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Building Permit # 8/24/2015
BUILDING PERMIT TOWN OF NORTH ANDOVER o j APPLICATION FOR PLAN EXAMINATION ; -m Permit No# \[/ Date Receivedol Date Issued: — MPORTANT:Applicant must complete all items on this page _ LOCATION C� mt PROPERTY OWNER 64L`1 ad`s Ln,>? i C'm 5 r Print 100 Year Structure yes no MAP tJ`d?� PARCEL�''�� ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential _ — Non-Residential ❑New Building )ZOne family ❑Addition ri Two or more family ❑Industrial ❑Alteration No.of units: 2 Commercial epair,replacement ❑Assessory Bldg ❑Others: I Demolition U Other ❑Sep[rc 17 Well ' ' ❑FJoodplain L] DESCRIPTION ❑Watershed D>stncf 's 6 DESCRIPTION OF WORK TO BE PERPORIVIED: G Tdentificafion-Please Type or Print Clearly OWNER: Name: I c-n.n i -L.. +,J� r rw• Phone: 1 l i' cr9 1 Address: Contractor Name: do (, l-�I'cwiS Phone: I37�'"�3,5--5? 2' Email I-, lclearPfcfc' `cc e r f ro� Address: Lr L C° Supervisor's Construction License: f G, �" Exp. Date: L1 t�f - Nome Improvement License: 1^ Exp. Date: G— ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERM�IT:^$12.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON '125.00 PER S.F. Total Project Cost:$�> (iG'G� FEE:$ �- Check No.: L4 D� Receipt No.:_ NOTE: Persons contracting with unregistered contractors do not have access the guaranty fund _ �anafirP of Aria�fLQwnar - Sinnati irP�co_+ +„r(E/:z. _ �T A 's Anciover Town of No. * 0 h ver,M.., _��EOARD 01 HEALTH PERMIT T .System THIS CERTIFIES THAT_ VI BUILDING INSPECTOR Foundation has permission to erect 0...............................buildings on &e�WL_L . ........................ Rough to be occupied as r ..........W., ® Chl—y 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 I'mi PERMIT EXPIRES ItNMO ELECTRICAL INSPECTOR 565• UNLESS CONSTRU( S TS Rough Service ................ ....................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building R-gh 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. B.—, Street N., 5,,],,Det. Williams Construction 106 Beverly Street North Andover,MA 01845 (978)335—5980 builderrickwcc@ aol.com Kathy&Tom Williams C S# 051796 9 Beech Street HIC# 174250 North Andover MA 01845 08/14/2015 House renovations Toms Bathroom; Full gut to the studs. Insulate exterior walls. New hardiboard in shower area and on floor. Tile on floor and in shower area. New pedestal sink.Re-use the existing toilet. New medicine cabinet. Paint all new areas. Glass shower doors. Grab bars as required. $ 18,500 Master Bathroom; Expoxy paint the tub. Clean the wall tiles in shower area. Re-grout and seal tub area. Paint walls $2500 Painting; Master bedroom Main hallway Dining room Living room Both bathrooms $2800 walls if trim to be painted add $ 1600 Owner to supply paint Page 2 of 2 Total contract price $25,400 Payments as follows; To start deposit $9000 2"d payment when bathroom is fully gutted $4100 3`d payment when all paint,except the bathrooms Are completed $4100 4th payment when all tile is installed $4100 Final payment When work is completed to owners Satification $4100 Homeowners Tom and athy Williams Date 7 � Williams Cons ction Co. Rick Williams �� ��� Date Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor law(MGL chapter 142A),but does not include standard language to protect homeowners.Seeklegedwiviceifnecessary.Anypersonplanninghomeimprovementsshouldfl tobtainacopyof"A Door,Massachusetts Consumer Guide to Hoe Improvement"before agreeing to any work on your residence.You mobta ay in a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our,website. Homeowner Information Contractor Information N Company N'dr, / ,� �G�2an 5�� �f-! &i�^._r �M jh�� .,��t Cz:7- Street Address(do notuse st Ofdce Boz address) Co /Salesperson/Owner NJ`s City q St Zip Code Business Addressl�, mludca eneet ddass) io / r 6ii6'`�S /Off h't'iz l Dn}rtime PM1one Evening Phone p CityR 1 me zip Code Meihug Ad—(It different from above) Business Ph— Federal Employer lD or S.S.Number rn rovemrnr c"".rno s u r.,pi�""aa� The Contractor agrees to do the following work for the Homeowner: (Describe ii,detail the work to completed,specifying the type,breed,add gmde of mamrials to be used,use additional sheet,ifueoes,arv.) Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of 6? when eontrector uNl begin...tra.led work MGL chapter 142A.) �f �) ' are whop eontrooted work will be substantially completed. f Total Contract Price and Payment Sebed.le The Contractor agrees to perform the works 1worish the material and labor specified so...for the meal sum o'E (T') Payments will be made according to the following schedule: $ upon kgnidg coutact(not to exceed 1/3 of the total controct pee or,the cost of special order items,whichever is greater) 5 by_/_/ or upon completion of $ by /_/_or upon completion of $ upon completion fthe contract.(Law forbids demanding full payment will contract is completed to both party's satisfaction) lire following material/equipmenC must be special $ to be paid for --d before the contractedwork regio,in order to meet the completion schedule(^') S to be paid fid, NOTHS:(U Including all fidadoe olosdsl(-)Lew,equurs that any deposit or dewrvpaymmt required by the cedtraotor before work brads may not exceed Ure great.,of(e).