The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #1306-2016 - 12 LAVENDER CIRCLE 6/14/2016 I i /IP1 Yl V� e10RYM. r� '�t'� J BUILDING PERMIT O�,tLCD_ 4j F TOWN OF NORTH ANDOVER o 1 r :. I �y APPLICATION FOR PLAN EXAM INAT IOR`' Y CO I mH Permit Date Received No#�• ��/y �� / ��"�RxrxWrPp" y gAreD SSACHV`�� Date Issued: Lqw IMPORTANT: Applicant must complete all item' s'antbi-page i LOCATION /c� L A I/E/V��19el-7 1 iL Print PROPERTY OWNER I � i�'I Print 100 Year Structure yes no MAP_PARCEL: 136 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential i ❑ New Building ❑ One family Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ElRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic p WeII p F[well, 5", etl'antls. ❑ 1Natershed Distncfi, DESCRIPTIO pF WORK TO BE PERFORMED: /A)��A LL A�i om) "I—JOAI-�_ � /11ry Identification- Please Type or Print Clearly OWNER: Name: Il LO 12 Phone: Address: �/ �i �D, h1J)6V Contractor Name: 1Nl/�L��l� I� ��/ Phone: Email: 'rO Nf N N Z G Address: eAkk!Q Q ` CS -/Q �� Ex Date: ®� 6 2 (4 Supervisor's Construction License: p- Home Improvement License: �� Z �� Exp:.,Date'e.': F ARCHITECT/ENGINEER ��} LSI lam— Phop' p Address: -2L � C L&r Reg..�lo 2 -. 2� FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF)H�OTAAW&ATED CgST: 7�0&$125.00 PER S.F. Total Project Cost: $ FEE: $ ' Check No.: Receipt No.... NOTE: Persons contracting with unregistered contractors do not have dccess lv.,�the guaranty fund - - -- Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tannimg/MassageBody.Art El ramming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY J INTERDEPARTMENTAL SIGN OFF a U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS „ t WEALTH Reviewed on Signature I COMMENTS C, Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384_Osgood �FIREDEPAR�T N mpD' -- Te � r d _ F = _lam a r� .� 1117�pS er Oil Site a yueSa: t� .s,....�no g co . c L sated of 124 Mam, .1- j r s D partmentsignature/clafe t f 2 Pajr �,y,,� _ .ops C011/IMEIVTS , Dimension { Number of Stories: Total square feet of floor area, bases Bterior dimensions. Total land area, sq. ft.: ELECTRICAL, Movement of Meter location, mast or service drop-requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA- (For deparrtm-1 ' use) ® Notified for pickup Call Email 1______. DateTime ^_ Contact Name Doc.Building Permit Revised 2014 - r — - Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submitted with the building application Doe:Building Permit Revised 2014 1 NORTH I oven �? I,y Andover O ;�. y+' No. Z o h , ver, Mass, 1* zw coc"Ic Nl WICK R�treD U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........ .#./. .............. BUILDING INSPECTOR has permission to erect .......................... buildings on ..... .. ....I . . . ..! � i�. Foundation ..... Rough to be occupied as p ...46......W. A4....0 111109.. ./�. . ...... . !P!�.............. ...... Chimney provided that the person accepting this permit shall in every respe conform to the terms of the application Fin-dr—OC/1 on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON S Rough Service .. .. .. .. ......... ..... ...... .. .......... ..... BUILDING INSPE OR. Fin `,`" GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. �1pRTly Town ofAndover ? .. : O - 0 o;04�ah ver, Mass, Ift 14 za® COCMICMl WICK �01 A�RATED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........r4h: ........... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .....�. ....�ir ..� �..... . . ... Rough to be occupied as ...� ......(� ...... ..... '.�. ...... ..../�.�� chimney provided that the person accepting this permit shall in every respe conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. - PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 ONTHS ELECTRICAL INSPECTOR UNLESS CONST �1� S Rough Service .. .. .. .. ......... ...... .. .......... ...... Final BUILDING INSPE OR GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final YY No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. ()nvakon Solar Technologies Town of North Andover Building Department— Inspectional Services 120 Main Street North Andover, MA 01845 RE: Loth Residence Solar Panel Installation 12 Lavender Circle North Andover, MA 01845 Dear Sirs Invaleon Technologies Corp., has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels. This analysis has been based on field measurements, framing information and configurations observed at the proposed site. The existing residence is located at 12 Lavender Circle, North Andover, MA 01845. Structural Data and Code Information Our analysis has been performed in accordance with the requirements of the MA Residential Building Code 780 CMR — Eighth Edition. The main roof of this residence is framed with conventional roof rafters in a gable configuration. The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: Main Roof Rafters: 2" x 8" (#2 Spruce Pine Fir, Hem Fir, D Fir Assumed) Rafter Spacing: 16" on center Roof Slope: 33 Degrees Horizontal Projected Length of Rafter: 14 feet Ceiling Joist: Present Collar Ties: Absent Roof Sheathing: Plywood sheathing Condition of Framing: Excellent Ground Snow Load, Pg: 50 PSF from Table R301.2(5) Importance Factor, I: 1.0 Exposure Factor, Ce: 1.0 (Partially Exposed) Thermal Factor, Ct: 1.0 Existing condition (Warm Roof) 1.1 With panels (Cold Roof) Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com t (� Jnvakon Solar Technologles Design Snow Loads: 32 PSF (Existing — Unobstructed Warm Roof) 29.53 PSF (New Condition — Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot (PSF) on the roof surface. Based upon the configuration of the rafters as described in the previous section, the framing of the structure will allow the addition of the proposed solar system along with the current existing shingles (one layer) with an imposed dead weight of 3.0 psf. Further calculations and analysis can be found in the appendix of this letter. The existing structural configuration (as described in the previous section), will allow the imposed dead load of the solar system, along with a single layer of shingles, and design snow loads to be adequately supported. Gravity Loading: Given the size, spacing, and configuration of the existing roof framing, we have determined that the existing framing for the residence is adequate to support the additional loading from the weight of the solar electric system, including the panels, racking system, and all connections without any need for additional bracing or framing members. The panels will be installed using Snap N' Rack rails with L-brackets in portrait configuration with a rail towards the top and bottom of each panel edge. The L-brackets will be fastened directly to the roof rafters with 5/16" diameter lag screws. The fastener layout shall start near each corner and for portrait orientation shall have a maximum spacing of 32" on center parallel to the roof slope and 48" on center perpendicular to the slope (e.g. every third rafter), except the maximum spacing shall be 32" on center perpendicular to the slope (e.g. every other rafter) for the areas of the array which lay in Zones 2 & 3, or if the rail and roof attachment are within six (6) feet of the edge of the roof. tl. Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com nvakon Solar Technologies Each 5/16" diameter lag screw shall have a minimum of 2.5' thread penetration into the existing rafter. It is also important that the L-bracket attachment locations be staggered +r; between adjacent rails so that no single rafter supports more load than under existing conditions. Wind Loading: Provided that the L-bracket attachments to the roof are made in a typical staggered pattern, the overall wind loading imposed on the structure will not be impacted to any great extent.The netwind loads on the roof framing with attachment spacing as described above will be less than the current loading on the rafters. Conclusion: Our evaluation of the proposed solar-electric installation has established that the roof framing IS adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans. We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system. We do not take responsibility for any other portion of the solar panel array support system, the existing roof framing construction, or the integrity of the structure as a whole. The entire roof structure as existing is capable of supporting the new loads imposed by the installed panels and snow. Do not hesitate to contact my office at 978-809-8316 should you have any questions or if you require any additional information. Respectfully, Invaleon Technologies Corporation 4: ,jA OF H 5�+ VOLKIN p No.22282 O NAL Invaleon a Invaleon Technologies Corporation 26 Parkridge Rd,Suite 1B, Haverhill, MA 01835 978-794-1724 www.invaleonsolar.com TYPICAL OF 2 TYPICAL 1 THRU 13 (1) LG 315N1C-G4 (2) SOLAREDGE 315 WATT P300 OPTOMIZER PROPOSED EQUIPMENT SPECIFICATIONS MONO Imax 15A 3 SOLAREDGE SE7600A-US Vmax 35V A (1)SOLAR MODULES-LG 315N1C-G4 315 WATT DC-STC B 5 Imp:9.50A Vmp:33.2V DC AC Isc:10.02A Voc:40.6V TYPICAL 1 THRU 10 dDA STRINGS OF 18 MODULES (2)SOLAREDGE POWER OPTIMIZER STRINGS OF 12.Imax:15A,Vmax:35V.UL/IEEE LISTED (1) LG 30A POWER EQUIPMENT 315N1C-G4 (2) SOLAREDGE (3)SOLAREDGE SE760OA-US INVERTER 315 WATTP300 OPTOMIZER Imax:35 @ 240V 1 PHASE 60HZ MONO 'max 15A (4)SOLAREDGE SE6000A-US INVERTER Vmax 35V A Imax:22 @ 240V 1 PHASE 60HZ AC B (5)100A RATED MLO 240V 1 PHASE 60HZ,WITH DC - QTY 1 40A 2 POLE BREAKER,AND QTY 1 30A 2 C) POLE BREAKER (6)CUSTOMER OWNED REVENUE GRADE (4)SOLAREDGE SE6000A-US 6 (7)100A 600V NEMA 3 INDOOR FUSED DISCONNECT WITH 70A FUSES UM RM (8)100A 600V NEMA 3R OUTDOOR UNFUSED UTILITY DISCONNECT (10) (9)POINT OF INTERCONNECTION LINE-SIDE g 7 TAP INSIDE EXISTING 200A MAIN BREAKER 9 C SERVICE PANEL (10)EXISTING 200A MAIN ELECTRIC SERVICE PANEL WITH 2O0A MAIN BREAKER 240V SINGLE gC C PHASE TO UTILITY GENERAL NOTES WIRE AND CONDUIT SIZING ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. AWG#12/10.ALL OTHER CONDUCTORS SHALL BE 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS COPPER THWN-2/THHN. 