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HomeMy WebLinkAboutBuilding Permit #379 - 104 GREENE STREET 10/27/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION I Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION d y 6_7 rd. Print PROPERTY OWNER C,o (Lo L, =,qUnit# Print MAP NO:3,11—PARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building cKOne family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ' DWaterhed�DisS0 Wel ' F❑; ec, loodplaii q Wetlands; tncf 0 Watez/Sewer DESCRIPTION OF WORK TO BE PERFORMED: rYtyt.-e LA e�z w0o cA Aln (Identification Please Type or Print Clearly) OWNER: Name: S C_ C1 Tr-- 777AL-v 4.,^ Phone: _7 Address: Z ��v S i— CONTRACTOR Name: �— �,�. �ti��UJ' �°. � Phone: `-t 7 "? 5 Address: &Ll�c `urzt_ 6r,-o(f [L7 1 cc ko Supervisor's Construction License: q -7 E,_2> Exp. Date: < Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PER MIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 00 FEE: $ 10 Check No.: G ?:> - Receipt No.:_oZ� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund kS�ignature_ofAgentl0wner Sic nature,oficontracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools El Well ❑ Tobacco Sales ❑ Food Packaging/Sales El 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 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. 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 Doc:.Building Permit Revised 2011 June/mi 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 Bldg Permit 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of 8Idg .Permit 9 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 Locationw No. _ Date i NaRTM TOWN OF NORTH ANDOVER F � A Certificate of Occupancy $ US 9 tBuildin /Frame Permit Fee $ low s�cNt 1 Foundation Permit Fee $ a Other Permit Fee $ TOTAL $ •r. Check # G3?-- 2 47 7 0 Building Inspector AORTH � TONM of o , dover, Mass., n sit oLAK 6 COCHICHEWICK ATED qS V BOARD OF HEALTH S- Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............S.eA ......S... .!^! .......:............................................... Foundation 11 4 k11 has permission to erect........ :............................. buildings on ......1Q ........ 11115111.111f .. . ........ ....... ................. Rough 0.f. dtChimney Y .............to be occupied as.. .... ........: 41 .. h the acce n this permit shall in eve respect conform to the terms of the application on file in Final provided that p p g P every P 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ST 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. NORTIy 9 0 of over . O No. o dover, 1Vlass.,.� • �� • /t O LAKE �. /�. COCHICMEwICK V ORATED P?a��� v V BOARD OF HEALTH z, Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............. ." ...... ... ....................................................... Foundation has permission to erect........ :.::.......................... buildings on ......10%(....... .. ...........&4. 0404.0.0...... ................. Rough .................................................................... to be occupied as.. ... .... ........:0jiK.4d6 ...... Chimney that the acce n this permit shall in eve respect conform to the terms of the application on file in provided t o p p g p nl P PP Final 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ST Rough ..................... .............. ................................................................... Service .. BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy 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. ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 0.2111 www.mass,gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Eleetricians/Plumbers A Iicant Infer tin Please Print Legibly Name (Business/o rganization/Individuaq: :-lddress: rL .4 City/State/Zip: .. #:���..