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HomeMy WebLinkAboutBuilding Permit # 6/25/2015 O� p10RTy A BUILDING PERMIT4 �1�eD 3a y`'1,- 6 0L TOWN OF NORTH ANDOVER ° t �o APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ! O-VAT.o � A Date Issued: l'� �SSCH 5 IMPORTANT: Applicant must complete all items on this page LOCATION OLo1 int � PROPERTY OWNER DGS%d Prn MAP NO: PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes(,es no 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 ❑ Septic ❑Well ❑ Floodplain' ❑Wetlands ❑ Watershed District ❑i Water/Sewer' ,2e Moves uJ1 r AaC2. eo(f S vel ac.�s — �ST �(6 o r Identification Please Type or Print Clearly) OWNER: Name �°� '��� a 9—P F- 3 b v - y� Address Q ) f I L-n jl lAvv 0, CONTRACTOR Name: Phone: `7Fs1 766 203Q Address: 2eslaAev ute _ve,� m4 0V�2,3 Supervisor's Construction License: 1 3 Exp. Date: Horne Improvement License: ' Exp. Date: ' t ZO �s ARCHITECT/ENGINEER Phone: Address: I — 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: $ 9R20 FEE: $ Check No.: q,:5 Receipt No.: '2 -11 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and #�,ignature of Agent/Owner_._ mature of contractor s r �I tjORTH It E 4"' -11ft d®v e Town of ® �•. ® _ LAKE h verMass, �1I��J� 215a�ol� coc HIc KEW.c. y1. RATED •P¢,��c5 � U BOARD OF HEALTH Food/Kitchen rERMIT T LD Septic System a • • THIS CERTIFIES THAT . . ........ ......... .. C ,,, II(�, ��, ,, ,, ,, , BUILDING INSPECTOR has permission to ere . buildings on . ta Foundation Rough to be occupied as ........ .. .. ...... ... �•I ►. 4!! ll ....... .....I.. .�. . Chimney provided that the person accepting this permit shall in every rest conform to the terms of the applica'tio-n 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 IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIO, T Rough Service ................. .... ........ ........................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Perinit Required t® Occupy Building Rough Islay 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. Page 1 of 5 Nexus II Carpentry and Construction Design P.O. Box 2823 Woburn,MA 01888 781 760 2031 Fax 978 975 1263 nexuscarpentryAaol.com Contract This is a contract between Nancy and David Phillips of 89 Old Village Lane,North Andover MA 01845 (Hereafter referred to as the "owners") and Nexus II Services (hereafter referred to as "Nexus") dated April 10t' 2015. GENERAL SCOPE OF WORK DESCRIPTION WE HEREBY SUBMIT SPECIFICATIONS AND CONTRACT FOR: work as stated below to I"floor windows Scope of work: General details ♦ Meet with local building official and apply for permits ♦ All work will be in accordance with local building code regulations and will be inspected by local officials prior to continuing with the next phase—Nexus will be responsible for arranging and being available for all inspections ♦ Nexus will contact"Dig Safe"prior to commencing any excavation work for their clearance ♦ All work will be coordinated directly between"owners" and Nexus ♦ Nexus confirms that it is fully licensed, insured and ensures any sub-contractors utilized on this site will have the appropriate insurance coverage ♦ Nexus will be responsible for the safe storage of all its property and any materials to be used on the site ♦ Owner is responsible for removal and return of all items of the house in the areas that will be affected and their safe storage prior to our work commencing SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 2 of 5 ♦ Owner will then be responsible for returning all items to these areas of the home after completion of the scope of work ♦ Remove and trash into Nexus supplied dumpster all trash associated with this project NOTE: appliances are not allowed to be put in dumpsters without additional costs "owners"are responsible for removal from site Scope of Work—Window project NOTE: The new windows will be Andersen 200 series with the same grill pattern as the existing windows with grills between the glass and pre-finished WHITE interior and clad exterior for all windows NOTE: The new interior trim being installed to the new windows only—will be"paint grade"so they can be painted"white"—Painting by "others" * Remove and trash 2 x windows in Dining room + Remove and trash 2 windows in Fireplace room * Remove and trash I x window in Bathroom * Remove and trash I x large window in Living room + Re-frame openings in all 4 rooms noted, to prepare for installation of new windows under this scope of work—total 6 windows + Furnish and install new Andersen 200 series window x 5 (pre-finished WHITE interior and clad exterior)to opening in 3 rooms * Furnish and install new"Bay Window"to front of living room and to drawing provided for approval on 4/9/2015 —2 double hung windows with I center picture window—all windows with grills to drawing and between the glass * Furnish and install new paint grade trim to 6 x windows in all 4 rooms NOTE: trim to match as closely as possible to existing trim in girls bathroom —Work not included in this contract —Building department fees —Engineering or architect costs —Permit costs —Unseen conditions —Painting or staining work —Customer supplied electrical fixtures - wall sconce x 1 —Miffor or medicine cabinet — Customer supplied items as noted above —Bathroom toilet, cabinets, countertops,faucet and sink —Tile and grout as noted PERMITS "Nexus"will accept responsibility to obtain the necessary building permits. "Nexus"will act as a GC and work in accordance with fair and reasonable practices,and cooperate fully and under the guidance of the "Owners"and authorized parties.Nexus will pass the cost of the permit directly on to the"Owners"once advised by the Building department. SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 3of5 Standard Exclusions: Unless specifically included in the "General Scope of Work" section above, this agreement does not include labor or materials for the following work(any Exclusions in this paragraph which have been lined out and initialed by the parties do not apply to this Agreement): Removal and disposal of any materials containing asbestos or any other hazardous material as defined by the EPA. Custom milling of any wood for use in project. Moving "Owners"property around the site. Labor or materials required repairing or replacing any "Owners" - supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by "Owners", which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes (fences and old stakes may not be located on actual property lines). Final construction cleaning ("Nexus"will leave site in"broom swept" condition). Landscaping and irrigation work of any kind. Temporary sanitation, power, or fencing. Removal of soils under house in order to obtain 18 inches (or code- required height) of clear space between bottom of joists and soil. Removal of filled ground or rock or any other materials not removable by ordinary hand tools (unless heavy equipment is specified in scope of work section above), correction of existing out-of- plumb or out-of-level conditions in existing structure. Correction of concealed substandard framing. Removal and replacement of existing rot or insect infestation. Construction of a continuously level foundation around structure(if lot is sloped more than 6 inches from front to back or side to side, "Nexus" step the foundation in accordance with the slope of the lot). Exact matching of existing finishes. Repair of damage to roadways, sidewalks, or driveways that could occur when construction equipment and vehicles are being used in the normal course of construction. The"Owner"is to enter into contracts for all of the above-mentioned services and provide direct payment to "Nexus"for all of the services we are to provide. "Nexus" will be responsible for removing all components and all construction materials relevant to the "scope of work" in this contract. Dumpsters, trailers and signs "Nexus"will provide as included in the cost of this project, a dumpster for the sole purpose of the removal of trash associated with this project. This dumpster should not be used by any persons for any other waste items or for any purpose outside of the specific use under the scope of work, unless authorization is received from"Nexus". Nexus may have on site for part, or the whole of the project, a trailer containing materials and tools belonging to "Nexus". This trailer will be parked in a position agreed to in coordination with the"Owners" and will be covered under the insurances of"Nexus" at all times. "Nexus"will have on site, a sign, with our contact details, in the event that anyone has a need to contact us directly. Photographs "Nexus"reserves the right to, from time to time,take photographs of the contracted work for use in its general marketing or for production on its web site. At no time will"Nexus" share any personal contact details of the"owner"for any photographs that it may use without seeking authorization from the "owner". SPECIALIZING IN QUALITY FINISH CARPENTRY, REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 4 of 5 Warranties All the corrtponcnts supplied by"Nexus"as part of the original order are covered under the warranty exercised by"Nexus',and supported by the vendors.All labor and materials purchased from other suppliers to achieve completion of contract are warranted(1)one year from completion of the construction. Expiration of this Aerecment• This Agreement:will expire 30 days doer the date at the top of page one of this agreement if not accepted inwttting by"Owners"and returned to"Nexus"along with the necessary deposits Withirt that tithe frame. Chanjes in the Work: During the course of the project,"(Juniers"may order changes in the work(both additions and deletions). "Nexus"will determine the cost of these changes and the cost of this additional work will be added to"Nexus"profit and overhead. 'People authorized to Sign Chan a Orders: The ©]lowing,people are authorized to sign Change Orders: "Ne ': Mark Gotobed or'Gcd White "Client": Nancy or David Phillips Concealed Conditions: `]`his Agreement is based solely on the observations"N was able to make with the area in its current condition at ilte time this ' tti cg � o d� e Concealed Conditions discovered once work has commencwhichvre tiif additional t th1mtas proposal was bid, .`Nexus"will stop work and point out these unforeseen Concealed Conditions to"Owners°'so that pwners"and"Nexus"can execute a Change Order for any Additional Work. Schedule of work It is agreed by both parties that this work will be coordinated with the"Owners"and.. various stages to avoid complete disruption of the home "Nexus"to be undertaken in no less than 2 days notice prior to arriving on site environment."Nexus"will give"Owners" for commencement of any of the agreed stages of work to allow"Owners"to prepare. "Owners"commits to have sites identified for construction work available for start at the beginning of the scheduled day,so as to avoid any unnecessary delays. SPECIALIZING;'IN QUALITY FINISH CARPENTRY,REMODELING,SPECIAUST ROOF SYSTEMS,SITE AND, PROJECT MANAGEMENT r f Page 5 of a Conti-act Cast and 'F' t + nt cdulow f otal cost Ofwvorh,descrl tion and materials tnat"Jah/work stated1 '-,,S9,820-00 include in the ro Deal exre t and zero cents) (Nine thousand eight hundred and twenty dollars PAYMENT SCHEI)ULE Ist Pa ment due a on si nin this contract "I'OTA 1"$4,910.00 l final a mcnt due u on cool)letion of sco )e of work 'Aino�unt"du upon Si nln tlwh cc ntract " w;,� I"( "I Al, 4, Clggp I hawse read'and understand,and I agree to,all the terms and conditions contained in the prop,al above. Dat SA/!,' ..Nexus"Authorization............... ►ateJ. ..:.....:....."Client"Authorization. ......... ......... Date ..............................."(Tient"Atithorivation................................................... I i SPECIALIZING 1N QUALITY FINISH CARPENTRY REMODELING,SPECIALIST ROOF SySTtj+S,SI TE AIVC►" ' PROJECTMANAGEMENT .The Commonwealth ofMoIssachus�is _ pepartmm`nt o,f X dust�rccZAeezc�en 01 Q.fjyce of fnvestigaflons 600 W'ashington,S`treet Boston,MA 02111 -www mass goV1dIa y worker$l CompensaExon J��ranee.A�.davi.�:$nildex°slCon��ae�ox�l.�+Xeetx�i pXoas V>cIn� � � � l A Reant Woxm.ation J; � usinness/0rganizati°�dividual): Name(B - A chess:j�• t �.Cn CAA ®1 W Phone#. �1 g' Type ofpxojeet(required}. Ara you an eznployex?Cb eektb e appy opxzate o : enexal contractor and Z g, ]�New construction. to ex wzt�_f — am.a g I am a exnp y . haveliixedthe sub-contractors ,/. gemoeling employees(fu11 and/or�aax�thuo). listed.on the attached sheet.r $. [j Demolition 2.[]I am a sole proprietor ox partner- These sub-contractors hav _, addition ship and`have no employees -workers'comp.insurance. 1� g, [�Building working forme in any capacity. 5, C('sl1'e are a corporation audits 10,0 Electrical repairs or additions PTO workers' comp.bamance � officers have exereisedtheix 11.[]Pl�mbing,xepairs or additions required.] right of exemptionperMOL 3,[]I am a homeowner doing all work c, 1.52,§1(4),anaw0haveno 12.0Ii"oofxepaixs myself.[No workers' comp. employees.PTO workers' 13,[�Other lusuxancerequired.]i comp.insurance required etiobelovsngtheersomtionpoli - rmation. checksbox#Imustelso:Moutthesnoryanhkaidntractsubm ' affidavit ting sue . MayapIicantth � � ofthesub ivomormation. iH omeownerswho submitths affidavit incatmgthshOwingthename eonhrkescopVocYinf Tcontractorsthat checkthisboxmustattachedanadditional sheet Berowis ,,eyolieyandjobIYU9 f am an employeF that is providing workers,compensation insurance for any employees,. information. R,swauce company Name*. BxpixationUate: • Policy#or 86M.-Ins.Lia.0' • CitylState/Zip: job Site Address: t olio number and expiration date). of the workers com ensation�olicy clecXaxation page(shov'ving lee Polley A-ttaeb.a copy p 152 leadto Farlure to secure coverage as xequixed.under Section 25A.of MOL a•enalti�s in the form e o a STOP�OR�OPDEZZ and a Eros afthis statement maybafoxwardedtothe Ofdce•of ane up to$1,500.00 and/or one-year xm-pdsoment,as we as cx p ofup to$250.00 a day'against the:violator. Be advised that a copy ^ Investigations oi:the DIA for insurance coverage veri�Zcation. �nrtdertl cipenal cjgfperjarythattlaeinf,)Tmationprovidedabovekttueantiearrect. Zdo Hereby cert Date: 21 S Si ature. phone#: Fofj,-�Ial,use only. Do not write in this area,to be completed by city or tow.of_cial. pexmzt/fIcense# ----" n: crzcle one): y p Fetorlxoxity( 'hority 2.Buildingpepaxtment3.Cit /Town Clerk d•Electricallus Fetor 5.Plumbing spof J Phone#t: I DATE(MM/DD/YYYY ACO ) AC� CERTIFICATE OF LIABILITY INSURANCE 6/22/2015 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 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTLauren Goldman NAME: Cross Insurance-Peabody PHONE AIC, . (978)532-5445 FAX No:(978)532-2217 139 Lynnfield Street ADDRESS:lgoldman@crossagency.com INSURER(S)AFFORDING COVERAGE NAIC# Peabody MA 01960 INSURER Western World Ins. Co. INSURED INSURERB:Safety Indemnity 33618 Nexus II Services LLC INSURERC: P.O. BOX 2823 INSURERD: INSURER E: Woburn MA 01888 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL14121825721 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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. INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR I S POLICY NUMBER MM/DDNYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ ',. A CLAIMS-MADE OCCUR NPP8236669 8/12/2014 8/12/2015 MED EXP(Any one person) $ 5,000 '... PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 '... X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT =.. a accident ANY AUTO BODILY INJURY(Per person) $ 500,000 B ALLOWNED SCHEDULED 116632 1/10/2014 1/10/2015 AUTOS X AUTOS BODILY INJURY(Per accident) $ 500,000 NON-OWNED PROPER cciTY DAMAGE X HIRED AUTOS X AUTOS ,.,adent $ 100,000 Medical payments $ 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ '.. EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION 5 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY y/N E ,.... ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under '... DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN David and Nancy Phillips ACCORDANCE WITH THE POLICY PROVISIONS. 89 Old Village Lane North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Timothy Tramonte/ND1 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS026 rgntnnm m Tho Arr1Rr)n-nnr1 Innn arc rnniefnrari mnr4e of Arr1Rr) as a-aria CS-073991 GERALD WHITE, 23 GLENDALE DR DANVERS MA 01923 ° :.,'fir„iCur.W 0410712016 t�a:,tir°�xaaG:c�r,aaa�:a i. �-- office of Consumer Affairs&Business Regulation License or registration valid for individul use only lT.l g4OME`IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation � aregistration: 129177 Type' 10 Park Plaza-Suite 5170 F Expiration: 7/1912015 Individual p Boston,MA 02116 Gerald White Gerald White 23 Glendale Dra <. Danvers,MA 01923 Undersecretary Not valid without signature I i