HomeMy WebLinkAboutBuilding Permit #164-13 - 36 MEADOWOOD ROAD 8/28/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 16 4f `/ Date Received
Date Issued: '
IMPORTANT:Applicant must complete all items on this page
LOCATION J (.0 I`iP_a� �oo� U
Print
PROPERTY OWNER 0, A Unit#
Print
MAP NO: 2< PARCEL:2 ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building )6 One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
[9 Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
�.® Septic �®Well �®�Floodplain`t �D�Wetlanclsl F®I1W tershedlDistnct
0 Water/Sewers. J
DESCRIPTION OF WORK TO BE PERFORMED:
ran A rr, sW,nQ e� rD o
(Identification Please Type or Print Clearly)
OWNER: Name: AU Phone: % q19 9J
Address: r'r, Kea. -I)WCOA 044f
CONTRACTOR Name: Phone: 9 1
Address:
Supervisor's Construction License: q CL3 S-B Exp. Date: 3
Home Improvement License: ( pLi 5(off Exp. Date: 14A
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: FEE: $
Check No.: Receipt No.: �
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
C�rrn�firc•nf,-�rrcnf/llininar• " ._ ..- .. ..�innafi rc-nf,�rinfrartnr.?��� '__� � �o:a�e...,,�
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 Signature
COMMENTS
HEALTH Reviewed on Signature q
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Ob
,Conservation Decision: Comments
Water&c Sewer Connection/Signature& 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.$1oo-$1000 fine
NOTES and DATA— For department use
❑ Notified for pickup - Date
� - J
Doc:.Building Permit Revised 2011 June/mi
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 Permi
Addition or Decks
❑ Building Permit Application
u 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) j
❑ 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: Doc.Building Permit Revised 2008mi
Location -tra /%'/�G U'D cc.> oo�IC,,
No.� zr Date ZIP /Z
• - TOWN OF NORTH ANDOVER.
Certificate of Occupancy $
Building/Frame Permit Fee $— Oo
Foundation Permit Fee $
`" Other Permit Fee $
TOTAL $
Check#/771
r'
25657 Adingspector
r , NORTIy W. ve.
No. ' t
soh ver, Mass,
c oc"I c"a w"
�•9 q0" AreD + �(5
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ......0 y ...A.. .....................................................................................
BUILDING INSPECTOR
has permission to erect buildings on Foundation
Rough
to be occupied as ........... ��t®... ../' :f: �M ��':.............................................................. Chimney
provided that the person accepting this permit shall in every respect 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
VIOLATiON of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIOTARTS Rough
��� Service
................. .......7...................................................... 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
,ate CERTIFICATE OF LIABILITY INSURANCE /9/2 °°
9/9/2011
1
THIS CERTIFICATE 18 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les)must be endorsed. If$UBROGATION IS WAIVED,subject to
the terms and condfilons of the policy,certain policies may require an endorsement. A statement on this certificate dose not confer rights to the
certificate holder in lieu of such endorseman e.
PRODUCER CONTACT
NAME:
Willows Insurance Acjcy IPHONEt) E>tU, 978 475 3414 NoJ_•_-
51 Coehichewik Dr 9-MAIL ---
ADDRE¢a:.–—......_.—
PR �
cut
C111118 in A,
—..
North Andover MA 01945 INSURER(S)AFFORDINGCOVERAGE
_ MAIC
._ ..... _
INSURED IMauRm A Maiden Specialty Ins Cc
:
DAVID CASTRICONE ROOFING & SIDING INC I I—WMRReaeNOMR C ----- _ — --
_._.
200 Sutton St Suite 226 1NelJRlR 0 — " - -
INbURER 6:
NORTH ANDOVER MA 0194$ _......_ . .
INSURER F
COVERAGES CERTIFICATE NUMBER-CL119906255 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
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,RESPECT TO WHICH THIS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
MBR
- -.. ...-'—-.. ..._.__...__. 01 099 _..._—..
Ri TYPE Or INSURANCEPOLICY NU6IBER 'EFi MPOLICY ---' LNNRe .
GENERAL LLA81L17'1' AM WVDEACH OCCURRENCE _ S 100_0000
X COMMERCIAL GENER(�AL'�LIABILITY 07MAGE TO RENTED
PREM,�S��lEy enynoe� I_S--• _ _5 00_OO
A cuw,ts MADE I X I OCCUR 00031600 9/06/2011 /6/2012 MED EXP An One M S 1000
.PER4ONAL 6 AOV INJURY 1 1000000
IJ GENERAL AGGREGATE S 200000_0
GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS.COMWDP AGG S 1000000
POLICY 7
PRD LOC
AUTOMOBILE UABIU TY COMBINED SINGLE LIMIT
I
ANY AUTO
(Fj 000066) 1
ALL OWNED AUTOS BODILY INJURY(Per Oenon) S
SCHEDULED AUTOS BODILY INJURY(Per awaenl) $
HIRED ALTOS PROPERTY DAMAGE s
(Per sedoeM)
I_ NON-OWNED AUTOS
1
$
UMBRELLA LIAR7 —7CLAIIM64MDF
CCUR
�CISS LIAa EACII OCCURRENCE S
DEDUCTIBLE AGGREGATE S
RETENTION S
INORKERB COMPENSATIONS
AND EMPLOYERS'UABILnV WC STATU. 0TH.
ANY PROPRIET'OWPARTNERIEXECUTIVE YIN _ .. T�7.gY.LIMITS..._�R_
OFFICERMEMBER E(CLUDE07 N/A E.L.EACH ACCIDENT 1
(Wncetary In NM) ....._
tt yyees� de�c ibe undx E.L.DISEASE•EA EMPLOYE i
DESCRIFTiON OF OPERATIONS bOlOw ......
E.L.DISEASE.POLICY LIMT 1
I
OESCRIPT1011 OF OPERATIONS I LOCATIM I VEHICLES (Attach ACORD 101,AddVar4 l Rer"Wks Sehadule,R Ten apaee N regU)red)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
David Castricone Roofing & Siding Inc ACCORDANCE WITH THE POLICY PROVISIONS.
Castri00ne Roofing
200 Sutton Street Suite 226 AUTHOPA2bUPRUMTATnre
N Andovar, MA 01845
ACORD-2 `
IN5025(2ooeo9) The ACORD name and logo are registered marks oft 0 0RDORD CORPORATION. All rights reserved.
Aca CERTIFICATE OF LIABILITY INSURANCEF97102011
MIDDIYYYY)
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
A1.- tl ^A wn AAI.— .—Tl—AP WIrII' A IIAI nen
IM •PORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 CONTACT
NAME:
Eastern Insurance Group LLC - Main PHONE FAX No:
233 West Central Street .MAIL
Natick MA 01760 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC 0
a
INSURERA:Com-nerce insurance ComZany .34754
INSURED 31969 INSURER B
David Castricone Roofing & Siding Inc INSURERC:
200 Sutton Street #226 INSURER D:
North Andover MA 01845
INSURER E:
INSURER IF:
COVERAGES CERTIFICATE NUMBER:2191633907 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
INSR REDUCEDBY PAID CLAIMS.
045h "wu 498SIYA mLAyIW
GENERAL LIABILITY EACHOCCURRENCE $
COMMERCIAL GENERAL LIABILITY _
PRE IS"S a c rrence $
CLAIMS-MADE D OCCUR MED EXP(Any oneperson) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY 7 PRP LOC $
AUTOMOBILE LIABILITYBCNGCV /1/2011 /1/2012 (X)Mt5INtI)SWUM=
Es accident 100_0_000
AIJY AUTO BODILY INJURY(Per person) $20000
ALL OWNEDIx
SCHEDULED BODILY INJURY(Per acctfent) $40000
AUTOS AUTOS
X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOS Per accldanl
UMBRELLA UAB OCCUR EACHOCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $_
DED RETENTION $
g WORKERS COMPENSATION WC003999723 9/23/2011 9/23/2012 X NC STATU. OTH-
AND EMPLOYERS'LIABILITYLIMT
ANY PROPRIETORPARTNERIEXECUTIVE Ya NIA E.L.EACH ACCIDENT $100000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $100000
If yes,describe under
DESCRIPTION OF OPERATIONS belaw E.L.DISEASE•POLICY L[Mrr $.500000
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required)
CERTIFICATE HOLDER CANCELLATION
Castricone Roofing & Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
g g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Suite 226 ACCORDANCE WITH THE POLICY PROVISIONS.
200 Sutton Street AUTHORIZED REPRESENTATIVE
North Andover, MA 01845
01988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Town of North Andover NOkrN
O
p
Building Department o - -
27 Charles Street
Nortli Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
�SSHCHUS��
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work sliall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c,l 1, s150a..
The debris//will be disposed of in/at-
Z- t
at:Z- f
Facility location
Signature of Applicant
Date
NOTE; A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector•
#ConstructionSupervisor
Specialty License '
License: CS SL 99358
Restricted to: RF,WS
DAVID CASTRICONE
31 COURT STREET
NORTH ANDOVER, MA 01845 r.
Expiration 12/16/2013
Trtr: 7924
SCA 1 Co 20M-05/11
Office of Consumer Affairs&Business Regulat orn eC/;
„? OME IMPROVEMENT CONTRACTOR
1 , registration: 104569 Type:
�\ ,expiration: 7/14/2014 Private Corporatit n
DAVID CASTRICONE ROOFING, SIDING&
David Castricone
231 R SUTTON ST SUITE 3A
NORTH ANDOVER, MA 01845p
Undersecretary
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations .
600 Washington Street
Boston, MA 02111
°�M 5�•�� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information CPlease Print Legibly
Name (Business/Organization/Individual): CA 5T8I CONE NE ?0 0 F/ ,N&
Address: T n rq ST(Z&.7- 38
City/State/Zip: KD, Anaoy6R NA 61M Phone #: 918 - W '3 Q 0
Are you an employer? Check the appropriate box: Type of project (required):
1.5d I am a employer with 4. ❑ 1 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. E] 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. ❑ We.are a corporation and its 10.r_1 Electrical repairs or additions
required.] officers have exercised their
3.❑ 1 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 1e0oth
of repairs
insurance required.] t employees. [No workers' 1er
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
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.
am an employer that is providing workers'compensation insurance for my employees. Below is the.policy and job site
nformatiom
nsurance Comp any Name: A(Z r1,S
?olicy#or Self-ins. Lic. #: C Q 3 �{ $9 e�3 Expiration Date: 9• a3
lob Site Address: `"t eOldt�u�C}�C� K(') City/State/Zip:_ Ro, AlLw NA 0/ Q
attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
"ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
ine 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
)f 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 coveragq.verification.
do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
�i afore: C Date: r
?hone#: 9U � i 3. 3 yd o
Oficial use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority (circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
DAVID CASTRICONE
CASTRICONE ROOFING&SIDING INC.
ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS
HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569
200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845
In North Andover 978-683-3420 In Boxford 978-887-6147 In Ilaverhill 978-374-7314
Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary
materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and
conditions,on premises below described:
Owner's Name............. ..................................................................Telephone#610....1..!..5yyyy.���-7.Q..!.'.:.I
Job Address....JL....... (+rd.. �. .....M........City..... ....................State..l.'..Y�
...... ..... ...............
Specifications:
......................................................................................................................................................................................................................
Strip existing shingles./ Apply new drip edge to all edges.
1....la�lal!...................... ................. wh. ti
Apply_feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane
in valleys and bottom edges of any unheated areas of house.
................................................................................... .....
...........pply felt par run €rla meat...... Install ridge vent to Y rl f...........................................................................................
'�"t9, ....................�...,............. ..........................................................................................................
Reroofusing-e-t-4Qim ;--n ul/lt dE �KCG� a+hingles with a year warranty.
.....
kounterflash chimney. r............................dis........sal......of....all........bri.....s...................................................................:...........
1Yew vent pipe fleshing. LI,gal pode
............................................................. . ................................................................................................................................................
Area(s)to be worked on:
....................................................A..�l......s( .,p��1. ...... dr. ....o ......�r .s.. ..............................................................
.................. ............... ......�G;lw l ..TL ......� �cc �................................................................................................
......................................................................................................................................................................................................................
..................................................................
................ ....................................................................................................
............
Roof board replacement if neces3nry @ /sheet or /foot
......................................................................................................................................................................................................................
Two Year Workmanship Warranty(Not Transferable) 11Vanufacturer's Warranty as specified by m f c u
The contractor agrees to perform the work d ish the materials specified above for the SUM of$... ................'
Payable....�I..Z.................on...�.............. //
Payable..................'.'.........on.................................. v&lance payable on completion of job
Owner or Owners are not responsible for Property Damage or Liability while job is in operation.
Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or
conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living
spaces).Items in attic may need to be covered by homeowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon
completion of above work,all undersigned agree to execute and deliver to contractor,thcir joint note in accordance with his(their)above obligation as requested by
contractor. Upon refusal to do so,contracts,,may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is
agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid that
shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by
contractor,and also that the obligations herer_f shall bind and apply to their heirs,successors or estates of the parties.The undersigned warangs)that he is(they arc)
the owners(s)of the above mentioned premiscs and that legal title thereto stands of record in his(their)names(s).There are no representations,guaranties or
warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not
herein stated.Any subsequent agreement in ieference hereto shall be binding only if in writing and signed by all parties.
All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration
should be directed.to:Director,Home Improvement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108
Tel:617-727-8598
Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own constnrction-
related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A.
Approximate starting date of work....!...........................................
Completion date......f.... ............................................
Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing
provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be
binding upon the parties and that all`of the agreements and understandings of said parties are contained herein.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Owner has three business days to cancel this contract and incur no penalty (see notice of cancellation
).
IN WITNESS WHEREOF,the parties have hereunto signed their names this..... ....day of. 20./...:;-,.
Accepted: ,
— Signed.................... .. ...........................................»... Owner
Signed.......................».................................................... Owner
...................................................................
David Castricone,President