Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 33 PEACH TREE LANE 4/30/2018
sem- NO �Qnd sco p + r IV6 Lvnctl"D-e-,jtcz eDs T- 6 r\ eq v, e, L V I 04 5Nd I Date .... ��...At.................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION --Tw avL 94 This certifies that .............................. if ............... 4 ...... .......................... / ................... / ...... has permission for gas insta latiorip ick C -e in the buildings 0 ................ 7 .. ............................................................................................. at. .............. . .. (No4h Andover, Mass. ...................................................................... Fee.... ............ Lic. No-./d_V***`�/ AS................................. {INSPECTOR Check# 96 4 6 M Date.... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ACHU T�§ certifies that.7; ..... ".b.P. jq ........................................ ............ . ...... .... ...... hdspermissi.on to perform ..................................................................... pibing in' the buildings of .............................................................................................. lun ,N,orGh Andover, Mass. 01 'Foe Lic. ..................................... 2 No. ival .. .......... . . . . ...... LUINSPECTOR -Check# P TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY O r EO MA DATE 0 1 PERMIT # JOBSITE ADDRESS 3 3 Pa 0-1 Yee OWNER'S NAME OWNER ADDRESS TELI FAX OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL NEW: JJ RENOVATION: REPLACEMENT: E! PLANS SUBMITTED: YES [3 N0© FIXTURES Z FLOOR- I BSM 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 1 11, 1 12 1 13 1 14 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/ AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL MACHINE CONNECTION WATER HEATER ALL TYPES WATER OTHER ,w IIYJURNIY V C liV V Gr[HVG. 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES N NO.. 01 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY QI BOND 0 - OWNER'S OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER Q •AGENT 0 hereby certify that all of the details and Information [,.have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the (Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �A � PLUMBER'S NAME LICENSE # (tea NATU (VIP JP 0I CORPORATIONF. I #PARTNERSHIP E--11#LLC COMPANY NAME !ADDRESS W CITY ` _j STATE ZIP b TEL I &Q FAX CELL EMAIL zo jy uj CL LLI 3: 4t 1-- O LLJ M LU z IL cl) uj UT The Commonwealth of Massachusetts De en t of Indifstrigl Accidents Office of Investigations 600 Washington Street Boston, MA. 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name Address Gj ( `� City/State/Zip: f R. 050M 03&( Phone #: 3 Z/ 17-16spLC2 Are you an.'employer&.Check the. appropriate:boa: Type of project (required): 1. I`am a em to er with p Y . 4. ❑ I .am a general contractor and I 6. ❑ New construction ' eniployees`(fuli and/or part-time).* have hired the sub -contractors 7. ❑ Remodeling. 2. ❑ I am a sole proprietor or partner- listed on the attached sheet.1 Ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL 11-Nklumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. ❑ Roof repairs , insurance required.] T employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant'that checks box #1 mustalso fill out the section below showing their workers' compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an`additional sheet showing the name of the sub -contractors and their workers' comp, policy information. lam an employer that isproviding workers' co{ pensadon insurance for my employees. Below is the policy and job site information. F,' Insurance Company Name:. Policy # or Self --ins. Lic. #: Expiration Date: r Job Site Address: ; "�t� Gx Y l ' �� -City/State/Zip: Attach a_copy of the workers' compensation -policy declaration page (showing thepolicy number and expiration date). Failure to secure -coverage as requiredunder Section 25A of MGL c. 152 can lead tothe imposition of criminal penalties of a fine up to:$1+;500.00 and/or one=year-imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day`agamst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage ver cation X do herejby certi under the pains and penalties of perjury thin the information provided above is true and correct zzw Official use only,. Do not write in this area, to be completed by city or town official City or Town: PermitUcense # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk C dther - Contact Person: 4. Electrical Inspector 5. Plumbing Inspector Phone Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or'more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employeror the receiver or trustee of an individual, partnership, 4ssociation or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartment's and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on ;such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold'the,ssuance or renewal of a;licerise or permit to operate a business or to construct buildings in the commonwealth for any applicant who,has not produced -acceptable evidence of compliance with the insurance coverage required:' Additionally, ,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of �its,politicalsubdivisions shall. enter into any contract for the performance ofpublic 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 A 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 areference 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 oraown may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department Is address, telephone and fax number: The Conu4onwealth of Massachusetts Department of Industrial .Accidents Office OfInvestigatlons 600 Washingtou Street Boston} M,A. 02111 Tel, # 617-727,4900 oxt 406 or 1-877rMASS,AFF Revised 5-26-05 Fax #k 617-727-7749 www-mass,gova'a MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY 0 MA DATE ri +' ,Za PERMIT# JOBSITE ADDRESS OWNER'S NAME G a OWNER ADDRESS 11 TELT JIFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIALE9 PRINT CLEARLY NEWIQ3 RENOVATION: ® REPLACEMENT: PLANS SUBMITTED: YESF---] NOEP APPLIANCES'l FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 .13 14 BOILER - ,^ BOOSTER CONVERSION BURNER _[ _ COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE 5-3_ FRYOLATOR FURNACE-_— GENERATOR GRILLE INFRARED HEATER-- LABORATORY COCKS MAKEUP AIR UNIT E=J OVEN POOL HEATER ROOM / SPACE HEATER rI _ ROOFTOP UNIT TESTW1— UNIT HEATERr ._,- _ _ _ _ I UNVENTED ROOM HEATER I I ( _ WATER HEATER UZI .. --i—=== OTHER - - - -- ... ..... . ..... - �. �- i — - ---- INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES ;A NO 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE INDEMNITY © BOND Eil OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement., CHECK ONE ONLY: OWNER © AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertine vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ��jj PLUMBER-GASFITTER NAME. 11 LICENSE # SIGNATURE MP W MGF 0 JP ® JGF © LPGI CORPORATION Q# PARTNERSHIP®#© LLC ®# COMPANY NAME: k all ADDRESS CITY STATE ZIP 8` TEL D B FAXI CELL EMAIL 0 Zj a H W pi i P 1 ! O O Z W CD El >- C� G W F- w a O w .a a J a a � S F— w LL � I z � z 0 H U C7 • O � The Commonwealth of Massachusetts Department of IndusfrIglAccid&fs Office of Invesfigaflom. 600 Washington Street Roston, MA 02111 -www.mass gov1dIa Workers' Compensation YmsuranceAfa"davit: Builders/ContractorsTElectrieiansll.'Iiimbexs Name Address: Phone##: (0o3 �9.o q rs Y Are you an employer? Check the appropriate box: 110 I am a.andployer with _ 4. ❑ I am a general contractor and I employees (full and/or part time) * have Hired the sub -contractors 2. ❑ I am a sola proprietor or partner ship annd'haveno. employees. working forme in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeownerdoing all work listed on the attached sheet. These sub -contractors have workers' comp. insurance. 5. ❑ We axe a corporation and its officers have exercised.their right of exemption p or MGL . myself. [No workers' comp. c. 152, §1(4), and wehave no insurancerequired.) t employees. (No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. [] Remodeling 8. [] Demolition 9. ❑ Building addition 10.[] Electrical repairs or additions 11. - Plumbirig.repairsoradditions 12.dRoofrepairs 13.❑ Other x.Any applicantthat checks box#1 must also fill outthe section below showingtheir workers' compensatzonpolicy information. -Homeowners who submitthis affidavit indloatingthey Aie doing all wont and then hire outside.contractors must submit anew affidavit indicating such. • TContraetors that check this box must attached an additional sheet showing the name of the sub. -contractors and their workers' comp. policy information. I am an emyloyer that is providing workers, corn erasation insurance for any employees Below is t ie policy and job site • information. .Insurance Company Name% � Policy # or Self ins. Lid. #: �i ExpirationDate: rob Site Address: '' City/State/Zip: Attach a copy of the workers' coimpensatiowp olicy declaration page (showing the policy number and egpiraiion date). Failure to secure coverage as requiredunder Section 25.A ofMGL o. 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 fcae of up to $250.00 a day against the violator. Be advised that a copy of this as may be forwarded to the Office of investigations ofthe DIA for insurance coverage verification. Ido liereby cert! rider the pa ns and penalties ofperjury that tiie information provided abovvee is true and eoorrrect. Date: Official use only..Do not write in tiifs area, to lie completed by city or town offieial. City or Town: PermitlLicense # 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 #: Informatioan and Instructio- Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to thus statute, an employee is defined as "...every person tri the service of another under any contract ofhire,• express or implied, oral or written.." An employes xs def cd as "an individual, partnership, association, corporation or other legal;entity, or any two or Mora of the foregoing engaged in a j oint enterprise, and including the legal representatives of a• deceased employer, or the receiver or tris ee' ofan individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having notmore than three apartments and who resides therein, or the. occupant of the dwelling house of ,Hotbox who employs persons to do maintenance, construction ox repair work on such dwelling House ox on the grounds or building appurtenant thereto shall not because of such employment be, deemedto be an, employes." 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 fbiany applicant who has not produced -acceptable evidence of compliance with the ms -a rance coverage required:' Additionally,IVXG'rL chapter 152, §25C(7) states "Neither the commonwealth nor any of its politiea7 subdivisions shall enter into any contract for the performance ofpubiic work until acceptable evidence of compliance• with; the insurance requirements of this chapter have been presented to the contracting authority." .Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply, sub-contractor(s) name(s), address(es) and phone numbers) along with their ceriificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are notrequired to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. he 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 requited obtain a workers' compensation policy, please call the Departmentat the member listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 1 Please be sure that the affidavit is complete andprinted legibly. The Department has provided arspace 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 pemsit/license number which will. be used as a reference number. In addition, an applicant thatmust submitxnultiple permit/license applications in any given year, need only submit oneaffidav ndicatiug current policy information (ifnecessaxy) and under "Job Site Address" ilio applicant should write "all locations in or town)." A• copy of the affidavit that has been officially stamped or marked by the city or town maybe y rovided to the (cit applicant as proof that a valid affidavit.is on file fox future permits or licenses..A, nevi affidavit mu"pst.be fit pd out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or com mercial, ventare (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any cluestions, please do not hesitate to give us a call. The Department's address, telephone and fay number: ThoCo oilwo thofM-amad-Ametts � - Depar(.giaf ofJ.dusWal Acc��lez�is (�i;�ce Q��tvestig�..