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HomeMy WebLinkAboutBuilding Permit #639 - 52 FERNVIEW AVENUE 4/2/2013c Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I IMPORTANT: Applicant must complete all items on this Daae I 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 guarantyfund Signature_of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 4 7 Location No Date Check #. a_�� 26246 TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Building Inspector r; r A 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 PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE APPROVED El Reviewed on Signature Reviewed on Signature L Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Commen Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT = Temp Dumpster on site yes no Located at 124�MairirStreet - .: _ Fire Depa'rtrnent signatureldate COMMENTS �4 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — For department use ® Notified for pickup - Date E E I E [ Doc.Building Permit Revised 2010 Building Department The folipwing 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) o 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 o 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 a 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 app; al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui!ding Permit Revised 2012 u Jul] 11 GUIJ J:10 r.UI CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 6/11/2013 nIS 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 pollcy(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 certiflcate holder In lieu of such endorsement(s). PRODUC(R ' INSURANCE SOLUTIONS CORPORATION 60 Westville Rd Plaistow NH 03865 40 NIA Kathleen Miller,' CISR, CPIW PHONE (603) 392-9600 FAX '. (603) 192-2034 E -MAL DRESS! klatiller@iac-insurance. Com'' INSURERS AFFORDING COVERAGE NAIC IT En land Excess Exohan e INSURED R Norman LLC dba M R Norman Builders 63 Peaslee Crossing Road Newton NH 03858 URER 0M [1N8URr;RA-.New URERC! URERD: INSURER E IN4 ERF: COVERAGES CERTIFICATE NUMBER:CL1361111423 REVISION'NUMIBER: TH)S.IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWT..HSTANDING 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. INSRP LTP1TYPE OF INSURANCE Town of . North Andover LICY NUMBER LICY EFF MM1D POLICY FLP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 11000-1000 . A X COMMERCIAL GENERAL. LIABILITY CLAIMS -MADE I K I OCCUR W8175148 /20/2013 /20/2014 MI E5 O RENTEDtu100 000 Ea oolYenCB $ r MEP EXP Arr one arson S 5,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT'APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY SINGLE LIMIT BODILY INJURY (Per person) S ' ANY AUTO BODILY INJURY (Par accident) S AUTOWNED AUTOSULED, NON -OWNED HIRED AUTOS AUTOS PROP $ • 8 UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ woRkERS COMPENSATION WC STATU-. 0TH- AN151MPLOYERS' LIABILITY ANY PROPMETOR/PARTNUlEXECUTIVE Yj EL EACH ACCIDENT $' OFFICERIMEMBER EXCLU0121)9 (MAadabry in NM) NIA E.L. DISEASE _ EA EMPLOYEq s E"L DISEASE - POLICY LIMIT $ M;yea dosaribe under DENIPTION OF OPERATIONS blow DESCRIP710N OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Addltlono( Remarks Schedule, N more space is raquired) *The insured has purchased'Workera' Compensation coverage thro,igh the MA Workarrs Compensation Assigned Risk Pool. We have -requested the servicing carrier issue a Certificate of Insurance on your behalf. Agente,..ara not Fiermitted.to.issue Certificates of Insurance for workers' Compensation coverage on policies ieaued•through the MA Worker's Compeneation Assigned Risk Pool. CERTIFICATE HOLDER CANCELLATION (978) 688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of . North Andover 1600 Osgood St AUTHORIZED REPRESENTATIVE: No Andover r MA 01845-1048 R Miller, C=SR, CPIW/ ACORD 26 (201.0105) .