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HomeMy WebLinkAboutBuilding Permit #367-15 - 13 ELMWOOD STREET 10/16/2014 Levor A BUILDING PERMIT °�"0�T 6 ol7g L(71 3)37 TOWN OF NORTH ANDOVER ? y ° APPLICATION FOR PLAN EXAMINATION 1 �r., � � y Permit No#: c. Date Received 1,6 �0 4o" RATED ISP .�5 ( SSACHUS� Date Issued: Lbl IMPORTANT: Applicant must complete all items on this page LOCATIONLI �- Pri t PROPERTY OWNER _ rL . Print 100 Year Structure yes no MAP_ PARC E� ZONING DISTRICT.,Historic Districtye ,no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building V-One family ❑Addition ❑Two or more family 0 Industrial M-Alteration No. of units: ❑ Commercial kRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic 11 Well ❑ Floodplain p Wetlands ❑ Watershed Ustrict ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name:P>//,r}* Phone: Address:/f �t/ Supervisor's Construction License: CJ"6 8q0i33-L -:Exp- Date: 3 zF `/h__ - -_ Home Improvement License: 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: $�/M 52,6 FEE: $ 2-250 L Check No.: Receipt No.: b5 NOTE: Persons contracting with unregiste ed contractors do not have access to the guaranty fund Signature of Agent/Owner - Signature of contractor g Location V1r'1Wyy No. Date . - TOWN OF NORTH ANDOVER • b , Certificate of Occupancy $ Building/Frame Permit Fee $ '� Foundation Permit Fee $ Other Permit Fee $ ` TIM TOTAL $ -7 Check# t t 228 14 5 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swumning 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on 1 l Signature COMMENTS HEALTH Reviewed on Signature COMMENTS a 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: Z- Total square feet of floor area, based on Exterior dimensions. 4&6-T 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 I - A NOTES and DATA— (For department use) i ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) Li 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) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 Doe:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 457530.00 m $ - $ 546.36 Plumbing Fee $ 68.30 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 68.30 Total fees collected $ 782.95 13 Elmwood 367-15 on 10/16/14 Remodel of Existing Structure NORTH own of s EAndover 0 to Z . "­ ) /A/ % h ver, Mass, O COC NICNl WICK �� 04A re o U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .....................1. r.... ... ...... �...•i....................... BUILDING INSPECTOR ...... ....... Foundation has permission to erect buildings on .......................... ...1�I.......V.Kw .......................... Rough to be occupied as .. ... .... ...6&44v. ..�.........R4.m 41.0ph....... Chimney Chimney provided that the person accepting his permit shall in every'r-espect 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. pQ / � �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final lb PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR . UNLESS CONSTRUCTIO T Rough Service .................. ....... .... .... .. .................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements 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 or on our website. Homeowner Information Contractor Information Name Company Name toy (N65 Aut LI,C. GJ, /;V 1 �o�nsilr7-vaioe 'LLC Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name City/Town State Zip Code Business Address(must include a street address k)0 tk� r4rAoVaC K44 of g /§-, A� � Daytime Phone Evening Phone Cityfrown Statef Zip Code 7$'Lf_M -313 7 lkq" 0/8-3---, /8-3.5 Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number Home Impmvemem Contractor Reg.Number Eapinuion date raw requires that most home improvement contractors have + valid rtgbIration number // Z 6 '211 C7 l r® The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) ,<<®l ('ods-A"j 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 adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of /01,�20Date when contractor will begin contracted work. MGL chapter 142A.) q /Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule ear The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: 7,��S3 _M Payments will be made according to the following schedule: $ 496 upon signing contract(not to exceed 1/3 of the total contract price or the cost of"sppecial order items,whichever is greater) $!�by / /_or upon completion of ,,,A, $`�/ ! by / / or upon completion of ,5 L S`�upon completion ofthe 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 meet the completion schedule.(**) $ to be paid for 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 being provided by the contractor?XrNo❑Yes(all 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 further 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 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof ofinsurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side ofthis form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place ofbusiness,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identica espies�h7 be completed and signed.One copy should go to 0e homeowner.The other copy should be kept by the contractor. Homeowner's Sig tur 4btactoes Signature FpC.1S ( (4 /D Date Date 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. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A. Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where 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 rescission 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 Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at http://www.niass.aov/ocabr/ 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 Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at http:/hvvvw.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/ficenseelist.@M 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 or 413-734-3114 Version 2.1-11/22/2010 CFAI VOWW onwea/W a1/tAll crc%cc�el License or registration valid for individul use only 4C�N_Ottice of Consumer Affairs&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTORType Office of Consumer Affairs and Business Regulation gistration: 179265 10 Park Plaza-Suite 5170 piration: ;_711D{20.16_ LLC Boston,MA 02116 W.MCKAY CONSTRl1CTI0N LLC WILLIAM MCKAY 18 ACADEMY AVE. "��- --_-- �'-y.-*�-;�--- Not valid without signature HAVERHILL,MA 01835 Undersecretary Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: ww m.Mass.Gov/DPS L 1 " Massachusetts-Department of Public Safety Bbard of Building Regulations and Standards Construction Supervisor .... - License: C"89332 4 . W M,iAM MCKA,V c� 18 Academy Avenfie Haverhill MA O19M Expiration v-' 0310812016 Commissioner Ji CERTIFICATE OF LIABILITY INSURANCE 10i6�20 Rhl 14 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 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAMACT Sandi Munroe M P ROBERTS INS AGCY INC PHONEQ']8 683-8073 FAX (978)683-3147 1060 Osgood Street E-MAIL ,sandi@mprobertsinsurance.com North Andover, MA 01845 ADDRESSINSURERS AFFORDING COVERAGE NAIC# MERCHANTS INSURANCE INSURED W MCKAY CONSTRUCTION LLC INSURERS: ATLANTIC CHARTER INS CO 18 ACADEMY AVENUE BRADFORD, MA 01835 INSURER D: IN ERE: INSURER F, COVERAGES CERTIFICATE NUMBER: 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 Lin TYPE OF INSURANCEWWL POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR $ 100,000 MED EXP(Any oneperson) $ 15,000 A BOP9097489 08/14/14 8/14/15 PERSONAL&ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECTT ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINEDISINGLE LIMIT $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMA E HIREDAUTOS AUTOS Peraccident $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ WORKERS COMPENSATION X[ PER TH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? NIA =6 000 (Mandatory in NH) WCV01143500 03/29/14D3/29/15 E.L.DISEASE-EA EMPLOYEE $ r Ifyes,describe under 500 000 DE RIPTI N F PE ATI elow E.L.DISEASE-POLICY LI I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) ATLANTIC CHARTER INS CO. WILL BE ISSUING THE ORIGINAL WORKERS COMPENSATION CERTIFICATE TO YOU DIRECTLY 105 MASS AVE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 231 SUTTON