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Home My WebLink AboutBuilding Permit # 9/22/2015 %AORTH BUILDING PERMIT 16 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#- Date ReceivedArEp S CHUS Date Issued: 4 IM O�RTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes MAP _C ZONING DISTRICT: Historic District PARCEL: L yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building El One family [I Industrial [I Addition [I Two or more family --,"Iteration No. of units: 11 Commercial El Repair, replacement [I Assessory Bldg El Others: El Demolition El Other E===l DESCRIPTION OF WORK TO BE PERFORMED: Location t vi No Date www Identific" OWNER: Name. C-)V\ Address: TOWN OF NORTH ANDOVER Contractor Name: Email: Se- (es K,,oe Certificate Of Occupancy $ Building/Frame Permit Fee Address: 1125 .2—D Y'A 1 ;4111 tell, Foundation Permit Fee Supervisor's Construction Lich Other Permit Fee Home Improvement License-:=j TOTAL ARCHITECT/ENGINEER Check# /,) X Address: Building inspector FEE SCHEDULE.BULDING PERMIT, Total Project Cost: $ 3 "FE Check No.: S „ l Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to ar tyfund —h KEEN CONSTRUCTION CO. n 1175 TURNPIKE STREET NORTH ANDOVER,MA 01845 All home improvement contractors and subcontractors Tel: (978)691-5201 engaged in home improvement contracting, unless Fax:(978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered Submitted with the Commonwealth of Massachusetts. Inquiries To:�7 ti I ((e� Fir i (X�� about registration and status should be made to the ' / Director,Home Improvement Contract Registration,10 )( L Park Plaza, Room 5170, Boston, MA 02116 617-973- 8787 Owners who secure their own construction 1 In,2z4-5 related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c.142A. O E TE REGISTRATION NO. EIN NO. C�( MA. H.I.C. 108383 46—3783401 > C/S=Customer Supplied S+I=Supply+Install See Attached Appendix A We hereby submit specifications and estimates for work to be performed and materials to be used: Construction related permits: WORK SCHEDULE Contra I w II of ie-the work or order the materials before the third day following the signing of this Agreement,unless specified here rt olio?.,Contractor will begin the work on or about ti (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by - r r (date).The Owner hereby acknowledges an agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall hot be considered as violations of this Agreement. WARRANTY �Ct The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of � following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contract6r,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Pro Osi t�er7btO flrnish material n labor-cplete inaccord ncewith above specifications,for the sum of Cl/ � dollars($ 9Q6,C'C Payment to be made as follows: % ($ ) upon signing C ntract; ROBERT A. KEEN Name of Contractor/Designated Registrant o/ ($ ) upon cor%letio Of` 1175 TURNPIKE ST. Street Address ' N. ANDOVER, MA 01845 % ($ I ); ompletion_of ..: � -City/State- .. .. ..... ..... ._......._. _ _ all be made forthwith upon (978)691-5201 (978)682-3231 Completion of work under this contract. Ph o¢ Fax Notice: No agreement for home improvement contracting work shall require a >down payment(advance deposit)of more than one-third of the total contract price Name nl Sales.7e or the total amount of all deposits or payments which the contractor must make,in P P Y -- advance,to order and/or otherwise obtain delivery of special order materials and Authodd d sfgnatu b j equipment,whichever amount is greater. Note:This proposal may be withdrawn by us it not accepted within days. ACCeptance Of Proposal-I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. '1 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. r, Signature r. `J � Date Signature Dale IMPORTANT INFORMATION ON BACK► J Cansirudion Co. R IiMC>Uli1.INCi SNGCJA6I S"I'S 978-69-1-520 A Kee nConstructionCo.com QUOTE Pearlson, Gillian &Jon 80 Morningside Ln. N.Andover, MA 