®1988-2010 ACORD CORPORATION. All rights reserved. INS026 (20100d).01 The ACORD name and logo are registered marks. of ACORD Jun 11 2013 9:19 P. 02 CERTIFICATE OF LIABILITY INSURANCE �TIf `M"'`' A.CORl7 •. s/11/aD13 , THISFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DO ES NOT AFFIRMATIVELY OR NEGATIVELY AMEN D, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS. CE.RTIFTCATE, OF INS U,RANCE.D OES N OT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUkER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions. of the,pollcy, certain policies may require an endorsement. A statement on this certificate dons not confer rights to the certificate holder In 11" of such endorsements . PRODUCER E: OT 'Berkley Assigned Risk Services Tnerirance, solutiono Corp 60 Westville RD c. No (800) 634-4589 o U,No„ (866)215-8118 ADDRESS: PolicyServimfterkleyrisk.com Plaistow, NH 03865-2961 INSURER(S) AFFORDING COVERAGE NAIL INSURER A:, Ac7mdia nce CO URED M R Norman LTC INSURER B: dba: M R Norman Builders INSURER C: 63 Peaelee Crooeing Road INSURER D: INSURER E: Newton NH 03858 INSURERF; INDICATED. NOTWITHSTANDING'ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER PC CERTIFICATE MAY BE ISSUED OR ,MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM MR I .TR TYPE OF INSURANCE IN SR VWD POLICY NUMBER MWDDNYYv MMIDD(YY GENERAL LIABILITY COMMtRCIAL GENERAL LIABILITY 00 CLAIMS -MADE El OCCUR ❑ 11 AGGREGATE LIMIT APPLIES PER; - POLICY JECPROT •Loc 'OMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS . MIRED Autos . NON -OWNED AUTOS uMBRELLALIAB• L_-IOCCUR LJ I l__l EXCESS LIAR • [:] CiAIMS-MADE DEP RETENTION $ wORKEROCOMPENSATION YIN NC -20-20-004689-0 4/20/2013 4/20/2014 AND EMPLOYERS' LIABILITY _ ANY PRODRIETORIPARTNERJEXECUTIVE El ❑ NIA A OFFICEIMEMBER'EXCLUDED7' (M%ndotory1n NHI . If yes. desonbe under, DESCRIPTION OF OPERATIONS below ❑ l� DESCRIPTION OF OfYERATIONG I LOCATIONS I VEHICLES (02GII ACORD 101. Additional RemareS 3cnedule• a more space is fvquue Election CategOKY EleCtiott StattiS Name ,All Entities/Insured$: Farm•-Wi;Ee Fxclude M Ryan Norman M R NormAn LLC NAMED ABOVE FOR THE POLICY PERIOD 2UMENT WITH RESPECT TO WHICH THIS 1EREIN IS SUBJECT TO ALL THE TERMS, Y , LIMITS EACH OCCURRENCE $ DAMAGE RENTED $ EM18E5 Ee be rranee MED EXP An one ereon $ PERSONAL d ADV INJURY 91 GENERALAGGREGATE $ PRODUCTS — COMP/OP AGG $ $ N $ EQ vicetdem BODILY INJURY Per e $ BODILY INJURY Pef Apeldant), PROPERTYOAMACE $ Per geclden FAC;ri OCCURRENCE $ g GATE STATU• —1 OTH- LIMITS•LJ E CHACCIDENT $ 100000.00 SEASE-EAEMPLDYEE $ 100000,00 E.L. DISEASE, POLICY LIMIT $ 500000.00 CERTIFICATE HOLDER VANGtLLAI IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of North Andover EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood SC ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE No •AAdover MA 01845-1048 wo:)•pueduaua•mmm • wo:)•pueduaw@jjels 9L L L -01-t,-81-6 xej • Sb6ti-S1-b-81-6 lal 0 L8 LO dW 'aanopuy • 188aIS uieW ylaoN 61- 98610JUIS 3.11A OS d4!lvn6 '594 Ud ul da;S ;se -I V ;sau_4 ayl ®ssaad uI?uiajnuiW TO Qml . PM p FROM A -i PHONE H CELL 7 OF FAX m 00 a E 4 rE-MAIL 24ESS SIGNED PHONED CALL M I RETURNED 0 WANTS Too 1 WILL CALL 0 WAS IN E:] URGENTE] BACK CALL SEE YOU AGAIN TO DA �X!113 1 TIMEO" PM P FROM P ONE H CELL ( 27ok) 3 73 37 0 FAX ( I N A AT $;t o7i E m E rJ m s jQ A E s A m G 0 E E-MAIL�Dq'XESS- I j SIGNED ------F- PHONEDEYACL ETURNED 0 1 WAENTS TO ,A RALL SE 0, � C ILL, CALL[] IWASIN F-"!URGENTO AGA N 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 51.00: continued R301.2.2 Exception Delete the following text: `located in Seismic Design Category C' R301.2.4 Delete the exception, only. R301.2.4.1 Delete subsection. R303.3 Add two sentences as follows: Mechanical ventilation is required for bathrooms with a shower or bathtub. Also see 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code, Chapter 77) and 248 CMR 10.00: Uniform State Plumbing Code as these codes may also have mechanical ventilation requirements. R303.6 Add a first sentence as follows: `Stairwayillumination shall complywith 527 CMR 10.00: Fire Prevention, General Provisions.' and retain the remaining text of the paragraph. R303.8 Add a last sentence as follows: `See 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code, Chapter 77) for rental property.' R305.1 Delete the text `and portions of basements containing these spaces' R305.1.1 Replace the paragraph as follows: `Basements areas, including but not limited to areas with suspended ceilings, shall have a ceiling height of not less than six feet eight inches.' Retain the Exception. R306.5 Add subsection: R306.5 Other Regulations. Requirements of Section R306 shall be in conformance with the Board of Fire Prevention Regulations