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HomeMy WebLinkAboutBuilding Permit #912-13 - 26 EASY STREET 6/26/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 1� 71 Date Received I Date Issued: - ( 3 IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY, OWNER 1"" 1, - J v /.! � _lt4 _ Print' 100 Year -61 StrucCAyes no:MAP"NO:PARGEL:ZONING DISTRICT: HistoricDistract{no. MachineShop�Vno, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ,Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septics []Well' ❑•Flo.odplainr ' 11 Wetlands ❑' Watershed�District� _ 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORmtU: A04 I/1 uJ Identification Please Type or Print Clearly) OWNER: Name: ?_Iwl Iry//,*y" Phone: 97K 6J3 71X Address: C� 6 eaJ y c;� a /V064�- A,4 c(4 v e.- , /t/Q O l,wi CONTRACTOR ' Name; �Ad 7gliml eo D fIA16 � f;.3/4 Phone:_ IV 4 1:3.3 t, 0 Address: 'c231 073/ i? di) IJU st2EET Superviso,rs.Consteuction License: 99 5 Exp: Date: /a _,. Exp., ateHome lm rovementLicense: 9 - - 7 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATE COST BASED ON $125.00 PER S.F. 1 Z:571 Total Project Cost: $_ a.21% CSD. do FEE: $ Check No.:Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the g runty fund �., � cam. ignature bof Agent/Owrier Signature of contractor S , Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ A 1� Location2ca tasj S�-e�pe-4- No. �3 VT— Date kqo 44.0 => # 1%ol Check # 2 t 00 26565 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ OD Foundation Permit Fee $ Other Permit Fee $— -. TOTAL $ Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ ... Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM . DATE REJECTED PLANNING & DEVELOPMENT ❑ DATE APPROVED COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes a Planning Board Decision: Comments Conservation Decision: Com Water & Sewer Connection/Signature & Date Driveway Permit .DPW Towo Engineer: Signature: FIRE DEPARTME=NT - Temp Dumpster on site yes Located at'124 MainStreet - Fire Departinent-signature/date COMMENTS Located 384 Osgood Street no Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A -F and G min.$100-$1000 fine NOTES and DATA — (For ® Notified for pickup - Date Doc.Building Permit Revised 2010 ent use Building Department The folowing 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) o 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 app: al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:tted with the building application Doc: Doc.Bui!ding permit Revised 2012 m m m m m CO) mm v C � n O CL � O � 3 3 O CQ. U) O vCD � Q m cr � S — Cl) ccD O CO) 0 N Cc M � v O Z CD 0 � O CD O CD 9 Z m cn cn 0 cn n i m X cn z a) z O O°o° co C CD O a O VF W .0 y 0 . O O y D.�D y ?1 cn CD Wn'y N CD N CD O 2L 01 @O �Q 0 C A 2 ` ► n C="Mm W = CD CD C cD 'a O G to co y: 4aft O CD O y vim, =r =r y CL H f CO < Q' ° y 0: CD (n y CD (n CO 2:Q. CD ! -v -+--- `D U H 0 C cQ > R _ x CD S �D N CD )► fit CDapoo nCD C (D �D O � _rt � O � CL O Ln 7 O 77 m -s M Z 0 W (D d O Cd 04 S T N (D n• (DCD Z7 O C DO S T 7 W O 000 S T j r) S ;0 O; D=G S T O 7 Q N (D A T O d \ T v DH m '{0 y O v A O m m 70 rD- tZif n : C W N n 0 C ° H n 0 3 s 3 W O 2 m = Town of North Andovert. O 4f1. 1EO �6�"YO. I .. Building Departmento - 27 Charles Street A North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 A°� �SSACHU5�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work sliall be disposed of in a properly licensed solid waste disposal facility as defined by MGL C,11, s150a.. The debris will be disposed of in /at- /, Z, } at: /,Z,} E Facility location V Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project tluough the Office of the Building Inspector. Ucllartntr11r Id Pulll1;IICIN Board of B1111(Itlt'-� Kc�ul:ltiun� an11 Stanllanl --- Construction Supervisor Specialty License License: CS SL 99358 Restricted to: RF,WS DAVID CASTRICONE 31 COURT STREET `# NORTH ANDOVER, MA 01845 r� Expiration: 12/16/2013 ( inuni�<iunrr Tr#: 7924 SCA 1 is 20M-05/11 _ Office of Consumer Affairs & Busi6ess Re"gulat o�n (/ «; _ 114.OME IMPROVEMENT CONTRACTOR 1 � ,egistration: 104569 Type: !Expiration: 7/14/2014 Private Corporation DAVID CASTRICONE ROOFING, SIDING & David Castricone 200 SUTTON ST SUITE 226 NORTH ANDOVER, MA 01845— Undersecretary AC"Ra CERTIFICATE OF LIABILITY INSURANCEDATE(MWDDIYYYY) 9/24/2012 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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It 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). PRODUCER Eastern Insurance Group LLC Main 233 ` vest Central Street Natick MA 01760 NAME: Ct Dept ext 6680 A'CNNo Er 508-651-7700 AA/c No):508-65 -80 9 E-MAIL ADDRESS:S k ternin� anc om INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A:CoMmerce & Industry 119410 NSURED 31969 INSURER B: David Castricone Roofing & Siding Inc 231 Rear Sutton Street, Unit 3A "dorm Andover MA 01845 INSURER C. INSURER D INSURER E: INSURER F: L;UVtHAGE5 CERTIFICATE NUMBER: 1S3AS0047 REVISION NUMRFR- 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTRI TYPE OF INSURANCE A IN R.WVD BRI POUCYNUMBER I PCLICY EFF POLICY EXP 'MM;DD.'YYYY ! MM'DDiYYYY LIMITS GENERAL LIABILITY h qq 11$ EACH OCCURRENCE j C7J?.7 haERCIAL GENERAL LIABILITYI I —_ DP i° ETo PREMISES Eaoccuno+lce S i I CLAIMS ta. DE OCCUR r,IED EXP (Any one per,;on) S PERSONAL R ADV INJURY j $ GENERAL AGGREGATE S PRODUCTS COMP. -CS -- GEN 'L AGGREGATE LIr:;IT,aPPLIES PER: I 1 PR P:1'LICY j I U �i LOC AUTCMO8IL: LIABILITY - Ea acxideln) ITS Af'Y AUk> _I I BODILY INJURY (Per person) $ ALL O'n'IdED 117-1SCHEDULED A — .LITOS I AUTOS —� i BODILY INJURY (Per accident) $ HIFEC ,TUTUS. NON C"NNED —. AUTOS I PROPERTY DAMAGE S 'Pal amklav I I$ UMBRELLA LIAB I —� —I OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIA4SratADE ( AGGREGATE $ DED RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC0039897231/23/2012 $ 0/23/2013 IX WC STATU- OTH O Y ; N I ANY PROPRIETOR;PARTNER�'EXECUTIVE IT OFFICERiMEM6ER EXCLUDED? I N; 4 I E.L. EACH ACCIDENT $100,000 (Mandatory in NH) S. d65Cilba undei I 11' E.L. DISEASE EA EMPLOYEE $100,000 I DESeCRIPTION OF OPERATIONS below I E.L. DISEASE POLICY LII'All I $500,000 I DESCRIPTION OF OPERATIONS: LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I1 more space is required) rCQTICIr ATc unI MC. '41J lano•tuIU AUiUHU CORPORATION. All rights reserved. ACORD 25 (2010,'05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE David Castricone Roofing & Siding Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 231 Rear Sutton Street, Unit 3A North Andover MA 01845 AUTHORIZED REPRESENTATIVE i h qq '41J lano•tuIU AUiUHU CORPORATION. All rights reserved. ACORD 25 (2010,'05) The ACORD name and logo are registered marks of ACORD EASTERN INQUR01C:E ACO CERTIFICATE OF LIABILITY INSURANCE 9/11/2o 2) Fw""illows o R g78 2'73 6368 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance A cy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 151 Cochichowick Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845 INSURED DAVID CASTRICONE ROOFING & SIDING INC & CASTRICONE ROOFING & SIDING INC 231 Sutton St #3A NORTH ANDOVER MA 01845 I INSURERS AFFORDING COVERAGE NAIL N9URERAYESTERN WORLD INSURANCE CO I __INSURER C. INSURER D', LU V r_ T(PA V CJ OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, MAY PERTAIN. THE INSURANCE AFFORDEDBY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 90 SHALL (NSR ADDV, POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBERLTR rimE OE INSURANCE TIMMID LAMIT$ Nufwl GENERAL LIABILITY EACH OCCURRENCE — 5 1000000 AUTHORIZED REPRE A IAi�ETO RENTED COMMERCIAL GENERAL LIABILITY '• $ 50000 PREMISES (Ea occurreRQeJ.....,..___ . --- A CLAIMS MADE ; X OCCUR 1JPP1332888 9/6/2012 19/6/2013 ME_D EXP (Any one person) S 1000 PERSONAL d AOV INJURY j 1000000 GENERAL AGGREGATE 2000000 PRODUCTS COMP/0P AGG S 20000 00 GEN'L AGGREGATE LIMIT APPLIES PER: I - _. I I • POLICY . PR I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I (Es accident) _ ANY AUTO ALL O1A'NEO AUTOS BODILY NJURY $ (Perpemon) SCHEDULED AUTOS ----- _' ._._..__..._- HIRED AUTOS BODILY INJURY S (Par accident) NON -OWNED AUTOS i I _ I PROPERTY DAMAGE 3 (Pe, ec;Iaenl) GARAGE UABIUTY j ( AUTO ONLY - EA ACCIDENT S ANY AUTOi OTHER THAN EA ACG $ AUTO ONLY' AGG S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE _ _ S ---- OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION S = WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L EACH ACCIDENT 3 ' OFFICE"EMBER EXCLUDEDi D - """' " _ I (Mgr4ato(y In NH) E.L. DISEASE • EA EMPLOYE IIn6, des cilDe andel SPECAL FROVISIONS oalpw I ElDISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEMICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS f'FRTIFIr.ATF HCLCFR CANCELLATION ACORD 25 (2009101) W 1989-2009 ACORD CORPORATION. All rights rOServed. INS025 (=00901).01 The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOP, YHE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Castricone Roofing & Siding NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 90 SHALL Unit 3A IMPOSE NO OBLIGATION OR UABIL IY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 231 R Sutton Street REPRESENTATIVES. AUTHORIZED REPRE A North Andover, MA 01845 6/71 ACORD 25 (2009101) W 1989-2009 ACORD CORPORATION. All rights rOServed. INS025 (=00901).01 The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts r l Department of Industrial Accidents Office of Investigations 600 Washington Street lltt; w Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 1. A5'i RI C.o A L �oQf wcr Address: A3 I R So Vm n S-�itG\ 3^ City/State/Zip: No . At,,& Ver H A O 1lg5 Phone #: 9 ? % (a%3 3 yd n Are you an employer? Check the appropriate box: 1. ® I am a employer with 6 4. ❑ I atm a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I atm a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in 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.] Type of project (required): 6. ❑ New. construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 1 l.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13)90ther S is>1N6' *Any applicant that checks box # 1 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. lContractors that check this box must attached an additional sheet showing the name of the sub -contractors acid their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: C.5 Policy # or Self -ins. Lic. #: V40_00319916L3 Expiration Date: 5-A3 •020 !1 /3, Job Site Address: v�i��—� City/State/Zip: M jA�/�(jy& J4A ORr Attach a copy of the workers' c pensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requited 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. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: -�-� C Date: Phone #: q i% G 13 3 y�-o 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 #: DAVID CASTRICONE CASTRICONE ROOFING & SIDING INC. ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 ,13111. 200 SUTTON STREET, SWNEW6, NO. ANDOVER, MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In HaverhUf 978-374-7314 Uwe the owner(s) of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish all necessary materials, labor and workmanship, to install, construct and place the improvements according to the following specifications, terms and conditions, on pre s bel w desccribed: ?/ � _ SqD 7 il?© Owner's Name..... ...I 1A %t�i.iflF -..................................................... Telep7'w'-y-e—t Job Address......R� ... -SGC,S.......ti..t•fF•••................................ City... j�.a.�.... , Yl .... State ..4/'....,... Specifications: ....................................... r'Areas to be covered: ......................................... F.............u.d.......... LQI.S )..Yw..s....................................... ✓Apply vinyl siding and corners. Type: ..�. ....... Dt t' S ........ ............................ f over fascia boards and rake boards nstall vinyl soffit - solid y i perforated obi d h, SI...... F ✓Cover wood wifts aroun ndows. , "'Replace any ga le jents and dr eats with vinyl. rk.�s�t�lS..............................„1....................1.1................................. . ......................... , ,Apply uduerlayment. 'Iy'pe. --� ll r 1( Existing siding -stripped goer Legal disposal of a0 debris %L/ r f n ........................................................................... O9 .......................... Rotted wood replaced ®''� /sheet " S'A EX4�g 110 Sem e, c One Year Workmanship Warran (Not Transferable) Manufacturer's Warranty specified by man f cturer The for agrees to perform the work an =Eaa!n!=!RaLabIeo-com ified above for the S of 5.........� I P yable .......j O.L2........Sa able..... ...6 pletion of job T w l - j fers are not responsible for Property Damage or Li lity whilejob ns moperation. {� Contractor, is not responsible for any damage to the interior of property, including pre-existing conditions (i.e. water stains, crumbling piaster, exposed nails) or conditions resulting from application of materials specified above (i.e. objects coming loose from walls, crumbling plaster, exposed nails, dust in attic or other living spaces). Upon completion of above work, all undersigned agree to execute and deliver to contractor, their joint note in accordance with his (their) above obligation 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 contractor, and also that the obligations hereof shall bind and apply to their heirs, successors or estates of the parties. The undersigned warrant(s)that he is (they are) the owners(s) of the above mentioned premises and that legal title therw stands of record in his (their) names(s). There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, not is the contract dependent upon or subject to any - conditions not herein stated. Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301, Boston, MA 02108 Tel: 617-727-8598 Any and all necessary construction -related permits shall be obtained by the Contractor. Any Owner who secures his own construction - related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c. 142A. Approximate starting date of work ......................................... . ..... Completion Receipt of a copy of this contact is hereby acknowledged, and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no penalty (see notice of cancellation). IN WITNESS WHEREOF, the parties have hereunto signed their names this ...ok. day of.-.;V:Y11........ 20...1.? Accepted: � p Signed .........F" l.. ...... ^ ^ �4r ""_ ........................... Owner c ..... . �a David Castricone, President Signed.......................................................................... Owner