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS (A)2AWG#10 PV WIRES W/AWG#8 GEC EXPOSED 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS (B)3 AWG#8 W/AWG#8 GEC IN 3/4"EMT PER NEC 690. (C)3 AWG#6 W/AWG#8 GEC IN 3/4"EMT 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1(MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. y 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. AILD yd 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 69047. VOLA. KIN U Inva—Terlmobgies Corporation pr°le4tpt_: NDTS T111es:Electrkal l-Line BY:Tdm K We 26 Parkddge Road.Svile to I M Residence O,r• DeuriPBon:Eleddml t-Line ESSIONAL F' .A.L.lpeskloPgnvaleon.I2A9.pn9 HaverhW,MA 01835 Bile ss Atldre : DravdnB:t ' wmv.invaleonsolar.mm 12 Laven4er St Revision:0 1 976.809.83161N.MMdo r.MA01845 Sh-1,12 Onvakon Solar 7L-chnologles TURNKEY CONTRACT This TURNKEY CONTRACT is made this 13t1 day of May,2016 (the "EFFECTIVE DATE") by and between: "ITC" Invaleon Technologies Corporation ATTN: Tom Kangkui Wu 26 Parkridge St, Suite 1B Haverhill,MA 01835 P: (978)-794-1724 AND "SYSTEM OWNER" (Name)Eric Loth (Address) 12 Lavender Circle, North Andover, MA 01845 (Phone) ITC desires to provide Solar Installation services to the SYSTEM OWNER and the SYSTEM OWNER desires to obtain such services from the ITC. THEREFORE, in consideration of the mutual promises set forth below, the parties agree as follows: 1. PROJECT MANAGER. Christopher Melville is an employee of Invaleon Technologies Corporation, and will act as the PROJECT MANAGER and representative for ITC. 2. PROJECT LOCATION: 12 Lavender Circle,North Andover,MA 01845 3. CONTRACT PRICE: $47,092 4. SOLAR SYSTEM SPECIFICATIONS. ITC will install an electricity grid-connected photovoltaic, solar power system with a total generating capacity rated at approximately 14.49 kW-DC (referred to as the"ENTIRE SYSTEM") located at the PROJECT LOCATION (the "SITE"). The installation of the "ENTIRE SYSTEM" shall hereinafter be referred to as the "WORK". 5. MANUFACTURER WARRANTY. Omitted. Page 1 of 9 E n . n11c3/ Solar T�chnologles 6. INSTALLER WARRANTY. The ENTIRE SYSTEM will have a minimum 10-year labor warranty provided by the ITC to protect the SYSTEM OWNER against defective workmanship, PV project or component breakdown (exceptions noted in Section 3), or degradation in electrical output of more than fifteen percent from their originally rated electrical output during the warranty period. The warranty will cover the ENTIRE SYSTEM, including PV modules (panels) and inverters, and provide for no-cost repair or replacement of the PV project or system components, including any associated labor during the warranty period. 7. PLANS, SPECIFICATIONS AND CONSTRUCTION DOCUMENTS. The SYSTEM OWNER will make available to ITC all plans, specifications, drawings, blueprints, and similar construction documents necessary for ITC to provide the Services described herein. Any such materials shall remain the property of the SYSTEM OWNER. ITC will promptly return all such materials to the SYSTEM OWNER upon completion of the WORK. 8. REQUIRED PERMITS. The following building permits are required and will be secured by ITC as the SYSTEM OWNER's agent: • Building Permit from The Town of North Andover 0 Permit to Perform Electrical Work from The Town of North Andover 0 Interconnection Approval from National Grid SYSTEM OWNER shall remain the sole proprietor of all permits, licenses, drawings, schematics, 1-line & 3-line diagrams, or any other pertinent documents and communications pertaining to the abovementioned permits and approvals. 9. PROPOSED START AND COMPLETION SCHEDULE. The following schedule will be adhered to unless circumstances beyond ITC`s control arise Payments will be made according to the following schedule: 1. (35%) $16,482 upon execution of this TURNKEY CONTRACT and closing of the Mass Solar Loan. 2. (65%) $30,610 at Commissioning of the SYSTEM as defined by National Grid's Permission to Operate (PTO) 10. SUBCONTRACTORS. ITC will not subcontract any and all portions of this TURNKEY CONTRACT. Page 2 of 9 Onvaleon Solar 7bchnologles 11. CHANGE ORDER. The SYSTEM OWNER and ITC may make changes to the scope of the work from time to time during the term of this TURNKEY CONTRACT. However, any such change or modification shall only be made in a written "CHANGE ORDER" which is signed and dated by both parties. Such CHANGE ORDER's shall become part of this TURNKEY CONTRACT. The SYSTEM OWNER agrees to pay any increase in the cost of the WORK as a result of any written, dated and signed CHANGE ORDER. In the event the cost of a CHANGE ORDER is not known at the time a CHANGE ORDER is executed, ITC shall estimate the cost thereof and the SYSTEM OWNER shall pay the actual cost whether or not this cost is in excess of the estimated cost. 12. CONFIDENTIALITY. ITC and its employees, agents, or representatives will not at any time or in any manner, either directly or indirectly, use for the personal benefit of ITC, or divulge, disclose, or communicate in any manner, any information that is proprietary to the SYSTEM OWNER. ITC and its employees, agents, and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of this TURNKEY CONTRACT. Upon termination of this TURNKEY CONTRACT, ITC will return to the SYSTEM OWNER all records, notes, documentation and other items that were used, created, or controlled by ITC during the term of this TURNKEY CONTRACT. 13. INSTALLATION WARRANTY. ITC shall provide its services and meet its obligations under this TURNKEY CONTRACT in a timely and workmanlike manner, using knowledge and recommendations for performing the services which meet generally acceptable standards in ITC's community and region, and will provide a standard of care equal to, or superior to, care used by service providers similar to ITC on similar projects. ITC shall perform the WORK in conformance with the plans, and specifications signed by ITC and the SYSTEM OWNER. In addition to any additional warranties agreed to by the parties, the ITC warrants that the work will be free from faulty materials; constructed according to the standards of the building code applicable for this location; constructed in a skillful manner and fit for habitation or appropriate use. The warranty rights and remedies set forth in the Massachusetts Uniform Commercial Code apply to this contract. 14. FREE ACCESS TO WORKSITE. The SYSTEM OWNER will allow free access to work areas for workers and vehicles and will allow areas for the storage of materials and debris. Driveways will be kept clear for the movement of vehicles during work hours. ITC will make reasonable efforts to protect driveways, lawns, shrubs, and other vegetation. ITC also agrees to keep the SITE clean and orderly and to remove all debris as needed during the hours of work in order to maintain work conditions which do not cause health or safety hazards. Page 3 of 9 ()nvakon Solar Technologles 15. UTILITIES. The SYSTEM OWNER shall provide and maintain water and electrical service, connect permanent electrical service, gas service or oil service, whichever is applicable, and tanks and lines to the building constructed under this TURNKEY CONTRACT after an acceptable cover inspection has been completed, and prior to the installation of any inside wall cover. The SYSTEM OWNER shall permit ITC to use, at no cost, any electrical power and water use necessary to carry out and complete the work. 16. INSPECTION. The SYSTEM OWNER shall have the right to inspect all work performed under this TURNKEY CONTRACT. All work that needs to be inspected or tested and certified by an engineer as a condition of any government departments or other state agency, or inspected and certified by the local health officer, shall be done at each necessary stage of construction and before further construction can continue. All inspection and certification will be done at the SYSTEM OWNER's expense. 17. DEFAULT. The occurrence of any of the following shall constitute a material default under this TURNKEY CONTRACT: a.The failure of the SYSTEM OWNER to make a required payment when due. b.The insolvency of either party or if either party shall, either voluntarily or involuntarily, become a debtor of or seek protection under Title 11 of the United States Bankruptcy Code, c.A lawsuit is brought on any claim, seizure, lien or levy for labor performed or materials used on or furnished to the project by either party, or there is a general assignment for the benefit of creditors, application or sale for or by any creditor or government agency brought against either party. d.The failure of the SYSTEM OWNER to make the building site available or the failure of ITC to deliver the Services in the time and manner provided for in this Contract. 18. REMEDIES. In addition to any and all other rights a party may have available according to law of the State of Massachusetts, if a party defaults by failing to substantially perform any provision,term or condition of this TURNKEY CONTRACT (including without limitation the failure to make a monetary payment when due),the other party may terminate the TURNKEY CONTRACT by providing written notice to the defaulting party. This notice shall describe with sufficient detail the nature of the default. The party receiving said notice shall have 45 days from Page 4 of 9 /E n ,�,,/nva o Solar T?chnolo9 les the effective date of said notice to cure the default(s). Unless waived by a party providing notice, the failure to cure the default(s) within such time period shall result in the automatic termination of this TURNKEY CONTRACT. 19. FORCE MAJEURE. If performance of this TURNKEY CONTRACT or any obligation under this TURNKEY CONTRACT is prevented, restricted, or interfered with by causes beyond either party's reasonable control ("FORCE MAJEURE"), and if the party unable to carry out its obligations gives the other party prompt written notice of such event,then the obligations of the party invoking this provision shall be suspended to the extent necessary by such event. The term FORCE MAJEURE shall include, without limitation, acts of God, fire, explosion, vandalism, storm, casualty, illness, injury, general unavailability of materials or other similar occurrence, orders or acts of military or civil authority, or by national emergencies, insurrections, riots, or wars, or strikes, lock-outs,work stoppages, or other labor disputes, or supplier failures. The excused party shall use reasonable efforts under the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates. 20. CONTRACT ARBITRATION. ITC and the SYSTEM OWNER hereby mutually agree in advance that in the event the ITC or SYSTEM OWNER has a dispute concerning this contract, ITC or SYSTEM OWNER may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the SYSTEM OWNER shall be required to submit to such arbitration as provided in Massachusetts General Laws. SYSTEM OWNER Signature: ITC's PROJECT MANAGER's Signature: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by ITC. The SYSTEM OWNER may initiate alternative dispute resolution even where this section is no separately signed by the parties. 21. Indemnification and Limitation of Liability To the fullest extent permitted by law ITC will indemnify and hold harmless the SYSTEM OWNER and its employees from and against claims, damages, losses and expenses, including Page 5 of 9 ()nvaleon Sola Tech o og,es but not limited to reasonable attorneys' fees arising out of or resulting from performance of the WORK, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property, but only to the extent caused by the negligent acts of omissions of ITC or its subcontractor or anyone directly or indirectly employed by them. Nothing contained in this TURNKEY CONTRACT shall be construed as creating any personal liability on the part of any officer, director, owner, employee, manager, member or agent of ITC. Notwithstanding any other provision to the contrary in this TURNKEY CONTRACT, and to the fullest extent permitted by law, ITC's liability under this TURNKEY CONTRACT, shall be limited to the sums recovered by ITC under insurance policies taken out by ITC or ITC's subcontractors in respect to the WORK. Notwithstanding any other provision in this Agreement, under no circumstances shall ITC be responsible for or be under an obligation to compensate the SYSTEM OWNER for lost energy sales, regardless of the reasons for such lost sales. 22. Taxes The CONTRACT PRICE includes all sales, consumer, use, and other similar taxes on materials provided by ITC,which are legally enacted by the governing authority in the area where the installation is located. 23. Miscellaneous This TURNKEY CONTRACT represents the entire and integrated agreement between the SYSTEM OWNER and ITC with respect to the WORK and supersedes all prior negotiations, representations or agreements, either written or oral. This TURNKEY CONTRACT may be amended only by written instruments signed by both the SYSTEM OWNER and ITC. Any oral representation of modification concerning this TURNKEY CONTRACT shall be of no force or effect. This TURNKEY CONTRACT shall be executed in two counterparts, both of which taken together shall constitute one and the same instrument. The undersigned individual(s) represent that they are fully authorized to bind their respective entities. The SYSTEM OWNER acknowledges that it has carefully read this TURNKEY CONTRACT and understands the contents thereof,that it has had the opportunity to consult with its own attorney(s) in respect to the terms and conditions set out herein and it has agreed to the provisions hereof without reliance on any representation or promise by ITC or anyone acting on behalf of ITC. The invalidity or unenforceability of any particular provision of this TURNKEY CONTRACT shall not affect the other provisions, and this TURNKEY CONTRACT shall be construed in all respects as if any invalid or unenforceable provision were omitted. Page 6 of 9 ()nvakon , Solar Techno og es Nothing in this TURNKEY CONTRACT shall be construed or deemed to create a contractual relationship between ITC and any third party; a cause of action in favor of a third party against ITC; or create any third party beneficiary rights of any kind. ITC and the SYSTEM OWNER waive all claims against each other for consequential damages arising out of or relating to this TURNKEY CONTRACT. This mutual waiver applies, without limitation to all consequential damages which arise as a result of either party's termination of this TURNKEY CONTRACT. 24. GOVERNING LAW. This TURNKEY CONTRACT shall be construed in accordance with, and governed by the laws of the State of Massachusetts, regardless of the choice of law provisions of Massachusetts or any other jurisdiction. 25. ASSIGNMENT.Neither party may assign or transfer this TURKNEY CONTRACT without the prior written consent of the non-assigning party, which approval shall not be unreasonably withheld. 26. CONTRACT ACCEPTANCE. Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the property. Review the following cautions and notices carefully before signing this contract. I Page 7 of 9 E „/nvaln o Sola Tech o og,es IN WITNESS WHEREOF,the undersigned have duly executed and delivered this TURNKEY CONTRACT as of the day and year first above written. DO NOT SIGN THIS.TURNKEY CONTRACT IF THERE ARE ANY BLANK SPACES. No work shall begin prior to the signing of the TURNKEY CONTRACT and transmittal to the SYSTEM OWNER of a copy of such contract. ITC Name: Title: Signature: Date: SYSTEM OWNER Name: Signature: Date: Page 8 of 9 ,!R /TVc3/EOE Solar Technologles NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WELL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, THE SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND AN EMAIL TO INVALEON TECHNOLOGIES CORPORATION, AT 26 PARKRIDGE RD, SUITE 113, HAVERHILL, MA 01835 NOT LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION. DATE: BUYER'S SIGNATURE: Page 9 of 9 solar o o a � . �V +X ,tet So ag g rEd a Single Phase Inverterss 03 ` For North America � o SE3000A-US / SE380OA-US/ SE5000A-US / SE6000A-US / r�, SE760OA-US SE1000OA-US / SE11.40OA-US t .g i " 41 _ kC"sd 3 St N yf 7 h .tAqpw 772N, E t S OW - W fi The best choice for SolarEdge enabled systems - Integrated arc fault protection for NEC 2011 690.11 compliance - Rapid shutdown for NEC 2014 690.12 — Superior efficiency(98%) - Small, lightweight and easy to install on provided bracket - Built-in module-level monitoring — Internet connection through Ethernet or Wireless — Outdoor and indoor installation — Fixed voltage inverter, DC/AC conversion only — Pre-assembled Safety Switch for faster installation - Optional—revenue grade data,ANSI C12.1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-UK-ISRAEL www.solaredge.us Single Phase Inverters for North America solar = SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE10000A-US/SE1140OA-US _ SE3000A US ( SE3800AUS60AUS76AUSE10000SEUS SE11400A US� OUTPUT - ----------r___..... 9980 @ 208V 11400 VA Nominal AC Power Output 3000 3800 5000 6000 7600 10000 @240V 5400 @ 208V j 10800 @ 208V I 12000 i VA Max.AC Power Output 3300 4150 5450 @240V 6000 8350 i 10950 @240V AC Output Voltage Min:Nom:Max.'l) 183-208-229 Vac ` AC Output Voltage Min.-Nom.-Max."' ✓ ✓ ( ✓ ,/ ✓ ✓ 211-240-264 Vac AC Frequency Min:Nom:Max!" 59.3-60-60.5 Hz I 24 @ 208V ( 48 @ 208V ( 47.5 A Max.Continuous Output Current I 12.5 I 16 { 21 @ 240V 25 ( 32 42 ala 240V GFDI Threshold 1 A 1 Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT ..---- Maximum DC Power(STC) j 4050 1 5100 6750 8100 10250 13500 15350 W Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc Nom.DC Input Voltage I 325 @ 208V/350 @ 240V ( Vdc l 16.5 @ 208V 33 @ 208V Max.Input Current") 9.5 13 18 23 30.5 @ 240V 34.5 � Adc i i 15.5 @ 240V ' Max.Input Short Circuit Current I 45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600kn Sensitivity Maximum Inverter Efficiency 97.7 98.2 ; 98.3 ! 98.3 ( 98 98 i 98 % CEC Weighted Efficiency 97.5 98 97 @ 208V 1 97.5 i 97.5 97 @ 208V 97.5 % 98 @ 240V I 97.5 @ 240V Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES _ _ __-_-__._ __._.._. _.._.._-_ r__.__ Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 I Optional(') Rapid Shutdown-NEC 2014 690.12 Yes STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22.2 Grid Connection Standards IEEE1547 1 Emissions _ } FCC partly class B INSTALLATION SPECIFICATIONS - AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG DC input conduit size/#of strings/ 3/4"minimum/1-3 strings/ AWG range 3/4"minimum/1-2 strings/16-6 AWG 14-6 AWG 30.5 x 12.5 x 10.5/ in/ Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184(HxWx775x315x60 4 mm Weight Dwith Safety Switch 51.2/23.2 54.7/24.7 88.4140.I I Ib/kg Natural ( 11 I convection Cooling ( Natural Convection and internal ; Fans(user replaceable) fan(user replaceable) Noise <25 <50 dBA Min.-Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version available(")) 'F/'C Range Protection Rating I NEMA 3R III "I For other regional settings please contact solarEdge support. �ZI A higher current source maybe used;the inverter will limit its input current to the values stated. 13�Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 760OW inverter:5E760OA-US002NNR2). 10�-40 version P/N:SExxxxA-USOOONNU4(for 760OW nverter:SE7600A-US002NNU4). `aY�. `taV"�ritsrf3-.ihvvneirrsw:fiTs►aYii4 � tsSVl��.�'tlCtrt�&W+i�`riitr.�la.. solar - o C== ' SolarEd9 a Power Optimizer Module Add-On For North America P300 P320 P400 P405 z •Qowerp v A 25Veays ��°•Janz Quo PV power optimization at the module-level - Up to 25%more energy - Superior efficiency(99.5%) — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system design for maximum space utilization — Fast installation with a single bolt - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA-CANADA-GERMANYITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS UK-ISRAEL www.solaredge.us solar = 0 0 SolarEdge Power Optimizer Module Add-On for North America P300 / P320 / P400 / P405 I P300 P-3-20---1- P400 ! P405 (for 60 cell modules) (for high-power (for 72&96-cell (for thin film 60-cell modules)_— modules) modules) INPUT Ratedput InDC Power"I 300 320 400 405 W ....... .... .... .... _.. ... ... ... .... ... ... Absolute Maximum Input Voltage 48 80 125 Vdc (Voc at lowest temperature) MPPT Operating Range 8-48 48 8 80 12.5-105 Vdc _....... .......... ............t..,........ .. ... ............ ... . ... . ..._.....................,.....I....._ . Maximum Short Circuit Current(Isc) ; 10 11 10.1 Adc .... ........I ... ......... .... ..... ... .. .... .... ,.... .... ... .... . — .. ... .... . Maximum DC Input Current 12.5 13.75 12.63 Adc Y........ ... —. .....,... ... . ... .... . . . .. ... .... .. . . ..... Maximum Efficiency 99.5 Weighted Efficiency98.8 % .. ...... . . . .. . . . .... . _....... ... Overvoltage Category — _ II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Current15 i Adc .... _.. ......... .. _ _. ............._.,.............. Maximum Output Voltage _ _6_0 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power 0 timizer 1 Vdc STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 i Safety IEC62109 1(class U safety),UL1741 ... .... . .. ......... _RoHS _ Yes INSTALLATION SPECIFICATIONS — MaximumAllowed System Voltage 1000 . .. . .Vdc. Compatible inverters All SolarEdge Single Phase and Three Phase inverters 128x152x27.5/ 128x152x35/ 128x152x48/ Dimensions(W x L x H) mm/in 5x5.97x1.08 5x5.97x1.37 5x5.97x1.89 Weight(including cables) 760/1.7 1064/2,3 r/Ib . ....... _.,. .. ....:...g.. Input Connector............ ..... . MC4 Compatible ........ Output Wire Type/Connector ... Double.Insula.ted;. MC4 Compatible _... . . .. .... .... ... ................. . Output Wire Length... .... ... .... ........ ......... .... 095/3.0... ... .... .. 1. 3:9 Operating Temperature Range -40 +85/-4.07+185 C/°F Protection Rating 11P 6.8./NEMA6P ..Relative Humidity.... .... .... ... 0-.100 Rated STC power of the module.Module of up to+5%power tolerance allowed. PV SYSTEM DESIGN USING — SINGLE PHASE THREE PHASE 208V THREE PHASE 480V A SOLAREDGE INVERTER(') Minimum String Length -- _ 8 10 T� 18 (Power Optimizers). Maximum String Length 25 25 50 (Power.Optimizer0 ...... ...... Maximum Power per String 5250 6000 12750 W _ . . ............................... Parallel Strings of Different Lengths or Orientations Yes ... ... . ..... .... ........ ... ...... It is not allowed to mix P405 with P300/P400/PG00/P700 in one string. ..:'07Ap+.iF•�'(7; c-.•,�ti.@:e�rte t'�3t�.-x:.?,tar��k.ro'cit+�lN J.c� q�....�� x 1"r- .a;^+($Gina,k„c>:��1e.1rv�xt;>�'. (a) LG ® • ® ! Life's Good ;. .3t�. e � •ti r%i'3v�y '.��w �f Efi LG NeON"2 LG's new module,LG NeCINT11 2,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires APPROVED PRODUCT 60 cell to enhance power output and reliability.LG NeCINTM 2 �/ EjV demonstrates LG's efforts to increase customer's values E C beyond efficiency.It features enhanced warranty,durability, Intertek KM 564573 BS EN 61215 performance under real environment,and aesthetic Photovoltaic Modules design suitable for roofs. Enhanced Performance WarrantyOQ High Power Output LG NeONT""2 has an enhanced performance warranty. fl ! Compared with previous models,the LG NeON"2 The annual degradation has fallen from-0.7%/yr to has been designed to significantly enhance its output -0.6%/yr.Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous LG NeONT""modules. Aesthetic Roof Outstanding Durability LG NeONTM 2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG has extended thinner wires that appear all black at a distance. the warranty of the LG NeONTM 2 for an additional The product may help increase the value of 2 years.Additionally,LG NeONT""2 can endure a front a property with its modern design. Q� load up to 6000 Pa,and a rear load up to 5400 Pa. Better Performance on a Sunny Day Double-Sided Cell Structure • LG NeONTM 2 now performs better on sunny days thanks The rear of the cell used in LG NeONTM 2 will contribute to to its improved temperature coefficiency. generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X®series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,LG NeON'"(previously known as Mono X®NeON)won'9ntersolar Award';which proved LG is the leader of innovation in the industry. LAG NeON"2 Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 Module Type 315W Cell Vendor LG MPP Voltage(Vmpp) 33.2 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.50 Cell Dimensions 156.75 x 156.75 mm/6 inches Open Circuit Voltage(Voc) 40.6 u of Busbar 12(Multi Wire Busbar) Short Circuit Current(Isc) 10.02 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 19.2 64.57 x 39.37 x 1.57 inch Operating Temperature(°C) -40-+90 Front Load 6000 Pa/125 psf Maximum System Voltage(V) 1000 Rear Load 5400 Pa/113 psf Maximum Series Fuse Rating(A) 20 Weight 17.0±0.5 kg/37.48±1.1 lbs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP67 *STC(Standard Test Condition)Irradiance 1000 W/m',Module Temperature 25`C,AM 1.5 *The nameplate poweroutput is measured and determined by LG Electronics at its sole and absolute discretion. Junction Box IP67 with 3Bypass Diodes *The typical change in module efficiency at 200 W/m'in relation to 1000 W/m'is-2.0%. Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass Frame Anodized Aluminum Electrical Properties(NOCT*) Certifications and Warranty Module Type 315W Maximum Power(Pmax) 230 Certifications IEC 61215,IEC 61730-1/-2 MPP Voltage(Vmpp) 30.4 IEC 62716(Ammonia Test) MPP Current(Impp) 7.58 IEC 61701(Salt Mist Corrosion Test) Open Circuit Voltage(Voc) 37.6 ISO 9001 Short Circuit Current(Isc) 8.08 UL 1703 NOCT(Nominal Operating Cell Temperature):Irradiance 800 W/m',ambient temperature 20°C,wind speed 1 m/s Module Fire Performance(USA) Type 2(UL 1703) Fire Rating(for CANADA) Class C(ULC/ORD C 1703) Dimensions(mm/in) Product Warranty 12 years 0 Output Warranty of Pmax Linear warranty*Qlf 1)1st year.989/.,2)After 2nd year 0.6%p annual degradation,3)83.6%for 25 years Temperature Characteristics - NOCT 46±3°C `"</o .1 o I ll 11 Pmpp -0.38 /°C oe,.lx �� o.t.lw o.wiz gae.6,m. 56°n.le.r.nr Voc -0.28%/°C Isc 0.03%/°C "' ' .. ,^•^•' m,.,nw.,c.:x.16 Characteristic Curves ` .�a..' ,000W 800W °gmuyiz.., hl 1•) 8.00 Izve.l 60OW 6.00 nw fnaMe..l 6.00--_....-......_- 00om.e.ym 200 _ 2 _W volrage(V7 ,. 0.00 so. ,000 ,SAO 20.00 25.00 30.00 35.00 40.00 45.00 C $§ F ,4o F .E 120 80 ........ ...... -..._. �>r so 20 R n moeat°re(T) so .25 o 25 so ]5 90 *The distance between the center of the mounting/grounding holes. LV North America Solar Business Team Product specifications are subject to change without notice. LG Electronics U.S.A.Inc DS-N2-60-C-G-F-EN-50427 Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 Copyright©2015 LG Electronics.All rights reserved. Innovation fora Better Life Contact:Ig.solar@lge.com 01/04/2015 www.lgso(arusa.com l J •rt ,ax , k r a��4 , 3 g r Y - k , n ^ l' V f r 1 ^ x . .. a t r „a s gg , F PAw. i" r yip I :y -� Invalem T res Project Name: TDTS i 12 By:Tom K Wu Commards: echnoRo Corporation Loth Residence Titles:Site Layout 26 Padaidge Road,Suite 1B ..\..\.\Desktopllnvaleon.420z0.png Haverhill,MA 01835 Site Address: Drawing:1 Description:Site Layout w InvaleonWar.corn 12 Lavender St Revision:0 978.809.8316 in(osinvaleontech.com North Andover,MA 01645 2 d Al 1 ,, h• S £ "ll& 1 r k Tz, ID e. ! j y � � 1 i ¢ [ r r t , y aaffi a • .� t1e 1 f m t y' -: ,,, ,.s: a a!"..._ :tea- ;.....yC• .1, t y i hg. ay 1 y f ac `1 zn 3" ^ . •- , ""' x s a v x .� t - . ,, , -. ' •.,� `4,� ,'. - �`�, � :�'A a ate'. Invaleon Technologies Co ration Project Name: NDTS Data: 6 BY:Tom K Wu Comments: 9 �o Loth Residence Titles:Site Layout 26 Parkridge Road,Suite 1 B ..\..\..\Desktop\invaleon.420z0.png Haverhill,MA 01835 Site Address: Drawing:t Description:Site Layout www.invaleonsolar.com 12 Lavender St a 978.809.8316 ianfo@invaleontech.com North Andover,MA 01845 Revision:0 I n @ Sheet 2 i The Commonwealth of Massachusetts Department of Indra'te klAccidents 1 Congress Street,Suite 100 Boston,AM 02114-2017 Vwww mass gov/dia Workers'Compensation Insurance Affidavit:BuilderstContractors/Electricians/Plumbers. TO BE FILED WrrH THE PERMITnNG ADTHORM. Aipplicant Information Please Print IA 'bl Name(Business/Orgw&ation&dividaal): d(J Address:a 6,W144 City/State/Zip: ✓'PeAi a U 6 Phone#: () -0 91k Are you an employer?Chet the appropriate box: Type of project(required): 1.FpI am a employer with employees(foil and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employes working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.[]I am a homeowner doing all work myself,[No workers'comp,insurance requital t 1 ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees ! 12.[:]Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet These subcontractors have employees and have workers'comp.insurance.t 13. Roof repairs 6.Q We area corporation and its officers have.exemised their right of exemption per MGL c. 14.'�bther!96 11 r 152,§1(4),and we have no employees.[No workers'comp.insurance required] ! "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hie outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. lam an employer that isproviding workers'compensation insurance for my enrployeeL Below is thepolicy and job site Information. Insurance Company Name: l- y e /` e K 1 — Policy#or Self-ins.Lic.#: � U/�( �y b Expiration Date: Job Site Address: ` City/Statemp: AMJ7Dl�ri i N " Ul©3�- Attach a copy of fhe workers'compensation pokey declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a . day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der hk ns d pen �%Op�er hat the InfannWon provided / e is a and correct Si a w Phone i Official rise only. Do not write in this area,to be completed by city or town o,01ciai ^ ! City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk L Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: -Phone#: ACO® 76/14/2016 E(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michael Laorenaa NAME: MTM Insurance Associates PHONE (978)651-5700 NC No:(978)681-5777 1320 Osgood Street AIL ADDRESS:certificates@mtminsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERAAtain Specialty Ins Co INSURED INSURER B Invaleon Technologies, Corp. INSURER C: 26 Parkridge Rd. INSURER D: Suite 1B INSURER E: Haverhill MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DD U R POLICY EFF POLICY EXP LTR POLICY NUMBER MWDDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTEU--PREMISES(Ea occurrence $ 100,000 CIP299020 6/8/2016 6/8/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F � PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY MBINED SINGLE LIMIT EaCOaccident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I J ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A issued by carrier E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) This certificate of insurance represents coverage currently in effect and may or may not be in compliance with any written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover Mass THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. No Andover, MA 01845 AUTHORIZED REPRESENTATIVE M Laorenza/LAURIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nmam t I � 1 ® DATE /Y (MMIDDYYY) ACOS o CERTIFICATE OF LIABILITY INSURANCE 06/14/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Laurin Kibildis MTM INSURANCE ASSOCIATES LLC acc°NN Ext: (978)681 5700 alc No: ADDRESS: laurink@mtminsure.com 1320 OSGOOD ST INSURERS AFFORDING COVERAGE NAIC# NORTH ANDOVER MA 01845 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: INVALEON TECHNOLOGIES CORP INSURERC: INSURER D: 26 PARKRIDGE RD SUITE 16 INSURER E: HAVERHILL MA 01835 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 61283 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLJSUBRPOLICTYPE OF INSURANCE INSO WVD POLICY NUMBER MM DDY/YYYY (MM/DD= LIMITS EFF POLIC LTR i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE_T0 RENTE CLAIMS-MADE F OCCUR PREMISES Ea occurDrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE 0RH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUIIVE Y/" E.L.EACH ACCIDENT $ 1,000,000 A OFFICE R/MEMBER EXCLUDED? I N/A N/A N/A 7PJUB2E76800816 03/06/2016 03/06/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. I 1600 Osgood St AUTHORIZED REPRESENTATIVE N Andover MA 01845 DanieltM Cro4 ky,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TYPICAL OF 2 TYPICAL 1 THRU 13 (1) LG 315N1C-G4 (2) SOLAREDGE 315 WATT P300 OPTOMIZER PROPOSED EQUIPMENT SPECIFICATIONS MONO (max 15A 3 SOLAREDGE SE760OA-US Vmax 35V A (1) SOLAR MODULES-LG 315N1C-G4 315 WATT DC-STC B 5 Imp: 9.50A Vmp: 33.2V DEC AC Isc:10.02A Voc:40.6V TYPICAL 1 THRU 10 aoA STRINGS OF 18 MODULES (2) SOLAREDGE POWER OPTIMIZER STRINGS (1) LG 30A OF 12. Imax: 15A,Vmax: 35V. UUIEEE LISTED POWER EQUIPMENT 315N1C-G4 (2) SOLAREDGE 315 WATT P300 OPTOMIZER (3) SOLAREDGE SE760OA-US INVERTER Imax: 35 @ 240V 1 PHASE 60HZ MONO Imax 15A (4) SOLAREDGE SE6000A-US INVERTER Vmax 35V A Imax: 22 @ 240V 1 PHASE 60HZ DEC HI B (5) 100A RATED MLO 240V 1 PHASE 60HZ,WITH QTY 1 40A 2 POLE BREAKER,AND QTY 1 30A 2 C) POLE BREAKER (6)CUSTOMER OWNED REVENUE GRADE (4) SOLAREDGE SE6000A-US 6 (7) 100A 600V NEMA 3 INDOOR FUSED DISCONNECT WITH 70A FUSES UM RM (8) 100A 600V NEMA 3R OUTDOOR UNFUSED (10) UTILITY DISCONNECT (9) POINT OF INTERCONNECTION LINE-SIDE CO) C (8) 7 TAP INSIDE EXISTING 200A MAIN BREAKER SERVICE PANEL (10) EXISTING 200A MAIN ELECTRIC SERVICE PANEL WITH 2O0A MAIN BREAKER 240V SINGLE o C C PHASE TO UTILITY D GENERAL NOTES WIRE AND CONDUIT SIZING ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. AWG #12/10.ALL OTHER CONDUCTORS SHALL BE 2. INVERTERS SHALL BE LISTED TO UL/ IEEE STANDARDS COPPER THWN-2/THHN. 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS (A)2 AWG#10 PV WIRES W/AWG#8 GEC EXPOSED 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS (B) 3 AWG#8 W/AWG#8 GEC IN 3/4" EMT PER NEC 690. (C) 3 AWG#6 W/AWG#8 GEC IN 3/4" EMT 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1 (MIN) AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R (MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. HARD A. 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. VOLKIN y v ies Co oration Invaleon Technolo Project Name: N DTS Date:5/9/2016 By:Tom K Wu Co g Loth Residence Tides:Electrical 1-Line 26 Parkridge RoadSuite 18 , .. Description:Electrical 1-Line F�S1Q�jjr� 1.\..\Deskto l 9 HaverhillMA 01835 nvaleon.420xO. n , Drawing:1 P P Site Address: ' www.invaleonsolar.com 12 Lavender St Revision:0 978.809.83161 info@invaleontech.com North Andover,MA 01845 Sheet 1 of 2 Location No. 1?06 DaterJl I� • • TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check# -7 �; U Zj Building Inspector ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .,4.e� y .. %$3�,d3:.� f f� _..,: ;��Y'a�#�. y��iV��'I[��'y�,� ��'`„zk ^I �'K:P..�.L33� � �'h��d•J�f� ^'°i �y;Y' BUILDING PERMIT R: ' 7 DATE ISSUED: 2 tot, ZW F SIGNATURE: Q '3'1.,%g Building Commissioner/In2peclor of Buildings to SECTION 1-SITE INFORMATION -+ i1.1 Property Address: $k a f 1- 1.2 Assessors Map and Parcel Number: 1 Qf �K. 11 �()'� Q6er t6 � 1'1i�� SUbdivlsion +*c(al , j 92((n Plan ' a5 re Co ai 0_0 Map Number Parcel Number or ��do1,�r mrmeA n /40I 1.3 Zoning Information: 01.4 Plelly Dimensions: SS►na6_ FamhA lPnsidencQ ,a[o% 105c yS Zoning District Pr ods Use`�� Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided d5` ..TPF65.53.77 1 ao' l s' (Pkt;W, LO I 1.7 Water Supply M.G.L.C.40. 54) •5. Flood Zone Information: .8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ �J SECT N 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ^ M 2.1 Owner of Record - X-Q,nr�'1� �RA 7 Oar l�(i S n� . Name(Print) Address for Service Signature Telephone w 2.2 Owner of Record: VVY Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Co stn ct n Supervisor: _O$ —ens P, n 09 N f 01M License Number Addre \'I �oo `A Q Expiration ic Srgnat a Teleplione 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address as. Expiration Date Signature Telephone a R SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes....... No.......0 SECTION 5 Description of Proposed Work check all a Iicable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: C 11 .11.) 1(1dU, -Pam,LA Knrro bwinninq \ s a o a oAuAa SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �DIF 'LCIAL,TISE C3LY Completed by Eermit applicant ; 1. Building 3v—'40 (a) Building Permit Fee F h IQ,000 Multiplier 2 Electrical $1000 (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4;LIK q* 4 Mechanical HVAC 0100 ,�o�#9S.d-=5 Fire Protection 0,SQ ,sa 6 Total 1+2+3+4+5 S. Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR^^CONTRACTOR APPLIES FOR BU"ING PERMIT 1, �)L AthaC o �1"►�0i as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 11 UmAbon as Owner/Authorized Agent of subject propAy Hereby declare that the statements and intzjation on the foregoing application are true and accurate,to the best of my knowledge and belief Pri a e Si ature-Amei, t Dat NO. OF STORIES SIZE ZZqlp BASEMENT OR SLAB -� SIZE OF FLOOR TINMERS 1 s&Kl "0 C 2 x/ J6" 3 X/Q / " SPAN 19, DIMENSIONS OF SILLS - X DIMENSIONS OF POSTS y \ DIIv1ENSIONS OF GIRDERS { I3 )(C)VLV L_ HEIGHT OF FOUNDATION " THICKNESS SIZE OF FOOTING "X i' MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND 1 IS BUILDING CONNECTED TO NATURAL GAS LINE GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. IC'GtQ �eUelo�rjc2rt� la l.air�ndPr CI'rc�c Permit Applicant Property address Map/Parcel Applicant's Phone Number Singh Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any.party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further 1 understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application fora building permit for the enlargement,restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be.preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready fora building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT 1S ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERST D THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE C CKING OFF OF ABOVE EXEMPTION WHICH DOES NOT COMPLY,wH THER DONE TO MY KNOWLEDGE OR NO S OR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APP ItXK S S A DATE T1411S FORM TO ATTACHED TO THE BUILDING PERMIT APPLICATION FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fr orn Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from.compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT WhtrCC 116e1c)p m n+ LLC(' PHONE n 3aa See p lard ti i9soa US reCc d&l LOCATION: Assessor's Map Numberot flu L�ii�Jrtnc �1STMo��ds PARCEL__ SUBDIVISION PMC61�herL Fc�r,n� LOT(S) _ STREET Ckl1P C'V" _cllrcLQST.NUMBER,- 1Z USE ONLY ** * RECOMMENDATIONS TOWN AGENTS: CONSERVATION ALD)MM441STRATOR DATE APPROVED �Q DATE REJECTED COMMENTS -Ile(, TO ER DATE ArPPR ;;; DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE-REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS - DRIVE Y PERMIT FIRE DEPARTMENT K" C RECEIVED BY BUILDING INSPECT R DATE Z Revised 9197 jm FROM (WED)JAN 21 2004 6:21/ST. 6:20/No. 6802897119 P 4 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSofhvare Version 3.5 Release td Data filename:K:\.LaudaniTeachtree\flouseD\housed.rck PROJECT TITLE:House"Y CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached 11L'•AMNG SYSTEM TYPE:Other(Non-Electric Resistance) DATE:01/21104 DATE OF PLANS:4-10-03 PROJECT DESCRIPTION: Peachtree Farm DESIGNER/CONTRACTOR: Peachtree Development Ux, COMPLIANCE:Passes Maximum UA=549 Your Home UA=548 02%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1468 30.0 0.0 51 Ceiling 2: Cathedral Ceiling(no attic) 521 30.0 0.0 18 Skylight 1:Wood Frame:Double Pane with Low-E 6 0.420 3 Wall 1:Wood Frame, 16"o.e. 2498 11.0 0.0 229 Window 1:Wood Frame:Double Pane with Low-1J 323 0.320 103 Door 1:Solid 42 0.180 8 Door 2 Glass 62 0.340 21 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 2457 19.0 0.0 115 Furnace 1:Forced Hot Air,80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistcnt with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release l d (formerly MECch=4 and to comply with the mandatory requirements listed in the RES cheekInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as speeiCied in Sections 780CMR 1310 and J4.4. FROM (WED)JAN 21 2004 6:21/ST. 6:20/No, 6802897119 P 5 i Auilder/Destgner Datc AFFIDAVIT I, SCOTT L. MASSE,attorney for KENNETH W. RE,A do hereby depose and state: 1. 1 represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly authorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/plan. 3. Authorization is hereby given that Gerry-Lynn Darcy, and/or Peach Tree Development LLC be allowed to act as the agent for Kenneth W. Rea regarding any and all matters relative to a certain Building permit(s)issued by the Town of North Andover for any lots affiliated with the above stated plan. Signed under the pains and penalties of perjury this day of J e 2003. S TT L. MA SE Z 'd Di�8-ZES-BL6 s9aujo,44d Jlo :co co 91 unr 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DEVELOPMENT LLC COMBO I.D. STATUS OF EMPLOYER 231 SUTTON ST SUITE 2E-F 000139954 Limited Liability Com NORTH ANDOVER, RA, 01845 -' COVERAGE GROUP 0139954 The Waiver of Our Right to Coverage under this assignment Recover from Others Endorsement applies to Massachusetts is available on Pool policies. operations only. For Coverage Contact your agent for details. outside of Massachusetts, contact the appropriate Pool or Plan for that state. AGENT WILLOWS-TNS AGCY INC INSURANCE COMPANY: OR 522 CHICKERING RD TRAVELERS INDEMNITY CO PRODUCER: N ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN:2 23 8 5 6 6 64 CLASSIFICATION OFOPERATIONCLASS ESTIMATED RATE -M ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION -------------------------------------- ----- -------------- ---------- ---------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 APENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 DATE OF NOTICE: 05/24/03 PREPARED BY: Joanne Shea EXT 530 * * SERVICING CARRIER ASSIGNMENT * * LETTERID- 419982 COPY: AGENCY The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030• FAX(617)439-6056-www.wcribma.org FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from,compliance with an applicable or requirements. e p Y pP q *APPLICANT FILLS OUT THIS SECTION APPLICANTR--richt e :Pi 1P 1 rt q rncn+ LLC_ PHONE See P 10f) 19 oa as recorded LOCATION: Assessor's Map Number 0±112k L-Quirenc 1SfMo� ►ids PARCEL SUBDIVISION F" tChjTe� Farm LOT(S) _ STREET Qll Oder i rc LipST.NUMBER AJIA `OFFICIAL USE RECOMMENDATIONS TOWN AGENTS: C ATION ADMI ISTRATOR DATE APPROVED DATE REJECTED COMMENTS -Ile(o s� TOWN PLANNER DATE APPROVED DATE REJECTED. COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE-REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVE Y PERMIT FIRE DEPARTMENT 4 -? RECEIVED BY BUILDING INSPECT R DATE Revised 9197 jm � wJD Ui DIP - �' 40� FROM / (WED)JAN 21 2004 6:23/ST. 6:18/No. 6802897118 P 4 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoRware Version 3.5 Release ld Data filename_K:1Laudani\Pcachtrcc\HouscD\housed.rck PROJECT TITLE:House"D" CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: I or 2 Family,Detached HEATING SYSTEM TYPE;Other(Non-Electric Resistance) DATE:01/21/04 DATE OF PLANS:4.10-03 PROJECT DESCRIPTION: Peachtree Farm DESIGNER/CONTRACTOR: Peachtree Development LLc. COMPLIANCE;Passes Maximum UA—549 Your Hume UA_548 0.2%Bcttcr Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1468 30.0 0.0 51 Ceiling 2:Cathedral Ceiling(no attic) 521 30.0 0.0 18 Skylight 1:Wood Framc:Double Pane with Low-E 6 0.420 3 Wall 1:Wood Frame, 16"ox. 2998 11.0 0.0 229 Window 1: Wood Frame:Double Pane with Low-L" 323 0.320 103 Door 1:Solid 42 0.180 8 Door 2:Glass 62 0.340 21 Floor I:All-Wood Joisffr ss:Over Unconditioned Space 2457 19.0 0.0 115 Funiace 1:Forced Hot Air,80 AFUE COMPLIANCE.STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has becn dasigncd to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1d (formerly MECchec4 and to comply with the mandatory requirement,,listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 13 t0 and J4.4. FROM (WED)JAN 212004 6:23/ST. 6:18/No. 6802897118 P 5 Builder/Des�g»e�r� nate 47 FORI'!'I J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Essex County, Massachusetts, hereby certify that: a. the requirements for the construction of ways and municipal services called for by the Perfornnance Bond or Surety and dated and/or by the Covenant dated May 20, 2003 and recorded in the Districts Deeds, Book 7827, Page 143; or registered in Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book Page ; has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled 'Definitive Subdivision and Special Permit Plan Peachtree Farm in North Andover Massachusetts" Plan dated October 24,2002, last revised May 16 2003 recorded by the Essex North District Registry of Deeds, Plan No. 14502 or registered in said Land Registry District, , Plan Book , and said lots are hereby released from the-restrictions as to sale and building specified thereon. Cdr , Lots designated on.said Plan as follows: (Lot Number (s) and street(s)) Lots 1 —9 and 20.—28 inclusive Peachtree Lane and Lavender Circle _.1 b. (To be attested by a Registered Land Surveyor) I hereby certify that lot number (s) Lots 1 — 9 and 20— 28 inclusive, on Peachtree Lane and Lavender Circle do conform to layout as shown on Definitive Plan entitled "Definitive Subdivision and Special Permit Plan Peachtree Fan-n' in North Andover. Massachusetts". Registered Land Surveyor C 1 1(_ _ I ��• 1 of 2 I F (K0259882.1) C. The Town of North Andover, a municipal corporation situated in he County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated '.)O__, and/or Covenant dated May 20, 2003 from Big Kahuna Properties, LLC of the City/Town of North Andover, Essex County, Massachusetts recorded with the Essex North District Registry of Deeds, Book 7827, Page 143, or registered in Land Registry District as Document No. and noted Certificate of Title No. in Registration Book Page acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated on said plan as follows: Lots 1 -9 and 20-28 inclusive EXECUTED as a sealed instrument this ZD' day of Noverxrb.r, /- Majority of the Gx� e•G Planning Board4.x� s^ of the Town of North Andover �� COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. November .14, 2003 Then personally appeared Nbll_ rY , one-trf the above-named members of the Planning Board of the Town of North Andover, Massachusetts, and acknowledged the foregoing instrument to be tlae free act and deed of said Planning board, before me, Notary'PuVlic u v l My Cor�mission Expires 2 of 2 'K0259982.11 FORM T CO VENAP�TT KNOW ALL MEN BY THESE PRESENTS THAT WHEREAS the undersigned has submitted an F' r rn i application; dated November 1, 2002 to the North Andover Planning Board for approval of a Definitive ., r". ; Plan of a certain subdivision bearing the name of Peachtree Farm and shown on a plan entitled"Definitive `94 Subdivision and Special Permit Plan Peachtree Farm in North Andover, Massachusetts"dated October 24, 2002, last revised May 16, 2003 (the "Plan") and showing 29 single family lots and 5 attached townhouses 764 and has requested that the Board approve such plan without requiring a performance bond, THIS AGREEMENT WITNESSETI-I THAT, for the consideration that the North Andover Planning Board waive the aforesaid requirement for a bond,the undersigned covenants and agrees with the Town of North Andover as follows: 1. The undersigned will not sell any of the lots 1-29 until.the construction of the ways and the installation of the municipal services necessary to adequately serve such lot has been completed in the manner required in the aforesaid application, and in accordance with the covenants, conditions and agreements thereof, except for the following particular items of work, the performance of which shall be exempt from the conditions of this contract: construction of the ways and the installation_..of the municipal services associated with the construction of the five(5)attached townhouses on lotdiesignated on the Plan as Lot B, which Lot B is exempt from this Covenant. 2. The undersigned agrees to record this agreement in North Essex Registry of Deeds as required by the Rules and Regulations of the North Andover Planning Board. 3. The undersigned agrees that this contract shall be binding upon his/her heirs, executors, and administrators,and particularly upon any grantees of the undersigned. 4. Nothing contained herein shall be deemed to prohibit: a conveyance by a single deed subject to this covenant,of either the entire parcel of land shown on the subdivision plan or all lots not previously released by the Planning Board. 5. A mortgagee who acquires title to the mortgaged premises by foreclosure or otherwise and any succeeding owner of the mortgaged premises or part thereof may sell or convey any lot,subject only to that' portion of this covenant which provided that no lot be sold or conveyed until ways and services have been provided to service such lot. 6. Noting herein contained shall prohibit the applicant from varying the method of securing the construction of ways and installation of municipal services from time to time or from securing by one,or in part by one and in part by another, of file methods described in M.G.L. Chapter 41, Section 81-U, as long as such security is sufficient in the opinion of the planning board to secure performance of the construction and installation. It is the intention of the undersigned, and it is hereby understood and agreed, that this contract shall constitute a covenant running with the land. Lots within the subdivision shall respectively be released from thefoie�oing a o conditions hereof upon the recording of a certificate of performance executed by a majority of said Planning Board which certificate shall enumerate the specific lots to be so released. There are no mortgages of record or otherwise on any of the land in the aforesaid subdivision except as described below and the present holders of said mortgages have assented to this contract prior to its execution by the undersigned. POBERT W1 EV1;ESQ. ECKER? SEAMANS,CHERIN,ftMELI-07,LLC 1K0259882.1} ;FSE 1NTERNATIONAL PL,8TI;FLICR IN WITNESS WHEREOF,the undersigned, applicant as aforesaid,does hereunto set his/her hand and seal this Y clay of May,2003. Description of Mortgages(Give complete names azd Registry of Deeds reference): None Big Kahuna Properties,LLC _ Kenneth VV.Rea,Manager r Owner Acceptance by a Majority of the Planning Board of North Andover COMMONWEALTH OF MASSACHUSETTS Essex, SS May zo 2003 Then personally appeared the above named Kenneth W.Rea and acknowledge the foregoing to be the free act and deed of Big Kahuna Properties,LLC;before me. �A Notts,Public My Conunission Expires: tK0259882.1} RTFy Town ® � � - 4Andover ........ it - .0 dover, Mass., Fcaguarq A4 *0,4- LAKE T �A CHIC KE WICK AC HUS�� FOR EXCAVATION- AND FOUNDATION THIS CERTIFIES THAT ....� ?�... .... c !V' T. ... �rn................................... • S has permission to excavate and pour foundation at . hllflrlr�.�1AQ. � ..:...� T �........... for the purpose The person accepting this permit must.return to the office of the Building Inspector a c� lot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRIUCTION STARTS assurance that a permit for entire building structure will be granted. SEE REVERSE SIDE BUILDING INSPECTOR NORTH Town of Andover 0 No. 4 - �,�,o _._ o dover, Mass.,-LAKE v �A COCMICKEWICK �"a �oRATED vv V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... """"''"'ice Foundation has permission to erect......wo�.� ..:....... buildings on .1z... /'!�tl�'I�a�!4 ,. ►tift±t'.�E.-. .�a'(" !!�� Rough to be occupied as........�-5�-5 '�0...�,•,�• .... eA.4&... .. .4. .t` . „lA� ..................................... Chimney provided that the person accepting this' ermit shall in eve tesi=inform to the terms of thea lication onfileinP P P g P ry PP this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of. Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION.of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STS TS _ Rough .............. Service .... . . ....... ........ ..................,,.. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner G S� LZC` 'o$30 Street No. SEE REVERSE SIDE Smoke Det. PEACH TREE DEVELOPMENT,LLC 1124 Town of North Andover 2/23/2004 305.00 Cash Danvers Lot 25 Permit 305.00 r Location 12 GAveoder elkCLF 6LC`¢5-75/ No. 197 Date MORT1y TOWN OF NORTH ANDOVER fR .. 9 }�o Certificate of Occupancy $ SS sACMUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ sf-�S 11 Check # t Z f 17081 Building Inspector TOWN OF NORTH ANDOVER BUH,DING DEPARTMENT APPi.ICATiON To coNSTRUCT WAK RMOVAT& OR DEMOIA A ONE OR TWO FAMILY DW ALING BUILDING PERMIT NUMBER: q DATE ISSUED: C2—,-2 0 SIGNATURE: Building Colmai� of Buil&w Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assesm Map and Parcet Numba j,) L�tve, cI'Rc(� i ds ' ;, �� ,`.,�� Map Numba Parcel Number 'y .1.3 13 Zar ing Infomsrtian: %,? 1.4 by perty Diz a icm zmin ffiwiet nmoaUse U 1 e�Aica Frarta a 1.6 BUILDING SETBACKS R Front Yard Side Yard Rear Yard Required Provide Previdad Provided 1.7 VS,[at Sapply M Q 1.GA4. 39) 1 s 171ovd T.aeo lnfasa+rtiom B +t s Pam t 0 z vnsi t�lunicip+t gl�isWg symm 0 SECTION 2-PROPERTY OWNER.Si1IP1AUTHORUMD AGENT M 2.1 Owner of Record I f,j;u r✓4- �, : qq ,tea LSt ;4r iIle.. , Wa 018y5 Name(Print) Address t'or Service: G See ` L9 - / Signmre Tetephonc 22 Owner ofRaoW: 0 Name Print Address for Service: M 'I Si re Tet hone I SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not AppUuNc 0 Licensed C40structiort Supervisor. C s_ o ir—s oaf License Number on Addroas /o1/g ,&y (q78 3ar7 - syn Emotion Date I Sign Telephone r I � � 3.2 Registaod H MMvernent Contractor Not Appticablo 0 o Company Namo Re$istn aou Number tress z Expiration Date Si re Tele 0 0 Pell oft 1 �2.e c, i SECTION 4-WORKERS COMPENSATION(KC-L C 152 § 2546) Workers Compensation laoranca alhdawt must be completed and submitted wilt this application. Failure to provide,this affidavit will result in the denial of the issuanoc of the buil&I rmit. Signed affui *A.ttached Yes. No.......❑ SECTION S De4cripWdonof Provowd Works dhedcall cnW New Construction ,Ii1 Existing Building ❑ Repair(s) ❑ Atterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed.Work: i l� CON S 1,2 U-Ckil, &� OL S�lr,-oi IAC' uy�i Ito F�S i�E 1 C'E SECTION 6-ESIDIATED CONSTRUCTION COSTS [tem Estimated Cost(Dollar)to be F "x WWII T Completed by permit applicant 1. Building , 3 (a) BBuilding�Permit Fee Multipli 2 Electrical Is (b) Estimated Total Cost of 0C)o Consttuction 3 Plumb" , $ 6c)0 Building Perrnit fee(a)x.(b) 4 Mechanical HVAC d 5 Firs Protection I y . 6 Total 1+2+3+4+5 3-5b.,coo Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT/OR CONTRACTOR APPLIES FOR BUILDING PIIYRMIT L 1 ,r,C(Z&w Q ,as=6wrtm/Authorized Agent of subject property Hereby authorize M-+Z k V-,. to act on My be 1 re v orized by this building permit application. 7�l��0� Si tore of Owner Date SECTION 7b OWNER(AUTHORIZEA AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si tune of Ownaaacrit Date gg IRM- 11 MIT, NO,OF STORIES �/ SIZE S 1�.F' lr,,�r, BASEMENT OR SLAB w•k SIZE OF FLOOR TltvvEERS I I I��9 T Jr:S�- 2 I I e 3 a x t(- SPAN DD&NSIONS OF SILLS QY G I DMENSIONS OF POSTS DIMENSIONS OF GIRDERS a 2. S r_VL 3eao.,s ee . ' S izt ei— l C HEIGHT OF FOUNDATION _7`- q'' TIECKNESS I " SIZE OF FOOTING 't1" x ac, MATERIAL OF CHDMNEY 'N\Q \ IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i' o o FORM U'- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits f'rorn Boards and Departments having jurisdiction have been obtained. This does not reliev the applicant and/or landowner from.compliance with any applicable or requirements e APPLICANT FILLS OUT THIS SECTION APPLICANT��r�rhfiree Ie I lopmeof LLC PHONE see pian at iysoa as rewrMC4 LOCATION_ Assessor's Map Number Qt fN Inuinc Rc;1STn�o� PARCEL__ SUBDIVISION peczCh�Te arm LOT(S) _ STREET ST- ****`OFFICIAL USE QNLY ** RECOMMENDATIONS I TOWN AGENTS: COJdSATIONADMI ISTRATOR DATE APPROVED DATE REJECTED COMMENTSl� T N ER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DA ATE APPR OVED. DATE-REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVE Y PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING-INSPECT R DATE Revised 9W im JUL-28-2004 02 :44 PM MARCHIONDA&ASSOCIATES 781 438 9654 P. 02 O x x ) os �_ 9 y9N �w ��•� 1' �,6�� ae��dbo 59.7' 'O 34.5' sa ca I._ £x'30 VD� 1 o p 5. o �+ .r .6' 2.6 Y 31.0' N 13.0' o uN �IoN -TJ CPA LnJoP Fo ^,a 23.70 cn V, N tJ l U CR. G C� Z d 0 M 25.0' �. 20.8'" 1J-0'P N N Z 0- 3.5' -0' 24.5' � /j cD22.1 'ta d� 3 Lo D= 180 , 00 ,00 p „ M. ` LAVENDER CIRCLE �s - �3 fid � . �• Vit!•. 'I: `� �� , WE HEREBY CERTIFY THAT WE HAVE EXAMINEb THIS PLAN IS INTENDEO FOR ZONING THE PREMISES AND THAT THE BUILDING 15 LOCATED PURPOSES ONLY. IT WAS PREPARED AS SHOWN. THE STRUCTURE SHOWN CONFORMS FROM ExISTING PLANS AND RECORDS TO THE ZONING LAWS RELATIVE TO REQUIRED SETBACKS OF WITH THE STRUCTURES SHOWN LOCATED THE MUNICIPALITY WHEN CONSTRUCTED. ALSO. ACCORDING BY AN INSTRUMENT SURVEY. THIS PLAN TO THE F.E-M.A./H.U.D, FLOOD INSURANCE RATE MAP. COMMUNITY PANEL NO, 25009$ 0006 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 25 PEACHTREE FARMS MARCHMONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PEACF.142EE DEVELOPMENT,LLC 82 ON AVE. SUITE I STONEH AAM, MA. 42180 P.O. BOX 3039 (781) 438-6121 ANDOVER, MASSACHUSETTS 01810 SCALE:1 =30 DATE: 7/28/04 Recharger 180 L t:h%', ®� �..W. Lay Up Length 6-33' I 000000000000 �.v LAWMA 7.5' lol ----— o e `�� GAS MAW- Height l 7 7-7— v olnln c o o t/i ' Il . • Recharger 180 - INSTALLATION DETAIL ----------------- IF eveeeoeeeeee � �" l �/7�►1 ,��II' c ciclo o ciclo al� -=° C ®� CRUSHED STONE . ,♦ ' TTi TT TT T'T TfI TTT Ti Tf TT Ti T� III�IIIe��l�lllill�I�IeI��ll,�! � WN IIIIII ' •TTI TT TT TT TT■ •TrrT-fTTTTn�� • �a" � 3' •� NOTES: k •111 LL LL 11 Lll •1111L Ll 11 Ll W IF CRUSHED SIONEa3" ; 'mac Z' �j Va 4 q.tk •.r -, THE i 1 NUMBER •. IS 242-1186 OCAPACITYt 122 CF. CALCULATIONS BASED ON NOTE* STORAGE CAPACITY DOES NOT Fly. 35% STONE VOID N.T.S. INCLUDE STONE BELOW CULTEC UNITS _j, '_7' 2 ROOF LEADERS TO BE EQUIPPED WITH OVERFLOWS AS SHOWN ON SHEET 1 CRUSHED STONE 11 OF 15 OF THE NOI PLAN SET. r• a 1a. • •.a• COMPACTED # Tf`�r • ' • RECHARGER 180 , 4w' `it.Fi >•L' r ! STANDARD 1 1 CHAMBER ,C PVC INSPECTION PORT TO OF , . , • EL 270.5 TEC 410 pOko , cnuL6FABRIC /�I�:•�.•[__i-_ •'moi=� _ .w-._•.-.w_.•� ' PROPOSED • CHAMBER LOT 25 PEACHTREE FARMS BOTTOM 30 M1 R 963.5 Aw. in NORTH ANDOVER, MASS. 7 �j:a�•r i�i/'//'�/!'i/`v/'!/'�j'i/�i///�`iI'�ij•!jij�i7j•!j i/`jj�� i ��_.``,`;p•pp•��•p��•pp<��•�•�•��0�%��O ASO d6* STONE SAM • • TYPICAL CROSS SECTION RECHARGER 180 a- 261.5±� • STANDARD 1 • SYSTEM • / • ANDOVER, MASS. TEST HOLE INFORMATION I].La TEST 1 `TE: 7/22/03 • MarchiondaGRADE:EXISTING - 1 1 •PERCOLATION RATE: 62 Montvale Avenue TEL-(781)438-6121 Sufte I FAX(781)438-9654 o� • • MA 02180 e I . 0• .fig SCALE: 1" , Building Permit Check List Lot# 06— Date 7 �1 Building Permit Application complet- N.filled out a Signed by Construction Super b Signed by Peachtree Represenative c Square footage of house on permit �2 Form U signed off a DPW(check for sewer tie in) b Fire Department t--- c Planning Department v d Conservation (check for Nvetland bond,where applicable) -3 GroNvth Management Fon» 4 Certified Plot Plan V' /as built foundation plan required for construction permit Copy of Construction Supervisor's License Lj 6 Workman's Comp Affidavit 7 2 Copies of Building plans include a copy of the sprinkler plans Iv� - r1C apl 1 9 Copy of the Mascheck(energy audit) 10 Copy of the Form J ® 11 Check for Permit a Foundation Permit b Building Permit FROM (MON)JUN 21 2004 16:28/ST. 16:23/No. 6802897545 P 1 0 0 Aruirew T.'L.Jew'sti AIA The MZO GROUP ILic.in (lie.N MA,PA,Nl,L'I',R1,NI4,t)H) DESIGNERS w ARCHITECTS■ PLANNERS 7ohr).Crunin7c„AlA Yke Preadrai 1N THF.MrQUELL6 TRAI MON (Lie.N Vf.MII1 C.Inude H.Miquellc &■iar Adriwr (fie.in MA) Coley lotto.AsiD Alred June 21, 2004 Thomas Laudani Peachtree Development,LLC 231 Suton Street, Suite 113 North Andover,MA 01845 Re:Peachtree Farm,_Lot_#2S Dear Sir: The foundation for the home at Lot 25 utilizes a deeper foundation than the other homes built to date. The total height of the pour is 8'-10"from top of footing. Considering the 4"thickness of the slab and the minimum of 8"exposed at the top of the wall,the maximum unbalanced fill will be 7'-10". According to Sect. 3604 Of the Mass.Building Code, a 10"unreinforced concrete foundation may support a maximum of 8'-0"unbalanced fill,therefore,no foundation reinforcement is required at Lot 25. The contractor will place two steel bars in the footing only, 0rew veans,please call. T. z ews ,President The M.ZO GR 92 Montvale Aveoac,Suite 2400 Stunebam,Marsadtueccts 02180-3628 ■ Voice 781.279.4446 ■ Faz 781*279V4448 a F-Mail:mretrcDrrmzn8r(mp.cnm Branch Offfev P.O.Box 132 ■ Peaks Leland,Maine 04108 . voice 21)7.766.9714 FROMO (WED) JAN 21 2004 ,L23/ST. 6:18/No. 6802897118 P 4 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release ld Data filename-K:1Laudani\.PcachtrcclHouscD\housed.rck PROJECT TITLE:House"D" CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: I or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:01/21/04 DATE OF PLANS:4.10-03 PROJECT DESCRIPTION. Peachtree Farris DESIGNER/CONTRACTOR: Peachtree Development LLc. COMPLIANCE.Passes Maximum UA—549 Your Home UA_548 0.2%Bcttcr Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1468 30.0 0.0 51 Ceiling 2: Cathedral Ceiling(no attic) 521 30.0 0.0 18 Skylight 1:Wood Framc:Double Pane with Low-E 6 0.420 3 Wall 1:Wood Fratne, I()"o.c_ 2998 11.0 0.0 229 Window 1: Wood Frame:Double Pane with Low-E 323 0.320 103 Door t_Solid 42 0.180 8 Door 2:Glass 62 0340 21 Floor 1:All-Wood JoistPTtuss:Over Unconditioned Space 2457 19.0 0.0 115 Furnace 1:Forced Hot Air,80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has bccn dcsigncd to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release I (formerly MECeheaQ and to comply with the mandatory requirements listed in the RES cheekInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. FROM O (WED)JAN 21 2004 /ST. 6:18/No. 6802897118 P 5 Ruilder/pesIgner Date E OThe Commonwealth of MassachSetts d Department of Industrial Accidents Office of Investigations Boston, Mass, 02111 °+M 5y0 Workers'Compensation Insurance Affidavit Namef, ( ( C('J Please Print Name: Location: Cifi/ Phone # I am a homeowner performing all work myself. I am a solerietor r o p p and have no one working In any capacity I am an employer providing workers'compensation for my employees working on this job. Com an name: eCV l �° i� �WNZ�S r �iwPc a;ty—Nc� h °4,yc251 Address - A 91AW 1W m / Ci : V Phone-#: b -10L ' Insurance.Co. r Polic # 122 Company name: , j �r�l C�►��i() �eS PD. H2,i � _. Address Ci LIU2 1 6 Phone#: Insurance Co. U 6-CL6 LAI Por # «CS - Failure to secure coverage as uir vender Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to si,5oo,,oD and/or one years'imprisonment_. _well_as_civiLRenalties�n.fhefnrmnfa_STQP WORK..ORDER,and_afine of.