STREET, SUITE 1B THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NO. ANDOVER MA 01845 AUTHORPRESE TIVE or ©1988-2014 ACORD CORPORATION. All rights reserved. -;ORD 25(2014/01) The ACORD name and logo are registered marks of ACORD � Initia1 Construction Control Document Z f To be submitted with the building permit application by a Registered Design Professional ' d for work per the Stn edition of the w Massachusetts State Building Code, 780 CMR, Section 107.6.2 V B,�M Sv0 Project Title: MINCO105 - 13 Elmwood Street, N. Andover- House Reno Date: 09/29/2014 Property Address: 13 Elmwood Street North Andover , MA 01845 Project: Check(x) one or both as applicable: [] New construction [X] Existing Construction Project description: Renovation to residential property. New walls, doors,windows,and finishes. Reframing and new foundation in family room. Reframing for new openings. I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief,that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning]: [] Entire Project [X] Architectural [X] Structural [] Mechanical [] Fire Protection [] Electrical [] Other: for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project.I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code.The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means,methods, sequences and procedures, and for construction safety. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. ED 4R�tii Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. p NORD vrR, Enter in the space to the right a"wet"or t electronic signature and seal: �1 rb OF MPr'SP Phone number: Cell: 978-204-4770, office 978-688-5422 x203 Email: gsmith@gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: AIA MA&Insurance ADDroved Version. Initial Construction Control Doc Required Contract Terms Page 1 of 2 The Official Website of the Office of ConsumerAffairs'&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>consumer>Home Improvement Contracting> Required Contract Terms Contracts-all contracts over$1,000(One Thousand Dollars)must be in writing. NEWS&UPDATfES The law requires the following FOURTEEN items to be included in any contract between a homeowner and a registered home improvement contractor for home improvement work subject to MGL c.142A: OCA Survey Finds One in Five Home Improvement Contractor I. The complete agreement between the contractor and the owner and a clear description of any other documents Advertisements Placed by which are part of the agreement. Unregistered Entity 2. The full names,federal I.D.number(if applicable),addresses(NOT P.O.Box numbers),of the parties,the More... contractors registration number,the name(s)of the salesperson(s)involved,if any and the date the contract was executed by the parties. Subscribe I Learn more 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed, u RELATED LINKS 4. A detailed description of the workto be done and the materials to be used. Yon Gid Konsomate 5. The total amount agreed to be paid for the work to be performed under the contract. Massachusetts you Reparasyon 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, nan Kay including any finance charges.Any deposit required to be paid in advance of the start of the work SHALL NOT 0000000000000 exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on Guia para Co para. Meor de as schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. Massachusetts para Mejoras en 7.All parties must sign the contract. s Guia para el Consumidor de 8.A clear and conspicuous notice stating. Massachusetts para Mejoras en { el Hogar a.That all home improvement contractors and subcontractors shall be registered and that any inquiries about a tt contractor or subcontractorrelatingtoaregistration should bedirected to: Office of Consumer Affairs and Business Regulation Ten Park.Plaza,Suite 5170 Boston,MA.02116. Phone:(617)973-8700 b.The contractor's registration member must be on the first page of the contract. c.The homeowner's three day cancellation rights under MGL c 93 s 48, MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d.All warranties on the owner's rights under the provisions of and MGL c.142A. e.In ten point bold type or larger,directly above the space provided for the signature,the following statement: D O NOT SIGN TMs CONTRACT IF TMRE ARE ANX 13LANK SPACES. f Whether any lien or security interest is on the residence as a consequence of the contract. 