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Miscellaneous - 25 GREAT LAKE LANE 4/30/2018
7/20/2016 Date: July 20, 2016 20539 This is an e -permit. To lea more, scan this barcode or visit northandoverma.viewpointcloud.comt#/records/20539 OF NOR7y 4ti OO ❑ ❑ +` k ifs}i:� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 5 .o �4SS4CHU5�� ❑ ~ This certifies that Benedict J Breituna has permission for gas installation INSTALL AN UNDERGROUND LINE TO A POOL HEATER in the buildings of TKZ. LLC at 25 GREAT LAKE LANE, North Andover, Mass. Lic. No. 30283 The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street, Suite 100 Boston, MA 02114-2017 ' www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual): C�S� eJ,� �� U(k„�� �y�j { a n. c . Address: . 13 t (a..>g ie S . City/State/Zip:_- g. 0193 Phone #: ci _)T - -15 c - fv So o Airy appheant that checks box IF 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they .amdoing 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. lam an. employer that is providing workers' compensation insurance for my employees Below is the policy and job site Information. Insurance Company Name: i-1 is 1•% Y C _L r S H a G n OP Policy # or Self -ins. Lic. #: 1&4/ G C t) o o o O g O (o 1 G Expiration Date: 3 %. 15 / 17 Job Site Address_ jsr L11. J �g - c, L @ e.� •� City/State/Zip: A o� `lx,nPq,-, 0 Cyt s `6 'V, , 0 1? X15 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date) Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy of this statement,may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern; jy and penalties of p 'ury that the information provided above is true and correct ice&-n� Official use only. Do not write in this area, to be completed by city ort n 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 & Other' IContact Person: Phone It: re yon an employer? Cheek the appropriate box: d. -T-� Type of project (required): lam a employer with employees (full and/or part time• 7. []New construction 2.01 am a sole proprietor or partnership and have no employees working for me in $. ❑Remodeling any capacity. [No workers' comp. insurance required.] 3. I ant a homeowner doing all work ❑ g myself. [No workers' comp. insurance required.] t 9. ❑ Demolition 4. ❑ I am a homeowner and will be hiringcontractors to conduct all work on my property. I will 10 Q Building addition envie that all contractors either have workers' compensation insurance or are sole 11. ❑ Electrical repairs or additions • proprietors with no employees. '12.E] Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub -contractors listed m the attached sheet These sub -contractors have 13. QRoof repairs employees and have workers'. comp. insurance. 6. ❑ We area corporation and its officers have exercised their right of exemption per MGL c. a : 14. [Other G S F:itn 152, 51(4), and we have no employees. [No workers' comp. insurance required.] - �r'i " ' '�' N ` f _f rn S l l ► ` r a •.tel �,. s t g �. p I Airy appheant that checks box IF 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they .amdoing 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. lam an. employer that is providing workers' compensation insurance for my employees Below is the policy and job site Information. Insurance Company Name: i-1 is 1•% Y C _L r S H a G n OP Policy # or Self -ins. Lic. #: 1&4/ G C t) o o o O g O (o 1 G Expiration Date: 3 %. 15 / 17 Job Site Address_ jsr L11. J �g - c, L @ e.� •� City/State/Zip: A o� `lx,nPq,-, 0 Cyt s `6 'V, , 0 1? X15 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date) Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy of this statement,may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern; jy and penalties of p 'ury that the information provided above is true and correct ice&-n� Official use only. Do not write in this area, to be completed by city ort n 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 & Other' IContact Person: Phone It: (: CERTIFICATE OF LIABILITY INSURANCE ATE ED3/14/2016 ) TgM 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). PRODUCER CONTACT NAME: Maryann Plass PHONE (603)742-2644 FAX (603)742-2406 A!C No G 6 A INSURANCE, INC E-MAIL ADDRESS: 34 Dover Point Road INSURERS AFFORDING COVERAGE NAIC II INSURERA:iDI—GERLING AMERICA INS Dover NH 03820 INSURED INSURER 8: INSURER C: Eastern Propane Gas Inc. INSURER D: P.O. BOX 1800 INSURER E: 28 Industrial Way Rochester NH 03866-1800 INSURERF: CCIVFR"ArFS CFDTICIL`ATC NI IMnP0-rT.1 A'Al A0991 n DC\/ICIAkl All IAIIDCD- THISIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DDIYYYYMMIDDIY`fYY POLICY EXP LIMITS rA X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 250 , 000 PREMISE Ea occurrence $ MED EXP (Any one person) $ 5,000 X EGGCD000080616 3/15/2016 3/15/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 0 JET LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea as EDtSINGLE LIMIT IS 2,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X EAGCD000081616 3/15/2016 3/15/2017 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ A WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI (Mandatory in NH) If yes, describe under N/A EWGCD000080616 3/15/2016 3/15/2017 OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1000 000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Includes additional insured status when required by written contract. -- � \.NrYI,CLLAIIVIV cs@eastern.com, Any City/Town in Massachusetts MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ryann Plass/MP� V 1963-ZO14 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD INS025 n0140n « I � } ( « - !- «� ?R »: . ... - - - AM..�w-:O� � _ d A \ CO) . 2;& e _ - . : 6 !/\ <» ■ O U .. .»� . � <� � } 2 - - . - - - m m»y�. ?� � � « � ■ . - - — 2.�- . Cl) . .... \ \\.cs SI TU� _\ P e , Date `� � 'Q ✓ �-...� � � U `� 3 Town of North Andover Your permit has been sent back to you for the following reasons: 1) Check amount incorrect 2) No copy of current license 3) Insurance Binder not on file or expired 4) No Workers' Compensation Insurance Affadavit Form Please call with any questions 978-688-9545. Fax 978-688-9542 Workers' Compensation Form and Schedule of Fees can be found on the Town of North Andover Website under Building Department. Mailing Address: 1600 Osgood Street, Building 20, Suite 2035, North Andover, MA 01845 Date ....... 9- -37' 5' ............................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ka�' C—. U 6 This certifies that has permission to perform ......... wiring in the building of K.z ....... L.L-.j6— ... .... ..... ..... ..... .... ........................... ............................. at ... . . ... . . North Andover, Mass. .. ...2....... ............... Fee.. . 7.(,. ... ...... Lie. No. ... ELECTRICAL INSPECTOR Check# 12643 Commonwealth of Massachusetts Department of Fire Services a BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 1/071 (leave blank ,APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Insp,, of Wires: By this application the undersigned gives notice of his or her intention to perfprm the electrical work described below. Location (Street & Number) �S% Owner or Tenant --(--'K 7 , 641-C; Owner's Address 7 X Is this permit in conjunction with a building permit? Yes Lly Purpose of Building K= 5 tt L - Existing Service Amps / Volts M New Service Amps (- Q olts Number of Feeders and Ampacity Telephone No. No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd E�K No. of Meters Location and Nature of Proposed Electrical Work: L,' I u py S E Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Luminaires Z_0 No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No, of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires � Above In- Swimming Pool rnd. ❑ rnd. El No. o. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches �7 No. of Gas Burners 2- No. of Detection and Initiating Devices No. of Ranges ( No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Totals Number .... Tons KW ....................... No. of Self -Contained Detection/Alertin Devices Z/ No. of Dishwashers ( Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers I Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterKW 3 Heaters No. of No. of Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs -Signs No. of Motors Total HP Telecommunications lring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of le trical Work: pn , d� (When required by municipal policy.) Work to Start: 9 L (`j Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVE GE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify, irnder the ains and penalties ofperjury, that the information on this application is true and complete. FIRM[ NAME:. LIC. NO.: Licensee: M t Lq A (IL , &AAZ: r 'gnature LIC. NO.: (Ifapplicable, enter "exempt" in the license number line.) Bus. -T-e. No.: `, A RZ—%nq Address: P,0 L06t, Alt. Tel. No.• �� *Per M.6.1;c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ —� Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act— Permit/Date Closed: Trench Inspection Pass Failed IN Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass IN Failed 0 Re- Inspection Required {$.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL, ROUGH INSPECTION: Pass F?1 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INCTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: S -/c S -- FINAL INSPECTION: Pass Failed 0 Re- Inspection Required ($.) ❑ -M Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ... TOWN 01`7MERRIMAC, MA........dweinhold@townofinerrimac.com The Commonwealth of Massachusetts - Department of Industrial Accidents X Congress Street, Suite 100 Boston, MA. 02114-2017 > s� www mass.gov/dia • y0'arkers' Compensation Insurance Affidavit: Boulders/ContxactorslElectricians/Plum els. TO BE FILED WITH THE PEP2MTT1NG AUTHORITY. -Please Print Legibly Applicant Information Name(BusinessldrgaAization/ludiv'dual):_ ti�.Nl J► -Cr Address: r©6 OtC63SPhone #:0 City/State/Zip: l,�A t,t �� , i`'Ir4 Are you an employer? Check the appropriate box: Type of project (required): ' 7. G d6nstr6ction l I am a employer with _'._employees (fill' and/or part time).* 2.Q I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 8. E] Remo delilig 9. ❑ Demolition 3.❑ I am a homeowner doing all work myself [No workers' comp. insurance required.] t 10 ❑ Building addition 4. ❑ I am a homeowner and will be Hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole "employees, 11.❑ Electrical repairs or additions 4 12� Plumbing repairs or additions proprietors with no, 5. ❑ I am a general contractor and Ihave hired the sub -contractors listed on the attached sheet. have comp. insurance.t 13: Roof repairs These sub -contractors have employees and workers' 14.1 Other 6. Q We are a corporation and its, officers have exercised their right of exemption per MGL e. workers' comp. insurance required.] 152 §1(4), and we 'lave rio employees. [No *Any applicant that check's — , ti#1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submii,this affidavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such Ththis box must attached an additional sheet showing the nam $Contractorsat check e of the sub -contractors and state whether or not flrose,entities have employees. If sub -contractors have employees, they must provide their workers' comp. policy number. ensation insurance for my employees. Below is the policy and job site I am an employer that is providing workers' comp information. Insurance Company Name: v Folic # or Self -ins. Lic. #: Expiration Date:. Y Iob Site Address: Z _ R-��- L�-��'�� t AJ City/State/Zip: A 0• A,� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year impr[sononent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA. for insurance coverage verification. Ido hereby certify`under thepains andpenalties of pefj'ury that the information provided above is true and correct. Phone #: '7 46' 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 #: Q3"f — 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 bite, 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 otherlegal 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 viork on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 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 applicantmho has not produced acceptable evidence of compliance with the insurance coverage requi'red." Additionally, MGL chapter 152, §25C(1) states "Neither the commonwealth nor any of its political subdivisions shall enter intp any contract fnr 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 certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a 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 o£luvestigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write!'all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number_ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia Date................................. 11349 � Nv°, ° ry o .'ti TOWN OF NORTH ANDOVER 0 3? p PERMIT FOR PLUMBING sB�CHU`��S 1 This certifies that ..... .......... ... ` e -.( ..................L '..... '` ........................". $ has permission to perform... .................... plumbing in the buildings of....,...... . t .................... / Lam. at .� .0 '......... :... ............................. North Andover, Mass. Fee d :..::. Lic. No / ......6 � ............................................................ PLUMBING INSPECTOR Check. I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK I CITY _ MA DATE_(PERMIT # I ✓�1 JOBSITE ADDRESS OWNERS NAME1�_..1''� POWNER ADDRESS _ TEL FAX TYPE OR OCCUPANCYTYPE COMMERCIAL Q EDUCATIONAL Q RESIDENTIAL'r PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: Q PLANS SUBMITTED: YES ® NOF FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14. BATHTUB CROSS CONNECTIONDEVICE-` DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM E! =1 i .-.._-__.f DEDICATED GREASE SYSTEM _._. -_ a _.__i .-_J I _.__.._ ...._._._. _.__._I DEDICATED GRAY WATER SYSTEMI -:-_ - __ __.___f __-i f __.... I _..... J DEDICATED WATER RECYCLE SYSTEM I ___ ---1 --- ---I -_-._I _..... J -.—J= DISHWASHER _ ., MI DRINKING FOUNTAIN 1 ..____._ _..__ ..__.__-[.._.___._i I ._... ..... _I FOOD DISPOSER I ._.(__.-_.__I-___�.f. __._ i i ........v._1 FLOOR I AREA DRAIN _ _ _I 1 ._I _.__ i _..__. ____._ I . _._.__I L-- INTERCEPTOR (INTERIOR) KITCHEN SINK I _... .__.l —__l -_-(---_-._ ------- ___..__I __-___i .__.._ I .____I ___-....I _.___I __-_-J __! .._._ -J LAVATORY { _ - __--I --------_1 __-I ______1 ------ ..___- I __-- .__.__1 _^. _.__..J I ROOF DRAIN _ I J _____I __.__I _ _i =---] __.__j _ ..:._-__J SHOWER STALL -I ..._ _� I moi _ 4 T-__.1 SERVICE/MOPSINK I .__. i _ i _.i _ of _.._._ f ---._J -._. _I _-.-__€._--f------l TOILET I __ ___ J --I __. ! _ ! ..__^__J URINAL 1 ...-_-_- i _-i __-- ____--__-_-� .._____I _._-.--_f----__.J ___.__._i _._.-_J ._____€ .-._._.. I-.--__. I WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING i 't I' ....._i f _ ! i` _I ..__ ___ OTHER _.......... INSURANCE COVERAGE: I have liabilit insurance its the MGL Ch.142. YES VNO a current policy or substantial equivalent which meets requirements of IF YOU CHECKED YES, PLEASE INDICATETHE YPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY []I BOND Q OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT f SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compl' ce hal rtl r ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r PLUMBE ' NAME LICENSE # I A AT(RE- MP& JP ��I CORPORATION Q� # j PARTNERSHIP_i # LLC COMPANY NAME ; ADDRESS- T -I CITY T—STATE _� ZIP I L - I FAX �� CELL �� .._._._ .. EMAIL j , oo z N ❑ w W I t 1 I [1. 1.The Commonwealth of Massachusetts _ Department ofjndustrial.A.Ccidents w _ X Congress Street, Suite 100 Boston, MA 02114-2017 Yy �< www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TOBEFILED WITHTHE PERMITTING AUTHORITY . nr ,�o1P.;nt 1 RM Address: City/State/Zip: Z Phone Are you as employer? Chccic the appropriate box: l • FV—]- a employer v✓ith employees (fiffi and/or part-time). 2. a sole proprietor or partnership and have no employees Working for me in any capacity. [No workers' comp. insurance required.] 3.[] I am a homeowner doing all work myseLC [No workers' comp. insurance required.] t 4. F]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no empl"'oy"'s. 5.0 I am a general contractPr . and I •have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 6.[IWe are a corporation and its, officers have exercised their right of exemption per MGL C. 52 1(4) and'we have no employees: [No workers' comp. insurance required.] Type of project (xequired): 7. ❑ Nd*'d6nstr6di10n 8. �] Remodeliiig 9. ❑ Demolition 10 ❑ Building addition 11.[] Electrical repairs or additions 12. s `Piumbiag repairs or additions 13-. [] Roof repairs 14. Other *Airy applicant that checks box #1 must also fill out the section below showing their workers' compensation poficy information t Homeownerrs co, submis Uox' davit attached an additional indicating theY am sheeoingshowing th all -work andname of ti een hire nsub sub-contratside ctors and state wrs must heth t a e or new pot fhose entiti have such. $Contractors employees. if the sub=contractors have employees, They must provide their workers' comp. policy number. lam an employer that is,providingtiwor�kers' compensation insurance for my employees. Below is thepolicy andyob site information. Insurance Company Policy # or Self -ins. Lic. #:, Expiration Date: City/State/Zip: Job Site Address: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). olation by a fuib up to Failure to secure coverage eags well ased civil ivier l4penalties�nth0-00 e form of criminal25A is a TOPrWORK ORDER and fine of p to $2050.00 a and/or one-year imprisonment, day against the violator. A copy of this statement may be, forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certil1r tliens an penalties �jtty that the information provided above is t�ue and correct. �! T 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. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Phone #: Contact 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 entierprise, and including the legal representatives of a deceased employer, or the receivbfor trustde 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 6f 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 buildingsIn the commonwealthfor any applicaut�who has not produced -acceptable evidence of compliance with the insurance coverage rreq. red." Additionally, MGL chapter 152, §25C(l) 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 certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of fndustrial; Accidents. Should you have any questions regarding the law or if you are required to obtain a Workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. -• City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MA.SSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia Date ..... %�A/ ................ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ....... ............. has permission for gas installation ..............P- A -4,j ........... ki—C . . ................ . .... ....... ............... in the buildings of ........ ..... z ." 0— ........ ............... . .......... .. .................. . .... .. . .. at .... �z2..�.57..C� ki eT Nort h Andove r M a s s Fee./A ..... Lic. No% ...... ..................................................................... GASINSPECTOR Check #16 10 15 'G TYPE OR PRINT;, CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY L��1%-1I MA DATE l JOBSITE ADDRESS / OWN S NAME OWNER ADDRESS TEL OCCUPANCY TYPE COMMERCIAL © EDUCATIONAL NEW: 51/ RENOVATION: El REPLACEMENT: El APPLIANCES 1 FLOORS- I BSM I 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER PERMIT #.� W RESIDENTIAL 19/ PLANS SUBMITTED: YES [J] NO 9 1 10 1 11 1 12 1 13 14 INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO ED I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVE E BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY i OTHER TYPE INDEMNITY ( BOND 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. CHECK ONE ONLY: OWNER 0 AGENT El 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 m knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance wit all Pe inent vi . n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME LICENSE # l SIGN URE ' MP ZMGF EjI JP JGF ©LPGI 0 CORPORATION ©# PARTNERSHIP [I# LLC El# COMPANY NAME:LADDRESS - t� CITY _ _ - ( STATE ZIP TEL FAX _ CEL :,AIL -- — 1 1 n H z z 0 H U w w i '~s Oz �❑ >- W H W O� MLU Z U w �* W � a w a W C O � a w w �¢ CW7 z a d o P-4 a U J a a w z w 5 F- LL H O z o � c, a r � � W b e # . ■ a.66n�� % %\in & / CO / a- a ( . } . /* -N m �. 2 2 / °d\k\ �.. . . } LL o n / z � y` U- <»�. < m V)u I /\\ƒ' $ / o / LU / L� \/ $ . � 2 la-Cl-CVJl`f 1J� J`t r rOm� nUWC Ml7CIVl.T 7 fa `t f J Cl f 1 I O . 7 f a0aa7J`iC T'd92 � 1' 1 CCMilr CERTIFICATE OF LIABILITY INSURANCE FDATE YYYY) I,m,2014 �i 08121/20 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the Certificate holder In lieu of such endorsement(s). PRODUCER Phbng: (9781 A7g-0400 Fax: (978) 475-2171 CONTACT Tina Grange THE HOWE INSURANCE AGENCY 1P1AHone FAx No, E, (978) 475-0400 (978j) 4,76-2171 .. 4 PUNCHARD AVE E-MAIL.... . tgrange�howeins.com ANDOVER MA 01010 -- - -- N 81087 270 12/07HCOOINED gINGELIMIT 3 12/07/14 (E9 9cc�agnl) S INSURER(S) AFFORDING COVERAGE NAIL INSURERA National Grange Mutual MICHAEL KELLER INSURERB . National Grange Insurance IR$URERC NGM Insurance Company 14769-1 CIO M W KELLER PLUMBING &-HEATING 20 KENNEDY ROAD �S INSURER D PELHAM NH 03076 INSURER e INSURER F .. 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, TYPE OF INSURANCE IN3R I WVD A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X :OCCUR I—� GEN'L AGGREGATE LIMIT APPLIES PER: POLICY] Piece -LOC ti _.._.. B ; CT AUTOMOBILE LIABILITY ANY AUTO ALTOI )( IAUTOSSCHEDULED AUTOSS Il '-ANON-OWNED !NIREDAUTOS AUTOS POLICY NUM6ERIMM,lRD1y]LT'rJ_�._(0A�(RR000LTI I LIMITS MP064674 06102!14 06/02/15 'EACH OCCURRENCE 3 2,000,000' oa 6n 10 KtN m I $ 600,000 PREMI8E8 (Eo occurenwj MED. EXP (Any Ong pgrScn)$ 10,000 PERSONAL 8 ADV INJURY S 2,000,000 _ . GENERAL AGGREGATE S 4,000,000 PRODUCTS - COMP/OP Al= S 4,000,000 Is -- - -- N 81087 270 12/07HCOOINED gINGELIMIT 3 12/07/14 (E9 9cc�agnl) S _ 500,000 BODILY INJURY (Per person) S - BODILY INJURY (Per eCodenl) $ (Per aanenl) �S UMBRELLA LIAROCCUR • EACH OCCURRENCE ! $ .EXCESS LIAB I CLAIMS -MADE !AGGREGATE $ E0_ TENTON$--� ! o2121/1a CANRKENBATION WCO64674 -- TORY LIMITS .E D EMPLOYERS' $ __ LIABILITY ANY PROPRIETORIPARTNERJEYECUnVE Y/ N E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? Y NIA E L DISEASE -EA EMPLOYEE $ 100,0()0 (Mantllaro•y In NH) I If yes, Gescribc antler ! E.L, DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below - I ! i DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Addilignal Remark* Schedule, if mors Sploo is required) MICHAEL KELLER IS EXCLUDED UNDER THE WORKERS COMPENSATION. TOWN OF NORTH ANDOVER Attention: FAX #978-688.9542 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. _..._ - • AUTHORIZED REFREBENTATIVE-- .. I i Christine J, Grang® ©1988.2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Date .... b.1...�� Y. .................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION nis certifies that .... �.!'�........... S�l�.....................................................' has permission for gas installation AA. .. .......... inthe buildings of...` �1 ,.............................................................................. at ... Z's ....... ����.-44......1.xd�..... -••►......... . North Andover, Mass. Fee...�3.- .A..=...... Lic. No:.I-.... U .............................................................................. GAS INSPECTOR Check # � �D� 1rl2 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTH ANDOVER MA DATE OCT. 7 2015 PERMIT # I 7 VE'Vi JOBSITE ADDRESS 25 GREAT LAKE LANE OWNER'S NAME JTKZ LLC 25 TOM GOWNER ADDRESS TKZ LLC 25 TOM I TE 978-852-4002 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW; ❑ RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO® APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER E== FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER (NATER HEATER �� ��—I����I����1 11 Ml M1il" INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES ❑ NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [:1AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application ar ru 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 NmTnce with allEertinepCpr�Ov ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / 1 i 1 PLUMBER-GASFITTER NAME I JOHN MARSHALL LICENSE # 778 SIGNATURE MP F-1MGF ❑ JP ® JGF LPG( CORPORATION E]# PART RSHIP ®#LLCE]# COMPANY NAME:j EASTERN PROPANE GAS I ADDRESS 1131 WATER ST. CITY I DANVERS STATE= ZIP 01923 TEL 1-800-322-6628 FAXI I CELL EMAIL The Commonwealth of Massachusetts Department of IndustrialAceidents > 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual): Eck S Pd 1 r c(-�--,e 6c 5 1 n c . Address: 1'3( City/State/Zip:_ Phone #: -) ` 7 5 S o c; Are you an employer? Check the appropriate box: al Type of project (required): i.0 lain a employer with employees (full and/or part-time).* 7. ❑ New construction 2.❑ I am a sole proprietor or partnership and have no employees working forme in 8. ❑ Remodeling, any capacity. [No workers' comp. insurance required.] 3.[]l am a homeowner doingall work myself y [No workers' comp. insurance required.] t 9. ❑ Demolition 4. [:]1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers' compensation insurance or are sole 1 L ❑ Electrical repairs or additions • proprietors with no employees. 12. ❑ Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers'. comp. insurance.t 13.❑Roof repairs 6. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 14^0ther V 1� S F, H 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] _ }"} ' /� ^ i }' T r` Sic 1 l S } ) 'Any a licant that checks, #1 Q.1d1 !v tt y O1�/ pp s ox must so fill out the section below showing their workerscompensation 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 stale whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: H' l- v, Policy # or Self -ins. Lie. #: C U C 11*_� C) c- p o j Expiration Date: 3 115 1 1 Job Site Address:_a 5 %J t'r-, f Le. Lt P �6 e_ City/State/Zip: u A hd c,_t tJbls , Q 13LI Attach a cony of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un de ains and penalties ofd, jury that the information provided above is true and correct �r Official use only. Do not write in this area, to be completed by city or town City or Town: Permit/License # Issuing Authority (circle one): I. Board.of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: IV �o DATE (MNVDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 3/3/2015 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). PRooucER coNTA T Maryann Plass NAME: G & A INSURANCE, INC I PHONE (603)742-2644 (FUC Nol: (503)742-2306 No. Exp 1 EMAIL 34 Dover Point :Road ADDRESS:_ Dover NH 03820 INSURERA:HDI-GERiING AMERICA INS INSURED INSURER 3: Eastern Propane Gas Inc. INSURER C: P.O. BOX 1800 INSURER D: 28 Industrial Way INSURER E: 'I Roches Ler NH 03866-1800 INSURERF: n n rve r`e OTICIe` A TC Au l"MCD•rT.1 ;1'401 71 5 RPMs ION 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 SHO'•NN MAY HAVE BEEN REDUCED BY PAID CLAIMS ,NSR' Typc OF INSURANCE A L LTR I UBRi ! POLICY EFF POLICY EXP POLICY NUMBER I MMIDO/YYYY !MMIDDIYYYY 1 LIMITS A I I`_EN'L I_r X COMMERCIAL GENERAL LIABILITY I (�} CLAIMS -MAT-_ I� OCCUR X I I I EGGCD00008C615 i i I I I j I I 3/15/2013 3/15/2015 EACH OCCURRENCE l i 2,000,000 DAMAGE i PRE.WSES (E3 3=u encs 3 250,000 MED =XP(Any ore oerson) I3 3,000 y7 3 rya r_n ?lass/M,? PERSONAL& AOV INJURY i3 2,000,000 AGGREGATE LIMIT A?PUES ?ER: POUCY T PECT E LOC OT ;ER. GENERAL AGGREGA?= i 2,000,0 00 PRODUCTS •CCMPICP AGG S 2,000,000 5 (AUTOMOBILELIAdILITY A I X I ANY AUTO ALL OWNEG ^ SCHEDULED N' n AUTOS AUTOS YCN-OWNED h-IREDAUTOS AJTOS I I I X i I5?GCD000091615 j I I i I 3!15!2016 3!15/2015 i I OMBdanfl NGLELMI' S 2,000,000 F3 acoider,tf 13CDILY INJURY (Per person) S v I3COILYIN JUR. (Per accident) S ?P,GP=RTYDA"dAG6 Peracclder.`; I a i I3 UMBRELLA LIA3 I OCCUR EXCESS UAB i CLAIMS -MADE, ! I EACH CCCURREi`iCE is AGGREGATE I EO RETENT'ON3 i3 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROMEMSER/ EXCLUDED? GFFICER(MEMBER EXCLUDEG? N (Mandatory in NH) If es, descibe under .,iSCRIPTICN OF CPERA T IONS balow N f A j I shGCJ000080515 3/13/2015 3/15/2016 j x ?ER ❑ STATUT� ER I E.L EACH ACGDENT 3 11000,000 1 E.L. DISEASE • EA EMPLOYE $ 1 000 , OOC E.L. DISEA E - PGLICY LIMIT $ 11000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CPRTIGICATr- Nell r)RR CANe:FI I ATIe1N cs@eastern.com, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Any City/Town in Massachusetts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MA ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE y7 3 rya r_n ?lass/M,? ©1988-2014 ACORD CORPORATION. All ngnts reserves, ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 r201a01) N Fold. 7hen Deiach Aiong All rarf,ra;;-ns COMMONWEALTH OF MASSACHUSETTS n:.h- s - is�Y- sS..�' � -F;b whe. _�.2.:�x'a .srt�+_•a 4 :. BOAPO OF PL UM RS AN, SAS ITTERS �- LICENSED AS AN LP GAS Is ALL:_R i. �Iz JOHN F MARSHALL jo �w 47 uDBART ST=.EET �yU 0ANVERS MA 01923-19`3 Q3 -123-: 3 / 6 Date. qA.W> .. .... . ,yoRTN TOWN OF NORTH ANDOVER Of .ao ,a,ti0 3? p` p PERMIT FOR MECHANICAL INSTALLATION ' m SACHU . G . .i This certifies that . � . ..� .. • • has permission for mechanical installation ...t1 A .� in the buildings of .7-4 ..116 ........................... at .�.. .,.,. 7. 7 . 60. .... ,,Z .` Wirth Andover, Mass. Feer j .... Lic. No.. l/. .......� .. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts s y Sheet Metal Permit Date: ~ � '/ 5� Permit #- Estimated Job Cost: $ Q , 0 0 Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: " JES NO Business License 11 196 Applicant License it S Business Information: Property Owner / Job Location Information: Name: J&J Beating & Air Conditioning Name: 22(Z LLG Street: 17 Arlington St, Street: 0.56"e City/Town: Dracut, MA 01826 City/Town: North Andover, MA 01845 Telephoner 97.8-454-8197 Telephone: i �� 7 ' 3s Photo I.D. required / Copy of Photo LD. attached: YTS NO scnrruucn► J-1 / M-1- Zrestricted license J-2 / M -2 -restricted to dwellings 3 -stories or less and conu-nercial up to 10,000 sq. ft. / 2 -stories or less Residential': T-21diiuly • -Vulti-family Condo ( Townhouses Other Commercial: Office Retail Industrial __ Educational Institutional Other Square I+ootage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. Number of Storics: Shect nletal work to lie completed: New Work: �' Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: 111.e 7a l d 4 ��`"w o v -'INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. C1�. 112 Yes [�No ❑ If you have checked Yes, indicate, the type of coverage by checking the appropriate box below: A liability insurance policy L� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[], I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that ail sheet metal work and Installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Date Date Progress Inspections of License: Comments Final Inspection By Master Title ❑ Master -Restricted Uy[Town ❑Journeyperson Permit 1� I ❑Journeyperson-Restricted Fee $ Inspector Signature of Permit Approval Comments License Number: Signature of Licensee f5 4 Check at www.mass.govldpl The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www. mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contraciors/Electricians/Plumbers Applicant Information Please Print Lepiibly Name (Business/Organization/Individual): J & J Heating & Air Conditioning, Inc.. Address: 17 Arlington Street Citv/State/Zip: Dracut, MA. 01826 Phone #:- 978-45478197 Are you an employer? Check the appropriate box: LN I am a employer with 40 4. D I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its. 3. ❑ 1 am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.l Type of project-(requk'ed): 6. ❑ New construction 7., ❑ Remodeling 8. El Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions I LF1 Plumbing repairs or additions 12.❑ Roof repairs 13.0 Other "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 anew affidavit indicating such. tContractors that check this box must attached an additionalsbeet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I ant an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M.. Mutual Insurance Policy # or Self -ins. Lic. #: WMZ-8006553-2015 Expiration.Date: 06/02/16 Job Site Address: 2 5 6r{4 WA4 I.at,.A— City/State/Zip: ar 4dl, Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a ayagmpst the violator. Be advised that a copy of this statement may be forwarded to the Office of InvestiRations,of the DIA Or insurance-.ovcrage verification. I do here fy u er tl e pa's and �e es of perjury that the information provided( above is trite and correct. Si nature: Dater Phone #: 978— 54-8197 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: ACORD,,, CERTIFICATE OF LIABILITY INSURANCE OATE,MM,°D(YYYY) 05/27/2015 978, 887, 4900 FAX 978.887.2404 Edward F. Sennott Insurance Agency, Inc. 16 South Main Street P. 0. Box 457 Topsfield, MA 01983 ..,_FPRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED 310 Heating & Air Conditioning, Inc. 17 Arlington Street Dracut, MA 01826 INSURER A: Great American Alliance Ins Co INSURERB: Safety Insurance Company 39454 INSURERc: A.I.M. Mutual Insurance Co INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSR TYPE OF INSURANCE POLICY NUMBEfl POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DATE M DD LhMITS; GENERAL LIABILITY PAC6418906-09 06/01/2015 06/01/2016 EACH OCCURRENCE .,.$';, 1,000,00( X COMMERCIAL GENERAL LIABILITY A TED PREMISES Eaaccurrence $ 300,00 CLAIMS MADE FxI OCCUR MED EXP (Any one person) $ 10,00 A I PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE S 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP.AGG $ 2,000,00 :: POLICY PRO- LOC JECT AUTOMOBILE LIABILITY 2434550 06/01/2015 06/01/2016 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS 1X—X - BODILY INJURY $ B SCHEDULED AUTOS (Per person) HIREDAUTOSBODILY INJURY $ NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ - AUTO ONLY: AGG $ EXCESS/ UMBRELLA LIABILITY UMB6418958-08 06/01/2015 06/01/2016 EACH OCCURRENCE $ 2,000,00 X OCCUR F-1CLAIMS MADE AGGREGATE $ 2,000,00 A s DEDUCTIBLE $ RETENTION $ `- $ YERS'LIAILIT <,. ,Y WMZ-800-8006553-2015 06/02/2015 06/02/2016 X JOTH AND EMPS AND EMPLOYERS' LIABILITY / N TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER PROPRIETOR/PARTNER/EXEXCLUDED? ECUTIVE❑ E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory In If describe under y and E.L. DISEASE - POLICY LIMIT $ j 000 00 SPes,ECIAL PROVISIONS below - OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Evidence of Insurance AUTHORIZED REPRESENTATIVE I [Peter Sennott/LAR A-2-il -� ACORD 25 (2009/01) © 1988-2009 ACORn cnRPnI1ATInK1 AH .;-h ., The ACORD name and logo are registered marks of ACORD �� � ��f�AS1S'ACHUSE,TT'S DRIVERS, :- LICENSE __....Nh. - qa I53 Ba.ENB 4d NUMBER 005.03 2011 NONE S99655871 44b EXP i :, 3 008 i rs _CLASS- 12 REST 15 Stk.-M' 1 g4T�6 U9 ")DM NONE it ,,KLINE�1 2 ERIC RJ t KB; 1 4x1 { B 83 LONG DR DRACUT, MA 01826.2048: __�, 5.00 05.044011 Rev OT -154000 v* tOMMONW�ALTH OF MIS A HUST.T HEATING EQUIPMENT Make n/a Htg load Trade n/a Htg Clg Infiltration Outside db (°F) 5 83 Method Simplified Inside db (°F) 68 75 Construction quality Tight Design TD (°F) 63 8 Fireplaces 1 (Average) Daily range - M Inside humidity (%) 50 50 Moisture difference (gr/Ib) 47 24 HEATING EQUIPMENT Make n/a Htg load Trade n/a 0 Model n/a Latent cooling AHRI ref. n/a Btuh Efficiency n/a Heating input Actual air flow Heating output 0 Btuh Temperature rise 0 OF Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Space thermostat n/a COOLING EQUIPMENT Make n/a Trade n/a Cond n/a Coil n/a AHRI ref. n/a Efficiency n/a Htg load Sensible cooling 0 Btuh Latent cooling 0 Btuh Total cooling 0 Btuh Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0 760 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) 2nd floor d 1116 21780 10915 590 590 1st floor d 1524 29414 12275 760 760 Entire House d 2640 51194 23181 1350 1350 Other equip loads 0 0 Equip. @ 0.88 RSM 20330 Latent cooling 7116 TOTALS 'Dann Gii nA /17A AC a /lrn nr� Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsoft° 2015 -Sep -0116:18:36 AQ' 9 Right -Suite® Universal 2015 15.0.12 RSU05790 XCA ...ktop\Wrightson HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 1 wrightsoftLoad Short Form Job: Lot#3 25 Great Ill La... Date: Sep 01 , 2015 1st floor By: J&J Heating and Air Condtioning Inc. 17 Arlington st, Dracut, MA 01826 Phone: 978 454 8197 Fax: 978 454 8615 Email: office@jjheatac.com Web: jjheatac.com En i p-ro'ect Inforrrlatlon° �uE � . � � . For: TKZ LLC 78 Great '• • N Andover,01845 HEATING EQUIPMENT Make `� ® • s sI is AMANA Htg Clg Infiltration Outside db (°F) 5 83 Method Simplified Inside db (°F) 68 75 Construction quality Tight Design TD (°F) 63 8 Fireplaces 1 (Average) Daily range - M Inside humidity (%) 50 50 Moisture difference (gr/Ib) 47 24 HEATING EQUIPMENT Make Amana Trade AMANA Model AMH950453BX AHRI ref 2012268 Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 95 AFU E 11.5 EER, 13.8 SEER 46000 Btuh 44000 Btuh 55 OF 760 cfm 0.026 cfm/Btuh 0 in H2O COOLING EQUIPMENT Make Amana Trade ASX13 SERIES Cond ASX130241C* Coil CA*F1824*6D* AH R I ref 4705699 Efficiency 11.5 EER, 13.8 SEER Htg load Sensible cooling 15960 Btuh Latent cooling 6840 Btuh Total cooling 22800 Btuh Actual air flow 760 cfm Air flow factor 0.062 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.79 134 ROOM NAME -- _ Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Family room 408 13404 6272 346 388 kitchen 364 5197 2922 134 181 Mud room 182 2302 398 59 25 Living room 196 3052 1268 79 79 entry 192 2917 492 75 30 dinning room 182 2543 923 66 57 1stfloor d 1524 29414 12275 760 760 Other equip loads 5371 3072 Equip. @ 0.88 RSM 13459 Latent cooling 4033 TOTALS 1 r,0A QA70r . I — .vv , u Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. CWrl htft° 2015 -Sep -0116:18:36 s+... gsoRight-Suite@ Universal 2015 15.0.12 RSU05790 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 2 - wrightsoft. Load Short Form 2nd floor J&J Heating and Air Condtioning Inc. 17 Arlington st, Dracut, MA01826 Phone: 978 454 8197 Fax: 978 454 8615 Email: office@jjheatac.com Web: jjheatac.com For: TKZ LLC L Great '• • N Andover,01845 Job: Lot#3 25 Great LAke La... Date: Sep 01 , 2015 By: ROOM NAME Htg Clg Infiltration Htg AVF (cfm) Outside db (°F) 5 83 Method Simplified Inside db (°F) 68 75 Construction quality Tight Design TD (°F) 63 8 Fireplaces 1 (Average) Daily range - M 73 bedroom 2 Inside humidity (%) 50 50 123 130 Moisture difference (gr/Ib) 47 24 2031 123 HEATING EQUIPMENT Lndry COOLING EQUIPMENT Make Amana 333 32 Make Amana Loft Trade AMANA 3043 1204 Trade ASX13 SERIES 65 Model AMH950453B 40 .4 cnr Cond ASX130241 D* e a AHRI ref 4194077 Coil CA*F1824*6D* AHRI ref 4886414 Efficiency 80AFUE Efficiency 11.6 EER, 14 SEER Heating input 46000 Btuh Sensible cooling 12390 Btuh Heating output 37000 Btuh Latent cooling 5310 Btuh Temperature rise 59 OF Total cooling 17700 Btuh Actual air flow 590 cfm Actual air flow 590 cfm Air flow factor 0.027 cfm/Btuh Air flow factor 0.054 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.82 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) Clg AVF (cfm) hall 78 158 122 4 7 bedroom 1 196 4434 2398 120 130 Master bath 132 2368 1345 64 73 bedroom 2 182 4544 2396 123 130 Bedroom 3 182 4544 2031 123 110 Lndry 66 1184 333 32 18 Loft 192 3043 1204 82 65 fi dl hath 40 .4 cnr 4 nnn e a — Calculations approved by RCCA to meet all requirements of Manual J 8th Ed 2015 -Sep -01 16:16:36 ,� wrightsoft° Right-SuiteO Universal 2015 15.0.12 RSU05790 Page 3 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 2nd floor d 1116 21780 10915 590 590 Other equip loads 4215 3072 Equip. @ 0.88 RSM 12267 Latent cooling 3083 TOTALS 1119 Dram_ ace nn uv I:JJ-+V .7`,7U 590 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htSOftm g Right -Suite® Universal 2015 15.0.12 RSU05790 2015-Sep-0116:18:36 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 4 Load and A1/F Summary3 ��,u. ROOM NAME Area ft2 Heating Clg load Btuh Htg AVF cfm Clg AVF cfm Cooling 78 158 ZONE NAME Volume ACH AVF HTM Volume ACH AVF HTM Master bath ft3 2368 cfm Btuh/ft2 ft3 bedroom 2 cfm Btuh/ft2 2nd floor 10044 0.82 Bedroom 3 137 8.3 10044 0.79 110 133 1.0 1st floor 15064 0.69 18 174 8.3 15064 0.67 82 169 1.0 Entire House 25108 0.20 41 311 2.2 25108 0.08 10915 302 0.1 Load and A1/F Summary3 ��,u. ROOM NAME Area ft2 Htg load Btuh Clg load Btuh Htg AVF cfm Clg AVF cfm hall 78 158 122 4 7 bedroom 1 196 4434 2398 120 130 Master bath 132 2368 1345 64 73 bedroom 2 182 4544 2396 123 130 Bedroom 3 182 4544 2031 123 110 Lndry 66 1184 333 32 18 Loft 192 3043 1204 82 65 full bath 8B 1505 1086 41 59 2nd floor 1116 21780 10915 590 590 Family room 40B 13404 6272 346 388 kitchen 364 5197 2922 134 181 Mud room 182 2302 398 59 25 Living room 196 3052 1268 79 79 entry 192 2917 492 75 30 dinning room 182 2543 923 66 57 1st floor 1524 29414 12275 760 760 Entire House 2640 51194 23181 1350 1350 wrightsoft- Right -Suite® Universal 2015 15.0.12 RSU05790 ACCA ..ktop\Wrightsoft HVAC131 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 2015 -Sep -01 16:18:36 Page 1 Component Btuh/ft2 Btuh % of load Walls Location: 8710 Indoor: Heating Cooling Worcester, MA, US 11.1 Indoor temperature (°F) 68 75 Elevation: 1010 ft Ceilings Design TD (°F) 63 8 Latitude: 42°N 1.8 Relative humlddity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 0 Daily range°F) - 117 (M) Method Simplified 0 Wet bulb (°6 Wind speed (mph) g 15.0 7.5 Construction quality Fireplaces Ti ht 1 Average) Adjustments Component Btuh/ft2 Btuh % of load Walls 4.1 8710 17.0 Glazing 18.9 5670 11.1 Doors 24.6 1720 3.4 Ceilings 3.2 5263 10.3 Floors 1.8 2740 5.4 Infiltration 8.3 20791 40.6 Ducts 6300 12.3 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 51194 100.0 �� Coolm�51 Component Btuh/ft2 Btuh % of load Walls 0.6 1341 5.8 Glazing 13.7 4116 17.8 Doors 8.2 571 2.5 Ceilings 2.0 3218 13.9 Floors 0.2 335 1.4 Infiltration 1.0 2465 10.6 Ducts 3305 14.3 Ventilation 0 0 Internal gains 7830 33.8 Blower 0 0 Adjustments 0 Total 23181 100.0 Latent Cooling Load = 7116 Btuh Overall U -value = 0.069 Btuh/ft2-°F Data entries checked. L "1' wrightsoft9 2015 -Sep -01 16:18:36 isv Right -Suite) Universal 2015 15.0.12 RSU05790 ACCP+ ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 1 wri htsoft® Building Analysis Job: Lot#325 Great LAkeLa... 9 1st floor Date: Sep 01 , 2015 J&J Heating and Air Condtioning Inc. 17 Arlington st, Dracut, MA 01826 Phone: 978 454 8197 Fax: 978 454 8615 Email: office@jjheatac.com Web: jjheatac.com For: TKZ LLC 78 Great Pond, N Andover, Ma 01845 Component Btuh/ft2 Btuh % of load Walls Location: 4803 Indoor: Heating Cooling Worcester, MA, US Elevation: 1010 ft 8.5 Indoor temperature (°F) 68 75 Latitude: 42°N Ceilings Design TD (°F� Relative humi lty (%) 63 50 8 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Ducts Dally range (°F) Wet 17 (M) Method Simplified 0 bulb (° - Wind speed (mph) 15.0 69 7.5 Construction quality Fireplaces Ti ht 1 Average) 15.4 Component Btuh/ft2 Btuh % of load Walls 4.1 4803 13.8 Glazing 18.9 2948 8.5 Doors 24.6 1720 4.9 Ceilings 6.6 3435 9.9 Floors 1.8 2740 7.9 Infiltration 8.3 11649 33.5 Ducts 2119 6.1 Piping 0 0 Humidification 5371 15.4 Ventilation 0 0 Adjustments 0 Total 34785 100.0 Com onent Btuh/ft2 Btuh % of load Walls 0.6 740 4.8 Glazing 14.7 2292 14.9 Doors 8.2 571 3.7 Ceilings 3.7 1930 12.6 Floors 0.2 335 2.2 Infiltration 1.0 1381 9.0 Ducts 387 2.5 Ventilation 0 0 Internal gains 4640 30.2 Blower 3072 20.0 Adjustments 0 Total 15347 100.0 Latent Cooling Load = 4033 Btuh Overall U -value = 0.075 Btuh/ft2-°F Data entries checked. Wrightsoft° 2015 -Sep -01 16:18:36 fn.. Right -Suite® Universal 2015 15.0.12 RSU05790 Page 2 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Component Btuh/ft2 Btuh 11110 A 'Elm= Walls Location: 3907 Indoor: Heating Cooling Worcester, MA, US Elevation: 1010 ft 10.5 Indoor temperature (°F) 68 75 Latitude: 420N Ceilings Design TD (°F� Relative hums ity (%) 63 50 8 50 Outdoor: Heating Cooling Moisture difference (gr/ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Ducts 3190 22.8 Dally range F) - 17 ( M) Method Simplified 0 Wet bulb (° Wind speed (mph) - 69 15.0 7.5 Construction quality. Fireplaces Ti ht 1 ?Average) 16.2 Component Btuh/ft2 Btuh % of load Walls 4.1 3907 15.0 Glazing 18.9 2722 10.5 Doors 0 0 0 Ceilings 1.6 1828 7.0 Floors 0 0 0 Infiltration 8.3 9142 35.2 Ducts 3190 22.8 4181 16.1 Piping Adjustments 0 0 Humidification 4215 16.2 Ventilation 0 0 Adjustments 0 Total 25995 I100.0 se • Component Btuh/ft2 Btuh % of load Walls 0.6 601 4.3 Glazing 12.7 1833 13.1 Doors 0 0 0 Ceilings 1.2 1288 9.2 Floors 0 0 0 Infiltration 1.0 1084 7.7 Ducts 2919 20.9 Ventilation 0 0 Internal gains 3190 22.8 Blower 3072 22.0 Adjustments 0 Total 13987 100.0 Latent Cooling Load = 3083 Btuh Overall U -value = 0.061 Btuh/ft2-°F Data entries checked. 1 -- wrightsofta 2015 -Sep -01 16:18:36 � Right -Suite® Universal 2015 15.0.12 RSU05790 Page 3 ..ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Construction descriptions Or Area U -value Insul R Htg HTM Location: Clg HTM Gain Indoor: Heating Cooling Worcester, MA, US ftz-T/Btuh Btuh/ftz Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 21.0 4.09 Daily range (°F) - 17 (M) Method Simplified 700 Wet bulb (°F) Wind speed (mph) - 15.0 69 7.5 Construction quality Fireplaces Tiht 1 Average) 441 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain (none) ft2 Btuh/R? °F ftz-T/Btuh Btuh/ftz Btu BtuhN Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 698 0.065 21.0 4.09 2858 0.63 440 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud a 189 0.065 21.0 4.09 774 0.63 119 6.67 ft head ht S 700 0.065 21.0 4.09 2866 0.63 441 w 540 0.065 21.0 4.09 2211 0.63 340 Doors all 2127 0.065 21,0 4.09 8710 0.63 1341 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n 132 0.300 0 18.9 2495 7.47 986 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; s 144 0.300 0 18.9 2722 14.1 2028 6.67 ft head ht w 24 0.300 0 18.9 454 27.6 664 all 300 0.300 0 18.9 5670 12.3 3677 Doors 11 DO: Door, wd sc type n 42 0.390 0 24.6 1032 8.15 342 s 28 0.390 0 24.6 688 8.15 228 all 70 0.390 0 .24.6 1720 8.15 571 Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" 1116 0.026 38,0 1.64 1828 1.15 1288 gypsum board int fnsh 17B-6al: Rf/clg ceiling, asphalt shingles roof mat, wd cons, r-6 519 0.105 6.0 6.61 3435 3.72 1930 deck ins, 1" thk ns Floors 19A-30bswp: Part floor, hrd wd flr fnsh, r-30 ins, frm flr, 10" thkns 1524 0.034 30.0 1.80 2740 0.22 335 Wrl htsoft° 2015 -Sep -0116:18:36 g Right -Suite® Universal 2015 15.0.12 RSU05790 Page 1 ACOt ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N II i Floors (none) I -}Fj+ Wrl htsoft" 2015 -Sep -01 16:18:36 " "' g Right-SuiteC� Universal 2015 15.0.12 RSU05790 ACC% ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 2 Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range ('F) - 17 (M) Method Simplified Wet bulb (°F) - 69 Wind speed (mph) 15.0 7.5 Construction quality Ti ht Fireplaces 1 Average) ar Construction descriptions Or Area 1.1 -value Insul R Htg HTM Loss Clg HTM Gain V Btuh/ft2-°F W °F/Btuh Btuh/V Btu Btuh/ftz Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 279 0.065 21.0 4.09 1143 0.63 176 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud a 126 0.065 21.0 4.09 516 0.63 79 S 279 0.065 21.0 4.09 1143 0.63 176 w 270 0.065 21.0 4.09 1106 0.63 170 all 954 0.065 21.0 4.09 3907 0.63 601 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n 72 0.300 0 18.9 1361 7.47 538 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 118" thk; s 72 0.300 0 18.9 1361 14.1 1014 6.67 ft head ht all 144 0.300 0 18.9 2722 10.8 1552 Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" 1116 0.026 38.0 1.64 1828 1.15 1288 gypsum board int fnsh Floors (none) I -}Fj+ Wrl htsoft" 2015 -Sep -01 16:18:36 " "' g Right-SuiteC� Universal 2015 15.0.12 RSU05790 ACC% ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 2 Construction descriptions Or Area U -value Insul R Location: Loss Clg HTM Indoor: Heating Cooling Worcester, MA, US Btuh/R'-°F W-Tietuh Indoor temperature (°F) 68 75 Elevation: 1010 ft Wal I s w Design TD (°F) 63 8 Latitude: 42°N 454 27.6 Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (T) 5 83 Infiltration: 0.065 21.0 Daily range (°F) - 17 (M) Method Simplified S Wet bulb (°F) - 69 Construction quality Tiht 0.63 Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) 21.0 Construction descriptions Or Area U -value Insul R • Htg HTM Loss Clg HTM Gain glazing, clr outr, air gas, wd frm mat, clr innr, 114" gap, 1/8" thk; s V Btuh/R'-°F W-Tietuh Eft hM Btuh Btuh/W Btu Wal I s w 24 0.300 0 16.9 454 27.6 664 12F-Osw: Frim wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 419 0.065 21.0 4.09 1716 0.63 264 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud a 63 0.065 21.0 4.09 258 0.63 40 11 DO: Door, wd sc type S 421 0.065 21.0 4.09 1724 0.63 265 w 270 0.065 21.0 4.09 1106 0.63 170 all 1173 0.065 21.0 4.09 4803 0.63 740 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n 60 0.300 0 18.9 1134 7.47 448 glazing, clr outr, air gas, wd frm mat, clr innr, 114" gap, 1/8" thk; s 72 0.300 0 18.9 1361 14.1 1014 6.67 ft head ht w 24 0.300 0 16.9 454 27.6 664 all 156 0.300 0 18.9 2948 13.6 2126 Doors 11 DO: Door, wd sc type n 42 0.390 0 24.6 1032 8.15 342 5 28 0.390 0 24.6 688 8.15 228 all 70 0.390 0 24.6 1720 8.15 571 Ceilings 17B-6al: Rf/clg ceiling, asphalt shingles roof mat, wd cons, r-6 519 0.105 6.0 6.61 3435 3.72 1930 deck ins, 1" thkns Floors 19A-30bswp: Part floor, hrd wd fir fnsh, r-30 ins, frm fir, 10" thkns 1524 0.034 30.0 1.80 2740 0.22 335 Wrl htsoft 2015 -Sep -0116:18:36 �.,., g Right -Suite® Universal 2075 75.0.12 RSU05790 Page 3 )IM ...ktoplWrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 221111 Construction descriptions Or Area U -value Insul R Location: Loss Indoor: Heating Cooling Worcester, MA, US ft' Indoor temperature (°F) 68 75 Elevation: 1010 ft Btuh/ft' Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 598 0.63 Daily range (°F) - 17 (M) Method Simplified 0.065 Wet bulb (F) - Wind speed (mph) 15.0 69 7.5 Construction quality Fireplaces Ti ht 1 Average) 92 221111 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ft'-'F ft'-°FBtuh Btuh/ft' Btuh Btuh/ft' Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 146 0.065 21.0 4.09 598 0.63 92 gypsum board int fish, 2"x6" wood frm, 16" o.c. stud s 146 0.065 21.0 4.09 598 0.63 92 w 216 0.065 21.0 4.09 885 0.63 136 all 508 0.065 21.0 4.09 2080 0.63 320 Partitions (none) Windows 2 glazing, cir outr, air gas, wd frm mat, cir innr, 1/4" gap, 1/8" thk: 2 n 24 0.300 0 18.9 454 7.47 179 glazing, cir outr, air gas, wd frm mat, clr innr, 1/4" gap, 118" thk; s 24 0.300 0 18.9 454 14.1 338 6.67 ft head ht w 24 0.300 0 18.9 454 27.6 664 all 72 0.300 0 18.9 1361 16.4 1181 Doors (none) Ceilings 1713-6al: Rf/clg ceiling, asphalt shingles roof mat, wd cons, r-6 519 0.105 6.0 6.61 3435 3.72 1930 deck ins, 1" thkns Floors 19A-30bswp: Part floor, hrd wd fir fnsh, r-30 ins, frm fir, 10" thkns 408 0.034 30.0 1.80 733 0.22 90 e+ Wrl 111SDft° 2015 -Sep -0116:18:35 9 Right -Suite® Universal 2015 15.0.12 RSU05790 Page 4 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Z'. 9t , Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 (M) Method Simplified Wet bulb (°F) - Wind speed (mph) 15.0 69 7.5 Construction quality Ti ht Fireplaces 1 Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft� Btuh/ft2--F W T/Btuh Btuh/ftz Btu Btuh/W stub Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 180 0.065 21.0 4.09 737 0.63 113 gypsum board int fnsh, 2"x6" wood frm, 16" O.C. stud w 18 0.065 21.0 4.09 74 0.63 11 all 198 0.065 21.0 4.09 811 0.63 125 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n 12 0.300 0 18.9 227 7.47 90 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors 11 DO: Door, wd sc type n 42 0.390 0 Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd flr fnsh, r-30 ins, frm fl r, 10" thkns 364 0.034 30.0 24.6 1032 8.15 342 1.80 654 0.22 80 wri htsoft Right-SuiteO Universal 2015 15.0.12 RSU05790 2015 -Sep -0116:18:36 ACCX ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Page 5 Doors (none) Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd flr fnsh, r-30 ins, frm flr, 10" thkns 182 0.034 30.0 1.60 327 0.22 40 ,� -pJj-- wri htsoft° 2015 -Sep -01 16:18:36 f 9 Right -Suite® Universal 2015 15.0.12 RSU05790 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 6 Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 ( M) Method Simplified Wet bulb (°F) - 69 Wind speed (mph) 15.0 7.5 Construction quality Tiht Fireplaces 1 Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ft °F ft'-°F/Btuh BtuhN Btu Btuh/ftz Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" S 93 0.065 21.0 4.09 381 0.63 59 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud w 18 0.065 21.0 4.09 74 0.63 11 all 111 0.065 21.0 4.09 455 0.63 70 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 s 24 0.300 0 18.9 454 14.1 338 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 it head ht Doors (none) Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd flr fnsh, r-30 ins, frm flr, 10" thkns 182 0.034 30.0 1.60 327 0.22 40 ,� -pJj-- wri htsoft° 2015 -Sep -01 16:18:36 f 9 Right -Suite® Universal 2015 15.0.12 RSU05790 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 6 Construction descriptions or Area 1.1 -value Insul R Htg HTM Loss Clg HTM Gain V Btuh/Its-°F W T/Btuh BtuhV Btu Btu hlft, Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 93 0.065 21.0 4.09 381 0.63 59 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd fir fnsh, r-30 ins, frm fl r, 10" thkns 24 0.300 0 18.9 454 7.47 179 182 0.034 30.0 1,80 327 0.22 40 „ 'P- wrightsoft' Right -Suite@ Universal 2015 15.0.12 RSU05790 *CCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 2015 -Sep -01 16:18:36 Page 7 Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 ( M) Method Simplified Wet bulb (°F) - Wind speed (mph) 15.0 69 7.5 Construction quality Ti ht Fireplaces 1 Average) Construction descriptions or Area 1.1 -value Insul R Htg HTM Loss Clg HTM Gain V Btuh/Its-°F W T/Btuh BtuhV Btu Btu hlft, Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 93 0.065 21.0 4.09 381 0.63 59 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd fir fnsh, r-30 ins, frm fl r, 10" thkns 24 0.300 0 18.9 454 7.47 179 182 0.034 30.0 1,80 327 0.22 40 „ 'P- wrightsoft' Right -Suite@ Universal 2015 15.0.12 RSU05790 *CCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 2015 -Sep -01 16:18:36 Page 7 E=77'77g m° e - ® • • • U -value Insul R Location: Loss Indoor: Heating Cooling Worcester, MA, US ft, Indoor temperature (°F) 68 75 Elevation: 1010 ft Btuh/ftz Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 184 0.63 Daily range (°F) - 17 (M) Method Simplified 0.065 Wet bulb (°F) - 69 Construction quality Ti ht 64 Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) 21.0 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft, Btuhlftz °F ft?-"F/Btuh Btuh/Hz Btu Btuh/ftz Btu Walls 12F-Osw: Firm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" a 45 0.065 21.0 4.09 184 0.63 28 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud s 102 0.065 21.0 4.09 418 0.63 64 all 147 0.065 21.0 4.09 602 0.63 93 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, dr innr, 1/4" gap, 1/8" thk: 2 s glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd flr fnsh, r-30 ins, frm flr, 10" thkns 24 0.300 0 196 0.034 30.0 18.9 454 14.1 338 1.80 352 0.22 43 twri htsoft" 2015 -Sep -0116:18:36 r•._ Right -suites Universal 2015 15.0.12 RSU05790 Page 8 /CCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Construction descriptions Or Area U -value Insul R Location: Loss Indoor: Heating Cooling Worcester, MA, US ft2 Indoor temperature (°F) 68 75 Elevation: 1010 ft RAN Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 74 0.63 Daily range (°F) - 17 ( M) Method Simplified 0.065 Wet bulb (F) - 69 Construction quality Ti ht 50 Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) 21.0 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/112 °F h2-'FBtuh Btuh/ft' Btu RAN Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" a 18 0.065 21.0 4.09 74 0.63 11 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud s 80 0.065 21.0 4.09 328 0.63 50 w 18 0.065 21.0 4.09 74 0.63 11 all 116 0.065 21.0 4.09 475 0.63 73 Partitions (none) Windows (none) Doors 11 DO: Door, wd se type s 28 0.390 0 24.6 688 8.15 228 Ceilings (none) Floors 19A-30bswp: Part floor, hrd wd fir fish, r-30 ins, frm fir, 10" thkns 192 0.034 30.0 1.80 345 0.22 42 141 2015 -Sep -01 16:18:36 wri htsofRight-Suite@ Universal 2015 15.0.12 RSU05790 Page 9 ACO, ...ktopMrightsoft HVAC131 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Construction descriptions Or Area U -value Insul R Htg HTM Loss Cig HTM Gain ft' Btuh/ft'-'F ft'-'FBtuh Btuh/t2 Btu Btuh/t' Btu Wal I s 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 84 0.065 21.0 4.09 344 0.63 53 gypsum board int fnsh, 2"x6" woad frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fish Floors (none) 24 0.300 0 132 0.026 38.0 18.9 454 7.47 179 1.64 216 1.15 152 L Wrl ht.SOft.. 2015 -Sep -0116:18:36 �. 9 Right-SuiteO Universal 2015 15.0.12 RSU05790 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Page 10 Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation; 1010 ft Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 (M) Method Simplified Wet bulb (°F) - Wind speed (mph) 15.0 69 7.5 Construction quality Fireplaces Tiht 1 ?Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Cig HTM Gain ft' Btuh/ft'-'F ft'-'FBtuh Btuh/t2 Btu Btuh/t' Btu Wal I s 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 84 0.065 21.0 4.09 344 0.63 53 gypsum board int fnsh, 2"x6" woad frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fish Floors (none) 24 0.300 0 132 0.026 38.0 18.9 454 7.47 179 1.64 216 1.15 152 L Wrl ht.SOft.. 2015 -Sep -0116:18:36 �. 9 Right-SuiteO Universal 2015 15.0.12 RSU05790 ACCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Page 10 S Or Area U -value Insul R Htg HTM Location: Clg HTM Indoor: Heating Cooling Worcester, MA, US ftz-°F/Btuh Indoor temperature (°F) 68 75 Elevation: 1010 ft Walls Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: s 102 0.065 Daily range (°F) - 17 (M) Method Simplified 64 0 Wet bulb (F) 69 Construction quality Ti ht 4.09 Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft, Btu h/ft2-°F ftz-°F/Btuh Btuh/ft2 Btu Btuh/ftp Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" a 108 0.065 21.0 4.09 442 0.63 68 gypsum board int fish, 2"x6" wood frm, 16" o.c. stud s 102 0.065 21.0 4.09 418 0.63 64 all 210 0.065 21.0 4.09 860 0.63 132 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 s glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 it head ht Doors (none) Ceilings 166-38ad:Attic ceiling, asphalt shingles roof mat, r-38 ceiI ins, 1/2" gypsum board int ins Floors (none) 24 0.300 0 196 0.026 38.0 18.9 454 14.1 338 1.64 321 1.15 226 wri htsoft 2015 -Sep -0116:18:36 g Right -Suite® Universal 2015 15.0.12 RSU05790 RCCA ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 11 h� 1 oRh • 3 q�.34" dj £ems _ ® � • ,. • • U -value Insul R Location: Loss Indoor: Heating Cooling Worcester, MA, US V Indoor temperature (°F) 68 75 Elevation: 1010 ft Btuh/W Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 74 0.63 Daily range (°F) - 17 (M) Method Simplified 0.065 Wet bulb (°F) - Wind speed (mph) 15.0 69 7.5 Construction quality Fireplaces Tiht 1 ?Average) 53 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain V Btuh/W-°F ftp-°F/Btuh BLh/ft2 Btu Btuh/W Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" a 18 0.065 21.0 4.09 74 0.63 11 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud s 84 0.065 21.0 4.09 344 0.63 53 w 18 0.065 21.0 4.09 74 0.63 11 all 120 0.065 21.0 4.09 491 0.63 76 Partitions (none) Windows 2 glazing, clr outs, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 s glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk. 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 cell ins, 1/2" gypsum board int fnsh Floors (none) 24 0.300 0 192 0.026 38.0 18.9 454 14.1 33B 1.64 314 1.15 222 2015 -Sep -01 16:18:36 ,Z wrightsoft" Right -Suite® Universal 2015 15.0.12 RSU05790 Page 12 X_'CI0 ...ktop\Wrightsoft HVAC131 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Construction descriptions Or Area U -value Insul R Htg HTM Location: Clg HTM Indoor: Heating Cooling Worcester, MA, US ft'-°FBtuh Indoor temperature (°F) 68 75 Elevation: 1010 ft Walls Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: w 126 0.065 Daily range (°F) - 17 (M) Method Simplified 79 Wet bulb (°F) - 69 Construction quality Ti ht 4.09 Wind speed (mph) 15.0 7.5 Fireplaces 1 ?Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ft'-°F ft'-°FBtuh Btuh/ft' Btu Btuh/V Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" s 93 0.065 21.0 4.09 381 0.63 59 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud w 126 0.065 21.0 4.09 516 0.63 79 all 219 0.065 21.0 4.09 897 0.63 138 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 s glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 166-38ad: Attic ceiling, asphalt shingles roof mat, r-38 cell ins, 1/2" gypsum board int fish Floors (none) 24 0.300 0 182 0.026 38.0 18.9 454 14.1 338 1.64 298 1.15 210 .1 wrightsoftOD Right-Suite(g) Universal 2015 15.0.12 RSU05790 2015 -Sep -01 16:18:36 ACACA Page 13 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Construction descriptions or Area U -value Insul R Location: Loss Indoor: Heating Cooling Worcester, MA, US ft' Indoor temperature (°F) 68 75 Elevation: 1010 ft BtuhtV Design TD (°F) 63 8 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: 381 0.63 Daily range (°F) - 17 ( M) Method Simplified 0.065 Wet bulb (°F) - 69 Construction quality Ti ht 79 Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) 21.0 Construction descriptions or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft' Btuh/ft'-°F ft''F/Btuh Btuh/ft' Btu BtuhtV Btuh Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 93 0.065 21.0 4.09 381 0.63 59 gypsum board int fish, 2'x6" wood firm, 16" o.c. stud w 126 0.065 21.0 4,09 516 0.63 79 all 219 0.065 21.0 4.09 897 0.63 138 Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 1613-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fnsh Floors (none) 24 0.300 0 182 0,026 38.0 18.9 454 7.47 179 1.64 298 1.15 210 rFr W CI htsoft, 2015 -Sep -01 16:18:36 g Right -Suite® Universal 2015 15.0.12 RSU05790 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Page 14 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/ft2-°F ftz °F/Btuh MAN Btu Btuhjt2 Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 42 0.065 21.0 4.09 172 0.63 26 gypsum board int fnsh, 2"W' wood frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceiI ins, 1/2" gypsum board int fnsh Floors (none) 12 0.300 0 66 0.026 38.0 18.9 227 7.47 90 1.64 108 1.15 76 A., Wr 1 htsoft' 2015 -Sep -01 16:18:36 I" 9 Right -Suite® Universal 2015 15.0.12 RSU05790 Page 15 /4CCl\ ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 (M) Method Simplified Wet bulb (°F) - 69 Construction quality Ti ht Wind speed (mph) 15.0 7.5 Fireplaces 1 Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/ft2-°F ftz °F/Btuh MAN Btu Btuhjt2 Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 42 0.065 21.0 4.09 172 0.63 26 gypsum board int fnsh, 2"W' wood frm, 16" o.c. stud Partitions (none) Windows 2 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk; 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceiI ins, 1/2" gypsum board int fnsh Floors (none) 12 0.300 0 66 0.026 38.0 18.9 227 7.47 90 1.64 108 1.15 76 A., Wr 1 htsoft' 2015 -Sep -01 16:18:36 I" 9 Right -Suite® Universal 2015 15.0.12 RSU05790 Page 15 /4CCl\ ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Ckn om. - • ® • o Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 (M) Method Simplified Wet bulb (°F) - 69 Wind speed (mph) 15.0 7.5 Construction quality Tiht ?Average) Fireplaces 1 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft2 Btuh/t' F ft'-°FBtuh Btuh/W Btuh MOM Btu Walls 12F-Osw: Frm wall, vnl ext, 1/2" wood shth, r-21 cav ins, 1/2" n 60 0.065 21.0 4.09 246 0.63 38 gypsum board int fnsh, 2"x6" wood frm, 16" o.c. stud Partitions (none) Windows 2 glazing, cir outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk: 2 n 12 0.300 0 18.9 227 7.47 90 glazing, clr outr, air gas, wd frm mat, clr innr, 1/4" gap, 1/8" thk, 6.67 ft head ht Doors (none) Ceilings 16B-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" 88 0.026 38.0 1.64 144 1.15 102 gypsum board int fish Floors (none) al I 2015 -Sep -0116:18:36 Wrl htsot- Right -Suite® Universal 2015 15.0.12 RSUD5790 Page 16 ACCP ...ktop\Wrightsoft HVACN31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N ua=5. ® ® • • NO - Location: Indoor: Heating Cooling Worcester, MA, US Indoor temperature (°F) 68 75 Elevation: 1010 ft Design TD (°F) 63 8 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 47.0 23.6 Dry bulb (°F) 5 83 Infiltration: Daily range (°F) - 17 (M) Method Simplified Wet bulb (°F) Wind speed (mph) - 15.0 69 7.5 Construction quality Fireplaces Tiht 1 ?Average) Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain W - BWh/ft=-°F ftl-°F/Btuh Btuh/V Btu BNh/ft2 Btu Walls (none) Partitions (none) Windows (none) Doors (none) Ceilings 1613-38ad: Attic ceiling, asphaltshingles roof mat, r-38 cell ins, 1/2" 78 0.026 38.0 1.64 128 1.15 90 gypsum board int fnsh Floors (none) 2015 -Sep -01 16:18:36 WCI 1t50fRight-Suite@ Universal 2015 15.0.12 RSU05790 Page 17 ACCP....ktopVrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N Notes: Calculations approved by ACCA to meet all requirements of Manual J 8th Ed wrightsoftm Right -Suite® Universal 2015 15.0.12 RSU05790 2015 -Sep -01 16:18:36 ACC% Page 1 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Weather: Worcester, MA, US Winter Design Conditions Summer Design Conditions Outside db 5 °F Outside db 83 OF Inside db 68 OF Inside db 75 OF Design TD 63 OF Design TD 8 OF Daily range M Relative humidity 50 % Moisture difference 24 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 44894 Btuh Structure 19876 Btuh Ducts 6300 Btuh Ducts 3305 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 51194 Btuh Use manufacturer's data n Rate/swing multiplier 0.88 Infiltration Equipment sensible load 20330 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Average) Structure 6080 Btuh Ducts 1036 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft2) 2640 2640 Equipment latent load 7116 Btuh Volume (ft3) 25108 25108 Air changes/hour 0.20 0.08 Equipment total load 27446 Btuh Equiv. AVF (cfm) 311 302 Req. total capacity at 0.70 SHR 2.4 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a Efficiency n/a AHRI ref n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output Temperature rise 0 Btuh 0 OF Latent cooling Total cooling 0 0 Btuh Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor Static pressure 0 cfm/Btuh 0 in H2O Air flow factor Static pressure 0 0 cfm/Btuh in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed wrightsoftm Right -Suite® Universal 2015 15.0.12 RSU05790 2015 -Sep -01 16:18:36 ACC% Page 1 ...ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N J Notes: Desgninformation�MMT Weather: Worcester, MA, US Winter Design Conditions Outside db 5 OF Inside db 68 OF Design TD 63 OF Heating Summary Structure 27295 Btuh Ducts 2119 Btuh Central vent (0 cfm) 0 Btuh Humidification 5371 Btuh pi in 55 Equipment load 34785 Btuh Infiltration cfm Method Simplified Construction quality Tight Fireplaces 1 (Average) Heating Cooling Area(ft2) 1524 1524 Volume (ft3) 15064 15064 Air changes/hour 0.69 0.67 Equiv. AVF (cfm) 174 169 Heating Equipment Summary Make Amana Trade AMANA Model AMH950453BX AHRI ref 2012268 Efficiency 95 AFU E Heating input 46000 Btuh Heating output 44000 Btuh Temperature rise 55 OF Actual air flow 760 cfm Air flow factor 0.026 cfm/Btuh Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.79 Summer Design Conditions Outside db 83 OF Inside db 75 OF Design TD 8 OF Daily range Relative humidity M 50 % Moisture difference 24 gr/Ib Sensible Cooling Equipment Load Sizing Structure 11887 Btuh Ducts 387 Btuh Central vent (0 cfm) 0 Btuh Blower 3072 Btuh Use manufacturer's data n Rate/swing multiplier 0.88 Equipment sensible load 13459 Btuh Latent Cooling Equipment Load Sizing Structure 3422 Btuh Ducts 611 Btuh Central vent (0 cfm) 0 Btuh Equipment latent load 4033 Btuh Equipment total load 17492 Btuh Req. total capacity at 0.70 SHR 1.6 ton Cooling Equipment Summary Make Amana Trade ASX13 SERIES Cond ASX130241 C* Coil CA*F1824*6D* AHRI ref 4705699 Efficiency 11.5 EER, 13.8 SEER Sensible cooling 15960 Btuh Latent cooling 6840 Btuh Total cooling 22800 Btuh Actual air flow 760 cfm Air flow factor 0.062 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.79 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. AC—* wrihtsoft` 9 2015 -Sep -0116:18:36 ��9 Ri ht-SuiteC� Universal 2015 15.0.12 RSU05790 ..ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJB Front Door faces: N Page 2 N Notes: ,. F. ,� Design Information'` Weather: Worcester, MA, US Winter Design Conditions Outside db 5 OF Inside db 68 OF Design TD 63 OF Heating Summary Structure 17599 Btuh Ducts 4181 Btuh Central vent (0 cfm) 0 Btuh Humidification 4215 Btuh pi in 0 Btuh Equipment load 25995 Btuh Infiltration 137 Method Simplified Construction quality Tight Fireplaces 1 (Average) Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFU E 46000 Btuh 37000 Btuh 59 OF 590 cfm 0.027 cfm/Btuh 0 in H2O Summer Design Conditions Outside db Heating Cooling Area (ft2 1116 1116 Volume ft3) 10044 10044 Air changes/hour 0.82 0.79 Equiv. AVF (cfm) 137 133 Heating Equipment Summary Make Amana Static pressure 0 Trade AMANA Load sensible heat ratio 0.82 Model AMH950453B AHRI ref 4194077 Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFU E 46000 Btuh 37000 Btuh 59 OF 590 cfm 0.027 cfm/Btuh 0 in H2O Summer Design Conditions Outside db 83 OF Inside db 75 OF Design TD 8 OF Daily range Relative humidity M 50 % Moisture difference 24 gr/Ib Sensible Cooling Equipment Load Sizing Structure 7996 Btuh Ducts 2919 Btuh Central vent (0 cfm) 0 Btuh Blower 3072 Btuh Use manufacturer's data n Rate/swing multiplier 0.88 Equipment sensible load 12267 Btuh Latent Cooling Equipment Load Sizing Structure 2658 Btuh Ducts 425 Btuh Central vent (0 cfm) 0 Btuh Equipment latent load 3083 Btuh Equipment total load 15349 Btuh Req. total capacity at 0.70 SHR 1.5 ton Cooling Equipment Summary Make Amana Trade ASX13 SERIES Cond ASX130241D* Coil CA*F1824*6D* AHRI ref 4886414 Efficiency 11.6 EER, 14 SEER Sensible cooling 12390 Btuh Latent cooling 5310 Btuh Total cooling 17700 Btuh Actual air flow 590 cfm Air flow factor 0.054 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.82 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed -A I - wrightsoft* Right -Suite® Universal 2015 15.0.12 RSU05790 ..ktop\Wrightsoft HVAC\31 butternut rd dracut.rup Calc = MJ8 Front Door faces: N 2015 -Sep -01 16:18:36 ACCK Page 3