HomeMy WebLinkAboutMiscellaneous - 224 RALEIGH TAVERN LANE 4/30/2018 224 RALEIGH TAVERN LANE
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9800 Fredericksburg Road
'04San Antonio, TX 78288
USW
04664. 1W3WK . JSS1043067342 . 01 . 01 . 837
CITY OF NORTH ANDOVER May 1, 2015
120 MAIN STREET
NORTH ANDOVER,MA 01845-2420
Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Attention Building Commissioner,
I am writing regarding the claim referenced below.
Policyholder: Charles Willoughby
Reference #: 002739051-6
Date of loss: February 20, 2015
Location of loss: North Andover, Massachusetts
Address: 224 Raleigh Tavern LN, 01845
A claim has been made involving loss, damage or destruction of the property referenced above,
which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 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 the reference #.
You may submit correspondence or questions to me. My contact information is:
Address: P.O. BOX 33490
SAN ANTONIO, TEXAS 78265
Fax: 1-800-531-8669
Phone: 1-800-531-8722 ext. 44415
Sincerely,
W
r ' l
Wallace Miller III
Property - TFL Unit 9
USAA Casualty Insurance Company
P.O. Box 659461
San Antonio, TX 78265
Phone: 1-800-531-8722 ext. 44415
Fax: 1-800-531-8669
CMG WM
002739051 - DM-04664 - 6- 8023 - 17 -
54577 0914
I
Page 1 of 1
Location`
No.
Date
NaRTti TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
�'��°',•°'rte' Foundation Permit Fee $
Ss�cMusE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL / ' $ _
+� Building Insc r
3/98 08:54 25.00 PAIR p
Div. Public Works
t
Location r-
r
No. f Date
,40RTq TOWN OF NORTH ANDOVER
3? •. . O-LaiawL
p Certificate of Occupancy $
+ ; ; Building/Frame Permit Fee $
0
46
,Ss4C14USEt Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
(303/98 08:54 25.00 rsfr,
Div. Public Works
1'I:IzMIT NO. &1,9 APPLICA'1'1 N ICOR 1'LRN/Irr' 'O BUILD**"""NORTH ANDOVI:IZ, MA
n1(P ND. ✓ 1.0r.NO. 2. RECORD OFOII'NLIISIIII' DATE BOOK PAGE
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VO( A I IDN PURPUSE(N:131111 DING -
OWNER'S NAME NO.OF STORIES SIZE
(AYNER'S ADDRES BASEMENT(Nl SI AD
AR(1111EC'I'SNAME SIZE OFFI.00R'IIn113ERS 1 2ND ]RD
BI III DER'S NAME lffSTAN
DISTANCE IONEAREST 13UILI)ING DIMENSIONS OF SILLS
DIS I ANCE FROM S FREE I DIMLNSI(NJS 01 I[)S IS
DIS I ANCE FRMI LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OFt.Or rR(NJIAGE NEIGIIr(N'FOt)NOAlION THICKNESS
IS tAIII.DIN(i NEW SIZEOF 10(JI INC
X
IS BUILDING ADDI TION MATERIAL OF Cl IIFINEY
IS BNILDIN(1 ALTERATION - IS BUII.DIN(i ON SOHD Oft FII I.ED[.AND
Wit 1.BUILDING CONFORM TO REQUIREMENI S OFCODE ISBUIIJANGC(NJNECIEDTOIOWNWATER
DO-ARD OF APPEALS ACT ION, IF ANY ISBUI1,I)INGC(NdNECIED101OWNSEWER
Z IS BUII.I)ING C(NTNECI LD TO NA I(IRAI.(,AS I.INE
INSIU('II0NS 3. I410I'ERIXINFORNIAlION I.ANDCOST at
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PAGE I FILLCNirSEmicvS 1-3 ES 1. BI IX;.COSI PL-RSQ. 11.
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ELECTRIC METERS MUST BE ON Oil ISIDE OF 130I1 IANC SETT IC PERMI F NO.
A11ACIIEI)GARAGES MUST CONFORM"10SIATEFIRE RE(AILA IIONS a. AI'I'I101't'DBI"
PI ANS MUST BE FILED AND APPROVED BY DIIILDING INST'ECF(NI BUILDING INSPE(TOR
DA I S FII F;D OWNERS 11:19
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19
.�..r� .r NOR T
own ®f Andover
No.
i LAKE lover, Mass., 19
9�COCMICMEWICK i�1•t
0
q'4 TED PPP`
BOARD OF HEALTH
PER T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..... ...................... . ............ Foundation
has permission to erect....................... ............. buildings onow&/....... . ................... .......... ............ ough
tobe occupied a ............. ......... ... .. ,y........................................................................ .......................................... Chimney
provided that the person accepting this rmd shall in every respect conform to the
terms-of the application on file in Final
this office, and to the provisions of the odes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIO S ELECTRICAL INSPECTOR
Rough
................................P
..... ........................ .....�............... Service
BUILDIN INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
4. Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be Done Final \
Until Inspected and Approved by the Building Inspector.. FIRE DEPARTMENT
Burner
Street No.
Smoke Det.