HomeMy WebLinkAboutBuilding Permit #659 - 120 OSGOOD STREET 6/1/2009 BUILDING PERMIT ° t``° "
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TOWN O NORTH ANDOVER
APPLICATION R PLAN EXAMINATION ,� t
Date Received *E°•°"�c�
Permit N0. �SSACHV`'��
Date Issued: 60
IMPORTAN Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building One family
❑ Addition ❑ Two or more family 11 Industrial
El Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑ Assessory Bldg 0 Others:
❑ Demolition ❑ Other a
� ( = 15 'ter ax Fanlai1"1 I❑'41�etlancj
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DESCRIPTION OF WORK TO BE PREFORMED:
2-,Y Z ROel>-'- Jb i 57 f
Iden9fication Please Type or Print Clearly) �G _ 3 ? 73
OWNER: Name: oo Phone: ?
Address �q R �
t f Y k< �@ 'F. 'a„ ,' v 6 °y�� k. s^
CC�TITRATOR�a � ti
x PI�o4ne
k fi y
All
� ri� �x ya �• � �x'{���"�y' y '���'' �` "� �x e�,�y x�K3 :;���a� '�G�t•G '� .,.��. �,.�'��
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
FEE: $
Total Project Cost: $ 7� a �
Check No.:
7 ,�� Receipt No.: C� �
NOTE: Persons contracting with unregistered contractors do not have access to th uaranty fund
SI rlatUl`e Of COrtttaG01'.
Signature of Agee' Wrier g
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSA
Public Sewer
Tanning/Massage/Body Art T11Fmdmming PoolsWell ❑ Tobacco Sales Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING &-DEVELOPMENT F1 DATE
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION [] . ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
r.
e'
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/signature & Date
Located at 384 Osgood Street7777 Driveway Permit
FIRE DfPARTMENT Temp Durnpster ori site es
Located at 124 t�lair�Street Y �
Fire Departmenit signatureldater
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7 t
'MWENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use
❑ Notified for pickup - Date
............................................................................................................._......._....................._.........._..........................................._....................
Doc.Building Permit Revised 2007
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
a Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location�,7y
No. Date
�aRT� TOWN OF NORTH ANDOVER
3? ° SOL
F 9
Certificate of Occupancy $
Buildin /Frame Permit Fee $
SSACHUSE 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2 2 6 '/' U"
Building Inspector
The Commonwealth of Massachasetts
Department of Industrial Accidents
Office of Invesfigadons
600 Washington Street
Boston,MA 02111
wi www masxgov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Analicant Information Please Print Leeibly
Name(Business/Organization/Individual): /a,,zme-r, r noT 7krc
Address:- UG? tfelNe41c�7� , f✓� , / W� {�'1
City/State/Zip: Phone#: j 7 ��-�= 7 Y
Ar
e an employer?Check the appropriate box; Type of project(required):
I. a employer with / 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. F-1Newconstruction
2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp,insurance. g, ❑Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself.[No workers'comp, c. 152,§1(4),and we have no 12.0 Roof repairs
insurance required.]t employees.[No workers'
comp.insurance required.] 13.[V�Other //��G/�-
*Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
iContractors thnt check this box must attached an additional sheet showing the name of the sub-contractors and thele workers'comp.policy information,
nformation.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information:
Insurance Company Name:
Policy#or Self-ins.Lic.#: 2'0/" 12 � OCY Expiration Date: 9 /�
Job Site Address: 05 v City/State/Zip: ItId 1'74AV12. /OZ?
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
1 do hereby certify n hep ns and penalties of perjury that the information provided abo a is tr a and correct.
—Sip-nature, Da e: Z
Phone#:
0O cid use only. Do not write in this area,to be comrpleted by city or town o�ic&L
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone M
S
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ACCORD. CERTIFICATE OF INSURANCE DATE(MNPDDNYY) 12-16-08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DOHERTY INS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
21 ELM STREET* ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 1985 COMPANIES AFFORDING COVERAGE
ANDOVER,VIA 01810
COMPANY
221YVI4 A TRAVELERS INDEMNITY COMPANY
INSURED COMPANY
B
TWOMEY&.I.EGARE C'ONTRAC)'1NG
ANC COMPANY
PO BOX 366 C
NORTH ANDOVER.MA 01845 COMPANY
D
COVERAGE
THIS LS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL PRODUCTS-COMP/OP AGO. S
CLAIMS MADE OCCUR, PERSONAL&&ADV.INJURY $
OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE Any one fire} $
MED.EXPENSE Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY(Per Person) $
SCHEDULE AUTOS BODILY INJURY(PwAccirlent) $
.!IREDAUTOS PROPERTY DAMAGE S
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTOS AUTO ONLY-EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGREGATE $
EXCESS LIABILITY
UMBRELLA FORM EACH OCCURRENCE $
OTHER THAN U MBRELLA FORM AGGREGATE $
WORKER'S COMPENSATION AND
A EMPOLYER'S LIABfUTY UB-0290M994-08 09-18-08 09-18-09 STATUTORY LIMITS x
THE PROPRIETOR' EACH ACCIDENT $ 500.000
PARTNERSiEXECUTIV= INCL DISEASE-POLICY LIMIT $ 500,000
OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 500,000
OTHER
DESCRIPTION OFOPERATIONSROCATIONS/VEHICLES,RESTRICTIONSISPECIAL ITEMS
THIS REPLACES ANY PRIOR CER 171KCA rE ISSUED TOTHE CkK11FICA7E HOLDER AFITLII..W WORKERS CO.W COVERAGE
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF NORTH ANDOVER EXPiRATKNl DATE THEREOc.THE 16-SULNGCOMPANY WILL ENDEAVOR TO MPJL 10
DAYS WRITTEN NOTICE TO THE CERTIRCAT'e HOLDER NAMED TO THE LEFT,BUT
MAX)OSGOOD STREET FAILURE TO MAIL SUCH HOT!CE SHALL,MPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY.IT3 AGENTS OR REPRESENTATIVES.
NORTH ANDOVER,MA 0134$ AUTHORIZED REPRESENTATIVE
ACORD 2S-5(9193) Charles J Clark
ACORDr„ CERTIFICATE OF LIABILITY INSURANCE DATE06/25/200806/25/2008 10:29
PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
red C,Church.Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
40 KdF oza Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I lay erhill,MA 01830 I
800-225-1865
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Arbella Protection Insurance Company I _
1-%%orney R Legare Contracting Inc INSURER B:
1'0.Box 366
Forth Andover.MA 01845 INSURER C:
INSURER D:
INSURER E: I
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITION50F SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR'ADD'L POLICY EFFECTIVE POLICY EXPIRATION
I
LTR INSR6 TYPE OF INSURANCE POLICY NUMBER LIMITS
! GENERAL LIABILITY EACH OCCURRENCE 1'000'000 00,000,00000
(-1 DAMAGE TO RENTED
i X I COMMERCIAL GENERAL LIABILITY I PREMISE S�E�a occure ice) i S 100.000.00
CLAIMS MADE I XJ OCCUR MED EI XP(Any one person) 5 5.000.00
A 8500012700 6/22/2008 I 6/22/2009
PERSONAL SAVINJURY S 1.000.000 00
GENERAL AGGREGATE $
S 2,000.000.00
1
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG S 2.000.000.00
PRO-
POLICY!, LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT s
ANY AUTO I(Ea accident) _ I
ALL OWNED AUTOS �
BODILY INJURY S
I SCHEDULED AUTOS (Per� )
_ HIRED AUTOS
J BODILY INJURY
r (Per accident) j S
_ NON-OWNED AUTOS
1 PROPERTY DAMAGE
;� --------- ----------- j I(Per accident) I S
i GARAGE LIABILITY AUTO ONLY•EA ACCIDENT I S
ANY AUTO EA ACC I S
OTHER THAN
AUTO ONLY: AGG S
EXCESS UMBRELLA LIABILITY I EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
DEDUCTIBLE, DEDUCTIBL _70TH.
S
i RETENTION 5 I 5
WORKERS COMPENSATION AND OR LIMITS I O E
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNEPJEXECUTIVE E.L.EACH ACCIDENT S
OFFICERRdEMBER EXCLUDED I E.L.DISEASE.EA EMPLOYEE$_____
It yes.desanbe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I S
OTHER
I
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Cil.Cert
CERTIFICATE HOLDER CANCELLATION
I my n o I'North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
27 ChHrics Street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
North Andover.MA 01845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08) Chem# 5458 Mst# 08/09 Cen# OACORD CORPORATION 1988
.r
T1ae s°ianvsnaxuiea e a ✓uac/u '
Board of Building Regulation and Staaanadards
Construction Supervisor License
License: CS 67560
Birthdate:'.10/25/1966 t
Eit{ira�on 10/25/2009 Tr# 6403
6strict toQ. 00:
SHAUN M TWOMEY,
61 PATROIT ST
N ANDOVER,MA 01845 Commissioner !
✓/ze�omvararuvealll o�✓�aaaac�ucaellb
Board of Building Regulatidns and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 136779
Expiration:=826/2010 Tr# 272934
Type: Partnership
TWOMEY+LEGARE CONTRACTING INC..
SHAWN TWOMEY: �
61 PATRIOT ST.
N.ANDOVER.MA 01845 Administrator
Page 1 of 1
McEvoy,Jeannine
From: Schruender@aoi.com
Sent: Saturday,May 30,2009 10:22 AM
To: McEvoy,Jeannine
Subject: 120 Osgood St.
Please be advised that the deck to be constructed Q 120 Osgood St.is excempt from the Old Center Historical
District by laws. Any questions,please give me a call.
George H.Schruender
Broker Owner
Carlson GMAC
73 Chickering Road
North Andover,MA 01845
978 685 5000
Fax 978 685 5900
0911978 764 6000
A Good Credit Score is 700 or Above. See yours in just 2 easy steps!
(http://pr.atwola.com/promoclk/100126575xl 22132295Oxl 2Ol 367l 86/aol?
redir--hftp://www.froweditroport.com/pm/default.aspx?
sc--M072&hmpglD=62&bcd=MaystepsfboterNO62)
6/1/2009
w
Proposal
Twomey and Legare Contracting Inc.
Building & remodeling
Office 978-685-7447 P.O. Box 366 Fax 978-685-7446
978-556-1547 No. Andover Ma. 01845
May 13, 2009
To: Scott&Kristin Fredo
120 Osgood Street.
North Andover Ma.
978-68`3773
Ref: New Deck
Thanku
yo for the opportunity to quote the following project. The TWOMEYAND
LEGARE CONTRACTING price is based on our discussion on May 13, 2009
concerning your project at the above address.
The following is a description of work as discussed.
1. Remove existing top two steps of brick landing.
2.New deck to be P.T. frame 1400 `with steps to grade.
3. Construction to consist of 2x12 p.t. floor joists,timbertec rails and decking,
4. Contractor to provide 10"cement form tubes to support deck.
5. Stair risers and deck frame to be wrapped in PVC trim boards.
6. Contractor to dispose of job related debris.
7. Contractor responsible for all permits and inspections.
8. Area under deck to clear of owners items.
9. At completion of deck work area will be raked clean.
10. Includes one weather tight electrical box.
Si c�,(�C x' b o I
f
T;
Job total c& payment schedule
$ 17,500.00
Balance
1 S` On signing $5,500.00 $12,000.00
2nd The day work starts $6,000.00 $6,000.00
3'a Completion of deck frame $4,000.00 $2,000.00
4`" Completion of project $2,000.00
Thank you for considering TWOMEYAND LEGARE CONTRACTING for your
project. Please feel free to call with any questions or concerns at 978-685-7447.
Respectfully,
Shaun Twomey
Sig'I �Lli�' Date /
4
CC
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6
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Town 0 t 19Andover
0
No. %31
dover, Mass.,-
0 LAKE
COCHICHEWIC
17 ED BOARD OF HEALTH
Food/Kitchen
. - PERMIT T D Septic System
d:O:O:mw
BUILDING INSPECTOR
..................... ................... ...
THIS CERTIFIES THAT............ ...... ................ . . .................................................. Foundation
has permission to erect........................................ buildings on .... ............... .... .... W.....r. ......'............ Rough
A Chimney
to be occupied as.......0 1XW?4)....."411111 ...... ............................***** ......
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes 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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS STARTS TM
CONSTRUCRough
A
.............. ..................................................................... . ................. Service
BUILDING PECTOR
Final
Occupancy Permit Required toOccupyBuilding GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove
FiRough
nal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.I Burner
Street No.
SEE REVERSE SIDE Smoke Det.
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NOTES
CORD OWNER: SCOT AND KRISTEN FREDO
RECORD DEED: BOOK 5565 PAGE 227
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REFERENCES
r
r 1.) N.E.R.D. PLAN #2296
ASSESSORS MAP 58 PARCEL 58
}
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1 N Ul
CA W
W11 W
' ? ZONING TABLE
m
ZONE R3
REQUIRED EXISTING
FRONT 30' 39.0'
SIDE 20' 29.0'
REAR 30' 93.8'
LOT AREA 25,000 S.F. 38,650.4 S.F.
FRONTAGE 125.00' 199.62'
— 76.0'
GRAPHIC SCALE
20 0 10 20 40
ZH OF MAssq
g° cyGN ( IN FEETDAVI
)
ALVE w 1 inch = 20 ft.
#454
E CERTIFIED PLOT PLAN
120 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS
DRILL
ASSESSORS MAP 59 PARCEL 15
HOLE PREPARED FOR
FOUND SCOT FREDO
120 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS
SCALE: I" = 20' NOVEMBER 07, 200'
NEW ENGLAND ENGINEERING SERVICES, IN
1600 OSGOOD ST., BLDG. 20, SUITE 2-64
3' TR E E T NORTH ANDOVER, MA 01845
(978) 686-1768
DRAWN BY, SHEET M CHECKED BY+
D.A. 1 of 1 D.A.
FILE #= DESIGN BY+
coe
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Sro
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SIZE
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0
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ASSESSORS MAP 59 PARCEL 66
OSGOOD ST.
ZJ
Cli
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LOCUS MAP NOT TO SCALE
D
ASSESSORS MAP 59 PARCEL 29
i�
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IRON
PIPE
FOUND ASSESSORS MAP 59 PARCEL 15
AREA=38,650.4 S.F.
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ASSESSORS MAP 59 PARCEL 68. oLo
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N 29.4' ' #120
EXISTING
1 STORY
W.F.D.
29.0'
43.2'
39.7' 39.0'
199.62'
S00'23'48"E
IRON
ROD
SET
OSGOOD (VARIABLE WIDTH—PUBLIC)