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Home My WebLink AboutBuilding Permit #919-12 - 42 CROSSBOW LANE 6/21/2012B UILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received nnfin IQQI 10H. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial L --'-Alteration No. of units: Commercial L,-ftepair, replacemen t Assessory Bldg Others: Demolition Other Tfic.; t IC! -e V7, .Reln-w-e- /,:�, OWNER: Name: LOP'.' //V/ PTION OF WORK TO BE PREFORMED:- Rewodel k ?-,=Ae/Ui0' 11�q - r;".�q ilt C 17�.o JV d --F k;,rche,,j - em. ;Ve�j -Ab,,�Ikyr-r 17—do0r-�Fkl"C- il 1Fxra6U0dx I -P;2,e �;li 61,11 - Please 1`ype or Print Clearly) �e Irt, Phone:(77?) 4?4-o?664 Addr,QQc- 4d, t!�ross�opj Z-?,Aj e-- k, ARCHITECUENGINEER Phone: Address Reg. No. FEE SCHEDULE: BULDING PERMIT. $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. 4 3 1 C.1 Its — Total Project Cost: $ 3 FEE: j 613, Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfiundl,-N 6f ner. Sic C r inatureof, ohtradto' Location N o. 91� Check# /�� 25441 Date cz,2-1-112- TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL 12--� Building,inspedor L -- Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning[Massage/Body Art Swimmin Pools Well Tobacco Sales Food Packaging/Sales Privatej;;�;etc. I Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS - CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATEAPPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer 6onnection/Signature & Date- Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street rn.pster-on.sie-y. Ano, ;Fl ftEbEPART'M tN TV -T-6ni b6 ps men fs V ijK ed/dati e�, - ,0,'i re 6' —ft .COMMENT11S 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.$100-$1000 fine NOTES. and DATA — (For department use U Notified for pickup - Date Doc.Building Permit Revised 2008 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 Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses • Copy of Contract • Floor Plan Or Proposed Interior Work • Engineering Affidavits for En ' gineered 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 N OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) • Building Permit Application • Cer ' tified 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) o Copy of Contract L3 Mass check Energy Compliance Report Li Engineering Affidavits for Engineered products 40TE: All d.umpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then.get this recorded at the Registry of Deeds. One copy and proof of recording iinust be submitted with the building application Doe: INSPECTIONAL SERVICES DEPARTMINT:BPFORM07 Revised 2.2008 CO) m m m m X CA m CO) F, m 00-0- 0 = -4 0 -h 0 rr U) U) = S m "0 CD CL 0 (D r CD C) 0 0 CL C) = — r - U) z o =-0 cn 0 0 0 CL 0 2) ID Cn CD F 0 CCD M CD CD 0 CL 0 0 CL to CA IL 0 o =r 41D -0 z S. CD CD 0 Z 2L- —13 5'. CL r— m :3 0 c a f -64L =r 0 *t Cl) CD 0 Cl) in z CD su 0 0 > 0 -IL _—I. : � � rr-r C) m Er Er F*) X CD CL > Z mv :3 0 0 cj) CL 0 to 0 a m 0 rL (A CD < CL < M 0 0 X CL cn cr 0 CD CD m.6j -,oD CD Go C CD Z ah U) CL CD a 0 U) Cl) 0 E; cc CD cn (D =r CD 0 0 C) 0 rmllL = 0 C) I.: CD 7 2 gm cn -0 0 m 0 0 0 CD 0 0) 0 CL E 7) I Tim In m w 3 0 (D M M z m m m M > 6-1 0 c > z m 0 :3 M 0 m r- m Q > (A M m 0 -n fu 0 c OQ =r M r- c M m 0 -n 5' fu - (D po 0 C m -n 0 0 w c F 2 z G) z 0 m 0 LA (D -n 0 0 o - (D :3 0 > m 0 -n x m > x 0 MMS) I ummft MI) 4 0 0 10 14, 6s ,qm Or, iA C Massachusetts - D epat-tment of Public Safeo Board of Building -Regulations and Standards Construction Supervisor License License: CS 48810 BRADLEY E POWERS JR 22 WYMAN'S LANDING DANVILLE, NH 03819 Expiration: 8/3/2013 Co film issil Offer Tr#: 379 F 0 0 g0mwvenrTffajiersFAdm"e4s?�e A �Alon H ME IMPROVEMENT CONTRACTOR RO 6g� 1, Type: stration: A22776 DBA Expiration: .10/116/�2012 OWERS COINSTRUC-TION -7% BRADLEY POWERS�,-JRA�'.-, mL---- ........... 22 WYMANS DANVILLE, NH 03819,�,'--'=-=z- Undersecretary UU/21/ZU12 09:38 FAX 603 382 3367 JOSEPH HILLS AGENCY INC WJUUz POWDSAI OP ID: ST /14L— "PC"" CERTIFICATE OF LIABILITY INSURANCE DATE IIAM/DDNYYY) 1 06121112 .44�� 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the farms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the cartIfIcate holder in lieu of such Gndorsement(s). PRODUCER 603.382-9211 THE JOSEPH S. HILLS AGENCY INC 129 MAIN STREET, PO BOX 300 GD3-382-3387 PLAISTOW, NH 03865-0300 cNAO,"TEA," PNONr;; &C, No POL_1C_VJ9Zr (MMIPWYYYY) ADDRESS! INSURER($) AFFORDING COVERAGE NAIC 0 INSURER A;Main Street America Assurance INSURER B., 29939 IN I SURED - Bradle ; y Powers, Jr. dba Brad Powers Construction 02J0411.3 EACH OCCURRENCE III 1,000,00q 22 Wyman's Landing INSURER C; PERSONAL & ADV INJURY S 1,000,00C INSURER D! DanvIlle, NH 03819 INSURER E. - INSURER F! GENERAL AGGREGATE S 2,000,00( Q15-IRTIFICATIE NUMBER. 12-003 REVISION NUMBER: 001 I MIS IS 10 CERTIFY, THAT THE POLICIES OF INSURANCE LISTED 13ELOW 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 OESCRIBED HEREIN IS SU13JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR I,TR TYPE OF INSURANCE ADDL Jffa SUBA j&ovt3 - POLICYNUMDER FM LICY EFF (M 1DDNYYY1 POL_1C_VJ9Zr (MMIPWYYYY) LIMITS A GENERALLIAOILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR MPB0290S 02/04112 02J0411.3 EACH OCCURRENCE III 1,000,00q I)AMAGE TO RENTE15— PREMISES (Ea occurrance) rsoo,00l MED EXP (Any ono person) 10,000 PERSONAL & ADV INJURY S 1,000,00C GENERAL AGGREGATE S 2,000,00( GEN% AGGREGATE LIMIT APPLIES PER: I POLICY7x 2� E LOC PRODUCTS - COMPIOP AGO $ 2,000,OOC S AUTOMOBILE LIABILI'rY COWORP70-WN—GLE LIMIT (Ea accidant) 41 ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Pe S SONLY INJURY (Par accideni) PROPERTY DAMAGE JEgUcc1dent�_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE 5 DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/FiXECLITIVIE OFFICER/MEMBER LXCLUDGDI N/A We STATU- OTH- TORY LIMITS ER F -L. 5ACH ACCIDENT $ E.L, DISRASE - EA EMPLOYEE 3 (Mandatory In NH) if yes E.6 describe under D RIPTION OF OPERATIONS hQInW E,L. DISEASE - POLICY LIMIT Dmcmp-nON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. AddItIOA&I Ik6rnarlo; Schodula. If more space Is requireel) Carpentry residential Job: 42 Cross Bow Lane lFICAT NOANDVI Town of North Andover 1600 Osgood Street Bldg #20,Suits 2-36 No. Andover, MA 01845 SHOULD ANY OF THE ABOVE DIESCPJBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/06) The ACORD name and 1090 are registered marks of ACORD �LX The commonwean ofmassachuseitts Department ofIndusftiqlAccidints Office ofInvesfigations 600 Washington Street Noston., MA 02111 www-massgovldia Workers' Compensation Insurance Affidavit: BuffdersIContractor6/FIecWcians)Plumbers ApDlicant Information rJease Print Ledbly NaMe, �Business/Organization/Individual): 13164 D P4qAJer_r C61ujTeuc_"',oAi Address: 691jiqlll�u City/State/Z�p:_Qq,v VIII -e— X /-/ -03V /'? phone #: &63 —,� 3 5-- 7 V6 Are You an employer? Check the appropriate box: Type of project (required): I - El I am a employer with 4. El I' am a general contractor and 1 6. E] New ronstraction 12. eloyees'(fall andlorpart-time) have nod the sub -contractors l aZ a sole proprietor or partner- listed on the attached sheat.3c 7. PlEamodeling ship and * 'have no employees These sub -contractors have 8. E] Demolition working forma in any capacity. workers' comp. insurance. I [NO workers' comp. insurance 5. El We area corporation and its 9. 11 Building addition required.] officers have, exercised their 10.0 Electrical repairs or additions 3111 am a homeowner doing all work right of exemption per MGL ILE] Plumbing repairs or additions myself. [No workers' comp, ro. 152, §1(4), andwahaveuo 12.Q Roofrapairs insurance required.] t employees. [No workers' .13.n Other I comp. insurancerequiredJ -Any applicant that checks box#1 mustalso fill outthe section below shoyhfig their workers' compensationpoliq information. T Homeowners who submit this affidavit indicating they gre dohig all worle and then hire outside contractors must submit a now fffldavit indicating such. �Contractors that ched1c this b ox must attached an additional sheet. sbo�ylng the name of the sub -contractors and their workers' comp. policy information. Iam tin employer that isprovi(fing workers' compensation insuranceforyny employees. Belojp is thepolley andjob site Information. Insurance Company Name:. Policy # or S el -f -ins. Lie. 0. Ex piration Date: Job Site AddressL_�: 4e? C110 S�P /_10tAJ 9,AJ--e— .10ty/StatelZip: AJ. &61ove?