at 527 CMR, 248 CMR 10.00: Uniform State Plumbing Code, 310 CMR 15.00: The State Environmental Code, Title 5: Standard Requirements for the Siting, Construction, Inspection, Upgrade and Expansion of On-site Sewage Treatment and Disposal Systems and for the Transport and Disposal of Septage and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code, Chapter II). R307 Replace in its entirety as follows: R307.1 Toilet, Bath, and Shower. Requirements of Section R307 shall be in conformance with 248 CMR 10.00: Uniform State Plumbing Code. R308.1 Add a last sentence as follows: `Also see M.G.L. c.'143 §§ 3t, 3u, and 3v' R310.1.1 Add a second exception: Exception. Double hung windows shall have a minimum net clear opening of 3.3 square feet (0.31 m2). R310.1.2 Replace as follows: R310.1.2 Dimensions. The minimum net clear opening dimensions shall be 20 inches by 24 inches in either direction. R310.1.3 Reserved. 2/4/11 780 CMR - Eighth Edition - 214 BUILDING PLANNING fireblocking in walls constructed using parallel rows of The minimum openable area to the outdoors shall be 4 percent studs or staggered studs. of the floor area being ventilated. R302.11.1.2 Unfaced fiberglass. Unfaced fiberglass batt insulation used as fireblocking shall fill the entire cross section of the wall cavity to a minimum height of 16 inches (406 mm) measured vertically. When piping, conduit or similar obstructions are encountered, the insu- lation shall be packed tightly around the obstruction. R302.11.1.3 Loose -fill insulation material. Loose -fill insulation material shall not be used as a fireblock unless specifically tested in the form and manner intended for use to demonstrate its ability to remain in place and to retard the spread of fire and hot gases. R302.11.2 Fireblocking integrity. The integrity of all fireblocks shall be maintained. R302.12 Draftstopping. In combustible construction where there is usable space both above and below the concealed space of a floor/ceiling assembly, draftstops shall be installed so that the area of the concealed space does not exceed 1,000 square feet (92.9 mz). Draftstopping shall divide the concealed space into approximately equal areas. Where the assembly is enclosed by a floor membrane above and a ceiling membrane below, draftstopping shall be provided in floor/ceiling assem- blies under the following circumstances: 1. Ceiling is suspended under the floor framing. 2. Floor framing is constructed of truss -type open -web or perforated members. R302.12.1 Materials. Draftstopping materials shall not be less than '/Z -inch (12.7 mm) gypsum board, '/8 -inch (9.5 mm) wood structural panels or other approved materials adequately supported. Draftopping shall be installed paral- lel to the floor framing members unless otherwise approved by the building official. The integrity of the draftstops shall be maintained. R302.13 Combustible insulation clearance. Combustible insulation shall be separated a minimum of 3 inches (76 mm) from recessed luminaires, fan motors and other heat -producing devices. Exception: Where heat -producing devices are listed for lesser clearances, combustible insulation complying with the listing requirements shall be separated in accordance with the conditions stipulated in the listing. Recessed luminaires installed in the building thermal enve- lope shall meet the requirements of Section N1102.4.5. SECTION R303 LIGHT, VENTILATION AND HEATING R303.1 Habitable rooms. All habitable rooms shall have an aggregate glazing area of not less than 8 percent of the floor area of such rooms. Natural ventilation shall be through win- dows, doors, louvers or other approved openings to the outdoor air. Such openings shall be provided with ready access or shall otherwise be readily controllable by the building occupants. Exceptions: 1. The glazed areas need not be openable where the opening is not required by Section R310 and an approved mechanical ventilation system capable, of producing 0.35 air change per hour in the room is installed or a whole -house mechanical ventilation system is installed capable of supplying outdoor ven- tilation air of 15 cubic feet per minute (cfm) (78 Us) per occupant computed on the basis of two occupants for the first bedroom and one occupant for each addi- tional bedroom. 