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HomeMy WebLinkAboutBuilding Permit #245 - Exception 9/27/2012 BUILDING PERMIT N0RTF1 q �tllC �6 t � TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION00 t� Permit NO:o) Date Received �RgRy,y* �SSACHU`''�`( Date Issued: �� 172,-' IMPORTANT:Applicant must complete all items on this page .it.t.:a4! rs e'er .'A�Lf�t''.�'1'!. `' ��{- -ryik �,"_ fj�•+.,�'P'?.' f tea iE+�} ti- �t y"44. Z , iF x 4 � c� tib` k tt F.' r s Fi.3 S+ 4^y Si ? .'7 t plc 4y f �``...aw..C �L 'i� �.e.: � .�` sh f►x LO.CA�TION <.� , ��p:; C, I, Cyz►r `►� `� T°��'°"" `�2+;: t.a"eT��'y`" `'�,.,�� ~Pnnt�.F°� x`'"'�' ' 'C:+ �`�"�f`-' �' € -y� � q�1'�"`�'�?'t"-C��,�•��"r �r PR®°PERTYOVIINER �'�"y2 •£'_;'.`ta�ri�'.�.��....,�"�1`�,��`L` "r�'-" xw. R..Pnrlt ire.� r 1',.ap � r A-. } fig, `�iT.{{�,--.-- xt a �!F �hiv,M MAP TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial repair, replacement Assessory Bldg Others: Demolition _ Other UD'iriSpFtle � Wa &Ii s� #raG ` DESCRIPTION OF WORK TO BE PREFORMED: 31x �( Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: 'w}7% nw •�'f } A, Mfg ) y.±�iM- A -x NTRACT®RNa e �:�, �C�z N 1. { C,Cr� Phone;yw, w y. f' 1�da� iZ ; � �- 4``: � �.�"A�A', i �E � .�,•P y - .r.Y �..' r•'y ,:�k t � �♦ ry �r�+ Fra °�.��► � - . ,,t;;-�.-�"�tv-",k� ,`�;..[ �. . �, aCng ..��s f � p 4 Exp Dates l` Su ervisor�s Construction License L .c�G J ,�,� - ,3 r.� } a•�E�s'Y`q ... `� ''�,�,F � V'�N' .nt�Lcensen�... J.<aSn = , r I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 93)0 -- FEE: $ -!26- Check No.: Receipt No.: eQ3_9_; NOTE: Persons contracting with unregistered contractors do not have access to the guar fund Si nature of A ent/Ovvners __ ......_ 9 .._ .- ` trfi „Signature of contractor L . . . LocationM. � . . . . � . . No. . Date \ ® ' » TOWN OF NORTH ANDOVER . _ x� ' « »: 77", \ Ce %meof Ocup n y r $ B|ghgFamePritFe FunalonPr|! Fe � $ . 2°»» Other PrRF e $ © . TOTAL Check* 25758 . Building Inspector \ «© \ 2 \ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS I 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 DPW Town Engineer: Signature: Located 384 Osgood Street .1''s€. 4F1. ?r r;irt t++bx •a'ofpo,?�."1B1'� WGY ,r,•< ��r t 'a^�,fN> Y FIRE bEPARTMENTemp Dumpster on site"yesF 'x$& {� * not :'' ' 4Located at 124MainStreet' - Fire Departm nt signatureldate uv x; 4""�-'�'�" E COMMENTS_ AIe 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) EI Notified for pickup - Date Doe.Building Permit Revised 2008 1 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or. Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then.get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 i Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: NICOLE GARABEDIAN and STEPHEN GARABEDIAN Property Address: 180 CHICKERING RD UNIT 110,NORTH ANDOVER, MA Policy Number: HMA 0281652 Claim Number: BOS00031340 Date of Loss: 8/10/2012 Company: Safety Insurance Company j Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. -- Allan Leavitt_ _Claim_Examiner --- 8/20/2012 - Safety Insurance Company. Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 Email: AllanLeavitt@Safetylnsurance.com NORTFf Town ,oftAndover Q - 0 No. �A�. h ver, Mass, a 2 COCMICNl WICK y1. rea ►P��'�y S V BOARD OF HEALTH Food/Kitchen PERMI T LD Septic System • THIS CERTIFIES THAT ....................Ilr�: �c ... ... ....... . ............C�j...&!*..� .�. �............. BUILDING INSPECTOR Foundation has permission to erect ....... .................. buildings on ..� ...... �L.. i►. ... .. .... i../...... � Rough tobe occupied as ............ ....... .w.l:�......... ..... .�.�........���.....�....-�.... ............ chimney provided that the person acceptin his 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 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TA S Rough Service .............. ..... ........................ .. ........ Final BUILDING INSP TOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 B%IS/201.2: 12 58 PM FROM: Gilbert Gilbe"rt Insurance Agency .Inc: T0: +_1 (978)';682-3231 PAGEe 001 OF'002 / DATE(MMIDDIYYYY) 1 P,RODUCD" CERTIFICATE OF LIABILITY INSURANCE o8/ls/zo12 ., (781);942 2225 TAX".(781);942-2226• THIS CERTIFICATE IS ISSU.ED AS A;';MATTER OF'INF;ORMATION Gilbert.Inslarance_A enc In ONLY ANDCQNFERS NORIGHTS'%.0 ON-T g y, c P HE CERTIFICATE 137 Main Street HOLDER IS,CERTIFlCATE DOES NOT AMEND,EXTEND OR ALTER.7HE.COVERAGEAF.FORpED BYTHE.POLICIES BEL•'OW ' Reading, MA 01867-3922. INSURERSAFFO.RDING GQVERAGE `INSURED :Kenneth Keen `& Robert ,Keen INSLIRERA. NORFOLK=& DED HAM JNSPRAN.CE T23965`` DBA KeDBA ion iaERmB, T'ravel.ers Insurance 21Hewitt. 41';, INsuRER'c., North',Andover:, MA 01845 iNsuRERD � - JNSURER E - G THE POLICIES OF INSURANCE LISTED BELOW;HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR>THE POLICY PERIOD_INDICATED NOTWITHST " ANDING ANY^REQUIREMENT TERM<OR CONDITION OF%ANY COfjfTRA-TDR OTHER DOCUMENT WITH RESPECT;TO WHICy,THiS CERTIFICATESMAY BE.ISSUE =0R ` MAY PRT , INSURANCE AFFQRDED.BY THE POLICIES DESCRIBED:HEREIN;ISiSUBJECTTO'ALL,THE_TERMS EXCLUSIONS AND"CONDI ,1 q POLICIES AGGREGATE;tIMITS SHOWN MAY.:HAVE BEEN REDUCED BY PAID CLAIMS:: MSR OD ; s. TYPEOF,INSURANCE POUCYNUMBER POCICYEFFECTNE; POLICYAEXPIRATION; 10 UC w. LIMITS GENERALLIABaITY "V0100; 03/1=3/2012" 03%13;/2013`= EACH oCGURRENCE X COMMERCUU GENERAL LIABILITY DAMAGE 70 RENTED` $,` Ir 100, CLAIMS MADE a OCCUR MEO.EXP(AnY one A PERSONAL&ADV INJURY a GENERAL`AGGREGATE $, 2,O,OO,OO GEfJL AGGREGATE -INIITAPPLIES PER PRODUCTS COMPioe AGG s 2,O00 00_� X POLIGYJE C .3 LOC AUTOMOBIL'E'LIABILTIR COMBINED SINGLE LIMIT ANY AUTO ( (Ea acadenl) 3,: • ALL OWNED AUTOS ;80DILY INJURY SCIF D ED AUTOS (PFer person) $ HIRED AUTOS ' BODILY INJURY NON OWNED AUTOS (Per acddent) . $. PROPERTY DAMAGE $- (Per acbidw 0 :GARAGELIABILRY Aft OONIY EA ACCIDENT $ ANYAUTO OTHERTHAN ALJTOONLY:' AGG S. EXCESSIUMBREI LA LIABILITY r `.EACH OCCURRENCE ,OCCUR a CLAIMS MADE AGGREGATE ;g DEDUCTIBLE. $ RETENTION WORN ERS C — OMRENS ATIDN AND 6K WC STATLL UB" B S 40726 A : _ - 12 08 0 3 - ._. , .../. ./2012 08/03%2013 •' EMPLOYERS'LIABILITY- '-' " `. _ ` t. B ANY•`PROPRIETOR%PARTNEfV6J ECUTIVE;: E L EACH ACCIDENT $ LOO OO OFF.ICER/&1EMBERIXCLUDED? EL':OISEASE EAE6IP'LOYE If y6s.": escnbevnder SPECIAL PROVISIQNS below . ;E.l.DISEASE POLICY LIMIT ;;$-, `5 OTHER' DESCRIPTION OF OPERATIONS RLOCATIONS I VEHICLES!EXCLUSIONS"ADDED BY ENDORSEI ENf SPECIAL PROVISIONS " Videnee of Cove-age i ICATEMOL CANd0 :OFHABOVEOCELLSHOULD AEDBEFORE 6PSZATION.DATE7HEREOF THE ISSUING INSURER WILL INDEAVOR:TO MAIL 1O DAYS'-WRI►TEN NOTICE TO THE,CERTIFICATE.HOLOER NAMED TO THELEFT, FAILURETO MAO -SUCH NOTICE SHALLIMPOSE NOOBLIGATION'.OR LIABILITY OF ANY KIND UPON THE<INSURER ITS AGENTS_OR RET?RESENTATNES;, EYidence of .COVerdge iAUTHORR�REPRESENTATIVE Mark Gilbert ,CIC ACORD.25(2001108) ©ACORD CORPORATE ,. . . __ ON 1988 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 S� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 1<C; C l(f eQ N��'f/L Q C-f Address: a ( LW U C City/State/Zip: �. 4 N S6 J4,i /�4 O A�r l�ione rl 69 1,Sc�O ) Are you an employer?Check the appropriate box: Type of project(required): 1.Ell am a employer with t 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. E]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.❑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.]i employees. [No workers' �2p.� ��- ��M comp.insurance required.] 13.❑'Other EPA ivz *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 sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i Policy#or Self-ins.Lic.#: A-ci S U q D7 a?6 `f`I • I a Expiration Date: Job Site Address: z¢[) i L (C54 ; r%e, 121 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains d pe lties of perjury that the information provided above is true and correct. Si nature: Date: v� '7 Phone#: 7 Coq f• Jam' a a 1 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#: 1 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-contractor(s)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 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 Revised 5-26-05 Fax# 617-727-7749 www,mass.gov/dia Board of Building Romkitions and St vndards Construction Supervisor License License: CS 76691 r ROBERT A KEEN 12 E'WATER ST N ANDOVER, MA 01845 ? fi Expiration: 8/16/2013 ( ununissiuncr Tr#: 3772 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%icor License: CS-058245 KENNETH B IdEN r. ... 21 HEWITT N ANDOVER 01845 •�s+.+ r14�n� Commissioner Expiration ���ie�o�ninao�ulP,cc%/�i a�G/�aaocrc�uu�eGra � ; Office of Consumer Affairs&.BusiBess Regulation OME IMPROVEMENT CONTRACTOR 19 egistration: :1'08383 Type: s, xpiration:�8/18 2:0u, DBA rrKEEN CONSTRUCTIO O� f i Kenneth Keen 21 Hewitt Ave No.Andover, MA 01845 `t'=%"� Undersecretary� KEEN CON57'2uCrION CO. 21 HEW 1 rr AVE... -�"N"AN OVE2, MA 01845 978-691-5201 Ke -n,Coiu&uc'urn.Cc-wm Garabedian, Stephen & Nicole 180 Chickering Rd. Unit 1100 N.Andover, MA 01845 978-208-7361 Contract#5067;Appendix A Date: September 25, 2012 Repair HVAC room: • Supply& install R-15 insulation in partition wall adjacent to living space • Create soffit to encapsulate dryer duct ® Supply& install fire-rated blueboard and skimcoat plaster • Remove & replace existing fluorescent light fixture and needed electrical work to facilitate repairs All HVAC work shall be completed by Callahan HVAC and billed directly to customer. Total Price: $2310.00(twenty three hundred ten dollars) Price does not include cost ofermit fees. ees. Payment Schedule: $500.00 due upon signing contract $1000.00 due when plastering is complete (plus permit fee) $810.00 due upon completion of contracted work 3 Customer Kenneth B. Keen Date Date pa.y�1 of 1 'W KEEN CONSTRUCTION CO. GP 21 HEWITT AVENUE U' POSAL NORTH"ANDOVER. MA 01845 Tel: (978)691-5201 All home improvement contractors and subcontractors engaged in home improvement contracting, unless Fax: (978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws must be registered with Submitted x7� ` 1 the Commonwealth of Massachusetts. Inquiries about TO: - i e �r li C i C" _..____.._......._..__................_........_...-.__................... __..._.._ registration and status should be made to the Director, Cj ` �� Home Improvement Contract Registration,One Ashburton ___..._.._.._ ................. 1 __..._....._. . d_....._.. Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related All o I z 115permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PH NE DATE REGISTRATION NO. EIN NO. l �- v t' i . J A MA. H.I.C. 108383 26-0462904 C/S=Customer Supplied S+ I =Supply+ Install See Attached Appendix A We hereby submit specifications and estimates for work.to be.performed and materials to be used: I _—__Y._,...,_.._.__....,.,._.._.. _._.....___._-..__W _....._..._......... _ Y__._,....__,_........_.._....................._.__..- --- -- - .............---------.---- '._...._._....-._._ _- � Construction related permds: --- ------- -- --•-- ._.....__._............__......_....._.............................................._...........,.-_............................................. ..................;..................................................................................................................,...,................................,,........_....... .._....._.,.._..,...........,.._,....._..,.... I _.....__.............._,....................-.......---,.....-......................._......,........._....................,.....,.............,...,..,................... WORK SCHEDULE _.._._.__._.._- Contrac� wlll,p,t gi t e work or order materials before the third day following the signing of this Agreement,unless specified hg 'n w'tict . about 7 4 (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by/ 9 tractor will begin the work on or acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be c nsidered as violations of this Agreement. � ner hereby WARRANTY � The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of /'Y.,-- following completion and shall ! comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor complete in accordance with above specifications,for the sum of Payment to be made as follows: dollars($ ) ($ ) upon signing Contract-, KENNETH B. KEEN / ROBERT A. KEEN Name of Contractor/Designated Registrant ($ ) upon completion of 21 HEWITT AVE. Street Address % ($ ) upon completion of r N ANbOVER, MA 01845 1 ,Gty/State % ($ :-shale-r'nade forthwith upon , (978) 691=5201 (978) 682-3231 ,cofrtpletion of"vriork°underthis contract. - Phone Fax Notice: No agree for home improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price Name of Salesman / or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and AutnbFized Signature equipment,whichever amount is greater. - Note: This proposal may be withdrawn by us if not accepted within days. Acceptance Of Proposal I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. ! I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer ay cancel this transaction atanytime prior to midnight of the third business day after,the date of this transact! . C cellation must be done in writing. g DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK.SPACES. Signatu Datet ] 1�- _ �..:Signalure r.:. Dale- I IAAPORTANT INFORMATION ON BACK ► i