— /0,9,P -r Attach a copy of the workers' compensation -policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 152 can lead to the imposition of criminal penalties of a fte up to $1,50 0.00, andlor one�year imprisonment, as well as civil penalties in the fonn of a STOP. WORK ORDER and a fine . ofup to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage veriffeation. Ido hereby certIq underfliepains a^naTt1esqfperjq1y thatthe informationpTovidedabove is true andcorrect Cr &0 3) R _� -5-- 7 5V 6 Official use only., Do not write in this area, to he completeifhX city or town officia7 City or Town: PermitMeenseft Issuing Authority (circle one): 1. Board of Realth 2.1luilding Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ContactPerson: I Phone (9 Massachusetts Home ImprovementIN" Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of "A Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3157 or on our w6bsite. nomeogner Iniormanon Contractor Information , liz,_�k.qrl_ t<eri R/MD Rowenr rbl�_SrrucrlolJ Name 4o?- 4fr05j_b01,U Zc?"'i-e- CompanyName BIRY9NIC'Y' E po'ers Te Street Address (do not use a Post Office Box address) Contractor/ Salesperson/ Owner Name �J, &J6 ve i NA 0 /?/74�— O?a ��Vmevv 5 4.-!?,4j6T,1/j 9 City/Town State Zip Code Business Adirress (must include a street adYess) 7?) �94-d666 (�J7,f t),? /j V; Ile- /19 o.Ml? D4ytime Phone Evening Phone City/Town State Zip Code 67 -9S 7 Mailing Address at different from above) Business Phone Federal Employer ED or S.S. Number 141W requires that most home improvement contractors have Home Improvement Contractor Reg:Number lo?.� 770' Expiration date C20) a valid registration nu mber M, The Contractor agrees to do thie following work for the Homeowner: (Describe in detail the work to completed, specifying the type, brand, and grade of materials to be used, use additional sheets if necessm.) �Iemode DiPIP1 1CM, IJ-ew -Frolv7- door f4 s7-orok. IJew k7r4vooX A e /J d/'P iIJ e. 4j -J,911 b-e7-&Jee_ X ire- 11 'p�ln/V 12^) r Vc A4. C19LjtjerXj )9,P?/j,7,AjCetP vl�udop'.j 'Ovep- LelYcke-ov S-1�,,k,, eemov,.-_ e-�)S7,P' 11JA11P rec e_vieX u)vder M6 Add;7-;,,,,w1xhe,- r Z�,Seope_ J t hDD Required Permits - The following building permits arer'equired and will be secured by the contractor as -the homeowners agent: (Owners who secure their own permitswill be excluded from the Guaranty Fund provisions of MGL chapter 142A.) Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the contractors control arise 7-30-/9 -Date when contractor will begin contracted work. 9— -3 ) — /op, Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule f��3 The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum Payments will be made according to the following schedule: $ go,> 0, upon signing contract (not to exceed 1/3 of the total contract price —or the cost of special order items, whichever is greater) $ by or upon completion of o:56Mb�,erl f6p 0 .7c dovo 4 A U54 M e 4,9,v/�r,3 y �jPAJ7_er $ b or upon Completion of '.0, - 0 -00- 1 $ Upon completion of the contract. (Law forbids demanding fall payment until co-ntract is completed to both party'—ss-atisfaction) The following material/equipment must be special ordered before the contracted work begins in order to meet the completion ichedule.(**) $7600 to be paid for 1<i7 -c4, -,v 691i;veTS $ 5�> 0 — to be paid for . -Pro P 7- D,>o/Z - NOTES: (*) Including all finance 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. Exvress Warranty -Is an express warranty being provided by the contractor? ERNo 11'Yes (all terms of the warranty must be attached io the contract) Subcontractors - T�e 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 ap-re'ement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before sigruing this contract. • Don!t be pressured into signing the contract. Take time to read and filliy understand it. Ask questions if something is unclear, • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance' document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOTSIGN TRIS CONTR A (7T YF TITF-P F A -R-P. A 1%TV RIF. A XV Q -P A P -P Q I I I T /iden ',,ca copies of the contract must be completed and signed. One copy should go to the homeofter. The other copy should be kept by the contractor. 4 Homeowner'/ SlIgnalure Contractor's Si!gnature K � 'Date V Date & — 187 - /C�_ Contractor Arbitr�tion The Home Improvement Contract W i d' .%s homeowners with the right to initiate an arbitration action (as an pwftw#-� alternative to court action) if they I 7ave 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 patties 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 §u& arbitration w provided In Massachusetts General Laws, chapter 142A.. HomeovOner's Signature ContractWs Sipat�re 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 carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sip the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachm6nts is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work, may not begin -until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on thepayment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the conti actor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. I Additional Information If you have general questions or need additional information about the Home lh�provement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA. 02116 617-973-8787, 888-283-3757 or visit the OCABR. website at http://www.mass.gov/ocab��/ 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 Jmprovement Contractor Registration Office of Cons-amer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the FUC website at bM2://www.rnass.gov/ocab�*�/ Go online to view the status of a Home Improvement Contractor's Registration: hM:Hdb.state.ma.us/li.omeiml2rovement/licenseelist.�iZ For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1 - 11/22/20 10 MOW To Reorder I -KID -2215490 or wwwrveWoorn PRODUCT 218 F, Page No. of Pages 22 Wymans'_3!:dIlng DANVILLE. NH 03R!�' 5 4 2 - S 4 Z-2 r '%' = "' 3 't Z _- -.' - 7 -0 B 6 NO p) PROPOSAL SUBMITTED /.z TO 2,7- K� Ro r/ PHONE DATE� STREET (rV.!;_SL0jA) JOB NAME '1 -1 44 r CITY, STATE and ZIP CODE - JOB LOCATION N, �PA) Ve K HONE ��CHITECT Propost hereby to furnish material and labor complete in accordance with specifications below, for the sum of: f A/ r 7,Y 41ye- 7//%qi/�� X, 11111f dollars ($ -3 j PaymentAo be made as follows: 5?� . `7� /Rce-A, 3t"( 17- _45 '17 _;C r1ol (/r I Olt All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from S pecifications be- Authorized low involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and a ' bove the estimate. All agreements contingent upon strikes, acci- dents or delays beyond,our control. Owner to carry fire, tornado and other necessary Note: This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: _j r 7-4, e 44�, & 4, -3,el I /7_L- keW 11,V e rs a /,j Me I C�? 'ya L,;F-- 5,P C"r <L- o de b r 'V 'U f- r—r 41a'p �IV C4.6 -5- Te e /7-1 7-S T& -::3 7-C 0 /4 bq IV (f S PJU/c- T- ve- r KI lvevv Z)//V//v3 Y,3// r6:10J-C'7-r 4�Allli /PM (Z�bR 11u7erle',r 77-1M n3LvIlverr /L-,�je_s de nler 7' IM -x r e-9 o/,' --F,, r,�VIAI e ri -3 0 0, /P/Vm /,Oj 3 T- ,pdueJe c e lWlre r k; -1v o ve- 7-1 7 t-1 5 co 3 r 1"c luded rio- c.im-e-4or r46 115iA 7 1�e loc,,— 7e 7-1W17 (-0(./ "e7_, 7- 4q 771 /Q j —7 37/ 3a Ce VAj 7 -op I- 7-o P_�. 101W 14PP -:P,4,j c e., i #�r"Pjoe,; Arreptance of The above prices, specificatio�s and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: A e / ( X ./_ - 7�.� k 7 Signature