Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building Permit #321-13 - 37 OLD VILLAGE LANE 10/16/2012
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: o� Date Received © 4- � 1-� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION,. _-IJ-7 D Prin, PROPERTY,OWNER Print 100',Year=0Id Structure esy no: MAP NO:( PARGEL�ZONING DISTRICT: Historic District yes, nog Machine Shop Village yesi no I 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 q Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District, Ij Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 1 IF I Identification Please Type or Print Clearly)y) Phone: � �vl � OWNER: Name: hiT(,�j��l_`,�, Address: 37 OL-V V1 LW CONTRACTOR Name: Y"` 5 �� f^ '-I' C71'� Phone: PO Z 1 Address: ��'( . 0Cvf f1 �` 1 = 1�� I Supervisor's,Construction License: � _�_c( Exp. Date: Home Improvement License: (6 7M Exp_ Dater 3 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASE- ON$125.00 PER S.F. { Total Project Cost: $ —� /�D, FEE: � Check No.: / 7r7 �! Receipt No.: p�s7 p a NOTE: Persons contracting with unrezistdred contractors do not have access t gu my fun I Signature of Agent/Owne_r. ' . Signature,of contractor I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 i PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on J ' 7 Si nature ' COMMENTS t\ I HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Nater & 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<s gnature/iiatef` O'4, 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i 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) ❑ 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 Li 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 2012 ( D I�I�� �,� . �. NORTH own of t E 6 ndover O y"' 0 I.- I On No. Co h ver, Mass, �0Z41c COC-41c"e C AERATED ►P���S S V BOARD OF HEALTH R M Food/Kitchen PE . I T T L D Septic System THIS CERTIFIES THAT .....:.... Q�ti4'W ���'����'� BUILDING INSPECTOR has permission to erect .r, buildings on .7......� v..r/!. Foundation .�� Rough to be occupied as ... .9.G?. .. .✓..Z4W .s.............. ..................... 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 CONSTRUCTION-STARTS Rough Service ...............� ... �_........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE NORTH -own of . E : ., 6 ndover 0 No. Z 1 I C% h ver, Mass 10117 coc"Ic HlMCK AOJ •ATED lk � S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT c/ 0 Q� 'VA1 A7• ��ae//�� BUILDING INSPECTOR v r/�G Pc �� Foundation has permission to erect .......................... buildings on .,�,�. ....... ............ ,1........................................ Rough ��/eto be occupied as .......A,�.4.Q.Q.�..: ....... .............'.��.....`rJi,��ow.�..................................... 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 CONSTRUCTION-STARTS Rough Service ...............r ... ' �_......................... BUILDING INSPECTOR.. Final 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 OWN CORSIf NOW COMPHY,LLC v�w=r.mea�lo:vseatis?rr�t:Y�al;corri;:>a���co;�r October 3,2012 Amy Moeller 37 Old.Village lane North Andover, NIA The following proposal is for the following: 1. Remove and replace cheek wall siding where need to accommodate new step flashing and ice and water- $1,230.00 2. 17 x 30Deck 2x8 P.T. Frame, composite decking anc3 composite railsystem-$11,150.00 3. Remove and replace 7 basement windows - $2,240.00 4, Remove existin-grailroad retaining wall and stair replace with split face block and cap on sides built on 1f2" stone base and install canopy roof shared like "A"over basement door - S7,800.00 Total cost for labor and Materials: $22,420.00 Micliae . M�Nwvs. dent i1t41v M eller 239 Boston Street Topstield,MA 01583 978 887 2401 978 887 0124 Meadows Construction COMM,U `,vw"'v.tT,�?��1G�:,tCC+n Slfur,!iorlc 1111ipinl cOn, September 19, 2012 Amy Moeller Job Location: 37 Old Village Lane Same North Andover, MA The following estimate is for the roof replacement for the property located at the above address.The following paragraphs describe the work to be performed.Weare.a certified GAF installer and certified shingle installer and have the ability to provide You with a material and labor warranty. Asphalt Shingle Roof 1. Strip Existing roof on entire house down to roof decking 2. inspect all decking for rotted wood 3. There is no charge for replacement up to 1 sheet of plywood 4. install 6 feet ice and watershield on all leading edges,valleys and transitions S. Install 151b felt paper on remaining area of roof decking 6. Install new 30 year Shingles using 1.25 inch gun nails 7. Install new vent pipe flanges and flashing where needed 8. Install cobra ridge vent system Other Specifications 1. Homeowner to choose shingle color 2. Additional charge for wood replacement is$65./Sheet of plywood and 3.50 per I.f.of ledger bd. 3. If the lead on chimney is not good replacement cost is an additional$425.00 4. Start date is subject to weather conditions 5. All work done in a professional and courteous manner 6. All materials will be stored neatly at the end of each work day and the job site will be clean of all debris Total cost for Labor and Materials: $11,800,00* *Due to material increase additional$1300.00 d r / ich D. ea ovjs,Presiders ArMoell ��- 1 239 Boston Street Topsfield,MA 01989 978 887 2401 978 887 0124 M,, eadows 1"'Onstructior, tic September .1.9, 2 .1 Any Poneller Job l.oc Stion: 37 Old Villa f; Larlr ,.,irrre North Andover,MA he following pr(:,posal is for he Inj12113'001",Of CEi(Alers at the above listed address. Belovv you`JJili find the instailaticsn procedure and! mat:erial specifications: 1. instal! new 1.90 feet u'f seamless a!lsrninurn gt.rtters 2_ Inspect all fascia !marc!for rotted vrood 3. t�;te will notify the homeowner before any additional •epair4 are done 4. Caulk and seal all junctions ti. VVe will be using a residential grade. gutter and downspout 3. !nstah downspouts where needed to ensure proper watef f1<>ty 7. We will rerr ove all{febris from the proper-,,y o. The additional charge,for wood replacement is 1.S_Jt7 per If !Fascia sofiit included) 9, Start crate tS suhject to weather conditions 10 All work will be don in a professional and courteous manner i..:1. All rnarerials will be sfored neatly at the enn of each work day�lnd the job site will be.clear; of all debris. Total Cost for labor and materials:$2100.00 tvticf7a D. v,r adows, Pref ' n; Arany Nioeller i 239 hosu;n Strt:r'. TonS41efd.MA()1081 9(8 887'2401 978 88?0 r 24 i "top W�104" *ic ;77 w iIo.:. all :!";rF 1441 S�l lift 1!! It , ':., ., I, � � � '' {� I,+ ;16 y I pr ,_ yI... .. r r: " � Vrv:,} I .9k,I 6 rl� "5 ;^ h � � " .,:. -Tit A all � Ir A W r, mA 0 id Y. v,12117T, Zvi, 1p] I'd fl all 16, V� '"05V. iar All --moli MEADO-3 OP ID:CA .4COR0" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 10/11/12 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 endorsement(s). PRODUCER 978-462-4434 CONTACT Chase&Lunt LLC NAME: OE P 0 Box 590 978-465-6204 AICNNo, Ext): AIC No 47 State Street E-MAIL Newbu ryportMA 01950 ADDRESS: Craig S.Childs INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:First Mercury Insurance Co. INSURED Meadows Construction Co,LLC INSURER B:Safety Insurance 239 Boston Street Topsfield, MA 01983 INsuReRc:Guard Insurance Group INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 TYPE OF INSURANCE DDL UBR POLICY NUMBER MMIDDIYYYY MLICY EFF M LICY EXP LTR_ TYPE LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MACGL000001642401 08/24/12 08/24/13 PREMISES of Ea occurrence $ 100,000 CLAIMS-MADE Fx� OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 FGEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,00 POLICY PRO F LOC $ AUTOMOBILE LIABILITY MBINED S1INGLE LIMIT EaCO .,dent)s ,00000� B ANY AUTO 6208997 02/08/12 02/08/13 BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED Per eaccidenDAMAGE $ AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE TBD 08/24/12 08/24/13 AGGREGATE $ 5,000,000 DED X I RETENTION$ $ WORKERS COMPENSATIONWC STATU- TH- AND EMPLOYERS'LIABILITY X IT IN RY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVEYNIA MEWC350732 09/12/12 09/12/13 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below FE L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Amy Moeller ACCORDANCE WITH THE POLICY PROVISIONS. 37 Old Village Lane North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ��� ��y ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts Rome Improvement Sam'le contract This form satisfies all basic requirements of the slate's Home Improvement Contractor Law(MGL )142A chapter ,but does not include standard P language to protect homeowners. SeeIc legal advice if necessary. Any person Tannin home improvements ts should first obtain a copy of Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy Y g b callin the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Company Name Street Address(do not use aPost Office Box address) Contractor/Salesperson/Owner Name -6-7 OSA v l L-6,46-- LV fly-W City/Town State Zip Code Bpsiness Address(must include a street address) N AN Z_ 2 31 boS-jrql Daytime Phone Evening Phone "o, State Zip Code �3� 3� --6Q-SF-1�0 ' tea- . ©n T3 Mailing Address(It different from above) Business Phone �>6V JJJ0JFederal Employer ID or S.S.Number () 2A Home Improvement Contractor Reg:Number Expiration date • Law requires tLnt most Home improvementcontractorshave n valid registrationnumber I b I The Contractor agrees to do the following work for the Homeowner: (Describe in detail the workto completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) Required Permits-The following building permits are required Proposed Start and Completion Schedule-'The following schedule will and will be secured by the contractor as-the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the GuarantyFund provisions ovxsxons of _V)fi _Date when contractor will begin contracted work. MGL chapter 142A.) �6/97b Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: M Payments will be made according to the following schedule: $ I 1d0 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $_J27 210 by U/-22 / '�'or upon completion of �` 0 t c(L $ by / / or upon completion of upon completion of the contract. (Law forbids demanding fall 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§dhedule.0*21°) $ to be paid for N®TBS;(")Including all fiance charges(*-*)Law requires that any deposit or down-payment required by the contractor before work begins may not 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. x rens Warranty.,Is an express warranty being provided by the contractor? ❑No❑•Yes fall terms of the warranty must be attached fo the contrnctl 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 further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this a Bement 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. o Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.. C M_alce 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 ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 ParkPlaza,Room 5170,Boston,MA.02116 or by calling 617-973-8787 or 888-283-3757. o Does the contractor have insurance? Aslc the Contractor for his insurance company information so that you cam confirm coverage,or ask to see a copy of a"proof of insurance"document. o 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. DO NOT'SIGN TEIS CONTR A.CT IF TIIJERE ARE 1�1L S]P C S r r r Two identical copies of the contract must be completed and signed. One copy should go to the homeo' r. h otb. sl Odbe ke b the contractor. Homeowne s Signature Contract 's a W)d2 C6 Date Date Contractor.Arbifration The Home Impioyement Contractor Law provides homeowners with the right to initiate au arbitration action(as an alternative to courtaction)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner.in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same 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 concerning 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 consumer 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 parties above apply only-to the agreement of the parties to alternative dispute resolution initiated by the contractor: The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws (i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded'from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold.in Massachusetts cavy 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 yoxi have questions aboutyour consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted,or not applicable. One original signed copy of the contract with attachments-is to be given to the owner and the other kept by the contractor. Any modification to the.original contract must be in writing and agreed to'by both parties. Contracted work may not begin=-dl boti parties have received a fuhy 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 the.payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself' to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oint escrow account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said-account would require the signatures of both parties. :Additional Information � .If you.have general questions or need additional information about the Home Improvement 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,Roam 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at btp://vm,,v.mass..gov/oc,-Lbr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at liM://www.mass.gov/ocabr/ Go online to view the status of a home Improvement Contractor's Registration: hi11�://db.state.ma.us/i.olneiLnprovelr.lent/Iicenseelist.asp 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 4.13-734-3114 Version 2.1-11/22/2010 Location Aa No. 2 `"' Date • - TOWN OF NORTH ANDOVER s Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Check#�C/ /C A 25848 BuiU-6g-Inspector