Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 12 WINTERGREEN DRIVE 4/30/2018 (2)
eR am HORTM Ofs��ip .e�4, it � ,� _....., • �c O 9 sAcMUSE� Date ....JF... dv...z& ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........1..:.................................................... has permission to perform ...�-`� /.�` `..............:......�....... rte............. `wiring in the building of....` ........................................................................... �.<_r� �� fat ..1.............�... rr:....../:............................... ,North Andover, Mass. Fee..................... Lic. No .............. .......... ........................... / \LECTRICALINSPECTOR Check # 4734 HT C0AMONWE4LTHOFMASSACHUSE7TS Office Use only DEPARTN&NTOFPUBLICSAFETY Permit No. BOARD OFFMPREVEMONREGULMONS527 CARI2A l Occupancy & Fees Checked APPLICATTONFOR PERMIT TO PERFORMELECI'RICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 r O (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date? -2 Town of North Andover To the Inspector of Wires: The'undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant 110 ri,e Owner's Addresss-,e-4 e, Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Util' Authorization No. _ Existing Service Amps 4 olts Overhead UndergroundIET No. of Meters New Service Amps / Volts Overhead [= Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures 16 Swimming Pool Above Below Generators KVA ground round No. of Receptacle Outlets L No. of Oil Burners No. of Emergency Lighting Battery Units .No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges t No. of Air Cond. Total / Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Othe—r"""""`"" No. of Dryers Heating Devices KW ❑ Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage TubsNo. of Motors Total HP OVA . • n : • . r 1 1 r i . •• '• r 1 w �• • i• :r • •:..1 • •• - r iti � n�ri d . :a i � • - • uu:• .1• • •• • • 1 •it• �1 1 • • :. a• •�. i.0 rr 1 • • •• • :.�1 • 1 •.nr rr�.r •• •'1 . N Es dValueofE1odn lWoik $ ie��"7 Final ?5censeNo. LmwNo >essTel No. 7 7 Alt Tel No. OWNER'S INSURANCE WAIVER; Iam aware that theLicerwdoes nothave theinsx&v--covetageorits substmlialegtnvalentastequ red byMassacl� General Laws and thatmysignattueonthislearntapplicationwaives thismquuer t. (Please check one) Owner Agent Telephone No. PERMIT FEE $ <- JL�_ Signature ot Uwner or Agent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affl-davit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ► am an employer providing workers' compensation for my employees working on this job. El Company name: - Address city- Phone # - Insurance. Co. Policy # Company name -- 'r Address CitX Phone # Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,5oo.00 and/or one years' imprisonment_as_Y+cell_as.civii.penaltiesinsheiormjof-aS_T_OP WORK_ORDFR-nd a.fn.eaf_($1Do.DA)a-dayagainsi.me. understand that a copy of this statement may be forwarded to the Office of Investigations cf the DIA for coverage verification. i do hereby certify under the pains and penalties of perjury Mai the information provided above is true and correct. Signature Date w Print name Pbone# Oficial use only do not write in this area to be completed by city or town official' City or Town Permitil icensina Building Dept E]Check if immediate response is requved [3 Licensing Board p Selectman's Office Contact person: Phone k ❑ Health Department Ej Other 4 -� Location ./t� e No. /2:Z Date 9—? O TOWN OF NORTH ANDOVER . s Certificate of Occupancy $ SS CHUS <�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '-e Y Check # *1666 / (Z Building inspectgrl TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI R, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING UP, FAIN BUILDING PERMIT NUMBER: 13 DATE ISSUED: C SIGNATURE: CPI� Building Commissioner/inspector of Buildings Date SECTION 1- SITE INFORMATION, 1 ' • " ^ ``` ' 1.1 Property Address: �) /J�/I ...:`2•' 1.2 Assessors Map and Parcel Number: .� _ \.•www ,� .. •. r Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6-BUII.DING SETBACKS A Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 I SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT I 2.1 Owner of Record y.4izol� Name (Print) V Signature Telephone 2.2 Owner of Record: Name Print SECTION 3 - CONSTRUCTION SERVICES I •Licensed Construction Supervisor: Licl6006A ensed) Construction Supervisor: A / Z L LU i it (> !V Address A -,I Yll�� e Telephone 3.2 Registered Home Improvement Contractor )� c E�) Co Sf2Jc a� Company Name M � -z, 2c•,� �. 4� Address for Service: • 61 7 -? 7 Address for Service: Not Applicable ❑ ,�-2 z))5-" License Number 3- 7,.'/' e - o,� Expiration Date Not Applicable ❑ /o S3�-3 Registration Number Ad�d/refs's� _ ExpiratioDate ` SECTION 4 - WORKERS COMPENSATION (NLG L, C 152 § 25cFthis Workers Compensation Insurance affidavit must be completed and submitted wi.application. in the denial of the issuance of the build' rmit. Si ned a>Iidavit Attached Yes ....... No ....... p SECTION 5 Descri tion of Pro osed Work 7allaltte New Construction 0 Existing Building s ❑O Alterations(s)Accessory $Idg. ❑ Demolition 0 Specify _ Brief Description of Proposed Work: fy;/1 0 A Ti.Ui c e to provide this affidavit will result Addition 0 E 0 ;SEC ION6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Com leted b enan nit a lict I . Building n Y 3 2Q alb T01 (a) Building Permit Fee /O 2 Electrical Multi Tier (b) Estimated Total Cost of p Construction 3 Plumbin 4 Mechanical HVAC Building Permit fee (a) X (b) 5 Fire Protection 6 Total .l+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize My behalf, ill all matters relative to work authorized by this buildin � g to act on permit application. Si nahire of Owner SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date I, k c ti tj E W, 1-1k e e )0 property ,aAuthorized Agent of subject Hereby declare that the statements and information on the foregoing application and belief are true and accurate, to the best of my knowledge E 0 FORM U - LOT RELEASE FORM 8-;z�,03 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT 4&92• SI LOCATION: Assessor's Map Number SUBDIVISION STREET PHONE PARCEL LOT (S) ST. NUMBER ZZ., *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMM TOWN PLANNER 5 INSPECTOR -HEALTH DATE APPROVED DATE.REJECTED DATE APPROVED DATE REJECTED l-fN SEPTIC INSPECTOR-HEALtH DATE APPROVED DATE REJECTED o�' 00,., G COMMENTS � � S V_ . w I LS^(iAJ I,( PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm T == ...... � Th a Commonwealth of Massachusetts .1V = :any Department of Industrial Accidents ...-` r Offieeoflnestigations 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name: ation: 7i! U i Tl AU C • �Ne�� J£K /%%�'f phone# 9 ?�" 6�'/ •s z0 city l I am a homeowner performing all work myself. Eel am a sole proprietor and have no one working in any capacity 1pany name: Wdress. F. ttyc '; phone" nsurance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under theyjn�and penalties of perjury that the information provided above is true and correct. Signature `� ) Date � • (2 2 M "2 Print, name 'FGe-1.-..... ..._._.._.._..Phone# g.7_Y 69 c�Z� official use only do not write in this area to be completed by city or town official city or town: permit/license # p -Building Department check if immediate response is required oLiceinsinkBoardCjSelectmen's Office []Health Department contact person: phone #; -Other (revised 3/95 P1A) �iie v/ a�97/IY1042f/�P.C7,GL12 % ''iUGaasaclu�4ef.�6 � � BOARD'OF`BUILDING REGULATIONS License:. CONSTRUCTION; SUPERVISOR r: Number:�C-8 058245,; `. Birthdate: p03/24/1943 71 A " .Expires;,03/24/2904 Tr`bo: 20021 �Restnctetl' Ob KENNETH I3 KEEN 21 HEWITT AVE N ANDOVER, .MA 01845 Administrator. Jfie -t�a,"nmw�urecz/,�i °� �/',aaaac>lurael7a i Board of Building Regulations. and Standards HOME IMPROVEMENT CONTRACTOR Re" gistrafl:on: 108383 Expiration 8/18/2004 :Type DBA i -KEEN CONSTRUCTIONaCO . j Kenneth Keen 21 Hewitt Aver No. Andover, MA 0184.5 Salmi nistrator 2( UiT KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Varney, Bill & Kathy 12 Wintergreen st. N. Andover, MA 01845 (978) 687-8674 Contract # 1576 ; Appendix A Date:6/27/03 Finish basement: • Frame unfinished part of basement as per drawings creating @ 540 sq. ft. of finished area • Supply & install insulation & vapor barrier on all exterior walls • Supply & install blueboard on all finished walls • Skimcoat plaster blueboard to smooth finish • Supply & install three single interior door units (6 panel pine, stain grade) • Supply & install one interior unit pair door( 6 panel pine, stain grade) • Supply & install trim on doors, window and base to match existing • Paint walls (2 coat finish, 1 neutral color) • Stain & urethane trim( 2 coat finish) • Supply & install 2'x T revealed edge suspended ceiling • Supply & install carpet throughout newly finished area and stairs($1540.00 installed allowance). Electrical: • Supply & install outlets to code • Supply & install one cable outlet and one phone (Cat. 5) outlet • Supply & install ten recessed ceiling lights • Supply & install switching to code • Supply & install thermostat and wiring for new zone of heat Plumbing: • Supply & install one zone of forced hot water baseboard heat off of existing boiler Existing basement room: • Paint walls & ceiling (white) of existing room (2 coat finish, 1 neutral color) • Remove & dispose of existing carpet • Supply & install carpet in existing room ($770.00 installed allowance) Price does not include cost of permits. Total price: $18,320.00(eighteen thousand three hundred twenty dollars) KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Payment schedule:$1000.00 due upon signing contract $5000.00 due the first day of work $6000.00 due after framing, rough electrical, & rough plumbing is complete $4000.00 due when job is complete except for flooring $2320.00 due upon completion of contracted work Customer _ - .�6nneth B. Keen F Date Date B 2 KEEN CONSTRUCTION CO. n 21 HEWITT AVENUE NORTH ANDOVER. MA 01845 Tel: (978) 691-5201 Fax: (978) 682-3231 Submitted r D _.]W__tn_f f �1_aen_ 411- .e 1576 All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. P HONE DATE REGISTRATION N0. F.I.D. N0. �� ®�O y �2_ -®3 MA. H.I.C. 108383 04-325-8052 C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: m Construction related permits: RKSCHEDULE ................. .............................................. ...........- ........... ....._.,................ ... ..................... ....11.1.1..... .............. ,. Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of ,' r following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contracto , his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of en q�) 4 -e- e rN 4 0 0 L) d 1 PaymenlU be made as follows: dollars ($ _/ 1 3 2-0 # 00) % ($ ) upon signing Contract; % ($ ) upon co nbf� ; % ($ Completion of sh II be made forthwith upon completion of work -under this contract. KENNETH B. KEEN Name of Contractor / Designated Registrant 21 HEWITT AVE. Street Address N. ANDOVER, MA 01845 City / State (978) 691-5201 (978) 682-3231 Phone Fax Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third of the total contract price NamZi or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and Aut r equipment, whichever amount iS greater. Note: This proposal may be withdrawn by us if not acceoled within H.— Acceptance Of Proposal - I have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Canc ' lation must be done in writing. NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature Dale Date IMPORTANT INFORMATION ON BACK llw- m m m C/) 0 v y CA CM) d 'v O CD 0 C7 Z CO) CCD O =. d C2 = O CL =' CO) o v `D CDCL O cr d CD CCD O CCD C CD y, CL v y �• O CD S v CO) O 10 Z CD O CCD O CD dc Cc c?�o m 2 O -•Ni0Q N dpm mm .0 y C, CD N CA o. e) m Z =r -C co, --I 0 �_-► = C y -p• T � CL m a m O a y C y O =m N N = O m �c p d C) o N n W •m = a t_ /co C m CD m N V1 7 Om C CL W m `. 0 o cnCD cn y :!- p az Nt 0 0 00:0 z CD cn 0 ca z �► mcn CD cn o CD CD p Z ` I0 B O .. O O O ttsy O "j.7 O S-"b 71 O '_ n a- i17 O x 'TJ O a Gy CA '•tl O acn Location i No. 8 a a p. Check # 1679 U"1-u7`ER CRFF&3 Date 16 d-3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ C;)o a ! Foundation Permit Fee $ Other Permit Fee $ TOTAL $ CZ d Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEM. OLISH A ONE OR TWO FAMILY DWELLING 011,F i » BUILDING PERMIT NUMBER: DATE ISSUED: q, _ © 3 SIGNATURE: / " ` l/�"" i Building Commissioner/I ctor of Buildings Date SECTION 1- SITE INFORMATION I 1.1 Property Address: 1.2 Assessors Map and Parcel Number:" Aa ! Map Numb& Parcel Number 1.3 Zoning Information: Zonin District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage (ft)\ 1.6 BUILDING SETBACKS A ' Front Yard Side Yard Rear Yard R aired Provide Required Provided Required Provided 1.7 Water SupplyM.G.L.C.40. § 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System. 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record detz w 4 (S. -Lt .,i 11puir., dA st-, Name (Print) Ll Address for Service: Signature Telephone 2.2 Owner of Record: a. Name Print Address for Service: 1 Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: N 1)E A 9 . K. 6 Licensed Construction Supervisor: Address re Telephone 3.2 Registered Home Improvement Contractor -EP a t�) 3f20C_ -, Z/ blew/ zr dI C - Address A g (5 9'! -9 Zo Not Applicable 0 r License Number ` Expiration Date Not Applicable ❑ 23 �3 Registration Number Expiration Date M M Z 0 0 z M 90 0 r Q M r z G) SECTION 4 - WO workers Com RKERS COMPENSATION in the denial o Insurance affidavit G. 1, C 152 § 25c(6) of must be completed and submitted .. Si tied affidavit Attached buildin unit with .this application. Fai SECTION 5 Yes ....... No.......❑' . Descri tion of Pro New Construction ❑ osed Work check all a Existinglicablc Building ❑ Repair(s) Accessory $ldg [IAlterations(s) ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: to provide this affidavit will result Addition ❑ SECTION 6 - ESTIMATED CONS Item TRUCTION COSTS Estimated.Cost (Dollar) to be .11 IT Co Bu feted b Permit a licant 2 3 () Build. f� x NEW Electrical S �� a� a mg Permit Fee ry z '�� is �. �, .. Multi lie" 3 Plumbin (b) Estimated Total Cost of 4 Mechanical HVACConstruction 5 Fire ttion Building Permit fee x (b) Proec 6 Total . 1+2+3+4+5 2 SECTION 78 OWNER AU Check N OWNERS AGENT OR COORTZATION TO BE COMPLETED WHENber TRACTOR APPLIES FOR BUILDING PERMIT I, Hereby authorize as Owner/Authorized Agent of subject property My behalf; ill all matters relative fo work authorized by this building ern' to act on Si nature of Owner Permit application, SECTION 7b OWNER/AUTHORIZED AG-iv'r nv—, . , . ___ Date property Hereby declare that the statements and information on + a AuthOrized Agent of subject and belief he foregoing a pplieation are true and accurate, to the best Of MY knowledge ieive7�G 'tint hi,vn, of O. OF S TORIES �SEMENT OR SLAB 7-LTE FLOOR TUBERS AN I' \dENSIONS OF SILLS t vIF.NSIONS OF POSTS /I '_ 5_ 'IONS OF GIRDERS GHT OF FOUNDATION F OF F0011T U TFRIAL OF CfMvINEy UILDING ON SOLID OR FILLED LAND YEDING CONNECTED TO NATURAL GAS LiTIE T- SSS X x . u( 'M The Commonwealth of Massachusetts Department of Industrial Accidents Office of11 nestigatim 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit I am a homeowner performing all work myself. L�/I am a sole proprietor and have no one working in any 9 am an employer providing workers' compensation for my employees working on this job. comoa_nv name: A-69. • ohone'# surance co. 'A ac .t diti,�rca'e�eE�f,�n, e�es'sarj � - - Failure to secure coverage as rcyuircd under Section l5A of NIGL 1�2 can lead to the imposition of one years' imprisonment as criminal penalties of a fine up to 51,500.00 and/or well as civil penalties in the for�i� of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the D[A for coverage verification. 1 do hereby certify under the ns and penalties of perjury that the information provided above is true and correct. Signature Date 0/ Print name _ 1,/, 5- / i iii.�h .. (�. ..�%.CG�J....... - .. _..Phone # g 79 -- Z. official use only do not write in this area to be completed by city or town official city or town: permit/license # nBuilding Department oLicensinkBdard' —`"""" check if immediate response is required pSelectmen's Office 0Health Department contact person: phone #; -Other (revised 3/95 PIA) KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Varney, Kathy & Bill 12 Wintergreen St. N. Andover, MA 01845 (978) 687-8674 Contract # 1532; Appendix A Date: 9/7/03 Remodel Kitchen: • Remove existing cabinets & counters • Increase depth of existing refrigerator alcove • Create header between' kitchen and front hall • Blueboard & skimcoat plaster ceiling in kitchen and family room to a smooth finish • Patch walls as needed • Remove and dispose of existing flooring in kitchen and family room • Supply & install prefinished hardwood flooring in kitchen and family room • Paint walls, ceiling & trim in kitchen and family room • Supply & install new recessed lighting fixtures in kitchen and relocate outlets & switching as needed ($1450.00 allowance for labor and fixtures) • Remove existing sink and install new sink (and any misc. plumbing pipes)($750.00 allowance not including fixtures) Price does not include removal of/2 wall & beam between kitchen & family room, new entry door, relocating heat, vacuum or electrical on '/2 wall, or tile backsplash (tile or labor). Total Price: $19,880.00 (nineteen thousand eight hundred eighty dollars) Pricing schedule:$ 1000.00 due upon signing contract y.. $5000.00 due when hardwood is ordered° $5000.00 due when cabinets are removed -\$6000.00 due when floor & plaster is complete $2 0.00 due at completion of contracted work 1 Custom l � yL e h B"Keen Date Date KEEN CONSTRUCTION CO. ° 21 HEWITT AVENUE _ NORTH ANDOVER. NIA 01845 Tel: (978) 691-5201 Fax: (978) 682-3231 Submitted To.. ......... �" _ 6 15 *32 PROPOSAL All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically .exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. F.I.D. N0. MA. H.I.C. 108383 04-325-8052 C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: iy� cj e, ` I�I �� � . �IeQ Oppe,ndi-X Construction related permits: ........ WORK SCHEDULE.................................................................................................................................................................. Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed b y (date). Thehereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of thhiis Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall comply with the requirements of this _Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of rdyment to oe maae as ronows: - ($ ) upon signing Contract; ($ ) uco e " e_ ($ ) upt, tion of `l dollars ($ KENNETH B. KEEN Name of contractor / Designated Registrant. 21 HEWITT AVE. Street Address N. ANDOVER, MA 01845 city / State shall be made forthwith upon (978) 691-5201 (978) 682-3231 :completion of work under this.contract: - -.: Phone _______ Fax Notice: No agreement for home improvement contracting work shall require a i r �down payment (advance deposit) of more than one-third of the total contract price NameSit esman = - or the total amount of all deposits or payments which the contractor must make, in -- advance, to order and/or otherwise obtain delivery of special order materials and �t Zed tgna re' 44 equipment, whichever amount is greater. V" Note: This proposal may be withdrawn by if -1 ,...1— Acceptance Of Proposal - l have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. r� DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. SignatureDate I l� Date _ Signature j IMPORTANT INFORMATION AN BACK :► m m C m U) 0 m y .0 Cl)CD Z CD CL r - O d CL _. O � ACD crd CD O ..., _Q O O toCD r y CD 0 O CO) 10 0 CO) CD O CD y CD CA O O CD 0 z O S Vf Q y GO<® N O�m� o c7 CO n d 0 m Z =r -OCA CL 0 0 CD 0 0 H p y N o 5m 2 = m G O `O O � O . ZS.o ii 0 e. o W � C4 '�^'co o J = m Vm H � am S :S n m m� �~ p Ct7 O y cr cn aCD L 1i1 M y ACA e-� vJ HAti ^m ca ;,low �-* V mCl , O p �0: z p C o cn = 3Im O On o C° cn cn H pJ I H V J I 1CD oci Wrl Im C3 W 0 Cm CD rA CD , o° rt z w o '^ z r nr EL x r R � Ga a- w ai c� r �. C y" o Q. om x rD z aj 0 d 1 0 c Date 1c;�.J. eF.0-3.