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HomeMy WebLinkAboutBuilding Permit #333 - 87 HAY MEADOW ROAD 10/23/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ?-7 , RA Print PROPERTY OWNER Daly tbado We-t5,5 Print 100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building e'One family ❑Addition 0 Two or more family ❑ Industrial O'Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �� �, 5 - �►'`°1 v � .ccs � ✓r► � Y ry ba4t,-vowi . bAdd lie,,,,) clos; f to 66(Shkia, nzkr1oav�n Identification Please Type or Print Clearly) �� 3� OWNER: Name: Pcttc w�i5s Phon�` Y Address: 27 CONTRACTOR Name. -.W 16,r tv Phone: 1cl7g)Y,65-'Std Address: Supervisor's Construction License: CS 65"(19' Exp. Date: Home Improvement License: i715a9 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: $ 14,6 c) b FEE: $ ✓ Check No.: �lG Receipt No.: y`-%0'o— NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature of ,A ent/Owner /n� g _g ��rurc, (J4.cin Signature of contractor�Ql�:f2o,�,,, Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 Siqnature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes c Planning Board Decision: Comments ",-,Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW'I'owu Engineer: signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 i 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 /6' Building Permit Application ❑ Certified Surveyed Plot Plan Workers Comp Affidavit /,X'Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract ❑ FIoor/Crossecti n/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 2012 qvLocation No. , Date Cf • - TOWN OF NORTH ANDOVER 11 ISI)`t ' • S��,t 'Sz�kgb" Certificate of Occupancy $ Building/Frame Permit Fee $` Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 25866 Building Inspector Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ - $ 385.20 -Plumbing Fee $ 48.15 Gas Fee 100 comm. $. 100.00 Electrical Fee $ 48.15 Total fees collected $ 581.50 87 Hay Meadow Road 333-13 on 10/23/2012 Renovate 2nd Floor Bathroom, Incorporate closet to enlarge master bedroom build new closet r 1NORTH . W" , s ss A ve" 1,. R� c o - Ins h ver, Mass, �� � d3• �� A- COC NIC"IWICK S V BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT PERNYT 40400! . ....... BUILDING INSPECTOR .............. .. ....... ...... ................... ........ ...... . . . . ..... ...... Foundation ...... . has permission to erect.......................... buildings on ...... ..... ..... .... � ..........�.... Rough to be occupied as .......... A41 .. .....6 .. ...0 ........... ............... ........ ......�„. ............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this,office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S S Rough Service ................ ........... Final BUILDING INSP CTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE 4- O O N � N � N O a ENDORSF H pE D-6515 26 = ' -20121017 Lo p ads 0000130428 a t-1 -BOS-414376 __ Q z•-1• ' ��. ((� va• .. . .. .tea, \ DO NOT WRITE,STAMP Oil SIG11 BELOW THIS ONE; "O A } 1 3'[9-MVED FOR Fit U NUN ttlarl l UTlG:4 U.'Z.3 O 43 >011000138<rlm °A CR PAYEE ACCT a - LACK END GTD o BANK OF AMERICA t ' 45 cn �1 Q` O U I c r r e i1J O Ln rti •wily coMFr�s istrylh3+a, no ,l d,rrcc4�cl htdu it r ci7�,lrr s. O Z.- 0t1 S curl 4'Fc fore^,; iicsu to of docutn nt [tet.ti.n: 3 `p 'Q ,h 05 rm t1Ct l Ill`•LR ilT mitt p• i,in, pP s N — E-t f ra 1s c1�1 d t,rn= t to I+Otaer c >+ •— Q t'+' 05 � GXhh,yS.n 1r•:P;err Stacn it .h+�f r .:yt>rry t�n�tii O'1 .txp Qw u� at nt YutyG�c,.t, Awxmr I t O 'x`�. G .'�-'. ■t vertu t on �i �- i...l:, .,3."1-..at...- •:r..As.,^^d'i<.L..:(,....y,4..c-.�..•r.. _i.r �, + � �• s,vxievmlx+w+ rcmue. d r-110FRAL RESERVE 130ARd OF GOVr-RtiOR.a Rr.(i.'CC UJ-. Massachusetts Dome Improvement Sam* We Contract This form satisfies all basic requirements of the s'tate's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard Ianguage to protect homeowners. Seek IegaI advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor I form tion Name Company Name pht(e W eAs5 (kbA" 0 � I 1fr 171A U Street Address Cdo not use a Post Office Box address) Contractor/Salesperson/Owner Name 9-7 HeakW R k City/Town State Zip Code Business Address(must include a street address) N(o ftKJ6Z4r/ 11 A `fb 6-f 6v�i- S f D•aytimePhone Evening Phone City/'Town State Zip Code 9 � 6 3 N�6Lk � a��51 Mailing Address(It different from above) Business Phoneg7 1ti66-_Vj LA Federal Employer M or S.S.Number HomeImprovementContmctorReg:Number Expiration date Law requires that mosthome /f f improvement contractors have i-7, �y 1�•'�/f Lj I valid registration number r The Contractor agrees to do the following worIt for the Homeowner: (Describe in details the workto completed,specifying the type,brand,and grade of materials to be used,use additional sheets ifnecessarv.) V►c�v P.)