Loading...
HomeMy WebLinkAboutBuilding Permit #868-14 - 93 SUGARCANE LANE 5/1/2018 i Of �iORT11 q BUILDING PERMIT ``'a. '6.do 6 ,..w O 3, a..Vit. •.,e L TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Permit NO: p 7 Date Received Date Issued: 9SSACHUS�� IMPORTANT:Applicant must complete all items on this page LOCATION q3 Sri qci�Camp. n Print PROPERTY.OWNER w�L* V C G'i_ Or Print MAP N011. PARCELZONING DISTRICT: . Historic District yesy no TTT F. Machine Shop Vi lege yes no. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic Well- ❑:Floodplain -o-Wetlands s ❑.Watershed.District Water/Sewer •; 2e2�ace soMe -e- T1s On e96is I �\o,kSe 49V�u(_ V(-�er\ 2c",�\Y . 2eoY errs I saga "e Gd L10(a_L_0r\ Iden`tif)ication Please Type or Print Clearly) WNER: Name: ACAA) Phone: 6 / 7 7�`� dress: 3No(VND u�,l c�o� 141A d/ e f CONTRACTOR Name: ►�us Phone: -1 1K1 77-60 ,'.Z036 r Address: e2 0 , Supervisor's Construction License: a; t v. Exp Date: CS - 0739 1 a 1+� 1 Home Improvement License: Exp. 'Date: ARCHITECT/ENGINEER 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: $ 2•�1 I S �- FEE: $ ,i`T 2, 0z) Check No.: Receipt No.: Q2(,,9T NOTE: Persons tracti g with unregistered contractors do not have access to the guaranty fund ignature of_Agent/Owner- .T S m tyre of contractor TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this age - -w - - w _ — - - - - - _ PROPERTY OWNER ,- -- — - Prince L?,100+Yeas 0 Structure; yes,a ono ' Id _ MAP NO -° PARCEL':- _ ZONIN`_G DISTRICT �Histonc,Dlstret yes, no - k ,� achene Shop Village :ye,s� no _ TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other t ❑Septic ❑Well i - ' ❑aFloodplam ❑.Wetlands f s 3.1Natershed ®istnct T 6"1Nater,/Sewer,; �t DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: i a s h CONTRACTOR' Nan e.. �� n --. __ _ _ _ - _ = Phone: 3 - _-..� - - � i a Supervisor's.Constructio—License �_ _ E __ �,_, _ _ _ - - - =xp Dater c �. �. `Hornevlrnpro�ementLlcense • Exp:, �` ate ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: r NOTE: Persons contracting with unregistered contractors do not have access to the gua an ty fand Sir g atueof AgenUOwner: Si �atureof conf_racto-r,' �g_tik 3 Plans Submitted L-i PI s Waived 11 Certified Plot Plan ❑ Stamped Plans ❑ ... F Plans Submitted ❑ Plans Waived-N Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street FIRE bEPARTMENT - Temp Dumpster ori site. yes no Located at 124 Main Street "— 1 Fire Department signature/date Zf . COMMENTS L ,. - Plans-Submitted ❑ Plans-Waived-El 7.-Certified Plot Plan ❑ Stamped Plans ❑ :TYPE_OF:SEWERAGE:DISEO '. - Public Sewer Tanning/Massage/BodyAf Swimming Pools El Well ❑ Tobacco Sales FoodPackaginglSales ❑ Private•.(septic tank, etc- ❑ Permanent Diimpster on Site THE..FOLLOWING SECTIONS FOR OFFICE USE ONLY _ INTERDEPARTMENTAL SIGN OFF - U FORM .' DATE REJECTED.., DATE'APPROVED `PLANNING & DEVELOPMENT7 ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS _ I i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments I y Water & Sewer ConnectionlSignature &.Date Driveway Permit DPW TodvL Engineer: signature: Located 384 Osgood Street FIRE-DEPARTMa N.T Ternp Dumpst�r on site . yes no Located at .i 24:M6 Street Fi-re ®epartme►it signature/date '_ < �,, 1; ,• $ ,' .a>4r3; ? , . . . _ ... - - *Y- I M Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions._ I� Tota[land area, sq..ft.; l ELECTRICAL.: Movement of.Meter loeatibn,'Miast-or service drop requires approval of Electrical Inspector Yes No DANGER.Z®NE LITERATURE: =Yes No MGL-Chapter 166.Section 21&. F and G min.$100-$1000:fine 'w � NOTES and DATA — (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fols�wing is'a-1i`st of-the:required.forms to be-filled out for.the appropriate.permit to-be obtained. Roofir,g, Siding, Interior Rehabilitation Permits Ll Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H-.1.C. And/0r-C.S.L Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses !I ❑ 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 casts.if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu,�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buil,ding Permit Revised 2012 Location f�� --lar, No. Date / - r e - TOWN OF NORTH ANDOVER �o Certificate of Occupancy $ Building/Frame Permit Fee $ ov r Foundation Permit Fee $ Other Permit Fee $ �rkill'Of� TOTAL $ Check#36 27631 wilding Inspector a Page 1 of 5 Nexus II Carpentry and Construction Design P.O.Box 2823 Woburn,MA 01888 781 760 2031 Fax 978 9751263 nexuscarpentrynaol.com