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Building Permit #707 - 19 MILLPOND 5/13/2010
BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:� Date Issued: IMPORTANT: Date Received )licant must complete all items on this 4 "v" 0 h :;ZONING "DISTRICT listoaai;.FF D�s f Mad i ire sh Of L TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family 6 --- Addition Two or more family Industrial Alteration . No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other >5trc 171%II Floyd la�r� liUetland �Wa3ershed k ' 1IVaterewer ,D�stnct e i Iv1Y Vr vvumrn I U ut t'Ktt-UMMED: CGS r T -P C n Identification Please Type or Print Clearly) OWNER: Name: d � -e- +t'\ M /-I Z , r_1 nl__ 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: $ 2 �� ��U 0 C) FEE: $_3-3 -3 Check No.:_T�, �� Receipt No.: 15 - NOTE: Persons contracting with u registered contractors do not have access to guaranty fund t M 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 Q Copy of Contract o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered. products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to, issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH F COMMENTS Reviewed on Signature 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 FxIRE `DEPARTMt=T Temp �Dumt?ster on site yes' no located at �245U1am Street x :Fire��Depart�aa�ent s�gnau�elc�ate rz. i g s = .CO.MMENTS . 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. MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTE5 and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 No Location1, % &6" No. Date v NOR, TOWN OF NORTH ANDOVER so jiiiiallikilk 0% Certificate of Occupancy $ Its „CHUs <�+ Building/Frame Permit Fee $ 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23'1 b3 YO--A- Building Inspector Cn m m m m X m CA m v, H .0 C CV � d � O CD C7 Z Ca CD CL Ci �• CZ = H C7 CD CD o CrCL d CD CCD O CCD w w a. CD CD CLO CO) CD I v CO2 O � Z CD .O. CD CD 0 Cn \ J O ON O C/) ) �w g=gym= z O —•N O Q ao am CO) O O '-.a 5, O Ci • O y ; CLSr NJ 3 m ? of N Cr m �O • p CD al mp O •••~ O O N� R W O C: C y o n ,,,... AN -1 O O O N . O m O C_ p, -1 H O N y_; Cos a S ��� Q C O � d H r. -- f m y dJ Nma m -dwo 4 O) .. C9 O Gi 8 ��N` 0CA 'O O t � [ D i �• O CD : +_: O Fm i O - d �s Wim` m m Q CR 0 R z M -1 = °= � ac °� an "b r CID w a R � ^ al n \ O 1> H 0 0 1: . • 0 Cornerstone Building Services 36 Baltimore St Haverhill Ma 978-273-3979 --------"--------..------------------------------------------------r Submitted To: Beth Mazin 19 Millpond N. Andover Ma [Start Date 5/14/10] Demolition: Job Description: Remodel Existing Kitchen Date 3/23/10 [Finish Date 6/5/10] -Remove the existing cabinets and counters in the kitchen and dining room area. -Remove the existing floor and wall tile. -Remove the existing vent hood, dishwasher, stove, sink and faucet. -Remove upper wall between the kitchen and dining room. -Remove the existing mirror and under cabinet light in the backsplash area. Plumbing_ -Install a new dishwasher purchased by Beth. -Plumb the new sink and faucet. -Re-install the existing garbage disposal. Electrical: -Install a new Spagna Vetro 30" Island mounted stainless steel glass range hood. -Install 3 recess lights in the ceiling over the kitchen/dining room counter area. -Move the existing recess lights in the sink area forward about 6 to 8 inches. -Install new outlets on the back splash area according to code. -Install a new under cabinet light purchased by Beth. -Install a new 4 prong outlet for the electric range. s Carpe try_: -Install new kitchen cabinets according to the new layout. -Cabinets are Thomasville in the Clove color. -The kitchen will be the Blythe style. -The dining room will be the Saxony style with a 3 draw center cabinet in the Blythe style. -The counter tops will be Corian with a 4" molded back slash in the kitchen. -The kitchen tops will be in the Gobi ,color. -The dining room top will be in the Cocoa Brown color with no back splash. -The sink will be a molded Corian single bowl # 871 in the Bisque color. -Install a clove color shelf and wood strip over the sink area to replicate existing one. -Install a wood top on the half wall in clove color. -Install tile purchased by Beth on the sink wall up to the wood strip. -Sheetrock and finish all necessary areas from the demolition. Painting: -Paint kitchen ceiling with 2 coats on flat white ceiling paint. -Paint walls in the kitchen 2 coats to match the dining room color. -------- ------ r----------------r----------rr---------------------- ---.Y------.--Y ------------ Total Cost of the p oj'ect $27,850.00 Materials Used: -Maple cabinets, Corian counter tops and sink. -Cornerstone Building Service's will warrantee all work for 1 full year from the starting date -- 5/14/10 780 CMR R6 and MGL c 142A -Cornerstone will obtain a building permit for the project. -Cornerstone will remove all debris that was generated by the project. -------------------------------------------------r-------------------rrr.--------- -r-.r... Payment Schedule: $15,000 Deposit $10,000 At installation of cabinets $2,700.00 At completion ti All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to; Registration Division, Program Coordinator One Ashburton Place Room 1301 Boston Ma 02108 ------------- W ---------------------------------------------------------------- The homeowner has by law 3 days to cancel this contract. MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 There is no acceleration clause in this contract. No work shall take place prior to the signing of the contract and the homeowner receiving a copy. Agreement of Contract: 5/08/10 Do not sign this contract if there are any blank spaces The contractor and the homeowner hereby mutually agree in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the ip ' i i ,b; Officer of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A Agreement or the above statement 5/08/10 .. Oak BO<ryt/ o tt l ; / gUil �1'/rar Restri to rlseo csr�4 tips S per rtir n.�l ;1,7 P lr(. S. ah to. p0 2063 �tspr r/ S.t( rtr.t�_ 64Vt M S License rnr/a VV O Nq ERM ��l M RF Mq 0/830 xp�rat�on; Tom' 1181201] 8 MOMS IMPR1 E Registration. ME CONT NT Ep RA C 111079 TOR PAUL M Type 1j/25/2p1 p PAUL SOUCY f� .1 Ual Tr# 27 C SAUCY � 6911 36A gALTllbip HAVFRMjL L Mq �S 'Adminish- atn,•� Paye 1 Of )�em ens Colltra�t TO ,e Oboe °f consumer o airs &Business Re9uiafan (OCABR) �Oh Re9ulat► {airs an Bus�neSs p ens Gontra ........_ - 'ELAN LINKS ai !Home ImorpVem �raCt RE o_....._._ ......_ t®� N 3 Improv ,,,St be in e1 �,da i' Massa hu chs P°u RCParasy Oti .� 0 1CnP writing. 'h 0 O M One Thousand Dollars) rn ctbetweeo ahomeOwn non l ay contra 142,'• r ~ °ver $1,000 to be included n' au sub3ect to 1v1GL c Other documents uidor de contracts s eat work description o{ any onsut URTE ttem e imProvem Ciuia pars e} C' Me1oras en �1lowing FO d a clear Ssaehusetts Para lvement contractor for hom d the Owner an Ma• e contractor an bets)• of the Parties, t was e1 Hogar de Hent between tli NOT p.0 $OX nod the da e Con 1 Guia para el C,onsum ` to 0i e oras mases if anY leted. Ctts para Ifo e eat. (if applicable)' addrerson() involved, Bally Come i Massachus .� tion number, tli bn mels) Of the saleSP be subStan e} Npear ►- =�. fedi LD• nun' �u}ed to IIIc full names Ork is sch _ registra d tibe date contractors aities begs an eduled to d the materials to be used' executedby theP work is sch undeTthe COutract. dollars' which the be done an ch paynielit stated 3 • 'rile date on description of the`* ork to be p�ormed SII l j u e work tO ct and the amount of ea e work Onnt meed to be paid for tile order Or c stom 4. , detyiled des m advaiipe Of the startmen Of a special o�ceed on del the contra equip men 5. Th 1 am a melts to be made tired to be paid material or eq at the Protect will l arrjeS- e tots edole of P y Any depositreq Coral cost of work to assure that satisfaction °f a1 P 6 , time soh charges' ct price or then the start Of title leted t0 tl'e finance l Contra tract is comp including a�,ird of the tots m advance until the Con mustbe. ordered ed exceed One -e cab}ch mens shall be demand Made a o mal pay uines about a schedule. e Contract. istered and that any mq Pal" must sign to stating' shall be reg ,lip ousnotice stl COnttactors to.. Clear and consPiCu OT,actors and b should directed be 8 me imp{Ovement Cting to a registry n tro � a. That all bo bcontraCtoz rela d Business Regulation contractor oz su mer Affairs an off're Suite 5110 Of Consu Ten parUrl A 02116 Boston 0 phone: 9'13-5'10 1 ct. 1y1GL '255D s 14 as first e of the contra 140D s 10 oz the ion numb must hts u deTMGL 93 s 48; MGL °, in statement: A c� Ai ctor: s reg strat canCellation ng and MGL 0.142 e• the follow g b1be eOvilieT three day des the provisions OT vided for the signator A� kJ C. The ahts rtn v e the space P °y be aPPlicable. the owner's rim above K SPACES" dapll warrants Old type or larger, dueCtly A ANl BLA1`1 Ct. 