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HomeMy WebLinkAboutBuilding Permit #224-11 - 224 CARLTON LANE 9/16/2010 BUILDING PERMIT of OO pT" q is 61 ti TOWN OF NORTH ANDOVER ?t a yt ". 6 ° APPLICATION FOR PLAN EXAMINATION Permit NO: 2Z Date Received �4 : Date Issued: �gSSgcHus���� -9 IMPORTANT:Applicant must complete all items on this page -,P�ROPERT�I'iOWNER �. -4 _ nF MAP 210 ]O rPARCEL' „2.�Q ZONING D1ST;RI:CT Historic District' yes: o` MachFne 5fiop`V.11agei yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family ion Two or more family Industrial Alteration No. of units: Commercial Repa , replacement Assessory Bldg Others: Demolition Other Septic V1/ell F,Igodplain Wetlands . -1Nat re shed District /Sewer43 DESCRIPTION OF WORK TO BEP FORMED: ria � o r5 i n h-� (row i n doo r- VY1 � \ Identificati n Please T e or Print Clearly) OWNER: Name: V'Q. e Phone: 79- 0$-d'� Address: Z-2.4' Cpr-[+cM L#rli AJ. n J re r /t7 `CO.NTRACTOR 1Narne illhbne�, 2. 9/-.-- -A AJ r I l -� C�l�° "Su,pe�visorts Constructs r+`License �S 5 tExP ,Date Home�lmprov ment,License ��g 3.�._� e.: 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: $_ /6 12- 92— . 00 FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the gua my fund SlgnatureofFAgent/Owner Si nature of'contractorE' _ ­ Location -12-2 (/'O"AO/y /,/dv No. ?� Date MaR�h TOWN OF NORTH ANDOVER Certificate of Occupancy $ ��s',•'°' MUEta' Building/Frame Permit Fee $ ACS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 16 :, / Building Inspector r f". .. .-fir - d ✓.. I. - _ i. .. y :'. .... .. _ T .. ...:....; .. _ .' . . .. .. .. .. - .- — % t. :.. 'y _ ... I ... ... - �. - - _. ..._. .:.' - r:. i . .. . .. . .. l 1 Location p�`� Gtr(_ -�,� :. .. No. a —I Date �D ,ko*T� TOWN OF NORTH ANDOVER F? - 09 - CL ai . Certificate of Occupancy $ �,'°•••..�t� Building/Frame Permit Fee $ F — SJACMUst Foundation Permit Fee $ Other Permit Fee $ - TOTAL $ Check # — 11 . s ne. I. 2 3 4 `f `t Building Inspector - <. - ._. _:.. - _... . _: . . .. -- - — _. - - .. .. _ .. _. .. ... .... .... . ... .. . _. . . . : - . . . . : .. - _ . : _ _ ___..._ , _-. _r- .L .1, r., - .. - - - _ _.e Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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' Reviewed on Signature COMMENTS Zoning,Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board.Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Drivewav Permit DPW Town Engineer: Signature: Located 384 Os o'opd� Street AFIRE DEPA�-RTME�N! 4 Temp Durnpster o_n site`. yes Located at 124gwin,4t, meet 77777 `F -``"` atu re/date _ ' ;ire�Departrn,entsign 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 Doe.Building Permit Revised 2010 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 K.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 ORTIy TO'" of _ Andover O .,Y r: , TO No. - � ..�o LAKE -O � over, 1Vlass., t(0. In �COCHICHEWICK 7�ADRATE D P'Pa,��C� `S BOARD OF HEALTH P-ERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ........................ f�v5--k4wW.-S............................................... ................... Foundation has permission to erect........................................ buildings on ..........pm....Car*%,.0*A1 .�...A.. Rough to be occupied as.......... �Q� r..... .........'�A�S. ,►A. ����.... .. .�►�.!�►w� 40�j, provided that the person accepting is permit shall in every respect conform to the teTtns of the application on file in Final 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 MONTHS UNLESS CONSTR STARTS ELECTRICAL INSPECTOR Rough .......................................... ......................................... Service B INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the- Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kv 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): 96601 [ LM 5 ruG I tcw) Address: 2,l Ave, . City/State/Zip: K1 , , Phone#: 57? 6 9/-51201 Are you an employer?Check the appropriate box: Type of project(required): 1.© I am a employer with 1 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• [d Remodeling ship and have no employees These sub-contractors have 8. ❑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.❑Roof repairs insurance required.]f employees. [No workers' comp.insurance required.] 13.❑Other "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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: � rc..n Policy#or Self-ins.Lic.#:_ W 00b371,372 Expiration Date: g 3 Job Site Address: '22,q 64r_/,tl n Ln City/State/Zip:/V. A/m/C)VL°r 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 er the pat and raldes of perjury that the information provided above is true and correct Si nature: 9/1(, //o 4 G Date: Phone#: / O 9 - 520 r 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 M 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 anotlier 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-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 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 years 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 bum 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 Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia 8/30/2010 11:02 AM FROM: Gilbert Gilbert Insurance Agency, Inc. TO: +1 .(978) M-3231 PAGE: 001 OF 002 ACOR IM CERTIFICATE OF LIABILITTINSURANCE DATE(MMIDDIYYYY) osE3MIDOM PRODUCER (781)942-2225 FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13.7 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND;EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Reading, MA 01867-3922 INSURERS AFFORDING COVERAGE, NAIC# INSURED Kenneth Keen & Robert Keen INSURERa NORFOLK & DEDHAM INSURANCE. 23965 DBA: DBA Keen Construction Company INsuRERB: Granite State Ins. Co. 0077 21 .Hewitt Ave. INSURER C: North Andover, MA 01845 INSURER D: INSURER E: 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 POLICI ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE fMMIDUKYI LIMBS GEN ERAL LIABILITY ND-P-010078/000 03/13/2010 03/13/2011 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,00( PRrMIRFncQ CLAIMS MADE �OCCUR MED FRCP(Any one Person) $ 5'00( A PERSONAL&ADV INJURY $ 1.,OOO,OO GENERAL AGGREGATE $ 2,000,00( GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 JE' POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED Al1TOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ PEXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC006371378 08/03/2010 08/03/2011 WCSTATl1 OTH EMPLOYERS'LIABILITY' I ER ORIGINAL TO BE MAILED VIA B ANY PROPRIETOR/PARTNEWExECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICEWMEMBEREJCCLUDED? If,yes,describe under MASS WORK COMP BUREAU E.L.DISEASE-EA EMPLOYEE $ 100,00 SPECIAL PROVISIONS belay E.L.DISEASE-POLICY LIMIT `$ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Coverage. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Evidence of Coverage AUTHORIZED REPRESENTATIVE Mark Gilbert, CIC ACORD 25(2001108) OACORD CORPORATION 1988 Office of mer airsiness egu a i o. HOME IMPROVEMENT CONTRACTOR Registration: X108383 Type: Expiration: 10.8/2012 DBA E K CONSTRUCiTd (ta® 3� t Kenneth Keen 4 ' 21 Hewitt Ave �qk No.Andover,MA 0184.5._ .y. w=h Undersecretary liassachusetts - Department of Public Safets Board of Building Regulations and Standar•(Is Construction Supervisor License License: CS 58245 Restricted to: 00 KENNETH B KEEN 21 HEWITT AVE N ANDOVER, MA 01845 Expiration: 3/24/2012 ( uimi..i ncr Tr#: 20523 Massachusetts- Department of Public Safeh Board of Buildin- Rei-ulatiohs and Sondards Construction Supervisor License License: CS 76691 Restricted to: 00 ROBERT A KEEN 12 E WATER ST N ANDOVER, MA 01845 Expiration: 8/16/2011 ('ununiaiuncr Tr#: 1690 KEEN CONSTRUCTION CO. 21 HEWITT AVE. N.ANDOVER, MA 01845 978-691-5201 Hughes,Greg&Amy 224 Carlton Ln. N. Andover, MA 01845 978-208-0896 Contract#5270;Appendix A Date:9/14/20101 • Reframe existing garage door opening to accept 9'x 7`door • Supply& install insulation that was removed • Skimcoat plaster to textured finish on interior • Patch exterior siding where necessary • Supply&install trim for doors with 5/4" PVC • Install two customer supplied light fixtures • Remove all debris Price does not include garage doors or installation, permits or paint. Allowance for electrical work:$225.00(After investigating framing,this fee will be more.) Total Price:$3275.00(thirty two hundred seventy five dollars) • Remove existing French doors above garage in family "room • Reframe opening to accept customer selected window • Supply&install Andersen AFFW504 arch top window with high performance Smartsun tempered glass and removable maple grilles(window will meet federal specs for tax incentive program,with approx.$700.00 tax rebate to customer). • Repair plaster on interior and trim to match • Create non-operating window seat under new window between existing bookcases left and right of window • Supply&install trim on exterior with 5/4"PVC and create raised panel under window using PVC t Remove all existing siding on gable end of garage • Supply&install Grade A select primed textured cedar siding • Remove all debris Price does not include painting, permit fees, rotten wood found around french door unit. Replacing rotten floor materials will be on a time plus materials schedule. Total Price:$7617.00(seventy six hundred seventeen dollars) • Paint all new siding,trim (int&ext,)new window,and touch up walls with customer supplied paint: approx. $2500.00 Page I of 2 KEEN CONSTRUCTION CO. 21 HEWITT AVE. N.ANDOVER,MA 01.845 978-691-5201 Total Cost of both projects: $1.0,892.00(ten thousand eight hundred ninety two dollars) Payment schedule: $2500.00 due upon signing contract $1000.00 due the first day of work $2000.00 due when door openings are reframed $2000.00 due when window is installed $2000.00 due when siding is complete $2392.00 due at completion of contracted work All extras to be paid for when completed. Customer �' neth B. Keen ' r ate_ Date Date t a Page 2 of 2 52.70 i KEEN CONSTRUCTION CO. GP a 21 HEWITT AVENUE PROPOSAL 14%k�o NORTH ANDOVER. MA 01845 Tel: (978)691-5201 All home improvement contractors and subcontractors engaged in home improvement contracting, unless Fax: (978) 682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted the Commonwealth of Massachusetts. Inquiries about &2��"�_AAJYL� - ;�.. — registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton - ------. Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related �. � 21 permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. I PHONE DATE REGISTRATION NO. EIN NO. �� ' (.a z'� C�, �} t� C !C MA. H.I.C. 108383 26-0462904 I4 C/S= Customer Supplied S+ I = Supply + Install See Attached Appendix A We hereby submit specifications and estimates for work to be performed and materials to be used: ! I � r ! __....-....._.._. .._.._.- _ -_ l.__.' i.� t��4_-.__._...-.i'_.r-._. ._ :.. 1. .-.-... .G_4._� _.........._�.,f,'r rF �'t �,'V ' /�Ci.Q..�-_----.............. .......... a - -- fl _ __..-_........._......-......_..._...__........_..-_......... _._-- ...................... _..._..___ i - _ _ ................_..... --—,_.., � Construction related permits: ........._......................._............................................._........................_..............................................................................................................................................................................................................,........................................................_..._............................ ..-_...........___......_._......................................................................._.......................................................................................................__...................................................................... ................_........................................... WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of t- e- e— following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contracto,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: � >l dollars($ !C�, 92, U U ). Payment to be made as follows: C`� 52 .6 % ($ ) upon signingontract; KENNETH B. KEEN / ROBERT A. KEEN i t Name of Contractor/Designated Registrant % ($ p l"brr lWon of N. ANDOVEER 21 HEWITT AVE. Street Address �o ` . u on completion of , MA 6184 City/State - % ($ ) shall be made forthwith upon (978) 691-5201 (978) 682-3231 completion of work under this contract. Phone Fax Notice: No agreement for home improvement contracting work shall require a ? down payment(advance deposit)of more than one-third of the total contract price Name nf,S lesman or the total amount of all deposits or payments which the contractor must make, in `� J ''r advance, to order and/or otherwise obtain delivery of special order materials and _iui­ho6Z pd tL ;- equipment,whichever amount is greater. Notes his proposal may be withdrawn by us if not accepted within days. Acceptance of Proposal -I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be'done in writing. DO NOT S THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature r \ p e / �t ©Signature, - Date IMPORTANT INFORMATION ON BACK_