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HomeMy WebLinkAboutBuilding Permit #267-11 - 790 DALE STREET 9/28/2010 BUILDING PERMIT OO oT b F-r`46 P *6 OOH TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION * / ( 'qG Permit N0: U� Date Received � ,,,r„ CHU`��� Date Issued: ��� IMPORTANT:Applicant must complete all items on this page i z 77777 77, x C a n? $Y k 1 C3PERTY(,C)W E LW k� riAP NQ CELS ZON{t ClSTC H�stor►c O�stiCt frs no ; R�/�f� np c /� p pr n/( -• 4 3+ . t X _g�e;- .'bil'•J' �[IV e, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building QLne family Addffian Two or more family Industrial Alteration No. of units: Commercial epair, replacement Assessory Bldg Others: Demolition Other z' ellFloocfpla x11Fetatad5 e Dct 1NateF/SewerX � K k 33 _ ,. _ _ _.,«.er. •.a DESCRIPTION OF WORK TO BE PREFORMED: �tI GtJ AS rvoin O ShO ire►`` •v e AttoO 10All WA#S Cee ii i�or AS C..O I Identifica on Please Type or Print Clea y) OWNER: Name: Phone: Address: 904-L 6� 'i'� RATO Nom ` fliane �* s 'F r`�, �, R �;•.gam,,, "_ v + - .�2w�t 3 •`y.. � p�.*`'�"� � i i7- Xli y ' �Su a Visor,, r o�r�rctwn.L�cense Exp' Daterh i_ r - ARCHITECT/ENGINEER �' Phone- iS Address: WA Reg. No. ►s/A FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ®�`�. FEE: $ Check No.: iJ 0 Receipt No.: a 3�beZ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and SignaturefAgenfit nr�rr' Sgnature"of eonlract" Location :2-q0-q0 D 51 No. Date q -2(5-)o NORTH TOWN OF NORTH ANDOVER f � O f w 9 �o Certificate of Occupancy $ Is �ss,KNUst<�' Building/Frame Permit Fee $ 3 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ZQScck 235C Building Inspector I Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 ' I COMMENTS i { HEATH 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: Located 384 Osgood Street ' RTllllu a rtl� 3f ' Y0, TM r oCdteQ at � 7 rs Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: -ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 J 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 NORTH TO" of A K E dover, Mass., COC MICHEWICK 7��oRATED v BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • ho BUILDING INSPECTOR THIS CERTIFIES THAT.....f.4r. C. �n.L � I.�.... .(...- . ., .. ...4. /..C'.C,.S....r. ..........................................S..................... Foundation has permission to erect......................................... buildings on .. �.�(J... �6.�. .. .r�.................................. Rough ll Chimney tobe occupied as....... ................ I ........9. ......................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough 3�® PERMIT EXPIRES_ IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTR . STARTS Rough Service . ....................................... ........................ BUILDING INSPECTOR Final - Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the- Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. 1 BUSINESS CONDITIONS TO THIS CONSTRUCTION CONTRACT This Contract, dated 07/24/2010 is by and between: Popi Gianakouras and Carl Wighardt 790 Dale Street North Andover, MA 01845 Blackdog project code GIANA-9345 (Hereafter referred to as OWNER), and Blackdog Builders, Inc. 7 Redroof Lane, Unit#1 Salem, NH 03079 (603)898-0868 Hereafter referred to as CONTRACTOR). Work will be performed at: 790 Dale Street, North Andover, MA 01845 (Hereafter referred to as PROPERTY) 1. GENERAL This CONTRACT is for the following work and materials to be performed by the CONTRACTOR on the PROPERTY address shown above. The project is generally described as follows: Powder Room &Master Bath Remodel (Hereafter referred to as WORK) The CONTRACT consists of this document, any plans, the specifications, the Blackdog client package and the Construction Contract. (Hereafter collectively referred to as the"CONTRACT") 2. PRICE The total price for the WORK agreed upon is $25,054.08. Payment terms are set out below in Paragraph 6. This proposal may be withdrawn by us if not accepted within thirty(30)days. 3. STARTING AND COMPLETION PROVISIONS The WORK will begin on approximately and will be completed, absent unusual or unforeseen circumstances, on providing this CONTRACT and any related CONTRACT documents are accepted when presented. Projects requiring two contracts (one for construction work and one for bath or kitchen product)will not be slotted into the schedule until both agreements have been executed. The aforementioned dates reflect our present workload. Projects are assigned a slot in our work schedule as they are accepted, on a first come first served basis.These dates may move based on the completion time of the project that immediately preceded yours. 