HomeMy WebLinkAboutMiscellaneous - 280 MIDDLESEX STREET 4/30/2018N3
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .................
has permission to perform
plumbing in the buildings of ............
North Andover, Mass.
at .........
F@3- Z2
-) . Lic. No .......... ....
FILU. 61NYIN�PECT-O-R
Check # e�R
5361
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT To - 6PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date ybvo–
Building 0 Permit#
Amount
Type of Occupancy OL.4) t I t,11i
New E] Renovation F1 Replacement F1 PlansSubmitted Yes M No rX-1
3 tol
an
a *1
Trint or type) Check one:
Installing Company Name -77 //,f //,of 0 Corp.
Address /9
o?' Partner.
Y-A'e r- M 4, orly q2
Business Telephone 17f 6Y!!;--f5'0V El Firm/Co.
Name officensed Plumber. 7;;to,,fg 5 41411olly 4,-"
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy El Other type of indemnity n Bond
Certificate
Insurance Waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the *above
three insurance
Agent
Signature* Owner FI
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State P ing Code and Chapter 142 of the General Laws.
�7-
By: Signauire or 1 icened Flumber
Type of Plumbing License
Title
City/Town Numoer Master Journeyman
APPROVtD (OFFICE USE ONLY
r
Date .... 1;. ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
................
This certifies that x ... ------
has permission for gas installation .....
-in the buildings of ... �- ....................
at North Andover, Mass.
Fee?:-�.-. Lic. No .......... .............
Check #
4126
GAS
MAP
MASSAC ATON FOR PUMT TO DO GAS F=G
e or print)
P4VM1r1A1NUVVL1'(, A33Ak-r1U3tJ LO
Building Locations ;uo mlaeIr Y -ex 5r I
4rf& 71'
Owner's Name
Date 112
:216 /-0 L -
New 7 Renovation 7 Replacement El - Plans Submitted 1:1
Permit 9
Amount S
(Print or type) Check one: Certificate Installing Company
Name— �2, 11411ol F-1 Corp.
;�j Jress 5-72-
91 /17
Business Telephone f7f 4 Y r— -9, sr -4 I/
Niame of Licensed Plumber or Gas Fitter
F� Partner.
F� Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes r7 Nom
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other ty e
p of indemnity Bond
Ez 1 7 M
0 w ri. ! I s I ns uran ce W ai ver- , I am aware th at the I i cens ee does n ot h a ve th e Ins u ran ce coverage req u 1 red by C hap ter 142 o f the
Mass �General Laws, and that my signature on this permit application waives this requirement.
Check one:
S 1 Qnature of Owner or Ownei-2 s A gent Owner A2ent 71
I hereby certify that all of the details and information I have s , ubmitted (or entered) in above arinlication are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas ;9de and Chapter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of License -d Plumber Or Gas Fitter
Plumber. 7 Y7 3
Gas Fitter License Numoer
7 Master
Z] Jour-neyman
Location Cl�
No. Date
TOWN OF NORTH ANDOVER
'A
Certificate of Occupancy $
SS CHU Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check# / � 99.
14767
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
�4
-A
BUILDING PERM[IT NUMBER I M-1-5 , M-71-1171-1- MIR
/C�
SIGNATURE:
Building Commissionedfi4mtor of BuiWp Date
Or,%-jLj1W1,q IL-ailim JUqr%jffjVJAjLJLUjN
i
1. 1 Property Address:
1.2 Assessors Map and Parcel Number -
Map Numbir Par�oelNum er
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (sf) Frontage (ft)
1.6 WELDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
Required Provide
Required ded
Required Provided
1.7 Water Supply M.G.L.C.40. 54)
Public 0 Private 0 Zone
1.5. Flood Zone Information:
Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSEEIP/AUTHORMED AGENT
2.1 Owner of Record
Lo,j,-&
Name (P nt)
Address for Service:
Tignature V
Telephone
2,2 Owner of Rec�,d:
Name Print
Address for Service:
Signature
Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature
Telephone
Not Applicable 0
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature
Tele2hone
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SECTION 4 - WORKERS COMPENSATION (MG.L C 152 § 25c(6) I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will resulf
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 DescHiption o Proposed Work (check applicable)
New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0
Accessory Bldg. 0 Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
09 Cup CVXAf- f C Y-Iq
I SECTION 6 - ESTEWATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
M IIMV�
-UP J
Completed by permit applicant
I
Building
(a) Building Permit Fee
Multi lier
2
Electrical
(b) Estimated Total Cost of
Construction
3
Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6
Total (1+2+3+4+5)
"AA000
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMEPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIELDING PERMIT
as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLkRATION
I, L, i's C 4 �,) &( as Owner/Authorized Agent of subject
4 1
property
Hereby declare that the statements and informationon the foregoing application are true and accurate, to the best of my knowledge
and belief
Priflt� Name
- I
CA
q1i?2P-E'=ture of Own!��Ajent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS IST 2 ND 3M
SPAN
DIMENSIONS OF SILLS
DRyIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTlNG x
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
FORM - U - LOT RELEASE FORM
INSTRUCTION& This form is used to verify that all -necessary approval/ permits from
Boards.and Departments having jurisdiction have been obtained. This does not relieve the
applicant and'or laadowner from compliance with any applicable requirements.
