HomeMy WebLinkAboutBuilding Permit # 1/5/2016 BUILDING PERMIT q�;,. , .,.,. o ��
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APPLICATION FOR PLAN EXAMINATION - ®q
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Date Issued: "
I M P O TA10NT:Applicant must complete all items an this page
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PROPERTY OWNER
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MAP N0 ;u PARCEL <ZONING DI'TRICT;:
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THIS CERTIFIES THAT ......... :......... . .........................................................................................
BUILDING INSPECTOR
has permission to erect .......................... buildings on ,o® ,�....... ...�` ...®'. . ..... .................
Foundation
Rough
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to be occupied as ..........�'�4%, saa+ �. A.... ..••• Chimney
provided that the person accepting thi's.-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
PER IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECT611
R
LESS O S CTIO T4IRNT1.. Rough
Service
................... ... ... ......................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Buildin,:; Rough
Islay 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.
BUILDING &REMODELING
CONTRACTOR
MASSACHUSETTS HOME IMPROVEMENTS CONTRACT
This form satisfies all basic requirements of the state's Home Improvement Contractor law(MGL chapter 142A),but does not include standard language to
protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer
Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and
Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website.
Homeowner Information Contractor Information
Name
Mr.&Mrs.Nahtl Company Name
Jn4,con Management,Guru
Street Address(do not use a Post Office Box address) Contractor/Owner Name
1492 Great Pond Road Jonathan O'Sullivan
City/Town State Zip Code Business Address(must include a street address)
North Andover,MA 01845 185 AfGanflc Averme
Daytime Phone Evening Phone 508-776-7269 City/Town State Zip Code
nonapa@comcast.net
Salisbury,EGA 01952
Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number
003-459-1503 01-14013121
Home Improvement Contractor Reg.Number 159444
Expiration date 4.30.2010
The Contractor agrees to do the following work for the Homeowner:
Scope of Work
The following scope of work is to remodel the existing kitchen area per Jackson Kitchen Designs plan dated 10-4-15.
• Building permits per the Town of N Andover,MA.
• Temporary protection and daily cleanup throughout the remodeled areas. '.....
• Demolition work to include the following: Removal of the cabinets,countertops,appliances,flooring and walls for the new layout.Flooring removal
figured on bringing the existing flooring down to the sub floor. Disposal of all construction related debris.
• Wall adjustments to be made for the new layout.
• Install new Y2 drywall on all disturbed walls,door enclosure and misc.patch work as needed. Install 3/8'drywall over the existing ceiling throughout
the kitchen area. The existing ceiling will have holes from the existing lighting layout and cutting to access for the new recessed lights/wiring will
need to be done. Finish drywall off with a smooth finish.
• Installation of the homeowners purchased cabinets per Jackson Kitchen Designs plan dated 10-4-15. Includes all moldings and hardware.
• Install homeowner purchased appliances. Appliances to be brought into the house by the delivery company. Vent the hood to the exterior of the
house. Further exploratory work needed to determine the actual vent termination location. Currently figured on running the vent to the back
between the kitchen and bathroom windows.
0 Prepare kitchen area for new hardwood flooring.
® Supply and install new 2-114"red oak flooring throughout the kitchen area. Flooring install will stop at the family room under the beam. Currently
figured on matching the dining room floor height. Once the existing kitchen flooring has been removed,we can determine the actual finished floor
height, Sand and finish the new hardwood flooring. Install a transition strip between the kitchen and family room flooring.
i Plumbing work throughout the kitchen area to include the removal of the existing kitchen sink and appliances. Rough in and finish the new sink,
faucet,dishwasher and ice maker. Temporary sink and faucet will be set up by using the existing sink 1 faucet. Plumbing venting upgrades if
needed will be considered additional work.
• Electrical work has been figured on code upgrades throughout the kitchen area,re work existing electrical per the new layout,install 9(5')recessed
lights. Install homeowners purchased surface mounted lights. The panel may need to be upgraded and further exploratory work needed. If we are
able to reuse some of the appliance power sources and they are to code,electrical pricing will be adjusted accordingly.
• Carpentry work to include baseboard moldings throughout the remodeled area as needed and new trim at the kitchen sink window. Trim the new
kitchen door.
Painting by others.
• Install homeowners purchased cabinet hardware.
• Final post construction cleaning throughout the project area.
Total for the above scope of work including the Allowance amounts: $19,J5Q,i 0
ry
Required Permits-The following building permits are required °' Proposed Start and Completion Schedule-The following
And will be secured by the contractor as the homeowners agent:
Building permit schedule will be adhered to unless circumstances beyond the contractor's
control arise,
(Owners who secure their own permits will be
excluded from the Guaranty Fund provisions of 1-4-16 Date when contractor will begin contracted work.
MGL chapter 142A,)
1-29-15 Date when contracted work will be substantially completed.
Final completion date will be determined once we get the granite install
date.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of:$19,755.00 (*)
Payments will be made according to the following schedule:
$5,926.50 30%Upon the signing of the contract and the start of the project
$5,926.50 30%Upon the of the start of kitchen demolition and start of carpentry items
$5,926.50 30%Upon the start of the kitchen cabinet install.
$1,975.50 10%upon substantial completion of the contract not including the shower glass door install. (Law forbids demanding full payment until contract
is completed to both party's satisfaction)
The following material/equipment must be special $0 to be paid for NIA
ordered before the contracted work begins in order to meet the completion schedule. ('*)$0 to be paid for NIA)
NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which must be special ordered in advance to meet the completion schedule.
Express Warranty•Is an express warranty being provided by the contractor? oNo 0 Yes(all terms of the warranty must be attached to the contract)
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.
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 9 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 SPACES
Two identical copies of the contract must be ompleted and signed.One copy should go to thhomeowner.The other copy should be kept by the contractor.
Homeown is Si na ure ontractoes Signature
/�
Date Date
Contractor Arbitration
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 and the homeowner 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 pro ' ed In Massachusetts General Laws,chapter 142A.
Homeowner' Signature ontractoes Signature
NOTICE;The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The
homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties.
Homeowner's Rights
A homeowners rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not
be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as
prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement
Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other
specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided
by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other
matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic
consumer rights.If you have questions about your consumerlhomeowner rights,contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also
advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the
contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed
to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has
expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be
financially insecure.However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds
not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the
signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or 9 you wish to obtain a
free copy of"A Massachusetts Consumer Guide to Home Improvement"contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the OCABR website at lift pfl w v.rnass.gowlocarbrt
If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration
component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the HIC website at[iHp://www.niass.gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:http://(Ib,Ftate,i,na.iis/hoineimpi�ovenieilt/lic,r;4)seelist.asp
For assistance with informal mediation of disputes or to register formal complaints against a business,call;
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800,508-755-2548 or 413-734-3114
I
i
The Commonwealth of Massachusetts
Department oflndustrialAceidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Let=ibly
Name(Business/Organization/Individual): �i t� �� (rl c:ncz ry t�neY'•� '�^
Address:
City/State/Zip: c�, Y04 G_�6 It Phone#:
Are you employer?Check the appropriate box: Type of project(required):
1. I am a employer with q employees(:full and/or part-time).* 7. El construction
2.F1 I am a sole proprietor or partnership and have no employees working for me in 8. P<emodeling
any capacity.[No workers'comp.insurance required]
9. El Demolition
I❑I am a homeowner doing all work myself.[No workers'comp.insurance 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 workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.Q Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$
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 Nye have no employees.[No workers'comp.insurance required]
*Any apps icant 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.
tContractors 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.
Iain an employer that is providing ivor/vers'compensation insurance for n:y employees. Below is the policy and job site
information. ^^ (�
Insurance Company Name: 1*�'�e
Policy#or Self-ins.Lie. 13 Expiration Date:
l G-ye pe'3 P,0--) City/State/Zip-
Attach
1v-/V h1 ✓VPiti
Job Site Address: City/State/Zip:
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 G. 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.
Ido hereby cert' tinder the pains and penalties of peijuiy 11:at the information provided above is true and correct.
Si nature: t�'`✓` �/`�� Date:
Phone
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 Cleric 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Jan. 01.2012 12:00 AM Advantage Insurance Acenc 972 7y4 4233 PAGE. 1/ i
ERTI, ICAC �()F 1 IABIi ICY WSURANCE
DATE(MM Do7Y\YY)
111/09/2015
THIS CERTIFICATE IS ISSUPD AS A MATTER OF INFORMATION ONLY AND GONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER THE COVERAGE ArFORDED ay THE POLICIES I
I BELOW, THIS CERTIFICATw OF 1NSuRANCE voES NOT CON-'TITUTE A CONTRACT u`'RVEEH THE 6 h W—wiBE8,61 A T--mIZER
?y.,•I,.,tt� svVlj.-n\Vf, PlU li41R1666+
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
e CeWrtificate hower Is an ADDII IONAL IN URED. the poi Gyt168i and6t b6 6ndon0d. If SUBROGATION IS WAIV90 subject tD
the terns and conditions of the pollcy, certain polleles may require an 6ndorsom6nt, A etatemant on this certificate doss not confer dghw to the
certificate holder In Bail of Such endorsement(s).
PROWS" I N`APMNE1A
G1 PAUL DEVIN
6WANIVAO—Z Tww. A eeG' l.C.
PHONE: 978-681-1055.._ .. .,._.._.._.._... FAX
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COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
WS M TO L':EN'rIFY TRAY THE POLICIES QH INSURANCE LISTED BELOW HAVF KtN 16SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
I JDICATED. NPTIMTNOTAN6ING ANY REOLIIRFMENT; TERM OR CONDITION 0P ANY CQNYFiAGY OA ATHFR rNtP.ilntENT YwTH RF. Fi_T T_ wti(Ct{ TFO.
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE NWROED BY THE POLICIES DESCRIBED HEREIN IS vuBJECT TQ ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLIOES.LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS.
MSR — -EnTtL RClq_Yf.....,......_—_..
LTR TYPE OF INSURANCE INSA WVD POLICY NUMaER (MWD DJYy7Y) (Mt,UPDNYYV7 UNITS
p oENERALL1ANtLWY 8500055690 05/30/201506/30/2016 EACHp(:MRRENCE F 1,000,000
^ COMMERCIALGENPRALLUII11UfY ( PREMI8�3(Eaocyv,ranca} $ iU(I,0UD
CLAlt,IS-MACE L&j QQQVR ( MEO EYP(AnyC Damm) >f 5,001)
PERSONAL A ADV INJURY $ 1,000/000
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GENERAL AGGREGATE_-_---- S 2,400,000
IIENLAGORE13ATE LIMIT APPLIES PER: I ( I I PRODUCTS-COMPIOP AGG $ 1,000,000
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UMBRELLA"AR - -
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V44VIS I EA4H OCCURRENCE i E%CESSLIAS I CLAIMo-F,A I I I I I AGGREGATE i
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BUILDING & RKMODEI,ING CONTRACTOR
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CERTIFICATE HOLDER CANCELLATION
TOWN OF NORTH ANDOVER TOWNBVIMF NORTH
DEVAANDOV SHOULD X�IIR 9F THE ABOVE DESCRIBED POLICIES DE CAHCDE-1 W ED IN
I- �A:ION DATE THEREOF, 'J'?:TCE .,,ti.. 3E .,..;:IVEF:ED IN
16 50 n vin STREET aC ORDANCH VJITH THP POLICY PROVISIONS_
3C,.,...
GUILuING 20, .^SUMTD 20aS AUTHORIZED REPREB
JRTH ANDOVER hiA, 01545
1889-2010 AGORD ORPORATIQN. All rights reeemad.
AGORD 25(2010105) Thu AGORD name and logo are registered marks of AGORD
' /`%�f" !!fJfJFIf✓'J/fd^Ctla'a�JP f�f"�.ddf✓as"J'!!"6'!✓l.Pai
free of Consumer Affairs&Business Regulation
ME IMPROVEMENT CONTRACTOR.
istration: 159444 Type: .
" xpiration: 413012016Private Corporat'o
JOSCON MANAGEMENT INC.
JONATHAN UStlLLIVAN
72 PROVIDENCE HILL RD_ /'
ATKINSON,NH 03811- Undeisecretery
�s :fi&iassa B �s-De a:° l^ "'of Fg i5mi Ss l:y
Cal f E:�it i R:c aiai� n' Ek a: a
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JONATMN 06WIA NAN .
1gS•Atlantic Ave#0 _
Salisbury MA 01952
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08126/2016