HomeMy WebLinkAboutMiscellaneous - 362 MASSACHUSETTS AVENUE 4/30/2018ll�
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma Oniv (800) 392-6108, FAX (8001851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: FRED CONSEMI AND ESHER CONSEMI
Property Address: 362 MASSACHUSETTS AVE. NORTH ANDOVER, MA 01845
Policy Number: 1348036
Type Loss: Freezing
Date of Loss: 02/17/2016
Claim Number: 404367
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws, Chapter 143, section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 139, Section 313 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 or file number.
MPIUA Claims Division
CMA00021
2/23/2016
February 12, 2015
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: Fred & Esther Concemi
PROPERTY ADDRESS: 362 Mass Ave, N Andover, MA
POLICY NUMBER: H012207025
DATE OF LOSS: 2/10/15
CAUSE OF LOSS: ice dam
CLAIM NUMBER: HC205816
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 05673-0479
www.DineleyClaimsServices.com
PROVIDING
SERVICES IN
NEW ENGLAND
DINELEY
NEW YORK
NEW JERSEY
CLAIMS
PENNSYLVANIA
DELAWARE
SERVICES
MARYLAND
OHIO
VIRGINIA
AND
FLORIDA
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: Fred & Esther Concemi
PROPERTY ADDRESS: 362 Mass Ave, N Andover, MA
POLICY NUMBER: H012207025
DATE OF LOSS: 2/10/15
CAUSE OF LOSS: ice dam
CLAIM NUMBER: HC205816
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 05673-0479
www.DineleyClaimsServices.com
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L. E. Dube Roofing
19 Shepard Avenue • Salem, New Hampshire 03079
(603) 893-0589
RESIDENTIAL CONTRACTING AGREEMENT
Read this agreement and make sure you understand it before signing it.
This agreement has legal force and effect and binds those who sign it.
Notice: All home Improvement contractors and subcontractors engaged In home Improvement contracting, unless specifically
exemptfrom registration by provisions of Chapter 142a 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.
Designated Registrant's Name: • �ti'7
Registration Number: �' ,( ! • y y'
Salesperson's Name:'
This agreement is made on k a `/� r / L c,: C between /- / e. /, f. /- i-:, �-) , • L,
(DATE) I ( N itACrOR)
_ (ADDRESS)/'
hereinafter called "Contractor" and �". -)- I- z- i t r"
4 2r. >:i
(PHONE NUMBER)
l (OWNER)
Q- S�- f 2�1
(ADDRESS) (PHONE NUMBER)
hereinafter called "Owner".
DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following:
L
✓
RIA}S�O BE US DIOMEDISECRITT
to be
used/.in performing the above described work consist of the following: /
L-7'1- S�A/,
/ //O 1, /_� �,, / " J „ t h: /1 . /_ C
H. PRICE
Contractor agrees to do all work described in Section I for the total price of $
III. PAYMENT
Payment will be made as follows:
J
c L y-- 5 ii �' t' [ ('� i4 I-
Ij % upon signing Contract;
4'a ($ ) upon completion of ;
90 ( �•- r e .upon completion of
and the remaining % ($ � 20c' JVpon verification of the work by Owner
and Contractor as having been -sG factorily completed, which verification shall take
place promptly after completion.
Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than
one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,
In advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount Is
greater.
IV. COMMENCEMENT AND COMPLETION OF WORK
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing.
Contractor will begin the work on or about / (" (date), Barring delay caused by circumstances beyond Contractor's control. the work
will be completed by Al c V J? 4 (date),Tie—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.
V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
-ale Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason that he deems himself
or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite to continuing the work described herein,
that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature
of both the Contractor and the Owner for withdrawal.
VI. INSURANCE
Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontractors
in the performance of, or as a result of, the work tinder this Agreement. Contractor agrees to carry insurance to cover such damage or injury.
VII. SUBCONTRACTING
Contractor agrees that. notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner
for completion of all work described in a timely and workmanlike manner.
VIII. CONSTRUCTION -RELATED PERMITS
The following construction -related pennies will be necessary in order to complete the scope of work included in this Agreement:
The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related permits. The Contractor
shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies,
authorities or individuals.
Notice: If the homeowner obtains his own construction -related permits for the work described under this agreement, the
homeowner is hereby advised that in the event of a dispute, judgment and nonpayment of the contractor, the
homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A,
M.G.L.
IX. MODIFICATION
This Agreement, including the provisions relating to price (Section 11) and payment schedule (Section M) cannot be changed except by a written statement
signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation (annexed).
X. WARRANTIES
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following
completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the
Contractor. his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall,
at his own expense. forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or
workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall
be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner may be required to register or mail in a warranty
card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such
documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment.
This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under Massachusetts law, sales
of goods carry an implied warranty of merchantability and fitness for a particular purpose.
XI. COMPLETENESS OF AGREEMENT FOR EXECUTION
The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or
not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto.
XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER
This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at
the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the owner of a copy thereof.
ititTi11 J i V l tLri%_i'iL
The owner may cancel this agreement if it has been signed by the owner at a place other
than an address of the contractor which may be his main office or branch thereof,
provided that the owner notifies the contractor in writing at his main office or branch
by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the
third business day following the signing of this agreement. See attached Notice of
Cancellation.
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THE E ARE ANY BLAN ACES. `
zzZ 7—
Owner's tignature Date Signed
Contractor's Signature lbate gignedd
H-GG25M6192
OFFICES OF:
AP13EALS
BUILDING
CONSERVATION
HEALTH
PLANNING
°F NonrH,
o� Town of
n
NORTH ANDOVER
R
••O•, �•oiAr 4g
°.U9DIVISION OF
PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 Main Street
North Andover,
Massachusetts 01845
In accordance wit Zt provisions of MGL c 40, S 54, a condition of Building Permit
Number Al is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
(Location of Facility)
Signature of Permit Applicant
Jo7 �' y
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
,,
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