2. The glazed areas need not be installed in rooms where Exception 1 above is satisfied and artificial light is pro- vided capable of producing an average illumination of 6 footcandles (65 lux) over the area of the room at a height of 30 inches (762 mm) above the floor level. 3. Use of sunroom additions and patio covers, as defined in Section R202, shall be permitted for natural ventilation if in excess of 40 percent of the exterior sunroom walls are open, or are enclosed only by insect screening. R303.2 Adjoining rooms. For the purpose of determining light and ventilation requirements, any room shall be consid= ered as a portion of an adjoining room when at least one-half of the area of the common wall is open and unobstructed and pro- vides an opening of not less than one-tenth of the floor area of the interior room but not less than 25 square feet (2.3 m2). Exception: Openings required for light and/or ventilation shall be permitted to open into a thermally isolated sunroom addition or patio cover, provided that there is an openable area between the adjoining room and the sunroom addition or patio cover of not less than one-tenth of the floor area of the interior room but not less than 20 square feet (2 mz). The minimum openable area to the outdoors shall be based upon the total floor area being ventilated. R303.3 Bathrooms. Bathrooms, water closet compartments and other similar rooms shall be provided with aggregate glaz- ing area in windows of not less than 3 square feet (0.3 m2), one-half of which must be openable. Exception: The glazed areas shall not be required where arti- ficial light and a mechanical ventilation system are provided. The minimum ventilation rates shall be 50 cubic feet per min- ute (24 Us) for intermittent ventilation or 20 cubic feet per minute (10 Us) for continuous ventilation. Ventilation air from the space shall be exhausted directly to the outside. R303.4 Opening location. Outdoor intake and exhaust open- ings shall be located in accordance with Sections R303.4.1 and R303.4.2. R303.4.1 Intake openings. Mechanical and gravity out- door air intake openings shall be located a minimum of 10 feet (3048 mm) from any hazardous or noxious contami- nant, such as vents, chimneys, plumbing vents, streets, alleys, parking lots and loading docks, except as otherwise specified in this code. Where a source of contaminant is 2009 INTERNATIONAL RESIDENTIAL CODE® 53 Enter construction cost for fee cal - North Andover Fee Cakulkion Construction Cost $ 8,5'500.00 m $ - $ 102.00 Plumbing Fee $ 12.75 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 12.75 Total fees collected $ 227.50 52 Fernview 639-13 on 4/2/2013 Remodel Bathroom M N C, W _ LL O mJ L Y Se O LL Y N u O. (n a z `( Z m CD. Z, v 7 LL t to K c u _ LL .0 U N Z ZV t w _ LL 0 W N Z J W t W �_ N _ LL oc U W a Z Q � K _ LL Z W D: a W p ui °C LL CO O Z N V) cu Y 0 V) • = RS O O L cc � as 4a o N V E�a) . L Q. d � 3 4 o�. L- IL t or: 0 VoL � N Q. L m >� c °r Ua (D o Saa)> '--.a _ 44:M0 a E o w Oz o sm�• 3 c o0 L Q. CL 04 occ Q i L CL ai I-- O O V m N W_ O -0. O O LL .N N � N C .- - t O N O ++ -W 43 W LU.E .5 L. V O-0 Oma, N as >c 2 cc o O C O �- ,t �. Q. 0 C) o V :LLI a z Z 0 m U� 0 E Co a. Z U Cl) n W 0y �n x Z o W O o U) W c W _1 m Lo N d t O z O H O_ a 0 V/1C (('a7717)[O7[[!/(ry((� p//�%(-7, fjJJflC�[lfCllJ I Office of Consumer Affairs & Busihess Regulation i OMEIMPROVEMENT CONTRACTOR 1 egistration: 160921 Type: ;,[Expiration: 9/10/2014 DBA M.R. NORMAN PROPERTIES 8, DEVELOPMENT MICHAEL NORMAN 63 PEASLEE CROSSING RD NEWTON, NH 03858 Undersecretary )lassachusetts - Department of Public Safeq Board of Buildin-, Re,ulatiow and Standards Construction Supervisor License License: CS 87851 MICHAEL R NORMAN t I 63 PEASLEE CROSSING RD NEWTON, NH 03858 Expiration: 912312013 ( mmi si. nrr Trr: 3508 FIXED CONTRACT AMOUNT THIS AGREEMENT, Made as of January 18"' in the Year of 2013 Between the Owner: Robert Sabatella 52 Fernview Ave N. Andover, MA 01845 And the Contractor: M. R. Norman LLC M. Ryan Norman Norman Builders Norman Properties & Development CS 87851. 1 HIC 160921. 63 Peaslee Crossing Road Newton, NH 03858 603-974-2874 For the Project: Bathroom Remodeling 52 Fernview Ave N. Andover, MA 41845 ARTICLE 1. CONTRACT DOCUMENTS 1.1 The contract documents consist of this agreement, general conditions, construction documents, specifications, allowances, finish schedules, construction draw schedule, information disclosure statement, all addenda issued prior to execution of this agreement and all change orders or modifications issued and agreed to by both parties. All documents noted herein shall be provided to the Contractor by the Owner. These contract documents represent the entire agreement of both parties and supersede any prior oral or written agreement. ARTICLE 2. SCOPE OF WORK 2.1 The Contractor agrees to purchase and construct the above mentioned structure and fixtures attached thereto in North Andover according to the home addition specifications, allowances, all addenda, change orders, modifications and specifications set forth in the specification booklet. ARTICLE 3. TIME OF COMPLETION 3.1 The approximate commencement date of the project shall be March 25"', 2013. The approximate completion date of the project shall be April 5"', 2013; however any change orders, material delays, or heavy rain/snow might delay or otherwise affect the completion date. ARTICLE 4. THE CONTRACT PRICE 4.1 The purchase price of the project shall be set at the sum of eight thousand five hundred dollars, ($8,500.00), for bathroom remodeling on property at 52 Fernview Ave to be started in March and completed in April, as agreed upon in this entire contract with specifications, subject to additions and deductions pursuant to authorized change orders and allowances. 4.2 The Owner and the Contractor acknowledge that the Owner has paid a sum of fifteen hundred dollars, ($1,500.00) as part of signing this contract. ARTICLE 5. PROGRESS PAYMENTS 5.1 The Owner will make payments to the contractor pursuant to the attached construction draw schedule as work required by said schedule is satisfactorily completed. Owner shall make draw payments to contractor within 3 days after request by contractor. Should the owner fail to make payment, contractor may charge a penalty of 18% annually upon the unpaid amount until paid. 5.2 If payment is not received by the Contractor within 5 days after delivery of payment demand for work satisfactorily completed, contractor shall have the right to stop work or terminate the contract at his option. Termination by Contractor under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. Termination by Owner under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. 5.3 Payment Schedule and Amounts 1. Signing of Contract: $1,500 2. Project start date: $2,500 3. Rough Ins inspected: $2,000 4. Bathroom Tile Complete (before plumbing fixtures installed): $1,500 5. Project Complete: $1,000 ARTICLE 6. DUTIES OF THE CONTRACTOR 6.1 All work shall be in accordance to the provisions of the plans and specifications. All systems shall be in good working order. 6.2 All work shall be completed in a workman like manner, and shall comply with all applicable national, state and local building codes and laws. 6.3 All work shall be performed by licensed individuals to perform their said work, as outlined by law. 6.4 Contractor shall obtain all permits necessary for the work to be completed. 6.5 Contractor shall remove all construction debris and leave the project in a broom clean condition. 6.6 Upon satisfactory payment being made for any portion of the work performed, Contractor shall furnish a full and unconditional release from any claim or mechanics' lien for that portion of the work for which payment has been made. ARTICLE 7. OWNER 7.1 The Owner shall communicate with subcontractors only through the Contractor. 7.2 The Owner will not assume any liability or responsibility, nor have control over or charge of construction means, methods, techniques, sequences, procedures, or for safety precautions and programs in connection with the project, since these are solely the Contractor's responsibility. 7.3 All persons working on this, i.e. sub -contractors, foremen or laborers will be notified that no payments will be made by owners of property to them, that only Norman Properties & Development is responsible for payments to them. All contractors shall be insured to the minimums provided as described by Norman Properties and not the responsibility of the owner. r ARTICLE 8. CHANGE ORDERS AND FINISH SCHEDULES 8.1 A Change Order is any change to the original plans and/or specifications. All change orders need to be agreed upon in writing, including cost, additional time considerations, approximate dates when the work will begin and be completed, a legal description of the location where the work will be done and signed by both parties. 50% of the cost of each change order will be paid prior to the change, with the final 50% paid upon completion of the change order. A 0% fee shall be added to all change orders and overages in excess of initial allowances. Additional time needed to complete change orders shall be taken into consideration in the project completion date. 8.2 Any delays or changes in finish selection schedules will delay the projected completion date. ARTICLE 9. INSURANCE 9.1 The Owner will purchase and maintain property insurance to the full and insurable value of the project, in case of a fire, vandalism, malicious mischief or other instances that may occur. 9.2 All Workers will be covered by Workman's Compensation and Liability insurance coverage as needed and required by law. ARTICLE 10. GENERAL PROVISIONS 10.1 If conditions are encountered at the construction site which are subsurface or otherwise concealed physical conditions or unknown physical conditions of an unusual nature, which differ naturally from those ordinarily found to exist and generally recognized as inherent in construction activities, the Owner will promptly investigate such conditions and, if they differ materially and cause an increase or decrease in the Contractor's cost of, and/or time required for, performance of any part of the work, will negotiate with the Contractor an equitable adjustment in the contract sum, contract time or both. ARTICLE 11. HAzARDOUS MATERIALS, WASTE AND ASBESTOS 11.1 Both parties agree that dealing with hazardous materials, waste or asbestos requires specialized training, processes, precautions and licenses. Therefore, unless the scope of this agreement includes the specific handling, disturbance, removal or transportation of hazardous materials, waste or asbestos, upon discovery of such hazardous materials the Contractor shall notify the Owner immediately and allow the. Owner/Contractor to contract with a properly licensed and qualified hazardous material contractor. Any such work shall be treated as a Change Order resulting in additional costs and time considerations. ARTICLE 12. ARBITRATION OF DISPUTES 12.1 Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. ARTICLE 13. WARRANTY 13.1 At the completion of this project, Contractor shall execute an instrument to Owner warranting the project for 1 year against defects in workmanship or materials utilized. The manufacturer's warranty will jv prevail. No legal action of any kind relating to the project, project performance or this contract shall be initiated by either party against the other party after 1 year beyond the completion of the project. ARTICLE 14. TERMINATION OF THE CONTRACT 14.1 Should the Owner or Contractor fail to carry out this contract, with all of its provisions, the following options and stipulations shall apply: 14.1.1 If the Owner or the Contractor shall default on the contract, the non -defaulting parry may declare the contract is in default and proceed against the defaulting parry for the recovery of all damages incurred as a result of said breach of contract, including a reasonable attorney's fee. In the case of a defaulting Owner, the Earnest money herein mentioned shall be applied to the legally ascertained damages. 14.1.2 In the event of a default by the Owner or Contractor, the non -defaulting parry may state his intention to comply with the contract and proceed for specific performance. 14.1.3 In the case of a defaulting Owner, the Contractor may accept, at his option the earnest money as shown herein as liquidated damages, should earnest money not cover the expenses to date, the Contractor may make claim to the Owner for all work executed and for proven loss with respect to equipment, materials, tools, construction equipment and machinery, including reasonable overhead, profit and damages applicable to the property less the earnest money. ARTICLE 15. ATTORNEY FEES 15.1 In the event of any arbitration or litigation relating to the project, project performance or this contract, the prevailing party shall be entitled to reasonable attorney fees, costs and expenses. ARTICLE 16. ACCEPTANCE AND OCCUPANCY 16.1 Upon completion, the project shall be inspected by the Owner and the Contractor, and any repairs necessary to comply with the contract documents shall be made by the Contractor. 