Untitled �P ,4`°U°`T' , Commonwealth of Massachusetts
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a, - ° City of Salem W
.max B aT 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
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Return card to Building Division for Certificate of Occupancy
Permit No. B-19-1267 PERMIT TO BUILD
FEE PAID: $56.00
DATE ISSUED: 11/14/2019
This certifies that MAITLAND BARBARA J MAITLAND PETER H
has permission to erect, alter, or demolish a building 23 CEDARCREST AVENUE Map/Lot: 210036-0
as follows: Fireplace/Chimney INSTALL CLASS A PREFAB CHIMNEY FOR WOODSTOVE
***DUPLICATE (SEE B-19-991)***
Contractor Name: JOHN WALSH
DBA: THE CHIMNEY COMPANY
Contractor License No: CS-083615
11/14/2019
Building Official Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
H IC #: 148428 'Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
ip°"n` Commonwealth of Massachusetts
q t City of Salem Uo
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT °`T
Excavation PERMIT TO BE POSTED IN THE WINDOW
A i Ty.
Footing
INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber
Final
I'« Plumbing/Gas
Rough:Plumbing
Rough:Gas
Final
LiElectrical
Service
Rough
Final
1111 Fire Department
Preliminary
Final
Health Department
4i8
Preliminary
Final
%MMS
1)AS-BUILT SURYEY PERFORMED BY GRATIN ENGINEERING ON APRIL 21,2020.
2)PLAN DARPA.DEENIRVE SUBDIVISION PLAN DATUM(SEE REF/3)
3)THIS PLAN 15 PREPARED FOR THE SOLE PURPOSE OF DOCUMENTING AS-BUILT
CONDITIONS O LOT 223 A5 O 4/21/20 T95 PLAN IS NOT SUITABLE FOR ANY
OTHER PURPOSE OR PROJECT
A)THE LOCADCNS OF AU.BUILDING UTILITY SERVICES SHOWN HEREON ARE
INFERRED BASED ON APPARENT CONDIRO/S PRESENT Al THE nut OF THE
SURVEY. ALL UTIUTES ARE TO BE CONSIDERED APP000IMATE AN0 MUST BE
VERP ED PROP TO ANY CONSTRUCTION.THE ABSENCE OF UNCERGROJIO
UT1L-TES IS NEITHER INTENDED NOR IMPLIED. UTILITIES E105T.TNN NURSE RUT
OUT ARE NO-SHOWN PRIOR TO ANY ON-9TE EKCAVATOS.DIG-SAFE AND
MU..CRAL U'UTT PROVIDERS MOST 9F CONTACTED AND PROVIDED OPPORTUNIT`
TO CONSIDER PROPOSED WORK AND MAIN UTLITFS
5)ENGINEER DO NOT INSPECT WRIT CURING CCNSTRUCTON AND MADE
ELEVATION AND OSTANCE AS-BUILT MEASUREMENTS FOR RECORD T AN UNIT'
REFERENCES -- -
)LAND COURT DOC AROPBST •2)L C PAN 656-13 • -
3)SITE DCLELOPMENT PERT PLAN PREPARED RP -------- - ----- WY It LOT)J
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SALEM• MA
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THENORFOLIDEDHAMGROUP®
Norfolk&Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
May 19, 2020
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
Building Commissioner, or Inspector of Buildings
do City or Town Hall
93 Washington St.
Salem, MA 01970
Board of Health or Board of Selectmen
do City or Town Hall
93 Washington St.
Salem, MA 01970
Fire Department or Arson Squad
do City or Town Hall
93 Washington St.
Salem, MA 01970
RE: Our File No.: P2069978
Insured: MAUREEN E DOWNEY
Address: 10 CHERRY HILL AVENUE, SALEM, MA
Policy No.: F0445434
Loss Date: 04/04/2020
Loss Type: Building or Other Structure Damage
A 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, Ch. 143, Sec. 6 to be
applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct
it to my attention and include a reference to the captioned insured, location, policy number, loss
date 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 the claim will be paid in our customary manner.
Sincerely,
Joy Pollock
Sr. Property Claims Examiner
1-800-688-1825 x1289
Home Office Mid-Atlantic
222 Ames Street,P.O.Box 9109 10. 50 Division Street,Suite 400
Dedham,MA 02027-9109 SINCE 1825 Somerville,NJ 08876
Phone:(800)688.1825 www.ndgroup.com
,.�I� Invoice
DATE INVOICE#
3 Todd Road nil FEB 20 A 2r
S.Yarmouth,MA 12/17/2019 21885
02664
PH-(978)500-7980
BILL TO
City of Salem
Purchasing Dept.
93 Washingon St.
Salem,MA 01970
P.O. NO. TERMS
7004444-00 Net Due
QTY ITEM DESCRIPTION RATE AMOUNT
1 Set Up Construction Project Mgnr. 15.00 15.00
1 Jackets style 88808/black/Ig 91.00 91.00
1 Jackets style m990/black/lg 18.20 18.20
2 Jackets embroidered I.b. 7.50 15.00
1 Shipping 1z15720w0398143623 14.69 14.69
PC —
t S
ii : \C_
•
/2d. ;b
Thank You
Total $4-5344
USAA Casualty Insurance Company NOTICE OF PROPERTY
N
USAA® DAMAGE TO
01771 .5FR1P .JSS1911181390 . 01 . 01 . 41 STRUCTURES
SALEM CITY HALL
ATTN: BUILDING COMMISSIONER
93 WASHINGTON ST
SALEM, MA 01970-3527
Review Notice of Property Damage to Structures
May 2, 2020
Dear Sir or Madam,
This correspondence serves as notice to the Building Commissioner that the following claim has been reported:
USAA policyholder: Brian R Romer
Claim number: 008695306-014
Date of loss: May 1,2020
Property address: 45 FORRESTER ST
Loss location: Salem, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days of the date on this
letter using the contact information listed below. Please include the claim number above on all correspondence.
Email: Send an email or attachments to the claim file at
59vhx4vhx3mq@claims.usaa.com. Do not send private
information via this channel.
rl Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
Fax: 1-800-531-8669
Sincerely,
a4
Samuel Dyson
Property - TFL Unit 14
USAA Casualty Insurance Company
008695306-DM-01771-014-8021-29 130872-0318
Page 1 of 1
2000001'1'1000'1000'11,0000'd1Hd90•S
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�.F. �.
Hartford Casualty Insurance Company
NSFO
Bond Department
200 Colonial Center Parkway, 5th Floor THE
Lake Mary, FL 32746 HARTFORD
NOTICE OF CANCELLATION OF BOND
May 1, 2020
City of Salem, Building Inspection Dept.
120 Washington Street
Salem, MA 01970
RE: Kiddie Koop, Inc. Bond Number: 08BSBFZ9227
WHEREAS, on or about 5/3/2020 the Hartford Casualty Insurance Company , as Surety, executed
its Sidewalk Bond in the penalty of one Thousand Dollars ($1,000 )
on behalf of Kiddie Koop, Inc. , of Salem, MA 01970
as Principal and in favor of city of Salem, Building Inspection Dept. as Obligee.
WHEREAS, said bond,by its terms,provides that the said Surety shall have the right to terminate its
suretyship thereunder by serving notice of its election so to do upon the said Obligee, and
WHEREAS, the Surety desires to take advantage of the terms of said bond and does hereby elect to
terminate its liability in accordance with the provisions thereof.
NOW, therefore,be it known that the Hartford Casualty Insurance Company shall,
n At the expiration of days after receipt of this notice
Q Effective 06/10/2020
Consider itself released from all liability by reason of any default committed thereafter by the said
Principal.
SIGNED and DATED this 1st day of May , 2020
,t;iYBG 8i%fpq�
By:
Shari Ruff, Attorney-in-Fact
CC: EASTERN INSURANCE GROUP LLC/PHSim'k
233 WEST CENTRAL STREET
NATICK, MA 01760
CC: Kiddie Koop, Inc.
11 Foster Street
Salem,MA 01970
GEN5502
am.
Butterworth. & ()Toole, Inc,
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MA 01971-8294
TEL. (978)741-5731
FAX (978)740-9109
claims@butterworthotoole.com
05/04/2020
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS,CH. 139, SEC.3B
TO:
Building Inspector & Salem Fire Department & Health Inspector
City Hall 48 Layfayette Street 120 Washington Street 4th
floor
Salem, MA 01970 Salem, MA 01970 Salem, MA 01970
RE: Insured: Beverlie McSwiggin
Address: 2-4 Devereaux Street
Salem, MA 01970
Policy No.: 2556680
Loss of: 05/28/2020 Water/Back Up
File or Claim No.: 05-0339
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.
John Foley
Member of
National Association of Independent Insurance Adjusters
N\ United Services Automobile Association NOTICE OF PROPERTY
USAA® DAMAGE TO
01771 . 5FPRD. JSS1910737154 . 01 . 01 . 183 STRUCTURES
BUILDING COMMISSIONER
93 WASHINGTON ST.
SALEM, MA 01970-3527
Review Notice of Property Damage to Structures
May 1, 2020
Dear Sir or Madam,
This correspondence serves as notice to the Building Commissioner that the following claim has been reported:
USAA policyholder: Richard H Nielen
Claim number: 001759344-021
Date of loss: April 30, 2020
Property address: 10 FORRESTER ST UNIT 2
Loss location: Salem, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days of the date on this
letter using the contact information listed below. Please include the claim number above on all correspondence.
Email: Send an email or attachments to the claim file at
4lcg9zcdjmbh@claims.usaa.com. Do not send private
information via this channel.
Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
Fax: 1-800-531-8669
Sincerely,
Anthony A Fauci
Property - CVA Unit 7
United Services Automobile Association
001759344-DM-01771-021-4417-34 130872-0318
Page 1 of 1
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