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Home My WebLink AboutMiscellaneous - 55 FULLER ROAD 4/30/2018 (2) 55 FULLER ROAD / 210/065.0-0078-0000.0 I Date NORTIy TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S US This certifies that . . . . . . ... . . .. has permission to performV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . .. North Andover, Mass. Fee.4,/./ . . .Lic. No.44 40. . . . . . ... . . . . . . . . . . . . . . . . . . PUMBIN514 PECTOR Check # 68 '17 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date .� Building Location P Owners Name, Permit# � Amount Type of Occupancy New Renovation Replacement oloo" Plans Submitted Yes No FIXTURES z z Q o H z w w w m w z 3 dx d z o z wWQ o a Q 3 a � Smwm BA%M T / MFLOOR r M110CIR MHDM _ 4MHBM 5MHf= 6MHjOCR L8MHJOOR (Print or type) �£, Check one: Certificate Installing Company Name /A/C ��, �/y ❑ Corp. Address partner. Business Telephone ` 7 Firm/Co. • Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Q3 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 ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State lumbin Co and C pte 142 of the General Laws. By: Signature vi Mc,ensea rmmoer Title Type of Plumbing License City/Town tcense um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date.��.. .. a G...... MORTM pf �,io ,°,stip o? TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION . 9 �,SSACHUSE�< This certifies ? . . .-:�. . . . . . . . . . . . . . . has permission for gas install-a—ti�on- r -�-r'. . . . . . . . . . . . . . in the buildings of '"�. . . 1.(. .�--- . ^ . . . . . . . . . . . . . . . . . . at`"� _. .Aq-�. . . . . . . . . . . . .. North Andover, Mass. Fee . . . . . . Lic. No./--" o. ? . . . . . . . . . . GAS INSPECTOR Check#,4-6 '�; 5 4 h. 0 MASSACHUSEITS UNIFORNI APPUCATON FOR PERMIT TO DO GAS FfiI/nNgG (Type or print) Date C c� QGj NORTH ANDOVER,MASSACHUSETTS Building Locationsy�l �/ � Permit# � Amount$ Owner's Name f New a Renovation Replacement Plans Submitted H z'Few > o F I H I IQ O O F" F F Q a. 0 1 1 SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR or type) �/ � ,/ C one: Certificate Installing Company N me /'i G �/!=� — /7 L Corp. Addresses�''.�'�� 'y �� /`�� '� �' Partner. usiness Telephone _ Firm/Co. ' Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No� If you have checked Les,please ind the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 1:3 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 13 Agent 0 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gig§Code and ChwXer 142 oj the Ge oral Laws. Si nature of Licensed Plumber Or Gas Fitter Tile Plumber City/Town Gas FitteruL Number aster APPROVED iOFFICE USE ONLY) Journeyman 6228 Date.................................. t O� NO°TM 1ti 00 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CMU`�� This certifies that .......1.�/if.....1J 0L 06,C Z-LP`% .......................... .I.............................. has permission to perform ! ................. .........n................................................. c. wiring in the building of.....i1 ......T .!�1 f ................................ at... .......!�.O/.�...... .North Andover,Mass. Lic.No..3..�. 2-.<7.�.......,1.�-�:.C�.G.�'t -�:f,�... 9 ELECTRICAL INSPECTO;�2. Check # i LVJRM7hfEWUFMAW SAFRY Pemdt No. z- �g BOARDOF�PREV ra RBGVr,�a M527a M,Uo oauvr&yea checked APPUCA77ON FOR PERMIT TSO PERFORM ET. C7 IC,AL WORK ALL WORK To BE PERFORMED IN ACCORDANCE WrrH THE MAWACHUSSTS E-ECMXAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pa Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ,�—.�7 Iry//e ' r).., Owner or Tenant Al r 701 14 Owner's Address 50,-Q is this permit in conjunction ,with a building permit Yes No [:3 (Check Appropriate]lox) Purpose of Building )Oje- cd e/ Utility Authorization No. Existing Service Amps...L.V olts Overhead Underground No.of Meters New Service Amps Volts Overhead Undergrowd No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work y t No.of t3ahtim outien 10 Na or Ha Tube No.of Trw�mm� Tont Na of Uakdry Fimee o� S Pod' Above Below KVA �� KVA smorld 90=d No.of Receptaek Oudan / Na Of OU Buren No.of Erneraeocp t}505 Emery Go No.of Switeb Outktu No.of Or Burma No.of Reamer A Na of Air Cond. Tood FIRE ALARM No.of Zama Tom No.of Di spoads Na of Had TOW TOW No.of Dewcdw and Pumps TOM KW Idtladna Devi= No.of Dishwasher Speee Ara Heathy KW No.of Souadrj Devieee- NO.of SON ConWmd No.d Dryers Hewing Device, KW 1.ocDe�cdad3o�Ds idp Cor�cdons Other No.of Water Neaten Kw Na d Na d Sims BdWie No.Hydro Maugp Tube No.of Motors Total HP OTHER' r lret,a�t7oresge Fufarortblheas�iesri�ofMamsdsselkClrimmlLa►w ®�, IhmaamYlAe fth=sxeFbft=kdgcmy� crib atskaW cOAdo yZ lharezhriftdvdd dsunedlhD0 iM YM dreddrBtre �boc 11 ay°uhwcho vedYB4,pk/mkdM*EtseofunmWby 1NSURAiKs BCNDQ OTfityR 0 AsseSptriyj 11112) A--slioaLtite dValmecfF�IWak S WodtbS�t �I � �� nheRe4zmed Ra* ` �. Sgmedunder ofpee.00' iTftMNAMQ lam 1�muee�C.-rrcr.S � �(Q u �- i.ioerimeNa won � LitaraeNo 3 3t��e F &W=Td?k 1,c3- 95,J--S-9-23 AkTUALe-// CJWI�R'SWSCJRAMEWAIVIIt;Ia�nawafedirtlhetraenmeI Iheirassi'ioet��ar�a�isirle�gii'vekntaerecfaedbYbGene�ILawrs ardtt�ecmysiB,atsemlibpsrr,lappicadta�lirequiremet (Please check one) Owner ASMr Telephone No. FEB g LAWAPUMMUTJ ur rvas,Ao"J 17 Pmwt No. &2% :�� BOARDOFFIREPRBVFIYI MRDGVLA1XMSZ70M,ao Oecupwy R NO Checked A.PPUCAH0N FOR PEIeNIl W PW0RM ELE=C,U WORK Au woRK To BE PERPORMBD IN ACCORDANCE WrrH THE MASSACHUSSTS MXZCMXAL CODE.527 CMR 12:00 r� (PLEASE PRWr IN INK OR TM ALL IIIFORMATIOI) De j f .;Vl._ ' Town of North Andover To the Inspector of Wires: T'he undersigned applies for a permit to perform the electrical work described below. Location(Street 3 Number) ,�S - ,/)rte; �� FOL 0 Owner or Tenant All?"r 77777 4 Owner's Address 5011- 13 this permit in conjunction with a building permit: Yea No (Check Appropriate Box) Purpose of Building Al/JeA Jece�Cd r I Utility Authorization No. Existing Service Amps...../ Volts Overhead Underground No.of Meters New Service I Amps__..�.V olta Overhead El Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Mectrical Work c� t No.of Liandna Oethgs No.of Hot Tubs No.otTrw/onoae Total No.of Liabdnl Ratum Swiruadng Pod Above BelowOumrstaea KVA KVA No.of Receptacle Outlets of Oil Bunwe Na of Emeraeocp Ushtina Butery Units No.of Switch Outlets s No.of dY Bunten No.of RerVa AL of Air Cord. Total PIRG ALARMS No.of Zama Tool No.of Disposals Na of Pod ToW No.of DeleeNon and No.of Dishwashers Space Are Hea ft KW o.TOM Kw of Initiating aftDavit= _- �� evices Na of Sam contCppabydw No.of Dryers Hestina petites KW Lo�� Davie" a �No.of Water Hessen KW No.d No.of °t Sims Bdtasis No.Hydro Musase Tube No.of Motors Total HP 7THER• iateer>aCtneutga P�aratblete�ism+>ticflNaeds�dlrClcatealLa►er �� YIN itt�eaa>oertLiela�yheissx)�i�yin�dr;Cbnpl* ai�suba�rllil I st�fre�dvsidp�dslrrebfleOlBa Y$9 >< hnechedasi pka:dralebetypedamcesVbl► 8e11 Do Eft*dVAzdMWW Wcdr S WodcbSm �// q, D41eRegrr�d Rohl FWMNAM /C i"t o ,�C Souse u..N. BusirmUNa At Til I�QC f" N. OWI�WSQVSURANMWAiVFR;Iamawatah tzLimwd�,gt„lB�dri►smuctrcigeariitsfle�ddegtivsbltaeas�iRdbjrHlB�d>tsbCaletllLawrt ardthetrrey*mmcndieplstnitappkadQlvt�imdi,eq*na (Please check one) Owner Agent Telephone No. PER. r FEE i Ki�L l-��`� c9x-� U J LocationS� ..�- No. �� ' Date MORTM TOWN OF NORTH ANDOVER r 0�� ao •,hG f 9 • i „ ; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check Building Inspector 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WA5 RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUII.DING PERMIT NUMBER DATE ISSUED. J �/ .# .� aS� X 3 SIGNATURE: Building Commissioner/I r of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O 063- 0 0072-0000, o i Map Number Parcel Number Al. j1 cel py�e /' /'N ct 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GI-C.40. 54) 1.5. blood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record M I/1C � �n o)rrti 2d Name(Print)' Address for Service: Signature Telephone f 9 '7V" 6, L9 2.2 Owner of Record: Name Print Address for Service: O Z M Si A Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ S C 0-1-f- J. k o-P0;n)E Licensed Construction Supervisor. �' O 733/to O License Number a 2c) r l/ / T1 Address j� 7/ �\ CA5&�,— za�a-� 41119:Wo Expiration Date z Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v S t`,at- " 1, L r,-Po ✓t -/Q f i� �6.y Company Name � /� J 1 M 9 a✓' F i"^ (Z Lor C4bv�c) o'r l4 /t/, /� Registration Number r Address _r �/Fly 02 Z 6 03 y :z—2 o Expiration Dater Signature Telephone SECTION 4-WORKERS COMPENSATION(M:G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ �'Nfgg ❑ Repair(s) ❑ AlterationS(S '=; Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be `.:.