4. PERMITS AND APPLICABLE CODES: COMPLIANCE WITH LOCAL LAW a. All work to be done under this CONTRACT will be in accordance with local, state and county building code. The CONTRACTOR shall obtain all necessary permits and pay all required permit and plan fees from the CONTRACT sum, unless otherwise agreed. The CONTRACT price does not include any fees, which may be incurred to obtain a variance, if required. The CONTRACT price does not include any unbid items required by any local building official to bring the project into compliance with any relevant local, state and county building code. b. All home improvement contractors/subcontractors working in the state of Massachusetts must be licensed and 07/22/2010 Contract Proposal—Page 4 of 22 i registered by the Bureau of Building Regulations and Standards. All inquiries concerning the CONTRACTOR should be transmitted to that office. In Massachusetts Blackdog Builders, Inc. operates under License number CS048847 and Registration number 106877. 5. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This CONTRACT will be completed by the CONTRACTOR in a good and workmanlike manner, using quality materials. b. If applicable, the CONTRACT price includes the following allowances: See allowances under specifications. 6. PAYMENT a. Timely payment by the OWNER of all sums due under this CONTRACT is of the essence to this CONTRACT.The parties agree to the following schedule of payments: Deposit with this contract: $1,252.70 Payment Schedule amounts reflect a Partner Plan credit of$800.00 b. Payment Schedule Start of project $4,232.25 Start of plumbing rough-in $4,232.25 Start of electrical rough-in $4,232.25 Start of drywall hanging $4,232.25 Start of Tile work $4,232.25 Substantial Completion $1,150.07 Completion of Punch List $690.06 c. Allowances for Owner Selected Components d. The CONTRACTOR may cease operations if any payment is not made by the OWNER as required herein, and proceed to collect any balance due through any remedy provided by law. Payments are due when the aforementioned progress milestones have been reached. It is understood that minor adjustments to the payments schedule may be necessary due to the flow of work or delays beyond the control of the CONTRACTOR. e. DEFINITIONS Substantially complete-The space or project is substantially complete when the space or project can be used for its intended purpose and only punch list items remain. Punch list-Work or product that has not been performed or provided. Warranty item -A product or service that has been provided or performed that does not meet or exceed industry standards. THESE CONDITIONS MUST BE ACCOMPANIED BY THE CONSTRUCTION CONTRACT 07/22/2010 Contract Proposal-Page 5 of 22 Section I I Construction Contract of the Contract/ Proposal for Popi Gianakouras and Carl Wighardt 4 CONSTRUCTION CONTRACT This Contract is by and between: Popi Gianakouras and Carl Wighardt hereafter referred to as "OWNER", and Blackdog Builders, Inc hereafter referred to as "CONTRACTOR" for work at 790 Dale Street, North Andover, MA 01845 dated 07/24/2010. This CONTRACT consists of this document, any plans, the Specifications and Business Terms that are enclosed and the Blackdog Builders Client Package. (Hereafter collectively referred to as the"CONTRACT") 1. CONTRACTOR'S DUTIES--GENERAL a. To direct and control the work contracted for in accordance with the terms of this CONTRACT and all applicable codes, laws, and regulations, and as the building permits issued for this project, if any, require. b. To inspect the site, examine the plans and specifications, if any, and supervise all of CONTRACTOR's employees, and to direct the work of all subcontractors selected by CONTRACTOR. c. To maintain the work site in a safe and clean condition, to the extent consistent with the CONTRACT. d. To advise the OWNER promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this CONTRACT. e. To provide locked storage for any equipment, tools, or other PROPERTY used in the performance of this CONTRACT, unless otherwise agreed in writing. 