�.�..��....��_ Are you an employer?Check the appropriate box: "- i. I am a employer with 4. ❑ I am a general contractor and I Type of project(required); employees (full and/or part-time),* have hired the subcontractors 6' Q New construction �•❑ 1 am a sole proprietor or partner• listod on the attached shoot, t 7. ❑Remodeling ship and have no employees These subcontractors have 8, ❑ Demolition working forme in any capacity. workers' comp, insurance, [No workers' comp. insurance 5. ED We are a corporation and its 9• Building addition required] officers have exercised their 10.0 Electrical repairs or additions 3.❑ lam a homeowner doing all work right of oxeatptiou pot MGL 11.❑Plumbing repairs or additions myself. [No workers comp, c, 152, §1(4), andwo have no 12,[D Roof repairs insurance requirod.J t employees. (No workers' comp, insurance required,) 13,❑ Other_____^_ ^ ',."ny applicant that chocks box#I must also fill out the section below showing their workers,'compensation policy information, ' Homrowners who submit this affidavit indicating they are doing all work and then hire oupido contractors must submit a now affidavit indicating such. Con1racwrs that cheek this box must attached an addldonal'shoot spewing the name of the sub-eontraotors and their workers'comp,policy information, NNNN nut an employer that isproviding workers'ootngensatlon insurance for my employees. Below iiVjrmation, is fire policy and)oG site 'r:surartce Company Name; V 1 Policy # or Self-ins, Lic• #; V Expiration Date:� �1 Job Sile Address: I b Lf City/State/zip:�� �� c.< �► Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dntC). Failure to secure coverage as required under'Section 25A of MOL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisortmont,as well as civil ponalties in the form of a STOP WORK ORDER and a fuw o f'up to$250.00 a day against the violator. Be advised that a copy of this statement may bo-forwarded to the Office of lrtvestigations of the DIA for,iasuraneo,eoy'orage vorification, I do hereby eerto under the pains and penalties of perJ4ry that the lVormatlon provided above!s true and currccr, Si[�narure: Date: Phone#; Oficial use only, Do not write In this area, to be completed by city or town offlcial City or Town: Permit/License# i Issuing Authority(circle one): 1. Board of Health 2,"Duilding Depart I mont.3.City/Town Clerk *'Electrical Inspector 5,Plumbing Inspector G. Other p �I Contact Person: Phone#: .. ... ... ........u.\ul:Jli:.[.'.:_1fa..W:aL............aa�..w.l....._..........i...�L.i...�.:•1:411�:.�_.[..... ._.. ... .. •�{'.._...:i[•:..iSt:'•Yuli lfi,.'..'Ill is.. ... .. .... .. .. JAN-24-2011 11:27 Sennott Insurance 978 88? 2404 PW.Lf.01 L PROD)CE+ 978. 8 .4900 FAX 976.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward F. Sennott Insurance Ayencyl Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16 South Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P. 0. Box 457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Topsfield, MA 01983 INSURERS AFFORDING COVERAGE NAIC9 1NJIu�O e inc i b 91 y Contract I ng .. -I nc. INSVREAA: tin C • t nsurance 0 23R Winter Street mum e: Travel ers 19038 Peabody. MA 01960 IN$~9 MISURER c INSUREA E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR "Y PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN lS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$. TIN WC TYPE OP OWRANCE PoIIDY NUldsm UMIry GENERAL LIABILITY MIME / ! 