—thud hire total coonaot price or(b)the—1 coat'of any special equipment or custom made material which must be special orde,ed in advrmccto meet the completion sohedefe. & W -Ts 'b' 'ddb tl ❑N.❑Yes fall term,of the wa'ran must be attached o.the e.at'rect) Subcontractors-The contractor agrees to be solely responsible forrcompletion,ofthe work described roe rdless of the actions of any third parry/suboontmotor utilized by the contractor.The contractor fdrdter agrees to be solely responsible for all pam,dits to all subcovtrutnrs for t I dib der this a t Contract Acceptance-Upon signing,this documcntbeeo s a bindingha conat under law_Unless otherwise noted within thisdocument,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cnntions and notices carefully baton signing this contract. • Don't be pressured into signing the c..our .Take time to read and fully volultend it.Ask questions if something is unclear. • Make pre the contrac or has a val'd Home Imdrovement Contractor Renishopido.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registraeion.You may idgwuro about 10.1aw or registration by writing to the Director at 10 Park Plaza,Room 5170,Bost—MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy o£a"proof of insurance"document. • Know your rights sed—poo bilines.Reed the Important I.1waration on the reverse side of this{rm and get a copy oftlne Consumer Glride to the Homo Improvement Contractor Law. You may.ev.et tris agreement if it has been signed at a place other than the contractor's turret place of business,provided you notify the connector in wtinng at his/her main office or branch office by ordinary mail posted'by telegram sent or by delivery,not later than midnight of the £bird business day following the signing.fthis ag.odd.t.Sae the attached notice of cancellation form for an explanation of Phis right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! r„emoot.na e cxmewahaerrn�arnn�mple�aaaa�i�w.oae.ayslwwdeotethehc,re.—oft—fl, rob trrd><Poao-e�to,. Homeowner's Signature tract.'Signature Date Date NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE 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 BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO TIIE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE;OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE.THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION,YOU MAY RETAIN OR DESPOSE 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 SELLER 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[Name of Seller],AT[Address of Seller's Place of Business]NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: OP ID:JT CERTIFICATE OF LIABILITY INSURANCE nA®&2,12015 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 cerhhcate holder is an AM17ONAL INSURED,the'Be'(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and-.ddions of the policy,certain policies may require an endorsement A statemart on this osdifiesto d.es net confer rights to the certificate holder in lieu of such endorsemen[(s). Durso&Jankowski Ins Agcy LLC 99 Saunders Street North Ando r,MA— Durso 8 Jankowski Ins.Agcy. ox WILLl3 ro I - --- mxeWilliams Construction .s--MSA GroupslAnoxo�xe cover we ca _ 114788 0 B tl Williams DBA 16 Beverly Street su Ixaeae:Travelers Insumnoe Company North Andover,MA 119895 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY MAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATCD NY REQUIREMENT,TERM OR CONDEBON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO yMHICH THIS CERTIFICATE MAY BE ISSUED IXi MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH PIXICIES_LI.—SHOWN MAY HAYS BEEN REDUCED BY PAID CLAIMS. Ixea os lxSomwCE a>ulZ•ttU�vt cN�lotn'FSF irrouc ExP I imis -D—B- A Nsx XJ D m 100,000 5,000 5,00acm 0_ 0 m av a E OOQO � .—AIA-- � 2,000,000 x PPyR 2,000,00 oal�aDAeII.nY 1.. I, TEa�x��Ix I>=LINm YA1 e�ItY x,exYrve,aaa.Mr sc e-0wxen Amo I 1 nYER>p N-E Ix nx I s BA. T 116HU86001014595 06252095 662520961 7,000,00 Iima «� xrowmE� "rIIA, ,,omm,omo 9,000,000 I caipentry�esiCendalrup m 3 s[ories�tAe:�ocoao,o,.Aaerw,,,l e�ma.xss=�:amo v,kr�:m=�n as xwI CERTIFICATE HOLDER CANCELLATION NO RTH13 _ Town of North Andover ACCO ANCEIMIHmTHH Pauc�Y P-SIGNS.NOTICEWILL BE o¢wEREo IN 384 Osgood Street North And,—,MA 01845 A--R—— IS _IS Jankowski Ins.Agcy. ©1988-2009 ACORD CORPORATION.All Rghts reserved. ACORD 25(2009109) The ACORD name and logo am registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registratlon: 174250 Type: Individual E.,.Uon: 123/2017 Tr#262823 RICHARD WILLIAMS - RCHARD WILLIAMS 106 BEVERLY STREET NORTH ANDOVER,MA 01845 - Update Addres and return card.Mark-,for change. a ❑Address CJ Renewal ❑Employment ❑Lost Card OfL (Co Aft vs&8usv.ss Regalanov Li ens.or registration valid for mdwidul use only W=BIOfdEIMPROVEMENTCONTRACTOR before theexpiration date.Iffound retnro to: sR gmtrago 74259 Type: offi.ofConsumer Affmrsavd Business Regulation _Expiration: 1 312C17. lydv.al IOPark Pia Suite 5170 . Boston,114 02116 RICHARD WIILUAMS RICHARD WILLIAMS 106 BEVERLY STREET. NORTH ANDOVER,MA 01865 Uvdersecre�taca^ \otvalid without signature /�y�yy/✓J/, 1�� woC m OE`SpB{e'(tlW Z3A0 aaNtlN �' 9LOZBd� r �r/���� .,F-,m. LSJltl3A39901n - lOL Na { e J Sino yx UHAO(mvx Aw1,0Z,}¢Q Y` Sf�V1T)MQ71dH3IU LE670Z6�S�anou 96LLSRSO 3SN33Il F P- £pR 5.b PI - F6eog S,i13AI21d2 _ 5'.