HomeMy WebLinkAboutBuilding Permit #416-12 - 9 ROCK ROAD 11/16/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: V(l Date Received
Date Issued: Y`
IMPORTANT:Applicant must complete all items on this page
LOCATION
q- /eeGle-
Print ,_j h
PROPERTY OWNER �Gy/T /JecrS Unit#
Print
MAP NO:_PARCEL ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building Kone family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Septi ® ell + ®BloodplainzL We l7dsY�at�il g�e -• ' ,.1 � 1
DESCRIPTION OF WORK TO BE PERFORMED:
(Identification Please Type or Print Clearly)
OWNER: Name: n.0 N CA u 0 0 Phone:
Address: C'/ ccX k /Jb r4 A/. J00Ckj�G�e G
CONTRACTOR Name: 9, C y`fl i'' Dco U Phone: 9- tPS o q- -2
r t
Address: 6 1J C cgc� i4W C\ ��d�� 6J CQ
Supervisor's Construction License: 47o t (o Exp. Date:
Home Improvement License: l0 il& fk Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED G'OST BASED ON$925.00 PER S.F.
7i
Total Project Cost: $ FEE: $_
Check No.: 4-,3 d d �/ 4K7 �- Receipt No.: 0
NOTE: Persons contracting with unregistered contractors do not have access th uaranty fund
� s+was- r:c-�a-g' v �vxcs. +�Rf� a a{ +- i z __ a+�. �-. �a.�rrF-e— • �{+ ____
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Signature.ofAgentlOwner .. : � Signafure ofLcontra
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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
9 g .
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
P p q g
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)
a 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
i
❑ 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 f
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
i
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 ❑ ❑
i
COMMENTS
CONSERVATION Reviewed on Signature
. COMMENTS
HEALTH Reviewed on Signature
COMMENTS
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
ti.
DPW Town Engineer: Signature: r'
Located 384 Osgood 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 2011 June/mi _
I '
i
Location I !�f� �"0� ��-
No. Date
NORTH TOWN OF NORTH ANDOVER
O ,
9 x
x Certificate of Occupancy $
' ♦ i
s�cMus t� Building/Frame Permit Fee $ w
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
v32�S/
Check # 1/7 ,
248 ; 7 Building Inspector
`AORTH
Town of ~.., -
,., ndove
r
0
o , dower, Mass., -
tOC HIC HE WICK
�.
33 BOARD OF HEALTH
Food/Kitchen
. .PERMIT
Septic System
THIS CERTIFIES THAT.................S.&V.!.' ...................��......
BUILDING INSPECTOR
.... . .................
..........
has permission to erect.......... ...... buildin s on //
Foundation
. . .. .. .... .. .
to be occupied as...............
provided that the person acce"��ih%
Chimney
md shall m every respect c form to the terms of the application on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in the Town of North Andover.
VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR
Rough
ERMU EMPIRES I V 6 MONTHS THS Final
0!?P40, 1
UNLESS �ONSTRI�C v ELECTRICAL INSPECTOR
TS
Rough -
................ ......... ............. .......................................... Service
...........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE-DEPARTMENT
Burner
Street No.
SEE REVERSE SIDE Smoke Det.
14 lssactlu setts Department of Public Saco
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 47056
MARCOS A DEVERS =;
16 WOODLAND ST
LAWRENCE, MA 01841
Expiration: 10/25/2013
f'+rtrunf«ivxer Tr#• 5685
(�//+L/ ��JJ ������ .
✓!iQ ZG69ftOX49Kt/PflU✓t u
Office of Consumer Affairs R Business Regulation
7.mOME IMPROVEMENT CONTRACTOR
;`- Registration: 106698 Type:
- Expiration: 7_/24/2012 Private Corporatioi,
ar
MD7INC.
