HomeMy WebLinkAboutMiscellaneous - 1518 GREAT POND ROAD 4/30/2018 (2) 1518 GREAT POND ROAD and Road
J210/D62.0-0027-0000.0
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Insurance Adjustment Service, Inc.
936 Roosevelt Trail Unit 5
Windham, Maine 04062
207-892-0522
Fax 207-892-0526
UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B
Date: April 27, 2011
TO: Board of Health/Building Inspector
RE: Insured: Carole Schultz
Property Address: 1518 Great Pond Rd.
No. Andover,MA 01845
Date of Loss: 4/16/2011 .RECEIVED
Policy Number:
TOWN OF NQRTH ANCdQVeR
HEALTH DEFARTME{�iT
Type of Loss:
File or Claim Number: 72397
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. 38 is appropriate,please direct it to the attention of the
writer and include a reference to the captioned insured, locations,policy number, date of loss and claim or file
number.
Thank you for your cooperation.
Very Truly yours,
Matt Martin
Adjuster
Ext. 109
I
IVIS 5,474::�v
Residential Property Record Card
PARCEL_ID:210/062.0-0027-0000.0 MAP:062.0 BLOCK:0027 LOT:0000.0 PARCEL ADDRESS:1518 GREAT POND ROAD FY:2009
PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book: 05810 Road Type: T Inspect Date: 08/25/2003
Owner: Tax Class: T Sale Date: 07/23/00 Page: 0341 Rd Condition: P Meas Date: 08/25/2003
SCHULTZ,CAROLE A Tot Fin Area: 6036 Sale Type: P Cert/Doc:- Traffic: M Entrance: X
Address: Tot Land Area: 1.02 Sale Valid: F Water: Collect Id: RRC
1518 GREAT POND ROAD Grantor: HERBERT SCHULTZ Sewer: Inspect Reas: C
NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% /
RESIDENCE INFORMATION LAND INFORMATION
Style:" CO Tot Rooms: 9 Main Fn Area: 4105 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1
Story Height: 1.75 Bedrooms: 5 Up Fn Area: 1931Bsmt Area: 0 Seg Type Code Method Sq-Ft Acres Influ-YIN Value Class
___._ .._ ___ 1 P 101 S 43560 1.000 208,652
Roof: H Full'Baths: 2 Add Fri Area: Fn Bsmt Area:
Ext Wall: ST Half Baths: Unfin Area: BsmtGrade: 2 R 101 A 0 0.020 152
Masonry Trim: Ext Bath Fix: 6 Tot Fin Area: 6036 - ' a v
Foundation: CN Bath Qual: M RCNLD: 523756 DETACHED STRUCTURE INFORMATION
Kitch Qual: M Eff Yr Built: 1965 Mkt Adj: Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond"/.Good P/F/E/R ` Cost Class
Heat Type: HW Ext Kitch: Year Built: 1910 Sound Value: SE S 96 0.00 1988 A A 50///50 700 1
Fuel Type: O Y Grade. _ GV Cost Bldg: 523,800 PA S 300 0.00 1990 G G 50///50 3,000 1
Fireplace: 0 Bsmt Gar Cap: Condition: G Aft Str Val1: DW S 400 0.00 1988 A A 50///50 2,400 1
central AC: N Bsmt SF: Pct Complete: AttStr Val2 N a VALUATION INFORMATION
Aft Gar SF: 420%Good P/F/E/R: 7100/100/81 Current Total: 738,700 Bldg: 529,900 Land: 208,800 MktLnd: 208,800
Prior Total: 738,700 Bldg: 529,900 Land: 208,800 MktLnd: 208,800
Porch Type Porch Area Porch Grade Factor
W 40
SKETCH PHOTO
a
pM 49
AS sq.Ft '
74
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Ft FU 25W gXt 25 ,
67 103 83y s.
33
1518 L-4C GREAT POND ROAD
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Parcel ID:210/062.0-0027-0000.0 as of 5/6/09 Page 1 of 1
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1154
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. -2-, 9 �
Z iy
Application by the undersigned is hereby made to connect with the town sewer main in l Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. ! Street
or subdivision lot no.
Owner Address
tiA '
Contractor Address
Applicant's Signature
<5 s) �fJ
PERMIT TO CONNECT WJTH EWER MAIN
The Division of Public Works hereby grants permission to -tr` ;V
to make a connection with the sewer main at t Street
subject to the rules and regulations of the Division of Public Works..
Division of Public Works
By
Inspected by
Date
See back for rules and regulations
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BOARD OI. 111: 11. 1 if
146 �I.A 1 � STI :I.-
-1 ELENIO,NE# (508) F� -95-10
a ? ,,
tlSEPIIC ,U.,S'7T,V)
Puns-< t;it ro .Section 310 C.`.'.- 354
of the S:ate Eln,ironmeuh-rl We V _
.-address --
Contractor hired for work:
Name �� � J1 one _
Address
Date for scheduled abandonment 2 I
The septic system at the above address ha been abandoned accord:: to
Title V specifications.
Sizr:azure o Contractor
Method of septic tank aband tunent (check one O removal ( std£ill
(X crush Oother
-774 - Z77?—
Name
77ZName of Offal Hauler
This form must be returned to the North Andover Board of Health.
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY.
61)/1 !l
Ins ecting Agent Date
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