HomeMy WebLinkAboutBuilding Permit #134 - 37 NADINE LANE 7/30/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
�-�
Permit NO: 0�7Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this age
�
LOCATION 7 Na w�C �G � /Il0 rbc kV b
/PROPERTY OWNER �C' V��
�,rint
l-tLJha"7 Unit#
Print
MAP NO: PARCEL:ZONING DISTRICT: Historic District yes no
Machine Shoplle
Village� yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building `6d,'One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
KRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Oateaww U Floo plate} Wetlands} _a.� �W rsheclDistnct ' ..d !
�.. .k� ..
DESCRIPTION OF WORK TO BE PERFORMED:
and hsf l ew
Identification Please Type or Print Clearly)
Y)
OWNER: Name: 0n CIUU h Phone: 971 o2(02
Address: 7 /VQ�I no �!,(/1C_ AV r YA 4,6tll NA C) kg(
CONTRACTOR Name: /606A, Phone: 6[3 2 V d a
Address: o451 �fU n JU/
Supervisor's Construction License: 9 qj�-(6 Exp. Date: /a Aa-10/,3
Home Improvement License: 6I/R29 Exp. Date: Y-aU/�
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ [�D �y ® FEE: $
Check No.: / Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to-the guaraand
Cinn7fii irci: nan nlnPr :_SICJr19tl1rE of COntraet�rc
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
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
b
Planning Board Decision: Comments
Conservation Decision: Comments
Water & 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 Departrnent signature/date
COMMENTS
i
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.$10041000 fine
NOTES and DATA— For de artment use
Notified for pickup - Date
II
Doc:.Building Permit Revised 2011 June/mi
IIS
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 t
❑ 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
VOTE: 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 CIerks 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
i
Location (-
i1 No. C �J� Date i
A
. - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Feel. $
Foundation Permit Fee _ $�
Other Permit Fee g%)
TOTAL
Check#. 7G
t 25556 Building Inspector
F
t%ORTH
:own of
0 0 46L�-; t
No.
ver, Mass,
coc»Ic»ew�cK 1.
ATED �,�S
'9S
U BOARD OF HEALTH
PERMIT T LD
Food/Kitchen
Septic System
)�•c/C' v r. cu Lic,y
THIS CERTIFIES THAT BUILDING INSPECTOR
. . . ... ............
p buildings on ,52 ��'. .. � ...... �'�F Foundation
has permission to erect .......................... ��
....................................
to be occupied as , ., F. ✓ �� ChimneyRough
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
p� M �+ p� MONTHS
�+ Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST RTS Rough
Service
.............. .�,..... I.BUILDING.INSPECTOR. Final
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz 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.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations .
d 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information CPlease Print Leizibly
Name (Business/Organization/Individual): CA ,5781CME P00086-
Address:.
100F/ N!6TAddress: 2,3) R 5u T Tb K ST(Zkr- -V 3A
City/State/Zip: N b•. An 0 oy 6K HA W IS Phone #:
Are you an employer? Check the appropriate box: Type of project (required):
I.® I am a employer with 7 4. ❑ 1 am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ El 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
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Pluriibing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.1Z Roof repairs
insurance required.] t employees. [No workers' 13.❑ Other
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
nformation.
usurance Company Name: V� A(Z.rl S
r
?olicy#or Self-ins. Lic. #: C. 3 8 9 oZ3 Expiration Date: '`p
- a3 -04
- _` // __ ,fin
lob Site Address: (25 7 /�a /ne ka/!- City/State/Zip: d, �jj��y�i /7/9 ()INJ
kttach 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
zne 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.venfication. ;
do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
3i ature: Date:
'hone#: 9U W. 3 y A o
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. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
ACORHCERTIFICATE OF LIABILITY INSURANCE /9/2'0°
9/9/2011
1
THIS CERTIFICATE 16 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: It tM cordflcate holder Is an ADDITIONAL INSURED, the Policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and condltlons of the policy,certain pollclss may require an endorsement. A statement on this certificate does not Confer rights to the
certificate holder in lieu of such endorsemen a.
PRODUCER CONTACT
NAME:
Willows Insurance Agcy U .Nv_EanlL_9TB dT5 3414 IA c,Ne�, -
51 Cochichewik Dr E•MI1I6 ---"
PR U UCER _
North Andover MA 01945 INSURER(S)AFFORDING COVERAGE _ NAIC
INSURED INSURMANaiden Specialty Ina Cc
Rle_•..M•
DAVID CASTRICONE ROOFING 6 SIDINGIWMR
INC ► R k.
200 Sutton St Suite 226 1NSURlR D:
NORTH ANDOVER MA 01845 INSURER E: .... _ ..._..._.. . .
INSURER F:
COVERAGES CERTIFICATE NUMBER Cz.1Y9906255 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 CONDITIONSOF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_._.___..._.— _.. bLSUeR _._._. _
TRA
1L ' TYPE OF INSURANCE POLICY NUM9ER EFF M LICT --- LIMRe
GENERAL LIABILITY
EACH OCCURRENCE S 1000000
— --.._.... .-.__ ...
COMMERCIAL GENER�AL LIABILITY PREM�IS��S jCy e4eunemen I S 50000
A = CtAedS.MAOE I x l OCCUR 00031600 9/06/2011 /6/2012 MED EXP one ereen S _ _ 1000
_F£R.iONAL 6 ADV INJURY 6 1000000
GENERAL AGGREGATE S 200000_0
GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMWOP AGG S 100000 D
POLICY 7 RO- lOC 1S
AUTOMOBILE UABILTY COMBINED SINGLE LIMIT
ANY AUTO M&w0ftnl) S
ALL OWNED ALTOS BODILY INJURY(Per person) S
SCHEDULED AUTOS BODILY INJURY(Per accident) $ —
HIRED AUTOS PROPERTY DAMAGE
(Per ecdoent) S.
I_ NON-OWNED AUTOS
S
E
UMBRELLA LIAB OCCUR
,XCI�LIAa EACH OCCURRENCE S
CLAIMS.MAOE
DEDUCTIBLE AGGREGATE
A. .
RETENTION S — --L-- ---- -
WORKERS CWENSATION S
AMD EMPLOYFRS'UABILn V
ECUTryE STATU• 0TH
ANY CRM .. TwAPLIMITS .._�_
OFFEEWTN=J
:
INIA A E.L.EACH ACCIDENT =
(Mandatary In NH) _
K dezeibe under E.L.DISEASE.EA EMPLOYE f
DESCRIPTION OF OPERATIONS below E.L.1)I$FASS-POLICY UMT `...... .. --
OBSCRWTON OF OPERATIONS/LOCATIONS/VEHICLES (Atmch ACORD 101,Atltlalonel gemarMe Senedule,N Inas epode M rogUlrod)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
David Cas triCone ROofxag & Siding Inc ACCORDANCE WITH THE POLICY PROVISIONS.
Castricone Roofing
200 Sutton Street Suite 226 AUTHOMMARPRUNINTATn/E
N Andover, MA 01845 n
ACORD 25(2009109)
IN5025(20oeoe) The ACORD name and logo are registered marks� 0 O
of ACORD
CORPORATION. All rights reserved.
Qb DATE(MMIDDIYYYY)
,acc'Rn CERTIFICATE OF LIABILITY INSURANCE
[91 3 2011
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
-r.I_.-Ir^^APIAn11A .-•11r 111 tell AT I-wr_
IMPORTANT: 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 NAME:
Eastern Insurance Group LLC — Main PHONE FrAjc.N*.E 1-508-651-7700 AX No):508-653-8089
233 west Central Street EMAIL
Natick MA 01760 ADDRES
INSURERS AFFORDING COVERAGE NAIC S
34754e
(RISURIERAicommerce insurance Company
INSURED 31969 INSURER S:
David Castricone Roofing & Siding Inc INSURER C:
200 Sutton Street #226 INSURER D:
North Andover MA 01845
INSURER S:
INSURER F:
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 REDUCED BY PAID CLAIMS,
INSR ZksMfF 4119AyyP
GENERAL LIABILITY EACHOCCURRENCE $
COMMERCIAL GENERAL LIABILITY PREMISES iEa occurrence), $
CLAIMS-MADE D OCCUR MED EXP(Any oneperson) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $
POLICY PRP LOC $
AUTOMOBILE LIABILITY BCNGCV /1/2011 /1/2012
Ea aockiard 1000000
ANY AUTO BODILY INJURY(Per person) $20000
AUTOS AUTOS OX SCHEDULED
AUTOS AUTOS INJURY(Per accklent) $00000
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS X AUTOS Peraoctlent $
UMBRELLA UAB OCCUR EACH OCCURRENCE $
EXCESS LIAB C 1MR&N AGGREGATE $
DED RETENTION $
g I WORKERS COMPENSATION WC003999723 9/23/2011 9/23/2012 X WCSTATU- OTH-
AND EMPLOYERS'LIABILITY Y I N
TORY LIMITS ER
ANY PROPRIETOPJPARTNEMXECLMVE E.L.EACH ACCIDENT $100000
OFFICERIMEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $100000
11 yes,describe under
DESCRIPTION OF OPERATIDNS below E.L.DISEASE-POLICY LIMIT $.500000
i
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more apace Is required)
CERTIFICATE HOLDER CANCELLATION
Castricone Roofing & Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
9 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 �'�
®1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
�I&S.N. ICIItucttN Ucllar'tmrnt ul Pult(iC I;tFCti
Bu:trtl II( Builtlin� Ki,ulatiun. :nttl 5t:uttlurtl
--- Construction Supervisor Specialty License
License: CS SL 99358
Restricted to: RF,WS
DAVID CASTRICONE
31 COURT STREET `#
NORTH ANDOVER, MA 01845
C
Expiration: 12/16/2013
( ,uiuu..i„nrr
Tri;: 7924
SCA 1 c: 20M-05/17 — - ---
Office of cation
Consumer.4ffairs&
—__ Busirfess Re;ulation j
�kLOME IMPROVEMENT CONTRACTOR
istration:
e
9 104569 Type:
_ ptration: 7/14/2014
�� Private Corporation
DAVID CASTRICONE ROOFING, SIDING 8
David Castricone
200 SUTTON ST SUITE 226
NORTH ANDOVER, MA 01845
Undersecretary
Town of North Andover 144HTH
Building Department o -
" 27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
0R,T10 0r cy
IS
SA
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.11, s150a..
The debris/will be disposed of in/at:
Facility location
Signature of A plieant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector,
E
DAVID C
ASTRICONE
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 1n Boxford 978-887-6147 /n Haverhill 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 accordin to the f (lowing specificattions,terms and
conditions,on premis s below described: �� � �� .� �/
/•Owner's Name.....,�,�....�..�.Q.l /..... ....................................Tel ne#....�L',�..'"�'.k},•1...::'..7a�..�:.�I
.. / ...............Ci dC.A...l..l..1 .t . . ...........State..
Job Address.. ... tY.....
Specifications:
..................................................................................................................................................................................
Ztrip existing shingles(t) Apply new drip edge to all edges. j,J r y U �'`
................................................................................................................................................................................................
.
i'Apply( mfeet ice and water shield membrane to bottoedges of house.�3eet ice
/and�w—ater shi em rare
in valleys and bottom edges of any unheated areas of house. ��P r�o l e ef� 1►'!`�`^z ��
............................................................................................................
............................................. ...........................I.........................
+Apply felt.•paper and r nt. 4astall ridge vent to
hh y
pp cc .. .............................................................
.....................................
Iteroof using� > �ti+/t e �� 't` �" �` t' '=rte`'' shingles with a 3b year warranty.
............................
Counterflash chimney. ,New vent pipe flashin . al disposal of all debris. I---
Q
..................................I.................. ��......- .SKx 1. ..�.... �..... .....................1 .t�....... ' r......EV....Via.oy
Area(s)to be worked on: r
.l..s.�l.�.x. ....ct.,........ . a.t.t�s.e.<................................................................
. .. . . ... .� 1 ................................
...........�Pe------
.................. ....... ....... . . ....................................,..
�� .................
J!1 Gtr 4/.........................
......... z .... cp .. :.. . 0 ..i 'E�rr: .... . . ,f..
Roof board replacement if necessary @
�a /sheet or uG/foot
............................................................................................................................................................�by
�r�
...................
Two Year Workmanship Warranty(Not Transferable) 11')anufacturer's Warranty as specifi manufThe for agrr es to perform the work fiis the materials specified above for the SUM o ...(rr.. •• •••
L j/ Payable....3A../�L?.......on..:,5. cx .............
Payable......:.:...............on......1 :....................�, alance payable on corn letion of'ob
Owner or Owners are not responsible for Property Damage or Liability wh jo 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 arc 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,their joint note in accordance with his(their)above obligation as requested by
contractor. Upon refusal to do so,contractor 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 hereof shall bind and apply to their heirs,successors or estates of the parties.The undersigned warrants)that he is(they aro)
the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s).There arc 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 reference 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 construction-
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.........................................................
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 nam in, day of••• }y!••••"20"'�
l t......... // l
Accepted: Owner
Signed.....t .... ...
1 Signed............................................................................. Owner
.. �C i
David Castricone,President