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HomeMy WebLinkAboutMiscellaneous - Long Pasture Rd, 51J� 1� it 0.1 koRTN .1 4L US This certifies that TOWN OF NORTH ANDOVER PERMIT FOR WIRING has nermission to nerf rm !��, .......................... .......................... wiring in the building of ....................................... at :4. .............. 1.*)N rthAndover,- Mass. ............ I.—I .. ..... /Feel .......... Lic. No . ............. ...... ............... ELECrRIC INSPECTOI�// .................................. I Check # 8217 WA - -' -"' "' "• •-idssamusetts o�c;� FselDepartment of Fire Services PermitNo. `7BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee C v. '1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM All .work to be performed in accordance with the Massathusetrs Electri�cELECTRICAL WORK (PLEASE PRINT WINK OR TYPE ALL INFO (MEc), ,527 CMR 12.00 RM14TION). Date: z t7 City or Town of, NORTH ANDOVER To the By this application the undersigned gives notice of his or her intention to perform thenelectrical wor70 k described below. Location (Street & Number) -I L �S Owner or Tenant A -c C �f .I Owner's Address O Telephone No. 97Y- yZ 3 -303 � ,ut,�, Is this permit in conjunction with a building permit? Purpose of Building SayQ.�c�_. Yes ❑ No LE-__ (Check Appropriate Box) Utility Authorization No. HS j MY 3.'Y Existing Service 2,.,o Amps 1 Zy / Z ((o VOIts Overhead ❑ Undgrd D Nn, of Meters / New Service 2�d s l7 cr 21(v I �P / Volts w Overhead ❑ Undgrd n Number of Feeders and Ampacity Ld- No, of Meters_ Location and Nature of Proposed Eletrical Work: p/ �a w D.4M.4 �.c�C Cckr�"L�vl. ��{, CJ1it, �Q �Sc �► l✓v1 •,� :J ��c/iUr�i Ilt'✓� o. of Recessed Luminaires o. of Luminaire Outlets a. of Luminaires o. of Receptacle Outlets a. of Switches �. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers No. of Water Heaters KW L No. Hydromassage Bathtubs OTHER: Co It! Ono the followin table may be waived by the Inspector of Wires. No. of Ceil.-Susp. (Paddle) Fans No. or Total Transformers KVA No. of Hot Tubs Generators KVA Swimming Pool Above Ej In_ o. o mergency ig d' d. ❑ Bat% IInits 11 Ing No. of Oil Bnrners I'E ALARMS No, of Zones No. of Gas Burners o. of Detection and No. of Air Cond. Initza � otal Devices Tons No. of Alerting Devices eat ninn T•t._—t .. Space/Area Heating :KW Heating Appliances KW No. of No. of Signs Ballasts No. of Motors Total Hp o. or Self: Contained etection/Alertm Devices acai ❑Municipal Connecizon 0 Other. ;curity systems: Na of Devices or Equivalent ita Whing: No. of Devices or Enivalent ;lecommunications No. of Devices or EaurvA not Estimated Value of El 'cal Work Attach additional detail if desired, or as required by the Inspector of Wires en required by municipal policy.) Work to Start' 2S t� Inspections to be requested in accordance with MEC Rule 10, and on INSURANCE O GE: Unless waived by the owner, no permit for the performance of electrical work completion. l issue unless the licensee provides proof of such insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such coveiage is in force, and has exhibited proof of same to the permit issuing office., CHECK ONE: INSURANCE ❑ BOND ❑. O'T�R I certify, under the pains and pe ' s o er'u� the 0 (Specify;) fP ! r7', utfortnaSon on this application is true and cont fete. FIRM NAME: FQw✓i,no( p Licensee: ti,,,,,,�( �1,, SLIC. NO.: C31/ s -f - (If applicable, enter "exempt " in the !ic a number line.) i$tare LIC. NO.: Address: c, u / 3 l /nl Cc, Q i( r'� O i Z y Bus. Tel. No.: 97;t` -S *Per M.G.L c 147, s 57-61, security work requires Department of Public Safety S License: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have The censiabi i Lic. No. required by law. By my signature below, I hereby waive this re tY insurance coverage -normally Owner/Agent requirement I am the (check one) ❑ owner ❑ owner's agent Signature Telephone No. PERMIT' FEE: ,„ j av J 0 01 The GominorrWeaft of Massachasetts kj Departraertt of -Industrial Accidents Office of Investigations ! � b {a 4 r 600 Washinton .street ti Boston, MA 02111 Workers, Compensation IMM.Affidavit: ranee guilders/Contractors A • Leant Infurmafian /DeCitzetaltts/Pfambers Please Print Legit Value (Busines00rgsiaiza6on/tndividoal)' 1 Address: City/State/Zip: r 1,A S �e,,, cl AIL40 /,f 2 f/ Phone #:. Are you an employer? Check the apPmPriate hoz: 1.❑ I am a employer with 4. Q I am a EwIdin project (required): r� employees. (full and/or part-time).* . issue hired the subsub-corutracxousl New construction 2•!= I .I am.asole proprietor: or partner- listed ou the attached sheet ?emodeling ship and have no employees These sub -contractors have working forme .in any capacity, workers' comp. insurance. Demolition (T1s workers' comp. insurance 5- ❑ IVe are a corporation and iLs .:ilding addition required) officers have exercised their Electrical repairs or additions 3. �] I sin a homeowner doing all work right of exemption per MGL rrtbinmyseIt. [No•work' con . g repairs or additionsinsurance t p § I(4), and wa have no reuird employees. [Noworkers' of repairsc0mP- insurance required_]: er ;Any aPPI that checks bo><r #I mum also fill out the section below showing their workerd' 00 t Homeowners who submit this affedavit indicating they ars loin All work mpanaatiori policy information, tConnactots that cheek this box mustatraehed an g and then hue•outside convectors must submit a sew affidavit indica* additional sheer showing the mme of the subcontract= and their workers' a caking such / am sat employ'• thIvIs ro ' " ma• Policy infsmration. �v , matag:workers cornpensartion insurance or information..1'3Pzoy Below is.ihe poiiry mrd job site insurance Company Name:, Policy # or Self --ins. Lie. #: y C ,gs_ Expiration Date: Job Site Address: Attach a copy of the .workers' eott� m pensa$on policy tieciaratiao Page (showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL e. 152 can. lead to the imposition of cuiruiinal fine up to $1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORD OF�j penalties of a Of up to $250,00 a day against the violator. Be advised that a copy of this statement may f forwarded to the Office o� a fine Investigations of the DIA for insurance coverage verification - I do hereby certify nd the pauu enalties o p iPerl J' that the informr�ion provided above ' true and correct Si itn e: , Date, 6 Phone #: Ofj`acial =e only. Do not write in .this area, to be completed by aft.Y or town officio[ City or Tows: Pennii/License # Issuing Authority (circle one): I. Board of Health Z Building Department 3. City/Town Clerk 4. Electrical Iaspeetor 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 Aire, 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 ofthe'fbmgoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or tnsstee-of an individual, partnership, association or other legal entity, employing empioyem. Howeverthe ownerof 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 dweiiinghouse or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." 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 tine commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MOL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract far the performance of public work rntil=ceptable evidence of compiience with the ins u mce requn-ements 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), addrms(es) and phone number(s) along with their ecrtificate(s)' of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to cavy workers' cnrnpensaiSon insurance. if an LLC or LLP does have employees, a .policy is required. Be advised that this affidavit.may be submitted to the Depwtment 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 requemd,. not'the Department of Industrial Accidents. Should you have any Questions reps -ding the law or if you -we required, to obtain a workers'. compensation policy,:please-call the Depmtnent at the murnbcr. listed below. Self-insured companies should entrtheir soil insraancc licanse number on the'appropriate Cityor 'Town Officials Please be sure that the affidavit is complete and printed legibly. The Department his 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 applic«;nt. Please be swz to fill in the permit/license number which wiiI be used as a reference number.. in addition, an applimuit that. must submit multiple permit/lice isc applications in any given year, need only submit one affidavit indicating•currmt policy'information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy offkre 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 fuitgz permits or licenses. Anew 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 bo bran leaves etc.) said person. is NOT required to.compiete this affidavit The Office of Investigations would tike to: thank you in advance for your cooperation and should you have any questions, piesse do not hesitate to give us a call. . The Department's address, telephone and fax number: The Commonwealth of Massachusetts Depar ret of industrial Accidents Office of Investisafauns " 600 Washington Street Basion-, htlA 02111 TeL # 617-7274900 ext 406 or I477-MASSAFE Revised 5-26-05 Fax # 617-727-7744 wwwmass.gov/dia ti N2 2549 Date ... (�—A�Aw on0, TOWN OF NORTH ANDOVER e PERMIT FOR WIRING This certifies that ......... /) -:,C ............ ........................... 01 has permission to perform ...... /V�.( . . ...... llog�.c ................................ wiring in the building of ...... ........ Xy ............................ A at ... �SJ ... /0-�I� ..... ............. North Andover, Mass F� Lic. No. ............ i ... ... I ...... Check # 76g ELECTR CAL INSP CTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ME COMMONWF.ALMOFMASS MU,SETIS offic jNse ons D0?9RTV1 OFPi7BLICS9FElY Permit No. BOARD OFFMPREVEMONREGUlA770AS5270M12.00 Occupancy & Fees Checked APPLICATIONFOR PRAT TOPERFORM==CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 j , — _ Z r— ` G C-1(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) S Owner or Tenant Owner's Address it Is this permit in conjunction with a buildin permit: Purpose of Building Existing Service Amps / Volts New Service -26,1d Amps 12VI ="olts To the Inspector of Wires: PARCEL Yes r7j No (Check Appropriate Box) `/,��„ Utility Authorization No©61Z� . % Overhead M,- nderground No. of Meters Overhead M Underground ®� No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ze /- a. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA V ground E3 ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burncrs 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 P 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 Connections .Ko. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER h>s ==Coves. Ruam4totheregtmar�a9soEIvlas ais C �tlLaws Ibawaamuilmbhyh>str=Pbho mdjdffgCarfkL,QpqaVm4BcCuaWcritsabsuriiale4ivakrt YES E3 NO Ibaws6bmtl d andgoofofsazneto - YES [DINO F-1 Yyaubavedred®BYES plmit*ttrt peofa bydradmgihe qpupiewbox INSURANCE BOND Z7MER ft=Speffy) 19 E�'dticarl� 2 C v 1. / // value lwaic $ W6ktoShRt hnpacbmDtieRac�d Rotg'n Final Lica�see �. 7 s /� . 5, • . s. �/ Si,oe r Lioffwm 9,F 3 .3' /j BtsirmTC11% /.P'7 Addm fAlt TU IN a OWNER'SR4SURANCEWANER;Iamawatethat#rLio=dnmTwttumtheinstflamcmendgeeritsaisUri le4malerdasregiodbyNbsmdats& . andMArriysgnabmcrithwpmiitagbcabmv,a'mdmreqz'mlffi Xy - (Please check one) Owner Agent Telephone No. PERMIT FFFA Signature ot Uwner or Agent Cl) C DO Cf) 0 m C0� C � s• O O C n z CA O O = CL r CL ® CD CD CLr CD CDD O CSD W W P. c CD �. CD O CA CO CD I B v. y 1 Z CD ® CD O CCD ® �N c.® N ac•o ® vs C4 Z gr M. N -� ® 0.mg® o T CD "� o � o o �®®is�® CD CD 0 0 L.CM2 0 • w 0 /� ac o ? VJ w w N c 0 w n ® 0 CA=: d 2 "C N � �. z O w i Q r _ N � . pi C CO .. ®� � N o . -� .L w 0 i® r P7, 2 (D fD z rt o o r4 w r o x W CA C rD ®` �� \moi E3 0 C"r1 o C a" No 4744 ,&OR 0 CHO Date. Z.-. ./ - C. /. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............................. has permission to perform ... C— ............... r - �;A ........... plumbing in the buildings of / .................. at. North Andover, Mass. Fee. Lic. No./&. ....... .. PCUMBING INSPE rTO Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING type or print) vkov-t"' MASSACHUS TTS-`��- Date ��� Juilding Location Permit # 77 Z/ Amount Owner's Name New [:3, Renovation rl Replacement ❑ Plans Submitted M (Print or type) Check one: Certificate Installing Company Name Galinsky Plumbing & Heating Inc. ® Corp. 1906 Address E,Q - Bgx 1701 flavarh; 1 1 _ MA 01 s'll El Partner. Business Telephone 978-374-1743 0 Firm/Co. Name of Licensed Plumber:- Stephen C Galinskv Insurance CovM=. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Y Other type of indemnity Bond insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have anyone of the above three insurance Signature Owner 1 Agent 11 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 installa ions performed r Permit Issued fos this application will be in compliance with all pertinent provisions of the Massachus tate P bin d Chapter 142 of the General Laws. Type of Plumbing License License er Master VED (OFFICE USE ONLY Journeyman I Location Date 40RT#1 TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ ...... CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ C�2110 Check # 11,13� 6 8 1 J Building Inspector CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number & % Date //-// a Z) THIS CERTIFIES THAT THE BUILDING LOCATED ON dlo b � /-� l Ad& MAY BE OCCUPIED AS (fir / / �n f � ��� �'"� . IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO p ADDRESS Cr d W ile't) S T C 4 Inspector /_ QuJe Gl cf) m m m m m m Cf) m C/) 0 m =r co cr ca dc CA dr CL 0 —.,Oo CC.L co 54C CD'tgg of w CD 0 CD O W7 0 C.2 CA CM) 4 a ccD, coCA ci 0 A Z CO) -.ft ashCLCD 0 "o Cfl 0 .c n CD co): CL co Co C CCOD IOD CL V U 5 CO2 CD 0 O Im w C', Zi C* let C/) CD CL C) C2 CO) CD JE CD :Co =r CAQ CD CL W F. ® a - :(P. CCD D Wjov,� � ft g79 CO2 CD O CD Ab C) CD mm CD co) CO) CD -0 C2.110 CD * 0 co) CD CA CD =5 = CDJ sm po 0 CD CD tTjf: C) o CD cn cf) 0 x— 2 ro rD 7— PoLI 0 uQ 0 tTI m n 0 rD cp T 0 S3 C) f C) C— C ILV z 0 0 Is"wilb 40ftw JL wit w _ 1.. Town of North Andover F NORTH O Building Department �,? "6'6 0 27 Charles Street ° North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 T O�4 <OLNI[ML KA V1' �•4 �A4TE0 IPa�,�h SSACHUS� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS LOT NUMBER (o SUBDIVISION P& Uri DATE REQUEST FILED DATE READY FOR INSPECTION 6)6 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING CONSERVATION DATE PLANNING `- — / DATE �I fi D.P.W. —WATER JITER �� 11 6C) DATE D.P.W. MUST INDICATE 1HAr THE WATER TER HAS BEEN INSTALLED PRIOR INSPECTION RE ST DATE. SIGNATURE / DPW AUTHORIZATION U) C/) 0 m y 'O rf �. d CA 10 0 CD o y CD O 'G a. r 0 c S. �• Cn D cc -v � O � CD CD o Q� =r �G d CD CD o CD W W C CD y• CLD t0/� _• o to CD � d N O CD ` z CD P.* CD O G CD 'k -a Z� 0 ` � Z O O _ Oto C a CT] _ cn to cn CD cmC nc C�7 s /V cn O ems. � 1F 1T,1 •y► co Cn co o � � O •Q � � O L : � Cr7 o Qy '�.m N y ED 0 m Ci mao y �� N _ N .d.► m y _T m a?d = m � N m Cn = C=D y �I CD �n•1 4"f 'O•F O Z < : 0 C7 : Q O y C9 O D ? C, = CD CD y �� o 9 i m V d y a tS d C W ' a CCD 'c*, � CD CA .-r y CD O s CID : w om. CD CW a� r : o o CD = m m m o -fl a C7 C c c o s n, z 0 6*4 dorm. p W � ~ i%� o W G Ili > �. O crD 9n ♦ 1 V / O r rn r rzi 7i r Z C) n 7 (DR GO Irl O a r d z V/ rD O auQ x T a x O a) --i < "GL. %6 S ��,o z; ,= 0 Q 5 �. roro o z ,- =° Oaj -41h _ SP* n! _ M13 M S H H 0 C a O R -p m Q c 3 ^ d 3 N o 0, to s d 0 o m - p O n CD 3 H M:3 p o 0 O 2 mfD ro �. r 3' *%. X D cr a II :D H -+ fD ° (D c CD d :S m ul m c a3. a e CL c o ocAu E 5 ' CD N trjd ui = QT. .. O:r O M nj 3� a C. O tea?CD 0 rr O C o CD a, j CD Nt y ~ a z m x n Z IC) O c z v 0 z m 0 0 Ldol .K** TO ° �. m Ln ^ �' �<, till O CD v ,qv N2 -L Date./— // ............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . L ........................ ......... ................................. ; ................... has permission to perform 2:�.�.4i--A��" .................................. wiring in the building of ..... at ........ .............. . North Andover, Mass. Fee.. .... Lic. No.�-?4 ..... ............................................................... ELEcnicAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE00MM0NWFALTH0FIVa1215ETTS Office Use only DEPART1trIDVI'OMBLIMMiY permit No. C7;11 Fj? BOARD OFMEPREVEM0NRWMTI0AN-WCMR120 d� Occupancy &Fees Checked APPUCATTONFOR PERMIT TO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 000 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date::Pcil ! �' Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street &Number) 51L,OQS,PAsj-,-ce r�,OAp Owner or Tenant t�`�r-t�wlew ��nlsl�vc�ior.5 Owner's Address1�3�U_+`5? ti i a- Avg Lb We.l l ►M tom' � r Is this permit in conjunction with a building permit: Yes, No [Zr (Check Appropriate Box). Purpose of Building tility Authorization No. —77— Existing Servicee loo Amps le / 10 Volts Overhead Underground No. Mete New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above - Below Generators KVA ground groind No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total I Tons No. of Detection and No. of Disposals No. of Heat Total - Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Self Contained Ni of Dishwashers Space Area Heating KW Detection/Sounding Devices Local Municipal® Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP •v nr.• .1•rw• •; •ite- 'J. • Wodc>nStart a Signetltax mpalam FIRM NAME tr' m ►e>Laws rils9kswti agwalait YES [E]' NO�� 1 Ifjwl�edmdwdYES,pkmmdcvthetAxcfwyaaWbyd J,.aglhe i -u Irl .:I♦ /:.;- • .JI -� yr ' � , i .- ;- • �� • Lioat9e� �C1w.e .t I � Signawte r � Lit�rseNo � I Blsir>e;sTeLNa 7�—g-73 ML42C%' MPFoltl . AIL TeLNo, ~!et.2 OWNERSINSURANCTWAIVER;-IammmdattheLioamdomm laws andiatmystealthis pemtitapphcabm waiAsthe m*msler>;. (Please check one) Owner ® Agent Telephone No. PERMIT FEE $ 3510 Date. . 7:7 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... PIA -9. � � . I' . j .... /i /-7 Z. �-. I I z has permission for gas installation . . V � !--. -J - - - in the buildings of s�. ........................ 1, - K at t-'A.t. 44. f!�17 North Andover, Mass. F 7. ?- ee... .7. Lic. No.. T?). � ... ... ........ GAS INSPECTOR WHITE: Applicant CANARY: Building �Ipt. PINK: Treasurer \Jul -21-00 08:23 North Andover Com. Dev. 508 688 9542 •\ n C MASSACHUSETTS UNIFORM APPUCATON la R P TO DO GAS MING Y 1 Type or print) Date A NORTH ANQOVER, MASSACHUSETTS Building Locations %' Permit # 307/49 Amount S 7v'— Owner's Name New � Renovation11 i Replacement '0 Plans Submitted ❑ P.01 (Print or type) Check one: Certificate lnstaltin; Company !`lame __, :z 11 vP, ` � �— ❑t Corp. Address El.Parmer. . Lt. Business Telephone ©` Firm/Co. Name of Licensed Plumber or Gas Fitter INSUPLANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivaifnt. Yes �No❑ If you have checked ves, please indica he type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver I am aware that the licensee does not have the Insurance coverage required by Chapter 143 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Sisanarure of Owner or Owner's :gent Owner ❑ A@enc ❑ I hereby certify that all of the details and intbrmation [ have suhmitred (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 appiication will be in compliance with all pertinent provisions of the Massachusetts State ode and Chapr 142 oh�e Gtnent/� 1ws, Tirls: City+Town IAPP2UVED (aiVrtcc tiNl� )Nr. V r ...:. . Signature of Licensed Plumber Or Gas Fitter" Plumber ❑ Gas Fitter -rcense r46motr . lastz: .....: ❑ Joumevman . .. I �I i (Print or type) Check one: Certificate lnstaltin; Company !`lame __, :z 11 vP, ` � �— ❑t Corp. Address El.Parmer. . Lt. Business Telephone ©` Firm/Co. Name of Licensed Plumber or Gas Fitter INSUPLANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivaifnt. Yes �No❑ If you have checked ves, please indica he type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver I am aware that the licensee does not have the Insurance coverage required by Chapter 143 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Sisanarure of Owner or Owner's :gent Owner ❑ A@enc ❑ I hereby certify that all of the details and intbrmation [ have suhmitred (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 appiication will be in compliance with all pertinent provisions of the Massachusetts State ode and Chapr 142 oh�e Gtnent/� 1ws, Tirls: City+Town IAPP2UVED (aiVrtcc tiNl� )Nr. V r ...:. . Signature of Licensed Plumber Or Gas Fitter" Plumber ❑ Gas Fitter -rcense r46motr . lastz: .....: ❑ Joumevman . .. Date. <, N2 45C9 TOWN OF NORTH ANDOVER m&WORk. PERMIT FOR PLUMBING SAcHU This certifies that has permission to perform ..... A/ -�r ............. plumbing in the buildings of . !�� P �� �� �< ................. a t . S. 7/. IA14�� 1. 9 7 ........... North Andover, Mass. Fee. :5c. No.. -l.?X. 3 . ...... PLU MBING INSPECTOR Check# WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date 7 "' 20 Permit #I Building Location s f 116?A11,AAP7-4*1?j5 Owner's Name Type of Occupancy �❑ ❑ New � Renovation ❑ Replacement ❑ Plans Submitted Yes No FIXTURES y V v H do to ► U G ►. to N `° y �' R oyi G Q ti H � 1! ►�. $ X a L. cc q Q o w i r 2 J e° tl iai� D A .� x [= cn w U Q¢ x m O ML ©©ori■■■■■■■■■■■■■■■■■■■ Installing Company Name e�� 4M 1WW Y � Check One: Address 32 �nA/�1Q�/�S fCorporation ❑ Partnership Business Telephone � ❑ Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE I have current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes [� No ❑ If you have checked 3= please indicate the type of coverage by checking the appropriate box A liability Insurance policy �' Other type of indemnity ❑ Bond ❑ Certificate .p Owner's Insurance Waiver. I am aware that the license does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 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 the permit issued for this 3application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Charter 142 of the General Laws. By Title City/Town Signature of Licensed Plumber tl jr Type of License: Master ❑� Journeyman ❑ License Number_��3 g w Q N Q A 5 3444 Date. .................. 40RTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........................ / .................. has permission for gas installation,.-��-�,��:,' : ................. in the buildings of ................................ ............ ...... North Andover, Mass. at FeC. .... Lic. No ........... ......... S INSPECTOR WH/ITE: Applicant CANARY: Building Dept. PINK: Treasurer 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) •���C����4 ,MA Date/0203 Receipt# Permit# Building Location c C e Owner's Name 1 G.c' Qc M e Map: Lot: Zone: Type of Occup 7;ians New Renovation C3Replacement ❑ Submitted Yes ❑ No ❑ (i Installing Company Name EASTERN PROPANE & OIL, INC. Checkone: Certificate Address 131 WATER ST DANVERS MA 01923 Corporation Estimate Valueof Business Telephone 800-322-6628 Name of Licensed Plumber orGas Fitter ❑ Partnership ❑ Firm / Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yes 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 Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: Owner Agent❑ Signature of Owner or Owners Agent 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 underthe permit issued fo application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene La s. By Type of License: Plumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter 4� 1 F! Master License Number `1 City /Town Journeyman APPROVED (OFFICE USE ONLY) Revised 05/17/00 WIN ��uoou�oo�n�nn��o� �ummomnouo� �m��uuo��mum�mo� NE Installing Company Name EASTERN PROPANE & OIL, INC. Checkone: Certificate Address 131 WATER ST DANVERS MA 01923 Corporation Estimate Valueof Business Telephone 800-322-6628 Name of Licensed Plumber orGas Fitter ❑ Partnership ❑ Firm / Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yes 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 Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: Owner Agent❑ Signature of Owner or Owners Agent 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 underthe permit issued fo application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene La s. By Type of License: Plumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter 4� 1 F! Master License Number `1 City /Town Journeyman APPROVED (OFFICE USE ONLY) Revised 05/17/00 V M 0 0 -4 O a V V r A a i O z m O z V m -1 O 0 O 0 a fA T �1 z O m m z O O m y to m f- 0 O T O a. O T 0 in c to m O z r 1 Location No. — /I Z. Y, Date /2,710' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 13559 Building IAP-kor N ... � .� � �• 7 y NT Ml Z ✓ � � v C ? � iN 7 � � "z7 i 7 rl 0 -► o ® � Q I in cn in v •n z cr �{ Q _ 20 Ln 'F n T �z C �. cn c ��0 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. *AFPLICANT FILLS OUT THIS SECTION*********************** APPLICANT G PHONE_- LOCATION: Assessors Map Number PARCEL �O SUBDIVISION h. �=l v� . LOT (S) r� STREET L5 0# f ,hae ST. NUMBER USE RECOMMENDATIONS OF TOWN AGENTS: N vv4 44ome- (10 �d�ru CONSERVATION ADMINISTRATOR COMMENTS TOWN LA 'NEER , COMMENTS _ FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED 4 ?mac 4 - DATE APPROVED �i I DATE REJECTED DATE APPROVED DATE REJECTED ,st/rit INSPECTOR -HEALTH DATE APPROVED lam_ DATE REJECTED COMMENTS PUBLIC WORKS - SEVVER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT e lq_��v Of'� i �� �r(T� RECEIVED BY BUILDI%IG ii ISPECTOR DATE Revised 9197 im N2 _0738 T PROVENILCONTR E ACTOR 4114187 Yt Type: BOA 'CROVLEY CONSTRUCTION'S LC, 'x S TEPHEN , CROULEY Date .... TOWN OF NORTH ANDOVER RECEIPT This certifies that A Cry.J.1e . . ..... Cpe�-,�t ........................ haspaid ..................t. / .... (5. V...je, .. ep ....................................... for ....... .... /oeontl, Received by ....................... ....... ........................ 1::�o to ( -, c— ........... Department.......................................... I ....... o .................... 0 WHITE: Applicant CANARY: Department PINK: Treasurer 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. CO I LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR OWNER'S & CONTRACTOR'S PROT SCP33180507 01/29/99 01/29/00 GENERAL AGGREGATE $ 600000 PRODUCTS - COMP/OPAGG $ 600000 PERSONAL &ADV INJURY $ 300000 EACH OCCURRENCE $ EACH OCCURRENCE $ 300000 FIRE DAMAGE (Any one fire) $ 50000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL MED EXP (Any one person) $ 10000-, AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) I I I PROPERTY DAMAGE 1 $ ITEMS Carpentry Residential Town of North Andover Attn: Building Inspector 120 Main Street N. Andover MA 01845 NANDOVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTIC SE NO OBLIGATION OR LIABILITY OF ANY KIN UPON THE COMPANY, IT AGENTS OR EPRESENTATIVES. GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ ........................................ ..................................... ... ................ _............ OTHER THAN AUTO ONLY: . EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WC4-0023520 01/15/99 01/15/00 X TORY WC STATU- OTH- LIMBS ER .:: EL EACH ACCIDENT $ 100000.... EL DISEASE -POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 10000 0 OTHER ITEMS Carpentry Residential Town of North Andover Attn: Building Inspector 120 Main Street N. Andover MA 01845 NANDOVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTIC SE NO OBLIGATION OR LIABILITY OF ANY KIN UPON THE COMPANY, IT AGENTS OR EPRESENTATIVES. Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) Map and Pakel : Purpose of AXication (check below) Pon N r, f • ' pljcant: • _ Single Family _ Two Family I the undersigned applicant for the above property attest that the attached building permit for 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 Building 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 is, 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 check 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-law, provided that no additional residential unit is.created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.aare met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. 'I 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 adjacent 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 an the par 1. 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 attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. ;11 T,_L 0 1 1,5 ignature of wner or Authorized Agent wh ed the Attached Budding Permit Date ` This form st be attached to the Build' g e it upon application for such permit. 0 1 , ")r 927 'APPLICATION FOR WATER SERVICE CONNECTION rm2 (.ill 4, -ic Mi 'NorthAndover, '-'i;a'ialin in �re Application by the undersigned is hereby maje connect with the town water m `to ' Street, subject to the rules and regulations of Division of Public Works. g 0, 1;A 2 The premises are known as No. Street or subdivision lot no. Owner Address Contractor Ad es"'' brIG b-'-, loot 0 4y (Applicant 4ignature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Work's hereby grants permission to V�d to make a connection with the water main at / �'�� , ��-'S�f/r�'_ -� subject. to the rules and 'regulations of the Division of Public Works. Inspected by Date Street See back for rules and regulations a TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fax(508)688-9573 DRIVEWAY PERMIT Date: L? 9�q LOCATION: J C� BUILDER: phone: OWNER: e6,) , phone: 7c 2S The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ■ Remarks: Approval: MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE:- `I ";?PVC: C: e 77 DATE OF PLANS: TITLE: PROJECT INFORMATION: Long Pasture Estates or 2 family, detached Other (Non -Electric Resistance) Permit # Checked by/Date COMPANY INFORMATION: Crowley Construction Corp. A COMPLIANCE: PASSES Required UA = 322 Your Home = 324 Area or Insul Sheath Glazing/Door --------- __�Perimeter R -Value R -Value U -Value UA -- CEILINGS 2242----30.0_ 2.0 WALLS: Wood Frame, 161° O.C. 512 13.0 3.0 72__ 72 GLAZING: Windows or Doors 289 0.354 141 36 DOORS 42 0.350 FLOORS: over Unconditioned Space 2023 19.0 15 HVAC EFFICIENCY: Furnace, 94.0 AFUE ------------------------------------------------------------------------------ 96 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other' calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. 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 125W of the design load as specified in sections 760CMR 1.310 and J4.4. Builder/Designer ��f� �G� Bate !a 1�� 4AScheck INSPECTION CHECKLIST Massachusetts Energy Code 4AScheck Software version 2.0 DATE: 4-14-1999 Bldg. Dept. Use CEILINGS: 1. R-30 + R-2 Comments/Location WALLS: 1. Wood Frame, 16t1 O.C., R-1.3 + R-3 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For windows without labeled U -values, describe features: # Danes Frame Type _ Thermal Break? C 'Yes [ No Comments/Location DOORS: 1. U -value: 0.35 Comments/Location FLOORS: 1. Over Unconditioned Space, R,-19 Comments/Location,,, HVAC EQUIPMENT EFFICIENCY: 1. Furnace, 94.0 AFUE or higher Make and Model Number THERMOSTATS: Adjustable thermostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.51, clearance from combustible materials and 311 clearance from insulation. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. rifuNT TATCTTT-ArrT/1A7. i ] Ducts in unconditioned spaces,must be.insulated to R-5. ' Ducts outside the building crust be insulated to R--8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and.J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ---_NOTES TO FIELD (Building Department Use Only) ------------------------- 0 a) -i < 4*00 9 c o Cry o a)o o In m Z 1 '•*0 _ Q�) 3 � N _ aJ F�5D C IM T N n � o ff -v 3 m -� CL a 4l d O NA E3 N (D E3 O09 (D ((DD Op O �, _ W 3 (D D Q 3 O � -*ft, � < CDm n o cD o s u LO 0 CLI� V a C Ln 3 ncli O O C :� C C N IMEc '+ -�N fD o QUll .-► 5-0 fD 77 Ln '+ � N (D (D ; nj CL .» O EIM o C ISO:* mn a �--� o CAI F)7_ (� NO x O -t U 4K Tp�` r+` -a �0 D ^ D ° C Z O m x � n s � �I U) 30 m m U m CA CD C z O O � r CL _. D cm O ®v CD C� Q CD o 5: O_ O CD H CD 0 kl J d Cl) CID O P� a CD CD B. CA CD CIS Im O CD O C CD El GI Q y O d rri m� m n a �o � 1 GI Q y O d rri m� m n a �o � C', Z � CDy � 5 z rrri 3 m a5 ,.r CD y C O N = W yWC3 Cl) O zs.cc-) 0 O y O �. :� O . 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