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Miscellaneous - 35 GARNET CIRCLE 4/30/2018
This certifies that has permission to perform .t �-4- e- . 61--r.t,., , , , , , , , , , plumbing in the buildings of ... 0. at ...�� North Andover, Mass. Fee . ! j�... Lic. No -317 i :2,- . !`� --'............... .. . PLUMBING INSPECTOR Check # _1`4 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' CITY _ I MA DATE_I PERMIT # II JOBSITE ADDRESS OWNER'S NAME _ POWNER law' ADDRESS ;TEL W FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ® EDUCATIONAL ® RESIDENTIAL ®� PRINT CLEARLY �,,� NEW: D RENOVATION: REPLACEMENT: �� PLANS SUBMITTED: YES 0 NO FIXTURES 1 FLOOR- BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM _1 ED DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN [ f EE—i INTERCEPTOR (INTERIOR) [ � i KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK T )ILET i _. _._ -._[ 1 _ _.. ( _ __—[ ._ 1 _ _I s L.J URIAIAL VVAF' ING MACHINE CONNECTION i ' j . _,-_- ` A { __ ... _} TERHEATER ALL TYPES h TER PIPING O11iER __I jf INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES,.. NO ©f IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY D BOND E-11 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. q CHECK ONE ONLY: OWNER 0 AGENT J0 SIGNATURE OF OWNER OR AGENT I 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'91pliance with all Pe ' e t ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME tt�CL°._.C_-�� (� LICENSE # Z i SIGNATURE IMP JP ( CORPORATION �]1 #PARTNERSHIP 0# I LLC EI j COMPANY NAME - ADDRESS CITY STATE ZIP �� TEL FAX E CELL �EMAIL _ - -- ----- - - -... - - --- - - ---- -- - - - z oED } N ED The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leg=ibly Name (Business/organization/Individual): r z -,"Ac City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I p oyees (full and/or part-time).* ^I have hired the sub -contractors listed on the attached sheet. 2. S ama sole proprietor or partner- ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its [No workers' comp. insurance officers have exercised their required.] 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no employees. [No workers' insurance required.] t comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. [:1 Plumbing repairs or additions 12.[] Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they &ie doing all work and then hire outside contractors must submit a new affidavit indicating such. teontractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:. Policy # or Self -ins. Lic. #: 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 requiredunder 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. I do hereby cer4under the pains an naf per ry that fhe information provided ab� a is true and correct: 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 Phone #: Contact Person: 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 j oint 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 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 permittlicense 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 Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6.00 Wash ngtou Street Boston, MA. 02111 Tel, # 617-727-4900 ext 406 or 1-877:MASSAF& Revised 5-26-05 Fax ## 617-727-7749 __WWW-Mass,goV1dia. COMMONWEALTH OF MASSACHUSETTS F. PLUMBERS Al "ll GASFITTERS LICENSED AS A JOURNEYMAN PLUMBER ISSUES THE ABOVE LICENSE TO: BRUCE C DOLE Isn 25 LINWOOD AVEC N READING. MA 01864-2055 i, 31742 05/01/14 152749 4 9 Location�ojq 14.3,5- 6,4 RA) C.V\- No. 9q Date bq o� NaRTM TOWN OF NORTH ANDOVER O:i..•o :• 1ti0 9 Certificate of Occupancy $ Building/Frame Permit Fee $��� Foundation Permit Fee $ Other Permit Fee TOTAL Check # J D b 3 i -*7 17562 $ y3 5'0 Building Inspector ',004 05:01 PM 1 L1 LA , GAG MARCHIONDA&ASSOCIATES N59'29`05"E 106.62' 6 LOT X12 13418 S.F. 0.31 Ac. rz 51.0' I N EXISTING FOUNDATION o EL. 160.01' • � m 1- -17.5'..•.. o Ln 0 20.0 . . 27.5' 4 28.1' L=46,78' G,gRM i arc/RnZ& 781 436 9654 P.0 k�%' QF liq �v ;:TEPHr;N M. p MEL St 1 N D WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THF BUILDING IS LOCATED THIS PLAN iS INItNULU PVK S ZONING AS HUWIv. THE STRUCTURC ,{10 NN COP�f O(2MC i✓UttP05E5 ONLY. IT WA3 f RCr'ARCO TO THC 20MINC LA%V5 PCL,6TjWF TO RF01lIRFn l,ETRAr.KS 21 WITH TI iC 3Ti,UGTuf2CC GHOwM LOCItiT�b Iri` IEEE'"F`f .tNT%h Com` rLixil�Tl�i�U�fd�Y�$" EMIL �,fbirlCt i UY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL N0. 250098 0015 C t l Il Nf T R �1 1tU ! UK F KUF tK l 7 A.ATCD 6��: a�3 THC TRI I^ TIJPr I'; NIOT L11CLTFf1 `11W r�11 7Af'1fl i/'1RIC - CF-RTOFIED FOUNDATION PI AN n ' ;_OT 42 FOREST VIEW Lb I A I tb NORTH ANDOVER, MA PREPARED FOR RUL.TG UfNft C,. /1C n1FW FNr.1 AND. LLC ��;�s�Qo'�8, 5� MAKC.`►h' IONDA & A3300.91L.P. ENGINEERING AND PLANNING CONSULTANTS 62 MONTVALE AVE, SUITE I CT(INFHAM. MA. 0180 <�01) n ZR_C.1 jo Date _ q............................/�/off TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that j( �� �, .%%. `.........:.................. ....................... has permission to perform .. �... � ....4..t�...............................�..................... wiring in the bui 'ng of ..r..� "it C/ t ......!�. I �.z-.. .... ...:f ..2/ ....... -7 1 �+ ....: .....::: 1: �.1. ,!........ `;`l forthAhdover, Mass. Fee...1UZ.1')Lic. Nolll� 1�......................................................... ELECTRICAL INSPECR Check # / / J fW TO The Commonwealth of �Idassachus is Use only 5 ��..►� �. Department of Plrbr;e Safety Occupancy t. Fee Checked—& -h-160 BOARD OF FIRE PREVENTION REGULATIONS CZAR 1Z -W 3/90 (leave blank) APPLICATION FOR PERMIT TT P RFORM ELECTRICAL WORK N1 work to be.periortned In accordance with he awchusetu Electrical Code, 527 CMR 12:00 (FIXA__SE PRINT IN TNR OR,. TYPE ALL INTOr + ION) Date 0 CA�.0 i..k City or Town of 0,�€".1- To the Inspector of Wires: The undersigned applies for a perait to perform the electrical work described below. Location (Street b Number) Owner or Tenant Owner's Address Is this pernit in conjunction with a building permits Yes 0 No ❑ (Check Appropriate Purpose of Building �k C -,-J N O r� (� Utility Authorization NO. ` c1 Existing Service -Amps / Volts Ove: :ead ❑ Undgrd ❑ No. of Meters Nev Services,1..6-0 Amps_ / 1/�d Volts Overhead% ❑ Undgrd No. of Meters r ..._. Number of Feeders and Ampacity Location and W -cure of Proposed Electrical Work No. of Lighting Outlet`* No. of Lighting Fixtures No. of Receptacle Outlet No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters KW -� No. Hydro Massage Tubs O=R: No, of Hot Tubs No. of Transformers Total KV A Swimming Pool Above In= grnd. ❑ grnd. ❑ No. of Oil Burners No, of Gas Burners No. of A1r.Cond. To t a L+ _ tons No. of Heat Total Total PFR! ---Jan,, . KW Space/Area Beating KW Heating Devices KW No, of 140. o Signs Ballasts No. of hators -- Total lip Generators KVA No. of Emergency Lighting Battery Units FIRE ALAMS No. of Zoneo No. of Detection and Initiating Devices No. of Sounding Devires No, of Self Contained Detection/Sounding Devices f '1 Municipal ❑ Local 0 Connectiion Other Low Voltage / INSURANCE COVERAGE:• Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 0 NO I have submitted valid proof of same to this office. YES CK NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE [a BOND ❑ OTHER ❑ (Please Specify) _ Estimated Value of Electrical Work S'E-do o Work to Start Inspection Date Required: Signed under the penalties of perjury: FIRM NAME TGt'n2S E e [11�AI3 -Ckec -e, Licensee �T'Q�Me.S E.'3 Uf�\U.Y1CLC\ Signature Address Pfl R an V 5-4/4( X", ..i.1— rf\ h OWNERS INSURANCE WAIVER: I am aware that the Licensee does stantial equivalent as required by Massachusetts General Law application waives this requirement. Owner Agent (,P '-I—hnnR Nn. V/1, I I Rough (Expiration DateT C CL 1 Final ----i = _LIC. N0. f1 l Jf L16 . 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 '� ON I" Date. 2- /1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that has permission to perform .... plumbing in the buildings of .... .4. �. �.:�................... at .... �..(� ? ...'�" . �... • ... • .. , North Andover, Mass. Fee .. )u ... Lie. No..Pr ....... PLUMBING INSPECTOR Check # ) 7? 1 6691 I CAJ 0 rn�o 0 m 0 CA m 90 0 0 0 c z 0 ri•� Wo, C co d< _ _d! C w 0 m ram 'd01 - Sno O w = BCD C-3 ►-ic z�mID anm SPEOM — MOMOR �2• ^►5 WOMEN a0 y , •C O CD O m CD az y 1gr. m = N :MR a •� �• , y CL =?o Ccc;,� ,rn t. CO M -1 0. mo o c� il"IMMOMP: � � y M crEr "C CD CO) C 0 O =r 017 C2. crCcv co M C CCD .y. -• d� CD y C5 � O CD m� C I CO) CD z n CCD CD ri•� Wo, C co d< _ _d! C w 0 m ti 'd01 - Sno O w = BCD C-3 ►-ic z�mID anm O 00..' �2• ^►5 a0 y , CD O m N o 1gr. m = N :MR a •� V Ccc;,� = 7%:, t. o =rCD .,� Now_ -wow CD il"IMMOMP: y o _ N 0 O =r 017 C2. crCcv CA m C5 � O CD m� .d-► (A 0=3 00 PMK c(w C I'T S- o n oC O 8 _ A 'd01 ►-ic O ,. oC ' Town of North. Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATIQIY FOR CERTIFICATE OF OCCTJPANCY./ INSPECTION A1)DREss 5 6�qrN eA circ I g, LOT NUMBER SUBDIVISION_ DATE REQUEST FILED lG /DA �0 DATE READY FOR INSPECTION TEN (10) DAYS NOTICE X"O TO CLOS,ING,DATE IS,AZQL IRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE INSPECTION FEE OF TWENTY-FIVE ($25.) DOUARS WJI BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. WATER mETERA4,1440J DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN. INSTALLED: PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS g Location &,(—e Owners N C/ 1 Type of if TION FOR PERMIT TO DO PLUMBIN Date - t 4. ma y Permit # dr q Amount S' % p New Renovation Replacement Plans Submitted YesElNo . FIXTURES (Print or type) r Check one: Certificate Installing Company Name {"I'Corp Address 11 Partner. r Business Telephone E]Firm/Co. le -If Name of Licensed Plumber: Insurance Coverage: Indicate the type of i ce coverage by checking the appropriate box: Liability insurance policy 1� Other type of indemnity D 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 abo 1Sli tion are true and accurate to the best of my knowledge and that all plumbing work and installations performed unde d for this application will be in compliance with all pertinent. provisions of the Massachusetts State Plumbin a; a ter 142 of the General Laws. own ZOVED (OFFICE USE ONLY Type of Plumbing License /,,/:7 icense Numoer Master Journeyman F1 R Location UqCV1,35- t 9� ���� 01rct— No. 6 Cl Date 6-4 -0y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ sncHuse 9 Foundation Permit Fee $ 1 6>0 Other Permit Fee TOTAL Check # 100,39 i 7 5 3 1 .M114(� Building Inspector sonmNa IFEabaT Nmol TO" OF NORTH ANDOWR )SURDING.DEPARTMENT M FROMP CoMMdsiQ=r& sp=w of BwUngs Dare SECTION I- SITE LM + 1.1 Prupscy Addis: i3 Assesvma Map and Patcd Number:. ' /o q Mup Number Pinnal Number A la to n c .--S-L - 1.4 ftfaq Dkmsi(kr l - Diaia AugQiw U.0 Lar Ates Lp aum (f t) SMACKS (a) Fl= YAW Side yud Pwvidc L:7 4y PwAia 0, Priv a jam OHM* Fla".za" cl tdaaicipd D On Sim DUPWA Sol= 0 stdnM2 - PAW RWY ovmRswPjAuTadaim *GEM -2-1 Oifutr Of R4ard LL(- SActwaees NAM A&km for Scalac: IJ 2.2 Owner of Record - Aa;.;; for Savic: ... . ....... x Tata CONSMUCTION =VICES 3.17 maWCamv=f" &"ndsw- Not Applicable 11. - el gelmkonL 3.2 Regi =dd Hama laWovemaw Co -m -tor Not Applic" -.P - ---------- compAu Rcosmiou Number Eviwtioa Dav Tolaphaaa I. ..... .... ... Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............. ............. . has permission to perforrii ..-. . . plumbing in the buildings of .:, fr`� %�%�- ............ at. a ......... North Andover, Mass. Fee7f.5-.Lic. No .......... ,c,-�.. ............ % PLUMB NGINSPECTOR Check # 6'i52 (Type or print) NORTH AND, Building MASSACHUSETTS UNIFO MASSACHUSETTS . 1i ) -?o all of APPLICATION FOR PERMIT TO DO PLUMBIT F Name jY/ Date s/ 31e C Permit # Amount 76 7 1% New Renovation Replacement Plans Submitted Yes No FIXTURES (Print or type) /f - Check one: Certificate Installing Company N fGd.�,� C 0 -,Corp. Address Partner. Business Telephone 791 - — -r Firm/Co. Name of Licensed Plumber: CMZ Insurance Coverage: Indicate the type of i6Oance coverage by checking the appropriate box: Liability insurance policy L� Other type of indemnity ❑ 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 ❑ F1 I hereby certify that all of the details and information I have submitted r e d ' above application are true and accurate to the best of my knowledge and that all plumbing work and installations rf d er Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S _ u in de and Chapter 142 of the General Laws. APPROVED (OFFICE USE ONLY Type of�lumbLicense cense Num5er Master Journeyman ❑ Date.. -A4 . .' �'<: •° .: �Mo TOWN OF NORTH ANDOVER o p PERMIT FOR PLUMBING SSACNUS� (� This certifies that ..../.................. - ..................... has permission to perform ! ................... . plumbing in the buildings of ...?--«. .............. . at .4� --a' . ..� .. � ........ North Andover, Mass. ` Fee Lie. No...'?' ... �.y 1�.-1. )4- ........ . PLUMBING I hCTOR Checks ` 6454 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER,. MASSACHUSETTS Building Location New 40, Renovation ❑ Owners of Otcuoancv C TION FOR PERMIT TO DO PLUMBING .., Date ✓ / - �_ Permit # Amount Q-:?,, Plans Submitted Yes ❑ No ❑ (Print,or type) Installing Con Address Name of Licensed Plumber. _ Insurance Coverase: Indicate the Liability insurance policy M ---� Check one: Certificate ❑ Corp. ❑ Panner. 19 `'� `j i ❑ Firm/Co. ince coverage by checking the appropriate box: Other type of indemnity ❑ 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 er a Agent ❑ I hereby certify that all of the details and information �sribm' or en) in above application are true and accurate to the best of my knowledge and that all plumbing work 1 under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas State P mg Code and AImpter 142 of the General Laws. By: SIPMWIrcens run r MW lumbing License Title . City/Town r se INUMDer Master Journeyman APPROVED (OFFICE USE ONLY �J Q m G CL '°2 o o, r z Q �• dWP m N a ° n O 3 m 3 =' o c m 3 x. O Ccu 3 CD 0 V R. H 0 F1 I 0 0 -+ n is .. 0-0 -i CD 0 tD C CD > - m Q a M, 0 111 C" c m y' O n `D m U3m c A 3 > CL m c � n X c aj o 0 c r« A m E y E 0 •�- CL m .* ° o 111U3 al? ti y ��`_sQ' CL T 0 CL 0 c « o CD mn CL MCA CAJ (D m ON O tz r ~ H 4 O o y � 1 Q! G 0 y m X m 4 m m y m � o F -W -.-m .• �= CD H CSD O "-I i_ 0 COD 0 CA d CD O CD CD a, y CD CO) 0 3 C CD wv Gem - FA cn V J n O I el M E cn H C 0 ccl C?�O ? . O N _ SEL CO) Q a0 y o m Ego o n CD 0�, a O m Z O'lo y NO _I � CD vw o o = 0.60 C= �"► d O a o �1► N a O m N C O =rm m y 2 > > m y 1 �m a '� Rj o • o 0 A Z �• . O h !� cm C o m*3 >• O '� :C C 0 O m CL y ' H — 0 C=L cr o c , A Z oft, CO CD go y O :� oom, a � CD vw o o a o �1► 3 lr 0 H cnC/) Ol Rj 0 cc, Poo ro cm o m :! l J C;s G . tz o= _ c:600 s rWft ml omi 09 0 c cnC/) Rj Poo ro :v Poo l J G OTJ tz omi 09 0 c 'SECTION 4 - WORKERS. COMPEN: Workers Compensation Insurance afEdavitJ ill the dmial of the ieena"kw-f41-i aA:.... . L C 1S2 § 25c(6) d. aiid submitted with thus application. Failure to Signed affidavit Attached . Yes ....... No.:.,.:.❑ SECTIONS .Desai tion of Fro used Work .o>4eckaA"a usable' New Construction' Existing Building : 1 J ` Repair(§) - D Alterations(s) ❑ Addition .... ❑ Accessory Bldg. ❑ FtriPf Tic+cMintinn of Ar.,...,en.t Demolition ❑ R7. -y. Other ❑ Specify and ��c�.me. i iea�P (blo m 77 ,4 �T Y.4 Item Estimated Cost (Dollar) to be Corn feted by permit a li t Building (a) "Bu%lding ]"ermit Fee �, 2 Electrical (b) Estimated Total Cost of 0 0 Constritchosi .. �` 7 � o o�` , 3 Plumbing.Butiding:Petnut..fee (a}a: (b): , 4 Mechanical AC� S 5 Fite Protection 7 . 6.. Total 1.+2+3+4+5.. Check umber SECTION 7aL OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMFT L as Owner/Authorized Agent of subject properly Hereby authorize to set on My behalf, in all matters relative to work authorized by this building permit application. Si tore of Owner Date SRVTTnN 7i► AWNTTD1ATTTcr4%nr#71rn . .� W%T'V t»xivr A -1 ' aQ` 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 1!I S+, h Print Name , G Ll --' Si tore of Owner/A ent Date NO. OF STORIES SIZE y BASEMENT OR SLAB SIZE OF FLOOR TINMERS SPAN DIMENSIONS OF SILLS X DDMgSIONS OF POSTS DIMENSIONS OF GIRDERS 3 0 ir HEIGHT OF FOUNDATION "- ' '' THICKNESS / SIZE OF FOOTING ` X 1611 i A MATERIAL OF CHIlVII Y -- C l eArN o. IS BUILDING ON SOLID OR FILLED LAND o iij- IS BUILDING CONNECTED TO NATURAL GAS LIME d 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. lose ..V a .. r . a .. r a ■ a f . r ■ r ■ . a . won*. a r .... ■ . ■ . r ... ■ • .. ■ .. ■ . r ■ ■ ■ . r ■ a • ■ ■ a ■.a ■ a . ■ a a APPLICANT P z5 i" l :i n�%rrI (I "�t"6 aL.LC PHONE JF) ASSESSORS iNIAP NUMBER 149 q LOT NUMBER. Le SUBDIVISION .101-eSi , jeQ 6Sfa/Gs LOT NUMBER STREET Q mG C i rC I r- STREET NUMBER r a a. r. r■ r. r. a .. ■ ... a. a r r. r■ r r r r r. r r ... It a a 9-4 a * a r r r a.■ a■■■.■■ r■■ f .. t a a a r 1. to OFFICIAL USE ONLY � a a r r r . a . r . a .. r ■ .. r . a r . a ■ ...arrr .... ■ a r . r . r r ■ . ■ . ■ .. r . r r a r . ■ . ■ ... ■ a r a . ■ . ■ r ■ . ■ RECO 2vEND_ATIONS OF TOWN AGENTS �r.rr■ ^rrr.rrr....aa..■ ■•rr....■■..............■. r. r...... a.... a.. a a r a a a as DATE APPROVED �U ,g . CONSERVATION ADNENSTRAT L 1 DATE REJECTED CONNE-N-CS AcSS;6-1 ?r?-- C.0ncs7 COMMENTS DATE RL•JECTED J FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Deparanents having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable. requirements, r r a . r ■ r ■ ■ r r ■ ■ ■ ■ ■ ■ a a ■ ■ . r r r a . r • a ■ r a ■ . ■ . ■ . ■ ■ a ■ • . ■ • ■ • a a ■ ■ . r • ■ -a ■ ■ a ■ ■ a ■ ■.■ ■ .. ■ ■ ■ . APPLIC ANT/5��r�F'i nrj'✓fir;- L.LC PHONE 0 11 a ASSESS RS . P NU1r1SER y LOTNU09 ItitEE}Z. SUBDIVISION LOT NUMBER STREET 601C0e:j— STREET NUM BER 1 r a r ■ ■ ■ r ■ _11d ■ ■ • • ■ ■ • • ■ • ■ ■ ■ r • . • r . • r . ■ ■ ... • ■ ■ ■ • ■ ■ • . ■ ■ a • ■ ■ ■ ■ ■ ... ■ ■ • a ■ • ■ ■ ■ ■ ■ IS • a ■ OFFICIAL USE ONLY ■ . r r r ■ ■ • r • .. ■ . a .. r ■ a r • ■ ■ a . r ... r r . ■ ■ .. ■ . ■ won .... • .. r ■ ■ ■ .. ■ ... • . r ..... ■ ■ ... ■ ■ RECOMMENDATIONS OF TOWN AGENTS ■ r r.■■ a a r. r r■ a■■ a l■■■■ .. r. r r r r■ r. r r r .. a a a a■■ a a a■■ a a r a r a a r■ a■■■ a■.■■■ a a a■■ DATE APPROVED CONSERVATION A.DMNSTRATOR DATE REJECTED CON MEN -M DATE APPROVED TOWN PLa1\1NER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR.- HEALTH DATE REJECTED SEPTIC INSPECTOR - HEALTH 'DATE APPROVED DATE REJECTED I CONMEYM PUBLIC WORKS -SEWER/ WATER/�ONNECTIONS ,NA 158 l*N r \ • - 159x3. \ \ 1 1 =150. 7' I 6' \ 15 i I IFI /160 l0 �1 S 0) 15.5 ( o /. V_ 1 Z "�� • I I I 115 i xB ftA -4-2r- 13418 SF '� N0 D/sT� / � RB BUFFER � l ""&6 / / e6 / yes PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 42 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME, CORP. OF NEW ENGLAND 82 MONTVALE AVE. SU17E I 257 TURNPIKE ROAD -SUITE 200 STONEHAM, (781) 38-6121 4MA. 02180 SOUTHBOROUGH. MASSACHUSETTS 01772 SCALE: 1*=20' DATE: 7/20/04 . Forest View Estates Drawing Date:07/01/04 7/ 1/04 12:32 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Forest View Estates Location: Lot #42 - 35 Garnet Circle Andover, MA Drawing Date: 07/01/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave Dedham, MA Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible Reviewing Authorities:Fire Department SYSTEM DESIGN Code:NFPA Hazard:13D Remote Area Number: 3 Telephone:781-461-1541 Occupancy:Residential 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 191 sq ftl Orifice:1/2 K -Factor: 5.60 Hose Allowance Inside 0 gpm I Temperature Rating:155 Hose Allowance Outside 100 gpm I CALCULATION SUMMARY 2 Flowing Outlets gpm Required: 161.5 psi Required: 76.6 @ Source WATER SUPPLY Water Flow Test 1 Pump Data I Date of. Test I Rated Capacity 0 gpm 1 Static Pressure 100.0 psi 1 Rated Pressure 0.0 psi 1 Residual Pres 78.0 psi 1 Elevation 0 I At a Flow of 1540 gpm 1 Make: I Elevation 0" 1 Model: I Location: Lot #65 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 21 Gallons Notes: Garage Calculation OF ALLAN Tank or Reservoir Capacity 0 gal Elevation 0 Well Proof Flow 0 gpm Forest View Estates Drawing Date:07101104 7/ 1/04 12:32 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 3 62 45.6 psi 1 11W" x 1;,4" CPVC Reducer 2' 120 1.610 62 0.4 1 Pipe 111" 40x25 CSC 0' 120 1.610 62 0.0 0 1'W" Thrd 90 Ell CI 0' 120 1.610 62 0.0 1 1'1" Thrd 90 Ell CI 4' 120 1.610 62 0.7 Elevation Change 710" 3.0 1 111" Thrd Globe Valve CSC "F15" 0' 0 1.610 62 0.0 1 11-�" Fingd Back Flow Valve Watts "70 0' 0 1.610 62 0.0 1 11-�" Thrd Gate Valve Kennedy 0' 120 1.610 62 0.0 1 1&�" Thrd 90 Ell CI 4' 120 1.610 62 0.7 Fixed Flow Flow Loss 100 gpm 1 Pipe 11i" PVx15 CSC 50' 150 1.602 162 26.1 Hydr Ref R1 Required at Source 162 76.6 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 162 gpm 99.7 psi SAFETY PRESSURE 23.0 psi Available Pressure of 99.7 psi Exceeds Required Pressure of 76.6 psi This is a safety margin of 23.0 psi or 23 % of Supply Maximum Water Velocity is 13.0 fps Forest View Estates Drawing Date:07101104 LEGEND 7/ 1/04 HYD REF Hydraulic reference. Refer to accompanying flow diagram. K FACTOR Flow factor for open head or path where Flow (gpm) = K x 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 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: 12:32 Turn 90 Ell - 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 Y Forest View Estates Drawing Date:07/01/04 7/ 1/04 12:32 REMOTE AREA #3 FLOW (GPM) PIPE PAGE 1 # OF LENGTH PRESSURE BRANCH LINE 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 5 TO W (PRIMARY PATH) HEAD 5 30.7 1'-4" 0 0 1'1" 6.5 fps 30.0 30.0 30.0 0.16 gpm/sq ft 1.400" 1 0 610" 0.047 0.3 0.0 0.0 K= 5.60 30.7 150 PV 0.0 30.4 30.4 0 711" 0" 0.0 30.0 30.0 REF C1 134" 1 0 2'4" 6.5 fps 30.4 REF A2 1.400" 1-44" 0 0 719" 6.5 fps 30.3 150 PV 0 1.400" 1 0 610" 0.047 0.6 30.7 150 PV 0 13'9" 0" 0.0 REF A3 30.9 1114" 0 0 312" 13.0 fps 31.0 31.0 PATH 2 1.400" 0 0 0" 0.169 0.5 0.0 K= 5.55 61.5 150 PV 0 312" 0" 0.0 31.0 REF A4 V-4" 1 0 31411 13.0 fps 31.5 1.400" 1 0 910" 0.169 2.1 61.5 150 PV 0 1214" 0" 0.0 REF A5 1'-4" 2 0 3112" 13.0 fps 33.6 1.400" 1 0 12'0" 0.169 7.3 61.5 150 PV 0 4312" 11'0" 4.8 REF W 61.5 gpm PATH 1 K= 9.11 45.6 psi PATH 2 FROM HYDRAULIC REFERENCE 4 TO A3 HEAD 4 30.9 1'4" 0 0 111" 6.5 fps 30.4 30.4 30.4 0.16 gpm/sq ft 1.400" 0 0 0" 0.047 0.1 0.0 0.0 K= 5.60 30.9 150 PV 0 1'1" 0" 0.0 30.4 30.4 REF C1 134" 1 0 2'4" 6.5 fps 30.4 1.400" 1 0 910" 0.047 0.5 30.9 150 PV 0 11'4" 0" 0.0 REF A3 30.9 gpm PATH 2 K= 5.55 31.0 psi . . Y 0 EE 4) 0- �rnrn c°o0 3 �- 0 Q 4) ONS = S�O _ E.- to CL U) QrnQ (D N O (� 6 � N a� cn v> 3� moa L U- = cn — ami 0m WdH0 _E <N 'N Q Q Q 0) 000 0 co hi �n ai vii N N � J N O C�ONNpN O U L U O O C U) N M u1LO C�Q Q)M Q v! 00 'oE O O O C O nLLJQIx N O o00 coOIt N CL 0 — 0 0 O LO It 0 0 0 0 M O N 0 0 N O r O O r CL a N O O L Q O O O N O o00 coOIt N CL 0 — 0 0 O LO It 0 0 0 0 M O N 0 0 N O r O O r forest View Estates Drawing Date:07/01/04 HYDRAULIC DESIGN INFORMATION SHEET • Job Name: Forest View Estates Location: Lot #42 - 35 Garnet Circle Andover, MA Drawing Date: 07/01/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave Dedham, MA Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible Reviewing Authorities:Fire Department SYSTEM DESIGN Code:NFPA Hazard:13D 7/ 1/04 12:30 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:V2718 Area per Sprinkler 185 sq fti Orifice:1/2 K -Factor: 3.50 Hose Allowance Inside 0 gpm I Temperature Rating:155 Hose Allowance Outside 100,gpm 1540 gpm 1 Make: CALCULATION SUMMARY 2 Flowing Outlets gpm Required: 137.1 psi Required: 65.8 @ Source WATER SUPPLY Water Flow Test I Pump Data Date of Test I Rated Capacity Static Pressure 100.0 psi I Rated Pressure Residual Pres 78.0 psi I Elevation At a Flow of 1540 gpm 1 Make: Elevation 0" 1 Model: 1 Tank or Reservoir 0 gpm I Capacity 0 gal 0.0 psi I Elevation 0 0 I Well Proof Flow 0 gpm Location: Lot #65 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 21 Gallons Notes: Two Head Calculation Forest View Estates Drawing Date:07101104 7/ 1/04 12:30 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 2 37 42.7 psi 1 1;�" x 11-4" CPVC Reducer 2' 120 1.610 37 0.1 1 Pipe 1'1" 40x25 CSC 0' 120 1.610 37 0.0 0 1'W" Thrd 90 Ell CI 0' 120 1.610 37 0.0 1 11-1" Thrd 90 Ell CI 4' 120 1.610 37 0.3 Elevation Change 710" 3.0 1 1'�" Thrd Globe Valve CSC "F15" 0' 0 1.610 37 0.0 1 1&�" Fingd Back Flow Valve Watts "70 0' 0 1.610 37 0.0 1 11-�" Thrd Gate Valve Kennedy 0' 120 1.610 37 0.0 1 11.�" Thrd 90 Ell CI 4' 120 1.610 37 0.3 Fixed Flow Flow Loss 100 gpm 1 Pipe 11-�" PVx15 CSC 50' 150 1.602 137 19.3 Hydr Ref R1 Required at Source 137 65.8 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 137 gpm 99.7 psi SAFETY PRESSURE 34.0 psi Available Pressure of 99.7 psi Exceeds Required Pressure of 65.8 psi This is a safety margin of 34.0 psi or 34 % of Supply Maximum Water Velocity is 7.8 fps Forest View Estates Drawing Date:07101104 7/ 1/04 12:30 LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. K FACTOR Flow factor for open head or path where Flow (gpm) = K x 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 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. Turn 90 Ell 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:07/01/04 7/ 1/04 12:30 REMOTE AREA #2 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 3 TO W (PRIMARY PATH) HEAD 3 18.5 1" 1 0 1215" 6.2 fps 27.9 27.9 27.9 0.10 gpm/sq ft 1.109" 2 0 1210" 0.086 2.1 0.0 0.0 K= 3.50 18.5 120 PV 28.3 0 2415" 990" 3.9 27.9 27.9 REF Al 1'1" 0 0 115" 3.9 fps 33.9 1.400" 0 0 0" 0.018 0.0 18.5 150 PV 0 115" 0" 0.0 REF A2 12141" 0 0 7'9" 3.9 fps 34.0 1.400" 1 0 610" 0.018 0.3 18.5 150 PV 0 1319" 0" 0.0 REF A3 1'14" 0 0 312" 3.9 fps 34.2 1.400" 0 0 0" 0.018 0.1 18.5 150 PV 0 312" 0" 0.0 REF A4 18.6 1k" 1 0 3'4" 7.8 fps 34.3 34.3 PATH 2 1.400" 1 0 910" 0.066 0.8 0.4 K= 3.20 37.1 150 PV 0 1214" 0" 0.0 33.9 REF A5 1'14" 2 0 312" 7.8 fps 35.1 1.400" 1 0 1210" 0.066 2.9 37.1 150 PV 0 4312" 1110" 4.8 REF W 37.1 gpm PATH 1 K= 5.68 PATH 2 FROM HYDRAULIC REFERENCE 2 TO A4 42.7 psi HEAD 2 18.6 1" 2 0 1012" 6.2 fps 28.3 28.3 28.3 0.10 gpm/sq ft 1.109" 1 0 910" 0.087 1.7 0.0 0.0 K= 3.50 18.6 120 PV 0 19'2" 910" 3.9 28.3 28.3 REF A4 18.6 gpm PATH 2 K= 3.20 33.9 psi o� (L LO mYLLLr) ;Loo Uo OyH� EE m n. Q. 0) C;) moo 3 0 Q 0 =9O _ E. _E O O O O c6Lo O to N N Cn 0 N N O Ri L�0 CU p fQ CV U L U O N of N cu N WU' Q is N a) y 00 E 00pca� nLL_JQ� Q N O 000 COD � N r r �— aco— E C. tm 3 O a: L: c u: v 0 0 CL LO M CL 0 O Cl) O N 0 0 N O LO r N N O E O O v� 0 0 N O 000 COD � N r r �— aco— E C. tm 3 O a: Forest View Estates Drawing Date:07/01/04 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Forest View Estates Location: Lot #42 - 35 Garnet Circle Andover, MA Drawing Date: 07/01/04 Contractor: Superior Plumbing, Inc. 8 Sanderson Ave Dedham, MA Designer: W. C. Davis Calculated By:SprinkCALC CSC Systems & Design Construction: Combustible Reviewing Authorities:Fire Department SYSTEM DESIGN Code:NFPA Hazard:l3D 7/ 1/04 12:27 Remote Area Number: 1 Telephone:781-461-1541 Occupancy:Residential System Type:WET Area of Sprinkler Operation 1 sq ftl Sprinkler or Nozzle Density (gpm/sq ft) 0.100 1 Make:VIC Model:V2718 Area per Sprinkler 190 sq ft1 Orifice:1/2 K -Factor: 3.50 Hose Allowance Inside 0 gpm 1 Temperature Rating:155 Hose Allowance Outside 100 gpm 1 CALCULATION SUMMARY 1 Flowing Outlets gpm Required: 119.0 psi Required: 59.2 @ Source WATER SUPPLY Water Flow Test 1 Pump Data Date of Test 1 Rated Capacity 0 gpm Static Pressure 100.0 psi I Rated Pressure 0.0 psi Residual Pres 78.0 psi 1 Elevation 0 At a Flow of 1540 gpm 1 Make: Elevation -� 0" 1 Model: Location: Lot #65 Source of Information: F & W Partnership - Methuen, MA SYSTEM VOLUME 21 Gallons Notes: Single Head Calculation Tank or Reservoir Capacity 0 gal Elevation 0 Well Proof Flow 0 gpm Forest View Estates Drawing Date:07/01/04 7/ 1/04 12:27 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 1 19 41.1 psi 1 1411 x 1'-'a" CPVC Reducer 2' 120 1.610 19 0.0 1 Pipe 11,�" 40x25 CSC 0' 120 1.610 19 0.0 0 11W" Thrd 90 Ell CI 0' 120 1.610 19 0.0 1 114" Thrd 90 Ell CI 4' 120 1.610 19 0.1 Elevation Change 710" 3.0 1 11-1" Thrd Globe Valve CSC "F15" 0' 0 1.610 19 0.0 1 111" Fingd Back Flow Valve Watts "70 0' 0 1.610 19 0.0 1 11W" Thrd Gate Valve Kennedy 0' 120 1.610 19 0.0 1 11-�" Thrd 90 Ell CI 4' 120 1.610 19 0.1 Fixed Flow Flow Loss 100 gpm 1 Pipe 1&�" PVx15 CSC 50' 150 1.602 119 14.8 Hydr Ref R1 Required at Source lf9 59.2 psi Water Source100.0 psi static, 78.0 psi residual @ 1540 gpm 119 gpm 99.8 psi SAFETY PRESSURE 40.6 psi Available Pressure of 99.8 psi Exceeds Required Pressure of 59.2 psi This is a safety margin of 40.6 psi or 41 % of Supply Maximum Water Velocity is 6.4 fps Forest View Estates Drawing Date:07101104 7/ 1/04 12:27 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:07/01/04 7/ 1/04 12:27 REMOTE AREA #1 FLOW (GPM) PIPE # OF LENGTH FITS FEET 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 1 TO W (PRIMARY PATH) HEAD 1 19.0 1" 2 0 10'11" 6.4 fps 29.5 29.5 29.5 0.10 gpm/sq ft 1.109" 1 0 910" 0.090 1.8 0.0 0.0 K= 3.50 19.0 120 PV 0 19'11" 910" 3.9 29.5 29.5 REF B1 1:4" 0 0 1013" 4.0 fps 35.2 1.400" 1 0 610" 0.019 0.3 19.0 150 PV 0 16'3" 0" 0.0 REF A5 1',41" 2 0 31'2" 4.0 fps 35.5 1.400" 1 0 1210" 0.019 0.8 19.0 150 PV 0 4312" 1110" 4.8 REF W 19.0 gpm PATH 1 K= 2.96 41.1 psi N V 7 .O O ,q oar •IM Se LL Wo V CO L v 0 Q U) P S E E maa vrnrn 000 3 0 a a�w OUB _ SO E arna N O CD �_d E an.rn coo o°►�°LO ui cn co ai ai � to we J N a d� o n 0�00� N U U a� a� CU E 0 ca �- wa Qcu M�Q �N C) 4? u� 00 O O O O w O �LLJQ iN N O COO COD O N CLw— L<: C: t1; d c c d a LC m a 0 0 M 0 A LnN 0 0 N 0 aE 0 -E N O COO COD O N CLw— -3nawth Management Bylaw Exemption Statement vi irtartWAndcvar Building D,apartment 1Q1k t UU4 tW MA" ua a+isM tns 0vitainq Depa=aat in thaw datr m*xadan of "amptians unaw sscsian &.7.s of trim us -r• aiYJVrta0 AnQawat gyluw. The 44{Udin? applkant ".raw vida.aU qi the nec*".-"V ln2wrRiatlan �s ne•;tii .i'tr.tu�. ;t art FaWclin Pactnit b4IQW Addresg of Rry • e ': far.Pennit below • � �.rr��: ��p� 9 ( ? R �Y (waw) J. Id. Aucoi t : i? pcaaa cif i0pik adQn (chad bratow) "►.°tyiT c a At .:, . Srn91e Fniiy _, Two Family tl MICA F tip+'ihe 44Qve preperh{ An"t that uW aaacmd building Rrumit for wnim tf►is i QM 1W-*ja0Wuddsirrac Qwpq wish thaw CKAMP"JON ;radian 4.7.6 of this NqM Atimwsr Growth. S�A;ibil�lY�ltlt S�lr-�at t �I,sa1 undid pretviart,� .this [term dcias nvt adsalve �� or arty P� to ails permit rrtit t Q6" WAW prsrtrtitr rastuirWo riocic iha lase nc .:af.the Sodding Pei. it. l -u t " r, t w�td tarty ini�upcstation afithe� F f>`t ON 41"A is subject to review by .lhe 80ding G aid is QWyY amp&W when tho SQ11ding Part€tit It issued. Qt Ott:41.a Qi The Ns'iM Andavac GrraVtih 9ylaw the &bQv s lot artd the work as applied for on the ;aQvalgi, Za thw 66444 IMMA APP&WdOn and QUQtai;itad attacttim+ents. ratnpllea with ane or more of the r a la� by a d work Matri- Thi * W' -*ftt span lou a AW"s piumit ter the aalaivem"t r"taticn w rewa&Uucaaa at a dwe ai In :ratr�w .arc gof stilt atiimuft 440 Qt sale Z v"W. prnvidad am no adwieftai 74� Mau assw,d. This legs) tiaam%" prier' to May 4. 1396 ata: exampt (rata the prewwwa of this ulzian 9.7 of as Zonins Tint AR616 css ix mr a weu i atuts tar WW AfloAr maceraw htc4mto famili" w Inal"als. whvra all of the ,at�.?•i.� race wA144 esarora 0w"nq tutu= toc;waIgr mWant.% w A sroL = u p a n cy Q the l,l(iits is i�—t:4lae#4c0aa ttlrauQh a p[tapsrttr• sicect"d no mu"iw tai re *Wen WAR with the bind. Tsar �Ffi� 3+�rim" attxlt maatt pii�ans fl�tsr' thrt aQe � 53. . is it wtt of a W s 4% M= 4Q"A pormetistat undeFsanins and taaaiiblt1*0 0 �lltlatits�aerss and aatt�aoitHy ma 4om aPdW {acat+lattd. Thi land..s to st+* m" IW%s pmi atad't davalopmnt by in atowiort gastriaton. ZaasecVarig R UjodeN 4&&.Win to. tM T4w rt. ar oAw SlrAtlai moahartiRcn PWWQ I" that W1 Ww".0 Its pffimiti4n. T�T114.4006SWA4 rsprexsnta a traa at lino "lung r'utd not held tit a QaVsIQW 10 Ggcuman ownership with an gA me. gaze of this S6Gan V shall t%Q,IV* a "04irn4 sm a um ftPlannti¢ Gra" Fbwwargil edullaQ preViairiaa !nc the putpas+s of ge astnple Willy dwslt[hQ null pm the ja aqWAQAMQa m w"'Paa a 1%brjrA is 10"Y ter u Wading pMrrNts.Q•e. a ether jowmk from all "Wbez�cds acct ,:dal ilio Aa1Vs taaaa taariV.d and thR ptvjeai is +. tiumoe prgutvit octtlap(ttsnt ttit "lo oectoa l 4 ming ps(tnit In tragi 7rtar, arae litrllt;fln>t .patrnia t bno itsrtas3 pot Year psr 4a►�c i�zQ s�trlt tune a: the flawsloncasne Scha�tis acaariltttat�ts ttstiinsi b+�r3S A� AAt+'t ra+�st � adp�tnd farm li +wiftt alis lEXlicddi�i'tQN. •.. • • Path" ptQuiaw any wut ad rotor Mtiart that wQuid arraiiA th# 8 QeparGmint In making z dett�ltEYnation' z apprr"gQa is * dawasd ane at MC41k of the aberw iwXEAdtaTINS. Z!Y s aiafj a4ww t 3tIc5i W Lae awut�,y of rite infQinmtion pruyi4l4d and that tht aueicd auildin$ Ae+n* is �t�iwaw.'I an Ec�t4tt�T1�7n as �:tc� abaw=, Fwittsar I zuidzrxtand that the st�mtttpt of mislaa4in® iilld 4r ;naCCUM & W4 ,nn. ar uie chtckirtg af( ac an at�4We i Vrtltctl dc+sa riot comply, wllculer dons to my :s•nit� net ' yrQunaa iflr ritsal lay therapaftrnenc t0 isstiw 16t,uiding Pemrit. :cuuu�e sr Cwmrx arAucnoraaa Agenc vMQ V9MM tae A=rA&a 9A.Uld Hawes .emat' acs :'h,s inrm rn"= ha auach.d to Iha SQU4449 PetMR upon appli"dQn for such parish. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR •;,�7� •.w.. Number: CS 077396 Birthdate: 03/02/1962 t. Expires: 03/02/2006 Tr. no: 18492 Restricted: 00 DAVID M STILSON 222 SEAMES DR MANCHESTER, NH 03103 Acting Ca mis over BUILDING DEPARTjvfENT DEBRIS DISPOSAL FORM In accordance with the provisions Of MGL c 40 S 54, a condition of Building permit Number Is that the debris defined by MGL resetting form th's'wo'k shall be disposed of in a property licensed solid c 11, S 150A wane disposal facility as The debris will be disposed of in: Sigttature Of Permit Applicant Date NOTE: Demolitiojpermit f'om the Town of North Andover Must be Obtained for this project through the Building Inspector the Office Of Tt)d COMMOnw6dith ofandchu4,atts DePaftmanl of JnduS1fi81-ACWdants Office of invagagil;uons' Boston, Mass. 02111 Workam'CoaWan-ULion insurance Amdavit hana, Epedonring all worts myself. —3 qmpd*QC&W have na one vW(W1111 'In any qdpacay am an wnp4w pmvid% wwk4f 0- coff"fmigw for my omfaww w"nG an Wa1m;. -1y name. 101r� AM Aft 9�wwiwa ne: INRYM UCMIW Semen 2*.WMGL em pmWtI;" is As (wn d a W�w a QWY St Sommem a tine at.(#1A6C1 to the off" at for it Arw* *ad Signeturz Date. Print num 4k— Phom 0 8id1dbVjD*pt BUAAV Dew C) Sal W OfflCO 0 health Department i 13034798572-) Nov-4-03 1 :21PM; Page -2/2 04 20Q, 10: 10., 07 FORCOI foupinent COAOn Cli 847.953,5390 page 002 2, CF A CORR A; it N 0.1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION r,011 Ri 16i Servicers, Inc. of mlchigan ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE s000 T !i canur 11"� COMPANIES AFFORDING COVERAGE suite 1 0 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I I ALTER THE COVERAGE AFFORDED BY THE POLICIES BgLQVJ, CAWPANY Liberty Mutual Fire inn. co . . . . . . ;Nrz-'- 04, 036-5200 FAX. (248) 936-5465 A 1"IN 5 U RED z COMPANY MeS Of NEW England, LLC HJ., One RO&I sui it COMPANY r'sf-4i<, 02366 USA C COMPANY 77 rq TIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURPO NAMED ABOVE FOR THE POLICY PERIOD II.L-0-AltQTINIIH-S 17ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THUS Cl'IFIC,%Y BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 3UBJEQT TO ALL Ttit TC-RMS, i 1-16K ! - Q CONPITIONS OF SUCH 11?061�IES- LIMITS SHOWN By FAIQ QLAIMS. F POT-N-iMMU311ft ?our.ymzcnvu roucyn?ruum jX WFLItSURANCE LIDiEYti .4 .......... GENE-RAL ArC,i6-c;ATF 7! + ,'=...� ,:.:,: t. i0.1rY PRODUCTS (7CWr')0r-.A6G AL L.-*1ULTY rFnFONAL L Abq b\L)JRY 4i POCCUR I o-w-IjIl PROT EArHqSCLJkRCNCC FIRE DAMAW.-tArtimo viol MED EXP (Arq 0119 D;tl;f)n) a.:) VAL)PILli �, ILrl7 As2601004261033 06101/03 08101104 COMBINFr) qNGL C UMtr CcMerdal Auto b(A)kyWjUF(y 0 A I (P.r pwzcnj 8(.0 Y INARY (Hot Wuj.t? PROPERTY DivylMiF AUI0QfA.y-rAACC0ENT T, A tip,, OTHER IMAN AUTO ONCY F JNr!*I A=IDENT AGGREGAT —SSILIA fty EACH OC-(;UrNENnr AGGREGATE rD. 03/01/03 08/01/04 0, k IM41L. p-, COMPENSATION EL EACH ACCIUkr4i tL DISFASE-POLCY UIVIT —71 j 01' 47ASEZA EMR- I=-ItL I. (-V —4C I P TI0N3/LOCA110NS(vUHjCLrs PECIALITEMa FRE Construction in Tpe Town or North Andover, MA-All rites- Waiver of SLIbrogation applies for the (�e it ial Li i ry and Workers' cotapensation Policy. 5H9)12 F) ANY OF THE ABOVE r.)E's('R1RFD POLCES BE CANC.PL F-) ;FGRC 7 r- I'Ln"r!North Andover EXPIRATION DATE THERLOK WE ISSUING CONiPAM VVILL ENDFAVC441,12 I �-t, .(!- '. lox K DAYS WT4tll:N N011CC TO THE CERTIFICATE HOLDEK NAMED 10 11F LLi-T A L i j."'4 BUilding Department OUI FALLCr TO MAL 51-101 NOTCESHAil. 1APOSE NO OBLIGATIO14 OF L'AFl Andover. MA 01845 USA OF ANY KNID UPON IHFL cxANY ITS AGENTS OR r.Err, 15,=N1A11V1---, AUTHORML) WEPRESENTATIVE 41 - LT• RP co;- lv:,:�;4, INC': 5700078M*25 Holdor I(IoWer F_;.,+ By' '-IP LaserJet 3100; 13034798572; Jun -3-04 16:07; Page 9 Permit Number RESched Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 35 Release lb Data filename: F:\files\CST\SHARE\MecCheck\ModelEneroCode\MASCHECK\Lot 42fv.rck TITLE: Lot 4 42 Chaucer Elevation # 3 1 FY: North Andover STATE: Massachusetts ADD: 6322 CONSTRLJCTTON TYPE: Single Family DATE: 06/03/04 PROJECT INFORMATION: Forest View, North Andover, MA. COMPANY INFORMATION: Pulte: Homes of NE LLC MOTES: :;:.ncr purchased elevation 3 and 7 additional windows and a transom Package. COMPLIANCE: Passes Maximum UA — 438 Your Home UA = 420 4.1 % Better Than Code (UA) Ceiling 1: Flat Ceiling or Seissor Truss Ceiling 2: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" u.c. Wall 2: Wood Frame, 16" o.c. Wall 3: Wood Frame, 16" ox, Wall 4: Wood Frame, 16" o.c. Window: 19362 casement: Vinyl Frame, Double Pane with Low -F Window: 6-0x6-8 slider: i _r.yl Frame, Double Pane with Low -E Window: 2852: Vinyl Frame, Double Pane with Low -E Window: 2852-2: Vinyl Frame, Double Pane with Low -E Window: 2846: Vinyl Frame, Double Pane with Low -E Window- 2862-2: Vinyl Frame, Double Pane with Low -E, 2-8x6-8 service door: Solid Duur: +-0x6-8 w/ 2 sidelights: Solid GTOSS Glazing Area or Cavity Cont. or Door Perimeter R -Value R. -Value U -Factor UA 1320 38.0 0.0 40 48 38.0 0.0 1 540 15.0 0.0 42 540 15.0 0.0 42 792 15.0 0.0 61 792 15.0 0.0 24 14 0.310 4 39 0.300 12 173 0.340 59 114 0.340 39 12 0.340 4 73 0.340 25 18 0.180 3 33 0.280 9 By: HP LaserJet 3100; 13034798572; Jun -3-04 16:07; Page 10/15 Floor 1. All -Wood JoisiYTruss, Ovcr Unconditioned Space ()72 21.0 0.0 30 Floor 2: Ail -Wood Joist/Truss, Over Unconditioned Space 40 21.0 0.0 2 Floor 3: All -Wood Joist/Truss, Over Unconditioned Space 360 21.0 0.0 16 Floor 4: All -Wood Joist/Truss, Over Unconditioned Space 200 30.0 0.0 7 Furnace 1: Forced Hot Air, 81 AFUE 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 designod to meet the 1995 MEC requirements in RES check.Version 3.5 Release 1b (formerly MF..CO=4 and to comply with the mandatory requirements listed in tate RES check inspection Checklist. Builder/Designer Date_�Oe� Sent By:` HP LaserJet 3100; 1303479B572; Jun -3-04 16:07; Page 11/15 0 U Imck0 NEON ��00� �NIBI 0 U Imck0 Sent By: HP LaserJet 3100; 1303479B572; Jun -3-04 16:07; Page 12/15 rJ IN�IIIIIYI�B rJ Py:` HP LaserJet 3100; 13034798572; Jun -3-04 16:08; Page 13/15 0 N -+ N J IIIIIIIIIIIIIIIIIIIIIII11M 'I�;Illuul! il�i�lll�ll� IIIIIIIIIIIIIIIIIIIIIII11M J Y S,p,nt 4y° HP LaserJet 3100; 13034798572; Jun -3-04 16:08; Page 14/15 0 4� A IIII 111 1 Ylfl ME IIIIIIIIIIIIIIIINWE IIIIIIIIIIIIIIIIIIIIINI .1111111111111111 _,it ny:' HP LaserJet 3100; 13034798572; Jun -3-04 16:08; Page 15115 w �w��awae�am II „IIItY���l�� 27. 2� 1t 12 5c VPU_ E N0, 124 ES v Elrt CG�dS-R LAW OFFICE OF MARK 13, JOflNSON 12 Chestpt Street Andover, n/lassachusetts 01810-3706 (978)475-4488 xeiecopier; (978)475-6701 :.: 2 10FWON (A, N14, DC) F. BORENSS'lr1N (MA, NIE) , M - -S BONtAINTI (INIA) MAFJ: A, MEROLLI WA, IL) JOIC4 G. LAMB NA) May 25, 2004 Julie Parrino To v' i Planner Town of North Andover 27 Charles Street North Aiadover, MA 01845 RE: 'Forest View — Form J Lot Release Dear Ms. Perin: le a(s KATHRYN M, MORIN' LLAIN'NE CRISTAL)DI MICHELE C, 10NIKAS KATIILEEN H. HARBER KAREN P. BHRAWLA N DAWN MARIE WALFr:sR Enclosed please find a copy of the Form J Lot Release in connection with the above captioned subdivision. This releases Lots 39,40, 41, 42 on Plan No. 1.3727 as to sale and building. M The release was recorded on May 21, 2004 as Insi'ntment No. 22055. A copy of the registry receipt is also included for your reference. Very truly yours, LAW OFFICE OF MARK- 8. JOHNSON i Liazme Cristaldi Paralegal Ac Enclosures PC: Patrick C6g6L/ James McCabe F:;vrvn0ocsl'uile heves of W -w EIgiagd L 000-zlU FOrcgVjawi eeond Bond RC1Cd561JU11e Panto -Lot Rcleaae;a5a5.04doc i. 2004 12: 54P!�� PULTE �'" ..;~w,. ... N0. 124 Rena, N ARVe-l. jOHN60N tern NA0181fl (Space above this line reserved for Registry of Deeds) FOR1\4 J LOT .RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Massachusetts, hereby certify that; K 2e Y���ll a. The requirements for the construction of ways and municipal services called for the Performance Bond or Surety and dated June 20, 2000 and/or by the Covenant dated November 9, 1998 and recorded in District Deeds, Book 5247, Page 76; or registered in N/A Land Registry District as Document No. N/A and noted on Certificate of Title No, N/A in Registration Book N/A, Page N/A; has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on the following Plans, Lots 38, 39, 40, 41 and 42 as shown on a plan of land entitled "Plan of Land entitled, "Definitive Subdivision Plans for Forest View Subdivision, Route 114/Salem Turnpike, North Andover, Massachusetts" prepared for Mesiti Development Corporation, 11 Old Boston Road, Tewksbury, Massachusetts 01876 by MF -IF Design Consultants, Inc., Scale 1" = 600', Tax Map Composite Scale I" =200', dated September 22, 1997, revised darough 11/3/98, recorded with Essex North District Registry of Deeds as Plan 413362 and as affected by corrective Plan recorded as Plan No. 13727; and said lots are hereby released from the restriction as to sale and building specified thereon, b, (To be attested by a Registered Land Surveyor) Lots 38, 39; 401 41 and 42 as shown on a plan of land entitled "Plan of Land entitled,. "Definitive Subdivision Plans for Forest View Subdivision, 27.200412;55PM PULTE N0. 724 P, 3 Route 1 I4/Salem Turnpike, North Andover, Massachusetts" prepared for Mesiti Development Corporation, 1 I Old Boston Road, Tewksbury, Massachusetts 01876 by MI -IF Design Consultants, Inc., Scale I" = 600', Tax Map Composite Scale 1"=200',,dated September 22, 1997, revised through 11/3/981 recorded with Essex North District Registry of Deeds as Plan X13362 and as affected by corrective Plan recorded as Plan No. 13727. b�o�ZH or• flags ';v GJ, STEPHEN M. U Mr_LESCIUC J No, 33048 Registered Land Survey°FEss�°"'o`� C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bored or Surety dated June 205 2000, and/or Covenant dated November 9. 1998, fiom Mesiti-Moore's Fall, LLC of the City/Town of North Andover, Essex County, Massachusetts recorded with the Essex North District Registry of Deeds, Book 5247, Page 76, or registered in Land Registry District as Document No. N/A and noted on Certificate of Title No, N/A, in Registration Book N/A, Page N/A, acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated above on said plans as follows. Lots 38, 39, 40, 41 and 42 as shown on a plan of land entitled "Plan of Land entitled, "Definitive Subdivision Plans for Forest View Subdivision, Route 114/Salem Turnpike, North Andover, Massachusetts" prepared for .Mesiti Development Corporation, 11 Old Boston Road, Tewksbury, Massachusetts 01876 by MHF Design Consultants, Inc., Scale 1" = 600', Tax Map Composite Scale I" =200', dated September 22, 1997, revised through 11/3/98, recorded with Essex North District Registry of Deeds as Plan 13362 and as affected by corrective Plan recorded as Plan No. 13727. C -Documents and Setting5W&TklLocal Settingffemporary Internet File OLMA\Form 3 -Lot Release 4 -Garnet Circle Lou (?),doc 2004 12: 5PM PULTE NO. 724 K 4 EXECL7ED as a sealed instrument thisI Majority of the Planning Board Of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS Essex, ss. On this day of _� 2004, before me, the undersigned notary public, personally appeared,eof the members of the Planning Board - , _k ,q �„P,, * , proved to me through satisfactory evidence of identification being Wez,�, d„,ieffh L,�, f; r-,.<, S-4;' !aI I to be the person whose name is signed on the preceding document and ackno,"vledcred to me that1hesigned it voluntarily for its stated purpose, as a duly authorized signatory and member of the North Andover Plamaing Board. Purl, A AlAeAt�l Alka4o�s,`r, r Notary Public My Commission Expires. 0TJZ-4-`2C'YC) F-1New-Dm\Pulto Homes of Ncw England LLGForest VievA9499 Forest view Lot ReleaseTurm J -Lot Release 44amet Circle l,AL5,doc CADocuments and SettingsWark\Local Sertingsl?cmporary Internet FileAOLK6A\Fotm J -Lot Reieasc 4 -Garnet Circle Lots (2),doc .� . 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Essex North Count'}D Regist, yt of Deeds a' 581 Common Street, Lmreneej Massachusetts 01540 r. i .'r • r 05/21/04 MARK JOHN50H KB 5 i;es:. T�pr i0 RL50. i;0 1''s 20.00 75.0,E I Qtal -'r "ay4nt Check ii �RwK YO ` t hwallas J. Register of Deans a•} I � t 1. n.� F: r AutoCAD File: It\FILES\ARC\Share\Singles\1999.PLANS\BOSTON_PLANS\99_C`h"reGr\A1248TB.dMg Plotted at: Mon Apr 16 04;35:33 2001 g m o ARp91ETH BAVD N. (7tFFI1H5 Rnt ""n"PAi1�DODIMYOE�"�ORAPPR"°���°TM"` ' PULTE MID—ATLANTIC I AN A OOLY DOM DOM AHDIIELT 4W THE LAWS OF 71E FOLOANG C HAU C E R N . E . — 19 9 9 T jimmcm. O l V DELAWARE 6189 RHODE ISLAND 2354 MARYLAND 7745-R NASSACHUS5EYIS 9857 10302 EATON PLACE, SUITE 180 NEW JERSEY AE -13967 VIRGNA 6718 - S. CARDL94A 04417 N. CMMNA 6362 Cwt' G = FAIRFAX, VIRGINIA 22030 NSYLVANIA RA -0151668 -- f-0 f c's -�^ f/ �t GJ 65- q Ce -r -m c-�- c� �c l C/)) xg v`�n� w Igen F.' �3 0�3» - �l� i-. x'05'2-' o^ ae � u�. g. 'f° '.3.• '" �y o -ad . 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