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Home My WebLink AboutMiscellaneous - 264 HILLSIDE ROAD 4/30/2018I r 60 �l Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Inspector 1600 Osgood Street North Andover, MA 01845 RE: Insured: Aleksandr Saverskiy & Irina Saverskaya Property Address: 264 Hillside Road Policy Number: BBBHBX Date/Cause of Loss: 10/29/2012, Hurricane File or Claim Number: 26905-R 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 3B 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. Ryan Werner 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. / /t Signatuf�(and Date ANDERSON ADJ OTMENT CO., INC. 50 Nashua R6ad, Suite 303 PO Box 1098 Londonderry, NH 03053 AM CNIC CLAIMS DEPT. October 31, 2012 CIummerce Insurancesm The Ccmmerce Insurance Ccmpanysm Citaticn Insurance Ccmpany- Members of The Commerce Group, Inc.` 11 Gore Road, Webster, Massachusetts 01570 (508) 949-1500 BUILDING COMMISSIONER or INSPECTOR OF BUILDINGS TOWNICITY HALL NORTH ANDOVER MAO 1845 www.Commerceinsurance.com Board of Health or Board of Selectmen Town/City Hall RE: OurInsured: ALEKSANDRSAVERSKIY/IRINASAVERSKAYA Property Address: 264 HELLSIDE RD Policyk BBBHBX Date of Loss: 10/29/2012 Filek CKVVV87-XMJY16 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. ESTHER OWEILL Telephone: (508)949-1500 Ext: 15388 Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15388 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. October 31, 2012 C,ummOrc Ccmpanies .... COME GROW WITH US CIC 254 (Rev. 4/95) MAIL M80 , -A Date ... � �/—`/ P ...... I I ' ' ' � IN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . .57-�oeev-,-,,,vl,,e�� A .... ......... has permission for, gas installation .................... in the buildings of —5;0.L'C n ....................... at North Andover, Mass. Fee. .-T. C?. 7. Lic. No. . 5 3.Z ... .... 9ASINSPECTOR Check# 7 2 58 -installing Company Business Telephone MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or ype) 20/ — Pqrmit VWType of Occupancy Replacemente, Plans Submitted: W402 Name of Licensed Plumber or d2s; Fitter INSURANCE COVERAGE: I have 2! Curren bility Insurance policy or Its substantial equlvalent� which meets the requirements of MGL Ch. 142. Yes V912 No if you have checked yes, please indicate the type of coverage by checking the appropriate boX A liability insurance policy Other type of Indemnity 0 Bond 0 OWNEWS INSURNACE WAIVER: I 2M aware that the licensee does not have the lnsur2nce coverage required by Chapter 142. of the Mass. General Laws, and that my signature on thl� permit 257PIIC2tIon waives this irequirement. S Ignature of owner or owner's Agent Check one: ' Owner 0 Agent 0 I hereby certify that all of the details 2ndlnFormatlon I have submitted (or enteredi in above application are true and accurate to the best of my knovAedge and that 211 plumbing work and Installations performed under the per ued for this applicatio 11 be in "complia ce vAth, 0 all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Grr-211S I Lj e Type of License: r or G a tt, r B y 0 Plumber U199atune-of Zlber Mor Gas Fitter Title 0 C��tter clityrrown N_ �0� -.05 APPROVED (OFFICE USE ONLY) Wm rer License Number q45 CD --'3 0.1ourneyman WINZ3:0110 =MMMMMMM W NEW WIN WNW WM WNW IN No M 0 WIN 13 01112 16TORMWIMMOMMMMOMM N NM MIMM VAIMMIX-8161MMIMMOMMMIMMMMMMMM WNW! Name of Licensed Plumber or d2s; Fitter INSURANCE COVERAGE: I have 2! Curren bility Insurance policy or Its substantial equlvalent� which meets the requirements of MGL Ch. 142. Yes V912 No if you have checked yes, please indicate the type of coverage by checking the appropriate boX A liability insurance policy Other type of Indemnity 0 Bond 0 OWNEWS INSURNACE WAIVER: I 2M aware that the licensee does not have the lnsur2nce coverage required by Chapter 142. of the Mass. General Laws, and that my signature on thl� permit 257PIIC2tIon waives this irequirement. S Ignature of owner or owner's Agent Check one: ' Owner 0 Agent 0 I hereby certify that all of the details 2ndlnFormatlon I have submitted (or enteredi in above application are true and accurate to the best of my knovAedge and that 211 plumbing work and Installations performed under the per ued for this applicatio 11 be in "complia ce vAth, 0 all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Grr-211S I Lj e Type of License: r or G a tt, r B y 0 Plumber U199atune-of Zlber Mor Gas Fitter Title 0 C��tter clityrrown N_ �0� -.05 APPROVED (OFFICE USE ONLY) Wm rer License Number q45 CD --'3 0.1ourneyman Location No. Date TOWN OF NORTH ANDOVA '6 0 Certificate of Occupancy $ Is u, 41L Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 8694 Div. Public Works PERMIT NO. ssz_ APPLICATION FOR PERMIT TO SUILD - NORTH ANDOVER, MASS. PAGE I MAP 4-40. 1 LOT NO. 41 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZON E SUB DIV. LOT NO. LOCATION 1-4 R'% t (-s I c 6 , A 'e- wi PURPOSE OF BUILDING C;.6 OWNER'S NAME 4uli-4r Kzc,-(f,/ Coco NO. OF STORIES SIZE cIr NEWS ADDRESS -7 T,� BASEMENT OR SLAB ITECT'S NAME 0— 1% SIZE OF FLOOR TIMBERS IST 2ND 3RD(/ BUILDER'S NAME T ko SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS. IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE SEE BOTH SIDES INSTRUCTIONI�� 4b PAGE I FILL OUT SECTIONS I - 3 9-1 — s-& -1 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIdN NER OR AUTHOREF��ENT F F E PERMIT GRANTED 7 ?jb -* S�A4 - (3tAL-,- ta� 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING OWNER TEL. # 6S7 - i 12-8 CONTR. TEL. # -7 It 23 CONTR. LIC. # 42-3 H. I. C. # BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY I SiORIES MULTI. FAMl,t---W OFFICES APARTMENTS 'CONSTRUCTION - 2 FOUNDATION 8 INTERIOR FINISH CONCRETE —INE 3 1 2 13 CONCRETE 8L K. BRICK OR STONE HARDW D PIERS -PLASTER -DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M*T AREA 1/1 I/T l/. FIN. ATTIC AREA NO BMT HEAD ROOM FIRE PLACES MODERN KITCHEN 4 WALLS 9 FLOORS CLAPB CONCRETE B 1 3 DROP IDING WOOD SHINGLES -FARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING_ STUCCO ON MASONRY STUCCO ON FRAME HARDV,VD —COMtACN ASPH. TILE BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR 1--d P R ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBREL HIP MANSARD BATH (3 FiX.) TOILET RM. (2 FIX.1 FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFIN ODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER SMS. & COLS. STEAM STEEL BMS. & COLS. W T'R OR VAPOR WOOD RAFTERS -HOT AIR CONDITIONING RADIANT H'T G UNIT HEATERS 7 NO. OF ROOM$ I AS 'L B'M'T 2nd I t I —3rd4 ElLiCTRIC I NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. . 14 ri; W uj. OM. - CD C=, C:, CJ CL= C2 CD CF CL CD I CC." C3, C, ce cm Cos rs cc CA C2 E S cm CM -8 C2 CM L C2 C2 CO2 io Go CL.= a; —d LU C3 4D = CM CL* "o, :1 C, C* CD w P-4 z 0 u Cf) U) fil U) 0. 0 A CD E cc r. LL- co x 0 b =10 r2 - Cd c x WO C2 (�' r. x CD bo 0 5 U) uj. OM. - CD C=, C:, CJ CL= C2 CD CF CL CD I CC." C3, C, ce cm Cos rs cc CA C2 E S cm CM -8 C2 CM L C2 C2 CO2 io Go CL.= a; —d LU C3 4D = CM CL* "o, :1 C, C* CD w P-4 z 0 u Cf) U) fil -i < CD E LL- co CD co CL. CD CA co cm C) CIO cc co M co E = co L- CL Q G3 �— = C) CD Q CL) > co Cl C.3 M C3 CL ca C2 Cc Cc = CJ CL. CO3 C13 < 2-7 C3 C.2 CL CO) cc CO2 CD do tj C) 0 d /,C) w -,.,i do 0 Location No. Date -7 19-�- 04 40RTH TOWN OF NORTH ANDOVE� 0 iiagilISK Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ CU Water Connection Fee $ TOTAL $ 04 e74— [a Building Inspector 8693 Div. Public Works PERMIT NO. s- L - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE I MAP +40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZON E SUB DIV. LOT NO. 7 1 LOCATION 16 - PURPOSE OF BUILDING OWNER'S NAME L4, .I(-- dA_ y&,PL_( Co NO. OF STORIES SIZE OWNER'S ADDRESS -7 T," T, ke 17 -11 BASEMENT OR SLAB -a--t Fit- v*,LLi (w ARCHITECT'S NAME C �� (gas 7- % SIZE OF FLOOR TIMBERS IST 2ND V3RD Slill-DER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION A ID D 1 4. MATER;AL OF CHIMNEY IS BUILDING ALTERATION v IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS FEE 130TH SIDES -f-z.) ��z PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATU i I F E E %---- PERMIT GRANTED 19 AGENT 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY 9j4aE��- v BUILDING INSPECTOij OWNER TEL. # (142 -lt'2'8 CONTR. TEL. # It -7- /2.&- CONTR. LIC. # H.I.C. # 4::-.) taL=) %-� 1�-- tc�z�,--F 6UILDING RECORD I OCCUPANCY 12 SINGLE FAMILY SI-ORIES MULTI. FAMIL�:�_�FFICE'S APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE --- PINE 3 1 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER -FRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M T AREA V, 1/1 1/1 NO 8 M T FIN. ATTIC AREA FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 3 DROP -SIDING WOOD SHINGLES CONCRETE _iARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING �ARDW D COMIACN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 9 CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR -ADEQUATE 1-� NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL A MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL- STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING HEATING WOOD JOIST' PIPELESS FURNACE 'U RN FORCED HOT AIR FURN. TIMBER BMS. & COILS. STEAM STEEL BMS.' & 0 HOT W T'R OR VAPOR WOOD RAFTERS AIR CONDITIONINIAG_ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS AS OIL B'M'T 2nd l.t I -id ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 4-4 6 z IA 5 rA W tv Nam u JA am C=3 ";A CD cm C3 cc Wi of CF C3 C2 CIO es CD cm jrL cm * CD CIO =0 cc C42 00 (T 10. cm ce CO 'S cm CH d- cc 821 ise co C93 u - P CLC- = uj E C2 b- CD C40 K Q ID -:ro = 8- 2 ED cla b- CLe 12 C/) F z 0 w P-4 z 0 u C/) Cf) z PB P., w Ad 00 Old zt co > 0 LE U) U) ca "a r. �2 X 00 r. E u ca ic co cm Vu) cc r. Cl) co 0 ZW C/) U) Nam u JA am C=3 ";A CD cm C3 cc Wi of CF C3 C2 CIO es CD cm jrL cm * CD CIO =0 cc C42 00 (T 10. cm ce CO 'S cm CH d- cc 821 ise co C93 u - P CLC- = uj E C2 b- CD C40 K Q ID -:ro = 8- 2 ED cla b- CLe 12 C/) F z 0 w P-4 z 0 u C/) Cf) z PB P., w Ad 00 Old zt co > —j < M CD E U - co cm co LLJ CL C3 CO) CC co cm C:) LU CD < co M co LLJ C/2 E cc co :z co cm co C) C) cr- I= w Cl CD > G3 C* L - C3 M CL CD CL a - C43 4- C CIO .e CL -c* CO2 ca CD m CD CL cc cc LU Co all is M M LU 0- cn r4i mm�E Location I og- en No. 516S Date 7) 7748 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ &�bz Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ $ 81 TOTAL Building Inspector C-62-00 PAID Div. Public Works Location �0-+4(0 I IDE No. Date TOWN OF NORTH ANDOVER 0- 0 WWOL Certificate of Occupancy $ w Building/Frame Permit Fte $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ $ TOTAL Building Inspector 150.00 PAID 7 74, 7 Div. Public Works 1. Location Np� 3 3�7 8441 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Buiiding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee s /o7Z TOTAL $ B 1' Ins Ct q Z _, _ - PAYD D 1C Works * - 15(0:3 PER11IT NO. t4d,W Ho wi.,e APPLICATIOW/FOR' PERMIT TO BUILD —NORTH ANDOVER, MASS. PAGE I MAP +40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB 0 IV. LOT NO. 4e LoCATIONA,4 d -Z%r (#' PURPOSE OF BUILDING PWNER'S NAfME NO. OF STORIES SIZE dWNER'S ADDRESS 31 7' r w 4 k_� S"7, ' — BASEMENT OR SLAB ARCHITECT'S N - A - ME Cj6a,� 1) Ja -2, SIZE OF FLOOR TIMBERS IST 2ND ;Ixto 3RD qUILDER'S NAME _rl) If" bA W Cl & L4 I SPAN 1,!r DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES SIDES D t REAR 7 GIRDERS AREA OF LOT Pl- FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW y -s SIZE OF FOOTING x 19 BUILDING ADDITION IV 0 MATER:AL OF CHIMNEY IS BUILDING ALTERA TION & 0 IS BUILDING ON SOLID OR FILLED LAND 5a WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER ves IS BUILDING CONNECTED TO NATURAL GAS LINE j/7's INSTRUCTIONS PERMIT FOR FOUNDATION Ut%L SEE BOTH SIDES REGULATED BY PARA. 114.8-S. PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 12 DATE 11LA—FEEPAID tm-'O" ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING I djo 4-b �001_ ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR flA 6A'Ck IkILEQ_---j_ r \\-\q PERM IT FOR FKAME/BUILDING SIGNA AUTHORIZED AGENT F E7E p PERMIT GRANTED OWNER TEL. CONTR, TEL. 19 CONTR. LIC. #_g2it_n 4;p77- 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. SLOG. COST PER *Q: FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. A,1 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN B U I L D I N G RECORD OCCUPANCY 12 SINGLE FAMILY SI-OPtES -,THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DI . STA -NCE - FROM MULTI. FAMIL OFFICES APARTMENTS LOT LINES AND EXACT DIMEI`4SIONS -OF �B'UILDINdS.. W'l-fH'P6hG:HES. GA- RAGES, ETC. SUPERIMPOSED. THIS-REPLACESPLOT,PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 3 r CONCRETE BL K. PINE BRICK OR STONE HARDW 0 PIERS PLASTER _X DRY WALL L TN F -I _N 3 BASEMENT' AREA FULL _LIN. B M T AREA 1/1 1/7 14 rIN. ATTIC AREA NO 8 M T FIRE PLACES HEAD ROOM MOD ERN KITCHEN 4 WALLS 9 FLOOR$ CLAPBOARDS B 1 2 3 CONCRETE WOOD SHINGLES DROP SIDING ASBESTOS SIDING ASPHALT SIDING HARD�lj D COMIAGN VERT. SIDING _Z_PH -TILE STUCCO ON MASONRY', STUCCO ON FRAME BRICK ON MASO STRS. & FLOOR BRICK ON FRAME - I CONC. OR CINDER BLK. STONE ON�MASONRY,, WIRING "jT S 10 IE �O ,N'FRAME SUPERIOR POOR ADEQUATE NONE 5 OOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) I MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES -�K TAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING 1 11 MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W T'R OR VAPO� WOOD RAFTERS AIR CONDITIONING RADIANT H'T G UNIT HEATERS MS GAS 7 NO. OF ROO IL fnm B T 2 .M. nd ELECTRIC lit 3rd 11 NO HEATING V, cr CN r.-4 ol ri; �dpl 0 0 c: u 0 E w V) C/) C4 0 E- u w z .4 z04 C: 0 co C: LE C2 cz a. c5a Lai c2 �7, F4 > V) m 0 u w 0 P4 —cz C: �rl V)--- u o V) ui 1-400on 00 CD CL I -- E co M ca CA c CD cm cc cm CD 9 U Cf) L LLJ M LL. CD LL - I -- r) LLJ LU ui u 0 S �u F�2 CA co ca co CL co co C.3 m CL CO) 0 C3 CO2 cc cc CL CO2 co CL COD CD CM CD ca cm co >% co L- > Cc M -j -0 co CL CA LL - LU Cl- ui LU i U) 2� :> C) CC C-) cm LL- < C.D 7—, LU Cl- c5a Lai CO CF CD C3 0) 0 r.L E S C., C3 CM 0 .= CL= * M ca Cc CA E CD cc, 0 M 10 cc I:ci CL co GO L- . L- CD CC CD LU 5 CD Cc -;; 'a.2 C!.s M'9 ce Q= q- w - u G) a_ CD C3,02 ED CD = C C2 CA CL w 32 C3, :a Go go CL d$..O C=o I -- E co M ca CA c CD cm cc cm CD 9 U Cf) L LLJ M LL. CD LL - I -- r) LLJ LU ui u 0 S �u F�2 CA co ca co CL co co C.3 m CL CO) 0 C3 CO2 cc cc CL CO2 co CL COD CD CM CD ca cm co >% co L- > Cc M -j -0 co CL CA LL - LU Cl- ui LU i U) 2� :> C) CC C-) cm LL- < C.D 7—, LU Cl- VO 4k rA rA ui '00el oc) ci C, mp- C, =CD U9 I -- C.0 LU CE o CL CO) co, c I cm . . . CL= CO) cc CD ; Di. A Cc CO) CD co r ce CD.e cou, - ga �Eo 94 0 J-4 9 C4 [-4 ZW CD s E 0 [-4 u w 0 z 0 P CA CL:s Co., LU L3 v E u 0 00 Q* u P -W 94 J-4 10 — CD :a 6 Al u -rj x co u > 0 0 LE C2 C/) Ll. E U) V) ui '00el oc) ci C, mp- C, =CD U9 I -- C.0 LU CE o CL CO) co, c I cm . . . CL= CO) cc CD ; Di. A Cc CO) CD co r ce CD.e cou, - ga �Eo -t� E CD CL CA rm co cm cm CD C- CD LLJ C/) 0 I rn w �j 4-) co CD .ra CL ce 0 c 05 3: 0 CD CD s E LL. co cc P CA CL:s Co., LU L3 cm 10=e = Q* go 10 — CD :a CD -t� E CD CL CA rm co cm cm CD C- CD LLJ C/) 0 I rn w �j 4-) co -j < > cm E LL. co LU CD CD w cm LU CO) co < co Co Co LLJ C/) 2� :> CD A- 0 CD �..- = C) cc CL *-o co >. Co CO Q m CL CM a: =< C.0 Cm Cc Cc < -I.= . "FL cl w -j COD Q < CD 77 CD C.3 CL CO2 cc LU "a I C-0 CO) Uj a_ U) ZZ07 -=Il 6 07- _5_C 00 7-10A/ 31 CeA7-1,-�- 220 7,*Ie —17ZX 1,VS6leOvfAVO or IS -Ve,47Z-.0 0,41 ,f W,9,f"111S JUM.946r.V ,OZOff Zl-ve-T /S Va7' IAI r1le =',6AVec,44 114,?-O-eO 4,eew. e�ew,*"lv %.Vfd#v" OAI V%OF ,04 00 A,47 --S' ,47-1011 7,7XIAe'16-4411 6'Z1s77<1a eeez*aev-s,. -1 lUo ie � lVat, �e . 11 1 FORM U - LOT R=ASE PMUI INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Bo * ards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this sect-4on***************** A-PPLICANT: 14111-ud-e rol'-Xo Phone 110� 7 1")- M� 91 LOCATION: AsSessor's Map Number P a r c ell S u b d iv i S ;_on 114--p a do w oo d :33T— Lot (s Street lls-ld� St. Nunrer RECOMMENDATIONS OF TOWN AGENTS: Ad-.inistrazcr, Cc=en---= Towr'r P121 ner I -.V-UY Cc=.,.en,:s ,C) 'ow use On1y*******************w**** — C&JJJ0-Z Date Annroved Date Re-�ected J Date Approvelz- Date Re-;ecmea A LA (� Daze Ann-oved Fcod 7:-,5=e---r-:-*ea1t.h Data Re-iec--=-,4 Date Amprcved Se=":Lc Data Re-jec-==-A pU'- 4 C WCr,:S - s ewer,lwazar connec--ion - driveway peT4 Fire De=ar=en-:: Recsi,ied by Building Inspector Daze K'9V 10 1994 I MEMO, .WWf FAFA TF=253.5 TF=2-52.0 Ilk PEAK 100 YR STORM EL = 245.2 PROP REM. �\, /Y— OR N. 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