@MCIAL U.SE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 5 63 y (' Multiplier 2 Electrical ,y (b) Estimated Total Cost of -/� Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC f 5 Fire Protection �L) 6 Total 1+2+3+4+5 p Check Number (41 SECTION 7a OWNER AUTHORIZAT145N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR�APPLIES FOR BUILDING PERMIT as Own /Authorized Agent of bject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, �J C 0— as Owner/Authorized Agent of subject property y Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge w and belief / nn / ��tL� — L CA I i✓�� Print Nar►le , Sipnature of Owneragent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IS12ND 3RD SPAN DIMENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORTH Town of _: 4Andover 0 No. 3,;67 dower, Mass., T O L A E - 1 COCM IC ME W ICK V �,p�oRATED pPG "`C:) 1�7 ` BOARD OF HEALTH PERM D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..................... .... ......................... .............................. ................ Foundation • has permission to erect..................................4... b) dings on... ..... ...... .... ..................... Rough to be occupied a .. Chimney provided that the person accepting this permin 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 UNLESS CONSTRU N STARTS ELECTRICAL INSPECTOR Rough ...... .... ............................. Service DIN PECTOR Final occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Bumex DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. 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 at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL :: 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: /S C�&rdyli S -lc dv"'ash- ' S (Location of Facility) Signature of Permit Applicant Fire Department Sign off: r � Dumpster Permit Date The Commonwealth of Massachusetts Department of Industrial Accidents >, Office of Investigations 600 Washin ton Street g r� Boston, MA 02111 �c'-;��' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �� 1� p n 5i:r ui '-�i Qj� Address: 6 r,-FF ,n kd City/State/Zip: kci^r4pYuLrrqPhone #: O '/3 7 - el 9/0 Are you an employer?Check the appropriate box: Type of project(required): 1.Zl am a employer with _ 1 4. ❑ 1 am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors , ,/ 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. + 7. ER"Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for the in any capacity. workers' comp. insurance. q. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 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 12.0 Roof repairs insurance required.] employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. l 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 tl:e policy and job site information. Insurance Company Name: eornrn erCe a,,c) Z-i dv5tru i`nS Fra Policy#or Self-ins. Lic. #:_W C 3 - t 17 - y_3 Expiration Date: Job Site Address: ��--L—�� 5�S ��[c r �d City/State/Zip: IV,,I jAr/oy{rm c— d/ff7� 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 tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above A true and correct. Signa ure: Date: b e Phone#: p " .7- 9yya Of/ficial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited 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 LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating 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 applicant as proof that a valid affidavit is on file for future pen-nits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog 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 us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia 4 CONTRACTOR AGREEMENT Page 1 THIS AGREEMENT made the_P7.14 day of o r hA& by and between Scott J. LaPointe hereinafter called the Contractor and Mike and Sandra Tobola,herein after called