ownwonowwwwwwo MENNEN on" nowwwwwwwwwwoon MWWWMEM won now Noonwassommoom so won masses
APPLICANT PHONE
ASSESSORS MAP NUMBER 9 LOT NUMBER
SUBDIVISION LOTNUMBER
STREET STREET NUMBER -><,�99L9
OFFICIAL USE ONLY
Momonswoom .. M ..........
RECO��ATIONS OF TOWN AGENTS
DATE APPROVED
CONSERVATION ADNIINISTRATOR
DATE REJECTED
CON*AENTS
"--a, UIML k U Z(
DATE APPROVED !�4 1 (4 1 (2
DATE REJECTED
CON04ENTS
DATE APPROVED
FOOD INSPECTOR -'HEALTH
DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR HEALTH
DATE REJECTED
CONflyIENTS
PUBLIC WORKS - SEWER WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTN1ENT
DATE REJECTED
coNgAENTS
RECEIVED BY BUILDING INSPECTOR -
Town of North Andover
Building Department
27 Charles Street
North Andover, MA. 01845
D. Robert Nicetta
Building Commissioner
(978) 688-9545
(978) 688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print.
No
0 'M -JA t e S, CK —S +
JOB LOCATION ,
Number Street Address Map / lot
"HOMEOWNER �,e-,jj& CAPz�&'AjCa 4�1 *7 X) ( o 7 S�) 6 1 o,)
Name Home Phone Work Phone
r'
PRESENT MAILING ADDRESS.. 1-jjIjcj I e_,S.e_)(
el U cle-
City Town
0 1
State zip
The current exemption for "homeowners" was extended to include owner --occupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5. 1)
DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner"certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
L-07 60
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LOT5�� -,3��,
1-47 1�6
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Mil::)PLESEX
A PROFESSIONAL LANDSURVEYOR,
DO HEREBY CERTIFY THAT THE
ABOVE MORTGAGE, INSPECTION
PLAN WAS PREPARED FOR Tk5
HQN-nm mogtAcle cp- N
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AMERICAN SURTIIN,G COMPANY
77 Rumford Avenue, Waltham, MA 02154 (617) 893-6477
CONNECTIONWITHANEW'MORTGAGE
AND IS NOT INTENDED OR RF:P:RE- Mort lh!
SENTED70 BE A LAND OR PROPERTY, 'g.:
LINE SURVEY. NO CORNERS WERE THE LOCATION OF: THE O'HIGINAC, AECORDIEDA'
SET. IT CANNOT BE USED FOR ESw DWELLING SHOWN HEREON -EITHER BOOKe.:��
LA
TABLISHING FENCE, HEDGE OR AS IN COMPLIANCE WITH THE LOCAL" 0 - N REFERE
--AP .1
BUILDINGLINES. THE LAND.ASSHOWN PLICABLE ZONING BYlAWS7IN EF ''ID-RAWN PER
HEREON IS BASED ON CLIENT FUR- - FECT WHEN CONSTRUC TED WITH"RE-o MAP #
NISHED INFORMATION AND MAY BE, SPECTTO HORIZONTAL DIMENSIONAL, ADDRESS -
SUBJECT TO FURTHER OUT -SALES 'REQUIREMENTS ONLY)i ORIS EXEMPT
TAKINGS, EASEMENTSAND RIGHTSO�, FROM VIOLATION EN FORCEMENT AC-� BORROWER: -
WAY. ba RESPONSIBILITY IS EX., TION UNDERMASS. G.L. TITLE VII, CHAP.�
TENDED H EREIN TO THE LAND OWNE . RI 40'Al SEC. 7, UNLESS -OTHERWISE, SUBJECT OWE
OR OCCUPANT, IT IS NOT INTENDED :NOTED OR SHOWN HEREON., A COW11 ASSHOWN 0."
TO BE RECORDED. FIRMATORY, INSTRUMENT SURVEY INSURANCE R',
IS ADVISED WHEN STRUCTURES ARE COMMUNITY';
DATE SHOWN TO BE V OR LESS FROM - . I . .4.
CLIENT PROPERTY OR REQUIRED ZONING - FIELI
CLIENT REP.# SETBACK LINES. By
J.0.# DATE
OF
Ran j
COUNTY REGISTRY OF �DEEDS
L.C. Cert. #
0
ASSESSOR'S
I.G LIESIN FLOOD ZONE
TIONALFLOOD INSURANCE PROG�A
. #hLOOD
MAP DATED-21,�— 15,_ �a
IEL # -' e 'T str 0 el:P,E 2
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Location 67 0
No. Date 13
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
CHU Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # //7
I
17708
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCF REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
Aw
BUU,DING PERMIT NUMBER: C V
DATE ISSUED:
SIGNATURE: 4'o
Building Commissioner/lq!eEtor of Buildings Date
. A - I
1. 1. Property Address:
C,6-0 zkU&WV-P
1.2 Assessors Map and Parcel
0 -00 5s-
Map Number
Number:
-- d 0
Parcel Number
. - -
Z12 0, 04*044*t-,
f
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (st)
Frontage 11)
1.6 BUnDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
Required Provide
RegWred Pmi&d
Provi&d
1-
—Re4*red
1.7 Water Supply M.G.L.C.40. 54)
Public 0 private 0
1.5. Flood Line Information:
zone Outside Rood Zone 0
1.8
Municipal
Sewerage Disposal System:
0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSEEIPJAUTHORIZED AGENT
LU n1strict Yes 110
4. 1 "Wilur 01 Kerloro
1
"Iy6y es.,s
Namegrint) Address for Service
Signature
L.2 Uwner ol Kccord:
Name Print
Telephone
'7&4�-6j-e -67E 7
Address for Service:
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed C06*ction Supervisor:
Addros
-7
gj�
Signature Telephone
3.2 Reg�stered Home Improvement Contractor
Ir -Y
::�a-&�737
Not Appficable 0
License Number
� Af /,, (a
Expirafion Date
Applicable 0
Registration Number
Z—YExpiration
0
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90
0
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I SECTION 4 - WORKERS COWENSATION (XG.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check
applicable)
New Construction 0
Existing Building 0
Repair(s) 0
Alterations(s) 0
Accessory Bldg. 0
Demolition 0
Other 0 Specif�
Brief Description of Proposed Work:
SECTION 6 - ESTIMATED CONSTRUCTION
COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OMCIAL USE ONLY
I . Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
t ocox
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number 'ev
SECTION 7a OWNER AUTHORIZATION TO BE COMEPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT
as Owner/Authorized Agent of subject property
Hereby authorize —to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, d4,c4u as Owner/Authorized Agent of subject
property
HerebV declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
Print
Si ature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TlMBERS 2ND 3FLD
SPAN
DHAENSIONS OF SILLS
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION TH[CKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUUDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9!
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be disposed of in properly
licensed solid waste disposal facility as defined by MGL Chapter I 11, S. 150 A.
