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Miscellaneous - 92 BONNY LANE 4/30/2018 (2)
Date.................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ........... . . .............. has permission to perform. - — - "q --,/) ......................................................................... wiring in the building of,- ..... ..... ..................... ................................ at ... North Andover, Mass. . . ............................. -Fetll. ............... Lic. No ...... .. . ..... ...... ELECTRICAL ........ .................. INSPEC-rOR 01/21/99 14.34 WHITE: Applicant CANARY: Buildrig"pt. P41D PINK: Treasurer 77WC0M10NWE4LTH0FMAS&4CffUSE77N Office Use only UAA DEPARTiVIDVIOFPUBLICSAFM Permit No. ���BOARD OFMEPREVE7M0NREGUL4TI0M527CMR 12:00 Occupancy &Fees Checked ETRIPPUCATTONFOR PERMITTO PERFORMELE CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ECC E, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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) Owner or Tenant�� s ;/%�% `%� ✓S ; Owner's Address S T_ 77 Gox, Is this permit in conjunction with a building permit: Yes F -11 -No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service �`? Location No. U Date r 0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ r Building/Frame Permit Fee $ ' Foundation Permit Fee $ t Other Permit Fee $ Sewer Connection Fee $ i Water Connection Fee $ TOTAL $ ` Building Inspector 1 01/12/99 14:39 65.00 PAID Div. Public Works D_ m NO z e D In C t rl rn Z m m y _ 4 C m E +5 O V. Z i ^,Ni y LA D V. vi ZIrl m S J _ A Z m 2IlkZ y Y m (n�V L Z A V g' ON . Z D — 7 r' 1 I r� JI IL z ' ... ~ 4 z _ Z z h r - - - Z M Z n n = m - to - - T Z Z v. rr S D Z 7F (^ z Ul N y z X '' N 7; N ... z 3 09/20!1998 94:21 19784755101 3-18-1995 2:24AM FROM SEP. -24' 9lITN111 11:37 HENT ?£CHNOLNIES PRU HOWE At --ID DOHERT' T£L.97SaS032R2 MORTGAGE PLOT PLAN 97 WNNy Lmf /11VSCAIf i 1" r So' NORTN ANKvIA, AO.WCHUSETTS AWA ST Yi, I943 0MR. lom N. l LA{INEEN 1. $ULLIVAN SA $&Won.$ a. pv�Aao ote qtr � w' .1t . !fir pi v PAGE 02 P. 2 P. 04l -V_�(I/ •�stet =� >� u.��,® Ate! a�•rr NOTE', MIS is NOT A swuiY jwv 1$ To #t -USED FOR >1101<TGAof PURPOSts ONLY. N.B.- W NOT UR OFFUTS FOR ESTWISH14 LOT LINES FOII rift w►� ERCT'ION OF OrFNefS, WLLS, Mims, tre. I N11MOV CLRrIFyrNAr rol Wl LDINO ON THIS PUPIRrY »; LOCATtV As S14OWN ON pLAN ANp LVMFL I E t iv I TM Tiff Sit a x gr2urnwes, LOCAL ZONING C'IrR 11il ,tl i I FURTHER CMIFY T94r rjiE IS p �OVC prll(t+UG +Mcr LccArEv �. START IN A FLOW HAJARQ JON(. A ' -T. �.5+*rwf•�!'f'C51'hfa f'Mf+Mrw.e .. � � � �. �) . I T �+ +�9`�+19!"1IMR� iwlelr �"SerYMb^a . rH 4Z i ct J ON Orn -t Z: b0 � SL -p %i7 rt A 0 = rD7,z <0'O �O I CU OzrZp Z (")N-f 00 �- OW WD W; Cn <m - WO O= r•O N D (,f) O Z t✓ m Z H A -i r 0- -Z L4 Z -f D 3 rr : z H C7 � O � c zmo ,W.��� H x M 0 U (DO r ' 0 ,-- Z H (+ O (+ n f7 O rt O O • O aQ W W t W ,N3 0) ;u N O �. Q m ! W OD W W I O0 O I ! � �l3 � D i i Q. z [n I�pj 1 I I � I � I II r •-.• M O O m x I m ►-. rn` r- E m M y 1 � a m O r v �...• 0 6 1 H 00 —N/ .r. D C m - N m I r O O n __._..__ 510 rrvouncu a 1.v►ri WG 00 00 O IA SYM POLICY NUMBER WDA C8 00 57 52 0 CIGNA INSURANCE COMPANY ❑ New: ® Renewal: ❑ Rewrite of: NCCI CARRIER CODE: 12165 SYM PREVIOUS POLICY NO. CIGNA WDA C80005015 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE rWILLIAM Item 1. J GAVIN ASSOCIATES INC AND Inter/Intrastate Identification No.:011802 The NEW ENGLAND DESIGN BUILD INC FEIN #:042422973 Insured 128 WARREN STREET LOWELL MA 01852 Mailing ❑ Individual ❑ Partnership Address L Corporation ❑ Employer's Identification No.: PIIC CODE: 8712 Other workplaces not shown above: STATE OF MASSACHUSETTS Item 2. Policy period from 03-12-97 to 03-12-98 1 2:01 A.M., standard time at the insured's mailing address. Item 3. A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here: MASSACHUSETTS B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500.000 _ policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 200306A Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rate Code Estimated Total Per $100 of Estimated No. Annual Remuneration Remuneration Annual Premium CONTRACTOR — EXECUTIVE SUPERVISOR *5606 10400 4.43 461. CLERICAL OFFICE EMPLOYEES NOC 8810 100000 .28 280. CARPENTRY — DETACHED DWELLINGS 5645 IF ANY 15.25 0. ARCHITECT OR ENGINEER — 8601 IF ANY .86 0. CONSULTING CARPENTRY — CABINET WORK AND 5437 IF ANY 11.38 0. INTERIOR TRIM PAINTING, PAPER HANGING 5474 IF ANY 14.95 0. ESTIMATED STANDARD POLICY PREMIUM 741. MASSACHUSETTS DEPARTMENT OF 4.20% 31. INDUSTRIAL ACCIDENT ASSESSMENT EXPENSE CONSTANT 0900 190. Minimum Premium $ 500. Total Estimated Annual Premium $ 962. If Indicated here, interim adjust— PHYSICAL AUDIT ( PAGE 1 LAST PAGE) ments of premium will be made: ❑ Semi—Annually ❑ Quarterly ❑ Monthly Deposit Premium $ This policy includes these endorsements and schedules: WC 000414 200303A 990615A 200301 200302 200306A 200403 200601 AGENCY NO. 984220 04249110OZ DAC JAMES L COONEY INS 32 CHURCH STREET Countersigned By LOWELL MA 01852 MARKETING OFFICE: IA t 6rized Agent) DIRECT ASSIGNMENT 02-28-97 DAC CKE-4266a Ptd. in USA "' Cooyriaht 1987 Nmin i c„„ :i .,., r•..... __._..__ 510 rrvouncu a 1.v►ri WG 00 00 O IA Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a flue up to S1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that q copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains penaltie�tffperjury that the information provided above is true and correct SignaturFt.,/' G�'�w.-�yli- Date Print name TO Al� StJJ,LL /�/.y.d G /Phone # �` l�78 official use only do not write in this area to be completed by city or town official city or I] check if immediate response is required contact person: (revved 3l9S PIA) permit/license to r'lBuilding Department Licensing Board C]Sclectmen's Office oHealth Department phone #; rjOther CO) .p a Z CD O CL r m CD a i� o p CL t= CD 0 a O O O C= CD y CD O CO) d m 0 CO) c O CO) d CD O CD CO)CD CD H 0 O CCD O C CD 0 r. I C_� CrT7 cn n 0 cn C z cn d trod • O N C O co O CD O 0 � c a co oIN z NO m 0 N Q -- S. O a N CA —• y O Q cop O m o y moan' T N o ..«c 7 m � o N• T m aim � m O mIE N ti O=mm = Amo:' cc 0 _ O CD C's A T� �o m .31 Z :. nN o gooO omss: CD TCS' 1 O m 9 Q 1 : m CA d N CW Q W d _ m C N m CD col co C.) CD CD CD CD �m .�� o • m CD N om .� o J m m oma' n � Cl - c. �'• CD: co� CD = o CD . LW y 0 0 c Ocp C r�r 9� r °= 0C/) ro w (D til w �.r 4J w g. g. oGa �• N 91 o p,y ^ n y A x 0 O y 0 0 c T3 3922 1 Date// ..... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies t h a t .. ..... ......... ........... has permission to perform . .. . ...... ...... plumbing in the buildings o .. . ........................... at. . /� . ........ . .......... ...... North Andover, Mass. . . Fee. ... ...... PLUMBING INSPECTOR 01/21/99 14:39 40-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer (Type or Print) NORTH ANDOVER ,Mass.-: Building Location �� O�vn�,.,� LA, e— Owners Name New Renovation n ' Replacement 0 Plans Sylamitted AI Date:*.. Permit L59 (Print or Type), Check one: Certificate Installing Company Name cr',nna�L __Q� �,.��-,�. Q Corp. , Address Qc-) I;cvx �Z� , ;��Q f iC�� iY1� O i �� Partner. Cj Firm/Co. Business Telephone 0��� Name of Licensed Plumber:�,,� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy >, KOther type ,of indemnity 0 Bond Insurance Waiver: I, the undersigned, have been made aware- that the licensee of i this application does not have any one of the above three insurance coverages. - Signature of ownerlagent of property Owner Agents. I hemby cutify That all of the details and in(olmation I have subuul lcd got catelcd) in above appliotiow daa flat and ayalf to t)ss btu ei r1 �. katowkdgt and "all plualbin( walk and lnalallat4nna IKI(ntnicd undcl rcomit Iltucd for this appikation wiN 1 11th so Fatir" M►i viiia" of lbs Maasachusetls State rlumbiat Code and C7laptcs 142 0( the Genual Laws. n , , 1 014 By Title City/Town: .A D000VFr) 7oFFnrF USE ONLY1 Signature of Licensed Plumber Ty e of Plumbing License License Number ,'''d, Master 1:1JourneyoN►q Date. 0. � � ........ TOWN OF NO PERMIT FOR INSTALLATIO This certifies that .. h. I ���.� �!..�'� ��%��'..'......... . has permission for gas installationw. h. ). -.--5 ............... in the buildings of ..... Q.Ir. i..�............................ at .... Gj 0., tA..J... : c -........ ... North Andover, Mass. � Fee..P.?... Lic. No../,? -/.7... ....`t., -a........ i AS INSPECTOR Check # 8 U 5 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N ANDOVER Mass. Date 11/21 Building Location 92 BONNY LANE Owner Tel# 978-682-4862 2006 Permit # .S ro,% Owner's Name LISA REED Type of Occupancy RESIDENTIAL New 57 Renovation❑ Replacement Plan Submitted: Yet No[:] FIXTURES Installing Company Name Eastern Propane & Oil, Inc 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Check one: Certificate Corporation Partnership Firm/Co. Name of Licensed Plumber or Gas Fitter —7;-,97 mAE2'-r_" L C INSURANCE COVERAGE: I have a cur� liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yesl ✓ I No ❑ If you have c ecked, please indicate the type coverage by checking the appropriate box. A liability insurance policy E✓ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my ;nowledge and that all plumbing work and installations performed under the permit issued for this application Will be in compliance with all )ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: • -Plumber Signature of Licensed PI ber or Gas Fitter Title • Gas fitter e102_13 j_ f !J7 • -Master License Number / City/Town • -Journeyman APPROVED (OFFICE USE ONLY) 0393 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies thatf?`!'-............................................. has permission to perform .... eva wiring in the building of .... ............................................................. at .................... ........ . Aorth Andover, MWs. FeeaD ........... Lic. No....... ........ ..... .. ...... 1c � ELE ICAL INSPECTOR Check# A --iW 3 �/dL,0 Commonwealth of Massachusetts Department of Fire Services k BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ©C. T a � / p City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of or her intention to perform the electrical work described below. Location (Street & Number) 2, d n n ! Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps New Service Amps Number of Feeders and.Ampacity Volts Overhead ❑ Undgrd ❑ Volts Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start• Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO + E: 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:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: 1 t,v 7' /V/y Signature . vy►� LIC. No.: 6 � 1 (If applicable, enSer "exempt" ' the licen a number,lit�e.) Bus. Tel. No.: Address: t 0c, p4nAs %} P" WAL ya h) f I (�//�' d/5��. Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. - V No. of Total No. of Recessed Luminaires No. of Ceii: Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVO' No. of Luminaires Swimming Pool Above ❑ In- ❑ nd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners cD&) :__.. FIRE ALARMS No. of Zones No..of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Tons Tot No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers P Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Munical Local ❑ Connection ❑ Other No. of Dryers ry Heating Appliances Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Si ns Ballasts . No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start• Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO + E: 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:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: 1 t,v 7' /V/y Signature . vy►� LIC. No.: 6 � 1 (If applicable, enSer "exempt" ' the licen a number,lit�e.) Bus. Tel. No.: Address: t 0c, p4nAs %} P" WAL ya h) f I (�//�' d/5��. Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. Date/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that`,x..-,.. -- ...............<... --......... ................................ has permission to perform ..... wiring in the building of ..... f(,..t.-.......................................................... rte......... .................... . North Andover, Mass. Fee --S .��..... Lic. (! 2<2 2t�k��............. ELECTRICAL NOR Check # i 7017 1� Department of Fire Services PemutNo. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC), 527 CMR 12.00 (PLE-ASE PRINT IN INK OR TYPF ALL NFO ATION) Date: 6d- Z � m, City or Town of: To the It7spector of Wines: By this application the undersigned gives Aotice of his or her intention to perform the electrical work described below. Location (Street & Number) 1i Z (n yj h Owner or Tenant f�v 6 {'1 Owner's Address Is this permit in conjunction with a buil g permit? Yes Le Purpose of Building Stott le •,•� r Telephone No. No ❑ (Check Appropriate Box) 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: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires Z No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- 1:1o. rnd. rnd. 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. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump J.NuTber Tons KW No. of Self -Contained Totals: I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: V, f— t kzd n� / %l"� {-6 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: r (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins cc including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such covera rs in force, and has exhibited proof of sa e to permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) .. Av-P the I certify, under the pains and penalties o erjury, t at thein ormation on this application is true and complete. : '�� LIC. NO.:� FIRM NAME Licensee:e��/�� ��/ Signature LIC. NO.: (Ifapplicable, enter exempthe 1 cense number 4ne.)i 1 )i _ Bus. Tel. No.: Address: C/dl f kc-7Alt. Tel. No.: *Security System Contractor License req ' ed for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No. Staple a dejS Permit NO: 2 Date Issued: < TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Receive/t/,/— IMPORTANT: Applicant must complete all items on this page LOCATION r 7pr r14 \' j m PROPERTY OWNER I--k'Sg G v,cl t r 1 -,eea Print MAP NO.: PARCEL: TVPF. ANTI ITCF. (IF RITII,DIFNG ZONING DISTRICT: HISTORIC DISTRICT YES ❑ /oto �6� rye\ \�9 cocM<M wKw 10 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition Alteration XOne family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRAPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Qe ed Phone: Address: �' �c�,r_ . t"C Ck , A h(�u.a Y- A- CONTRACTOR Name: �� A-nn)e hd-c C, Phone: (21-7 400— U.�; Ch � � � 1 �- YJ UL -Q r PIA- d 1 F- l U Address: �, � � "- Supervisor's Construction License: Exp. Date: l U 1 a 8-o % Home Improvement License: 13 �' F3 a- Exp. Date: 'aI aU IO i ARCHITECT/ENGINEER Name: Phone: Address: a __ Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ 14 000 FEES 5� GHQQ-- Check No.:�� Receipt No.: "-/ 39 Page I of 4 01 1 Location ! .jean `'V1 kn1cf, M No. 52--5 Date l0 'Z dfi TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 51 r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 03—k- 19721 3—k - 19/21 Building Inspector J TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools 11❑ Public Sewer ❑ ❑ Tobacco Sales Food Packaging/Sales ❑ Well Permanent Dumpster on Site ❑ Private (septic tank, etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fmund Signature of Agent/Own Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED ❑ ❑ 'ARE DEPARTMENT - Temp Dumpster on site yes Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit W W cd w No U CU • �� I W W Qu a Z � ir w W C2 � w „r FO O H d U CU w° A U w a A w W C2 � w a a°' w x w m cn cn c o :•m C C �1 O ` O CO) JC., V O. C W W m C o E c : 0d 0. (A E� 7 ` :m m is i*m s E �mm CO c3 = VJ �' cmm N m zip �W o m O 4; o vi � c c oQ C c CD m z o C O C Q � C=: m C C x • w3 N 0 COL m ujW W w m A_-- CLro I.. m Z W E t� v �+ O y COL s .o*= o F- zCL RSO 8a�m s z O U c Z W 40 CL V y c c — c— �� C c — h 0 LLI uj U) W W oc W U) rikr f a�mw.sau�r:rl1� r� a�"k�.asw,�rr�al�s 8OARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 083511 Birthdate: 1012811966 Expires: 1012812008 Tr. no: 3634.0 Restricted: 00 CHRISTOPHER J MATEY 32 WASHINGTON AVE ANDOVER, MA 09810 COMMISSIOrw /J &\ƒ j$�ƒ \�. 0- 1 CL (j) X uj T C,4 Z HOWE INSURRNCE Fax:9784752171 Jun 2 2006 9:13 P.02 A RWIF.ATW. _ ANY REQUIREMFM, TERM OR CONOTTION OF ANY G4 NGT 4R OTHER OODVMPNT YYRN pESPFwr TTOWNIGH THOS CERTII<IGATE hV1Y BE 118UED OR MAY f!EitTAIN, THE INBURANf:E AFl�RDED 8Y THF pOLI01B8 D H{g1EiN IS SU ---ORD, . CERTIFICATE MJF LIABILITY I SURANCE °am`'m"°yr"' I W07=6THE NOWE INSURANCE Pham (9ANCE AQI{EAGENCY Fax: (976){76 2171 A PUNCNARp *s C@RTIFICATE M ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO OWNT$ UPON THE YUGI AVE ANDOVER MA 098!0 CERTIFICATO NI . TNIB CERT�ICATP DAA NOT MIND. LVMND an DY THE POLO" LYL...— QRNUAWLITY INSUREM I AFFORDING COVERAGE MAIC S INSURER A- National Gnwvo Mutual INSURED RED APPLE RENOVATQW INC INSURfeR &COnlmenNt ITneuraTlee Co 32 WASHINGTON AVENUE INSURER C: GfTOIitB Stats tn811►aTlte C4THp81 ANDOVER MA 01810 INSURER D.- :COVERAGES COVERAGES •-. THE romc1E$ OF MrI3U LANCE LISTED SOW HAVE I! FOR THE POLJ(;YPKRM RWIF.ATW. _ ANY REQUIREMFM, TERM OR CONOTTION OF ANY G4 NGT 4R OTHER OODVMPNT YYRN pESPFwr TTOWNIGH THOS CERTII<IGATE hV1Y BE 118UED OR MAY f!EitTAIN, THE INBURANf:E AFl�RDED 8Y THF pOLI01B8 D H{g1EiN IS SU TO ALL THE T'ERMB. EXt3LU8r01'f6 NyD COHB� POLKVES. AtiRRF13ATE LIMBS SH4WN MAY HAV$ mw f vuow BY PAID CLAIMS OF LIM I FfN6YRAN06 T!05MMERCIAL PCLIGYNUkIBE'R ►OMOrQP: rouCYawva„an 08/211/07 LIMITS QRNUAWLITY MP'87e bS 03/29108 - ! 1,000,000 XGENERALLIABILrrY •-. CLAIMSMA06Q OCCUfi PaeM6E6 Eau�oraMrArgo ; 500,400 ..10,000 A MED. EXP (Any pp persvll} 5 PERBorLU.aAnvMuuRY � 1,000,000 GENERAL AQGREGATii s 21000.000 caeleLaccoATa LnaraaaL>eE rel PROOuCTs GOMRroP Acali. s 2,000 000 PODGY j Ra AVtOMOa4E L"Lff Y OSMUMMM724 10/13/05 10113106 ANY AM (f?e Wit) MKiLE LIMIT 1 ALL OWNED AUTW X ILN'kY U B SG+EQtAiO Auno'I S 250,000 X NIREOAUT08 BODILY fWURY (Perat>NOpnp E 500,000 X NON40WM AUTM OAfTAGE UAeiLITY ooddmt $ 100,000 ANYAUTO AU11D Y-L=AAccaDEwr i OTNERTHAN EA AUTO ONLY: .• Afl0 EXCMI UMBRULA UAWLfYY �� G E4DN OOCtIRRENG6 i I j AGGREGATE s DEAUCTIfI E RETENnON 11 S E ` oTrleR EMPLOYIEW COLIMEM AILD YIIC87�8786 06/08" oti10t110'i :W „ T�om� a.LaACHACCIDsI a 10 coo I J.. olsEAsr: EwEnwLOYee s 1001400 r B t. D1sBA86�O11Rv tIMR i $00,000 1 I DESCRIPTION OF OPERATION LOCAnONWVENWA 6S/MdCi=4NS ADDEIy Elf t?llTt SPrxCIAL PROVISIONS RED APPLE RENOVATIONS 32 WASHINGTON AVENUE ANDOVER, MA 01810 Attention: 97S4W6.ZW ACORD 2s p M/0$) OF THE ABOVE DEBCRMD POr1CIE8 BE CAfdCaLFp BEFORE THE ATE THEREOF, TN£ 188u11V® rNBURMA VALL 941MAVOR TO MAIL 10 0AY6 to=ATONES 4Ak� "v0 � 0ON6 upom WT4MW$%,M. -FIIIIIIIINTATIVE 4 VI ouia ® loom CORPORATION 19" 0 � The Commonwealth of nlassachusetts Department of I/ldustrial Accidents Offi.ce of investigations 600 ffJashi ipon Street Boston, ,AM 02111 r!/ i Coll) Ot Sat10I1�liSlil aLCe111l/(SS. an v/(li a AikalntInfornatima Affidavit: BLlhldel'S /Conti-actorti/Electi-iclal)S/Pllll-11lbel-S Please Print I_t-crifil, Name03"sines s/Organization/lndividual): flddr-css: � a City/State%.zip:_ Ahclu e r Jh �'► l o Phone #: ci `1 k, ttoo- , aS Are you an cna1310yer? Check the appropriate box: 1 . I am a employer Willi S 4. ❑ I am a gen era I contractor and I employees (full and/or part-time).` 2. ❑ I am a sole proprietor or have hired the sub -contractors listed partner- on the attached sheet. i ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a coil) oration and its reglrired..] 3 ❑ I atn a homeowner doing all Officers have exercised their workright myself (No workers' camp. of exemption per MGL c. 152, §1(4), and we have no ursurance required.] t employees, [No workers' comp. insurance required Type of project (required): 6. ❑ New constrruclion 2- .Remodeling 8. ❑ Demolition .9. ❑ Burldnig addition 10.0 Blecmcalrelrairs oT additions 11.1:1 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Outer any appliclmt Lhat checks box #1 must also fill out the section below showing their workers' I-tomw cones who sublilit this affidavit indicating theymi adoing all work and then }!ircompensation policy information: e g uch. vontractots that check this box must attached nn additional sheet showing the nmoutside contractors must submit i new ntlidavit indic!itin name of the sub-contrnctorws s and their orkers' la is proVl(L/1g %tiol'liel'S'' C0111ilensatloli i/lSlll'altce fol• Illy employees. Below is the -polis}! a71(1 jay site '? formation. rsurance Company Name: ( :K�, (� r!C olicy It or Self -ins. Lic. #: �_u L (1 y (o \ 1� i Expiration Dater Q _ Ab Site ��dclress: q�- �ahr �.,� ttaclr a copy ofthe Vol.wCity/State/7ilr: � kers compensation policy declaration page (showing the policy number and expiration date). allure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penaltie ❑c t.mtD to $1,500.00 and. /or ouc-year unptisonnrent, as well as civil penalties in frac form of a S'I�OP WOItiC ORDER and afro -. u to $250.00 a da a tlnst lire violator: Be advised ghat a copys of a P y g vest' rations of the DIA for tnsu:rance cover of this statemcrtt may be forwarded to the Office of c S ;ag�.vet itica tion. uct ute 11at/ISIle pe/tallies Ofpet.jmy that the itV61TIlat1011 pl'OVlded aboVe 1S true and cot-l-t_!cf. Oficial IISe 0111P. Do trot ;vrite it, this area, to lie completed by city or town official. City or Town- Permit/License # Issuing Authority (circle one): I . Board of Healt:li 2. Building Department 3. City/'l'Owli Clerk 6, Other Contact Person: lU / 4. Electrical Inspector S. Plumbing luspectoi- Phone #: RED APPLE RENOVATIONS frowle rctrrarrrl as r ���r f€ass urr.cals Construction Contract This construction contract (the "Contract"), dated June 21, 2006 is by and between the following homeowner(s) and contractor: Homeowner(s): Property address City, State, Zip Contractor: Representative: Street Telephone Federal Identification Number: Massachusetts License Numbers: Construction Supervisor Home Improvement Lisa and, Peter Reed 92 Bonny Lane North Andover, MA 01810 Red Apple Renovations, Inc. Chris Matey, President 9 Bartlet Street, #332 Andover, MA 01810 978.409.1293 56-2309042 CS 083511 1381321 1. GENERAL In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: furnish all labor, materials, tools, equipment, and supervision to construct or renovate the Homeowner's residence according to this Contract and the following documents (collectively with this Contract, the "Contract Documents"). The project is generally described as kitchen remodel (the "Project"). The Contract consists -of-this document, Exhibit I - General Conditions, and Exhibit II - the Project Details. Change orders and modifications shall be in writing and shall become part of this Contract. 2. PRICE The total projected price for the work agreed upon is $43,000. Payment terms are set out below in Paragraph 6. 3. STARTING AND SUBSTANTIAL COMPLETION PROVISIONS The work will begin on or about ..The work will be substantially completed on or about 4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This Contract will be completed by the Contractor in a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed in the Contract Details Section. S. EXPIRATION OF THIS CONTRACT This Contract will expire thirty (30) days after the date first written above if not accepted in writing by Homeowner and returned to Contractor within that time. 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract is of the essence to this Contract. The parties agree to the following schedule of payments: 1. Initial payment: $23,500 (due at time of Contract signing). 2. Progress payments: The Homeowner will be billed weekly for the work completed through the .end of that week. The deposit paid by the Homeowner will be applied to the final invoice. Demolition Complete 5,500 Rough plumbing complete 2,300 Rough electrical completed 650 Cabinets installed 5,500 Countertop installed .1,550 Finish plumbing complete 1,200 Finish electrical complete 500 3. Final payment: $2,300 (Due at the completion of the project). The Contractor shall provide the Homeowner with his own waiver or cumulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations if the Homeowner as required herein does not make any progress payment, and proceed to collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts governing contracts and -mechanics' liens, and acknowledge the -right -of the Contractor to place a lien or security interest on the property of the Homeowner. IN WI NESS WHEREOF, we have hereunto set our hands and seals this 2day of ut44 C , 20 G DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Homeown Homeown Contractor The Homeowner may cancel this Contract if it has been signed by the Homeowner at a place other than the office of the Contractor, provided that the Homeowner notifies the Contractor in writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later than the midnight of the third business day following the signing of the Contract. See attached Notice of Cancellation for further explanation of this right. GENERAL CONDITIONS These General Conditions are part of Ithe Contract between Lisa and Peter Reed ("Homeowner") and Red Apple Renovations', Inc. ("Contractor`l for work at 92 Bonny Lane, North Andover 01845, dated lune 21, 2006! j 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. The worksite will be left in a "broom clean" condition. d. To advise the Homeowner promptly if concealed conditions are ascertained which require additional or different work,and nd to proceed in such event in accordance with this agreement. 2. HOMEOWNER'S DUTIES — GENERAL a. To provide adequate utilities for the work agreed upon. b. To advise the Contractor of any condition of the property which affects Contractor's ability to perform. I 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 toproceed. e. To perform no work on the project without a written agreement with the Contractor. f. To avoid interfering with workers. i 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. Homeowner shall notify his insurance agent of the execution of this Contract and obtain any necessary Riders to his current coverage or any locally customary forms of coverage, such as Builder's Risk; to cover Homeowner's interests and liabilities during the construction process. 3. DELAY Contractor shall not be responsible for delays caused by events beyond the control of the Contractor, including but not limited to: strikes, war, acts of God, riots, governmental regulations and restrictions. Delays caused by Homeowner's failure to make allowance materials' selections or caused by the performance by Contractor of additional or necessary work shall likewise be excusable delays. 4. PERMITS The contractor will obtain the following permits: North Andover Building Permit It is the obligation of the Contractor tofsecure such permits as the Homeowner's agent. Note: if the Homeowner secures its own permits or deals with unregistered contractors, the Homeowner is excluded from the Guaranty Fund provisions of MGL c. 142A. 5. INSURANCE Contractor agrees to maintain all necessary forms of insurance to protect the Homeowner from liability for any occurrence arising from the performance of this Contract. Contractor agrees that he I shall cover his own employees for worker's compensation and carry general liability, and that all forms of insurance carried hereunder shall be with reputable companies licensed to do business in this state. Homeowner agrees to carry full coverage on the subject property covering Homeowner's risk of loss during the construction period, together with all special forms required by reason of the performance of this Contract. Specifically, Homeowner shall contact Homeowner's insurance agent and secure any necessary Builder's risk coverage prior to the commencement of the work. f 6. HIDDEN, CONCEALED and UNFORESEEABLE CONDITIONS The parties agree that in the event Contractor discovers a condition requiring an extra cost that they shall proceed as follows: The Contractor shall notify the Homeowner verbally at once to expedite agreement as to the charge to correct or cure such condition, and provide a written estimate as soon as practicable. The parties must agree to such extra charges, or agree to a res' lution 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. 7. ADDITIONAL WORK Any additional work or materials desir.td by the Homeowner shall be agreed upon in writing and such extras shall become as part of this Contract. Unless otherwise agreed, any additional work shall be paid Tor -as -performed. Failure -of -the Homeowner to sign a change order shall not preclude recovery for same by Contractor, and acceptance of said additional work or materials shall be presumed, unless there is written notice to the contrary. I Contractor shall advise Homeowner at the time of agreement on any additional work as to any additional time required to perform this Contract. S. TERMINATION and CANCELLATION Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor in]accordance with the payment schedule set forth above, or if Homeowner repeatedly fails or refuses to furnish Contractor with access to the job site or product selections or information necessary for the advancement of the work. Simultaneous with stopping work on the project, Contractor shall give Homeowner written notice of the nature of Homeowner's default. If work is stopped due to any of the above reasons (or for any other material breach of Contract by Homeowner) for a period of seven (7) days after notice, and the Homeowner has failed to cure the default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Contract r I to Homeowner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, including the balance of the Contract. Yhereafter, Contractor is relieved from all other contractual duties. Upon such termination, the Contractor shall have all remedies provided by law, including such lien right's as then apply. The Homeowner may terminate this Contract upon the following conditions: a. Any other failure to perform this Coniract required by the terms of this Contract. -c. No :termination shall be effective -unless 10 days notice of Homeowner's intent are given as provided below, during which time the default may be cured by the Contractor. 9. DISPUTE RESOLUTION AND ATTORNEYS' FEES a. Dispute Resolution. The Contractor, and the Homeowner hereby mutually agree in advance that in the event that the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Conumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in M.G.L. c. 142A. Contractor: Homeowner: Homeowner: /a x/06 qC,G NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiatedby the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not signed separately by the parties. b. Small Claims Court. Any controversy or claim arising out of or related to this Contract involving an amount of lest than $2,500.00 (or the maximum limit of the court) must be heard , in the Small Claims Division of the District Court in Essex County. c. Attorneys' Fees. In the event of any litigation between the parties relating to this Contract, the party against whom any adverse final judgment is entered (as specifically determined by the Court), following the expiration or exhaustion of all appeals, shall reimburse the other party for such party's costs and expenses (including, without limitation, all reasonable attorneys' fees, expenses and disbursements) of such litigation. d. Inquiries Regarding Contractor. All home improvement contractors and subcontractors shall be registered and that any inquiries regarding a contractor or subcontractor -relating .to a -registration should be directed to: I - One Ashburton Place, _Room 1301 Boston, MA 02108 Tei: (617) 727-3000 ext. 25239 10. WARRANTIES a. The work of the Contractor, including materials and labor, shall be guaranteed for a -period -of -two -{2) years -during -whk-h -period Contractor -shall at its own expense correct any defect arising from its work unless Paragraph 7 of these General Conditions applies. This provision is in lieu of all other warranties, express or implied, and Homeowner has no action at laity or in equity against the Homeowner after said date. b. Any and all warranties for applianc6s or mechanical systems shall be delivered to Homeowner when Contractors 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. 9 11. 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. 12. 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. 13. ENTIRE AGREEMENT This Contract consists of the documents defined above, and constitutes the entire agreement of the parties. It can be modified only by a written document. i i NOTICE OF CANCELLATION You may cancel this Contract, without penalty or obligation, within three (3) business days from the date this Contract is fullyexecuted. If you cancel, any property traded in, any payments made by you under the Contract, and any negotiable instruments executed by you will be returned within ten (10) business days following receipt by the Contractor of your Cancellation Notice, and any security interest arising out of the Contract will be cancelled. If you cance), you must make available to the Contractor at your -residence, in-substantially _as tjood condition as-when received, any goods delivered to you under this Contract; or you may', if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods availably to the Contractor and the Contractor does not pick them up within twenty (20) dayslof the date of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail --to-do so, tben--you remain table for-performance -of all obligations of the Contract. To cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third (3`d) business day after the execution ofthe Contract. I HEREBY CANCEL THIS CONTRACT. Date: Homeowner: Y I! P 8 L RED APPiLh RENOVATIONS honrcc rcr��rrriF�(xyr. ;ar, e.+sicj��.c l� P Exhibit II Project Details Remodel Kitchen This project involves remodeling the existing kitchen. The work will include the following: ; • The removal of all existing cabinets and!i countertops from the kitchen. • The removal of the existing sink and fixtures. • Installation of rough water and waste fixtures and appliances. • An allowance of $1,000 for electrical wdrk is included in this contract. Work may include, but is not limited to lighting, additional outlets or appliance connections, installation of new outlets for the stove and microwave. • Installation of new upper and base cabinets based on the kitchen plan dated 5/3/06. The cabinets include the following: • Cabico Cabinetry - Frameless BOX Construction with particle board sides and shelves • Solid maple drawers with Blum motion glides • This contract includes cabinets finished in Cream lacquer on Maple with door style #360 - MDF recessedpanel. Cabinets finished in Natural Cherry with door style #660 -solid recessed panel door are available for an additional $1,525. Additional included items: • Tray dividers above refrigerator (6) • Pull out unit left of refrigerator (pottom) • Open bookshelves left. of refrigerator • Two 34" x 90" x 13" deep pant-,, 'units 9 Barbet Street #332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 I i I a i • Cutlery divider f • Double trash pullout 4 • Spice rack on back of door in rage area • Roll -outs on island cabinetry • All cabinetry and moldings in plan Items not included: l • Appliances • Glass for cabinet above sink • Decorative hardware t • This proposal contains an allowance of $6,500 for a new granite countertop and installation. • Installation of sink fixtures andarba +e disposal in their 9 9, p current location. This proposal includes an allowance of $1,000 for sink, fixtures and garbage disposal. • Installation of refrigerator, cooktop, microwave, dishwasher, two ovens and any other appliances. • Installation of any baseboard and or widow molding required by the new layout of the kitchen. The molding installed will match the existing molding of the house as close as is commercially reasonable. • If required, up to 3 square feet of floor will be replaced in the kitchen. The new floor material will match the existing flooring as close as is commercially reasonable. The repair of the floor does not include sanding or refinishing the floor. • Painting of the walls, ceiling and trim ofthe kitchen with two coats of paint in a color to be chosen by the homeowner. • All debris will be removed by the contractor. • The job site will be broom clean at the dnd of each day. • Permits and inspections will be managed by the contractor. Notes: :i 1) An allowance is an amount set aside in the contract for a specific item. The final cost will be determined by the fixt x es determined by the homeowner. 2) Paint grade means a material intended to be painted rather than st ' d. Homeown (s) Homeowner(s) 9 Bartlet Street #332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 .l Date to ,?.2- 8 G 9 Bartlet Street #332 9 Andover, MA 01810 i Date tel: 978.409.1293 fax: 978.945.2446 Building Setback (ft.) Front Yard Side Yard Rear Yard Required=Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA — For department use) Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC. Jan.2006 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENTMITORM05 Page 4 of 4 Date. R/ / <. TOWN OF NORTH AN PERMIT FOR PLUMi This certifies that ..'t C. L., r 'T" ................ � n has permission to perform .... PC A1.01) Ak l./ F .-- .............. plumbing in the buildings of ... Re -x. � ........................ at ..�.'. . .................... , North Andover, Mass. Feel...... Lic. No./31.x-... ........ X .�1 r�.�- ,....... . PLUMBING INSPECTOR Check 9 V 7063 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 9'd 4\,ll (4w Owners N of Date Permit If Amount -706:3 _L/'c� New Renovation\0 Replacement1:1 Plans Submitted Yes tl/I No LLL.JJJ G'IVTiTnCCS (Print or type) �� -Check o e: ertificate Installing Company NameA"L� (� orp. Address 6 1 v Partner. Business Telephone Firm/Co. Name of Licensed Plumber: y_4 Insurance Coverage' Ind Ka the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond 13 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 11 Agent I hereby certify that all f the details and information I have Submitted (or cantered) in above application are true and accurate to the hest of my knowicdge ;incl that Al plumbing work and installations performed under Pe sued for this application will he in compliancc with all pu-tinent provisions of the Massachusctts State Plumb, Code apter 1.12 ol'thc Cienural Laws. By: Igna urc �, recuse Title I'v e Of Plumbing icense City, Town ��PPROVED tcense um er [aster ❑ Journc,,man OFECE USE ONLY .r i ------------------------� •����rMWMMW �������� MMM MM (Print or type) �� -Check o e: ertificate Installing Company NameA"L� (� orp. Address 6 1 v Partner. Business Telephone Firm/Co. Name of Licensed Plumber: y_4 Insurance Coverage' Ind Ka the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond 13 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 11 Agent I hereby certify that all f the details and information I have Submitted (or cantered) in above application are true and accurate to the hest of my knowicdge ;incl that Al plumbing work and installations performed under Pe sued for this application will he in compliancc with all pu-tinent provisions of the Massachusctts State Plumb, Code apter 1.12 ol'thc Cienural Laws. By: Igna urc �, recuse Title I'v e Of Plumbing icense City, Town ��PPROVED tcense um er [aster ❑ Journc,,man OFECE USE ONLY Staple a leis Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION v IMPORTANT: Applicant must complete all items on this L,,a, S,� ( TYPE AND USE OF BUILDIN G TYPE OF IMPROVEMENT ❑New Building \,ldition Alteration !??Hair. renlae PmPrt HISTORIC DISTRICT PROPOSED USE Restl ❑ One family ❑ Two or more family No. of units: ❑ Assessory Bldg u Li V,uliliilUu ❑ Other ❑ Moving (relocation) ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED 3? d� "�'• ,,._ a OL O A F- e LOCATION int PROPERTY OWNER I,ksIr, w+^C� fte- �r < � Print PARCEL: ZONING DISTRICT: MAP NO.: YES ❑ Non- Residential ❑ Industrial ❑ Commercial ❑ Others: Qe� Identification Please Type or Print Clearly) <i q h 7� 2� � Phone: OWNER: Name: 1- k 41' Address:Grr �� h Address: Date Received 7. ve k h Supervisor's Construction License: Exp. Home Improvement -License: i 3 $ \ 3 --)- Exp. ARCHITECT/ENGINEER Name: Phone: Reg. No. Address: FEE SCHEDULE: BULD/NG PEFEE:$ $12.00 PER $1000.00 OF THE TOTALESTIMATED � jq COST BASED ON $125.00 PER S.F. Total Project Cost :$ � � '� d o 11 Date: Date: v Receipt No.: j 3 Check No.: Page W4 4 F Location 9; 60,0-N No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $�1 -� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # A-ID— Building Inspector TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ 11Private (septic tank etc F-1PermanentDumpster on Site Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner �c,e�� Signature of contracto Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS -HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes DATE REJECTED ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED 11 DATE REJECTED 11 Planning Board Decision: Comments Conservation Decision: Comments x DATE APPROVED DATE APPROVED DATE APPROVED Water & Sewer connection/Snature &Date Driveway Permit Temp Dumpster on site yes no_ Fire Department signature/date G%' I,-- CO) m m m CO) m N mm CD y CA Cl) C � � d 10 O CD n Z CO) CL n - CE= CL =• y aCO -0 C2 CD CDCL o C7 d CD CCD O CD C O CA �- CD CLO CA I CQ CD CD v CA Cl CD CD Z o � CD 0 dc CD 4 p C I ?� o _ O m C13C ca CH � m ' Z - m N o 1m m = > >mo J, g, o a O 0 y to ;& O m LN mom: A oa=r�:• O m y C7� MM = CL : l„y 3 O y V) ad � Q \`J y CCD c m CA COW*m m.: b6 m .R« . o� maa O CA ZCD co O � m . cn 9:w y �. o m y O O �q cm,O!��a-7 H 0 9 v r v 0 6N O C y � 7 tz 0 Rw? x a G d n b ntzcn O v r v 0 6N O C RSD APPLE RENOVATIONS /acr�liEF ►��rrl,r,cl��lrr.�;� ��ac��`fps�.x�c:�ar.crl..c� Construction Contract Master Bathroom This construction contract (the "Contract"), dated May 16, 2006 is by and between the following homeowner(s) and contractor: Homeowner(s): Property address City, State, Zip Contractor: Representative: Street Telephone Federal Identification Number: Massachusetts License Numbers: Construction Supervisor Home Improvement Lisa and Peter Reed 92 Bonny Lane North Andover, MA 01845 Red Apple Renovations, Inc. Chris Matey, President 9 Bartlet Street, #332 Andover, MA 01810 978.409.1293 56-2309042 CS 083511 138132 1. GENERAL In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: furnish all labor, materials, tools, equipment, and supervision to construct or renovate the Homeowner's residence according to this Contract and the following documents (collectively with this Contract, the "Contract Documents"). The project is generally described as remodel master bathroom (the "Project"). The Contract consists of this document, Exhibit I - General Conditions, and Exhibit II - the Project. Change orders and modifications shall be in writing and shall become part of this Contract. 2. PRICE The total projected price for the work agreed upon is $8,650. Payment terms are set out below in Paragraph 6. 3. STARTING AND SUBSTANTIAL COMPLETION PROVISIONS The work will begin on or about on or about . The work will be substantially completed iviay 40 ub uy:46P Peter Reed 978-682-4862 p.2 4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This Contract will be completed by the Contractor in a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed In the Contract Details Section. S. EXPIRATION OR THIS CONTRACT This Contract will expire thirty (30) days after the date first written above if not accepted in writing by Homeowner and returned to Contractor within that time, 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract is of the essence to this Contract. The parties agree to the fogowing schedule of payments: 1. Initial payment: $3,500 (due at time of Contract signing). 2. Progress payments: The Homeowner will be billed weekly for the work completed through the end of that week. The deposit paid by the Homeowner will be applied to the final Invoice. Demolition Complete 1,500 Tile Installed 1,065 Vanity Installed 750 Vanity Countertop Installed 500 Plumbing complete 750 3. Final payment: $585 Due at the completion of the project. The Contractor shall provide the Homeowner with his own waiver or cumulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations if the Homeowner as required herein does not make any progress Payment, and proceed to collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts _governing contracts and mechanics' liens, and acknowledge the -right of the Contractor to Place a lien or security Interest on the property of the Homeowner. IN w_UWESS WHERT�pF, we have h reunto set our hands and seals this -- _ day of /Iia 20 vr. DO "T SZON THIS Cd"ItiCT IF THERE ARE ANy BLANK SPACES Horneowner(s) ntractor Homeowner(s) The Homeaw ay cancel this Contract if It has been signed other than the office of the Contractor, � b�► the Homeowner at a place in writing at the Contractor's office by ordinary mail, telegram or Peersonal d� delivery, nthe not later than the midnight of the third business day fo{owing the si n attached Notice of Cancellation fvr further explanation of this right of the Contract. See 4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This Contract will be completed by the Contractor in a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed in the Contract Details Section. S. EXPIRATION OF THIS CONTRACT This Contract will expire thirty (30) days after the date first written above if not accepted in writing by Homeowner and returned to Contractor within that time. 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract is of the essence to this Contract. The parties agree to the following schedule of payments: 1. Initial payment: $3,500 (due at time•of Contract signing). 2. Progress payments: The Homeowner will be billed weekly for the work completed through the end of that week. The deposit paid by the Homeowner will be applied to the final invoice. Demolition Complete 1,500 Tile Installed 1,065 Vanity Installed 750 Vanity Countertop Installed 500 Plumbing complete 750 3. Final payment: $585 Due at the completion of the project. The Contractor shall provide the Homeowner with his own waiver or cumulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations if the Homeowner as required herein does not make any progress payment, and proceed to collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts governing contracts and mechanics' liens, and acknowledge the right of the Contractor to place a lien or security interest on the property of the Homeowner. IN WITNESS WHEREOF, we have hereunto set our hands and day of 20 seals this 00 NOT SI, N THIS CONTRACT If: THERE ARE ANY BLANK SPACES Homeowner(s) ontractor Homeowners The Homeow may cancel this Contract if it has been signed by the Homeowner at a place other than the office of the Contractor, provided that the Homeowner notifies the Contractor In writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later than the midnight of the third business day following the signing of the Contract. See attached Notice of Cancellation for further explanation of this right. EXHIBIT I GENERAL CONDITIONS These General Conditions are part of the Contract between Lisa and Peter Reed ("Homeowner") and Red Apple Renovations, Inc. ("Contractor") for work at 92 Bonny Lane, North Andover MA, 01845 01810, dated May 16, 2006. 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. The worksite will be left in a "broom clean" condition. d. To advise the Homeowner promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this agreement. 2. HOMEOWNER'S DUTIES — GENERAL a. To provide adequate utilities. for the work agreed upon. b. To advise the Contractor of any condition of the property which affects Contractor's ability to perform. c. To provide secure storage areas for materials delivered to the work site. d. To execute in a timely manner all permit applications and other documents necessary for the work to proceed. e. To perform no work on the project without a written agreement with the Contractor. f. To avoid interfering with workers. g. To make no agreements with any tradesperson, subcontractor, or Contractor's employee outside the scope of this Contract without the written consent of the Contractor. h. Homeowner shall notify his insurance agent of the execution of this Contract and obtain any necessary Riders to his current coverage or any locally customary forms of coverage, such as Builder's Risk, to cover Homeowner's interests and liabilities during the construction process. 3. DELAY Contractor shall not be responsible for delays caused by events beyond the control of the Contractor, including but not limited to: strikes, war, acts of God, riots, governmental regulations and restrictions. Delays caused by Homeowner's failure to make allowance materials' selections or caused by the performance by Contractor of additional or necessary work shall likewise be excusable delays. 4. PERMITS The contract will obtain the following permits: Town of North Andover Building Permit It is the obligation of the Contractor to secure such permits as the Homeowner's agent. Note: If the Homeowner secures its own permits or deals with unregistered contractors, the Homeowner Is excluded from the Guaranty Fund provisions of MGL c. 142A. S. INSURANCE Contractor agrees to maintain all necessary forms of insurance to protect the Homeowner from liability for any occurrence arising from the performance of this Contract. Contractor agrees that he shall cover his own employees for worker's compensation and carry general liability, and that all forms of insurance carried hereunder shall be with reputable companies licensed to do business in this state. - Homeowner agrees to carry full coverage on the subject property covering Homeowner's risk of loss during the construction period, together with all special forms required by reason of the performance of this Contract. Specifically, Homeowner shall contact Homeowner's insurance agent and secure any necessary Builder's risk coverage prior to the commencement of the work. 6. HIDDEN, CONCEALED. and UNFORESEEABLE CONDITIONS The parties agree that in the event Contractor discovers a condition requiring an extra cost that they shall proceed as follows: The Contractor shall notify the Homeowner verbally at once to expedite agreement as to the charge to correct or cure such condition, and provide a written estimate as soon as practicable. The parties must agree to such extra charges, or agree to a resolution method, or this Contract may be canceled by either of them. For purposes of this section, a "hidden, concealed and unforeseeable condition" shall mean a condition not readily observable to a prudent contractor inspecting the subject property for the purpose of performing this Contract. 7. ADDITIONAL WORK Any additional work or materials desired by the Homeowner shall be agreed upon in writing and such extras shall become a part of this Contract. Unless otherwise agreed, any additional work shall be paid for as performed. Failure of the Homeowner to sign a change order shall not preclude recovery for same by Contractor, and acceptance of said additional work or materials shall be presumed, unless there is written notice to the contrary. Contractor shall advise Homeowner at the time of agreement on any additional work as to any additional time required to perform this Contract. 8. TERMINATION and CANCELLATION Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor in accordance with the payment schedule set forth above, or if Homeowner repeatedly falls or refuses to furnish Contractor with access to the job site or product selections or Information necessary for the advancement of the work. Simultaneous with stopping work on the project, Contractor shall give Homeowner written notice of the nature of Homeowner's default. If work is stopped due to any of the above reasons (or for any other material breach of Contract by Homeowner) for a period of seven (7) days after notice, and the Homeowner has failed to cure the default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Contract to Homeowner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, Including the balance of the Contract. Thereafter, Contractor Is relieved from all other contractual duties. Upon such termination, the Contractor shall have all remedies provided by law, including such lien rights as then apply. The Homeowner may terminate this Contract upon the following conditions: a. Any other failure to perform this Contract required by the terms of this Contract. c. No termination shall be effective unless 10 days notice of Homeowner's Intent are given as provided below, during which time the default may be cured by the Contractor. 9. DISPUTE RESOLUTION AND ATTORNEYS' FEES a. Dispute Resolution. The Contractor and the Homeowner hereby mutually agree in advance that in the event that the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in M.G.L. c. 142A. /7Z _ Contractor: Homeowner: Homeowner: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not signed separately by the parties. b. Small Claims Court. Any controversy or claim arising out of or related to this Contract involving an amount of less than $2,500.00 (or the maximum limit of the court) must be heard in the Small Claims Division of the District Court in Essex County. c. Attorneys' Fees. In the event of any litigation between the parties relating to this Contract, the party against whom any adverse final judgment is entered (as specifically determined by the Court), following the expiration or exhaustion of all appeals, shall reimburse the other party for such party's costs and expenses (including, without limitation, all reasonable attorneys' fees, expenses and disbursements) of such litigation. d. Inquiries Regarding Contractor. All home improvement contractors and subcontractors shall be registered and that any Inquiries regarding a contractor or subcontractor relating to a registration should be directed to: Registration Division, Program Coordinator One Ashburton Place, Room 1301 Boston, MA 021.08 Tel: (617) 727-3000 ext. 25239 10. WARRANTIES a. The work of the Contractor, including materials and labor, shall be guaranteed for a period of two (2) years during which period Contractor shall at Its own expense correct any defect arising from its work unless Paragraph 7 of these General Conditions applies. This provision is in lieu of all other warranties, express or implied, and Homeowner has no action at law or in equity against the Homeowner after said date. b. Any and all warranties for appliances or mechanical systems shall be delivered to Homeowner when Contractor's final payment is received. c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be brought against the Contractor on this contract, for the performance of this work, except as provided above. 11. 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. 12. 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. 13. ENTIRE AGREEMENT This Contract consists of the documents defined above, and constitutes the entire agreement of the parties. It can be modified only by a written document. NOTICE OF CANCELLATION You may cancel this Contract, without penalty or obligation, within three (3) business days from the date this Contract is fully executed. If you cancel, any property traded in, any payments made by you under the Contract, and any negotiable instruments executed by you will be returned within ten (10) business days following receipt by the Contractor of your Cancellation Notice, and any security interest arising out of the Contract will be cancelled. If you cancel, you must make available to the Contractor at your residence, In substantially as good condition as when received, any goods delivered to you under this Contract; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty (20) days of the date of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations of the Contract. To cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third (3`4) business day after the execution of the Contract. I HEREBY CANCEL THIS CONTRACT. Date: Homeowner: Q, RED APPLE EX11OVA'"'16-NS lanai. °rc�fr�t'cd�l rc;r f�rr��(?.SS' 4)17.CF t Contract Details Master Bathroom Remodel Master Bathroom This project involves replacing the fixtures and flooring in the master bathroom. The toilet, vanity, sink and faucet will be replaced. The existing the floor will be removed and a new tile floor will be installed. Remove all plumbing fixtures except the tub/shower unit and the tub and shower valve. Remove the existing tile floor. s' Install new cement board over the existing subfloor. r' Install and grout new floor tile. The tile to be installed is Kai Planet - Beige (13 inches x 13 inches). The tile will be installed in a grid pattern. The the will also be grouted in a color to be chosen by the homeowner. Install new baseboard molding to match the existing molding. Install the following new fixtures: Tub &Shower Symmons ----[-76-1-131 Trim Allura TRW vanlur+a vvmasor 4W x Countertop CABINET CABINET CORP: be Kick AMER CABINET CORP: an' Sink Toto anity Faucet Hansgrohe rc Kraftmaid 48° in Atwat M uslin Maple 48 in Muslin Maple 17° ;;;fKraftmaid White undermount- 501ans Brushed N 8" wide snrPari izv f.. 9 Bartlet Street #332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 The fixtures in this contract have been selected by the customer. An additional cost may be incurred if the fixtures do not fit the space, cannot be physically installed or cannot be installed together. This contract does not include any shipping or handling fees charged by any vendors. These will be added to the cost of the project when the costs are Incurred. Paint the walls and ceiling with one coat of primer and two finish coats in a color to be chosen by the homeowner. All debris will be removed by the contractor. The job site will be broom clean at the end of each day. Permits and inspections will be managed by the contractor. Homeowner(s) Homeowner( Date Date � � �G�►� Un�o�anal/%�� �e w � U 9 Bartlet Street #332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 RED APPLE RENOVATIONS lto,we rentodelt'rtg Pr(ji!- si(kwd,%' Construction Contract Childrens' Bathroom This construction contract (the "Contract"), dated May 16, 2006 is by and between the following homeowner(s) and contractor: Homeowner(s): Property address City, State, Zip Contractor: Representative: Street Telephone Federal Identification Number: Massachusetts License Numbers: Construction Supervisor Home Improvement Lisa and Peter Reed 92 Bonny Lane North Andover, MA 01845 Red Apple Renovations, Inc. Chris Matey, President 9 Bartlet Street, *332 Andover, MA 01810 978.409.1293 56-2309042 CS 083511 138132 1. GENERAL In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: furnish all labor, materials, tools, equipment, and supervision to construct or renovate the Homeowner's residence according to this Contract and the following documents (collectively with this Contract, the "Contract Documents'J. The project is generally described as remodeling the children's bathroom (the "Project'j. The Contract consists of this document, Exhibit I - General Conditions, and Exhibit II - the Project. Change orders and modifications shall be in writing and shall become part of this Contract. 2. PRICE The total projected price for the work agreed upon is $9,650. Payment terms are set out below in Paragraph 6. 3. STARTING AND SUBSTANTIAL COMPLETION PROVISIONS The work will begin on or about The work will be substantially completed on or about May 25 06 09:46p Peter Reed 978-682-4862 p.1 4. SPECIFIiG RLQUIREMENTS Fon,14ATERIALS AND VJORK04ANSHIP a. This Contract will be completed by the Contractor in a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed in the Contract Details Section. 5. EXPIRATION OF THIS CONTRACT This Contract will expire thirty (30) days after the date first written above If not accepted in writing by Homeowner and returned to Contractor within that time. 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract Is of the essence to this Contract. The parties agree to the following schedule of payments: 1. Initial payment: $4,200 (due at time of contract signing). 2. Progress payments: The Homeowner will be billed. weekly for the work completed through the end of that week. The deposit paid by the Homeowner will be applied to the final invoice. Demolition Complete 1,500 Tile installed 1,000 Vanity Installed 765 Vanity Countertop Installed 650 Plumbing complete 750 3. Final payment: $500 Due at the completion of the project. The Contractor shall provide the Homeowner with his own waiver or cummulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations If the Homeowner as required herein does not make any progress payment, and proceed tQ collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts governing contracts and mechanics' liens, and acknowledge the right of the Contractor to place a Ilan or security Interest on the property of the Homeowner. I_N,,.-WITNESS WHEREOF, we have h reunto set our hands and seals this a2 S day of 20 d DO NOT SMS TIUS CbNTRACT IF THERE ARE ANY BLANK SPACES Homeowner(s) Contras Homeowne ) The Homeowner may cancel this Contract If It has been signed by the Homeowner at a place other than the office of the Contractor, provided that the Homeowner notifies the Contractor In writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later than the midnight of the third business day following the signing of the Contract. See attached Notice of Cancellation for further explanation of this right. 4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This Contract will be completed., by the Contractor In a good and workmanlike manner, using good quality materials. b. If applicable, the Contract price includes the allowances listed in the Contract Details Section. 5. EXPIRATION OF THIS CONTRACT This Contract will expire thirty (30) days after the date first written above if not accepted in writing by Homeowner and returned to Contractor within that time. 6. PAYMENT a. Timely payment by the Homeowner of all sums due under this Contract is of the essence to this Contract. The parties agree to the following schedule of payments: 1. Initial payment: $4,200 (due at time of Contract signing). 2. Progress payments: The Homeowner will be billed weekly for the work completed through the end of that week. The deposit paid by the Homeowner will be applied to the final invoice. Demolition Complete 1,500 Tile Installed 1,000 Vanity Installed 765 Vanity Countertop Installed 650 Plumbing complete 750 3. Final payment: $500 Due at the completion of the project. The Contractor shall provide the Homeowner with his own waiver or cumulative subcontractors' waivers equal to the amount paid for any progress payment. b. The Contractor may cease operations if the Homeowner as required herein does not make any progress payment, and proceed to collect any balance due with any legal remedy. Alternatively, the Contractor may continue operations, as set forth in the attached. 7. SIGNATURE Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of the parties to this Contract. The parties are further subject to the laws of Massachusetts governing contracts and mechanics' liens, and acknowledge the right of the Contractor to place a lien or security interest on the property of the Homeowner. IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of , 20 DO NOT SION THIS CONTRACT IF THERE ARE ANY BLANK SPACES Homeowner(s) Contractor Homeowner( .- The Homeow er may cancel this Contract if It has been signed by the Homeowner at a place other than the office of the :Contractor, provided that the Homeowner notifies the Contractor in writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later than the midnight of the :third business day following the signing of the Contract. See attached Notice of Cancellation for further explanation of this right. EXHIBIT I GENERAL CONDITIONS These General Conditions are part of the Contract between Usa and Peter Reed ("Homeowner") and Red Apple Renovations, Inc. ("Contractor") for work at 92 Bonny Lane 01810, dated May 16, 2006. 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. The worksite will be left in a "broom clean" condition. d. To advise the Homeowner promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this agreement. Z. HOMEOWNER'S DUTIES -- GENERAL a. To provide adequate utilities for the work agreed upon. b. To advise the Contractor of any condition of the property which affects Contractor's ability to perfomn. 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 tradespersori, subcontractor, or Contractor's employee outside the scope of this Contract without the written consent of the Contractor. h. Homeowner shall notify his Insurance agent of the execution of this Contract and obtain any necessary Riders to his current coverage or any locally customary forms of coverage, such as Builder's Risk, to cover Homeowner's interests and liabilities during the construction process. 3. DELAY Contractor shall not be responsible for delays caused by events beyond the control of the Contractor, including but not limited to: strikes, war, acts of God, riots, governmental regulations and restrictions. Delays caused by Homeowner's failure to make allowance materials' selections or caused by the performance by Contractor of additional or necessary work shall likewise be excusable delays. 4. PERMITS The contract will obtain the following permits: Town of North Andover Building Permit It Is the obligation of the Contractor to secure such permits as the Homeowner's agent. Note: if the Homeowner secures its own permits or deals with unregistered contractors, the Homeowner is excluded from the Guaranty Fund provisions of MGL c. 142A. S. INSURANCE Contractor agrees to maintain all necessary forms of insurance to protect the Homeowner from liability for any occurrence arising from the performance of this Contract. Contractor agrees that he shall cover his own employees for worker's compensation and carry general liability, and that all forms of insurance carried hereunder shall be with reputable companies licensed to do business in this state. Homeowner agrees to carry full coverage on the subject property covering Homeowner's risk of loss during the construction period, together with all special forms required by reason of the performance of this Contract. Specifically, Homeowner shall contact Homeowner's Insurance agent and secure any necessary Builder's risk coverage prior to the commencement of the work. 6. HIDDEN, CONCEALED and UNFORESEEABLE CONDITIONS The parties agree that in the event Contractor discovers a condition requiring an extra cost that they shall proceed as follows: The Contractor shall notify the Homeowner verbally at once to expedite agreement as to the charge to correct or cure such condition, and provide a written estimate as soon as practicable. The parties must agree to such extra charges, or agree to a resolution method, or this Contract may be canceled by either of them. For purposes of this section, a "hidden, concealed and unforeseeable condition" shall mean a condition not readily observable to a prudent contractor inspecting the subject property for the purpose of performing this Contract. 7. ADDITIONAL WORK Any additional work or materials desired by the Homeowner shall be agreed upon in writing and such extras shall become a part of this Contract. Unless otherwise agreed, any additional work shall be paid for as performed. Failure of the Homeowner to sign a change order shall not preclude recovery for same by Contractor, and acceptance of said additional work or materials shall be presumed, unless there is written notice to the contrary. Contractor shall advise Homeowner at the time of agreement on any additional work as to any additional time required to perform this Contract. S. TERMINATION and CANCELLATION Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor in accordance with the payment schedule set forth above, or if Homeowner repeatedly falls or refuses to furnish Contractor with access to the job site or product selections or information necessary for the advancement of the work. Simultaneous with stopping work on the project, Contractor shall give Homeowner written notice of the nature of Homeowner's default. If work is stopped due to any of the above reasons (or for any other material breach of Contract by Homeowner) for a period of seven (7) days after notice, and the Homeowner has failed to cure the default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Contract to Homeowner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, Including the balance of the Contract. Thereafter, Contractor Is relieved from all other contractual duties. Upon such termination, the Contactor shall have all remedies provided by law, including such lien rights as then apply. The Homeowner may terminate this Contract upon the following conditions: a. Any other failure to perform this Contract required by the terms of this Contract. c. No termination shall be effective unless 10 days notice of Homeowner's intent are given as provided below, during which time the default may be cured by the Contractor. 9. DISPUTE RESOLUTION AND ATTORNEYS' FEES a. Dispute Resolution. The Contractor and the Homeowner hereby mutually agree in advance that in the event that the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be require o submit to such arbitration as provided in M.G.L. c. 142A. Contractor: Homeowner: Homeowner: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not signed separately by the parties. b. Small Claims Court. Any controversy or claim arising out of or related to this Contract involving an amount of less than $2,500.00 (or the maximum limit of the court) must be heard in the Small Claims Division of the District Court in Essex County. c. Attorneys' Fees. In the event of any litigation between the parties relating to this Contract, the party against whom any adverse final judgment Is entered (as specifically determined by the Court), following the expiration or exhaustion of all appeals, shall reimburse the other party for such party's costs and expenses (including, without limitation, all reasonable attorneys' fees, expenses and disbursements) of such litigation. d. Inquiries Regarding Contractor. All home Improvement contractors and subcontractors shall be registered and that any inquiries regarding a contractor or subcontractor relating to a registration should be directed to: Registration Division, Program Coordinator one Ashburton Place, Room 1301 Boston, MA 02108 Tel: (617) 727-3000 ext. 25239 10. WARRANTIES a. The work of the Contractor, including materials and labor, shall be guaranteed for a period of two (2) years during which period Contractor shall at its own expense correct any defect arising from Its work unless Paragraph 7 of these General Conditions applies. This provision is in lieu of all other warranties, express or implied, and Homeowner has no action at law or in equity against the Homeowner after said date. b. Any and all warranties for appliances or mechanical systems shall be delivered to Homeowner when Contractor's final payment is received. c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be brought against the Contractor on this contract, for the performance of this work, except as provided above. 11. 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. 12. 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. 13. ENTIRE AGREEMENT This Contract consists of the documents defined above, and constitutes the entire agreement of the parties. It can be modified only by a written document. NOTICE OF CANCELLATION You may cancel this Contract, without penalty or obligation, within three (3) business days from the date this Contract is fully executed. If you cancel, any property traded in, any payments made by you under the Contract, and any negotiable instruments executed by you will be returned within ten (10) business days following receipt by the Contractor of your Cancellation Notice, and any security interest arising out of the Contract will be cancelled. If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this Contract; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty (20) days of the date of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations of the Contract. To cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third (3rd) business day after the execution of the Contract. I HEREBY CANCEL THIS CONTRACT. Date: Homeowner: N ..SID APPLE RENOVATIONS fi.trme °fzxr►rt'tl�li�dt,� ��ac�rr=s,s%�s��ttl..� Contract Details Children's Bathroom Remodel Second Bathroom This project involves replacing the fixtures and flooring in the children's bathroom. P Remove all plumbing fixtures except the tub/shower unit and the tub and shower valve. Remove the existing tile floor. r, Install new cement board over the. existing subfloor. Install and grout new floor tile. The tile to be installed is Via Foundation Grey (13 inches x 13 inches). The tile will be installed in a grid pattern. The tile will also be grouted in a color to be chosen by the homeowner. A new mirror will be Installed. This contract does not include the cost or installation of a new mirror. Install new baseboard molding to match the existing molding. Install the following new fixtures: Fixture Manufacturer Model Number Description Toilet Toto Drake CST744SL Comfort level elongated bowl Toilet Seat Bemis 1500pro Wooden/enamel elongate seat Tub & Shower Symmons 76 -1 -131 -STN -LAM - Trim Allura TRM Vanity American Kraftmaid 3 pieces to Atwater Natural Maple Cabinet Corp total 57" 2 drawer. units (VBD15) Sink base (VSB27) 2 side trims (VF3) 1 60" baseboard �VWMTK8 Vanity counter American Ceasarstone Blueridge (60" x 22") Cabinet Corp. Vanity Sink Toto LT569-01 17x14 White undermount 9 Sartlet Street *332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 Vanity Faucet Hansgrohe 6633820 Solaris Brushed Nickel 8" wide spread lavatory faucet r. The fixtures in this contract have been selected by the customer. An additional cost may be incurred if the fixtures do not fit the space, cannot be physically installed or cannot be Installed together. This contract does not include any shipping or handling fees charged by any vendors. These will be added to the cost of the project when the costs are incurred. Paint the walls and ceiling with one coat of primer and two finish coats in a color to be chosen by the homeowner. All debris will be removed by the contractor. The job site will be broom clean at the end of each day. Permits and inspe s will be managed by the contractor. Homeowners) Homeowners _ Date 2 w_ Date dd- b� fie.. l���� G C AIM W'^ y '� 9 Bartlet Street #332 Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446 HOWE INSURANCE Fax:9784752171 Jun 2 2006 9:13 P.02 aCORD Im. CERTIFICATE OF LIABILITY INSURANCE °"` a�oyzoos10=006 (978) 4750400 Fax (B78) 4752171 INSURANCE AGENCY THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION 4 P NCHA A NDNV,IIAEjQ AVE ONLY AND CONFERS NO A10HTi UPON THE CERTTFICA" ANDOVER Ma 01a10 HOLDER. THIS CERTMICAT! OOES NOT ANMD. EXTEND AR AL92331M MFNM myTHE POMC INSURERS AFFOROING COVERAGE NAIL 0 INSURED RED APPLE RENOVATIONS INC INLSURF.RA: National Omnw Mutual 32 WASHINGTON AVENUE INSURER Sc C0mn18rci insunllnei Ce ANDOVER MA 01810 INSURER C. Granite State bmmnca Co mpaft — INSURER D; -- ' COVERAGE$ INSURER E; ANY rOLI N , NS OF � pip LCITED OW QUID TO D% IN p . NOTwrr"ff pg— P C0 4Et OWER OOCUNffJJT WTTM RESPECT TO WHICH TMS CERTIFICATE MAY R6RTARy TME INSURANCE pR MAY BE HISUED AF rM*AYo 9Y TNfi POUQIE6 D HERdN IS SUBJECT TO ALLTME TERMS. EXOLU610N$ MID CONDfTIDNS OF SUC.►I POLICIES. AG6REdATE LMtlTS 40IpfAM MAY NAVE 9EEM RE4UCED er PAS CLAIMS LTR I TYPE OF INSURANCE POLICY NUtIOER Pa K T 9FF60M p'ouett gQq"jM umrs /aENeNA1 walLm MPS7B3d$ 03/25108 03/25/07 H i i 1.GOD� 000 X COMMERCIAL GENERAL LIANLRY _ CWMSMAD6FX OCCUR PR!'htiMS E'0°°mm i A .�� MSD E>� (Arty one verevn) S 10,000 PERSONAL&MVt WRY 2 1.000.000 6EW-PAL $ 2,000,000 GENT_AGGIaF6ATE LIMITAPPLI6¢ PE71: POLICY PRO- Loc w 17AUTOMOSUUA61U*Y PROOVCf54`OMMPAW. i Z 000,000 08MMNNN7W 10/13/08 10ha/06 ANYAM +COMBINED SWIME IJM (Ee aetiAant) ALL OWNED AUTOS B X SCHEo1A6Dauras 8001LY INJURY— (Pbr>aKM) $72500,000 X HIRED TOS AU X AUTOS BODILY INJURY (per a0wom) S 500,000 iA BRTY DAMAGE 8 100,000 GARAW LUBRITY AUTDOLY-NEA 6R EW i OTHETwRANYAUTQ 6A S Y: AEG S ^. �SIUMBRELLA LIABILITY IAiRENC@ 9 L OCCUR � CLAIM8 MADE TE $ $ — DEDUCTIBLE RETEWON s s $ � oTnvl VJMtN erl "A)YERS MCQMP&MTIONAkD UABILm WM746188 06r08f08 OBlOBtOT G ANY eFFl aeewalNNmr El- EACH ACCINBNI t 100,000 6.L. M8rASE-M9mR4FplLJoYw i 100,000 ■ ELDWAME41"ICYLIMIT $ 900,000 DESCRIPTION OF oPERA77ONSlLOCATIONSNENICL6SIEXCt.UWONS ADDED BY ENDORSEMENT/ SKCIAL PROVISIONS RED APPLE RENOVATIONS 32 WASHINGTON AVENUE ANDOVER, MA 01810 Attention: 9784454W ACORO 26 (2001/0$) Certlfiicate # 1601 SHOULD ANY AT TT1E ABOVE DESCRMD POLICIES BE CANCe.Lo BEFORETHQ WR"mDN 710E THEREOF, THE ISBUINB INSURER WU6T40HAVORTO MAN.10 DAYS WRI�TQYENbNi0�A7�1CyE TO THE ( RTFICATS HOU" NAMED TO THE LEFT. wrs: Lum ACiSNTS OIipe N 4R I WM—QF AW KMb uPON TMC Ikea, 4VTM FMW POWWWA Y f �( ouis 0ACORD CORPORA -nam lam The Commonwealth of Massachusetts Department of Industrial Accidents s Office of Investigations 1 d 600 Washington Street Boston, MA 02111 m v.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Q h0 U OAkoT\ C Address: Q,-,tf 0\tn��eti A-(-1k City/State/Zip: r� e r "/� 01 I -I b Phone #: Are you an employer? Check the appropriate box: 1- I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required. ] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. ❑ We are a corporation and its officers have, exercised their Tight of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] �, 46 (11, I 4, Type of project (required): 6. ❑ New construction 7. (� Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 121-1 Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill 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 'Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp, policy infonznation. I an: an employer that is providing workers' compensation insurance for my employees. Below is the.policy and job site informatiom C e7 Insurance Company Name: Policy # or Self -ins. Lic. #: lu C 'is 7 4 (a 1 SkExpiration Date: Q iq Job Site Address: � a pso nr It City/State/Zip: �JC OV I_ 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 cover;3gt; verification. I do hereby certify ut!#r the pains and penalties of perjury that the information provided above is true and correct .9-/; )o a7 �-, 4oC , Inc. 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/Towu Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: -Building Setback (ft.) Front Yard Side Yard Rear Yard fired Provided Required Provides Required Provided Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Wort Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Lic _s ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With 3r wr Plan Ano Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Incl:.Sprinkler Plan Ansi Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Pave 4 of 4