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HomeMy WebLinkAboutMiscellaneous - 401 STEVENS STREET 4/30/2018 (4) I I I i i i E k �1 I J DateqF 2,4 .�.I.Z, . . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION I ti This certifies that . . ti.V\. . . .�,_(SSI va , !�L- . . . . . . . . . . . . . . . . . has permission for gas installation . .7.0 in the buildings of. . . .,V4.,U. . . . . . . . . . . . . . . . . . . . . at . . . . ". . . . . . . . . . . . North Andover, Mass. Fee . . . . . Lic. No. . . . . . . . . . . . . GASINSPECTOR Check:4 7. 8337 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE _CV . PERMIT# _ JOBSITEADDRESSE . WNERSNAM E - OWNER ADDRESS - _ TEL,{�-- ��T OCCUPANCYTYPE COMMERCIAL[] EDUCATIONAL E] RESIDENTIAL CT,1;A2I'Y NEW: RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES[ NO[] APPLIANCES I FLOORS- BSM I 1 1 2 1 3 4 1 5 6 7 8 9 10 11 1 12 13 14 BOILER _ �I. BOOSTER __- ( �I CONVERSION BURNER —f—_ f_ COOK STOVE I. . , ( %.. .�_ �.- --- --- :---I- w�_.._.. —� ---� F DIRECT VENT HEATER DRYER - F-11 -- — -- —F:71F . ., r - E. fes.(- 1-; . -- __- FIREPLACE �-_ _._._..._.. -.-_-.- ff:.....:=_, L:::.:..... f.,._:._.._. L:.._. [:... FRYOLATOR - _ FURNACE — I:�_���f�_-�,_ �� . :: r_ __1►=::..[�:, C,, �.��I��(_ L.__ r� ._ .. GENERATOR — � — GRILLE INFRARED HEATER _-- - LABORATORY COCKS - [.._... . _ - MAKEUP AIR UNIT (_. -I� �(� hII:. _'f (� C ._���_ _.�_ -. ri._.._ _7f= . OVEN F----.F—_l( _ POOL HEATER f._ I (. . ( ( -_ f 1. ROOM SPACE HEATER -- _ E _ i h._.. ROOF TOP UNIT TEST (.......- ITS L...._._. .:L :._�.._.._..:.... ..._:. hT.. : L. ; .I. _..__;_.._...... f_ ..... �..___..... f .. . . E. UNIT HEATER E....... (- f- L..: .~I.,....:._:�... �--- —� .:... L UNVENTED ROOM HEATER WATERHEATER I __.:._:1 _ _�..._ '-- _-`-�- _. TH OER -- -- Ir -- f.- ( Lw SIR L� C L_....._... L..._..... 'r (...:...._.. _ _ E_ 11 . _. .. . INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES L (0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY L1 OTHER TYPE INDEMNITY E BOND r-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 E]- AGENT D 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 compI. ce with all P 'Hent provisi f the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER GASFITTER NAME A LICENSE#[ SIGNATURE MPIZI,KGFb JP ED JGF F] LPGI Q CORPORATION E_1# PARTNERSHIPS#=LLC Cl#= COMPANY NAME:p4,y l_-s - q ADDRESS STATE ZIP CITY FAX CELL $® I �-f�7/-EMAIL L 1 ROUGH OAS INSPECTION NOTES TMS PACE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ n FEE: $ PERMIT# PLAN REVIEW NOTES a,.,3 i Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . .�� . . . . has permission to perform . ./(✓1=W. .MA4Uj 4Z=.. . . . . • . . . . • • . • . . wiring in the building of r ,�. . . . . . . . . . . . . . . . • • Lo•7— at . . .'f Z�. lt ;. . ,r-. . . . . . . . . . ,Ido Andover, Mass. J7 Fee1.Y.770:�Lic. No. 10.0/. .76. . . . . . . . � ELEC RICAL INSPECTOR2 Check# 7 11059 t ' Commonwealth of Massachusetts Official use only Department of Fire Services Permit No. }'and Fee Checked Occupant, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali 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: r,la&- l N3 City or Town of: Aloe�-h An�o,.er 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) t-19\ (L o-',9L S S T-4 ve(%S S`T— Owner or Tenant NVQ+al /✓"4 +i- SG '4' T Telephone No. q.7fr- (off -7 Owner's Address 9. 0- (-,c:;,><. C{ R 3 t ,Vc-r-kv\ A Ac1 v✓-e✓ /4A c I g-/S Is this permit in conjunction with a building permit? Yes E�r No ❑ (Check Appropriate Box)1:3..rrl-177 Purpose of Building 5,/10,�e- rn,k,/ .e I I!M Utility Authorization N Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service 0,CYO Amps I-ZO La OVolts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r L Com letion of the fulloW table iniT be waived by the In ector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool ove ❑ - ❑ o.o Emergency Lighting d. d. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Bumers o.of Detection an Initiatin Devices No.of Ranges No.of Air Cond. Total Tuns g No.of Alerting Devices fleat No.of Waste Disposers u er ons o.ofSelf-Contained Totals: ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ MunicipalEl Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of'Devices or Equivalent No.of atero.o o.o Data W o No.of Heaters KW Sims Ballasts f Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or E=L nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including-completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) /V1 P A06 C., 7 ,oS 1 I S Estimated Value of Electrical Work: $ A2 I I z (When required by municipal policy.) (EYpiration Date) Work to Start: 12,oc>o Inspections to be requested in accordance with NEC Rule 10,and upon completion. 1 certify,under thepains andpenalties ofperjury,that the infornsadon on this application is true and complete. FIRM NAME: Q00LA KILP �L=1061LIC.NO.: 1001-718 Licensee: Ju Lc ,,y Signature LIC.NO.: a v t13"i/� (7f applicable,enter"exempt' 'nth license ntanb line.) Bus.Tel No.•Cl 7 k`- 7(07-074 S Address: °[ Sc'�tV e r rcx� � �V e v-\ /��� C)';0?C( Alt.Tel No. OWNER'S INSURANCE WAIVER: I am aware 1hat 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 Signature Telephone No. PERMIT FEE. $ • t J� L 1 D^ /s=,f'2,PIOV fZ- —t2- P/I/) The Conurwnwealth of Massachusetts Department of Industrial Accidents -� Office of Investigations 600 Washington Street w, Boston,MA 02111 www.ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaalicant Information Please Print Legibly Name(Business/Organizatiott/Individual): Address: kq St Lv-e✓ 2 r'oc)V e� SU)PfVk -�-�- City/State/Zip:_ 03022 Phone#: qW -76 `7 -U7gr Are you an employer?Check the appropriate box: TyWew roject(required): 1.❑ I a employer with 4. E3 am a general contractor and I mploy-ees(full and/or part-time).* have hired the sub-contractors 6 construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11. Plumbing re ❑ g pans or additions myself. [No workers'comp, right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.E]Roof repairs employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /A P &2 6t,4- S Policy#or Self-ins.Lic.#: ©P g o 16 I U Expiration Date: 7 106-1 1 J.3 Jola Site Address: Cl 1I LI o2 ( S-(�2~ cS'T— City/State/Zip: C) j f L/S"_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: ���—�i nate. k 19.a 1 Z Phone#: 7ir­ — :2 4 '7 —07 4 � 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#- 1 6 5 Date. NpRTM TOWN OF NORTH ANDOVER 0 y pp PERMIT FOR MECHANICAL INSTALLATION 4 i i y ,SSMC MUSES 4• This certifies that . . . . . .J . � P el has permission for mechanicaj installation `�.�� 1 .per . . . . in the buildings of . . . . .0"f d- .1. '�PDQ. . . . . . . . . . . . . . . . . . at2. . ."f�F.1= . . . . . . . . . . . , North Andover, Mass. Feer.` . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: D-y-3 -/ Z Permit# l 14' Estimated Job Cost: Permit Fee:• $ to _ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 196 Applicant License#,S�� Business Information: Property Owner/Job Location Information: Name: J&J Heating 6 Air Conditioning, Name: ( n C' Inc. Street: 17 Arlington St. Street: 2 City/Town: Dracut, MA 01826 City/Town: j (4h , k'Aae_f,, . Telephone: 978-454-8197 Telephone:_9�7-6 -5(C,l )`) Photo I.D.required/Copy of Photo I.D.attached: YES NO Staff Initial J-1/M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family* Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. �_ over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC V` Metal Watershed Roofing Kitchen Exhaust System a, Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: FINSURANCE COVERAGE: urrent liabili Insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes® Noe checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Prouess Inspections Date Comments Final Inspection Date Co- Type of License: By [ Master Title ❑Master-Restricted Cityrrown ❑,loumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted i License Number. Fee$ ❑ Check at www.mass.covldal Inspector Signature of Permit Approval i i i ACORQ CERTIFICATE OF LIABILITY INSURANCEDATE(MMIOWYM 09/13/2012 PRODt;CER 978.887.4900 FAX 978.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward F. Sennott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 16 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 457 i Topsfiel d, MA 01983 INSURERS AFFORDING COVERAGE NAIC# INSURED I0 Heating & Air Conditioning, Inc. INSURERA: Great American Alliance Ins Co 17 Arlington Street INSURERS: Safety Insurance Company 39454 Dracut, MA 01826 INSURERC: A.I.M. Mutual Insurance Co. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDD' POLICY EFFECTNE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MWD DATE MMIDD LIMITS GENERAL LIABILITY PAC6418906-05 06/01/2012 06/01/2013 EACH OCCURRENCE $ 1,000,00( COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,00( CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,00( A X PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( POLICY PRO- F—] LOC JECT AUTOMOBILE LIABILITY 2434550 06/01/2012 06/01/2013 COMBINED SINGLE LIMIT ANY AUTO (Ea aoddent) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULEDAUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY UMB6418958-03 06/01/2012 06/01/2013 EACH OCCURRENCE $ 2,000,000 _i]OCCUR FICLAIMS MADE AGGREGATE $ 2,000,000 A $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION 8006553012012 08/01/2012 06/02/2013 X TORYLIMITS ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 1,000,00( C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00( If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR nPeter PSENTATNES. Evidence Of Insurance HORIZ:E:DREPI ESENTATIVEnnott LAR �'G�?caw`.� ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusettsltti ' Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 r Boston,MA 02114-2017 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name(Business/Organization/Individual): J & J Heating 6 Air Conditionin>z, Inc. Address: 17• Arlington Street City/State/Zi Dracut MA 01826 Phone#: 978 454-8197 Are you an employer?Check the appropriate box: Type of project(required): lyI 1. am a employer with 40 4•.0 1.air►a general contractor and I [Er New(full and/or part-time).*• have hired the sub-contractors 6 t� i�ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors.have 8, 7 Demolition working forme in any capacity. employees and have workers' insurance.t 9• Building addition comp, [No workers' comp.insurance p• required.] 5. E] We are a corporation and its 10.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised-their 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.0 Roof repairs employee's.[No workers' 13.0 Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this,affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box.must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation.Insurance for my employees. Below is the policy and Job site information. Insurance Company Name: A.I.M. Mutual Insurance Co. Policy#or Self-ins.Lic.#: LTC 8006553012012 Expiration Date: 6/02/2013 Job Site Address: All locations in 004 AY d City/State/Zip; Attach a copy of the workers' compensation policy declaration page(showing the policy.number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties.of a fine up to$1,500.00.and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby certify under the pains quilpenaldeq,orperjury that the hiformation provided above Is true and correct. Simature: —IDate=- o'13 -1011 hone#: 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#• �t Massachusetts - Department of Public Safer, r Board of Building Regulations and Standards ,m.lructim .Sulicri.,,r _ License: CS-007894 EDWARD T AYOTTE ' 340 MARSH HILL RD; DRACUT MA Commissioner E_ iiiratiun 01/31/2014 N, � - DRIiIEf S`J.ICENE I,1 UMBER l -� ,��5820$882 k, '4 ftx fl` tf' b:1G1401'4 013� IA ; k , 1 CLASSY PtST: NGT i SE%:. , ,S .,'. �'F• ..� I DM 6.07 M ! AYOTT -`EDWARD T a • r f61ASSAGNGSE#T, v 340 MARSH HILL RD DRACUT;MA I: 01826.1416 .:.'itiikit l9� ctNr7fY/`�7!"'l, COMMONWEALTH OF MASSACHUSETTS AS A MASTER-UNRESTRICTED f ISSUES THE ABOVE LICENSE TO. EDWARD T AYOTTE J & J HEATING & AC, INC 17 ARLINGTON ST ;f DRACUT MA 01826-3936 ' 1371 01/28/14 95281 COMMONWEALTH OF MASSA , GHUSET_TS . . { � q BUSINESS ISSVOL UES THE ABOVE LaCENSE TO=` fDWAR> T tA`YOTTE F.s J ? J HEA fYNG :AIR;. ZONI ITTDNIN 17 NG ON STREET nAcur; MA- `01826=131 196` 01/19/14 :95273 9 ® Load Short Form Job: wri htsoft Date: Oct 22,2012 Entire House By: JW Heating and Air Condtioning Inc. 17 Arlington st,Dracut,MA 01826 Phone:978 454 8197 Fax 978 454 8615 Email:office@bheatac.com Web:hheatac.com For: Kindred Homes Inc P.0 box 483, North Andover, Ma 01845 Htg Clg Infiltration Outside db(°F) 12 88 Method Simplified Inside db(°F) 68 75 Construction quality Tight Design TD (0F) 56 13 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/Ib) 43 28 HEATING EQUIPMENT COOLING EQUIPMENT Make Amana Make Amana Trade AMANA Trade ASX13 SERIES Model AMVM960805CX Cond ASX130481C* AHRI ref 4661522 Coil CA*F4860*6D* AH R I ref 4919372 Efficiency 96AFUE Efficiency 11.0 EER, 13 SEER Heating input 80000 MBtuh Sensible cooling 36800 Btuh Heating output 78000 Btuh Latent cooling 9200 Btuh Temperature rise 46 OF Total cooling 46000 Btuh Actual air flow 1533 cfm Actual air flow 1533 cfm Air flow factor 0.029 cfm/Btuh Air flow factor 0.044 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.90 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Laundry 72 2217 2265 64 99 1/2 bath 54 1319 1405 38 62 Living room 182 4766 4052 137 177 Foyer 168 3080 2244 88 98 Dining room 196 4117 3209 118 141 Eating Area 224 4865 3373 140 148 Kitchen 196 3796 3030 109 133 family 494 8135 4189 233 183 W.I.0 98 2449 592 70 26 Mater bedroom 206 4310 3357 124 147 Master bedroom 90 1680 504 48 22 BAth 2 90 1680 504 48 22 bedroom2 188 4232 2146 121 94 bedroom3# 196 4293 2605 123 114 bedroom4 138 1856 1380 53 60 hall 86 653 152 19 7 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. .+ ' wrightsoft' Right-Suite®Universal 2012 12.0.13 RSU05790 2012-Oct-22 13:12:58 .41CCp1Page 1 ...Documents\Wrightsoff HVAC\421 stevens St Kindred homes inc.rup Calc=MJS Front Door faces: Entire House d 2678 53449 35009 1533 1533 Other equip loads 4946 2389 Equip. @ 0.93 RSM 34631 Latent cooling 4375 TOTALS 2678 58394 39005 1533 1533 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. .► wrightsoft* Right-Suite®Universal 2012 12.0.13 RSU05790 2012-00-22 13:12:58 A4CPage 2 CK ...Documents\Wrightsoft HVAC\421 stevens St Kindred homes inc.rup Calc=MJ8 Front Door faces: wri9htsofte g Y Building Analysis Job: Date: Oct 22,2012 Entire House By: JW Heating and Air Condtioning Inc. 17 Arlington st,Dracut,MA 01826 Phone:978 4548197 Fax 978 454 8615 Email:office@jheatac.com Web:hheatac.com For: Kindred Homes Inc P.0 box 483, North Andover, Ma 01845 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature(°F) 68 75 Elevation: 30 ft Design TD (°F) 56 13 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 42.7 27.8 Dry bulb(°F) 12 88 Infiltration: Daily ran ) Method Simplified Wet bulbIO6 - 72 Construction quality Tiht Wind speed(mph) 15.0 7.5 Fireplaces 1 ?Average) Component Btuh/ft' Btuh % of load Walls 3.6 8679 14.9 Glazing 16.7 6131 10.5 Doors 21.7 911 1.6 Ceilings 10.2 16166 27.7 Floors 4.7 7512 12.9 Infiltration 3.7 10407 17.8 Ducts 3643 6.2 Piping 0 0 Humidification 4946 8.5 Ventilation 0 0 Adjustments 0 Total 58394 100.0 � t Component Btuh/ft' Btuh % of load w. Walls 1.0 2388 6.4 Glazing 16.6 6093 16.3 , Doors 10.3 434 1.2 Ceilings 9.2 14538 38.9 Floors 1.1 1702 4.6 Infiltration 0.8 2125 5.7 - -- Ducts 2279 6.1 , Ventilation 0 0 Internal gains 5450 14.6 Blower 2389 6.4 Adjustments 0 Total 37398 100.0 Latent Cooling Load=4375 Btuh Overall U-value= 0.153 Btuh/ft'-'F Data entries checked. "� + wrightsoft- Right-Suite®Universal 2012 12.0.13 RSU05790 2012-Oct-22 13:12:58 Page 1 ...Documents\Wrightsoft HVAC\421 stevens St Kindred homes inc.rup Calc=M.18 Front Door faces: -�- Component Constructions Job: wrightsof ® Date: Oct 22,2012 Entire House By: J&J Heating and Air Condtioning Inc. 17 Arlington st,Dracut,MA 01826 Phone:978 454 8197 Fax 978 454 8615 Email:office@bheatac.com Web:kheatac.com ® 0 0 For: Kindred Homes Inc P.0 box 483, North Andover, Ma 01845 Location: Indoor: Heating Cooling Boston Logan Int'I AP, MA, US Indoor temperature(°F) 68 75 Elevation: 30 ft Design TD (°F) 56 13 Latitude: 42°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 42.7 27.8 Dry bulb(°F) 12 88 Infiltration: Daily range(°F) - 15 ( L ) Method Simplified Wet bulb(°F) - 72 Construction quality Tight Wind speed(mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain V Btuh/fe-°F ft'-°F/Btuh BWhM2 BWh Bluh/W Btuh Walls 12F-Osw:Frm wall,vnl ext,1/2"wood shth,r-21 cav ins,1/2" n 736 0.065 21.0 3.61 2661 0.99 732 gypsum board int fnsh,2"x6"wood frm a 564 0.065 21.0 3.61 2040 0.99 561 s 702 0.065 21.0 3.61 2537 0.99 698 w 399 0.065 21.0 3.61 1441 0.99 397 all 2401 0.065 21.0 3.61 8679 0.99 2388 Partitions (none) Windows 2 glazing,clr outr,air gas,wd frm mat,clr innr,1/4"gap,1/8"thk:2 n 113 0.300 0 16.7 1881 8.94 1007 glazing,clr outr,air gas,wd frm mat,clr innr,1/4"gap,1/8"thk a 16 0.300 0 16.7 260 29.1 454 s 176 0.300 0 16.7 2936 15.6 2742 w 63 0.300 0 16.7 1055 29.1 1841 all 368 0.300 0 16.7 6131 16.4 6045 Doors 11 DO:Door,wd sc type n 42 0.390 0 21.7 911 10.3 434 Ceilings 16131-38ad:Attic ceiling,asphalt shingles roof mat,r-38 ceil ins,1/2" 494 0.026 38.0 1.45 714 1.30 642 gypsum board int fnsh C part ceiling,:C part ceiling,hrd wd flr fish,frm fir,10"thkns,1/2" 1092 0.255 1.0 14.2 15452 12.7 13896 gypsum board int fnsh Floors 19A-Obswp:Part floor,hrd wd flr fnsh,frm fir,10"thkns 1092 0.295 0 6.16 6728 1.40 1525 19A-30bswp:Part floor,hrd wd flr fnsh,r-30 ins,frm flr,10"thkns, 494 0.034 30.0 1.59 784 0.36 178 5/8"gypsum board int fnsh .� wrightsoft' Right-Suite®Universal 2012 12.0.13 RSU05790 2012-Oct-22 13:12:58Page 1 � ...Documents\Wrightsoft HVAC1421 stevens St Kindred homes inc.rup Calc=MJ8 Front Door faces: Project Summary Job: Oct 22,2012 �1- wrightsoft® 'I Enure House By: J&J Heating and Air Condtioning Inc. 17 Arlington st,Dracut,MA 01826 Phone:978 454 8197 Fax 978 454 8615 Email:office@,Uheatac.com Web:Jheatac.com For: Kindred Homes Inc P.0 box 483, North Andover, Ma 01845 Notes: { Weather: Boston Logan Int'IAP, MA, US Winter Design Conditions Summer Design Conditions Outside db 12 OF Outside db 88 OF Inside db 68 OF Inside db 75 OF Design TD 56 OF Design TD 13 OF Daily range L Relative humidity 50 % Moisture difference 28 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 49806 Btuh Structure 32730 Btuh Ducts 3643 Btuh Ducts 2279 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 4946 Btuh Blower 2389 Btuh Piping 0 Btuh Equipment load 58394 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 34631 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Average) Structure 3893 Btuh Ducts 482 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 2678 2678 Equipment latent load 4375 Btuh Volume(ft') 24286 24286 Air changes/hour 0.20 0.08 Equipment total load 39005 Btuh Equiv.AVF (cfm) 170 153 Req. total capacity at 0.80 SHR 3.6 ton Heating Equipment Summary Cooling Equipment Summary Make Amana Make Amana Trade AMANA Trade ASX13 SERIES Model AMVM960805CX Cond ASX130481C* AHRI ref 4661522 Coil CA*F4860*6D* AHRI ref 4919372 Efficiency 96AFUE Efficiency 11.0 EER, 13 SEER Heating input 80000 MBtuh Sensible cooling 36800 Btuh Heating output 78000 Btuh Latent cooling 9200 Btuh Temperature rise 46 OF Total cooling 46000 Btuh Actual air flow 1533 cfm Actual air flow 1533 cfm Air flow factor 0.029 cfm/Btuh Air flow factor 0.044 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.90 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrightsoft® Right-SuRe®Universal 2012 12.0.13 RSU05790 2012-Oct-22 13:12:58 Page 1 ...Documents\Wrightsoft HVAC\421 stevens St Kindred homes inc.rup Calc=MJ8 Front Door faces: Duct System Summary Job: wrightsoft® Date: Oct 22,2012 Entire House By: J&J Heating and Air Condtioning Inc. 17 Arlington st,Dracut,MA 01826 Phone:978 454 8197 Fax 978 454 8615 Email:office@ohealac.com Web:Bheatac.com For: Kindred Homes Inc P.0 box 483, North Andover, Ma 01845 Heating Cooling External static pressure 0 in H2O 0 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0 in H2O 0 in H2O Supply/ return available pressure 0.00/0.00 in H2O 0.00/0.00 in H2O Lowest friction rate 0 in/100ft 0 in/100ft Actual air flow 1533 cfm 1533 cfm Total effective length(TEL) 0 ft Design Htg CIg Design Diam H x W Duct Actual Ftg.Eqv Name (Btuh) (cfm) (cfm) FR (in) (in) Matl Ln (ft) Ln(ft) Trunk 1/2 bath c 1405 38 62 0 0 Ox 0 ShMt 0 0 BAth 2 h 504 48 22 0 0 Ox 0 ShMt 0 0 Dining room c 3209 118 141 0 0 Ox 0 ShMt 0 0 Eating Area c 3373 140 148 0 0 Oxo ShMt 0 0 Foyer c 2244 88 98 0 0 Ox 0 ShMt 0 0 Kitchen c 3030 109 133 0 0 Ox 0 ShMt 0 0 Laundry c 2265 64 99 0 0 Ox 0 ShMt 0 0 Living room c 2026 68 89 0 0 Ox 0 ShMt 0 0 Living room-A c 2026 68 89 0 0 Ox 0 ShMt 0 0 Master bedroom h 504 48 22 0 0 Ox 0 ShMt 0 0 Meter bedroom c 3357 124 147 0 0 Ox ShMt 0 0 W.I.0 h 592 70 26 0 0 OxO ShMt 0 0 bedroom2 h 2146 121 94 0 0 Ox 0 ShMt 0 0 bedroom3# h 2605 123 114 0 0 Ox 0 ShMt 0 0 bedroom4 c 1380 53 60 0 0 Ox 0 ShMt 0 0 family h 2094 117 92 0 0 Ox 0 ShMt 0 0 family-A h 2094 117 92 0 0 Ox 0 ShMt 0 0 hall h 152 1 19 1 7 0 0 ox 0 ShMt 1 0 0 tip, 0 Grill Htg CIg TEL Design Veloc Diarn H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FIR (fpm) (in) (in) Opening (in) Matl Trunk rbl ox 0 1533 1533 0 0 0 0 ox 0 ShMt wrightsoft Right-Suite®Universal 2012 12.0.13 RSU05790 2012-Oct-22 13:12:58 Page 1 AXIN ...Documents\Wrightsoft HVAC\421 stevens St Kindred homes inc.rup Calc=M.18 Front Door faces: N° 9592 Date.,�. . . TOWN OF NORTH ANDOVER op p PERMIT FOR PLUMBING ,SSACNUS� 2 pi This certifies that . .l. ti. 0), ll. . .. . . . . . . . . . . . has permission to perform . . .NL.4,j. .�e).Jt-. ...• • • • • • •. . . . . . plumbing in the buildings of . v 1^1„ �J.4i.71 l i. at. . . . . . . . . .v. -UCI. . . .S. North AndoverMass , S' �. . . . . . . . . Fee. Lic. No.. . . . . . . . J , PLUMBING INSPECTOR Check # LQ_v 1�f / a WHITE: Applicant CANARY: Building Dept. PINK:Treasurer e' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK �- PERMIT# CITYMA DATE ., -ti /`.. e JOBSITE ADDRESS OWNER'S NAME OWNER ADDRESS , .,.. TELI FAX TYPE OR OCCUPANCY TYPE COMMERCIAL F-.1 EDUCATIONAL El RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:L—] REPLACEMENT:Q PLANS SUBMITTED: YES[ N00 FIXTURES 7. FLOOR- BSM 1 2 1 3 4 5 6 7, 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM ......._ L- 1-'.._,=::..,.�_.=.:,:•:,,,._I�-:,._._II--_._..:.:_I ._:._....__i� ... . DEDICATED GAS/OIUSAND SYSTEM r....-.._.._!L- I-:-I_......,._ 1._..-!1:. IL-:.,::.-,::.: — =1 -1� .-'�-.�_...... ...._......._:_ DEDICATED GREASE SYSTEM „(-- DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM , ..,_ � _ ,. �..__T..�•.........:. .� -'f............ !�--! DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN -'I-- -I----'I---F- -1�-:r-.-..--'.I---I-_r �.._I�-L — INTERCEPTOR(INTERIOR) KITCHEN SINK � _._.... .._. 1 <.- 1........ 1-: 1-- - !I.:.........._......I ..... 1............:::::..I LAVATORY ROOF DRAIN i._ _._I__- - [7:E ;L----�---- SHOWER STALL � '�—! -- SERVICE/MOP SINK TOILET URINAL -T-- ---�--1 WASHING MACHINE CONNECTION l WATER HEATER ALL TYPES . . :` WATER PIPING »..=:::` _...i ::._.-__E^_'. - �- [` I�...._: - -�- �- 1......._: I —� � OTHER -- - - - — I I } �-- I� x....:............. . ..._' ._ if.:._:...._.....`t...................f..:......:...:._....L............_....'t.....7.......!1..............:..:...11.,:-..,<:..:<:..a:.__........_.....!1....._:.............._If..:.:.._....._._t............_.....'L,...:..:..__...:._+.. I I I I.....,..__.......,....:,,...:_:.1....:...:_:,..:•,.-:....: ..:._....._._...._._.-.--.:....,[-1._.__. _[�_.:...._[ f 1............._:f- 11- (--1 C-(�11- [ L......_... -J1 INSURANCE COVERAGE: ' I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES O'NO IF YOU CHECKED YES,PLEASE INDICATE THETXPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Of/ OTHER TYPE OF INDEMNITY[] BOND E] 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 E] AGENT SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will beinmpliance wit ertinent pro 'sof the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME 1.1,74,&l ,.TL , ill/G c/_� LICENSE# /j� ._ SIGNATURE MPD--" JPEJ CORPORATION# PARTNERSHIPQ# LLC E19 COMPANY NAME ADDRESS CITYF/-/,Q �U/G STATE ZIP Q/ TEL 7Z .2 FAX CELLI��EMAIL tia�r i r v 111 ROUGH IPL UMBrNO IINS]P]ECTION NOTES BELOW FOR OFFICE USE ONLY FINAL llNSlPTECTION NOTES A e — Y�Z— Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN RFVIIEW NOTES ' ���� C-c�e�`- vie" ,✓le�.� db F� i C.vt4�ivit5�v� i � 'C) iGiASSACHQSE," L:ICEa oSFt7 Atm PAfiTER PC.IAMBER. ISSUES THE ABOVE LICENSE TO ELSEMILLER a� O.LD`. YANKEE RD VIA i7-RHIL MA 0183.2- 1067 i .7.1288 05/0.1/14 147729 .. f. 1 i i — _ I Location `7 �Uf�.,• ��-�'" No.���" �3 Date � , .e ® - TOWN OF NORTH ANDOVER O ° Certificate of Occupancy $�U Building/Frame Permit Fee $, '/6— " � Foundation Permit Fee — r � Other Permit Fee $ TOTAL A6 0/6 Check# �� • ji 25592 Building Insor