20 AMERICA WAY U20-2 - BUILDING INSPECTION 20 America Way - Unit,2.
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4067 TRAVELERS J�
The Standard Fire Insurance Company
P.O. Box 1450
Middleboro, MA 02344-1450
04/12/2016
City of Salem Building Inspector
120 Washington Street
Salem MA 01970
Insured: Anita C Mehlman
Claim Number: HYS2330
Policy Number: OFV656-992781925-636 -1
Date of Loss: 03/15/2016
Loss Location: 20 America Way Unit 6 Salem MA
To: Board of Selectmen
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss, damage or destruction of the above captioned property
which may either exceed $1,000 or cause Massachusetts General Laws Chanter 143, Section 6
to be applicable. If any notice under Massachusetts General Laws Chapter 139, Section 3B is
appropriate, please direct it to my attention and include a reference to our insured, the policy
number, the claim/file number, the date of loss, and the location.
If you have any questions, please feel free to contact me at (508)946-6643 or email me at
VDAVIDSO@travelers.com.
Sincerely,
Victoria Davidson
Claim Professional
(508)946-6643 Ext. 9466643
Fax: (877)786-5584
Email: VDAVIDSO@travelers.com,
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.
Signature Date
P0062 F3162C1516104004067 00001 N
a„
�o CERTIFICATE ISSUED
" DATE .lune 3, 1995
CITYOF SALEM
s SALEM, MASSACHUSETTS 01970 BUILDING. PERMIT -
'a4ED CERTIFICATE OF OCCUPANCY
DATE 19 PERMIT NO.
APPLICANTGOLQOi. 1t18�'e:C ADDRESS L ks'eatnerl'.- ::r. S31en,
IND.) (STREET) (CON/B'S LICENSE)
construct '3Dlen Q4ftt L1I„ NUMBER OF
PERMIT TO (_I STORY DWELL ING UNITS
111,E 01 iu PROVEMENI1 .0. (PROPOSED USE)
all kzeriz:a V^v..'+ L .lt j!� ls:irG ZONING "t
AT ILOCi TION( DISTRICT
INOU ISIREET)
BETWEEN AND
(CROSS STREETI (CROSS STREET)
LOT
SUoDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE F. FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE E USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE;
Construct c n7.z_;, unit 3 0i: u.
REMARKS: y
AREA OR •S`y�11�� 6X
i
VOLUMEE/SwITyyr�EL �
C-:BIC S00tRE FEE"
Vlnnln ASBOC. v,-,Evi.Ivr„ernv,-nv,-rlve�lbvlbrnvellv,eEvvme'Emen s.�Encrlo
OWNER TO BE POSTED ON PREMISES
ADDq ESS eetnerly Dr. Salem, hk SEELMYEkSMEEPC AM CONDITIONS OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No. 425-94
Approved by John Jennings Date 6/3/95
Remarks
I
PLUMBING Permit No.
Approved by Dennis Ross Date 6/2/95
i
Remarks
ELECTRICAL Permit No.
Approved by John Giardi Date 6/3/95
i
i
Remarks
OTHER Fire Permit No.
Approved by_ Capt. Turner Date 6/6/95
Remarks
OTHER Permit No.
Approved by 1 Date
Remarks 3'
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�� BULDING'suedOCCUP,Issued: mit g p � PERMIT
City of Salem Building Dept.
CERTIRUTEOFOCCUPANCY aoe WEATHER CAID
Issued..., Permit N: j/9 9 lA PERMIT NO. }�
APPLICANT :'AFi.7n '.^a`$�.8 }V P 'Idiaea+�ss ,.� � acaNlFi•r ;Jr.
(STREETI (CONTR'S LICENSE)
PERMIT TO 'O.^..iL`iACw L{b 4' }'i:HX (_) STORY dvail.4no, NUMBER OF �y -
—DWELLING UNITS
(TYPE Of IMPROVEMENT) NO. IPROPOSEO USE)
.LU AA*rlcs l':,Y`j iC:l4 N ;ard 7 ZONING
AT (LOCATION) 01STR ICT
(x0.1
(STREET)
BETWEEN AND
ICROSS STREET) (CROSS STREETI
LOT
SUBDIVISION LOT BLOCK - SIZE
BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
Coafsk,uc: o ;,Lasa,• unit _ b.
REMARKS:
Call for Hermit to Occupy A OR Rof 377J. PERMIT 3Q YU. ,.
AEA.
VOLUME ESTIMATED COST Nl FEE S
CUBIC/SQUARE FEET)
OWNER V14niLl Aaaoe.
. s.sfm. X BUILD" Drt ,-,*Aja,
Aja,T
ADDRESS
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 09 SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM TME DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL App ROV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED ED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION MAS BEEN PFRIVITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL. PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
3. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
]. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILOHW INSPECTIONIAfIPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
BOARD OF E H GAS INSPECTION APPROVALS FIRE DEPT. INSPECTING APPROVALS
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OTHER CITY ENGINEER 2 2
C- u�'
z Z-2 / e--) S
WORK SMALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT 15 ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.