HomeMy WebLinkAboutBuilding Permit #499-13 - 76 BUCKINGHAM ROAD 1/7/2013BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
l
Date Issued:
IP RTANT: Applicant must complete all items on this nage
(o� a 1'' � .6 OL\
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
ing
One family
ddition
Two or more family
Industrial
A. e on
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
f
Se tl ry' ..ells M1'j`
p
,�'s^' �+
Flood lain,
_ p Wetlantls
[t�{' {$
3� ;urs
WatershetlxDis,"tract
�tC Y
kq^i�� +�i 5' itc }"
F ,y
iy�J�iT
,47 /" WORK TO BE PREFORMED:
110X -J A,�� -1--) / o_-', /<- - '01/ J&11�,412
OWNER: Name:
Pleasee or Print Clearly)
6 .a
ARCHITECT/ENGINEE�.�' Phone:
Address: /�,./�r6'�, `%�'`'� Reg. No.
FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE:
Check No.: q Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
0
Location 1711
No. 9 —� Date
Check #
�L�4
26069
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ S
Building/Frame Permit Fee $�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
=PublicSewer
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
COMMENTS
HEALTH
COMMENTS
Reviewed on
Sianature
N
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature: —
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: 777,z5
ELECTRICAL: Movement of Meter location, m t or service drop r res approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
Doc -Building Permit Revised 2008
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
o Building Permit Application
❑ 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
Ilding Permit Application
,ertified Surveyed Plot Plan
orkers Comp Affidavit
0oto Copy of H.I.C. And C.S.L. Licenses
o
py Of Contract
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
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o 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 submitted with the building application
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ -
$
1,152.00
Plumbing Fee
$
144.00
Gas Fee 100 comm.
$.
1100.00
Electrical Fee
$
144.00
Total fees collected
$
1,540.00
76 Buckingham Road
499-13 on 1/7/2013
2 story addition, master bedroom and bath
extension of kitchen
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Q
CER TY IED TO:
MORTGAGE PARTNERS, INC.
z
ITS SUCCESSORS AND/OR ASSIGNS
SCALE: 1 "—
I CERTIFY THAT THE STRUCTURE SHOWN EITHER CONFORMED TO THE DIMENSIONAL
SETBACK REQUIREMENTS OF THE ZONING BYLAWS OF THE TOWN OF NO. ANDOVER, MA
WHEN CONSTRUCTED OR IS NOT SUBJECT TO ZONING ENFORCEMENT ACTION
UNDER M.G.L. TITLE Vll, CH. 40A, SEC. 7 AND IS NOT LOCATED WITHIN A FLOOD
EDWAM HAZARD AREA, AS SHOWN ON FLOOD INSURANCE RATE MAPS OF THE FEDERAL
`, EMERGENCY MANAGEMENT AGENCY.
A COMMUNITY PANEL NO. 250098, DATED JUNE. 2, 1993
1.3
q'PROFESSIONAL LAND SURVEYOR DATE
MORTGAGE INSPECTIl0N PLAN REFERENa-S
76 BUCKINGHAM ROAD CERT. of TITLE NO. 12746
NO. ANDOVER MASSACHUSETTS MLO LAND SURVL�YORS, /NC.
PREPARED FOR 225 STEDMAN STREET, UNI T 23
LOWELL ,MA 01851
DANIEL / do TOBIE M. GARIS (978) 452-1921 FAX (978) 452-6793
APRIL 2, 2003 DWG. NO. M-156
LSA
I
�7e a1��I&e..Iaclutem
Office of Consumer Affairs & Business Regulation
ME IMPROVEMENT CONTRACTOR
e" egistration: 136779 Type:
xpiration 8/26/2014 Partnership
TWOMEY + LEGARE CONTRACTING INC.