The debris will be disposed of in:
(Location of Facility)
Signature of Permit Applicantl
C)
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this proje(
through the Office of the Building Inspector
The Commonwealth OfMassachusetts
nm_ I Department ofIndiistrial Accidents
MCO Of 1HOSUMUORS
'flk
_-E -ton Street, 7h Floor
600 Washing
AO/
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit: BuildinR/Plu ibing/Electrical Contractors
av(f�_
0
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El I am a homeowner performing all work myself Project Type: Fj New Construction E]Remodel
F] I am a sole proprietor and have no one work' '
in.g in. any capacity. E] Building Addition
r i*�l�,'.P.,.*,,�i.*'��".,Z!,.,...�
am an employer rovidi
ing workers' compensation for my employees working on this job.
co
mpany name:
address:
Z37
city: 1-1419 /1 t�/
ins
/&z. Ale 4
11!iptl 7 e9:
ftm. M. - 1 7
�17WR, - #
"MIMMM MINRUNWiff?" Iff:
LJ I am a sole proprietor, general contra'e'tor, or homeowner (circle one) and ha"ve hired the contractors listed below who have
the following workers' compensation polices:
cornp2ily.name:
_777�7:
77777r
address:
7t
city:
p4oirie:M
7
insurance'to.
���75 M: 110 lit!vw,
M EM
�01*0 . 11 "1 a -;o"u
3, EN
M
company name;.
address,
city:
honff M
i n su ra n ce. co.
D-01 #
M M
Failure to secure coverage as required under Section 25A of MGL 15T2elN
an lead to the imposition of criminal penalties of a fine up to $1,500.00 andlor
one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
Ido hereby ceprOy underthepains andpenalties ofperjury ihat,44 inforination provided above is trite andcorrect.
Signature
111/1 � ; -Date
Print name _�K4 _Jz
-Pbone # 1:2fF -4�; 7,37
official use only do not write in this area to be completed by city or town official
city or town: permit/license # —ElBuilding Department
El check ifimmediate response is required ElLicensing Board
EDSelectmen's Office
contact person: phone #; 011ealth Department
(revised Sept. 2003) 00ther
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an einployee 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 i 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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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 I ' ndustrial 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.
City or Towns
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. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
R
The Department's address, telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
office of Investigations,
600 Washington Street,7 1b Floor
Boston, Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406
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AJ. Walsh & Sons Inc.
55 Hcasanl Sired
North Andover, MA 01845
NJass. LICENSE' # 022090
M,Iss- RL(dSTRATION # 10.3.359
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 specincany
exempt from registration byprovislonsof Chapter 142aorthe general laws, must be registered with the Commonwealth
of Massachusetts. Inquiriles about registration and status should be made to the Director, Home Improvement
Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.
Designated Registrant's Name:
Registration Number:
Salesperson's Name:
This agreement is made on 10 — ( — 0V
of--��
hereinafter called "Contractor" and
hereinafter called "Owner".
(ADDkLSS)
'CONTRACrOR)
-7-3
(PlIoNp SUMBER)
26 )�� ?72,
(ADDRESS) MfONE NUMBER) -
DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractomecs4toperform in arod aid woikRnIike_TanncVII work detailed �ylow- Stich work cojuists of thy, folLo
A. �/. 0 A A j In I
DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials 10 in f the above described work consis e follow�g:
ZA0i 7- IM. I/ -- ,e 4� —, /) 5p!1h / - /w "o A
II. PRICE
Contractor agrees to do all work described in Section I for the total price of S 00
J-
111. PAYMENT
Payment will be made as follows:
Q3 111- 1 % (S ' ) upon signing Contract;
upon complcuon of
upon complcGon of
OA
and the rcmainin&229% (S 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 (2dvance deposit) of more than
one-third of the total contract price or the total amount of all deposit% or payments which the contractor must make,
in advance, to order and/or otherwise obtain delivery of special order material% and equipment, whichever amount is
ereater.
IV. COMMENCEMEN7 AND COMPLETION OF WORK
Contractor will not begin the work or order the ar . re the third day fol.lowing the signing of this Agreement, unless specified here in writing.
Contractor will bcgin C ut t1s -f
th �trtXt6PJ6 0 , (date). Barring delay caused by circurnstances beyond Contractor's control. the work
will be completed by -1 -- ( tcj. The Owner hereby ack-nowiedges and agrees that the scheduling 'dates are approximate and that such
delays that are not avoidable by & Contractor shall not be considered as violadons of this Agreement.
V. NO ACCELERA110N OF PAYMI-XI S W."I LSCk0"'I.N(; ALLOWED
nieContractor may not requirepsymenut to hen a, le in ail vant.cof me tjincs!qx�Lificd in Srt tjoij I I I (Payment) a hove for the reason that he docmshimsclf
or the payments to be insecure. If. however, fie (hu-nis hini%cif to tx- insecure, he may require, as a prerequisite to continuing the work deschbcd heNin.
Ui&i dic balance of the paymenix under f1iin contral, i flint air ilt dir 1 f-iltrol of if,(- Ownef, sliall Ix- plat ril in a joiiii rsLrow accouni flint re(fillici file signature
of both the Contracinr and the Owner for withdrawal.
V1. INSURANCE
Convactor will be. responsible to Owner or any thiT(i PATIV flir;IFIV PF0PCT1Vdi1fT1aFC or IN x1ily injurycaused by himself. his employees or his subcontractor$
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.
VU. SUBCONTRACTING
Contractor agrees that, notwiLhstan(luig any syrcerricrit for nialerials and/or labor between Contractor and a third party, Contractor is rcsponsibIc to Owner
for comple6on of all work described in a 6mcly and workmanlike manncr.
Vill. CONSTRUCTION -RELATED PERMITS
The following cons truc tion -related permits will N! necessary in order to complete the %cope (if work included in this Agreement:
ne Contractor under provisions of Chapter 142Aof the General Laws isrequircd to apply for and obtain all construction -Tel ated permits. The Contractor
shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granfing or inspectional agencies.
authorities or individuals.
Notice: If the homeowner obtains his own construction -related permits for life work described under this agreement, the
homeowner is hereby advised that In the event Of 2 dispute, judgment and nonpayment or the contractor, the
homeowner will not be entitled to make A C121M to or collect from the guaranty fund established by Chapter 142A,
M.G.L.
IX. MODIFICATION
Titis Agreement. including the provisions relating to price (Section 11) and payment schedule (Section 111) cannot be changed except by a written Statement
signed by both Contralcicir and Owner. However, canccliaLion by Owner is allowed in accordance with the Notice of Cancellation (annexed).
X. WARRANTIES
The Contractot Wa"AIIAS 1hJL the Work I tlifilsiled Ilefeunder shall he I I cc flom defects of matei jah. and workmiullship for if per sod of- 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 distoveted widiln one year after completion of any job, including cleanup. the Contractor shall.
at his own expense. forthwith remedy. repair, enrrect replace, or cause to be Ternedied. rep;iirecL or replaced. such damage or such defect in materialsor
workmanship. Ilic folrevoinp witrTantics shall sijrvive any irispectior. T"Jormed in cor-nevilor with the P.C,!0-rd-1Jm.r work,
All warranties for equipment supplied by the Contractor under this Agrecirlicrit shal I be. those given by the manufacturers of such equipment. which shall
111141cl Nil, 111111111kifacitlieW will famir-;, thr Owner niny lx: required to register or nidil 41 a warranty
card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such
documentation, witich failure voids the manufacturer's warrant%., Shall T101 create any responsibility for the Contractor to warranty such equipment.
'Mis warranty gives the owner specific legal rights. and owner may also have other rights which vary from SLILC to state. Under Massachuscas law, sales
of goods carTy an Lnipiicd warranty of merchantability and fitness for a particular Purpo'-C.
XI. CONIPLrTFNFSS OF AGRUMENT FOR FXECI ITION
The Owner is hereby advised that he should not sign this Agreement unless and unul a] I blank- scctiorLs have been filled in or marked as void, deleted or
tioi applicable. And until all exhibits and related (if referencM documents that are incorimralol herein arc attached hereto.
X11. COPY OF AGRE.EMENT TO BE GIVENTO OWNER
'11iis Apecificia is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to Uic Owner at
thr finic of cxectition. No work under the Agreement shall bt-gin prior to [lie signing of the Agreement and transmittal to the owner ofa copy thereof.
RIGHTS TO CANCEL
The owner may cancel thisagreemen( if it has be -en 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 the contractor in writing at his main office or branch
b), ordinary niall posted, by telegram sent or by delivery, not later than midnight of (lie
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.
0 's sigilatore Date Signed
/V 4.21,t/
Contractor's Signature Date Sigricd
