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HomeMy WebLinkAboutMiscellaneous - 201 AMBERVILLE ROAD 4/30/2018 (2)North Andover Board of Assessors Public Access Nowrti h • i � �{ 'sswcwusct Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors roperty Record Card Parcel ID :210/108.C-0086-0000.0 FY:2013 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO Click on Photo to 201 AMBERVILLE ROAD Location: 201 AMBERVILLE ROAD Owner Name: FERGUS, ROBERT & KAREN C/O DEAN C. HOTALING Owner Address: 201 AMBERVILLE ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 6 - 6 Land Area: 0.28 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2976 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 561,900 553,600 Building Value: 385,500 376,200 Land Value: 176,400 177,400 Market Land Value: 176,400 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2259518&town=NandoverPubAcc 3/19/2013 T,r& T rr N N_ It L) U. 'C pU Q. 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I I wiring in the building of../;/,// ........... ............................... ....................... 7 at ... ............................. ,-North Andover, Mass. ...... ........ Li ...... Fee... tl No. ......................................................... ELECTRICAL INSPECTORCheck # 5L35 � The Commonctaealth of pass' chusetts Office Use OntyS-�3S g rwrott .%. A Deportment of Public Saf �j �/7// dp t; Jccursncy s Fee Qheckte--�sC1l._� BOARD OF FIRE PREVENTION REGULA NS S.27 CZAR 12.00 3/90 �,.-a blank) APPLICATION FOR PERMITT PERFORM ELECTRICAL WORK All work to be performed In accordance t the Mawchusetu Electrical Code, 527 CMR I !:DO (PLEArSE PRINT IN INK OR TYPE AIT, INFORMATION) Date ®'� �- 1, — d L City OI Town O_StN, (j� ��-� To the ?nspector of Wires: Tile undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Number) Owner or Tenant RI •`C X`F410 A �'�� ��i � ��F �( Z r, 04% n C `_ ^ r n ,_X K)41' ._,� C i_ 1 _ -1 L -i^ r r; e - Owner' s Address _. G H ( 11 t1 a le- L i,1 ��iaL LL 1 C' L a.y Is this permit in conjunction with a building permit: Yes 10 No ❑ (Check Appropriate Box) y Purpose of Building lAe u_� n1 P Utility Authorization NO. (), Q Q `-' 5 VG O C Fatisting Service Amps_ I Volts ave-:ead ❑ Undgrd [3 No. of Meters New Serericc ..d�cv 7clps / Z41.0 Volts Overhead ❑ Undgrd iz No. of N.eters I Number of Feeders and Ampacity -X - 'd J^ l -n Location and Nature of Proposed Electrical Works irf, �,r41h� No. of Lighting Outlets N°. of Hot Tubs No. of Transformers Total Initiating Devices No. of Sounding Devices No. of Disposals No. of heat Total Total Pum s cB _. No, of Lighting Fixtures Swimming Pool, AboveIn- ngrnd. ❑ ❑ Detection/Sounding Devices Local I-] Municiel Connection❑Other No. of Dryers heating Devise:, KW gr d.grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighcing Batter Units FIRE ATAR2IS No. of Zoneo No. of Switch Outlets No. of Gas Burners No. of RangesTotal No, Air Cond.tons No. of Detection and of Initiating Devices No. of Sounding Devices No. of Disposals No. of heat Total Total Pum s cB _. No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Local I-] Municiel Connection❑Other No. of Dryers heating Devise:, KW NO' °f -O• ° No. of Water Heaters KW Si is Ballasts Low Voltage w rine No. Hydro Massage Tubs 1No. of Motors Total lip OTHER: INSURANCE COVERAGE: • Pursuant to the ,requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations L'overage or its substantial equivalent. YESH NO (] I have submitted valid proof of same to this office. YES CK NO ❑ If you have checked YE$, please indicate the type of coverage by checking the appropriate box. INSURANCE LA BOND ❑ OTHER ❑ (Please Specify) � Estimated Value of Electrical Work S Work to Start Inspection Date Required: Signed under the penalties of perjury: FIRM NAME c 1' I1.., L a _ C i s A_ Licensee Address Signat OWNER'S INSURANCE WAIVER: I am aware that the Licensee does n stantial equivalent as required by Massachusetts General Laws, Application waives this requirement. Owner Agent (Plea T�II hnn4 X70. `` xpiration ate Rough Final LIC. N0. Ej i LIC. NO. /Bus. Tel. No. '*—Alt. Tel. No. ave the insurance coverage or its sub - that my signature on this permit check one) PERMIT FEE S� �''� Location r7 �t No. ' ! 6 Date &O*Tk TOWN OF NORTH ANDOVER Certificate of Occupancy $ �sJ�cHuSEt� Building/Frame Permit Fee $ ��aQ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ O WO s Check # 100.31.3 Q 1%Lj56 - A i 621, `� Building Inspector I I tLB-r.`5-2004 09'.20 AM MARCHIONDA&ASSOCIATES 781 498 9654 P.01 2 4.3' L-12.32' 1-04'02'01" R-175.00' �I c: MELESC'UC 30;19 Nzw 1o6A0 ."' LOT 23 12022 S.F. 0.28 Ac. TOP FOUNDATION ELEVATION= 157.51 17.0' z(� L-30.85' d i 25.4 a-0442'49" L-69.61; _ R-375.00' Tti m a-22.47'34 R-175.00, / dao � AMBERVILLE ROAD THIS PLP,N IS INTENDED FOR ZONING PURPOSES ONLY. IT WAS PREPARED FROM ExISTING PLANS AND RECORDS WITH THE STRUCTURES SHOWN LOCATED SY AN INSTRUMENT SURVEY. THIS PLAN SHOULD NOT BE USED FOR PROPERTY LINE DETERMINATION, WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS LOCATED AS SHOWN. THE STRUCTURE SHOWN CONFORMS TO THE ZONING LAWS RELATIVE TO REQUIRED SETBACKS OF THE MUNICIPALITY WHEN CONSTRUCTED. ALSO, ACCORDING TO THE F.E.M.A./H.U.O, FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 250098 0015 C DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. .._ ............ .. r OFR 1 i AM`()VER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR - 62 MONTVALE AVE. SUITE I • it j'F' L-IC;jV1l-.`..; O NSW CN(�t..ANC�, L.I,..C, STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUIHF�OROUGH, MASSACHUSETTS 01772 SCALE:1'��30' DATE: 2/2/04 48'3 16'5 19'10 12 �c— 4'9 11'2 3'11 61 5'11 —1 unit h / 32 Closet= Homeowner Fergus 201 Amberville Rd N. Andover Contractor Ted Grab 1029 Humphrey St Swampscott, MA 781-454-5609 fHiti*71rea corn with exhaust fan n hed Storage Area ed Storage Area LIVING AREA 1297 sq ft Date/e, 6' "oRTM� TOWN OF N04TH ANDOVER PERMtT FOR PLUMBING �SS�cNusE� This certifies that ...J� F7 . ...St :.�.. -( ............. has permission to perform .. P.<f-.c ................ plumbing in the buildings of .�.`_�.4 . ..................... at.. ....... , North Andover, Mass. Fee. 3 6. Lic. No..;).? ).2. ........ PPPP"! ........ . UMBING INSPEC OT R Check # 7550 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location Z 41 Owners Name `Co i�2 rrn , , Permit # ?�' j a n �, Amount 7 4 � Type of Occupancy New ® Renovation ❑ Replacement 1:1 Plans Submitted Yes 0 No M (Print or type) Installing Company Name Iss: a L, Address 2? t ,AT.+,,,, Lo- Name ,,,. Name of Licensed Plumber: Insurance Coverage: Indicate the type Liability insurance policy ❑ 3s-s»p >f insurance coverage by checking the Other type of indemnity n Check one: Certificate Corp. riPartner. 0 Firm/Co. box: Bond ❑ Insur aiver: he undersigned, have been made aware that the licensee of this application does not have any one of the above thre ins ignatur Owner ❑ Agent I hereby ce fy 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 Permit Issued for this application will be in compliance with all pertinent provisions of the M setts State Plumbing Code and Chapter 142 of the General Laws. By: ,gna ure 01 Licerisea.um er Type of Plumbing License Title Z 112 e City/Town icense Number Master Journeyman APPROVED (OFFICE USE ONLY Uj CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH N OV R Building Permit Number � 2— Date TZ CERTIFIES THAT THE BUILDING LOCATED ON�4J �,.,�, moi• e.�v e�Qa�i 4 MAY BE OCCUPIED AS INACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Building Inspector CA m m m m mm FW d COD Cl) 'fl O CD z CO) CL n. c C. CO) � ® n c v CD CD o CLc INCd CD CD CD CX) DO C CD y d O CDy iC CD C2 CO)CD O � z o CD 0 t CD n cn �cn n� �y /.A c cn 2 o� O z cn o m x O .w'O cr N aoSo CoMg !09 n m o o•e� m ma Z N' S -o N� O � CL CL _ .d-► m N T CDI p O y C y fal o S m i..� o x 7 CD G :� a O Z: n O _ • m G S WCD n cCD „� ••'► so o Ste: ;om�L': A m -� a H N d d S C, eD� CCD to CD CO) N m 'oCDCD =. _ : G m !: .. W : `j C y � CD ao � W A -• 17 Iti 0 c mo w m r- C Or- a !� 0 c R� LIS 0 2s 17 Iti 0 c Date.....U....:�?' ,aORTN °ft"`°:•1" OTOWN OF NORTH ANDOVER 3? .�.t .'• OL PERMIT FOR WIRING �ssACHUS This certifies that - �`"' . . ............... has permission to perform ..: _.. .................. ..rrca x......... wiring in the building of ..... ...... a/ `vt Q� , North Andover Mass. Fee . f-�6... .... Lic. No �. �4Syc� . �--. ............ .. . v! LE ICA INSPE Check # 7G 7758 0 24 *\ Commonwealth of Massachusetts Official Use Only OWJ��o9 M- 73 1P M WINDepartment of Fire Services Permit No. 9 yW5 Occupancy and Fee Checked` ; v� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 9-0 f A M &-ko 1 l i S' eri Owner or Tenant VAP , Owner's Address C S Is this permit in conjunction with a building permit?�2<�( yes Telephone No. qi 3] - No ❑ (Check Appropriate Box) Purpose of Building r Utility Authorization No. Existing Service '200 Amps f,Z(a l 2 YO Volts Overhead ❑ Undgrd 0 No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:�� fI f 1 Com letion o th 11 No, of Recessed Luminaires YL -22, ",,,, No. of Ceil.-Susp. (Paddle) Fans pause may oe warvea oy the Ins ector of Wires. o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KV No. of Luminaires Swimming Pool Above ❑ In- ❑ o, o mergency Ig g nd. rnd. Batte Units No. of Receptacle Outlets a j Burners FIRE ALARMS No. of Zones No. of Switches f 2 Burners o. of Detection and jof Initiatin Devices No. of Ranges otal Cond. Tons No. of Alerting Devices No. of Waste Disposers _.umber Tons.._.. _ o. o e -Contained : Detection/Alertingo, Devices No. of Dishwashers Space/Area Heating KW Local unic, I ❑ El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Water Heaters KW of No. of No. of Devices or E uivalent Data Wiring: Sio. s Ballasts . No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: %Q VIO 7 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless ' the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office/. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)C} F jlj C.'0 I�t�'TGSitJ,�'� I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: - LIC. NO.: Licensee: �fSS 1/S1�t/�� Signature LIC. NO.:. �5 (If applicable, enter "exempt " in the li ens number,line.) us. Tel. No.-, Address: af` ��59� Alt. Tel. No.: *Per M.G.L c. 147,'s. 57-61, security work requires Department o Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature C1111g Telephone No. PERMIT FEE: $ S' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 r I www.rnxass.gov/dia . Workers' Compensation Insurance Affidavit. Builders/ContractorsMiectricians/Plumbers AnPlicant Informatiion Please Print Legibly Name (Business/Oreanization/individuatl, e- 11""4'f )C' n.,, /':g'[` City/state/zip.4. '{y1�s��� (1 W'<JK4, (j/ / Are you an employer? Check the appropriate box: Type of project (required): I . E3 I- am a employer with 4. ❑ I am a general contractor and 1 b []New construction -employees (full and/or part-time).' have hired the sub -contractors 2. I am.a.sole proprietor or partner- listed on the attached sheet i 7.[3Remodeling ship and have no employees These sub -contractors have g. Q Detnoiiti.on working for me m any capacity, workers' comp. insurance. g, El Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10. F1 Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MOL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 1.52, § 1(4),' and we have no 12.❑ Roof repairs insurance required.] .t employees. [No workers' 11E] Other comp. insurance required..] ^•v RpN— M MILL W1J9UK5 cox IF must also 1111 out the section below showing their workers' 'compensation policy information. t homeowners who submit this affidavit indicating May ate daring all work and then hila outside contractors must submit a new affidavit indicating such. 4Contractors that check this box mustattached an additional sheet showing the risme of the sub -contractors and their workers' comp. policy information. I am an erMloyer that is providing workers' compensation insurance for my employees: Below is -the information policy grid job site Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the. violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci un r the Pains and 2rlties o er that the in ornzWon rnvided above is true and correct V� fp/s�ry f p 0 Official use only. Do not write in this area, to be completed by city or town official City or Town: _ Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 9 O I tqm /Jeer vd i Gf P( LOT NUMBER a \.� SUBDIVISION_ Io!e ST V t r - DATE REQUEST FILED `� ✓ tS �O 7 DATE READY FOR INSPECTION (q 1 G TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS :REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. 'WATER METE DATE l d D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. / DPW AUTH This certifies that I -/ - r,51 Date.... : TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING has permission to perform .......... plumbing in the buildings of . . . .................... at....... ................... North Andover, Mass. Fee'-� L i c. No .,�q Q7".7 .......... OLUMBINGIIN8PECTOR Check I 5 9'i 4 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETI Building Location e2 0/ �Z 1e"' pW New 1:3 -Renovation � Replacement TION FOR PERMIT TO DO PLUMBING Date G �/ Permit # / Amount Plans Submitted Yes No ❑ FFXT-11,RES • OFF ra re-s"M 0/l ffl N M M Wr MM/I MMMMMM0II MMMMM M (Print or type) Installing Company Name Address Business Telephone z a Name of Licensed Plumber: Check one: Certificate corp. 11 Partner. F1 Firm/Co. Insurance Coverage: Indicate the type of if�drance coverage by checking the appropriate box: Liability insurance policy E ' Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,l/have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner El I hereby certify that all of the details and information I have submitted (or best of my knowledge and that all plumbing work and installations perfo compliance with all pertinent provisions of the Massachusetts Sta BYg-na ure o L-1-c-e-FS71 ITTV Agent M ve application are true and accurate to the Fern -tit Issued for this application will be in 9ff Chapter 142 of the General Laws. //2" / Nr�� ense Title City/Town r7cense INUMDer Master 0---'oumeyman ❑ APPROVED (OFFICE USE ONLY Location .9AA�+��--'lam No. c?�5 Y, Date NORTh TOWN OF NORTH ANDOVER 0 � 70 Certificate Occupancy of $ �wCMU sEs�. Building/Frame Permit Fee $ Z Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20608 J Building Inspector 9 I Location�61� No. 7� Date Z Nom,. TOWN OF NORTH ANDOVER C1. 9 t Certificate of Occupancy $ v- s MUsE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4� av Check # C1 WAS S \1,: // —Building Insped%i a TOWN OF NORTH ANDOVER BUILDING DEPARTMENT ffUU-D1NG PERMIT NUMBER: ry SIGNATURE_ Building CommiSsionerlIns tflr fings -nates SLCTION 1- SITE INF012hiATION 1.1 Proprrty 3ddee—s, 1.2 Assessors Map and Parcel Number AO �t S Map Number Parcel Number L3 LtmiuvInformauou_ 1.4 PropertyDuneasiOas: too q3k Z ttrirxs i-isrricx Nro Use Loi Area Fronts ft Lel BY1LD1NG-SETi3ACKS 1't Front Yard Side.Yard Rear Yard . Required f Provided PrAuired Provided 1.5. Flood zone laloma/ioa: 1.8 Sewampo Dicpoad SyF i --I wavar suplayILaLC.i0- 54) � OUL"jyFlow zau 0 Maaicipal 0 onSiccDisposal Sysitm 0 pwxlic 0 Fr— 0 SECTION 2 - PROPERTY 0WNEBSIap/AIITH0R=D AGENT 2.1 flivner of ,ford Name (Prim) Address for Service; ©� Signtuure Telephone 2? Owner of Record: -1�Tama Prinr ' ----- Address for Service: Telephone SECTION 3 - CONSTRUCTION SERVICES i.l Licensed Construction Supervisor Not Applicable 0 CS, eo Lit ensedi�otlstruc uotr Supervisor. License Number Expiration Date Signnzure Telephone 3.2 Regisrored Home Improvement Contractor Not Applicable 0 Company Name Registration Number - - .�idraas----------, - Expiration DaU - - - - -- !; Sigaature Pale one kn SWMON 4 - WORKERS COMPENSATION (A G. ]L . C 152 § 25c(6) Worl;.:rs l otnPenitiriOn Insurance affidavit must be completed and submitted with this application. Failure to in the du ial of rhe i»uaucc ofthe building parnrit. Si,ncddavu AttaclLcd Ycs ....... No ...... .❑ SECT10N 5 Deacri tiuu of Pro sed Work a:heck all ap licabtt ) New t:onstrucLilnl E-astiug Building ❑ Repair(s) ❑ Alterations(s) ❑ ACCCSSOA Bldg. i I Demolition ❑ Oth -z 0 Specify Bria-Dai,=_puon of Proper ad Work: - �car� �: ci• s C y SiN ck \ f- m SECTION 6 - ESTIMATED CONSTRiIC' oN cosv; chis atDdavir will result M item Estima ,d Cost (Dollar) to bz Com leted by permit a licalu QiPITI i . �k Y. 1. Building _ �� s 5a s. (a) Building Permit Fee lVtiilti� _ Electrical �J D (b} Estimated Total Cost of Construction c� 11lumbmg Cf. Q Building Permit fee (a) x (b) i �3 8 07 I V -i Ia.;:4haawal (HVAC) 5 Fire PIOIeem)n 5 Total (1+2+3+4.+5) Check Number a A-11VLv ra VWI'41KAusnV1Y1L,11t1viV J:V JJX VViYW1,U-1] 3 WtL.Xfq O!%NERS -4,GENT OR CONTR,&CTOR APPLIES P011 BYJILDING PERMIT as ONNner/Audiwi2ed Agent of subject propeiry Horeb\ aLLLtLariu to act on MN bdLilf iu all Landis relative w uvorb authorized by this building permit application. Signalunt of i)\aner Date SECTION 1h OWNEEIAUTHORIZEDAGENT DECL&RATION ,as Owner/Authorized Agenr of subject pruperi\ Beret» &cIxo LhaL the sdiements and infonna-don on ilia foregoing application are tragi and accurate, to the best of my knowledge and Whef //f 0 _0A Vid 1 1'riiLt N1alne /(3L4 f(3L4 �1��I1;iL111'c' ill LZ\a11Zi%AncSr Da _ NO. O>F STt7R1ES ovx 3 X 3 M; R - I3A.tiEMENi' OR SI_at3 GS men> til iI: Ul IT.C)OR TI NIBF.RS iST CI'_LN DIM NSIONS OF SIDS (Q DIMENS10NS OY POSTS LIKLI Uilyff'N510.NS 01, GIRDERS OL2� C, 111:10HT OF FOUNDATION " THICIGgESS /,C) SL1 01. F00UNG e X 10" a.J 1 %f_A'rERL4kL (_) CIMiNEY a C 1 eare NC IS BUILDING ON SOLID OR F1LI,ED LAND 1S BI!Il.l)ING CONNECTED TO NATURAL GAS LINE n 1 r i FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval /•permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable. requirements. ..,... .s... .rat..■■■r■....................ar..■■..a.....■ .............. PHONE a �� f�0CP :V', D LIC,��1T n..e 4SSL-550R5 MAP NUiYLBER ©. LOT NUMBER. � UBMVISION AV�W/- - . LOTNUMBER a:� S a"`! STREET NUMBER ,. 0 STItbET� ..... ......... ,.. tr_rr a... ....... a ..... , OFFICIAL USE ONLY -9.9-4 ...... a ..... r ..... ... r ..... r ............. r ................... RECNQvIENDATIONS OFTOWNAGENTS ...................... ... ........ d . DATE APPROVED C SERVATION ADNIIMS OR DATE REJECTED DATE APPROVED FOOD INSPECTOR - [MALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTC� - HE TH DATE 12EJECTED . COtvIIv[E�� PUBLIC WORKS -SEWER/ WATER CONNECTIONS D R -E EtiXA Y PE &9T _ �' ✓ - ✓ DATE APPRO VED FTFIE DEPARTNMNT DATE REJECTED CQ X175 KECEI-VED BY BUILDING INSPECTOR DATE Fill MARCHIOHDA&ASSOC I ATES 781 438 9654 130 PROPOSED SITE PLAN i -o -r 23 FOREST MEW ESTATES NORTH ANDOVER, MA MEPARtD FOR PLjL-I',, ?-!OME CORP. ()F NEW ENGLAND ¢-,57 IIJ00PIKE ROAD - SUITE 200 MASSACKMEn"S th7" MARCHIONDA & ASSOC.,L.P. ENGINEERING AND PLANNING C064SULTAN'f�'; 62 MNTVALE AVF, SUITE I STONE", SCALE: 1'-20' (751 121 DATE: ,-A,6/03 LOT 2 3/ �F 127022 A 45 45A cr V, wWAOhi RESERvF-S THE RIMAT TD MAKE FkElJ) CHANGES TO THIS PLOT PLAN oRrpr"R TO AC>41EVE PROPOER SITE ORAINAGF% MEET SETBACK REQUIK"MT5, AVOID LEDGE OR '...=:. OF THE HOME IN THE MOST OPTIMUM WAY. THESE MELD ADJUSTMENTS mE CONSTRUCTION ,,,C- -R IN ORDER To EXPEDITE THE CONSTRUCTION OF THE HOME. ,dPY H7 MADE MIK)UT CONSULTATION WITH TjjE BUYER PROPOSED SITE PLAN i -o -r 23 FOREST MEW ESTATES NORTH ANDOVER, MA MEPARtD FOR PLjL-I',, ?-!OME CORP. ()F NEW ENGLAND ¢-,57 IIJ00PIKE ROAD - SUITE 200 MASSACKMEn"S th7" MARCHIONDA & ASSOC.,L.P. ENGINEERING AND PLANNING C064SULTAN'f�'; 62 MNTVALE AVF, SUITE I STONE", SCALE: 1'-20' (751 121 DATE: ,-A,6/03 Forest View Estates Drawing Date:1/15/04 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Forest View Estates Location: Lot #23 - 201 Amberville Road N. Andover, MA Drawing Date: 1/15/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave. Dedham, MA 02026 Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible j Reviewing Authorities:Fire Department SYSTEM DESIGN 1/15/04 10: 8 Remote Area Number: 3 Telephone:(781) 461-1541 Occupancy:Residential Code:NFPA Hazard:13D I System Type:WET Area of Sprinkler Operation sq ftl Sprinkler or Nozzle Density (gpm/sq ft) 0.100 1 Make:VIC Model:V3610 Area per Sprinkler 190 sq ft1 Orifice:1/2 K -Factor: 5.60 Hose Allowance Inside 0 gpm I Temperature Rating:155 Hose Allowance Outside 100 gpm I At a Flow of 1540 gpm CALCULATION SUMMARY 2 Flowing Outlets Well gpm Required: 161.7 psi Required: 81.6 @ Source I WATER SUPPLY Water Flow Test I Pump Data I Tank or Reservoir Date of Test I Rated Capacity 0 gpm I Capacity 0 gal Static Pressure 100.0 psi I Rated Pressure 0.0 psi I Elevation 0 Residual Pres 78.0 psi I Elevation 0 I At a Flow of 1540 gpm I Make: I Well Elevation 0" I Model: I Proof Flow 0 gpm Location: Lot 485 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 25 Gallons Notes: Garage calculation Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 3 62 48.7 psi 1 1'-�" x 11-4" CPVC Reducer 2' 120 1.610 62 0.4 1 1;w2" Thrd 90 Ell CI 4' 120 1.610 62 0.7 1 Pipe 1Y' 40x25 CSC 5' 120 1.610 62 0.6 1 1;-�" Thrd 90 Ell CI 4' 120 1.610 62 0.7 Elevation Change 810" 3.5 1 1'-�" Thrd Globe Valve CSC "F15" 0' 0 1.610 62 0.0 1 1-1" Fingd Back Flow Valve Watts "70 0' 0 1.610 62 0.0 1 11-1" Thrd Globe Valve CSC "F15" 0' 0 1.610 62 0.0 1 11-z" Thrd 90 Ell CI 4' 120 1.610 62 0.7 Fixed Flow Flow Loss 100 gpm 1 Pipe 11�" PVx15 CSC 50' 150 1.602 162 26.2 Hydr Ref R1 Required at Source 162 81.6 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 162 gpm 99.7 psi SAFETY PRESSURE 18.1 psi Available Pressure of 99.7 psi Exceeds Required Pressure of 81.6 psi This is a safety margin of 18.1 psi or 18 % of Supply I', Maximum Water Velocity is 13.0 fps Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P SIZE Nominal size of pipe. ID Actual internal diameter of pipe C Hazen Williams pipe roughness factor TYPE Type or schedule of pipe # FITS number of fittings as follows: 90 - 90 deg Ell 45 - 45 deg Ell T - Tee LT - Long Turn 90 Ell SPEC - Fitting other than above or fitting with hydraulic equivalent length specified by manufacturer. Pt Total pressure (psi) at fitting Pf Friction loss (psi) to fitting where Pf = 1 x 4.52 x (Q/C)^1.85 / ID^4.87 Pe Pressure due to change in elevation where Pe = 0.433 x change in elevation Pv Velocity pressure (psi) where Pv = 0.001123 x Q^2/ID^4 Pn Normal pressure (psi) where Pn = Pt - Pv Pdrop Pressure loss in pipe rise or drop to an open head. Phead Pressure at an open head. ELEV elevation from branch tee to open head. PIPE pipe length from branch tee to open head. FITS fitting equivalent length from branch tee to open head. NOTES: - Pressures are balanced to 0.001 gpm. Pressures are listed to 0.01 psi. Addition may vary by 0.01 psi due to accumulation of round off. - Calculations conform to NFPA 13 edition. - Velocity Pressures are considered on branch lines and cross mains - Path #1 is from the most remote head back to the water source. - Later Paths are from the next most remote head back to previously defined paths Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 REMOTE AREA #3 14 1 0 9'6" 6.5 fps 30.8 30.8 30.8 PAGE 1 1.400" FLOW 0 # OF LENGTH 0.6 PRESSURE BRANCH LINE 150 PV (GPM) PIPE FITS FEET 0" 0.0 SUMMARY TO HEAD HYD REF OUTLET SIZE 90 45 PIPE VELOCITY Pt Pt Pn ELEV 21711 6.5 fps ID T LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pin Phead FITS PATH 1 FROM HYDRAULIC REFERENCE 4 TO W (PRIMARY PATH) HEAD 4 30.7 1''4" 0 0 212" gpm 6.5 fps 30.0 30.0 30.0 0.16 gpm/sq ft 1.400" 1 0 610" 0.047 0.4 0.0 0.0 K= 5.60 30.7 150 PV 0 812" 0" 0.0 30.0 30.0 REF 10 31.1 114" 0 0 5'8" 13.0 fps 31.5 31.5 PATH 2 1.400" 1 0 610" 0.170 2.0 1.1 K= 5.54 61.7 150 PV 0 1118" 0" 0.0 30.4 REF Al 1;4" 0 0 10" 13.0 fps 33.5 1.400" 0 0 0" 0.170 0.1 61.7 150 PV 0 10" 0" 0.0 REF A2 13a" 0 0 3'4" 13.0 fps 33.6 1.400" 1 0 6'0" 0.170 1.6 61.7 150 PV 0 914" 0" 0.0 REF El 11�4" 2 0 3610" 13.0 fps 35.2 1.400" 2 0 18'0" 0.170 9.2 61.7 150 PV 0 5410" 1010" 4.3 REF W 61.7 gpm PATH 1 K= 8.85 48.7 psi PATH 2 FROM HYDRAULIC REFERENCE 5 TO 10 HEAD 5 31.1 14 1 0 9'6" 6.5 fps 30.8 30.8 30.8 0.16 gpm/sq ft 1.400" 0 0 3'0" 0.048 0.6 0.0 0.0 K= 5.60 31.1 150 PV 0 12'6" 0" 0.0 30.8 30.8 REF 11 114" 0 0 21711 6.5 fps 31.4 1.400" 0 0 0" 0.048 0.1 31.1 150 PV 0 217" 0" 0.0 REF 10 31.1 gpm PATH 2 K= 5.54 31.5 psi E E � o � X000 ' � T o Q ai m � � O V) Z) 2 SO E. - CL v aoDc CO N .-(0oc c a V i I v 3 a m -2 11 a• m 0 o ca F- 0 E 0-0.0 000 6 c "I- 0 r- T ' T CD L N Zo U W I O co CO O O N (II E W Q < O O C 4 Q n LL J Z 0- U) D n N D q 7 CL Q D c O N O L � O. C O) O O T C f oN O m o 0 0 0- U) D n N D q 7 Forest View Estates Drawing Date:1/15/04 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Forest View Estates Location: Lot #23 - 201 Amberville Road N. Andover, MA Drawing Date: 1/15/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave. Dedham, MA 02026 Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible Reviewing Authorities:Fire Department SYSTEM DESIGN Code:NFPA Hazard:l3R 1/15/04 10: 8 Remote Area Number: 1 Telephone:(781) 461-1541 Occupancy:Residential System Type:WET Area of Sprinkler Operation Test sq ftl Sprinkler or Nozzle Density (gpm/sq ft) 0.100 1 Make:VIC Model:V2718 Area per Sprinkler 160 sq ft1 Orifice:1/2 K -Factor: 3.50 Hose Allowance Inside 0 gpm I Temperature Rating:155 Hose Allowance Outside 0 gpm 1 I CALCULATION SUMMARY 1 Flowing Outlets gpm Required: 116.0 psi Required: 49.6 @ Source WATER SUPPLY Water Flow Test I Pump Data I Tank or Reservoir Date of Test I Rated Capacity 0 gpm 1 Capacity 0 gal Static Pressure 100.0 psi 1 Rated Pressure 0.0 psi 1 Elevation 0 Residual Pres 78.0 psi I Elevation 0 I At a Flow of 1540 gpm 1 Make: 1 Well Elevation 0" I Model: I Proof Flow 0 gpm Location: Lot #85 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 25 Gallons Notes: Single head calculation Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 1 16 31.7 psi 1 111�" x 11-4" CPVC Reducer 2' 120 1.610 16 0.0 1 11-�" Thrd 90 Ell CI 4' 120 1.610 16 0.1 1 Pipe 1�" 40x25 CSC 5' 120 1.610 16 0.1 1 1�" Thrd 90 Ell CI 4' 120 1.610 16 0.1 Elevation Change 8'0" 3.5 1 1;,�" Thrd Globe Valve CSC "F15" 0' 0 1.610 16 0.0 1 11-�" Fingd Back Flow Valve Watts "70 0' 0 1.610 16 0.0 1 1�" Thrd Globe Valve CSC "F15" 0' 0 1.610 16 0.0 1 11-�" Thrd 90 Ell CI 4' 120 1.610 16 0.1 Fixed Flow Flow Loss 100 gpm 1 Pipe 11-�" PVxl5 CSC 50' 150 1.602 116 14.2 Hydr Ref R1 Required at Source 116 49.6 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 116 gpm 99.8 psi SAFETY PRESSURE 50.3 psi Available Pressure of 99.8 psi Exceeds Required Pressure of 49.6 psi This is a safety margin of 50.3 psi or 50 % of Supply Maximum Water Velocity is 5.4 fps ` Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P SIZE Nominal size of pipe. ID Actual internal diameter of pipe C Hazen Williams pipe roughness factor TYPE Type or schedule of pipe # FITS number of fittings as follows: 90 - 90 deg Ell 45 - 45 deg Ell T - Tee LT - Long Turn 90 Ell SPEC - Fitting other than above or fitting with hydraulic equivalent length specified by manufacturer. Pt Total pressure (psi) at fitting Pf Friction loss (psi) to fitting where Pf = 1 x 4.52 x (Q/C)^1.85 / ID^4.87 Pe Pressure due to change in elevation where Pe = 0.433 x change in elevation Pv Velocity pressure (psi) where Pv = 0.001123 x Q^2/ID^4 Pn Normal pressure (psi) where Pn = Pt - Pv Pdrop Pressure loss in pipe rise or drop to an open head. Phead Pressure at an open head. ELEV elevation from branch tee to open head. PIPE pipe length from branch tee to open head. FITS fitting equivalent length from branch tee to open head. NOTES: - Pressures are balanced to 0.001 gpm. Pressures are listed to 0.01 psi. Addition may vary by 0.01 psi due to accumulation of round off. - Calculations conform to NFPA 13 edition. - Velocity Pressures are considered on branch lines and cross mains - Path #1 is from the most remote head back to the water source. - Later Paths are from the next most remote head back to previously defined paths ' Forest View Estates Drawing Date:1/15/04 1/15/04 10: 8 REMOTE AREA #1 PAGE 1 FLOW # OF LENGTH PRESSURE BRANCH LINE (GPM) PIPE FITS FEET SUMMARY TO HEAD HYD REF OUTLET SIZE 90 45 PIPE VELOCITY Pt Pt Pn ELEV ID T LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 1 FROM HYDRAULIC REFERENCE 1 TO W (PRIMARY PATH) HEAD 1 16.0 1" 2 0 1613" 5.4 fps 20.9 20.9 20.9 0.10 gpm/sq ft 1.109" 1 0 910" 0.066 1.7 0.0 0.0 K= 3.50 16.0 120 PV 0 2513" 816" 3.7 20.9 20.9 REF 11 1:�4" 0 0 21711 3.4 fps 26.2 1.400" 0 0 0" 0.014 0.0 16.0 150 PV 0 217" 0" 0.0 REF 10 11'4" 0 0 518" 3.4 fps 26.3 1.400" 1 0 610" 0.014 0.2 16.0 150 PV 0 11'8" 0" 0.0 REF Al 1:k" 0 0 10" 3.4 fps 26.4 1.400" 0 0 0" 0.014 0.0 16.0 150 PV 0 10" 0" 0.0 REF A2 1I4" 0 0 31411 3.4 fps 26.5 1.400" 1 0 610" 0.014 0.1 16.0 150 PV 0 914" 0" 0.0 REF E1 1114" 2 0 3610" 3.4 fps 26.6 1.400" 2 0 18'0" 0.014 0.8 16.0 150 PV 0 5410" 1010" 4.3 REF W 16.0 gpm PATH 1 K= 2.84 31.7 psi 0 N r V � r OL N mV'LLb C Y LL ROF M O o N Hco O Q a V O O O O 3 O Q a� O O 2 C:O _ E _ a m n (p co Co. 6 )T O Lo I N N a�3C' 0) 0- > ? CO -N u W 0) O N 0- F- () _ E in 'N n a a O O O 006"t O � T 0) to N a. a — d (0 7 R O c� O 0) -C E Q W Q � 3o L O N � .O M N c C 7LLJZ CL cn — O O 0 O Lo 0 0 v t 1, 0 0 co O Lo N Q a CD CD 0 t N O 00 coo CL cn — O O 0 O Lo 0 0 v t 1, 0 0 co O Lo N Forest View Estates Drawing Date:1/15/04 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Forest View Estates Location: Lot #23 - 201 Amberville Road N. Andover, MA Drawing Date: 1/15/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave. Dedham, MA 02026 Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible Reviewing Authorities:Fire Department SYSTEM DESIGN Code:NFPA Hazard:Light 1/15/04 10: 6 Remote Area Number: 2 Telephone:(781) 461-1541 Occupancy:Residential System Type:WET Area of Sprinkler Operation sq ft1 Sprinkler or Nozzle Density (gpm/sq ft) 0.100 1 Make:VIC Model:V2720 Area per Sprinkler 230 sq ftl Orifice:1/2 K -Factor: 4.20 Hose Allowance Inside 0 gpm I Temperature Rating:155 Hose Allowance Outside 100 gpm I CALCULATION SUMMARY 2 Flowing Outlets gpm Required: 146.1 psi Required: 75.4 @ Source WATER SUPPLY Water Flow Test I Pump Data I Tank or Reservoir Date of Test I Rated Capacity 0 gpm I Capacity 0 gal Static Pressure 100.0 psi I Rated Pressure 0.0 psi I Elevation 0 Residual Pres 78.0 psi 1 Elevation 0 1 At a Flow of 1540 gpm 1 Make: 1 Well Elevation 0" 1 Model: 1 Proof Flow 0 gpm Location: Lot #85 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 25 Gallons Notes: Two head calculation �k of Mqs ALLAN -9 g ON F1 0 0.39337 C69 Fv^ISi�`��� Sl /S � Forest View Estates Drawing Date:1/15/04 1/15/04 10: 6 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 2 46 48.4 psi 1 1;m�" x 1:k" CPVC Reducer 2' 120 1.610 46 0.2 1 11--�" Thrd 90 Ell CI 4' 120 1.610 46 0.4 1 Pipe 11�" 40x25 CSC 5' 120 1.610 46 0.4 1 1',�" Thrd 90 Ell CI 4' 120 1.610 46 0.4 Elevation Change 8'0" 3.5 1 11,x" Thrd Globe Valve CSC "F15" 0' 0 1.610 46 0.0 1 13z" Fingd Back Flow Valve Watts "70 0' 0 1.610 46 0.0 1 1'-�" Thrd Globe Valve CSC "F15" 0' 0 1.610 46 0.0 1 11,�" Thrd 90 Ell CI 4' 120 1.610 46 0.4 Fixed Flow Flow Loss 100 gpm 1 Pipe 11-" PVx15 CSC 50' 150 1.602 146 21.7 Hydr Ref R1 Required at Source 146 75.4 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 146 gpm 99.7 psi SAFETY PRESSURE 24.3 psi Available Pressure of 99.7 psi Exceeds Required Pressure of 75.4 psi This is a safety margin of 24.3 psi or 24 % of Supply Maximum Water Velocity is 9.7 fps ` Forest View Estates Drawing Date:1/15/04 1/15/04 10: 6 LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P SIZE Nominal size of pipe. ID Actual internal diameter of pipe C Hazen Williams pipe roughness factor TYPE Type or schedule of pipe # FITS number of fittings as follows: 90 - 90 deg Ell 45 - 45 deg Ell T - Tee LT - Long Turn 90 Ell SPEC - Fitting other than above or fitting with hydraulic equivalent length specified by manufacturer. Pt Total pressure (psi) at fitting Pf Friction loss (psi) to fitting where Pf = 1 x 4.52 x (Q/C)^1.85 / ID^4.87 Pe Pressure due to change in elevation where Pe = 0.433 x change in elevation Pv Velocity pressure (psi) where Pv = 0.001123 x Q^2/ID^4 Pn Normal pressure (psi) where Pn = Pt - Pv Pdrop Pressure loss in pipe rise or drop to an open head. Phead Pressure at an open head. ELEV elevation from branch tee to open head. PIPE pipe length from branch tee to open head. FITS fitting equivalent length from branch tee to open head. NOTES: - Pressures are balanced to 0.001 gpm. Pressures are listed to 0.01 psi. Addition may vary by 0.01 psi due to accumulation of round off. - Calculations conform to NFPA 13 edition. - Velocity Pressures are considered on branch lines and cross mains - Path #1 is from the most remote head back to the water source. - Later Paths are from the next most remote head back to previously defined paths Forest View Estates Drawing Date:1/15/04 REMOTE AREA #2 FLOW # OF LENGTH (GPM) PIPE FITS FEET 1/15/04 10: 6 PAGE 1 PRESSURE BRANCH LINE SUMMARY TO HEAD HYD REF OUTLET SIZE 90 45 PIPE VELOCITY Pt Pt Pn ELEV ID T IT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 1 FROM HYDRAULIC REFERENCE 2 TO W (PRIMARY PATH) HEAD 2 23.0 1" 3 0 1819" 7.7 fps 30.0 30.0 30.0 0.10 gpm/sq ft 1.109" 0 0 610" 0.129 3.2 0.0 0.0 K= 4.20 23.0 120 PV 914" 0 24'9" 816" 3.7 30.0 30.0 1kfl" 2 0 3610" 9.7 fps 38.7 REF 12 23.1 1;4" 0 0 317" 9.7 fps 36.9 36.9 PATH 2 1.400" 1 0 610" 0.099 0.9 0.6 K= 3.83 46.1 150 PV 0 917" 0" 0.0 36.2 REF A2 11�4" 0 0 3'4" 9.7 fps 37.8 1.400" 1 0 610" 0.099 0.9 46.1 150 PV 0 914" 0" 0.0 REF E1 1kfl" 2 0 3610" 9.7 fps 38.7 1.400" 2 0 1810" 0.099 5.3 46.1 150 PV 0 54'0" 10'0" 4.3 REF W 46.1 gpm PATH 1 K= 6.62 48.4 psi PATH 2 FROM HYDRAULIC REFERENCE 3 TO 12 HEAD 3 23.1 1" 2 0 9'9" 7.7 fps 30.1 30.1 30.1 0.10 gpm/sq ft 1.109" 1 0 91 0" 0.129 2.4 0.0 0.0 K= 4.20 23.1 120 PV 0 1819" 816" 3.7 30.1 30.1 REF 12 23.1 gpm PATH 2 K= 3.83 36.2 psi L . 2 o� pat m§ƒ� K "0 0 F-00 o�0 2 � E E SEE k�E ■ � a �a0 ? # §2f 150 Iq Q0 m �JN E : c / 2 2 k C', 7 2\ƒ� cr . E / kk§ n goo 006,1 - LO § \ § ] jCL 2 E- a a] G j b« 447 2 0 \ * cn / m 2 \<<a u�2§ tq�r 2 a'3% E / 4 a E o 0 �0\2I 2 � \ / / E ? q CL ( - t i-;; ren Management Bylaw Exemption Statement (, zr:dri ct NQrjh-Andaver Building Department yn�d as used w aasW tn< ijta a g Oapzrunani in their dntarmination of exemptions under seclon 8.7.6 of the :arjk'arcn *=Qvar Gr.WA 6"n- ament Bylaw. Thr building applicant shalt Rmvida all of the naca"ary information _�, iaE,:iu7it51:a�t uwuwc. - .;.rrw. ofApplbi;am on 6uiiaing Permit (below) Address of Propeny far.Fermit (Laic ff /GLC oftS l _Obn v LC (U- C) T .. . ittaXi and EantrGel : P ptzsa Cf Apl=Uan (check below) f�tgrtr3 mtacr of Appiicnrtt r1- ingie Family _ Two Family tttw: yt sigrt+ed appl�utt fqr ttte A4nVe propattty anast that the aMachad building permit for which u•tis r�lrrt�t %rh d �C+ty, with th a E:<Z CtCN section 6.t.6 of the North Andover Growth, I at(SQ 4ta"C*aad providing this Farm does not absolve me or any parry to this permit ;,r q�,ts ai obtaining tuber permits required .prior to the laaQkacwof the Suilding Permit, i�itmlwtr l =t=UM ares my interpretation cfthm ESUMPTI0id status is subject la inview by the 8ui1'ding ,D,;W=4W1i Arid is cniy of tally aid wharf the $gilding Permit is. issued. 2 an &artisan 5.7.6 of ma Nrartt't Andover "wth 9ylaw Ind above lot and the went as appiit:d For on the tv,, ktr, in itae but 444, permit a(aptiCgtign and asaaciated attachments. csmpiles with ons or more of the rbiiaitati ,sem a iridt+ t*d by a ch*ck marls_ 'f!•ti* int auawar=an for a Ouilding I;wn* far the enlargement. re4taration, -or recanspucian of a dwelling in ]jLZer%* as of ttt'tt she daw at this hy�taw. providad M4 no addllianal residential unites crested_ •I-"* Jat('t) vuuWV." Q-"V&a pnor-to may 6, 1995 are exempt from thin provisions of this Soden 8.7 of the Zoning iyYiriYe. 'nisi* apQWcadan iY ter alrretttnq units far taw andtvr mgactrata Income famiiios ar Individuals, where all of the aAs'atE.?.g.r,,a s snot aaaterMIaMMOtus Oweding units for senior residents, where -occupancy of the units I% ,awacmA m senior aeaws tRrough a pMQWlY 449cutt O AM ruardad 4wW rssttictian ru ni ,/ret 17c r�crtcurtu�-..:<.cta af• �•`F"�rkJ.:ccJdta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077396 k �« Birthdate: 03/02/1962 Expires: 03/02/2004 Tr. no: 77396 Restricted To: 00 DAVID M STILSON 222 SEAMES DR MANCHESTER, NH 03103 Administrator i 1 i BUILDING DEPART&fFzNT j DEBRIS DISPOSAL, FORM i 1n acctUE th je P"" -"Ons of MGL c 40 S 34, a condition of Euild�a 1s thst the dzbzis resulting form this work shall be di o Pex iir Number dada ed b} tiiGL c 11, S 150A sposed of in a ProPenY licensed solid waste disposal faciiiry as The debris t}zll be djs,Wsed of in: Lova aon of T'acili Signature of Permit Applicant C) yQTEDzmolition Date thz HE: 1)'� PCii from the Town of North Andover must be obtained for or th o Inspector Project throw gh the Office Of �:wr ui.•�v JJ1 11VV JLUI A,? ZUUU U:t54 t'.1 The Commonwealth of Massachusetts Department of Industria! Accidents Office of /n vestigatio ns Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print NZ,Iille: Lits Phone am a homeowner performing all work myself. I am a sate proprietor and have no one working in any capacity i�'-J 4 am an employer providing workers' cornaen"tion for my employees working on this jot. City:JGc1.7-% c��CGGIr}/ir ,rl• O ! Z7,;L Phone>,�z ;Z.5 f iruurance. Cc,.Poli CQmQany name: City - Phone # F�ilucz tc siacur� coveraya as required under Se=n 2: A ar MGL 132=1"9 to the tmpasNon Q crim4nal•q*nrWt)es of a fins up to Si ,5aco laruaicu on: >*AM' 4mpriscsvoant as wdl as civil psnatti4a in the form of a STOP WORK ORDER and a tine of ($100:00) a day apalnst aw. t 'unaarar." that a ccpy of this smarnrnt n)6y br tufo wvsd 10 the OMkae d tnwastigatidns of aha olA for coverage vaAMeWon. r Jo nay caxtrfy Omer Ura pains &w pen ales of po ury Mai Mar kabancdron pfavA:W above is kuo and cs nwt. ;signature Date ?rint nacre Phone # -I iwt Lae Qniy no not wrote in this area to be completed by city or town vificial' 0 Building i Dept EJ Chock it immeafnte : Ci c t" is requivd Building Qepr p Licensing Etaard p Seleclmin's Office '`y" `�• Ptioa� Health Department . Other Un'ti.tifrU�r•S COMP�N'St77QN .P` LdScI'JIet 3100; 13034798572; Nov -4-03 1:21PM; Fade 2j:d 11--04-'20 4 10:10:07 FORCOI folupment CoAOn Cli 847.853.5390 Pago 002 t.. __ ACOn ?:�. :T"..Yj ..'.T.'li:. n �•'++!3: ?.e: ,.%:- :,\' �'� !i + 1�s`�t* i ':q..�l :Ii �!!.p l.!•11 .: �' ,.S•.4Ci•r�1�i, 4�?yt., �11`_`w i%... .-,�,. ,)) S.a-':•.r. r�tn.,r+.:.r. .-•'nrr i �i 3 .'.0 �, %tur DATE tNM Dll YY ',n' :4.;,..''r�s` t„ £��,.i;; C r /M l' ��F / Y 3F:J aitl.., r. ;. :;t1': :I'T fy�,,.x ..'P r:.)i.. 11/04/0 Pk'CIDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORtrIATION Aon Ri Servir.ss, Inc. of Michigan 3000 1 . Center southiF ' d mi 18015COVERAGE ONLY AND CONFERS NO. RIGHTS UPON THE CERTIFICATE HOLDER.. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR fiFFORDEQ BY THE POLICIES BELO, COMPANIES AFFORDING COVERA E �1 I CINE. (24 036-5200 FAX- Q48) 936-5465 COMPAN( Liberty Mutual Fire Ins co A Mt5ur.Eo COMPANY :ul-ce es of New England, LLC 8� 205 HA, one Road suite 1 llardia IAh O',SSv USA CQWIANY I ----- COMPANY a ti •�,.%� ) ':fi ha `'�'a,-..;��:a0• 'vx k=:Y,. .�;ii :^.oi.�'", a .''S.'-. �:/d. �r.^a1`•u..;, x�:'3.''';'Ej••�r>• TQ TIFY THAT THE POLKAF.S of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDA'BOVE FOR THE POLICY PERIOD Ifaiil(:ArC.gI' pTWIIHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ci:XFIRC #aY 9E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 9U8JECT TO ALL THe! TERMS. t101.511ES- LIMITS !Q BY MQ 2LAIMS CO T�Iy .. POLTYK9MWr1M MUCY 2"IRAMOK _rtt F ;UF'ittSUPv1fJCE ppT.H.'i'Tii1AEBFL LIMITx DATE MOMNYY) DAZE IAIIADIM .. GENERALA0c1rr,ATF ,I (;r t9. �N U-kL LTi F-- fOCCUF :_,.rE!I�oNAL PRlii,/1J1"y'F.-. ('.OMf+IOP Are I^+-- enGVNWRt' EACH OCCURRENCE a j J.vr-ER" pt,' -m .CTzR'S PRoT FRE OAMA( l:*(Ar!v ona !tial MED EYP 4" one DaroN r — n01x4094,l. am •:r.% ::# ti DA, I'�_ As2691004261033 Canmercial Auto 06/02/03 OS/OVO4 eoMEuNF.nswcEuuT sx,Ooo,ouo� d( )II,yNJURY (Par Paraanj P�cn>KTNaIF•r X ,nom'-''A�-' � (Par rx'UIdwU t p PROPEr71Y DAMAGE E# 4r�A4L-1 21 f(v' AUWOM.Y4A-ACC0ENT I.., I• A_miflijl OTHER IRAN AUTO ONLY- T...�` ` FACH ACCIDENT AGGREGAT _- EXCL•33LiA` riY EACMO(XU8NEW!r :i•.trca row AGGREGA7E 'rEl: .,ii!yN(d•IH.t; LL 41 -.•RAI A Vr•:t4KliR'tfYNiiIPEtJ5:117GNAiVO nA269o004261013 oB/01/03 08/Ol/P4X7WOCR:VATU I �:.Iv _OntLh tA6an�- II t � r.Fr,.=.,r�`'t'.!,K•: ! Aftj =xCcSl, ;�prykEryS IpENSATION EL EACH ACGDkr+l 31,000,OJO- — ELDiSEA5Ca0LcrLMT 51,000,oOu EL DI' FASElA EMP:0N1!k CUU,UVU ;J t OLUC Nt' Igrt PIP TIONSlLOCA1TOfySIYEHjCI.ESPPBC!AL ITEM$ RE: !+ee'!tlr 4l Construct, on ,n the Town or North andover, MA -All sitex- waiver of Subrogation applies fur the lie ICI :11 Li '11ty and workers' Compensation Policy. " •,. �4�I'i'):fF'Ir � I{" .. i,A. �'�.' _ k, �^,1, �.' ,(.t f`,: y..�.: .i•h� '• .. rti9;:.R;b.:v:K!..,:,li..°C.. �. u't: iV'�:e�r"'."�` a:t`'�q.., ,...I•.Rwa%; / SH()f!! n ANYOF TME ABOVE D7ti-ERRE0 POLOES BE CAIJGF.1 I F7 a=FCFC T C foa"i;{rf North Andover EXPRA71ON DATE THERtOF. I'NE I$SLING COMPANY WALL EMFAVCRIL` NWL !i.Jox 124 SLll I di ng ut'pdi'(Tttent No:•.4jI•yi1 Andover, MA 01845 USA 86 DAYS Ymr%N W)ICE. TO THE CERTIFICATE HOLDE-K NAmM To Tic L=LT HUI PALURE TO MAL $IKhNOTICE,"lLMPOSC NOCELIGATION OR LWI:,!v OF ANY KNG ).lr Cd'1 7NM- [: k� A� S" --r17 a 1 Ivh' i AUIF10ttt�D REPRESENTATIVE �+r !" :.fia;•;i,; 'r\t .,-:¢:.'YR'i"�,I,�"�:i': S`-,>�,,, <; ti:..I/.C. iO'. ,I, � � .iti.":t: .:t'::4f`.R�S •g1,Yt.. "✓:• L. .,,,:.,�i.:t-.. -- 4n1 NU; jf oruuv/atruar� tI noloer Iaenuner; \ Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release lb _ Data filename: F:\files\CST\SHARE\MecCheck\ModelEnergyCode\MASCHECK\Lot 23fv.rck TITLE: Lot # 23 Huntington Elevation # 2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 12/03/03 PROJECT INFORMATION: Forest View, North Andover, MA. COMPANY INFORMATION: Pulte Homes of NE LLC NOTES: Customer purchased elevation # 2 , a transom package, 4 additional windows, a palladium feature window elev 2 and R-15 wall insulation. COMPLIANCE: Passes Maximum UA = 530 Your Home UA = 507 4.3% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 20 38.0 0.0 1 Ceiling 2: Flat Ceiling or Scissor Truss 600 38.0 0.0 18 Ceiling 3: Flat Ceiling or Scissor Truss 1088 38.0 0.0 33 Wall 1: Wood Frame, 16" o.c. _ 972 15.0 0.0 75 Wall 2: Wood Frame, 16" o.c. 612 15.0 0.0 47 Wall 3: Wood Frame, 16" o.c. 612 15.0 0.0 47 Wall 4: Wood Frame, 16" o.c. 972 15.0 0.0 31 Window: 2852-3: Vinyl Frame, Double Pane with Low -E 87 0.340 29 Window: 1936-2 casement w/ transom: Vinyl Frame, Double Pane with Low -E 18 0.310 6 Window: 2 83 10: Vinyl Frame, Double Pane with Low -E 11 0.340 4 Window: 2046-2: Vinyl Frame, Double Pane with Low -E 19 0.340 6 Window: 6-0x6-8 slider w/ transom: Vinyl Frame, Double Pane with Low -E 45 0.300 13 Window: 2852-2: Vinyl Frame, Double Pane with Low -E 114 0.340 39 Window: 2862: Vinyl Frame, Double Pane with Low -E 69 0.340 23 Window: 2852: Vinyl Frame, Double Pane with Low -E 116 0.340 39� . 3672 1/2 round w/ 1852 flankers, Palladian window: Vinyl Frame, Double Pane with Low -E 36 0.340 12 Door: 3-0x6-8 w/ 2 sidelights: Solid 33 0.280 9 2-8x6-8 service door: Solid 18 0.180 3 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 20 21.0 0.0 1 Floor 2: All -Wood Joist/Truss, Over Unconditioned Space 1088 21.0 0.0 48 Floor 3: All -Wood Joist/Truss, Over Unconditioned Space 320 21.0 0.0 14 Floor 4: All -Wood Joist/Truss, Over Unconditioned Space 280 30.0 0.0 9 Furnace 1: Forced Hot Air, 81 AFUE r COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in RES checkVersion 3.5 Release lb (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. Builder/Designer _�&/7_�� Date 0 CD D CD ro v 0 W J O O zt O 0 CD 2) 0 2) rt O u CD 2) 0 2) rt O R 7 CL G D CD m 0 0 N 4 N N N N N N c -� ' (T A W N O O (D V (A (P A W iN -> O rD �a � O N O CID CA 00 O O W N N N N X� w W+ N N m CD N N O N to � N m �• O t1 CCD Z CD 3Q. w m i m 0 N o N 3 Cn N (D N T m m m m m m m m CD 3 N N' @ 47 @N N 4I N DNNSNNDN N V D 000000000'< c c c c c c c c c m c N 03 `G w (A N N CT �_ A N W < O co CO CT W X W m W Cr 0 (T V A A CP O W W W -4,-,l v Ca ? tl D C A V A CD O V W O _ V ~ OA N V (T W CP (D W A (b O V 0- O O CT V V Cb V V CD CA N ill O N 0 M V N V Ut N F'i .F'i .i'i N fav fi .E'i iv f"J C 0 0 0 0 0 0 0 0 0 m N W A W A W A W A W O W A W AA W W O 0 0 0 0 0 0 0 0 C. CA (7 C C C G C C C C C CD CD (D N CD fD (D (D CD M 0 1 0 N M CD CD M M 00 N >v SV m N CD iV co E m 3 0C 0 �. 3 C0 C0 <0 C0 C0 C0 C0C mmmmmmmmm oy D D D D D D D D D 7 coco co a co co a co co 0 0 0 0 o o o 0 0 >= 7 7 7 7 7 r3 'm Rossi 'm F- i O m A W N -• O CO OD �l O Ut 1i W N --� O D D D D 00 0 0 o O O O O O o O OL n a a c- c- c- c- 0. O o 0 U0 N 0 N F4 !� !� 25 CC C C N fn N _n O N N _P D O O O O y `D CD mml! D 9 O o 0 0 n n a a m o o' o 0 m m m m a a n a CD Cl) rAN 'C3 -C, -0 m to m m n CD 0 m O CD O CD O O ? N O O O O O X r -� N W j 7 A O N O t0 O O O O I O cn y m N 00 N D O O O O N O O O O O O O O O N N FV F- i N N N N N N N j CO co V CA CP A W N O cn A W N —� O O CA V CA CP A W N —• O � O O p= O S N N N N CD CD CD CD N ill N N O O O < G G .O G (�D CSD N N D) N ffcr7 N w N O CD CD CD O CD CD CD 7 O n O 3 CD 7 0 CD N o" T O O D CD v 0 v V O CP N Q N O „ , , �, ,n VI) F11 r- u L i NHrN V JUJ1t4�jUtJN M4 NO. 0 i84(56703 FORM J LOT RELEASE The undersigned, being a majority of the Plarmi tlg Board of the Town of North Ando c er, Massaohusetts, hereby certify that: a. The requirem-entsfor the construction of ways and municipal se vrices cradled for the Performance Bond car Surety and dated March 4, 2003 and ror by the Covenant dated November 9, 1995 and recorded in District Deeds, Boar 5247, Mage 76; or registered inN/A Land. RegistryDstict as DocumerRt No. N/A and noted on, Certificate of Tithe No. N/A in p..egfstration Book N/A, Page NIA; h'as bcen completed/partially completed, to the sa.t:isfiction of the Plarrm ng Board to adequately serve the cnumeratcd lots shown on the following Plans; Lots =67N, 6 SA, -69A;'77 CA,, 71.A. and 72A as shown on a plan of land. entitled "Plar cfLand, .Forest View P -states, North Andover, MA, prepared for Puke Home Corp. of Nein England, 257 Turapike Road, Southborough, Massachusetts 0 177 '", drawn by Marchionda & .Associates, L.P., dated April 14, 2000. Scale 1 -=40', Recorded with the Esse. North District Rt gistry of Deeds as Placa ierutnher 13761; and 1,ats 3;11)4 25,26 �7,'ana'?S'as shown on a plan of'land entitled "Definiti=ve Subdivision Plans for Forest View Subdivision, Route % 14/Sal--,Tn Tumpzke, Nortb- Andover, Massachusetts" pzcpared dor Mesio Development r Corporatiot , 11 old Boston Road, Tewksbury, Massachusetts 018 76 by INIHIF? - Design Consultants, Locus Map Scale 1'°=600% Tax Map Composite Scalc7 1 '200%dated September 22, 1997, .revised through 11/3/98, and recorded with the Essex North District Registry of Deeds as Plan Number 13362 and as affcctt�.d by corror,tive Plan Recorded as Plan Number 1.3727, and said lots are b,ereby released fon the restriction as to sale and buildin q,,, specified. thereon.. Tlhe Lots designated on said Plans which are the subject of'this loot Relea_-se a.re as follows_ (!Lot Number (s) and strect(s)) Lozs 67A, 68A., 69A. 70A, 7 1 A and ?2A as showD on a platy of land. �ti f ed "°P1 -.n of Land, Forest View Estaios, North .Andover, MA, Prepared for Pulte.Home Corp. of New England, 257 Turnpike .koacL Southborough, Massachusetts 01772", draw by Marchioncla & Associates. L.P., dated April 1.4, 2000, Scp,.l.e C`: tl'uCi'ct11oY SY..}c�qc FVt1=orin ]-LM Rpleas; .doc ttIJ:1.4. LUl! i'i i:7 HP'i0 M 1?ULIL1111r,1., d JUHP4;�UN IAX PIU, a(H,Vbb(UJ ^„ - Cu 1 "=40'', Recorded with rhe Essex :North District Registry of Deeds as Plan_ lNu-:-ober 13761; and Lets 23, 24, 25, 26, 27, and 28 as shown on a plan, of land entitled "Definitive Subdivision Flans for Forest View Subdivision, Route 114/Saler, Turnpike, Nom Andover, Massachusetts" prepared for Mesiti Developnaczat CoToratioaa, 11 Old. Boston Roan. Tewksbury, Massachusetts 0197 6 by MTTF Desigri, Consultants, Locus Map Scale 1" 600', Tax Map Composite Scale` 171-=200",dated September 22; 1997, revised through 11/3/98, arzd recorded with the Essex, North District Registry of Deeds as Plan Number 13362 and as affected by carr. ectil7e Plan Recorded as Plan Number 13727- b. (To be attested by a, Registered Land. Survcyor) Lots 67,A., 68 A, 69A, 70A., 71,x,. and 72.A as shote on. a plain of land emitled "Plaza. of Laaad, Forest View Estates, North Andover, 1►✓ A, Prepared for Pulte Home Corp. of New England, 257 Turnpike Road, Southborough, i1,2assachusctts 011 772", dravvn by Marcbionda &-; Associates, L.P,, dated April 14, 2000, Scale., I "-40 % Recorded Adth the Essex: North ,Dist.ct Registry of Deeds as Plar. 'NTuuiber 1.3761.; anal Lots 23, 24, 25, 26, 27, and 28 as sbown on a plan of land entitled. "Def rdtive Subdivision Plazas for Forest View Subdivision, Route 114/Salem. Tumpike, North Andover, Ma.ssrpchusetCs" prepared for Mesio Develop -meat Corporation, 11 Old Boston Road, Tewksbury, Massachusetts 01876 by Nfll IF Design Consultants, Locus trap Scale. I" 600', Tax Map Composite Scale" 1 "=200',dated September 22, 1997, revised tbsou..gh 11/3/98, and recorded with th,- Esse: Worth District Registry of Deeds as Plan ISTaunber 1.3362 and as affecTed by corrective Plan Recorded as Plan Number 13727 , aa. do conform to layout as sho vn on the above Plazas.Uk gist+ered Land Surveyor N; , 5"r C, The Town of North Andover, a rnunicipal corporation situated in. f1ho County of Essex, Coznmonwealtb of Massachusetts, acting by its duly orgax�.ized Planning Board, holder of a Perfonman.ce bond or SLuety dated. March 4, 2043, and/or Covenant dated November 9. 1998, from, Xlesiti.- .M-oore'sFall, LLC of the City/Town of North Andover, Essex: County, t`. assacbusetts recorded with, The Essex North District Regzstxy of pf,eds, C':\Pu to\Int -rrrfiJ-I eR F�eloaec,4c�a W v J r v 'ttlI^Ir I i r I� v L I L. 101\61 to Q'a1,11a 1.?t t r�a> i`v+,.+. v f ��! f JtJ ! L?� it`•�-: - _ U:a Boole 5247, Page 76, or registered in Land Registry District as Docilme t No. NT/.A, and noted on Certificate of Title No. IST/A., an Registration Boob N/A, Page lei/A, acknoivledges satisfaction of the terms diff.eof and. bemby .releases its right, title and interest in the lots deslgmaced above on Said plan's as follovirs.- Lots 67,A, 68,A, 69A., 700, 71 A. and 72.A, as shown on a plan of lard ent€ti.ed "Plan IofLand `Forest View Estates, Nortb Andover, MA, Prepared for N—Ite Home Corp_ of New Engl,md, 257 T=ipike Road, Southborough, Massachusetts 01772", drawn. by MarrWonda. & Associates, L.P., dated .A.pnl 14,20 ' 00, Scale P =:—*0% Recorded with the Essex North Distz-ict Regi stry of eeds as Flan Number 13 76 1; and Lots 23, 24, 25, 26, 27, and 28 as shown on a. plan of lau.►.d entitled "Definitive Subdivision Plans for Forest View Subdivision, Rout; 114/Salm? Turnpike, North Andover, Massachusetts" prepared for Wsits.. Deueloprnent Corporation, i l Old. Boston Road, Tewksbury, lhga�sa.c;���.5et? 01876 by MEF Design. Consu].tant�s, Locus leap Scale 1." ==600% Tax Map Composite Scale„ 1"-= 200%dated September 22, 1997, revised throii . 1.1/3/98, and recorded with the Essex hiorth Distract Registry of Dol;ds a:s Plan Number 13362 and as affected by commcrive Plan Recorded -s Plan Number 13727. EXECUTED ED as ar sealed instn=aent this Stt Majority of Pl i.ing )B Of the Tow, Nortb And( C::Pu1161ut rvlUse MYor'm J4.m RCIczkr,.GDG L 1 J A N! 10 L I L COMMONWEALTH OF MASSAC14U6: ETTS Npril 8, 2003 Then personally appeared iL—S -14, one of the above membe�m,,- of tlicIlImming Board of the Town of'North Andovor, Massachusem and acknowledged the foregoing iiistm.ment to be the flee act and deed of said plamdlig Board, before 171C. '7 k. I otary UltC /If~,, My conurissian Expires, 4 13 IP104 C-:%P1A)rv%)e,t I-rIcznc rNlroml J -1 -Pt Rcl-�Ut,d*c W11 u f f-rlj UD esw-x LAWPVMCF_m";;,, A TRUIE CCPY- AFFIDAVIT ell T �r_er C) on oath do ko&rt_�,� (authorized agent of applicant and/or owner) hereby depose and state: LE , CHECT: AT LEAN 014E LLOCI ) 1 I am the 1 P'1 Ci� U`, ct �1G, o i" (position with applicant) (applicant) (-_,j c( the applicant upon whom Order of Conditions 2 `%;�" IF have been placed upon by (DEP or NACC number) the North Andover Conservation Commission. 2. I am the °r (position with owner) (owner) the owner upon whose land Order of Con,' _ions have been placed upon b;' (DEP or NACC number) the North Andover Conservation Commission. I hereby affirm and acknowledge that I have received said Order of Conditions j� '_^ and have read the same and understand each and every condition which has been set forth in said Order of Conditions. ?- I hereby affirm and acknowledge that on this day of 199_. Y inspected said property together with any and all improvements which have been made to the same and hereby certify that each and every condition set forth in Order or Conditions are presently in compliance. S_ I hereby affirm and aeknowlodga-that thir. document will be relied upon by the -North Andover Conservation Commission as'well as any potential buyers of said property which is subject to said Order of Conditions signed under the ains and penalties of perj ry this day of t5�-3 , (authorized agent of applic4nt or owner) I umi --t � o m O @ o 0 CL O m o Z ami �, O 7 aj � Ul N C -O V� m o N o; CD CD (D n a o c 3 CL co gin' -.:! EP�r► (a � O O H T O0 CD O (D O �. • (D29 n c € 13 • o C c m 3 � :C W n aj. C ccA c �■ O . r AO DI mJ m O o` �° ?n ol E5rr Ln z 0 ' m N t� ? 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