9. An enumeration of such othera matters upon which the owner and contractor may IawfidIy agree. 10.Any other provisions otherwise required by the applicable laws ofthe Commonwealth. 11. Permit Notice:Every contract shall contain a clause informing the owner of the following: EL any and all necessary construction related permits, b.that it shall be the obligation of the contractor to obtain such permits. c,that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. Required Contract Terms2 Pe ag of 2 12. Acceleration ofpayment No contract shall contain an acceleration clause under which any part or all of the balance not yet due maybe declared due and payable because the holder deems himselfto be insecure. However, where the contractor deems himself to be insecure he may require uire as a prerequisite to continuing said work that the balance of funds due under the contract;which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute,the contractor wishes the dispute to be settled by arbitration,this factmust be signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable(in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to aprivate arbitratign service which has-been approved by the Office of ConsumerAffairs and Business tZegtrlatian and the consumersl:all berequired to submit to such arbitrado sprov ed in MGL c142A. Owner: a--� Contract NOTICE. The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separate&by the parties." ©2011 Commonwealth of Massachusetts The CommoniveaNz of tVlassachasetts , - .�e�a�txxtent o,f.�nc��st�rt�l'.Acczc�e�ts • , Offlee offAvesfigafeows 6a0 WasAingtow street Roston,MA 02111 wpiv xmss go-PId a . ►rcT �x, 'COMM"toubsurax� eAffidavit:S�c�er��lCo��x°ac�ox�/EZ���x�cxan�I�'Zu�b�x� Applicant Worraaaallon PX�a�e P�in����bXy a17ie(Businessldzganizationlln dz`uidizal}: LX U'/F�V3 .Ehd110 Ara yotta,nemmloyer?Gheekthoappropriatebox: Type ofproject(reg, ed): 1. T am a a mployer with._� 4. El Z am a general contractor and T 6. []New cbnstradzon f employees Gill aud(oxpaz time)T haveDkedth.e sub-confxactors listed on attached sheet: `7. )QRemodeling 2. 1 T am a sc�lepropxietor Orpaxtnex Ship and`havena.emoloyees Thesesub-contxactoxshave 8. �Demolition working forme in any capacity. workers'compo.insurance. 9, ❑Building addition [b workers'camp.insurance 5. ❑We area havcole exercisea�ond and its 10.0 Electricalxe *0 ox additions xeciuixed.� officers leave exercised.their ' 3.[l x am a homeowner doing all work right of exemption per MOL 11=�Plumbing repairs or additzoxts myselr.proworkexs'comp. o.152,§1(4),andwehavano 12.pRoof xepaixs TiiSi�xauc�xeciuired.�i employees.(NoWoxkexs' lg,�Other comp.insurancerevired.] eAnyapplicantthac cbecksbox ImusEalso llouithesectionbelowshowingfhei:workerecompensationpoRGYinformation. i Iorneowners wbo submitthis affidavzimdicating�iey ire doing alXworkandthenbire outside contractors must submit anew afiidayitindicatiiig such. xCon-tr'actom thee.cheAthis box must attached an additional shDot s1lowingtho Mme of the sul}-Porth'actors andUkworkers'comp.policy information. ar taxxem T�ye�tlia z pravici�tg o �tes'cor�tgelasationinsurancefor.rriymgfoyeeg- Belot�Whepolleyandfoi`rite infQx�matio� TmsMance Company Nam Policy#or Selz"-Ins.tic.ff Expiration Date: Ybb;SRe Addxes,-,: City/State%Zxo; Attach a copy of tie woAers'coxnpensationToRcy declaration wage(showing-the poNeY number and expiration date). `ailtae to secuc�coverage as xe�uixed under Section 25A ofl GL c.152 Pan load to the impositlan of ext a alPanalties Of a e to$1,500,00 and/or ones eaCnrzsovxtentx as well as czvlloen allies i�z ate£om?of a STOP VV ORi�ORDS an d a fn e o£up to$250.00 a day against the:violator: Be advised that a copy of thig statement may be forwarded to the Office-,of Investigations offlte DLA.fox insurance covexago vexiflcation. ado lie�eby certify uricrer'tr2eyaing andFenaldes of erfary t}'iatthe info nation proviriec above is tYzee anticora�eet Phone#: 9' official u se g'try, Vo not w�dte Al AN area,to be comgreted by City or town officiaf. City or Town: Eerxnit/Dzcextse# 1'ssuingA.