HomeMy WebLinkAboutMiscellaneous - 29 KARA DRIVE 4/30/2018 (2)I
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3905
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that !"�A .... ./ ...........
has permission to perform .... ......................
plumbing in the buildings of ....................
a t Y .............. North Andover, Mass.
Fee Lic. No.:�. 7,f-.3 . .........
L LUMBING INSPECTOR
I
- 0 PAID
WHITE: APUWM98 14:&NARY: Builmg Dept. PINK: Treasurer
` 'uQr- 1 1 %3 UNIFUHM APPUCATION FOn PERMIT TO DO PLUMBINU
want or Typal
NORTH ANDOVER
L
7 Mall. Date—IdIvI
Building Permit
Location
Owner's
Name
New 0 Renovation 0 ReplacemeM in Plans Submitted: Yes(] No (I
FIXTUREd
ack one:
.HTG. CO., INC. (acorp.
InitallIng Company Name A N Q 0 V E R P L B G . & 19
Address 6___11NT_QjL 11 Partner ship
01843 11 Firm/Co.
111iflness Telephone 9 7, 8 �3 [3 �3
Name of Llcensed Plumber G F o g G F I A g 0 S F
INSURANCE COVERAGE: Chec
I have a current Ilablity Insurance policy or Its substantial equivalent Yes 76 No 0
11 You have checked y". please Indicate the type coverage by checking the appropriate box.
A liability insurance policy 9/ . Other type of kAemnNy 0 Bond 11
Certificate
2122
OWNER'S INSURANCE WAIVER: I am aware that the licenses does not hayo the Insurance coverage required by
Chapter 142 of the Mass. General Laws. and lh&t my sIgnatuire on We permit application waives this requirement.
Check one:
Wnsttfil Of O*nef of O*nof s Aaenl Owner 0 Agent C]
I hsf*bY cwUfY that 24 of the doliffs and Information I have submMed ix ontwed) In &born appiks9on are true and accLqa(e to the best of my
1rKr*4*d99 WW that &I plumbing woik and instaMations Wcxff)*d undw the
Winent pravloons of the mas"Chuletts Stale pWmbkV Cod* wW Msn,w pqrrM Issued Im 0 applkstm Will be In compliance with all
142 of ft
M111CM1) (OFFICE USE ONLY)
,�PWLXO 04 Lkensed Pk ba
Lkense, fjumbw 9983
Type of Mumbing Uconse: Wow E)
Joutneyman 0
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SHOFLOOR
11RD FLOOR
4TH FLOOR
ITH FLOOR
IT" FLOOR.
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ITHFLOOR
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ack one:
.HTG. CO., INC. (acorp.
InitallIng Company Name A N Q 0 V E R P L B G . & 19
Address 6___11NT_QjL 11 Partner ship
01843 11 Firm/Co.
111iflness Telephone 9 7, 8 �3 [3 �3
Name of Llcensed Plumber G F o g G F I A g 0 S F
INSURANCE COVERAGE: Chec
I have a current Ilablity Insurance policy or Its substantial equivalent Yes 76 No 0
11 You have checked y". please Indicate the type coverage by checking the appropriate box.
A liability insurance policy 9/ . Other type of kAemnNy 0 Bond 11
Certificate
2122
OWNER'S INSURANCE WAIVER: I am aware that the licenses does not hayo the Insurance coverage required by
Chapter 142 of the Mass. General Laws. and lh&t my sIgnatuire on We permit application waives this requirement.
Check one:
Wnsttfil Of O*nef of O*nof s Aaenl Owner 0 Agent C]
I hsf*bY cwUfY that 24 of the doliffs and Information I have submMed ix ontwed) In &born appiks9on are true and accLqa(e to the best of my
1rKr*4*d99 WW that &I plumbing woik and instaMations Wcxff)*d undw the
Winent pravloons of the mas"Chuletts Stale pWmbkV Cod* wW Msn,w pqrrM Issued Im 0 applkstm Will be In compliance with all
142 of ft
M111CM1) (OFFICE USE ONLY)
,�PWLXO 04 Lkensed Pk ba
Lkense, fjumbw 9983
Type of Mumbing Uconse: Wow E)
Joutneyman 0
Date.,�.,. ...........
'ORT" A TOWN OF NORTH ANDOVER
4, "',
PERMIT FOR GAS INSTALLATIO19
This certifies that V
...............
CU
has permission for gas installation ......................... Z -
in the buildings of � .....................................
at ... ......... North Andover, Mass.
