HomeMy WebLinkAboutMiscellaneous - 47 KINGSTON STREET 4/30/2018 47 KINGSTON STREET
210/023.0-0004-0110.N
Date......... .....................
NORTH
0 0
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
US
/�/I!� '
This certifies that ........................................................
'Ik 0 1 ...—**--******--*****
has permission to perform ............
wiring in the building of...... ..............................................
................ ........ North Andover,Mass.
Fee'-�............ Lic. . ......... .. ...... ......
ELECTRICAL
Check #
8176
l,ommonwealth of M7amac4uJetb Official Use Only
eCJePartment ol.}ire�ervice� Permit No.
R Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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: -VI-7f
City or Town of:#4 Andover To the Inspector of Wires:
By this application the undersigned gives notice of his gr her intention to perform the electrical work described below.
Location(Street&Number) 14
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunct' n with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building YE aid 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: 164L)(tel
i
Completion of thefollowing table may be waived by the Inspector of Wires.
-• No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
s No.of Luminaire Outlets Z. No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency ig mg
rnd. rnd. Battery Units
No.of Receptacle Outlets `j No.of Oil Burners FIRE ALARMS No.of Zones
No. of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
�1 Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers Totals: Detection/Alerting Devices
No.of Dishwashers S ace/Area Heating KW Local❑ Municipal El Other
p g Connection
No.of D ers Heating Appliances Kms, Security Systems:*
DryNo.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
y g No.of Devices or Equivalent
OTHER:
! Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Ylectrical Work: (When required by municipal policy.)
Work to Start: & Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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 cover is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 17o4G*e/le<c
I certify,tinder the pai ll penalti �S o perjury,that the tnforrm tion on this application is true and complete.
FIRM NAME: �b(i -e T_h(( LIC.NO., �
Licensee: 7 J ejD be" •� A Signature LIC.NO.:
(If applicable, ex int a license number e. Bus.Tel.No.:
Address: I l c 1 ��� Alt.Tel.No.:�
*Per M.G.L. c. 147,s. 57-61,security w k requires Department of Public Safety"S"License: Lic.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 PERMIT FEE: $ o�
Signature Telephone No.
Date.
r
HORTM, TOWN OF NORTH ANDOVER
0
PERMIT F`p
R P
O LUMBING
...w 1SSACHUS�
This certifies that . . . � �''.�. .`' . . � ..� . . . . . . . . . . . . . . . .
has permission to perform . . . .T.`.t .� . .. . . . . . . . . . . . . . . . . . .
plumbing in the buildings of /7.( `t. . '. . . . . . . . . . . . . .
at. . .'L/ .. , , . . . . . . . , North Andover, Mass.
Fee. 3 Lic. No.f .L.? I . . . . . . . . . . . .. . ...``.' --
PLUMBING INSPECTOR
Check # r�i Y
7752
MASSACHUSETTS UNIFORM APP KATION FOR PERMIT TO DO PLUMBING
(Print or Type
Date J 20 Receipt# _ Permit#
;r Building Location LA JK�w S�4 Owner's Name
Map: Lot: e: Type of Occupancy .✓�
New ❑ Renovation Replacement❑ Plans Submitted: Yes❑ NoLp/'
FIXTURES
Fee:
2 N Z
N Z Y a
H V1 w U)W _jO Z �- V1
LU W
W Z N J (nQ V Z OMMM
J N - U) N W U) H V W 'n Y Q N LL - 0. Q X
, m N = Q M M Q
V Z W ¢ F• U1 Z O Q N L• Q 0_ ¢ O LL
Q Q
W Q Uf Q W y Q J = C C
LL D
WV Q 2 3 >'—_ O Z = �' Y Q. O ~ Z Y Q W W Y W
~ > s- O Uf ur U3 Z O O N — = W O U 2
O Q J J Q ¢ ¢ x Q O Q t-
Y LL f.7 C G Q D: m O
SUa ate ., _
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
.w
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
r
Installing Company Nameheckone: Certificate
Address - '111111$$$$$$ Corporation 0
EstimateValueof Work: ❑ Partnership
Business Telephone' Did ❑ Firm/Co.
Nameof Licensed Plumber or Gas Fitter
INSURANCE COVE E:
I have a cu
rr nt bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity ❑ Bond ❑
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.
Checkone:
Owner Agent❑
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 that all plumbing work and installations performed underthe permit issued r this application will be in compliance with
all pertinent provisions of the Massachusetts State Plumbing Code a7Cha,,r 1 f eral Laws.
By
Signature of Li sed Plumber
Title
Type of License: Master. Journeyman ❑
City/Town r-11 1,
APPROVED (OFFICE USE ONLY) License Number �+
Reased 05/17/00
Date.67/::f/- k .
,°ORT/,
3? °` TOWN OF NORTH ANDOVER
• - PERMIT FOR GAS INSTALLATION
9SSACMUSEt
This certifies that . . . .0.�.'. . . . . G. . . . . . .. . . . . . . . . . . . . . .
has permission for gas installation . . .�9. . . . . . . . . . . . . .
in the buildings of . . .. . f
at ,North Andover, Mass.
Fee. Lic. No.. . . ..
GAS� INSPECTOR
Check#
6442
i
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
.�,.�u ti
Date (�` — Receipt# Permit#
Building Location Owner's Name \
Map: Lot: one: Type of Occupancy
Ul
/
New C3Renovatio6Replacement❑ Plans Submitted: Yes❑ Nd.—�
Fee: y Cn
Y W y
0: N
N y y (� _ � C
W G y = 0 C (n = 1-
ts W Q O U S y
2 J y W F- > m = H
4 O W 4 ¢ ¢ z O Z w
Q m y 1- W W 6 ¢ 4
y ¢ (� W 4 S 2 d) O W
W W Ml y 2 V W y W < Q � c ', _
_ 4 S ¢ 0: O ¢ W W U y
CS F 2 r = .H W W O a LL r W -� W
Z 4 W � 4 C � t- > y m Z O = C O y =
4 W > i W 2 4 ¢ 4 4 O O W _ O W
Q 2 O 0 Y LL n 3 O 0 J U M > O a. F- O
SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
6TH FLOOR
Installing CompanyLAame 1 Ink one: ificate
Address P!C' �'1AUJ Corporation
Estimate Value of Work: ❑ Partnership
Business Telephone AN- 3 1 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter S�/D
INSURANCE COVE GE:
I hava a curr nt I' bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No O
if you have ch ked des, pleas indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity ❑ Bond ❑
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:
Owner AgentO
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 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 Tyrasfitter
cense:
mber Signature of Li ed ber or Gas Fitter
Title
ster license Numberug
City/Town rneyman
APPROVED (OFFICE USE ONLY)
RvAwd 05,17100
Property Management of Andover, Inc.
P.O. Box 488, Andover, MA 01810
James M.Toscano,PCAM Office: (978)683-4101
President Facsimile:(978)686-4664
November 16, 2007
Town of North Andover
Building Department
North Andover,MA 01845
Re: Basement—Unit#47 Kingston Street
To Whom It May Concern:
Please be advised; The Board of Trustees and Management Company are aware of the work that
will take place to convert the unfinished basement to a home office at 47 Kingston Street, at
Village Green Condominiums.
Unit Owners are required to obtain proper permits from the Town of North Andover regarding
any electrical, plumbing or building work.
Please let me know if you require any further information.
S inc4eo
Elamano
Property Manager for
Village Green Condominiums
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained
Roofing, Siding,, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
i
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
I
The Commonwealth of Altissaehisseits
- , - 1?F:l)!lr,—lt?tit of liitltistrial Acc°itic!itts
t -
Gl��
Office of hivest�gatlo"S
} -
:.. 600 Mishing-ton S'ti'cet
�
=_ 13astoli, AM 0?]]l
11l1rYtt.MaSSAY0 v1 id
WorlcCI-S, Coll]pensatiou Insurance Affidavit: Builders/C.ontractors/Electricians/1'lttuyi1_-)eI's
Applicant Information - Please Print -1-egibly
Na711C (Business/Orfanization/Lndividual : � I� �Qhc)UAV
_—. —
Address: _(-v�'t 5 KO7�ej�7� �1�.- - ----_ ------ -.- --------------city/state/zip: �Inc�_o>, e_v_ �/ _o_(_� tC>_. Phone #:
Arc you an employer?.Check the appropriate box: --� Type of project(required) -- -
1.( I am a employer with _ 4. L] I am a gerieral contractor and I 6. ❑ New constntctioii
y have fired the sub-contractors
employees (fill] and/or part-time). 7. N Remodeling j
2. 0 1 am a sole proprietor or partner- , listed on the attacked sheet. t �
ship and have no employees These sub-contractors leave _ 8. ❑ Demolition
working for me ill any capacity. workers' comp. insurance. y. ❑ Building addition
No workers' comp. insurance 5. ❑ We are a corporation and its
10F] Electrical repairs or- addit"iolls
required.] officers have exercised their
3. ❑ 1. gun a homeowner doing all�trork right of exemption per MGL 11.❑ Plumbing repairs or additions
rinyself. [No workers' camp. c. 152, §1(4), and we have no 12.[:] Roof repairs
i No workers'
'insurance required.} employees.to eep Y � ' l f3.❑ Otlter_ �
a7mp. insurance required.) -- -_- ------------
*Any applicant that checks box Ill must also fill out the section belovv shoving their workers'compensation policy information:
t lloutcowncrs who submit this affidavit indicating they an.doing all work and then hire outside contractors must submit a new atTidnvit indicating such-
lC•onunclon,that check this box nmsi attached an additional sheet showing the name of Clic sulrcontructors and their workers'comp.policy inti71-1-11tition.
I(lull an crl/ipJor eI"that IS JII'OI'1(Jll1g it 01"JCL'PS'CUI11penSatloll lllSni"(I71ee for Illy Lmjdoyees. Below is the,police(lull fol site
information. FF
Insurance Cornpauy Name:
Policy It or Self-ins- Lic. fl:_W C X0.4 6ol��__�-- ----_---F.",X riiatiou Date: 0 �
job Site i>`cress:_—_ t� e n `�' City/state/zip,—_�)CJ'h �-
Attach a copy of the workers' compensation policy declaration page(shovving the policy number' and expiration date).
I.'ailure. to secure coverage as required under Section 25A ofMGL e. 152 can lead to t'he imposition of did uialpenalt�ies of a
(ble up to$1,500.00 and/or one-year Ill prisoutrrell t, as well as civil penalties in ill, form of a STOP WORK 0RDI::R stud a fine.
7 t li vi later: Beadvised that a copy of this statement may be forwarded to the Office of
(]f u n to x.__50.00 ;;t da ,tt an 5t t e o 0
l Y ..> l � Y
InvestiE;ations of tine DIA: for insu arre,e covcmge verification.
I do herebp certif i'under the pains and penalties of peljmy that the ilr_f'ovnlntion pi-ovided above is true and cot-rect.
Phone
i ^OfficirrJ use ollJt'• Do not rrl•rte 111 this area, to be completed Gy citv.or town official. ------------------��
I
city or Town: ------ - Permit/License ll_ ----�-
Issuincy Authority (circle:one):
1. Board of Ilealth 2. I3ttilding Department 3. Cityrrown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
It
nformation and Instructions
MaSsaehltsetts General taws chapter 152 requires all cmpklyers to provide workers' Coll pensation for their employees.
Pursuantto this statute, an emplo►�ee is defined as "...every person in the service ofanother under any contract of'lrirc,
uxpruss or implied, will or written."
An em7)loyer is defined as"an individual, partnership, association, corporation 6r other legal-entity, or£lily two or more
of tlic foregoing engaged ill<!joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee ofan individual, partnership, association or Wild], legal entity, employing employees. However the
ownfl.of"ll dwelling hoose (laving, not nnnic than three apartnents and who resides therein, or tate occupant of the:
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling;house
Of-on tile grounds or building appurtenai.t thereto shall not because of such employment be deemed to be an errl.lrloycr."
MG1.,chapter 152, §s'25C(6)also states that"every state or local liceusiug agency shall withhold the issuance or•
reruewal of.l license or permit to operate a business or to construct buildings in tile commonwealth for• any
applicant who has not produced acceptable evidence olcompliance with the insurance coverage requirecL"
Additionally, MGL chapter 152, 525C(7) states"Neither the conunonwealth nor any of its political subdivisions shall
enter into any contract for the pe:rlormance of public work until acceptable evidence of compliance with elle insuz'allce
MILlil-CD'I nts of this chapter havebeen presented to the contracting authority."
.Applicants -
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary supply sub-contractors) name(s), add.ress(es) and phone number(s) along with their certificates) of
insu..rance. .Li-mited Liability Companies (LLC) or Limited Liability Partnerships(LLP) with no employees:other- than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LL.P(toes have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of In
Accidents '.for confinnation of insurance coverage. Also be sure to sign and date the at7idavit. 'Flic affidavit should
be returned to the city or town that the application fur the'permit or license is being requested, not ell(:Department'of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
conipe-usation policy,please call the Department at the number listed below. Self-insured companies should enter their
self=insurance license nu.nther on the appropriate line.
City or Town Officials
Please be sure chat the afficlavit is complete nr!d printed legibly_ The Department has provided a space at the bottom
of the: affidavit for you to till out in the event the Office oCluvestigatiolls has to contact you regarding the applicant.
Please be sure to 1-111 ill rile permit/license number which will be used as a reference number. In addition, an applicant
HI'lt must sl.lbrnit rmllt!pi;,'pe!i]ZtIJI.Censc applications in any given year,heed OI11V sn.bnllt one affidavit 1ndlCatrrlg current
policy information(if necessary)and under "Job Site Address" the applicant should write"all locations in __(city or
town)." A. copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
'(,plical(,ls prooflh.!t a valid affidavit is on file for future permits or licenses. A new affidavit mast:be tilled out each
ye;al. wll(:Iu a holnc uw!.lcr ul citizen is obtaiuirlg a license or permit not related to any business or commercial venture
(Le. a clog license.or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give its a call.
