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Building Permit #932-2016 - 25 ADRIAN STREET 3/2/2016
i NORTH K BUILDING PERMIT Qq%1LED '6q4'O TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION * ,� Permit No#: Date Received 'oRArea,Pa�y gSSiCHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ S,eptie Well a Floodplain 0 Wetlands ❑- Watershed ®istricf - DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: h Contractor Name: Phone: I Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: J j Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ' Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to thug vara zty fund G S a afurP of-_Agent%Owner_--=-- i natcontractor, __ 7_1 NORTI� Town o No. * _ AL ru 26 Iflo hver, Mass, O� 1 'QA COCNIC MI WKM`� —4 V BOARD OF HEALTH Food/Kitchen LD Septic System THIS CERTIFIES THAT ,���f BUILDING INSPECTOR .....PERVJT , .. ............ .... .......... ................................................. Foundation has permission to erect .......................... buildin s on . ... .. :�. !!�.. ............... Rough to be occupied as ...... . ..,� ...a .. .1 .....s�....... 1.�7... .. ................................. Chimney provided that the person accepting this perm t shall in every respect 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MO HS ELECTRICAL INSPECTOR UNLESS CONSTRUC ST RTS Rough Service ,/��/J �^ [ ............ ..... .......... ..... ................................ Fin d Q*e CS 6� 14 BUILDING INSPECTOR "l� 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. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LIT'ERAT'URE: lyes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA—(For department use) I h ® Notified for pickup Call Email Date Time Contact Name = Doc.Building Permit Revised 2014 f �r i 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 4, 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) 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 4. 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 I ECC 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 Doc:Building Permit Revised 2014 !A E Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ 5famlied Plans ❑ II 64 TYPE OF SEWERAGE DISPOSA.T., r - Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS f CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 Street .�, 1 7.71' t. FIREDEPAR'TMENTTemp Dumpster onsite�• ypes R `' " ' no '' `' '" "`_ � �Lo ted a124 Maintreet `_` riN�l*',4a�r;tj1sM1 en,V'rs•.4r�i'.agT•ir�ni4 a.-rt-wu`ta7r.fe/d92at`*te�t ?tf` '4°-t H *1•r.-T r-.,�- t ..,r--Yr- s•_a .�._..6:7E+ I s ° t ySf e.._,R... C..� .C/OiVIIVlieENTS:� t•� ' f�,}r�' F ". :.. '•• .: , . , , T�z tfn j� ,��.,�_�.:�,•� , ,.�•tiY.�n.i� NORTIy Town o � .. : _ :...�.�. ... � n over h ver, Mass, ru 2 . O� 1. coc»,c„aw,« 7,9S�RA TE O U BOARD OF HEALTH Food/Kitchen PER T Septic System THIS CERTIFIES THAT.......... Qi BUILDING INSPECTOR ........ ...... ............ .......................... ..................................................... ., � Foundation has permission to erect.......................... buildin s on . / ...P �. !!�.. ................. Rough to be occupied as .....1.. .. ....� .. .Il ..... �....... ,.i l.. . ..13................................. Chimney provided that the person accepting this per t shall in every respect 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 ' VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MO HS ELECTRICAL INSPECTOR UNLESS CONSTRUC ST RTS Rough 1 Service ............ ..... .......... ............................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on��YYthe Premises — Do Not Remove Final No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138.E-mail: grichardpe@aol.com Richard B.Gordon, P.E. President February 2,2016 Andover Building Dept. Andover,MA Re: Solar Electric Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure,roof loading,and proposed site location of installation: I. Roof framing: Conventional framing if 2x12 at 16"O.C.with 16'span(horizontal rafter projection). This structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 4.33 psf dead load(modules plus all mounting hardware) • 30 psf snow live load(50 psf ground snow live load reference) • 4.5 psf dead load roof materials • Exposure Category B, 100 mph wind uplift live load of 14.7 psf(wind resistance) 3. Address of proposed installation: Residence of Cathy Ahearn,25 Adrian Street Andover MA i This installation design is in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically,International Residential Code/IRC 2009, 2014 NEC,and 2012 ICC Energy Code. The spacing and fastening of the mounting brackets is to have a maximum of 64"o.c.span along the rail between mounting brackets and secured using 5116"x 3'/s"length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min.2"penetration of lag bolt per bracket,which is adequate to resist all 100 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load.Penetration of anchors for modules mounted within 18"of ridge and edges of roof is to be a minimum of 3". Very truly yours, Optimize Engineering Co,L�LC Richard B.Gordon, Y.E. OF i Massachtisetts P.E.License No.49993 2���IK Mgssy os O G RICHARD B, ) CIVIL,MECHANICAL,&ELECTRICAL ENGINEERINGOGORDON —1 U MECHANICAL ti NO.49993 O �'�JSTER�� FSSfONAI ENG 1 Optimize Engineering Co., LLC P.O. Box 264.Farmville•VA 23901 Ph:434.574.6138.E-mail: grichardpe@aol.com i i Richard B.Gordon, P.E. President February 2,2016 I Andover Building Dept. Andover, MA Re: Solar Electric Panels Roof Structural Framing Support To Whom It May Concern: hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure,roof loading,and proposed site location of installation: 1. Roof framing: Conventional framing if 2x12 at 16"o.c.with 16'span(horizontal rafter projection). This structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 4.33 psf dead load(modules plus all mounting hardware) • 30 psf snow live load(50 psf ground snow live load reference) • 4.5 psf dead load roof materials • Exposure Category B, 100 mph wind uplift live load of 14.7 psf(wind resistance) 3. Address of Proposed installation: Residence of Cathy Ahearn,25 Adrian Street,Andover,MA This installation design is in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically,International Residential Code/IRC 2009, 2014 NEC,and 2012 ICC Energy Code. The spacing and fastening of the mounting brackets is to have a maximum of 64"o.c.span along the rail between mounting brackets and secured using 5/16"x 3'/:"length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min.2"penetration of lag bolt per bracket,which is adequate to resist all 100 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Penetration of anchors for modules mounted within 18"of ridge and edges of roof is to be a minimum of 3". Very truly yours, Optimize Engineering C ., LLC Richard/8.Gordon,P. OF M Massachusetts P.E.License No.49993 2 G Z RICHARD B. N� CIVIL,MECHANICAL,&ELECTRICAL ENGINEERING GORDON O MECHANICAL U NO.49993 FGlSTE� G��" O�SSIONA� I i ty- SOLAR HOMEOWNERS AUTHORIZATION FORM Cathy Ahearn (print name) am the owner of the property located at address: 25 Adrian St (print address) I hereby authorize Trinity Solar, and their subcontracting company to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my Property. This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. I� Customer Signature: Date: 12/15/15 Print Name: Cathy Ahearn Salesperson Name: Trinity Heating&Air,Inc.DIBIA Trinity Solar 20 Patterson Brook Road,Unit#10 ® West Wareham,MA 02576 Phone:(508)291-0007 Fax:(508)291-0040 FEIN 22-3292324 SOLA O MA Home Improvement Contractor Reg,Number. 