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Building Permit #539-11 - 141 CORTLAND DRIVE 2/8/2011
t TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page /l LOCATION 7 O,e/-Z sly✓l✓J�%dam (`�Pfii,�i �OC�fC ains�iC/'� i Print 1� PROPERTY OWNER+� o rt An-. 4014id. I Print MAP NO: /OCG PARCEL:00di' ZONING DISTRICT: Historic District yes no Machine Shop Village yes no' TYPE OF IMPROVEMENT P USE -iResidential) Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial , Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ �_�tWetland`s_ `� xyVaters e�dDisict; �� OSe"tic CW } - ®Water(S ewe`K DESCRIPTION OF WORK TQ BE PERFORMED: off n ��XiMa e.� 00 �e �� of / �/TOP '� Q Sg �. ' ,6o15�Mcr�T s a1C•� � Identification Please Type or Print CIearly) OWNER: Name: /ec arc} /''E,��ll�f�• Phone: 9 li Address: / 7! erl�a ,,� Dri✓e, a CONTRACTOR Name: ,/ Phone: 6o7- CZo ;�� z Address: / /O9 Shaw R�1• �; IL �✓�� G `y6/ Supervisor's Construction License: I/ Exp. Date: /! 7/2-a 12- Home LHome Improvement License: ,/ 65 3$ Exp. Date: !+/l7/ZQ/z ARCHITECT/ENGINEER Phone: I Address: Reg. No. 1 FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925 00 PER S.F. 23 °D Total Project Cost: FEE: $ �— Check No.: 102- 1 Receipt No.: � v NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 71 ,-nature of contractor Sigriafur"eof Agenf/Q.wne _._9; -----.—_._ -- r Location/ [ ✓�'�-7�G�-�( ��' No. Date NpRTN TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ 41 Eta' Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 3 bif 3 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ To Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i i CONSERVATION Reviewed on Signature COMMENTS j I HEALTH Reviewed on Signature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/sr' nature&Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site Located 384 Osgood Street es Y Located at 124 Main Street no Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008 r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording . Lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Massachusetts- Department of Public Safety Board of Building Re-ulations and Standards Construction Supervisor License License: Cs 85388 I KENTON L STENERSEN -RO BOX 408 ' »:.•Y' ;- I RINDGE, NH 03461 Expiration: 11/17/2012 Commissioner Tr#: 8149 ' J, r j. J 3 i Policy Number: Date Entered: 1/11/2011 ACORl�® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDNYYY) 1/19/2011 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 CONTACT D.W. MUGHMAW INSURANCE AGENCY NAME: PHONE 1032 RTE 119 No ,t. (603)899-3231 FAX No: (603)720-7985 E-MAIL SEPCO BLDG ADDRESS:DAVID@RINDGE INSURANCE.COM I INSURER(S)AFFORDING COVERAGE NAIC p RINDGE, NH 03461 TRAVELERS INSURER A INSURED K L STENERSEN INSURER B: KENTON STENERSEN INSURER C: I 109 SHAW HILL ROAD INSURER D: RINDGE, NH 03461 INSURER E: 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 TYPE OF INSURANCE INDR SWVD POLICY NUMBER MM/DDY/YYYY MMIDDEFF Y/Y EXP LTR YYY LIMITS ' GENERAL LIABILITY EACH OCCURRENCE $1,000,0001 p+ COMMERCIAL GENERAL LIABILITY 6803731rl2038-ACJ-10 DAMA ET RENTE 0/26/2010 0/26/2011 PREMISES Ea occurrence $300,000 CLAIMS-MADE ® OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,0001 GENERAL AGGREGATE $2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT RO LOC 1 1 $ AUTOMOBILE LIABILITY EO eBIBINdE�DtSINGI LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCTOS HEDULED AUTOS AUBODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ tt AUTOS Per accident I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ i EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T RY LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? ❑ N/A 373M165-6-10 0/26/2010 0/26/2011 I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $100,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION ROBERT AND LORETTA MIDDLETON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 141 CORTLAND DRIVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. N ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE t AVID