2. OWNER'S DUTIES --GENERAL a. To provide adequate utilities for the work agreed upon. b. To advise the CONTRACTOR of any condition of the PROPERTY which affects CONTRACTOR's ability to perform. c. To provide secure storage areas for materials delivered to the work site. d. OWNER shall be entitled to make periodic inspections of the work site, provided such inspections do not interfere with the work and can, in the judgment of the CONTRACTOR, be made safely. Any other entry onto the construction site shall be at OWNER's risk. e. OWNER shall notify his insurance agent of the execution of this agreement and obtain any necessary riders to his current coverage or any locally customary forms of coverage, such as builders risk, to cover OWNER's interests and liabilities during the construction process. f. To perform no work on the project without a written agreement with the CONTRACTOR. g. To make no agreements with any trades person, subcontractor, or CONTRACTOR'S employees outside the scope of this CONTRACT without the written consent of the CONTRACTOR. 07/22/2010 Contract Proposal—Page 7 of 22 3. MATERIAL SUBSTITUTION other materials, products and/or labor of equal or superior quality, CONTRACTOR reserves the right to substitute utility, or similar color. 4. DELAY CONTRACTOR shall not be responsible for delays caused by events beyond the control of the CONTRACTOR, ions vernme including but not limited to: strikes, war, acts of God, riots, goterialsselectonsl ore drestrictions. sed bythe performance Delays caused by OWNER's failure to make allowance ma CONTRACTOR of extras or necessary work(as described in Paragraph 6)shall likewise be excusable delays. 5. INSURANCE forms of insurance to protect the OWNER from liability for any CONTRACTOR agrees to maintain all necessary occurrence arising from the performance of this Contract. CONTRACTOR agrees that he shall cover his own employees for worker's compensation and carry general liability insurance, and that all forms of insurance referenced herein shall be with reputable companies licensed to do business in the state where the project is located. 6. HIDDEN CONCEALED and UNFORESEEN CONDITIONS a. The parties agree that in the event CONTRACTOR discovers a hidden, concealed or unforeseen condition requiring an extra cost that they shall proceed as follows: The CONTRACTOR shall notify the OWNER verbally to expedite agreement as to any charge necessary to correct or cure such condition, and provide a written Work Order (as described in paragraph 7a) as soon as practicable. The parties must agree to such extra charges, or agree to a resolution method, or this CONTRACT may be cancelled by either of them. b. For purposes of this section, a "hidden, concealed and unforeseeable condition" shall mean a condition not readily observable to a prudent CONTRACTOR inspecting the subject PROPERTY for the purpose of performing this Contract. Examples of such conditions can include, but are not limited to; rot under siding; ledge below grade; pre-existing plumbing or electrical work not performed to code and pre-existing mold. required b building officials assigned to this project, including structural and/or any in the WORK q Y change as a c ER c. Any 9 CONTRACT and paid for by the OWN environmental hazards will be billed a s an EXTRA charge to this CO Work Order. CONTRACTOR may cease operations if OWNER refuses to pay 7. EXTRAS extra work or materials desired by the OWNER shall be agreed upon in writing and such extras shall a. An ex work shall be p Y extra agreed,as if fully set fort h herein. Unless otherwise agr , become a part of this CONTRACT Y for as performed. Failure of the OWNER to sign a change order shall not preclude recovery for any work Performed by CONTRACTOR, and acceptance of said extra work or materials shall be presumed, unless there is written notice to the contrary. b. CONTRACTOR shall advise OWNER, at the time of agreement on an