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HomeMy WebLinkAboutBuilding Permit #071-14 - 60 SHERWOOD DRIVE 7/22/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 7-47,1\-� IMPORTANT:Applicant must complete all items on this page LOCATION' © Ti - —g fent PROPERTY 01NIVER _ �- Sz2� _ R e R'n _ OOfYe Old`Structure a yes no M MAFtNQ: PARCE.I ZON_ING DIS�TRLCT. _ _Historic District yes °noa' `Machine Shop Village yes no, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑A ion ❑Two or more family ❑ Industrial PKAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ DemolitionElOther _ ❑`Septie: 0lNells 0-1716 odplain~ ❑Wetlands r o 1NatershetlaDistnct`;�. OWater/SewerT__ . _•- _ .: � __.-_ � _ � . - _- _ - - - -- - DESCRIPTION OF WORK TO BE PERFORMED: t Idntifica in Please Type or Print Clearly) OWNER: Name: ��AQ`D�SJez Phone: r Address: 11-74 l"` — CONTRACTORa Name l to s e y . C_ Address /Va .. 9-heZr1S Supervisor srConStruction:,License,C d1(- �� _ -_Exp: •Date: - - Home Improvement License -Exp_ Date: ARCHITECT/ENGINEER /1" 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.: access to the uaran u nd contractors do not have a .� h' NOTE. Persons contracting with unregisteredg Signature of Agent/Owner' :_ __ . .. Slgature.of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑_ 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 Signature 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 To`x;� Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTS EENT - Temp Dumpster on site yes no Located at-124 Mair Street Fire Departinerit signature/date'' F S �t . - COMMENTS i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of dieter 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 i I i i ® Notified for pickup - Date 14 i Doc.Building Permit Revised 2010 i Building Department The fol*wing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofii g, Siding, Interior Rehabilitation Permits P ❑ Building Permit Application ❑ Workers Comp Affidavit o. Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application Li Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses I Li Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) I o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 apnaal 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 i Doc: Doc.Building Permit Revised 2012 Location No. Date • - TOWN OF NORTH ANDOVER .,.. - Certificate of Occupancy $ Building/Frame Permit Fee $J�O2 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � 26644 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost � .r?�.� m $ - $ 502.20 Plumbing Fee $ 62.78 Gas Fee 100 comm. $ 1 DD.00 Electrical Fee $ 62.78 Total fees collected $ 727.75 60 Sherwood drive 070-14 on 7/22/2013 Kitchen Remodel J § �-. # # k F NORTM Town of ndover 12 'a k No. oll - Iq Z h o � h , ver, Mass, Ott �qCOCHIC"awICK y1. °RATE o •P``�,�.c5 s � BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System 1 THIS CERTIFIES THAT -- 1. BUILDING INSPECTOR .... ............ has permission to erect buildings on ..(0a...S ..�ur.��o �............. Foundation ...................:...... ..... ..... ....................................................... Rough to be occupied as ........ � � ......1R.1 It �.. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR N ARTS Rough Service ....... ... ...... ................................................... 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. �"It SEE ERS Smoke Det. '',{{ I E F e v L (j{r {{ Fst .c #z 4}ya s. -,: ek tt a£a,r ;��R ?�'$.gC€{3*E€ 11 I'na E liatr� r yH.g} k,ixa;y €GIs , i `t" ? 7�Itli - . CA I z4'• ' F d £F ' �i � !�� �- ; ��., �R?,I,y�,.��tt t41t � #, e i .r �,.: rp ..: @'• .- E€ - - .Tf:'='".. �:.-E � :i[._€,,,{ i��-tg€S f 11f {t I p a °�c gltlli T� t+i 3a'. {�I 4a.-.f• 'E .a �'��'4 i3.�ken[r€,�-"�.���S.��t{.,f.,,rt - - .4�e�+�A�.v. �.a�..M_•rnsAve-ew:x�t� 1 .i�'J":�x�Mxk�- Vit••..'.-�ae.:..r:.>ra�.r..r. i9i-SK'�!Ftf'MxY:F:...tfn. .. c w- s+��_ _ OP ID: MM CERTIFICATE OF LIABILITY INSURANCE F oaT06113113(MMIDoryyyy) THIS CERTIFICATE IS M'6. .ED M 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 GERTIFICATE OF INSURANCE :DOES NOT,CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCEEt,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 terns 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;endorseri7ent(s). ORODUCERCONTAET Phone:978-745-3300 AM : John J Walsh Ins Agency,IncFaX'978-745-9557 PHON o P O Sox 4407 Ne Salem,MA 01970-6407 EMAIL David C Bruett auoREss: 9MCIN02 INSURER(S) AFFORDING COVERAGE NAIC A INSURED M Scott McInnis INSURER A:Mass Wkrs Comp Ansi n Risk 4 Alexander Way INSURER B:Essex Insurance Company South Hamilton,MIA 01982; INSURER C- INSURER D: INSURER - INSURER E: ' INSURER P: COVERAGES CERTIFICATE.NUMBER: . REVISION NUMBE THIS IS TO CERTIFY THATJHE 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 OE SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXP LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DDY y IJMITS GENERAL LUIeHJTY EACH OCCURRENCE $ 11000,000 13 X COMMERCIAL GENERAL LIABIUIY 3DI)6123 04/02/13 04/02/14 PREMISES Es occurrence $ 50,000 CLAIM8-MADE 1_X_1 OCCUR MED EXP one EtT2n) $ 1,000 ! PERSONAL&ADV JNJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGO $ 1,000,000 _ POLICY PRO- Loc $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS I BODILY INJURY(Per permn) $ BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOSj (Pereccidenq S NON-OWNED AUTOS $ i S UMBRELLA LIAR ; OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DEDUCTIBLE $ RETENTION $ ffi WORKERS COMPENSATIONWC STA—T— OYH- AND EMPLOYERS•LIABILITY X T A ANY PROPRIETOR/PARTNER/EXECUTIVE 1 N WC2509611 08/18/12 08/19/13 E.L.EACH ACCIDENT $ 100 00 OFFICEFUMEMBER EXCLUDED? NIA r (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,00 IFyy��sLLRIdescribe under I I DE& PTION*OF OPERATIONS bolow; E.L.DISEgSE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional RemarM Schedule,if marc space 4 required) CERTIFICATE HOLDER ° CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 116 Marbleridge Rd. j AUTHORIZED REPRESENTATIVE North Andover,MA:01845 '9-10 A'CORD 2'5:(2`009109) "Fha AcoRo:name and logo are registered maks ofACORD D - DRAT is reserved. ORP ION All righ rved The Commonwealth ofMassachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov1d a Workers' Compensation.Insurance Affidavit:Builders/Contractors/lElectricians/Plumbers Applicant Information Please Print Lesdbl Name(Business/Organization/Individual):4 2 Address: � - City/State/Zip: 6iaf 2 0 LIZ-OPhone Are you an employer?Check,the appropriates box/: Type of project(required): I.[-1 am a emj9a employer with 4. L Id'1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have Hired the sub-contractors 2111 am a sole proprietor or partner- listed on the attached shoot 1 7. ❑Remodeling ship and'have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers' comp.insurance. 9, []Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' comp.insurance required.] 1311 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they 8ie 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 their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for ray employees. Below is the policy and job site information. Insurance Company Name:. 0-cl(,ditAt4�V•{ 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 requiredunder 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. De advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do Hereby ce"i er the i an enal'es ofperjury that the information provided above is true and correct. - �' Si ature: Date: l Phone#: Do notwrite in this area,to be completedby city or town official.City or Town: Permit/License 0 [OfJf7cialusconly. ssuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.EIectrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone 0: Information and .fI111structI ons Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,• express or implied,oral or written.' An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j oint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling 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 maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be.deemed to be an employes." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit 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 coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapterhave been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If as LLC or LLP 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 and date the affidavit. The affidavit should be,returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial 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 appropriate line. City or Town Officials se be sure that-the affidavit is-com-complete and rinted legibly. --PleaP p g y. The D epai-tmerit has provided a space at the botEom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be.used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog Iicense or permit 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 cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massa.,chv.:SPits Department offadustdai.A ccldeats Office of laveNtigatitons 600 Wasbingtm Street Boston}U&02111. `OL#61.7-7274900 0A 406 ox 1-877-MASRAFB Revised 5-26-05 Fay,#617-727,7749 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-051123 M,SCOTT MCIN" '. -,kill. 100 HESPERUS XVE 0 Gloucester MA 01930 "I# Expiration Commissioner 02/27/2015 >>>> ��e oo��anurea�a,Ci%iGcriJaac�uae� I License or registration valid:for►n�ividul use only .. Office of Consumer Affairs&Business Regulationbefore the expiration date. If found return to: 4 OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and.Business Regulation egistration: 145633 Tyke'. - DBA 10 Park Plaza,-Suite 5170. 4 xpiration: 2/16/20x5- Boston,M&'62116 Ir ' WINNIS CONTRACTING, N e\ I SCOTT McINNINS .1 •.- r._.,,.. 100 HESPE!?US AVE. I Not valid without signature GLOUCESTER,MA 01936 Undersecretary 4 McInnis Contracting 100 Hesperus Ave. Gloucester,MA 01930 #978-265-2238 HOME IMPROVEMENT CONTRACT Agreement made as of this date June 28, 2013 Between: Hal and Kim Hearst ("Owner" or "Customer") of 60 Sherwood Dr, North Andover and McInnis Contracting ("Contractor") of 100 Hesperus Ave, Gloucester, MA 01930 for certain remodeling work to be performed by Contractor at property located at: 60 Sherwood Dr, North Andover, 01845 (the "Property") 1. REMODELING WORK. The remodeling work to be performed pursuant to this Agreement is set forth in Exhibit A which is attached to and forms a part of this Agreement and shall be referred to in this Agreement as the "Work". The Owner shall pay Contractor therefore the amounts and at the times as set forth herein. The Contractor shall have the right to use subcontractors in performance of the Work. 2. TIME OF COMPLETION. The approximate completion date of the project shall be 45 days from the construction start date. However any change orders, delays in materials to be supplied by Owner or Work to be done by Owner and/or conditions discovered at the Property after the Work commences or any other factors outside the control of Contractor might delay or otherwise affect the completion date. 3. THE CONTRACT PRICE. The Contract Price to be paid to Contractor is as set forth in the Contract Price and Responsibilities Schedule marked Exhibit A attached to and forming a part of this Agreement. A. The Parties agree and Owner understands and acknowledges that the Contract Price set forth in Exhibit A is based on the aspects of the Property viewed by the Contractor prior to commencement of the Work. If conditions are encountered at the Property which are subsurface or otherwise concealed physical conditions or unknown physical conditions and if they would cause an increase in the Contractor's cost of and/or time required for performance of any part of the Work, the parties will negotiate an equitable adjustment in the Contract Price, such adjustment to be reflected in a Change Order, and thereupon such increases will be added to and become part of the Contract Price. B. Exhibit A may provide Allowance Amounts for certain items to be selected by the Owner. In the event that the actual cost is greater than or less than the Allowance Amount set forth in Exhibit A, the Contract Price will be adjusted accordingly. The Contract Price includes the Allowance Amounts set=forth in Exhibit A. If the final cost of the Allowance items is greater than or less than the Allowance Amount specified, the customer will be charged or credited accordingly. C. Owner is responsible for the selection delivery, set up, installation and payment of appliances unless otherwise specified. Sub-Zero refrigerators and commercial grade ovens wilff require special delivery and installation arrangements at additional cost to Owner. 