MUGHMAW I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software.www.FormsBoss.com;Impressive Publishing 800-208-1977 { i NORTH TOWN OF NORTH ANDOVER 0�*t LEU �2 OFFICE OF BUILDING DEPARTMENT * ; * 1600 Osgood Street Building 20 Suite 2-36 ��SsgcHuSE��� North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please Print I DATE:__ JOB LOCATION: / y Cr- Number Street Address Map/Lot I3OMEOWNER _&tr-- �;Qi4q-Zn TTS-6k$ 0C1( Name Home Phone /►'Work Phone PRESENT MAILING ADDRESS Aloe- 14 n d dyer City Town Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units-or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. ,The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ! The Commonwealth of Massachusetts Department of Industvial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV www.mass.gov1dia Workers' Compensation Insurance Affidavit: Biiilders/Contractors/FIectricians/JPlwmbers Applicant Information ` Please Print Legibly Name(Business/Organization/Individual): Address: q Co 6—f 1,)1j Ori ve- City/State/Zip: Nv r�-k &Ity-, t1 qyi,, S—Phone#: q 7F 4?T— 6 9( Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.? 7. E]Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers'comp.insurance. Y p ty 9. E]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions required.] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers'comp. c.152,§1(4),and we have no 12.❑Roofrepairs insurance required.]i employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box41 must also fill out the section below showing their workers'compensation policy information. T Homeoyrners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby certi er•tlxe pains a enalde" perju that the information provided above is true and correct. Si aturw i Date: 11 ?A i Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectricaI Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i • The Commonwealth of Massachusetts 1 ' Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 �,� s�.q www.mass gov1dia Workers' Compensation Insurance Affidavit: Biiilders/Contractors/JElectricians/JPlulmbers Applicant Information 1 { Please Print Legibly Naffie(B.usiness/Organization&dividual): Address: /09 A,f City/State/Zip: IVR , o-2 y 61 Phone#: 6 o 3 SZ o 6 6 7 Z � Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4. ® T am a general contractor and I 6. ❑New construction. 1 employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.i 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.F1 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 repairs insurance required;] employees.[No workers' q 1- 1311 Other comp.insurance required.] i !Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: I r Policy#or Self-ins.Lic.M 6d 0 7 3/12o3g /�C,�—JO. Expiration Date: 1 o/26/2d11 rob Site Address: /yI Ga f�'- Q�'Y Ci /State/Zi I,..� /'►I ss. olaq ty p: /�� ;�,,� Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). I Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of penalties crunmal p Waltzes of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. I do hereby certify un der the pains andpenalties oifp erjury that the information provided above is true and correct. f Signature: Date: / Za fit! I Phone#: 7 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 CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: C NORTH! own o _ over - J�- ------------ 53q- sir7� o lLA over, Mass., j - .2Q - ) 0- O COCHICHEWICK ' S RATED BOARD OF HEALTH Food/Kitchen Septic System PERMIT T DBUILDING INSPECTOR THIS CERTIFIES THAT...............6J� ......... . ....................................................... Foundation has permission to erect ................................... buildings on .141........�4.,t�.�[�4r..... . ......41......Dow............... Rough to be occu ted as (t. "�' .0. .R... �.. /I111!� �., Chimney • h' P "!r.. .........�.. ....... ............. ...... .... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of1he Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC TS ELECTRICAL INSPECTOR Rough f Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE_DEPARTMEN'i'> - - Until Inspected and Approved by the_BUilding_Inspector_.