170355 QContract Expiration Date:10112/2013 PROPOSAL SUBMITTED TO PHONE T51 Cath Ahearn1 /15 STREET JOB NAME 25 Adrian St �Gr�rY��STATE AND ZIP OODE ADDRESS over MA 01845 We hereby propose to furnish materials and labor necessary for the completion of OPTIONS 11.7 kW Roof mounted Solar Electric System 25 year warranty on Panels 12 Year warranty on Inverter 5 Year warranty on all miscellaneous parts and labor Customer responsible for cost of town permit fees.Trinity to obtain all permits Customer responsible for any tree removal required to qualify for CEC rebate incentive. Required Permits-The following building permits are required and will be secured by the contractor as the homeowner's agent,at the customer's expense[if applicable].(Owners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142.4.) Start of job will be within 10 days of receipt of all municipal, county,state, utility companies or any others required and shall be completed within 30 days of commencement.Buyers acknowledge and understand that the contractor cannot commence work until receipt of permits. WE PROPOSE hereby to fumish materials and labor—complete in accordance with above specifications,for the sum of Payment to be made as follows: dollarst$ $45.630.00 (Must indicate total contract price and detailed payment schedule;deposit can't exceed 113 of contract price and payment in full can't be demanded until contracted work is completed.f 10% Down at signing,45%at start of installation and remaining 45%due at end of installation All contractors and subcontractors must be registered by the Director of Home Improvement Contractor Registration, and any inquiries about a contractor or subcontractor relating to a registration should be directed to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 1-888-283-3757 All material is guaranteed to be specified.All work to be completed in a substantial workmanlike manner according to specification submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. ACCEPTANCE OF CONTRACT The above price,specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified.Payment will be made as outlined above. NOTICE TO RETAIL BUYER: Authorized YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN Signature V SIGNED BYA PARTY HERETO ATA PLACE OTHER THAN AN ADDRESS OF THE SELLER,WHICH MAY BE HIS MAIN OFFICE OR A BRANCH THEREOF,PROVIDED YOU NOTIFY Note:This contract may be THE SELLER IN WRITING AT HIS MAIN OFFICE OR BRANCH withdrawn by us if not accepted within 3 days. BY ORDINARY MAIL POSTED,BY TELEGRAM SENT OR BY Do not sign this contract there are any bli Its ' DELIVERY,NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. SEETHE ATTACHED NOTICE OF Signature CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 12/15/15 Date of Acceptance Signature A.Meanings."You"and"Yours"refers to the buyer or ties certificates and rebate forms if applicable.Warranty buyers."We","Us"and Trinity Heating&Air,Inc.refers to service shall be provided Monday through Friday during nor- the seller. mal business hours.Emergency service is available after B.Main Office Approval.All contracts are subjected normal business hours at after hour rates.You hereby to approval by our main office.If our main office rejects agree no warranty service will be furnished to you if you such a contract, it is validly cancelled without further owe us any balance net paid in accordance with our responsibility on our part, except ;o return any money credit terms.We shall no warranty nor shall be respon- paid under this agreement This order when accepted sible for any pre-existing defects of components or stru I by us and you constitutes a binding contract covering all eture defects in the home. The purchasers are agreements expressed or implied in the agreement on responsible for obtaining all permits necessary for the this and the opposite side of this page,and that no other work to be performed.Unless specifically stated,the war- agreements oral or written expressed or implied shall ranties for laborare to the person(s)signing this contract. limit or qualify the terms of this contract. Warranties are not-transferable- C.Grant of Security Interest and Contractors might H. Consumer Credit Contract Notice, It this docu- of Possession.If you,the buyer decide to finance any Ment applies to a consumer credit contract this notice part of the purchase price through us, you grant us a applies- security interest in the equipment sold hereunder and Notice. Any holder of this consumer credit contract authorize us to file financing statements without your is subject to all claims and defensive which the debtor signature.In addition to our right as a secure party, we could assert against the seller of the goods or services may also have the right in addition to all others,we pay obtained pursuant hereto or with the proceeds hereof. possess at any lime for credit reasons, or because of Recovery by the debtor shall not exceed the amount paid your default to withhold the equipment delivery in whole to the debtor hereunder. or in part,and to retake and repossess all equipment and L Entire Agreement.We will only do the work that is component parts that may have been delivered to you stated in this contract.The only way to change it is in without the necessity of taking any other proceedings, writing on a document known as a change order signed and you consent that all equipment and cornponents by both you and us. parts retaken or repossess shall become the absolute J.Compliance with Law.This document is intended property of us provided that you are given full credit to comply with all applicable laws and rules.This includes thereof.The foregoing shall not be constructed as