Marcos Devers
61 WOOD LAND STREET
LAWRENCE,MA 01841 ttndcrsccretar
Ni:Wl hW1=AL H O UA A I'•Ell 1=175
15!w7uZ'r a:I�IX':71ta1't s_ I �r S�9cna ,?7,i:i► N At
IN ENGlNEEFtING — I �1
REG/PROF CIVIL ENGINEER
15SVES THE ABOVE LICENSE TO { 1
MARCOS A DEVERS
16 WOODLAND ST
LAWRENCE MA 01841-2315
33848 06/30/12 791763
1
' C•:t33,'.T•Y3,� sir;r�Mc7�i�t�.:+= ��:Trt ::•i
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MD3 Engineering&Construction 16 Woodland St
MDJMarcos A.Devers,P.E. Lawrence Ma.01841
R.P.E.LA 33848 C.S.L.#:47056 T:978-804-7588 978-685-5691
®�• a ® ' / H.I.C.L.#106698 E-mail:marcosdevers@,gmaii.com
& Steven Cuevas Handyman
1.1/16/2011
Building Repair Proposal
Owner: Scott Deas Job Site: 9 Rock Street
Address: 9 Rock Street North Andover,MA 01845
North Andover,MA 01845 Use: Residential
Construction Type:Wood-Framed Structure
Job Breakdown and Cost:
I
Materials Labor Subtotal
&Equipment
1. Roof
a. Strip one layer of shingle roof
b. Install new shingle roof
$2,700.00 $2,902.63 $ 5,602.63
2. Clean Up
a. Removal and disposal of demolition and construction debris
$ 600.00 $ 300.00 $ 900.00
3.Miscellanous
a. Permit
b. Overhead $ 379.53
$ 117.84
Totals $3,300.00 $3,202.63 $7,000.00
All home improvement contractors and subcontractors shall be
registered and any inquiries about a 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 012116
Phone: (617)973-8700
The homeowner is entitled to his/her)three-day cancellation period
under MGL c 93 s48,MGL c140D or 255D s14 as may be applicable.
The owner has all warranties on the owner's rights under the
provisions of and MGL c. 142A.
Total Amount to be paid for the work to be performed under the contract is $7,000.00
The Job will be completed within 30 business days.Beginning within 5 business days after the
closing date and completed within 30 business days thereafter
The contractor will obtain all necessary construction permits.
Owners who secure their own construction-related permits or
deal with unregistered contractors shall be excluded from access to the
Guarantee Fund
Schedule of Payment According to the following:
50%of Documented Renovation Hard Costs for Initial Disbursement of Funds
50%of Documented Renovation Hard Costs&Labor for Final Disbursement of Funds Upon Completion
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
The contractor and the owner 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 and Business Regulation and the
consumer shall be required to submit to such arbitration as provided
in MGL c. 142A
Owners: Date:
Young WIF
Contractor: Date:
MDJ Incorporated repre ented by , a os A.D ers teven Cuevas
a
The Commonwealth of Massachusetts Print Form
Department of Industrial Accidents
Office of Investigations
I Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Ay2licant Information _ Please Print Legibly
rlalrie(Business/Organization/Individual):
MDJ Incorporated
Address: 16 Woodland Street
City/State/Zip:Lawrence,MA 01841 Phone#: 978-804-7588
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 3 4. ❑ i am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. a Remodeling
ship and have no employees These sub-contractors have g, ®Demolition
employees and have workers
workingfor in an capacity.
Y P tY2 9. F1 Building addition
[No workers'comp.insurance comp,insurance.
required.] 5. We are a corporation and its 10.El Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.',❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees.(No workers' 13.[1 Other
comp.insurance required.)
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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.
Insurance Company Name:Continental Casualty Insurance Co.
Policy#or Self-ins.Lie.#:0417N57511 Expiration Date:4/24/2012
Job Site Address: I C,)t 15:T City/State/Zip: & �&UayezL
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 again tItviolator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the on.
I do hereby cern .und nd enalties u th the in ormation provided Above is true and correct.
Si afore. Date
Phone#:978-804-7588
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#:
COMMONWEALTH OF MASSACHUSETTS Page 3 of 3
6.1 hereby affirm that the information contained in this complaint package is true and accurate to the best of my knowledge and belief.
