The URL can be used to link to this page

Home My WebLink About0045 DONEGAL CIRCLE �� . . �:,, e f z, . . _` �, I� MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza - = B6ston;,Massachusetts`021 08-1 904— - - i (617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675 11/15/04 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec.3B BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET HYANNIS MA 02601 Re: Insured: HAROLD & JEAN GARDNER Property Address: i45 DONEGAL CIRCLE, CENTERVILLE, MA 02632 Policy Number: 0793697 Type Loss: Fire (including Fire caused by Lightning Date of Loss: 10/12/04 Claim Number: 211805 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139 Section 3 B 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. MPIUA Claims Division CMA00021 4 FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: "Building s Commissioner or Inspector of Buildings (� p 9 ) .Board of Health or Board of Selectmen O Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: GARDNER, Harold &Jean Property Address: 45 Donegal Circle Centerville, MA Policy Number: 0793697 Type of Loss: Fire Date of Loss: 10/12/2004 File#: 100773 ,Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. 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. G. D. BRIDGE Adjuster 11/24/2004 Pyof7HETo�y TOWN OF BARNSTABLE • 33,MSTAU i 9� .639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .., .. ea.........4.................... ................ ....... TYPE OF CONSTRUCTION .... .�.........19.2? I TO THE INSPECTOR OF BUILDINGS: The undersigned 'hereby applies for a permit according to the following information: Location .....D...l........,1..yy....... Proposed Use ... . .......X. ............................... Zoning District ........................................................................Fire District ..�, .� r... �.. .. l... . Name of Owner .. y� .70 "Y:.R. ' C ....G......�.c%.�5. . {�1...Address ..,r. ....... Nameof Builder ....................................................................Address ..................................................................................... Nameof Architect ......... ..........................................................Address .................................................................................... Jr ...Number of Rooms ....... —.z. ...............................................Foundation ...., .......... �. .!!.. .... ... j � Exterior ..�,. P.[.�.. ..........................................................Roofing . . .. .. ...... .. ..................................................... Floors ..................................................................Interior ...,x .��.e.�..�... /.../.�...Ga'C...k ......................... 1 Heating ........ ......................................Plumbing ........ Z.,.... .. ..:....................................................... Fireplace ... .............................................................................Approximate Cost ...... ...................................... Difinitive Plan Approved by Planning Board -----------------------_------- Diagram of -Lot and Building with Dimensions THE PROPOSED METHOD OF PROVIDING.FOR SANITARY WATER SUPPLY, SEWAGE DISPOSAL AND D INAGE IS HEREBY TOWN OF BARNSTABLE, BOARD OF HEALTH A LICENSED INSTALLER MUST OBTAIN SEWAGE PERMIT` AND ,INSTALL EYSTEMt 2� • 4z 137 i tiE; cAl C - I hereby agree to conform to all the Rules' and Regulations of the Town of Barnstable regarding the above construction. Name .. ...... ................................ . .............. � IAdey, Jr. � ^ � � DEC � 1�� o�u°^^ "� � ~~~ �r � I3337 ' - ' one ��—. Permit ---.--.��.� No .. --. � single fuuu-�y umqllzzqg � -----^------^-----'---'---'-- /� - . �� IoreoaI Circle � ^v`"/ux/ ..�.__—._�^__~____._____... ' Centerville -----.-----.----..---------- � ~ � � Owner ...............Wi]OLlam,.E._Da.coy.�..Jr. __ � Type of �ra--sma ' -- ________—_ � � ----.---------------------.. � � �� plot --. . Lot ................................ . --'---- � � Parmh Gronte6 --- 'II.... 9 70 � � Dote of Inspection .. � = —..l9 h~ Dote Completed ...................................... ` . - ` (/<-- PERMIT REFUSED -----_—.--.----------. lV ` .---------.---------------... —_---.--------.--..------..— � - _------..---...~....--~.~..^~—.- � -� ---------~-----^`--^^—^--^''^— � Approved ........................................... lQ ~ , '----------------^'^'--'--'—^—'' - , ---~^------^---------~^^^^^^— ` �