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Miscellaneous - 68 MOLLY TOWNE ROAD 4/30/2018
, I BUILDING FILE 231 Date. . �. . ..... NORTH TOWN OF NORTH ANDOVER pF �.ao ,e 1'ti0 PERMIT FOR MECHANICAL INSTALLATION r O � 70 � • s SACHUSEt f This certifies that . . . . ./ . . • • • • • • • • has permission for mechanical installation . .. . . . .. .��� .. . . . . . . . . . in the buildings of �, ,�lR.. f-p�:�.�^,. �:.�: •'J ': • at .(r . . �':/!`.t . . North Andover, Mass. Fee.. L �7 Lic.No.w/. . . . 11�t4.. . . . . . J 3y GAS INSPECTOR /? WHITE:Applicant 'CANARY: Building Dept. PINK:Treasurer t Commonwealth of Massachusetts Sheet Metal Permit Date : � � � � Permit Estimated Job Cost: Permit Fee: $ Plans Submitted: YES &,"NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: Name: & A 4,�pr' Street: Street: / City/Town: (.4 City/Town: A/_A.,/,I d Telephone: Telephone: fi �— `� a, 6 Photo I.D. required/Copy of Photo I.D. attached: YES NO Building Type: / Residential: 1-2 family 1/ Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. 4,..---over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: t HVAC i/ Metal Roofing Kitchen-Exhaust System Chimney/Vents Provide brief description of work to be done: i ' r INSURANCE COVERAGE: I have a current Iia_ bility insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes�o❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ 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 boxEl,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. Progress Inspections Date Comments . J Final Inspection IF Date Comments Type of License: 3y ❑ Master title ❑ Master-Restricted 'ity/Town ❑Journeyperson Signature of Licensee 'ermit# =ee$ QJourneyperson-Restricted License Number: Check at www.mass.gov/dpl ispector6ignature of Permit Approval Sheet Metal Commercial Guidelines/Life Safety/O itical Systems Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire/smoke dampers with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke/atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts.Proper 6161`ances,fire rated enclosures and pressure testing required: SFi ?.3i� es,f.aints isnstalld 3�1i { equi require'd'oin pmant and d?=..;t�..3rie Duct penetrations in fire'rdt& ii�all:3 and fl0' 6rs sealed Metal roofing systems installed watertight using proper materials and fasteners Flexible duct runs 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-oft) a ' I Sheet Metal Residential Guidelines/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- / apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors :V Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible'duct runs installed 14'-0"maximum length V Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers �-/ Ductwork/plenum connections sealed substantially airtight �-� Ductwork insulated by means of external covering or internal lining New/clean -properly sized filter installed(final inspection) Testing and Balancing report complete(final sign-of) p. CVMMONINI`AL'Tll" 0'nnA55AChUbtT-US,.''-""I It SHEET METAL WORKERS AS;A'irA�o� �rC Ns ��bTED `'_'R:OBERT J FORRESTALL 3;6 M0_N:ADNOCK AVE DRACUT MA 01826-3752 :.G.,nHRlCi COMPANY Load Short Form Job: Date: Dec 12,2013 Entire House By: ROBERT J FORRESTALL ROBERT J. FORRESTALL 36 MONADNOCKAVE ,DRACUT,Me 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andover Ma 01845 Design Information Htg Clg Infiltration Outside db(°F) 1 88 Method Simplified Inside db(°F) 70 75 Construction quality Tight Design TD(°F) 69 13 Fireplaces 0 Daily range - M Inside humidity(%) 50 50 Moisture difference(grAb) 50 28 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref no Coil AHRI ref no Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 733 cfm Actual air flow 733 cfm Air flow factor 0.020 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.96 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (fF) (Btuh) (BtuN (cfm) (cfm) Bedroom 238 11631 5626 229 242 Bathroom 54 3677 1360 72 58 Closet 30 979 535 19 23 Family Room 408 20969 9520 412 409 Entire House d 730 37257 17040 733 733 Other equip loads 0 0 Equip.@ 0.93 RSM 15848 Latent cooling 652 TOTALS i 730 i 37257 i 16500 i 733 i 733 Calculations approved by ACCA to meet all requirements of Manual 8th Ed. twri htsOftb 2013-Dec-1212:59:47 ^�C� 9 Right-Suite®Universa18,0.18 RSU 15053 JO Project 1.rup Calc =MJ8 Front Door faces :SE Page 1 :s•a•,� �� ,MY Loads for Multiple Orientations Job: Date: Dec 12,2013 Entire House By: ROBERT FORRESTALL ROBERT I FORRESTALL 36 MONADNOCKAVE ,DRACUT,Ma 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andover Ma 01845 Design Conditions Location: Indoor: Heating Cooling Lowell,MA US Indoor temperature(°F) 70 75 Elevation. 110 ft Design TD(°F) 69 13 Latitude: 43°N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(gdlb) 50.3 27.8 Dry bulb(OF) 1 88 Infiltration: Daily range(°F) - 21 ( M ) Wet bulb(°F) - 72 Wind speed(mph) 15.0 7.5 Front Door North Northeast East Southeast South Southwest West Northwest Sensible Load(Btuh) 16854 17099 16629 15848 16376 16715 16603 16386 Latent Load(Btuh) 693 694 693 652 693 693 693 693 Total Load(Btuh) 17547 17793 17322 16500 17069 17408 17296 17079 Heating AVF(cfm) 782 793 771 733 758 775 769 759 Cooling AVF(cfm) 782 793 771 733 758 775 769 759 Building Orientation Cooling Load 20000-- 15000-- 10000-- 5000-- 0 10 N NE E SE S SW W NW Drection Fran 00or faros Current Orientation Front Door faces Southeast Highest Cooling Load: Front Door faces Northeast Calculations approved by ACCA to meet all requirements of Manual 8th Ed. C 2013-Dec-1212:59:47VsafRight-Suite(D Universal 8.0.18 RSU15053 Page 1 Project1.rup Calc =MJ8 Front Door faces :SE Building Analysis Job: s,o.ronsucc COMPANYDate: Dec 12,2013 Entire House By: ROBERT FORRESTALL ROBERT J. FORRESTALL 36 MONADNOCK AVE ,DRACUT,Ma 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andover;Ma 01845 i34 S e k-1 C14 Design Conditions Location: Indoor: Heating Cooling Lowell,MA US Indoor temperature(°F) 70 75 Elevation 110 ft Design TD(°F) 69 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(grAb) 50.3 27.8 Dry bulb(OF) 1 88 Infiltration: Daily range(°F) - 21 ( M ) Method Simplified Wet bulb(°F) - 72 Construction quality Tight Wind speed(mph) 15.0 7.5 Fireplaces 0 Component Btuhfff Btuh %of load Walls 5.1 4347 11.7 Glazing 