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HomeMy WebLinkAboutBuilding Permit # 4/14/2015 i BUILDING PERMIT of"°DT, TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION .. 47 Permit No#: �" c Date Received �y4°R,TEoPPV,, SSACHus Date Issued: t PORTANT: Applicant must complete all items on this page 404, P nn PROPERTY OWNER ° 1n Prmf 100 Year Structure yes ='no MAP PARCEL. ; ZONING DISTRICT Historic District yes no Machine Shop Village yes no` TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building .90ne family ❑Addition ❑ Two or more family ❑ Industrial ' Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sept"ic t]Well '�',EJI Floodplain �UVetlands � � WafershedDistrict ` WateilSewer �p U s o �( D SCRIPTION OF WORK TBE P RFORMED: Identification- Please Type or Print Clearly OWNER: Name: 'Li r� ds? "7-)r�, x1eih Phone: ) 7e5d Address: /99 COt41nln� Zced /1 �,111/11vr- /V, / r Phon Contractor Marne e: Address Supervisor's Construction License Exp Date Home:"Improvement"License" �(�� �� - Exp ;Date ;, , ARCHITECT/ENGINEER �/�/� Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ y�, � FEE: $ N Check No.: Receipt No.: NOTE: Persons contracting with unr gi tered contractors do not have access to the guaran fu I Signature of Agent/Owner ` Signature of contractor ...-------- I I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer X Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on yes no ,Located at 124 Main Street Fire Department signature/date COMMENTS 77 tkORTH 0�'Wn ofeAndover 0 '~ to ............................... ®• i. ,� - yy y ® L[�� Y �O LAKE � V�)�9 C�6SS' COCKKEWKK S U BOARD OF HEALTH Food/Kitchen RMIT T Lu Septic System THIS CERTIFIES'THAT BUILDING INSPECTOR .... ...4. has permission to erect .......................... buildings on (� ? :t...... . Vii': ............ ............. Foundation ...... Rough to be occupied as . �!!1. ... r! . p� P-(..nk4 ....... ..� ... .... ....r...................�........ .. ... . ... Chimney provided that the person accepting this permit shall In evey 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 Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIA STI, S Rough �T Service ...............:............................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to 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. 3 Project Proposal to Tina Klein and Pat Grimm 149 Coachmans Lane Orth Andover, MA 01 845 (978) 686-7056 for Complete kitchen remodel a 7 RED ROOF LANE, UNIT 1 SALEM, NH 03079 PH: 603.898.0868 FX: 603.898.0821 BLACKDOGBUILDERS.COM O Blackdog project code: KLEIN-12433 02/13/2015 Contract Proposal—Page 1 of 27 Tina Klein and Pat Grimm '149 Coachmans Lane North Andover, MA 01845 Dear Tina and Pat We are pleased to offer for your consideration the following proposal for the construction of your project. For ease of reference, this proposal is divided into the following sections: Section I Contract/Proposal Business conditions Section II Contract/Proposal Construction Contract Section III Attached Booklet I Specifications of the job The description of the proposed project contains precise, but understandable specifications (Section III) of the items which are included in your project. The specifications form the heart of any construction CONTRACT and we ask that you review them carefully. IF IT IS NOT SPECIFIED IT IS NOT INCLUDED IN THE SCOPE OF THIS PROPOSAL. The business section gives you the general conditions of the work and site, the anticipated start and completion dates, the price of the project with the payment schedule as well as any allowances. The legal section expresses the general conditions of the CONTRACT and specifies the responsibilities of the contractor and the owner. The item identifier i.e. GN01001, is shown in the specifications for ease of identification of each and every item we have included in this proposal. Remodeling work can be confusing and complex; however, hopefully this format will facilitate your review of our proposal to insure we have included all your wishes. We are pleased to have the opportunity to prepare this proposal for your consideration. I will be happy to answer any questions you might have on any aspect of