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HomeMy WebLinkAboutBuilding Permit #099-2017 - 66 CEDAR LANE 8/1/2016 A(ay A4Nv-, BUILDING PERMIT ` tORTF,FD '6 49tio TOWN OF NORTH ANDOVER�� APPLICATION FOR PLAN EXAMINATION -'1 h Permit No#e9 Date Received 'oDR1TED Date Issued: Q6 [�f "7 ` �SS'9C14U IMPORTANT:Applicant must complete all items on this page LOCATION (�e C _bp,1 ( AQj Print PROPERTY OWNER ' 1C r Print 100 Year Structure yesno MAP--���D PARCEL: 13 _ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ;;Addition ❑ Two or more family ❑ Industrial XAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 121X .24 MASTEK BEDC-h:t)n,. 7—�l r i 0o&)-5 rucM6-b +Ni�oyc �-r lG A r-F\ Identification- Please Type or Print Clearly OWNER: Name: MjCK i Ni Phone: S 27-, ?1�2 Address: Contractor Name:A 1 Pho e: 9 - Email: Address: 41`1 WAVe i?,Lr-y ?fli0L\T+4 A►)Dov F MA Supervisor's Construction License:Crz) lbLj�j.2 ` Exp. Date: T;J S2- Home Improvement License-. Exp. Date: 1 ARCHITECT/ENGINEER i L OV R-/ OGtd_N Phone:9 8 z Address: N.��j �T ANDOVE K NA 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: $ 58,750 , 00 FEE: $- Check No.: 0 � Receipt No.: 0 , NOTE: Persons contracti registered contractors do not have access to the guaranty fund Siqnature of contra - -- -- - __ 1 BU c� ILDING PERMIT P NORTH TOWN OF NORTH ANDOVER�� Pl",,� A ,1w � � 1`�o qy APPLICATION FOR PLAN EXAMINATION +° t '" Permit No#• I Z ; h Date ReceivedAreo ` Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION PROPERTY OWNER J� 4 ------- Print MAP . / — Print 100 Year Structure PARCEL: 1 � ZONING DISTRICT: Historic District yes no Ye no Machine Shop Village ye ' no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ,'Addition ❑ Two or more family Alteration No. of units: 11 Industrial � ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition11Others: ❑ Other ❑ Septic ❑V1[ell N= Y- �Flootl lain1 -� ❑ Water/Sewer ❑ Vllatersh.edstnct' T f _ 2�X DESCRIPTION OF WORK TO BE PERFORMED. 4 ' b< i 15-C IG A ISA �� M OWNER: Name:_ Identification- Please Type or Print Clearly _ �ic 1�• Address: Contractor Name:p j Pho e: Email: 4 - Address: 41--t Wed RL Supervisor's Construction License:! Exp. Date: 1;112- Home Improvement License: Exp. Date: ARCHITECT/ENGINEER t L HU R Phone:g 8 2 Address: N h� MA 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: $_rj ,`j r-,-% FEE: $ Check No.: ® NOTE: Persons contracti Receipt No.: , registered contractors do not have access to the guaranty fund r '� ,, . Location 6 f1 6 gAse Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $' Building/Frame Permit Fee $]�&o Foundation Permit Fee $ d Other Permit Fee $ TOTAL $ Check# t9/17,r-57 t, ' 0 Building Inspector / _» �---- " :`-`-:,----.'---1---.---, , - -. ..'! , . —,— - - " , " , , � �-, --- --.--,--,-*r--- ---* - - , -"-,' ' - - �.,:.z _.. �, : : ��-,-., , , '--, "" " , -- - - ,I. I 1� " -. - I -� �-� -, �r��—�-. . �--`-`-7-"-,-I .. .. . -- . ... - . . ,-':... ., I I. I - ... ,�;I I� ,,_,: . �,. . I - ---�11---------------�---------- .�-�----...-- -. �- '.'.' - . . 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'12 - _ - r x __ - -. n r• _ V ,...y .:..�' :. : t ... .... ... .. . - .. .. . .. _ - . . - .. ._. t. .. _ _ _ ,. _ L _Z _ . .. s... .. .. ,. _ . ..� :, ". Z,—� ... _ _ , L. .. .h .� . t..:' 1. - r. I.% �L . w w r x �:.. _. Plans Submitted Plans Waived ❑ Certified Plot Plan K Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools D Well ❑ Tobacco Sales ❑ Food Packaging/Sales 0 Private(septic tank,etc. ,x Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR. OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM LANNING & DEVELOPMENT Reviewed On � Signature_ I h COMMENTS �Ga'i✓!/ C®NSERVATION Reviewed on aU Signature COMMENTSLA-)O(- 00 � wo(� iSvO� VIEEALTH Reviewed on Si nature COMMENTS a- { ej _1 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments e r Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit _ DPW'Town Engineer: Signature: Located 384 Osgood Street T Temp,�Dumpster onsite ayesr _ +no_,m FIREDEPAR�TMEN:_� - ' - _ _ �_ 'ocated�at�124tMairitStree# Fire Department�si'gpatu a/"date COMMENTS Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swhnming�Pools Tanning/MassageBody Art ❑ Well ❑ Tobacco Sales ❑ 4" Food Packaging/Sales ❑_.. Private(septic tank,etc. , j Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM n b �/LANNING & DEVELOPMENT Reviewed On t l Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS Lia.