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING ���This certifies that ......,..._: ..................... .... .. ......... has permission to perform ...... ::-,............................. wiring in the building of .............. .............................................. at . /a....`.1�� .� :.. �ca%� p .........:........... .North Andover, Mass. �� F............ Lic. No.r`.�7�CAL ::....� ... ,........... INSPECTOR Check # r 4R0P Official Use p0n1 Permit No. g9TE C0-%"0WW6ALW 0T 9K,7SSA0WSETrS oepartmentofTu6Gc Safety Occupancy & Fee Ch� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00] (Please Print in Ink or type all information) Date /,4' g s"00 To the Inspector of Wires: Town of North Andover The undersigned applies for a /permit to p'erf_oorgl the electrical work described below. Location (Street & Number < 2- f(�) / �r(i� Owner or Owner's Is this permit in conjunction with a building permit . Yes V . No 0 (Check Appropriate Box) Purpose of Existing Service L -,UL,,' New Service Amps. Number of Feeders anc Location and Nature of .,5- /E Overhead 0 Authorization No. Undgmd 0 No. of Meters Undgmd 0 No. of Meters INSURANCE COVERAG ! Pursuant to the requiremen6ts ssachusetts Lieneral Laws 1 have a current Liabil' trance Policy including Com Operations Coverage or its substantial equivalent Y NO (I have submitted var proof of same to the Office YES NO 0 If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE BOND o OTHER 0 (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start InspectiotDate Resquested Rough Final Signed underthe Penalties of pe jury: L� Q FIRM NAMEn fLIC. NO.�` G �� � ,�7.G l.L�vJ �y Bus. Tel No. �C f/ �L / —///�, Address. lr aAlt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the- Licenses does not have the Insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above 0 In 0 No. of Lighting Fixtures Swimming Pool gmd 0 grnd 0 Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding. Devices No./ of Self Contained No. of Dishwashers SparOArea Heating KW Detection/Soundmg Devices 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases W No. Hydro Massage Tuds No. of Motors Total HP INSURANCE COVERAG ! Pursuant to the requiremen6ts ssachusetts Lieneral Laws 1 have a current Liabil' trance Policy including Com Operations Coverage or its substantial equivalent Y NO (I have submitted var proof of same to the Office YES NO 0 If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE BOND o OTHER 0 (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start InspectiotDate Resquested Rough Final Signed underthe Penalties of pe jury: L� Q FIRM NAMEn fLIC. NO.�` G �� � ,�7.G l.L�vJ �y Bus. Tel No. �C f/ �L / —///�, Address. lr aAlt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the- Licenses does not have the Insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Name: Location: Ci Phone # I am a homeowner performing all work myself. n I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Com an name: Address City: Phone #: Insurance Co Policy # compgriv name: Address �— Citv: Phone #: Insurance Co Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.0( and/or one years' imprisonment as well_as_civil,penaltiesin.fhefnrm-ofa STOP WORK_ORDFR..and a fine_of_(.$1AO.DD.)a day.against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin El Building Dept ❑Check'if immediate response is required L] LicensinC, f Boan p Selectman's Of Contact person. Phone A ❑ Health Departrr Other