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Home My WebLink AboutBuilding Permit #600-13 - 72 GREAT POND ROAD 3/11/2013 I tlk7 • pF ND oT/b BUILDING PERMIT °0 TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION - I Permit NO: Date Received Date Issued: e `� �gSSAC HUs��y IMPORTANT: Applicant must complete all items on this page LOCATIONZ �i'f��/4-1� _I O eU l�, _41) PROPERTY OWNER_PA(ALLY1� l7l V—A-P-0 1— Print Print MAP NO: Min PARCEL ZONING DISTRICT: RZ Historic District yesno Ir Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑Addition ❑ Two or more family ❑ Industrial %Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District i ❑ Water/Sewer �>7z or reoAode)t',I,; -- doL,) d&)r re mevLt- k ' Identification Please Type or Print Clearly) �NER: Name: �/� � __ UVB tGy��'7'" Phone: O SO()dress: CONTRACTOR Name: Phone: `lg$ `-t-y"9 ddress: t Z,3 L rr-c=a y l:,TE I--0 w e LL innyN o t 4�s�- upervisor's Construction License: Exp. Date: '' ome Improvement License: Exp. Date: 1111 e13Z LZ 1 b 1 4- �RCHITECT/ENGINEER I) Ie" Phone: Iddress: Reg. No. FEE SCHEDUyyE: ULDING PERMIT.$12.00 P�0.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. l�'Vpn-'J tall Project Cost: $ o, 3 -dU a' �- FEE: $ 18-2_ �Wk No.: ` Receipt No.:�� E: Persons contracting with unregistered contractors do not have access tothe g aranty fund j mature of Agent/Own li_42 �-_ Signature of contractor ��r TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant-must complete all items on this page LOCATION . Print PROPERTY OWNER .. Print 100 Year Old Structure yes no: MAP NO: PARCEL: ZONING'DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain 0 Wetlands ❑ Watershed,District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: I Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: _ Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ e Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/Ovvner Signature of-contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot-P;, rt [I Stamped Plans ❑ 49% Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments r Water & Sewer Connection/Signature& Date Driveway Permit c, DPW Town ]Engineer: Signature: Located 384 Osgood Street FIREDERARTMF IT - Temp Dumpster on site yes no Located at'124 MainStreet Fire Departi�nerit-signature/date 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.$10041000 fine NOTES and DATA— (For department use qo - El Notified for pickup - Date E Doc.Building Permit Revised 2010 Building Department The fol owing 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I New Construction (Single and Two Family) ❑ Building Permit Application o 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 ❑ 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 subm;ated with the building application Doc: Doc.Bui!ding permit Revised 2012 Location 2 4,-r.,e r r Q/�. No. — DateAs • - TOWN OF NORTH ANDOVER e Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# '� 26199 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer $4❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 Located at 384 Osgood Street i FIRE DEPARTMENT - Temp Dumpster on site yes no r Located at 124 Main Street Fire Department signature/date COMMENTS Enter construction cost for fee cai- North Andover Fee Calculation Construction Cost $ 1819866.00 m $ - $ 2,182.39 Plumbing Fee $ 272.80 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 272.80 Total fees collected $ 2,827.99 72 Great Pond Road 600-13 on 3/11/13 Interior Remodeling and window door replacement NORTH Town of S E : ., Andover O y' to No. &Wow 11) T = -- h ver, Mass, . • coc"Ic Nl W." ��• S U BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT ►!. .dr.� .. BUILDING INSPECTOR .....PERN, .... ............ ...... ....................... � Foundation has permission to ere t .................... ..... buildings on ..1101......111111I .. .... . . ........ .., • 0 to be occupied as ... .. ........� ............ ......... . R.�. ..... ... .�....�... . r • provided that the person accepting this permit shall in every respect co1orm to the terms of the app tion 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 ' L PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N STS Rough Service ......VD,09.c ................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE I 15668 _I \ —m 6043 3944 3068 1944 6144 0 17 91TTING 0 / m BATH PORG. Y \ 11143 4043 11143 1 0 '� � 1668 166H 406H / BR1 / v — I r o '-7 I/3•' -2 I/4 '^ 4•_y" $ CEDAR �cLST 6"� — / 12'-5 I/4' � 5•- I/4" _ I / nBATu31•Q41/e° I'I'-91/4" / 1T39 16a0 \ / /� DR / 6-61/3" BAT. I 6043 1944 3=61m' 3=3 3/8" cfol 5/8" -,2) \ m HALL BATH 15•-3 3/e� '-II 3/4' 1668 1668 51 -5/8 / / PANTRY v I , { �W 4'-1 I/3' m /. CL r \ 54610 m 5 9 3/8" J /2 KIT `ip ' DIN \ 4'-3 l/8"�1 v 16-8 35jd / \ 5468 L / - - 6043 - - - - - 6031_ - - - - - -043 - - BURKARDT RESIDENCE 12 GREAT POND RD. EXISTING FLOOR PLAN 1/8" = 1'-0" \ \ \ \ \ Baa \ \ 15668 d 6043 2944 3068 ]944 3044 3044 f' O O O O 3-2„ OO r O MEATH " 5R2/OFFICE _ BR3 6043 m MBR 5068 806B - - _ 5068 SHWR 6-E3" IbbB 5868 W 2— IS'-2 318" II 13'-4 1/a" 23=61/7" 12 13 1140 2640 ala"m 1668 2668 T-9 5/6043 1944 JA DR3'-2PTYLR 4068 } ---- 2668 4=11 5/16" 2E -........ CLST 'n 11`3 1/2" I B'-3 I/a" 406a 1 F I, FOYER N m ❑ 'fie — LIBRARY m ❑ KIT MUORM ' 6843 51136 15 6043 I Q / \ \ BB)g \ BURKARDT RESIDENCE -12 GREAT POND RD. PROPOSED FLOOR PLAN 115" = 12-0" t AGREEMENT FOR SERVICES March 06, 2013 Submitted to: Submitted by: Pamela H.&Thomas M.Burkardt Building Professionals,Inc. 33 Woodlea Rd. 40 Vinal Sq. North Andover,MA 01845 North Chelmsford,MA 01863 Business:978-251-8300 Mobile:978-758-9553 Fax:978-251-8301 AGREEMENT FOR SERVICES This Agreement,along with the attached plans and specifications(if applicable),is the entire Agreement,and replaces any prior agreements.Any items of work or services not specifically provided for in this Agreement are excluded. PROJECT SPECIFICATIONS 72 Great Pond Rd. Rev2 C14:Hall bath BATHROOM PLUMBING • Labor to rough-in drain,vent,and supply for I toilet. • Labor to rough-in drain,vent,and supplies for 1 bathroom sink. ■ Labor to install 1 toilet. • Labor to install I bathroom sink(s)including connections to drain. ■ Labor to install 1 bathroom sink faucet including connections to drain and supplies. HEATING,VENTILATION,AIR CONDITIONING ■ Supply and install ductwork for 1 bathroom exhaust fan. WALL/CEI:LING COVERINGS • Supply and install approx. 184 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 184 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx.28 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.28 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.21 ]ft.of 2 pc.primed pine base,1x6/1"base. • Labor to install 2 bathroom accesor(ies),paper holder,towel bar,etc. Page 1 of 24 S FLOOR COVERING • Supply and install approx.32 s f " pp y pp q ft.0 1/2 plywood underlayment for ceramic floor tile.Stapled or screwed. • Install approx.32 sq.feet of floor tile. i • Supply and install approx.32 sq.feet of Hydroment standard color the grout. :INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.28 sq.feet of interior moulding. • Supply and install approx.93 lin.feet of caulking around interior moulding in preparation for painting/staining. ■ Supply and install paint for approx.21 lin.feet of interior moulding,2 coats. • Supply and install primer for approx. 