERTY DAMAGE $ :Per accident) UMBRELLA ILIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS 1-11 B CLAIMS_MADE DEDUCTIBLE $ $ RETENTION $ WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY YIN UB-4184P88A-12 04/0212012 04102/2013 X I WC,STATUT LIM TS ANY PROPERITOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E. L. EACH ACCIDENT $ 100,000 F -L- DISEASE - EA EMPLOYEE $ 100,000 If yes. describe under DESCRIPTION OF OPERATIONS below E -L- DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONSISPECIAL ITEMS TI41S REPLACES ANY PRIOR CERTIFICATE ISSUED TO T14E CERTIFICATE HOLDER AFFECTING WORKERS COMP COVER -AGE. THE WORKERS' COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR KELLEY, THEODORE CERTIFICATE HOLDER ZANCELLATION TOWN OF NORTH READING BUILDING INSPECTOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ATTN: BUILDING INSPECTOR IN ACCORDANCE WITH THE POLICY PROVISIO 235 NORTH ST AUTHORIZED REPRESENTATIVE N READING, MA 01845 AUCIRU 2!3 (20091US) 1988-2009 ACORD CORPORATKYN��':AlNrfdfits reserved. FROM (MON>-JUN 25 2012 111:31ZST.111:*JOZN�.7U17584UOZ P 2 ACC>R1:> CERTIFICATE OF LIABILITY INSURANCE 11%� 13ATE (MM/DDrffYY) 1 6/25/2012 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(les) 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 Allmass Fernekeea LLC 95 Main St Reading MA 01867 CONTACT NAME: Jennifer O'Neill PHONE 1781)944-9800 LFAX, Nola (761) 944-8304 IAI; 0, F,0- li-MAIL AlpOREss: joneill@allmasof ernekees. com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Pref erred Mutual Insuramce Co. INSURED Theodore Kelley, DBA: TMK Remodeling 214 Sutton Hill Road ,14orth Andover MA 01845 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER-CL125300984 0;;V1QInfJ IIJI 1111uprod 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 LTR TYPE OF INSURANCE ABOLSUOR am ma POLICY NUMBER MM) POUCY EXP Ilk"M P01YYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1, 0 DO, 000 X COMMERCIAL GENERAL LIABILITY —1 - __0 PREMISES fEa occurrence) $ 100,000 A I CLAIMS-MADEFx OCCUR CPP 0120600409 3/29/2012 3/29/2013 MED EXP (Any one person) $ 51000 RSONAL 6 ADV INJURY $ 110001000 GENERAL AGGREGATE $ 2,000,000 NGEI'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X X POLICY r7 PER.0j LOC, $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (E. ace ,i4.ntl $ BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS NON -OWNED S HIRED AUTO AUTOS PROP $ cERZIDAMAGE Per 0 cid I $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE GGREGATE $ DED I I RETENTION I $ WORKERS COMPENSATION _8TATdU OTH_ AND EMPLOYERS'LIABILITY Y/N --179CRY LIM S I FER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE 0 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) If describe under E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE - POLICY LIMIT 1 $ ps, D SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks, Schedule, If more sPace Is required) Job:5 Skyview Terrace North Andover, KA (781) 942 -9071 Town of North Andover Attn: Building Inspector 16 Osgood St North Andover, MA 01845 Arni2n 9st mnininct SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fernekees/PFR I - INS025 (201005).Ol UG I VULWZUI U AULIKU CURPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD <MON),JUN 26 2012 11:31 /ST. 11: 30/H�. 7UI7U84UO2 P 1 ":111:�as s Fernekee"s, ln�u.rance Agency, LLc 95. Main Street Reading,. MA oi.867. ..Bus* (781.0144-9800' Fax#(781)944'-8304 FAX Cover. Date: � ....................... TO: 0)1" FROM:- 'Paul" a, Allmass Femekees Insuran ce Agency, LC - Please contact me at (781)944 '9860 -with.' any questions or co have.. nperns, you may Sincerely, Paula Hamngton Email: -pula.h@a'l h6nassfeinekees.c Om Pages (NOT -including'cover) The Commonwealth ofMassachusetts Departme-nt offndustriqlAccidinis Office ofinvesfigations 600 Washington Street Boston., MA 02111 vww.mass.gov1U1a Workers' Compensation Insurance Affidavit: Buffd-ers/Contractors/FIectriciansfPlumbers AP-Plicant Information Please Print Legibb ,e 4-1 NaMe (Business/Organizationffndividual): e-0 poz 1 6+ -7-114 /C 0p,4(_1A-j Address: OW AU(_ rKlo Citylftte/Zip: lVoglli AvpwflL IUA- Phonog: '27 8 Q'TZ- �jl/ _ Arey an employer? Check the appropriate box: "0 I am a employerwith -Z, 4. El I' am a general contractor and I employees (fall and/orpart-titne.).': have liked the sub -contractors 2.E1 I am a sole proprietor or partner- ship and ' 'have no employees working for mein any capacity. [No workers' comp. insurance required.] 