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Home My WebLink AboutMiscellaneous - 147 FRENCH FARM ROAD 4/30/2018 I 147 FRENCH FARM ROAD J .210/035.0-0084-0000.0 a. I' 1 ea Jd !-,-EALLVc 4 2M a Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ Num. Action Department Board of Appeals — Board of Health — Planniing Board -- Conservation Commission — Building Department EAGLE ADJUSTMENT SERVICE " 1E'. t'`. ------ 3 P.O. Box 537 Chelmsford, Ma. , 01824 - (503) 256-6556 TO: BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS BOARD OF SELECTMEN Town of No Andover (Rnarri of Hann l i-h ) Addresses ( Town Hall ( ( No Andover, MA 01845 RE: INSURED William R & Susan P Vanar.sdale PROPERTY ADDRESS 147 French Farm- Road, No Andover - POLICY NO. H551-90079 LOSS OF Nater caused damage to dwelling on 7/7/93 19 FILE OR CLAIM NO. 93-5615 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 or file number. Claims Representative Title 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. A , 2 10/12/93 Signature Date Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B TO: BUILDING COMMISSIONER OR INSPECTOR OF BUILDINGS Town Hall North Andover, MA 01845 TO: BOARD OF HEALTH OR BOARD OF SELECTMEN Town Hall North Andover, MA 01845 RE: insured: William&Susan Van Arsdale PropertyAddress: 147 French Farm Rd. North Andover, MA Policy Number: H55190079 Date/Cause of Loss:8/19/91 - Windstorm File or Claim No: 92190-B 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. Herb Berger, 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. azkkI Signature and Date - HALLMARK CLAIM SERVICES - Lakeside Office Park, Door 17, Wakefield, MA 01880 WATERSHETd.4— RESIDENTS QUESTIONNAIRE 1. Name �/� 2. Street Address Itf- 7 FX't# FV41g-W & /-)` 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool ❑ septic tank and leaching area $L_spnnection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no ❑ do not know r 6. How old is your sewage disposal system?, 0-5 years ❑ 6-10 years ❑ 11-20 years ❑ over 20 years ❑ do not know 0 7. Has your sewage disposal system been rebuilt or repaired? El yes no ❑ do not know If yes, approximately how long ago? years. What was done? 8. How frequently is your sewage disposal system pumped out? ❑ annually El every 2-4 years - El every 5-10 years L1 over 10 years El never O9. Have you had any problems with your sewage disposal system? ❑ yes4- no If � what hat P roblems? Y ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each applia}Xce are connected to your,sewage disposal system? washing machine ✓✓ dishwasher ✓✓ garbage disposal ✓� dehumidifier drain sump pump � toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher clotheswasher g �2 � Z► 'SY�?'� 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre - El1/4 acre El1/z acre Ar"3/4 acre El acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ ' Check here if your lawn is maintained by a professional landscape contractor. _ J�� ,r �, K7_; t "5 -7} Po. i > ..:�•. ."?'. N, Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B TO: BUILDING COMMISSIONER OR INSPECTOR OF BUILDINGS Town Hall North Andover, MA 01845 7�y TO: BOARD OF HEALTH OR BOARD OF SELECTMEN Town Hall North Andover, MA 01845 RB: Insured: William&Susan Van Arsdale Property Address: X147 French Farm lid.--)' zf Worth Andover, MA Policy Number: H55190079 Date/Cause of Loss:8/19/91 - Windstorm File or Claim No: 92190-B 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. T Herb Berger, 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. R Signature and Date - HALLMARK CLAIM SERVICES - Lakeside Office Park, Door 17, Wakefield, MA 01880