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Building Permit #392-14 - 119 HIGH STREET 10/28/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 1 1 Date Received i Date Issued: 01"MPR_TANT:Applicant must complete all items on this page LOCATION n. Print PROPERTY OWNER.__ ['�(� Print 10a Year Id structure yes. no MAP NO: t , PARCEL ZONING DISTRICT: . -_ - _ Historic District yes no• w _ Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial Vk1teration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: emolition ❑ Other - Septic. ❑Well ❑ Floodplain ❑.Wetlands ❑ Watershed District Water/Sewer__ ►�,,cc DESCRIPTION OF WORK TO BE PERFORMED: ra_Z�?0 k-f-- i Id tificati n Plea a Type or Print Clearly) �7�0 OWNER: Name: kr\ r Ito— Phone: i — 1�3 Address: S 0 /0i - riUer A;rO/ " n CONTRACTOR Name:C-Qln`o'�,4 ut kCA thcehone: Address: tth! DIr4G"_�r_"_11,�, `! Supervisor's Construction License: 'Exp. Date: � , `� `•`k f Home Improvement License: _ Exp. Date: ARCHITECT/ENGINEER tl�►�1�� Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER Total Project Cost: $ 3©,06C9 . y 0 FEE: $_ O Y { -q Check No.: ZO / Receipt No.: NOTE: Persons contracting with unregistered contractors do not have ac ss to e guaran and Signature of Agent/Owner. �g:aature.of contra or Plans Submitted ❑ Pla s Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i Building Department The fol!swing i6 a list of the required forms to be'filled out-for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o 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) ❑ f Copy o 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 cans if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Buiiding Permit Revised 2012 . Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ •TYPE_OF=-SEWERAGKDISPOSAL , Public Sewer ❑ TanningWassage/Body Art ❑ Swimming Pools z, ❑ Well ❑ ..Tobacco.Sales ❑ t` 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 Siqnature COMMENTS HEALTH Reviewed on Siqnature COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: :Comments �± Water & Sewer Connection/Sic nature& Date Driveway Permit a DPW Tow;! Engineer: Signature: � Located 384 Osgood Street FIRED PARTIll EAT "Temp Dumpster on site yes no . Located-at 124 Mair Street:-: `' ' ' FireDepartme►if.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 El Notified for pickup - Date t Doc.Building Permit Revised 2010 Location No. Date • - TOWN OF NORTH ANDOVER ` Certificate of Occupancy $$ Building/Frame Permit Fee v Foundation Permit Fee $$!�� Other Permit Fee TOTAL n 1 Check v 1 2,- . 27040 Building Inspector NORTFI Town of 2 ndover Q No. h ver, Mass, b I3 COCNIc"a W1cm ��AERATED I�P��,(5 S IJ BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT UT.. ........Y&"'.R....... ::........................................... BUILDING INSPECTOR L-19 t .....f-h .h....4?..� FavT�xla ion has permission to erect ........................... buildings on ....... . . ? ................................. RouZ�g4— 1 to be occupied as .... ... :✓.. .... ... ..✓....... .��i.✓ 4................................................ Chimney provided that the person accepting this permit all in every respect conform to the terms of the applicationnal x on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and ""� " »� L� Construction of Buildings in the Town of North Andover. PLUMBING INS P R Rough t,,s VIOLATION of the Zoning or Building Regulations Voids this Permit. / �� Q Final ��i '�� 360 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR fhb UNLESS CONSTRUCTI TRS ough � ......,... Service BUILDING INSPECTOR SZD Sk- IZ- -3 GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final ff 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 L 2,-1 ic—k3 (Q:_1hF to-a'1bZ�'��rLG' t�'.L�� 'v G �//" t122�Ld2 f i ,s� �8�'ZtG�J7'�2-f'ZG G���f�7�2 �Er���G2:F — C��G2 ��r�� �CL•L•� �'G�"t2- ��LCu�4.�f2{LG :�; (rev. ,�. �� �10��, cza e ✓`t cc��; c�/Lc u; �� cc�s_ 0177 CDERTI MCAT E OF COIMP IANCE • 13.G.L. C PTER ; 5EC T IONS 2'61 26-r-1/c . City arTawn �; /� ��// f!'L _J_ This Certifies that the property Iacdted G has been equipped with approved smoke detectors, and carbon monoxide alarms and was found to be In compliance wkh Massachusetts General Law, Chapter 143 Sections 26F,, 26i='ra and 7 CI 1, et se . Inspection/Testing completed onA2—11--'/.3 By: ' .. " InsF`•ccr Fee Paid: Head of Fre Department: Nota:This certificate expires sixty (6o) days after dace of issue. SELLER'S copy Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 303000.00 m $ - $ 360.00 Plumbing Fee $ 45.