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HomeMy WebLinkAboutMiscellaneous - 11 MILLPOND 4/30/2018 i _ 11 MILLPOND _ .210/095.A-0011-0000.0 I ��� NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Complaint Investigation/Inspection Report OWNER Z—i f"a 7a P-C)__ ADDRESS / DATE _ !!z Za S < C'��o' i I �I INSPECTOR MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617) 723-3800, Ma Only(800) 392-6108, Fax (617) 557-5675 08/13/02 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec.313 giiiiNof NORTH AN—D-01VER-7- BOARD OF HEALTH FAUG 2 6 2002 NORTH ANDOVER HEALTH DEPT. _. , NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: JOHN & ELEANOR GILBOARD Property Address: 11 MILL POND, NORTH ANDOVER, MA 01845 Policy Number: 0464167 Type Loss: Water Damage Date of Loss: 07/15/02 Claim Number: 193188 I Claim has been made involving loss, damage or destruction of the above captioned property, 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 3 B 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 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675 03/22/01 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec.313 NORTH ANDOVER HEALTH DEPT. NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: JOHN & ELEANOR GILBOARD Property Address: 11 MILL POND, NORTH ANDOVER, MA 01845 Policy Number: 0464167 Type Loss: Water Damage Date of Loss: 03/22/01 Claim Number: 184988 Claim has been made involving loss, damage or destruction of the above captioned property, 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 3 B 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. i I MPIUA Claims Division I �- x„ F3 .� 1 MAR 2 7 2001 CMA00021 4 Proclaim Adjustment, Inc. gregory e- cusick phone: 508-671-9424 fax: 508-667-4078 FORM NOTICE OF CASUALTYLOSS TO BUILDING UNDER MASS. GEN. LA WS, CK 139, SEC. 3B June 15, 1993 To: BUILDING COMMISSIONER/BUILDING INSPECTOR North Andover Town Hall North Andover, MA 01845 To: B OF HEALTH/BOARD OF SELECTMEN North Andover Town Hall North Andover, MA 01845 Insured.Millpond Homeowners'Association Loss Location:Millpond Roadv-North=Andover;A 4 Cause/Date of Loss:Accidental Discharge of Water of 5/6/93 Policy No: 6120MO68465S ProClaim's File No: 930315-C Gentlemen: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed$1,000 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, lease direct it to the attention o the writer and include a reference to the P .f f captioned insured, location,policy number, cause and date of loss and file number. On this date I have caused copies of this notice to be sent to the persons named above and at the addresses indicated above by First Class Mail. y Date: r I l• `, r -f i M � p.o. box 421 ` billerica, massachusetts 01821 E'v �,. �,�� r^„1 ,� f. O e p � Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B TO: BUILDING COMMISSIONER OR INSPECTOR OF BUILDINGS North Andover Town Hall North Andover, MA 01845 TO: `_BOARD OF HEALTH OR \BOARD OF SELECTMEN,, ,North-Andover Town Hall North Andover, MA 01845; RE: Insured: John&Eleanor Gilboard Property Address: 11 Millpond North Andover,MA Policy Number: HP1491804 Date/Cause of Loss:3/29/92- Water Damage File or Claim No: 93600-C 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. 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. Gregory E. Cusick, General Adjuster 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. C-� Z /Ignatum an ate - HALLMARK CLAIM SERVICES - Lakeside Office Park, Door 8,Wakefield, MA 01880 1 = ereaarewvin.t,