HomeMy WebLinkAboutBuilding Permit #557 - 357 OSGOOD STREET 4/24/2009 BUILDING PERMIT NORTH
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
r
Permit N0: S Date Received ,7ED"�` *
�SSACHUSS�
Date Issued:
IMP RTANT:Applicant must complete all items on this page
LOCATION 05 _ 51- _
/ Fant
PROPERTY OWNERU4-ny// r >e& ,tZ
Print
MAP NO; I C, PARCEL:_; ZONING DISTRICT. Historic district yess n
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
--Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands V1/atershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
4,erz- ismc/L RIV
p a 1
Identification Please Type or Print Clearly)
OWNER: Name: 7�c"Ii2e; iz Phone: y7!�-F09-a4,o
Address: OS .7L-
CONTRACTOR Name:�,�1G �S
�i1c"%c'l�i Phone: — w/
Address: Sol ie k.gjn �_ Z6 WlL 3 _.
Supervisor's Construction License: 9�? Exp. mate: 15 f,%"gPel d
Home Improvement License: 14 1?S -7 Exp. mate: t& �� v
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: $ go YS FEE: $_
Check No.: Z Receipt No.:
NOTE: Persons contra ting with unregistered contractors do not have access to the guaranty fund
Signa Lure_of Agen; Owner = Signature of contractor
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 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)
o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
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 DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
.CONSERVATION Reviewed on Siqnature
COMMENTS
HEALTH Reviewed on Siqnature
COMMENTS
2
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Siqnature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/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
Doc.Building Permit Revised 2008
Location D S4 r)a z J7r�
No. Date
TOWN OF NORTH ANDOVER .
j
Certificate of Occupancy $
s+cwust<�' Building/Frame Permit Fee $ —
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
21968 --
Building Inspector
The Commonwealth of Massachusetts
ka i Department of Industrial Accidents
Office of Investigations
r 600 Mf
ashington Street
Boston, MA 02111
c; www_tnass.gov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Eiectricians/plumbers
Akpplicant Information Please Print Leatbly
Name(Business/Organira6on/Individual): NleXG14
Address: I/eXt'101 S 7L
city/state/Zip:_ /P LQJ r2�t77C IIL� OlSg3 Phone#: . --
Are you an employer?Check-the appropriate box:
FOR
ject(required):
}.❑ I am a employer with 4. ❑ 1 am a general contractor and I
et�tployees{full and/or part-time).* have hired the sub-contractors construction
2. am.a:so}e proprietor.or arnter- }fisted on the attached sheet.i delinPg
ship and have no employees These sti&contractors have 8. ❑Demo}ition
working for me.in any capacity, workers' comp.insurance.
[No workers'comp, insurance 5. ❑ We are a corporation and its 9. ❑ Building addition
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
insurance required.] ❑ repairs
_ 9 ] .employees. [No workers' 13 Other
comp. insurance required..]
*Any applicant that checks bo)C#1 must also fill out the section below showingtheir workers'compensation policy information
t Homeowners who submit this affidavit indicating they are daring all work and then hire outside contractors must submit a new affidavit indicating such.
1contractors that check this box Must
attached g
cltcd an additional sheet show' ,
Ehrt a cub-
e name of the can
tractors and thea workers camp.pc!icy rnfnrmaison.
I am an employer that is pmviding:workerscompensation insurance for my employees: Below is the policy and job site .
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: //l/�QQ l�st/� Expiration Date:
Job Site AddressCity/State/Zip: <'r�•
Attach a copy of the worke 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 under the pains andpena/ties of perjury that the infonnadon provided above is true and correct
41
Si tare: Date:
Phone#: �!'��� '7, 5'-�(•,
ofj`icia:Authority
nfy. Do not write in this area,to be completed by city or town official
City o : Permit/License#
Issuing (circle one):1. Boaealth Z Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector6.OtheContacon: Phone#:
•�n
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-contractors)name(s),addresses)acid 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
Accidentsfor 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 nurnber iisted 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 permittlicense number which vvilI be used as a reference number. in addition,an applicant
that must submit multiple permit4icense 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 Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
TeL # 617-7274900 ext 406 or I-8.77-MASSAFE
Fax#617-727-7749
Revised 5-26-05 Fax
�a� t,�inConstrueon
` Date: October 12, 2008
Homeowner Information:
Janelle Fairbrother
357 Osgood St.
No.Andover Ma.01845
978 809-0603
Contractor Information:
Marion Construction
Nicholas Marion
309 Mt.Vernon St.
Lawrence Ma. 01843
978-725-3625
Salesperson:Nick Marion
Construction Supervisor#085497 Exp 8/19/2010
Home Improvement Contractor Registration#141257 Exp U27/2010
WORK TO BE PERFORMED AND MATERIALS USED
Contractor agrees to do the following work for homeowners:
See attached proposal# 1273
Anything else is excluded
Materials expected to be used:wall board,popcorn texture,wall patch,latex paint
The following schedule will be adhered to unless circumstances beyond the contractor's-
control arise:
Work schedule to begin: Expected date of completion:
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE:
The contractor agrees to perform the work, furnish the material and labor specified above for the
Sum of$1,950.00
Payments* will be made according to the following schedule:
*Please make checks payable to Marion Construction
$500.00 Deposit to be paid upon signing
$725.00 upon start of project
$725.00 upon completion of project
DO NOT SIGN THIS CONTRACT IF THERE ARE 4NY BLANK SPACES
*****Homeowner's signa w -Datedmw
Contractor's signature, L Date o
i
e
You may cancel this agreement if it has been signed by a party thereto at a place other than
an address of the seller,which may be his main office or branch thereof,provided you
notify the seller in writing at his main office or branch by ordinary mail posted,telegram
sent or by delivery,not later than midnight of the third business day following the signing of
the agreement. See attached notice of cancellation for an explanation of this right.
REQUIRED PERMITS
The following building permits are required.It is the.obligation of the contractor to secure such
permits as the homeowner's agent.
1. PERMIT TO BUILD- NO
2. ELECTRICIAL PERMIT NO
3. PLUMBING PERMIT- NO
NOTE: Owners who secure their own permits or deal with unregistered contractors are
excluded from Guaranty Fund provisions of MGL c. 142A
NOTE: All home improvement contractors and subcontractors shall be registered and
any inquires 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
617-727-8598
Unless otherwise noted within this document,the contract shall not imply that any lien or other
security interest has been placed on the residence.
ARBITRATION
The homeowner hereby mutually agree in advance that the event 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 Secretary of the Executive office of Consumer Affairs and
Business Regulations and the consumer shall be required to submit to such arbitrations as
provided in MGL c. 142A
Contractor *****Homeowne
Date-� Date },OiI:io
NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE
AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT
INITIATED
BY THE CONTRACTOR THE OWNER MAY INITIATE ALTERNATIVE
DISPUTE RESOLUTION EVEN WHERE THIS IS NOT SEPERATLY SIGNED BY THE
PARTIES.
ACCELERATION OF PAYMENT
Homeowner's Financial Insecurity: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.
Contractor's Financial Insecurity:In instances where a contractor deems him/herself to be
financially insecure,the contractor may require the balance of funds not yet due be placed in a
joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said
account would require the signature of both parties.
e10RT H
To O 2 t 4An
dover
0 7� ' 0
No. S�7
dover, Mass.,
O COC HIC EWICK
ADRATE D P"p
`S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT11A 1.�... •............................... .... ...0......
Foundation
has permission to erect........................................ buildings on ....Ql.& ....... S." ...... ................ Rough
to be occupied as...��, . .. .I ........ tc, ....... .......... .... Chimney
provided that the persorr accepting this permit shall in every respect conform to the terms 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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCT19Nk STARTS Rough
.......
Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
Construct on
NOTICE OF CANCELLATION October 12,2008
YOU MAY CANCEL THIS TRANSACTION9 WITHOUT PENALTY OR
OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS
MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE
INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS
DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELATION
NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION
WILL BE CANCELLED.
IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER
AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
.SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE
SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLERS EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER,AND
THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE
OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT
ANY FURTHER OBLIGATION.IF YOU FAIL TO MAKE THE GOODS AVAILABLE
TO THE SELLER,OR IF.YOU AGREE TO RETURN THE GOODS TO THE SELLER
AND FAILTO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL
OBLIGATIONS UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED
AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE OR SEND A TELEGRAM TO MARION CONSTRUCTION AT 309 MT.
VERNON ST.LAWRENCE MA.01843 NOT LATER THAN MIDNIGHT OF
October 15,2008
Cancellatjon of the contract can and will be subject to a fee of 25 .00
Any& all hours rendered due to individual city/town complications(hermits)are billable
hours.
r
*****Customer Signatu Date
978-725-3625
gas—Z_ _ 978-361-6668
Marion Construction
309 Mt Vernon St
Lawrence Ma. 01843 Estimate
Marionconstruction@comcast.net Estimate # 1273-
Date: 9129/2008
Salesperson:
Bill To: Janelle Fairbrother
357 Osgood St
No.Andover Ma. 01845
#17rime
ing room ceilling 1.0 $775.0 $775.00
amage to the sheetrock on the ceilling
o corn texture to the ceilling
#2de wall of dining room 1.0 $300.0 $300.00
int wall in dining room
#3 trip the second floor bathroom ceilling 1. $500.00 $500.00
Install new popcorn texture to the ceilling
#4 Remove damaged sheetrock from the exterior bathroom wall and repair 1.0 $375.00 $375.00
Prime and paint the exterior wall and window trim
misc. All debris will be removed upon completion
Please contact us if you need any assistance. Total $1,950.00
F
Page 1 of 1
4 1
Alanq)no
Construcon%ti
' Date: April 22,2009
Homeowner Information:
Janelle Fairbrother
357 Osgood St.
North Andover Ma. 01845
978-809-0603
Contractor Information:
Marion Construction
Nicholas Marion
309 Mt. Vernon St.
Lawrence Ma. 01843
978-725-3625
Salesperson:Nick Marion
Construction Supervisor#085497 Exp 8/19/2010
Home Improvement Contractor Registration# 141257 Exp 1/27/2010
WORK TO BE PERFORMED AND MATERIALS USED
Contractor agrees to do the following work for homeowners:
See attached proposal# 1328
Anything else is excluded
Materials expected to be used: K.D.framing,wallboard,insulation,paint,pine trim
The following schedule will be adhered to unless circumstances beyond the contractor's
control arise:
Work schedule to begin: Expected date of completion:
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE:
The contractor agrees to perform the work,furnish the material and labor specified above for the
Sum of$6,095.00
Payments*will be made according to the following schedule:
*Please make checks payable to Marion Construction
$500.00 Deposit to be paid upon signing
$1,500.00 upon start of project
$2,000.00 upon completion of frame
$1,000.00 upon completion of exterior
$1,095.00 upon completion of project
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY PLANK SPACES
Please make sure to sign all three do um s
*****Homeowner's si natur Date
Contractor's signature = Date_"i5
You may cancel this agreement if it has been signed by a party thereto at a place other than
an address of the seller,which may be his main office or branch thereof,provided you
notify the seller in writing at his main office or branch by ordinary mail posted,telegram
sent or by delivery, not later than midnight of the third business day following the signing of
the agreement. See attached notice of cancellation for an explanation of this right.
REQUIRED PERMITS
The following building permits are required.It is the obligation of the contractor to secure such
permits as the homeowner's agent.
1. PERMIT TO BUILD- Yes
2. ELECTRICIAL PERMIT- NO
3. PLUMBING PERMIT— NO
NOTE: Owners who secure their own permits or deal with unregistered contractors are
excluded from Guaranty Fund provisions of MGL c. 142A
NOTE: All home improvement contractors and subcontractors shall be registered and
any inquires 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
617-727-8598
Unless otherwise noted within this document,the contract shall not imply that any lien or other
security interest has been placed on the residence.
ARBITRATION
The homeowner hereby mutually agree in advance that the event 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 Secretary of the Executive office of Consumer Affairs and
Business Regulations and the consumer shall be required to submit to such arbitrations as
provided in MGL c. 142A
Contractor *****
Homeowne
Date Dat4_LJV Co
NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE
AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT
INITIATED BY THE CONTRACTOR.C OR THE OWNER MAY INITIATE ALTERNATIVE
DISPUTE RESOLUTION EVEN WHERE THIS IS NOT SEPERATLY SIGNED BY THE
PARTIES.
ACCELERATION OF PAYMENT
Homeowner's Financial Insecurity: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.
Contractor's Financial Insecurity: In instances where a contractor deems him/herself to be
financially insecure,the contractor may require the balance of funds not yet due be placed in a
joint escrow account as a prerequisite to continuing the contracted work.
Withdrawal from said
account would require the signature of both parties.
Construct -on
in w. "r_fxRA
NOTICE OF CANCELLATION April 22,2009
YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR
OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS
MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE
INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS
DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELATION
NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION
WILL BE CANCELLED.
IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER
AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE
SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLERS EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER,AND
THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE
OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT
ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE
TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER
AND FAILTO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL
OBLIGATIONS UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED
AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE,OR SEND A TELEGRAM TO MARION CONSTRUCTION AT 309 MT.
VERNON ST. LAWRENCE MA. 01843 NOT LATER THAN MIDNIGHT OF
April 23,2009
Cancellation of the contract can and will be subject to a fee of$250.00
Any& all hours rendered due to individual city/town complications(permits)are billable
hours.
*****Customer Si natur w�� DateLc)tQL
q
�I
I
978-725-3625
E
Construction
978-361-6668
Marion Construction
309 Mt Vernon St
Lawrence Ma. 01843 Estimate
Marionconstruction@comcast.net Estimate # 1328
Date: 4/22/2009
Salesperson:
Bill To: Janelle Fairbrother
357 Osgood St.
No.Andover Ma.
#1 emov7rottedframing
#2 eplace the framing around sliding doors and install new Harvey Ind.
casement windows in place(4)
#3 Replace the framing under the bathroom window
he framing of the floor rim joist
art of the bathroom subfloor
#4Install all sevre pro damage on the interior first and second floor
eplace all interior trim that was removed
#5 Paint all interior damage that was replaced (walls and trim)
#6 Purchase new vinyl siding for the exposed wall to be closed
(no labor)
misc. All debris will be removed upon completion
misc. oes not include any landscaping or property maintainance
Page ag 1 of 2
Q
1.00$6,095.00 $6,095.00
Please contact us if you need any assistance. 978-725-3625 Total $6,095.00
�I
Page 2 of 2
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Nlassachnsetts- Department of Public Sufet%:
Board of Building Regulations and Standards
Construction Supervisor License {
License: CS 85497
Restricted to: 00
NICHOLAS T MARION
309 MT VERNON ST
LAWRENCE, MA 01.843
Expiration: 8/19/2010
(' nuniscii,net• Tr#: 1788