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Home My WebLink AboutBuilding Permit #446-11 - 15 DOUGLAS ROAD 11/24/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: ORTANT:A licant must complete all items on this age LOCATION Print PROPERTY OWNER Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential- Non- Residential ❑ New Building ff'O-ne family ❑Addition ❑Two or more family ❑ Industrial At tion No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septics ®3Well ®Floodpla n ,u IP lands�� ® Watershed District loci -� wr � f• DESCRIPTION OF WORK TO BE PERFORMED: ., I, Identification Please Type or Print Clearly) OWNER: Name: '27 '27 -� Phone: Address: �� — -5 _r a CONTRACTOR Name: Address: 3d ,/�—L�o•�� l�/�t/"�i�!h�� y fs i Supervisor's Construction License: Exp. Date: t Home Improvement License: �15 27 ARCHITECT/ENGINEER Pho7o. - Address: Reg. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00:OF THETOTAL ESTIMATED COST BASE ON$' 0 F. Total Project Cost: $ FEE: Check No.: �� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have ac ss to the guaranty fund - ------- -. -- a -� -;FSiTnature of;contractor� 4 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ' Date Received Date Issued: U4001J"Ot IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential- Non- Residential ❑ New Building 6Tne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ®Fl-,odpl n f 0 WOtl RI:Z ®�Wat�ershed Distric`'t "� ' - Septic' ® V. ell f - - '--'- `�M DESCRIPTION OF WORK TO BE PERFORMED: d Identification Please Type or Print Clearly) OWNER: Name: 746I f27 Phone: Address: CONTRACTOR Name: � �7✓:�P/t__l° Address: �� /�®�vi 10,22ZAC!% -!h . Date: supervisor's Construction License: Ex p Home Improvement License: ARCHITECT/ENGINEER i�,' Phone: Address: Reg. No, FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OFTHE TOTAL ESTIMATED COST BASE ON$125 0`� F. Total Project Cost: $ FEE: $ Check No.: �(�- Receipt No.: f NOTE: Persons contracting with unregistered contractors do not have ac ss to t e guaranty fund - t,... or_.. nature;ofcortract - - Si```natiare,;of:A _,-9 Location No. Date s i "011T" TOWN OF NORTH ANDOVER F w a Certificate of Occupancy $ Building/Frame Permit Fee $ s�►cHus t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ti r 23765 f Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/MassageBody Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on aAa Sign ture COMMENTS V ,—C HEALTH Reviewed on Signature COMMENTS 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 COIVEVIENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use i Ll Notified for pickup - Date Doc:.Building Permit Revised 2008 i 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 d®TE: 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 [ust be submitted with the building application Doc: Doc.Building permit Revised 2008mi ORTM omm o over 0 o =� A K o dover, Mass., ( C) d COCMICHEWICK 7�ADRATE D F"'e �S 1 S BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT �..! "� ... ................................................. .................. .... ..... ...................::S......................�.......... Foundation has permission to erect........................................ buildings on .....�:. -..... o.. .. LG ............. ............. Rough Chimney tobe occupied as. ............................. .................................................................................................................... .. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office,'and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final _ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 32 UNLESS CONSTRUC S TS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. VACCOR'll 10 09:26 FAX 16174728131 DAILEY TAX AND INSURANCE f�j001/001 CERTIFICATE OF LIABILITY INSURANCE DA12/06/20YYY�) 12/116/20 I 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dalley Tix And Insurance Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 526 Scll Slral HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Quincy. MA 02169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE n: 617-472-8100 FAX o; 617-472-8131 INSURERS AFFORDING COVERAGE NAIC# INSuaEo INSURER A• 1 ravcicrs insurancc Company DENNIS MESSING INSURERS. 309 llI;l,M0NT STRF?I':I',42 INSURER C. QUINCY_MA 02170 INSURER D. INSURER E. LIBERTY MUTUAL COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID_CLAIMS. WK D' �_— POLICY NUMBER FO ICY firowLIMITS — _LT&EMN TYPE OF A GENERAL LIABILITY 1680271 OP482ACJ09 11/21/2010 11/21/201 1EACH OCCURRENCE 3 500 001► % COMMERCIAL GENERAL LIABILITY DAMA E TO RENTED $ 100,001) J'REn91sE3..(EdJ11 CLC CLAIMS MADE I X�OCCUR MED EXP(Any one person) 8 5,00) PERSONAL B ADV INJURY S S00,00) GENERAL AGGREGATE $ 1,000,00) GEN'LAGGREGATE LIMIT APPLIES PER- PRODUCTS-COMP/OP AGO s EXCLUDED POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea e0denl) $ ALL OWNED AUTOS BODILY INJURY Y— SCHEDULED AUTOS (Por parson) 6 MIRED AUTOS • BODILY INJURY $ NON-OWNED AUTOS (Per eccldenl) PROPERTY DAMAGE $ (Per awdenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT_ S ANY AUTO OTHER THAN EAACC 3 AUTO ONLY. AGG $ EXCESSJUM9RELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE 3 _ RETENTION 3WC 3 E WORKERS COMPENSATION AND WC I-3 IS-3668033-010 10/02/2010 10/02/2011 TORY LIMIT OCR EMPLOYERS'LIABILITY ANY PROP RIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S SOOOO) OFFICER/MEMBEREXCLUDED7 ELDIBEASE-EAENPLOVEE 3 50000x)__ IIea,desarlbe under 50000,) SPECIAL PROVISIONS below El DISEASE-POLICY LIMIT 8 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION NORTH ANDOVER BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION NORTH ANDOVER,MA.01845 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR R NTATTVES, U7 REPRESENTATNE ACORD 25(2001108) ®ACORD CORPORATION 1986 �_�� : _ -�-�-- .f----�- _.. - - 1 I � t-- -�-- - - � � -- - _ -�- ; --� � �� ,� � - �---t- -- � �--_ -- --�- � i s�� -�--�--� � ; : ` -� � � �. .1 - �' ,y� �-- �� - I � � � - j i � -- � i l_ , � � � ! i � - i - - I ! � -- -�-. ' � i i- i 1 i - - I 1 OLD C 0 L 0 N Y RESTORATION ESTIMATE From:Dennis Messing DESCRIPTION MATERIAL LABOR COST granite countertops $ 1,760.00 new appliances $1,800 $ 600.00 $ 2,400.00 sink $160 $ 150.00 $ 310.00 mudroom walls board/plaster/trim $600 $ 900.00 $ 1,500.00 mudroom file $ 1,050.00 new trim and millwork interior I st floor $900 $ 1,460.00 $ 2,360.00 demo/strip wallpaper/spackle/paint $ 1,100.00 $ 1,100.00 bath fixtures $540 $ 800.00 $ 1,340.00 bath board and plaster $225 $ 600.00 $ 825.00 bath the $ 1,674.00 refinish hardwood floors $ 1,314.00 $ 1,314.00 rear deck(12xI6)optional $3,100 $ 2,100.00 $ 5,200.00 basement framing $770 $ 1,500.00 $ 2,270.00 insulation $600 $ 450.00 $ 1,050.00 board and plaster $1,180 option a-the floor $ 4,500.00 option b-carpet $ 2,000.00 doors/trim basement $880 $ 900.00 $ 1,780.00 plumbing/bath fixtures $740 $ 1,500.00 $ 2,240.00 electric basement $ 2,625.00 total(excluding basement floor and deck) $ 24,014.00 Total $ 24,014.00 `�� /� Dennis Messing The Commonwealth of Massachusetts �F ► Department oflndustrial Accidents Office of Investigations I 600 Washington Street 5 Boston,MA. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �1i/l/%_ Address: 30 5�,1�kr—.7 City/State/Zip: Phone#: S :5'- Are ou mployer?Check the appropriate box: Type of project(required): 1. am a em to er with 4. ❑ I atn a general contractor and I p y �—� have hired the sub-contractors 6. F1 New construction employees(full and/or part-time). '7, mo e to 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t g ship and have no employees These sub-contractors have S. ❑ 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 1 l.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]i employees. [No workers' 13.❑Other comp. in required.] *Any applicant that checks box#I 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 acid 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. ,. zf> Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: `"� �,��/ 'Pf'/� fl City/State/Zip: o1V 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 fonn 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 DIA for insurance'coverage verification. I do hereby certify under the pains andpenalties ofpeijury that the information provided above ' true and correct.' Si natu�. � —y� ~" �---�—t Date: 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. 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-contractors)name(s),address(es)and phone nurnber(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 cavy 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 confinnation 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 pen-nit/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 pen-nits 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.govldia Office ofC.ons HOfte IIVIpRO n�erAffairs&$ Registration;iVE1►jENTCONT°stnessI? Ula ho EXplratio'i. ;..10/157405 RACTOR n Tcg ype 112011 DENNIS hiESSIlNG— ,ndiviquat Tr# 289443 NIS MES 17 ASHLAND TING•. DORCHESTER MA 02122 IlndetSecreta rJ' -' Massachusetts.- Department of Public Safet, Board of Building Re-ulations and Standards Construction Supervisor License License: CS 93533 Restricted to: 00 DENNIS MESS_jMG 17 ASHLAND ST DORCHESTER, MA 02122 : Expiration: 9/15/201:1 (lrimni„iuncr Tr#: 5448 ' Massachusetts Honcie Improvement Sample Contract This(form satisfies all basic requirements of the state's Home Imps ovemeuit Goniractor Law(MGL chapter 142A),but does not include standard langdage to protect homeowners. Seek legal advice If necessary. Any person planning Dome 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 617-973-8797 or 1-888-283-3757. Home n - Information Contractor Information naName L rDupont ame � �// s(do not use a Past Street•Addres Office Box address) Contnrctorl Salesperson/OwnerNiime City/Town State Zip Code L81ness Address(must include a street address) Daytime Phone Evening Phone ;ity/1 own State Zip Code Mailiog Address(It different from above) Business Phone ederal Employer or S.S.Number Iawrequtre]tb]lmotthameha- Home IwvemeatcontactarReg.Number Hx*dandate pmvemeat watraaton have a ' ]UdmgittratioaamOha The Contractor agrees to do the following work for the Homeo Here (besm e m a r• o camp e e sp g e e,r1rana,anai a In n s o e e on ace k4f4 Required.Permits-The followinb*:building permits are required Proposed Start and Completion'Schedule-The following schedule will and till be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyotid the contractor's control arise (OWners who secure their own permits will be exellided from the Guarantsi Fund provisions of ODate when contractor will begin contracted work. MGL chapter 142A.)' Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule • The Contractor agrees'to perform the work,famish the material and labor specified above for the total sum of• �6 ' (•)��'�.''� Payrjgents�will be trade according to the following schedule: h / ! upon signing contract(riot to exceed 1/3 of the"total contract price or the cast of'special order items,whichever is greater S� b f/ / oru on completion-.017 letionrof _ ) // Y � l�_.L P P —r!C/�Y!'I//L�,� 0 $7C�.� by /I /-.or upon completion of upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following inaterial/equipment must be special s to be paid for ordered before the contracted worl'begins in order s to be paid for to meet the completion ** p ehon schedule.( ) NOTES:(*)Including all finance charges(**)Law requires that any depositor down-payment required by the contractor before work begins may not exceed the greater of(a)ane-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special orderedin advance to meet the completion schedule. Express Warranty-Is an express warrnpty hetne provided by the contractor? Na Yes fall terms of the Warren mt Subebntractors-ne contractor agrees to be solely responsible for completion of th e work desenbed regardless of the actions list be attached the contract) t any Third paity(subcontractor utilized by the contractor. The contractor further agrees to be solely"responsible for all payments to all subcontractors fo der matetials and labor unthis agreement r 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 fulhy understand it. Ask questions if somethin is • ' A4fike sure the contractor hes a valid Home Improvement Contractor R.el-*i tratio g unclear. subcontractors to be registered with the Director of Horne Itnpr•ovement Contractor Registration, I u may inquire abomost home ut contractor ent trots and registration by-,writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or 1=800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important Infornlation on the reverse side of this fo Guide to the Home- rm and et a Improvement Contractor Law. .4 g copy of the Consumer Youmay cancel this agreement if it has been signed at aplace other than the contractor's.normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary malt posted,by telegram sent or by delivery,not later than midnight of the third business day following.the signing of this agreement. Seethe attachect notice of cancellation form for an explanation of this right. 0 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM Tw 'denti I copies of the•contractmust be completed and signed. One copy should go to.the haineowner.The other copy should be kept by the contractor. Homeowner's Signatu • - Con actor's Signature P L : Date Z L,2`� 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 contrac contractor,however. The tor. The same right is not automatically affordeq to a 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, I• 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 fiftu which has been apprpved.by the Secretary,of the,Executive Office-of Consumer Affairs and'Business Regulation and the consumer shall.be required to submit to s rbitration-as provided In Massachusetts General Laws,chapter 142A. Homeo n Con actor's Signature CE: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 is any way, by agreement; However;homeowners may be excluded from certain rights if the contractor they choose is not properly registered gs prescribed by law, Homeowiners 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 maybe endtled'to other specific Ipgal 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 maybe added to the term's 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 luformation Hotline(listed below). Execution of Contract �. The contract must be executed in dulicgte 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 lie given to the both and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both'. Coatracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herselfto 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 Cons Law,"contact: umer Guide_to the Home Improvement Contractor Consumer Information Hotline Office of Consumer Affairs and Business*Regulation .10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787'or 1-(888)2833757 ._ If you want to verify the registration of a contractor or if you have questions or need a about the contractor registration component of-the Home'Improvement Gontracto ddltional information specifically r Law,contact: Director=of Home Improvement Contractor Registration Bureau of Building Regulations and Standards ! One-AShburton Place,Room.1301,Boston,MA 02108 (617)727-3200 or 1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General ' (617)727-8400 AND/OR -Better Business Bureau (508)652-4800 .(508)755-2548 (413)734-3114