184 sq.feet of smooth drywall or plaster wall,with roller, l coat. • Supply and install paint for approx.28 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx.28 sq.feet of smooth drywall or plaster ceiling, 1 coat. • Supply and install paint for approx.70 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $4,298.62 C15: Library WINDOWS • Labor to install 2 sliding windows. INSULATION ■ Supply and install approx.240 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.401in.feet of foam door/window perimeter insulation. • Supply and install approx.240 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx.480 sq.feet of 1/2"blueboard on walls. ■ Supply and install approx.480 sq.ft.of skim-coat plaster over blueboard on walls. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. • Supply and install 1 4/0 6/8 interior pre-hung 10 lite french door unit(s). INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.44111.of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install 12 lft.of 3 1/2"primed pine stool cap. • Supply and install approx.60 M.of pc.primed pine base, 1x6/1"base. • Supply and install approx.60[ft.of 3 5/8"primed crown moulding. FLOOR COVERING IN Machine sand,fill&clear finish(3 coats)approx.221 sq.ft.of existing wood floor. • Provide,install,sand,and clear finish(3 coats)3 sq.feet of oak tongue&groove flooring,select,3/4 -1 INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.94 sq.feet of interior moulding. Page 2 of 24 • Supply and install approx.488 lin.feet of caulking around interior moulding in preparation for painting/staining. ■ Supply and install paint for approx.250 lin.feet of interior moulding,2 coats. • Supply and install primer for approx.480 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx.480 sq.feet of smooth drywall or plaster wall with roller,2 coats. ■ Supply and install paint for approx.221 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. ■ Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. ■ Supply and install paint for 2 interior French door(s),both sides,two coats,including jamb and casing. Sub-Total is $5,367.81 C18: Foyer DOORS&WINDOWS • Labor to install l exterior pre-hung door. INSULATION • Supply and install approx.64 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.20 tin.feet of foam door/window perimeter insulation. • Supply and install approx.64 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS • Supply and install approx. 192 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 192 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS ■ Supply and install approx. 100 s .ft.of 1/2"blueboard on ceiling. PP Y PP q g ■ Supply and install approx. 100 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR TRIM STAIRS AND ACCESSORIES • Supply and install approx.391ft.of 3 1/2"primed Stafford/Marblehead door/window casing. ■ Supply and install approx.201ft.of 2 pc.primed pine base, .]x6/1"base. • Supply and install approx.421ft.of 3 5/8"primed crown moulding. FLOOR COVERING ■ Provide,install,sand,and clear finish(3 coats) 110 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. EXTER.iOR PAINTING ■ Supply and install paint for 3 exterior panel door(s),both sides and jambs,2 coats. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx.34 sq.feet of interior moulding. • Supply and install approx. 182 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 101 lin.feet of interior moulding,2 coats. • Supply and install primer for approx. 192 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx. 192 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx. 100 sq.feet of smooth drywall or plaster ceiling, 1 coat. 0 • Supply and install paint for approx. 100 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. Page 3 of 24 Sub-Total is $2,444.21 i C19: Foyer closet WALL/CEILING COVERINGS • Supply and install approx. 120 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 120 sq.ft.of skim-coat plaster over blueboard on walls. INTERIOR DOORS • Provide and install 2 interior pre-hung hardboard solid core door units with primed jambs,3 1/2"primed Stafford casing,nickel hinges,and Schlage Accent lever style nickel handleset. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 16 lft.of 2 pc.primed pine base, 1x6/1"base. FLOOR COVERING • Machine sand,fill&clear finish(3 coats)approx. 8 sq.ft.of existing wood floor. • Provide,install,sand,and clear finish(3 coats) 14 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.29 sq.feet of interior moulding. • Supply and install approx.96 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 16 lin.feet of interior moulding,2 coats. ■ Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,091.59 C20: Living room INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.901ft.of 3 1/2"primed Stafford/Marblehead door/window casing. FLOOR COVERING • Machine sand,fill&clear finish(3 coats)approx.504 sq.ft.of existing wood floor. • Provide,install,sand,and clear finish(3 coats)4 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx. 106 sq.feet of interior moulding. • Supply and install approx.364 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.272 lin.feet of interior moulding,2 coats. ■ Supply and install paint for approx.544 sq.feet of smooth drywall,plaster,or wood panel wall,2 coats. • Supply and install paint for approx.504 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 3 window(s),including frame,trim,and muntins,2 coats,interior side only. Sub-Total is $3,835.81 C22: Dining room WINDOWS • Labor to install 2 double hung windows,new construction or replacement style. • Labor to install 1 picture window. Page 4 of 24 INSULATION ■ Supply and install approx. 130 s .feet of 3 1/2"R-13 unf PP q aced insulation in exterior walls, 16 oc. ■ Supply and install approx.64 lin.feet of foam door/window perimeter insulation. ■ Supply and install approx. 130 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx. 144 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 144 sq.ft.of skim-coat plaster over blueboard on walls. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx.72 lft.of 3 1/2"primed Stafford/Marblehead door/window casing. ■ Supply and install 1.8 M.of 3 .1/2"primed pine stool cap. • Supply and install approx.26 lft.of 2 pc.primed pine base, 1x6/1"base. ■ Supply and install approx.52 M.of 3 5/8"primed crown moulding. FLOOR COVERING • Machine sand,fill&clear finish(3 coats)approx.255 sq.ft.of existing wood floor. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx.58 sq.feet of interior moulding. • Supply and install approx.274 lin.feet of caulking around interior moulding in preparation for painting/staining. IN Supply and install paint for approx.356 lin.feet of interior moulding,2 coats. ■ Supply and install primer for approx. 