�iow�• . ' FQ(k 1�asb�agtax►. �(xe�t Boston, NA 02111 TQJ. # 617.7.2,7-4900 ext 406 or 1-87WASSA� Revised 5-26-05 Fay ,# 617"727'7749 ' �vxnass,go-�fdia • V 4 Date .. � ....�.. t . ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that............................................................................................................................ F ;. has permission to perform _ .. �� Q.. °J .LV j. ................................................................................................. P `-�j . ���" - u. 0......... wiring in the building of..... ` .... '�"" "` at ................... �� C ............................. ...... ......... ....... .... orth Andover, Mass. �� ee.:.���-..:........ Lic. No..p.�. ......!...;........ ELE RICALINSPECTOR Check # { -� d 0� lit .2�c5. I co,� o�a�aclzusett� IV2ePa tnaent o1. fire S mice BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. ( -L-52-1 Occupancy and Fee Checked [Rev. 1/071 eave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical. Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /D— City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 33 PP�Ch Owner or Tenant Rea 5},- DcJ6QDfn0Q0J LLC Telephone No cl7?- 687»f'o-700 Owner's Address 231 &x%r% ' Mord% Ander . M R .--inL845 Is this permit in conjunction Purpose of Building 6. Existing Service New Service Amps / volts Amps &AV / %G' Volts Overhead ❑ Undgrd W"' No. of Meters 0 Undgrd 11 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �f.�e Completion of the followin¢ table may be waived by the Insnector of Wires No. of Recessed Luminaires No. of Ceil.-Su(Paddle)Fans �•Transformers No. o Total • KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming A d e El El ElBette gruUnits mergency g No. of Receptacle Outlets No. of OR Burners FIRE ALARMS No. of Zones . No. of Switches No. of Gas Burners o. oDetection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting'Devices No.' of Waste Disposers eat mp Totals: am her ons o .o oned Detection/Alertin Devices �- No. of Dishwashers Space/Area Heating KW. Local EJMunic1pFI ❑ otherConnection . No. of Dryers Heating Appliances g APp ' Security' ystems: No. of Devices or Equivalent No. of Water KWo. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Te No. of D ations . firingg••. Na of Devices orEquivalent OTHER: Attach additiofihl detail Y desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by {nuriicipal policy.) Work to Start -�` Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VERAGE; 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 underApied.certifies.that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECKONE:.INSURANCE [f BOND ❑ OTHER ❑ (Specify:)/- I ceriif;:ur4deralepaIns andpenaldes ofperjury, that the information on this application is true and complete FIItNi-NAME: LIC. NO.: Licensee: Ronald J Kirk Signatu LIC. NO.: / (If applicable enter "exempt" in the license number line.) Bas. Tel. No.• - - $ Address: 129 Rabbit Rd Salisbuty,Ma. Alt. Tel. No.- *Per M.G.L. c.'147, s. 57-61; security Work requires Deliartment of Public Safety "S" License: Lie. 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 blow, I hereby waive this requirement. I am the (check one [I ;owner ❑ owner,s.a ent. Owner/Agent Signature Telephone No.9-1R'�$q-UX0 PERMIT FEE. $ Z fhAssACHU ELECTRICIANS ; s - I-SSUES-THE..�FOLLOWING LICENSE ��� AS 11 REG JOURNEYMAN ELE:CTR I CI AN 1:�o RAB81i RD S'AL Ig.URY p1q 01952 1309 57820' � <, a AS'SATSTT T: :LICENSE: , u ' I'aiT Me g -- �,u"`� sec: M 7R HGT•-5-09 F .a tiA`iASS RE9f,,,r�4 i 2 RONALD zx` 13.12 RABBIT RD'S "SAIMURYMA 01952-1300 0&1&3013 Rmr OT 1SPQQtIl19 " ` Dutc ..40(� , ` TOWN OF NORTH ANDOVER IA le -- PERMIT FOR WIRING CHU -3 Z) �)e- a ;8� .............................. at EL Check 13010 .A • Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and PER Ce Meed BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07j (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL .INFORkMTIOA9 Date: 12.-14 -1 `4 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 33 Loki Owner or Tenant *?*,m t kw•- J o -c -t q- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate ]Box) Purpose of Building Utility Authorization No. - Existing Service New Service Amps / Volts Overhead ❑ Undgrd ❑ Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: �.�, aT,ti..�+.Tso ..., oc.+n� •-y !'tis ric•.,, Cnm»latinn nfthc fnllnwino tnhlo mm� ho wnivai% by fbo T cnanfnr of Wirac No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans TransTotal Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency LigJhting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number _................................................................. Tons KW . "" No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.. of Dryers Heating Appliances jar Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: _- Attach additional detail if desired, or as required by the Inspector of *Vires. istimated Value of Electrical Work: �J (When required by municipal policy.) Work to Start: l2 rt Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO RAGE: 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 covera in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE P BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. ArC't't'—! S �fueS Z•, �...__ LIC NO • `ZS�- V Licensee: *lz-r 13' ca r&4cSignature LIC. NO.: (If applicable, enter "exempt" in the licens number line) Vus. Tel. No.- _S'7$ Y6 3 88$a Address: Alt. Tel. No.:�ir 8 BfS—/oY� *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. ee 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 wirinwshalVbe uniform throughoutthe Commonwealth acid 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; aril .electrical permit shall be issued to .the person', firm or corporation stated on the. permit application. Such -entity shall be responsible for- he notification of completion of the work as required in M.G.L. c. 1431 § 3L. Permits shall be iiimited as to the time of ongoing construction activity, and maybe deemed by the Inspector of Wires abandoned and invalid if he ; or she has deterinined that the authorized work has not commenced or has not progressed during the ,preceding 12-month.period,!Upon written. .•y application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written requestof either the owner:or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 ofthe 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, 2068 and extending through August 15, 2012. I; - ❑ Rule .8 — Permit/Date Closed: n < ' '*� *"Noce': Reapply for new permit i ❑ Permit Extension Act — Permit/Date Closed: G Trench Inspection j Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: i Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments' Inspectors Signature: Date: i PARTIAL ROUGH., INSPECTION: Pass n Failed Re- Inspection Required ($.),13 i Inspectors Comments: f Inspectors Signature:- Date: ROUGH INSPECTI ss' — Failed Re- Inspection Required ($.) ❑ c Inspectors Comments: j&I lx-ZC(- Inspectors Signature:• Date:" -o, . FINAL, PECTI®N: ¢� Pass www.Failed=:Re �lns eciC ri Require �h❑ p.. q ($ ). ",'`"�%_` Inspectors Comments: � :p;reg; ;< F t: .- r Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF-MERRIMV, MA.,.......dweinhold@townofinerrimac.com The Commonwealth ofMassachuseft Depnptment'oflnrlicsticcrAccelerir Of. qe oflnvestigafio#s . , .600 Washington Street ' .Foston, MA 02111 www.mass gov/clia Workexs' Compensation Insurance Affidavit: )3uff ers/Contractors/Electric nuliean t 14oirmation Pleas Name (Business/Organi'zation/Indi-ddual):�e� .Address:. City/State/Zip; .S•�c �s� /� Phone #:. 0I ?8 rC> &G?C Type of project (required): 6. [] Now construction F 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.[] Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other x comp. insfarance required.] Mny applicantihat'checks boxfl must also fill outthe section below showingtheir Workers' compensationpolicy informafion. iHomeowners who submitthis affidavit indicating:they are doing allwork and then hire outside contractors must submit anew affidavit indicating such. TContractors that checkthis box must attached an additional sheet showing the name ofthe sub -contractors and their workers'. comp. policy information. I anz an employer thaUs providing workeiV compensation insurance for my employees. 'Below is' the pokey and joh site information. Insurance Company Name:_ ✓`'�� Policy 4 or Self -ins. Lic. A. E, Date: Date: S F40 S Job Site Address: 3 3 ? Ce Pity%State/Zip: Attach, acopy, of tile. workers' compensatlonpollcy declaration page (showing the polleynumbex and a piraiion,date). failure to secure:coverage as xequ redundex Section 25A:of MGL o.152 can lead to;tbe imposition of criminal penalties of a flue up to $1,500.00 and/ax, one-year imprisonment, as well as civil. penalties in the form of a STOP WORK ORDER and a fine of un to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office ,of Inveltigations of the DU for insurance coverage verification. I do Hereby ceyt& under �thee paaiinns—and penalties o`f pperjury that the information provided above is fte an'd eorrect. " Sianatare ` 1'��+••�"`�'�-�"''-�► Datei Official use only. Do not wine N. this area, to be completed by city or fotvn official City or Town PermMUcense 0 Issuing Authority (circle one): 1. Board of Health 2. Building (Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.1 Other - - - Contact Person: Phone 9. Are you naployer? Cheek the appropriate box: 4. ❑ I I 1. am a employer with am a general contractor and , employees (fall and/ part time) * have hiredthe sub -contractors 2. El am a sole proprietor or partner listed on the attached sheet ship and'haveno employees These sub -contractors have working for me in any capacity. workers' comp. insurance. IN'o workers' comp. insurance S. ❑ We area coxpora#on and its required.] officers have exercised.their 3. ❑ I am a homeowner doing all work right of ciemption per MGL myself. [No workers' comp. c. 15%. §I(4), and we have no Z insuraacerequked.) i emploees. [No workers' Type of project (required): 6. [] Now construction F 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.[] Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other x comp. insfarance required.] Mny applicantihat'checks boxfl must also fill outthe section below showingtheir Workers' compensationpolicy informafion. iHomeowners who submitthis affidavit indicating:they are doing allwork and then hire outside contractors must submit anew affidavit indicating such. TContractors that checkthis box must attached an additional sheet showing the name ofthe sub -contractors and their workers'. comp. policy information. I anz an employer thaUs providing workeiV compensation insurance for my employees. 'Below is' the pokey and joh site information. Insurance Company Name:_ ✓`'�� Policy 4 or Self -ins. Lic. A. E, Date: Date: S F40 S Job Site Address: 3 3 ? Ce Pity%State/Zip: Attach, acopy, of tile. workers' compensatlonpollcy declaration page (showing the polleynumbex and a piraiion,date). failure to secure:coverage as xequ redundex Section 25A:of MGL o.152 can lead to;tbe imposition of criminal penalties of a flue up to $1,500.00 and/ax, one-year imprisonment, as well as civil. penalties in the form of a STOP WORK ORDER and a fine of un to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office ,of Inveltigations of the DU for insurance coverage verification. I do Hereby ceyt& under �thee paaiinns—and penalties o`f pperjury that the information provided above is fte an'd eorrect. " Sianatare ` 1'��+••�"`�'�-�"''-�► Datei Official use only. Do not wine N. this area, to be completed by city or fotvn official City or Town PermMUcense 0 Issuing Authority (circle one): 1. Board of Health 2. Building (Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.1 Other - - - Contact Person: Phone 9. Information and Imir'ni4inn""o Massachusetts General Laws chapter 152 requires all employers to provide workers, compensation for their 'employees . Pursuarit to this statute, an employee is defined as -every person M"'the service of another under any contract; ofhire, express or Implied, oral or wxitton.,, An employdis defied as "an individual, partnership, association, corporation orother legal entity, or anytwo orm I ore Of engaged in ajoint enterprise, and including the legal representatives of a*ceased qpnplq pr, or the ro:15V6fro-101r`t0't9t0oof an individual, partnership, association or other legal entity, employing employees. A6*over iho owner of a dwelling house hmft -o 9tjnprof!R1ntbreo�parbn6.nts andwh-resides lh=4 or the o ep-ppant of the dwelling houseofAo who 'employs persons to do maintonancd,__eAng or repair work on such dwelling house or on the grounds or building appurtenant the ern shall not bec ofsuch -Smpl9Ymqqtbb,deemedoto be an employer., MGL chapter 152,,§2.5C(6) also states that "every state or lo'cal Hcenslftg.�genc y shall withhold -the issuance or renewal of f a -license or exinif to 6P dtE;!Ab-asinessort6consiruiNulidmg.s.lu,,,thecommoji for any applicant who has not produced -acceptable evidence of compliance with the Insurance coverage required " Additionally, 14GL chapter 152, §25C(7) states "Neither the commonwealth nor any -of its political subdivi6ns shall enter into any contract for the performance of public workuntil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting aathoflty.,, Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractorW name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited I Uability Companies (LLC) or Limited Liability:Partnerships (LLP) with no employees outer than the, members orpartners, are notrequiredto carry workers' compensation insurance. If an LLC or LLP dooshava employees, a policy is required. Do advised that this affidavit maybe 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 tho' application for the permit or licenso :is boing requested, not the Department of industrial Accidents. Shouldyoqhave-any questions regarding the law or if you are required to obtain a workers' compensatio-upolicy, please call the Department at the number . listed below Self-insured companies should enter their sok-jusuran. co, license � munboron. the appropriate line.' - City or Town Officials Please be sure that the affidavit is complete and printed The Department has provided a space at the bottom 0 f.. theafffdav,%for you fG,M�qjjt in the event the Office of Investigations has to contact you regarding the applicant. Please bo - sure to'filllntbre'' , permit/license number whichwill be used as a reference number. In addition, an applicant that must submit mu%p lojArmit-Micense applications is any given Year, need',onllysubffiitoYe afqd4-qii ludie-atiag current policy jnUTiJatfon (if R'eoessa� and under "Job Site Address"� the applicant should write "all locations in town)" I Abbpy 61 f the affidavit that has b eo'.0 officially stamped or marked by t 'or or I the town may provided1othd applicant as proof that aValfd affidavit-19'olifile forkture 'ermitsorlic—, I p enseg. AU0Waffidavit MW'fffl tboQd6Uteach year. Where a home owner or citizen is obtaining a license orpermitnot related to any business or commercial venture (i.e. a doglicense orlJermit to b= leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations estigations wouldlike to thank you in advance fox your cooperation and should You, have any ciuestzons, J - please do not hesitate to give us,a call. The Departments address; telephone VaLndfax number: `The Comrgomealt1l of Mp 'sott, Dnp-aximent of kadwftia ofte Qf 1AVOftAtiona 60 Waft&a fteet Boston, MA 02111 Revised 5-26-05 TO. 4 617-7274900 ext 406 or 1-877,AMSAFE Fax 0 617-727-7749 4h �kCA-,- (anoge ssaappe woal }uaaa}}ip;p :ssaippV laai}g s, aquosgnS AIN `lsn� '}sed) :aweN sdagposgnS: aid `ragijosgns ayl;ou si palewooen 6uil;a6 uosiad 11 soipaw sl :jagwnN aJeoipaW : jagwaw *:Auedwoo aoueinsul;o aweN u (7/ jegwew elogm au4 epnjoul :uoilewiolul eouejnsul :a;e;s *:Allo r x:ssajppv hails AN '3sn=l 'lsel) :aweN saki) aui33en aniaoaJ of uosiad eq; lnoge uoilewjojul •uolewaojui Suilsixa Susn algissod se qz)nw.se Ino auPoen Gana JOI /uessa:)au si waoj sigl jo uoilaldwoz) aql ie.insul STOZ-tiZOZ 290 Date .... } ? IA. ......... O` HORTM TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION F This certifies that . f , ... 0i l !? i 4? e I has permission for mechanical installation :�:►".0 ftz ................ in the buildings of ... t.� ..j 4 ................ . at ,` ...1 �� 4 ....... ..... North Andover, Mass. Fee. Lic. No. 64.M ... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer c .1L 4 Commonwealth of Massachusetts Sheet Metal Permit Date1 !� l` Permit # . � � Estimated Job Cost: c75 ©o O Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License # °ro7 (p Applicant License # Business Information: Property Owner / Job Location Information, Name: Name: Street: 2j l C� c'r ° e r S " Street: City/Town: City/Town: Telephone: 7$ 3 0 9 f) i Telephone: Photo I.D. required / Copy of Photo I.D. attached: VES NO.,---/ Building Type: Residential: 1-2 family �ulti-family Condo / Townhouses Commercial: Office Retail Industrial /Educational Institutional Building Cubic Footage: under 35,000 cu. ft. V over 3.5,000 cu. ft. Sheet metal work to be completed: New Work: V Renovation: HVAC Metal Roofing Kitchen -Exhaust System Chimney / Vents Provide brief description of work to be done: V. 9+A)i -9 u 4 n eve Inlo'c-le— INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes; No ❑ If you have checked Yes, indicate the t of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIT ER: lam 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. l . Check One Only Owner Agent ❑ gnatur wnel or Owner's Agent By checking this bo, I hereby certify that all of the details and information I have submitted (or entered) regarding,this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed- un der the`permit'issued°forThis application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Progress Inspections i Date Comments Date Final Inspection Comments Inspector Signature of Permit Approval Signature of Licensee License Number: Check at www.mass.clov/dpl By Type of License: ❑ Master ❑ Master -Restricted ❑Journeyperson ❑Journeyperson-Restricted ❑ Title City/Town Permit # Fee $ Inspector Signature of Permit Approval Signature of Licensee License Number: Check at www.mass.clov/dpl v Sheet Metal Commercial Guidelines / Life Safetv / Critical Svstems .Inspection Checklist Yes No N/A, Set of stamped, engineering documents and detailed description of mechanical system to be installed has been provided All workers performing, sheet metal work onsite has valid Massachusetts sheet metal license All, sheet -metal work being performed with proper:journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire / smoke dampers with access doors properly installed - actuator checked for proper, operation (May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by.. -fire department during fire alarm testing) Smoke / atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization, systems installed (where required), and operation verified (May also be verified by fire department during fire alarm testing) Grease / kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts..Proper 0161`ances, fire rated enclosures and pressure testing required: Srisr:3i: res�.�aints install -C ��r3i . drequ red on equipment and dust,-. t,,- Duct penetrations in fire -wall---3 and floors sealed Metal roofmg systems installed watertight using proper materials and fasteners Flexible duct nuns installed 6'-0" maximum length Ductwork installed using proper hanger spacing, hanger stock, threaded rod and angle iron Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean - properly sized filters installed (final inspection) Testing and Balancing report complete (final sign -off) � ;zt Sheet Metal Residential GW&I'ineirmsuection Checklist Yes No' N/A Detailed description and- sketch of sheet rneW-,' 'ystem to_'be installed has been provided All workers performing sheet metal work onstdhas valid °Massachusetts sheet metal license All sheet metal work being perforrried wAh proper j oumeyperson-to- apprentice ratios i Equipment sized per heating / cooling load calculations Duct work sized per manual^"D" calcu'lati'ons' i i Bath / shower rooms contain.mechanical exhaust fan vented outdoors Electric dryer exhaustproperly installed`naximurn total run 35'-0", maximum flexible run 8'-0" Flexible duct runs•installed 14"-0" tnax rnunl length Volume dampers installed for each supply -air branch duct' Ductwork installed using proper gauges and hangers Ductwork -/`plenum connections`seAbd substantially airtight i Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) i I 9 I W, . 400 os9cod wrightaoft' Load Short Form Entire House Ids Yq Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com ROOM NAME Htg Clg Infiltration Outside db (°F) -1 94 Method Simplified Inside db (°F) 70 72 Construction quality Average Design TD (°F) 71 22 Fireplaces 0 Daily range - M 1559 Inside humidity (%) 30 50 812 Moisture difference (gr/Ib) 29 53 39381 HEATING EQUIPMENT 2017 COOLING EQUIPMENT Make n/a 11292 3519 Make n/a Trade n/a Equip. @ 0.99 RSM Trade n/a Model n/a Cond n/a AHRI ref n/a 8259 Coil n/a Tf1TA1 0 1 7AIM AHRI ref n/a Efficiency I nn , I ^n Efficiency Heating input Sensible cooling Heating output Latent cooling Temperature rise Total cooling Actual air flow Actual air flow Air flow factor Air flow factor Static pressure Static pressure Space thermostat Load sensible heat ratio ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) Win) (cfm) AHU- 1st Floor 1861 41603 21936 1204 1204 AHU-2nd Floor 1559 28565 17445 812 812 Entire House 3420 70167 39381 2017 2017 Other equip loads 11292 3519 Equip. @ 0.99 RSM 42471 Latent cooling 8259 Tf1TA1 0 1 7AIM I OA AGA I cn- nn I nn , I ^n Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrightWf ' Right -Suite® Universal 2015 15.0.03 RSU18446 2014 -Oct -15 15:01:17Page 1 ..North Andover%Pead*ee Farm Oakhill Lot4 N.rup Calc = MA Front Door faces: N r 1 761'"._`�,::x ♦'s: 17,_..w .... _. _.«.�. ._ i+. -V Tght�� . Load Short Form Job: 10081401 iM V'il Date: Oct 08, 2014 AHU-1st Floor By: yktCwfwwebb.com Project Information 33 Peachtree Lane, North Andover, Ma Desi gn Information Htg Clg Infiltration Outside db (°F) -1 94 Method Simplified Ins ide db (° F) 70 72 Construction quality Average Design TD (°F) 71 22 Fireplaces 0 Daily range - M Inside humidity (%) 30 50 Moisture difference (gr/Ib) 29 53 HEATING "EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat COOLING EQUIPMENT Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio ROOM NAME Area Htg load Clg load Htg AVF Cig AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) Laundry 144 4091 3114 118 171 1st Floor Open 1370 20057 10264 581 564 Family Room 267 13434 6762 389 371 Foyer 80 4021 1795 116 99 AHU- 1st Floor 1861 41603 21936 1204 1204 Other equip loads 6161 1920 Equip, @ 0,99 RSM 23617 Latent cooling 7503 TlITAI Q I HOCA I A7' 0,f A -A I v Ir'�Vv IVVI YI IVY JI I IV IGVY IGVY Calculations approved by ACCA to meet all requirements of Manual J 8th Ed, 1N6,1 i1t ; 2014-W-1515:01:17 Rig Universal201515.0.03 RSU18446 Page 2 ...North Andover\Peachtree Farm Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N - - wr ghtsoft Load Short Form AHU 2nd Floor Project Information 33 Peachtree Lane, North Andover, Ma Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com ROOM NAME Area W) Htg load (Btuh) Information Design Cig AVF (dm) Htg clg Infiltration Outside db (°F) -1 94 Method Simplified Ins ide db (° F) 70 72 Construction quality Average Design TD (°F) 71 22 Fireplaces 0 Daily range - M BR3 Bath Inside humidity (%} 30 50 35 Moisture difference (gr/Ib) 29 53 5656 HEATING EQUIPMENT 161 COOLING EQUIPMENT Make 162 3228 Make Trade 97 WIC Trade Model 0 0 Cond AHRI ref 412 8640 Coil 246 297 Uta' H 11 AHRI ref Efficiency. Efficiency Heating input Sensible cooling Heating output Latent cooling Temperature rise Total cooling Actual air flow Actual air flow Air flow factor Air flow factor Static pressure Static pressure Space thermostat Load sensible heat ratio ROOM NAME Area W) Htg load (Btuh) Cig load (Btuh) Htg AVF (cfm) Cig AVF (dm) Master Bath 150 3580 1499 102 70 BR4 150 2888 1613 82 75 Bath 72 2500 1029 71 48 BR3 Bath 50 1239 789 35 37 BR3 202 5656 3390 161 158 BR2 162 3228 2073 92 97 WIC 136 0 0 0 0 Master 412 8640 6382 246 297 Uta' H 11 225 834 670 24 .31 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htso#i* 20144)d-15 15:01:17 Right-Suite®Universa12075 15.0.03 RSU18446 �9e 3 A5FA AndoveAPeaddree Farm Oakhill LoW N.rup Calc = W8 Front Door faces: N • i� 1 R J'r � +C.. t a nF.r 1 i�• fir •r{- , i • i� 1 R J'r � AHU-2nd Floor 1559 28565 17445 812 812 Other equip loads 5131 1599 Equip. @ 0.99 RSM 18854 Latent cooling 6007 -r^ Al Q I 4CCA nAOCA I OAS] I DAA V //lVV IVVV VVVVV LTVV 1 V IL V IG Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. Wri ht,Sgft'2014-W-1515:01:17Right-Suite®Universa1201515.0.03RSU18446 ...North MdoveAPeachtree Farts Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N Page . . Wrightsoft Project Summary Enure House For: .Project Information 33 Peachtree Lane, North Andover, Ma Notes: Based on 70H/72C setpoints Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Outside db Inside db Design TD Heating Summary Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com Summer Design Conditions -1 'F Outside db 70 'F Inside db 71 'F Design TD Daily range Relative humidity Moisture difference Structure 59401 Btuh Ducts 10766 Btuh Central vent (146 cfm) 11292 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 81460 Btuh Infiltration Make n/a Method Simplified Construction quality Average Fireplaces 0 Heating Cooling Area (ft2) 3420 3420 Volume (fi3) 38177 38177 Air changes/hour 0.28 0.15 Equiv. AVF (cfm) 178 95 Heating Equipment Summary Make n/a Btuh Rate/swing multiplier Trade n/a ton Equipment sensible load Model n/a Btuh AHRI ref n/a Efficiency n/a Heating input Heating output 0 Btuh Temperature rise n/a 0 'F Actual air flow 0 0 cfm Air flow factor 0 0 cfm/Btuh Static pressure 0 0 in H2O Space thermostat n/a cfm 94 'F 72 'F 22 'F M 50 % 53 gr/Ib Sensible Cooling Equipment Load Sizing Structure 32382 Btuh Ducts 6998. Btuh Central vent (146 cfm) 3519 Btuh Blower 0 Btuh Use manufacturer's data n Btuh Rate/swing multiplier 0.99 ton Equipment sensible load 42471 Btuh Latent Cooling Equipment Load Sizing Structure 5178 Btuh Ducts 3081 Btuh Central vent (146 cfm) 5251 Btuh Equipment latent load 8259 Btuh Equipment total load 50729 Btuh Req. total capacity at 0.70 SHR 5.1 ton Cooling Equipment Summary Make n/a Trade n/a Cond n/a Coil n/a AHRI ref n/a Efficiency n/a 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 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wril HtSOft`2014-Oct-1515:01:17 Right-Suite®Universa12015 15.0.03 RSU18446 Page 1 North AndoverlPeachtree Farm Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N + Wrightsoft Project Summary AHU- 1st Floor For: Project Information 33 Peachtree Lane, North Andover, Ma Notes: Based on 70H172C setpoints Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Outside db -1 OF Inside db 70 OF Design TD 71 OF Heating Summary Make Structure 38450 Btuh Ducts 3153 Btuh Central vent (80 aim) 6161 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 47764 Btuh Method Construction quality Fireplaces Infiltration Simplified Average 0 Heating Cooling Area (ft2) 1861 1861 Volume (fta) 24282 24282 Air changes/hour 0.29 0.15 Equiv. AVF (cfm) 116 62 Heating Equipment Summary Make Moisture difference Trade n Model Rate/swing multiplier AHRI ref Efficiency Heating ,input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com Summer Design Conditions Outside db 94 OF Inside db 72 OF Design TD 22 OF Daily range M Relative humidity 50 % Moisture difference 53 gr/ib Sensible Cooling Equipment Load Sizing Structure 20657 Btuh Ducts 1279 Btuh Central vent (80 cfm) 1920 Btuh Blower 0 Btuh Use manufacturer's data n Rate/swing multiplier 0.99 Equipment sensible load 23617 Btuh Latent Cooling Equipment Load Sizing Structure 2972 Btuh Ducts 1665 Btuh Central vent (80 cfm) 2865 Btuh Equipment latent load 7503 Btuh Equipment total load 31119 Btuh Req. total capacity at 0.70 SHR 2.8 ton Cooling Equipment Summary Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wi �� 2014 -Oct -15 15:01:17 -� g. RightSuite® Universal 2015 15.0.03 RSU18446 Page 2 ..North Andover\Peachtree Fann Oakhill Lot4 N.rup Cate = MJ8 Front Door faces: N wrightsoft, Project Summary AHU 2nd Floor For: Project Information 33 Peachtree Lane, North Andover, Ma Notes: Based on 701-1/72C setpoints Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Outside db Inside db Design TD Heating Summary Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com Summer Design Conditions -1 °F Outside db 70 °F Inside db 71 °F Design TD Daily range Relative humidity Moisture difference Structure 20952 Btuh Ducts 7613 Btuh Central vent (66 cfm) 5131 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 33696 Btuh Infiltration Btuh Method Simplified Construction quality Average Fireplaces 0 Heating Cooling Area (ft2) 1559 1559 Volume (f?) 13895 13895 Air changes/hour 0.27 0.14 Equiv. AVF (cfm) 63 34 Heating Equipment Summary Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 94 °F 72 °F 22 °F M 50 % 53 gr/Ib Sensible Cooling Equipment Load Sizing Structure 11725 Btuh Ducts 5720 Btuh Central vent (66 cfm) 1599 Btuh Blower 0 Btuh Use manufacturer's data n 24861 Rate/swing multiplier 0.99 2.2 Equipment sensible load 18854 Btuh Latent Cooling Equipment Load Sizing Structure 2205 Btuh Ducts 1416 Btuh Central vent (66 cfm) 2386 Btuh Equipment latent load 6007 Btuh Equipment total load 24861 Btuh Req. total capacity at 0.70 SHR 2.2 ton Cooling Equipment Summary Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. Mrr�� 20140ct-1515:01:17 Right-Sufte® Universal 2015 15.0.03 RSU18446 Page 3 North AndoverTeaohtree Farm Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N "duct layout is for illustrative purposes only; contractor must determine best layout for system(s). First Floor Job M 10081401 Performed by ykt@fwwebb.com for: Peachtree Fann OakhIII Lot 4 North Andover, Ma 18x8 Scale: 1 : 108 Page 1 RightSuite® Universal 2015 15.0.03 RSU18446 2014 -Oct -1513:15:56 ...eachtree Farre Oakhlli Lot4 N.rup *duct layout is for illustrative purposes only; contractor responsible to determine best layout of system(s). 2nd Floor Job M 10081401 Performed by ykt@fwwebb.com for: Peachtree Farm Oakhill Lot 4 North Andover, Me Scale: 1 : 108 Page 2 RightSuite® Universal 2015 15.0.03 RSU18446 2014 -Oct -1513:15:56 ...eachtree Farm Oakhill Lot4 N.rup wriightsoft° Duct System Summary AHU-1st Floor Project Information 33 Peachtree Lane, North Andover, Ma External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0.60 in H2O 0.32 in H2O 0.28 in H2O 0.211 / 0.069 in H2O 0.038 in/100ft 1204 cfm 744 ft Supply Branch Detail Table Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com Cooling 0.60 in H2O 0.32 in H2O 0.28 in H2O 0.211 / 0.069 in H2O 0.038 in/100ft 1204 cfm Name Design (Btuh) Htg (cfm) Clg (cfm) Design FR Diam (in) H x W (in) Duct Mau Actual Ln (ft) Ftg.Egv Ln (ft) Trunk 1st Floor open h 3343 97 94 0.061 5.0 Ox 0 VIFx 34.0 310.0 st8 I at Floor Open -A h 3343 97 94 0.123 5.0 Oxo ShMt 22.0 150.0 st7 1st Floor open -B h 3343 97 94 0.052 5.0 OX 0 VIFx 34.0 375.0 st8 1st Floor open -c h 3343 97 94 0.108 5.0 Ox 0 VIFx 16.0 180.0 st8 1st Floor Open -D h 3343 97 94 0.038 5.0 Ox 0 VIFx 46.0 515.0 st8A 1st Floor open -E h 3343 97 94 0.044 5.0 Ox 0 VIFx 38.0 440.0 st8 Family Room -A h 13434 389 371 0.038 10.0 Ox 0 ShMt 45.0 515.0 st8A Foyer h 4021 116 99 0.081 6.0 Ox 0 VIFx 17.0 245.0 st8 Laundry -A c 3114 118 171 0.119 7.0 Ox 0 ShMt 28.0 150.0 st7 Supply Trunk Detail Table Soldrdalic values have been manually overridden C W i,l h©' 2014 -Oct -15 15:01:17 RightSuiteO Universal 2015 15.0.03 RSU18446 Page 1 :..North AndoverTeachtree Farm Oakhill Lot4 N.rup Calc = MA Front Door faces: N Trunk Htg Clg Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk st7 Peak AVF 215 265 0.119 477 8.1 8 x 10 ShtMetl st8 Peak AVF 989 939 0.038 524 16.7 8 x 34 ShtMetl st8A Peak AVF 486 465 1 0.038 546 12.8 8 x 16 1 ShtMetl st8 Soldrdalic values have been manually overridden C W i,l h©' 2014 -Oct -15 15:01:17 RightSuiteO Universal 2015 15.0.03 RSU18446 Page 1 :..North AndoverTeachtree Farm Oakhill Lot4 N.rup Calc = MA Front Door faces: N • � t '!!!:1 1.? 4-7 ".'R': - . 3- 4. fi .. ..-G '.;• y.. y, 2.�;�J:'^4' 0. .... i':: r,�. ...J.. SS=�'a: ...+' a . _ ''' _....�..� _ d •}•.. - ... ._. Return Branch Detail Table Return Trunk Detail Table Grill Htg clg TEL Design Veloc Diam H x W Stud/Joist Duct Type Name Size (in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening (in) Matl Trunk rb4 Ox 0 312 359 124.0 0.056 538 10.6 8x 12 559 ShMt rt3 rb3 Ox 0 582 559 137.0 0.050 582 12.9 8x 18 ShMt rt3A rb11 Oxo 3101 286 183.0 0.038 568 10.0 Ox 0 ShMt rt3 Return Trunk Detail Table 2014-00-15 15:01:17 wr19ht50ft° RightSuite® Universal 2015 15.0.03 RSU18446 Page 2 + ...North AndoveWeachtree Farm Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N Trunk Htg clg Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk rt3 Peak AVF 1204 1204 0.038 542 18.0 8 x 40 ShtMetl rt3A Peak AVF 582 559 0.050 582 12.9 8 x 18 ShtMetl rt3 2014-00-15 15:01:17 wr19ht50ft° RightSuite® Universal 2015 15.0.03 RSU18446 Page 2 + ...North AndoveWeachtree Farm Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N G .. ! /•a I+1, ?� I i" •., R!"'. C. -IC: r G wrights&V Duct System Summary AHU-2nd Floor Project Information 33 Peachtree Lane, North Andover, Ma External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0.60 in H2O 0.32 in H2O 0.28 in H2O 0.183 / 0.097 in H2O 0.090 in/10011 812 cfm 311 ft Job: 10081401 Date: Oct 08, 2014 By: ykt@fwwebb.com Cooling 0.60 in H2O 0.32 in H2O 0.28 in H2O 0.183 / 0.097 in H2O 0.090 in/100ft 812 cfm Supply Branch Detail Table Name Design (Btuh) Htg (cfm) Clg (cfm) Design FR Diam (in) H x W (in) Duct Matl Actual Ln (ft) Ftg.Egv Ln (ft) Trunk BR2 c 2073 92 97 0.104 5.0 Ox 0 ShMt 15.0 160.0 st3 BR3 h 5656 161 158 0.094 7.0 Ox 0 ShMt 44.0 150.0 st3 BR3 Bath c 789 35 37 0.090 4.0 Ox 0 ShMt 33.0 170.0 st3 BR4 h 2888 82 75 1.142 5.0 Ox 0 ShMt 16.0 0 st2 Bath h 2500 71 48 0.172 5.0 Ox 0 ShMt 26.0 80.0 s12 Master c 3191 123 149 0.137 7.0 Ox 0 ShMt 18.0 115.0 Master Bath h 3580 102 70 0.131 6.0 Ox 0 ShMt 24.0 115.0 st2 Master -A c 3191 123 149 0.116 7.0 Ox 0 ShMt 23.0 135.0 st3A Upstairs Hall c 670 24 31 0.140 4.0 Ox 0 ShMt 16.0 115.0 Supply Trunk Detail Table Boldriitalic values have been manually overridden AA ' 1H11'1 h1k5tA1F 2014 -Oct -1515:01:17 Right-Suite®Universal'201515.0.03RSU18446 Page3 ..North AndoverkNachtree Farts Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N Trunk Htg Clg Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk st2 Peak AVF 255 193 0.131 459 7.8 8 x 10 ShtMetl st3A Peak AVF 123 149 0.116 669 6.6 8 x 4 ShtMetl st3 st3 Peak AVF 411 440 0.090 659 10.3 8 x 12 ShtMetl Boldriitalic values have been manually overridden AA ' 1H11'1 h1k5tA1F 2014 -Oct -1515:01:17 Right-Suite®Universal'201515.0.03RSU18446 Page3 ..North AndoverkNachtree Farts Oakhill Lot4 N.rup Calc = MJ8 Front Door faces: N i4righftOft' Right-Suite®Universal 2015 15.0.03 RSU18446 2014 -Oct -15 15:01:17Page 4 ...North AndoverlPeachtree Farm Oakhill Lo[4 N.ngr Calc = MJ8 Front Door faces: N Grill Htg Clg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size (in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening (in) Matl Trunk rb5 Ox 0 307 293 71.0 0.137 690 8.3 8x 8 ShMt rb6 Ox 0 218 228 102.0 0.095 512 8.0 8x 8 ShMt rb10 Ox 0 288 291 108.0 0.090 524 8.9 8x 10 ShMt i4righftOft' Right-Suite®Universal 2015 15.0.03 RSU18446 2014 -Oct -15 15:01:17Page 4 ...North AndoverlPeachtree Farm Oakhill Lo[4 N.ngr Calc = MJ8 Front Door faces: N . ......... ...... Ox"-,