-xthority(circle due): 1.Baaxrlofffaa1tb.2.Buffd1H9D6ParfMa .d ICRYIT- own Clerk 4.BlectrxcalInspector 5.RIUMbingInspector f.Other r .Information and instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Puxsuaxit to this statute,an employee is def fined as':. --PVBXY personiii.-die serdce of another under any coriixact of bixe; ' express onimplied,oral orwxiften:' lin eralaye is deixned as"anindividual,paxtuexship,associafioxa,corporation o othexlegal enfity,oz anytwo ormoxe• ofthekxegJngengagedinajoiutenterpxise,and including holegal xepxesentativesofWdeceased n toevx oohte inivalp7exxechpnoxoeregaen employing mgemptoyee "".oxf�e owerof ' xth e apartmenfs andwhaxeszdesthexein,oxthe occupantoftTie dwovhghouse of another who employs,persons to do maintenance,construction orrepair work on,gbh dwelling house or onthegrounds oxbuilding appuxtenantthereto sha7lnot because of such employmentbe deemedto be an employez•." MQL chapter 7.52,§25C(6)also states that"every state or local Rmnsiug agency shall withhold the issuance or renewal of a license or permit to operate a business or to constxttet buildings in the commonwealth for any applicant who ltas not pxoduced•acceptable evfdejee of compliance With the i - rance coverage required;' Additionally,MGL chapter 152,§25C(7)states'Weither the commonwealth nor any of its political subdzvi`5 re.d.shall enter into any contract for the performance ofpuhliewoxkuntil acceptable evidence of compliance with the insuxanca requirements Of this chapterhave been.presentedto the contracting authorlty" .Applicants . Please fill out the workers'coxnpens4on affidavit completely,by checking the boxes that apply to your situation and,If iiecessaxy,supply Mb-confractor@ name(s),address(es)anditnenumbex(s)alongwith.their certificate(s)of insurance. Limited Uabik Companies(LLC)or Limited Liability partnerships(LU)withno employees other thatrthe members oxpartners,arenotregakedto canyworkers'compensati-Mkwuxance. L anLLC orLLp doeshave employees,apolicy is required. Be advisedtliattI6 af1xdavitmay be submiffedto the Department of Tudustrial Accidents for con� fion of insurance coverage, Also be sure to sign and date the of clavi: Elie affidavit should bexetumedtathecityortownthattheapplicationfox thepamAtor1icerrseisbeing regaedog.,notthe De�at ant of .industrial Aceidenis. Shouldyoix have any questions regarding the law or ii you are xaquked to obtain a workexs' eoMpeinsationpolicy,Please call the Department atthenumbexlistedbelow. Selfii2=oacompanies shouldentermok self-insurance license number on the appropriate line. City or Town Officials Pleasabesuxefhattlieai, davitiscompleteanclpxintedlegibly, The Department has provided a space,atthe,bottom orthe a�davitfoxyouto;711 outinfhe eventthe Office ofiuvesfigationsliasfa contactyouxegardingtlteapplieant. Please be luxe to z"Blixt dtepeamzf/lzcebsenumber whichwilt bo used as a xexexence r�umbex, In addition,an applicant that must submitmultiple.permit/license applications in any given year,need only submit one affidavit indicating cm6nt p olxcy inzomation(iftecessary)and under"Job,Site Address"the applicant should wxite"all locatioxis in. (city or tawii):'A copyotheaidavitthathasbeenofhciallystaxnpedoxmarkedbythecifyoxtown may bepxovidedtothe applicant asTrbofthat avalid affidavit•isonfrle oxfuturepexmitsor7icense�, finewa�xdavitmustbefilledouteacli year. bexeahomeownernrcifi�enisobfainingalicenseoxpexmitnofxelafedtoany business orcommercial venture (i.e.a dog license orpexmitto burn leaves eta)saidpexson is NOTxegUiredto complete this affidavit. The Office ofXnvestigationrt would like to thankyou in advance fox your cooperation and should you 7iave any questions, Please do Rothesitate to give us a call. The Department's address,telephone and faxnum er. T.a CQ onnt altlI ofMama c.;T�wfuttq INT-aximellt Qf.lnd-a*!aI Acoldmt- 60Q Wagbkg(m e Bodanz 9A 02111 Tel 617H7-2t-4.-00 aA40,6 ax x~ � Revised 5 26-05 Fax- 617"V,7-7749 .... . ......... Dealer of the Year r ales. JacksonQuote LUMBER & MILLWORK 2014 ..... t. Transaction # .....:.:.:.:.:.:.. 215 Market Street 10 Industrial Drive 67 Haverhill Rd 473729 Lawrence,MA 01843 Raymond,NH 03077 Amesbury,MA01913 Price Date Pcd Phone: (978)686-4141 Phone: (603)895-5151 Phone: (978)-388-0366 10/15/2014 D 0 Fax 978)689-1023 Fax: 603)895-5152 Fax 978)388-9824 Location billing ax: 978-681-5841 LAWRENCE MAIL TO: Jackson Lumber& Millwork Co. Inc. Sales Representative PO Box 449, Lawrence, MA 01842 DAVE ROBERTSON Bill To: Ship To: MINCO DEVELOPMENT CORP. SAME 13 ELMWOOD ST 231 SUTTON STREET ANDOVER, MA 01810 (978)687-6200 N ANDOVER, MA 018451639 Customer# Quote# Quote Date Oper Purchase Order Terms Sip Via 1948 473729 10/15/2014 189 13 ELMWOOD 2% 10-NET 30th CUST P/U LN# Item NumberOr ered Description UMI Price/Unit Extension 21 TUBE124 2 12'X 48"CEMENT FORM TUBE EA 6.13 12.26 22 TB28 2 TUBE BASE(28" FITS 8/10/12') EA 27,94 55.88 23 OUT21016 6 2 X 10 X16#1 TREATED AG EA 22.64 135.84 24 OUT448 7 4 X 4 X 8#1 TREATED GC EA 10.68 74.76 25 ACQ248 14 2X4X8#1 TREATED AG W/WAX EA 4.76 66.64 26 OUT21012 16 2 X 10 X12#1 TREATED AG EA 16.64 266.24 27 CONCRMIX 30 80LB CONCRETE MIX BG 3.99 119.70 28 D 1 FASTENER ALLOWANCE EA 400.00 29 1616FJCLPINE 20 1X6X16'WINDSOR1 FJ PRMD PINE EA 24.45 489.00 30 1416FJCLPINE 20 1X4X16'WINDSOR1 FJ PRMD PINE EA 16.31 326.20 31 1816FJCLPINE 8 1X8X16'WINDSOR1 FJ PRMD PINE EA 33.62 268.96 32 PCLAP126 480 1/2 X6 PRMD SMTH WRC"A'S" LF 1.13 542.40 Amount: 9,911.38 This Quotation is valid thru 10/22/2014. After that it is subject to review Tax: 619.46 by Jackson Lumber and Millwork. Special Order and Manufactured Total: 10,530.84 merchandise is Non-Returnable. O Paid: Due: Page 2 of 2 10/15/2014 10:36:23AM >Dealer.of.they Q Jacksonu o t o LUMBER & MILLWORK 2014 Transaction # ............. 215 Market Street 10 Industrial Drive 67 Haverhill Rd 473729 Lawrence,MA 01843 Raymond,NH 03077 Amesbury,MAO 1913 Price Date Pcd Phone: (978)686-4141 Phone: (603)895-5151 Phone: (978)-388-0366 10/15/2014 D/0 Fax 978)689-1023 Fax 603)895-5152 Fax 978)388-9824 Location Billing ax: - 41 LAWRENCE MAIL TO: Jackson Lumber& Millwork Co. Inc. Sales Representative PO Box 449, Lawrence, MA 01842 DAVE ROBERTSON Bill To: Ship To: MINCO DEVELOPMENT CORP. SAME 13 ELMWOOD ST 231 SUTTON STREET ANDOVER, MA 01810 (978)687-6200 N ANDOVER, MA 018451639 Customer# Quote# Quote Date Oper Purchase Order Terms Ship Via 1948 473729 10/15/2014 189 13 ELMWOOD 2% 10-NET 30th CUST P/U LN# Item Number Ordered Description Pric efunit Extension 1 248SPECIAL 150 2X4X8' KD PREMIUM STUD EA 3.31 496.50 2 SPR2416 20 2 X 4 X 16 K/D SPR#2BTR EA 5.83 116.60 3 SPR2816 20 2 X 8 X 16 K/D SPR#2&BTR EA 12.29 245.80 4 SPR2128 5 2 X 12 X 8#2 KD SPF#2&BTR EA 13.38 66.90 5 SELRED 10 2-1/4 SEL&BTR RED OAK 21SF BDL 75.43 754.30 6 D 1 MISC BUDGET EA 1100.00 7 ADVAN4834 25 4X8X 3/4 T&G ADVANTECH SUBFLOO SH 26.72 668.00 8 CDXF4812 15 4 X 8 X 1/2 CDX FIR 4PLY SH 22.37 335.55 9 SPR1316 100 1X 3 X 16 PREMIUM KD STRAPPING EA 2.67 267.00 10 GYP4812 60 4 X 8 X 1/2 GYPSUM BOARD SH 10.01 600.60 11 1616FJCLPINE 30 1X6X16'WINDSOR1 FJ PRMD PINE EA 24.45 733.50 12 1816FJCLPINE 20 1X8X16'WINDSOR1 FJ PRMD PINE EA 33.62 672.40 13 LJ6010SCO12 1 LJ6010 SOLID CAP OAK RAIL 12FT EA 80.23 80.23 14 S5015P34 20 55015 PRIMED 34"BALUSTER EA 4.24 84.80 15 D 1 BI FOLD DOOR EA 250.00 16 D 1 NAILALLOWANCE EA 300.00 17 OUT288 16 2 X 8 X 8#1 TREATED AG EA 7.68 122.88 18 OUT2812 4 2 X 8 X 12#1 TREATED AG EA 12.17 48.68 19 OUT2128 8 2 X 12 X 8#1 TREATED AG EA 15.32 122.56 20 BALOUT36 80 2 X 2 X 36"CLR TREAT BALLUSTER EA 1.09 87.20 Amount: 9,911.38 v Tax: 619.46 This Quotation is valid thru 10/22/2014. After that it is subject to review 0 by Jackson Lumber and Millwork. Special Order and Manufactured c Total: 10,530.84 merchandise is Non-Returnable. O Paid: Due: Page 1 of 2 10/15/2014 10:36:24AM