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HomeMy WebLinkAboutBuilding Permit #454 - 66 HERRICK ROAD 1/11/2008 pORT11 BUILDING PERMIT °�tt�IE° ,6,�'�'o TOWN OF NORTH ANDOVER �r °` ° .�: APPLICATION FOR PLAN EXAMINATION pq cec.nc. Permit NO: S, Date Received �9SSAc►+us���� Date Issued: 0 IMPORTANT: Applicant must complete all items on this pagbW 4Ee PI�O JAP$NO NPAROE ZG ( 1TRIT Htstrlc Lisrtc yes ro< C " ! . hlle Slopllage yes no h TYPE OF IMPROVEMENT PROPOSED USE n Residential Non- Residential ❑'New Building XOne family [],Addition ❑ Two or more family ❑ Industrial AmAIteration No. of units: ❑ Commercial ❑,Repair, replacement ❑ Assessory Bldg [I Others: ❑ Demolition ❑ Other 77 ti fl Flrx�cl l an t et{a dsA aWl ' dd§he his b s r i �; 4e1eVN .1 ' rk ,i. b .. y 5 ✓:. g., Y°t,.% . DESCRIPTION OF WORK TO BEP ORMED: L Identification Please Type or Print Clearly) OWNER: Name: a 1 fI c Phone:?71-61,06 azo Address d s Ctt�TRATflRame ,.. ri .4w Address k ,= w z r x w max- a v yc 5up�ecu sc��s anstrUcbol", i.�rr± s ; Epp Da oL-itirp. 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. *%l .1�0 O� FEE: $ Total Project Cost: $ 7 Check No.: s0 Receipt No.: Q0 �g O NOTE: Persons contracting with unregistered contractors do not have access to the gu my fund S' nature of A en /Owner. S�gfatureof contra 3 �'9u_ - _.._,..� �... 9_ �_ _ . 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 ; El (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 DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS _�> �.'�' ; ,',•r ,�' ," } -. DATE REJECTED , DATE APPROVED HEALTH ❑ ` COMMENTS Zonin Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Plann g Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIDEDEPART11IENT Temp Dt r pstei dn site yeb. noR Located at 124 f>llain.Sfireet 4 F` F�reDepartmenti signature/nate , d ,r - COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use 6--v— ..H-Z4 L, LV3, � 5 t!C ❑ Notified for pickup - Date ........._.........................._................................................................................_....._......................................._........................... Doc.Building Permit Revised 2007 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 o Building Permit Application o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract I o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) L3 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 o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 I Location No. Date NORT1y TOWN OF NORTH ANDOVER O D # ; , Certificate of Occupancy $ CMUs<�' Building/Frame Permit Fee $ 'r Foundation Permit Fee $ or- Other Other Permit Fee $ TOTAL $ Check # 2 0 G 0 Building Inspector .The Commonwealth of Massachusetts Department of Industrial Accidents M Office of Investigations � d 600 Washington Street Boston, MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/P lumbers Auolicant Information �[ / Please Print Leiffi y Name(Business/Organization/Individual): l�z sr,N d p S l�'1.V T�A Address: r-i 1 0 : 1T AE(t C- City/State/Zip: ZU. Iq Nd O U le" /� Phone.#: 4+9 7!F,6 Are,you.an employer?Cheek the appropriate box: Type of project(required):. 1.® I am a employer with Z- ' 4. E] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 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. employees and have workers' 9. Building.addition [No workers' comp.insurance comp.insurance.$ ❑ g required.] 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance ]t c.d.re uire152, §1(4), and we have no q employees. [No workers' 13.❑ Other comp. insurance required.] *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 a_�+davit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: it Pq N ;+E ,��,g�� ��✓ S Policy#or Self-ins..Lic.#:' 6 -33 O G$q Expiration Date: Cd -0 Job Site Address: lLCi��. ty p /j , IqNd /State/Zi -a Is<(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 certi u er the in an penalties of perjury that the information provided above is true and correct Sinature: Date: Phone#: q7 69! ~ '-Z,-n Offcial.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 ContactPerson: Phone#• Information and Instructions 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 of hire, express or implied,oral or written." t 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 joint 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 employer." MGL chapter 1:52, §25C(6)also states that"ever state or local licensing agency shall wiihhold the issuance or renewal of a license or permit to,operite.-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 chapter have 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-contractor(s)name(s), address(es)and phone number(s)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 carry workers' compensation insurance. If an 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 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 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 peimiVlicense 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 license or permit to bum 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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext.406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 ww.mass.gov/dia NORTIy TONVAM of : ove No. 446-* �l a � C%O ,- LA © � dower, Mass., COCHICHEWICK A0RA TE D `r BOARD OF HEALTH PERMIT T -D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT. 114��.............. 