'file° Dcpt,rtnent's acklress, telephone and fax number:The Conunonwealdi of Massachusetts
Department of Industrial. Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 4066r 1-877-MASSAFE
'evised 5-26-OS
F'ax # 617-727-7749
w-ww.auass.gov/dia
NORTH
0 o
f - JF
over
No. 70
0 '*_ o '� dover, Mass., Q
.COCHICHEWICK V
�7S RATED
7 4 BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING.INSPECTOR
THIS CERTIFIES THAT.........� C h h s
........................ ............................ ....�... ,rr"... ..... ........................ .................. Foundation
•
has permission to ereq..1
........................................ buildings on ... ........�..l.l!4.�.. .1A............ 0.......... Rouhh
to be occupied as Chimney
d. ............. �... ...... .
provided that the person accepting this permit A in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS I
S ARTS
Rough
.... Service
BUILDING INSPEC R
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
ACORD CERTIFICATE OF LIABILITY INSURANCE DAT0318/20008
TM.
PRODUCER Phone: (978)475-0400 Fax: (978)475-2171 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
THE HOWE INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4 PUNCHARD AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ANDOVER MA 01810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: National G, nge;Mutual
RED APPLE RENOVATIONS INC INSURER B: Granite&0619rsuanc�Compan
32 WASHINGTON AVENUE r
ANDOVER MA 01810 INSURER C: Commerce Insurance Co. °
INSURER D: Commerce Insurance Co`""_=ter
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'NSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR INSR DATE MM/DDNY DATE MM/DD/YY LIMITS
GENERAL LIABILITY MPS76268 03/25/08 03/25/09 EACH OCCURRENCE $ 1,000,00(
X COMMERCIAL GENERAL LIABILITY DAMAGE TQ RENTED g 600,00(
PREMISES I.OcCurer
CLAIMS MADE FX OCCUR MED.EXP(Any one person) Is 10,00(
A PERSONAL&ADV INJURY $ 1,000,00(
GENERAL AGGREGATE $ 2,000,00(
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,00(
POLICY PRO-
RO LOC
JECT
AUTOMOBILE LIABILITY MMHHH724 10/13/07 10/13/08 COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $ 250,000
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) $ 260,000
D X HIRED AUTOS BODILY
X NON-OWNED AUTOS (Per accident) $ 500,000
PROPERTY DAMAGE $ 100,000
(Per accident
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION$ TATU $
WC
WORKERS COMPENSATION AND WC8746188 06/08/07 06/08/08 i TORY DM'rs OTHER
EMPLOYERS'LIABILITY
EACH ACCIDENT L. $
B ANY PROPRIETOR/PARTNER/EXECUTIVE E. 100,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SERVICEMAGIC INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
14023 DENVER WEST PARKWAY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE
BUILDING 64,SUITE 200 TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
GOLDEN,CO 80401 ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
I
Attention: 866-280-9621 Christine J.Grange
ACORD 26(2001/08) Certificate# 4208 0 ACORD CORPORATION 1988
j
RED APPLE
RENOVATIONS _
Ji.r»lr� r� r�rt�cl��lir�,�;��rr,�rr.rsirr��r�1.4
Construction Contract
This construction contract (the "Contract"), dated May 10, 2008 is by and between the
following homeowner(s) and contractor: .
Homeowner(s): Jennifer Recklet & Davide Tassi
Property address 47 Kingston Street
City, State, Zip North Andover, MA 01810
Contractor: Red Apple Renovations, Inc.
Representative: Chris Matey, President
Street 9 Bartlet Street, #332
Andover, MA 01810
Telephone 978.409.1293
Federal Identification Number: 56-2309042
Massachusetts License Numbers:
Construction Supervisor CS 083511
Home Improvement 138132
1. GENERAL
In consideration of the mutual promises contained herein, Contractor agrees to perform the
following work: furnish all labor, materials, tools, equipment, and supervision to construct
or renovate the Homeowner's residence according to this Contract and the following
documents (collectively with this Contract, the "Contract Documents"). The project is
generally described as remodel kitchen (the "Project").
The Contract consists of this document, Exhibit I - General Conditions, and Exhibit II - the
Project.
Change orders and modifications shall be in writing and shall become part of this Contract.
2. PRICE
The total projected price for the work agreed upon is 29 350. Payment term
9 p s are set
$ out
Y
below in Paragraph 6.
co PY
1
3. STARTING AND SUBSTANTIAL COMPLETION PROVISIONS
The work will begin on or about . The work will be substantially
completed on or about . This project, once construction starts, is
estimated to take to complete (exclusive of any punch list items). This time
estimate, as well as the projected start date, is dependent upon some or all of the following
variables:
• Weather
• Delays in the availability of materials required for the project.
• Condition of materials once delivered to worksite.
• Unforeseen conditions arising in the course of the project
• Other delays as outlined in Section 3 Exhibit I of the contract.
4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP
a. This Contract will be completed by the Contractor in a good and workmanlike
manner, usin quality g good q a ty materials.
b. If applicable, h
pp , t e Contract price includes the allowances listed in the Contract Details
Section.
S. EXPIRATION OF THIS CONTRACT
This Contract will expire thirty (30) days after the date first written above if not accepted in
writing by Homeowner and returned to Contractor within that time.
6. PAYMENT
a. Timely payment by the Homeowner of all sums due under this Contract is of the
essence to this Contract. The parties agree to the following schedule of payments:
1. Initial payment: $11,500 ($5,000 credited from earlier deposit) (due at
time of Contract signing).
2. Progress payments:
The Homeowner will be billed weekly for the work completed through the end
of that week. The deposit paid by the Homeowner will be applied to the final
invoice.
Demolition Complete 2,000
Rough Electrical Complete 2,000
Cabinets Installed 2,000
Kitchen Flooring Installed 2,000
Basement Stairs Complete 1,000
Basement Laundry Sink Complete 1,500
Kitchen Finish Electrical Complete 1,750
Basement Finish Electrical Complete 1,000
Countertop Installed 1,000
Finish Plumbing Complete 1,000
Painting Complete 1,350
3. Final payment: $1,250 Due at the completion of the project.
The Contractor shall provide the Homeowner with his own waiver or cumulative
subcontractors' waivers equal to the amount paid for any progress payment.
b. The billingschedule is for the e convenience of the homeowner and does not reflect
the percentage of effort or actual work expended at the time of the payment. If for
any reason the project should be discontinued during the construction process, the
client will be for the actual work completed to date.
c. The Contractor may cease operations if the Homeowner as required herein does not
make any progress payment, and proceed to collect any balance due with any legal
remedy. Alternatively, the Contractor may continue operations, as set forth in the
attached.
2
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7. SIGNATURE
Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of
the parties to this Contract. The parties are further subject to the laws of Massachusetts
governing contracts and mechanics' liens, and acknowledge the right of the Contractor to
place a lien or security interest on the property of the Homeowner.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this
day of , 20
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Homeowner(s) Je-- �kft Contractor
Homeowner(s)
The Homeowner may cancel this Contract if it has been signed by the Homeowner at a place
other than the office of the Contractor, provided that the Homeowner notifies the Contractor
in writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later
than the midnight of the third business day following the signing of the Contract. See
attached Notice of Cancellation for further explanation of this right.
3
EXHIBIT I
GENERAL CONDITIONS
These General Conditions are part of the Contract between Jennifer Recklet & Davide Tassi
("Homeowner") and Red Apple Renovations, Inc. ("Contractor") for work at 47 Kingston
Street, North Andover, MA 01845, dated May 10, 2008.
1. CONTRACTOR'S DUTIES — GENERAL
a. To direct and control the work contracted for in accordance with the terms of this
Contract and all applicable codes, laws, and regulations, and as the building permits,
If any, issued for this project require.
b. To inspect the site, examine the plans and specifications if an and supervise p ervis
e all of
Contractor's employees, and to direct the work of all subcontractors selected by
Contractor.
c. To maintain the work site in a safe and clean condition, to the extent consistent with
the Contract. The worksite will be left in a "broom clean" condition.
d. To advise the Homeownerrom tl if
p p y concealed conditions are ascertained which
require additional
or different work, and to proceed in such event in accordance with
this agreement.
2. HOMEOWNER'S DUTIES — GENERAL
a. To provide adequate utilities for the work agreed upon.
b.' To advise the Contractor of any condition of the property which affects Contractor's
ability to perform.
c. To provide secure storage areas for materials delivered to the work site.
d. To execute in a timely manner all permit applications and other documents
necessary for the work to proceed.
e. To perform no work on the project without a written agreement with the Contractor.
f. To avoid interfering with workers.
g. To make no agreements with any tradesperson, subcontractor, or Contractor's
employee outside the scope of this Contract without the written consent of the
Contractor.
3. DELAY
Contractor shall not be responsible for delays caused by events beyond the control of
the Contractor, including but not limited to: strikes, war, acts of God, riots,
governmental regulations and restrictions. Delays caused by Homeowner's failure to
make allowance materials' selections or caused by the performance by Contractor of
additional or necessary work shall likewise be excusable delays.
4
4. PERMITS
The contract will obtain the following permits:
North Andover Building Permit
It is the obligation of the Contractor to secure such permits as the Homeowner's agent.
Note: if the Homeowner secures its own permits or deals with unregistered contractors,
the Homeowner is excluded from the Guaranty Fund provisions of MGL. c. 142A.
S. PREFERRED VENDOR CLAUSE
Except where expressly permitted, all material and fixtures will be purchased by Red
Apple Renovations. This is done to ensure that all materials are of the highest quality
and that the vendors offer good customer support. If, for some reason, materials for the
project are not purchased by Red Apple Renovations, the following conditions apply:
a. Red Apple may at its discretion charge a handlingfee to supervise the installation
p ton
and coordination of these materials
b. Any and all materials not purchased by Red Apple are
excluded from the protect
warranty.
6. INSURANCE
Contractor agrees to maintain all necessary forms of insurance to protect the
Homeowner from liability for any occurrence arising from the performance of this
Contract. Contractor agrees that he shall cover his own employees for worker's
compensation and carry general liability, and that all forms of insurance carried
hereunder shall be with reputable companies licensed to do business in this state.
Homeowner agrees to carry full coverage on the subject property covering Homeowner's
risk of loss during the, construction period, together with all special forms required by
reason of the performance of this Contract. Specifically, Homeowner shall contact
Homeowner's insurance agent and secure any necessary Builder's risk coverage prior to
the commencement of the work.
7. HIDDEN, CONCEALED and UNFORESEEABLE CONDITIONS
The parties agree that in the event Contractor discovers a condition requiring an extra
cost that they shall proceed as follows: The Contractor shall notify the Homeowner
verbally at once to expedite agreement as to the charge to correct or cure such
condition, and provide a written estimate as soon as practicable. The parties must agree
to such extra charges, or agree to a resolution method, or this Contract may be canceled
by either of them.
For purposes of this section, a "hidden, concealed and unforeseeable condition" shall
mean a condition not readily J
observable to a prudent contractor inspectingthe subject
property for the purpose of performing this Contract.
S. WASTE REMOVAL CONTAINERS
Due to the rules of the Condominium association, no dumpster will be on site. All debris
will be hauled offsite at the end of the day.
9. ADDITIONAL WORK
Any additional work or materials desired by the Homeowner shall be agreed upon in
writing and such extras shall become a part of this Contract. Unless otherwise agreed,.
any additional work shall be paid for as performed. Failure of the Homeowner to sign a
change order shall not preclude recovery for same by Contractor, and acceptance of said
additional work or materials shall be presumed, unless there is written notice to the
contrary.
5
Contractor shall advise Homeowner at the time of agreement on any additional work as
to any additional time required to perform this Contract.
10. TERMINATION and CANCELLATION
Contractor shall have the right to stop all work on the project and keep the job idle if
payments are not made to Contractor in accordance with the payment schedule set forth
above, or if Homeowner repeatedly fails or refuses to furnish Contractor with access to
the job site or product selections or information necessary for the advancement of the
work. Simultaneous with stopping work on the project, Contractor shall give Homeowner
written notice of the nature of Homeowner's default.
If work is stopped due to any of the above reasons (or for any other.material breach of
Contract by Homeowner) for a period of seven (7) days after notice, and the
Homeowner has failed to cure the default, then Contractor may, without prejudicing any
other remedies Contractor may have, give written notice of termination of the Contract
to Homeowner and demand payment for all completed work and materials ordered
through the date of work stoppage, and any other loss sustained by Contractor,
including the balance of the Contract. Thereafter, Contractor is relieved from all other
contractual duties. Upon such termination, the Contractor shall have all remedies
provided by law, including such lien rights as then apply.
The Homeowner may terminate this Contract upon the following conditions:
a. Any other failure to perform this Contract required by the terms of this Contract.
b. No termination shall be effective unless 10 days notice of Homeowner's intent are
given as provided below, during which time the default may be cured by the
Contractor.
11. DISPUTE RESOLUTION AND ATTORNEYS' FEES
a. Dispute Resolution. The Contractor and the Homeowner hereby mutually agree in
advance that in the event that the Contractor has a dispute concerning this contract,
the Contractor may submit such dispute to a private arbitration service which has
been approved by the Office of Consumer Affairs and Business Regulation and the
consumer shall be required to submit to such arbitration as provided in M.G.L. c.
142A.
Contractor:
� r
Homeowner: �1
Homeowner: _
NOTICE: The signatures of the parties above apply only to the agreement of the parties
to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate
alternative dispute resolution even where this section is not signed separately by the
parties.
b. Small Claims Court. Any controversy or claim arising out of or related to this
Contract involving an amount of less than $2,500.00 (or the maximum limit of the
court) must be heard in the Small Claims Division of the District Court in Essex
County.
c. Attorneys' Fees. In the event of any litigation between the parties relating to this
Contract, the party against whom any adverse final judgment is entered (as
specifically determined by the Court), following the expiration or exhaustion of all
appeals shall reimburse the otherart f
such
p Y or party's costs and expenses
6
(including, without limitation, all reasonable attorneys' fees, expenses and
disbursements) of such litigation.
d. Inquiries Regarding Contractor. All home improvement contractors and
subcontractors shall be registered and that any inquiries regarding a contractor or
subcontractor relating to a registration should be directed to:
Registration Division, Program Coordinator
One Ashburton Place, Room 1301
Boston, MA 02108
Tel: (617) 727-3000 ext. 25239
12. WARRANTIES
a. The work of the Contractor, including materials and labor, shall be guaranteed for a
period of two (2) years during which period Contractor shall at its own expense
correct any defect arising from its work unless Paragraph 7 of these General
Conditions applies. This provision is in lieu of all other warranties, express or implied,
and Homeowner has no action at law or in equity against the Homeowner after said
date.
b. Any and all warranties for appliances or mechanical systems shall be delivered to
Homeowner when Contractor's final payment is received.
c. Notwithstanding any manufacturer's warranty of any component, appliance, or
system, no action may be brought against the Contractor on this contract, for the
performance of this work, except as provided above.
13. NOTICES
Notices may be sent to either party at the addresses shown above, or mailed by certified
or registered mail. Any mailed notice shall be deemed given as of the date of mailing.
14. SEVERABILITY
If any portion of this agreement is found invalid or unenforceable by any court, the
remaining provisions shall remain in force between the parties.
15. ENTIRE AGREEMENT
This Contract consists of the documents defined above, and constitutes the entire
agreement of the parties. It can be modified only by a written document.
7
NOTICE OF CANCELLATION
You may cancel this Contract, without penalty or obligation, within three (3) business
days from the date this Contract is fully executed. If you cancel, any property traded in,
any payments made by you under the Contract, and any negotiable instruments
executed by you will be returned within ten (10) business days following receipt by the
Contractor of your Cancellation Notice, and any security interest arising out of the
Contract will be cancelled. If you cancel, you must make available to the Contractor at
your residence, in substantially as good condition as when received, any goods delivered
to you under this Contract; or you may, if you wish, comply with the instructions of the
Contractor regarding the return shipment of the goods at the Contractor's expense and
risk. If you do make the goods available to the Contractor and the Contractor does not
pick them up within twenty (20) days of the date of Cancellation, you may retain or
dispose of the goods without any further obligation. If you fail to make the goods
available to the Contractor, or if you agree to return the goods to the Contractor and fall
to do so, then you remain liable for performance of all obligations of the Contract. To
cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or
any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET
STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third
(3"d) business day after the execution of the Contract.
I HEREBY CANCEL THIS CONTRACT.
Date: Homeowner:
Note: Massachusetts State Law requires that all construction onstruction contracts include two copies of
a cancellation notice.
8
NOTICE OF CANCELLATION
You may cancel this Contract, without penalty or obligation, within three (3) business
days from the date this Contract is fully executed. If you cancel, any property traded in,
any payments made by you under the Contract, and any negotiable instruments
executed by you will be returned within ten (10) business days following receipt by the j
Contractor of your Cancellation Notice, and any security interest arising out of the
Contract will be cancelled. If you cancel, you must make available to the Contractor at
your residence, in substantially as good condition as when received, any goods delivered
to you under this Contract; or you may, if you wish, comply with the instructions of the
Contractor regarding the return shipment of the goods at the Contractor's expense and
risk. If you do make the goods available to the Contractor and the Contractor does not
pick them up within twenty (20) days of the date of Cancellation, you may retain or
dispose of the goods without any further obligation. If you fail to make the goods
available to the Contractor, or if you agree to return the goods to the Contractor and fail
to do so, then you remain liable for performance of all obligations of the Contract. To
cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or
any other written notice,,or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET
STREET,-#332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third
(3rd) business day after the execution of the Contract.
I HEREBY CANCEL THIS CONTRACT.
Date: Homeowner:
Note: Massachusetts State Law requires that all construction contracts include two copies of
a cancellation notice.
9
w
READ APPLE
RENOVATIONS
I/rrrt e rerirrrdethig prrifr=s.00111118
Exhibit II - The Project
Jennifer Recklet and Davide Tassi
47 Kingston Street
North Andover, MA 01845
Remodel Kitchen
This project involves remodeling the existing kitchen within the existing footprint. The work will
include the following:
Overall
All North Andover building permits and insrlections will be Managed-by the contractor.
P All debris from the job site will be removed by the confractor.
The job site will be broom clean at the end of each day.
There will not be a dumpster on-site as the association rules do not permit it.
Demolition
Dust protection will be installed to separate the kitchen area from the rest of the house.
' Floor protection will be installed to protect any existing floors that will be in place after
construction. Floor protection will also be installed in any traffic areas outside the
construction area.
The existing cabinets, fixtures and countertops will be removed.
The existing kitchen floor will be removed down to the subfloor.
Appliances-
The existing appliances will be removed from the kitchen. This proposal does not include
the disposal of the existing appliances.
A new refrigerator with ice maker, dishwasher, microwave and gas stove will be
installed.
9 Bartlet Street#332,Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446
This contract does not include relocating the gas outlet in the floor. This may be required
if the new stove has a different location for gas than the current unit does. If the gas
service needs to be moved, there will be an additional charge of$250.
' The microwave will not be vented to the outside as the association rules do not permit
any new openings in the outside wall.
Irv' This estimate does not include the cost of any new appliances,
Tile Flooring
A new tile floor will be installed in the kitchen. The tile will be installed over% inch
cement board mortared and nailed to the existing subfloor.
" The tile to be installed is Diego Seattle Cuero/Leather(size 13 x 13).
The tile will be installed using tile mortar in a standard grid pattern. If a diagonal pattern
or decorative the or border tiles are used, additional charges will apply.
The tile will be grouted and all seams sealed once the tile installation is complete.
The tile will not be installed under the cabinets.
Plumbing
' A new sink and faucet will be installed using the existing water and waste lines.
A new sink must be picked to use with the laminate countertop. An under mount sink will
not fit properly with a laminate top. An allowance of$200 for a new sink is included in the
contract price
A new faucet will be installed. This contract has an allowance of$200 for a new faucet.
The final cost of the faucet will depend on the unit selected by the homeowner.
New water shutoff valves a es will be installed to prevent future leaks.
This contract does not include nclude an additional work required to bring any plumbing up to
code that may be visible once the cabinet are removed. Any additional work will be
approved by the homeowner in advance.
The existinggarbage disposal g g p sal will be reinstalled.
Electrical
The following lighting and outlets will be installed:
■ Three outlets over each section of the countertop
■ Four recessed lights
■ The existing ceiling fan will remain
■ Two section of under cabinet lighting. These units will be switched from switches on
the lighting units.
9 Bartlet Street#332,Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446
j
■ One ceiling fixture switched from a wall switch. This proposal contains an allowance
of$200 for a new ceiling fixture. The actual cost will depend on the unit selected by
the homeowner.
' The locations of switches will be determined in consultation with the homeowner.
Cabinets
^' New cabinets will be installed based on the final kitchen plan developed by Kitchen.
Design Center.
rn' The cabinets to be installed are the following:
■ Company: Legacy
■ Door Style: Avondale
• Included Items:
• All cabinets as per attached plan.
• Upgraded dovetail drawer construction with soft close drawers.
• Toe kick.
• Touch up kit.
• Side panels to flush out all exposed ends of base and wall cabs.
I'
S Ide out shelves for the 615 next to the refrigerator. These will be installed
on-site.
• All necessary filler strips.
Countertop
The countertop to be installed is Formica—Rosso Granite 3917-46 with a custom square
edge.
Trim and Painting
rj New baseboard, door and window molding will be installed to match the rest of the
house.
All new interior trim will be painted with one coat of primer and two finish coats of paint in
a color to be chosen by the homeowner.
The walls and ceiling of the kitchen area will be painted with one coat of primer and two
finish coats ofaint in a color to be chosen b the homeowner.
P y
Additional Work
The stairs to the basement will be rebuilt. New stringers will be build from 2 x 12 KD
lumber and new plywood treads will be glued and nailed to the stringers.
�? The new stairs will have the same layout and dimensions as the existing stairs.
The following lighting will be installed in the basement:
• Five 6 inch diameter recessed lights installed in the ceiling.
9 Bartlet Street#332,Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446
• One fixture mounted on the wall at the top of the stairs.
• Electrical outlets installed along all walls to meet the building code.
• Two fluorescent lights installed in the unfinished area of the basement.
• Two power strips installed in the unfinished area of the basement.
• All lights will be switched on the locations shown on the plans.
Supply and install a new laundry sink and laundry faucet in the unfinished area of the
basement in the location near the washer and dryer. This contract includes the labor and
materials to install a new laundry sink and faucet as well as the needed drains, vents
and water lines. The laundry sink will be installed on a platform to allow the drain to work
with the existing plumbing stack without the need for a separate waste pump.
Notes:
1) An allowance is an amount set aside in the contract for specific items. The final cost will be
determined by the fixtures chosen by the homeowner.
I
i
9 Bartlet Street#332,Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446
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Jen and Davide Leg I All Drawing 0: 1
BOARD OF BUILDING REGULATIONS
` License: CONSTRUCTION SUPERVISOR
Number: CS 083519
Birthdato: 10128/1966
Expires: 90/28/2008 Tr.no: 3634.0
Restricted: 00
CHRISTOPHER J MATEY
32 WASHINGTON AVE Gr
ANDOVER, MA 01810
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