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Miscellaneous - 10 MAYFLOWER DRIVE 4/30/2018
Date ... ... q ............ ......... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... / "7"j f -J, ^5 A ....................................... .............................................................. has permission to perform .... P,j / .................................................................................... wiring in the building of ...... ......................................... I .......... leIA -_l .1 ..... ... ........ ....... ..... .. at....................................... ) ....... 6Z ............................................... . �orth Andover, Mass. Fee5'?,5!!z ...... Lic. Nd&jO .... AW .......... ....................... 41, . ... . ........ /1,11, .. ........ ...... ELEcnucAL NspEcrm Check it .- p I /- 2 tel. 1 16-1' 4 a Commonwealth of Massachusetts officiaTC, se - 2Permit No.` '' o Department of Fire Services Occupancy and Fee Checked a BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07j (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: � - k Z - I L� City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) t o Mail Owner or Tenant tv, 1y\c, Telephone No. t09'-3>ce— X630 Owner's Address Is this permit in conjunction with a building permit? Yes 9 No ❑ (Check Appropriate Box) Purpose of Building Iv Aw &u �t Utility Authorization No. 14 g6- 6e -52— Existing Z Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service `aexa Amps \11 / 7 kv Volts Overhead ❑ Undgrd �4 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��� , S,�^S(C Fo,t.;lV %\ov s e Completion ofthe fnllnwina tnhle mnv hp wnivad by tho Tn.cncrtnr nfWire.s- No. of Recessed LuminairesNo. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number ._ ................................................ Tons KW . No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsWing: No. of Devices or E uirivalent OTHER: Esgated Value of Electrical WorkAttach additional detail if desired, or as required by the Inspector of Wires. \� U �G (When required by municipal policy.) Work to Start: `�� j 3 -1 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. a <<A� �� ;� rc.. LIC. NO.: 0 \QO Licensee: —_ C� o, \n1&N Signature LTC. NO.: (If applicable, enter "exempt" in the lice se nayber h e.) Bus. Tel. No.• 112L aq L----7 130 Address: `A � w� N\)Z . arX�; MA . (mw Alt. Tel. No.: q-& -M (a - 11 G *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No.)TRMIT FEE. $ ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shallbelimited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: IS Trench Inspection Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass r3l Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass n Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTIO Pass 0 Failed IM Re- Inspection Required ($.) ❑ Inspectors Comments: n A Inspectors Signat re: Date: FINAL INSPECTION: Pass [N Failed Re- Inspection Required ($.) ❑ Inspectors Co ments: 77-7 o Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIM , MA. .......dweinhold@townofinerrimac.com The Commonwealth o Massachusetts - Department ofIndustrigl Accidents Office of Investigations, kvi 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #; Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I - ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 1211 Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. I Homeowners who submit this affidavit indicating they hire doing all work and then hire outside contractors must submit a new affidavit indicating such. _tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy anal job site information. Insurance Company Policy # or Self --ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Simature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone #: �� 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 ofhire,- express or implied, oral or. written.,, An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a j oint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. AIso be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington. Street Boston, MA, 02111 Tel, # 617-727-4900 east 406 or 1-877:MMSM . SMFB Revised 5-26-05 Fax ## 617"727-7749 www.m,ass.govaa ,,-,77- M e vyDsoli <>;;;< W v' : T ID .. 3 u N Ln.. W Z;. J '. 00Co UL co a:z ; _ 0 :n. J Q co- «J; • its U - �;J uj LU w Go a.;;_ M e 1 03co 9 This certifies that..��4hsl ff ................... has permission to perform ...... ........ plumbing in the buildings of ...... .................. Date.q . .... ..... ...... ... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING at.. Fee.,:5'A Lic. No . ..................... Check # I . I ......... ................... /North Andover, Mass. QL—�14 PLUMBI INSPECTOR 6�_'\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK TYPE OR PRINT CLEARLY CITY01 V7 P0`A10Uq MA. DATE PERMIT # JOBSITE ADDRESS ( 0 OWNER'S NAMEP OWNER ADDRESS TEL FAX OCCUPANCY TYPE: COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL NEW: RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO ❑ �� FIXTURES -1 FLOOR-_ BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 2 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER i FOOD DISPOSER I FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK Y LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION i WATER HEATER ALL TYPES , WATER PIPING OTHER INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which, meets the requirements of MGL Ch. 142. Yes MN. ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ["J 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement - Signature nature of Owner or Owner's Agent CHECK ONE BOX ONLY: OWNER ❑ AGENT I hereby certify that all of the details and information 1 have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME STiEP1460 ice;_ GALJOS10 SIGNATURE ,� I /i�&i& LIC W-1 0 34 MP [' JP ❑ CORPORATION [X# 319 b PARTNERSHIP ❑ # LLC ❑ # COMPANY NAME 6AL4137SKK Pc-tlM04Jilb ADDRESS: P•0� GGX 1,704 IFFY_ NAyER4+ll.t, STATE M•A- ZIP 01M EMAIL wvvw. mrplumbegwl, cov►► FEL g7K- 37'4- 174 3 CELL •505" 50cI— 5g0q FAX g?$" rel - &4 3q �,A V k 'V ,ffi Date ...... 12.� �&. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4 �This certifies that .... pv� .................................................................... has permission for gas installation in the buildings of ....... /A ... Xow .. at................................................................................................. . N?qh A�dover, Mass. 4 Fee../.P.,4..-.&�Lic. No.Y!��3.* .... ... ............................ Check # C4 W E -a O z z 0 U W a z w t � Z❑ z C) m al >� CO) ~ w � o o Z U auj F- � � W z Q w > 0- [] c � z s � z � Q r Q r 0 z z 0 U W a, z v i a a v � Q -I GOWNER PPE OR CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: _HmT4 firiy9jL - MA. DATE: "/ PERMIT # JOBSITE ADDRESS: 10 !Ni 1'4'/ i21L1U" F OWNER'S NAME: ADDRESS: TEL: FAX: OCCUPANCY TYPE: COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL NEW jD RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO ❑ APPLIANCESZ FLOOR— Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liab 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 of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER F1AGENT ❑ SIGNATURE OF OWNER OR AGENT � hereby certify -that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application w I be in compliance with all Pertinent provision of1he Massachusetts State Plumbing Code and Chapter 142 of the General Laws, PLUM BER/GASFITTERNAME:STEP1♦EN C. GALINSKY LICENSE# 103q$ SIGNATURE COMPANYNAME: 6AL)AgKq PLUIA6146 -t I4C-Kt11J& ADDRESS: P.0. WX 1701 CITY: OIAU'EkHIL.t STATE: m -A. ZIP: 01231 FAX: 979- 0011-14131 TEL: 17913 CELL: 901 - 504- 5gt)1! EMAIL: WV 'i . mrolu-mbea4)xol. tarn Z V MASTER V JOURNEYMAN ❑ LP INSTALLER ❑ CORPORATION [•V# 3 1 9G PARTNERSHIP ❑ # LLC Ai1 h w H O z z 0 H U w a, w G % El a z z o a) ;❑ w � ~ w x � ` o o w F CL z U w 3 W U) a w Q w � a L7 z All Q O �. Q � U r-' x F �- a Q w LU w H 0 z z 0 H U W a, C7 C7 239 Date. . ...... AORTH TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION This certifies that ...... ...... .................... has permission for mechanical installation ............. in the buildings of ... ':�- �- vn e�� ........................ at ..... 0 .,-NQrth Andover, Mass. Fee ... Lic. No.1, .................... GASINSPECTOR WHITE: Applicant ANARY: Building Dept. PINK: Treasurer .41 s Commonwealth of Massachusetts • R Sheet Metal Permit Date: Permit # 2 .-/1 0 / Q�4k_ Estimated Job Cost: $ Do 0 Permit tee: $ Plans Submitted: YES NO Plans Reviewed: YS NO Business License It 196 Applicant License ll l ag Business Information: Name: J&J Beating. & Air Conditioning Street: 17 Arlington St..:_ City/Town: Dracut, MA 01826 Telephone: 978-454-8197 Photo I.D. required / Copy of Photo I.D. attached: J-1 / M -1 -unrestricted license - �t Property Owner / Job Location Information: .Name:,Ic ' ((}� -1–�� ' ►� Street: City/Town: North Andover, MA 01845 Telephone: YES NO — QQ Staff Initial J-2 / M-27restricted to dwellings 3 -stories or less and cominercial up to 10,000 sq. ft. / 2 -stories or less Res idelitial: T--2-fatiiil7y "Multi -family Condo / Townhouses Other Commercial: ' Office Retail Industrial Educational Institutional Other Square Footage: under 10,0.00 sq. it. ✓' over 10,000 sq. ft. Numbcr of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: I1VAC t/ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: Su, /., 4, 1. �i�7a6//,'c s- e-r--.-�-- ur INSURANCE GUVLKAUL: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L: Ch. 112 Yes ❑ No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: 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 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxl], I hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Date Date By Title Cilyffown Permit # Fee $ Inspector Signature of Permit Approval Progress Inspections Conunents Final Inspection Type of License: [Master t ❑ Master -Restricted ❑Journeyperson ❑Journeyperson-Restricted Comments Signature of Licensee License Number: Check at www.mass.gov/dpi Ass ;clu5�ra; - J..' M°,1d DICIENSE 4a IS - DU END 4d Nl16IU Rj05 03-2011 � NoNE : S9965587 -t ' m 4xa CI.AAS;h A2 RES- 1 5,SEx Mt1 1 �bM NONE i ....• t h "'� �ul Ptit 5 r Airy :. LANE r z RJ 0 83 LONG DR " DRACUT, MA 0`1826-2048 soDosoa.aalta. misaoos COMMONWEAI_TII OF MASSACHUSETTS SHEET ME T o ►. WORKERS AS A MASTER- 'iNRESTRIQTED ISSUES ri-i L: ABOVIE UG(—. SII- 10: I1 ERIC R KLINE l tm i J & J HEATING & Air! 17 ARLINGTON ST.. DRACUT MA 1)1E -2G-393 1. S 6 It 0.512811 (4 l'6'i '�. ` • ` ACORD �, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUCER' y7x 887.4900 FAX 978.887,2404 Edward F. Sennott Insurance Agency, Inc. 16 South Main Street P. 0. Box 457 Topsfield, MA 01983 wsulieD&J Heating &Air Conditioning, Inc, 17 Arlington Street Dracut, MA 01826 06/03/2013 THIS CERTIFICATE IS ISSUED AS 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. INSURERS AFFORDING COVERAGE NAIC N INSURERA: Great American Alliance Ins Co INSURER B: Safety Insurance Company _ 39454 INSURERc: A.I.M. Mutual Insurance Co. INSURER D: _ COVERAGES NSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE TO THE INSURED NAMED ABOVE FOR THE ANY REQUIREME=NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH MAY PFRTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR DD'1---____— .._____� BEEN NSR TYPF OF INSURANCE_ GENERAL LIABILITY X COMMERCIAL GENERAL LIARILII'Y A CLAIMS MADE f X 1 OCCUR GIc N't. AGGREGAIE LIMIT MPLIES PER: r'oucy Llg L LOC AUTOMOBILE LIABILITY ANY AU10 ALL OWNED AUTOS t.; X SCHEDULED AUTO S X 111REDALTOS -_X_ NON -OWNED ADIOS GARAGE LIABILITY --- i ANY AUIO �_EXCCSS/ UMBRELLA LIAR ILITY -X A 1 OCCURCLAIMS MADE DEDI1C1113LE __ III-- '11N'IION $ WORKER$ COMPENSATION AND F..MPLOYERS' LIABILITY ANY I'ROI'lilf: T'OHIPMTNI'R/I:XFCUTIV[IY-/ N C OFFICFII/MIMREn EXOI_L1DI=p'? J (Mnndalory In NII) If yes, CIPSmihe under _ '"CLI f'nOVIYONS beluw OTHER POLICY NUMBER POLIC'EFFECTIVE MMID POLICV EXPIRATI( PAC6418906-07 06/01/yyyy 2013 06/01/20 24345501 06/01/2013 06/01/2014 UMB6418958-05 06/01/2013 06/01/2014 WMZ-800-8006553-2013A 06/02/2013 06/02/2014 DESCRIPTION OF OPf_RATIONS / LOCMIONS / VEFIICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS cERTll-ICATF tiOLDEIi Lvidence of Insurance ACORD 25 (2009/01) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 11-S AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Peter Sennott/AAM - © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 'ULIUY PERIOD INDICATED. NOTWITHSTANDING �H THIS CERTIFICATE MAY BE ISSUED OR IMS, EXCLUSIONS AND CONDITIONS OF SUCH N - LIMITS EACH OCCURRENCE DAMAGf I(Ufl[NTff - PREMISES (Eaoccurronco_ $ 1,000,000 $ 300,000 MED EXP (Any one parson) $ 10,000 PERSONAL 8 ADV INJURY $ 1 000 00 GENERAL AGGREGATE PRODUCTS- COMP/OPAGG $ 2 , 000_, 00 $ 2,000,00 COMBINED SINGLE_ LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AC'C - EACH OCCURRENCE - $_ 2,000,000 AGGREGATE $ 2,000,00 X TORY LIMITS _ ER $ E.L. EACH ACCIDENT_ $ 1,000,000 E.L. DISEASE • EA EMPLOYEE $� 1,000,000 E J_, DISEASE -POI -ICY LIMIT _ $ 1 000 , 00 ate \ The Collnrtm►wealth of Massachusetts Print f orm 1, 1)eparlrrrc►rt tlf llrtlr►stt•itil Accidents Office .Ilivestigatlo►ls .��V ' (,� t;r 100111 re,S,S St►•eel, ,dile .100 =� Ilovloi1, X941-1 02.114-2 (L17 lututu.rr►ass. go v/dia Workers, COmpcnsation II1SIIt•:InCe Affidavit: 13nildcrs/Cont:ractors/Elcci:ricians/1 lurnhcrs i� > >licaltf �nf(►rmalinn Please Print V e gil)I Name (I)usincss/(:)rt,anixolion/In(liviilual):--1—FxJ Beating -b Air. Conditioning, Inc. Address: 1.7 Ar_-l.ington. St. l/_1)� –('ly/I MA —Phone J: 973-454-3197 "yonan . / cnlpinycr7 Check the appropriale box: and a cnlployc,' \.vial, 4U 4. ❑ 1 1111 a gelleral contractor and rr cillployces (VIII) mulkir part4llllc).`I0 haVC hired tilt Slll)-C0nIraCt.orS 18111 a Style pl'(,prlclor or partner- listed oil the attaCI1CCV ShL'Ct. , shill and have no employees Vilest sub-conanclors Have working til,' me in any capacity. employees and have workers' INo workers' com, h,ln l,cc comp. insurancc.l rcquired.I I ❑ We arc a. corporation and its I am a hoInum"c,' loin, ;III \w,I ofllums have excivied their nrysel1. 1 N workers' comp. right of exemption per MGL IIItiIIraI1CC I'Cgllll'C.(L I I c. 152, § 1 (41 and we Have no employees. [No workers' ----- _ comp. insurance required I Type of' project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Dernolihorl ). ❑ 131.1ilding addition 10.❑ Electrical repairs or additions I I.❑ I'll.nnbint; repairs or acldilions 12.0 RooFrepairs 13.❑ Other *Any applicant (hal checks hnx !l l l nmsl also rill onl the scdion below showing Ihcir workers' colipensationpolicy inrornn uilio. l I Ioniamners who snhmil Ihi, In -1 iudicaling they are doing ;ill wiak and Own hire outside 00, M, must submit a new, al'ridavil indicating such. li_'onloaclnrs Ihat check Ibis bos nnisl allached an addiliuoal employersshccl showing; the namacl e orki: sub-conUors tlnd shit wholher Or nog tow clilllloS have . Ifthe suh-contractors have enyiloye.c.s, Ihcy nwsl provide Iheir worker's' comp. policy number. / run au e nip!«yet' Ih«1 i.c prunirlin�� a «r/rcrs' cnr)I/)ell.calion i)terrr«I)ec %nr )))y enq)l«yee.v. Below is the policy and job site ilJ%uruxlti«IJ. Insurance Con,pally Name: A.I:.M, Mutual_ Insurance Policy 11 or�cll=ins. I.,ic. ll: WM7.-800_-8006553-l._01.3A ----------------- ----1. -- — Expiration fate: 06/02/20_14 ,loh Site Add css:,_Ala_ i _L.g�- City/State/%ip:_ Bq ---- Affac.h a copy of Me workers' conlpensalioll policy declaration page (showing fhe Policy ro to scclnumber incl expiration date). I ailu.n'c coverat;c as reiluired under Section 25A of MGI-, c. 22 can bad to the hMmsition ofu mina) penalties oFa line up to $1,500.00 and/or one -yea,' In,prisonnann as \well as C&H MAKS III Q, Ann of a S fOP WORK OR1M and a fine of up fo $21114)fra day a>;) list the violator. Re advised That a copy of this Stal:cmcnt play be forwarded to the Office of Invcslil{a ions of thec l�of insu 'p.ICC�covcr:lbc vcriticat oil. 1 rin heI'cl1 11 l h_Y_r_cC�r1«�.Irte t /rfNL1' rill )cllrrltir'A' Ql )eym y that the i)I iwimrlioll l)/Y)Vir1e,1 above is hue «nrl correct. I ��..T% S igi I'honc N: O%/ic irrl n.ce n»lt,. /10 it,,/ ivrilc ill this rlre«, to he conyVeled by city «r• lnwll nffici«l. Cily oll-Town: Permit/Liccuse it Issuing Aufhor'ify (circle one): I. Ilnard of I lealih 2. Building Department 3. City/Town Cie,.Ic 6. Ofhcr Confacl Person: 4. Elech ical Inspector S. Plumbing Inspector Phone It: Type of' project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Dernolihorl ). ❑ 131.1ilding addition 10.❑ Electrical repairs or additions I I.❑ I'll.nnbint; repairs or acldilions 12.0 RooFrepairs 13.❑ Other *Any applicant (hal checks hnx !l l l nmsl also rill onl the scdion below showing Ihcir workers' colipensationpolicy inrornn uilio. l I Ioniamners who snhmil Ihi, In -1 iudicaling they are doing ;ill wiak and Own hire outside 00, M, must submit a new, al'ridavil indicating such. li_'onloaclnrs Ihat check Ibis bos nnisl allached an addiliuoal employersshccl showing; the namacl e orki: sub-conUors tlnd shit wholher Or nog tow clilllloS have . Ifthe suh-contractors have enyiloye.c.s, Ihcy nwsl provide Iheir worker's' comp. policy number. / run au e nip!«yet' Ih«1 i.c prunirlin�� a «r/rcrs' cnr)I/)ell.calion i)terrr«I)ec %nr )))y enq)l«yee.v. Below is the policy and job site ilJ%uruxlti«IJ. Insurance Con,pally Name: A.I:.M, Mutual_ Insurance Policy 11 or�cll=ins. I.,ic. ll: WM7.-800_-8006553-l._01.3A ----------------- ----1. -- — Expiration fate: 06/02/20_14 ,loh Site Add css:,_Ala_ i _L.g�- City/State/%ip:_ Bq ---- Affac.h a copy of Me workers' conlpensalioll policy declaration page (showing fhe Policy ro to scclnumber incl expiration date). I ailu.n'c coverat;c as reiluired under Section 25A of MGI-, c. 22 can bad to the hMmsition ofu mina) penalties oFa line up to $1,500.00 and/or one -yea,' In,prisonnann as \well as C&H MAKS III Q, Ann of a S fOP WORK OR1M and a fine of up fo $21114)fra day a>;) list the violator. Re advised That a copy of this Stal:cmcnt play be forwarded to the Office of Invcslil{a ions of thec l�of insu 'p.ICC�covcr:lbc vcriticat oil. 1 rin heI'cl1 11 l h_Y_r_cC�r1«�.Irte t /rfNL1' rill )cllrrltir'A' Ql )eym y that the i)I iwimrlioll l)/Y)Vir1e,1 above is hue «nrl correct. I ��..T% S igi I'honc N: O%/ic irrl n.ce n»lt,. /10 it,,/ ivrilc ill this rlre«, to he conyVeled by city «r• lnwll nffici«l. Cily oll-Town: Permit/Liccuse it Issuing Aufhor'ify (circle one): I. Ilnard of I lealih 2. Building Department 3. City/Town Cie,.Ic 6. Ofhcr Confacl Person: 4. Elech ical Inspector S. Plumbing Inspector Phone It: -- wrightsofto Load Short Form Entire House Job: Lot 2/ 10 Mayflower Date: 02/24/14 By: wt �d 577 ��rPro Inform�� le,ct anon .r; For: Key Lime Linc 1 Hepatica,• •• 01845 HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFU E 0 Btuh 0 Btuh 0 OF 834 cfm 0.033 cfm/Btuh 0 in H2O COOLING EQUIPMENT Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 0 SEER Area 0 Btuh 0 Btuh 0 Btuh 834 cfm 0.048 cfm/Btuh 0 in H2O 0.91 10268 ROOM NAME Area Htg load Clg' load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) 2nd floor zone 1096 12879 10268 430 489 1 st floor zone 1096 12088 8108 404 386 Entire House 2192 24967 17448 834 834 Other equip loads 0 0 Equip. @ 0.88 RSM 15302 Latent cooling 1787 TnTAl o, of no Inon - • �- � ,�+�• � � vvv vvT UJY Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ,_ wrightsoft' Right -Suite® Universal 2013 13.0.07 RSU05790 ACCP.... sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N 2014 -Mar -10 07:24:44 Page 1 -- wrightsofte Load Short Form 1st floor zone For: Key Lime Linc 10 Hepatica, North Andover, ma 01845 Job: Lot 2/10 Mayflower Date: 02/24/14 By: HEATING EQUIPMENT n/a Make n/a Sensible cooling 0 Trade n/a Latent cooling 0 Model n/a Total cooling 0 AHRI ref n/a Actual air flow 0 Efficiency n/a 0 Heating input Static pressure 0 Heating output 0 Btuh Temperature rise 0 OF Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Space thermostat n/a 328 COOLING EQUIPMENT Make n/a Trade n/a Cond n/a Coil n/a AHRI ref n/a Efficiency n/a Htg load Sensible cooling 0 Btuh Latent cooling 0 Btuh Total cooling 0 Btuh Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0 3 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Great room 272 2915 2420 97 115 stairs 1/2 bath 64 600 62 20 3 Lving room 35 144 68 2513 7 2173 2 84 0 103 foyer Dining room 111 142 1105 1892 203 1284 37 63 10 kitchen 328 2994 1959 100 61 93 lstfloor zone Other equip loads 1096 12088 8108 404 386 Equip. @ 0.88 RSM 0 0 7111 Latent cooling 474 TOTALS 1 nQF 1 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ' wri htsoft°2014-Mar-10 07:24:44 Right -Suite® Universal 2013 13.0.07 RSU05790 RCCA ...sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N Page 2 -- wrightsoft. Load Short Form 2nd floor zone For: Key Lime Linc 10 Hepatica, North Andover, ma 01845 Job: Lot 2/10 Mayflower Date: 02/24/14 By: ROOM NAME Htg Clg Infiltration Htg AVF (cfm) Clg AVF (cfm) Outside db (°F) 5 83 Method Simplified Inside db (°F) 68 75 Construction quality 969 Tight Design TD (°F) 63 8 Fireplaces 1 (Tight) Daily range - M 80 170 109 Inside humidity (%) 50 50 177 2664 2645 Moisture difference (gr/Ib) 47 24 158 2903 2143 HEATING EQUIPMENT 102 COOLING EQUIPMENT 64 Make n/a 148 21 Make n/a wash room 46 Trade n/a 651 3 Trade n/a W.I.0 rid Model n/a „n Cond n/a AHRI ref n/a Coil n/a Efficiency n/a AHRI ref n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor Static pressure 0 cfm/Btuh Air flow factor 0 cfm/Btuh 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) Clg AVF (cfm) master bedroom 295 3627 2951 121 141 master bath 107 1491 969 50 46 Full Bath 115 836 538 28 26 2nd floor hall 80 170 109 6 5 bedroom 2 177 2664 2645 89 126 bedroom 3 158 2903 2143 97 102 2nd floor stairs 64 640 148 21 7 wash room 46 98 651 3 31 W.I.0 rid AC;1 „n Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. AQ� wri htsoft° 2014 -Mar -10 07:24:44 9 Right-SuiteOO Universal 2013 13.0.07 RSU05790 ACCA ...sktop\Wrightsoft HVAC\11 aprilways topnotch.iup Calc = MJ8 Front Door faces: N Page 3 2nd floor zone 1096 12879 10268 430 489 Other equip loads 0 0 Equip. @ 0.88 RSM 9005 Latent cooling 1314 TOTALS 1 n4F `rvv '-FOO Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. „Ri +� Right -Suite® Universal 2013 13.0.07 RSU05790 wri htsoft`° 2014 -Mar -10 07:24:44 ...sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N Page 4 -- wrightsoft.. Load Multizone Summary Report Job: Lot 2/10 Mayflower Date: 02/24/14 By: OEM EM 0 Clg load Btuh HtgAVF cfm C1gAVF cfm master bedroom 295 3627 2951 Heating 141 master bath Cooling 1491 ZONE NAME 50 Volume ACH AVF HTM Volume ACH AVF HTM 80 170 ft3 6 cfm Btuh/ft2 ft3 2664 cfm Btuh/ft2 2nd floor zone bedroom 3 9358 0.15 23 1.3 9358 0.08 12 0.1 1st floor zone 21 9864 0.15 25 1.3 9864 0.08 13 0.1 Entire House 451 19222 0.15 48 1.3 19222 0.08 26 0.1 T.,.� Load and AVF Summa, ROOM NAME Area ft2 Htg load Btuh Clg load Btuh HtgAVF cfm C1gAVF cfm master bedroom 295 3627 2951 121 141 master bath 107 1491 969 50 46 Full Bath 115 836 538 28 26 2nd floor hall 80 170 109 6 5 bedroom 2 177 2664 2645 89 126 bedroom 3 158 2903 2143 97 102 2nd floor stairs 64 640 148 21 7 wash room 46 98 651 3 31 W.I.0 54 451 114 15 5 2nd floor zone 1096 12879 10268 430 489 Great room 272 2915 2420 97 115 stairs 64 600 62 20 3 1/2 bath 35 68 7 2 0 Lving room 144 2513 2173 84 103 foyer 111 1105 203 37 10 Dining room 142 1892 1284 63 61 kitchen 328 2994 1959 100 93 lst floor zone 1096 12088 8108 404 386 Entire House 1 2192 24967 17448 834 834 1wrl htsoft '11,Mg Right -Suite® Universal 2013 13.0.07 RSU05790 2014 -Mar -10 07:24:44 ..sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N Page 1 wri htsoft Building Analysis Job: Lot 2/10 Mayflower g Date: 02/24/14 Entire House By: ti.� :.s.c#nfori" 2i For: Key Lime Linc 10 -Hepatica, North Andover, ma 01845 Component 60 • 0 EHIMMEMEMEW % of load Walls Location: 8950 Indoor: Heating Cooling Worcester, MA, US Elevation: 1010 ft 18.6 Indoor temperature (°F) Design TD (°F) 68 63 75 8 Latitude: 420N Outdoor: Heating Cooling Relative humily (%) Moisture difference (gr/Ib) 50 47.0 50 23.6 Dry bulb (°F) 5 83 Infiltration: 7.9 Infiltration Daily range (°F) - Wet bulb (° - 17 (M) 69 Method Simplified Wind speed (mph) 15.0 7.5 Construction quality Fireplaces Ti ht 1 Tight) 0 Component Btuh/ft2 Btuh % of load Walls 4.1 8950 35.8 Glazing 18.9 4638 18.6 Doors 24.6 516 2.1 Ceilings 1.6 1795 7.2 Floors 1.8 1970 7.9 Infiltration 1.3 3210 12.9 Ducts 3887 15.6 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 24967 100.0 Component Btuh/ft2 Btuh % of load Walls 0.6 1378 7.9 Glazing 27.4 6731 38.6 Doors 8.2 171 1.0 Ceilings 1.2 1265 7.3 Floors 0.2 241 1.4 Infiltration 0.1 209 1.2 Ducts 2333 13.4 Ventilation 0 0 Internal gains 5120 29.3 Blower 0 0 Adjustments 0 Total 17448 100.0 Latent Cooling Load = 1787 Btuh Overall U -value = 0.062 Btuh/ft2-°F Data entries checked. kIN L -Pf+ wrightsoft" 2014 -Mar -10 07:24:44 �� Right -Suited Universal 2013 13.0.07 RSU05790 Page 1 ..sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJS Front Door faces: N -- wrightsoft. Building Analysis 1st floor zone Job: Lot 2/10 Mayflower Date: 02/24/14 By: Ya ���� rs, x, a ,' ✓.'�ak".m5 w.,••;;' ,r euxt� s o ectln#ormat�on �� 115, 34, .a, d'.� m, 'N�;,,eawx For: Key Lime Linc 10 Hepatica, North Andover, ma 01845 Zes anTMn" fW Location: Btuh/ft2 Indoor: Heating Cooling Worcester, MA, US Elevation: 1010 ft 4540 Indoor temperature (°F) Design TD (°F) 68 63 75 8 Latitude: 420N Outdoor: Heating Cooling Relative humidity (%) Moisture difference (gr/Ib) 50 47.0 50 23.6 Dry bulb (°F) 5 83 Infiltration: 0 0 Dally range� °F) - 17 ( M) Method Simplified Infiltration Wet bulb (°- Wind speed (mph) 15.0 69 7.5 Construction quality Fireplaces Ti ht 1 Tight) AN -111 Ir 11,111 Heat�ng Component Btuh/ft2 Btuh % of load . Walls 4.1 4540 37.6 Glazing 18.9 2465 20.4 Doors 24.6 516 4.3 Ceilings 0 0 0 Floors 1.8 1970 16.3 Infiltration 1.3 1650 13.6 Ducts 947 7.8 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 12088 100.0 ,. .: fflICoolin .a �;1� s —Component Btuh/ft2 Btuh % of load Walls 0.6 699 8.6 Glazing 30.7 4006 49.4 Doors 8.2 171 2.1 Ceilings 0 0 0 Floors 0.2 241 3.0 Infiltration 0.1 108 1.3 Ducts 184 2.3 Ventilation 0 0 Internal gains 2700 33.3 Blower 0 0 Adjustments 0 Total 8108 100.0 Latent Cooling Load = 474 Btuh Overall U -value = 0.066 Btuh/ft2-°F Data entries checked. 04� -Fl+ wrightsoftm2014-Mar-10 07:24:44 �� Right -Suite® Universal 2013 13.0.07 RSU05790 Page 2 ..sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N -- wrightsoft. Building Analysis 2nd floor zone Job: Lot 2/ 10 Mayflower Date: 02/24/14 By: -. e rt4. � �i �.�r��<Sr+ �' ` ". A3'9 � r$� 43�e`;C..s Pro ect�lnform h� .;`,'; .�. Gt O «.A...:.a':si.ff For: Key Lime Linc 10 Hepatica, North Andover, ma 01845 ,�, 'e' T�*r�, ,;, +pi�� ,� `x .." I �,.F z. u:Desi nConditions.. Btuh e t $i e 4.1 4410 Indoor:Cooling Glazing 18.9 Worcester, MA, US Elevation: 1010 ft.- 16.9 Indmperature (OF) . 68 75 Latitude: 420N Outdoor: Heating Cooling --ly Moisture difference (gr/lb) 50 47.0 50 23.6 Dry .. (OF) 5 83 Infiltration: 0 Infiltration Daily 17 12.1 Simplified .. Win. .--. .• quality Fireplaces 0 :�'r � � �Ea. � s� �.. .. 11111111,z is �1� i t?u.3-t. und.w x&�"' ?. W3 0 Component Btuh/ft2 Btuh % of load Walls 4.1 4410 34.2 Glazing 18.9 2174 16.9 Doors 0 0 0 Ceilings 1.6 1795 13.9 Floors 0 0 0 Infiltration 1.3 1561 12.1 Ducts 2940 22.8 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 12879 100.0 Component Btuh/ft2 Btuh % of load Walls 0.6 679 6.6 Glazing 30.7 3535 34.4 Doors 0 0 0 Ceilings 1.2 1265 12.3 Floors 0 0 0 Infiltration 0.1 102 1.0 Ducts 2267 22.1 Ventilation 0 0 Internal gains 2420 23.6 Blower 0 0 Adjustments 0 Total 10268 100.0 Latent Cooling Load = 1314 Btuh Overall U -value = 0.058 Btuh/ft2-°F Data entries checked. I by I—:_- wrightsoft, Right -Suite® Universal 2013 13.0.07 RSU05790 2014 -Mar -10 07:24:44 ' r" ..sktop\Wrightsoft HVAC\11 aprilways topnotch.rup Calc = MJ8 Front Door faces: N Page 3 At Date ..... 6 .... I TOWN OF NORTH ANDOVER RMIT FOR WIRING This certifies that.0 0 C-11:1�' () L � -P— 04-e-4 e,- ........................ !::�n .................................................................................... I ....... has permission to perform ...... !!SP— wo,", Q a .................................................................................................... wiring in the building of ........ at ...... V) ..... Hk ... I .. . . .................................. . North Andover,/Mass.,V Fee .... 55 1 1� % i5 Nb // .............. Lic. No . ................. ... ...... 4 ........ ... hLECT16CAL INSPECrOe Check# 15-3-%o 11 J-11,06 ft ,A Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. ll b Occupancy and Fee Checked :ev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S = 2 /-3 City or Town of: /VOR7-11 ,SNPVFE 2 To the Inspector of Wires: By this application the undersigned gives notice of his'-6r—her intention to perform the electrical work described below. Location (Street & Number) y/-Ll�r.4/El2 Owner or Tenant ra N r Telephone Owner's Address /5 T/1t2NlQ/ / .5;-7– IVOAl M A1'JP1:2V-1C–Q- Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building %//Ll/Ly 110/llE Utility Authorization No. Existing Service Amps / Volts Overhead ❑ ... Undgrd❑ No. of Meters �( New Service c,= Amps L49 4—rt/(Volts Overhead ndgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: H G 0/ Completion of the following table may be waived by the Inspector of (Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans r o ota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- E:1o. rnd. rnd. o mergency r.ig t mg Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners and Ig–o.7Initiating Detng D vevices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers eat uum Totals er ons o. o e m - ontae Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ .unicipaI ❑ Other Connection No. of Dryers Heating Appliances KW ecurity ystems: No. of Devices or Equivalent No. o Water KW Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications firing: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Kk BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. FIRM NAME: TNr LIC. NO.:A1 1983 Licensee: LOUTS rONTTNO Signature . LIC. NO.:F2E7pg (If applicable, enter "exempt" in the license number line.) Bus. Tel. No. a 7_$ _ 3 E:i3 –5�4 0 Address: nn>\TnvnrT nu WES�NRW$Uy M_n1 985 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent - Signature Telephone No. F PERMIT FEE: $� �Y r V* r 0 /�/ 3/ Date .. .. ...... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ...... 4,4 . .................................. ....... ..... has permission for gas installation ��,o � / e,�, /), L in the buildings of .......................................... ....... . North Andover, Mass. at ........ /.() .... Fee.,, Lic.'No. !3 ............. A:�� ................................................ GASINSPECTOR Check # / (9 2 7- D t 12 //. 3//. 3 .............................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that /"-/, - la ** .............................................. .......................................... .has pennission for gas installation A!��.� ........ .............. in the buildings of A .......... i .......... .................................................................... ........... at ..... ...................... . North Andover, Mass. Lic. No. ........ ..................................................... GASINSPECTOR Check # )�a Z .00, G lc- cl b,61 �j, . 6 -C-\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK ulw,- CITY: NORTH ANDOVER MA. DATE: 12/09/2013 PERMIT # %vZ 4 JOBSITE ADDRESS: 10 MAYFLOWER DR OWNER'S NAME: KEYLIME INC GOWNER ADDRESS: TEL: 508-328-4630 FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL PRINT. / CLEARLY NEW: M- RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO APPLIANCES FLOOR Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER Gr 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 of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY 0 OTHER TYPE INDEMNITY ❑ BOND ❑ • OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted (or entered) regarding this permit application is true and accurate to the best of my KnoWedge. I certify that all plumbing work and installations performed under the permit issued, will be in compliance with all Pertinent provisions of the Massachusetts Uniform State Plumbing Code, and Chapter 142 of the General Laws. PLUMBER/GASFITTER NAME C�/ i���` &may C� ICENSE # 9-3� ^� SIGNATURE COMPANY NAME: OSTERMAN PROPANE LLC ADDRESS: �321A Merrimack St CITY: Methuen STATE: MA ZIP: 01844 FAX: 978-738-0118 Y/ TEL: 800-368-9956 CELL: EMAIL: INFO@OSTERMANGAS.COM 0 �1 MASTER ❑ JOURNEYMAN ❑ LP INSTALLERRRPORATION ❑# PARTNERSHIP ❑# LLC 2]h45-326.331111 e op egln R l0l p