HomeMy WebLinkAboutMiscellaneous - 33 HERRICK ROAD 4/30/2018N
Date.—/' -2 "...HJT.....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
, A
This certifies that .......................... �.......................................................
has permission to perform
..................................................................
wiring in the building of ..........`' {-�'�- — —�
at .......
?................ .................................................... .North Andover, Mass.
Fee .:. , ............... Lic. No....../::. ..................� .` �.......................
..........
ELECTRICAL INSPECTOR
n
Check #
BOARD OF FIRE PREVENTION REGULATIO
APPLICATION FOR PERMIT TO
All work to be performed in accordance wfth the
(Please Print in ink or type all information)
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street &
Owner or Tenant
Owner's Address
C,, ef-
t
roc
Official Use Only
Permit No. (SV(
Occupancy & Fee Checked—i--S
CMR 12:00
ELECTRICAL WORK
Electrical Code 527 CMR 12:00
Date 3 D
To the Inspector of Nres:
Is this permit in conjunction with'a building permit Yes f" No 0 (Check Appropriate Box)
Purpose of Building / Utility Authorization No.
Existing Service f alt% Amps O Voits Overhead ff Undgrnd 0 No. of Meters
New Service i Amps Vofts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical
Overhead 0 Undgmd 0
No. of Meters
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws //
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES ,/NO
have submitted vali proof of same Io the Office YES NO a If you have checked YES please indicate the type of coverage by checking the appropriate box.
NCE I
INSURAND - OTHER - (Please Specify)
(Expiration Date)
Estimated Value of. Electrical Work$
Work to Start Inspection Date Resquested l% Rough__K_
Signed under the Aeriatt�,sof perj
FIRM NAME A
LIC. NO.
LIC. NO.
us! Tel No. ��i�o.3- c>
Address ` 7X/�i ��Q�CGGiS��✓/ Alt Tel. No.
OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) ,{
Telephone No. PERMIT FEE $�V
(Signature of Owner or Agent)
Total
No. of Lighting Outlets
No. of Hot fuse
No. of Transformers KVA
Above 0
In 0
No. of Lighting Fixtures
Swimming Pool gmd 0
gmd 0
Generators INA
No. of Emergency Lighting
No. of Receptacles Outlets
No. of Oil Burners
Battery Units
r
No. of Switch Outlets
No of Gas Burners
FIRE ALARMS No. of Zone
No. of Detection and
Total
No. of Ranges
No of Air Cond
Tons
Initiating Devices
Heat Total Total
t&. of Diposal
No. Pumps
Tons
KW
No. of Sounding Devices
NoJ of Self Contained
o. of Dishwashers
SpacrJArea Heating
KW
Detection/Sounding Devices
0 Municipal 0 Other
No. of D
Dryers
Heating Devices,
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
Si ns
Bailases
I
Wiring
No. Hydro Massage Tuds I
No. of Motors
Total HP
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws //
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES ,/NO
have submitted vali proof of same Io the Office YES NO a If you have checked YES please indicate the type of coverage by checking the appropriate box.
NCE I
INSURAND - OTHER - (Please Specify)
(Expiration Date)
Estimated Value of. Electrical Work$
Work to Start Inspection Date Resquested l% Rough__K_
Signed under the Aeriatt�,sof perj
FIRM NAME A
LIC. NO.
LIC. NO.
us! Tel No. ��i�o.3- c>
Address ` 7X/�i ��Q�CGGiS��✓/ Alt Tel. No.
OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) ,{
Telephone No. PERMIT FEE $�V
(Signature of Owner or Agent)
Name:
Location:
City Phone
am a homeowner performing all work myself.
F-11 am a sole proprietor and have no one working in any capacity
F] I am an employer providing, workers' compensation for my employees working on this job.
Comoanv name:
Address
City: Phone #:
Insurance Co. Policv #
Company name:
Address
City: Phone #: j
Insurance Co. Policy # : ,..r
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
l do herby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature Date
Print name Phone #
Official use only do not write in this area to be completed by city or town official'
❑Check if immediate response is required
Building Dept
Contact person: Phone
FORM WORKMAN'S COMPENSATION
❑
Building Dept
❑
Licensing Board
❑
Selectman's Office
❑
Health Department
❑
Other
Q Date.
TOWN OF NORTH ANDOVER
< a
PERMIT FOR PLUMBING
This certifies that ...`........ ..:......... .
has permission to perform
plumbing in the buildings of ...
a
at. -a. 3. W .........../�5, .........,.�.. North Andover, Mass.
112
Feed ...... Lic. No,
kl�
..........
/ PLUMBINGASPECTOR
Check # �S 4/(,o l� v v
5G4
f
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
--// Date
Building Location .3�' % �.�jLi ,� dO _ Owners Nam /�C��,ogi/L C- Permit #
'' Amount /
Type of Occu a�c � (/li (�F'-,/%i�.0
New ri Renovation 0 Replacemenij[3---- Plans Submitted Yes 0 No 0
FIXTURES
(Print or type) Check one: Certificate
Installing Company Name 7-o eV !//.' /7d el -f w El
Corp.
Address
!1 '/q-�- ��✓ G 1-1 Partner.
7-0
Business Telephone d6 1 �Firm/Co.
i
Name of Licensed Plumber. �Bs-(/4.� a .� l �G9'�� C --
insurance Coverage: Indicate the ype of insurance coverage by checking the appropriate box:
t Liability insurance policy Other type of indemnity Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent
I 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 nder Permit Issued for this application will be in
compliance with all pertinent provisions of the Masyhusetts date Plu in adeand Chapter 142 of the General Laws.
Title
City/Town
APPROVED (OFFICE USE ONLY
Type of Plumbing License
Q sal
rcense Numuer Master ❑ Journeyman
Location
33 � olck Al
No. Date 3v
NORT" TOWN OF NORTH ANDOVER
L
•
Certificate of Occupancy $
cMuBuilding/Frame /Frame Permit Fee $ V
s�st 9
Foundation Permit Fee $
Other Permit Fee
TOTAL
/,
Check #
17143
AN (0-�
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING
,'ih'•'a ;a f F.cui ti 55k ' "'L' -y s`�' °3>_
..:, a'"�3; .`,'9"T.P+' .:" .1'. .r.•9' dkkxb�k� § �: `^iz Y§?`fl i •nMl 2 .-1'`5t x
BUILDING PERMIT NUMBER: / DATE ISSUED:„ 3 D d
/-/c
SIGNATURE:
Building ommissioner/I for of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address: ''
�3 ��
1.2 Assessors Map and Parcel Number:
(
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
ReqWred Provided
1
1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information:
Public ❑ Private ❑ Zone Outside Flood Zone ❑
1.8 Sewerage Disposal System:
Municipal ❑ On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
HistoricDistrict: YeS No
2.1 Owner of Record
- i a'A � r�cRd
Name (Print) Address for Service
0���1 d
Signature Telephone
22 Owner of Record:
"�t
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature Telephone
Not Applicable ❑
License Number
Expiration Date
.2 Registered Home Improvement Contractor
_S
Not Applicable ❑
Cbmpany Name
Registration Number
Address
Expiration Date
Signature Telephone
F %
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 ❑ 1 Other ❑ Specify
Brief Description of Proposed Work:
WAM 15DO
I SECTION 6 - ESTIMATED CONSTRUCTION COCTc I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY `
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X (b)
a O
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, , as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, 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
G -F N w.
Print Name
, " (&�
Signature of wner/A ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS i9F 2 ND 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
A
Town of North Andover
Building Department
27 Charles Street
gy S�SC►1tt6£ �,
North Andover, MA. 01845 �s s
D. Robert Nicetta .
Building Commissioner
(978) 688-9545
(978) 688-9542 Fax
Please print.
DA'f E % 1 _�6 -0q
JOB LOCAT
33
HOMEOWNER LICENSE EXEMPTION
ICK R1�
Number Street Address Map / lot
"HOMEOWNER V I/t��'" Vli � � � fllf•� 1 /L+' �VV(�� F y W8_771-� 140
Name Home Phone Work Phone
PRESENTMAILING ADDRESS
City Town State Zip Code
The current exemption for "homedwners" was extended to include owner -occupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirents and that he/she will
comply with said procedures and requirement§. n I , /\ T
HOMEOWNER'S SIGNA'
APPROVAL OF BUILDING OFF
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 a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in:
MdAiC
(Location of Facility)
Signature of Permit A plicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
E
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TOWN
1..
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .r:-/ !!7�'..: ..',Y. �:........ .
has permission to perform .A!I .. K-17
/(r�
plumbing in the buildings of .......�( tT......,..�........... .. .
at ._3 �..���,� .. ,..� �'� ........... ,North Andover, Mass.
Fee .../.4. � Lie. No... ;?.i� .............................
PLUMBING INSPECTOR
Check ,N
A
_{ 5 8 7
111
MASSACHUSETTS UNIFORM APPLICATt& FOR PERMIT TO DO PLUMBING' n
(Print or Type) ,Z
ass. Da Permit #� ✓'
:Building location Owner's Name
Type of occupancy—Re s i dent ia 1 '
New ❑ Renovation ❑ Replacement 09 Plans Submitted: Yes ❑ No El
FIXTURES
Installing Company Name Heritage Htg . &P1g . CO . Inc.' Check one: Certificate
Address 35 Pleasant Street IX Corporation 714
Stoneham; Ma 02180 ❑ Partnership
Business Telephone . 781 —4313-7776 n Firm/Co.
Name of Licensed Plumber i Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142:
Yes ® No ❑ "
If you have checked yes, please Indicate the type coverage by checking the appropriate box.
` 9
A liability Insurance policy 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:
Owner ❑ Agent ❑
or
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the Dest of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 of the General laws.
� Nignature o cense u�o cense u r
t
Title
Type of License: Master I$ Journeyman ❑
City/TownL APPF&E670TFffE USE ONLY) 8322
lJcense Number
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BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TNFLOOR
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6TH FLOOR
7Tk FLOOR%
aTHFLOOR
Installing Company Name Heritage Htg . &P1g . CO . Inc.' Check one: Certificate
Address 35 Pleasant Street IX Corporation 714
Stoneham; Ma 02180 ❑ Partnership
Business Telephone . 781 —4313-7776 n Firm/Co.
Name of Licensed Plumber i Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142:
Yes ® No ❑ "
If you have checked yes, please Indicate the type coverage by checking the appropriate box.
` 9
A liability Insurance policy 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:
Owner ❑ Agent ❑
or
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the Dest of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 of the General laws.
� Nignature o cense u�o cense u r
t
Title
Type of License: Master I$ Journeyman ❑
City/TownL APPF&E670TFffE USE ONLY) 8322
lJcense Number
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Location
23 4eleaICk- �j
4+ No. to y Date 06 y V
NORTH TOWN OF NORTH ANDOVER
9
a y
+ Certificate of Occupancy $
s;CHUBuilding/Frame Permit Fee $ o U
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 0 o
v
Check # ,2 o ��
C
17629
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
w.
BUILDING PERMIT NUMBER: L ! DATE ISSUED:
SIGNATURE:
Bul TnLgC0/M1M/tiS(Si0C2CSEjns
pector of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
33 Fiert'i c� 2�,
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
1.7 Water S�ply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public Private ❑ Zone Outside Flood Zone X
1.8 Sewerage Disposal System:
Municipal D4 On Site Disposal System ❑
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
Historic District: Yes No
2.1 Owner of Record
)Q,AA W, &18(4 'J3 kwv RA
Name (Print) Address for Service :
Signature Telephone e D
2.2 Owner of Record:
Name Print Address for Service:
Si `. ature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature Telephone
Not Applicable ❑
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
�t
Registration Number
Address
Expiration Date
Signature Telephone
M
X
z
O
M
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 ....... C1 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: i �1
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIA , SE-QNLY
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical(b)
Estimated Total Cost of
Construction
7
/ 6
3 Plumbing
'Roo
Building Permit fee (a) X (b)
(HVAC)
4 Mechanical
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, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, ,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
Print Name
Si ature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB 3 '
SIZE OF FLOOR T11vIBERS 1Sr2 ND 3RD
SPAN
DII'v ENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
New roof
Tear down of one stall garage including foundation and footing
o Rebuild one stall garage — same dimensions
New windows in basement
WT. kith b' is d t rt
w c en ca me an coon a op
Addition of dishwasher and garbage disposal
Facelift in main floor bath
Sand and polyurethane hardwood floors
Repair front and back decks
Paint interior and exterior
Create a finished room in basement
Replace furnace
Dumpster rental
T615 � be dONe
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 a properly licensed solid waste disposal facility as defined by MGL
c11,S150A. ''
The debris will be disposed of in: �h� M
(Location of Facility)
Signature of Per it Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
. c
MORTGAGE
INSPECTION PLAN
NORTHERN
ASSOCIATES, INC.
401 SOUTH BROADWAY LAWRENCE, MA 01843-3522
TEL:(978) 837-3335 FAX:(978)
837-333E
MORTGAGOR:
GLEN W. ACCIARD
DEED REF.
91, 245
LOCATION.
33 HERRICK RD
PLAN REF.
#8813B
CITY, STATE:
NORTH ANDOVER, MA
SCALE:
1"=30'
DATE.;
12/29/03
JOB #:
203/14948
�3 5 >0p. 00 ,
LOTS 11-1-2-3t—
co
°j GARAGE
74.00' R=1384.00'
L=29.00'
HERRICK ROAD
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CERTIFICATE NUMBER X0.3 - /3 3
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER - TOWN CLERK
BUSINESS CERTIFICATE
's
IN CONFORMITY WITH THE PROVISIONS OF CHAPTER ONE HUNDRED AND TEN,
SECTION FIVE OF THE GENERAL LAWS, AS AMENDED, THE UNDERSIGNED HEREBY
DECLARE(S) THAT A BUSINESS UNDER THE TITLE OF:
IS CONDUCTED AT: 10 � I I I �-fi�/�%V , NG). AyDDy ip i mo of gg's
IN THE TOWN OF NORTH ANDOVER, MASSACHUSETTS.
BY THE FOLLOWING NAMED PERSONS:
RESIDENCE
GLENN w. 4cG k-�*b 109 VEL. NfD 1b, iyg, m 01645 -
SIGNATURE
ESSEX COUNTY
PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED:
SIGNATURE
SIGNATURE
DATE
IN. 4cclardl
AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE.
CERTIFICATE EXPIRES:
Jo e . Bradsh w, Town Clerk
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NORTHERN
8� 30 C I A EE 9,INC.
401 SOUTH BROADWAY LAWRENCE, MA 14 (78) 837-3335 FAX:(978) 837-3336
MORTGAGOR: GLEN W. ACCIARD DEED REF. 91, 245
LOCATION.- 33 HERRICK RD PLAN REF. #8813B
CITY,STATE: NORTH ANDOVER, MA SCALE: 1"=30'
DATE: 12/29/03 JOB #: 203/14948
( --� C_
C 2
13 j
74.00'
1_
l(
Q)
Y
C�
R=1384.00'
L=29.00'
HERRICK ROAD
CERTIFIED TO: FIRST CALL MORTGAGE
Flood hazard zone has been determined by scale and
is not necessarily accurate. Until definitive plans
are issued by HUD and/or a vertical control survey
is performed, precise elevations cannot be determined.
NOTE: This mortgage Inspection was prepared
specificallyy fir mortgage purpose only and �wu4
is not to be relied upon as a Land or property
44
line survey, used Jbr recording, preparing deed N Of�p
descriptions, or construction. No corners were
set. Building location and offsets are �x CARMEN
approximately located on ground and o A,
are shown specifically Jbr zoning determination y TESTAonly and are not to be used to establish property
limes. The matters shown hereon are based on 84
client-Jurnished information and may be subject p 9
to further out -sales, takings, easements and rights SFJ �0t3THP�O
of way, and other matters of record and preserptive f Oil 1A11d
or other rights. Northern Associates, Inc. assumes no
responsibility herein to land owner or occupant,
accepts no responsibility Jbr damages resulting from said Zp I D
reliance by anyone other than the said mortgagee and its asSig `
in connection with its proposed mortgage financing to said morig gor.
This mortgage inspection axis prepared in accordance
with the Technical Standards Jbr Mortgage Loan
Inspections as adopted by the Massachusetts Board of
Registration of Professional Engineers and Land
Surveyors 250 CMR 605.
I further state that in my professional opinion that
the structures shou.n confirm. with the local zoning horizontal
dimensional setback requirements at the time of construction n
are exempt under previsions of M.C.L. CH. 40-A Sec. 7.
10 1. Property/House is not in Flood Hazard.
O 2. Property/House is in a Flood Hazard Area.
U 3. Injbrmation is insufficent to determine Flood Hazard.
Flood Hazard determined from latest Federal Flood
�>
Insurance Rate Map Panel gf 5O L 00en 3 y,/�
.
Date a'— z —q-5 zone
.1A
µONt(y
�Od ��ao ,e'gh0
o �
a
s CHU
GERTIFICATEI
TOWNi
OF USE & OCCUPANCY
OF NQRTH ANDOVER
Building Permit Number 'i 4q D _ q -- co y
ate
THIS CERT�'IES THAT
THE BUILDING LOCATED ON 33 ,e R R i c /c
MAY BE OCCUPIED AS -S', ^> -c2 FA
131 3 s
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO G l e v r, C/ `d R aL
03 L4R/ztc!C
Building Inspector
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