4. RESPONSIBILITIES. Exhibit A also sets forth material and work responsibilities between Owner and Contractor. Anything that is the responsibility of the Owner to obtain or perform shall be deemed not to be part of the Work to be performed by Contractor under this Agreement. In the event existing floors, walls and or ceilings are not level, the contractor will match existing conditions to the best of his ability. Contractor.is not responsible for pre-existing conditions beyond the scope of this contract. Page 1 of 2 5. PAYMENTS. Upon signing of this Agreement Owner shall pay Contractor one-third of the Contract Price shown on Exhibit A, with one-third due at 50%job completion, and the balance of the Contract Price to be paid in full upon completion of the Work. The work shall be deemed completed upon substantial performance of the Work in a workmanlike manner and shall be sufficient grounds for Contractor to require final payment from Owner. If payment is not made when due the unpaid balance shall accrue interest at the rate of 12.00% per annum, which Owner agrees to pay as well as all costs, fees and charges (including reasonable attorneys' fees) of collection. If payment is not received by the Contractor when due, then, in addition to any other remedy available to Contractor, Contractor shall have the right to stop or limit work or terminate the contract at its option. Stoppage, limitation or termination by Contractor under the provisions of this paragraph or other termination shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed and costs incurred prior to such termination. 6. WORK QUALITY. All work shall be completed in a workmanlike manner. 7. CHANGE ORDERS. A Change Order is any change to the Work, including any changes to the Contract Price as noted in Section 3, above. 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, and signed by both parties. Additional time needed to complete change orders shall be taken into consideration in the project completion date. 8. HAZARDOUS MATERIALS WASTE AND ASBESTOS. Both parties agree that dealing with hazardous materials, waste or asbestos requires specialized training, processes, precautions and licenses. Therefore, unless the Work 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 and allow the owner 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. 9. ASSIGNMENT OF MANUFACTURER'S WARRANTIES. Contractor hereby passes through and assigns to the Owner/Customer any and all available manufacturer's warranties on all appliances, equipment and materials supplied by Contractor in the property. Compliance with each manufacturer's warranty requirements is the Owner/Customer's sole responsibility. 10. ARBITRATION OF DISPUTES. 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. NTRACTOR: I N CT BY: By execution of this document, I agree to have read and fully understand all statements, terms and conditions of this document Owner: � Owner: _1L Deposit Received: Date: 7" Ck#: Jia Amount: bs`� Page 2 of 2 McInnis Contracting& Development Exhibit A Hal & Kim Hearst 60 Sherwood Rd.,North Andover 01845 6/26/2013 1 PERMITS Allowance Cost Prepare and submit permit application Allowance-Permit fees charged by city or town $ 350.00 $ 350.00 2 DEMOLITION Remove cabinets and countertops $ 1,000.00 Reinstall 5 of the cabinets in garage $ 250.00 Dumpster(allowance 1 dumpster) $ 575.00 $ 575.00 3 FLOORING Refinish oak floors in hallway,diningroom, livingroom, and kitchen. Also including refinishing 15 stairs. $ 1,985.00 4 ELECTRICAL Brind all outlets and switches up to code and rewire and relocate as needed. $ 2,950.00 Any recessed lights would be charged at$120 per light, undercabinet lights are$200 each, interior cabinet lights at$300 each. Supply and install new 100 amp sub panel $ 500 $ 5oo.0o 5 PLUMBING& HEATING Disconnect and reconnect sink,faucet,appliances. $ 1,100.00 .Disconnect and move gas line $ 350.00 Install new sink in island. Price subject to being able to tie into existing vent. $ 650.00 $ 650.00 6 CARPENTRY Install cabinets, mouldings, hardware&accessories. $ 3,650.00 Install new hood fan and appliances (with electrician) $ 950.00 7 �. BLUEBOARD, PLASTER AND INSULATION Patch walls and ceiling where needed and make ceiling smooth. $ 1,800.00 8 TILE BACKSPLASH Allowance for approx.55 sq.ft. the @$15 p.s.f. incl.grout $ 900 $ 900.00 Allowance for installation, subject to change based on design $ 750 $ 750.00 9 PAINTING By Owner 10 CONSTRUCTION MANAGEMENT Coordinate and supervise all direct labor and subcontractors. Supply materials,tools and equipment to complete the project. Provide workman's comp insurance and general liability insurance. Secure all permits and coordinate all inspections. $ 2,800.00 TOTAL COST INCLUDING ALLOWANCES $20,560.00 Accepted By: '� ( ner) Date: — — 1 Acknowledged B (Contractor) Date: A r �3J �r i Cape 3.Ann KitcChen Custom Cabinetry,Design&installation CABINET PURCHASE ORDER Hal and Kim Hearst June 13, 2013 60 Sherwood Dr North Andover, MA 01845 (978)682-9717/(978) 495-0940 kimhearst@comcast.net KITCHEN CABINETRY as depicted and acknowledged on the attached kitchen plan. CABINETS PERIMETER ISLAND Manufacturer: Dynasty by Omega Dynasty by Omega Door Style: Hollibrune Loring Drawer Style: 5-piece Flat 5-piece Flat Overlay: Designer Overlay Designer Overlay Wood Species: Maple Point Grade Cherry Finish: Oyster Riverbed Box Construction: Plywood Plywood Drawer Construction: Wood Dovetail, full- Wood Dovetail, full- extension, Soft close extension, Soft close TOTAL AMOUNT DUE, INCLUDING TAX Et DELIVERY: $ 21,295.00 *P/0 does not include cabinetry hardware, glass inserts, countertops or cabinet installation. *P/O does not include anything not included on the approved design, including but not limited to, extra material/stock, cabinets, etc. as requested by contractor or homeowner for installation purposes or otherwise. CUSTOMER AGREEMENT: THIS IS A NON-REFUNDABLE SPECIAL ORDER AND CANNOT BE MODIFIED, CANCELLED OR RETURNED. THIS ORDER CANNOT BE PLACED WITHOUT CUSTOMER APPROVAL AND A 50%DEPOSIT OF TOTAL COST. CUSTOMER AGREES TO PAY THE BALANCE IN FULL WITHIN 5 DAYS OF DELIVERY TO OUR WAREHOUSE. CABINETRY HELD FOR MORE THAN 5 DAYS FROM DELIVERY TO OUR WAREHOUSE IS SUBJECT TO STORAGE CHARGES. CUSTOMER MUST NOTIFY CAPE ANN KITCHENS, LLC WITHIN 5 DAYS OF ANY CONCEALED DAMAGE. Accepted By: 7L, L. 7 C+✓� - Date: 6 Acknowledged By Cape Ann Kitchens, LLC: Ronna G. Duffy Date: -1 3 Credit Card Type or Check # 3 2( Amount: Date: Credit Card Type or Check # Amount: _ 607 Main Street, Stoneham, MA 02180 T: 781-438-2031 • F: 781-438-2033 Open Monday-Saturday www.capeannkitchens.com i cape Ann Kitchen5' Custom Cabinetry,Design&Installation COUNTERTOP PURCHASE ORDER Hal Et Kim Hearst June 19, 2013 60 Sherwood Drive North Andover, MA 01845 (978) 682-9717/ (978) 495-0940 Kimhearst@gmail.com KITCHEN COUNTERTOP as depicted and acknowledged on the attached kitchen plan. Area: Perimeter Ft Island Material: 3CM Granite Color: River White Edge: V4"Bevel Backsplash/Height: None Sidesplash/Height: None Cutouts: (2)undermount sinks Main Sink Model#: Franke Orca ORX110 Prep Sink Model#: TBD TOTAL ESTIMATED AMOUNT DUE, INCLUDING TAX ft DELIVERY: $3,895.00 CUSTOMER AGREEMENT: A 50%DEPOSIT, BASED ON AN ESTIMATED QUOTE,IS REQUIRED TO SCHEDULE THE TEMPLATE. FINAL PRICE, INCLUDING TAX AND INSTALLATION, WILL BE DETERMINED BASED ON THE FINAL TEMPLATE. Accepted By: G Date: Acknowledged By Cape Ann Kitchens, LLC: Ronna G. Duffy Date: 1'l�3 Credit Card Type or Check#_5_L7.( Amount: $ 1,947.50 FINAL COST BASED ON TEMPLATE: $ Date: Credit Card Type or Check# Balance: _$ 607 Main Street, Stoneham, MA 02180 T:781-438-2031 • F:781-438-2033 Open Monday-Saturday www.capeannkitchens.com