HomeMy WebLinkAboutBuilding Permit # 11/13/2015 TH
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BUILDING PERMIT TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATIONPermit NO=��.`�f`��"� Date Received
Date Issued: t:i r
PORTANT:Applicant must complete all items on this page
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Builaing One family
Addition -.Two or more family ❑Industrial
t,Alteration No.of units: Commercial
C Repair,replacement ❑Assessory Bldg ��Olhem:
Ll Demolition ❑Other
Complete the r vation of e ing s end floor bathroom. (Permit to be transfer-red)
Renovation of additional sezond floor bathroom and laundry (Plans Attached)
Identification Please Type or Print Clearly)
OWNER: Name: Michelle and Sohn Pox Phone: 978-828-5880
Address 225 M bl dg Rd N Andover MA
Ide Pf3oc
ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:$ 59'80' FEE:$
Check No.: r Receipt No.: IL
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NOTE: Persons eo`IVacting with unregistered contractors do not have access to gu�ranty fund
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.�t.Signature sif.Agemfo"tei Signature of contraeto€
Town ofOORTH
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Andover
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ll BOARD OF HEALTH
IL BPFood/Kitchen
ERMIT T IL Septic System
THIS CERTIFIES THAT................................ ... . ....... ..................... BUILDING INSPECTOR
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has permission to erect....1............ ...buildings on... DK.. .. - Fo dano,
to be occupied as . F��f r��//��2�q /A Roogn
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provided that the person accepting this permit shall in every respect conform to th terms of the application
on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and mzl
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 MONWS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI TA Rough
e
BUILDING INSPECTOR noel
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. R�mer
Street No.
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LAUNDRY "JI
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BEDROOM
9'-.9" x 13,µ4°'
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CONSTRUCTION AGREEMENT
Contractor
PEGASUS Design-To-Build LLC
;( Geoffrey Shafer
610 Main Sheet
Melrose,MA 02176
Phone:781-662-1593
Registration;137663
Owner
Michelle Fox
225 Marbleridge Road
North Andover,MA 01845
I. PARTIES
This contract(hereinafter referred to as"Agreement')is made and entered into on Thursday,June 18,2015,by and
between Michelle Fox,(hereinafter referred to as"Owner");and PEGASUS Design-To-Build LLC,.(hereinafter referred
to w"Contractor").In consideration of the mutual promises contained herein,Contractor agrees to perform the following
work,subject to the terms and conditions below:
II. GENERAL SCOPE OF WORK DESCRIPTION
Finish second floor bathroom from rough inspection.
New bath and laundry based on PEGASUS plans ver 1 dated 3/30/2015
Phase Description
01-Base
Proposal
General
Conditions
Owner responsible for transferring existing permit to PEGASUS
Project Management:
Project manager will be assigned to job
Prepare job folder with all plans,details and specifications
Daily job status communications
Scheduled project walk-through meetings
Project web site for scheduling and project specification
Sitework
Job Site Preparation:
Dust isolation and temporary walls as required for safety
Install temporary doors and zip walls to control job access
Protect any finish flooring with rosin paper and hardboard
Site will be left broom clean each day
Plumbing
Partial bath _
Install we,sink,and trim out shower
File permit as existing work completed and inspected ��G
Page 1 of 11Owner I"" Owner
Phase Description
02-Front
Bath
Framing
Frame for new linen closet
Doors&
Windows
Single Interior Doors
Provide and install 1.0 solid core masonite single interior doors(Jeldwen)
Plaster
Smooth Plaster Finish:
Install 1/2"blue board(GWB)on all walls and ceilings
Match existing finishes and patch as required
Tape and metal comers for all joints
Apply two coat plaster veneer finish
Finish
Carpentry
Door and Window casings:3.0
Install all paint grade door and window casings to match existing
Paint grade baseboard casings:
Install all baseboard trim
Match existing baseboard as required
Closet Trim Work:1.0
Install rod and shelf in clothes closet
Install paint grade shelving in all storage closets
Cabinetry
Install owner supplied vanity
Tile
Install cement backerboard for all floors and shower walls
Bathroom Floor Tiles:up to 50 sf
All files provided by owner
Install all bathroom floor tiles as selected by owner
Latex modified thinset mortar
Grout all new file
Shower/tub Surround Tiles:up to 100 sf
Install all shower tiles
Grout all new tile
Caulk junctions at comers and tub
Thinset over electric radiant matt,prepare for tile
Paint-Interior
Interior Painting:
Apply one full coat of primer to all interior walls,ceilings and trims
Page 3 of'11 Owner Mr- Owner O n7)"
Phase Description
HVAC
Vent bathroom fan to exterior,using existing vent if possible
Insulation
