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HomeMy WebLinkAboutBuilding Permit #720-15 - 66 LACY STREET 3/18/2015NORTI-r BUILDING PERMIT oA,iJK A%04 -4 0"-' � (E� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION A �a Permit No#: Date Received �q °0OAr*p,P� SSACHUSF Date Issued: �� IMPORTANT: Applicant must complete all items on this page LOCATION �Dew� 46zpc? Print „ l PROPERTY OWNER GRlwlt7 J /431 l}/1/ �J,G� Print 100 Year Structure yes no MAP 1 b5 PARCEL:U-1 1 ZONING DISTRICT: Historic District ye no Machine Shop Village ves r no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building /One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other eptic Well El Floodplain El Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 417 gy-M d 12241-�e- Z-7014Vi,w &,97/`Z/47- / L �'t ���� r /�i �� /a��L/�V �i� � ✓ L/lC �J �7/� Identifcation - Please Type or Print OWNER: Name Address: Contractor Name: xt,616C4 Phone: ? 7 Ly eS7-- �C Address: Z/? 5 V -MN tql( Q2 V j0 /l -A Supervisor's Construction License: 6�S l0 SO e(o Exp. Date:��e J - Home Improvement License: 16 1— Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No .753-� . FEE SCHEDULE. BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ Z-00 FEE: $ Check No.: 4 Receipt No.:SS NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/OwnerA&�,,. Signature of contract Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ —T_Y-P-]PW-ERA.GE_DI SP_O.S.AL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 0 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 PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature, CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS t 'mooning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes_ C Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Qi.men.s.ion Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft..- ELECTRICAL: .: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NU I t5 and UA I A — wor department use ❑ Notified for pickup Call Emai i Date Time Contact Name Doc.Building Permit Revised 2014 No 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 Li Building Permit Application u 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 o Certified Surveyed Plot Plan o Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses a Copy Of Contract u Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) u Building Permit Application Li Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) u Copy of Contract Li Mass check Energy Compliance Report Li 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: Building Permit Revised 2014 • ti / Location l--aye-T No. 1 y f Date 1 Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $�,� Building/Frame Permit Fee $6,Z Foundation Permit Fee $ Other Permit Fee $ TOTAL $ <�:X� Building Inspector n Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 44,200.00' m $ - $ 530.40 Plumbing Fee $ 66.30 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 66.30 Total fees collected $ 763.00 66 Lacy Street 720-15 on 3/18/15 Kitchen Remodel, Remove non load bearing wall id w n O R = v O O. 4; O Q LUCL N as Z r= O 0 0 O L` _ (r D J W LL o Q O co N U Y 'O O LOL ^ '++ O_ {n d Z z C m O O C O LL Of O cc E t U c0 LL OLLI M z m C 00 O LL' N s LL W H v lJJ W j O v U i v In _ A O LL O Z Q l7 bn 7 O O_' _ N C LL NJ Q o LLJ LL ` C 7 m O Z N N V1 } D v Y O E V1 n O R = v O O. 4; O Q LUCL N as Z r= O 0 0 O L` _ (r D V L 4mo L O ' � L O = GD > = s U y m Q E w- o m Oz • N O O En �> o _ o E- Q CL • �i c� o co F- 0 = c � m H O NQ V �� m F+ co �, o ��00 _ N = .N � W E= L U a> 0-0 �. Cl) CL F t , rmov 0 N W L .� V N N m m ��i O LUCL Z Z D m ~' Q 0 �O Cl)U) LLI_ O Z C o ^ LL, m c W J a. Z m 0 a� N d O Z Q a � O ' Q - 0 N W L .� V N N m m ��i Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS -105086 THEODORE M Kj�'LLq 214 SUTTON HIL'1. Rb s NORTH ANDOVTR 1VI 0184 ate✓ �.� ' Y Expiration Commissioner 10/08/2015 ��ie �pomvnwaarueaC z a�C�/�xaaa,�uaeG�, Mee of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR � gistration: 1-65887 Type: xpiration: �4./5L201-6r a DBA TMK REMODELING ' 4 THEODORE KELLEY 214 SUTTON HILL RD. ; NORTHANDOVER, MA 01845 Undersecretary License or registration valid for individul use only I before the xa Ajreturnf found Affairs and Business Office of Consume 10 Park Plaza - Suite 5170 1 Boston, MA 02116 Not valid without signature I The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 t Boston, ALL 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibiy Name (Business/Organization/Individual): Address: City/State/Zip: & A�pU VIZ �f j✓-�- Phone #: Are you an employer? Check the appropriate box: Type of project (required): l.j2rl am a employer with 3. employees (full and/or part-time).* 7. ❑ New construction 2. FJ I am a sole proprietor or partnership and have no employees working for me in 8. [J Remodeling any capacity. [No workers' comp. insurance required.] 9. F1 Demolition 3. n I am a homeowner doing all work myself. [No workers' comp. insurance required.] t 4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers' compensation insurance or are sole 1.1. ❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5. ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. 13. F1 Roof repairs These sub -contractors have employees and have workers' comp. insurance.$ 6. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Q Other 152, § 1(4), and we have no employees. [No workers' 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 affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lie. #: J�� ^ �d 7z Expiration Date: X115— Job S Job Site Address: City/State/Zip: %X-/ �i90Va_- /W Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nder the pains and penalties of Signature. Phone #: Official use only. Do not write in this area, to be City or Town: information provided above its true and correct. Date: _:�/ /9 / by city or town official 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 #: 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." 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 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 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 -contractors) 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 may be 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-ih'sured 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 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 license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia OP ID: MH ago rc�' CERTIFICATE OF LIABILITY INSURANCE DATE(M 03/118/18/1YYY) 5 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 978-975-1300 Seg reve & Hall InSUr.ASSOC.Inc 305 North Main St. 978-975-7596 Andover, MA 01810 Lawrence J. Hall CONTACT NAME: FAX AICONNo Ext): AIC No): E-MAIL ADDRESS: PRODUCER TMKRE-1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED TMK Remodeling 214 Sutton Hill Rd North Andover, MA 01845 INSURER A:Arbella Protection Ins. Co. 41360 INSURER B :ASIC 11104 EACH OCCURRENCE $ 1,000,00 A INSURER C : INSURER D: INSURER E: INSURER F: PREMISES Ea occurrence $ 100,00 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. ILTR TYPE OF INSURANCE DDL POLICY NUMBER EFF MM/DDY MM/DDIYYLICY YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EIOCCUR PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 8500058513 03/08/15 03/08/16 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO- jECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE $ (Per accident) $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) N I A 5005011872 5005011872 04/01/14 04/01/15 04/01/15 04/01/16 TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Newton 1000 Commonwealth Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Newton, MA 02459 AUTHORIZREPRESENTATIVE ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: MH A�^'�. R®• �� CERTIFICATE OF LIABILITY INSURANCE (MMIDD/YYYY) DATE03/18/15 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 978-975-1300 Segreve & Hall Insur.Assoc.lnc 305 North Main St. 978-975-7596 Andover, MA 01810 Lawrence J. Hall CONTACT PHONE FAX Alc No Ext): AIC No): E-MAIL ADDRESS: PRODUCER TMKRE-1 CUSTOMER,,,: INSURER(S) AFFORDING COVERAGE NAIC # INSURED TMK Remodeling 214 Sutton Hill Rd North Andover, MA 01845 INSURERA:Arbella Protection Ins. Co. 41360 INSURER B :AEIC 11104 INSURER C: INSURER D: INSURER E: INSURER F: Cf1VFRAC;F3 CFRTIFICATF NIIMRFR! 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. /NSR LTR TYPE OF INSURANCE DL UBR POLICY NUMBER POLICY EFF MMIDDIYYYYJ POLICY EXP (MM/DDIYYY`YJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED— PREMISES Ea occurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,00 CLAIMS -MADE F] OCCUR PERSONAL & ADV INJURY $ 1,000,00 8500058513 03/08115 03/08/16 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE $ (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 5005011872 04/01/14 04/01/15 WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 5005011872 04/01/15 04/01/16 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson 66—Lacy—St R2 HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com CONTRACTOR AGREEMENT THIS AGREEMENT made this�I(L„(L7�i 20)�by and between Theodore Kelley dba TMK Remodeling, Construction Supervisor License # 105086, 214 Sutton Hill Rd, North Andover MA 01845 hereinafter called the Contractor, and Craig and Susannah Robinson hereinafter called the Owner. WITNESSETH, that the Contractor and the Owner for the consideration named herein agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall perform all of the work described in the specifications entitled Exhibit A — Statement of Work, as annexed hereto as it pertains to work to be performed on property located at 66 Lacy St North Andover MA 01845. ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before February 02, 2015 and shall be substantially completed on or before March 27, 2015 ARTICLE 3. THE CONTRACT PRICE The owner shall pay the Contractor for the labor and materials to be performed and supplied under the Contract the estimated sum of Twenty Eight Thousand Two Hundred Dollars and No Cents ($28,200.00), subject to additions and deductions pursuant to authorized change orders. The contract price includes two Fixed cost of Twenty Seven Thousand One Hundred Ninety Four Dollars and No Cents ($27,194.00) for the building materials and construction labor as specified in Exhibits A and B. Variable cost of One Thousand Six Dollars and No Cents ($1,006. 