120 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. ■ Supply and install paint for approx.200 sq.feet of smooth drywall,plaster,or wood panel wall,2 coats. • Supply and install paint for approx.256 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. Sub-Total is $3,124.15 C23: Kitchen WINDOWS ■ Labor to install 2 sliding windows. KITCHEN AND LAUNDRY PLUMBING • Labor to rough-in 2 kitchen sinks. ■ Labor to rough-in l dishwasher(s). • Labor to rough-in gas piping for 1 gas cooktop(s). ■ Labor to install 2 sinks and faucet in prepared location. • Labor to install 1 disposer in prepared location. • Labor to install 1 new dishwasher in prepared location. ■ Labor to install 1 new gas cooktop in prepared location. • Install I water line for refrigerator ice maker. HEATING,VENTILATION,AIR CONDITIONING ■ Supply and install ductwork for 1 wall mounted range hood or over the range microwave. 1 Page 5 of 24 APPLIANCES • Labor to install 1 trash compactor in prepared location. • Labor to install l electric single,double,or combination wall oven in prepared location. • Labor to install l range hood or downdraft,ducted,in prepared location. • Labor to install 1 refrigerator,in prepared location. INSULATION ■ Supply and install approx. 178 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.38 lin.feet of foam door/window perimeter insulation. ■ Supply and install approx. 178 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS • Supply and install approx.400 sq.feet of 1/2"blueboard on walls. ■ Supply and install approx.400 sq.ft.of skim-coat plaster over blueboard on walls. • Supply and install approx.50 sq.feet of Hydroment standard color tile grout. CEILING COVERINGS • Supply and install approx.297 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.297 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.42 Ift.of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install 16 Ift.of 3 1/2"primed pine stool cap. • Supply and install approx. 16 Ift.of 2 pc.primed pine base, 1x6/1"base. • Supply and install approx. 161ft.of 3 5/8"primed crown moulding. CABINETS AND COUNTERTOPS • Install 56 Ift.of cabinets,including panels,trim,fillers,hardware,etc. FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx.270 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.36 sq.feet of interior moulding. • Supply and install approx. 162 fin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 112 fin.feet of interior moulding,2 coats. • Supply and install primer for approx.400 sq.feet of smooth drywall or plaster wall,with roller, i coat. • Supply and install paint for approx.400 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx.297 sq.feet of smooth drywall or plaster ceiling, 1 coat. • Supply and install paint for approx.297 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. Sub-Total is $9,138.68 C24: Mudroom GENERAL DEMOLITION • Remove 1 storm combination door. Page 6 of 24 DOORS&WINDOWS • Labor to install 2 exterior pre-hung doors. INSULATION • Supply and install approx. 1.00 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.34 lin.feet of foam door/window perimeter insulation. • Supply and install approx. 100 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx. 176 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 176 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx.56 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.56 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS ■ Provide and install 1 interior pre-hung hardboard solid core door unit with primed jambs,3 1/2"primed Stafford casing,nickel hinges,and Schlage Accent lever style nickel handleset. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.36111.of 3 1/2"primed Stafford/Marblehead door/window casing. ■ Supply and install approx. 18 Ift.of 2 pc.primed pine base, l x6/1"base. ■ Supply and install approx.32111.of 3 5/8"primed crown moulding. FLOOR COVERING ■ Supply and install approx.64 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. ■ Install approx.64 sq.feet of floor tile. ■ Supply and install approx.64 sq.feet of Hydroment standard color tile grout. EXTERIOR PAINTING ■ Supply and install paint for 2 exterior panel door(s),both sides and jambs,2 coats. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.71 sq.feet of interior moulding. ■ Supply and install approx.298 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.50 lin.feet of interior moulding,2 coats. ■ Supply and install primer for approx. 176 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx. 176 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install rimer for approx.56 s .feet of smooth drywall PP Y P PP q rywa org laster ceiling, 1 coat. P • Supply and install paint for approx.56 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $2,698.59 Page 7 of 24 C25: Mudroom closet INSULATION • Supply and install approx.24 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.24 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx. 112 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 112 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx. 12 sq.ft.of 1/2"blueboard on ceiling. ■ Supply and install approx. 12 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS ■ Provide and install 1 interior pre-hung hardboard solid core door unit with primed jambs,3 1/2"primed Stafford casing,nickel hinges,and Schlage Accent lever style nickel handleset. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 12 lft.of 2 pc.primed pine base, 1x6/1"base. FLOOR COVERING • Supply and install approx. 10 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. • Install approx. 10 sq.feet of floor tile. ■ Supply and install approx. 10 sq.feet of Hydroment standard color tile grout. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.22 sq.feet of interior moulding. • Supply and install approx.84 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 12 lin.feet of interior moulding,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $767.31 C26: Guest bedroom WINDOWS ■ Labor to install 1 double hung window,new construction or replacement style. INSULATION • Supply and install approx. 16 lin.feet of foam door/window perimeter insulation. INTERIOR DOORS ■ Provide and install 2 interior pre-hung hardboard solid core door units with primed jambs,3 1/2"primed Stafford casing,nickel hinges,and Schlage Accent lever style nickel handleset. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 161ft.of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install 4 M.of 3 1/2"primed pine stool cap. r fPage of 24 I FLOOR COVERING ik Machine sand,fill&clear finish(3 coats)approx. 132 sq.ft.of existing wood floor. INTERIOR PAINTING AND WALLPAPER Supply and install wood filler in nail holes in approx.58 sq.feet of interior moulding. Supply and install approx.282 lin.feet of caulking around interior moulding in preparation for painting/staining. Supply and install paint for approx. 133 lin.feet of interior moulding,2 coats. • Supply and install primer for approx.64 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx.376 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install paint for approx. 