Fee. .,�4 Lic. No ........... Ai -INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
to
MAS�ACHUSETTS UNIFORM APPLICATIO14 FOR PERMIT TO DO GASFITTIN'G
(Print or Type)
r4ORTH ANDOVER Mass. Date
l4uil8ing Location. 26_�W"'v '�e' Permit # /3 ki__3
Owners Name-_";�/WL2�
New .7 Renovation Replacement Plans Submitted 0
FIX I LIR=IZ
(Print or Type) , , Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122
Address 5731 SO. UNION STREET Partner.
LAWRENCE, MA. 01843 Firm/Co.
Business Telephone: 978 685-8383
Name Of Licensed i, Plumber or Gas Fitter
GEORGE LAROSE'-
nsu �an'ce Cove ra6 Indicate the type of insurance coverage b I y checkin . g the
appropriate box:
Liability insurance policy E(Other type of indemnityF--1 Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property . Owner 17 Agent M
I hereby certify that all of the deuils and infotmation I have a's Witted (or entered) in abote application wo true and mccusate to the best of my
kno-tedge and tltxt &a plumbing work and InatALlations performed under klermit ksucd [at this appLication will -be in co pliance with ad Mttnent
ca
pro—ions of the Maasachusetts State Gas C13de and Chapter 142 of uto General LAwL
By TYPE LICENSE:
Title Plumber
Gasfitter- siglratUre of Licensed
CitY/Town: Master Plumber or Gasfitt-er
Journeyman . 9983 -
APPROVED (OFFICE USE ONLY) License Number
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1ST FLOOR
2HO FLOOR
3RD FLOOR
4TK FLOOR
STH FLOOR
GTH FLOOR
7TKFLoOR
STH FLOOR
(Print or Type) , , Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122
Address 5731 SO. UNION STREET Partner.
LAWRENCE, MA. 01843 Firm/Co.
Business Telephone: 978 685-8383
Name Of Licensed i, Plumber or Gas Fitter
GEORGE LAROSE'-
nsu �an'ce Cove ra6 Indicate the type of insurance coverage b I y checkin . g the
appropriate box:
Liability insurance policy E(Other type of indemnityF--1 Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property . Owner 17 Agent M
I hereby certify that all of the deuils and infotmation I have a's Witted (or entered) in abote application wo true and mccusate to the best of my
kno-tedge and tltxt &a plumbing work and InatALlations performed under klermit ksucd [at this appLication will -be in co pliance with ad Mttnent
ca
pro—ions of the Maasachusetts State Gas C13de and Chapter 142 of uto General LAwL
By TYPE LICENSE:
Title Plumber
Gasfitter- siglratUre of Licensed
CitY/Town: Master Plumber or Gasfitt-er
Journeyman . 9983 -
APPROVED (OFFICE USE ONLY) License Number
No
Date ..... /A/ ....
TOWN OF NORTH ANDOVER
0 -
PERMIT FOR WIRING
This certifies that ..... q.y
. ...............................
has permission to perform ..... I? L) P rp.q.. � �� ..........
......................................
wiring in the building of ..............................................
at ..... ...... ...... ............. NdAh And ver/,,M/ass.
Fee ... Lic. No./ ....... ........... ......
.........................
LEcrRicAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Office Use only
TI1E09Aff10NWE4LTH0FM4MaRMM. A
UV4DEPARTMENTOMBIK&FM Pennit No. /�,Uo eq
BOAMOFMEPREYEMONRWU4TlOAS5rOMl2-W Occupancy & Fees Checked
APPUCATIONFORPERWTOPIMORMELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELEcnucAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL—
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) �2q koqgii -Dekv-e—
Owner or Tenant !2H 19,o) 14A -f 14 a W A Y
Owner's Address — IS, X+ A7-) -e— —
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) �)-
Purpose of Building Utility Authorization No. 90U00
Existing Service ;Z0 0 Amps 1201 2-YoVolts, Overhead Underground F= No. of Meters
M L09=V
New Service Amps volts Overhead M Underground M No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work" f,,5p-ok-e ty
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
14o. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
E]
ground M
No. of Receptacle Outlets
No. ofOil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local r7 Municipal
M
Other
No. of Dryers
Heating Devices KW
Connections
No. ofWater Heaters KW
No. of No. of
Signs
Bailasis
No Hydro Massage Tubs
No. of Motors
Total HP
OTHER
Instzant:eCovw� PLXRMttDtheWb=entsdMa%�sGmaW Laws
Iha%eaametLabiltykur&=PbbcymdudngCaTO*OpwadonsCmcrdWcrksskstrtiale4ivWfft YES NO
lhr,,eahnadvaWproofafswieiotheOffim YES Pq NO ff�wtmedriWYESpkmmdc*thetA-CofwcWbydcdurgtc
1-1 1 1 ! box,
NRRANCE BOND F-1 OTHR F-1 ftmSpo*)
E,shm&dVak&dEkftxalWcik
WCIkIDSM �kqxcfim =Rq�ucsled Ra* FM
E 3'? �k
FIRM NANE Liomselqo.
