HomeMy WebLinkAboutBuilding Permit # 10/13/2015 BUILDING PERMIT
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`SOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINA I ION -
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Permit N® � Date Received ADRATED Pei �5
� Acwus`�R
Date Issued: �� %
IMPORTANT:Applicant must complete all items on this page
LOCATION C1@rty ®d« M'� old
Print
PROPERTY OWNER Svouc--� 0` rint 100 Year Structure yes
MAP PARCEL: �=ZONING DISTRICT: Historic District yes c t�
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Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building t�4 One family
[i Addition El Two or more family ❑ Industria(
❑Alteration No. of units: El Commercial
mRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic f❑ Well ❑ Floodplain ❑Wetlantls f' s ❑}W�;atershed Distract
x x
DESCRIPTION OF W01-k C TO I3E PERFORMED:
Identification- Please Type or Print Clearly
Phone:
OWNER: Name: �,av�'1 �\� �¢
Address:
Contractor Name: ����� C��}�`'�+'�'" Phone: (D
Email: r o�
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Address "i �� If\-��ns,°v��� p�Y�
Supervisor's Construction License: C-'13 `i Dk l®`' Exp. Date: 0 5 ! I U 1 &®t lea
Home Improvement License: I D- Exp. Date: 03 as ) Q G 00
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
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Total Project Cost:
'
6 , � . ��- FEE: $
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Receipt No.: � 11
Check No.:
Check
on cten th �aregtstered contractor's do not have access to the guaranty fund
NOTE: °
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t%°RTH
Town of
nctover
No.
Z - h
o �AKE h verMass,
COCKICKE WICK y1.
AERATED 0?
S u
BOARD OF HEALTH
Food/Kitchen
PER Septic System
THIS CERTIFIES THAT ,,,.,, .,, BUILDING INSPECTOR
..........NA!.. .. 11,:: ........... .. ..........................................
has permission to erect .............. buildings on Foundation
Foundation
a Rough
to be occupied as .k CP-:. . ... ... �...Cl. .. ........................... Chimney
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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CO STRU E T S TS Rough
f
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.
ELITE7" LJ TI
-I Division oJ,Serr'ice"A"faster Elile
Change Order
Elite Construction Date: 10/13/2015
12 Continental Blvd Owner: Shaun Callagy
Merrimack, NH 03110 Project Manager: James Ryan
855 - ELITE - 00 Toll Free Project name: Callagy-33745
603 - 423 - 9897 Fax
Change order number: CO-2015-0435
Original contract date: 10/13/2015
You are directed or have requested to make the following changes in this contract:
Remove all work items from Kitchen (#74— 102) &Living Room (#103 — 116)
$36,028.52 ------------------------Original Estimate
LESS: Items Removed
$(10,587.22) ---------------------Kitchen Repairs
$(2,657.36) ----------------------Living Room Repairs
$(2,648.92) ----------------------Contractor P/O
TOTAL REVISED ESTIMATE AMOUNT $20,135.02
The original contract sum was: $20,135.02
Net amount of previous change orders: $0
Total original contract amount plus or minus net change orders: $20,135.02
Total amount of this change order: $0
The new contract amount including this change order will be: $20,135.02
The contract time will be changed by the following number of days: ( 0 ) Days
The date of completion as of the date of this change order is: No Change
Contractor: Owner:
Company name Name
Address Address
City,State,Zip City, State,Zip
Date Date
,,,v
Signature Sig
ELITE CONSTRUCTION
12 Continental Blvd.,Merrimack NH 03054(Corp.office)
58 Pulaski Street,Peabody MA 01960
54 Echo Place,Williston VT 05495
14 Willey Road,Saco ME 04072
Toll Free-855.ELITE00
Cell-603.233.7599,Fax-603,423.9897
Insured: CALLAGY, SHAUN Home: (978)688-9863
Property: 323 CHESTNUT ST Business: (603)889-6678
NORTH ANDOVER,MA 01845 Other: (603)860-1868
Home: 323 CHESTNUT ST E-mail: dacallagyl@yahoo.com
NORTH ANDOVER,MA 01845
Date Contacted: 9/23/2015 12:09 PM
Date of Loss: 2/14/2015
Date Inspected: 9/24/2015 12:09 PM
Price List: MAEM7X_SEP15
Restoration/Service/Remodel
Estimate: CALLAGY_SHAUNI
Summary for Dwelling
Line Item Total 29,824.55
Material Sales Tax @ 6.250% 383.15
Subtotal 30,207.70
Overhead @ 10.0% 2,910.41
Profit @ 10.0% 2,910.41
Replacement Cost Value $36,028.52
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page:2
Estimate has been prepared based on our visual inspection. We've made every effort to prepare an accurate
scope, should additional work be required well notify you immediately. Estimate excludes code upgrades,
permits, unforeseen repairs, and/or hidden damages unless otherwise noted. Estimate includes labor and
materials (unless otherwise noted) based on the allowances within the estimate.
