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Miscellaneous - 150 SALEM STREET 4/30/2018
., E �� r Cunningham Lindsey U.S.,Inc. AM P.O.Box 703689 Cunnln ham Dallas, 75370-3689 Lindsey Telephonene(888)738-8714 Facsimile(214)488-6766 CLCAT@CL-NA.COM Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B Building Commissioner or Inspector of Buildings NORTH ANDOVER TOWN HALL 120 Main Street North Andover, MA 01845 Claim Number: 2162215 Policy Number: 2162215 13 Company Name: MERRIMACK MUTUAL FIRE INSURANCE CO Date of Loss: 02/14/2015 Insured: Nancy C&Joseph R Pace Property Location: 150 Salem St, N Andover, MA 01845 Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please, direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destructions to a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 I 291 Date. .� . . . . . .... NORTH TOWN OF NORTH ANDOVER pF4„ao ,0,1'p sr p` PERMIT FOR MECHANICAL INSTALLATION F p s i • �4,vs CHUSESS This certifies that .��a . . . . . . . . . .. . . . . ..`, . .. . .. .. .�.' . . ” -IUhas permission for mechanical installation . . .! . . . . . . . . . . . . . . . , c . in the buildings of�.�: . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . at . . ., . . ` � '�. - `-'1'� , NorthAndover, Mass. Fee.k ' .. LIC. No... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR ! WHITE:Applicant CANARY:Building Dept. PINK:Treasurer h Commonwealth of Massachusetts Sheet Metal Permit /=/ l Permit# �� Date : P Estimated Job Cost: Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# Business Information:: Property Ow ner/Job Location Information: Name:(S 0 J`La Name: Stre`et: Street: S �-�- City/Town: D-?07Ct' City/Town: D� Telephone: ,5,�`'1v l J Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES 'ANO Building Type: Residential: 1-2 family__,z Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. over 35,000 cu. ft. Sheet metal wo to be completed: New Work: Renovation: HVAC V Metal Roofing Kitchen-Exhaust System Chimney/Vents r. Provide brief description of work to be done: INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability Insurance policy ❑ Other type of indemnity ❑ 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'60 Owner'g Agent ti,�� 3 .� � •-�fes. By checking this box0,Lhe'reby certify4haJAII;of the details and information I.hare submitted(or entered)regarding,this application are true and accurate to the'best of my knowledge and that all sheet metal work and installations p6l forrrmEs tmnder-the*perrnit`ssuedj6.this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Progress Inspections Date Comments ,g Final Inspection Date Comments y Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Jou rneyperson-Restricted License Number: Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval Sheet Metal Commercial Guidelines/Life Safety/Critical Systems Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire/smoke dampers with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke/atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper clel`ances,fire rated enclosures and pressure testing required. CIS ill rer,.kaint6 installed Mie te;required on equipment and elu_ tv.J, Duct penetrations in fir'e'rat&� -•Malls and fl0' 6rs sealed Metal roofing systems installed watertight using proper materials and fasteners Flexible duct mins installed 6'-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean-properly sized filters installed(final inspection) Testing and Balancing report complete(final sign-off) Sheet Metal Residential Guidelines/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers perfonning sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0"maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork/plenum connections scaled substantially airtight Ductwork insulated by means of external covering or internal lining New/clean-properly sized filter installed(final inspection) Testing and Balancing report complete(final sign-off) TOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 NORTH ANDOVER MA 01845 FURNACES, BOILERS, ROOF TOP UNITS, AIR CONDITIONERS, EMERGENCY GENEREATORS Date: � / The undersigned applies for a permit to install the following at: Location_ 1,5 ,4 Owner of premises d Address�5 Name of mechanic Building occupied for Material of building L�a�d� s19-LE-w Kind of fuel Chimney No. Of flues Size_ Chimney Thickness Lining If steel stack location Diameter Height DESCRIPTION OF HEATING APPARATUS Kind of heater f7, o Z how many 2 make 0„'f,.-.4Wa BTU Input Z— &'0100) Location in buildin Protected against fire as required How protected See the State Code(Pertaining to Chimneys, Smokestacks and Heating Apparatus) ROOF TOP UNITS OR EMERGENCY GENERATORS Make Weight Dimension Length Width Height Location of building how supported Size of roof timbers Material of roof timbers Span of roof timbers Distance on center Protected against fire as required How protected AIR CONDITIONS Kind of apparatus s� make HVAC FORM REVISED 11.04 FFlecahnMician ificate of Completion .. Refrigerant Transition and Recovery iCertification Program' tCertificate of Completion I:. AYMOND M HUDSON .,- arch 31,1995; No.: 000192003 : UNIVERSAL" a cian as required by 40 CFR Part:82,Subpart F .� FSU/ACCA EF FSU EPA 1 t 1 '02MR6`6'i 31 n ab.ExP COMMONWEALTH OP MAASACHU$ETTS 1 2 RAYMbNb M BUDS(OVE;. B. OI=; 8.21'GRAVE} SHEET METAL WORKERS S M NH 0307922 ISSUES THE- 'FOLLOWING .L I CENS> AS' A MASTER UNRESTR1CTE D a a RAYMOND M HUDSON Z 21 GROVE AVE i h , ALM NH 07.9-22481,111. 679 02I28/,?6 176800 . I N 1ST FLOOR W13EDIOFFICE UVNGIRM MUDD/RM KfTCFUIST PLAY/RM DINNING Job#: 1 SSHVAC Scale: 1 : 170 Performed by RAY HUDSON for: Page 2 JOE NANCY PACE 21 GROVE AVE Right-Suite®Universal 2013 150 A SALEM ST SALEM, NH 03079 13.0.13 RSU15775 N.ANDOVER, MA 01845 2014-Nov-1321:18:52 SSHVAC@HOTMAIL.COM ..ray�DocumentsXDemo\PACE HOM... N LOWER LEVEL 4r_Q. LOWER/-IV/AREA 5T-a* IIIIW/APT GARAGE Job#: 1 SSHVAC Scale: 1 : 170 Performed by RAY HUDSON for: Pagel JOE NANCY PACE 21 GROVE AVE Right-Suite®Universal 2013 150 A SALEM ST SALEM, NH 03079 13.0.13 RSU15775 N.ANDOVER, MA 01845 2014-Nov-13 21:18:52 SSHVAC@HOTMAIL.COM ..ray\Documents0emoTACE HOW. SOLIDSTEEL11VAC ' •` ,Job: 1 Residential Installations 'ght�l®Worksheet Date: Oct 27,2014 8OW36/NEW/EQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 1 Room name PLAY/RM INLAW/APT 2 Exposed wall 84.0 ft 83.3 ft 3 Room height 8.0 ft heat only 9.0 ft heat/coot 4 Room dimensions 28.0 x 20.0 It 1.0 x 1094.0 ft 5 Room area 560.0 ft' 1094.0 ft2 Ty Construction U-value Or HTM Area (ftp Load Area number (Btuh/ft=°F) (Btuh/ft�j or perimeter (ft) (Bt h) or perimeter (ft) (BBttudh) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 Vh12C-Osw 0.091 n 5.35 2.31 0 0 0 0 234 234 1251 541 4A5.2oc 0.470 n 27.62 13.67 0 0 0 0 0 0 0 0 4A5-2ow 0.470 n 27.62 13.67 0 .0 0 0 0 0 0 0 11 DO 0.390 n 0.00 0.00 0 0 0 0 0 0 0 0 11 W 12C-Osw 0.091 n 0.00 0.00 O 0 0 0 0 0 0 0 VJJ 12E-Osw 0.068 n 4.00 0.00 160 118 471 0 0 0 0 0 4A5-2ow 0.470 n 27.62 0.00 42 0 1160 0 0 0 0 0 VN 12C-Osw 0.091 ne 5.35 2.31 0 0 0 0 58 58 308 133 L-G 4A5-2ow 0.470 ne 27.62 26.72 0 0 0 0 0 0 0 0 12C-Osw 0.091 a 5.35 2.31 0 0 0 0 135 135 722 312 1OD-w 0.490 a 28.79 26.68 0 0 0 0 0 0 0 0 4A5-2aw 0.470 a 27.62 36.84 0 0 0 0 0 0 0 0 1q✓ 12C-Osw 0.091 a 0.00 0.00 0 0 0 0 0 0 0 0 l-G 4A5-2ow 0.470 a 0.00 0.00 0 0 0 0 0 0 0 0 V�✓ 12E-Osw 0.068 a 4.00 0.00 224 182 727 0 0 0 0 0 G 10D-vi 0.490 a 28.79 0.00 42 0 1209 0 0 0 0 0 Y V)/ 12C-Osw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 ---G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 yJ 12C-Osw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 L-G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 11DO 0.390 s 0.00 0.00 0 0 0 0 0 0 0 0 1qJ 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 T--G 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 W 12E-Osw 0.068 s 4.00 0.00 64 64 256 0 0 0 0 0 V,V 12C-Osw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 I-r 4A5-2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 W 12C-Osw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 L-C 4A5-2cw 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 1qJ 12C-Osw 0.091 w 5.35 2.31 0 0 0 0 324 318 1700 735 {L-�G 10D-w 0.490 w 28.79 26.68 0 0 0 0 0 0 0 0 4A5-2cw 0.470 w 27.62 36.84 0 0 0 0 6 0 166 221 1qJ 12C-Osw 0.091 w 0.00 0.00 0 0 0 0 0 0 0 0 �-G 4AS-2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 WJ 12E-Osw 0.068 w 4.00 0.00 224 212 847 0 0 0 0 0 L-1i 4A5-2ow 0.470 w 27.62 0.00 12 0 331 0 0 0 0 0 Vdl 12C-Osw 0.091 nw 0.00 0.00 0 0 0 0 0 0 0 0 I-G 4A5.2ow 0.470 nw 0.00 0.00 0 0 0 0 0 0 0 0 P 12C-Osw 0.091 5.35 1.41 0 0 0 0 135 135 722 190 P 12C-Osw 0.091 - 0.00 1.41 0 0 0 0 0 0 0 0 C 16B-30ad 0.032 1.88 1.72 0 0 0 0 0 0 0 0 C 16X19-30ad 0.032 1.26 0.00 560 560 708 0 0 0 0 0 C 18A-3W0.029 1.70 0.75 0 0 0 0 0 0 0 0 G, 8Acw-2w 1.160 68.16 177.41 0 0 0 0 0 0 0 0 C 18B-30w 0.034 2.00 0.81 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 - 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 1.43 0.00 560 560 799 0 0 0 0 0 F 21A-32c 0.020 - 1.18 0.00 0 0 0 0 1094 1094 1286 0 6 c)AED excursion 0 0 Envelope loss/gain 6509 0 6155 2133 12 a) Infiltration 1659 0 1853 279 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 0 0 0 0 Appliances/other 0 0 Subtotal(lines 6 to 13) 8168 0 8007 2413 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 8168 0 8007 2413 i 151 Duct loads 31% 00/0 2572 0 31% 57% 2521 1376 Total room load 10740 0 10529 3789 Air required(cfm) 257 0 252 154 i Bold/italic values have been manually overridden c wrightsoft' 2014-Nov-13 21:18:08 P. Right-Suite®Universal 2013 13.0.13 RSU15775 Page 5 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S SOLID STEEL HYAC' Job: 1 ResldentialYnstallalrons RightJ®Worksheet H 8NPA-6/NEW/EQUIP Date: Oct 2o1a By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 1 Room name LIVNG/RM MUDD/RM 2 Exposed wall 20.0 ft 27.0 ft 3 Room height 9.0 ft heat/cool 17.0 ft heat/cool 4 Room dimensions 1.0 x 357.0 ft 12.0 x 15.0 ft 5 Room area 357.0 ft2 180.0 ft2 Ty Construction U-value Or HTM Area (ft2) Load Area (ft2) Load number (Btuh/ft2-°F) (Btuh/ft2) or perimeter (ft) (Btuh) or perimeter (ft) Btuh Heat Cool Gross N/P/S Heat Cool Gross I N/P/S Heat Cool 6 T4 12C-Osw 0.091 n 5.35 2.31 153 101 540 233 51 51 273 118 4A5-2oc 0.470 n 27.62 13.67 52 0 1436 711 0 0 0 0 4A5-2ow 0.470 n 27.62 13.67 0 0 0 0 0 0 0 0 11 DO 0.390 n 0.00 0.00 0 0 0 0 0 0 0 0 11 w 12C-Osw 0.091 n 0.00 0.00 0 0 0 0 0 0 0 0 12E-Osw 0:068 n 4.00 0.00 0 0 0 0 0 0 0 0 t-G 4A5-2ow 0.470 n 27.62 0.00 0 0 0 0 0 0 0 0 VN 12C-Osw 0.091 ne 5.35 2.31 0 0 0 0 0 0 0 0 4-G 4A5-2ow 0.470 ne 27.62 26.72 0 0 0 0 0 0 0 0 12C-OSw 0.091 a 5.35 2.31 27 27 144 62 204 183 978 423 10D-w 0.490 a 28.79 26.68 0 0 0 0 21 0 605 560 4A5-2ow 0.470 a 27.62 36.84 0 0 0 0 0 0 0 0 VJJ 12C-Osw 0.091 a 0.00 0.00 0 0 0 0 0 0 0 0 t--G 4A5-2ow 0.470 a 0.00 0.00 0 0 0 0 0 0 0 0 t12E-Osw 0.068 a 4.00 0.00 0 0 0 0 0 0 0 0 -G 1OD-w 0.490 a 28.79 0.00 0 0 0 0 0 0 0 0 V,1! 12C-Osw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 L-G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 t-G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 11DO 0.390 s 0.00 0.00 0 0 0 0 0 0 0 0 1qJ 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 L-C 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 w 12E-Osw 0.068 s 4.00 0.00 0 0 0 0 0 0 0 0 t12C-OSw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 -G 4A5-2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 V,V 12C-Osw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 -G 4A5-2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 w 5.35 2.31 0 0 0 0 204 183 978 423 1OD-w 0.490 w 28.79 26.68 0 0 0 0 21 0 605 560 4A5-2ow 0.470 w 27.62 36.84 0 0 0 0 0 0 0 0 12C-Osw 0.091 w 0.00 0.00 0 0 0 0 0 0 0 0 T-G 4A5-2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 VN 12E-Osw 0.068 w 4.00 0.00 0 0 0 0 0 0 0 0 �-G 4A5-2ow 0.470 w 27.62 0.00 0 0 0 0 0 0 0 0 WJ 12C-0sw 0.091 nw 0.00 0.00 0 0 0 0 0 0 0 0 T--G 4A5-2ow 0.470 rnv 0.00 0.00 0 0 0 0 0 0 0 0 P 12C-0sw 0.091 5.35 1.41 0 0 0 0 0 0 0 0 P 12C-0sw 0.091 0.00 1.41 0 0 0 0 204 204 0 288 C 16B-30ad 0.032 1.88 1.72 0 0 0 0 0 0 0 0 C 16X19-30ad 0.032 1.26 0.00 0 0 0 0 0 0 0 0 18A-38ad 0.029 1.70 0.75 272 242 413 182 0 0 0 0 t-G 8Acw-2w 1.160 68.16 177.41 30 0 2029 5282 0 0 0 0 C 18B-30w 0.034 2.00 0.81 0 0 0 0 180 180 360 146 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 1.43 0.00 0 0 0 0 0 0 0 0 F 21A-32c 0.020 1.18 0.00 0 0 0 0 0 0 0 0 6 c)AED excursion 0 0 Envelope loss/gain 4563 6471 3799 2518 12 a) Infiltration 444 67 1133 171 b) Room ventilation 0 0 0 0 13 IMemal gains: Occupants @ 230 0 0 0 0 Appliances/other 0 0 Subtotal(lines 6 to 13) 1 5007 6284 4931 2584 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 5007 6284 4931 2584 15 Duct loads 31% 57% 1577 3581 31% 57% 1553 1473 Total room load 6584 9865 _F_j6484 4057 Air required(cfm) 1 157 401 155 165 Boldlitalic values have been manually overridden wrightsoft• 2014-Nov-13 21:18:08 . A Right-Sufte®Universal 2013 13.0.13 RSU15775 Page 4 C:%Userslray\Documents\Demo\PACE HOME.rup Calc-Manual Front Door faces: S S°LrDSTLHRight-J®Worksheet °b' Residenaallnstallahtions ons 8OW36/NEW/EQUIP Date: Oct 27,2014 SSHVAC By: RAY HUDSON ' 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 1 Room name 8OK/36/NEW/EQUIP KITCHMST 2 Exposed wall 261.7 ft 47.3 ft 3 Room height 9.3 ft d 9.0 ft heat/cool 4 Room dimensions 1.0 x 782.0 ft 5 Room area 2973.0 ft2 782.0 ft2 Ty Construction U-value Or HTM Area (ft2) Load Area (ft2) Load number (Btuh/ft2-°F) (Btuh/ft2) or perimeter (ft) (Bt h) or perimeter (ft) (Stuh) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 %h12C-Osw 0.091 n 5.35 2.31 519 461 2465 1066 81 75 401 173 4A5-2oc 0.470 n 27.62 13.67 52 0 1436 711 0 0 0 0 4A5-2ow 0.470 n 27.62 13.67 6 0 166 82 6 0 166 82 11 DO 0.390 n 0.00 0.00 0 0 0 0 0 0 0 0 11 W 12C-Osw 0.091 n 0.00 0.00 0 0 0 0 0 0 0 0 Cpl 12E-Osw 0.068 n 4.00 0.00 160 118 471 0 0 0 0 0 I_.