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Home My WebLink AboutBuilding Permit #464 - 76 CHADWICK STREET 12/31/2009TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 2 "t% IMPORTANT: Applicant must complete all items on this pate LOCATION s2:> c'J�/✓r C / PROPERTY OWNER -,7e--ve;-e- am Print MAP NO: PARCEL:ZONING DISTRICT: Historic District yes 65F,> Machine Shoq Villaae ves /n& TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential New Building /15ne famil Addition r more family Industrial Alter No. of units: Commercial epair, replacemeo Assessory Bldg Others: Other Se eil Floodplain Wetlands Watershed District ater/Sew 14 14jk Identification Please Type or Print Clearly) OWNER: Name�,� CJ` /��, ,5�; / 14- Phone: Address: CONTRACTOR Address: Supervisor's Construction License: lO.7,5f 6 Exp. Date: Home Improvement License: .3819 � lq Exp. Date: �/�-�/ •r'd ARCHITECT/ENGINEER �/l`� 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: $ z4�d — FEE: $ 95-IT�- Check No.: LJ Receipt No.: 22-7v NOTE: Persons contracting with unregistered contractors do not have aWtouarantyfund Signature of Agent/Owner Signature of contrac TOWN OF NORTH ANDOVER /,, APPLICATION FOR PLAN EXAMINATION Permit NO:A& Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION not ,r PROPERTY OWNER �z4� l /� A- a A Print MAP NO: PARCEL:f ZONING DISTRICT: Historic District yes Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential New Building ne famil Additionor more family Industrial Alter No. of units: Commercial Others: (Ikefia-ir, replacemeo Assessory Bldg Other Se ell Floodplain Wetlands Watershed District ater/Sew ED: 14 Identification Please Type or Print OWNER: Name0 ,C C!Y` Address: �� G�'✓C6d �i/1 � 4 S/,. Phone: Supervisor's Construcfio:n License: (OPx 06 Exp. Date. Home Improvement License.: V/ 7//> EXD_ Date:///a ARCHITECT/ENGINEER �/l`�- Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: FEE: $ Check No.: `� Z Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to thg4uaranty fund Location 4 ��L>ri�✓rc��'— �y No. �� Date TOWN OF NORTH ANDOVER ..G Certificate of Occupancy $ Building/Frame Permit Fee $ $ c S—L- Foundation Permit Fee Other Permit Fee TOTAL Check # J e Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEW GE DISPOSAL Public Sewe 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 Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site Located at 124 Main Street Fire Department signature/date COMMENTS yes Located 384 Osgood Street no Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWE�GE DISPOSAL Public Sewe7 Taming/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 COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Locatea 664 usaooa Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 1:24 MainStreet Fire Department 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 r uires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 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 r uires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup - Date f 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 ❑ 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 ❑ 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 ❑ 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 submitted with the building application Doc: 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 ❑ 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 ❑ 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 ❑ 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 submitted with the building application Doc: Doc.Building Permit Revised 2008 0 z 9:, C O O O U w O A o A CQ \ 05y , O u 'V x r- 0 ° ° o o x G CL W " ob v - i w w U w ao0 . w cY c�° w n°' C3 w cA cn c0 ui CL E L_ Ir Mah go c CD 0 m C2 Co m 0 Cm c •C N CD Z O Z O 0 IN1 Sb U 0 v v O E Q± . �+ O O s Z co CL O y D O CCM coO — y cm m CO CL 3.0 O 0 O cc o a cQ Q ccc Q •CL, � O CDC V ND O C C•— cts C y 0 0 U) YI W W oc W 0 c 0 CD m C o CD G H C V CJ cC O CD O r m O m 0 C',n ca ca $ Co CD C CL=c m C O to � o� _m isti l = C ' = fA m aC O C O Q y O O "m 49 . cc c ao = m h C m � 0 F - dm= +O" y W w F-• C=LC •co W•E C=.1 C. _ti :s 'p c=2 C.3 m C co - m CL - o = o CL E L_ Ir Mah go c CD 0 m C2 Co m 0 Cm c •C N CD Z O Z O 0 IN1 Sb U 0 v v O E Q± . �+ O O s Z co CL O y D O CCM coO — y cm m CO CL 3.0 O 0 O cc o a cQ Q ccc Q •CL, � O CDC V ND O C C•— cts C y 0 0 U) YI W W oc W 0 The Commonwealth of Massachusetts Department of Industrial Accidents r 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 Name (Business/Organization/Individual):1A,1ri ,-n! f % (;7( � Address: City/State/Zip://�� Ed i„ G/ ,00O�X Phone #: 7,7y— ��J__17 Are yo"n employer? Check the appropriate bog: 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 2. ❑ I am a sole proprietor or partner- listed on the attached sheet t ship and have no employees These sub -contractors have working for in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § l (4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6.VRemode w construction 7.ling 8. ❑ Demolition 9. ❑ Building addition 10. E:1 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other �..y auyllVCiii uidi Ci6GCY1-Dox VJ M. us—, aiso .^ill. Gin me section below sbommg their workers' compe.s- ion policy in- mation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date:as Job Site Address:�%190/!�/� c° % City/State/Zieo p. 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 thpains and penalties of perjury that the information provided above is true and correct 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or'any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability.Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or Iicense is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 0.2111 Tel # 617-7274900 ext 4406 or 1-877-MASSAFE Fax 4 617-72.7-7749 Revised 5 -26 -OS �rw,%Nr.mas.s.e,ov/dia RightFax N1-1 10/30/2009 1:10:35 PM PAGE 2/002 Fax Server u r' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 10-30-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOHERTY TAS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 1985 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21 ELM COMPANIES AFFORDING COVERAGE ANDOVER, MA 0181(} A EMPOLYER'S LIABILITY UB-029OM994-09 09-18-09 09-18-10 STATUTORY LIMITS COMPANY 22YMX A TRAVELERS INDEMNrrY COMPANY INSURED COMPANY 500,000 B TWOMEY & LEGARE CONTRACTING $ INC COMPANY PO BOX 360 C NORTH ANDOVER, MA 01845 COMPANY D COVERAGE 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 MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN M SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM\DD',YY) DATE LIMITS GENERAL LIABILITY GENERALAGGREGATE $ COMMERCIAL GENERAL PROD UCTS-COMP/OPAGG. $ CLAIMS MADE OCCUR. PERSONAL && ADV. INJURY $ OWNER'S && CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED .AUTOS SCHEDULEAUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per Pe(son) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE UMBRELLA FORM EACH OCCURRENCE $ DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT OTHER THAN UMBRELLA FORM AGGREGATE $ ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. WORKER'S COMPENSATION AND AUTHORIZED REPRESENTATIVE A EMPOLYER'S LIABILITY UB-029OM994-09 09-18-09 09-18-10 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 500,000 PARTNERS/EXECUTIVE INCL DISEASE - POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE - EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESrRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIORCERTIFfC.ATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF NORTH ANDOVER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1600 OSGOOD STREET FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25.5 (3/0) Charles J Clark r r CIfallld- 13298 TWAMEYR ACORD. CERTIFICATE OF LIABILITY INSURANCEATE 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 PND CLAIMS. PRODUCER Tm CatTIFICATE IS ISSUED AS A WTTER OF INFORMATION Doherty Insurance Agency, Inc. P.O. Box 1985 ONLY AND CONFERS NO RNMTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21 Ehn Street AYfMES'� Andover, OAA 01810 INSURERS AFFORDING COVERAGE MAIC 0 Twomey & Legare Contracting, Inc. PO Box 366 Nath Andover. OAA 01845 wsuRERA Arbella Protection Ins Company INSURER& DISURER C a/SURER o: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN RUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS. 16000Sgood Street MMTOUMCMMAWMUMNMWTOUGUff.MffFPMMTGOOSDSHALL TYPE OF NSWtANCE POLICY MIILIBER AYfMES'� UMTS A OENERALLIABILIFY 8500843255 06122/09 06/22110 EACHOCCURRENCE S1000.000 X CoweEaaaL GENERAL tIABM LTY DAMAGE TIEO RENTEDe�Or 5100 000 uSEs; CLAWS MAGE a OCGIR MED EXP (mr mN Pw.a"r S5 00 PERSONAL i AOV MUURY S1 000 GENERAL AGGREGATE SZM.000 GENL AGGREGATE LIMIT APPLIES PER: PROmxm - COMPIOP AOG s2,088,80 X POLICY PRO LOC AUTOMOBILE LIABILITY ANYAUTO COMBBIED SINGLE LMNr (Ea- 11 S BODILYw, LIKY fPw Pwa•) S ALL.OWNEDAUTOS SCHEOULED AUTOS 80MV MAORY per () S HIRED AUTOS M HOOWNEVAUTOS PROPE TY DAMAGE S GARAGEUABRITY AUTO ONLY -EAACCIDEM S OTHER THAN EA ACC S ANYAUTO AUTO ONLY: AM S fICEEBIUMBREILA LIABILITY EACH OCCURRENCE S OCCUR CLAWS MADE AGGREGATE S s S oEDUCTCBLE S RETENTION S WORKERS COMPENSATION AM 45STATU E.L. EACH ACCIDENT IS EMPLOYERS UABWIY ANYPROPRET E.L. DISEASE - EA S OPFICERNAEUBER FY3LmcD? utas. dEbafb. urtasr SPECIAL PROV90OUSbdm E.L. DISEASE -POLICY LUT I S GTIER DESCRM•TIONOFOPERATMOMSTLOCATMXNSIYEMCL IMWUMMXIMABOEDBYEI XTtBPECNU.PNOMSIONS Covering operations usual to the insured_. CSRITWN`-ATS NAI_MR CAMCSI I ATbflM ACORD 25 (Ml=)1 of 2 fI325239/0A25?.34 8 ACORD CORPORATION 1988 UM "ANY CF TTM ABOVE OESCfMBEO POUCESBE CANCELLED BEFORE THE EXPIRATION Town of North Andover TE tHEREOF. TIE t88s11No NSURER BrLL ENDEAVOR TOMAM SOL OATS WRITTEN 16000Sgood Street MMTOUMCMMAWMUMNMWTOUGUff.MffFPMMTGOOSDSHALL North Andover, OAA 01845 WMSENOOBUOATbNORLIABILJTYaFANrImM)uPONTHEBIWlRERISAGEIRSOR AYfMES'� I ACORD 25 (Ml=)1 of 2 fI325239/0A25?.34 8 ACORD CORPORATION 1988 'o.► tilassachusetts - Department of Public Safety Boardiof Building Regulations and Standards iii _Construction Supervisor License Licenses: 'GS G7560 Restricted to: 00 SHAUN M TWOMEY 61 PATROIT ST N ANDOVER, MA 01845 .. •Dills �--�- �- Expiration: 10/25/2011 ('o 111111 11 It' Tr#: 4949 Massachusetts - Department of Public, afeh Board of Building Regulations and Standards Construction Supervisor License License: CS 55108 Restricted to: 00 DOUGLAS J LEGARE ' 79 GARY AVE ' HAVERHILL, MA 01830 i' Expiration: 9/2/2010 ( nnianiaiunci Tr#: 3242 ati .ns dr all0/4 aO andR Bt+ 'Of Blip -_ HOME 14 Rpt lIAENT (ONTRACT'JR Registration: 136779 -272934 010 Tri: �pfration: t?f2612 :.,c.�.:.• �`;="-?Yid-, QaitriGr3't�i�i SIN INC ►3MEY + LEE;7RRE: COKFA, SHAVI N TL►JOMEY 61 p IOT. ST pilrninigratar ''�.'N:'A'!3b(9VER: AA7101ss�6 . Twomey & Legare Contracting Inc. Building & Remodeling P.O. Box 366 North Andover Ma 01845 Phone 978-685-7447 Fax 978-685-7446 Fax 978-685-7446 To: Jeff & Marta Solof October 21, 2009 76 Chadwick St. North Andover Ma. PH. 978-685-1287 Ref: 2nd floor remodel of master bedroom Thank you for the opportunity to quote the following project. The TWOMEYAND LEGARE CONTRACTING price is based on our discussion. On October 8, 2009 The following is a description of work as discussed. This proposal does not include any part of the new bath. ® 2nd floor remodel of master bedroom. 1. Demo walls and ceiling and insulate as needed. 2. Repair any electrical as needed. No smokes in project. ( See allowance page. ) I Blue board plaster walls and ceilings. Ceilings to be sand swirl. 4. Build 1 -new close with a door and wire shelving. 5. New window and door trim and baseboard. 6. New rug on floor. ( See allowance page) , Win: J 7. Paint walls and trim to owners choice or color. 8. All disposal by contractor. 9. Permits and inspections by contractor. tE Date o/?—, /a/-?/ /a 7 Job total & Payment schedule 1St payment on signing $4,000.00 2nd payment completion of $ 3,000.00 Demo and insulation 3rd completion of Dry wall $ 3,000.00 Final substantial completion of project with final inspection. $1,600.00 Allowances 1. Rug $1,500.00 2. Electrical -$500.00 Any new f xtures by owner: 3. Painting $950.00 $11,600.00 $ 7,600.00 $ 4,600.00 $1,600.00 Thank you for considering Twomey & Legare Contracting Inc. for your Project Please feel free to call with any questions or concerns @ Office 978-685-7447 Cell 978-479-8174 Respectfully, Shaun Twomey Sign AaAdl Date��l Twomey & Legare Contracting Inc. Building & remodeling P.O. Box 366 North Andover Ma. 01845 Phone 978-685-7447 Fax 876-685-7446 978-556-1547 October 21, 2009 To: Jeff & marta Solof 76 Chadwick St. No. Andover Ma. 01845 978-685-1287 Thank you for the opportunity to quote the following project. The TWOMEYAND LEGARE CONTRACTING price is based on our discussion on October 8, 2009 concerning your project at the above address. The following is a description of work as discussed. • Renovation of new kitchen • Demo 1. Strip drywall from ceilings and walls in kitchen area where cabinets will go and Rip up floor to sub floor. 2. No walls to be removed. 3. Insulate exterior walls to code and insulate wall that backs up to bath for sound. 4. Wire new kitchen to code. 5. New appliances by owner. 6. Frame opening for new kitchen window. Move window opening 7. Blue board and plaster on ceilings and walls. 8. Install new cabinets ( see allowance page ) 9. New granite tops ( see allowance page ) 10. All painting by contractor. (in kitchen area and hall) 11. Match all new interior trim as close as possible 12. All trim to remain the same in dining room. 13. Replace all exterior trim and siding after install of new window. 14. Allowance for design included in cost of project. No charge 15. Create area by fridge for pantry and top. 16. New floor to be red oak hard wood. 17. Owner responsible for removal of personal property in work area. • Plumbing 1. New plumbing to include. 2. Supply all water and drain pipe needed for new kitchen. 3. New shut offs on water lines. 4. Add water line to fridge. 5. Supply water and drain for new dishwasher. 6. Install new garbage disposal. • Electrical 1. Supply all electrical demo and new wiring needed for new areas (see allowance page) 2. Additional charge for any smoke or co2 detectors. 3. 7- recessed cans 4. 1- hanging light 5. Plugs and switches to code 6. 1- dimmer switch • Window specs Anderson • Exterior Door Specs None • Interior Door Specs. None • Drywall 1. All drywall patches and plastering associated with project by contractor. • Painting 1. Paint - Kitchen & dining area. 2. Blend exterior as close as possible. 3. Owner needs to remove items off walls prior to the start of the demo. • Disposal 1. All related debris removed by contractor. Sign Datet` � a Project Total and Payment schedule I" signing of contract $ 5,000.00 $ 22,800.00 2nd The day work starts $ 8,000.00 $ 14,800.00 3rd Completion of plumbing Electrical roughs $ 6,800.00 $ 8,000.00 4th Install of cabinets no tops $ 5,000.00 $ 3,000.00 5"' Completion of 90% of $ 2,000.00 $ 1,000.00 painting 6`h Substantial completion of project and final sign off. $ 1,000.00 Sign Date /c o i" � � MM Twomey & Legare Contracting Inc. Building & Remodeling P.O. Box 366 North Andover Ma 01845 Phone 978-685-7447 Fax 978-685-7446 Fax 978-685-7446 To: Jeff & Marta Solof October 21, 2009 76 Chadwick St. North Andover Ma. PH. 978-685-1287 Ref. 2nd floor full bath - build from scratch / demo old kitchen Thank you for the opportunity to quote the following project. The TWOMEYAND LEGARE CONTRACTING price is based on our discussion. On October 8, 2009 The following is a description of work as discussed. This bath needs to be done with kitchen for plumbing reasons. If not extra cost for kitchen ceiling and wall repair.. e 2nd floor Full bathroom. 1. Remove fixtures and demo kitchen down to studs. 2. No new windows, add 1 -new door match to old as close as possible. 3. Insulate shower wall and exterior wall. 4. Drywall to be blue board plaster with sand swirl ceiling. 5. Install new fixtures and cabinets in bath. 6. Install full tub unit with 3 piece walls. 7. Install new tile over durarock on floor. 8. Replace any trim removed during demo match existing. 9. Install shutoffs for new toilet and sink and shower. All new fixtures. 10. All painting by contractor. 11. Electrical to code and 1- new ceiling light/fan combo. By contractor ( newton ) 12. Shower door is an option not in price of project. 12. All permits and inspections by contractor and disposal of all debris. Date / o "'payment on signing $15,000.00 $5,000.00 $10,000.00 2nd payment based on demo of bath and completion $ 4,000.00 Of electrical /plumbing rough. 3rd completion of drywall. and tile. Final substantial completion of project with final inspection. Allowances $ 4,000.00 $ 2,000.00 L Bath fixtures $2,300.00 2. Tile & grout $180.00 3. Fanlight combo—$150. 00 4. Plumbing $2,000.00 Due to creating brew bath. $ 6,000.00 $ 2,000.00 Thank you for considering Twomey & Legare Contracting Ina for your Project. Please feel free to call with any questions or concerns @ Office 978-685-7447 Cell 978-479-8174 Respectfully, Shaun Twomey MCl/i�--- Twomey & Legare Contracting Inc. Building & Remodeling P.O. Box 366 North Andover Ma 01845 Phone 978-685-7447 Fax 978-685-7446 Fax 978-685-7446 To: Jeff & Marta Solof October 21, 2009 76 Chadwick St. North Andover Ma. PH. 978-685-1287 Ref. 2nd floor full bath Thank you for the opportunity to quote the following project. The TWOMEYAND LEGARE CONTRACTING price is based on our discussion. On October 8, 2009 The following is a description of work as discussed. 0 2nd floor Full bathroom. 1. Remove fixtures and demo walls down to studs. 2. No change to bath window. And bath door to remain. 3. Insulate shower wall and exterior wall. 4. Drywall to be blue board plaster with sand swirl ceiling. 5. Install new fixtures and cabinets in bath. 6. Install full tub unit with 3 piece walls. 7. Install new tile over durarock on floor. 8. Replace any trim removed during demo match existing. 9. Install shutoffs for new toilet and sink and shower. All new fixtures. 10. All painting by contractor. 11. Electrical to code and 1- new ceiling light/fan combo. By contractor ( newton ) 12. Shower door is an option not in price of project. 12. All permits and inspections by contractor and disposal of all debris. Sign ZX 2 Datee ?t Job total & Payment schedule ls`payment on signing $12,600.00 $4,000.00 $ 8,600.00 2nd payment based on demo of bath and completion $ 4,600.00 Of electrical /plumbing rough. 3rd completion of drywall. and tile. Final substantial completion of project with final inspection. Allowances L Bath fixtures $2,300.00 2. Tile & grout $180.00 3. Fanlight combo—$150. 00 $ 3,000.00 $1,000.00 $ 4,000.00 $1, 000.00 Thank you for considering Twomey & Legare Contracting Ina for your Project. Please feel free to call with any questions or concerns @ Office 978-685-7447 Cell 978-479-8174 Respectfully, Shaun Twomey Sign � Date /U . �1 Uri Proposal Twomey & Legare Contracting Inc. Building & Remodeling P.O. Box 366 North Andover Ma 01845 Phone 978-685-7447 Fax 978-685-7446 To: Jeff & Marta Solof 76 Chadwick St. North Andover Ma. PH. 978-685-1287 Ref. I' floor full bath Fax 978-685-7446 October 21, 2009 Thank you for the opportunity to quote the following project. The TWOMEYAND LEGARE CONTRACTING price is based on our discussion. On October 8, 2009 The following is a description of work as discussed. C Full bathroom. 1. Remove fixtures / floor tile and walls down to studs. insulate exterior wall. 2. No change to bath window. And bath door to remain. 3. Insulate shower wall and exterior wall. 4. Drywall to be blue board plaster with sand swirl ceiling. 5. Install new fixtures and cabinets in bath. 6. Install full tub unit with 3 piece walls. 7. Install new file over durarock on floors, 8. Replace any trim removed during demo match existing. 9. Replace shutoffs on toilet and sink and shower. All new fixtures. 10. All painting by contractor. 11. Electrical to code and 1- new ceiling light/fan combo. By contractor ( newton ) 12. Shower door is an option not in price of project. 12. All permits and inspections by contractor and disposal of all debris. Sign _IVYDate o 3t �_ Job total & Payment schedule Ist payment on signing $12,600.00 $4,000.00 $ 8,600.00 2nd payment based on demo of bath and completion $4,600.00 Of electrical /plumbing rough. 3'd completion of drywall. and tile. Final substantial completion of project with final inspection. Allowances L Bath fixtures $2,300.00 2. Tile & grout $180.00 3. Fanlight combo $150.00 $ 3,000.00 $1,000.00 $ 4,000.00 $1,000.00 Thank you for considering Twomey & Legare Contracting Inc. for your Project Please feel free to can with any questions or concerns @ Office 978-685-7447 Cell 978-479-8174 Respectfully, Shaun Twomey Sign ti Date 4a (� _