Loading...
HomeMy WebLinkAboutBuilding Permit #562-14 - 219 FRENCH FARM ROAD 1/27/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: A plicant must complete all items on this page LOCATION22 I'q REA/C R -F-A 2M _ R D int- PROPERTY OWNER �UST��1 , IA�r P Print 100 Year Old Structure yes no MAP NO: PARCEL:_,�rZONING DISTRICT: Historic District yes no Machine Shop Village yes , no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Xh"ftwl-h k&kV 7 6rj Identification Please Type or Print Clearly) OWNER: Name: Phone: 4 Address: CONTRACTOR Name: / fig J H-ORNd Phone: `77f)- �Z2=3314 Address: ,A.Z)Pa1Jw Aw ///�GL , 4yu- Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: �-1-7-/S` 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: $ a.3,�d� FEE: $ Check No.: aA ��-- Receipt No.: �,�. � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own r/ 4--� Sign of contract r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Locationv'/ �t!'/f/!� l�i� � No. '!2— Date / 7// r� t . - TOWN OF NORTH ANr' o 01, e ' o e Certificate of Occupancy Building/Frame Permit Fee ? Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 27253 : Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OY SEWERAGEDISPOSAL 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 4 HEALTH Reviewed on Signature Nev COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer ConnectioniSignature& Date Driveway Permit DPW T'o`v : Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT -Temp Dumpster on site yes no Located-at 124 Mair, Street Fire Departinent signature/date COMMENTS I 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 2010 Building Department The fol`:owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Ztjilding 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 1 ❑ 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 j 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 apwal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 233600.00 m $ - $ 283.20 Plumbing Fee $ 35.40 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 35.40 Total fees collected $ 454.00 219 French Farm Road 562-14 on 1/27/2014 Bathroom Remodel � NORT1-r Town o ndover No. '.Lever, Mass o� 1 OwKt coc Mlct4twic S L] BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT �, .V !Nt......�' "� tom.. ............................ BUILDING INSPECTOR ................................ .. ....... . ........... has permission to erect .......... buildings on .... Foundation ............ a ........ ... .........�...F:.:�............. . Rough tobe occupied as .................... ...... . ........ ............................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 M NTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S R S Rough Service ................. ..... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough � Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE 4 iV , I --i T-IF -L- ? , T- -- I -H 1, Pik - I FT- I _ - --. ! 1 ��E i I N, AAJaVGA -- C� SriwC _L0C,ill°r10 _ I i i t , __ Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen'isor License: CS-066342 a i_ DARREN MARTI$O '; I_-1 d.5 44 ADDISON AVE EXT' METHUEN MA 01849 Expiration Commissioner 08115/2015 w f ,t�, �e�a�nnaoruoecrll�a��at.tnc/rrraell� k'V Office of Consumer Affairs&Business Regulation IMPROEMNT CONTRACTORegistration: 124961Type: xpiration: ,_9/17/2015 Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE.EXT. METHUEN,MA 01844 Undersecretary Client#:968806 DARREMAR2 DATE(MMIDDIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 1/24/2014 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:ff the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.ff 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 endomemengs). PRODUCERS: Ginger Marszalek USI insurance Services LLC-SCL Ext):800-443-4159 A,C No:413-733-7722 PO Box 406E-MAL ADDRESS: ginger.marszalek@usi.blz Portland,ME 041124406 INSURER(S)AFFORDING COVERAGE NAIL p INSURER A:Nautilus Insurance Company 17370 INSURED INSURER B: Darren Martino dba INSURER C D M Construction INSURER D 44 Adison Ave Ext Methuen,MA 01844 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS ADDL B POLICY EFF Y EXP LTR TYPE OF INSURANCE i POLICY NUMBER MMIDD MMIB LIMITS A GENERAL LIABILITY NN386285 9/21/2013 09/2112014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY MI & rroe jj $100,000 CLAIMS-MADE FX OCCUR MED EXP(An one on $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea as id t ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per a 'art UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I WC STATU- I OTH- AND EMPLOYERS'LIABILITYTORYLIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? N I A (Mandatory In NN) E.L.DISEASE-FA EMPLOYEE $ N describe under DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remerks Scheduts,H more space M required) CERTIFICATE HOLDER CANCELLATION Justin Hayes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 219 French Farm Road ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S11621739/M11010631 VAMCX The Commonwealth of Massachusetts Department of IndustruclAccidents Office of Investigations qV 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorN/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizatiorAndividual): Address: - Cily/State/Zip:_ A978J&AJ ,Ak 04 y�f Phone#: 7f, [Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time.)X have liiredthe sub-contractors 2 am a sole proprietor or partner- listed on the attached sheet.? / emodeling ship and'have no employees 'These sub-contractors have S. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. []Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c.152,§1(4),and we have no 12.Q Roof repairs insurance required.] employees.[No workers' comp.insurance required.] 1311 other 'Any applicant that checks box#1 must also fill outthe section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they 2're doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors 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 4 or S elf-ins,Lic.P 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 requiredunder 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$250.0 0 a day against the violator. Be advised that a copy of this statement may be forwardedto the Office of Investigations of the DTA for insurance coverage verification. Ido hereby cert'under Ae pains andpenaldes ofperjury that the information provided above is true and correct. - Si ature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License It Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown CIerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone#: 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 ofhire,. 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 ofthe 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 employes." 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapterhave 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 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 LL C or LLP does have employees,a policy is required. Do 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 D epaitmerit Inas provided a space at the botEom 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 permithicense number whichwill be used as a reference number. In addition,an applicant that must submit multiple permit/licens e 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 orpermit 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: Thea Coxmmonmalt1l of Massa,oh-: f-jf - Dep.a ent off dwWal,Accxdonts Offee of Jln�e�ti�a�o.�ns. 600 0 WaaWiigtox�S eel Boston?MA021ZZ TOL#617-727-4900 0A.406 ox 1-877-MASSA Revised 5-26-05 Fax#617-727-7749 i DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 Estimate Submitted To: Construction Supervisors License 66342 Justin &Jody Hayes Home Improvement Registration 124961 219 French Farm Rd. N.Andover,MA We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of Renovation of main bathroom (See specifications sheet& drawings) All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completion in a substantial workmanlike manner in the sum of. Twenty-three thousand six hundred dollars- $23,600.00 Payments to be made as follows: $1,000.00 Upon execution of the contract. $5,000.00 When work begins Remaining payments as work progresses. Respectfully submitted: Darren Martino Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon accidents,or delays beyond our control. Note-This proposal may be withdrawn if not accepted within 10 days. Proposal Date 10/02/13 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date: 1— 1 Ll—13 Signature: Cf� Date: Signature: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OUILDING DEPT. COP v HA YES RESIDENCE Specifications Sheet Scope of work.Renovation of main bathroom. PERMITTING DM Construction is responsible for obtaining the followingpermits required: building, plumbing, electrical, and debris removal. The cost of all permits necessary is not included in this estimate and will be billed separately. DEBRIS REMOVAL DM Construction is responsible for all debris generated. A container will be placed on site to ensure a clean work site. The container is for debris generated by DM Construction only; it is not intended for homeowner use. SITE PREP In an effort to limit the dust generated from the renovation process. Doorways and openings to other areas of the house will be sealed off within reason with plastic or drop clothes. Drop clothes will be used to protect floor surfaces. DEMOLITION The existing main bathroom will be completely gutted to the studs including: fixtures, drywall, insulation,flooring, with the exception of the one exterior wall. The drywall, insulation, heating element, window, and window trim on this wall will remain as is. FRAMING . Installation of blocking for cabinetry and accessories. INSULATION Insulation will be installed between bathrooms for soundproofing purposes. The insulation in the exterior wall and ceilings will remain as is. DRYWALL The ceiling and all the walls will have %z"blue board installed with a plaster skim coat. Ceiling will receive a smooth finish. FINISH WORK Installation of a new bathroom door w'casing to match the new window casing detail. Installation of baseboard trim. Installation of 3 %Z"crown molding in the bathroom. PAINTING The ceiling and all the walls will receive a primer and two coats of finish. All new trim will receive a primer and two coats of finish. All paint colors to be determined. Paint will be Benjamin Moore or an equivalent. HVAC DM Construction will provide proper venting for the exhaust fan. HA YES RESIDENCE Specifications Sheet CABINETR Y INSTALLA TION DM Construction will install all cabinetry, vanities, and their associated moldings and hardware. The cost of the cabinets, moldings, vanities, and their associated hardware is covered under the bathroom fixtures allowance. TILE SETTING DM Construction will install the/marble on the floor in the bathroom. Dura-rock subflooring will be installed under the tile. DMConstruction will install the/marble on the shower walls above the tub. The shower walls will receive %2"dense shield wall board, with all joints receiving a water proof membrane. This contract includes standard tile installation. If any patterns, designs, or feature strips are involved, this may incur extra costs. The cost of the rile/marble, grout, corner shelves, seats, niches, and any enhancers or sealers is covered under the Tile/Marble allowance. PLUMBING Provisions for drain lines, water lines, and vents for the following fixtures: one toilet(at its existing location), two sinks (on the same wall as existing), and one custom tub (at its existing location). The new tub/shower will have one main shower head and one hand shower. All drains and vents will be in pvc. All water lines will be done in copper. All plumbing fixtures including: toilets, sinks,faucets, shower valves, copper pans, shower heads, shower enclosures, etc.are covered under the bathroom fixtures allowance. ELECTRICAL Demolition of existing wiring and fixtures as necessary. Installation of new switches, receptacles, and wiring as necessary. Provide and install one recess light in the shower. Install/vent one exhaust fan. Provisions for two vanity lights. (Vanity lights to be purchased and provided by the homeowner.) ACCESSORIES DM Construction will install all accessories(robe hooks, towel bars, etc.),provided that the homeowner supplies them before the project is complete. If accessories are selected before drywall is installed, solid blocking will be installed to ensure proper fastening. HA YES RESIDENCE ALLOWANCES The,following allowances are included in this estimate. The allowances exist to cover the purchase to materials only, unless otherwise specified. Any amount in excess of an allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued. Bathroom Fixtures-$6,500.00 This allowance covers the cost of all bathroom fixtures including, but not limited to: faucets, toilets,pedestal sinks, bathroom sinks, bathroom faucets, matching shutoffs, copper pans, tubs, valves, shower enclosures, vanities, linen cabinets, built ins, countertops, steam generators, accessories, etc. TilelMarble-$1,500.00 This allowance covers the cost of all tile, marble, thresholds, corner shelves, grout, enhancers, sealers, slab for bench, etc. MISCELLANEOUS Note: Due to the nature of wood and plastic and the drastic temperature and humidity changes in our region,you may notice the movement and shrinking of the interior and exterior trim. This is typical of the region and is not due to defective installation. Change Orders Any changes from the existing plans or increased scope of work involving extra costs will become an extra charge over and above the contract price: Change order agreements must be signed before any work commences The following schedule will be adhered to, unless circumstances beyond our control arise: Time frame for completion:From the date demolition begins to project completion 5-6 weeks* All work to be done Monday-Friday between the hours of 7.•00 am—6:00 pm. If deemed necessary to work any other times, the homeowner will be consulted first MEMBER OF THE BETTER BUSINESS BUREAU HOME IMPROVEMENT CONTRACTOR: 124961 CONSTRUCTION SUPERVISOR LICENSE. CS 066342 *All home improvement contractors and subcontractors shall be registered Any inquiries about a contractor or subcontractor relating to registration shall be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston,MA 02113 Phone: (617) 973-8700 �M Lg.)Ls R) • DM Construction ® - - Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 CONTRACTOR ARBITRATAION AGREEMENT 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(Darren Martino)and the Homeowner(Justin & Jody Hayes) 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. Homeown ' Signature U Cont ors Signatu Homeowner's Signature 13U 2ING DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 NOTICE OF CANCELLATION 10/02/13 You may cancel this transaction, without any penalty or obligation,within three business days from the above date. If you cancel,any property traded in,any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice,and any security interest arising out of the transaction will be cancelled If you cancel,you must make available to the seller at your residence,in substantially as good condition as when received, any goods delivered to you under this agreement;or you may if you wish,comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all obligations under the contract To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice to: NAME OF SELLER: DARKEN MARTINO ADDRESS. 44 ADDISONAVE EXT METHUEN,MA 01844 NOT LATER THAN MIDNIGHT OF.- October S.2013 I HEREBY CANCEL THIS TRANSCATION Date: Buyer's Signature: I(we each)acknowledge receipt of two copies of this form. Buyer: Buyer.