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HomeMy WebLinkAboutBuilding Permit #332-15 - Exception 10/2/2014 NORTIi q BUILDING PERMIT '" 3?°��.``�.* TOWN OF NORTH ANDOVER 3 S� APPLICATION FOR PLAN EXAMINATI Permit NO: " �•_' Date Received +1 Date Issued: D SsACHU IMPORTANT: Applicant must complete all items on this page LOCATION Aq Mr 0 -,50 PROPERTY OWNER rint E MM2 Print MAP NO: b PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑ eration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer I T Unc J , Owloamw� � �i Identification Please Type or Print Clearly) OWNER: Name: GI Phone: 1 1' 1 103 Address: Mailsfy- Lsol� W -621)111�L CONTRACTOR Name:(� Phone:12& Address: 354N- , � Supervisor's Construction Licensee �3��� Exp. Date: ? Oqd I0 Home Improvement License: /��a Exp. Date: /C/,-7-0/1.0,-7-a/1.0 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ (Lo�n�.� FEE: $ �/-? ,db Check No.: Receipt No.: NOTE: Persons c n actin th unr giste ed contracto do not have access t theFuaraqty fund Fig nature of Agent/Owneri atu er of contracto BUILDING PERMITNORTH aw- .At ' OF,fit LEO /6;'IO 6 O TOWN OF NORTH ANDOVER - - APPLICATION FOR PLAN EXAMINATION ]�y T � h O • 1� * i Permit No#: Date Received ��SSgCHUs���� Date Issued: i IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: i I Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 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 Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne- Signature of contractor ''t Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Sw"'uning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit • DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date v COMMENTS l Dimension Number of Stories: Total square feet of floor area, based.on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) i { ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits a Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Li Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract La Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location ` v 5r No. : �� / Date /J 2 V • - TOWN OF NORTH ANDOVER • S��"�G3:L!l6yb • Certificate of Occupancy $ _ Building/Frame Permit Fee $�� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ t Check# L.U U Building Inspector � NRTH O Town of t EAndover O 0% No. - �`y z h ver' MassAotl_ T O LAN! ' COC NIC Nl WI[.f y1. A°gAreo S U BOARD OF HEALTH Food/Kitchen PER T L D Septic System 5 /� BUILDING INSPECTOR THIS CERTIFIES THAT ................. .. .. ... .... .... .... .Cuv%d ,...................S.0.1.......... / Foundation has permission to erect .......................... buildings on ..(..... .. ........�1(.q..4t.6r........................... Rough to be occupied as ... .1.`�...... ................ .........�.��!!�►��IN•�...�............................. Chimney provided that the person accepting thi 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 071r lb PERMIT EXPIRES IN 6 MONT ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S _ Rough Service ................. ....... ... ..................:.......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 Print Form Department of Industrial Accidents LV Office of Investigations kv) 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlicant Information r Please Print Legibly . Name(Business/Organization/Individual): e ��,n �/,t L �A d Address: c5 4 O . Broaclwoj( City/State/Zip: SQ�� Phone#: g q ydg ,6q Are yu an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. E]Demolition working for me in any capacity. employees and have workers' 9. E]Building addition [No workers comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions exemption myself. [No workers right�t of p tion p er MGL 12.❑ oof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.90ther 1^P 1aa1YWA comp.insurance required.] l *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. 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: ii n Job Site Address:_ A_1�� Ml��(�l� City/State/Zip: �� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cern under thepains and enaldes ofperjury that the in ormation provided above is true and correct. Sip—,nature.: -_./-- - �^- --- ---1 Date — - - --- Phone#: l 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#• Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-037603 KENNETH W PEIAGNY�-., 5 MCGRATH ST- "i z SALEM NH 030 w • Expiration Commissioner 04/17/2016 c9sie --"n uvuueccldi-o1�aaackweff office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Type. egistration: titd0286 xpiration: .6k15(7036:__ Private Corporatioi PELLERIN VINYL Kenneth Perigny ' 354 N.Broadway =Salem,NH NH 03079 Undersecretary } From:Nicole Boudreau FaxID:Santo Insruance Page 2 of 2 Date:9/16/2014 03:14 PM Page:2 of 2 PELLE-3 OP ID: NB CERTIFICATE OF LIABILITY INSURANCE DA 09116/201 Y) 09116!2014 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 CONTACT NAME: Planright Insurance-Salem PHONE 224 Main Street Suite 3C AIC No Ext): AIC Nol: Salem,NH 03079 EMAIL James A Santo ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC A INSURERA:Acadla Insurance 31325 INSURED Pellerin Vinyl Siding INSURERS: 354 Broadway Salem,NH 03079 INSURERC: INSURER D: 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 CONTRACT OR 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 REDUCED BY PAID CLAIMS. INSR OL SUOR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER 1MMIOOIYYYYl IMMIDDIYYYYILIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BOA5122764 10128/2013 10/2812014 PREMISES(Ea occurrence) S 500,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) E 15,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 POLICY PRO LOC S AUTOMOBILE LIABILITY EO MBI NEED SINGLE LIMIT $ 1,000,000 A ANY AUTO BOA5122764 10128/2013 1012812014 BODILY INJURY(Per person) S ALLOWNED BODILY INJURY Per accident) E AUTOS AUTOS ( ) X HIRED AUTOS ESCHEDULED NON-OWNED PROPERTY DAMAGE AUTOS PERACCIDENT S E UMBRELLA LIAO OCCUR EACH OCCURRENCE S :4EXCESS UAB CLAIMS-MADE AGGREGATE $ 0ED RETENTION S S WORKERSCOMPENSATIONWCSTATU- TH- AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE WCA5122768 10128/2013 1012612014 E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? FYIN I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEES 500,000 If yer es IPTION OF O E.L.DISEASE-POLICY OMIT S 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Ken Perign & Paul Pellerin have elected to be excluded from Workers Compensation coverage RE: 148 Main Street CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover, MA ACCORDANCE WITH 7HE POLICY PROVISIONS. 120 Main Street North Andover,MA 01845 AUTHORIZEDREPRESENTATIVE •G/ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Contractor Arbitration 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 and the homeowner 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 E ' e ffice of Consumer Affairs and Business Regulation and the consumer shall be required to submit to st itra;on asrovided In Massachusetts General Laws,chapter 142A. n t� ' Homeowner's Si a Contractor's Signature NOTICE:The ' atures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner`s rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terns of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at http://www.iliass.goy/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information N Com Nam Ar-1 CL Fcc.n-ahrno Street Ad (do not use a Post Office Box address) Contractor/Salesperson/Owner Name City/town State /][.rp Code Business Address,(mum include a street addnrss) ^^ff/1, / Daytime Phone ( Evening Phone City/rown State Zip Code 1 •77 Mailing Address(it different from above) Business Phone Federal Employer ID or S.S.Number Home Imp.ov=Md Co.dmetor Reg.Number I"regalrea that meat home Expiration time Improvement contractor have a valid reghh2don number 16dl) The Contractor agrees to do the following work for the Homeowner. (Describe in detail the work to completed,specifying the type,brand and grade of materials to be used,use additional sheets if nw&scary.) l I 1 CJ Par-ad ig r�, It��s-firt� ��;r,c�L DGu,,bLL R L)nc ('e aC.-Intn f (J�J a cl aw S -� (ocn Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work MGL chapter 142A.) Date when contracted work will be substantially completed Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of- Payments fPayments will be made according to the following schedule: $1550• upon signing contract(not to exceed 1/3 of the total contract price pr the cost of special order items,whichever is sten Bre ) $ by � or upon completion of $ by / or upon completion of S I 75-50 upon completion of the contract. (Law forbids demand' full trig Payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of an begins may which must be special ordered in advance to meet the completion schedule. y special equipment or custom made material Express Warranty Is an exomss warranty hein2 provided by the r^ntrador. ❑No❑Yes fall .+r+a t We wa rrentySubcontractors The contractor had t hi ntractl agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this moment Contract Acceptance Upon signing,ihts document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been plated on the residence. Review the following cautions and notices carefully before signing this contract. * Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. * Make sure the contractor has a valid Home Improvement Contractor Reeistrahon. The law uires subcontractors to be registered with the Director of Home Improvement Contractor "� most home improvement contractors and registration by writing to the Director at 10 Park PI Registration. You may inquire about contractor Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. 0 Does the contractor have insurance? Ask the Contractor for his insurance emmnanv infnrmat;nn.„tl,nr Visit Our Showroom At: PELLERIN Famous Brand Names 354 N. Broadway •Certainteed Salem, NH 03079 VINYL SIDING • Mastic Mon. thru Fri. 9am-5pm -Alcoa Most Saturdays 9am- 12pm •Andersen or by Appointment C. •Harvey Tel. (603)898-2259 •Therma-Tru Proposal - Agreement PROPOSA SUBMITTED PHONE DATE ql� ly ce � � 77/ — 77y 4 s'1 � STREET p JOB NAME CITY,STAT ZIP CODE (n� JOB LOCATION hC4�ej' We hereby propose to furnish all materials and labor necessary for the completion of the following products in accordance with the specifications and drawingss� -14 s t�`� �O 1'Ile, � 1� � ` l a lam , yl�ss2f� yes all '�e.4a1e_ 1,)11.2 9 ' 'Y/SS �A'IS�CUI �tl, SCK iIGI� CS -6974e3 PSC{0. �j`j7/j(o Total contract price is:—P,()( �9t?�l �Q �4�D rt�d ��k ',� r�- �,, dollars($ loe��S-a ), PAYMENTS TO BE MADE AS FOLLOWS. �-�j ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED. ALL WORK TO BE COMPLETED IN A AUTHORI WORKMANLIKE MANNER ACCORDING TO SPECIFICATIONS PER STANDARD PRACTICES. i�-y ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA SIGNATUREz COST WILL BE EXECUTED ONLY UPON WRITTEN ORDERS AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. ACCEPTANCE OF PROPOSAL-THE ABOVE PRICES,SPECIFICATIONSAND CONDITIONS t ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE. SIGNATURE . atJ4,/Icc�' CUSTOMER HAS THE RIGHT TO CANCEL THIS CONTRACT UP TO THREE(3)DAYS AFTER DATE OF ACCEPTANCE. DATE OF ACCEPTANCE � y SIGNATURE