- =----- Burner Street No. SEE REVERSE SIDE Smoke Det. - r K.L. STENERSEN Proposal CONSTRUCTION LLC ` Date Estimate# PO BOX 408 - 1032 ROUTE 119 RINDGE,NH 03461 12/17/2010 1 507 Name/Address Bob & Loretta Middleton I 141 Cortland Drive I North Andover, MA 01845 Terms Net 15 Quantity Description Rate Total I Finish appro imately 750 sgft of basement-per plan. 24,300.00 24,300.00 Includes all supplies and labor to complete job. Also includes supply and installation of sump pump in a isting pump location. Flooring Allowance 4,000.00 4,000.00 Lighting Allowance 300.00 300.00 Optional Closet is an additional$2000 I All material is guaranteed to be as specified. All work shall be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving a tra costs will be e ecuted only upon written orders,and will become an a tra charge over and above the amount set forth above. We shall not be responsible for delays caused by strikes,accidents,or other contingencies beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance. The above prices,specifications,tents and conditions are satisfactory and are hereby accepted. NOTE:This proposal may be withdrawn if not You are authorized to supply the specified material and do the work specified.Payment will be ACCEPTANCEmade as outlined above. accepted within 30 days. i OF PROPOSAL SIGNATURE DATE Phone# Fax# E-mail Total $28,600.00 603.520.6672 603.899.5017 kstenersen@aol.com i Box Out I Box -- 'II for icafs' Desk Area j 1Nec an afs Closet for � g � I Optional - t9 Closet of ` Box Out -- I � Closet for Mechanicals 1 STAIRS Television �� T �- Storage � ii192 All dimensions_size designations This is an original design and must Designed: 12/10/2010 given are subject to verification on not be released or copied unless Printed: 12/10/2010 ob.site.and,ad•ustment to fit ob applicable fee has been paid or job conditions. ® order placed. 603.899.5184 00 Tnrlrl'c Annt'c RncPment 1 7.1010 kit I All nrnwino# 1 CralP 0 '1/1 C% — 1' K.L. STENERSEN i Pro osal p CONSTRUCTION LLC Date Estimate# PO BOX 408 - 1032 ROUTE 119 RINDGE,NH 03461 1/5/2011 507 i Name/Address Bob& Loretta Middleton 141 Cortland Drive North Andover, MA 01845 Terms t Net 15 f Quantity Description Rate ' Total Finish approximately 750 sgft of basement-per plan. Includes all supplies and labor to complete job. Also includes supply and installation of sump pump in existing pump location. Framing Materials 1,950.00 1,950.00 Framing 1,900.00 1,900.00 Insulation 1,400.00 1,400.00 Electrical 3,100.00 1 3,100.00 Sump Pump and Installation&Wiring an outlet for the pump 700.00 1 700.00 Heating 5,200.00 1 5,200.00 Flooring 4,000.00 4,000.00 Painting 1,200.00 1,200.00 Trash Removal 500.00 I 500.00 Acoustic Ceiling 2,950.00 I 2,950.00 Drywall Material 1,600.00 1,600.00 Drywall Finishing 2,200.00 2,200.00 Interior Doors&Trim 1,400.00 1,400.00 Install Trim and Doors 1,500.00 1,500.00 Lighting Allowance 300.00 300.00 Building Permit 700.00 1 700.00 Painting,Trash Removal and Building Permit are options that you could take care of yourself if you wanted to. I I i All material is guaranteed to be as specified. All work shall be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the amount set forth above. We shall not be responsible for delays caused by strikes,accidents,or other contingencies beyond our control. Owner to carry fire,tornado,and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. The above prices,specifications,terns and conditions are satisfactory and are hereby accepted. NOTE:This proposal may be,withdrawn if not You are authorized to supply the specified material and do the work specified.Payment will be ACCEPTANCE made as outlined above. accepted within 30 days. OF PROPOSAL SIGNATURE r' DATE Phone# Fax# E-mail ' otal $30,6��.�0 603.520.6672 603.899.5017 kstenersen@aol.com T Jan 19 2011 2: 08PM Mountain View Kitchens 6038995017 p. 2 E Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action has an alterative to court action if the have dispute y a pate wit►a contractor. The sutra right is gal automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both patties 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 m advance that in the event the contractor has a dispute concerning this contract,the contractor may subnvt 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 ch arbitrati provided I Massachusetts General Laws,chapter 142A eownces S are Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the patties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not stpaudy signed by the Homeowner's Rigbts A homeowner's rights underth Home lmpmvement 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 riglus if the contractor they choose is not properly registered as prescribed bylaw. 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 runts if the coon 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 entanneration of other matters on which the homeowner and contracxar 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 consumerAu nteowner rights,contact the Consumer Information Hotline(listed below). Eucatloo of Contract The contract must be executed in dmWic gg and should not be signed Cantil a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until ail 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 cormact must be in writing and agreed to by both patties.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 paymeatts in advarwe ofthe dates specified on the payment schedule in cases where the { homeowner deem him/herself to be financially insecure. However,in instances whom a contractor deems him/bessdf 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 f urn said account would require the signatures of both parties. II Addltional Information If you have general questions or need additional information about the Homo Improvement Contractor Law or other oonswrher rights,or if you wide to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Infoimeaion Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 51 70,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABRwebsite at http://xtiwy, s.gov/oeabr! r � If you want to verify the registration of a contractor or if you have questions or need additional infornrration 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 617-973-8787,988-283-3757 or visit the HIC website at hl�f fyiv+w.m ,,gov/ocptu/ Go online to view the stares of a Home Improvement Contractor's Registration: imp://db.state.ria.iso'IwmeimQrovementr?icensgg�ss.as� For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office ofthe Attorney General 617-721-8400 ANDIOR Better Business Burn 508-6524900,508-755-254g or 413-734-3114 vnion a n-r vnnoeo I I Jan 19 2011 2: 08PM Mountain View Kitchens 6038995017 p- 1 Massachusetts Home Improvement Contract This firm satisfies all basic requirement-of the state's Home LWroveraeat Contractor Law QAOL chapter 142A),but does not include standard language to protect homeowners. Seeds legptt advice ff necessary. Any Peron planning home WWov'emestts should first obtain a copy of"A Wssac usdu const ttmer Guide to Home lnnprovement"before agreeing to any work on your ttesideam You tuay obtain a free oopyby calling the 015ce of Consumer Affairs and Business Regulaitiods Ccrositmer Infotauntion Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Infos melon Phare // cvm patuy Name p /tea o,-,4 /Lard � +� h . A.. L.LG Street Aadness(do flet ase a Post Office Boa address) Ccadratxart Sdespersant Owner Nan e m-th AtAoycr 4 O 8 w � Vt"�tA'r'^ City_/T-M State Zip Cade Business Address(must include a street ad&xvs) 978 ZI( 0-1 SA--o Ara Q,.(, --. 14 03`/g/ Daytime Phone Svening Phom cityfrown stats zap Code 4'2 C za d C. e-7 1- n'Z- 0 51901 Z� b4wjmg Address(1t dille ast fmtn aboww-) Business those Federal g2Ww M l.aw tet jw tbt znst>tamc b92nnanr� tow a.0 ispmoemewcasaseters a /I ) 2013 a rM r*sena m amber The CantmOor agrees to do the following work for cute Elome corner: (Describe in detail the work to oo:*lt ted,specifying the type,brand,and grade of nwAniak to be uwck uoea &tionnA shame if necessauvJ � �ir.ltia�s Aft,-), j,/wN�t.�� -goo ��4PR F-el -7P L/ �NsCrr��ys ��M�^I Xinf✓/ ia..11. Or. wadk , t .s; 4-, c �r'tr .T-i �r•♦ .I f-14--stri' Requlreti Pmts-The follmiag building permits are required Proposed Start Arad Cotapletion Schedule-Tx&Uawrtrg schedule will and will be smc red by the contractor as tfne homeoumer's apart: be adhered to unless cir cun-stances beyond the contractoes cowl arise (Owners who secure their own permits will be f f� A Date when contraetrot'two begin coittcacted work. excluded from the Gilaranty Fuad provisions of IMGL Chapter 142A.) 2 7n r 0 Date va$mn contritct+ad work niiB be substantially cornpiacd Total Contract Prue and Payrment Schedule �s The Comb-detar agrees to per-&rrm the wvorl,,fun�sish the material and fat-or specified above for the total sum of Z + (°) Payments will be made aewrding to the following schedule: of� y'� l C-i $ 1 y/ SW by 2 l ! t or upon completion of 90!at c. $ 1 ofl upon completion of the contract. (Law forbids demanding fail payment until c act ontris completed to both party's satisfaction) 7be following materiaVegniptamt mast be speewl S N�� _ to be prod for )VIA ordered befam the eamtracud work begins in order to meet the coroptetiou scbedule.(*") $ to be paid.far 6�4A NOTES:(")Inchkl*all 5nnow c l=gn(40)Law regvires that any deposit ca down-paymimt rrgerired by the connactar be bre ion*begins may not exceed&e Beater of(a)one-tZ W oftum toW contmo ince or(b)the actual cost of any spexisl euipment or custom made anterial which now be speewd ordered in advance to meet the counAettm schedwe- Express Warrmty s Is aexpress warranty dtraa� pEgAM in the coubmcier`' jR No❑Iles(all terms of the warrants'roost be attached to the contract) Subcontractors-The couttaactor agrees to be solely responsible for completion of the work clescrtbed regardless of the actions of any third patt}lsukontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors fear Rjakrish and htbo -nurf o t1tis naMMrnt Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless odwrwise noted within this document,the contractshall not imply that any lies or other security interest leas been placed on the residenec. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract.Take tstue to read aid folly understand it. Ask questions if something is unclear. • Alae stere the contractor"a valid Home Improvement Contractor Rena tion. The law,requires most horue iu>i yesn cit contmetors o ad suhcontractors to be registered with the Director of Home Iw4=vennent Coutractor Registration. You may inquire abonu contractor registration by writing to die Director at 10 Park Plaza,Room 5170,Boston,lvlA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contador have tusttr anee? Ask the Contractor for his insurance company information so that you can couf`irrneoverage,or ask to see a copy of a"proofof insurrance"docutuent. • Know your rights and responsil)ili#ies. Read the 1t nportant lnforanation on the ry erse side of this form and get a copy of the Consumes Guide to the Hotta Irttprovenxnt Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's norvral place of bitshms,provided you notify the contractor in%riting athisllrer train office or btuncdt office by ordinary mail posted,by WeVam sent or by delivery.not later than midnight of the third business clay followving the signing of this agreeanent. See the attached notice of cancellation fain for an explauation of this right. IKJ NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! ri01Wc 1 lYarLE t)e red and signed.one topy ehOotd go to the LDIIreowmv- The&.5er copy should be ke¢t 7�' OmeOwVlSer's Si grn Contractar's/SiRrratuwe D r 1 Date f �i BOX Out Box Out for Closet echanical Desk Area Mechanicals { -120 7 a 1-; q Closet 19" 3 9' lJ .i.............._.---'---._._-._. { Box Out 36- for :Mechanical STAIRS Television Storage _........ .9 All dimensions_size designations This is an original design and must Designed: 12/10/2010 given are subject to verification on not be released or copied unless Printed: 1/18/2011 job site and adjustment to fit job V14wvW�,,��r applicable fee has been paid or job conditions. / ® order placed. 603.899.5184 00 Todd's Aunt's Basement 121010.kit All Drawing#: 1 Scale : 0 3/16" = 1' I K.L. Stenersen Proposal Construction LLC Date Estimate# 109 SHAW HILL ROAD RINDGE,NH 03461 1/18/2011 507 Name/Address Bob&Loretta Middleton 141 Cortland Drive North Andover, MA 01845 1 Terms See Below I Quantity Description Rate Total { Finish approximately 750 sqft of basement-per plan. Includes all supplies and labor to complete job. Also includes supply and installation of sump pump in existing pump location. Framing Materials-Pressure Treated Bottom Plate with KD Studs 1,950.00 1,950.00 Framing 1,900.00 1,900.00 Insulation-Fiberglass Battens 1,400.00 1,400.00 Electrical 3,100.00 3,100.00 Sump Pump and Installation&Wiring an outlet for the pump 700.00 700.00 Heating-Forced Hot Air-Add to existing Furnace 5,200.00 5,200.00 Flooring Allowance(Carpet) 2,200.00 2,200.00 Painting 1,200.00 1,200.00 Trash Removal 500.00 500.00 Acoustic Ceiling 2,950.00 2,950.00 Drywall Material 1,600.00 1,600.00 Drywall Finishing 2,200.00 2,200.00 Interior Doors&Wood Trim 1,400.00 1,400.00 Install Doors&Wood Trim 1,500.00 1,500.00 Lighting Allowance 300.00 300.00 Building Permit 700.00 700.00 I PLEASE NOTE: KL Stenersen Construction LLC EIN Number is 02-0519012 PAYMENT TERMS: 50%due when project is 50%complete. i Balance due within 15 days of completion. Work to be completed in a 30 day time period beginning approximately 1/20/11 ` i All material is guaranteed to be as specified. All work shall be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the mount set forth above. We shall not be responsible for delays caused by strikes,acciderds,or other contingencies beyond our control. Owner to carry fire,tornado,and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. The above prices,specifications,terms and conditions are satisfactory and are hereby accepted. NOTE:This proposal may be withdrawn if not ACCEPTANCE P P Y You are authorized to supply the specified material and do the work specified.Payment will be s.da within 30 ted OF PROPOSAL made as outlined above. accepted y BECOMES SIGNATURE DATE CONTRACT ///v/ Phone# E-mail 603.520.6672 kstenersen@aol.com Total $28,800.00 i i Jen 19 2011 2: 0813M Mountain View Kitchens 6038995017 p. 2 Contractor Arbltratlon The Hare Improvement Contr sctw Law provides homeownem with the ristd to inidde an arbitration action(sa ate alternative to court action)if fHey have a dispute with a contractor. The seine right Is=autooutkwly atYdrded ro a WAttactor,baweve f. me cawoctor Would have to resolve my dispute helshe has vrlih a homevwroer in court tt*U both pettRs agree to the aptlaual dam provided below. TBis clause woWd give the aonttomr t w sante riglq to arbiMitioa as is afforded to the homcowper by the Rome b"pmvcvncnt 0 miracow Law. The oeap�r••tns and the homeawuer hereby nurtu.lty agree in advance that in the event the coraredor has a dispwe eonoerniag this contract.the eontseotor mty submit the df"e to a private arbitnttioe firm which has been•ppmod by the Secmtary Of 1119 Executive office oojff'�C��onsumer Affiue and Huein�ac Regulation and the cm umm shalt be requited to sabml ch arbitrG�p�:t'/�' aasachusepa t]enerel Lewy,ohepter 142/ 'v"°�'3 urc Connacoot's sigrugsxe NOTTCLr slgaatt M of the parties above apply only to the agrae+rmc:rtt of the pmtka eo altenl6tivc depute resolution initiated by the oontirtmr. The homeowner may initiate eltmali"dispute resolution even whams this section is not s eratelsigned bX the parties, Hwneowiter's Rights A homeowner's rights under t Home Imprave avant Coatrac+ar Lew(MGL chapter 142A)and odic,consurnar Protection laws(i.e.MGL chapter 93A)nay not be waived in anyway,even by e®roemarn. ilowmer,hemaowdrs may be excluded from cartain rigltta if the contraccor they choose is not properly registered aA pans bed by law. Hunte—a n who sacum flies,a"Wiling petrmits are automatically excluded Brom all(luanhnty Punct provisions of the Hoare hWoventeett Contractor Law. The contractor is responsible for completing the work as described,in a timely and woriortanlila rnannor. Homeowners may be entitled to other speatlie legal rights if the oona'actnr gt aute es or provides an express,warranty hr wortme mhlp or matcriole. In addition to guarantees or warranties provided by the commotar,W goods sold in Massachusetts c i ry to implied warranty ofinerchendbility rad rrtaysx for a perdoular purpose. An onameration of other matters on which rho homeownef and contractor lawfully agree may be l added to tla terms of the contract ae long n they do not restrict a homeowner's basic coruiume r rtghta, if you have questions about your conetmterAto nowner rights,contact the Conowner bribri scion Hotline nixed below), Baactrtiore of Contract The contactfaits-be exeeuxd in pM jM and should not be slgwA until a copy of dl exhibits and refovriced docurneGb hove bees attached. Tapes are also advised not to sigh the dm uatent ubW all blanc seotiom hewn bees, filled in or mutred as void,delcirA.or not applicable. Ona orisind signed copy of the contract with attachments is to be given to the owner and the other kept by the onatraclor. Any modification to the original canew must be in writing aid agreed to by both parties.Coatrackd wort mey not begin vatil both partite have received s fitly executed Dopy of f the oderuu4 sed the three duty resclumn palod hiss expired, Accelerated Paywesh A contractor may not demand payments in advance of the data specified on the payment soe4ule in cases whem the homeowner looms himrherself to be financially inu mrie. However,in irggatces*hero a contractor deerne hirWhersolf to be rinanclally insecure,the conbaotw may"ire that the beletoc of funds oar yet due be placed is s Joint escrow account as a prerequisite to continuing the contracted work Withdrawal of funds ftasu said account would require the dgnaturatt of both psrdoo, A"Itbaal l efsros aitch if You have general questions oc read additional information about the Home Improvement Contractor Lsw or other consumer rigk&or if you wish to obtain a ft+ee copy of "A Massachusetts Conaurna Oujda re Home Improveatant• oanoect: Consumer lnkrmnion Hotline ftfRoe orConsamer Afliai s and Busims Reguldion 10 Park Plate Room 5170,Bmtoo,MA 021 tit 617-9734787,91111-M-3757 or visit the OCABR websita Bt � r If you went to verify the registration of a earrtraotar or if you line questions or need Additional lnik rmation specifically about the contractor registration conponery of the Haste hWmvanant conn aezor LAw,eonaw: Director of Home improvement Conewtor Reeentiom Offioc of Consorter Affairs and Business RegWtttion 10 Pais PIM Roan 5170,Boston,MA 02116 617-973.8787,888-283.3737 or visit rho PX website at b1in:L/wv►w.maas.Say&cpW On Wine to view the status of a Horne tmpuovetnmt Contractor's Re8istratjkw: flu�.53atr:.Qls.ii6 tree assistMoe with informal ttxdietion of ditputra o.to etigiotra fartegtl coreplairrh agaittat a Auainese,cell: Consumer Complaint section � Office of the Attorney General 617-721-MOO AND/OR Better Business Bureau SOB,6524800,508-735-2348 or 413-73"14 Vwria 11•I visnore � zoom XVd 90:9T TTOZ/6T/10 ; i ! Jan 19 2011 2:08PM Mountain View Kitchens 6039995017 p. 1 Massachusetts Home Improvement C;optrect i 7'ltia Sorin satiaim all b.eic ragvirrsiwntt of the rtate'sa Home is pt'dvemW Coattstctor•Law(MOL chapter 142A),but dbea net IWIVat standard IanguKe to ptateef hamtewoem. 9"k legal adsda:9 netasutry. Aar pass planning ltmw ituprovemeats s@ould Snt obtain►a copy of"A Mowat unsts Conatmter Ovide to Home Improvanent before*graaft to any work o11)mv midmc.You nay obtain a free oopyby ealWig the Of oo of Cocksuaw Aftiairs rmd li mi ursa Rntdatiods Cortotttner foformation Hod6a at 617-973-8787 or 1488-283.3757 or on arse vrebsite. eownet Iu[o;t >tttos Coutractor Woram sax CmipawNau* R, oto �o�_et ,� tpn t- <�Vs<,. t✓�.. ra.cli�� l,t� Seem Addnsa(lomat tree a PeseQlhee Hos eddrers) CaaaacaQ/94letpenodOnaertYame A oil Kw40 S4-.Vk^ Ciryfrowm Stele Zip Code Rumum Address(must inekrk a omis address) Daytitao photic 6vft&4 Phom CitYIbwa Sum Zip Code iqq Cao �67"L0 Z- 05l9bI L Aldrea ditrsrane9om aba.r ausi ato pbone Federal ID larrs�rMltfatsarKbwrtier . ran. .aanrr�+ Ifram ZaIZ � The Contractor agrees to do 11w hiMewing work Aw tbt Hetm"rroert Pescnitje in detail tha work to eaupkleed.gwayius dna ty➢r',bir"gad grade of arararialt to be uwrlL ) Aft,—>, r.