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Home My WebLink AboutBuilding Permit # 6/9/2015 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N® Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page L0 CAT Z, L l x," Pnnt °'PROPERTY OWNER MAFYNO: Pr�hf" ,;1100 Year o PARCEL: ZONINGld Structure yes no DISTRICT . �Hjstoric District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: C5,0u r,,j&nO,,y /AJJ /a,,t /, ► c c,� Identification Please Type or Print Clearly) OWNER: Name: ;3i?-O FOOL*7°` Phone: 972- 76 F-5 `5 Address: CONTRACTOR Name: A kl' ;, H /2 /" ` Phone: Address: /�' /J F, Supervisor's Construction License:' Exp-bate:^ Home Improvement License: 4)y 96C Exp. Date: `17 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. F V Total Project Cost: $ ,1 aC FEE: $ Check No.: Receipt No.: % NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ownr Signature of contractor ` Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Town o _ � E 1, over ® �� ..ti. to No. •1� � � C, h ver, Mass, -5 ) as 1 S A_ COCHIC"t WICK 9�AOR^TEO S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .. ...... ?.�. ..� R ... ..... .. --II ...�....... Rough tobe occupied as .............�..��. .... �A ..... .........., ....®:.................................... chimney provided that the person accepting this 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 1 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR o� UNLESS CO STRCTIO T Rough ............................. ......... ...................................... Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. The Commonwealth of Massachusetts Department oflndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricions/PIumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Nalne (Business/Organization/Individual): Address: �� A DDI COA Ave-- e_x-i City/State/Zip: CrftEN ( l fV Y Phone#: 9��- 4 FS-30 s' Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* 7. ❑New construction 20I am a sole proprietor or partnership and have no employees working for me in 8. Poemodeling any capacity.[No workers'comp.insurance required.] In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10 0 Building addition 4.FJ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractor:listed on the attached sheet. 13.LJ Roof repairs These sub-contractors have employees and have workers'comp,insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and Ave have no employees-[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and thea 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. j I am an errrployer tlrat is providing 3vor kers'compensation insurance for my employees. Below is the policy and job site irtforvnation. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: ,I 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 required under MGL c. 152,§25A is a criminal violation punishable by 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.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 thepains andpenaltles ofperjury that the information provided above is tare and correct. Signature: Date: 7 Phone#: ;T— -.36 Offlcial 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector• 6.Other Contact Person: Phone#: Client#:968806 DARREMAR2 ACORD., CERTIFICATE 1 1 I INSURANCE F DATE(MMIDDNYM 5/07/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAOMEACT Terri Younes USI Insurance Services LLC-SCL arc No,Ext):855 874-0123 Arc No): 877-775-0110 103 Main Street E-MAIL South Glens Falls,NY 12803 ADDRESS: terri.younes@usi.biz INSURER(S)AFFORDING COVERAGE NAIC# 855 874-0123 INSURER A:Nautilus Insurance Company 17370 INSURED Darren Martino dba INSURERB: D M Construction INSURER C: 44 Adison Ave Ext INSURER D: Methuen,MA 01844 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUyyC��E��D BY PAID CLAIMS. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF MMIDD�YY LIMITS A GENERAL LIABILITY NN486681 9/21/2014 09/21/201 -EACHHHqOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMIS%S NTE°rice $100,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $5,000 X BI/PD Ded:500 PERSONAL&ADV INJURY $11000P000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT M LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYTORY LIMITS I LER ANY PROPRIETOWPARTNERIEXECUTIVE Y/N If yes,describe under E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N r A Mandatory in E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION Bruce Feldt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 50 Blue Ridge Rd ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S15057448/M13456011 TXYCX Ib asssGachUsetts - Depaf lw 5 n' of .3ublic 3"34ety Board of Building Regulation; and Standards s Construction 5uperikor 'jeers¢: CS-066342 DARREN MARTINO 44 ADDISON AVE EXT; METHUEN MA 01844 IA 912, In 1) r 08/15/2015 ��c (f[71f-/Ifalt«iec7l�lt o��'l Z�i.SJnc��lJe�J Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 124961 Type: 9/17/2015 Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE.EXT. g PT METHUEN,MA 01844 Undersecretary DM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 Estimate Submitted To: Bruce& Leslie Feldt Construction Supervisors License 66342 50 Blue Ridge Rd. Home Improvement Registration 124961 N.Andover, MA We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of Renovation of kitchen, bathroom, and miscellaneous home improvements. (See specifications sheet and drawings) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work"andd completion in a substantial 4, A I N"I"It'" ?, Wuffl" T MR V,0,A 01,W0111 F 'f 1215 fi, If llhi;i N, liq I 0 workmanlike manner in the sum of. X00/ WIN I W00" Payments to be made as follows: $ 1,000.00 Upon execution of contract. $25,000.00 When work begins. Remaining payments as work progresses. Respectfully submitted: Darren Martino Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon accidents, or delays beyond our control. Note-This proposal may be withdrawn if not accepted within 10 days. Proposal Date 05/05/15 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date: Signature:, Date: 5 Signature: DO NOT SIGN THIS CONTRACT IF, THERE ARE, ANY BLANK SPACES BUILDING DEPT. COPY FELDT RESIDENCE Specirications Sheet GENERAL SCOPE OF WORK Renovation of kitchen and 1st floor bathroom. Miscellaneous home improvements as outlined below and as shown on submitted drawings. PERMITTING DMConstruction will file all necessary paper work to obtain the following permits: building, electrical,plumbing, gas piping, and debris removal. The cost ofall permits and fees necessaa is not included in this estimate and will be billed separately. DRAWINGS DM Construction will provide floor plan drawings as required by the Town of N. Andover for permitting. SITE PREP In an effort to limit the dust generated from the renovation process. Doorways and openings to other areas of the house will be sealed off within reason with plastic or drop clothes. DEBRIS REMOVAL DM Construction is responsible for all debris generated. A container will be placed on site to ensure a clean work site. The container is for debris generated by DM Construction only, it is not intended for homeowner use. DEMOLITION Kitchen—Demolition of fixtures, cabinets, drywall,flooring, insulation, etc. DM Construction will remove the existing countertops and have them removed from the site. The existing floor will be brought down to the original sub floor. ls`floor bath—Demolition offixtures, cabinets, dfywall,floor,framing, etc. The existing floor will be brought down to the original sub floor. Exterior—Areas of siding will be removed as necessary for installation of new window units. The front door unit will be removed for installation of the new unit. FRAMING Framing shall take place according to the submitted drawings. Any deviations from the submitted drawings could incur extra cost. DM Construction reserves the right to review the final construction drawings and adjust the pricing of this contract�f necessaty. To ensure proper fastening, solid blocking will be install behind all cabinetry and accessories. EXTERIOR TRIM& SIDING Areas around new kitchen window and new front door will have new trim installed. Siding will be patched in as deemed necessary. All pvc trim boards will be secured with stainless steel ring nails. All joints will be joined with bond and fill adhesive. FELDT RESIDENCE Specifications Sheet WINDOWSIEXTERIOR DOOR UNITS Installation of new kitchen window and new front door unit, as shown on the submitted drawings. The cost ofall the exterior doors, storm doors, windows, screens, hardware, grills, etc is covered under an allowance. The kitchen windows will be framed to the countertop height and bumped out approximately 4 %"to allow for the granite countertop to form its sill. The exterior will be trimmed with pvc trim boards. INSULATION The exterior kitchen walls where drywall has been removed will receive new insulation. The perimeter of the %a bath will have insulation installed for soundproofing purposes. DRYWALL Installation of%" blue board on all walls, ceilings, or other areas where drywall has been removed or disturbed. A skim coat ofplaster will be installed on all new blue board. All new ceilings will receive a smooth finish. TILE SETTING 1/2 Bath—Installation of the/marble on the floor in the bathroom. Dura-rock or Ditra membrane subflooring will be installed under the tile. The cost of the the/marble, grout, and any enhancers or sealers is covered under the Tile/Marble allowance. CABINET INSTALLATION DMConstruction is responsible for installation of all cabinetry*and their associated moldings and hardware. Solid blocking will be installed to assure proper securing of all cabinetry. The cost of the cabinets and their associated moldings and hardware is covered under the Cabinetry Allowance. *This estimate is subject to receiving and reviewing a final cabinet plan. DM Construction reserves the right to adjust the price of the contract upon final receipt of this plan. APPLL4NCE INSTALLATION DM Construction will install the following appliances: refrigerator,freezer, dishwasher, gas range, exhaust fan, .microwave%ven, and garbage disposal. The cost and delivery of the appliances is not included in this contract and is the responsibility ofthe homeowner. *This estimate is subject to receiving and reviewing a final appliance schedule. DM Construction reserves the right to adjust the price of the contract upon final receipt of this plan. VELDT RESIDENCE Specifications Sheet FINISH WORK Installation of the following finish work in the entire Is`floor with the exception of the great room. Door units—2 panel, solid core, smooth finish,paint grade, masonite doors, with ogee sticking. Door& window trim—3 %2"Harbor casing with Torus back band Door hardware—Emtek(#8100) Old Town Cleat Knob with regular rosette in oil rubbed bronze. Baseboard—S %4"Harbor base Crown molding—61/8"Harbor classic crown molding Chair rail—3 % "Harbor casing with Torus back band(In dining room only) Custom millwork—All labor and materials for building and finishing of custom millwork including, but not limited to: closet shelving, built in units, wainscoting, mantles, book shelves, stairwork(balusters, railings, etc), coffers, etc. are covered under the Custom Millwork Allowance. PAINTING This contract does not include any prepping,priming,painting, staining, etc. of any walls, ceilings, or wood work. If desired DM Construction can provide the painting for an additional cost. ACCESSORIES DM Construction will install all accessories including: towel bars, toilet paper holders, towel rings, robe hooks, medicine cabinets, etc. If locations are determined during framing, solid blocking will be installed for secure fastening of all accessories. The cost of the accessories is covered under the Plumbing Fixture Allowance. VENTILATION Provide. the .necessary ventilation for the following items: bathroom exhaust fan and hood exhaust. If the hood selected requires make up air, this will incur extra cost. HEATING Installation of a kick space heater under a designated cabinet in the kitchen. This estimate does not include any work on the boiler, any of its components, or controls. Upon completion the heating system will be filled, tested, and purged. FELDT RESIVENCE Specifications Sheet PLUMBING Demolition—Disconnect and remove all plumbing fixtures and appliances in the kitchen and% bath. Demolition of existing water and drain lines as necessary. Kitchen—Provisions for and installation of the following fixtures: one main sink, one island sink(w/bow vent), two garbage disposal(on an air switch), one dishwasher, and a recessed box for the refrigerator ice maker with a no burst hose. %2 Bath—Provisions for and installation of the following fixtures: one pedestal sink, one faucet, and one toilet, Miscellaneous—All drains to be pvc and all water lines to be Type L copper pipe. All plumbing futures including: toilets, sinks, faucets, etc. are covered under the Plumbing Fixtures Allowance: ELECTRICAL Demolition-Demolition of all wiring, receptacles, switches, and fixtures necessary. Remove, reroute, and relocate wiring as necessary. General-Provide standard white receptacles and GFCI receptacles as required by the code in all new areas and all areas to be renovated. Appliances-Provisions for the following appliances: refrigerator,freezer, dishwasher, gas range, exhaust fan, microwave%ven, and garbage disposal. All new appliances to be GFCI/AFCI protected as required. Kitchen— Provide GFCI receptacles on the countertops, and island as required by code. Switching for any recess lighting,pendant lighting, under counter lighting, incabinet lighting, etc. Pan —Provide/install a fluorescent light fixture on a wall switch and one receptacle. 1/2 Bath -Provide and install one GFCI receptacle. Switching for the following fixtures: vanity light, exhaust fan, and recess light. All new circuits will be tied into the existingpanel. This estimate does not include any work on fire protection (Smokes CO2 etc) NOTE: The cost of all recess lightim pendant ljg_htjn& vanity lights under cabinet in cabinet accent lights, ceiling fixtures exhaust fans coach lights etc is covered under an allowance FELDT RESIDENCE ALLOWANCES The following allowances are included in this estimate. The allowances exist to cover the purchase of materials only, unless otherwise specified. Any amount spent in excess of an allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued. CABINETRY-$50,000.00 This allowance covers the cost of all cabinetry and their associated moldings, glass, shelving, accessories, and hardware. COUNTERTOPS-$15,000.00 This allowance covers the cost of all countertops and their associated template and installation costs. PLUMBING FIXTURES-$4,000.00 This allowance covers the cost of all plumbing fixtures including but not limited to: sinks, faucets, toilets, accessories, etc. LIGHT FIXTURES-$5,000.00 This allowance covers the cost of all light fixtures. This allowance covers the cost of labor and materials for recess lighting, under cabinet lighting, in-cabinet lighting, and any specialty fixtures, including timers, dimmers, etc. Example: 5"LED Recess light w/air tight trim, white baffle, and LED bulb-$200.00 Complete HARDWOOD-$13,000.00 This allowance covers the cost of materials, installation, staining, and finishing of hardwood flooring. It also covers the cost of any finishing or staining on stair parts. TILE/MARBLE-$500.00 This allowance covers the cost of all tile, marble, stone, etc. and its associated grout, sealers, enhancers, etc.for the bathroom floor. EXTERIOR WINDOWSIDOORS-$10,000.00 This allowance covers the cost of all windows and exterior doors units and their associated grills, hardware, screens, and extension_jambs. TIT.E BACAMP rASII- $7,500.00 This allowance covers the cost of all tile, materials, and labor associated with installing, grouting, and sealing a the backsplash. CUSTOM MILLWORK-$15,000.00 This allowance covers the cost of materials and labor to build and finish custom millwork including but not limited to: stair work, built-ins, book cases, closet shelving, window seats, mantles, wainscoting, columns, coffered ceilings, etc. FELDTRESIDENCE MISCELLANEOUS This contract does not include the cost of materials and labor for installation ofgas(propane) lines for the new gas range. Once the location of the new propane tank is established, DM Construction can provide a price for installation of the new gas(propane) lines to the necessary appliances. It is the home owners responsibility to make arrangements with,a propane supplier for providing and setting a new propane tank. This contract does not include any painting, including but not limited to: filling nail holes, caulking,prepping,priming, staining or painting of walls, ceilings, or woodwork. This contract is subject to review upon receipt of the final cabinet plan and final appliance schedule. DM Construction reserves the right to adjust the price of the contract after reviewing these. Cost could increase trany changes had an impact on plumbing, venting, structural work, change of framing plans, more cabinetry, additional appliances, etc.. Note: Due to the nature of wood and the drastic temperature and humidity changes in our region,you may notice the movement and shrinking of the flooring and exterior and interior trim. This is typical of the region and is not due to defective installation. Change Orders Any changes from the existing plans or increased scope of work involving extra costs will become an extra charge over and above the contract price. Change order agreements must be signed before any work commences. The fallowing schedule will be adhered to, unless circumstances beyond our control arise. Time frame for completion: When demolition begins to completion 4-5 months* *Subject to delays beyond our control (ie. delays associated with delivery of products, customer change orders, etc.) All work to be done Monday-Friday between the hours of 7.00 am—6:00pm. If deemed necessary to work any other times, the homeowner will be consulted first. MEMBER OF THE BETTER BUSINESS B UREA U HOME IMPROVEMENT CONTRACTOR: 124961 CONSTRUCTION SUPERVISOR LICENSE: CS 066342 All home improvement contractors and subcontractors shall be registered. Any inquiries about a contractor or subcontractor relating to registration shall be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 1 1 Boston,MA 02113 400 Phone: (617) 973-8700 MqNIFM BBB. MDM Construction Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext, Methuen, MA 01844 (978) 685-3037 CONTRACTOR ARBITRATAION AGRE EMENT The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The Contractor(Darren Martino)and the Homeowners(Bruce& Leslie Feldt) hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A. -Homiowner's Signature C—onh— ors rado' Signature Homeowner's Signature BIJILDIUNG DEVI'. C011,1V DM Construction I'mm Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 NOTICE OF CANCELLATION May 5,2015 You may cancel this transaction, without any penalty or obligation, within three business days from the above date If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller ofyour cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel,you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement, or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice to: NAME OF SELLER: DARRENMARTINO ADDRESS': 44 ADDISON A VE EXT METHUEN,MA 01844 NOT LATER THANMIDNIGHT OF.• May 8, 2015 I HEREBY CANCEL THIS TRANSCATION Date: Buyer's Signature: I(we each) acknowledge receipt of two copies of this form. Buyer. Buyer.-_(L—