-.G 4Ar%-2ow 0.470 n 27.62 0.00 42 0 1160 0 0 0 0 0 12C-Osw 0.091 ne 5.35 2.31 115 107 571 247 58 49 263 114 T-G 4A5-2ow 0.470 ne 27.62 26.72 9 0 235 227 9 0 235 227 12C-Osw 0.091 a 5.35 2.31 393 366 1957 846 27 21 112 49 10D-w 0.490 a 28.79 26.68 21 0 605 560 0 0 0 0 4A5-2ow 0.470 a 27.62 36.84 6 0 166 221 6 0 166 221 1�l 12C-Osw 0.091 a 0.00 0.00 0 0 0 0 0 0 0 0 t-G 4A5.2ow 0.470 a 0.00 0.00 0 0 0 0 0 0 0 0 WJ 12E-0sw 0.068 a 4.00 0.00 224 182 727 0 0 0 0 0 Y-.G 10D-w 0.490 a 28.79 0.00 42 0 1209 0 0 0 0 0 Vel 12C-0sw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 -G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 WJ 12C-0sw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 L--0 4A5.2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 12C-0sw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 11 DO 0.390 s 0.00 0.00 0 0 0 0 0 0 0 0 YVJJ 12C-0sw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 ---G 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 W 12E-0sw 0.068 s 4.00 0.00 64 64 256 0 0 0 0 0 12C-0sw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 4A5.2ow 0.470 sw 0.00 0.00 '0 0 0 0 0 0 0 0 W 12C-0sw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 t-G 4AS2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 12C-0sw 0.091 w 5.35 2.31 789 716 3828 1655 261 215 1150 497 10D-w 0.490 w 28.79 26.68 21 0 605 560 0 0 0 0 4A5-2ow 0.470 w 27.62 36.84 52 0 1436 1916 46 0 1270 1695 1qN 12C-0sw 0.091 w 0.00 0.00 0 0 0 0 0 0 0 0 T-C 4A6-2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 yJ 12E-0sw 0.068 w 4.00 0.00 224 212 847 0 0 0 0 0 � a 4AS-2ow 0.470 w 27.62 0.00 12 0 331 0 0 0 0 0 12C-0sw 0.091 nw 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 nw 0.00 0.00 0 0 0 0 0 0 0 0 P 12C-0sw 0.091 5.35 1.41 135 135 722 190 0 0 0 0 P 12C-0sw 0.091 0.00 1.41 204 204 0 288 0 0 0 0 C 16B-30ad 0.032 1.88 1.72 462 462 869 797 462 462 869 797 C 16X19-30ad 0.032 1.26 0.00 560 560 708 0 0 0 0 0 G 18A-38ad 0.029 1.70 0.75 272 242 413 182 0 0 0 0 �--G BAcw-2w 1.160 68.16 177.41 30 0 2029 5282 0 0 0 0 C 18B-30w 0.034 2.00 0.81 180 180 360 146 0 0 0 0 F 19"bswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 1.43 0.00 560 560 799 0 0 0 0 0 F 21A-32c 0.020 1.18 0.00 1094 1094 1286 0 0 0 0 0 6 c)AED excursion 0 0 Envelope loss/gain 25656 14976 4631 3854 12 a) Infiltration 6141 675 1053 158 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 0 0 0 0 Appliances/other 0 0 Subtotal(lines 6 to 13) 31797 15631 5684 4370 Less external load 0 0 0 0 Less transfer 0 00 0 Redistribution 0 0 0 0 14 Subtotal 31797 15651 5684 4370 15 Duct loads 31% 57% 10013 8920 31% 57% 1790 2491 Total room load 41810 24572 7473 6861 Air required(cfm) 1000 1000 179 279 Bold/italic values have been manually overridden wrightsoft' 2014-Nov-13 21:18:08 Right-Suite®Universal 2013 13.0.13 RSU15775 Page 3 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S 9 SOLIDSMEL11VAC Right-J®Worksheet Job: Residential Installations 60K/30/NEW/EQUIP Date: Oct 27,2014 By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC®HOTMAIL.COM License:6195 1 Room name LOWER/LIV/AREA DINNING 2 Exposed wall 143.2 ft 31.2 ft 3 Rowe height 9.0 ft heat/cool 9.0 ft heaticool 4 Room dimensions 1.0 x 1338.5 ft 1.0 x 234.0 ft 5 Room area 1338.5 ft2 234.0 ft= Ty Constriction U-value Or HTM Area (ftj Load Area (ftj Load number (Btuhlftk'F) (Btuh/ft� or perimeter (ft) (Bt uh) or perimeter (ft) (13t h) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 N 12C-Osw 0.091 n 5.35 2.31 45 45 241 104 0 0 0 0 4A5-2oc 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 11 DO 0.390 n 22.92 11.86 0 0 0 0 0 0 0 0 11 W 12C-Osw 0.091 n 0.00 0.00 0 0 0 0 0 0 0 0 1tiV 12E-Osw 0.068 n 0.00 0.00 0 0 0 0 0 0 0 0 �-G 4A5.2ow 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 ne 5.35 2.31 38 38 204 88 0 0 0 0 4A5-2ow 0.470 ne 27.62 26.72 0 0 0 0 0 0 0 0 Vel 12C-Osw 0.091 a 5.35 2.31 378 360 1925 832 0 0 0 0 E-C 10D-w 0.490 a 0.00 0.00 0 0 0 0 0 0 0 0 � 4A5-2ow 0.470 a 27.62 36.84 18 0 497 663 0 0 0 0 1qJ 12C-0sw 0.091 a 0.00 0.00 0 0 0 0 0 0 0 0 1-G 4A5-2ow 0.470 a 0.00 0.00 0 0 0 0 0 0 0 0 V)I 12E-0sw 0.068 a 0.00 0.00 0 0 0 0 0 0 0 0 --G 1013-w 0.490 a 0.00 0.00 0 0 0 0 0 0 0 0 Vel 12C-Osw 0.091 se 5.35 2.31 45 45 241 104 0 0 0 0 --G 4A5.2ow 0.470 se 27.62 32.64 0 0 0 0 0 0 0 0 yJ 12C-0sw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 ' G 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 V�J 12C-Osw 0.091 s 5.35 2.31 450 450 2406 1040 162 114 607 262 L�_-_Gp 4A5-2ow 0.470 s 27.62 21.30 0 0 0 0 49 0 1339 1033 11 DO 0.390 s 22.92 11.86 0 0 0 0 0 0 0 0 WJ 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 T-G 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 W 12E-Osw 0.068 s 0.00 0.00 0 0 0 0 0 0 0 0 12C-Osw 0.091 sw 5.35 2.31 45 45 241 104 32 23 122 53 Y-G 4A5-2ow 0.470 sw 27.62 32.64 0 0 0 0 10 0 265 313 V,V 12C-0sw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 -G 4A5-2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 1qJ 12C-Osw 0.091 w 5.35 2.31 243 237 1267 548 54 39 209 90 10D-w 0.490 w 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 w 27.62 36.84 6 0 166 221 15 0 414 553 Wi 12C-Osw 0.091 w 0.00 0.00 0 0 0 0 0 0 0 0 1-.G 4A5.2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 1fld 12E-0sw 0.068 w 0.00 0.00 0 0 0 0 0 0 0 0 --G 4AS-2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 yJ 12C-Osw 0.091 nw 5.35 2.31 45 45 241 104 32 23 122 53 I G 4A5-2ow 0.470 nw 27.62 26.72 0 0 0 0 10 0 265 256 P 12C-Osw 0.091 0.00 0.00 0 0 0 0 0 0 0 0 P 12C-Osw 0.091 0.00 0.00 0 0 0 0 0 0 0 0 C 1613-30ad 0.032 1.88 1.72 0 0 0 0 18 18 34 31 C 16X19-30ad 0.032 0.00 0.00 0 0 0 0 0 0 0 0 18A-38ad 0.029 0.00 0.00 0 0 0 0 0 0 0 0 8Acw-2w 1.160 - 0.00 0.00 0 0 0 0 0 0 0 0 C 186-3001 0.034 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 1.43 0.40 1339 1339 1910 536 0 0 0 0 F 19"bswp 0.368 1.43 0.40 0 0 0 0 18 18 26 7 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 21A-32c 0.020 0.00 0.00 0 0 0 0 0 0 0 0 6 c)AED excursion 0 0 Envelope loss/gain 9338 4345 3402 2651 12 a) Infiltration 3182 479 693 104 b) Room ventilation 0 0 0 0 13 Intemal gains: Occupants(d1 230 0 0 0 0 Appliances/other 0 0 Subtotal(lines 6 to 13) 12820 4786 4096 2846 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 12520 4786 4096 2846 15 Duct loads 28% 48% 3536 2320 28% 48% 1157 1380 Total room load 16055 7106 1 1 5252 4226 Air required(cfm) 398 299 130 178 Bold/Italic values have been manually overridden AE& wrightsofC 2014-Nov-13 21'. Right-Suite®Universal 2013 13.0.13 RSU15775 Page 2 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S SOLIDSTEELHVAC ' Right-J®Worksheet Job: 1 Residentlallnsta!latlons 601(/30/NEW/EQUIP Date: Oct 27,2o�a SSHVAC By: RAY HUDSON 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 1 Room name 60K/30/NEW/EQUIP M/BED/OFFICE 2 Exposed wall 282.5 ft 108.2 ft 3 Room height 9.0 ft d 9.0 ft heat/cool 4 Room dimensions 1.0 x 897.5 ft 5 Room area 2470.0 ftz 897.5 ft2 Ty Construction U-value Or HTM Area (ftj Load Area (ftp Load number (Btuh/ftz°F) (BtutUft5 or perimeter (ft) (Bt h) or perimeter (ft) (Stuh) Heat Cool Gross N/PIS Heat Cool Gross N/P/S Heat Cool 6 %h12C-0sw 0.091 n 5.35 2.31 90 69 369 159 45 24 128 55 4A5-2oc 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 11 DO 0.390 n 22.92 11.86 21 21 481 249 21 21 481 249 11 W 12C-Osw 0.091 n 0.00 0.00 0 0 0 0 0 0 0 0 1qJ 12E-Osw 0.068 n 0.00 0.00 0 0 0 0 0 0 0 0 I-0 4A5-2ow 0.470 n 0.00 0.00 0 0 0 0 0 0 0 0 49J 12C-0sw 0.091 ne 5.35 2.31 76 57 304 131 38 19 99 43 T-G 4A5-2ow 0.470 ne 27.62 26.72 20 0 541 523 20 0 541 523 12C-0sw 0.091 a 5.35 2.31 756 711 3802 1643 378 351 1877 811 --GG 10D-w 0.490 a 0.00 0.00 0 0 0 0 0 0 0 0 1 4A5-2ow 0.470 a 27.62 36.84 45 0 1243 1658 27 0 746 995 1qJ 12C-0sw 0.091 a 0.00 0.00 0 0 0 0 0 0 0 0 �-G 4A5-2ow 0.470 a 0.00 0.00 0 0 0 0 0 0 0 0 12E-0sw 0.068 a 0.00 0.00 0 0 0 0 0 0 0 0 10D-w 0.490 a 0.00 0.00 0 0 0 0 0 0 0 0 Vel 12C-0sw 0.091 se 5.35 2.31 90 75 401 173 45 30 160 69 L-G 4A5-2ow 0.470 se 27.62 32.64 15 0 414 490 15 0 414 490 12C-Osw 0.091 se 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 se 0.00 0.00 0 0 0 0 0 0 0 0 VAI 12C-Osw 0.091 s 5.35 2.31 900 801 4280 1850 288 237 1267 548 �L-_--Gp 4A5-2ow 0.470 s 27.62 21.30 79 0 2168 1672 30 0 828 639 11 DO 0.390 s 22.92 11.86 21 21 481 249 21 21 481 249 UN 12C-Osw 0.091 s 0.00 0.00 0 0 0 0 0 0 0 0 L-G 4A5-2ow 0.470 s 0.00 0.00 0 0 0 0 0 0 0 0 W 12E-0sw 0.068 s 0.00 0.00 0 0 0 0 0 0 0 0 Vd/ 12C-Osw 0.091 sw 5.35 2.31 122 98 523 226 45 30 160 69 I__G 4A5.2ow 0.470 sw 27.62 32.64 25 0 679 802 15 0 414 490 W 12C-0sw 0.091 sw 0.00 0.00 0 0 0 0 0 0 0 0 L-� 4A5-2ow 0.470 sw 0.00 0.00 0 0 0 0 0 0 0 0 %--G 12C-Osw 0.091 w 5.35 2.31 387 366 1957 846 90 90 481 208 10D-w 0.490 w 0.00 0.00 0 0 0 0 0 0 0 0 4A5-2ow 0.470 w 27.62 36.84 21 0 580 774 0 0 0 0 Wi 12C-Osw 0.091 w 0.00 0.00 0 0 O 0 0 0 0 0 Y-C 4A5-2ow 0.470 w 0.00 0.00 0 0 0 0 o O 0 0 12E-0sw 0.068 w 0.00 0.00 0 0 0 0 0 0 0 0 T--C 4A5-2ow 0.470 w 0.00 0.00 0 0 0 0 0 0 0 0 W 12C-Osw 0.091 nw 5.35 2.31 122 94 501 217 45 26 138 60 L-G 4A5-2ow 0.470 nw 27.62 26.72 29 0 794 768 19 0 529 512 P 12C-0sw 0.091 0.00 0.00 0 0 0 0 0 0 0 0 P 12C-0sw 0.091 0.00 0.00 0 0 0 0 0 0 0 0 C 16191-30ad 0.032 1.88 1.72 296 296 556 510 278 278 522 479 C 16X19-30ad 0.032 0.00 0.00 0 0 0 0 0 0 0 0 C 18A-38ad 0.029 0.00 0.00 0 0 0 0 0 0 0 0 �-G BAcw-2w 1.160 0.00 0.00 0 0 0 0 0 0 0 0 C 186-30w 0.034 0.00 0.00 0 0 0 0 0 0 0 0 F 19C-Obswp 0.368 1.43 0.40 1339 1339 1910 536 0 0 0 0 F 19C-Obswp 0.368 1.43 0.40 18 18 26 7 0 0 0 0 F 19C-Obswp 0.368 0.00 0.00 0 0 0 0 0 0 0 0 F 21A-32c 0.020 0.00 0.00 0 0 0 0 0 0 0 0 6 c)AED excursion 0 0 Envelope loss/gain 22009 13485 9269 6489 12 a) Infiltration 6280 945 2404 362 b) Room ventilation 0 0 10 0 13 1ntemal gains: Occupants aQ 230 0 0 0 0 Appliances/other 0 0 Subtotal(lines 6 to 13) 28289 14430 11673 6797 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 28289 14430 11673 6797 15 Duct loads 28% 48% 7989 6994 28% 48% 3297 3295 Total room load 36278 21424 14970 10092 Air required(dm) FT900 900 371 424 Bold/italic values have been manually overridden .AZ-- - - wrfightsOft' Right-Sulte®Universal 2013 13.0.13 RSU15775 2014-Nov-13 2Page 8 e08 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S 9 SOLID STEEL HVAC Project Summary Job: I ResidenUalInstallations Date: Oct 27,2014 80W36/NEW/EQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 $ Md., For: JOE NANCY PACE 150A SALEM ST N.ANDOVER, MA 01845 Notes: EARLY REPLACEMENT EQUIPMENT COOLSMART J LOAD V8 N Weather: Boston Logan I nt'l AP, MA, US Winter Design Conditions Summer Design Conditions Outside db 12 OF Outside db 91 OF Inside db 71 OF Inside db 74 OF Design TD 59 OF Design TD 17 OF Daily range L Relative humidity 50 % Moisture difference 32 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 31797 Btuh Structure 15651 Btuh Ducts 10013 Btuh Ducts 8920 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 41810 Btuh Use manufacturer's data n Rate/swing multiplier 0.96 Infiltration Equipment sensible load 23540 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 0 Structure 818 Btuh Ducts 1375 Btuh ) Heating CoolingCentral vent (0 cfm) 0 Btuh Area(ft2 2971 2411 Equipment latent load 2193 Btuh Volume(ft') 27637 23157 Air changes/hour 0.21 0.10 Equipment total load 25733 Btuh Equiv.AVF (cfm) 95 37 Req. total capacity at 0.70 SHR 2.8 ton Heating Equipment Summary Cooling Equipment Summary Make AMERICAN STANDARD Make AMERICAN STANDARD Trade AMERICAN STANDARD Trade AMERICAN STANDARD Model AUH2B080A9V3 Cond 4A7A6036H1 AHRI ref 5979774 Coil 4NXCB036AC3 AHRI ref 5979774 Efficiency 97AFUE Efficiency 12.5 EER,15.25 SEER Heating input 0 Btuh Sensible cooling 19740 Btuh