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Miscellaneous - 80 GREAT POND ROAD 4/30/2018
9 F s Date................................................ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �-C�r i S/ ...................... ...........................1 ,... ........................... This certifies that .. . has permission for ga inst llation ............................................................. in the buildings of. .�.. 1 -*`1- � . . .............................................................. at...d..e...........�a?.-.�...4� � .�..�.., NorthAndover, Mass. Fee`................ Lic. No. ..................................................................... GAS INSPECTOR Check # i L; 2 61 INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER - I —I �i ROOM / SPACE HEATER ROOFTOP UNIT TEST ! 1- L 1 - ._I > --.- - _ I J. I UNIT HEATERS UNVE TED ROOM HEATER s_- j __. j _ i_ _ J' WAT--A HEATER OTIC; .T ...... _ I _ INSURANCE COVERAGE have a current liability insurance policy or its substantial equivale rwhich meets the requirements of MOL. Ch. 142 YES NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERA Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER —I 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 knowI d and that all plumbing work and installations performed under the permit issued for this application will be in compli nce with al a 'gent pr i ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLU7MGF SFITTER NAME �F� � z``=�„_._' LICENSE # lU SI U E MP I JP 0 JGF _I LPGI __I CORPORATION # PARTNERSHIP El# ------ LLC J# ® 0 © J1 ±1 COMPANY NAME: __.Z_=,.�2 ADDRESS CITY GJ _1 STATE /Ye ZIP �6 - ]TEL Sd C� FAXCELL^- ?EMAIL ^ _ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK I � GOWNER TYPE OR PRINT CLEARLY CITY � d�t"�T � MA DATE (7/- S�� /�' II PERMIT # JOBSITE ADDRESS I]�_&,J),J!LJOWNER'S NAME ADDRESS r, l TE F OCCUPANCY TYPE COMMERCIAL [ EDUCATIONAL ® RESIDENTIAL NEW: [l RENOVATION: E] REPLACEMENT: ® PLANS SUBMITTED: YES 0 NO _ APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE (I .. DIRECT VENT HEATER DRYER FIREPLACE._I 11--i -- s-1 . _ ... I I _ J _ J FRYOLATOR FURNACE GENERATOR (h I- l I C _. - _.. I I l GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER - I —I �i ROOM / SPACE HEATER ROOFTOP UNIT TEST ! 1- L 1 - ._I > --.- - _ I J. I UNIT HEATERS UNVE TED ROOM HEATER s_- j __. j _ i_ _ J' WAT--A HEATER OTIC; .T ...... _ I _ INSURANCE COVERAGE have a current liability insurance policy or its substantial equivale rwhich meets the requirements of MOL. Ch. 142 YES NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERA Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER —I 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 knowI d and that all plumbing work and installations performed under the permit issued for this application will be in compli nce with al a 'gent pr i ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLU7MGF SFITTER NAME �F� � z``=�„_._' LICENSE # lU SI U E MP I JP 0 JGF _I LPGI __I CORPORATION # PARTNERSHIP El# ------ LLC J# ® 0 © J1 ±1 COMPANY NAME: __.Z_=,.�2 ADDRESS CITY GJ _1 STATE /Ye ZIP �6 - ]TEL Sd C� FAXCELL^- ?EMAIL ^ _ Name Address: The Commonwealth of Massachusetts Department of InidustrialAccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Compensation Insurance Affidavit: Builders/Contractors/ElectriciansJPJWbers. TO BEFILEDWITHTBE PERNIITtNGAUTHORr9- City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 101 a employer with employees (full and/or pari time). 2-kywn a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself [No workers' comp. insurance required.] t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no euiployees. 5. ❑I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 6. ❑ We are a corporation and its, officers have exercised their right of exemption per MGL c. 152 §1(4) andwe have no employees. [No workers' comp. insurance required.] MIA Type of project ()required): 7. [1 Nd*'constriiction 8. [] Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.[] Electrical repairs or additions 1ZEJ.plumbing repairs or additions 13%[J Ro6frepairs 14.[r G S Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information: • Homeowners who submitthis 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 (hose entities have employees. If the sub contractors have employees, they must provide their workers' comp. policy number. compensation insurance for my employees. Below is the policy and job site X am an employer that is Providing -Workers information. Insurance Company Policy # or Self -ins. Lie. Expiration Date: City/State/Zip: Job Site Address: rs' compensation policy declaration page (showing the policy number and expiration. date). Attach a copy of the worke Failure to secure coverage as t, as ed under ild enalties?in the form of a25A is a aSS`I'OPnal Lolation punish WORK ORDER and a flue of up to $2able by a fifib up to 50.00 a and/or one-year imprisonment, as w P day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DTA. for insurance coverage verification. X do hereby certify under Iiepa' s andp na ties ofper" that the information provided above is true and, correct Date: Si ature: Phone #: in this area, to he completed by city or town officiaL official use only. Do not write 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 Phone Contact Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their enipldyees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of We, 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 receivbfdr trustee 6fan 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 b6 deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who: has not produced -acceptable evidence of compliance with the insurance coverage xequi'red." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter intp any contact for the performance of public work until acceptable evidence of compliance with the insurance r 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 certificaie(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 Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-NUSSAFE Fax # 617-727-7749 Revised 02-23-15 wwwmass.gov/dia Cunningham Lindsey U.S., Inc. P.O. Box 703689 Dallas, TX 75370-3689 Telephone (888) 738-8714 CLCAT@CL-NA.COM Facsimile (214) 488-6766 AUTO -3 -DIGIT 018 784 T3 P1 95000058974 Building Commissioner or Inspector of Buildings 120 MAIN STREET N ANDOVER, MA 01845 Cunninfiham ' l�Lindsey Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B 3053740 3053740 01 BAY STATE INSURANCE COMPANY ICE DAM 3/25/2015 JOSEPH & LESLIE DOHERTY & COSTELLO 80 GREAT POND RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 313: No insurer shall pay any claims (1) covering the loss, damage, or destructions to, a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Claim Number: Policy Number: Company Name: Cause of Loss: co LO C Date of Loss: Insured: 0 Property Location: Cunninfiham ' l�Lindsey Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B 3053740 3053740 01 BAY STATE INSURANCE COMPANY ICE DAM 3/25/2015 JOSEPH & LESLIE DOHERTY & COSTELLO 80 GREAT POND RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 313: No insurer shall pay any claims (1) covering the loss, damage, or destructions to, a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 Date........G- z7. ................................ �:% TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................./... ............... ....1 f ............................. has permission to perform ........,...,,1-;!,t e' I t ............................................................. wiring in the building of. TL { L C at .. <.:?....`/.'�fJ..i� �. / Chit ' / ............ �1 �� h? North Andover, Mass. J.. ..... . ................. f Fee ... .w7:7 %... .Lic. No. Mrd -�.f ..................al.! ��.... / .....: ..... ....... ....... . r L�LECTRICAL fNSPECTOR 1 Check # ! / y 5-� 11696 I Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. / U Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),7,( 7 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: ,Z 3 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) �(p �tf= - ��, ,� ti r.� Owner or Tenant �, C,I,� Telephone No. - 2.&3,"' Owner's Address Is this permit in conjunction with a building permit? Yes D�No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. !!r 2_ - Existing Service Amps / Volts New Service 'Zc>(,) Amps 1?.0/ i✓qyVolts Number of Feeders and Ampacity Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd Q—No. of Meters Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires C �, No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets LU No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. El In- El o. o mergency Lighting Batter Units No. of Receptacle Outlets S-0 No. of Oil Burners FIRE ALARMS No. of Zones No. of SwitchesNo. (� of Gas Burners 6 No. of Detection and Initiating Devices No. of Ranges ( No. of Air Cond. 2, Tons Tot No. of Alerting Devices No. of Waste Disposers p ( Heat Pump Totals: Number "' Tons '' "' ' ' " K '""" "'''" No. of Self -Contained Detection/Alerting Devices No. of Dishwashers t l Space/Area Heating KW Local [JMunicipal F1 Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: G �� Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Elec ical Work: C) (When required by municipal policy.) Work to Start: 6 Inspections trequested 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 covert is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURA-NCE BOND ❑ OTHER ❑ (Specify:) I certify, tinder the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:. 6 v -LI L,.+r en, i LIC. NO.: rt - o Licensee: At l(ItA-45 — A—A ,��,4 t� Signature ` k _X LIC. NO.: A 77 (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: -3 S- Z-_ -14 Address: ;R _a..L4 C)3"5 Alt. Tel. No.e 'i: .& 3 7 <-t kL-L_ *Per M.G.L c. 147, s. 57-61, security work requires epartment of Public c Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the i permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed f ! on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. Inspectors Signature: lJ / Date: I DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com ❑ Rule 8 — Permit/Date Closed: ❑ Permit Extension Act —Permit/Date Closed: *** Note: Reapply for new permit ❑ ns ction tk[N Failed Re- Inspection Required ($.) ❑ Inspectors Comments: -2 Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: -� 3 Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: n1 2--d- Inspectors Signature: FINAL INSPECTION: Date: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: � t Inspectors Signature: lJ / Date: I DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiorvindividual): A, v ✓ is� -�Gh,b r C— Address: 4L--.4 t✓, �E e City/State/Zip: Pl-k '0w , L- ,? O3V SPhone 8- 3 ?S -o&'6 Z — Are yo "n employer? Check the appropriate box: LEVI am a employer with L 4. ❑ I am a general contractor and I _ employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. D<w construction 7. F1 Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ 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 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 is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:. 1-C.4../ OJ Policy # or Self -ins. Lic. Expiration Date: Job Site Address: �� ° ���9— P� ^-� j' • City/State/Zip: vIS-Y Attach a copy of the workerscompensation 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyr certi under the pains and penalties of perjury that the information provided above is true and correct. iismafiirn- 1 bate' 6 1 2-7 ) ( _� 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 #: `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 employeiis 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The 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 GoxonweaXtla of assachusetts Department of Industrial .Accidents Office of Investigations 600 Washington Street Boston, M.A. 02111 Tel. # 617-727-4900 at 406 or 1-877:MASSAFB Revised 5-26-05 Fax # 617-727-7749 wwwanass,gov/dia j r GENERATOR DATE: APPLICATION LOCATION: S --D 6a o-,,* �, VC -0 - OWNERS NAME: GENERATOR kw I NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* Kol011C�_T4 Is] l PHONE NUMBER: �) �- ELECTRICAL RESIDENTIAL GAS COMMERCIAL TEMPORARY LOCATION OF GENERATOR: 1,2� / *ZONING DISTRICT: *PLANNING APPROVAL (IF IN WATERSHED) *CONSERVATION APPROVAL 2 1 1.�.`?.�1....... . Date I TOWN OF NORTH ANDOVER VIA PERMIT FOR MECHANICAL INSTALLATION 9 s This certifies that . �. S V �- has permission for mechanical installation )-� J.'�:............... . r� in the buildings of . - .� t �.t �..? t . _ra ....................... n at ..�� . :? ^ ` c . `.�. t...... , North Andover,,/ asses. Fee.Lic. No. ............... {�?!h!' !' r �—e @ GAS INSPECTOR �` WHITE: Applicant'1 CANARY: Building Dept. PINK: Treasurer I/ 4 � ,t �• j. Commonwealth of Massachusetts Date -?