Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building Permit #713-16 - 25 EMPIRE DRIVE 12/10/2015
NORT/{ BUILDING PERMITq+ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �qS0ATED C uss��� Date Issued: IMPOR ANT: Applicant must complete all items on this page I PnnG PR"OP ®�9aVN ERS- P�int� f100 Year Structa�j `yens n0 PARCEL`�3��4�___ZON�ING,',DI,S-,T ;C:T:_ Histone 'i9- tt yes no ns, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition❑ Other ❑e Septic ❑�VVelli u Fiood l`ai'n gyWetlandis,� I? ❑' ',WatersedPQistr�ct? °"1Nater/Sewer ��L- -- - - -- - -- - - - -- - - - - - E ----- - - - ' --- DESCRIPTIUN UI- V11UMM I U Mr- r-r-MrUrvvir-u. !-►�.$ i -a I1 CoLay- F 1 �c +v, L �� ✓� GIS +� r �r� � -0'c's4i nu InIn2< _ ,6n lo` ir)A-tr Contn.«t wi+ 1 horh25� e- Sy skm- Identification - Please Type or Print Clearly OWNER: Name: w Phone: Address: -J.5 t5mpl54v - <-o+ Co_ritract;;©r, Namer� �xrns�►nerylhone _� _�.�5_'a3 3- - Email - _ = _ Supe_ruisor"s, Constrtacfi©n� License ``��?_-.-_.;Exp,. . ®ate: r 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: $__ 9'00(> FEE: $ Check No.: �� Z 4/ Receipt No.: ")-n NOTE: Persons contracting with unregistered contractors do not have access to ,*e`garanty fund ofAaent/Ovvner :(!':T.Signature:of;coritractT._y;`b �� LocatioRzX T2)n No. Date C heck # —7T)� I a 4e 29803 i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL Building Inspector Plans Submitted ❑ Plans Waived.❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tamiung/MassageBody 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 COMMENTS Reviewed On Signature CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature 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: 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 ®ANGER ZONE LITERATURE: lies No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Doc.Building Permit Revised 2014 in 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 DOTE: 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 TOTE: 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 ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 10TE: 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 Clerics 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 n 3 x W s LL OJ m v u Y \ �O LL N U .Q V1 Ow d N z Vr Qco m C o 'O m 0 LL lao 3 O W C t U C LL o H z z d i bm O O d' C LL o CL N z � Q U J W to 3 O V 4J C LL O d N z Q i OD O d' C LL F - z LAJ IG" o W LL 41 O 3 CO O z N , N cu0 Y E N uj am gs `lO E Q� L � 0 O ../ z O. O N 0 I O c 0 L 0 `�• a � � AW 0 O V L cc 0 0 - CL � Q s = O }. cv J ca �= O }; = Z 0 0 CL V N c Q i I.L. O LLI _ N V Q i N � t .r _ _ C3 (� L V y d cc Q J ON I a� a • > _ � _ O L ui Q: = Ga > _ 0 = � "a � m z Q' c o � O > c c o CL s O = cm o _ Q L L cc d F=- O = d N Qvm c d O W N -a O w � N _ Cl) LU E= L U O -a m +-• .O N H t O , Q. 0 0 gs `lO E Q� L � 0 O ../ z O. O N 0 I O c 0 L 0 `�• a � � AW 0 O V L cc 0 0 - CL � Q s = O }. cv J ca �= O }; = Z 0 0 CL V N c Q i I.L. O LLI a. Z Z C3 m 2 � Z � O O E Z N C~.) Cl) v O V /A / _ � Z o O LJU tmt d c W J a z_ 0 W) N d t O z O� Q gs `lO E Q� L � 0 O ../ z O. O N 0 I O c 0 L 0 `�• a � � AW 0 O V L cc 0 0 - CL � Q s = O }. cv J ca �= O }; = Z 0 0 CL V N c Q i Version #53.4 - TBD ow4h AN IICat November 25, 2015 RE: Project/Job # 0183167 Project Address: AHJ SC Office Design Criteria: CERTIFICATION LETTER Ing Residence 0 Empire St Turnpike St North Andover, MA 01845 North Andover Wilmington q!i OF wmUJAMa. "a way - Applicable Codes = MA Res. Code, 8th Edition, ASCE 7-05, and 2005 NDS - Risk Category = II - Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 50 psf - MP1A: Roof DL = 11 psf, Roof LL/SL = 35 psf (Non -PV Areas), Roof LL/SL = 21 psf (PV Areas) - MPiB: Roof DL = 11 psf, Roof LL/SL = 35 psf (Non -PV Areas), Roof LL/SL = 21 psf (PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDC) = C < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. email: weldredge@solarcity.com 3055 Clearview Way San Mateo, CA 94402 T (850) 638-1028 (888) SOL. -CITY F (650) 638-1029 solarcity.com Digitally signed by William A. Eldredge Jr. William A. Eldredge, P.E. Date: 2015.11.25 Professional Engineer 16:14:50 -05'00' T: 888.765.2489 x58636 email: weldredge@solarcity.com 3055 Clearview Way San Mateo, CA 94402 T (850) 638-1028 (888) SOL. -CITY F (650) 638-1029 solarcity.com M=o�;SolarCit a Version #53.4 - TBD I HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware Hardware - Landscape Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MP1A 64" 24" 39" NA Staggered 67.7% MPiB 64" 24" 39" NA Staggered 67.7% Portrait Hardware Hardware - Portrait Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MP1A 48" 18" 65" NA Staggered 84.4% MP1B 48" 18" 65" NA Staggered 84.4% Structure Mounting Plane Framing Type Spacing Pitch Qualification Results Member Evaluation Results MP1A Stick Frame @ 16 in. O.C. 340 Member Impact Check OK MP36 Stick Frame @ 16 in. O.C. 341 Member Impact Check OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing Information gathered on site. The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo, CA 94402 T (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com AT.. nCv � i3771. CA C -LO 8 VXi, ( 4 EC 8Cwl. CT H_C Dc 32778 D? MIL 711014". C' H-> 71'0s468 it 7T :)770. MA HK' iGK.STY. Flo MM" 12`IN:^, MJcnf-N',"G UH C:(..l.f ': �WI`3:. ISA Cl �'.i1. IX 1 U..H 2::-,4 , WA(;CL J1 I: .. G� � t1.'J '.:i -.6 ,ty A!. nghl^ --1, STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1A Notes: 1. ps = Cs{pt; Cs -root, Cs -pv per ASCE 7 LFgure 7-ZJ 2. pt = 0.7 (Ce) (CJ (IS) pg; C:e=U.91 C2=1.1, 15=1.0 Member Design Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.32 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis Pre -PV DemandPost-PV Demand I ' Net Impact Result Gravity Loading Check 843 psi I 664 psi 1 0.79 Pass Member Properties SummarV mary MP1A Roof Pitch Horizontal Member Spans Overhang 1.32 ft Rafter Pro erties Actual W 1.50" Roof System Prope San 1 13.77 ft Actual D 9.25" Number of Spans (w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in A2 Re -Roof No San 4 S. 21.39 in.^3 Plywood Sheathing Yes Span 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 18.20 ft TL DefPn Limit 120 Vaulted Ceiling No PV 1 Start 4.00 ft Wood Species SPF Ceiling Finish 1/2" Gypsum Board PV 1 End 17.25 ft Wood Grade #2 Rafter Sloe 340 PV 2 Start Fb 875 psi Rafter Spacing 16" O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emig 510000 psi Notes: 1. ps = Cs{pt; Cs -root, Cs -pv per ASCE 7 LFgure 7-ZJ 2. pt = 0.7 (Ce) (CJ (IS) pg; C:e=U.91 C2=1.1, 15=1.0 Member Design Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.32 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis Pre -PV DemandPost-PV Demand I ' Net Impact Result Gravity Loading Check 843 psi I 664 psi 1 0.79 Pass Member Loading mary Roof Pitch 8/12 Initial Pitch Ad'ust Non -PV Areas PV Areas Roof Dead Load DL 11.0 Psf x 1.21 13.3 psf 13.3 psf PV Dead Load PV -DL 3.0 psf x 1.21 3.6 psf Roof Live Load RLL 20.0 psf x 0.80 16.0 psf Live/Snow Load LL/SL 1,2 50.0 psf x 0.7 1 x 0.42 35.0 psf 21.0 psf ToLoad(Governing LC TL 48.3 psf 1 37.9 psf Notes: 1. ps = Cs{pt; Cs -root, Cs -pv per ASCE 7 LFgure 7-ZJ 2. pt = 0.7 (Ce) (CJ (IS) pg; C:e=U.91 C2=1.1, 15=1.0 Member Design Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.32 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis Pre -PV DemandPost-PV Demand I ' Net Impact Result Gravity Loading Check 843 psi I 664 psi 1 0.79 Pass [CALCULATION_OF DESiGN_WIND LOADS = MP1A-_,- - - Mounting Plane Information Roofing Material - _ -`� Comp Roof Table 6-3 PV_System Type _ _.- - _ A - -- - SolarCity SleekMount'"' Section 6.5.7 Basic Wind Speed _ Spanning Vents__ No Fig. 6-1 _ _ Standoff Attachment Hardware_ - �T Comp Mount Type C - - Roof Slope _ _ -_ 340 Fig. 6-11B/C/D 14A/B Rafter. Spacing h v Section 6.2 Framin Type Direction _- T_actual� Y -Y Rafters --y -- Purlin Spacing. _ _ _ _ . _ X -X Purlins Only_ Standoff Demand Ca aci DCR Tile Reveal Tile Roofs Only NA Tile Attachment System _ Tile RoofsOnly_ NA ` Standin seam/Trap spacing SM Seam Only I _ - _ _ NA Wind Design Criteria Wind Design Code KZ ASCE 7-05_ Table 6-3 Wind Design Method _. _ A - -- - _ _ - _?art "al Enclosed Method Section 6.5.7 Basic Wind Speed _ V 100 mph Fig. 6-1 Exposure Category_.— - _ _ I _ _ C - _ Section 6.5.6.3 Roof Style_ -- y _ - _ -- _ _ -_ _ Gable Roof Fig. 6-11B/C/D 14A/B Mean Roof Height h _ 35 ft - y Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 1.01 Table 6-3 Topographic Factor _ - _-- Krt_ 1.00 Section 6.5.7 Wind Directionality Factor _ - Kd 0.85 Table 6-4 Importance Factor _ I -_ - - 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V^2) (I) Equation 6-15 3.0 psf 22.1 psf _ __ _ _,--. - '_ 339 lbs_._ Wind DrPecura Ext. Pressure Coefficient U G -0.95 Fig. 6-118/C/D-14A/B Ext. Pressure Coefficient Down G w 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh (G ) Equation 6-22 Wind Pressure Up Num -21.0 psf Wind Pressure Down 19.3 psf ALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff Spacing__ Landscape 64" 39" - Max Allowable Cantilever____—_-- -_ ,Landscape___ _ _ _ _- _ _ - _ -_ `W_24" _ - __-NA Standoff configuration Landscape Staggered W -PV Max.Standoff Tributary. Areai _- Trib _ -_ 17 sf PV Assembly Dead Load_ W -PV 3.0 psf _ Net Wind,Uplift at Standoff, _ __ _ _,--. - '_ 339 lbs_._ _ -_ _- T_actual� Uplift Capacity of Standoff __ _ T -allow _ _ _ 500 lbs _ - - - Standoff Demand Ca aci DCR 67.7%0 X -Direction Y -Direction Max Allowable Standoff Spacing _ Max Allowable Cantile-ver Standoff Configuration PortraitM - _ - - 48"_ 18" 65" NA — Portrait Portrait Staggered Max. Standoff Tributary•Area PV Assembly Dead Load Net Wind.Uplift at Standoff Uplift Capacity of Standoff Standoff bema4&/&pacity Trib _22 sf 3.0 psf W -PV Tactual -422 lbs lbs T -allow DCR _ _500 84.4% STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1B Notes: 1. ps = cs-pr; (s -root, cs -pv per AbCt i Lrigure i -L) z. pr = U./ ((-e) ((;t) (is) py; Ue=U.y, (-t=i.i, Is= 1.0 Member Desi n Summa(per NDS Goveming Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.41 1 1.1 1.15 Member Anal sis Results Summary Goveming Analysis Pre -PV Demand I lPost-PVDemandlNet Im act I Result Gravity Loading Check 489 psi 1 1 387 psi 1 0.79 1 Pass Member Properties Summary mary MPIB Roof Pitch Horizontal Member Spans Overhang 1.32 ft Rafter Pro erties Actual W 1.50" Roof System Prope San 1 10.54 ft Actual D 9.25" Number of Spans (w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof Span 3 A 13.88 in A2 Re -Roof No San 4 S. 21.39 in A3 Plywood Sheathing Yes San 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 14.31 ft TL DefPn Limit 120 Vaulted Ceiling No PV 1 Start 4.00 It Wood Species SPF Ceiling Finish 1/2" Gypsum Board PV 1 End 10.67 ft Wood Grade #2 Rafter Sloe 340 PV 2 Start F0 875 psi Rafter