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HomeMy WebLinkAboutMiscellaneous - 48 KIERAN ROAD 4/30/2018 48 KIEROAD 210/098.A-010010 3-0000.0 Date. 'r' Z3 Il Z- 9422 ".O o':'ho TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING ,SSACMUS� -. r► This certifies that . . .Ake . SPenee- has permission to perform . .�'�!� �11L�4�Y/ �' �! ?�"o'''. . .•. plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at . . . . �. . . �e.r�'.�. .�5. . . . . . . . . ., N rth An�ver,Mass. Fee.44'.0 . .Lic. No.. . . . . . 7� PLUMBING INSPECTOR Check # /� 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE PERMIT# J �q� R �L. NAME OBSITE ADDRESS �j � � OWNERS S E POWNER ADDRESS TEL"1 7 9 FAX C&t4.:7j) -760 A 4a1 TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL; PRINT / CLEARLY NEW: RENOVATION: REPLACEMENT:s.V PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR— BSM 1 2 3 1 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASYOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR t AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE Y MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER r ZA 4 INSURANCE COVERAGE: 1 have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[ NO 101 IF YOU CHECKED YES,PLEASE INDICATE THE E OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY7 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 1 AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the detail and information I have submitted or entered regarding this application are true accu to the best of my knowledge and that all plumbing work and installations perforated under the permit issued for this application will be in compl' Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws_ PLUMBER'S NAME LICENSE# � SIGNATURE MPJP CORPORATION # PARTNERSHIP # LLCE]# COMPANY NAMEII�DDRESS �C3?- 3 ,� X63`7®da CITY STATE �' ZIP TEL FAX CELL EMAIL Y ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE; 5 PERMIT# PLAN REVIEW NOTES Date..3/Z3��. . ..... . pORTM °f TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACH S This certifies that . . . ./.?fir -5 !? . 1j� J // / has permission for gas installation . �!m 't r/.Zr� . . . . . in the buildings of . . . . . UC'e/*. . . . . . . . . . . . . . . . . . . . . . . at . . . ., i.��'4.t? . �. . . . . . . . . ., /North . ndov r,f/Mass. Fee. .y1t, Lic. No..�t '7�Z . . .4, r!' r!7. . . . GAS INSPECTOR Check# 8'161 Ifi"N MASSACHUSETTS UNIFORM APPUCATION FOR A PERMIT TO PERFORM GAS FITTING WORK - CITY ND(Zr-k MA DATE" I—Z— PERMIT# JOBSITE ADDRESS q8 kl `cJz 9VA3 R-P OWNER'S NAME PA-IJ L.- 11�00 GOWNER ADDRESS TEL -791 -6 O o TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:' REPLACEMENT: PLANS SUBMITTED: YES[] NO lt� APPLIANCES 1 FLOORS BSM 1 2 3 4 5 6 7 6 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS '. MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER a INSURANCE COVERAGE I have a current liabilfty insurance policy or its substantial equivalent which meds the requirements of MGL.Ch.142 YES iNO 1 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERA Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND ( € OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E3 AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true a rate to the best of my knowledge. and that all plumbing work and installations performed under the permit issued for this application will be in comppli all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws_ PLUMBER-GASFITTER NAME LICENSE# 11M SIGNATURE MPGF 0 JP JGF LPGI CORPORATION # PARTNERSHIP L-3# LLC Ey COMPANY NAME: 1 I set.4 a P�j ADDRESS 1� V CITY (A Aeh STATE +'x/141 ZIP U (�j�5� TEL 63-70 olo FAX CELL EMAIL 7,151 If ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES Date..4 l.�r��.. . . .. ... NppTM TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION .•. .qh �9SSACMUSES This certifies that ./?.! . . . . . .! .,. . .has permission for gas installation t. . . . .. in the buildings of . . �?yl�/C/c)f�`� at . . . .7.� •. . . . . . . ., North And3ver�vlass. Fee. 3G` Lic. No.. l . . . . . . GAS INSPECTOR Check# 107-3 8,180 I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: N.Andover MA. DATE: 06/05/2012 PERMIT# JOBSITE ADDRESS: 48 Kieran Rd OWNER'S NAME: Paul Doucette GOWNER ADDRESS: same TEL: 978-975-7700 FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW: 0 RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED:YES ❑NO ❑ APPLIANCES FLOOR Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK t MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES P1 NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY El OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my Knowledge. I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all Pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. PLUMBER/GASFITTER NAM _/ YSo.� LICENSE# �-�3 SIGNATURE COMPANY NAME:OSTERMAN PROPANE LLC ADDRESS:321A MERRIMACK ST CITY:METHUEN STATE: MA ZIP:01844 FAX:978-738.0118 TEL:800-822-1300 CELL: EMAIL:INFO(cDOSTERMANGAS.COM MASTER❑JOURNEYMAN 0 LP INSTALLER ❑CO 'ORATION ❑# PARTNERSHIP E1#_LLC 0#45-326-3311 an 9504 0o / Date.....A..:..<...�-.. ' NORTM AL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �SSCMUS n This certifies that ................ .(c4.. G has permission to perform ............AI�2 `�...A�.&2 wiring in the building of........; C .���':.......................................... at.....W....... ......AD ,North Andover,Mass. ............. . 0 Fee.3 ""''"`.. Lic.No. .tS© yj ........ .�1L/ .. ........ 'KE CTRICAL INSPECTC Check # _F7 3-4 ! z 2 7_3 'Y Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of ices: By this application the undersigned gives notice of his or her intentioOperform the electrical work described below. Location(Street&Nu r) Owner or Tenant Telephone No, Owner's Address Is this permit in conjunction with a building permit? Yes A No ❑ (Check Appropriate Box) Purpose of Building C �,� y�r�J� yt� P 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: a� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Ranges No.of Air Cond. Total No.of Alerting Devices No.of Ran g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained I...................... Totals: �� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW SecuriNotof Din Devices or Equivalent No.of Water No.of ..No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring.. No.of Devices or Equivalent OTHER: rp Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of lec ical Work: y() (When required by municipal policy.) �t 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE R BOND ❑ OTHER ❑ (Specify:) I certify,under t" ains and penald s of erjury,that the information o this pplication is true and complete. FIRM NAME . LIC.NO.: i e ry Licensee- tyt—( Signature LIC.NO.: (If applicable, e ter "exempt"in the license, umber line.) ff '' Bus.Tel.No.: S U 3VG Address: �(-iy\SS� S l fit, �cy i YJ�11� O�b'7� Alt.Tel.No.: V *Per M.G.L c. 147,s.57-61,security work requires Department of P blic 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 Owner/Agent '` PERMIT FEE: $ Signature Telephone No. r qlou-z� Nam IL /69 mss � J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 4 >� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): ry-4 tt-04,r-c I Address: qtl o n 1 City/State/Zip: �,vY Kl� Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.(.I am a employer with_D=�= 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t ,I Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9• E] Building addition [No workers'comp.insurance 5. ElWe are a corporation and its required.] officers have exercised their 10T]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. � ���� Insurance Company Name: �'�e ) cx Policy#or Self-ins.Lic`.�#:� iE 0 n 17 y Expiration Date:/ 0- 1161 10 Job Site Address: 'AO K`e�g"� City/State/Zip:/ ! & L�� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or gm9year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day agAstlfhe violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIX fo insurance coverage verification. I do hereby cert y d the pains and penalties of perjury that the information provided abov is true and correct. Signature: Date: Phone#: ?-)x J-n ouco Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: L-\\ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 1 ,37, ~ (Print or Type) Mass. Date �/V/� 19�� Permit# a a./ Z lo Building Location �O ,�/(J t Owner's Name ,Y/o0ei ,, Type of Occupancy 16 New ( Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ o: Y z ¢ (/7 tt N a O N = F d J N W r0 V rG ~ S Z O W i- Q Lt = O h W a m N h W w O a of h W W = (n Z d CCC O. a > W N a W Z U W lt W �. V F. W W X cctl 0 > W h W J k W 1' Q W Q C r Y- N ap Z O Z O 53 a W > W M z. < ac a a: N x a '.X O tl u. n 3 a tl j U Y p a F O SUB-8SMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership _ Business Telephone 508-687-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability 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. Check one: Signature of Owner or Owner's Agent Owner❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accu�gte to the best of my knowledge and that all plumbing work and installations performed under the permit issf r this application willbVn mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GeneUA?- s. / (/ By Te of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town Journeyman APPROVED OFFICE SE ONLY) .... w}'rL�"�ss..,..,,;:�t--;c��'`iw",.�,. .:.ti.�4;....��:c.�v.»,u.:.Y„�:.,,..a...,F_ .�. �...��.i:�•-- 2212 Date.6. .-lO.' ?C.... A .-r ,&OR7F/ TOWN OF NORTH ANDOVER Of 1h .. 0 h� Eo a Op PERMIT FOR GAS INSTALLATION 40 9 �9SSACHUSEt y ` This certifies that . . . . �. . .5 * . . . ? 1'. . . . . . .�. 0 has permission for gas installation . . qp u°.�. . . .H �IA r t t rt in the buildings of . . .��?�. �. �. e. . . . . . . . . . . . . . . . . . . . . . . at . . �' . . .1. .1.2a<t!. . .1 . . . . . . . ., North Andover, Mass. Fee. Lic. No . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File ORTM Town of LAKE O dover, Mass., 5 ► c COCMICME WICK RATED P'P� � `SS BOARD OF HEALTH PERMIT� T D Food/Kitchen Septic System A��. irrnTHlS CERTIFIES THAT........ ..... Q......� ......,. .... BUILDING INSPECTOR ........... . . . . ...................... Foundation buildings 8........... . 1..1�. K....... ...MW............... Rough has permission to erect..............:........................ gs on .. IC gh to be occupied as... . . .. ,2,�.. .0..........� �'4.. ... ................ ........C 1ppnc . ....... Chimney provided that the pe n acct ting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC T TS Rough =__ z..,,....... Service ............. ................. ........................................................... _ BUILDING INSPECTOR Final. Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print-Legibly Name(Busiwesstorganixation/7ndividuaD: Address: u,nv S City/State/Zip: {. ��,��.� s--1v�... v1- 6" Phone #: ��) '� -S3 35' la Are you an employer? Check the appropriate box: Type of project(required): l. 1 am a employer with�__ 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time)." have hired the sub-contractors 2.f-1I am a sole proprietor or partner- listed on the attached sheet. I 7 ❑ Remodeling ship and have no employees '[`hese sub-contractors have S. ❑ Demolition working for me in any capacity. workers'comp. insurance. 9.-JA Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repai m o-r additions myself. (No workers' comp. c. 152,§1(4),and we have no 120 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#t wM also till out the section below showing their workers'compensation policy infonnatim r-Homeowners wbD submit this 0649vit odic aft they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -Cotmw ms that check this box must attached an additional meet showing the Hama of tha sub•contmotom and their workers'cmap,policy infoynw ion. ram an employer that isproviding workers compensation.Insurance for,ray employees. Below Ls thepolicy andjob site Wformation. Insurance Company Name: Policy#or Self-ins-Lic.#: , !C��,. p U 6� Expiration Date: l 1 117 Job Site Address: City/StateJZ01, qT 4ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. f do here certify under the pains andpenalties ofperjury that the information provided above is true and correct. signs Date: ��Z UD Pho a#: �1 Official use only. Do not write in this area,to be completed by city or town offleiaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City1rown Clerk 4.Electrical Im9ector S.Plumbing Inspector 6.Other Contact Person: Phone#: C4A�A�" CERTIFICATE OF LIABILITY INSURANCE 7HI8 C9tTy7 1 09 M•p. Rabwrts Ineuz*mm 4Y fS IBSfJED A6 A lIATMR OF INFORIAATfON 1060 Oa r ONLY AND CONI R9 Nf0 RIONIS upoN THWE CEI�Tfi�CME Osgood stress HOLDEk. 7lQ9 CE FICATE D068 MOT AMEN EMND R nth �, VA 01845 TER 7rtttz COYERAt AF'1F D BY ImmmRsAwMAICA ARVIN mmuw RRirIDMLZM ANDOMR, M 01846 lNsv+mo Iwo a COVERAMS LT HEPOLiCESGFMtII1Fi �g �iWWHAVElmmiammm M MAMA9WEFORjWp0Lap �pUll ' 7FJBYi � OF ANr OOM RACE OR ppm yy0}i lNDIGlTlaD NLI7WITFETi0.MDiAq AY A�71��AFS RY TFC PM0199 MMED t E$L1�6CT TO E VYHIOFI 7hg3 C@i fFICATE M4Y BE Oro OLK2rIB„ A•fE Lum 9wom MAV ri+4%G IN 94 T 976G1. 8Y1°'AIDCIAWS. fJ�OrrBA1Vp __,_�.... OF SUCH rtuxnr Mu .. . tiAplurY LMM -------__. ,.. A Alf86NFg1ttIMl1TY 8 CtAW VAN lzOWUR CPP0060860 04 11/22/08 11/22/09 now uw 0 R S 0 _ P4t8ON0.ta QVIN fits -14000 6dN0.A8SAEpA1E t R !fes�aaae�►1ie a q 0 PoLiL r LOC PAODuoPs-mMpA7P AN s 000 ANYAUTO 4��gMroLEtwaR :t 5pp,000 ALLnN 00AUM9 H A" 7AM277013608 1/23/09 1/23/10 tP�Y� m• N AUMS NON•OM74DAllM d�ODN.YINJURY ! P �D�Nae $ 500,000 aaRAasu�purY ].7tmAn OONLY_ GA t�ClDENT p��TIiAN k41ACc lIEC489ltgm. hU700lIt.Y: a-------'----• OOCU1t .__C.AMOVm moo 111E !�•.•.. 09DEIDTmLB • +maa a XBW006831 7/1/09 7 000 /�.�:o soo 0 oirkN Soo, 00 l801SPtID11Q� 1\Od11lDtIR 1V11Mr01a3l� ACbl�f6r8N70A3Sp@R!� kX: 979-08-7207 CANIC�t,A N sNnlA.na�voaTMsaaove a �-�sa W1TR TIf9tl4nr, GA101RLEDat�'pgE7lMl�f�IIgTIOW ' cmm av Kom 1 "MMUM011�?UR[R MNLL gMAVOR TO aA>t.,1_DAYS VMTM 1600 MOW WfmT +ron"to'n+e �t�NAMED���;M►rr Mt TU AMOV112, !A 01848 mpams rw A 7b un sgn StOAtt rrs A0"as Ap7N wpm RRtD 7!8{�laiM� �19afQ,�pB ACORD Tha ACCORD NII*and tears MgbtMd nwft of AMRD • AN rip bpd, I 169 Boxford Street aw5o WimimpD� ` I • North Andover,MA 01845 • PH:978-688-6336 Building Contractor FAX:978-688-7207 Proposal To: Paul&Kathy Doucette 48 Keiran Drive All Home improvement Contractors and Subcontractors ergaged in home Improvernerd contracting,unless North Andover, Ma. 01845 specificay exerro f mrepWallonbyPro—ons ofCWW 142A of the general taws,must be registered with the Commorm eallh of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, Fnmu Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8586 CC: Date: 4/28/2010 Job: Master closet addition Date of plans: None to date Architect: To be determined Location: Same Section 1-Work Schedule Contractor will 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 work on or about 524/10. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 6/30!10.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year 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. Section 111-Scope of Work MevrI30 REMt711BY Page 2 of SuMdtag Contractor 189 Bo)Qord street Mora,Andover,MA 01845 PH:978888.5335 FAX 978886-XXXX General Proposal is to add 3'x20' cantilvered master closet. Building permit, basic plans, and structural engineering will be provided by contractor. Demolition Existing master bedroom subfloor will be removed. Exterior wall will be gutted as required. Building All frame, roof, and siding materials will,supplied and installed to match existing. New floor joists will be 2x10, exterior wall will be 24 roof rafters and ceiling joists will be M. All floor, wall, and roof sheathing will be plywood( 3/4 on floor, 1/2 on walls, 5/8 on roof) . Ice&water sheild will be installed on all new roof areas. Roof shingles to match existing. Exterior walls will be wrapped with Tyvek or equivalent. Vertical cedar siding will be supplied / installed to match existing. Existing windows in master bedroom will be removed and relocated to new exterior wall. Exising second floor bathroom wall will be stripped and resided. Electrical Electrical work required to add two lights and switches in new closet area will be provided. No allowance has been made for relocation of any electrical work, that may be located in master bedroom floor. Heating/Air Conditioning No allowance has been made to add any heating in new closet area, or relocate any heat ducts, that may be located in master bedroom floor area. Plumbing No allowance has been made for any plumbing work. Insulation Added /renovated areas will be insulated to meet code. New floor and ceiling will be R-30, exterior wall will be R-19. I Plaster Added / renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, ceilings to match existing. Interior Trim/Doors Two oak double door units, will be supplied and installed to match existing. Interior trim will be supplied and installed to match existing. Painting All interior and exterior painting will be provided. One coat of primer and two coats of finish will be applied to all painted surfaces.Stain/sealer will be applied to match existing as required. MeVfiM rNMMEPay Page 3 of 8UUdiag C0=taaotor 169 Bo)6ad street Nath Andover,MA 01845 PH:978-686335 FAX 978.688-XXXX Flooring No allowance has been made for any flooring. Hardwood flooring can be supplied/installed finished in existing bedroom area for an added cost of$2400. Waste Removal All demolition/construction debris will be disposed of by contractor. Other Allowances Seamless aluminum gutters will be installed. White wire shelving will be installed in closets. I f OPTIONS: Proposed closet addition can be built to a'Weather tight'state only,for a savings of$7000.This would result in deleting:electrical,insulation, plaster, paint,interior trim&doors,shelving. (Total cost to build closet would be$22,500) mevim wMVPERY Page fq of 4 Dodding Contractor 169 Boxbrd Street North Andover,MA 01845 PH:978-688-6335 FAX 978-688-p00C Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of............... ......................$ 29,500 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained $2000 2 Roof complete $12,000 3 Siding installed /exterior complete $8500 4 Plaster/trim complete $4000 5 Job 100% complete $3000 i Total 5 $29,500.00 "Notice:No agreement for Home improvement oantractong wurk shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance.to order andlor otherwise obtain livery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover,MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document 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 on 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 .ff _- Date , /D Signature Date l l' z � , i yy I I � r'. _ _ - -_.__ _ _ yam/'� Vic. ✓�,/ q p I j,,,. �.�;;�J"'Y^af'�``-� a"�,,�y-•�-,. �.'`.,,'"tG? �6'x,1 � i•.",�!; td,,.,,�'"`t''?,,.�...f,�;���{'..� .,_.. JJ � er' I I i + I s + y� d i j ms's I _ I ' ,�,�E j 1 i i i ib I ,r,. d �' ='p'�a C�.:��� , " �-'���-•.�z' ��t:.1.,..�+ � fes"�.`�;�' .rte i - �� 'z- �`�� 'b ,�.�,.� .�.�_k, ����) �' ���U��� --�c--fit• ��C� i •i%r��� i� ..�-tom. 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