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Home My WebLink AboutMiscellaneous - 1447 SALEM STREET 4/30/2018 1,447 SALEM STREET ' l 210/106.A-0025-0000.0 _ 1 3 Date....... ......:j .. ... .... TOWN OF NORTH ANDOVER 't 3?a' � '• OL o 9 PERMIT FOR WIRING 41 .4 .: » • � d HUS�t This certifies that ....... � �.. ....... .............. ............................................................ has permission to perform .....f :.1!J �................ wiring imthe building of......:.:.. ..Q.. ?......��V!!. .s.................:....:.:................ ..............................................................:....n. North Andover Mass. ' Fee .7 .............LIc.No. ............ ?/ V ELECTRICAL INSPECTOR r , , Commonwealth of Massachusetts Oficial Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07j (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL. WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CYR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: AI-3 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice,of his o e9ntention to erform the electrical work described below. Location(Street&Number) 7 /rte; . Owner or Tenant Telephone No. Owner's Address if !T cl&Z 4wF1 e: Is this permit in conjunction w/ith a b 'ldm permit? Yes �No ❑ (Check Appropriate]Box) Purpose of Building /T l G✓rJ7 f L/t,.j _Utility Authorization No. - Existing ServiceAmps 11f) Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity � fj/,4d,..✓.�, %� ,¢ Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above Ei In- No.o mergency Lighting No.of Luminaires Swimming Pool rnd. grnd. El Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.ofSwitches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I 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--JNo.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. Estimated Value of Electrical Work: ��i (When required by municipal policy.) Work to Start: 0 7011.1' 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) X certify, under the pains and penalties of penury,that the nforntation on this application is true and complete. FIRM NAME: . <yi v. ��,�<r� Z* rri SC1 LIC.NO.: Licensee: � �j,� ls�„ Signature _ LTC.NO.:�J Jot v/,6F-�y (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:- Address: ,Z�f '[<sry�d�i�c/t All-el. / AZ11/k1- W UIYYr Alt.Tel.No.: *Per M.G.L c. 147,;s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE. $ 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 ti 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 M Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 1 Failed 0 Re-Inspection Required($.)❑ u Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPEC ON: Pass[N Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: l OC I i r Inspectors Signature- Date: I DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com I i The Commonwealth of Massachusetts _. F Department of IndlustrialAccidents X Congress Street,Suite 100 a• ;i T d Boston,MA 02114-2017 �< www.mass.gov/dia °�y sew Affidavit:Builders/Contxactoxs/El rkers'Compensation Insurance ectricians/Plumbers. TING AUTHORITY. TO BE FILED WITH THE PERMITplease Paint Le 'bl A ' licant Information o Name(Business/Oigar)izatiOn�ftd/ividual): let Address: O�IrPhone#: 17� 7rJ City/State/Zip: zx. . Are you an employer?Check the appropxlate box: TYP e of rojeet(required): /yem to ees firll and/or part time).* W'donstr6ctlon 1.�'1 am a employer wither P y 2.❑I am a sole proprietor or partnership and have no employees Working forme in $. em0 deliiig any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.F1 I am a homeowner doing all work myself,.[No workers'comp.insurance required]t 10❑Building addition <1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole j 9` proprietors with no,, ,I employees. 12.Q°Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13•. Roof repairs F•'s . These sub-contractors have employees and have workers'comp.insurance.1 14. Other 6.Q We are a corporation and its.officers have exercised their right of exemption per MGL c. 152,§1(4),and'we have rio employees:[No workers'comp.insurance required.] *Any applicant that checks bbx#1.must also fill out the section below showing their workers'compensation policy informationaffidavit indicating such : homeowners who submit• this,aM&vit indicating they are doing all work and then hire outside contractors must submit a new Contractors that check this box must attached'an additional sheet showing the name of the sub-contractors and state whether or not those entities,have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providingworkers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: F l,� Expiration Date:. ,/�/ C/ /YY �� ZkY__ Cjty/State/Zip: Job Site Address: 7 Attach a copy of the workers'compensation policy dec declaration page(showing the policy number and expiration date). Failure to secure coverage as requited under MGL c. 152,§25A is a criminal violation punishable by a foie up to$Y, 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.A copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. Ido hereby certify under tl ins and penalties of perjury that the information provided above is true and correct. Date: Si ature: Phone#: official use only. Do not write in this area,to be completed by city ortown 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#: e 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 hixe, 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 receiv&'&trustee 6fan individual,partnership,association or other legal entity,employing emplbyees..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 applicantwho=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 certificates)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 viorkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuranc'e'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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 wwwmass.gov/dia V ;7 4 i pOR TN ,6 6 O ' L� * Are ��SSACHus�Ay BUILDING DEPARTMENT (ommunity Development Division June 7, 2010 Irene Defreitas 35 Heritage Drive Lowell, MA 01854 Re: Mary Burns, Owner 1447 Salem Street Please be advised there is a large tree lying on the roof that needs to be removed ASAP. And secondly the building is not secured and people are entering through the garage door and O rear patio door. The Town would like to have you secure the building under 780 CivIR 51121 Unsafe Structures. Thank you for your attention to this matter. If you have any questions,please call the office of the Building Department at 978-688-9545. Very truly yours, Gerald Brown, Inspector of Buildings Building Department Cc: Bellavance 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ADMINISTRATION FOR SINGLE-AND TWO-FAMILY DWELLINGS provisions of the approved permits and of the otherwise that a detached one- and two-family applicable codes for which a permit is required, dwelling or anything attached thereto or connected ex- g cept as provided in 780 CMR 5120.3. therewith is dangerous to life or Irmo or that any 5120.2 Buildings or Structures Hereafter Altereddetached one-and two-family dwelling in that city or Buildings or structures hereafter altered. A detached town is unused,uninhabited or abandoned,and open one- and two-family dwelling, in whole or in part to the weather,shall inspect the same; and he shall altered, including a change of use shall not be forthwith in writing notify the owner to remove it or occupied or used until a certificate of completion make it safe if it appears to him to be dangerous,or shall have been issued certifying that the work has to make it secure if it is unused, uninhabited or been completed abandoned and open to p d rn accordance with the p the weather. If it provisions of appears the approved permits and of the applicable codes for that such detached one- and two-family dwelling , would be especially unsafe in of fire,it shall be which a permit is required. Any use or occupancy which was not discontinued during the work of deemed dangerous within the meaning hereof, and alteration,shall be discontinued within 30 days after the building official may affix in a conspicuous Y the completion of the alteration place upon its exterior walls a P on unless notice o the required fits � q certificate is issued. b dangerous condition which shall not be removed or defaced without authority from him. 5120.3 Temporary Occupancy. Upon the request of the holder of a permit,a temporary certificate of 51213 Removal or Making Structure Safe. Any occupancy may be issued before the completion of person so notified shall be allowed until 12:00 P.M. the entire work covered by the permit,provided that of the day following the service of the notice in such portion or portions may be occupied safely which to begin to remove such detached one- and prior to full completion of the detached one- and two-family dwelling or make it safe, or to make it two-family dwelling without endangering life or secure,and he or she shall employ sufficient labor public welfare. Any occupancy permitted to speedily to make it safe or remove it or to make it continue during the work shall be discontinued secure;but if the public safety so requires and if the within 30 days after completion of the work unless mayor or selectmen so order, the building official a certificate of occupancy is issued by the building may immediately enter upon the premises with the official, necessary workmen and assistants and cause such Q unsafe structure to be made safe or uemolished 5120.4 Contents of Certificate. When a detached without delay and a proper fence put up for the one-and two-family dwelling is entitled thereto,the protection of passersby,or to be made secure. building official shall issue a certificate of occupancy within ten days after written application. 5121.4 Failure to Remove or Make Structure Upon completion of the final inspection in Safe,Survey Board,Survey Report. If an owner accordance with 780 CMR 5115.4 and correction of of such unsafe detached one- and two-family the violations and discrepancies, the certificate of dwelling refuses or neglects to comply with the occupancy shall be issued. The certificate of requirements of such notice within the specified time occupancy shall specify,but shall not be limited to, limit, and such detached one- and two-family the following, dwelling is not made safe or taken down as ordered therein, a careful survey of the premises shall be 1. The edition of the code under which the made by a board consisting: in a city, of a city permit was issued. engineer, the head of the fire department, as such 2. The permit number. term is defined in M.G.L. c. 148, § 1, and one 3. The address of the structure. disinterested person to be appointed by the building 4. The name and address of the owner. official;and,in a town,of a surveyor,the head of the 5. The use group and occupancy,in accordance fug department and one disinterested person to be with the provisions of 780 CMR 51.00 through appointed by the building official.In the absence of 99.00. 6. The type of construction. any of the above officers or individuals,the mayor or selectmen shall designate one or more officers or 7. The name of the building official. officers so 8. If an automatic sprinkler system is provided. other suitable persons in place of the of named as members of said board. A written report 9. Any special stipulations and conditions of the of such survey shall be made, and a copy thereof building permit. served on such owner. 780 CMR 5121 UNSAFE STRUCTURES 5121.5 Removal of Dangerous or Abandoned 5121.1 General. The provisions of 780 CMR 5121 Structures. If such a survey sport as outlined in are established by M.G.L. c. 143, §§ 6, 7, 8,9 and 780 CMR 5121.4 declares such detached one-and 10. two-family dwelling to be dangerous or to be unused, uninhabited or abandoned,and open to the 5121.2 Inspection. The building official weather,and if the owner continues such refusal or immediately upon being informed by report or neglect, the building official shall cause it to be 3/23/07(Effective 4/1/07) 780 CMR-Seventh Edition 515 Date......./...... .�.. ................... OF NORT/y,� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SS�CHUS�t This certifies that .......... a ......................... has permission for gas installation,;? e:.. .... ,. .. in the buildings of.... ...`. ...L/'` ` ri�-4............................................. at...:......./.. .. 7 .94........., North Andover, Mass. P...r-�....... .................. Fee... ........ Lic. NOGF.3 3.:0° ..................................................................... GASINSPECTOR Check# 3 �� %R� �. : • { MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK ' CITY fV6rj-Vv Andover MA DATE 9/18/2015 PERMIT# JOBSITE ADDRESS 1447 Salem Street OWNER'S NAME O'Brien Homes OWNER ADDRESS 18 Cass-1-mere Street Andover MA 01810 TEL 978-749-9844 FAX 0 OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL xQ n"PE OR PRINT NEW: x� RENOVATION: REPLACEMENT: PLANS SUBMITTED: YESE] NOF] APPLIANCES FLOORS — BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DECORATIVE STOVE DRYER FIRE PLACE FRYOLATER FURNACE GENERATOR GRILL KIT INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT SIDEWALL VENTED ROOM HEATER UMT HEATER UNVENTED ROOM HEATER WATER HEATER 500 GAL UIG LP TANK W/GAS PIPING X INSURANCE COVERAGE I have a current Iiabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES[fl NO IF YOU HAVE CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X❑ 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER F1 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 st-of my know e and that all plumbing work and installations performed under the permit issued for this application will be in compliance ertinent provi Massachusetts State Plumbing Code and Chatper 142 of the General Laws PLUMBER-GASFITTER NAME Timoth Surdam LICENSE# 3-J SIGNAT RE MP ❑ MGF n JP[] JGFX❑ LPGI[] CORPORATION XQ# 164 PARTNERSHIP []#[=LL'C []# COMPANY NAME: Lorden Oil Co Inc ADDRESS: 69 Fitchburg Rd,PO Box 669 CITY: I Ayer STATE: FMT-j ZIP 1432 TEL: 978-772-2000 FAX: 9787772-5956 CELL: EMAIL: J • The Commonwealth of Massachusetts A Department of IndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): f,o c-d=. fid 1 ge _ Address: ,Pa City/State/Zip: enr Phone#: ?7F 22A- 1�COLO D Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am.a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.❑Roof repairs • These sub-contractors have employees and have workers'comp.insurance.#. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *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-coritraciors 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: 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 required under MGL c. 152,§25A is a criminal violation punishable by 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.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. Si ature: Date: / -,✓�� Phone#: COT IN O D 1 . Official use only. Do not write in this area,to be completed by city or town offrciai. 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 t � a, Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. F �+a Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of lire, 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 i 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. a The Department's address,telephone and fax number: `The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia I I Commormealth of Massachusetts Division of Registratiori*y, Beare of F`lumb' p� EDMONEY, S 583 ASH�I FITCHBU C — 1"1 rt-� I LF GaInst lei �V/ GF3107-1.? 05/01!2016 \ — ' 005542 . . . �. L/GEfiSc.vim J,F"71Y8Jor..01..,. _.- ff 383 Date . .. ..... . f HOftTH 1 TOWN OF NORTH ANDOVER 4, o PERMIT FOR MECHANICAL INSTALLATION ^` f F JiJ SSACHUSE ` r1 GOdl } This certifies that 4 has permission for mechanical installation . . . . . . . . . . . . . . I. in the buildings of .4 • • • • • • • • • • 1 at . a 1 • `�� rth Andover, Mass. � Fee . . . . Lac. No.Al '%. . . . . . 45. . . . . . . . . . . . . . . . . . AS INSPECTOR ' WHITE:Applicant ANARY: Building Dept. PINK:Treasurer i Commonwealth of Massachusetts Sheet Metal Permit Date: J Q ,'� ' ) Sr Permit# � Estimated Job Cost: 0 0 0 , D 0 Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# (� Business Information: n I Property Owner/Job Location Information: Name:Name: 4-� ��C'AFin J-!'f��n0i i n�� r.Name: A �� J I ,�nPS l�L( Street: /� Street: 1 City/Town: Dr-L {--- f'})0 0 1 City/Town: C�o Telephone: ')g; t(S ( g'7 Telephone: (2 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1/M-1-unrestricted license ,i/ J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family -family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. v"" over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC v"' Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: M e �-a JCf-wA i ° INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes ga-No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy 52" 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. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments i Final Inspection Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Permit# Signature of Licensee ❑Journeyperson Restricted Fee$ License Number: Check at www.mass.Qoy/dPI Inspector Signature of Permit Approval ACORD CERTIFICATE OF LIABILITY INSURANCE A5/MM/20"Y) PRODUCER 978,887,4900 FAX 978.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Edward F. Sennott Insurance Agency, Inc. 16 South Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 457 Topsfield, MA 01983 INSURERS AFFORDING COVERAGE NAIC# INSURED U] Heating & Air Conditioning, Inc. lNsuRERA: Great American Alliance Ins Co 17 Arlington Street . wsURERB: Safety Insurance Company 39454 Dracut, MA 01826 INSURERc: A.I.M. Mutual Insurance Co INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION i LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM DD DATE MM DD LIMITS: GENERAL LIABILITY PAC6418906-09 06/01/2015 06/01/2016 EACH OCCURRENCE $ 1000,00( X COMMERCIAL GENERAL LIABILITY DAMREN PREMISES GE Ea occurrence $ '300,00( A CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,00( PERSONAL&ADV INJURY $ 11000,00( GENERAL AGGREGATE $ i` 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JECT El LOC AUTOMOBILE LIABILITY 2434550 06/01/2015 06/01/2016 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1.000,000 ALL OWNED AUTOS BODILY INJURY $ I' B X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X $NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY UMB6418958-08 06/01/2015 06/01/2016 EACH OCCURRENCE $ 2,00-0,000 _X]OCCUR EICLAIMS MADE AGGREGATE $ 2,000,000A s DEDUCTIBLE_2 $ RETENTIONWORKER $ AND YERS'LSAILITTION WMZ-800-8006553-2015 06/02/2015 06/02/2016 X AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY C OFFICER/MEMBERI /EXCLU ED?ECUTIVEY� E.L.EACH ACCIDENT $ 1 OOO OO (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,descriOVISbe under SPECIAL PRIONS pelow E.L.DISEASE-POLICY LIMIT $ OTHER 1 OOO QO DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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,ITS AGENTS OR REPRESENTATIVES. Evidence Of Insurance AUTHORIZED REPRESENTATIVE [Peter Sennott/LAR ACORD 25(2009/01) ©1,988-2009 ACORD CORPORATION. All rights reserved The ACORD name and I are logo g registered marks of ACORD The Commonwealth of Massachusetts CCrlreiirS 1 Congt•ess Street, Suite 100 - -- - -- Boston, MA 02114-2017 -- __ - www nTkss gov/aiti ._ , Workers'Compensation Insurance Affidavit. Builders/Contractors/Electricrans/Plumbel•s. TO BE FILED WITH THE PERMITTING AUTHORITY. A' licant information Please Print Legibly Name (Business/Organization/Individual): J & J Heating & Air Conditioning, Inc. Address: 17 Arlingt-Qn Street City/State/Zip: Dracut, MA. 01826 Phone #: 978-454-8197 Are you an employer?Checic the appropriate box: 1.[31 am a employer with 40 employees(full and/or part-time),* Type of project(required): 2Q1 am a sole proprietor or partnership and have no employees working forme in 7. ❑New construction any capacity.[No workers'comp.insurance required.] 8• E] Remodeling 3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9• ❑Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.[ 13.❑Roof repairs 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box NI must also fill out(lie 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(he 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 nn employer that is providing rvorlrers'conrperrsailon insurance for rnrp employees. Below is the policy arrd job site information. Insurance Company Name: A.I.M. Mutual Insurance Policy#or Self-ins.Lie.#: WMZ-8006553-201506/02/16 Expiration Date: Job Site Address: Ell City/State/Zip: d-kdyveM1+O/ y.S Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 e- and/or on , mprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day agthe l olator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cover ge verifi tion. I d herehy r. ' ruder a pains ar r p llalties o er•rrr Ilia fP t the i�r ori -,,, J J' f nation provided above is true and correct. Si nat e: Date: Pho elf: 9787454-8197 Official use only. Do not write in this area,to be completed.hy 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 S. Plumbing Inspector 6. Other Contact Person: Phone# v :COMMONWEALTH Of y1 q'MASSnCi- USLTTS r3c�nr�rJ SIIEE`Y MI !..AL WORKERS:: I SSUES I.III [OLLOWI NG ( I'CCNSC A 5- n ;MASTER—UNEtI...SI R I GTE 1) L IICn-I ING..F> i I: tic, r ICI.IL , t IIEn1ING `� nc 17 ARE:;1 NGTON „S1 -� UIZIt` li i Mn o'I 82,6 3 9)1,0 ' 1(J;8 0 211,/16 21t1� 9 l4L].J±.[Ltfil°1uI.:I1,�➢e�_1.�.11.L'1Vl�iN�'SlE`_�i4➢1dGtC7;l1rl°Q�`�?.li � . MW, NA,-C US'E,TTS - DRIVER,'S I r.,�, LICENSE 4-A Ba END 4d NUMBER 05-03-201 NONE .S99655871 1,'EXP 05�12r?�016 05 2�..198Q S�„ A t,7 .CLASS 12 REST' 1 SEX—M. 1QAlR��16 V9 E r a "'IDM NONE ill KLINE , t r e 83 LONG DR2 ERIC RJ wroS #j400 .° ` DRACUT,MA 01826.2048- DD 05-04-1011 R.v oi.wooS I . <<: OMMONWALTH OFM/� 'THUS ::,::;.; , w • • - • • � QOARp r7� . SHEET„ M.E�"`AL iWORKRS ISSUES THE FOLLOWf N.G rL I'CEtdSE AS '`A f3US I NESS EQWA(tb T AYOTTE :.. ;1 J HEATING P_IN CONDITIONING I !W 17 'ARL:I NG"fON STR�,E p;RAcu Ma 01826 144485 y I i I y . Wrights®ftS9 Load Short Form Job: 1447 Salem Rd Date: May 22 2015 Entire House By: J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Riff Htg Clg Infiltration Outside db (°F) 12 88 Method Simplified Inside db (°F) 70 75 Construction quality Average Design TD (°F) 58 13 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference (gr/Ib) 47 28 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1020 cfm Actual air flow 1020 cfm Air flow factor 0.016 cfm/Btuh Air flow factor 0.046 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.94 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Garage 484 9974 1598 156 73 Living Room 224 6998 2839 110 129 Dining Room 168 2349 407 37 19 Kitchen 156 0 0 0 0 WIC 54 1141 177 18 8 Closet 54 1141 177 18 8 Master 240 6772 2083 106 95 Mast.Bath 90 3462 1008 54 46 Foyer 146 5336 1917 84 87 Room12 30 7 6 0 0 Bath 36 0 0 0 0 Room13 240 5120 2239 80 102 Room14 90 2512 1050 39 48 Room15 160 1603 . 534 25 24 Room16 328 7833 2401 123 109 Room17 429 8186 4600 128 209 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htso$t° 2015-Oct-09 06:54:36 '10M�,,.. 9 Right-Suite®Universal 2015 15.0.12 RSU05790 Page 1 ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N I Room18 108 199 162 3 7 Room19 54 2379 1213 37 55 Entire House 3091 65015 22411 1020 1020 Other equip loads 0 0 Equip. @ 0.93 RSM 20752 Latent cooling 1311 TOTALS 3091 65015 22063 1020 1020 I i Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. a 1/Vi'! f11~SOft' 2015-0ct-09 06:54:36 g Right-Suite®Universal 2015 15.0.12 RSU05790 ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 2 OIUrI htsoft Building Analysis Job: 1447 Salem Rd 9 Entire House Bate: May 22 2015 ' y J&J Heating and A/C 17 Arlington St., Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humily (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Dally range (°F) - 15 ( L ) Method Simplified Wet bulb (° - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Component Btuh/ft2 Btuh % of load Walls 10.5 29651 45.6 m Glazing 32.8 7354 11.3 Doors 22.5 1730 2.7 Ceilings 1.8 3417 5.3 Floors 7.2 13380 20.6 w, Infiltration 3.0 9482 14.6 Ducts 0 0 Piping 0 0 Humidification 0 0 Ventilation 0 0 �. Adjustments 0 Total 65015 100.0 Component Btuh/ft2 Btuh % of load Walls 3.2 8957 40.0 Glazing 39.0 8728 38.9 Doors 10.3 796 3.6 Ceilings 1.6 2966 13.2 Floors 0 0 0 Infiltration 0.3 963 4.3 Ducts 0 0 Ventilation 0 0 Internal gains 0 0 Blower 0 0 Adjustments 0 Total 22411 100.0 Latent Cooling Load = 1311 Btuh Overall U-value= 0.141 Btuh/ft2-°F Data entries checked. i '�- wrightsof=tmg 2015-Oct-09 06:54:36 Ri ht-Suite®Universal 2015 15.0.12 RSU05790 ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 1 WrI J01tS0ft- Component Constructions Job: 1447 Salem Rd Date: May 22 2015 • Entire House By: AJ Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com gad-ay _ �.,� • • • � ,a y. .. For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (0� 15 L- P o ( ) Method Simplified Wet bulb ( F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/112-°F ftz-°FBtuh BtuhtV Btuh Btuh/ft2 Btu Wal I s 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" n 547 0.183 17.8 10.5 5766 3.18 1742 gypsum board int fnsh a 842 0.183 17.8 10.5 8875 3.18 2681 s 506 0.183 17.8 10.5 5334 3.18 1611 w 918 0.183 17.8 10.5 9676 3.18 2923 all 2813 0.183 17.8 10.5 29651 3.18 8957 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, n 36 0.570 0 32.8 1182 17.9 643 1/4"thk;6.67 ft head ht e 76 0.570 0 32.8 2495 59.7 4539 s 112 0.570 0 32.8 3677 31.7 3546 all 224 0.570 0 32.8 7354 39.0 8728 Doors 11 DO:Door,wd sc type n 56 0.390 0 22.5 1258 10.3 579 S 21 0.390 0 22.5 472 10.3 217 all 77 0.390 0 22.5 1730 10.3 796 Ceilings ' 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 1854 0.032 30.0 1.84 3417 1.60 2966 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 176 1.180 0 68.0 11962 0 0 21 1.180 0 68.0 1418 0 0 all 197 1.180 0 68.0 13380 0 0 t WPI Ilt Soft 2015-Oct-09 06:54:36 9 Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 1 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N wri htsoft Component Constructions Job: 1447 Salem Rd Date: May 22 2015 Garage By: J&J Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com v Z v. For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ftz-°F ft2-°FBtuh Btuh/ftz Btuh Btu h/ftz Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" n 198 0.183 17.8 10.5 2087 3.18 630 gypsum board int fnsh e 72 0.183 17.8 10.5 759 3.18 229 W 198 0.183 17.8 10.5 2087 3.18 630 all 468 0.183 17.8 10.5 4933 3.18 1490 Partitions (none) Windows (none) Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 44 0.032 30.0 1.84 81 1.60 70 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 52 1.180 0 68.0 3534 0 0 1 writ htSoft° 2015-Oct-09 06:54:36 Right-Suite®Universal 2015 15.0.12 RSU05790 /4CCA ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 2 Component Constructions Job: 1447 Salem Rd Wrigh$soft`A Date: May 22 2015 Living Room By: AJ Heating and A/C 17 Arlington St., Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 • a s E Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dr bulb Infiltration: Dally range°F) 12 188 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ft2-°F ftz°F/%h Btuh/ft2 Btu Btuh/ft2 Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" n 70 0.183 17.8 10.5 738 3.18 223 gypsum board int fnsh a 120 0.183 17.8 10.5 1265 3.18 382 all 190 0.183 17.8 10.5 2003 3.18 605 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, e 24 0.570 0 32.8 788 59.7 1433 1/4"thk;6.67 ft head ht Doors 11 DO:Door,wd sc type n 56 0.390 0 22.5 1258 10.3 579 Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 48 0.032 30.0 1.84 88 1.60 77 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 30 1.180 0 68.0 2039 0 0 Wr6 I1itSO�t 2015-Oct-0906:54:36 9 Right-Suite@ Universal 2015 15.0.12 RSU05790 ACCO ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 3 Component Constructions Job: 1447 Salem Rd wrightsoft Date: May 22 2015 Dining Room By: J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling 9� Coo 9 Boston Logan I nt I P A MA U S 9 Indoor ( F)temperature 70 75 p Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N I Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area 1.1-value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ftz-°F ftz-°F/Btuh Btuh/ftp Btuh Btuh/ftz Btuh Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" a 108 0.183 17.8 10.5 1138 3.18 344 gypsum board int fns Partitions (none) Windows (none) Doors (none) Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 36 0.032 30.0 1.84 66 1.60 58 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 12 1.180 0 68.0 816 0 0 1 wry htS�Oft° 2015-Oct-09 06:54:36 Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 4 AC(:A ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N p Comonent Constructions Job: 1447 Salem Rd wr�ghtse�f�� p Date: May 22 2015 Kitchen By: AJ Heating and A/C 17 Arlington iSt.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD ( F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily'range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind!speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ft2-°F ftz°F/Btuh Btuh/ftz Btu Btuh/ft2 Btu Wal I s (none) Partitions (none) Windows (none) Doors (none) Ceilings (none) Floors (none) i ss WB 1 htSOt' 2015-Oct-09 06:54:36 9 Right-Suite@ Universal 2015 15.0.12 RSU05790 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 5 wri9 htsoft- Component Constructions Job: 1447 Salem Rd wlC Date: May 22 2015 Y J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com e For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 e r., Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/ftz°F ftz-°FBtuh Btuh/ft2 Btu Btu h/ftz Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" w 54 0.183 17.8 10.5 569 3.18 172 gypsum board int fnsh Partitions (none) Windows (none) Doors (none) Ceilings (none) Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 6 1.180 0 68.0 408 0 0 t Wrr htSOft 2015-Oct-09 06:54:36 se._- � � Right-SuiteO Universal 2015 15.0.12 RSU05790 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 6 Component Constructions Job: 1447 Salem Rd WrI Pub�Oft� Date: May 22 2015 Closet By: J&J Heating and A/C 17 Arlington St.,Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: 9 Hea tin Cooling JY Boston Logan Int I AP, MA, US Indoor temperature ( F) 70 75 Elevation: 30 ft Design es gn TD ( F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Wet Daily range - 72 ( L )Method Simplified Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ftz-°F ft2-9FBtuh Btuh/ft2 Btu Btuh/ft2 Btu Wal I s 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" w 54 0.183 17.8 10.5 569 3.18 172 gypsum board int fnsh Partitions (none) Windows (none) Doors (none) Ceilings (none) Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 6 1.180 0 68.0 408 0 0 wr! htSoft 2015-Oct-09 06:54:36 �,._. 9 Right-Suite®Universal 2015 15.0.12 RSU05790 �� ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 7 Component Constructions Job: 1447 Salem Rd • Wrightsaft� Date: May 22 2015 Master By: J&J Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ftz-°F ft2-°FBtuh Btuh/ftz Btuh Btuh/ftz Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" s 116 0.183 17.8 10.5 1223 3.18 369 gypsum board int fnsh w 135 0.183 17.8 10.5 1423 3.18 430 all 251 0.183 17.8 10.5 2646 3.18 799 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, s 28 0.570 0 32.8 919 31.7 886 1/4"thk;6.67 ft head ht Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 136 0.032 30.0 1.84 251 1.60 218 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 31 1.180 0 68.0 2107 0 0 ,,,Z- Wrl 11tSf9ft 2015-Oct-09 06:54:36 Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 8 ACCP, ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N wrightsoft" Component Constructions Job: 1447 Salem Rd Date: May 22 2015 Mast.Bath By: AJ Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com - a^ �, � • • 0 '�__- . war. s For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ftz-'F ftz-'F/Btuh Btuh/ft2 Btu Btuh/ft2 Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" e 27 0.183 17.8 10.5 285 3.18 86 gypsum board int fnsh s 78 0.183 17.8 10.5 822 3.18 248 w 27 0.183 17.8 10.5 285 3.18 86 all 132 0.183 17.8 10.5 1391 3.18 420 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, s 12 0.570 0 32.8 394 31.7 380 1/4"thk;6.67 ft head ht Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 82 0.032 30.0 1.84 151 1.60 131 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 16 1.180 0 68.0 1087 0 0 .q� Wrl Iltsoft� 2015-Oct-0906:54:36 Right-Suite®Universal 2015 15.0.12 RSU05790 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 9 Component Constructions Job: 1447 Salem Rd WrI J�1tS0t� Date: May 22 2015 Foyer By: AJ Heating and A/C 17 Arlington,St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com _r V MIRM For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ft2-°F ft2-0F/Btuh Btuh/ftz Btu Btuh/ft� Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" e 105 0.183 17.8 10.5 1107 3.18 334 gypsum board int fnsh s 57 0.183 17.8 10.5 601 3.18 181 all 162 0.183 17.8 10.5 1708 3.18 516 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,cir innr,1/4"gap, a 12 0.570 0 32.8 394 59.7 717 1/4"thk;6.67 ft head ht s 12 0.570 0 32.8 394 31.7 380 .all 24 0.570 0 32.8 788 45.7 1097 Doors 11 DO:Door,wd sc type s 21 0.390 0 22.5 472 10.3 217 Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 95 0.032 30.0 1.84 175 1.60 152 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 23 1.180 0 68.0 1563 0 0 2015-Oct-09 06:54:36 ,t Wrt 1tSOfRight-Suite®Universal 2015 15.0.12 RSU05790 Page 10 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJB Front Door faces: N * wrightsoft- Component Constructions Job: 1447 Salem Rd Room12 Date: May 22 2015 By: J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft� Btuh/ftz-°F ftz-°F/Btuh Btuh/ftz Btu Btu h/ftz Btuh Walls (none) Partitions (none) Windows (none) Doors (none) Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 4 0.032 30.0 1.84 7 1.60 6 gypsum board int fns Floors (none) wri htsOfRight-Suite®Universal 2015 15.0.12 RSU05790 2015-Oct-09 06:54:36...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 11 Component Constructions Job: 1447 Salem Rd wrigh�soft� p Bate: May 22 2015 Bath Y J&J Heating and A/C 17 Arlington St.,Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor:r: Heating Cooling Boston Logan Int'l AP, MA, US Indoor temperature ( F) 70 75 Elevation: 30 ft. Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ftz-°F ftz-°F/Btuh Btuh/ft2 Btu Btu h/ft2 Btu Walls (none) Partitions (none) Windows (none) Doors (none) Ceilings (none) Floors (none) 1 -�#- Wrl h$SOft' 2015-Oct-09 06:54:36 ,.w_ r g Right-Suite®Universal 2015 15.0.12 RSU05790 Page 12 ACCA ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N i Component Constructions Job: 1447 Salem Rd Wrlgh$S®�t� Date: May 22 2015 Room 13 By: J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax 978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/ftz-°F ft2-°FBtuh Btuh/ft2 Btu Btuh/ft2 Btuh Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" s 116 0.183 17.8 10.5 1223 3.18 369 gypsum board int fnsh w 135 0.183 17.8 10.5 1423 3.18 430 all 251 0.183 17.8 10.5 2646 3.18 799 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, s 28 0.570 0 32.8 919 31.7 886 1/4"thk;6.67 ft head ht Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 240 0.032 30.0 1.84 442 1.60 384 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 4 1.180 0 68.0 263 0 0 t� wri htsof ' Right-Suite®Universal 2015 15.0.12 RSU05790 2015-Oct-09 06:54:36 ACCP ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 13 wrigh$soft`a Component Constructions Job: 1447 Salem Rd Room14 Date: May 22 2015 By: AJ Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com r For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature °F 7 0 7 5 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz BtuhM-°F ft2-°FBtuh Btuh/ft2 Btu Btuh/ftz Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" e 27 0.183 17.8 10.5 285 3.18 86 gypsum board int fnsh s 78 0.183 17.8 10.5 822 3.18 248 W 36 0.183 17.8 10.5 379 3.18 115 all 141 0.183 17.8 10.5 1486 3.18 449 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air as vnl frm mat clr innr,1 4" 9 gas, / a s 12 0.57 1/4"thk;6.67 ft head ht gap, 0 0 32.8 394. 31.7 380 Doors (none) Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 90 0.032 30.0 1.84 166 1.60 144 gypsum board int fnsh Floors (none) 1 2015-Oct-0906:54:36Wrl 1tS®fp Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 14 ACC& ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N wri htsoft Component Constructions Job: 1447 Salem Rd Room15 Date: May 22 2015 Y J&J Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jiheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 u Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (OF) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) i ZEE ONE Construction descriptions Or Area U-value Insul R Htg HTM Loss Cig HTM Gain 82 Btuh/ft2--F ftz-°F/Btuh Btuh/ft2 Btu Btuh/ftz Btu Wal I s 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" w 90 0.183 17.8 10.5 949 3.18 287 gypsum board int fns Partitions (none) Windows (none) Doors (none) Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 160 0.032 30.0 1.84 295 1.60 256 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 1 1.180 0 68.0 85 0 0 2015-Oct-09 06:54:36 Wr1 1tSoft" RI ht-SuiteO Universal 2015 15.0.12 RSU05790 ,4C_CK ...wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 15 Component Constructions Job: 1447 Salem Rd * wrightsoft- Date: May 22 2015 Room 16 By: J&J Heating and A/C 17 Arlington St., Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Dally range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/ft2--F ft2-0F/Btuh Btuh/ft2 Btu Btuh/ftz Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" n 162 0.183 17.8 10.5 1708 3.18 516 gypsum board int fnsh e 72 0.183 17.8 10.5 759 3.18 229 w 162 0.183 17.8 10.5 1708 3.18 516 all 396 0.183 17.8 10.5 4174 3.18 1261 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr,1/4"gap, n 36 0.570 0 32.8 1182 17.9 643 1/4"thk;6.67 ft head ht Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 328 0.032 30.0 1.84 605 1.60 525 gypsum board int fnsh Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 8 1.180 0 68.0 557 0 0 ^.eFF �{/0-j Fq'�gp � 2015-Oct-09 06:54:36 9 Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 16 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N * wrightsoft- Component Constructions Job: 1447 Salem Rd Room 17 Bate: May 22 2015 By: J&J Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/V-°F ftz-°FBtuh Btuh/ft2 Btu Btuh/ftz Btu Wal I s 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" n 117 0.183 17.8 10.5 1233 3.18 373 gypsum board int fnsh e 257 0.183 17.8 10.5 2709 3.18 818 w 27 0.183 17.8 10.5 285 3.18 86 all 401 0.183 17.8 10.5 4227 3.18 1277 Partitions (none) Windows 1D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,cir innr,1/4"gap, e 40 0.570 0 32.8 1313 59.7 2389 1/4"thk;6.67 ft head ht Doors (none) Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 429 0.032 30.0 1.84 791 1.60 686 gypsum boardi nt fns Floors 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 8 1.180 0 68.0 512 0 0 ,gS� -per} wri htsoft 2015-Oct-09 06:54:36 "1�" 9 Right-SuiteO Universal 2015 15.0.12 RSU05790 ACCK ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 17 wri Jh$§of$- Component Constructions Job: 1447 Salem Rd 80011118 By: May 22 2015 v J&J Heating and A/C 17 Arlington St., Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com F Y For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ftz Btuh/ft2-°F ft2-°FBtuh Btuh/ft2 Btu Btuh/ft2 Btu Walls (none) Partitions (none) Windows (none) Doors (none) Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 108 0.032 30.0 1.84 199 1.60 173 gypsum board int fnsh Floors (none) Wi'1 I1tSl? t' 2015-Oct-0906:54:36 Right-Suite(R)Universal 2015 15.0.12 RSU05790 Page 18 ACCA ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Component ConstructionsJob: 1447 Salem Rd Wrl9h �Of� p Date: May 22 2015 Room 19 By: AJ Heating and A/C 17 Arlington St.,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range (°F) - 15 ( L ) Method Simplified Wet bulb (°F) - 72 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain 82 Btuh/ft2-°F ftz°F/%h Btuh/ft2 Btu Btuh/ft2 Btu Walls 13AB-Ofcs:Blk wall,stucco ext,8"thk,vermiculite core,1/2" e 54 0.183 17.8 10.5 569 3.18 172 gypsum board int fnsh s 61 0.183 17.8 10.5 643 3.18 194 all 115 0.183 17.8 10.5 1212 3.18 366 Partitions (none) . Windows 1 D-c2ov:2 glazing,clr outr,air gas,vnl frm mat,clr innr, 1/4"gap, s 20 0.570 0 32.8 657 31.7 633 1/4"thk;6.67 ft head ht Doors (none) Ceilings 166-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins,1/2" 54 0.032 30.0 1.84 100 1.60 86 gypsum board int fnsh Floors (none) I ti WPi IltSoft A 2015-Oct-09 06:54:36 o., Right-Suite®Universal 2015 15.0.12 RSU05790 ACCA ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N Page 19 WrlghtsOf$- Project Summar Job: 1447 Salem Rd Summary Date: May 22 2015 Entire House By: AJ Heating and A/C 17 Arlington St., Dracut,Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Notes: J , Weather: Boston Logan Int'I AP, MA, US Winter Design Conditions Summer Design Conditions Outside db 12 OF Outside db 88 OF Inside db 70 OF Inside db 75 OF Design TD 58 OF Design TD 13 OF Daily range L Relative humidity 50 % Moisture difference 28 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 65015 Btuh Structure 22411 Btuh Ducts . 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Pi In 0 Btuh Equipment load 65015 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 20752 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 1311 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft2 3091 3091 Equipment latent load 1311 Btuh Volume �ft3) 27819 27819 Air changes/hour 0.32 0.15 Equipment total load 22063 Btuh Equiv.AVF (cfm) 150 70 Req. total capacity at 0.70 SHR 2.5 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1020 cfm Actual air flow 1020 cfm Air flow factor 0.016 cfm/Btuh Air flow factor 0.046 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.94 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. �. Wrl htSOft'� 2015-Oct-09 06:54:36 AC� 9 Right-Suite@ Universal 2015 15.0.12 RSU05790 Pagel ...Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N AED Assessment Job: 1447 Salem Rd !li/1'6 J�ItS® � Date: May 22 2015 Entire House By: AJ Heating and A/C 17 Arlington St:,Dracut, Ma 01826 Phone:978-454-8197 Fax:978-454-8615 Email:jeff@jjheatac.com Web:www.jjheatac.com For: Obrien Homes LLC PO Box 1662,Andover, Ma 01810 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 58 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 46.5 27.8 Dry bulb (°F) 12 88 Infiltration: Daily range °F) - 15 ( L ) Wet bulb (°F) - 72 Wind speed (mph) 15.0 7.5 Hourly Glazing Load 14,000- 12,000-- 10,000-- 8,000- o 2,00010,0008,000 6,000-- 4,000-- 2,000-- 0 ,0004,0002,0000 8 9 10 11 12 13 14 15 16 17 18 19 20 Hour of Day - Hou�y PEDInit Maximum hourly glazing load exceeds average by 26.7%. House has adequate exposure diversity (AED), based on AED limit of 30%. AED excursion: 0 Btuh I WCI I1tSOfiL° 2015-Oct-09 06:54:36 �� g Right-Suite@ Universal 2015 15.0.12 RSU05790 Page 1 ..Wrightsoft HVAC\13 St.James way Andover Ma.rup Calc=MJ8 Front Door faces: N 1447 Salem Street notes This property has been vacant for over a decade. It was built in 1973.The septic system has not received water or waste during that time.A Title V inspection was conducted on June.1, 2015.The Title V indicates no failure criteria. The system passed. l'�� i Residential Property Record Card PARCELID:2101106.A-0025-0000.0 MAP:106.A BLOCK:0025 LOT:0000.0 PARCEL ADDRESS:1447 SALEM STREET FY:2014 _ PARCEL INFORMATION Use=Code: 101 Sale Price: 16,000 - Book: 01562 Road Type: T` Inspect Date: 03/31/2010 Tax Class: T Sale bate:. 02/22/82 Page: 01.41 Rd Condition: P .Meas Date: 03/31/2010 Owner: Tot Fin Area: 1792 Sale Type: P Cert/poc: Traffic M Entrance: X BURNS,:MARY B Tot Land Area: 1.00 Sale Valid: H Water: Collect Id:RRRC C/O IRENE DEFREITAS Grantor: BURNS,RICHARD:D Sewer: Inspect eas: Address: p ° 35 HERITAGE DRIVE ° ° / Open Sp-B/L'0/6 / Exem t-B/L/° / Resid-B/L/0 100/100 Comm-B%LP/° Indust-B/L/° LOWELL MA 01852 BHD CODE: 6 NBHD CLASS: 6 ZONE:RESIDENCE INFORMATION LAND INFORMATION N . NE: R1 Style: CL Tot Rooms: 6 Main Fn Area: 1042 Attic Seg Type Code Method Sq-Ft; Acres Influ-.YValue Class Story Height: 2.00 Bedrooms: 3 Up Fn Area: 750 Bsmt Area: 1042 p 101 S 43560 1.000 198,412 Roof: G Full.Baths: 1. Add Fn Area:: Fn Bsmt Area*v IT Ext Wall: FB Half Baths: 1 UnfinArea: Bsmt Grade; VALUATION INFORMATION Masonry Trim:. Ext Bath Fix: 0 Tot Fin Area: 1792 RCNL D: 128251 Current Total: 326,700 Bldg: 128,300 Land: 198,400: MktLnd:. 198,400 Foundation: CN Bath Qual: T Prior Total: 336,900 Bldg: 128,300 Land: 208,600 MktLnd: 208,600 Kitch Qual: T Eff Yr Built: 196.1: Mkt`Adj Heat Type: HW ExtKitch: Year Built: 1973 Sound Valuer Fuel Type: G Grade: A Cost Bldg: 128,300 Fireplace: 1 Bsmt Gar Cap: Condition: P Att:Str Val1:: Central AC: N Bsmt Gar SF: 466 Pct Complete: Att:Str Va12: Att Gar SF: %Good P/F/E/R /100/100/66' Porch Type Porch Area Porch Grade Factor E 144 PHOTO SKETCH 12 x• r Lab , .s ( J 1z 144 Sq-112 ,1 y x • T: 3 12 FU FM/13 „ .. 750 Sq.Ft 1042.Sq Et 23 / 29 x f 14 rf sr e '� •ag" 1447 SALEM STREET Page 1 of 1 Parcel ID:210/106.X-0025=0000.0 as of 7/22/14 J � NORTy q O �tLeo X64 Oro 0 ��SSgcHuS��y PUBLIC HEALTH DEPARTMENT (ommunity Development Division Irene Defreitas 35 Heritage Drive Lowell,MA 01852 Re: Mary Burns,Owner 1447 Salem Street June 9,2006 Dear Ms.Defreitas, This letter is in regard to our recent conversations concerning your sister's property listed above of which you are in care of.As you are aware,several youths were found at this property by the N.Andover Police Department. The NAPD had concerns over the unsanitary condition observed.The condition of the interior of the home warranted the inclusion of the Health Department in this process.At that point,I contacted you to inform you of the situation. Thank you for responding and beginning to take action on the Town's concerns. This property is clearly not habitable in its current state.Now that you are aware of the condition of the property,the Health Department would request the following of you and any other responsible parties. 1) Once secured,please check on the property frequently to ensure that all of the doors and widows are properly deterring entry. 2) Due to the presence of food within the premises there was clear evidence of rodent activity.Please remove all food items that could attract rodents.Remove all recyclable objects that draw insects and rodents. 3) There is quite a bit of broken glass such as mirrors and other unsafe articles. These should be removed for the safety of anyone entering the home Future occupancy of this property would first require attention to the many other unsanitary and unsafe conditions. The excessive mold on the wall surfaces of the bathroom indicates excessive moisture problems. You must address the source,remove any saturated sheetrock,wood etc. and wash and sanitize all cleanable surfaces with a mild bleach solution. The presence of rodents means that feces and urine would be on all surfaces traveled by the animals. Once cleaned of debris this home must be cleaned and sanitized,preferably by a company specializing in this type of business. The presence,of rodents also indicates entry ry poin is for the rodent s. These holes should be identified and plugged as needed. The Health Department will assist you in an manner within r ou purview.A P Y Y. p s you indicated you are not sure of the future plans for thisproperty.As the enforcement arm of the Human Habitation p b talion code,I caution ou if you are Y considering turning this into a rental property.Please contact this office if you intend to do so,so that an inspection may occur that will determine the habitability prior to occupancy by a renter. Sincerely, Susan Sawyer,REHS/RS Public Health Director Cc: N.Andover Bldg Dept. NAPD 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com ,,. -----------------------_7 c- co '1 w _ t 407�f ft XV ry r�ar{^:g� � { zn ax s o �y i �l w �l d i f .a`: „„ � ,*a � °` a '. 6 3 •� S+�„ w�,�. 't.G` �', +F •� � err n . i J y (�. ,' •°'t, `� �.T' . �' �"' � ��' °�s.� � x ��,�' � g��,�, ��` � •�e � � Vii'' �� ". 'Vi` N -. �f� $ .yr �x � i '�� {.• b �q�C Ar �.�- $ �� M t .,. Cs L u - - - BUILDING PERMIT �%.1ORTAORN TOWN OF NORTH ANDOVER o p APPLICATION FOR PLAN EXAMINATION oy Permit No#: Date Received A7Eo PP��y SSACHl15� j Date Issued: "-, IMPORTANT: Applicant must complete all items on this page LOCATION l7 y7 tS'( , �/0 26'lcj f' y Print PROPERTY OWNER 5 C- Print 100 Year Structure yes no MAP PARCEL:N-6- ZONING DISTRICT: Historic District ye no Machine Shop Village e Y e no, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )One family , ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other eptic ❑Well ❑iFloodplain, E]OWetlantls ❑ '1Natershed�Distnct kx r Water/Sewer, E ac t IL k a DESCRIPTION OF WORK TO BE PERFORMED: r &A). Identifi/c�ation- Please Type or Print Clearly OWNER: Name: 7l�Utiv 95,61) Phone: IM5 1&3 Address: /r&s37, 'Contrac Name eU,� co Jail Phone: Z( �19L13 - Emailr%� V �� Address: Supervisor's Construction License. X29-,3 79 Exp: Date:. �^ I\Home Improvement License: Exp.. Date`., ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Z4�164. r-6, FEE: $ '— Check No.: Z Receipt No.: A-- NOTE: Persons contracting un egister d contractors do not have ac ce o the guara fund ;:t.. r .: - '.-.. _ __. _ _ _ - _ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swilling Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales' ❑ Private(septic tank, etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM VLANNING & DEVELOPMENT Reviewed On Signature_ COMMENT CONSERVATION Reviewed on ( S Si nature COMMENTS -n tee_ .,`� `,� W Q)S \ 11 4AUTH Reviewed on__q- Signature �� L (� " a COMMENTS C i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes - - Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: LocTM -s� r , FIRE DEPARTMENT' erne Dum )sterUY site �y�es �. a � Street 384 Osgoo r STO 1-4 Located at 124 Mal Street. + � �� .�,� � Fire rD'e 'ar lent sig s` f ;:'t,4;-4 a p natl9re/date �`.� 1`',;S°'• Y. c a ..mak+ ,,fid ... r� "lit :� `�.� �• 4�$ .,,4a � �" �,.k�$ , '; z � °a'. t,°� � � �Yy -,,,u.. .��.f �//E'e�� 4� �§ •'°a`, �'2 F def �.ii�„�� i� °'F',s �. e�ic�R +.�"�'� �i� } "•` z° ,.-_"'Q M.'+3� +� ,+Y' �+ g�. 1..0MM1= TTS � 4',Y.A. ;� �� Z� t,N� i s 9} y(� ,•.'x��3�f9�'r ��4+`+��7 7. :x �J�Y�,�. � +Y..1 it Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL. Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA- (For department use) i ® Notified for pickup Call Email Date Time Contact Name = Doc.Building Pennit Revised 2014 k Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits 4. Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4, Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses 4, Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building pp Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products IS OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 1 Location �--. _a No. Date V e • TOWN OF NORTH ANDOVER' Y, e Certificate of Occupancy $_ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ r. Check#13" I { Building Inspector I M Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost K000.00 m $ - $ 780.00 Plumbing Fee $ 97.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 97.50 Total fees collected $ 1,075.00 1447 Salem Street 125-2016 on 7/29/2015 Rehab Entire House � I 6' tAORTH- I own 0� E q. Andover o - : M. - TO No. iL o h ver, Mass, COc NICttl WICK y1. BOARD OF HEALTH 4 Food/Kitchen ..PER • kA Septic System a r')e. I I_ '41- �' ILDING INS&,C OR THISCERTIFIES THAT ..........................................................`................................................................. buildings s on I ..V.... .��.�P. .....e ...Y�` '. Foundation has permission to erect .......................... g .. ..................... ��=s=—� �� Roa� F! tobe occupied as ........... Ni. . ......:. ....................................................................... �ey provided,that the person accepting this permit shall in every respect conform to the terms of the application nal on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and V-4 L., Construction of Buildings in the Town of North Andover. rl&- PLUMG 1 SPE T Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final ek, h6z;� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TARTS Rough Service ................. ........... Final �� BUILDING INSPECTOi� GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises - Do Not Remove ina �� ",-�- p Y No Lathing or Dry Wall all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 1 Street No. Smoke Det. NORTH (own OR ? Andover No. h ver, Mass,TL 15 LA COCNICNl WICK ��• �d A�R�TED PPP,`�(5 �] 7 BOARD OF HEALTH Food/Kitchen Septic System O `1.,J1Q.. �' - S �NC�• BUILDING INSPECTOR THISCERTIFIES THAT ........................ ..... ... ..... ............ ,............. ........... ........................... L1....S 41e0,/� � Foundation has permission to erect ..................:....... buildings on . \ l ..................... Rough to be occupied as ............ . ..I .... .... ....................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR .UNLESS CONSTRUCTI T RTS Rough Service ................. ............................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. - Burner Street No. Smoke Det. North Andover Board of Assessors Public Access Page 1 of 1 � A 4 0 4- �SSgCHUS IMProperty Record Card Click Seal To Retum Parcel ID :210/106.A-0025-0000.0 FY:2015 Community : North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales J a Summary �a Residence a Detached Structure Condo 1447 SALEM STREET Commercial Location: 1447 SALEM STREET Owner Name: BURNS,MARY B C/O IRENE DEFREITAS Owner Address: 35 HERITAGE DRIVE City: LOWELL State: MA Zip: 01852 Neighborhood:6-6 Land Area: 1.00 acres Use Code:. 101-SNGL-FAM-RES Total Finished Area: 1.792 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 340,900 326,700 . Building Value: 132,300 128,300 Land Value: 208,600 198,400 Market Land Value: 208,600 Chapter Land Value: LATEST SALE Sale Price. 16,000 Sale Date: 02/22/1982 Arms Length Sale Code: H-NO-COURT-ORD Grantor: BURNS RICHARD D - Cert Doc: Book: 01562 Page: 0141 http://csc-ma.us/PROPAPP/display-do?linkld=2622678&town=NandoverPubAcc 7/28/2015 The Commonwealth of Massachusetis Department of Industrial Accidents Office of Investigations .600 Washington Street Boston,MA 02111 www.niassgov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: Address: f ( 5S/4',6el City/State/Zip: 1"W Phone#: ��' �/�� Areu an employer?Check th ppropriate box: Business Type(required).: y 1. i am a employer with employees.(full and/ 5: 0 Retail or part-time).* 6. (]Restaurant/Bar/Eating Establishment 2.0 I am a sole proprietor or partnership and have no 7 [] Office and/or Sales(incl.real estate,auto,etc) employees working for me in any capacity. [No workers'comp.insurance required] 8. ❑Non-profit 3.0 We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),.and we have 10. Manufacturing no employees.[No workers'comp.insurance.required]* 11.[]Health Care 4.0 We are a non-profit organisation,staffed by volunteers, with no employees. [No workers'comp.insurance req.] 12.0 Other Any applicant that checks box#1 must also fill ouf the section below showing their workers'compensation policy infprr tagon. *ff the corporate officers.have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employee& Below is the policy information. Insurance Company Name: / < . �f Insurer's Address: City/State/Zip: G,v� rt/ Ma . Policy#or Self-ins.Lic.# I�/ C O/� ��G�'y Expiration Date. 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 MOL 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 t for insurance coverage verification. I do hereby nVde the p dpenalties of perjury that the information provided above Is true and correct Si attire: c D te: �r 126) r�S Phone#: Official use only. Do not write In this area,to be completed by city or town offciaL i City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health `2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www'.mass.gov/dia �""� OBRIE•1 OP ID:ST CERTIFICATE OF LIABILITY INSURANCE DATE.,..,,l�YYY) 07/28/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S);AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone:781465-2990 NANETACT: T F Ward Insurance Agency,Inc Fax:78l 665-8y03 PHONE 403 Franklin Street rc L arc Hall: Melrose,MA 02176 ADDRESS: Panteno Vonkahle Ins Agency INSURER(S)AFFORDING COVERAGE NAIC0 INSURERA Issex Insurance Compaq INSURED O'Brien Homes,Inc.&O'Brien INSURER 13: Construction Enterprises,LLC INSURER C: 18 Cassimere St Andover,MA 01810 INSURER O: INSURER E ttdSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPEOPINSURANCE POLICY NUMBER M FF" MMMOIYYYYI UNITS GENERALUABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LMITY 3DW3366 11101!14 11/01/15 PREIdiSE10 IFWEQ S Eaomarenm s 100,00 X CLAMWAOE 0OCCUR MEDEXP orreperaon $ 5,00 PERSONAL a ADV INJURY S 1,000,00 GENERAL AGGREGATE i 2,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S 2,000, X POLICY M0 LOC $ AUTOMOBILE LIASILnY COM9INED SINGLE LIMIT Ea e=deM ANY AUTO BODILY INJURY(Per person)ALL !; AUTOS AUTSCHO BODiLY1NJURY(Per accident) S NON-OY�MED S HIRED AUTOS AUTOS Peracciderri 6 UMBRELLA UABOCCUR EACH OCCURRENCE S EXCESSUAB HCLAIMS44ADE AGGREGATE S DED I I RETE ONS = WORKERS COMPENSATION MC STATU- OTH- AND EMPLOYERS'LIABILITY YIN _TORYMI ANY PROMETOROARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFICERIMEMSER:EXCLUDED? � NIA (Mand In NN), E.L.DISEASE-EA EMPLOYE S RIPTION OF OPERATIONS below LL DISEASE-POLICY LIMIT S i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101.Addtlenal RernaAo schedule,it more space Is required) General Contractor - construction of residential property CERTIFICATE HOLDER CANCELLATION TOWNNO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i Ai 9 Massachusetts - Department of Public Safely Board of Buils.ding Regulationand Standards SwlalyCcaapaane Naaath Adminlatrallon construction Supervisor License: CS-028.379 ' This card acknowledges that the recipient has successfully completed a 10-hour Occupational Safety and Health Training Course in KEVIN T OBRIW5 Construction Safety and Health 18 CASSIMERE ST KEVIN O'BP,IEN ANDOVER MA 01810 kick Knight 3/29/2010 �.�..-� JJ��t JAS;cl7�ratiai Ornrn>s si on e r 09/23/2015 (Trainer name—print or type) (Course end date) r Y. f �;; 3 5 t fi# I ! 9 oninio weait a �� ';issa�acs� ,s�,tts 'y�ir� a tmz-it o Public :3d r'ti�i 3 �# ei � a r�� llu�stin Lnnittecr !_;CensL HE 139559 s 3 t "vxg KEVIN T ORRIEN V. wsc18 CASSIMERE ST r wss su nesr iHcr, sex °�� ANDOVER MA 01810. Ub' F r N: !s k �` Y f W a� k A, k1hy 4�. rC 3 KEVINsT< 3 t �" r s } AhIDOUER,MIA a ac w ' c J. D1810-2980' a� ny k" "a �# _.ciatv:,S,iuner 09/23/2014