HomeMy WebLinkAboutBuilding Permit #330 - 101 DUNCAN DRIVE 10/22/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
If IMPORTANT::Applicant must complete all items on this page
LOCATION C A &J IR\V E-
Print
PROPERTY OWNER fZ A(\k \,-n V1 e, Unit#
Print
MAP NO:_/b PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building WOne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
�f2epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Sep""tie 0`Well ET am p`Wetlands RI WatershedyDi_strict
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
rky, SI on I c rzo E-
(Identification Please Type or Print Clearly)
OWNER: Name: V--ra \L L&n k Phone: 5o J
Address: I h ( Dun mn Nyc, Noy-ik NriJy\tv hfl d 1 y Y
CONTRACTOR Name: l W+�(()h O "oo(5 ,n$ �1�I n) Phone: q (o 3 )__a
Address: X31 R Su-t z n S-4, Sx i N dvtt, Aty-loyx, MA d
Supervisor's Construction License: Exp. Date: ta )(o a p ( 3
Home Improvement License: Exp. Date: 7 1 1,4 U I �4
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
v0
Total Project Cost: $___13_L0, FEE: $_
Check No.: 4_05--
Receipt No.: c5od*?,
NOTE: Persons contracting with unregistered contractors do not have access to the gurarpptv fund
. :.....
iCniY7friro rif ANant%(1lninPf :. -
-_Signature ofcontractor- .:
Location ��G� �n
No. V Date /�.----_
® - TOWN OF NORTH ANDOVER
4;5��9't,h:b
B
® ` Certificate of Occupancy $
Building/Frame Permit Fee $ �
' Foundation Permit Fee $
Other Permit Fee
TOTAL $
Check# 03
25862 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 SicLnature
COMMENTS
4
I
HEALTH Reviewed on Sionature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
i
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. ft.:
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.$100-$1000 fine
NOTES and DATA— For department use
Notified for pickup - Date
L - �
Doc:.Building Permit Revised 20117une/mi
-:Siariature. 0f contractor
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
❑ 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 BldgPermit
t
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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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
c] Engineering Affidavits for Engineered products
VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permlfi
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
nust be submitted with the building application g
Doc: Doc.Building permit Revised 2008mi
C;UM1vlr lv 10
0ORT11
' i 'own of t l,, Andover
O pt r fn
No. - n
{� Z
o h , ver, Mass, ® .
COCHICHIWICK
A�4ATE1) 1"P�,�'�5
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ............ .................................. BUILDING INSPECTOR
has permission to erect g �,� `, Foundation
.......................... buildings .... ............4 ...rte/.
Mmwwoo Rough
tobe occupied as .............. ... .. ... ...... !.... ... ........ �. .. ............................................... Chimney
provided that the person accepting t s permit shall in every respect conf to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating g 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 EXPIRES IN THS ELECTRICAL INSPECTOR
UNLESS CONSTRUC I Rough
Service
.............. .. ..................................................
Fina
BUILDING INSPECTOR
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. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations .
0 600 Washington Street
Boston, MA 02111
,.•'�y www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
_Applicant Information Please Print Legibly
Name (Business/Or ganization/Individualy CA S rR l C PIYt /10 0 j/ N k
Address: 2,.3) R 5o T rb ig STrzk�guT 3A
City/State/Zip: Ko, AnboV6K NA 0 f qS Phone #: 51 8 - W '.3 Q 0
Are you an employer? Check the appropriate box: Type of project (required):
1. ® I am a employer with 4 4. ❑ I am a general contractor and 1 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. ❑ 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.❑ 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, §1(4), and we have no 12.%Roof repairs
insurance required.] t employees. [No workers' 13.0 Other
comp. insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
Homeowners wbo 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.
am an employer that is providing workers'compensation insurance for my employees. Below is the.policy and job site
nformatiom
nsurance Company Name: Vk A(Z n S
'olicy# or Self-ins. Lic. #: YV COQ 3 t 99 713 Q Expiration Date: �!, 0 3 -('
lob Site Address: [0 'Nap—P 16�. City/State/Zip:N V 1'l)6 k( NA U
Xttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
-ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
ine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a SWOP WORK ORDER and a fine
)f up to $250.00 a day against the violator;-Be advised that a copy of this statement may be forwarded to the Office of
nvestigations of the DIA for insurance coverag.verification.
do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
3ipnature: �i r., Date: I D ��- I
?hone#: �] � 8 3. 3 y d o
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 Clerk 4. Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone #:
Town of North Andover v4nkrN
�0�{1��0
Building Department
27 Charles Street '' A
North Andover, Massachusetts 01845 s
(978) 688-9545 Fax (978) 688-9542 °� ° ;�.:w"•
�SSACHUS%'C
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MG.L c,l 1, s150a..
The debris/will be disposed of in/at:
Facility location
Signature of Applicant
10 1 11 a 2 q t)/ z
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector,
A CERTIFICATE OF LIABILITY INSURANCE DADD
9//11/11/2001212
PRODUCER 978 273 6368 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willows Insurance Agcy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
51 Cochichewick Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
i
North Andover MA 01845 INSURERS AFFORDING COVERAGE NAIC#
__. --' '
INSURED
INSURER A:WESTERN WORLD INSURANCE CO
DAVID CASTRICONE ROOFING & SIDING INC & INSURER B:
CASTRICONE ROOFING & SIDING INC ! INSURER C:
231 Sutton St #3A
IN D:
NORTH ANDOVER MA 01845
I
INSURER E.
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR(ADD-Li POLICY EFFECTIVE POLICY EXPIRATION
LTR N P INSURANCE POLICY NUMBER DATE MM DD ATE MM DD LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
I COMMERCIAL GENERAL LIABILITY AMA TO RENTED
r--
PREMISES(Ea occurrenceZ_-.I$ 50000
A jCLAIMS MADE XjOCCUR NPP1332888 9/6/2012 19/6/2013 jMED EXP(Any one person) $ 1000
PERSONAL&ADV INJURY $ 1000000
fGENERAL AGGREGATE $ 2000000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG I$ 2000000
POLICY: JE
PRO I LOC
AUTOMOBILE LIABILITY
- COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
. HIRED AUTOS
f" - I �BODILY INJURY
NON-OWNED AUTOS (Per accident) $
._._._._.. PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY
---. AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC 1$
i AUTO ONLY: AGG j$
EXCESS/UMBRELLA LIABILITY I
—_ EACH OCCURRENCE $
OCCUR _ CLAIMS MADE
AGGREGATE �$
$
DEDUCTIBLE
j RETENTION $ ---- `------— -
WORKERS COMPENSATION
! AND EMPLOYERS'LIABILITY YINI TOBY LIWC STAID- 0-TBH- —ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F-11 E.L.EACH ACCIDENT __ $ —
(Mandatory in NH)
Ifes, E.L.DISEASE EA EMPLOYE ydescribe under �---- - $
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1 $
OTHER
I
I
I
I I
I I
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Castricone Roofing & Siding DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Unit 3A NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
231 R Sutton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
North Andover MA 01845 REPRESENTATIVES.
� AUTHORIZED R ES
ACORD 25 2009/01 `o /
� ) O 1988-20 ORD CORPORATION. All rights reserved.
INS025(200901).01 The ACORD name and logo are registered marks of ACORD
AC" CERTIFICATE OF LIABILITY INSURANCE 2M/DDIYYYY)
9/ 4/200 DATE 4/20 2
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).
CONT CT
PRODUCER NAMEA Select Dept ext 66807:
Eastern Insurance Group LLC-Main PHOAIC NE o. 08-651-7 0 ac No):508-653-8089
233 West Central Street E-MAIL
Natick MA 01760 ADDRESS: I c
INSURERS AFFORDING COVERAGE NAIC#
1INISURERAZommerce & Industry 19410
INSURED 3i969 INSURER B:
David Castricone Roofing&Siding Inc INSURER C:
231 Rear Sutton Street, Unit 3A INSURER D:
North Andover MA 01845
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1538501247 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 INSURANCEAODLSUBRI POLICY EFF POLICY EXP
LTR W POUCYNUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTE:[T—
COMMERCIALGENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS-MADE FlOCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPYOP AGG $
POLICY PRO JFCT L1 LOC $
AUTOMOBILE LIABILITY EaaecideIII
AWY AUTO
BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Per accident
$
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERSCOMP ENSATION WC003989723 /23/2012 /23/2013 X WC TORY LI
1 TERM
AND EMPLOYERS'LIABILITY
OIFFICER EMBORRIPARTNERIEXR EXCLUDED?ECUTIVE F—] N 1 A E.L.EACH ACCIDENT $100,000
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000
II yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500,000
DESCRIPTION OF OPERATIONS)LOCATIONS r VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
David Castricone Roofing&Siding Inc ACCORDANCE WITH THE POLICY PROVISIONS.
231 Rear Sutton Street, Unit 3A
North Andover MA 01845 AUTHORIZED REPRESENTATIVE
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
'" i�iassachus�tts - Department of Public SafetN
Board of Building Reg
ul:uions and Standard
Construction Supervisor Specialty License
License: CS SL 99358
Restricted to: RF,WS
DAVID CASTRICONE
31 COURT STREET
NORTH ANDOVER, MA 01845
—�'- Expiration: 12/16/2013
('uumii„iuncr Tr#: 7924
SCA 1 0 20M-05/11
Office of Consumer Affairs B Busidess Regulat o�n elr
Q, #OME IMPROVEMENT CONTRACTOR
y� c�egistration:
Via- 104569 Type:
---��Expiration: 7/14/2014 Private Corporatic 11
e,. P
' DAVI CASTRICONE ROOFING, SIDING&
David Castricone
231 R SUTTON ST SUITE 3A
NORTH ANDOVER, MA 01845
Undersecretary
DAVID CASTRICONE,PROS
CASTRICONE ROOFING& SIDING INC.
ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS
HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569
200 SUTTON STREET,SUITE 226,NO.ANDOVER MA 01845
In North Andover 978-683-3420 Jn Boxford 978-887-6147 In HaverhUI 978-374-7314
I/we the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary
materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and
conditions,on premises below described:
Owner's Name..... J'" FY �.
�r.........................................................Telephone#...;.x.........�.��.....
Job Address../�?..�..a ... Jt..�:�..c�. . ..........:.....�...............City..... / ....4L.'l!�!jA�:r r' .!1..........(Q�Staty /� ...........
Specifications: C 0/OV mol re 61 a CK.
................................................................................................................................................................................................
Strip existing shingles./)( t/Apply new drip edge to all edges.
.......................................................................................................... ........................................................................................................
L,-,Apply _feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane
in valleys and bottom edges of any unheated areas of house.
......................................................................................................T�.....................................................................................................
y/Apply felt paper underlayment. Install ridge vent to � / '144Z
C
�� Reroof using %la=C<<i) t�i('_i h4/f-(�G,•T shingles with a + year warranty.
......................................................................................................................................................................................................................
t/Counterflash chimney. New vent pipe flashing.L/Legal disposal of all debris.
......................................................................... ..
.............................................................................................................................................
Area(s)to be worked on: f
...............................................G� �.....".4.1. 4.......... F,r—L:... ....,.... ,E�crG.r .,.. �..........
VC4Gr�fG `. .. :'.r'r:�.....I.)..G�'lG
................................................................✓........................................................... `�.'.��. ... �
Roof board replacement if necessary @ /sheet or /foot eil
................................................................................................ ................... �3 ...../.�..s:�)...........................................................
Two Year Workmanship Warranty(Not Transferable) Manufacturer's Warranty as specified bya ufacturer��r
The contractor agrees to perform the work furnish the materials specified above for the SUM of$.... �,
Payable..........1............on...Va'.-a.............
Payable.............................on.................................. Balance payable on completion of job
Owner or Owners are not responsible for Property Damage or Liability while job is in operation.
Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or
conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living
spaces).Items in attic may need to be covered by homeowner.All materials are property of contractor. My dumpster placed by contractor is for his use only.Upon
completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by
contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is
agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,that
shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by
contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the panics.The undersigned warrant(s)that he is(they are)
the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s).There are no representations,guaranties or
warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,not is the contract dependent upon or subject to any conditions not
herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties.
All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration
should be directed to:Director,Home ITFrovement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108
Tel:617-727-8598
Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction-
related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A.
Approximate starting date of work................................................ Completion date.........................................................
Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing
provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be
binding upon the parties and that all of the agreements and understandings of said patties are contained herein.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Owner has three business days to cancel this contract and incur no penalty (see notice f cancellatio .
IN WITNESS WHEREOF,the parties have hereunto signeytheir
1... .day of.. .. .Y�..�.��'...,20...�`-"
Accepted:
Sign ........................................._........ Owner
oa,Y.......s� Sign .. ............................................. Owner
...................................................................
David Castricone,President