HomeMy WebLinkAboutBuilding Permit #532 - 50 CAMPBELL ROAD 3/19/2008BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 53 z Date Received
v-�T�eo /btaryO\
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
e fami�al
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial `
epair, replacement
Assessory Bldg
Others:
Demolition
Other
disawWail
r erre is��
er Siwe
DESCRIPTION OF WORK TO BE PREFORMED:
ti1�,-wl� y e- � v -3 L,,; nr J.0 w s 1, Ai S 7v�G
01A Ju ' 6 - i N `itis C nri% 4 �.
Ication Please Type or Print Clearly)
tentifv_OWNER: Name: w_Phone:
ARCHITECT/ENGINEER Phone:
Address:
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: $ �S ' FEE:
Check No.: (O Receipt No.: 2 0
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fuO
LocationV
No. �..�- Date o
�oRTM
TOWN OF NORTH ANDOVER
3? • • o
F s
d
Certificate Occupancy $ +n
of
Building/Frame Permit Fee
Nust<�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ R
# a�
Check
21004
Building Inspector
Date. .......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......-.d..-..-.Q....�._...............r.-.-.-..�..
..........:.....
has permission to perform,.... . I .... ..................... . .................... ..................
wiring in the building atof .... ................. ........ **"*.. .....
........ I ................................
. ...S ............ ............................................. I North Andover, Mass.
....... .....................
Fe� ..... 6..� ........... Lic. ......
EcrRicAL INspEcroR
Check.#
=I
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
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
Located at 384 Osgood Street
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on. Exterior dimensions.
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
NUTES and DATA - (For
❑ Notified for pickup - Date
Doc.Building Permit Revised 2007
use
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
x-65juilding Permit Application
rkers Comp Affidavit
�Pho o Copy Of H.I.C. And/Or C.S.L. Licenses
❑i4o -of Contract
loor 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
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
It
f
.r......,FLOE wC911M UT MaSSaChUSettS Official Use Only
Department of Fire ServiCes Permit No.
BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked. _R::C
[Rev. 1/071 (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
W.
All work to be performed in accordance with the Massachusetts Electrical Code (MEC) $ , Com~ o0 rr ORK
(PLEASE PRINT 1NIAW OR 7TPE ALL WORMA TION)
City or Town of: NORTH ANDOVER Date. -) d
To the fns a r of Wires.:.
By this application the undersigned gives- notice of his or her intention to perform the electrical work described below.
Location (Street & Number p
Owner or Tenant
Owner's Address
Telephone No.
Is this permit in conjunction with a building permit? yes j�� .
Purpose of Buildine nn No ❑ (Check Appropriate Bog)
1!`2�� 2 /r. L, y.i Utility Authorization No.
El fisting Service do -j Amps/ / c,Volts
y � e Overhead Undgrd D No. of Meters_
New Service Amps / Volts .
Overhead Undo d ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed E16ctrical Work: 1
No. of Recessed Luminaires
LOmPletion o the ollowin table may be waived bu the 1 actor of Wires.
No. of Ceil.-Sus p. (Paddle) Fans o, ofTransformers Total
No. of Luminaire Outlets
No. of Hot Tubs
KVA
No. of Luminaires
n_
Swimming Pool Abodve . In-
_d.
Generators KVA
o. o mergency lg g
No. of Receptacle .Outlets
P _
d•
No. of O$ Burners
Batte Unita
No. of Switches
FIRE ALARMS No. of Zones .
No. of Gas Burners
o. o Detection and
No. of RangesN
o. of Air Gond_ Total
initis Devices
No. of Waste Disposers
Tone
eat �P __umber Tons
No. of Alerting Devices
No. of Dishwashers
Totals:
o, of -Contained
Detection/Alertina Devices
Space/Area Heating KW
unlet
Connection Other.
No. of Dryers
r'S'
Heating APP�nces KW
Security Systems:*
No, of ater
Heaters ICQV
o. of No. of
No. of Devices or Equivalent
Si s B��.
. Data Wiring:
No. Hydromassage Bathtubs
No. of Motors Total HPTelecommunications
No. of Devices or E uivalent
OTHER:
No. of Devices or Eauiva _
Estimated Value of El etrical Work; )'� Attach additional detail tf desired, or as required by the Inspector of Wires.
Work to Start — (�cn required by municipal policy
Inspections to be requested in accordance with MEC Rule 10, and upon .completion.
INSURANCE v RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue .unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE V BOND ❑ OTHER ❑ (Specify )
I certify, under the pains and p naliies of per ury, that the information on
FIRM NAME: this application is true and complete
Co i
Licensee: f�' LIC. NO.:
a lie —4- �+ r Ss iLIC. NO
(Ifpp 'able, enter exempt " in thSignature
e tcense tuber line. /2 _ SiSG/a
Address: , — Bus. TeL No.:
*Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt: Tel. No.:
OWNER'S INSURANCE WAVER: I am aware that the Licensee does not have the liability Lic. No. f`
required by law. By my signature below, I hereby waive this re t3 insurance coverage.normally
Owner/Agent quirement I am the (check one) ❑ owner [] owner's agent
Signature Telephone No.
T
The 'COMAMIZ
weg7ft of Hassachuset&
1
Departmat of Industrial Accidents
1wice ofZ r,1E1&.
111 U.-ep, 600 FT-lasizinpion Street
V4
Boston, MA 02111
Workers lVWW.MMSgov1dia
COMPenation Insk.rance Affidavit: Builders/C81111budars0ectin
Aprificant Information Mang/Plumbers
PleAcp Pv4wi T s..S -t-
Name. (Businessln'rmn
Addmss:
ci.ty/St ate/Zip:22-� Phone #:.
.Are you an employer? Check the apprupriate,box:
1. F7 1: am a employer with 4. 1 am R general contractor and I TYPe-Of Project (required):
employ=. (full and/or part-time).* have hired the sub-contmaDrs 6•.[1 Now cons,"clon
2. ? SMILSOle Proprietor or Partner- listed on the attached sheet Remodeling
ship and have noem joy
and I
T
y of pro.
rs ; New I
7OO Re
employees Them su.&contractors have 8 mo
working for me in any caparity. work=' comp. insurance. 9 Demolition
Bu -ldi
[No workers' comp. insurance 5. ❑ We are a ca 9. El Buildi
corporatism and its I . ng addition
required-] 10 0 El
i 10. El Electrical
3.0 1 am a homeownerofficers have exercised their n� CO repairs or additions
doing ail work right of exemption Per MOL I 1.�� Plu
.Myself.. [No-workirs' comp. Q L52-, § 1(4),'and we have no 11 -F7 PlumbiRg repairs or additions
insurance required-] 1. 12.0 Roof , '
employees. [No workers, repairs
*Any eppl=g gw checks bort i
comp. insurance require&]. 13.[].%er
t L
Hameawn mo`u also fill Out thz=ction Wow showing their workers' Win P-i7imfr.—n,,t—i.,
61T who submit this afrWavitindicuing they art doing all work and then hire-otasida
L
;Contractorsthstchc6k this box m=&=Obd,,additional sh=sh0wmV. the= _O� ccmnetm must submit a new affidavit indioW* SuclL
am an employer m. the sub-cumnIctom jmd their work=,
.per 4jar.isPr011iCM9':work=' compensation insurwcefo., my mrb coma. Policy inflDnUgon.
inforrnadom Yem Ve,6W is. the po,6L, mej06 site
Insurance Company Name:
Policy 9 of Self -ins. Lie.
Expiration Date: 7.1
Job Site Address:
City/state/zip:40"',
"lic, d
Attach a cOPY of the.wort rs, co pensistion policy -J."_
Failure to cy declamt'on-Pa0e (showing the Policy number and e
secure COV xpiratiom date)
coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pcnaities of a
fine up to $1,500M 2ncVOr One -Year imprisonment, as . well MS civil penalties in 6
of up to S250.DO a 4HY against the viol the form
violator. Be advised that a copy of this SUL*=nent may Of R STOP WORK ORDER Rn4 afine
be f
investigations of the DIA for insurance coverage verification,
forwarded to the office of
I do here* C97VA and the its and ed
certify
L
L
jury that the information provided aba
is true and Correa
5i tore:
Date
Phone
Official use rattly. DO ant wrixe in fids area, I
to be completed by City or town offzw
City or Town: Permit/License
Issuing Authority (circle one):
I. Board Of'Healtb 2. Building Departmut 3. City/Town
6. Other Own Cierk 4. Elecbi cal Inspector 5. Plumbing Inspector
Phone#.
O
z
E
•
w
A
Id
Ou
o
w°
a
Cf)w°
v
rw
w
Z
z
w
,..�
w
G
�
-u
ao'
v
c
U
a
w
w
�
a
to
a
ao'
w
F
w
ow
u
w
w
a
a
aoG
0
w
�
a
wo'
ca
w
w
�
w
r
a
cia
°
2
cn
gL�
L1
o
cn
E
N
co
N
C
O
v
cm
m
Om
C
_
m
`o
cm
G
�C
N
CD
Z
r.+
0
Z
o
8
C)
5 000
T
9
Q
O i
� O
Z
G3
Z y
O
D G
co a
cm
COD -M
Q
E m m
CL
G3CD
O �
3�
O
O Cm O
m CD d
cmQ
y C
CD c
ccqs
v J .O
ca
C Z CD
C.3 h
cc C
C
cc
CLCO3
LLI
U)
LLI
U)
W
W
19
LLIW
ww
,,
U/
C O
i ..
0
O y
v c.J
CL.
c
c40CFo,
�.+
O
w
=
VCD
•.+
C.
N
o D
�:
'
me
N R
m
m
N A
m
CD
aC.3�
N m
�=z o
C
Of 0CO
C.
Ci H O
• � '� Z
C C 0
H
C.
CID � N m C
3
_
m
CLco
W
S�
�L-
•N
.21S c
O
~
.E
C.= C
M
C3 cm
C.2
�
4D
V�
C.
ca
C:"
m 5 D
a
=
td
CD a -N =
E
N
co
N
C
O
v
cm
m
Om
C
_
m
`o
cm
G
�C
N
CD
Z
r.+
0
Z
o
8
C)
5 000
T
9
Q
O i
� O
Z
G3
Z y
O
D G
co a
cm
COD -M
Q
E m m
CL
G3CD
O �
3�
O
O Cm O
m CD d
cmQ
y C
CD c
ccqs
v J .O
ca
C Z CD
C.3 h
cc C
C
cc
CLCO3
LLI
U)
LLI
U)
W
W
19
LLIW
ww
,,
U/
t
u) �If6 A
N .. 7"n",
k
OEL
s
Z
m na
00
V
-
•iy
o0
F n N.
on-
LO
ul
7 a c
uj
C-4 CO
co
Lo
0
�...� ry
Co
�aUNN`O
UJ-
l�L?W
�i �Ji"�4 ��
- M 0 :{
W Y
ao -.
Z Z
Q,.
4W
- Z Q
O U
JUi
I
m "
,•.
_..
w a O
Q Z
z
LLT CU' Q i
mill
i
_ _
The Commonwealth of Massachusetts
Department ofIndustrial Accidents
Office of Investigations
' 600 Washington street
.Boston, MA 02111
www.mass.gov/dia
Workers'. Compensation Insurance Affidavit: Euilders/Contractors/Electricans/Plumbers
__i2__1 r r ..
Name (Business/Organizabon/Individual):_ I(l2 e
S
Address: I L
City/State/Zip:
6 Phone A 17 Ss - 7 2 G — 50 (0 2.
Type of project (required):`
6. [] New construction
7. Remodeling
8. ❑ Demolition
9. [1 Building. addition
10.0 Electrical repairs or additions
11.0 Plumbing repairs or additions
12.0 Roof repairs
13. ❑ Other
" I
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
I Homeo masers who submit this affidavit indicating th., are doing all work and thcn hire outside contractors must submit a new affidavit indicating such.
!Contractors that check this box must attached an additional sheet showing the nanne of the subcontractors and state whether or not those entities
employees. If the sub -contractors. have employees, they must provide their workers' comp; policy number. have
I am an employer that is providing workers' compensation insurance for my employees.
information. Below is the policy and job site
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:
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 tothe 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 certify under the pains •pndp nalties ofperjury that the information provided above is true and correct
II
-3-
Phone-,7
i"
Phone#: ci Z _
not write in this area,
City or Town:
Issuing Authority (circle one):
1. Board of Health 2. Building Department
6. Other
Contact Person:
or town official
Permit/License #
3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
Phone #:
Areyou an employer? Check the appropriate box:
1. ❑ I am a employer with
4. 0 I am a general contractor and I
employees (full and/or part-time)."
'a
have hired the sub -contractors
2. ❑ I amsole proprietor or partner-
listed on the attached sheet
ship and have no employees
These sub -contractors have
working forme in any capacity.
employees and have workers'
[No workers' comp. insurance
COMP• insurance.:
required.]
5.We are a corporation and its
3. ❑ I am a homeowner doing all work
officers have exercised their .
myself. [No workers' comp,
right of exemption per MGL
insurance required.] t
c. 152, § 1(4), and we have no .
employees. [No workers'
Comp. insurance reouireda
Type of project (required):`
6. [] New construction
7. Remodeling
8. ❑ Demolition
9. [1 Building. addition
10.0 Electrical repairs or additions
11.0 Plumbing repairs or additions
12.0 Roof repairs
13. ❑ Other
" I
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
I Homeo masers who submit this affidavit indicating th., are doing all work and thcn hire outside contractors must submit a new affidavit indicating such.
!Contractors that check this box must attached an additional sheet showing the nanne of the subcontractors and state whether or not those entities
employees. If the sub -contractors. have employees, they must provide their workers' comp; policy number. have
I am an employer that is providing workers' compensation insurance for my employees.
information. Below is the policy and job site
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:
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 tothe 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 certify under the pains •pndp nalties ofperjury that the information provided above is true and correct
II
-3-
Phone-,7
i"
Phone#: ci Z _
not write in this area,
City or Town:
Issuing Authority (circle one):
1. Board of Health 2. Building Department
6. Other
Contact Person:
or town official
Permit/License #
3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires allemployers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as ``an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apamnents and who resides therein, or the.occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on.such dwelling house
or on the grounds -or Building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "ever state or local licensing agency shall withhold the issuance or
renewal of a license or permit to,bpera`te a business or to construct buildings in the commonwealth for any '..
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally; MGL chapter 152, §25CO) states "'Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for, the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority.
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If.an LLC or LLP does have
employees., a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please callthe Department at the .number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town .Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant
that must submit multiple permittlicense applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses: A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.) said person is 1-10T required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please.do not hesitate to give us a call.
The Department's address, telephone -and fax number:
The Commonwealth of Massachusetts
l ePartment. Qf Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4300 ext.406 or 1-877-MASSAFE
` Fax # 617-727-7749
Revised 11-.22-06
wwAl.mass_govfdia .
T -D v" JO
AGREEMENT. FOR SERVICES
This CONTRACT satisfies all basic requirements of the State's Home Improvement Contractor
Law (M.G.L:c. 142A), but does not preclude parties from adding language to protect their specific interests.
Seek legal advice if necessary. Before agreeing to any home improvement work on your residence you
should obtain a free copy of "Consumer Guide to Home Improvement Contractor Law" by calling the
Office of Consumer Affairs and Business Regulation's Information Hotline at 617-973-8787.
You may cancel this Agreement if is has been signed by a party thereto at a place other than an
address of K & R Contractors, Inc., which may be its .main office or branch thereof, provided you notify K
& R Contractors, Inc., in writing at its main office or branch by ordinary mail posted, by Telegram sent or
by delivery, not later than midnight of the third business day following the signing of the Agreement.
See Attached Notice Of Cancellation For An Explanation Of This Right.
Homeowner Information
Ellen Harrigan & Dennis Hamboyan
50 Campbell Road
North Andover, Ma 01845
Contractor/Owner Name:
Kenneth Roy, President
Business Street Address
K & R Contractors, Inc.
1 Campbell Road
North Andover, MA 01845
Business Phone: 978. 726.5062
Federal Employer ID: 000961723
Salesperson(s): Kenneth Roy, President
Contractor Registration: 80721 Exp. Date: 4/29/09
MA Sup. License: 137557
WORK TO BE PERFORMED AND MATERIALS TO BE USED
Contractor Agrees To Do The Following Work For Homeowner: Remodel Office
Contractor to remodel office in the'following way: remove 2 windows in the office and
replace with new vinyl windows sized to match windows that will remain. Replace 2
windows with vinyl replacement windows in TV area. Install new baseboard heat.
Remove existing wall that splits office and match seams. Remove and replace ceiling in
office. Install finish trim on windows, doors and baseboard. Install new pre finished oak
hardwood flooring. Build and install new corner desk with 2 cabinets. Build new filing
cabinet to match desk. Build and install entertainment cabinet. Paint ceilings, trim work,
walls, new desk and filing cabinet and entertainment unit. Demolition and trash removal
are included in the contract.
No electrical work is included in the contract.
The following schedule will be adhered to unless circumstances beyond the contractor's control arise*
Work Scheduled To Begin: 3/17/2008
Expected Date Of Completion: 5/7/2008
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
The Contractor agrees to perform the work, furnish the permit, material and labor specified above for the
SUM OF $9,680
Payments will be made to the following SCHEDULE:
$3,000 upon signing contract
$4,000 payment is due upon installation of all windows
$2,000 payment is due upon installation trim wood and baseboard
$680 payment is due upon completion of project
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* ) No final payment shall be demanded until the contract is
completed to the satisfaction of the parties thereto. -
OTHER 11"ORTANT PROVISIONS
You are dealing with a Registered. Home Improvement Contractor and are entitled to certain rights under
the provisions of 780 CMR R6 and M.G.L.c.
142A.
Payments: If payment is not received as per the Contract, then the Owner shall be responsible for all
attorneys' fees, court costs, and other costs incurred by the Contractor and enforcing Contractor's rights
hereunder.
Pets: Homeowner agrees to keep all pets out of the work area and take whatever steps are necessary to
safeguard them from any harm that may come to them as a result of the work being performed under this
Contract, including but not limited to injury on or outside the Premises or ingestion or inhalation of, or
contact with, hazardous substances. Company assumes no responsibility for any harm to the pets as a result
of the work performed under this Contract. Further, Homeowner shall take all steps necessary to protect
Contractor, its agents, servants, contractors and employees, from any harm as a result of contact with said
pets.
Characteristics of wood: Wood is a hygroscopic material. Wood swells and/or shrinks in relation to the
humidity, temperature and environmental conditions of its surrounding. Generally, wood flooring is
expected to shrink in any conditions and expand when exposed to moist conditions.
Natural wood also contains variations of graining, texture, hardness and/or knots, depending on the wood
chosen. Contractor cannot be responsible for the natural features of the wood chosen. Contractor is not
responsible for shrinkage, checking, swelling, or other conditions which are the normal condition of wood,
or the result of household or environmental humidity, heat, cold, or other conditions. -
Colors: You may choose colors and finishes for the parts being used in
your remodeling project. It is important to remember that a color or finish you see at the store or in a
showroom may not look the same in your home, especially after all of the different colors and finishes are
brought together upon the completion of a project. In addition, one manufacturer's named color is not the
same as another manufacturer's named color. The Contractor cannot be responsible for the appearance or
lack of coverage from Homeowner/chosen paints and/or stains and finishes.
Building Officials: Any additional costs incurred by Contractor' as a result of decisions made by Building
Officials will be the responsibility of the Homeowner. The costs of additional work will be calculated as
follows: cost of materials plus an hourly rate of $45 per man hour.
Liens: In the event of non justifiable non-payment, Homeowner's residence or property may be subject to
a Mechanic's Lien as a consequence of signing this Contract.
Utilities: The Contractor will use reasonable efforts to notify the Homeowner in advance of any
interruption of utility services. However, there may be instances where the Contractor must shut down
these services without advanced notice. Homeowner must arrange for emergency backup service for any
utility critical equipment such as medical devices and computers. The Homeowner must also notify the
Contractor at the start of the work day if you will be engaged in any utility critical activities in that the
Contractor makes a notification in writing in the daily log book or otherwise.
Additional work: Any additional work requested by the Homeowner which is beyond the scope of the
work to be performed as set forth in this Agreement, shall be the subject of a separate agreement, and/or if
not, subject to the same terms and conditions as set forth in this Agreement and billed on a time plus cost of
materials basis at Contractor's normal hourly rate.
Contractor's normal hourly rate per man hour is $45.
In the event that additional work is to be performed on an hourly plus cost of materials basis, the
Homeowner shall be required to execute a Change Order which shall include Contractor's best estimate as
to the time required, together with the cost of labor as well as the type and cost of materials necessary.
Delays: Contractor is not responsible for delays attributable to
Homeowner initiated modifications or additions, or for delays incurred due to the actions or inactions of
city/town officials, strikes, acts of God, unfulfilled customer obligations, vendor delays, interference by
other tradespersons, customer supplied items or other delays beyond Contractor's reasonable control.
Contractor will use reasonable efforts to stay on each job until substantial completion by allotting specific
time periods to each Homeowner to complete each job in as timely a manner as possible. In the event that
Homeowner does not allow Contractor and/or his. employees or sub -contractors access to the residence or
property so as to allow Contractor to perform his obligations and/or to complete the scope of work in as
timely a manner as possible, other than for reasons of safety or other reasons mutually agreed to between
Homeowner and Contractor, then the Homeowner shall be responsible to pay Contractor the sum of
$500.00 per day, on a pro rata basis, to cover the costs of delay. Contractor reserves the right to suspend
work and/or delivery of materials in the event -of unjustified non-payment. In such event, the Contractor
shall have no liability to the Homeowner for alleged delays or damages due to said suspension.
Punch -list Items: The Homeowner agrees that routine "punch -list" or repair items after substantial
completion are outside the agreed scope of services, and covered by Contractor's warranty obligation and
will be completed as soon as practicable and according to Contractor's and Homeowner's mutual
availability. Homeowner agrees that it shall use his/her best efforts to make himself/herself available to
observe and/or sign off on the completion of any such punch -list Items, and that the approval of one
Homeowner regarding the completion of any such punch -list items, as well as change orders shall be
binding upon all Homeowners.
Unforeseen Conditions/Circumstances: Contractor shall not be responsible for any changes at the request
of the Building Inspector. Contractor shall also not be responsible for any unforeseen bedrock/ledge or
latent defects such as structural and/or dry rot or insect damage to the existing structure, or for preexisting
faulty or inadequate wiring or plumbing. ,
Contractor shall also not be responsible for any pre-existing code violations or responsible for correcting
contiguous work completed by others not under the Contractor's authority.
Insurance: Homeowner agrees to carry fire, theft, vandalism, liability and all other necessary insurances to
protect their personal property while construction is in progress. Contractor will carry all required and
necessary insurances including worker's compensation insurance. Contractor will ensure that all personnel
including sub -contractors will be covered by all required and necessary insurance including worker's
compensation insurance.
Homeowner's Cancellation Rights: In addition to the rights the Homeowner has, as set forth in the
attached Notice of Cancellation, the Homeowner may have rights under other Massachusetts Statutes,
including M.G.L. c. 93 § 48, M.G.L. c. 140D, § 10 and M.G.L. c. 255D § 14.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Identical copies of the
contract should go to the homeowner and the
contractor.
Homeowner's Signature:
Contract 's Signature K & ntractors, Inc.:0
-10 Date: r
By: kenneth Roy
Its: President
Date: v _ /C�— O e
M
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of
the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his
main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of
the third business day following the signing of the agreement.
See attached notice of cancellation for an explanation of this right.
NO WORK WILL BEGIN UNTIL BOTH PARTIES SIGN THE CONTRACT AND THE OWNER
RECEIVES A COPY
REQUIRED PERMITS
The following building permits are required. It is the obligation of the contractor to secure such as the
homeowners agent:
Electrical rough and finish
Plumbing rough and finish
Insulation
Framing msp.
Finish and occupancy
NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the
Guaranty Fund provisions of MGL c. 142A.
EXPRESS WARRANTY
All workmanship and materials to be free of material defect for a period of one (1) year. During the
Warranty period, the Company may, at its option, either repair or replace products or workmanship which
prove to be defective. This Warranty shall not apply to defects or damage arising from improper or
inadequate maintenance by the customer, customer's applied products, unauthorized modification or
misuse, damage incurred as a result of acts of God or civil strife, or normal characteristics of the materials
such as wood shrinking, expanding and otherwise reacting to moisture or environmental conditions. The
Company's liability is limited to the repair or replacement, at its option, set forth herein and Company shall
not be liable for any consequential, sequential, incidental or other damages not set forth herein. The
Warranty set forth herein is exclusive, and no other Warranty, whether written or oral, is expressed or
implied. Company specifically disclaims the implied Warranties of Merchantability and Fitness for a
Particular Purpose.
NOTE: All home improvement contractors and subcontractors shall be registered and any inquires about a
contractor subcontractor relating to a registration should he directed to:
Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA
02108
617-727-8598
Unless otherwise noted within this document, the contract shall not imply that any lien or other security
interest has been placed on the residence,
ARBITRATION
The contractor and the homeowner hereby mutually agree in advance that in the even the contractor has a
dispute concerning this contract, the contractor may submit such dispute to a private arbitration service
which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business
Regulations dec��o��nsumtshall he required to submit to such arbitration as provided in M,G,L. c. 142A.
Contractor: J44., -1'l � Date:
Homeowner: Date:
NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF
THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR.
THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS
SECTION IS NOTSEPARATELY SIGNED BY THE PARTIES.
ACCELERATION OF PAYMENT
Homeowner's Financial Insecurity -A Contractor may not demand payments in advance of the dates
specified on the payment schedule in cases where the homeowner deems hint/herself to be financially
insecure. I
Contractor's Financial Insecurity- In instances where a contractor deems himself/herself to be financially
insecure, the contractor 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 from said account would require
the signatures of both parties.
Homeowner agrees to allow reasonable access to allow Contractor to reasonably attempt to remedy any
outstanding uncompleted, disputed or non -satisfactory item.
If you have general questions or need additional information about The Home Improvement Contractor
Law, contact:
Consumer Information Hotline
Commonwealth of Massachusetts
Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170 Boston, MA 02116
617-973-8787
If you have questions about Contractor Registration, contact::
Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One
Ashburton Place, Room 1301 Boston, MA 02108 617-727-3700, x25205
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION„ WITHIN
THREE
(3) BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE
CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE
RETURNED WITHIN TEN (10) BUSINESS DAYS FOLLOWING RECEIPT BY THE CONTRACTOR
OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE
TRANSACTION WILL BE CANCELLED.
IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR
RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS
DELIVERED TO YOU UNDER THIS CONTRACT; OR YOU MAY, IF YOU WISH, COMPLY WITH
THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE
GOODS AT THE SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR
DOES NOT PICK THEM UP WITHIN TWENTY (20) DAYS OF THE DATE OF CANCELLATION,
YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF
YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO
RETURN THE GOODS TO THE CONTRACTOR AND FAIL TO DO SO, THEN YOU REMAIN
LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS
CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO
K & R Contractors, Inc.
1 Campbell Road, North Andover, MA 01845
NOT LATER THAN MIDNIGHT OF TBD.
I HEREBY CANCEL.THIS TRANSACTION.
p
Date:
Buyer's Signature:
Received:
r
Y
IA If I
j i f
i
J4_
3
- �.l
�--I--
���a�� �yfi oU� i
1
fi J
_ZIJ
ll�a�`c� i_ 3��1—wL_�'Zs --
-- _ L
,
[— ._ .__ _�— � e
_�-- --�-�
,---� �=��r1�"
:��' � _.�.ye'--- �.� �o>.v��,s�_i_'h ►N ems'_ �_� �-��m�._ � .��.�ci: _�-i'_ort �ei '.— --'--
S v"wK Gr, cif' S
-'-- i
- --
-
.-`i--�•,
__ - —�- - --
--Q`i`!J C !yf - `� iGi. w Z! 2- _JC:�-
(�Wt
1_
t��°J_P�i_lil_. S- �} C'S_ W� 6 i ZJ� ln� c ei AJC --i i
lo i
�LCic
r
i
t
i
if
t
I r
I 7 I
I I
JL
1' 5112 " 9-11 112" �'