3. El I am a homeowner doing all work myself [No workers' comp. insurance requiredj Ti listed on the attached sheet. These sub -contractors have workers' comp. insurance. 5. El We area corporation and its officers have exercised their right of exemption per MGL c. 152, § 1 (4), and we have no employees, [No Workers, comp. insurance reqWredj Type ofproject (required): 6. [] New coAstraction 7. t�<emodeling 8. El Domolition. 9. n 330ding addition 10.[] Electrical repairs or additions I I .[I Phaubingrepairs or additions 12.QRoofrepairs 13F] Other ?Any applicant that checks box Of must also fill out the section below show1hg their workere compensation policy information. T Homeowners who submitthis affidavit indicatingthey ge doing all workand then hire outside contractors must 6ubmit anew affidavit indicating such. lContractors that ched1c this box must attached an additional shoot dho�ylng the name ofthe sub-contraotors and their workers' comp. polloy information. lam an employer that isprovNing woArers' compensation insuranceformy employees. Below is thepollcy antyjob site information. Insurance Company Name:. Al-gric; eo Policy # or 8 elf -ins. Lic. M Exp 1 rat i o n D at e: '<�Ve_ 3 Job Site Address-, f _5-,6YV1�,;cV 1—Ue4ne— cityistatemix- ,Vo ga-11 Axpo tce Attach a copy of the workers' compmsatlon-p olicy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a fule up to $1,500.00 and/or ono-yearimprisonment, as well as civil penalties in ffie form of a STOP. WORK ORDER and a fine . ofup to $250.00 a day against the violator. Be advised that a copy of this statement may be forwardedto the Office of Investigations of the DIA for insuranco coverage verification. I do 11 ereby cero uYer A epains an dp en altle�,ofpfljury A at th e infoTin ation pro vided ab o ve is true an d correct. z S-/ / Z-- Offilcial use onb;. Do not write In Als area, to he com p7eted by cl(p or town off7clal City or Town: rermit/License Issuing Authority (circle one): 1. 33oard of Health 2.13ulldingDepartment 3. GVTown Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone 0: Information and Instructions Massachusetts General Laws chapter 152 requires all Om ployers to provide workers' compensation for their employees. Pursuant to this statute, an employeeis defined as "...every person in the service of another under any contract ofhire.,- express or implied, oral or written.,, An ein ploydis defined as "an individual, partnershIA association, corporation or other legal entity, or any two or more Of the foregoing engaged in aj oint enterprise, and including the legal repres entativas of a deceased employer, or the -receiver or trus ' tee of an individual,, partnership, association or other legal eiitity� employing employees. However the owner of a dwalUng house having not more than three, apartments and who resides therein., or the occupant of the dwelling house of another who employs persons to do malatenance., construction orrepair work on such dwelling house or onthe grounds or building appurtenant thereto shallnot because of such employment be deemed to be, an employer." MGL chapter 152, §25C(6) also states that "every state or local li0ensing agency shall withhold the Issuance or renewal of a license orpermit to operate a business or to construct buildings in the commonwealth for any applicant Who has not produced -acceptable evidence of compliance with the Insurance cover -age required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its p olitical sub ivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the, insurance requirements of this chapterhave beenpresented to the contracting authority." Applicants Please fill out the workers, compensation affidavit completely, by checking the, boxes that apply to your situation and, if necess ary, supply sub- contractor(s) name(s), address (es) an d pho-ne, numb ar(s) along with their cortificate(s) of insurance. Limited Liabilily Companies (LLQ or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. IftnLLC orLLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign find date the affidavit. he affidavit should be returned to the cily or town that th� application for the, permit or license Is being requested, not the Depart m*ent of TT1 dustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers, compensation PolicY, please call the Department at the number listed below. Self-insured companies should enter their Self-insurance license number on the �pproprlate line. City or Town Officials Please b a sure that the affidavit is complete and print4legibly. The D epartment has provided a space at the bottom of the affidavit foryou �o fill out in the event the office of Inve ga o shastoconta tyou eg d gth a p ant. sti ti n r, r ar in e p lic Please be sure to fill in the permit/license number which will be, used as a reference number, In addition., anapplicant that must submit multiple penuit/license applications in any given year, need only submit one affidavit indicating current PORGY infonnation (ifnecessary) and under "Job Bite Address'; the applicant should write "all locations iu_(city or town)." A copy ofthe affidavit that has boon offiGially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit ii on file for firture permits or licenses. Anew affidavit must be fiffeLd out each year. Where a home Owner or citizen is obtaining a license or*�6rmit not related to any business or commercial venture a dog license or jermit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your coo�eration and should you have any q please donot hesitge to give us a call. �uestions, The Departinont's address., telephone and fax number: Tho Commonwoaft� Dqp-axiweut offadustdal Accidonts of 1"CAlgatiom GO WasbiVoa Sft,�,a Butp,MA02111 Tel, # 617-7274900 W406'ox 1-87WASS AFE Revised 5-26-05 Fay, # GW727-7749 W, rA r1mim e%4 kwor LAJ 0 0 co -0 0 0 L.L E V) CL ai (A 0 F- z z c 0 :, 0 LL I-- to =, 0 w c E !E U L.L 0 LAJ z z w 0 cc LL 0 u LLI z LU -C w 0 = C) ai tn 2 0 LU z 0 C iz z uj LLI LU L.L CU :3 m 6 z cu in a) E Ln ml 0 E w- 0 0 z 0 -P ty) > 0 CL CL d) cc 0 U) 0 a a CL cl) cD.2 = tt= ILU 0 "a 0 0 !E: . C—n LD w q cn 0 LU r_ 0 'J"O (D 0 (n 0 14- r_ cu 0 " a 0 Z., CL 0 0 0 L) LU a. CO Z Z _j Cl) Z 0 E 0- U) cl) LLI 0 > U) U) CL z r_ x 0 LLJ 0 U) cn Lu LU —j CL Z :D 0 M 0 0 z 0 0 R w 5; N) I 0 E 0 z 0 U) E 0 0 .2 0 U w I . 0 CL (1) tm 0 0 00 L- %- 0 CL CL 04) z 0 4) CL U) LLI Im LLI (4 C9 LLI LLI 19 LLI LU cc .0 Cc 0 2 CL cD cn 0 E CD CL (D CD cn CD CL M 0 r > Cc CD r (n (D > .— = -0 0 0 E w- 0 0 z 0 -P ty) > 0 CL CL d) cc 0 U) 0 a a CL cl) cD.2 = tt= ILU 0 "a 0 0 !E: . C—n LD w q cn 0 LU r_ 0 'J"O (D 0 (n 0 14- r_ cu 0 " a 0 Z., CL 0 0 0 L) LU a. CO Z Z _j Cl) Z 0 E 0- U) cl) LLI 0 > U) U) CL z r_ x 0 LLJ 0 U) cn Lu LU —j CL Z :D 0 M 0 0 z 0 0 R w 5; N) I 0 E 0 z 0 U) E 0 0 .2 0 U w I . 0 CL (1) tm 0 0 00 L- %- 0 CL CL 04) z 0 4) CL U) LLI Im LLI (4 C9 LLI LLI 19 LLI LU TMK Remodeling CS # 105086, 1-11C Lie# 165887, RRP # LR000106 214 Sutton Hill Rd North Andover MA 0 1845 978 852-4491 CONTRACTOR AGREEMENT TFUS AGREEMENT made this P day of 20ff )ay and between Theodore Kelley dba TMK Remodeling hereinafter called thb Contractor (CS # 105086), and Jim and Kerna Petorelli, hereinafter called the Owner. ft;�e-e I I k. WITNESSETH, that the Contractor and the Owner for the consideration named herein agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall perform all of the work described in the specifications entitled Exhibit A, as annexed hereto as it pertains to work to be performed on the property located at: 5 Skyview Terrace, North Andover, MA 0 1845. The Contractor will furnish all labor and building materials and is responsible for having these materials delivered to the site. The Owner is responsible for the fixtures, cabinets and items as noted in the Exhibit A and is responsible for having these items delivered to the site on a timely basis. ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before 06/18/2012 and shall be substantially complet ' ed on or before 07/30/2012, based on the anticipated lead times for ordering and delivering cabinets, materials and fixtures. ARTICLE 3. THE CONTRACT PRICE 5�_-_ve,j -Wft A ujvp af P iN 2-1, ',;5/ 0 The owner shall pay the Contractor for the labor and materials to be performed under the Contract the sum of Twenty FUwThousand, Nia&44mwired Dollars ($25;9ee-") for all labor, building materials, permits and fees, subject to additions and deductions pursuant to authorized change orders. The contract price is based on allowances for items not yet specified and based on budgets agreed to by owner. The actual final payment on the contract will be based on final selection and specification for finish materials and fixtures and may range +/- 10%. ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the following manner from the Owner to the Contractor: 33% upon signing contract 33% upon rough inspection completion 33% upon final inspection completion and owner sign -off ARTICLE 5. GENERAL PROVISIONS 1. All work shall be completed in a worlananship like manner and in compliance with all building codes and other applicable laws. 2. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. Initials lwz' 'Tmo &—/a Page 2 TVIK Remodeling CS # 105086, 1HC Lic# 165887, RRP # LR000106 214 Sutton Hill Rd North Andover MA 0 1845 978 852-4491 3. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. No sub contract work is anticipated for this project. 4. Contractor shall ftu-nish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 5. All change orders shall be in writing and signed by both Owner and Contractor. 6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees and subcontractors. 7. Contractor shall obtain all permits necessary for the work to be perforined. 8. Contractor agrees to remove all debris and leave the premises in broom clean condition. 9. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10. Contractor and the Owner hereby mutually agree in advance that in the event that the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. 11. Contractor shall not be liable for any delay due to circumstances beyond its control including inclement weather, strikes, casualty or general unavailability of materials. 12. Contractor warrants all work for a period of 12 months following completion. 13. Contractor may post small signage (I 8x24") on property advertising services during the duration of the project. 14. The Contractor and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 ARTICLE 6. OTHER TERMS Initials lfh& Page 3 TMK Remodeling CS # 105086, I -11C Lic# 165887, RRP # LR000106 214 Sutton Mll Rd North Andover MA 0 1845 978 852-4491 Signed this _L_—day of 20 //e� wner NOTICE: The signatures ofthe parties above apply only to the agreement ofthe parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Initials �1? _T/VP gip Page 4 TVIK Remodeling CS # 105086, FUC Lic# 165887, RRP # LR000106 214 Sutton Hill Rd North Andover MA 0 1845 978 852-4491 Exhibit A Statement of Work Master Bathroom Remodel This project involves removing the existing fixtures and floor, custom building a new 5'x5'neo-angle walk-in shower, installing new cabinets, fixtures, floor and finishes consisting of the following tasks: 1.00 Demolition 1.01 All items to be removed to be placed in a dumpster on site. 1.02 Disconnect and remove existing vanity & sink 1.03 Disconnect and remove existing shower base, wall tiles and glass doors 1.04 Disconnect and remove existing whirlpool tub and tile enclosure 1.05 Disconnect and remove existing medicine cabinet and bar light fixture 1.06 Disconnect and remove existing toilet 1.07 Disconnect and remove track lighting over door 1.08 Remove wall board to expose framing for plumbing and electrical rough in (approx 72 SF) 1.09 Remove tile floor and subfloor (approx 85 SF) 2.00 Construction 2.01 Rough In 2.02 Frame out new 5'x 5"neo angle'walk in shower with fin walls 36" AFF, curb, recessed shelving, shower bench appro� 30"xl 8"xl 8" with stone top 2.03 Construct 6ft 18 x 18" bench constructed of 2x3 framing and finished plywood, wood seat, cabinet doors, painted 2.04 Rough Inspection 2.05 Finish 2.06 Install 72" vanity and counter top and double bowl sink provided by Owner 2.07 Install 24" x 84" tall cabinet provided by Owner 2.08 Install 1/2" cement board in shower area (approx 116 SF), tape and mortar all joints 2.09 Install mirrors provided by Owner 2.10 Install drywall (aprox I 10 SF), fill and tape all joints 2.11 Remove tape and install new tape andjoint compound @ ceiling and wall joint (approx 45 LF) 2.12 Shower: Install approx 123 SF of wall tile in grid pattern on mortar setting bed, grout and seal joints up to finished ceiling. Tile to be specified by Owner. Tile, mortar, grout and sealer to be supplied by Contractor 2.13 Shower: Install approx 20 SF of floor tile on mortar setting bed, grout and sealjoints. Tile to be specified by Owner. Tile, mortar, grout and sealer to be supplied by Contractor 2.14 Shower: Install 18xl2" recessed two tiered stone shelf. Tile to be specified by Owner. Stone, mortar, grout and sealer to be supplied by Contractor 2.15 Shower: Install 1/2" tempered glass shower enclosure and door. 2.16 Floor: Install 1/4" cement board sub floor on mortar setting bed, fastened to sub floor 2.17 Floor: Install approx 100 SF of I8xl8 floor tile in grid pattern, grout and sealjoints. Tile to be specified by Owner. Tile, mortar, grout and sealer to be supplied by Contractor 2.18 Floor: Install wood baseboard, prime and paint 2.19 Wall: Sand, prime and paint walls. Paint color TBD. Paint supplied by Contractor 2.20 Ceiling: Prime and Paint ceiling. Paint to be supplied by Contractor 2.21 Window, door and trim: Prime and paint. Paint to be supplied by Contractor 2.22 Final Inspection PV�� UJ PdN_Se--oT_f-- 3.00 Electrical 3.01 Rough In aPsIr- + CAP 3.02 Install junction boxes and wiring for 3 wall sconces on existing switch 0'XJ LJJA-Uj 3.03 Install junction box and wiring for recessed light in shower on new switch 3.04 Install 2 recessed light fixtures in 8'soffit on existing switch 'qz 3.05 Install Panasonic fan on existing switch, vented to exterior. Fixture supplied by Contractor Initials flw�� _T/'VP 1<!?i- Page 5 TMK Remodeling CS # 105086, 1HC Lie# 165887, RRP # LR000106 214 Stitton Hil I _Rd North Andover MA 0 1845 978 852-4491 3.06 Install GFI junction box over vanity 3.07 Rough Inspection 3,08 Finish 3.09 Install 3 wall sconces provided by Owner 3.10 Install 2 recessed light fixtures trims and bulbs. Fixtures to be supplied by Contractor 3.11 Install shower fixture trim and bulb. Fixture to be supplied by Contractor 3.12 Install GFI outlet and plate supplied by Contractor 3.13 Install new switches and trim plates supplied by Contractor 3.14 Final Inspection 4.00 Plumbing 4.01 Rough In 4.02 Rough in new shower vent, valves, sprays, supply and waste lines. Valves to be supplied by Owner. Shower setup: I overhead spray, I handheld spray on slide bar, Thermostatic valve with diverter 4.03 Install rubber membrane in shower floor, PVC drain 4.04 Remove and cap old shower supply, waste lines and vent 4.05 Rough in new double sink vanity, vent, supply and waste lines 4.06 Replace toilet shut-off valve 4.07 Rough Inspection 4.08 Finish 4.09 Install new toilet, connect supply and waste lines. Toilet to be supplied by Owner 4.10 Install shower heads, fittings and trims. Shower sprays and trims to be supplied by Owner 4.11 Install and connect 2 new faucets to supply and waste lines. Faucets and drains to be supplied by Owner 4.12 Final Inspection Initials 11Y4— LI�p r-1-ar Page 6 E C a) 0 c > CL T W U) Ad Lo V U) E 0 0 U, 3: 0) > C = -0 V .E E -E U) a) fr 0 < C;) co 0 (a = m 0 0) 8 (L) 0 > E 0 — .— c ol 2 .2 > z; X 4) o - - 0 0 CL w 0 c �5 E 0 cv LO 0 0 x = 42 rz 0 'D 0 Lo .0 11 0) _rz = > 0 co L) co z 2 co m X L) :3 0 ca '2 c m 0 :3 c (0 43) -C X X x m 0 0 =0 CM 0 3: = (L) t: 0 00 CQ 43) 0 —M co m W ID �o z cn cr o U) a F— z -T- > LL 0 C? + cq w + w .2 En -0 W- CL 2 LL 0- + E) 0 z OP U3 CN .0 L-1 W C-4 �12 y >1 7j -U Ad c U) < > 0 0 0 U) z Je w D w U3 I U)