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HomeMy WebLinkAboutBuilding Permit #326 - 240 SUTTON HILL ROAD 10/29/2007 NORTF1 BUILDING PERMIT .0 ZD ,b gti TOWN OF NORTH ANDOVER ,�� 4�sal •'�,*6 0 APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received � -• ��SSACHl15�� Date Issued: \ • O IMPORTANT:Applicant must complete all items on this page 4Z { i C LT TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building - One family Addition Two or more family industrial Alteration ✓ No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sep 1C, We11 "` PJo �3ptain TV tlands 7 U1latershed 73rstnct x �Wa#er:/S�weT 2 Q, DESCRIPTION OF WORK TO BE PREFORMED: IlCw�ncn�.oA. n{ �iCLrt,No k1Fr,l.rf. a � �J1�10 /LGOw ¢ �Y,��_hGolan $u,id Q new SunJeeli dPP,OX. 141 ' A ;)1' Identification Please Type or Print Clearly) OWNER: Name: rjvwl e s C--tor LU �� Phone: 91r) 4P.5-619Y Address: 0410 Sc,,r�vn� 14,*)] - k 4 SKkv -S v `b` N E iy - -RA TOR Name - eGha� i.it�'S NWW % F A�laress 3 x n � tr> C�LOEM �7 ' s as r Ta Y a Saper��sors`Construction ��cense z3 E�cp Dane J� "" .�. by -. -t . t' °',g .✓ X r � 7 .. ? } -'} "� H+prnempro ese., ARCHITECT/ENGINEER F��,,�k L'oll�b,a Phone: 685-ffa19 Address: 6 k Qc., :5� /Yk t�,,�,�, 1'1'l�• Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ %off% 97c. °O FEE: $ j1/6y Check No.: D3 5 t Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of A jent/Owner S�gnat �e of confract©r ri Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL OfPublic Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Priva S(s * nk, Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS ;2,,C,,'DAT JECTED DATE APPROVED CONSERVATION "' COMMENTS NL k1!:QI (V(VI 40 ' DATE REJECTED DATE APPROVED r]APALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes V Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street SIRE DEPARTMENT Temp Dumpster on bite fires no Located aulz Main Street Fire DeP a 1 enf si na#ureldate g d. COIUJMENTS 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 I Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 2 1 A—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 ❑ Workers Comp Affidavit ❑ 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit E3 Photo Copy of H.I.C. And C.S.L. Licenses E3 Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit I ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location t�ry IJV ' Y/ No. Datd ,�,22 ' O MORTM TOWN OF NORTH ANDOVER O F41 e 9 ,,�,�� • ; Certificate of Occupancy $ ,ITS CMusEt� Building/Frame Permit Fee $ 71, _ Foundation Permit Fee $ Other Permit Fee $ �! TOTAL $ Check ✓ J 20736 Building Inspector /te . /`. . .. !J... . . L. ,AOR TIy ,e1ti0 o� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHUSES h This certifies that�. . . . .. . .. . . J- - . . . . . . has permission for gas installation.. . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of `. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at 7. . .(J. .- -� `. � ` .��, North Andover, Mass. Fee: Lic. No. ti- GAS INSPECTOR Check# 6298 MASSACHUSETTS UNUMM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date , ��-o NORTH ANDOVER, MASSACHUSETTS Building Locations �Ho 1O not,1 ) O 11 �R (9 Permit# �7�g Amount$ - Owner's Name \ � New Renovation Replacement Plans Submitted a U ca v, 16. w c o c z F wx z U w x z z F a O > w wZ: -tt z, Z x a a w H C H x m z o z x o x 3 0 .da o a > A a H o SU B -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR r 8TH . FLOOR f .r (Print or type) ^ -� Name �1V\ \\ \ Check one: Certificate Installing Company Corp. Address S Ic\N Partner. Business a ep one Firm/Co. Name of Licensed Plumber or Gas Fitter N INSURANCE COVERAGE Check one: I have a current liability Insurance,policy or it's substantial equivalent. YesNo� If you have checked Les,please indicate the type coverage by checking the appropriate box7a a Liability insurance policy M Other type of indemnity 13 Bond 13 Owner's Insurance Waiver: am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. .