01845 Contract#5753; Appendix A September 17, 2015 Remodel Kitchen: • Remove and dispose of existing kitchen cabinets, counters,wallboard, insulation and flooring. • Re-frame wall between kitchen and living room,eliminating bookcase, and creating more space for the cabinetry. • Update electrical as needed ($2000 electrical allowance) • Supply& install 20 position electrical sub-panel • Update plumbing as needed ($1000 plumbing allowance) • Remove two sections of baseboard heat in dining area and install one toekick heater with similar BTU output • Insulate exterior walls to code • Install approx. 140'of hardwood flooring to match existing • Sand and seal approx. 265' of flooring(kitchen and dining room) • Install %" blue board and skim coat plaster to smooth finish • Frame rear wall to accept larger window • Supply&install Andersen 400 series (CN335, 61"x 4013/16")triple casement window with white interior and simulated divided light grilles • Install customer supplied cabinetry and related trim as shown in drawings by Jackson Kitchen dated 6/1/2015 • Paint walls, ceiling and trim (two coat finish, neutral colors) Remodel Family Room: • Remove existing faux beams on ceiling • Remove wallboard on ceiling • Frame wall in front of existing chimney • Remove walls of existing closet in mudroom • Remove ceiling joists and frame to create a vaulted ceiling • Supply&install six recessed light fixtures • Upgrade insulation to code 1175 Turnpike 5t. page 1 of 2 P: 978-0091-5201 N.Andover, MA 01845 F:978-0082-3231 CSL#076691 Soles@KeenGonstructionGo.com HIG #108383 Y, Cansfrucfron Co. K13MOUIiLING SPGGIALIS'1'S 975-69`�-520'i KeenConstructionCo.com • Supply& install%" blueboard on walls and ceiling as needed and skimcoat plaster to smooth finish • Remove hardwood floor and tile in mudroom • Supply& install tile floor in mudroom ($4/sq. ft.tile allowance) • Supply& install necessary trim to match existing • Paint walls, ceiling and trim (two coat finish, neutral colors) • Sand &seal hardwood floor(oil based urethane, three coat finish) Total Price: $36,906.00 (thirty six thousand nine hundred six dollars) Price does not include cost of cabinets, counters, appliances or repairs to any unusual, unsafe or non- code compliant existing conditions not addressed in this quote. Payment Schedule: $2000 due upon signing contract $5000 due the first day of work(plus permit fee) $5000 due when demo is complete $5000 due when plaster is complete $5000 due when hardwood floor is installed and sanded $5000 due when cabinets are installed $5000 due when painting is complete $4906 due at completion of contracted work f � r 7 4` a rf Customer Robert A. Keen r/ Y( ✓✓✓ Date Date 1175 Turnpike St. page 2 of 2 P: 978-691-5201 N.Andover, MA 01845 F: 978-682-3231 G5L#076691 5ales@KeenGonstructionGo.com HIG #108383 The Commonwealth of Massachusetts - - DepartmentofIndustr1glAee1ke is Off of Investigations 600 Washington Street Boston,MA 02111 UV www.mass gov/dia Workers' Compensation insurance Affidavit:Builders/Contrcactors/El.Peici Print mbers bl ;A•pplicant Xnformation Name (Business/Organization/fndividual): � � ,� �ru Address' City/State/Zip: V1 e)\tF, IV C3 116 Phone#^97 2 1—5 w I Are you an employer?Check the appropriate box: Type of prof ect(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. New construction have hired the sub-contractors employees(full and/or part time).' listed on the attached sheet.�' 7• �Remodeling 2.El am as 010 proprietor or partner ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9, ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10,p Electrical repairs or additions officers have exercised their required.] 11. Plumbin xe airs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL ❑ g p myself. [No workers' comp. c. 152,§1(4),and we have no 12.E]Roof repairs employees.[No workers' insurance required.]" 