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Building Permit # 5/5/2015
BUILDING PERMIT � of No oT � a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION10 Permit No#: 51_ ' Date ReceivedA�Rarev SSgcHus� Date Issued: J IMPORTANT: Applicant must complete all items on this page D9LOCATION 9, +C`4 . VA n ,, Print PROPERTY OWNER t'`�`Li�- I>V 1 0�_ mac ' G Print 100 Year Structure yes no MAP 1 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition Two or more family. ❑ Industrial ❑Alteration No. of units: ❑ Commercial Pj Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r r,�.rr. r,d'"`'' r z ✓,:�r :/ ,- r �',„ <:Ur r't <x�r.,,,.snr"i rm rr rr .« ,�z r t rs//F"x'r r.,.r r t ,; r:,r,rrl r:�. f§, Se {�c��`❑We�I�r r`� ���`rf 'fir U `D�Flood ain �� C1N�tlands 7 �' ❑�1Nater;h�e'd>Drstr -„L ��1�, srr•.,..;1r s 7,�,.z 5,�ri ;.�rzr ;Itrv' rt p� X t ,, � r:. 'r rr 7 ;:.t f a'.�1 „r ,. ar .{`.'i,-; ,.:r� ,,�. t. ,� t�:. crr?�' r f.. .r t ✓ C.�J-;, ,r rl..Y� �... ��k���:. ., � s 5 ...� � �rs.r...�. � .:� r l';. � t ,t>"s� ,, i'.-✓�...��'.� e �,rr r y,� t�r��:.,;;.... .�. e,..;�a..s.. crG„YYr�..k{'f'�t.t'.-Er: rc'.a.�:'r.r z �r�n+' rs....:r`#rs,,.?r r r 3 t ✓`../ r ,ri`: v 19'x' r .-:`� »x� rn, .- � ✓r y.r-.. �`fr'..,,., '� �.. 2, ;fi. ..r. .. L � rt s, f1ls�.r/,G .'.:u-,���},,F Lf?F�:�' , l�5'r7.. J.�,�u�r��?r�k' !u t�-.�, ,'�;•` � .,",,;rs?�r��"'f, mn r ,�.. ,a'f _;-'�.. +tt l !. F r ✓ ;..,� 1�v' t ./- r' �.t"'� 4,s".J t. „J7nJ.�7 `'r'.,r. r,��?�Wa�er��eWe�rf r.,,.r�r '�'.y:,�:rt rf,,,,�.,�:,� �%•r o� ;'�.f�k���r::ay 3�„'f�r`�„�srs'^;?�f� r,'�;�rlr„r,'.�f�-*r.,r,��r,.,, rx� ..�.,..�,r��l".,'fjz'"� 1.,��,`"rr���'"✓Y;w.��f`.dr���x ,f°,,,..;r�rf�; �r�,.: DES RIPTION OF WOPK To BE PERFO D: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: ee Contractor Name: k-1-v%.A 0.1 Phone: Email: Address: Supervisor's Construction License: L u , I Exp. Date: �J Home Improvement License: 1 1 Exp. Date: 1 ZG 12 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. Total Project Cost: $ FEE: $� Check No.: Receipt No.. NOTE: Persons contracting with unregistered contractors do not have access to the guar ty fund �. r- ORTH Town of Andover No. i y r h ver, ass � I O ' 1 COCHIM"I.CK y1. ®S RATED P'P�,`'�� LI BOARD OF HEALTH Food/Kitchen PERMIT T L Septic System THIS CERTIFIES THAT ., poy,,.�,'�,,,'..1►` re BUILDING INSPECTOR ............ .. .. ......................... �C Foundation has permission to erect .......................... buildings on . .�.. ....... .. .L. ......bV0............... Rough to be occupied as ............ ......... ...... .. T.......�.1��1�..... Chimney provided that the person accepting this ermit 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 Final PERMIT EI ES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION R . Rough Service ..................... . .................... Final....................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Kermit 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. 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 on your 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 party thereto at a place other than an address ofK.&R Contractors,Inc.,which may be its main office or braneh thereof,provided you notify K &R Contractors,Inc.,in writing at its main office or branch by ordinary trail 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 Business Street Address Marge Maclean K&R Contractors,Inc. 2 Stacy Dr 1 Campbell Road North Andover,MA North Andover,MA 01845 Business Phone:978.726.5062 Federal Employer 1D:000961723 Salesperson(s): Kenneth Roy,President Contractor Registration:80721 Exp.Date:4129115 Contractor/owner Name: MA Sup.License: 137557 Kenneth Roy,President WORK TO BE PERFORMED AND MATERIALS TO BB USED Contractor Agrees To Do The Following Work For Homeowner:Replace 4 windows Work to include: Customer has asked for a price on changing out their existing windows to new construction Harvey Majesty windows. All windows will be almond on the exterior and clear pule oa the interior. Each window will come with a full screen,Double Low E, Double Glazed,Argon Filled, Single Coppertone Look and Routed Bottom Sash, Each window will be removed and disposed of. Each opening will be inspected and if no rat is found we will prepare the opening and install the new window. Each sill wills have 4 waterproof membrane put down before the window is installed. Each window will be leveled,shimmed and insulated. We will install.2 Y, colonial trim on the ix><terior and composite Flat Kleer on the outside to match existing with composite sills. The following schedule will be adhered to unless circumstances beyond the contractor's control arise* Work Scheduled To Begin:4/24/15 Expected bate Of Completion:5/8/15 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to perform the work,furnish the material and labor specified above for the SUM OF$3000 Payments will be made to the following SCHEDULE: $1500 due upon signing this contract $1504 due upon completion of project as outlined here 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's}Rio 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 R{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 Prom 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 roan 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 is not 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 tradesperson,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/lterselfavailable 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 including subcontractors will be covered by all required and necessary insurance including worker's compensation insurance. Homeowner's Cancellation Rights: In 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§49,M.G.L.c. 140D,§ 10 and M.G.L.c.255D§ €4. D©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: {il `rte ✓ - �. Dater d _ � E Contractor's tgnature K& Contractors,Inc.: c� _ Date: By: Kenneth Roy - - — 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 file 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 MGI,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 cliaracteristics of the materials such as woad 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 Cnmpana spccifically disclaims the implied Warranties of Mumhanisbiliqr and Fitness fbr 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 Us document,the contract shalt 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 tbs Executive Office of Consumer Affairs and Business Regulations and th nsumer shall he required to submit to such arbitration a(sspprovided in M,G,L.c.142A, Contractor. Date: Homeowner. IDate' NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SEfFLEMENT INITIATED BY THE CONTRACTOR THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE TkIIIS SECTION IS NOTSEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeownetc'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 himselflhersel€tea be financially insecure,the contractor may require that the balance of fends 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 Hoare Improvement Contractor Law,contact- Consumer Information Hotline Commonwealth ofMassachusetts Office of Consumer Affalm and Business Regulation Irl Park Plaza,Room 5170 Roston,MA 02116 617-973-8787 Ifyou have questions about Contractor Registration,contact: Director of Home Improvement Contractor Registration hoard of Building Regulations and Standards One Ashburton Pla cc,Room 1301 Boston,MA 02108 617-727-3700,x25205 NOTICE OF CANCELLATION YOU MAY CANCEL TIES TRANSACTION,WI'T'HOUT 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 TIME 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 TRANSAC'T'ION,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,IV1A 01845 NOT LATER THAN MIDNIGHT OF TBD. I HEREBY CANCEL THIS TRANSACTION, Date: Buyer's Signature: Received: E5Z E9 The Commonwealth of Massachusetts Department of Industrial Accidents i a 1 Congress Street, Suite 100 Boston,MA 02114-2017 SVs� www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: City/State/Zip: A j/ u-e, ' 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).` 'I. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.F]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 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.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.❑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.] IL *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 pi•ovidirtg worriers'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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Itereby certify t n r the pains an denAties of jury that the information provided above is true and correct. Si nature: rr�� Date: Phone# q 76- 7 , ' S (� Z- Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: OfFce of _ Con RgtMonOVen &g Reg- EMEraNT ° Q CONTessgeg atiuoljP Expiration 162123 RACTOR K& 1!20%2017 Type. CONTRACTORS INC Private corp KENNETH ROy 1 CAMPBELL RD N•ANDpVER MA 01845 Undersecretary ' i Massachusetts _pe Board Of Build' partMent oP co,-.--__. 9 Re public Safet' ulCf 11o,- Standards License: IQ `5-080721$ j 1 CAJO North An dcover IVA- 0 I Co �r J/'141 lJ rnrnissioner Expiration 0'/29/2017