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Home My WebLink AboutMiscellaneous - 19 BLUEBERRY HILL LANE 4/30/2018 19 BLUEBERRY HILL LANE 210/098.C-0104-0000.0 Date. . .C-!.�... .. ...... TH OF o� TOWN OF,-N , DOVER 41 PERMIT FOR GAS INSTALLATION J! ♦ a SACMUSE� - `� This certifies that . . - . . . . . . has permission for gas installation . ,Z� . . . . . . . . . . . . . . . . in the buildings of /',/ - . 0. . . . . . . . . . . . . . . . . . . . . . . . . at ��. . . . . . . . . . . . . �!Fl . . ., North Andover, Mass. Feed-.` . Lic. No.. . . . . . . . . . GAS INS�,ECTOR Check# 6 Z Z- 6106 -.f 106 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) , Mass. Date ((7' _ Permit # C' Building Location�� b` ¢ wner's Name_ L✓ - x� i� p( Type of Occupancy New I� Renovation p Replacement p Plans Submitted: Yesp No C] (.. y WCC N Y Z Q N Uf U H ¢ N ¢ O N = H W W h ¢ 0 0 6] ►' � = n C7 J ¢. r 4 Y Z Z O }• Cr m Vl H W W O W. C d C < A ccN .W Cr W .� J. z ` = WW 0 0 7 U. V J � W > i Z J W ¢ t ¢ < < O O W a O r M� C W .W Y .&6 a 3 D d J o ¢ Y G 0. 1- C. ° S1�6—f3.StnT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR BTH• FLOOR Installing Compa�y Name—Arn a�S cy C• Check one: Certificate Address M Corporation - � mA QICIS3 0. Partnership Business Telephone:Q99- W9— 353 _ fl Firm/Co. Name of Ucensed,Plumber or,Gas Fitter Ra,01 vv--s 5NSURANCE COVERAGE; ,ghave a current liability.,insurance policy or.its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 10 No U If you have.checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Z Other type of indemnity 0 Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent O Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my. knowledge and thatall plumbing work and install4tions performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts,State.Gas.Code and Chapter 142 of.the Ge^�•�"- - By. T of Ucense: Plumber Signature o Ucensed Plumber or Gas Fitter Title asfitter - i ,►1. ' Master Ucense Number `1 City/Town Journeyman IC S: NL Date. a..7 . . .. v HpRTM 1 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,SSACMUSEt This certifies that . . .. . . . . . . . . . . . . . . . . . . . . d has permission for gas installation in the buildings of . . . n. r.'� . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .�` . .6 T. S s `'. L . . . . . . .., North Andover, Mass. Fee. Lic. No.. . . . . . . .`!.._ `�.�-- . . . . l/GAS INSPECTOR Check# ) p t 'r 5883 ��l�2Cllt l� I aS 6� MASSACHUSETTS UNIFORM APPUCATION :FOR PERMIT TO DO GASFITTING —+--� (P-int.orype) _ -- Mass. to Permit # B ilding Location a Owner's Name Type of Occupancy New El Renovation E� Replacement p Plans Submitted: Yes❑ No ❑ W a!1 Y y cr y ¢ O La 0 v �, a r z. z O F z o W a ¢ ¢, p 0 a z W < y Wa c > a N y t7 U W = y W p _ Cdc Uj W7 H Z J f". _ = W y�j O > LL F' V J (�. W Z a U+ CC W Z. < CL < < O O W C O 1r F ' Suo—d5tril'. '' U. BASEMENT 7$T FLOOR 2ND -FLOOR 3AD FLOOR 4TH FLOOR 5TH.FLOOR 6TH FLoOR.. 7TH FLOOR STH FLOOR. Installing Company Nam _ f Check one: Certificate Address M Corporation.' !] Partnership Business TelephoneC� 8� ' �3� D. Firm/Co. Name of Licensed Plumber or Gas'Fitter V1 AA UC0C_-( — INSURANCE COVERAGE; I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch..142. Yes L No U i. If you have checked yes, please Indicate the type coverage by checking the appropriate box. , A liability insurance policy ID Other type of indemnity 0 BondO E OWNER'S INSURANCE WAIVER: I am aware that the licensee doesnot have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent O Signature of Owner or Owners Agent hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my. knowledge and that:all'plumbing work and installations performed under the-permit.issued for this application will be in compliance with all pertinent provisions of the Massachusetts,State.Gas.Code and Chapter 142 of the General Laws. By. T of License; Plumber Signature of Ucensed Plumber or Gas fitter Title Gasfitter Master License Number Gry/Town