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HomeMy WebLinkAboutMiscellaneous - 31 CANDLESTICK ROAD 4/30/2018/ 31 CANDLESTICK ROAD 2101106.A-01 13-0000.0 "y i 4 Date... ................... OF T TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING sS,C U This certifies that ......R.......�.C......................I..... ..............6jI........... ... P 3f.),P. ' uo'�L- has permission to perform ........................................ wiring in the building of... ...... ........................................................................ at X..... ......North Andover,Mass. Ree!"�..............Lic.Nolsw.(.5. ................. ELECTRICAL INSPECTO,�R� Check# Commonwealth of Massachusetts r r Official Use Only R) Department of Fire Services Permit No: Occupancy and Fee Checked BOARD OF FIRE PREVENTION,REGULATIONS [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR .00 (PLEASE PRINT WINK ORTYPEALLINFORMATION) Date: y 13 /15 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 44 .ji mYLA24- W"'Im vIL Owner or Tenant R`, c�_A G\ANN tial Telephone No.S08" 9LU Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Service Amps / 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: + c4St'de_ �� VV� �l� W�� �'v2��}4� �[ C�j.�t�rj •��,.� WP I�o�C Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA r No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump N_ umber Tons KW No.of Self-Contained P Totals: • ....... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection �uritNo. of Dryers Heating Appliances KW SecNo.o Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent f 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:, ©d (When required by municipal policy.) Work to Start: l /r5 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 N BOND ❑ OTHER ❑ (Specify:) Icertify,itnder the pains an 4 penalties ofperjury,that the information on this application is true and complete. FIRM NAME: . ,c\&wA M0J"tV_-A LIC.NO.: �Z� Licensee: f�iG�v� l VV\CU yew,K— Signature LTC.NO.: (If applicablgg,enter "exempt"in the license pumber line.) Bus.Tel.No.:A%-701 33W Address: Alt.Tel.No.: *Per M.G.L c. 147,s.57-6f,security work requires Department of Public Safety"S"License: Lie.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)[:1 owner ❑owner's agent. Owner/Agent FPER;TTFEE: $ 5� Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the �- notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending-through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑ Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass F?] Failed D Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ ' Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.) ❑ Inspectors Comme f S— Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of IndustrialAccidents d 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/OrganizatiorAndividual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 25R I am a sole proprietor or partnership and have no employees working for me in 8, ❑Remodeling y capacity.[No workers'comp.insurance required.] 9. F1 Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOf repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ♦i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Coy\,wuua ._ Policy#or Self-ins.Lie.#: L Expiration Date: Job Site Address:_404e 5 �'.( �� City/State/Zip: flat LV. — Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebycertify under the sins and penalties of perjury that the information providetd�above is trueandcorrect. Sign__ atuelt� Date:J Phone#: 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#: Information and Instructions ` Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial S Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should ' be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia a � OF SSI� HSETT >` MONwEp►LTH • QOM • • • BppftD Qf E .Ee�a 1 c i at�s ICE,�1�E ...s. FOLLOW LEGT`R 1, ISSUE$ THE 1 EOURNEYM�N . J } V i3B BOWE1EN 5T 1 2 566 apT 3 1A`A oj85 ,5 AM w 1 l 210 Date. TOWN OF NORTH ANDOVER 0 q- PERMIT FOR PLUMBING SACHu `� a t This certifies that .9A :"`1. . .�.�:���.�. . j,�/ . .�.T. . . . . . . . has permission to perform . VAC. k r�0`�j. !!`'f'r`. . . . . 1. .r..0 1 ri plumbing in the buildings of . . t0_.,'.K1W%.�.� at. . K , No A o�jer, Mass. Fee. ���.Lic. No.. . �rl��. . 17! ��rrn �`-1'. . . . . . . PLUMBING INSPECTOR Check # ALL �k h. II ti MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town MA. Date ll Permit# Building Location: 3i o.,t. 6 c G Owners Name: Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional El Residential[c� New:❑ Alteration:❑ Renovation: ❑ Replacement:[91Plans Submitted: Yes❑ No❑ FIXTURES LU DEDICATED � z SYSTEMS Ln EnN O y a p m in F" w h = ? ❑ w 2 Z d vF- Fwp QQ ww Q d -0 2 = QU a O LLJ LU 3 O N - w 'SUB BSMT. W 3 BASEMENT 57 1 FLOOR 2ND FLOOR 3RD FLOOR ' 4T"FLOOR STH FLOOR 6T"FLOOR 7TH FLOOR 8'FLOOR [nscalliti Address:4pai-k 41 (corporation City/Town:�'1 ✓ !� State:_ J(A 04 Business Tel: ��lo Q ❑Partnership Fax: Azz Name of Licensed Plumber: El Firm/Company W/ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes Q`No E] If you have checked Yes,please indicate the-type of coverage by checking the appropriate box below. A liability insurance policy.E]r Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does` not t have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only >i nature of Owner or Owner's A ent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and +o ti Knowledge and that all plumbing work and tnstallatio��s periormed under the ermit issued for this applicatio will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chap t of t General Laws. a�� ra tc t.,�bes`of my Type of License: Je Plumber S gna ure of License lumber 'Y/Town II Master 'PROVED(OFFICE USE ONLY) Journeyman License Number: r4+. r i The Commonwealth ofMassachusetts Department of rndustr alAccidents Office oflnvestigations 600 Washington Street Boston,M4 02111 UW www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorsAElectricians/Plumbers i Applicant Information Please Print Legibly ` Name(Business/Organization/Individual): Address: -City/State/Zip: Phone#: Are you an employer?Check the appropriate box: _ 1.❑ I am a employer with 4. - Type of project(required): ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner listed on the attached sheget.t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. []Demblifion working for mein any capacity, workers'comp.insurance. [No workers comp.insurance 5. 9• ❑Building addition ' p ❑ We are a corporation and its required.] .officers have exercised their 10.❑EIectrical repairs or additions 3.01 am a homeowner doing all work right of exemption per MCTL 11.❑Plumbing repairs or additions myself.[No workers' comp. c.152,§1(4),and we have no insurance re uired, r 12,❑Roof repairs Q ] • employees.[No workers comp,insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside con 'Contractors that check this box must attached an additional sheet showing the name of the subctractors must submit a new affidavit indicating such. ontractors and their workers'comp•policy information. lam an employer that isproviding workers'compensation insurancefoY my employees Below is the information, policy and 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1' fy P P fP J �' Ido Izereb. cerci under the airs and en o er'u t71at the information provided above is true and correct. Signature: Date: 'hone#: F17aonly. Do not writein this area,to be completedby city or town official.n• PermitUcense# ority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Date.. . ..... . Of 4N0 RTM o� TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION SSACMUSEAA This certifies that .!"`.�,. . . S . . .1?? . . . . . . . has permission for gas installation . . .�7.!.'./--p. . . . . . . . . . . . . . . . . in the buildings of A! " . . . . . . . . . . . . . . . . . . . . . . . . 1 � at .[. . ( v�!Vl 1—'.3�; K . ....I No Ando ,er Mass. Fee. ��.�.�. Lic. No..t v.3:�. . �GYIR1 4a . . . . . Y GAS INSPECTOR Check# 11 7930 a �a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: ��.iL— , MA. Date: Permit# FWOWe ` Building Location: 3 7/��to�S'f s G �C Owners Name: 0 A" ry G . Type of Occupancy: Commercial❑ Educational ❑ Industrial ❑ Institutional❑ Residential [�— New: ❑ Alteration:❑ Renovation: ❑ Replacement: Ep� Plans Submitted: Yes❑ No❑ FIXTURES W c W to z w W co L) = m = O W W OU fA F O = co W z l— nww z - W coM O 1- n W to W coo F' w p Q H U) > W Z Q a I— W w x Lu ~ Q W W W z N = W FO W F- ❑ = LL z W r W y J < 1— O z J O LL � = W W W Q Q m W O z 0 co F- > z F, _ U o o LL 0 a) z z O a. H > > > O SUB BSMT. BASEMENT 1 FLOOR 2 NFLOOR 3Ku FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR A-. Check One Only Certificate# Installing Company Name: ��- [9-Corporation Address:40 City/Town:--'>l . DState: El Partnership Business Tel: 179 Fax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes If No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 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 this requirement. Check One Only Signature of Owner or Owner's Agent Owner El Agent El By checking this box❑;I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installati performed under the permit issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbin o and C apter 142 of the Gen al Laws. Type of License: BY [lumber -T- Title �❑yG,,�as Fitter Signat re of and umber/Gas Fitter ['Master City/Town ❑Journeyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer i Q �'F //o?a./.2�i 3 A O • The Commonwealth ofMassachusetts Department oflndusfrialAccidents Office of Investigations' 600 Washington Street zv Boston,MA 02111 www mass gov1dia Workers' Compensation Insurance Affidavit:Builders/ContractorslElectricians/Plumbers Applic Mt Information please Print Legibly Name(Business/organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: _ 1.❑ I am a employer with 4. Type of project(required): ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2•❑ I am a sole proprietor or partner- listed on the attached shgget.1 7• ❑Remodeling ship and have no employees These sub-contractors have working for mein any capacity. workers'comp,insurance. 8' ❑Demolition [No workers comp.insurance 5. 9• ❑Building addition p ❑ We are a corporation and its required.] officers have exercised their 10-ElElectrical repairs or additions 3.ElI am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions Myself [No workers'comp. c. 152,§1(4),and we have no insurance required.] 12.❑Roofrepairs q ] �r employees.[No workers comp,insurance required.] 13.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such -contractors and their workers'comp.policy information. #Contractors that check this box must attached an additional sheet showing the name of the sub lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. 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 Y expiration . iratio Failure n date). ailure 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 ofthis statement maybe forwarded to the Office of Investigations of the DIA,for insurance coverage verification. Ido Itereky cerci under the gins }y and e p p nalires ofperjury that the inforntatzon provided above is true and correct. Si ature: Date: ?none#: 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical 6.Other Inspector 5.PIumbing Inspector Contact Person: Phone#: D- Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...everyperson in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more Of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers',compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confmnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,;please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ' of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licemse applications in any given year,need only submit one affidavit indicating current Policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in - (city or town)."A copy of the affidavit that has been'offiiicially stamped or marked by the city or town,may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.'Where a homeowner or citizen is obtaining a license or permit not related to-any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questi please do not hesitate to give us a call. ons, The Department's address,telephone and fax number: The Con- tomwealt of.yfassachusetts Department of Industrial Accidents Office of InveSVgalio-uS 600 Washington Street Boston;MA- 02111 Tol.#617.727-4900 ext 406 or 1-877-MASS.AFE Revised 5-26-05 Fax#61.7,727-7749 Www.mass.l;ov/dia MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: MA. Date: 1011 Z !/ Permit# 3 j ( �qvL ,dj / Building Location. .�-�''l Owners Name: L/',4`I1j0l/f 1A-1j= Type of Occupancy: Commercial❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [e— Plans Submitted: Yes❑ No❑ FIXTURES U WW U M <Q U) N Q x W mLu 0 Lu W 0 to co O x W Z z zLu U) m 0 H = w W O Q H W cn v z to 0 ~ 6 O a W z tX—i I- w w 1- 0 Lu w z Q x � Q w _ 0 z W Z > U W C7 � co x W � Z W _j Q Q m W O z 0 F- > z x SUB BSMT.BASEMENT 15' } 1 FLOOR I©��-�!/ 2 FLOOR Date. •••••• - 3 No FLOOR v 4 FLOOR -g*m FLOOR °f`NORT, —C—FLOOR = y` '° °� ¢ TOWN OF NORTH ANDOVER 7 01 FLOOR o p + 8 IHFLOOR + . PERMIT FOR GAS INSTALLATION Installing Company Name: �� �'+s n SACMUS , Address: V� ��X �� Z- City/ /- This certifies that Business Tel: 7 V d ly u� jj Z� �,t,•! ..�t cw- :. �.. rhas permission for gas installation . . . . . . . . . . . . . . . . . Name of Licensed Plumber/Gas Fitter: in the buildings of . / . . . .1.. Y.[��r,-.-.-. . . . . . . . . . . . . . . . . . . . . . INSURANCE COVERAGE: at . • .I. . . .S . f.'e. t�f C. .. . . , Nort Ando er, Mass. I have a current liabili insurance policy or. v�J ��3 b xe Z Fee. . . . . Lic. No.. . . . . . . . . . . . . . . If you have checked Yes,please indicate the GAS INSPECTOR A liability insurance policy Check# �U / OWNER'S INSURANCE WAIVER: I am aware Massachusetts General Laws,and that my s 7831 p Z q . - 1 uwnerrU --- Agent ❑ _ Signature of Owner or Owner's Agent B checking this box y certify f Y g ❑;I hereb certi that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumb! Code and Chapter 142 o the I ral Laws. Type of License: By E;'15-lumber -�7�j Title El Gds Fitter Signature of L used Plumber/Gas Fitter aster Cityrrown []journeyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer �a 7,0 7 7 G 8 Date.. �s'�� . ...... .. ,�ON7p �? TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION . ,o�4 " � M1 SAC NUSESS This certifies that �� . .�. . . M.1*00" '¢x. . . . has permission for gas installation -�t' '". . . . . . . . . . . . . . in the buildings of/. X4.0.MAI. !. '��. . . . . . . . . . . . . . . . . . . . . . . . at N rth 4nver, M Fee. ,.Q. am. Lic. No.. .7'.0 . . . . S INS C Check# It) 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:"'A O, MA. Date: M—Orzll Permit# Building Location: l C h P4 j/'P it '` C Owners Name: Cr 01 V AV'/\� Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No❑ FIXTURES w W Y H U) N U = M Cd Q O m m 0 w w V cn co O = W w Z J Z z O D W ' M a' O 1— p V5 Lu W w m o a a Iw- o O w X W N U W W Z _ co 0 W ~ = LL Z W W Z O J H 1-- O Z J O LL 1-- = W H W W ° oo _ = g ° O � >� o a W > > I-- L) SUB BSMT. BASEMENT 1 FLOOR 2 '-FLOOR 3 FLOOR 4TH FLOOR 5 FLOOR 6 1H FLOOR 7 TH FLOOR 8 FLOOR Installing Company Name: � y (� Check One Only Certificate# � � V e J i✓��,v�,a�,� �- < f ,1 ❑Corporation Address: City/Town:_ Stated"� El Partnership Business Tel: i 70p d Z Fax: S,4 M [9-Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes RIM❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy [� 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 this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner E] Agent By checking this box❑;1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and apter 142 of the General Laws. Type of License: By [dumber Title ❑Gas Fitter Signature of Licensed Plu er/Gas Fitter 9-Master City/Town ❑iourneyman _ APPROVED OFFICE USE ONLY ❑ LP Installer License Number:_ Date,/— /.�d�. . . . "aRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s SSACMUSIr � / This certifies that .//e.� �.�.;1. . . S`7!�� /lsi..5 ?! . . . . . . . . . . . has permission to perform . . . .PaA<, 4).s-.1.4 {gra ► . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . at . . 3/. . .cl!4.t-A f.s. ! ./f. . . . . . . . . . _. . . , North Andover, Mass. Fee. Lic. No. . . . . . . . . -. � . . . . . . . . PLUMBING INSPECTOR Check # h a 6295 MASSACHUSETTS UNIFORM APP CATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date -K Building Location3f Q- b LL'S Owners Name Lj9 N OrA Permit# J Amount t�Z Type of Occ an New Renovation © Replacement Plans Submitted Yes No FIXTURES Cn W a a aCn w x 0 A w Cn 1z In W o as 3 w A a o H x x x Ln z.tw o x SLRFL%E R4SEME r ISE MOM 2 II FLOOR �t FLOOR 41H RDD 5]H HAOM 6M HA" M FIOOR M F JOM (Print or type) Check one: Certificate Installing Company Name K044V A.Si{'(0lM(gsrC1( PL-& (+ D ❑ Corp. Address?W ERW 001a, (ZDV `I?,LV. ffA . O t 9 t Y- ❑ Partner. Business Telephone cl-1 S,c�bq_j �' © Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © Other type of indemnity a 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 E 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 Mas usetts State Plungbe andhapt�42 of the General Laws. By: Signature o en�Fum er Title Type of Plumbing License �g a � 3 City/Town icense um er Master ElJourneyman APPROVED(OFFICE USE ONLY 13 I �+ Date.JAI �r .. .... i ! NORTM 1 `".:• "�o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SS�cMUSE� This certifies thatZZ O /`� C- ......................................... has permission to perform ........................io a`.. "` ..�~ n... :....`... .................................. wiring in the building of..............` N/�-1 ti .............................................................. �� SC ........................... .North Andover,Mass. Fee....�....... Lic.No. PJ,?.).-q......Z N / Q ELECTRICAL INSPECTOR Check # I�31 54 9 9-\ TBE COMMONWE4MHOF"SACHUSEHS Office/U/see onlyr DEPARTA1EWOFPUX1CSAFEIY Permit No. _ �T 7 / r ` BOAROOFFIREPREVEN170NREGUT4770NS527CMR1200 K Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DateC a.� X311 0 L/ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 3 � tANd l e s1 i�'k R- f Owner or Tenant N + Lin uy, -e— CA ri Aj #N 5 Owner's Address S I M'e- Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building INt [l 1 N`S Utility Authorization No. Existing Service Amps Kovolts Overhead Underground No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work e,ArA .6e Fe,-YrI�/y /1c o✓17 s No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets 1_5— No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges C� No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals tJ No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers v Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers � Heating Devices KW Local Municipal � Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• v r IrMMXCoveraga RHaMMtDdrmirilml iVsofMasmdmsctsGff)Ed aws IhaNcaamwLmbl*hwxancePbhcymk&gGmpletOperationsODNaageorzabsuitWeqxvalw YES /NO IhavesulxniWdvandproofofsametodle0ffim YES rm F)mtnwcheclodYES,plea mdc&thetArofwverWby dwking die box/ INSURANCE' //_ BOND GRIER (PleaseSpecify) uu l 2 i3 0 ��Y _ IN I l l 1, Expiratim Date 4�3�3 o FsbmatedvalueofE1ect ica1 Wodc$ r' 'z O 1 signed underTieF��esot �Q kgearmDaleReq l Rough Final ` lJcuy I U 2Z o FIRMNAME ��e car, r✓ Lioer>cee f)N� c'ti �u 2 o Slime LicffWNo / / /V 77 9 BusincssTel.No. 312 f 3/ ArlrirPcc �� /�VWyv�`� _ `' 3Y ���d�(� .�i f 0/ Z, Alt Tel No. )7L-J 3 5�5. 7 _ OWNER'S INSURANCE WAIVER;IamawatethattheLicensedoes nothavethemsruarmcoveiageorits subslanlialequivalentasrequiledbyNLwxhusem GetlnalLaws ana&my signature on thispermit applicationwaives this Mquirenetlt (Please check one) Owner Agent `1 Telephone No. PERMIT FEE$ lgna ure o caner or gen MECOMMONWEALMOFMASSACHUSETIS Office rUse only DEPARTA1EW0FPUX1CSAFFM Permit No. BOAROOFFIREPREVEVHONREGUL 77ONS527CAM12 OID j Occupancy&Fees Checked 0 4PPL[CATIONFOR PERMIT TO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dates ad x-31 U y Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 3l1/d ' Owner or Tenant (q lam ,f Loi,- (A N)^-**N� � � w ...�'�'� ,•� Owner's Address S 4/N-e— L Is this permit in conjunction with a`building permit: Yes No (Check Appropriate Box) Purpose of Building N S Utility Authorization No. Existing Service Amps ovolts OverheadCTUnderground No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work G 4 ASE YW,�y No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures }� Swimming Pool Above Below Generators KVA R 19 ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners ,To.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones 1 Tons ' —No of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers U Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Othe Connections No.of Water Heaters KW No.of No.of Si ns Bailasis Hydro Massage Tubs No.of Motors Total HP ER. Covtta� Pimanttothe wqukemmsofMassad>useasGenaalLaws amattLiab>7ityhmuu�oePblicyinch>dmgCompleeComaageorilssubsarroalegtrivalar�t YESNO vandptoofofsametodrOfca YES IfyoubawduiedYES,pbaseindi�thetypeofcovwdgeby the a�box CE BOND r7 GRIIFR r7 ftweSpeafy) (2..l3 0 �U Y _ i,�I t t � (t FxpitationDate 23 �� R011gfl Estunated ValueofFlearlcal Walt$ Final �ie%Mkiesofpedw.. ft)22 o ;F(Fc �: L A 2 �" 1) LiaaLseNo. f� p �--y N`�VICNL 1v �2 O Sigra m 1 L No 1 / P / Businm Tel.No. 9JJ 312 `f / ,7 ,°quk S7-.. - 3y Adzoa/v 4a, AhTelrro" INSURANCEWAIVER IamawatethattheLicensedoesnothavetheinstuanxcovaagea•itsatstat�op alemasmgtmedbyNti%admsemC naWLaws gnatareonthispamitappkatialwaives this wquken-u tQ eck one) Owner Agent G� 3 r 3 Telephone No. PERMIT FEE Igna ure ot Uwner or Agent ca -� - �' /tea — 7Es�L►�.� �Q C� �P ?lo � r ARTICLE 210—BRANCH CIRCUITS 21050 (A) 15- and 20-Ampere Branch Circuits. A 15- or 20- (D) Branch Circuits Larger Than 50 Amperes. Branch ampere branch circuit shall be permitted to supply lighting circuits larger than 50 amperes shall supply only nonlight- units or other utilization equipment, or a combination of ing outlet loads. both,and shall comply with 210.23(A)(1) and (A)(2). 210.24 Branch-Circuit Requirements—Summary. The Exception: The small appliance branch circuits, laundry requirements for circuits that have two or more outlets or branch circuits, and bathroom branch circuits required in a receptacles, other than the receptacle circuits of 210.11(C)(1) dwelling unit(s) by 210.11(C)(1), (C)(2), and (C)(3) shall and (Cx2), are summarized in Table 210.24. This table pro- supply only the receptacle outlets specified in that section. vides only a summary of minimum requirements. See 210.19, (1) Cord-and-Plug-Connected Equipment Not Fastened 210.20, and 210.21 for the specific requirements applying to in Place. The rating of any one cord-and-plug-connected branch circuits. r. utilization equipment not fastened in place shall not exceed 210.25 Common Area Branch Circuits. Branch circuits h. 80 percent ofttle,,4ranch-circuit ampere rating in dwelling units shall supply only loads within that dwell- (2) Utilization Equipment Fastened in Place. The total dwell- ing unit or loads associated only with that dwelling unit. rating of utilization equipment fastened in place, other than Branch circuits required for the purpose of lighting,central luminaires(lighting fixtures),shall not exceed, xceed 50 percent of larm,signal,communications, or other needs for public or the branch-circuit ampere rating where lighting units,cord- common areas of a two-family or multifamily dwelling and-plug-connected utilization equipment not fastened in shall not be supplied from equipment that supplies an indi- place, or both, are also supplied. . vidual dwelling unit. (B) 30-Ampere Branch Circuits.A 30-ampere branch cir- III. Required Outlets cult shall be permitted to supply fixed lighting units with ,,. heavy-duty lampholders in other than a dwelling unit(s) or 21050 General. Receptacle outlets shall be installed as l' specified in 210.52 through 210.63. utilization equipment in any occupancy.A rating of any one cord-and-plug-connected utilization equipment shall not (A) Cord Pendants.A cord connector that is supplied by a exceed 80 percent of the branch-circuit ampere rating. permanently connected cord pendant shall be considered a OF'l (C) 40- and 50-Ampere Branch Circuits. A 40- or 50- receptacle outlet. ampere branch circuit shall be permitted to supply cooking (B) Cord Connections. A receptacle outlet shall be in- appliances that are fastened in place in any occupancy. In stalled wherever flexible cords with attachment plugs are other than dwelling units,such circuits shall be permitted to used.Where flexible cords are permitted to be permanently supply fixed lighting units with heavy-duty lampholders, connected, receptacles shall be permitted to be omitted for infrared heating units, or other utilization equipment. such cords. Table 210.24 Summary of Branch-Circuit Requirements Circuit Rating 15 A 20 A 30 A 40 A 50 A Conductors(min. size): Circuit wires' 14 12 10 8 6 Taps 14 14 14' 12 12 Fixture wires and cords—see 240.5 Overcurrent Protection 15 A 20 A 30 A 40 A 50 A Outlet devices: Lampholders Any type Any type Heavy duty Heavy duty Heavy duty permitted Receptacle rating2 15 max.A 15 or 20 A 30 A 40 or 50 A 50 A Maximum Load 15 A 20 A 30 A 40 A 50 A Permissible load See 210.23(A) See 210.23(A) See 210.23(B) See 210.23(C) See 210.23(C) O 'These gauges are for copper conductors. 2For receptacle rating of cord-connected electric-discharge luminaires(lighting fixtures),see 410.30(C). 2005 Edition NATIONAL ELECTRICAL CODE 70-51 ynCLE 210—BRANCH CIRCUITS V � r permitted (C) Dwelling Units. for where I nominal (1) Small-Appliance Branch Circuits. In addition to the )8 volts. number of branch circuits required by other parts of this 1 section,two or more 20-ampere small-appliance branch cir- f Go - '--1-3 ere condi- cuits shall be provided for all receptacle outlets specified by �� ✓ ),nly quali- 210.52(B). Irs shall be winal480- (2) Laundry Branch Circuits. In addition to the number < volt sys- q Y P of branch circuits required b other arts of this section, at 0- conductor least one additional 20-ampere branch circuit shall be pro- vided to supply the laundry receptacle outlet(s)required by Grounded 210.52(F). This circuit shall.have„no other,optlets. .-, to or more y (3) Bathroom Branch Circuits.In addition to the number ungrounaed cunuuctvls snau ve pcnmuw is uc Lapped from' o � f branch circuits required by other parts of this section, at the ungrounded conductors of circuits that have a grounded least one 20-ampere branch circuit shall be provided to neutral conductor. Switching devices in each tapped circuit supply bathroom receptacle outlet(s). Such circuits shall shall have a pole in each ungrounded conductor.All pole' of have no other outlets. multipole switching devices shall manually switch together where such switching devices also serve as a disconnec['ng Exception: Where the 20-ampere circuit supplies a single means as required by the following: bathroom, outlets for other equipment within the same (1) 410.48 for double-pole switched lampholders bathroom shall be permittec':to be supplied in accordance (2) 410.54(B) for electric-discharge lamp auxiliary equi with 210.23(A)(1)and(A)(2). ment switching devices FPN:` See Examples DI(A), D1(B), D2(B),and D4(A) in (3) 422.31(B) for an appliance Annex D. (4) 424.20 for a fixed electric space-heating unit ` . (5) 426.51 for electric deicing and snow-melting equipment 210.12 Arc-Fault Circuit-Interrupter Protection. (6) 430.85 for a motor controller (A) Definition:Arc-Fault Circuit Interrupter.An arc-fault (7) 430.103 for a motor circuit interrupter is a device intended to provide protection from the effects of arc faults by recognizing characteristics 110.11 $r nch Circuits Required. Branch circuits for unique to arcing and by functioning to de energize the circuit g/ when an are fault is detected. lightin and4r appliances,including motor-operated appli- `ances shall be provided to supply the loads calculated in (B) selling Unit Bedrooms. All 120-volt, single phase, ccot n e with 220.10. In addition, branch circuits shall 15- and 20-ampere branch circuits supplying outlets in- be provided for specific loads not covered by 220.10 where stalled in dwelling unit bedrooms shall be protected by a required elsewhere in this Code and for dwelling unit loads listed arc-fault circuit interrupter, combination type in- as specified in 210.11(C). stalled to provide protection of the branch circuit. (A) Number of Branch Circuits. The minimum number Branch/feeder AFCIs shall be permitted to be used to of branch circuits shall be determined from the total calcu- meet the requirements of 210.12(B) until January 1, 2008. fated load and the size or rating of the circuits used. In all FPN: For information on types of arc-fault circuit inter- installations, the number of circuits shall be sufficient to rupters, see UL 1699-1999,Standard for Arc-Fault Circuit supply the load served. In no case shall the load on any Interrupters. circuit exceed the maximum specified by 220.18. Exception: The location of the arc fault circud interrupter shall be permitted to be at otter than the origination of the (B) Load Evenly Proportioned Among Branch Circuits. branch circuit in compliance with (a)and(b): Where the load is calculated on the basis of volt-amperes per square meter or per square foot,the wiring system up to (a) The arc fault circuit interrupter installed within and including the branch-circuit panelboard(s)shall be pro- 1.8 in (6 ft) of the branch circuit overcurrent device as vided to serve not less than the calculated load. This load measured along the branch circuit conductors. shall be evenly proportioned among multioutlet branch cir- (b) The circuit conductors between the branch circuit ', `. cuits within the panelboard(s). Branch-circuit overcurrent overcurrent device and the arc fault circuit interrupter devices and circuits shall only be required to be installed to shall be installed in a metal raceway or a cable with a serve the connected load. metallic sheath. 70-48 NATIONAL ELECTRICAL CODE 2005 Edition Loc ation� � No. Date NORT1y TOWN OF NORTH ANDOVER O�t•� e ��h f A a Certificate of Occupancy $ sCMUs t� Building/Frame Permit Fee $ 5n Foundation Permit Fee $ P Other Permit Fee $ TOTAL $ � Check # /,0/ 17828 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. / p /.. X l r SIGNATURE: - Building Commissioner/1for of BuildingsDate z SECTION 1-SITE INFORMATION Q 1.1 Property Address. 1.2 Assessors Map and Parcel Number: Cc Map Number Parcel Num A 7� �c 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Fronts fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v k Water Supply M.G.L.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ 1 LIiC:L Ct' un^ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT . ._s �.f p M f.I Owner of Record a'me(Print Address for Service: l ) Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M �ignature Tele hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ &-)3 y `f Licensed Construction Supervisor: 0 License Number E, i Address Expiration Date ature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ AW Company Name Registration Number r k— nX ar— X), /3-- a "-/�0/ las"' Address g /e"/ k z "I/ C-' e a 2 Expiration Date A il;nature Tele hone G) SECTION 4-WORKERS COMPENSATION(MG.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.......0 No.......❑ SECTION 5 Description of Proposed Work check a4 a Hcable New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Ale GaJ AAF. z4e SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by pennit applicant- 1. licant 1. Building a Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical(HVAC) �� y 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHOWAVION TO BE COMPLETED WHEN it OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING 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. 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 -Xell"c 4 Q ' / rine nt Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS I' 2' 3RD SPAN DRvIENSIONS OF SQ.LS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION _ THICKNESS SIZE OF FOOTING X MATERIAL OF CHUvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NA AL GAS LINE t FORM U - LOT RELEASE FORM 0\,A C& 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 At C�2 o cd / HONE q ZJ J 7,l 0_3/ LOCATION: Assessor's Map Number7� PARCEL-9-a- SUBDIVISION ! LOT (S) STREET 3 j Ca e �-�'r � � 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-HEALT DATE APPROVED DATE REJECTED S PTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS iJ 3y �i S PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm oma•-`.- s�� o +u neo SO., ;, p a duscrr O (f f. M ;Form GRADE d%OYER SAS)'- _ - / J �t• F, i[� �� (' - i _ . F;ov CF WRIER==folYd f2 GRACE. x. i15;7NG wR y � r 190 CL-Ay 9ARRIER pET�IL r l� CONSTIN)MM`+GtE: y.` I. ^'+ • �.. ip V' . SER.MITWOE XVM A YO W!Ur OiMTO-DIS-M MAE;6L i K tO'!+AnE'a P�;fut?1C,f'?ATE GREATS TNAN iW WN/R,CM • - w:` - �rte- ,� .,\ -� �/ � .. t7! _ - t Top-F.FouNDATrkq,+_ k AS�ikfbltl�Y: ✓, ,�. DMtTa Srt rn OUI'i1b11E E7t1ST.. t > 1:' I wrEX -� o TMK STAKES # umm .. =7.. r.,.t ` w OF FLM d } w• •� j 01fi Bot 1 - t .•. . wf-q our Boat a' tota8� STAKED PAYBALE DE'PAIL 0. uor.00 t O II ) gar Z toU44. o ; wr-z i Z_>M-!- sbnol can am pvo-i Ga AM m ,0 £ ` x 3lV8Jl U L Vol t me—Am . vaamnmn amm S3Wu it Raw wi l�F1B^SY eY -t461"Qr*-A do dol=W�.1_ - /y➢" .' /AOb Z -�"" ' �r►A * _ '2: �.�� 4101 vn xa s�w t Zpr 6•e j 3 � i m J x ,„,w s„ Via V ol WD vn ZJS - - i iii II 1 I -_T.—•--- i BOARD OF BUILDING RLgTIp License: CONSTRUCTION SUPERVISOR Number:-CS 034094 " Birthdate: 06/07/1948 ! Expires 06L0.7120A6 Tr,no: 15.0 ' Restricted 0� IC1iiE -L WINDSOR OXFORD AVE BRADFORD, MA 01835 /y Commissioner f UTA «� Board of Building Regulations end Standards . HOME IMPROVEMENT CONTRACTOR .Registration: 115811 Expiration•. 4/20/2006 .:Type: DBA M&M CONST CO MICHAEL WINDSOR I 75 OXFORD AVE. G C1�F8� bt�"OfZ QtE01Z Vtf'$1 a (o ti Ilk .i - ~'CC �Lz- .51 ; .. to w � �. i- )2-' e/vt pago -A 6 Ui 12c aK PI rI rF 0 f mix,sr''� f 15T Ft®ol h 4� s AV 1 �� �, T ,� a IL CD L + r i t�a }. r 11 V got f L � 4 E 3 1 � p 0,0^d a `19 0 J t E i 1 e , \ E i NORTH ` 1�mdown ® ? Over .I I I I I I I I I No. o _ _, 0 �0 Z- LAK 0 dover, Mass., COCHICKEWICK V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT... ..� .t %t ~ N I�1► BUILDING INSPECTOR .......................................................... ...........�................. ........................................ Foundation * (�� � e R 4 has permission to erect. .y.... a�............ buildings on ..c .I............A.NdI* �........................... Rough to be occupied as...,FI11 r'o% r We&$ C Z r# . . .� Chimney . . ............................................... provided that the person accepting this permit shall in every respect conform to t e.terms of the application on file in Final this office, and'to the provisions of the Codes and By-Lawsing to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 106197 //3 0 G � rel '/3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this. Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TAR S Rough c .... . .. ... .. ...... ...... 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. Burner Street No. SEE REVERSE SIDE Smoke Det. N2 243 3 Date.... :. :°............ NORT�y TOWN OF NORTH ANDOVER p PERMIT FOR WIRING - I SACMUS� This certifies that,.: }.. f . ............................................................................. has permission to perform. u :... ... .... f - ............ -< wiring in the building of..LZ........�.-t`.'.:............... ........................................ f at......x. 1......1:.:jL :.- -P � •;?� � ,North Andover,Mass. .... ..... ............. ........ Fee .:............. Lic.No. ....A. . ELECTRICAL INSPECTOR Check # //S WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 77LECOMMOARE4071OFAL4S.Sf MUSEUS Office Use only 1?LP,4fiTA1ZVT0FPUBLK&41'= Permit No. �a BOARDOFFTREPREYFIVI70NREGUTA770AS527CCWRl2-GV —� Occupancy&Fees Checked N APPLICA TIONFOR PES MT TO PERFORNf ELECCTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACI-fUSSTS ELECTRICAL CODE,527 CMR 12:00 n� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date iilg Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. MAP PARCEL Location(Street&Number) Owner or Tenant I&LAE74-1 AJsr//,rZ Owner's Address ?/ Is this permit in conjunction with a building permit: Yes F-1 No =00" (Check Appropriate Bos) Purpose of Building Utility Authorization No. Existing Service /.. Ampspt�&olts Overhead Underground No.of Meters New Service OW AmpJW11dXVolts Overhead Underground No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total v KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Bum ers No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARINiS No.of Zones Tons No.of Disposals No.of Heat' Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of W.ter Heaters KW No.of No.of I Sims Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hsta�a<IoeCovaag�Aas�Ytotheieglitana>Is�Ga�llaws IbaNeaamaELiabkkm r,z=P b yitajck gCar>plete CutmWcril aisw IDale4uvalart YES NO lbate%hni&dmhdptocfofmrbd e0ffm YES 1._J Er Y3cuhawdrd®dYES pie=rAc*dm�peotwmagebydmddngthe appcpdalebm IN UE o BCND o OU-M o ?mxSpoffy) 5pira6atD& ValuedEbtiwl We ik$ WakibSGnt L- 1VQC-- Rough �"�/LC C6 CL Final Sigcradun±r. a ofpajuty. FII21vINAME / 1� Liaam;Na 1 eo'00,0 X00 Btsir=TeLNo. _ �arrirr•ec �- �T r � Alt TUNa 78 OAIU;2S1NSURANTCEWAIVFR;Iamawdmd-&drLitmwdmnothmethei mz=cuxmWcrilsst>>sortdegnvalalasregmedbyM3mdnse CxmadLawS aodthatmysigrrahaeonthispamitappk*W=* waiwSthisW4xi a nat (Please check one) Owner ®_ Agent Telephone No. PERMIT FEE$ Signature of uwner or Agent Location- No. Date "" NaRTM TOWN OF NORTH ANDOVER 3?' °t ♦ i i Certificate of Occupancy $ �'�s'•°•;<� Building/Frame Permit Fee $ Jaws Foundation Permit Fee $ Other Permit Fee $ ri TOTAL $ Check # 1570 / Building Inspector C TOWN OF NORTH ANDOVER BU�I�,DING` -EPARTME t'PLICATION T CONSTRUCT REPAIR;RENOVATE, OR'DEMOLISH A_ONE:OI2TWO FAMIIX.DWELLING - r y S M� '7! BuildingCommissioner/I r of Buildings— DateACTION'1-SITE INFORMATIONZ 1.1• ftoperty Address: 1•.2 Assessors Map and Parcel Number O o Y-4Cjv&��a . wo NIP Nurn1w Parcel Number 1.3 Zoning Information 14., JWpertyDinx6sj96s G1 fin Distad ,,,,.. U se Lot Areg Franta ft BUMDING SETBACKS tit Front Yard Slde 5r r =Rear Yard . Provide .; Provided . _ _ Provided N. Water,sapplyMGLC.40. s4) 1.5 .FloodZow Ldomtawn. 1rE" Sa�D4,wal§ystetu IC p Private ❑ Zona Ootsrda Flood Zoee ❑ Mtmtcipal p Oa She Disimsdyet „ CTIOlY 2 POpERTY G WNERHIP/A1J'I'gORIZED AONT F _ Owner of Record A 41,,; h Ca4:.Ales� iclz le.(Prtnt) &j Address for Service: q72 .�iS�4� 11LM ature Telephone:;_ owner of Record Q F 'tr me Print Address for Service: 0 3lure Tel hone m 'TION 3-CONSTRUCTION SERVICES ,ieensed Construction Supervisor. 00 Not Applicable 0 AA fsed Construction Supervisor. O License Number ess ture Expiration.Date Telephone egistered Home Improvement Contractor Not Applicable ❑ any Name Registration Number M •ss rMa mom ure Telephone Expiration Date z i ___ F�nhL, ION 4-WORKERS COMPENSATION(NLG I: C i52'§ 25c(6)`' rs Compensation Insurance affidavit must be completed and submittal with:flus application "Failure to provide this affidavit will result enial of the:issuance of the buildin' rmit. affidavit Attached Yes. ...'...❑ No........❑ IONS Descri tion.of Pro�"sed Work elieck all a'-01lcable r.. onstruction D Existing Building ❑ Repau(s) -� `Alterations(s) Addrtron Cl '` Accessory Bldg, ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: PZ ( , SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar)to be , Completed by permit applicant. 1. Building f bb (a) utldmgPermit Fee Multi`Iter' 2 Electrical (b) Eshmateci Total Cost.of Consttuehon _ . 3 Plumbing Buildmg Petnut fee(a)x(b) - 4 Mechanical AC . . 5 Eire Psoteetioir ' 6 Total.(1+2+3+4+5) TION 7a'OWNER AUTHORIZATION TO'BE COIMIPLEUD WHEN' OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on _ .. My behalf,,in all matters relative to work authorized by fl&-building permit application Signature of Owner Date3 f SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject J property Hereby declare that the statements and information on the foregoing application are. and belief true and accurate,to the best of my knowledge / a A JlG_ Prim Name Q 317-002 -Signature of Owner/Agent) Date NO.OF STORMS ' SIZE BASEMENT OR SLAB SIZE OF FLOOR TDABERS 1 2 3 RU ' SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUIL DING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits Boards and Departments having jurisdiction have been obtained. This does not from the applicant and/or landowner from compliance with any applicable or re uirem reieve 9 lents. ************************�*'t**APPLICANT FILLS OUT THIS SECTION APPLICANTtl A PHONE�g LOCATION: Assessor's Numb � Ma er�-' PARCIE� _ SUBDIVISION II LOT(S) STREET �� ST. NUMBER OFFICIAL USE ONLY***********�********�****�►�**** NRECOMMENDATIONS OF TOWN AGENTS: ERVATION ADMINI RATOR DATE APPROVED .� DATE REJECTED COMMENTS_ /00 p-F wet�«„� �, -}' nD P Ll.,� � .s wr wild w �•, For�f ih-� Bork d roved WOP`� n�a�r nerd rflQ SP Ke TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED L DATE REJECTED SE TIC INSPECTOR-HEALT4 DATE APPROVED ` DATE REJECTED COMMENTS Q�� U nS` N o 1112 0 S ,, 7 PUBLIC WORKS- SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE . Revised 9\97 jm North Andover Building Department Tel: 978-688-954; 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 iri a properly licensed solid.waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: (Lo cati of Facility) Signature of Permit pplica t Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 6 i CUSTOM VIEW CUSTOMER -- GENERIC CUSTOMER DATE 03/25/02 REF Deck02084 r\ NOR k JACKSON LUMBER 215 MARKET ST LAWRENCE ' MA 1-978-686-4141 BEAM LAYOUT JACKSON LUMBER CUSTOMER -- GENERIC CUSTOMER 215 MARKET ST DATE 03/25/02 REF Deck02O84 LAWRENCE , MA 1-978-686-4141 9' 2 1/2" A 8' 10" � B 1' 11 1/2" BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 15' 10 1/2" 3 7' 9 112" B 15' 10 1/2" 3 7' 9 112" Post spacing is measured center-to-center. Depth of post-in-concrete footers --- 48 inches. *.N AT►1.. Town of North Andover �. �•� M� Building Departmentpl: 27 Charles Street # X North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 .•' 978 688=9542 Fax HOMEOWNER LICENSE EXEMPTION Please prink DATE rr62 JOB LOCATION 31 co,,.j(e Number Street Address lot "HOMEOWNER P( C� nv�� a�� GS�r 9a�12. Carl . 7gty -1Sa Na Ina me Home Phone Work Phone PRESENT MAILING ADDRESS 31 Il N ik I rNvr M►'d-' U( JS State City Town Tip Code The current exemption for"homeowners"was extended-to inGude owner-occupied:dwellings of two units or less and to allow such homeowners to.engage an individual fnr hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) .DEFINITION OF HOMBNOWNER: Person(s)who owns a parcel of land on which he/she resides or intends.to reside,on which there is,or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be*considered a homeowner The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, by-►aws, rules and regulations, The undersigned"homeowner:'certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE 1 APPROVAL OF BUILDING OFFICIAL NoRTH Town of E over No. - � � �� -o�H;� rt dover, Mass., ADRATED P'PCCl S u G r'f 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �/! � � BUILDING INSPECTOR THISCERTIFIES THAT..... ... . .. .. v.......... .B.N. ............................................................................._......... Foundation has permission to erect...44..�.>e1.8....�...... buildings on .... .J........CA"APlea�`c e * d Rough . . . .......................... to be occupied as.......�..P£^> 1). E G/G ����D�,a C� ,vim �,$�.y,� l +�i��i^'� Chimney ............................ .......................................................... provided that the person accepting this permit shall in evory respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. bpd / �/3 'e a ', — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough C. ................................... 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. Burner Street No. SEE REVERSE SIDE Smoke Dec. VliA tip oll fry f' h aT 77 q :0 40 66 301_ _77-120+ 140':: 16FU,S.GPM j _ 30, r ".: ` FLOW RATE ' a � , 1p0Sr_D GRADE , - , _ h 2% OVER sa5j• • 1 - i -. « _ ff e •� 3 �d 2 _1F'Cr..�l-R4,E' 103. Z , JL ,R [ 5 F -I _♦ w ' I,Y } it A 7 ry 4. C`E>RING _ �£'. C '• 4 ti L d X f US f' r+ • k l.._ .„.r, y .,: r...{.,w :4 1'F•. .�;E'w .i � �}iv_ o� .•:� / :a« f .. a'� .�i' '-.- .. G+ r 1T: ,.: ..n..a: ry.x: S ... �'- �,.., �+, �? .1'+".. •,�V k. ,:'1:.: t,,.t. , yr. clS.ING G�aCE jw>-„ ,:, ,.. .- �:�._._.. ,.3. .y�.;,.,:,«x� , ,,, ,, t J ry.e ...,•r :... v,.,..; :. z+Nx„ • ,.. . ,.. .: w,,,- .LAIN. N,t, L .. � �. .. .m'-.'?,,.... }y S.. - •i•a., •}.L r �(M.� ,i#t� ra � , i _ .. , .. ! `;}U�/� - :_ .• • / ,.. i- L t' 2f Y '��1• S. �•9 �. +. __L ) ,.. ,.. . .' } S ���:„_7 ..,..... ,/ d'. t. , t, 4 i:. h vlPr y C'e .. i ..t r i ^iit♦ (Rr, y �fW )l.. ..:.�3Yr' �-�t—e1NG r1a,G .Y4e.: q,. �, - ... t. t Y ' ,�M.• . .... F -wA,'.'e.:.,�i.. .+ o'. 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'` _,.*:: � :..3,. y .f' .; •r t .,e` 'i _ aIM CHMM k,... 's� ;:'i. J r ear. .. ti..' +"�,.. ,{' q bf,+W +,. --`�.-r+-B�'•..-:'a.,.,.,w c3"-.,Tri'-": ._�:,_ ,.:' - '.i'. ,. .r.-+.T ,4 iii ','•,e.` ..`A - „1 fiif2EC1tON> r 3 a s F 3 ., ti.'♦#; Viii LiMM OF FLOW • r `V"�`'.'--� �y e - „ -x, i .s� _ r*: ,�t'...:t :I o.si ^Fink 1C ,+` .ii n. 1 JT _ N.F?'e S* 1 }� ! .�} t �a'F ./fiVF aM 1 OV1. out so 1 WF 4. -7•' .Vila �Vw-Ifto OUT DO'X 3 to mgt STAKED HAYBALE DETAIL r v>�'_..3 01 lil � L.OMfF EM1 ¢` + H 1 y LOW DW 2 1oU42 \N Z Nom; 3