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HomeMy WebLinkAboutMiscellaneous - 48 FOXHILL ROAD 4/30/2018 i 48 FOXHILL ROAD l 2101037 000.0 � , �, 1 r/ j PO Box 55098 Briton,MA 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 N ANDOVER, MA 0.1845 N ANDOVER, MA 01845 -- RE: Insured: MARK I IAMMAR- - m- - Property Address: 48 FOX HILL RD,N ANDOVER, MA Policy Number: HMA 0122902 Claim Number: BOS00060204 Date of Loss: 4/28/2015 Company: Safety 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 4/29/2015 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@Safetylnsurance.com PO Box 55098 Boston,MA 02205-5098 617-951-0600 Form of Notice of Casualty Loss to Buildinp- 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 N ANDOVER, MA 01845 N ANDOVER, MA 01845 RE: Insured: MARK HAMMAR - Property Address: 48 FOX HILL RD,N ANDOVER, MA Policy Number: HMA 0122902 Claim Number: BOS00060390 Date of Loss: 4/28/2015 Company: Safety Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, whichmay 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 5/4/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617)-951-0600 EXT 3213 Fax:, (§17) 53'1-8891 Email: AllanLeavitt@Safetylnsurance.com . \ Office Use Only r _-- T 0 13 538 pORT11 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SS^CHUS� c ��?.C. This certifies that .........S R.M &Y...... .?.... -+�: :.. has permission to perform .... :` .t?.a........ ............................. n wiring in the building of .e v I C j ....... ............... .......b............................. at..... .... .. ,.:.E .........................North Andover,Mass. Fee...... �.:: J. Lic.No. ................................. ........................... ELECTRICALINSPECTOR 10/24/96 10.52 oo PAID WHITE:Applicant CANARY: Building ept. PINK:Treasurer �[ Location + T �r �` +* No. a C Date „pRTh TOWN OF NORTH ANDOVER 4 p ? i + i • : Certificate of Occupancy $ CMUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ I Check # r7 1,,- , '17675 C --;-- V Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1� -.. BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: CC- Building Commissioner/Ir of BuildingsDate SECTION 1-SITE INFORMATION j 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frorna ft 1.6 BUILDING'SETBACKS ft Front Yard Side Yard Rear Yard Required, Provide Required Provided Required Pr ovlded 1.7 Water Supply M.G.L.C.40. 34) 1.5. flood Zone Infomution: 1.8 Sewerage Disposal System; �C Public ❑ Private ❑ Tone Outside flood Zone ❑ Municipal ❑ on Site Disposal System ❑ SECTION 2-PROPERTY OWNERSEMAUTRORIZED AGENT i F:c> n 2.1 Owner of Record Name(Print) Address for Service: — CV G Signature Telephone .2.2 Owner of Record: .x Name Print Address for Service: Signature Telephone R SECTION 3-CONSTRUCTION SERVICES QI 3.1 Licensed Construction Supervisor: Not Applicable ❑ .�„ Licensed Construction Supervisor: (� b %L'yw.g It 1,574j/LY�..�r%f,1��"} '/,ry)/a f) License Number Address o Expiration Da Sig re Telephone �. r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Q Company Name J 1) .3-t� �� �. �v 6�4 Registration Number Address " / o �z� 6 C r Signature Telephone Expiration Date z SECTION 4-WORKERS COMPENSATION(NLG.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 it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check a0 a ble New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ ddition ❑ A Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCLAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee ff Multiplier 1• 2 Electrical (b) Estimated Total Cost of ^^ Construction / 3 Plumbing Building Permit fee(a) 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 Ar SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION a i, 1, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are tnie and accurate,to the best of my knowledge and belief Print Name Si attire of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 NU 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS 131MENSIONS OF GIRDERS c HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE e --__- The Commonwealth of Massachusetts Department of Industrial Accidents _ Office oflnvesti ations 600 Washington Street, 7 h Floor �r yi Boston,Mass. 02111 Workers Compensation Insurance Affidavit Building/Plumbing/Electrical Contractors Applcantanft „mahon Please ERIN'I"Ieibly " F name: address: city c� �t 4'► !!�'G state: " zip: NY �f q��) Q/r'/S- i y phone# ! Q! � work site location(full address): `ra ❑ 1 am a homeowner perfonning all work myself Project Type: ❑New Construction[]Remodel ❑ proprietor g any capacity. ❑Building Addition I am a sole ro rietor and have no one working in 1 am an employer providing workers'compensation for my employees working on this job. company name: p��-L U✓l � del< �a� address: city: �-1`�`f��I i ,411 phone#• 711 .9 t? �7 insurance co policy# .�..a4 'Y:f.'31J d,to ry Y y Ad »L �y. ••r•i l Yyy k I '. P l'..'.� ..�.� .•I .2.• .. .:..Y`, It 4.. .'.:P .....: t. r.x tixn. .i...,e..J• ..4....._:x:..� .l(.:�.X. •,�..". ... '.:. ..:.:..v ..�,;,h r1�' ..i.-_.. i" �i-.:6 Y A t .. ❑ I am a sole proprietor,general contractor or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name address. city: phone# insurance co policy# X. <:;i... ., ..: ,—.,,. .,� 's....� _... r ,.. ,... .. ,.e.::. i ri�kf.. company name" address city: phone#• insurance co. - - Dolicv# - Attach.additional sheetif,neSessary;; Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 hereby rt' tt er the aims and penalties of pei jury that the information provided above is trite and correct. Signature Date Print name ` J d./'It'1`�/�'' is Phone# �� Wit:,,,,:-;a.,s ;t•..r.... > .,.... ,...43..,,a__ ..t.-:.tw::i1 official use only do not write in this area to be completed by city or town official N4 city or town: Permit/license# Building Department 4" i r:. ❑Licensing Board ❑check if immediate response is requiredkl ❑Selectmen's Office i. ❑Health Department �1+ contacterson u5 P phone#; ❑Other A 4y+, (revised Sept.2001) :',! . �° r.-;��:,'._4:.r4a,:1::arx � .-.... ° - `t • z _: i s x � xr Xt _..._. .s,�d:::7 ,.,5,• :,..s ...t....::�,,.,,.., ..,'i}f> ......,.. <,.r� .,,.. ....�.-... .. .'�w.... .. x., ��N.:...'4 , ..:c:: -z'�.c;4::;..:.F:i. ..3'>• u I North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: Lc c�/�/���usf�o.!✓ �j �t),-P (Location of Facility) SignattUe f Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i NORTH a 0 0 t � Andover No. �`yydower, Mass., -3 vLO Y % T LAKE I� COCHICHEWICK 7qs RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT , . . ................................................ BUILDING INSPECTOR J � Foundation has permission to erect...Sfir 1 �.......... buildin s on .... ......................... Rough................. .................................... to be occupied as..........' ... Chimney l"OO.. ............... s .!V �rs/......... .!.. ... . . . .. .. provided that the person accepting this permit shall in every respect conform to the terms of the app Iic..ion.. ...o...n..f.ile..in.. Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 P) G R1 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION �a20— Rough y�l ......... Service . ................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous .dace on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. PAI 1W11q( C4e Opt '11'"1 39'l.4oi d '' 0(=01F Chimneys Residential & Commercial Roofing AH Types Of SidingCHIMNEYS POINTED-REBUILT-CAPPED x erts *t Expert Masonry Work Mass Toll Free �* Roof Leaks Ep ` Licensed & Insured 1-800-WAIT-4-US ® Locally Owned&Operated Since J976 s' e License#034200 (924-8481) IKO Cgxfe wazw OZ TvAff we work Year Round +14- 1 - £ ',, 4�i ' � • •-- +tl� � ��� a5 � - / ,! �1 :f��°-. Proposal Submitted To Phone Date IC /�� Sq..eet Job OX t Name L 60 7,6 6 , City,State&Zip Code Job LocationJob Phone . Qo L"� c �s S am- We Propose hereby to furnish and labor in accordance with specifications below, for the sum of: Y3 14T SrAiezr I MI,,�eCf n i' Dollars($__ I (. SCS U (5 0 }. All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices.Any alteration or deviation from specifications be- Signature: -� low involving extra costs will be executed only upon written orders, and will become an U U -- extra charge over and above the estimate.All agreements contingent upon strikes,accidents NOTE:This proposal may be or delays beyond our control, Owner to carry fire,tornado and other necessary insurance. Our workers are.fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: /{rpt=' d Install 3 feet of special "Save Seal" ice and water barrier protection along all bottom edges of roof and top to bottom in each valley. #roof is stripped, we will apply conventional ice and water shield ( )ft. high in the same locations previously described and tar paper will cover the �� .-r,.....�..�....... L..,.r.�_.ur-`._...�- A........r..4}r.,Js.. --4—All k— --I..sr,aA- +_J Sr-1;n {f_ ` r i I r r '--"�--.,�,..�:...�r+s�.�.,.:e�,�-,.!a��te,..s-�',-*��...�--t���-rr'4-.,R .x�tt.�x�.,.�,:r�c,.,-r�°^-,,.v�k,.��c-.•�,+;t..�»... i Location No. � , M Date T" e NpRTq TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ s�CNUSt It ,art Foundation Permit Fee $ Other Permit Fee $ $ J •- �• TOTAL Check # 18559 Building InspeW I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -_,r♦ ,i. �Y`s"�-+- '.� a�..^`'✓ '� � „? ,-, `r.. --o. � „�,^a ;�� tis aE d°�a'�a q� � 'p-T>• BUILDING PERMIT NUMBER: �� DATE ISSUED: SIGNATURE: Building Commissioner/I_7L12r of Buildings Date SECTION 1-SITE INFORMATION Z 1.1 Property oP Y Address: 1.2 Assessors Map and Parcel Number: el V. A91—y V 64A 4A L)I gqT Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area(sf) tax 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RegWred Provide R 'red Provided ReqWmd Provided v 1.7 Water Supply M.G.I-C.40. 54) Zone 1.5. Flood Zone Information: 1.8 Sewerage Disposal System Outside Public ❑ Priv Flood Zone Private ❑ ❑ municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT MISToric is rlc : yes a rn 2.1 Owner of Record Names Address for Service: dI � S ature Telephone 2.2 Owner of Record: Name Print Address for Service: O \ z Si ature Tele hone M SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone a. r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r.�,. Address _r Signature Expiration Date ^Z Telephone V/ 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.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a ble Y New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Desc ton of Proposed Work: 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OM'CLI►)`USE ONLY Completed by permit applicant s' 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x (b) av 4 Mechanical HVAC 5 Fire Protection 6 Total1+2+3+4+5 r ©U Check Number � SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER GENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property He^autho to act on M�kbM be all all at rs relative to work authorized by this building permit applicafi it I I4 II Z 1206 Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 as Owner/Authorized Agent of subject property Hereby declare that the staten s and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB ND SIZE OF FLOOR TERS 1 2 IMB3KD 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 NORTH " 19 T . � 7,own of Andover 0 . ....... No. ISO it R j* C% over, Mass., 0 LA COCHICHEWICK 0 ATE D IT % WARD OF HEALTH Food/Kitchen PERMIT T. D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...............................4..................... .... Foundation has permission to erect........................................ buildings an ...A1.18........*Vi ... Rough ... .... ........................ • tobe occupied as ............. .......................................................................................................................... Chimney provided that the person accepting t ermit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of Codes and By-Laws relating to the Inspection, Alteration and Construction of If I Buildings in the Town of North An over. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous -Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 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 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Fire Department Sign off: p g Dumpster Permit Date 09/08/2005 1.1:26 FAX 2034686773 CDS LLC Q001 5OOZ/8/6 ---NSao=(]IOLxdn*IOPsOAl2!A/ftqffz Ad 9£=ZO:V S(1PM16 UO PMax,3-WPIO Mol PUMD S"SiSS inol qrtS 00'SZZS --'f ► psodail00'SZZ`6 s f� ' jp SS"LIS I S�aI SS"LI$ Z8 J 00'86 $ 1 in !uos.V P-MA Ci 00'86V$ 90 P401 Ab IIopduwm*I aaud jaquanK uva HOW-SL11.L MYH CIOOMAIJ IICIIAOZId'I'IIM mmusnO smaa i mOIJ,m-asAI00 21000 aJ'Eravo mu wOui :soi wln4 ul iBtaadS t DM!!�JfIOflK AVM3AM(I.MU A0 dCIIS lH;JMMU M 93V-1d SOOZ/61/6 :w(l dmpzd SOOZ/ZT/6 SCI LWATPC regwpm I :a ml LaAgaa ,CEA►aAuQ :oorneaol f.aAtiaa L9LL 969(tiLL) :auo'4d 1100 i 89Zi ZS8(SOS) :fid b3A110J 09VLL UOUVMIO.M yMu00 f.32Agga gr,10'VW.WAWUV qtWM C1dOZi'I'IIIIX03 8b i uoueuucm tiaaziaQ L9LL 969(VLt) :auogd ITo'J 89ZI Z58(80S) uoummm vqw,)ft.wig 90910`m IoM OI ide 9AU 1�3ile �7S EaAilO�O�EiJ, uonvm �q BugM i :OLRJ.;IIaur�ed I II04mmoial TMIXTAra I jo I a8,gd saPIO^naYA 2 'd 9892-LTG-998 oui wnieS dTT :20 so 80 des Sep 08 05 02: 10p Salum Inc 866-917-2586 p. 1 S A L U M NC P.a-Box,".ass-fir,NA s* -TeL 88""ALUM-F=W64H-Suua ERaa:sahnOu" lraetors.eom Sam www.sml FACSIMILE COVER SHEET DATE N. OF PAGES TO im ptlZt4 AM M AK FAX COMPANY FROMC - I TEL 7foGt b - 1'7& o Urgent o Please Reply o For Review o Please Recycle o Please Comment o For approval COMMENTS n SALU M(((NC • July 18, 5 200 tta"it sec-5 - Mark Hammar 48 Fox Hill Road. North Andover, MA 01805 Tel. 978-725-3530 Cell.978-397-2465,- mphammar@comcast.net Dear Mark Hammar I am pleased to submit1he following proposal of services to be performed at the address above,as described` I—AREA Entire house. II-DESCRIPTION OF WORKS A. Strip all old and damaged Wood from the whole house. Replace all possible rotted plywood. B. Garbage disposal will be included. C. Install a tyvek type product Named-Rain Drop Wrap. D. Case all windows,doors and corners with 1x4 to 1x5 pre primed board, adding-metal flashing. E. Install red western cedar vertically as requested by the owner. F. All wood will be primed but°additional priming will be'done on all cuts. G. The owner of the house will pull all permits needed and provide all materials. 111-WORK,SPECIFICATIONS Work shall be performed Monday through Saturday between the hours of 8:00 am to 6:00pm. Contractor will be held responsible for any and all damages to the house,decks,windows,doors,frames,screens,vents and air handling units. Contractor shall furnish all equipment necessary to perform the work in accordance with these specifications and all of the Federal and State Codes and Standards. Twelve months all-inclusive Contractor's guarantee of workmanship will be part of this package'. Certificate,of insurance is too submitted at customer's request. Work shall be performed in manlike manner and will include trash disposal,when need by days work appearance. IV-SERVICE PRICE Labor Price: $°18,500.00(Eighteen thousand,five hundred even dollars) ti . *For rotted plywood will be added a$35.00 per hour charge, but only when approved by customer. VI-PAYMENT SCHEDULE 30% Deposit on start day and remaining-70%upon invoicing as the job is been completed. V-WORK SCHEDULE The job will be scheduled at the contract signing. P. O. Box,60.359 - Worcester, MA 01606-0359 -Tel.,508-852-1268- Fax 866-91-SALUM sales0salumcontractors.com -www.salumcontractors.com _ _ I SALUM (/INC �1 � VII—GENERAL CONDITIONS A. Any alteration or deviation from the above description of area, works and specifications involving extra costs will be executed only upon your orders and will become an extra charge over and above the service price. B. All work is to be completed in a workmanlike manner according to standard practices and also as specified in this contract. For further information, please, call us at 508-852-1268 or cell. 774-696-7767. Please, send us a copy with your agreement by email or fax it to 1-866-91-SALUM. God bless you. Sincerely, Joe Salum Salum"Il q ACCEPTANCE/APPROVAL: The above price, description of works, specification and conditions are satisfactory and are hereby accepted. You are authorized to the work as specified. Payment will be made as specified in this contract. DATE: SIGNATURE: P. O. Box, 60.359 -Worcester, MA 01606-0359 -Tel. 508-852-1268 - Fax 866-91-SALUM sales@)salumcontractors.com -www.salumcontractors.com f NORTH TOWN OF NORTH ANDOVER 1 OFFICE OF p BUILDING DEPARTMENT +� x 400 Osgood Street *y'''+,r.o•�''`�x North Andover, Massachusetts 01845 �ss+c►n�s�� D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: Number Street Address Map/Lot HOMEOWNER r Name Home Phone Work P one PRESENT MAILING ADDRESS Z19 /U_ //l n(o 61>Ll City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and req ' ents and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE ,1 APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 C'ONSFRVATTON hXX-9130 11YAL 11 6RX-540 PLANN1NC;(,R8-0535