16.2 Building inspector of Andover, MA must issue occupancy permit prior to final payment by owners to Norman Properties & Development, for completed work at 52 Fernview Avenue. ARTICLE 17. CONTRACT LANGUAGE REQUIRED BY THE COMMONWEALTH OF MASSACHUSETTS 17.1 All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor 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 17.2 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 17.3 PERMIT NOTICE 1. ANY AND ALL NECESSARY CONSTRUCTION RELATED PERMITS SHALL BE THE OBLIGATION OF THE CONTRACTOR TO OBTAIN SUCH PERMITS 2. IF ANY ADDITIONAL APPROVALS OR PERMrrS ARE REQUIRED OTHER THAN THE BUILDING PERMIT TO START CONSTRUCTION, THERE WILL BE ADDITIONAL DELAYS AND FEES INCURRED THAT WILL BE THE RESPONSIBILITY OF THE HOME OWNER 3. OWNERS WHO SECURE THEIR OWN CONSTRUCTION RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS SHALL BE EXCLUDED ACCESS TO THE GUARANTEE FUND 17.4 The contractor and the homeowner herby 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. Witness J Contractor Sri� re Owner Signature Witness fio vi er Signature Owner Signature 52 Fem vie w Ave Bathroom Layout 5�-011 z 31 1 11 The Commonwealth of Massachusetts department of IndustrialAccidents a , Offke of Investigations 1 tR 600 Washington Street .�' Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual):� Address: City/tate/7.in: Phone #:'=' j Are you an employer? Check the appropriate box: 4. 6I am a contractor and I 1. ❑ I am a employer with general employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.T required.] 5. n We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comn. insurance reouired.] Type of project (required): 6. ❑ New construction 7. ®'Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information - 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 thepolicy and job site information.pp Insurance Company Name: j ,? Q Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' an�ds�[^//./{.enalties of perjury that the information provided above is true and correct I'lJ\(`tel' f c;,.,,�,,,,•P. ,�,r \:' ��.-vim _ Date: -- 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 #• ACC?R V CERTIFICATE OF LIABILITY INSURANCE1 DATE(MMIDD/YYYY) 212612013 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 INSURANCE SOLUTIONS CORPORATION PO BOX 1079 ATKINSON, NH 03811 CONTACT NAME: PHONEFAXIAIC.Nol: (603)382-2034 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: INSURED DALE NORMAN 9 QUAKER STREET NEWTON NH 03858 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVFRAU,FS CFDTIFIRATF MI IMRDD• 4=00 10 DC\ACIAkl klllkaDcD• THIS ISTO CERTIFY THAT THE POLICTES 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OECCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea ocdElrence $ CLAIMS -MADE D OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PROD UCTS -COMP/OPAGG $ POLICY PRO JECT F] LOC "' $ AUTOMOBILE LIABILITY Ea BINEDacci ISINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED 8 SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident)$ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLAUAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED Ll RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC5-31S-375921-013 1/19/2013 1/19/2014VPC STATU• OETi- TOR LIMITS EACH ACCIDENT $ 100000 ANY PROPRIETOR(PARTNER/EXECUTIVEE.L. OFFICERIMEMBEREXCLUDED? a NIA --- - E.L. DISEASE - EA EMPLOYEE $ 100000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more space Is required) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR DALE NORMAN Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NORMAN PROPERTIES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .63 PEASLEE CROSSING ACCORDANCE WITH THE POLICY PROVISIONS. NEWTON NH 03858 n AUTHORIZED REPRESENTATIVEMA Jeff Eidrid e ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Wie cer8iicate`cancefsmandZ/superse'dLee seQAff previously issued certificates.