this CONTRACT proposal at your convenience. Blackdog Builders, Inc. is a Corporation run by a dedicated team of employees and prides itself on maintaining the highest level of customer service in the industry. Our list of satisfied clients is our most valuable asset. We look forward to adding your name to that list. Sincerely, ''6esigner Enclosures/Attachments 02/13/2015 Contract Proposal—Page 2 of 27 Section I or the Cont' ract' / Proposal for Tina Klein and Pat Grimm Business Cond 'it 'ions BUSINESS CONDITIONS TO THIS CONSTRUCTION CONTRACT This Contract, dated 02/16/2015 is by and between: Tina Klein and Pat Grimm 149 Coachmans Lane North Andover, MA 01845 Blackdog project code KLEIN-12433 (Hereafter referred to as OWNER), and Blackdog Builders, Inc. 7 Redroof Lane, Unit#1 Salem, NH 03079 (603) 898-0868 (Hereafter referred to as CONTRACTOR). Work will be performed at: 149 Coachmans Lane, North Andover, MA 01845 (Hereafter referred to as PROPERTY)1. GENERAL This CONTRACT is for the following work and materials to be performed by the CONTRACTOR on the pPnPP:RTY aytrlrzcc-c hnwn shove. The nroiect is generally described as follows: Complete kitchen remodel (Hereafter referred to as WORK) The CONTRACT consists of this document, any plans, the specifications, the Blackdog client package and the Construction Contract. (Hereafter collectively referred to as the "CONTRACT") 2. PRICE The total price for the WORK agreed upon is $96,829.13. Payment terms are set out below in Paragraph 6. This proposal may be withdrawn by us if not accepted within thirty(30) days. 3. STARTING AND SUBSTANTIAL COMPLET10ti PROVISIONS The WORK will begin on approximately April, 2015 and will be substantially completed on July, 2015 absent unusual or unforeseen circumstances beyond the control of the CONTRACTOR, and providing this CONTRACT and any related CONTRACT documents are accepted when presented. Projects requiring two contracts (one for construction work and one for bath or kitchen product)will not be slotted into the schedule until both agreements have been executed. The aforementioned dates reflect our present workload. Projects are assigned a slot in our work schedule as they are accepted, on a first come first served basis. These dates may move based on the completion time of the project that immediately preceded yours. 4. PERMITS AND APPLICABLE CODES; COMPLIANCE WITH LOCAL LAW All work to be done under this CONTRACT will be in accordance with local, state and county building code. The CONTRACTOR shall obtain all necessary permits and pay all required permit and plan fees from the CONTRACT sum, unless otherwise agreed. The CONTRACT price does not include any fees, which may be incurred to obtain a variance, if required.The CONTRACT price does not include any unbid items required by any local building official to bring the project into compliance with any relevant local, state and county building code. 5. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP a. This CONTRACT will be completed by the CONTRACTOR in a good and workmanlike manner, using quality materials. b. If applicable, the CONTRACT price includes the following allowances: See allowances under specifications. 02/13/2015 Contract Proposal—Page 4 of 27 6. PAYMENT a. Timely payment by the OWNER of all sums due under this CONTRACT is of the essence to this CONTRACT. The parties agree to the following schedule of payments: Deposit with this contract: $9,682.91 Payment Schedule amounts reflect a Partner Plan credit of$1,500.00 b. Payment Schedule Start of project $9,849.00 Start of window installation $9,849.00 Start of Plumbing $9,849.00 Start of electrical rough-in $9,849.00 Start of drywall hanging $9,849.00 Start of cabinet setting $9,849.00 Start of floor covering $9,849.00 Start of painting $9,849.00 Substantial Completion $4,282.00 Completion of Punch List $2,572.22 c.Allowances for Owner Selected Components None d.The CONTRACTOR may cease operations if any payment is not made by the OWNER as required herein, and proceed to collect any balance due through any remedy provided by law. Payments are due when the aforementioned progress milestones have been reached. It is understood that minor adjustments to the payments schedule may be necessary due to the flow of work or delays beyond the control of the CONTRACTOR. e. Delays in,payment in excess of thirty (30) days shall be subject to interest charges of 18% per annum, and no event higher than the maximum interest rate provided by law. If the CONTRACTOR is required to engage the services of a collection agency or an attorney, the OWNER agrees to reimburse the CONTRACTOR for any reasonable attorney's fees and expenses expended in order to collect the unpaid balance. f. DEFINITIONS Substantially complete -The space or project is substantially complete when the space or project can be used for its intended purpose and only punch list items remain. Punch list-Work or product that has not been performed or provided. Warranty item -A product or service that has been provided or performed that does not meet or exceed industry standards. THESE CONDITIONS MUST DE ACCOMPANIED BY THE CONSTRUCTION CONTRACT 02/13/2015 Contract Proposal—Page 5 of 27 Section II Construction Contract of she Contract/ Proposal for Tina Klein and Pat Grimm CONSTRUCTiON CONTRACT This Contract is by and between: Tina Klein and Pat Grimm hereafter referred to as "OWNER", and Blackdog Builders, Inc. hereafter referred to as "CONTRACTOR" for work at 149 Coachmans Lane, North Andover, MA 01845 dated 02/16/2015. This CONTRACT consists of this document, any plans, the Specifications and Business Terms that are enclosed and the Blackdog Builders Client Package. (Hereafter collectively referred to as the"CONTRACT") 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 issued for this project, if any, require. Io. To inspect the site, examine the plans and specifications, if any, and supervise all of CONTRACTOR's employees, and to direct the work of all subcontractors selected by CONTRACTOR. c.To maintain the work site in a safe and clean condition, to the extent consistent with the CONTRACT. d. To advise the OWNER promptly if concealed conditions are ascertained which require additional or different work, and to proceed in such event in accordance with this CONTRACT. e. To provide locked storage for any equipment, tools, or other PROPERTY used in the performance of this CONTRACT, unless otherwise agreed in writing. 2. OWNER'S DUTIES --GENERAL a.To provide adequate utilities for the work agreed upon. b. To advise the CONTRACTOR of any condition of the PROPERTY which affects CONTRACTOR's ability to perform. c.To provide secure storage areas for materials delivered to the work site. d.OWNER shall be entitled to make periodic inspections of the work site, provided such inspections do not interfere with the work and can, in the judgment of the CONTRACTOR, be made safely. Any other entry onto the construction site shall be at OWNER's risk. e. OWNER shall notify his insurance agent of the execution of this agreement and obtain any necessary riders to his current coverage or any locally customary forms of coverage, such as builder's risk,to cover OWNER's interests and liabilities during the construction process. f. To perform no work on the project without a written agreement with the CONTRACTOR. g. To make no agreements with any trades person, subcontractor, or CONTRACTOR'S employees outside the scope of this CONTRACT without the written consent of the CONTRACTOR. 3. MATERIAL SUBSTITUTION CONTRACTOR reserves the right to substitute other materials, products and/or labor of equal or superior quality, utility, or similar color. 4. 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 OWNER's failure to make allowance materials selections or caused by the performance by CONTRACTOR of extras or necessary work (as described in Paragraph 6) shall likewise be excusable delays. 5. INSURANCE CONTRACTOR agrees to maintain all necessary forms of insurance to protect the OWNER 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 insurance, and that all forms of insurance referenced herein shall be with reputable companies licensed to do business in the state where the project is located. 6. HIDDEN,,CONCEALED and UNFORESEEN CONDITIONS a. The parties agree that in the event CONTRACTOR discovers a hidden, concealed or unforeseen condition 02/13/2015 Contract Proposal—Page 7 of 27 requiring an extra cost that they shall proceed as follows: The CONTRACTOR shall notify the OWNER verbally to expedite agreement as to any charge necessary to correct or cure such condition, and provide a written Work Order (as described in paragraph 7a) as soon as practicable. The parties must agree to such extra charges, or agree to a resolution method, or this CONTRACT may be cancelled by either of them. b. 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. Examples of such conditions can include, but are not limited to; rot under siding; ledge below grade; pre-existing plumbing or electrical work not performed to code and pre-existing mold. c. Any change in the WORK required by building officials assigned to this project, including structural and/or any environmental hazards will be billed as an EXTRA charge to this CONTRACT and paid for by the OWNER as a Mork Order. CONTRACTOR may cease operations if OWNER refuses to pay. 7. EXTRAS a.Any extra work or materials desired by the OWNER shall be agreed upon in writing and such extras shall become a part of this CONTRACT as if fully set forth herein. Unless otherwise agreed, extra work shall be paid for as performed. Failure of the OWNER to sign a Work Order shall not preclude recovery for any work performed by CONTRACTOR, and acceptance of said extra work or materials shall be presumed, unless there is written notice to the contrary. b. CONTRACTOR shall advise OWNER, at the time of agreement on an extra, as to any additional time required to perform this CONTRACT. CONTRACTOR may cease operations if OWNER refuses to pay. 8. ESCALATION CONTRACTOR reserves the right to pass on additional costs to OWNER resulting from the escalation of the cost of lumber or lumber bvoroducts. This cost may be passed on only, if after the CONTRACT is signed but before the construction commences, an increase in lumber costs is experienced. The CONTRACTOR must substantiate the change with evidence of the difference between lumber costs at the time of the CONTRACT and lumber costs at the time of construction. Only direct cost differences may be passed on, no allowances for overhead and profit shall be included. Any additional costs will be collected per Work Order(as described in paragraph 7a.). 9. EXCESS MATERIALS ON SITE CONTRACTOR routinely stores extra materials on site to improve efficiency and reduce the likelihood of running out of stock in the middle of a task. Unless otherwise specified in writing all excess materials on site at the end of the project are the PROPERTY of CONTRACTOR. 10. SUBCONTRACTORS a. CONTRACTOR shall select subcontractors as required to complete this CONTRACT. OWNER acknowledges that subcontractors will do various portions of the work. Any subcontractor selected by the CONTRACTOR shall have all requisite licenses for the work to be done by such subcontractor. b. It shall be the duty of the CONTRACTOR to use reasonable care in the selection of subcontractors. Absent objectionable performance by any subcontractor, the selection of subcontractors shall be an exclusive right of the CONTRACTOR.The CONTRACTOR shall require all subcontractors to have workman's compensation and liability insurance in force. c. CONTRACTOR agrees to be solely responsible for the completion of the work described herein regardless of the actions of any third party/subcontractor utilized by the CONTRACTOR. The CONTRACTOR further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. 11. TERMINATION AND CANCELLATION The CONTRACTOR may terminate and cancel this CONTRACT if any payment called for hereunder is not received as scheduled, provided that notice is given to the OWNER as provided below. Upon such termination, the CONTRACTOR shall have all remedies provided by law, including such lien rights as then apply. The OWNER may terminate this CONTRACT upon the following conditions: a. Failure of the CONTRACTOR, or his subcontractors, to pursue the work contracted for, absent excusable delay, as provided in Paragraph 4 above, for a continuous period of fourteen (14) days, without a written agreement permitting same, such agreement may be satisfied by a single notation to this CONTRACT. b. Failure of the CONTRACTOR to rectify any condition for which building code enforcement authority has issued a citation of violation notice, within fourteen (14) days notice of such violation, unless OWNER and CONTRACTOR otherwise agree. 02/13/2015 Contract Proposal—Page 8 of 27 c. Any other failure to perform this CONTRACT required by the terms of this CONTRACT. d. No termination shall be effective unless 10 days written notice of OVi/NER'S intent is given as required below, during which time the default may be cured by the CONTRACTOR. e.Deposit monies-Cancellation of this CONTRACT prior to the commencement of work shall result in the forfeiture of any and all deposit monies collected. All deposits are non-refundable. The parties hereby agree that upon such cancellation,the CONTRACTOR shall suffer damages including but not limited to the cost associated with designing and preparing the project for commencement. f. You may cancel this agreement by observing the requirements of The Notice of Cancellation attached hereto. 13. DISPUTE RESOLUTION If a dispute arises out of or is related to this Contract, or the breach thereof, the parties shall endeavor to settle the dispute first through direct discussions. If the dispute cannot be settled through direct discussions, the parties agree the dispute shall be settled by arbitration as follows: New Hampshire Consumers: If the dispute with a New Hampshire customer cannot be settled through direct discussions, the parties agree the dispute shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules. In the event that arbitration is necessary, the parties agree that arbitration proceedings shall be conducted by a mutually agreed upon arbitrator in Rockingham County, New Hampshire. If the parties cannot agree on an arbitrator, either party may file a written demand for arbitration in accordance with the rules of the American Arbitration Association. The arbitration award shall be final and judgment on the award may be entered in any court having jurisdiction thereof. This CONTRACT shall be governed and interpreted in accordance with the laws of the State of New Hampshire. the parties acknowiedge inai illi., agfeanneFFI LU- C11YIUa« OI ILII u governed by Chapter 542 of the New Hampshire Revised Statutes Annotated. Either party may, without waiving any remedy under this CONTRACT, seek from any court having jurisdiction any interim or provisional relief that is necessary to protect the rights or PROPERTY of that party, including but not limited to the right to seek liens or attachment. The prevailing party in any dispute arising out of or relating to this CONTRACT or its breach that is resolved by a binding dispute resolution process shall be entitled to recover from the other party reasonable attorneys' fees, costs and expenses incurred by the prevailing party in connection with such dispute resolution process. Massachusetts Consumers: If a dispute with a Massachusetts customer cannot be settled through direct discussions, the parties agree the dispute shall be settled by arbitration administered by the Massachusetts Home Improvement Contractor Law (MGL.c142A).This law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor. The contractor would have to resolve any dispute it has with a homeowner in court unless both parties agree to the following optional provision. This provision gives the contractor the same rights to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The CONTRACTOR and OWNER, residing in Massachusetts, hereby mutually agree in advance that in the event the CONTRACTOR has a dispute concerning this CONTRACT, the CONTRACTOR may submit the dispute to a private arbitration firm approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the OWNER shall be required to submit to such arbitration as provided in Massachusetts Laws, chapter, 142A. Either party may, without waiving any remedy under this CONTRACT, seek from any court having jurisdiction any interim or provisional relief that is necessary to protect the rights or PROPERTY of that party, including but not limited to the right to seek liens or attachment. The prevailing party in any dispute arising out of or relating to this CONTRACT or its breach that is resolved by a binding dispute resolution process shall be entitled to recover from the other party reasonable attorneys' fees, costs and expenses incurred by the prevailing party in connection with such dispute resolution process. Consumers in Massachusetts shall be required to submit to such arbitration as provided in MGL c. 142A. Contract Proposal—Page 9 of 27 02/13/2015 Tina Klein Jane Fac-esiEJn& 13lackdog Builders, Inc. Pat Grimm Notice: The signature of the parties above constitutes an acknowledgement of the agreement between the parties to alternative dispute resolution. Massachusetts consumers may have the right to initiate alternative dispute resolution even where this section is not signed by the parties. g. Unless otherwise agreed in writing, CONTRACTOR shall continue the WORK and maintain the agreed work schedule during any dispute resolution proceedings. CONTRACTOR's obligation to continue to perform is conditioned upon OWNER's timely payments in accordance with terms of this Contract. 13. ENVIRONMENTAL HAZARDS a.The CONTRACTOR is NOT responsible for the inspection, discovery, abatement or removal of any environmental hazard including, but not limited to: asbestos; mold; lead; radon; ground water or environmental pollution at the work site, unless specifically covered in the specifications. b. In the event that any hazardous material is discovered during the course of construction, the testing, abatement and/or removal shall be the sole responsibility of the OWNER. c.Any additional costs incurred on account of suspension of the construction or changes to the specifications due to a hazard or its removal are the responsibility of the OWNER and will be handled by a Work Order. d. In the event that work does not resume within 30 days of the stoppage, OWNER agrees to immediately pay the CONTRACTOR the pro-rated amount of the CONTRACT price applicable to work done up to that point pursuant to the Contract. WARRANTY OWNER warrants that as of the date of this CONTRACT: (1)the PROPERTY (including the land, surface water,ground water, and improvements to the land) is, and will continue to be,free of all contamination, including (a) "oil, petroleum products, and their by-products" (b) any"hazardous waste" as defined by the Resource Conservation and Recovery Act of 1976, as amended from time to time, and regulations promulgated thereunder; (c) any "hazardous substance" as defined by the Comprehensive Environmental Response, Compensation, and Liability Act of 1990, as amended from time to time,and regulations promulgated thereunder, specifically including asbestos and mold; and (d)any other"hazardous substance (2)the PROPERTY is in compliance with all environmental laws and regulations; and (3)there are no underground tanks on the PROPERTY INDEMNITY OWNER expressly acknowledges and agrees that it will reimburse, defend, indemnify and hold harmless CONTRACTOR, all Sub-contractors, their successors, assigns and employees from and against any and all liabilities, claims, damages, penalties, expenditures, losses or charges (including, but not limited to, all costs of investigation, monitoring, legal fees, remedial response, removal, restoration or permit acquisition) which may, now or in the future, be undertaken, suffered, paid, awarded, assessed, or otherwise incurred as the result of: (a) any contamination, existing in, on, above or under the PROPERTY(including, but not limited to, contaminated soil, mold, buildings, facilities and/or ground water); (b)Any investigation, monitoring, clean up, removal, restoration, remedial response or remedial work undertaken on the PROPERTY; and (c)OWNER'S breach of any warranty given herein. 14. WARRANTIES a. The work of the CONTRACTOR, including materials and labor, shall be warranted for a period of three(3)years, during which period CONTRACTOR shall at its own expense correct any defect arising from its work unless it is a non-warrantable condition as set out in the Blackdog Builders Client Package. That package shall become a part of this CONTRACT as if fully set forth herein. b. Any and all warranties for appliances or mechanical systems shall be delivered to OWNER as the CONTRACTOR receives them. Owner agrees to hold manufacturers solely responsible for all warranties for appliances or mechanical systems and agrees that no action may be brought against the CONTRACTOR on this Contract as a result of manufactures warranties. c. The quality of any work in question will be held to the standards issued in the Residential Construction Contract Proposal—Page 10 of 27 02/13/2015 Performance Guidelines— Fourth Edition published by the NAHB. 15. SEVERABILITY If any portion of this agreement is found invalid or unenforceable by any court, the remaining provisions shall remain in force between the parties. 16. ENTIRE AGREEMENT Upon signing this document becomes a binding CONTRACT under law. Unless otherwise noted within this document, this contract shall not imply that any lien or other security interest has been placed on the residence. This CONTRACT consists of the documents defined herein, and constitutes the entire agreement of the parties. It can be modified only by a written document. OWNER acknowledges that he has read and received a legible copy of this agreement signed by CONTRACTOR, before any work was done, and that he has read and received a legible copy of every other document that OWNER has signed during the negotiation of this Contract.-., 17. THREE DAY RIGHT TO CANCEL THIS CONTRACT You may cancel this agreement if it has been signed at a place other that the CONTRACTOR'S normal place of business, provided you notify the CONTRACTOR in writing by not later than midnight of the third business day following your signing of this agreement. See the notice of cancellation form attached hereto for an explanation of this right. 18. Massachusetts Horne lrn�royement Contractor Law I�1GL c142At All home improvement contractors/subcontractors working in the Commonwealth of Massachusetts must be licensed and registered by the Office of Consumer Affairs and Business Regulations. All inquiries concerning the CONTRACTOR should be transmitted to those offices. In Massachusetts Blackdog Builders, Inc. operates under License number CSO48847 and Registration number 106877. Federal Tax ID. Number 02-0477778. a. Massachusetts homeowners securina their own permits will be excluded from the Guaranty Fund provisions of MGL c. 142A. b. In Massachusetts the deposit shall not exceed 1/3 of the total contract price, or the cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule, whichever is greater. PLEASE DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Two identical copies of this contract must be completed and signed.One copy shall go to the OWNER with the second copy being retained by the CONTRACTOR. NO WORK shall commence until this contract is fully executed. SUBMITTED: DATE J n'Face d 02/16/2015 Designer Blackdog Builders, Inc. ACCEPTED: AT l DATE: Tina Klein DATE: Pat Grimm 02/13/2015 Contract Proposal—Page 11 of 27 The Common wealth of lIIttssac�r�setts Department of Industrial Accidents Office of Investigations i r y 600 Washington Street `y Boston, AIA 02111 www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f Please Print Legibly Name (Business/Organization/Individual): g 14 �ftJ cl, , Address: 7 Re &L- City/State/Zip: City/State/Zip: Cdr e A11V 039 Phone#: l b� )��/�" 01� g Are you an employer? Check the appropriate box: Type of project(required): 1.L4 I am a employer with 7 4. n I am a general contractor and I 6. F1 New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. F1 We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their I L ng repairs or additions �.❑ I am a homeowner doing all work f � Plumbip myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]i c. 152, §1(4),and we have no 13:❑ Other employees. [No workers' comp. insurance required.] *Any applicant that cheats box 41 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 nay employees. below is the policy sand job site information, Insurance Company Name: Co. — Policy# or Self-ins.Lie.#: 7CWo 5.5��/Sy Expiration Date: 1111x' Job Site Address; M C©whr, °qy> 1611e- City/State/Zip: AfA 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 fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pans and penalties of peajury that the information provided above is true and correct. Date: l© 1 Signature: ? Phone #: 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 Departraealt 3. City/Town Clerk 4.Electrical In S.Plumbing Inspector 6.Other Contact Person: . Phone#: a 3 131-ACK-1 OP--O—P IID.BE ,�� OAI -ri;((y1pA/pD(Y`(YY) CERTIFICATE LIABILITY I S E ( 07/08/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER.THIS CERTIFICATE DOES NOT AF=IgRATiVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED, D BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITU'T'E A CONTRACT BETNEEN THE ISSUING INSURER(S), AUTHOR I,%EC REPRESENTATIVE OR PRODUCER,.AND';HE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(!es) must be ondorsed. If SUBROGATION IS WAIV 0,subject iD I the terms and conditions of the policy,certain pcllcies may roquire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorseme_nt(s). •^ - — CCrvTACT PRODUCER Phone:603-424-9901 NAME: Brown&Brown(Merrimack) Fax:866-848-1223 PHONE { 309 Daniel Webster Highway MAILQ,_� >:....._..,..._...�_... Merrimack,NH 03054 ADDRESS:._ Chris McPhail INSUflER S AFFCRDiNG COVERAGE NAIC S _ INSURERA:Peerless Indemnity ins Co 98333 --__..._..._. irisuREo+ B#ackdog BLfilders,#nc. INSURER B:Peerless Indemnity Ins Co 98333 Blackdog Builders _.__...__.__.._...._._......_._.__.._...___.__._ _.__..._.__..__..____._.._..___....__.._.._.------.__� INSURER C .__..____ InvestmentHoldings,LLC _..._._.._._..._._..._._.�__._____._____.._...._.__..__..___.�__.____.___.._.___....._�........_. . 7 Red Roof Lane Unit#1 NSURERD: Salem,Nh103079-2984 INSURERE: INSURER F: COVERAGES CE"iTIFICATC NUIV#BEIl: _ w _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELONI HAVE BEEN ISSUED T4 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON'T'RACT 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. IfdSfi�.,.._.. ._.._._.__.._._�_�.._....,...._ �UTSL S17$R"-- - -------_'-'—' ��a1.I�5'_Fwh'... PSI.ICY'E'SCF'_.T.................._......_.. LIMITS TYPE OF INSURANCE POGCY NUfdBER _ MMtDD {M11M1DD1YYYY1 GENERAL LIABILITY ...,......._.....�... w_ww....,.t----„ EACH OCCURRENCE s ;--, _41 000 000 �f3K555511514 07/01/2014 07/01/2015 fSAfIXGE"rc5RtT11EtS"'" "" 300000 A X COMMERCIAL GENERAL LIABILITY ,PREMISGS_LEa occurrenr� ._. 15,000 CLAIMS-MAGE 1 XJ OCCUR I MED EXP(Any ono pe son) 15 w 1 PERSONAL&ADV INJURY �S ,. -_ 2,000,0O0 �GEN'L AGGREGATE LIMIT APPLIES PER: I4 PR00_UCTS__COMPIOP AGG II S 2,000,00 5 POLICY PRO"-JECTLOC I COMBINED SINGLE LIMIT f AUTOMOBILE LIABILITY ! {Ea acgdon0� 1,000,00.. i A X ANY AUTO BAS55$11514 07/01/2014 ALL OWNED 07/01/2015.BODILY INJURY(Pe porson> S I_..-..___.._____�._._.__..-----.___.___....�.__.._..._.. '"- SCHEDULED j I BODILY INJURY(Par acc-dent) S , AUTOS TO "PRGPER7Y DAMAGE- -- 5 �� HIRED AUTOS )( NON-OWNEDAUTOS (Por accident) - X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5 _ 1,000,000 Ej EXCESS LIAB _ CLAIMS-MADE US055511514 07/01/2014 07)'01/2015 AGGREGATE _—. .s... DED X RETENTIONS 10000 _ $ WC STATU- OTH- WORKERS COMPENSATION JQPY LjM T.SAND EMPLOYERS'LABILITY �— B ANY PROPRIETOWARTNERJFXECUTIVE YIN iXW055511514 1071111201411710111015 E.L.CACH ACGOENr !s 500,00 OFFICERIMEMBER EXCLUDED? a NIA Lw...._.__.._„_..,..EA EM...._.,.i 50 (Mandatory In NH) I E.L..DISEASE_,EA EMPLOYEE+S^ - r 500,000 I(yS describe under I E.L.DISEASE-POLICY LIMIT 1 S 500,000 DESCRIPTION OF OPERATIONS bolow. DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Adach ACORD 101,Additional Rornaft SchodUtc,If more space le Mqulrod) *David Bryan is excluded from Worker's Compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 4 �. Y, x4 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Q,—,X K....C.'-JX.CCLlCFf1 O��/1lQJJCCc'I7,CCJ BfIJ _—i�ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: v ,! egistration: 106877 Office of Consumer Affairs and Business iration: Type' 10 Park Plaza-Suite 5170 Regulation p 7/28/2016 Supplement Card BLACKDOG BUILD ERS,_INC''_ Boston,MA 02116 MICHAEL LIVINGSTON 7 RED ROOF LN.#1 Salem, NH 03079 Undersecretary Not valid without signature 9 Massachusetts - Department of Public Safety �-- Board of Building Regulations and Standards Construction Supers icor 1 & ? Family License: CSFA-0756613 ; MICHAEL D LIVIlVGSTON 57 HOOK RD Auburn NH 03032 Expiration Commissioner 04/29/2015