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Building Permit #464 - 1 DANA STREET 12/8/2011
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: YW Date Received Date Issued Id-f_L1 ORTANT:Applicant must co m lete all items on this pLge LOCATION -54, _ Print PROPERTY OWNER 7e kn � a I'll, Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no 711t Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 5310ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ai;kepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ❑,Septic ❑well' �w, _� Floodplain {` ®,Wetlands 0 a ers� e + istrict ,❑�Wat_Vgi wer. _. t D1J C�. �!10N Oji WORK TO BE t LR�.�'O' -+D: 5s �If (Identification Please Type or Print Clearly) OWNER: Name S�,kn_ - Phone: 57b' 3-;S�Sy Address: CONTRACTOR Name: Address: 3Sa 2--S/C.n:L And- ecL ------------ Supervisor's Construction License: _6 5k7G Exp. Date: Home Improvement License: 1626-11 '72 Exp. Date: aej,z ARCHITECT/ENGINEER Phone: int Address: Reg. No. FEE SCHEDULE:BULDING PERMIT,•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S.F. Total Project Cost: $. 2 ,200_oc FEE: $_�� Check No.:— � ( Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Bignture of en 6_ �z.: _ -- _ . .:... _._, _ Coro ofcontractor "' 1; Location a No. 4A Date / a NORTH TOWN OF NORTH ANDOVER y 9 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cMusa 9 Foundation Permit Fee $ Other Permit Fee TOTAL $ Check # 24871 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS a Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board'Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. i.: _ ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi Building Department The Following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract a Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Peri Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products HO T E: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Perp New Construction (Single and Two family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses .❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy.of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Perry In all cases if a variance or special permit was required the Town Clerks office must stamp.the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi NORT►, O To _ � over O No. x. o , dover, Mass., lal fre Q -- LAKE COCHICHEWICK �t QATED U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR I THIS CERTIFIES THAT............ i ..`��..�......PAO............ ....r��. .. ............................................................................... Foundation .... has permission to erect..........:.::.......................... buildings on ........... �'}"'.................. Rough�........ ............. ...................... to be occupied as.. Chimney �. ...... .. ............................................:........................... e provided that the person ac pt g this permit shall in every re t conform to the terms of the application on file in Final- this inal this office, and to the provisions of the Codes and By-Laws rola i g 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 CONSTRUO T Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Aco CERTIFICATE OF IllLIABILITY INSURANCE DATE'MM/DD/YYYY) 9/ 2 1, 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(les) 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 LAKESIDE INSURANCE AGENCY CONTACT NAME: 3 WALL STREET PHONE N 603 432-3666 AIC No): 603 432-6076 WINDHAM, NH 03087 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: LIBERTY MUTUAL GROUP INSURED INSURER B: JAMES FREDERICK DBA J &J ROOFING INSURER C: 352 ISLAND POND ROAD INSURER D: DERRY NH 03038 INSURER E: INSURER F: C^ E=RA CES CER.IFICATE NUN EER: 1106829/ - - 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISESOEa occurrence $ CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT RO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION WC1-31S-374445-011 8/1/2011 8/1/2012wCSTATU- OR- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE r-1 NIA E.L.EACH ACCIDENT $ 100000 r1FFICER/MEMBER EXCLUDED? I YY �I _ _ __ (Mandatory in NH) — E.L.DISEASE-EA EMPLOYEE $ 10000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Workers Compensation Insurance:Part One of the policy applies only to the Workers'Compensation Laws of the State of MA. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR JAMES FREDERICK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MARY GUILMET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 51 MEETINGHOUSE HILL ROAD ACCORDANCE WITH THE POLICY PROVISIONS. WEST NEWBURY MA 01985 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 'CERT NO.: 11068291 Deb Corby 9/6/2011 7:25:16 AM Page 1 of 1 This certificate can and supersedes ALL previously issued certificates. �►,t� �.�oJ Srnd �Pc� Page No / ofA�v a PT,J&j Specializing in all types of �` ,, Roofing - Ventilation �. 97$-683-296,$ C Carpentry 603-X8; 81058 ROOFING PROPOSAL SUBMITTED TO PHONE DATE- 77 r ATE`7r .I, n rx4-.r, i(%2-11v-) (I 3— rU SY 1017-3 STREET , JOB NAME ' CITY,STATE&ZIP CODE JOB LOCATION t r r 1l4L� 7 ! ARCHITECT r DATE OF PLANS J6$1PP NE We hereby submit specifications and estimate for: u f � 4 � v ►1 T'✓♦ '� i' Y I C I 1 r , � rr r t-..r{ ♦ 'r, ( ! , i_� S r.4,t,.r l r ' ♦•r��.r.♦ .^,�. /� ,� �♦'r—/ •/' �� /:r.. '/ r l' _ / I. //. r w. YS( Q r�... '+" _ ' r' �"i' � �'r� ,,I .tt,r •�� � .l 'i �([�Ur^ r ( r- "�,'r C.� i i.C�'} yiI 11 ._ ..{.. ,x.11\♦ 7fr.,•,' i (" . t 'C ,r`..: ( 1r-�a � -�' f Cil. r ,.�1, 1 -1 /i ••IT rl .7r'i- +.� .('� ; x 'r,. ' r �1� t"r. f r '. �l t C I 1f-( 1 r' 7' .I /Irl( 11.'�f �c y(.S� A7 ,r, r clrnt' 1 - r P Cr, 'L �l,i �tl�� ar. �� — L�cc,. , C GG We Propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: -f- I Dollars($ Payment to be made as follows: n � - All material is guaranteed to be as specified.All work to be completed in a workmanlike Authorised ! •/ manner according to standard practices.any alteration or deviation from above specifica- Signature tions involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.all agreements contingent upon strikes,accidents / or delays beyond our control.owner to carry fire,tomado and any other necessary insurance. Note:This proposal may be Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within Days. Arreptattre of t1roPUSal The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized Signature to do the work as specified.Payment will be made as outlined above. tfi/ Date of Acceptance: ' J 1✓// Signature )y oG 13 06 -� w -fie Jr ► d5 02 �i c� e vetnt. r . The Commonwealth of Massachusetts Department of Industrial,Accidents Office of Investigations 600 Washington Street t Boston,MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): Address: 35atRc , City/State/Zip: 0cn ti.H n 3 n 3 5- Phone 6k3--256f- Are k3--256f-Are y u an employer?Check the appropriate box: Type of project(required): 1.I�I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working forme 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp: c. 152, 1 ,and we have no § 4( ) 12.❑Roof repairs insurance required.]t employees.No workers' comp.insurance required.] 13.F1 other *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. 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 their workers'comp.policy information. X am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information.. Insurance Company Name: Policy#or Self-ins.Lic.#:_ 4)C l3/S 3 2 VV9y 'OlO Expiration Date:��/%z /•� Job Site Address:_ / /Jgn S4. City/State/Zip: IJ. v%J0,1C-,m-,o 1?5/5 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci under ins andpenaldes ofperjury that the information provided above is true and correct. Signature: Date: lo? f/ Phone#: 6.P_7-.z ped Official us7on write in this area,to be completed by city or town official. City or ToPermit/License# Issuing Aune): 1.Board olding Department3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.OtherC ontact Pephone#: � Office�f�o����i�'`A3'fk�S"8c�BG�i es �i HOME IMPROVEMENT CONTRACTOR Registration: ..126777 Type: Expiration: 7/19/2012 Individual r 1'E V P.FREDERICK,_ JAMES FREDERICK..z. ' 352 ISLAND POND DERRY,NH 03038 ". Undersecretary `lassachusctts- Depat-tmcnt of Public Sal'CO Board orf Building Re�-ulations and Standard Construction Supervisor License License: CS 65870 JAMES P FREDERICK 352 ISLAND POND RD DERRY, NH 03038 Expiration: 12/17/2012 ('unnnissiuner Tr#: 13964 k, a, i ' Massachusetts Home Improvement Sam le 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 Company Name MkviI -Street Address(clo notbse a Post Office Box address) Contractor/Salesperson weer Name / - City/TownP)A State Zi Code 77 i mP5 /"N /C Zip Business Address(must include a street address) Anc)n,r Inc, 0 j F vs 3.502 Z/n Daytime Phone Evening Phone ,� ` G�3`505-41 City/Town State (? �^J ,�) Zip Code Mailing Address(It different from above) l ! . 03C,3.$� Business Phone 9,73'61_3-d S6 Federal Employer ID or S.S.Number ajq Home Improvement Contractor Reg.Number Expiration date Law requires that most home improvement contractors have n valid registration number C7�6 7 7"" The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to complette^d,specifying the type,brand,and grade of materials to be used,use additional sheets if necessal}!,) f'✓�� qnc/ re.-,00 erne A((ye'r' G�ef3PhgIT 5 0 1e5 _L k Cr4m6(-;J-5e I '1 `e �jn1e wctr(trt�/ Required Permits-The following'building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: 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 MGL chapter 142A.) Date when contractor will begin contracted work 5� �l Date when contracted work will be substantially completed. Total Contract Price and Payment!Schedule The Contractor agrees to perform the work,fiunish the material and labor specified above for the total sum of: (*) Payments will be made according to the following schedule: $ upon signing contract(not to exceed 1/3 of the total contract pric-enar the cost of special order items,whichever is greater) $ by !Q/ L/�� or upon completion of Ar�id e%i c T mc,1y �s $------- by / or upon completion of $3 6�upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $. (o GO,ec• to be paid for Mo Aelli '/r ordered before the contracted work begins in order to meet the completion schedul'e,(**) $ to be paid for 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 m which must be special ordered in advance to meet the completion schedule. aterial T x ress warranty-Is an express warran 1v beim rovided b the contractor? ❑No Subcontractors-The contractor agrees to be solely responsible for completion of the work d scribed regardless of the actions of any third ontract 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 if something is unclear. • Make sure the contractor has a'valid Home Im rovement Contractor Re 'stration. The law requires most home improvement contractors and subcontractors to ti g to tee DWlth 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 A y BL PACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy yssho dSPACESept by the ontractor. 4 Hom er's Signature ontractor's Signature �-V0 / Date li 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 arbitra on as provided In Massachusetts General Laws,chapter 142A. Hom er's Signature Aontrac!or's 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 homeowner's 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 consumer/homeowner 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. Ccntracted 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 fiends not yet duel 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. I Additional Information If you have general questions or need additional information about the Home Improvement)Contractor Law or other consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: i 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 http://wvv'Vv.mass.g;ov/ocabr/ 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 http://www.mass.y-ov/ocabr/ II Go online to view the status of a Home Improvement Contractor's Registration: hM:Hdb.state,ma us/homeimprovement/licenseelist asp For assistance with informal mediation of disputes or to register formal complaints against a business,call: I, 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 j Version 2.1-11/22/2010