the Owner(s). Witnesseth,that the con trcictor and the owner for the considerations named agree as follows: Article 1. Scope of the work The contractor shall furnish all the materials unless noted and perform all the work shown on the Drawings and/or described in the Proposal as annexed hereto as it pertains to work to be performed on property 55 Fuller farm Rd. N. Andover MA Article 2. Time of completion The work to be performed under this Contract shall be commenced on or before the 3! day of 47,g, c --e s hall be substantially completed on or before the day of _tk n.,,�e,- Time is of the essence. The following constitutes substantial completion of work pursuant to this proposal and contract: when all items have been completed. Any change orders written once the job has started will add time to the completion date and will be stated in the change order. Article 3 the Contract Price The Owner shall pay the Contractor for the material and labor to be performed tinder the Contract sum of Forty-six thousand seven hundred seventy dollars($46770.00)subject to additions and deductions pursuant to authorized change orders. Article 4. Progress payments Payments of the Contract price shall be paid in the following manner: Payment# I Start of work................................................................. $8354.00 Payment#2 start of electrical................................. ...... ................... $8354.00 Payment# 3 start of drywall ... ...... ...... ............ ......................... ....... $8354.00 Payment#4 Start of cabinet install/finish work....................................$8354.00 Payment# 5 Start of finish electrical&Plumbing...................................$8354.00 Payment#6 completion of work... .................. ........................... ......$5000.00 Page2 Article 5. General Provisions Any alteration or deviation from the above specifications, including but not limited to any such alterations or deviations involving additional material a id/bi laboi costs,will be executed only upon a written order for same, signed by owner and Contractor,and if there is any charge for such alterations or deviation,the additional charge will be added to the contract price of this contract. If payment is not made when due,contractor may Suspend work on the job until such time as all payments due have been made. A failure to make payment for a period in excess of seven days from the due date of the payment shall be deemed a material breach of this contract. In addition the following general provisions apply: 1. All work shall be completed in a workman-like manner and in accordance with all building codes and other applicable laws. 2. The contractor shall furnish specifications for home improvements, a description of the work to be done and description of the material to be used and the equipment to be used or installed, and the agreed consideration for the work. 3. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 4. Contractor may at his discretion engage subcontractors to perform work hereundre, provided contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this contract. 5. All change orders shall be in writing and signed by owner and contractor, and shall be incorporated in,and beeonie a part of the contitact. b. Contractors at his expense obtain all permits necessary for the work to be performed. Page 3 7. Contractor agrees to remove all debris and leave the premises in a broom clean condition. 8. In the event owners shall fail to pay any periodic or installment payment due hereunder,contractor may cease work without breach pending payment or resolution of any dispute. 9. All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American arbitration association. 10. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials. 11. Contractor warrants all work for a period 12 months following completion. Any work performed by any subcontractors not hired by K-A-T construction will not be covered by K-A-T construction. 