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HomeMy WebLinkAboutMiscellaneous - 13 WALKER ROAD 4/30/2018 (2)TOWN OF NORTH ANDOVER M. E Cu n Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 Shawmut Management 733 Turnpike St. Unit 221 North Andover MA 01845 Re: Meadowview Condominiums Walker Road, North Andover, MA 01 845 Dear Mr. Letourneau, Telephone (978) 688-9545 FAX (978) 688-9542 August 23 2012 It has been brought to the attention of the Building Department that building #4 and 413 decks are in seriously poor condition. It's the Building Department's position that access to the decks shall be denied until repairs have been completed. Due to the commercial nature of the buildings stamped engineering drawing must be submitted prior to the commencement of work. The Building Department is also requesting the condo association perform an engineering evaluation of ALL DECKS front and back to determine the condition and safety of each structure. Many decks appear to be columns have been covered with wood and proper visual inspections are questionable. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal complaint against you in District Court with possible fins of $300 (sec.10.13) for each day during which violation continues to exist. Sincerely Yours, 6� Brian Leathe Building Inspector SHAWMUT PROPERTY MANAGEMENT 733 Turnpike Street #221 North Andover, MA 01845 Phone: 978.685.2158 • Toll Free: 800.303.4030 • Fax. 978.687.8640 'a.' x < December 13, 2012 Inspector of Buildings Gerald Brown Building Department — Town of North Andover 1600 Osgood Street — Building 20 — Suite 2-36 North Andover, Massachusetts 01845 Dear Building Inspector Brown, Per a request of the North Andover Building Department we had an engineering study done of all decks and as required have replaced the rear decks at buildings 13 and 4. In accord with the engineers report the community has secured all existing deck railings and is committed to replacing the remaining decks over' the next three years. Our engineer has questioned the need to reinstall the existing iron ladders due to the fact that the buildings have two means of egress (front and rear doors). Since the new railing system are. now to code we are concerned that the old iron ladders will now fall more than a foot below the new railings. We met with the North Andover Fire and Safety officer and Chief Andrew V. Melnikas and also made calls to the State Fire Marshal. All of these parties agree it is up to the North Andover Building Department to decide if the existing ladders should be reinstalled. For our files, please initial this document if you will agree we are not required to reinstall the existing fire ladders. If you feel the ladders need to be reinstalled, please let us know the installation specifications. Sincerely, Matthew B. Dykeman, CA®AMS® Executive Vice President Shawmut Property Management Toll Free 800 — 303 — 4030 ext. 113 Direct Fax 978 — 332 — 5783 and keman,shawmutpm.com Visit us at www.shawmutpropertymanagement.com November 29, 2012 DINELEY PROVIDING SERVICES CLAIMS IN NEW ENGLAND SERVICES NEW YORK NEW JERSEY PENNSYLVANIA MARYLAND DELAWARE Town of North Andover Building Commissioner 1600 Osgood Street North Andover, MA 01845 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GENERAL LAWS, CH. 139, SEC. 3B INSURANCE COMPANY: Vermont Mutual COMPANY INSURED: Ginette Lemay PROPERTY ADDRESS: 13 Walker Rd, North Andover POLICY NUMBER: H017003635 DATE OF LOSS: 11/29/2012 CAUSE OF LOSS: Water CLAIM NUMBER: HC189206 Claim has been made involving loss, damage, or destruction of the above -captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the undersigned and include a reference to the above -captioned insured, location, policy number, date of loss, and claim number. If no reply is received from your office within ten days, we will assume that you have no lien of any type against this property, and we will proceed to pay this claim in full. Insurance Claims Services Tel (877) 302-0203 • Fax (877) 245-4987 PO Box 479 • Waitsfield, VT 05673 www.DineleyClaimsServices.com ABLE COPY sit Shawmut Management 733 Turnpike St. Unit 221 North Andover MA 01845 TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 Re: Meadowview Condominiums Walker Road, North Andover, MA 01845 Dear Mr. Letourneau, Telephone (978) 688-9545 FAX (978) 688-9542 August 23 2012 It has been brought to the attention of the Building Department that building #4 and # 13 decks are in seriously poor condition. It's the Building Department's position that access to the decks shall be denied until repairs have been completed. Due to the commercial nature of the buildings stamped engineering drawing must be submitted prior to the commencement of work. The Building Department is also requesting the condo association perform an engineering evaluation of ALL DECKS front and back to determine the condition and safety of each structure. Many decks appear to be columns have been covered with wood and proper visual inspections are questionable. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal complaint against you in District Court with possible fns of $300 (sec.10.13) for each day during which violation continues to exist. Sincerely Yours, Brian Leathe Building Inspector V qQ Location No. Date //- -S `i v40RTM TOWN OF NORTH ANDOVER • L 9 Certificate of Occupancy $ Nus t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check # 16860 Building Ins or t' � The Commonwealth of Massachusetts Department of Industfial Accidents Offlco of Invosdgetions Boston, Mass. 02111 Workers' Compensation Insurance Ali 90 Please Print Name: i Lk4A 2, M Dd rP, Location: l �, W e -A ` �-e-r R. ca 41 cit_ A r,4au P r Phone COn ��6 ga - a`,� 6-7 am a homeowner perfuming all work myself. ®I am a sole proprietor and have no one working in any capacity EKSM employer providing workers' compensation for my employees working on this job. Company rw-*: R Nl f)- �Ao vim.- S e-nv � C -QST Tr)c . Inauranr•A r^n_ (^nVY Y e,c� + T r- J us4 rt, Policv# W c C� 6 9 66 q-) Fallue to secure ooverage as rsquled under Section 26A or MGL 152 can teed to tfa imposition of crtminae penaines or s mne up to il.ouv.W andlor one years` Imprisonment as wed as dvl penalties in the form of a STOP WORK ORDER and a fine at (3100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby ow* under rhe pe#w apapgnaow of p@64 that theAW67nadon provided above is We and correct. Signature �c"x U tate UL Z7-- Print name al,A V 2,r 4 -y --c.._ Phony sog -756 --6686 Official use only do not white In this arae to be completed by city or town oftiddal' 0 Building Dept ❑Check N immediate response Is required Suiiding Dept ® Licensing Board O Selectman's Office contest person: Prone N: _ _ p HeaKh Department 0 Odw FORT WOMWMI COMPENSATM `HOME IMPROVEMENT INSTALLATION CONTRACT . � n Z (�w0 Data: 3 Sold, Furnishedpos in Installed by _ Branch Name: _ The Home Depot installed Sales G ! �W 345A Greenwood Street, Worcester, MA 01607 Branch Number: __3_L__ Job M: L Toll Free (800) 657-5182; (508) 756-6686; Fax: 508-756-2959 Federal 0N75•269600 ME (;cMA (1241 m iMp6V, l COIL Cit > #16265699 40-, Al Av-4,41,tr Home Address: Installation Address: State Zip City SP-—_-•--�'— ' State zip __.______�— City ���� (if different from Installation Address) rt located at the above installation address, offer to C)4�r Prosect lnformatlon I/we ('Purchaser"), the owners of the property contract with The Home Depot (,,Home Depot,,) to furnish, deliver and arrange for the installation of all materials is describe C© on the attached Spec Sheet N 3_� "corporated herein by reference and made a part hereof• determines that it Home Depot reserves the right to cancel this contract if, upon reinspection of the Job, Home Depotthe job cannot perform Its obligations due to a structural problem with the home or because worst required to complete S was not Included in the contract, DEPOSIT PAYMENT OPTIONS _.,.....,.a•, fi-waval.) t C151 51000 CONTRACT AMOUNT *LESS DEPOSIT BALANCE DUE ON COMPLETION +25% of Contract Amount due upon execution of this contract. One-third (1/3ae) of Contract Amount is required �� nvcrnrrNTS ONLY. ` // Indicate Payment Method For BALANCE DUE ON COMPLETION If this is a financ se 'on, the I Reference, and e a part hereof. Purchaser agree that, immediate) up balance due (un ss the job is fin et full by the lende ). Purchase' as agn I secure their ow permits will e within this docu nt, this tract for (subject to runs Check, Cesidera Check or US Postai Service Money Order (made payable to The Home Depot). t. Credit Card* andfor other payment options • Circle One Below Vice Meturcard Discover Ammkan Ex s me Improvement oma Depot Credit C Available Credit: S ( HIL ttA O Y) AcctM: r j 3 3 P. :� 002� . N as't appears an card: b /our si ure below. allow The Horne Depot to charge rhe By t indicated. a coot credircud for life deposit -� Due d in a separate document, which is incorporated herein by Application Ret. M r tisfa o�ompl ion of the work, Purchaser will execute A Completion Certifrcale and ppatd y i case, upon s bmission of the executed Completion Certificate, Home Depot e to joint) orally obligated and liable hereunder. or, at wners expense, shall procure all permits required by law . follows: Owners who tcluded to the guaranty fund provisions of MSL Chapter 142A. Unless otherwise noted shall not imply that any lien or other security interest has been placed on the residence. E raw ARS This agreement and its attachments, including any financing agreement, contain ad bthe y complete iagreement between the parties and can not be amended or modified unless in writing in a separate agreement8 Y NOTICE TO PURCHASER Keep Do not sign this contract before you read it. You are entitled to a cmnpiegrt� ed•In copy of the contract ie their ty entire it to protect your rights- Do not sign any Completion Certificate ora agreement stating or thaatYOU p Cellon Certif►cate signed before this project is complete, Law prohibits home repair contractors from requesting by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight or the third business day after the date of this contract. See Notice of Cancellation for an explanation or this right. There will be a service charge equal to 25% of the contract amount if the jos, la cancelled by Purchaser AFTER the third business day. GE By MWOUR SIGNATURE BOW, IIWE AGREE TO BE BOUND BY THE TEOF THIS CONT RECEIPT OF A COPY OF THISCONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MYIOUR CREDIT ME , INC., A HOME DEPOT CONTRACTOR, TO VERIFY AUTHORIZE EVIEWOMY/OURCAND D1T RECORDEWiTH iANSINDEPENDENT CREDIT REPORTING AGENCY AND RELEASE TH FRO ALL BI Y t. RRED FROM INADVERTENT OR ERRORS. /sly iDate: �O / SUBMITTED 8Y: �_ Sa ea fsrltant / _ ,,(/ ACCEP'T'ED BY: % `•,�� Date: Honwowner Date: tioeneowna NOTICE: ADDITIONAL TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERS2 SIDE AND ARE PART OF THIS CONTRACT White - Branch Fifa Yellow - Cu"C'ner Piot - SOW Corautwn 9.16-01 C -SC 0 rt4� ULM—* Date. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �"SIAC-HUS'Y . . . . . . . . . . . . . . ra. . . Alwad This certifies that ... - . .'�Jmwum� -has-permission to perforrn/��/-/ t/ ........... plumbing in the buildings of(. at 44 49orth Andover, Mass. Fee, -5--3..46c. No. ...... ....................... .. ADV- PLUMBING PLUMBING INSPECTOR Check # 6197 MASSACHUSETTS UNIFORM APPLICATION (Print or Type) Massy. Date Vi Building New ❑ Renovation ❑ FOR IPERM rt TO DO PLUMBING c��3 �9 •e� _ P rmit #ffe- 1 -7ei's Nam S — - t + Type of Occu an�C it Ni""Plans Submitted: Yes ❑ No ❑ Installing Company Name Af,�E1-T �J'PmMATAe-Q Check one: Certificate Address C0 Rt 14 mai) PJ ❑ Corporation fI E! N o C --A) yo U t h' p Partnership Business Telephone 97 1 9-6m/Co. Name of Licensed Plumber- `,e -T-- /f- • 25A, -U,' A r eL INSURANCE COVERAGE: 1 have a current ' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ ' If you have checked Yes, please x. indicate the type coverage by checking the appropriate bo A liability insurance policy 2/Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations owned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e andapter of the eral Laws. 7 freo Licensedum r Title— • �—I Type of License: Master % Journeymab Q City/Town 133 95 OF IC L License Number 2 N < N N =Y O= Z W N W W W= 1L J N } < V< • f" N Z O O C7 2 N 4 Q z p O N W < Q W N F� = 0 rr N Y < N H Z N N W y a O Q CC W O I- O H Ic W < y Q p < W Y N C F < Y p W O IL Z = y 1- � N __ < W F W O Y 0 W _ 3 _ Y < J t m = N N O H O Q J < 3 O Y < F- J alf 4. < t7 Cr O 0: a a < < S¢ O < m f' O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name Af,�E1-T �J'PmMATAe-Q Check one: Certificate Address C0 Rt 14 mai) PJ ❑ Corporation fI E! N o C --A) yo U t h' p Partnership Business Telephone 97 1 9-6m/Co. Name of Licensed Plumber- `,e -T-- /f- • 25A, -U,' A r eL INSURANCE COVERAGE: 1 have a current ' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ ' If you have checked Yes, please x. indicate the type coverage by checking the appropriate bo A liability insurance policy 2/Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations owned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e andapter of the eral Laws. 7 freo Licensedum r Title— • �—I Type of License: Master % Journeymab Q City/Town 133 95 OF IC L License Number m v m s m in s n m r p I I � I p C I A I m c N m O I z n • 10 -1 W W w :cc CD c O c � O 7 c r. N O C 'r O V V •dam CLC co 0 CD03 o o 03 Co Ea C=3 0 0. N o= 0 C CD c N A �m m E m is �p Z c ' N O •�� N m m 10 o N m O O .fl c Q N m OCL Cc C Z c C o a CL o owe r dt W c y... ci w v oCD c in O ca o�z� .. O. q- m O F. M, m ��y 2 0 E O v Z O CL O CO) 0 O cm I O� D _ O.� H O O •E CO m 0 CD L � � CL = O.a CO L O O a_ tMQ Co C O CcC O •C . CD C.3 CO) O C C •� •� C _c �.COD 0 0 CO T w w vJ w v cn O U z a C w w U w" U w w" . W W pG v cn w" O w LI4 H W a+ w w zco cn v o o cn :cc CD c O c � O 7 c r. N O C 'r O V V •dam CLC co 0 CD03 o o 03 Co Ea C=3 0 0. N o= 0 C CD c N A �m m E m is �p Z c ' N O •�� N m m 10 o N m O O .fl c Q N m OCL Cc C Z c C o a CL o owe r dt W c y... ci w v oCD c in O ca o�z� .. O. q- m O F. M, m ��y 2 0 E O v Z O CL O CO) 0 O cm I O� D _ O.� H O O •E CO m 0 CD L � � CL = O.a CO L O O a_ tMQ Co C O CcC O •C . CD C.3 CO) O C C •� •� C _c �.COD 0 0 CO T w w vJ o-, W z CL :cc CD c O c � O 7 c r. N O C 'r O V V •dam CLC co 0 CD03 o o 03 Co Ea C=3 0 0. N o= 0 C CD c N A �m m E m is �p Z c ' N O •�� N m m 10 o N m O O .fl c Q N m OCL Cc C Z c C o a CL o owe r dt W c y... ci w v oCD c in O ca o�z� .. O. q- m O F. M, m ��y 2 0 E O v Z O CL O CO) 0 O cm I O� D _ O.� H O O •E CO m 0 CD L � � CL = O.a CO L O O a_ tMQ Co C O CcC O •C . CD C.3 CO) O C C •� •� C _c �.COD 0 0 CO T w w vJ Location No. Date / e' / ��^TM TOWN OF NORTH ANDOVER oAL A Certificate of Occupancy $ �' b''•'°'''t�' �s s�►cMust a Building/Frame /Frame Permit Fee 9 $ Foundation Permit Fee $ - Other Permit Fee $ TOTAL $ r Check # //j / Building Inspector �' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: / s 0 / SIGNATURE: Building Commissioner/I for of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Roo jf4 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Re44Wred Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record cS%ra PIM AlIF— Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ To � ;jX- - AH -Z e Licensed Construction Supervisor: .!57 License Number Addr s �� -�,SoO Expiration Date ti ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ )4o;y S 603 Company Name -- ES �U � JiP N P. � 6o�J t7X�° �' � rUf% 00,03 Registration Number Address g Q �J6 v� Expiration Date Si at re Telephone M Q z M 0 ic M z G) SECTION 4 - WORKERS COMPENSATION (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 .......41 No ....... ❑ SECTION 5 Description of Pro' osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: / N v % Lt ({f�� /� Cid /►?1l �'% 1�1�� its D t✓5 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit a licant Y OFFICIA>r.1SE OliiLY sk 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinZ Building Permit fee (e) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize__ to act on My behalf, in all matters relative to work authorized by this building permit application. -Signature of Owner Date SECTION 7b WNER/AUTHO ED AGENT DECLARATION 1> as Owner/Authorized Agent of subject Property( Hereby dYclafe that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name 3'o,5 'r- Piy Signature of Owner/Aent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE a i Alt . \.CIP 2 W MUTN Workers Cumpensution uud ISSUIN(: O1'hICE 354 Euq►loyers Liubilily I'ulicy INFORMATION PAGE A('COUN'I'NO. SUl3AC'C'I' NU, Liberty Mutual Iuslu•auce (roup/Bosl(m 1-a0(►41R _IIIIIIU_.._ 1,1111?R'1'Y INtil1ltANl'1? l'ORI'l)ItA'I'l(►N_ 21814 __, — -- I'ULtC'Y NO. L D SALES OFFICfi -- C'OUE SALES ItEPRESENTA'TIVE COI)EN/R S'1';YEAIt I SSI(:N1�.1) • 3111111 2 1997 %V('7.31S-3116418-1121 X IIEUhOIil) �Il►� A -.._..--- --_---- _ _ _ — ,, 11cu1 I. Nainc of ROIIERT 1' JEAN DDA FEIN 02-0413815 lnslircd lily l'fER IIOA�II;S CONS'1'ItU(:'llON Address FIVE ALIBURN ROAD RISK 11) It LONDONDERRY, Nil 031153-2238 Status 111 INDIVIDUAL - t)Iherwurkplaccs not sh(►wn above: SEF, ITEM 4 -- ---------- -- -- _ -- -t.1u. I)uy Your plo. I)uy Year Item 2. Policy Peliod: Brum 112-21-111 to 112-21-02 12:111 Aft standard lime al tilt address (A IIIc insured as staled herein. II(.p► 3. (.'overage -A. Workers (_'olnpeasalion Insurance: Part One of the pulley applies to the Workers (.'on►pensaliun Lary of 1110 stales listed here: MA r NH , R I 13. Employers Liability Insurance: Part Two of the policy applicsto work in each'Mile listed in ilem 3.A. The limils of our liabilily under Part 'Iwo are: w f3odily Injury by Accident 11111,111111 each accident Bodily Injury by Disease 51111111111 policy limit 1lodily loiury by Uiseasc lllll,llllll each empluy(.c C. 0111cr5lates Wmllilncc: fart 'I -gree of the policy applies to the states, if any, lislcd here: Itl'J I;l( 'l(1 Itl?till►IIAI, NIARICI's'I' LIMITED l)I'lllslt ti'1'A'1'L?S INtil11tANCE, I NI1l)Ittil;Nll':N"1' 1y'(' 1111 Il .'l. .-. 1). '1 his policy includes I wsk.. cndolsenlenls and srhedul( : ------SEF Ex'17_NSII)N (1111" IN1 OIt111 �'1'Il1N I'Al:l'. It( Ilk.I. I'te116111 I he plcnun„t Ill, Ibis policy will he ll(.I(•rltline(I by our tvLntu;lls of Rules, C'lassilicalioll, Italcs and I'stlinl� flans. All inlolntalit,❑ 1re1uilcd below is subject Ilk vclilication and change by andil. _ ------ ---- - -- --- LINE _ . _......_.. _._ I'tendum Huniti latex _ M71 SI(KI ill Rc_ Animal Code'total Annwtl Ihcmiuurs No. Itt ouutctnli„t, rntmenNi„n ___----------'. - ---- ' ('lassiliialimns - -- — — — _ `;I `.I'. I'.` I F.Ntil( )N ( )I' INl ORNIA-1l( )N "A”" Inlclinl adjustllu ul of prenliultl Total _slim;tltd A_unlutl I'cu►ium $ N111161111111 h(.111111111 7511 NII ------ shall ll— - be made ANNtIA1. Itis pulicy, includulg all (c11(IulsenleIlls issued 111 lewith, is hereby colurlersigl►ed by tills A'I'1'A( flh.11 I l)1(N1 1111 ,lutlun.in•d kcprexc„I„t;,e I)uHr nl 211 nl Nit N11 — %VC1-31S-3061IS_11211 In.('oJr ltttu (�I'rt. _ ll;txix 1'ctiudtrl'aynu•n1 Audit Ituliul°It,tsis PoLIL(i. Ilomt•titulc 1)iridcnJ ItGNI!.\'VA ” — L-- - ---- ----- ----- 01.26-01 w('(NI mol A (;!!►dn3n Itl Cop;'righl 1987 National Counciloil Compensation lnsurance It4stl(11?D COPY 01/01/1995 00:03 3175950170 OWENS PAGE 02 d KOR kO,M Federal 1.0, 0 02-05-1 7e Q' Er Mfiss. Registration k 123263 R.I. Registration 32 17563 'S AUBURN ROAD LONDONDERRY, NH 03053 t ' owsrRucnoll ac. 1-800.357-9962 "N Inc, (the (We the owner(s) of the premises mentioned below, hereby contract with and authorize Bettor Homes(are r7 o furnish all necessary materials, labor and workmanship, to install, Construct and place the Improvemaccording to the following sp spec • l. ications, terms and conditions on premises below described with reference to which I/we warrent that the record holder(s) of tit e: 3wner's Name c j / Mi �/ e y Tel,'?79 �`�`" 9 ,h�r n 1 *C Job Address 1 til? JY OY /Zly A Ciry / v' � D � � � State SPECIFICATIONS: l i`T Il �! n10�D D'y C_,C 111 r4 Lo L,s & rUV9,( uwda�i f ►5 �0Sr flM 0 C. rlC �r if► 11 iia-- 2 ►�s 1.L-Pff flvii, . r,B- ID Yr )!1 L,, a UQ r K 4" 4 lib vceJ , iiij., In consideration of the labor and materials furnished by the Contractors the Owner(s) agree($) to pay the Contractor the sum of 5 �1 co' Deposit not to exceed 33 1/3% $ p % Balance Due $ Est. Start ! Est. Q Q % r/ Comp. Security Interest Yes Q 1, 0 Z1 The start and completion date are only estimated, contractor will not be responsible for reasonable delays. It shall be the obligation of the Home Improvement Contractorto obteln such permits es rho O..norc ngomt. r+.o o—cia who oocure Cher construction -related permits, or deal with unregistered Contractors will be excluded from the guaranty find provisions of MGLC, 142A. own All verbal agreements between owner and contractor or their authorized representatives are null and void. Any alteration or deviation Oil specifications listed above Involving extra costs of materials or labor will be furnished and performed only upon wrluen order and will the be in addition to the cost price of this contract. THE OWNER SHALL PAY FOR THE WORK BY: CASH Z4,4ANK LOAN ( ) Notwithstanding acceptance of this contract by Contractor, this contract shall be cancellable by the Contractor if the home owner unable to finance the payment of this work through an established bank or other financial Institution or within fifteen (15) days. Is All work performed by the Contractor is July covered by Workmen's Compensation and liability Insurance. NOTICE TO THE OWNER(S): It It will be necessary for you to obtain a bank Modernization Loan In order to enable you to pay for Improvements. By signing this contract you are authorizing Better Homes Construction Inc. and It's creditors to Investigate your credit re said ord, to verify your credit, employment and Income references. Also, to obtain such other information, as the creditor deems necessary, and ic credit reporting agencies (credit bureaus) and Others information regarding the creditors credit experience with you. give You will be given a completely filled-in copy of this Agreement. This Agreement constitutes the entire agreement of the parties and no other agreements, representations and/or warranties, expressed implied, shall be binding on either party hereto unless in writing and signed by both or parties. The Owner(s) hereby certlfy(les) that he has (they have) read this Agreement, that the terms and conditions and the meaning th have been explained to him (them) and he (they) fully understand(s) them. It a dispute should arise under the terms of this contract, the Owner shall bear the expense of the contractor's attorney fees and cools unless the contractor is at fault. reol The Owner($) acknowledge(s) the receipt of an executed copy of this Agreement at the time of execution hereof. If any provisions of this agreement are In conflict with any statute, regulation, ordinance or rule of law, than such provisions all, deemed null and void to the extent that they may conflict therewith, but witho tvalidating the remaining provisions hereof. II be THE CONTRACTOR GUARANTEES Its workmanship for In years. It will replace defective ma within the period of guarantee free of charge. All requests for service must be in wdlingl edal This agreement may be cancelled by an officer of the Contractor, but only within three (3) business days from the date of executior In a similar manner of the Owner(s)' right of cancellation. and You may cancel this Agreement without any liability to you, provided that you send a written notice to the Contractor by midnight third business day following your signing o1 thIsAgreament. by ordinary mall, by gram, or sent by delivery. 1 the po�sstte�d. WITNESS our hands and seals this day of _�J' (/S 1 year, nt sAAgreement before you read h. Better Homes Construction Inc. Do nM sign this r (SUBJECT TO HO FFICE APPROVAL) ey: ✓ Repre a flue (Owner) Accepted By: Authorized OtrGer (Owner) 10 r oil V p Cl O I I l\ L � cy) NC]O 1� i -i (v N -d • O 4c� C N C o CL.0 I Z E p DO • bl) ^a r c �+ G Q� M �V O O o O L > coo V C� _ ►• v b o ' I cd •—' Cl Cl .~ O a by N I I N U I r ,m Ca O t P, I v g u' (�"{1 O CC3 O �� o a u zQ >. O p C N'u 3 • ,.fa cl I� a O lu T--' z C3 C o M (Y 1 w z 111i o O D °h O N C L •o '� I R .p. M N I u _ C 00 go m Z \�V Lil �o o A o oil V p Cl N •O O u L � cy) C 1� = N -d � I Z E p U c �+ G M �V a o egu L > coo V ' _ ►• v b o ' I V aCi > ►' n d a z o N I I E i0 I r ,m Ca O t e I v g u' c) Z. A E o O �� o a u zQ >. O p C N'u 3 ~ 9 ,t 00 p. o I� a lu T--' z C3 C o M (Y 1 w z 111i o 1il m m z °h O N C L •o '� I R .p. M N I u _ C 00 go U O�� �- cy) 1� = c cc � E Z p U o M �V a o w W : > 0', z z ` :20. lO0 IX 7 .43 T Ci jIfX�111 `' z o 111 CD [) c ul ,m Ca O t ro L I v g u' c) Z. 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