Contract This is a contract between Al Vega of 93 Sugarcane Lane,North Andover MA 01845 (Hereafter referred to as the"owners") and Nexus II Services (hereafter referred to as "Nexus") dated May 27th 2014. GENERAL SCOPE OF WORK DESCRIPTION WE HEREBY SUBMIT SPECIFICATIONS AND CONTRACT FOR: work as stated below to exterior repairs and painting Scope of work: General details ♦ Meet with local building official and apply for permits ♦ All work will be in accordance with local building code regulations and will be inspected by local officials prior to continuing with the next phase—Nexus will be responsible for arranging and being available for all inspections ♦ Nexus will contact"Dig Safe"prior to commencing any excavation work for their clearance ♦ All work will be coordinated directly between"owners" and Nexus ♦ Nexus confirms that it is fully licensed, insured and ensures any sub-contractors utilized on this site will have the appropriate insurance coverage ♦ Nexus will be responsible for the safe storage of all its property and any materials to be used on the site ♦ Owner is responsible for removal and return of all items of the house in the areas that will be affected and their safe storage prior to our work commencing SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 1 of 5 Nexus II Carpentry and Construction Design P.O.Box 2823 Woburn,MA 01888 781 760 2031 Fax 978 9751263 nexuscarpentrykaol.com Contract This is a contract between Al Vega of 93 Sugarcane Lane,North Andover MA 01845 (Hereafter referred to as the "owners") and Nexus II Services (hereafter referred to as "Nexus") dated May 27th 2014. GENERAL SCOPE OF WORK DESCRIPTION WE HEREBY SUBMIT SPECIFICATIONS AND CONTRACT FOR: work as stated below to exterior repairs and painting Scope of work: General details ♦ Meet with local building official and apply for permits ♦ All work will be in accordance with local building code regulations and will be inspected by local officials prior to continuing with the next phase—Nexus will be responsible for arranging and being available for all inspections ♦ Nexus will contact"Dig Safe"prior to commencing any excavation work for their clearance ♦ All work will be coordinated directly between"owners" and Nexus ♦ Nexus confirms that it is fully licensed, insured and ensures any sub-contractors utilized on this site will have the appropriate insurance coverage ♦ Nexus will be responsible for the safe storage of all its property and any materials to be used on the site ♦ Owner is responsible for removal and return of all items of the house in the areas that will be affected and their safe storage prior to our work commencing SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT • Page 3 of 5 ♦ Entire body will be covered in one full coat of Benjamin Moore paint to match existing color ♦ Trim will be covered in one full coat of Benjamin Moore white paint to match Deck ♦ Flooring of existing deck will be scraped and sanded to remove all loose stain and dull any sharp edges or splintered wood ♦ Deck will be covered with 2 coats of a epoxy based paint. Color to be chosen by you ♦ Spindles will be spot primed and covered in one full coat of white paint to match existing white trim color Sunroom ♦ All trim and walls will be lightly sanded,primed and painted with 1 coat of color chosen by you ♦ Paint new ceiling "White" ♦ Proposed cost including materials and labor is $12, 000.00 including materials and labor Work not included in this contract Building department fees Engineering or architect costs Permit costs —Unseen conditions Painting or staining work on any interior items other than sunroom Electrical or plumbing or HVAC work Sheathing/insulation/sheetrock replacement or repair Siding replacement, additional trim or cill replacement beyond those specifically noted above PERMITS "Nexus"will accept responsibility to obtain the necessary building permits."Nexus"will act as a GC and work in accordance with fair and reasonable practices,and cooperate fully and under the guidance of the "Owners"and authorized parties.Nexus will pass the cost of the permit directly on to the"Owners"once advised by the Building department. Standard Exclusions: Unless specifically included in the"General Scope of Work"section above,this agreement does not include labor or materials for the following work(any Exclusions in this paragraph which have been lined out and initialed by the parties do not apply to this Agreement): Removal and disposal of any materials containing asbestos or any other hazardous material as defined by the EPA. Custom milling of any wood for use in project. Moving"Owners"property around the site. Labor or materials required repairing or replacing any"Owners"-supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by"Owners",which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes(fences and old stakes may not be located on actual property lines). Final construction cleaning ("Nexus"will leave site in"broom swept"condition). Landscaping and irrigation work of any kind. Temporary sanitation,power, or fencing. Removal of soils under house in order to obtain 18 inches(or code-required height)of clear space between bottom of joists and soil. Removal of filled ground or rock or any other materials not removable by ordinary hand tools(unless heavy equipment is specified in scope of work section above),correction of existing out-of-plumb or out-of-level conditions in existing structure. SPECIALIZING IN QUALITY FINISH CARPENTRY, REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT ' Page 3 of 5 ♦ Entire body will be covered in one full coat of Benjamin Moore paint to match existing color ♦ Trim will be covered in one full coat of Benjamin Moore white paint to match Deck ♦ Flooring of existing deck will be scraped and sanded to remove all loose stain and dull any sharp edges or splintered wood ♦ Deck will be covered with 2 coats of a epoxy based paint. Color to be chosen by you ♦ Spindles will be spot primed and covered in one full coat of white paint to match existing white trim color Sunroom ♦ All trim and walls will be lightly sanded,primed and painted with 1 coat of color chosen by you ♦ Paint new ceiling "White" ♦ Proposed cost including materials and labor is $12, 000.00 including materials and labor Work not included in this contract Building department fees Engineering or architect costs Permit costs —Unseen conditions Painting or staining work on any interior items other than sunroom Electrical or plumbing or HVAC work Sheathing/insulation/sheetrock replacement or repair Siding replacement, additional trim or Gill replacement beyond those specifically noted above PERMITS "Nexus"will accept 'responsibility to obtain the necessary building permits."Nexus"will act as a GC and work in accordance with fair and reasonable practices,and cooperate fully and under the guidance of the "Owners"and authorized parties.Nexus will pass the cost of the permit directly on to the"Owners"once advised by the Building department. Standard Exclusions: Unless specifically included in the"General Scope of Work"section above,this agreement does not include labor or materials for the following work(any Exclusions in this paragraph which have been lined out and initialed by the parties do not apply to this Agreement): Removal and disposal of any materials containing asbestos or any other hazardous material as defined by the EPA. Custom milling of any wood for use in project. Moving"Owners"property around the site. Labor or materials required repairing or replacing any"Owners"-supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by"Owners",which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes(fences and old stakes may not be located on actual property lines). Final construction cleaning ("Nexus"will leave site in"broom swept"condition). Landscaping and irrigation work of any kind. Temporary sanitation,power,or fencing. Removal of soils under house in order to obtain 18 inches(or code-required height)of clear space between bottom of joists and soil. Removal of filled ground or rock or any other materials not removable by ordinary hand tools(unless heavy equipment is specified in scope of work section above),correction of existing out-of-plumb or out-of-level conditions in existing structure. SPECIALIZING IN QUALITY FINISH CARPENTRY, REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 4 of 5 Correction of concealed substandard framing.Removal and replacement of existing rot or insect infestation. Construction of a continuously level foundation around structure(if lot is sloped more than 6 inches from front to back or side to side,"Nexus"step the foundation in accordance with the slope of the lot). Exact matching of existing finishes. Repair of damage to roadways,sidewalks,or driveways that could occur when construction equipment and vehicles are being used in the normal course of construction. The"Owner"is to enter into contracts for all of the above-mentioned