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Home My WebLink AboutMiscellaneous - 120 EDGELAWN AVENUE 4/30/2018 (2) DILp i . BUTTERWORTH & 01TOOLE, INC. ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY `IC P.O.BOX 8294 R�CEI y GSD SALEM,MA 01971-8294 TEL. (978)741-573104 A FAX (978)740-9109 p�pR 2 3 1`t claimskbutterworthotoole.com OF NORTH ANDOVER TOWN 04/16/2014 HEALTH DEPARTMENT 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 Selectmen City/Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Michael Corcoran Address : 120 Edgelawn Avenue Unit 9 North Andover, MA 01845 Policy No . : 2235306 Loss of: 04/15/2014 Water / overflow File or Claim No. : 47-0470 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 writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. David Vincent Adjuster 1 '40� -7 Member of National Association of Independent Insurance Adjusters a BUTTERWORTH & 01TOOLE, INC. ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY P.O.BOX 8294 SALEM,MA 01971-8294 TEL. (978)741-5731 FAX (978)740-9109 claims(iDbutterworthotoole.com 04/16/2014 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 Selectmen City./Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Michael Corcoran Address : 120 Edgelawn Avenue Unit 9 North Andover, MA 01845 Policy No . : 2235306 Loss of : 04/15/2014 Water / overflow File or Claim No. : 47-0470 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 writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. David Vincent Adjuster c on IIWW// Member of National Association of Independent Insurance Adjusters BUTTERWORTH & O'TOOLE, INC. P.O.BOX 8294 SALEM,MA 01971-8294 ADJUSTERSIAPPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE(978)741-5731 FAX(978)740-9109 April 1, 2010 d FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B TO: Building Commissioner or Board or Health or Inspector of Buildings Board of Selectman City/Town Hall 7AP .l ZQ10 City/Town Hall TOWN OF NORTH ANDOVER _ .. n n A n-1 o 4 r HEALTH DEPARTMENT RE: Insured: Michael Corcoran Address 120`Edgefawn-Avenue North A -dover, MA 01845 Policy No.: HP2235308 Loss of: March 30, 2010 File No.: 04-1368 Origin: Water damage 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 Law Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen Law Chapter 139, Sec. 3B is appropriate, please direct it to the attention of the writer below and include a reference to the captioned insured,.location, policy number, date of loss and file/claim number. If no reply is received from.your office within-ten.days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim-is.paid'. Thank You, Patrick Tobin Adjuster BUTTERWORTH & O1 TOOLS, INC. P.O.BOX 8294 SALEM,MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE(978)741-5731 FAX(978)740-9109 April 1, 2010 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B TO: Building Commissioner or Board or Health or Inspector of Buildings Board of Selectman ADDRESSES Ci /Town Hall /Town Hall City/Town Ci ty RE: Insured: Michael Corcoran Address: 120 Ed �- elawn Avenue 9 North Andover, MA 01845 Policy No.: HP2235308 Loss of: March 30, 2010 File No.: 04-1368 Origin: Water damage 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 Law Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen Law Chapter 139, Sec. 38 is appropriate, please direct it to the attention of the writer below and include a reference to the captioned insured, location, policy number, date of loss and file/claim number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Thank You, Patrick Tobin Adjuster "Y PATRICK J. DONOVAN ASSOCIATES, INC. elaim and Foss .Adjustments P. O. BOX 110 WAKEFIELD, MA 01880 TEL. (781) 245-5540 — FAX (781) 245-7016 August 3, 2001 _BOAPD OF HEALTH AUG -T 2001 Building Commissioner , City or Town Hall North Andover, MA 01845 Insured : George R & Virginia R Roache Property Address :1126-Edgelawn_Ave,_#7,-North Andover Insurer : Cambridge Mutual Insurance Company j Policy Number : HP1687481 Type of Loss : Water Damage Date of Loss : 8/2/01 Our File # : WAP32801 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, 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 file number. 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. Russ Williams, Adjuster RW/so ASSOCIAT[aN OF INDEPENDENT INSURANCE ADJUSTERS ASSMATCH of Massachusetts