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COMPLETE •N COMPLETE THI�I SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse X ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
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6A,LIFIM MIlor. 01116 3. Service Type
❑Certified Mails ❑Priority Mail Express-
0 Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) 13 Yes
2. Article Number
(Transfer from service laben
PS Form 3811,July 2013 Domestic Return Receipt
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4®in this box*
City Of Salem
Building Department
120 Washington Street
Salem, MA 01970
CERTIFIED MAIL.
U.S.POSTAGE>>PITNEY BOWES
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CITY OF SALEM
3 BUILDING INSPECTOR "W
120 Washington Street 3r4 floor k- ZIP 01970 $ 006.48D
Salem,MA 01970 02 11111
0001392928 APR. 29. 2015
{ 7012 1640 0002 3313 4087
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CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
120 WASHINGTON STREET,3" FLOOR
TEL. (978) 745-9595
FAX(978) 740-9846
KIMBERLEY DRISCOLL
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
April 28, 2015
Cheryl Jarosh
15 Roslyn Street #3
Salem Ma. 01970
Re:debris
Dear Owner,
This Department received a complaint which was confirmed by our Fire Prevention Officers,that the third floor
porch,owned by you has a significant amount of combustible and other materials. This presents a danger to
life and limb. You are directed to remove the materials from this porch and a follow up inspection is scheduled
for May 14c'. . If you have any questions,please contact me directly.
Thomas St.Pierre
r'
CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
> e � r 120 WASHINGTON STREET,31DFLOOR
TEL. (978)745-9595
KIMBERLEY DRISCOLL FAX(978)740-9846
MAYOR TY-IOMAS STTIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
April 28, 2015
Cheryl Jarosh
15 Roslyn Street #3
Salem Ma. 01970
Re:debris
Dear Owner,
This Department received a complaint which was confirmed by our Fire Prevention Officers,that the third floor
porch, owned by you has a significant amount of combustible and other materials. This presents a danger to
life and limb. You are directed to remove the materials from this porch and a follow up inspection is scheduled
for May 14th. . If you have any questions,please contact me directly.
Thomas St.Pierre
C3
O
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F1L
mPostage $
m
Certified Fee
tU Postmark
CRetum Receipt Fee
O (Endorsement Required) Here
O Restdded Delivery Fee
(Endorsement Required) ^L^
Total Postage 8 Fees $ IV
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Certified Mail Provides:
■ A mailing receipt
■ A unique Identifier for your mailplece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail,
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt maybe requested toprovide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested'.To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailplece with the
endorsement'Restricted Delivery':
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3900,August 2006(Reverse)PSN 7530-02-000-9047
BUTTERWORTH & O'TOOLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978)741-5731 FAX (978)740-9109
August 09, 2000
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS . GEN'. LAWS, CH . 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall City/Town Hall
ADDRESSES
Salem, MA 01970 Salem, MA 01970
RE: Insured: 15 Roslyn Street Condo Trust
Address : 15 Roslyn Street
Salem, MA 01970
Policy No . : S321073901
Loss of: 7/18/00
File or Claim No. : 08-1379
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. 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.
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.
Patrick Tobin
Adjuster