SHAWN TWOMEY
87 BELMONT ST.
N. ANDOVER, MA 01845 Undersecretary
til tssachucetts - Deli trtnient of Public Safety
Boavii of Building-Rc�-uiations and Standards
'-� Construction Supervisor License
License: CS 67560
SHAUN M TWOMEY
61 PATROIT ST
N ANDOVER, MA 01845.
c
Jam_ —=� Expiration: 10/25/2013
f;mmisir�ne�
Tr,': 4913
" AVIan employer? Check the appropriate box:
/
Type of project (required):
am a employer. with
'art
4. ❑ I am a general contractor and I
6. ❑ New construction
employees (foil and/or -time)
have hired the sub -contactors
2.0 I am a sole proprietor or -
listed on the attached.sheet 1
7 Q Remodeling
ship and have no employees
These sub -contractors have
8.. olition
working for me in any capacity.
[No workers' comp. insurance
workers' comp. in=mce.
5. El. we are a corporation and its
9. Building addition
required ]'
officers have exercised their
10.[] Electrical repairs or additions
3.0 I am a homeowner doing all work
right of exempton.:per MGL
1 I.(] Plumbing repairs or additions
myself [No workers'. comp.
c. 152, § I (4), andwe have no
I2;0 Roof repairs .
inc=.,ce required,] t
employees_ [No workers'
I3.❑ Other
comp, insurance reduire&j
• -. _ __ _ _...�.......�-:.a.:: wuir.:aa cVtBy_..5—..^.^. Y..ee'�.j ."..rG.:B.�On.
Homeowners who submit this affidavit indicating they are doing aU work and then'hire outside contractors enact submit a new affidavit indicating such.
+Contractors that ch k this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. -.policy infoauation.
I am an employer .that is providing workers' compensation insurance for my employees. Below is thepolicy and job site
Insurance Company Name: ..// G?!✓-�,/�J
Policy # or Self -ins. Lie. #:1a/�C,)46 /�j /' ` f � piration Date:
Job Site AddreseU/ ,Of rij 6 City/State/Zip ems{/' Gi,. (>>
Attach a copy of the workers' compe tion policy declaration .page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A ofMGL c152, can 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 maybe forwarded to the Office of
Investigations of the DIA for insurance. coverage verification
I do hereby certify u er the pains and penalties ofPerjury that the information provided above is true and correct
Signature:
Official use only. De not write in this arca, to be completed bj> ciz)2 or town of cial
City or Town PermitUcense #
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 #:
Client#: 13298
TWOMEY6
ACORD. CERTIFICATE OF LIABILITY INSURANCE
LTR
kwL
8107/UUDD/YYYY)
osro�n2
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Doherty Insurance Agency, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 1985
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
21 Elm Street
8500043255
Andover, MA 01810
INSURERS AFFORDING COVERAGE NAIC #
INSURED
Twomey & Legare Contracting, Inc.
PO Box 366
INSURER A: Arbella Protection Ins Company
INSURER B
INSURER C:
North Andover, MA 01845
INSURER 0:
INSURER E:
DAMAGE TO R(EaENTED S100.000
PREMISES
MED EXP (Anymore person) $5,000
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMENT. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
kwL
TYPE OF INSURANCE
POLICY NUMBER
POUC EC
POLICY EXPIRATION
LIMITS
A
GENERAL 11ABeLITY
8500043255
06122/12
061=13
EACH OCCURRENCE S1,00 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51 OCCUR
DAMAGE TO R(EaENTED S100.000
PREMISES
MED EXP (Anymore person) $5,000
PERSONAL & ADV INJURY $1000000
GENERAL AGGREGATE s2.000.000
GENL AGGREGATE LIMIT APPLIES PER.
PRODUCTS - COMPIOP AGG $2.000,000
X POLICY PRI nLOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea acodent) S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
Mer Parson) S
HIRED AUTOS
NON -O NEDAUTOS
BODILY INJURY S
(PeracadeM)
PROPERTYDAMAGE $
(Per acederd)
GARAGELIABIUTY
AUTO ONLY -EA ACCIDENT S
ANY AUTO
OTHER THAN EA ACC S
AUTOONLY: AGG S
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE S
OCCUR CLAIMS MADE
S
DEDUCTIBLE
S
RETENTION S
S
WORKERS COMPENSATION AND
WC STATU- OTH-
ICE
EMPLOYERS• LIABILITY
E.L. EACH ACCIDENT 5
ANY PROPRIETORIPARTHERIEXECIRIVE
OFFICERIMEMBER EXCLUDED7
E.L. DISEASE- EA EMPLOYEE S
I . descri
SPEsCIAL PROVISIObeunbarIiS beton
E.L. DISEASE -POLICY LIMIT S
OTHER
DESCRIPTION OF OPERATI ONS )LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Covering operations usual to Twomey & Legare Contracting, Inc...
wrer�rrn.�r un. www
Town of Andover
36 Bartlett street
Andover, MA 01810
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL _.1p_ OAYS WRITTEN
NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
AUTHORMO
ACORD 25 (2001106( 1 of 2 #S28468IM28466 '6DVL 0 AC CORPORATION 1988
TRAVELERS J�
INSURED'S NAME AND ADDRESS
THIS IS A QUOTE, NOT A POLICY
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
QUOTE PROFILE — VERSION 01
POLICY NUMBER: (6KUB-0290M99-4-12 )
RENEWAL OF (6KUB-029OM99-4-11)
WORKERS COMPENSATION
TWOMEY & LEGARE CONTRACTING INSURANCE PLAN
INC
PO BOX 366 A/R (WCIP) #
NORTH ANDOVER MA 01845
POLICY PERIOD FROM: 09-18-12 TO 09-18-13
TOTAL ESTIMATED ANNUAL STANDARD PREMIUM $ 734
PREMIUM DISCOUNT NONE
0900-20 EXPENSE CONSTANT 250
TERRORISM 2
TOTAL ESTIMATED PREMIUM 986
TAXES AND SURCHARGES 29
DEPOSIT AMOUNT DUE 1015MP
Employer's Liability BI Limit: $
500000 Each Accident
500000 Policy Limit
500000 Each Employee
MA
INSURER: THE TRAVELERS INDEMNITY COMPANY
Adjustments of Premiums shall be made ANNUALLY
******************************* Deposit Amount Due: $ 1015 ******************************
POLICY NUMBER: (6KU13-029OM99-4-12)
PENDING RATE CHANGE: MA
DATE OF ISSUE: 07-24-12 WC
OFFICE: ORLANDO INDUS AFF 161
PRODUCER: DOHERTY INS AGENCY INC 22YMX
ST ASSIGN: MA
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
TkazERTIFICAT„E 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 and endorsement. A statement on this certificate does not confer rights to
the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME:
DOHERTY INS AGENCY INC
PHONE
(AIC, No, Ext
FAX
PO BOX 1985
E-MAIL
D S•
PRODUCER
ANDOVER, MA 01810
CUSTOMER ID #:
22YMX
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED
INSURER A: TRAVELERS INDEMNITY CO.
TWOMEY & LEGARE CONTRACTING INC
INSURER B:
INSURER C:
PO BOX 366
INSURER D:
INSURER E:
NORTH ANDOVER, MA 01845
INSURER F:
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 SUBJECT70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD
SUB
POLICY EFF DATE
POLICY EXP DATE
LTR
TYPE OF INSURANCE
L
R
POLICY NUMBER
(MMIDDIYYYY)
(MMIDDIYYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR:
DAMAGE TO RENTED $
PREMISES (Ea occurrence)
ED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENT AGGREGATE LIMIT APPLIES PER:
AGGREGATE $ • ''.'
POLICY❑ PR�
OJECT LOC
.,GENERAL
PRODUCTS,,.COMP/OP AGG :
AUTO MOBILE LIABILITY..___. ___..........---.__..
