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HomeMy WebLinkAboutBuilding Permit #269-11 - 55 FOXWOOD DRIVE 9/29/2010 BUILDING-PERMIT OF "ORTy 'C yE rrr• �••'c'.R6 S TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION `y' 11CC • � � _ T Z Ir'J� h Permit NO: ' Date Received �RADRATED I,1'A`� 5 AC us Date Issued: --2q -740 IMPORTANT:Applicant must complete all items on this page �kF�nra".-rr__ - •_.te4s. - ..4--ham - 11- 0 _:.r..:-. �:.. _ .. ._c _... .. l:- r3...5 �=_i•=J::T_ __ _r.C`�"' _ '!"''„"`--F I >,`.a^ - _�.�5•,��5,`:ir+.:l'7,.-1 f _ L+ _.:�..- - .fir'_•-.,.;.: _ _ - �-tea'-=,., 't�:t,.' '�i "•��_,;.,,,,�'•,z.. _ _ice Sia{. "_d, -:�er.� ;a5�..�-... _ .,-+e,,.�LJ ��„:•=�-_._� � - __�....�: _,� _E- .r.::. -s'.�!;•�-......... -�>y:Sr��K'r'rr-Y.�-;',`,�,4,_.r_ :::J.1..z:`"r5c¢ -i=. 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L:r,...f_�',1; �> .�s��©"�/�� ry .7�' r"' -.1 _,:,:-��"i' ,._arra,. _}_t-:_r,.•-- __ _ - _;�.� ���J;e"'v,��"�'�-%i�_,s�-�����- 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 �!z:'�,,,�� ��-�..�-"�,'�i I r��"`r- `k-"'�•�F- �r r.'.���i ���'y -'-1;3s:�,�1! :L. s ,'-��y,.Y�:_..5'r' .-�,r�,.a,� a -�'1','••iy�r'-,S"a s•r Ga'' ;;r�n��;,,.5- .a"A�'c--J�-, -^`•,S�-���r�.. ��•`-�?��'r= ��^�t�-J "..�.3tf�'�.`�3-4'».1���+�.r�����"l�r'�+����d �� �4'�'��.��'Jr •4����s{�Pa� ,r��1r�:�.��'xl'�s��m�.Y-. .'-'sr,� ,�• �4 'Sj'g� ,�. 'da,a..t",�!�� G,ts 'fs-a'c 'f,,�ir'.w -.i i�s�,.��v�_i•+'�k- }��ty �,+��;`a.�.v sem. �tv,`Ly•ayL�yr"�.:� r nd3`L,IJ.`�Yi'.Qi at.�+'v,�. r`si`tiY��x.,...-'.,���3-�-�,m 3�,-`�_ '�:F.^_ �2JS'�2"esr..`�-'t-.ai��'._-,�= -�;�''.-,�Yi,.�-�g 3f ..--'+ .r ' •.a1�va�•!�a'��:.,.�1'sE ;rb;:�:-r,, ....! � _ ..,2•_: •Lc�..::s�av�7'I:,c� n:Ai•}•S-,:�"T'.i_:;!f xr• c°,#.:_ x' �r;C,Tr. �,ac� '•F+"��••'�ktr"�< -.t "-'^'= DESCRIPTION OF WORK TO BE PREFORMED. o , o ✓� x, tied ( R�a t t�f.,/� ease( f $itl r�Qln4 C�9-3��►�.i'^S . �1-P-�Ir`+g,f(LeS .•�'C��Fw��C� �(o�� �- ��.�IAt'� �o CJ,� ��►�C Identification PIease Type or Print Clearly) OWNER: Name:_- EA14',Ny * �b e„r:sC Phone.• 9-7F(-S9T-,—(o_7 Address: J 5 X�(o a t (',`✓� .�G-'�e�.- t%-r�-'.s•.,.�i45•.•t>.._ .Y�.-F—�-'-=.t�F 'i�i:r. 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Total Project Cost: FEE: $_ Check No.: =J0 Receipt No.: NOTE: Persons contr acting wit unregistered contractors do not have access to e aI•anty fund ati`re�oerar✓n�er"�'- _- - an �:-� attare4of$ 3 - aon, a�#Drr " Location No. Date ` TOWN OF NORTH ANDOVER 3? •.., O ' O L A Y s Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2356 Building Inspector wl S T7)Yw ood )L. Location a No. ®b Date -S .� �oRT� TOWN OF NORTH ANDOVER 0 + ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cMuse 9 _ Foundation Permit Fee $ r Other'Permit Fee $ ' TOTAL $ Check # 1 (� 194.91 Building Inspector I Plans Submitted Pians Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL i Public Sewer �� Tanning/Massage/Body Art Swimming-Pools .Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED- PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature C00MIN1E INI T S HEALTH Reviewed on Signature COMMENTS ]P Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 'Conservation Decision: Comments Water& Sewer Connection/Signature Date Drivewav Permit DPW Town Engineer: Signature: Located 384 Osgood Street 'y, E. _ - - '•_�`-IT ..,"---:i�yl:•: - ^!;;�j>: ':�, -;{yam :_�:. _ _ _ _ - - - :i. '{�{ -`:>k.,'�• �-qyy� - - J ^r�sc��;�.::.e. ;igs.m s; +.r...:.i,. ••:� _�;=-„�e;_:a';:n - - -,!_ �::,,.��•_ =��L:/I�t/1`••.711L'..1._� - v:J:f- - •:Y _ _a....�.::�-... ^ e�a;7:�-.•3•-•;^c•*';,•?- oafe•' - _ - -- -:�;�:wr1 — -''::�"., -mac•=••� ri'ac• - — - :.%- 'J �!: ..d:;,::`°:•";_ice .:t ::5i�;�"' .r. �i .�.:.-..r... rvJ-ire,...-!,...� +,.r 1-_. _.-...y.�'_F-.t�•"�`•''� Y�l•.� _ - z 4. .Y._.�.., .,.fir,,.,... .,,.. ..is:`'•.•".. a:. i- �tr 'rl'•: - '?YT`s: - I�TPS: 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) ❑ Notified for pickup - Date Doc.BuiIding 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. Roofing, Siding, Interior Rehabilitation Permits ❑ Building PP Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of N.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 y o 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 ❑ •ne_ riet n._posnowt Plan. i . Ur- e r- wt. ❑ 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 signn off from Fire Department rtment riot 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:Building Permit Revised 2008 i I 1 II NORTH Town of 6 Andover out/ C - o dover 1Vlass. q*aq,1D Y O LAK 1 1 A- COCHICHEWICK �T AERATED P` �� � `S U BOARD OF HEALTH ., Food/Kitchen _PE� RMIT T Septic System J BUILDING INSPECTOR THIS CERTIFIES THAT...... .. /!1C1 ...:... .... Foundation has permission to erect........................................ buildings on .�5......T50.4? . ................................... Rough r tobe occupied as..........I.C.1 ...... a v.Ar..........an............................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file.in Final 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 CONSTRU STARTS Rough Service BUILDING INSPECTOR ' Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous- Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved. by the Building Inspector. Burner FIRE DEPARTMENT . Street No. SEE REVERSE SIDE Smoke Det. HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN HE ISSUING INSURERS 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 and endorsement. A statement n this certificate does not confer rights to the certificate holder in lieu of such endorsement. PRODUCER Academy Insurance Agency 67 Rlver St Haverhill,MA 1632 COMPANIES AFFORDING INSURANCE COMPANY A . GRANITE STATE INSURANCE COMPANY INSURED Eagle Bullden;Corp 23rGreentme Lane Byfleld, MA 01®22-0000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 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. CO LTA ME OF INBURANCE POLICY NUMBER POLICY EFFECTM DATE POLICY EXPIRATION DATE A WORKERS COMPENSATION AND EMPLOYERS'LABILITY LIMITS ME PROPRIETOR/ PARTNERSIEXECUTIVE OFFICERS ARE: .NCL❑EXCL❑ 1722510 2/21/2010 2/21/2011 STATUTORY LIMITS OTHER moll Cwerege Appllee to MA Operallone Ordy. EACH ACCIDENT $ 100,00 DISEASE POLICY LIMIT s 300,00 DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS DISEASE-EACH EMPLOYEE 100,000 CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETME BLDG DEPT EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 1600 OSGOOD ST WIMTETHE POLICY PROVISIONS. NORTH ANDOVER, MA 01645 AUTHORIZED REPRESENTATIVE /�� An The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street U1!n fs Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Prinf Legibly Name (Business/Organization/Individual):_—lff(C�LE-Z M C� Address Q (�;rce4-`Qm, t City/State/Zip: '�, , ftA Phone#: Armee yon-ah employer?Check the appropriate box: Type of project(required): 1.L I am a employer with-�-- 4. ❑ I ain a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: I-7,aa6 Expiration Date: Job Site Address: '55 Fbt)&a�D City/State/Zip: Af 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 certif n r the pains andpenalties ofpeijury that the information provided above is true and correct.' Si nature: Date: Phone#: 3 J 5 77 I Official use only. Do not write in this area,to be completed by city or town offcial. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers 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 apartments 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"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate 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, §25C(7)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-contractor(s)name(s),address(es)and phone numbers)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 may be submitted to the Department of Industrial Accidents for confinnation 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 pen-nit 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 call the 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 pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 pen-nits 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 burn leaves etc.)said person is NOT 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 Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wvvvv.mass.gov/dia x z 4{ 'i 8 Y -�•*e'de�.r �c� .�'}'' � ..y.. ate`.�� u! ,aw��+ws.x viP9f'w'�c' F t � s,g�41;• � . 5 1 wow Aj +s" Tr .rn.[. -& i 15" 52" 514" ase 15" 24"—� 5'Q 4 Hf F•aced wcdt VP�ceer 15" 23s' 18" 1" PeWer P. uV CA) w For co q Vh r'cro - Z.Cwb v' w 1i N C Sz W CD �I 28 '— 36" 28 104' 7u p S 6 Ze V cWo w— /=roH f 53, � 26" a 7941, I WINOOWS•11h PRODUCT PERFORMANCE Mdersenose,CENTER OF GLASS Center of Glass Performance Data High-Performance'Low-EV Sun and Low-E Sun 'High-Performance Low-E4"(HP Low-E4), Visible ' i %RH "SmadSun"and"High-PertormanceLow-E4 Sun" Light' SC' I SHGC' I RHG° Tuv5 ( Tdw°LO.28 Dcenters P IGSTv (HPSun)areAndersentrademakslor"Low-E"glass Casementr'Awzdng,4i16Soft TIRWash, sed onNFRC testing/simulationconditions using Nmloltne'DoubleNun Narrotlne TranYndows 52 and NFRC validated spectral data.0°F & sora, I 40% 0.30 0.26 64 i 17% r 25% 57% 54°f outsidetemperature,70°finsidetran ratureand 200 Sedes Tit-Wash and GYtling Window a Woodwrlght'RffFk me Double-Hung, 15 mph wind, 40% 0.29 0.25 62 16% 1 24% 0.29 57% 54°F IVisibleTransmittance WoodwrigM'Insert Double-Hung VNndow � i In measures new much light comes through the glass.The higher the Casemerd/Am1Yng PkMe/1'ransam, ` value,from 0 to 1,the mom daylight the glass lets Double-Hung Pichff%Wo~ in.Visible Transmittance is measured over the 380 40% 0.30 0.26 64 16% d 24% 0.30 55% 53°F WaFYarne Rdure/iyarsoo4 WoodwW t to 760 nanometer portion of the solar spectrum. Insert(Tempered)Window r ) 2 Shading Coefficient defines the amount of heat PN:hnle/it®nsom,Circle Top, I gain through the glass compared to a single lite Orel,Circler atlptloal 11 40% 0.30 0.26 1 63 17% 25% t 0.29 57% 54°F of clear'&'(3 MM)glass. 3 Solar Heat Gain Coefficient(SHGC)defines the 200 Seder Flied Window �' r ° fraction of solar radiation admitted throw the 40% 0.30 0.26 63 17% 25% 0.29 57% � 54 F glass both directyt ansmltted and absorbed and subsequently released inward.The fewer the value, Rod Window and SMIght 40% 0.29 0.25 62 16% 24% 0.29 57% 54°F the less heat is transmitted through the glass. 4 Relative Heat Gain is the amount of heat gain r ? through a glazing incorporating U-Factor and Solar 400 Series Gliding Window 40% 1 0.30 0.26 63 17% 25% i 0.29 57% 54°F Heat Gain Coefficient. iienclrnood Hinged,Outs tg.-d 5 Transmission Ultra-Vrolet Energy(TOV).The Gliding Door,Freachwood Path Door 40% 0.29 0.25 E 62 1 transmission of shod wave energy in the 300.380 l 16% 24% 0.28 57% 54°F� nanometer ortionofthe solar spectrum.The Sldetlg>d/Ttensorn NanalYre Gliding poor energy can cause fabric fading. Fimifrml, Arch, n,Fdlhne,d,QuarWRottk nd 37% 0.28 0.24 ' 60 13% 22% 0.28 57% 54°F 6 Transmission Damage Function(TOW).The t7Mlticel Octagon,R1FRound,Quarter Round I ! k transmission of UV and visible light energy in the 300-600 nanometer pod ion of the solar spectrum.The value includes both the UV and visible light energy that can cause fabric fading. This rating has also been referred to as the Krachmann Damage Function.This rating better predicts fading potential than UV transmission alone.The lowerthe Damage Function rating, the less transmission of short wave energy , through the glass that can potentially cause _ fabric fading.Fabric type is also a key component of fading potential. 7 U-Factor in this table is a measure of the heat loss through the center of glass in BTU/hr deg.F sq.ft. This U-Factor should not be confused with U-Factor as measured by the National Fenestration Rating Council(NFRC)which represents heat loss through the total unit On"FRC total unit 11-Factor Ratings should be used when assessing building orerrergycode compliance. 8 Percent relative humidify before condensation occurs at the center of glass,taken using center of glass temperature. 9Inside glass surface temperatures are taken at the cenderof glass. This data is accurate as of November 4,2008.Due to ongoing product changes,updated test results, or new industry standards,this data may change overtime.Contact your Andersen supplier for current performance information or upgrade options. Contact your Andersen supplier for center of glass performance data on windows with laminated glass. Please contact your Andersen supplier or visit andersenwindows.com for performance values on products that include patterned glass,tempered glass other than skylights or root windows and products ordered with capillary breather tu bes. Updated 1/09 Massachusetts Rome Improvement Sample 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 617-973-8717 or 1488-283-3757. Homeowner Information Contractor information Name ompany.game Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name 55 Cityfrown State Zip Code usiness Address(must include a street address) �. rl ✓E A- 10i r4 �3It- �"t€�►-12tt. L L Da rule Phone Evening Phone ity/Cown State Zip Code Mailing Address(11 different from above) usiness Phone rdeaal Employer ID or S.S.Number La requires that man h-16 ha- name proven-1Caahaclar Hee.Nmabet Sxpmtion due l PM Cot contractors have■ aad n:gichntinn nmoher j The C1.ontractor agrees to do the following work for the Homeo ner: I � ) /e m a r o comp e e ea g e e, r:`-I C R Y ,xc `/ t'�+ll.J S 1'•q n/(w/ CYTS'-1^�C-s��✓�r✓�tY'9ft;�b) 0444 Required,Permits-The followinh*:building permits are required Proposed Start and Completion'Schedule-The following schedule will and vyill be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the connactoYs control arise (Owners who secure their own permits will be — l excluded,from.the Guaranty Fund provisions of ate when contractor will begin contracted work. MGL chapter 142A.)' f --^^� �5 lv Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule 2 The Contractor agrees-to perform the work,furnish the material and labor specified above for the total sum of:� 3 3 • Payrtjents will be made according to the following schedule: 0 61pon signing'contract(riot to exceed I/3 of the'total contract price or the cost of special order items,whichever is greater) by /�/, or uponcompletion•pf W9r S by _/_/_-or upon completion of S 1 l 10 W upon completion of the contract (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special S to be paid for _I/(/A ordered before the contracted work--'begins in order S to be paid for to meet the completion schedule,(**) 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 most be special ordered in advance to meet the completion schedule, Express Warranh,-is an express warrapty belfle Provided by the contractor9 N Yes all terms of he warrno—t—nu attached o the contract Subeuntractors-Th"ontractor agrees to be solely responsible for completion of the work described regardless of the actions of any third patty%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 agreement 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 • Don't be pressured into signing the contract Take time.to read and fully understand it Ask questions if something is unclear. • ' Make sure the contractor has a valid Home Improvement Contractor Res*istretion 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 One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or 1>800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important Inforillalion 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 oilier 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 THIS CONTRACT IF THERE ARE ANY BLANK SPACESH I Two identical copies of the.contract must he completed and signed. One copy should go to.tau wn The other copy should,be kept by the contractor. A2LI lc �IJY jl L ) 4 Homeowner's Signature Con o s Signature ate ' a �: DI� Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners withthe right to initiate an arbitration action(as an . alternative to-court action)'if they have a disputewith a contractor. The same right is not automatically affordeq 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 homeowper 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 Regulati and the consumer shall.be required to submit to such arbitration as provided In Massachusetts General Laws, cha ter 42A. ,omeowner's Signature . g NOTICE:The si atures of the Con r' Signature !m 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 pund 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 speci�'c 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 maybe added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questionsabout 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 sign the document until all blank sections have been filled given in or marked as'". deleted,or not applicable. One original signed copy of the contract with attachments'is to- tie 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 recission 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/lierself 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 worlr.• Withdrawal of funds froth said account would require the ' signatures of both parties. r Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or1'f you wish to obtain a free copy.of "A Cons Law,"contact: umer Guide_to the Home Improvement Contractor Consumer Information Hotline Office of Consumer Affairs and Business'Regulation .10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-.(888)2833757 If you want to verify the registration of a contractor or if you have question Or need additional 1 about the contractor registration component of the Home'Improvement Contractor Law,.contact:Ilfolmation specifically Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One-Ashburton" Place,Room.1301,Boston,MA 02108 (617) 727-3200 or 1-800-223-0933 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 (413)734-3114 EAGLE BUILDERS CORPORATION 23R Greentree Lane Byfield, Na 01922 (978) 463-3110 NAME: DATE: Randy&Denise Murdza 9/3/10 55 Foxwood Drive North Andover, MA Kitchen renovation description: Remove existing kitchen cabinets&appliances. Remove non bearing closet walls. Remove existing tile floor in kitchen,hallway,bathroom&laundry room. j Remove existing double window(2 pair),re-center,reframe rough openings, install new headers, Install Andersen 400 series tilt-wash w/smart sun glass,grilles between the glass,white hardware&screens, re- flash, fix all rotted areas,install new house wrap,trim with plastic trim boards,reside, install new insulation,blueboard&plaster interior, install new 2 %"matching interior trim._ Install 2 new Andersen windows (same specs as above) repair any water damage,patch siding, install_ plastic trim boards, install new interior trim. Remove existing rotted corner boards(breakfast nook only), replace w/plastic trim boards. Electrician to install: (8)new 6"recessed light trim kits in kitchen,hall&breakfast area only, (materials included) (5)Under cabinet lighting strips (materials included) Install 1 new 5"recessed light in laundry room. Wiring for all appliances. (materials included) Additional outlets on prep area. (materials included) Cable for flat screen tv. (materials included) All outlets, switching&dedicated circuitry as required by code. (materials included) i l Plumber to install: Install(2)sinks &(2)faucets. (supplied by homeowners) Install dishwasher(supplied by homeowners). Install garbage disposal(supplied by homeowners)(if applicable) Install water line to refrigerator(materials included) Install gas line to new range. Vent hood to exterior(duct work included). Sheet rock&refinish all repaired areas(materials included). Install new kitchen cabinets &appliances. (materials not incl. price includes labor only). Tile backsplash. (materials not incl. price includes labor only). Tile breakfast area,kitchen, hall,bath&laundry room. (price includes labor only). Install new 5 %4"wood baseboards (to match cabinet molding)to breakfast,kitchen,hall,bath&laundry room. (materials included). Paint the kitchen,hall,bath&laundry walls ceilings&trim. Price includes labor only(unless specified): Building permit is included in price(limited to pricing of contract). One 30 yard dumpster is included in price. Home owner to pay for, &or supply all other materials. Note: Installation or upgrading of a fire alarm system is not included in price. Any additional fees imposed by the city of North Andover are not included in the price, (except the building permit). Tile note: any glues,thinsets, sealers, or grouts are not included in price. On tile larger than 16"x16"fracture membrane is highly recommended&is not included in price. Installation or upgrading of electric panel is not included in price. No exterior painting is included in this price. PAYMENT SCHEDULE Total contract price is $33,185 1/3 due upon signing of contract($11,062) 1/3 due at approx.halfway(kitchen gutted,electric&plumbing rough complete)($11,062) 1/3.due upon completion($11,061) By signing this contract: Eagle Builders Corporation,Randy&Denise Murdza agree as above. 1/3/40(o w N �p LGiCdT&Denise Murdz4V Efate Eagle B lders Corporation ate Glen Lewis 1 Wa,s,tchusctts- Della�rtment of Public Safety „ Re�nilation� ant/ St.tndards Board of Buildin ervisor License "+ Construction Sup License: CS 58867 t LEWIS GLEN I 23R GREENTREE LN BYFIELD, MA 01922 Expiration: 7/21/2012 I 482 i ('ummissioncr -- - _ 13fordzVoYfl Vu a in g g e ula�ons An lan A s One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement-Contractor Registration Registration: 139211 Type: Private Corporation Expiration: 6/24/2011 Tr# 285775 EAGLE BUILDERS CORPORATION'_ GLEN LEWIS 23R GREENTREE LANE ---- BYFIELD, MA 01922 - Update Address and return card.Mark reason for change. F7 Address F-] Renewal F-] Employment ❑ Lost Card DPS-CAI Ct 40M-08/08-DBSLIF..00RpRMCA108212008 rr�� BoVId4of` P fe ff�7o h 4� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 139211 One Ashburton Place Rm 1301 Expiration:. 6/24/2011 Tr# 285775 Boston,Ma.02108 9 Type: Private Corporation EAGLE BUILDERS CORPORATION GLEN LEWIS 23R GREENTREE LANE �, � - ---- BYFIELD,MA 01922 Administrator Not valid without signature