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Building Permit #029-14 - 287 WAVERLY ROAD 7/9/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 r � 1 Date Received Date Issued:- IMPORTANT: ssued: I ORTANT: Applicant must complete all items on this page LOCATION . �:I �, Print PROPERTY OWNER ��✓Jon �n ry� - - - w. Print- c 100 Year Old Structure ye.sno:>. MAP NO-: PARCEL: ZONING DISTRICT: Historic District: ye no. Machine Shop Village yes, no- TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -�dOne family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ El 5,,eptic, ❑Well El Floodplain; El Wetlands, 0 Watershed Distract IlWater/Sewer - (� \ DESCRIPTION OF WORK TO BE PERFORMED: CA Identification Please Type or PPint Clearly) J OWNER: Name Phone: Address: CONTRACTOR Name: �.t, cn� �,n Phone:OH� Q(-, Address:� � ► � - - "23 1 Supervisor's,Construction License: l 03 Exp:; Date: ��� Home,Improvement'License 16as a h - _ Exp_ DateQ,�'i 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: $ ��C>�1 - GCS FEE: $� Check No.: d1— Receipt N0 .:__0'_0'k `7 NOTE: Persons`contracting with unregis r d contr tors do not have access to the guaranty fund Signature of-Agent/Owner ig'-n ure of_contractor _ _ ._ Plans Submitted ❑ Pla s Waived Certified Plot Plan ❑ Stamped Plans 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 ❑ I 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 ❑ ❑ I i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS li Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow;: Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at'124 Mair Street Fire Departiner'&signatureldate f COMMENTS I Dimension I Number of Stories: Total square feet of floor area, based on Exterior dimensions_ I -- Total land area, sq. ft.: - I ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes N® MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES anti ®ATA— (F®r department use I El Notified for pickup - Date i , I L � I i I Doc.Building Permit Revised 2010 I i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofiv,g, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit r2- Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 1 Addition Or Decks o Building Permit Application a Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 r New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o 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 apn%Ial period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subtriAted with the building application M Doc: Doc.Buiiding Permit Revised 2012 � hI h Location - No. 0,21 Date _ t I I j • - TOWN OF NORTH ANDOVER ,I Certificate of Occupancy '$ I Building/Frame Permit Fee -•$ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# a)O-Z �- 5-2659 V Building Inspector Office of Consumer Affairs&Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation , Home Consumer Home Improvement Contracting Home Improvement Contractor Registration Lookup You can search/filter the registration list by any of the criter6�i"blow. Search by Registration Number 162528 Search Search by Registrant Name Search by City Zip Code ® Search Registrants Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Sunday, Y Jul 7, 2013. Search Results REGISTRANT RESPONSIBLE REGISTRATION EXPIRATION ADDRESS STATUS NAME INDIVIDUAL NUMBER DATE MICHAEL MORI FIORI, MICHAEL 162528 23 CAROL ST 03/16/2015 Current CONSTRUCTION DRACUT, MA 01826 ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. i http://services.oca.state.ma.us/hic/licenseelist.aspx 7/8/2013 MlUnIAEU FIO'Rl w Ib ACQT, MA 71826 , `c �Lw ✓ — --' -fl R t f.; 312;1 d Doreen Deshaies From: DOREEN DESHAIES <ddeshaies3@verizon.net> Sent: Friday, June 28, 2013 8:32 AM To: Doreen Deshaies Subject: Fw: Revised roofing proposal thanks again for your time -----Original Message----- From: Mike Fiori To: ddeshaies3(a)verizon.net Sent: Thursday, June 27, 2013 9:35 PM Subject: Revised roofing proposal thanks again for your time FIORI CONSTRUCTION 23 Carol Street Construction Lic. CS 104035 — Dracut, MA 01826 Home Improvement Lic. 162527 (978) 265-6843 Fully Insured/Workmans Comp Work Submitted to: Doreen Deshaies Job Name: Doreen North Andover Address: 287 Waverly Rd North Andover, Ma Phone Number-1-508-633-5516 Proposed Work to Be Performed: -Remove all belongings ."rlom the area around the ..om., prior to removing any shingles off of the roof. I will cover the entire non gable sides with a black plastic material to eliminate any damage to the home. I will also cover the entire deck with plywood to eliminate any damage to the deck -Remove all layers of existing roofing singles from the roof -Install new ice and water shield six feet up from the bottom of the roof. -The remaining areas on the roof will be covered in a synthetic roofing paper -I will install new ice and water shield in all valleys -- I will Weave the front valleys with new shingles rather than cut. This provides the valleys with an extra layer of protection from leaks. The valleys divert a majority of the water off of the roof -The back slight pitched roofs will be completely covered in ice and water shield. To eliminate any ice problems in the winter -Install new 8 inch white aluminum drip edge on all roof edges. -Install new 30 Year IKO architectural shingles. The color is of your choice -I will cut and 1/A'/2 inch slot on the both sides of the ridge to accept the new cobra vent. All roofs in Massachusetts must have a ridge vent to be in compliance to the Massachusetts building code. This allows the attic to breathe and also allows the shingles to last longer. --I will inspect the plywood on the back dormer for rot and will replace any plywood that is rotted for a small additional charge of$45.00 per each 4a€TMX8dETM section -Install A%2 inch board on top of the plywood. The recovery board will be attached with metal plates and screws. The plates and screws will be installed to manufacturers specifications. - Install .060 black EPDM rubber. I am going to lay the rubber in a manner in which there will be the least amount of seams. All seams will be lapped at a minimum of 8a€❑ according to manufacturers specifications. All seams will be taped and bonded with 8a€❑ black tape. -Install new white drip edge on all roof edges --All seams on the rubber roofing will be glued and bonded together according to Carlisle EPDM specifications. -I will install new black witches hats over all pipes that go through the back dormer roof. -Install a new cobra vent of the top of the roof -Install 2 new stinkpiP e boots on the back side of the roof i -I will also replace the existing attic vents with new black vents -Dispose of all material in a legal manner - I will remove the existing lead out of the chimney -I will grind out a new mortar joint to receive the new lead. The lead edges will be covered with new mortar. -Once the roof installation is completed, I will seal the edges of the new leed with new clear Geoseal. -I will purchase a building permit prior to starting the job -I will dispose of all material in a legal manner. 2 --All roofing work is backed by a 30 year labor and material warrantee. The first 15 years is 100% replacement and after 15 years this warrantee is prorated up until 30 years Total material and labor for the roofing project $7500.00 The amount of$3500.00 is due upon signing of the contract and receiving all roofing materials and receiving the permit. Balance is due upon completion of the projects. I acce z n ndet Date Thankou and feel contact me with any questions. Thank you for you time and I look forward to working with you. Michael Fiori a€€ a€€ a€€ HE ME AEC i a€€ i a€€ I f 3 �• ., ��� � . r �� � n � �k �; ����� � v�� �� � � 9 I� The Commonwealth ofliTassachusetts Department ofInilustrirtlAccidents IR Office of Investigations 600 Washington Street Boston,MA.02111 www.mass gov/ilia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information ' n Please Print Legibly Name(Business/Organization/Individual): to/ k Address: Ci /Statei ���� 0 Phone#: �'�b 0� City/State/Zip:/ZP� �/1 Are you an employer?Checlfthe 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).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.I 7• ❑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. El We,are a corporation and its - ❑ g airs or additions re r . required.] officers have exercised their 10❑ p 3.❑ I am a homeowner doing all work right of exemption per MGL 11.El Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12,❑Roofrepairs insurance required.]t employees.[No workers' 13: .Other �ab comp.insurance required.] ��" *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 ai-e doing all work and then hire outside contractors must submit a new affidavit indicating such. L TContractors 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.# CC O b— O� $ 0`1 dI Expiration Date: Job Site Address: CU o✓ S L City/State/Zip: �J Attach a copy of the workers'compensation po icy 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certioun`der the pains and penalties of perjury that the information provided above is true and correct. - Signature: ` v\ Date. Phone#: b aQ) Q,6 Nb 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): X.