limit- -federal,state,and local laws and rules o1 every kind.If ing in any manner,any of the rights or remedies available any provision or part does not meet any such require- to us because cf any default by you under the Uniform merit that part will be considered to be ineffective or to Commercial Code as in force and effect in the state of be changed to meet such requirement.The rest of this New Jersey on the date of signing of this agreement. contract still stays in of€ecL Upon any detail,we may charge and you agree to pay IC.Transfer. You cannot transfer your or our duties any and all attorney fees and other costs incurred by us under this contract to any other person without written taking and selling the equipment or collecting any bal- consent by us. ante due including interest at the highest legal rate. L.Successors.This contract binds your heirs,execu- D.Access.You will permit us to go into the premises, tors,and administration. The premises include the land and the building.You will M. Buyers Refusal to Purchase. If you refuse to get consent needed for us to go into any other premises complete your purchase,you understand that you may be in order to do the installation.If we are not allowed to go responsible for any other damages which you may Incur onto the premises and are prevented from completing as a result of your failure io perform your obligations the work,then we shall have no duty including interest at under the terms of this agreement.We shall be entitled the highest legal rate. to retain the deposit as Liquidation damages. E_ Debris.The homeownerV agrees to be responsible N. on-Payment. If there is an overdue unpaid bat- for the cost of removal of any trees,shrubs.foliage and ance,you will pay us interest at the prevailing rate.If we the like to quality for any and all state rebates. place the account with an attorney for collection,you will F.Interference with Performance.We are not respon- pay our attorney's fees plus any other costs or expenses sible for any delay or interference with performance for of collection.The amount of the attorney's fees to be paid reasons beyond our reasonable control. Such interfer- by you to our attorney shall be no less than 20%of the ence shall be but not limited to any delay in delivery or total balance due. failure to deliver materials, labor troubles, strikes, lock Law of State of New Jersey shall govern this con- outs, war, riots, insurrection,civil commotion, failure of tract. supplies from ordinary sources, fire, flood, storm, acct- dent,or any act of God or caused beyond its control. G.Warranties. The only warranties which apply to labor or materials furnished under this contract are those in the warranties certificate furnished by the Manufac- turer or by us.We agree to extend to you any standard and extended manufacturers warranties as may apply. You shall be responsible for the completion of all warran- i The purchaser has read,understands and agrees to all the provisions contained in the Contract and acknowledges I receipt thereof. Signature Signature t5 � ,77 r ,r CanadianSolar i t y k .n *Black frame CS6 P-260 1265 pw p roduct can be provided upon request. High quality and reliability in all Canadian Solar modules is ensured by 14 years'experience in insurance-backed warranty module manufacturing,well-engineered module ? ; non-cancelabEe,immediate warranty insurance design,stringent BOM quality testing,an automated linear power output warranty manufacturing process and 100%EL testing. 10 product warranty on materials KEY FEATURES i years ;` and workmanship ................................................................................. Excellent module efficiency up to 16.47% MANAGEMENT SYSTEM CERTIFICATES* U ISO 9001:2008/Quality management system ISO/TS 16949:2009/The automotive industry quality management system Outstanding low irradiance ISO 14001:2004/Standards for environmental management system performance:96.5% OHSAS 18001:2007/International standards for occupational health&safety PRODUCT CERTIFICATES* Positive power tolerance IEC 612151 IEC 61730:VDE/CE/MCS/JET/SII/CEC AU/INMETRO/CQC up t0 S W UL 1703/IEC 61215 performance:CEC listed(US)/FSEC(US Florida) «a UL 1703:CSA/IEC 61701 ED2:VDE/IEC 62716:VDE/IEC 60068-2-68:SGS PV CYCLE(EU)/UNI 9177 Reaction to Fire:Class 1 No PTC High PTC rating up to 92.0°% �E c®A• EBBA✓ VC CLE rj �ERT ci-z!) IP67 junction box for long-term As there are different certification requirements in different markets,please contact your local Canadian Solar sales representative for the specific certificates applicable to weather endurance the products in the region in which the products areto be used. ......................................_...................................._._............................ ........,........... Heavy snow load up to 5400 Pa CANADIAN SOLAR INC.is committed to providing high quality �-� wind load up to 2400 Pa solar products,solar system solutions and services to customers around the world.As a leading manufacturer of solar modules and ouSalt mist,ammonia and blown PV project developerwith about 10 GW of premium quality modules sand resistance,for seaside, deployed around the world since 2001,Canadian Solar Inc.(NAS- farm and desert environments DAQ:CSIQ)is one of the most bankable solar companies worldwide. _......._....__..._................................................................................................_.......................................................................................,.................... ......... CANADIAN SOLAR INC. 545 Speedvale Avenue West,Guelph,Ontario N1 K 1 E6,Canada,www.canadiansolar.com,support@canadiansolar.com i MODULE I ENGINEERING DRAWING(mm) CS6P-260P/I-V CURVES Rear View Frame Cross Section A-A ,0 A 0A 35 0 8 8 111- V 6 6 p 5 _ 5Grounding4 4 -hole 3�. ; ..2 2 0 . 0_.........:.............,.............................Mauntin Hale v 12-11.7 5 10 15 20 25 30 35 40 5 10 15 20 25 30 35 40 I A A Mounting hole R 1000 W/m' S°C 140 r1. 800 W/_ 25°C 982 600 W/m' 45°C I 400 W/,r1 65°C I i ELECTRICAL DATA( STC* MODULE I MECHANICAL DATA Electrical Data CS6P 260P 265P Data Nominal Max.Powe (Pmax) 260 W 265 W Cell Type tion Poly-cryst......_ .. ........... --.................. Opt.Operating Voltage(Vmp) 30.4 V 30.6 V Cell Arrangement 60(6x 10) ........ ... - . ... ......... . ......_._ ........ ........ Opt.Operating Current(Imp) 8.56 A 8.66 A Dimensions 16.. Open Circuit Voltage(Voc) 37.5 V 37.7 V Weight 18 kg(39.7 lbs) Short Circuit... u. ........ 0.._..-- _._. __..._ -- ........ Module Efficiency 16.16/0 16.47/o Frame Material Anodized aluminium alloy Operating Temperature -400C-+85*C J-Box IP 7,3 diodes Max.System Voltage 1000 V(IEC)or 1000 V(UL) Cable 4 mm2(IEC)or 4 mm2&12 AWG -.... _. ......... _. ._ .. Module Fire Performance TYPE 1(UL 1703)or 1000 V(UL),1000 mm(39.4 in) CLASS C(IEC 61730) (650 mm(25.6 in)is optional) Max.Series Fuse Rating 15 A Connectors Friends PV2a(IEC), -..__... ....... -. ..... ........ Application Classification Class A Friends PV2b(IEC/UL) _-..._ ._ _ .__..... ._._.._. _-. ........... Power Tolerance 0-+5 W Standard 26 pieces,515 kg(1135.4 lbs) _.. ....... _.. _.. *Under Standard Test Conditions(STC)of irradiance of 1000W/m',spectrum AM Packaging .(quantity&weight.per pallet) _- 1.5 and cell temperatureof25oC. Module Pieces per Container 728 pieces(40'HQ) ..........._..... . ELECTRICAL DATA I NOCT* Electrical Data CS6P260P 265P TEMPERATURE CHARACTERISTICS Nominal Max.Power(Pmax) 189 W 192 W Specification Data ...__.._.._ .__ .... _..__ _. Opt.Operating Voltage(Vmp) 27.7 V 27.9 V Temperature Coefficient(Pmax) -0.41%/'C Opt_Operating Current(Imp) 6.80A 6.88 A Temperature Coefficient(Voc) -0.310x6/°C Open Circuit Voltage(Voc) 34.5 V 34.7 V Temperature Coefficient(Isc) __ .. - Short Circuit Current(Isc) 7.39 A 7.48 A Nominal Operating Cell Temperature 45±2°C *Under Nominal Operating Cell Temperature(NOCT),irradiance of 800 W/m', spectrum AM 1.5,ambient temperature 20°C,wind speed 1 m/s. PARTNER SECTION ..................................................................................................................... PERFORMANCE AT LOW IRRADIANCE Industry leading performance at low irradiation,average 96.5%relative efficiency from an irradiance of 1000 W/m2 to 200 W/m2(AM 1.5,251C). The specification and key features described in this datasheet may deviate slightly and are not guaranteed.Due to on-going innovation,research and product enhancement,Canadian Solar Inc.reserves the right to make any adjustment to the information described herein at any time without notice.Please always obtain i the most recent version of the datasheet which shall be duly incorporated into the binding contract made by the parties governing all transactions related to the purchase and sale of the products described herein. i..._._.__.,.-_-.-....__-.._._ ................... Caution:For professional use only-The installation and handling of PV modules Scan this QR-code to discover solar requires professional skills and should only be performed by qualified professionals. Please read the safety and installation instructions before using the modules. projects built with this module r .....................................................................................................................................................................................-.......... .......... ■ CANADIAN SOLAR INC.August 2015.All rights reserved,PV Module Product Datasheet V5.3 EN Q �. I INSTALLATION O F NEW ROOF MOUNTED ADRIAN ST.* 11.7kW PV SYSTEM 25 ADRIAN ST, $' ANDOVER, MA 01845 Issued I Revlsione Ej_ V ,. , x f., NO. �[DESCRIPTONF DATE` «^a ,,. T Protect Tills: AHEARN,CATHY TRINITY ACCT O:2035-67651 Project Address: 25 ADRIAN ST, ANDOVER,MA 01845 GENERAL NOTES GENERAL NOTES CONTINUED GENERAL NOTES CONTINUED A86REVIATIONe CONTINUE. SHEET INDEX JB JUNCTON BOX PV-1 COVER SHEET W/SITE INFO&NOTES or9wm nDD: I.Yf:�ck.5lh tr,t9s'St#fX.*V73"w F:^{}?;t3 E. THE OOVOLESENTA FROM THE OC IS 11. BJ CURRE SREC FI ATIONSTIlL1Y LCMR THOUSANOCIRCULARMILS AcLN#s:Az€ Al.WADISCO ECTIENLOSLIM N COMPANY6PECI RSEQUIREE PV-2 ROOF PLAN W/MODULE LOCATIONS Ei#JEs+h#NTAi^*SCi3't.YWkn;ki 019LONNELTENHE INVtEANO THE DG STSET0 LANSH HAVE BEEN LVA RL VOLTAMPERE PROPOSEDSYSTEM Gnf(&LI Oki ASd'a l't53$x3U1�S DAYLIGHT AYLI HT OURS. LLPERSO DURNO 15 PRISSETDFOR THE HAVE BEEN LW KILO-WATT SOLAR SYSTEM T}N„�,eDuzr e cr.O A:,�u WORKINTONORIN INVOLVED PREPARED ANDAGEPURPOSEOF WY'H KILO-WATT HOUR PV-3 ELECTRICAL 3 LINE DIAGRAM Ih'VIMSTAIOM§ECEPJLtiA`'+'T' 1N#i'✓. PHOTOVOLTAIC OR INVOLVED WA THE MUNICIPAL THIS SET PLANS REVIEW L UNE 2 TJ#S 3R4TAs.#A1'k3y4# T11N{q PHOTOVOLTA.AA MO EM AREWARNEDED NOT BE UTILIZED AS OF TION MGR MAIN CIRCUIT BREAKER DrawingIn(ormeliOn 9.,AAGNTAOF.,l&Y-a,,€kts.�S.6 TNERGIEDWHENOWLESAPE NOT AS CONSTRUCTION MDP MAST DISTRIBUTLUG PANEL Ei?§HY+dviEt6T f.NC F+JI#.GARNV Na, ENERGIZED WHENEVER THEY APE DRAWINGS UNTIL REVISED TO INDICATE MLO MAJOR LUG ONLY DRAWING DATE: 1/19/2016 0ift^TG`RS ASND Ly2"Ts QU ,1q,C3 TAt ED E%POSEDTOLIGHT. •ISSUED FOR CONSTRUCTION'. MTD MOUNTED NB FK"t*SE GC'RAFN.EYE n°tiht#S., B. ALLPOVOLTAI SYSTEM YSTE SHLR 18 ALLINFORMRIOR OUSEFOR.I BE MT MOUNTING RFWSEDEY: 3.THE fN&?A2fAlF%R C"1',193F:3»:>+Y,z is ALL RTIONS FTHISISHAR BE CERTIFIEDPRION5HOWFOR N NEUTRAL NEC NATONAL ELECTRICAL CODE UTAC&X04,3 kEA`u'tA A_, MARKEDNATIONAL C RICCODANCEWRH CONSTRUCTION ACTIVITIES. NIC HOT IN CONTRACT L"#CRSTAAa."? A f`tWa~a THE NATIONAL ELECTRIC CODE ARTCLE NO N NUMEER System Information: ';C.aAh3=Gh4`XN$TNS}N.;.NieTe#2 f#A4U�J. QlD P&tfi:''t T='i kC A.4 A'#tvN;21E 1rotbt=ntt„YN ID &%'iU'4Y Yc5 &.aM,:t1 ATtXN Cfi'CH;K ABBREVIATIONS NTS NOT TO6CALE TOTALSYSLEM 512F: ]3.7kW G"rN r"'FFRs;#c'R1 a..T.v ASQUTAcg.1. *tom P-#M l*s�TA.y *'F"�eA$TWE POOP OVER CURRENT PROTECTION TOTALMODULECOUNT. 95 Pw& OAiFbWEYx'T�S'ftfCm IW3'NC or, €N*S AT.S. ,0N C:#d"tR&6-In&114. AMR AMPERE MODULES USED: CANADIAN SDIARZW {":i^a451sitd WiOFUS'b'.T: u3"3UEG P4N3R'TD ATTE1'C aPfiti 't#.4tK'�'+'xx F,YR;s AC ALTERNATING CURRENT PB PULL BO% Tgfc£As3fnz.A7iUR^£:Y Ak EU fR?,i'9 T.E`AwYla "Y TAPE LIDO AAL ALUMINUM PH¢ PHARE MODULE SFE[p�. "Arl.6OD F AMP.FRAME PVC POLY-VINYL CHLORIDE CONDUIT ''' vKSS. F'ROCED;A2€9.5C�;EL3:,;LF,.S s&ETYAkD AFF ABOVE FWISHED FLOOR DVAR POWER uTluiY COMFAnT: nATLGRIo a.OW 1 s1&rrix,CICwt 3ARE C SN# , AEG ASOVEFIN HEDORADE OTC OUANTITY UTILITY ACR p. 661043BOD5 SA L:f#PTu AIIA"ls§3 11. P4eOR TO'?"Y•E SV.G`,'EAI S'f4R`x LP'+i$F,, AWG AMERICAN WIRE GAUGE RDS MUD GALVANIZED STEEL UTILITY METERp: 12808383 c":c^h`'t$9C'#fY.+nHKNt'.n fia^af"A##:a1d31 Yk=F 9hktAl s.K.1 Cl1NTSiACTC9t#ia C CONDUCT(GENERIC TERM OF SN SDLIDNEUTRAL DEALTYPE: v`4"£TLECYRY,#:A wka K-8 ATTENUAGA MAU-,t>MPPOP:CMAkUN.T MCEWAY,PROVIDE AS JSWBDSWRCMBOARD scl-Ar.,1,wlC TA#C-aaE'Tt c:R,r0. _'DNA 2NE R2.Y�=ImpTle SPEGRE01 TW COUP r V'm ,- ' TYR_ S R+U3A$4"zy„z J` REGOfAA�'FJ BY YY,E 11 �G..R,YrtE.r^FA'tAL?YAFb�'TEM�.P.Yi CB COMBINER BOX U.O.I. UNLESS OTHERWISE INDICATED AiRYU siLI38dz 4kS t'iE 3Ya"AZW E*NT.i{,y#AxVjN 435-F.-.Ikl&AtT RBFESLYU CT C CTT CIRCUIT YJP WEATHERPROOF CAlWALWAY"RADE AVIhWtU^'F1 YHE 140LATk3N t$.F.fii„.°ELk1.:tE'3 IT37Y,A CV COPPER(TRANSFORMER Xf-R TRANSFORMER RSV.NG. Sheet PEROON5 VO4owl TOM-MR ANO TIMAT .0KRATKIN MA#iJN CC DIRECT CURRENT MOUNT 72 INCHES TO BOTTOM FAc##`J#HE IN #tATz#'kFr'Y 13 31LclATr: f 3'-2' NEw PV SOUR MODULE.TYPICAL PANEL CLAMP SERRATED FLANGEHEXNUT U.O.I. (REFER TO EQUIPMENT SG1EOUlE IAa ME<sPANEL(R,,,a I PeEcw FOR SPECS ANO QUANTIl1ES HE%NUT m N—WRTINGFOOT/ATTACHMENT SOLAR MODULE SOLARMODULE� POINTS,TYPICAL (REFERTO ENO EERING LETTER FOR SPACING A110 DETAILS) HE%HEAD CAP SEREw NEW TOP SUOE0.TWIGL CLAMP BlSE TOP SUOER ran O (REFER TOTHE QUI CK RACK b we<exeerP<uwrrAm I¢EOEcw1— reru�m \u, / COOESOMPUANT INSTALLATION M UH5O SLIDER ONE(AVERASPHALTSHINGLES MANUALFORSPECSANODETAILls INi 6P[< FPRxTALeI IPrr<rAaPFTAPu+rrtnr<AArF<R NEW END CLIP,TYPICAL iecrFHN+rcrl um APOC BEAIAN — (REFER TO THE QUICK RACK — COD E-COMPLMNT INSTALLATION S MANUAL FOR SPECS AND D—S) - SOLAR MODULES SHALL NOT �i Stit rvEW Mw CLIP.TYPICAL EXCEED PEAK HEIGHT. //1 1 \ (REFER TO THE OUICK RACK CODELOR,UANT INSTALLATION LLL—D MANUAL FOR SPECS AND DETAILS) ATTACHMENT&CLIPDETAIL PV MODULE A. MENT ON AS HAL SHINGL 00 HEI H FROMGROUNDLEVEL TPE OFR F SCALE:NOT TO SCALE SCALE',NOT TO SCALE SCALE:NOT A FRONT Issued Revisions �r V NO. GESCRIPTION GATE 1 P CCt ME AHEARN,CATHY 7RINITYACCT 0:2015-6]651 Project Address: 25 ADRIAN ST, ANDOVER,MA 01845 Dmwin Tlllo: PROPOSED L1.7kW SOLAR SYSTEM • Drawln Information DMW INS DATE: 1/39/x016 DRAWN SV: NS '- 33 RfvBED aY: j_ . MODULE=NT: 415 MDOU�PLUSED U1 R7APCwIA e SOLAR 20n # 'y MODULE SPECP -P-MOP 1�Mvl J�� _ � 1 ;3 }1Tj � } -t�3-+ UT—COMPANY: NAFL.RID I N. _ T. }'�' f ..F_ ��jy}] 'g.71 UTIUTI N Lim-35005 i., IF .T �.,..i m I UTILITY METER p. 338DB353 DEA YPE: NOTES: M uD P AC 1)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE DC BARK MANUFACTURER'S INSTALLATION INSTRUCTIONS 2)ALLOUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA DR RATING. ReY.ND. Sheet 3.)ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION, 4) ROOFTOP SOLAR INSTALLATION ONLY PV ARRAY WILL NOT EXTEND BEYOND THE EXISTING BUILDING ENVELOPE ARRAVSCHEDULE SYMBOLLEGEND 7SCHEDULEEQUIPMENT SCHEDULE RS . l ,. N RAca, SPEC. ARRAY ORIENTATION a 259- INDICATEEESIONATIOREFERTOINSTALLED OUTSIDNEW LIT LITV DISCONNECT TO BE �.. . -ARRAY 9CHEOULE FOR MORE INFORMATION UD INSTALLEOOIfTGIOE }: - . y5 CANADIAN 50UR260(CS6P-l6DP) MODULEPITCH�AD- INDICATESNEWPVSOLAR MODULE.RED MODULES A1£15' iJ 4L T f.J vff2 N;}PHL;}p,,�qC1 SEIOCODA-US INDICATES EXISTINGM..R—RDN NVpICATE PlWELS THATUSE MICRO INVERTERS ® ,-m cnm KNY WRAL,'"M 11A1 REFER TOEWIPMEW SCHEDULE FORSPECS $E T' .r -'----- EP INDICATES LOCADON:�INOBASEMENTCTRICAL PMEL INSTALIEDOUTSX.DUCTION METER TO RE {tR:F�cR°�TeE`.TyyY, —SOLAR du.AY✓,XY avatvi3Ai-r�9A 8FEG`3 Rt+C flET"-AILS) INDICATES NEW INVERT BE P u§F NTSIC£F,s'FfIAT{'zH#65`, ,dN'F,. O INOICATE6 NI:W xMIN DISCONNECT TO BE ® INSTALLED OUTSIDE. • 'f` CAt,NEfEie.O,.dC xIE Hh+"5>"fL^RFOR 2271 AII�Peed Reed 077-7P7-207! GRDUPEDWITH MAIN PANEL REFER TO EQUIPMENT SCHEDULE FOR 61EC3. I'WhT3A2J L`E)A#;->r PIDII.Nn UPTw7 oma Engineer/License Holder: MOUNTED SOUR MODULES MOUNTED TO ROOF ON I ARMY UNDER SOLAR MODULE 45-260W MODULES W/1 SOLAR EDGE P300 PER MODULE NEC 690.34 38.75 ADC MAX PER STRING 25TRINGS OF IS MODULFS IN SERIES-ESD Ym6a 15TPING OE SS MODULES IN 5E0.1E5.35o YmaA r BOX D 1 l \ '35TPINGS TO BE TERMINATED IN PARALLEL INSIDE COMBINER 60% I 7 1 1 I 1 + I ` 1 I / I I I \I I 1 I56Uetl/ReVl6-6 1 ) 1 1 1 I I I I NO a DESCRIPTION`.. DATE 1 Pro eCt TIME: ! EXIST NG I 1 20/240v 290v tP -� AHEARN,CATHY R YCIRC IT WIRIN UTILITY 200A MAIN BREAKER I L anw6 Eleclrl.r Auumee ell Re3P..WRIUlY br METER 200A BUSBAR 1 TRINITYACCi p:2015-67651 r Determinln90nelto CPn4ltlene en6 ENecudny Inet4lbtbn ° In ACORPo—with NEC 2011 COMBINER I Project Address: i.)LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON 1 A HRAE MINIMUM MEAN EXTREME DRY BULB LOCKABGOA TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO DISCLE ONNECT FUSED W/ 1 25 ADRIAN ST, INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT BOA FUSES ANDOVER,MA 01845 TEMP.-16'C OROUPED W/MAIN 60A UNFUSED PRODUCTION BREAKER LOAD CENTER DISCONNECT METER /+ 2. HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED 40V 1m 40V le INVERTER Y1 la ON ASHRAE HIGHEST MONTH 27L DRY BULB Drewln 71t1e: TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO —d i 0 • I INStALLAT10N LOCATION. HIGHEST CONTINUOUS TEMP s ° PROPOSED 11.7kW 3TC ` ° �� 0 j SOLAR SYSTEM I� 3.)2005 ASHRAE FUNDAMENTALS 2%DESIGN ° a I [__J TEMPERATURES DO NOT EXCEED 47-C IN THE UNITED r--- FJCI e I`. Ll- I Dlewln InfomlBtlOn STATES(PALM SPRINGS, N IS 44.1'C). FOR LESS THAN [-----------J -'1 ^_J` 000 00 I 9 CURRENT-CARRYING CCONDUIT AT INA ExISTING MAIN BREAKER LOAD I - I DRAWNG DATE: 1/29/x016 --- aeeeoe ROOF-MCUN TED SUNLIT CONDUIT AT LEAST 0.5"ABOVE GOUARE D SQUARED L�______J DRAWN BY: KB POOP AN USING THE OUTDOOR DESIGN TEMPERATURE PN: D222N DU222NRB _______-.� REMSEO BY: �_ CENTER INSULATED LINE TAPS OF 47C OR LESS(ALL OF UNITED STATES), _ INSTALLED ON MAIN FEEDERS 4.)PHOTOVOLTAIC POWER SYSTEMS SHALL BE NEC 690.64 System InforrTat)OD: PERMITTED 70 OPERATE WITH UNGROUNDED TOTAL SYSTEM- 13.7kW PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER NEC 690.33 TOTALMOOULE COUNT: 65 MODULES USED: rANADIANS01M260 5.)ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE Mo0UL Sft- 66P-2WP A NEMA 3 RATING. unuTv<omvarvr: NArLGRlO CALCULATIONS FOR CURRENT GrERYINO UTILITY ACR R'. 100.36005 CONDUCTORS UTIUTYMETERP. L29M2m REQUIRED CONDUCTOR AMPACITY PER STRING DEAL TYPE: (N EC 690.8(9)(31](15.00'1.25)3-56.25A AWG 66,DERATED AMPACITY PV MODULE SPECIFICATIONS AMBIENT TEMP: EST.TEMP DERATING FACTOR: 76 CANADIM'SOUR 260(46P-z6aP7 RACEWAY DERATING-2 CLC: 1.00 RBY.N0. $h6et I75-.76)IOD-57.00A "I8.56 P1 PV - 3 57.00A L 56.25A,THEREFORE WIRE SIZE IS VALID V VPC., 30.4 3T.5 A Rfi THWN-3 GEC 70 EIS TING GROUNDROD TOTAL AC REQUIRED CONDUCTOR AMPACITY Isc 9.1] 42.00A-1.25-52.50A 3/f'EMT W/iib THWN-2,1-410THWN2,StltO THWN-i GROUND AWG M6,DERATED AMPACITY C 3/4" -p6THEMTW/2 IN-2.,-10TI1WN-2 GROUND AMBIENT TEMP: 3002 TEMP DERATING: 1.0 LNVERIERel-5E10GUDA-US RACEWAY DERATING-3 CCC: N/A O< AO - D 374"EMTW/fi910TRWM-2,141DTHWNI GROUND 75A-1.0-75A Imp 30.5 PDO, 30000 E 3/9"EMT W/2M6THWN-2,1 R30THWN-2,1-THW143 GROUND 75A_52.50A THEREFORE AC WIRE SIZE IS VALID Vmp 1350 lout 42 F x12 PV WIREW/R.GAPE COPPER BOND TD ARMY JJO�/1 ALC 6ATIONFO P O ER LITENTPROTE TION VPC Soo Imix 52.5 R/ T TALI INVERTER CURREH 4,DOA U, 45 -DY 24o c 3/4"FMKW/9Y6 THWN-2,I RR-N3 GROUND 42.00A-1.2S-52.50A2511 NlenwmO Rea6677-797-2976 -->60A OVERCURRENT PROTECTION IS VALIDMOI,Nw J4rM107719 INSTALLATION OF NEW ROOF MOUNTED ADRIANST.e 11.7 kW PV SYSTEM 25 ADRIAN ST, t ' ANDOVER, MA 01845 lesuc`d/R-Sion VICINITY MAP ND. vwDcuRlPnoN DAT I `J SCALE:NTS SITE prejecl TiOe: AHEARN,�T7HITRINITY ACCT d. PrG'Dc'.Addfcss 25 ADRIAN ST• AN DOVE I,MA 01845 GENERAL.N(1TE5 UENERAL NOTES OONTINNIFD. GENERAL N[1rFG ff1NTNIlEC ASUREVIAIIONS OVNTIn II=U SHEET INDEX JE JUNCTONOo2 PV-1 COVER SHEET W/SITE INFO&NOTES D- Tlua: T'HE INSTP:WTIUN COIJTINC'FOR IS S. NE CC YOLT'ACE FRCMI'IHE PANELS IS 11. BJ LNf.TP IIHET. UTI1I'1'1 hDMIL THOOSANDCIRCIAIA N1.0 1 H-IFlAr INL ND ECU(:IN.-AL1.L( A SC.IINE.1 E Nr AT IMC N STAN DA I'SPEND NEED HE ��l1 EOIIIPMFfJi ANO POLLOWINGALI. rERMINNECTENCLOSUREANUIHELII: OTANUAR06,PIVU REOUIFEMEN'(g A`•A KILOVOLT AMPERE PV-2 ROOF PLAN W/MODULE LOCATIONS PROPOSED 71.71,W DIREGTNlzo IN INE OIRIICIIUNS 'IFH'MINALS OF THEINVERTI"R OURINO IL THIS LIT I OF PLMIS HAVE LEEN h\•! MLOVVAI"I (:ONIAIW:D IfI'IHC URAVAIJG PPLNAIJE AIJIi O.AtUGH I HOURS.ALI.PERSONS PREPMiED FOR THE PURPO..OF h\•!H 111 O\VAT I'Mi IUk SOLAR SYSTEM INFORMArIONFLECEIVEOFFLONTRINTY. V/ORMf1-ON OR INVO-Ii.Wrn+THE MUNIGIPAL.wDAOENCY REVIEW AN0 UNE PV-3 ELECTRICAL 3 LINE DIAGRAM 2.1HEINSTALLATIONCONTRACTURA: PHOTOVOLTAICSYSTEM.tRC'NLRNED APPROVAL.THIE SET'OFPWJS SHALT. MC{J (Alli NHEANEFt 11ESPONSIBLE FORIN^,iALLIN:;ALL I MIT iIIE6OLAR MODULESAHE NOI BE OIL IFED AS CONSTRUCTION MOF MAIN DI:T 11.1111IN F'PNEL DINwR InfCfrt131iOR I.L.D.L'i N+O FOLLO'hTYt:qLl. ENEH.1L:D YLLENEI'ERTIIEVAIE URA\1'ING$UNTIL REVI<EDTO INOICi.iE MLO MPIN LIIN(NJI.f ;21/xola GIHFDIIUKi PNU INf•TRUt TN W 1;(MTAINED %POSED TO LIGHT, 'ISSUED FOR CUNSTA.UCr10N' Mt MINTED A1TtJ M1111HTIN.; DRAA'N B:PAT IN THE LOMitETE IAANLIAL. 1. LL PORTIONS OF THIS SOLAR 1S ALL Ik1.MAT10N SHONRI AIVST�[ ND.IEEU Bv1 3.TME INETALIRT�^•N�'pNTRA . aHOTWOLTAIC SYSTEM SHILL BE CERTIFIED PRIOR TO USG FOR NEIL RES:rrN:�ISLE FI)P.kEKNN0 iJ1U I[ W-RKCD CLEARLY IN ACCORQINGE W'RH CONSTRUol ION AUI'141TIt5. I'll 1.1 ELECTWCAL GOOF UNDERI;TANUINt,PLL I-VIDIN:%, 111E NATION'.AL ELECTRIC OODE AHI10.0 TIN I:I INTRPI.T IM1IN AA.-FRIERMWIINAL': a�'J. N(I Y. NIIMBEi; $SKIT IAfDfTB(IODI ~' TIIN::TALLATN.N,THE IN:.1'AI.LATI.IN 111. PMOR TO THE INSTALL4TON OF TJIS ADtlRHVIANOII.S NT.+ NI.II'TU SI:AIE (NIRA•.TORI::AL::f.REIJl11F."cD T+,HAVE P:g10'fO.T/-.IC SYSI EM,rf+E r�(,I• U'vEl:�:lli:liENI'PF«lTEC1l0u TOIALEl5rEM51Z[- 11.7AW "N.IPYNFNTRWTI'NZ,INTHE(IFF INSTAL-111ON CONTRACTOR SHALL AMP AMPERE f• FI•LI: IOIAL MOD"i,Ul+ a5 POSITION AND FUSES F:EMDVEOI•HINR 10 ATTEND A PRE-N AC ALTERNATING CLRRMT f•H IfIVDUI[SUiE(•f CPNAONA'Sl1LAli 75U ST HE INSTALLATION Lf•1% T INITALWI L J•.E-.EEAIDNI., FOR THE RI'-I" O HE INBTALIAl10N AL AL.IIMNIIM 5NE DUVL[SP((p 11-i'Ll SYSTEAL LUMP( E PROCEOURES.SL.HLOULES,SAI'EITPND 4A.E.FR 9E V F LY-\INYI.I:HLiiklC)F CONOIIIT N ONCE TIE PHIJI'VOLTA.I.MUDDLE:ARE COORDINATION AFI ADUVLFNISNEUELVOH {V!R {yI,VFR T(GOMI ANV II�r LGHD M'JNTEOI E 1. I IORT01'HESYS-MSTAR'T'UP THE AFU ASO LIENISHEOGRPDE UAH 11 UTL- (RM 4SID=5.iW5 CO CTOR UI U AJ 4 M(.F S'LLANONC0 G'OH SHALL AN 0. RI:ANWREIAI-E I.IU \. N EO;.TEFL N11L M rli I:EU91F3 E ELEGTIICIAN Y`HVHA.ATTENNE1' ASSISI'IN PERE OHMIHG All INIIIAL C CO.uUtlll' .0 Ek- EPM(N= IN .1)I.11,NL IHu AL IYPE'.P F'HOlfjs•(>TA��IN;iTPLLATIIN HARD1•:ARE CHECK^J AND DC"SWIND RAr;EWAY F' IDEAS 15'tJBU::MIIT:HF4IARU J0IJPSE UfJ 511 E. CONDUCTMIIV CHI:CHS. =EDIFIED) TVP T/FIf;N. S t0 INEHBO 5.EOR F.ETY rl'AI THEN DU-LION OL NCICR EEANO II. 1 JLER -JII'EINOIUTED Mk IEE r4AI E 14l L LN 19tl TpNC THC � EFfk 0 CAT U CULT \I E iilEFF 1111F EkEW A HAVE M 1 U f F T r) E SO.TIO VG-01 RE)N fHE T CON-= T' -DFM''=R ,N -wf OR C ) A•t RK O TOCETHED Mr,TEAT OFLP 1"O1M N1` (U O H 7 UUN 121NGHE lr EJT"10fA ROY.A. $h, IA TIC TIE INSTnLLnIION CPLW Ti 1!LDOt ITU C PR FK.:EGFIG:I'alI °y( �IR�I NNEGI`uW(1Gn OH A80VE FINIS•HI FLOOROR MF1AEEk.BETRAINI=01WFIRST AID AID 4NDTLLEVHONE UT LII'IES AHE EVHIE(: LlYO URAlVINO IrHAIE P1 Fj CPR. 10 FINAL APPHO\•AI.OF TILE EIS F_LECTRICAL SYS-EM INSTAL LER A.1X16 SCLAR PHUTIVOLT'AIGSYEl4S11.1. ARPROPRNTE OTILITCOMFAVI=S AND EMT _ r1.LIC TOEING OE IN FAIL EU-OLI.OVING TEE O'A'NEHE. IS FUBILLE SNHCHf CONVENTICHS OF THE NOTIONAL ELECTRIC 14. AL.IA ATEPIALS.'NORP.AIANSHI1FA.O FUSE CO DE.ANY LOCAL 1ODL WHICH RLAY CONSTRUCTIONFOR I'FIE SITE GflD FUSE SUFE.RSEDE THE NEC SHNI GO'�fF_ I MPPOVEMENT6DUDQ 6HON'I HEREIN(iW',L� (fl GROUND FAU:.T INTERRUPT EIi M.1-61 1.CCMF;,N'ENTS TO BE DEINA IDANCE'N11'H' Fu FREO'uENCY(CYCLES PER "Trij. INSTg ED NJTH THIS v UTEM? T,I SE TilURRENT PREY.5ILING r-tUN1U1PPL SECIXL13TED.ALL EOLNPM1IEM"MLL'UE IJEI.IA AND'OPCOUNTY SPECIFICATSTANDARDSANORECUIFEMENTS GENERAL NOTE. IF ISSUED UHAWIFFE I:ILDI YRl H A NE1'1'.'D rN DHAIW CTER OTHER THAN•A'.1111 81 AOVI6Ep THAI FINAL.101111111 ANOIOR SY 1111 r:I1RAN.T1NEI1l%I AE:E LRI'llIT'NII L111 :E DUE TO 1-115LIll OF EgUIPMENT. 1111 ABm.voO RPRG 877-787-2870 NMI,Na JINy 01)18 U 0.1o REP..10 COLI—.1 W.- z— F.CTyr Pvo- .0 C ✓-E.'t,l EEHINGICIIGN OH SPADING AVII DETAll.51 -AD PF:.DEW PERT pCAL f M BASE ''P LLE RC N 10 R.CI, (.,)(.E-OOMFUANTWSTALLATION —11K SLICER I-E I I VEL-1-1 SH 11G.. (AN-1—A—SINQUE"Al-, NEW END 1111CAL IN ZREFER T0TTLPWLQ<R1GK IIANI AL—SINLIS SANG OCTAIIN, AOLAR MII DULF.8-1 ROT IN-41 G4 --L IL*11. (REFER TO THE-1-RACK C-E-GOMPL—I-I-.ATIQN EAISTING—ILN MANUAL FOA 111.AND—111 j3L�AC,HtA,F..NTF.,CIIPDFTAII V MOD SHINGLE RQ GROUND LEVEL TO PEAK OF ROOF Ll,,,F ATTACHMENT ON ASPHALT q OF EIGHT FROM 7 NOT 1� Cy S-1 �aLE NOT 10 CA_ FRONT Issued/Revisions NO .111C.111111. DATF jPR,j,oC1 TM. AHIARN,CATHY TRINITY ACCT 9.20-676 11 Prq=Address' 25 ADRIAN ST, ANDOVER,MA01845 D—I%TIJ*, PROPOSED 11.7kW SOLAR SYSTEM ig SIEE' 4�iii MITI T M'! 1p qj!��"�Jj 11�i j R1 M Jj ■ All3 3i � ljj 11 I "i !1.7111 1 1411 jit jli� 141 13tTl '411 1 IM A fi! �jjjjj!3, O_ H Mtj U�IF I I I 'ji JJMMIL I J�j 1, jy, "ISI, F--j 1)ILL FOUI-ENT—ILL RP=LED N ACCORDANCE VATI BACK 2N�Z, F CID.—-kL r—H—L—F—S—Lbt RAINTICH'TWITIMINAILMN—RITINP, FRE—No -,71 S.ALL LOCATIONS ARE APPROXIMATE ANCHEODIRE FIELD VERIFICATION. 4) ROOFTOP SOLAR INSTALLATION ONLY PV ARRAY INILL NOT EXTEND BEYOND THE EXISTING BUILDING ENVELOPE ARRAY SCHEDULE SYMBOL LFCENC PLUMBING SCHEDULE EOUIPMEN1 SCHEDULE INDICATLN,!JF)MONITION.REFCR 10 INUCATI:SNL�VkJIIL.11"(DtICOW4ECTTOBE NCNOTDGL(P,T!'NCAL!nurcpiomL,u riAc ON 1 IF— TALL IDl UT'DL �DE—TIPLI-1 111,1ALLATIO11 1.1CAJ SECTION 3�.�FCIP�SIIE,��AND DETAILE) 15 LANID"11 NJIAh III C11111111, I11D C.I E—..-LF RED IOC—PANELS71-USENTICHO,IVERTERS. I'L~L ffj —11-1—H IOCI—N 111111.1—Al—PO —Frk�. THPUNIRAC —O"CUlu$ -® REFER TO L31JI-MENT SCTEOUX-FOR SPECS. 1-I4U.t:1 F"11 AS.I—LE) OTHER -RUCTIONS Trij EP 4111-110 1-CIFICAL R1 NELSTALLFDOUiS 0-1 111T.TONIF 0351"RUCTIONS "Kiti .,_LAT1I.L,MEI NI 41—FICEA—PTILST LDI TID E",,"11 1"IAN DISCONNECT TO BE I10TESNEWINVER1LA 10 M 2211 `*1 B77-791-1978 i"Ilt .