Please contact me directly should you have and questions
Frank Tambone
C-603.233.7599
Frank@elitesvm.com
Please contact our adjuster if you believe a supplement to this estimate is needed.Before we will consider a supplement to this
estimate,we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page: 3
CALLAGY SHAUN1
Main Level
Guest Room Height:Sloped
s T
337.82 SF Walls 163.76 SF Ceiling
501.58 SF Walls&Ceiling 161.63 SF Floor
17.96 SY Flooring 53.33 LF Floor Perimeter
53.72 LF Ceil.Perimeter
i6 IV j.
1
DESCRIPTION QNTY
1. Two coat plaster over 5/8"gypsum core blueboard 163.76 SF
2. Two coat plaster over 1/2" gypsum core blueboard 47.85 SF
120. Wood Window-Labor Minimum 1.00 EA
Allowance to repair window.
3. Batt insulation-4"-R15-paper faced 47.85 SF
4. Sprayed polyurethane foam-21b mix-per inch thick 982.58 SF
5. Dust control barrier per square foot 451.60 SF
6. Polyethylene vapor barrier,seam taping&joint caulking 211.61 SF
7. Window blind-horizontal or vertical-Detach&reset 1.00 EA
8. Apply anti-microbial agent 211.61 SF
9. Seal more than the ceiling w/latex based stain blocker-one coat 211.61 SF
10. Paint the walls and ceiling-two coats-2 colors 501.58 SF
11. Mask and prep for paint-plastic,paper,tape(per LF) 53.72 LF
12. Radiator unit-Detach&reset 1.00 EA
13. Baseboard heat-steam/hot wtr cover only-Detach&reset 9.42 EA
14. R&R Window sill-stain grade 3.00 LF
15. Detach&Reset Casing-oversized-3 1/4" 13.00 LF
16. Stain&finish door/window trim&jamb(per side) 1.00 EA
17. Stain&finish wood window sill 3.00 LF
18. Contents-move out then reset 1.00 EA
19. Final cleaning-construction-Residential 161.63 SF
20. Air mover(per 24 hour period)-No monitoring 6.00 EA
2 air movers for 3 days.
21. Water Extraction&Remediation Technician-per hour 2.00 HR
Allowance to setup and takedown equipment.
