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Home My WebLink AboutBuilding Permit #929 - 358 OSGOOD STREET 6/26/2012BUILDING PERMIT TOWN OF NORTH ANDOVER Permit NO: APPLICATION FOR PLAN EXAMINAT'O Date Received Date Issued:. W IMPORTANT: Applicant must complete all items on this page Of TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other ell, Floodplain Wetlands D iaf-� dtb ts h 0, i s6i Water/Sbwe OWNER: Name: Address�50 X CON-TRAOTOR.''Name: Address: -'L3 Ur-,'K*K1V I 1UN Ut- VVUKM I U BE PRF=FORMED: Please Type or Print Clearly) f%V%^- I'd S.Llipervipor�s Construction,-Liddnse. -J�0. Date:-,3-n— '0000e 'Ekp -D te-.7'' ARCHITECT/ENGI NEER Address: Phone: Reg. No FEE SCHEDULE-* BULDING PERMIT.- MOO PER $1000.00 OF THE TOTAL ESTIMATED COST BASE N$125.00PERS.F. Total Project Cost: $,1: 0 0 6 FEE: $ 0 qCheck No.: Receipt No.: — (;l NOTE: Persons contracting with unr ke�"ntractors do not have access to the guarantyfund wher iabature bf,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 Porkers Comp Affidavit �VP.1 oto Copy Of H.I.C. And/Or C.S.L. Licenses Topy of Contract a Floor Plan Or Proposed Interior Work a 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 Ei Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) Lj 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 L3 Engineering Affidavits for Engineered products NOTE: All d.umpster 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 DlSPOSAL 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 DATEAPPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTR V,3OMMENTS, x Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: 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 21 A —F and G min.$100-$l 000 fine NOTES and DATA — (For department use 0 Notified for pickup - Date Doc.Building Permit Revised 2008 Location No. Dat TOWN OF NORTH ANDOVER Certificate of Occupancy $ :,e Building/Frame Permit Fe Foundation Permit Fee Other Permit Fee $ TOTAL $ Check # //;/1/0 25455 Building Inspector U) z CD 0 CL CL > ca -0 0 a N 00 co, CL cr CD CD 0 CL 0 CC CD CD 0 r -IL 0 7 U) 0 0 0 c U) -0 Ej7 0 CD 0 =r CD CD CD U) 0 z 0 CD a 0 CD Q E U) a m 0 q 0 ;a C: z -0 r- m m ;u Cf) Cl) 0 0 z cn — ;u m C= Cl) 0 z Z -4 Z *> cn 0 0 IOL =r --I 0 0 0 r S CD 0 CD 0 c CD m 0 M ;u -P r =r -0 0) — U). ,41- (D 0 0 0 m h =R =r OD C-- CD f -IL c1n) 0 Sm CD "0 CD CD MID a 0 (A =r =r CD CD CD 0 0 z CD 0 0 cr c . =r M CD Cn > 0, U M 0 0 rL U) < CD CD U) w CD r ID Co Q)'O CD C 0 Wb 0 =r ID (D U) CD 10 CD C.) = 0 0 =r > CD CD 2) R 0 2) A) 0 CL Ln 3 0 77 m Ln 1— M ro z Co c = (D m m "a > -n 5 , w — ;)o 0 c aq z m r) I 0 Ln M (D 0 c OQ =r m m > z m 0 -n S' Di o c aq =r z W a m 0 w =r j* =5 ;o 0 C: m =r 0 c :3 CL w 0 =3 w C 2 z z (A M m 0 (n (D m 3 -n 0 0 o - -1 0 > 0 "n m a 93 New Salem Sti-eet, Wakefield MA 01880 Tel: 6J7-,57j.J)0% ER11111: RyanAndSonS(i.P.Me.coni www.RvanAiidSonRoofing.com Construction Supervisor License: Rome Improvement Contractor License: Licensure !)C11111-tillent of Public Board fit' and N1a1l(hll,(h4 Licen.-w: CS 104&Z CLINTON GALVIN 102, DELMONT AVE APT'2 LOWELL, MIA 01852 77 wM7 Expiration: 7/1/2D14 Tr--: !k Ofrlcl-'Of Consumer Affairs,&B �iu ca Regulation "N CONTRAcTOR HOM': IMPROVEMENT Regi-Strafion: 169538 Type: Ex PIMUOn: 7/112013 te Priva Corporatiol RYAN AND SON R - OOFING INC. CUNTON GAWIN .93 NEW SALEM. ST,." WAKEFIELD, MA 01�8,0,,, Undersecretairy The Commonwealth oj'Massachusetts IUA Department of 1ndustrial Accidents Qfjice qfInvestigations 600 Washington Street Boston, MA 02111 W www.mass.gov1dia Workers'Compensation Insurance Affidavit: Buil(iers/Contractors/`FIeetricians/.Piuinbers Applicant Information Please Print Legibly Name (Busiiiuss/Oi-giiiiiztttion/Irikiividual):. kxL Address:b S-4 (,',ty/St,t,/Z`ip-.b)qm�rt(i,�,00 Phone 4� M -Ir Are jou an unployer? Check �thhca ropriate box- 4. [] I am a contractor and 1 Type of priklect (required): 'Pain a employer with general 6. Ej New construction ernpl. ces (full andJor part-time).* OY have hired the sub -contractors T E] Remodeling 2. F am a sole proprietor or paTtwr- A i listed on the attached sheet - ship and have no employees These sub -contractors have & El Demolition working for me in any capacity. workers' comp. uISUFarACC. 9. E],Building addition [No workers' compa. insurance 5.0 We are a corporation and its 10.0 Electrical repairs or additions e r 'quired.] officers, have exercised their 1 F1 I am a homeowner doing all work right of exemption per MCA, I EF plumbing repairs oi- additions myself [No worket s' comp. c. 152, § 1(4), and we have no 12.[:] Roof repairs insurance required, employees. J.No workers' 13.0 Othex corrip. insurance required.] -A ny applicasitthat checks box It I ifaust also fill out the secticalt below showoig thcn,worlicis'compeasation policy inlomiatioji. 1 Homeowners who subiuit this affidavit iiidicalitig they aFo doilig ail] work and then hirc outside contiactom must submit a liew affidavit indicatilif; such. �Coiiiractors diai check this box must attached ain additioiial sheet showoug die iiaiwic (it live sub-Colitractols and then workers' comp, policy illfbifflUtital. I am an employer that isproviding workers" compensadon insurancefor my empkyees. Below is thepolfit�y andjobsire information. insurance Company N,,,,,: Policy # or Self -ins. Lic. T -(3 )ob Site Addresj5e Citylstatclzip:Ak� AdAL rA Attach a copy of the workers'cornpensfition policy declaration page (showing the policy number and expiration date). J�ajlure to secure coverage as required under Section 25A 4A'MGL c. 152 cait lea(l to t1je irripositioji oferiminal penalties ot a fine tip to $1,500.00 and/oi one-year imprisoomerit, as well its civil penalties In the Fbi fit of a STOP WORK ORDER and a fine ofup to $250.00 a day against the violator. Be advised that a copy ofthis statement may be ftowarded to the Office of Invesiigations ofthe DIA for iosurance coverage verification. i- _- t do hereby eerd der Ae �sa d-$Vn0'ajjjes o the information provided above is true and correct. $iglydlu C: Datc: Ojjicial use only. Do not write in this area, #o be completed by city or town official. City orTown: Issuing Authority (circle one)- rk 4. FAectricid luspector S. Plu'llbing Inspector 1. Board of Health 2. Rui.1ding Department 3. (,,ityfl'4)w" Cle 6. Other (::ontact Person------ . ..... Phone UF IU-. W OA'rf- (MMMWYYVY) CERTINIM"O"ATE OF LIA131LITY INSURANCE I THIS CERTIFICATE IS ISSUED AS A MAII:":11 OF INFORMATION ONly AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS 1 CERTIFICATE DOES NOT AFFIRMATIVEIN OR NEGATIVELY AMENO, !IXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES RELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONST`1TIrrj-- A CONTRACT BETWEEN THE IS6UING INSURFR(9), AUTHOR17150 REPRESENTATIVE OR PROVUCER, AND'VP E CERTIFICATE HOLDER. ......... . ... I IMPORTAMP If the reMeate. holder is a i W)DITIONAL INSURED, th4! po(jcVfws) musl be endorsed- If SURROGAT11OW 19 WAIVFI), Subiect tO it, terms and Conditions of the policy, cerj�.� in policies may require an, andorsernent. A statement on this Ger"fic"te dO" n9t confer rlgtlt$ to t" certificate holder In lieu of such endorsem:?�i XWAC`r . . . ....... 978-998-6893LtAMF--^ FAX . ........ . ..... MnssPay Insurance Services,[J (11 978-998-689 71! jftkA.).:- ..... . ...... .......... . ....... . . ................. .7-7 Garden StrW Unit I B :.MAIL, ,Beverly, MA 01915 ------- i F, %fiarleneWuliernan RYANSON . ............. - ... ....... ....... .... . . ..... . ..... NAIC # .. ...... ..... ............ . . . ....................................... ........ .. frisuRED Ryan & Son Rooting. Inc 93 New Salem St Wakpfield, MA 0 1880 NSUREA A, Ace A"Merica.9 In.suT,a..nc.q. Col."..,— . ......... . �� —1--- -11 .. .... .... -- . , I CERTIFICArE NUMBER: REVISION NUMBER: I` HIS IS TO GFIRTIFY THAT THF POLICIES OF It !�S- URANCE USTED BELOW �A W -- BEEN ISSUED TO THE. INSURPO NAMED ASOVF FOR THE� POLICY F R 0 INDICKIED, N(.)'IVVII'HSTANDtNG AW RE.QIJIRI'-NIEN`T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENI'wrTi-i RESPECt TO WHICH THts CT 10 ALL THE rE-RMS, CERT[FICATE MAY BE ISSLIED OR MAY PERTON, THE INSURANCE AFFOR)ED BY THE POLICIES DESCRIM'D HEREIN IS SUBJE f� cLus1Om:, AND CONDITIONS OF SUCH POL C ES, LIMITS SHOWN MAY HAV� TIEEN REDUCED BY PAID CLAIMS, .......... - ......... ...... .... . ...... . ............. . ..... ....... —O�Ff I POLICY. �fi IJMTTS INqR TYPE of INqUIRANCE POL" NUM8" M . . . . . .......... ... .. EA(�H OCCURRENCE j 5 OMMF FICIA1 0 F11NFPAI- LIA911, IV .... .. GIAIMS-MAI)E 0Gt A lf� Ill,' (1NAL AOV INJURY GrNFRAL AGGRE.GAIE IS. (�OMPIOF� A(,;(�, . . . ..... ... ............. . .... .. ANI `1�i I AU, OWNI.-() At 11 0S S(�14F.f)! IIJ-1) AU1 (JS NON 0INtif,I) AMW; UMORPLI-A LIAO OCCOR EXCCSS LIAO CI AIMS MAOV� . .. ....... .... DI. 1.)Uc! RItE VV0HKrMS COMPENSA110" ANO EMPLOYERS' LIABILITY Y f!�. A ?'OJY VROPME1 ORfif-AfU NERA'�XFCIJ f N(F f , iI )!TX:CRIMCk4t3F.R FXG1. N I A, Mandniory in NH) If ves. d9i;cnb(,, iindw C0Mf31Nf'.I)SrN(A,E LIMIT 0 �;, B0011 Y INJUH-� B0 1) �t,l NJ OR Y( EACH OCCURRI-N(J: .......... ... A (1, GRF. GAI E I I s . ...... ..... 03/16112 03/16113 Fl.. EACH ACCID�XT 1,000,00(i ................................ . ............................... 1,000,00(i FASE f.�.AEMPLOYE S 1,000,00c, El DISEASE- f)OLIGY UMIT $ . . ... . .... . ......... uC,�CRIPITIOm Or OPERATIOWS (1,.Or-ATONS fVI-HICLES 1A m ��h ACORD 101, Additional Rprnark� S 4indUbo. It mor. ufmm Is raquInmj) Evidence of insurance CERTIFICATE CANCELLATION SHOULD ANN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL, 13F DELIVERED IN ACGORDANCE WITH THE POLICY PROVISIONS. (c) 19W2009 ACORD CORPORATION. All rights reserved, ACORD 25 (2009/09) 1 AGORD nanv. and logo ant registered marks of ACORD rrrAtr-0 With ndfFactofv tria. /arsion ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE OS10212012_ 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 ondorsement(s). PRODUCER CONTACT NAME: Duffy Insurance Agency, Inc. TAX PHONE 781.593-1200 (A/c . No): 781. 593 . 7260 317 Broadway _M11:6 ADDRESS: Wyoma Square INSURERIS) AFFORDING COVERAGE NAIC 0 Lynn, MA 01904-2602 INSURERA: Seneca Specialty Insurance Co INSURED Rjin fkn goof 4'g, Inc.' in INSURER 6: 93 New Salem Street INSURER C Wakefield, MA 01880 INSYRER D: RO POLICY JPECj F LOC .�NSURER.E.:,. INSURER F: COVERAGES CERTIFICATE NUMBER: James Healy 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 . 11 . .. INSA ADDE-SM LTR TYPE OF INSURANCE INSR I WVD'� cmp�_ POLICY NUMBER jum/001yYyy) LIMITS GENERAL LIABILITY BAG— 100908811110812011 11 /0812012, EACH OCCURRENCE ! S 1,000,000 ; x COMMERCIAL GENERAL LIABILITY DAMAGE TO'REWED PREMISES (Ea occurrence 100,000 CLAIMS -MADE X OCCUR EXP (Any one p $ 5,000 A PERSONAL 9 ADV INJURY L1$ 1,000,000 'NERAL AG�REOAT�_ $ z 1 000, 000 AGGREGATE LIMIT APPLIES PER ODU(�GEN*L [PR S _ COMP'�, G� $ 11000,000 RO POLICY JPECj F LOC AUTOMOBILE LIABILJTY (Ea accident) $ ANY AUTO BODILY INJURY (Per person) S ALL OW14ED I SCHEDULED AUTOS A TOS U BODILY INJU'RY fPer acc*'Clent): $ NON -OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Opel accider.i) I UMBRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS LIAO CLAIMS -MADE R AGG EGATE S DEC RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' WC STATU� t0TH TORY LIMITS ER LIABILITY YIN . I ANY PROPRIL TORIPARI., NERIEXECUTIV� E L EACH ACCIDEN.T $ OFFICEWMEMSER EXCLUDEDI NfA (Mandatory In NH) L DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below iEL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addiflonal Remarks Schildula, If more space Is eaquired) %,L;IN I frii r- nWL1JGn %,;Ar4Ur_LLA I IIIJN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MTN THE POLICY PROVISIONS. James Healy AUTHORIZED REPRESE'M',( Evidence of General Liability 1 -6 19-88-2010 AtID C15RP*ATION. All rights reserved. At,UKU ZO IZUlUIUO) [ nO AL;UKU name anO logo are registered marks of ACORD 93 New Salcin Street. Wakefield MA 0 1880 Tel: 617-571-9056 EM8fi:RyanAndSouS@Me.coin www.ByanAndSouReofing.com Submitted To: Robert Parker 358 Osgood St North Andover, MA Proposal Job Location: Same We are pleased to hereby submit this proposal to furnish materials and labor, completely in accordance with the below specifications: (Additional charges may applyfor any change's not included below in proposal either by request of owner, or ifRyan and Son Roofingfinds unforeseen circumstances that will affect the performance, quality or integrity of thisjob). In the event legal action is taken to enforce any provision of this agreement, the prevailing party shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney'sfees. Not responsible for debris in attic. HIS PROPOSAL IS TO: Strip root to bare wood and re-shimile: • Strip existing shingles down to bare wood • Check for rotted wood and replace as needed • Nail down any loose wood • Install ice & water shield to first 6', which is 2 -rows and in all valleys • Install premium synthetic underlayment (in place ofstandard 301b. felt paper) • Install all new 8" white drip edge on perimeter and step flashing, where needed • Install GAF Lifetime/ architectural shingles in color of your choice • Install ridge vent Cap ridge vent properly with manufacturers suggested cap) • Properly flash any protrusions and all new pipe flanges, ifany on roof Clean up: • Will cover area with tarps to minimize debris • Remove debris related to work • NOTE: Please cover any belongings in the attic, as they will get dusty, ifapplicable Payment Terms made as follows: (This includes labor, dump & materials) Strip a shingle roof price: $5,000 KIAIP4V k"/r PAM&W rV Peter Rvan" Total Cost: [If no changes] $5,000 T#,,fIVK YOU' Is' payment due upon signing: $1,500 X Respectfully Submitted by: Accep al 9 All work is 100% guaranteed for I 0 -years on fall craftsmanshjl),--?�A'other warrantees are through the in ufacturer. Al antees will be null & void if in llv lice job is not paid in full. Thank you for leftingx:sseKve you!!! Ryan And Son Roofing, Inc. s Ofully licen (# 59797) & insured. Massachusetts Home Improvement-Sam'Ple Contract This form satisfies all basic requirements of the siate's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of "A Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on your residence. You may obtain a free copy by callinig the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3157 or on our w6bsite. itiomeowner iniormation Contractor Information Name CompanyName f Auase & of � & , 's M I 8treet Address (do a Post Office Box address) CoWactor/ Sale—sferson/ Owner Name U zQ601, j9A q3 Lj" ��qte* &� . zzo.,L State Zip Code Blisiness Address (must include a street address) L1130 6 7 1A A-- - Dayfime Phone Evening Phone City(rown State Zip Code Mailing Address at different from above) Business Phone Federal Employer D) or S.S. Number Law requires that most home Home Improvement Contractor Reg:Number Expiration date improvement contractors have 1(o a valid registration number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed, specifying the type, brand, and grade of materials be used, use additional sheets if necessm V -&I- (� P- P-- L�-10 MT (7-4^ r Ldk�ck Otff- 0-r(1K+tr_kk(&�. Required Permits - The following building permits arer'equired and will be secured by the contractor as -the homeown&s agent: (Owners who secure their own permitswill be excluded from the Guaranty Fund provisions of MGL chapter 142A.) - 0 Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the contractor's control arise �27—/Aa when contractor will begin contracted work. t?�when contracted work will be substantially completed. j-uLai %-oniracirrice anarayment beneauie The Contractor agrees to perform the work, Ru-nish the material and labor specified above for the total sum of.1 M 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) /,2F/jA;L or upon completion of 7(s by or upon completion of $ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion ichedule.(**) $ to be paid for NOTES: (-*) Including all finance charges (**) Law requires that any deposit or down -payment required by the contractor before work begins may riot exceed the greater of (a) one-third of the total contract price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. E xyress Warranty - Is an exl)ress warranty beinL7 provided by the contractor? El N, Z4 s (all terms of . the warranty must be attached io the contract) Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor Rather agrees to be solely responsible for all payments to all subcontractors for materials and labor under this ap-re'ement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is unclear.. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance" document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. VVINU bJLUiN'JLJ1JUN CO-NTRACT 1Y THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the lionteofter. The other c2py'llbuld belept by the contr omeo s Signature .Date Date -O?r— Contractor Arbitration 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 s ame right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute conceming this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consinner shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A.. Homeowner's Signature Contractor's Signature NOTICE: The signatures of the pal -des 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 paities. 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 by law. Homeowners who secure their own building permits are automatically exc luded from all Guaranty Fimd 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 worknaanship 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. Pal des are also advised not to sip 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 received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on thepayment 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 contl actor 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 fands from said account would require the signatures of both parties. Additional Information .If you have general questions or need additional information about the Home In�provement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer 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 visit the OCABRwebsite at littp://vAv,,Y.mass.,gov/ocibr/ 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 16 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at ligp://www.mass.,o,,,ov/ocab�**/ Go online to view the status of a Home Improvement Contractor's Registration: h=:Hdb.state.ma.us/li.oi.nei=rovei-nent/licenseelist.= For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1 - 11/22/20 10