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HomeMy WebLinkAboutMiscellaneous - 222 MARBLEHEAD STREET 4/30/2018 222 MARBLEHEADSTREET 210/010.0-00444000.0 Date.... ..I.....I.t�............. r►ORrh., TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,83ACM�Jg t4� This certifies that �. vC-a I ........�'"..... ..... -P.......�.......'�'-- has permission to perform .I.Cu *� .t... .�t° c rv (.h+ m, wiring in the building of. ..:r.2, . N1G�� OL S��e - .. ..... ................................................................... i at.............. ��..``.r"- .......................................:........ITRICIAL rth Andover,Mass. Fe',. .................Lic.No.! !23.� �� , ....... SP ... .. .. ..dam ELEINSPECTOR Check# �N 11486 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev-1/071 (leaveblank N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform te electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address .� Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building (y✓1AktAX,-- M Utility Authorization No. /VI Existing Service Z OO Amps /2-0 / 2YO Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires `2, , No.of Cell:Susp.(Paddle)Fans No,of Total A Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above Ei In- N o.of Emergency Lighting No.of Luminaires Swimming Pool rnd. grnd. Battery Units No.of Receptacle Outlets Z. / No.of Oil Burners FIRE ALARMS No.of Zones lv No.of Switches / No.of Gas Burners No.of Detection and t� r Initiating Devices No.of Ranges No.of Air Cond. Total .Z o.o No. Alerting Devices g Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained e) p Totals: "[­*" Detection/Alerting Devices o.of Dishwashers / S ace/Area Heating KW Local❑ Municipal ❑ Other 3 I p g Connection No.of Dryers Heating Appliances KW Security Dev c15 or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiing: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eau]ivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) N Work to Start: 3—11-/3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,tinder the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: 7� yr/f Signature LIC.NO.: A/z,?, g � � (If applicable,enter "exempt"in the license n�etuber line.) Bus.Tel.No.: °l 7 P ta—y ®t/F3 Address: //5 /�1 �?7o.e*� /h/4 04--,E Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 1 ry required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ fQ� Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the AA notification of completion of the work as required in M.G.L.c.143,§3L. Y Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass 0 Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: f Inspectors Signature: Date: SERVICE INSPECTION: Pass 2 Failed Re-Inspection Required($.)❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass F?1 Failed Re-Inspection Required($.)❑ 1, Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass ? Failed Re-Inspection Required($.) ❑ Inspectors C mments: Inspectors Sig ature: Date: FINAL INSPECTION: Pass 0 Failed Re-'Inspection Required($.) ❑ Inspectorso ments: r ' Inspectors Sign ture: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 s� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): / 64tti �' Address: City/State/Zip: --,71- !� a/FVRhone#: Are y u an employer?Check the appropriate box: Type of project(required): 1.VI am a employer with 4. ❑ I am a general contractor and I 6. ❑ w construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I&a sole proprietor or partner- listed on the attached sheet. ? Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition W iking for me in any capacity. workers'comp.insurance. g• �24uilding addition o workers' comp.insurance 5. ❑ We are a corporation and its p 10F1 Electrical repairs or additions required.] officers have exercised their 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.❑Roof repairs insurance required.]i employees. [No workers' .insurance required.] 13.❑Other comp. q ] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Dontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site iformation' isurance Company Name: olicy#or Self-ins.Lic.#: Expiration Date: :)b Site Address: City/State/Zip: .ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certify unde a pai s and pe ties of perjury that the information provided above is true and correct. i nature: 4/'�%'� Date: hone#: 9 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants f Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials i Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit.for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 .evised 5-26-05 www,mass.gov/dia Date �l �2 -17 . • "' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION � h ' This certifies that . t . U . ./Q • has permission for gas installation .56-e. GQ� p W er in the buildings of. . . �. .. . . . . . . . . . . . . . . . . . . . . . . . at 22?-.:-2Z+—HLMIW Qcr�-Vv A �. . . ,North Andover, Mass. �. . Fee . Lic. No. �� .�. . . . . . . . . . . . . . . . . . GASINSPECTOR Check# _ 8621 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Y' CITY MA DATE PERMIT# JOBSITE ADDRESS IER'SNAME GOWNER ADDRESS Z2 �fi t3/ _ TEl_r?W-_yOFAX�r TYPE OR OCCUPANCY TYPE COMMERCIAL( PRINT EDUCATIONAL RESIDENTIAL CLEARLY NEW:[Q RENOVATION:El REPLACEMENT:El PLANS SUBMITTED: YES 0 NO D APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 -6 7 8 9 10 11 12 13 14 BOILER I BOOSTER CONVERSION BURNER COOK STOVE I I I_ -n l _ -1.. .vl�.--.- ,-_-,� 1 M DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR - FURNACE - GENERATOR GRILLE INFRARED HEATER ( �J _ LABORATORY COCKS MAKEUP AIR UNIT OVEN -- POOL HEATER ROOM/SPACE HEATER _ ROOF TOP UNIT TEST 1 !I_r- l -_-I —_-f _ �I . ._._I J f UNIT HEATER ) UNVENTED ROOM HEATER _ .# (� I •�.__ __f WATER HEATER ETHER - _ INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO �I 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COV GE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND F_.II 1 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. \i CHECK ONE ONLY: OWNER (—JI 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 acc to o the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance w' a ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME2 _ _ - , LICENSE# /, SIGNATURE a MP Xj MGF 0I JP JGF LPGI CORPORATION[]#i _ :._=r--._.11 PARTNERSHIP 0#=LLC COMPANY NAME:,�r�wn, /cN�.._ � W�ADDRESS CITY ._1 STATE ZIP[ ' TEL j /�!`'32 _ FAX CELL_. &-T)f MAIL f.' �°_ C �;`o.�► s iv ?' - - - - ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# / PLAN REVIEW NOTES i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�><bly �I Name (Business/Organization/In'dividual): /01yA I?IAJ ¢ Address: j- City/State/Zip: ems,,,._, Phone#:__2 21 PSS -39362 Are you an employer?Check the appropriate box: 1:❑ I am a employer with 4. Type of project(required): ❑ I am a general contractor and I employees(full and/o -time).* have hired the sub-contractors 6. ❑New construction 2. r partI am a sole proprietor or partner- listed on the attached sheet.1 7• ( Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. [No workers'comp,insurance 5. El We are a corporation and its 9 ❑Building addition required.] officers have exercised their 10.0 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 insurance required.]i employees. 12•❑Roof repairs [No workers 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors.and their workers'comp.policy information. t am an employer that is providing workerscompensation insurance for my employ Information. ees. Below is the policy and job site Insurance Company Name: ?olicy#or Self-ins.Lic.#: Expiration Date: lob Site Address: City/State/Zip: attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as re wired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,500.00 and/or o -year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine L o$250.00 a day aga' he violator. Be advised that a copy of this statement may be forwarded to the Office of gations of the DI insurance coverage verification. do hereby certify e the pains and penalties of perjury that the information provided Uveetstueandcorrect. i nature: e: ,3 � hone#: i 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#: a. C01VIM0NINTEALTHOF`MASSA'CHUSETTS' 7,R �, PLUMBERS AND GASFITTERS LICENSED AS A MASTER PLUMBER ! ' "ISSUES THE ABOVE LICENSE TO. c ;p S1 VEN A' CARR 1� C'DNCORD ST META lEN MA 018444-14-:(`, J.- 1-3 666 05/01/14 164.478 • Emu• . • ' f i� 187 Date. Z zU . .... . NpRTM TOWN OF NORTH ANDOVER 3r "a a OL O PERMIT FOR MECHANICAL INSTALLATION � e r 9SSACHUSEt This certifies that .W R . . . ... . . .. .. . . . . . . . . . . . . 7Rtr has permission for mechanical installation .. .. .`:�� . ..�'.�. . . . . . . . . in the buildings of . `'��--r � J`c` '�. . . . . . . . . . . . . . . . . . . . 22-2 at . . . . !-i". . . . . . e. . . . , North A�dover, Mass. Fee� . .. Lic. No. ?�� . . . . M�-'. . . . . . . . . . . . . . . GAS INSPECTOR I WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 4 Commonwealth of Massachusetts Sheet Metal Permit —_ Permit# Date: rCt3t 24�: �'t� .may, � Estimated Job Cost: $_�C�o© Permit Fee: $ `/ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# 1'16-6 / Business Information: Property Owner/Job Location Information: Name: Q 1 Hi tr uh T SoName: A�#�V/C S-4r JAY Street: // 6 9N4tcY b R Street: Z22 -22-H 11Ae,8LCd64b City/Town: J 61WY A(61 City/Town: Alagz# 4A4DO V60- Telephone: 6 03 61 O i( Telephone: q1�1 9-OZ/ 6/93 Photo I.D.required/Copy of Photo I.D.attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family ✓ Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square]Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. Number of Stories:—7— Sheet — Sheet metal work to be completed: New Work: Renovation: r HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: /Ns r*« 0Et/45 Y04k S Llr S s l�L a `';VO Z01V155 0AAE ZONE. A20A— /ip1AJ AA1,0 2e-Wc IW47 Afia_ S LC /��S�Q 8E0�®ttil , M�Sr�2ff�l� ��, /d'as/d ZAuy�2y l2oorl iAj INSURANCE COVERAGE: r I have a current liabilityinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ d ° OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxQ,I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Comments Date 4 Type of License: BY F1Master Title' ❑Master-Restricted City/Town - ❑Journeyperson Signature of Licensee. 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WE .x ,y,... u. ,5r s.X. «., _ ...All too � fr 1 , r „ „ S: hi ..:. ,: ._-, , ,,:, ,.. ,z".v, ,. , ,. ,. ,.•... ,. «-.., :2�,:.-'-. ,.. � ,,.x+-. > 2. 4 T d” fir: Gmail - Heating and Cooling Loads for Project: Frank Stewert Page 1 of 2 •, HVAC COOLING AND HEATING LOAD BREAKDOWNS _ _ �1)Room Name_ - - -__- - f Project:Frank Siewert I Location:North Andover,Massachusetts L,H9 W in decimal feet!Length Height Gross f and gross S Ft areas or Width Area Indoor clb Heating 71.0 Latitude 42.ON DR Medium 2)Exposed Wall 000 0 Indoor db Cooling 72.0 99%db 6.0 HTD 65.0 3)Partition ���� Indoor RH Cooling 50.0% 1%db 91.0 CTD 19.0 4)Floor Elevation ��15.0 Grains 93.2 ACF 1.0 5)Ceiling Construction Number Heating Cooling Direction&Details Net Area Load Load ODG 6A Window&Glass Doors 0 10-c(Kitchen window large) �C 12.6 466.8 714.4 1 D-c(Kitchen window small) =F80 296.4 453.6 a ©1 D-c(Bathroom window small) 8.0 296.4 453.6 C DO 1-pc(Master Bedroom window) 12.6 466.8 453.6 G 0 1b-c(Master Bedroom window) =25-2-- 933.7 1,428.8 C 1 D-c(Master Bedroom deck door) 0 40.0 1,037.4 1,587.6 ��1 D-c(Master Bathroom window) 1D-c(Bedroom 1 window 1) �� 12.6 466.8 7144 1 D-c(Bedroom 1 window 1) - =1-26-]R66.8 589.7 G jr 1D-c(Livingroom window) ��C38.7 1,433.8 1,811.2 C 68 Skylights j�(North) 0.0 0.0 0.0 C Wood&Metal Doors 0 11C(Back Door) 18.4 381.9 182.1 7� G F-11 111C(Front Door) =FU-4--T-15 102.8 [I ®Above Grade Walls FD----]Fl-2C-Os w(Front outside wall street side) 0 196.7 1,163.5 297.1 12C-Os w(Back wall by driveway kitchen) �139.4 824.6 336.2 ©12C-Os w(Back wall by driveway Master bedroom) 100.0 591.5 241.1 H�12C-Os w(Back wall to deck Master bedroom) =K9.4 F58-8-0 -]P39.7 0 12C-Os w(Side Master bedroom) 158.8 939 3 382.9 12C-Os w(Master Bathroom street side) 59.4 351.4 143.2 ©12C-Os w(Bedroom 1 side) �=99.4 568.0 239.7 ®Partition WallsM�12C-Ob w(Wall between apts.) �L 192.-0 ]0 0 1100 1 Cp 9�Below Grade Walls JA 10 Ceilings F0---7F1-6B-30(Kitchen Ceiling) 112.0 233.0 197.2 L ®16B-30(Livingroom Ceiling) 225.0 468.1 396.1 0 1613-30(Bedroom 1 Ceiling) 0=� 143.0 297.5 251.7 0 TO L-166-30(Master Bedroom Ceiling) O 112.0 233.0 197.2 C 0 16B-30(Master Bathroom Ceiling) - _- ���56.0 116.5 i7-3 X=168-30(Bathroom Ceiling) ��56.0 - 116.5 98.6 0 None(Laundry Room Ceiling) 40.0 0.0 0 0 C o 166-30(Hallway Ceiling) 48.0 99.9 84.5 G 10 Partition CeilingsA� �L ===[I 11A Floors IIT-7P-9A-30p(Master Bathroom Floor) =F5-60---1F1­03-8J3-20 G 0 19A-30p(Master Bedroom Floor) =R-92-07 355.6 109.7 G =FAA---]19A-30p(Bedroom 1 Floor) �=143.0 265.0 81.7 7C FA-B-719A-30p(Bathroom Floor) 56.0 103.8 32.0 C AC 19A-30p(Laundry Room Floor) 0�40.0 74.1 22.8 G O AD 19A-30p(Hallway Floor) 12 Infiltration 0 Envelope Leakage Average - Infil Airflow for Heating62.0 4,433.9 662.4 Cp Gross exposed wall area for WAR:1,064.7, [No of Fireplaces Infil Airflow for Cooling ;31.7 13 Internal Gains A Number of bedrooms 2 #Occupants> !5 1,000.0 pp --._-_ .........--- _.. �=�U One occupant=200.0 sensible load Appliance Gains ,==1,200.0 [j F1-47JSub Totals !�18,964.9 15,578.0 15 Duct Loss/Gain Factors> 0.0 i=0.0 0.0 16 Ventilation Airflow for this job> P6-9-0---]4,929.9 1,441.0 Q 19 Blower Heat Gain Manufacturer's performance data has blower heat 20 Total Sensible Loss or Gain(sum lines 14 through 20) 23,894.8 18,726.1 William Souza 21 A)Latent Infiltration Gain 748.9 C �� Latent for Occupants(One occupant=2 B) 50.0) 1,250.0 118 Shelly Dr _ ���C)Latent Ventilation Gain 1,629 1 - _.._.._.._ _.. .........._.. - Derry,NH 03038 ��D)Total Latent Gain(Btuh) - 3,628.0 https:Hmail.google.com/mail/?ui=2&ik=9e8ffce331&view=pt&search=inbox&th=l3d5b4... 3/11/2013 Gmail - Heating and Cooling Loads for Project: Frank Stewert Page 2 of 2 IlPhone:603-553-0424,Fax:,Email:Souzahvac@gmaii.com �L_--_JOE)Total Cooling and Heating Loads(Btuh) 23 894.8 22,354.1 https:Hmail.google.com/mail/?ui=2&ik=9e8ffce331&view=pt&search=inbox&th=13d5b4... 3/11/2013 SOUZA-2 OP ID: DB CERTIFICATE OF LIABILITY INSURANCE D02/281201 YY) 02!2812013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCONTACT Main Street America Group-NE Phone: PHONE Northeast Agencies Svc Ctr X New England Region Fax: C No Ext):86i§-676-3849 IAIC,No): 866-3324776 PO BoxA DRIE Keene,NHH 03431 SS:servicecenter msagroup.com 0 Northeast Agencies Inc INSURER(S)AFFORDING COVERAGE NAIC b INSURER A:Main Street America Assurance 29939 INSURED William Souza INSURERS: 11 Shelly Dr INSURER C Derry, NH 03038-5735 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR OLICY EFF POLICY EXP LTR TYPE OF INSURANCE ISR D POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY MPU3879E 07/12/2012 07/1212013 PREMISES Ea occurrence $ 500,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LI IT 1,000,000 Ea accident $ A ANY AUTO MPU3879E 07/12/2012 07/12/2013 BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WCSTATU- TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I R ANY PROPRIETORIPARTNERIEXECUTIVE F E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT J$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space Is required) For work at 222-224 Marblehead, North Andover, MA FAX #978-688-9542 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover Building Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD t 1 222-224 marbieneaa st. Norm jinaver T"ir � First Roar Apt. Reu DM 2013 � a, 6,. fr®ffi Dw REAR DECK 19'-0" MASTER BEDROOM / Y I I 1 - CLOS. CLOS. EXISTING I EXIS OBATH EXISTING KITCHEN ❑ D COMMON STAIR I NDRY 1 _ MASTER BATH r-----J LIN. "jL II II y.0.. EXISTING EXISTING COMMON STAIR LIVING ROOM EXISTING _ BEDROOM Proposed Floor Plan Desigm 3/16"=1'-0" 21 Willow Streo www.cwc-design.com Haverhill.MA 01832 (978)397-3233