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CALLAGY, SHAUN 9/30/2015 Page:4
CONTINUED-Guest Room
DESCRIPTION QNTY
NOTES:
tz 1 Bedroom Height:Sloped
_ u s,
278.04 SF Walls 118.00 SF Ceiling
y ,ar,,, 396.04 SF Walls&Ceiling 114.99 SF Floor
n T 12.78 SY Flooring 44.50 LF Floor Perimeter
4=t IUIU
l 10'3 45.05 LF Ceil.Perimeter
DESCRIPTION QNTY
22. R&R Two coat plaster over 5/8"gypsum core blueboard 118.00 SF
23. Texture drywall-heavy hand texture 118.00 SF
24. Two coat plaster over 1/2"gypsum core blueboard 59.69 SF
25. R&R Batt insulation-4"-R15-paper faced 59.69 SF
26. Dust control barrier per square foot 333.34 SF
27. Sprayed polyurethane foam-21b mix-per inch thick 707.97 SF
28. R&R Polyethylene vapor barrier,seam taping&joint caulking 177.69 SF
29. Seal more than the ceiling w/latex based stain blocker-one coat 118.69 SF
30. Paint the walls and ceiling-two coats-2 colors 396.04 SF
31. Mask and prep for paint-plastic,paper,tape(per LF) 45.05 LF
32. Mask the floor per square foot-plastic and tape-4 mil 114.99 SF
33. Baseboard heat-steam/hot wtr cover only-Detach&reset 11.75 EA
34. Radiator unit-Detach&reset 1.00 EA
35. R&R Oak flooring-#1 common-no finish 114.99 SF
36. Sand,stain,and finish wood floor 114.99 SF
37. Add for dustless floor sanding 114.99 SF
38, R&R Window sill-stain grade 6.00 LF
39. Detach&Reset Casing-oversized-3 1/4" 26.00 LF
40. Stain&finish door/window trim&jamb(per side) 2.00 EA
41. Stain&finish wood window sill 6.00 LF
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page:5
CONTINUED-Bedroom
DESCRIPTION QNTY
42. Detach&Reset Baseboard-4 1/4" 32.75 LF
43. Stain&finish baseboard 32.75 LF
44. R&R Vapor barrier-visqueen-6mil 114.99 SF
45. Apply anti-microbial agent 292.67 SF
46. Window drapery-hardware-Detach&reset 2.00 EA
47. Contents-move out then reset 1.00 EA
48. Final cleaning-construction-Residential 114.99 SF
49. Air mover(per 24 hour period)-No monitoring 3.00 EA
50. Dehumidifier(per 24 hour period)-Large-No monitoring 3.00 EA
51. Water Extraction&Remediation Technician-per hour 2.00 HR
Allowance to setup and takedown equipment.
NOTES:
Closet Height:Sloped
F-5'11"-�
130.03 SF Walls 29.67 SF Ceiling
:I 159.70 SF Walls&Ceiling 26.63 SF Floor
CI set
2.96 SY Flooring 20.67 LF Floor Perimeter
1 21.79 LF Ceil.Perimeter
DESCRIPTION QNTY
52. R&R Oak flooring-#1 common-no finish 26.63 SF
53. Sand,stain,and finish wood floor 26.63 SF
54. Add for dustless floor sanding 26.63 SF
55. Vapor barrier-visqueen-6mil 26.63 SF
56. Two coat plaster over 5/8"gypsum core blueboard 29.67 SF
57. Two coat plaster over 1/2" gypsum core blueboard 27.53 SF
58. Sprayed polyurethane foam-21b mix-per inch thick 178.05 SF
59. Dust control barrier per square foot 129.13 SF
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page:6
CONTINUED-Closet
DESCRIPTION QNTY
121. R&R Polyethylene vapor barrier,seam taping&joint caulking 57.20 SF
60. Batt insulation-4" -R15-paper faced 27.53 SF
61. Texture drywall-heavy hand texture 29.67 SF
62. Seal more than the ceiling w/latex based stain blocker-one coat 57.20 SF
63. Paint the walls and ceiling-two coats-2 colors 159.70 SF
64. Mask and prep for paint-plastic,paper,tape(per LF) 21.79 LF
65. Mask the floor per square foot-plastic and tape-4 mil 26.63 SF
66. Detach&Reset Baseboard-4 1/4" 20.67 LF
67. Stain&finish baseboard 20.67 LF
68. Window drapery-hardware-Detach&reset 1.00 EA
69. Closet shelf and rod package-Detach&reset 5.42 LF
70. Apply anti-microbial agent 83.84 SF
71. Interior door-Detach&reset-slab only 1.00 EA
72. Final cleaning-construction-Residential 26.63 SF
73. Contents-move out then reset-Small room 1.00 EA
NOTES:
Kitchen Height:7'6"
618.75 SF Walls 342.13 SF Ceiling
1 960.88 SF Walls&Ceiling 342.13 SF Floor
38.01 SY Flooring 82.50 LF Floor Perimeter
82.50 LF Ceil.Perimeter
DESCRIPTION QNTY
74. R&R Two coat plaster over 5/8"gypsum core blueboard 342.13 SF
75. R&R Two coat plaster over 1/2" gypsum core blueboard 238.00 SF
76. R&R Batt insulation-4"-R15-paper faced 238.00 SF
77. R&R Polyethylene vapor barrier,seam taping&joint caulking 238.00 SF
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page:7
CONTINUED-Kitchen
DESCRIPTION QNTY
78. Apply anti-microbial agent 476.00 SF
79. Seal more than the ceiling w/latex based stain blocker-one coat 580.13 SF
80. Paint more than the ceiling-two coats-2 colors 719.98 SF
81. Mask and prep for paint-plastic,paper,tape(per LF) 82.50 LF
82. Floor protection-corrugated cardboard and tape 342.13 SF
83. R&R Cabinetry-upper(wall)units-High grade 5.00 LF
84. Cabinet knobs or pulls-Detach&reset 40.00 EA
Knobs and pulls will need to be detached and reset to facilitate painting.
