HomeMy WebLinkAboutBuilding Permit # 3/24/2015 NORTh
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BUILDING PERMIT
TOWN OF NORTH ANDOVER °
APPLICATION FOR PLAN EXAMINATION
Permit NO: m Date Received '� �Ra<oAYND
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SACNU5���y
Date Issued: 6 l
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition >dTwo or more family ❑ Industrial
❑Alteration No. of units: 812e_. ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
r ❑Septic ❑:Well ❑ Floodplain ❑Wetlands ❑ V11atershed�Disfriet
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r ❑r1/Vater/�ewer,,� �% ;�,, - ,; ' ,, r;, �;
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Identification Please Type or Print Clearly)
OWNER: Name: GZc"�r< '- 1✓11/�A'� ��iVlcJi� Phone-
Address:
hi
Address:
CONTRACTOR Name Phone f
;Address
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Superuisor`'s Construction LI ense y ,f Exp ate
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Home Irrtprouerr�ent License Exp Date
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ARCHITECT/ENGINEER 114 Phone:
Address: 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: $ � .�d,
'*0y��sr�I" FEE-
r,,
Check No.: 0 � Receipt No.: _
NOTE: Persons co ltracting ith unregistered contractors do not have access to g ty fund
Signature of Agent/Owner c gnature'of contract
%ORTH �
Town 4 E 1''ofndover
® �� 0
No. i��h
ver, Mass,
q- COCHIC HEWICK y1.
79 ADR�YED ►'P�,`�(5
S U
BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT
PER,MIT
.. . ,,,, ,I� L ....................................... BUILDING INSPECTOR
................. ..... .. ...................... ....
has permission to erect ...... buildings on ,d. �, Foundation
Rough
t0 be occupied as ...... ....... ...6.4 Z.4 ......]:k/!!&: .... T........................................ chimney
provided that the person accepting this permit shall in every respectcWhform to the terms of the application
Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
MONTHS
PERMIT EXPIRES I 6- MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION A Rough
Service
..................... ... .............. .................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
New England Desioand Building Technologies Inc.
FIXED CONTRACT AMOUNT
THIS AGREEMENT,Made as of(March 9), In the Year of(2015),
Between the Owner: Robert and Shannon Macinnis
44 Village Green North Andover Mass.
978-918-4607
And the Contractor: New England Design and Building Technologies
400 W. Cummings Park Woburn Massachusetts
800-433-4410
For the Project: 44 Village Green
North Andover,MA 01.845
ARTICLE 1. CONTRACT DOCUMENTS
1.1 The contract documents consist of this agreement, general conditions,construction documents,
specifications, allowances, finish schedules, construction draw schedule, all addenda issued prior to
execution of this agreement and all change orders or modifications issued and agreed to by both parties.
All documents noted herein shall be provided to the Contractor by the Owner. These contract documents
represent the entire agreement of both parties and supersede any prior oral or written agreement.
ARTICLE 2. SCOPE OF WORK
2.1 The Owner agrees to purchase and the Contractor agrees to construct the above mentioned
structure and fixtures attached thereto in(North Andover,Essex County Massachusetts) according to
the construction documents, allowances,finish schedules, all addenda, change orders,modifications and
specifications set forth in the specification booklet.
Repair existing condo due to flood damage,replay sheet rock,flooring,finish trim,and cabinets.
ARTICLE 3. TIME OF COMPLETION
3.1 The projected completion date shall be approximately(90) days from the first day of
construction,however any change orders and/or unusual weather might delay or otherwise effect the
completion date. Barring inclement weather or owner related delays,the Contractor shall pay liquidated
damages of($50 per day if the project is not completed within(three)months.
ARTICLE 4. THE CONTRACT PRICE
4.1 The purchase price of the project shall be set at the sum of(eighteen thousand) Dollars,
($18,000.00), subject to additions and deductions pursuant to authorized change orders and allowances.
Closing costs shall be paid by the Owner.
4.2 The Owner and the Contractor acknowledge that the Owner will pay a sum of(three thousand)
Dollars, ($3,000.00),upon signing of this contract and before construction begins as a deposit and part of
the purchase price of the project.
Initialed by: Owner Contracto*
MacInnis
North Andover Mass.
Page 2 of 4
ARTICLE 5. PROGRESS PAYMENTS
5.1 The Owner will make payments to the contractor pursuant to the attached construction draw
schedule as work required by said schedule is satisfactorily completed. Owner shall make draw
payments to contractor within(seven)days after request by contractor. Should the owner fail to make
payment, contractor may charge a penalty of(12%) annually upon the unpaid amount until paid.
5.2 If payment is not received by the Contractor within(30) days after delivery of payment demand
for work satisfactorily completed, contractor shall have the right to stop work or terminate the contract at
his option. Termination by Contractor under the provisions of this paragraph shall not relieve the Owner
of the obligations of payments to Contractor for that part of the work performed prior to such
termination. Termination by Owner under the provisions of this paragraph shall not relieve the Owner of
the obligations of payments to Contractor for that part of the work performed prior to such termination.
ARTICLE 6. DUTIES OF THE CONTRACTOR
6.1 All work shall be in accordance to the provisions of the plans and specifications. All systems
shall be in good working order.
6.2 All work shall be completed in a workman like manner, and shall comply with all applicable
national, state and local building codes and laws.
6.3 All work shall be performed by licensed individuals to perform their said work,as outlined by
law.
6.4 Contractor shall obtain all permits necessary for the work to be completed.
6.5 Contractor shall remove all construction debris and leave the project in a broom clean condition.
6.6 Contractor shall furnish lien waivers or release forams for all work performed and materials
purchased.
ARTICLE 7. OWNER
7.1 The Owner shall communicate with subcontractors only through the Contractor.
7.2 The Owner will not assume any liability or responsibility,nor has control over or charge of
construction means,methods,techniques, sequences,procedures, or for safety precautions and programs
in connection with the project, since these are solely the Contractor's responsibility.
I
ARTICLE 8. CHANGE ORDERS AND FINISH SCHEDULES
8.1 A Change Order is any change to the original plans and/or specifications. All change orders
need to be agreed upon in writing,including cost,additional time considerations and signed by both
parties. 50%of the cost of each change order will be paid prior to the change,with the final 50%paid
Initialed by: Owner Contractor
Machmis
North Andover Mass.
Page 3 of 4
upon completion of the change order. A 12% fee shall be added to all change orders and overages in
excess of initial allowances. Additional time needed to complete change orders shall be taken into
consideration in the project completion date.
8.2 Completed Finish Selection Schedules shall be submitted to the Contractor as follows:
8.2.1 Schedule#1 within four weeks after site clearing begins.
8.2.2 Schedule#2 within eight weeks after site clearing begins.
8.3 Any delays or changes in finish selection schedules will delay the projected completion date.
ARTICLE 9. INSURANCE
9.1 The Owner will keep in force a Builder's Risk Insurance Policy on the said property to protect.
both owner's and contractor's interest until construction is completed.
9.2 The Owner will purchase and maintain property insurance to the full and insurable value of the
project,in case of a fire, vandalism,malicious mischief or other instances that may occur.
9.3 The Contractor shall purchase and maintain needed Workman's Compensation and Liability
insurance coverage as required by law and deemed necessary for his own protection.
ARTICLE 10. GENERAL PROVISIONS
101 If conditions are encountered at the construction site which are subsurface or otherwise
concealed physical conditions or unknown physical conditions of an unusual nature,which differ
naturally from those ordinarily found to exist and generally recognized as inherent in construction
activities,the Owner will promptly investigate such conditions and,if they differ materially and cause an
increase or decrease in the Contractor's cost of, and/or time required for,performance of any part of the
work,will negotiate with the Contractor an equitable adjustment in the contract sum, contract time or
both.
ARTICLE ll. ARBITRATION
111 Any dispute that arises which cannot be settled otherwise between the parties will be resolved
with binding arbitration. Notice shall be served in writing to the other party stating the grievance and
naming a person to act as an arbitrator. The other party shall then name an arbitrator, and these two
arbitrators shall select a third. The decisions of any two of said arbitrators shall be binding and
conclusive to all parties.
ARTICLE 12. WARRANTY
12.1 At the completion of this project,Contractor shall execute an instrument to Owner warranting the
project for(one years) against defects in workmanship or materials utilized. The manufacturer's
warranty will prevail.
Initialed by: Owner Contracto
MacInnis
North Andover Mass.
Page 4 of 4
ARTICLE 13. TERMINATION OF THE CONTRACT
13.1 Should the Owner or Contractor fail to carry out this contract,with all of its provisions,the
following options and stipulations shall apply:
13.1.1 If the Owner or the Contractor shall default on the contract,the non-defaulting party may
declare the contract is in default and proceed against the defaulting party for the recovery of all
damages incurred as a result of said breach of contract,including a reasonable attorney's fee. In
the case of a defaulting Owner,the Earnest money herein mentioned shall be applied to the
legally ascertained damages.
13.1.2 In the event of a default by the Owner or Contractor,the non-defaulting party may state
his intention to comply with the contract and proceed for specific performance.
13.1.3 In the case of a defaulting Owner,the Contractor may accept,at his option the earnest
money as shown herein as liquidated damages, should earnest money not cover the expenses to
date,the Contractor may make claim to the Owner for all work executed and for proven loss with
respect to equipment,materials,tools, construction equipment and machinery, including
reasonable overhead,profit and damages applicable to the property less the earnest money.
ARTICLE 14. ACCEPTANCE AND OCCUPANCY
14.1 Upon completion,the project shall be inspected by the Owner and the Contractor, and any
repairs necessary to comply with the contract documents shall be made by the Contractor.
14.2 The Owner shall not occupy the property until final payment has been received by the Contractor
and a Certificate of Occupancy has been obtained.
14.3 Occupancy of the project by the Owner in violation of Article 14.2 shall constitute unconditional
acceptance of the project and a waiver of any defects or uncompleted work.
WITNESS our hand and seal on this l Ot"._day of March,2015.
Signed in the presence of:
f
C actor Sign Owe Si natrr e
Initialed by: Owner Contracto
The Commonwealth of Massachusetts
Department of IndustrialAccidents
a t w 1 Congress Street,Suite 100
Boston,MM 02114-2017
yVev�t www mass.gov/die
Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers.
TO BE PILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legib
Name(Business/Organization/Individual): p ` /
Address: /i9 4 .r h/s POR
City/State/Zip: Zea,4,4 e dhyd Phone#: '1 V4414
Areyou an employer?Clreckthe appropriate box: Type of project(required):
1.01 am.a employer with z employees(full and/or part-time).* 7. ❑New eonsttuction
2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition
4Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 E]Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.E]Plumbing repairs or additions
5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet.
13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insuuance.t
6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*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 state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site
information. _
Insurance Company Name: ✓P '� H'S'
Policy#or Self-ins.Lie.#: Z` 148 e / f4 ! Expiration Date:
Job Site Address: 6 �/✓gid"/? �!�"`e Al IV' �`V'' City/State/Zip: e
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify r iep Ns andpenalties ofperjury that the information provided above is trug and correct.
Si nature Date:
Phone#: O e /'G" a 0 42,24
Official use only. Do not write in this area,to be completed by city or town official..
City or Town: Permit/License#
Issuing Authority(circle one): ;
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
MAR-17-2015 TUE 10: 10 AM TSB INSURANCE SERVICES I FAX N0, 7812243938 P. 01
OP ID: DA
CERTIFICATE OF LIABILITY INSURANCE ,�- r - (v DAT�`M�I151
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT EETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOWER,
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the
certificate holder in Ileu of such endorsement s.
PROQUcFR r CHARLES MARTIN
TSB Insurance Services,Inc PNON
361 Main Street ac :781-246-3040
Wakefield,MA 01880 ILs8;
TSB Insurance service Inc CLIftTQdAEK .NEWEN-1
INSURERIS) FORDING COVERAGE o
INSUno New England Design&Building INSURERA:7ravelers'lns.
10 Winship Drive INSURIR■:
Wakefield,MA 01880
INauRSR c;
INSURER D
INSURER E
INJURER F.-
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
SR TYPE Of INSURANCE POLICY tmpffinfyl o UAMTS
GENERAL LIAeiLmr EACH OCCURRENCEDAMAGE TQ'RffRTtI5_
S
COMMERCIAL GENERAL LIA@IUTV urreneal $
CLAIMS-MADE E-1 OCCUR MED EXP(Any oneperson) $
PER80NA1_&AOV INJURY S
GENERAL.AGGREGATE $
KFNI-POLICY=
I-AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG
PRO- LOC S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
(Ea acdawl)
ANY AUTO HODILY INJURY(Per parson) S
ALL OWNED AUTOS BODILY INJURY(Per accident) 0
SCHEDULED AUTOS PROPERTY DAMAGE
HIREDAUT08 (PER ACCIDENT) S
NON-OWNPO AUTOS S
3
UMUMI.LA WR OCCUR EACH OCCURRENCE 5
EXCESS UAa CLAIMS-MADE AGOREGATF $
DEDUCTIBLE $
RETENTION S
WORKRRe COMPENSATION x TWO STATU- OTH-
AND EMPLOYERS'LIABILITY
YINA ANY PROP IETOR EXC NERIE EXCLUDED?
NIA i8-KUB-0227N86-0-13 03/28/2015 03/2012016 E,L,EACH ACCIDENT $ 100,00
(Mww tory In NH) E.L.DISEASE-EA EMPLOYEEI 0 600,00
If yea,Qesplpa urlQBf E.L.DISFJI9E-POLICY LIMIT 6 100,00
DESCRIPTIO OF O S ow
DESCRIPTION Of OPIRATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Rwmrft SohWulr.H rtMYt*P*0 it r*qulrsd)
CERTIFICATE HOLDER CANCELLATION
TOWNOFN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS.
NORTH ANDOVER,MA
AU OMM 91IIJ1:6iNTATIV5
-TS C t:
C#19188-200 ACORD)CORPORATION. All rights reserved.
ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD
03/17/2015 TUE 10:15 [TX/RX NO 53381
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-003501 "
�.rrti
CHARLES J MAR,t7N
10 WINSHI PDR
Wakefield MA 0080
Expiration
Commissioner 04/12/2016
Lie Cpo»Unzarccuea a� aeauvelld'
Office of Consumer Affairs&Business Regulduon License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration. 17.01,16 Type: Office of Consumer Affairs and Business Regulation
xpiration 3I1*201v;, Individual 1 10 Park Plaza-Suite 5170
CHARLES J.MARTIN PE. Boston,MA 02116
CHARLES MARTIN
10 WINSHIP DR.
WAKEFIELD, MA 01880 fff
Undersecretary of va th .signature