-.���1r goo s•�,w•� F-el of A-V---j-4 �/j/ � Peiiwt� Jd� M�..lj. �., IJaJIf �s.►..�c� Gas/�. .w� �.� � �ao�S w'1:. b.rr'aK ►ylSe�-d+ "ulrrld Psasoita- foliDwioa buUd4 permits erre ree(ttayd Pr"owa 966 and Cotaplt OIN Sell"We-1U fiolloa,isal;seheduk:will land will bre mood by the eeaftetor as the homeouue:r's agent.: be adhered bo nm e"cireumstanc a beyond Wer amhmwes ootltlol ads* (Owurri who secure theLr own perm1t3 wIR be f L240-Data when contractor win beam oonvacted work. eRclnded from the Guaranty Fund provistow of MGL chapter 142A.) Z/20/1, Date when nonrated Wolk evil!bo*u6stantw1yoornplaed Total Coittt*CI Peke end Paymtet gcicdt h ,oro, Tlu Caabvebor apnto pofesm the Rode,ftanish the tumnat and labor specificd above for the total sum of, Is dL ea ' (•) Paymasts MU be grade mmording to the followi►e WI-dine: ��yy LL g /•/ by 2 15 1 f r or►span omupieddm of 570 Io *If s,-/ O o upon cmWlctioa of the eanttnot. (Lae forbids dectmediug f411 payn=l wail oomrac[is complewd to both pstly's satisfimioo) The tiagowioa amerWev ipmeat mut be ayeeid $ N1A —to tw."d taQ �IA ordered bdbra the emraaete I work b eit=in oder to ower Gro caarpledoe nbctlrla. ") SAJC to be paid for ^YIA NOTES:()lacludiras all frawte chmyoa(")Iaw ragowea drat nay dq;osit or dowa-payramt required by tba comacm bedsite wade be8tas may not.,ceaed doe gnaw r of(a)oae-third of**WW conrasa puce a(b)the.ctratl con of um span■l rKpAki ew or euatom orad*aatn71a1 wkieh rant be apeeial ordered m advance m meet rAe emVteim adndule. &WW"WarraatD >a an gmenr R agar WIS MI"by Im 02112dnO J9 Me❑Xes(dl t wow of tit,watraattr umt be attaltsed ri IM tmityal 9ubewtnctors-T1u aopt sow apeca to be sotdy responsible for contpWon of the work ck vAnd reptac s of the actions of any dnird paztyh obeot►tractmr utilized by the contneoeor. The conavater further sprats to be wetly responsible Car all papwrits to aU s'ebcootractors 6or VAg ' .wed hibor rrul..r this rt>rtam= Comract Acreptance-Upon sdgaing,this doctmseat imcoraes a b4idius c,mvaet under Law•. Uakas odactwise noted within this docrw=t;the oomratt.slsell not imply that any Ilea of other tec•mrity ugearen hss boon placed on the m%idauee. Review the fol lowing cautions and noUocs casfially befi=sigamg this connect. a Don't be pttes2t4vd into signiop the coubso.Take tirue so teed amd My uuderstsnd it, Ask quemious if..ormthing it uncles. . t c6fiamtor Eftbutial. The law requires utost have impraremmt cotmumn and aubcamractoo to be regiatrYed with ftDirccim ofHauk 1OWMeaneat Contractor Reg;tRrMioa You may inquiry about contractor rgpiydmiam by writing to the Director at 10 Park P1ar16'Roam 5170.Boston,MA 02116 or by calling 617473-9767 or 888.283.5757. Done the contractor have inwmxe? Ask the Coturaater far•his iana w*cotttb)atty inforaoation so Hutt YOU cora confnm covens*,or ask to i we a Dopy of a"Proof of itlsamwc"doetuumt. • Kstow your riots and racponattliliFles. Rood the Important hifOrtnation on ilia te�vetse side of this fame and got a copy of the Cotsslatlo: Guide to the Holm:In pnVement Contractor LAW. You arty cerin!this egueeatatt;fit hull been signed at a place other than the cootraoWo somal piwo of bla:Was,pwwded you notify the oAutjwtor W writing sthio=main offaoe or ban&office by m-dttery mail ported,by ttlepram stat or by delivery.not later than midaigbt of the , third basin*a day following the stigains of this agreement. See the attached notice of cancellation form for as dxPlmlatim of this r;Fht. DO NOT SIGN TMS CONTRACT IF THERE ARE ANY BLANK SPACES!1! �wO o[�e"qft neat bt led ad Upend,nae appy MOM r w tie hooa�o+ray. cape taeraa Me Yrpt 00"Mom Z oammmer's Si Coutractaa's signature q it n� Dole � : , TOOK Xdd SO:9T TTOZ/6T/TOI