85. Detach&Reset Cabinetry-upper(wall)units-High grade 7.08 LF
86. Microwave oven-over range type-Detach&reset 1.00 EA
87. Range-electric-Remove&reset 1.00 EA
88. Seal&paint cabinetry-lower-faces only 27.50 LF
89. Seal&paint cabinetry-upper-faces only 16.25 LF
90. Seal&paint full height cabinetry-faces only 1.50 LF
91. Refrigerator-Remove&reset 1.00 EA
92. Recessed light fixture-Detach&reset entire unit 15.00 EA
93. Light fixture-Detach&reset-Extra large 2.00 EA
94. Megohmmeter check electrical circuits-average residence 1.00 EA
95. Detach&Reset Crown molding-3 1/4" 18.50 LF
Around perimeter of upper cabinets that are being removed and detached from the ceiling.
96. Paint crown molding-two coats 25.00 LF
97. Window drapery-hardware-Detach&reset 1.00 EA
98. Contents-move out then reset-Extra large room 1.00 EA
99. Final cleaning-construction-Residential 342.13 SF
100. Air mover(per 24 hour period)-No monitoring 12.00 EA
4 air movers,3 days each to dry ceiling once it is removed.
101. Water Extraction&Remediation Technician-per hour 4.00 HR
Allowance to setup and takedown equipment.
102. Cabinetry(Bid Item) 1.00 EA
This is a$0 item at this time for potential detaching and resetting lower cabinets and countertops in the event there is moisture the the
wall located directly behind them. This will not be known until construction starts.
NOTES:
ELITE CONSTRUCTION
CALLAGY, SHAUN 9/30/2015 Page: 8
Living Room Height:TV
382.58 SF Walls 282.78 SF Ceiling
665.36 SF Walls&Ceiling 282.78 SF Floor
31.42 SY Flooring 56.15 LF Floor Perimeter
1
of T-I3'
56.15 LF Ceil.Perimeter
Missing Wall-Goes to neither Floor/Ceiling 8'5"X 4'7" Opens into Exterior
Missing Wall 13' 113/16" X TV Opens into Exterior
DESCRIPTION QNTY
103. R&R Two coat plaster over 5/8"gypsum core blueboard 86.00 SF
104. R&R Two coat plaster over 1/2"gypsum core blueboard 32.00 SF
105. R&R Batt insulation-4" -R15-paper faced 32.00 SF
106. Apply anti-microbial agent 118.00 SF
107. Seal the surface area w/latex based stain blocker-one coat 118.00 SF
108. Paint the walls and ceiling-two coats-2 colors 665.36 SF
109. Mask and prep for paint-plastic,paper,tape(per LF) 56.15 LF
110. Floor protection-corrugated cardboard and tape 282.78 SF
111. Detach&Reset Casing-oversized-3 1/4" 26.00 LF
112. Paint casing-two coats 26.00 LF
113. Finish Carpenter-per hour 2.00 HR
2 hours of labor to repair damaged bay window
114. Paint door or window opening-Large-2 coats(per side) 2.00 EA
Allowance to paint top and bottom of bay window area.
115. Contents-move out then reset-Extra large room 1.00 EA
116. Final cleaning-construction-Residential 282.78 SF
NOTES:
2nd floor hall Height:8'
372.69 SF Walls 93.76 SF Ceiling
I 466.45 SF Walls&Ceiling 93.76 SF Floor
10.42 SY Flooring 46.59 LF Floor Perimeter
TF't 46.59 LF Ceil.Perimeter
FC�
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CALLAGY, SHAUN 9/30/2015 Page:9
DESCRIPTION QNTY
194. Light fixture-Detach&reset 2.00 EA
195. Smoke detector-Detach&reset 1.00 EA
196. Remove Access-face frame&doors 6.00 SF
197. (Install)Access-face frame&doors 6.00 SF
128. R&R Two coat plaster over 5/8"gypsum core blueboard 93.76 SF
129. Texture drywall-heavy hand texture 93.76 SF
132. Dust control barrier per square foot 466.45 SF
133. Sprayed polyurethane foam-21b mix-per inch thick 562.56 SF
134. R&R Polyethylene vapor barrier,seam taping&joint caulking 93.76 SF
135. Seal the ceiling w/latex based stain blocker-one coat 93.76 SF
136. Paint the walls and ceiling-two coats-2 colors 466.45 SF
137. Mask and prep for paint-plastic,paper,tape(per LF) 46.59 LF
138. Mask the floor per square foot-plastic and tape-4 mil 93.76 SF
151. Apply anti-microbial agent 93.76 SF
153. Contents-move out then reset 1.00 EA
154. Final cleaning-construction-Residential 93.76 SF
NOTES:
F"11st floor hall Height: 8'
C 465.16 SF Walls 89.24 SF Ceiling
554.40 SF Walls&Ceiling 89.24 SF Floor
9.92 SY Flooring 58.15 LF Floor Perimeter
58.15 LF Ceil.Perimeter
DESCRIPTION QNTY
continuous walls
122. Mask the floor per square foot-plastic and tape-4 mil 89.24 SF
123. Paint the walls-two coats 465.16 SF
158. Final cleaning-construction-Residential 89.24 SF
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CALLAGY, SHAUN 9/30/2015 Page: 10
CONTINUED-1st floor hall
DESCRIPTION QNTY
NOTES:
F-6'3•-1 foyer Height:8' '..
1'Pt295.82 SF Walls 72.05 SF Ceiling
367.87 SF Walls&Ceiling 72.05 SF Floor
8.01 SY Flooring 36.98 LF Floor Perimeter
Ll36.98 LF Ceil.Perimeter
DESCRIPTION QNTY
continuous walls
124. Mask the floor per square foot-plastic and tape-4 mil 72.05 SF
125. Paint the walls-two coats 295.82 SF
159. Final cleaning-construction-Residential 72.05 SF
NOTES:
f-5'10"-i
2nd fl bath Height: 8'
s'2" 189.10 SF Walls 34.35 SF Ceiling
2nd fl bat- "r 223.44 SF Walls&Ceiling 34.35 SF Floor
3.82 SY Flooring 23.64 LF Floor Perimeter
1 23.64 LF Ceil.Perimeter
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CALLAGY, SHAUN 9/30/2015 Page: 11
DESCRIPTION QNTY
192. Detach&Reset Exhaust fan 1.00 EA
193. Light fixture-Detach&reset 1.00 EA
160. R&R Two coat plaster over 5/8"gypsum core blueboard 34.35 SF
161. Texture drywall-heavy hand texture 34.35 SF
164. Dust control barrier per square foot 223.44 SF
165. Sprayed polyurethane foam-21b mix-per inch thick 206.07 SF
166. R&R Polyethylene vapor barrier,seam taping&joint caulking 34.35 SF
167. Seal the ceiling w/latex based stain blocker-one coat 34.35 SF
168. Paint the ceiling-two coats-2 colors 34.35 SF
190. Wallpaper-Labor Minimum 1.00 EA
191. (Material Only)Wallpaper 94.55 SF
169. Mask and prep for paint-plastic,paper,tape(per LF) 23.64 LF
170. Mask the floor per square foot-plastic and tape-4 mil 34.35 SF
183. Apply anti-microbial agent 34.35 SF
185. Contents-move out then reset 1.00 EA
186. Final cleaning-construction-Residential 34.35 SF
NOTES:
Debris Removal
DESCRIPTION QNTY
117. Dumpster load-Approx. 30 yards,5-7 tons of debris 1.00 EA
NOTES:
General Conditions
DESCRIPTION QNTY
118. Taxes,insurance,permits&fees(Bid item) 1.00 EA
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CALLAGY, SHAUN 9/30/2015 Page: 12
CONTINUED-General Conditions
DESCRIPTION QNTY
Will be paid as incurred and documented by invoices.
119. Temporary toilet(per month) 0.00 MO
This item will be included as the cost is incurred and documented with an invoice
NOTES:
Grand Total Areas:
3,069.98 SF Walls 1,225.74 SF Ceiling 4,295.72 SF Walls and Ceiling
1,217.56 SF Floor 135.28 SY Flooring 422.50 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 424.56 LF Ceil.Perimeter
1,217.56 Floor Area 1,356.58 Total Area 3,069.98 Interior Wall Area
3,447.72 Exterior Wall Area 423.48 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
Main Level
F E'3"—� F--4'2"—i T 1-
2T 11-
5T 3E 65
9'
Cbset
ad—
and floor hail
1 10'3' _
F-3'3"
3 2 I 1 I 12.6' —I
F 5'10----I l—3'10"—1 1 2T,0'
30'5"
5'2- T 2T6--
29'9"
2nd 0 bath
'1 KRchen _ LhAna Room _
J
1J
Mam Level
MAJE LLC
A Division of ServiceMaster Elite
CONSTRUCTION AGREEMENT
This agreement made on October, 13, 2015,MAJE LLC,herein called the"Contractor"and Shaun Callagy herein after called the
"Owner'.
Witnessed,that the Contractor and the Owner for the considerations named agrees as follows:
ARTICLE 1. SCOPE OF WORK
The contractor shall furnish all of the materials and perform all of the work shown as described in the specifications attached,as
annexed, hereto as it pertains to work to be performed on the property at:323 Chestnut St. N.Andover, MA 01845. (See attached
Scope/Estimate for policy#003025008/94A dated 9/29/2015&Change Order CO-2015-0435)
ARTICLE 2. TIME OF COMPLETION
The work to be performed under this contract shall be commenced on or before 10/26/2015 and shall be substantially completed
before 12/4/2015 .
(actual start&end date will dependent on receipt of initial deposit&signed contract)
Time is of the essence. The following constitutes substantial completion of work pursuant to this proposal and contract:where at
least 95%of the work is complete as per the scope of work. Any change orders that may be issued may possibly change the
substantial completion date.
ARTICLE 3. THE CONTRACT PRICE
The owner shall pay the contractor for materials and labor to be performed under this contract for the sum of$ 20.135.02.
ARTICLE 4. PROGRESS PAYMENTS
Payments of the contract shall be paid in the following manner:
A deposit of$ 10,000.00 is due at the time of signing the contract.
Second payment of$5.000.00 is due upon plaster finished and ready for paint
Balance of$5.135.02 is due at the completion of the job.
ARTICLE 5. GENERAL PROVISIONS
Any alternations from the above specifications including; but not limited to,any such alteration or deviation involving additional
material and/or labor costs,will be executed only upon written orders for same,signed by Owner and Contractor. If there is any
charge for such alteration or deviation,the additional charge will be due upon signing of change order. If payment is not made when
due,the Contractor may suspend work on the job until such time as all payments have been made. A failure to make payment for a
period in excess of seven days from the due date of the payment shall be deemed a material breach of this contract.
If there is painting of walls in the estimate,this estimate allows for painting the walls the same color as the existing,should you elect
to change the color this may require additional coats of paint and preparation work. Additional work will be invoiced directly to you
for the added cost.
ARTICLE 6. DISPUTE RESOLUTION
Any dispute that arises regarding this Agreement,performance of the Work or payment issues that cannot be resolved by informal
negotiations shall be submitted to nonbinding mediation. If the parties cannot agree upon a mediator,the parties shall request that
the American Arbitration Association, Boston,Massachusetts, appoint a mediator. Each party shall bear its own mediation costs.
Injunctive relief(a court order)may be sought by any party without resorting to mediation to prevent irreparable harm. In any judicial
action,the"Prevailing Party'shall be entitled to payment from the opposing party of its reasonable costs and fees, including,but not
limited to attorneys'fees arising from the civil action. "Prevailing Party"means the party who most substantially prevails in its claims
or defenses in the civil action.
ARTICLE 7.INTEREST ON OVERDUE PAYMENTS:COSTS OF COLLECTION. Invoices not paid within 60 days after the invoice
date will incur interest starting on the 615`day at the rate of 1.5%per month or 18%per annum. Collection attempts may
commence after the 61st day without further notice. If Elite submits this account for collection,Customer agrees to pay interest at
1.5%per month or 18%annum and agrees to pay all court costs, reasonable attorneys'fees and all other costs of collection.
Customer further agrees to reimburse Elite for administrative labor and costs associated with its collection activities at the rate of
$50.00 per hour.
ARTICLE 8.SUBCONTRACTORS.The contractor agrees to be solely responsible for completion of the work described 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.
ARTICLE 9.CONTRACT ACCEPTANCE.Upon signing,this document becomes a binding contract under law.Unless otherwise
noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.
Review the following cautions and notices carefully before signing this contract.
Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear.
Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement
contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire
about contractor registration by writing to the Director at 10 Park Plaza, Room 5170,Boston,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 of a"proof of insurance"document.
• Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the
Consumer Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you
notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not
later than midnight of the third business day following the signing of this agreement.See the attached notice of cancellation form for
an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIII
Signed this 1-3 day of i the year.jo 15
MAJE LLC
ig ature of Owner
MADE LLC 12 Continental Blvd.Merrimack,NH 03054 Tel.6038884100 Fax.6034239897 Home improvement registration number 165712
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 02114-2017
wwminass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Conti-actors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organizatiom4ndividual):
Address:
City/State/Zip: M cl^(t CV I WA 1 03'0' Phone#: (0-0 - i30
Are you an employer?Check the appropriate box: Type of project(required):
1. I am a employer with C`0 employees(full and/or part-time).* 7. EINew construction
2.Q 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, El Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10E]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.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*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 ant all eiiiployer tliat is pf'ovidiitg ivorlrers'compensation insurance foi'my eniployees. Below Is the policy and job site
information.
Insurance Company Name: 4�eSS II
Policy#or Self ,,ins.Lie.#: q`�I `I 4 a 1 Expiration Date:
Job Site AddressCity/State/Zip: N
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 hereby certify fit i ains and penalties of peijuiy that the information provided above is true and correct.
Si nature: r� �! Date: I t2"I t5
Phone#- ` �I o 'y 3
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.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
r
CCAPLLC-02 AMORSE
CERTIFICATE OF LIABILITY INSURANCE DAT DIYYYY)
s/20122o1zo15
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 !, CONTACT —
License#AGR8150 NAME: _Ann Morse
Clark Insurance PHONE603 622-2855 FAx o):( )603 622-2854
80 Canal St (A/C,No ExtY( ) (AIC N
E-MAIL info@clarkinsurance.com
Manchester,NH 03101 ;ADDRESS:
INSURER(S)AFFORDING COVERAGE _NAIC 4!
INSURERA!Peerless Insurance 24198
- -- --- I --- -
INSURED I INSURER B:Netherlands 24171
CLAPS,LLC dba ServiceMaster Elite&MAJE,LLC dba Elite INSURER c:Nautilus Ins CO
Construction INSURER D:
12 Continental Blvd ""— - -- —
Merrimack,NH 03054 INSURER E:
- -INSURFRE: _
COVERAGES CERTIFICATE NUMBER: 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 HATH 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 CLA':MS i
-- ASDL, 1�R-- -_ ---- " "- POLICY EFF I POLICY EXP
./NSR! TYPE OF INSURANCE POLICY NUMBER h1 MIDOlWYY)!(MM(DDlVYYY) LIMITS
;LTR- INSD'�WD ( --
A X COMMERCIAL GENERAL LIABILITY EACH OCCURR_NCE S 1,000,000
r— - SFAG�7aE�TE
CLAIMS-MASE X OCCUR CBP8869089 08!29/2015 08/29/2016_REMISES Ea occurrence) s 100,000
� 5 000
MED EXP(Any one person) S +
PERSCNAL&ADV INJURY S -- 1,000,000
! IGENERAL AGGREGATE 5 2,000,000
GENT AGGREGATE LIMIT APPLIES PER. I .---
�, PRODUCTS-COMPiOPAGG S 2,000,000
X PRO I LOC
POLICY JECT 'L� —
S
OTHER- —!}—
AUTOMOBILE LIABILITY % COMBINED SINGLE LIMIT S-- - 1,000,00e
Ea accident
B X ANY AUTO BA8867299 08/29/2015 i 08/29/2016 BODILY INJURY(Per person) $
ALL OWNED � SCHECULED 1 !