1..:`.0 ► �...... Foundation has permission to erect .......................... buildings on .&*.......���r..�.lf..fii. �. Rough to be occupied as.... � ........... ... ......��r ..^ ...........oe..&A.i ..!!!...*....................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 MON S ELECTRICAL INSPECTOR UNLESS CONSTR S TS Rough .................................................:..........:...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. �. ., 1696 KEEN, CONSTRUCTION CO. E 21 HEWITT AVENUE PROPOSAL NORTH ANDOVER. MA 01845 978 691-5201 All home improvement contractors and subcontractors Tel: ( ) engaged in home improvement contracting, unless Fax: (978) 682-3231 specifically exempt from registration by Provisions of t Chapter 142A of the general laws, must be registered with Submitted the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, / Home Improvement Contract Registration,One Ashburton ... E -i�-��\L.�e �`�..,._ ._." _ ..... Place, Room 1301, Boston, MA 02108 (617) 727-8598. r� Owners who secure their own construction related permits or deal with unregistered contractors will .......... t be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE =DATE REGISTRATION NO. F I D N0. C) MA. H.I.C. 108383 ,0 .326i- 052 > C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: `r_eC. ....... I ........_............. ___ _._»_..___-- _.. .. .............................. . ... .........._..__ I . .............-... �.____ _. _ _ _._______. ............_.............. __._.___.___ __ _ . ........... _ > Construction related permits: ........................................................................................................,..................,.............................................................................,..,,,.....•....................................................................,............................................................................................................................................ ................ i .................................................................................................................................................................................................................................................... .............................. •. WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of r following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contr_ a o his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. I We Propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of czy� 1 C t0 tdollars($ / ) Q ). Payment to be made as follows: % ($ ) upon signing Contract; KENNETH B. KEEN Name of Contractor/Designated Registrant ($ .�`y.,, 21 HEWITT AVE. ) on corpo 33 Street Address Yv^m letion of N. ANDOVER, MA 01845 /O �$ ) up° �Ycit 7 State %� ) shall be made forthwith upon (978) 691-5201 (978) 682-3231 completion of work under this contract. Phone Fax Notice: No agreement for home improvement contracting work shall require a Name n!Sales an - >down payment (advance deposit) of more than one-third of the total contract price f� ,,-- or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and Authoiifed, ignature T— — equipment,whichever amount is greater. Note:This proposal may be withdrawn by us if not accepted within days. Acceptance Of Proposal -I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight.of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature Date Signature 'Date IMPORTANT INFORMATION ON BACK P J JY/L9/LV V 1 11:00 raa I Da OYr 444V Vaa+ua'+a�a atw�a�nwu vvr PJ/"I�J{f 4w PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gilbert Insurance Agency Inc HOLDER_THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 137 Main St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Reading,MA 01867.3922 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Kenneth Keen&Robert Keen 21 Hewitt Ave North Andover, MA 01845-0000 71HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,WOT WITHSTANDING 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 THE POLICIES DESCRIBCD HEREIN IS 13IUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA D CLAIMS. CID , I LTR TYPE OF INSURANCE POLKI'MUMBER POLICY EFFECMIMATE POLICYEXPIRATION DATE A RiCERSCOMPENSATIDN EMPLOYERS'LNBILITY LIIIpITS PROPRIETORI PAR THERSIEXECIITIUE OFFICERS ARE: NCL o EXCL 0 63EI0688 8/03/2007 8/03/2008 ATUTORY LIMBS TnER erspeAPP1Iw Io MA OPWdcV4ONyr. H ACCIDENT S 100.00 ISEOM POLICY LDArf $ 500100 ISEASE-EACH EMPLOYEE S 100100 FSCRIRTIION OF OPERATION&V C GAL TRAIS ROBERT KEEN IS COVERED