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Home My WebLink AboutBuilding Permit #730 - 114 SPRING HILL ROAD 6/25/2009 BUILDING PERMITo*No DTH qti TOWN OF NORTH ANDOVER �4'. '`- =h '° o APPLICATION FOR PLAN EXAMINATION Permit NO: v Date Received �4q�gA7[D s-- 9SSacHus�� Date Issued(, - I L� ,�J IMPORTANT:Applicant must complete all items on this page LOCATION /1 J''!'l n,ce l o l l R J Print PROPERTY OWNER S U rn Z7o 16:t oU Print MAP NO:lo 7 PARCEL:.22il ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family . Industrial Alteration No. of units: Commercial Rep r, replacement Assessory Bldg Others: Demolition Other eptic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 2LP )AC.e bid ows �/ f,2&& Y9a-ti . SF2;eS Earttzse i Ait l/Z,y 451 Identification Please Type or Print Clearly) OWNER: Name: fin" ; �&, lb5, Phone: Gia •14S6 Address: ! `f i2a i ri CONTRACTOR Name: P_ '� Nt F ` « Phone:°Y 'mss -lg t-5 R's 1 Address:_ ;I- l w i n •� / Supervisor's Construction License: _ ,5 q 2 15 Exp. 'Date:. -3 - /0 Home Improvement License; b`t53$�j Exp. Date: S i 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: $ y Vo L)A 3 FEE: $ Check No.: S c!a 6 Receipt No.: S� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgentJOwner �= Signature of contractor i 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 n e ed o Signature COMMENTS r 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 foricku - Date p p Doc.Building Permit Revised 2008 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 Bldg Permit 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:Building Permit Revised 2008 Location P/( No. _ Date 40RT" TOWN OF NORTH ANDOVER 4, 0 yAL . 6 a ` Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # LQL 22 , 52 Building Inspector Date....l...^ "..+.a �aORTM °f�•``°.;•'"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �SS�cMusE� 7 This certifies that ....... 1.1..4. ....... ..... ..................................................... has permission to perform .... .✓.r?.../.l*'0 ' ..................................... wiring in the building of......5. . (.... dkdl-- ............................................... at..... �. .... �!-! .. .............. .North Andover,Mass. Fee..,......... c.No.....�. Z.3......... !.,. .. ��.. . t ELE ICALINSPECTOR Check # 74bs (C\ Commonwealth of Massachusetts Official U Permit No. Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy and Fee Checked /07 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ��L Sl D 7 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) r I"'16 V4*" <d. Owner or Tenant S u �o1 be Pi Telephone No. Owner's Address t I.Li 5 p t~; t.+e t}-i (` 4 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building J<:f Utility Authorization No. Existing Service Zcx:;) Amps t Zo / Z40 Volts Overhead ❑ Undgrd © No.of Meters t New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: : Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 17— No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 4a Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets It No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and fo Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers t Heat Pump Number Tons KW No.of Self-Contained Totals: D,etection/Alerting Devices No.of Dishwashers t Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water No.of No.o Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: e No.of Devices or Equivalent OTHER: - Attach additional detail if desired, or as required by the Inspector of Vire.s. ` Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE �0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: P—Lec-+M", LIC. NO.: 17-1 ►M Licensee: Signature � LIC. NO.: t Z 3 4f,L (Ifapplicable, enter "exempt"in thelicense numb r line.) Bus.Tel. No.: �3g2.(o 3e:5 t Address: lav 6'k tZtP E{*-"e •� �r'[15 N� 0394 q Alt. Tel. No.:4o3 `lt$ ca547 *Per M.G.L c. 147, s. 57-61,security work requires Department of Public Safety "S" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 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. # E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me 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 j 3.❑ 1 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.❑ Other comp. insurance required.] Any applicant 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: 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 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: 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 Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: loft �-c,rte Pe C9 r NORTH Tovm of Andover . No. 73o . o �- A K E COC dower, Mass., NIC ME WICK ORATED P'f '`C5 `s BOARD OF HEALTH PERMIT D Food/Kitchen Septic System -5'6) M/ Dd IO BUILDING INSPECTOR THISCERTIFIES THAT............................................................................... .................................. ........ Foundation .. �.. ..... .................. has permission to erect........................................ buildings on ./.,/ t Rough to be occupied as.......lll..,rY� Ti �.n�T:` Chimney ........... ...................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 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 Q� PERMIT EXPIRES IN 6 MONTHS 1 ELECTRICAL INSPECTOR BLESS CONSTR S TS 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. Board of Building Regulations and Standards -- HOME IMPROVEMENT CONTRACTOR Registration- 108383 t; — Expiration ,8%18/2010 Tr# 272473 f_ a Type -t)BA' KEEN CONSTRUCTION CO Kenneth Keen 21 Hewitt Ave No.Andover,MA 01845 Administrator ; Board of Building Regulati s and Standards Construction Supervisor License =G, License: CS 58245 Expiration'_.-3/2412 0 1 0 Tr# 17840 71 Rest�ic#ion:'DO'- , KENNETH B KEEN 21 HEWITT AVE N ANDOVER, MA 01845 Commissioner tea. ✓fie �arnarearzeoea� af,.:'�,crdaz7,cfivaelZa lioard:of Building Regulations,and"Standards Construction Supervisor License License: .C•S 76691 :Birthdate_ 81631968 Ezp"ilrat�en; $/r16t2009 Tr# 385:9 � Res#rection Ob ROBERT.A KEEN°%%. 12 E WATER ST N ANDOVER MA:0184'5 Commissioner 6, g4 W � t The Commonwealth of Massachusetts Department of Industrial Accidents .,. Office of Investigations r 600 Washington Street Boston,MA 02111 6 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �.f Please Print Lel4ibly Name (Business/Organization/Individual): � N (,pyJS�'1,"c�`j s Address:_g 1 141.— 1 q7- �L/e City/State/Zip: ?U _ P p d, -//)iE Phone #:7 7 6 9 C Y;o � Are you an employer? Check the appropriate box: Type of project(required): 1.E91"am a employer with 1 4. ❑ I am a general contractor and I employees(frill and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. E] Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. S .A Insurance Company Name: a W Policy#or Self-ins.Lic.#: We \ Expiration Date:_ ^ Job Site Address: t I S P12 l hC, 1 City/State/Zip: o . 1�4 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 may be forwarded to the Office of Investigations of the DIA for insurance covera e verification. Q g I do hereby certify under the par d and penalties of perjury that the information provided above is true and correct. Si nature: Date: 67 Phone#: q `7 SS (�_ �l i — ,� cu n\ Of rcial 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#: 4/8/2009 4:15 PM FROM: Gilbert Insurance Aq Gilbert Insurance Aq TO: tl (978) 682-3231 PAGE: 002 OF 003 DATE(MWDDIYYYY) ACO-RDI., CERTIFICATE OF LIABILITY INSURANCE 04/08/2009 PRODUCER (781)942-2225 FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 137 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Reading, MA 01867-3922 INSURERS AFFORDING COVERAGE NAIC## INSURED Kenneth B. Keen INSUIRERA: NORFOLK & DEDHAM INSURANCE 23965 DBA: Keen Construction Company INSURERS: Granite State Ins. Co. 0077 21 Hewitt Ave. INSURER C: North Andover, MA 01845 INSURER D: 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 LIMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTNE POLICYEXPRATION LIMITS GENERAL LIABILITY ND-P-010078/000 03/13/2009 03/13/2010 EACH OCCURRENCE $ 1,000.00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ S0, CLAIMS MADE X❑OCCUR MED EXP(Any one person) $ 5,00 A PERSONAL&ADV INJURY $ 1 000,00 GENERAL AGGREGATE $ 2,000,OD GEN`L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 X POLICY JET LOC AUTOMOBILE LIABILITY COMBINED SINGLE L@d17 $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AU rO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSAHABRHLA LIA99JTV EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC7431477 08/03/2008 08/03/2009 X I WCSTATU- I o7H. EMPLOYERS'LIABLITY