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HomeMy WebLinkAboutBuilding Permit #70-12 - 19 YOUNG ROAD 7/27/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ju Date Received Date Iss I IMPORTANT: Abnlicant must complete all items on this Dage I Print t� PROPERTY OWNER ry r -e --e- Unit # Print MAP NO: 710 PARCEL: (o ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROP ED USE Resi ential Non- Residential ❑ New Building One family ❑ ion ❑ Two or more family ❑ Industrial ❑ration Veo No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition❑ Other Septic Well U Floodplain D +. Wetlands ' " -- - ;D Watershed District ❑ water/Sewer 5 DESCRIPTION OF WORK TO BE PERFORMED: Please Type or Print Clearly) OWNER: N Address: [ n Y00 CONTRACTOR Name: - Phone: --77 3 Z -- Address: L 46"J6, Supervisor's Construction License: 10 y 7 2-4 Exp. Date: /0//2Rl 3 Home Improvement License: / &6GC / Exp. Date: 6 � 21 / zC--5� z ARCHITECT/ENGINEER Phone:—' Address: Reg. No FEE SCHEDULE: BULDING PERM/T. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED PqST BASED ON $125.00 PER S.F. Total Project Cost: $ _Fc� FEE: $ 70 Check No.: 5�� Receipt No.:o� . NOTE: Persons contracting with unregistered contractors do not have access to Signature ofrAgerif/Ovvrer _ Signature. 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 COMMENTS DATE REJECTED DATE APPROVED ❑ ❑ CONSERVATION Reviewed on Signature COMMENTS ;HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connectio DPW Town Engineer: Signature: Located 384 Osgood 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 - Date Doc:.Building Permit Revised 2011 June/mi 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 Pern 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 Permi 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 .Perm 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: Doc.Building Permit Revised 2008mi Location 4th T f` l No. !72 () — 1.) Date NORTH TOWN OF NORTH ANDOVER • Certificate of Occupancy $ • _��_. / Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 13 / 2',, 1i u 8 Building Irispector f s. o v u o Cf) a ° w q as o :j x to v c U cuA. w ° a x :j co w w a W x cn w x to �, w z w w a w v N z cn v Q v o cn . � o ac3 ..: N m m ct . M •m 22 'm y Z t : cc., .O .� Q O ca -CD c = m m3 F— CL 0 N mom~ NJ C W rpt WMD •H 06= O c r • N V .= Q -CDp-2 CMR c CIO_ �.O N = o. m E B N O N CD yr cm O o� cm c m O cm c �c N CD t 0 Z O J 0 G� r 2 V O O O MM� O Z CL °L O CO) � C co tm I � 'O O M� MM .CO2 CD W W CD CD O � � CMco O m O d CL C Q CO) *- c C a Cc CO.) JCOI "fl d O ♦O., C Z CD CL C.3 H � C — C C CO) LLI Ck C4 LLI W W 19 W 0) cc O L Ea CD c m o 7 s C3 CDN :O=c .. OO C.) : is os �+ c DL. N W CD O O- CO) co t: m� cm c � m N A .E N m mo ac3 ..: N m m ct . M •m 22 'm y Z t : cc., .O .� Q O ca -CD c = m m3 F— CL 0 N mom~ NJ C W rpt WMD •H 06= O c r • N V .= Q -CDp-2 CMR c CIO_ �.O N = o. m E B N O N CD yr cm O o� cm c m O cm c �c N CD t 0 Z O J 0 G� r 2 V O O O MM� O Z CL °L O CO) � C co tm I � 'O O M� MM .CO2 CD W W CD CD O � � CMco O m O d CL C Q CO) *- c C a Cc CO.) JCOI "fl d O ♦O., C Z CD CL C.3 H � C — C C CO) LLI Ck C4 LLI W W 19 W 0) From:Julie Dortona FaxID:Santo Insurance Page 2 of 2 Date:7/27/2011 09:23 AM Page:2 of 2 OP ID: JD A`CO�RD" CERTIFICATE OF LIABILITY INSURANCE DAT07126D/1 07/26/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER603-890-6439 Planright I nsurance-Salem 224 Main Street Suite 3C 603-890-6521 Salem, NH 03079 James A Santo CONTACT PHONE FAX AIC No Ext): A/C No): E-MAIL ADDRESS: PRODUCER EDMUN-1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # GENERAL LIABILITY INSURED Edmunds General INSURER A:St Paul Surplus Lines Ins Co Contractor LLC PO BOX 2214 INSURER B: Riverport Insurance Company Salem, NH 03079 INSURER c X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR INSURER D: INSURER E: 11/11/10 INSURER F : E TO RENT LU PREMAG ISES Ea occurrence $ 50,000 COVERAGES CERTIFICATE NUMBER: RFVISInN NIIMRt=a- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF MM/DD�Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR CP572203 11/11/10 11/11/11 E TO RENT LU PREMAG ISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 X POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS H IR ED AUTOS PROPERTY DAMAGE, $ (Per accident) NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC288300042503 - NH WC288300042503 04/03/10 04/03/11 04/03/11 04/03/12 STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 . E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) WC: 3A:NH & MA/ David Edmunds has elected to be excluded from coverage on the NH policy. Job Location 19 Young Road North Andover CERTIFICATE HOLDER CANCELLATION TOWNNAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ACORD 25 (2009109) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rn rr, co) 0 U) 7' io =05 ,' OD 0 c pi 03 0 63 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:_ lo��,�•t,��- l--v� City/State/Zip: Phone #:('o d� 3 77 3 Z Type of project (required): 6. ❑ New construction 7. E] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12-ElRoofrepairs 13.[] Other pp c ec s ox must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: A/CZ-5/5 !! %M ZO2c) Expiration Date: u lZ- Job Site Address: City/State/Zip: 0/4(/5 Attach a copy of the workers' comensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th,F_Dinsurance coverage verification. I do hereby 'penalties ofperjury that the information provided above is true and correct. 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): I. Board of Health 2. Building Department 3. City/Town Clerk 6. Other 4. Electrical Inspector 5. Plumbing Inspector Contact Person: Phone #: Are y an employer? Check the appropriate box: 1. I am a employer with 3 4. El am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sh%et. t ship and have no employees These sub -contractors have working for mein any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] *Any a licant that h k b #1 Type of project (required): 6. ❑ New construction 7. E] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12-ElRoofrepairs 13.[] Other pp c ec s ox must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: A/CZ-5/5 !! %M ZO2c) Expiration Date: u lZ- Job Site Address: City/State/Zip: 0/4(/5 Attach a copy of the workers' comensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th,F_Dinsurance coverage verification. I do hereby 'penalties ofperjury that the information provided above is true and correct. 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): I. Board of Health 2. Building Department 3. City/Town Clerk 6. Other 4. Electrical Inspector 5. Plumbing Inspector Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy; please call the Department at the number listed below. Self-insured companies should enter their ,self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia Fully Licensed and Insured • Member of MA Better Business Bureau ro1C p Member of NH Better Business Bureau GAF Cert. ME # 20212 ��� HIC Reg # 166661 5 `y EIN # 26-1081508 MA CSL # 01472E •S �� ,. •—r C General Contracting, LLC " 51 S. Broadway #2214 Salem, NH 03079 (603) 890-0084 10 Stevens Street #141 Andover, MA 01810 (978) 475-0095 P POSA SUBMITTED TO PHONE'DATE — �3`'t �Z% !o /2cf l f I- ,otf,e,c.. STREET E-MAIL CITY, STATE, AND P E M © JOB LOCATION Completely protect the home with tarps to catch falling debris. Respect and protect shrubbery and flower beds. Strip off I layers of roofing material down to the bare roof deck. Inspect the roof deck for structural defects. ( z vo, oc'r-54- 1 Determine the condition of the underlying plywood or boards, and repair and replace as necessary*. Inspect roof ridge for proper 1 Y " spacing on either side of ridge for maximum exhaust ventilation. Cut in if necessary. Install new heavy gauge [AJ4C (color) �IVVVA drip edge at roof eaves. InstallWevA,16!4&1 ice and water shield to meet manufacturer's specifications (i.e. 6 feet from roof edge, 3 feet centered in valleys, around all skylights, chimney bases, roof penetrations and at all sidewall transitions). Install C '� breathable roof deck protection to remainder of the roof deck. Install heavy u iY1UV�t drip f new gauge (color) edge at roof rakes. Install starter strip at roof eaves and rakes. 6L(-&0 Install lfll desired color. Install new flashings to meet manufacturer's specifications. (i.e. sidewalls, chimneys, skylights and roo enetratio �Q COUVV" Install (feet) of :5�,L)W ridge vent at roof ridge to allow maximum ventilation. Hand nail to ensure proper fastening. Install 'XL_ (feet) of 11 nAb"distinctive hip and ridge cap. Hand nail to ensure proper fastening. Thoroughly clean up and dispose of all roofing debris on property. Magnetically sweep property for nails. N tes:W !�a` ©� III C 1 , C9 I X C X is Edmunds General Contracting will: (/ 5�����5 • Obtain all necessary construction -related permits to complete this project. 11�i // I ' ��// • Perform �K) �l Vtt4f a6VC- aK� A, 6KI1� work as efficiently as possible without sacrificing quality. • • Furnish and install all necessary materials to complete the project. • �T`�nd_�l�i� ( ��� SI1t'ti��� • Provide a thorough clean-up and disposal of all debris generated during project. Edmunds General Contracting LLC agrees to commence work on/or about �� and described work will be completed in about / days. Product Upgrade 1: G-VY)a o Product Upgrade 2: G F C��1 �3ti a Contractor's employees are fully covered by workmen's compensation and liability insurance. Upon completion of the above work, all undersigned agree to execute and deliver to the contractor, their joint note in accordance with his (their) above obligations as requested by contractor. Upon refusal to do so, contractor may at its option declare the entire contract price or so much as then remains unpaid, immediately due and payable. It is agreed that, if permitted by law, contractor shall be paid by the owner(s) all reasonable costs, attorney fees, and expenses, in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith. It is further agreed that this contract may be assigned by the contractor, and also that the obligations hereof shall bind and apply to their heirs, successors or estates of the parties. Edmunds General Contracting LLC guarantees all workmanship performed for years. t (� We will register S� Js a ` factory enhanced warranty providing S0 years of material defect coverage and I< years of workmanship def coverage through GAF Materials Corporation for: charge. -the additional cost of OC Edmunds General Contracting LLC will provide the materials, labor and posal to replace up to 64 sq. ft.�A �o1fq _ jgg and 20 ft of fascia at no additional cost. Any additional materials including labor and disposal will be replaced at SLS per sheet c k 11J linear foot. Edmunds General Contracting, LLC agrees to furnish the material and labor complete in accordance with the above s & fications, fo m of Ila r �y lren 4.rms: • A deposit of 10- t to exc total c ntract)is e upo start of work. The balance ©O is due when wor 's complete the satisfaction of all parties. �bD • For your convenience a offer fin c g and a pt all major credit cards. If you elect one of these tions will n ad 5% to the contract price stated above to cover dea fin merc ant fees. • A finance charge of 1.5% per month (18% per year) will be charged on past due accounts over 30 days All material is guaranteed as specified. All work to be completed in a workmanlike manner according to standard \` practice. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the stated contract price. Contractor is not responsible for damage due to high winds, tornadoes, hurricanes, fire or other hazards. Owners) agree to carry fire tornado and other necessary insurance. Contractor is considerate of owner's landscaping and but due to the nature of the roofing installation some damage may occur. We attempt to minimize any damage, and will not be held responsible if any damage occurs. Contractor is not responsible for any damage to the interior of property, including pre-existing conditions (i.e. water stains, crumbling plaster, exposed or on " resulting from application of materials as specified above. Items in the attic may need to be vered b w er. tractor is not responsible for damage caused by ice dam build-up. All agreements are coptingent tri , acci nits, or delays beyond our control. Authorized Signature: EdV/nds Generyf Contracting LLC Note: This proposal may be withd f15 if not accepted within 01tte Rance Of Propozal - The above prices, specifications, and 00 NOT SIGN THIS CONTRACT IF Y LANK SPACES. conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will bl made Is outlined above. Authorized Signature: Date of acceptance: . -�, -I I t . Authorized Signature: All home improvement contractors shall be registered. Any inquiriesout a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation, 10 Park Plaza, Suite 5170, Boston, MA 02116 (Phone: 617-973-8700). Owners who secure their own construction—related permits or deal wit unregistered contractors shall be excluded from access to the Guarantee Fund provisions of MGL.c.142A The owner will receive a signed copy of this contract before work will commence. The owner has three (3) business days to cancel this contract and incur no penalty. Correspondence should be directed to Edmunds General Contracting LLC at the above address. Rev. 04/11 0