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HomeMy WebLinkAboutBuilding Permit #055-15 - 157 GREENE STREET 5/1/2018 BUILDING PERMIT o* "°oT" qti TOWN OF NORTH ANDOVER F� - '` o APPLICATION FOR PLAN EXAMINATIONk)__5_ - Permit No#: D45 Date Received ItArED �gSSACHUs���� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION `, ('Cfc`� ST Prink _ PROPERTY OWNER � Print 100 Year Structure yes MAP PARCEL:(IJ0 ZONING DISTRICT: Historic District yes 0 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential ❑ New Building ,One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others- 0 Demolition _ ❑ Other ( g�j ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DX CRIPTION e i 00 _,� �O/t� 1. O WORK TO BE RFORMED: _7 , �Q r El 40/ Id ntification- Pease Ty a or Print Clea l�XrSsyfhone:OWNER: Name: f" c- Address: 417 9P/7 .4"3 RS7 Contractor Nam Phone: Address: Supervisor's Construction License: D o2-0 94/o Exp. Date: Home Improvement License: / 71 rz,5 Exp. Date: 1� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 7-15FEE: $ gid 15. () , Check No.: "� I ��D Receipt No.:����1� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _- -- --._- -- ---- - - -_-- _ ----- - - - Signature of Agent/Owner ignature of contractor 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature A -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 COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits /Building Permit Application Z1 orkers Comp Affidavit q/P oto Co Of H.I.C. And/Or Copy 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/Cross Section/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 submitted with the building application Doc:Building Permit Revised 2014 Location �` '"e- No. Date tbly • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $�� Foundation Permit Fee $�� Other Permit Fee $ TOTAL $ Check# WD Building Inspector 'JUL-16-2014(WED) 13: 1a (FRX)9785572130 P. 001/00.1 SAABM-1 OP ID:JY (MMCERTIFICATE OF LIABILITY INSURANCE DATE 07/16/1161/4 014 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statoment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Phone:978 688 8829 µAMC: Wichaud,Rowe And Ruscak Ins. Fax:978 557 2130 PHONE -"" - - -_ -7AX P.O.Box 188 _WC,.Na..Fxtl:_.-.._. _._ lac,No): forth Andover,MA 01845 EMAIL Nark S.Rowo,CIC ADDRr;SS;•,.._ INSURERS AFFORDING COVERAGE NAIC N INSURER A:Travelers Insurance Comp py _ INSURED Mitchell Saab INSUREA 8: 578 Bridge St. 114600 c:, Salem,NH 03079 -,•, INSURER D INSURER E INSURER r: 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 ArFORDED.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. q8A TYPE OF INSURANCE POLICY NUM8ER POLICY EFF MMI•0D EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENT MY— COMMERCIAL GENERAL LIA13ILITY PRCMIS6^ Ga xcyrnnm]_ S _ CLAIMS-MADE I OCCUR MED EXP(Anr ale person) 5 PERSONAL&ADV INJURY GENERAL AGGREGATE Is CEN'L ACCRECATE LIMIT APPLIES PER: PRODUCTS-COMP/OP ACC Is POLICY JECTPRO- LOC Is AUTOM01314E UAWLITY COMBINE SINGLE LIMIT 1En?cadant) S•-- _ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AU'rOS AUTOS NON-OWNED PROF Elil f DAMA't HIRFDAUTO$ AUTOS Paraccidenl I$ is UMBR;LLA LIAR OCCUR EACH OCC_URR_ENCC S EXCESS UA13 CLAIMS-MADE AGGRCGATC $ —^ DCD RETENTION _ $ WORKERS COMPENSATION WC STATU• 0TI.1• AND EMPLOYER&LIABILITY 4 IN TORY LIMITS;I I FIR ANYPROPRIFTORIPARTNERIFXECUTIVE Y❑ NIA 6KUBSB666127-13 10/23/13 10/23/14 EL.EACH ACCIDENT S 100,00 OFFICERIMEMBEH EXCLUDED? --• (Mandalory In NH) E.L.DISEASE-EA 6MPLOYEF S 100,00 If es,describe under - DESCRIPTION OF OPERATIONS brlow r.I, DISEASE-POI-ICY LIMI1' S 500.000 IEBORIPTION OF oPERATIONS/LOCATIONS/VEHICLEs (Al1ach ACORD 101,Addlllenal Remarks Schedule,If more space is roqulrod) :ERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 384 Osgood Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE 1 ®1988-2010 ACORD CORPORATION. All rights reserved. %CORD 25(2010105) The ACORD name and logo are registered marks of ACORD NORTH .c . . ver O No. h ver, Mass, %A Ito a 0 z l A- COC 41C642WIC.1 7� ADRiITED P4P,��y s u BOARD OF HEALTH Food/Kitchen PERT T D +'**1ASeptic System THIS CERTIFIES THAT .......... " � . �,p�p� .".. �i1� .... BUILDING INSPECTOR has permission to erect .......................... buildings on A��..,........... Foundation ... ........ .t a .......................... ... .. ................ Rough to be occupied as ......... .. . . .:.. .... ......., Chimney provided that the person accepting this permit shall 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 G PERMIT EXPIRES IN 6 M T S ELECTRICAL INSPECTOR 7�� ` • UNLESS CONSTRUCTIO Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. .,��,, rJ�C 1:411F)ILGI[![1C17���C��'f-LlliillC�lkiBl�l \ Office of Consumer Affairs&Business Regulation 4 — ME IMPROVEMENT CONTRACTOR _ gistration: 171835 Type: piration:.:.4l24l2016 DBA MITCHELL SAAB GENERAL CONTRACTOR MITCHELL SAAB r 57 BRIDGE ST SALEM,NH 03079 '�— Undersecretary CUM • - �2+oarU �9aadiTrd��gt�in - p7k I t - _• :aiaai Massachusetts-Department of Public Safety ` Board of Building Regulations and Standards Construction Supen_iaor License:CS-0208.64 MITCHELL L SA0 57 BRIDGE ST =5 = " SALEM NH 030713 Expiration Commissioner 0712312015 i aLi s achusetts TheC`o�n�rtonweal't�i oftVla ,� . De;�aptmentoflitdust.