� .1 NSTAULEC 01—IDE WPK;AL VA04 Nn Jrwy 07719 I T I PANT REFER TO EOLIPIJENI 51-D-LE I'll 'LP-1-ANTIT I EIAT Engineer)License Holder: MOUNTED srn>a MDDULFS MQurNED le RGOFOMS1UNDER SDLAR MODULE 65-2GOlY MODULES W/3 SOLAR EDGE PIED PER MODULE NEC 590.30 1E.75 AIX MA%PI:R SI'DNG 1 B" 251FINCS D=.ISM-ESINSERIEG-3 1111u --- ---- JUNCTION -����_��--••— ----------------------_----_-_---------�--, 15TR'�N:i JE Ii NIOOUI ES IN irRlEt 350 Vm.iv _.___ D --------- ----� --- _ ---� " '35TM(JGS TOBETBR,01-TEOIN PAilP IN51DE S1NER BOX BOX = _� I I I Issued/R9visions I I I I I ' I ND �nESCRIP1tGNfe U` Proiece Title: EXISTING I 120/240V 240V 1v AHEARN,CATHY gaalr tlatM[r w Sxc pores UTIUTV M 2C MAIN BREAKER _ Mccns°6 Ela<[ricial um.;s all Rvsponu6ility for METER - 200A SUSBAR 1— 1 TRIVINACCT N.2G1.5-6755T inp J Onsitc onailions and Executing InstallaLian --7 L_ .�. I - 3naACCo d—E with NEC 2011 t Pr.I Addmss COMBINER 1.)LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON Ij ASHRAE MINIMUM MEAN EXTREME DRY BULB LOCKABLE BOA TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO DISCONNECT FUSED W/ 7_S ADRIAN ST, INSTALLATION LOCATION, LOWEST EXPECTED AMBIENT 60A FUSES ANDOVER,MA 01645 TEMP>•-LOC GROUPED W/MAIN 60A UNFUSED PRODUCTION EWEAKER LOAD CENTER DISCONNECT METER 2.)HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED 240V 19 240V 19 INVERTER r0 ON A5HRAE HIGHEST MONTH 2%DRY BULB + Drawing T11B: TEMPERATURE FOR ASHRAE LOCATION M05T SIMILAR TO INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP- l °+,l 1 �" I PROPOSE()11.7k 33'C - .I M v �-�^ O; SOLAR SYSTEM 3.)2005 ASHRAE FUNDAMENTALS 2%DESIGN TEMPERATURES 00 NOT EXCEED 47'C IN THE UNITED r --- G [I � B r( , B _ — E a Or6'Aln InfDrnallDn STALES PALM SPRINGS. N IS 44.1 C). FOR LESS THAN F' @ CURRENT-CD SUNU CONDUCTORS INA °'i I 1 2 nwlxG UAIF vt";mle mamsx or ROOF-MOUNTED SUNUT CONDUIT AT LEAST 0.5"ABOVE EXISTING MAIN BREAKER LOAD SW ARE 0 SQUARED J ROOF AND USING THE OUTDOOR DESIGN TEMPERATURE PN: 0222N DU222NRO J_ CENTER INSULATED LINE TAPS OF 47'C OR LESS(ALL OF UNI TED STA IES), = INSTALLED ON MAIN FEEDERS A)PHOTOVOLTAIC POWER SYSTEMS SHALL BE NEC 690.64 $Bt—lnformationl PERMITTED TO OPERATE WITH UNGROUNDED PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER GTal.SrSi[rn SIL.+ 11.]kW NEC....35 .:D MDDUIE COUNT`. MDGI;IFS VSEDi IAN'ADI+NSOW12F(I 5.)ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE n+riDu+E SPEC ui r54kt4DP A NENA3 RATING. U114n cDIAVANCIGMD CALCUUTtONB FOR CURRENT CAR0.VINGUI�IIIvnC<ry W-?tl0D'> CON IRED CONDUCTOR O n t1V,GG:.As [RED NECREO CO1U111 R.01-1.217 PER STRING ql 'vPE1 [NEC690.8011U111 el(1Ik (15.00x1.25)3-56.25. AWG 06,DERATED AMPAOtt I.tODULF SPEe !,TIONS AMBIENT TEMP:55C,TEMP DERATING FACTOR: .76 quAUTAN BOIAR xeollCi6a-160-; RCS.NO. Sht:Ci RACEWAY DERATING-2 CCG: 1.00 (75-.76)1.00-57.00A L'u 8.56 57.00A 2 56.25A,THEREFORE WIRE SIZE IS VALID V_ UND ROD -•••---• Voc 37.5 x41HWN-1 GECTD Fx611NG GRD TOTAL AG REQUIRED CONWGTOR AMPAGTF A 42.00X•1.25-5250. Isc a-i2 H a/v"[ w/z-Nc-IxwN�t.3-Rl0 U-,-NtC N3wn2 tir'.DunD A=MI6,DERATED AMPALTTY C 3/J"EMT W/2-NE THWN 2.i 10 THAIN I CROUNO AMBIENT TEMP: 30C,TEMP DERATING: 1.0 NV E1rF:Nt-5E1000DFus RACEWAY DERATING`1 3 CCC:N/A UE AL rw/r.-klD1 141 I-nt::rx ' o 75A-1.0-75A )U. Gout E s/4'cml x�rt+rG intt'N2,Ii10"--.r• 75A'.52.50A THEREFORE AC WIRE SIZE IS VALID Vmli JSO 5 °uc a "Driva 1 CALCULATION R CPV NT. 4C2RRERT PROTERION VDc SW Imox 51.5 [ V3t VV WIflF WJpti BAHENVPE�I EUND iOARI+A'! TOTAL INSERTER CURRENT: 42.00. Ik 45 Vnoill 290 G 3/a"rMr,W/BSG Txw'r+-],toe ixwN3 GROurvn 42.00X'60.-52.50. --�600 OVERCURRENT PROTECTION IS VALID 2211 Ausl�oo4 Roan 977-797-2979 v2dl Now J4rwy 0719 E The Courttioniveattlt of Massachusetts Department oflndustrialAccidents 9 1 Compress Street,Suite 100 Boston,NIA 02114-2017 !i tvluw.tttass.ga v/rlia Workers`Compensation Insurance Affidrivit:Builders/Contractors/Eleetricinns/Pluulbers, TO BF FILED WITH TITS PEILN ITPI,NC AUTHQRlTY. Applicant Information Please Print Legibly Nitrile(Busiuess/thgmitzatictt/Individual):Trhty Solar Address: 2211 Allenwood Road City/State/Zip: Wall, NJ 07719 Phone#: 732-780-3779 Are you no employer?Check the appropriate hos: "type of project(required): I. am o employer with_,300 mployccs Roll and/or part-time].' 7. ❑New constntetion 2,❑I am a An.proprietor or partnershipand have no emptoyees working for me ur S. Remodeling any capacity.[Pio workers'comp.insurance required.] 9. ❑Demolition IL]I am a homeowner doing all work myself(Novsorkers'comp.insurance required.]t ❑ i 4.D I am a homeowner and will he hiring contractors to Conduce all Work on my property. 1 will 10 Building addition ensure that all conlractors either have workers'compensation insurance or are sole 1 LVElectrieal repairs or additions proprietors with no employees. —�t IZ.E]Plumbing repairs or additions 5.L]1 ain a general contractor and I have hired the sub-contractors listed on the attached sheet. l3. ROOF repairs These subcontractors have employees and have workers'comp.insuraice.= 6.[]Iva are a corp mlionanditsoffrcershaveexercisedtheirrightofexemptionperhtGLc. 14.EJOther___ _ 152,§1(4),and the havu no employees.[,No workers'comp.insurance required.] "Arty applicant that checks box MI must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all%vork and then hire outside contractors must submit a new a0idavil indicating sueb. tCentractors that check Ihis 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 most provide their workers'comp.policy number. I ant an employer that Is providing workers'compensation insrerance for my employees. Below is thepolicy and job site Information. Insurance Company Nawc:.The Dittmar Agency Policy#cr Self-ins,Lie,#: FV6J.6a Expiration Date: Job Site Address: 25 Adrian Street CityiState/Zip: North Andover,MA 01845 Attach a copy of the workers'compensation policy 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 here44.eerti,under the wins andpenallieRs ofperjmy that the information provided above is true and correct. Signature llute:_ 2/12/16 Phone#: Offlelai rise only. Do not write In this area,to be completed by cigi fir town offletar. j I ' City or Town: PermitiLicense# 4 Issuing Authority(circle one): I.Board of Health 2.Building Department 3.CityR*own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ' Contact Person: Phone k. I ,4co oCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDtYYYY) 11/2/2015 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 j 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 y Barbara Hayden NAME: DITTMAR AGENCY PHONE (732)462-2343 Fax C AX No: (732)7R0-8414 78 Court Street E-MAIL baha den@di ttmarinsurance.com ADDRESS: y P.O. BOX 1180 INSURERS AFFORDING COVERAGE NAIC# Freehold NJ 07728 INSURER A:HDI-Gerling America Insurance Co. INSURED INSURER B:LlO d's London Trinity Heating & Air Inc. , DBA: Trinity Solar INSURERC:North River Insureance Co. BPTP Future Holdings, LLC INSURER D: 2211 Allenwood Road INSURER E: Wall TwP NJ 07719 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-16 Liab 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. INSRADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDO/YYYY MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS-MADE 7 OCCUR DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ EGGCC000065615 11/1/2015 11/1/2016 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JE LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY EOaBINEDtSINGLE LIMIT $ 2,000,000 A X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED EAGCC000065715 11/1/2015 11/1/2016 BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ PIP-Extended $ 8,000 A UMBRELLA LIAB OCCUR EXAGC000065615 11/1/2015 11/1/2016 EACH OCCURRENCE $ 3,000,000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 DED RETENTION 15227985133 11/1/2015 11/1/2016 Limit x of$3,000,000 $ 21,000,000 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? A (MandatoryIn NH) EWGCC000056515 11/1/2015 11/1/2016 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 B Errors & Omissions PGIARK0201403 5/30/2015 5/30/2016 Per Occurrence $2,000,000 Pollution Liability Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached ifmore space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Trinity Heating & Air, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Patterson Brook Road ACCORDANCE WITH THE POLICY PROVISIONS. Wareham, MA 02571 AUTHORIZED REPRESENTATIVE J`_ = Barbara Havdel,iB-�,.-J ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I NS025(201401) 7 Office of Consumer Affairs dnd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 022 116 Home Improvement Contractor Registration Registration: 170355 Type: Supplement Card TRINITY HEATING & AIR, INC- Expiration: 1 011 2/201 7 GREGG LAGASSE- - 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM, MA 02576 Update Address and return card.Nfark reason for change. SCA I 90M-o!i/i 1 7. Address 'I Renewal [] Employment [7 Lost Card ice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation TRegistration: 170355 Type: 10 Park Plaza-Suite 5170 Expiration: 10t12/2011 Supplement Card Boston,MA 02116 TRINITY HEATING&AIR;INC. GREGG LACASSE 20 PATTERSON BROOK ROAD U WEVWAREHAM,MA 02576 Underseerctary va t outsiplature —J I �+ Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-103631 Construction Supervisor GREGG LACASSE 14 PINE ISLAND AD.,,'O MATTAP04SETT MA 27--4, t ti f (-,jzcK Expiration: j Commissioner 08/30/2017 � I I , I Location f`tt�� } (-tom+- No. Date NpRTM TOWN OF NORTH ANDOVER p:� �•o ,•1yO Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL / $ Check # a03o�D�~ �`t X47 24587 Building Inspector r t, i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO@�a Z_. Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �2, PROPERTY OWNER I n (yi.e dPri- CLet R�Rqen Unit# Print MAP NO:`PARCEL://3ZONING DISTRICT: Historic Districtyes o Machine Shop Village yes no 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Nlbne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: D Commercial kRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other. ❑'Septic 0 Well' ❑Floodplain, ❑,Wetland's. D WatersliedlDistrict ❑Water/Sewer DESCR PTION F WORK TO BE PERFOW,1ED- kepQglflrl N JAJ 0 s (Identificatio Please Type or Print Clearly) OWNER: Name: n ow f Phone: Lj urs Address: — CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ` FEE: $ �a�3 6 sl�6 S 0 Receipt No.: G / Check No.: � N NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature•of Agent/Owne / mature of contractor - - v I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS J 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 u Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses u Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application Li Certified Surveyed Plot Plan ❑ Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) u Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report j a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit I M 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 Doc: Doc.Building Permit Revised 2008mi NORTH Town of 0% dower, Mass., COC MICE-ICK 0"SATED p'P���� 7 V V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System n _� � � BUILDING INSPECTOR .THe T...IS CERTIFIES THAT........................ ... ...... . l.l�l...... ...... .. .......t. ...... ............fl�.t/.... """""""""""' Foundation has permission to erect.. buildings on ... Rough to be occupied as.............. ......... ...�. !!........... .11ll. . ........................ Chimney provided that the person accept! g this permit shall in eve respect conform 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 UNLESS CONSTRUCTI ELECTRICAL INSPECTOR 1P Rough ..................................... Service .. .. ................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. NORTH TOWN OF NORTH ANDOVER OFFICE OF y BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 �SSACHUS£� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION:_ I, Number Street A dress Map/Lot HOMEOWNER �� �� Name Home Phone Work Phone PRESENT MAILING ADDRESS � � � SY r City Town Stwre Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner",certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she/she will comply with said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 698-9530 HEALTH 688-9540 PLANNING 688-9535 i f 4 i J The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA. 02111 UV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�ibl Name(Business/OrganizatiorOndividual): Address: � � City/State/Zip: �_� r'Y) q Phone#: Are you an employer?Check the appropriate box: Type of project(required): A.❑ I am a employer with 4. ❑ 1 am a general contractor and 1 6, ❑New construction employees full and/or part-time).* have hired the sub-contractors ( P ) Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet.I T ❑ ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions ,(required.] officers have exercised their 3.�J I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c.152,§1(4),and we have no 12. Roof repairs insurance required.] employees.[No workers' 13,❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f HomeoWners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance formy employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido liereby cer 'y under the pains and nalties ofperjury that the information provided above is true and correct. Signature. Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: l