3 CEDAR ROAD - BUILDING INSPECTION I3 CDEAR ROAD -
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UNT"E`b� FIELD COPY
q~ CITY OF SALEM BUILDING
9 SALEM. MASSACHUSETTS 01970 PERMIT
a4A�
Dec. 171 92 586-92
Stephen C. in 4 T E UEl PERMIT NO nt.Tn®r
APPLICANT_ +aE ADDRESS C&.+
nv+niT'Tn T�.�x�E5'�NNYTrvT��v'�::��t r�v TTcD.r{iTNT�0.T'E1'wE�vT�.. ISiREC9i 144�!•jJ{'S CIfENSEI
REPLACE (IYYIJA/M 2 DTVI ELLAING NUMBER OF bYYY1EEJJ
PERMIT T( (_I STORY DWELLING UNITS
Il•nC O� nROVE A.[Nll XD. (PROPOSED USE)
wAto
AT ILDCATIONI 3 ZONING
1.0.) ISTREETI DISTRICT
BETWEC'• _ AND
IC.OS. 51.EET1 ICRO55 ST PEETI
LOT
SUBDIVISION LOT BLOCrc - SIZE
BUILDING IS '0 BE FT. W,OE H- FT, LONG BY FT, IN .HEIGHT AND SHALL CONFORM IN CONSTRUCTIDN
TO TYPE USE GROUP BASEMENT WALL$ OR FOUNDCTION
Replacing windows & make alterations
REMARKS:
� CAIS, �Fm INSPFLMw 745-9595
APER 0'Z :N, -fi« % 15 S_ 21500.00.. PERMIT � 23 .00
VOLUME ESTIMATED COST
JCVSIC SQUARE PEEll
OWNER - Stephen IngeIIi
AODRES$ �'xz7'f'R1Ci ut.� �E,1 leo E. Tremblay !
INSPECTOR OF BUILDINGS
INSPECTION RECORD
DAT■ MDT{ •ADDA[l! - CRITICISMS AND O[YAANI INN[CTOR
NEW ENGLAND CLAIMS SERVICE, INC.
365 Broadway
Lynnfield, MA 01940
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws , Ch. 139 , Sec. 3D
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
C(+, V
addresses
RE: INSURED: eAAA
PROPERTY ADDRESS: r_z'
POLICY NO. :
LOSS OF: 19 Q�—
FILE OR CLAIM NO. :
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 3D is appropriate, please direct it
to the attention of the writer and include a reference to the captioned
insured, location, policy number, date of boss and claim or file number.
' 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.
3
SIGNATURE AND D E
Speed Letter® as-sot
7- Y Speed Letter®
To. From
Subject
0
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MESSAGE
Date Signed • ` (mbr
REPLY
Date Signed .
WilsonJones RECIPIENT—RETAIN WHITE COPi. PETUP'; P,tR
.RAYL INE FORM 44-0 2 3 R•RI
l483-RRINTEO IN VSA _ 1184