HomeMy WebLinkAboutBuilding Permit #29-12 - 850 JOHNSON STREET 7/14/2011 TOWN OF NORTH ANDOVER
f APPLICATION FOR PLAN EXAMINATION
Permit NO: ' J Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on thisage
c1 i
LOCATION 9.56 J d h nso n S re CJ
Print
PROPERTY OWNER !1 p CO,
Print
MAP NO: 10-1A PARCEL42.5 ZONING DISTRICT: Historic District ye no
Machine Shop Village y no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building V One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bld
9 ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well El Floodplain ❑ Wetlands El Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED: i
ar ip an s Wi L1a,�+� tom.) C ,I.2
T,�
Identification Please Type or Print Clearly)
OWNER: Name: -c e,,n 30 h Com., Phone• Q12
Address:- -\O�'1�1So�� SiA- c�CAl�. 6V���P_P , t-/A ® `N �
CONTRACTOR Name: Coe nc Phone:9�?^?-- 3 yd Q
Address: ? OJYA �r
Supervisor's Construction License: Exp. Date: `I a- 1 (o : Q I / t
Home Improvement License: a` j Q Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED $125.00 PER S.F.
Total Project Cost: $ `7q(bC) �o FEE: $
Check No.: /1 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of;Agent/Owner Signature ofcontractor
C
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. ❑ ElPermanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
I
- i
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Siqnature
COMMENTS
I
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
I
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
L
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
i
❑ Notified for pickup - Date
Doc:.Building Permit Revised 2008
- — r
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: Doc.Building permit Revised 2008mi
Location
No. ? Date
�oRT� TOWN OF NORTH ANDOVER
,
F
P
`• # Certificate of Occupancy $
fI —
;�s 'Ate' Buildin /Frame Permit Fee $
a�cHusa 9
Foundation Permit Fee $
Other Permit Fee $
J TOTAL $
Check # {
24 6
Building Inspector
VAoRTH q
0 of _, Andover ..
V,
ka-
No. NO
o '� dover, 1Viass,
Q - LAKE
COCMICMEWICK
%SDRATED
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
BUILDING INSPECTOR
THIS CERTIFIES THAT........... .... . ..........�..�.'.~...� .Q.K� .................:.................. Foundation
has permission to erect...........:.:.......................... buildings o .......... .........�. ...... ...... Rough
to be occupied as.......... i` ...... (). ......................................
Chimney
provided that the personEV9�tiispermit shall in eve pect conform to the terms o n 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 LESS CONSTR CT d 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.
''' til:��sachusetts=Dep:u-ttncnt of Public S
- ujlti(ils a1'ch
Boll'd oI.Buildings Reo
Construction Superv�isorl Licensean(I'tr(1�
License: cS .105611
JONATHAN MACLEAN
33 ERRY ROAD .
SALISBURY, MA 01952
Expiration: 4/24/2014
' ('�nmissincr.
-- -— --- -- — ------ Tr#: 105611
1.
GATE(MMIDO�r�l
ACORQ, CERTIFICATE OF LIABILITY INSURANCE 9_/3- 0
PRODUCER S08.01.7700 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eastern Insurance Group LLC - Main ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTENO OR
233 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Natick, MA 01760
INSURERS AFFORDING COVERAGE NAIC 4
iNsuRvi Daviff Castr cone Roofing III Si Ing Inc INSURER A: ASPEN SPECIALTY INS CD
20O Sutton St INSURER B;
Suite 226 INSURER C:
North Andover, MA 0184S INSURER D:
INSURER E:
COVERAGES
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 TERNS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'POLICrw WTLTR NSR TYPE OF INSURANCE FX
POLICY NUMBER DA MMIM GATE MW LIMITS
LIrAITS
GENERAL LIABILITY CPT125310 09/06/2010 09/06/2011 1 EACH OCCURRENCE _ $ 11000,000
-DAMAX COMMERCIAL GENERAL LIABIUI E
YY PREMS(Ee occunencel $ 50 1 0
CLAIMS MADE a OCCUR MED EXP(My one porton) $ 1000j
A PERSONAL d ADV INJURY $ 1,000,00
GENERAL AGGREGATE s 2,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCT9-COMP;OP AGO S 11000,000
POLICY jE LOC
AUTOMOBILE LIABILITYti COMBINEDSINGLE LIMIT
ls
ANY AUTO (Ea 'es
I
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
WIRED AUTOS BODILY INJURY S
NON-OWNED AUTOS (Per omJdant)
t
I PROPERTY DAMAGE 5
(Per eeippnl)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO I OTHER THAN EA ACC S
AUTO ONLY; AGO t
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
OfOUCYIBLE $ _
RETENTION S s
WORNEA9 COMPENSATION j TORY LIMITS ER
AND EMPLOYERS'LIABILITY Y I N
ANY PROPRIETORiPARTNEFi/EXECUT i El EACH ACCIDENT S
(WM rey I NN) EXCLUDED? I
E.L DISEASE-EA EMPLOYEEs
M Yyas.describe under
SPECIAL PROVISIONS bekPw I E.L.DISEASE-POUr:Y LIMIT S
OTHER
II
i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF.'rHE ISSUING INSURER WILL ENDEAVOR TO MAIL / DAYS WRITTEN
David Castricone Roofing & Siding,Inc. NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT.BUT FAILURE TO DO 30 SMALL
200 Sutton Street, Suite 226 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,i-M AGENTS OR
North Andover, MA 01845 REPRE5ENTATIVE .
AUTHORIZED R 6
/57
ACORD 25(2000/01) ®1 • 0 ( N. All rights reserved.
The ACORD name and logo are registered marks of AdOffb
.11;1��arlui.�rft> - Urliarlrn�•ul ul•Puhlir �afcr�
t Buartl ul tiuilrliu l�r;ulatiuua :uitl 11:uttlar�l� t -`J//� v..c.+�u.�uyui`l/:. n/..•Lh+��uc/xuWtla
Construction Supervisor Specialty License Ull�cr of Cousumcr Affairs di B��Siucss Rcgulxtion
License: CS SL 99358 .HOME IMPROVEMENT CONTRACTOR
Registration: 104569 Type:
Restricted to: RF,WS y' Expiration: 7114/2012 Private Corporatio
l'
DAVID CASTRICONE ` DX' D CASTRICONF ROOFING,.SIDING 8
+i��_ r.:M�'��!;
31 COURT STREET
1.
NORTH ANDOVER, MA 01845 rtr7i David Castricone
200 SUTTON ST SUITE 226
NORTH ANDOVER, MA 01845 llnJcrsccrctury
Expiration: 12/16/2011
t iiuwi.�iunrr Trg: 99356
DA
ACORD,. CERTIFICATE OF LIABILITY INSURANCE c/24/2010rv)
PRODUCER Phone: 508-651-7700 Fa.:: 508-653-8089 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eastern Insurance Group LLC -Commercial Lines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
233 West Central Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Natick MA 01760 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A:C ,1 t' nInsurance 4 0 7 4
David Castricone Roofing & Siding Inc INSURER B:CHART I S
200 Sutton St
Suite LLD INSURER C:
N•:•rth Andover MA 01845 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOY -iAVE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY ER POLICYEFFECTIVE POLICY EXPIRATION
LTR NqR NUMBLIMITS
GENERALLIABILITV EACHOCCURRENCE $
COAIMERCIAL GENERAL LIABILITY ANI
PREMISES Eeoccurerwel $
CLAIMS MADE 7OCCUR MED FXP(Any one person) S
PERSONAL&ADV 114JURY $
GENERALAGGREGAI`E $
GEN'L AGGRE GATE LIMIT APPLIES PER: PHODUCI'S-OLIMHIOPAGG $
POLICYF—j PRT LOC
A AUTOMOBILE LIABILITY BCNGCV 8/1/2010 8/1/2011 COMBINED SINGLE LIMIT
ANY AUTO (Eaaccidern)
ALL OWNEDAUTOS
BODILY INJURY S
X SCHEDULEDAUTOS (Perperson)
HIREDAUTOS
BODILY INJURY �
X NON4DWNEDAUTOS (Peraccidem)
PROPERTY DAMAGE S
(Per aocldem)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANYAUTO
OTHER THAN EA ACC S
AUTOONLY: AGG $
EXCESSIUMSRELLALIABILITY EACHOCCURRENCE S
OCCUR F-1 CLAIMS MADE AGGREGATE $
S
DEDUCTIBLE
$
RETENTION $
S
B WORKERS.COMPENSATION AND WC003989723 9/23/2010 9/23/2011 X WCSTATU- OTH-
EMPLOYERS'LIABILITY
AN'ePROPRIETORlPARTNER/EXECUTIVE E.LEACHACCIDENT S G0
OFFICERIMEMBEREXCLUDED?
Il yes, LsuiUewrder E.L.DISEASE EA EMPLOYEE $ 100, 000S
PECIAL PRO'JISIOIJS Below
E.L.
OTHER
DISEASE-POLICY LIMIT $ O.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SP ECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
David Cast.ricone Roofing & Siding Inc BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
200 Sutton St WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE
Suite 226 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
SHALL IMPOSE NO OBLIGATION OP. LIABILITY OF ANY BIND UPON
North Andover MP. 01895 THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 26(200110e) I&ACORD CORPORATION 1080
Department of Code Enforcement
Debris Disposal Affidavit
In accordance with the provisions of GL, c. 40, sec. 564, a condition of permit# is that the debris
resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defingd by
GL, c. 111,sec. 150A.
The debris will, or has been disposed of at:
6,36 7g
Location of Facility
AM.Ovej PA 0 PJ—
Location of action/jobsite (Street Address)
... G- c
Signature of applicant/contractor Date
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
kv www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Couf cj crsro►en ac.
Address: 'O() c I n 4reC�N �61ACL 2233
City/State/Zip: d, &M gee, H A 6 M S_ Phone #: q7% (AM gd-0
Are you an employer? Check the appropriate box: Type of project(required):
1.M I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. F-1 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.[R Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit in such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. LL
Insurance Company Name: (!V)OfTI S
Policy#or Self-ins.Lic.#: V�CoO 039 M t1.3 Expiration Date: -1'd-3-('
Job Site Address: g &\Mon S Ycc_k City/State/Zip:��][�(�>(�0 14a ft
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Sig-nature:
Date:
Si
gn �.•i
Phone#: vl 7� 6�A 30-0
Official 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#:
+ 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 NaverhIU 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 below described:
z
Owner's Name..... ....... .tt. ..u.r1.�Gk r•............................... Telephon
Job Address..... `�...�
V..P...�►1Ut�.:....t �..F.<...................city....go./ ...... .6� Qllr.l'....State....1."t!
Specifications:
.... ...... ............... .............................................. .................................................................................................
✓Strip existing shingles r�.. ....LApply new.. drip edge to all edges. ✓�j7e- g��
t af!..........................................................................................:.......................................................................................................................
pply_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.
r.....................................................
Apply felt pa r underlayment. stall ridge vent to - I� c
S
tfrx. ............... .................................... ..........................................................................................
✓Reroof usi shingles with a�Q year warranty.
.................... ...............I.......... ............../..................................................................................................................................................
,Gounterflash chimney. ew vent pi a flashing. -Legal disposal of all debris.
............... ............................ .:t ....�. ...............I............ 1! 1 ...t�I l ..........
...... .... . ......... . ..
A�ea(s)to be worked on: //
............................................/p.1.(.... Ql ..•64 Q ...... .l1Zi..Gi�S.. .:K.. ............ ........
'� / .......... ........ .
•� ..bare .�rt..e...l.. ..�4'.lur..J.•..t(p.�••p..c..Y
:
..
..)AA. ..ca r. ...ku.ua.....
...�ttit.l..�•..c. .........1!` Gt.!,F. .Q.t�....... ed:rrr.t. c..tw.e..�...t.� .. .r:.............
T
lQtut ICQ� $'.hr.. ...........L`.. L/—...t... ..4... ..1.....1..... ......f..e �S,I .e1.:S.tr~ett...i' a✓...........
Roof board replacement if necessary @ (,�j Ysheet ci /foot.
Two Year Workmanship Warranty(Not Transferable) 11 j<'anufacturer's Warranty as spec' by manufac
The c etor agrees to perform the work aqd ish the materials specified above for the SU of S....�V/6.Q...... ............
/ 'ayable99...�.O.b.U..........on..
Payable.........— on .................. QBalance payable on completion of job
Owner or Owners are not responsible for Property Damage or Liability while job is in operation.
Contractor is not responsible for any damage to the interior of property,including preexisting 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 arc 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 contractmay 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 warrants)that he is(they arc)
the owners(s)of the above mentioned premises and that legal title 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 cancellation).
IN WITNESS WHEREOF,the parties have hereunto signed their names this....A..l.1t -....day of...�/...l i-11.......
120.., .1...
Accepted:
-Sign . .[ A..`:�...�•••�..`•.•••............ Owner •
Signed............................................................................. Owner
David Castricone,President