ANY AUTO
COMBINED SINGLE
LIMIT (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULE AUTOS
(Per person)
BODILY INJURY $
HIREDAUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
UMBRELLA LIAB
B
OCCUR
EACH OCCURRENCE $
EXCESS LIAB
CLAIMS -MADE
AGGREGATE $
DEDUCTIBLE
$
$
RETENTION $
A
WORKER'S COMPENSATION AND
EMPLOYER'S LIABILITY YIN
UB-029OM994-11
09/18/2011
09/18/2012
XWC
STATUTORY
LIMITS
OTHER
ANY PROPERITOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E. L. EACH ACCIDENT $ 500,000
E.L. DISEASE - EA EMPLOYEE $ 500,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/RESTRICTIONSISPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
•CERTIFICATE•HOLDER _.....___.._ ....._._.__..,. _ _.�
CANCELLATION. -
TOWN OF NORTH ANDOVER ...,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED__..
1600 OSGOOD ST -
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS:.'
NORTH ANDOVER, MA 01845
A!`non -fe rnnnnrnn
AUTHORIZED REPRESENT VE
-- -'
��'•� t— i 190-2009 AGORD CORPORATION. All rights reserved.
SON
T OMEY & LEGS, R E
CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing in residential additions
87 Belmont Street, North Andover, MA 01845
H1C #136779
North Andover - 978.685.7447
1.
2
3.
Q
5.
U
CONTRACT
Date of Contract Signing:
List of Documents/Counterparts of this agreement:
A. Contract
B. Specifications/Proposal (See Exhibit B below)
C. Drawing/Plan (see Exhibit C attached)
D. Payment Schedule (see Exhibit D below)
E. Limited Warranty (see Exhibit E below)
F. General Notes (See Exhibit F below)
Parties to Contract:
Facsimile- 978.685.7446
A. Contractor: Twomey & Legare Contracting, Inc.
Shaun Twomey/Doug Legare
Federal ID# 20-3436110
Address: 87 Belmont Street, No. Andover, Ma 01845
Contractor Registration No.: 136779
B. Homeowner: Dan & Tobie �q t- i
76 Buckingham Road -
North Andover Ma, 01845 617-510-3548
Description of work to be done and the materials to be used: See Specifications
(Exhibit B)
Total amount agreed to be paid for work to be performed under the contract:
Time schedule of payment to be made under the contract, finance charges for late
fees (if any)*: See Payment Schedule (Exhibit D)
*Any deposit required to be paid in advance of the start of the work shall not
exceed one third of the total contract price or actual cost of any material or
equipment of a specific or custom made nature, which must be ordered in advance
!� U
Owner Initials: Page 1 of 12 Contractor Initials:
of the start of the work to assure that the project will proceed on schedule. No
final payment shall be demanded until the contract is completed to the satisfaction
of all parties.
7. A. Date work is scheduled to begin: (see No. 14 below)
B. Date work is scheduled to be substantially completed: (see No. 14 below)
Notice:
A. All home improvement contractors and subcontractors shall be registered
and any inquiries about a contractor and/or subcontractor relating to a
registration should be directed to:
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Suite 5170
Boston, MA 02116
(617) 973-8700
B. For contractor's registration number, see first page.
C. Homeowners have a three (3) day cancellation right under MGL Ch. 93 §
48; MGL Ch. 140D § 10; or MGL Ch. 255D § 14 as may be applicable.
See attached Notice of Cancellation.
D. For homeowner's warranty rights, see 780 CMR R6 and MGL Ch. 142A.
9. There is no lien or security interest on the residence as a consequence of this
contract.
10. Permit Notice:
A. The following permits will be required in connection with the work to be
performed on your property: Building — Electrical — Plumbing
B. It is the obligation of the contractor to obtain these permits as the
Homeowner's agent.
C. Any homeowner who secures their own construction -related permits or
deals with unregistered contractors shall be excluded from access to the
guarantee fund.
11. Contractor reserves the right, if he deems himself to be insecure, to require, as a
prerequisite to continue work, that the balance of funds due under the terms of the
contract, which are in possession of the owner, be placed in a joint escrow
account requiring the signatures of the contractor and the homeowner, for
withdrawal.