1311 Other comp insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f-Homeowners who submit this affidavit indicating they 2•re doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy ani job site information. Insurance Company Name:, ' tPolicy#or Self ins.Lzc.#: !— S?—)-2-' +xpirationDate: .� r �am��eCity p/State/Zi Ul cY/�Q ®rob Site Address ` Z) Attach a copy of:the workers'compensationliolfcy declaration page(showing the policy number and expiration date). Failure to secure coverage as xequixedunder Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well civil penalties inthe form of a STOP WORK ORDER and a fine ator. Be advised that a copy of,this statement may be forwarded to the Office- of up to$250.00 a day against the viol Investigations of the DIA for insurance coverage verification. I do Hereby cert u r th ain ndpenalties ofperjury tliat tate informationprovided ab vets ti e and correct. - Date: -9f Si afore• �} r 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 Department 3.City/Town Clerk 4.ElectxicaI Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: RightFax C3-1 3/24/2015 9:51 : 03 AM PAGE 2/002 Fax Server DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T. IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS E AFFORDED BY THE BELOW. OR NEGATIVELY AMEND,EXTEND OR ALTER E COVEAG ES CERTIFICATE DOE NOT AFFIR A DOES NOT CONSTITUTE A CONTRACT BETWEEN THE FISSUNGRNSURER(S),AUTHORIZED REPRIESENTATIVE THIS CERTIFICATE O PRODUCER-AND THE CERTIFICATE HOLDER, terms IMPORTANT: conditions of the olicy,certain polliiciess may equine and eITIONAL INSURED,thendorsement A statement on this certtiust be endorsed. if ifficate does OGATION inoty confer rights eto tothe term certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: PHONE FAX GILBERT INS AGCY INC (A1C,No,Ext): (A/C,No): 137 MAIN STREET E-MAIL READING,MA 01867 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# 246WY INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA INSURED INSURER B: KEEN CONSTRUCTION CO INSURER C: INSURER D: 1175 TURNPIKE STREET INSURER E: NORTH ANDOVER,MA 01845 INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THE POI PERIOD ANY REQUIREMENT,THAT TFFE—POLICIES OF INSUFFA-N—CE LISTED BELOW ERM OR CONDITION OF ANY CONVE FOR T OR OTHER DVOCUMENTE BEEN I WITH RESPECSSUED TO THET TO WHICH HES CEROTIFICATE 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. ADD SUB POLICY EFF DATE POLICY EXP DATE LIMITS NSR L R POLICY NUMBER (M!.'KDD\YYYY) (MM,DD\YYYY) LTR TYPE OF INSURANCE EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ OCCUR. REMISES(Ea occurrence) CLAIMS MADE ED EXP(Anyone person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT❑LOC PRODUCTS-COMP/OP AGG $ COMBINED SINGLE $ AUTOMOBILE LIABILITY LIMIT(Ea accident) ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULE AUTOS BODILY INJURY $ HIRED AUTOS Per accident) PROPERTY DAMAGE $ NON OWNED AUTOS per accident) EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE $ DEDUCTIBLE $ RETENTION $ WC STATUTORY OTHER A WORKER'S COMPENSATION AND UB-999IM582-14 10/OB/2014 10/08/2015 `Y LIMITS EMPLOYER'S LIABILITY YM E.L.EACH ACCIDENT $ ANY PROPERITOR/PARTNERIEXECUTIVE N/A M 100,000 OFFICEPJMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 (Mandatory In NH) E.L.DISEASE-POLICY LIMIT $ 500,000 II yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED TOWN OF NORTH ANDOVER BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 1600 OSGOOD STREET IN ACCORDANCE WITH THE POLICY PROVISIONS. - r AUTHORIZED REPRESENT VE NORTH ANDOVER,MA 01845 __ M __ �„ � " ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION.`Ail rights reserved. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construct-'or, JVIICI V111/1 License: CS-076691 ROBERT A KEENr �L' '-1. 12 E WATER ST North Andover Na 0 Expiration Commissioner 08/16/2017 �IZB (Q04.104twela&1b 1/9(/GCLJOac/(,,je1Z Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: 1108.383 Type: xpiration: >;8L18%2tl_16__; DBA KEEN CONSTRUCTION CQ �r Kenneth Keen 1175 TURNPIKE ST NO.ANDOVER, MA 01845' Undersecretary