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HomeMy WebLinkAboutBuilding Permit #356-13 - 139 OSGOOD STREET 11/1/2012 TOWN OF NORTH ANDOVER �n APPLICATION FOR PLAN EXAMINATIO'N Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER nte34 L41 Print 100 Year Old Structure esno MAP NO: PARCEL: ZONING DISTRICT: Historic District s no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑Addition ❑Two or more family ❑ Industrial &Alteration No. of units: ❑ Commercial KRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: fQ OC✓� Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: g iloj ur f Phone: In i7- Address: 359 _� �i i i/L, i dq �,r' r,.c.t M iLI Q Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: j Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST B9SED ON$125.00 PER S.F. Total Project Cost: $ y(et o Q � ' FEE: $ 6-6 �/ 15D Check No.: ( `f-191--- Receipt No.: 'Mmo� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 DATEAPPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS u HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments .. u 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 Departinerit signatureldate COMMENTS i ■ 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.$10041000 fine NOTES and DATA— (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fol€owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 Location No. � ` Date • • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ � Building/Frame Permit Fee $ 5 a Foundation Permit Fee $ � � Other Permit Fee $ TOTAL $ Check# '� 25895 Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name(Business/Organization/Individual): PR-O C�GN S �12,� �►ti/ yv c. Address: I t 5 f(zl,, S 2CJ City/State/Zip: 'b R Rc,4 /1.ft O a2 C, phone#: -' -76 (— 05S$3 Are,,you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 2, 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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 re a' p s insurance required.]t employees. [No workers' 13.N Other]�%�'L, S comp.insurance required.] S *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Tam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Information. Insurance Company Name: a U lf,�-e_ ?olicy#or Self-ins.Lie.#: Expiration Date: lob Site Address:_ / 3 � OSC,600( S City/State/Zip: A0,171 tV V&r_ M,4 attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,500.00 and/ one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine )f up to$250.00 a day inst the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations oft for insurance coverage verification. do hereby c r if u der the pains and penalties of perjury that the information provided above is true and correct. -i nature: Date: hone#: 7(e( " OfY7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 of hire, express or implied,oral or written." An employer is 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 employer." 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 construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented 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-contractor(s)name(s),address(es)and phone number(s)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 or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also 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 has to contact you regarding the applicant. Please be sure to fill in the permit/license number 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 home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 5-26-05 www.mass.gov/dia CERTIFICATE OF UABIL Twp ITT INSURANCE os7"227720 2 1�{1ED Ati A IUTTOt O!z ilr01lMATION ONLY AND CONFERS NO RWM U'O 0 THE 00��NOT AfFiiMATNELY OR"WAIMLY AMEND, EXTiNp OR ALTDt THi CO�yPO T A pY MXD.TM Ri1RROB OR QI811WlpOLCM NCE DOES NOT CONETIT{!TE A CONTRACT BElYYE1:N THE NiSYING RliENTATiIi AND THE CERT16 NW N MWF .AVf WWW • r osrtlllab h Da..IB RNI p18 ,tln poi ttwn be«was N Row► w bAM av ar bo poioy,attnalR polblw ab I.gtRGr RIRI.nderNlwnR A s4R on"aarttllcabs doEs a '' b '�00110i"W/tLTERd MAY INSURANCE Rotcoehr�bw 188 WHITIM STREET RANCE AGENCY INC GOWACT HINOHAM,MA 02043 PAM NOW A. uinc u u • Pro-formance Construction Inc. 1506 21 Spring Road Dracut, MA 01826 THIS M TO CERTIFY THAT _ F REV T P AW OF WKWAMM L�BTED BELOW MAYS DEEN NIBt)ED TO THE WSURBD NAM ABOVE FOR THE POLICY PERIOD CePrIRCl1TE w RlBtiED OR MAY�PE�RTAWETME%OW OR CONDRION OF ANY OONrRACT OR OTHER DOCUMENT WIT H REBPECT TD W"C"TEES URANCE AFfORDEQ BY THE POLICIE8 DE9CREIED MEREW 18 SWACT TO ALL THE TERMS. � �BLICM POLIO-LIMIT'8$FIOyyN MAY HAVE BEEN REDi10ED BY PND CLAWS. TtAEOF941111lNlCE BRWIEIL�,MtsIRY tam . MWAOKM EAC" rCI=7 WIDE OOH MEDlIR/ ar uta) : PER SO"AAOV WJW ftuftmaoanAOEISEu►�ELEE►APnunrer °�+1°01�Te s the S. AGO AWOtloMAUNINaYagamn = AInADTa s 8NVf06 — BODAYWWrthreMa) IRMA1110E CODILY WURY1Pu•ed�rll s a0M s 011=11UPS EAC"OeCWIENCE f pp Et111fWj AOOINGATE _ s ss4Elr•RtmtrdR� A AW T TBA 08/22108/22 2012 2013 ei E"c"!EMNr EJ-anw-M s 'UVU- THD At-Home Services, Inc. OVIRA 2960 Cumberland Pkwy, Suite 300 ,meT011p , pE sRu se oeul"M N Atlanta,GA 30339 AvnaNso A AOM N pNo" The ACORO rnitt.and O 1989,1010 ACORD CORPORATION.AR fWft MWMVM +apo M NOIJI Rwrb a1 ACORD r , OORTH - ver 0 2z 17. No. 6�' '-t _ - ver, Mass, _ cocM�c„ew�c� ��• A�aATE� s U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT4 ra BUILDING INSPECTOR ...........O •J..... ..... NNA ... ......!�.! ................ . .. .. . .. . . Foundation has permission to erect .......................... buildings on ......� ... .................. . ................................... .. .. Rough to be occupied as ........�. � .�1!�. ...... .....l. �..........� .. .f� Chimney provided that the person accepting this perhall in every 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TA S Rough Service ........ ....... .......... ............................. Final 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 r , SORT" 1 . c . - ver No. - _ 3 �` h ver, Mass, - Y' O LAM. .� COC NIC Ml WICK � ��AO�ATEO PPP,��►y., S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System 1TTHIS CERTIFIES THAT4 ra BUILDING INSPECTOR ...........01�.�..... ...... aNNa ... ...... ................ . .. .. . .. . . Foundation has permission to erect .......................... buildings on ......� . .................. ...................................... ` , .. Rough to be occupied as .............. �c�.�ll!�J: _.... .... �. ..........�� ....�1. Chimney provided that the person accepting this per in every 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TA . . Rough Service ......... .............................. .M . ................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin-e 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 CONTRACT WORK SPECIFICATION r 1 Mass HIC# 161932 GAF Certified Roofer CE18650 r ( r 4Q40d11§1 a0d peace of,wied fbr less 354 Merrimack Street(Entry C.Suite 500)•Lawrence.MA 01840 888-49BUDGET•Fax(978)299-0128•www.Budg*t-Extoriors.com October 8, 2012 Donna and John Crawford 139 Osgood Street North Andover, MA Proposed Fiber Cement and Trim Proiect for Property 1. Remove and properly dispose of existing clapboard from exteriors walls. 2. Inspect sheathing and re-nail as necessary. , 3. Install Hardy wrap home wrap. 4.Custom flash bottom of all walls with color coded PVC coated aluminum. 5. Install new fiber cement siding to all exteriors of home. Color TBD. 6. Properly prime,paint&flash all joints. 7. Install cellular PVC corner boards. 8.Touch up all rake boards, soffit and fascia with white paint.. 9. Replace all window trim with cellular PVC flat casing and band molding to match original. All cellular pvc installed with Cortex screws for clean appearance and longevity. 10. Add cellular PVC light blocks to all exterior wall light fixtures for a more attractive appearance. 11. Replace existing wood water board with cellular PVC water board. Flash above water board with PVC aluminum. 12. Replace existing soffit and fascia with cellular PVC soffit and fascia with crown molding. 13. Replace all rake boards with cellular pvc flat stock with crown molding. 14. Remove and re-install wood shutters. 15. Remove all work related debris from job site upon completion. 16. When on premises,applicators will handle themselves in a professional manner at all times. 17.All manufacturers' warrantees will be provided to homeowner. 18. Seven year quality workmanship warrantee provided by Budget Exteriors. 19. Budget Exteriors is responsible for all necessary permits. Total Proiect Cost: Hardy Plank Fiber Cement: $32,000 Accepted by: Homeowner ' / Date Budget Exterior Date F-/!Z. CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the ` general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108. t 1 i CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement aid pare of&ihd for less Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the iml General laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration 354 Merrimack Street(Entry c,suite 500)•Lawrence,MA 01840 and status should be made to the director,Home Improvement Contractor Registration,One Ashburton 888-49BUDGET•Fax(978)299-0128•www.Budget•Exteriors.com Place,Room 1301,Boston,MA 02108. INVe hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to Install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described,which INVe represent that we have good record title in our own name. Owners Names A,n,nc� ��_ -IA", C/-4we"). Home Tel. No. Bus.Tel.No. e-mail Job Site Adress 11T (Xg©J Cityk, A, 1p gc ST-Ad&Zip Massachusetts Contractor Registration# 161932 Work Specifications described attached on pages_-Z—of Permits: The contractor agrees to apply for and obtain all construction related permits(building/electrical/plumbing) but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting, or inspection agencies, authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGL Chapter 142A. Price: The contractor agrees to do all work described by the contract for the total price of$_S t . 0 Notice: No agreement for home improvement contracting work shall require a down paymef( n deposit)of no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever is greater. Payment Terms: Advanced Deposit $ 11, noo Payable on signing of contract Interim Payment 1 $ Payable o^ JLV Final Balance $ Payable Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about//a / /(date). Barri elays caused by circumstances beyond the contractor's control, the work will be substantially completed in_ ee days. The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays are not avoidable by the contractor shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes, accidents, weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor, which may be his main office or a branch thereof, provided you notify contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or delivered, not later than Midnight of the third business day following the signing of this agreement. See the reverse side of this form for an explanation of this right. The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties. Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33%on custom products and 25%on non-custom order products. HOMEOWNER: Do not sign this contract if there are any blank spa s. IN WITNESS WHEREOF, the parties hereunto signed their es I is day of 4'p _e fr — Budget Exteriors, Inc. Representativ na HomeowneWro JzIJU Accepted Budget Exteriors, Inc. Homeowner Page 1 of HOMEOWNER: You have a right to a copy of this contract. WHITE—OFFICE CANARY—CUSTOMER PINK—CUSTOMER CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the I: general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor Registration,One Ashburton Place, Room 1301,Boston,MA 02108. 1 CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Qwllt(dd pnice of&ihd for less Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the General laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration 354 Merrimack Street(Entry C,Suite 500)•Lawrence,MA 01840 and status should be made to the director,Home Improvement Contractor Registration,One Ashburton 888-49BUDGET•Fax(978)299.0129•www.8udget-Exteriors.com Place,Room 1301,Boston,MA 02108. INVe hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to Install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described,which INVe represent that we have good record title in our own name. Owners Names 0AV%c cl,•� `--Kovx— C,rewii atr Home Tel. No. Bus.Tel.No. 61-7-�(A- IA©G e-mail Job Site Adress �s Os<,101 'i�v City /—.,L&.1-y- ST—AqP4-zip� Massachusetts Contractor Registration# 161932 Work Specifications described attached on pages._of�. Permits: The contractor agrees to apply for and obtain all construction related permits (building/electrical/plumbing) but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting, or inspection agencies, authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGL Chapter 142A. Price: The contractor agrees to do all work described by the contract for the total price of$ 11.000 Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever is greater. Payment Terms: Advanced Deposit $ Payable on signing of contract Interim Payment 1 $ Payable Final Balance $ r1 arm- Payable Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about date). Barring deCaysot) caused by circumstances beyond the contractor's control, the work will be substantially completed in week The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such4e ays that a avoidable by the contractor shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes, accidents, weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of_ 17 years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor, which may be his main office or a branch thereof, provided you notify contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or delivered, not later than Midnight of the third business day following the signing of this agreement. See the reverse side of this form for an explanation of this right. The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties. Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33%on custom products and 25%on non-custom order products. HOMEOWNER: Do not sign this contract if there are any blank spaces. IN WITNESS WHEREOF, the parties hereunto si ned their names this-k--day ofd Budget Exteriors, Inc. Representative z Homeowner Accepted Budget Exteriors, Inc. 'gyp, Homeowner. Page 1 of 01 HOMEOWNER: You have a right to a copy of this contract. WHITE—OFFICE CANARY—CUSTOMER PINK—CUSTOMER CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement ! I Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor Registration,One Ashburton f Place,Room 1301,Boston,MA 02108. CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in home improvement Q#dllt(dd peace of mired for less Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the General laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration 354 Merrimack Street(Entry C,Suite 500)•Lawrence,MA 01840 and status should be made to the director,Home Improvement Contractor Registration,One Ashburton 888-49BUDGET•Fax(978)299-0128•www.Budget-Exteriors.com Place,Room 1301,Boston,MA 02108. INVe hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to Install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described,which INVe represent that we have good record title in our own name. Owners Names DaV%^c ca,• `S6,.. CirAw& Home Tel. No. Bus.Tel.No. (—7--c/A- 'r'Y 04, e-mail Job Site Adress t�vCity k��o ,-y- ST Zip Massachusetts Contractor Registration # 161932 Work Specifications described attached on pages .4 Permits: The contractor agrees to apply for and obtain all construction related permits (building/electrical/plumbing) but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting, or inspection agencies, authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGL Chapter 142A. Price: The contractor agrees to do all work described by the contract for the total price of$ /1-000 Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever is greater. Payment Terms: Advanced Deposit $ Payable on signing of contract Interim Payment 1 $ Payable Final Balance $ 'l ON Payable o•. c,o,.de-1r �. Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about A/ / (date). Barring deCdayso) caused by circumstances beyond the contractor's control, the work will be substantially completed in week The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such a ays that af avoidable by the contractor shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes, accidents, weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of ~ years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor, which may be his main office or a branch thereof, provided you notify contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or delivered, not later than Midnight of the third business day following the signing of this agreement. See the reverse side of this form for an explanation of this right. The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties. Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33%on custom products and 25%on non-custom order products. HOMEOWNER: Do not sign this contract if there are any blank spaces. IN WITNESS WHEREOF, the parties hereunto si ned their names this_k _day of of Budget Exteriors, Inc. Representative •tVHomeowner Accepted Budget Exteriors, Inc. �P__ Homeowner Page 1 of C2 HOMEOWNER: You have a right to a copy of this contract. WHITE—OFFICE CANARY—CUSTOMER PINK—CUSTOMER NOTICE OF CANCELLATION You may cancel this transaction, without penalty or obligation, within three business days from the date of signing on the reverse side. If you cancel, any property traded in, any payments made by you under this agreement, and any negotiable instruments executed by you will be returned within ten business days following the receipt by the contractor of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the contractor at your residence, in substantially as good condition as received, any goods delivered to you under this agreement; or you may if you wish, comply with instructions of the contractor regarding the return shipment of the goods at the contractor's expense and risk. If you do make the goods available to the contractor and the contractor does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the contractor, or if you agree to return the goods to the contractor and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of his cancellation notice or any other written notice, or send a telegram to Budget Exteriors, Inc. at 454 Merrimack Street Lawrence, MA 01843 not later than midnight of / /200 I hereby cancel this transaction Date (buyer signature) 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: www.Mass.Gov/DPS Office of Consumer Affairs&BJsiness Regulation HOME IMPROVEMENT CONTRACTOR Registration: .:1`61179 Type: Expiration_: =9729/2,014 Individual - i MI HAEL A DEFELICE MICHAEL DEFELICE 21 SPRING RD. ?; DRACUT,MA 01826 Undersecretary i I� r J• i j i i Massachusetts -Department of Public Safety Board of Building Regulations and Standards. Construction Supervisor License: CS-099871 MICHAEL A DEF'F;LICE JR . 21 SPRING ROAD DRACUT MA 0126 Expiration Commissioner 06/29/2014 ,�a ✓fie�arn�na�zu;ecc�i �/�,�eacfivael� �\ Office of Consumer Affairs&S siuess Regulation HOME IMPROVEMENT CONTRACTOR Type: i Registration: .--1,61179 Individual Expiration: <9/29/2014 EL AEL A DEFICE . MI ;r a -r MICHAEL DEFELICE 21 SPRING RD. DRACUT,MA 01826 = Undersecretary i TOWN OF NORTH ANDOVER MASSACHUSETTS OLD CENTER HISTORIC DISTRICT COMMISSION VIA FACSIMILE 978 6889542 RE: 139 Osgood St Building Inspection Town of North Andover North Andover, MA 01845 TO WHOM IT MIGHT CONCERN: Please be advised that the exterior repairs of the property at 139 Osgood Street including new siding and new Windows does not need approval of the Historical Commission. Section 6 B 1 exempts ordinary maintenance and repair from the bylaws. It therefore does not need approval from the Olde Center Historical District Commission. Any questions please tail me at 978 685 5000. Sincerely, George H. Schruender;Jr. Chairman NA Olde Center Hist District Commission