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HomeMy WebLinkAboutMiscellaneous - 83 PALOMINO DRIVE 4/30/2018I Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �N�RTfy\. Opa COLIIICMMKII 10 \V P a �n A,tED ADDRESS !r7l�5' !/to LOT NUMBER SUBDIVISION DATE REQUEST FILED 9`11,2 DATE READY FOR INSPECTION fD ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIlv1E FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFF***L USE ONLY ************************* ROUTING CONSERVATION DATE PL G DATE / d D.P.W. - WATER METES DATE 6 �-- D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO TH� INSPECTION REST DATE. --I --I I --,f Z11) /-DP-W AUTHORIZATION Mi O z O mn z O .T. z O O E iii x itil 0 m Q on C CA m 90 4 0 0 C z 0 m m C DO m 0 m CO) 10 CD COS Z CD O CL r d � C nC0 100 CS o v CL Q CD O CCCD CL O to CD CA 10 CD O v y d d n CD do* CD CD y� CD CA O CCD O CCD Fi100510 '0 C C c ?�c m 2 H O N �c� O ^� O w G 'ti �• Q dO C 0 1 CO) »m n n a• O ] o0a GrD O a CO) O do a• = U O ^ CL Z ?= CO) -4 .. m a � m m O W O N O O9o: C _ x a O tz r y x CD O O� O O Z�•CO! O O yA 1 O �W�W f/� CL f to a E: O ��V CD m H cp a3:m c CO) O w H CIL IQ • C _ e a o CD co w v �1 ca ON co O CJ S �. '. �3 00C.Dg � RX) CD: I O qq oCD:� CL—i(6 co, �0 nrt C3 CD '0 O O w oG4 �c� O ^� O w G 'ti 0 E- a• O ] o0a GrD O U O ^ CL 70C > '; O, n ;' C' �I x a O tz r y x CD O �W�W f w CJ14 e w �O�v. or Location ov oc� hmlluo No. /7 Date ,e RT ,,,, !! �30,,, TOWN OF NORTH ANDOVER Certificate of Occupancy $ v 2. Building/Frame Permit Fee $ -118 Q Foundation Permit Fee $ Other Permit Fee $ TOTAL $ —1199 (I Check # 0oj 5661) V "n���- Building Inspector JUN -10-2002 07:54 AM MARCHIONDA&ASSOCIATES 781 438 9654 P.01 41 �h r 11006 S.F. 0,25 Ac, �Jj �rys� s �/o 25.3' %K • `V \ 22,0' 4p• EXISTING FOUNDATION TOP ELEV.- :. Y 151.72 21.2' 6ti0�g LOT 82A 0.25 Ac. ' ti� 47.0 'y'l�YjlVS�pr7�(c cl c) Z I R- A, \ •• , `�1 \ r 81A 11159 S,F, 0.26 Ac. � 68A�\ 11012 S.F. �� 0.25 Ac.o o� r• \ ' , WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THE DWELLING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M-A./H,U.D. FLOOD INSURANCE RATE MAP, A BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO.250098 0006 C SHOULD NOT BE USED FOR PROPERTY DATED JUNE 2,1993, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION, IN AN ESTABLISHED 100 YR -FLOOD HAZARD ZONE, CERTIFIED PLOT PLAN LOT 82 FORESTVIEW MARCHIONDA + ASSOC.,L.P. NORTH ANDOVER, MASSACHUSETTS ENGINEERING AND PLANNING CONSULTANTS 62 MONTVALE AVE. SUITE I DRAWN FOR BROOKVIEW COUNTRY HOMES, INC- STONEHAM, MA, 02180 P.O. BOX 531 (761) 438-6121 NORTH ANDOVER, MASSACHUSETTS DATE: 6/04/02 SCALE: 1"=30' -n Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ......... f �,. (A Ci t This certifies that .............................................................................. has permission to perform ....... . . ................................................. wiring in the building of .... ......... ............................... at ......... & ......... ; .......... orth And 00 1�e ... 4K .......... Lic. No./� . ......... ..... ............ ................. ................ Qbeck # -,,�'�LECTRI�AL INSPECTOR tl.� Onlr Vie Commonwealth Off c♦ 37/,� monwealth of Massachusetts Tcn^Ir No UeparillieMt of Public Safety 3/90 tl.•�. til•^wl BOARD OF FIRp PIIEVEN110N f1EGULA11ONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Mareachuseut Electrical Code. 527 CM 912: 4/3 (PLEASE PR11TT III INK OR TYPE. A1.1. INFORMATION) Datc City or Town of OC1 _ To the Inspector of Wires: The undersigned applies for a permit to perfforn the electrical work described below. Location (Street b Number) 3\,n�� �o br 1ye f� o� �� �� Owner or Tenant PULTE HOME CORP. OF NEW ENGLAND 508 78740002 t Owner's Address 257 TURNPIKE RD SUITE 200, SOUTHBOROUGH, MA 01722 Is this permit in conjunction with a building permit: Purpose of Building NEW HOME__ Existing Service Amps / Volts k llew Service 200 Amps 120 / 240 volts ;Ilumber of Feeders and Ampacity_ Location and llature of Troposed F.lectri.cal stork Yes ❑ Ito E_1 (Check Appropriate Box) Utility Authorization NO.D_ 6 ' Overhead LJ Undgrd ❑ Ila. of Meters Overhead ❑ Undgrd ® Ito. of Meters 1 3 — 4/0 ALUM. NEW HOME No. of Lighting Outlets Ila. of Hot Iubs Ila. of Transformers Total KVA tio. of Lighting Fixtures SwGmmin Pool Above rl 11lr� goograd. U gond. lJ Generators KVA No. of Receptacle Outlets Ito. of Oil Burners Ito. of Emergency Lighting Battery Units No. of Switch outlets Ito. of Gas Burners FIRE A1JIRMS Ila. of Zones No. Detection and I No. of Ranges Ila. of Air Cond. tons Inittiating Devices No. of Sounding Devices Ito. of Self Contained Detection/Sounding Devices Local 11 ConnectiFhmiii Ceon0 Other No. of Disposals Ito. of eatTotal IotaI Pumps Tons_ Ku No. of Dishwashers g S ace/Area Heating KW P Ito. of Dryers Ileating Devices Ku Ito, oft1o. of Low Voltage llo, of stater Heaters KW Signs BallastsWirIng No. Nydro Rassage Tubs Ito. of Motors Total IIP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES [@ 110 [] I have submitted valid proof of same to this office. YES [-31 NO [] If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE &I BOND 0 0111ER1_] (Please Specify) _ Estimated Value of ElecCrical Work S 5000 * Work to Start Inspection Date Requested Signed under the penalties of perjury: FIRM NAIiE JAMES E. BUCUANAN E.I.ECTRIC INC. Licensee JAMES E. BUCHANAN Signature_ Address P.O. BOR 544 SUTTON MA 01590 OWNER'S I11SURIIIICE WAIVER: I am aware that the Licensee stantfal equivalent as required by Massachusetts Ceneral application waives this requirement. Owner Agent Ielephone tlo. Signature of Owner or Agent�— Rough kExptration ate WI.1,1, CAIA. Final LIC. ll.,.A15616 Lic. No. E32062 sus. Tel. No. 508-865-3335 Alt. Tel. Ila. of have the Insurance coverage or its sub - and that my signature on this permit ease check one) '6 0 PEPIIIT FEE 'SSGLE� Location S3 PA)"AuO 14 No. 161) - Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ so Building/Frame Permit Fee $ Foundation Permit Fee $ /4)0 Other Permit Fee $ TOTAL $ Check # I b 0 ) q 9 q APR 164,- 15 4 121 4 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATIgON TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Y i _ BUILDING PERMIT NUMBER:� n DATE ISSUED: G SIGNATURE: �C Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /e 8 C /--"? (_ Map Number Parcel Number 1.3 Zoning Information: v sI,va/ems/vP ce Zoning District Proposed Use 1.4 Property Dimensions: �/ foo Lot Fronts e ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard R red Provide Rcquirod Provided Required Provided a i 6 --/9 3 6, 3 1.7 Water Svpp1y 1s G.L.C.40. 34) 1.3. Flood Zone Information: Public 0 Private 0 Zone outside Flood Zane ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record re �/am e Name (Print) Address for Se ice Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 11 Licensed Consubetion Sugervi r Licensed Construction Supervisor: Address 1 � / y Signa Tel one Not Applicable 0 C 7 7 - License Number - Expiration Date 3'2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit .will result in the denial of the issuance of the building it. Signed affidavit Attached Yes ... _ff No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ .I Other ❑ Specify Brief Description of Proposed Work: /.,,/oC.al 69,11 a2 e SlAicle �.vmI m oZ s fLy 1 gF.rTTnN 6 - R.CTTMATRn rnNRTRrrrTrnN rncmc 1 Item Estimated Cost (Dollar) to be �k '„!by} .r� E r M'fg, Completed b ermit a licanta, .��,tt¢1�� r (a) Building Permit Fee ,x a,1r 1. Building % t.i� /° . Multiplier (� • 2 Electrical (b) Estimated Total Cost of ;2 v0 Construction 3 Plumbing GD6 Building Pernut fee (a) x (b) 4 Mechanical AC 5 Fire Protection 6 Total (1+2+3+4+5),. Check.Number ar,v,11v11 is vWINZJK AV JLn%J i1GA11v1N lu Ash UvfflrLElty WtMN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 0&i., % G f J 'Ise) ,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�1'Str `` Print Name, of Owner/. NO. OF STORIES SIZE X J/ ( A0 BASEMENT OR SLAB 8 A s e In e rrr e oZ o >C 0 SIZE OF FLOOR TIMBERS 1 / L P t 2 N Z 4 Rlr 3 m? X cF SPAN DIMENSIONS OF SILLS X' DIMENSIONS OF POSTS X DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION e% THICKNESS /o 4- SIZE OF FOOTING MATERIAL OF CHMv EY — IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE A/� 0 lVlesiti Dev Group Fax:978-5578160 Jun 13 2000 12:50 P.13 FORK[ - U - LOT RELEASE FORK[ 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. APPLICANTrldi Zr,,,: {G �� 1��c�/.'.A✓c/PHONE✓rd?2f ODo2X�Z�f ASSESSORS MAP NUMBER �L� _ LOT NUMBER % SUBDIVISION rLOT NUMBER e i STREET' ��9��".17i/?U 01�'lkl-C STREET NUMBER � 1 ■ a . r ■ ■ . a ■ a • ■ ■ ■ • ■ ■ ... ■ ■ . ■ • . • a a . r . a . • a a a a . ■ ■ a ■ • a ■ ■ a ■ a ■ ■ ■ ■ ■ ■ . r ■ r • ■ . ■ 0, . ■ ■ ■ 4 . ■ a OFFICIAL USE ONLY .. a .. r ■ .... a . a ■... ■ ■,t . r ...... r . a ■ ■ .. ■ . r x x r r ...... r . r ... r .... a . ■ .. ■ . x . x ■ .. ■ REC IENDATIGI iS F TOWN AGENTS gar a■ ■a rr■ar■�-a■■.a.r......r...r■...■■r■a...■.ra■■a■axr.a■ a.a"■a■a■■■ DATE APPROVED � Z" CON ERVATION ADNffIftRATOR DATE REJECTED DATE APPROVED V J r)Z DATE" RL-JECTED DATE APPROVED FOOD E OR - DATE REJECTED DATE APPROVED SEPTIC NSPECTOR - HEALTH DATE REJECTED COlyIIytE?+TS PUBLIC WORKS - SEWER / W R CONNECTIONS 4-7-7 " V 'Z DRIVEW Y PERMI I DATE APPROVED F[RE DEPARTMENT DATE REJECTED ........ --- --. MAR -04-2002 01:10 PM MARCHIONDAILASSOCTATES 791 439 9654 r� � r r P.01 =■ i 108 i 10+00 1+00 r~��� t.1 PALO A pUi.TE HOME CpRp�RAiiON RRICHT TO WAKT7 :;WMA NGCS TO T►115 LAN IN ORDER TO ACHIM PROPOER SITE DRAINAGE. WEFT SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WTHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 82A FOREST VIEW ESTATES MAR�CHIO GDAD P&NIAoSSOC ,L.P. NORTH ANooVER, MA OONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUIYE I PULTE HOME CORP. OF NEW ENGLAND ST M• MA. 021BO 257 TURNPWE ROAD - SUITE 200 SCALE: 1".20' (617) 4M-0121 DATE: 3/04/42 4OUTHBOR000H, MASSACHUSETTS 01772 F & W Partnership Fire Protection Specialists PO Box 59, Methuen, MA 01844 H Y D R A U L I C C A L C U L A T I O N S C O V E R S H E E T Lot # 82A, Forest View Estates, North Andover, Massachusetts W A T E R S U P P L Y STATIC PRESSURE (psi) 100 RESIDUAL PRESSURE (psi) 78 RESIDUAL FLOW (gpm) 1540 B O O S T E R P U M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MINIMUM FLOW PER SPRINKLER (gpm) 22.5 MINIMUM PRESSURE PER SPRINKLER (psi) 17.36 THIS SYSTEM OPERATES AT A FLOW OF 45.16 gpm AT A PRESSURE OF 52.32 psi AT THE BASE OF THE RISER (REF. PT. 10) PIPES USED FOR THIS SYSTEM -------------------------------------- -------------------------------------- 111 DUCTILE IRON (350) 017 COPPER TYPE 'K' 018 COPPER TYPE 'L' 009 BLAZEMASTER CPVC F & W Partnership Fire Protection Specialists Lot # 82A, Forest View Estates, North Andover, Massachusetts PAGE 1 HYDRAULIC CALCULATIONS AT SPECIFIED FLOW THE SPRINKLER SYSTEM FLOW IS 45.16 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT N0. 1 IS 250.00 gpm ( ] THE INSIDE HOSE [ ] RACK SPKLR'S. (� YARD HYDT. FLOW IS 0.00 gpm THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 100.00 psi RESIDUAL PRESSURE 78.00 psi AT 1540.00 gpm TOTAL SYSTEM FLOW 295.16 gpm AVAILABLE PRESSURE 97.67 psi AT 295.16 gpm OPERATING PRESSURE 72.15 psi AT 295.16 gpm PRESSURE REMAINING 25.52 psi THE ABOVE RESULTS INCLUDE 6.00 psi FRICTION LOSS AT REF. PT. # 11 FOR A [V) BACKFLOW PREVENTER [ ) METER [ ] DETECTOR CHECK VALVE ( ) OTHER DEVICE THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ) TEST AREA 2 [ ) TEST AREA 3 [V) REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 22 5.40 48.75 22.66 17.61 23 5.40 48.75 22.50 17.36 THE SPRINKLER SYSTEM FLOW IS 45.16 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT N0. 1 IS 250.00 gpm ( ] THE INSIDE HOSE [ ] RACK SPKLR'S. (� YARD HYDT. FLOW IS 0.00 gpm THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 100.00 psi RESIDUAL PRESSURE 78.00 psi AT 1540.00 gpm TOTAL SYSTEM FLOW 295.16 gpm AVAILABLE PRESSURE 97.67 psi AT 295.16 gpm OPERATING PRESSURE 72.15 psi AT 295.16 gpm PRESSURE REMAINING 25.52 psi THE ABOVE RESULTS INCLUDE 6.00 psi FRICTION LOSS AT REF. PT. # 11 FOR A [V) BACKFLOW PREVENTER [ ) METER [ ] DETECTOR CHECK VALVE ( ) OTHER DEVICE F & W Partnership Fire Protection Specialists Lot # 82A, Forest View Estates, North Andover, Massachusetts PAGE 2 FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve ------------------------ FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 202 45.16 45.00 0 0.00 100 111 8.550 0.000 1.733 72.15 64.41 6.00 202 282 45.16 865.00 0 0.00 100 111 8.550 0.000 9.100 64.41 55.29 0.03 282 182 45.16 50.00 3 2.32 120 17 1.481 0.109 0.000 55.29 49.56 5.72 182 10 45.16 28.00 2 1.66 120 17 1.481 0.109 0.000 49.56 52.32 -2.76 10 11 45.16 2.50 3 1.99 120 18 1.265 0.236 0.000 52.32 51.26 1.06 11 12 45.16 8.50 0 0.00 120 18 1.265 0.236 2.817 51.26 40.44 8.00 12 13 45.16 11.50 2 1.33 120 18 1.265 0.236 0.000 40.44 37.42 3.02 13 14 45.16 7.50 0 0.00 120 18 1.265 0.236 0.000 37.42 35.65 1.77 14 15 45.16 3.60 222 3.99 120 18 1.265 0.236 0.000 35.65 33.86 1.79 15 16 45.16 3.00 32 3.32 120 18 1.265 0.236 0.000 33.86 32.37 1.49 16 17 45.16 8.75 0 0.00 120 18 1.265 0.236 3.792 32.37 26.52 2.06 17 18 45.16 4.50 2 5.30 120 9 1.400 0.144 0.000 26.52 25.11 1.41 18 19 45.16 2.00 22 10.60 120 9 1.400 0.144 0.108 25.11 23.19 1.81 19 20 45.16 8.25 0 0.00 120 9 1.400 0.144 3.575 23.19 18.42 1.19 20 21 22.50 1.00 3 3.97 120 9 1.400 0.040 0.000 18.42 18.23 0.20 20 22 22.66 3.25 3 3.31 120 9 1.109 0.125 0.000 18.42 17.61 0.82 21 23 22.50 3.75 3 3.31 120 9 1.109 0.123 0.000 18.23 17.36 0.87 A MAX. VELOCITY OF 11.52 ft./sec. OCCURS BETWEEN REF. PT. 16 AND 17 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. P R E S S U R E _._..._ _.. _.._. ........ WATER SUPPLY/DEMAND GRAPH I -L u nlIa r---_.tir:_... r_L-L_- k1_.i.L tJ_�__V.. _�4, F & W Partnership • Fire Protection Specialists PO Box 59, Methuen, MA 01844 HYDRAULIC CALCULAT IONS C O V E R S H E E T Lot # 82A, Forest View Estates, North Andover, Massachusetts W A T E R S U P P L Y STATIC PRESSURE (psi) 100 RESIDUAL PRESSURE (psi) 78 RESIDUAL FLOW (gpm) 1540 B O O S T E R P U M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MINIMUM FLOW PER SPRINKLER (gpm) 30 MINIMUM PRESSURE PER SPRINKLER (psi) 30.86 THIS SYSTEM OPERATES AT A FLOW OF 30.00 gpm AT A PRESSURE OF 57.22 psi AT THE BASE OF THE RISER (REF. PT. 10) PIPES USED FOR THIS SYSTEM 111 DUCTILE IRON (350) 017 COPPER TYPE 'K' 018 COPPER TYPE 'L' 009 BLAZEMASTER CPVC F & W Partnership Fire Protection Specialists Lot # 82A, Forest View Estates, North Andover, Massachusetts HYDRAULIC CALCULATIONS AT SPECIFIED FLOW THE FOLLOWING SPRINKLERS ARE OPERATING IN: 1 [ ) TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 CV] REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 23 5.40 48.75 30.00 30.86 THE SPRINKLER SYSTEM FLOW IS 30.00 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT N0. 1 IS 250.00 gpm [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [� YARD HYDT. FLOW IS 0.00 gpm THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 100.00 psi RESIDUAL PRESSURE 78.00 psi AT 1540.00 gpm TOTAL SYSTEM FLOW 280.00 gpm AVAILABLE PRESSURE 97.76 psi AT 280.00 qpm OPERATING PRESSURE 72.27 psi AT 280.00 gpm PRESSURE REMAINING 25.49 psi THE ABOVE RESULTS INCLUDE 6.00 psi FRICTION LOSS AT REF. PT. # 11 FOR A [L; BACKFLOW PREVENTER [ ] METER [ ] DETECTOR CHECK VALVE [ ] OTHER DEVICE PAGE 1 F & W Partnership Fire Protection Specialists Lot # 82A, Forest View Estates, North Andover, Massachusetts PAGE 2 FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 202 30.00 45.00 0 0.00 100 Ill 8.550 0.000 1.733 72.27 64.54 6.00 202 282 30.00 865.00 0 0.00 100 111 8.550 0.000 9.100 64.54 55.43 0.01 282 182 30.00 50.00 3 2.32 120 17 1.481 0.051 0.000 55.43 52.74 2.68 182 10 30.00 28.00 2 1.66 120 17 1.481 0.051 0.000 52.74 57.22 -4.48 10 11 30.00 2.50 3 1.99 120 18 1.265 0.111 0.000 57.22 56.73 0.50 11 12 30.00 8.50 0 0.00 120 18 1.265 0.111 2.817 56.73 46.97 6.94 12 13 30.00 11.50 2 1.33 120 18 1.265 0.111 0.000 46.97 45.55 1.42 13 14 30.00 7.50 0 0.00 120 18 1.265 0.111 0.000 45.55 44.72 0.83 14 15 30.00 3.60 222 3.99 120 18 1.265 0.111 0.000 44.72 43.88 0.84 15 16 30.00 3.00 32 3.32 120 18 1.265 0.111 0.000 43.88 43.19 0.70 16 17 30.00 8.75 0 0.00 120 18 1.265 0.111 3.792 43.19 38.43 0.97 17 18 30.00 4.50 2 5.30 120 9 1.400 0.067 0.000 38.43 37.77 0.66 18 19 30.00 2.00 22 10.60 120 9 1.400 0.067 0.108 37.77 36.81 0.85 19 20 30.00 8.25 0 0.00 120 9 1.400 0.067 3.575 36.81 32.68 0.56 20 21 30.00 1.00 3 3.97 120 9 1.400 0.067 0.000 32.68 32.34 0.34 20 22 0.00 3.25 3 3.31 120 9 1.109 0.000 0.000 32.68 32.68 0.00 21 23 30.00 3.75 3 3.31 120 9 1.109 0.210 0.000 32.34 30.86 1.48 A MAX. VELOCITY OF 9.96 ft./sec. OCCURS BETWEEN REF. PT. 21 AND 23 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. J17� 7�Jd'JJ7iJYLOOZLUP,lZGLfL dLli •'I/�(�C/LCIiP� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077396 Birthdate: 03/02/1962 Expires: 03/02/2004 Tr. no: 77396 Restricted To: 00 DAVID M STILSON 222 SEAMES DR'~�''!. MANCHESTER, NH 03103 Administrator Growth Management Bylaw Exemption Statement Town of North'Andaver Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 9.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessarl information as requested 'below. Name of Applicant on Euilding Permit (below) Address of Property for Pen it (telow) /01JI TE Horne C6R.0 Ds"W F. Map and Parcel : Purpose of /Aplication (check below) P oe N mber of Applicant: , V Single Family _ Two Family 2Y 2? 000,a gyW--.'r I the undersigned applicant for the above property attest that the attached building permit ;or which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the 9uilding Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit iq issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a cheek mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by -taw, provided that no additional residential unit is created. The lots) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 9.7 of the Zoning Bylaw. This application is for dwelling units for low andlor moderate income families or individuals, where all of the cnoitions of 8.7.6.care met and/or represents Dwelling units for senior residents, where occupanery of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For PLM es of this Sectlon "senior' shall mean rsona over the age of 55. pie, This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an aciacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the atta&ed building permit is allowed an EXE TION as cited above. Further I understand that the submittal of misleading and or inaccurate i fmatid or the checking off of an above it which does not comply, whether done to my knowled or not, i, grounds for refusal by the,,Buildi epartment to issue a Building Permit. l -�:0Y i re wner or A thonzvd ge who ignedthe Attached Budding Permit Date forth must be attached to the Building Permit upon application for such permit BUILDING DEPAR.TIY.ENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i'eit.S i L i LIP-Grclup Fax : W8-55-13160 Jun 15 2000 The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print N i'I e: 12:54 P. 19 Phone I am a homeowner performing all work myself, — l am a sole propdetor and have no one working in any capacity I -J I am an employer providing workers' compensation for my employees working on this job. �^ U . JGC'dZfPhone#; S^vim '—G �Uv�XS f —a — Cl � )TtQany name: �.ddress City- _ Phone #: el Imumnce Co., Polio # F,4lure to secure coverage as required under Section 25A or MGL 182 can lean to the imposition of criminat.pQnalties of a fina up to 51,500.C(D aria/of one y am' imprisonment as well am" penalties in the form of a STOP WORK ORDER and a fine of (sloo.00) a day agairLst me. t unaersruxi char a copy of tris sta ernent mby be torwatbed to the Office of investigations of the OLA for coverage verifieanon. J0 henry c errrfy urtivy the pains and penalties of perjury Ihst the information pmvkied above is true and cQn*ct. Signature Date Print narne__ Phone # Offic;a,l use aniy do not wrde in this area to be completed by city or town official' Q Building Dept ❑ChvcX Wunmediate is required Building Dept ❑ Licensing Board p Selectman's Office C] Health G'epartrnent Q Other. Y101gri..NAN'S COMPENsAnON Sent By: PULTE HONE CORP; 1 401 739 6457; Aug -6-01 4:52PM; Page 1/1 CERTIFICATE OF INSURANCE ISSUE DATE: 8!6/01 THIS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pulte Home Corporation of NE 205 Hallene Road, Suite 211 Warwick, RI 02886 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _.. . EFFECTIVE EXPIRATION TYPE OF INSURANCE _ �POLICY NUMBER DATE DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $15,000,000 COMMERCIAL GENERAL LIABILITY GL4-0292043 i 5/1/01 5/1/02 1 PRODUCTS-COMP/OP AGG. $15,000,000 ON AN OCCURRENCE BASIS i _ — PERSONAL &ADV. INJURY $15,000,000 _.. -- - , EACH OCCURRENCE $15,000,000 ADDITIONAL INSURED: FIRE DAMAGE (Any one fire) $1,000,000 MED. EXPENSE (Anyone person) $5,000 AUTOMOBILE I COLLISION DEDUCTIBLE COMPREHENSIVE DEDUCTIBLE LOSS PAYEE: L._. � j ,..—. ._..... --- - - iCOMBINED SINGLE LIABILITY LIMIT $1,000,000 CAL HO 7682773 i 5/1/01 I 511/02 I (Owned, Hired & Non -owned) ADDITIONAL INSURED: EXCESS LIABILITY WORKER'S COMPENSATION and WLR C4 3091748 EMPLOYERS' LIABILITY j MA, NVI SCF C4 309181 5 PROPERTY LOSS PAYFF: MORTGAGEE: OTHER DESCRIPTION OF OPERATIONS/LOGAI KC Residential construction, North Andover, MA Town of North Andover 27 Charles Street North Andover, MA 01845 EACH OCCURRENCE i AGGREGATE COMPANIES AFFORDING COVERAGE COMPANY A Pacific Employers Insurance Company COMPANY B Legion Insurance Company COMPANY C 511/01 COMPANY D Ace American Insurance Company THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _.. . EFFECTIVE EXPIRATION TYPE OF INSURANCE _ �POLICY NUMBER DATE DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $15,000,000 COMMERCIAL GENERAL LIABILITY GL4-0292043 i 5/1/01 5/1/02 1 PRODUCTS-COMP/OP AGG. $15,000,000 ON AN OCCURRENCE BASIS i _ — PERSONAL &ADV. INJURY $15,000,000 _.. -- - , EACH OCCURRENCE $15,000,000 ADDITIONAL INSURED: FIRE DAMAGE (Any one fire) $1,000,000 MED. EXPENSE (Anyone person) $5,000 AUTOMOBILE I COLLISION DEDUCTIBLE COMPREHENSIVE DEDUCTIBLE LOSS PAYEE: L._. � j ,..—. ._..... --- - - iCOMBINED SINGLE LIABILITY LIMIT $1,000,000 CAL HO 7682773 i 5/1/01 I 511/02 I (Owned, Hired & Non -owned) ADDITIONAL INSURED: EXCESS LIABILITY WORKER'S COMPENSATION and WLR C4 3091748 EMPLOYERS' LIABILITY j MA, NVI SCF C4 309181 5 PROPERTY LOSS PAYFF: MORTGAGEE: OTHER DESCRIPTION OF OPERATIONS/LOGAI KC Residential construction, North Andover, MA Town of North Andover 27 Charles Street North Andover, MA 01845 EACH OCCURRENCE i AGGREGATE 511/01 5/1/02 STATUTORY LIMITS ............_...... ............, ........... ................... ..... ........................................ EACH ACCIDENT $1,0 00,000 511/01 5/1/02 DISEASE -POLICY LIMIT $1,000,000 i DISEASE -EACH EMPLOYEE 51,000,000 REAL AND PERSONAL PROPERTY, INCLUDING WHILE IN COURSE OF CONSTRUCTION: PER OCCURRENCE LIMIT SPECIAL FORM (INCLUDING FLOOD AND EARTHQUAKE) DEOUCTIBI. F PER OCCURRENCE i i I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WE WILL ENDEAVOR TO MAIL 3Q DAYS WRITTEN NOTICE TO THE CERTIFICATE BOLDER NAMED TO THE LEFT. AUTHORIZED /�— j(� n REPRESENTATIVE •MAR.20.2002 2:21PM PULTE HOME CORPORATION OF NE MECcheck Compliance Report Massachusetts Energy Code MEC&heck Software Version 3.2 Release 1 a TITLE: Lot # 82 Huntin on elevation #2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 03/20/02 PROJECT INFORMATION: Forest View North Andover, MA. COMPANY INFORMATION: Pulte Home Corporation NOTES: Customer has purchased elevation #2, a walk out bay, and a Palladian window I.L.O. a 2852. COMPLIANCE: Passes Maximurn UA � 532 Your Home = 515 3.2% Better Than Code NO. 907 P.2/8 Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat CeiIiig or Scissor Truss 20 38.0 0,0 1 Ceiling 2: Flat Ceiling or Scissor Truss 600 38.0 0.0 18 Ceiling 3: Flat Ceiling or Scissor Truss 1088 38,0 0.0 33 Exterior Wall l: Wood Frame, 16" o.c. 972 13,0 0.0 80 Exterior Wall 2: Wood Frame, 16" o.c. 612 13.0 0.0 50 Exterior Wall 3: Wood Frame, 16" ox. 612 13.0 0.0 50 Exterior Wall 4: Wood Frame, 16" o,c, 972 13.0 0,0 36 Window: 2862: Vinyl France, Double Pane with Low -E 69 0.340 23 Window: 2852-3: Vinyl Frame, Double Pane with Low -E 87 0.340 29 Window: 1936-2 casement: Vinyl Frame, Double Pane with Low -E 14 0,310 4 Window: 28310: Vinyl Frame, Double Pane with Low -E 11 0.340 4 Window: 2046-2: Vinyl Frame, Double Pane with Low -E 19 0.340 6 Window: 6-0x6-8 slider: Vinyl Frame, Double Pane with Low -E 39 0,300 12 Window: 2852-2: Vinyl Frame, Double Pane with Low -E 114 0.340 39 Window: 1852: Vinyl Frame, Double Pane with Low -E 19 0.340 7 Window: 31052 picture: Vinyl Frame, Double Pane with Low -E 21 0,340 7 Window: 2852; Vinyl Frame, Double Pane with Low -E 58 0.340 20 3072 1/2 round w/ 1852 flankers- Palladian Window: MAR. 20.2002 2:22PM PULTE HOME CORPORATION OF NE NO.907 P.3/8 Vuiyl Frame, Double Pane with Low -E 36 0.340 12 Door; 2-8x6-8: Solid .18 0.180 3 Door: 3-00-8 w/2 sidelights: Solid 33 0.280 9 Floor 'l: All -Wood Joist/Truss, Over Unconditioned Space 20 21.0 0,0 1 Floor 2: All -Wood Joist/Truss, Over Unconditioned Space 1088 21.0 0.0 48 Floor 3: All -Wood Joist/Truss, Over Unconditioned Space 320 21.0 0.0 14 Floor 4: All -Wood Joist/Truss, Over Unconditioned Space 280 30.0 0,0 9 Funlace 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 desigiled to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release 1 a. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the desi ad a specified i Sections 780CMR 1310 and J4.4. Builder/Designor Date 20 2' pvt� Pvrt#, •MAR.20.2002 2:22PM PULTE HOME CORPORATION OF NE NO.907 P.4i8 N co J N C .0 i� W O O z N CD ''(D+ V L m v U c 0 R u N Q G E��� U mum cn a c 0 0 `0 0 wvv (o w w IV V m O O O o cd Q 4 0 O N r 2 u X oac2 N M ti) N U�1 >> (yd N N EWco N O O O C C C U�V m wrTu. m m 4NN IN IM V'LO(D r-m,pr �2WLam. eh- Mt7 LoNN N N N MAR.20.2002 2:22PM PULTE HOME CORPORATION OF NE NO.907 P.5i8 6 s�: 5 I MAR.20.2002 2:23PM PULTE HOME CORPORATION OF NE NO.907 P.6/8 b F FF O O g o G O = G o G F O O G O G O op�C:cj� OG Q�-F�,<< Lm Lm Lm Q.�.,RQ tm aC �p v W W UJ Ill UJ 11.1 U1 UJ UJ 13.1 W o p 5 0 0 0 o a o a o a mmmeorommmmia�c N a a a a w' a a ni a ni E 0 a qui m m w ani N a a InNfnIntoNU)U)0)VN O C o C o 0 0 o 0 o 0 O 00 o 0 0 C 00 O O a a X co odoo0 �od000aod000 m a cG r N cpQ�ti m N m WPNu�o co co c o t 0 10 aocod cp aorrr dcoMr NN(D N 0)MO�n6�1d f� c�ry (MOS o I� cM [e O 00 00M0 c v (p rrrMN (N (n CfS+?iMf� ihc�i�o z�o�M�;���� F [V o0 co j fV m a x o m C 1 co Q1 L G U y MNOcV N O ro "mpUS� N N Nm Nrnc� rNN(bNr�iNM J� ITN r V .r 5 d MIT V= TN"���"�OnOO(%JL;� { r r r 4N r- 77 N r N O O N M O -MAR.20.2002 2:23PM PULTE HOME CORPORATION OF NE 0�� m L NO. 907 P.7/8 co co N r- 04 O 4 N M 6 � �A ullYll un N YI All � ANANNIA NO. 907 P.7/8 co co N r- 04 O 4 N M 6 -MAR.20.2002 2:23PM U, PULTE HOME CORPORATION OF NE C 0 .a y 4 aci E c c U E ro E m E N � cu .ma a a� 0 0 0 0 m m ro m m m m b � r- ro o 0 0 0 0 0 0 Q N Do N OD M N o r - M N O cp RNr! 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OTID15 nnE - < �MYI-YUTMTCDYDCOAM JOBIDAMF)SCTM(DBBAPMGLAOSOF YMCAIORAl HUNTINGTON — 1999 ~' > ; I AN A OCIY OCEI&D Lm® ARO(IECi UAl(R BE LAOS Cf lIE FONOMNG ABl91ICM& DELAWARE 6189 RHODE ISLAND 2354 O v 0 8 MARYLAND N--13%7 YVIRWA 6718 MASSACIRISSETTS 8857 W S. CAROLINA 01417 N. CAROLINA 6362 NEW ZNGLAND DIVISION PENNSYLVANIA RA -0151668 PULTE MID—ATLANTIC + 2100 RF,STON PARKWAY, SUITE 450 \ RESTON, VIRGINIA 22091 (� (�U✓! Gt2lld 8 sof nqe Na n=^9N sgm.A"^,SooQT`S=-�nBvSg`Y-' mea' 8_.gv gz`n.=- a'R $ m�8o^=`o�u'm e3og 8 mg' �m8 fou "mss Al m�$$zo^m sg 8�E 8 -sm=- a �g �{T au og.n 3 ^xn Zak ^Ea9z a 1 e 9saa3m=�S"sN� $€}o a3to ods �� ;& 3 5 8A �1��.a bea�2 a 3 qa y 5.0 a u 6 �^'`a 2 R n m s 3:R c.m i am: 3 o a� e'p_Saes9^9ma'3v �- Ao �� r �Jl RYYag'n�' gob'$g. R"e -JaR °•5.6 ? vo SQK $ .m..j35'e - ,u, 5p_3 0 �'"-.. 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OTID15 nnE - < �MYI-YUTMTCDYDCOAM JOBIDAMF)SCTM(DBBAPMGLAOSOF YMCAIORAl HUNTINGTON — 1999 ~' > ; I AN A OCIY OCEI&D Lm® ARO(IECi UAl(R BE LAOS Cf lIE FONOMNG ABl91ICM& DELAWARE 6189 RHODE ISLAND 2354 O v 0 8 MARYLAND N--13%7 YVIRWA 6718 MASSACIRISSETTS 8857 W S. CAROLINA 01417 N. CAROLINA 6362 NEW ZNGLAND DIVISION PENNSYLVANIA RA -0151668 PULTE MID—ATLANTIC + 2100 RF,STON PARKWAY, SUITE 450 \ RESTON, VIRGINIA 22091 (� (�U✓! Gt2lld ,6 H: \snarl\Singles\igggpLANS\BDSTON PLANS\99 Huntington\61203FON.dwg Tue Jun 01 13: 29: 25 1999 CODYright 19% - Wlte Halle Corporation 1 i 4'W/ OPT. MIC T0" 3'-0' o O o� F m Cl, Zo z i I Iz cm l— c 4`1' 74'01 Id 'o. , . ill, jp a 0 P o P 5LAl9" 1/4'-14? SCALE. 3/8' • 11-0' SCALE, I/P" 14' SCALE• 3/4': IV SCALE- I' • I'•d SCALE= 11/2' • I'•0' t N1g1TECL• DAw IC91iFIR15�� m = Q 1lniIFYmArnlEgOogWARDIADIS [MUND CTENTERON,LYSOFPRM IElF„ypmdi n pULTE MID—ATLANTIC �"�°"�"`CTX3RREA160 E 1a9G HUNTINGTON 1999 ��e�°° o �ELawAaE 611m RHODE ISLAND 2354 — uA1tnANp 7746-R MASSAO 6718 15 9857 N-13987 NC2100 RESTON PARKWAY, SUITE 450 NEM JERSEY w = OAROl1NA 04417 N.. DAR 6718 CAROLINA 6362 NEW ENGLAND DIVISION tlANIA RA -0151668 RESTON, VIRGINIA 22091 _1 l z X I � f own = 6" I I cx I Cl, Zo z i I Iz cm l— c 4`1' 74'01 Id 'o. , . ill, jp a 0 P o P 5LAl9" 1/4'-14? SCALE. 3/8' • 11-0' SCALE, I/P" 14' SCALE• 3/4': IV SCALE- I' • I'•d SCALE= 11/2' • I'•0' t N1g1TECL• DAw IC91iFIR15�� m = Q 1lniIFYmArnlEgOogWARDIADIS [MUND CTENTERON,LYSOFPRM IElF„ypmdi n pULTE MID—ATLANTIC �"�°"�"`CTX3RREA160 E 1a9G HUNTINGTON 1999 ��e�°° o �ELawAaE 611m RHODE ISLAND 2354 — uA1tnANp 7746-R MASSAO 6718 15 9857 N-13987 NC2100 RESTON PARKWAY, SUITE 450 NEM JERSEY w = OAROl1NA 04417 N.. DAR 6718 CAROLINA 6362 NEW ENGLAND DIVISION tlANIA RA -0151668 RESTON, VIRGINIA 22091 _1 l It \Share\SingiesV999AANS\80SrBN PLNB\g9 Huntington\CI203FPi.0ug rue Jun O1 1331:22 1999 Copyright 1998 -Pulte IbWe Corporation ` I I -1012" r EE PNL I p L 4 1 Co IY/ PRY. N = a i O Qc0 A f h 2XI0 Y/ � IW2j TWIN 61NOOW Ini a 2X10 W/ I%�J+I2I5@EE. W/ OP7. BAY Wld•1 2-2%10tR W/ J +i2f5@EE. OPT. PH 1r. 3050 SN NN OPT. 2062 ON I OP1 3-0 5H 1 DH (212 % 10 Y/. 3060 Sk (2U l2SrE h)2%low/ -- - (2}) + (2)5 @ EE. 5'. '-51/4' %30'51/4' X o;rn y'6 5-0 5'�. 36'-0" A$ 33'b' 2, -_ CMDF IN -i UNITS L g �Xo '7.2052 ON 5N OPT. 852 DN so 5 = n� 6 . +Q 5@ �2-P 01 2 SITE ',%14 $I or'�n £ om Gill �z Im>< �,� Illm 3Tx ^'Aoo bm oogg I N Tf• o � 2 PNL5 ,I L 1 I I Ao r r EE PNL I p L 4 1 Co IY/ PRY. N = a i O Qc0 A f h 2XI0 Y/ � IW2j TWIN 61NOOW Ini a 2X10 W/ I%�J+I2I5@EE. W/ OP7. BAY Wld•1 2-2%10tR W/ J +i2f5@EE. OPT. PH 1r. 3050 SN NN OPT. 2062 ON I OP1 3-0 5H 1 DH (212 % 10 Y/. 3060 Sk (2U l2SrE h)2%low/ -- - (2}) + (2)5 @ EE. 5'. '-51/4' %30'51/4' X o;rn y'6 5-0 5'�. 36'-0" A$ 33'b' 2, -_ CMDF IN -i UNITS L g �Xo '7.2052 ON 5N OPT. 852 DN so 5 = n� 6 . +Q 5@ �2-P 01 2 SITE WT. MICRO r' p I I PMI- 28110 CA. 3 PNCS 2'-4 m�o or'�n £ om Gill �z �,� Illm tf�2!1X10 W/ N � (21J. +1215@EE W fyN Wlwow 2 PI1.5 11 OPT. BAY IVW 2 PNL5 T - �7 r- - II � II x y 14 2tm o WT. MICRO r' p I I PMI- 28110 CA. 3 PNCS 2'-4 0 ,H-08p�x—>_ e0' 320 — N oOZ 3 O 210 a T C1=1§3 3 A 0 o O 9 IN o 3 5 d 0 1 SCALE: 3/8'.1'-0'1' 4' weS' 0 SCNE: :I' -d m o `.GALE` 3/4'=110' �, i—s = _ '� a ARtl@iECL• I)AW l (#FIDES - SCALE' 1' - 11-0' I w IH,1! iXEY OOgeENA LFA PMP/AO OR A°RdTaD BY ➢� ® l V a Il�'� I CI MCNIIECi LIOFB &E LA6 ff 11E MOM FT " HUNTINGTON — o ,� NELAJER 8,89 f& 15LARB 1 9 9 9 ® P ULTE NE wA n,�R MID—ATLANTIC �., 6141767 NRGIN CAROLINA 63 9857 NE j1' VANA RA-015186BR O'w01VA BIBS ENGLAND DIVISION 2100 RESTON PARKWAY, SUITE 450 RESTON, VIRGINIA 220+ I n'R g or'�n £ om Gill II �,� Illm tf�2!1X10 W/ N � (21J. +1215@EE W fyN Wlwow 2 PI1.5 11 OPT. BAY IVW 2 PNL5 0 ,H-08p�x—>_ e0' 320 — N oOZ 3 O 210 a T C1=1§3 3 A 0 o O 9 IN o 3 5 d 0 1 SCALE: 3/8'.1'-0'1' 4' weS' 0 SCNE: :I' -d m o `.GALE` 3/4'=110' �, i—s = _ '� a ARtl@iECL• I)AW l (#FIDES - SCALE' 1' - 11-0' I w IH,1! iXEY OOgeENA LFA PMP/AO OR A°RdTaD BY ➢� ® l V a Il�'� I CI MCNIIECi LIOFB &E LA6 ff 11E MOM FT " HUNTINGTON — o ,� NELAJER 8,89 f& 15LARB 1 9 9 9 ® P ULTE NE wA n,�R MID—ATLANTIC �., 6141767 NRGIN CAROLINA 63 9857 NE j1' VANA RA-015186BR O'w01VA BIBS ENGLAND DIVISION 2100 RESTON PARKWAY, SUITE 450 RESTON, VIRGINIA 220+ I n'R g R \SNare\Singles U999 PLANS\905tON PLANS\g9}luntington\C1203FP2.019 iue Jun 01 13: 31: 54 1999 UPYri gAt 1998 - pu]to fp"e Corporation K - j IC, m---- �, O a z Q 3 r (33 2 N g g �m ,.y 3210 x Ir -4" 17'-01 ° c N @ Nz oris 32'-0' /2° o -o° _ pig cm �a 3 � n iff $oohs" � � m ,' y SCALE, 1/Y. p -O' 31 4' m .a o o SCALE• 3!4• • 1'-d 3' 0 1' SCAB, I' 2' ;� F-+ 3 a ARQIIECL DE k (AfFl7NS - P•d M1o' ® o N a I ,W A gl71AfCFf m 1��Wt101faIEPNSD OR APrpo14D AY IF. XO THAT n " �U�a""°° HUNTINGTON n'�R %AN° 1999 9DPULTE ,� MID— .A LANTIC s A �„' N"ere NEW ENGLAND DIVISION PFIWSYL.A NA-0,St68D cARa1nA oaoz 2100 RESTON PARIfVYAY, RESTWJ , SUITE 450 VIRGINIA 22091 R \Snare\Singles\1999 PLANS\BOSH PLANS\99_Ltington\D1203FL2,a IDu N-ap fB ll: 10: 24 1999 Copyright 1998 -Pulte Home Corporation T ° ° rno T6 rno rn --- ----- g $ o$ o � IIII III�IIII < D (IIII I I I ili�lli�lli III n --- -------- -i IIII IIIIjIIIIII z II I II�IIIII Z: � II��� IIIIII Vill, I� II II�III II o i �I �II�IIII I I n IIS I� IIII----- - - - - -- I I III .2 I �P 3AxNn� Nur n _ o goo o- v = o o A Nogg N8n R fn` z�qo Fz S v . J g R g = ms s T $ <o 30-a, 4"Y/ppT -rn.ii gz u�r 3�<�w erslLk ego° ;_n og� c �p S �A zz ®�] I _ _ I 1 r - --- �l ----------- — 111 - a Nr = I—r-JJ JI - r I '" I � I _ -\oma _£ rn _ `�.•@ ��x o� g I I ao g moNl x "'� -1 rn 31 0° 4 AR. J5 a O -- to, Y o Cil h+ a I CuHTECL OA1� R CIS TIIHS scale, P: p o• P 2' �q m I A NAFY 1HAr M6E WW1fNA YIiE PRPMao Ot nnf �`LALE: 1 I/Y� = I'•0' All A Ly U'Fry5Q1 1YPA G BY �p 7 WAR 81 xdNlEcr iRmfx rllE u16 OF n[ lw.oft r 11 U N TIN MAR �_��nuAr12J54 GTON - 1999 5. CAROVMI °RA_ N' CARM AA BMS' PULTE MID -ATLANTIC NSYtVANIA RA -015[688 NEW ENGLAND DIVISION 4100 RESTON PARKWAY, SUITE 450 RESTON, VIRGINIA 2091. - i K 4Share\Singles\199 ............ LANS\80STON PLANS\99 Huntington\01203ELS.a'g Toa Mar 18 10:13:56 1999 Cpp➢right 1998 - "'Ite Npge Corporation ` Z I II I II II I II I II I II I II I II i II I II I II 111 / III" '1 •-.,•--'- � q , - I I' -II- 03 A n KN v �I E �I II I II �I II I II c o �o Zln lu g" I n I n - ln I II I II ngk I II I II I III II ---- I ----=- ; I I I I I, 'n- 1UJJo I I I I I r- 11I 11 \ -- - -- -- I II I II rn, I I If \ I III II _ o It 1 II I- £ , L-iyl \ _ _- I II --- x 1 It I II f II I II I II I I I II I II I f II I II 2rn '- I I I I I I 'o I II I II v I !I I II I I Z I II I "I'll I I II I II I II I11 I, I II I II I II I I, I I I II I II I , I II I II � I I Col - I vUL - - - - -- " a ;________________________ ___-_---___---------------- -________-___� - -------�- A Io CO; - ` 4' � Y Y \ 56A7.E 1". - I'l ' . I 11 p `�.CAIE, 3/f' • 11•p° '' 1, 9' p li g H e A AIiCHIE"' 11 D k CGWIM SCALE! I', a j QRl llui MLY OppgU17S YFRE MEPNEO tli APWt01F11 er "T" O l V a o A'cnaSll� Im&D A9CwiEcr INOCe DE uP$ ff n[ a� WIG a 11 U O ` o DELAWARE z. 19 9 9 AZAR I 7115-R P ULTE M ,Al_13967 w I" � NTINGTON ' MID - s �`�"" °"" M �ARO1N"2 NEW ENGLAND DIVISION ATLANTIC PErasnvAN" R" mmew 2100 RESTON PARKWAY, RESTON, SUITE 4 VIRGINIA 22091 { N \Share\Singles\1999 PLAM\BO;TONPLAM\99J1untington\E1203SEC.0wg Fri May 21 14:00:23 1999 Copyright 1998 - Pulte Hone Corporation o � x �I 3 n 0 9' Id 0 d Id 0 1' Y 3' 1' S 0 I' I I 2' 3' A' 1 0 I' 2' 1 I SCALE' 1/0 • 1'-0° SCALE- 3/0' =1'-d SCALE, I/Y' • 0-0' SGML, 3/P. I'0' SCALE. P • 1'-0' SCALE' 1 1/2' . I'd I o WMTECT: UAW k GwTffi not 1m lua. asooamrs o�w�rwmmwWrorns uCAronur HUNTINGTON - 1999 �"` PULTE MID -ATLANTIC E2 c o I AV A PAH T INET UDOW AIOAW DIM X LAC lF DC w RID R , ema.. O - o DELA LIPS DELAWARE 6189 RHODE ISLAND 2354 MARYLAND 7/15-R NASSACHUSSETIS 9657 2100 RESTON PARKWAY, SUITE 450 S. NJUMEW 0017 VIRGINIA 6718 NEW ENGLAND DIVISION RESTON, VIRGINIA 22091 W S CAADLINA OH1- N. CAROLINA 6362 PFNNSriVANIA RA -015166B 1 f, I .n 'I �I 3 n 0 9' Id 0 d Id 0 1' Y 3' 1' S 0 I' I I 2' 3' A' 1 0 I' 2' 1 I SCALE' 1/0 • 1'-0° SCALE- 3/0' =1'-d SCALE, I/Y' • 0-0' SGML, 3/P. I'0' SCALE. P • 1'-0' SCALE' 1 1/2' . I'd I o WMTECT: UAW k GwTffi not 1m lua. asooamrs o�w�rwmmwWrorns uCAronur HUNTINGTON - 1999 �"` PULTE MID -ATLANTIC E2 c o I AV A PAH T INET UDOW AIOAW DIM X LAC lF DC w RID R , ema.. O - o DELA LIPS DELAWARE 6189 RHODE ISLAND 2354 MARYLAND 7/15-R NASSACHUSSETIS 9657 2100 RESTON PARKWAY, SUITE 450 S. NJUMEW 0017 VIRGINIA 6718 NEW ENGLAND DIVISION RESTON, VIRGINIA 22091 W S CAADLINA OH1- N. 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Jz x m N ---------- m A Ipap Dg� m <.xrnz IE „m v kngr�o\vv oe ❑ _ � f �'�, 2-2X10,2-2XIO (7> . ' 7� No �, gm �4-,na Nm W £G¢ zN Em~ TN m� Q §� Srn o�rna tt T d� rig D ca �3 qyd 316 P- 3 F_ O� dE D �r e n ajz xFIA m o i DISI I DISI I ROUND HOLES r PRODUCT' HOLE DIAMETER � 2' 3' 4' 8' 9' 10' l O ❑ 111 -7/8 -1 -PI -261'-5' 2'-0' 3'-1' 3­11cc - 1'-9' S'-]' 6'-H' N/A N/A (- 31-7/8'LPl-30 1'-1' 1'-1' t'-11' 2'-D' 1'-3' 5'-0' N/A N/A ❑ 1'-10' 5'-9' 7-3' N/A N/A � OF LAR[ER H0.E 1/'1 -PI -30 2'-2' 2'-10' 3'-5' 4'-0' 4'-9'S'-10' 6'-6' 7'-1' --111'LPI-36 3'-I0' 4'-1' 4-9' S'-2' S' -O'. 6'-11' 7'-5' NOTES SQUARE 6 RECTPNGIIAR HOLES = LONGEST ISLE pIMENSIIAJ � 2. A 1/2' HOLE CAN BE CUT ANYWHERE IN THE VEA PRODUCT F- ro 2. SQUARE AND RECTANGULAR HOLES MUST HE CENTERED AT MID -HEIGHT 6" WEB. 2' 3' 4' $' 6' 7' 8' 9' 10' F'l 3. ROUND HDLES OO NOT NEED lO 8E AT MN-MEIGHi, BUT MIST Nli BL CLOSER 1-7LPI-26 1'-1' /'-O' 5'-3' S'-10' 6'-5' 8'-2' 9'-8' N/A N/A THAN 1/Y FROM HIST RANGE. 4. CUT I0 ES CAREFULLY. DO NOT OVERCUT. DO NOT CUT FLANGES. ll-]/e'LPI-30 S' -H' S'-11' 6'-9' R'-0' Y-3' 10'-6' N/A N/A = S. THC LENGTH OF UNCUT VEH HETVEENIOLES MUST BE AT LEAST TVICE THE U-]/O'LP]-36 6'-2' 9'-8' 10'-6' 12'-1' N/A N/A D LENGTH 6- llff LRIGEST AllJACENi H0.E DIMENSIDN. 1/•LPI-30 2'-1' 3'-0' 3'-H' 4'-10' S'-8' 6'-]' 7'-6' 9'-0' 6. REFER Tp L -P'S TIANDLING AND INSTALLATION RECOMMENDATIONS' FOR FULL � 1®.E fTNRT AND ((PORTANT NATES 147 DAVID M. fiIFA1fS TITLE _ _ � �P°r"M� RNMOT _ - ➢t � OF - �f"'HUNTINGTON - 1999 PULTE MID -ATLANTIC �W�� '��rsTiArun4�RussAan>SSEr>ss52100 RESTON PARKWAY, SUITE 450 �0 NEW ,ERSEYAI-11967 VIRGINIA 6M 8 S�C,Niq.MA 014!7 w. CAROLNA 6362NEW ENGLAND -LPI FRAMING LP[-36 ]'-8' 9'-3' RESTON, VIRGINIA 22091 NSTLYANW RA -0151668 S(N r U 9 Date ..... .... ...... A TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... tAs permission to perform ............. ............. ................................... wiring in the building of ....... ........ ............. I ......................... at ............ ...... .... ...... ........... . North Andover, Mass Fee .... Lic. No. C .. .............. �/7 Check # I-IdZ �7 i. -1.JsParlaranlOf }ira,arr/iG2! _��..._. �n� Occupancy acid Fre Checked I ` 's 3► EOARD OF FIRE PREVENTION REGULATIONS Rev. t U99j ticarl blatlla t. +•�,bs��: APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ''2 All wur - to he perfurnied in aceotdanca with the NIasseacbuscus Electrical Code (,\IEC). 527 CkiR 13.00 (!'t:L•':1SCPR1:�7'IN1:`i1C OR 771' :II.L l,Vf01I.M.ITION) Dale `./(��.C..- , t;� r # :l Icy Citj• or'I'own of: /V vr"►_,Ali ed 0 tYk To die Inspector of 1•kires: 13y this application (lits uutlersiu_neJ circ' loth a ol'his or her inte•taon to perform the electrical �� • described betoycv� �l raj i M F Location (Street &C Nuuiher) Py t ejY�u�� u1-1 (l'L , OwncrorTenaut u m�� 0,2P 'Telephone No. SO$ -`($7.000 P t �C r. Owner's Address 25 1 0 r Is this permit ill conjunctiull with.1 building. peratit'' Yes No ❑ (Check Appropriate Box) �� ��'�,}� , • Purlutse of Buildittl; F--�/1 j Q , 1 ��C Utilit}• Authorization No. Ezistinb Service .\nyrs / Volts Overhead ❑ Undurd ❑ 1b. of lleters New Service. ,%mlis f Volts Overheud ❑ Undgrd ❑ mo. or -meters 1 ./t m NUmber of Feeders and Aucit} : ,' u hjj , p Locatiuu anti Nature orProposed Electrical Work: Q e to 4v 7, Cun,oletion of the fulluirbig ruble may be uait••cd bvtlre hrsverroroilYires.' No. of Recessed Fixtures `la."uf Ceil: Susp. (!'addle) Fans t oP. o No. Transforniers KV:t No. of Li;btiug Outlets 1`!u. of 11ut Tubs Generators KVA A ovc❑ !n- ( o. o Emergency Lighting w No. of Lighting Fixtures (S1\'itnnling Pool orad. onid. ❑lBattery Units No. of Receptacle Outlets No. of Oil \;tracts I FIRE ALr1Rt11S INo. of Zoues :. �Y )to. of Siyitches No. of Gas Burners t o, o etectioit an Initiating Devices u. of Ranges No. of Air Cond. Total co. of Alerting Devicesra $ Tons 3�ffJ r cat ulup i um er ons _ _\ _ 1 0. ofSelf--Contained. A �'o. of Waste Disposers Totals: ___ �_. Detection/Alertine Devices Nu. of Dishirashers Spacc/area Heating KW Local ❑ Municipal ❑ether Couttcctlon Jccurity wstcros: t� � �'o. of llrycrs }tcatin� appliances I�IY I No. of Devices or Equivalent 11N0, of Water IN. o! .� t,•aitNWirt ng: •leaters K%V Si1ttts BallastsofUevices 'I x� to shx .. or E uivalcnt No. Hcdroniamne Bathtubs iNo. of motors Total I P c ecomniunlcauons trtttg: 4 � No. of Devices or Equivalent OTHER: 13.ve.t;, LI)4L A 1 Ar 6,- A t(ach Attach additional dea:il if desired. or as required bt• the Inspector of Wren. INSUR.;�--NC£ COV EIZ,\C E: hI111CSS waived by the oiler, no perrrlit for the performance of electrical work may issue unless the license. provides proof of liability insurance including "completed operation' coverage or its substantial equivalent. Tett undersigned certifies that such coverage is in force, and has exhibited proof of same to til,- permit issuim2 office. : ,''•-Q CHECK'ONE: 1. SU[L•\\C1:: ❑ BOND ❑ 0111ER ❑ (Specify:) r# (Expiration Datc) Estitistted Vacua of Electrfcat 'Nvork: (When required by municipal policy.) 4 r" ,puri: to Start: Inspections to be requested in accordance with iy1L•C Rule 10, and upon coltpktion. I certll I I fl ! I application P. •, cur,lcr thr mitts and rrualtics v err rrn•, tl.ut the irr vrnratlon on this a r licativu is tare and cora ILtr r•IILII NA;IIE: L TM (rUA 2fl LIC. NO.: SL LtcellSet:: �`� II.NR[� l i)+"t/t sinnature �.iC. -1;04 SQ �C ,rpnitcabie..rrter "�:e,:nrnr",n r4r lic,nse number line 1 lits. Address: 12P L hVt �ellr ga alt. Tel. No. 011'N£R'S tt`lSt 1::\yCic 1`::\1 VCR: [ am aware that tine ticutisce dog's not have the liability insurance €overauv aocmaily racuircu by lay. B any �i�natitre belo«, 1 hereby %vaive this requirement. 1 x111 the (el:cc onc) ❑ owner ❑ ot..•n:r"s 3 -gent.. Owner/Ancal .. , --1-13j -0 ?- Date.. jr.. a ...... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING OW `,�HU51� This certifies that y ...... ..... ............... ;;I�. fj�j ha� permission to perform ... x. . re; �q ........................ plumbing in the buildings of .7j�L., )),e ... /,10 - -3 . ......... ... ......... A 4110 at ............. 87� . A ./ ............. North �.tidover,yass. Fee. No./1V*/`/`L-7 PLUMBING INSPECTOR Check # 5 0 5323 0 T 0 W N O F MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING int or T e) ? Mass. Date 19 Q � Permit v�J Z3 >Quilding Location �U��t�'1ti'�(/VL� Owner's Name Type of Occupancy New rV Renovation ❑ Replacement ❑ Pians Submitted: Yes ❑ No ❑ FIXTURES installing Company Name Business Telephone /X / ' yly/ Name of Licensed Plumber Check one: Certificate PoSorporation I ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current Ii billty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by AChapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ 'onature of Owner or Owners Aaent I hereby certify that all of the details and information I have submitted (or entered) in ab a application are true and accurate to the best of my knowledge and that all plumbing work and installations peri under ermit ' ed i is application will be in compliance with all pertinent provisions of the Massachusetts State Plumbi d nd er 14 the G rai Laws. T?Y_ ature of Licensed-Rumber Tiirp Type of License: Master Journeyman ❑ aty/Town e/e �/ fo � C ✓ 0NL7 License Numb mom -010 0 no SENSE sommonommoommoommoom SEE installing Company Name Business Telephone /X / ' yly/ Name of Licensed Plumber Check one: Certificate PoSorporation I ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current Ii billty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by AChapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ 'onature of Owner or Owners Aaent I hereby certify that all of the details and information I have submitted (or entered) in ab a application are true and accurate to the best of my knowledge and that all plumbing work and installations peri under ermit ' ed i is application will be in compliance with all pertinent provisions of the Massachusetts State Plumbi d nd er 14 the G rai Laws. T?Y_ ature of Licensed-Rumber Tiirp Type of License: Master Journeyman ❑ aty/Town e/e �/ fo � C ✓ 0NL7 License Numb 0 i