132 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. ■ Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $2,131.53 C14: Laundry2 WALL/CEILING COVERINGS • Supply and install approx.96 sq.feet of 1/2"blueboard on walls. • Supply and install approx.96 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx. 10 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx. 10 sq.ft.of skim-coat .laster over blueboard on ceiling. g INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.4 lft.of 2 pc.primed pine base, 1x6/1"base. FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx. 10 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx. 19 sq.feet of interior moulding. • Supply and install approx.72 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.4 lin.feet of interior moulding,2 coats. • Supply and install paint for I interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $658.77 C27:Pantry INTERIOR DOORS • Provide and install I interior pre-hung french door unit,5 lites,2-6 x 6-8. Sub-Total is $317.44 C28: Guest bath SYSTEMS DEMOLITION • Remove 1 toilet. Page 9 of 24 WINDOWS • Labor to install 1 double hung window,new construction or replacement style. BATHROOM PLUMBING ■ Labor to install 1 toilet. ■ .Labor to install 1 bathroom sink(s)including connections to drain. • Labor to install 1 bathroom sink faucet including connections to drain and supplies. ■ Supply and install new shower head @$100.00 INTERIOR DOORS • Provide and install I interior pre-hung hardboard solid core door unit with primed jambs,3 1/2"primed Stafford casing,nickel hinges,and Schlage Accent lever style nickel handleset. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx. 16 ft of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install 41ft.of 3 1/2"primed pine stool cap. FLOOR COVERING • Supply and install approx.24 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. • Install approx.24 sq.feet of floor tile. • Supply and install approx.24 sq.feet of Hydroment standard color tile grout. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.40 sq.feet of interior moulding. • Supply and install approx. 135 fin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.55 lin.feet of interior moulding,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,977.38 C29: Garage WINDOWS • Labor to install 5 double hung windows,new construction or replacement style. Sub-Total is $403.20 C30: Basement WINDOWS • Labor to install 3 double hung windows,new construction or replacement style. Sub-Total is $241.92 C01: Master bedroom WINDOWS • Labor to install 1 double hung window,new construction or replacement style. ■ Labor to install 2 sliding windows. • Labor to install l picture window. Page 1.0 of 24 INSULATION • Supply and install approx.448 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.80 lin.feet of foam door/window perimeter insulation. ■ Supply and install approx.448 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx.712 sq.feet of 1/2"blueboard on walls. ■ Supply and install approx.712 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx.60 sq.ft.of 1/2"blueboard on ceiling. ■ Supply and install approx.60 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx.90111.of 3 1/2"primed Stafford/Marblehead door/window casing. ■ Supply and install 27 M.of 3 1/2"primed pine stool cap. ■ Supply and install approx.95 Ift.of 2 pc.primed pine base, 1x6/1"base. • Supply and install approx.95 lft.of 3 5/8"primed crown moulding. FLOOR COVERING • Machine sand,fill&clear finish(3 coats)approx.264 sq.ft.of existing wood floor. • Supply,install,sand,and clear finish(3 coats)approx.56 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx. 185 sq.feet of interior moulding. • Supply and install approx.557 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.520 fin.feet of interior moulding,2 coats. • Supply and install primer for approx.712 sq.feet of smooth drywall or plaster wall,with roller, I coat. • Supply and install paint for approx.712 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx.60 sq.feet of smooth drywall or plaster ceiling, l coat. • Supply and install paint for approx.320 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. ■ Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $6,984.32 CO2: Master bedroom W.I.C. WINDOWS • Labor to install 'I double hung window,new construction or replacement style. WALL/CEILING COVERINGS ■ Supply and install approx.280 sq.feet of l/2"blueboard on walls. • Supply and install approx.280 sq.ft.of skim-coat plaster over blueboard on walls. Page 11 of 24 CEILING COVERINGS • Supply and install approx.70 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.70 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.35]ft.of 2 pc.primed pine base, 1x6/1"base. FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx.70 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.34 sq.feet of interior moulding. • Supply and install approx. 103 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.55 lin.feet of interior moulding,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,587.20 C04: Bedroom 2 DOORS&WINDOWS • Labor to install 1 exterior pre-hung door. • Labor to install 1 storm/combination door. INSULATION • Supply and install approx.88 sq.feet of 3 1/2"R-1 3 unfaced insulation in exterior walls, 16"oc. • Supply and install approx. 18 fin.feet of foam door/window perimeter insulation. • Supply and install approx.88 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS • Supply and install approx.416 sq.feet of 1/2"blueboard on walls. • Supply and install approx.416 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx. 165 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx. 165 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx. 18 Ift.of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install approx.52 M.of 2 pc.primed pine base, 1x6/1"base. ■ Supply and install approx.521ft.of 3 5/8"primed crown moulding. Page 12 of 24 FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx. 165 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. EXTERIOR PAINTING • Supply and install paint for 1 exterior panel door(s),both sides and jambs,2 coats. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.76 sq.feet of interior moulding. • Supply and install approx.243 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 122 lin.feet of interior moulding,2 coats. • Supply and install primer for approx.416 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx.416 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx. 165 sq.feet of smooth drywall or plaster ceiling, 1 coat. • Supply and install paint for approx. 165 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $4,130.18 C05: Bedroom 2 closet WALL/CEILING COVERINGS • Supply and install approx. 128 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 1.28 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx. 1.2 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx. 12 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 2 interior pre-hung hardboard solid core door units,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 16 Ift.of 2 pc.primed pine base, 1 x6/1"base. FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx. 15 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.32 sq.feet of interior moulding. • Supply and install approx.96 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 16 fin.feet of interior moulding,2 coats. • Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,044.53 C06:Master bath WINDOWS • Labor to install 1 double hung window,new construction or replacement style. Page 13 of 24 r BATHROOM PLUMBING • Labor to rough-in drain,vent,and supply for 1 toilet. ■ Labor to rough-in drain,vent,and supplies for 2 bathroom sinks. • Labor to install 1 toilet. ■ Labor to install 2 bathroom sink(s)including connections to drain. ■ Labor to install 3 vanity cabinets. ■ Labor to install 2 bathroom sink faucets including connections to drain and supplies. HEATING,VENTILATION,AIR CONDITIONING ■ Supply and install ductwork for 1 bathroom exhaust fan. INSULATION ■ Supply and install approx.56 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx. 14 fin.feet of foam door/window perimeter insulation. • Supply and install approx.56 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS • Supply and install approx.352 sq.feet of 1/2"blueboard on walls. • Supply and install approx.352 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx.84 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.84 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 18 M.of 3 1/2"primed Stafford/Marblehead door/window casing. ■ Supply and install 3 Ift.of 3 1/2"primed pine stool cap. • Supply and install approx.361ft.of 2 pc.primed pine base, 1x6/1"base. ■ Labor to install 4 bathroom accesor(ies),paper holder,towel bar,etc. FLOOR COVERING • Supply and install 80 sq.ft.of mud floor over radiant heat floor mat. ■ Supply and install approx.84 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. ■ Install approx. 84 sq.feet of floor tile. ■ Supply and install approx. 84 sq.feet of Hydroment standard color the grout. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx. 19 sq.feet of interior moulding. • Supply and install approx. 171 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx.89 lin.feet of interior moulding,2 coats. • Supply and install primer for approx.272 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx.272 sq.feet of smooth drywall or plaster wall with roller,2 coats. nn 0 r Page 14 of 24 ■ Supply and install primer for approx.70 sq.feet of smooth drywall or plaster ceiling, l coat. • Supply and install paint for approx.70 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $7,124.46 C07:Master shower BATHROOM PLUMBING ■ Labor to rough-in I shower drain and vent. • Labor to rough-in 7 tub and/or shower spout(s),filler(s),valve(s),head(s),body spray(s),diverter(s)etc. ■ Labor to install 7 pieces of finish trim for tub and/or shower spout(s),filler(s),valve(s),head(s),body spray(s),diverter(s)etc. WALL/CEILING COVERINGS ■ Supply and install approx.204 Sq.Feet of Schluter Kerdi tile fabric on walls/ceiling. • Supply and install approx.204 sq.feet of Hydroment standard color tile grout. ■ Supply and install approx.224 sq.feet of 1/2"DenShield tile backer board. FLOOR COVERING ■ Supply and install approx.25 sq.ft.of Kerdi shower floor system. • Install approx.28 sq.feet of floor tile. ■ Supply and install approx.28 sq.feet of Hydroment standard color tile grout. Sub-Total is $6,298.02 C08: Laundry] KITCHEN AND LAUNDRY PLUMBING ■ Labor to rough-in I washer/washer box. ■ Labor to install I clothes washer. HEATING,VENTILATION,AIR CONDITIONING • Supply and install ductwork for l dryer. APPLIANCES ■ Labor to install I electric clothes dryer. WALL/CEILING COVERINGS ■ Supply and install approx. 176 sq.feet of 1/2"blueboard on walls. • Supply and install approx. 1.76 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS ■ Supply and install approx.28 sq.ft.of 1/2"blueboard on ceiling. ■ Supply and install approx.28 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS ■ Supply and install 2 interior pre-hung hardboard solid core door units,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and instal I approx. 16 Ift.of 2 pc.primed pine base, 1 x6/1"base. Page 15 of 24 FLOOR COVERING • Supply and install approx.32 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. • Install approx.32 sq.feet of floor tile. j • Supply and install approx.32 sq.feet of Hydroment standard color tile grout. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.28 sq.feet of interior moulding. • Supply and install approx.96 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 16 lin.feet of interior moulding,2 coats. ■ Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $2,595.25 C09:Jack&Jill bath WINDOWS • Labor to install 1 double hung window,new construction or replacement style. BATHROOM PLUMBING ■ Labor to rough-in drain,vent,and supply for 1 toilet. • Labor to rough-in drain,vent,and supplies for 2 bathroom sinks. • Labor to rough-in 1 tub drain and vent. • Labor to rough-in 3 tub and/or shower spout(s),filler(s),valve(s),head(s),body spray(s),diverter(s)etc. ■ Labor to install 1 toilet. • Labor to install 2 bathroom sink(s)including connections to drain. • Labor to install 2 vanity cabinets. ■ Labor to install 2 bathroom sink faucets including connections to drain and supplies. • Labor to install 3 pieces of finish trim for tub and/or shower spout(s),filler(s),valve(s),head(s),body spray(s),diverter(s)etc. HEATING,VENTILATION,AIR CONDITIONING ■ Supply and install ductwork for 1 bathroom exhaust fan. INSULATION • Supply and install approx.48 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx. 14 lin.feet of foam door/window perimeter insulation. • Supply and install approx.48 sf.ft.of 4 mil poly vapor barrier on exterior wall. WALL/CEILING COVERINGS ■ Supply and install approx.288 sq.feet of 1/2"blueboard on walls. • Supply and install approx.288 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx.72 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx.72 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 2 interior pre-hung hardboard solid core door units,2-6 x 6-8. Page 16 of 24 INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx. 18 lft.of 3 1/2"premed Stafford/Marblehead door/window casing. • Supply and install 41ft.of 3 1/2"primed pine stool cap. ■ Supply and install approx.36 lft.of 2 pc.primed pine base, 1.x6/1" base. • Supply and install 101in.feet of 32"plywood open shelves w/edge banding on 1 x3 primed pine cleats. • Labor to install 3 bathroom accesor(ies),paper holder,towel bar,etc. FLOOR COVERING • Supply and install approx.74 sq.ft.of 1/2"plywood underlayment for ceramic floor tile.Stapled or screwed. • Install approx. 1 sq.feet of floor tile. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.54 sq.feet of interior moulding. • Supply and install approx.238 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 112 fin.feet of interior moulding,2 coats. • Supply and install primer for approx.288 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. • Supply and install paint for approx.288 sq.feet of smooth drywall or plaster wall with roller,2 coats. • Supply and install primer for approx.72 sq.feet of smooth drywall or plaster ceiling, 1 coat. • Supply and install paint for approx.72 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. • Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $8,149.42 C10: Bedroom 3 WINDOWS ■ Labor to install 2 double hung windows,new construction or replacement style. INSULATION • Supply and install approx. 192 sq.feet of 3 1/2"R-13 unfaced insulation in exterior walls, 16"oc. • Supply and install approx.22 lin.feet of foam door/window perimeter insulation. • Supply and install approx. 192 sf ft.of 4 mil poly vapor barrier on exterior wall. W ALL/CEILING COVERINGS • Supply and install approx.432 sq.feet of 1/2"blueboard on walls. • Supply and install approx.432 sq.ft.of skim-coat plaster over blueboard on walls. INTERIOR DOORS • Supply and install 1 interior pre-hung hardboard solid core door unit,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES • Supply and install approx.261ft.of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install 8 lft.of 3 1/2"primed pine stool cap. • Supply and install approx.541ft.of pc.primed pine base, 1x6/1"base. • Supply and install approx.54 lft.of 3 5/8"primed crown moulding. Page 17 of 24 FLOOR COVERING • Machine sand,fill&clear finish(3 coats)approx. 180 sq.ft.of existing wood floor. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx.65 sq.feet of interior moulding. • Supply and install approx.315 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 186 lin.feet of interior moulding,2 coats. ■ Supply and install primer for approx.432 sq.feet of smooth drywall or plaster wall,with roller, 1 coat. ■ Supply and install paint for approx.432 sq.feet of smooth drywall or plaster wall with roller,2 coats. ■ Supply and install paint for approx. 180 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. ■ Supply and install paint for 1 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $3,707.83 C11: Bedroom 3 closet WALL/CEILING COVERINGS ■ Supply and install approx. 128 sq.feet of 1/2"blueboard on walls. ■ Supply and install approx. 128 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS ■ Supply and install approx. 12 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx. 12 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 2 interior pre-hung hardboard solid core door units,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx. 16 Ift.of 2 pc.primed pine base, 1x6/1"base. FLOOR COVERING ■ Machine sand,fill&clear finish(3 coats)approx. 15 sq.ft.of existing wood floor. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.32 sq.feet of interior moulding. • Supply and install approx.96 lin.feet of caulking around interior moulding in preparation for painting/staining. ■ Supply and install paint for approx. 16 lin.feet of interior moulding,2 coats. • Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,009.43 02:Hallway closet WALL/CEILING COVERINGS ■ Supply and install approx. 128 sq.feet of 1/2"blueboard on walls. ■ Supply and install approx. 128 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS ■ Supply and install approx. 12 sq.ft.of 1/2"blueboard on ceiling. Page 18 of 24 • Supply and install approx. 12 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR DOORS • Supply and install 2 interior pre-hung hardboard solid core door units,2-6 x 6-8. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx. 16 lft.of 2 pc.primed pine base, 1 x6/1"base. FLOOR COVERING ■ Supply,install,sand,and clear finish(3 coats)approx. 15 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER ■ Supply and install wood filler in nail holes in approx.32 sq.feet of interior moulding. • Supply and install approx.96 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 16 lin.feet of interior moulding,2 coats. • Supply and install paint for 2 interior panel door(s),both sides,two coats,including jamb and casing. Sub-Total is $1,044.53 03:Hallway WALL/CEILING COVERINGS ■ Supply and install approx.576 sq.feet of 1/2"blueboard on walls. • Supply and install approx.576 sq.ft.of skim-coat plaster over blueboard on walls. CEILING COVERINGS • Supply and install approx. 120 sq.ft.of 1/2"blueboard on ceiling. • Supply and install approx. 120 sq.ft.of skim-coat plaster over blueboard on ceiling. INTERIOR TRIM,STAIRS AND ACCESSORIES ■ Supply and install approx.20 ft of 3 1/2"primed Stafford/Marblehead door/window casing. • Supply and install approx.72 lft.of 2 pc.primed pine base, 1x6/1"base. • Supply and install approx.72 Ift.of 3 5/8"primed crown moulding. FLOOR COVERING • Supply,install,sand,and clear finish(3 coats)approx. 120 sq.feet of oak tongue&groove flooring,select,3/4 x 2-1/4. INTERIOR PAINTING AND WALLPAPER • Supply and install wood filler in nail holes in approx.55 sq.feet of interior moulding. ■ Supply and install approx.256 lin.feet of caulking around interior moulding in preparation for painting/staining. • Supply and install paint for approx. 164 lin.feet of interior moulding,2 coats. • Supply and install primer for approx.576 sq.feet of smooth drywall or plaster wall,with roller, l coat. • Supply and install paint for approx. 576 sq.feet of smooth drywall or plaster wall with roller,2 coats. ■ Supply and install primer for approx. 120 sq.feet of smooth drywall or plaster ceiling, 1 coat. • Supply and install paint for approx. 120 sq.feet of smooth drywall or plaster ceiling with roller,2 coats. Sub-Total is $3,589.45 Page 19 of 24 General Project Contents PROJECT PREPARATION • Building permit fee • Supply 3 30 yd.dumpster(s) WALL FRAMING • Provide and install framing for approximately 1.252 sq.feet of 2"x 4", 16"o.c.wood framed wall up to 8'tall,sgl.btm.plate,sgl. top plate. Sub-Total is $5,171.04 Project Cost is$90,933.00 PAYMENT SCHEDULE -------------------------------- 1.)$20,000.00 with agreement for services. 2.)$5,000.00 due on start date and continuing weekly thereafter for 12 weeks 3.)$10,933.00 due upon completion. Start date/Completion Work will commence on or about 3/11/2013.This date is an approximation and will vary because of the uncertainties involved with building and remodeling. Weather,material availability,employee and subcontractor illnesses vacations,etc.all effect the actual start date.Building Professionals,Inc.will keep you informed of major changes to the start date and will give 48 hrs.notice prior to the start of work. Work to be completed by 5/31/2013.Building Professionals Inc.will incur a penalty of$250.00/day beginning on 6/3/2013 and continuing each business day thereafter until completion.Penalty to be deducted from final payment. Work shall be deemed complete when all stated services have been substantially completed. It is understood that routine"punch- list"or repair items,are beyond the scope of completion and are covered under builder's warranty obligations. Builder is not responsible for delays incurred due to the actions or inactions of city/town officials,strikes,Acts of God,unfulfilled customer obligations,customer supplied or specified items,or other delays beyond our control with regard to this agreement. Change orders Building Professionals Inc. will not initiate any change orders involving extra costs due to hidden or unanticipated conditions,but may extend the completion date if hidden or unanticipated conditions are encountered.Any alteration or deviation from above specifications involving extra costs,will be executed only upon written orders,and will become an extra charge over and above the amount specified above. Change orders extend the completion date and the additional time required will be stated in the change order. All change orders must be paid in full before work commences Insurance Owner to carry fire,tornado,and other necessary insurance upon above work. Public Liability Insurance on above work to be maintained by Building Professionals,Inc. Your cancellation rights Subject to the provisions of MGL c.93,s.48;MGL c. 140D,s.10 or MGL c.255D s.14,as may be applicable,the owner may cancel this contract within three business days of the date the contract was signed. Page 20 of 24 WARRANTY Building Professionals, Inc.warrants its work and the product(s)used therein against defects in materials and workmanship for a period of three years from the date on the invoice for final payment.During the warranty period,Building Professionals,Inc. will, at its option,either repair or replace products or workmanship which prove to be defective. This warranty shall not apply to defects or damage resulting from improper or inadequate maintenance by the customer,customer supplied products,unauthorized modification or misuse,damage incurred as a result of Acts of God or Civil Strife. The warranty set forth above is exclusive and no other warranty,whether written or oral, is expressed or implied. Building.Professionals,Inc. specifically disclaims the implied warranties or merchantability and fitness for a particular purpose.This warranty shall be void if there are any outstanding payments with regard to this contract. Liens There are NO liens or security interests on the residence listed above as a consequence of this contract. Final payment If final payment is not received on the completion date interest will accrue at the rate of%1.5 per month.in addition,the owner shall be responsible for all court costs and other costs incurred by the contractor,in attempting to collect final payment. Permits All necessary construction-related permits will be obtained by the contractor or its subcontractors. Any owner who secures a construction-related permit on their own, shall be excluded from access to the Guaranty Fund Building officials Any additional costs incurred by Building Professionals,Inc.as a result of decisions made by building officials will be the responsibility of the homeowner. The cost of the additional work will be calculated as follows: Material cost plus an hourly rate of$75.00/man hr. HIC:R registration All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Registration Division,Program Coordinator One Ashburton Place,Room 1301, Boston,MA 02108,617-727-3200 x25239 Owners rights You are dealing with a registered Home Improvement Contractor and are entitled to certain rights under the provisions of 780 CMR R6 and MGL c.142A Utilities Building Professionals will endeavor to notify the owner in a timely manner of any interruption of utility services(electricity,gas, water,heat,etc.),however there may be instances when we must shut down these services without advance notice. You must arrange for emergency backup services for any utility critical equipment such as medical devices,computers,etc. You must notify Building Professionals at the start of the workday if you will be engaged in any utility critical activities.Notification must be done in writing. Page 21 of 24 Wood flooring You are having a wood floor installed in your home. Changes in temperature and relative humidity will affect your wood floor. These changes may cause gaps to form between strips,cupping,buckling,movement,and/or cracks/splits in the flooring.Also,a combination of these results may be present in the same floor.The following information and comments should help explain some causes of shrinking and swelling,and some of the possible results. SHRINKAGE EXPANSION Wood is a hygroscopic material.This means when wood is exposed to air,it will dry or pick up moisture until it is in equilibrium with the humidity and temperature of the air.Moisture absorption causes wood to swell. Shrinkage of wood begins at 25-30% moisture content,the fiber saturation point,and continues until wood reaches 0%moisture content,an oven dry state.Conversely, swelling occurs as wood increases in moisture content from 0%to 25-30%moisture content,the fiber saturation point.Above 25% -30%wood is dimensionally stable. Wood does not shrink or swell equally in all directions.A change in moisture content of a wood piece from 0%to 28%(oven dry to fiber saturation point)will increase the size of the piece approximately 0.1%longitudinally or along the length/grain,2%to 8% perpendicular to the annular growth rings(radially or in strip width for quarter sawn flooring),and 5%to 15%change in size parallel to the tree s annular growth rings(also known as tangentially or in width of the strip with plain sawn flooring). EQUILIBRIUM MOISTURE CONTENT The moisture content of wood below the fiber saturation point is a function of both relative humidity and temperature of the surrounding air. Wood will absorb moisture from its environment or lose moisture to its environment until the wood reaches a point of equilibrium. The equilibrium moisture content(EMC)is defined as the moisture content at which the wood is neither gaining nor losing moisture;an equilibrium condition has been reached. Wood in service usually is exposed to both long-term(seasonal)and short-term(daily)changes in the relative humidity and temperature of the surrounding air. Thus,wood virtually always is undergoing at least slight changes in moisture content.These changes usually are gradual,and short-term fluctuations tend to influence only the wood surface.Moisture content changes may be retarded,but not prevented,by protective coatings, such as sealers,polyurethanes or paint. The practical objective of all wood seasoning,handling,and storing methods should be to minimize moisture content changes in wood in service. Favored procedures are those that bring the wood to a moisture content corresponding to the average atmospheric conditions to which it will be exposed. Generally,wood flooring is expected to SHRINK in dry climates or when it is exposed to dry conditions.Also,wood flooring is expected to EXPAND in the wetter climates or when it is exposed to wet conditions. Granite/Stone countertops You are havinggranite or synthetic stone counter tops installed.By their nature they are inflexible and unable to follow the contours of your walls which will not be perfectly flat. It is important to understand that their will be gaps of up to 3/8"between the granite/stone back splash and your walls. These gaps will be filled with a clear silicone caulking.You may wish to consider installing tile between the top of your granite/stone back splash and the bottom of your wall cabinets to minimize this issue. Allowance items This contract contains allowance items and/or customer supplied items. These are items that you must shop for. The make, model#,color,dealer,dealer representative,dealer representative phone#,and any other pertinent information must be supplied to Building Professionals,Inc. in a timely manner so that.Building Professionals,Inc. can insure that the items you have chosen are suitable for their intended use,meet all applicable building codes,and integrate with other items as needed. You,in essence,become one of the subcontractors on the project and your cooperation is critical to the timely and satisfactory completion of your remodeling project. For this reason Building Professionals will charge$250.00/day for every day or portion thereof that work cannot proceed because of missing/late allowance items. Work will not resume until full payment has been received. Colors You will need to choose colors and finishes for the products being used in your remodeling project including,but not limited to, stain,paint,flooring,cabinetry,and decking. It is important to remember that a color/finish you see at a store or in a showroom may not,in fact probably will not,look the same in your home. Even a product that you see IN your home before the remodeling begins may not look the same after the project is completed when all the different colors and finishes have come together. One manufacturer's almond is not another's. Page 22 of 24 Custom Shower Enclosures This contract includes a custom shower enclosure which requires an extended lead time of 4-5 weeks from completion of the tile work to manufacture and install.It is a"punch list"item and has no bearing on the completion date. Matching existing materials Some of the materials in your home may no longer be available.In this case Building Professionals,Inc.will use materials that match as closely as possible using materials that are readily available from local suppliers.Custom made materials are available at SIGNIFICANTLY HIGHER COSTS.Please indicate if you would like to get an estimate on custom made materials. Yes,I would like to get an estimate on custom made materials. No,I would not like to get an estimate on custom made materials. Custom products Your project includes custom sized product(s)that will require extended lead times to manufacture.After we have received the manufacturer's acknowledgment of the order,we will provide you with an APPROXIMATE completion date.The actual date of completion may vary significantly due to seasonal fluctuations in demand,raw material availability,and other unforeseen circumstances.When your order is complete we will notify you and schedule your installation as soon as possible thereafter. Please be patient and understand that in the long run a custom sized product will perform better and last longer than a stock size item"Jerry-rigged"to fit. Hours of operation Building Professionals,Inc.and its subcontractors,suppliers,vendors,etc.will be allowed to work between the hours of 8:30 a.m. and 5:00 p.m.Monday-Saturday,and,with the homeowner's permission,at other times with 24 hour notice.All times are subject to compliance with local ordinances. Access The homeowner will supply Building Professionals'with a key to the property so that employees,suppliers,subcontractors, building officials,etc.will have access to the job site during the hours of operation specified above.The key will be left in a lockbox on the property at all times. Personal items Owner to remove all personal items from walls,ceilings,etc.adjacent or near to the work area or in any other place that would reasonably be considered to be subject to disturbance from the work covered in this contract,prior to the start of construction. This shall also apply to any area(s)affected by change orders.Building Professionals,Inc.will not be responsible for any items damaged as a result of the customers failure to do so. Dumpsters A dumpster will need to be placed on your property so that the debris generated by your project can be disposed of properly. Building Professionals will determine where the dumpster will be placed.If the dumpster is placed on a paved surface, i.e.a driveway,wood blocks will be placed under the dumpsters rear wheels and front legs to help minimize deformation of the asphalt. Building Professionals,Inc.can not guarantee that deformation of the asphalt will not occur.Any deformation of the asphalt will need to be repaired at the owner's expense.If the dumpster is placed on grass it is understood that the grass and topsoil under the dumpster will need to be replaced/repaired at the owner's expense when the dumpster is removed. The contract price reflects a dumpster location that will make debris removal as efficient and cost effective as possible.If the homeowner finds the location chosen by Building Professionals to be unacceptable then a mutually agreed upon alternative location will be chosen.If Building Professionals determines that the new location will increase the cost of the project then a change order will be executed. It is understood that the owner will exercise reasonable care to keep individuals away from the dumpster outside of the hours of operation. Marketing materials Client agrees to allow Building Professionals,Inc.to display job site signs in a safe,tasteful manner and use photographs taken of the work in it's publications,brochures,and other presentation and marketing materials. f Page 23 of 24 Authorization All work to be completed in a good and workmanlike manner. All changes shall be indicated on this Agreement,plans and specifications(if applicable)and initialed by both parties. The above prices,specifications and conditions are satisfactory and are hereby accepted by all parties. Building Professionals,Inc. is authorized to perform the work as specified. I/we,as owner(s)of the subject property hereby authorize Building Professionals,Inc.to act on my/our behalf,in all matters relative to work authorized by this building permit application. DO NOTArsname(s) CONTRACT ERE ANY BLA K SP S P /CEDING THE SIGNATURE LINES O Date President,Robert A.LaFleur Date Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provi din MGL c.142A. DO O SIGN�CLA F THE ARE NNY--B'LAN>Nl S PRECEDING THE SIGNATURE LINES lG�T.N Owners name(s) D e President,Robert A.LaFleur Date NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. r Page 24 of 24 C Tile fanrMOil roercl/� Office of Consumer Affairs&Busiuess Regulation License or registration valid for individul use only a.) --- OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — I_6gistration: 117932 Type: Office of Consumer Affairs and Business Regulation Expiration: .12/28/2014 Private Corporatici. 10 Park Plaza-Suite 5170 ? � Boston,MA 02116 BUILDING PROFESSIONALS INC. ROBERT LAFLEUR 123 LAFAYETTE ST LOVIIELL,MA 01854 Undersecretary Not valid without signature �= Alas.arlrusctts- Deparirr?ivtt ri t'uhlic safer . 134M 'I of Buil(limj "` nc.:rrl,ttir,n, :ur(I slandard. Construction Supervisor License License: CS 48827 ROBERT A LAFLEUR 123 LAFAYETTE ST u LOWELL, MA 01854 Expiration: 8/28/2013 < unn�i>�iu�rt' T, 1673 I The Commonwealth of Massachusetts L Print Form Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly N1n10(Business/Organization/Individual): Building Professionals Inc. Address: 40 Vinal Sq. City/State/Zip:North Chelmsford, MA 01863 Phone#: 978-758-9553 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]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 g, ❑Demolition workingfor me in an capacity. employees and have workers' y p �'- 9. F-1 Building addition [No workers' comp. insurance comp.insurance.+ required.] 5. ✓❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I 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 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.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ( . 7 Date:3/6/2013 Phone#: 978-758-9553 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#: