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HomeMy WebLinkAboutMiscellaneous - 227 BERRY STREET 4/30/2018 (4) 227 BERRY STREET 210/106.D-0051-0000.0 Date..Z.`�A. 1 NORTI� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSE� This certifies that J J ..................................... ............... ................................... NIS permission to perform ... �t n ' . . ................ .........y..4. ............ wiring in the building of f�..��.�.a e tf\0,�f ........................................................... at a 7 6 f /� S rth Andfn+er� Fee... ............ Lic.No..,..* .*-may✓,`r' ............. ... ....... ... ... ................ LECTRICALI SPECTOR Check # 533J' Commonwealth of Massachusetts official use only S_ 3 Department of Fire Services Permit No. J Occupancy and Fee Checked .� 1W BOARD OF FIRE PREVENTION REGULATIONS P Y i [Rev. 11/99] leave blank) 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 IN INK OR TYPE ALL INFORMATION) Date: 7/13/04 City or Town of: North Andover \ To the Inspector of Wires: By this application the undersigned gives notice of his or her intentichi to perform the electrical work described below. Location(Street&Number) 227 Berry St Owner or Tenant John And Ceila Brunette Telephone No.978-688-3243 Owner's Address Same j t Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service100 Amps 120/240 Volts Overhead❑ Undgrd® No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire shed dormer and add smoke detectors Cor» lesion ofthe.following table mm,be waived by the Ins ector of Wires. No.of Recessed Fixtures 10 No.of Ceil.-Susp.(Paddle)Fans 0 o.ofTotal Transformers KVA No.of Lighting Outlets 3 No.of Hot Tubs Generators KVA No.of Lighting Fixtures 1 Swimming Pool ove ❑ n- El o.o Emergency Lighting grnd. rnd. Batte Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners o.of Deteetion an Initiating Devices N4 of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g Nf.of Waste Disposers eat Pum um er ons o.oSelf-Contained6 Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ ConnecdMunicipal F1 Other °n No.of Dryers Heating Appliances KW ecurity vstems: No.o Water o.o o.o No.ofbe-ices or Equivalent Heaters KW Signs Ballasts Data Wiring. No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 Total HP 1/4 TelecommunicationsWiring: 4 No.of Devices or Equivalent [OTHER: 1 Bath exhaust fan Attach additional detail if desired or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the li- censee 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:) Providence Mutual 7/04 Estimated Value of Electrical Work: 2000.00 (When required by municipal polio-.) (Expiration Date) Work to Start7/13/04 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I cer7ify,under the pains and pewalties of perjury,that the information on t(iis application is true and complete. FIRM NAME: LIC.NO.: Licensee: John Willey Signatur _ LIC.NO.: 37827E (If applicable, enter"exempt"in the license number line.) Bus. Tel.No.' 978-808-8623 Address: 174 Winona St Peabody.MA 01960 Alt TeL No.: 978-535-1428 OWNER'S INSURANCE WAIVER I am aware that the Lice ee does not have the liability insurance coverage normall--required by lawBy my signature below.I hereby waive this requirement. I am the(check one)[]owner El owner's agent. Owner/AgentSignature Telephone No. PERMIT FEE: $ F�r . - , . .. i �, i r � b 1 :i .1 ! !` . . J 1 i ti: ,Zf .. ,. i d • _�. � � f r � � .`' ,. f .t .. S , i � 1 } f �' ' i .._ t r s Date. -2 . ' �.C.! MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB IN (Type or print) NORTH ANDOVER,MASSACHUSETTS Date --V Building Location a 7 23L-kygY Owners NameZQ2i?R ATE Permit# p. 1Amount Type of Occupancy r New Renovation ® Replacement t� Plans Submitted Yes 0 No ❑ FIXTURES E-F RUM eWM DMOOROCIR OOROCR gm K-JOOR (Print or type) Check one: Certificate Installing Company Name A 1 M 4 V SILK/ � Corp. . Address —? ROMWIo 2b. Partner. 'BEV M-LY NAA N Business Telephone CV7 Firm/Co. Name of Licensed Plumber: 1\EMO R 5l�1t1N1ASA51CY Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © Other type of indemnityD Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass c. usetts State Plumb' g Code and hapter 142 of the General Laws. BY: 3ignmure of qjenseaum er Type of Plumbing License Title I u?3 City/Town icense i um er Master ❑ Journeyman p APPROVED(OFFICE USE ONLY Locations�2 r � No. f Date Of , MORTH TOWN OF NORTH ANDOVER tiQ F 9 •''�+ ' Certificate of Occupancy $ s"kHus s� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # r 17319 "—Building Inspector Z.- TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER DATE ISSUED: ic SIGNATURE: << Building CommissioAer/I for of Buildings Date z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: C� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: "C Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO m 2.1 Owner of Record 02 07 n-/- y S Name(Print) Address for Service Signature Telephone 7 0 J r- 2.2 Owner of Record: Name Print Address for Service: m Signature Telephone Aw SECTION 3-CONSTRUCTION SERVICES l� 3.1 Licensed Construction Supervisor: Not Applicable ❑ �1 �i ��,, r' r'd Licen�struction Supervisor: /`9 6 O LicensAumber mn Ad res �- O 7 Expiration Date Sign tore Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 'epz&V Company Name ' Registration Number r Address . v Z Expiration Da i nature Telephone 4 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. —Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brieef�Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ;, OFFICIAL USE'0,NLY Completed by pennit applicant ; t 1. Building (a) Building Permit Fee Multiplier_ 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) Q 4 Mechanical HVAC G�O 5 Fire Protection 6 Total1+2+3+4+5 Ova Check Number SECTION 7a OWNER AUTH RIZATION 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 pen-nit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief � S Prt N i ature o Owner/Agent D e NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND3 SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY , IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT' PHONE LOCATION: Assessor's Map Number /0 PARCEL OAS- SUBDIVISION LOT (S) STREET 1-;-7 R2� ST. NUMBER *****************************************OFFICIAL USE ONLY**********'"""`*********** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED T PECT -HEALTH DATE APPROVED D ff DATE REJECTED COMMENTS c5T �z�a+^'► 5 PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm �An FI� xx =a R�dy e C ux ' Pty " SNik�r Ie5 4 � � E 6 S i X41 o. 3 N i r� o f� OleanAls,R OtZ �Z J BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISORS' !! I Number. CS 034094 Birthdate: 06/07/1948 Expires: 06/07/2004 Tr.no: 211 I Restricted 00 li. MICHAEL WINDSOR` 75 OXFORD AVE fa BRADFORD, MA 01835 Administrator •. 4 i �� -VOO➢LIILO�I2tls Q� CU,f�1P Board of Building Regulatien�sand Standard ' HOME IMPROVEMENT CONTRACTOR t t ! Registration: 115811 Expiration: 4/2012004 Type:_ DBA M^&M CONST CO j MICHAEL WINDSOR 4 I a 64 R.PLEASANT ST. _ I WENHAM,MA 01984 Administrator. u BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS -,034094 Birthdate: 06/07/1948 Expires:06/07/2004 c Tr.no: 211 �•' Restricted: 00 d MICHAEL WINDSOR 75 OXFORD AVEC BRADFORD, MA 01835 Administrator t 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) ignature of Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ORT#q Town of Andover 0 No. & ,r / 100AI over 0 LAK Mass., COCHICHEWICK TE D BOARD OF HEALTH Food/KitchenPERMIT T u D Septic System �0........ BUILDING INSPECTOR THIS CERTIFIES THAT............ .AJ............aer...... .. ... . P .... ..... ......4....................................................... .... Foundation has permission to erect...AP.4.............. buildings an ...9).49.....a I'%... ...... ................ Rough .....(4;4 Chimney to be occupied as......Domo!�.......am...... 0. . .............. iig................................... provided that the person accepting this permit shall in every respect conform to the terms o application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the In pection, Alteration and Construction of Buildings in the Town of North Andover. /,9& D/4r/ ills 40 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST . Rough ............ ..... ....................................W.** ....... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. SEE REVERSE SIDE Smoke Det. - � �q '4 Date.-9... NORTH °t' ° :6'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNUS� This certifies that ....:..........� �:- - :' ........... ................ -.... ............ has permission to perform...............V..................... :.................,.... �............. wiring in the building of...... .................: ....................................... at...��r�.7.......4� t.�.!-!!/.. - ............. .....,North Andover,Mass. Fee M..a` Li( No. ELE�I &SPECTOJ Checkk # 7597 C,ommonuiealth o��adeachu�e[� Official Use Only— .r - cc� cc77 ` 2eparfrnent o/.}ire Serviced Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: City or Town of: `�7 To the Inspl f Wires: By this application the undersigned gives notice of hi or her intention to perform the electrical work des Location(Street&Number) cribed below. �Z Owner or Tenant CAI to Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No E] (Check Appropriate Box) Purpose of Building ;rundgrd uthorization No. Existing Service� Amps / / ?•y(�olts Overhead ❑ No.of Meters New Service 24`U Amps -40V Its Overheadrd Und g ❑ No.of Meters Number of Feeders and Ampacity UT Location and Nature of Proposed Electrical Work: 2A30Ano UI LP Z14 Com e,6ylowing table may be waived b the Inspector o Wires. No.of Recessed Luminaires No.of Ceil:Sus No.of Total p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ o.o mergency 19 g rnd, rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of etection and � No.of Ranges No.of Air Cond. Total Initiating Devices Tons No.of Alerting Devices No.of Waste Disposers eat ump umber Tons p Totals: .... --- o.of elf-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ umcipal Connection E] other No.of Dryers Heating Appliances KW Security Sy stems:* No.of Water No.of No.of Devices or Equivalent Heaters KW Si s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or E uivalent Telecommunications Wiring: OTHER: No.of Devices or E uivalent 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: INSURANCE Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. The CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I cerfi y,under thepains andpena 'es ofp rjury,that the information on this application is true and complete FIRM NAME: .CJ •Y ��� LIC.NO.- Licensee: �n Signature (7f applicable, r 'exemp "r the h nse number line.) LIC.NO.: Address: � n� t Bus.Tel.No.e):�V • 1 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work Pdquires De artment of Public Safety ty"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 a rent. Owner/Agent Signature Telephone No. PERMIT FEE. $ " — i Generators Residential& c`"'additional meter..$10.00 TOWN OF ANDOVER Commercial: Sewer Ejection Pump: $25.00 ELECTRICAL PERMIT FEES a)including photovoltaic& Signs: $25.00 each ballast .. (Effective March 12, 2003) generating Equip Per KVA $1.00 Smoke&Heat Detectors& b)un-interruptible power systems, Initiating Devices: r F4A € � per KVA$1.00 Residential: $1.00 each CQRpSTQ c)batteries over 100 amp. hours,per Commercial: $60.00 up to 10 NO SE CABLE ON cell$1.00 devices over 10-$1.00 each OUTSIDE OF BUILDING Heat Devices: $1.00 each Space Heaters: Air Conditioners: $40.00 each Heat Pumps: $40.00 each area heating$1.00 each Alarm Systems Security: (for fire Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00 systems see smoke/heat detectors) Tubs: $20.00 each Swimming Pools: Residential: $40.00 Lighting Fixtures $1.00 each Residential: Commercial:up to 10 Devices Lighting Outlets: $1.00 each Above Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) Inground: $50.00 $1.00 each $20 each Commercial Pool: $100.00 Carnival Equipment: $50.00 each Motors: (per hp or fractional part Switches: $1.00 each Ceiling Fans: $1.00 each thereof) $2.00 Temporary Service: Commercial New Construction or ' Oil/Gas Burners' Must have Utility Autbm ization Number Residential$20.00 each Residential$25.00 Alterations: Commercial $100.00 $100.00 per 1,000 Sq.Ft. of Commercial$20.00 each Construction Space Office Furnishings:per circuit$10 Transformers: Commercial Service Change/ elocatable Partitions/Cubicles) a)capacitors,Per KVA $1.00 Repair: b ducts,conduit&conductors Outlets&Fixture: $1.00 each ) Must have Utility Authorization Number Ovens Built in/Counter Top Units: (Associated w/Padmount Transformers)$25 $100(first 100 amperes or fraction,one $10.00 each c each manhole$10.00 meter) Panel Change/Circuit Breaker: d)each handhold$5.00 a)each additional 100 amperes Residential:$20.00 e)per KVA$1.00 capacity or fraction. $30.00 Commercial: $25.00 f)primary feeders,$25.00 each(over b)each additional meter$25.00 Phone Jacks: See 600 volts,non-utility owned) Commercial Temporary Service: data/telecommunications vaults and equip. $25.00 each $100.00 Ranges$15.00 each Washers: $15.00 each _ Must have Utility.authorization NumberRece Receptacle Outlets: $1.00 each Waste Disposals: $5.00 each Commercial Repair and/or Recessed Fixtures: $1.00 each Water Heaters: $30.00 each " Maintenance Permit: (Blanket Re-inspection Fee: $25.00 Permit)up to 2 Electricians$150.00 Repair to Service Residential: *For Multi-Family& per air of Electricians over 2$50.00 $20.00 Large Commercial Project Data/'Pelecommunication: Residential New Construction Residential: $1.00 per port see Wiring Inspector for Commercial: $30.00 up to 10 (Dwelling): $220.00(with service up to 200 amps) pricing: devices over 10-$1.00 each Must have Utility Authorization Number Paul Kennedy(978) 623-8306 Dishwashers &Disposals: for services over 200 amps see below (Office Hours 8 am to 10 ani) $5.00 Each a)for each 100 amps capacity or Dryers: $15.00 Each fraction add$20.00 Y Emergency Lighting(Battery Units) b)each additional meter$10.00 Inspection Schedule: $ 1.00 each unit c)each additional panel/sub panel 1 ROUGH r Feeders or Sub-feeders: $25.00 1 FINAL each 100 amp capacity of fraction Residential Additions/Alterations: 1 TRENCII (if applicable) thereof Residential: $5.00 each $220.00 maximum Commercial: $15.00 each Residential Service Change or ADDITIONAL Gas/Oil Burners: Underground Service: INSPECTIONS *$25.00 (if Residential: $20.00 each M40.00 Must have Utility Authorization number applicable) Commercial$20.00 each a)one meter,up to 100 amp capacity $40.00 (revised 07/05) b)each additional 100 amp capacity or fraction$20.00 Massachusetts Department of Environmental Protection DEP File Number Bureau of Resource Protection- Wetlands 242-941 WPA Form 5 - Order of Conditions for DEP use only and North Andover Wetland Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Protection Bylaw. Applicant Information From: The Notice of Intent for this project was filed on: NORTH ANDOVER October 23, 1998 Cottsevation Commission Date For: The public hearing was closed on: 242-941 March 3, 1999 Project File Number Date To: John Brunette Title and Date of final Plans and Other Documents: Applicant Name <3?_7 Berry Street ��/► L (� Ma„rg dress lam'l:4l)be k 2 3T=1 q North Andover, MA 01845 �Q / City/Town I �l S Ga`4-P� �E`V ��i i q.� State Zip Code an b' � F2 �A-!'ct 3 i O!9 0, The project site is located at: 227 Berry Street City/(own N/A Assessors Map/Plat.9 ParcelAot d and the property is recorded at the Registry of Deeds for: i Essex 2874 325 County Book Page Certificate(ifmgistered land) ' Findings Furthermore,this Commission hereby finds that the project,as Findings pursuant to the Massachusetts Wetlands proposed,is: Protection Act: (check one of the following boxes) Following the review of the above-referenced Notice of Intent Approved subject to: and based on the information provided in this application and / presented at the public hearing,this commission finds that the [W the following conditions which are necessary,in accordance area in which work is proposed is significant to the following with the performance standards set forth in the wetlands interests of the Wetlands Protection Act(check all that apply): regulations,to protect those interests checked above. This Commission orders that all the work shall be performed in blic Water Supply accordance with the Notice of Intent referenced above,the CYgrivate Water Supply following General Conditions,and any other special roundwater Supply conditions attached to this Order.To the extent that the Q Flood Control following conditions modify or differ from the plans, ❑J and Containing Shellfish specifications,or other proposals submitted with the Notice ri f fisheries of Intent,these conditions shall control. torm Damage Prevention p7revention of Pollution rotection of Wildlife Habitat I