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B-19-948 - 0009 BELLEVIEW AVENUE - Building Permit
The Commonwealth of Massachusetts OF Board of Building Regulations and Standards CITY SAM (� Massachusetts State Building Code, 780 CMR Mar W Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For:Official Use Only Building PermitNumber: Date Applied: Building fficial(Print Name) Signature` _YSECTTON-1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors.Map&Parcel Numbers 9 Beileview Avenue 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2 P.ROPERTY:OWNERSHIP' 2.1 Owner'of Record: Alyssa&Watt Zimei Salem,MA 01970 Name(Print) City,State,ZIP 9 Belleview Avenue 781-640-9492 matthewzimei@gmail.com No.and Street Telephone Email Address ;a SECTION 3:DESCRIPTION:OF PROPOSED WORKS(check all that apply)_ ri r.•; , New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ AdditW t ❑ Y Demolition ❑ Accessory Bldg.❑ Number of Units Other iX Specify:siding co Brief Description of Proposed Work2:tyvek wrap all house surfaces } install new soffit where fire damaged,inspect roof where firedama ed,open damaged wall and check structure install 2 Harvey windows to replace 2 damaged by fire,install Certainteed Mainstreet D4 woodgrain vinyl siding co Aluminum trim to doors and windows soffits and frieze boards er ,. SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item �`'Offieial Use Only Labor and Materials l.Building $ 9050 L Building Permit Fee:$�%�j Indicate how fee is determined 2.Electrical $ ❑Standard-.,City/Town Application Fee ❑Total Project Costa(Item 6)x multiplter. x,A',. (, / s 3.Plumbing $ 2. Other Fees: $ rt 4.Mechanical (HVAC) $ 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No Check Amount �j Cash Amount 6. Total Project Cost: $ 19050 ❑Paid to FuI1- ❑Outstanding Balar ce Due: e SECTION 5:1 CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 094763 5/14/20 Tom Dobbins License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 23 R Winter Street, No.and Street "y Type Description Peabody,1AA 01960 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town.,State,ZIP M Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-531-8234 office@lengibely.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 100811 6/22/20 Len Gibely Contracting HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 23 R Winter Street, office@lengibely.com No.and Street Email address Peabody,NIA 01960 978-531-8234 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M:G 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 ..........5/ No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE-COMPLETED WIZEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT.:•. I,as Owner of the subject property,hereby authorize Len Gibely Contracting to act on my behalf,in all matters relative to work authorized by this building permit application. Alyssa &Matt Zimei 8/28/19 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'::OR'AUTHORIZED AGENT DECLARATION' By entering my name below,I.hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Tom Dobbins --`2—Q - 72_® l Ok Print Owner's or Authorized Agent's Name(Electronic Signature) Date •��_NOTES. 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass. ov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) ' Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. ."Total.Project Square Footage"maybe substituted for"Total Project Cost" Commonwealth of lassactiusetts: Division of Professwnal Licensure Board of.IBuilding Regulations and Sfandaros _ _ i k+•. �'1v_c yr - S t194&A9 Expires:0WOM020 BR1AN J DOBBINS COrnmisstojner iu1narintrvla a� .&w a"i8vmi Office of ConsumerAffairs&Business Regulation; HOME IMPROVEMENT CONTRACTOR Registration Valid for indlyidual'use only TYPE:Comorabon before the expiration date..1f found return to Registration Expiration Office of Consumer,Affa rs and Business R egutation 1000 06/22/2020- One;Ashburton Place-Suite'1301. LEN GIBELYCONTRACTING COMPANY,INC. Boston;MA 0210E1 _,, tea.•-�--o'"� _ � BRIAN J.0OBE3INS. 23R WINTER.STREET PEABODY,MA 0196ci _.Unde[sec Not valid tho retary� ut signature I Coinrnopwealth o1 massachiasetts 1 Division,of Professional-Licensur . Board of,-Su{Nang Rgguiattons ant!Standards %S-0947fi3 Expires. �5:1�;t242G THOMAS RDOBBIIVS 'i I C6n1r1'liSsi6ner Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CORiTRACTO.R" Regisb'ation'Valid forindividual,use oniy TYPE::Supplement Card before the expiration date. If found.return to: Reaistration Expiration Office of Consumer Affairs and Susiness,Regulation 10081T 06/2212020' One Ashburton Place-Suite 1301 LEN GIBELY`CONTRACTiNQ COMPANY;INC. .Boston,MA 02108 THOMASS DOBBINS ' 239 WINTER STREET � -"`� � .e - •. PEABOOY,MA,oisso; - Not valid without signature: Undersecretary I i ,yam The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 s Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:LEN GIBELY CONTRACTING Address:23 R WINTER STREET City/State/Zip:PEABODY, MA 01960 Phone#:978-531-8234 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 10 employees(full and/ 5. ❑Retail or part-time).* 6. E]Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7_ ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] g• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp. insurance required]* 11.0 Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp.insurance req.] 12.❑� Other CONRACTING *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. **1f the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:AIM MUTUAL INSURANCE COMPANY Insurer's Address:9 Belleview Avenue City/State/Zip: Salem, MA 01970 Policy#or Self-ins.Lic.#VWC10060109792019A Expiration Date:8/3/20 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. I do hereby certify,under the pains and penalties of perjury that the information provided above is true and correct. Signature: d _ _3� e g - Date: Phone#:978-531-8234 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): I'.Board of Ilealth 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia a , 1, A CERTIFICATE Qf LIABILUff INSURANCE ` "'n"' 0 711 8/2 0 1 9 THIS CERTIFICATE IS,ISSUED AS A,MATTER OF.INFORMATION ONLY,AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE'DOEi 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 REPRESENTATIVEOR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED;,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statementon-his certificate does not confer rights to the- certificate holder in lieu of such endorsemengs).. PRODUCER R NAr�E cT Marianne Hoysradt CROSS 1NSURANCE-WAKEFIELD INC PHC NE 781)914-1000 FAX-itio ADDRESS: n1h0ySra0t O@tgaCrOSS.COm 401.EDGEWATER PLACE STE 220 INSURER s AFFORDINccOVERAGE NAecn -WAKEFIELD MA 01880 INSURER A: AIM MUTUAL INS CO: :53758 ENSURED - - :INSURER a: _ LEN GIBELY CONTRACTING'COMPANY INC INSURERc: =INSURER D:. 23 WINTER STREET REAR INsuKu=R'E: PEABODY MA 019605941 INsuRER Ft: COVERAGES CERTIFICATE NUMBER: 426517 REVISION NUMBER.- THIS IS TO CERTIFY THAT THE:POLICIES OF INSURANCE LISTED BELOWHAVE 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,ESE ISSUED OR MAY PERTAIN THE INSURANCE:AFFORDED BY THE POLICIES DESCRIBED HEREIN IS'SUBJECT TO ALL THE TERMS; EXCLUSIONS-AND CONDITIONS OFSUCH POLICIES.LIMITS,SHOWN,MAY HAVE BEEN REDUCED BY.PAID CLAIMS: ;. INSR ADDL SUBR .. - _ . LTR.. TYPE POIJCYEFF POLICY.'IXP .'....... ...-. - �• IN SD POLICY MMIDD L1EAR5: -COMMERCUILGENERALLUIOf.UTY_. . ... `. _ _... . .. _ EACH OCCURRENCE $' ... GE O REN 11,0 CLAIMS MADE OCCUR PREM DAMAGE Ea occummm -:NIED EXP(Any one person) - - .. N/A. ;PERSONALS&ADV.INJURY $ !, I' GENti AGGREGATE LIMITAPPLIES_PER: GEN ERAL AGGREGATE $ i- POLICY ' LOP- PRODUCTS-COMPIOP AGG $ ..._ _ OTHER: !$ AUTOMMI.EUABIUTY COMBINED SINGLE LIMIT'. $ Ea acadent _ AM'.AUTO BODILY INJURY—(Fierpemon) $i ALL OWNED SCHEDULED ... AUTOS AUTOS NIA BODILY INJURY(Per acddent) $' ' NON-OWNED; S' PROPERTY DAMAGE HIRED AUTO $ " AUTOS Per acadent' l.UM13REUA tJAk! OCCUR EACH OCCURRENCE:H $ EI[CESS L1AB`' CLAIMS-MADE :N/A r� AGGREGATE E I $, DED.: RKEN110N$.. _. WORKERS COMPENSATION, :. -_...... .._- _ PER OTH- -: AND EMPLOYERS UABIUTY X: STATUTE"" ER:" YIN — ANYPROPRIETORtPARTNERtEXECUnVE E L.;EACH ACCIDENT $ -500,000' A OFFIC=,1 ENIBEREXCLUDED7 NIA NIA,. _NIA VWC1:00601;09792019A '08103120191 68/03/2020 _. - - -:. (Mandatory3n'NH) E:Ly:DISEASE-EA EMPLOYEE.$_.500,000 If yyeess describe undei - - - DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT $ .500,000` NIA, DESCRIPTION OF OPERATIONS l LOCATlows i vEHIGLES(ACORU IiH.Addlllonal Remarks schedule,may be attached.ff mom'space isLregWrad); Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to.Endorsement:WC 20 0306 B,no authorization.is given to pay Claims for benefits to employees'in states,other than Massachusettsif the insured hires;,or has hired those employees outside of Massachusetts: This certiflcate.of insurance shows the policy in force on the data that this certificate was issued(unless the expirafion date on ahe above;policy p ecedes the issue date of this certificate of insurance. The status of this.cov "erage can be:monitored-daily byaccessmgthe Proof'of Coverage-Coverage Verifigtion - Search tool at www.fnass.gov/Iwo/wofiters-compensabonfinvestigations/; ' CERTIFICATE.HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'EXPIRATION DATE THEREOF, NOTICE -WILL BE DELIVERED IN ACCORDANCE WITH THE,POLICY-PROVISIONS. AUTHORIZED.REPRESENTATIVE Daniel M.Cr4y,L CPCU;:Vice President—Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION:All rights reserved: ACORD 25'(2014/01)' The ACORD name and.logo are'regist _, 'marks of,ACORD CERTIFICATE OF - -... F DATE(MNUDDIYYYYI': .. Ai�RL7 LIABILITY iNSE 0112W019 THIS CERTIFICATE IS.ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS, CERTIFICATE DOES NOT AFFIRMATIVELY ORNEGATTVELY AMEND„EXTEND OR ALTER THE COVERAGE AFFORDED BY THE;POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT:CONSTITUTE A`C,ONTRACT BETWEEN THE.ISSUING.INSURER($)-,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:"if tht)certificate holder is an ADDITIONAL INSURED,the pOlicy(ies)must have ADDITIONAL INSURED,provisions or.;be.endorsed. 9 SUBROGATION IS.WANED,subject to the.tenns and conditions of the policy;certain policies In regpire;amendon>ement A statemerN on this certificat6does not confer rights to;the certificate holder in lieu of such endomement(s), PRODUCER CONTACT NAME: Stephen;Gill:, " Cross Insurance-Wakefield PHONE (781)914 100Q FAX` .- 78i)229 9777 Arc No-Er: C;1& 401 Edgewater Placel Suite 220 ADDRESS:, sgiI1 sennp.Wnsurance;oDm INSURER(S)AFFORDING COVERAGE`. NAICS 'Wakefield MA 01880 United National insurance Co: 13064 - .-..._. _. INSURER A: INSURED INSURER B r SafetyIndemnfty 33618` Len-Gibely Contracting Co.,Inc. INSURER C< 23R Winter Street INSURER D i. ' INSUREWE-: Peabody MA 01960 iNSURERF_ COVERAGES CERTIFICATE NUMBER: 1.9-20 Master REVISION NUMBER:' THIS ISITO CERTIFYTHAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THEJNSURED NAMED ABOVE'FOR THEPOLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM OR-CONDITION OF ANY'CONTRACT OR-0THER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEMAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POi1C1ES DESCRIBED HEREIN,IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.LIMITS,SHOWN MAY HAVE BEEN REDUCED,BY PAID.CLAIMS: INSR .LTR TYPE.OF INSURANCE INSO WVO POLICY NUMBER- (POLICY EF M C� 'LIMITS x COMEIERCIALGENERALuAaLLfrY EACH OCCURRENCE: .'$.1;000'.000 CLAIMS ADE- RENTED a OCCUR PREMISES GE ToEao=rrence..._ $ 50,000 _.. AHED EXP'( ,one person) $ 5.000'- A L7221167A 0-09/2619 01129/2620 PERSONALaADYINJuaY g 1;000;000, OEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ 2.000•000PRO ' 'x POLICY❑JECT ,❑;tOG -, PRODUCTS,-COMP/OPAGG $ ,4000,000. oTHFii $ . ;.. AUTOMOBILE LIABILITY' .. .. - - -.COMBINED SINGLE LIMIT Ea accident - _ ANY AUTO BODILY INJURY(Per per 11 son) '$ g OWNED Ix: SCHEDULED' 6221693 01/29/2019 01/2412020 BODILY INJURY(Per accident)AUTOS ONLYAUTOS ,XHIRED NON-OWNED PROPERTY DAMAGE AUTOSONLY AUTOS,ONLY' Per:acade, -... ......,..... ._.-... UMBRELLA LIABHCLAIMS41ADE :OCCUR. _.... _ EACH OCCURRENCE $..... _ EXCESS.LIAB- AGGREGATEE ' ,DED� RETENTION$ WORKERS COMPENSATION _ _.. _....._ _. .- - '.;PER OTH-.. _ AND EMPLOYERS'LWBILIiY YIN.: STATUTE'... ER. ANYPROPRIETORIPARTNEROTCUTNE EACH ACCIDENT $ OFFICER/MEMBER UCLUDED? �. NIA E.L. - ... (Mandatory In NH) :EiL:DISEASE-EA.EMPLOYEE. $-. If yes,describe under _ DESCRIPTION OF OPERATIONS tiefow. _.. ._...- .,. _ ,:.-.. -Eli DISEASE.,POLICY UNIT `DESCRIPTION.OF OPERATIONS{LOCATFONS I VEHICLES(ACOIm;11010 Additional Remarks Spioulq.maybe aUachad if moie,space is required)- CERTIFICATE HOLIOER CANCELLATION SHOULD'ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION'DATEIHEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE ATH THE POLICTPIR)ASIONS . - AUTRORLWO REPRESENTATIVE .. ,.._ Al. ©1088-2015 ACORD.CORPORATION. All rights reserved. ACORD;25(2016/03) The ACORD.name and logo are registered marks'of AC t_EN G{B>a_Y:.COi+,1TRACTt1�9G CO INC Submitted To 4' Page Nor 1 "�of 1 Pages ' ._ Name-:Alyssa and-Matt Ziemi g 1311 Vdinter Street Address 9 Bellevew--Ave,'Salem;MA 01970 Peabody,MA 01960 P \O P�SALLL (978)531-8234 Fax:(978)531-9304 hone 49 Dat p ; 781-640 9 2 e: 8/27/19 Email: m zimei@gmail com atthew www.lengibely.coin I office@lengibely.com Job"Location:..Same MA'Registration 100811 All home improvement contractors and subcontractors engaged In home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142 A of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton Place Room 1301, Boston, MA 02108 (617)727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c.142A. The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Rugulation and the consumer shall be required to submit to such arbitration. We hereby submit specifications and estimates for work to be performed and materials to be used as follows: Customer to have house asbestos stripped and dumped. We will Tyvek wrap all house surfaces. Install new soffit where fire damaged. Inspect roofing shingle;;above fire damage. Includes eight total hours of carpentry work to open up damaged wall and check structure. -Damage beyond 8 hours will be assessed and shown to homeowner Install two new Harvey white vinyl double hung windows to replace two fire damaged windows. Install new white downspout. Save rest of gutters and fascia coil. Install two new vinyl gable end vents. All new vinyl blocks around lights and hoses and dryer vents. Re-trim all house windows with new white aluminum. New aluminum trim to dormer and frieze boards that will be damaged when asbestos is removed. Install Certainteed Mainstreet Double 4"woodgrain vinyl siding. Front main gable end of house will get double 7"cedar impressions vinyl shingles. White super corners to finish corners. If we need to re-do coil on the main house rake boards, add$450 WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this agreement,unless specified herein writing. Contractor will begin the work in approximately 1 week . Barring delay caused by circumstances beyond Contractor's control. All work is weather dependent. The work will be completed in approximately 2 weeks . The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not be considered as violations of this Agreement. Hidden rot or conditions not seen at the time of estimate that are required to be repaired in order to complete this contract,will be completed at$85 per MAN HOUR. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in material and workmanship for a period of 5'Years following completion and shall comply with the requirements of this Agreement. WE PROPOSE hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of Nineteen Thousand Fifty dollars($ $19,050 ) All guarantees on all products from manufacturer Payment to be made as follows: Clean job site&remove all job trash ADD PERMIT COST IF NEEDED-WE PULL PERMIT ($Zero _)upon Signing Contract NOTICE:No agreement for home improvement contracting work shall require a down payment(advance deposit)of more % ($Balance_)upon completion of Job than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in ($ _)upon completion of advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. This proposal may bF withdrawn by us if not accepted within days uthorized Signature ACCEPTANCE OF PROPOSAL I have read this document and accept the prices,specifications and conditions stated.I understand that upon signing this proposal becomes a binding contract.You are authorized to the work specified.Payment will be made as outlined above. YOU the Buyer,may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction.Cancellation must be done in writing. _ DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES -Signature: /} Date: 08/27/2019 Signature: Date: } Ar:E.t�,.l4�ss�csJE�rs ,_ Bv1i.Dnvc`D�pAR?r:�Nr ,.. 22Q WASH[NGTON;SME-T.30 . Zk, LBIlv1. .MYDRISGDL (978)740-9846; I1/IAYOR 7�iO11tAS ST.PIERRE DIRECTOR DF pLMUCpx0tkfY/BUILDIlVG.pDI�vIl 10hiER' Corns ruc,610 Debris Da osc�! i av demolition 8c renOv ►ton work l In acrWdance With the sixth edttion;of'the:State BuildingCode,Z80 CIVIR,Section 111,5 i3ebrrs and the pr®visions of MGL c40,$$t Building Perr»it.#- is_issued.:with the condituon that fhe tlebris resaltang from this work shalt be�desposed of Al a properly licenses wasfe.sdeposit facilrtY as defined by N1GC c_13I,.S15QA. • k Th&AA)e s will be transported bye f OI,.JR TRUCKS L,-e,.,; G c h aw C,,� (..Warne of hailer) __ The-000S;will tie disposed of Allied Waste, (name:of facility)° 300 FOREST STREET, PEABODY, MA 01960 (address of facility), Signature of apploeant (today's date); i