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HomeMy WebLinkAboutMiscellaneous - 1794 SALEM STREET 4/30/2018N J ^z� VJ 0 Q Location 9"/ 519 L Fy► 5 7 No. "~ -� C Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ -1" j /—,, t /—,- &,j c � (-Other Permit Fee $ Sewer Connection Fee $ W Connection Fee $ ,IF, 1 1 1991 00. An6vow COLd®P Building Inspector Div. Public Works Location - No. 1 S Date ,.ORT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CHU 0 r / Vher Permit Fee Sewer Connection Fee $ $ r Connection Fee $ 991c- 'e't.t0 Building Inspector Div. Public Works Location No. E Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee r -Water Connection Fee Building Inspector Div. Public Works 0 Z 0 Z M I 0 Q W a 0 � I Z U i W a 7C 4/ N LL F © m g } m Z N N WW � w ^ ® Z W yy OFD A. 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A .i s 4 111 r AS, $ V Z 4 `r 4 h.rvl r _ n11 4 t �Lt: "J'1�+ M &q P5 zf$xy 5 ,1 - `} - �'<h, G � a P - QQ t '� z- x P ��r `:.0 z.mn•f 4�'�iy. i I!•NO, r ♦'y �' r� s -s •� �tt,�, t tR-.ii�K�.•>`,{ �.�,.ti1y�+•*'g�<�?-r. • .^t - "Y., 'ICtP'o'.�.��k'�'�3�T� ErlmU L S Q N fD .. p ef'o (/1Wo to ..► O � :Q C a 1 • rA f \l V y� in ccl?i 31 T fn m �! m ?1 n 37 3 A v c m v T 19 c° m mr n H � 70 3 m 0 c° m m n '' Z 4 O 70 °' 0? co -o c n Z °' 3 c° Z H 0 O T _ `o m m Z m i /NA A �T c` - tlj CIO �T c` - tlj /7iz( Ec,ka s4 - Scale: 1" = 50' October 309$0 Revised March...$,1981 Pl,(rC FLAN Lot G-2 Salem Street North Andover, Massachusetts Buyer: Patrick and Shirley Whitley ,A A s 011" NOTE: V � N.B.- This is not a sin-vev and .is to he used for nror.•i,R ar,,e purposes only. Teo not use of'fsef s for estal-li.shiTig lot 11nes .fov the erection of fences, w.al.l.s, hedges, etc. I hereby certify VJat t-,J"e huil.dbq� on this property is located as sfiovri on plen and complies with the zoning set }-ack regi.rirenieni; of the Town of North Andover. CYR ENGTNEEI-J tJG SEP`21' J, S 300 CANAL S'"TIEEY LAWR.EHCE, MASSA(:,'VJSi' I I S FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP SUBDIVISION LOTS) PERMANENT ADDRESS ASSIGNED BY D.P.W. STREET -- S tte,,, -S-`1" APPLICANT,� ���1. 1 (���/ —PHONE DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONgRVATION COMMISSION CONSERVATION ADMIN. DATE APPROVED 11Y/1F) DATE REJECTED / ` BOARD OF HEA DATE APPROVED HEAL H ANITARIAN A� Cy!/ �y llA'1'E REJECTED 01 4esS- DEPARTMENT OF PUBLIC WORKS DRIVEWAY PER ,1IT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building, permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. 6 fi ly .. A�p V, 0 C Iq 6 I 4 A L/i .. A�p V, 0 C Iq 6 I 4 A ..... .... .. . ... --.- f. . . .. -- .X I U , v 90 C_._� ..: . , Com=' ��,�- �' �-: . ......... Ir C16 C'6 4 0 Q Date........ .......... 4 f NpRTM 1 3=pr �.ro ,rr ti�L p TOWN OF NORTH ANDOVER a PERMIT FOR GAS INSTALLATION This certifies that.../,/. has permission for gasem-inst llation+:!�.�},.J ..... . in the buildi gs -P%��.. �I� _.�:t: %f .-:........ . atNorth Andover, Mass: Feea:4 . Lic. NJ / GAS INSPECTOR � Check # t� 51L6 `o t MASS APPROVAL #'__h MASSACHUSETTS UNIFORM APPI (Print or Type) N. A.30ou - . Mass. kvi Building New p Renovation 0 ilay- 4TION F! t M T GASFITTING Permit Owne.Is Name ?Ae21: U 6,Irke�l Typed Occupancy 912s AA -N `* p Plans Submitted: Yes❑ No E Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET 12 Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 978— 774—'2760 E:, Firm/Co. Name of Licensed Plumber of Gas Fitter _ WILLIAM R. HARRIS INSURANCE COVERAGE: I have aY current liability Insurance policy or its substantial equivalent which metes the requirements of MGL Ch. 142. es No El If you have. checF:edyees. please Indicate the type coverage by checking the appropriate box A liability Insurance policy 3 Other type of indemnity O - Bond p OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit a.pptication waives this requirement. Check one: Signature of Owner or Owner's Agent 0wrW13 Agent ❑ I hereby oertity that all of the details and information I have submitted (or entered) in above a�icaticn are end accurate to best o1 my knowledge and that all plumbing work and installations performed under the permit' a this applica m with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge By T j of license: Plumber gnature o m0er or rtter Title Gasritter Baster License Number 3785 Qty/Town Journeyman NL a N C tar A w a Y v = fL Q N W C W a. C O O V tA m r0 Z f i 35 = O N W r I- < C z 0 O C < C a O 16C> O= 1, C p Q W 'uWO t= _ fr. to W o o 1o a ac z o o s u a o u e> SUB-113UT. 1 sASEGIENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5714- FLOOR 6TH FLOOR TTK FLOOR `TH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET 12 Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 978— 774—'2760 E:, Firm/Co. Name of Licensed Plumber of Gas Fitter _ WILLIAM R. HARRIS INSURANCE COVERAGE: I have aY current liability Insurance policy or its substantial equivalent which metes the requirements of MGL Ch. 142. es No El If you have. checF:edyees. please Indicate the type coverage by checking the appropriate box A liability Insurance policy 3 Other type of indemnity O - Bond p OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit a.pptication waives this requirement. Check one: Signature of Owner or Owner's Agent 0wrW13 Agent ❑ I hereby oertity that all of the details and information I have submitted (or entered) in above a�icaticn are end accurate to best o1 my knowledge and that all plumbing work and installations performed under the permit' a this applica m with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge By T j of license: Plumber gnature o m0er or rtter Title Gasritter Baster License Number 3785 Qty/Town Journeyman NL Location) 4 No. ' 1? Check r Date !a 11 z 1 1�a TOWN OF NORTH ANDOVER Certificate of Occupancy . $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ �� TOTAL 1 Building Inspector S'cw^.'-e D BUILDING PERMIT TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION ; ba Permit NO:—q� Date Received'� °° a -. ,a � .1"s. Date Issued: LA • G, ANT: LOCA PROPERTY must complete all items on this Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ves 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 D Septic :; Well , Floodplain ❑ Wetlands LJ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: v r�4, ��.�u Phone: Address: CONTRACTOR Namo- -'FPhone:r�r Address: b S ra. , Supervisor's Construction License: t oExp. Date: � c��� Home Improvement License: t G'� a x 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. Total Project Cost: $ FEE: $ q � "- Check No.: Receipt No.: NOTE: Persons contract g with unregistereg contractors do not have ac ss o the guaranty fund gnature of Agent/4wner i Signature of contractor f MORI CONSTRUCTION LLC 26 Sparhawk Drive Londonderry New Hampshire Construction Lic. CS104035 Home Improvement Lic. 162527 (978)265-6843 Fullylnsured/Workmans Comp Work Submitted to: Shirley Whitley Job Name: Shirley -North Andover Address - 11 `z'A _CcLr, S. Phone Number: 1-978-685-6404 Proposed Work to be Completed: -Remove all belongings from the area around the home prior to removing any shingles off of the roof. I will "cover the entire non gable sides with a black plastic material to eliminate any damage to the home -Remove all layers of the existing shingles off of the front of the main house's Gip roof only -Once the shingles are removed, I will inspect the plywood for any signs of rot or decay on the entire roof. I will.charge an additional charge of $50.00 per sheet for the replacement of any plywood. This charge will include the V cdx (not particle board) plywood, nails disposal fees, and labor -Install new ice and water shield six feet up from the bottom of the roof -The remaining areas of the roof will be covered in synthetic roofers paper.. -Install new 8" mill finished aluminum non vented drip edge over all of the facia boards and rake boards on the entire roof. The drip edge protects the top of the boards from being saturated with water from the roof. Currently the only boards that have drip edge on them are ,the facia boards -Install new 20 year three tab shingles. The color will match the garage roof as close as possible. The entire roof besides cap shingles will be installed using pneumatic nail guns with six nails per shingle. -Cut an 1 % inch slot along both sides of the ridge of the main house roof to receive the new ridge vent. -The ridge vent is part of the National building code and part of the Gaf Lifetime Roofing System. This allows the attic area to breathe, and allows the shingles to last longer. - I will also replace the down spout on the front left side of the house that is missing. I will also reattach the other three downspouts on the other sides of the house. I will also remove and replace the rotted Masonite siding on the bottom right hand side of the home with new pre -primed cedar clap board. You are responsible for painting the siding. -All shingles will be recycled at Re -Energy in Salem New Hampshire. I will also dispose of the wood and branches on the left hand side of the house - I will purchase a building permit prior to starting the job Total Labor and Material for the strip and installation of new shingles on the front roof $3,500.00 The amount of $1500.00 is due upon signing, understanding the contract, and receiving all roofing material. No money is due until the day that we start the job. The balance is due upon completion of the job. I acc4annderstand this con ct. Date FIORI-1 OP ID: SS ACORO` CERTIFICATE OF LIABILITY INSURANCE `-� FDATE(MMIDD/YYYY) 08/31 /2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE- OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 Appletree Insurance Indian Rock Road Windham, NH Appletree Insurance Agency NAMEACT Appletree Insurance Agency PHONE FAX A/c No Ext :603-881-9900 A/C No): E-MAIL ADDRESS: North Andover, MA 01845 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A -The Hartford AMA RE TED PREMISES Ea occurrence $ INSURED Fiori Construction LLC 26 Sparhawk Dr Londonderry, NH 03053 INSURER B: Safety Insurance Company 33618 INSURERC: INSURER D : GENERAL AGGREGATE $ INSURER E: $ INSURER F : AUTOMOBILE X 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. 1�TR TYPE OF INSURANCE ADDLSUBR 1NSD WVD POLICY NUMBER POLICY EFF MWDD MWDD POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1-1OCCUR AUTHORIZED REPRESENTATIVE North Andover, MA 01845 EACH OCCURRENCE $ AMA RE TED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: HPOLICY ❑ PRO JECT F] LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS 6233851 05/26/2015 05/26/2016 COMBINED SINGLE LIMIT Ea accident $ 500,00 BODILY INJURY (Per person) $ BODILY INJURYPer accident $ ( ) PROPERTYDAMAGE Per accident $ UMBRELLALUAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYSTATUTE ANY PROPRIETOR/PARTNER/EXECUTE Y / N IV OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 6S60UBOG05733515 05/28/2015 05128/2016 PER OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Department of Public Works 384 Osgood Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACC> V CERTIFICATE OF LIABILITY INSURANCE 70813112015 TE IMMDOMrYYI `,..�' 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(ies) 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 �'EACT DAN SEAMAN _ SEAMAN & TOOHEY INSURANCE AGENY. INCN,� — — (AICk E-QI X-_8-851_$1.86. .—(nrCjNol. 866.4944513_ — 229 PRIMROSE STREET E-VAIL ADDRESS _ _ HAVERHILL MA 01830 — — 1 INSURED MIKE FIORI DBA FIORI CONSTRUCTION 26 SPARHAWK DRIVE LONDONDERRY. NH 0305 INSURERISI AFFORDING COVERAGE MAIC A INSURER A - AMERICAN EUROPEAN INSURER B- -— INSURER C INSURER D INSURER E . ��- COVFRAnF_S CFRTIFICATF NIIIMRFR• RFVICIAIJ NtTM42C:Q- THIS IS TO CERTIFY 'HAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VOTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' N�Dt�SUBH^- POLICY EFF POLICY'EXP LTR TYPE OF INSURANCE POLICY NUMBER MMiDD/YYYY v7451DWYYYY '—� LIMITS GENERAL LIABILITY '-1 EaCH OCCURRENCE S 100000 X CO`dMERCIkL GENERAL UASS'LITY D111,9kGETORFNTE-U— — _ _ X PREMISES (ra o..n:rrrnrc.�_ _ S 5,0000- ^� CLAIVs-MACE OCCUR I MFOEX_(Am/onecexn) s 5000 _ A I SP29766314 0312412015 03/2412016 _ - PERSONAL. a ADV INJURY _$ 1,000,000 _ _ GENE- ,L AGGREGA-, R s 1.000.000 �GEN'L AGGREGATE LIMIT APPLIES PER. { T I=R,CD13CTS COMP;OP AGG 1 S 1,000 QQO_ POLICY Pcn I LOC I $ AUTOMOBILE LIABILITY tk -" rd=1-aE SrdiL L. k'31 ANY AUTO I i 6 ILY INJURY tPer K1.1 S ALLOVeNED j�' SCHEOJLED AUTOS (_ y AUTCS BOD+L"NJURY ;Per a:c:dentl 5 —I, 1 — — HIRED AUTOS _NON-O�IXEO I r sPc,u?aTeYn;Dt_A..l_A4= 1P?Rc'6 F _UMBRELLA LIAR ,OCCUR EA..,H OCCURRENCE_ Is _ ___ EXCESS UAS CLi IMS•MADE I AGGREGATE 5 DED RETENTIONS is 1 WORKERS COMPENSATION jj •:L STA%U- DTH• AND EMPLOYERS'LIABILITY I f YIN __�TORYLIUI,S ER ANY'ROPRIETOR/PARTNERIEXECUTIVE E�.. L. EA.GF. ACCIDENT 15 CFFICEiVEMBER EY,CWCED7 ElNlA'FI -- -- (Mandatory In NH) E L D:SrASE • EA EMPLOYEE S If yes, dasenhe U-01-- "— DIESCRIP-PON OF OPERATIONS t E.L DISEASE -POLICY LIMIT S t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAttmh ACORD 101, Addrtonal Remarks SChedUle, If more space Is required) GENERAL CONTRACTING rFRTIFIRATF Nnl nFR r`Ahl( CI I ATIAh1 Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St North Andover Ma ACCORDANCE WITH THE POLICY PROVISIONS. AUT116RIZED REPRESE/\NTTAATTIIV\,((EE_ W 1988-2010 AGORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD a � , r. ``- 0ce ofe �Pa�r�rrz 1 I+ on suner aaz l0/b O&eegisiran: NCONusinessROVEMERegulation 162528 egulati n162528 RACTORM1CyqELFEzpiration; 3116/2017rOR1 JellJ I CONS_ 7-RDTION CDBA Type: 61C*EL - F1pR1SPARHAVV r ' ii LONDON K DR 1 } ; • a► DERRY, Nh103053 C S--• Underse cretary t bt)JI'SUnCn3t�nq q�f ,,7 Cs'�0403 i M�CygE,23c� © 5 - AkOL ST toRl CUT?Mi 01826 a ;► •e to •' ✓ 0312,V,. 6. ; , 5 1 ALPO Box 55098 Boston, ARA 02205-5098 617-951-0600 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: PATRICK WHITLEY and SHIRLEY WHITLEY Property Address: 1794 SALEM STREET, NORTH ANDOVER, MA Policy Number: HMA 0398531 Claim Number: BOS00057217 Date of Loss: 2/14/2015 Company: Safety Property and Casualty Insurance Company 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, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Allan Leavitt Claim Examiner Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 Email: AllanLeavitt@SafetyInsurance.com 3/26/2015