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HomeMy WebLinkAboutBuilding Permit #502 - 39 DEER MEADOW ROAD 3/5/2008Permit NO: 6 6 v BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: ` C 1 - IMPORTANT: Applicant must complete all items on this pate ryO 16' 6 0 Or Residential � eb LOCATION 3c? 2.ea(' CY1eA ,� C1LE tYd- I ti! �cj ver Print PROPERTY OWNER (2,t i.0 ao Print MAP NO: 10Y PARCEL: 70 ZONING DISTRICT: Historic District yes no Machine Shoo Villaae ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building -One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: /1lCi / ZtjeoI Phone: 97d 6 Af -1YW Address: V9 .�e�.r /n /�� /�i� /� Adoxe. IM CONTRACTOR Name:, .674i i7"-1we. Phone: 97F(0 )(a o Address: 6200 rL44 A� T1 int f Ak "d'�� A4 d i8 -Yl' Supervisor's Construction License: Exp. Date: Home improvement License: Id VY6 ARCHITECT/ENGINEER Address: Phone: Reg. No. FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ a3 FEE: $ Check No.:. 0e 31 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/O)kner _Signature of contractor L� Location ?C !'�'w'me n_. f-2-1 r- '.2 21- No. A5 02--- Date 3 <'. o NORTH TOWN OF NORTH ANDOVER "ID ? • • OA F • s ; Certificate Occupancy ' ; of $ JACMUs <� Building/Frame Permit Fee $ Foundation Permit Fee $ _ Other Permit Fee $ TOTAL $ Check # O o 3 209 �' Building Inspector 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: r Planning Board Decision: Conservation Decision: DATE REJECTED DATE APPROVED Comments Comments Zoning Decision/receipt submitted yes Water & Sewer Connection/Signature & Date Driveway Permit Located at 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 2 1 A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 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) a ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 ACORQ. CERTIFICATE OF LIABILITY INSURANCE [9/25/2007DATE(MMIDD/YYYY) PRODUCER Phone: 508-651-7700 Fax: 508-653-8089 THIS CERTIFICATE IS ISSUED AS A MATTER. OF INFORMATION Eastern Insurance Group LLC -Commercial Lines 233 West Central Street. Natick MA 01760 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GENERALLIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURED David Scone Roofing & Siding Inc 200 Suttontton St INSURERA:Citation Insurance 4027 INSURERB:The Insurance Co of State PA INSURERC: Suite 226 North Andover MA 01845 INSURER D: $ INSURER E: $ PERSONAL RADV INJURY COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR L POLICYNUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMITS GENERALLIABILITY EACHOCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR DAMA E 1OHLNIL PREMISES Eaoccurencxr $ MED EXP (Anyone .rson) $ PERSONAL RADV INJURY $ GENERALAGGREGATE $ GENIAGGREGATE LIMIT APPLIES PER- PRODUCTS -COMP/OPAGG $ POLICY MEC LOC A AUTOMOBILE LIABILITY ANYAUTO 07MMBBTNKT 8/1/2007 8/1/2008 COMBINEDSINGLE LIMIT $ ALLOWNEDAUTOS X SCHEDULEDAUTOS BODILY INJURY (Per person) $ 250000 X HIREDAUTOS X 14ON 4DWNED AUTOS NJURY BeraociODILY ent) (Per aocidern) $ 500000 PROPERTYDAMAGE (Per aodderd) $ I000oo GARAGE LIABILITY AUTOONLY-EAACCIDENT $ OTHER THAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC7222278 9/23/2007 9/23/2008 OR" - X I fo'by'lAimliuTs ANY PROPR IETO R/PART NERIEXECUTI VE E.LEACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $100000 OFF] CER/MEMBER EXCLUDED? If Yes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ 5 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCL USIONS ADDE D BY ENDORSEMENT I SP ECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP RESENT ACORD 2512nal Ing% .,,,..,_ ,.,,M.,,.., Eq—* Oaf u � o w L v cn o w a or. o w o w , v x u a x 0 � w o G a 0 a U w w o C c a o C7 o G z a w v o z cn v Q o cn D J w O 0- EM4 h 0 z CD H �± a 'K O O L O � v Z a3 CL. O y CD cm G C CO) p 'C y O O CO Co CD CD CL �CD_ O .� O O m O d CL C Q ca o Cc� _v ca C Z co 0 CL V h O C C C CO) 0 c o A (D c 0 c o� m "mMM JE 0 0 o Aw^p6C-) c ` O N C CD CD C O ;vV ,cm C cNa C=3 L 0 3 O.0 act N O A ea v Z �F :.00 O C CD o CDN CID m mt 3 O O 'O m c C yr V ujW o c. .y N �± a 'K O O L O � v Z a3 CL. O y CD cm G C CO) p 'C y O O CO Co CD CD CL �CD_ O .� O O m O d CL C Q ca o Cc� _v ca C Z co 0 CL V h O C C C CO) 0 A 0 c o� m "mMM JE o Aw^p6C-) CD CD C M : NCL.R mm ,cm C cNa C=3 L 0 3 act N O v Z �F C C � = CID m mt 3 O O 'O �± a 'K O O L O � v Z a3 CL. O y CD cm G C CO) p 'C y O O CO Co CD CD CL �CD_ O .� O O m O d CL C Q ca o Cc� _v ca C Z co 0 CL V h O C C C CO) 0 A m "mMM JE o Aw^p6C-) ,cm C cNa act N O v Z �F f- LO o. i t&. CD N C = m m mt 3 : C Ow�Z ais_= ujW .y O C LU •E ==O . v -c V •� m co _ Np { m O` H r $ a..m �± a 'K O O L O � v Z a3 CL. O y CD cm G C CO) p 'C y O O CO Co CD CD CL �CD_ O .� O O m O d CL C Q ca o Cc� _v ca C Z co 0 CL V h O C C C CO) 0 .AC(2Rd CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYY) PRODUCER FAi]I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willows •Insurance Agcy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 43 J e t•w o o d St HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR N $ n d o v e r MA 018 4 5 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F] OCCUR INSURERS AFFORDING COVERAGE NAIC # INSURED - INSURER A: MEN SPECIALTY David Castrico' ne Roofing & Siding Inc INSURER B: <n $1000000 INSURER C: 200 Sutton St Suite #226 GENT. AGGREGATE LIMIT APPLIES PER: POLICY F1 SECT n LOC INSURER D: INSURER E: GENERAL AGGREGATE nnvFOAr_Ge PRODUCTS - COMPIOP AGG $ 10 0 0 0 0 O THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DD ILTR NSRNSR TYPE OF INSURANCEPOLICY POLICY NUMBER EFFECTIVE (MMlDnlYYl POLICY EXPIRATION LIMITS EACH OCCURRENCE $1000000 A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F] OCCUR 3 _- ; : - -•DATE L001319-01 9/6/07 ')/6/08 DAMAGE TO RENTED S 50000 MED EXP (My one person) t O PERSONAL a ADV INJURY $1000000 GENT. AGGREGATE LIMIT APPLIES PER: POLICY F1 SECT n LOC GENERAL AGGREGATE i PRODUCTS - COMPIOP AGG $ 10 0 0 0 0 O AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIAR (Ea aociderd) = ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Por P—) s ' HIRED AUTOS NON-0WNED AUTOS BODILY ILIURY (per aaide�) i PROPERTY DAMAGE (Per acciderd) _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i ANY AUTO OTHER THAN EA ACC i S AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S S DEDUCTIBLE i RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I Ma OTH E.L. EACH ACCIDENT S ANY PROPRIEfORIPARTNER/ExECUTiVE OFFICERIMEMBER. EXCLUDED? E.L. DISEASE - EA EM 0 $ Ws, describe tKWer CIALPROVISIONSbelow OTHER E.L. DISEASE POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS I ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ©ACORD CORPORATION 1981 The Commonwealth of Massachusetts °i Department of Industrial Accidents ;i Office of Investigations 600 Washington ,Street Boston, MA 02111 www. mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): hV I h ,,A4,IR i C0 N C0 r 1 N t, `l 5l iJ t Ns3 N L Address: �td d S uTTOQ S VZ _T — SuyrE, 2 :L(o City/State/Zip: k, 4N b 0 v1=R MA 0 iNS Phone #:_ a Z F (v 9 3 3 4 a 0 Are you an employer? Check the appropriate box: ® I am a employer with f 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors '.. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t These sub -contractors have employees and have workers' comp. insurance.$ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance Type of project (required): 6. New construction 7. Remodeling 8. F ] Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.Q'Other S.112i1V & *Any applicant iliat checks box #I must also fill out the section below showing their workers' compensation policy information. t 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: —rh e— r, h5 u l• nc . CO O � 5+1- t. 'PAS Policy # or Self -ins. Lic. #: VY C Expiration Date: 9 oZ 3 Iy$ Job Site Address:` 9 ��(x1 Y`O' City/State/Zip:LL (Jt/l°�, � ���t�� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nder thepains andpenalties ofperjury that the information provided above is true and correct. . n n _C1__ Phone #: GY] )� ( � 3 V1/01-0 use only. leo not write in this area, to City or Town: or town official Permit/License # D 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 #: Town of North Andover oti %AORTly �o tSY6�O0 I Building Department Q• 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545Fax (978) 688-9542;�M'YKh,y90 # °R�ren npK (yIVA 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 shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: � Z' IN 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. Residential contractors and service providers doing business in Massachusetts must be registered. If the contractor or subcontractor is not registered, you will not be entitled to compensation from the state if something goes wrong with your job. This firm has met RPI's qualification criteria for experience, reputation and dedication to professionalism. Through special training programs available exclusively to Alcoa Master Contractors, they learn how to be experts on quality installation and how to build and conduct business in a highly professional manner. J� "�Daaviicaracver�cl�• c� :lr/.a�Jac%uaeltd Board of Building Regulations and standards ' HOME IMPROVEMENT CONTRACTOR Registration: 104569 Expiration:, 7/14/2008 ..Type: Private Corporation DAVID CASTRICONE ROOFING,SIDING & David Castricone 200 SUTTON ST SUITE 226 NORTH, ANDOVER, MA 01845 Dcpuly' Administrator Tlra'��}fj '` .,QF.SIi��.�y(If "Bik71F+1�tC(�"Q {nAIIIINB SCtninor:nn nll.i�' :,.il �..R,• ..r,r�iv,rl�r:Af++Fthta: 411 !I tR !', ' •f, 0 r rh4risq �ar4 anti Tida ...;;;.,' DAVID CASTRICONE D CASTRICONE ROOFING & SIDING I. D. No.: A01921D-A °lyleml?er Since 4 ,41,02/1996 q z+ f DAVID CASTRICONE ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET, SUITE 226, NO. ANDOVER, MA 01845 7 HILLSIDE ROAD, BOXFORD, MA 01921 In North Andover 978-683-3420 In Boxford 978-887-6147 In Ha verh X 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...... A)ej ... Lil�l .............. 4 .......................................... Jelephone ..... ....... I.Y.ej ........ 'I- W Job Address... -A? ..... D. C .t,%....... ... . .......... City... ..................... State................. Specifications: ply vinyl siding and corners. Type: . ............................................................................................ ....... �; ..................... P.. MaSf, , - " . 1 ✓y W) we -1- ............... !�! ....... y ................................ tCover fascia*'*'* ** "b, 'o"s, and rake 'b" *o'a" *r*d­ s**.' solid -/ .... crfora­te*T­­*: ....... ....... V& .................................................................................................................................................................................................. ... Cover wood casings around windows. =Replace any gable vents and dryer vents with vinyl. &t& A, 1-.i . ............................................................................................................................................................ Areas to be covered: ....... A7.-I.S..'3 . . ....... 0t-t_e-.OZ ...... ..... ..... . ...... uffs .......... 6 . ...... ..................................... ------ ------- ......................................... I ................ . .......... ....................... ........ A 0� Ur rl 2 0 ................................... ............. ........ . ..... ....... ... 4, W . ..... . ..... ............. ...... . . ................ ......... C-4 ...... ...... f � �yp .. ........ .... os7kv ..... �5.8ia-­­ One Year Workmanship Warranty (Not Transfers Manufacturer's Warranty as specifi man yr . y ayab Materials and Labor to cost $A�." ... le ............... ............... on 'al ........ Payable ............................. onn. -!9a!", '7 .................................. (Palance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability while job is in operation. sJ" -- 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, water stains when roofing shingles have not had adequate time to cure). 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. The undersigned warrant(s) that he is (they are) the owners(s) of the above mentioned premises and that legal title thereto stands of record in his (their) names(s). The. 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 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 Room1301, 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 shall be excluded from access to the Guarantee Fund. Approximate starting date of work. I ... I ........................... Completion date......................... Receipt of a copy of this contract 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. LO IN WITNESS WHEREOF, the parties have hereunto signed their names this ....... Tk... day of1d),1 1".11,I)y ..... I 20.., . Accepted: Signed......................................................................................... Owner Signed......................................................................................... Owner Per. Representative