21.4 1283 3.4 Doors 24.8 522 1.4 Ceilings 24A 17798 47.8 Floors 10.4 7610 20.4 Infiltration 1.7 1545 4.1 Ducts 4151 11.1 Piping 0 0 Humidification 0 0 Ventilation 0 0 ° Adjustments 0 Total 1 1372571 100.0 Component Btuhfff Btuh %of load Walls 1.1 943 5.5 o9laziwel Glazing 6.7 402 2.4 UCLS Doors 8.6 181 1.1 Ceilings 16.8 12252 71.9 Floors 0.0 7 0.0 Infiltration 0.2 152 0.9 Ducts 3103 18.2 Ventilation 0 0 Internal gains 0 0 Blower 0 0 Adjustments 0 Total 17040 100.0 Ceilings Latent Cooling Load=652 Btuh Overall U-value=0.192 BtuhffF--°F Data entries checked. + + vvrlghtsoft" Right-Suite®Universal 8.0.18 RSU15053 2013-Dec-1212:59:48 � Project l.rup Calc =MJB Front Door faces :SE Page 1 'tn ;s.o.TORRICKCOMPANY Component Constructions Job: Date: Dec 12,2013 Entire House By: ROBERT J FORRESTALL ROBERT J. FORRESTALL 36 MONADNOCKAVE ,DRACUT,Me 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andover Ma 01845 Design Conditions Location: Indoor: Heating Cooling Lowell,MA US Indoor temperature(OF) 70 75 Elevation 110 ft Design TD(°F) 69 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(grAb) 50.3 27.8 Dry bulb(OF) 1 88 Infiltration: Daily range(°F) - 21 ( M ) Method Simplified Wet bulb(°F) - 72 Construction quality Tight Wind speed(mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ff Btuh/ff--°F ft2-°56tuh Btuhff Btuh BtuhlfP Btuh Walls 12D-Osw:Frm wall,vnl ext,3/8'wood shth ,r-15 cav ins,1/2" n 82 0.086 15.0 5.93 487 1.46 120 gypsum board int fnsh ,2"x6"wood frm s 72 0.086 15.0 5.93 427 1.46 105 W 184 0.086 15.0 5.93 1092 1.46 269 all 338 0.086 15.0 5.93 2006 1.46 494 12F-Osw:Frm wall,vnl ext,3/8"wood shth ,r-21 cav ins,1/2" n 117 0.065 21.0 4.48 525 0.83 97 gypsum board int fnsh ,2"x6"wood frm a 184 0.065 21.0 4.48 825 0.83 153 s 168 0.065 21.0 4.48 753 0.83 140 all 469 0.065 21.0 4.48 2103 0.83 390 1213-0sw:Frm wall,vnl ext,3/8'wood shth,r-15 cav ins,1/2" s 40 0.086 15.0 5.93 237 1.46 58 gypsum board int fish ,2"x4"wood frm Partitions (none) Windows 2 glazing,cir outr,air gas,wd frm mat,cir innr,1/4"gap,1/8"thk:2 n 30 0.310 0 21.4 642 6.70 201 glazing,clr outr,air gas,wd frm mat,cir innr,1/4"gap,1/8"thk n 30 0.310 0 21.4 642 6.70 201 all 60 0.310 0 21.4 1283 6.70 402 Doors 11 K0:Door,mtl fbrgl type,frill strm n 21 0.360 6.3 24.8 522 8.64 181 Ceilings C part ceiling,:C part ceiling,hrd wd fir fnsh ,frm fir,6"thkns,1/2" 30 0.257 1.0 17.7 531 12.2 366 gypsum board int fnsh C part ceiling,:C part ceiling,frm fir,6"thkns 700 0.357 1.0 24.7 17267 17.0 11887 Floors 19C-19cscp:Fir floor,frm fir,6"thkns,carpet fir fish ,r-2 ext ins, 30 0.049 30.0 1.17 35 0.22 7 r-19 cav ins,tight ctwl ovr,r-11 wall insul 22A-cpl:Bg floor,light dry soil,on grade depth,carpet fir fish 111 0.989 0 68.2 7575 0 0 1__Q__: WrightS'Dft� Right-Suite® 2013-Dec-12 12:59:48 RSU 15053 Page 1 � Project 1.rup Calc =MJ8 Front Door faces :SE Nic—, macompAmy Project Summary Job: Date: Dec 12,2013 Entire House By: ROBERT FORRESTALL ROBERT J. FORRESTALL 36 MONADNOCKAVE ,DRACUT,Ma 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andovef Ma 01845 Notes: /art, k P-n e_k Design Information Weather. Lowell,MA US Winter Design Conditions Summer Design Conditions Outside db 1 OF Outside db 88 OF Inside db 70 OF Inside db 75 OF Design TD 69 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 28 gdlb Heating Summary Sensible Cooling Equipment Load Sizing Structure 33105 Btuh Structure 13938 Btuh Ducts 4151 Btuh Ducts 3103 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 37257 Btuh Use manufacturers data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 15848 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 0 Structure 202 Btuh Ducts 451 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(fl) 730 730 Equipment latent load 652 Btuh Volume(ff) 5840 5840 Air changesthour 0.21 0.11 Equipment total load 16500 Btuh Equiv.AVF(cfm) 20 11 Req.total capacity at0.70 SHR 1.9 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref no Coil AHRI ref no Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 733 cfm Actual air flow 733 cfm Air flow factor 0.020 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.96 Calculations approved by ACCA to meet all requirements of Manual ath Ed. -a. + WriightS01 Right-Suite®Universal8.0.18 RSU15053 2013-Dec-1212:59:48 � Project 1.rup Calc =MJ8 Front Door faces :SE Page 1 Job: s.Q.TORRICS COMPANY AED Assessment Date: Dec 12,2013 Entire House By: ROBERT FORRESTALL ROBERT J. FORRESTALL 36 MONADNOCKAVE ,DRACUT,Ma 01826 Phone:978-677-7742 Project • • For: Carroll,ROBERT J FORRESTALL Lot#13,North Andover Ma 01845 Design . • • Location: Indoor: Heating Cooling Lowell,Mg US Indoor temperature(OF) 70 75 Elevation 110 ft Design TD(°F) 69 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(grAb) 50.3 27.8 Dry bulb(OF) 1 88 Infiltration: Daily range(°F) - 21 ( M ) Wet bulb(°F) - 72 Wind speed(mph) 15.0 7.5 Test for Adequate Exposure Hourly Glazing Load 1 10D-- 53-- 0 8 9 10 11 12 13 14 15 16 17 18 19 23 Hxrcf Dir ♦Hourly 0 Average /AED limit Maximum hourly glazing load exceeds average by 28.8%. House has adequate exposure diversity (AED), based on AED limit of 30%. AED excursion:0 Btuh AQ. wrigh#soft, Right-Suite®Universa18.0,18 RSU15053 2013-Dec-1212:59:48 Page 1 M Project 1.rup Calc =MJ8 Front Door faces :SE Right-J® Worksheet Job: Entire House Date: Dec 12, 2013 ROBERT a FORRESTALL By: ROBERT J FORRESTALL 36 MONADNOCKAVE ,DRACUT,Ma 01826 Phone:978-677-7742 1 Room name Entire House Bedroom 2 Exposed wall 116.0 ft 31.0 It 3 Ceiling height 8.0 ft d 8.0 ft heat/cool 4 Room dimensions 14.0 x 17.0 It 5 Room area 730.0 ft' 238.0 ft' Ty Construction U-value Or I HTM I Area (ftp I Load I Area (ft5 I Load I number (Btuh/ft?°F) (Btuh/ft or perimeter (ft) (Btuh) or perimeter (ft) (Btuh) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 12D-0sw 0.086 n 5.93 1.46 112 82 487 120 112 82 487 120 2 glazing,dr outr, 0.310 n 21.39 6.70 30 0 642 201 30 0 642 201 12F-0sw 0.065 n 4.48 0.83 168 117 525 97 0 0 0 0 2 glazing,dr outr, 0.310 n 21.39 6.70 30 0 642 201 0 0 0 0 11 11 KO 0.360 n 24.84 8.64 21 21 522 181 0 0 0 0 w 12F-0sw 0.065 a 4.48 0.83 184 184 825 153 0 0 0 0 w 12D-0sw 0.086 s 5.93 1.46 40 40 237 58 0 0 0 0 w 12D-0sw 0.086 s 5.93 1.46 72 72 427 105 0 0 0 0 w 12F-0sw 0.065 s 4.48 0.83 168 168 753 140 0 0 0 0 w 12D-0sw 0.086 w 5.93 1.46 184 184 1092 269 136 136 807 199 C C Part ceiling. 0.257 17.70 12.19 30 30 531 366 0 0 0 0 C C part ceiling, 0.357 24.67 16.98 700 700 17267 11887 238 238 5871 4042 F 19C-19cscp 0.049 1.17 0.22 30 30 35 7 0 0 0 0 F 22Acpl 0.989 68.24 0.00 700 111 7575 0 238 31 2115 0 I 6 c)AED excursion 0 1 10 Envelope loss/gain 31560 13785 1 9922 4561 12 a) Infiltration 1545 152 413 41 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 0 0 0 0 Appliances/other 0 0 Subtotal (lines 6 to 13) 33105 13938 10335 4602 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 33105 13938 10335 4602 15 Duct loads 13% 22% 4151 3103 13% 22% 1296 1024 1 1 Air al roomrequiir dl(cfm) 1 1 1 oad377331 170331 1 1 11631 1 52421 Calculations aogroved by ACCA to meet all requirements of Manual 8th Ed wrigh#Soft- Right-Suite®Universal8.0.18RSU15053 2013-Dec-1212:59:48 Project 1.rup Calc =MJ8 Front Door faces :SE Page 1 Right-& Worksheet Job: Entire House Date: Dec 12,2013 By: ROBERT d FORRE5TALL ROBERT J FORRESTALL - 36 MONADNOCKAVE ,DRACUT,Me 01826 Phone:978-677-7742 1 Room name Bathroom Closet 2 Exposed wall 15.0 It 5.0 It 3 Ceiling height 8.0 ft heat/cool 8.0 ft heat/cool 4 Room dimensions 9.0 x 6.0 ft 5.0 x 6.0 ft 5 Room area 54.0 ft2 30.0 ft' T Construction U-value Or HTM Area ftLoad Area ft Load Ty I I ( � I number (Btuhlft?°F) (Btuh/ftp or perimeter (ft) (Btuh) or perimeter (ft) (Btuh) Heat I Cool Gross I N/P/S Heat Cool Gross I N/P/S Heat I Cool 6 y/ 12D-0sw 0.086 n 5.93 1.46 0 0 0 0 0 0 0 0 L-G 2 glazing,Gr outr, 0.310 n 21.39 6.70 0 0 0 0 0 0 0 0 12F-0sw 0.065 n 4.48 0.83 0 0 0 0 0 0 0 0 T= 2glazing,Groutr, 0.310 n 21.39 6.70 0 0 0 0 0 0 0 0 11 11KO 0.360 n 24.84 8.64 0 0 0 0 0 0 0 0 w 12F-0sw 0.065 a 4.48 0.83 0 0 0 0 0 0 0 0 w 12D-0sw 0.086 s 5.93 1.46 0 0 0 0 40 40 237 58 w 12D-0sw 0.086 s 5.93 1.46 72 72 427 105 0 0 0 0 w 12F-0sw 0.065 s 4.48 0.83. 0 0 0 0 0 0 0 0 w 12D-0sw 0.086 w 5.93 1.46 48 48 285 70 0 0 0 0 C C part ceiling, 0.257 17.70 12.19 0 0 0 0 30 30 531 366 C C part ceiling, 0.357 24.67 16.98 54 54 1332 917 0 0 0 0 F 19C-19cscp 0.049 1.17 0.22 0 0 0 0 30 30 35 7 F 22Acpl 0.989 68.24 0.00 54 15 1024 0 0 0 0 0 6 c)AF D excursion 01 1 0 Envelope loss/gain 1 3068 1092 1 1 804 431 12 a) Infiltration 200 20 67 7 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 0 0 0 0 Appliances/other 0 0 Subtotal (lines 6 to 13) 3266 1112 870 437 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 3268 1112 870 437 15 Duct loads 13% 22% 410 248 13% 22% 109 97 I I Aud( I I ( 3672 13681 ( I 91 535 Al'required 1 19 231 Calculations approved by ACCA to meet all requirements of Manual 8th Ed. Vwrightsuft- Right-Suite®Universal 8.0.18 RSU15053 Page 2 2013-Dec-1212:59:48 Project l.rup Calc =MJ8 Front Door faces :SE Right-M Worksheet Job: Entire House Date: Dec 12,2013 ROBERT.IFORRESTALL By: ROBERT J FORRESTALL 36 MONADNOCK AVE ,DRACUT,Ma 01826 Phone:978-677-7742 1 Room name Family Room 2 Exposed wall 65.0 ft 3 Ceiling height 8.0 ft heat/cool 4 Room dimensions 1.0 x 408.0 ft 5 Room area 408.0 ft' Ty Construction U-value Or I HTM I Area (ft� I Load I Area I Load number (Btuh/ft'-'F) (Btuh/ftp or perimeter (ft) (Btuh) or perimeter Heat Cool Gross NIP/S Heat Cool Gross N/P/S Heat Cool 6 V�J 12D-0sw 0.086 n 5.93 1.46 0 0 0 0 L-G 2 glazing,Gr outr, 0.310 n 21.39 6.70 0 0 0 0 12F-0sw 0.065 n 4.48 0.83 168 117 525 97 11 2 glazing,clr outr,, 0.310 n 21.39 6.70 30 0 642 201 0.360 n 24.84 8.64 21 21 522 181 w 12F-0sw 0.065 a 4.48 O.B3 184 184 825 153 w 12D-0sw 0.086 s 5.93 1.46 0 0 0 0 w 12D-0sw 0.086 s 5.93 1.46 0 0 0 0 w 12F-0sw 0.065 s 4.48 0.83 168 168 753 140 w 1213-0sw 0.086 w 5.93 1.46 0 0 0 0 C C part ceilino. 0.257 17.70 12.19 0 0 0 0 C C part ceiling, 0.357 24.67 16.98 408 408 10064 6928 F 19C-19cscp 0.049 1.17 0.22 0 0 0 0 F 22A-cpl 0.989 68.24 0.00 408 65 4436 0 61 c)AED excursion 0 Envelope loss/gain 17767 7701 12 a) Infiltration 866 85 b) Room ventilation 0 0 13 Internal gains: Occupants @ 230 0 0 Appliances/other 0 Subtotal (lines 6 to 13) 18633 7786 Less external load 0 0 Less transfer 0 0 Redistribution 0 0 14 Subtotal 18633 7786 151 Duct loads 13% 22% 2337 1733 1 Total room load 1 i 1 209691 95201 I I 1 1 Air required (cfm) 412 409 Calculations_awroved by ACCA to meet all requirements of Manual 8th Ed i WTlgll#$Q ^ Right-Suite@ U niv ers all 8.0.18 RSU 15053 2013-Dec-1212:59:48 --" Project 1.rup Calc =MJ8 Front Door faces :SE Page Aw..k s*4.yard Load Short Form Job: Date: Oct 22,2013 /attic Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888.8359 Fax:(978)6574255 Email:cbergeron@sgtomce.com Project Information For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 Design Information Htg Clg Infiltration Outside db(°F) -1 88 Method Simplified Inside db(°F) 72 75 Construction quality Semi-tight Design TD CF) 73 13 Fireplaces 2(Semi-tight) Daily range - M Inside humidity(%) 50 50 Moisture difference(gr/Ib) 55 31 HEATING EQUIPMENT COOLING EQUIPMENT Make American Standard Make American Standard Trade GOLD ZM Trade ALLEGIANCE 13 Model AUH2B060A9V3VB* Cond 4A7A3024G1 AHRI ref 5722438 Coil 4TXCB025BC3 AHRI ref 5595566 Efficiency 97 AFUE Efficiency 12.0 EER, 14.5 SEER Heating input 60000 Btuh Sensible cooling 16240 Btuh Heating output 58000 Btuh Latent cooling 6960 Btuh Temperature rise 69 OF Total tooling 23200 Btuh Actual air flow 773 cfm Actual air flow 773 cfm Air flow factor 0.022 cfm/Btuh Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.89 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF OF) (Btuh) (Btuh) (cfm)4 (cfm) BEDROOM 2 281 5206 3410 113 154 BATH 2 56 858 152 19 7 W.I.C.2 32 72 39 2 2 BEDROOM 3 246 4615 1951 101 88 BATH 3 59 1631 702 36 32 W.I.C.3 46 561 107 - 12 5 LAUNDRY 97 2006 1374 44 62 BATH 4 91 1109 673 24 30 W.I.C. 1 104 966 210 21 9 BEDROOM 4 230 5442 2743 119 124 MASTER BEDROOM 428 7378 3932 161 177 MASTER BATH 208 3561 1372 78 62 HALLWAY 120 2075 468 45 21 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. i wri htSO t" 2013-Oct-2215:06:26 Right-Suited Universal 2013 13.0.04 RSU17410 AC ...Forrestall-13 MollPage 2 y Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Project Summary Job: Date: Oct 22,2013 Attic Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657-4255 Email:cbergeron@sgtonice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover,MA 01845 Notes: 1)Distributor is not responsible for the accuracy of the load calculation if inaccurate/incomplete construction information is provided by the dealer. 