-)5-13 Estimated Job Cost:amd'a Plans Submitted: YES V/ NO Business License # Business Information: ,/�/ Name: S,��d V S tl i'�C Street: Ana A City/Town: ��l/I am Telephone: O Q3 - Sae- O N E(O Sheet Metal Permit Permit # Permit Fee: $ Plans Reviewed: YES NO Applicant License # M DO Property Owner / Job Location Information: Name: 'zdkV,,1,k0 Street: gO ' 6a., � f6hJ)4( City/Town: Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES Building Type: / Residential: 1-2 family V Multi -family Commercial: Office Retail Industrial NO Condo / Townhouses ` Educational Institutional Building Cubic Footage: under 35,000 cu. ft. V/ over 35,000 cu. ft. Sheet metal wo k to be completed: New Work: // Renovation: HVAC Metal Roofing Kitchen -Exhaust System y / Vents Provide brief description of work to be done: S✓fly ed i'as41 d INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes Wo ❑ If you have checked Yes, indicate t e 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. Date Date By Title City/Town Permit # Fee $ _ Inspector Signature of Permit Approval Progress Inspections Comments Final Inspection Type of License: ❑ Master ❑ Master -Restricted ❑Journeyperson ❑Journeyperson-Restricted El Comments Signature of Licensee License Number: Check at www.mass.gov/dpi Sheet Metal Commercial Guidelines / Life Safety / Critical 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 joumoyperson-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 a:.so 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. : a Sei ;:ii res iaints installer -ILAi6.-td required on egtiipment and du; Duct penetrations in fire'rdtQivalls 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) 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 Electric dryer exhaust properly installed maximum total run 35'-01) , maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length 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 -off) r , 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 Electric dryer exhaust properly installed maximum total run 35'-01) , maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length 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 -off) CC?MMONWEALTH OF MASSACHUSETTS =SHEET METAL WORKERS AS A MASTER -UNRESTRICTED ; ISSUES THE ABOVE LICENSE TO: JON -C RICKARDS t TINA AVE PELHAM NH 03076-2725 10900 09/28/14267842 1 N PROPOSAL Speedy's HVAC Jon Rickards 8 Tina Ave. Pelham, NH 03076 (603)5 8-0856 PROPOSAL SUBMITTED TO: PHONE: DATE: Zahouriko TZEKE@comcast"net (978)852-4002 71112013 STREET: JOB NAME: 80 Great Pond Road Zahouriko CITY, STATE, ZIP: JOB LOCATION: North Andover, MA North Andover, MA I hereby submit estimates for: Speedy's HVAC will supply and install. • 2-95% 2 stage gas furnaces with EGM motor and 14 seer Rheem condensers • 1 zone First floor • 1 zone on second floor • All ducts sealed and insulated to code • 2 Aprilaire high efficiency air cleaners • 2 nro�Ic rammable Honeywell wifi thermostats with $200 rebate from power co. • Attic unit to be supplied with overflow switch and pan. **All line and low voltage to be done by electrician. Total price installed. $17,100.00. (includes permit fees) I propose hereby to furnish material and labor -complete in accordance with above specifications, for the Sum of: $17,100.00. Payments to be made as follows: $7,100.00 down upon acceptance of proposal $5,000.00 upon completion of rough work Remainder of $5,000.00 to be paid upon completion and start-up. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon accidents or delays beyond my control. Owner to carry fire and other necessary insurance. Authorized Signature: NOTE: This proposal may be withdrawn if not accepted with 30 days. Acceptance of Proposal: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified, Payment will be made as outlined above. Signature: Signature: Date of Acceptance: HEATIING / COULING Load Short Form Job. MANUAL J 1 St floorA/H Byte: Jun �, 2013 Speedy HVAC For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Htg Clg Infiltration Outside db (°F) 3 88 Method Simplified Inside db (°F) 70 75 Construction quality Tight Design TD (°F) 67 13 Fireplaces 1 (Tight) Daily range - M Inside humidity (%) 30 50 Moisture difference (gr/Ib) 28 31 HEATING EQUIPMENT Make Rheem Trade RHEEM, RUUD Model RGRM-04(E,N)MAES AHRI ref 4356225 Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 95 AFU E 'Area (ft2) 45000 MBtuh 43000 Btuh 39 cF 1000 cfm 0.023 cfm/Btuh 0.05 in H2O COOLING EQUIPMENT 'Area (ft2) Make Rheem Clg load jBtuh) Trade RHEEM 14AJM SERIES Clg AVF (cfm) Cond 14AJM30 90 Coil RCFL-H"3617++RXMD-004 132 AHRI ref 3412325 6 Efficiency. 12.0 EER, 14.5 SEER 192 Sensible cooling 19740 Btuh Latent cooling 8460 Btuh Total cooling 28200 Btuh Actual air flow 1000 cfm Air #low factor 0.047 cfm/Btuh Static pressure 0.05 in H2O Load sensible heat ratio 0.89 0 ROOM NAME 'Area (ft2) Htg load (Btuh) Clg load jBtuh) Htg AVF (cfm) Clg AVF (cfm) guest bath 90 600 132 14 6 guest bdrm 192 2266 2063 52 96 lau 70 800 876 18 41 mud rm 116 0 0 0 0 wic 60 1066 234 24 11 dining rm 153 1622 1113 37 52 foyer 156 2313 1175 53 55 great rm 252 5513 3373 127 157 kitchen/brfst 384 2072 2832 48 132 living rm 156 3793 2790 87 130 basement 1809 19546 4730 449 220 ...... r.... .1 on n-1 CA n-4 4A4 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsoft' 2013 -Jul -11 09:30:10 �v 9 RightSuite® universal 2012 12.1.08 RSU11815 Page 1 ACCK ..Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N 1st floor A/H d 3618 43535 21481 1000 1000 Other equip loads 0 0 Equip. @ 0.93 RSM 19934 Latent cooling 2682 TnTel Q 2a1a A'2r,'IG 1113c4c i 4 innn VV 1V -Twv.r cLV I 1VVV Ivvv Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrihtsoftm 2013 -Jul -11 09:30:10 9 Right -Suite® Universal 2012 12.1.08 RSU11815 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = M.18 Front Door faces: N Page 2 HEATING / COOLING Load Short Form Job: Date: Jun 26, 2013 MANUAL J 2nd floorAIH By: Speedy HVAC For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma ROOM NAME Area (ft2) ®- • e e Htg AVF (cfm) CIg AVF (cfm) Htg Clg Infiltration 224 Outside db (°F) 3 88 Method Simplified 2407 Inside db (°F) 70 75 Construction quality Tight Design TD (°F) 67 13 Fireplaces 1 (Tight) bdrm3 Daily range - M 92 128 Inside humidity (%) 30 50 129 7 Moisture difference (gr/Ib) 28 31 0 0 HEATING EQUIPMENT 0 COOLING EQUIPMENT 110 Make Rheem 1275 61 Make Rheem open Trade RHEEM, RUUD, WEATHERKING Trade RHEEM 14AJM SERIES 637 Model RGTM-06(E,N)MAES 40 m bath Cond 14AJM25 1520 AHRI ref 4356255 61 82 Coil, RCFL-H*2417++RXMD-004 100 307 225 12 AHRI ref 5550237 m kA— Efficiency 95AFUE AnnA Efficiency 11.5 EER, 14 SEER 11^11 Heating input 60000 MBtuh Sensible cooling 16520 Btuh Heating output 58000 Btuh Latent cooling 7080 Btuh Temperature rise 67 cF Total. cooling 23600 Btuh Actual air flow 787 cfm Actual air flow 787 cfm Air flow factor 0.040 cfm/Btuh Air flow factor 0.062 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.86 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) CIg AVF (cfm) bath3 66 629 224 25 14 bdrm 4 216, 2407 2146 97 134 bdrm2 178 3465 1837 140 114 bdrm3 156 2276 2050 92 128 cl 50 176 129 7 8 hall 123 0 0 0 0 bath2 110 1508 1275 61 79 open 156 2216 637 89 40 m bath 145 1520 1322 61 82 m wic 100 307 225 12 14 m kA— '4C AnnA n ni 11^11 -17A L1 J 1 GVG 1 !Y Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsoft 2013 -Jul -1109:30:10 1 g RightSuite® Universal 2012 12.1.08 RSU11815 Page 3 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N 2nd'floor A/H d 1635 19500 12634 787 787 Other equip loads 0 0 Equip. Qa 0.93 RSM 11724 Latent cooling 2086 TnTA I C . 