5 WEATHERLY DRIVE - BUILDING INSPECTION 5 Weatherly Dr. _�
Arnica Mutual Insurance Company SOUTHEASTERN MASSACHUSETTS OFFICE
Arnica Life Insurance Company 596 Paramount Drive
Arnica General Agency,Inc. Raynham,Massachusetts 02767-5172
Mail: PO Box 529, East Taunton,MA 02718-0529
Toll Free:1-800-59-AMiCA(1-800-592-6422)
Claims Fax: (508) 824-5927
` Auro HOME LIFE Production Fax: (5o8)821-5525
February 9, 2006
Town of Salem
Building Inspector
Town Hall
Salem MA 01970
File Number: F12200602831D
Date of Loss: February 7, 2006
Owner/Insured: Daniel Shane
Street: 5 Weatherly Dr.
Town: Salem
Type of Loss: Other
Gentlemen:
Please be advised that we insure the above named
individual(s) . A claim has been made for Damage to Real Property
and as the insurer, we are presently in the process of adjusting
the loss .
We are mandated to comply with Massachusetts General Laws,
Chapter 139 and as such, if there are any present liens on the
above property, please notify us within 10 days of receipt of # ,
this letter. If we do not hear from you, we will be under no
obligation to pay you any portion of this claim.
Very truly yours,
Michael J. Emmons, AIC
Claims Department, Ext.47327
Amica Mutual Insurance Company
memmons@amica.com
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Web Site:Site:www.amica.com -
Offices Countrywide:1-800-24-AmICA(1-800-242-6422)
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jCERTIFICATE ISSUED
DATE January 16.1991
CITY OF SALEM
` s SALEM. MASSACHUSETTS 01970 BUILDING PERMIT SP
•�4CO01[ CERTIFICATE OF OCCUPANCY
,u:;ust 3 9h�
DATE 19 PERMIT NO.
Gordon Thayer lontrose Ave. , iakefI=old 780
APPLICANT ADDRESS
1.0.1 ISTRECTI (CONIR'S LICENSE)
PERMIT TO
construct (_I STORY residential/,- DWELLING UNITS one'
;,araoe NUMBER OF
(TIRE OF IMPPOVEMENII N0. (PROPOSED USE)
AT (LOC>TIONI � Weatherly Drive 'Turd '( ZONIN cT R-3
ISTINO.1 (STREETI
BETWEEN Loring :'Owers Road AND Freedom i,ollow
(CROSS STREET) (CROSS STREET)
Phase IIT C LOT 742,000
SUBDIVISION'- LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE P.., FT. LONG BY FT. IN HEIGHT AND SHALL CCNFORM71N CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITrPEI
..In,'-le unit witn [,,ural;, - 11;0 : .Y.
REMARKS:
I
AREA OR �rt�zr 0ZE
4GVOLUME 11tL11�T11:BISOVARF FEET(OWNERlinnin Associatesoe IDR
ford St., Lexington Isp I L71 NaS�Is CERTIFICATE
ADDRESS 33 Bed - o
INSPECTOR OF BUILDI<1C'S
..
BUILDING;-
PERMIT
UILDINGS;PERMIT
JOB WEATHER CARD
GATE °� �� 1� 19f PERMIT NO. 94-�
APPLICANT l�at:�Cr ADDRESS Iw 1,11�:tnz- Te ilye.g N]�.yti;IY i'li:'.I.FS '"�s•{}
IMO.) ISTREETI (CONTR'S LICENfEI
I`(Y 1`.�'L"'lICI. :�LsIdential1,"nrs'3,g.a NUMBER OF
PERMIT TO (_) STORY DWELLING UNITSfl
(TYPE Of IMPROVEMENT) N0. (PROPOSED USE)
AT ILOCATION) `? 1Y'241VIelsl`t Drive Ward i DISTRICT
TNG3_
4.0.1 ISTREETI
BETWEEN f.n'Ttn.* ad7•VP .ra Road. AND i�rcLCfOCR Hollow
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK LRI
LT E y,1ilXcj
BUILDING IS TO BE FT. WIOE BY FT. LONG BY FT. IN HE[GMT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
�Z!7 1G .Ili. m{it;r ;art; 1120 a..f.
REMARKS:
Call for Permit to 0.1ccupy
ZOLUME ESTIMATED COST $ 5004—. 00 PERMIT S 311.U0
KUBIC%fOUAR[ PE[TI �
\ E
OWNER +. F!'lPt;t�,R�} ..y�p9s8.4.CwJC1L4ydE$$ BILI/ -\_%wt
400RE55 .7.•�' I W*rd ."14.E L.Yins,.t0i1 BVILDIN
TNI! PERMIT CONVEY! NO RIGHT TO OCCUPY ANY STREET. ALLEY lt&15lrw'XIl UF
OR SIDEWALK OR ANY PORT THEREOF. EITHER TEMPORARILY ORI,
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUBT BE AP-h
IF OVEO BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAT BH DBT AIN ED t�•'•.'
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT�RROM'T NH C NDITNEOt•
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. _ .',:,,y.,,- ..___. ,.. NN k'.':"t•�e : AN
MINIMUM OF THREE .CALL APPROVED PLANS MUST BE RETAINED ON JOB AND TNI$ WHERE APPLICABLE lH RANiVTE
INSPECTIONS RlOUIRED FDR -; PERMITS ARE REOUISEI!!�v ROR
ALL CONSTRUCTION'WORNI CARD KEPT POSTED UNTIL FINAL INSPECTION NAS BEEN ELECTRICAL, REQUISN6.A"AND 14:,,%_ ES:
1. FOUNDATIONSYK
. MAGE. WHERE A CERTIFICATE OF OCCUPANCY IS RE. MECHANICAL INSTALLATIONS:' $!LF'I"`''..
2. PRIOR TO COVERING STRUCTURAL
UR AL IDBUILDING BE OCCUPIED UNTIL
EMOER!(READYTO
!.MINAL INSPECTION BEFORE FINAL HAS BEEN MADE
y ,16Ry -'
OCCUPANCY.
POST"THIS CARD SO'ITIS VISIBLE FROM STREET`
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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OA RD OF HEALTH GAS INSPECTION APPROVALS DEPT.INSPECTING APPROVALS. „ 2�jlf
. Y 1 t�t�V3�1?ytr,
OTHER CITU ENGINEER 2 �: 2
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WORK SHALL NOT PROCEED UNTIL,TNE. PERMIT WILL IIECOME.NULL'AND;VOID IF CONSTRUCTION INSPECTIONS INDICATED 0i'T S;CARD.
INSPECTOR HAS APPROVED THE VARIOUS. WORK It NOT STARTED WITXIN SI%'MONTXS OF DATE THE *CAN BE ARRANGED POR BY TELEPHONE;
STAGES Of CONSTRUCTION - Y2` - OR WRITTEN NOTIFICATION
__.;,.+T...RRw'b.�.,_:„�0�•k'hbn�:.w PlRMIT IS ISSUED SAS N0TlD ABOVE... ....g,5�.;,;.