j BODILY INJURY(Per accident) $
^�ALTOS AUTOS PROPERTY DAMAGE —
X X tJONOWNED ! (Per accicent)
HIRED AUTOS I AUTOS !
1 X UMBRELLA LIAR X�OCCUR ' EACH OCCURRENCE 5 10,000,000
A EXCESS LIAB1- CLAIMS-MADE! CU8862II91 08/29/2015 08129/2016;AGGREGATE $ 10,000,000
I DED X RETENTIONS I _ S
10,0001
WORKERS COMPENSATION X_L SEATUTE ERH ___
A ZAND EMPLOYERS'LIABILITY Y/N I 1,000,000!
ANY PROPRIETOR/PAR-NER/EXECUTIVE jWC8994621 ! 08/29/2015 08)2912016 1 E,L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED' I ; 1,000,000
Y NIA,
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE'S
Iffye,d-cdhounder E .DISEASE-POLICY LIMIT j 5 1+060+000
DESCRIPTION OF OPERATIONS below
C ,Contractorspoliution CCP201258311 08/29/2015 08/29/2016Each Occurrence 2,000,000
C (Liability CCP201258311 08/29/2015 08129/2016 1Includes Mold
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required)
Alan DeGeorge&Matt Troyer are excluded from Workers Compensation coverage.
3A States: NH/MAIMENT/NY
CERTIFICATE HOLDER _ CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MAJE, LLC dba Elite Construction ACCORDANCE WITH THE POLICY PROVISIONS.
12 Continental Blvd
Merrimack,NH 03054
AUTHORIZED REPRESENTATIVE
U 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
cilly f w e,
,n
10 Plaza - Suite 170
Boston, Massachusetts 02 116
Home Improvement Co ntractol- Registration
Req stratiow 16571
Type: Supplement Cara
Exprialiory 3/22/2016
MAJE LLC,/dba Elite Construction
ALAN DEGEORGE
12 CONTINENTAL BLVD
MER IMAC K, SIM 03054
Update Address and return card.,mark reason for change.
Address Renovnl 1i;ruploy file lit Lost Card
C)ttiec utt`rrnsraru�rr Altrrrr a s ttuaMires's Ttcgulrttion 1 tcctrsa or registration srthd for Intlivielul use only
�ur, iIVIF IMPRCJI/ II NT t".C1N1"R G'TC11 before tate eNpiration date 1f frrtrnrl rctutet tog
()fricc of Consumer Affairs and 13usincl dation
"Registration: 165712 Typo' lit Park 1"lazit-"rote 5170
Expiration: 3/22,,12016 Supplernerrt �"ard Boston,MA 02116
MAJE LLC.idba h-me Construction
ELITE CONST RUCTION
ALAN C7t`GEORGE �
12 CONTINENTAL BLVD
ME:RRIMACK, NH 030 trnrt�r er rcrr���� of valid without sig"1marc
CS-106109
ALAN DEGEORGE
12 c oN'rINEN!°Al.r BIND
Merrimack NUI 01054
0311612016
Unrestricted - Buildings cwsC ���`csttl�a t�lrich
c;c jtt�jijt less than 3 5,000 caubw (eel (99I I'll') of
enclosed space,
Failafrc to possess a coirent editiOr'of the Massa chuseUs
State Building bode is cause for revocation of this license,
i-of twS i scervamjj iiroroKrammon vises www,8v9 w.0 gy jr1F"