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HomeMy WebLinkAboutBuilding Permit # 10/13/2015 BUILDING PERMIT RItlI11T \®� Cq t.F.D `SOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINA I ION - �$ 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� i 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� � —� 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. i� Total Project Cost: ' 6 , � . ��- FEE: $ � a Receipt No.: � 11 Check No.: Check on cten th �aregtstered contractor's do not have access to the guaranty fund NOTE: ° _ — l 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. ELITE CONSTRUCTION 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� ELITE CONSTRUCTION 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 ELITE CONSTRUCTION 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 ELITE CONSTRUCTION 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 ELITE CONSTRUCTION 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"