>arcclAcczelents Office of Investigations 600 Wasftgton Street .Boston,MA 02111 www.massgov/clia Workers'Compensation bsurance Affidavit:Badera/Cont°actors/ElectxxciansiT'*m eKs A.•pplicant Wormatio'n Please PrimLedhk �'Name(Business(Organizationlindzvidt�ai): � i Address:- City/Safe/lip: hone#: �0022 Arey an employer?Check the appropriate box: Type of project(r�egui�recl}: �. [ I am a general contractor and I f 1. I am.a exnployerwith 6. [�New construction employees(full and/or part time).* have BAed the sub-contractors 2.[l I am a sole proprietor or partner- listed on the attached sheet.t 7� C(Remodeling These sub-contractors have 8. []Demolition ship and`havena.employees working forme in.any capacity. workers'comp,insurance. 9. [l Building addition [No workers'comp.insurance 5. 0 We are a corporation audits 10.[]Electrical repairs or additions required.] officers have exercised.their 3.❑ I am a hom.eovmer joing all work light of exemption perMOL 11.[]Plumbingxepaks or additions myself LEO workers'comp. c.152,§1(4),andwehaveno 12.QRoofxepairs insurancexequixed.�? employees.[No workers' 13.[]Other comp.insurance required.] =Any app eantthat checks box#1 must also R l outthe section below showingtheirworkere compensationpolicy mnformation. ?'Homeowners who sabmitibis afFidavitindicatingthey Re doing allworkandthen hire outside contractors must submit anew affidavit indicating such. xContractors that cheokth?s box must attached au additional sheet showingthe name of the suh.-contractors andthek workers'comp,policy information. Japan employer that isproviding•worrlters'compensadoninsurancefor'myetnplopees: Bel owisthepolicyandjobsite information. l Insurance Company Name% _� ✓ Policy#or SBE Ins.UG.M: a'L��� f'�' �� Expiration Date: lob Site Address: Z 5-7 rc e 12 f pity/State/zip: Attach a copy of the workers'comp ensationliolicy declaration page(showing the policy number and expirations crate). Failure to secure coverage as required under Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one�ycar imprisonment,as well.as civil penalties im the form of a STOP W ORT ORDER and a fine o a advised that a co oftlusstatementmaybeforwardedtotheOfficeof ofu to 250.00 oda againstthevivlat r. B copy P $ Y . of the ATA.for ibsurance,coverage verification. investigations , ado liereby eeft y under'tlie ' ins andp lt's o,f eryury t7lat the information provided above is true and correct. Si afore: Data: 9-2 Phone#: Oficial use only. vo not write N this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): ity/ 1.Board of]health 2.Building Department 3.C7Cowrd Clerk 4.Electrical Inspector 5.PXuzrabiug Inspector 6.Other Information and Instruction 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 iii the service of anotmex under any their e ploye, express orimplied,oral oxwxitten" Au employes is defined as"an individual,p.artuership,association,corporation or other legal entity,or any two oxmore Of the foregoing engaged in a joint enterprise,and including the legal representatives ofa:deceased employer,.or the receiver o ttusfee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house havingnatmore thantbxee apartments andwho resides therein,or the occupant ofthe 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,MOIL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic worlcuntit acceptable evidence of compliance with the insurance requirements oz this chapter have beenpresented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary;supply sub-contractor(s)name(s),address(es)and phonenumber(s)along with theircertificafe(s)of insurance. Limited Liability Companies(LLC)or Limited Liability partnerships(LLP)with no employees other than,the members orpartners,are notrequkedto carry workers'compensation insurance. 1fanLLC orLLP doeshave employees,apolicyismquired. De advised thatthisafHavitmaybe.submitted tothe Department of industrial Accidents for cont ation of insurance coverage. Also be sure to sign,and date the affidavit. 'theaffidavit should here tamed to the city or town that the applicatign for the pemnit or license is being requested,riot the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to abtaiu a workers' compensationpolicy,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 andprinted legibly. The Department has provided a space attho,bottom of the affidavitforyou to fill out iu the event the Office of Investigations has to contact youxegarding the applicant. Please be-sura to ill in the peimit/license number which will be used as a reference number. In addition,m applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy iMfornzation(ifnecessmy)and under"Jab Site Address"the applicant shouldwxife"all locations in (city or to A copy oitho affidavit that has been officially stamped or marked by the city ox town maybe provided to the applicant as proof that a valid affidavitis on fie-for fixture permits or licenses. A new affidavit must be filled out each Year.Where a home owner or citizen is obtaining a license ox 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 luvestigations would like to thank you in advance fox 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: Thea CQ ouw.ead o ssachy. P - Daparbexat Q£Zndu al A.cdt aWa Ofte o-'Tn,VQWgAUo)n 69as >agQreQ TQL 4 617H7.2,7,490Q Q:A406 Qx 1-877-MAMAFF, - Revised 5-26-05 AM#617-727-7749 ' wP�w.�taS�,g4�l�c�la � f j ROOFS MITCHELL SAAB SMOKESTACKS INSULATION GENERAL CONTRACTOR TOWERS PAINTING 57 Bridge Street • Salem, NH 03079 POINTING REPAIRING 603-893-6332 Tel/Fax: 603-893-3466 WATERPROOFING SIDING PROPOSAL AND CONTRACT DATE:............................................................................ TO............................ .............. Type of work..................,. .......................................................... ATTN........................................................................... PROPERTY............................................................................. LOCATION............................................ ............................... We propose to furnish all necessary labor, material, and equipment (except as noted below) to perform the following work in First Class workmanlike manner. Roof maintenance is required annually. Not responsible for water back up caused by snow and ice. Scopeof work................._............................................................................................................................................ .......................................................4. ...........—............................. a ...........s........................ ..1......................................... ...................................... .. .t......................r................................ ........................a..................................................I........ ..t...... .. s..... .. p .........I...... ............. i •........................:........ ......................Y................................................................. Forthe Sum of .............................................................. Signedby............................................................................... This form satisfies all basic requirements ofthe state's Homelmprovement ContractorLaw(MGI.chapter 142A),but does notinrIude standard t language to protect homeowners.Seeltlegal advice ifnecessary.AnYPerson planninghome' provementshouldErstobtainacoP YAf..A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on yourresidenoe.You may obtain a&-e copy by calling the Office of Consumer Affairs acid Business Regulation's ConsumerInfoimationHotline at 611-973-8187 or 1-88S-283-3757 or on our website. Itomeownerinformatioll COntractorWormation N �j �Offf CompanyName StrnetAddtess(dR tuseaPceBox dress) ` Contractor/gelesperson/OwnerName 15-1 l�rectu S.r City/ibwn St to Zip Code BusinessAddress(must include a street address) o� An'a Vu DaytimePhone Evening-Phone urtynown State ip Code (11-7 -3(PI 1a3� MailingAddress(It differentEom above) Business Phone I_JFederat$mployerlD or S.S.Number 73om:taecoeemrntConbrdor&5.N®ba Eapcatioadate rA577CgIIircS lirlmostbame rmprarw cat wafmdoa bate meati,n d r.'an somber The Contractor agrees to do thefollowingworIrfor the Homeowner. (Describe in detail the worktocompleted,specifpiagtheiype,brand,and grade ofmatedalstobeused.gumadditionalsheet;i€neces *s) Required Permits-no following building peroftare regaired Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as theliomeownees agent. bo adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded frown he Gllarant�rN end provisions of Date when contractor will begin contractedworlc MGL chapter 142At.) Dato when contractedworkwM be substautiallycompleted. To tal ContractPrice and Payment Schedule The Contractor agrees to perform the work famish the material and labor specified above for the total stun of (*) Payments will bo made according to the following schedule: $ upon signing contract(not to exceed 113 ofthe total contract price or the cost of special order items,whichever is greater) $ by / / or upon completion of $ by1! or upon completion of $ upon completion ofthe contract (Law forbids demanding full payment until contract is completed to bothpatty's satisfaction) The following matedaUequipmeat most be special 3 to be paid for ordered before the contracted work begins in order to meet the completion schedule.(ct) S to be paid for NOTES:(Ii)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost ofany special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exc3ress Warranty-I's an express warranty beigg provided hythmo-nftactor? ❑NoEl Yes(all terms oftlrewerrantvmustbeattached tothe contract) Subcontractors-The contractor agrees to be solely responsible for completion ofthe work descabed regardless ofthe actions of any third party/subcontractor utilized by the contractor.no contractor farther agrees to be solely responsible for all payments to all subcontractors for materials and labor under this amement ContractAcceptance-Upon signing,this document becomes a binding contract ocaderlaw. Unless otherwise noted within this document,the contract shallnetimplythatanylienorothersecurityiateresthasbeenplacedontheresidence.Review the following cautionsand notices carefally before signing this contract Don't be pressured into signing the contract Take time to read and fully understand it.Ask gnestions ifsomething is unclear. Make sure the Contracte-xas a valid Home' wovement Contractor Rrgietratioi. The law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at I0 ParkPlaza,Room 5170,Boston,MA.02116 or by calling 617-973-8787 or 888-283-3757. e Does the contractorhave iasorance7 Ask the Contractor forhis insurance companyinformation so thatyou can cont rm coverage,or ask to see a copy ofa`proof ofinsurance'document o Know yourrights and responsibilities.Read the ImportantInformatioa on the reverse side of this form and get a copy ofthe Consumer Guide to thaMmelmprovemeat ContraotorLaw rth ou may cancel this agreementifithas been signed at a place other than the contractor's normal place of business,provided you notify the ntractor in writing at his/her main office orbranch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight ofthird.business day following the signing of this agreement, Seethe attached notice of cancellation fort for an explanation of this right DO NOT SIG ffiS CONTRACT IF THERE ARE ANY BLANK SPACES!!! TI? oidenticalcopiesoftbee tmustbecompieledand' One copysbooldgotothehomcotmer.neotbwcopyshouldhlzptbyt cmbactoc omeownet's Sigaatnre Contractor's Signature Date Date --- r-v Y,.—%,uuiractor Law provrdes homeowners with the right to initiate an arbitration action(as an _ 0110mative to court action)if theyhave a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless r I r both parties agree to the optiomal clause provided below. This clause would give the contractor the same right n arbitration as is afforded to the homeowner by the Home Improvement Contractor he cto The contractor.and the homeowner hereby m,r„a11y�e in advance that in the event the contractor has a dispute concerning contract;the contractor submit dispute to a private arbitration fuz¢whicbhas been approved by the Secretary of the Executive Office of Consumer Affairs and Bu to t t s h arbitr�vi&d smess Regulation and the consumer shall be required achusetts General Z aws,chapter 142A wner's Si e Contractor's Signature 1�®TICi :The si at=of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor_ The homeow aermay initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowners migbts under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed m law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Bund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and Workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warrmty ofinerchaf ees or and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer lights. If you have questions about your consumer/homeownerrights,contact the Consumer Information Hotline(fisted below). �xeealtion of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced f documents have been attached. Parties are also advised not to sign the document filled in or marked as void,deleted,or not applicable, One original ���blank sections have been � be given to the owner and the other kept by the contractor Anlyy mmoodifirationto the original�ntraett°writing with attR en and agreed fo by both parties.Contracted work may not begin until bot h parties have received a fully executed copy of € the contract;and the three day rescission period has expired. Accelerated-Payments A contractor may not demandayments in advance vance ofthe dates specified o11 the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself' to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow I account as a prerequisite to continuing the contracted work Withdrawal of funds from said accoun 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 Massachus contact: etts Consumer Guide to Home Improvement" Consumerhfommation Hotline Office of Consumer.Affairs and Business Regulation 10 ParkPlaza,Room 5170,Boston,MA 02116 j 617-973-8787,889-283-3757 or visit the OCABR website at htt?: vw mass eov/ocabr/ If i you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: i Director of Home Improvement Contractor Registration ' Offlee of Consumer Affairs and Business Regulation 10 Pa&Flaza,Room 5170,Boston,MA 02116 617-973-8787,888-293-3757 or visit the RIC website at htt ://F�-vW,mass. ov/ocabi/ Go online to view the status of a Home Improvement Contractor's Registration: hti ://db.sfate ma us/homeimprovemenfl[icense_ el�st.asa 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 508-652-4800,509-755-2548 or 413-734-3114 version 21-11/22/2010 r Required Contract Terms Page 1 of 2 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Home improvement Contracting> --------------____-__._.._.__._______-- i Required Contract Terms . i 4- Contracts-all contracts over$1,000(One Thousand Dollars)must be in writing. NEWS&UPDATES r• The law requires the following FOURTEEN items to be included in any contract between a homeowner and a 1 re stered home improvement contractor for home improvement work subject to MGL c.142A: OCA Survey Finds One in Five gt p p Home Improvement Contractor 1. The complete agreement between the contractor and the owner and a clear description of any other documents I Advertisements Placed by which are part of the agreement. Unregistered Entity 2. The full names,federal I.D.pumber(if applicable),addresses(NOT P.O.Box numbers),of the parties,the ! More... contractors registration number,,the names)of the salesperson(s)involved,if any and the date the contract was !- Subscribe I Leant more executed by the•parties. 3. The date on which the work is scheduled to begin and the date the wort:is scheduled to be substantially completed. ; RELATED LINKS i 4. A detailed description of the work to be done and the materials to be used. Yon Gid Konsomate S. The total amount agreed to be paid for the work to be performed under the contract. Massachusetts you Reparasyon nan Kay 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, 1 _ including any finance charges.Any deposit required to be paid in advance of the start of the work SHALL NOT i 1 r.fiNaIoxf "-A R0 exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that the project will proceed Gula para el Consumidor de on schedule. Np final payment shall be demanded until the contract is completed to the satisfaction of all parties. Massachusetts para M joras en j .el Hogar 7. All parties must sign the contract. i I Gula para el Consumidor de 8. A clear and conspicuous notice stating: Massachusetts para Mejoras on- a.That all home improvement contractors and subcontractors shall be registered and that any inquiries about a. el Hogar contractor or subcontractor relating to a registration should be directed to: j 'Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone:(617)973-8700 b.The contractor's registration number must be on the fust page of the contract. c.The homeowner's three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d.All warranties on the owner's rights under the provisions of and.MGL c.142A. e.in ten point bold type or larger,directly above the space provided for the signature,the following statement: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. f. Whether any lien or security interest is on the residence as a consequence of the contract. 9. An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10. Any other provisions otherwise required by the applicable laws of the Commonwealth. 11. Permit Notice:Every contract shall contain a clause informing the owner of the following: a.any and all necessary construction-related permits; b.that it shall be the obligation of the contractor to obtain such permits. c.that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the =lRrT 0=T-Tnrn,-R.T 1=( nnenmarRrT.)—TTnma+ 0/1/7.()I 1 Page 2 of 2 balance not yet due may be declared due anda able bec p y ause the holder deems himself where the contractor deems himself to be insecure he mar uire as a rer atocont be insecure. However, Y require prerequisite to continuing said work that the balance of funds due under the'contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and_transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute,the contractor wishes the dispute to be settled by arbitration,this fact must bo signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable(in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that its the event that the coil tractor has a dispute concerning this contract,the contractor may submit such dispute to aprivate arbitration service which ! has been approved by the Office of Con sumerAffairs and Business Regulation acid the coil sumer shall be required to submt to sudrbtration as rovided iMGL c 142A.ii i Owner: Contractor. I NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initidted by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties." I ©2011 Commonwealth of Massachusetts i i http://www.mass.gov/?pageID=ocaterminal&L=3&LO=Home&L1=Consumer&L2 Home+... 9/1/2011