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Home My WebLink AboutMiscellaneous - 17 WILDWOOD CIRCLE 4/30/2018Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... � ':: r...r, !!......... ' ................... w has permission to perform ........ .................................... wiring in the building of ........ r— �............................................. I at../// ..... '................................ , North Andover, Mass. Fee ..................... Lic. No............ `x'"'BLECTr„RICAL�'��NSPE.CTOR....................... I Check # '�' 91 �' v i . '% 6 Rim Commonwealth of Massachusetts Department of Fire Services /, Permit No. BOARD OF FIRE PREVENTION REGULA APPLICATION FOR PERMI I I All work to be performed in accordance with (PLEASE PRINT IN INK OR TYPE ALL INFORAM City or Town of. North Andover By this application the undersigned gives notice of his or—h Location (Street & Number) 17 Wildwood Circle Official Use Only 1. /30 — $ Occupancy and Fee Checked �3 [Rev. 11/991 flenvP hlnnkl RFORM ELECTRICAL WORK isetts Electrical Code (MEC), 527 CMR 12.00 Date: 4/14/2004 _ To the Inspector of Wires: to perform the electrical work described below. Owner or Tenant Paula Klipfol Telephone No. 681-0470 Owner's Address "Same" Is this permit in conjunction with a building permit? Yes Ef No ❑ (Check Appropriate Box) Purpose of Building Family room addition to single family dwelling. Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Vblts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity 2-15 Amp Circuits Location and Nature of Proposed Electrical Work: Install new wiring for family room addition. Completion of the following tnhle mnv by wnivvd h„ the ? ecfnr of Whoa No. of Recessed Fixtures 4 No. of Ceil: Susp. (Paddle) Fans 1 No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 2 Swimming Pool Above ❑In- El rnd. rnd. o Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches 3 No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons KW .......... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers . Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW _ Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE V BOND ❑ OTHER ❑ (Specify:) 5/04 (Expiration Date) Estimated Value of Electrical Work: $1500 (When required by municipal policy.) Work to Start: 2/6/2004 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Facilico. Inc. LIC. NO.: 15337A Licensee: Bryan Regan Signature 2!�* jW LIC. NO.: 36113E (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 781.899.2100 Address: P.O. Box 3234 Wakefield, MA 01880 Alt. Tel. No.: 617.201.4372 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) '❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. Date .. TOWN OF NORTH ANDOVER s PERMIT FOR GAS INSTALLATION This certifies that ... W! //�! ... A� le? ' has permission for gas installation in the buildings of I<rj I P e- �........................... . at .. . .. .. too � ..'.... , North And ver, Mass. Fee.,JS/ Lic. No Z.��.�/ . —:T: . pi z;. .,,& GASINSPECTO Check # a 4- 7 E+. 4� MASSACHUSETTS UNIFORMAPPLICATONFOR PERM TODO GAS FfrrLNG (Type or print) , r Date NORTH ANDOVER, MASSACHUSETTS Building Locations W Oy� Ott c� l CC` e Permit # o Amount $ Owner's Name � �;� p �Q f. New ❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) ` 11 ` 'M 1 " \ n ` Check one: Certificate Installing Company Name `, r"CF` ❑ Corp. Address o °`^ C^ S S� Partner. Business Telephone 6 t - S ci z I Li 3 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter W `�, \ 4:. V -N V\ CA `to INSURANCE COVERAGE Check o e: . I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 6 Other type of indemnity ❑ Bond ❑. Owner's Insurance Waiver: I 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 ❑ Agent ❑ I hereby certify that all of the details and intormatton i nave suonuttea (or enterea) to anove appncanon are true ana accurate to me best of my knowledge and that all plumbing work and i stall under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass9A t StaXformed Code and CV, 14� � the General Laws. APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 1A Plumber �- G G cl 1-1 ❑ Gas Fitter License um er Master Journeyman Date.. ... ............. t �, �: ;•t``�-�'�: �,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING Fe -4 C 4t r(J - ,-C Thiscertifies that............................................................................................ has permission to perform .'' ............................................... ,wiring in the building of ��' N � ��1../ v ......... ....I...... ........................................ r............. % (ter, r % , at.....................................................l..... P..... ;North Andover, M Fee.h....�v. `Lic. No./..> 117 .: .. ��...:.. /lam .... ELECTRICAL INSPECTOR . Check /i fk C. 0 3 Commonwealth of Massachusetts Official Use On Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/99] leave blank APPLICATION FOR PERMIT fi f0N) PERFORM ELECTRICAL WORK All work to be performed in accordance with 1hassachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORAMTDate: 2/6/2004 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 17 Wildwood Circle Owner or Tenant Paula Klipfol Telephone No. 681-0470 Owner's Address "Same" Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. 198974 Existing Service 200 Amps 120/240 Volts Overhead ❑ Undgrd New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters 1 No. of Meters Location and Nature of Proposed Electrical Work: Repair 2 inch PVC service lateral that was damaged during excavating. 1' Job was completed in an emergency because of extreme cold weather. COmDletion of the following tahle may he waived by the Invnertnr of Wiroc No. of Recessed Fixtures No. of Ceil: (Paddle) Fans TransSusp. Total Trsformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ElIn- ❑ rnd. rad. Bato. o te Units Units cy ig mg No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number .... . .. Tons ............'.." KW ............. No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) 5/04 (Expiration Date) Estimated Value of Electrical Work: $1500 (When required by municipal policy.) Work to Start: 2/6/2004 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: Facilico. Inc. LIC. NO.: 15337A Licensee: Bryan Regan Signature of t2== LIC. NO.: 36113E (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 781.899.2100 Address: P.O. Box 3234 Wakefield, MA 01880 Alt. Tel. No.: 617.201,4372 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a Owner/Agent PERMIT FEE. $ & Signature Telephone No. Location /7 w� I `-• U'oOc� lir`' No. /.3 Date J4 -0-L3 Of NORTPI TOWN OF NORTH ANDOVER • . • OL 9 Certificate of Occupancy $ t Building/Frame Permit Fee $ 5 �c"us Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ -5 s Check # // I0 3 { 6 i 7 4 Building Inspector TOWN OF NORTH ANDOVER ` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING fbE'"QtiiCial aril r _ BUILDING PERMIT NUMBER: / DATE ISSUED: / D / //()3 C 6b,�� SIGNATURE: Buil0g Commissioner/1for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: /. 0) 3 ` ZoningDistrict Po'-Ul Frontages Lot Areas ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: ` 1.8 Sewerage Disposal System: Public ❑ Private L--' Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System.-;--- SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service -PCUJXA (1�) -0L110 Signature Telephone 2.2 Owner of Record: QGv�� K.y' e-cif0t • Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ WL Licensed Construction Supervisor: c�L License Number Py� 2 / 0/� `0t 13&X 3s4 i✓��viyc1/ ��'rit 3'S. Address all/—„cz Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ is 5-k Y C rt% ) < <. (-t y-� � � � � y SYL Company Name Registration Number T' f .71t ,) L/ Address r _ Expiration Date St na r Telephone 011 SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: J- �) l X F'U 44,.;�_� SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant O]MCIAL USE ONLY 1. Building(a) 0" ovo Building Permit Fee Multiplier 2 Electrical(b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) _ 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �;,'; I, ,�-m---- �� QUA& �J►, as Owner/Authorized Agent of subject property Hereby authorize ,S'/�c v rIt �+� P 7 to act on My behalf, in all matters relative to work authorized by this building permit application. 0 Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,-'— cu) 1, IM �w7`71 "1 as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief O(CL4,"A Print Name y A�_ Signature of Owner ' ent Date NO. OF STORIES v SIZE / J BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 ND3 PD SPAN s DIMENSIONS OF SILLS DfN/ ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION Rt THICKNESS rJ SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND 3'V i , n IS BUILDING CONNECTED TO NATURAL GAS LINE /V FORM U -LOT RELEASE* FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro Boards and Departments having jurisdiction have been obtained. This does not relieve - the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION LOCATION: Assessor's Map Number /GtiS SUBDIVISION STREET -4? Z� PHONE`%0-JV -2j,%;L PARCEL G fi LOT (S) ST. NUMBER *************************OFFICIAL USE ONLY*****►********* ATION COMMENTS TOWN PLANNER COMMENTS AGENTS: -+ 2Na-Ia1.3. DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED INSPECTOR -HEALTH DATE APPROVED L DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm TE 0 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT LOCATION: Assessor's Map Number !'D SUBDIVISION j 4REET cvl ' k PHONE PARCEL 426 4 cf LOT (S) ST. NUMBER. .OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR ED DATE REJECTED` :OMMENTS IUe,ticj a , ✓ �� iCC� r -F o,y a n a e — rn �c;ie.---�_ llIJ C T � ,mut Y � 50' . no � I • TOWN PLANNER COMMENTS ir455F'ftGT0H-HEALTH INSPECTOR -HEALTH COMMENTS\ USS /V -;'I- d- Com. DATE APPROVED DATE REJECTED DATE APPROVEL DATE REJECTED DATE APPROVED DATE REJECTED.Z r163. PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT O •,r'-f—c— RECEIVED BY BUILDING INSPECTOR DATE Revised 9W jm ✓/�E T�omf7i(inu�eat(,�y aL �'.(,�Q� 1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number: CS 055622 Birthdate: 06/11/1964 Expires: 06/11/2004 Restricted: 1G STEVEN P DICHIARA . 37 DENVER ST SAUGUS, MA 01906 Tr. no: 26641 I Administrator j Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration STEVEN PAUL DICHIARA STEVEN DICHIARA PO BOX 356 NEWTON JUNCTION, NH 03859 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 116688 Expiration: 7/6/2004 Type: Individual STEVEN PAUL DICHIARA STEVEN DICHIARA 37 DENVER ST SAUGUS, MA 01906 Registration: 116688 Type: Individual Expiration: 7/6/2004 Update Address and return card. Mark reason for change. r' Addrecs r-1 Renewal ' Emgiovment F-1 Lost Card License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 4dminictr�tnr Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: .fkveAj 0(tk,4r✓9 _ Location: fi/ell-lIDA-1 AAH, City /�/`C °J' Phone # % ��- > �l' 33.30), I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity MI am an employer providing workers' compensation for my employees working on this job. Comoanv name: .S*v2,V _ � c `(-kc 44/` 0 (r" 6 Address A 0 3,5_6 /lX LJ Jv ry A) , I'l City: AleW `bA) /1) 1.1, Phone # Insurance. Co. 9__-*cr2 w Policy. # W Ca? - 3 /,5- • .3 (_o l Company name: Address C,ft. Phone#: Insurance Co. Policy # Failure to secure coverage as required:under Section 25A or MGL 452 can lead to the i npwilion of criminal penalties of;afihe up to $1.500.00 andlor one years' imprisomient_as_welLas_civi4x n3liesjn-tbeimn cf-a-STOPYAORKDFMEP.3 d_afire-dA$ W)-aj iayagainstm, 1 understand that a cosy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 0 / do hereby catdy un pains penalties ofipe#wy that the k4bawtiorr provi kd above is bye and correct Signature Date 2 ///�)- /6 3 Print name Pbme.# Official use only do not write in the area to be completed by city or town officiar City or Town . 0 Building. Dept []Check ii immediate response is required .0 Licensing Board p Selectman's Office contact person: Phone A 0 Health Department o Other ul LOT ht_ Is MMMLMMM MMMI MISI MEMMM ISS MEMO MM == nese V ❑ '0 d V -j< C: -c r D❑ d Z D Z a C3 ' r- < tj ;j TI Z F o orr90 r - pr C X:00 DODmz H rC<;W rr9 w n Z -4 U}� D 4� OS Z '-' ^ D V W V t7 _Stj OD �t:j0, Z OD t7❑ 1 rr M 14"lZ OC -mo 56 r, "i D r m M D01)mz H v m w n Zrb� 14 14 D ;u D N 0s N N Z '-' ^ D o4 ori m V £ N C r- D Z 1.0 W mo rq 14 (Z M �/ an o Dm M a ^0C a'4 -+o ODMZ o r..<-+ �Nr^a mw q Z - -i OD oOD� (.n a Ln OS N N Z' " D ❑vW -UCl v r Do DrjO z z£� 7.� t7❑ 1 r� < t: j �r v Tl z m C:)M0 3 (7 ❑ Dr � m D-4 r9 z ry<-1 f' M � MWn Zrd--q to 1 no � D O OJ ,Z7 CC11 D 0\ N N I MA av-o rC<-4 mA rn N~tea (A LA D ON N N V - SECOND ADDTION PLANS FOR PAULA KLIPFEL (978) 681-0470 17 WILDWOOD CIRCLE NORTH ANDOVER, MA FLOOR PIAN CONTRACTOR: STEVE DICHIARA (781) 231-0768 MA LICENSE# 055622 BASEMENT FLOOR PIAN41 ADDTION PLANS FOR PAULA KLIPFEL (978) 681-0470 17 WILDWOOD CIRCLE NORTH ANDOVER, MA CONTRACTOR: STEVE DICHIARA (781) 231-0768 MA LICENSE# 055622 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 Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: 5% rvO&vPr�... 4-1eWf _R3 (Location of Facility) Signature of Permit Applicant Ild- /0 3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector D N N z %D F-1 J Z W o U W QLD^Ai Opo a J I p A 3 zYao3z p ' UA(UW W Q W N U CK > ^ J 13 °- N < D z L� F-1 J Z W o U W QLD^Ai -jaopp a J I p A zYao3z p ' -i a < r, A d as N p a ., -q z D 3 w N N w In U) a%o = CD O M I N A Z Q N U W i->�J W WD O 1- n Q u 0 W O ua J V OF L` LJ CL 0 0 Z 15 Y 0 Z '" 3 0 a q Q � -J x ao 3 Aar a ., z 3 w N N t0 Q Jr) 00 CD _ Q �0 = (D W OC) N V A M W QW N U � i J W OD 0E-nQ L) 0 X o _¢ LL. U f Q' .� J U QL`^LLJ Ai -��00❑ n J I OA ZYOD3Q Q A 1-4 P<r,3X P CL 0 Q v. -+Z z F-1 H U n/ r� V / z 0 U Z- <1 Q W J W N N %0 to Mppo _ Q r0 0 U -W Q A NW W () � i ^ J OIW-I-Q u oI x U J U aa000 J 1 O A zmw>z a M 3 A Q ^ W P CL 13 Q v..Z z Q N N �0 n Q0LL N. W* ❑►!i ,. 0, A Z LJ QWNU L_L t_L E-1 ZW'"J °° 0U -N< D I L� zwC'um ¢0-vP> a J I 0 A ZYGD3a Q A 0J%D-i H w3 P a- IX 0 .,..z tet' cu z ED H U Nz r� V / z z U z n r a E-1 N N w Q N Q' OD O Q sp S o W O C) 1 y Q A N W W U ZW00 '"J 0U(~gvF LLJ O V < J Z W ^ U W CL 000 J 1 ❑ A ZYOD A Oa J,J2 c aa°no3F- Adp�^O Q .,..Z O N W J z z J~ U N N II %D UQA 10 Q to O� 00 o 3: � C3 10 0 z Q Q N W a zi^_,J W N �U (n v E L� a z J~ U Z WN W QCLaoo J.N-.o N J I O A UQA zY-3a W ~=f3~ aCY a�N0 Q ..-. z a r z n� N N 0 ¢ ItA Q�o O M c H q Z Q N V W � i V) M M M X CO) CA F) M CA 10 ,Ooa Z CD O ar d d d� .p o o p a� Q� CD o t a: a) O to CD _ CO) CD 0 r— L�� CO) d d O CO) n 0 CO2 O st CD 0 CD C C �� O m i O �•N O cr co a t_® CO) ao m e' SO y ClCL� T Z =r= CA --1 C 71 „* CLCP 0-0 5 m O O r y p y O •� =r CD a 7� CO, O O c ' n c W COD CL r« C!) ? CD C/W o IM 'goo Od o cn ♦ WCL — . cn C o OmaCD: � m ® a Cot cny •O O CD cn CD "n CDCD 0 Cl: ate.: n CR A O o cD =1 C/) C/) w ily d InPO G' n Irl cn0 n b �n ro m n z � C al n M 0 c i �-5e 1 A W ! �ry LAI �Q � ` c I CERTIFY TO THE ANDOVER BANK AND ITS TITLE INSURER THAT THIS PLAN DEPICTS THE RESULTS OFA CURRENT EXAMINATION OF THE PREMISES DESCRIBED IN RECORD BOOK PAGE Z55 OF THE REGISTRY OF DEEDS AND THAT THE PERMANENT BUILDINGS ARE LOCATED ON THE GROUND APPROXIMATEL YAS SHOWN HEREON. 1. THIS PLAN WAS PREPARED FROM COMPILED INFORMATION AND WAS NOT MADE FROM AN INSTRUMENT SURVEY. IT 1S NOT FOR RECORDING 8 PURPOSES. THE PLAN SHOWS THE CONDITIONS EXISTING AS OF THE DATE SHOWN HEREON. CERTIFICATION IS FOR MORTGAGE PURPOSES ONLY. PROPERTY LINES AS SHOWN ARE APPARENT ONLY. 2. THE PREMISES DO NOT FALL WITHIN A FLOOD HAZARD U(1� ZONE, PER FEMA MAP 2-500-S16!> ` p -`EL /2G 9 ZONE: X 7�n 2 VI 3. THE PREMISES DID CONFORM WITH LOCAL ZONING SETBACK REQUIREMENTS AT THE TIME OF CONSTRUCTION. MORTGAGE CERTIFICATION SKETCH FOR �JC )1-N U Z -A fog �r�-IEi,2 Prz�T��7z7Y �'.T 17 A10, AIA. SCALE: 1 " _ -40/ DATE: S,4L)C 93 PREPARED BY: Kn'Dt-' • K -t KING ASSOCIATES 17 WILLIAM ST. -7 ANDOVER, MA. Location 7 h v �� No. Date I TOWN OF NORTH ANDOVER' Certificate of Occupancy $ Building/Frame Permit Fee $ /0 Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ L• CIl� L + Builtling Inspector 7472 Div. 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