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Miscellaneous - 773 WINTER STREET 4/30/2018
N y J j WZz I O M m 0 X cn oX o m o m 0 /4' a� � Date.Z4' AORTN TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ....ZJ..:...:...................................................................... has permission to perform .....:... ..................... wiring in the building of ...... � .-n:-.... ......./ ....................L......................... at..... 7'%�-r-��......................... . North Andover, Mass. i Fee. ys ...� ...... Lic. No:�.....`...... ......�.... z� ..................................... "ELECTR1cAL INSPECTOR Check # ` Commonwealth of Massachusetts Official use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 C R 12.00 (PLEASE PRINT I1V INK ORX E AL F RMATION) Date: O of City or Town of: r To the Inspector f Wires: By this application the undersigned gives nAce off is or,her intenti#n,to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Telephone No. �f"Y- Yes ❑ No Ey (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Installation of Securit system //1,M— Cmmnletinn nfthe fnllnudno tnhlo mn„ be u-ivod h, the r—.,— in, „!'m;,,,.. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above rnd. ❑ In- rnd. ❑o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. ot Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number I Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW --R-0—.of Security Systems: No. of Devices or Eq uivalent No. of Water Kit Heaters o. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work:Q, (When required by municipal policy.) Work to Start:V42n,� —Inspections ato=be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pai 's and penalties of perjury, that the information on this application is true and complete. FIRM NAME:SacLlr-ity Ser -vires LIC. NO.: I r q j(' Licensee: John S. Bdssett Signature VAt LIC. NO.: 1533C (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 603 594 5928 Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Lid, see 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Date .......... ...'...... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... / ............. has permission for gas installation .ti-.... ................. in the buildings of ........................... at V-3... ......... North Andover, Mass. Fee. . S .... Lic. No/%.%/..... 4-i .......... GAS INSPECTOR v v Check # k .I. f 444E MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FPI TING -~ (Type or print) Date ...-`� 3l 0 3 NORTH ANDOVER, MASSACHUSETTS Building Locations _ 7 73 6o ri 1e r Permit # -yZ114 Amount $ *�3a Owner's Name Ay f J UA Y (Z/4T S6 1\j New Renovation Replacement Plans Submitted 0 Name or �)- Qd , I �� �� ' ' J 1 rT Ce: Certificate Installing Company Corp. Partner. Business T hone .Ddb (n 41 Z� -7 20 12) ® 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 ❑ Ifyou have checked ye�, please indicate the type coverage by checking the appropriate box Liability insurance policy Other type of indemnity 0 Bond 0 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. ('hPe-1r nna- I Signature of Owner or Owner's Agent Owner D Agent p Alumuy C=Llly uweL ail or uIe MUMS anu irricxrnancH 1 nave suormuea (or enrerea) in aoove appacation are true and accurate to the best of my knowledge and that all plumbing work and install n Is for this application will be in compliance with all pertinent provisions of the Massachuse S AC d C t 1 of the General Laws. City/Town (OFFICE USE ONLY) Sign re of Licensed Plumber Or Gas Fitter Plu ber / /b Gas Fitter Icense Number Master Journeyman Date. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .+'!_ P� ...f !' :.,?7`....... . :, ` has permission to perform- x��-�t-t- :--r-! .............. plumbing in the buildings of ... ................ at ../..` 2 --�-�! ................. , North Andover, Mass. Feel' ,`..... Lic. No.�//i� '//...\. / ............ PLUM81Nv7NSPECTOR Check # `� � 5734 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS � '' I Date 9-2, y--3 Building Location 7 7,3 6tjlnk — S % Owners Name 64T 6¢}T� � �Permit # L/yu 9 Amount � Type of Occupancy f ke S New r Renovation Replacement Plans Submitted Yes No ❑ FXT-11RES / (Print or type) Installing Company Name Address Check one: Certificate Corp. Partner. Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner ❑ Agent I hereby certify that all of the details and information I have submitted (or entfe'd in above application are true and accurate to the best of my knowledge and that all plumbing work and installati p rfo ed nder ennit Is for this application will be in compliance with all pertinent provisions of the Massachusetts tate 1 C de e 142 of the General Laws. BY Sig—nature ure o 1 er Type of Plu ing License Title 11L1 City/Town License INumner Master Journeyman ❑ APPROVED (OFFICE USE ONLY Town of North Andover Office of the Health Department o� °" ° "� Community Development and Services Division i 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director July 22, 2003 James and Judy Batson 773 Winter Street 1 North Andover, MA 01845 Re: Application for an addition to an existing home at 773 Winter Street Dear Mr. and Mrs. Batson: Telephone (978) 688-9540 Fax (978) 688-9542 Your application for an addition at 182 Olympic Lane has been reviewed by the Health Department and denied for the following reasons: 1. ✓ Missing information 2. ✓ Passing Title 5 inspection of septic system may be required 3. ✓ Location of structure not acceptable To address the problem(s) please submit the bolded items below: If #1 is checked, please supply the bolded items: a. Floor plan of the existing dwelling (all floors) and a floor plan depicting the proposed addition. All rooms must be accurately named; b. Certified plot plan showing house, septic system and proposed project in scale, including any associate grading. If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer. If #3 is checked: a. The proposed the project must meet all current Title 5 setbacks. The addition may meet these setbacks but a more accurate plan is needed to determine this. Please submit a certified plot plan depicting the house, addition and septic system with distances from the aforementioned items scaled onto the plan. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, � ^'14<e Brian J. aGrasse, Health Inspector Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688.9543 PLANNING 688-9535 Location �/2 S /— No.,/,, O -7 Date /� a � t MORTH TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ s';�H�SE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ S Check # t 5549 ` Buil ing Inspector ri W-4 W h u U y � 3 C C 7t U CO O FO 1� u V) C O o, a q � U w G H Z o � cn O Lit O LU w A O O Z z Z W o C) C. U w — O — z= •r �,,,, C _ i ❑ G cn G, O z - z � MSI O z K FW- y < V CC r p OL L C^ N-1 m o Z Z C O W 'J N G c N O Z ❑ < OF G W m ❑ G C p W y z N�� , O O Z W y � O O Z W W n C U O O W q < ❑ Z O w V � U O N to W Z _ w O G G n O O u z d ✓1 r W z U u 7� A r W Z OU O Z ❑ r W Z OU c Z ❑. W-4 W h u U y � 3 C C 7t U CO O U 1� u Z C O o, a q � U w G H o � O Lit LU w O O Z C. U w — O — z= •r �,,,, C _ i ❑ G cn G, � MSI O z .4 O � Z p w c c� U W < Pat R �Z w - in "J �f- ❑ F Z Q C u z i ZC7 C W w < W w - - > t^ to -OU < < C Z z Z o OG c.1 a i .0 4 Z N y W �. W u W o U Z U Z u Z c < O C C C w U Z U 7 U Z L, G G � C w W h u U y � 3 C C 7t U CO O U M u Z C O o, a q � U w G H o � Lit J W h u U y � 3 C C 7t U CO O U U J h z < C O q � U w G H Lit LU w O O Z C. U w — n — z= •r �,,,, C _ i ❑ G cn G, J N BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work small be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A " The debris will be disposed of in: Location of Facility Signature of Permit Applicant i Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 6 DAT AG 28A. CERTIFICATE OF LIABILITY INSURANCE 10-12-1999 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTEWST INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 522 CHICKERING ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRUST ASSURANCE DAVID CASTRICONE INSURER B: EASTERN CASUALTY INSURER p: ROOFING AND SIDING INC INSURER C: _ µ 7 HILLSIDE ROAD HOXFORD MA 01921- INSURER E: rnvcoenGc 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, INIRTYPEOF LTRGENERAL INSURANCE POLICY NUMUR POLICY EFFECTIVE POLICY EXPIRATIN LIMITS LIABILITY EACH OCCURRENCE S 1,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR TCP 1012811 08/06/1999 08/06/2000 FIREDAMAOb en onefln a 50,000 MED EXP An one reon S 5000 ❑ r PERSONAL a AOV INJURY 8 1,000,000 OENERALAGOREOATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 8 '~ 1,000,000 POLICY ❑ PRO- LOC rAVTQM0+81LE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Es sadden}) 9; ALL OWNED AUTOS SCHEDULED AUTOS �✓ 80pILY INJURY � (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per acdoom) ❑ PROPERTY DAMAGE (Peraccid6m) pGARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC 9 u ANY AUTO AUTO ONLY: AGG 3 EXCESS LIABILITY ❑ OCCUp I� CLAIMS MADE EACH OCCURRENCE 4 AGGREGATE 3 ^„ 8 S DEDUCTIBLE 6 RETENTION WORKERS COMPENSATION AND LIM FR EMPLOYERS' LIABILITY E.L. EACH -ACCIDENT S 100 X000 B fWC99 ►24009 09/23/1999 09/23/2000 E.L. DISEASE - EA EMPLOYE i 500,000 E.L. DISEASE - POLICY LIMIT Is 100,000 OTHER DESCRIPTION OF OPERAT10N6ROCATIONSNEHICLEBfEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ROOFING AND SIDING vo: r` ,r,vn c nvwcr[ I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIE$ BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, OUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR , • ACORD 26-S (7/97) w A r� xE 0 w C/) C/)co v U) O z z" A ..1 or - p w O rz v :c U G w" a 0 U m w c w a 0 w U w W 0 cn w p U z d o w C w w w w w m z CO Q O cn uj om z 0 TO Cf) N 0 c N C O CM CD co c m 0 cm c •c N %kh.- a a c bcw- 94�1 U6 0 co O co Z O O y M E O i Q CDO em a C4* O V C4 O Q C cc y real CD Q 3 .o �+ O 0 Q 0 0. a Q 1-0 C O O .j O O Z 5 CD C. CO) C 0 C/) VJ w w Irw Cl) c o CD o o C N O C cc O V CL CL CL C A O D C O ID ID CO) = Ea 1: o m �a E c 'mom o "r CD CD c CLO - N o Z' 0= N m 3 cm CD' C 3 m :rte • N E m . m 0 o L O " L c Q Cm C C Z Cc C= o H a m y m C = m m S O F-' O a O 1 - yr 620y., C:, •N "" m.r cO C j... CL== ♦+ LU E �o.o, a O� co ce m� m5; S go 0 aim z 0 TO Cf) N 0 c N C O CM CD co c m 0 cm c •c N %kh.- a a c bcw- 94�1 U6 0 co O co Z O O y M E O i Q CDO em a C4* O V C4 O Q C cc y real CD Q 3 .o �+ O 0 Q 0 0. a Q 1-0 C O O .j O O Z 5 CD C. CO) C 0 C/) VJ w w Irw Cl) OF Mp5S. r1IFOF E01 ONoNS�' MGT• ."V.P'T• WINTER STREET I" OF ,yam NOTES DANTE�yG o E. BARTOLOMED Z �o No. 15309 f GIS T REGI L6,N� 20' 0 20' 40' 80' DRAWN S.B. (CHECKED D.B. 701 BY: BY: DEED REFERENCE: BOOK 3770, PAGE 159 ESSEX NORTH REGISTRY OF DEEDS. PLAN REFERENCE: PLAN If 7586, ESSEX NORTH LSTRY OF DEEDS PROPOSED SUNROOM 773 WINTER STREET NORTH ANDOVER, MASSACHUSETTS PREPARED FOR JAMES & JUDY BATSON 73 Vj ITER STREET, NORTH ANDOVER; MA' SCALE: 1" = 40' DATE: JULY 7, 2003 NEW ENGLAND ENGINEERING SERVICES INC., 60 BEECHWOOD DRIVE NORTH ANDOVER, MASSACHUSETTS (978) 686-1768 V Location No. Date MORTq TOWN OF NORTH ANDOVER ' O� A Certificate of Occupancy $ A„S Building/Frame Permit Fee $ 1.412 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1<1 26 Check # 166', 7 - -a-�-� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r =.1`�S .fti>r i ,u4 ti* � b . .� BUILDING PERMIT NUMBER: DATE ISSUED: f 03 SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: "773 W14&-51% 1.2 Assessors Map and Parcel Number: iGz1,3 � Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1Z' 1 Zoning District Proposed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required I Provided 0 I b 1 too 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Naige (Printj Address for Service : 'SArmO A, Signature Telephone 2.2 Owner of Record: Na nn for Service: GAddress •foD - 5Z� Si ture Telephone SE&MDM 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Z7dht4T(f 4 11 Licensed Licensed Construction Supervisor: 4 U License Number 1 7 !�1 2 6&S�- Address Ll 70 ,372S& Expiration Date Signature Telep one 3.2 Registered Home Improvement Contractor Not Applicable ❑ Q /2-7/9/ Company Name Registration Number / O's-30 Address 'q/17/0L/ Expiration Date Signature Tele hon L���,q T M X Z O O W v M SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 6 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 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building W Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: A i1a ifI � �rJudd ?1 j v1 re-" i l/IPy5el SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE;ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) 'Li a o 4 Mechanical (HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,� N/��L�r'c' b� as Owner/Authorized Agent of subject property ze to act on Her�eha�iltiinall My matters relativ t work thorized by this building permit application. Z mA c73 nat Ye of O er Date SJEtION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I ST 2 ND3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS 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 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** r APPLICANT &uA,e HONE 51L 1.7,� y 5 VLOCATION: Assessor's Map Number 03774 L/PARCEL"015 SUBDIVISION i /LOT (S) __A("STREET 1-7 � "^ 1 (!WS`} ,ST. NUMBER 7 - VS RECO ENDATIONS OF TOWN AGENTS: CONSERVATION ADMINIS7 TOR DATE APPROVED d DATE REJECTED COMMENTS TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED 'SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS •• S •'{ 1�� �_ y 5 ., L 2� 101f.5 PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9197 jm k 0 7 /Ia7/20Cl3 1C1; _9 ` 786°51099 t i -,;i-, _ F•iE Eha �IhdEEF'It a.� ' ; . _ PAGE 01 V, COld"A, OF UpSS. n�'.pT OF v""RONyI�NTA1' tdGx NOTES DEED REFERENCE: BOOK 3770, PAGE 159 ESSEX NORTH REGISTRY OF DEEDS, PLAN REFERENCE; PLAN # 7666. ESSEX NORTH REGISTRY OF DEEDS WINTER STREET PROPOSED SUNROOM 773 WINTER STREET NORTH ANDOVER, MASSACHUSETTS PREPARED FOR JAMES & JUDY BATSON '773 WINTER STREET, NORTH ANDOVER, MA SCALE: 1" = 40' DATE: JULY 7, 2003 40' 0 40' 80, 120 NEW EaiGLA ID ENGINEERING SERVICES INC., pommomm--� 60 BEECHWOOD DRIVE NORTH ANDOVER, MASSACHUSETTS 701 DRA" 5.6. g'y c ° (978) 686-1768 BY .- �Z Foo • � jp. j LVL• �D�� �� • �� ail � or��c-r►o�t 5 R� %`�,,,OI,► -i;qw &glm-cu 0 if l fl IIi iI II j LVL• �D�� �� • �� ail � or��c-r►o�t 5 R� %`�,,,OI,► -i;qw &glm-cu 0 MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release lb TITLE: Batson CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 07/09/03 DATE OF PLANS: 7/09/03 COMPANY INFORMATION: HOME ENERGY INC. NOTES: ENTIRE HOYSE COMPLIANCE: Invalid Area(s) Ceiling 1: Caoiedral Ceiling (no attic) Ceiling 2: Flat Ceiling or Scissor Truss Ceiling 3: Other Wall 1: Wood Frame; 16" b.c. Window 1: Wood Frame, Double Pane wiflLLow E Door 17Glass Window 2: Wood Frame, Double Pane with Low -E Door 2: Solid Wall 2: Wood Frame, 16" o.c. Floor 1: All -Wood Joist/Truss, Over Outside Air Floor 3: All -Wood Joist/Truss, Over Unconditioned Space Boiler 1: , 87 AFUE Permit Number Checked By/Date Gross- Glazing Area or ' ' Cavity