_71 -
Owner Initials: Page 2 of 12 Contractor Initials:
i
12. The parties agree that no work shall begin prior to the signing of the contract,
transmittal to the owner a copy of the contract and the expiration of any
applicable rescission period.
13. Arbitration Clause: The contractor and the homeowner hereby. mutually agree in
advance that in the event that 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 Office of Consumer Affairs and Business Regulations and
the consumer shall be required to submit to such arbitration as provided in MGL
Ch. 142A.
14. Other Provisions:
A. Commencement and Completion of Work - Contractor agrees to proceed
diligently with the agreed upon work, commencing promptly, following:
• The completion of the Title V installation and certification of
compliance by the town and/or;
• Issuance of a building permit by the town.
B. Final payment shall be upon the satisfaction of the homeowner. The
parties agree that the issuance of a certificate of occupancy and/or final
inspection shall be the objective standard that the contract has been
complete and the parties satisfied. Any final punch list items shall be
reduced to writing, with an estimated date for completion. The parties
agree that no escrow will be held for punch list items.
C. Insurance — Contractor agrees to provide evidence of liability, workers
compensation and other risk insurance. Owner agrees to provide copy of
hazard insurance as is required by contractor to coordinate policies.
Owner Signature:
� S
Owner Signature:
Contractor Signatur
Date:
Date:
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.
Owner Initials: Page 3 of 12 Contractor Initials:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
— -- 64 1, A �! ((�q
Owner Date Owner Date
Cont ctor Dat Contractor
Owner Initials: Page 4 of 12 Contractor Initials:
Date
A.
ITOT'WO E`I & LEGARE
CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing in residential additions
87 Belmont Street, North Andover, MA 01845
HIC #136779
North Andover - 978.685.7447
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Facsimile- 978.685.7446
November 17, 2012
EXHIBIT B
Pro osal/Specification
Homeowner: Contractor:. Twomey & Legare Contracting, Inc.
Dan & Tobie Garis 87 Belmont Street
76 Buckingham Rd. North Andover, MA 01845
North Andover, MA 01845
617-510-3548
New Addition
Thank you for the opportunity to quote the following project. The Twomey & Legare
Contracting, Inc. price is based on o& discussion on November 7, 2012 concerning your project
at the above captioned address.
The following is a description of work to�be completed as discussed:
10' X 28' Addition, with frost wall foundation between main house and garage:
1St floor to be an extension of kitchen and living room. 2°a floor to have a new full bath in new
dormer area and new bedroom with closet.
These specs are based on conversation. and walk through with the owner. The
preliminary pians and final plans supplied by us will match these specifications.
1. Contractor to contact dig safe prior to digging.
2. Excavate as required for frost wall foundation. With a cut through from old basement.
Old garage foundation to remain as is.
3. Demo and remove all of breezeway, create opening from kitchen also opening from living
room. Cut an opening on second floor for new bedroom. Build new two story addition between
Kitchen and garage also frame new full dormer on front of home. Move attic door over for new
bath, reuse old door.
Owner Initials:' Proposat/Specifications Contractor Initials•CJ - f
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4. Structure to be built according to plans provided by contractor in accordance with theses spec.
5. Owner to supply certified plot plan. Any additional as -built or plot plans by owner.
6. Floor joist to plan. Walls to be 2 x 6 construction.
7. Floor sheathing to be 3/4 Advantec plywood.
8. Wall sheathing to be % CDX plywood, pine.
9. Roof sheathing to be 5/8 fir plywood.
10. Roofing to be IKO shingles. Areas to be roof all of main house, old section of garage and
new addition. 6 feet of ice and water shield on the eves, and 3 feet in the valleys. Ridge vent on
old and new roof.
11. Siding on addition and main house, will be 4" over 4" Harvey vinyl clapboard siding. Tyvek
on new areas and foam board over old areas. Removal of asbestos on breezeway area to be
removed by certified and insured removal company.
12. Match existing trim boards and wrap.
13. Insulate addition to code.
14. Drywall to be %2 inch blue board plaster, with smooth walls and textured ceilings.
15. Interior trim to match existing as close as possible.
16. All painting interior and exterior by owner.
17. Repair of cut driveway to be a rough patch due to the condition of the existing driveway.
Cut area to have crushed stone and completed in the spring.
