HomeMy WebLinkAboutMiscellaneous - 37 FURBER AVENUE 4/30/201852 -
Date . A...... . .......
40RTk
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .............
.....................
has permission forc�gas, installation ..............
........
in the buildings
0♦
Of
7- at � ........5�. .. ............. North Andover, Mass.
� /.
GAS INSPeCTOR
Check #
� 'ti 'I 'I
MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS FTITING
/ I ln,�-
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
Building Locations ' )� 3gy- Permit #
n /� p � -�/ � Amount $
Owner's Name ( ec" ��i 11JLil�r SCc V1
New ❑ Renovation ❑ Replacement ❑ Plans Submitted ❑
(Print or type)
Name
Address
Name of Licensed Plumber or Gas Fitter
Cone: Certificate Installing Company
e
Corp.
❑ Partner.
Firm/Co.
INSURANCE COVERAGE • Check one:
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. 13Liability insurance policy [31Othertype of indemnity [3Bond
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 ❑
1 hereby certify that all of the details and mtormation i nave suormueu kur UIRCIru) „I awvc dPFIIt auvu "LG 11 PG u,,., a..—Q—
of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State as Coe d ter 142 of the General Laws.
VED (OFFICE USE ONLY)
signature of Licensed Plumber Or Gas Fitter
Plumber ;? a
❑ Gas Fitter r7cense Nurnoer
❑ Master
�l'ourneyman
,7TH. FLOOR
(Print or type)
Name
Address
Name of Licensed Plumber or Gas Fitter
Cone: Certificate Installing Company
e
Corp.
❑ Partner.
Firm/Co.
INSURANCE COVERAGE • Check one:
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. 13Liability insurance policy [31Othertype of indemnity [3Bond
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 ❑
1 hereby certify that all of the details and mtormation i nave suormueu kur UIRCIru) „I awvc dPFIIt auvu "LG 11 PG u,,., a..—Q—
of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State as Coe d ter 142 of the General Laws.
VED (OFFICE USE ONLY)
signature of Licensed Plumber Or Gas Fitter
Plumber ;? a
❑ Gas Fitter r7cense Nurnoer
❑ Master
�l'ourneyman
Location 3 7, &f
No. Z Date�-
TOWN OF NORTH ANDOVER
L
9
Certificate of Occupancy $
A, —A, t� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ �G
Check #b
'i5 37 �
—Building Inspe
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: 2tJ . DATE ISSUED:
SIGNATURE-
Building Co missioner/lEgWor of Buildings Date zo -11-e) Z/
SECTION 1- SITE INFORMATION
1.1 Property Address:
7��T
1.2 Assessors Map and Parcel Number: p
z4 0 49;:�L
Map Nuthber Parcel Number
_.,-, /5�^ _ f L." /(
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
Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information:
Public 0 Private ❑ Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal ❑ On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
Name (Print) Address for Service:
Signature Telephone
2.2 Owner of Record:
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
3.2 Registered Home Imm�provemennt Contractor
LI � /SCS /7L�'JQ• / � �Q �� S•r`r� c � �' o �
Not Applicable ❑
% S
Company Name
/5— �� /�� /
Registration Number
2 --2o!� —
Address
Expiration Date
nature Telephone
T
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0
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M
90
0
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SECTION 4 - WORKERS COMPENSATION (NML. 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 ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify t ,,
Brief Description of Proposed Work: y
I SECTION 6 - F.STIMATFn rnNCTR1TrT1nN rncTQ I
Item
Estimated Cost (Dollar) to be
t3FFICIA)L"j1SE ONLY
CoiAjeted by Znnij li
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X (b)
�,.
4 Mechanical HVAC
5 Fire Protection
6 Total1+2+3+4+5
70
Check Number
Jr,%-11VP1 /'d VWIN EX AU InVKILAI MN IU BE UUMPLETEA WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I> -� 1' kl �� r7�N� ( aij-�Authorized Agent of subject property.
Hereby authorize to act on
My bej W,2i all matter§.;elative tg %orkautbarized by this building Dermit application.
nature of Owner — Date
SECTION 7b OWNER/AUTHORIZED AGENT DE/CLARATION
,a* 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 me
palature of Owner/A2en1
/o
Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS iST 2 ND3 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
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Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
i Reg1strationc 122153
Expiration 7/26/2004
.:Type, D
JOHN BERTHOLD ICONSTRUOTIO
�Ohn Berthold _..
15 Popular Rd -
-i& '
Salem,..NH" 03079
Administrator
I
0
PROPOSAL
Page No. of Pages
sulfa's License: Sat. tach. # 915
BERTHOLD HOME REPAIRS AND PAINTING Brev.Co: # 009850548
,q�0�
ca Int/Ext Painting (321) 773-6066 Siding and Soffit
• Windows Carpentry
• Doors Renovations
Fully Insured • Over 10 Years Experience • Free Estimate
PROPOSAL SU8 D TO
� PHONE � �J— a � � � J'
DATE
STREET
JOB NAME
CITY, STATE AND ZIP CODE
JOB LOCATION
/
We hereby submit specifications and estimates for:
r
,-14
�CQ
YY. q000' ®Q
WE PROPOSE hereby to furnish material and labor — complete in accordance with above specifications, for the sum of;.:
dollars ($
Payment to be made as follows:
to 114 ?00, C� <✓ ,t,
p5
1,10 00 �. �, '� 7 r C/+' ''�C.' F O� 06
All material is guaranteed to be as specified. All work to be completed.in a workmanlike Authorized
�..1
manner according to standard practices. Any alteration or deviation from above specifica- Signature �✓ r . .
tions involving extra costs will be executed only upon written orders, and will become an _
extra charge over and above the estimate. All agreements contingent upon strikes, accidents ;
or delays beyond our control. �`: Note: This proposal may be ;t
withdrawn by us if not accepted within _ days.
ACCEPTANCE OF PROPOSAL — The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized ,
to do the work as specified. Payment will be made as outlined above., y
Date of Acceptance: Sign5pitr / l✓ ,. �///
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RAKE PAYMENTS TO
TOWN OF NORTH ANDOVER
. 0. BOX 124
VO. ANDOVER, MA 01845
I -E 8:30-4:30
FAX 688.9550/ASSR 688-9566
2004 QUARTERLY REAL ESTATE
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
OFFICE OF THE COti-LECTOR OF TAXES
Tax Amount Code Amount Int
1st 871.50 CP -CPA. 15.74 0.00
GALINEY, YUTHICA
GALINEY, BRADFORD
37 FURBER AVENUE
NORTH ANDOVER MA 01845
BILL NUMBER 3134 R1
Loc: 37 FURBER AVENUE
Map: 067.0
Block: 0048
Lot: 0000.0
Deed/Legal: 696 38
Land Area: 8712 (sf)
DETACH HERE- - - - - DETACH HERE - - - - - DETACH HERE - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE -
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Interest at the rate of 14% per annum will
accrue on overdue payments from the due
date until payment is made.
1st Half 2nd Half
Taxes 871.50 871.50
Assmnts 15.74 15.73
GALINEY, YUTHICA
3134 RE
Loc: 37 FURBER AVENUE
Parcel Id: 067.0 0048 0000.0
This form approved by the Commissioner of Revenue
-DFTAN HFRE- - - - - nFTACH HFRF
- - - - - nFTACH HFRF - - pFTA..H HFRF . . . .
. DETACH HFRF nFTAf.H HFRF.
4AKE PAYMENTS TO
2004 QUARTERLYf REAL ESTATE
THE COMMONWEALTH OF MASSACHUSETTS
BILL NUMBER 3134 RE
tOWN OF NORTH ANDOVER
TOWN OF NORTH ANDOVER
Loc: 37 FURBER AVENUE
. O: BOX 124
OFFICE OF THE CO..LECTOR OF TAXES
Map: 067.0
V0. ANDOVER, MA 01845
Tax Amount Code Amount Int
Block: 0048
I -F 8:30-4:30
1st 871.50 CP -CPA 15.74 0.00
Lot: 0000.0
TAX'688-9550/ASSR 688-9`566
Deed/Legal: 696 38
Land Area: 8712 (sf)
Your Preliminary Tax for the Fiscal Year 2004
beginning July 01.2003 and ending June 30. 2004
on the Real Estate described is as follows:
GALINEY, YUTHICA
GALINEY, BRADFORD
37 FURBER AVENUE
AMount d'
b AUGUST Q1 20,03
y
NORTH ANDOVER MA 01845
Pre] 7ln nary; Tax Due $ 887 24
HAKE PAYMENTS TO
TOWN OF NORTH ANDOVER
. 0. BOX 124
40. ANDOVER, MA 01845
4-F 8:30-4:30
fAX 688-9550/ASSR 688-9566
2004 QUARTERLY REAL ESTATE
THE COMMONWEALTF OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
OFFICE OF THE COLLECTOR OF TAXES
Tax Amount
1st 136.78
HOLZ, HENRY & VERA KIRYLUK
HENDRIETTA PETROSKA
119 SEVEN STAR ROAD
GROVELAND MA 01834-2212
BILL NUMBER 3861 RE
Loc: 0 FURBER AVENUE
Map: 067.0
Block: 0047
Lot: 0000.0
Deed/Legal: 2953 301
Land Area: 4356 (sf)
-DETACH HERE- - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE -
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Interest at the rate of 14% per annum will
accrue on overdue payments from the due
date until payment is made.
1st Half 2nd Half
Taxes 136.78 136.78
Assmhts 0.00 0.00
HOLZ, HENRY & VERA,KIRYLUK
3861 RE
WITNESS my hand and seal this day c►f July, 2002
1
Henrietta 1?etroska
r
COMMONWEALTH OF MASSACHUSETTS
Essex, ss. July% I, 2002
i
Then personally appeared the above-named He ietta oska and acknowledged the
foregoing instrument to be her free act and deed before �ne.
Notary Public
My commission ex 'res:
i
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1
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1
1
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CER�F�FQ O
COPY QUITCLAIM I.WED
I, Henrietta Petroska, of Groveland, Essex Couifty, Massachusetts, for consideration paid,
t
t
and in full consideration of One Hundred Thirty-ThreelThousand Three Hundred Dollars
i;
($133,300.00),
i
grant to J. Bradford Galiney and Yuthica Galiney, husbUnd and wife, as tenants by the entirety,
both of 50 Brookview Drive, North Andover, Essex Count , Massachusetts
,;. Y ,
is
_ I
WiPTH � QUITCLAIM COVENANTS
Parcel 1:
An undivided one-third interest in the land in sl`iid North Andover, with the buildings
thereon, being lot #175 on plan of "Highland View Park'', made by R. W. Seamans, C.E., dated
March 1906, and recorded with North Essex District Registry of Deeds, Book 230, Page 600, and
bounded according to said plan:
Northerly, forty (40) feet by Furber Avenue, 101feet;
Easterly by Lot #174 on said plan;
Southerly; forty-seven (47) feet, more or less, byJand of owners unknown; and
Westerly, one hundred (100) feet by lot #176 on said plan.
1,
Being the same premises conveyed by deed of th61 Arlington Trust Company to Vincent
Holz dated June 26, 1934 and recorded with Essex Noilli District Registry of Deeds in Book 579,
Page 85. Also; See Estate of Julia Holz, Essex County Probate Court, Docket No. 86P0102 -E1.
Parcel 2:
i�
IIii
An undivided one-third interest in a certain lot � f land situated in North Andover in the
County of Essex, and State of Massachusetts, being lot numbered one hundred seventy six (176)
on plan of Highland View Park, made by R. W. Seaman!;, C.E., dated March 1906, and recorded
in Essex County North District Registry of Deeds, Book220, Page 600, to which reference may
be had for a more particular description.
Being the same premises conveyed by Fred P. Angell to Vincent Holz dated September
18, 1937, and recorded with Essex North District Registry of Deeds in Book 610, Page 600.
Also, see Estate of Julia Holz, Essex County Probate Court, Docket No. 86P0102 -E1.
i
Parcel 3:
All my right, title and interest in a certain lot of land situated in North Andover, in said
County of Essex, being numbered One Hundred Seventy;Four (174) on plan of Highland View
Park, made by R. W. Seamans, C.E. dated March 190, and recorded with North District of
Essex Registry of Deeds, Book 230, Page 600, to which ireference may be had for a more
particular description.
i
This conveyance is made subject to conditions and restrictions of record in so far as the
same are in force and applicable. !
Being the same premises conveyed by deed of Henry Holz and Thelma D. Holz to Henry
Holz, Vera Kiryluk and Henrietta Petroska dated June ,15, 1989, and recorded with Essex North
District Registry of Deeds, Book 2953, Page 301.
WITNESS my hand and seal this =/ day of July, 2002
Henry Holz
By Jean J. Desmond, Attorney In Fact
Under a G6neral Power of Attorney recorded
Herewith
COMMONWEALTH OF VIRGINIA
Fairfax, ss. July/,�, 2002
Then personally appeared the above-named Jean J. Desmond, Attorney in Fact as
aforesaid, and acknowledged the foregoing instrument.ti') be her free act and deed before me.
t/tar P-db is
My commission expires:
A TRUE AND
CERTIFIED COPY
QUITCLAIM LIEED
I, Henry Holz, of Arlington, Fairfax County, Virginia, for consideration paid, and in full
i
consideration of One Hundred Thirty -Three Thousand Three Hundred Dollars ($133,300.00),
grant to J. Bradford Galiney and Yuthica Galiney, husband and wife, as tenants by the entirety,
both of 50 Brookview Drive, North Andover, Essex County, Massachusetts,
W'IcrH QUITCLAIM COVENANTS
Parcel 1:
.i
An undivided one-third interest in the land in said! North Andover, with the buildings
thereon, being lot #175 on plan of "Highland View Park;', made by R. W. Seamans, C.E., dated
March 1906, and recorded with North Essex District Registry of Deeds, Book 230, Page 600, and
bounded according to said plan:
'h
Northerly, forty (40) feet by Furber Avenue, 100 feet;
Easterly by Lot #174 on said plan;
Southerly, forty-seven (47) feet, more or less, by ;land of owners unknown; and
Westerly, one hundred (100) feet by lot #176 on maid plan.
Being the same premises conveyed by deed of th( Arlington Trust Company to Vincent
Holz dated June 26, 1934 and recorded with Essex North District Registry of Deeds in Book 579,
Page 85. Also, See Estate of Julia Holz, Essex County;P'robate Court, Docket No. 86P0102 -E1.
I
Parcel 2:
I
An undivided one-third interest in a certain lot ofland situated in North Andover in the
County of Essex, and State of Massachusetts, being lot:numbered one hundred seventy six (176)
on plan of Highland View Park, made by R. W. Seamans, C.E., dated March 1906, and recorded
in Essex County North District Registry of Deeds, Book 220, Page 600, to which reference may
be had for a more particular description.
a
}
Being the same premises conveyed by Fred P. Angell to Vincent Holz dated September
18, 1937, and recorded with Essex North District Registry of Deeds in Book 610, Page 600.
Also, see Estate of Julia Holz, Essex County Probate Court, Docket No,. 86P0102 -E1.
Parcel 3:
All my right, title and interest in a certain lot of land situated in North Andover, in said
County of Essex, being numbered One Hundred Seventy!
CER*nFUS AND
IEp opy
FIDUCIARY'S;DEED
I, Henrietta Petroska, Administratrix of the estate of Vera Kiryluk, Essex County Probate
i
Court Docket No. 02P 1308 -AD 1, holder of a Decree cif the Probate Court of Essex County dated
July 11, 2002, by power conferred by said Decree, of G .-oveland, Essex County, Massachusetts,
for consideration paid, and in full consideration of Onq ;Hundred Thirty -Three Thousand Three
'i
Hundred Dollars ($133,300.00),
grant to J. Bradford Galiney and Yuthica Galiney, husb9ind and wife, as tenants by the entirety,
both of 50 Brookview Drive, North Andover, Essex County, Massachusetts,
An undivided one-third interest in the land in said North Andover, with the buildings
thereon, being lot#175 on plan of "Highland View Park"', made by R. W. Seamans, C.E., dated
March 1906, and recorded with North Essex District Registry of Deeds, Book 230, Page 600, and
bounded according to said plan: I
Northerly, forty (40) feet by Furber Avenue, 100 feet;
Easterly by Lot #174 on said plan;
Southerly, forty-seven (47) feet, more or less, bIy Jand of owners unknown; and
Westerly, one hundred (100) feet by lot #176 on said plan.
Being the same premises conveyed by deed of th; Arlington Trust Company to Vincent
Holz dated June 26, 1934 and recorded with Essex No%-tli District Registry of Deeds in Book 579,
Page 85. Also, See Estate of Julia Holz, Essex County Probate Court, Docket No. 86P0102 -E1.
I;
ALSO:
An undivided one-third interest in a certain lot o f land situated in North Andover in the
County of Essex, and State of Massachusetts, being lot numbered one hundred seventy six (176)
on plan of Highland View Park, made by R. W. Seamans, C.E., dated March 1906, and recorded
in Essex County North District Registry of Deeds, Book 220, Page 600, to which reference may
be had for a more particular description.
Being the same premises conveyed by Fred P. Angell to Vincent Holz dated September
18, 1937, and recorded with Essex North District Registry of Deeds in Book 610, Page 600.
Also, see Estate of Julia Holz, Essex County Probate Court, Docket No. 86P0102 -E1.
WITNESS my hand and seal this g day' f July, 2002
I+
HenriettaPetroska, Administratrix
COMMONWEALTH OF MAS;3ACHUSETTS
A
Essex, ss.,.` July, 2002
Then personally appeared the above-named Henrietta Petr a, Administratrix as
aforesaid, and acknowledged the foregoing instrument! o,be h r free a t and deed before me.
Notary Piibf is
/� My comniis;,ion expires:
f MORTGAGE INSPECTION PLAN
NORTHERN ASSOCIATES, INC.
401 SOUTH,,.. BROADWAY; LAWRENCE MA. 01843-3522 TEL:(978) 837-3335 FAX:(978) 837-3336
. MORTGAGOR: J.BRADFbRD * YUTHIA GALINEY DEED REF:. 6 10 / 600
LOCATION 37 39 FURBER STREET PLAN REF: ASSESSORS
ITY,STATE NORTH 'ANDOVER MA SCALE: I "=30'
DATE: JWUNE 3,2002 JOB #: 202/0469 I
REV15�D:JULY 24,2002
130'
i
130'
FU RBER STREET
CERTIFIED TO:.WELLS PARGO MORTGAGE INC.
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
specifically for mortgage purpose only and
n
is not to be relied upon as a land or property
;
line survey, used Jbr recording, preparing deed
Pet
descriptions, or construction. No corners were
;
set. Building Location and offsets are
approximately located on ground and
K wi
are shown specifically for zoning determination
only and are not to be used to establish property
lines. The matters shown hereon are based on
client -furnished infermation and may be subject
to further out -sales, takings, easements and rights
of way, and other matters of record and preserply
_
r�
S�iiVE
or other rights. Northern Associates, Inc. assurma
herein to Land
\
responsibility owner or occupant,
accepts no responsibility for damages resulting
said
reliance by anyone other than the said mortgagee
nd its assigns
in connection with its proposed mortgage financing to said mortgagor.
0
M
This mortgage inspection was 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 pipfessional opinion that
the structures shown conform with the local zoning horizontal
dimensional setback requirements at the time of construction or
are exempt under previsions of MG.L CH. 40-A Sec. 7.
® 1.Property/House is not in Flood Hazard.
CD 2. Property/House is in a Flood Hazard Area.
O 3. Information is insuffticent to determine Flood Hazard.
Flood Hazard determined from latest Federal Flood
Insurance Rate
av
Rate Map Panel ?-15-0091d,0?-15-0091d, 6003f=
Date C"[
te'- �% _ zone �t O"1f-�qP)�;a