All Insulation and air/fire stopping for new construction
Insulate around all new doors and windows
Install fire stopping rock wool and caulking at all openings/penetrations
Sound proofing insulation can be added at owners request
Fiberglass batt walls insulation rated at RI -220.0 sf
Plaster
Smooth Plaster Finish:
Install 1/2"blue board(GWB)on all walls and ceilings
Match existing finishes and patch as required
Tape and metal comers for all joints
Apply two coat plaster veneer finish
Finish
Carpentry
Door and Window casings:8.0
Install all paint grade door and window casings to match existing
Paint grade baseboard casings:
Install all baseboard trim
Match existing baseboard as required
Closet Trim Work:3.0
Install rod and shelf in clothes closet
Install paint grade shelving in all storage closets
Cabinetry
Bathroom Counters:7.0 sf
Provide and install all Bathroom counters
Allowance for 7.0 sf of Solid surface counter @$60/sf
All templating,sink cut outs and standard edging
Vanity/Laundry Cabinets
Provide and install cabinets for bath and laundry
Flooring
Hardwood Flooring:35.Osf
Install floor vapor barrier as required
Install pine flooring to match
Weave into existing flooring as required
Screen flooring and apply three coats of oil based polyurethane
Refinish Hardwood Flooring:200.Osf(Existing Hall)
Screen/sand existing hardwood flooring as required
Apply three coats of oil based polyurethane(screen between each coat)
Tile ,, /
Page 5 of 11 OwnerPyp11�' Owner�/�l-�7'
Category Description Labor Material
Tile $1,400 $800
Tile-Bathroom Floor - $700 $400
Tile-Shower/Tub Surround $700 $400
Plumbing-Fixtures $2,200
Plumbing Materials-Allowance $2,200
Grand Total $3,354 $5,220
Specifications and allowances are detailed on attached Scope of Work document.
Additional Scope of Work page(s)attached:❑Yes ®No
A. LUMP SUM PRICE FOR ALL WORKABOVE:$59,807
*This Agreement will expire 15 days after the date at the top of page one of this Agreement if not accepted in writing by
Owner and retained to Contractor within that time.
B. NOTESAND CLARIFICATIONS
If any conflict should arise between the plans,specifications,addenda to plans,and this Agreement,then the terms and
conditions ofthis Agreement shall be controlling and binding upon the parties to this Agreement.
HI.GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
A. EXCLUSIONS
1. PROJECT-SPECIFIC EXCLUSIONS:
-None-
2. STANDARD EXCLUSIONS:
Unless specifically included in the"General Scope of Work"section above,this Agreement does not include labor or
materials for the following work:Testing,removal and disposal of any materials containing asbestos(or any other
hazardous material as defined by the EPA).Surveying that may be required to establish accurate property boundaries for
setback purposes.Correction of concealed substandard framing.Exact matching of existing finishes.Repair of damage to
roadways,driveways,or sidewalks that could occur when construction equipment and vehicles are being used in the
normal course of construction.Moving Owner's property around the site.Repair of concealed underground utilities,
which are damaged during construction.The removal and replacement of exisfing not or insect infestation.Failure of
surrounding part of existing structure,despite Contractor's good faith efforts to minimize damage.Cost of removing
ground water or other unusual concealed site conditions during excavation.
I l I l 1p)IJ 6S
B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION
Commence work:716Q4I5.Construction time through substantial completion:Approximately 6 to 8 weeks,not including
delays caused by:Change Order and additional work;or other delays unavoidable or beyond the control of the Contractor.
C. CHARGES FOR ADDITIONAL WORK•CONCEALED CONDITIONS,DEVL4TION FROMSCOPE OF
WORK,AND CHANGES IN THE WORK
L CONCEALED CONDITIONS:
Page 7'of,11 Owner Yyd�!_Owner-90—
Owner.Contractor and Owner will then execute the Punch List form.This 150%hold back for Punch List work assures
Owner that Contractor will complete all Punch List work in a timely manner.
5. INTEREST CHARGES
Interest in the amount of I%per month will be charged on all late payments under this Agreement."Late Payments,,are
defined as any payment not received within 7 days of receipt of invoice from Contractor.
E. WARRANTY
Contractor provides a limited warranty against material defects on all Contractor-and Subcontractor-supplied labor and
materials used in this project for a period of one year following Substantial Completion of all work.This warranty covers
normal usage only.you must contact the Contractor immediately upon discovering an item in need of warranty service.
Additionally,Owner's hiring of others or direct actions by Owner or Owner's separate contractors to repair a warranty
item are not covered by this warranty and will not be reimbursed by Contractor.
Contractor provides no warranty on any materials famished by the Owner for installation.One year after substantial
completion of the project,the Owner's sole remedy(for materials and labor)on all materials that are covered by a
manufacturer's warranty is strictly with the manufacturer,not with the Contractor.