Lim= C Sigrm. LJcffW?kb
Bus4=TeLNh
AJLTeLNa ()J
OWNER'SMJRANICEWAIVER,IamwAmeffiltheLmwdoesat themsLra=cmeragpor#ssiEbnWepvakrtasrag=Wby&bwAisM Gard Lmvs
(Please check one) Owner ED Agent 0 Telephone No. PERMIT FEE $
Date.:�� ... .........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..............
.......................................................... :� ...............
/ U --"
has permission to perform ...... ... ...................................................................
wiring in the building of ..... ]�,/i --Z ...............................................
9 /i - " 1' 7 J 0'4�
at................. ............. .................................... . North Andover, Mass.
Fee.w;�� ..... !'� ...... Lic. Nol:X .......... ....................
Check# ELEcrRicAL MpEc-m
0
4 4 5./
V
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Pennit no.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leaveblank)
1�,v V- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00
(PLEASE PRINT ININK OR TYPEALL INFORWTIOA9 Date: 3-31-2003
Citv or Town of-. N Andover To 6 eJ= re sf*
escg!2W
By this applicafion the undersigned gives notice of his or her intention to perform electric r e ow.
Location (Street & Number) 29 Kara Dr
Owner or Tenant Sheila
Pullano
Telephone No. 1-978-975-3734
Owner's Address 29 Kara Dr N Andover MA 01845
Is this permit in conjunction with a building permit? Yes E]No K (Check Appropriate Box)
Purpose of Building home Utility Authorization No.
Existing Service Amps Overhead [—] Undgrd F] No of Meters
New Service Amps Overhead F] Undgrd No of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: install overcounter range hood ** I do not know what box to
choose"
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers K -VA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above 0 in- [:]
grnd. Xrnd
No. of Eme cy Lighting
.7en
Battery U s
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
No of Air Cond.
No of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals--
Number
� Tons
�W
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
SpacelArea Heating KW
Local M i i al Other
0 C=eC'cWon I
No. of Dryers
Heating Applicances KW
Security Systems:
No. of D�vices or Equivalent
No. of Water KW
Heaters
No. of No. of
signs Ballasts
Data Wiring:
No. of Defices of Equivalent
No. of Hydromassage Bathtubs
No of Motors Telecommunications Wiring:
Total HP No. of Devices of Equivalent
OTHER:
Attach additional detail ifdesired, or as required by the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned
certifies that such coverage is 'in force --and has exhi"q proof of same to the permit issuing office.
CHECK ONE: INSURANCE n BOND L -OTHER [�Jpecify:) (Expiration Date)
Estimated Value of Els Work: by municipal policy.)
oic "nen requitted
Work to Start. 3-31- 003
—Inspections to be requested in accordance with NEC Rule 10, and upon completion
I ce?Wfy, under the pains and
penq&4�s ofRerjury, that the information on this application is true and complete.
FIRM NANIE Expert Electrical Services, Inc. LIC. NO.: 17222A
Licensee: Stephen Decker — Signature LIC. NO.: 1-800-418-3221
(Ifapplicable enter "exempt" in the license number line) Bus. Tel. No.:
Address: 44 Stedman St Unit 2, Lowell, MA 01851 Alt. Tel. No:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the
by law. By my signature below, I hereby waive this requirement. I am the (check one)
Owner/Agent
J
Location t"
No. Date
j0*T" TOWN OF NORTH ANDOVER
certificate of occupancy s
CHU Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check# �7
15 1 Buildi ng:�In(,, �ctor
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, REN04A OR DEMOLISH A ONE OR TWO FAMILY DWELLING
o, �w 711t 77—
ING PERMIT NUNMER: DATE ISSUED:
� c�3 / /(j ci
SIGNATURE: 0�f;7
Building Commissioner/12�,ector of Buildings Date
SECTION 1- SITE INFO
1.1 Property Address:
7.1 Ko,,ea. t rkvt.
1.2 Asse&sors Map and Parcel Number:
q?
"ber Parcel *umber
N. AnLvix Mo, otivis
1.3
ZoningDistrict Proposed Use
1.4 1i�cety
Lot Arm (so Frontage (ft)
1.6 BUI]LDING SETBACIKS (ft)
Front Yard Side Yard
Rear Yard
Reqjfired Providc Providcd
ReclWred PrOvicw
1.7 Water Suppl y M.G.1-C.40. 54) 1.5. Flood Zone Infonnation.
Public 0 Private 0 Zone Outside Flood Zone 0
1.9 Sew—ge 134-1 System:
Municipal 0 On Site Disposal System 1 0
SECTION 2 - PROPERTY OWNERSEEIP/AWHORIZED AGENT
Naltic (Print)
Signature
2-2 (ASLv\*)
8) Ian - C)
Telephone
lot 140.4-0.0 Of-:Vt,
Address for Service :
100ASI
Address for Service:
SECTION 3 - CONSTRUCTION SERVICES I I
3.1 Licensed Construction Supervisor:
. icen.qed Construction Supervisor:
kddress
.ignature, Telephone
.2 Registered Home improvement Contractor
-.-RMA 4bm* t..rVkf-tc, Tn(..
ompany Name I
145 C-A-'ft9-M,,)CCA 016n
ddre-.,;
Not Applicable 0
License Number
Expiration Date
Not Applicable 0
Registration Number
Expiration Date
6, 3. O -L
SECTION 4 - WORKERS COWENSATION (NLG.L C 152 § 2!
Workers Compensation Insurance affidavit must be completed and submitted
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ..... .W' No ....... 0
SECTION5 Descriptioh of Proposed Work (check all appgigble)
New Construction 0 1 Existing Building El I Repair(s) 0
this application. Failure to provide this affidavit will result -
Alterations(s) No*' I Addition El
Accessory Bldg. 0 De molition 0 1 Other 0 Specify -A.
I tot,
Brief Description of Proposed Work.- tz� ,
I SECTION 6 - F.qTYI.Lf ATRD CONSTIMU-MMI COSTS I
item
Estimated Cost (Dollar) to be
Completed by permit licant
I . Building
313417.
(a) Building Permit Fee
Multiplier
2 Electrical
_(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 —Fire Protection
L_6 Total (1+2+3+4+5)
Ck�F-7
CFe Umber
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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.
I Signaftire of Owner Date
[ SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
Pe".41 V as Owner/Authorized Agent of subject
propert),
Hereby declare tbat the statements and information on the foregoing application are true.and accurate, to the best of my 1moodledge
and belief
Prm*t N
— . !1?�. J aAot� 10 1%-01
§�gnature of Owner/Agent Date
NO. OF STORIES SIZE
BASENIEN—T OR SLAB
SIZE OF FLOOR TRABERS 1 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION TMCKNESS
[;11E HT 0
S Sl
0
IZE OF FOOTING X
Z OC
M T
ATERIAL OF CI-11MINEY
S
IS BUILDING ON SOLID OR FILLED LAND
LILI�UILDING CONNECTED TO NATURAL GAS LINE
The Commonweafth of Massachusetts
Department of Industrial Accidents
offlet VI&MV12offs .
600 Washington Street
Bosron,.ffass. 02111
Workers' Compen, ition Trisurance AMdavit
v�
nhone#
C:) i am a homeowner perfOrminv all work my self.
d have no one worKing Ln _ny capacity
ding workers' compensa, )n for my employees working on this job.
am an employer provi
Its: Cow)
a"Is
Go L9
insu
7
"ry owl'" ciors listed below who ha
C3 I am a sole proprietor, general contractr cr homeowner �circle onE) and have hired the contra
the following workers' compensation r tces:
----------
rinliew d --------
nsur2rKC_
r -ida, -- — —.:� _:�� TET I
Ifloidl-Fiticit if Utii—wir ction 25A o(SIGL 152 Can lead to the IMPOSIUOn 0FCn - m1nal pensitics ofs fine up to 51.500-00 znd
Failure to secure coveraff 2S rCqL ea under ')t a STOP WORK ORDER and a fine of SIOD-00 a d2y against me. I understand th2
ant Years' imprisonment as %veil � . civ,11 penalties in the form of v rific3tiun-
copy ofthis statement may be for tartled to The Orrict of investigations of the DIA forcovertgc ' c
I do he"bY cerr under the: al , ns ard penalties of pet�unl that the information provided above is true and correCL
�I!A k -
Signature
x --Phone 0
Print name
,4o,w&� -
s4rufficial uso: oniv di, nn, write in this area to be completed by city or town OfTicili
f1. Department
!-- permlOiCcnlc 0
Cirs or town,_ fjUccrisint ' Board
Orfirt
e is required otlealth Dep2rtnitnt
check it immordl. If icspons
phiDne 0*
rentact nrr%nn7
M
ce ntk
coo
�-O,AL ) ,
. Nr�V All
4_1 ./,,/oJALFS CONTRACT
Branch Name: Date: Sold, Furnished & Installed b�
I he Home Impot Installed Sales
Branch Number: Job#: 345 Greenwood Street, Unit I Worcester. MA 01607
508-756-6686 (800) 657-5182 Fax: 508-756-285c
Federal ID# 75-209460 R! Cont. Lie# 16427 CT Lie# 56552
MA Home Improvement Conuutoi Reg. #1268c
A/, ^4 cl/woc`
Installation Address:
City
zip
Home Addressi
(if different from Installation Address) City State Zip
Pruiect Informatigo
I/We!You ("Purchaser"), the owners of the property located at the above installat;on address. offer to contract with The Home
,�e�%on
p I "Hop. e
Depot") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet
incorporated herein by reference and made a part hereof
Home Depot reserves the right to cancel this contract If, upon re -inspection of The job, Home Depot determines that it
cannot perform its obligations pursuant to the contract specifications.
SALE AMOUNT s 33"? 7
CONTRACT AMOUNT S_
DEPOSIT PAYMENT OPTIONS
(Subject to fund verification and/or credit aplaroval.)
I . Check, Cashiers Check or US Postal Service Money Order
(made payable to The Home Depot)
5 7f- 2. Credit Card- - Circle 0AAACIRA,
DEPOSIT F�2 a>
-___go:me Depot Visa<51gterc Discover A 4r, press
'car, less
25% of Contract Amount due
.U -
upon execution of this contract ExI
(UNLESS project is financed :� p_
through Chevy Chase, In wbkh Name asit appears on card: ��Trlps 0olu
case .. dtfoosit is required). e-1
-By my/ot signivure below, ]/We agrec, to allow The )ionic Depot to charge
BALANCE DUE ON c�, oc� the abo : r ric credit card for the amount indicated above.
COMPLETION $,), 1 '-7- 1.
e,
C�rdh_old r S' tu
Ch&X-e-. - )k
. C (4 T -
If this is a finarocc transliction, the agreement for financing is contained in a separak document, which is incorporated herem by
Referent:e, and niade a part hereof. At Home Services Credit Application reference #
Purchaser agrees thdt, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any
balance due (unless che job is financed, in which case, upon submission of the executed Completion Certificate, Home Depot wil; be paid in
full by the lender). Purchaser also agrees to be jointly and se�crallv obligated and liable hereunder.
For Massachusetts Resideratio Only
Contractor, at owncis expense, shull procure all permits required b,,,, ia% as follovs; Owners who secure their own permits will be excluded fmon the guaranty
funJ provisions o1'MSL Chaplet 142A. Unless otherwise noted within ibis document, this contract shall not imply that any lien or other security interest has
been placed on thc residence.
Entire! Agreement
This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties
and can not be amended or modified unless in writing in a separate agreement signed byboth parties.
NOTICE TO PURCHASER
Do not sign this contract before you read it. You are entitled to a completely rifted -in copy of the contract at the time you sign. Keep
it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satitifted with the entire project
before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed
by the owner prior to the actual completion of the work to be performed under the contract.
You rusy, caricid this transaction at any time prior to midnight of the third business Jay after the date of this contract. See Notice of
Cancellation f,,r an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is
cancelled by Put -chaser AFTER the third business day.
BY _MYOUR S;GNATURE BELOW, FWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. IIWE ACKNOWLEDGE
RECEIPTOF i� COPY OFTHIS CONTR.ACT ANDTWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION.
BY MYIOUR SIGNATURE BELOW, VWE UNDERSTAND THAT THE AGREEMENT is SUBJECTTO REVIEW OF MY/OUR
CREDIT HIST(;RYAND VWE AuTHORjZE HOME DEPOT AND RMA HOME SERVICES,INC., A HOME DEPOT AUTHORIZED
CONTRACTOR, TO VERIFY dAN LIREVIEW Nff,'OLIK CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTIM,
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AGENCY AND RELE, E Tl %ALL I fLITY iNCURRED FROM INA DVERTENT OMISSIONS OR ERRORS.
SUBMITTED B Y: Q4 Date:
ACCEPTED BY —Yale:
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NOTICE: ADVI J IONAL TERMS, CONDITIONS ANDV, ARRAN TIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRALT
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Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 126893
Expiration: 08/03/2002
Type: Supplement Card
Home Depot At -Home Services
PAUL VENTRE
3200 COBB GALLERIA PKWY #26
ALTANTA, GA 30339
Administrator
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