-�_- --I,- S - 0O' Wo( tsy0l "U lj C-�, Get \WRr EALTH Reviewed on Signature _ I COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes a Planning Board Decision: Comments II C r Conservation Decision: Comments Wafter& Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street Y:i. y" "S.m-afa-,N r- v,Y"""• E4'[wG r ,Ir t1 M.,y t�,,,..�r••^•a FIRE DEPAI lnENi ernp�Ujster�onIsite�yesr � r= '� Lino ;Located at 124 Main Streets � Fire`�De artment'sr r`aatu�dd e � i�. �" �+�+w�, a` .'t!'•° `�.i„�;=.N,.urrl-'� -.�,•�t�� ,g«�,x�. ,.•w�.: irw��(�� a� T .F• •')ltEf t r'° M'L. f '�* c. .�e, G t3 nc. �i v » ♦ `2 i a� � I 5 '� - �4�� �J' C ik5 Y f•V i � � 7 e Yr Y .. - �'' ..- `. w'� .r+-� i J Y t'4r , 1 I•" £� .�'}�F i 9`' X '« 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 TES and DATA— (For department use) V�_ ❑ Notified for pickup Call Email Date Time Contact Name _- Doc.Building Permit Revised 2014 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. I Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine TES pnd DATA— (For department use) �D ( n5 UZ ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i 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 ;rF Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals t i that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 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 :rs Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4, Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C.'And C.S.L. Licenses ;rF .Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) �. Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 14Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit 4. Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract -- -- - _ -- 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 589750.00 m $ - $ 705.00 Plumbing Fee $ 88.13 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 88.13 Total fees collected $ 981.25 I 66 Cedar Lane 099-2017 on 8/l/2016 master bedroom and bath over garage i I 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 CANNING & DEVELOPMENT Reviewed On l I I 1 Signature_ COMMENTS---4 l \/ C®NSERVATION Reviewed on I (4 Si nature l COMMENTS SDC 1 S Uj 0O� <-- % 0 WeA� v i \///HEALTH Reviewed on a Signature COMMENTS ' U i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRELDEPARTMENT TempDumppster onsite ,yes Coc �� m v `{ t �, t�12,4;Main+Street, p `F relDepartment�ignatare/tlafe � •, j r,�.:_ � '' COMMENTS , -A. NO Town of RTf, .� Andover L t\- No. oq9-2617 oh ver, Mass, �O� --- coc.ucNcw�cw �1 21,95 ljkPp��S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT99 -4404900X...................................................... BUILDING INSPECTOR has permission to erect .......................... buildings on ... .....�-&P ......A:W......... Foundation ............... Rough to be occupied as� .... �... ... .. 1�'t ............... ... ., Chimney provided that the person accepting this permit sha I in every respect conform to the ter s 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 CONST CTION Rough Service .. ... . . ..... . . .. ... ...... Fina BUILDING PE OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i North Andover MIMAP 66 Cedar Lane July 20, 2016 F+- m u` — 4i �I rc o � �105.0 00•L6 k ` f ZIP i - d t LN k • , . , y «tA � � :�"� r :r•s � to '�+Sh ��.� ,t*,�e� x"7 .. ss • „� �m^r 4�s' e p , kM '1 6�A'�-`0142 i•t�'� � :.�, ,�} 4 4CEDAR LNC' +,F f $ R f'• •�Ayf f M r �• . t- jet , 4k,"' *j 4ti' Q' 106.A-01"44 k F �" r �s` r � tom' • ,9 -*'rt, �' , . • G MVPC Bo Interstates • co O V Horizontal Datum:MA State lane Coordinate System,Datum NAD83 —SR Meters at Sources:The data for this map was produced by Merrimack NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads Cf�s`g a qti North Andover.Additional data provided by the Executive Office of t r Easements G ` ` ♦ ? s4 •�ry �p Environmental Affairs/MassGIS.The information depicted on this map is ❑Parcels J T O 3 L for planning purposes only. It may not be adequate for legal boundary O —• o definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER j4W" -A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # * THE ACCURACY,COMPLETENESS,RV,OR SUITABILITY ` # s --• ,^ X OF THESE DATA.THE TOWN O NORTHTH ANDOVER DOES NOT '► 09 � ��� ; ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 1/9�o��r\p'�ttg THIS INFORMATION SSAC SF Or clo, S ac a '� �`.