31 CAVENDISH CIRCLE - BUILDING JACKET �l (fAVen&51, C2
UPC 1033D
N0,153L_ Stow
HASTINSS, ON
CERT-IFICATE OF OCCU NC
CITY OF SALEM Issued
'' «a SALEM, MASSACHUSETTS 01970 Permit
City at Salem Buildin Dept.
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DATE �'.l1 'ail:) (3 1't
APPLICANT 79 PERMIT NO.
ADDRESS .: ' I�1 i- 1 I I), Ley-gcrF_L.
(NO.) (STREET)
(CONTR'S LICENSE)
CITYI—r`ahiL G-llyT�
STATE "'1!1ZIPCODE vim_"�,'-.' 1 r"-; ., r -
PERMITTO f��4;!•.,I � ' r� T' -
f � I. (_ _ iJLI ` i�"f' NUMBER OF
(TYPE OF IMPgOVEMENTI NO. ) STORY (PROPOSED USE) DWELLING UNITS_ i
[AT(LOCA=TION)_V_'f1ZI ',)L I Ij) '�L.i C 1'•; �- i t}" i-. ZONING
REET) DISTRICTIJWEEN
(CROSS STREET) ANO
(CROSS STREET)
SUBDIVISION fYJ(]p (;•-� LOT
LO7 VI QI('i. BLOCK kit C'9 SIZE J. 13. 7!';i Fit"p+p <;
BUILDING IS TO BE FT.WIDE BY FT.LONG BY
FT,IN HEIGHTAND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
PE)
REMARKS J't(;'fl D ' I'dl 7 rlt xtl 1
AREA OR u
VOLUME (Cu FEE ILA
ESTIMATED COST nP PERMIT
BIC/SQUARE FEET) `i"I ?I`'1� =y
OWNER I .f:`EPPI' Pi I::: D (..,
ADDRESS :•`-,1 rA -1 'I '1 c',"'`",f::'4." BUILDING DEPT. -
�weoeonnnrnnn+wcninoiruTi BY _
n lN;l:UPV ANY RTRFET.ALLEY OR SIDEWALK OR ANY PART THFRFOF.TITHER TF nAPORARILY OR PERMANENTLY,ENCROACHMENTS
TRAVELERS J� 295
The Travelers Indemnity Company
P.O. Box 430
Buffalo, NY 14240-0430
08/22/2019
City of Salem Building Inspector
120 Washington Street
Salem MA 01970
Insured: Baseem Nsier
Claim Number: STF5919
Policy Number: 077586-996686363-636 -1
Date of Loss: 08/12/2019
Loss Location: 31 Cavendish Circle 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 Chapter 143, Section 6
to be applicable. If any notice under Massachusetts General Laws Chapter 139, Section 313 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 (617)480-0205 or email me at
JLISIECK@travelers.com.
Sincerely,
Joseph Lisiecki
Claim Professional
(617)480-0205 Ext. 480-0205
Fax: (877)786-5584
Email: JLISIECK@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 F3162C1S19235000295 00001 N