� Check one: Signature of Owner or Owner's Agent Owner 13 Agent 13 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State GR Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town:. Gas Fitter icense Number Master _ APPROVED(OFFICE USE ONLY) Joumeyman 7J the Uurnrnurtweuurt vl �rlu��u�„uo�iw Department of Industrial Accidents s Office of Investigations . 600 Washington Street Boston, MA 02111 www.mass.gov/dia WorkersCompensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le-Zibly Name (Business/Organization/Individual): S 13u,/d iS The- Address: AICAddress: 153 (Y)apl, 5+ City/State/Zip: MCAs civ M4. Ol fry i Phone #: '/11 P- 6 fry- 503G Are you an employer? Check the appropriate box: Type of project (required): 1.❑ I am a employer with 4. []'I am a general contractor and.I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ ? Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ElWe are a corporation and its 10. Electrical repairs or a rerequired. officers have exercised their ❑ eP additions 4 l 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.❑ Roofrepairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 ant an employer that is providing workers'compensation insurance for my employees. Below is the.policy and job site information. Insurance Company Name: Trn u*it(1 -rwsu ta,u. n Policy# or Self-ins. Lic. #: PT06 03514LI O - D-dr) Expiration Date: D - 17= Zda? Job Site Address:_ o111y ��rh�� 1� Qd� City/State/Zip: �o �da�i mo. Gl birrS 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 coverag.�verification. 1 do hereby cei-djy under the pains and penalties ofpeijug that the information provided above is true and correct S1 ature: /'�? Date: / -Zz--07 Phone#: !I 17f- G Qg—5031 Oficial use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: .051242007 12:15 HH-C.SO►ac1 hs.Agent (FAX)197M732281 P.0011003 ACM CERTIFICATE OF LIABILITY INSURANCE ' ATEP&Viz o; PRODUCER (978)372-2790 FAX (978)373-2281 THIS CERTIFICATE IS ISSUED AS, MATTEROF INFORMATION Sullivan Insurance Agency. Inc. HOLLDEAR.�CONFERS NO DOESNOTNOT AME �EX�TEN OR 487 Grovel and Street Haverhill, NA 01830 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC# INSURED Steeplechase Builders, Inc. INSURER A: Essex ,Insurance Company 39020 153 Maple Street muffins: Travelers Insurance Co Methuen, MA 01844 INSURER C: INSURER 0: INSURER E 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 CONDITIONS OF SUCH POLICIES.AGGREGATE LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR TYPE OF INSURANCE POLICYNUMBM POLICY EFFECTIVE POLICYEVIRAMON Ulm 3CiI12196 Oi/16/2007 01/16/2008 EACHOCCURRENCE f 1,000,0001 X COMMERCIAL GENERAL LIABILITY DAMAciE TO RENTED f solo cg— CLANS MADE ©OCCUR MEQ EXP(Any ane person) S A PERSONALBAOVINJURY f 1,000,E GENERAL AGGREGATE i 2.000.000 GENLAGGREGATE LIMITAPPUESPER: PRODUCTS-COMPIOPAGG f 11000,000 POLICY 3JEECTT !OC AUT UA84M COMBINED SINGLE L Wr f ANYALITO CO l ALLOWNED ALTOS BODILY INJURYSCHEDULEDAUrOS ip-Person) f HIRED AUTOS BODILY INJURY f ' NON-CMEO AUTOS (Par a-ww* IPROPERTY PW DAMAGE f LTARAOELIABILm► AUTO ONLY-EAACCIDENr s ANY AUTO OTHER THAN EAACC f AUTO ONLY: AGG f EXCE58NMBREI I ALIABI ITY EACH OCCURRENCE S OCCUR Q CLAIMS MADE AGGREGATE S S DEDUCTIBLE f RETENTION f f WORKERSCOWENSATLON AND 7PAM 0354UO-2-07 02/17/2007 02/17/2008 1 INC sTATU DTH EMPLOYERS'L IABRLTY _ FR 000 B PRICEW�IME BIM EXtXUDED7 E L DISEASE EA EMPLO f 1.OQO,00 ECUTIVE Uyee,desefte under SPECIAL PROVISIONS below E.L.DISEASE-POLICY L I Mrr f 1,000.000 OTHER D0CRrTION OF OPERATIONS$LOCATIONS$VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS neral Contractors 3wners excluded from Workers Compensation CERTIFICATE HMER CANCELLATION SHOLR.D ANY OF THE ABOVE DESCRIBED POLICM BE CANCEL®BEFORE THE BXPIRATWN OATBTNEREOF.THE MUM MURERWILL.ENDEAVOR TO MAR. DAYS 11HUTEN NOTLCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL BWOSE NO OBLRTATK)N OR LULBILRY OF ANY KIND UPON THE INSURE$.ITS AGENTS OR REPRESENTATIVES. Steeplechase Builders AOTNORB>EDRE7RESEINTATIVE Mary Derby/KM ACORD 25(2001108) ®ACORD CORPORATION 1986 i s Steeplechase L I . i A Subcontractor Insurance List Mike O'shea OES Electrical UB-9851B662-06 Mike Bell MJ Bell Plumbing Sole Proprietor w liability Niko Zafirakis Candia Tile Sole Proprietor w liability Clairmont Lebout Progress Drywall 6S24UB044B64904 Constmction Contract p A. Date of Execution October 18,2007 B. Parties Contractor. Steeplechase Builders,Inc. 153 Maple Street Methuen,MA 01844 (978)688-5036 MA Home Improvement Contractor Registration# 145042 Federal Identification#20-1906118 Contract executed by: Christopher D. Smith Joseph M. Clementi _ Principal, Director of Planning Principal, Production Manager Steeplechase Builders, Inc Steeplechase Bu dders, Inc. Homeowner: Cindy&George White 240 Sutton Hi11 Road North Andover,MA 01845 978 685-6194 C. Proiect Address 240 Sutton Hill Road,North Andover,Mass. D. Proiect Summary 1. Sundeck and patio 2. Kitchen renovations 3. Minor renovations to Media Room,Dining Room and Office E. Project Cost 123 $ 650.00 X CVJL Wk c.�t le, Q 7 Horneo 'Signatue(s} Date Contractor S atures Date X 'Pivaavaszowzzeal a '/l as usael�'4 1,e �°aay Pu�ea�t a%� ' 'z°° '�QQI Board of Building Regulations and Standards Board of Building Regulations and Standards «Construction Supervisor License HOME IMPROVEMENT CONTRACTOR License: CS 74478 Birthdate: 9/24/1964 Registration "145042 Expiration " 112412009 Tt# 9142 Expiration. 12/2/2008 TypB• Supplement Card RestrlCtion. 00 STEEPLE CHASE BUILDERS,INC. JOSEPH M CLEMENT] JOSEPH CLEMENT..., t 163 MAPLE ST 153 MAPLE ST METHUEN,MA 01844 Commissioner METHUEN,MA 01844 Administrator NORTH Town of 4Andover 11A No. 3 to 4% .... �L.;4•_ Cc% o dover, Mass., �. If, COC MIC HE WICK V "imp ORATED IPS` �5 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR �r THIS CERTIFIES THAT....... !1, ........ 1''L...... ............................ . ........ ....................... .... . .. .. .................... Foundation has permission to erect........................................ buildings on ....p"1�.(o? v.Y1 ysn.. f. ..�........................ Rough to be occupied as. T �.�1.E... .. ��d�.. 'f' � � dd Chimney 1.......'.'.'.�........4... ........... .... ................ .. provided that the person accepting this permit sh'hll in every respect conform f"o the terms of the ap lication 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. �j L&j I q X Z V Ez C PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit., Rough Iq IT Final PERMEXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS _�CONSTRU START Rough Alfto Service BUILDING R Final a Occup ncy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. IF SEE REVERSE SIDE Smoke Det. EXISTING SHRUBBERY BORDERING EXISTING PATIO E10/2 t FI R5T FLOOR PLAN SCALE: 3/1 G" = ( ' 0" 07 21 QDCQDOQ3CQ PATIO �,-T DN 'n • EXISTING FENCE 5UNDECK �^ cri D2 DI J WI DINING ROOM KITCHEN v) ►�^ A oN � ) SEE CABINETRY PLAN REMOVE BEARING WALL�,* ' ' FOR DETAILS INSTALL STEEL BEAM � I2I /4" VRSA-LAM (01 COLUMNS EACH END ' � � O 4,rt°ii� i• F(2ANCtS H. S. COLLOPY DOOR WINDOW SCHEDULE 20172 1.Q. QTY, ROUGH OPENING HDR. HGHT. HEADER UNIT TYPE UNIT CODE MANUFACTURER �' ��•% D I 1 5' 0" W G' 8" H (2) 2x8 FRENCH DOOR5 FWH50G8APLR ANDERSEN _ wr_�O D2 2 1 ' 3- 1/2" W G' 8" H (2) 2x8 51DELIGHT FW51-1368 ANDERSEN Ste lechase W 1 1 3' 1 1 -3/4"W x 3' G"H G' 10" (2) 5- 1/2" LVL DOUBLE CASEMENT 4036-2 HARVEY BUILDERS Inc. Sheet BEAM DETAIL W8x2 1 STEEL BEAM; • . . • . . • . . • . . • . . • . . • . . PACKED W/ 2x8'5; 7 2 SCALE: 2 ROWS 112" THRU-BOLTS 10/22/2007 STAGGERED @ 12 O.C.; i o LedgerLok SCREWS 3/4 in = I ft INSTALL JOIST HANGARS LEDGER FASTENING DETAIL SCALE: 112 in = I ft ` ice+ C U — 21 '-0" PRE-CAST G'-O" � G'-O" --- G'-O" SONAR TUBES ,y 5EE BEAM DETAIL-- (3) 2x 10 PT GIRDER �^ 2x10 PT _ Oo ' JOISTS (Z)CN — y @ 1 2" O.C. N BEARING WALL BETWEEN �' KITCHEN * DINING ROOM-------"' OOM 2x 10 TO BE REMOVED LEDGER w SECURE LEDGER TO HOUSE WITH 2 ROWS OF o o LedgerLok SCREWS STAGGERED AT 12" O.C. (5EE DETAID: INSTALL JOIST HANGARS SUNDECK FRAMINGLn SCALE: 3/ 1 G" = 1 ' 0" o�� � jr FRANCIS N. COLLOPY ` v 20172 4 BUILDING SECTION ATE e SCALE: 3/16" = I ' 0" Stelechase BUpILDERS Inc. • =WWV8ES.d , s e ,,:s, �, Sheet o ' L A 3 10/22/2007 3/4" THEADED HOLE ` 0 4' SONAR TUBES a . TO BE I N5TALLED y y A (4) PLACES AT 5UNDECK TOP VIEW . • < ' - � o � 4 '°'-i y PRECAST VS. CONVENTIONAL �° X03 40 CONVENTIONAL 12" DIAMETER SONAR TUBE: .' W •. 4' OR ALLOWABLE LOAD BEARING AT SOIL = o '9 ALLOWABLE BEARING CAPACITY * AREA = �� OR 52 2000PSF * (0.5*0.5*3.142) 1571 LBS O 5, MAX LOAD BEARING IS 1,571LBS N 43 C4 U � �� PRECAST SONAR TUBE: N 12 ALLOWABLE LOAD BEARING AT TOP = CONCRETE PSI * AREA / FACTOR OF SAFETY 4000PSI * (8*8) / 2.22 = 115,315LBS ALLOWABLE LOAD BEARING AT SOIL = Q O ALLOWABLE BEARING CAPACITY * AREA • 0'-4" 200OPSF * (2*2) = 8,000LBS w THEREFORE MAX ALLOWABLE LOAD APPLIED o o 0'-4" IS LIMITED BY THE SOILS CAPACITY OF 8,000LBS, WHICH IS GREATER THAN THE MAX O 23" LOAD OF 1,571 LBS FOR THE 12" SONAR TUBE m 24" P`zH °_' H 0Fp4s "- N SIDE VIEW .�� ITEM WEIGHTFRANCIS H. SONAR4 624 NEW ENGLAND c CRLLOPY SONAR5 725 CONCRETE PRODUCTS INC. 20172 GENERAL NOTES: 1. CONCRETE 4000 PSI IN 28 DAYS. SONAR TUBES S10NA%- 2. CALCULATIONS BASED ON SOIL PRESSURE OF 2000 PSF. Steeplechase WILMINGTON, MA (978) 658-2645 -- AMESBURY, MA (978) 388-1509 B U I L D E R S NOTTINGHAM, NH (603) 942-5568 PAGE M5 Inc. Oct 1S 07 OSzOSP Law Ofc. of George H Whit S78258101S P• e- 124.3 7 -- —, �t -- 271700 s.R. 13.41 PRoPOS�/� Su" 466 Ll w!T=ILA ME �} vw>=LL_;aE ?a 45 3- t1 1 �tJT ':L>dAD FOUR SEASONS ASSOCIATES.INC. 375 COMMON STREET,LAWRENCE.MA TELEPHONE 683-5671 NOTE: VAS S*"A IMIAYEY AND 400"n USED FOR NOUTOAQES PU RPMSONLf-DO NOT LISA O fFSETS FOR ESTANUSNINO LOT LINES.FON INE EREC- "ON OF FENCE&OR CON6114tlCT1ON VURFOEES-IF<UO.DOcas MOWN LEES THAN ONE FOOT FROM THE GOUNOART LINES.IT It ADVIE[D TO MAKE SLR REV TO VERIFV TM M WAAEURENfiNTS. NERESY CERTIFY THAT t NAYS EXAMINED Ttl!/REM1iEf.Alp ALL•110.011LGi.SAEtMtNTS AMD SMCROACNMENTf ARE LOCATED ON THE GROUND AS SNOWK L iMRTN"CERTiT MAT THE•URDRt6t CONFORMED TO TNS ZOSMD LANI AND AMINONENTS OF da.A.AIAQAP-WHIM COW tTRUCTED 1 FURTHER 00MV TWT THS V%OVEYTT a WLOCATID Of THE SITAWSHED FLOOD NAZARO AREA. tH OF BUY R c Zf&u s 8.f A*&�Y TO THE A ut:10vEc k�J �Q� LEWIS s AND TITLE INSURERSH, 130OK: !Q t'..2 y HOLZMRN MORTGAGE INSPECTION PLAN MO•'�" PA(;E-- 29 A��9F PLAN NO.: 49165 _ LOCATED `e �,r,� r�s���,� SCALE: 1"=30-00 240 '&uT-rom L-L- &117] 110. t��4�tEQ r "A TO BE uSEO FOR IL"TGAGE PURPOSES ONLY DATE: 11 Z� 8G _