� ,u oF' r � � � ,� 3` r�, � � ;� �- <. � Y s' r .. a 4 p �, f .�1 W. �y 4' .�.t'� .+fir. ,►.�� N� � C ,k' +� i .ws W �� x. 0 rlCo. Building&Remodeling Adam Brien CSL 104428 417 Waverly Rd. HIC 168512 North Andover, MA 01845 LLC 978-479-1526 7/12/16 adambrico@gmail CONTRACT Nick Kline 6 Cedar Lane North Andover MA EXHIBIT A Job Description: Master Suite addition including bathroom over existing garage • All construction built to stamped plans provided. • Demolition of existing roof over living room. Demolition of ceiling in a living room, removal of wall paneling and insulation in living room. Permitted Dumpster will be placed on site for debris. • Finished floor to be covered with plywood for protection of existing living room floor. • All framing constructed to plan. Exterior plywood to be "Zip System" All partition movement and structural elements built to plan. All exterior trim work to be PVC material. All structural beams and columns to be approved by engineer • 24"x24" footing cut into garage floor for new concrete footing and column. Location and sizes per plan • Roof of new addition to receive architectural shingles, color and brand to be matched. Backside of house shingle to be blended into existing. Due 9 9 to age and dye lot, shingle may not match 100% • New addition to receive vinyl siding. Siding to be blended in back of house. Due to age and dye lot, siding panels may not match 100% • New Harvey windows installed where dictated on plan, glass to meet energy rating and style to match existing windows. Two windows to be removed and installed at new location. • All exterior walls, ceilings and floors to be insulated to meet energy code. r • All new walls and ceilings to receive blue board and plaster, garage ceiling to receive 5/8" fire code blue board andP laster, small closets and garage ceiling to receive texture finish • Master bedroom, closet and hallway to receive new 3 '/a" red oak flooring sanded, sealed and polyurethane (2). Carpet to be cut in around new closet that are created in existing bedroom. • Electrical scope to consist of the following. Plugged and switched to code. Led Recessed lights in master bedroom, master closet and hallway. 1 ceiling fan, an allowance of$400.00 is included for ceiling fan, one cable location. Bathroom to be wired to code, exhaust fan light combo vented to outside, recessed light over shower, recessed light in toilet room, vanity lights, an allowance of$300.00 is included for vanity lights. Ceiling in existing living room to receive LED recessed lights. Recessed cans to be on dimmers. New closet on second floor to receive light and switch. Bedroom to receive new hardwired smoke detector. • Bathroom to be built to plan. Walls and ceiling to receive blue board and plaster. Floors to receive Hardi-backer underlayment prepped for tile installation. An allowance of$300.00 is included for the purchase of tile and grout. • Shower walls to receive cement board underlayment prepped for tile installation. A $400.00 allowance is included for the purchasing of tile and grout. (Tile pattern and design may reflect a price increase in labor.) An allowance of$200.00 is included for shower head and trim kit • Soaking Tub to be installed. An $800 allowance is included for tub and faucet. (If tub requires specialty plumbing design price may increase due to labor. Jacuzzi tub will require a price increase based on electrical feed necessary for pump controls) • An allowance of$300.00 allowance is included for the purchasing of toilet and seat. • An Allowance of$800.00 is included for vanity, an allowance of$800.00 is included for granite top, white under mount sinks included with purchase of granite. If different style is desired homeowner is responsible for purchasing and delivering to site. An allowance of$300.00 is included for the purchasing of 2 faucets. Toiletries and mirrors not included but BriCO will install at no expense. Glass shower enclosure not included(estimate $1200.00) • All new doors to be solid core Masonite, all existing second floor doors to be removed and new solid core primed Masonite doors installed including jams and casing • Master closet to receive 1 "MDF" wrap around shelf with pole • Per plan option, closet to be removed and new window installed over front entrance, walls to be patched and plaster to blend. • Painting not included • Permit fee included Total Allowance figure $4600.00 Grand Total $58,750.00 The Owner agrees to