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Home My WebLink AboutBuilding Permit #346 - 815 DALE STREET 10/21/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION A� ��L E 12-9ffF Print PROPERTY OWNER \ldf E Unit# Print MAP NO: /&''Y PARCEL: 105 ZONING DISTRICT: Historic District yesOno Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 10 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 0 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other t ` ~ s f i -0)WatersheiDistict , �tSeptic , Well I . Floodplain DWetlandsi 4 i . WaterlS wa% DESCRIPTION OF WORK TO BE PERFORMED: T (Identification Please Type or Print Clearly) OWNER: Name: Io IP e,6 bi,/y Phone: w1f Address: �/,5 �Gt/e. f�rPeT N 1-I-X Hlf 6d yr `. CONTRACTOR Name: 2aj, I[moi/►C /`boa &, Phone: vU3 2!V-;?O J Address: ,2Oy Jinn J�, -iI4 ?2-& /yO- ,417(la✓r'-. /�A Ol1X�- Supervisor's Construction License: Exp. Date: /o?/lo •,o)Q Home Improvement License: Exp. Date: 7/I�of d/ 2- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1` D•0y FEE: $ _ Check No.: �aReceipt No.:c�-y�J� � NOTE: Persons contracting with unregistered contractors do not have access to the g ratty fun J . tc�nn�+„rA:of Avant/llWmPr- Signature denntracti,r Location No. Date f©— 1rll �aRTh TOWN OF NORTH ANDOVER 9 i y Certificate of Occupancy $ CHU <�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /c " J Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ [Public YPE OF SEWERAGE DISPOSAL SewerTanning/Massage/Body Art ElSwimmingPoolsell ❑ 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 COMMENTS HEALTH Reviewed on Signature COAT ,�IENTS 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 i ' 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, roast 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 Pennit Revised 2011 June/mi 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 DOTE: All dumpster permits require sign offrom Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application . o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossectlon/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 o 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 V®TE: 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 NORTH o over TOMM _ .. , . 0 Y w.: No. o dover, Mass., �� • �� Q LAKE COCHICHEWICK A_�A0RATED �� 7 BOARD OF HEALTH Food/Kitchen PERM .IT T D Septic System BUILDING INSPECTOR � T1� Liv THISCERTIFIES THAT............ .. ..Q. .......... ................... ....... ........................................ ..................... Foundation has permission to erect........................................ buildings on ...... �-C.........., .`4W......�... ...... ............... Rough to be occupied as.... y ......Imo. •r ............ Chimney . ................................................................. .. provided that the person ac eptin this permit shall in every respect onform 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 PEP3,,UT EXPIRES IN b MONTHS ELECTRICAL INSPECTOR TARTS Rough SLESS - 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 DryWall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE Town of North Andover V40RTH O��t��o Building Department o 27 Charles Street North Andover, Massachusetts 01845 c e (978) 688-9545 Fax (978) 688-9542 A°R�re° �SSACHUSE� DEBRIS DISPOSAL FORM In accordance with therovi i p sons of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the S work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c,l 1, s150a.p The debris will be disposed of in/at: � Z' l Facility location Signature of g Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector, The Commonwealth of Massachusetts A Department of Industrial Accidents i ,~•"sPCI i Office of Investigations 600 Washington Street Boston, MA 02111 i•i-� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): .UAV i D Nyiflcom 4o F t Nlr ' Sf p/t�l(r SNC. Address: go .To L3 ST(z t&-` So ;rL Z 2 to City/State/Zip: No. Am Doiefc. NA d IiVS Phone #: 9)8 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I atm a sole proprietor or partner- listed on the attached sheet. $ E] Remodeling 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 are a corporation and its 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. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. o workers' 13.[1 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. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors acid 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: C A t?-Tl S Policy#or Self-ins. Lic.#: W COQ 39'89'W Expiration Date: Job Site Address: .S'/`�5 J7 C �7��`�'� City/State/Zip: NO fin jjpJ 118610%' 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. Ido hereby certify under t/:eains andpenalties ofpeijury that the information provided above is true and correct. Si nature: J C Date: Phone#: q rl I J 4 dO Official use only. Do not write in this area,to be completed by city or town offfciaL 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 DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 9/23/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED w�ar�nn wnnnttn�w •uw� �wTrr•rn war-rrnt www IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME. Eastern Insurance Group LLC - Main PHONE _651_ N.,508-653-8089_ _ 233 West Central Street E-MAIL Natick MA 01760 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 6 INSURER A:CO]MnerCe Insurance Company 34754 INSURED 31 969 INSURER B David Castricone Roofing & Siding Inc INSURERC: 200 Sutton Street #226 INSURER D: North Andover MA 01845 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2141633407 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS pp(n�I I(�Y EFF Pj(� y yP yin rvu�.r��umocn rNrA�Drtrtt miWLLr r�-tt GENERAL LIABILITY EACHOCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Me occurrence) $ CLAIMS-MADE F�OCCUR MED EXP(Any oreperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY jECT PRO LOC I $ AUTOMOBILE LIABILITY BCNGCV /1/2011 /1/2012 (Ea accMnl 1000000 ANY AUTO BODILY INJURY(Per person) $20000 ALL OWNED SCHEDULED AUTOS AUTOS BODILY (Per accident)BY IR $40000 X NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peraocldenl $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ g WORKERS COMPENSATION WC003989723 9/23/2011 9/23/2012 X WC STATU- O - ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEMXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT . $100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $100000 H yes,descrlbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $.500000 I DE SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Castricone Roofing & Siding THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Suite 226 ACCORDANCE WITH THE POLICY PROVISIONS. 200 Sutton Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845t,�: ;x ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I ACOR& DALE(MINDOff" CERTIFICATE OF LIABILITY INSURANCE 9/9/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES - BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holler Is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain Policies may require an endorsement. A statement on this certificate dose not confer rights to the certificate holder in lieu of such endorseman a. PRODUCER CONTACT NAME: _ Willows Insurance Agey a 976 475 3414 _ � I�No1 --' 51 Cochichewik Dr EMAIL ADDRESS:,-—_......_._ PRODUCER - North Andover MA 01845 culpma to I. _ INSURER(3)AFFORDING COVERAGE NAIL M INSURED INauRIER A widen Specialty Ina _.... .. INaunert e� DAVID CASTRICONE ROOFING & SIDING INC 200 Sutton St Suits 226 INSURER 0: INSURER E: ' NORTH ANDOVER MA 01945 IN9uRER F: _. COVERAGES CERTIFICATE NUMBER:Cz119906255 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ULTRA' TYPE OF INSURANCEV13 POLICY NUMBS POLICY EFF MRamMPOLIC EXP —potyYyy LNARa --�— GENERAL LIABILITY EACH OCCURRENCE f _ 100_0_000 X COMMERCIAL d.IGaENER�AL LIABILITY WMAG._F�O RENeunenmL �S -5DD00 TE A _- CLA3 A1ADE I X I OCCUR 00031600 9/06/2011 /6/2012 MED EXP(Any ane pensee) 1000 FER.4ONAL d ADV_INJURY S 1000000 GENERAL AGGREGATE S 200000_0 GEML AGGREGATE LIMIT APPLIES PER: IPRODUCTS-COMPIOP AGG S 1000000 POLICY PRO LOC .. .. ._.f .. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ei avadenl) f ALL OWNED AUTOS BODILY INJURY(Pet penal) S SCHEDULED AUTOS BODILY INJURY(Per eaidenl) f PROPERTY DAMAGE HIRED AUTOS :. I_ NON-OWNED AUTO$ f UMBRELLA LIAR HCLAIMS-MADE OCCLdt a EACH OCCURRENCE f EXCESS LIAR S DEDUCTIBLE AGGREGATE f RETENTION f -- — ---- - WORXERS COMPENSATION f AND EMPLOYERS'LIABILITY WC STATU- ID_TI} YIN ANY PROWUEMRMARTNERIEXECUTIVE OFF"PA*MBER EXCLUDED? Q NIA E.L.EACH ACCIDENT = (MlMdetety 111 NH) .-...- Nyen describe under E.L.DISEASE•EA EMPLOYEE S DESCRIPTION OF OPERATIONS Wow E.L.nISEASE-POLICY LIMIT `.. .... .._�— I DOSCRUITION OF OPERATIONS I LOCATIONS I VEHICLES (Atlaeh ACORD tet,Addaronel Remerlte SeMdule,N men epm Is mqulnd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN David CastriCone Roofing & Siding Inc ACCORDANCE WITH THE POLICY PROVISIONS, Castricone Roofing 200 Sutton Street Suite 226 AUTNOMMMPREaaNTAT1VE N Andover, MA 01845 n 'f ACORD o (2009/09) INSo25(zooeoe ®19882 CORD CORPORATION. All rights reserved. > The ACORD name and logo are registered marks of ACORD j)Cpal'(1jlL-ll( of PLIfific t;lr;U llof Guildill. �F/11 Kv.-.11 lilt ilms ;l1ld 01fice of Cullsulnef Affnii'5 do It llliu CYS Il gbutN tion Constructiol, Supervisor SPCCialty License HOME IMPROVEMENT CONTRACTOR License: CS SL 99358 Registration; 104569 Type: Restricted to: RF.WS Expiration: 7114/2012 Private Corporatio DAVID CASTRICONE DA D CASTRICONE ROOFING, SIDING& 31 COURT STREET David Castricone NORTh ANDOVER, MA 01845 200 SUTTON ST SUITE 226 NORTH ANDOVER, MA 01845 ttlldcrsccrctury Expj(ahow 12/16t2o1i I'm 99358 ~ DAVID CASTRICONE CASTRICONE ROOFING& SIDING INC. ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises belo described: / .p , r Owner's Name.....1/..>" .0 �....Vk4..l.2>.................................:............T hone#....>�g/...�..1(�r. .0..... p ` .i. O.. It'd`.............State... Job Address........c).. ... ii l� .... ..........................City..... . V Specifications: ....................................:.............................................................................. .,............. y............................................................................... -Strip existing shingleso) -.4ply new drip edge to all edges. 6t/� ..................................................................................................................................................................................................................... VApply_feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane in valleys and bottom edges of any unheated areas of house. .�. All ...............:." 'In................:................;......:...........:........... ;,.. e:..............r............... T** 1G 11 ri./......... .r...'... .J. Apply felt pg er erlayment. lnstall edge vent to -Reroof sin shingles with a ` year warranty. P 'Countertlash chimney. f -h(ew vent pipe Gashing. 'legal disposal of all debris. Y ............... .. ................................. ................................................................................ �� reals)to be worked on: / � . .......... ... .( b.p ........ Ll.i........... y...... .. .� A............... . ........................................... erP.�1121. �........ ...... .l .�. 0 .e...a......................,.................... .................. � ..... ................ %�'a J ...............1...4.V- C.ol..a ?>...., Lt.... .... ...7..�: �.... LCJ .. . .......J_4.0....0,4 S. .«.................... �y:( Jam.4t �i�!.C.rd F!......�' L ..r y�..... jGt/�1G�� H.. ••••.f.�(.....�:t..f. .•(,/.h................ ............................. Roof board replacement if necessary D /sheet�/f;=2'/foot. ......................................................................... ................ ..................... �. ....... ............... Two Year Workmanship Warranty(Not Transferable) Manufacturer's Warranty as spec' by manufact rer The actor agrees to perform the work and ish the materials specified above for the SU of$.....� tyy.. ..... (payable.. .kG...........on..5� �..,. Payable.............................on........7:77...................*aalance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability while jobis in—operation. Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces).Items in attic may need to be covered by homeowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties.The undersigned warrant(s)that he is(they are) the owners(s)of the above mentioned premises and that legal tine thereto stands of record in his(their)names(s).There are no representations,guaranties or warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no penalty (see notice of cancellatio IN WITNESS WHEREOF,the parties have hereunto signed their names this....11.�,,day of.. t i. 20...t.�.. Accepted: /.,"Signed. .: ...................... Owner C�t:......r.::.a:l:`:: _ .. :�.,•• Signed............................................................................. Owner ....... David Castricone,President t