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HomeMy WebLinkAboutBuilding Permit #348-14 - 29 HEATH ROAD 10/15/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit IVO: ,l — Date Received Date Issued: b15, 3 PORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER iRP T 00r t%N - Print loo Year old Structure yes no MAP NO: PARCEI ZONING 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: El-Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: G2S�►rw�, �nr�Ivn d back /bQ� Identification Please Type or Print Clearly) OWNER: Name: ,, `.,���. Phone: Address: aq I�P��� Qcl - CONTRACTOR Name: _"SAA, ira,v\. Phone: 603 32.5-6,Zo Address: oZ/ e r e,. Or,U ; A Mj;, s MJ -A n 3Sy�-_ Supervisor's Construction License: _D y'7 9 F 1 Exp. Date: 3 ! /q Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 7 S-16,00 FEE: $ � �0 � Check No.: Receipt No.: ('� �► 0 �� � N Y NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signafure of Agent/Owner Wy Slgature of contractor Q_ . Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ S amped Plans ❑ Plans Submitted ❑ Plans Waived ❑ .Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OF-:SEWERAGEDISP_OSAL Public Sewer ElTanning/Massage/Body Art E] Swimming Pools 0 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 ti 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 Osgood Street FIRE D'EPARTMFN -Temp'Dumpster on site yes no, u` Located at 124 Mair Street -Fire Departinerit sighzitu`re/date` COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. .Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL-Chapter 166.Section 21A-F and G min.$100-$1000.fine NOTES and DATA— (For department use ® Notified for pickup - Date 3 i Doe.Building Permit Revised 2010 Building Department The fol swing is-a list of the required forms to be filled out for the appropriate.permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building permit Revised 2012 . Location No. Date D' �^ • - TOWN OF NORTH ANDOVER Certificate of Occupancy . $ Building/Frame Permit Fee $ Foundation Permit Fee $ . Other Permit Fee $ TOTAL $ Check# ti "� !1 � `� 9 0 G 8 Building Inspector NORTH own of t E 1.. . Andover - to No. iLt IAH. h ver, Mass, 0 11S �- COCHICHEWICK A04ATED s � BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System Q '' THIS CERTIFIES THAT ►.�► .. BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..C ...: ::.C!! :....�.............................. I-No Rough to be occupied as ...!(�. .. .....(�`!...®d ......642,40l��....o1'�.4.... . ................................ Chimney provided that the person accepting this permit sha I in every respect conform the terms of the application Final p p 9 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI7T RTS 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 i �a Client#:490547 JOHNHORA it DATDIYYYY) CATE OF LIABILITY INSURANCE ACORD. CERTIFICATE 51330120012013 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 certficatie holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate dross not confer rights to the certificate holder in lieu of such endorsement(s). CONTA T PRODUCER NAME: USI Insurance Services LLC FAR A/cC No Ext:603 625-1100 ' AIC,No): PO BOX 6360 AD ESS: Manchester,NH 03108-6360 INSURER(S)AFFORDING COVERAGE NAIC h 603 625-1100 INSURER A:Maine Mutual Group Insurance Co 15997 INSURED INSURER 13:EastGuard Insurance Company 14702 John Horan Construction LLC INSURERC: 21 Evergreen Dr. INSURER D: Hampstead,NH 03841 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. ADDL UB POLICY EFF POLICY EXP j LTRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDD VATS A GENERAL LIABILITY SCIO955638 0112013 0410112014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY a° �iI EaEoa n encs s250,000 CLAIMS-MADE 5XI OCCUR MED EXP(Arry!one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY LOC $ MOT A AUTOMOBILE LIABILITY KA10955638 0112013 04101/201 C,OMB�INdeernt) 1 LE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED Peraccident ,F X HIRED AUTOS X AUTOS $ 4 A X UMBRELLA UAB OCCUR KU10956638 0112013 04/01/201 EACHOCCURRENCE $1.000,000 EXCESS LLAB CLAIMS-MADE AGGREGATE $1,000.000 DED RETENTION$ $ B WORKERS COMPENSATION JOWC44MI 0112013 04/01/201 wC X STATU- OTH- AND EMPLOYERS'LIABILITY YIN I ANY PROPRIETORIPARTNER/EXECUTIVEE.L.EACH ACCIDENT $500,000 OFFICERIMEMBEREXCLUDED? rV NIA (Mandatory in NH) E.L.DISEASE it EA EMPLOYEE $500,000 If yes,describe under E L DISEASE='POLICY LIMR $500,000 DESCRIPTION OF OPERATIONS below c� 'i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) This certificate covers all operations usual and customary to the insured's business. j 'i j CERTIFICATE HOLDER CANCELLATION OS@S only" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "For Information Pu rP THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE �I �i ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S97878081M9787782 LCACA The Commonwealth of It4assachusetts Department of IndustriglAccidents Office o fInvestigations 600 Washington Street Boston,MA 02111 www.mass gov1d1a Workers' Compensation Insurance"Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 70k"k" Pd 6a to C&in Jt��S r� ^ C-• �a�' Address: Aree City/State/Zip: 4Avnzs�J AIIJ 03?1// Phone#: &0-3 3 k 6,k04(--- . AWif n employer?Check the appropriate box: Type of project(required): 1. a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(fall and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.x �• ❑Remodeling ship andhave no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g. ElBuilding addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ 1 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.[ of repairs insurance required.] employees.[No workers' q ] � 13.0 Other comp.insurance required.] *Any applicant that checks box41 must also fill out the section below showing their workers'compensation policy information. I 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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. C�s G �rel bv� Policy#or Self-ins.Lic.#: 'S 0w C• '-N399 Expiration Date: 1 Job Site Address: Pa (— City/State/Zip: r An,�o.�rPv—/1'iks S •O l 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$250.00 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 cert! n er tl ains andpenalties ofperjury that the information provided above is true and correct. - Signature: Date: /0//5 Phone 9: ('Ong 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.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - ('nnfarf"PPrenn.- - __ Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or.written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone 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. 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 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 he. 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 till 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. Anew 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: Tho GoMMORwealth of A4assa..ehusetts Deparhaae,.t ofMusidal.Accldeuts Office o£Iayestigatioas 600 Washington Street Boston MA 02111 TO,#617-727-4900 est 406 ox 1-8-?7,:M'ASS.AFF, Revised 5-26-05 Fay,#617-727-7749 Massachusetts Home Ilu vement Sample Contract This firm satisfies an basic regaittunmts of the de's Home lmpmvement Contractor I—(MGL chapter 1424 but dors not mdnd6 standard bingasge to protect hi neowncis.Seek legal advice if netesaary.Any person planning home improvements should fits[obtain a copy of'A Maswchoseft Cunsamer Guide to Home Impmvemear bed'ore agreeing to any work on your restdenoe.You may obtain a frce copy by calling the Office ofCoasmne�Affairs and Business RegtdationS Consumer lnf ffmalioa Hotline at617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name CompMN l 6e-&,l Quinn 70kr,,. WQr4^ Stred Aftess(,WM Mea Office Bwwt rets) Cm SalespersmlOrvaerName ii C*frowm siate Zap code B (nod include a sheer addreis) 41S 11 GO 1142 Daytime phone Evemins line City — state Trp code nA Al �3 bailing Address(h diffaartfcain above) Business Fadaal Fmplayw W or3S.Number!! aomlmpae&H®6¢ e: d•a raw nl�ntlott�dlme ;i • '� WO 7/ 6 30 14 Mm Coatracloragremto de dw hRowmgworkfortheHomeowner: (DwwUmdaathedocktencompleted,V=fynthetype,Wmd,addgTWeofo ntobeawkuse eddi6Cmalshe<ysifineosverv_> Reqs Penso-The foUovring bmldmg pemn s are mgmmd Proposed Start and Completion Schedule-The following schedule will amd will be seemed by the mor ss thehomeownees agent: be adberedto unless curmustances.beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of Date when contractor will begin coma ud work. MGL chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The contractor agrees to pc&wm the wok,furnish due material and labor specified above for the total Bron o£ 77_�r/4,0011 (_) payments will be made accon ing to the Following schedule: $ �d0 signing oofltrari(cot to exceed 1/3 ofihetolal coa�ci price�the Dost of special arca items,wbir>Seva�gieata) � $ by / /-upon completion of $ by / f or upon completion of $S O1&_QC rrpnn completion of the co tram (Law forbids denumdmg&H payment until contract is co.pkW to botb party's {sa sfadian) lbe f•ttow�ag maraiaVegiripmmt moat be special s to be paid for 1; etdaodbdaretheooa>ramdwmicbeginsinarder i{ tomcetits oompUtiOnahedom" S to be paid for NOTRS:(_)hrdud;oga05neaoe I (a) �ceydepositordowapsy�trequiredbythaoonuanorbermewmkbegins�y ret exoeedtlmgewter of(a)one,4M ofthetou l antraet price or(b)dxacted cast ofany specie(equipment wurstcor mademateriai vibich mud be spode[a de ed in edvanceto meet the coWtebm schedule ...�. ..n, i a ,n•rri neevided by lbeeataeadayy 0 No 0 Yes tea trema of nee warranty mast be irgaebed W*,taimr t) Sbboonhacem-The oomractor agrees to be solely responsbie tur mon of the vm*de=lmd regannen of the acdons oFany thud patty(mftontiagceuulmilbythe The eouhactmfmthaagseestobeso*responsible Faall pwnentstoall sobcoub"mfor materials and labor mica seroemeut CaohaetAcceptimm-Upon sigmu&dos document becomes abmding coda law.Unless otherwisenoted wrt)mdns document the contract shall not imply that my lien orotlun seemrilyintaestbas bow&ccd onthe residence.Review theMowing cautious and dices canifidlybefimsigaing1hiscontivAL • Dco't be plessin signing the ooh Take tie to teed and filly uukrstmd it Askgaestions if somediing is unclear. ji • luta.e s mr the coot m=bas awNd Home htmmvemmt Cuntrarsor The lawmquires most hone impmvrmmt conQactuas and sul>r�tradmstoberegistered wi fite,Director ofthmicImprovetacut Contractor Registration.You mayinquire about oo or registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or X283-3757. • Does the contractor have insmance7 Ask the Contractor for his ince company information so that you can confirm coverage;or ask to see a copy of a'proofefinsutancc docmmci't • Know yaw rights and respowulzrTh'es4.Read the Important Information an the reverse side of this form and get a copy ofthe Consumer Guide to the Home Improvement C"tractor law. You may caned this agreement ifit has been signed at aplace oche then the mnha lcesaormel place of bad pwvtdcd you notify the contractor in wntimg at hiAwmain office orbtanch office by adouny nwil postA by telegrain sod or by ddrvml,ung lata uum midnight oflhe third bt�ness day following the signing ofthis agreement See the ahead mince of moa form fiu an explanation Ofthis rieli DO NOT SIGN tNTRACT IF THERE ARE ANY BLANK SPACESnr 11 id�•gesot®e matba aadsi�ord.roe• sbwldgrobdetaaocae�'tbaatrrmpyaboanbelo;prymej opy Homeownees Si Contractues signadue Date - Date n N Contractor Arbitration 11 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 A ght to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. i) The contractor and the homeowner 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 pproved by the Secretary of the Executive Office of Coraurner Affairs and Business Regulation and the consumer shall3be required to submit to such arbitrati p In Massachusetts General Laws,chapter 142A. ff(} Homeowner's Si re Contractor's Signature it NOTICE:The sutures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed bI law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness 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 Hotline(listed below). Execution 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 lie in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Ij Accelerated Payments j 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 joint escrow account as a prerequisite to continuing the contracted work Withdrawal of funds from said account wouldequire the signatures of both parties. Additional Information (k If you have general questions or need additional information about the Home Improvement Contractor Law for other consumer rights,or if you wish to obtain a flee copy of "A Massachusetts Consumer Guide to Home Improyement" 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 visit the OCABR website at littp:/hvlvw.rnass.2ovlocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at h_t_tp:i/%NNNNv.mass.aov/ocabr/ j Go online to view the status of a Home Improvement Contractor's Registration: httn://db.state.ma.us/homeimprovenient/li censeel ist.= For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General I 617-727-8400 { AND/OR ;! Better Business Bureau 508-6524800,508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 John Moran Construction, L.L.C. Buifd ng and Remodefing 21 Evergreen Drive phone 603-329-6209 Hampstead,NH 03841 fax 603-329-6209 August 14, 2013 Betsy Quinn 29 Heath Rd. No. Andover,MA 01845 Dear Mrs Quinn: This is a proposal to strip and reshingle your back roof as follows: 1. Strip the back roof on the left side. 2. Install new drip edge on leading edges. 3. Install Grace Ice and Watershield on entire roof. 4. Cover roof area with Certainteed Landmark metric shingles. 5. Install new cap shingles on all affected ridges. 6. Disposal of all debris included. 7. I will apply for the permit. Cost: $7,516 Respectfully submitted, John Horan Page 1 State of Massachusetts Home Improvement Contractor License#102071 State of Massachusetts Construction Supervisor License#47989 NAT-24839-1 Y'.a�SBLi`"ii":. tiS Board of BW! g - f e- [ CS4)47989 � -5- JOHN V HORS VERGRIMN DR 21E - Hampstead Al 03841 Ham P l A — 1 f a .N, Cc.,Tr:ssiQrlla" 03102/2014 '' (1/re l(R77t�lic7Atcrrlt�f�-n`r=�[(7ra[tClltGiC�1.1�-' Office of Consumer Affairs&Busidess Regulation _ ME IMPROVEMENT CONTRACTOR fivegistration: 702071 Type: rpirehon 6130/2014-- DBA j JOHN V.HORAN CONSTRUCTION'. John Horan = 21 EVERGREEN DRIVE HAMPSTEAD,NH 03841 Undersecretary l f r License or registration valid for mdividal use.only befoi Ow, dale. If fonnd return to: - Officer�if:'ionsamer hff�sand!$us�nessRegulation butte 5170 ,.. ?i. B.ostQn A+� 92 ,i , t t "' 1�ha val d without si�a#+nnerlV, ^r~'T i C tit t, �f II i; ii If s i t 1 Ii �t �I