Journeyman APP707 (O IC US : NL �— I L15.50 i oI LOT 4 1 I �0 Zp+ 2 ST O It i OF JAMES o RICHARD H KEENAN No.30751 FC/STER�SJQ NA( LANO �A Certification is made to U.S. Bank, N.A. THIS TAPE SURVEY WAS MADE FOR MORTGAGE PURPOSES ONLY. BASED ON MY KNOWLEDGE ANDBELiEF, I CERTIFY THAT THE MORTGAGE PLOT PLAN 'BUILDINGS ARE LOCATED APPROXIMATELY AS SHOWN AND CON: IN FORM TO THE ZONING BY-LAWS (DIMENSIONAL'REQUIREMENTS ONLY)OFTHE NO�TN Ar�poVE�, MASS. OF SCALE: 1 IN. = 50 FT. oc r. 31 20CYD NoRTrF At4b0ggZ MASSACHUSETTS. THE BUILDINGS ARE NOT LOCATED WITHIN A SPECIAL FLOOD KEENAN SURVEY HAZARD AREA AS SHOWN ON FEMA M P NO. 25opgg �D6a 8 Winchester PI., Suite 208 DATEWinchester, Mass. 01890 P S r Date. . . . . . . . r . 1 ti ".O R7:rho TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING $A US i This certifies that . . �K. :- ' . .... ... .`. ?. . . . . . . . . . . . . . has permission to perform . .,-'''?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e plumbing in the buildings of . � °. . .. .� at /9. . . . . . . . . . . . . . .Q.�.. . . . . . .. North Andover, Mass. Fee.!{!�Zi . . .Lic. No.. .n"'�. . . . .. . . . . . . . . . . C PLUMBIZ44PECTOR � U Check N 65 , 6 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date !� J Building Location �Owners Name C(f Permit# Amount Type of Occupancy —�[ /< '� New 0 Renovation Replacement Plans Submitted Yes No FIXTURES 12 12 SLW» BASEWM 1ST FIRM zn mm 3d2 FI1XR 4M HJ" 5M R" 6M FIOCR 7M HJOM 9M FIDCR (Print or type) _ (� Check one: Certificate Installing Company Namey r `( /� �'`� �P` `/ Corp. Address � x. �x''� �'"�^ El Partner. `7't e /r/=1 Co L/ usiness a ep one 0—Firm/Co. Name of Licensed Plumber: t Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner E Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work an tallat s performed nder Permi sued for this kation will be in compliance with all pertinent provisions of the M a uset ate lumbin ode and apter 142 o e General Laws. By: ignature 01 LicensedFullmer Type of Plumbing License Title City/Town kens um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY I Date...... :.........�............... 0, &O oTH s: �o� TOWN OF NORTH ANDOVER . � . PERMIT FOR WIRING , ,SSACHUSE� This certifies that .....`..1 ..... . .......................................... d has permission to perform ...... -........:....................................................... wiring in the building of.... ...................................:1.1:............... ..... at./ .. �''i'7 ' '../"'r;�ibrth Andover,Mass. Fee4k.'..0....... Lic.No.............. ...1.. 7,. ......... ELECTRICAL INSPECTOR Check # �6 U r 5855 i � Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. • ` Occupancy and Fee Checked ' o fir. BOARD OF FIRE PREVENTION REGULATIONS P Y [Rev. 11/991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICA ORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 1 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6-30-2005 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 19 Blueberry Hill Lane Owner or Tenant:David&Maura Deems Telephone No.682-2762 Owner's Address Same Is this permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring in two baths as needed Completion ofthefiollowing table may be waived by the Inspector of Wires. No.of Recessed Fixtures 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets 2 No.of Hot Tubs Generators KVA Above In- o.o mergency Lighting No.of Lighting Fixtures 2 Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones of Detection and No.of Switches 4 No.of Gas Burners No. Initiating Devices No.of RangesNo.of Air Cond. Total No.of Alerting g Devices No.of ' Heat Pump Number Tons KW No.of Self-Contained Waste Disposers Totals: *** ..........." ... ..... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) On File Feb/2006 Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: 7-7-2005 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Kelly M.Casey Signature LIC.NO.: 37200 (If applicable, enter "exempt"in the license number line) Q Bus.Tel.No.: 978-697-4453 Address: 700 Robbins Ave Unit 3 Dracut,Mass 01826 Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $40.00 I Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 510 [Rev. 11/99] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6-30-2005 City or Town of: North Andover To the Inspector of Wires: this.application the undersigned gives notice of his or her intention to perfori rjbe electrical work described below; ' Locahliol (Street&1N'umber)14•Btpel+rerry Hill Lane Owner or Tenant David& Maura Deems Telephone No. 682-2762 Owner's Address Same Is this permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring in two baths as needed Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets 2 No.of Hot TubsGenerators KVA No.-of Lighting Fixtures 2 Swimming Pool Above El E:] -No.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and TotInitiatin Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pum Number Tons KW No.of Self-Contained No.of Waste Disposers Totals "" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Water No.o.of No.of Data Wiring:of Devices or Equivalent n Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) On File Feb/2006 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 7-7-2005 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Kelly M.Casey Signature _ LIC.NO.: 37200 (If applicable, enter "exempt"in the license number line) Bus. Tel.No.: 978-697-4453 Address: 700 Robbins Ave Unit 3 Dracut Mass 01826 Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ Owner/Agent owner's agent. Signature Telephone No. PERMIT FEF_: $40.00 P17� y �PY o� Location r9 No. .Qd O ef Date NORTH TOWN OF NORTH ANDOVER 3? ' 6 oc Certificate of Occupancy $ cNusEBuilding/Frame Permit Fee $ Foundation Permit Fee $ 'k Other Permit Fee $ TOTAL $ y� Check #-23 d G, 18350 � - /,/'Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIJ RENOVATE, OR DEMQLISU A ONE OR TWO FAMILY DWELLING. T BUILDING PERMIT NUMB ER: Q DATE ISSUED: _ _ �- M lJ SIGNATURE: Building Commissioner/I ctor of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O Or 0 98 a Map Number Parcel Nufnber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dista Proposed Use Lot Areas F,-t, R 1.6 BUILDING SETBACKS ft Front Yard. Side Yard Rear Yard Required Provide Required Provided R aired Provided Q 1.3. Flood Zone Information: 1.8' Sew e 1 S 1.7 Water SnpptylN.G.L.C.40. Sa) � �� Ytem:s Public D Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal Sy6tem. 0 J SECTION 2 w PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record G � L�12. at ✓f a�(� � t 1 Marne(Print) Address for Service - G8Z - %signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Si nature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number _Address Expiration Date 3 to Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Q Company Name r Registration Number tm.. Address Q ? -/ ?' o O ' 2-16 1 Expiration Date re Telephone SECTION 4-WORKERS CpMPENSATION MG.L C 152 § 25c(6) , Workers Compensation Insurance affidavit must be completed and submitted•with ibis,application. Failure to provide this affidavit will result in the denial of the issuance of the buildin rniit. Si ned affidavit Attached Yes....... IN 0v SECTION 5 Descri tion of pro osed Work checkall a ]icab]e New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ " Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cos (Dollar)to be I. Building Com leted!?L 2errnit applicant Q op (a) Building Permit Fee 2 Electrical Multi lier (b) Estimated Total-Cost of 3 Plumbin Construction 4 Mechanical HVAC Building Permit fee tial x.tbl 5 Fire Protection 6 Total 1+2+3+4+5 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETbet ED HEN W OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize as Owner/Authorized Agent of subject property My behalf,iii all matters relative to work authorized by this building permit application. to act on Si nature of Owner SECTION 76OWNER/AUTHORIZED AGENT DECLARATION Date property ,aAuthorized Agent of subject Hereby declare that the statements and information on the foregoing application are true and accurate,to the best ofm and belief_ y knowlede g Prin e ii ire of er/A ent. Z'6 ' a Date 70..OF STORIES ,t :ASEMENT OR SLAB SIZE IZE OF FLOOR TINIBERS 1.. PAN 2 3 r RVIENSIONS OF SILLS MF,NSIONS OF POSTS VI NMIONS OF GIRDERS �IGFIT OF FOUNDATION THICKNESS ?E OF FOOTING X 'aTF.RLAL OF CFRMNEy BUILDING ON SOLID OR FILLED LAND 3UIL.DING CONNECTED TO.NATURAL GAS LINE NORTH Town of : Andover No. Poo -_ T �O LAKE - dove , Mass., cOch 1f..",CK y1. x,95 RATED PP� ,�5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... y............ ...............................&Z" Foundation tq has permission to erect.... ................ .................. buildings on.17 .............................. ...... . ................... Rough to be occupied as....... r! Cal Chimney ......... ................... ........................................................... .. provided that the person accepting this permit shall in every respect con 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO S ELECTRICAL INSPECTOR Rough �T ............................................................ ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises Rough Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. ? BOARD OF BUILDING REGULATION$ 1R, —". License: CONSTRUCTION SUPERVISOR j Number 3CS 058245 ; Birthdate 03 •/24/1943 Expifes 03/24!2006 Tr.no: 21031 Restrig04l 00_ KENNETH B KEEN'.. ' s AVE 21 HEWITT N ANDOVER, MA 01845- Acting C mis. over Board of lwldmg.;Regulations and Standards ` HOME iMP OV,EMENT CONTRACTi?R x { F,. Registratn\ 108383 _ t Exp at--�ftlM1,8j2006 j�. 1=� i E KEEN CONSTRIfTIONiCO J x Kenneth Keen l 21 Hewitt Ave' No.Andover,MA 01,845 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents ,• �� _� 'l: Oiiiceof/n�estigalions . . 'i� ' 600 Washington Street . Boston,Mass. 02111 I .Workers' Compensation Insurance Affidavit ' `" 1t"�"can' in arni�afiori �, ease,;yTt name K !!�f V E 6, location: 7i 1 Ilew I 67 //o e— city y£K hone# / 72 6I?V.S Z.O fJ 1 am a homeowner performing all work myself. E�,l am a sole proprietor and have no one working in any capacity r-� I am an employer providing workers' compensation for my employees working on this job. any na e• . , :; address: city: phone# . . : sur1nce co. poftcv# I am a sole proprietor, general contractor or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: co m p in.y name. address. inimanice co he # company name: address. S1tY phone# insurance co RO�ICV# attfdlh�msecure al�he,,ef�i"f,�,ne�cssar Failure to coverage as rc`quired under Section 25A ofMGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form 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 DIA for coverage verification. I do hereby certify under the ns and penalties of perjury that the information provided above is true and correct. Signature Date N � Z � 'OcS Print name >!� /`i i.t�i ..?7 �" C$� _.._ ._. .._._. --. � Phone#�' Y .' 69 official use only do not write in this area to be completed by city or town official city or town: per # nl3uilding Department . ❑Licensing Board` '—`"" C3check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; Other (revf:ad 3195 PIA) T ` I ' North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: A•JC sC i E6 i' �'�a-f•R N �w SE t�- y ; ,c c (Location of Facility) ' Signature of Fermit Applicant Date • Demolition permit from the Town of North Andover must be obtained for NOTE. this project through the Office of the Building Inspector KEEN CONSTRUCTION CO. 21. HEWITT AVE. N.ANDOVER, M'iA. 01845 (978) 691-5201 i Deems, Maura& David 19 Blueberry Hill Ln. N. Andover, MA 0 1.845 (978) 682-2762 Boys& Master Bath Remodel Contract# 1550; Appendix A Date:6/24/05 • Demo both bathrooms to studs (including all bath fixtures) & remove debris • Frame closet in master bath to accommodate 6' tub as per conversation with customer • Re-wire electrical outlets, switching, lighting and fans as necessary to code ($2800.00 allowance) • Re-plumb pipes as necessary • Supply& install R-13 insulation& vapor barrier in exterior walls • Supply& install blueboard on all walls& ceiling in both rooms • Skimcoat plaster walls to smooth finish& ceiling to textured (?)finish • Supply& install plumbing fixtures, vanities, vanity tops, and light/fan/heat combinations as selected from Peabody Supply ® Supply& install two recessed ceiling lights in boys bath • Supply& install light/faiz/heat combination fixtures in both baths • Supply & install outlets & switching to code • Supply& install casing on doors, windows& base to match existing • Supply& install new sheetmetal on existing baseboard heat • Paint walls& trim (2 coat finish, 2 neutral colors) • Supply& install ceramic tile as selected from National Tile on floors and bath area in both baths Price does not include cost of permits, new windows or any extra electrical work ($2800.00 allowance). Dumpster will remain on property until work is complete. Total.Price:$43,489.00 (forty three thousand four hundred eighty nine dollars) 1 q7.. KEEN CONSTRUCTION CO. 21. HEWITT AVE. N. ANDOVER, MA 41845 (978) 691-5201 Payment Schedule:$15,000.00 due upon signing contract $3500.00 due the first day of work $2000.00 due when demo of boys bath.is complete $2000.00 due when boys bath is blueboarded $3500.00 due when available fixtures and tile is installed in boys bath $2000.00 due when demo of master bath is complete $2000.00 due when master bath is blueboarded $3500.00 due when available fixtures& the is installed in master bath $5000.00 due when boys bath is complete except paint Nt $3500.00 due when master bath is complete except paint $1.489.00 due when contracted work is complete stomer Kelm fh B. Keen Dat Date 2 KEEN CONSTRUCTION CO. a 21 HEWITT AVENUE rROPOSAL NORTH ANDOVER. MA 01845 Tel: (978) 691-5201 All home improvement contractors and subcontractors engaged in home improvement contracting, unless Fax: (978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted t " To. �C'.i'.h �__ ..... �_t`._'?._ -._ 1 t -?_ 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 , (t C f1 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. 1 '7 ! ( !. i( _ . - — 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: -- J > Construction related permits:11p ! y� i.�;` 111 f�,........�L.......-�� t...,�.. _ !C: t k........_'.{ ..�._ .,'..!_S...y� .....��:�e,. L......... r��:_t,.'..' ................................. _E.............. ................... C:...`. .,�........,........................... ( _ ...............4',.`.`;. i....:'. ..{......... .e'.: i._. ....,...._ ,,,X..4 ..t..._ :.1........................................... WORK SCHEDULE Contract r will n,pt be in e work or order the materials before the third day following the signing of this Agreement,unless specified here in writ ng. Contractor will begin the work on or about l (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 4PL, 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 �U� �r 1 t� fC� I._..0}U C- t1t?�1C�y ' yf< 6`1� / 1� Y 3 , Payment to Be made as follows: 1 , I dollars($ 1 r 6'0 ), ($ ) upon signing Contract; (� KENNETH B. KEEN Name of Contractor/Designated Registrant % ($ ) upon com letion,of �SfJ[\ 21 HEWITT AVE. Street Address ti N. ANDOVER ($ o p etion of , MA 01845 C,ty/Slate s A 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-8hall'require a _ >down payment(advance deposit)of more than one-third of the total contract price Name of sal man 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 Ao ho e, gna re( equipment,whichever amount IS greater. Note: This proposal may be wandra usif not accepted within days. 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. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature L //{.CSL,C-`� i it =�-'�'�i"L-"- Date ` v Signature Date IMPORTANT INFORMATION ON BACK 101-