Loading...
24 LEE ST - BUILDING INSPECTION Tt3- IL4 - lo`lb $ 2S C r The Commonwealth of Massachusetts RECEhEW INSPECTIONAL SERV�S> °t18 Board of Building Regulations and Standards ( m MUNICIPALITY Massachusetts State Building Code,780 CMR,7 edifiopn����.r�•p���;��( pp �j Building Permit Application To Construct,Repair,Renovate,Or1176datMIL2 Rer&ed..�., One-or Two-Family Dwelling ;o ,< M ; 1, 2008 This Section For Official Use Only Building Permit Numb r: `" Date Applied: ,p Signature: {" Building Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&.Parcel 1�pmber� a`' LEe CJ� ) 1 1 fN11U:Yf:91 IN 'silow I ; 1.1 a Is this an accepted street?yes no - Map Number,�vA 001Mgyrddl 17ilmber 1.3 Zoning Information: 1.4 Property 11VARAN M*" Zoning District Proposed Use Lot Area(sq tt) Frontage(it) 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? Check if es❑ Municipal❑ On site disposal system ❑ "'- .,... SECTION2: PROPERTY,OWNERSHIPt 2.1 rr of Record: - C;o �� I<�c f�� fa cl�Pi, � Y CSC 5� S�4�vj Name at) � Address for Service: C� cares -�Iq Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units I Other ❑ Specify: Brief Description of Proposed World: f r 5�.. •L �( (down C-flll.'(os-a- cJo ( S 2- f5 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only, Labor and Materials 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined:. 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost;(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 000 "D ❑Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES / 5.1 Licensed Construction-Supe is r(CSL) ' 23J1032JAKLMT rJ$��` f $79 3 i6 •• License Number Expiration Date NameofCSL.Holder r ��.y iyts (� - C I "� S e3•I-T11fO1h5tred List CSL Type(see below) Address SATT2AllMA 0�9�0 `T '..Descri'tion , Unrestricted(up to 35,000 Cu.Ft. � Signature R Restricted FamilyDwelling M Masonry Only RC Residential Roofing Covering Telephone WS- Residential Window and Siding q7� 7 /-1 _�i�7'�j SF Residential Solid Fuel BurningAppliance Installation !! / D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) .. / Y I-O HIC Company Name o I,t, Registration Number Address 5 r A+ct�aytnvawe r1- Ss1elnMAQ19M 92s-7 rY-sry Expiration Date Signature r 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 o e building permit. Signed Affidavit Attached? Yes .......... No...........11 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 0/'I, O<<n / e G f X as Owner of the subject property hereby authorize "'I to act on my behalf,in all matters rella/a�tive to work authorized by this building permit application. Signature of Owner Date SECTION 76:OWNEW OR AUTHORIZED AGENT DECLARATION I, E f r - (`?(" ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of e 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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors 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"may be substituted for"Total Project Cost" I CITY OF S'1i-E;lf NLNS8ACHUSEITS BUILDING DEP{RTNi&NT 120 W'kslinIGTON STREii-7',D FLOOR ' TM (978)745-9595 R x(978) 740_984,4 KIJIBERLEY DRISCOLL THONIAS ST.PIERRB MLAYOR: DIRECTOR Of PUBLIC PROPERTY/HL'TLDLNG£ONISSIONER' Workers' Compensation Insurance Affidavit; Builders/Contractors/Electrieians/Plumbers Annlicant Information Please i*rint'Leeibly Name(Business%organization/individual): Atlantic Wester4alifs LLC Avenue Address: Went MA 91979 City/State/Ztp. ['hone#: Are yn n employer?Check the propriate box: Type of project(required): 1. 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑,New construction employees(full and/or part-time).* have hired the subcontractors. 2.❑ 1 am a sole proprietor or partner listed on the attached sheet t �• ❑Remodeling ship and have no employees. These sub-contmctors have 8. ❑ Demolition ' lvorkin for me in an ca aci workers'comp insurance., 9 g y p tY.• ❑ Ouitding'additon [No workers comp:insurance'' 5. ❑ we are a corporation and ats required J* officers have exercised theft !0.❑Electrical repairs or additions 3.E1.1 am a:homeowner doing all work right of exemption per MGL , I I.❑Plumbing repairs or additions myself..[No workers'comp. c. 152,¢1(4),and we"Have no 12.❑Roof repairs insurance mqutred.j't" employees."[No'%vorkers 13.❑Other comp.insurance required., 'AnY epptleunt iliac chicks box:01 must also rill out the sectiuti below showing their workers'.compnoattion polity rnfiiimotion. t thtmeuwnen whosubmit this affidavit indicating}hcy am doing oil work and then him outiidernntmctori musfiubmita new affidavit indicating such PCuntmctmo that check ibis box must anachodan additiorwl shcet Showing the.name of the subeonanstom and iheirworken`comp,pulley information. . um an employer that!s'provfding rvorkers'compensation Insurance for iffy,employees: Below,is the policy and Job site Jujongation. . ' '• ln,ura, Company Name: --7'/�wL t G Policy#er Self-ins.Lic.N: �/✓2� /'L I Expiration Date: Job Site AJdress>` a City/State/Zip: 3��� 'knacb,a copy of the workers'compensatioa policy declaration page.(showing the policy number and e xpiration date). Failure to secure coverage as required under Section 25Aaf ML c. 152 can lead to the,imposition of criminal penalties of a tine up to S1,500,00 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'Jay;against the violator. Be advised that a copy of this statement may be forwarded to the Office of Invcitigatiuiigpl'thc DIA For insurance coverage vcntication. ' /da hereby;'ertijy, under the pains!ai n Penal ajperjury that the hsjorotutfon provided above iv t rue and correct. Si n uurr p phoned: ! 1L 7 / OJfiri'l use wdy. Do[rot ivrife in this area,io be completed by city ui lown ajjlctaI City oe'rown: PermittLicense# Issuing Authority(circle one)* 1. Board of Health 2.Building Department 3.Cilylrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other . Contact Person: Phone#: ACORO® CERTIFICATE OF LIABILITY INSURANCE �,TE`MNX°°"""' EPRODUCER TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED NTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. NT: If the certificate holder is an gDDIT10NAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the holder in Ifeu of such endorsement(s). CONTACT Eastern Insurance Group LLC M : Construction PHONE - (SOS)651-7700 FAX 233 West Central Street E-MAIL ADDRESS- Natick INSURE S AFFORDING COVE RAGE NAICa MA 01760 INSURER Protection Ins. Co.Co INSURED 1360 'INsuREAeArbella Indel Ins Co. 0017 Atlantic Jefferson Avenuatione INSURERcNAutilus Insurance Cc 1 61 Rear Jefferson Avenue INSURER D: Salem INSURER E: MA 01970 INSURERF: COVERAGES CERTIFICATENUMBER3daster 2014 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 TYPE OFINSURANCE POLICY NUMBER PO pCY EFT POUCYEXP GENERAL LJABIIJTY D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 11000,000 A CLAIMS-MADE PR MI S ec r $ 50,000 OCCUR 500042816 /20/2014 /20/2015 MEDEXP Any mlepersi S 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE IIMITAPPLIES PER: POLICY X PRO- PRODUCTS-COMPIOP AGO S 2,000,000 LOC AUTOMOBILE LIABILITY $ BINED SIN LE LIMIT B ANY AUTO E amdem 1 000,000 ALL OWNED SCHEDULED BODILY INJURY(Per Person) S X AUTOS X NON-0WNED 020015871 /20/2014 /20/2015 BODILY INJURY(Par accident) S HIRED AUTOS X AUTOS PROPERTY DAMAGE $ X UMBRELLA LWB X OCCUR PIP-Basic $ 81000 A EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE S 11000,000 S DED RETENTIONS 600058654 /20/2014 /20/2015 AGGREGATE 1,000,000 WORKERS COMPENSATION $ AND EMPLOYERS-LIABILITY I WC SAIYY TA7U- OTH- EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L EACH ACCIDENT $ If yes,describe under E.L DISEASE-EAEMPLOYE S DESCRIPTION OF OPERATIONS Below E.L.DISEASE-POLICY LIMIT S C POLLUTION LIABILITY PL200378602 0/1/2013 0/1/2014 GENERAL AGGREGATE $1,000,000 EA POLLUTION CONDITION $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AIAeh ACORD 107,Addmonal RemBrka Schedule,N more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SALEM ACCORDANCE WITH THE POLICY PROVISIONS. 93 WASHINGTON STREET SALEM, MA 01970 AUTHORIZED REPRESENTATIVE Ronald Cleavea/St4E /�/ ACORD 26(2010/06)IN$025 nn1nm, m ©1988-2010 ACORD CORPORATION. All rights reserved. The Ar:ni name and Inn.a.roninfarorl Madre of ArInion —o -��.�.. •.v a J/ 14/ 4V1Y M :Lr [OM APl PAUL 00/Ubb Pax Server ACiOR& CERTIFICATE OF LIABILITY INSURANCE 0312.2D14 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 IY 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 certificete holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. M SUBROGATION IS WAIVED, endorsement A statement an this certificate does subject to the terms and conditions of the policy,certain policies may require an not confer rights t0 the certificate holder in lieu of such endorsememis). PRODUCER COMACr EASTERN INS GROUP LLC NAME: 233 WEST CENTRAL ST PHOrNp U. FAX NATICK.MA 01760 E'MAILA�No: INSURER(S)AFFOROWG COVERAGE NAICC INSURER A:AMERICAN ZURICH INSURANCE COMPANY INSURED ATLANTIC WEATHERIZATION LLC INSURER B: 61 REAR JEFFERSON AVE INSURERC: SALEM.MA 01970 INSURER D: INSURER E: INSURER F: OVERAGES GESMICATE 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 REOUIREMENT, 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. LENEI: TYPEOFINSURANCE ADU BUa POLICYEPF POLICY EXP SR WVD POLICY NUMBER MM/DDNYYY) MMmDNYYY LIMIT L CRCIALIABILITY EACH OCCURRENCE MERCIAL GENERAL LULBILRY 6 pAMAGE Tp RENTED § LAIM6MAOE❑ OCCUR r MEDEXP(Ar me Mn V § PERSONAL&ADV INJURY § GENERAL AGGREGATE § GREGATE LIMIT PER: PRODUCTS-CDMPgP AGG $ CY PROJECT LOCaILEUABLRYAUTO aWmNEO SINGLE LIMITWNED q��ULEOBODILYIWURY)Per pmm�)S BOOAV IWURY IPnaeeilenG D AUTOS NW:0MEOAUTO§ § ELLA LIAR OCCUR EACH OCCURRENCE $ SS UAB CLAIMS-MADE AGGREGATE § RETENTION$ § WORKERS COMPENSATION AND EMPLOYERS'U1BHM ' X WCSTATU- OTH. ANYPROPRIETORIPARTNEg1EXECUTNYM TORYLIMITS ER OFFICER in W NH)R&AEMHEq EXCLUDED? �NNA (Mg GZZUS 03.20.2014 03.20-2015 E.L.EACH ACCIDENT $500,000 Itym;wiwuMer 58270121 EL.DISEASE-EA EMPLOYEE $500.000 D RIPTION IFOPERATIONS waw EL.DISEASE-PDLICYLIMIT $500,000 DESCRIPTI- ON OF OPERATIONS LOCATIONS i VEHICLES(Anil ACOIO fat,AdEabMIRenuia;SFRadub,amere Spam Is,gw d) ERTIFICATE HOLDE—RO CITY OF SALEM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 93 WASHINGTON ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, SALEM,MA01970 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORQED REPRESENTATIVE ` f ACORD 25(2010/05) The ACORD name and logo are registeredgma kslo�f ACORDCORPORATION.All rights reserved. tpanUrrnmxoea Business alatioo 1 Office of C osaroer Affairs& TRACTOR ME IMPROVEMENT CONTRA Type. _ gistration: 142089 - Ltd Liability CcrPo' xplration 3112/2016 k ,. ATLANTICWEATHERI7JaT� ILC; I PALM ERIC �� 51R JEFFERSON AVE �.5s undersecretary SALEW MA 01970 Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-087977 ERIC W PALM - 3 HII TON ST �1 Salem MA 01970= ���� .,I W Expiration i Commissioner 04f23/2016 Massachusetts Home inI1DI'OyemPnt Sannnfle CDIItIact FORM tarmaatisfim a a basic requhemmis of the smmb Hametmptm�amem Cootractorlaw OLebe mr14 • uagwent CDet MGuinera.S—hat"d advice(fnecessa m P is should but desst obt not in a adesuutrortl oCocc Coesum ftsade ro Hmna loprovemmt"bdomagr A%Pear orkanyour u hone,yu youldfi afree opy byygingfire®tiroavHadloony17-973.9787 Younuybbomafreecopyby®Ming the ofCoasumer Alfrirs ondBusmess 'on§Coos®o.Ipinrmalion Hatlmnaz6(7-973-g787 or 1-gg8.283.3757 or on owwe6site. • Homeowaerhn�f/orma�tt+onl Contractorinformat!on Sweet Address(do votuseaI'mt Of6mHot addma) ramtre cedsch"'" n] // faty?awn slam Zip Code Husiaea Addrea(mmtinemde p'y ppi�pp yr;•n 5 v Salem.�I M A 019A DayamePhwe •&I � -?,(q • �� �y?•av Sete Tap Cade Mail' Address(E diAmmtlrom ebwe) eaamrsPioae Pedetd ayvIDmSH.Nmnhv r.°„x;m,ummmmne �mparemrmwmwaq. omen 6¢mrmedtle 1.a,•...wsamwau,ee.e /Y2o 85 ram rrWaan®emba ^� %-� / The Contractor agreen to do the R110w1stg work for the Momeowmr'. 0)emnle in dvail ma wmkmeompleted,spaifying thetype,brand,arrdgradeof merviakmbe aced, aed'd IaF_'f ) .. A:e- sue\ Ge lla r Pjt.oNo ec((t, lose Wa GCS C-15 Required Permim- foty .Ming Permitsam"qul d Propose bs =dCompletion Sebedde-TbefOli and wi116e secured byThe We mnaowoaag=mas inghomeowmrsagont beadheredrovolem cirmmstaoc¢ab owmgaciteddemV (Owners who secure their own permits will be beyond m8 contractors maim)ease excluded from the Guaranty Fund proybions of 7�_ who contractor will MGL chapter 142A.) begin Conned work. Detewbea Mtracmd work will be sabsmnti my complaw. The C Total ContrettPrice and YeymcotSthedWe - 7 ontractor agreem toperlbrm the work thurchk dtemmpia)and labor specified above fm'.the co e�a)ae at 3000. 0C) - C) Payomis will be made acaordiogro the ibnowing uhedule: s _Rod signing mnaact(not to exceed V3 oftbe and covtractPrice g the crmofspecial order jW ,whichever is greater) - S !m upon completion of S 2d— D�by_I/ or upon cvmpletim of S 7D00.Od upon complctim ofda contract. -(Law fodrtds demcadteg full payamntwN covtratt is completed to both parry's sedsibctron)The Mowhw awtpmpaquipmea rant bespeelal s mhe paid for ordered befrremeeemraemd work begrd in order -- _ to mat me complratoa schedule(•°) s robe paid NOTRB:(7 kmmdkgag fmancechvga("IlawMin"dor my depositardoan-Maneatacquired by the trabeemr before work begin,any. .not"cold the greater or(2)onoahird ofdse tow earned Pate a(b)dre atmal can ofaoyspeaid egaipmaatarcugam medamatw®I which met he special ordered in advance to read the canadenansebedWa �R W N r tN bd Iben tracroasmasolamngaamrvdlizW by the mnmeemc YLe t dlahorLda Wia eoeemcoContract Acceptaocs typon argmng,Ws doemmmg mntractimdv law. Vaksx atlterwssenoted within this dowunmt,the mntram shall notimpty that ao]'lienorothmsecodty intraestbes hemplacedon drerrsidmce.Review the fogowrog cautlom and notice carMulty before atgetyg dre conoacc • Don't he presneed two Signing the mynas].Take gore to read and folly mderstend it Ask quedificou ifsWe rbing° Mekeaureme mnva_m the vdldH r - 19 nncimr. m6centradourobo registered with the DrrettorofHome R Thelow�cirmmasthometmprovemmtconuactors and retpstratioy by wntinVlarrg an the Dhedoraz ftPahP improvemem ContracmrRegiandioa Ywmgyinquireabomwatraaor Pink Room$170.Boston,MA 03116 or by calling 617-973-8797 or g68.283d737.° Dons the cootrectorhave tnsmonce7 Ask the Comegm(Lrhis immune mmpmy Wbtmatlon so t9617 cart confror covamge,mmkm seea copy Ora'proefofirsmanee°documma Knowyothe Home raWdaRmdLaw. Mt'M Information m the reveraeside ofthis form and get a copy urthe Covamnv , Oxide ro the Homa Improvvamt Contractor Law. You may coned this agreemeetifit hasbem signed ataplawather than the coatradaes among Piece ofbustres auyidedyou a0tily the' rontractr in wddegathidhamam offiembreach o�ceby ordinary mail pored,by m(egom snotorb deli thud basbar"day fogawmg tktaRLUff ofdds o tMk mietvihmmit.ghtofthe egramevt Sea rheatmcbednotice ofcaaWle600 Corm fman Wlartaz+®ofWsdghG DO NOT SIGN Tins CONTRACT IF THERE ARE ANY BLANK SPACES!!!Two" •oopv e[ummaa.srcoo»b �/1• 9� ��mJm^W/vN// rites Oxmgr+boddgmmmehvmemamr.74eaevmpyremadbe °���w,naecmr. Hameownv s S bag Concrattor's signehye . /«fir Dam Date 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 rightialt4t automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with aho�eowner in court unless , both patties agree to the optional clause provided below. This clause would give the connector the same right to — arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner herebymutually agree in advance that in the event the contractor bas adispute concerning contract,.theeorpctormaysubmit the dispute to aprivate arbitration fvm!jvhich has been approved by the SecrePery" of the Executive Office of Cons m Affairs and Business Regulation and the consumer shall be required to submit to such artiittmion'es provide In Massachusetts General Laws, 42A. Homeowner''Signature - _ ComractoYs Signature . NOTICE:The signatmres of the parties above apply only to the agreement ofthe parties tq alternative dispute resolution initiated by the contractor The homeownermayinitiatealternative dispute resolution even where this section is not se stately si ed bythe artier. Homemvner's.Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(Le.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 Gtiaramy Fond provisions of the Home Improvement Contractor Law. The connector is responsible for completing the.work as described,in a timely and workmanlilre manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. Ia additiouto guarantees or warranties provided by the contractor,all goods sold in Massachusetts cant'an implied warranty of mauhantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. Ifyou bave _ questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract -The contract must be executed in dttt licam 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 contact with attachments is to be gtvento the owner and the other kept by the contractor. Any modification to the original contract must.bein-vaiting--- --.--- and agreed to by bothparties:-ConGsctedworkinay-not3eginimtil troth paides have receLi+.ed a f iwexecuted copy of the contract and the three day rescission period has expired Accelerated Payments - A contactor may nat demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems liimlhmelfto be fmanaWly insecum However,in instances where a contractor deems him/herself to be financially insecure;the contractor may require that the balance of funds not yet dugbe placed in a joint escrow account as a prerequisite to continuingthe contracted work withdrawal of foods from said account would require the signatures of both parties. .. Additional Information If you have general questions orneed additional information about the Home Improvemei 4 Contractor Law of other consumer rights,or if you wish to obtain afree 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 j - - 617-973-8787,888 283-3757,or visit the OCABRwebsite at hhM://www.rnass.gov/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,cpptact: Director of Home Improvement Contractor Registration . Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116.- ' i i 617-973-8787,888-283-3757 or visit the HIC website at htpt •llwww.mess gov/ocahr/ Go online to view the status of a Home Improvement Contractor's Registration: ti ://db.state.mausthomeimnrovement/licenseelist.asp ' For assistance with informal mediation of disputes or to register formal complaints again a business,call: Consumer Complaint Section Office of the Attorney General !� 617-727-8400 _. .. .ARID/OR I . . .. Better Business Bureau 508652-"00;50g-755-2548 or 413-734-3114 vmtoaz -urvnoro 1 ;