services and provide direct payment to"Nexus"for all of the services we are to provide."Nexus"will be responsible for removing all components and all construction materials relevant to the"scope of work"in this contract. Dumpsters,trailers and signs "Nexus"will provide as included in the cost of this project,a dumpster for the sole purpose of the removal of trash associated with this project.This dumpster should not be used by any persons for any other waste items or for any purpose outside of the specific use under the scope of work,unless authorization is received from"Nexus".Nexus may have on site for part,or the whole of the project,a trailer containing materials and tools belonging to"Nexus".This trailer will be parked in a position agreed to in coordination with the"Owners"and will be covered under the insurances of"Nexus"at all times."Nexus"will have on site,a sign,with our contact details,in the event that anyone has a need to contact us directly. Photographs "Nexus"reserves the right to,from time to time,take photographs of the contracted work for use in its general marketing or for production on its web site.At no time will"Nexus"share any personal contact details of the"owner"for any photographs that it may use without seeking authorization from the"owner". Warranties All the components supplied by"Nexus"as part of the original order are covered under the warranty exercised by"Nexus"and supported by the vendors.All labor and materials purchased from other suppliers to achieve completion of contract are warranted(1)one year from completion of the construction. Expiration of this Agreement: This Agreement will expire 30 days after the date at the top of page one of this agreement if not accepted in writing by"Owners"and returned to"Nexus"along with the necessary deposits within that time frame. Changes in the Work: During the course of the project,"Owners"may order changes in the work(both additions and deletions). "Nexus"will determine the cost of these changes and the cost of this additional work will be added to "Nexus"profit and overhead. People Authorized to Sign Change Orders: The following people are authorized to sign Change Orders: "Nexus": Mark Gotobed or Ged White a&,r,t CZ�,4 - "Client": Al Vega 41 SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 4 of 5 Correction of concealed substandard framing.Removal and replacement of existing rot or insect infestation. Construction of a continuously level foundation around structure(if lot is sloped more than 6 inches from front to back or side to side,"Nexus"step the foundation in accordance with the slope of the lot). Exact matching of existing finishes. Repair of damage to roadways,sidewalks,or driveways that could occur when construction equipment and vehicles are being used in the normal course of construction. The"Owner"is to enter into contracts for all of the above-mentioned services and provide direct payment to"Nexus"for all of the services we are to provide."Nexus"will be responsible for removing all components and all construction materials relevant to the"scope of work"in this contract. Dumpsters,trailers and signs "Nexus"will provide as included in the cost of this project,a dumpster for the sole purpose of the removal of trash associated with this project.This dumpster should not be used by any persons for any other waste items or for any purpose outside of the specific use under the scope of work,unless authorization is received from"Nexus".Nexus may have on site for part,or the whole of the project,a trailer containing materials and tools belonging to"Nexus".This trailer will be parked in a position agreed to in coordination with the"Owners"and will be covered under the insurances of"Nexus"at all times."Nexus"will have on site,a sign,with our contact details,in the event that anyone has a need to contact us directly. Photographs "Nexus"reserves the right to,from time to time,take photographs of the contracted work for use in its general marketing or for production on its web site.At no time will"Nexus"share any personal contact details of the"owner"for any photographs that it may use without seeking authorization from the"owner". Warranties All the components supplied by"Nexus"as part of the original order are covered under the warranty exercised by"Nexus"and supported by the vendors.All labor and materials purchased from other suppliers to achieve completion of contract are warranted(1)one year from completion of the construction. Expiration of this Agreement: This Agreement will expire 30 days after the date at the top of page one of this agreement if not accepted in writing by"Owners"and returned to"Nexus"along with the necessary deposits within that time frame. Changes in the Work: During the course of the project,"Owners"may order changes in the work(both additions and deletions). "Nexus"will determine the cost of these changes and the cost of this additional work will be added to "Nexus"profit and overhead. People Authorized to Sign Change Orders: The following people are authorized to sign Change Orders: "Nexus": Mark Gotobed or Ged White "Client": Al Vega SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 5 of 5 Concealed Conditions: This Agreement is based solely on the observations"Nexus"was able to make with the area in its current condition at the time this Agreement was bid. If additional Concealed Conditions are discovered once work has commenced which were not visible at the time this proposal was bid, "Nexus"will stop work and point out these unforeseen Concealed Conditions to"Owners"so that "Owners"and"Nexus"can execute a Change Order for any Additional Work. Schedule of work It is agreed by both parties that this work will be coordinated with the"Owners"and "Nexus"to be undertaken in various stages to avoid complete disruption of the home environment. "Nexus"will give"Owners"no less than 2 days notice prior to arriving on site for commencement of any of the agreed stages of work to allow"Owners"to prepare. "Owners"commits to have sites identified for construction work available for start at the beginning of the scheduled day so as to avoid any unnecessary delays. G Contract Cost and Payment Schedule: 2 Total cost of work description and materials included in the proposal(except materials/work stated) - $28,915.00 (Twenty eight thousand nine hundred and t� fifteen dollars and zero cents) Co �000 PAYMENT SCHEDULE n'61 �1- 1st Payment due upon signing this contract —_ TOTAL$9, 638.00 2nd Payment due upon completion of 1st week of work TOTAL $8, 000.00 3rd Payment due upon completion of 2nd week of work TOTAL $8,000.00 Final payment due upon completion of scope of work TOTAL $3,277.00 Amount due upon signing this contract-$9 �OG-b I have read and understand, and I agree to, all the terms and co itions contained in the pr posal above. Date. "Nexus"Authorization............. ............................................ fI l/ Date.t,/ O..11.' ......... "Client"Authorization.......G' Gfiyt. .....�Q.P ........ Date............................... "Client"Authorization...................................................... SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 5 of 5 Concealed Conditions: This Agreement is based solely on the observations"Nexus"was able to make with the area in its current condition at the time this Agreement was bid. If additional Concealed Conditions are discovered once work has commenced which were not visible at the time this proposal was bid, "Nexus"will stop work and point out these unforeseen Concealed Conditions to"Owners"so that "Owners"and"Nexus"can execute a Change Order for any Additional Work. Schedule of work It is agreed by both parties that this work will be coordinated with the"Owners"and . "Nexus"to be undertaken in various stages to avoid complete disruption of the home environment. "Nexus"will give"Owners"no less than 2 days notice prior to arriving on site for commencement of any of the agreed stages of work to allow"Owners"to prepare. "Owners"commits to have sites identified for construction work available for start at the beginning of the scheduled day so as to avoid any unnecessary delays. �- Contract Cost and Payment Schedule: 2 Total cost of work description and materials included in the proposal (except materials/work stated) - $28, 915.00 (Twenty eight thousand nine hundred ian `d fifteen dollars and zero cents) co �OoO PAYMENT SCHEDULE �'9�'�� 1st Payment due upon signing this contract TOTAL$9, 638.00 2nd Payment due upon completion of 1st week of work TOTAL$8, 000.00 3rd Payment due upon completion of 2nd week of work TOTAL $8, 000.00 Final payment due upon completion of scope of work TOTAL $3,277.00 Amount due upon signing this contract-$9 OCb I have read and understand, and I agree to, all the terms and co itions contained in the pr posal above. Date.57.� . .(..... "Nexus"Authorization............. Date.t/:�I./1.f......... "Client"Authorization.............. �7 �G2cr�-z,..... . Date............................... "Client"Authorization...................................................... SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT NORT01 Town of 2 : _ ndover O •"• '' to h ver, Mass, .z ,!- COC NIG Ml WICK y'► 7,45 RATeo U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .............�r .r�:�j/..... E.�,A �............................................................................ BUILDING INSPECTOR has permission to erect buildings on ��., ...: '�"��" G.6. Foundation �/ Awl.- �` Rough tobe occupied as ..... .(1. ............ '. t��/."1..::��r.. (�..t�C:/.�.....l�.�r.'.�!.1................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONSTRUCTION TARTS Rough Service ............... ...... Final .... ................................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until. Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. NORTH own of ndover 0 - ..�. . �o h ver, Mass, .� l COC NIC Nl WICK �� '40 � S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ............... �y.:... 1:7............................................................................ BUILDING INSPECTOR Foundation has permission to erect ................... buildings on ....� °.�f.�i:^..G:G:ru 1 ..�. ..... Rough to be occupied as ....Tn-Z4..... F,�i' :-. ff ! ..�.c� T.�.....aL � �! ..:....... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough Service ...... ................... .:� ...................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT. Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 9� hliassachusetis -Department of Public Safety Board of Building Regulations and Standards Con+truction Supcn,isor License: CS-073991 aF I GERALD WHITE,-` Q l 23 GLENDALE DR DANVERS MA 01923 f� Expiration 0410712016 Commissioner i. i P" ? 671, l!('//IIJGIJ///'C(I���.l�r�(f7✓.1lIC�/IJP��d�j. . Office of Consumer Affairs.&Business Regulation License or registration valid for individul use only j � before the expiration date. If found return to: :1 _ OME IMPROVEMENT CONTRACTOR ly �y ;Registration: 128177 Type: Office of Consumer Affairs and Business Regulation j ! 10 Park Plaza-Suite 5170 Expiration: . 7/19/2015 Individual Boston,MA 02116 Gerald White Gerald White 23 Glendale Dr Danvers,MA 01923 Undersecretary 1 Not valid without signature , i 7 ® DATE(MM/DD/YYYY) '°`� CERTIFICATE OF LIABILITY INSURANCE 5/28/201;4 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lauren Goldman NAME: Cross Insurance-Peabody PHONE . (978)532-5445 FAX 0;(978)532-2217 139 Lynnfield Street AARIESS:lgoldman@crossagency.com INSURERS AFFORDING COVERAGE NAIC# Peabody MA 01960 INSURER A:Western World Ins. Co. INSURED INSURERB:Safety Indemnity 3618 Nexus II Services LLC INSURER C: P.O. Box 2823 INSURER D: INSURER E: Woburn MA 01888 INSURER F: COVERAGES CERTIFICATE NUMBER-CL142602352 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE 70 RENTED PREMISES Ea occurrence $ A CLAIMS-MADE a OCCUR PP8183741 8/12/2013 /12/2014 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X1 POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BANY AUTO BODILY INJURY(Per person) $ 5500 000 ALL OWNED v SCHEDULED 116632 11/10/2013 1/10/2014 BODILY $ AUTOS AUTOS 500,000 NON-OWNX HIRED AUTOS X AUTOS ED PT cidentDAMAGE $ 100,000 IPER Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Al Vega ACCORDANCE WITH THE POLICY PROVISIONS. 93 Sugarcane Lane North Andover, MA 01845 AUTHORIZED REPRESENTATIVE � Timothy Tramonte/NIDI Y4 0y 5 d y- 117tl d'�' AGORD-25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. 'r The Commonwealth of Massachusetts PrintForm Department of Industrial Accidents Office of Investigations } 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Y V PX as Address: ?0 "3oy- 2.822 City/State/Zip: W a\,0u.rn MA 01M Phone #: -701 _760 1030 Are you an employer?Check the appropriate box: Type of project(required): 1.F1I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition. workingfor me in an capacity. employees and have workers' Y p h'• 9. E] Building addition [No workers' comp. insurance comp.insurance.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL l 2.❑ 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy andIob site information. Insurance Company Name:_ Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certift under the and enalties ofperjuty that the information provided above is true and correct Signature: -7 — Date l Phone#: fl ?6b 9,0 30 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 6i Other