18. Disposal of all debris by contractor.
19. Additional spec, on completion of construction plans.
20. Any landscape or shrub replacement by owner. Contractor to spread existing loam to be
racked and seeded by owner.
21. All permits and inspections by contractor.
Sprinkler system — none
A/C — none
Heating
1. Extend existing heating zone into new wing, off left side of home on same zone.
Owner states conversation with a plumber they had at home, boiler will handle
New addition..
Plumbing
1. Run new water and sewer lines for new bath in new bath area.
2. Plumb for single bowl sink.
3. Shower & toilet.
4. Remove and install new kitchen sink and faucet, after new granite installation.
Electrical
1. Add sub panel for new wing.
2. Wire addition to code.
3. Ceiling light fixtures by owner.
4.2- closet lights by contractor.
5. 1- vanity lights by owner.
6. 1- phone 2- cable locations.
7. 1- exterior plug.
Owner Initials: Pro osaUS ecifi
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Page 2 of 3
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8. Smoke detector to be brought to code in main house also.
9. Plugs to code. Switches per light location.
10. Bath fan light combo. Fixture by contractor.
11. 1- Dimmer switch.
12.6- recessed cans.
13. All light fixtures by owner, list of fixtures needed will be given to owner
Windows
Harvey new construction with Low E and half screen.
Units 4 — single hung windows and 2 — double mulled units.
Interior doors
3- single, 6 panel hollow core masonite door units with knobs.
2- double bi-fold masonite unit.
Exterior doors
1- 9 light fiberglass, insulated door with knob and deadbolt.
1- Harvey storm door.
1- Fire rated insulated door with knob and dead bolt to garage.
Flooring
1St floor to be hardwood match living room as close as possible, bring hardwood into kitchen
area. Remove old kitchen tile on floor.
2 d floor bedroom carpet by owner.
Tile
Tile bath floor in standard square pattern, any kind of border or pattern will be an additional
charge.
Back splash on cabinet wall to be evaluated after completion of demo not sure how well we
could blend in new.
Contractor Si
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Homeowner Signature:
Owner Initial's: Proposal/Specifications
Page 3 of 3
Date:
Date: —Allno
Contractor Initials:
MTOES` & EEE
L CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing in residential additions
87 Belmont Street, North Andover, MA 01845
HIC #136779
North Andover - 978.685.7447
1JVr J//'9// -C---
Facsimile- 978.685.7446
MUM D
Job Total & Payment Schedule
Payment No. Amount Due Date Received Remaining Balance
8th payment $5,000.00 Completion of interior trim $ 2,000.00
9th payment $21000.00 Final Inspection
Thank you for considering TWOMEY & LEGARE CONTRACTING for your project. Please feel
free to call with any questions or concerns.
1
Homeowner Signature u Date__!`
Owner Initials: t Page. 6 of 12 Contractor Initials: i k"
JOB TOTAL
$965000.00
1st on signing
$1500.00
On Signing
$811000.00
2nd payment
$101000.00
1st day work starts $
71,000.00
3rd payment
$101000.00
Completion of foundation $
611000.00
4th payment
$205000.00
Completion of framing of addition $
411000.60'
5th payment
$15,000.00
Completion of rough mechanicals $
265000.00
6th payment
$12,000.00
Completion of drywall $
141000.00
7th payment
$7.000.00
Completion of roof
$7,000.00
8th payment $5,000.00 Completion of interior trim $ 2,000.00
9th payment $21000.00 Final Inspection
Thank you for considering TWOMEY & LEGARE CONTRACTING for your project. Please feel
free to call with any questions or concerns.
1
Homeowner Signature u Date__!`
Owner Initials: t Page. 6 of 12 Contractor Initials: i k"
O EY & L GARS
LN CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing in residential additions
87 Belmont Street, North Andover, MA 01845
MC #136779
Owner: Dan & Tobie Garis
North Andover - 978.685.7447
ALLOWANCE PAGE
Property Address: 76 Buckingham Rd.
North Andover, Ma
Description Amount
1. Bath fix, Toilet & Shower Valve was $3,200.00 Now by owner
2 Tile & gout for bath floor only $250.00
3. Gutters $400.00
4. All Painting Was $2,200.00 Now by owner
5. Light fixtures
Was $400.00 now by owner
6. Hardwood, new and repairs $3,500.00
7. New cabinets for island area $1,000.00
8. Granite tops Was $2,200.00 Now by owner
List of bath fixtures - supplied by owner. Toilet with seat / Vanity Sink and faucet / 3
piece tub unit with shower valve and tub drain kit / medicine cabinet /Vanity light
Lines #1 / 4 / 5 and 8 are not in the cost of project These prices a strictly for estimating cost
Homeowner Signatui� G� Date�—
Owner Initials: Allowance Page Contractor Initials:
als: /
Page 1 of.l
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fTWOMEY & LEGARE-
CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing in residential additions
87 Belmont Street, North Andover, MA 01845
HIC #136779
North Andover - 978.685.7447 Facsimile- 978.685.7446
EXHIBIT E
Limited Warranty
This Limited Warranty is given to Dan & Tobie Garis hereafter referred to as Homeowner, for
the property located at 76 Buckingham Road North Andover Ma.
The Limited Warranty is extended to the above Homeowner only and is not transferable to
succeeding Homeowner.
NOTE: THIS LIMITED WARRANTY SPECIFICALLY EXCLUDES
CONSEQUENTIAL AND INCIDENTAL DAMAGES AND THERE ARE
LIMITATIONS IN THE DURATION OF IMPLIED WARRANTIES.
A. TERMS A OF COVERAGE:
The terms of the various coverage of this Limited Warranty begin on the date on which
work is substantially completed.
B. COVERAGES: (Apply only to actual work preformed as set forth in contract)
(1) Structure: For a period of one year after the date of completion, the
floors, ceilings, walls and other internal structural components of the
dwelling, which are not covered by other parts of this Limited Warranty,
will be free of substantial defects in materials or workmanship.
(2) Systems: For a period of one year after the date ofP: ossession, the /
plumbing, beating and electric wiring systems will be free of substantial
defects in materials or workmanship.
(3) Roof: For a period of one (1) year after the date of roof installation, the
roof will be free of leaks caused by defects in materials or workmanship,
but not those caused by ice back-up.
(4) Other:
a. For a period of sixty (60) days after the date of possession, the doors
(incl ing hardware), windows, electric switches, receptacles, plumbing
Owner Initials: Page 7 of 12 Contractor Initials:
C.
fixtures and cabinet work will be free of defects in materials and
workmanship.
b. For a period of sixty (60) days after the date of possession, the hairline
cracks, commonly found in drywall, over doorway corners, window
corners, cathedral ceilings at the peak and the outside of the house — unless
major structural damage is caused.
MANUFACTURER'S WARRANTIES: (Only as they apply to those purchased by the
contractor and provided to the homeowner)
The undersigned hereby pass through and assign directly to you any and all
manufacturers' warranties on all appliances and equipment supplied by us in the
dwelling. No guarantee or warranty is made nor intended by us. Compliance with the
provisions and terms of the manufacturer's warranty is the Owner's sole responsibility.
EXCLUSIONS FROM COVERAGE:
We specifically do not assume responsibility for any of the following items, each of
which is specifically excluded from this Limited Warranty:
(1) Defects in appliances or pieces of equipment which are covered by
manufacturer's warranties including furnace and hot water tank.
(2) Damage due to ordinary wear and tear, abusive use, misuse or lack of
property maintenance of the dwelling or its component parts or systems.
(3) Defects which are the result of characteristics common to materials used.
(4) Defects in items installed, supplied or work done by you or anyone other than
by us or our subcontractors at our order.
(5) Any loss or injury due to ground water.