BY THE WORKERS COMPENSATION POLICY AND KENNETH B KEEN IS NOT COVERED ITY THE u WORKERS COMPENSATION P_ILICY. ,!CERTIFICATE HOLDER CANCELLATION STOW'N OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WIRATON DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 19 •':1600 OSGOOD ST DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT NORTH ANDOVER,MA 01845 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LMBIUfY OF • - ANYKNDUPON THE COMIANY,IrSAGENTSORREPRESENTATIVES. AUTHORIZED REPRESENTATIVE i I I ro/aVr rVV l eV r t♦ lnla i va V9r rr ry va•1YLIa\a ♦1�J4•a\nl�vai .eJ Vvv CERTIFICATE OF LIABILITY INSURANCE 09/13/20 1 PRODUCER (781)942-2225 FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 137 Main Street ALTER THE COVERAGE AFFORDED BY THE POU IES BELOW. � Reading, MA 01867-3922 INSURERS AFFORDING COVERAGE NAIC# INSURED Kenneth 0 een & Robl:rt Keen INSURERA: NORFOLK & DEDHAM INSURANCE 23965 'DBA: Keen Construction Company INSURERS: 21 Hewitt Ave. INSURERC: North Andover, MA 01845 INSURER O: INSURER E: fERAGES THE POLICIES OF INSURANCE LISTED 3ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINI ANY REQUIREMENT,TERM OR CONDII*N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFOFtbED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN:MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO TYPE OF INSURANCE POLICY NUMBER PO Y E FECTIVE POLICY EXPIRAM LIMITS GENERAL LIABILITY ND-P-010078/000 03/13/2007 03/13/2008 EACH OCCURRENCE $ 1„000,00 X COMMERCIAL GENERAL LIABILI LY DAMAGE Tp PRFrJISCC(FaRENTED S SO 0001 ble.•,. CLAIMS MADE a OCCL R MED EXP(Any one person) S S'0001 A PERSONAL S ADV INJURY S 11000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES FER: PRODUCTS•COMP/OP AGG $ 21000.000 —]7 PROPOLICY LIX: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (EB accident) S ALL OWNED AUTOS BODILY INJURY SCNEOULEDAUTOS (Per Perm) 6 HIRED AUTOS BODILY INJURY NOW-OWNED AUTOS (Per accident S PROPERTY DAMAGE i (PCrauldtM) GARAGE LIABILITY AUTO ON6V•EA ACCIDENT S ANY AUTO OTHER THAN EA ACC E AUTO ONLY! AGO S. EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE F OCCUR FICLAIMS MATE AGGREGATE S i DEDUCT!@LE S RETENTION S WORKERS COMPENSATION AND WC 5TATU• 0TH EMPLOYERS'LIABILITY ANY PROPRIETOPJPARTNERIEXECUTIVE E.L.EACH ACCIDENT S ..— OFFICERIMEMBER EXCLUOED7 E.L.DISEASE-EA EMPLOYEE S 0 Yqs describe under SPECIIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT 5 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VI:WCLES I EXCLUSIONS ADDRO BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLD ANCELLA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover,' BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY KIND UPON THE INSURER S AGENTS OR REPRESENTATIVES. North Andover, MA O1E;45 AUTHORIZED REPRESENTATIVE Dawn Crane ACORD 25(2001!08) FAX: (978:1682-3231 BACORO CORPORATION 1988 ✓1ze �.�anvm.oru.�rea� o�/�.aaarec/eias�a � Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR I Regis:trataoc 108383 P piratio 131.18/2008 i � tT��e ©�A• , i.. KEEN CONSTRIl W-',h;�Q t Kenneth Keen r" 21 Hewitt Ave No.Andoof,MA 01845, Deputy Adctiitnistrator j 6114, ��„I � Mier l°+yriilYtO�tulea��i •:,.�vcp�c��Cur1�.L� t "ry r 60ARD OF BUILDING` EGULArTIONS; I � p"' �i�ens'q: CONSTRUCTION�SUPERVISC�R= mss, Number SCS 058245 r i9 hdate--03/24/1,943 . �p� �t. f Tr.n431,F i / 21 sFiEWI'•�i9�/ �� �Comfniss)oner- � .` I KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER;MA 01845 (978) 691-5201 Mac Nair,Daryl &Tara 6 -err Rd,. N.Andover,MA 01845 78),6W9320. 932 Contract# 1,696; Appendix A; Date 1/8/08. Basement'finished stor-age: • Remove and dispose of existingwalls and plaster ceiling Remove existing steany radiator from ceiling Frame approx. 3 70 sq.ft. of basement for stor:`age(this will not be accepted as habitable space) } •' -Supply.&install R=13 insulation , .: Supply &install 1 e board onw. alls,and ceiling h „ . , Skimcoat.-"plaster,(smooth-walls,textured ceiling), - '4� •' Supply&install two replacement window sashes •' Supply,&install one 6-panel hollow core masonite door unit for utility closet .. Supply&.install one 6-panel hollow core door unit(same size as back door)to unfinished • ,Supply&install eight recessed light fixtures f kya • / S upply&:install outlets and switching to code ° ' e( Supply&;install one phone outlet and one<cable outlet ��P upply& install electric baseboard heat on one wall thermostat aint walls and trim(two neutral colors,two coat finish)and ceiling(white) H • Supply&install carpet,in finished area-and,stairs($850.00 installed allowance) t Total Price'117,850.00(seventeen thousand eight hundred fifty dollars) Pracedoes.not;include cost of permits. ;Payment.schedule:$1.000.00 due upon signing contract " . $5000.00 due the first day of work 0 $5000.00:due.when frame:and rough electrical is complete $3000.0.0 due when insulation and blue board is installed $3000.00 due when job is done except flooring $8.50.00 due at completion of contraeted"work Customer K t Keen Date. Date O