extra, as to any additional time required to perform this CONTRACT. Contract Proposal—Page 8 of 22 07/22/2010 8. ESCALATION CONTRACTOR reserves the right to pass on additional costs to OWNER resulting from the escalation of the cost of lumber or lumber byproducts. This cost may be passed on only, if after the CONTRACT is signed but before the construction commences, an increase in lumber costs is experienced. The CONTRACTOR must substantiate the change with evidence of the difference between lumber costs at the time of the CONTRACT and lumber costs at the time of construction. Only direct cost differences may be passed on, no allowances for overhead and profit shall be included. Any additional costs will be collected per Work Order(as described in paragraph 7a.). 9. EXCESS MATERIALS ON SITE CONTRACTOR routinely stores extra materials on site to improve efficiency and reduce the likelihood of running out of stock in the middle of a task. Unless otherwise specified in writing all excess materials on site at the end of the project are the PROPERTY of CONTRACTOR. 10. SUBCONTRACTORS a. CONTRACTOR shall select subcontractors as required to complete this CONTRACT. OWNER acknowledges that subcontractors will do various portions of the work. Any subcontractor selected by the CONTRACTOR shall have all requisite licenses for the work to be done by such subcontractor. b. It shall be the duty of the CONTRACTOR to use reasonable care in the selection of subcontractors. Absent objectionable performance by any subcontractor, the selection of subcontractors shall be an exclusive right of the CONTRACTOR. The CONTRACTOR shall require all subcontractors to have workmans compensation and liability insurance in force. c. CONTRACTOR shall pay subcontractors in a timely manner and obtain from subcontractors any necessary documentation required to release their liens, if any, as the work proceeds.. 11. TERMINATION AND CANCELLATION The CONTRACTOR may terminate and cancel this CONTRACT if any payment called for hereunder is not received as scheduled, provided that notice is given to the OWNER as provided below. Upon such termination, the CONTRACTOR shall have all remedies provided by law, including such lien rights as then apply. The OWNER may terminate this CONTRACT upon the following conditions: a. Failure of the CONTRACTOR, or his subcontractors, to pursue the work contracted for, absent excusable delay, as provided in Paragraph 4 above, for a continuous period of fourteen (14) days, without a written agreement permitting same, such agreement may be satisfied by a single notation to this CONTRACT. b. Failure of the CONTRACTOR to rectify any condition for which building code enforcement authority has issued a citation of violation notice, within fourteen (14) days notice of such violation, unless OWNER and CONTRACTOR otherwise agree. c. Any other failure to perform this CONTRACT required by the terms of this CONTRACT. 07/22/2010 Contract Proposal-Page 9 of 22 e d. No termination shall be effective unless 10 days notice of OWNER's intent is given as required below, during which time the default may be cured by the CONTRACTOR. e. Deposit monies - Cancellation of this CONTRACT prior to the commencement of work shall result in the forfeiture of any and all deposit monies collected. All deposits are non-refundable. The parties hereby agree that upon such cancellation, the CONTRACTOR shall suffer damages including but not limited to the cost associated with designing and preparing the project for commencement. f. You may cancel this agreement by observing the requirements of The Notice of cancellation you have received. g. If a dispute arises out of or is related to this Contract, or the breach thereof, the parties shall endeavor to settle the dispute first through direct discussions. If the dispute cannot be settled though direct discussions, the parties agree the dispute shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules. In the event that arbitration is necessary, the parties agree that arbitration proceedings shall be conducted by a mutually agreed on arbitrator in Rockingham County, New Hampshire. If the parties cannot agree on an arbitrator, either party may file a written demand for arbitration in accordance with the rules of the American Arbitration Association. The arbitration award shall be final and judgment on the award may be entered in any court having jurisdiction thereof. This CONTRACT shall be governed and interpreted in accordance with the laws of the State of New Hampshire. The parties acknowledge that this agreement to arbitrate shall be governed by Chapter 542 of the New Hampshire Revised Statutes Annotated. Either party may, without waiving any remedy under this CONTRACT, seek from any court having jurisdiction any interim or provisional relief that is necessary to protect the rights or PROPERTY of that party, including but not limited to the right to seek liens or attachment. The prevailing party in any dispute arising out of or relating to this CONTRACT or its breach that is resolved by a binding dispute resolution process shall be entitled to recover from other party reasonable attorneys' fees, costs and expenses incurred by the prevailing party in connection with such dispute resolution process. Consumers in Massachusetts shall be required to submit to such arbitration as provided jwMGL c. 142A. Popi Gianakoura �a/rkd�arl Wighardt Brenda Bryan, CKD �! Vice President Blackdog Builders, Inc. Notice: The signature of the parties above constitutes an acknowledgement of the agreement between the parties to alternative dispute resolution. Massachusetts consumers may have the right to initiate alternative dispute resolution even where this section is not signed by the parties. h. Unless otherwise agreed in writing, CONTRACTOR shall continue the WORK and maintain the agreed work schedule during any dispute resolution proceedings. If CONTRACTOR continues to perform, Owner shall continue to make payments in accordance with this Contract. 12. ENVIRONMENTAL HAZARDS 07/22/2010 Contract Proposal—Page 10 of 22 a. The CONTRACTOR is NOT responsible for the inspection, discovery, abatement or removal of any environmental hazard including, but not limited to: asbestos; mold; lead; radon; ground water or environmental pollution at the work site, unless specifically covered in the specifications. b. In the event that any hazardous material is discovered during the course of construction, the testing, abatement and/or removal shall be the sole responsibility of the OWNER. c. Any additional costs incurred on account of suspension of the construction or changes to the specifications due to a hazard or its removal are the responsibility of the OWNER and will be handled by a Work Order. d. In the event that work does not resume within 30 days of the stoppage, OWNER agrees to immediately pay the CONTRACTOR the pro rated amount of the CONTRACT price applicable to work done up to that point pursuant to the Contract. WARRANTY OWNER warrants that as of the date of this CONTRACT: (1)the PROPERTY(including the land, surface water, ground water, and improvements to the land) is, and will continue to be,free of all contamination, including (a) "oil, petroleum products, and their by-products"(b) any"hazardous waste" as defined by the Resource Conservation and Recovery Act of 1976, as amended from time to time, and regulations promulgated thereunder; (c)any"hazardous substance" as defined by the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended from time to time, and regulations promulgated thereunder, specifically including asbestos and mold; and (d)any other"hazardous substance" (2)the PROPERTY is in compliance with all environmental laws and regulations; and (3)there are no underground tanks on the PROPERTY INDEMNITY OWNER expressly acknowledges and agrees that it will reimburse, defend, indemnify and hold harmless CONTRACTOR, all Sub-contractors, their successors, assigns and employees from and against any and all liabilities, claims, damages, penalties, expenditures, losses or charges (including, but not limited to, all costs of investigation, monitoring, legal fees, remedial response, removal, restoration or permit acquisition)which may, now or in the future, be undertaken, suffered, paid, awarded, assessed, or otherwise incurred as the result of: (a)any contamination, existing in, on, above or under the PROPERTY(including, but not limited to, contaminated soil, mold, buildings, facilities and/or ground water); (b)any investigation, monitoring, clean up, removal, restoration, remedial response or remedial work undertaken on the PROPERTY; and (c) OWNER'S breach of any warranty given herein. 