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HomeMy WebLinkAboutBuilding Permit # 12/17/2015 %AORTti BU0.1ILDING PERMIT LED TOWN OF NORTHA OVE 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received O'IA7-.0 Date Issued: vdrlks IMPORTANT:Applicant must complete all items on this page Fll//;`,!��/,',A�N', -64 arig i V/ Y/NK"a/ A . ...11"I", PROPER, "6/ 3 "k , F OWNE Q IV ........... .......... A, Historic/.'Distribt, " op,-1, Sh" V'/' /"/ ag ne no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building El One family 11 Addition Li Two or more family 11 Industrial 0 Alteration No. of units: 11 Commercial ?'Repair, replacement 11 Assessory Bldg 0 Others: D Demolition Li Other [],S6ptic , [I Well '0 Fl66dp' lai' 11 Wetlands 11 Watershed,District 0 Water/Sewer ' DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: 0PI Z c--&Z .44(v-0 -f 8a JAAJ Phone: 4 e-- Address: ',,,,Phone*:,/ 4,tpr q4rl Name. '2 //I. ........ g Supervisors Canstruct�on �g I;/I s ivl//3 4 lx`11 )at Z 12 P/ 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty zd Signature of Agent/Owner'"'"" Signature of contractor t%OR'TH Town ofAndover - _ 0 Im to ® ® _ 1 very aSS' L90W Ila 7415 COC HICHRWICK x,95°R•+rE o U BOARD OF HEALTH T LD Food/Kitchen rF. RMI I Septic System % Lv THIS CERTIFIES THAT ........ . ...�. ............... ......... ................. ..1 ............................ % BUILDING INSPECTOR 1 .. Foundation has permission to erect .......................... buildings on . . ..... ... .. . .•• ••••••••••• Rough a � to be occupied as ... ... AMA... ..x ..... Awo.-I... .. .1 4. .. ................. chimney provided that the person accepting this permit sha in every resp ct conform to the terms oft plication 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. ��++ Final PERMIT I r6 ." ' S ELECTRICAL INSPECTOR LESS FA T Rough Service ....... ... ......... ........ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy BulldlRough 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Luciano_20015-050.5_Contract HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com CONTRACTOR AGREEMENT ^.�` THIS AGREEMENT made this OC44 1 14 201 by and between Theodore Kelley dba TMK Remodeling, Construction Supervisor License#105086, 214 Sutton Hill Rd, North Andover MA 01845 hereinafter called the Contractor, and Judi Luciano&Brian Seigel hereinafter called the Homeowner. WITNESSETH, that the Contractor and the Homeowner for the consideration named herein agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall perform all of the work described in the specifications entitled Exhibit A—Statement of Work, as annexed hereto as it pertains to work to be performed on property located at 28 Marble Ridge Rd North Andover MA 01845. ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before November 30, 2015 and shall be substantially completed on or before December 04, 2015 ARTICLE 3.THE CONTRACT PRICE The Homeowner shall pay the Contractor for the labor and materials to be performed and supplied under the Contract the estimated sum of Fifteen Thousand Eight Hundred Fifty Dollars and No Cents($15,850.00), subject to additions and deductions pursuant to authorized change orders. The,contract price includes two components; Fixed cost of Fifteen Thousand One Hundred Ninety Four Dollars and No Cents($15,194.00) for the building materials and construction labor as specified in Exhibits A and B. Variable cost of Six Hundred Fifty Six Dollars and No Cents($656.00)for the allowance items listed in Exhibit B Allowances and will be 110%of the actual invoice price paid by the Contractor to his suppliers. Exhibit B lists the allowance items and budget costs the Contractor will purchase for the Homeowner. Sales tax and freight are not inlcuded in allowance budget. Contractor will furnish and install all building materials,fixtures and finish items unless noted otherwise. Any Homeowner supplied materials will be charged a 10% handling and coordination fee based on actual invoice. ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the following manner from the Homeowner to the Contractor: Payment 1: 50% upon contract acceptance and signature; $7,925.00 Payment 2: 50% upon door&window installation and completion of finish; $7,269.00 plus the actual contract price for allowance items as defined in Article 3; Budget:$656.00 The contract cost for mutually agreed to change orders will be paid 50%at time of change order signature and 50%after completion and Homeowner sign-off. ARTICLE 5. GENERAL PROVISIONS 1.All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2.To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. Copyright TMK Remodeling 2014 Page 1 Initia All Rights Reserved 214 Sutton Hill Rd Contract TMK Remodeling Luciano_20015-050.5—Contract CSL 105086' North Andover MA 01845 H 978$52-4491 IC 165887 RRP LR000106 www.tmkremodeling.com 3.Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. 4.Contractor shall furnish Homeowner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 5.All change orders shall be in writing and signed by both Homeowner and Contractor. The cost for mutually agreed to additional work, required due to unknown conditions or substantive change orders,will based on the current bill rates for the actual time used.Additional materials will be billed at contractor cost.All change orders subject to 10%markup for overhead. 6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees and subcontractors. 7.Contractor shall at its own expense obtain all permits necessary for the work to be performed. 8. Contractor agrees to place all debris in an onsite trash receptacle(dumpster)and leave the premises in broom clean condition. 9. In the event Homeowner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10.The Contractor and the Homeowner hereby mutually agree in advance that in the event that 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 Office of Consumer Affairs and Business Regulation and the Homeowner II be req .red'tg submit to such arbitration as provided in MGL c 142A. Date: Home er Date: Co tractor Notice: The signatures of the parties abo e apply only to the agreement of the parties to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not signed by the parties. 11. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials, or inclement weather. 12. Contractor warrants all work for a period of 12 months following completion. 13. Contractor may post small signage(18x24")on property advertising services during the duration of the project. 14. The Contractor and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 Copyright TMK Remodeling 2014 Page 2 Initials� All Rlghts Reserved TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Luciano-20015-050.5—Contract HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com 15. The Contractor or Homeowner may terminate this contract at any time for any reason by giving 3 days notice in writing to the other party. If either party terminates the contract as provided herein, then the contractor will be paid for work(labor and materials)completed as of the date of termination plus any materials or equipment that are backordered and not delivered. Payment is defined as actual job costs for the project plus 10%overhead charge.The contractor will provide a written report detailing actual job costs plus overhead for payment. The Contractor will refund any funds paid by the Homeowner that are a remaining balance for the labor and materials used as of the date of termination, plus any materials or equipment that are backordered and not delivered, plus 10%overhead charge. The Contractor will make arrangements for the backordered items to be delivered to the Homeowner. 16. The Homeowner is responsible for maintaining adequate access to the property including snow removal, personal property storage, and working doorways,stairways and walkways. In the event the contractor is required to provide access or repair to the doorways, stairways and walkways, then the Contractor will bill the Homeowner at the hourly bill rate for same. ARTICLE 6.OTHER TERMS ARTICLE 7.ACCEPTANCE Signed this day of 20 p� Homeo er C ntractor NOTICE: The signatures of thearties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contra tor. The Homeowner may initiate alternative dispute resolution even where this section is not signed separately by the parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Copyright TMK Remodeling 2014 Initials All Rights Reserved Page 3 Licenses: TMK Remodeling Exhibit A-Statement of Work CSL 105086 214 Sutton Hili Rd Luciano_20015-050.5_Contract HIC 165887 North Andover MA 01845 RRP LR000106 978 852-4491 www.tmkremodeling.com 1 Owner: A B I C D I E F G { 2 Judi Luciano Estimate:2015-050.5 Estimate valid for 30 days 3 iudmarl(a)aol.com Estimate Date: 10/12/15 Expiration Date: 11/11/15 4 28 Marble Ridge Rd 5 North Andover MA 01845 6 7 8 IScope of Work 9 Replace 65x80"first floor main entry door,sidelights,transom,exteriorpanel/millwork with new Therma Tru door asspecified,sidelights,Marvin transom window asspecified,PVC paneling and PVC millwork. 10 Notes: 11 Pricing includes labor and materials to install finished item+allowances. EA=Each LF=Lineal Feet SF=Square Feet 12 EA LF SF Total Cost 13 tYCo Quanti Cost Quante Cost Quantity_ tY Cost.r 14 1.0 Administration 7r $3,141 $3,141 _-- _ — 15 01 Plans and Permits:01.2 Building Permits _ 1 $192 16 Building Permit 1' $192 $192 17 02 Site Work 5 $875 $875 18 15 Yd Dumpster 1 $468 $468 19 Adjacent spaces to be protected by temporary barriers from dust infiltration 1 $132 $132 20 All floor coverings and handira{Is between'the work area_ and primaryentranceto,be'covered with protective covering material _ 1 $171` " $171 21 Owner responsible for storing any items to re-installed 1 $0 $0 22 Work area"to bewented during"demolition and'construction to minimize dust infiltration 1 $105 $105 23 31 Overhead&Expenses 1 $2,074 $$_105 24 Overhead and proj11 ect administration ,074 1' ""$2,074'_ $2,074 25 1st Ftr Entryway Door � � 6 $9,569 168 $2,083 184 $1,057 $12,709 _ ., 26 02 Site Work:02.10 Demo 2 $209 180 $657 $866 27 Disconnect and remove door,frame and molding 1 $105 $105 28 Disconnect and remove window,frame and molding1 $105' $105 29 Remove and dispose of siding materials 180 $657 $657 30 12 Doors&Trim 2' $8,110 $8,110 31 Door&Window Allowance per spec 1 $5,610 $5,610 Furnish and instail'ThermaTru 65x80"Entry door with sidelights,handset and lock set,painted on interior,weather proofed and trimmed 32 on interior and exterior 1, $2,500 $2,500 33 13 Windows&Trim 1 $1,250 $9,250 34 Fumisn&;install 60x30"Transom window,frame,trim,weather stripped,"flashed,painted 1 $1,250' $1,250 35 20 Millwork&Trim 104 $1,827 $1,827 36 Install 2 11Z"case molding on door or window,painted _ 24 80 $227 37 Install and finish custom millwork+materials,painted 600 $1,600 38 33"Allowances. 