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Building Permit # 11/25/2015 (2)
S(za 'i D !) . TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION q Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Pant PROPERTY OWNER , ' Pont„"1 t70 Year Old Structure yes o -" MAP NO: PARCEL:4 ZONING DISTRICT: Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial -kAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: �4�GC" C:t�iCcyiy�: Phone: Address: /)00Ve-h 4 /- ►l A. CONTRACTOR'' Name: )(ke. .I` A1Z-r1, Phone: e - 0 Address: ,fib ►/!«r IV ,,/ �"do - el Vit Supervisor's Construction License: 663 Exp. Date: -lam Home Improvement License: 6,1 Exp. Date: 9 °-17 ARCHITECT/ENGINEER---) UF--Y /44� (c)C/ �'( _ -C � i Cell Phone: _ �� ® 'P7J� Address: " ' / AjzG,-)7T0/( ` /7Reg. 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: $ 500 FEE: $- 2S- Check S.Check No.: Receipt No.: NOTE: Persons cont acting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner °° -' Signature of contractor= P "�� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F NORT}j 41own of2 '' Andover ®. `A�. h ver, ass, COC mc �1 044 v C7 sTIED � BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THATvERN.kjT ....... .... BUILDING INSPECTOR Foundation has permission to erect .......................... bul dings on ... p........ .�. ........ ! ............ Rough .she . .aln. l- to be occupied as .shed .......Q.V.MK.... .. .... .....�..�OV!�.... .. .. ney provided that the person acceptiniis permit shall in every respect confo 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 PI IN 6 MONTHS ELECTRICAL INSPECTOR ® UNLESS CONSTRUCTI TA Rough Service ................ ... ..... .. .... ............................. Final BUILDING INSPECTOR GAS INSPECTOR ccupancyel mit Required to Occupy BulldtnRough 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. DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 Estimate Submitted To: Bryce& Lori Chicoyne Construction Supervisors License 66342 40 Ridge Way Home Improvement Registration 124961 N. Andover, NM We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of. Workout room & laundry room (See specifications sheet and drawings) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completion in a substantial workmanlike manner in the sum of. Sixty-five thousand five hundred dollars-$65,500.00 Payments to be made as follows: $ 1,000.00 Upon execution of contract. $10,000.00 When work begins. Remaining payments as work progresses. Respectfully submitted: Darien Mr�artirto g) _ � Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon accidents, or delays beyond our control. Note-This proposal may be withdrawn if not accepted within 10 days. Proposal Date 11/19/15 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be mad as outlined above. Date: 11LA Y Ar Signature: ;-Z/ Date: �I—7- 1 I C' Signature:e'j, CL%� DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES BU11MING DEFF.COPV CHICOYNE RESIDENCE Specittcations Sheet GENERAL SCOPE OF WORK Construction of a shed dormer over the existing 3rd garage bay to house a new work out room. Rework adjacent area and closet to house new laundry room. PERMITTING DM Construction will file all necessary paper work to obtain the following permits: building, electrical,plumbing, HVAC, and debris removal. The cost ofallpermits and fees necessary is not included in this estimate and will be billed separately. DESIGN/ENGINEERING This estimate is based on preliminary drawings dated 11/17115 provided by Salley Associates. Salley Associates has been hired directly by the homeowner. The cost of any additional drawings or engineering required by the building department is the responsibility of the homeowner. If the building department requires items that are not on the drawings, DM Construction reserves the right to review the final approved construction drawings and amend pricing of this contract if necessary. DEBRIS REMOVAL DM Construction is responsible for all debris generated. A container will be placed on site to ensure a clean work site. The container is for debris generated by DM Construction only, it is not intended for homeowner use. DEMOLITION The roof over the 3rd garage bay will be removed as shown on the submitted drawings. The existing closet and area of the eave will be gutted. FRAMING Framing shall take place according to the submitted drawings. Frame in any mechanical chases as necessary in the garage area. Any deviations from the submitted drawings could incur extra cost. DM Construction reserves the right to review the final construction drawings and adjust the pricing of this contract if necessary. ROOFING The new shed dormer will be roofed as follows: ice and water shield will be installed on the entire roof, installation of architectural shingles to match*existing conditions, and white aluminum drip edge. *Due to weathering and the age of the existing shingles, the newly installed shingles may not match. SIDING&EXTERIOR TRIM Installation of new white vinyl siding to match existing conditions. Installation ofpvc trim boards for the fascia, soffit, and rake boards. CHICOYNE RESIDENCE Sneci�cations Sheet WINDOWS UNITS Installation of six double hung window units. The cost of the windows and all their associated hardware is covered under an allowance. INSULATION Installation of the BIB system on the exterior walls and the interior laundry walls for soundproofing purposes. Installation of batted insulation for the floor and ceiling. DRYWALL Installation of%z" blue board on all new walls, ceilings, and chases. All new