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NEW ENGLAND CLAIMS SERVICE, INC.
Incorporated 1985
❑ Reply To Reply To ❑
P.O. BOX 345 100 CONIFER HILL DRIVE, SUITE 308
MANSFIELD, MA 02048^x' b DANVERS, MA 01923
TEL. (508) 337-8058 . TEL. (978) 777-9900
FAX (508) 339-5835 FAX (978) 774-9196
wmndall@newenglandclaims.com
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec 3B
To: Building Commissioner or
Inspector of Buildings
City Hall
North Andover, MA 01854MAR Z010
RE: Insured: Gu & Emil Richards
TOWN LT NORTH DEPARTMENT ER
Y Y HEALTH DEPARTMENT
Property Address: 2251 Turnpike Street, North Andover, MA 01854
Cause of Loss/Date: Windstorm Loss of 2/26/2010
File or Claim No: BOSO47520
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 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.
Mark Randall
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.
Signatu e D to
Locatior 67'2- S I T.+r " e—
No. 14" Date
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TOWN OF NORTH ANDOVER,
Certificate of Occupancy $ fd
Building/Frame Permit Fee $ aS'
Foundation Permit Fee $
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Other Permit Fee $
0
Sewer Connection Fee $
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Water Connection Fee $
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TOTAL $
Buidinn6 Inspector
b 10797
Div. Public Works
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Town of North Andover ooRT►,
OFFICE OF
COMMUNITY DEVELOP-41ENT AND SERVICES °
146 Main Street •
.o
North Andover, Massachusetts 01845
WII.I.IAM J. SCOTT 9SsncHus�t
Director
In accordance with the provisions of 1VIGL c40, S 54, a condition of Building Permit
Number 4is that the debris resulting from this work shall be
disposed of in w rc(perly licensed solid waste disposal facility as defined b MGL
Y
c 111, S 150A.
The debris will be disposed of in:
(Location of Facility)
A(4--'16 li Ge.4-"z : //I%PT� S -
Signature of Permit Applicant
Date
NOTE: Demolition. permit from the "Town df North Andover must be obtained for this
project through the Office of the Building Inspector.
APR - 9 1997
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