64 $256 4 $400 $656 39 PVC panel materials 4 $400 $400 40 PVC trim--materials _'64 $256 _ $256 41 Grand Total _ _ __ _ �LL�` �_ _ __ 12 $12,710 168 $2,083 184$1,067 $15,850 ©Copyright TMK Remodeling All Rights Reserved Page-4 Unlawful to distribute without permission 1w— Yhe Commonwealth of fassa husetts Department of IndiustrialAceldents z 1 Congress Street,Suite 100 M r r Boston,HA 02114-2017 www mass.gov1dia Workers:,Compensation insurantce.A<>'izc�avit:lauffders/Contractors/Electr�iciansfRIumbers. TO BE FILED WITH THE PER-AnTTING AUTRORITY. AppllcantWormation Please Print Le ibly - NaMo (B-Lisiness/Oxganization/ndividtlal): T .Address: SyT Lr City/State/Zip: /U Areyou an employer?6ecktlie appropriate box: Type Of project(required): 1. X am a employerwith employees(full and/or part-time)." 7. El New construction I am a sole proprietor or partnership and have no employersWorking forme in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3..❑I am a homeowner doing all work myself[No wozkers'comp.uisurauce required.]t 10 Q 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 wozkers'compensation 1Q]Electrical repairs or additions insurance or are sole ; propiletors with no employees: 12. Plumbing repairs or additions 5.F]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.iusurance.t 14�OtherAAY� ( QOd L 6.Q We are a corporation and its of,Ctgers have exercised their right of exemption per MGI,c. 152,§1(4),and we have nq employees.[No workerscomp.insurance required.] A-Jr� T' ':Any applicant that checks box 41 must also fill.out the section below showing their workers'compensation policy information i Homeowners who subriiit this at'i"'idavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such. teontractors 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, liey roust provide their workeis'comp.policy number.' lam an erriployer,tfiat is pidvidiiag workers'compensation insurance for my employees.'Below is the policy and joh site information. n Insurance Company Name: /r Policy#or Self-ins,Lic.#: f t/GC- ��n 5Z) 1 115 7? ( �A l ) Expiration Date: 41 / fob Site Address: Z9 M 4/LL `r— City/State/Zip: r4N � d f U Attach a copy of the WOrlrers' compensation policy declaration page(showing the policy Atunber and expiration date). Failure to secure coverage as required under MGL e. 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 WORD.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 fox insurance coverage verification. Xdo hereby certlAwndr tlaepains andpen tip o er'0 y that the informationprovided above is true and correct. Si nature• D G ate: �z hone# Official use onty. Do not write in this area,to be completed by city or'town official. City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: OP ID:CH .dlcc�R®° CERTIFICATE F LIABILITY INSURANCE DATE(MM/DDIYYYY) 44. , 12117/2015 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 CONAME•NTACT Segreve&Hall Insur.ASSOC.Inc PHONE 305 North Main St. a/C No ac No: Andover,MA 01810 ADDRESS: Lawrence J.Hallcuos"EERR ID,TMKRE-1 INSUR S AFFORDING COVERAGE NAIC 9 INSURED TMK Remodeling INSURERA:Arbella Protection Ins.Co. 41360 214 Sutton Hill Rd INSURERB.AEIC 11104 North Andover,MA 01845 INSURER C INSURERD: INSURER E• 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 CONTRACT OR 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 I TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM1 D� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 DAMAGE TO RMTrED— A X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) S 5,00 9520037133 03/0812015 0310812016 PERSONAL&ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2,000,0010 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 2,000,00 POLICY P-71 RO-ECT LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) 3 ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) S NON-OWNED AUTOS 5 UMBRELLA L1A8 OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION WC STATU- O R AND EMPLOYERS'LIABILITY500,00 B ANY PROPRIETOR/PARTNER/EXECURVE YIN E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ElN 14 5005011872 04101/2015 04/01/2016 EL DISEASE-EA EMPLOYEE S 500,00 (Mandatory In NH) If yes,dascnbe under E L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION TOWNOFN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St North Andover,MA 01845 AUTHORIZED REPM E Lawrence J.Hall aM, 4WL ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD «. Massachusetts Department of Public Safety 1 Board of Building Regulations and Standards License: CS-105086 Construction Supervisor THEODORE M KELLEY 214 SUTTON HILL Y Fret' NORTH ANDOVER M" f Commissioner Expiration: 10/08/2017 License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 7 i Not valid without signature C���e�0911071Q7LCl�CCb���O/���QJJCGC�ClJ�CIJ fw fice of Consumer Affairs&Business Regulation MEIMPROVEMENT CONTRACTOR gistration: 165887 Type: piration: 4/572016 DBA TMK REMODELING THEODORE KELLEY 214 SUTTON HILL RD. NORTHANDOVER,MA 01845 Undersecretary