blue board will receive a skim coat ofplaster. All new ceilings will have a smooth finish. PAINTING All new walls, ceilings, and trim will be primed and receive two coats of finish. Paint colors to be determined. All paints will be Benjamin Moore, Sherwin Williams, or an equivalent. FINISH WORK Interior door unit: Solid jamb, solid core door, smooth finish, 2 panel arched top door style. (To match existing conditions on the main level.) Door hardware: To match existing conditions on the main level. Door trim: 3 %z"colonial casing. Window trim: 3 %2"colonial casing with a sill. Baseboard: 5 %"speed base Installation of a wall cabinet ironing board. Location to be determined. Custom finish work& casework: Any built-in units, custom millwork, book cases, wainscoting, crown moldings, closet shelving, or storage units, other than those specifically mention above are covered under the custom millwork allowance. HEATING/AIR CONDITIONINGIVENTILATION Installation of one Fujitsu mini split heat pump system to provide heating and cooling for the new work out room. The outdoor unit will be located behind the garage. Provide necessary venting for the new electric dryer. PLUMBING Provide vent, drain, and water lines as necessary for the new washing machine location. Installation of aplastic spill pan draining into the main house drain. Installation of a trap primer for the spill pan. Installation of isolation shut off valves for the washing machine, near the water main. CHICOYNE RESIDENCE Specifications Sheet ELECTRICAL General—Provide switches and receptacles as required. Sub-Panel—Installation of a subpanel to service the new workout room and laundry room. Location of the panel to be determined. Exercise equipment-Provide dedicated circuits 3-4 pieces of exercise equipment. Mechanicals- Wiring as necessary for: one new mini split heat pump unit. Appliances—Provide necessary wiring for new sauna unit. Provide necessary wiring for new washing machine and electric dryer. Provide power for built in ironing board unit. Communications—Provide one cable outlet. Provide one CATS wire to the basement for future internet connection. NOTE: The cost ofall recess lighting pendant lighting,_accent lights, ceiling fixtures exhaust fans, etc is covered under an allowance. CHICOYNE RESIDENCE ALLOWANCES The following allowances are included in this estimate. The allowances exist to cover the purchase of materials only, unless otherwise specified. Any amount spent in excess of an allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued. FLOORING-$3,300,00 This allowance covers the cost of materials & installation of all flooring(hardivood, carpeting, engineered flooring, tile, rubber matting, etc.) LIGHT FIXTURES$2,000.00 This allowance covers the cost of all light fixtures. This alloivance covers the cost of labor and materials for recess lighting, under cabinet lighting, in-cabinet lighting, and any specialty fixtures, including timers, dimmers, etc. Example: 5"Recess light iv/air tight trim, white baffle, and halogen bulb-$150.00 Complete WINDOW UNITS-$3,000.00 This allowance covers the cost of all window units including but not limited to: screens, grills, extension jambs, hardware, etc. CUSTOM MILL WORK-$1,500.00 This allowance covers the cost of materials and labor to build and finish custom millwork including but not limited to: built-ins, book cases, wainscoting, entertainment units, etc. SPRINKLER SYSTEM-$1,000.00 This allotivance covers the cost of all materials and labor pertaining to the sprinkler system including but not limited to: relocating, adding, or modifying of sprinkler heads and the testing and refilling of the system. SAUNA INSTALLATION-$1,000.00 This allowance covers the cost of all materials and labor associated with the installation of the new sauna unit. CHICOYNE RESIDENCE MISCELLANEOUS This contract is subject to review upon receipt of the final construction drawings DM Construction reserves the right to adjust the price of the contract after reviewing these. Cost could increase if any changes had an impact on plumbing,gas, HVAC, or electrical. Cost could increase if the new plan required additional structural work or change of framing plans. Cost could increase if the new plan added more cabinetry or additional appliances Note: Due to the nature of wood and the drastic temperature and humidity changes in our region,you may notice the movement and shrinking of the flooring and exterior and interior trim. This is typical of the region and is not due to defective installation. Change Orders Any changes from the existing plans or increased scope of work involving extra costs will become an extra charge over and above the contract price. Change order agreements must be signed before any work commences. The following schedule will be adhered to, unless circumstances beyond our control arise: Time frame for completion: When work begins to completion: 12 weeks* 'Time for completion is subject to arrival of special order items or other delays beyond our control. All work to be done Monday-Friday between the hours of 7:00 am—6:00 pm. If deemed necessary to work any other times, the homeowner will be consulted firs MEMBER OF THE BETTER BUSINESS BUREAU HOME IMPROVEMENT CONTRACTOR: 124961 CONSTRUCTION SUPER VISOR LICENSE: CS 066342 *All home improvement contractors and subcontractors shall be registered Any inquiries about a contractor or subcontractor relating to registration shall be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02113 Phone: (617) 973-8700 yrs DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 CONTRACTOR ARBITRATAION AGREEMENT The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The Contractor(Darren Martino) and the Homeowners(Bryce& Lori Chicoyne) hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. 0,4 Homedvner's Signature ContragAift's Signature Homeowner's Signature W[JILDVIliG DE11T. COPY DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 NOTICE OF CANCELLATION November 19, 2015 You may cancel this transaction, without any penalty or obligation, within three business days from the above date If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel,you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement;or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice to; NAME OFSELLER: DARRENMARTINO ADDRESS: 44ADDISONAVE EXT METHUEN,MA 01844 NOT LATER THANMIDNIGHT OF.• November 23 2015 I HEREBY CANCEL THIS TRANSCATION Date: Buyer's Signature: I(we each) cknowledge cel two copies of this form. Buyer: Buyer: .® LEGEND EXISTING REMOVED I PROPOSED SLOPING CEILING BEYOND NEW SHED DORMER CHEEKS EXIST. 2x4 STUDS 0 24" O.C. r C' I I NOM. 5'x7' SAUNA BIKE I � EXISTING MASTER SUITE R J WASHER WASTE & VENT? a DRYER VENT THROUGH ATTIC? d ELLIPTICAL REMOVE EXIST. CLOSET ACOUSTIC INSULATION TREADMILL N � i I 9 ' ■➢ W ` 10 V � , ..................... CI-IIC7YNE RESIDENCE 40 RIDGE WAY MULTI TRAINER :�3-0x6-8 ALCOVE NOR'T'H ANDOVER, MA I i r -------- __-- MBAR ANNEX 1I4sa _ V-0", BUILT-INS BENEATH RAFTER S ; : ; sa lley associate SLOPING CEILING BEYOND NEW SHED DORMER CHEEKS NOVEMBER I7,2015 The Commonwealth ofMassachusetts Department oflndustrlalAccWc is Office o fInvestigations 600 Washington Street Boston,MA 02111 www.rnass.gov/dia Worker8l Compensation Insurance Affidavit:Builders/ContractorslElectricians/Plumbers Applicant Information Please Print Ledbly Name usiness/Or anizatiorAndividual Address: O)jj/,) /kllc o'er City/State/Zip:,AVIV6N Al- Of Phone if: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a em to er with 4. ❑ I am a general contractor and I . p Y 6. E]New construction j,uaployees(fall and/or part-time).* have hired the sub-\`tractors 2 I am a sole.proprietor or partner- listed on the attached s� ,et.? / emodeling 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 required.] officers have exercised their 10.�]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself. [No workers.'comp. c.152,§1(4),andwehaveno 12.E]Roof'repairs insurance re wired. employees.[No workers' reqaired.] 13.0Other comp,insurance required.) *Any applicant that checks box#1 must alsofill outthe section below showingtheir workers'compensation policy information. T Homeowners who submit this affidavit indicatingthey 2i•e doing all work and then hire outside contractors must submit anew affidavit indicating such. !Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. X am an employer fital is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a.copy of the workers'compensation P olley declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGI,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50 0.00 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. Do advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby certo under thepains andpenalties ofperjury that the information provided above is true and correct, - Signature / / ✓�1�� Date: Phone#• 7a— t<P r 3 03 7 _ - ®ffzcial use only. Do not write in dais area,to he completed by city or town official. City or Town: Permit[License ff Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone ff: Client#: 968806 DARREMAR2 TEmDDYY ) ACORD. CERTIFICATE 15 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 WANED,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 NAME C Terri VOunes FAX USI Insurance Services LLC-SCL PHDNEo Ext 855 874-0123 A/c Ne: 877-775-0110 a/c N 103 Main Street ADDRESS: terri.younes@usi.biz South Glens Falls, NY 12803 INSURER(S)AFFORDING COVERAGE NAIC;r 855 874-0123 INSURERA:Nautilus Insurance Company 17370 INSURED INSURER B: Darren Martino dba INSURER C: D M Construction INSURERD: 44 Adison Ave Ext INSURER E: Methuen,MA 01844 INSURER F: 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 CONTRACTOR OTHER DOCUMENT WITH 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 CLAIMS. INSR ADD U8 POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER WNDDIYYYY MM/DD A X COMMERCIAL GENERAL LIABILITY NN610631 9/2112015 09/21/201 C EACH OCCURRENCE $11,000,000_ CLAIMS-MADE ®OCCUR PREMISES oNcciErt°Ace $100,000 X BI/PD Ded:500 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- PRODUCTS-COMP/OPAGG $2,000,000 POLICY F1JECT LOC OTHER: AUTOMOBILE LIABILITY Ea nSINGLE LIMIT accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED (Per $ NIREOAUTOS AUTOS Peracddent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4EXCESS LIAR CLAIMS-MADE AGGREGATE $ OED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyea,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Bryce Chicoyne THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 Ridge Way ACCORDANCE WITH THE POLICY PROVISIONS. Andover,MA 01640 AUTHORIZED REPRESENTATIVE ©1908-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S163067041M16306571 TXYCX Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066342 Construction Supervisor DARREN MARTINO 44 ADDISON AVE METHUEN MA 01844 Expiration: Commissioner 08/16/2017 �. office of Consumer Affairs&Business Regulation N OME IMPROVEMENT CONTRACTOR �registration: 124961 Type: ,,�Expiration: 9/17/2017 Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE. EXT. METHUEN,MA 01844 Undersecretary