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HomeMy WebLinkAboutBuilding Permit #476-2011 - 206 PLEASANT STREET 12/10/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �176—,:20/1 Date Received Date Issued: 0161 IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER�7 °`t c.: 5 (� Print MAP NO: 00 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT P SED SE esidenti Non- Residential ❑ New Building ne family ❑ Addition El Two or more family ❑Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic 0`Well li:Floodp"laiii ❑Wetlands '0' Watershed District . CEM 11U N ur w UK& 1 U -br, rr.Mr UISUVM"- G �Y �%Pi4' ntification Please Type99r Print Clearly) OWNER: Name: ;/ �� -'I ku e.S Cof/C� L Phone: Address:--, ZO L CONTRACTOR Name: % O /,/L/ /I% �y-6Phone: i v�%� Address: d�_yliym©/(1 t` �l��o�/��d`ft Supervisor's Construction License: -// 3 ,TJ3*--Exp. Date: /Z 12— 3 LZPf Home Improvement License: / 130 c0;? Exp. Date:/ ARCH ITECT/ENGINEE Phone: - Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. r Total Project Cost: $ FEE: Check No.:� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of+A ent/OwnerSignature;ofr;contraetoc .g _ H 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 CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED ❑s DATE APPROVED 0 Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Co 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 - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit - Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 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: Doc.Building Permit Revised 2008mi Location 12 No. Dates �a�TM TOWN OF NORTH ANDOVER AL F - A A 41 y • s ; . Certificate of Occupancy $ SS CM Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �� G 2 3 TO l Building Inspector O z r� a ; U y o w „ v Cf)u2 0 G GtoC O O w' > U G x U a t p w' G rL. o w Uco a W O p u: u U)w O N 0 W A � p C w W W N w .. . m O 2 cn - a' Q E a5 cn a ; E a N .0 N 0 N c 0 in m ac cm C C13 O Cm c �c N m t O Z O J 0 O ' C O O v c � a. O D CD i co cm O N C MA �E C CO m CD CL C3 CD ~ vVO Q a� CD o L cc C2 a E- Cc = m c c Cc C.3,FL ;= O C CD Z CD O CL C.2 vi C c EQ CE _cc CL ts o a N c "D V C" ® c . -CCL - cm m J CIO c O N % E o m = :mo CD `i �O1p c • C Q N i p,cL cc �Z c � O C. H O m c Q = O : CL 30 Co LU CD U. t c I. -y d +". •N CL CO IM 0 ow M"9 • = A =*-a.-m N i N E a N .0 N 0 N c 0 in m ac cm C C13 O Cm c �c N m t O Z O J 0 O L v Z a. O D h C co cm CO2 C MA �E C CO m CD CL C3 CD ~ Q a� CD o L cc C2 a E- CMa c c� c Cc C.3,FL J .� C CD Z CD CD CL C.2 vi C c C� _cc CL W D H W H OC W 9 W W W CO) IrAl The Commonwealth of Massachusetts 1 Department of Industrial Accidents R , ~r � i 1 ;! Office of Investigations 600 Washington Street a �, UM, Boston MA 02111 �M € www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelibly �_%� � A/ Name (Business/Organization/Individual): J Qy6 Ai /V ' y LG, O Address: OrV I kms_ City/State/Zip: 01110j?#111W " 673W- Phone #: 60 3 — Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I ain a general contractor and I employees (full and/or part-time).* 2.X I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. $ These sub -contractors have workers' cotnp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other *Any applicant that checks box # I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors 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. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofpejury that the information provided above is true and correct. 12-1 10 Phone #: v 6,(13 r gl� 8— Z 7 3 S_ Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or _on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone nurnber(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to 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 confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen -nit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or pen -nit 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-MASSAFB Fax # 617-727--7749 Revised 5-26-05 www.mass.gov/dia e/ _ OfSce of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR Registration:.;"" 130gpg Type: Expiration:;; __5%4%201.2 DBA JOHN N. SULLO ' = JOHN SULLO F �F �a 9 GAUMONT ROAD WINDHAM, NH 03087 `' "`'` `=' - - Undersecretary Massachusetts - Department of Public SafON Board of Building Regulations and Standard Construction Supervisor License License: CS 35938 - Restricted to: 00 i JOHN N SULLO 9 GAUMONT RD WINDHAM, NH 0308.7 Expiration: 12/23/2011 Commissioner Tr#: 18469 Massachusetts RollieImprovement Sample Contract This form ahtisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter ]42A), but does not include standard Iwiguage to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"a Massachusetts consumer guide to home improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8757 or 1-888-283-3757. Homeowner Information Contractor Informafinn Name omp§ny ame Street Address (do not wAa Post Office Box address) Contractor/ Salesperson/ Owner Name 2 State Zip Code , usiness Address (must include a street address) ziy- - - . C� � Evening Phone 1 ;ity/To State Zip Code G' Mailing Address (il different from above) Business Phoneederal Employer ID or S.S. Number 12w tequ'res that mon hotrt6 im- Home provemedCootractor Ree. Number Hxpoation date VMMn t contractors have a 'I ' • _ The Contractor agrees to do the following work for the Homeowner:Tbes m e m aeMi and seeisttatian Hobe Ene worx to COmpletea,specs g e e, Ur e a art n s o e e nn s Required.}rermlts - The following -building permits are required Proposed Start and Completion' Schedule - The following schedule will and vyill be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the contractot's control arise (Owners who secure their own permits will be exelOded from. the Guarant3i Fund provisions- ofbate when contractor will begin contracted work MGL chapter 142A.) ' /Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule ••� �w- Hass, to pcnurm ore worst, n►mtsu me material and labor specified above for the total sum of: 4 tU (+) Payrtjents will be made according to the following schedule: $ sy49U CQon signing "contract (riot to exceed 1/3 of the -total contract price or the cost of'special order items, whichever is greater) S by %tu��c. or uponcompletion•of it�by�l 1 � *_ .or upon completion of M' ©, upon completion of the contract (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ 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 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 of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exor'ss Warrens - Is an express warrnptu being provided by the contractor? No Yes all terms of the warranty must be attached to the contract) Subcontractor; - Tlielcontractor agrees to be solely responsible for completion of the work described regardless of the actions of any third paity(subcontractor utilized by the contractor. The contractor further agreeg to be solely responsible for all payments to all subcontractors for materials and labor under this agreement Contract Acceptance - Upon• signing, this document becomes a binding contract under low. Unless otherwise noted within this document, the contract shall not imply that any lien or other security intere'sthas been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home lmnrovement Controc_r.eeristration„ The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Ttnprovcment Contractor Registration. You may inquire about contractor registration by writing to the Director at One Ashburton Place, Raom 1301, Boston, MA 02108 or by calling 617-727-3200 or L• 800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important lnfomlalion on the reverse side of this Guide to the Home. Improvement Contractor Law. - • form and get a copy of the Consumer You may cancel this agreement if it has been signed at a place oilier than the contractor'snormal place of business, provided you notify the contractor in writing at his/hermain office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following.the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. D NOT SIGN T S CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two idcn 1 copies ho-conhactm t be completed and signed. One copy should go to. th6 homeowner. The other copy should be kept by the contractor. om owner's Sig 'tore L�`;�✓^�` �0 i Contr. isSgnature Date u U 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 affor eq 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 contracfor may submit the dispute to a private afbitration firm which has been apprpved.hy the Secretary, of the- Executive Office. of Consumer Affairs and 'Business Regulation and the consumer shall. be required to submit to such arbitration -at provided In Massachusetts General Laws, chapter 142A. Homeowner's Signature Contractor's Signature NO'T'ICE: The signatures of the parties above apply only to the agreement of the parties. to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties, Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law (MGL chapter. 142A) and other consumer protection laws (i.e. MGL chapter 93A) .may not be waived 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 frorn all Guaranty Pund 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 entitledto other specific legal rights: if the contractor guarantees or provides an express warranty for workmanship ormate contractor, all goods sold in Massachusetts carry rials. In addition to guarantees or warranties provided,by the an iurplied warranty of merchantability and fitness for a partimilar 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 questionsjabout Your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract . The contract must be executed in du lice to and should not. be signed until•a copy of all exhibits and referenced documents have been.attachad. 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 cop .be given to the ownery of the contract with attachments is to 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 Payinents A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure, -However, in instances where a eontractor deems to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint esc oWlf account as a prerequisite to continuing the contracted worlc.. 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 tent Contractor Law or other he Home Improvemh consumer rights, or1f yon wish to obtain a free copy of "A Cons the Home Improvement Law or. Contract Law," contact; umer Guidt 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 mfarmation specifically about the contractor registration component w of the Rome -Improvement Contractor Lac , • , ontrict: Director of Home Improvem Bureau of Building RWit Contractor Registration One Ashburton Place, Roegulations and Standards om.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 Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Mass.Gov Consumer Affairs and Business Regulation Home > Consumer > Home Improvement Contracting > ................ .._................... ........................ .................. , Sample Home Improvement Contract ` Contracts -alt contracts over $1,000 (One Thousand Dollars) must be in writing. The law requires the following FOURTEEN items to be included in any contract between a homeowner and a registered home improvement contractor, for home improvement work subject to MGL c. 142A: 1. The complete agreement between the contractor and the owner and a clear description of any other documents which are part of the agreement 2. The full names, federal I.D. number (if applicable), addresses (NOT P.O. Box ne executed by the parties, umbers), of the parties, th contractors registration number, the name(s) of the salesperton(s) involved if any and the date the contract was 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. 4. A detailed description of the work to be done and the materials to be used, 5. The total amount agreed to be paid for the work to be performed under the contract 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 I40D 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 TFUS CONTRACT IF THERE ARE ANY BLANK SPACES. i Whether aay lieu 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 deaf with unregistered contrae excluded from access to the Guarantee Fund. ctors shall b rage 1 of 2 RELATED LINKS Yon Gid Konsomat6 Massachusetts you Reparasyon nan Kay ❑DDOODDDLOODE Guia para el Cousmnidor de Massachusetts para Meioras en el Hogar Guia para el Consumidor de Massachusetts para Mejoras en el Hoear http://w'"rw.mass.gov/?pageID=ocatermina]&L=3 &LO=Home&L 1=Consumer&L2=Home... 1/27/2010 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the balance not yet due maybe 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 iri 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 aprivate 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 MGL c I42A. Owner: Contractor: NOTICE.- The signatw•es 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 sinned separately by the parties. " © 2010 Commonwealth of Massachusetts http: //w"rw.mass.o,ov/?pajeID=ocaterminal&L=3 &LO=Home&L 1=Consum er&L2=Home... 1/27/29010