00) for the allowance items listed in Exhibit 8 Allowances Schedule and will be 110% of the actual invoice price paid by the Contractor to his suppliers. Exhibit 8 lists the allowance items and budget costs the Contractor will purchase for the Owner. Sales tax and freight are not inlcuded in allowance budget. Contractor will furnish and install all building materials, fixtures and finish items unless noted otherwise. Items supplied by Owners: Cabinets and all cabinet accessories and trims; countertops ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the following manner from the Owner to the Contractor: 33% upon contract acceptance and signature; $9,400.00 33% upon rough building inspection;$9,400.00 33% upon final building inspection and owner sign -off, $8,394.00 plus the actual contract price for allowance items as defined in Article 3. The contract cost for mutually agreed to change orders will be paid 50% at time of change order signature and 50% after completion and owner sign -off. ARTICLES. GENERAL PROVISIONS 1. All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. Copyright TMK Remodeling 2014 Initials All Rights Reserved (z ry Page 1 TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson_ 66_ Lacy_ St_ R2 HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com 4. Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 5. All change orders shall be in writing and signed by both Owner and Contractor. The cost for mutually agreed to additional work, required due to unknown conditions or substantive change orders, will based on the current bill rates for the actual time used. Additional materials will be billed at contractor cost. All change orders subject to 10% markup for overhead. 6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees and subcontractors. 7. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 8. Contractor agrees to place all debris in an on-site trash receptacle (dumpster) and leave the premises in broom clean condition. 9. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10. The Contractor and the Owner hereby mutually agree in advance that in the event that the Contractor and Owner have a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the Contractor and Owner shall be required to submit to such arbitration as provided in MGL c 142A. 11. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials, or inclement weather. 12. Contractor warrants all work for a period of 12 months following completion_ 13. Contractor may post small signage (18x24°) on property advertising services during the duration of the project. 14. The Contractor and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 15. The Contractor or Owner may terminate this contract at any time for any reason by giving 3 days notice in writing to the other party. If the Owner terminates the contract as provided herein, the contractor will be paid a fair payment for work (labor and materials) completed as of the date of termination plus any materials or equipment that are backordered and not delivered. Fair payment is defined as actual job costs for the project plus 10% overhead charge. The contractor will provide a written report detailing actual job costs plus overhead for payment. If the Contractor terminates the contract as provided herein, then the Contractor will refund any funds paid by the Owner that are a remaining balance for the labor and materials used as of the date of termination plus any materials or equipment that are backordered and not delivered. The Contractor will make arrangements for the backordered items to be delivered to the Owner. J� Copyright TMK Remodeling 2014 Initials'TW _�t�-- All Rights Reserved Page 2 1'04/1y TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson -66 -Lacy -St -R2 HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com ARTICLE 6. OTHER TERMS y C — f(vt 4-�itG o /moi ARTICLE 7. ACCEPTANCE Signed this V day of Dim , 20 . Owner NOTICE: The signatures of the partie above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. he owner may initiate alternative dispute resolution even where this section is not signed separately byte parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Copyright TMK Remodeling 2014 Initials All Rights Reserved Page 3 AAAAAAAAA W W W W W W W W j W NNN NNNNN jN -' W V 0 01 A W N O (0 OD V 07 OI A W N O O7 m V W (JI A W N O 0) !A V m Vt A W N O (0 W C C mC > > W N a3i N rOn.0 AN V m �N N N OON��ODDQON�IT OD'�� �' �' n o c,.m E. v=.=OZp �.o T to 2014' C7o a F 2-11 3 fii.m3. v� T 333�0v_iS�>v (to y` m� S 3n_3 DWT om° wo <c'O<<>>%S �_cccc��.�3.a: �my�'0)o to 'D y�0 •,; ' 77?��O, o:r CfD ilA��m inn C�y�j.N�y O.i��'T N'.3. f3-103 OO 0 O. 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