33 FORT AVE - BUILDING INSPECTION The Commonwealth of Massachusetts
Board of Building Regulations and Standards 6\EOf
Ij OF
Massachusetts State Building Code, 730 CLMR
Revised blur 201 l
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Tivo-Family Divelling
This Sect* ' ForOfficial UsaOnf
Building Permit Number: 9 Date Applied:
Budding Official(Print N ime / tg ure' � Date
.
SECTION I:SITE IYFOPLNIATION
1.1 Propertydres Ads: 1.2 Assessors Map& Parcel Numbers
33 �yk AuJ
1.l a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: L4 Property Dimensions: ,
/S, 08-2 r r/6
Zoning District Proposed Use Lot Area(sq R) Frontage(R)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided '
V20
1.6 Water Supply: c.40,§54) 1.1 Flood Zone Information: 1.3 Sewage Disposal System:
Public❑ Private W Zone: _ Outside Flood Zone? Municipal ROn site disposal system ❑
Check if Yel
SECTIONZ., PROPEATV'OWNERSFID'�
2.1 Owners of Record:
.ToE GdAV,CF_ .Si 15V , /vM.
Name(Print) City,State.St—ate
,33 FORT 781 3 ���30 {tbs�yp-r�KAEyI®rRce. ,�(
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF.PROPO5ED.WOR10'61tieck all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work': IQFPIODF CAPE 000E RZd4d11-0 aWo 6CIdodp
nTZIs
SECTION 4: ESTIbLATED CONSTRUCTION COSTS
[rein Estimated Costs: 0.Mcjai Use Only.
Labor and Materials
1. Building S 6 D d 1. Building Permit Fee:S l'rtdicate how fee is determined:
2. Elzctrical g ❑Standard.CityrCown,ApplicationFee.'
❑Totai Project Cost(Item.6)s multiplier x
1. Plumbing i 2- OtherFiim'S
1. Mechanical (IIVAQ S
Mechanical (Firs S
inh, ,cession) _ 1'utal :\II Fees:$_
Check No. Chcck Aumunt: C;ish :lntunnt:
--
n 1'0ol I'rniect
f ❑ I.tid in Pnll ❑Outst:u,din" iiul:tncc Loa:
1 .
SECTION 5: CONSTRUCTION SERVICES
5.I Construction Supervisor License(CSL)lei
License Number Expiration Date
Name of CSL I[Older List CSL Type(see below)
73a ,QR/ rralf 5 type Description
No. and Street U Unrestricted Ouildin s u to 35,000 cu. 11.
R Ilcstrictcd13t2Flunil D%yellinig
City!town,State,ZIP v[ \lason
RC ROatin Coverin
WS windowandSidin
SF Solid Fuel Burning Appliances
o�� IUD
Insulation
role hone Email address Demolition
5.2 Registered Homelniproventent Contractor(HIC) /23 &v p gyp/
HIC ltegistr Lion Number 8xpinition Date
l IIC Campany Name or RIC Registrant Nama / (6,0 6)tfgie Z o//NEB
93.2 BRlTTrSf/ 6! Emailaddrcss
No.and Street
City/Town, State ZIP Tale hone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(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 .......... 9 No...........❑
SECTION 7m: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property,hereby authorize �"
to act on my behalf, in all matters relative to work authorized by this building permit application.
�T-66- e a v � ad/
aro
Print owner's Name(Electronic Signature)
SECTION 7b: OWNER' OR AUTE[ORIZED',kGEN,r DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
/�DZNf� S7'E lPoy Pa&s 4411 eot2P. A ai
Print Owner's Or Amhuritcd:\genty Hanle(Elactronle algnaturo)
ute
NOTES:
I. :\n Owner who obtains a building permit to do Itisiher own work,or an owner who hires an unregistered contractor
(nut registered in the itoulc Improvement Contractor(HIC) Program), will not have access to the arbitration
program or guaranty fund under M.G.L.c. 1.12A. Other important information on the H[C Program can be found at
www m;tsa.uuv%oca Information on the Construction Supervisor Liccnse can be found at www.nrlas.%Lv: lt?'+
3 When substantial work is planned,provida the information below:
Total floor area(sq. ItJ —_. —(including garage, finished boscrncnNattics, decks or porch)
tiro;; living area(sy. it.)
Habiclble room count
NumbaroFtirupluOcs.__---_---— Number of --------.. .-____--
Numbar of b,uhnvints _ _-- Number of halbbaths ----
- -- —
f.pe of he,uing iy<lelll \unbar of JOO .,'pori tes
—
Fltcloicd pen
I'\fC f iJn1111� tel❑ - - ___._..—. . .- ...
- l of d I'nq:et Oyu n'e I nl r:a" ul.ly 1%: ill,tilul"I 60r
,. CITY OF S,UZNi, J-A-u5:\CHUSETTS
EJt:11X C OEPA.ATNONT
,;\;b,,,,.�, I?O l•U 1iHC7GT0,v STttF&T, 3'O Ft.00 t
`•� ' TEL (973) 713-9595
!QUOERLEY DRlSCOLL FL'C(973) 7•10.934.4
lYOR 'Glad usr.pip- tB
Om-ca tUppt:OLlCpRapEaTy/gO=LNGCOSU(l55lo.VEQ
Construction Debris Disposal Affidavit
(rcyuihd for sll demalition LUld Nnovation work)
fn acconlanco with tite sixth edition aftlta State Building Cade, 730 GbfR section
I I L3
Debris, and the provians ia of MGL c 40, 3 94;
BuildingSYrPennit,� is issued with the condition that the dcbris resulting from
INS wur!c shall be dispascd of in a properly licensed waste disposal facility as dunned by tL[GL c
III, S I SOA.
111/1i1�c debris will ba tnimportcd by:
l�OAeAC-1AJ, QiC6MA1- IWO r
(11JOW ofhautur)
The'dubri,i will bu disposed of in :
-——
------ utGcdi(y) �
I
r ipPlic.nif v
as SiU EM N. USACHUSETTS
OF L 5
,. CITY ,
BUILDING DEPARTdIENT
3 } ?• 120 WASHIINGTON STREET,V FLOOR
TEL (978)745-9595
F.Aa(978) 740.9846
KIJfBERLEY DRISCOLL Twins S'LPimil
MAYOR DIRECTOR OF PUBLIC PROPERTY/3UMDLYG COMMISSIONER
Workers' Cofnpensation insurance Affidavit: Builders/ContractorslElectricians/Plumbers
Atiolicant information r ! rPlease Print Legibly
Nnmc(Busi,xs&organiratiarulndividual): /� ///�.S oCn 6//
Address: 7 3a1 d3 ! T TOIt/ ST
CAV/State/zip: 0A/(::0#11 MA . 61b4.6 Phone#: «!/d3 _Ja �/ Y9)
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. 0 I am a general contractor and 1 6. ❑Now construction
employees(full and/or part-time).* have hired the subcontractors
2.V1 ain a sole proprietor or partner- listed on the attached sheet 1 7• Wemodeling
ship and have no employees These subcontractors have a. ❑Demolition
working fur me in any capacity. workers'camp.insurance. 9, 0 Building addition
(No workers'comp.insurance 5.'0 We area corporation and its.
required.) _ officers have exercised theirt0.❑Electrical repairs or additions
3.0 1 am a homeowner doing all work right of exemption per MOIL 1 L0 Plumbing repairs or additions
myself.[No workers'camp. C.,152;.$1(4),and we have no 12.0 Roof repairs
insurance required.)t employees.[No workers' U.❑Other
camp;insurance required.)
Any appliVull that chtclts box 41 mot a1W fill uul the section below chowina than worker'eompimadon poli y infumnataom
I hvnau um"-he submit this affidavit indicalina they am dolny all work and then hire ovI640 cantmoom mull submit a new amdavit indicting such.
'Cuntracmn that chick this box mot attachad an addidum l short showing the time of the subrrontractare and thelr workars'comp,put ley infamanoe.
I um an employer drat tr propldlag workers'compensation rtaurance for my employees; Below If die pulley and fob site
iojunnutiom
insurance Company Name:
Policy A or Self-iru.Lic.H: - Expiration Date:
Job Site Address: City/Statwdzip:
,%ttacb a copy of the svorkers'compensatlon policy deelaratfan page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 23A of MGL c. 152 can lead to the imposition of criminal penalties of a
tine up to S1,500.00 untl/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and it tine
of up to 5230.00 a day against the violator. 13e advised that a copy of this statement may be forwarded to the Office of
hivestigutiurts ul'the DIA for insurance coverage verification.
I do/hereby certify under the pules and peauldes ojper/ury that ilia befurmation provided above iq true cord correct
0 �{J
Siannnuc: & , lrilR.0 r &/9/ r Dare' AU[%
phone /y/l3 cS.JJ- /t/2 e
01.icial use only. Do not write in this area,to be completed by city or town n/JlciuL
cityor'rown: _ Permful.leenseAs _
Issulag Aushority(circlo one):
I. Board of Ilculth 2. Building Department 3.Cilylrown Clerk 4. Electrical inspector 5. Plumbing lnspeetor
G.Other.
Contact Person: . _ Phanehi: I
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---';— — -- LE- - - -. -- -- —
�� FORT AVENU ^ _- -� - --
_ MORTGAGE PLOT PLAN
TO: METRO CREDIT UNION' IN
/ CER77FY THAT THE DW£L D 7SHOWN MEDL TO TN£OCArEVON I
THE GROUND AS SHOWN SALEM. MA
ZONI/JG SE78ACK REOUIREMENTS FOR SAL£M, MA AT
T„� n,.c , MNCTRNCTinN (7R /S EXEMPT FRnI,A
Job Truss Truss Type Oty Ply E.N.Corp 0001
13072696B Ti FINK 20 1
Job Reference optional
Universal Forest Products Run:7.350 s Sep 27 2012 Pnm:7.350 a Sep 27 2012 MiTek Industries,Inc. Tue Ju123 1138:39 2013 Page 1
ID:NmPODOvSN8DUMO1 mpvZOr3yvCIE-19FdOmteXj18yh88Vi?85w4r97xMSRvgK6mERbyvCk_
p2-2-12 30-0-0
7-9.q 7-9-4
7-9-q
72 12- - 7-2-12
Scale=1:50.1
4x6=
6.00 V2
4
3.6 4 3x6 0
3 5
2x4\\ 2x4
6
2
1 1 \
2
7
o �
3xa=
3x8 - 10 28-0-0 9 a W9xrr20iH II
3x10 x = x 3*�_
19-9-13 30-0-0 -1
10-2-3 1--
1 10-P-3 9-7 10-2-3
Plate Offsets(X Y): [1:0=8-0,0-0-2],-[1:0-0-8 1-2-11],-[7:0-8-0 0-0-2],[7:0-0-B 1-2-1 1] -
LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl Ud PLATES GRIP
TCLL 35.0 Plates Increase 1.15 TC 0.92 Vert(LL) -0.23 7-8 >999 240 MT20 197/144
(Roof Snow-35.0) Lumber Increase 1.15 SC 0.76 Vert(TL) -0.64 7.8 >555 180 MT20H 148/108
TCDL 10.0 Rep Stress Incr YES W B 0.56 Horz(TL) 0.10 7 n/a n/a
BCLL 0.0 Code IBC2009/TP12007 (Matrix) Wind(LL) 0.14 1-10 >999 360 Weight:110lb FT=4%
BCDL 10.0
LUMBER BRACING
TOP CHORD 2x4 SPF 210OF 1.8E TOP CHORD Structural wood sheathing directly applied or 3-3-3 oc puriins.
BOT CHORD 2x4 SPF 2100F 1.8E BOT CHORD Rigid ceiling directly applied or 8-11-5 oc bracing.
WEBS 2x4 SPF No.2 or 2x4 SPF Stud
WEDGE
Left:2x8 SP No.t,Right:2x8 SP No.1
REACTIONS (lb/size) 1=163410-3-8 (min.0-2-9),7=1634/0-3-8 (min.0-2-9)
Max Horz 1=-107(LC 4)
Max Upliftl=169(LC 6),7=-169(LC 7)
FORCES (lb)-First Load Case Only
TOP CHORD 1-2=2897,2-3=2550,3-4--2382,4-5=-2382,5-6=2550,6-7=-2897
BOT CHORD 1-10=2492,9-10=1630,8-9=1630,7-8=2492
WEBS 2-10=-669,4-10=930,4-8=930,6-8=669
NOTES
1)Wind:ASCE 7-05;100mph(3-second gust);TCDL=S.Opsf;BCDL=S.Opsf;h=24ft;Cat.II;Exp C;enclosed;MWFRS(low-rise)and C-C
Exterior(2)zone;cantilever left and right exposed;C-C for members and forces&MWFRS for reactions shown;Lumber DOL=1.60
plate grip DOL=1.60
2)TCLL:ASCE 7-05;Pf=35.0 lost(flat roof snow);Category II;Exp C;Partially Exp.;Ct=1.1
3)This truss has been checked for uniform snow load only,except as noted.
4)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the
responsibility of the fabricator to increase plate sizes to account for these factors.
5)All plates are MT20 plates unless otherwise indicated.
6)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
7)HTW24 LISP connectors recommended to connect truss to bearing walls due to UPLIFT at jt(s)1 and 7.This connection is for uplift
only and does not consider lateral forces.
8) 2009 International Building Code section 2306.1 and referenced standard ANSVTPI 1.
This truss is designed in accordance with the
9 P
"Semi-rigid itchbreaks including heels"Member end fixity model was used in the analysis and design of this truss.
9
LOAD CASE(S) Standard
Job Truss - Truss Type Qry Ply E.N.Corp
0002
13072696B T1GE GABLE 1
J Jab Reference(opfonaq
Universal Forest Products Run:7.350 s Sep 272012 Print:7.350 s Sep 272012 MiTek Industries,Inc. Tue Jul 23 1138:,10 2013 Page 1
ID:NmPODOvSN8DUMO1 mpvZOr3yvCIE-VLo?D6tG11Q?arjK3PWNe8dBCXRyBwwpZmVnylyvCjz
15-0-0 30-0-0
15-0-0 15-0-0
Scale=1:50.4
4x4=
6.00 V2
9
8 10
3x4� 3x4
11
6 7 12
13
5
4 14
3 T all t 15
T
T
2 TO 16
T
17
- o
3x4= - . . .. . . . . 28-00 . ... . . .. .. 3x4=
28 27 26 25-24�3 22 21 20 19 16 j
3x4=
30-0-0
30-0-0
LOADING(psf) SPACING 2-0-0 CSI DEFL in (fee) I/deft Ld PLATES GRIP
TCLL 35.0 plates Increase 1.15 TC 0.24 Vert(LL) n/a - n/a 999 MT20 197/144
(Roof Snow=35.o Lumber Increase 1.15 BC 0.10 Vert(TQ n/a - n/a 999
TCDL 10.0 Rep Stress Incr YES W B 0.45 Horz(TL) -0.01 18 n/a n/a
BC
0.0 Cotle IBC2009/TPI2007 (Matrix) Weight:133 Ito FT=4
BCDL 10.0
LUMBER BRACING
TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 10-0-0 oc purlins.
BOT CHORD 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing.
OTHERS 2x4 SPF No.2 or 2x4 SPF Stud
REACTIONS (lb/size) 25=418/28-0-0 (min.0-5-3),26=240/28-0-0 (min.0-5-3),27=215/28-0-0 (min.0-5-3),28=216/28-0-0 (min.0-5-3),29=241/28-0-0 (min.0-5-3),
30=135/28-0-0 (min.0-5-3),31=394/28-0-0 (min.0-5-3),23=240/28-0-0 (min.0-5-3),22=215/28-0-0 (min.0-5-3),21=216/28-0-0 (min.0-5-3),
20.241128-0-0 (min.0-5-3),19=135/28-0-0 (min.0-5-3),18=394/28-0-0 (min.0-5-3)
Max Horz 31=107(LC 4)
Max Uplih26=-45(LC 6).27=-51(LC 6),28=50(LC 6),29=-40(LC 6),30=83(LC 6),31=-65(LC 7),23=45(LC 7),22=-51(LC 7).21=50(LC 7),20=41(LC 7),
19=-78(LC 7),18=-59(LC 6)
FORCES (lb)-First Load Case Only
TOP CHORD 1-2=329,2-3=277,3-4=299,4-5=294,5-6=254,6-7=294,7-8=297,8-9=288,9-10=288,10-11=297,11-12=294,
12-13=254,13-14=294,14-15=299,15-16=277,16-17=329
BOT CHORD 1-31=-228,30-31=228,29-30=228,28-29=-228,27-28=228,261 25-26=228,24-25=-228,23-24=228,
22-23=-228,21-22-228,20-21=228,19-20=-228,18-19=-228,17-18=-228
WEBS 9-25=378,8-26=-200,7-27=-174,51 4-29=191,3-30=-131,2-31--293,10-23=-200,11-22=174,13-21=.179,
14-20=191,15-19=131,16-18=-293
NOTES
1) Trusts designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry
Gable End Details as applicable,or consult qualified building designer as per ANSUTPI 1.
2)TCLL:ASCE 7-05;Pf=35.0 psf(flat roof snow);Category II;Exp C;Partially Exp.;Ct=1.1
3)This truss has been checked for uniform snow load only,except as noted.
4)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the
responsibility of the fabricator to increase plate sizes to account for these factors.
5)All plates are 2x4 MT20 unless otherwise indicated.
6)Gable studs spaced at 2-0-0 oc.
7)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
8)HTW24 USP connectors recommended to connect truss to bearing walls due to UPLIFT at jt(s)31,18, ,26,27,28,29,30, ,23,22
,21,20,19,and .This connection is for uplift only and does not consider lateral forces.
9)Non Standard bearing condition. Review required.
10)This truss is designed in accordance with the 2009 International Building Code section 2306.1 and referenced standard ANSVTPI 1.
11)"Semi-rigid pitchbreaks including heels'Member end fixity model was used in the analysis and design of this muss,
LOAD CASES) Standard
E. &N. CORPORATION
732 BRITTON STREET
CHICOPEE,MA. 01020
413-532-7138
JOSEPH& SHARON CONLEY
33 FORT AVENUE
SALEM, MA.
SCOPE OF WORK TO BE DONE
1. REMOVE EXISTING ROOF FROM EXISTING CAPE, 25'X31'
2. FRAMING: INSTALL PLATES, 2X6, & FRAME FLOOR WITH 2X10 JOIST, 16"OC,
/2" CDX PLYWOOD.
3. FRAME WALLS WITH 2X6 STUDS, 16"OC & %2" CDX PLYWOOD.
4. TRUSS ROOF TO BE 6/12 PITCH, 16"OC, 12" OVERHANG, BETAL BRACING
COVER TO BE '/2" CDX PLYWOOD. FIRST 6' OF ROOF TO HAVE 1 CR& SNOW
SHIELD. 30 YEAR ARCITECTUAL ROOFING, COLOR, OWNERS CHOICE.
5. EXCAVATE FOR 25'X23' ATTACHED GARAGE. FRAME WITH 2X6 WALL
STUDS TO MATCH NEW FLOOR OF HOUSE.
6. INSTALL 3"X16"X23' LAMINATED BEAMS TO CARRY FLOOR LOAD.
7. FLOOR JOIST TO BE 2XI0 TO MATCH HOUSE FLOOR WITH '/2" CDX.
8. SECOND FLOOR WALL, 2X6, WITH '/2"CDX PLYWOOD.
9. TRUSS TO BE 6/12X25' LONG, 12" OVERHANG.
10. ROOFING SAME AS HOUSE.
11. DOORS & WINDOWS TO BE ANDERSON,VINYL CLAD & WOOD INSIDE.
12. SIDING TO MATCH VINYL ON EXISTING HOUSE AS CLOSE AS POSSIBLE.
13. EXTERIOR TRIM TO BE WHITE ALUMINUM & VINYL SOFFIT.
14. INTERIOR DOORS TO BE RAISED PANEL PINE SOLID POCKET DOORS, EXCEPT
RATED FIRE DOOR AT TOP OF GARAGE ENTRY.
15. INSULATION........WALLS, R29, CEILING, R40
16. INTERIOR HOUSE FLOOR& WALLS: 2ND FLOOR TO BE '/2" SHEETROCK,
TAPED & FINISHED, READY TO PAINT.
17. ALL TRIM TO BE 4"X3/4" PINE STAIN GRADE, INSTALLED & READY TO
STAIN.
18. CABINETS & COUNTERS (BY OWNER), TO BE INSTALLED.
19. 5/8 SUBFLOOR TO BE INSTALLED, TOTAL 2ND FLOOR.
20. EXCAVATION& POURED CONCRETE FOOTING FOR GARAGE. FINISH TO BE
GRADED, RAKED & SEEDED.
21. DECK ON SECOND FLOOR(SIZED BY FINAL BUILDING SIZE), TO BE
PRESSURE TREATED. FRAMING & RAILS & TEXTURED DECKIN
JOE& SHAREN
CONLEY
33 FORT AVE
SALEM , MA 01970
ridge vent
engeneered truss 6/12 pitch
30 yr architec roofin
r40 ins
6' ICE & SNOW COVERy CEALING
1/2" cdx ply-->
� .FLOOR TO CEALING HEIGHT
2/10" headers ext windows & 81
vented soli doors
<—R INS WALLS
1/2"sheatrock 2nd floor 5/8" rock
vinyl siding-----> on garage walls & cealing
2'6 studs 16"oc -1/2" cdx ply with 5/8"pts
s,.,,112'cdx ply & _
tyve_ c paper
2/6 plate new 2/10 floor joiste 16"oc
existing 1 st floor
NEW 2ND FLOOR
JOE &SHAREN CONLEY
33 FORT ST
SALEM MA.
_—_-- —54'
16'10 10'11 127
B'6 2'T T
27 7'6 6'9 57 54
DECK UP
7'2"/31'
N
OJ
KITCHEN (- LIVING RM
MASTER BDRM 18/14 HALL ABOVEGARAGE
16'8"/11'6" 23725'
N
O.O. HALL
uP BEDROOM
_ 11'6'713'6"
0
BATH
0
L6'2�{� 5'8� La 61 70' 3'2 9'10
LIVING AREA
rs I� n'n 145tsg ft 23'
54' J
JOE & SHAREN
CONLEY
33 FORT AVE
SALEM, MA.
1
JOE & CAREN CONLEY
33 FORT AVE
SALEM MA.
[ 1ST FLOOR]
53'11
393 23'S
o
NEW
GARAGE
23725'
BEDROOM BATH KITCHEN
ul
EXISTING 1ST FLOOR
N
N
BEDROOM LIVING
UP
30'11 � —23'-- —�—
LIVING AREA
76853'11
E & N CORPORATION
Address 732 BRITTON ST.CHICOPEE MA.01020
Address 2
Address 3
Phone Number413-532-7138
Fax Number413-532-7138
CELL 413-433-4142
Web Addres
Ema it LOBGOD@VERIZON.N ET
Fax Transmittal Form
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Name- •::Date Sent. 8 b/.
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Phone. Number of Pages:
15
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08/07/2013 09:25 4135327138 HN-CORPORATION k0088 P. 002/004
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FORT AVENUE
GoN/�y
TO: METRO CREDIT UNION: MORTGAGE PLOT PLAN
/ CE MY THAT THE ooru-AYG sHow 6 40CAT5 ON
i ME GROUND AS SHOWN AND CONFORMED TO THE IN
ZON/NG SC72MCX /7E0U/REMENT5 FOR SALEM, MA AT
THE TIMF OF MAPURfI RTON. OR /.S EXEMPT FROM SALEM, MA
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