pay BriCo Building and Remodeling $58,750.00, for doing the work outlined above. The following payments will be paid to the contractor in the following manner: • First Payment is of$20,000.00 is due once contract is signed. This payment will be for permit fees, window order (generally 3 week manufacturing), lumber and dumpster fees. • Second Payment of 15,000.00 is due once structure is weather tight, glass is installed, roof is complete, mechanical rough begins and exterior siding. • Third Payment $10,000.00 is due at completion plaster and interior millwork has begun. • Fourth payment of$10,000.00 is due at completion of flooring. • Final payment is due at completion of project All subcontractors that are hired by BriCo or the homeowner must carry the appropriate license and insurance to perform work in the state of Massachusetts. The contractor agrees to perform this work in a competent and skillful manner according to standard industry practices, and all work performed shall be subject to final approval by Owner. All work to be done incompliance with Massachusetts building code. BriCo takes on full responsibility of all necessary inspections. All craftsmanship is warrantied for one full year from completion of construction. Warranty is voided if repairs are necessary due to a natural disaster. All glass installed meets state energy code for performance and efficiency. Each glass unit will contain its own energy certificate. Any unforeseen work or necessary repairs found during this project to be brought to the owners attention as soon as possible. Any extra work resulting from unforeseen problems will be priced accordingly on site and be done with written approval. BriCo is not responsible for anything that occurs on site that is not directly involved with the construction of this project. BriCo Building and Remodeling is a fully licensed and insured LLC company. License numbers are provided in the header above and current insurance documentation upon request. BriCo is a full service general contracting company. We take pride in our work look forward to the opportunity to work with you. Customer SignatureDate 7 Contractor Signatur4-::7 e Date'° i li * Co. / Building&.Remodelii�g Adam Brien CSL 104428 417 Waverly Rd. HIC 168512 North Andover, MA 01845 LLC 978-479-1526 7/12/16 adambrico@gmail CONSTRUCTION CONTRACT This Construction contract dated as of 7/12/2016 By and between Nick Kline of 66 Cedar Lane North Andover MA, and BriCo Building and Remodeling Owner and contractor in consideration of the mutual covenants hereinafter set forth, agree as follows Article 1 Contractor shall construct the items in Exhibit A in accordance with contract documents, as identified in this contract on property which is located at 66 Cedar Lane. Article 2 Contract Price The Owner agrees to pay BriCo Building and Remodeling $58,750.00, for doing the work outlined above. The following payments will be paid to the contractor in the following manner: • First Payment is of$20,000.00 is due once contract is signed. This payment will be for permit fees, window order (generally 3 week manufacturing), lumber and dumpster fees. • Second Payment of 15,000.00 is due once structure is weather tight, glass is installed, roof is complete, mechanical rough begins and exterior siding. • Third Payment $10,000.00 is due at completion plaster and interior millwork has begun. • Fourth payment of $10,000.00 is due at completion of flooring. • Final payment is due at completion of project Article 4 Change Orders Both parties shall agree any unforeseen work or changes requested during this project to be granted with written approval. Any extra work resulting from unforeseen problems will be priced accordingly on site and be done with written approval Article 5: Contractor's Representation Contactor has familiarized itself with the nature and extent of the contract documents, work site, and all local conditions and regulations that in any manner affect cost, progress and performance of the work. Contractor is duly licensed to perform the work as required by laws and regulations. Article 6: Contractors Responsibilities The contractor agrees to perform this work in a competent and skillful manner according to standard industry practices, and all work performed shall be subject to final approval by Owner. All work to be done incompliance with Massachusetts building code. All materials and equipment shall be of good quality and new. All materials and equipment shall be installed in accordance with manufactured specs. Contractor shall be fully responsible to owner for all acts and omissions of its subcontractors, suppliers and other persons performing or furnishing any work under contract with contractor. Contractor shall be responsible for initiating maintaining and supervising all safety precautions in connections with work. Contractor shall comply with all applicable laws and regulations relating to the safety of persons on the property Contractor shall repair or replace at Contractors sole expense every portion of the work that is damaged or destroyed before final completion. Contractor warrants and guarantees to Owner that all work will be in accordance with the contract documents and will not be defective. If within one year after the date of the final completion or such longer periods of time as may be described by laws or regulations or by the terms of any specific provisions or applicable special guarantee in the contract documents and work is found to be defective. Contractor shall promptly without cost to owner and in accordance with written approval correct such defective work. Article 7. Insurance Contractor shall maintain general liability and work-mans comp insurance for the work being performed at 66 Cedar Lane North Andover MA. Contractor shall deliver to Owner certificates of proof. Owner shall be responsible for purchasing and maintaining Owners Liability insurance and or other reasonably appropriate insurance. Article 8 Termination Termination by Owner. If Contractor breaches any obligations under this agreement then owner may give Contractor written notification identifying such breach. If Owner has not cured such breach within 7 days from written receipt or if breach cannot be cured or Contractor does not begin to cure or fails to diligently prosecuted cure to completion Owner may terminate contract and take possession of work. Termination by Contractor. If Owner breaches any obligations under this agreement then Contractor may give the Owner written notification identifying such breach. If breach is not cured in 7 days or Owner has not agreed to resolve such breach then contract may be terminated. Exhibit 9 Owner and Contractor each bind itself, its partners, successors, assigns legal representatives, to the parry hereto, its partners successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. This contract and all issues disputes and matters arising out of it shall be governed by and construed in accordance with the laws of the state in which the Property is located, exclusive of the body of the law governing conflicts of laws. IN WITNESS WHERE OF, Owner and Contractor have signed this Contract This Co be effective on July 7, 2016 Owner: Address of P operty: Contractor:_Aam Brien BriCO Building and-Remoaeing Address:417 Waverley Rd North Andover MA 01845 Title: Owner Operator The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Y www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual):Bf�� t lupl m / �:'?Am �JfCI P_N1 Address: 91-7 R(_F� iZD City/State/Zip:N:�N�,/�f MA 01$,Lj S Phone 4:-9?B (q Are you an employer?Check the appropriate box: Type of project(required): 14 I am a employer with 2 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. A Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: Lt Ct S Policy#or Self-ins.Lic.#: P, H 6 $F 5 O—7 \ 6 Expiration Date: (J 1 19 `1 Job Site Address:-,(7) C_t_by W L Ar City/State/Zip:NDpeT fl Aboj4-jZ Mfl OI$y_S 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 pains and penalties of perjury t. that the information provided above is true and correct. Sip_nature: A Date: `7 Phone#: 1 FS Li Z IF-,2— 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#: ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) A�O 07/11/2016 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 CONTACT NAME: Trudy Lawler MICHAUD INSURANCE AGENCY AICONN Ext: (978)685-2549 FAAic No: ADDRESS: trudylawler@michaudinsurance.com 105 HAVERHILL ST. INSURER(S)AFFORDING COVERAGE NAIC# METHUEN MA 01844 INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: BRICO BUILDING&REMODELING LLC INSURERC: INSURER D: 417 WAVERLEY RD INSURER E: NANDOVER MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: 67853 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR I POLICYNUMBER MM/DD/YYY MMID COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE n OCCUR PREMISES(aENTEoccur ante) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE NIA AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE YIN ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? NIA NIA NIA 7PJUB4618P50716 04/19/2016 04/19/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St AUTHORIZED REPRESENTATIVE North Andover MA 01845 L � Daniel M.CroW)ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD l ® DATE A�o CERTIFICATE OF LIABILITY INSURANCE 7i11i16 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 policAes)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 NAME: Tricia Sabulis Armand P. Michaud Insurance Ag PHONEN Edi- g7g) 685-2549 Fax N : (978) 794-0822 I.105 Haverhill Street A-MAILDRESS: triciasabulis@michaudinsurance.com Methuen, MA 01844 INSURE S AFFORDING COVERAGE NAIC It INSURERA:Green Mountain Insurance Co. INSURED INSURER B:Norfolk & Dedham MA BRICO Building & Remodeling LL INSURERC: Adam J Brien INSURER D: 417 Waverley Rd INSURER E: N Andover, MA 01845 114SURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWLSUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MIDDIY MM/DD/YYYY LIMTS A GENERALLWBILITY 20009201 4/13/16 4/13/17 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRE"SEDAMAGETO RENTED occurTencel $ CLAIMS-MADE �OOCUR MED EXP(Anyone person) $ Cj 000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-CDMP/OPAGG $ 2,000,000 POLICY 7 PRO-XCT LOC $ B AUTOMOBILE LIABILITY 91561617A 6/18/16 6/18/17 CONE M..'I)INGLE LIMB $ ANYAUTO BODILY INJURY(Per person) $ 100,000 ALLOWNED x SCHEDULED BODILY INJURY(Per accident) $ 300,000 AUTOS AUTOS HIRED AUTOS _NUON-OWNED PReO�PEERTY DAMAGE $ 100,000 UMBRELLALIAB F OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORRARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERMIEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Rerrerks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION O LD E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Tricia Sabulis ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: (978) 685-2549 Fax: (978) 794-0822 E-Mail: triciasabulis@michaudinsurance.com The Commonwealth of Massachusetts Department of Fire Services office of the State Fire Marshal P.0,Box 1025 State Road,Stow,MA.01775 Permit No PERMIT Date: (City of Town) (If Applicable) Dig Safe Number In accordance with the provisions of MG.L. Chapter 10 as provided in section 5 2 7 CMR 34 This Permit is granted to: (>` j Start Date Full name of person,Firm or Corporafied Permission to locate dumpster for construction/renovation/demolition of structure Comm"ts: dumpster be 25 ' from structure or covered with tarp or plywood Restrictions: at end of workday at - Z- I/ ("��0�;r (Give location by street and no.,or describein such manner as too pr. d adequate identification of location)) Fee Paid� �r-�— This Permit will expire C 4- M—tie) XP I'�6 (Signature of offical granting permit) Offical graaiing permit (Tithe) M M♦ TWl_S PFRMIT MI LRT PIP C_nMICPI!'_I Ill l_CI V Pn-gTl=n I IPnM TWP PRPMiCFG 4 The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.0.Box 1025 State Road,Stave,MA 01775 � Permit No PERMIT Date: , (City of Town) (If ppheable) Dig Safe Number In accordance with the provisions of MG.L. Chapter-1 Oas provided in section 5 2 7 CMR 34 This Permit is granted to: 6 v L �c� `y �� _ Start Date Full name of person,.Firm or Corpor ' Permission to locate dumpster for construction/renovation/demolition of structure Comments: dumpster be 25 ' from structure or covered with tarp or plywood Restrictions: a t end-- of workday at Ll L d� ���F (Give location by street and no.,or describe in such manner as to px vied adequate identification of location) Fee Paid$ �b— / ����/� This Permit will expire "( C XP� ��6 (Signature of of fical granting permit) t3ffical granting permit Title) �� TWIG pFRMIT I!►II LCTI=tF �"`nhICpIC_I if11 I_C! V pt"1CTpI1 I Ip[1I`I TI-II= pRpMICFR '�®r Massachusetts Department of Public Safety Board of Building j g Regulations and Standards i License: CS-104428 Construction Supervisor ADAM J BRIEN 417 WAVERLY ROAD''-)— NORTH ANDOVER MA 01845 Commissioner Expiration: 05/12/2018 oVvtaaJa�ccfe .. G 'Office of Consumer Affairs&Rus'iir'ss Regulation. IgoExpiration-.t�:�731,41201-7a-� - OME IMPROVEMENT CONTRACTOR Type: } egistration: `168512 LLC BRICO BUILDING AND REMODEL-jNG LLC ADAM BRIEN ' 417 WAVERLY RD I NORTH ANDOVER;MA 01845 Undersecretary 9