HomeMy WebLinkAboutMiscellaneous - 18 ELMCREST ROAD 4/30/2018BUTTERWORTH & O ' TOOLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPWSERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978) 741-5731
September 19, 2011 1 OCT 18 2419
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B
TO: Building Commissioner or
Inspector of Buildings
ADDRESSES
City/Town Hall
North Andover, MA 01845
FAX (978) 740-9109
Board or Health or
Board of Selectman
City/Town Hall
North Andover, MA 01845
RE: Insured: Helen Briggs
Address: 18 Elmcrest Road
North Andover, MA 01845
Policy No.: 2104823
Loss of: September 15, 2011
File No.: 14-1715
Origin: Wind
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 & O ' TOOLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
TELEPHONE (978) 741-5731
September 19, 2011
ADJUSTERYAPPRHSERS
FOR INSURANCE COMPANIES ONLY
RECEIVED
Gud 18 all
TOWN OF NORTH ANDOVER
FORM OF N
BUILDING
UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B
FAX (978) 740-9109
TO: Building Commissioner or Board or Health or
Inspector of Buildings Board of Selectman
ADDRESSES
City/Town Hall City/Town Hall
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Helen Briggs
Address: 18 Elmcrest Road
North Andover, MA 01845
Policy No.:
2104823
Loss of:
September 15, 2011
File No.:
14-1715
Origin: Wind
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
3479 Date .... / ... ..... .
NORTH TOWN OF NORTH ANDOVER
pya4.ao ,,,1�OL
p PERMIT FOR GAS INSTALLATION
I,
This certifies that ...`.........�.". �............. ........ .
I. .
has permission for gas installation .. ....... :-'.?.........
in the buildings of ... . .............. • • • • • •
at �..... ...::...'.. ........
. , North Andover, Mass.
Fee! .�.... Lic. No...... ! ! .. �....:... �....... .
GASINSPECTOR'
r
WHITE: Applicant CANARY: Building Dept. PINK?Treasurer
I SSACHUSMS nt TFORM APPLICATON FOR PERMIT TO DO GAS FITTING
or print) Date ( -2-6 19 Zoo /
0VM1 H ANDOVER, MASSACHUSETTS r
Building Locations
zff2CiZC�>
Permit 9 (3 el 7/
Amount S C"S cu
Owner's Name( t �4 S
New F-1Renovation ❑ Replacement F-1Plansrlibmitted F-1
(Print or type) �A Q�� Check one: Certificate lnstallin�, Company
Name /4z�
�/ ' Corp.
Address q" ❑ Partner.
d
Business Telephone
&6r3- rmiCo.
Name of Licensed Plumber or Gas Fitter
0 -1 -
INSURANCE COVERAGE Check one:
I ht,ve'a current liability Insurance policy or it's substantial equivalent. Yes ❑'� No ❑
Ifyou have checked yes, please Indic e type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity❑ Bond ❑
Owner`s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Vlasli,. General Laws, and that my signature on this permit application waives this requirement_
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby cer<ify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in
compliance with all pertinent provisions of the :.lass tts as e and Chapter 142 of the General Laws.
By:
Title
CiryiTown
4PPRO'v"ED � i,i--v= usF nw-rt
Sienature of Licensed Plumber Or Gas Fitter
❑Plumber0
❑ Gas Fitter rcense iNumoer
Mas
rl--�Oumeyman
.r
(Print or type) �A Q�� Check one: Certificate lnstallin�, Company
Name /4z�
�/ ' Corp.
Address q" ❑ Partner.
d
Business Telephone
&6r3- rmiCo.
Name of Licensed Plumber or Gas Fitter
0 -1 -
INSURANCE COVERAGE Check one:
I ht,ve'a current liability Insurance policy or it's substantial equivalent. Yes ❑'� No ❑
Ifyou have checked yes, please Indic e type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity❑ Bond ❑
Owner`s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Vlasli,. General Laws, and that my signature on this permit application waives this requirement_
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby cer<ify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in
compliance with all pertinent provisions of the :.lass tts as e and Chapter 142 of the General Laws.
By:
Title
CiryiTown
4PPRO'v"ED � i,i--v= usF nw-rt
Sienature of Licensed Plumber Or Gas Fitter
❑Plumber0
❑ Gas Fitter rcense iNumoer
Mas
rl--�Oumeyman
3359
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ./7� `%�?' �'.. • �• •l! � � •� a ...... • • • •
has permission for gas installation ...? l...'.a t ...............
in the buildings of ... FM ' ` . s .............................
at • • • /Z• • • • , North Andover, Mass.
Fee. f? a Lic. No..,/.) ? ... .. `�.,..;. r '?..........
/%GAS, INSPECTOR
r
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO GASFITTING 2-T
(Print or Type)
A/c` R IU 0 V VIE Mass. Datei u a 3 �± a I Permit # J
Building Location 8 el-Iq C pt, --3 T _ 9 Owner's Name M 9 S = Z �G
New ❑ Renovation ❑
Type of Occu cy p W ,��yN
ReplaceAent,` tans Submitted: Yes❑ No ❑
Installing Company Name q ° rr 1q/4p f- r1e!LL_IFY,
Address
TSN �t v t_
Business Telephone 2)Y- V-2 Y- 3"1"
Name of Licensed Piumber or Gas Fitter
Check one:
❑ Corporation
[:. Partnership
❑ Firm/Co.
Certificate
VLA
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 1,2 No F I
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy W Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
S+gnature of Owner or Owner's Agent Owner❑ Agent El
I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
• knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
7��,
Te of license:
umber Signatu of Ucensed Plumber or Gas Fitter
Gasfitter al-
City/Town 8
aster license Number
Journeyman
FFICE US F ONL
H
¢
W
N
to
Y
U
Z
¢
�.
wN
N
W
¢
W
N
N
C
¢
O
O
C
Vf
f
=
C7
z
o
W
Q
c
z
a
W
d
m
W<W
_
0
o
N
a
c
f-
N
rr
U
W
N
W
4
¢
O
G>
W
a
r
z
W
j
�.
!-
z
f
W
W
o
>
LL
F.
W
zd
LL1
<
m
Z
O
z
W
O
Wd
QW
O
<O
O
W
Y
-
¢
' S
O
7
U
Y
O
' Suo—C�i�dT,
i
BASEMENT
1ST FLOOR
2ND FLOOR
'
3RD FLOOR
_
4TH FLOOR
STH FLOOR
I
6TH FLOOR
I
7TH FLOOR
STH FLOOR
Installing Company Name q ° rr 1q/4p f- r1e!LL_IFY,
Address
TSN �t v t_
Business Telephone 2)Y- V-2 Y- 3"1"
Name of Licensed Piumber or Gas Fitter
Check one:
❑ Corporation
[:. Partnership
❑ Firm/Co.
Certificate
VLA
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 1,2 No F I
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy W Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
S+gnature of Owner or Owner's Agent Owner❑ Agent El
I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
• knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
7��,
Te of license:
umber Signatu of Ucensed Plumber or Gas Fitter
Gasfitter al-
City/Town 8
aster license Number
Journeyman
FFICE US F ONL
North Andover Board of Assessors Public Access
t NORTH 7
O tt��o •�• 1•C
OL
A
ltz
•
9SSACHUSES
Click Seal To Return
Search for Parcels
Search for Sales
Summary
Residence
Detached Structure
Condo
Commercial
Page 1 of 1
III
11 7 11 k >i —
roperty Record Card
Location: 18 ELMCREST ROAD
Owner Name: BRIGGS, HELEN G
Owner Address: 18 ELMCREST ROAD
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood: 5 - 5 Land Area: 0.34 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 972 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 289,900 304,100
Building Value: 114,000 123,100
Land Value: 175,900 181,000
Market Land Value: 175,900
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=1513710&town=NandoverPubAcc 10/5/2010
0
0
N
LL
N
0
0
Y
U
O
m
O
0
cc
00
N N O
N
O
0o U
N e6
1- 00
J
c c
N
0 Da'
a
yN
30
YY
22
f�6
5�U
c
Ln
t
y N
C
i
O O
2 w =
o
�Hiiia�iiiiliiiiiiii�r
-
Z
}
n 00
o
Z�
ow `
Q -6-6
CL 2
0
OLM
Nw
V
W OO
i
J
O N Q O
zoo
F- c....�
CO
m
w
Z M
l
c6 U 3
Z
_�
oo
o �N
1 Ili
c�6 c"o
m H m
v
5
p LL
Z &0
y LO
g
J �m
o
O
U
Q
p C
H
LA
001) GNom
0 0
m
o0 00
C
+ W
�;
Z
d
-1
M It
U
U
mQ
0
co M
O
E
U
J
W
on.0
m
U
G
a0
a
V Ha
��
O
O
0 o Z
0
p
=
c `o
o 'c
E-
O
of to 0
m
a
2
aid Z
o
Z y,
U
a
N 0 a >. Q
NN;O
o
J
T 0
N O
a0H>
-otl-
N (D (D d N
y
fn cn cn c/1 i7
a'
N y 7� O
N 0
0
�0,,
Q E69C-am � ea
T NM
�� U.
U Em E Za 0 y0
eI N
oF-o�io
d
Qmucm i�UQ'Qr R
a
U
LO
61 M
Nam
j
m
0
C4 C14 o a L
os a� TTQQ
N
0.2 cc
U U if
a
IL
X
2
C40) is (0 N W
e I N e 1 em Q
OM 0 o
DF-
W
W
== 2!:L-
O
cQa mQ �'9 c En'
mm
v
W
Z
LL, cQ c Z p'0
W " 0
cti10 cE "-op�U
C 0 2 O
(Wj
ca 0 p � U0
�OQ:D - W>U' Uao
Z
T
LnNTT0
H
O
Q
Q
H
Q
U)
W
X c6 LL V
iii L) U)
�
w
N Li y�_ N
OMO
O C �wV,, ca M O.NN
O
o
O" f0 "L"
2 M0 U Y
w U
y
Z
C�
O N 7 (6 SC f6+V_'V vE1
n
0 OQ,
HmLL=WM`eW mmQ
N
J
UQ,
WNOQ
Xar-Z
W
! d
C7 �_
O
2 ~ o aQyQ
2
L: NWS
Ix Loo
=w o c ~~ 2 T cM
y Z'0 W
W
-5,$0j�cc0 4)ij�N O
Y
OmQTZ
cncnaW2LL. 1:LLLL0 dura
(A
N
rn
63
a