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HomeMy WebLinkAboutBuilding Permit #441-11 - 117 MILK STREET 11/23/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: C Date Received Date Issued: ORTANT:Applicant must complete all items on this page LOCATION At L k �' Print PROPERTY OWNER 6FX C- g 6--l-7f SIZ co e ism A)4- 1Y IVC UC f L Print MAP NO:_60 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ;COne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 'Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other .Septic„ �We � ® loodpl' ain' ®Wetlands OW sheclDict; -_�, _�. ❑Water/Sewer`° '_ '` 1 )ES RIPTION OF WO TO BE PERFORMED: t /' d All Identification Please Type or Print Clearly) OWNER: Name: Cf�S�I N+-^Wl 6416 C t Phone: a S WUlJ� L.AA1,e �4C7 � 7,� Address: ` CONTRACTOR Name: �'►r°� �� Phone: '? C' Address: �.�/ SG�Al �`��?-cam /� /V. 4N�oi P Supervisor's Construction License: 27(341 / Exp. Date: fs I' Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ZAAA (-W®.M4-4,JPhone: r76e. �fo l Address: 231 c57L/P A) `S7 S�/7Z `"� Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2'/ Q,00 FEE: $ 322 • F Check No.: /� Receipt No.: 0 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ' i 71 Signature ofAgent%Owner Signatu�e�of_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 DepartmentP rior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Co � py of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Calculations Hydrauliculations If Applicable) ( pp able) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require e si n offrom Fire Department artment rior 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 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi 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 C6MMENTS 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 areas ft.: Tot .q 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 i E ® Notified for pickup - Date Doc:.Building Permit Revised 2008 j tiORTH TOWN OF NORTH ANDOVER r0t,,010 " tia 6• �. :a 09 OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36` 5 North Andover Massachusetts 01845 1 �SSAC14 SES Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: X JOB LOCATION: 1/7 Number Street Address Map/Lot IiOMEOWNERLOQ 9'T�� yj0 • 0??j Name Home Phone Work Phone PRESENT MAILING ADDRESS �Oao L'4�P C'-ty Town S+a*w Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units-or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will omply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ORTH M T OMO 6 Andover No. LAK o dover IVMass., 1 •oz • 1b COC M IC HE WICK AbRATE D P'?�' `S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ........... .�...............C.0-44 .......................................................................................... Foundation has permission to er;.:C..*..,.,.,.,.,1.4 ........ buildings on ...H Rough ...................................� �/LChimney tobe occupied as...... . ..................1�--.4d t........... . ... t.............................................................. 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 PERMIT EXPIRES IV6CONTHS UNLESS CONSTRUT TS ELECTRICAL INSPECTOR 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. The Commonwealth of Massachusetts Department of IndustrialAceldents 'Office of Investigations 600 Washington Street .Boston,MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/ContractorsfElectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: GNB City/State/Zip: Al .. 141440!/E"'Z-- Phone#: ��• �O. O`j„f3 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.El 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 ' officers have exercised their 10.F1 Electrical repairs or additions required.] 3.SLI 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 employes that is providing workers'compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Name: Policy#or SeIf-ins.Lie.#: 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 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. Ido hereby certify u the ains andp ialdes ofperjury that the informadonprovidedabo is fru andcorrect. Signature: Data: Phone#: ` ' ' �gd Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/I.icense# 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#: ACORQ. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) 111/23/2010 PRODUCER Phone: 508-651-7700 Fax: 508-653-8089 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - Main ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 West Central Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick MA 01760 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:ASsoc Industries Mass Mutual MINCO Development Corp wsURERB: 231 Sutton Street, Unit 1B North Andover MA 01845 INSURER C: 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I RPOLICYEFFECTIVE POLICY EXPIRATION LTR NSR TYPEOFINSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACHOCCURRENCE $ COMMERCIAL GENERALLIABILRY DAMAG TO E E PREMISES Eaoccurerroe $ CLAIMSMADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GENt AGGREGATE LIMITAPPLIES PER- PRODUCTS-COMP/OPAGG $ POLICY JET°_ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Eaaccident) $ ALLOWNEDAUTOS BODILYINJURY $ SCHEDULEDAUTOS (Per person) HIREDAUTOS BODILY INJURY NON,OWNEDAUTOS (Peraccidert) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND VWC6009345012010 9/1/2010 9/1/2011 TNCYLMITAITS DTR EMPLOYERS'LIABILITY E.LEACHACCIDENT $500,000 ANY PROPRIETOR/PARiNER/E XECUTI VE OFFICERIMEMBEREXCLUDED? E.LDISEASE-EAEMPLOYEE $500,000 If yes describe under SPE6IALPROVISIONSbelow E.LDISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SP ECIAL PROVISIONS RIGINAL WORKERS COMPENSATION CERTIFICATE WILL FOLLOW FROM THE CARRIER. PROJECT: REMODELING ON SINGLE FAMILY HOUSE AT 117 MILK ST, N ANDOVER MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Town of North Andover WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 120 Main Street CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO North Andover MA 01845 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORQEDREPRESENTATIVK ACORD 25(2001/08) m ACORD CORPORATION 1988 Massachusetts - Dep-m-twunt of Public SafetN Board of Buildim, Retyulations and Standards Construction Supervisor .License License: CS 27367 Restricted to: 00 LOUIS P MINICUCCI JR 231 SUTTON ST#.1A N ANDOVER, MA 01845 i Expiration: 7/15/2011 ('ouunissiunr Tr#: 19414 16'-O$"±VERIFY IN FIELD REPLACE GLASS IN EXISTING SASHES WITH TEMPERED (CATEGORY II). INSTALL CORIAN/STONE JAMBS/SILL/HEAD AT INTERIOR. o J W II z DW IIn0 N o ❑ ❑ I cc: W J > L1J I +I 5'-Orr U_ z NEW CABINETRY AND - w APPLIANCES � +I � I F;;7REF. - - - _j II 5'-7$ NEW DOOR AT EXISTING WINDOW OPENING. BROSCO#WP-944 OR SIMILAR 3'-0"W X 6'-8"H 2 PROPOSED BATHROOM FLOOR PLAN PROPOSED KITCHEN FLOOR PLAN 1 SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" LPG Designs, LLC 117 Milk Street Date: 11.15.10 } 4 231 Sutton Street, Suite 1B .Y= Scale: 1/4" = 1'-0" North Andover, MA 01845North Andover, MA 01845 Drawn by: LPG DESIGNS Tel: 978.688.3828 Sheet No. Architecture•Interior Design www.lpg-designs.com KITCHEN AND BATH R E N OVAT I 0 N Al- 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. �a `1 The contractor and the homeowner hereby mutually agree in advance that in the evente contractor has a dispute�\ concerning this contract,the contractor may submit the dispute to a private arbitra`tio'n rm which has been approved.by the Secretary of the Executive Office of Consumer Affairs and Business,Regulation and the con er-sha be requir ' to sub sudi arbitratio provid In Massachusetts General Laws,chapter 142A. � Homeowner's Signa a ter_____ Contractor's Signatu NOTICE:The signatures of a parties above apply only to the agreement of the parties to altern 've dispute res 'ion initiated by the contractor. The homeowner may initiate alternative dispute resolution even wh a 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.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Consumer Guide to the Home Improvement Contractor Law,"contact Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)2833757 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 Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 or 1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 i Location /�' Mwe <T No. — Date NORT1y TOWN OF NORTH ANDOVER 0 A 4, A ' Certificate of Occupancy $ M�s<�' Building/Frame Permit Fee $ 2,Z- 3 ^� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23767 Building Inspector MINCO 117 Milk Street CORPORATIONNorth Andover,MA 01845 We are pleased to furnish this proposal for construction services for your property located on Milk Street in North Andover. The work will consist primarily of rehabilitation of the kitchen and bathroom,refinishing of floors, carpeting and plumbing and electrical work. Kitchen Rehab: Demo $500 (includes removal) Cabinets &Countertop $5500 (Armstrong cabinets, Silestone countertop) Plumbing $1500 (per code) Sink&Faucet $500 (Kohler) Floor $2000 (3/4 oak) Doors (2) $650 (Anderson or equivalent) Paint $750 (Benjamin Moore, California or equivalent) Electrical&Fixtures $750 (allowance) Bathroom Rehab: Demo $350 (includes removal) Blueboard Walls &Ceiling $650 Toilet,Tub,Sink,Faucet $1800 (Kohler or equivalent) Plumbing $1500 (per code) Tile $500 (ceramic tile) Window Sashes $300 (tempered glass installed) Electric&Fixtures $750 (allowance) Miscellaneous Rehab: Paint (Interior) $2000 (Benjamin Moore,California or equivalent) Paint(Garage Interior) $500 (Benjamin Moore, California or equivalent) Floor Refinishing(V Floor) $4000 (Screen and varnish 2 coats) Carpet(2°a Floor) $1000 (allowance w/installation) Electrical&Fixtures $1500 (allowance) Total $26,900* *All pricing excludes hazardous waste removal,if any. Real Estate Consultants Real Property Evaluation Planning And Development Sales and Leasing 231 Sutton Street, Suite 1 B • North Andover, MA 01845 • Tel(978)687-6200 • Fax(978)682-6473 102G State Street • Newburyport, MA 01950 • Tel(978)499-9700 • Fax(978)499-2187 E-Mail; minco@mincocorp.com • Web;www,mincocorp.com Inisformsatisfies allbasicrequirements 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. Homeowner Information Contractor Inbrmation Name Company Name 4'57Z I GIJ 49rF J-Z 1/ 1,416 Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name i/7�/LKsi• Z-.? /f,, .r/�i 7L� Sr /-If Ciry/fown State Zip Code usiness Address(must include a street address) _ ��✓/.kr�`� /�- �f / ,4 �d Glc`7-J DaytimePhone Evening Phone Cityfrown� � - State Zip Code �I ��U•(�/,[-sem•.3 Mailing Address(It different from above) Business Phone llederal Employer ID or S.S.Number Law requires that most home im-I I Ezpuation date '.. pmvemmt cmtmtors have a 4•slid`epsumioa amaber The Contractor agrees to do the following work for the Homeo ner: escn e in e e wor o comp a specs ying me type,orana,an gra e o ma ena s o e used,use a ton see t necessary. 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 a ered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be /�Zy�� excluded from the Guaranty Fund provisions of / Date when contractor will begin contracted work. MGL chapter 142A.) �6 Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of. (•) Payments will be made according to the following schedule: $ �® upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ by _/_/_ or upon completion of $ by _/_/_ or upon completion of $ /t/y�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 $ to be paid for ordered before the contracted work begins in order $ to be paid for to meet the completion schedule.(**) NOTES:(•)Including all finance charges(••)law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material _ which must be special ordered in advance to meet the completion schedule. Express Warranty-Is an express warranty beine provided by the contract-9 No Yes fall terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor firrther 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 Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or 1-800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a'copy of the Cons�irmer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contract normal p of business,provided you notify the contiac[or in writing at his/her main office or branch office by ordinary mai]post by telegram se by delivery,not later thati'midnight of the third business day following the signing of this agreement. Seethe attached n ce of cancellation f• or an explanation oSdus right. DO NOT SIGN THIS CONTRAfT IF T RE ARE A B K SPACES!!! identical co ies ofthe con must be com Iged acrd sign One copy sh d go to the homeo" .'Ihe o py should br lcgtt by the contractor. AL 41.17 ��rHojo rgnatule Contr�Lv ' Signa e �/v 22_ Date Date