(IS�I�I�� 6G ✓ac7v— lfiEXIth 'C"rra e(Pct'/Va, � OA-e- LACtL, _-(4 1� Goy ova t. T-az W4vl, w\r( - pf0A Required Permits-The following building permits are required Proposed Start and Completioni Schedule-'The following schedule will and will be secured by the contractor as•the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits Will be excluded from the Guaranty Fund provisions of �® d '�Date when contractor will begin contracted work. MGL chapter 142A.) o Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of 3 2 i O(5 . 6 D Payments will be made according to the following schedule: $ O b D,00 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) by / / or upon completion of $ 6'd 0 by / / or upon completion of $ ,�1 a 6'00upon completion ofthe 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.('i'") $ to be paid for NOTE,&(4)Including all finance charges C*-*)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. Exnress•Warranty-Is an express warranty being provided by the cos fall terms ofthe warranty must be att•tehed 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 apr6ement 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. C Dontt be pressured into signing the contract.Take time to read and frilly 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 ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. 0 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. 0 I{now 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 b'r has been signed at lace other� a p r than the contractor's normal place of business,providedou notify the contractor in writing at his/her main offa cc or branch office b ordinary Y y ary mail posted,by telegram sent or by delivery,not later than midnight ofthe third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. D O NOT'SIGN=1 8 CONTRACT IF THERE ARE ANY]BB]LANI<SPACES r t t Two identical copies ofthe contract must be completed and signed. One copy should go to the homeowner. The other copy sltottldbe lceptby the contractor. Homeowner's Signa a Con actorGture 'Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners 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 afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Nome Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract;the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A.. �8Gam. au. J I Jx, Homeowner's Signature Contractor's SignaturEf NOTICE:The signatures of the parties above apply only-to the agreement of the parties to alternative dispute resolution initiated by the contractor: The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A) and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded'from.all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and worlananlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold-in Massachusetts early an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contractus long as they do not restrict a homeowner's basic consumer rights. Hyou have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document-until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments-is to the contractor. An modification to the.original contract must be in writing be given to the owner and the other kept by y � es. Contracted work may not begin until both parties have received a fully executed copy of and agreed to b both arts y gin b'r Y p the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the.payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oint escrow account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said account wound require the signatures of both parties. Additional Wormation ,If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at hitp://vrwtiv.mass..gov/oC,,'Lbr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visitthe 13[C website at littp://www.tnass.gov/oclbr/ Go online to view the status of a Home Improvement Contractor's Registration: hti-l�://db.state.ma.us/li.omeimurovem ent/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, calx: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LegiblyName (Business/Organization/Individual): W o M--v,-v% � !1 . Ta!, UI/ o(n(0( Address:__q6 6 HaAoyelt- City/State/Zip:�p a~Jb k.'y HA D195-1 Phone#:(gy j 1?) (46,5`104 Are you an employer?Check the appropriate box: Type of project(required): 1.[r I I am a employer with f 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.# ? Z 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.F1 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. [No workers' comp.insurance required.] 1311 Other xAny applicantthat checks box#1 must also fill out the section below showing their workers'compensation policy information. P Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. F am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. assurance Company Name: '75ya IV-0—le Ys -1el s ?olicy#or Self-ins.Lic.#: -/� Expiration Date:_ lob Site Address:_ F-) f� �� �Gl City/State/Zip:NO M A attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ,ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby certi&under thepains and penalties ofperjury that the information provided above is true and correct signature: k/1 ice, - C Date: 00 /a 'hone#: 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#: 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 or 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 or building appurtenant thereto shall not because of such employment be deemed to be an 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 until 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),address(es)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 may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's p 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 1-877-MASSAFE Fax#617-727-7749 Etevised 5-26-OS 'umiriv mace crnv/11ia Required Contract Terms Page 1 of 2 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Home Improvement Contracting> .........................................................................................I............................... Required Contract Terms • , L 4' Contracts-all contracts over 51,000(One Thousand Dollars)must be in writing. NEWS&UPDATES The law requires the following FOURTEEN items to be included in any contract between a homeowner and a OCA Survey Finds One in Five registered home improvement contractor for home improvement work subject to MGL c.142A: Home Improvement Contractor 1. The complete agreement between the contractor and the owner and a clear description of any other documents Advertisements Placed by which are part of the agreement. Unregistered Entity 2. The full names,federal I.D.number(if applicable),addresses(NOT P.O.Box numbers),of theP arties the More... contractors registration number,the name(s)of the salesperson(s)involved,if any and the date the contract was executed by the parties. Subscribe I Leam more 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. RELATED LINKS 4. A detailed description of the work to be done and the materials to be used. Yon Gid Konsomate 5. The total amount agreed to be paid for the work to be performed under the contract. Massachusetts you Reparasyon 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, nan Kay including any finance charges.Any deposit required to be paid in advance of the start of the work SHALL NOT C 0 H O G G G D C H❑i 1 0 exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom Guia para el Consumidor de made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on Massachusetts para Mejoras en schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. el Hogar 7. All parties must sign the contract. Guia para el Consumidor de 8. A clear and conspicuous notice stating: I Massachusetts para Mejoras en I el Hogar a.That all home improvement contractors and subcontractors shall be registered and that any inquiries about a t contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone:(617)973-8700 b.The contractor's registration number must be on the first page of the contract. c.The homeowner's three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d.All warranties on the owner's rights under the provisions of and MGL c.142A. e.In ten point bold type or larger,directly above the space provided for the signature,the following statement: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. f. Whether any lien or security interest is on the residence as a consequence of the contract. 9. An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10. Any other provisions otherwise required by the applicable laws of the Commonwealth. 11. Permit Notice:Every contract shall contain a clause informing the owner of the following: a.any and all necessary construction-related permits; b.that it shall be the obligation of the contractor to obtain such permits. c.that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access_to the Guarantee Fund. Required Contract Terms Page 2 of 2 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the balance not yet due maybe declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute,the contractor wishes the dispute to be settled by arbitration,this fact must be signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable(in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs andBusiness Regulation andthe consumer shall be required to submit to such arbitration as provided in MGL c I42A. Owner: Contractor: y NOTICE: The signattures of the parties ove apply,only,to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties." ©2011 Commonwealth of Massachusetts �.._.. --------------- 0 ------------------------------------------------ ye • A= N 2r' 30" 27 Le4 T 4 U 302 X 90 AS BT �m k Q OJ - i cl O N x X . X V C N i i c) O co 41----------------- ----- - X 0 D C T8 m ti 70i_ 128 T2412 X 90 A D (DL�J N ------------ ------ r r r M i • a rr 91. v 20" " 9" sa t , M 849" r ` m n , \ f 60-SHWR I / 24;6" m 342134:4 22134:4 221 rV. LF '� ' MC2430 -MC2430 72a" —60" " a" 135=" 208" All dimensions size designations This is an original design and must Designed:7/12/2012 given are subject to verification on not be released or copied unless Printed:7/12/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. I 7120747a I All 15=g#: 11 No Scale. --------------- LA) 0 ------------------------------------------- �e , O • N i f----27"—T--30"---T--27 "•' UT3024 X 90 AS BT C - Q w ": - I - X x - 4 ce it{ C iii O O ~ OD fir F 7 A x Jr-- _._ .____-. O O d' N O i 128 T2412 X 90 A p p > - N e Vv- 1J ( o BArH - x� 00 --WPL-963 q _ CO y� — 6s i w i - p , • I • ' 60-SHWF2 O __ ---------------- A __ ___ _,.4 22134,:4 221 : ' r w N V MC2430 MC2430 72a" 0" 208" All dimensions size designations This is an original design and must Designed:7/12/2012 given are subject to verification on t not be released or copied unless Printed:7/12/2012 job site and adjustment to fit job ` applicable fee has been paid or job conditions. order placed. 7120747a All Drawing#: 1 No Scale- Z�\ Office of Consumer Affairs R Business Regulation q- c HOME IMPROVEMENT CONTRACTOR C,Registration: 171529 Type: Expiration: _3/27/2014 DBA OUL-D TOWNE BUILDERS WORTHEN TAYLOR til 46 HANOVER ST 4 NEWBURY, MA 01951 Undersecretary P- elassachusew,- Deparimcnt ol'Puhlic Satet,. Board of Buildin!- Rc2ulatittns.�tntl-,Standards 'Construction Supervisor -License r License: CS 65189-- Restricted to.. 00 r -~- _ WORTHEN H TAYLOR III 46 HANOVER ST NEWBURY, MA 01951 —G- -� Expiration: 2/10/2012 y:4: nuniseincr Tr#: 19718 FROM (THU>00T 18 2012 9:08/ST. 9:07/No. 9303484999 F- 2 ISI OULDT-2 OP ID: KQ CERTIFICATE OF LIABILITY INSURANCE DAT1011 DDfYYYY) 10/18112 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 endorsement(s), CONTACT PRODUCER Phone:978-465-5301 NAME: Arthur S Page Insurance Agency Fax•978 462-0890 PHONE FAX 57 State St AIC No AIc No): _ Newburyport,MA 01950 AD RESS: None INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Norfolk$Dedham Mutual 23965 INSURED Ould Town Builders INSURER 0;Travelers Property Casual 46 Hanover St. Newbury,MA 01951 INSURERC: INSURER D: INSURER E.- INSURER :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 TYPE OF INSURANCE A U POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMID MWD j GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00( _ A COMMERCIAL GENERAL LIABILITY R0413033 02/10/12 02/10113 DAMAGE TO RENTi_U PREMISES Ea occurrence s 50,00 CLAIMS-MADE F—I OCCUR MED EXP(Any one person) s 5,00 X Business Owners PERSONAL 8 ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2.000,00 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,00 POLICY PRO-JECT LOC s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Me accident, ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY .(Per accident) S NON-OWNED PROPERTY DAMAGE s HIRED AUTOS AUTOS Per accident _ E UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY B i ANY PROPRIETOR/PARTNER/EXECUTNE YIN /N3697T29612 05106112 05/06113 E.L.EACH ACCIDENT s 100,00 I OFFICER/MEM8ER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 PROPERTY 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more apace Is required) CARPENTRY CERTIFICATE HOLDER CANCELLATION TOWNN-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 1600 Osgood St AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Ac /�OQ ©1199808•-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD