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HomeMy WebLinkAboutBuilding Permit #908 - 826 JOHNSON STREET 6/18/2012BUILDING PERMIT o� ", �o ,1 .6 TOWN OF NORTH ANDOVER ._h,.oL O APPLICATION FOR PLAN EXAMINATION x h� Permit NO:qd� Date Received ��SSACHUS���� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY- OWNER not 'MAP NO*ARCEL:ZONING DISTRICT: Historic District yes. X Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Resid n I Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Re air, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain . Wetlands Watershed District Water/Sewer DESCRIPTION OF 0 /WORK TO BE PREFORM -D: 'knee- at 4,4q7P-/ �irzu-Pll 4,10! it 5,hllag) Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: �2 �P��(/C_ Gti'(cx4,p-p Phone: Address: / 1441-11 /KrTcrn� �1/; �wr�.��7�,ie xnA r Supervisor's Construction License: C-5- 0Y77qq), Exp Home Improvement License: 1 6. ?��d Exp ARCHITECT/ENGINEER r_, M Date: P/0 /0 3/90/ 3- Date: Y dol 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: $_/% FEE: Check No.: Receipt No.: O'-��� NOTE: ersons contracting with unr stere contractors do not have access to the guaranty fund Si re g of Agent/Owner Sig.nature of contractor _ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature 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: FIRE. DEPARTMENTTemp Dumpst Located at, 124,MainStreet Fire Departinent signature/date COMMENT ocated 384 Osgood Street r o site yes no —T 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 2008 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) ❑ 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 2.2008 Location &YO No. -9 0 �7 Date Check #Iqld 25426 TOWN OF NORTH ANDOVER Certificate of Occupancy $— Building/Frame Permit Fee C Z—) 01 � — — Foundation Permit Fee f $- Other Permit Fee TOTAL s— �2 Building Inspector tN \1-0�r� �oj 41�e+ No.-qoq Check #/97/ 25870 Date I I I TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee �OPIAUO)E--J- $ 5t),OD TOTAL �e' P r" " � C CY-k s Build,64nspector 7m r L W CL COz w0 U W a z O W :a .O 0 Co I V v O w V O V Q ►=i Q m C L 04J LL E a0+ T N {n G d z z m C ' c O LL bio O or t U C LL ° W z Q m J C to O K C LL ° d z Q W W -C tLo O W N N C LL O a z CA Q -C to O w C LL W cc Q W au W LL 4J 7 CO O z yam., N }; N Y E N 7m r L W CL COz w0 U W a z O W :a .O 0 Co I V v O w V O V • z Jp LL? G cc ca CO C L .u� \ -0 O O LL >. U O. N (n Z > co m O O o "6 c 7 O LL t to..0 O KU cu C E -O O LL O W Z C7 Z 00 > J n' L 7 O d' 6 O LL W ? u ccLLJ H W W :3(O p d' v U N to C IL oc p Wa Z H t 3 O d' m O LL Z W °G a 0 Le U. N O 3 co O z — v �; N o i O VCl LU O W IL 0 D m co z Z U n W 0 X Z 4 Cl) W c WA JJ CL Z m O C N O t O Z o � Q � J i C O W co CD D O O CL CL tm Q S O 0 Zv ii U) i _ Q Q Q .Q L CL 0) m o E Q. L H � C 41 � t •O � E CD '. _ _ O V i �+ N Q' J r o = c o = •� a • �, Q. c y O O 0) > o L CL Q Q = � Q � � F t� O = C 0vs N v m N W = O O O U) % N = EEL W v d O -a CO •> ;� N O = O W IL 0 D m co z Z U n W 0 X Z 4 Cl) W c WA JJ CL Z m O C N O t O Z o � Q � J i C O W co CD D O O CL CL tm Q S O 0 Zv ii U) i K 1d - - - r i * .� t The Commonwealth of Massachusetts Department of (industrial Accidents Office of fr�vestigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Onjiranf Ynfnrrn m+; — Name (Business/Organization/lndividual): lL . Address: ►`��-4a�i - City/State/Zip:_IV, � L'Lt l N q ' Q`e� Phone #:— 7���� Are you an employer? Check the appropriate boa: 1. ❑ T am a employer with 4. ❑ I am a general contractor and I employees (fall and/or part-time). 2. I am a sole proprietor or have hired the sub -contractors listed partner- on the attached sheet t ship and have no employees These sub -:contractors have working for me in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its required.] 3. ❑ am a homeowner doing officers have exercised their .I all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp, insurance required.] .Any applicant that checks box -Al mmet also ml odt the section below o,,,„t Type of project (required):' 6. ❑ New construction 7. [] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions .11 -0 Plumbing repairs or additions 12.nRoof repairs 13.❑ Other Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit in 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. � A I an employer that is providing workers' compensation insurance for my employees Below is the policy and joh site Insurance Company Name: Policy # or Self -ins. Lie. #: /4 0 lair 9x, , Expiration Date:_ I Job Site Address:_ �j %j fS/ City/State/Zip: o l Attach acopy of the workers' compensation policy declaration page (showing the policy number and expiration date/). 1 / 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 lip to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. vWIczac 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): I. 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 6r 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 6r building appurtenant thereto shall not because of such employment be. deemed to bean 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 uni:il acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), addresses) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with.no employees other than the members or partners,. are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be -advised that this affidavit maybe submitted.to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should bc, retamad to the city or town that the app Lboalti•vL for the p e:%ii4C1F 1'_YeiSe is being req'uestod, pClt 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 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 f6r 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 1-977 MASSAFE Revised 5-26-05 Fax # 617-727-7749 AC40RV CERTIFICATE OF LIABILITY INSURANCE �� 2�22/ii 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 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 an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernengs). PRODUCER T L Southmayd Insurance Agency 668 Main St, Suite 9 Wilmington, MA 01887 NAME CT Louise Southma d (A NE 9'78 657-0263 FAX NIC (978) 657-0201 ADDRESS: louise@tlsins.com PRODUCER 3566 INSURE S AFFORDING COVERAGE NAIC 6 INSURED Peter Magee 4 Mill Road Wilmington, MA 01887 INSURERA:Preferred Mutual INSURERS: INSURERC: INSURER D: INSURER E: INSURER F 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MIDDN P CY MMIDDIYYYY LIMITS A GENERALLIABILITY X COMMERCIALGENERALLIABILITY CLAIMS -MADE Fx_1 OCCUR PAC0100114601 9/29/10 9/29/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 MED EXP (Any ore person) $ 5 000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENTAGGREGATE LIMITAPPLIES PER POLICY PRO- LOC JECT ElAUTOMOBILE PRODUCrS-CONIPlOP AGG $ 2,000,000 $ LIABILITY ANYAU70 ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ UMBRELLALIAB EXCESS UAB F OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE. RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNERIEXECUTNE _—] OFFICERMIEMBER EXCLUDED? (Mandatory In NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU-TKATTQ OTH- FR EL. EACH ACCI DE INT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Isregrired) CERTIFICATE HOLDER CANCELLATION TOWN OF READING ATTN: JIM HARRY READING, MA 01876 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 2009 ACORD ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ?t Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Super-,isor License: CS -048792 %.,% i t PETER R E JR rr 4 MLL RD r Wilmington MA 01887 Expiration Commissioner 11/03/2013 oficeTko m°� er Ya rrsaA sines HOME IMPROVEMENT CONTRACTOR Registration: 167220 TYPe Expiration: .8/3.9/2012 Individual P R R. MAGEE k: PETER MAGEE 4 MILL RD. WILMINGTON, MA 011887 - Undersecretary Mr. and Mrs. Frank Gring 826 Johnson Street N. Andover, MA 01845 PETER R. MAGEE 4 Mill Road Wilmington, MA 01887 978-658-5442 PROPOSAL All labor and material to complete the following: School House: Date 5-28-12 508-523-0273 (cell) • Remove and replace existing roofing with new 25 -year, 3 tab shingle (color to match existing house). Install 8" aluminum drip edge to entire perimeter. Remove and replace any rotted roof boards at a cost of $4.50 per foot. Clean and remove debris from site. $2,435.00 Main House: • Remove: Existing- Rear stairwell treads, risers and rails. - Side stairway treads, risers and rails. Replace with new composite decking, trim, rails and lattice to match existing (all material provided by owner). • Cover front pressure treated knee braces with PVC trim (material provided by owner). • Carpentry labor to remove and replace rear and side entry existing material (allow 5 days). • Complete exterior painting to include pressure washing, priming as needed and 2 coats of approved finish selected by owner. • Prep/repair/spot prime/paint daughter's bed room ceiling. • Prep/repair/spot prime/paint master bedroom ceiling (1 coat) and walls (2 coats). • Remove all debris from site using dumpster provided by contractor. • Permit and fee. $14,680.00 Allowances included in above price: 1. Permit fee $200 2. Exterior Painting $6,500 3. Interior painting $1,800 A1• b NOTE: Additional charge for removal of rotted framing, siding and trim based on time and material charges to be discussed with the owner. We Propose hereby to furnish materials and labor — complete in accordance with the above specifications. Seventeen thousand ane hltndred fifteen Dollars $12,11500 Payment to be made as follows: Payment Schedule: $4,000.00 deposit, $6,000.00 when carpentry repairs are completed, balance upon completion of painting. All material is guaranteed to be as specified. All work to be completed in a Authorized workmanlike manner according to standard practices. Any alteration or deviation Signature from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All Note: This proposal may beldthdrawn by us if not accepted within agreements contingent upon strikes, accidents or delays beyond our control. This 30 days estimate is for completing the job above and is based on our evaluation and does not include material price increases or additional labor and materials, which may be required should unforeseen problems arise after work has been started. Workers' compensation and liability insurance available upon request. Acceptance Of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Signature authorized to do the work as specified. Payment w I be made as outlined above. Date of Acceptance: �/ �/ �Z__ `E' Signature L Homeowner Information PETER R.MAGEE 4 Mill Road Wilmington, MA 01887 978-658-5442 Contractor Information Name 6rivi Company Name �e` � 04Q!�ee Street Address (do not use a Post Office Box address) $ a O sw► Contra tor/ Salesperson/ Owner Name 12 kkop,&— City/Town State Zip Code /r/'AkiJou¢- M-4 o 17 Bpsiness Address (must include a street address) y All for rd Daytime Phone Evening Phone 50F' -5,93-d,:;275 cap City/Town State Zip Code 1 "Irrf&, M4 01 ?77 Mailing Address (It different from above) Business Phone I Federal Employer ID or S.S. Number mp requires that most home improvement emen tors have Home Improvement Contractor Reg: Number Expiration date a valid registration n valid registrmtion number umbo Q The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed, specifying the type, brand, and grade of materials to be used, use additional sheets if necessary.) 5e -.e- q AT-Od fJ,?�Sq 1 Required Permits - The following building permits are required and will be secured by the .contractor as -the homeowner's agent: (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the contractor's control arise -71 5 /A Date when contractor will begin contracted work. 00/ / ,�O' Date when contracted work will be substantially completed The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: L $ l upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) $ �000 by / /_ or upon completion ofe'4 I� $T _ by / 1 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 material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES: (*) Including all (mance 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 must be special ordered in advance to meet the completion schedule. Express Warranty - Is an express warranty bei n provided by the contractor? INNo Q- s (all terms of the warranty must be attached io the contract) Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/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, o Make sure the contractor has a valid Home Improvement Contractor Registration. 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 10 Park Plaza, Room 5 170,Poston, MA .02116 or by calling 617-973-8787 or 888-283-3757. o Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance" document. a Kriow 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. You may cancel this agreement if it has been signed at a place other 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 deliveiy, not later than midnight of e th third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NO3-SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical c(('es of th contract must be completed and signed. One copy should go to the homeowner. The other copy should be kept by the contractor. 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