Loading...
HomeMy WebLinkAboutBuilding Permit #583 - 96 MARBLERIDGE ROAD 3/7/2007 i BUILDING PERMIT NORTy O`�t�eo "q�° TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION p eL Permit NO: -)03 Date Received �y �RArID SSACHUS� Date Issued: `"1 IMPORTANT: Applicant must complete all items on this page r to LC3�CATItN t l�ROPERTYO1tUNEF MAP NQrt' PARCEL: ZC3IN1STfiCT? .HIaiC DIStRiC c yes rao e , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Xr Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: YDemolition ❑ Other I 5epic ®UVeI{ NFlwdlalarr s !Meta d � �CaterhedDis�rttrt . .. ' e' " x.i .ten er .. - +- Vliaferl5euver ¢ . y. k� ...�,' =t 3k DESCRIPTION OFWO c K TO BE PR FORMED: xL ,v �t�Qy �aa�s � ��,� i� r r .90� � FIYV 4-7 /W44-4 ea 005e-- -, A.-ov b (97 mak- d �7 o v,J e ?P � Vvv-e 2 c �.- Identification Please Type or Print Clearly) a d a'w YP Y) � �� OWNER: Name: 54e.✓ej Phone: Address: �� �/ A I e _ c , 3NTRATOR Name .., la � .. one' Add reds, y 'K. �ipervibr's Cchstt41 c ion'licenseZO ' i ARCHITECT/ENGINEER Phone: Ir Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ U Poe FEE: $ �' Check No.: �7� le� Receipt No.: NOTE: Persons contracting ith unregistered contractors do not have access to the guaranty fund i Signature of Agent/Owne / ignature of contractor 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 Addition Or Decks ❑ Building Permit Application- ❑ Certified Surveyed Plot Placa ❑ 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 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 ❑ 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 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 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ COMMENTS /r J�+ n.•,�.� oti, i, , elle• ,��w/-/(G.,, o,rfi ATE REJECTED DATE APPROVED CONSERVATIO;;;Z���� COMMENTS �)�aWs a(,S:y, DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(peptic tank,etc. ❑ Permanent Dumpster on Site ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street �IRE'DEPARTMEN F_Te pDUrnpstr o eyes Q ° Located dt 2 Main' tree . Fire Department siig att 61dat z µ u r na COMMENTS " �� � � � �� �, �R � ?% . .: :� :-IJ � Mme: 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 j NOTES and DATA— (For department use i ❑ Notified for pickup - Date Location l L/ � ► 4�� No. riAs Date ImA44.-%- NaRTM TOWN OF NORTH ANDOVER 4, F _ p Certificate of Occupancy $ i e� ...yrs. •^+ �'�s''• E<�' Building/Frame Permit Fee $ s�cNus t t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector NORTH Town of . t 4Andover No. A = dover, Mass., ' COCHIC..WICK V' ADRA T E D `r BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............. .......D ...... ........................................................ :.... .............................. Foundation has permission to erect........................................ buildings n ..�6►.....�.U. ...... ... Rough to be occupied as F.I/ �h /�!/ ... ft1f �L Chimney .. ... . . ....... ........: ............ ... ..... ......... ...... . . ....... c � provided that the person acceptin permit sh I'm evey respect co�fform to the to ms f�i;iiMW46i! ile 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 S� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIi2ST ARTS Rough ........... ....... ... . . .... .... Service .. . . .. ....... ........... ........... BUILDIN SPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑. COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE tEPARTMIt NTsempDu steno ste esF ho Located",at 124 Main�Stree AW K � Fire cepa �. rtmen#sign Lure d to � � :.COMMENTS BUILDING PERMIT G�t'. q �"o`�O '6 ti0 TOWN OF NORTH ANDOVER 0_. 0 APPLICATION FOR PLAN EXAMINATION * „f Permit N0: Date Received �SSAG HU`�E� Date Issued: IMPORTANT: Applicant must complete all items on this page L(3CATlON �� � u � :4 PAOPERTYk�OWN I A IItIAP N©tPARCL, ZONING DISTRICT HSTURfC31STR'ITyes r,. .., 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 Mb SeptcA ❑Weir � lon'dpar� tlarsds « � aterhedIIStrICt ,.z zr' a:D <., e / .Prr DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: COJTRACTOR Nain eem Ph©nenzv a �b w ,,A'freSS s �' a3 .:r r : SUperVlsor's Consruet�on,. .�c� e2L sem` esz ;�}D Marne Improvr�er# Lrdense, u , . s ylate 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. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor e William Barrett Homes 1049 Turnpike Street No Andover, MA 01845 (978)682-2320 (978)682=2397 fax CONTRACTOR AGREEMENT THIS AGREEMENT made the 12st day of February, 2007 by and between William Barrett Homes , hereinafter called the Contractor. 1049 Turnpike Street North Andover MA 01845 and Steve and Maureen Daly, hereinafter called the Owner. _ 96 Marbleridge Rd No Andover MA 01845 Witnessed, that the Contractor and the Owner for the consideration named agree as follows: Article 1. Scope of the Work The Contractor shall furnish all of the materials and perform all of the work shown on the Drawings and/or described in the Specifications entitled Exhibit A, as annexed hereto as it pertains to work to be performed on property at 96 Marbleridge Rd Article 2. Time of Completion The work to be done under this contract shall be commenced on or about March 1, 2007 Time is of the essence. Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of $41,495 , subject to additions and deductions pursuant to authorized change orders. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: 1st. At Signing of Contract $10,000 2nd Completion of Demo $5,000 3'dFrame Complete $10,000 4d' Boarded in $5,000 Final Payment When Complete Because this is a multi phased project with many phases going at once the contractor may ask for partial payments in any particular phase.. vc L 1 i f Article 5. General Provisions 1) All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2) To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3) Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. Sub Contractors work for William Barrett Homes only; any extra work performed will be billed as Extra Work 4) All Extra Work orders shall be in writing and signed both by Owner and Contractor. 5) Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees of subcontractors. 6) Contractor shall at its own expense, obtain all permits necessary for the work described herein to be performed. The Contractor will also be responsible for implementing on- site work required of the Order Of Conditions (OOC) isJaed by the 'Town Conservation Commission if one has been issued. The Owner will be responsible for implementing all administrative conditions of the OOC including but not limited to required recordings at the Registry of Deeds, bond postings, as-built plans or obtaining the Certificate Of Compliance. 7) Contractor agrees to remove all debris and leave premises in broom clean condition. 8) In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 9) Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials. 10) Contrr.::.- ,iA xcix for a period of 4 months following completion. See separate warranty for detailed description of coverage and/or exceptions. 11) There is an additional charge for paint colors flat exceed 2, trim is not considered a color, $200.00 each adaitional color. G� L t i t 12) Any landscaping, driveways and sprinklers that we disturb during construction will be repaired to the best of our ability within a reasonable cost. This excludes any work that is part of the agreed contracted work and cost is included in the price. 14) If Owner chooses to have-their own sub contractor perform work they will solely be responsible to schedule work, delivery of materials and warranty the work performed. If any damage to work that has.been performed by or will affect the job ,. performance of William Barrett Homes, then the Owner will be billed directly for cost of repairs. 15) In any case where unsuitable soils exist or ledge is found, an additional charge may be billed to accommodate the additional costs. Article 6. Other Terms: NONE Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt fr^m - .: +ra+ 142a of the general laws, must be registered with we Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston MA 0210 9 Designated Registrants Name Colonial Village Development Corp. Registration Number 134690 Salespersons Name William Barrett Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of m `.= one-third of the total contract price or the total amount of all deposits or payments which the-contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement,the homeowner is hereby advised that in the event of a disputa., judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. i r f H. Exhibit A SPECIFICATIONS Z ., As specified in written quote. (attached) GUARANTEE: The contractor shall guarantee that he will make good, at his own expense, any defects arising from poor or improper workmanship for a period of one year after completion or provide the same guarantees from his subcontractors or`: manufacturers of materials and/or appliances installed in this home. This building will conform to all municipal, state, and federal regulations affecting this work. See Warranty for details and exceptions. HOMEOWNER: Aiii :'r G' 61G N- THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signed under seal this day of February, 2007. Signed in the presence of: B Y Contractor By ner A Steve and Maureen Daly Addendum A 96 Marbleridge Rd North Andover, MA 01845 RE: Multi phased remodeling project -Z//7/6) The following is a quote on your project. Phase 1 - Garage removal: 1 Remove deck from rear of main house saving steel beam for future use. Save Balusters for upper deck Remove garage doors. 2 Remove and dispose of hotto . Remove stone walls from back yard. Pile stones p p on site for future use as per owner's instructions. Cut foundation wall to allow for Bulkhead installation under window in first floor eating area. 3 Pour new foundation to close off garage door area as well as the foundation for new chimney. Apply foundation waterproofing coat. approximately 4 Bring in fill material to bring yard to a design elevation 24 below first boor elevation. Compact fill in 8" lifts to reduce settling in fL- ire 5 Patch in siding and trim to match existing. Our price for the above s $20,500 This price includes permit cost but does not include landscaping. Phase 2 -Family Room an Fireplace: ;�f:, I Install dust curtain to con n dust and debris as much as possible. Remove gas fireplace and walls surrounding it as well as the existing slider. Exterior to be I tarped of to help keep the effects of the elements to a minimum. 2 Reframe rear wall for chimney and new door locations 3 Insiali new masonry chimney( ,rick selection by owners) ;with brick. Detail on chimney cap to be determined (allowance $500). 4 Install new Anderson door and fixed panel (to be chosen by owners) on each side of fireplace. 5 Install siding and trim to match existing. 6 Build custom wood mantle with owner's input. Plaster walls and trim out doors and windows to match existing. Paintinterior only. 8 Install new wood floor with 2 coats of clear urethane finish. Family room floor should be at same elevation as kitchen. 9 Install oak stair treads and pine risers to second floor. i.1stall new gutters and downspouts at new fireplace. Our price for the above is $37,370. This price includes permits. Allowance items; Flooring $2500/installed, Brick.40 cents/brick, Chimney cap $500,Wood mantle $3000, door panels $2100. a z/-7/7 Phase 34d�roo porch 1 Demo porch at mud room area. 2 Install sono tubes as needed to frost prevent level(4)to support new exterior wall. ' 3 Reframe mudroom area and extend new porch area along the driveway side of home. 4 Strip shingles on entire porch area and reshingle using Ice and Water Shield and architectural shingles. Standing seam metal roof will be priced for owner_ consideration. 5 Do associated code required electrical work and install heat for mudroom area. 6 Insulate, plaster and install trim in mudroom area. Mudroom will have Closet and bene. area. 7 An interior French door will be installed between the mudroom and the main house. 8 Install tile floor. 9 All finishes to match existing as closely as possibi . 10 Paint interior only. 11 The porch ceiling may be replaced in it's entirety. Price to be determined. •a Our pricT to !complete 4Lhe abo y_ - This price includes building permits.Allowance items; Flooring$1000/installed. :This quote is based on information known at this time. Once we have opened up the ceiling in the mudroom area the Phase 4—Misc. Items I instal new Anaerslj,_ ..,iwow in attic Co fiiaU;11 viiicl ie Oil Uldi; sik. :;v use. 2 Remove and install new railings and balusters on the rooftop deck. Existing posts will be used. New rails and used balusters from first floor deck installed. 3 Fix leak in garage wall where sewer pipe enters foundation. Our price to complete the above is $8,100 a i Phase 5--Basement Finish 1 Frame walls with closets and open stairwell. Sewer pipe and electrical panel will be concealed in closet. 2 Spray walls and floor with Captan. Insulate floor with Styrofoam and top with sub-floor and prep for finish floor with underlayment. j 3 All electrical components will meet code and 12 recessed lights will be installed. 4 Paint concrete walls with Dryloc. Insulate to R13 on all new walls and finish walls with plaster. 5 Install finish materials to include 3 doors and the boxing in of the 2 lally columns. 6 Paint entire room. 7 Install Pergo floor. Owner to have choice of floor with-in allowance given. Our price for the above is $39,575. This price includes building permits. Allowance items; Stove$1,500,Pergo flooring $9,000/installed. Thank you for allowing William Barrett Homes to quote on your project. If you have any questions please feel free to call s. Pricing is valid for 30 days. All pricing includes building permit cost. However, should it become necessary to do additional permitting with the Conservation Commission or the Planning Board there will be additional cost charged to the Owner. Sincerely, hz':¢rE: February 19 2007 William K Barrett G NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 9l Almlolle r/4a Vis that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL 115 S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section l OA. The debris will be disposed of in: (Location of Fac' ity) Signature of Permit Applicant Fire Department Sign off Dumpster Permit Date The Commonwealth of Massachusetts u4pDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Le ibl Name(Business/Organization/Individual): QV/` Address: City/State/Zip: ,A/0 A�dye­�' & Phone#: . ����Z 2,f Z. Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 2-- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers comp.insurance comp.insurance.t � g required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-El g P Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.[]Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers 13.❑Other comp.insurance required.] !Any applicant that checks box#1 nwst.also_fill out the_sectinn heinw ahnwinn n,,:.,,,,V_, ✓!P _P. _ BOARD OF BUI DIG RE T� License: CONSTRUCTION SUPERVISOR Number: CS 052241 Birthdate: 10/10/1952 Expires:.10/10/2007 Tr.no: 6736.0 Restricted: 00 WILLIAM K BARRETT. 1049 TURNPIKE ST N ANDOVER, MA 01845 Commissioner Information and Instructions Massachusetts General Laws chapter 152 requires all employdrs to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,pp, artnershi association or other legal entity,employing employees. However the owner of a dwelling g llin house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"everythe commonwealth for any renewal of a license or permit to operate a business or to construct buildings in applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'. compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the!EEMriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext.406 or 1-877-MASSAFE Fax#617427-7749-- Revised 11-22-06 www.mass.gov/dia a 4.y - ja .. �. TV�GE .'INSPi C 77M .PLAN. 9E MARBLERIDGE ROAD IN NOR.T�-� AIV®OVER SASS. VE Y- INC`. LAND SURVEYORS MIDDLESEX' SUR - o18s4 131 PARK_ STREET NORTH READING, MA. SCAt E: 1" 70' 'DATE: OCT. 30, 1999 CER MED TO:- WAKEFIELD. CO-OPERA I]VE BANK 229.12' _ o N 1 .45 acres N ' NOTE: WAY SHOWN ON..PLAN NO. .1934 I `I RIGHTS TO BE DETERMINED BY OTHERS. 3 4 }, ! �P Q Recd, IIll6 PM - - 3 MMC( �,r4 o els �P�(N OF MASS. MARBLE.ROGE R A S 0 H 2 � NOTES: c� 1.. OFFSETS ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES. L 2. LOT LINES ARE COMPILED INFORMATION. REGISTRY OF DEEDS ( ESSEX ) DEED BOOK 4266, PAGE 252 1 HEREBY CERTIFY BASED ON MY KNOWLEDGE, INFORMATION AND. BELIEF THAT THE STRUCTURES ON THIS PLAN ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN .AND CONFORMS NNORTH H �� ZKUIREMENIS AT THE TIME OF CONSTRUCTION AND THE PARCEL NOT AFL OD HAZARDSETBACK AREA AS SHOWN ON F.E.M.A. MAP. COMMUNITY NO. 250098C ZONE: X EFFECTIVE DATE: 6/2/93 P10832