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Home My WebLink AboutMiscellaneous - 61 CORTLAND DRIVE 4/30/2018 61 Cortland Street ` BUILDING FIL Liberty Mutual. Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 Tel:(800)566-0323 July 1,2015 Town of North Andover Attn:Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address:61 Cortland Dr,North Andover,Ma 01845 Policy Number:H6521851504940 Underwriting Company: LM Insurance Corporation Claim Number:031631965-0001 Date of Loss:2/8/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, 5 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, 5 3A &B, or Mass. General Laws, Ch. 143, � 9, or Mass. General Laws, Ch. 111,§ 127B. This letter should not be construed as a waiver or estoppel of any of the terms,conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 j 0 1 Date A ...../ ....� . NORT" oa �• �,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �ssACNUs� This certifies that ........... .T............5�-� vr, .................... has permission to perform ... "r' S f..GST............................... wiring in the building of.. 11 t .../� f-` "................... ...... ,North Andover,M Fee..Y5...`.'. Lic.N. ..`/. .. . ....".. ... .�'. � / LECTRICALINSPECTOR Check # 3Yoz 7�� IN ,r Permit No. ,z- Occupancy and Fee Cliecked BOARD OF FIRE' PREVI N T ION REGULATIONS Rev. I/07) (icave blank) APPLICATION FOR. PERMIT TO PERFORM( ELECTR'1 yAi_ WORK All work to be perronned in ueordance with ncc Nlamchusens Elcetriczl Code(MEQ,527 '14R l .00 (?LSE PR rVT IjVIIVK OR TYPE AL I,VFORAdAT'ION) -Date:—. (,p 1 v City o r Town �;: ,4n.1�(7-ll.e-f/' _ To the Inspector of Wires: By this application the undersigned gives notice 9f hes or hcin intention to perform (he electrical work described below. C( Location (Street c4- Number) Ozrncr or Tcnant E'��_ 14o ur 1- Telephone No, Owner's Address _ Is this permit in conjunction With Z building permit" Yes ❑ No (Check Appropriate Bos) Purpose of Building _ L'tieiij Authorization No. Existing Service Amps / Volts . Overhead ❑ Undgrd ,'�o.of Meters New Service Amps / Volts Overhead❑ Urr-dgrd ❑ No. ofrleters Number of Feeders and Ampacin• Location and Nature of Proposed Electrical Work: Completion orthe following table mac•be waived bt•.t/re inmtcror of if ires. -10 L21 No.of Recessed LuminSires INN.of Cei1.=Susp.(Paddle)Fans lTro.nsformers KVA No. or Luminaire Outlets No-of Hot Tubs Generators KYA AboveIn- Jo_of Emergency Lighting No. of Luminaires f Swimming Pool ,.rnd. ❑ -rnd. ❑ Eattetw Units No. of Receptacle Outlets lNo.of Oil Burners FIRE ALARlt1S INo.oCZones NO. of S WiCCl Ce No. of Gas Burners ha.of electron and Initi2tirtg Devices No.of Ranges >o.of Air21 Tonss Cond. o` No.of Alerting Devices _ No. of lY2ste Disposers Heat unep tvumbcr ins l:t.' o.o e _ ontaine P TotaIs: ��--~� II)ctcction/Alerting Devices Municipal No, of Dishvrashtrs" Space/4rea Heating 10Y Local 0 Connection ❑ Other r, . — • No. of Dryers Heating Appliances K.V ccurnty Systems- No. ry No.of Nviccs or E uivalcnt o.of Water iY: ' o. o No•o. Data Wiring_ Heaters Signs Ballasts No.of Devices or£ u:valent No. Hydro Bathtubs No.of Motors T4tat HP elecommunreations Wiring: y No.of Devices or E uivalcn( d OTHER: 3 Attach odditional detail iidesired,or as required by rhe Inspector of)Fires. Estimated Value of Electri Cal Worki (Whcn (tquircd by aluriieipat policy.) Work to Start:ksA Inspections_to be requesicd in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the liccnsct 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 preofof same to the permit issuing office. CHECK QYE: INSURANCE ® BOND ❑ OTHER n (Spdcify:) Self Insured I certify, udder the pains anal penalties of Rzrjtrj,, thar!kAhnrm.4tion on this apptication is true and Complete. FIRhtNAME: AUT Securit;� Services LIC. NO, C ��Licensee: Mark A. Brophy Sicn _ L LIC.I+IO.: C-45 f7f aaplicable. enter "eit:nrp: in die license number tint;) Bus.Tel.No.:. 5 03-5 94-5 9 Address, 1.8 r_ton All.Tel.No.: "Pcr ivi.G.L. c. 147, s. 57-61,security wort:requires Dcpart:ncnl of Rublie Safety"S"License: Laic.No. 00953 OW'NER'S INSURANCE WAam aware i aaware that the Licenses does not have the liability insurance coverage normally required by law. 'By my signature.below,I heA-cby wais•c this requirement. I am tha(check one)0 owner ❑owner's agent. Owncr/Agent i De artmenf Of F' �� p b�ic Safety =:f Qne Ashburton Place, Rrn 1301 Boston, Ma 0210.8-1618 License: S-License r Number: SS CO 000953 Expires:02.07i20it Restricted To.. 00 1 I 1 NAORS£ST "tORI1'(X)D. NIA I►�hr,� Tr,no: 117 0 Keep top for receipt and chane at address nolihraaun + .-,, _.:.•v-=s-s.�:a scj;x��,�is ue .•�/ir LY•7Jr trtr•1rrwrlrl/ r�. fl.:r•rri rrJ.�r" DEPARTMENT OF PUBLIC SAFETY r: S U:;�e ' •r' Number. SS ra Wt _63 Explras:VZ91:721)t t Tr.no: 117 S-License: ADT-SECURITY SERVICE AK A 3ROPHY Srt 1 MORSE ST � QV003. MA 02062 qIG SAFE CALL CENTER- (888)344-7233 Cwnnussroner ... .• -• Y I ��yy ��y'GM �y� =VN.Than 0-ch/vy A*ft4-5— F COu7ryry��Q//y-il WEALTH OF WMSACHUSE rS —` BOARD '� `��— FA A REGISTERED SYSTEM CONTRACTOR.] ISSUES THE ABOVE UGENW M ! t .. s TYPE •ADT .SECURITY SERVICES, INC. s MARK--A BROPHY SR i –C 410 UNIVERSITY. AVE � WESTWOOD 111 02090-2311 849174 45 C 07131/13 649174 ! r Fdd.Thm Dam Asa9 Al pceorag= r; CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 191 (9/13/06) Date: Ma 13, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 61 Cortland Drive MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons 115 carterfield Rd North Andover MA 01845 "' Building Inspector NORTH own of tAndover o z �^ No. 91 o A E dover, Mass., z- COCHICHEWICK 7�A0RATE0 PPS\ iC5 `S BOARD OF HEALTH Food/Kitchen PERMIT T D IA Septic System N LDIN� TOR THIS CERTIFIES THAT f . f.• 40 ..... � �. N. ..... F n acion jl has permission to erect........................................ uildings on .,��... pa/! �R A/.01..... /'�� Rough to be occupied as.................. ��II .. , a. �.I... ............................................... .. provided that the arson acce din thisfer�im#shall in eve res act c form to the terms of thea lication on file in / cP P P g ry P PP f , this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rom Eq e PERMIT EXPIRES, IN 6 MONTHS A ` ELECTRICAL INSPECTO UNLESS CONSTRUCTI STARTS Doug ........... ........ .... .. D TOR Service C Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous -Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPAR ENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH own of : tAndover No. > 9j Atw'z _ - L A. E dover, Mass., �- COCMICHEWICK y1. ADRATED i'f �y S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System A • 400soLDIN 1 P TOR t. THIS CERTIFIES THAT e f. ..... �i� �.� ...... F n ation � — has permission to erect........................................ uildings on S/ ..... .. ....«.�dp �Rough to be occupied as.................. �1�. ri � �.R. !. mneme/ provided that the arson acceL) tin this ermit shave res act c form to the terms of the application on file in P P P g N P PP this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 0 Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Roug i a A/ f�l ,0 A ` PERMEXPIRES IN 6 MONTHS IT UNLESS CONSTRUCTI STARTS ELECTRICAL uvSPECTo Service D CTOR Ali S`/ v`� Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove e di No Lathing or Dry Wall To BeDone FIRE DEPARTYENT Until Inspected and Approved by the Building Inspector. Burner Street � eat No. SEE REVERSE SIDE Smoke Det. q i Town of 0 . No. ) 91 Zwzolo Z `r. ' o o dover, Mass., CRATED"A'QA S BOARD OF HEALTH PERMIT T LD Food!Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT........... �t.f�.�. .........oi�S.�.....�C��.�..0..�!,.r.....�.&I. *. "" Foundation has permission to erect........................................ uildings on .,C/...`0 A,0�A/.�.... i,�� Rough to be occupied as.................... �� ....?Wnivews.0.0.1.. !................................................................ Chimney provided that the person accep ing this ermit shaevery respect c form to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PEP�t7 T E—i N..r.!RES IN 6 MONTHS Final sT �'`>i - CO3°'`�TRT.1 C STA STARTS- ELECTRICAL INSPECTOR Rough .......... ....... ... ... Service w'BUILDIN-GCTOR Final GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner _ Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER NORT1y ,-APPLICATION FOR PLAN EXAMINA'rION Ot,t,•o ,,11% ? 'e p o A Permit NO: Date Received �7SGNUP�� Date Issued: E; SA'' CSs IMPORTANT: Applicant must complete all items on this page LOCATION CZC UJv1 1 t^ ~s Prin PROPERTY OWNER Sy— Print MAP NO.: PARCEL: rZONING DISTRICT: TYPE AND USE OF BUILDIiNG HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Sir New Building ne family Addition Two or more family Industrial r Alteration No.of units: Repair, replacement j Assessory Bldg - Commercial Demolition Moving(relocation) Other Others: Foundation only DESCRIPTION OF WORK T B PREFORMED P_ --T Identification Please Type or Print Clearly) OWNER: Name: r4Oq n j-0 GLC Phone: 'T7ff-4r7-&3S ,address: I CONTRACTOR Name: Phone: ,address: i?� �� + M✓I J �L Supervisor's Construction License: � ` 7 �!% Exp. Date: I-M--11 Home Improvement License: d p 111/t Exp. Date: ARCHITEC E'ENGINEER Name: Phone: .address: Reg. No. FEE SCHEDULE:BULDI.VG PER.NIT:412.00 PER S101 .00 OF THE TOT,4L ESTIMATED COST BASED ON 4125.00 PER S.F. Total Project Cost :$ Z$flff ''�S� )ab XIZ+tJa FEE:$ '�33`Z F t n - F�'s r N �-�/ I- t ej 0 C-o Check No.:— � !� 1 Receipt No. Date....... ... ....... r10RT" O�t,.•o ,•1ti TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACHUS� This certifies that .... ..................... ............................... has permission to perform l r� wiring in the building of ��G��^ ....... ..................... at.........�.I........ -r-t1...: -Cf.... ,North Andover,Mass. Fee. Lic.No.Al-! ,�- ............................................................ ELECTRICAL INSPECTOR � Check # � �L G`0 0 7uU :a Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ' Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: [d p City or Town of. NORTH ANDOVER To the Inspe oro Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant v,_t e��,Ot_p Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 1 Purpose of Building Utility Authorization No. � 7 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 2.oC> Amps /!� 2 _Volts Overhead ❑ Undgrd 0� No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _ J_,/1A_*n7 (-COO c,6 Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o.o mergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of netertini an Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons I K No.oSelf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Eluntci al El Other Connection tecurity ystems:No.of Dryers HeatingAppliances KW No.of Devices or Equivalent No.of Water KW No.o No.o Data Wiring: Heaters ,Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: t L o Inspe tions 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 cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) 1 certify,under lite pains and penalties of perjury,that the information on this application is true and complete. " FIRM NAME: 6 C-T.—#-C T14,CZA-4� U LIC. NO.:,.M fkS Licensee: N.t�t Signature_ LIC. NO.:i>�ajs— �'j (If applicable, ent "exempt"in the It ense number line.) Bus.Tel. No.: Address: 3 PSS¢J3 � 0 `,-1,�r•-& ��- l�c�-(aS�� Alt.Tel. No.: *Per M.G.L c. 147,s. 57-61,se urity work requires Department of Public Safety"S" License: Lic.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $SVI r M l 1 4 d gORT11 ��w y r CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 191 (9/13/06) Date: May 13,2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 61 Cortland Drive MAY BE OCCUPIED AS Sinale Family Dwelling _ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons 115 Carterheld Rd North Andover MA 01845 `� Buildg Inspector NORTH 0VM Of t over 0 No. > 91 _ LA . E dover, Mass., COCHICMEWICK ��. `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System A LDIN� 3R THIS CERTIFIES THAT Q0..vat..-*v. ....400so..... C......... F n at �—. O has permission to erect........................................ luidings on �,, C� `i�,��I. ...... �.�� `Rough t0 b8 OCCUPIed as.................. .. all �.�� l................................................� L�provided that the person acce din this ermit shall in eve res ect c form to the terms of the application on file in 11' r' P P P g rY P PP 1' .- Pinal this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of J Buildings in the Town of North Andover. _ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ( �;� PERMIT EXPIRES IN 6 MONTHS I a Jo ELECTRICAL INSPECTO UNLESS CONSTRUCTI STARTS -� �Ioug � 0 7(1'11 .......... ........ ...450� ..................... Service CTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous -Place on the Premises — Do Not Remove �—1 No Lathing or Dry Wall To Be Done FIRE DEPAR ENT Until Inspected and Approved by the Building Inspector. Burner `r / 01 Street No. !? SEE REVERSE SIDE Smoke Det. ' � e' Town of North Andover NORTH Building Department 27 Charles Street o North Andover,Massachusetts 01845 V 978 688-9545 Fax 978 688-9542 y " ) � ) T °'pA LOLNICM wKM`y1' °gArED �SSACHUS�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS CD CUr � LOT NUMBER 3 SUBDIVISION DATE REQUEST FILED /LIIJZ DATE READY FOR INSPECTION TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLE WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-F E 25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE OES NOT M T LL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. —WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. L� &""6 SIGNATURE/DPW AUTHORIZATION "r r No oTM ,tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that . . . . .'. . . . . . . . . . . . . . has permission to perform . . . . .! !1''V. _. . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . :... . . . . . . . .'. . . . . . . . .:{ . . . . . . . '. . . . . . . . . . ., Me h Andover, Mass. Fee:t� j GL Li c. No.�5—/S. . !. . . ._ ... . . . . . . . . . . . . . PLUMBING INSPECTOR Check # ~� t ;) 05 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / Date Building Location (el�,.��T/2N Owners Name /�f L� Le ��Permit# Amount Type of Occupancy New L Renovation Replacement 0 Plans Submitted Yes No ❑ FIXTURES O W W x O z 0. C H 5LRB%E >ASEVENr ISE H-" y m n" 3Mit" 4M>— 51H FLOOR sM MOM 7M H-" 9IR MOM (Print or type) Check one: Certificate Installing Company Name_ ��/f�p /,� ji//h��24' ,c 4 r p ❑ Corp. Address 1 n -- / y'' Partner. usmess Telephone �, � Firm/Co. Name of Licensed Plumber: �� /V /ly-, Insurance Coverage: Indicate the typgof insurance coverage by checking the appropriate box: Liability insurance policy (� �/ 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 ❑ Agent F1 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 Massachusetts Sta e lumbb'ng Co and Ch ter 2 of the General Laws. �/�a By: JlgndLure OI UMIScu Plumber Type of Plumbing License Title �,., � City/Town ic1-e l�um�f�' Master Er Journeyman ❑ APPROVED(OFFICE USE ONLY Date. . . . .4. . l. .... i i f ,LOR7M 1 I TOWN OF NORTH ANDOVER O D • PERMIT FOR GAS INSTALLATION s �+ . 9 SACHUSE�< This certifies that . . . . . . . . . . . . . . . . . • • has permission for gas installation . . . . . .! in the buildings of . . . . . . . . . . . . . . at . . . . :��. . . . '��? r�.`�. . . . . . . . . . ., North Andover, Mass. Fee. ./(,(. r,. Lic. No. 6. . . . . . . .. .. . . . . . . . . GAS INSPECTOR L!r_ j L/ Check# / C. y r � MASSACHUSETTS UNN ORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Loqations �/n ��y�'7��Lvi Permit# 2�� Amount$ e Owner's Name New !' Renovation 0 Replacement Plans Submitted z F N x z U w x z E- C > d F zF z x w w v > °w u x y a col z w > a d °� z o z w o in o F o SU B -BASEM ENT > a BASEMENT 1ST. FLOG R 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR or type) �A�� `'/�� f / Check one: Certificate Installing Company Name //� c! /y � -^ 11 Corp. Address Ic-,' 17Y'�� Com' l,�d 7(� D Partner. Business Felephone Firm/Co. Name of Licensed Plumber�or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes �' No If you have checked yes,please iodic -the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 1:1 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 0 Agent 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 Massachusetts State Gas Code and Chapter 142 of, a QMeral Laws. By: Signature of Licensed Plumber Or Gas Fitter Title 0 Plumber 1S25--7 City/Town. Fitter License Number Master _ APPROVED(OFFICE USE ONLY) Joumeyman FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *�---**********A*********APPLICANT FILLS OUT THIS SECTION***************** ***** APPLICANT M PHONE `ls LOCATION: Assessor's Map Number /��C PARCEL 3 SUBDIVISION ("/t�eArjoC m,,40nj LOT (S) 3 STREET Cd-y-t�A V4 D6\n, ST. NUMBER- 6�I ****OFFICIAL USE ONLY*****A**** D 10 j,NS OF TQWkl AGENTS: O ERVATION DMINESi TOR DATEAPPROVED DATE REJECTED COMMENTS(,. _ N1A TOWN PLANNER, DATE APPROVED DATE REJECTED COMMENTS IV FOOD IN ECTOR-HEALTH DATE APPROVED N DATE REJECTED SEPTIC I SPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT 0 i�Q ,/, n(, Q1brylpo,,t�^Wvt�y�cc! d✓ ,�„� ( Z�'r,�1�6�, RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release l b Data filename:Untitled TITLE: The Nantucket at Meetinghouse Commons CITY:North Andover STATE: Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:02/23/06 DATE OF PLANS:2/07/06 PROJECT INFORMATION: Meetinghouse Commons North Andover,MA 01845 COMPANY INFORMATION: Meetinghouse Commons LLC COMPLIANCE:Passes Maximum UA=477 Your Home=447 6.3%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1628 0.0 30.0 50 Wall 1: Wood Frame, 16"o.c. 2356 OA 13.0 186 Window 1:Vinyl Frame,Double Pane with Low-E 379 0.340 129 Door 1: Solid 35 0.340 12 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1628 0.0 19.0 70 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Ch klist. The heating load for this building,and the cooling load if a priate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equip a selected to beat or cool the building shall be no greater than 125%of the design to as spe ' ed in Sections 78 1310 and J4.4. Builder/Designer Date D ' MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release Ib DATE:02/23/06 TITLE:The Nantucket at Meetinghouse Commons Bldg. Dept. J Use J J J Ceilings: [ j 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation Comments: J Above-Grade Walls: { ] 1. Wall l: Wood Frame, 16"o.c.,R-13.0 continuous insulation Comments: i J Windows: [ ) J 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes{ ]No J Comments: I J Doors: [ ) 1. Door 1:Solid,U-factor:0.340 Comments: J J Floors: [ j 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: i i Heating and Cooling Equipment: [ j J 1. Furnace 1:Forced Hot Air,90 AFUE or higher J Make and Model Number [ j J 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher J Make and Model Number J Air Leakage: { j J Joints,penetrations,and all other such openings in the building envelope that are sources of air J leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures J shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture J and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. J 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 J L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture J shall have been tested at 75 PA or 1.57 Ibs/fl2 pressure difference and shall be labeled. Vapor r er: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. J i Materials Identification: { ) i Materials and equipment must be identified so that compliance can be determined. [ ] ( Manufacturer manuals for all installed heating and cooling equipment and service water heating J equipment must be provided. ( ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct.tape is not permitted. [ ] ( The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the beating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] J Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4_ Circulating Hot Water Systems: ( ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] ) All heated swimming pools must have an on/offbeater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock_ Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120'F or chilled fluids below 55°F must be insulated to the levels in Table 2. z Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Un to I" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping S st�Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Tzc The Cornmon)vealth of Massachusetts Department of Industrial Accidents Office of Ir7vestibations tL 600 Washinaiol7 Street Boston, AIA 02111 )4t)4t1S�.1771IS'.S.a ovIdia Workers' Compensation Insurance Afiridavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): / ` Address: 17Z I Cite/State/Zip: /�-C e,r"OL)%V, — one #: Cl �� `�� 7�z�� Are you an employer?Check the appropriate box: 1.❑ 1 am a employer with 4. Type of project(required): ❑ 1 am a general contractor and 1 2.'6�em 1ployees(full and/or part-time).* have hired the sub-contractors 6. N New construction am a sole proprietor or partner- listed on the attached sheet. t 2• ❑ Remodeling ship and have no employees These sub-contractors have 8. FDemolition working for me in any capacity. workers'comp.insurance. [No workers'corn insurance 5. 9. ❑ Building addition p• ❑ We are a corporation and its required.] officers have exercised their 10-❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL ] L[] Plumbing repairs or additions myself [No workers' comp. c. 152,§1(4),and we havaired. � 12.E] Roof repairs insurance required.)) 1 employees. [No workers'e no comp. insurance required.] 13.0 Other `Any applicant that checks boa R 1 must also fill out the section below showing their Nvorkers'compensation policy information. 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 their workers'comp.policy information. 1 am an employer drat is providing workers'coanpensation insurance for my employees. Below is the policy and job site inforrrration. 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 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 inay be forwarded to the Office of Investigations of the DIA for insurance covera rification. !do hereby certijy under th gins Bial pe allies perjuty that Me information provided ibove is true and correct. Sicynature: Date: 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#: I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055417 = " Birthdate: 04/05/1960 Expires:04M512006 Tr.no: 21033 Restricted: 00 THOMAS D ZAHORUIKO 921 CARTERRELD RD N ANDOVER, MA 01845 Acting Ccvnrntizvoner f MEETINGH005L COMMON5 AT 5MOLAV-,- FAKM �L ;' � 1 I ! I i , 1 T TFT_ ? i I —1 -Pil I L 1-- L ;: j I i ;i • i I I � it �° ,? --_----- --- ------ - ---- ! 1__ .1 ? ENort6 ntucket at Meetinghouse Commons NANTUCKET Andover, MA (6t Cortland Drive (unit 31) )/4" = t'O" Date: 07/07/2006 Sheet t house Commons LLC, Nash Andover, MA 8 - D 8-0 Z_g 9 r s- o 17Z-1 .7-q 1131 X2-3 L L p o MJ\ST£SC I T R 1c W o L6 G - a U10 0 - 3 fi7 10 , m YJ-1-t Ic o c� o o O lIi LL ID 43 ts� - ' LOST n +' 13 ° o bUr.Eo�C4Z rLa�c 3Zoo�r� TOS dut;� � PeY3r"Z ' A 1 zAk.R A Com N Y i ' coV'FX� PDr2,G31 � � The Nantucket at Meetinghouse Commons North Andover, MA (v I Cortland Drive unit 31 Scale: ]/+" = 1'0" Date: 07/07/2006 Sheet 2 Meetinghouse Commons LLC, No4 Andover, MA e'° a � — L rN LLQ` P N D F o?, Co?N•'&IzAJA lto svk A) Ti�D ! } ! � srR An oil sat-C' 1 f ry a VJ:,AL 10ir } -7 C fit)`R tA3RIC, 01 -v Via= -q! 1' �E;1�1VG So:L N Q 9 Z2 0 8-o 44-0 kCommons, Tie Nantucket at Meetingouse C , Nortb Andover, MA b1 Cortland rive Unit 3� i Scale: i/8" = 1'o" Date: o7/07/2006 Jc 6eet 3 1-�vtv,D.�T1�1�3 � L3�StM�NT PI..AIJ Meetinghouse Commons LLC, Nortk Andover, MA Z-0 - zv Z•d S-o s 6 tZ-o 2•e I I jo) o � O LV N i— - 11I Ii , 1 2 x ID l!) ILo i3-o i rL 1 se 1 ° 0 fi .�1 P-S-r 'DECK The Nantucket at Meetinghouse Commons, North Andover, MA bl Cortland Drive (( nit 31 Scale: i/8" = 910" Date: 07/07/2006 Sheet 4 ___..----_...--- _ ---- ----- -- -— - ---- -- ------- - n/]eetinghouse•Commons LLC North Andover MA - WINDOW & DOOR SCHEDULE Interior Doors, 2-8 X 6-8 unless specified 341/2 X 821/2 D-1 Entry Door, Twin Sidelights 681/2X 83 D-2 Entry Door 38 '/2 X 83 D-3 Slider w/transom 72 X 96 /4 D-4 Slider 72 X 82 1/2 D-5 Entry Door, Single Sidelight 531/2X 83 A Double-hung single 341/4X65 1/4 B Double-hung twin mull 68 X 65 1/4 + C Double-hung triple mull 1011/2X 65 1/4 D Double-hung single 341/4X 57 1/4 E Double-hung twin mull 68 X 57 /4 F Double-hung triple mull 101 1/2 X 57 /4 G Double-hung single 22 1/4 X 65 1/4 H Double-hung single 34 1/4 X 53 1/4 " I Double-hung twin mull 68 X 53 1/4 L Double-hung w/transom 34 1/4 X 79 M Glider 60 1/4 X 42 1/4 N Double-hung twin mull w/transom 68 X 79 P Transom 341/4X 30 '/4 Q Transom twin mull 68 X 30 1/4 S Double-hung 30 1/4 X 49 1/4 T Double-hung triple mull w/transom 101 %2 X 79 U Double-hung twin mull 68 X 49 1/4 x R ni ind stali onary 24 X 24 Fc e Nantucket at Meetinghouse Commons, rt ndover ortland rive nit 3lale: 1/8" = 1'o" Date: o7/o7/2oo6 j6cet 5 etinghouse Commons LLC, N o4 Andover, 4LY• RhFTO, �o� 2^�`FLO.ofZ sko0� .fit, i r - v p�� `OtSY- CE1LL��LoofZ - - - - - - - _ RZ 3 r •'= q itis ku ,t \T U 1 <C ?:zvN-r«cK f E<kti\.,- M1 ra`rs �Li� t a �otsT hs RZQ d CC) 4" Pc sLAg T YPtCAL SFGTtpV-I r' E ntucket at Meetinghouse Commons, ndoverMA (oI Cortland Drive ((.Anit 3t varies Date: 07/07/2006 Sheet 6 house Commons LLC, North Andover, MA K Date...... .4 NORTN 1 3r°•';�`` TOWN OF NORTH ANDOVER PERMIT FOR WIRING ^ _ • : CHU This certifies that ....................l,,).R. ............% C........................................ has permission to perform ..... c. ' n wiring in the budding of......� !...... A..... ,.�..�r'.:��.........r r.................. at......�':./. C c31z ........................ ..1:✓1� !1. ........... ,North Andover,Mass. • Fee.... ?.'.i.`.:.. Lic.No.�,'i. .-?./�:............ ELtCTRICALINSPECTOR t Check # S Commonwealth of Massachusetts Official Use Only Permit No. Ccy�.$76 Department of Fire Services Occupancy and Fee Checked ` BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:_ TIC010�p City or Town of: M0, ` To the Inspector of Wires: By this application the undersigned gives notice of his or her intenti To the electrical work described below. Location(Street& Number) b ' GO .4 f Owner or Tenant — `,L4 '7— Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building s 1--(b(�1r) _ Utility Authorization No. 120 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters ` New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ` Location and Nature of Proposed Electrical Work: �� SVS L� Completion of the followin table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o.of Linergency Lighting rnd. grnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Num er ons W No.ofSelf-Contained Totals: I I I Detection/Alerting Devices ` No. of Dishwashers Space/Area Heating KW Local❑ unici a F-1OtherConnection No.of Dryers Heating Appliances Kir Security Systems: No.of Devices or Equivalent ` No.of Water Kms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP a eco of Device o r Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value f Electrical Work: �Co. (When required by municipal policy.) Work to Start: « b 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE tBOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC. NO.: ) p Licensee: M��,(q�(� ��p,� � Signature LIC. NO.:&,Z7VCE�;— (If applicable, ent r "exempt"in the liceWe number line.) � I Bus. I. No. z-- Address: �GwS —1 'tSV yKln (��t.�,i?D^ I Alt.Tel. No.: '/7t- i 7 — *Security System Contractor Li ense required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 4 Date..... ?-�—er,- f HORTM� 3:;•_t;�``°-�`_:"�o� TOWN OF NORTH ANDOVER 4, : ' PERMIT FOR WIRING �SS�cNusE� This certifies that ..................41=�'IRJ�� .................................................. has permission to perform df� ,`^7, F '. .c�= c a .o-)... r.. wiring in the building of.......... � ! ......1.E 5!/................................... at....... c-/�f1�r C��r: ,!� (,�/... ,North Andover,Mass. ,�........ . .. Gs..�.t .. .... , ELECTRICALINSPECTOR k # Commonwealth of Massachusetts - -----i-)111�. -I-I Department Of Fire Services 2 153 raw tir BOARD OF FIRE PREVENTION REGULATIONS [Re�. () oil' iii,,l r`'`Cho:ck"l.� - -:I\�I-,1-.n k) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ith [Ile \1:1�� ..�!C,Iu-,:It,, I \11:( ). 5'-7�\.I R I 2.',i I Pni.%r i.� 1.\k OR FYPE.tLL I.VoR.If I Tl().\',, Date: Ch or Town of: Plo� —6 A��( o')C-V� ro !hu h1S/l(!L` (Wil Ily this ,Ppllcaholl the unders* nonceol hi.,or her i ttcl,t�,n Itl Pcl't';I'111 il-itf Jccfricld oorkl dll'il'L I-1hed belov, Location(street& Number) (01( CO A--L 10t A, ONsner or Tenant telephone No&?-?kjK— ONsner'sAddress vL T C-I A- A:.� ( Is this permit in conjunction frith a building permit? Yes ❑ No L�(Check \ppro—priate Box) Purpose of Building (Lbr, t Dc LtilityAuthorization No. 7,-/ Existing Service— Amps i Volts Overhead 0Un d grd 0 No. of Nieters New Service t`-Q- I Imps 12Q /�volts Overhead El Undgrd [0"- No. of.deters Number of Fecders and Ampacity J-- Location and Nature of Proposed Electrical Work: n r-b < PAII LI-K 1-%1 0 < -711M j flj(4 `eI No.of Recessed Luminaires NO.Of Ced.-Susp.(Paddle)Fans Tufal A,1, Transformers No,of Luminaire Outlets No.of Horrubs KNA Generators KNA %,f). or Lliminaireskbos q-immine Pool oo mergency Lighting F] Rattcrv-L'uits No.of Receptacle outlets No.of Oil Burners FIRE AL,ARMS .No. of Zones No of Switches No.of Gas Burners -9-5.Of-Detection and -------- & initiating Devices No.of Ranges No. of Air Cond. -r.... No.ofAlerting Devices Disposers 11 'No. Of Waste rat rump I Number Foos 1W of ITotals: i No. -Contained Detection,Alerti"g Devices No. ot'Dishwashers Spacei,%rea Heating KW Local Municipal C( nnection [I Other No. of Dryers Heating Appliances Security' -S,- KW s eins: 4) No. ater No. ofn. N( f Devices or Equivalent Heaters K Si ns Ballasts Data Wiring: No,ol'Devices or Equivalent No, Hydromassage 13.1thtiihs NO.of IvIllitors Total tip 4-JI-ecommunications Wiring: OTHER: N'oIll'Devices or Equk.Actit I tiin:it,:d%"Juc tt 171cctric,il ',V�,rk: tboi), lb,A to '�t;trt:i o 1-10 -01In FcOions to be ;n kc,�(A',11111ce ,pith EIEC Rule A 111d upuponcolill-Actioll. 6- - Sl-RA NCE C+'m Elf. I. �,ik,-d I", the uktlwr. 1,1 Ixi init tur ihe -k -;Inc-: inch Idill 1�i;) 'cd "I. (wf, ti,. A.r kAi '— Ir s, eLIUs ,, -4 �u7- C 14 S INS11- 141A,( F k-JUiP.11 i:k\Y. !3l 1 p