HomeMy WebLinkAboutBuilding Permit # 4/1/2015 BUILDING PERMIT SLED%AORYF19�y
TOWN OF NORTH ANDOVER
APPLICATION,FOR PLAN EXAMINATION
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Permit No#: 4 Date Received
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Date Issued:
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 ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK I"TOaBE PERFORMED.
4.
Identification- Please Type or Print Clearly
OWNER: Name: 1 �1. .,. Phone:
Address:
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ARCHITECT/ENGINEER 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
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Total Project Cost: FEE: $ .
Check No.: Receipt No.: C-Qrf Persons contracting with unregistered contractors do not havv/e'/ ccess to tl ga'Yanty fund
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U BOARD OF HEALTH
Food/Kitchen
ERMIT T LD Septic System
4.0 ¢� BUILDING INSPECTOR
THIS CERTIFIES THAT ............ .. �.......I...I�.... .. : ...............................................................
Foundation
has permission to erect .......................... buildings on ............ ... .(, ..... . ...�,. ..... ... . .v.1. ..............
Rough
tobe occupied as ........ ................................................................................. Chimney
provided that the person accepting this permit shall in every respect conform 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
on g�
Final
IT I I THS ELECTRICAL INSPECTOR
UNLESSCTITS Rough
Service
........... ............................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy BuildlnRough
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.
AGREEMENT FOR SERVICES
This CONTRACT satisfies all basic requirements of the State's Home Improvement Contractor
Law(M.G.L.c. 142A),but does not preclude parties from adding language to protect their specific interests.
Seek legal advice if necessary.Before agreeing to any home improvement work onyour residence you
should obtain a free copy of"Consumer Guide to Home Improvement-Contractor Law"by calling the
Office of Consumer Affairs and Business Regulation's Information Hotline at 617-973-8787.
You may cancel this Agreement if is has been signed by a parry thereto at a place other than an
address of K&R Contractors,Inc.,which may be its main office or branch thereof,provided you notify K
&R Contractors,Inc.,-in writing at its main office or branch by ordinary mail posted,by Telegram sent or
by delivery,not later than midnight of the third business day following the signing of the Agreement.
See Attached Notice Of Cancellation For An Explanation Of This Right.
Homeowner Information Contractor/Owner Name:
Elena Figler - Kenneth Roy,President
140 Hickory Hill Rd. Business Street Address
North Andover,MA 01845 K&R Contractors,Inc.
1 Campbell Road
North Andover,MA 01845
Business Phone:978.726.5062
Federal Employer ID:000961723
Salesperson(s): Kenneth Roy,President
Contractor Registration: 80721 Exp.Date:4/29/13
MA Sup.License: 137557
WORK TO BE PERFORMED AND MATERIALS TO BE USED
Contractor Agrees To Do The Following Work For Homeowner:Renovate kitchen
Work to include:Remove existing cabinetry and island and install customer purchased cabinetry.
Electrical: add spot/can light,replace 2 eyeballs with spots,supply new power to new stove hood,add
power for 2 pendants,move ac outlet up,add circuit for under cabinet lighting,replace ceiling fan with
cust.supplied fan,add/move outlets to comply with code
Plumbing: move gas line for stove,remove some baseboard heat and replace with toe kick heater under
cabinets,install cust. dishwasher and reconnect new sink and garbage disposal
Install customer purchased stove hood and vent to outside.Includes permit.
The following schedule will be adhered to unless circumstances beyond the contractor's control arise*
Work Scheduled To Begin:April 1,2015
Expected Date Of Completion:May 1,2015
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
The Contractor agrees to perform the work,furnish the material and labor specified above for the
SUM OF$9410
Payments will be made to the following SCHEDULE:
$3000 upon signing contract
$4910 due upon electrical rough-in
$1500 due upon final
Law requires that any deposit or down payment required by the contractor before work begins may not
exceed the greater of:
(a)one-third of the total contract price or
(b.)the actual cost of any special equipment or custom made material which must be special ordered in
advance to meet the completion schedule*)No final payment shall be demanded until the contract is
completed to the satisfaction of the parties thereto.
OTHER IMPORTANT PROVISIONS
You are dealing with a Registered Home Improvement Contractor and are entitled to certain.rights under
the provisions of 780 CMR R6 and M.G.L.c.
142A.
Payments: If payment is not received as per the Contract,then the Owner shall be responsible for all
attorneys' fees,court costs,and other costs incurred by the Contractor and enforcing Contractor's rights
hereunder.
Pets: Homeowner agrees to keep all pets out of the work area and take whatever steps are necessary to
safeguard them from any harm that may come to them as a result of the work being performed under this
Contract,including but not limited to injury on or outside the Premises or ingestion or inhalation of,or
contact with,hazardous substances. Company assumes no responsibility for any harm to the pets as a result
of the work performed under this Contract. Further,Homeowner shall take all steps necessary to protect
Contractor, its agents,servants,contractors and employees,from any harm as a result of contact with said
pets.
Characteristics of wood: Wood is a hygroscopic material. Wood swells and/or shrinks in relation to the
humidity,temperature and environmental conditions of its surrounding. Generally,wood flooring is
expected to shrink in any conditions and expand when exposed to moist conditions.
Natural wood also contains variations of graining,texture,hardness and/or knots,depending on the wood
chosen.Contractor cannot be responsible for the natural features of the wood chosen. Contractor is not
responsible for shrinkage,checking,swelling,or other conditions which are the normal condition of wood
or the result of household or environmental humidity,heat,cold,or other conditions.
Colors: You may choose colors and finishes for the parts being used in
your remodeling project. It is important to remember that a color or finish you see at the store or in a
showroom may not look the same in your home,especially after all of the different colors and finishes are
brought together upon the completion of a project. In addition,one manufacturer's named color is not the
same as another manufacturer's named color.The Contractor cannot be responsible for the appearance or
lack of coverage from Homeowner/chosen paints and/or stains and finishes.
Building Officials: Any additional costs incurred by Contractor as a result of decisions made by Building
Officials will be the responsibility of the Homeowner.The costs of additional work will be calculated as
follows:cost of materials plus an hourly rate of$45 per man hour.
Liens: In the event of non justifiable non-payment,Homeowner's residence or property may be subject to
a Mechanic's Lien as a consequence of signing this Contract.
Utilities: The Contractor will use reasonable efforts to notify the Homeowner in advance of any
interruption of utility services. However,there may be instances where the Contractor must shut down
these services without advanced notice. Homeowner must arrange for emergency backup service for any
utility critical equipment such as medical devices and computers. The Homeowner must also notify the
Contractor at the start of the work day if you will be engaged in any utility critical activities in that the
Contractor makes a notification in writing in the daily log book or otherwise.
Additional work: Any additional work requested by the Homeowner which is beyond the scope of the
work to be performed as set forth in this Agreement,shall be the subject of a separate agreement,and/or if
not,subject to the same terms and conditions as set forth in this Agreement and billed on a time plus cost of
materials basis at Contractor's normal hourly rate.
Contractor's normal hourly rate per man hour is$45.
In the event that additional work is to be performed on an hourly plus cost of materials basis,the
Homeowner shall be required to execute a Change Order which shall include Contractor's best estimate as
to the time required,together with the cost of labor as well as the type and cost of materials necessary.
Delays: Contractor isnot responsible for delays attributable to
Homeowner initiated modifications or additions,or for delays incurred due to the actions or inactions of
city/town officials,strikes,acts of God,unfulfilled customer obligations,vendor delays,interference by
other tradespersons,customer supplied items or other delays beyond Contractor's reasonable control.
Contractor will use reasonable efforts to stay on each job until substantial completion by allotting specific
time periods to each Homeowner to complete each job in as timely a manner as possible. In the event that
Homeowner does not allow Contractor and/or his employees or sub-contractors access to the residence or
property so as to allow Contractor to perform his obligations and/or to complete the scope of work in as
timely a manner as possible,other than for reasons of safety or other reasons mutually agreed to between
Homeowner and Contractor,then the Homeowner shall be responsible to pay Contractor the sum of
$500.00 per day,on a pro rata basis,to cover the costs of delay. Contractor reserves the right to suspend
work and/or delivery of materials in the event of unjustified non-payment. In such event,the Contractor
shall have no liability to the Homeowner for alleged delays or damages due to said suspension.
Punch-list Items: The Homeowner agrees that routine"punch-list"or repair items after substantial
completion are outside the agreed scope of services,and covered by Contractor's warranty obligation and
will be completed as soon as practicable and according to Contractor's and Homeowner's mutual
availability. Homeowner agrees that it shall use his/her best efforts to make himself/herself available to
observe and/or sign off on the completion of any such punch-list Items,and that the approval of one
Homeowner regarding the completion of any such punch-list items,as well as change orders shall be
binding upon all Homeowners.
Unforeseen Conditions/Circumstances: Contractor shall not be responsible for any changes at the request
of the Building Inspector. Contractor shall also not be responsible for any unforeseen bedrock/ledge or
latent defects such as structural and/or dry rot or insect damage to the existing structure,or for preexisting
faulty or inadequate wiring or plumbing.
Contractor shall also not be responsible for any pre-existing code violations or responsible for correcting
contiguous work completed by others not under the Contractor's authority.
Insurance: Homeowner agrees to carry fire,theft,vandalism,liability and all other necessary insurances to
protect their personal property while construction is in progress. Contractor will carry all required and
necessary insurances including worker's compensation insurance. Contractor will ensure that all personnel
including sub-contractors will be covered by all required and necessary insurance including worker's
compensation insurance.
Homeowner's Cancellation Rights: h1 addition to the rights the Homeowner has,as set forth in the
attached Notice of Cancellation,the Homeowner may have rights under other Massachusetts Statutes,
including M.G.L.c.93 §48,M.G.L.c. 1401), § 10 and M.G.L. c.255D § 14.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Identical copies of the
contract should go to the homeowner and the contractor.
Homeowner's Signature: it, = Date: 3
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Contractor's Signature K& ontractors,Inc.:
F ;
Date:
By:ikenneth Ro,�
Its: President
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of
the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his
main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of
the third business day following the signing of the agreement.
See attached notice of cancellation for an explanation of this right.
NO WORK WILL BEGIN UNTIL BOTH PARTIES SIGN THE CONTRACT AND THE OWNER
RECEIVES A COPY
REQUIRED PERMITS
The following building permits are required.It is the obligation of the contractor to secure such as the
homeowners agent:
Electrical rough and finish
Plumbing rough and finish
Insulation
Framing insp.
Finish and occupancy
NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the
Guaranty Fund provisions of MGL c. 142A.
EXPRESS WARRANTY
All workmanship and materials to be free of material defect for a period of one(1)year. During the
Warranty period,the Company may,at its option,either repair or replace products or workmanship which
prove to be defective. This Warranty shall not apply to defects or damage arising from improper or
inadequate maintenance by the customer,customer's applied products,unauthorized modification or
misuse,damage incurred as a result of acts of God or civil strife,or normal characteristics of the materials
such as wood shrinking,expanding and otherwise reacting to moisture or environmental conditions. The
Company's liability is limited to the repair or replacement,at its option,set forth herein and Company shall
not be liable for any consequential,sequential,incidental or other damages not set forth herein.The
Warranty set forth herein is exclusive,and no other Warranty,whether written or oral,is expressed or
implied. Company specifically disclaims the implied Warranties of Merchantability and Fitness for a
Particular Purpose.
NOTE:All home improvement contractors and subcontractors shall be registered and any inquires about a
contractor subcontractor relating to a registration should he directed to:
Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,MA
02108
617-727-8598
Unless otherwise noted within this document,the contract shall not imply that any lien or other security
interest has been placed on the residence,
ARBITRATION
The contractor and the homeowner hereby mutually agree in advance that in the even 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 Secretary of the Executive Office of Consumer Affairs and Business
Regulations and the onsumer shall he required to submit to such arbitration as provided in M,G,L.c.142A.
Contractor: Date:
Homeowner:
eK, Date:
NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF
THE PARTIES TO ALTERNATIVE DISPUTE SETFLEMENT INITIATED BY THE CONTRACTOR.
THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS
SECTION IS NOTSEPARATELY SIGNED BY THE PARTIES.
ACCELERATION OF PAYMENT
Homeowner's Financial Insecurity-A Contractor may not demand payments in advance of the dates
specified on the payment schedule in cases where the homeowner deems hint/herself to be financially
insecure.
Contractor's Financial Insecurity-In instances where a contractor deems himself/herself to be financially
insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal from said account would require
the signatures of both parties.
Homeowner agrees to allow reasonable access to allow Contractor to reasonably attempt to remedy any
outstanding uncompleted,disputed or non-satisfactory item.
If you have general questions or need additional information about The Home Improvement Contractor
Law,contact:
Consumer Information Hotline
Commonwealth of Massachusetts
Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170 Boston,MA 02116
617-973-8787
If you have questions about Contractor Registration,contact:
Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One
Ashburton Place,Room 1301 Boston,MA 02108 617-727-3700,x25205
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN
THREE
(3)BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE
CONTRACT OR SALE,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
TRANSACTION 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 SELLER'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 SELLER,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 UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS
CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO
K&R Contractors,Inc.
1 Campbell Road,North Andover,MA 01845
NOT LATER THAN MIDNIGHT OF TBD.
I HEREBY CANCEL THIS TRANSACTION.
Date:
Buyer's Signature:
Received:
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction, Supe;vivo;
License: CS-080721
KENNETH R ROIL'--`
1 CAMPBELL RIS
North Andover NfA Of
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Expiration
Commissioner 04/29/2017
✓�ie Vovrt��zo�aureal�2 �����
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: -1.62123 Type: Office of Consumer Affairs and Business Regulation
s Expiration: 1%20!2017 Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
K& CONTRACTORS (NC
KENNETH ROY
1 CAMPBELL RD. 4 `
N.ANDOVER, MA 01845
Undersecretary Not vali rthout signature
I
The Commonwealth of Massachusetts
= Department of IndustrialAccidents
d I Congress Street, Suite 100
Boston,MA 02-114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legib
Name (Business/Organization/Ind
'ivid
/ual): °
Address: �r�,,.� ,o Lai tj
City/State/Zip: LJ, A �� � _ Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑I am a employer with employees(full and/or part-time).* 7. F-1 New construction
2'A I am a sole proprietor or partnership and have no employees working for me in $• [2�Zemodeling
any capacity.[No workers'comp.insurance required.]
3.Q I am a homeowner doing all work myself.[No workers'comp,insurance required.]t 9. F1 Demolition
10 []Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.[J Electrical repairs or additions
proprietors with no employees.
12.E]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[J Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$
6.Q we are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box 41 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:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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 DTA for insurance
coverage verification.
I do hereby certif u der tliepains a d erialties ofperjury that the information provided above is trand correct.
Si nature: Date:
Phone#: 7� ' 7'Z ' -5 D LZ
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#: