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HomeMy WebLinkAboutMiscellaneous - 100 EDGELAWN AVENUE 4/30/20188 7 b 4 Date .�? ./ U /'e> oF TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ....e7f?,7 :�". Gil /�v ... `.................. . has permission to perform ..... D.(!t ......................... plumbing in the buildings of .. J1 �./.�.5 SGG1!� at. . . `�. .T ......Al `.t. .......... . , North Andover, Mass. Fee. 3�....... Lic. No.5 73.3.. .......Y .:...... MBING INSPECTOR Check # Z 1 MASSACHUSETTS UNIFORM APPLICATION FOR-FhKMI i iU UU FLUMIJINV (Print o Type Mass_ `.'. Qate 20�_ ermi # tAlBuilding ocatio 9�wnees- ame- % d Type of Occupancy New ❑ Renovation D Replacementili3� Plans Submitted: Yes D No D FIXTURES c1=DTrr Ir (stalling Compajjn��y Name f4b19'r.?f- ddress 7) -fi I - : - - & 1 7-1 ,usiness Telephone l© U 4Q, A 4 lame of Licensed Plumber or Gas Fitter Check on§i: Certificate ❑ Corporation ❑ Partnership INSURANCE (;UvW1At= 1 have a current liability insurance policy or Its s bstantial equivalent, which meets the requirements of MGI -Ch. 1 Yes No. ❑ indicate the t if you have checked yes, please to YPof coverage by checking the appropriate box. a A liability insurance policy P"e— Other type of indemnify ❑ Bond ❑ OWNER'S INSURNAGE WAIVER: i am aware that th licensee does not have the insurance coverage required by Chapter 142 of the Mass. Generai Laws, and that my sign ture on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent D .. hereby certify that all of the details and and 1 he best of have submitted entered) in above'appiicthis are true and accurate to i compliance with .y knowledge and that all plumbing work and instaflatidns periorme nd r the permit iss for this a ficatioo vr111 be in comp t 142 of the rat laws.--�/"_— .1 pertinent provisions of the Massachusetts State Plumt3ing Code a _ t . By Si na bre of Licen ed lumber Title ' ��' Crtyrrown Type of License: �lltiaster APPROVED (OFFICE USE ONLY) g� i` license Number,_ l ❑ Journeyman i • ONO ON No 0 No 0 No ON 00101 fig• ! ' ..�1001- (stalling Compajjn��y Name f4b19'r.?f- ddress 7) -fi I - : - - & 1 7-1 ,usiness Telephone l© U 4Q, A 4 lame of Licensed Plumber or Gas Fitter Check on§i: Certificate ❑ Corporation ❑ Partnership INSURANCE (;UvW1At= 1 have a current liability insurance policy or Its s bstantial equivalent, which meets the requirements of MGI -Ch. 1 Yes No. ❑ indicate the t if you have checked yes, please to YPof coverage by checking the appropriate box. a A liability insurance policy P"e— Other type of indemnify ❑ Bond ❑ OWNER'S INSURNAGE WAIVER: i am aware that th licensee does not have the insurance coverage required by Chapter 142 of the Mass. Generai Laws, and that my sign ture on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent D .. hereby certify that all of the details and and 1 he best of have submitted entered) in above'appiicthis are true and accurate to i compliance with .y knowledge and that all plumbing work and instaflatidns periorme nd r the permit iss for this a ficatioo vr111 be in comp t 142 of the rat laws.--�/"_— .1 pertinent provisions of the Massachusetts State Plumt3ing Code a _ t . By Si na bre of Licen ed lumber Title ' ��' Crtyrrown Type of License: �lltiaster APPROVED (OFFICE USE ONLY) g� i` license Number,_ l ❑ Journeyman 7505 Date..I—ZA pi ..ao ,sae O TOWN OF NORTH ANDOVER A PERMIT FOR GAS INSTALLATION SSACHUSEt t This certifies that .... ? �-T- Y-1 j A has permission for gas installation ....t�.�. �. ............. in the buildings of.. �. /? e t c at D.F� .. .c�.� t . ( 1 .LA. f A ......)GAS , North Andover, Mass. Fee .—. ..... Lic. No.. /73 . `� y ....... INSPECTOR Check # ni -installing Company Address I la Business Telephone l: MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING MType)�V/,Mass Date (y J'1,0720�Perm.. it�� r A I Type of occupancy New❑ Renovation ❑ Plans Submitted: . Yes ❑ No ❑ a ( Yvt Check one: Certificate n I�Y1% l/IP,I/►/1� ❑ Corporation Blame of Licensed Plumber or Cas fitter INSURANCE COVERAGE: 7 have a current 1 bllity insurance policy or I1 Yes No ❑ If you have checked yes, please indicate the 1 A liability insurance policy Other typ OWNER'S iNSURNACE WAIVER: I am aware that 142 of the Mass. General Laws, and that my sl ❑ Partnership ibstantial equivalent, which meets the requirements of MCL Ch. 142. of coverage by checking the appropriate box. Indemnity ❑ Bond ❑ licensee does not have the insurance coverage required by Chapter tore on s perm application waives this requirement Check one: • Owner ❑ Agent p A 3 I hereby certify that all of the details and Information' IJ have submitted for enteredl In above application are true and accurate to the best of my knowledge and that all plumbing work and Install2t ons performed under the per ued for this appllcatlo 11 be in complia ce with all pertinent provisions of the Massachusetts State Gas ode and Chapter 142 of the C ne 1 Type c F License: By ❑ Plu era re oft censed sI� er or Cas Fitter Tide p G r Ciryrfown as�r License NumberqL _ APPROVED (OFFICE USE ONLY) ❑ Jour eyman MM a ( Yvt Check one: Certificate n I�Y1% l/IP,I/►/1� ❑ Corporation Blame of Licensed Plumber or Cas fitter INSURANCE COVERAGE: 7 have a current 1 bllity insurance policy or I1 Yes No ❑ If you have checked yes, please indicate the 1 A liability insurance policy Other typ OWNER'S iNSURNACE WAIVER: I am aware that 142 of the Mass. General Laws, and that my sl ❑ Partnership ibstantial equivalent, which meets the requirements of MCL Ch. 142. of coverage by checking the appropriate box. Indemnity ❑ Bond ❑ licensee does not have the insurance coverage required by Chapter tore on s perm application waives this requirement Check one: • Owner ❑ Agent p A 3 I hereby certify that all of the details and Information' IJ have submitted for enteredl In above application are true and accurate to the best of my knowledge and that all plumbing work and Install2t ons performed under the per ued for this appllcatlo 11 be in complia ce with all pertinent provisions of the Massachusetts State Gas ode and Chapter 142 of the C ne 1 Type c F License: By ❑ Plu era re oft censed sI� er or Cas Fitter Tide p G r Ciryrfown as�r License NumberqL _ APPROVED (OFFICE USE ONLY) ❑ Jour eyman Da Ie. /`.'..a� lJ....... ,,,ORTN ,°,�O TOWN OF NORTH ANDOVER p 9 i PERMIT FOR GAS INSTALLATION This certifies that .. :' .'"..... /' has permission for gas installation::. ............. . in the buildings of . -- -° ... . `'............... . at .. ... . ............ North Andover, Mass. Fee .?10..... Lic. No:......... GAS tMS TOR Check#'���� 6960 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City(fownN . NIN �Y' MA. Date:\� @,0 0�1```` _. i7 _ Building Location:\CI0 �:.ti0.�,�AWh SA Owners NameA%-P'\A4t ,Permit#(� v�'e•�•h Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ® Replacement: ® Plans Submitted: Yes ❑ No assn. FIXTURES vi W W Y = W a W W 0 U) = cn UJ vi CO = CW7 J V E— N 0 W O F' z Q W D W a 00 Q H j W Z m UJ O W O Q W= u - W N z Q to W Z R W W 2 F- � � z W} W rn Q Q M w 0 z 0 N z z w Q 0 0 0 U- W O a M >>> 0 SUB BSMT. BASEMENT isT FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 T H FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name N Corporation Address%� \%h City/Town- c►� o State: � ❑Partnership Business Tel: ,�'t ��� �Fax: ❑ Firm/Company Blame of Licensed Plumber/Gas Fitter: V -RA Q -V ttr� INSURANCE COVERAGE: j have a current liabilit insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 7NoD If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy X 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 Massachusetts General Laws, and that my signature on this permit application waives thisCheck One Only Owner ❑ Agent ❑ Si nature of Owner or Owner's A entrue and By checking this box (]; I hereby certify that all of the details and information t have submitted (or enterd) regarding this applicai1cation t ill be n accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this app compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.. Type of License: By ® Plumber -- ❑ Gas Fitter Signature of Licensed Plumber/Gas Fitter Title [R Master�^ city/Town [3Journeyman License Number: `oZ� APPROVED OFFICE USE ONLY ❑ LP Installer /J 1 F� F- c O � W cn z o A 0 0 L:. O W W a W w p O w ' :O Cl ¢ U a a 1 z z W signature ZI Authc 1.1 Liccasad Cans el (,:i, ly ,.2 Registered Home ?; � M :ompany Name /6) i 6, Iclepliona 9XVIDW ' l� L) itractor Telephone Address for Service: wig Not Applicable 0 Lo—wse Number o 2- n Not Applicable 0 RqOsbation Number Expiration Daft P 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 buildin rmit. t . Signed affidavit Attached Yea ........❑ No ....... ❑ 5 +tri 'M,%,,, P . y a=y N ' t5. �.; �...t 3f.r F 'N• 7N° F. :. t. ..Y\ 5.1 Registered Architect: Name:. Address -Signature Telephone Area of Responsibility Name: Registration Number Address: Expiation Date Signature Total Not applicable 0 Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date " Name Address Signature Telephone I Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone MAMMON NONE ?I , 91 -61 -WEA Not Applicable 0 Company Name: Responsible in Charge of Construction New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition 0 Accessory Bldgs ❑ Demolition 0 Other 0 Specify Brief Descrintion of Pror nsM Work- MILDINU AREA EXISTING if applicable) Number of Floors or Stories Include Basement levels PROPOSED Floor Area per Floor s USE GROUP Idheck as a licabfe CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 0 A-3 ❑ 1A 0 A4 0 A-5 0 1B 0 B'Business ❑ 2A 0 C Educational 0 2B 0 F Facto ❑ F_I 0 F-2 0 2C 0 H I-ligh Hazard ❑ 3A 0 IInstitutional ❑ I-1 ❑ I-2 0 I-3 ❑ 3B 0 M Mercantile ❑ 4 R residential ❑ R-1 0 R-2 0 R-3 0 5A ❑ 0 S Storage ❑ S-1 0 S-2 ❑ 5B 0 U utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: E' MILDINU AREA EXISTING if applicable) Number of Floors or Stories Include Basement levels PROPOSED Floor Area per Floor s Total Area Total Height ft independent Structural Engineering Structural Peer Review Raluired- Yes 0 No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR MNTRAVTAR ADDY rve Lvov nrrrr nrwd, nz+isawi, I' as Owner of the subject property Hereby authorize to act on My behalf; in all matters relative two work authorized by this building permit application Signature of Owner ' v�L ' � � ll' PP/l D• as Owner/Authorized e declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Sign under the pains and penalties of perjury %171) 9/ � 41,1, PhAt Name -4 t-1 of Item 1. Building 2 Electrical 3 Plumbing 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Estimated Cost (Dollars) to be Completed by Ve t a licant `� (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction from (6) Building Permit fee (,) x (b) Check Number NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 30, ---- NO. OF 0,---- CA m C m y m y v m A col C � CA n Z coCD r = O C2 Cn cC �C/)d� y n a0 m �;. 'o so%O-I C cn co cn a. C crsr d CD !p O CD Q O C CD y� O d v y `o CD cn y O cn � °q o d CD c � co b C 0 0 z a 6 414m m O a m m m 0 iA 0 CL Go C ? a O m LL a `�grt 3 M zrm -4 �a •Cmc .+ y O •ig C O Z- 0 O �=-a a — ! C CLm fmq cop C Q CL C �m < '� • co, C409 7 � �q m Go m O o• a3 � �CA om dm C� sem. z 0 w 0 v 0=3 I 0 c z A ° m r' w ° r 0 ° 0. R- a to I 0 c 09/28/2004 12:55 5088656809 LEO TURNER _P r wu��rv>ii� �Hvv�rT�i�s TEST RESULTS Hannay Manufactured Windows and Doors • U -Factor in accordance with NERC -100-97, • Air infiltration in accordance with based on whole window value ASTM E 283 0 1.57 PSF (25mph) PAGE 02/04 Harvey vinyl windows and standard sire Harvey vinyl patio doors with Low-E/Argon qualify for the ENERGY STARS program throughout the United States. 'Alf v"i windows with Low+JArgon quality for the ENERGY STAR program ftuoughout the U.S. The use of ternpered Lo*E 91M may effect ENERGY STAR qualification in your region. AN vokme am "ad to change witiiput no*o due to pew c re -toad q. 0 Clearinudwed Law -E Low-L/Arpn Air FkW R-Vdae -Pacter R -V U4?actor R-Va4u 1111ft1 im Chow YI.NII� VA Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 Classic Dvulu Hung (Welded Sash & Frame) 0.49 2.04 0.30 2,70 0.33 3.03 .14 Classic Acoustical Double Hung STC40 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Dout de Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 o41 Slinline Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Sfmhne Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Roller - 2 Lite and 3 Ute 0.50 2.00 0.36 2.78 0,33 3.03 .09 (24ite) TON MuNs 818 based m wffvwW sbw Now Test reats !or o9w vW NhrWw ai Aot Ww mquest Tempered Tempered Tempered DbL 'temp. Air Clear Low -L Low ElArgon Low KtArg Itirda ion �QQB U-FedW R-Vahn V-FjKiw R-VarnaU-Fador R-Vdae U-Fodtr R-Vutae c�lrP (, u;es - c� 'Alf v"i windows with Low+JArgon quality for the ENERGY STAR program ftuoughout the U.S. The use of ternpered Lo*E 91M may effect ENERGY STAR qualification in your region. AN vokme am "ad to change witiiput no*o due to pew c re -toad q. 0 0/28/2004 12:55 5088656809 LEO TURNER PAGE 031/04 '11�ffll ARCMUCTURAL Vinyl Pabo Door M*W; vinyl POO Door Applications: Residential Light ComMerdal Dtsgngulshing Features Custom Manufactured to Size Welded 8a6h Comers Reinforced Sash Panels Size UnMations Standard Sizes: SM, 6068, 8068 Custom Size—Max. Opening: 2• lite Width 98"Height 92" Max U1 180 3-W Oft 144' Height 92" Max UI 228 4 -ft Width 197 Height 97 Max UI 276 ARCHITECTURAL SPECIFICATIONS General: Manufactured by Harvey Industries, Inc. Opera",: Operating panel shall glide on tandem nylon wJkAdabM rrheti*. Wheels shah glide on a solid anv4tod alumirwm monorail. Silitiormy panel shall be fixed at head and sill with an aluminum angle_ Panels shall have positive Marlock at the meeting rail when in the clrfcctM position. INatarials: Frame extrusion shall be 10096 v'ugkh PVC. Jamb frarm &W have a minimum of 8 hollows, and have a nominal wait thiokness of 0.100". Frame Comstrucam: Comers shall be Abed with a closed axil foam sealing pad, butt -joined and mechanically 1: 1-t led with four stainless steel screws per comer, snc* a&*d into intVd ektution screw boesas. Smen track and rad fin are kAugrei to the frame. The hood and Jamb extrusion shall halve a minimum of 8 hollows, and have a nominal wall thickness of 0.100'. The sill shall have six tubular hollows and a nominal wall thicitness of 0.100". A vinyl cover "I be snapped onto the fixed jamb inside leg to give jamb a finished appearance. Sasi<h Cotistrueftn: Sash panels shall halve mitered and Won welded comers. Sash profiles shall have a nominal wall thickness or 0.109'. Sxh frame chill have five tubular hollows and "I be reinforced with a 0.080" thick extruded aluminum channel in the meeting rads and lockinri Wiles. A unique pocket perimeter on the door panel Shall dose the door around the jamb name adding additional wurfty and tightness. The sash shall have a removable interior snap -in glazing bead, which will allow replacement of glass wtlhout taking the entire sash mart. A vinyl snap on intserloa cover shall be applied to each of the meeting rail styles. Sore" Consbruodon: The door soromen frame shall be of heavy Uft*w aluminum, reinforced at the comers with extruded comer keys for maximum strength. In.w. 1 screening shall be 18 x 16 non -glare fiberglass mesh held in place with a vinyl screen spline. AVINAMe Knishes: Shall be solid vinyl throughout in white and almond. VYeatherstripping. Weatherstripping on the inain runic perimeter shall be silicone treated woolpile with a polypropylene fin in the center. Each sash meeting rail shall contain one course of fin-Wo-peweufherWpping and a positive interlock for a triple seal. Hardware: A variety of hardware and locldng systems are available. See options. Glaring: Insulating glass shall have an overall thickness of Ile' w tih a nmirmm W air space. insulating glass Sandwich shaft use a one-pl$09 steel U -channel design glass spacer, and shall have a deskeent matrix extruded into the base of the LLchannei. A butyl sealant :shall be extruded around the erltire perimeter of the spacer to achieve a sisal. AN his snail be tempered type B domestic float type. A dial durometer snap In glaring bead shall secure the glass in place along the inside perimeter• Options: Grids - Colonial contoured aluminum In -glass. Glazing - Low -E, Argon -filled Low -E, and beveled glass. 3 Lite Units, 4 Lite Units are available. Hardware - White, almond or bright braes finieh handlecvt with dual -pant locking system and keybck, standard. Optional multi- point locking system also available. f=lush mount dendbott. Connsion resistant stainless steel rollers are avatlaMable. InstaWhilon: Installation shaft be in accordance with the manufacturers pentad instructions, Warranty information: Available upon request. Refler to Harvey lndasarlaa actual warranty for completie das>tatla, REV 07,04 09/28/2004 12:55 5088656809 LEO TURNER PAGE . 04/04 0 r ¢ -4w R. O U h� U Q H[ o4 � xw Z. Q o a a O� �WW WWWo WF"� WWaGQ �U U3C70 �poA,az xU 'I�rxoa aa cn �j'p�tCW �a1wE-•O F''EaW„Oe�Aoc�ic � Q� wow u W w .-� F•cay O N c1 v ri T -d GELS 998 809 T 988 AIN 8 13Iwua QOE;BO b0 by daq 10!0411/2004 07:19 5088b5b803 Lr -1J I UMIVCIC gn-9 "69 Is w EL f" ` (pi `G t R1 815 W�� g o�z a 115 =� A v N o fail 0 40 CL ri , 0 Ica of 73 g m q � G6 MAP- s� �wH- h 8 ells w ti. 4 d1-8 iv its 0 fit v CL Si I colt �� 2 w� "12s� a H r'.I 511 113 1z FL, 1Em ° Mgr m e. rmt' t El E . �e omineajilrr o',2i'aa�atra BOARD OF BUILDING REGULATtfSNt' I' License: CONSTRUCTION -SUPERVISOR '` ..e ► Number: CS 065281 j Birthdate: 09/28/1961 a Expires: 09/28/2005 7r; no; .6728.0 . Restricted: 00 y, PAUL BRUNO 1841/2 SUMNER STS ,E BOSTONV MA 02128 -.. _., }, Administrator DATE (MMIDD/YYYY) 2"TM CERTIFICATE OF LIABILITY INSURANCE I 10/25/2004 PRODUCER (617)472-3000„ • FAX (617)472-7248 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burgin, Platner, Hurley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Franklin St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Quincy, MA 02169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Joanne Pilling INSURERS AFFORDING COVERAGE NAIC # INSURED B & M Restoration & Contracting, Inc. INSURERA: Employer's Fire Ins Co 20648 107 Orleans St East Boston, MA 02128 C[1VPRAGGS INSURER B: One Beacon Insurance INSURER C: AIG INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSRR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMODPM LIMITS A GENERAL UASHM X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FBR4409SS 03/17/2004 03/17/2005 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED$ IOO, OO MED EXP (Any one person) $ S'000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY M JjECT F1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS QBXB26S10 12/13/2003 12/13/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 B X SCHEDULED AUTOS HIRED AUTOS 130DILY INJURY (Per person) $ X NO"WNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR F � CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ - a WORKERS COMPENSATION AND EMPLOYERS' UABIUnY WC7687928 V 06/10/2004 06/10/2005 XWC STATrU OTH- E.L. EACH ACCIDENT $ 100,000 C ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBF-R EXCLUDED? E.L. DISEASE - EA EMPLOY $ 100,000 It yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMB 1 $ S00,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS OB: HERITAGE GREEN CONOMINIUMS, N ANDOVER, MA CFRT11:I1%ATC Um neo AFFINITY REALTY & PROPERTY MANAGEMENT LLC 63 ATLANTIC AVENUE BOSTON, MA 02110 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, rrS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Michael Prenderaact/mm we.& 2df?-1�5r ©ACORD CORPORATION 1988 Location No. D`z Date TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ y S- '••.° . ��c�' Building/Frame Permit Fee $ s�emus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ cd Check # 15 5 6 J Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT OR BUILDING PERMIT NUMBER: � � DATE ISSUED: SIGNATURE: . Building Commissioner or of BuildingsDate SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: FD I V V�� Pn LU A i Map Number Parcel Number 1.3 Zoning Information: 1` 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUIIAING SETBACKS (ft) Front Yard . Side Yard ..._% . Rear _ ear Yard R red, Provide l' - Tr . Provided:' OWeer SopplyMGL.C.40. 34) l.s. Flood Zone loforonfi : 'Uhlic ❑ Private ❑ Zone Outside Flood Zone ❑ 1.& Sewerage Disposal: System: _ . Mnoicipal ❑ on Site Disposal System.,. ❑ SECTION 2 - PROPERTY OWNERSffiPIAUTHORIZED AGENT ..I owner or tcecom _ r hi: A-4vit' lame (Pn Address or Service : `� ignature Telephone .2 Owner of Record: Name Print Address for Service: FICTION 3 - CONSTRUCTION'SERVICES I Licensed -Construction Supervisor. Not Applicable ❑ T cen0sed Cdnsfruction Supervisor. _`177 License Numabe ��Tp& L `` 1 ldress (.31— 3361 Expiration Date ;nature Telephone ! Registered Home Improvement Contractor mpany Name dress nature Not Applicable Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (ALG.L. C 152 § 25c(6) 1 01 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 .......0 No ....... 0 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 r-. e) 6 ip. - 1–no SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant 1. Building (a) Building Permit Fee 2 E1&trcai E (b) •estimated Total Cost of i r Coitsftetion 3 Plumbing Buildin Permit fee tl x (b) / 4 Mechanical. AC 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. Signalure of Owner Date SECTIONM- 7b OWNER/AU`ORIZED AGENT &0@ S (D'ECLARATION l as I, : wC TZ �CpS . Owner/Authorized Amt of subject property—r—r Hereby declare that the statements and information on the foregoing application are true and accurate;_ to the best of my knowledge and belief Ste. Prin am Si attire of A en Date', NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS 1 2ND 3 KV SPAN DR%4ENSIONS OF SILLS DIMENSIONS OF POSTS D"NIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR Fri LED LAND IS BUILDING CONNECTED TO NATURAL GAS Lh F. r � J!e -: BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR : Number. CS 075259 d BirthOte 12/14/1965 Expires- 12/1412002 Tr. no: 75259 Restricted To: 00 BRADLEY J SONTZ 7 PINE HILL ROAD "`•'� '�j� ,k SWAMPSCOTT, MIA 01907 Administrator The Commonwealth of Massachusetts Please Print Name: Location: Cih/ Phone (i7 am a homeowner performing all work myself. 01 am a sole proprietor and have no on6 working in any capacity 1 am an employer providing workers'compensation pensation for my employees working on this job. Qdmaarty name: Address GRE Phone * _ Insurance Co. CNA' Pollcr► # �,J C n `39 5 6V FT. reto secure coverage as "utred under Section 25A or MM i52- can lead to #* WVasftn d uiminat penaNles.d a fine up to $1;500.00 and/or One years' imprisonment as well as cava penalties in the fam of a S1'op WORK Opp and a fine Of -($100.00) a day against rne. t understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the p ins a penalties of perjury YW the information provided abme is &ue and cwr� P "Ic-es' Inc. Signature yes Date 5 a o Print name_ Drc.AW �. Som 2 Phone# 7P 5� -Q3(X1 Official use only do not write in this area to be completed by city or town ofdar pCheck if immediate response is required Building Dept Contact person: Phone RM WORKMAN'S COMPENSATION D Building Dept p Licensing Board EJ Selectman's Dice D Health Department D corer 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: (Location of Facility �� StcodcesInc, S ature of grmit Applicant J�Z 1c)? Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector CO) 10 CD� Z a. O d d .o 0 o p CLCD �C CD O ww C CD CL v to CD F CO) 10 CD 0 O CA n� O CO2 n CD CD CD C0! y Cl O CD 0 CD M W L U < co ?god=r _ z •��a' ti d O N1 F.m m C7 0 o yCDIac m Z ?� H '_'� rg m C�OCe m p WRj > > m 0. O O C* rt m O O Zs O h n Co C n GO E CL �o mC°Co0:• m o® RL Go o y m : �Q CA J� m � y NQ 3 VIE 0,� TO CD m 3 O oilk D�t o 'O O O � D z � - m '• � m ny '�; i O ,r i CD O elk .. - o ! th a� � o h co . ' A a F cn R d° cn 4p to 7d o �? p cn qo o QQ 0.4G ;u o O ►n p o to O O y o CL O O O � � v W *Tas ZI M� ~ Date.... ° TOWN OF NORTH ANDOVER n PERMIT FOR GAS INSTALLATION This certifies that .. � .:........... ....................... . has permission for gas installation.:. <!-:,t-^-!:��.� ................. in the buildings�,0 .... I '. om ............... . at . ��-w North Andover, Mass. Fee .J )..... Lic No.. l �� ... �.............. r� GAS,INSP CTOR Check # x-57 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ' U V Mass. DatA 202� Permit # Building Lo�cation/J )dl' Zw �I��Owner's Name'/�e 1&111, 1W 14e, P)"�11d�d, %V , Type of Occupancy jR E51 i'-')t'N Ti 0 G New ❑ Renovation ❑ Replacement 2,-' Plans Submitted: Yes❑ No p Installing Company Name :jrire g T A . `Aln MR T A �Q Check one: Certificate Address 3(--) 0oA C H m A. ,y - i-fJ . ❑ Corporation IJ1 E T H U E (J 01 ra D ❑ Partnership Business Telephone 1,o -9 —199 7 ( @--firm/Co. Name of Licensed Plumber or Gas Fitter -f j) j3E 2 T A • J A M rPl ►9 i A Pr D INSURANCE COVERAGE: I have a current I' biltty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes t� No ❑ If you have checked Les, please Indicate the type coverage by checking the appropriate box tA liability insurance policy o,-- Other type of Indemnity ❑ Bond ❑ YOWNER'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 ❑ Signature of Owner or Owner's 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 under the per i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne taws. BY T of License: C� Plumber n ure of Licensedu or atter Trtle tter er License Number X333 City/Town Journeyman 0 IC NL Y • • Y MENNEN Installing Company Name :jrire g T A . `Aln MR T A �Q Check one: Certificate Address 3(--) 0oA C H m A. ,y - i-fJ . ❑ Corporation IJ1 E T H U E (J 01 ra D ❑ Partnership Business Telephone 1,o -9 —199 7 ( @--firm/Co. Name of Licensed Plumber or Gas Fitter -f j) j3E 2 T A • J A M rPl ►9 i A Pr D INSURANCE COVERAGE: I have a current I' biltty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes t� No ❑ If you have checked Les, please Indicate the type coverage by checking the appropriate box tA liability insurance policy o,-- Other type of Indemnity ❑ Bond ❑ YOWNER'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 ❑ Signature of Owner or Owner's 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 under the per i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne taws. BY T of License: C� Plumber n ure of Licensedu or atter Trtle tter er License Number X333 City/Town Journeyman 0 IC NL NI W S V Wsu I W N Z . F r N y, a J o = o • o c W O V � 96 L6 0 z d cc c o O W W 3 z c o J j W m V J d d a W W W NI W S V Wsu I W N Location No. Date �6vl- MpRTM TOWN OF NORTH ANDOVER • p� C? 9 ` Certificate Occupancy $ of • o� .«::ate. ,' �'�S'„° •'<�' s�CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fees $ & � TOTAL $ Check # i 17237 B Building Inspector% TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED:r r G SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: � Map Number Parcel Number Cil Q- C= I CIL W 1N 1 'I l! � - 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BU LDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic IS rIC : Yes No 2.1 Owner of Record �f 1� ; rt ROL V, -, I:t 4 L, w v Name (Print) for Services Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3:1 Licensed Construction Supervisor: Not Applicable ❑ L tensed Construction Supervisor: License Number S—{- Address h � Expiration Date rg ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable El�1 (5 ' ` lCt Company Name jc=, Registration Number Addr 1 f c. Expiration Date Sjgnjture Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 4 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) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Descri 'on of Proposed Work: YC, � � G -,..._ � � �� `enc_ -� �.t. , `� ��•, (�`� � �� SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be?FFIC Completed by permit a licant TAX- (a) Building Permit Fee Multiplier IiSE UNLY 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 j Zi 3 3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, (/ ci C --.- L—t as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf Xn all irs relat' t ork uthorized by t 's building permit application. e Signature of Owner � � Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T24BERS 1ST2 No3RD SPAN DDAENSIONS OF SILLS DIlVIENSIONS 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 DFI Fax:617-227-2995 walim jM M� MML_� ON& JOW �� ar�ar ICONTRAC"� Apr 23 2004 1737 P.02 U.S. Roofing a division of Building maintenance Corp. P.C. Bpx 31'%e Peabody, AAA 01961-3118 Telephone: (878) W2 -63M Fax: (976) 977»0803 The owner(s) of the premises described below, hereinafter lob Address, hereby contract with and authorize U.S. Roofing, hereinafter Contractor, to furnish all necessary materials, supplies, labor and workmanship, and to install, construct, and place improvements at the said lob Address, according to the following specifications, terms, and conditions: Owner's Name: Sob Address: Sob Specifications: Affinity Realty Heritage Green Condo's 99-101 Edgelawn Ave., N. Andover; MA 0184S Heritage Green Condo's 99-101 Edgelawn Ave., N. Andover, MA - Remove all existing shingle layers down to exposed roof board's- - Dispose of all debris of In a legal landfill - Existing gutters to be cleaned of debris and re -secured (if needed) - Air vents to. be removed and openings closed with plywood - Install Ice and Mater Shield at all gutter edges, valleys and all roof penetration. Nail 15 -ib. Roofing fait over entire roof surface. - Install 8" White aluminum drip edge to entire perimeter - Cut away opening in ridge boards (to allow ventilation) - Install Certainteed'" 25 -year Tab shingles to entire roof surface; storm nailing each (six nails per shingle) - dash all roof penetrations according to National Roofing Standards - Install coil ridge vent at roof peaks r cap sfifngles - Gap ridge vent with Certaintee&' 25 -Yea - Clean and secure site each day (U.S. Roofing will be responsible for flat tires from loose nails) Provide a U.S. Roofing 10 -Year warranty COST OF, WORK: $ 15,160.00 Please Note: -. Any rotted board replacement cost (if needed) will be an additional $3.50 per sq.ft. Each additional layer of shingles over two layers there will be an additional charge of $2.00Sq.ft. - U.S. Roofing is not responsible for the covering of the storage area in the attic - Cost for permit not included in above cost actual cost shall be charged to the Condo Association yyg ss'.rZ ETOZ/TT/91 DFI Fax:617-227-2995 Apr 25 20U4 1(:6r r.uo e 50% due upon delivery of materials and comme�ment of work; 50% due upon completion of all roof work Contractor agrees to perforin the above-described services in a good and workmanlike manner. This contract constitutes the entire agreement between the parties, and Owner agrees that Contractor has made no statements; promises, commitments or representations not contained herein. It is expressly understood and agreed that additional charges will be made by Contractor for all work, if any, ordered by. owner and not specified in this contract. If Owner cancels this cokrtract before work has commenced, owner agrees to pay Contractor 25% of the contract price as liquidated damages for the breach. Contractor is not liable for strikes, accidents, ams of God, or delays beyond Contractor's control. IN wnwESS WHEREOF, the parties have signed their names herein= B V.V• ■�vv....D a division of Building Maintenance Corp. Authorized Representative of Heritage Green Condo Association -,;)-3---6 �� f33 -£Z £TOZ/ZT/90 U.S. Roofing a division of Building Maintenance Corp. ' GEM.Am P.O.9=31ti6 Reabody, MA 01981-31 1 8 qMWMW MPON111111- ROiL1FtNG Tewphone, (918) 532.6300 Fax: (978) 977-0$d3 e 50% due upon delivery of materials and comme�ment of work; 50% due upon completion of all roof work Contractor agrees to perforin the above-described services in a good and workmanlike manner. This contract constitutes the entire agreement between the parties, and Owner agrees that Contractor has made no statements; promises, commitments or representations not contained herein. It is expressly understood and agreed that additional charges will be made by Contractor for all work, if any, ordered by. owner and not specified in this contract. If Owner cancels this cokrtract before work has commenced, owner agrees to pay Contractor 25% of the contract price as liquidated damages for the breach. Contractor is not liable for strikes, accidents, ams of God, or delays beyond Contractor's control. IN wnwESS WHEREOF, the parties have signed their names herein= B V.V• ■�vv....D a division of Building Maintenance Corp. Authorized Representative of Heritage Green Condo Association -,;)-3---6 �� f33 -£Z £TOZ/ZT/90 C 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 Not valid without signature �( Board of Building Regulations and Standards I � 3 HOME IMPROVEMENT CONTRACTOR y Registration: 137667 Expiration: 12/17/2004 Type: Private Corporation BUILDING MAINTENANCE CORP. PETER ALLARD 58R PULASKI ST.��� PEABODY, MA 01960 Administrator 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: r i S 0 coS cam, C (Location of Facility) W4I V1 I R Wg�' ,W] KIM Signature of — �•• �� Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 0 1 L w O O z �IN a H y W C43 F-^ :c® O c o O H C V QC O R ;= O Q L m E CC • L a C Z to O 0. N O L V rO■ cm o S h _W ` O 3 C '= C H W N O CJ C2 C a �o y O 2 C L O d O +_+ O 10 9 'C=.+ C 601�•� O� _C o�rcon ... CL E L- IE IE co M O a CIO cm CD Cf C 32 m O cm QC N O Z 0 Z 0 5 CD a 0 O 4 �I co O co ■ L O CD O y ® C cm i O 10 M� M� .g W !■iJ CD _-� _ cc �d O � � CD �. Q i d r O CO2 0 C �p Cc C.3 J 'O ■� O D C Z ts co CL �..� CO) c C C C CO2 M ,.a a w W a w w w x w w w W W oo cn ,� o cn L w O O z �IN a H y W C43 F-^ :c® O c o O H C V QC O R ;= O Q L m E CC • L a C Z to O 0. N O L V rO■ cm o S h _W ` O 3 C '= C H W N O CJ C2 C a �o y O 2 C L O d O +_+ O 10 9 'C=.+ C 601�•� O� _C o�rcon ... CL E L- IE IE co M O a CIO cm CD Cf C 32 m O cm QC N O Z 0 Z 0 5 CD a 0 O 4 �I co O co ■ L O CD O y ® C cm i O 10 M� M� .g W !■iJ CD _-� _ cc �d O � � CD �. Q i d r O CO2 0 C �p Cc C.3 J 'O ■� O D C Z ts co CL �..� CO) c C C C CO2 M