($1Do 0Q),a day against.me, t understand that a copy of this s ement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c nder the ns and penalties of perjury that the information provided above is true and correct. Signature WK .e � M f (L 1 �fur � Date FIV Z D Print name 'S�NJA M ltv 1 (-6 Phone# S�G I etC i YM 0"N�_� �(S I L t'11�ry,�c �2- Official use only do not write in this area to be completed by city or town official City or Town Permit/Licensin ❑Check if immediate response is required Building DeptLicensing Board l] Selectman's Office Contact person: Phone A- E] Health Department Other 06/16/.2003 14:59 19783117 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DEVELOPMENT LLC COMBO I.D. STATUS OF EMPLOYER 231 SUTTON ST SUITE 2E-F 000139954 Limited Liability Com NORTH ANDOVER, MA 01845 - COVERAGE GROUP 0139954 The Waiver of Our Right to Coverage under this assignment Recover from Others Endorsement applies to Massachusetts is available on Pool policies_ operations only. For Coverage Contact your agent for details. outside of Massachusetts, contact the appropriate Pool or Plan for that state. AGENT WILLOWS INS AGCY INC INSURANCE COMPANY: OR 522 CHICKERING RD TRAVELERS INDEMNITY CO PRODUCER: N ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN.223 856664 CLASSIFICATION OF OPERATION - � CLASS ESTIMAt'BD RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION ---------------------------------- ----- -------------- ---------- ---------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 .tPENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 DATE OF NOTICE: 05/24/03 PREPARED BY: Joanne Shea EXT 530 SERVICING CARRIER ASSIGNMENT LETTER ID: 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street- Boston, MA 02110 (617)439-9030- FAX(617)139-6055 •www.wcribma.org 0 FO RIVI 3 LOT I ELEASE The undersigned, being a majority of the Planning Board of the Town of North tlndover, Essex County, Massachusetts, hereby certify that: a. the requirements for the construction of ways and municipal services called for by the Performance Bond or Surety and dated and/or by the Covenant dated May 20, 2003 and recorded in the Districts Deeds, Book 7827, Page 143; or registered in —Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book , Page ; has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled "Definitive Subdivision and Special Permit Plan Peachtree Farm in North Andover Massachusetts" Plan dated October 24,'2002, last revised May 16 2003 recorded by the Essex North District Registry of Deeds, Plan No. 14502 or registered in said Land Registry District, Plan Book , and said lots are hereby released from the-restrictions as to sale and building specified thereon. , Lots designated on said Plan as follows: (Lot Number (s) and street(s)) Lots 1 – 9 and 20=28 inclusive Peachtree Lane and Lavender Circle b. (To be attested by a Registered Land Surveyor) 1 hereby certify that lot number (s) Lots 1 – 9 and 20 – 28 inclusive, on Peachtree Lane and Lavender Circle do conform to layout as shown on Definitive Plan entitled "Definitive Subdivision and Special Permit PIan Peachtree Fann in North Andover. Massachusetts". r Registered Land Surveyor 1 of 2 (K0259882.1) c. The Town of North Andover, a municipal corporation situated in he County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated 20 and/or Covenant dated May 20, 2003 from Big Kahuna Properties LLC of the City/Town of North Andover, Essex County, Massachusetts recorded with the Essex North District Registry of Deeds, Book 7827, Page 143, or registered in Land Registry District as Document No. and noted Certificate of Title. No. in Registration Book Page acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated on said plan as follows: Lots 1 — 9 and 20—28 inclusive EXECUTED as a sealed instrument this �'j day of Noverixb r, 2003. Majority of the / A Cf, Planning Board ��f�� of the Town of North Andover4-7 ` COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. November } 2003 , Then personally appeared Nfr Glr� rYL -one-c f-the above-named members of the Planning Board of the Town of North Andover, Massachusetts, and acknowledged the foregoing instrument to be tlac free act and deed of said Planning board,before me, i j Notary'Public y i ,.Iii(►� ��!(:�� My Cor mission Expires 2 of 2 ;K0259882.11 O O AFFIDAVIT I, SCOTT L. MASSE,attorney for KENNETH W. REA do hereby depose and state: 1. I represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly authorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/plan. 3. Authorization is hereby given that Gerry-Lynn Darcy, and/or Peach Tree Development LLC be allowed to act as the agent for Kenneth W. Flea regarding any and all matters relative to a certain Building permit(s) issued by the Town of North Andover for any lots affiliated with the above stated plan. Signed under the pains and penalties of perjury this day of J e 2013_ S 77 L. MA $E 7 'OI f1Ti.R_aoC-Rl a SC.a I1.Inn nu AT •c+n nn n ir,n GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUIE DING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. 6vck�¢ el4nwt—n t� a �.c�e.. 042cje 1c �5) Permit Applicant Property address Map Parcel 347--0 16 e Applicant's Phone Number Single Family. Two Family I the undersigned applicant for the above property-attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this.form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that.my interpretation,ofthe exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8,7.6 of the North Andover Growth;Bylaw the above lot and thework as applied for'on the above lot;in the.building. permit application and.associated.attachments corM res with;one'or more of the following sections as'indicated by a check mark - This is an application for a building permit forth enlargement restoration or reconstruction of a dwelling in existence as ofthe effective date ofthis bylaw;provided that no additional residential unit is created The lots)was/were created priorto May 6 1996•and are exempt from the provisions of section 8.7 of the Zoning Bylaw:. This application is for-dwelling units for low,and or moderate income farmhes or individuals;where all of the conditions of 8.7.6 are and and o[represents dwelling units for,semor residents,where occupancy of the units is restricted to senior'6itizens through aproperiy exeiarted and recorded deed res is tion runningwrth the land For purposes ofthis section"senior",shall mean persons over the age of 55. 1 This application is-part of a development proles which voluiitanly agreed to a ntiiiimum 10% reduction in density(buildable lots)-below,hi6-density permitted tinder zoning and'feasible given the eiivironmeital conditions of the tract,with the surplus land equal to at least f6i buildable acres and perrnartently designated as open space or farmland.The land to be.preserved shall be protected from development by an Agricultural Preservation Rest bfi Conse vaiiti"estritxion,dedication to the Town;or other similar mechanism approved by the planning board•that will ensure its protection: This application represents a find of laridexisting and not held by a Developer in common ownership with an adjacent parcel on the.effective date of this Section 8:7 and`shall receive itonettme exemption from_the Planned Growth Rate-and:'' Development Schedulingprovisions for theputpose"of constructing onesingle family dwelling unit on the parcel. This applicati&represents a lot which is ready for`a budding permit(all other permits from all other boards and commissions have beenteceived and the project is in compliance with those permits) and She I)evelopmentrSchedule does not accommodate issuing a bunlding permit in that year.One building permit will be issued per,year per Development until such time as the development schedule accomnbdates issuing building periiuts Applicant mus[submit an approved FORM U.with this. EXEMPTION: r ; PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD.ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS.APPLICATION IS'ALLOWED UNDER ONE'OR'-MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTIbN AS CITED ABOVE. FURTHER I UNDERSTANDTHAT THE SUB OF MISLEADING OR INACCURATE INFORMATION CHECKING OF O. XEMPTI CH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS G O USAL B LDING DEPARTMENT TO•ISSUE A BUILD GPE MIT: �, Q LIC S SIGNATURE DOTE THIS FORM TO BE ATTACHED T TIE BUILDING PERMIT APPLICATION 0 0 - -� ✓�ze V�omvnzo�uuea� a��(Gal:fcufu�dQf/.6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 055419 Birthdate: 10/18/1963 __-., Expires: 10/18/2004 Tr.no: 3206 Restricted: 00 MARK J VENTI 90 MIDDLE STo-y ' WOBURN, MA 01801 Administrator __. .........__.. .. .._._ ._ _. x.10RTH T0VM of _ And over "t ,o a dover, Mass., S o 'QAOCOCMICMEWIC -•---li S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �,� BUILDING INSPECTOR THIS CERTIFIES THAT........., .��il �pf�M"M.. .... T?1�1� .....26-M............................... � Foundation has permission to erect...... .......... buildings Rough to be occupied as / Chimney provided that the person accepting this permit shall in every respect &form to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS _ ELECTRICAL INSPECTOR Rough ...................... .............. .......... .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer G %- LZ C.*'�b$30 6S' Street No. 7ss8 .. SEE REVERSE SIDE Smoke Det. Location 12_ No. Date c r r TOWN OF NORTH ANDOVER Certificate of Occupancy $ ��s'•^°•E<� Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ S Z-z-u I Check # 7v s 17558 Building Inspector