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HomeMy WebLinkAboutBuilding Permit #592-13 - 8 HEMLOCK STREET 3/5/2013 F "V n o rl '9 BUILDING PERMIT ° �t'`° "o TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received "°RATE° 9SSACH�15�� Date Issued: IMPORTANT:Applicant must complete all items on this page i� �. k t � � .� -.,y, Yi 5- C 1 ya`S 5;t -r ' rs F m,a F lF } •c x}+. ' �;d}i' 5'�' r 4s`.� � r.� r'4 at --t .z at t 1. ' } 7 M, r� .� a 7� �• L if i. ., 1 z- x �, 'l i a t. ti 1R.- Mt :7�'p) >:PRDPERTX`011UNER, Y A r r.t "s \Fr r �. (mak `$ MOM t5° '6 Prti' �..'-o --�MAP�10�� P�►F�CEL��� r+ ZONING bISTRIC� � r�at �Histot`�cDis#i-tc#a�5 r -�-�'��e���� "iso ` TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family . El Industrial El Alteration No. of units: Q Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other j p ❑'Welt { ,Flo�dilaOM in ' Watershed`Distriot ❑'Se tfC�' � ..h, ye j 33' v � '� � �, rY'x x z t v y 13 .r _ ION OF WORK TO BE PREFORMED: -20 DESOGs � ©0 _I tification Please T e or Print Clearly) OWNER: Name: ���� l/ !/'� Phone: Address: 7 Z y CONTRACTOR �-z k 4'S i Supervisor's Gonstroction l.tcense" ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING R IT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 3 y Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ( Signature qf`Agentlwvner ? :Signature.ofontraXctor A Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL _ Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 0 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 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 " i r { �IR�,DEP�fiTMENT Temp Durnpstet`bn site`�,�es ' ' - F�re Department signature/date - COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract - ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ` ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) t ❑ 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 Location �5 t No. Date • - TOWN OF NORTH ANDOVER Ur, Iity6 Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ k �,^ Other Permit Fee -. txr4►� �. TOTAL $ Check# 2- 1 26190 Building Inspector i 9c)ard C]t B*uildi^g RegLilations il''i 7`.'311 Mr_fs f ultti'if"Lf c��le .> ��tt I't'f`.iiy' ;..censer CS-022680 ' } AR THUR J WAI[AH JR 159A WAVERLY-RD N ANDOVER MA 01845, 06/09/2014 Office of Consumer Affairs&Busi/ess Regulat ton _= fi 0HOME IMPROVEMENT CONTRACTOR `Registration: 103358 Type: (.? ;;Expiration: 7/7/2014 Private Corporati(, A.J.WALSH&SONS,INC. Arthur Walsh,Jr. 55 Pleasant St N Andover,MA 01845 � --= Undersecretary I DATE A�H CERTIFICATE OF LIABILITY INSURANCE 01/11/2013 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX'T'END, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollclas may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00775-001 Q Acr Durso&Jankowski Insurance Ertl; (978)682-BITS � ,No' (978�7H4 0313 198 Mass Ave Sulte 101B North Andover,MA 01846 "b° ss: — .1d$118F,BLS1AFFa13A1d9S�0]!EBEGF �. ,C_m._.. 1N9URER A• A.I.M.(AR)Mutual Insurance Company 33758 INSURED Arthur Wa lsh A .1 Walsh&Sons o -- 55 Pleasant Street r „_ North ArldoVer,MA D1945 JfiS 1;: .. M COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBI50 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPEOFINSURANCEI POLICYNUMBER M ��j�� I LIMITS GENERAL LIABILITY EACH OCCURRENCE S ENTED COMMERCIAL GENERAL LIABILITY DAMAt"ra R 2REs fY115F.S_(Ea occurrenoel_ CLAIMSddAOE 0 OCCUR MED EXP(Arty one Pereon) S ' _• _ PERSONAL.E ADV INJURY S ti GENERALAGOREGATE 3 ErrL AGGREGATE umn-APPLIES PER; PRODUCTS-COMPIOP AGG S r OUCY- RO'UET OC dOMBI»Eo sIN+CE LM11f ( - AUTOMOBILE LIAa1LG ITY _ -- ••• _.. •• _5OAa•IdanlS 9 _ ^ _ ANY AUTO BODILY INJURY(Per person) S —A UTOS�JEO SCHEDULED BODILY INJURY(Per accldsnO $ NON-O"ED PROP!RTY DMvWGE _ HIRED AS (PeCerridittdl___ _ UMBRELCUR EACH OCCURRENCEEXCESS wM9MADE AGGREGATE r $ A a� rMFIl v�i��GLOSWECUTNE�'J NIA AWC7014648012012 11!'1412012 11114/2013 i~LEACHACCIOENT s - 100,000 (Mandalwy 16 NMI E,L.DISEASE-EA EMPLOYEE S 1QQ,000 E,L DISEASE-POUCYLIWY S Dt�c�RlPfIdN DF�PERATloNS below •-- ., .. ._ _ ._ 600,000 DESCRIPT{ON OP OPERATIONS!LOCATONS J VEnICLE3(Attach AGORD 169,Aeeftbnel Remarks Seheeule,tl more space Is requtred) ' i i CERTIFICATE HOLDER CANCELLATION Town of North Andover 1600 Osgood Street ; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01845THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEKEO IN I ACCORDANCE WITH THE POLICY PROvI510NS. i• AUTHORIZED REPR0E-NTATIV11 D i ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Sl 'd ILZL 'ON : 10MASNI OhMOM NJN ;; e[R l l 'Nb'f ^ The Commonwealth ofMassachusetts , - Department oflndustriglAccidents W. Office of Investigations 600 Washington Street Boston,.MA 02111 www.massgov/d'ia Workers' Compensation Insurance Affidavit:Builders/ContrcactorBfFIectricians/Plumbers Applicant Information ^` Please Print Leaiibly Name(Business/Organization/Individual): /7� .A.ddress: �� City/State/Zip: A0_/Y�U6V0 /q�—Phone#: 9170 —6Je'k 737 Are an employer?Check the appropriate box: Type ofproject(required): 1. I am a employer with l 4. ❑ I am a general contractor and I 6. []New construction employees(full and/orpart time).* have liked the sub-contractors 2.El am a sole proprietor orpartner- listed on the attached sheet.x. 7• ❑Remodeling ship and'have no employees These sub-contractors have 8, ❑Demolition working forme in any capacity. workers'comp.insurance. 9, E]Building addition [No workers'comp.insurance 5. [] We are a corporation and its required.] officers have exercised their 10.j]Electrical repairs or additions 3.❑I am a homeowner doing all work right of exemption per MGL 11.[]Plumbing repairs or additions myself.[No workers'comp, c.152,§1(4),and wehave no 12.❑Roofrepairs insurance required.]; employees.[No workers' comp.insurance required.] 13.❑Other "Any applicant that checks box#1 must also fill outthe section bel6w showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they gre doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must aftached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer that is provifling workers'compensation insurance for my employees. Below is the policy and job site information. �yy' �� Insurance Company Name:. � � ����., jJ► �= o Policy#or S elf-ins.Lic.#: ��/ � D �D Expiration Date: Job Site Address: 4 pity/State/Zip: /1 /J'/Y�)911Z4_ __Al/�" . 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 ofup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office sof Investigations of the DTA for insurance coverage verification. f cdo hereby cert' unrder the pains and penalties ofperjury that fine information providecd above is true and correct. - Si ature: Date: 125, Phone if: 7 7c —,�5 e6P-'"-4 7-3 Z F only. Do not write in this area,to be completedby city ortown official.n: Permit/License# hority(circle one): Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbinglnspector son: Phone#: information and Instructio" Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employeeis def rred as"...everyperson inthe service of express any contract ofhire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corp oration 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 shallnot because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency sha11 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,MCL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have beenpresented 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 phonenumber(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 notrequired 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 affidavitshould 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 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 permit/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 p ermits 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 orpermit 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 anal fax number; `fibs GoxumonwealthoF fassaehv.:sPtts Dep.ariment offhdustdal Accxdonts off oe ofJAVeostigatiom 600 Wasgtoj.street Boston,M&021It Tell,#617-7.2?-4900 W406 or 1-877MASS.A E Revised 5-26-05 Fay,0 617"727-7 749 MASSACHUSETTS HOME IMPROVEMENT CONTRACT This form.satisfi,*All basicr4quuemepts of the state's Home Improvement Contractor Law(MGL chapter 142A),butdoes not hiclude standard language to protabhomeownera. Seek,legal advice itnecessary, Any person'planning home rprovements should.firaf obtain a copy of*a Massachusetts con mniergttide to home,improvemenN before agreeing to any work on your-residence.You may obtain-a free copy by'celling the' Office of Consumer.Af airs turd Business,Regulation's Consumer Information Hotline at-617-9734787-or 1.8'88:283-3757. Homeowner Information Contractor Information Name ��`"f �f .. ... Streei°ABdrcas(do not usaa Post Office Box ) tractor/S Owner Name tltyrryy� State Zip Code /. upness Address(must include a street ) ,1/�d 6 ` �-t Daytime Phone Eveaing Phone •ty?own State n Zip Code Mailing Address(It different from above) usmess Phone 116deral Mun loyer ID or S.S.Number Clsmvmatlw'wn mon eome;m- Eome temw,edr aea H®ea :ail�v,uaodmp`�y�//—✓�/'•�'�7.f' s vrtrea�t mno.Gm, The Contractor agrees to do the following work for the Homed ner. GGA� �°t�✓JI�G�'L--- �. r .�Gz��' ��j%G�.. . S yj./�� al�l 11Y io,,l 17,01P &n/ � Required•Perndts-The-following building permits are required Proposed Start and comp leBon Schedule-The following schedule will and will be secured.-by the contractor as thc'homeowmrs agen( be adhered to finless circumstances beyond:the contractor's control arise (Owners who:.sectlre their own permits will be excludedfrom-the:Guaranty Fund'provisionsOf LI�)�atcwhcneontractorwill been contacted work. MGL chapter MIA.) / �' ate when contracted .work will be substantially:completed.: Total Contract Price and Payment Schedule The Contractor.agrees to perform the work,fiunisb-the material and labor specified above for the total sum of. (s) Payments will be made according to the following schedule: S upon signing contraot(notdo exceed 1/3 of the totalkontract price,gr the cost.of special order items,whichever is:greater) S Eby` or upon completion of /or upon completion of upon completion of the contract (Law forbids demanding full payment until.contract is completed to both' party.'s.satisfaction) The following materiaUequipmeat must be special S ifn be paid for_- 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 sny special.equrymmt or custom made material which must be special ordered in advance to meet the completion achtdula Exoress Warranty-Is ainoyroAded by the-contnctor• No Yet (aR terms of the warranfv meat he we trod to the conn sell Subcontractors The contractor agrees to be solely responsible for complenon of the work descnbed regardless of the ections`ofany third party/subcontnactor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this aereement 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'ias ban 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 end fully understand it-Ask'quet:tions if sonjething is unclear. • Make sure the contractor has a valid Home Im MWIftent ContractorRegistre6on The bfv;requires most home improvement contractors and. subcontractors to be registered with.the Director ofHome Improvement Contract.&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 seethat your'contrector is properly insured. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law: EthiRdbusineess ancel this agreement if it has been signed at a place other than the coatractch s-normal place of business,provided you notify the n writing tinge his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the. day following the signing of this egrnement.See the-attached notice of cancellation fora for an explaastion of.this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and simej the copy*Amid go to tic homeowner.The other mg W=Id be ., . kept by the coatrauor. . Homed er's Si n Contractor's Signature a Date • /,z/��,Date f �— Contractor Arbitration . The Home Improvement,Contractor Law provides-homeownerswiththe nght-to initiate•an arbitration action(as an alterriahve th courtactroi)rf they;have a dispute with.a contractor. The same t ghtis not automatically afforded to'a. contractor,however.-.. e:contractor would have_tp resolve any,dispute helshe.has with a homeowner in court unless ... both parties agree to,the optional cause provided below..This clause would give the contractor the.same right to arbitration as is afforded to the homeowner.by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a.private arbitration firm which has.been.approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation an'd the consumer shall be required su it to such arbit n as P3ovided In.Massachusetts General Laws,chap 142A. Ho wnees SignAture Contractors SignatuiV N ICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.:The homeowner.may initiate altemative:dispute resolution even where this section;is not s aratelysignetiby-thejyatties:•: Homeowner's Rights Ahomeowners rights und,*01iome-lmprovement Contractor Law(MGL chapter 142A)and other consumer "protection laws(i.e.MGL chapter 93;A)may not be waived in any way,even by agreement: However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. -Thecontractor is responsible•for completing the work as descnbed,in s timely and workmanlike<manner. Homeowners.may be entitled to.other specific legal:rights if the contractor guarantees. or provides.an.express warranty,for.workmanship of materials. In addition to.guarantees or waiianties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability;and frtness.:ffoi-a particular purpose. An enumeration of other matters on which.the homeowner and contractor lawfully agree;may be added to the. terns of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed Below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all-exhibits and referenced documents have been attached Parties are also advised not to sign the document until all blank sections have been fined in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by..the contractor. Any modification,to the q igmal 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 contract,and the three da recission period has expired the con t, y Accelerated Payments A contractor ropy not demand payments inadvance.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/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 of funds from said account would require the signatures of both parties. Additional Information If you have general questions.or.need additional information about the Home Improvement Contractor Law or other consumer rights;.or if you wish to;obtain a.free copy of"A•Consumer Guide to the Home Improvement Contractor Law, contact Cgnsunier 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 questions or.need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 ort-800-223-0933 For assistance with informal rtrediatronof disputes or to register formal complaints against abitsiness,call: Const6er co hplailirseition Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 NORTH Towno 2 t _ ., R Andover 0 Y w h ver, Mass, � - COCNIC041W1CK yq' S U BOARD OF HEALTH Food/Kitchen PERMI' T T LD Septic System THIS CERTIFIES THAT ................. .��.t. ....... .r.. .... .N.l!'4. ........................................ BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ... ......1.. . . .. .�Ot, --.................................... wl� Rough to be occupied as ........ . ......... . ...&:xt.� ..... ........ ............. Chimney provided that the person acceping this permit shall i. . .ery respect conform to the terms of the application Final on file in 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 CONSTRUCTION TAR Rough '00Service ....................... ....... .................. ......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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.' Smoke Det. IF SEE REVERSE SIDE �I Page# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 55 Pleasant Street 1-866-AJWALSH .North Andover, MA 01845 Proposal Su miffed To: Job Name Job# Address Job Location a /_(�,� An a,. Date Date of Plans Phone# Fax# Architect We hereby submit specifications and estimates for. aALI Ch v 1,4' V � U We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of: , Dollars with pay tints to be made as`follows: '�" Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order, and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our cohtrol. Note—this proposal may be withdrawn by us R not accepted within days. �cce�taatce of��o�o�ar The above prices,specifications and conditions are satisfactory and are r/Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature