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HomeMy WebLinkAboutMiscellaneous - 83 DAVIS STREET 4/30/20189 4- C -q 10 00 C" a 0 ON- 'R P, '0 C- -�g —0 .2 J. �d '0 1� 0� -42 A cl I., bo . ON bO �01 td 0 4-� CD P.- 0 ca 0 P, 0 Cl 0 4 o6 .C:. Id . Cq V= 9 "4 :Rci 'p:4 0 "'w -� 8- w r4 2, 6 0 d3' ol Ca ol u , j ,C) 49 4-1 od 0 a 0 15 0 0 �jj p NA -4 g 0 "o 0 8 g P, bO U � M. ba p, 0 2 0 IS, cd 0 0 0 __C 0 bll 0 A -0 "s 9 2:9 o 9 4 R ow 0 -r. "d OA 2 "Z4 U P� 8 M. V r- C, Oe 0. t) . i� 0 g ;�L 'u P4 0 'q 9 8 5 0 . . I C-4 P� '8 0 P4 0 C'l W Jo K r-1 I /- - J, -,,, -7 Date ... .... :'� .............. 0 '0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 50� This certifies that ...... ........ ........ (/ . . ......... has permission to perform 1-4;f _,,, ................................................................. wiring in the building of ... . ................................................................... at ..... ��Z ...... .......... ......................... . North Andover, Mass. Fee� ... . ........ Lic. Ndgl� r/ . .................................................... ELECTMCAL INSPECTOR Check # R7 �-�? ..v......v..rrca�c�� Lo, 1-1assacnuserrs umcial Use Only Department of Fire Services Permit No. `' ;7p,-)� BOARD OF FIRE PREVENTION REGULATIONS [ Occupancy and Fee Checked Rev. 1/07] cave 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 WINK OR TYPE ALL WFORMATION) Date: 28 Q City or Town of: NORTH ANDOVER To the Inspector of Wire By this application the undersigned gives notice of his or her,intention to onn the electrical work described below. Location (Street & Number)_�3 ® of �s o Owner or Tenant Owner's Address Is this permit in conjunction with a building ermit? Yes Purpose of Building 'l C No ❑ (Check Appropriate Boa) Utility Authorization No. Existing Service WO Amps Z D / Z�Olts Overhead 0---" Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity /1 , tpo , ,1, Location and Nature of Proposed Electrical Work: LA�� �%Ll Com leti h ll No. of Meters No, of Meters No. of Recessed Luminaires on o t e o oxen No. of Ceil: Susp. (Paddle) Fans table may oe waived b the Inspector of Wires. o. of Total Transformers KVA No, of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires SwimmingPool Above In-mergency ig g nd. rnd. Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches Z No. of Gas Burners o. of Detection and Initiatina Devices No. of Ranges No. of Air Cond. otal Tons No. of Alerting Devices No. of Waste Disposers eat Pump Number .._ ._._............._._........._. Tons KW o. of elf -Contained Totals: _ Detection/Alertin gry Devices Local ❑ Municipal E] Other No. of Dishwashers Space/Area HeatingKW Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Watero. of o. N of Heaters KW Signs Ballasts DataNo. . ofitinDevices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: 0 of Devices or E uiv lent OTHER• j neauun aaatnonat aetau tj desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: _ Q(� e ©d (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE' Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties�pf perju , that got information on this application is true and complete. FIRM NAME: �Q LIC. NO.: /� Q Licensee: Q I Signature LIC. NO.: (If applicable, a ter "exe t" 'n he lie ntunber line d Bus. Tel. No �9 Address: ® Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requues Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $S! �` The Commonweallh of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 r-1 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nance (Business/Organization/Individual); (� , � Z� ��/i� C r xd �P Address: % �O City/State/Zip: /x"' /-� Oil'OPhone #:. ! % 7 2 7 9-3 Are you an employer? Check the appropriate box: 1.0 I am a employer with 4. ❑ I am a general contractor and I Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. ❑ Now construction 2.0 I am.a.sole proprietor. or partner- listed on the attached sheet. 2 7• [ Remodeling ship and have no employees These sub -contractors have S. ❑ Demolition working for me .in any capacity, [No workers' comp. insurance workers' comp. insurance. 5. We are a corporation and its g, ❑ Building addition required.] officers have exercised their 10 ❑ Electrical a repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No-worke'rs' comp. c, 152, § I (4),'and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' . t 3.[] Other comp. insurance required.] *Any applicant that checks bort#I must also fill out the section below showing their woikers' oompensation policy information. 1 Homeowners who submit this affitlavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such lcontraeton; that check this box mustattached an additional sheet showing the name of the sub-contractom and their workers' comp. policy information. I am an employer that is.providing<workers' compensation insurance for)W employees': Below is the information. policy and job site Insurance Company Name: ' Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: t Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date Failure to secure coverage as -required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde be pains and penalty of ry that the information provided above is true and eotT cL -- signature: Date: Of Phone #: f1112 7 71 7,93 f Official use only. Do not write in this area, to be completed by city or town off cid City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or bmstee of an individual, partnership, association or other legal entity, employing employees. 'However the owner -of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), addmss(es),and phone number(s) along with their certificate(s) of Q insurance. Limited Liability Companies (LLC) or.Limited Liability Partnerships (LLP) with.no employees other than the members or partners, are not required to carr 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.. Aiso '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, notthe 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 numberlisted below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/limnse applications in any given year, need only submit one affidavit indicating current policy 'infonnation (.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 lnvesiigpti.ons 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 600 Washington Street Bosion, MA 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7744 www.mass.gov/dia Date ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........................................... P 0/ L&f� has permission to perform ......... �/ ........................... wiring in the building of ................................ at ...... ....................... h Andover, Mass. Fee ......... Lic. No .......... ........ ELECTRICAL INSPECTOR Check# 521? 11 'i 16 9 Commonwealth of Massachusetts Department of Fire Services' BOARD OF FIRE PREVENTION REGULATIONS Officinal Use Only. ` PermitNo. 1 Occupancy and Fee Checked [Rev. 1/071 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: City or Town of:AQ/7f'/t✓_ To the Inspector -of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Numbe , / Telephone No. Owner or Tenant J) V Z Owner's Address _ SA -f t� 1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd-❑ No. of Meters New Service Amps / ,_Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed -Electrical Work: `/(/ %fZ ( tyC 01 L E: r,,...,iot;nn nfthe rnilnwina table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires oven- Swimming Pool rnd. ❑ rnd. 0 o. o mergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners of Uand o. Init� tintsong Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices Disposers No. of Waste Dis P eat u Totals: P um er ons o. oSelf-Contained Detection/Ale Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipalecti❑ Other Connection No. of Dryers rY Heating Appliances KW Security Systems:* No. of Devices or E uivalent o. of Water KW Heaters o. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP r tang: Telecommunications o fDevices No. of Devices or Equivalent OTHER: Attach additional detail i desired, or as required by the inspector q/ Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no perm it.for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE WC BOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.;A1 1983 Licensee: T.O TTS CONTTNO Signature LIC. NO.:F 9 g 7 g g (If applicable, enter "exempt" in the license number line) V Bus. Tel. No.: — 0 Address: 1N� n___VAN LIR WEST NEI+IBL1RY-r—Ml1 019,95 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By•my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent . PERMIT FEE: $a Signature Telephone No.ofol 11 �wt- f I - o S Z-5 e- "k Z0051`4 I X0 Date. ...... + TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING U — � This certifies that ... ............ has permission to perform ....... ...................... plumbing in the buildings of d6 ( , /-( ............. at, .......... North Andover, -Ma F efe ..... .... Lic. No..:O� .......... PLUMBING INSPECTOR Check # r, q 80 U Z� j MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date — U Building Location oc\ V� ' C, �" Owners Name � V lg e ' �Okt i permit # G —Z - Amount Amount Type of Occupancy New 1:1 Renovation 0-1*' Replacement 1:1 Plans Submitted Yes ❑ No ❑ 1' 1 IN -i • (Print or type) Installing Company Name 0 Alt se-, F }- !� Check one: Certificate ❑ Corp. ❑ Partner. 11 Firm/Co. Name of Licensed Plumber: V) n.,"4 ( 5K®� Insurance Coverage: Indicate the type of 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 threeranee ignature Owner E3— Agent rl I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass c ► setts State P1umlCode and Chapter 142 of the General Laws. BY 1gna ure o1 I-IGUnSeClrIUMDer ype 0 PI License Title 1 C.� �' City/Town icense iNumDer Master ❑ Journeyman APPROVED (OFFICE USE ONLY 11 The Commonwealth of Massachusetts Department of Industr°Accidents Office of Investigations 600 IMashington Street Boston, MA 02111 t r www -mass gov/dia . Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers 30licant Warmsfinn Narlie (Business/ptganiza6on/Individual): Ad&ess: City/State/Zip: Phone A. . Are you an employer? Cheek.the appropriate box: I-❑ I am a employer with 4. ❑ I am a general contractor and I of Prelim (required): employees (full and/or part-time).* 2. ❑ 1 am .a:sole proprietor. have hired the sub -contractors listed New construction F7. or partner- on the attached sheet. x Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity, [No workers' comp, insurance p workers, comp. insurance. 5. ❑ We are a corporation and its 9 Building addition required.] 3. ❑ 1 am a homeowner doing officems have exercised their 10-0 Electrical repairs or additions all work myself. [Nonworkers' comp, right of exemption per MGL c. 152, § 1(4), and we have no I I.❑ Plumbing repairs or additions insurance required.] t em to ees. P Y [No workers' 12 ❑ Roof repairs comp• insurance required..] 13.❑.Other *Any applicant that checks boxy #I must also fill out the section below showing their workets' t Eiomeowners who submit this i ompensation affidavit indicating they are doing all work and then hire outside contractors tConttsetors that check this box policy information must submit a new affidavit indicating such. must attached an additiona,' shear showing• the name of the sub -connectors and their workers' camp. rplic"• information. I am an employer that is Providing: workers I compensation insurancefor my employees; Below is the informpolicy ani job site ation 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 thepolicy number and expiration date} Failure to secure coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and peva/ties of perjury that the infnrmadon provided above is pre and cormet Si tmtre: Date: Phone #: FFBo�ard nly. Do not write in this area, to be compiet�( by city or town. official : Permit/License # rity (circle one): ealth 2 - Building Department 3. City/Town'Clerk 4. Electrical Inspector 5. Plumbing Inspector 11 L Contact Person: Phone 4: tt Information and Instructions - Massachusetts General Laws chapter 152 requires all emp I overs to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, - express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and includirig the legal representatives of a deceased employer, or the receiver ortnrstee 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 maimtetwee, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment bo 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 1to 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 certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the memo= orpartners, are not required to carry workers' compensation insurance. Ifan 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, notthe 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 numberlisted below. Self-insured companies should enter their self -insurance -license number on the'appropriate line. City or Town Officinis 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 lnvest gations has to contact you regarding the applicant Please be sure to fill in the permit/license number which %viII 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 ofthe 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 fulled out each year. When 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 bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would lace 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 600 Washington Street Boston, MA 02111 TeL # 617-7274900 east 406 or 1-8.77-MASSAFE Fax # 617-727-7744 Revised 5 -26 -QS wwwmass.gov/dia '_' I v v L 11 ELLEN BELANGER 9 LINCOLN ST. ROBERT MOELLER ' 17 UNCOLN ST. LEAVITT RLTY. TR. fl 25 UNCOLN ST. w1I N 0 o � I `� 110 I IN t 0 J Y REALTY TR. '47 ROYALSTON ST. BARBARA PHILBRICK 83 DAVIS ST. 1. STEPHEN J. DAY 2. KAREN M. TEGAN 3. STEVE do TERESA SADOWSKI 4. ELLEN MCALUSTER 13' 5. CORNEUA H. HMURCIAK 133 PLEASANT ST. Ln ELLEN F. SHEEH, 35 COLE ST. SALEM NH I I� I i I CONC. BILK. GAR. 116 MAP 70 PARCEL 29 39,126 S.F. PROPOSED PARKING t2 3 4 5 /4 6 f 127' DAVIS SUSAN DUNCAN It N 19.4' STREET • • DATE: REFERENCE: ASSESSORS MAP 56 ASSESSORS MAP 70 DEED BOOK 762, PAGE 425 NOTES: ZONING DISTRICT: R4 LOT COVERAGE: 10.6% REGISTRY USE ON HEREBY CERTIFY THAT THE PROPERTY LINES SHOWN HERE% ARE THE LINES OF EXISTING OWNERSHIP AND THAT THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PR STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO N -EIA LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WA' ARE SHOWN. JAMES W. BOUGIOUKAS R.L.S. #9529 DATE CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS OF THE COMMON- WEALTH OF MASSACHUSETTS. JAMES W. BOUGIOUKAS R.L.S. #9529 DATE PLAN OF LAND LOCATED IN NORTH ANDOVER, SIA. ..... ......... N2 Date..:'rq. TOWN OF NORTH ANDOVER 0 0.. PERMIT FOR WIRING This certifies that ........................... 4 ....... ............................ .. . ..... .......... has permission to perform wiring in the building of ......... . .............................. ..z .................................... A/— at .................................... . North Andover, Mass. Fee �5 .... . ......... Lic. No ........ ....... . .......... : ............... ELECTRICAL INSPECTOR 05/12/99 11:14 M-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THEC0A MONWE4LTHOFhf9,MQRSE77s Office Use only { DEPARTAIDVTOMBLIMFM Permit No. 16 BOARD OFFIREPREVEAWONREGUTATIONS 5V CMR 12* Occupancy &Fees Checked U4VPPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK/ ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes E:J-<o r7 (Check Appropriate Box) Purpose of Building Total Utility Authorization No. Existing Service Amps / Volts Overhead Li Underground No. of Meters New Service Amps / Volts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total _t, KVA No. of Lighting Fixtures Swimming Pool Above elow Generators KVA gror and round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch outlets No. of Gas Bumers FIRE ALARMS ` No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pum s Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Ol Connections t No. of Water Heaters KW No. of No. of 1 Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• ..: s:r I: I`. •• ••I i • .n _ • :•.:• •v_:K.1•r. •• • ,� •.o .rci :r. 1 'A • ... a a:- r•. • I _ LimrueNa Looatsae ��' 417 C4,q C 0C Sigrane g� r� p BusinessTeLNg r Ai Td Na OWNER Ps&JRANCEWAIV R;IamagM1dkr1tasnp=dbyMm ttsGff=alIam anddtn7ys ondmpwnitappk mmw&ke; hS t ` (Please check one) Owner 71 Agent Telephone No. PERMIT FEE $ Location -(P-" No.' A!� I Date I N� TOWN OF NORTH ANDOVER 0 AL % Certificate of Occupancy $ Building/Frame Permit Fee $ 3 Foundation Permit Fee $ C.0 Other Permit Fee_ -I—/ $ Sewer Connection Fee $ Watpr Connection Fee $ TOTAL cl-e- -3d-& P T- - J M/20/99 14:25 Building InspeCr- 32.00 PAID Div. Public Works r) I li xi (A z r Q n vJ E u� w C7 x z vi iA O F a a U Ln O 0 u V1 t� I w z d O i F• � d 0 i z > 0 ° o p z � o o w M LLJ ' a ou. z o m co z a I w � d 0 0 ° o w F_ LLI P4 t w o A x o v u o w e T a Cf) oR U � z z z Q "a G° � w° cG c U Cd w W 7a � m w W u 0.4 U 1.�1 w °�° � V cn ro w x o H z °7° a w z ow w a G: 61 E CO o u cn v Q ui am COP) W_ LL H W ti F- m .. o m c c � 0 0 c 16- C4 C O C.) V Qc :Cc = o o � N �D E Q C C m .o = V .- o c. N E c : 0 m CD E N l0 m CD CD d � N N CD 3 m N = m � N N y O O Em : D o aU i m y ® > C: L = O CI CCA O Q C L •O ;mom m C -) N O i OmZ O :coo cm O a c :Lm Lc .o c N CA a) m Cc CD dZ O C O Z C.3 V0 CD cm •N O �+ arm ::No UI' co O E co O o v Z O CL O y 0 CD CM C C y p Z3 O H O .0 �E ca cc i O GD co OCJ 0 O cC O d y C O= � CcC cid J 'C � O Z cico d V CO) cc C cc 0. s r1r LLJ 0 U) LU U) IrW W ilW LLI U) Location 183 No. C� Date TOWN OF NORTH ANDOVER $4,S. 11 - 0 4L ; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit F6e $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 05/17/99 14:05 25.00 PAID Div. Public Works ly XI ct� Q L F o o 0 c7 � z U O O Z ° g o O O O o u Z Z ,' - -a-, z 2 Z N Q Q Q w fn Z y c N } F• i `y O d N z v z 1 ¢ J � w L M C r� p z � C � � Q O i � 1 0 � o c o O z C Lc] in n — — L LL: c� z' E G XI ct� Q L F o o 0 c7 � z U O O Z ° g o O O O o u Z Z ,' - -a-, z 2 Z N Q Q Q w fn Z 1 z c i } F• i `y O C z v z 1 ¢ � w L M Z J � C L Q ZJ i M V) 1 0 o n — — L LL: c� z' E G ac z a o ` v Lt] ¢ c . z � z � \ /-1 W C C C � ^1 z L Z L L i n r" CV -8 c LQ z z z w u I^� /_l C 1 z c i } F• i `y i C z v z 1 ¢ � w L M c � C L Q ZJ i M V) 1 0 o n — — L LL: c� z' E G z 2 uj u a U LL: cn ■lm 0, } C-9 i `y 0, FORM U - LOT -RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT f+LLS OUT THIS SECTION`************** APPLICANT ��l Y--� D le' 4' N) Ind t (C % PHONE V/ a 316 LOCATION: Assessor's Map Number 20 PARCEL SUBDIVISION LOT (S) STREET V I J T-1 ST. NUMSER J? -3 CONSERVA COMMENTS DATIONS OF TOWN AGENTS: N ADMINISTRATOR TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS Vi USE ONLY*************************�*�*** DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT M1 FIRE DEPARTMENTTE ' S RECEIVED BY BUILDING INSPECTOR APR 2 1 Revised 9197 jm MORf6A6E INSPECT IDN Pt.AN City/Toon; rJoaTH_ At1DovI;F'State: r -Ah ----------- D-1 t ____----D,rtt .----- 7-J--14 L95_--------- Scale: '�C�t Owner: P�III.F}�ICK--------- Buyer:_,-F?tIL�R1LtC_ Dred Ref,9 Plan No, _./ - .... _..__..__ f41------- Dravn per pity/Tovn of r�cmTH A4D0\/"Iax Assessors Map, -r 2C o T 28 r UA W-CAAD a 4k b� � D�1�.l1.t�1Cj 04 V Lc:; T 2 9 1 rtT G A _-- ��Z�----- R 1 hereby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new hortgage and is not intruded or represented to be a property line or land survey.. It cannot be used for establishing fence, hedge , walls or building lines, No responsibility is extended herein to the land Owner or occupant. The location of the origiAal buildinq(t) is shorn hrrein was in cnspliance with the local applicable s ing bylaw in effect when constructed, with respect to horizontal diaensional requiretents, to lot lines or is exespt fro" violation enforcestnt action under Mass B.L. Titl# V11, Chip, 40A, 6#c. 7, unless otherwise shown herein. Subject building(sl lies i a flood zone desi noted Zone: _x --___ and shorn on FIRM sap Cossunit Panel 1 ZSoo Dated..--_ IS --"-- y ------------- &-..-------------------- -- _I ----� - Job No._ 1CD, INCORPORATED, LAND USE 6 DEVELDPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, MA 01044 508483-9932 -\—� The Commonwealth of Massachusetts ' -- ( Department of Industria! Accidents MICS 91IM0092#8flS 600 Washington Slreet Boston, Mass. 02111 Workers' Compensation Insurance Affidavit namy location • L ciN li IL� 422 I am a homeowner performing all work y self. I am a sole proprietor and have no one working in any capacity C] I am an employer providing workers' compensation for my employees working on this job. company rite: address- city phone #- insurance co: polic�f� I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: comninv name: addresss city: phone insaranccco. +,a=ict� Failure to secure coverage as required under Section 25A of IVIG L 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years' imprisonment as well as civil penalties in the form of :t STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby terrify under the pains and penalties of perjury that the info mation provided above is true and crrect Signature J' t %/' Date Print name i� C� G� i G'%/'Yl�`/ f!L Phone k official use only do ` ` /pnot write in this area nto�bQe completed by city or town official city or town: o e I rl etV U 9 vL permit/license N / -B. D_ Building Department C]Licensing Board C] check if immediate response is required CIF01 c3Selectmen's Office contact person: I^440x1 � �Se �_ phone #: (2b — ` " 0/ naOther h Department (rwued 3191 PIA) WILLIAM J. SCOTT Director (978) 688-9531 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 NORTiy C 0 ° x SACFHUSEt�y Fax (978) 688-9542 In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant r Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 tr U) .omom CN r--1 07 wz A G v E Cd o z A o a a V u x O w a z w A ow a� u \ L2 a U) � b w° ao' v U cd x a C2 �n w v Wz W X00 coG " chi m 4. m o Qx m r. u. a G4 v c _ m w cn i o cn Limo c� O ` C N C : C E a m «_ z co co "`�E y E y +O+ •W' �mc E y ev is W:mm CO CL o Z' 3 =_ y C �: m y Of Q . C � � O ♦i: �: H C C O O Ey m 0 cm hy Td m cm V:=t O pf ++ �' C O C Q oN'`nc .o x m m. -3C N CA) m oc �E v v .y O v0 LU a y.= p ►- t $ n co y T 9 p I Com_ y G � co H G� O 'E m m CD O O O � � O C O �C 00. y C C C e� ea v J� D C Z CD CL V y � C — C C CO2 C ti ♦' N p p� H m ti � x y. ¢ o Cb 0 co �Q OMD LLi L(! W p S d 0. Q �== O .- W .o ' IY, q • .�. ; LO I Location 813 D-ClUIS 10 . No. — AU Date b5117h9 14.Q TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 25.00 PAID Div. Public Works Q Z y 1 I � � w 1 C 1 i Z } Y a G � rh Q Z y 1 I � � w 1 C 1 i Z } Y a � a r. w N f'rl O C C a N cn w CL N c _ z F' X ! C O C c' C r It Z z � 7 T x Uw V LU LU .X �` F Q - W J c � � Q L - N 7 M •— (� z � N N m `� v N _ v n � " - •;K Z J z U .. N w U N Ln ZLn n Z y 1 I � � w 1 C 1 i Z } Y a � a r. w N f'rl O � a w CL z c _ r- ! C L z c' C U Z � 7 Uw V c L - N 7 Ul �u z ^ .. V c u Z Z Z o C A IN I Z y 1 I � � w 1 C 1 i Z } Y a � a r. w N f'rl • J N a w CL z c _ r- ! C FORM U -'LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT (J� G 1���t�� PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION L LOT (S) STREET 53 �UA/�5 c� ST. NUMBER_ OFFICIAL USE ONLY - D M 10 OWN AGENTS: ECOAT NS OF T . CONSERVATION ADMIN15TRATOR DATE APPROVED (" DATE -REJECTED COMMENTS ✓ ►uyl� Q _�-f TOWN PLANNER DATE APPROVED t1� DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS 4L PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT � c..,►1�_; ter„ '_ - _ � � RECEIVED BY BUILDING INSPECTOR DATE M 0 R T 6 A 6 E IN,S°ECI10N PLAN City/Tovn: r.lo%7H *.,r r> r -P State: - t-��-N----- ----- Date:.-------- -j-.i4-L95----------_ Scat e:_.. ��� _-30------- Owner:ICK---______ Buyer;.. 4?1_j-tUE>SL1LK_ D+ed Ref, �ar'9�32� Plan No, f4�_ Dravn per pity/Tovn of r40RTt-1 flODO\/Max Assessors Map, Lc, -c 2-,1 -` 2C', i - 'r r►,,c M -10 oTt I W -J "kit/ IIUL VA P, La T 29 wl5' DA ._ V/,S _ ;; Tc: r-t02TGAG �t�lA�tCtA_L SSR-,QIGES_F_�e.1C it 1 hereby certify that the above Mortgage. Inspection Plan was prepared for use in connection with a new Mortgage and is not intended nr represented to be a property line, or land surrey.: It cannot be used for establishing fence, hedge , walls or building lines, No responsibility is exttndtd herein to the land Towner or occupant. The location of the origihal bulldin➢(s) 1s shown herein was in cnMpliance with the local applicable t,o fng bylaws in effect when constructed, With respect to horizontal dimensional rtquirements, to lot lines or is exempt frog violation enforcement action under Mass B.L. Title VII, Chap. 40A, loc.7, unless otherwise shown herein. Subject buildings) lies i a_11 ad test desi nated Zone: _�C _______ and shown on ------------- FIRM sap Comsunity-Panel I__ 25oo;y5------------ ___ _ 0 tdt_- _�o 15�$ - loh NO.__9,_S 1CD, INCORPORATED, LAND USE Q DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, MA 01944 506••683-9932 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name ff ZL/3 2 Please Print Name f1 G�VlO Ce /�- 1 ! G' - Location• &4V1,5 City /V- A,,7 o0(iele— Phone # 4fop c3 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F7I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone #: Insurance Co Policy # Company name Address elo. City: li���i m e k /" f� I: lw Phone #: %I ' 3Y Inti irnnra (.n Mi'/ -17 d/1,4 A-, SS)4l -tA Policv # c ) ( _� V TI /An / aw/l Failure to secure coverage as required under Section 25A or`fAGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil.penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Date—4f Signatu Print name Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #. ❑ Health Department ❑ Other 7 w A x 00 v x oa e � In OO U w z z A or - v is ii U ow . ca ? CY° ro w � a CIO u 0-4 U W �.° u yro c/) ii x p w a d U s 1:4 x z w d A w a W v m z cn v ae cn -449 . o ui z .I .,l I Com_ y 0 � G� 2 d O �E m m O_ ~_•+ co O � O C O _m O CL Q y C o cc � V co C co 0 CL V C C O CO) i o CD c t 0 0 0 1 � •ate a C � m C v mV� 1 V7� a y o � cm �mc E Con w c!; Off: y y o;w3� y 9 0 • iii • T —m — o > A p v Q O =CD ate` c m y m ; Location g 3 No. obo Date .1 40WT#q TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4L Building/Frame Permit Fee $ CH Foundation Permit Fee $ Other Permit Fee $ ,t,4Connection Fee $ 65 ter Connection Fee $ A\ 'TOTAL $ , 1� /1w /f/ Lj Building Inspector j Div. Public Works 1 � _J, t in W G f L � f z M c c - 1 7 � _J, t in W G f L � f z c c - p c � C \ Vi N 'vii H ✓< -Z'. <`n O • r'r•• � J O Sp O i7 i,7 O C c m Z U Z O C C c C O Z O Z 4 C O L L L 77 La O z C r, v + U — CA i _ _ r Z •r, _ � Z '7_ L 7 _J, t C G f L f c c - p c a v 'vii -Z'. <`n in • 7 0, _J, t G f L f 0, R U \.4 0 p R U \.4 0 Borth Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in.- (Location n: (Location of Facility) I L.J ignatur of ermit A plicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents -- t Ctfice of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit (Name F!ease Frim Name: I r C;ilcn: F3 Vi v) 5 ✓+ Cit,, tv ANOOWn FhCne bey -3) 6) C1 am a homeowner performing all work myse!f. I am a sole proprietor and have no one werkine in any cacac:ry if CI I am an employer providing workers' comeensaticn for my emclevees wer';ing on this job. . Ccmcenv name: ress Phone =` Insurance Co. Policy nv name: X446 0 4 Add IA/0 (Lfft-A p`? 4-5) Phone -, 3)y- 01 a % Cihr Insurance Cc. Polio✓ r 9 '�-- ) 5-6 2 Failure to se --:,,re ccverace as require under Sec:ien 20A cr MGL 15Z can lead to the imccstion cr cr-,m, inai penalties er a nne uc ;o S1,5_13.00 andicr one years' imprisonment as we!1 as civii penaities in the term c a STOP wCRK CRCER and a rine c' (31 MCC) a day against me. understane ;hat a copy cr 'his statement may be torNareed to the Ctitce cr Inx esticatiens ct the DIA icr ccverace verrncZtncn. 1 do herecy cer:.r/ Vc#, the Gains and Fenaities cr Sienature Print name that the intcrmaricn .crcwded above is true and cc. ec:. Cate �•If L: Phcne Cffic:ai use enry do riot write in this area to be completed by city cr tcwn ic:a City cr Town Permit/Ucensinc L [C`eci<,? im'nediaie res:,cnse is require C,, ntac: ,Terson.• T Euiiding Dept Licensinc Ecard Se!ec.man's C,f iCe h'eaith Department Other HOME IMPROVEMENT CONTRACTOR Registration 117967 Type - INDIVIDUAL Expiration 01/05/01 GARY F. STANDLEY 789 WASHINGTON ST 2L��ERHILL MA 01832 ADMINISTRATOR BEAR►N iii, FORIC SAFETY LICENSE xPires: Birthdate: ;OBi16/1D00 08/16/1956 opw HAVERHILL, ft 01832 80 CITY, STATE and ZIP CODE Al, A /vP 0VOL ARCHITECT N M45) DATE OF PLANS 4 JOB LOCATION SA),4e Me prat pOSr hereby to furnish material and labor — complete in accordance with specifications below, for the sum of: 7-wo 77/60 gri0 Payment to be made as follows: 5�2= _77/72W f V1V) i t0 A/ajLr54,2-0 W dollars ($ JOB PHONE S 9A-�c% All material is guaranteed to be as specified. All work to be completed in a workmanlike / manner according to standard practices. Any alteration or deviation from specifications be Authorized -low involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note: This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. ........ I .......... ........... OwX1045 ......... ... ... ... 901 ovcs5 _...�}2L e36e55 .. ......... �&I �r-/A-e- 10W el _. Acceptance of Proposal— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature M0RT8A8E INSPECTION PLAN City/Yount rJ ---- ^rloovq'States---- bAh_------_--- Dates 4"4 4 9 Scales 11; apt -------- ---�--'I---------- --_ �---------------- 0vner:__pN 11tI;15 --------- Buy#r:__P_ fid � RICK )eed Rcf.__430.3/4 0:_---- Pian No.-----��------- Iravn per City/Toon of rJottTN_1tl►r1Doax Assessors Map, Lo -r 2(,V �5 G AR AGS k' �— `T fak M A -10 Lo T 2� o T 28 pooL f � PdRC 4 D ''Ji \4/F DA V1S Sr 0i W10 Lo T 29 2�2 s_"-------------- � __ hereby certify that the - above Mortgage inspection Plan vas prepared for use in connection with a nev Mortgage and is not ended or represented to be a ptoperty line or land survey. It cannot he used for establishing fence, hedge , jails or building es, No responsibility is extended herein to the land ovner oroccupant. The location of the original building(s) as shown tin vas in corpliance vith the local applicable zoning bylaws in effect vhen constructed, vith respect to horizontal tnsional requirements, to lot lines or is exempt from violation enforcement action under Mass G.L. Title VII, Chap, 40A, Sec. unless;othervise shovn herein. Subject building(s) lies in a flood zone desi mated lone:_ f sap Community-Panrl 1 _25.,00 _ and shown on Dated:___ ��- .� S 8'S_ ---------Joh-No._ °1'_9 JCD, INCORPORATED, LAND IIS( h DEVELOPM(NT CONSIIITANTS 4 AUTUMN LANE, MuIwFN, MA olm 56P 3144 �,j S Qd P -va V ; Q o wf L616 paSIAO�j H1=3dSNl JNIQl1f18 k8 03N303Z1 1N3W12idd3o 3�1ld i1WE9d ,kVM3A180 SNO1103NNOD 2GiVMAGM3S - SN8OM 0118f1d 03103M 31da Q3AONddV 31VC3 Q3103f gN 31`da Q3AO�Jddb 31VC1 03103fMZl 31Va a3AO2Iddd 31`d0 031o3f 3�1 31b'a 03AO2Jddd 31`da SiN3WW00 H11b3H-a0103dSM 011d3S H11d3H-b0103dSN1 QOOd S1N3WW00 243NNVld NMOL S1N3WW00 H01"iSINMOV N0I1VMBSR00 -7 d :S1N30V NMOL d0 SNOUVON31AIWOOMI N38Wf1N '1Sins 1332i1S (S) 10.1 NOISIAIa8f1S 130�1bd Q JagwnN deW s,jossassy :NOUVOO"1 /��� �S-111b3NOHd d" 1N`d0lldd`d Cd M�NOE103S SIHl ln0 S�f�l� 1NtfOl�ddtf�K�M� -sluawaimbai ao algeoildde Rue gjinn aoueildwoo woaj aauMopuel ao/pue }ueoildde aqj anailaa IOU saop slgl •pauiejgo uaaq aneq uopipsim( 6u1Aeq sjuaw�jedaa pue spieo8 woij sjiwaad/slenoadde tiessaoau lie jegj /,}IJaA 01 pasn si wao; sigl :SNOIlomisN1 WN0:I 3SV313N lob - n waozi a c :0 c 5 ;W wv � . ntFd mA c .� .r: f � o CDCD Ea yCj CL rn N C) C CD cm fir: E . a me U co � m H Cf) 3 � m h C r� a t � c JEm � U m o Cf) o_v m N mCCc* C w aC=a � olomi c H Z O O� c � n = m F— O H m r0� �- m CD LU C � � -0 .. c eo O z _ o0C 5y C?>L O O = R a N.= O CO gEr 0 0 Q� - XJ I O � y Q :2 •E m co O w CD 0 Q L cc O d a- CMa C* C O C tC O .71 0 di c Z CD 0 CL V CO) c C — C c cc CO2 0 LLJ Q U) LLI W W W U) C4 w 94 O ° u x z w w p U w x z x w u Z z A C O v T U w o a 7 °�°°�° ' ro W °�° C to v v O O w v cn O w O C C O C O v C V) w O C Q� w C as cn cn c :0 c 5 ;W wv � . ntFd mA c .� .r: f � o CDCD Ea yCj CL rn N C) C CD cm fir: E . a me U co � m H Cf) 3 � m h C r� a t � c JEm � U m o Cf) o_v m N mCCc* C w aC=a � olomi c H Z O O� c � n = m F— O H m r0� �- m CD LU C � � -0 .. c eo O z _ o0C 5y C?>L O O = R a N.= O CO gEr 0 0 Q� - XJ I O � y Q :2 •E m co O w CD 0 Q L cc O d a- CMa C* C O C tC O .71 0 di c Z CD 0 CL V CO) c C — C c cc CO2 0 LLJ Q U) LLI W W W U)