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Home My WebLink AboutBuilding Permit #143 - 574 OSGOOD STREET 8/19/2011 TOWN OF NORTH ANDOVER O ER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: ' IMPORTANT: Applicant must complete all items on this page LOCATION ��JV� S�OC�P I Print PROPERTY OWNER T�D(� _ Unit# Prin MAP NOIy/ PARCEL:ZONING DISTRICT: Historic District yes 6no Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New BuildingOne family El Addition ❑Two or more family _ ❑ Industrial ❑Alteration No. of units: ❑ Commercial 7epair, replacement ElAssessory Bldg ❑ Others: Demolition ❑ Other ' Septic p Well . 11 Floodplaini ❑ Wetland's- E! Watershed+Disttia•- 4_ ❑ Water/Sewer M DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: DO U A � � Phone: ° Address:_.�� S�dO CONTRACTOR Name:'ftd Phone: Address: d r B4 Supervisor's Construction License: f Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TO:ENo.: "COST BASED ON$125.00 PER S.F. Total Project Cost: $ 13 SDG Check No.: a `� �U NOTE: Persons contracting with unre istere contractors do not have access to the guaranty fund SignaturepofA ent/®vvner� Y _�, ._..�_�9 , The Si nature ofscontracfor Building Department i 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 o Building Permit Application Li Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) Li 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 o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi I 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 ` ❑,a Private(septic tank,etc. ❑ ❑ 4 Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY `, I ' INTERDEPARTMENTAL SIGN OFF - U FORM t J DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature 1 I COMMENTS 2 _ HEP1TH Reviewed on Signature COMNENTS _ •, . N I 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 'M 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.$10041000 fine NOTES and DATA— For department use i ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi i 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 j' Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi f 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 ❑ ❑ i i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COWENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS ^ 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 �I a Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses j o Copy of Contract o 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 Li 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) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include_Sprinkler Plan And Hydraulic Calculations (If Applicable) a Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ��1V� 7 (1S GOO JD T Print PROPERTY OWNER T�D(f Unit# Prin MAP NO/ y/ PARCEL: ZONING DISTRICT: Historic District yes 6no Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,—,One family El Addition Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 7epair, replacement ElAssessory Bldg 11 Others: Demolition ❑ Other "- ❑ Septic ❑We . Floodplain, ❑ Wetlands; ❑ Watershed District i` ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Srn� + (Identification Please Type or Print Clearly) OWNER: Name: D01)64,65 Phone: Address: S-7If (155 I(/ AT ,�C/eR CONTRACTOR Name:'f"6 �� SSC Phone: i Address: Supervisor's Construction License: S Exp. Date: 6so / —/`f' 0?6)/ Z i Home Improvement License: /ecp Exp. Date: 6 -�27- �G/ 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: $ 13 �'DG E: $_ Check No.: Receipt No.: NOTE: Persons contracting with unre istere contractors do not have access to the guaranty fund SignatureofA ent/O:wner, g �__ Signature?ofycontract_ort ~1t, Location No. ` Date r,47— TOWN ! : t MOR�h TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4 Building/Frame Permit Fee $ r�� Foundation Permit Fee $ Other Permit Fee $. TOTAL $ Check # / l 244b? Building Inspector NORTH Town of - Andover . . No. /43 -7 x AOL o dover, Mass., � ' 1 � • /� T Q '- LAKE COCMICHEWICK ORATED p °�C BOARD OF HEALTH Food/Kitchen Septic System .PER MIT T D BUILDING INSPECTOR t r THIS CERTIFIES THAT... ..............D.Q..V i....I�I .............. .................................... .................. Foundation has permission to erect........ ............................... buildings on .........�i. % .........0�.d.0 .....r. ..........!1�...... Rough to be occupied as........... ......... V........I...........A1,-0'.!!�0� .......................................................... Chimney provided that the person accepti g 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 CONSTRUCfNJ�S S 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 FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 St www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print eLyibl Name(Business/Organization/Individual): 57 Address: 7 O City/State/Zip: Phone#: �, f 3 Are yo p foyer? eek tl�ppropriate box: 1. I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or pari e),* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sh5et.t 7• ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. workers'comp.insurance. S. El Demolition [No workers'comp.insurance 5. ❑ We are a corporation and its 9 ❑Building addition required.] .officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. comp. § Y [No workers' c. 152, 1(4),and we have no insurance required.) 12.El Roof repairs i q ) •r employees.[No workers comp,insurance required.] 1311 Other *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 anew 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. information. an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site infoymafion. �1 Insurance Company Name: (> ' s' Policy#or Self-ins.Lie. i Expiration Date: 3 Job Site Address:_ p ,,, , ,� �� City/State/Zi : /iJ iii(/ yrt Attach a copy of the workers'compensation policy declaration age(showing the policy number and expiration date). c Failure to secure coverage as required Wider Section 25A o L c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment as as ' civilpenalties the of a STOP of up to$250.00 a day against the violator. Be ad . ed that a copy of thistate ent may be forwarded to l th 0 ice ORDER and d a fine Investigations of the DIA for insurance covera verification. P P .fP J r1' do hereby certify under thepains and allies o er'u that the information provided above is true and correct. Si nature: '. / Date: S- r Phone#: Dffcial use only. Do not write in this area,to be completed by city or town official. 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#: I 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 i suance'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 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 may be 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 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 Of - 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 permit/license number which will be used as a reference number.'In addition,an applicant that must submit multiple perinit/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 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 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 OfMassachusetts Deparunent Of Judustrial Accidents Office Of Investigations 600 Washington Street Boston}1A 02111 Tel. #617-727-4900 ext 4406 or 1-877-MASS.AFE Revised 5-26-05 Fax#617,727-7749 www.mass.g-ov/dia unAn l i t ]i A i t i NJVKAnut Lunt-Rn r UU/mub-UU WG 002-50-2400 13102 --------------_----_--------------------- 013-fib-0311-10 • . Mal A B CARNES INC C H A R ! I J 30 ARROWHEAD FARM RD BOXFORD, MA 01921-0000 A Martis corrt'pend EXECUTIVE dFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 17S(Nater Street I.D# Now York, NY 10038 ADDRESS AHMED INSURANCE AGENCY INC WORKERS COMPENSATION AND EMPLOYERS PO BOX 449 LIABILITY POLICY INFORMATION PAGE SALE[, MA 01970-0449 tMSURED IS PREVIOM POLICY NI M13M CORPORATION IRENEVAL 002 02480 ER woRxPLACE$Nar SHom ABDVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 IMM 2 POLICN PERfOV 12M ARL standard time at the ineun+ s mate address Fnom 03/31/11 To 031311 12 ON a A Wotimrs Zompensation Insurance: Part One of the+policy,81001189 M the 1M0rlcer8 FO;mpsttsat on Law of the states listed he% MA B. Employers I.ielhiilty Insurance: Part Two of the policy applies to the work in each state listed In Item 3A The limits of our liability under Part Two are; Bodily Injury by Accident S 1 ,000,000 each accident Bodily Injury'by;Dmme $ 1,000,000, policy limit Bely Injury by Disease 3 1.OQ0.000 each employee C. Other States Insurances Part Three of the policy applies to the states. If any. listed here: SEE ENDORSEAENT - WC200306A D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.0. OF THE INFORMATION PAGE -WCSSM12 The premium for this,policy will be determined by our Manuals at Hulas. Classification%notes and Rating Plaits. Ail information:required'below is subject m vbdf adon and change by audit. Estimated Classifications Cade Number Total ttemuneration t0Or-R s,0aF e- Premium Ld Anmem 3 Year AlFlnefstiDll ®Annual 3 Year SEE EXTENSION OF ITEM C OF THE INFORMATION PAGE - WC77S4 TAXES/ASSESSMENTS/SURCHARGES $232 ExPENSE CONSTAW IEXCEPr WHOM AMICABLE BY STATEI $338 MA _ PREVAN 5500 MAS 851� MA1r�AtIhNAL'PR�flniRt ,f indicated batew,tnftdm 001ustment8 of Premium shalt be made: Sam)-Ammalty auartmy 0 manthiy P tam 03/17/11 ASSIGNED RISK 66 taus Date tswin9 thitles AuMoAaad R 380W(Rev'd OU08) �� We 00 00 01A I�I l Proposal AB CARNES,INC. 30 Arrowhead farm Rd Page 1 of 1 l Boxford,Ma.01921 978-887-1431 or 781-599-9197 (Mass,Builders License No.000230 Contractors Registration.No 100733 Proposal Submitted To: AIMEE&DOUGLAS FAYLE Date August 2,2011 574 OSGOOD ST Project Name SAME , NORTH ANDOVER,MA 01845 Address AIMEEFAYLE@YAHOO. AIMEEFAYLE@YAHOO 617-625-2589 We propose to furnish material and labor-in accords -with"the sp' h tions below: Thirteen Thousand Nine Hundred Dolla 13,900.00) Payment to be made as follows:$300 De sit Balance'Upon Completion NNe Ag home impmvemant camractors and subcontractors engaged m home Authorized improvement contracting,unless specifically exempt from registration by provisions Signature _ of Chapter 142A of.the General lays,must be registered with.the Commonwealth of Massachusetts.Inquiries about registration and status should be made to the _ Note:This rdpiu ay t>e'withdrawn by us if not acdep within 30 Mass.govlltoeases website. days. ROOF PROPOSAL STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES,COVER ROOF DECK WITH 15 POUND FELT PAPER. COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE. ® NSTALL ICES WATER SHIELD SIX FEET WIDE AT,LEADING EDGE ONLY,AND THREE FEET IN ALL VALLEYS AND ALL ROOF' [PENETR_ATIONS.UNHEATED AREAS EXCLUDED' i -- ® COVERALL PERIMETERS WITH EIGHT INCH ALUMINUM DRIP EDGE. ® INSTALL RIDGE VENT AND/OR®AS NEEDED ROOF LOUVERS FOR ADDED ATTIC VENTILATION! ® COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. ® REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST,'OF$25PLFT.WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK,YOU MAY NEED TO HAVE A CARPENTER REINSTALL THE REMOVED SIDING, CHIMNEY FLASHING; CUT ALL EXISTING TAR AND LEAD FROM ONE CHIMNEY(S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WILEAD ANCHORS. PROPERLY SEAL REGLET JOINT. PLEASE ADD$500.00 TO ABOVE PRICE. ❑ REBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK.ADD TO ABOVE PRICE. IZ COVER ROOF SURFACE WITH CtRTAINTEED ALGAE RESISTANT WOODSCAPE LIFETIME WARRANTY. ® REPLACE DEFECTIVE ROOF DECKING.WITH CDX PLYWOOD AT AN ADDITIONAL COST OF$4.00PSOFT. ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF ® SHINGLES ARE TO BE STORM NAILED.(USE SIX NAILS PER SHINGLE) ❑ INSTALL SKYLIGHTS PROVIDED BY CUSTOMER,FRAME ROOF DECK AS NEEDED,PROPERLY FLASH UNITS WITH FLASHING KIT(S)PROVIDED, CUSTOMER TO PERFORM ALL INTERIOR WORK. ADD TO ABOVE PRICE. ❑ REMOVE EXISTING GUTTERS ❑INSTALL NEW SEAMLESS.032 ALUMINUM GUTTERS USING THE POSITIVE LOCKING BAR HANGER SYSTEM. ® REPLACE DEFECTIVE OR ROTTED TRIM BOARDS AS NEEDED WITH#2 PINE PRIMED,ADD$15.OQ PER FOOT TO ABOVE PRICE. ❑ INSTALL NEW ALUMINUM DOWNSPOUTS. MECHANICALLY FASTEN ALL CONNECTIONS. CLEAN ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORK AREA.OBTAIN ALL PERMITS-AND CARRY ALL NECESSARY INSURANCE AS REQUIRED BY LAW.-WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS.CUSTOMER SHOULD COVER VALUABLES.GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HOWEVER,SOME MARRING AND OR MINOR DAMAGE COULD OCCUR. I HAND NAIL ONLY,NO NAIL GUNS TO_B_E_US_E_D_ SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALLROOFSECTIONS OF THE HOUSE COMPLETE. CHIMNEY FLASHING:THIS MAY NEED BE DONE AS PROPOSED ABOVE OR LEM 0OtJLD OCCUR. k I I I }I f I I i WARRANTY-All work warranted to be free of installation defects for 5 years;This is limited to the installed item(s)and their repair only.Material warranted by mfg,to be free of defects for 50 years,see the manufacturers warranty for exact warranty performance. Customer has legal right under federal law to cancel this contract without penalty or obligation within four business days from the date of signing this agreement via Priority Mail Delivery Confirmation. Pieria see reverse aide for cancellation procedures. Once all items in this contract are completed as agreed,customer has 3 days to fulfill payment schedule.All parties agree that all disputes shall be settled by the dispute resolution process on the back of,this agreement. Please see reverse side,Dispute Resolution. Signing this Propo n , u ave!a " all the terms as stated on the front and back of this agreement.'Please see reverse side. Date of A Signa re Signatu e PLEASE SEE REVERSE SIDE Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100733 Type: Private Corporation Expiration: 6/23/2012 Tr# 298405 A. B. CARNES, INC. Barry Carnes 30 Arrowhead Farm Rd. Boxford, MA 01921 i Update Address and return card.Mark reason for change. Q Address Renewal J Employment Lost Card I Massachusetts- Department of Public Safety Board of Building Regulations and Standards Consiru6tibn Supervisor License YLicense: CS 68139 i Resiricted_to 00 „ e KENNETH k,CARNES ` 8 DORIS ST { GROVELAND; MA 01834` I --�-- � Expiration: 1114/2012 ComntsEioner Tr#: 14004