(6) Loss or injury due to elements, including, but not limited to weather and other
acts of God.
(7) Conditions resulting from condensation on, or expansion/contraction of
materials.
(8) Your failure to properly care for lawns.
(9) Consequential or incidental damages.
(10) Paint applied over newly plastered interior walls, by anyone other than the
contractor.
E. IMPLIED WARRANTIES:
Owner Initials: Page 8 of 12 Contractor Initial s. •Y, -r
r All implied warranties, including, but not limited to warranties of merchantability, fitness
for a particular purpose, and habitability with respect to the real estate, are limited to the
warranty period as set forth above.
F. NO OTHER WARRANTIES:
This Limited Warranty is the only warranty provided by Twomey & Legare Contracting,
Inc.
G. CLAIMS PROCEDURE:
If a defect should appear which you think is covered by this Limited warranty, you must
notify Twomey & Legare Contracting, Inc. promptly, in writing, at;the address appearing
at the end of this document.
Upon receipt of your written report of a defect, if the defective item is covered by this
Limited Warranty, Twomey & Legare Contracting, Inc. will repair and/or replace the
same at no charge to you. The work will be done by Twomey & Legare Contracting, Inc.
and/or subcontractors chosen by Twomey & Legare Contracting, Inc. as quickly as
possible. The choice between repair or replacement remains the decision of Twomey &
Legare Contracting, Inc..
H. SEVERABILITY:
In the event that any of the provisions of the warranty shall be deemed to be invalid, the
remainder of the provisions of this warranty shall remain in full force and effect.
Company name: Twomey & Legare Contracting, Inc
Company
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10
Homeowner acknowledges receipt of and agrees to terms as outlined within this Limited
Warranty.
Homeowner signature Date
6-7--/�
Owner Initials: Page 9 of 12 Contractor Initials: ,1 .
(To be executed at completion of job)
Date of Completion:
Company name: Twomey & Legare Contracting Inc
Company Address: 87 Belmont Street North Andover MA 01810
By: Title:
(Printed Name of Contractor)
Contractor Signature:
Received and Assented to on this day of
2011:
(Printed Name of Homeowner) (Signature of Homeowner)
Owner Initials: Page 10 of 12 Contractor Initials:
LNT O EY & LEGATE
CONTRACTING INC.
"Couldn't your home use a little TLC?"
Specializing is residential additions
87 Belmont Street, North Andover, MA 01845
HIC #136779
North Andover - 978.685.7447
Facsimile- 978.685.7446
EXHIBIT F
General Notes
Unforeseen Changes & Extras
1. Existing, unforeseen code violations are not included in this contract and will be priced at
time and material_
2. Any unforeseen frame or sheathing rot is not included in this price.
3. All subcontractors are in contract with Twomey & Legare Contracting, Inc. and are not
available for direct hire by homeowner for a time of six (6) months after completion of
project.
4. Contractor will keep home and site as neat as possible. At end of job, the homeowner is
responsible for final cleaning and window washing.
5. Any plumbing, electrical or miscellaneous material purchased by homeowner is
homeowner's responsibility to get product to site in a reasonable time for installation.
Contractor does not hold warranty on these items.
6. If contractor is needed to pick up project, homeowner will incur a trip charge of $50.00
per hour, with one hour minimum.
7. Any additional work beyond contract will only be done with a signed and agreed to price
change order sheet. Said payment is due in full on next progress payment.
8. Please review all items on Specification pages. Verbal additions and wants, if not in
writing, are not included in the project.
9. Due to large trucks, equipment, dumpsters, etc, driveway may crack, create divots, etc.
Also during construction, lawn may be damaged. Contractor is not responsible for same.
10. During excavation, any ledge or boulders over 20 inches will be an extra price on site.
11. Please review plans when received to ensure design is correct.
12. Any changes made when customer is with architect will not be included if not on original
Specification pages. It will only be included if a change order sheet is created and
executed.
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Homeowner signature Date
Owner Initials: –// Page 11 of 12 Contractor Initials: