Loading...
HomeMy WebLinkAboutMiscellaneous - 15 CAMDEN STREET 4/30/2018/ 15 CAMDEN STREET 210/085.0-0022-0000.0 II 10848 RT#j TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that.......... ..O.z.......Alkh... .................................e........... ........ ......... has permission to perform 0*44M. ............/' ........^.............. • plumbing in the buildings of..................j -.A..%...,q ......................... at......... ....... ...... North Andover, Mass. Fee Lic. No. PLUMBING I Check 4t r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' CITY MA DATE t 1-4— L7 (j PERMIT# JOBSITE ADDRESS OWNER'S NAME ,4.�_ ,•a� POWNER ADDRESS Ate_ '�_ TEL _ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL Q RESIDENTIAL E, PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES® N0[X FIXTURES'l FLOOR- BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM ! I ( ,__ E ( ___I -I ____� ____.I. __�( _F_ t - ._._� DEDICATED GREASE SYSTEM _..__1 R __( ___f _.__-J, E--j __( .__DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN -i _.._---.1 ____.-__6 .._._...E __. .__I FOOD DISPOSER FLOOR/AREA DRAIN ,( J _-- s _-_ _- _ ( � --___.1 _..__.__.( _._-_-1 ..---_I INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL _ ( ( __-� __.._._I ! r I __-_J SERVICE/MOP SINK TOILET ._j URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER f INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES D] NO n IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY DI BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be' plia a with rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME n!,e 1n r� _ �rc�►� .� I LICENSE# i SIGNATURE IMP© JP[A CORPORATION R#r_�PARTNERSHIP 0# _ I LLC COMPANY NAMEp( _�v,ntiVjc r ; ADDRESS CITY 1 ;�kd..�` __. _..._.._..__i STATE .FW—IA-- ZIP 03 bs --�� TEL FAX _ S'7�'-( CELL 60.? q'Iq -l!c EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL ,INSPECTION NOTIS Yes No IS �SA THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV. www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le>libly Name(Business/Organization/Individual): —a-6-c- 3 Address: t �i -•��-1 �� City/State/Zip: P 1,r • N jk () yr6 zS Phone#: 6c)3 3 C. - 5-73.3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. E]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. �• ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. E]Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 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' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 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. ti I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 requiredunder 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. Y do hereby erti rider t e pains a nalties ofperjury that the information provided above is true and correct. Signature: Date: 1 _ lef Phone#• 6d:3 —S7 q c"f 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 address,telephone and fax number. The Cow4oawoalth of Massachusetts Department of Industrial Accidents Offlce of Iu'vestigaflons 600 Wasbingtou Street Boston}SLA.02111 Tel,#61.7-7274900 ext 406 or 1-877 MASSAFE Revised 5-26-05 Fax#617-727;7749 www-mass,govldia OMMONW 'Fill . .. . . . A �{fH OFA _ � '«««%v ® . . ■ ,SS$�OHU■E��� ��a� ! y [U 8E \ D GAS/T ° ISSU S THE [I FO[LOWI \I f ! »/ � / ^ . \ J ..,RN, YMA `�. \ ` 2R\U /®§ # /N / PA\EA ! � CO 17 TI \ R '3 \ :ƒ_ , l 7 W , «~ ^ 3865-2 ® w . 22 } ` Q:3: ' }�� ^ < ^ ~ � \Z^: ��~ ~ 2. \ !§ . Date.'!V `.%! . . NORTH Of TOWN OF NORTH ANDOVER «�o 1ti0 PERMIT FOR,PLUMBING ,SSACMUSE� This certifies that . . . . .%!fA has permission to perform . . . . . . . ,/.�. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .I ./. .,./.�. . .,rl -�. . . . . . . . . . . . . ! . ! , North Andover, Mass. Fee. . v. . .Lic. No.. . . . . . . PLUMBING INSPECTOR ' Check # 8696 -MASSA MUSETTS UNUORM APPLICATION FOR PERMIT TO]DO PLUMBING (T)?pa or print) NORTHAMOVER,MASSACHUSETTS pate �- 1 rmit L_ Building Location e amyl to 54 Owners Name oy PAmount Type of Occu ancy - Renovation Replacement flans Submitted Yes No - New � FIXTURES H � � R t2 � . ►-? 13A WA Pd A a W H rWn a'• W t aO Eaj a � - a am Ff-OCR 5MFLOCR 63HROCR 70FLOCR $M FWR Certi Check one: ficate (punt-or type) L L _ Corp. Installing Company Name s�M u h'n � AddressEl la�b�^�r► �c 01-123 Q' ❑ Partner. El Firm/Co. _ Business Telephone 07 a so Name o£.LzcensedPlumber: W �r" Insurance Coverage: Judicate the type of ins urauce coverage by checking the;appropriate box: Liability insurance policy Other type of indemnity U 1,the undersigned,have been made aware that the licensee of this application does not hate any one ofthe above Insurance Waiver: three insurance t Owner Agent igaature ' _- red)in bove application are.trae I hereby certify that all of the details and information pezfoave submittO ormedeund Past Issued:for this applicattion wnd ill be inte to ce ed e and that all plumbing winstallations _ e General Laws. best ofmylmowl g P ofth compliance with all pertinent provisions ofthe Massachusetts By: igna o kens um er Type ofPlumbivaLicense Title (- 30�5 -� L.J wzz um ez - icense Master Journeyman City/To APPROVED(OFFICE USE ONLY - The ComnaOnweaith of Massachusetts De ai�me . . p nt o f£,radustF•iczlAccidents . 0fface mf bivestigations ' 600 MzsAinb on Street .$Ostora, 2�L4 02.X11 . WMv_anccs,;_-gov/dia Workers' Compengation Insurance Affidavit:BnUders/Conti-actor-s/.Electric aas/�hrmbers ,krop icaut-Wormation ' Please Print L,e-xbiy Name am.e(Business/oro nimtiov&ilividual): _ Address: City/State/Zip: _ Phone#: -Are you an,employer?Check the appropriate box: T:on ject(required): Y.Q I am a employer with 4. ❑ I am a geaemj contractor and I employees(fall and/or part part-ti have hired the sub-contraotors 6" constzuction 2.Q'I am a sole proprietor or partner- Misted on the attached sheet# 7. odeling ship and have no employees These sub-con�ctors have 8. oIition -working for mein any capacity. workers' comp.insurance. ' o workers'coin insurance, �. 9• ing addition [No p. Q We are a corporation and its - af5cers have exercised their 10 ical'repairs or additionsQ.I am a homeowner doing all work right of exemption per MGL 11. ing repairs or additions myself,[No workers'comp. • c. 152,§I(4),and we have no1?innumce required.] t employees. [No workers' comp.iasuxnnc@ required.] epairs I3. Tu.Rtf.3.°.t:.i;...,U�he�.?:?.J.,i..tziSGllliL`•S:L2eEeLti•,''•..+Cel^5:•��..u.;., - •.. ...5 T...^.�r V•CLt:".,EB'COL^t.��e.^.,:..:rC,.�.,.`.^ui::::.��;y IIemeowners who suomiYriris affidavit indicating fh znr derma all w and= e3 _ alien hiF ffae s ide gOntnrt3,s u-rul,•'E au of,a new ifEi&vit Indicating such. . +Contractors'that c�:�'<t�box m::€;attached an additional shecE showing the . aame'of the sub contractors and theirworkers'comp,policy information- lam an employer that is providing workerscompensation insurance for my employees Beloh,is the pof41 and job site. inArIngfig ., Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: J'ob Site Address: City/state/Zip: Attach a copy-of the workers'compensation policy declaration page(slia evi�ttg the policy number-and expiration date). Failure to secure coverage as required under Section 25A ofMGrL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisgnment,as well as civil penalfies in the form of a STOP WORK ORDER and a nue of up to S250:OD a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. _ I do hereby certify uttder the pains and peiurlties ofperjur��thrar the znforrrzaiion.provided above is true and correct • Simiature: .' -- Date.•..-. _. .__. Phone A Official use only. 17o not write in this area, to be completed by city or toxin official City or To'v _ I'er:mif/Licens_e# Isstwn�g Authority(circle one): X_Board of Health 2.BuiIdin;Department 3. 0tylTown Clerk 4.EIectricaI Inspector 5.Plumbing Inspector •- 6. Qther Contact Persua- Phone• '. 7304 Date. ;1..? . ...... Y OF,NO oT",ti0 � TOWN OF NORTH ANDOVER'° a ' PERMIT FOR GAS INSTAU! T N . � � . 5 SACMUSEt This certifies that . . .,. f.?!.! . . . . .�,`. . . . . . . . . . . . . . . . . . . has permission for gas installation . . . j . . . . . . . . . . . . . . . . . . . . in the buildings of . .N Z. . .2 C. . . . . . . . . . . . . . . . . . . . . . . . . at . .,�:}� . l?' `:.�. , North Andover, Mass. Fee. 3 : .. . Lic. No.. c ?.'. .!_ . . . . . . . . . . . . . . . . ... .�. . . . GAS`INSPECTOR Check# /G 2 NA SSACHliSHITS UNIFORM APPUCATONFOR PERNHrTO DO GAS FMING (Type or print) Date NORTH ANDOVER,-MASSACHUSETTS Building Locations I •Catd en 54- Permit# Amount$ lyae1'b Aw40efe Owner's Name J©yec. sw 45h n�toj's New ❑ Renovation Replacement ® Plans Submitted U �1 a ° U I �I'll � Cn 0x F .° z z o F W q rn H r��` 9 O ] O F fir' W E., �• air> y' cC4 Fd' N C �i �'� En �Oq z O r O Cn xl O ,� U x y � 0 H O ! SUB -BASEMENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR . 4T II . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH. FLOOR 2 8TH . FLGOR ° (Print or type Check one: Certificate Installing P Com anY Name cIn o"V, ,7 t L,L,�; Corp. Address Po So-j 2613 1A A-0 4 M+c ®°113 f3 � Partner.. Business Te ephone 20,7-) 200 Z 5 p ti Firm/Co.- Name irm/Co:;`lame of Licensed Plumber or Gas Fitter E4SURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes © No If you have checked yes,please indicate the type coverage by checking the appropriate.box. Liability insurance policy Other type of indemnity Bond Owner's Insurance Waiver: lam aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ' Signature of Owner or Owner's Agent Owner El Agent11 I hereby certify that all or the details and information I have Submitted(or entered)in above application are true and accurate to the• beat of my knowledge and that all plumbing-work and installations perrormt.:d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and C apter 142 of the General Laws. i By: Signature of Licensed Plumber Or Gas Fitter '� Title 12 Plumber PL 3075 '`�J _ CityiTow� �n " Gas Fitter tcense i um er rl Master APPROVED(OFFICE USE ONLY) � Journeyman Location No. 3 5/ DateOf, „pRTp TOWN OF NORTH ANDOVER 3? a 0 p Certificate of Occupancy $ Building/Frame Permit Fee $ sJ�cwusEsh aiFou klr>m/i ion Pyr it Fee $ t dee $ f/v '9GC wer Connection Fee $ r Connection Fee $ / �^ TOTAL $ c; /t \ / Building Inspector w 6344 Div. Public Works PERAHT�NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. I/ PAGE 1 MAP 440. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. �- LOCATIONPURPOSE OF BUIL/ca~4k-- ADING s OWNER'S NAME NO. OF STORIES s SIZE u�c✓ OWNER'S ADDRESS / BASEMENT OR SLAB ARCHITECT'S NAME A SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMESPAN DISTANCE TO NEAREST BUILDING 9/ DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM j SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY i ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APP OVED BY BUILDING INSPECTOR gen DA ILED CA BOARD OF HEALTH SIGNATURE OF OWNEPXR AUTHORIZED AGE r FEE OWNER TEL.#�eZ 39'2.3 PLANNING BOARD PERMIT GRANTED CONTR.TEL.# _73 7 t9 CONTR.LIC.# ©L?,G _ BOARD OF SELECTMEN BUILDING INSPECTOR t BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE _III d 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D —_ i_ PIERS PLASTER _ DRY WAII _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 'L V? % FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) r GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'WT 2nd _ ELECTRIC 1st 13rd NO HEATING t r t x A.J. Walsh & Sens Inc. m 55 ('Icasant Street North Andover, MA 01845 Allys. l,R. iNSli n 0220>'s0► NI;(s.ti lti;lS 1 RA 1 a(). I RESIDENTIAL CONTRACTING AGREEMENT ------ — Read this agreement and make sure you understand it before signing it. This agreement has legal force and effect and binds those who sign it. Notice: All home Improvement contractors and subcontractors engaged In home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142a of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton Place, m 1301,Roston,MA 02108. Designated Registrant's N Registration Number: _._.-. ----._._.__.__-._--__---._-_- Salesperson's N • C; Z/✓ This agreement is made on �—between ( A7 (COKMACrOR) 011- A50f of 3 =aala� __1 (ADDREW / _ (PHONE NUMBER) hereinafter called"Contractor"and 4 A -- 'riv' --o — // (Owh of �� G� t�:✓ CCS DRESS (PHONE NUMBR) hereinafter called"Owner'. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Con ctor a r s perform in a g od an wo anlike ma(r/�j}])7cr all w r de fled below. 4ch work cons" is of th follow" g. DETAIL D DESCRIPTION OF MATERIALS TO RE USED Materials to be used* erforming the above descri work consist of the following: -44 i U. PRICE — --------- 'f'° /, O a Contractor agrees to do all work described in Section I for tate total price of$ G/D III. PAYMENT Payment will be made as follows: 133 1/31%(S )upon signing Contract; %(S )upon completion of ; upon completion of and the remaining%($Yg )upon verification of the work by Owner and Contractor as having been satisfactorily completed,which verification shall take place promptly after completion. Notice: No agreement for home Improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price 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 equipment,whichever amount is heater• IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials be re the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work ogor about 'y"1,5-1--5e3 (date). Barring delay caused by circumstances beyond Contractor's control,the work r_ will be completed by� �J ',F3 (date). The Owner hereby acknowledges and agrees that the scheduling dazes are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement I V. NO ACCELERATION OF PAYMENTS PUTESCROWING ALLOWED 11m Contractor may not requite payments to 1M'made in iulvnn r of the tines ,I>t cifird in Seconn III(Payment)above.for the reason teal he deems himself orlthe payments to be insecure. If,however,he deems hulnelf to i>,-,insecure,he may require,as a prerequisite to continuing the work described herein, plat OIC I)Ida)ICC of 1110I)aytllCotr.Under 1111A contra(I that are 111 flic I.ontrul ua the Ownet,r.lwll Ire plr rd in ajoinl mvrow account that rc•quimit the aigmtture of both the Contractor and the Owner fur withdra.val. Vi. INSURANCE COutractO►will bC►esFKII)h blc to Owner or any 011111 party flit:rny Iaoperty dallwyc or IHod hIy ill It ctutsr.d by himself,his employees or hi;subcontractors in the performance of,or as a result of,the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII. SUBCONTRACTING, Contractor agrees that,notwidusttnuluug only agreement for mater ials and/or Iatx)r irctwcen Contractor and a third party.Contractor is responsible to Owner for completion of all work described in a timely and workm:mlike manner. VIII. CONSTRUCT ION-RELATED PERMITS Tile foil n cc nstruct -related lemits will he necessary in order to complete the scolrc of work included in this Agreement: The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all cons tnlction-Tel ated permits. Tire Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,permit granting or inspectional agencies, authorities or individuals, Notice: It the homeowner obtains his own construction-related permits for the work described under this agreement, the homeowner Is hereby advised that in the event of a dispute, judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. IX. MODIFICATION This Agreement,including the provisions relating to price(Section❑)and payment schedule(Section III)cannot be changed except by a written statement signed by both Contractor and Owner. However,cancellation by Owner is allowed in accordance with the Notice of Cancellation(annexed). X. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall comply with the reduirements 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 widtin one year after eompletion,of any job,including cleanup,the Contractor shall, at his own expense,forthwith remedy,repair,correct,replace.lir cause to be remedied,repaired,lir replaced,such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in corneruorr,with the wo-k. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through directly to the Owner. Under such manufacturers'wwranties,the Owner may be required to register or mail in a warranty card or other evidences of ownership and use of such equipment in order to activate such wvranties, Thr..Owner's failure to mail in or register such documentation,which failure voids the manufacturer's warranty,shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the owner specific legal rights,and owner may also have other rights which vary from state to state. Under Massachusetts law,sales of goods carry an implied warranty of mcirchantablllty and Iltness for a particular purpose. XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted or not applicable,MLI until all exhibits and related or referenced documents that are incorix?Lated herein rue attached hereto. X11. COPY OF AGRI-.I:MFNT TO BE,,GiVFN T'O OWNI-It 11tis Agreement is govemed by the Laws of Massachusetts. it must be executed in duplic:ae,and an original signed copy hereof given to the Owner at the tune of execution. No work under the Agreement shall begin ptior to the signing of the Agreement and transmittal to the owner of a cerpy thereof. RiCiITS TO C'ANCE1, The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof, provided that the owner notifies title contractor in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. O s Signature Date Signed. Contractor's.Sign• u Datc ignc II -6G25M"2 • ORTf-j Town of over O 1 � - � 3 �Nortb r dover, Mass., 19 fj H '�s BOARD.OF HEALTH Food/Kitchen PER T T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... . ............ Foundation has permission to ersel ,,. ........ uildings Rn /• `... .. ....... ...... Rough fto to be occupied as................... ...� .... .. ... ....... ...... {, .. . ... .. Chimney rovided that the person acc tin this mit shall in eve res ec for to the arms of the application on file in e P P 9 every P Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN h MONTHS Final UNLESS CONS RUCTION STARTS rS • ELECTRICAL INSPECTOR r Rough ..........y::. .. ....iu%...t Service B ING INSPECTOR Final OccTtpancy Pennit >lZE'.qt -ed to Ocatpy Butilding GAS INSPECTOR Dis lad/ in a Conspicuous Place on the Premises — Do Not Remove Rough P 7 Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. cFIAII:R /IAIATPR FINAI DRIVEWAY ENTRY PERMIT _ —_