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Miscellaneous - 120 WINDKIST FARM ROAD 4/30/2018
mm Date ........ s= ...... .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......A�Llc>L.. r A� has permission to perform .........? SCG / l,!J..l....... !�1 :............................ wiring)) in the building of.......LL..........���k..fi.......................................... at ..... l... d... ! .... . �7�1..5. , North Andover, Mass. `i cp G Fee.... , ................ Lic. No.....! �Zb........ ..qgR� �/ z/CAL INS?ECTOR Check # 6 "7 / 4(� I 17 v J ro, a st Ctfiicial uk oa1 . Peet. 106-3 Occupancy and Fee Checked BOARD OF FIFE PREVENTION REGULATIONS [Rev. 1107] legesblankl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11i vvwk to be peffin ued in acc(xAmce with the Massachusetts: Electrical Code ('kfEQ, 527 CNIA 12.110 (PLEASE PM71YIN"K OR TYPE ALL Pv'FORMtTION) Date:. Tuesday, July 16, 2013 Citi• or TaTv of N AN DOVERa the Inspector of fires: By this application the undersigned gives: notice: of his or iter intention to perform the electrical work described below. Location (Street & -Number) 120 WINDKIST FARMS RD Ovtner or Tenant JENNINGS, ANGELA TelephoneNo.. 9786836490 Owner's. Address 2 ALCOTT WAY Is this permit in conjunction n-ith a building permit? 'i es ❑ No © (Check Appropriate Box). Purpose of Bttil ins €'til; -q :Autbat zation No. %aisti .g SMice ,tips i volts New Service Limps i Volts ?umber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ No. of Meters ONwhead ❑ Undg 1 ❑ No, of Meters �rA. S:rt.,.. .,,t,r- ..._., L ._.r a....a_ a -c W . No. of Recessed Luminaires No. of Cei'1: Susp. (Paddle) Fans - ... o o Transformers K%7A No. of Luminaire Outlets No. of Hot Tubs Genetators K_V:i No. of Luminaires. Above ❑ - ❑ Swimming Pao) rntL rod. = o. mergenc} Loring Battery Units No. of Receptacle Outlets No. of Olt Burners MEA.;ARXIS FIN -1a. of Zones No. of Switches No. of Gas Barners No. o ' tectron an Initiating DevicesNo. of Ranges Total No. of Air Coad. Tons No. of Mertiug Devices No. of Waste Disposers ea p Tota s: am r ons .._.......- INC. o , - -on acne DetectioniilertinaDevices Yo. of Dishwashers Spac€fArea Heating Kik' Local [] MuRicippi [] Other Connection No. of DiTers Heating ?appliances ki curet. steins:' No of Ler-ices or Equivalent. 10.00 o. of Water KW a o. a . o. o, „_„ b s nx�'236 Data Wir' Bio; of De ices or L divalent 0.00 No. Hydromassage Bathtubs of ©. of Motors Total HP ecommunications 'irina: No. of Devices or E uivaest 1.00 OTHER: c.,O J. Estimated Value of Electrical Work:$1, 650.00 'attach addirronal dMit if dezireck a as rovd.rsd 6 the hcpectm- of Trines. (When required by municipal polite .) Work, to Start: Afy j P Inspections to be requested in accordance with MEC Rule 10. and upon completion. SLM4LCE COVERAGE: Unless waived by the owner, no permit for the performance of elftttrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The 8 C undersigned certifies that such coverage is in force. and has exhibited proof of same to the permit issuing office - CHECK ONE: LNSLt ANCE ❑ BOND ❑ OTHER ❑ (Specify) Ireitr; fy, tinder Nrepains andpenalnes ofpedri?), that Lite inforination ort this application is true and complete FMI NAME: -American Alarm & Communications, I nc. LIC. NO.: 12 12 C IMI A. Licensee: Richard L. Sampson, S r. SignaLIC -NO.: 5 0 2 :D fIf4PplicaNe,aMtsr`dxevrpt"inthe iic�auenumberine.l Bus. Tel: No. �R1-E>11-21i0i} Address: 297 Broadway, Arlington MA 02474.Alt. Tel,No,: *Per M.G.L. c.. 147,.s. 57-61, security work requires Departuient of Public Safety 'S" License: Lie. No. SS CO 000090 MA OIV NEWS IN1 U ANCE WAIVER: I am aware that the Licensee dm not txrve the liability insurance coverage normally required by law- By my signature befoul, -1 hereby waive this requirement_ I am the (check one) ❑ owner ❑ oumer`s agent. Owner/ Agent Signature Telephone No. PE'RM7T'FEE: S 45.001 The Commonwealth of Massachusetts i Department of Industrial Accidents Office ff of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization) IIndividual): American Alarm & Communications, Inc. Address:297 Broadway City/State/Zip:Arlington, MA 02474 Phone #:781-641-2000 Are you an employer? Check the appropriate box: LZ I atn a employer with 200 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp, insurance comp, insurance.# required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp, right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.l Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13. ❑ Other LC (()j "Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatuig such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. lam an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Massachusetts Employers Insurance Company Policy # or Self -ins. Lic. #:MCC 2000167012011 Job Site Expiration Date: 04/01/14 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisomnent, 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 that the information provided above is true and correct. n.,+o. 09/29/13 Official irse only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: I Date... �..�.�.................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......f' v E ... ^� Z P.. 4 -U ........................................................................... has permission to perform .. �v�✓ � N P ~) � ..........................................t.............A...-..-...- ....................... wiring in the building of... at .......�Z� \;�� �cX..K-� M �� orth Andover, Mass. ............. ................. ...... ........... Fee .............�'............... Lic. No Q .!.-!� .................t�� �j ELECTRICAL INSPECTOR Check # �� 1 <L\1� Commonwealth of .Massachusetts Department of Fire Services 4 BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 116 Z' Occupancy and Fee Checked [Rev. 1/07] (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 NK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector ofWires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) /,Z0 W. ,,7<3� 6 t'S7" ;--c:l.o-% KV e Owner or Tenant 6i r ; :Ce. s1» f i l G'S" Owner's Address Is this permit in conjunction with a building permit? Yes Pq Purpose of Building j Telephone No. ;79?1___99S�Zv_p_ No ❑ (Check Ap ropriate Box) t Utility Authorization No.. ` Existing Service Amps / Volts Overhead ❑ New Service Amps Z,,ZW I 9 YWVolts Overhead ❑ . Number of Feeders and Ampacity Undgrd ❑ No. of Meters Undgrd, No. of Meters el Location and Nature of Proposed Electrical Work: fl f f',e a�u2/0 . c- -- Comnlptinn nfthp fnllnwinQ table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans ✓ No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency ig ting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond.Tons Tot No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers P Totals: ' " ' """""""""""""'"' Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑Other Connection No. of Dryers / Y / Heating Appliances KW Security Systems:' No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, oras required by the Inspector aj rrtrer. Estimated Value of Electrical Work: �r QQt� (When required by municipal policy.) Work to Start: 5 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penaltie of perjury, that the information on this application is true and complete. FIRM NAME:. LIC. NO.: ��-100 Licensee:���, �„�r i'ET Signature LIC. NOS " 4F (If applicable, ent "exempt" in the lic a nut ,ber it .) Bus. Tel. No.: Address: sjr�/ Lam' ,f °i� d�j/�i'/j� f%%= Alt. Tel. No.: l *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/AgentPERMIT FEE: $ Signature Telephone No. ❑ 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 shall be limited 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: Trench Inspection Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signatur Date: .1 SERVICE ECTION: Pass &-,**'Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: �� �, , „ Date: 9 PARTIAL ROUGH INSPECT ON: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: r Inspectors Signature: Date: ROUGH INS ECTION: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspec ors Signature: Date: FINAL INSPECTION• Pass Failed'❑ Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrase Print Legibly umbers Applicant Information Please Print Name (Business/Organization/individual): �2 - Address: �1. %Zzi.,V ��i 7r�'e ��/moi . ne #: �2 City/State/Zip: Zj Pho Are you an employer? Check the appropriate box: 1. I am a employer with 1�2— 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet. 2. ❑ I am a sole proprietor or partner- These sub -contractors have ship and'have no employees working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their required.] 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. t c. 152, §1(4), and we have no employees. [No workers' insurance required.] comp. insurance required.] Type of project (required): 6. EJNew construction 7. ❑ Remodeling 8. ❑ Demolition 9. [] Building addition 10. ❑ Electrical repairs or additions 11. E] Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box 91 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Pplicy # or Self -ins. Lic. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as 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. Ido hereby cert uncle �IZepains and aloes ofperjury that the information provided above is true true and correct. Date, 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 #: V Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more Of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or 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 employee, 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 r 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. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, 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 1 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 bum 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 Massac-I setts Dopartment of Industrial Accidents Office ofIavestigations 600 Washington Street Boston., M.A. 02111 Tel. # 61.7-727-4900 ext 406 or 1-877�,MASSAFB Revised 5-26-05 Fax ## 617-727-7749 www-Mass,govfdia NWEALTH OF MA,8AcHti$i:-r,,, 4 -ELECTRICIANS AS A; REG JOURNEMAN ELECT.Rl(".')' A, N'� ISSUES THE ABOVE LICENSE TO: STEVEN G PANZEPO 44 PILLINGS POVEI ROAD LYNNFIELD MA 0194Q I 334013 E 8"8 0 9 �;2 This certifies that ....... ... ............. . has permission for gas installation .... ... . in the buildings of ./.. U ........ r !..�.... .......... at .. � �`.'.. `��-u .... ... .., North Andover, Mass. tj r Fee/IJU,dq. Lic. No/S/.-57...6... r.. .... ' = -�. .. ... GAS INSPECTOR) Check # Z� 8775 MASSACI!JSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK I`1 CITY MA DATE Cl PERMIT # Sill (-- -7- _ JOBSITE ADDRESS_ OWNER'S NAME GOWNER ADDRESS TE _ FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL01 EDUCATIONAL © RESIDENTIAL CLEARLY NEW: [s RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES E] NOF APPLIANCES Z FLOORS- BSM 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 _ _ GI , I L - -momJ= . 1 _I FURNACE A 1 GENERATOR GRILLE L� �. .1 F -7---J [- �._- _ INFRARED HEATER I ! F=71 LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER J ROOM / SPACE HEATER ROOF TOP UNIT [` _:. --1 TEST _ 1) I L�J --_I --- — _ _ (� I I --I - 1---- UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER L 1 T _RI I INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES J, __I NOE IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERA CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND I__( 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 0 AGENT �I 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 will be in compliance with all Perti ent provisi f Xe Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER-GASFITTER NAME _ � LICENSE # TY5_ - SIGNATUR MP �MGF [:]I JP �J JGF []_{ LPGI CORPORATION D# PARTNERSHIP I]#E LLC L I#I...__....=:=::v-.-=J COMPANY NAME: ADDRESS CITY( -- -- .._ ....___ . _._ � STATE ZIP ITEL FAXL CELL�.+➢m'AILL_ - - -�J o The Commonwealth of Massachusetts Department of IndustrialAccidihts Office of Investigations 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: (4? — ff3 --1/.?C Are an employer? Check the appropriate box: 1. M I am a employer with t 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. # 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. ❑ I 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. F1 Plumbing repairs or additions 12. ❑ 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 are doing all work and then hire outside contractors must submit anew 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 and job site information. Insurance Company Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as 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 cert/lo under the pains and pezM ry that the information provided above is true and correct. iiunafirra• / ,,/ nsta. //�C/ - —A`9 _?— /? 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 #: R`, 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 joint 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. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, 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 bum 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. TeX, # 61.7-727-4900 ext 406 or 1-877:MASSAFB Revised 5-26-05 Fax # 617"727-7749 wwwxnass,govfdia .............. has permission to perform ....................... plumbing in the buildings of ... ........................... at. . 64e-4• • • • • • • • • , , , , ....* ........ NoUrth� Wdass. Fee �� -�(�.O . Lic. Nol�5/--7 ... . .......... ... PLUMBING INSPECTOf�� Check 4 U v 1. 0 MA$SACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK -V` CITY __ _ _! MA DATE _!- ' I PERMIT # f - --� JOBSITE ADDRESS ✓✓l pt OWNER'S NAME POWNER ADDRESS _ —. TELE,______._IIFAX TYPE OR TYPE COMMERCIAL � EDUCATIONAL RESIDENTIAL OCCU7RENOVATION: PRINT CLEARLY NEW: ® REPLACEMENT: ©I PLANS SUBMITTED: YES Eq NOE FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM _ !._._..___k _.._ _.! ._ .___) DEDICATED GREASE SYSTEM _� ._..___._! _I ) ._-_----- _k DEDICATED GRAY WATER SYSTEM =1 . __-_._f k DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRiNKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN f _.._.._) ) f.._.__ k _._ _-k .__._! __....._� ____...__I _...-.._._) ..__.__) _....__.._k _.____�L.-AL INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY .------ )..-_____1..____J ROOF DRAIN k_l _.__._.k -...-__,_I __.j __. ---_f -.._..._-... _f ._,..__.__{ ...... SHOWER STALL I SERVICE /MOP SINK k l _..__..__f f k I _. f ...__._._� ___._.._! ._ TOILET URINAL 1 ._..__-�k i _..__..i ' ---.___k ._.......__t" ' i ( ..___) .._...-k ._.__.I WASHING MACHINE CONNECTION I I ! _ f .._--. ' 4 E ! i F-7 WATER HEATER ALL TYPES WATER PIPING _f _ __—ik _ _._..JIE=i . ! - -_--_ f f _ ___.k _ _ .- .__ ._ _•` T_I _ I _ OTHER —._. _ _--- -.� :.._ . _r� _T( k k .._._.__) __..____J —__-! __ —! --._.._k ._._....! ...._.__f --_.- -_i ._......) —J __._._f I INSURANCE COVERAGE: 1 have liability insurance its the MGL Ch.142. YES [P 0 Ili a current policy or substantial equivalent which meets requirements of IF YOU CHECKED YES, PLEASE INDICATE THE E OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY - OTHER TYPE OF INDEMNITY BOND 0 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 F AGENT JEJ SIGNATURE OF OWNER OR AGENT 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 sion he and that all plumbing work and installations performed under the permit issued for this application will be in compliance all P rtinent provi24 Massachusetts State Plumbing Code and Chap t r 142 of the General Laws. - PLUMBER'S NAME , - _ - „ _- . LICENSE # % SIGNATURE IMP WK JP CORPORATION 0# PARTNERSHIP D# LLC _ COMPANY NAME / 'ADDRESS ' CITY 6- ` - --- STATE I ZIP D TEL FAX CELL - / k MAIL Gni___•.__ . v 1. 0 on z z W �I HE Cd W LL t•' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations IF 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name Address: City/State/Zip:, Phone #: Are an employer? Check the appropriate box: Type of project (required): 1. I am a employer with 1 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub -contractors 7• ❑ Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. # ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5. El We are a corporation and its 10.❑ Electrical repairs or additions required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL 11. ❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. ❑ Roof repairs insurance required.] t employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Al Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company N Policy # or Self -ins. Lic. #:. Job Site Expiration Date: 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 Ene 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. Ido hereby certify un er dhe pal s and penalties of t the information provided above is true and correct. R;o-nafiirw A''%Na� nate' 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 #: '•t Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or 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-contractor(s) 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. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, 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 permittlicense 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 bum 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 ofIndustrial Accidents Office of Investigations 600 Washington Street Boston., MA 02111 Tel, # 617-727_4900 ext 406 or 1-877rMASSAFE Revised 5-26-05 Fay ,# 617727-7741 www.mass,goV/dja t' , " ='`COMMONWEALTH OF MASSACHUSETf p.L;lJl� l€3cfiS Af``ID GASFITTr IrIC�I�S�'D ASEABOjiAVE LICENSE ` CEtdSETO:U.I�V�N�4ti. , ISSUES V!r•KE"LLEH 1 '?� KEN.N-EDY PR ` PE'LHah1 •, ' tdl; ,u3Q=iG-..1605 1 .15157 • • .`'.'int; — — � - - - - - ,3os0 This certifies that . r�r� ! f!�^�.... `�%p�"'. .-.......... . has permission for gas installation in the buildings of ..�^-!`'.'. at. .. �K ��.'"'.`lQorth Andover, Mass. Fee .0)Lic. No.7ZY .... .. 1.1/.y ................. ... GASINSPECTOR Check # q 8800 Im G TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I NORTH ANDOVER MA DATE JULY 30, 2013 PERMIT # lT JOBSITE ADDRESSI 120 WINDKIST FARM RD. OWNER'S NAME CHRISTOPHER JENNINGS OWNER ADDRESS I CHRISTOPHER JENNINGS TE 978 683-6490 FAX OCCUPANCY TYPE COMMERCIAL F1 EDUCATIONAL ® RESIDENTIALD NEW: [D RENOVATION: ® REPLACEMENT: APPLIANCES 7 FLOORS - BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER PLANS SUBMITTED: YES® NO® BSM 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 1 11 1 12 1 13 1 14 INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES E] NO I IF YOU 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 ® AGENT SIGNATURE OF OWNER OR AGENT /') I hereby certify that all of the details and information I have submitted or entered regarding this application are ue a d accur o th a my knowle and that all plumbing work and installations performed under the permit issued for this application widgell be in co plian a wit P rovision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASATTER NAME I JOHN LIPINSKI LICENSE # 729 SIGNATURE s MP Q MGF El JP ® JGF [j LPG] CORPORATION [D# PARTNERSHIPEI# LLC ®# COMPANY NAME: EASTERN PROPANE GAS ADDRESS 1131 WATER ST. - - -- c CITY I DANVERS m STATE MA ZIP 01923 =TEL 1-800-322-6628 FAX CELL EMAIL VL_ H Z-eJ v�,- e 1; QL T� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 R .7"Prmfi'Farrrxr www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbe.rs Applicant�n-for-mation - Please Print Legibly Name (Business/Organization/Individual): EASTERN PROPANE & OIL Address: 131 WATER STREET DANVERS, MA 01923 Phone #: 978-750-6500 Are you an employer?. Check the appropriate box: 1.✓❑ I am a employer with 45 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship and have no employees working for mein any capacity. [No workers' comp. insurance required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.+ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no 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 12. ❑ Roof repairs 13.❑✓ Other GAS FITTING *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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ENERGI Policy # or Self -ins. Lic. #: EWGCD000080613 Expiration Date: 03/15/2014 Job Site Address: 1 k) L .> ..L\,1 Lk •S f .-., RcA • City/State/Zip: J) o . A�,% rJ c,.e /. U 1 Rq 5 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 978-750-6500 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 #: OTz-0 m�r...� Or' m Lh > .n � =s OA m mcz -a Ch un'o D mZCaZ m `n0 O >Z_� >Vrn> m �D*V -IZG) =ma m0L41 OT c� m >� v �~ -0 -Tl Cn -< o 0 '0 CD m N O fn ",'L1 iL D :o r >n r m r _ -;mom O ... r z Z' r z • �� Cal 0 _0 cn D D m o In z (/� m DD z _ o D o � H Z ° r O O >> t + 3 m C C) a y. \ D L G1 D z D [n D° > m �(?-�, U) o v O'_i • o . nm n _ OTz-0 m�r...� Or' m Lh > .n � =s OA m mcz -a Ch un'o D mZCaZ m `n0 O >Z_� >Vrn> m �D*V -IZG) =ma m0L41 OT c� m >� v I I North Andover MIMAP li i F- -� int �d"A •e NNi b 1 is t gft July 30, 2013 Interstates Interstate — Major Roads Horizontal Datum: MA Slateplane Coordinate System, Datum NAD83, Roads Meters Data Sources: The data for this map was produced by Merrimack r Easements NORTh Valley Planning Commission (MVPC) using data provided by the Town of Of +p '4Ay North Andover. Additional data provided by the Executive Office of Q MVPC Boundary r +��� r++y Environmental Affairs/MassGIS. The information depicted on this map is Parcels 3 ~ OL for planning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING # i THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY # i # OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT iF o� r •� # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF •(, 'Oo •r�aM�.w``,s, THIS INFORMATION 1" = 142 ft .�. 3 '16 Date ..-) .. r,;. .:. J.-� ... NORTH TOWN OF NORTH ANDOVER 0� PERMIT FOR MECHANICAL INSTALLATION p -- This certifies that ... ! ./.. :15�-v .. �! .! ............ has permission for mechanical installation— in the buildings of i) ! . ........................ at ... 4 .... k�-!! ,..! . ). �4 . �..� . ' �.. , North Andover, Mass, Fee. 6) C1. ,-: Lic. No. �.�'? .��.� � .............. 544 �:.. . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Date: 71dal I �, Estimated Job Cost: �/0,0� Plans Submitted: YES ii 2 NO Business License # l 307Y Sheet Metal Permit Permit # Permit Fee: $ Plans Reviewed: YES NO Applicant License # Business Information: Property Owner / Job Location Information: Name: bel_r6 ncI.,o.Nc4 38'Xy)ceS Name: Street: 0" � %i��12 �i Street: Ido City/Town:.P Y416W City/Town: Lo!�4i Telephone:(7-,-A) 31 �-�0za� Telephone: Photo I.D. required/ Copy of Photo I.D. attached: YES NO Building Type: / Residential: 1-2 family V Multi -family Condo / Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. over 35,000 cu. ft. Sheet metal work to be completed: New Work: ✓ Renovation: HVAC V/ Metal Roofing Kitchen Exhaust System Chimney / Vents Provide brief description of work to be done: 8 Nom•) W C INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes g No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy F-� 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 box❑, 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. Date Date By Title City/Town Permit # Fee $ Inspector Signature of Permit Approval Progress Inspections Comments Final Inspection Type of License: E nnaster ❑ Master -Restricted Comments ❑Journeyperson I Signature of Licensee ❑Journeyperson-Restricted 307-y License Number: ❑ Check at www.mass.gov/dpi COMMONWEALTH OF MASSACHUSETTS " :SHEET METAL WORKERS � MASTER -UNRESTRICTED I. ISSLIES.THE ABOVE LICENSE TO: MICHAEL DELEO DUNSHIRE DR N CHELMSFORD MA 01863-1306( I 13074 12/28114 325169 I -�- wrightsoft® Load Short Form Entire House DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 Email: michaeldeleo@comcast.net r-'roject intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: ROOM NAME Area Htg load Design Information CIgAVF (ftz) Htg (Btuh) Clg Infiltration Basement/First 2554 Outside db (°F) 12 613 88 Method Simplified Inside db (°F) 70 1173 72 Construction quality 5708 Tight Design TD (°F) 58 2076 15 Fireplaces 0 0 Daily range - Equip. @ 0.93 RSM L 25952 Inside humidity (%) 39 50 1141 Moisture difference (gr/Ib) 31 e7c47 33 1 4�n7 .,., �.. HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref. n/a Coil n/a AHRI ref. n/a Efficiency 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 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ftz) (Btuh) (Btuh) (cfm) (cfm) Basement/First 2554 20251 11852 613 613 Second/Attic 3154 27336 16462 1173 1173 Entire House 5708 47587 28026 1787 2076 Other equip loads 0 0 Equip. @ 0.93 RSM 25952 Latent cooling 1141 TnTAI C G7AQ e7c47 n-7nnn 1 4�n7 .,., �.. Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. +wrightsoft" Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:16:58Page 1 ACCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W 9 Load Short Form Job: wri htsoft Date: June 25, 2013 Basement/First By: DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax 978-455-6072 Email: michaeldeleo@comcast.net Project• • For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Htg Clg Infiltration Outside db (°F) 12 88 Method Simplified Inside db (°F) 70 73 Construction quality Tight Design TD (°F) 57 15 Fireplaces 0 Daily range - L Inside humidity (%) 43 50 Moisture difference (gr/Ib) 32 32 HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80AFUE 0 Btuh 0 Btuh 0 OF 613 cfm 0.030 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 0 Btuh 0 Btuh 0 Btuh 613 cfm 0.051 cfm/Btuh 0 in H2O 0.97 1216 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Basement1 1216 8211 1962 249 101 Zone1 1338 12040 12593 365 648 Basement/First 2554 20251 11852 613 613 Other equip loads 0 0 Equip. @ 0.93 RSM 10975 Latent cooling 352 Tr)TAi C 7rrn '1n']c4 440117 1 ^An IAn Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. .++ wrightsoft Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:16:58 Page 2 /4iC% C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W -�- wrightsoft® Load Short Form Second/Attic DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 Email: michaeldeleo@comcast.net Project• • For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: Design Information Htg Clg Infiltration Outside db (°F) 12 88 Method Simplified Inside db ('F) 70 72 Construction quality Tight Design TD (°F) 58 16 Fireplaces 0 Daily range - L Inside humidity (%) 35 50 Moisture difference (gr/Ib) 30 33 HEATING EQUIPMENT Make Carrier Trade CARRIER Model 59 M N 7A060V 17--14 AHRI ref 4702118 Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 97.4 AFUE 12.5 EER, 15.9 SEER 60000 Btuh 59000 Btuh 46 OF 1173 cfm 0.043 cfm/Btuh 0 in H2O COOLING EQUIPMENT Make Carrier Trade INFINITY 17 PURON AC Cond 24ANB736A**30 Coil CNPH*3617A**+59*P5A080E17**16 AHRI ref 4716821 Efficiency 12.5 EER, 15.9 SEER Htg load Sensible cooling 24640 Btuh Latent cooling 10560 Btuh Total cooling 35200 Btuh Actual air flow 1173 cfm Air flow factor 0.071 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.95 516 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Second 1012 6497 6781 279 479 Attic1 1216 12023 5922 516 418 Master1 926 8816 6093 378 430 Second/Attic 3154 27336 16462 1173 1173 Other equip loads 0 0 Equip. @ 0.93 RSM 15244 Latent cooling 790 Tr1TA I Q 3154 27336 16034 1173 1173 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -22 22:16:58 wrightsoft" Right -Suite® Universal 2012 12.0.08 RSU08902 Page 3 RCCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W - wrightsoft° Load Short Form Attic 1 DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax 978455-6072 Email: michaeldeleo@comcast.net eLroject intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: ROOM NAME Area Htg load Design Information CIgAVF (ft2) Htg (Btuh) Clg Infiltration Attic 1216 Outside db (°F) 12 516 88 Method Simplified Inside db (°F) 70 516 72 Construction quality Tight Design TD (°F) 58 16 Fireplaces 0 Daily range - Latent cooling L 353 Inside humidity (%) 35 4')4C 50 coo-- c4B A— Moisture difference (gr/Ib) 30 33 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency 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 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Attic 1216 12023 5922 516 418 Attic1 1216 12023 5922 516 418 Other equip loads 0 0 Equip. @ 0.93 RSM 5484 Latent cooling 353 T()TAI C 4')4C 47n74 coo-- c4B A— Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -22 22:16:58 .� wrightsoft® Right-Sufte® Universal 2012 12.0.08 RSU08902 Page 4 ACCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W +�- wrightsoft® Load Short Form Basementl DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax 978-455-6072 Email: michaeldeleo@comcast.net iwroject intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: Design Information Htg CIg Infiltration Outside db (°F) 12 88 Method Simplified Inside db (°F) 68 75 Construction quality Tight Design TD (°F) 56 13 Fireplaces 0 Daily range - L Inside humidity (%) 50 50 Moisture difference (gr/Ib) 43 27 HEATING EQUIPMENT Make n/a Trade n/a Model n/a AHRI ref n/a Efficiency n/a Htg load Heating input Htg AVF CIg AVF 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 cfm COOLING EQUIPMENT Make n/a Trade n/a Cond n/a Area Htg load Coil n/a Htg AVF CIg AVF AHRI ref n/a (ft2) (Btuh) Efficiency n/a (cfm) 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 ROOM NAME Area Htg load CIg load Htg AVF CIg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Basement 1216 8211 1962 249 101 Basement1 1216 8211 1962 249 101 Other equip loads 0 0 Equip. @ 0.93 RSM 1817 Latent cooling 57 -M-rAI C 0744 4077 nAn Ano Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -22 22:16:58 wrightsoft® Right -Suite® Universal 2012 12.0.08 RSU08902 Page 5 AC'iCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W -- wrightsoft® Load Short Form Master1 DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax. 978-455-6072 Email: michaeldeleo@comcast.net iL:roject intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: ROOM NAME Area Htg load Design Information Clg AVF (ftz) Htg (Btuh) Cig Infiltration Master Bath 130 Outside db (°F) 12 46 88 Method Simplified Inside db (°F) 70 194 72 Construction quality 204 Tight Design TD (°F) 58 74 16 Fireplaces 1648 0 Daily range - Master1 L 8816 6093 378 Inside humidity (%) 35 50 0 Moisture difference (gr/Ib) 30 33 Latent cooling HEATING EQUIPMENT COOLING EQUIPMENT Make n/a TnTAI C e'fa 0040 Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency 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 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) Master Bath 130 1080 1002 46 71 Master 452 4514 2894 194 204 Bed #2 204 1575 1048 68 74 Walk In 140 1648 1149 71 81 Master1 926 8816 6093 378 430 Other equip loads 0 0 Equip. @ 0.93 RSM 5642 Latent cooling 254 TnTAI C e'fa 0040 cone Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -22 22:16:58 wrightsoft® Right -Suite® Universal 2012 12.0.08 RSU08902 Page 6 ACZK C:Wsers\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W wrightsoft® Load Short Form Second DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 Email: michaeldeleo@comcast.net e-'roject Intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) Design Information (cfm) Office 164 Htg 2151 Clg Infiltration Bath 90 Outside db (°F) 12 28 88 Method Simplified Inside db (°F) 70 54 72 Construction quality 240 Tight Design TD (°F) 58 119 16 Fireplaces 564 0 Daily range - Second L 6497 6781 279 Inside humidity (%) 35 50 0 Moisture difference (gr/Ib) 30 33 Latent cooling HEATING EQUIPMENT COOLING EQUIPMENT Make n/a T('1TA1 C cem Make n/a nen Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency 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 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Office 164 1896 2151 81 152 Bath 90 646 833 28 59 Bed #3 221 1251 1656 54 117 Bed #1 240 2140 1692 92 119 Up Hall 297 564 449 24 32 Second 1012 6497 6781 279 479 Other equip loads 0 0 Equip. @ 0.93 RSM 6279 Latent cooling 183 T('1TA1 C cem neje nen --- � •� v .v. v--rvv �� v �I J Calculations approved by ACCA to meet all requirements of Manual J 8th Ed 2013 -Jul -22 22:16:58 '_ wrightsoft® Right-Suke® Universal 2012 12.0.08 RSU08902 Page 7 X01. C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W - - wrightsoft® Load Short Form Zonel DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax 978-455-6072 Email: michaeldeleo@comcast.net eLroject intormation For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA Job: Date: June 25, 2013 By: ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ftz) (Btuh) Design In• • (cfm) Kitchen/Family 684 Htg 7769 Clg Infiltration Dining 196 Outside db (°F) 12 38 88 Method Simplified Inside db (°F) 70 68 72 Construction quality 140 Tight Design TD (°F) 58 17 16 Fireplaces 1670 0 Daily range - Lav L 269 229 8 Inside humidity (%) 35 1338 50 12593 365 648 Moisture difference (gr/Ib) 30 0 33 Equip. @ 0.93 RSM HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Latent cooling Make n/a Trade n/a 4040 1 44ne4 Trade n/a n.n Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency 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 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ftz) (Btuh) (Btuh) (cfm) (cfm) Kitchen/Family 684 5668 7769 172 400 Dining 196 1271 1137 38 59 Living 196 2261 1777 68 91 Foyer 140 901 332 27 17 Mud Room 80 1670 1348 51 69 Lav 42 269 229 8 12 Zone1 1338 12040 12593 365 648 Other equip loads 0 0 Equip. @ 0.93 RSM 11661 Latent cooling 292 TnTAIC 4040 1 44ne4 nnr n.n Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -22 22:16:58 wrightsoftw Right -Suite® Universal 2012 12.0.08 RSU08902 Page 8 TCCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W Job #: Performed for: Bill Jennings 120 Windkist Farm Rd North Andover, MA DeLeo Mechanical Services 8 Dunshire Drive North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 michaeldeleo@comcast.net Scale: 1 :114 Page 1 Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:17:09 ...\DesktopWeat Load M22_Demar.rup 2nd Floor Job #: Performed for: Bill Jennings 120 Windkist Farm Rd North Andover, MA DeLeo Mechanical Services 8 Dunshire Drive North Chelmsford, MA01863 Phone: 781-316-6072 Fax: 978-455-6072 michaeldeleo@comcast.net Scale: 1 : 114 Page 2 Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:17:09 ...\DesktopWeat Loads\22_Demar.rup Job #: Performed for: Bill Jennings 120 Windkist Farm Rd North Andover, MA Basement DeLeo Mechanical Services 8 Dunshire Drive North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 michaeldeleo@comcast.net Scale: 1 : 114 Page 3 Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:17:09 ...\Desktop\Heat Loads\22_Demar.rup Job #: Performed for: Bill Jennings 120 Windkist Farm Rd North Andover, MA Attic J 51I�C�fm 1 258 cfm 258 cfm Attic DeLeo Mechanical Services 8 Dunshire Drive North Chelmsford, MA 01863 Phone: 781-316-6072 Fax: 978-455-6072 michaeldeleo@comcast.net R Scale: 1 : 114 Page 4 Right -Suite® Universal 2012 12.0.08 RSU08902 2013 -Jul -22 22:17:09 \Desktop\I-leat Loads\22_Demar.rup Duct System Summary Job: wrightsoft, Date: June 25, 2013 BasementlFirst By: DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316.6072 Fax: 978-455-6072 Email: michaeldeleo@comcast.net Project• • For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0 in H2O 0 in H2O 0 in H2O 0.00/0.00 in H2O 0 in/100ft 613 cfm 438 ft Supply Branch Detail Table Cooling 0 in H2O 0 in H2O 0 in H2O 0.00/0.00 in H2O 0 in/100ft 613 cfm Name Design (Btuh) Htg (cfm) Clg (cfm) Design FR Diam (in) H x W (in) Duct Matl Actual Ln (ft) Ftg.Egv Ln (ft) Trunk Basement h 490 62 25 0 0 0x0 ShMt 42.0 190.0 st4 Basement -A h 490 62 25 0 0 Ox 0 ShMt 33.0 200.0 st4 Basement -B h 490 62 25 0 0 Ox 0 ShMt 54.0 180.0 st4 Basement -C h 490 62 25 0 0 Ox 0 ShMt 37.0 135.0 st4A Dining C 1137 38 59 0 0 Ox 0 ShMt 20.0 275.0 st6 Foyer h 332 27 17 0 0 Ox 0 ShMt 29.0 255.0 st6 Kitchen/Family c 1942 43 100 0 0 Ox 0 ShMt 57.0 245.0 st6 Kitchen/Family-A c 1942 43 100 0 0 Ox 0 ShMt 36.0 280.0 st6 Kitchen/Family-B C 1942 43 100 0 0 Ox 0 ShMt 42.0 265.0 st6 Kitchen/Family-C C 1942 43 100 0 0 Ox 0 ShMt 64.0 255.0 st6A Lav C 229 8 12 0 0 Ox 0 ShMt 24.0 255.0 st5 Living -A C 1777 68 91 0 0 Ox 0 ShMt 45.0 255.0 st6A Mud Room C 1348 51 69 0 0 Ox 0 ShMt 37.0 190.0 1 st5 Supply Trunk Detail Table Name Trunk Type Htg (Cfm) Cig (cfm) Design FR Veloc (fpm) Diam (in) H x W (in) Duct Material Trunk st3 Peak AVF 365 648 0 0 0 8 x 0 ShtMetl sty Peak AVF 59 81 0 0 0 8 x 0 ShtMetl st3 st6 Peak AVF 306 567 0 0 0 8 x 0 ShtMetl st3 st6A Peak AVF 111 191 0 0 0 8 x 0 ShtMetl st6 st4 Peak AVF 249 101 0 0 0 8 x 0 ShtMetl st4A Peak AVF 62 25 0 0 0 8 x 0 ShtMetl st4 2013 -Jul -22 22:26:21 .�wrightsoft' Right -Suite® Universal 2012 12.0.08 RSU08902 Page 1 ACO, C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W Return Branch Detail Table + wrightSOft° Right -Suite® Universal 2012 12.0.08 RSUG8902 j4CV11 C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W 2013 -Jul -22 22:26:21 Page 2 Grill HtgClg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size (in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening (in) Matl Trunk rb1 Ox 0 249 101 119.0 0 0 0 Ox 0 ShMt rb2 Ox 0 365 648 105.0 0 0 0 Ox 0 ShMt + wrightSOft° Right -Suite® Universal 2012 12.0.08 RSUG8902 j4CV11 C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W 2013 -Jul -22 22:26:21 Page 2 Duct System Summary Job: wrightsofte Date: June 25, 2013 Second/Attic By: DeLeo Mechanical Services 8 Dunshire Drive, North Chelmsford, MA 01863 Phone: 781-316-6072 Fax 978-455-6072 Email: michaeldeleo@comcast.net Project• • For: Bill Jennings, WJJ 120 Windkist Farm Rd, North Andover, MA External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0 in H2O 0 in H2O 0 in H2O 0.00/0.00 in H2O 0 in/100ft 1173 cfm 614 ft Supply Branch Detail Table Cooling 0 in H2O 0 in H2O 0 in H2O 0.00/0.00 in H2O 0 in/100ft 1173 cfm • Name Design (Btuh) Htg (cfm) Clg (cfm) Design FR Diam (in) H x W (in) Duct Matl Actual Ln (ft) Ftg.Egv Ln (ft) Trunk Attic h 2961 258 209 0 0 Oxo ShMt 16.0 190.0 SO Attic -A h 2961 258 209 0 0 Ox 0 ShMt 39.0 125.0 st1 Bath c 833 28 59 0 0 Ox 0 ShMt 14.0 210.0 st2 Bed #1 c 1692 92 119 0 0 Ox 0 ShMt 31.0 220.0 st2 Bed #2 c 1048 68 74 0 0 Ox 0 ShMt 55.0 275.0 st2 Bed #3 c 1656 54 117 0 0 Ox 0 ShMt 28.0 275.0 st2 Master c 2894 194 204 0 0 Ox 0 ShMt 75.0 350.0 st2A Master Bath c 1002 46 71 0 0 Ox 0 ShMt 40.0 360.0 st2A Office c 2151 81 152 0 0 Ox 0 ShMt 4.0 230.0 st2 Up Hall c 449 24 32 0 0 Oxo ShMt 42.0 210.0 st2 Walk in c 575 35 41 0 0 Ox 0 ShMt 62.0 370.0 st2B Walk in -A c 575 35 41 0 0 Ox 0 ShMt 57.0 305.0 st2B Supply Trunk Detail Table 2013 -Jul -22 22:26:21 A/ wrightsoft• Right-Suae@ Universal 2012 12.0.08 RSU08902 Page 3 Zb� C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W Trunk Htg Clg Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk st1 Peak AVF 516 418 0 0 0 8 x 0 ShtMetl st2 Peak AVF 657 909 0 0 0 8 x 0 ShtMetl st2B Peak AVF 71 81 0 0 0 8 x 0 ShtMetl st2A st2A Peak AVF 311 356 0 0 0 8 x 0 ShtMetl st2 2013 -Jul -22 22:26:21 A/ wrightsoft• Right-Suae@ Universal 2012 12.0.08 RSU08902 Page 3 Zb� C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W Return Branch Detail Table Return Trunk Detail Table Grill Htg Cig TEL Design Veloc Diam H x W Stud/Joist Duct Type Name Size (in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening (in) Matl Trunk rb3 Ox 0 516 418 95.0 0 0 0 Ox 0 430 ShMt 0 rb5 Ox 0 378 430 178.0 0 0 0 Ox 0 ShMt rt2A rb6 Ox 0 279 479 182.0 0 0 0 Ox 0 ShMt rt2 Return Trunk Detail Table 2013 -Jul -22 22:26:21 .+ wrightSOW Right -Suite® Universal 2012 12.0.08 RSU08902 Page 4 /4CCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W Trunk Htg Cig Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk rt2 Peak AVF 657 909 0 0 0 8 x 0 ShtMetl rt2A Peak AVF 378 430 0 0 0 8 x 0 ShtMetl rt2 2013 -Jul -22 22:26:21 .+ wrightSOW Right -Suite® Universal 2012 12.0.08 RSU08902 Page 4 /4CCA C:\Users\Mike\Desktop\Heat Loads\22_Demar.rup Calc = MJ8 Front Door faces: W baT Planning & Construction, LLC 64 Haverhill St Reading, MA 01867 T-781942 2728 F-781942 0039 E-wiipcm@comcast.net TO — Building Dept Town North Andover Fax — Attn —Gerald Brown Submittal/Transmittal Reference —120 Windkist Farm Road Date - June 13, 2013 From — Bill Jennings Enclosed is sprinkler plan and calculations as discussed/promised when permit was issued. Any questions please let me know Jennings Residence Drawing Date:6-11-13 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Jennings Residence Location: 120 Windkist Farm Road North Andover, MA Drawing Date: 6-11-13 Contractor: Tri-State Sprinkler Corp P.O. Box 968 Deryy, NH 03038 Designer: ACM Calculated By:SprinkCAD www.sprinkcad.com 451 N. Cannon Ave. Lansdale, PA 19446 Construction: Combustible Reviewing Authorities:N. Andover FD SYSTEM DESIGN 6113/13 8:19 Remote Area Number: 1 Telephone:603-421-2899 Occupancy:Residential Code:NFPA 13D Hazard:RES System Type:WET Area of Sprinkler Oper. 500 sq ftl Sprinkler or Nozzle Density (gpm/sq ft) RES I Make: TYCO Area per Sprinkler 256.0 sq ft1 Model: LFII Hose Allowance Inside 0 gpm I K -Factor: 4.90 Hose Allowance Outside 0 gpm I Temperature Rating: 155 CALCULATION SUMMARY 2 Flowing Outlets gpm Required: 26.1 psi Required: 45.2 @ City Supply WATER SUPPLY Water Flow Test I Pump Data I Date of Test 6-11-13 1 Rated Capacity 0 gpm I Static Pressure 50.0 psi I Rated Pressure 0.0 psi I Residual Pres 25.0 psi I Elevation 0 I At a Flow of 790 gpm I Make: I Elevation 0" l Model: I Location: Windkist Farm Road Source of Information: N. Andover WD SYSTEM VOLUME 22 Gallons Notes: Jennings Residence Drawing Date:6-11-13 HYDRAULIC CALCULATION DETAILS 6/13/13 8:19 HYDRAULIC QTY DESCRIPTION LENGTH C ID Hydr Ref W Required at Hyd Area 1 1 Pipe 1" 10x21 9' 120 4.260 1 1" Thrd Ball Valve "F19" 0' 0 1.049 1 1" Thrd Alarm Valve 0' 0 1.049 Elevation Change 910" Total Loss for Riser Hydr Ref R1 Required at Base of Riser 1 1" Thrd Back Flow Valve Watts "07 CHART LOSS 1 Pipe 11,�" CUx21 Copper K 50' 150 1.481 Total Loss for UNDERGROUND Hydr Ref R2 Required at City Supply Water Source 50.0 psi static, 25.0 psi residual @ 790 gpm SAFETY PRESSURE FLOW LOSS gpm psi TOTALS 26 32.5 psi 26 0.0 26 0.0 26 0.0 3.9 3.9 psi 26 36.4 psi 26 7.5 26 1.3 8.8 psi 26 45.2 psi 26 gpm 50.0 psi Available Pressure of 50.0 psi Exceeds Required Pressure of 45.2 psi This is a safety margin of 4.7 psi or 10 % of Supply Maximum Water Velocity is 9.8 fps 4.7 psi ,Jennings Residence Drawing Date:6-11-13 FITTING NAME TABLE ABBREV. NAME C Coupling E 90' Standard Elbow F 45' Elbow S Straight Flow Thru Tee T 90' Flow Thru Tee V Valve LEGEND 6/13/13 8:19 HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P Qa Flow added or subtracted Qt Total flow DIA Actual internal diameter of pipe C Hazen Williams pipe roughness factor Pf/ft Friction loss per foot of pipe PIPE Length of pipe FTNG'S Number of fittings. See table above. TOTAL Total length (PIPE + FTNG'S) Pt Total pressure (psi) at fitting Pe Pressure due to change in elevation where Pe = 0.433 x change in elevation Pf Friction loss (psi) to fitting where Pf = 1 x 4.52 x (Q/C)^1.85 / ID^4.87 Pv Velocity pressure (psi) where Pv = 0.001123 x Q^2/ID^4 Pn Normal pressure (psi), where Pn = Pt - Pv NOTES: - Pressures are balanced to 0.01 psi. Pressures are listed to 0.1 psi. Addition may vary by 0.1 psi due to accumulation of round off. - Calculations conform to NFPA 13. - Velocity Pressures are not considered in these Calculations Page 3 ! 13 8:19 Jennings Residence Drawing Date:6_ 3F1reProducts 6/13/Page 5 Tyco HYD. Qa DIA. FITTING PIPE Pt Pe Pt Pv ******* NOTES ******* REF C=150 "C" TYPES FTNG'S Vel = 4.40 13.11 POINT Qt Pf/ft TOTAL Pf Pn PATH 1 FROM HYDRAULIC REFERENCE 2 TO W (PRIMARY PATH) 7.3 EqK = 4.86 1.109 lE 1 0.00 7.0 7.0 K = 4.90 Vel = 12.96 1.109 1E 2S 5.81 C=150 3.96 0.0 0.1 0.0 7.0 Vel = 4.35 7.75 12.96 0.029 3.96 12 C=150 0.00 0.0 0.2 0.0 7.4 1.109 1T 9.22 7.1 7.1 EqK = 4.86 2 C=150 9.91 0.0 0.6 0.0 7.1 Vel = 4.35 K = 12.96 0.029 13.11 19.13 13.11 1.109 2E 50.23 37.88 7.7 7.7 See H 2 PATB•74 11 C=150 3T 9.4 0.0 Vel 26.07 0.107 1.049 2E 21.75 24.9 24.9 10 C=120 2T 14.00 35.75 0.0 7.6 0.0 24.9 Vel = 9.77 26.07 0.212 32.5 K = 4.57 yi 26.07 PATH 2 FROM HYDRAULIC REFERENCE 1 TO 11 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) 13.11 1.109 IE 0.00 7.2 7.2 K = 4.90 1S C=150 3.96 3.96 0.0 0.1 0.0 7.2 Vel = 4.40 13.11 0.030 1.85 7.3 7.3 EqK = 4.86 1.109 lE 1 C=150 3.96 0.0 0.2 0.0 7.3 Vel = 4.40 13.11 0.030 5.81 1.109 7.75 7.4 7.4 12 C=150 0.00 0.0 0.2 0.0 7.4 Vel = 4.40 13.11 0.030 7.75 7.7 K = 4.73 11 13.11 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) 1� Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....................................... .... ... ..... ... ...... has permission to perform ........... . . ................................................. wiring in the building . .................................. . 0.. .......... 7 at.,/2-C . ..................-... . ....... . .4.:........... North Andover, Mass, Fee.. 'r . ................ Lic. No.4� ............. ............ .. ....... CAL &S. -P, :2 Check# '0M tj I- r• 4 1 4 :j -'. C Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 00 [Rev. 11/991 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 TYPf ALL INFORMATION) Date: t/ City or Town of: 'pe!�7 To the Inspector ofWires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) /,W /.�Q7 Owner or Tenant �; d'�a Q��/ � �?� qs Telephone No - 3 9/7/ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No,29- (Check Appropriate Box) Purpose of Building Utility Authorization No.yzsca W-45— Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion ofthe.following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool ove El n- ❑ rnd. rnd. o. o mergency ig mg Batte 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 g No. of Waste Disposers Heat Pump Number Tons KW No. of Self -Contained Totals: 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 KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 X BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: _ B0 (When required by municipal policy.) Work to Start:_ Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepains and fatties ofperjury, that the in on this application is true and completes FIRM NAME: Licensee: , (If applicable, enter " Address: SCS P By my signature below, I hereby waive this requirement. _ LIC. r --LIC. NO.40,'3,33 0,3 Bus. Tel. No.• /,2," --, Alt. Tel. No.• (insurance coverage normally 1-3-- Z"/3 0