Cont. - -or Door Perim ter -R Value R -Value U -Fac= UA 384 44{1 A0 9 1276 " 37"0" " OR 40 _432 0.039 .13 449- I3:0 0.0- -1 1.60 0.340 54 36 0".340Y 12 250 0.340 83 18 0.160 3 2068 44.0 0.0 1S4 2SO 44:0" 0:01 6 978 19.0 0.0 -46 The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date- f . ,MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release lb DATE: 07/09/03 TITLE: Batson Bldg. Dept. Use I Ceilings: I.' Ceiling 1: Cathedral Ceiling (no attic), R44.0 cavity insulation Comments: 2. Ceiling 2: Flat Ceiling or Scissor Truss, R-37.0 cavity -insulation - Comments: 3. Ceiling 3: Other, U -factor: 0.030 Documentation must be submitted verifying the overall assembly U -factor. The U -factor must be developed -in -accordance with accepted engineering practiee.- Comfnents: Above -Grade Walls: 1. Wali Is Wood Frame, 16" o.c., R-13:0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" o.c., R-11.0 cavity insulation Comments: Windows: 1. Window 1: Wood Frame, Double Pane with Low -E, U -factor: 0.340 For windows without labeled i- factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: 2. Window 2: Wood Frame, Double Pane with Low -E, U -factor: 0.340 For windows without labeled i7 factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: 1. Door l: Glass, U -factor: 0.340 # Panes Frame Type Comments: 2. Door 2: Solid, U -factor: 0.160 Comments: Thermal Break? { j Yes { ] No Floors: 1. Floor 1: All -Wood Joist/Truss, Over Outside Air, 844.0 -cavity insulation Comments: 2. Floor 3: All -Wood Joist/Truss, Over Unconditioned Space; R-19:0 cavity insulation Comments: r° Heating and Cooling Equipment: 1. r $oiler l : , 87 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building -envelope that are sources 4f air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet-one-of4he following -requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessedfixture and ceiling cavity and sealed or gasketed toinvvent air_leakagelnto the uncondit ncd space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fire shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. [ Vapor Retarder: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. I j Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed -heating -and cooling -equipment -and service waterlwaling equipment must be provided. [ ] Insulation R -values, glazing U -values, and -heating equipment _efficiency must be clearly —rrLd1-A1-T-d on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7-. I. I Duct Construction: C ] I All accessible joints, seams, and_comrecdons=of supply-andretuni-ductwork located autsid-i�- conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing_tape-insmIled accorduipto the manufacturer's instatlatioir instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provid-a-means tx talancin,--�auctwaiersystems. Temperature Controls: [ ] I Thermostats are required for eaeh--separate i+VAC system_ A nwmalor-automatic means -to - partially restrict or shutoff the heating and/or cooling input to each zone-or-floorshaltbepmvided. Heating and Cooling Equipment -Sizing: [ ] Rated output capacity of the heating/cooling .systemisnot_greater 1han 125% of the siessignload-as specified in Sections 780CMR 13-10-ancfi.J4.4. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps ie -quire a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 °F or chilled fluids below 55 OF must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. • Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Cireulating Mains-nd Runouts Temperature ( F) UUto 1" Up -to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes NOTES TO YIELD (Building Department Use Only) Fluid Temp_ Insulation Thickness. in Inches by Pipe Sizes Piping System Taes Range(F) 2" Runouts 1" and Less 1.25" to 2" 2 5 to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120 200 -0.5 1.0 1.0 1.-5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 4.0 -l-.0 1.5 -1.5 NOTES TO YIELD (Building Department Use Only) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02911 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address Citi Phone #: Insurance Co. __ Policv # Failure to secure coverage as requiredunder section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 andfor one years' imprisonment_as weU_as_cbdl.penaltiesjnlheiorm.daSTDP WORK ORDER.and_a fine_cf-$IjDD.OD)-ajday.againstme I understand that a copy of this stgt+ent may be forwarded to the Office of Investigations of the DIA for coverage verification. ��I do hereby certify un th d penalties of perjury that the information provided above is true and correct. Print Official use only \ J do not write in this area to be completed by city or town official' U3/ff City or Town Permit/Licensing Building Dept ❑Check if immediate response is required .0 Licensing Board p Selectman's Office Contact person: Phone #: 0 Health Department Ei Other Home Energy, Inc. Building Contract This contract, dated July 3 ,2003 , is by and between the following owner and contractor. Owner: Jay & Judy Batson Telephone: Days978-682-4821 Eves Mailing Address: 773 Winter St., No. Andover MA 01845 Contractor: Home Energy, Inc., 14 Edgehill Rd., Haverhill, MA 01830 MA Home Improvement Contractor license certificate #127191 Fed. I.D. #04-3355584 Telephone: 978-374-6256 1. GENERAL This contract is for the following work and materials to be performed by the contractor (or new construction) on the property address above. The project is generally described as follows: Remodel existing kitchen, dining room, bathrooms, and sunroom according to architects plans. Rebuild a 16 x 16 sunroom with a vaulted ceiling. Hardwood flooring allowance is $9.00 per sq.ft. Tile allowance is $4.00 per sq.ft. All appliances and specialty electrical fixtures to be purchased by homeowner, installation is the responsibility of the contractor or licensed subcontractor. Plumbing & electrical estimates will be attached. Debris removal, trash hauling, and indoor and outdoor spill clean-up are included in the project cost. Estimates for all work are preliminary. The final estimates will be completed upon the receipt of the architects plans. The contract consists of this document, any plans or specifications or exhibits referenced herein, and the General Conditions following the signature page. Change orders and modifications shall be in writing and shall become part of this contract. 2. PRICE The total price for the work agreed upon is $142,324.26. Payment terms are set out below, in Paragraph 6. 3. STARTING AND COMPLETION PROVISIONS The work will begin on July 14 , 2003 , and will be completed, absent unusual circumstances, on September 26, 2003. Failure of Contractor, without lawful excuse, to substantially begin work within twenty-one (21) days after June 23, 2003 shall constitute a substantial breach of this agreement, in which case Owner may, upon written notice to Contractor, elect to terminate this agreement, and all deposit monies (less actual costs, e.g. for acquiring building permits and estimates) previously paid to Contractor shall be returned by Contractor to Owner. 4. PERMITS AND APPLICABLE CODES; COMPLIANCE WITH LOCAL LAW a. All work to be done under this contract will be in accordance with the building codes presently in force in the Town of No. Andover, MA. The contractor shall obtain all necessary permits and pay all required permit and plan fees. b. The contractor shall at all times comply with the laws of this state regarding mechanic's liens. ? r1 IS f ;i! +.., t.1 z' ; .,'i .. 1 • .':) .'al '•) r .-t, _, , - + ��'{ 1 �! f^f t; V i• .0 GI r ` r +. _i.! , ..,C, ,/" } .'to . I + rv) iq •r ACJJ'_. .i :� rJ 1 tl! + � .. 'f G �,. 'r -,; .. tie -i .. -,•. r+ ., ,, �,'.t � ' "+t:('i I.f � ! - .,y(± i .F�I� ,1.;-rr `.; t�'- ,/. ...1 i tl`d t., � '. .1' ... .1• ..a .-r I"J,J ,-•i � +f ' 5. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP This contract will be completed by the contractor in a good and workmanlike manner, using good quality materials. The parties agree upon the following materials specifications and work description, together with any plans or specifications incorporated herein. 6. PAYMENT a. Timely payment by the owner of all sums due under this contract is of the essence to thi; contract. The parties agree to the following schedule of payments: PAYMENT SCHEDULE DATE EXPECTED AMOUNT Initial deposit & permit application 02/25/03 $3000.00 cabinets ordered 5/29/03 $10000.00 windows & doors ordered 6/18/03 $10000.00 container delivery, demo porch 7/14/03 $6000.00 lumber delivery 7/15/03 $8000.00 rough frame complete 7/25/03 $6000.00 roofing & siding delivered 7/28/03 $4000.00 windows,roofing & siding installed 8/01/03 $5000.00 demo interior 8/04/03 $6000.00' rough electrical & plumbing 8/08/03 $16000.00 insulation installed 8/15/03 $4000.00 blueboard delivered 8/18/03 $5000.00 plaster finished 8/25/03 $5000.00'', cabinets & woodwork installed 9/08/03 $15000.00' flooring delivered 9/09/03 $10000.00 finish electrical & plumbing 9/12/03 $15000.00 countertops, backsplashes, appliances installed 9/26/03 $8000.00 final inspection,debris removal,site restoration 9/30/03 $6324.26 lien wavers complete $142324.26. The contractor shall provide the owner with his own waiver or cumulative subcontractor's waivers equal to the amount paid for any progress payment. b. The contractor may cease operations if any progress payment is not made by the owner as required herein, and proceed to collect any balance due with any legal remedy. Alternatively, the contractor may continue operations, as set forth in the attached General Conditions. 7. SIGNATURE Attached hereto are General Conditions governing the rights and obligations of the parties to thi, contract. The parties are further subject to the laws of this state governing contracts and mechanics' liens. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of , 2003 . owner contractor GENERAL CONDITI( These General Conditions are part of the contract betweenJay & Judy Batson and Home Energy, Inc. for work at 773 Winter St., No. Andover MA 01845 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 any, and supervise 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. d. To advise the owner promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this agreement. e. To remove all debris and construction material from the site prior to the final inspection and final progress payment, and restore contruction site to a level and clean condition. Contractor is not responsible for restoring organic landscaping to pre -construction condition, but must restore any disturbed structural elements such as patios or walkways to pre -construction condition. 2. OWNER'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 tic 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. h. Owner shall be entitled to make periodic inspections of the work site when accompanied by < representative of the contractor, provided such inspections do not interfere with the work and can, in the sole judgment of the contractor, be made safely. Any other entry onto the construction site shall be at owner's risk. i. Owner shall notify his insurance agent of the execution of this Agreement and obtain any necessary Riders to his current coverage or any locally customary forms of coverage, such as Builder's Risk, to cover owner's interests and liabilities during the construction process. 6. MATERIAL SUBSTITUTION Contractor reserves the right to substitute other materials, products and/or labor, of equal or superior quality, utility, or color. Upon written approval of Owner the Contractor reserves the right to make alterations to the heating and/or cooling system, provided any such substitution or alteration has equal to or greater durability and performance characteristics. In the event of the substitution of any appliance or heating equipment, the warranty terms of the substituted materials shall be equal to those originally specified unless the owner otherwise agrees in writing. V/. J& oils nod i W ' ' f A i .r ,. or -. '1 , aC� t .. ^.Lc• ley; '{) _ ,. 1'. ,1 c ' .t -IL r.. 1 .. ? •1. 'Ail ,i',. 1 if4',i:f ; ( - '� ._ ` ' -3,. :�ir•'.'v.. t' .i; .�✓. l , •1 • -• ):. �'i�:r �\rlfti tl �.I(ir�.,� .::?:+. !' .5 n. i,. �: �;.•;� JV. �}-.., �.. �. Tamp 0 in. t.rJ r 1 I., ... � r r ' �'. ,.J't,"i Ilii 4- ! 1�1 i}^,, .. f� .. � If7 ..7 i41 ill ' _.,' +• �� - , no, t4..' -9p, WCA C C?. _...n >:.'f't'• ,r: .t,l rt:..t i TA IV in T:. ?1,c,Ci '02 a D_r+,L or W. 1 5 7i 1. ' 3 ''iii'.. .0 bai'. _';.. . G ;rat<; 4,vur _..;.I:. : it , ; SII_• :, , ,' • ic�� r... r, .,, '. J' tiYC..0 +� "':+r.:`.. ' _ :i ,. b "1'' ,:i•. ,, ,+`'s ;,� ' 1. iiSe " Taft rr ill, :J ...;'. 1. ]rr ,. ' _.._ ., � �(i,,)', t ,v(,I ti d ,1- ! 'F'1. I•. ..t: r .. F.. ifs - .'_ , ' . . .. l •+, ,. t , `t. - i .._ _•iS�, `r..- "> iii , t'. _ 11 � `. r' .. I .. .J", '. � i. .. � '�1•• '` t .'�Z �' �y,t ^.r+ � . 1• � �.' �� _it;, Gr' �, _ 7. DELAY Contractor shall not be responsible for delays caused by events beyond the control of tht contractor, including but not limited to: strikes, war, acts of God, riots, governmental regulations aned restrictions. Delays caused by owner's failure to make allowance materials' selections or caused by the performance by contractor of extras or necessary work (as described in Paragraph 9) shall likewise be excusable delays. & INSURANCE Contractor agrees to maintain all necessary forms of insurance to protect the owner from liability for any occurence 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. Owner agrees to carry full coverage on the subject property covering owner's risk of loss during the construction period, together with all special forms required by reason of the performance of this contract. Specifically, owner shall contact owner's insurance agent and secure any necessary Builder's risk coverage prior to the commencement of the work. 9. 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 owner verbally at once to expedite agreement as to the charge to correct or cure such condition, and provide a written estimate aE 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 observable to a prudent contractor inspecting the subject property for the purpose of performing this contract. 10. EXTRAS Any extra work or materials desired by the owner shall be agreed upon in writing and such extras shall become a part of this contract. Unless otherwise agreed, extras shall be paid for as performed. Failure of the owner to sign an extras order shall not preclude recovery for same by contractor, and acceptance of said extra work or materials shall be presumed, unless there is written notice to the contrary. Contractor shall advise owner at the time of agreement on an extra as to any additional tim required to perform this contract. 11. SUBCONTRACTORS a. Contractor shall select subcontractors as required to complete this contract. Owner acknowledges that various portions of the work will be done by subcontractors. Any subcontractor selected by the contractor shall have all requisite licenses for the work to be done by such subcontractor, and the contractor shall issue subcontracts in writing whose specifications are consistent with this agreement. b. It shall be the duty of the contractor to use reasonable care in the selection of subcontractors Absent objectionable performance by any subcontractor, the selection of subcontractors shall be with the contractor exclusively. The contractor shall require all subcontractors to have such types of insurance in force as are required to hold harmless and indemnify the owner from any claim for injuries of property damage by any agent or employee of any subcontractor. c. Contractor shall pay subcontractors on a timely basis and obtain from subcontractors any necessary documentation required to release their lien rights, if any, as the work proceeds. 4. • 1 !' �i l t.,. ,� � •U c: ) a d f ! , - i it I ri.1L; ., i;: '{ .la ,) la �, r• f.i � I'h� � �f:'.�, ' r_ � ,�Y � l't R." ill _ � r ! . , •-�, ., .. _ .7� ip .fir..• In A i 1 .1,. - ilk ` '�. � ! ' �' 1, {t��. � J {1. 1 �i ,• T 1 �. 1i4, 1��' ii t1 v. .Yr t � . ,!` "1 t�..ryf � .. ♦:/ it E�:1 i , ' ,,� ,..v ��' . , ( • �,• � _ '� 'ri,' ' 'S! , ry' _'jam • ,,, i; i' .�� � � 7f ,i. I .A , � c i i• h 1 J1. ;F.,r.{.,1• `,. }')�! .' lt, Y I{ ��' ' w ,, ty. t n• f _ r _ ' /11 1412 >y r. i• +� :-i� Ii' � n.', •1 r `'7,J' I.r•5:.1 T>f i .E '• ';V.. ' ,� � ./ .� _ f 1t {. '! 1 e' 1 t . . ¢' tt' clr! C,�.' .l =! -, V : , i ` 01 ' _ t. `.. _ !nX _ • fi _ i,l y, �` _ +•.� t, J. `i 'o,. 7-r GA 0. a i of m..,i i . on u, na - w u n 'r .. 0_ " ,. ,. 9��.i 1• + ?i ... t t' ,ri: 'i,i' .. .'iF>?; _ Itu-,_. l �-,. c -+7`.;,t d. Contractor shall exercise reasonable care in the selection of materials used by subcontractors, but shall not be responsible for later discovered materials' defects or damages from installation methods, not reasonably ascertainable at the time of installation. e. All home improvement contractors and subcontractors shall be registered: Any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301, Boston, MA 02108, Tel. (617)727-8598. f. Contractor shall be responsible for prompt payment of all sums due subcontractors for work provided to Owner under this Contract. Contractor is responsible for obtaining lien releases from every subcontractor supplying work under this Contract. In the event of a dispute between Contractor and any subcontractor for work supplied under this Contract, Contractor agrees to hold Owner harmless from any penalties from any penalties or costs associated with the resolution of the dispute beyond the actual costs for labor and materials supplied under this Contract. 12. TERMINATION and CANCELLATION The contractor may terminate and cancel this contract if any payment called for hereunder is not received as scheduled, provided that notice is given to the owner as provided below. Upon such termination, the contractor shall have all remedies provided by law, including such lien rights as then apply. The owner may terminate this contract upon the following conditions: a. Failure of the contractor, or his subcontractors, to pursue the work contracted for, absent excusable delay, as provided in Paragraph 7 above, for a continuous period of seven days, without a written agreement permitting same, which may be satisfied by a simple notation to this agreement. b. Failure of Contractor or subcontractors to perform the construction work to the level of quality that may reasonably be expected by Owner given the degree of specificity supplied to contractor in such communications as the final building plans, the type and quality of materials, fixtures and appliances used in the project, and other similar demonstratable indicators of expected quality level. c. Failure of the contractor to rectify any condition regarding which building code enforcement authority has issued a citation or violation notice, within seven days' notice of such violation, unless owner and contractor otherwise agree. d. Any other failure to perform this contract required by the terms of this contract. e. No termination shall be effective unless 10 days notice of owner's intent are given as provided below, during which time the default may be cured by the contractor. 13. WARRANTIES a. The work of the contractor including materials and labor, shall be guaranteed for a period of five years, during which period contractor shall at its own expense correct any defect arising from its work unless Paragraph 11 (d) of these General Conditions applies. This provision is in lieu of all other warranties, express or implied, and owner has no action at law or in equity against the contractor after said date . b. Any and all warranties for appliances or mechanical systems shall be delivered to owner 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 5. 14. 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. 15. 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. 16. ARBITRATION The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such dispute to private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in MGL, c. 142A. Owner-------------------------Contractor---------------------- NOTICE: The signature of the parties above apply only to the agreement of the parties t., alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. 16. ENTIRE AGREEMENT This contract consists of the documents defined above, and constitutes the entire agreement the parties. It can be modified only by a written document. IN WITNESS HEREOF, we have hereunto set our hands and seals this day of 2003 , at Owner_______________________ Contractor ACORDM CERTIFICATE OF LIABILITY INSURANCE 0DATE (MWDDIYY) 7/03/2003 PRODUCER (508) 373-5654 FAX (508) 521-2751 ANTHONY & MALCOLM INSURANCE AGCY., INC. 3 S0. ,CENTRAL ST. PO BOX 5128 BRADFORD, MA 01835 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED HOME ENERGY, INC. JOHN J. CALL 14 EDGEHILL RD. HAVERHILL, MA 01830 INSURERA: HANOVER INSURANCE INSURER B: CHUBB INSURER C: INSURER D: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MWDDIYY LIMITS GENERAL LIABILITY DHN461714603 07/01/2003 07/01/2004 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE Fx_1 OCCUR MED EXP (Any one person) $ 15,000 A PERSONAL & ADV INJURY $ S00,000 GENERAL AGGREGATE $ 1,000,000 L AGGREGATE LIMIT APPLIES PER: NIPOLICYF—] PRODUCTS - COMP/OP AGG $ 1,000,000 PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO AMN611973103 06/01/2003 06/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ A X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per person) 500,000 BODILY INJURY $ (Per accident) 500,000 PROPERTY DAMAGE $ (Per accident) 500,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY UHN6232899 07/01/2003 07/01/2004 EACH OCCURRENCE $ 2,000,000 X OCCUR FICLAIMS MADE AGGREGATE $ 2,000,000 A ROD-COMP/OP AG $ 2,000,000 $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6F29UB795X178A02 10/01/2002 10/01/2003 OTH- TWo '5TATU- ORY LIMITS X ER E.L. EACH ACCIDENT $ S00,000 E.L. DISEASE - EA EMPLOYEE $ S00,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FOR THE PURPOSES OF BEING ADDITIONALLY INSURED WITH RESPECT TO GENERAL LIABILITY ACTION INC.: MASS ELECTRIC (NGRID): BOSTON GAS (KEYSPAN) NGR I IrFW/1IV. fIVLYCR I I ADDITIONAL INSURED; INSURER LETTER: L AIN"LLAI IVIV Town of No. Andover No. Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ��� Frederick Malcolm Jr./JS �' �'-• ©ACORD CORPORATION North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that.the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A.. The debris will be disposed of in: 614�j A, e //V 11-1% , Sf (Location of Facility) Applicant d NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector TUL-E8-200-7 15:59 FRI M:ALLIED CONSULTING 97844:=,46,6 TO: 1'+7_,7746E5F F: 3/9 7/7 JUL-28-2003 15:59 FF=[y;:HLLIECCCd=ILTIhda 978,443 ,46,36 TO: 19783;-4_�256 ry F:4/9 f 0 jj � 41 tf ............. ' PAr �...�.�..�, i - - -t` L --- •`, ti ----- -•-----8888-- ..��- «_.--- L _ 16:00 FRDII:RLLIEE., CONc-;IJLTIIIcq 97.844--:74G-,3--6 I , ST - TO: 197873746256 P:5/9 2,Z4 Z7 . .. ....... . ..... a, MIMIE T11 -F. LV I X�l 5:67 177�1 t -- v -------------- f JUL-28-2003 16-:00 FROM: ALLIED. C01-ISULTI1,IG 9TS44-346_6 TO:19787—,.746256 P: G/9 . . ......... .. .. -:., FA {;iso 160 ut-,j- W,/ DOA-," �!"t /11 . fllO zo LA JUL-28-200-21 16:01 FROM: ALLIED C'ONSLILTDIG 'D184434636 zoo TO: 19733746256 P: 7/9 JUL-28-20073 16:C712' FROrl:ALLIED CCIHSULTII-AG TCI:1976374625G, P: 8/9 I Vb. 7P,41 MMWOT,;;�m L MA ) - - - - - - - - - - - - - Lfig MA i N Ft-�' L — � 4-,v 55 f Ic f - IKI -As J fl� �tl <5420 ri . .... ....... Trvn" ,Z Y, 'D, . ......... 6; of4 (70, -3f a-4 0� z 5,5 )J'7 I JUL-28-2003 16:02' FRCI[fl.,RLLIED Ci NSIULTIH,:� 9784434636 TO:1978374625G, P:9/9 x F5'3 p'! 12 L 5L r -L-9. 14' x A-5 ff c 4-0 F20! 14 - - -------- LAJr 4-x r LUL I?JD6,f- %"t4 6 r 6gcrd�l (*;,) onnirm.i 5-twx-'uRAE, Y; co IS O z 7 o v •as a a o w a O z w o o as u A ca o .� O x O C Cda G p G w O v � o oe�v G O G w O go z cn Q v Cl) IS O z Eli co 0 O Z O D CO) y O v r�7 1-7 0 U) U) W W CC W U) 7 •as :co c o � o c C2 C.3 .Q Cc c (` • v � o oe�v m Q ,l m • mo :�� gy _ cc y Q00 j C�cm� €mc �1 o :mom\ r 7• N C1 y co o u N Q N p A 7:E0 Amo CL C.2 J: H `m o �x .==o - l ac= �.v�� y O m Cc o 0 ' cao c •O Q L y O C x m. :mac �COO N =CDmpy=... .y t O C oc • E d � •No Z C3 O p m C ViO. _ � O� O.O a�L= c =�a=m5 Eli co 0 O Z O D CO) y O v r�7 1-7 0 U) U) W W CC W U) FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro rn Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION t• -APPLICANT "�t�.�' ������ PHONE , A ' eg-Cy t,,LOCATION: Assessor's Map Number_ 0 3 774 "(j l ► "PARCEL_" F SUBDIVISION 1 LOT (S) VSTREET 1 -73 \JJ "^ 1 ew ✓ST. DUMBER -Ij ****************************OFFICIAL USE O�ILY� TIONS OF TOWN AGENTS: CONSERVATION AE COMMENTS TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED 41 FOOD INSPECTOR -HEALTH DATE APPROVED ------ DATE REJECTED ;SEPTIC INSPECTOR -HEALTH DATE APPROVED _ DATE REJECTED. COMMENTS •• S 'I t ��� uL �' �' , , r1w a 01 !si - 7,o , PUBLIC .WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT "FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE — Revised 9197 jm 1 7