12. The contractor shell furnish a list of all items that are to be supplied by the clients. And the stages when these items are to be on site. Article 6.insurance The contractor represents that it has purchased insurance, and agrees that it will keep in force for the duration of the performance of the work,or for such longer term as may be required by this agreement, in a company or companies lawfully authorized to do business in the state of Massachusetts. Such insurance as will protect K-A-T construction and the owners of the site from claims for loss or injury,which might arise out of or result from the contractor's operations under this project, whether such operations be by the contractor or by a subcontractor or its subcontractors. Article 7. Start date and completion date The actual start date and completion dates may vary due to circumstances beyond our control. Such as permits being issued, inclement weather,back ordered materials, scheduled inspections etc. Upon signing. I agree to pay for the above stated work that is to be performed under the condition's as specified within. Customer signature r r GG A'' / � �--- date /0 /Z ?-AJ- customer /`sCustomer signature date K-A-T Representative eaetd LIQZ-4 date /v Zp 5- FROM :DERRY KITCHEN AND BATH FAX NO. :603 437 5551 Aug. 11 2005 02:44PM P1 „• or - —a-- --aor ._..- rea^---,�-,s� - -�o---. -ar- --asp ,a-*-..,.._.�_ s��•—,�,a�--ac----��,�-x--�-as--�a�---ate WAD � asns aaaar+w � ----------------------- .... ....... .......... rc g ea!s Maass . i p '-'--- ----- \\, ..........._. AM iee.vn,.�e asriGp•6o...gwaa as �1is ie a aariarf a..;o,arl ws ear ee ai�j.am.�t�inro..3a►aiba.a , ..�..aed-00vsdmolAwapplkaMelsY" lair N aaio�nse+ssw Tiyloi aoaliioar b=n swe arm►oder l&MIN& 7lJKL►133X2Wff pP 1 1:1 ex—/. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 073316 Birthdate: 07/06/1965 Expires: 07/06/2006 Tr.no: 28112 Restricted: 00 SCOTT J LAPOINTE 9 GRIFFIN RD LONDONDERRY, NH 03053 Commissioner Board of Building Regulations and Standards - _ HOME IMPROVEMENT CONTRACTOR Registration: 129364 Expiration: 8/18/2007 Type: DBA K.A.T Constuction Scott Lapointe 9 GRIFFIN RD. � Londonderry,NH 03053 Administrator Location No. Date NaRTh TOWN OF NORTH ANDOVER O? •' • O s p Certificate of Occupancy $ + ; Building/Frame Permit Fee $ �►�s',^ <� Foundation Permit Fee $ s+cHUSt Other e�e $ S v Sewer Connection Fee $ Water Connection Fee $ ---- TOTAL $ r } Building Inspector 03/15/9410:01 V 19.50 PAID 7073 Div. Public Works PERJ1gT :iu.% GS S APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /AGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE SUB DIV. LOT NO. F I LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS'-" MI BASEMENT OR SLAB -ff ARCHITECT'S NAME ��,ry SIZE OF FLOOR TIMBERS IST 2ND 3RD d9 A BUILDER'S NAME j-o `'y�G SPAN ---- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. -� PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. • ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED `AND /A/ PPyROVED BY BUILDING INSPECTOR DATE FILED C 3/ /�/ / i BOARD OF HEALTH ATURE OFOWNE R RUTH ED AGENT FEE PLANNING BOARD PERMIT GRANTED 19 OWNER TEL.# BOARD OF SELECTMEN CONTR.TEL.#a;�o CONTR.LIC.# �� n,NW INSPECTOR � � D7� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDw D _ PIERS - PLASTER DRY WALL UNFIN 3 BASEMENT 11 AREA FULL FIN. B'M'T AREA _ 'i. 1/1 '/. FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"d D ASBESTOS SIDING _ COMMCN VERT, SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. - STONE ON MASONRY WIRING _ STONE ON FRAME _ SUPERIOR I� POOR II ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) - GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING R C No 0 ob over LOY . #�: Vit" X__ -n No. • 5 .• . ANo dover, Mass.,AW Ar" 1 AC 19 r y 2 cOC--C FIE- 1c ..Air .---- Al BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT.... 5/ .� 'r �,.......,,r*kjf�, ,0400f„� BUILDING INSPECTOR Foundation oun ation OR has permission to erect..Af UF*W.G buildings on � ! ..................... Rough to be occupied as...........X..1�. i�../ ....../f� Chimney JG.............................................................................. provided that the person accepting 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR . All Rough �... ............................... Service BUILD NG INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT