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HomeMy WebLinkAboutMiscellaneous - 73 FARNUM STREET 4/30/2018 (2)Xv
LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
April 15, 2015
Building Commissioner/Inspector of Buildings
NORTH ANDOVER, MA 01845-5604
Board of Health/Board of Selectmen
NORTH ANDOVER, MA 01845-5604
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction of the property captioned below, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be
applicable. If any notice under Massachusetts General 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, cause of loss and LA file number.
Insured: SALVATORE J & ROSE F DIMILLA
Loss Location: 73 FARUM ST
NORTH ANDOVER, MA 01845-5604
Policy Number: HP949432
Date of Loss: 02/13/2015
Cause of Loss: Ice and Snow
LA File Number: MA -2-28800
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Bill Morris
Adjuster
LaMarche Associates, Inc. - 800-349-1525
Page 1 of 1
4ocation -3
No. Date''=1
NORTH
1ti0
TOWN OF NORTH ANDOVER
i.a°
Oi•
? •... , :• O
p
.,s ;
Certificate of Occupancy
$
----------
}
Building/Frame Permit Fee
$
-
<�
S,CMusE
Foundatiop Per it �e
$
!�
Other Permit ee
$ s
Sewer Connection Fee
$
Water Connection Fee
$—��
TOTAL
$
Building Inspector
�( 7087
� �
Div.
Public Works
PERMIT N�; APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
/GE 1
MAP 4,40. I
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE
SUB DIV. LOT NO.
LOCATION^ Y
PURPOSE OF BUILDING U i �, v L S` (rl-s►
�- ►^��`'I
OWNER'S NAME sl)cuk4cAk
NO. OF STORIES 1,, d SIZE
OWNER'S ADDRESS 0
- I '
BASEMENT OR SLAB
_ V� rise I, -,I C + '
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME
(
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES
REAR
"' GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION ` 1..,
C (
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUI EMENTS OF CODE r
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
10
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUS//''T BE FILED AND APP7?''K VVEDD BY BUILDING INSPECTOR
DATE FILFJ �/ .�
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE U
PERMIT GRANTED
00, C `l 19
OWPIER TEL. N
CONTR. TEL. # �S 5 I
CON''TR. LIC #--�_ _
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST am W
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
�UILDiNO INSPECTOR
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY I
I STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
CONCRETE
_
_
8 INTERIOR
FINISH
PINE
HARDW
B
—
—
1
1
2 I3
—
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY VJALL
UNFIN.
—
3 BASEMENT
AREA FULL
FIN. B M TAREA
_
1/1 '/r y.
FIN. ATTIC AREA
NO BMT
FIRE PLACES
_
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS
B
1
—
2
3
_
_
_
DROP SIDING
CONCRETE
EARTH
HARDW✓ D
COMMON
ASPH. TILE
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
_
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAMESUPER
RE I� —
ADEQ OPOOR
NONE
5 ROOF
10 PLUMBING
GABLE
I HIP
BATH (3 FIX.)
_
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
_
FIAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
SLATE
KITCHEN SINK
NO PLUMBING
_
_
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
I 11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 8 COLS.
STEAM
STEEL BMS. & COLS.
HOT W T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd
ELECTRIC
_
1st 13rd
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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NY
arspar HOMES, INC. (617) 272-7192
(THE NAME YOU CAN TRUST) Mass Home Improvement
Main Office: 143 Cedar St., Somerville, MA 02143 (617) 625-6351 Contractor No. 10101 t
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 homeImprovementcontractorsandsubcontractorsengagedInhomeImprovemetitcontracting,unlessspecificaliy
exempt from registration by provisions of Chapter 142a or the general laws, must be reg1stered with the Commonwealth
or 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:
Registration Number:
Salesperson's Namc: , i _> (E7 t
This agreement is made on C� �/ F between !� / `r ' C 121P
f ��3 �'
(DA7Z)
S J ,(ADDRESS) (CONTRACTOR)
o
h r� �` 7t -r lJ(- �� /7 /1 �' [ f > - 6
hereinafter called "Contractor" and %7 /Z h MION E).'UMBER)
u y-7 S' V.
(ADDRESS)
hereinafter called "Owner".
2 -LI,
(OWNT t)
MION'E !UMBER)
DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike mariner 11 York detailed below.
z vc�t,
DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in performing the above described work consist of the following:
work consists of th
III PRICE
Contractor agrees to do all work described in Section I for the total price of S
III. PAYMENT
Payment will be made as follows:
Notice:
4.
% (S GO �) upon signing Contract,
% (Supon completion of
-%(S r>C2) ) upon completion of
and the remaining
_%,$ ) upon verification of the work by Owner
and Contractor as having been satisfactorily completed, which verification shall take
Place promptly after completion.
No agreement for home Improvement contracting work shall require a down paSmtent (advance deposit) of more than
one-third of the total contract price or the total amount or all deposits or pav:nents which the cor)tructor must make,
co0.O% & 11 9 o aactir,,..... _--- ...... _ ....i:.. _.. r..
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