13. WARRANTIES a. The work of the CONTRACTOR, including materials and labor, shall be warranteed for a period of three (3) years, during which period CONTRACTOR shall at its own expense correct any defect arising from its work unless it is a non-warrantable condition as set out in the Blackdog Builders Client Package. That package shall become a part of this CONTRACT as if fully set forth herein. b. Any and all warranties for appliances or mechanical systems shall be delivered to OWNER as the CONTRACTOR receives them. 07/22/2010 Contract Proposal—Page 11 of 22 0 t c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be brought against the CONTRACTOR on this CONTRACT for the performance of this work, except as provided above. d. The quality of any work in question will be held to the standards issued in the Residential Construction Performance Guidelines—Third Edition published by the NAHB. 14. SEVERABILITY If any portion of this agreement is found invalid or unenforceable by any court, the remaining provisions shall remain in force between the parties. 15. ENTIRE AGREEMENT This CONTRACT consists of the documents defined herein, and constitutes the entire agreement of the parties. It can be modified only by a written document. OWNER acknowledges that he has read and received a legible copy of this agreement signed by CONTRACTOR, before any work was done, and that he has read and received a legible copy of every other document that OWNER has signed during the negotiation of this Contract.. SUBMITTED: DATE : ? b- It, Brenda Bryan, CK 07/24/2010 Vice President Blackdog Builders, Inc. ACCEPTED: DATE: I(.7 Popi Gianak . r C.- DATE: � � Carl ardt 07/22/2010 Contract Proposal—Page 12 of 22 W 301/211 EXI5TING HAND-HELD LOCATION ON SLIDE BAR - O cn tu 2 A r BODY 5PRAY5 5HOkNER YALYE5 Q (L Q N Q OPEN TILE CEILING z ` BELOY�t TILE NALL5 WE 36" H16H NALL GLA55 TO CEILING Ck GRANITE CAP BENCH 18" H 16 H g ��- < i GLA55 DOOR 80" HIGH 18" NALLLU GLA55 TO CEILING Q I EXISTING � � —! GRANITE BENCH LOCATION :3 EXTEN05 OVER � W � I � � � u 36" HCGH Wow° Z a" DBL D RAY�IER d } H z Lu 12" W � ED LU ?- 2kn °L = _ e rnrn � '1'i -n /��1Q iozTT (J) crns� -� rnrn zQrnrnz � U3 rn � d > -.0 — o 0 do z rn i ?a o 0 0 cn -or" z CI c� zm > — Q o > zz Z rn •a' tS� � z A r r o � RE5IDENCE OF: CLIENT AP OVAL: SCALE: ' GOPYRI6HT G IAN J�KO U RAS/ O PAGE NE Y BLACKDOG BUILDERS, INC. l'� 2 HE5E PLANS MAY NOT BE 5UBJECT: Y41 C RDT DATE: DATE: SED IN ANY WAY WITHOUT G RITTEN PERMISSION OF �LEA YTIONS ��2`�/�� 1-23-10 .. HE COPYRIGHT OWNER rn rn � rn zQrnrnzU, � rn > ;a � O :z > C\ zrn � _ > zz rn — rn r qp qp rn r RE5IDENCE OF: CLIEN AP' OVAL: SCALE: r COPYRIGHT PAGEGIANAKOURAS NONE � Y BLAGKDOG BUILDER5, INC. '^' HE5E PLANS MAY NOT BE SUBJECT: �' j1GHRDT DATE: DATE: ERTTEN PERD IN ANY yM15510AY 1N OF T -23-10 ELEVATIONS REM ODEL HE COPYRIGHT OWNER O U)I TT rn dOn � zprnrn � —� U3 tP z > rnG� rnr-nC� 8 � > z � � Oz :-Z m o cn -o -j p nzrn � � -IO > O � > z Ze n CD rn i CD 14 r RESIDENCE OF: CLIENT A YAL: SCALE:• COPYRIGHT G I Il N 1�V O J NONE ,RA5/ O N E PAGE Y BLAGKDOG BUILDERS, INC. INIGHARDT DATE: DATE: HESE PLANS MAY NOT BE SUBJECT: 5ED IN ANY WAY WITHOUT4 / y�(� RITTEN PERM15510N OF ELECTRICAL ! 1-23"10 .► HE COPYRIGHT OWNER v it r\ OU3 > Z zT Fl rn � � rnpX O C) O n AZ � Z - - _ _ Q\ O v� I zz r rn ro = rn \ O -1 3 �i Z U3 hoZ j AArtn d RE5IDENGE OF: A p AGLIENT APPS VAL: SCALE: COPYRIGHT PAGE I ANAKO U A!B/ PAGE Y BLAGKDOG BUILDERS, INC. 1�lIG��RDT DATE: DATE: HESE PLANS MAY NOT BE 5UBJEGT: 5ED IN ANY WAY WITHOUT DESIGN RITTEN PERM155ION OF ELECTRICAL ���`���� -23-10 REM ODEL HE GOPYRIGHT OWNER i Office Fk.i�i i' �` ( it�e�f �5 `f License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 'r Registration: 106877 Type: Office of Consumer Affairs and Business Regulation 3 y Expiration: 712812012 Private Corporation 10 Park Plaza-Suite 5170 —� Boston,MA 02116 2��—moi B RT `c 0G BUILDERS,:I,NC-, - l�` z DAVID BRYAN " 7 RED ROOF LN. Salem, NH 03079 undersecretary Not valid witho sic, tune iiNlassachusetts- Department of Public Safco Board of Building Regulations and Standards Certificate of Completion ertificateofCompletion Construction Supervisor License / f� � LiJ/LLiq�S License: CS 94513 Restricted to: 00 ' Has successfully completed a 10 Hour Occupational Safety and Health Training Course in Construction TIMOTHY S WILLIAMS Safety&Health 272 CHESTNUT HILL ROAD ROCHESTER, NH 03867 Trainer Date Expiration: 8/28/2011 ('ununi.viuuet Tr#: 5624 t ACORD' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/09/2010 PRODUCER Phone: (978)562.5652 Fax: 978-562-7120 [HOLDER. S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WELSH&PARKER INSURANCE AGENCY,INC. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE 131 COOLIDGE STREET,SUITE 100 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HUDSON MA 01749 R THE COVERAGE AFFORDED BY THE POLICIES INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Merchants Insurance Group BLACKDOG BUILDERS,INC. INSURER B: 7 RED ROOF LANE#1 INSURER C: SALEM NH 03079 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSR DATE IMMIDDNYI DATE 2F2 LIMITS GENERAL LIABILITY CMP9149773 07/01/10 07/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Esoccurence) $ 100,000 CLAIMS MADE OCCUR MED.EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- 7X 1Fr.T LOC $ AUTOMOBILE LIABILITY CAP9265878 07/01/10 07/01/11 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ A HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ 4ANYLAUTO GE IABILITY AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CUP9139768 07/01/10 07/01/11 EACH OCCURRENCE $ 1,000,000 OCCUR Q CLAIMS MADE AGGREGATE $ 1,000,000 A $ DEDUCTIBLE $ x RETENTION$ 10,000 $ WORKERS COMPENSATION ANDSTU WCA9095570 07101110 07101/11 TORWCY TALIMITS OTHER EMPLOYERS'LIABILITY Y I N A ANY PROPRIETORIPARTNERIEXECUTIVE a E.L.EACH ACCIDENT - $ 1,00„000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,00„000 (Mandatory In NH) SyECdasPROVISIO E.L.DISEASE-POLICY LIMIT $ rj 00 000 SPECIAL PROVISIONS below r rr OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance CERTIFICATE HOLDER CANCELLATION BLACKDOG BUILDERS,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS 7 RED ROOF LANE#1 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO SALEM NH 03079 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: Karen�G�e`ddeenber ACORD 25(2009/01) Certificate# 40930 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i � The Commonw ealtli oflllassacl:usetts , " .department ofhdustrial Accidents Office of Investigations 600 Washington Street , Boston,IIIA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Amplicant Information Please Print Legibly Name(Business/Orgaaization/Individual):-ZL ,k/o/ocj --J7 j,1dCA-_,C Address:_1 Radmd M� City/State/Zip /J 14 Phone#: 603 " 0-0869 Are you an employer? Check the appropriate box: Type of project(required): 1.X I am a employer with 4. El am a general contractor and I ti ❑New construction employees (full and/orpart-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. RR=odeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' insurance.t g ❑Building addition tom [No workers' comp.insurance P• required.] 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11E Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 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#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tCant metors that check this box must attached an additional sheet showing the name of the sub-cantractors and state whether or not those entities have employees. Irthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: (fir► �,f� �s,�ry�C-� KK Policy#or Self-ins. Lic. #: WC 269 6,<?;Q) Expiration Date: Job Site Address: q90 1 ICM ' City/State/Zip: �+GR I ANd,4(�+-�y' 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 WORD 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 tender t/ce ins a d penald ofperjrery that the information provided above is true and correct Siena Date: Phone#: tq Oficial use only. Do not write in this area, to be completed by city or town offlciaL City or Town: Permit(License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#•