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone#: i I Information and ffnstruct! n 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 w lung house of another who employs p ys persons to do maintenance,construction or repair work on such h dwellin 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 ofpublic 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 maybe 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 i s 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 rinted 16g lY. The Departinerit$s-provided a spa-ce-a- tthebottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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 1\4,9 Department of fadustriat Accidents Office of lav stigatiioaas 600 Washington Street Boston,M.A 02111 Tel,#6.17-72.7-4900 ext 406 or 1-877�,MASSAFE Revised 5-26-05 Fax 617-727,7749 wwwanass,govhua r 1 NORTf-� 1, Ver 0 - 1 In Zh LANA h , ver, Mass, � � • 13 A- COC NICNIWICK y1. 7�A04ATED I'p�,`�5 b S U BOARD OF HEALTH Food/KitchenPERMIT T D . Septic System THIS CERTIFIES THAT .... ... D CaO BUILDING INSPECTOR D. a Foundation has permission to erect.......................... buildings on ., ... ......osz&!�........... ..... -.•.-.- /� .. Rough to be occupied as .... .......' ......../..Kw. !.... ...............�. .... ..� .....� Chimney provided that the person accepting this permit shall in every reaeci 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MON T ELECTRICAL INSPECTOR • UNLESS CONSTRUCTION ST S Rough Service ............................. .................... ........ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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 A`o�oma® CERTIFICATE OF LIABILITY INSURANCE 7�a�2013' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Boynton Insurance Boynton Insurance Agency PHONE (781)449-6786 FAC (781)449-4269 72 River Park Street ADDRESS: S INSURER(S)AFFORDING COVERAGE NAIC# Needham MA 02494 INSURERAMain Street America Group INSURED INSURER a AIM Mutual Michael Fiori INSURER C: 23 Carol Street INSURER D: INSURER E: Dracut MA 01826 INSURERF: COVERAGES CERTIFICATE NUMBER3taster 13 14 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 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. ILTIt TYPE OF INSURANCE I D SU R POLICY NUMBER POLICY EFF POLICY �EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE 51 OCCUR NnlT5862H /1/2013 /1/2014 MED EXP(Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRP LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS - HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accitlent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONX WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 0500— 5011875-2013A 4/01/2013 4/01/3014 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? FRI N/A B (Mandatory In NH) E.L.DISEASE-EA EMPLOYEO$ 100,000 tf yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE William Rohr/WRR a �— ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025/gmnnsi m Tho Anr1Rl1 norma nnA Inn^nrn raniefororl mnrlre^f Ant'iRn �ssac� e t s ome Yin rovement Sa,.mOle con—_tract This foge satisfies all basic requirements of the slate's Home Improvement Contractor Law Ianguage to protect homeowners. Seck legal advice if necessary. A (MGL chapter 142A),but does not include standard Massachusetts Consumer Guide to Home Improvement"before agreeing to any worlc on your reesidence.You may obtain free copy by cof allvig the Office of Consumer Affairs and Business Regulation's ConsumerinformationHotliae at 617-973-8787 or 1-888-283-3157 or on our website. JR01neowller information V Contractor]fnniF®n>mna�on N Q:� — f Company Name StreEtAddress(do not use apost Off Box address) (� ontractor/Salesperson/OwnerName Y I City/Town State1 Zip Code Bpsiness Address(must include.a street address) D'ayumc hone J \ 8veningPhoneCity/Town � State Zip Code Mailing Address(It different from above) �I� o . Business Phone Federal lmployer ID or S.S.Num X.nw rcmiires tont most Dome ber HomeImpmvementConnactoriteg:Number Expimtjon date ' improvement contractorsbave n valid registration number The Contractor agrees to do the following work for the Homeowner: q(Desenbe in detail the worlcto complcted,s �cilfyingthe typo brand,and grade of materials to be used,'use additional sheets ifnecessan�.) er�ate G11 o>c�s���sm�s r 6�cw �p �•oc�^ • ��� �,-o�'��-ov�r�l S1-�S'¢s �+� -t�io Yoa �.. LiSo11�' I Ce on r I) 1'16 now bib +"' K_ bd7 Q,. raolo� 6? -'Y'}�Q. Required Permits-The followin building -t and6 C3" ch and will be secured by the.contra or as-the homeowner's agent:d be adhered toroposed runless circumstances s beyond theh following schedule will (Owners who secure their own Permits wVW be excluded from the Guaranty JE"minnd provisions ofDate when contractor will begin contracted work. MGL chapter 142A.) . j_,.,—Date when contracted work will be substantially completed. Total Contract Price and Paymbut Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum.of. Payments will be made according to the following schedule: ( , upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $------ by / / or upon completion of O G by / / or upon comps O upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) . The following material/equipmentmust be special $ ordered before the contracted work begins to be paid for tnsi gn order p to meet the completion'chedule.(.i..i. s $ to be paid for NOTE'&('i)Including all finance charges('i°'1°)Law requires that any deposit or down payment required by the contractor before worIt 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 which must be special ordered in advance to meet the completion schedule. material x ress Warran -I's an mress warran bein rovi ded b fhe contrncfor. Subcontractors-The contractor agrees to b.e solely responsible for Completion of the work described regatdless of the actions of any third ontract party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for aterials and abor under this a Bement Contract Acceptance-Upon sighing,this document becomes a binding contract under law. Unless otherwise noted within this do cumaes the contract shall not imply that any Tien or other security interest has been placed on the residence. Review the following cautions and notie carefully before signing this contract ° Don't be pressured into signing the contract.Take time to read and ° full under aloe sure the Y stand it. Ask questions h contractor has a valid Home Improvement Contractor Registration. The law requires ost home improvmen unclear,contractors and subcontractors to be registered with the Director ofl3ome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 ParkPlaza,Room 5170,noston,MA.02116 or by calling 617-973-8787 or 888-283-3757. ° Does the contractor have insurance? AsIc the Contractor for his insurance companyinformation so that you can confirmcoverage,or ask to sera copy of a"proof of insurance"document. ° Know your rights and responsibilities. Read the Important Information on the rev•erse side of this form and et a copy PY ofth e Consumer to the T3ome Improvement Conactor Law: I You may cancel this agreement if it has been signed at a 1acontractor's � contractor in writing at his/her main, as be o place other than the normal place of business,provided x brant you h offic P notify . e b ordinary y tLfy the third business day foil)wing the signing y asy mail Posted,by telegram sent orb delivery, g gnmg of this agreement. Seethe attache ylnot later than midnight of Che d notice of cancellation . DON SZG anon form for an explanation ofthis right S CONTRACT JF TBERE ARE ANY IB LAIMC S]PA CESdr Two identical copied co tract must be completed'and signed. Otte c i� opy should go to the homeowner. The other copy shouldbe lcept by the contractor. JV —, HOmeo x's Signature (� Contractor's SirmatUrD 'Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to on a 'alternative to court action.)if they have a dispute with a contractor. ght,is not automatically initiate an arbitration action afforn ((as as a a contractor,however. The contractor would haThe same xi ve to resolve any dispute he/she has with a homeowner.in court unless both parties agree to the optiion.all clause provided below. This clause would give the contractor the s arbitration as is afforded to the homeowner by t1le Home Improvement Contractor Law. ame right to The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract;the coatra�tor p y submit the dispute to a private arbitrations which has been approved by the Secretary c the Exec t Office of Cons er Affairs and Business Regulation and the consumer shall be required to sub ' to 'such bi s-provided In Ma sachusetts General Laws, chapter 142A,. Home et`s Sign�attiire Contractor's Signature NOTCE:The signature of the pal des above apply� onl •to the Y agreement of the patties to alternative dispute reosoltion initiated by e contractor: The homeowner may initiate alterative dispute resolution even where this section is not separately signed by the parties. lBRomeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 14.2A) 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`.from ail,Guaranty Fuud provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a tamely and worlcmanlilce manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for worlananship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold-in Massachusetts early an implied-warranty of merchantability andfitness for a Particular 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 questions about your consumer/homeowner rights, contact the Consumer Information -jot e(listed below). 7Execution.of Contract- The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. 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 copy of the contract with attachments is to be given to the owner 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 receiTred a .ally executed copy of the contract,and the three day rescission period has expired. Accelerated 1Payments 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 contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oint escrow accoumt as a preregtuisite to continuing the contracted worlc. Withdrawal of fLihds from said-account would require the signatures of both parties, :Additional]Information •1f you have general questions or need additional information about the Home Improvement Contractor Law or other consutaner rights, or if you wish to obtain a free copy of "A Massachusetts Cons- :r Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or'visitthe OCABRwebsite athttn_://www.mass gov/ocabr/ If you want to vel*the registration of a contractor or if you have questions or need additional information about the contractor registration component of the Home Improvement Contractor Law,contact: specifically Director of Home'Improvement Contractor Registration Office Of Consumer Affairs aud•Business Regulation 10 Park Plaza,Room 5170,Boston,MA.02116 617-973-8787, 888-283-3757 or visit the HRC website at bttn,//vrww •ngss Go online to view the status of a Home Improvement Contractor's Registration: 11tt7�://db.state.ma.us/ho7neimDrovement/]icenseelist as For assistance with informal mediation of disputes or to re&i:er formal complaints against a business, calx: Consumer Complaint Section Of ice of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-6S2-4.800,508-!755-2548 or 413-734-3114. Version 2.1-1v/22/2010 Required Contract Terms Page 2 of 2 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 in 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 andthe 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 a private arbitration service which has been approved by the Office of Consumer Affairs usfness Regulation and the consumer sh all be required to submA4,19charbitrationas, vide •nMG 142A. Owner: Contrac NOTICE. The signatures of the parties above apply only to the agreement of the parties to alternate disparte resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties." it ©2011 Commonwealth of Massachusetts i� Required Contract Terms Page 1 of 2 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Home Improvement Contracting> , Required Contract Terms 4' Contracts-all contracts over$1,000(One Thousand Dollars)must be in writing. NEWS&UPDATES The law requires the following FOURTEEN items to be included in any contract between a homeowner and a OCA Survey Finds One in Fiveregistered home improvement contractor for home improvement work subject to MGL C.142A: Home Improvement Contractor 1. The complete agreement between the contractor and the owner and a clear description of any other documents Advertisements Placed by which are part of the agreement. Unregistered Entity 2. The full names,federal I.D.number(if applicable),addresses(NOT P.O.Box numbers),of the parties,the More... contractors registration number,the name(s)of the salesperson(s)involved,if any and the date the contract was executed by the parties. Subscribe i Learn more 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. RELATED LINKS 4. A detailed description of the work to be done and the materials to be used. Yon Gid Konsomate 5. The total amount agreed to be paid for the work to be performed under the contract. Massachusetts you Reparasyon 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, nan Kay including any finance charges.Any deposit required to be paid in advance of the start of the work SHALL NOT 0000000000000 exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom de made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on Masspara a Consumidor as schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. el Hogarachustts para Mejors en 7. All parties must sign the contract. Gula para el Consumidor de 8. A clear and conspicuous notice stating: Massachusetts para Mejoras en el Hogar 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 140D 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 THIS CONTRACT IF THERE ARE ANY BLANK SPACES. f. Whether any lien 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. I1. 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 deal with unregistered contractors shall be excluded from access to the Guarantee Fund. i