Heating output 0 Btuh Latent cooling 8460 Btuh Temperature rise 0 OF Total cooling 28200 Btuh Actual air flow 1000 cfm Actual air flow 1000 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.041 cfm/Btuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.92 Bold/italic values have been manually overridden wrightsoft® 2014-Nov-13 21:18:08 Right-Suite®Universal 2013 13.0.13 RSU 15775 Page 2 ACCK C:%Userskray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S SOLID STEEL HVAC Project Summa Job: 1 Residential Installations Date: Oct 27,2014 6OW30/NEW/EQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 .a - � `� For: JOE NANCY PACE 150A SALEM ST, N.ANDOVER, MA 01845 Notes: EARLY REPLACEMENT EQUIPMENT COOLSMART J LOAD V8 i c Weather: Boston Logan Int'I AP, MA, US Winter Design Conditions Summer Design Conditions Outside db 12 OF Outside db 91 OF Inside db 71 OF Inside db 74 OF Design TD 59 OF Design TD 17 OF Daily range L Relative humidity 50 % Moisture difference 32 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 28289 Btuh Structure 14430 Btuh Ducts 7989 Btuh Ducts 6994 Btuh Central vent (0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 36278 Btuh Use manufacturer's data n Rate/swing multiplier 0.96 Infiltration Equipment sensible load 20524 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 0 Structure 1146 Btuh Ducts 1049 Btuh j Heating Cooling Central vent (0 cfm) 0 Btuh Area(ft2 2470 2470 Equipment latent load 2195 Btuh Volume(ft') 22230 22230 Air changes/hour 0.26 0.14 Equipment total load 22719 Btuh Equiv.AVF(cfm) 97 52 Req. total capacity at 0.70 SHR 2.4 ton Heating Equipment Summary Cooling Equipment Summary Make American Standard Make AMERICAN STANDARD Trade GOLD ZM Trade AMERICAN STANDARD Model AUH2B060A9V3VB* Cond 4A7A6030H1 AHRI ref 5979612 Coil 4NXCB032AC3 AHRI ref 5979612 Efficiency 97 AFUE Efficiency 12.5 EER,15.25 SEER Heating input 60000 Btuh Sensible cooling 23380 Btuh j Heating output 58000 Btuh Latent cooling 10020 Btuh Temperature rise 59 OF Total cooling 33400 Btuh Actual air flow 900 cfm Actual air flow 900 cfm Air flow factor 0.025 cfm/Btuh Air flow factor 0.042 cfm/Btuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.91 Bold/italic values have been manually overridden L wrightsoft• 2014-Nov-13 21:18:08 .�- Right-Suile®Universal 2013 13.0.13 RSU15775 Page 1 ACCP. C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S Floors ' 19C-Obswp:Flr flooi,frm fir,10"thkns,hrd wd flr fnsh,tight bsmt 1339 0.368 11.0 1.43 1910 0.40 536 ovr,r-11 wall insul 18 0.368 11.0 1.43 26 0.40 7 all 1357 0.368 11.0 1.43 1936 0.40 544 i i i I i I wri htSoft' 2014-Nov-13 21:18:08 � 9 Right-Suite®Universal 2013 13.0.13 RSU15775 Page 4 � C:\Users\ray\Documents\Demo\PACE HOME.rup Calc-Manual Front Door faces: S SOLID STEEL HVAC Component Constructions Job: I Residential Installations Date: Oct 27,2014 60KI30INEWIEQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 101&A, 10 UNN, -3 R &W iow For: JOE NANCY PACE 150A SALEM ST N.ANDOVER, MA 01845 Location: Indoor: Heating Cooling Boston Logan I nt'l AP, MA, US Indoor temperature(OF) 71 74 Elevation: 30 ft Design TD (OF Relative 2 59 17 ty (0/) Latitude: 42ON R ve hum o 50 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 48.7 32.4 Dry bulb(OF) 12 91 Infiltration: Daily range(OF) - 15 (L Method Simplified Wet bulb(OF) - 73 Construction quality Semi-tight Wind speed(mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U-value Insul R Ht9 HTM Loss Clg HTM Gain ft" B1uhV-*F ft-Wiltuh EltuhfiP Btuh fth1W Bluh Walls 12C-Osw:Frm wall,stucco ext,r-13 cav ins,1/2"gypsum board n 69 0.091 13.0 5.35 369 2.31 159 int fish,2"x4"wood frm ne 57 0.091 13.0 5.35 304 2.31 131 e 711 0.091 13.0 5.35 3802 2.31 1643 se 75 0.091 13.0 5.35 401 2.31 173 s 801 0.091 13.0 5.35 4280 2.31 1850 sw 98 0.091 13.0 5.35 523 2.31 226 w 366 0.091 13.0 5.35 1957 2.31 846 nw 94 0.091 13.0 5.35 501 2.31 217 all 2270 0.091 13.0 5.35 12137 2.31 5247 Partitions (none) Windows 4A5-2ow:2 glazing,cir low-e outr,air gas,wd frm mat,clr innr, ne 20 0.470 0 27.6 541 26.7 523 1/4"gap,1/4"thk;6.67 ft head ht e 45 0.470 0 27.6 1243 36.8 1658 se 15 0.470 0 27.6 414 32.6 490 S 79 0.470 0 27.6 2168 21.3 1672 sw 25 0.470 0 27.6 679 32.6 802 w 21 0.470 0 27.6 580 36.8 774 nw 29 0.470 0 27.6 794 26.7 768 all 232 0.470 0 27.6 6418 28.8 6687 Doors 11 DO:Door,wd sc type n 21 0.390 0 22.9 481 11.9 249 S 21 0.390 0 22.9 481 11.9 249 all 42 0,390 0 22.9 962 11.9 498 Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins, 296 0.032 30.0 1.88 556 1.72 510 1/2"gypsum board int fnsh + Wrightsoft Right-Sufte@ Universal 2013 13.0.13 RSU15775 2014-Nov-13 21:18:08 65 Page 3 AC A C:\Users\ray\Documents\DemokPACE HOME.rup Calc-Manual Front Door faces: 8 Ceilings 1613-30ad:Attic ceiling,asphalt shingles roof mat,r-30 ceil ins, 462 0.032 30.0 1.88 869 1.72 797 1/2"gypsum board int fish 560 0.032 49.0 1.26 708 0 0 all 1022 0.032 30.0 1.54 1577 0.78 797 18A-38ad:Rf/clg ceiling,asphalt shingles roof mat,frm cons,1/2" 242 0.029 38.0 1.70 413 0.75 182 gypsum board int fnsh,10"thkns,r-38 ceil ins 1813-30w:Rf/clg ceiling,wood shingles/shakes roof mat,frm 180 0.034 30.0 2.00 360 0.81 146 cons,1/2"gypsum board int fnsh,10"thkns,r-30 ceil ins Floors 19C-Obswp:Fir floor,frm fir,10"thkns,hrd wd fir fnsh,tight bsmt 560 0.368 11.0 1.43 799 0 0 ovr,r-11 wall insul 21A-32c:Bg floor,light dry soil,W depth,carpet flr fnsh 1094 0.020 0 1.18 1286 0 0 i I i wrightsoft• Right-Suite®Universal 2013 13.0.13 RSU15775 2014-Nov-13 21:18:08 �' A C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S Page 2 i I i SOLID STEEL HVAC Component Constructions Job: I Residential Installations Date: Oct 27,2014 8OW36INEWIEQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 For: JOE NANCY PACE 150A SALEM ST KANDOVER, MA 01845 & 4 x t4 .'Ri' -18, M Location: Indoor: Heating Cooling Boston Logan I nt'l AP, MA, US Indoor temperature(T) 71 74 Elevation: 30 ft Design TD (oF) 59 17 Latitude: 42oN Relative humidity 50 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 48.7 32.4 Dry bulb(*F) 12 91 Infiltration: Daily range(T) - 15 L Method Simplified Wet bulb( F - 73 Construction quality Semi-tight Wind speed(mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U-value Insul R Htg HTM Loss Cig HTM Gain ft' BtuhiW-*F ft2-*F/Btuh Btuhff fth Btuh&2 Btu h Walls 12C-Osw:Firm wall,stucco ext,r-13 cav ins,1/2"gypsum board n 461 0.091 13.0 5.35 2465 2.31 1066 int fish,2"x4"wood frm ne 107 0.091 13.0 5.35 571 2.31 247 e 366 0.091 13.0 5.35 1957 2.31 846 w 716 0.091 13.0 5.35 3828 2.31 1655 all 1650 0.091 13.0 5.35 8821 2.31 3813 12E-Osw:Frm wall,wd ext,1/2"wood shth,r-19 cav ins,1/2" n 118 0.068 19.0 4.00 471 0 0 gypsum board int fnsh,2"W'wood frm e 182 0.068 19.0 4.00 727 0 0 s 64 0.068 19.0 4.00 256 0 0 w 212 0.068 19.0 4.00 847 0 0 all 576 0.068 19.0 4.00 2301 0 0 Partitions 12C-Osw:Frm wall,stucco ext,r-13 cav ins,1/2"gypsum board 135 0.091 13.0 5.35 722 1.41 190 int frish,2"x4"wood firm 12C-Osw:Frm wall,stucco ext,r-13 cav ins,2"x4"wood frm 204 0.091 13.0 0 0 1.41 288 Windows 4A5-2oc:2 glazing,Or low-e outr,air gas,clad wd firm mat,Or n 52 0.470 0 27.6 1436 13.7 711 innr,1/4"gap,1/4"thk;6.67 ft head ht 4A5-2ow:2 glazing,clr low-e outr,air gas,wd frm mat,cir innr, n 6 0.470 0 27.6 166 13.7 82 1/4"gap,1/4"thk;6.67 ft head ht n 42 0.470 0 27.6 1160 0 0 ne 9 0.470 0 27.6 235 26.7 227 e 21 0.490 0 28.8 605 26.7 560 e 6 0.470 0 27.6 166 36.8 221 e 42 0.490 0 28.8 1209 0 0 w 21 0.490 0 28.8 605 26.7 560 w 52 0.470 0 27.6 1436 36.8 1916 w 12 0.470 0 27.6 331 0 0 all 211 0.470 0 28.1 5912 16.9 3566 8Acw-2w:Sky glazing,small,wood curb,no shaft Igt shaft,wd 30 1.160 0 68.2 2029 177 5282 sash Doors (none) I-:_- + wrightsoft* Right-Suite®Universal 2013 13.0.13 RSU15775 2014-Nov-13 21:18:08 ACCA C:kusersXray\Documents\DemokPACE HOME.rup Calc=Manual Front Door faces: S Page 1 i SOLID STEEL HVAC Load Multizone Summary Report Job: 1 Residential Installations Date: Oct 27,2014 By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HO7MAIL.COM License:6195 Heating Cooling ZONE NAME Volume ACH AVF HTM Volume ACH AVF HTM ftcfm Btuh/R' ft3 CfM Btuht t2 2ND/FL/SYSTEM 11169 0.33 62 2.5 11169 0. 18 33 0.4 (Unconditioned) 0 0 0 0 0 0 0 0 80K/36/NEW/EQUIP 27637 0.21 95 2 .5 23157 0. 10 37 0.4 60K/30/NEW/EQUIP 22230 0.26 97 2.5 22230 0.14 52 0.4 Entire House 61036 0.25 4L__...,., 2.5 56556 0. 13 123 0.4 n ea• .` u� 3 b c. ,' .f�ta-a R � 0..:.. ' ,. ' ; - ad w, �� .32''.-=,a �'i �, rr +Will q n'ht Y..h 9v. ROOMNAME Area Htg load Clg load HtgAVF CIgAVF ft Btuh Btuh CfM CfM BATH 180 4055 2440 104 106 BED1 306 4748 2917 122 127 BED2 296 4203 2870 108 124 BEDS 204 4372 2398 112 104 FOYER/UP 255 4142 2132 107 92 2ND/FL/SYSTEM 1241 21520 12758 553 553 GARAGE 960 0 0 0 0 (Unconditioned) 960 0 0 0 0 KITCH/1ST 782 7473 6861 179 279 LIVNG/RM 357 6584 9865 157 401 MUDD/RM 180 6484 4057 155 165 PLAY/RM 560 10740 0 257 0 INLAW/APT 1094 10529 3789 252 154 80K/36/NEW/EQUIP 2973 41810 24572 1000 1000 M/BED/OFFICE 898 14970 10092 371 424 LOWER/LIV/AREA 1339 16055 7106 398 299 DINNING 234 5252 4226 130 178 60K/30/NEW/EQUIP 2470 36278 21424 900 900 Entire House 7644 99608 58753 2453 2453 wri htsoft• 2014-Nov-13 21:18:08 9 Right-Suite®Universal 2013 13.0.13 RSU15775 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S page 1 SOLID STEEL HVAC Load Short Form Job: 1 Residential Installations Date: Oct 27,2014 80KI36/NEW/EQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 4. mt x For: JOE NANCY PACE 150A SALEM ST, N.ANDOVER, MA 01845 `�F. © 0 Htg Clg Infiltration Outside db(°F) 12 91 Method Simplified Inside db(°F) 71 74 Construction quality Semi-tight Design TD (°F) 59 17 Fireplaces 0 Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 49 32 HEATING EQUIPMENT COOLING EQUIPMENT Make AMERICAN STANDARD Make AMERICAN STANDARD Trade AMERICAN STANDARD Trade AMERICAN STANDARD Model AUH2B080A9V3 Cond 4A7A6036H1 AHRI ref 5979774 Coil 4NXCB036AC3 AHRI ref 5979774 Efficiency 97AFUE Efficiency 12.5 EER,15.25 SEER Heating input 0 Btuh Sensible cooling 19740 Btuh Heating output 0 Btuh Latent cooling 8460 Btuh Temperature rise 0 OF Total cooling 28200 Btuh Actual air flow 1000 cfm Actual air flow 1000 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.041 cfm/Btuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.92 ROOM NAME Area Htg load CIg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) KITCH/1ST 782 7473 6861 179 279 !, LIVNG/RM 357 6584 9865 157 401 MUDD/RM 180 6484 4057 155 165 PLAY/RM 560 10740 0 257 0 INLAW/APT 1094 10529 3789 252 154 80K/36/NEW/EQUIP d 2973 41810 24572 1000 1000 Other equip loads 0 0 Equip. @ 0.96 RSM 23540 Latent cooling 2193 TOTALS 2973 41810 25733 1000 1000 i Bold/italic values have been manually overridden �J}} 2014-Nov-13 21:18:08 wrightsoft Right-Sufte®Universal 2013 13.0.13 RSU15775 Page 2 ACCk C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S SOLID STEEL HVAC Load Short Form Job: 1 Residential Installations Date: 60W30/NEW/EQUIP By: RAY HUDSON SSHVAC 21 GROVE AVE,SALEM,NH 03079 Email:SSHVAC@HOTMAIL.COM License:6195 00 For: JOE NANCY PACE 150A SALEM ST, N.ANDOVER, MA 01845 r Htg Clg Infiltration Outside db(°F) 12 91 Method Simplified Inside db(°F) 71 74 Construction quality Semi-tight Design TD (°F) 59 17 Fireplaces 0 Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/Ib) 49 32 HEATING EQUIPMENT COOLING EQUIPMENT Make American Standard Make AMERICAN STANDARD Trade GOLD ZM Trade AMERICAN STANDARD Model AUH2B060A9V3VB` Cond 4A7A6030H1 AHRI ref 5979612 Coil 4NXCB032AC3 AHRI ref 5979612 Efficiency 97AFUE Efficiency 12.5 EER,15.25 SEER Heating input 60000 Btuh Sensible cooling 23380 Btuh Heating output 58000 Btuh Latent cooling 10020 Btuh Temperature rise 59 OF Total cooling 33400 Btuh Actual air flow 900 cfm Actual air flow 900 cfm Air flow factor 0.025 cfm/Btuh Air flow factor 0.042 cfm/Btuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.91 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) i M/BED/OFFICE 898 14970 10092 371 424 LOWER/LIV/AREA 1339 16055 7106 398 299 DINNING 234 5252 4226 130 178 60K/30/NEW/EQUIP d 2470 36278 21424 900 900 Other equip loads 0 0 Equip. @ 0.96 RSM 20524 Latent cooling 2195 I TOTALS 2470 1 36278 22719 900 900 'i Bold/italic values have been manually overridden .� + wrightsofte Right-Suite®Universal 2013 13.0.13 RSU15775 2014-Nov-13 2Page 8 Page 1 C:\Users\ray\Documents\Demo\PACE HOME.rup Calc=Manual Front Door faces: S Claim # Advantage Claim Services Adjuster Assigned: 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner Wr Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA i Re: Insured: Joseph R. Pace Property address: 150 Salem St. P Y North Andover, MA 01845 Policy #: 2612215 Loss of: 2014/10/29 File or Claim No. AD 1568 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass._Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any notice under Mass_Gen_Laws,_Ch _139—Sec.-3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 10-29-14 Signature and date Claim # Advantage Claim Services Adjuster Assigned: 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health �X/ Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: Joseph R. Pace Property address: 150 Salem St. North Andover, MA 01845 Policy #: 2612215 Loss of: 2014/10/29 File or Claim No. AD 1568 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass._Gen._Laws,_Chapter_143, Section_6 to be applicable. If any notice under Mass_Gen_Laws,—Ch.-139—Sec.-3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 10-29-14 Signature .and date Date..3.1.1.�...�. ...... 10438 o�NORT�y,�C TOWN OF NORTH ANDOVER ° 9 PERMIT FOR PLUMBING 5 * oma•�',: • gs�cHus� This certifies that H.......` ".`' "�.....!......i .. .......................... has permission to perform�. 4, , t-- ...(A ti.............. ..........!.;....... plumbingin the buildings of.......... ;................................................................................ at............. .... ........................ ................ North Andover, Mass. Fee-!]..`�....Lic. No.1(��.1........ MIN.................................................................. PLUMBING INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING wOKK a CITY u,��C4-e-.& MA. DATE PEWAIT = � OWNERS NAME 4 �N "�A ,3 Aw�P JoBs1T>=ADDRESS /�� 5�1�.� 5 T-bi OWNER ADDRESS TEL FAX jr TYPE OR oCCURAN CY TYPE: COMMERCIAL❑ EDUCATIONAL [I RES IDB T IAL�s PRINT NE^I:❑ RE_NO�IAT!ON: REPLACEM6\IT:❑1 PLANS SUBMIT I—ED: YES❑ NO C CLEARLY I FL"TUP,ES i FLOOR- BSIir1 T � i 1 i I I I i i i J BATHTUB r i i i F + I I CP,OSS CONNECTION DEVICE I I i DEDICATED SPECIAL INASTE SY5 DEDICATED GAS101-1JSAIND SYS DEDICATED GREASE SYS ^F I^:Ti'^P°Y'•°J�,.T�R jY> J .L._.J l3.1^_: 2 DEDICATED X1+1 A T EER RECYCLE SYS ! I I DRINKING FOUNTAIN! i DISHWASHER r—FOOD DISPOSER. i FLOOR,AREA DRAM INTERICEPTOR(INTEMOP,) I KITCHEN SINK LAVATOR`. ROOF DRAIN SHOWER STALL SERVICE 1 MoP SINK 1 TOIL-1 URINAL MASHING MACHINE CONNECTION JJVA1—tD HEA TER ALL TYPES I VIJATER PIPING^ i OTHER, , INSURANCE COVERAGE: I have a current in liability surance policy or its substantial equivalent vrhich,meet the requirements of MGL Cf.942 Yes�No IF YOU CHECKED YES: PLEASE INDICATE T`iE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 94213M j, Massachusetts General Lads,and that my signature on this permit application waives this requirement. f CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ Si nature of Gwner or Owners Agent I hereby certify that all of the details and imonnation I have submitted(or entered) regarding this application are true and accurate to th best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be 1 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 942 of the General Laws. ?LUMBEI NAME iQ i'r 4 G� Z &a SIGNATURZE CLe Ld-LOA, LiC © /7 MP JP❑ CORPOPATION ❑- PARTNEPISHIP ❑ I!C COMPANY NAME__ /L-( G'O to 1?d M,,W ADDRI=SS: V" 001 CITY Uro! Co STA•._ I�Q. 7 P D/&2e EDriWL - - iEL CE1L FAX i "� -� . ,.� �. . ' I . � .� .. ., i � �• � .. i . ., . I i .e� _ } - e '� 7 ��ils��` f '1 +� etwy CYC iii � '.� �SJ� e � y y� `; ✓.�• . , ./.J+ Date, .'P//./..................... TOWN OF NORTH ANDOVER, 1,z PERMIT FOR GAS INSTALLATION BSAC14U This certifies that .............................. .. .).. .................................... ........................... has permission for gas-installation in the buildings of.....i- � .C?.................................................................................... ......................... at ..........&--km....... ............. North Andover, Mass. Fee�.o..�P... Lic. No. ........ ........................... . . ........................................ GAS INSPECTOR Check# 9151 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r CITY: u MA, --- PERMIT# r JOBSITE ADDRESS: /5 �� n--¢ S OWNER'S NAME GOWNER ADDRESS: TEL FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRLNT PLANS SUBMITTED: YES❑ NO❑ CLEARLY NEW:❑ RENOVATION:e' REPLACEMENT:❑ APPLIANCESZ F4_ LOOR-- Bsmt 1 2 3 4 5 ti 7 S 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOFTOP UNIT TEST UNIT HEATER R UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current jkWjjtfjnsurance policy or its substantial equivalent which meets the requirements of MGL Ch_142 YES NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. At (� PWMBERIGASFITTER NAMg C,W. &"LICENSE#_/� �Ir SIGNATURE ` COMPANY NAME: (-c s ADDRESS: r GITY: T cr0 r'rc STATE sld&�j - ZIP: n r rrFAX: TEL' CELL-_9 EMAIL d LL�,rO. i,( se �— N TALLER CORPORATION # PARTNERSHIP❑# LLC❑# MASTERJOURNEYMAN❑ LPt S ❑ ❑ ilzds� � / 4,1114-k 1014,116 /60 ill 'T11 1i���p9 �°19s� �1� ec��2 rc�2ua�t The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UT. www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): Address: D A�k 7 — y City/State/Zip: yce-r ey"Phone#: z .75- Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 7 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 7. 2.El am a sole proprietor or partner- listed on the attached sheet.# 'Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.0 Roofrepairs insurance required.] employees.[No workers' 1311Other 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 Lire doing all work and then.hire outside contractors must submit anew affidavit indicating such. tContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /� Insurance Company Name:. rt-f- ✓��� � 7"� /•[ c e %c',,j� Xu S Policy#or Self-ins.Lic.#: w e ;4 40!F fE 43 'a- Expiration Date: 3 Job Site Address: l 5-0 5 nc we f2 / City/State/Zip: Al , aA2� � Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP-WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certo under the pains and pennaalldeess pfperjury that the information provided above is true and correct. Signature: �il� ; P �/ C/(,C�cam`—Lae e�L Date: Phone#: S /'i— V.? S/ R= Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Informati®n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,- express or implied,oral or.written.,, An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials ` Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the I applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department ofIndustdal Accidents Office of Investigations 600 Washington Street Boston?MA.02111 Tel,#617-727-4900 ext 406 or 1-877-MASSA.FE Revised 5-26-05 Fax#617-727-7749 www.m,ass,gavfclia A f�',."; COMMbNWEALTH OF,,MASSACHUSETTS.,v j • _• ' PLUMBERS AND GASFITTERS ' I REGISTERED AS.A,PLUMBING CORP _ } ISSUESrTHE ABOVE LICENSE I SMIGHAEL' M' MARCOUa M C.'. CO ".; PLUMBI'NG r rHEATING; L 108 SHORE DR I DRACUT �EZ6` 10D8 wr' { 185 : 05/'01/14 16817,0 r •y1 COMMONWEALTH OF MASSACFVSE7-tS • •. PLUMBERS AND GASFITTERS { LICENSED AS A MASTER PLUMB i 18sUES,TkE ABOVE LICENSE TO.`=1`w ER's I ti sMICHAEL, MARCOUX 108 LAKESHORE' 'DR" C = . "sDRACUT ,FrMA. U1826 r, � - 1008917 '� � 05/01/14 168168 I I 8879 Date.3 NORTH TOWN OF NORTH A OVER Of ° •11 3? ��s�`• ••OOL I- PERMIT FOR P MBING �► •O++n°.A`,fig 1SS�CNU'gEt _. This certifies that . Ave . . . c'l. a "�? .'�. . . . . . . . . . . . . has permission to perform . . . .0 . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . C Y' . . . . . . . . . . . . . . . . . . . . . . at . .e�}.O. . . .�igjr -. . . . . . . . , North Andover, Mass. C Fee.';.z �.Li c. No./'Q PLUMBING INSPECTIOR Check * Z L MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: AJ' c t MA. Date: W �'���'�� '3- /29—// Permit# Building Location: 5Owners Name: �0--r ,o Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New:❑ Alteration:❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No FIXTURES DEDICATED w z SYSTEMS f- z w �^ O N > z N U Z I-- Y Ln 0 Ln Z U Q H 4 H W z a H LU 2 of a Z F- w Z a y _Z H W w oae p m to cc oc F.W., in Q of Se 4n c X Q p a ,W 0 a Z oc z 'n U d LL ae S 0 3 = P U. W hLLJ Q Z z z 06 0 W 3 W ,yQ7 0 z = W W W1 W a s H H 0 0 > > 0 0 0 z z a a a = w w a y a m m o o LL s Y 3 g z 3 3 3 0 a 3 t SMT.ENTOROOROOROOROROROROR Check One Only Certificate# Installing Company Name: El Corporation Address: City/Town: I cbl��7� Stater ❑Partnership Business Tel: 7 -fs�.�-tj�(t Fax: Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YesNo❑ If you have checked Yes,please indicate the.type of coverage by checking the appropriate box below. I A liability insurance policy P— Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner ❑ Agent ]hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title ❑PI ber Signature of Licensed Plumber City/Town Master APPROVED(OFFICE USE ONLY) ❑Journeyman License Number: 6 U 3 pORTM TOWN OF NORTH AND ER * ; ; PERMIT FOR GAS INS LLATION �o•'� 4y �9SSACHUSEt This certifies that . . . .1-;7 -C. . . �. . . . . . . . has permission for gas installation . . . . .LA- 1.4. . . . . . . . . . . . . . . . in the buildings of . . . ./.?,.y C -6. . . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee. .„}. .r. . Lic. �a-�.� •< CaAS INSPECTOR Check# y2 Z 5 `r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: MA. Date: 3 --/D—// Permit# Building Location: �/� ,SCQ cps L; % Owners Name:C I Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential-, New: ❑ Alteration: ❑ Renovation: ❑ Replacements Plans Submitted: Yes ❑ No❑ FIXTURES o: U) QN Q H O m vi M = O W W 0 N H O = W W z I— Q~Q Z J W z W 0 7 N W W W m 0 a a IW- w Oa, w x W � z V W W �. Z = W O = LL > V W Z O J H H O z -j 0 LL N = W W W W z � >- W N J Q Q m W O z O M > z I'. _ Q 0 o a u- 0 C07 = _ � O a0 � � F > > > � O 1 1 SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR Vu FLOOR 4 T H FLOOR 5 FLOOR 6 FLOOR --i'FLOOR 81HFLOOR Check One Only Certificate# Installing Company Name: ❑Corporation Address: City/Town: State: P4_ ❑ Partnership Business Tel: Fax: Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy*r Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner El Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ❑ Plumber Title El 7ffMaster Fitter Signature of Licensed Plumber/Gas Fitter Cityrrown ❑Journeyman License Number: /c-,-) APPROVED OFFICE USE ONLY ❑LP Installer Date '14, TOWN TOWN OF NORTH ANDOVER } .� '• oc PERMIT FOR PLUMBING 49 ,SSACNUSE� `� This certifies that �'. �. j �" . . . . '�`/ . . . . . . . . . . . . . . . . . . . . has permission to perform . . .` . .'f . -r " `. .?. . .� plumbing in the buildings of �. ,-- '�-�' . . . . . . . . . . . . . . . . . . . . . . . at. . . .� .(. . . . . . . . . North Andover, Mass. Fee. j.S:. .Lic. No.. . . . . . . . . . . . . . . . � PPNG INSPECTOR Check # 1J/ 5473 3P I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING i (Type or print) NORTH ANDOVER,MASSACHUSETTS }� Date Building Location 5Lz Z�� �� Owners Name / Pe trmit#. Type of Occupancy Amount New Renovation Replacement Plans Submitted Yes No FIXTURES Cr ta W a L H O a A A as SMBM R191V m IST.) JOM ZII)HIDM 3HDM 4I1<31EIDCit . 5M HDM 61H)HID(nt MHOM 9M)~LOM 4-H (Print or type) /�' /� / �J :� Check one: Certificate Installing Company Name l� 1:�/ �/J 1 J E] Corp. Addres,O ' El Partner. v o� usmess Te ep one _ _/ dFirm/Co. * g 7��i s7 S7 Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityEl Bond ❑ { Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installa jons erformed under Permit Issued for this application will be in compliance with all pertinent provisions of th M chpset Sta ng Code and Chapter 142 of the General Laws. - By iggnaa ure oi McensearlumDer T e of Plumbing License Title / City/Town icense um er Master Journeyman ❑ /' APPROVED(OFFICE USE ONLY I� 3 -3757 Date. -c� ...... NpRTM TOWN OF NORTH ANDOVER '6 0i ,. p PERMIT FOR GAS INSTALLATION i SAC HU This certifies that . .:h',. . . ... . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . in the buildings of):l. 1 t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f at . .XV) . .`'� � . . . . . . . .. North Andover, Mass. Fee. . . ic. o./,% .. . . . . . . . . GAS PEEd'OR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer _. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or Type) 1 � N A 02A0Oy,Q ,Mass. Date o2 R'_Y9Q _Permit# 3� Building Location' / S6 .Sof W W s Owner's Name 6 la Type of Occupancy Newer' Renovation O eplacement O Pians Submitted Yes O No ❑ C0 Y W rn to V Z cc (n Cl) cc H tL W W W O U m I= = C/) Z cc IQ— QQ >- Z 5 O F' W 0 ¢ CD 0 U W = cn Z O WCC O > co W W rn W Z Q = CC fr W Cr W � W I— _ � rc ('} I Z J F.. Z W W 0 > LL f- W J I, W LLi > W j Z ¢ Q Q O O W O W I- 2 0 (7 2 LL D 0 0 S U CC > SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR b 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Check one: Certificate Address _ d art �C 7S"�f 1, Corporation 10 0,& e c D • 0 Partnership Business Telephone ,� h 7— y y-S 7 \ /C3 Firm/Co. Name of Licensed Plumber or Gas Fitter _gd • f'..e. e f—gu a yel" INSURANCE COVERAGE: I have a current jLability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch 142. Yes No O If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity O Bond O OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: SI nature of Owner or Owner's Agent Owner O Agent O I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best-of my knowledge and that.all plumbing work and Installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License 0 Plumber 9 Title asfitter Signature o cense Plumber or as Fitter aster Clttv/Town��� r , , Journeyman License Number p 7 3576 Date.C.:.L.- . . .G.`.... NORTH TOWN OF NORTH ANDOVER 3r pry ,.a° ,e1tiOL - PERMIT FOR GAS INSTALLATION A s i - ,SS^CHUSEt This certifies that . . .Z/!� . . . l`. . . . . . • . has permission for gas installation . . . . . 0 � . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . , North Andover, Mass. Fee. ./ . ). :. . �Lic. No..� 5,i . . . .. . �.-1 .� .!1_ . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer A \ MASSACHUSETTS UINIFORM APPLICATON FOR PERMIT TO DO GAS FTr TING r [� ;i, ype or print) Date �J NORTH ANDOVEMASSACHUSETTS ,� Building Locations �_i %� ,i Permit# Amount S Owner's NameG New 7 Renovation ❑ Replacement ❑ Plans Submitted ❑ n Z W — 'C '.a7 Z s B -BA SEM E :NT — — � — w BASE .w EN "r -F- ST. FLOOR 2ND . FLOUR 3 R D . F L O O R 4"r If F L O O R 9'r it FLOG R- 6 T 6T If FLOOR 7T I1 FLOOR ST I1 F L O O R (Patine or type)M © ® Check one: Certificate Installing Company Address la //���/� pp� ❑ Parmer. /( IiVT AfA Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter ��/ �� �/�We'(wyk- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Aaent ❑ I hereby certify that all of the details and information I have submitted (o centered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Vlas seats tat Ga de and Chapter 14 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber I ff:z City/Town ❑ Gas Fitter7i—cense i umD r Pvlaster 4LPPROVED(()FPICf:USEONLY) ❑ Journeyman Date.�-:'. . .•. N° 4328 NOR7M TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING � 1SSACMUSE� \�_ This certifies that�`.�. . . . . .. . /,� . ,. . . . . . • . . . . . . . . . . . . . has permission to perform . -`� :. J. . .. . . . . . . . . . . . . . . . . . . _. plumbing in the build/dings of � r-�-':�-�-~'. . . . . . . . . . . . . . . . . . . . . . . at . .-.: '�`'`�! ': !• • • • • • • • •,North Andover, Mass. cl '� Fee. . . . . . . .Lic. No/.�! . . . B PLUMt3INe INSPECTOR (v WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Ptinl Or Type) , P /I 4y;4e, ,,eC 2 Mass. Date Permit x '7 _ d Buiding L=Uon5 O Soma /42• s T Owner's Name 1--et Type of Occupancy s New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No 0 FIXTURES z Z N N b y 0 2 z W W !• N J > U < N 0 V Q W Y J M 7 •NC I „ 1- ar N =N <O U Y o0 < o Lz SC x J 0O h ; C G W S W < 2 3 z 9 e. = 0. x 0 N O U 2 i ►v- 4 r o N _ .4 0 z o a < o ¢ ar < o < ►- s 3 Y J ei 0 O O J Z p. N W U 0 O < 3 K aJ O Sua—BSUT. A BASEuENT IL 1 IST FLOOR o� 1 Z IND FLOOR ]RO FLOOR 4TH FLOOR STN FLOOR GTNFLOOR 7TH FLOOR ISTN FLOOR instaliing Company Name fel l'io u�Ad Lc�= Check one: Certificate Address . P Q e X 7 y ❑ Corporation ❑ Partnership Business Telephone 9,ti`'7- /y 5 7 'Firm/Co. Name of Uccnsed Plumber til I c � er P /un ✓C n et rY INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requlr'ments of MGL Ch. 142. Yes,a— No ❑• it you have checked ym. please Indicate the type coverage by checking the appropriate box A liability Insu=ca poticy ;�^ Other type of Indemnity, ❑ •Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the Ilcensea does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application walves this requirement. Check one: Owner ❑ Agent❑ Signature of Ownu or Oanei s Agant I hereby cenity,that ali of the details and information I have submitted for enta(ed)in above application its true and accurate to Uw bast of my knowledge and trial all plumbing work and installations p4dormed under the permit issued for this application will be in compliance with all pertinent provisions of Uw Wssachusatts State Plumbing Cod d Chaplat 1 of tri al Llws. By gnaiule of U Plumtv Title Type of License:I,lutun:_ Journeyman❑ City/Town L license Number /09/ ,�_ N° 2353 Date....4" .:.... ..... pORTN 3?0 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING c� - This certifies that ..........................�,,�:�......................................................... has permission to perform .,.—�� -!- ............................................... �. wiring in the building of..... ----...................................................... C-- - p --+�'�r ,North ,Andover,Mass. 4 Fee.4z�."/....`Lic.No............1 "' 1............ .4-'�"c..... . ................. ELECTRICAL INSPECTOR Check # yy/ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer y � Canlrrio?"aaLlIt of//1ad9ac1Lu9e1L1 Official Usc Only Permit No. 3�g' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 flea,,,blank) APPLiCATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massochusetts Electrical Code(ME•C) 527 CNIR 13.00 (PLE.ISE PRINT/rV INK OR 7YPL,,tLL INFORM,17 0iV) ll:ite: � / 006 City or Town of: n. n (Y UVeA _. To the Inspector of GYires: By this application the undersigned gives notice o`f lus.or her uuention to perform the electrical work described below. Location (Street cC Number) .J I� S I _ Owner or Tenant JC 1? Telephone No. �S Owner's Address Is this permit in conjunction with n building perniit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing, Service Amps / Volts Overhead ❑ Undgrd ❑ No. of llctcrs New Service Amps / Volts Overhend ❑ Undgrd ❑ Nn. of Meters.' Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work: 1A en l n ..� Com lesion o(the folbnvinc(able nrny be waived by the hrs cctor o(1 Vires. No. of Total)� No. of Recessed Fixtures • �o.of Ccil.-Susp.(Paddle)Fans Transformers KVA No.,of Lighting Outlets No. of blot Tubs Generators KVA Above ln_ t o. o mergence rg ming No. of Lighting Fixtures S`yimnriug Pool orad. ❑ rnd. ❑ Battc Units No. of Receptacle.Outlets No.of Oil Burners FIRE ALARMS No.of Zones NO. of Detection and No. of Switches No.of Gas Burners Initintino Devices otal No. of Alerting Devices No. of Ranges No.of Air Cond. Tons No. of Waste Disposers Totals: '•- .umber Tons K\. _ No. of cl1- ontained Detection/Alerting Devices ,, t lunrcipal No. of Dish)yashers Space/Area Heating KW Local ❑ Connection Other Heating,Appliances 10V Security Systems: b No. of Dryers No.of Devices or Equivalent No. of WaterKWNo.of No.of Data;Viring: I•Ieaters Sins Ballasts No.of Devices or E 9uivalent Telecommunications �l•irin- No.Hydromassage Bathtubs No.of Motors Total IIP No.of Dcvices or E uivalent OTHER: j Attach additional detail if desired, or as rerrtired 6v the Inspector of lYires. INSURANCE COVERAGE: Unless Nvaived 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 undersioncd certifies that such coverage is iil force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSUIL\NCE ❑ BOND ❑ OTHER ❑, (Specify:) (Expiration Datc) Estimated Value of Electrical Work:' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with'NIEC Rule 10,and upon completion. I cer•tij, urrrlrr tlrc wins and pruallics 0 Rr urs•,that the information oil this application is lure acrd conrplefe- rI1Z�I NAi\1L': MILEAGE ELECTRIG�INC. ' Signature 1C.NO.: Licensee: 1 (1folrplicaGle, eat }�V�,y ` �rj �{ r rr r l;.rc. Bus.Tel.No.: Zzf asL y — Address: • 1�r1 LIVl k 24 Alt.Tel.No.: ONVNER'S INSURAv ��5r }rcl1� lcstobility ttncoverage �rll required by la . Brsi nnaturc beloieeb `aictis requirement. l am the(check onc) ❑ o% ncr ❑ owtcsaLett. 1 Owner/Agent PIsR/tiIIT FLL: Sigrtnture Telephone No. o N22288 Date...... .. ...1 °1- e NORTH a 4,ppt TOWN OF NORTH ANDOVER p PERMIT FOR WIRING F p K � f ACMUSEt This certifies that has permission to perform ��F S.r..1..........1`�v�1 e-- P P ................. ........................................ `i wiring in the building of......... O.'............. .q. ..:Q- .................................... at.... ........1r-.s... .......:?..1.......................... .North Andover,Mass'. Fee.... 6 Lic.No./.r �. j-LLEMICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer .No r r Date.....; . ', ��::... HORTN °f�•�` ° '"° TOWN OF NORTH ANDOVER j F PERMIT FOR WIRING ,SSACHUS� I This certifies that ............................................................L ` �' :.....r::........r has permission to perform ....... ...r............... wiring in the building of _ l at.....f......:...........::.:.......!.::....... ............................ ,North Andover,Massf Fee.....'f? ..!�i.°.... Lic.No..1. . f..l J......... .., 1..".. f........ �.. ... . ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Of CflmmnnwrEllt Df IA5such1I5£ft5 Office use only , Permit No. Erparimtnt of tlublir E-afetg Occupancy,& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3'90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL FORMATION) Date �/� City or Town of 461 v� �, To the Inspector of Wires: The Udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) (, e Owner or Tenant 'r G �-- Owner's Address Is this permit in conjunction with a building permit: Yes E��No ❑ (Check Appropriate box) Purpose of Building _ �. %%� ,�... /�`vt Utility Authorization Nc. Existing Service 7—Ua Amps —J Volts Overhead ❑ Undgrnd ��No. of Meters New Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Lr/i I No. of Lighting OutletsI No. of Hot Tubs I No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- ornd. ❑ grnd. ❑ I Generators KVA I No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No.of Zones a No. of Ranges I No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of DisposalsI No.of Heat Total Total r Pumps Tons KW No. of Sounding Devices No. of Self Contained t No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices ICb'J Local I—j .Municipal Other a fJg. Of 0. Of Low Voltage No. of Wa:er Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachuse:ts genera! Laws 1 have a current Liability Insurance Policy including Completec Operations CoveraeE or its substantia! eouivalenl. YES have submitted vatic proof of same to the Office. YES "S- A E If you have checkee YES, piEase indicate the type Of coverage by checking the appropr � box. INSURANCE E✓BOND G OTHER D (Please Specify) II' Estimated value (Expiration Da _� Electrical Work S y / Work to Start J_ �Z - Inspection Date Requested: Rough w .�" 'Final Signed under the Penalties of perjury: y/ FIRM NAME LIC.NO. Licensee ti ` Signature r LIC. NO, Bus. Tel. No. Address All. Tel. No. OWNER'S INSURANCE WAIVER: t am aware that the Licensee es not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws• and that my signature on this permit application waives this requirement. O3e�' Agent (Please check one) (SISna:ure of Owner or F.cec;; Telephone No. PERMIT FEE S x�`E` CONTINO ELECTRIC & CABLE INC. RESIDENTIAL COMMERCIAL INDUSTRIAL (978)363-5420 LOUIS CONTINO 1 DONOVAN DRIVE MASS.LIC.A11983 W.NEWBURY,MA 01985 N.H.MASTER LIC.7649 TO: JIM DECOLA APRIL 5 , 2000 N.ANDOVER ELECTRICAL INSPECTOR 27 CHARLES STREET NORTH ANDOVER, MA 01845 RE: NANCY PACE 150 SALEM STREET NORTH ANDOVER, MA 01845 THIS IS TO INFORM YOU THAT I AM RELEASING ELECTRICAL PERMIT # 2060 TAKEN OUT FOR THE CAPTIONED LOCATION. PLEASE TRANSFER THIS PERMIT OVER TO DOUG SMALL WHO WILL BE THE NEW ELECTRICIAN ON THE JOB. BEST REGARDS LOUIS CONTINO Location No. Date MORT1y TOWN OF NORTH ANDOVER O�t .•o ,•,'t.0 41 t' ♦ i ; Certificate of Occupancy $ JA�NUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� orf Check # 13 8 5 Building Inspector i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �� S �r 9°$t,>,;r°fi- ,.•�,y^;,..,+: ...,x `.k .e+. v`v ',,°,, 1-xh.. a«m3` BUILDING PERMIT NUMBER. DATE ISS li ■ D: .ate ® M SIGNATURE: Building Commissioner/IngWorfif Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: [56 SALOrn SF �,3q-p Lot-a y:t, Map Number Parcel Number 1.3" Zoning Information: 1.4 Property Dimensions: Z- 7,r-b4-6 las Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 WaterSupply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Y1/ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System U SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service: Tls- 1 b 8 t Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Ulensed Construction Supervisor: O License Number Au ress Expiration Date Signature Telephone rM 3.2 Registered Home Improvement Contractor Not.Applicable ❑ Company Name Registration Number r Address r Expiration Date /� Signature Telephone Y♦ 4 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 DesciA tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l N L C9 h �a-"•.,m -►-o m w�. !- S'�.w l^+ � In v m.wt �v �a D'�-+�,a+v`- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIALUSE(?NLY'`' Completed by permit applicant �$. 1. Building (a) Building Permit Fee S Multiplier G ' 2 Electrical (b) Estimated Total Cost of Construction C� 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date 1 NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i FORM U - LOT RELEASE FORM !INSTRUCTIONS: This form is used to verify that all 'iecest-ary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. FILLS OUT THIS SECTICN**—*****.. // ,, c, APFL!CA.`d T /�1�/�G� ����" PHONE LOCATION: Assesscrs Map Number -� PARCEL- 071 �4 SUEDIVISION' LOT (S) STREET /.5—tJ 2P4/9m JP ST. NUMEER IL USE ONLY Re RECOMMENDATIONS OF TOWN AGENTS: 17:-, oC BAS1Me,1'4 r2o o dt.. CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS I TO h PLANNER DATE APPROVED S DATE REJECTED COMMENTS Y j071 7 FOOD INSPEC 0�H DATE APPROVED DATE REJECTED SEPT` IN CTOR-HEALTH DATE APPROVED �- l�O DATE REJECTED COMMENTS PUELIC WORKS SEWERMIATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT_ _ I RECEiVED EY EUILDiNG i,ISPEC T OR DATE Revized c',g,im tom, NORTH Town of HE over No. /go dover, Mass., O� COC C H I CHEW�IC 9K ORATED C BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT......... Aj1!V,.C.Y..............1:)A-.0...%&................................................... BUILDING INSPECTOR . .. .... .. &L'-* Foundation has permission to erect... .......... buildings an ....... 15.14.1.1a-M........................ Rough to be occupied as.......epp M vP 04 W W �yWIti........... ......... .... ...... tc ..... ....... Chimney .... ..... .... ..... . ..... provided that the person accepting this permit shall in every respect co form to the terms of the application on file in Final 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. oe4)) ?I> Z) PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this xPermit. Rough cpsoo Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST Rough *le* ......... .................. ................................................................................ Service ..............x BUILDING INSPECTOR Final Occupancy Pennit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Location /,/—o No. �72 Date �=a� N0RTN TOWN OF NORTH ANDOVER F 9 ` Certificate of Occupancy $ 4 i # Building/Frame Permit Fee $ s�cHuS Foundation Permit Fee $ Other Permit Fee ma� $ 3�' TOTAL $ ` 0, Check # O / 13 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING T OTHER THAN A ONE OR TWO FAMILY DWELLING /v � r.8.ysThis Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buildin Commisslonerfl or of Buildings Date 1.1 Property Address: ,. 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: ,f 1.4 Property Dimensions: v —Lt ��( 11�i a%!//tom'/Ooi� J��9,�� `a�`�� Zoning District Proposed Use Lot Area Frontage(ft) m 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required I Pro ' Required Provided 1.7 Water S°�Ply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public E7 Private ❑ y Zone Oniside Flood Zone Municipal On Site Disposal System *-11 2.1 Owner of Record Name(Pri ) Address for Service: Si a re Telephone 2.2 Authorized Agent Z,7 n Name Print Address for Service: Z �o�6 8®PFJ O Sign re Telephone z m . WWII..s90 3.1 Licensed Construction Supervisor Not Applicable ❑ 7�7 45 Address License Number O Lrcensed on At��- � 7 p� Expiration Date >_ rgna re Telephone egistered Home Improvement ContractorNot Applicable ❑ C' .ter Company Name Registration Number M r Addres r Expiration Date ^^Z 54-re Telephone yr as Owner/Authorized Agent ere declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signa of er/A nt Date Item Estimated Cost(Dollars)to be IL IL Completed by permit applicant 1. Building ®� ® (a) Building Permit Fee G Q Multiplier • 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) ' • 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number yi:}r,a.1.::i;h.�!r cNtt��,.�"�Ya�t2d�a�.it1.4.,iS t rr`.r.'�.)77z...tr:.r v'tt •�'y:'.Y+r�k,s\?..g?sk's�fY,r�34.1¢f�rF..{I,tii;.s h t.Yt±,�.Qf5'�S:.7u.�.`S.0tisux°i4?S°#s.,�r'.vy:.:.�Y�,rt,„�FLY9tht.?±'�en:l.f�t;zJr�L'�it ryy4x't?4.::.s x Sa,{d rmri-i..,` ✓'+.�1;.p,r. ?+ t{$rt� ,;$y.•�F'y,R Se'chv�'4i;. �,aSri'h 3t i;...Mt s=S �'Ytn,t� x� '41+ra�:.,w� �."';) )fF '�,�;'.,rE ,sNt�, rs”{ rr'y 0„v,'"Pff?% ,?i0y,oc NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND_ IS BUILDING CONNECTED TO NATURAL GAS LINE I r 3, C r rS�ArI�„��t`i��'������������a��;,>r�.'w'i,��r��� ntk''Wsy:-,>:',�, °'��� k'��v�'X45”2';,�i.c5`���-.•M� s ��',�$�ip."'S,¢ iJy :.+ � �`'p ;`ry ;�.. i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION********************** APPLICANtf 2j�IJVWee) PHONE LOCATION: Assessor's Map Number ✓ q J PARCEL a, SUBDIVISION LOT (S) l STREET �/ t ST. NUMBER / SO OFFICIAL USE ONLY RECOMMRfATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECT H DATE APPROVED DATE REJECTED SEPI NS T R-H L H DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS i DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9191 jm �J .30.3BARS /h BOND M4A( fL EKY O'O' d~ MAX, /CAF,.' NATL(�6tL 3 64x W 12"O-C.80 W M41YS G/eOt�wo r 1 � �L_f'xo. CUT OFF ALr--?�� BARS 1r31W.5 454"aC. _ \ Cur Ofr AS .07XrD fL AV S(D" S .CaO/lcs�—T u .4GT1rPM4Tf w/m 814:4 S' s ELEY 7=q" —T1 LH 7yp b L'LOflR ,pY/NF�'3 6tipS �rry tZ-7 STA/1/GA WQZZ S T/ON CONSTR CT/ON NOTES ,! '!CT/ON ,u/,4LL Qy�yf'ppM 7b CITY DEPT • ISE/NFORC/n/G STFEl S LL CON/�,Gt�f'iyJ 'B �'.S.tFET1' LOL1E� STA�V0.4�4RS: TO .1.5:T.Ael DES/G N,4T/ON-S' ,q/�E,Q�ps B0.4RD 11 71-PF .V17W .ON V&S LAPS S</ALL BE .4 4IN" M-l�PTJy.IT SZIRD. D/AMETE9P5' QR.49'WiVEPE SPL 14 Es 1 OFT_T. i�1��YAL_agEpU/RF.1� RSP OGGUiP fUfFR�fLZ�TE A�t�; _GUN/TE CD/1[S'T!? t"T/DN N_ • 6UN/TE S,4WLL �E.fIWCf//NE.N/.r2�D Arlo ES/dN [??IYFdRA[3' 7D •4PPL/ED PNEUM.4TiG1CLY �1//ar S.Wt[ BE l//b/V A /Pt r sON��[Jim D PAR7.T'A�D �4 � DaF AND A.WLF VW AKTM ,41L SAVZI#VD WI)Wv ZA rrr 3=41,051 3S DAYS ULT Q7A/P.SyJI'EAGT.U/ W"~���jMA0NTR��AC9 • w�rrER CE,NE/vr /WrV Wja Ao?r f'AkTibW 3/t GA[8 W47re'? "ew .AC" pt 7- • WW17E JY4 L/GWT,W.47��P XIMw J.V.4LL PROP/L7F gyp% /,y 4 _WPLI.4�{t^,E 7WWF r/,tgr,f ZI•IY .DP.�'EYEiv A�I,IS raca� C,rr!'a�7bw.v ol'ayA.� Tb AFSF1F C1a!/,y6 L.erc.VindG. NOTE MCAL s.Sl.4a CO/Yfb-V 7I! JrA7Z- --� .47-, l6&=�1dT 1L.�N DR.)VIAE �CsfL MSL//TE.MEN.Tj: - STANDARD S IAIM/IVB pDOL Aim tN OF M,JSS FIDATE: TIMOTHWALKER �, .✓OA/Is� APPROVED 8YIVIL m �No.C31376O �— 22- UCS PROFEYAC/:� ss�oN�u. O�aR �'E!/C/ST � IMOTHY WALKER CONSULTING ENGINEER OkAI ENS` 19 WOODSIDE AYE. wESTPonr CT 06ND so*v•Y S.iW?E rslJ. T3'/0:= Ucow NL OPAWNIO WJMM .Yeses sir sr �► I -20-Oj B/L�f�1tJGA i'TA 4U Su•aucF PER JrATF!MAIM•4M i`� D W&*V AIMo r Aft W RV& D'T's i ' S n' ( FlFRA/NiD BY POOL lEATR /R.S�L'CIF/EG I 7MP OF SOMP 464M— AV PJrM-W •� •s— � �,i �y i1:ISTBR ENT/.PE SOL Res.pAt W/01Y/Nu'_f30. �RC •�••-� II � t �- iPEOD aw CLN/.N a•7AE S-ANaLM A4A/N DRAIN STAT/C l J G'ONNELT DIRECT V PPUMP /?EllEf M1tvE T RES/DeNVAL 4 CNMMERVAL. i•.�/W i Box L �I d'MIN • 0 • .•. r.s � e • . • • • •COMM o • ' 0.0 AL �• o.�, •� , �; Ar r e dk DIVIN4 :e •• : ,•: • r • Ol/IT EGU ALIZ" [/A :48L,4= COAM ONLY . .... 6A &wo!•LAMP ;AND.4) AU70MAr1C SURFACF SK/MMEp �' OA'70,0 ,W/LL �P •i • T•A36AIF5'�EWI FEN, 1lNDER 1!'.47'FR L/6,VT W17Y , qr,� AWD L • a 1 ° • ov BART 6'oC. SOM WAW COLLMT/ON rLsa�iF,4ao.v) :::s MAIN OUTLET 777 7 - �r+��rast itatsa -n.n • NORTH Town of And 0 o dower' Mass. —oZ S•O COCIiIC NE WICK ��� ' ADRATrE S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..AV*4 ..N .. Y.............. ......�.C. .... .......................................................................... p ,�, 3 �1)....S AP S Foundation has permission to erect... .... .........1 ... ...... buildings on .... .1. ....... .. .................................................. Rough to be occupied as........�N br• uN a....... ...00. . Chimney .......................... .. . .... ................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. A) 3.17 a/ ./f �I'+� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. l3di.ew Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARS ELECTRICAL INSPECTOR C Rough ...... ........ ./A............................................ ..NIN ......... to BUILDING SPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE smoke Det. DATE: 05/15/00 TIME: 01:16 PM TO: Building Inspector @ +1 (978) 6889542 (603) 893-1743 PAGE: 002-002 I�M)DD;T T) 0-ON INI a--- `01 ACORD f t IN -A 05/15/2000 PRODUCER (603)893-9450 FAX (603)893-9480 THISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -akeside Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE b HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Stiles Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Salem, NH 03079 COMPANIES COVERAGE ----------- OMPANIES AF.............------------------- ............. ............. COMPANY Valley Forge Attn: Ext: A INSURED ..................... ..................... .......... South Shore Gunite Pools COMPANY Transcontinental z B 7 Progress Avenue ............... Chelmsford, MA 01824 COMP NY Transportation M A ------------------------------- ................. .................... American Home Assurance 8, I)LAID Iffis THIS IS TO CERTIFY THATTHEPOL'C' 1NStVNC%60ED BELOARI BEEN,ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD 5p INDICATED,NOTWITHSTANDING ANY ON EWM 11 TERM OR CON OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORM PER IN,LWISURANCE, -D Y 7E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IXCLUSIONS AND CON DrnONS OF 6UC%PJIC L AVE BSEEN REDUCED BY PAID CLAIMS. ............................................. . ....... .............. ........... Co z TYPE OF INSURANCE 1, J ZIP POLICY EFFECTIVE��POLICY EXPIRATION LTR LIMITS DATE(MMDDIM DATE(MM)DD/YY) GENERAL LIABILITY GENERAL AGGREGATE 2,000,000 ........... ................................................ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 2,000,000 hmgmV........... ............... CIA J MS MADE A OCCUR PERSONAL&ADV INJURY 1,000,000 0\0� 04/01/2000 104/ A F\0-M-- C143430331 0112001 ------ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 1,000,000 z ............... .............. ............................... z FIRE DAMAGE(Any one fire) $ 100,000 z ...................... 1-1--.1-1--.......... MED EXP(Any one person) 5,000 AUTOMOBILE LIABILITY . ......... ANY AU-0 COMBINED SINGLE UMIT 1,000,000 ALL OWNED AUTOS BODILYINJURY z X SCHEDULED AUTOS (Per person) B �1057229951 > 04/01/2000 04/01/2001 ........... HIREDAUTOS z ILY BODINJURY X NON-OWNED AUTOS (Per accident) ........... z z z PROPERTY DAMAGE GARAGE LIABILITY >AUTOONLY-EAACCIDENT ?ANY AUTO OTHER THAN AUTO Of MINE............. ..... EACH ACG DENT ....... ............... ..................... AGGREGATE i..$ z EXCESS LIABILITY z1,000,000 EACH OCCURRENCE ........... UMBRELLA FORM 182102948 04/01/2000 04/01/2001 AGG- REGATE 1,000,000 .................... OTHER THAN UMBRELLA FORM ............................... WORKERS COIVPENSATION AND W IAIU EMPLOYERS'LIABILITY , 11011 11 EL EACH ACCIDENT 500,000 D THE PROPRIETOR/ WC652-00-02 � 04/01/2000 04/01/2001 INCL PARTNERSIEXECUTIVE EL DISEASE-POUCY LI 6 0 0 0-0— ................. OFFICERS ARE: EXCL EL 01$EASE-EA EMPLOYEE;$ 500,000 OTHER DESCRIPTION OF OPERATIONStLOCATION%VEHICLESISPEaAL ITEMS Job: Pace Residence- 150 Salem Street, North Andover, MA Fax: 978-688-9542 Attn: Building Inspector SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of North Andover 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Building Inspector BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUG11ON OR LIABILITY 27 Charles Street OF ANY KIND UPON THE COMPANY,ITS AGENTS 08 REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Joseph Rossetti/USER39 ROOM 10 102 11001 I I I I I` l I I I I �I I - I DATE: 05/15/00 TIME: 01:16 PM TO: Building Inspector @ +1 (978) 6889542 (603) 893-1743 PAGE: 001-002 0'411R,AMA I g DATE(MM;DDA rra 0"M 0 200011 PRODUCER RODUCER (603)893-9450 FAX (603)893-9480 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION A L7akeside Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE t HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Stiles Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Salem, NH 03079 COMPANIES AFFORDING COVERAGE .......... ........................... COMPANY Valley Forge Attn: Ext: A .........._...................................nen........ .............................................. INSURED South Shore Gunite Pools COMPANY Transcontinental................................. B 7 Progress Avenue Chelmsford, MA 01824 COMPANY Transportation C ........................ ................. ..............------------ ..................... COMPANY American Home Assurance D m gg mg:, wo 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 REOUIREMENT,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. ........................................... ......................................................... �'ll""I.Ill""I'll'..".",�'ll"..","".,'ll""I'll""I'll",1.11"�.......... ...............1-111.111111-........................................................ Co zz POLICY EFFECTIVE POLICY EXPIRATION z LIMITS LTR TYPE OF INSURANCE POUCYNUMBER DATE(MMIDDNY) DATE(MMIDDrM i GENERAL LIABILITY i GENERAL AGGREGATE g 2,000,000 ............................................................ i COMMERCIAL GENERAL LIABILITY i PRODUCTS-COMRIOP AG„ z$ 2,000,000 ..................... CLAIMS MADE OCCUR PERSONAL&ADV INJURY ONN R W\ 1,000,000 R\ A I � �C143430331 04/01/2000 ; 04/01/2001 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 1,000,000 z .....................................- ........... FIRE DAMAGE(Any one fire) ............ g....................100 9000 ... mED EXP(Any one person) i� 5,000 1,AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS ir BODILYINJURY i$ X SCHEDULED AUTOS (Per person) 13 z1057229951 104/01/2000 i 04/01/2001 HIRED AUTOS z z z BODILYINJURY z X t �$ z NON-OWNED AUTOS z (Per accident) z PROPERTY DAMAGE $ z z GARAGE LIABILITY z AUTO ONLY-EA ACCIDENT z ANY AUTO OTHER THAN AUTO ONLY: w z z EACH ACCI DENT z .............. AGGREGATE: EXCESS LIABILITY i a. z ZF 1,000,000 EACH OCCURRENCE .......... C zi X I UMBRELLAFORM 1182102948 04/01/2000 04/01/2001 A G.G R.E.'G'A'TE' 1,000,000 ................................... z OTHER THAN UMBRELLA FORM z z zz WORKERS COMPENSA71 ON AND z z z 11 I.A k z yl!U z z TS \\g Q 01 'O'R EMPLOYERS'LIABILITY 'W"', MR Z$ 500,000 z D C652-00-02 04/01/2000 z 04/01/2001 EL EACH ACCI DENT 'z THE PROPRIETOR! INCI_ i PARTNERS/EXECUTIVE EL DISEASE-POLICY OMIT $ 500,000 OFFICERS ARE: EXCL i EL DISEASE-EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERA-nONS/LOCATIONS,-VEHICLESISPECIAL ITEMS Job: Pace Residence- 150Salem Street, North Andover, MA Fax: 978-688-9542 Attn: Building Inspector SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of North Andover 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Building Inspector BUT FAILIURETO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 27 Charles Street OF ANY KIND UPON THE COMPANY,ITS AGENTS 08 REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE L Joseph Rossetti/USER39 .......... Oik 01 "S 00 �sp ER 'M R z. No 2G60 Date.... 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SACHU This certifies that .......... ........ f..C...tf .................. has permission to perform ............ ......... ..Qw...,o ..................... wiring in the building of....... ................................. at......../ 7 ..0.......5..'1.. 5r.............. .North Andover Mw!rl-1 7 /1 Fee Lic.No.,zf.1151e��..... t��r ? 71 ELE 7 6K WHITE: Applicant CANARY: Building Dept. PINK:Treasurer r OIBce Uot Only R V O 4t= The Commonwealth of Massachusetts Permit to. Occupancy fee Checked Department of Public Safety 3/90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All "rk to be periormed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 11,114 ?f City or Town of A/00/ H A&A9L0� To the Inspector of Wires: Ilse undersigned applies for aJpemmii�t to perform/ the electrical work described below. Location (Street & Number) Owner or Tenant ry t 7 l'�A�jG^E ('q 78) 77-r Owner's Address / C.(� ►J L. ? / 1Y 45 ie/�.l Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) S/N Utility Authorization No. Pu of Buildin se Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters ' ,.mow Service Amps ��r / Volts Overhead ElUndgrd p§ No. of Meters aNurrber of Feeders and Ampacit LIcacion and Nature of Proposed Electrical Work W(9 UC42 r Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above❑ In- ❑ KVA No. of Lighting Fixtures Swimming Pool grnd. grad. Generators No. of Emergency Lighting Nu, of Receptacle Outlets N,,. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Heat Total Total No. of Sounding Devices No. of Disposals Pumps Tons KW No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal Other No. of Dryers heating Devices KW Local❑ Connection❑ No, of No. of Loa Voltage No. of Water Heaters kW Si ns Ballasts Wirin No. Hydro Massage Tubs No. of Motors Total HP t-OTHER: i INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or is substantial oof of same to this equivalent. heS❑ YES ❑leaseave indicatetted the typedofrcoverage by checking thece.appr pS ate box if you have checked , p 9/16/ 00 INSURANCE a BOND ❑ OTHER ❑ (Please Specify) Expiration DaEej Estimated Value of Elecuical Work $ P Work to Start Inspection Date Requested: Rough Final - Signed under the penalties of perjury: FIRM NAME CONTINO ELECTRIC & CABLE, INC. LIC, ti'Signature LIC. NO. A11983_ � --- ; Licensee LOUIS CONTINO g Bus. Tel. No. -363--S4ILU$�utile Address Alt. Tel No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage oermit TtF-sub- stantial equivalent as required by Massachusetts General Laws, and that my g P application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S n Signature of Owner or Agent _ i Locationd �l/� /5a ��alpti� S No. 02 Date j TOWN OF NORTH ANDOVER { f 9 L Via . Certificate of Occupancy $ ACM4CH S t� Building/Frame Permit Fee $ U Foundation Permit Fee $ f Other Permit Fee $ I TOTAL $ — G I Check #_ S '13512 Building Inspector 1111 MIT ON 0. APPLICATION FOR PERMIT TO 'Rul *X01 RTII ANDOVER, 11,1A M kP No . 311 LO Y N 0. all A- 2. DATE. BOOK 11;k C E St III DIV. LOTNO. -IT V 1�) I PURPOSE OF BUILDING No .OF STORIES s I z Fi oc— rfj cakkHASENIENTOR SLAB NII., EMS NAMEI Y ME OF I LOORTIM BERS �T� 1 2 tj yfVA (-I! I LL < 71 s ;N) SPAN 1(0 CE I'0 NV.kR1I.'.S LBUiLDIN I)IS I�kN, DIMENSIONS OFSTI.S DISMUEFRONISTREvirDNSMA NSOFPOS LS-01 MM4 LdlzekA I Rom 60/ DIINI ENSIONS OF GIRD ERS . — �/ I . OIL) s Ly AkLAOFI.Of '07r) rRONTAGE IIEICHTOF FOUNDA"I ION TI I I CK NESS S) INIMMITINGNMY SIZE 011'FOOTLING x ISHUILL)INGM)DIHON 0 MATERIAL OF CHIMNEY 1L KBUTI)MCAUTERATION ff./ NHUVDMGONsounnizi;lt.I.Ll)i,,kNlI 11.1.RUH DING(ONImORNI TO R1,01HREINIE-INITS OF CODE IS BUILDING CONNEmn TO TOWN MATER \j HOARD OF.PPFO.SAC'l ION, IF ANY IS Jill H.DING CONNECTED TO TONVN sE\\,r R IS BUILDING CONNECTED TO NATURAL GAS LINE INS 40(TIONs 3. EST BLDG. COS] -23 r\(;1; I Fn I.oil rsrcL,ioNs 1-3 EST.BLDG. cos'l.PER sc-). Fr. I-I I('I It I('..%I C11 4�RS N I USTBF.ON OUTSIDE OF BUILDING SLAIFIC11FUNIII NO. I I 1 1)(.A RA LS N I I I S I C 0 N 1.0 it N ITO STATE.FI R E.It F,C.'I I LA 110 N S 4. APPROVED 111' VI NNS NIUSI BE BYLUALDING INISPE-C'1011 OWNERS TELL II OF OWNER OR ALL 11ORIZE.DAGENT CONTIZAAC9 NAiIjiO ,=-.00DA-T-10A-�1 -r- accwpA H*Cf 9 u IIL PI It N1 I V GRAN 1-1 9 CERTIFICATE OF USE & OCCUPANCY Town ®f North Andover Building Permit Number 3-22 dq2 Date THIS CERTIFIES THAT THE BUILDING LOCATED ON I ech S� MAY BE OCCUPIED AS �l'�'tI I`� � �S� tewS CC, C`f- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. r 1t *qc�wall� CERTIFICATE ISSUED TO �0' �eY (/ C ADDRESS SX fe-pj ''s,cMusBuilding Inspector r o 0 over - : o�A dover, Mass., DRATED pP� BOARD OF HEALTH Food/Kitchen PERMI Septic System )*l1�4- BUILDING INSPECTOR THIS CERTIFIES THAT... .p. ...... !.... .0.. .............P41M............................. ............. Foundation �� has permission to erect................ ................... ulidin s on ..�.R.... A.... ..... .... de o p p�� Q.i �� 07Sto be occupied as.... ney . .... . ...................... .................................................................................. ................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 INSP&CTOR Voids this Permit. BLDG. PERMIT FF. q_��• 0 VIOLATION of the Zoning or Building Regulations Vo .�� LESS FDA FE PERMIT EXPIRES IN 6 MONTH�E FRAME PERMIT S `n u M3 N=M ft ELE SP p 0'21 14 .3 O T UNLESS CONSTRUCTITS oug a . ,��.` BUILDING INSPECTOR �j� - ' t in c :i �uti a* � . —TrRu&A? Occupancy Pertltr.:Required to Occupy Building GAS INSPE R Display in a Cons icuous`+dachOV e on the Premises — Do Not Remove P Y P �; (iG No Lathirl r`Dry Wall To Be Done FIRE DEPAR TMENT Until Inspected and proved by the Building Inspector. Burner C1, P 4 Street No. D z EV E R S E SIDE J l Smoke Det. :. .; 0®RT1, of Q Town dover O COCHI E dower, Mass.,— Y. ADRATED PPy J` BOARD OF HEALTH Food/Kitchen Septic System -� BUILDING INSPECTOR PERMIT T D THIS CERTIFIES THAT... 10. �. � .A... .�!............ ..... , , , .,.... Foundation has permission to erect................ .................... uildin s on ..X.R* 121 .... v..,. o �t s�� Y/ijt�u� to be occupied as..... ....I.�O��� Q.116DOW .31il � O� s� � MMS �,-a�p ................................................................................... i(Xd;a ey provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final , 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. PL BING INs CTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. BLDG. PERMIT F �-��� o � �_ LESS FDA EE mat• . _ , C 3P) D PERMIT EXPIRES IN 6 MONTH S FRAME PERMIT In � _u� ELF- SP ' UNLESS CONSTRUCTI® T TSPQ1A ,* /a' WS40a .......... ...... ............................................ oug ` e a 18 BUILDING INSPECTOR �� g/� t m 3:>v- -a-f- Occupancy Permit Required to Occupy Building P--s- T GAS INsus R Display in a Conspicuous Place on the Premises — Do Not Remove 61a No Lathing or Dry Wall To Be Done FIRE DEPA TMENT Until Inspected and Approved by the Building Inspector. Burner.. Street No. SEE REVERSE SIDE smoke Det. �I . h ti 4 Town of North Andover t1ORTH Building Department �,� gE, �`_, �o 27 Charles Street o North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax (978) 688-9542 �`y ,m.^ T Q <OL wICM wKw ' o 4 ��SSACNU`-+���h APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS ou LOT NUMBER SUBDIVISION 4 P DATE REQUEST FILED 6 'U(S DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION _ DATE v �� PLANNINGJIM DATE D.P.W. —WA TE METER 2 6 0 6 DATE WAd D.P.W. MUST INDICATE THXT;;6THE WATER METER HAS BEEN INSTALLED PRIOR O HE INSPECTION REQ DATE. .� SIGNATURE/DPW AUTHORIZATION 2 7 ?-^q f BUiLDiNG DEPARTMENT Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant an Bujldjn Permit(below) Address of Property for Permit(below) 02 /RC1 Map and Parcel :cA/ Purpose of Pppiicaticn (check below) P Nt��t Oga�licant ►_/Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. BylawThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.r-are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits.(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further i understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusa the B ll ing Department to issue a Building Permit. Al— LO o�� Signature of wner or Au anzed Agent who igned the Attached Budding Permit Date This form An.ust be atta ed to the Building Permit upon application for such permit The Commonwealth of Massachusetts c Department of Industrial-Accidents Ctfice of lnvesticiations s Boston, Mass. 02111 \. � Workers' Compensation Insurance Affidavit Name Please Print i Name: Location: U. Ci / Phone # /-2� g z�---/-/,9 EZI I am a homeowner perTcrmina all work myself. a1 am a sole proprietor and have no one working in any capacity CI am an employer providing workers' compensation for my employees working on this job. Comanv name: Address Citw Phone T Insurance Co. Policv# Comcanv name: Address City Phone Insurance Co. Policv Failure to secure coverace as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties cf a rine up to 61,500.00 and/or one years' imprisonment as'Nei l as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverace verification. I do hereby cerUry un the puns and penaities of perjury that the infermatien provided above is true and correct. Signature Date ,2- G Print name Phone# ��� ( T Official use only do not write in this area to be completed by city or town criciai' Citv or Town Permit/Licensinc Building Dept [.7 Check if immediate response is required ❑ Licensing Board Selectman's Office Contac:person: Phone ❑ Health Department ❑ Other I 1 I - --' ` • ©fit✓ - os''� � O©O OBS , do os z 71 ✓� .S -rf Qeo 167 62 O h Oeg c� Z� 1i CJ � O o�aG 047 C' �, 9 09� s� 0b , fib /CLQ4 c w 00; • � na�'�� �'��°�.,-n�i �y�,�-�' --psi � �`�,���v� P� ����:�� � FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments � having. Jurisdiction have been obtained. This does not relieve r the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS APPLICANT PHONE(q_y7q ! u LOCATION: Assessor's Map Number r PARCEL SUBDIVISION Uo Y1.2. LOT (S) STREET j, , ` �P�vvl. STYP.0",4 ST. NUMBER USE ONLY******************* ************** �xlateZshed D�StRlct RECOMMENDATIONS OF �TOWN AGENTS: New4.111 , CONSERVATION ADMINISTRATOR DATE APPROVED k(judlii DATE REJECTED � d f � / COMMENTS Nb ,J�/2� Ce l'-bU 11 ti 1i JQ C4? 9rs�t TOW P ANNER DATE APPROVED fjq Q�I ]p DATE REJECTED ll'� COMMENTS � ^` -+ J-,—, &q filza 7 �Clcy - FOOD INSPECTOR-HEALTH DATE APPROVED G� DATE REJECTED o EPTiC I PECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS � C:,a3 —� � �mw�� 2 a ce y" r z4�ov PUBLIC WORKS - SEWER/WATER CONNECTIONS 10—�-1 DRzfp ce,_�C� lam I vc vNAY PERMIT i 1,9— —914 n� FIRE DEPARTME?vT n'��� C�. ec`t�� {�2�rwI _lp.(�U��(�� ATTxce,k ,fJi pncr-ra inimll, I� Pd�w^ �' SCC uco/L maw..-o i (,Jej Q /'v /a2_/g7 t RECEIVED BY BUILDING INSPECTOR DATE J ,�J t Revised 9197 jm �D�,,,I c 6� j� 13 F 1-t 1\1 IT.NO. APPLICATION FOR PERMIT TO ANI)ON7FL11, A,fA Jrl -D 0 1'NO. 2. RECORDOFOWNLI(SlIll' DATE BOOK PAGE Still DIV. 1.01 W NO. 1.3 Y3 1_5 Ttl-ms I O( A I ION 11URPOSL OF 111111 DIM; " M\N IAZ'SNANI V Tncg-, NO.Ot. STORIrs a_ I SIZE 3,orJ6 O\\N ESS IIASLAI EN I'011 SLAB 6aS ka_4� 14 rAtj,-)e c M"ClIlliCT, SNANIV -a t ZV\ SIZE OF FLOOR"I'M IIIA(S 2' s 3 1 S lWil IWICS N.U..-M V--p w (piehmer SPAN )L NG I)INII-NSIoNs—oI--SII.I.s DIS FANCE FROM S I IZIJ."I DIMENSIONS01'POSTS 1111 CAN('[ FROM 1.0 1'I.INES-SIDES RE'Alt DIMENSIONS OF i — 15D - - a - �L' �_1,0 A It I:A 0 F LO, TAGE I '-I r-1 Ii E IG I ITO F FOUNDA1 10 IN, ' THICKNESS "I' 1,D I,,H I ill-OING NI:\\' VQS SIZE OF FOOTINGx &011 ck) IS HIIIIA)IM"ADD11,10IN NIATEIMI-OF(CHIMNEV MpS6n r IS IWILDING AL'I'l'ItAl ION is BUILDIN('ON SOLID Olt FILLED LAND ilA.11011A)ING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CON.NrC*I_I:DTO'IONV1N NVATrIt \I IM WD 01' 1ITI'ALS ACTION, IF ANY iSIMILDING CONNECAED'101OWN SENVER IS 131111.1)INC CONNECI 1:1) 1'0 NATURAL CAS LINE INh H c I ioNs 3. PROVER FYINFORNIATION LAND COX! Est. BLDG. COST 1.OUT SECTIONS 1-3 FST.13I.DG. nwr I'E'lz sq). I:-I-. Es 1'. BLDG. COS I'111"It ROOM 1:1 JVI IZI(',M'JTIB MUST13FON OUISIDE OF BUILDING SHIM IIIA011"l,No . kwu;rs 61tis'l,com"oIZINI'l-O 51,:1,1,1:FlIZI, 4. APPROVED B Y:4 I IIT.D:kND.kI1pjIO\'I:D 11VIMILDING INSPEC[Olt BI F 1 11,1:1) OWNERSTIA.H CONTRA1�1-, 40 i1( NAHTIff. OF NT Ill: s 18,60 II I'l-It\I I I'(;It AN-1 ED lzcvised S/5/99 .11M F NpRTH Town O D- OL dover O - to No. SZ ~ _ �20 COC HI_ E � dover, Mass., AORATED P, Cl S 5� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... 041.p. ...... ....0.wcw ......� .C.%............... Foundation has permission to erect................I..................... uildin s on ..�.� ���.... ./ ..... ...4)44--1 o to be occupied as 1.7 ��� � �� ►S�a/��4 p .....7.�......................�..............................� �� mney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. OLt?I�• PERI�I E - Rough LESS FDA FEE+Oar. 3rD PERMIT EXPIRES IN 6 MONTHRIE FRAME PERMIT$ Final '�� ELECTRICAL INSPECTOR PQ1A UNLESS CONSTRUCTIO T TSdownft it Rough C"000� ..... ..............................................� .................................... Service BUILDING INSPECTOR Final �� sf Occupancy Permit Required to Occupy Building _ GAS INSPECTOR T-r A A)s�' !z Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 NORTH . OF t`eo6_q Al - % oArfo 9SSACHUSE� DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: phone: 751� G The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: t,�etoez cr���� Tout C�� Location #),5;—o No. a Date f /� 00 Th TOWN OR NORTH ANDOVER a Certificate of Occupancy $ ' Building/Frame Permit Fee $ ''�S'••"�<�' Foundation Permit Fee $ ©� swcHuse Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ / r TOTAL $ .� Building Inspector �t3456 Div. Public Works ORTfy Town oAndover� �? "A LAKE O dover, Mass., / A_ COCHICMEWICK �k 7�ADRATED SSACHUSE FOR EXCAVATION AND oNl Y Pea A THIS CERTIFIES THAT ... 'Q...s'•,,�� � �,A P CI41 M #. has permission to excavate and pour foundation at . �...... �! '� .. ... a1. A lD....... A lwn ................... for the purpose of........ .�. ,� N . �'�....... A/i�.i.� ...... .�......'........... .... ............ .... The-person-accepting-this permit must-return=to-the�office of the Building Inspector a�certified-plot plan-show-, sof building thereon before Foundation will be inspected. ' -- _ VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. LESS FDA EEE f� r .. DUE F I/- ................................. ....... RAME PERMIT$ BUILDING INSPEC.TOR WETLANDS PRESERVATION INC. Environmental Consulting Services i t e T A N 08 47 Newton Road 475 Ipswich Road Plaistow,NH 03865 Boxford,MA 01921 Phone:(603)382-3435 Phone:(978)352-7903 A AF ® Fax: (603)382-3492 wetlandwpi@greennet.net SERVATION INC. SITE EVALUATIONS WETLAND PERMITS = WETLANDS DELINEATION STORMWATER IMPACT ASSESSMENT RESTORATION/MITIGATION WEST :�he < ENVIRONMENTAL INC. Mark C. West . Wetlands Scientist ^ ad 48 Stevens Hill Road 603_679-8212 `1 ✓ Nottingham, NH 02190 Fax 603-679-8232 r Leah Basbanes,Assoc. 39 Hardy St., Dunstable, NIA 01827 +-Iee�649-3839 Wetlands Consulting �f I r r .#a r ,,U, 1W I iVH'�Gi1..:.:., ,per "-,.:gti't aj. 1 d ':'�, :F, ;t.ift $�I e 2 ,'•t' ..i t 4:; f,.'.fir. 2 .t 5?. s. lc,:,.:I'� `x.,..p%.+.. ''t i,. .. 'it J,'a' .F{llu' ikt� 1`t' ,til } i` i'4 r:, r„k ,ii• s t p ,u:- } - <3,- y - t,.1 atu` a G •_.r P raj Y: M,li 4'Y -- 3 .ct,:,, f,:i ,+�e �.r. � t t> g:-';� e t,.. ,z k S.” 5 r r `r tt .! 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'i.,�°✓ tF?dr:. It r� r r � 1 ti�i a 7. 4 7 tl,;r"i. 5{ EZY ..a.i n - ✓ 4 s _t MY 0 z - t r: $'>, � s x t ..,. ., .. .,,. y_. MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 10-27-1999 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 Comments/Location I { WALLS: [ ] { 1. Wood Frame, 16" O.C. , R-13 + R-3 } Comments/Location I { WINDOWS AND GLASS DOORS: j ] { 1. U-value: 0.35 ! For windows without labeled U-values, describe features: ! # Panes Frame Type Thermal Break? [ ] Yes [ ] No ► Comments/Location I } DOORS: [ ] } 1. U-value: 0.35 ! Comments/Location I ! FLOORS: [ ] { 1. Over Unconditioned Space, R-19 { Comments/Location I HVAC EQUIPMENT EFFICIENCY: [ ] i 1. Furnace, 89.0 AFUE or higher I Make and Model Number I THERMOSTATS: [ ] I Adjustable thermostats required for each HVAC system. I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. Recessed I lights must be type IC rated and installed with no penetrations { or installed inside an appropriate air-tight assembly with a 0.5" { clearance from combustible materials and 3" clearance from insulation. ! I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. i I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can ! be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. ! DUCT INSULATION: [ ] ( Ducts in unconditioned spaces must be insulated to R-5. I Ducts outside the building must be insulated to R-8.0. { DUCT CONSTRUCTION: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Vp W i s War W WSYK OTIP if,:K""/. wuq &PLOP2 PICITud 1"W up"d Von I Low, rpo pn ! yqFud many ps ju%ujsgGq go U.ya- nacre ju ascouqTrinueg obscea WwW4 Vii., Tvaajwgsq to q-2. MCI MUM= ox 1 MAMOV MKIMM wnac Ps CISSMA w"M Ou W Pq! Tqyud hy"a hC0Aj3J0q' TUVOT9jIM B-Asjuv& dywTaa p-ASIOW guq PaVaTua I quq hauj;w 00000 Aug IsEnrcs nuism paspTua odubwour saw PC Ps WOMAN - W90MIMMM ws"W W Ulf Tusgul= PS04TUO yncenTgyp sug 6dorbwous Wner pe 190upilyeq W IP09 COMWIgucs equ CSFYIUM Vella, O"q sadnoLaq OU CWu AMOB REWHOEM! I C-MMUCO LLOM CUWPCaCTPjS =MM& M K 06SMUCS MW IUMP1100 . UC jUWgeyjnq QWq6 qO9hbM0bZTSgS ML-gIdp; 92%GWPIA Mj ;y S 0- 1,. jjdppa Mno; pG 110 IC L01eq Wq yU1;ZjTSq MTCP UO WSrLepjnM� UUACTabs ppqf we MannCso 0; STL javvy8s snac ps Mu s'! Bscoyesq YOMW 110U0tX%T0W 0Cj, S! ency abouThas Tu PPS PUTT9TUd' 11 I upstmoopore Lodalmog lax Svc" RAWC Aagew. HAYS W NOW Mumpol 1 , Enruunel evo wns at pTapo.*,, Man canismsm nuclum Ri T ' WAVXV: 0022 DODOS : Mo M MMOMe MAMY 13POTeg wwaw wampe ionnLaw V-jAID Consw c a\vacq r L J I y , Moaq noms, 10. aw " U-13 Ma 11 Debt ' ! Rjq0* .1 ME: %woopucy AVICKU 10/27/1999 15:42 FROM DOUGLA55 D&C. WOOD ASSOC, TO 19789751686 P.61 94e Board of Building, a ulations One Ashburton Pace, Km 1301 Boston, Ma::02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10123/1963 Number. CS 031962 Expires:10/23/2001 Resbicted To: 00 DOUGLASS E WERE 309 PEARL STREET READING, MA 01867 Tr.no; 6515 Keep top for receipt and change of addrm notification. IL OME. IMP.FtOV&&NT'CONTRACTORS REGISiFTATION and of "Bu�Ycing 'Regulations and,�atandards ;:. One .Ashburton Place - Room 1301 Boston ,.,: Massachusetts;x02108, HOME IM .' 6VEMENT:CONTRRCTOR Registration 106767 Expiration 07/27/00 Type - PRIVATE CORPORATION h DOUGLASS DESIGN_ ,&. CONSTRUCTION, INC Dot ;lass -,E..:.;,Webb;; 30 Pear 1 S��Xe�t � r Read'ng x% TOTAL P.01 10/27/1999 15:52 FROM DOUGLASS DBC, WOOD ASSOC. TO 19789751686 P.01 aK.+sli,Iw�flatea;la. _ , t 4QRD CERTIFICATE OF LIABILITY INSURANC�R FM DATEIMMK,DIYY) PRODUCER UGLAS 08/03/99 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Waverley Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 493 Trapalo Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Belmont MA 02178- BhoT:e: 617-454-5216 Pax:617-489-4626 INSURERS AFFORDING COVERAGE "WIRED INSURERA: Worcester Insurance Company INSURER B: Eastern Casualty Insurance CO Do glass Design 6 Construction INSURERC: 30 treet Readng MA01867 INSURER D INSURER E ' COVERAGES TME POLICIES OF INSURANCE LISTED MOW HAVE BEEN ISSUED TO THE INSURED NAMCD ABOVE FOR THE POLICY PERIOD INDICATED.NOTWM49TANOWO ANY REQUIREMENT.TERM OR ODNDIT70N OF ANY CONTRACT OR OTHER DOCUMENT MTN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR SHAY PERTAIN,TME INSURANCEAFPORDEO By THE POLICIES DESCRIBED NER&N IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY"AVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE POLICY NUMBER M F 2TIFTIMP LIMITS GENERALLIABWTY EACHOCCURTRENCK t 1 OOO OOO A X CDMMERCIALGEND"LIABILITY CB813363 06/06/99 06/06/00 nREOAMAGE(A"Ygy oeeuR . i�) 100 000 ' TxAIM9: � MED MlP,W.tFns P—)'; _65 000:.. ...'. ._ PER1501414LBADVamulti •sa 000,000, " GENERAL AOOREAGORWATEUMITAPPLIESPER t3nTE 112,000,000 POLICY - � -1 F Loc PRODUCTS-OOMPIOPAGO 62. 000,000 AMTOMOS"LIABIUTY ANY AUTO COMBINED SINGLE LICIT TEs acci4ent) S ALL OWNED AUTOS BCNEDULIDAUTOB BODILY INJURY f (Per P wM) HIRED AUTOS BODILr INJURY f NONdYRVED AUROS tPn aT:ddenq- PRO DAMAGE S i CARAT3E LtABILRTY AUTO ONLY-EA ACCIDENT S ANYAUTD OTHER THAN EA ACC f AUTO ONLY: AGG 6 EXCESS LIABILITY EACHOCWRRENCE f OCCUR CLAIMS MADE AGGREGATE _ S DEDUCTIBLE 6 RITTENTTON S s WORKERS COMPENSATIONAND _ H R�RPLOYESISLtAelur ER WC98820035 _ 02/27/99 02/27/00 E.L.EACH ACCIDENT 5.200000 _ Et-D16EASE,EA n0LOYE x100000 .. OTHER E.L.OMFASE-POLICY LIMIT f 50000.0 .. LDEDCRIPTIOROPOPERATIONSfLOCALUSIONS ADDED BY ENDORSEAENTIRPECIAL PROVMONS Carpentry Contractor CERT FICATE HOLDER Y ADDITIONAL INSURED;INSURER LETTM. CANCELLATION RE-ADI G SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of Reading DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE HuildinQr D�t LEFT.BUT FAILURE TO 00 SO SMALL IMPOSE No 09LKAAATWH OR LIABILITY OF town ma l I Cl ty mail ANY KIND UPON THE INSURER,ITS AGENTS OR RFARESENTATIVEb. Reading MA 01867 ACORD 26S(7/97) ' AC CORPORATION 7988 TOTAL P.01 { system must provide a means for balancing air and water systems. { { TEMPERATURE CONTROLS: [ ] ( Thermostats are required for each separate HVAC system. A manual { or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. { HVAC EQUIPMENT SIZING: [ ] { Rated output capacity of the heating/cooling system is { not greater than 125% of the design load as specified { in sections 780CMR 1310 and J4.4. f { MISC REQUIREMENTS: L ] { Refer to 780 CMR, Appendix J for requirements relating to swimming { pools, HVAC piping conveying fluids above 120 F or chilled fluids { below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)_________________________ ownjoyn 1SIZY ME aib painnsfed OSA 80.em B ONVOIq jasm Malaya /I mwtal, DAM eJvavqs? hanD ac! bg0upon win zinjoaxyg6T pn0sid s,# i M Jude ao Jolivass yHaMag 0: abox r1jamaju6 no &"nivn, ad Hade 10011 10 Snaa dozo 03 7Uqnf P00000 lojnn AKISIB TNHM91UQH DAVH ek qdj Q yHoaqS0 loqUO WISH ballso9qa as beal apxasb ads W TFSI nZ61 Uplasup Ion AW ME WEE WOUT anakJose nx ATMIASHFUM 01 vn :70al alnomay2bpll so, L a;:S:b .Sqq tRHO 081 a! USION uOull beWdY is 1 OSF ovodb KIM gnQsvaoj pniqi7 jAVH Moog .nmolsye MEW JON PSOSIODAD We 1 15 waled inaninbqsu p3?! i.) oasis OT 23TDA-- --- MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 i &4�� Checked by/bate 1 CITY: Lawrence ' STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-27-1999 DATE OF PLANS: 10-27-99 TITLE: PROJECT INFORMATION: Mr. & Mrs. Joesph Pace Salem Street North Andover Mass. COMPANY INFORMATION: Living Spaces Inc Rye N.H. COMPLIANCE: PASSES Required UA = 642 Your Home = 619 Area or Insul Sheath Glazing/Door Perimeter 9-Value R-Value U-Value UA ----------------------------------------------- -------------_----------------_ CEILINGS 2500 30.0 0.0 88 WALLS: Wood Frame, 16" O.C. 2330 13.0 3.0 166- GLAZING: 66GLAZING: Windows or Doors 540 0.350 189 DOORS 190 0.350 66 FLOORS: Over Unconditioned Space 2313 19.0 110 HVAC EFFICIENCY: Furnace, 89.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 131 . d J 4. 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