Signed under pains and penalties of perjury:
Signature Date
7.Please submit the complaint application,and all supporting documentation,e.g.,building application,court judgments,contract,
photographs(limited to 5 photographs),and the like(the documents or photographs should NOT be stapled)to:
Office of Consumer Affairs and Business Regulation
Program Coordinator HIC Complaint Program
10 Park Plaza,Suite 5170
Boston,MA 02116
3
i
I
i
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COMMONWEALTH OF MASSACHUSETTS Page 1 of 3
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COMMONWEALTH OF MASSACHUSETTS
OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION
Ten Park Plaza, Suite 5170
Boston, Massachusetts 02116
Phone (617) 973-8700
Fax: (617) 973-8799
Home Improvement Contractor
Complaint Form
M.G.L.CHAPTER 142A&201 CMR 18
To file a complaint against a home improvement contractor,you must fill out this form completely and submit it to
the Office of Consumer Affairs and Business Regulation("OCABR").OCABR will review all complaints.The
submission of a complaint will not automatically result in a hearing against a contractor. If OCABR determines that
your complaint is appropriate for a hearing,your complaint may result in disciplinary action against the contractor's
registration and/or administrative fines.You will be notified in writing if a hearing is scheduled to address your
complaint.You will be asked to testify at that hearing. Please refer to the OCABR website(www.mass.gov/oca)for
additional information about OCABR's home improvement contractor complaint process.
FILING A COMPLAINT WITH OCABR WILL NOT RESULT IN A MONETARY AWARD FOR YOU.IF YOU
SEEK A MONETARY AWARD,CONTACT OCABR'S ARBITRATION&GUARANTY FUND PROGRAMS.
1 .Your information:(Please type or print neatly)
Name:
Current address:
Address of building at issue:
I
Number of dwelling units in the building at issue: Is it a residential property?(circle) Yes No
Is the building at issue our rima residence or did you intend for it to become our rima residence? circle Yes No
I 9 Y primary Y Y primary (circle)
Day phone:( ) Fax:( ) E-mail
2.Contractor Information:
Contractor name:
Business name(if any):
Business address:
Phone:( )
Date contract signed: / / Amount of contract:$
Home Improvement Contractor Registration(HIC)#
To the best of your knowledge,has the contractor filed for bankruptcy?(circle) Yes No
3.Other Information:
If you have included photographs with your complaint,do you want OCABR to return them to you later?(circle) Yes No N/A
1
4.Complaint Information: Please circle the number of any of the following acts that you allege took place in your dealings with the
contractor. You must circle at least one allegation.
1.Operating without a certificate of registration;
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COMMONWEALTH OF MASSACHUSETTS Page 2 of 3
2.Abandoning or failing to perform,without justification,any contractor project engaged in or undertaken by a registered contractor
or subcontractor,or deviating from or disregarding plans or specifications in any material respect without the consent of the owner;
3.Failing to credit to the owner any payment they have made to the contractor or his salesperson in connection with a residential
contracting transaction;
4.Making any material misrepresentation in the procurement of a contract or making any false promise of a character likely to
influence,persuade or induce the procurement of a contract;
5.Knowingly contracting beyond the scope of the registration as a contractor or subcontractor;
6.Acting directly,regardless of the receipt or the expectation of receipt of compensation or gain from the mortgage lender,in
connection with a residential contracting transaction by preparing,offering or negotiating;or attempting to or agreeing to prepare,
arrange,offer or negotiate a mortgage loan on behalf of a mortgage lender;
7.Acting as a mortgage broker or agent for any mortgage lender;
B.Publishing,directly or indirectly,any advertisement relating to home construction or home improvements which does not contain
the contractor's or subcontractor's certificate of registration number or which does contain an assertion,representation or statement of
fact which is false,deceptive,or misleading;
9.Advertising in any manner that a registrant is registered under this chapter unless the advertisement includes an accurate reference
to the contractor's or subcontractor's certificate of registration;
10.Violation of the building laws of the commonwealth or of any political subdivision th4(r9i*r complaint alleges structural
violations of Massachusetts State Building Code,those allegations will be referred to the Board of Building Regulations
and Standards(BBRS), within the Department of Public Safety(DPS),for possible action against the contractor's
construction supervisor license or you may proceed by filing your own separate complaint to DPSBBRS
11.Misrepresenting a material fact in obtaining a certificate of registration;
12.Failing to notify the OCABR of any change of trade name or address as required by section thirteen;
13.Conducting a residential contracting business in any name other than the one in which the contractor or subcontractor is registered;
14.Failing to pay for materials or services rendered in connection with his operating as a contractor or subcontractor where he has
received sufficient funds as payment for the particular construction work,project or operation for which the services or materials were
rendered or purchased;
15.Failing to comply with any order,demand or requirement lawfully made by the administrator or fund administrator under and
within the authority of this chapter;
16.Demanding or receiving payment in violation of clause(6)of paragraph(a)of section(2),which states:"Any deposit required
under the contract to be paid in advance of the commencement of work under said contract shall not exceed the greater of one-third of
the total contract price or the actual cost of any materials or equipment of a special order or custom made nature,which must be
ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall
be demanded until the contract is completed to the satisfaction of the parties thereto;"
17.Violating any other provision of Chapter 142A. (Please specify below)
a.Failing to present the homeowner with a written contract for residential contracting work exceeding$1,000 as required by
section 2
b.Failing to include required terms in a written contract for residential contracting work exceeding$1,000 as required by
section 2
c.Other provisions of Chapter 142A(please specify in your detailed narrative in Section 5 of this form)
2
6.Please provide a detailed narrative of the acts or omissions committed by the contractor that lead you to file this complaint.If
necessary,please attach any additional pages. Your complaint will not be processed without a detailed narrative.
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COMMONWEALTH OF MASSACHUSETTS Page 3 of 3
6.1 hereby affirm that the information contained in this complaint package is true and accurate to the best of my knowledge and belief.
Signed under pains and penalties of perjury:
Signature Date
7.Please submit the complaint application,and all supporting documentation,e.g.,building application,court judgments,contract,
photographs(limited to 5 photographs),and the like(the documents or photographs should NOT be stapled)to:
Office of Consumer Affairs and Business Regulation
Program Coordinator HIC Complaint Program
10 Park Plaza,Suite 5170
Boston,MA 02116
3
f
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COMMONWEALTH OF MASSACHUSETTS Pagel of 3
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was last cached.To see what might have changed(without the highlights),go to the current pace.
You searched for:hic complaint form We have highlighted matching words that appear in the page below.
Yahoo!is not responsible for the content of this page.
Microsoft Word-HIC Complaint Form 9.8.1 l.doc -
COMMONWEALTH OF MASSACHUSETTS
OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION
Ten Park Plaza, Suite 5170
Boston, Massachusetts 02116
Phone (617) 973-8700
Fax: (617) 973-8799
Home Improvement Contractor
Complaint Form
M.G.L.CHAPTER 142A&201 CMR 18
To file a complaint against a home improvement contractor,you must fill out this form completely and submit it to
the Office of Consumer Affairs and Business Regulation("OCABR").OCABR will review all complaints.The
submission of a complaint will not automatically result in a hearing against a contractor. If OCABR determines that
your complaint is appropriate for a hearing,your complaint may result in disciplinary action against the contractor's
registration and/or administrative fines.You will be notified in writing if a hearing is scheduled to address your
complaint.You will be asked to testify at that hearing. Please refer to the OCABR website(www.mass.gov/oca)for
additional information about OCABR's home improvement contractor complaint process.
FILING A COMPLAINT WITH OCABR WILL NOT RESULT IN A MONETARY AWARD FOR YOU.IF YOU
SEEK A MONETARY AWARD,CONTACT OCABR'S ARBITRATION&GUARANTY FUND PROGRAMS.
1 .Your information:(Please type or print neatly)
Name:
Current address:
Address of building at issue:
Number of dwelling units in the building at issue: Is it a residential property?(circle) Yes No
Is the building at issue your primary residence or did you intend for it to become your primary residence?(circle) Yes No
Day phone:( ) Fax:( ) E-mail
2.Contractor Information:
Contractor name:
Business name(if any):
Business address:
Phone:( )
Date contract signed: / / Amount of contract:$
Home Improvement Contractor Registration(HIC)#
To the best of your knowledge,has the contractor filed for bankruptcy?(circle) Yes No
3.Other Information:
j If you have included photographs with your complaint,do you want OCABR to return them to you later?(circle) Yes No N/A
1
4.Complaint Information: Please circle the number of any of the following acts that you allege took place in your dealings with the
contractor. You must circle at least one allegation.
1.Operating without a certificate of registration;
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COMMONWEALTH OF MASSACHUSETTS Page 2 of 3
2.Abandoning or failing to perform,without justification,any contractor project engaged in or undertaken by a registered contractor
or subcontractor,or deviating from or disregarding plans or specifications in any material respect without the consent of the owner;
3.Failing to credit to the owner any payment they have made to the contractor or his salesperson in connection with a residential
contracting transaction;
4.Making any material misrepresentation in the procurement of a contract or making any false promise of a character likely to
influence,persuade or induce the procurement of a contract;
5.Knowingly contracting beyond the scope of the registration as a contractor or subcontractor;
6.Acting directly,regardless of the receipt or the expectation of receipt of compensation or gain from the mortgage lender,in
connection with a residential contracting transaction by preparing,offering or negotiating;or attempting to or agreeing to prepare,
arrange,offer or negotiate a mortgage loan on behalf of a mortgage lender;
7.Acting as a mortgage broker or agent for any mortgage lender;
8.Publishing,directly or indirectly,any advertisement relating to home construction or home improvements which does not contain
the contractor's or subcontractor's certificate of registration number or which does contain an assertion,representation or statement of
fact which is false,deceptive,or misleading;
9.Advertising in any manner that a registrant is registered under this chapter unless the advertisement includes an accurate reference
to the contractor's or subcontractor's certificate of registration;
10.Violation of the building laws of the commonwealth or of any political subdivision thdfrwlo r complaint alleges structural
violations of Massachusetts State Building Code,those allegations will be referred to the Board of Building Regulations
and Standards(BBRS), within the Department of Public Safety(DPS),for possible action against the contractor's
construction supervisor license or you may proceed by filing your own separate complaint to DPS/BBRS
11.Misrepresenting a material fact in obtaining a certificate of registration;
12.Failing to notify the OCABR of any change of trade name or address as required by section thirteen;
13.Conducting a residential contracting business in any name other than the one in which the contractor or subcontractor is registered;
14.Failing to pay for materials or services rendered in connection with his operating as a contractor or subcontractor where he has
received sufficient funds as payment for the particular construction work,project or operation for which the services or materials were
rendered or purchased;
15.Failing to comply with any order,demand or requirement lawfully made by the administrator or fund administrator under and
within the authority of this chapter;
16.Demanding or receiving payment in violation of clause(6)of paragraph(a)of section(2),which states:"Any deposit required
under the contract to be paid in advance of the commencement of work under said contract shall not exceed the greater of one-third of
the total contract price or the actual cost of any materials or equipment of a special order or custom made nature,which must be
ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall
be demanded until the contract is completed to the satisfaction of the parties thereto;"
17.Violating any other provision of Chapter 142A. (Please specify below)
a.Failing to present the homeowner with a written contract for residential contracting work exceeding$1,000 as required by
section 2
b.Failing to include required terms in a written contract for residential contracting work exceeding$1,000 as required by
section 2
c.Other provisions of Chapter 142A(please specify in your detailed narrative in Section 5 of this form)
2
5.Please provide a detailed narrative of the acts or omissions committed by the contractor that lead you to file this complaint.If
necessary,please attach any additional pages. Your complaint will not be processed without a detailed narrative.
http://74.6.23 8.254/search/srpcache?ei=UTF-8&p=hic+complaint+form&fr=yfp-t-471&u=http://cc.bin2i.com/... 11/21/2011