'Onixa e. w ten Point bold T81S CON TRACT IF TxERE esidenpe as a COnsequenmcde to may lawfully agree, DD NOT $1G interest is on the Owner and °On wealth. ��e'>aia" any lien or security otters upon which the able laws of the Comm 1lowing. ir- oa�adof 1 f. Wbetber 9 pri enumeration of suc other`vise zeQuued b) thCla Pte m{Ormmg the °caner Of e fO ��i�8O 1 j 0 Any O�Nobcetgvery contract shall rClot d perms obtain such permjts. wiili unregistered c°ntractors shams �A� 11 • p eTT° Construct ctor ,),'LO eririits or ��r �1 a any and 211 Heuser o ligai'on ofw Cori �Ctiommiated P \ of b that it shall be and ufe their ° ..,Pts who s� ...o C,uarantee F a? or iaeneC (�'es f aj� e 9 F'(y�Claq 9" �efo/ 00 /Owip� s f 'ye lOfOr6•yo0-0j�r?o�Cf?ip6i Of%'OV0 z @O 2j Ot Ice l o"by aSi� CoAr, f01� �e�GeSS.D� Ofv! ,OD eco o�/ a ea o O Oj �o 112 12010 ham:% SamPle Home ,OWN Con�'act 12 balance not moon ofPaym Yet ent: Now balms eche Contra daY be declared Contra No ct shall contai account ofU. ds due un s himself to be andpayable bn an ac cele'ation cla 13 No U. the signaturesder thecontra which ure he maYins ar se the holder de usee7ns under Which 1 q work shall begin of the holne i� are In Posses rs ouzo as a Prer e4uisihiluself to he ins part or all of the settled bitrdtion: If the Prior thesigntng of P ove�entcontractor the owner, shall be p, inning said e. $owever clause s Y arbi bon, this faConct ctOr determines thathe °pntract and tra, d the ow ner, forpwath tv .loint est at the epamtel y.The foliotvulg fo st 6e Signiti in the event ttal to the owner al. disPute a dispurele c� c¢ctorandthe ho rmat is acceptabOn le Cin ntra1 Pct d both thetheoContractor w �cOAY ofsuch contract. as been erni, thi mepwner h'Pe or 1.11 ctor and th dispute to anpro s conn here ger) owner be to suhnrk ved by the ¢c� the cot,�urucro"all sha11 sign this in Owner. [o such arbur¢ti � S p° V woe syn er tll¢irTY u ��such fiance khat in t Contractor, d MCL c 141 �d $usinesslt44Purren pri ate ¢ 6 that the contractor NpT1�L ¢ndthcconsuatte sh � e Which i has ? gyred resolution initiate e sr¢nrr n°t si ed d by rh of theP¢rhes se ¢ratel by rheonrracror The ove apply only trrles. " °H'ner ntay inlh¢tet ¢I eagree, e di puheparkes' to ¢!r re resolution ernate d eve 'spure @2010 Common n where this secn wealth of Massachusetts on u' o $ .v t.�o°♦� ° coJ{��to ��alcataJlpS� cs� o Zvi Gt°t�b ��♦bc `O hoc be�s♦'aao�� fit♦'° ccpo 0 ��s °o ♦ c s ; � co 9,6a°�°♦°o� e5b°S or i5 GacSco a� S`r 4 ' �s4 boo`s 1 �,aw �,� es°� �C'�'Qto c �a Sa �♦a �,�� O�c s� �a�Q�e,QOa�c'�be♦oSe♦S a�a�a4t� s4ccbaQti a,�•t�'�w¢,t�`�crb`s o�°S �� a �a o �•a� e`�� Sa �y,�o �ys`t•� ass'. sc�`�` PSvQ�pyi♦` �`� �to� foo G°o ��b too �4S ro� ' a�� i� �a� ♦y° 6a°`P e4 o�� �c!'ob°S�` 00 41 o ;,eta �1 1$ �° c♦a`� �`� . .��,�'�c e� Get' Goo �o� o♦`y otA ��c, �o� �. a �v� S e �4to G°�°tae♦ter�aeoS o°4ahoa�'ae�,♦oQ�� ,b�o�edooaooo°w,d���ibcod1• �P6A�O saorsP'aocA{�Jo�Yoffb`btcb �°o�t% °°h���,cya•o °ao°ooc♦0.a,ass��1°G%'S .o�oc4a{°4�.esPaa�Pa�c�19'� t♦°a�dr¢pSa�♦of ` c°t �� ,�b' �°tti°t��aa�°G'♦♦ti9a'�boeba � ♦��5o�Q♦A5�� ���{t4ot♦oo ����` �♦'ae�.♦♦���6a�c"o'ti 4bti�♦1`�a°�s`S�ao�♦ae�r��1 a6te`,�'�F p,°4Sb'�traa°a9� be�g�agceo}a�� dcyao♦e�° o �s9 a��sop°ceoe� ubtso "°t beer os�o t9P eo c ooicwS4c °° o oi° C, vp;sc♦ 190, vobk*' 11 OP oo-"O\° ba JQqo��o� Z�♦o c. oo S ao ° 1`S eS o4' mos°b ss`�aS °�1 acs c1�4 ado°to bots �t1� c1 be ooss ��s� btif' se a� ytio ��c cQ e� g¢ Sc °04 0o b otic a♦♦ �° ofSc� v e oo oS 1 c e a1 �o S♦ �` ISI eP 1Oc° G4;• tib 1�� . cc a9 toa �o sb �$• o� 9�♦y "O°t ;S4♦�bo�do� �e°9 °04� isoe°°r a♦ �a`� p T� . pa �c♦� N' ops G♦' S off° ♦,a d� o's e9,p� 4,eP oS� dna JSP o� oti c�a . 'o'�q°S e<s sr� e cc' �. c�pt �,ot°ot♦S o°��`t ado ¢�� a°° cP4� o�`e�et�,�s t 6.0o oti Jsoo d'°� i� �`� e� °off 63 �c`9 acc • oS oto S� o♦a a� °s eoti �a� <i1 4 �� 11� Cr bc° y,�° sGpd� Sao`ate` 4►P,°o��oo �t9♦° �° a� �F� ado ass 4`a oo° VP �o°o�� °oo ♦ ti� 4Sa9b �� �41� ss S♦6 90 ° ��`� c°o asp°,�� e� °�`co Qg� J9d♦b° c4a9��e aJcb a o°o.� 44 b�, �9 a� 1c• �1 oE9 �� ser, ♦°0�4�0 1�CIO, �♦s°>>ca°o6�o�bc �eS�° �p9° oCN�� BSc tos �t;a♦ eo roti �� . ao . �,ti� massoQOV/7 otoasc coo P° �o°S54°otooe9 0 ct-4 �Ss�;So��o���Cpo�� PagejL) °QJ1Qo o{ JSd o0d��c� °b a♦ ^�,�cQ 4 . d< 3tel�Ina1$ `eSsJtcp �J roeeoa�°` ere-- C", °s�oo44__ Lisp ep L=3�Q•LQ, � `� .90 `�ae�etat`�. �y.C�r Saap� �,i� Horn eco, 4.4 oc° epSat oett` ;IPt94 ec X06 ° t o Jt o0 br�1♦�,ao e Sb a J is aoa4a�ONdpt, �A4 "000G°�� t?Se 4e�♦♦♦6 a♦S�o� e� et` beS �e� cot` J�o� o4°;oe�s ° ba �od° 4ar°t Sc a ° o°o oaf, o po CJS o�� baa cot CC, 3, 3 c et . ♦`� es o" .� P' S♦ L go 6a o AP`'�c°a44°o 000s Srowo°b� CPQ 40°� °t♦ o�coJ�t�r t¢e ♦p� �o �J'pt o �s Jes J�i� �(j� ♦�^�� � °�'D o�e,S to ��Ap.oti °00 at♦`4119 CPqP 9ta9 o�Y `rst s�� °9� c�eo�s.o1 0104 L� G,�1 oSc gip`' boos gos^��o�3'' ,�a$a Payo oa�0� `o coo o boa 4 �1 bhp oo�y3' oS41aS 1q9 oS o� 00� �` e� oq o°SCP ♦ �' a♦° .04 °o o�o 4♦ e y )of tes�o� Qyo°o �cS�,bOo o J�J�°41,`�'�' Sys aS1S Gco� CP &0'1104 Vol ;off°mal ��`o`r�0 �� �'��` �♦ Stc S 1 01 Information an` d 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 pe=rson 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 t Sae legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association ox- other legal entity, employing employees. However the owner of a dwelling house having not more than three apartxoLents and who resides therein, or the occupant of the dwelling house of another who employs persons to do mainte-mince, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shallnot be=cause of such. employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or 1o.caT 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 co=npliance 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 um- ttl 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 number(s) along with their certificats(s) of insurance. Limited Liability Companies (LLC) or Limited Liability partnerships (LLP) with no employees other than the members or partners,are not required to carry workers' comp ensation insurance. If an LLC or LLP does have employees, a policy is required. Be. advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be stare to sign and date the affidavit The affidavit should be . uturned to the city or town tha^t the application for the pmrzait or license is being requested,net the .Department of Industrial Accidents. Should you have any questions regardirag the law or if you are inquired to obtain a wort ers' compensation policy, please call the Department at the number Tasted below. Self-insured companies should enter their self-insurance license number on the appropriate line. Cite or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/licewe 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 perinits 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 ince 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,faxnumber.__ .. The Commonwealth of Mas�usatts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, RIA 0.2111 Tel. # 617-727-4900 e_Z4406 or 1-977-MASSAFE Revised 5-26-05 Fay :# 617-72.7-7749 ��va.mass._. aov/din. sample Home Improvement Contract Page 1 of 2 The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Mass.Gov Consumer Affairs and Business Regulation Home > Consume, > Home Improvement Contracting > Sample Home Improvement Contract. >• Contracts - all contracts over $1,000 (One Thousand Dollars) must be in writing. RELATED LINKS The law requires the following FOURTEEN items to be included in any contract between a homeowner and a }'on Gid Konsomate registered home improvement contractor for home improvement work subject to MGL c. 142A: Massachusetts pou. Reparasyon L The complete agreement between the contractor and the owner and a clear description of any other documents nan Kay which are part of the agreement. 2. The full names, federal I.D. number (if applicable), addresses (NOT P.O. Box numbers), of the parties, the Guia para el Consumidor de contractors registration number, the name(s) of the salesperson(s) involved, if any and the date the contract was executed by the parties. Massachusetts para Mejoras en el Hogar 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. r Guia para el Consumidor de 4. A detailed description of the work to be done and the materials to be used. Massachusetts para Mejoras en 5. The total amount agreed to be paid for the work to be performed under the contract. el Hogar 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, �~ including any finance charges. Any deposit required to be paid in advance of the start of the work SHALL NOT exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. 7. All parties must sign the contract. 8. A clear and conspicuous notice stating: a. That all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 b. The contractor's registration number must be on the first page of the contract. c. The homeowner's three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d. All warranties on the owner's rights under the provisions of and MGL c. 142A. e. In ten point bold type or larger, directly above the space provided for the signature, the following statement: 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. http://'Amm,.mass.gov/?pageID=ocatermina] &L=3 &LO=Home&L 1=Consumer&L2=Home... 1/272010 3aaiipie nome improvement uontraet 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be'declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract, which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute, the contractor wishes the dispute to be settled by arbitration, this fact must be signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable (in 10 point type or larger); 'The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MCL c 142A. Contractor: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the Parties. " © 2010 Commonwealth of Massachusetts Page 2 of 2 http://www.mass.gov/?pageID=ocaterminal&L=3 &LO=Home&L 1=Consumer&L2=Home... 1/27/2010 of Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obmin 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-M-87137 or 1489-283-3757. R mmpnwn or %-uniractor fntormation Required Permits - The following building permits are required and will be secured by the connector as the homeowner's agent, (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) r.cssa ./ Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the contractor's control arise Date when contractor will begin contracted work Date when contracted work will be substantially completed. ---------------- Total Contract Price and Payment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of. Payments will be made according to the following schedule: S upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) or upon completiomof by_� /_ or upon completion of $ upon completion of the contract (law forbids demanding full payment until contract is completed to both patty's satisfaction) The following material/equipment must be special S . to be paid for ordered before the contracted work begins in order S to be paid for to meet the completion schedule.(*-) NOTES: (•) Including all finance charges ("•) law requires that anydepositor down-Pavmem requved by the contractor before work begins may -third of the total contra not exceed the greater of (a) me price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exvteas Warranty - Is an expresv warranty heinZ Pr ided by the contractor? No Yes all terms of the warran , must he attached to the contract Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this atrreement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shali not imply that any lien or other security interest has been placed on carefully before signing this contract the residence. Review the following cautions and notices • Don't be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contactor Raistratiort. 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 One Ashburton Place, Room 1301, Boston, MA 02108 or by calling 617-727-3200 or 1400-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractors normal place of business, provided you notify the contrato cr in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of time third business day following, the signing of this agreement See the attached notice of cancellation form for an explanation of this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANI' BLANK SPACES!!! Two idemirsl copies of the conmtet must he completed and signed One ropy should go to the homeowna. The other copy should he Rept by the connaaor. Homeowner's Signature � Date Contractor's Signature Date mpanY arae Street Address (do not use a Post Office Box address) Contractor/ Salesperson/ Owner Name CityRt own Slate Zip Code usm-s iiddress (must inciude a serer address) Daytime Phone Evening Phone ity?own S Zip Cnde Mailing Address (It different from above) 1Btraitress Phone edeal Employer ID or S.S. Number Lw reQuires War mori borne m� Nmne Imr�v®tat tamaaor ass. Ntanoer F.xpaatiw oax The Contractor agrees to do the following pmvmrmt eonaacart haves ua ¢giatranoo moans I work for the Homeo ner: (Describe m cletall Hie work W corn a spec ywg a e, r , an rt . ..... .. ...... " Required Permits - The following building permits are required and will be secured by the connector as the homeowner's agent, (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) r.cssa ./ Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the contractor's control arise Date when contractor will begin contracted work Date when contracted work will be substantially completed. ---------------- Total Contract Price and Payment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of. Payments will be made according to the following schedule: S upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) or upon completiomof by_� /_ or upon completion of $ upon completion of the contract (law forbids demanding full payment until contract is completed to both patty's satisfaction) The following material/equipment must be special S . to be paid for ordered before the contracted work begins in order S to be paid for to meet the completion schedule.(*-) NOTES: (•) Including all finance charges ("•) law requires that anydepositor down-Pavmem requved by the contractor before work begins may -third of the total contra not exceed the greater of (a) me price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exvteas Warranty - Is an expresv warranty heinZ Pr ided by the contractor? No Yes all terms of the warran , must he attached to the contract Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this atrreement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shali not imply that any lien or other security interest has been placed on carefully before signing this contract the residence. Review the following cautions and notices • Don't be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contactor Raistratiort. 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 One Ashburton Place, Room 1301, Boston, MA 02108 or by calling 617-727-3200 or 1400-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractors normal place of business, provided you notify the contrato cr in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of time third business day following, the signing of this agreement See the attached notice of cancellation form for an explanation of this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANI' BLANK SPACES!!! Two idemirsl copies of the conmtet must he completed and signed One ropy should go to the homeowna. The other copy should he Rept by the connaaor. Homeowner's Signature � Date Contractor's Signature Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an - alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner, hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter. 142A. Homeowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowners rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (Iisted below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled .in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day 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/berself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the. signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Consumer Guide to the Home Improvement Contractor Law," contact: 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 additional information specifically about the contractor registration component of the Home Improvement Contractor 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 The Commonwertlth of Massachusetts Department o f Industrial Accidents Office offrtvestioations ..600 fPashingWn Street Bestora, MA 62111 • Workers' Compensation Insurance Affidavit: Builders/Contra cto �plic Mt Informationrs/Electricians/Plumbers Name (Business/Organization//�11nd�ividual): U U ...ao�..i i illi LCv1DLv Address: Vl l Aj `J ,) 7-- City/State/Zip: HAU().ry`11 r Phone #: �% d — Z 7 3 --� �I-' % CI Are you an employer? Check the appropriate box: I. ❑ I am a employer with 4. ❑ 1 am a 0, ype of project (required): �ry�,, �em�ployees (full and/or part-time).* 2. Y1Yt' a sole General contractor and I have hired the sub- contractors New construction F7. proprietor or partner- ship and have no employees listed on the attached sheet $ ,,❑�� gcemodeling worlang for me in any capacity. These sub -contractors have workers' com 8' Demolition (No workers' camp.P inn ran cg. .ins trance. ❑ 5. We area corporation 9. ❑ Building addition required] 3. ❑ 1 am a homeowner doing and its officers have exercised their 10•❑ Electrical repairs or additions all work myself, Y [No workers right of ex 4), and Per MGL c. I52, § 1(4) and we have no 11.❑ Plumbing repairs or additions insurance required.] t employees17.❑ . [No workers Roof r epa�nns Pomp. mr-L ance required.] `Any aIican± that check. bol,ei mus: also •111.:` Cut the sectio- beeow ing 13•❑ Other Showing -ij - I3omeowners who submit Phis affidavit indicatingthey workers':rte- ey w-- doing aL w,,k and r �-_ _ r +Contractors that check this box must attached as additional sheet showing. the taea'hire outside contactor• muz submi s new affidavit indicating r __ - such. t name of the sub -contractors and their workers' ,n— —%-, :-r_--.. G"`puq'er roar rs'Providing workerscompensation insurance Y employ or m r- u. informadon. f ees: Below is the policy and. job site Insurance Company Name: Policy # or Self -ins. Lc. #: Expiration Date: Job Site Address: Attach a copy of the workers' compensation policy declaration page City/State/Zip: (showing the Failure to secure coverage as required under Section 25A ofMGL c. 152 can le d to the imposition oS tionbof er and expiration date). fine up to $1,500.00 and/or one-year imprisonment, as well as c= pubes in the form of a STOP WORM{ palRD� des of a of up to $250.00 a day against the violator. Be advised that a copy o f this statement may be forwarded to the Office and �e Investigations of the DIA for insurance coverage verification y :6, me pains and penalties of perjury th4rr &C information provided above is true and correct ature: Date.:-_.. e#: ��O 2� 3,7 Official use only. City or Town: Do not write in this area, to be completed 4, cit;, or town official Issuing Authority (circle one): L Board of Health 2. Buiidinb Department .3. City/Tovn 6. Other Contact Person: Permit/License # Clerk 4. Electrical inspector 5. Plumbinb Inspector Phone #.- Information an- d 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 ox- other legal entity, employing employees. However the owner of a dwelling house having not more than three apartoZents 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 m=npliance 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 unml acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners,are not required to carry workers' comp enation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit: may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be mre to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pert or license us being reauestxd, not the Ilepartn=t. of Industrial Accidents. Should you have any questions regardirag thelaw or Lf you arerequired 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 pennit/licene number which will be used as a -reference number. In addition, an applicant that must submit multiple permit/license application in any given year, need only submit one affidavit indicating .current policy information (if necessary) and under ' 3ob Site Address" the applicant should write "all location 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 per3mits 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 litre to thank you in advance for your cooperation and should you have any; question, please do not hesitate to give us a call The Department's address, telephone.and..fiax.mmnber.. . The Commonwealth of Massachusetts Degartmmt of Industrial Accidents Office .of Inrestigatieons 600 Washington Street Boston, M_A 02111 Tel. # 617-72.7-4900 exzt 406 or 1-977-MASSAFE Revised 5-26-05 Fan # 617-727-7749 W'Vr%X'-Mass.. o'ov/ciia