ER B ANY PROPRIE70RIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEq$ 100,00 If yes,describe under SPECIAL PROVISIONS below E.L,DISEASE-POLICY LIMIT 1$ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT[SPECIAL PROVISIONS riginal workers compensation certificates to be issued by company. Evidence of Insurance only. CERTIFICATE HOLDER NCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. NONE - EVIDENCE ONLY AUTHORIZED REPRESENTATIVE Mark Gilbert CIC ACORD 25(2001108) OACORD CORPORATION 1988 KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Dolben,Sumi 114 Spring Hill Rd. N.Andover, MA 01845 (978)682-1456 Contract#5012;Appendix A Date: 5/22/2009 Replacement windows: • Supply& install 14 new construction Pella Architect Series windows with grids between the glass to match the existing windows • Supply& install 2 pocket Pella Architect Series windows with grids between the glass to match the existing in garage • Supply& install new interior window stools and casing(primed) on the new construction windows • Supply&-install new exterior PVC casing and stools on the new construction windows to.match the windows that were previously replaced •. Supply&.install full screens on allwindows • Dispose of all debris Total Price: $24,884.83 (twenty four thousand eight`hundred eighty four dollars and 83/100 dollars) Price does not include cost of permits, painting or unseen rot found behind the windows. Payment schedule: $8000.00 due upon signing contractV $8000.00 due when windows are delivered $4000.00 due when 8 windows are installed $4484.83 due when contracted work is complete ,Customer Kenne B.Keen Date Date »_ Mr+v+pf 't•,ns,., .. .i2"i .un.�'# ,#; x.', F�x:•M7: .✓`>. ,,S:Cx{„r fS i;....k�7,, a<YlkµA tl lat'�, k%,H KEEN CONSTRUCTION CO. GP PROPOSAL A 21 HEWITT AVENUE 44ko NORTH ANDOVER. MA 01845 Tel: (978)691-5201 All home improvement contractors and subcontractors engaged in home improvement contracting, unless Fax: (978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted U 1 c b�, the Commonwealth of Massachusetts. Inquiries about To: —_. `_..✓._..._..___._..._.......:................ .................._.._._. registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton _.. Place, Room 1301, Boston,MA 02108 (617) 727-8598. Owners who secure their own construction related _� .-.._.. � (f l l l f�A Cl 5 — permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DAIE REGISTRATION NO. EINN O. 5 -2 2-- O 9 MA. H.I.C. 108383 26-0462904 > C/S = Customer Supplied S+ I = Supply + Install See Attached Appendix A We hereby submit specifications and estimates for work to be performed and materials to be used: . - '-. - _.._........ -- _ ................ ... . - --- > Construction related permits: ......,....__..„,_._........._.....„,..........._-....._........M._.......................................•................_..__...._............................................................,..............................................................................................................,.........................................................._..............._................_..__.........._.......,...,,... WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 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 cleanup,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 ayment to be dollars($ ade as follows: ). % ($ ) upon signing Contract; KENNETH B. KEEN / ROBERT A. KEEN - ~ Name of Contractor/Designated Registrant % ($ ) upon tiM of 21 HEWITT AVE. (� Street Address 0% ($_ ipn completion of N. ANDOVER, MA 01845 City/State shall be made forthwith upon (978) 691-5201 (978) 682-3231 completion of work under this contract. Phone Fax Notice:-',No•agreement-for.home;improvement contracting-work-shall requirt'':a >down payment(advance deposit)of more than one-third of the total contract price Name of ales n•—, 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 Authors,,��dsgnature equipment,whichever amount is greater. v�'� Note: This proposal maybe withdrawn by us if not accepted within days. Acceptance Of Proposal -I have read-both sides of this document and all attached documents 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 ARE ANY BLANK SPACES. I Signature Date Signature Date IMPORTANT INFORMATION ON BACK S