F. WORKSTOPPAGEAND TERMINATION OF CONTRACT FOR DEFAULT
Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor
strictly in accordance with the Payment Schedule in this Agreement,or if Owner repeatedly fails or refuses to famish
Contractor with access to the job site and/or product selections or information necessary for the advancement of
Contractor's work.Simultaneous with stopping work on the project,the Contractor must give Owner written notice of the
nature of Owner's material breach of this Agreement and must also give the Owner a 14-day period in which to cure this
breach of contract.Owner to follow this same notice procedure with Contractor if Owner alleges Contractor is in material
breach of this Agreement.
If work is stopped due to any of the above reasons(or for any other material breach of contract by Owner)for a period of
14 days,and the Owner has failed to take significant steps to cure his default,then Contractor may,without prejudicing
any other remedies Contractor may have,give written notice of termination of the Agreement to Owner and demand
payment for all completed work and materials ordered through the date of work stoppage,and any other reasonable loss
sustained by Contractor,including Contractor's Profit and Overhead at the rate of 30%on the balance,of the incomplete
work under the Agreement.Thereafter,Contractor is relieved from all other contractual duties,including all Punch List
and warranty work.
G. DISPUTE RESOLUTIONAND ATTORNEY'S FEES
The contractor and the owner hereby mutually agree in advance that in the event the contractor has a dispute concerning
this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the
Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to
submit to such arbitration m provided in M.G.L.c.142A.
Contractor11
/� /
W,'C ` Date: \ /3
Owner: t/ -1,Pr.C�I�.
Date: j0—f3'LS'
Owner:
_ Date:
atures of the parties above apply only to the agreement of the parties to alternative dispute settlement
Notice:'Ve sign
initiated by the contractor.The owner may initiate alternative dispute resolution even where this section is not separately
signed by the parties.
The prevailing party in any legal proceeding related to this Agreement shall be entitled to payment of reasonable
attorney's fees,costs,and post judgment interest at the legal rate
Page 4 of 11
Owner W Owner
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office oflnvestigations
600 Washington Street
Boston,MA 02111
evww.mass gowdia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name Business/0rgmirm,u1udMduap: PEGASUS Design-To-Build LLC
Address: 610 Main St
City/State/Zip: Melrose.MA 02176 Phone*: 781-662-1593
Are you an employer?Check the appropriate box: Type of project(required):
1.®1 am a employer with 3 4.❑I am a general contractor and I 6.❑New emotmction
employees(full and/or part-time).* have hired the subcontractors
2.0 1 am a sole proprietor or partner- listed on the attached sheet t 7. Remodeling
ship and have no employees These sub-contractors have S.®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.Q Electrical repairs or additions
required.] officers have exercised their
3.❑I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself[No workers'comp. c.152,§t(4),and we have no 12.❑Roofrepairs
insurance required.]t employees.[No workers' 13.❑Other
comp.insurance required.]
'Any applicant Nat checks box N I mus[also SII out the section below showing their workerscompensation policy r f oon.n.
t Hom who submit Nis affdavit indicating they arc doing all work and Nm hire outside contractors must submit a new affidavit indicating such.
�Cootra�ors Nat check Nis box must aaached an additional sheet showing Ne name of an,saloon and Ne'a workers omp.policy ioform
I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site
information.
Insurance Company Name: PMC Insurance Group
Policy#or Self-ins.Lie.#: PEWC664952 Expiration Data 05/20/2016
Job Site Address: 225 Marbleridge Rd City/State/Zip: N.Andover MA
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of 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.Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certifyunder the pains and penald ofperooy that the information provided above is true and correct.
Sianam //re i Date 20
Phone#: 781-66 59
Official use only.Do not write in this area,to be completed by city or town ficial
City or Town: Permit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Boston,Massachusetts 02116
Home Improvement Contractor Registration
Registration: 137663
Type: Ltd Liability Comor
Expiration: 12413/2016 Tire 260295
PEGASUS DESIGN TO BUILD
GEOFFREY SHAFER
610 MAIN ST
MELROSE,MA 02176 -- --- --'
Update Address and return card.Mark rxasrn forchange.
Address Renewal !.Employment --'..Lost Card
.17
f Lice t pon valid for individ it usx ani
OR fC--'Affaini6 t Req luno. g 3
ME IMPROVEMENT CONTRACTOR befo th p t data.7t found reeurn to:
g t t n 137863 Type Off f C .Affairs sad Badness Regulation
pmton. 12!1372016 LW Liability Como, 10Park P7 S to 5170
Briton.MA 0.116
PEGASUS DESIGN TO BUILD...
GEOFFREY SHAFER
610 MAIN ST
MELROSE,MA 02176 1,tl Not-lid x[hoot sgaature
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