0 1 0 ! FACH DOMMENCE s 11000.0001 r ODMMEACIAL 080AAL LMILITY L, a i 100,000 CLAW MADE [!] CCU OR MED OP UVd an Dwwnl i 5. A PERSONAL i ADV INJURY 1 1 000 GENERAL AGGRBOATE S Z 000 OENL AOGREOATE LIMIT APKU PER: PRODUCTS•COMPW AGO S 2 POLICY LDC AUTOMOiILE LOA LM - OOMBwED 91NOLE uMrT S A►VY/WTO (F+wCWerM) ALL OWNED AUTO& ODDLY INJURY S SCHEDULED AUTOS (PM WW) HIR£D AUTOS NOOLY NUURY 1 VON owNED AUTW (PW wjdmu (PROPS DAMAGE 1 F-w do GARAGE LIABILITY AUTO ONLY•PA ACCIDENT i ANY AUTO Q EA ACC i ^"""'NLY; AGG i E7IC9U I UMBRELLA LIABILITY EACH OCWRRENCR i OCCUR �CLAIM$MADE AGGREGATE i D@DUan" s RETENTION S S woRxENs COMPL43ATION AND EMAYEAW LW ILRY Y J N RY R 3 ER ANY PROPRIETOR/PMRNERM(ECUTLtL EACH ACCIDENT $ OFFIC6UMEM13ER EACLUDED7 u xvwf wy M NNI E.L.DISEASE•EA EMPLOYE 1 Urs� O mm""neer $PEC IAL PR V{S LL DISEASE•POUCY LIMIT S OTHER DEIGWJ'TON OF 9►€RATIONS!L06ATIOIN/VE111DLEilEJtOLU�lON9 ADDED aY EIOUR8E11EMf 19PEICIAL PROVI{gN� Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DEEORIBEO POU=3 9E CANCELUD WORE THIS 4XPWAMN DATE THEREOF,TMC LTMUINO INSURER MU OWAVCR TO MAIL 10 DAYS YMYTTEN NOUX TO Tm CEATIF"m mxm MAMBO To THE IA".OUT FAIW RE TO 00 90 SMALL Evidence of T n s u r a n c e R,WO0 Nq 961LIGATION OR WWILTTY OF ANY 10ND UPON THE INSURER,ITS AGENTS OR ANVES, AUTHOROW IriPRESMATIVE Robert Sennott ACORD 25(2009/01) 019W2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are realatered marks of ACORD '"4 w C-UI1 1J e-ti 5ennott Insurance 9'7k1 88'7 2404 P'ul I'�V Vf%WTM vr. • , .. .y.. . �r .erNr+ &..ff SaWf I t• , .,.\I\I►�.�I'1e.�.r.w�.. 07/28/2011 PRObucER 978,887.4900 FAX 97141117;1404 TNI 4E TIF ATT!I a>f Ep S A MATTER pF INFORMATION Edward F, Sennott Insurance Aggncy; Inc, ONLY AN CONF NQ'RIQHT>i UPON THN'CURTIFICATE 16 South Main Street MOLDER.THtS CERTIFICAT91 DOES NOT WOO,EXTEND OR P, 0, Box 457 ALTER THE COVERAGE A FO ED BY THE POLICIES HELOW. - I Topsfield, MA 01983 INSURERS AFFORDING COVERAGE NAIL N INSUREO Len Cie y ontracting Co Inc,- INsvwA A.I.M, Z3R Winter St. --- .-. _ Peabody, MA 01960 IN6uRlRe' _._ INSURRR CI INSVRiR 0: NNSURlR!: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THe POLICY PERIOD INDICATED,NQTWITH$TANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED Ori MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES OESCRISEO HEREIN 18 05,IECT TO ALL.THE TERMS,EXCLUSION$AND CONDtTIQN$OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE.PEEN REDUI;EP gY PAID CLAIMS, INR TYPE OF INSURANCE POLICY NUMeaR' LIMITi GENERAL LIA016I1Y EACH OCCURRENCE 3 COMMERCIAL GENERAL LlA91LITY ---- - �"'� I Es• wr n 3 CLAIMS MADE []OCCUR MED EXP(Airy Ong IWrw)------------- PERSONAL 8 ADV INJURY 3 ..'• •••-.�,•.' GENERAIAOGRiOATf� i i GEN'L AGGREGATE LIMIT APPLIE6 PER: /RQpuCTE CQMi/OP 000 b POLICY P LOC AUTOMOBKE UAQ(WTY ANY AUTO OOMO NED 81NOIE LIMIT b (Eo eocitlenq ALL OWNkO AYTQ$ _ SCHEDULED AUTOS 9001LY INJURY i HIRCO AUTOS Pte,. onl NON-OWNED AUT08 WILY INJURY 3 (PtracWtlenq jGARAOE PROPERTY DAMAOi LW8IUTY AUTO ONLY,EA ACCIDENT j ANY AVTO '--- .,.,,., ..... ....,._ EA ACC i r —7 Al�T NLLYA'N• AGC 3 EXCESS I UMPRELLA LIABUTY iACN OCCVRRENCI i OCCUR CIAIM$MAQJ AOOREQATE b DEDUCTIBLE _..( RETENTION 3 �S WORKERS y6RV A@IUT VWC6010s17>i01Z 11 08 09 2011 08 03 Zp1Z i IAYION AND EMPLOY T I L RTNE r ANY PROP MOER PACLVQe IxECUTIVEn `.L,NIAQH A09I04K i T 500100 A OFFICER!MEMBER EJV:LVOED7 1.--.1 (M"slo.'y In NN) ... N es.ae.a(w un SPECW PRQVI$Ider I.L.016lA8E EA EMPLOYEE i $00.000 _ ON$below I OTHER E.L.DISEASE.POUQY LIMIT 3 Soo UU( i OwWPTIONOFOPERATION61LOOATIONDIVe/NCLi6/BXGWegNeAaP BYaNWOReSMRpTIi►iCIAIWIPVIiWNs I CERTIFICATE HOLDER CANCELLATION iwip ANY OF.THO"W4 4POP PVLIQ W$Ri CANCQUW NRFW THE RXPIRAnON DATI,TrISIleOf,Tbt IeeI11NQ Mt4.4pfR.Wli,�ENDEAVOR To AINL: PAYE WRITTEN NMI TO TNS 999WMAT7;MOLUFA NAMED TO TN!LEFT,I9UT i.Al1.LMLE TO Do so SHALL IMPOie No 9#49ATKNr OR 41AWUTY OF ANY KIND U?pN TNIII IN$VRER,IT$.AaEN r$OH Re' ltCrRl�1. Evidence of Insurance AunlOn�c� errtArive - . ACORD zs(zoosrol) Robert°Sennott 0 2009 APPRO CORP Q"TiQ , All rights rusumd. The ACORD name and logo are regletersd marls of ACORD *- µ Nussachusctts Dcpurtntcnt ut'Public'S�tfct> Buurd of Building Rivgulatiuns and Standards Construction Supervisor License License: CS 94763 Restricted to: 00 THOMAS R DOBBINS , 19 CEDAR HILL DRIVEr DANVERS, MA 01923 Expiration: 5114/2012 (bulilt l..riuner Trp: 23757 , �e '�arnnu»uueall� a�✓�aasuc�ivaell4 UI'licc of Consumer Affsirs&Business Regulation License or registration valid for individul use only p HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration Type: 100811 10 Park Plaza-Suite 5170 Expiration'..1/23/2012; Supplement Card Boston,MA 02116 i EN GIBELY CONTRACTI G Cor;INC. THOMAS DOBBINS 149 Main Street PeaDody, MA 01960 Undersecretary Not valid without signature LEN GIBELY CONTRACTING CO., INC. rageIvu. DI If rages 23R Winter Street 23289 PROPOSAL PEABODY, MASSACHUSETTS 01960 All home improvement contractors and subcontractors (978)531-8234 Fax(978)531-9304 engaged in home Improvement contracting, unless www.lengibelycontracting.com specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered Submitted with the Commonwealth of Massachusetts. Inquiries To: S60,4 4—carC), TCi)un k- ._ about registration and status should be made to the Director, Home Improvement Contract Registration, Q Y �j_/�Q(n ._ S _ One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own ////n}�'� construction related permits or deal with unregistered �I A JVV "-`�'t-Q y yf - - contractors will be excluded from the Guaranty Fund Provision of MGL c.142A. P ONE DATE REGISTRATION NO. T )8I- ,5 Z.7 Z 7/Z MA.REG.100811 OB NAME/NO. /rte-- JOB LOCATION .5.4--I We/he,reby�submit specifications and estimates for work to be performed and materials to be used: -3 _— ID,4 d/2117 - 4-- .�-.s.��g e_._ _�_(--s--t_ 4a,VPI -j-W 74- -- Constructionrelateddpp(enmmits: _-- WORK SCHEDULE Contrailr egin t rk or order the materials before the third day following the signing of this Agreement,unless specified herein w i .C-t for will gin the work on or about date).Barring delay caused by circumstances beyond Contractor's control,the work will be completed by e).The Owner hereby ackno ges an roes the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not nsidere as violet, 1 this Agreement. WARRANTY Q�/p�( The Contractor warrants that the work furnished hereunder shall be free from defects in material and workmanship for a period of 1.1J..L\.,1_following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of any Job,including clean up,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced. such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed In connection with the agreed-upon work. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: Payment to be made as follows: dollars($r %(s I )upon signing Contract;< e�fgdna111di1� lName of Contraegist t___��" %(s )upon completion of _._ _. Street Address %($ )upon completion of City/Slate P one% ($ )shall be made forewith upon completion of work under this contract. Phone Eederal ID No. Notice: No agreement for home improvement contracting work shall require a down e 1 man payment(advance deposit)of more than one-third of the total contract price or the — total amount of all deposits or payments which the contractor must make,in advance, to order and/or otherwise obtain delivery of special order materials and equipment, Aut ize whichever amount is greater ote:This proposal may be withdrawnus it not accepted within days. Acceptance of Proposal I have read both sides of this document and accept the prices,specifications and conditions stated.I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ///��AREANY BLANK SPACES. R S,gnature Date Signature Date✓ I IMPORTANT INFORMATION ON BACK