2) It is the sole responsibility of the dealer to ensure that the duct system is adequately sized for the airflow capacity of the specified equipment. Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Summer Design Conditions Outside db -1 OF Outside db 88 OF Inside db 72 OF Inside db 75 OF Design TD 73 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 31 grAb Heating Summary Sensible Cooling Equipment Load Sizing Structure 29893 Btuh Structure 15442 Btuh Ducts 5586 Btuh Ducts 1690 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 35479 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 15899 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 2(Semi-tight) Structure 866 Btuh Ducts 1146 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ftp 1997 1997 Equipment latent load 2012 Btuh Volume(ft) 17971 17971 Air changes/hour 0.29 0.14 Equipment total load 17911 Btuh Equiv.AVF(cfm) 88 41 Req.total capacity at 0.70 SHR 1.9 ton Heating Equipment Summary Cooling Equipment Summary Make American Standard Make American Standard Trade GOLD ZM Trade ALLEGIANCE 13 Model AUH2B060A9V3VB* Cond 4A7A3024G1 AHRI ref 5722438 Coil 4TXCB025BC3 AHRI ref 5595566 Efficiency 97 AFUE Efficiency 12.0 EER, 14.5 SEER Heating input 60000 Btuh Sensible cooling 16240 Btuh Heating output 58000 Btuh Latent cooling 6960 Btuh Temperature rise 69 OF Total cooling 23200 Btuh Actual air flow 773 cfm Actual air flow 773 cfm Air flow factor 0.022 cfm/Btuh Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.89 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. C * wri hltsoft' 2013-Oct-221.5:06:26 9 Right-Suite®Universal 2013 13.0.04 RSU17410 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Page 2 Component Constructions Job. Atl/d17 Date: Oct 22,2013 Attic Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657-4255 Email:cbergeron@sgtorrice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 Design Conditio*hs Location: Indoor: Heating Cooling Lawrence Muni, MA,US Indoor temperature(°F) 72 75 Elevation: 151 ft Design TD(°F) 73 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(grAb) 54.6 31.2 Dry bulb(°F) -1 88 Infiltration: Dailyrange(°F) - 18 ( M ) Method Simplified Wetbulb(°F) - 73 Construction quality Semi-tight Wind speed (mph) 15.0 7.5 Fireplaces 2(Semi-tight) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain ft Btuhlft'--'F 11-°F/Btuh Btuh/t Btuh Btuhtt' Btuh Walls 1217-0sw:Frm wall,vnl ext,3/8"wood shth,r-21 cav ins,1/2"gypsum n 375 0.065 21.0 4.72 1770 0.91 340 board int fnsh,2"x6"wood frm a 460 0.065 21.0 4.72 2171 0.91 417 s 39D 0.065 21.0 4.72 1840 0.91 354 sw 54 0.065 21.0 4.72 257 0.91 49 W 203 0.065 21.0 4.72 956 0.91 184 nw 54 0.065 21.0 4.72 257 0.91 49 all 1536 0.065 21.0 4.72 7250 0.91 1393 Partitions 12C-Osw:Frm wall,stucco ext,r-13 cav ins,2"x4"wood frm 431 0.091 13.0 6.61 2844 0.93 402 Windows 2 glazing,clr outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4" n 30 0.320 0 23.2 697 10.8 323 gap,1/8"thk:2 glazing,cir outr,air gas,insulated vinyl frm mat,clr a 89 0.320 0 23.2 2068 36.9 3285 low-e innr,1/4"gap,1/8"thk s 15 0.320 0 23.2 348 19.5 293 sw 28 0.320 0 23.2 658 32.3 914 W 90 0.320 0 23.2 2091 36.9 3322 nw 28 0.320 0 23.2 658 25.5 721 all 281 0.320 0 23.2 6520 31.6 8858 Doors 11AO:Door,wd he type n 74 0.470 0 34.1 2508 11.8 869 Ceilings 16B-38ad:Attic ceiling,asphalt shingles roof mat,r-38 ceil ins,1/2" 1997 0.026 38.0 1.89 3769 .1.26 2526 gypsum board int fnsh Floors (none) �. wrlighftoft° Right-Suite®universal 201313.0.04 RSU17410 2013-Oct-22 15:06:26 AC Page 5 ...Forrestal)-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Attic Unit d 1997 35479 17132 773 773 Other equip loads 0 0 Equip. @ 0.93 RSM 15899 Latent cooling 2012 TOTALS 1997 I 35479 17911 I 773 I 773 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. +wrightsoft' Right-Suite®Universal 2013 13A04 RSU17410 2013-Oct-22 15:06:26Page 3 Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-31 roof ins,r-30 veil 71 0.032 30.0 2.32 165 1.56 111 ins 16B-38ad:Attic ceiling,asphalt shingles roof mat,r-38 veil ins,1/2" 233 0.026 38.0 1.89 439 1.26 294 gypsum board int fnsh Floors 19A-30bvhp:Fir floor,frm fir,6"thkns,hrd wd fir fish,r-30 cav ins, 2300 0.034 30.0 2.07 4765 0.37 840 leaky bsmt ovr wri htSO fti 2013-Oct-22 15:06:26 � Rigtlt-Suite®Universal 201313.0.04 RSU17410 Page4 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Ceilings 16B-30ad:Attic ceiling,asphalt shingles roof mat,r-31 roof ins,r-30 ceil 71 0.032 30.0 2.32 165 1.56 111 Ins 166-38ad:Attic ceiling,asphalt shingles roof mat,r-38 ceil ins,1/2" 2254 0.026 38.0 1.87 4208 1.25 2820 gypsum board int fnsh Floors 19A-30bvhp:Fir floor,frm fir,6"thkns,hrd wd flr fish,r-30 cav ins, 2300 0.034 30.0 2.07 4765 0.37 840 leaky bsmt ovr wri ht$Of' 2013-Oct-2215:06:26 Right-Suite®Universa1201313.0.04 RSU17410 AiC& ...Forrestall-1 3 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Paget Paae 1 of 2 :�C Search i Ar you a ataniRacasKl l�.�,_ 4ii—e Q\avy E.:vt '),z*a`a.:t•"i i?:i,stiM:T1':Y`lQ lws.Yal- A.IMrc.2cs*d a.T�,rZftt*Ur Ot R.k*AC a.-:tP fc r. est LM:xss``4Ter+..�a.•Cva'tp,a anC azs�a d cs0.l+:lit i�'R+sA My A."sWi Ya4s4 n!Y t�dB:«+6.11 M t`e k�73tih`n F71sas rchc M.tx nun��a:tulry ero a% C rn msec Av accet sae-•np ct r,ff cal aK C� nd�r cema�*!'St TtM CCr'N M=rV-a wa vA'7 w•:.t P.�er.t:.t..+'.\' !�Kt.4}iv�1 e J6,C to N 3 Lives Ly I y,Y#�r1Vw!tO�l�.rOct dstM+CH1 pti F{�W71 Ttxte Ca-•+`•a�*�'^taS�`snts w*t Dlt�nt'•!M of Ene.r sta�xlarl ha:a Clel cordenf lr tt.V eh esee���1��W�t�I�Z y`-xrta•ee4! 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GS]t] MAL FA`TURI% 0SX0015tE• CA•Ft62a'!G'•EEP 6.0 ONIE M"ASF CGt�9tSiOSaNG A`t0 HEIITA'Ct. i ENERGI AIR NewdltplaylOO laCOrds 1.1 Ott l041 . - .. .....F-•FICC=LstltlLim,an�rceri IL.Y^s^ `+ Ceetf ainA HahyAeaneA lncetAe AXr9h%Its0ra Ccpftgtrt ONt t An•CWUO +a.tlsay 1 Generated by CamScanner from intsig.com N Second Flool BATH 3 BEDROOM 3 k-1 MASTER MASTER BATH W.I.C. ] BATH 4 LAUNDRY W.I.C. ATTIC STAIR F� 1 .I.C. 2 BATH 2 HALLWAY (� CL. r� MASTER BEDROOM BEDROOM 4 UPPER FOYER BEDROOM 2 Job#: S.G. Torrice Co. Scale: 1 : 102 Performed by Christopher Bergeron for: Page 2 T Robert Forrestal) 80 Industrial Way 9ghtSuiteO Universal 2013 13 Molly Towne Road Wilmington,MA 01887 13.0.04 RSU17410 North Andover,MA 01845 Phone:(800)888-8359 Fax:(978)657-4255 2013-Oct-2215:06:38 cbergeron@sgtorrice.com ...olly Towne Rd,North Andover.rup Project Summary Job: Date: Oct 22,2013 Enure House By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657.4255 Email:cbergemn@sgtomce.com Project • • For: Robert J.Forrestal[ 13 Molly Towne Road, North Andover, MA 01845 Notes: 1)Distributor is not responsible for the accuracy of the load calculation if inaccurate/incomplete construction information is provided by the dealer. 2)It is the sole responsibility of the dealer to ensure that the duct system is adequately sized for the airflow capacity of the specified equipment. Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Summer Design Conditions Outside db -1 OF Outside db 88 OF Inside db 72 OF Inside db 75 OF Design TD 73 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 31 grAb Heating Summary Sensible Cooling Equipment Load Sizing Structure 63766 Btuh Structure 39010 Btuh Ducts 14066 Btuh Ducts 4226 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh . Equipment load 77832 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 40124 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 2(Semi-tight) Structure 2865 Btuh Ducts 2811 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ftp 4297 4297 Equipment latent load 5675 Btuh Volume(fts) 40766 40766 Air changes/hour 0.28 0.13 Equipment total load 45799 Btuh Equiv.AVF(cfm) 190 88 Req.total capacity at 0.70 SHR 4.8 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating Input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. AZL. wri htSOf ' 2013-Oct-2215:06:26 Right-Suite@ universal 201313.0.04 RSU17410 Page 1 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Component Constructions Job: N[4tk4 , All FOh O�SP•f•,1[. Date: Oct 22,2013 Basement Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657-4255 Email:cbergeron@sgtonice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road,North Andover, MA 01845 Design Conditions Location: Indoor: Heating Cooling Lawrence Muni,MA, US Indoor temperature72 75 ( �O Elevation: 151 ft Design TD(°F) 73 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 54.6 31.2 Dry bulb(°F) -1 88 Infiltration: Dailyrange(PF) - 18 ( M ) Method Simplified Wetbulb(°F) - 73 Construction quality Semi-tight Wind speed (mph) 15.0 7.5 Fireplaces 2(Semi-tight) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain fF Btuh/W-°F fF-°F/Btuh Btuh/lf Btuh Btuhff Btuh Walls 12F-Osw:Frm wall,vnl ext,3/8"wood shth,r-21 cav ins,1/2"gypsum n 360 0.065 21.0 4.72 1699 0.91 326 board int fnsh,2'x6"wood frm a 405 0.065 21.0 4.72 1911 0.91 367 s 360 0.065 21.0 4.72 1699 0.91 326 sw 52 0.065 21.0 4.72 243 0.91 47 w 378 0.065 21.0 4.72 1783 0.91 343 nw 52 0.065 21.0 4.72 243 0.91 47 all 1606 0.065 21.0 4.72 7579 0.91 1456 Partitions (none) Windows 2 glazing,cir outr,air gas,insulated vinyl frm mat,cir low-e innr,1/4" n 45 0.320 0 23.2 1045 10.8 485 gap,1/8"thk:2 glazing,cir outr,air gas,insulated vinyl frm mat,clr a 42 0.320 0 23.2 976 36.9 1550 low-e innr,1/4"gap,1/8"thk s 45 0.320 0 23.2 1045 19.5 879 sw 31 0.320 0 23.2 724 32.3 1006 w 158 0.320 0 23.2 3659 36.9 5813 nw 31 0.320 0 23.2 724 25.5 793 all 352 0.320 0 23.2 8174 29.9 10526 10D-v:2 glazing,clr outr,air gas,insulated vinyl frm mat,clr low-e innr, a 84 0.490 0 35.6 2988 8.66 727 1/4"gap,1/8"thk;12 ft overhang(7 ft window ht,2 ft sep.) 2 glazing,cir outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4" a 18 0.320 0 23.2 418 10.8 194 gap, 1/8"thk:2 glazing,clr outr,air gas,insulated vinyl frm mat,cir low-e innr,1/4"gap,1/8"thk;12 ft overhang(3 ft window ht,2 ft sep.) 2 glazing,clr outr,air gas,insulated vinyl frm mat,cir low-e innr,1/4" w 15 0.320 0 23.2 352 32.4 492 gap, 1/8"thk:2 glazing,Gr outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4"gap,1/8"thk;4 ft overhang(7 ft window ht,2 ft sep.) Doors 11JO:Door,mtl fbrgl type w 21 0.600 6.3 43.6 915 15.1 317 wri ht$Oft' 2013-Oct-2215:06:26 Right-Suite®Universal 201313.0,04RSU17410 JC(>- .-Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Page .S&#*&+d Component Constructions Job: Date: Oct 22,2013 Entire House By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)6574255 Email:cbergeron@sgtorrice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 D- • • • o Location: Indoor: Heating Cooling Lawrence Muni, MA, US Indoor temperature(°F) 72 75 Elevation: 151 ft Design TD(@F) 73 13 Latitude: 430N Relative humidity(%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 54.6 31.2 Dry bulb(°F) -1 88 Infiltration: Dailyrange(°F) - 18 ( M ) Method Simplified WetbulbCF) - 73 Construction quality Semi-tight Wind speed (mph) 15.0 7.5 Fireplaces 2(Semi-tight) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain fl' Btu M-°F fP-°F/Btuh Btuh/ft' Btuh Bhrh/ft' Btuh Walls 12F-Osw:Frm wail,vnl ext,3/8"wood shth,r-21 cav ins,1/2"gypsum n 735 0.065 21.0 4.72 3468 0.91 666 board int fnsh,2"x6"wood frm a 865 0.065 21.0 4.72 4082 0.91 784 s 750 0.065 21.0 4.72 3539 0.91 680 sw 106 0.065 21.0 4.72 500 0.91 96 w 580 0.065 21.0 4.72 2739 0.91 526 nw 106 0.065 21.0 4.72 500 0.91 96 all 3142 0.065 21.0 4.72 14828 0.91 2849 Partitions 12C-Osw:Frm wall,stucco ext,r-13 cav ins,2"x4"wood frm 431 0.091 13.0 6.61 2844 0.93 402 Windows 2 glazing,clr outr,air gas,insulated vinyl frm mat,cir low-e innr,1/4" n 75' 0.320 0 23.2 1742 10.8 808 gap,1/8"thk:2 glazing,cir outr,air gas,insulated vinyl frm mat,clr a 131 0.320 0 23.2 ' 3043 36.9 4835 low-e innr,1/4"gap,1/8"thk 5 60 0.320 0 23.2 1394 19.5 1172 sw 60 0.320 0 23.2 1382 32.3 1920 w 248 0.320 0 23.2 5750 36.9 9135 nw, 60 0.320 0 23.2 1382 25.5 1515 all 633 0.320 0 23.2 14694 30.6 19384 1 OD-v:2 glazing,clr outr,air gas,insulated vinyl frm mat,cir low-e innr, a 84 0.490 0 35.6 2988 8.66 727 1/4"gap,1/8"thk;12 ft overhang(7 ft window ht,2 ft sep.) 2 glazing,cir outr,air gas,insulated vinyl frm mat,cir low-e innr,1/4" a 18 0.320 0 23.2 418 10.8 194 gap,1/8"thk:2 glazing,cir outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4"gap,1/8"thk;12 ft overhang(3 ft window ht,2 ft sep.) 2 glazing,clr outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4" w 15 0.320 0 23.2 352 32.4 492 gap,1/8"thk:2 glazing,cir outr,air gas,insulated vinyl frm mat,clr low-e innr,1/4"gap,1/8"thk;4 ft overhang(7 ft window ht,2 ft sep.) Doors 11 JO:Door,mtl fbrgl type w 21 0.600 6.3 43.6 915 15.1 317 11AO:Door,wd he type n 74 0.470 0 34.1 2508 11.8 869 �,yr� # 2013-Oct-2215:06:26 Right-Suite®Universal 2013 13.0.04 RSU17410 Page 1 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N N First Floo t7 DECK SCREEN DECk PORCH BATH 1 DINING ROOM KITCHEN BUTLER PAN Y FAMILY ROOM STUDY FOYER LIVING ROOM Job#: S.G. Torrice Co. Scale: 1 : 102 Performed by Christopher Bergeron for: Page 1 Robert J. Forrestall 80 Industrial Way RightSuite®Universal 2013 13 Molly Towne Road Wilmington,MA 01887 13.0.04 RSU17410 North Andover,MA 01845 Phone:(800)888-8359 Fax:(978)657-4255 2013-Oct-2215:06:38 cbergeron@sgtorrice.com ...oily Towne Rd,North Andover.rup Aiuiw S>"wa4wd Project Summary Job: Date: Oct 22,2013 YC6AiYg. 4 •H. 47NDT4YrN4 Basement Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657-4255 Email:cbergeron@sgtorrice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 Notes: 1)Distributor is not responsible for the accuracy of the load calculation if inaccuratefincomplete construction information is provided by the dealer. 2) It is the sole responsibility of the dealer to ensure that the duct system is adequately sized for the airflow capacity of the specified equipment. Design Information Weather: Lawrence Muni, MA, US Winter Design Conditions Summer Design Conditions Outside db -1 OF Outside db 88 OF Inside db 72 OF Inside db 75 OF Design TD 73 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 31 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 33872 Btuh Structure 23569 Btuh Ducts 8481 Btuh Ducts 2536 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 42353 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 24225 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 2(Semi-tight) Structure 1999 Btuh Ducts 1664 Btuh Heating CoolingCentral vent(0 cfm) 0 Btuh Area(ftp 2300 2300 Equipment latent load 3663 Btuh Volume(ftp 22795 22795 Air changes/hour 0.27 0.12 Equipment total load 27888 Btuh Equiv.AVF(cfm) 102 47 Req.total capacity at 0.70 SHR 2.9 ton Heating Equipment Summary Cooling Equipment Summary Make American Standard Make American Standard Trade GOLD ZM Trade ALLEGIANCE 13 Model AUH2B060A9V3VB" Cond 4A7A3036A1 AHRI ref 5722438 Coil 4TXCB036BC3 AHRI ref 1305730 Efficiency 97 AFUE Efficiency 11.4 EER, 13.5 SEER Heating input 60000 Btuh Sensible cooling 24640 Btuh Heating output 58000 Btuh Latent cooling 10560 Btuh Temperature rise 45 OF Total cooling 35200 Btuh Actual air flow 1173 cfm Actual air flow 1173 cfm Air flow factor 0.028 cfm/Btuh Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.88 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. IA:. writ Ih1tSOft' 2013-Oct-2215:06:26 Right-SuiteC�)Universal 201313.0.04 RSU17410 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Page 3 v sAu Load Short Form Job: Date: Oct 22,2013 Basement Unit By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657.4255 Email:cbergeron@sgtorrice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 Design Information Htg Clg Infiltration Outside db(°F) -1 88 Method Simplified Inside db(°F) 72 75 Construction quality Semi-tight Design TD(°F) 73 13 Fireplaces 2(Semi-tight) Daily range - M Inside humidity(%) 50 50 Moisture difference(gr/Ib) 55 31 HEATING EQUIPMENT COOLING EQUIPMENT Make American Standard Make American Standard Trade GOLD ZM Trade ALLEGIANCE 13 Model AUH2B060A9V3VB* Cond 4A7A3036A1 AHRI ref 5722438 Coil 4TXCB036BC3 AHRI ref 1305730 Efficiency 97 AFUE Efficiency 11.4 EER, 13.5 SEER Heating input 60000 Btuh Sensible cooling 24640 Btuh Heating output 58000 Btuh Latent cooling 10560 Btuh Temperature rise 45 OF Total cooling 35200 Btuh Actual air flow 1173 cfm Actual air flow 1173 cfm Air flow factor 0.028 cfm/Btuh Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.88 ROOM NAME Area Htg load Clg load Htg AVF Cig AVF OF) (Btuh) (Btuh) (cfm) (cfm) FAMILY ROOM 620 12785 6592 354 296 STUDY 255 3519 3242 97 146 !� KITCHEN 408 5467 3342 151 150 , FOYER 233 6485 4393 180 197 - BUTLER PANTRY 98 328 80 9 4 BATH 1 59 1732 717 48 32 DINING ROOM 290 5121 1941 142 87 ' LIVING ROOM 339 6915 5797 192 261 �....� Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ,k;, wri htsoft` 2013-Oct-2215:06:26 9 Right-Suite®Universa1201313.0.04RSU17410 ...Forrestall-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Page Aw&.m Sfuidwd Load Short Form Job: Date: Oct 22,2013 Entire House By: Christopher Bergeron S.G. Torrice Co. 80 Industrial Way,Wilmington,MA 01887 Phone:(800)888-8359 Fax:(978)657-4255 Email:cbergeron@sgtorrice.com Project • • For: Robert J. Forrestall 13 Molly Towne Road, North Andover, MA 01845 Design Information Htg Clg Infiltration Outside db(0F) -1 88 Method Simplified Inside db(°F) 72 75 Construction quality Semi-tight Design TD(°F) 73 13 Fireplaces 2(Semi-tight) Daily range - M Inside humidity(%) 50 50 Moisture difference(gr/Ib) 55 31 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Cig load Htg AVF Clg AVF (ft?) (Btuh) (Btuh) (cfm) (cfm) Basement Unit d 2300 42353 26105 1173 1173 Attic Unit d 1997 35479 17132 773 773 (Unconditioned) p 25 0 0 0 0 Entire House d 4322 77832 43237 1946 1946 Other equip loads 0 0 Equip. @ 0.93 RSM 40124 Latent cooling 5675 TOTALS I 4322 I 77832 I 45799 I 1946 I 1946 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. WT1ght50}tF'E" Right-Suite® 2013-Oct-22 15:06:26Universa1201313.0.04RSU17410 Pagel ...Forrestal)-13 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Doorfaces: N Basement Unit d 2300 42353 26105 1173 1173 Other equip loads 0 0 Equip. @ 0.93 RSM 24225 Latent cooling 3663 TOTALS I 2300 42353 I 27888 11 1173 1173 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. l Ik ri htsoft` 2013-Oct-2215:06:26 Right-Suite®Universa1201313.0.04 RSU17410 ...Forrestall-1 3 Molly Towne Rd,North Andover.rup Calc=MJ8 Front Door faces: N Pages V/19/2014 17: 17 19784589031 ROY INS/REAL ESTATE #0611 P. 001/001 R� CERTIFI TE OF LIABILITY INSURANCE CATE(MMID1Y""Y' 2/19/14 THIS CERTIFICATE IS ISSUED AS A MATTER F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OF NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE RTIFICATE HOLDER. IMPORTANT: If the certificate holder is an AD =N&INSURED,the policy(ies) must be endorsed. If SUBROGA71ON IS WAIVED,subject to the terms and conditions of the policy,certain I Holes may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreemen e PRODUCER RARTFT Wendy A Roy Roy Insurance Agency PHONE 978 453-8705 rix (998f a58-9031 66 Willard Street Lowell, MX 01850 Nlhs: wroy9l7l@comeast.net INSUREIgSIAFFORDINGCOVERAGE NAIL R INSURERA:Commerce Insurance MA INSURED — INSURER a: Robert J Forrestall DBA INSURERC: Robert J S'orrestall Htg 6 A/C INSURER D: , 36 Monadnock Avenue INSURER E: Dracut, MA 01826-3708 INSURER F: COVERAGES CERTIFICAT NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSUI ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM®ABOVE FOR THF POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREME IT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOPINSURANCE POLICY TBER MI�OrY LIMITS A GENERALLIABILITY ZV0791 8/8/13 0/8/14EACH OCCURRENCE $ 500,000 X COMMERCIAL GE NERAL LIABILITY F139MIS 23DAMA t"NT'ED 6 100 9 000 CLAIMS-MADE ❑X OCCUR MEDEv(Ary ore erson) $ 5 000 _ PERSONALAAAVIN,IURY $ 500 OQ GENERAL AGGREGATE $ 1,000,000 tLAGGREGATELIMITAPPLIESPER PRODUCTS-COMPIOPAGO $ 1 000 000 OLICY PRt} LOC $ AUTOMOBILE LIABILITY 9 ecci rA ANYAUM BODILY INJURY(Per pereon) $ ALLOWN'D SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS pR +IMAGE $ HIREDAUTOS _AUTNONOS erecci ern $ UMBREWILIA13 OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGRI GATE $ PEP RETENTION YNWRKERS COMPENSATION WC STATII 0TH• AND EMPLOYERS'LIABILITY Y/N T � ANY PROPRIEIOR/PARTNER(EXECUTNE E.L.EAretl AGGIDENr OFFICER/MEMBER EXCLUDED? N I A (Marleatory In NH) E.L.DISEASE-EA EMPLOYEE If Yyea datuibaunder 0ES�RIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT DESCRIPTION OF OPERATION&1 LOCATIONS/VEHICLES (Attach CORD 101,Additional Rermd us Sehedvle,It more space le reQu red) HVAC Systems CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M Town of Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street Andover, MA 01845 AUTHORIZED RE SENTATN q - _ ,RoyInsurance - 0 19$ ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The AZORD name and logo are registered marks of ACORD Phone: Fax: (978) 688-9542 E-Mail: Date.. /Q .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........................................................................................................................... has permission to perform ....Vr wiring in the building,of.... ........(I ...... e........................ 3 North Andover,Mass. ath Fee...b..5 -....Lic.Noi?y4Flqz EARALINSPI"ECrOW Check It Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. I1/c1 1i BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy 7and Fee Checked " (leave 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 ININK OR TYPE ALL INFORMATION) Date: Z -5 i 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) l O-T 1� 1 O I I 10 �62-JQ, F='k 628 Owner or Tenant Ci,� 0-09 1 ( �„�1�,-t-y�,t c�-�r j Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Owe— Utility Authorization No. 163 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service ,4M Amps -,;tO / .2 4Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I,.� 1 rLl N U e f eU vY✓j. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ iNo.of Emergency Lighting rnd. grnd. Battery Units c 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 No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: " """"'""'""" """"""......'"'"'"""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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 Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the pains rind penalties of per'ury,that the inforntatio o tliis application is true and complete. FIRM NAME: . �*-1 1 C7V c ) LTC.NO.:cQ 3 S9 Licensee: kk„I 9�3 IYU c Lt`v Signature .-- LTC.NO.�-q A 9 (Ifapplicable,enter "exempt"in the license number-lin Bus.Tel.No. . - 9/ Address: ,u Alt.Tel.No. *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 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: $ 5 Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c. 143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the . notification of completion of the work as required in M.G.L.c.143,§3L. x Permits shall be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass N Failed Re-Inspection Required($.)❑ Inspectors Comments: R Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspecto s Signature: Date: ROUGH SPECTION: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comme Inspectors Sig tures Date: FINAL INSPECTI Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com . ' The Commonwealth of Massachusetts Department of IndustrialAccidints Office of Investigations u4p 600 Washington Street Boston,MA. 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriciansfrIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): � Address: rjb t�QO L-�) City/State/Zip: -*&J Phone#: of Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have lured the sub-contractors 2.6 I am a sole proprietor or partner- listed on the attached sheet. F1 Remodeling ship and'have no employees These sub-contractors have 8. [❑Demolition working for me in any capacity. workers' comp.insurance. g E]Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' comp.insurance required.] 13.[i Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they tie 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 requireclunder 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 DTA for insurance coverage verification. Ido hereby cert' un er the ns and penalties ofperjury that the information provided above is true and correct. At Simature: Date: Phone z/ 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#: b t Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not producedacceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tho Commonwealth,ofMassachvsPtts Department of Industdal Accidents Office of Investigations 600 Washington Street Boston,MA,02111 Tel,#617-727-4900 oxt 406 or 1-877-M4SS.AFE Revised 5-26-05 Fax 0 617-727-7749 ww.mass,gov1dia �S S COMMONWEALTH OF M455iXCHUSETTS j t ELECTRICIANS . REGISTERED. MASTER ELECTRICIAN ISSUES THE ABOVE LICENSE TO: F KENNETH J DIGUILIO I 1 50 OAKMEADOW LN METHUEN MA 01844-7408 609MR 07/31/13 880278 r� �7 D ate.f �.�1/. ....... NonTN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 44 `p3,�CMUSE This certifies that......MC kd.... . has ssi permion to perform......... P,•J1/ c . ........................................................................ plumbing in the buildings of.. ..�P o�� `rtiS�reu R7�7 ti.. at...... - ...M64 .�`.^j....,./ a e�/j� North Andover, Mass. FeeQ.. `� ....Lic. No. � /.5� :"................................................................ PLUMBING INSPECTOR Check# r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK \,NOW . 4p 'I � I I CITY __ MA DATE / ( PERMIT# JOBSITE ADDRESS OWNER'S NAME POWNER ADDRESS TEL= FAX _ TYPE OR OCCUPANCY TYPE COMMERCIAL DI EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: Eff", RENOVATION:© REPLACEMENT: Ell PLANS SUBMITTED: YES 0 NODI. FIXTURES"I FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB =1 ! CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM J __.._ I _I ! _j DEDICATED GAS/OILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER ! .-__.._J __] .__..._J DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREADRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK -----_i I_-___f ..__.._ I I__-___..I —.-- i --_.__J __j LAVATORY _! _ _! 7 ! � __._._.1 _._._� J ..__J I 1 f I _€ ROOF DRAIN ! __. J _.^I ! _J _I f ._.. 1 _._J __._. f _ -J _j SHOWER STALL SERVICE/MOP SINK _.1 __._l __.__1 ___! _ f TOILET I _-- _ 1 I _ ._ _� 1 .�_J _ s .— —► -- J __-- ._.J URINAL I j! —_j WASHING WASHING MACHINE CONNECTION WATER HEATER ALL TYPES I ( _ { ; ! _J .__! _ I WATER PIPING - - _ OTHER i — INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES` NO 0 IF YOU CHECKED YES,PLEASE INDICATE THH PE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOWLIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITYI BOND0_! 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. 5 CHECK ONE ONLY: OWNER Q AGENT I© 1I 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 S and that all plumbing work and installations performed under the permit issued for this application will be in compliance withall ertinen on of the 2 Massachusetts State Plumbing Code and Chapthe General Laws. PLUMBER'S NAME ter 4 f LICENSE# SIGNATURE MP Dw, JP© CORPORATIONFIJ#©PARTNERSHIP D# ;LLC COMPANY NAME ADDRESS N CITY STATE ZIP TEL 3 FAX j CELL -�EMAIL j ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTIONNOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES ti v' The Commonwealth of Massachusetts Department of IndustrialAccidinls Office of Investigations VV 600 Washington Street Boston,MA 02111 www mass gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): Address: City/State/Zip IV a73_0 Phone#: Are yo an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.# E]Remodeling 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 required.] officers have exercised their 10.❑Electrical repairs or additions 3111 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.0 Roofrepairs insurance required.]t employees. [No workers' comp.insurance required.] 13.[i Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors 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 employer that 1s providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert u eY the p ins nd penaI o Yjury that the information provided above is true and correct Signature:/I �`�' Date: Phone#: (C 1 8T7/ 7 ^ `� �/ Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth ofMossachusetts Department of1ndustdal.A.ccideats office of Investigations 600 Washington Street Boston,MA.02111 Tel.#617-727-4900 Qxt 406 or 1-877,7"S.A.FB Revised 5-26-05 Fax#617-727-7749 www-mass,gov/dza f .COMMONWEALTH:OF MASSACHUS ®.lkuMflil •-. dBERS AND GASFl I I ERS Y LIOEI S DAS /d:PJiASTER PLUMBER i r ISSUES THE ABOVE LICENSE TO.- 1 C'H A F.L O:1C'HAF.L W KE'LL, ER ! ?0' KENN-EDY DR u, i i PL:'LHAM Nf;.. to st7iG—?GD5 ti 151j57 a J.1 '1.4 :. .i:7G161 nfm p Date..... 3...... . ....... ponrM TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION . 0 .� 8$�cMus� / /f This certifies that ..... ."!...!. ... ?.°- -�.........,/, 2 1/P K, ........... ...................................... has permission for gas '�stallation ........./. e.n!......�..l.l!YrtA.. ............... �� ��o/Ir in the buildings of........................................................ �s '^"' ��l �3, North Andover, Mass. at... ? ........................................{.... Fee....................... Lic. No. ../.5/'�..Z. 4 GASINSPECTOR Check# ZIP MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE 4 PERMIT# �P JOBSITE ADDRESS� � i� OWNER'S NAME E OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY PE COMMERCIAL© EDUCATIONAL RESIDENTIAL ffK PRINT CLEARLY NEW: RENOVATION:D REPLACEMENT:® PLANS SUBMITTED: YES 0 N 0 F-J APPLIANCES 1 FLOORS- BSM' 1 2 3 4 5 6 7 1 8 9 to 11 12 13 14 BOILER I a I E . _ == BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR = FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS ( z T MAKEUP AIR UNIT OVEN POOL HEATER { ROOM/SPACE HEATER _ ROOF TOP UNIT TEST y I —J -- _ _ I. - -I UNIT HEATER �I UNVENTED ROOM HEATER ( - VVATER HEATER t dTHER�^ - - INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL.Ch.142 YES I_ NO D IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERA Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY D BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [D AGENT 0 SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information 1 have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertine rovi o Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-G FITTER NAME LICENSE#IV / SIGNATURE MP U MGF EI JP JGF LPGI© CORPORATION Q# PARTNERSHIP 0#=LLC D# COMPANY NAME, ADDRESS _ CITY ,L STATE ZMZIP TF- FAX E FAX CELL�� IL^ _ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTIO �NOTES �fQ55 ! ?�j"tV Yes No �' I ��� b ' T��� THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ P FEE: $ PERMIT# PLAN REVIEW NOTES i 5 11z 1 `'roravwAu.,ndDEP FILE#242-1296 B A 4'ss/ ',.�yxvm•v4tpTDH-1eA.w '\I 1 Is i l T i I MATCH LINE ILI 12•RCPpMIN SEE SHEET 2 -A / t�ij81 Iu�ilt�lmvT nw-mass N ~q �� ``+ S`� 'A'' / 1 I nry lYour-z6t.eT Irry lr lx-m1�e(cs,B) �,e, '0•e I REIMANBF Ip�j�/ I�11I BNfzw-mist(cs„) ^"•n ,p, 1R "Atu„]� a i 11'� xaraauMR-__Ial �1Y` ii1i� 4iiL0r�12RPAjG _ . tee° / wINMvfl-rmosu.vre.m,.w u«sNarw pw _______ NORTH.- 1. 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