1 R4r, , orlon , 44,1 747 747 ✓�/��V IVVV .J V /VI I%J Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jul -11 O9:30:10 wrightsoft Right -Suite® Universal 2012 12.1.08 RSU11815 ag4 Page 4 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N HEATING / COOLING Building Analysis MANUAL J 1st floorA/H Speedy HVAC o • e For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Job: Date: Jun 26, 2013 By: Heath°77-777771 Component Btuh/ft2 Btuh % of load Walls Location: 12497 Indoor: Heating Cooling Lawrence Muni, MA, US 19.5 Indoor temperature (°F) 70 75 Elevation: 151 ft Ceilings Design TD (°F) 67 13 Latitude: 43 cN 1.0 Relative humidity {%) 30 50 Outdoor: Heating Cooling Moisture difference (gr/ib) 27.7 31.2 Dry bulb (°F) 3 88 Infiltration: 0 Daily range (°F) - 18 (M } Method Simplified 0 Wet bulb ( - 73 Construction quality Tight Adjustments Wind speed (mph) 15.0 7.5 Fireplaces 1 (Tight) 1 Heath°77-777771 Component Btuh/ft2 Btuh % of load Walls 4.4 12497 28.7 Glazing 31.6 8509 19.5 Doors 40.3 2540 5.8 Ceilings 1.7 1089 2.5 Floors 1.0 1823 4.2 Infiltration 1.6 4650 10.7 Ducts 12426 28.5 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 1 43535 100.0 4- Component Com nent Btuh/ft2 Btuh % of load Walls 0.8 2168 10.1 Glazing 21.9 5899 27.5 Doors 15.1 951 4.4 Ceilings 1.3 788 3.7 Floors 0 0 0 Infiltration 0.2 477 2.2 Ducts 9298 43.3 Ventilation 0 0 Internal gains 1900 8.8 Blower 0 0 Adjustments 0 Total 1 1 214811 100.0 Latent Cooling Load = 2682 Btuh Overall U -value = 0.068 Btuh/ft2-°F ERROR: negative wall area in basement - check windows. wri htsoftw 2o13 -Jul -1109:30:10 g Right -Suite® Universal 2012 12.1.08 RSU11815 Page 1 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N HEATPNG / COOLING Building Analysis. MANUAL J 2nd floorA/H Speedy HVAC For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Job: Date: Jun 26, 2013 By: Location: Btuh/ft2 Indoor: Heating Lawrence Muni, MA, US 4.4 Indoor temperature (°F) 70 Elevation: 151 ft 31.6 Design TD (°F) 67 Latitude: 43 `N 0 Relative humidity (%) 30 Outdoor: Heating Cooling Moisture difference (gr/Ib) 27.7 Dry, bulb (°F) 3 88 Infiltration: 0 Daily range� °F) - 18 ( M) Method Simplified Wet bulb (°F - 73 Construction quality Tight Wind speed (mph) 15.0 7.5 Fireplaces 1 (Tight) Component Btuh/ft2 Btuh % of load Walls 4.4 4295 22.0 Glazing 31.6 4064 20.8 Doors 0 0. 0 Ceilings 1.7 2857 14.6 Floors 0 0 0 Infiltration 1.6 1762 9.0 Ducts 6522 33.4 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 1 1 195001 100.0 Component Btuh/ft2 Btuh % of load Walls 0.9 892 7.1 Glazing 19.8 2548 20.2 Doors 0 0 0 Ceilings 1.3 2068 16.4 Floors 0 0 0 Infiltration 0.2 181 1.4 Ducts 4835 38.3 Ventilation 0 0 Internal gains 2110 16.7 Blower 0 0 Adjustments 0 Total 1 1 126341 100.0 Latent Cooling Load = 2086 Btuh Overall U -value = 0.061 Btuh/ft2-°F Data entries checked. om� Cool7n g 13 50 31.2 wri htsoft® 2013 -Jul -11 09:30:10 9 Right -Suite® Universal 2012 12.1.08 RSU11815 Page 2 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N HEATING / COOLING Component Constructions Job: p Date: Jun 26, 2013 MANUAL J 1st floorA/H By: Speedy HVAC • - • • For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Location: 95; Indoor: Heating Cooling Lawrence Muni, MA, US 11.9 Indoor temperature (°F) 70 75 0.470 Elevation: 151 ft 31.6 Design TD (°F) 67 13 e Latitude: 43 cN 0.470 Relative humidity (%) 30 50 35.1 Outdoor: Heating Cooling e Moisture difference (gr/lb) 27.7 31.2 0 Dry bulb (TF) 3 88 758 infiltration: 842 s 70 Daily range (°F) - 18 ( M) Method Simplified 2221 19.7 Wet bulb (°F) - 73 w Construction quality Tight. 0 31.6 Wind speed (mph) 15.0 7.5 35.1 Fireplaces 1 (Tight) 269 0.470 Construction descriptions Or Area U -value Insul R Htg HTM Loss CIg HTM Gain e• 21 W etuhV-IF ftp-F/emh amh/ftz Btu en,h/W Btu Walls 317 e 21 0.600 6.3 12F-Osw: Frm wall, wd ext, r-21 cav ins, 1/2" gypsum board int fnsh, n 250 0.065 21.0 4.37 1092 0.91 227 2"x6" wood frm a 368 0.065 21.0 4.37 1607 . 0.91 334 all all 618 0.065 21.0 4.37 2699 0.91 560 12F-Osw: Frm wall, wd ext, 3/8" wood shth, r-21 cay ins, 1/2" gypsum n 433 0.065 21.0 4.37 1893 0.91 393 board int fnsh, 2"x6" wood frm a 255, 0.065 21.0 4.37 1115 , 0.91 232 s 245 0.065 21.0 4.37 1069 0.91 222 w 167 0.065 21.0 4.37 731 0.91 152 all 1101 0.065 21.0 4.37 4807 0.91 998 15811-4wc-2: Bg wall, light dry soil, 2"x4" wood int frm, concrete wall, n 274 0.053 15.0 4.53 1242 0.53 145 r-2 ins, 10" thk, 1/2" gypsum board int fnsh s 536 0.053 15.0 4.54 2436 0.53 286 w 336 0.053 15.0 4.54 1527 0.53 179 all 1101 0.053 15.0 4.53 4990 0.55 610 Partitions (none) Windows 4A5-2ow: 2 glazing, cir low -e outr, argon gas, wd frm mat, clr innr, 1/2" gap, 1/8" thk Doors 11 J0: Door, mtl fbrgl type Ceilings 166-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fnsh n 95; 0.470 0 31.6 2990 11.9 1129 n 12 0.470 0 31.6 379 11.9 143 e 60 0.470 0 31.6 1885 35.1 2093 e 24 0.470 0 31.6 758 35.1 842 s 70 0.470 0 31.6 2221 19.7 1385 w 9 0.470 0 31.6 276 35.1 307 all 269 0.470 0 31.6 8509 21.9 5899 e• 21 0.600 6.3 40.3 847 15.1 317 e 21 0.600 6.3 40.3 847 15.1 317 s 21 0.600 6.3 40.3 847 15.1 317 all 63 0.600 6.3 40.3 2540 15.1 951 623 0.026 38.0 1.75 1089 1.26 788 wri htsoft" 2013 -Jul -1109:30:10 ACA9 Right -Suite® Universal 2012 12.1.08 RSU11815 Page 1 ..Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N Floors . 21 B -28t: Bg floor, light dry soil, full ext ins cov, 6.5' depth, r-3 ins 1809 0.015 3.0 1.01 1823 0 0 C wri htsoft" 2013 -Jul -1109:30:10 ^„ 9 RightSuite®Universal 2012 12.1.08 RSU1t815 Page 2 14CC% ...Documents\SPEEDDEEIspeedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N HEATING / COOLING Component Constructions Job. p Date: Jun 26, 2013 MANUAL J 2nd ftoorAlH By: Speedy HVAC ' o - o • For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Partitions (none) Windows 4A5-2ow: 2 glaang, Or low -e outr, argon gas, wd frm mat, clr innr, 1/2" gap, 1/8" thk Doors (none) Ceilings 1613-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fnsh Floors (none) n 59 0- e e • e 1853 11.9 700 Location: 0.470 0 Indoor: Heating Cooling 919 Lawrence Muni, MA, US 0.470 0 Indoor temperature (°F) 70 75 819 Elevation: 151 ft 0.470 0 Design TD (°F) 67 13 2437 Latitude: 43 `N Relative humidity (%) 30 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 27.7 31.2 Dry bulb (°F) 3 88 Infiltration: Daily range (°F) - 18 ( M) Method Simplified Wet bulb (°F) - 73 Construction quality Tight Wind speed (mph) 15.0 7.5 Fireplaces 1 (Tight) Construction descriptions or Area U -value Insul R Htg HTM Loss Clg HTM Gain ftp Btu h9F-'f f(L'FBtuh BtuhffrL Btuh Btuh/R2 Btu Walls 12F-Osw: Frm wall, wd ext, 3/8" wood shth, r-21 cav ins, 1/2" gypsum n 277 ' 0.065 21.0 4.37 1211 0.91 251 board int fnsh, 2"x6" wood frm a 336 0.065 21.0 4.37 1468 0.91 305 s 241 0.065 21.0 4.37 1054 0.91 219 w 129 0.065 21.0 4.37 562 0.91 117 all 983 0.065 21.0 4.37 4295 0.91 892 Partitions (none) Windows 4A5-2ow: 2 glaang, Or low -e outr, argon gas, wd frm mat, clr innr, 1/2" gap, 1/8" thk Doors (none) Ceilings 1613-38ad: Attic ceiling, asphalt shingles roof mat, r-38 ceil ins, 1/2" gypsum board int fnsh Floors (none) n 59 0.470 0 31.6 1853 11.9 700 s 47 0.470 0 31.6 1474 19.7 919 w 23 0.470 0 31.6 737 35.1 819 all 129 0.470 0 31.6 4064 18.9 2437 1635 ' 0.026 38.0 1.75 2857 1.26 2068 htso i wrft" 9 Right- Suite® Universal 2012 12.1.08 RSU11815 2013-Jul-1109:30:10 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N Page 3 HEATING / CQOLING Project Summa Date: Jun 26, 2013 MAN UAL J 1 st f oorAIH By: Speedy HVAC ro ed in'fo'rmation' For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Notes: Weather: Lawrence Muni, MA, US Winter Design Conditions Summer Design Conditions Outside db 3 OF Outside db 88 °F Inside db 70 OF Inside db 75 OF Design TD 67 OF Design TD 13 cF Daily range M Relative humidity 50 % Moisture difference 31 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 31109 Btuh Structure 12183 Btuh Ducts 12426 Btuh Ducts 9298 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 43535 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 19934 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Tight) Structure 1119 Btuh Ducts 1563 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ftz) 3618 3618 Equipment latent load 2682 Btuh Volume (ft3) 27175 27175 Air changes/hour 0.14 0.08 Equipment total load 22616 Btuh Equiv. AVF (cfm) 63 34 Req., total capacity at 0.70 SHR 2.4 ton Heating Equipment Summary Cooling Equipment Summary Make Rheem Make Rheem Trade RHEEM, RUUD Trade RHEEM 14AJM SERIES Model RGRM-04(E,N)MAES Cond 14AJM30 AHRI ref 4356225 Coil RCFL-H'3617++RXMD-004 AHRI ref 3412325 Efficiency 95AFUE Efficiency 12.0 EER, 14.5 SEER Heating input 45000 MBtuh Sensible cooling 19740 Btuh Heating output 43000 Btuh Latent cooling 8460 Btuh Temperature rise 39 cF Total cooling 28200 Btuh Actual air flow 1000 cfm Actual air flow 1000 cfm Air flow factor 0.023 cfm/Btuh Air flow factor 0.047 cfm/Btuh Static pressure 0.05 in H2O Static pressure 0.05 in H2O Space thermostat Load sensible heat ratio 0.89 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. w { htSOft" 2013 -Jul -1109:30:10 9 RightSuite� Universal 2012 72.1.08 RSUt18t5 Page 1 ...Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N HEATING / COOLING Project Summar Job: -MANUAL J 2nd floorA/H � Byte: By: 26, 2013 Speedy HVAC Proje�Ct h ormatlon For: New Home, Speedy HVAC 80 Great Pond, Andover, Ma Notes: Weather: Lawrence Muni, MA, US Winter Design Conditions Summer Design Conditions Outside db 3 °F Outside db 88 OF Inside db 70 °F Inside db 75 IF Design TD 67 °F Design TD 13 OF Daily range M Relative humidity 50 % . Moisture difference 31 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 12978 Btuh Structure 7799 Btuh Ducts 6522 Btuh Ducts 4835 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 19500 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 11724 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Tight) Structure 1272 Btuh Ducts 814 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft2) 1835 1635 Equipment latent load 2086 Btuh Volume '(ft3) 13080 13080 Air changes/hour 0.11 0.06 Equipment total load 13811 Btuh Equiv. AVF (cfm) 24 13 Req. total capacity at 0.70 SHR 1.4 ton Heating Equipment Summary Cooling Equipment Summary Make Rheem Make Rheem Trade RHEEM, RUUD, WEATHERKING Trade RHEEM 14AJM SERIES Model RGTM-06(E,N)MAES Cond 14AJM25 AHRI ref 4356255 Coil RCFL-H*2417++RXMD-004 AHRI ref 5550237 Efficiency 95 AFUE Efficiency 11.5 EER, 14 SEER Heating input 60000 MBtuh Sensible cooling 16520 Btuh Heating output 58000 Btuh Latent cooling 7080 Btuh Temperature rise 67 OF Total cooling 23600 Btuh Actual air flow 787 cfm Actual air flow 787 cfm Air flow factor 0.040 cfm/Btuh Air flow factor 0.062 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.86 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. _- + wrightsoft" RigWSuite® Universal 2012 12.1.08 RSU11815 2013 -Jul -11 09:30:10 .4 Page 2 ..Documents\SPEEDDEE\speedy 80 greatpond road.rup Calc = MJ8 Front Door faces: N 7/26/2013 9:11 AM FROM: HOWE INSURANCE AGY HOVE INSURANCE AGENCY TO: 978-688-9542 PAGE: 002 OF 002 ACO?"' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, 07/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Phone: (978)475-0400 Fax: (978)475-2171 CONTACT ONTina Grange THE HOWE INSURANCE AGENCY HONE (978) 475-0400 FAX (978) 475-2171 wC No 4 PUNCHARD AVE ADDRESS tgrange@howeins.com ANDOVER MA 01810 INSURER(S) AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ 2,000,000 INSURER : National Grange Mutual INSURED JON RICKARDS INSURER B : National Grange Mutual 8 TINA AVENUE INSURER C : A I M Mutual Insurance Company PELHAM NH 03076 INSURER D: National Grange Mutual INSURER E INSURER F CUVtKAGtS - C F K I(FICA f F N IUMF4FR' 1RF\/i-CI(1N MIIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD'L INSR SUER WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY MPT1881 F 07/05/13 07/05/14 EACH OCCURRENCE $ 2,000,000 COMMERCIAL GENERAL LIABILITY X COM CLAIMS-MADE T OCCUR DAMAGE TO RENTEDurence $ 500,000 PREMISEa occ ES MED. EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ 4,000,000 $ POLICY JPR0.ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (per accident) B UMBRELLA LIAB X OCCUR CUT1881 F 07/05/13 07/05/14 EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS -MADE AGGREGATE $ 1,000,000 DED I X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFF (Mandatory in NH) EXCLUDED? N (Mandatory In NH) N / A AWC7027750-01 07/17/12 07/17/13 WC OTH STATU- TORY LIMITS ER $ E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE -EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) �Qrc 11r1VM I c nvLuorc I-AI49-MLLA I IVN TOWN OF NORTH ANDOVER NORTH ANDOVER MA 01845 Attention: FAX #978-688-9542 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1THORIZED REPRESENTATIVE Christine J. Grange The ACORD name and logo are registered marks of ACORD a SEWER SYSTEMS Environment One Corporation Pressure Sewer Preliminary Cost and Design Analysis For 78 & 80 GREAT POND ROAD North Andover Prepared For: TLD LLC 115 Carter Field Road North Andover MA 01845 Tel: Fax: Prepared By: 1 C:\Users\Henry\Documents\EONE\PROJECTS AND PLAN REVIEWSWassachusetts\North Andover\Great Pond Road\78 & 80 Great Pond p 78 & 80 GREAT POND ROAD North Andover Prepared by: On: July 15, 2013 Notes : 78 Great Pond Road: pump discharge elevation 82.3', 1 1/2" pressure line for 445' to SNM discharge elevation 97.4' 80 Great Pond Road: pump discharge elevation 76.5', 1 1/2" pressure line for 482' to SNM discharge elevation 97.4' Both homes are 4 -bedroom homes. ««< END OF NOTES »»> C:\Users\Henry\Documents\EONE\PROJECTS AND PLAN REVIEWSWassachusetts\North Andover\Great Pond Road\78 & 80 Great Ponc PLAN OF LAND tcanfr--- LOT LINE ADJUSTMENT —: — Fz ux:o x actinmK. MI E n°�� rsncs GREAT POND ROAD ` LOCATF,D IN cvxmn ms {> c' axr_) •D RE.Wa+s "r¢csT � 8 CR=e�►�i Yom Rvo.�. N. ANDOVER, MASSACHUSETTS � w tgr.:s __ PREP.4m F012 axa ' TLD. LLC. cart tnx%rrL. R usa< SCALE: I"-20" DATE: AFM I. 20)3 Ew Dxic a yr<teN zs. PREPARED BY SULGNAN LVCINLEERINC CROUP, LLC "6�r u'r tic umbo w \ ZS MUM' FrJ;Y°N 80d° fl°SFUIlN, LA Iva) s52,v, SHEET I OF 1 / 9.FT:A,ID W6Ulm Dr w RESIrl- FOP REC45TRT USE 0— �4V.40NYiA1. r! A„JS13012 NORTh1 ANbOVER n / PLANNING BOARD 4111FROt'ED UNDER THE SUDDMSON CONTROL LAV, NOT REWRLD GRAPHIC SCALE ♦ �' f t w mc., 20 0 10 20 ( IN FF.6Ti 1 ineL = 20 it �i inf mU'f♦6e +so rlcf --------------- ---------------- ---------------- r� s numnc avums cevcrknr ce nc nw atr d� rs6•x• ![4o1.za)) \ \ N N_ronYa+c u><aov♦L Iz+nFie T!¢ Svepn9M `} .•'% �� =Y / \ cmma un is Nor ♦ u_r„ununar ns ro cusorvaws nrN rr_(r[a�r uNORTN .ima+�znw;Nc onnn, � f� _/"'_._ °•-__a-__._____ ``I• (I LOT 2-,d7a1s SFi (4T,,y4L'SF.t Upend) `CAA. = 9&6& _- tom.. LA— (NOTA--w IGBO-,) ` a F°c',O, �P:. ' _ ___ -_} NG030.0�•�! LOT -QA -LOT 2 -PAR h• LO 47.237 S.F. SL265 rF.t j a (UPLAND AREA 5,477 5 Fk) j I GEA= f -4X a t5' •! LOT $t-'tOTFi-f P(aFiC0. A_ I- !w I i LOT 81 S1,453 S.F. v j,'r r1r'j'ir } i ,+i is t , 5?;1 ),fa'� • 1: ��. t n \ `t R\ %� '— '- '�°`� V N,•r ; ! }'r i i 1 i�` )�! j .can: � w _ - \ � •\ � / z L '� 'I gN aw�E I `- GREAT POND ROAD ` •-� �_(� ,, 7 ��� � N ; ��, � 8 CR=e�►�i Yom Rvo.�. =�• - -- - � -� ==-� �'� � , __ '41 yI I% . I t v I "'o .vez-cav�9� \ A4 - THE PURPOSE OF THIS PLAN IS TO CONVEY PARCEL A GREAT POND ROAD FROM LOT 2 TO LOT 8 TO BRING THE EXISTING FOUNDATION FOR ,78 GREAT POND ROAD INTO COMPLIANCE WITH THE MINIMUM BUILDING RFOIIIPFMFNTq FnP TWIq - M O N :► P-4 N C O w ..a (0 O C O a- 0 0 0 OD 06 OD ai .a C) m O o U w Z Ln a)g W d o 0 Q. z o Q to Cd P-4 J N Cd a U Cl N N x N O M o _E � � � O U +^ U Q N U �i � N 'n 0 O M �x 4 �H r A rn lr� r-. a w a a � y y 10 �hC� z ¢_ u O 0 0 0 0 0 f�i Q A obn 00 �10 N O M 1p O p w M M ' U 0 0 0 o 0 00 00�00 o C a W� N N pl o U Q, � w Hj y ° c P+ A C) A N_ o W y v� N y N R � P. b N R Y E W N O y b N Q O F U co y O O u 3 r-000 0 ON � o U y O O n00 a O O E 00 r- a N Cd a U I tp f.r. mchony & associates, inc. water supply and pollution control equipment r 273 Weymouth Street • kockland, MA 02370 E/ONE Pressure System Design Report For 78 & 80 Great Road North Andover, NU July 15, 2013 tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com L -1 S E R i E S 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mohony & associates, inc. water supply and pollution control equipment 273 Weymouth Street- Rockland, MA 02370 July 15, 2013 Tom Zahoruiko, Manager TLD LLC 115 Carter Field Road North Andover, MA 01845 RE: 78 & 80 Great Road Service Connections Dear Tom; tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com This preliminary design analysis examines the use of the E/One Pressure Sewer System for your project. E/One has over 40 years of installation and O&M experience along with considerable research and development leading to continuous product and system improvements. E/One remains the worldwide industry standard and industry leader in the pressure sewer technology. The unique characteristics of the E/One Pressure Sewer approach provides not only a technical solution, but also an economic advantage to be realized with low up front and O&M costs. System Analysis` C' 1_�Nl� I C` __�_D This proiect3proposes to collect wastewater-from-2-mdivldual homes and discharge viaPseparate-service-laterals=to:a-gravity-sewerRmanhole-on�Great-Pond zRoad=as, shown in your,prellirnina�ry-layout- - - ------) " Using,the,information you provided; we ranAne-encicsed,preliminary pressure'sewer pipe sizing analysis. This was run through our Low PressureSewer Design Software that employs our Flow Velocity and Friction Head Loss vs. Pumps in 11Simultaneous Operation Spreadsheet. We have used the surface topography provided to make our analyses. Zone Layout Using your site plan we laid out a system of individual services labeled for the street representative number. Computations are based on the Hazen -Williams formula for friction loss, using calculations of cross-sectional area and flow rate to determine pipe sizes that create "self-cleaning" velocities of 2.0 fps or higher. A "C" factor of 150, SDR 11 HDPE pipe and the average expected daily volumes for single family homes are also used in this analysis. The highest Total Dynamic Head generated is approximately 34 feet which is predominately friction loss in the pipeline. This is well below our pump's continuous - 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road 3906C Tower Hill Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 Wakefield, RI 02879 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 tel. 781-561-6555 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 f.r. mohony & associates, inc. tel. 781.982.9300 fax. 781.982.1056 water supply and pollution control equipment info@frmahony.com www.frmahony.com 273 Weymouth Street Rockland, MA 02370 run rating of 185 ft, and well within its intermittent, i.e., normal, operating range. Flow velocity throughout the system meets or exceeds 2 fps. These characteristics and low retention time indicate that this will be a reliable, low -maintenance system. Design Flows & System Velocity We normally use average daily flows for system designs rather than the peak design flows commonly used for gravity sewer sizing. We do this because the system is sealed and void of inflow and infiltration commonly allowed for in gravity sewer designs. We size the system for an average daily flow of 200+/- gpd generally for single family homes. The pumps selected are rated to flows up to 700 gpd thus peak flows are easily handled. We size the pipelines for the proper scouring velocity based on the pump's output which has a consistent flow rate over a wide range of head conditions. We then look at the pipeline retention time to optimize the line size for the lowest retention that will pass wastewater in a short period of time to reduce sediment in the lines and prevent odor issues. This makes for a very reliable and maintenance free wastewater collection system. Often w ae re asked -to -use tF a ublished "Stat' °." des'gn values from various flow tables-In-orderito secure approvaNIWe � n do -this;- but then we run the reports based on ---the actual-predictedtaverage-flow to-optlmize the line size as mentioned any.of our Installations-hav_e seenYflows that�riore closelyjmirro the EPA water use,-goalsof7A gpd/capltaVVe alio look-at;s�easonalvuses a'Little more clt -Iosely due to -greater reductions inflow, In the -offseason. In -applications -of this type-we16ok to find the best for both seasons. S E R I E S Appurtenances — Typical These items are NOT needed for these individual connections discharaina to a gravity manhole. Our normal recommendations for valve placement are as follows: flushing connections at 1,000' to 1,500' intervals and at branch ends and junctions; isolation valves at branch junctions; and air release valves at peaks of 25 ft or more and/or at intervals of 2,000 to 2,500 ft. Common practice in pressure sewers requires the ability to isolate each lot with a corporation stop off the main and service lateral kit to the lot line. E/One has developed a true wastewater rated check valve which is built in to our stainless steel lateral kit shown in this report. These components are rated to 235 psi and with standard connection fittings rated to 150 psi. We strongly advise against the use of waterworks check valves as they are not rated for sewage environments. We have also seen PVC body check valves with pressure 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road 3906C Tower Hill Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 Wakefield, RI 02879 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 tel. 781-561-6555 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 f.r. mohany & associotes, int. tel. 781.982.9300 fax. 781.982.1056 r m wotet supply and pollution control equipment info@frmahony.com www.frmahony.com 273 Weymouth Street - Rocklond, MA 02370 rating to 150 psi that do not have the same rating for back pressure on the check valve. This can result in damage to the check valve and pumping issues as the check valve disc can become dislodged under pressure. Pumps We show our outdoor Model DH071-93 in this report. Also enclosed are alarm panel options including the Protect Plus Panel with generator connection capability. Budget Notes Costs of pipeline excavation and pump installation are best obtained from sources in your region. You may be better able to determine these costs. I am looking forward to working with you on this and future projects. Please contact me if you have any questions or require additional information. Best regards, West TownsencOffice R�q Direct.Line:97,•8.597.07,03.�J 0 -.J CEE � henrvalbro(Mr- nahony:com — i Enclosures67 S E R I E s 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 Ff.r. mahony & ossociotes, inc. rMswater supply and pollution control equipment 273 Weymouth Street I Rockland, MA 02370 tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com TYPICAL PUMP AND BALLAST INSTALLATION / u ALAPP Pl1F_L^/ F-fnF fRNFP PtM CfAT1Y:� /-LAP_X ASS_ BLY n OA' NNlN1t • • - I 6.FTNFTH i �LSIN4AIWi LILY /! '-----�-� PEA GRATE / \ sllAd._ IA PCA Q IM-/ = -- arZALL) ACNE ' C - Bal -Last Ballast System i •��- J t K I t J This image shows the typical layout of an outdoor pump unit for single-family 0'' ❑� home use. The pump unit is furnished complete, ready for installation. The installer needs to confirm the power cord length and discharge and inlet configuration. Standard products are supplied with 32 foot power supply cable. Standard inlets are 4 -inch Schedule 40 Grommets (@ zero degrees) with 1-1/4 inch discharge (@ 180 degrees). Other configurations are available. 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 5 f.r. mohony & associates, inc. water supply and pollution control equipment 273 Weymouth Street- Rockland, MA 02370 TYPICAL INSIDEDROP DETAIL PressureSmer Connection 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com EXistingManhole fravitySewer 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 ELBOW e (AftlttingS tote " restrained type.) - Kar -N -Seal' "6 4 Bootor - SSStrap and .e Link Seal - Anthors2VOC 'd a a - 'p - °- ELBOW g' +p Match jj Crowns { } foatchcrownse pipelinesor - transition po channelto ° _ •• :a° o' . directtlowinto e n gravitysewer: 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com EXistingManhole fravitySewer 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mahony & associates, inc. rM w water supply and pollution control equipment 273 Weymouth Street • Roctiond, MA 02370 tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com Standard alarm panels are the Sentry@ panel mounted outside of the home as shown in the drawing (above). Options include emergency generator connection (see photo) and Redundant alarm Remote Sentry@ panel shown. Other panel configurations are available. See the partial listing of panel options below. tr �, • Basic Panels include circuit breaker for the pump and separate breaker for the alarm. These panels include alarm light, alarm buzzer and alarm silence button. All F. R. Mahony panels are equipped with dry contacts to enable the connection of the Remote Sentry® (battery powered redundant alarm panel option) - p p atatomatic,po sfer--generator connection shown above. rovides- Thisry anel lude�auto,tran , "e--Standardo options Inc alarm panel -or haven wer trailsferNwithout havingtoo en the g to operate any manual transfer_switching._This feature can be added to the basic panel or the panels offered-beloww-- a ALS ,.,.., . �,.�-...•..�.._,.�� '� f I �Populareoptions Include the Protection Package' which (monitors and 1 �.. protects the system'from: ` tam 7__77 U C/ �1 `- - o Pump Run Dry Condition (Pump running out of water) i E S o Pump Overpressure Condition (Closed valve) o Brownout Condition (Main voltage under 12% of nameplate) o High Liquid Level The "Protect Plus" panel features offer the same items in the "Protection Package" plus the following: o High & Low Amperage draw by the pump o High & Low voltage to the pump o Extended Runtime by the pump (indicating wear or excessive flow) (field adjustable settings) o Monitoring of: ■ Real-time Pump Voltage and Current ■ Cycles & Hours (can be reset) ■ Minimum & Maximum Amperage (can be reset) ■ Minimum, Maximum, Average, and Last Run Cycle (in minutes, can be reset) 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mahony & associates.inc. water supply and pollution control equipment 273 Weymouth Street • Rockland, MA 02370 Emergency Generator Transfer Options. The indoor pump units may be furnished with a receptacle for connection of emergency power supplies. The image to the right shows the connection receptacle on the right side of our Sentry panels. This connection may be connected by your electrician to a remote connection port outside of the home. A be performed by a ectrician and conforming J local electrical codes. tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com tx; :ft) is shown in the face view (face up) and is be mounted on the outside wall to permit of a portable generator to the receptacle on Generator operation must always be in well areas outside of any living space. II may operated under emergency power ie automa_ tic -transfer option is selected with RD panel.' Normal pump run-times are short 17not'..requ fe-the continuous connection..of a -A.sporta in enerator may be used to S E It I E S MIM L14 -Z ii 20 Amp 1-12002411 VAC 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road 3906C Tower Hill Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 Wakefield, RI 02879 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 tel. 781-561-6555 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 AM F.r. mahony & associates, inc. =AM MASIbLAIIIIINk tel. 781.982.9300 fax. 781.982.1056 water supply rand pollution control equipment info@frmahony.com www.frmahony.com 273 Weymouth Street • Rockland, MA 02370 Pump models may be the DH071-93 (standard height) for outdoor use or the Model IH091 indoor unit. Both products are UL listed NSF and CSA certified. Model DH071-93 Outdoor Pump With Bal-LastTM The outdoor model is complete - ready for installation and connection to exterior plumbing and power supply. This unit is fully tested for operation and factory leak tested. No assembly is required and there are no floats to adjust. The pump is furnished complete with the alarm panel and direct bury power supply cable. Standard cable length is 32 feet with 50, 75, and 100 and up to 150 foot cables available. (See Alarm Panel options above) Other station configurations are available for higher flow requirements. Please contact us for more information. Additional information may be found at www.eone.com 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mohony & associates, inc. tel. 781.982.9300 fax. 781.982.1056 water supply and pollution control equipment info@frmahony.com 273 Weymouth Street + Rockland; MA 02370 www.frmahony.com Operation Conditions 34.07 Feet is the GRINDER PUMP PERFORMANCE CHARACTERISTICS highest TDH at I Ana simultaneous operating 24 conditions with the ca'sw r:�r�nv 210 expected number of20 1 17R i$5 FWMHpumps operating in each zone, or the head `'"`� 180 of an individual pump 75 0 operating in a single 70 t°`"PF�"'��'A r -NN '� ` IM zone condition. 66 So ,4Q Operating range of 55 E/One pumps from0-' 110 165 feet -3 DH/ 'and fr_omi, -cp to I 0ito =60 feet,/TDgo Anti -siphon valves -in— 9' WD 70 E/One cores provide for a negative'headFpumping: 40 In common systems 3010 with negative heads of T ' 2016- 25-30 feet or more we 10 recommend the use of ° combination air/vacuum release valves as - described below. -40 -40 .20 .2 . 0 2 .4 r, 8 TO; 12 14 10 18 �SC� 4�t. GES SEWER SYSTEMS Environment One Corporation 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mahony & ossociates;inc. MAWMQ wafir supply and pollution COTIfPQ equipmen# 273 Weymouth Street • ltocklond, MA 02370 I -vv S� 17 �iIPE Fid . E of& tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com SAT A -w mm PART MAMR FROM QM ARO VALVE CM STO? WffH PIK V AND VALVE Pomm STOPS 0p;m4mLosm, VtJtH t11!AL CHECK 'VALVE a�A1L�lAL� 5AIA1tS� STt=CL £ON 551 an Atb:+AT1 ;IMM t+ATERFAL I1I'i10H NOTESI 1. SS CURD STOP/CHECK VALVE AND F1TTINGS ARE O' IDED SEPARAMY, TO SEASSEMBLED BY OTHIERS 2. TO ASSELIK E APPLY AP3MLE LAYER OFON TAPE. AND A LATER OFli DOPE {517PPI IED BY 4TtFi iSS TO THE THREADS ON Iii PLASTIC F7704GS AND 96TALL PER THE M#..ANWALTURMS .INSTRUCTI" 3. Assafty Is TO. Be PRESSURE'TESTED (BY OTHER) 4. ASSEMBLY IS TO BE USED WITH SMI. HDPEPtd 5. TO ORDER SS LATERAL KIT, 'USE PART NUMBER NCO193001 6, GM BOX IS TO BE ORDERED SEPARATELY, SEE ABOVE vllil?'RESS�ON /+ASTER FMO4 trs� oras? COMMMON AWTEP iiiTi_4 moo) TO PLUP At4LY 1Y1YLUE PPE {54A?a�58 BY Ork(ERS) I IT" RARTS ARE IST A-15SEUMED SOS I ON `.',/02ml A I I,,* STAftES a STEEL, LATFRA{a. KIT 't -l/+' SM 11 HMV_ PIPE NA0330P02 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 STAINLESS STEEL ASS VASAL: CAS3t IRON LATERA. KIT 1-1./4 SDR 11 HDPE PIPE E11t=N IM TYPE CIS BOX ",.A,." PATTEM 9ASE MATE Mi It Ads AVAILABLE tENGt ., � � is•s0- IvVWR o'er OM1 30-42- PSrt93 2 M30a 42-6&: P8093OW4 iB-75` €�t�043tYa(t� -102 12000300c SAT A -w mm PART MAMR FROM QM ARO VALVE CM STO? WffH PIK V AND VALVE Pomm STOPS 0p;m4mLosm, VtJtH t11!AL CHECK 'VALVE a�A1L�lAL� 5AIA1tS� STt=CL £ON 551 an Atb:+AT1 ;IMM t+ATERFAL I1I'i10H NOTESI 1. SS CURD STOP/CHECK VALVE AND F1TTINGS ARE O' IDED SEPARAMY, TO SEASSEMBLED BY OTHIERS 2. TO ASSELIK E APPLY AP3MLE LAYER OFON TAPE. AND A LATER OFli DOPE {517PPI IED BY 4TtFi iSS TO THE THREADS ON Iii PLASTIC F7704GS AND 96TALL PER THE M#..ANWALTURMS .INSTRUCTI" 3. Assafty Is TO. Be PRESSURE'TESTED (BY OTHER) 4. ASSEMBLY IS TO BE USED WITH SMI. HDPEPtd 5. TO ORDER SS LATERAL KIT, 'USE PART NUMBER NCO193001 6, GM BOX IS TO BE ORDERED SEPARATELY, SEE ABOVE vllil?'RESS�ON /+ASTER FMO4 trs� oras? COMMMON AWTEP iiiTi_4 moo) TO PLUP At4LY 1Y1YLUE PPE {54A?a�58 BY Ork(ERS) I IT" RARTS ARE IST A-15SEUMED SOS I ON `.',/02ml A I I,,* STAftES a STEEL, LATFRA{a. KIT 't -l/+' SM 11 HMV_ PIPE NA0330P02 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555 f.r. mahony & wsociates, inc. M I@ I , -. I water supply and pollution control equipment 273 Weymouth Street • Rockland, MA 02370 Typical Cleanout Detail (Optional Air/Vacuum Valve shown —right) M.H. FRAME & COVER MR STEPS REF e IPS PVC. TRUEUt BALL VANE KOR"N—SEAL OR LINK SEAL, tTYP PIPE PENETRATIONS DIA. HDPE— FORCE. MAIN tel. 781.982.9300 fax. 781.982.1056 info@frmahony.com www.frmahony.com GRADE REF. 71 •' ,• . --HDPE TEE W/ 1'-0' GRAVEL _ THREAD ADAPTER IPS BETIDING REF. CONCRETE PIPE SUPPOR W./ PIPE ANCHOR STRAP TYPICAL ELEV. VIEW Cleanout detail can be modified to match typical installation needs. Inline shut offs may be added to isolate flow direction. Image shown is flow through cleanout. These structures can be terminal end of line cleanouts, or junction cleanouts as may be required. Optional air and vacuum relief valves may be added when required. 30 DuPaul Street 41 Bayberry Hill Road 140 Country Walk Road Southbridge, MA 01550 W. Townsend, MA 01474 Schenectady, NY 12306 tel. 508.765.0051 tel. 978.597.0703 tel. 774-402-0354 fax 508.765.1244 fax 978.597.0704 fax. 518-356-3266 3906C Tower Hill Road Wakefield, RI 02879 tel. 781-561-6555