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.00 Total fees collected $ 550.00 119 High Street 392-14 on 10/28/2013 New Siding, New Bathroom, New Flooring i NORTH Town of 1 EAndover O 0% �_;O� h o SAKE h , ver, Mass, b 13 COC NIC NE WICK �.Q oRgTEO ►'P,L�,�y s u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System UT `` THIS CERTIFIES THAT .............a1. 1...O5.�..l.!!4........ .... ......Q....... . ... ............................................. BUILDING INSPECTOR has permission to erect .......................... buildings on .......JJ.�..... . .. �.h....Sr. .............................. Foundation . Rough to be occupied as /..✓.. .... ... ..........14.✓c......................... Chimney ever .................. ch i provided that the person accepting this permit shall in y respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final 36D PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR a�bb UNLESS CONSTRUCTI T R S Rough �— Service .................. ....................... ......................... Final l 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 4C40RI?® DATE(MMIDDrA-M CERTIFICATE OF LIABILITY INSURANCE 7/16/2013 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(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Donna Brunelle NAME: Cole Harrisonenc PHONE (207)985-3361 1207)985-7977 y A1C No Exti: AIC No 83 Main Street ADDRESS:dbrunelle@coleharrison.com P.O. BOX 358 INSURER(S)AFFORDING COVERAGE NAIC 0 Kennebunk ME 04043 INSURERA blain Street America Group INSURED INSURERBNGM Insurance Company 4788 Centore Design Build Inc INSURERC Maine Employers I Mutual 11149 5 Winding Brook Dr INSURER D: INSURERE: F{eanebunk ME 04043 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1371605157 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 AWUL bUtill POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYW MMIDD LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 DAMAGE 10 RtNIE7— X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS-MADE ®OCCUR PT7120F /9/2012 /9/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED NCL LIMIT Ea accident $ 300,000 ANY AUTO BODILYINJURY(Per person) $ B ALL OWNEDSCHEDULED 1T6968J /21/2013 /21/2019 AUTOS X AUTOS. BODILYINJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Uninsured motorist combined $ 300,000 UMBRELLALIAB OCCUR EACHOCCURRENCE $ REXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATION I WC STATLOTH- AND EMPLOYERS'LIAS[LrrY ANY PROPRIETOR/PARTNER/EXECUTMEE NIA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? BD /16/2013 /16/2019 (Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 fyes describe under Use OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach AC ORD 101,Additional Remarks Schedule,if more space is required) 110 Sutton Street, No Andover, MA CERTIFICATE HOLDER CANCELLATION (978)688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover Massachusetts ACCORDANCE WITH THE POLICY PROVISIONS. Building Inspector AUTHORIZED REPRESENTATIVE Jeffrey Cole/DMB - ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn75r9mnnslnt Tha ar:r1Rt1 names and Innn nra ranictararlmarkc of ar nPn The Commonwealth ofMassachusetts - DepaYtmint of IndustriglAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance,Affidavit:Builders/ContractorsfElectrricians/Plumbers A Ecant Information Please Print Li e bl Name(Businesslorgmization/Individual): Address: S 1 +-t //� Boo City/State/ZipM(13Phone Are you an employer?Check the appropriate box: Typo of project(required): 1.❑ I am a employer with 4. F1 I am a general contractor and I 6. E]remodeling construction loyees(full and/or haveliireathe sub-contractors p 7.2. I am a soleproprietor orpartner- listed on the attached sheet.x ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. [1 We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.[]Plumbing repairs or additions 3.El am a homeowner doing allwork g p p myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees.[No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box Of must also fill outthe section below showingtheir workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they ale doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. X am an employer that is providing workers'compensation insurance for my employees. Below is fhe policy and job site information. Insurance Company Name:. l f Q/ Policy#or S elf-ins.Lie.#: 2 t i Expiration Date: Job Site Address: ( � 1 b City/State/zip:I fr• ��Od�(Z M!q Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requireclunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ent as well civil penalties in the form.of a STOP WORK ORDER and a fine fine up to$1,500.00 and/or one=year imprisonment, 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. ldol;eroy'cerfif under the pal d penalties of perjury fl t the information provided above is true and correct. - Si a re• ' Date: f OLLq113 Phone#: Official use only. Do not write in this area,to be completed by city or town offrcial. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other - - phnna 9. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,• express or implied,oral or written." An employeris defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to cons Additionally,MGL chapter 1truct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." 52,§25C(7)states"Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have beenpresented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC ox LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .A Iso be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations r stigations has to contact Plea a t you e Pleas be regarding sure to fill in the ermit/license n y n g the applicant. p umber which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only-'submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a homeowner or citizen is obtaininga license cense o r ermit not t related to any business or (i.e,a dog license or permit to burn leaves etc.)said person is NOT xequired to complete affidavit.'commercialventure The Office oflnvestigationsvould like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Coir monweaXth ofwfassadhweitts Depaftelit offadusttyal.Accidents Mice Qf InyestigWom 600-Washlugton Street 130stQn}MA.02111 TOL#617-727-4900 0A 406 Or 1-87M.ASSAFF, Revised 5-26-05 NX#617-727-7749 w3ac+tu54:4ts•, p�,rtm�nt at PubiMad�`t;a a td of Building kegulations and Standards Construction Supen•isor ' License; CS-024667 • t fi ♦� 5 WINDING BROOK DP r�z �E13U1lC tYti? '343 " CcjrrnrKjsslonor 03M1120V qj) Nr t0 UTOPIA REMODELING GROUP LLC 2012 rr. j) 35 CAMPION RD ((^ g NORTH ANDOVER,MA 01845 (1n ez�o B�"- (r`� PAY DATE�� TO THE ORDER y / 60-7269-2313— F ORDER OF i Sovereign Bank,NA, �' DOLLARS PART OF THE SANTANDER GROUP FOR II200 20 L 2u' ': 2 3 L 3 7 269 Li: 2000 2 9 7 6 1 71 i Contract between Jonathan Bartolotta(Utopia Remodelina Group)and Centore Contruction. Address:119 High St.North Andover,MA 01845 Remodeling includes the following work • %RMax Thermasheath Exterior of House • Vinyl Siding • New deck boards and rails both sides of house • New garage door • R30 insulation in garage/closed doorway in house/Ceiling in bathroom • Fire retardant wall far right in garage and adding fire retardant doorway closest to garage door. • 5/8 Firecode Sheetrock in Garage Ceiling • Smoke detectors • Wiring for garage door • All new outlets and switches • New vanity's in both bathrooms • New tub in downstairs bathroom • Tile kitchen, bathroom,and laundry room • Add laundry room to first floor • All new Interior Doors and Exterior Doors • All new windows Energy Star.30 Low E,Argon Gas • Resand and finish hardwood floors • Adding dishwasher to kitchen • New Granite counters in kitchen • Painting all rooms • Gutters • Sheetrock hallway/master bedroom/bathroom and laundry room. • New closets doors • Trim all doors/windows/pass way into kitchen • New baseboard heating covers • New cabinet handles/knobs • Rebuild gas furnace • Increased size of water lines 0 Plumbed new bathroom/laundry room/dishwasher in kitchen 1veA.-AJU Cuapter 142A.) —_. .�..�.,,•.••�4,."� w.0 uogm ceaaracxa,W= 'mate w8en ccnt=todworkwill be sabstmaWlp completed. Total Contrast Price and Payident Schedule The Cmtactor ap=to pestb=ttae worie,famish the material and labor specified above for the•total sum ae Paymeslts w�[bentade acco�rdmg to the following sc dale. U uPam dig ccuatract(not to exceed 113 Of the•tottil puce =the cost of special order items,whichever is ) k by / / --upG�of � ������)) byt / oraAoti.s®*n^ of- �' 1 �/ylrl $-- = _upon completion ofthe eoa�ract. (Lawforbids demanding paymem;=ta c,oafxactis campleted.to botbLpmrty's satsfaation). 7hef°wi39m8tw!W0qmipm=mnstbespecial $ to bead. mftedbe m the d.wo&beems is mdw p . to meetthe complctien schednte.( S to for N®;L m—M. Including au er." charges(**)Lawrequires#ut any deposit own uetw=ed•Hiegreaterof(a)one-li*dcftbe•tol�aq� ���m dbYEhec too�be#brewortbegimsmay - whichmust be special=lmedin advande to meet the price orPledon ��auft'ai cost of SAY special equipment or custom made material. WAt1'A Subcontractors-The Botox to be solelyrespoms,• e Wed-by tLe co o�• .thewA be ntm ea partytsuboonttaotoxvMizedby.•6zo contThe e� �=mPkdm ofthe work des=bedxegardiess of$e aaktons ofaa7tbird • e agmes to be solely rmponss'ble for all psyme W to all mbcomactors fax Coniraetgeeeptanee-'C7pon signiag,'tiris docraaeatbecon�es a . eoar[t�ct shall oat impiythat�,lien ox other security intetesthas b c�ntracttmdes Taw Uaaless otherwise noted witbia.this docume�the carefnilybeforesign;.ngtl�isco�ract, P�edon.'Ehereside�zce. Reviewthefollovvingcsationsaadno#ices . ° Don't • ° edk±O dlgningthe contract,Talm time to read and fnl'LY=&Mtmd it. As e as a e kgnestioa>s if sometbitg is unclear,, mboontac6ors to be registered with tie Director The law requires most hams faapxoveMmd c=hztms and registration by waiting f'the Director at I O Pant ofgmw�ov�ment Contactor Re&tm oaa. You xnay imphe about = ° Doesthtcaatractorbaveiasc ceq Ask1he, Room 5170, ostoa>,MAA2116orbycatlingb17-973-8787 or 888-283-3757. see a copy of a goof of esu cancer+dohr:ftbis iaas�aceP�4Y iafarmatson so Ehat qeu can cosrFum coveg�or aslcto ° Kt.owyovrrights andresponm-bMdw. ReadIhe I=poxtmIt on oa Bre reverse side acfthis form and �t a t Guide to the RomeBVvovementCo=wtwLaw: g opyoftheConsumer coumay caacelfliis agteemeot3fitb pleas ad=Ihaa.the oftwtox ia,waiting at his/her main office ax branch office Wby s n0=RI place ofbusiaess,provlded you notdythe ch Hurd business clayfaTiowingt7�a�g aE•Fhis agreement. Slee m dnotim O, =ft am m'°amtlatwIhmm bight of tae ADO NOT SIO•N'TMS CONTP.ACT IF offt TweidentiadwPW0fVmcmftact=mtbecomphted=dgWm& oneaMgwufdgomThe 0�weaRv °keptbs, nacaeo °s Sime "eft � Die 3 Coniraefor Axbiintion The Rome 7mpTovemear Coaixacfr Law pr hon eawn ers with the ri 'alternative to court action)if they have a dispute with a e to 4-mil; au,arbiftzeon.action.(as an co�rac(.uor.,however. The coatrac�.r would have to resolwe�a�. The same is W�omatical�r a•�oxded to a both parties agreethe optiana][clause MY ftute he/she has with a.homeowner in CO*Mless Provided below. This clause would give the contractor the sem a might to arbitration.as is afkwded to the homeowner by the Hone jmproveanent Contractor Law. The contractor and the homeownex here hz taall .' , by y agree in advance that i:a fl� the mor has a disputo the Secretary conc�ezning ibis contract;-the contractor may submit the dispute to a priv b` i�which has been of the Executive Office of Consumer Affairs and Busme Rs approved by to submit t 'such wbitratim as.provided Iu.Massachusetts General L and the corium ex shalt be reciaited • 142A.. Hon s Signature 's Signature NOT The signatures of the parties above apply Mlyto the agreement ofthe patties to alternative dispute resolution initiated by the contractor: The homeowner may unite alternative dispute resolution even where this section is not s aely signed by the parties. ROMeownWs Rights A homeowner's rsglxts under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws CLe.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contracEor they choose is not properly xegistered as prescribed by law. Homeowxterss who secure their own burg permits are autonaaticaT.y excluded eoxn an G=azaypMd the Home Improvement Cotrtractor•Law. The coutraatbr is responsr`Ue for camp1 provisions of timely and workmanlike manner. Homeowners may be entitled to other ecifsc �'le the turf as described,in a guarantees or provides an � if the COn�'� express watranjy for wrrr1em s,,,SMP Or Materials. 1'n addition.to g=atrtees or Warranties provided by the cortrac;,all goods sold-in Massachusetts carry an implied warranty of mexchantabilit5r and,fu mss for a partimdar propose. An em=wation of other matters on which the homeowner and contractor lawfally 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 aboutyourcoasumex/homeownerrights,contact the ConsumerIMoimationHOC=(listed below). Rxeeution of Contract The contract must be executed in d 'tate and should not be signed ung a copy of all exbftft and,reed docmnents have been•att xhed. Parties acre,also advised not to sign the dom mumt urs all blank sections have been filed is or m atlmd as void,delei--d, or not applicable. One brigimal signed copy of the contract with be given,to the owner and the other lc a� �ats is to eptby the contractor. Any modifics:ticm to the original cont wtmust be in waif mg and agreed to by both parties. Contracted work may not begrauntil both patties have received a filUy executed copy of 'the contract,and the three day rescission period has expired. .A=elerated Paym4nts A oontraator may not demand payments in advance of the dates specifsed on the payor ut schedule in cases where the homeowner deems himlherselfto be fuiaaci&Uy insecure. However,in instances where a contactor deemshire/herself to be financially insecure,the contractor Wray regr&e that:the balance of finds not yet due be placed in a joint escrow account as a p=egttisite to continuing the contracted•worts, » ,,......�....__ nr . .. YY ItbdtaYJal O:F'�711(�C'Ffn•Yn eaTA.onn..,,..,d.«....«�v t..__..... ..