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Home My WebLink AboutBuilding Permit #92 - 851 JOHNSON STREET 7/31/2009Permit NO: 7 Date Issued: 73 -BUILD ' ING PERMIT-. TOWN OF:'NbRTH ANDOVER, I � A I. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 0 ri-e f am i 'on Two or more family Industrial teration No. of units: Commercial Others: epair, replacement Assessory Bldg Demolition Other S, ep ic- d ilain a- h" tert n 4; ppv LPr-0L#K1r I 1UN Ur YVUKK 1 U 131: PREFORMED: Identification Please Type or P1 OWNER: Name: -;)hlZ, Q- .> 61-) (692 IeS ne: 92,9 923 c6zel ARCH ITECT/ENG I NEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PERS.F. -0 Total Project, Cost: )NVW- 121 Ld? TEE: $ Check No.: Receipt No.: NOTE: Persons contracting^unre0tered contractors do not* have access to the gtwra und , Nyf Plans Submitted Plans Waived 'Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL RA USgOOa btreet Public Sewer Tarming/Massage/136dy. 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, DATEAPPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION -Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Bo"rd Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: ME. L ca' o te, at 124�Ma nSt4eU Fire:.iDep�'a"'t'.'t��m�"'ent,,s,ign,6ttireld�te �v, -V- 77 S QMM. V ENTS LOcaiea RA USgOOa btreet _.�no q VrA j, 7 4 "I , , - I I 4 �4, 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 21 A —F and G min.$100-$l 000 fine 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 Lj Building -Permit Application u Workers Comp Affidavit - u Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract Ll Floo Plan Or Proposed Interior Work [3 Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Departm . ent prior to issuance of Bldg Permit Addition Or Decks' u Building Permit Application, u Certified Surveyed Plot Plan Ll Workers Comp Affidavit • Photo Copy of H.I.C. And C.S.L. Licenses • Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler P . Ian And, Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) u Engineering Affidavits for ' Engineered products NOTE: All dumpster permits require sign off from Fire Depa' ftment prior to issuance of Bldg Permit New Construction (Single and Two Family) - Li Building Permit Application u Certified Proposed Plot Plan u Photo -of H.I.C. And C.S.L. Licenses Li Workers'Comb Affidavit L3 Two Sets of -Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) • Copy of C ontract • Mass check Energy Compliance Report u, 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 Tow� n 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 apptication Doc: Building Permit Revised 2008 Location R"v No. Date '-7 -,3/ - -01 TOWN OF NORTH ANDOVER 1� . Certificate of Occupancy $ Building/Frame Permit Fee $ eg'36 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #13-0- 222 7 S r-\I� � Building Inspeclor 4 0 0 Cf) u w A4 co z z 0-4 00 z co q. —u X. 0 7) bo ca u 0-4 d to I (3) cz u w P4 C E-4 ZW P-4 cf) 0 cf) CL 0 M C.3 CL. M M QFJ CL CA CC.22 0 4 - cm CD CD CD to cc GO C2 441a; E =0 CLCJ cm *N 0 0 CD dFAM; 0 cm 03 A cc C3 fA 0 b.. l000W �C3 0 CM 0 CL CL.4- CD r= CD C3 LU cj L- CD C,3 4D CJ* CL Cc:, 0 ;a 00 m to = Q 0 CL AGO Z34 W T11 E z CL 0 co C" CO2 CD .CA CD co co a) CD 0 L- CL M 0 CL CL CM< Co cc C.) CL a CO2 z ci CD CL CO2 cc cc CL CO2 LLI w U) Cd LLI w LLI CA C14 C11 cl) C,4 co rip U > 0 W /01 0.6 *Z2 ca W a 01' 0 I - - a Iz b uj- -J L U- L Ci ;:z Ct) N Po V, 0 Co 4z) J� 0 -CO CO �9 IF 0 -0 C3 -CO CO �9 IF Pe; 1, W�M. ow Me 6'91 ---------------- - ------------------ - Pe; 1, W�M. ow Me 2, M�4 1 "AmIllk INWAR 6'10 X- 2, M�4 1 "AmIllk INWAR r-,Upw Cr MgU IN .pemagF&P, jmurgmcef infomiadom 0J, Menr*e=.. Below b-the'PO&Y.=djoh site Insurance Company Name: Policy 4 or Self -ins. Lie. 9: E-Virzition Date: Job Siw Addrws: Attach a copy of the wo rkere,compenskition policy deefaration pav .e(showin", Po"rY number and expiratiolo Failure to secure coverage, the fine up to $ 1,50aDo an as rcquimd under Section 25A of MGL C. 152 can lead tID the impositior) of crimina malti d/orj one-year imprisonment, as well es civII pmWties in the form of a STOP I P cs of a, Of UP tO $250.00 a day apirist.the violatm Be advised dw a copy of this statcm WC)P'K ORDER Md a fine investigations of th� DLA,,fc)r insurance covem ent May be forward Office of ed to the I dv he e pairu enizider, perjwy z*& the informadoll pro 27 'A vx&d abOvc IT fte and colreA re"=, D "hone F offxw use ojdy- DO not WriLe in fft ::Z: i:: 2: I q� area, to he CftJWIe%ed,&X city or town officia City or Town: t YorT w Permit/Licanse # Issuing A:uthDrity (Circle one): ss — — — — — — — — — — — — — — — — [I. Board of Henith I Doi 2- Ru'lding Department 3. City/Tow (L Other 10,Cierk 1 4. Eketrical Inspe'ctOr S. Plumbing InspedDr Con ct Pcrsol'. Phone 9: The, Con�na nweaft of M=achusefis . D qpar�nwat of Indus&W A cddaft 0DIce of Invesfigations 600 Wasizinpion Street Bast -on, M4 02111 Workers' Compensafion ha* Ur"ce Affidavit: RuRders/Contra Applicant 11formation ctors/Eler-tricians/Plumbers Please Print L . bly N.aM,.e (Business/DTE�niza6an4ndividual):. Addmss: Iwo 4,11 M_ Plione an' Am yam an employer? Checkthe appropriate -box: 8 Yo a am am a employer with 4. 1 arn R general contlictor and I Type of Project (requimd): 9 ecs(full mld/O��__time). Im asole�PmPrietor or partner- ':s . 6 [] N ' have himd the sub-cont'actors. L-1 foow construction . list 7 ed m the attached sheet �-�UR=odeling ip ship and have no �crnployees working for ine in any 7bese sub-coriftctors have 8. Demblitioll capa.rity. [No workers$ COMP. insurance. Work=' comp. insurance. 5. E3 We are a corporafion and its. 9. Building addition required.) 1 iin a hoineowne�r doing all work -workers' Officen have Electrical rep' exercised t6ir airs or additions right Of exemption Per MOL I.[] plumbing repairs !nyself [No comp. insurance -required-] I or additions c, 1(4),'.and-we have no 12.[] Roof M13airs -=plcryees. [No workers? *Ary aplicM gw t 140MCOV41M who submit this�# mf also fH1 out the affitiavft indicating CDnip. imurmcr required.] 1317.0thle ------------- — — — — — — — — — — — ac`cdan br-iOv RhOwing flicir worked' compensation P�Iicy -f-ro-fi.n. 4COntraCtDrg thev am doing an wa* and thon him outside can thwchwk th"M MU91ft0bed,,,dditi .. ) shr, showing. th, now of MLctom ftrust subinit a new Affidavit indict* sucL dw sub-0001ractors and t6i, worked' anu mf;, .0 r-,Upw Cr MgU IN .pemagF&P, jmurgmcef infomiadom 0J, Menr*e=.. Below b-the'PO&Y.=djoh site Insurance Company Name: Policy 4 or Self -ins. Lie. 9: E-Virzition Date: Job Siw Addrws: Attach a copy of the wo rkere,compenskition policy deefaration pav .e(showin", Po"rY number and expiratiolo Failure to secure coverage, the fine up to $ 1,50aDo an as rcquimd under Section 25A of MGL C. 152 can lead tID the impositior) of crimina malti d/orj one-year imprisonment, as well es civII pmWties in the form of a STOP I P cs of a, Of UP tO $250.00 a day apirist.the violatm Be advised dw a copy of this statcm WC)P'K ORDER Md a fine investigations of th� DLA,,fc)r insurance covem ent May be forward Office of ed to the I dv he e pairu enizider, perjwy z*& the informadoll pro 27 'A vx&d abOvc IT fte and colreA re"=, D "hone F offxw use ojdy- DO not WriLe in fft ::Z: i:: 2: I q� area, to he CftJWIe%ed,&X city or town officia City or Town: t YorT w Permit/Licanse # Issuing A:uthDrity (Circle one): ss — — — — — — — — — — — — — — — — [I. Board of Henith I Doi 2- Ru'lding Department 3. City/Tow (L Other 10,Cierk 1 4. Eketrical Inspe'ctOr S. Plumbing InspedDr Con ct Pcrsol'. Phone 9: Information a nd In's'tructions Mas=husetts General Laws. chapter 152 rmquires all emp I pyers to provide workars' compensation fbr their employees. Pursuant to this statute, an imployee is defined as pemoD in the swvice of another under any contract ofhire, express or iinplie:A, Dral or writt:m" An enrlayer is defined as '�m individua� partnership, mc:iciatim corporation or other Ito entity, or arry two or more of the'faregaing engaged in a joint enterprise, and includir-ig- the legal , epresen ives of a d6cmed employer, br the - receiver or bmstce-of an individuaL partnership, associaticoin or. other Ipgal -aftity, employing =ployem '14owem the owner. of a dwelling house having not more thah tiu= apa-T-ftnents and who resides ther* or tha occupant of the 6welling house of another who ainploys persons to do constmetiori or repHr wcir� an such dweiiinghouse or on the gmunds or building appurL-nent themto shaU not- because of such ernployment be deemed. to be an employer." MOL chapter 152, PC(6) also state ftW "every , state azl- local licensing agency Sh" withhold the issuance or renewal of a license or ormit to operate a busm,ess or *o construct buildings in the common.weafth for any appricant who has not produced acceptable evidence -air coinprance with the. insurance I coverage require&" Additionally, WGL chapter 152, PC(7) states -Neither the conunvn,�Fealth nor any of its political . subdivisions shall enter into any contriLct for the peribrnmrim ofpublir. work- until -acceptable evidence of compliAnce with the insurarice. quir=mfts.of this chapter have beev pi-esented to the coTdmc&g authority." Applicants Please fill out the workem' conipensiition. affi-davit compli4eetely, by checking the boxes that'apply to. your situation and, if necessary, supplysdb�contractor(s) name(s), ad&M9(eS):2i:1nd phon ' t number(s) along with their carrificate(s) of insurance. Limitmd'UnHity Companies (LLC) or Limited Liability Partnerships (LLP) with no.e:mployees other than the members or partimrs, = not required1to parry workers' cc3-Tnp=u;ation insuran= Ifan LLC orUP does have empioyees, a policy is required. Be advised dw this a.ffidm-oh may be submitted to the Department of Industrial Accident for confirmation of insurance coverage.. Also 13,e sure to sign and -date the affidavIL The affidavit should be returned to the city. or tmm that the application for the p ' it or license is being mqueftd, notth Dzpartinqra of arm e Industrial Accidents. Should you have any questions regax-ding the law or if you are requimd to obtain a workers! oom ensation policy, please -call the Department at the ntrmber listed below. Self-insured oompanies enter their salf-irisurar=licanst mumber an &e*appr-6� I'M City or Town Officials Pl=e be s= that the affidavit is complete abd printed legibly. The Department has provided a space, at the bottom of the affidavit for yo'u to fill out in fim event the, Office of' inves�gafions has. to con= ou regarding the applicant y Please be sure to fill in the prrmit/licens: number which %vill be used as z reference number. In addition, an applicant that must Submit multiple pennitAi=nse applications in any giv= yew, need only submit orm affidavit indicating-rarent policy'infbanation (if necessary) and under "Job Site Addr-=" the applicant should write kall locations in (city or town), A WPY of -the affidavit that has bech.officially starnped or marked by the city or town may be provided to the 2pplicarit as proof that a valid affidavit.is on file for futum permits or licenses. A now affidavit must be filled out each year. Where a home owner or citizen is obtainmg a li=mle: or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said pers6n is NOT required to. complift this affidaviL 7be Offim of Investigstions; would Ifite to thank you in advance for yo ur cooperation and should you have any questions, plam do not hesitate to give us a =11. The Department's address� telephone aria fax number, The Commonwtalth of Massachusem Dcpartment of hodustial Aczid=ts Office:af Emvestigafiens 600 Wadxington Strinnet Rosbn, MA 02111 TeL # 617-7274900 �-= 406 or 1-977-MA.SSAFF, -4 61 7-727-774� Fak Iff P--vised 5-2L-05 Wwwmem.govidia The Contractor agrees in do the folipwi TMTRn-M. . �_d Mg work for the ts ' b Required perWts "e The following btdldiM. permits am mq mid will .1m unc, (0 W secured b� the contractor as tb I c homoDv6mces agM (owners Who- seciinre. thdir own permits va.b cu e exdude# from the GuarantyFilnfi prwisi6 of L t 142 MGL d6upter 142 Number. cmunn- h.�, 24d'.9mtomoo, I b. E-Monm oft ner: / e,7.,9,3 - 3rM_MMMn �11 I - .1 61,3, 1 ?Oio PrOposed S an C11 "I n . 11 . Jil ei .1 :1 1 11 1 . I kh I ed "I I e be adh to Unless CiMma, 0 ' , TIM f6flowtog schtilule jX'M 1811 . e2 beyond the coutractar's Control arise Date - when cOnUactorwill begin contracted woflL 691. Z1_/ ft CM contracted wo�j"ww b w"em �-"-u` �IrPwil�-bstn c substan�timflly-no�jt_,d IvHumcr Mce and Payment Schedule The Contrattor agnees to perf . Orm the wart fim'A the Me . tCriH] a . lid ldb I or'sPxificd� above for the loll lutcof. Z% z Payments wiU-ije madt according to the joll OWingschedule: upon sigamg cOntract (not to exceed 113 of the total rOutra= price or the cost Of special order / S_ by or upon compi * ction of Itc-, Whichever is greater) Z izt- 0*)/1 11 . by or upon complexion of. UPOO completion of the cont=L (Law forbids demanditag full Tot foll"ag 7110�=JIUPIM= ninst.be . sp=gl Payment until contract is completed to-both'Pany'5 satiffaction) Ord -ed �Cforc thacezaramed wOtL b*. - be paid for to Mea tbe Completion sebeduir-f") . M Omer be paid fa -------------- NOTES: (-j including au rmaoc, cluo-ges t--) L. req— that any deposit M dov.,n_p 1101 -c-d the greater of (a) me4bird of1hr, t6tw.co, . aym=r requirtz by the traM Price or (b) the anwid contractor before wo& be�� may "�cll must be pecug ordered in advance to M1V the, complelion sch Cost of any SPWA21 eqWPM=t'OT edulp� CUSIUM Made nUg=,W MRS Warranm . .... Subcontractors Tjac coo eta No Ves r h r agrees to be s6lely responsible for oomplertion of the 1. �ed - the �_.. e Ja��, PartY/subcoutrMactDr uti r k of 'by the contractor- Th'001tractor' Co Ink and Wbor.under t 8g1--1 to be sd1elY responsible for. all payme the DrdOns Ofany third Utract Acceptance - Upon si - this ii nts, to an subcontractors for gmz;& ocument becomes a. binding ,,ntrart under law, cOzifr= sluill not imply that an), hCM Or Other Sectuity inwresthasbee placedonih, . Uni ffieTw carefullybrfort signing this contrBet 'n es' 0 "rooted within this docum,, the resu cc' P the following cautious and notiec, Dod'f 6 P=suTed Into ' IngliuIg the contract. Tike "k time to read and fun a so hes a Y understand it Ask questions if..m&big is =clear. MMMZ0=_CMr_ ill I I TIVC(ftent 0 -UbCbm`aCtOTE to be mLisuned with the Director ofHome, jjMnpr0vMM'UA"eZLM3ii% The law requires most hom negistration by w1iting Wthe Dirnetor at. C)ntAahburu)n place 03:1t C;on e uaPmvcm=t contractors and _, po u torkegistration' You "Y'nquirt about contractor Oro 1301, Boston, MA 02108 or by Dow the ca calling 611-727-3200 or Mractor have insurnece? Check to S= that your* Contractor. Know Your rights and responmbilities. Ren " Properly m-urd. Gui&�tO the d fite-impOrtant Informatioln on the nevem "O"IMPMm"ContractorLaw. r-sde Of Us form and get , copy of the Consumer You may canc�&] this Bgm==t if it has b,, rOnVHrtUr in writing.at M maincifficeor go 'ata Place other han the DOIUMCInes normal branch office by ondin Place ofbusiucas, provided you notify the the signing. ofthis a Iry Inail pdstod� by tclegmm Sent Or by delivery, not aL-r than m,dn, gre"oem See the attached - * not1cr Of cancellation ght of the DO T SIGN THIS ' ' I I I ............................. Fonn for—an. expi I CONMIZA IF . ... anation, ofthis right omaycaue�` u a7 b igned a 'thitzl business da. -ollow �raoch if t nag ' �n on e s, L f go -V �th ht f th IG 1 �9-1_ d=Tt= T S N S C CT D "he Mn— nmt b� Wncd an RE ARE ANY BLANk-S—PACESM, �d..d. ---PY-h0uJdg-W MM"= T a I ContmacT. liOl O%vseer�s Signature �gn C -7 ?9116 Ontractor's Signature Date 9 t, �? 2L - - ---------- JL'!U 117,0V ent Sam ontract. ! -Vement �amlple C This fOM gatiSfi= all basic requirements of flit stat --Is language to protect homeowners, Rome 'mP-Vmn ellf tontractor Seek legal advice it necmrary, L"'A'(MGL Chapter 142A), but does include Massaditmetts c not standard 9n&Umcr guide tahome improvcmcar before agree. -4-ny personPlatut'n. home im Office of consumer A mg to -P-==ts should first obtain a copy of.,, Bud Business kc9diation's Consume anYwOik On Your, resideacc. yo u W obtaina fi= jrLformaLtjon r HOU.� y ca g tj copy by llin 19,0110elowner Inform fion Inrat6l7-973,8797 --unloractor information onpany ame SoVel Address (do nbt.u=a post. office OX. .4 Tk AA&) A( IS Contra=or/stmperson! owner N., . -qfty/Town State zip Code usiness Ad --a Sucel addr=) ----------- 03yume.....- Evcasng Pboo !�7 b -t -1y, A own tud� The Contractor agrees in do the folipwi TMTRn-M. . �_d Mg work for the ts ' b Required perWts "e The following btdldiM. permits am mq mid will .1m unc, (0 W secured b� the contractor as tb I c homoDv6mces agM (owners Who- seciinre. thdir own permits va.b cu e exdude# from the GuarantyFilnfi prwisi6 of L t 142 MGL d6upter 142 Number. cmunn- h.�, 24d'.9mtomoo, I b. E-Monm oft ner: / e,7.,9,3 - 3rM_MMMn �11 I - .1 61,3, 1 ?Oio PrOposed S an C11 "I n . 11 . Jil ei .1 :1 1 11 1 . I kh I ed "I I e be adh to Unless CiMma, 0 ' , TIM f6flowtog schtilule jX'M 1811 . e2 beyond the coutractar's Control arise Date - when cOnUactorwill begin contracted woflL 691. Z1_/ ft CM contracted wo�j"ww b w"em �-"-u` �IrPwil�-bstn c substan�timflly-no�jt_,d IvHumcr Mce and Payment Schedule The Contrattor agnees to perf . Orm the wart fim'A the Me . tCriH] a . lid ldb I or'sPxificd� above for the loll lutcof. Z% z Payments wiU-ije madt according to the joll OWingschedule: upon sigamg cOntract (not to exceed 113 of the total rOutra= price or the cost Of special order / S_ by or upon compi * ction of Itc-, Whichever is greater) Z izt- 0*)/1 11 . by or upon complexion of. UPOO completion of the cont=L (Law forbids demanditag full Tot foll"ag 7110�=JIUPIM= ninst.be . sp=gl Payment until contract is completed to-both'Pany'5 satiffaction) Ord -ed �Cforc thacezaramed wOtL b*. - be paid for to Mea tbe Completion sebeduir-f") . M Omer be paid fa -------------- NOTES: (-j including au rmaoc, cluo-ges t--) L. req— that any deposit M dov.,n_p 1101 -c-d the greater of (a) me4bird of1hr, t6tw.co, . aym=r requirtz by the traM Price or (b) the anwid contractor before wo& be�� may "�cll must be pecug ordered in advance to M1V the, complelion sch Cost of any SPWA21 eqWPM=t'OT edulp� CUSIUM Made nUg=,W MRS Warranm . .... Subcontractors Tjac coo eta No Ves r h r agrees to be s6lely responsible for oomplertion of the 1. �ed - the �_.. e Ja��, PartY/subcoutrMactDr uti r k of 'by the contractor- Th'001tractor' Co Ink and Wbor.under t 8g1--1 to be sd1elY responsible for. all payme the DrdOns Ofany third Utract Acceptance - Upon si - this ii nts, to an subcontractors for gmz;& ocument becomes a. binding ,,ntrart under law, cOzifr= sluill not imply that an), hCM Or Other Sectuity inwresthasbee placedonih, . Uni ffieTw carefullybrfort signing this contrBet 'n es' 0 "rooted within this docum,, the resu cc' P the following cautious and notiec, Dod'f 6 P=suTed Into ' IngliuIg the contract. Tike "k time to read and fun a so hes a Y understand it Ask questions if..m&big is =clear. MMMZ0=_CMr_ ill I I TIVC(ftent 0 -UbCbm`aCtOTE to be mLisuned with the Director ofHome, jjMnpr0vMM'UA"eZLM3ii% The law requires most hom negistration by w1iting Wthe Dirnetor at. C)ntAahburu)n place 03:1t C;on e uaPmvcm=t contractors and _, po u torkegistration' You "Y'nquirt about contractor Oro 1301, Boston, MA 02108 or by Dow the ca calling 611-727-3200 or Mractor have insurnece? Check to S= that your* Contractor. Know Your rights and responmbilities. Ren " Properly m-urd. Gui&�tO the d fite-impOrtant Informatioln on the nevem "O"IMPMm"ContractorLaw. r-sde Of Us form and get , copy of the Consumer You may canc�&] this Bgm==t if it has b,, rOnVHrtUr in writing.at M maincifficeor go 'ata Place other han the DOIUMCInes normal branch office by ondin Place ofbusiucas, provided you notify the the signing. ofthis a Iry Inail pdstod� by tclegmm Sent Or by delivery, not aL-r than m,dn, gre"oem See the attached - * not1cr Of cancellation ght of the DO T SIGN THIS ' ' I I I ............................. Fonn for—an. expi I CONMIZA IF . ... anation, ofthis right omaycaue�` u a7 b igned a 'thitzl business da. -ollow �raoch if t nag ' �n on e s, L f go -V �th ht f th IG 1 �9-1_ d=Tt= T S N S C CT D "he Mn— nmt b� Wncd an RE ARE ANY BLANk-S—PACESM, �d..d. ---PY-h0uJdg-W MM"= T a I ContmacT. liOl O%vseer�s Signature �gn C -7 ?9116 Ontractor's Signature Date 9 t, �? 2L - - ---------- contractor Arbitration 7le Home Improvement Contractor Law provides homeownms with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically a3brd . ed to a contractor, however. The contractor would have to resolve amy dispute he/she has wi 'b0th panties'agree to fhe o th a'homeowner in court. tin] ess . PtionW claase Provided below, This clause would give the contractor the same right to arbitration as is afforded to the hOMeDwner'by the Home 1napTovement Contractof Law. The con=and Ahomeownpr hereby mutually agree in advance that in the7 event the contractor has a dispute g i CDJ c0incermn CD the contractor may submit the t thp , f .�SRute to a private arbitration firm which has been approved by 0 he Secretary of ecutive. Office of Consulfier Affairs and Business Regulation and the consumer §baD be aired Ch it: I , req ch itration as provided In Massachusetts G emera] La haptar 342A. Homeownter's Signatire Non.m.Thesignatures of the part I i only*t6 th e agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alterriative dispute resolution even Wherethis sectionis not I separately. signed by the parties. Homeowner's Ri6 A homeownes ri under the Home improvement Contractor Law (MGL chaptr r 142A) and other consumer ghts Proteciion law (i.e. MCIL chapter R3A) may not be waived m any way, even by agrr= ent However, homeowners may be excluded from ceitain.rights: if the contractor they clickose: is not propefly registered as prescribed by law. Homeowners who secure their own- building permits are autoinaticany excluded from all Pruaranty Fund provisions of - the Home ImproVM =t-Contractor'Law; The rontwtor is responsible for completing t4 w0fic as described, in.a timely and workmanlike manneir,, Homeowners maY be -entitled to oth er specific legal rights iftht; COntMCtDr guarantees. orpmvidest.n.express warramy for workiiianship ormaterial.s. In addition to guarantees or warr�nties provi . ded by the contractor, all goods sold in Massachusetts carry in implied vvarranty of merchantability and fitness. furo-parficular purpose. An mumaration of other niatters on whict t1le -homeowner and contractor lawfully 'agree maybe added to the terms Of the contract as long as they do mot restrict a homeo as your consumerlhomeowner rights, contact the Con . sum ' Wnef'sb icconsmnerri,ghts..'Yy6ti.hgvequestiom about Cr information Hotline (listed b6low�.._, Execution of Contract 71e, contract must be executed in dunlic and should not and referenced be signed.until a copy of a exhi documents have been attached. Parties are also advised not to sign the document until all blank sections have been fillid in or maiked as vaid, deleted, or not applicable. One be given to*the owner and the other kept by the contractor. Dri-ginil signed. copy of the contract with attachments is to Amy modification to the original contract must be in wfiting and agreed to by bo&parties. Contacted work may not begin until both parties have received a fully executed copy of the contract, and the three da'y'recission perriod has expired, Amel&at6d. Nyments A contractor may not demand payments it advance of the da,tes specified on the Dayment"sebedule in cases'where the homeowner deems him/hrrself to be financially insecure. HOwever,. in instances'whem a contmctor demns him/h=elf to be financially insecure, the contractor may require that the bal HnM Of funds not yet due be placed, in a joint escrow account as a prerequisite to continuing the cont=ted*wo& Withdrawal of funds from -said account -would require the signatures of both parties. Additional Inforumflon If You have general questions or need additional information ab out the Home Improvement Contractor Law or other consumariighu,. or ff you wish to -obtain a free copy of—A Consumer Guide to the Home Improvement -Contractor Lao," contact Consumer Infowaation, Hothm. Office of Consumer Affairs.and Business Regulation I 1 0 P ark Plaza,, Room 5 17 0, Boston, MA 02116 (617) 973-8787 or 4889) U33757 If you want to- verify the registration of a contractor Or if YOU bLave questions or need additional information specifically 'about the contractor registration component of the Rome Improvement Contractor Law, contact Director of Home Improvement Contractor Registration Bureau of Build�ing R69alations and Standards One Ashburton Place�, Room 1301, Bostor��KA 02108 (617) 727-3200. Or'180G-2223-0933 For assistance -with informal mediation of disputes or toregister formal complaints against a business, zan: . Consumer Complaint Section Office of the Attorney General (617) 727-8400 AND/0R - Better Business Bureau (508) 652-4800 (508) 75-5-2548 (413) 734-3114 Proposal HOMEOWNER: Liz Christopher LOCATION: * 851 Johnson St, N. Andover, MA , REGARDING: Bathroom Renovation, (both baths at same time) PREPARATION: Complete demo existing bathroom to exterior and interior studs removing both closets. Remove existing tile floor to sub floor. Existing exterior insulation, if any, will be removed and new R 15 will be installed in exterior walls. Remove bathroom entry door and trim. I" floor Bathroom window to stay in same location. 2 d floor window will be relocated to customers desired location. Build to finalized plan. DESCRIPTION: 2 nd Floor: Bathroom will be built to proposal below. Bath will be built t . o plan complete using customer supplied fixtures and tile. Window to be moved to plan location. I't Floor Bath: Bathroom will be built to proposal below. Bath will be built to plan complete i Using customer supplied fixtures, and tile. . Window location to stay. New window added. .Electrical- lt floor: Existing wiring will be inspected and tested for safety. 1 new low noise high cfin exhaust fan will be added and exhaust piped to the exterior of the house via insulated vinyl 4" hose. Fan will include dininier style programmable 60 minute timer. All light and electrical trim will be new and color matched to customer choice. I new recessed light will be installed in new bathroom area. Ne ' w "homerun" for GFI will be installed if existing run will not work. Vanity light will be wired and new customer supplied fixture installed during finish. Final electrical plan and fixture location will be discussedprior to rough, to ensure proper lighting. 2' floor: Existing wiring will be inspected and tested for safety. Remote mounted high cfin "FanTek" fan will be installed and piped to the exterior of the house via insulated vinyl 4" hose. Fan will. include dimmer style programmable 60 minute timer. All light and electrical trim will be new and color matched to customer choice. I new recessed light will be installed in new bathroom area. New "homerun" for GFI will be installed if existing r uln will not work. Vanity light will be wired and new customer supplied fixture installed during finish. Final electrical plan and fixture location, will be discussed prior to rough,to ensure proper lighting. , r Plumbing- This price includes plumbing for both baths complete. All piping will be replaced to the basement in both baths including removing cast stack and installing new PVC stack, water in ain as discussed with Phil. First floor toilet and sink can be moved to new plan if desired. Additional framing costs may be incurred if floorjoist boxing is necessary for toilet. All sink valve shut offs will be ball valve type shutoffs. Existing baseboard heat elem eints will be re . moved and replaced. Insulate pipes for noise and thermal' Walls/ceiling- Bath walls be replaced with blueboard and smooth skim -coat plaster. Ceiling will be of blueboard and smooth skim -coat plaster. I st floor Wainscoting will be of true 5/8 T&G Bead -Board with I x4 base molding and top sill cap. Tile: I s',floor: Standard, horizontal/vertical tiling to be applied. If diamond pattern, herringbone pattern or other. fancy tile installation patterns are used. additional labor costs may apply. 2 d floor: Standard, horizontal/vertical tiling to be applied. If diamond patte I rn, herringbone pattern or other fancy tile installation patterns are used additional labor costs may apply. All permits included in pricing. Structural, electrical and plumbing to be completed according to MA State building codes. Interior and exterior painting are not included in quote. Existing stairs, floors and entry will be covered to protect Estimated Cost as per quote: $19,702.50 Proposed Payment Schedule 1/3 down payment ( $6,500.00) $ 6,600 upon rough plumbing/electrical completion $ 3,300 upon Tile floor completion $ 3,302.50 upon completion Customer supplied fixtures, shower/tub surrounds, cabinetry and tile and will be on site. 00� arta Micaven Contracting� MA SCL-87608 HIC 143793 Phil Christopher