Spacing 16" O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emig 510000 psi Notes: 1. ps = cs-pr; (s -root, cs -pv per AbCt i Lrigure i -L) z. pr = U./ ((-e) ((;t) (is) py; Ue=U.y, (-t=i.i, Is= 1.0 Member Desi n Summa(per NDS Goveming Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.41 1 1.1 1.15 Member Anal sis Results Summary Goveming Analysis Pre -PV Demand I lPost-PVDemandlNet Im act I Result Gravity Loading Check 489 psi 1 1 387 psi 1 0.79 1 Pass Member Loading mary Roof Pitch 8/12 Initial Pitch Adjust Non -PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.21 13.3 psf 13.3 psf PV Dead Load PV -DL 3.0 psf x 1.21 3.6 psf Roof Live Load RLL 20.0 psf x 0.80 16.0 psf Live/Snow Load LL/SL 1,2 50.0 psf x 0.7 x 0.42 35.0 psf 21.0 f Total Load(Governing LC TL 48.3 psf 37.9 psf Notes: 1. ps = cs-pr; (s -root, cs -pv per AbCt i Lrigure i -L) z. pr = U./ ((-e) ((;t) (is) py; Ue=U.y, (-t=i.i, Is= 1.0 Member Desi n Summa(per NDS Goveming Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 0.41 1 1.1 1.15 Member Anal sis Results Summary Goveming Analysis Pre -PV Demand I lPost-PVDemandlNet Im act I Result Gravity Loading Check 489 psi 1 1 387 psi 1 0.79 1 Pass ;CALCULATION OF'DESIGN WIND- OADS-±MP1B:-- Mountin Plane Information Roofing Material _ _ - - Roof Table 6-3 PV -System Type,._ - _ _ _--- _ _ _ _ _Comp J , - _ `�--SolarCity SleekMountT" - - Spanning Vents__ V - No Fig. 6-1 _ Standoff Attachment Hardware_ — -- _ - ' Comp Mount Type CY'- Section 6.5.b3 Roof Slope _ _ , _ _ - 340 Fig. 6-11B/C/D-14A/B Rafter Spacing _ h _ _ _ - 35 ft - - Section 6.2 Framing Type Direction Y -Y Rafters T -allow Purlin,Spacing _ _ _ . _X-X.Purlins Only NA _ DCR Tile Reveal Tile Roofs Only_ NA _ -_ - _ Tile Attachment System Tile Roofs Only _ NA .StandingSeam/Trap S acin SM Seam Onl NA Wind Design Criteria Wind Design Code_ KZ ASCE 7-_05_ Table 6-3 Wind Design Method . _ . _ _ _ _ _ T -Partially%Fully Enclosed-M_ethod- - - - - Basic Wind Speed _ - V - - - 100 mph ' ----C Fig. 6-1 Exposure Category- -- _ -_- _ — _- - - - _-_ _ _' Section 6.5.b3 Roof Style �� - — - _ _ , _ _ - _ _ __ _ ---Gable Roof - _ Fig. 6-11B/C/D-14A/B Mean Roof Height h _ _ _ - 35 ft - - Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 1.01 Table 6-3 Topographic Factor Ktt 1.00 Section 6.5.7 Wind Directionality Factor -- ICd - _ 0.85 Table 6-4 T Importance Factor I _ - 1.0 -_ _ Trib Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V^2) (I) Equation 6-15 3.0 psf 22.1 psf _ ._-_-Tactual-- Wind Droceurn Ext. Pressure Coefficient U G -0.95 Fig. 6-11B/C/D-14A/B Ext. Pressure Coefficient Down G(Down) 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh (GC) Equation 6-22 Wind Pressure U -21.0 psf Wind Pressure Down 19.3 psf rALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff. Spacing—� Landscape 39" Max Allowable- Cantilever- _---. _ - _Landscape -T _ _ _ _ _ _ _ _ _. _ _-_ _ _ 24" _ 22,sf_, 3.0 psf Standoff Configuration Landscape Staggered 422 lbs _ - _ _ 500 lbs - �! 84.4% - - Y Max Standoff-Tributary_Area _ _ _ -_ _ Trib - _ _- _ _ _- 17 sf_- DCR PV Assembly_Dead Load W_;_PV 3.0 psf -- Net Wind Uplift at Standoff, _ __. _ ._-_-Tactual-- _--- _ _ _ - _- - - . _ ---339 Ibsi__�___ Uplift Capacity of Standoff_ T -allow 500 lbs Ca67.7% Standoff bemand aci _ DCR _ _ ^- _ _ - ' 67.7%' -- X -Direction Y -Direction Max _Allowable Standoff_Spacing--^ Max Allowable_Cantilever Standoff Confi uration Portrait _ 48" _ -- _ _18" -- Staggered 65" NA - Portrait —Portrait Max Standoff Tributary. Area PV Assembly Dead Load t Wind Ne_Uplift at Standoff Uplift Capacity of Standoff _ _ Standoff Demand Ca aci Trib _ 22,sf_, 3.0 psf W -PV T actual 422 lbs _ - _ _ 500 lbs - �! 84.4% - - Y T -allow DCR DocuSign Envelope ID: 58E6AF52-5AC1-4A4B-9805-89BE114CC90A SolarCity I raa Customer Name and Address Tieu Ing 25 Empire Drive North Andover, MA 01845 $0 Installation Location Date 25 Empire Drive 11/21/2015 North Andover, MA 01845 Here are the key terms of your Power Purchase Agreement 12.00 20yrs System installation cost Electricity rate ger kWh Agreement Term Initial here 'tial here DS The SolarCity Promise , • We guarantee that if you sell your Home, the buyer will qualify to assume your Agreement.......................................................................... Initial her ___..... ... • We warrant all of our roofing work. DS • We restore your roof at the end of the Agreement. • We warrant, insure, maintain and repair the System . .................. ..................... ... ........................................................................................................................................... ..... ..................... ... Initial here. • We fix or pay for any damage we may cause to your property. • We provide 24/7 web -enabled monitoring at no additional cost. • The rate you pay us will never increase by more than 2.90% per year. • The pricing in this Agreement is valid for 30 days after 11/13/2015. � Your SolarCity Power Purchase Agreement Details Amount due at contract signing $0 Est. amount due at installation $0 Est. amount due at building inspection $0 Est. first year production 6,774 kWh Your Choices at the End of the Initial Term: • SolarCity will remove the System at no cost to you. • You can upgrade to a new System with the latest solar technology under a new contract. • You may purchase the System from SolarCity for its fair market value as specified in the Agreement. • You may renew this Agreement for up to ten (10) years in two (2) five (5) year increments. 3055 Clearview Way, San Mateo, CA 94402 1 888.765.2489 1 solarcity.com Power Purchase Agreement, version 9.1.0, November 11, 2015 SAPC/SEFA Compliant Contractors License MA HIC 168572/EL-1136MR Document generated on 11/13/2015 Copyright 2008-2015 SolarCity Corporation, All Rights Reserved Options for System Purchase: • At certain times, as specified in the Agreement, you may purchase the System. • These options apply during the 20 year term of our Agreement and not beyond that term. 1307314 DocuSign Envelope ID: 58E6AF52-5AC14A4l3-9605-89I3E114CC90A 23. NOTICE OF RIGHT TO CANCEL. YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1, THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 24. ADDITIONAL RIGHTS TO CANCEL. IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23, YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 11/13/2015. If you don't sign this PPA and return it to us on or prior to 30 days after 11/13/2015, SolarCity reserves the right to reject this PPA unless you agree to our then current pricing. I have read this Power Purchase Agreement and the Exhibits in their entirety and I acknowledge that I have received a complete copy of this Power Purchase Agreement. Customer's Name: Tieu Ing DoeuSigned by: Signature: Date: 11/21/2015 Customer's Name: Signature: Date: Power Purchase Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 11/13/2015 Power Purchase Agreement, version 9.1.0, November 11, 2015 130731.4 9 W.- The Coininonfaealth ofMassacliusetis Departntettt of IndristrialAerh1ents Office ofInvestfgadans IF I Congress Street, Smue 100 Boston, MA 02114-20J7 www Ynass.gov1dia Workers' Compensation Insurance Affidavit: Buiidelrs/ConfractersfElectticiansJPtumbers ApRlicant Intformlatinn Please Print Le ibt NaMe (Business/organizationlindividual): SolarCity Corp. Addyess: 3055 Clearview Way nnn Jnr nAnn t,;ltyfbtatefL.!p: 001 IVIQLGLI k_ M. z71+1+U4 Phone #:vuu-r v.J-L-rut Are you an employer? Check the appropriate box: - Type of project (required): 1. 21 am a employer with 5, 000 4• ❑ I ani a general contractor and 1 ❑Nett construction employes (full and/or part-time).* 2. ❑ 1 am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These subc-ontractors have g. Q Demolition working for me in any capacity, employees and have workers' 9. E] Building addition [Noworkes' comp, insurance required:.] camp'itsurattae.i 5. ❑ We are a corporatian and its 10.❑ Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officors have exercised their 1 i,E] Plumbing repairs or additions mysoli. [Ivo worXers' . cam p i°igh to exealption par MAA 12.❑ Roof repairs insurance required,) t c. 152, § 1(4), and ►we have no 130 outer Solar/PV employees. [No workers' comp, insurance required.] 'Any applicant that checks box N I mast 21so Tilt out the section below showing their +vorkcrs' coatpcnsatian policy infoimation. t Homeowners who submit this affidavit indicating they are doing all vmrk and then hire outs'Idc cantractars nisi submit a new affidavit indicating such. :Contracwrs that check this box must attached an additional sheet showing the name of the sub•contrauorx and stotc whelllar or not those entities have employees. If the sub•eontraetors have employees, they must provide their workers' comp policy number. 1 am an employer that is prov&ing workers' compensation. insurance for my employees. Belaw is the policy and job site information. Insurance Company Name: Zurich American Insurance Company Policy # or Setr-ins. Lic. -9: WC0182015-00 Expiration Date; 9/1 /2016 Job Site Address: DS Em e 1 Y4 5-r '�-A,+- a city/State/Gip: /V0Y & Q '✓C4, - Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Fail lr w to secure coverage as rcquired ander Section 2SA of N1GL c. I52 can lead to the imposition of criminal penalties of a fine up to 51,500.00 andior one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 -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 inswaricc coverage verification. I da hereby eMT Y-UNdq the pains and penalties ofperjury shot the information provided above is true and correct Phnne Official use only, leo not write in this area, to U camfpleted by City or toter offie . City or Town: Permit/Liecnse Issuing Authority (circle one): 1. Board of lIcallh 2. Building Mpartment 3. City/Town Clerk 4. Electrical inspector 5. Plumbing Inspector b. Other Contact Person Phone #: o0 CERTIFICATE OF LIABILITY INSURANCE DAT£{MM/°DIKYYn CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 08/17/2015 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poticy(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 MARSH RISK& INSURANCE SERVICES NAM£.._....._ ..............._.......................... Paz....... .... ................-.._... 345 CALIFORNIA STREET, SUITE 1300 {AtC. Hi:<Eat} _....... _ ........................ ............141q.1191; ............_...... CALIFORNIA LICENSE NO. 0437153 E-MAIL SANFRANCISCO, CA 94104 _A_D.AKESS:. . .... .............. ......... .. ............... ___-...- ..... _ .....__ ....... �....._............. Attn: Shannon Smfl415-743.8334 INSURERIS) AFFORDING COVERAGE, + NAIC # 996301-STND-GAWUE-15.16 INSURER A; Zurich American Insurance Company 16535 INSURED INSURER B : NIA N/A SolarCity Corporation _ +.. ......... .... 3055 Clearview WayINSURER C_:.NIA WIA _.. _. ....... ........ .. ..... ....... ..........._.. _._......_..... +....... ..... ...... San Mateo, CA 94402 INsuRrRo : American Zurich Insurance Company :40142 GEN'LAGGREGA7E LIMIT APPLIES PER I I GENERAL AGGREGATE `S INSURER E: r..... , _...� INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -00271383&08 REVISION NUMBER:4 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, EXCLUSIONSANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ACCORDANCE WITH THE POLICY PROVISIONS. INSR .. ...... ........................_TA°OLTSUBRT.... ._....,........_.- .. _...... _....._.... ... r i'OLiCY EFF POLICY EXP ... ._.._ ................... ............ ................ ..... .` LTR TYPE OF INSURANCE POLICY NUMBER MM/DDfYYYY MMIDDIYYYY LIMITS A X COMMERCIALGENERAL LIABILITY 1131.00182016-00 0910112015 '0910112016 EACHOCCURRENCES 3,000,000 -� - X ] DAMAGE TO RENTED _...... ....................__... _..-- CLAIMS -MADE OCCUR PREMISES (Ea occu rencej . $ . 3.000,000_ X SIR: $250,000 MED EXP (Any one person} 5 5,000 ................. ...... 4 . i ........................._ .... _.._..................... PERSONAL & ADV INJURY S ...... -._ ....... 3,000,000 .. . _. GEN'LAGGREGA7E LIMIT APPLIES PER I I GENERAL AGGREGATE `S 6,000,000 r..... , _...� i F .. ... .. ......... .. ... _.. ........... .. ... X POLICY r JEQ C...1 LOC "PRODUCTS • COMPIOP AGG " S ..._..._................ ..._..._...... ...... 6,000,000 ..... ... .. OTHER S A AUTOMOBILE LIABILITY 'BAP0182917.00 10910112015 'o91011201fi COMBINED SINGLE LIMIT $ 6.000,OOD X ANY AUTO .; " BODILY INJURY (Per person) 3 i ALL OWNED ;... SCHEDULED X ,BODILYlNJURY i ..... .. (Per accdent); $ ......... ........ _ a. AUTOS tX AUTOS �................... . X X NON -OWNED PROPERTI' DAMAGE $ HIRED AUTOS r....,1— f.._ AUTOS '. �. FfPeraccident}. ..... .... .. ........................... -- COMPICOLL DED: + $ 35,000 ;UMBRELLA LIAB OCCUR " I ' EACH OCCURRENCE " $ .... F...... .j i.. .. EXCESS LIAB CLAIMS MADE I.... ....... r.... .I............1..... ..... r . ...... ........_................ ........ .....+.... ..... .. AGGREGATE $ r ......... ... ....... .. .. i..... ....... .. _... ... ........_.._. DED RETENTIONS i S D WORKERS COMPENSATION WC0182014-00 (AOS) :0910112015 0910112016 X :: PER OTH- ' AND EMPLDYERS' LIABILITY - A Y / N j :WC0182015.00 MA 09101/2015 ;0910112016 Z ANY PROPR€ETOR/PARTNERIEY.ECUTIVE , ? STATUTh. ;.... _ ER .... L .. .. E.L EACH ACCIDENT 3 ..... .. ..... ....... 1.900,000 OFFICER/MEMWEREXCLUDED� IMandatory in NH)WC DEDUCTIBLE: $500,000 I I E.L DISEASE - EA EMPLOYEF4 S ......_ ._..._......... .. .. ..... .. 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT 1 5 1,000,000 i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be akached If more space Is required) Evidence ofinsuiance. C'�RTI K'ICA'TF WAI rlr=ra CANCFI I AT10N Solarcity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 CieaMew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo, CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services CharlesMarniolejor p 1988-2014 AGORD GOKPOKATION. All rlgnts reserVea. ACORD 25 (2014141) The ACORD name and logo are registered marks of ACORD _.f Office of Consumer Affairs and Business Regulation 14 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration SOLAR CITY CORPORATION ASTRID BLANCO 3055 CLEARVIEW WAY SAN MATEO, CA 94402 SCA 1 is 20M-05151 �/.✓IC jf!r�1P �Jtf+J1 (fN:lf/f9� C� I�LfY3,r'CfffTltif;��': ffice bf Consumer Affairs & Business Regulation ,CME IMPRQVEMI NT CONTRACTOR Registration: 168572 Types: '�'' Expiration: 3/8/2017 Supplement Card SOLAR CITY CORPORATION ASTRID BLANCO 24 ST MARTIN STREET BLD ZUNI "WLBOROUGH, MA 01752 Undersecretary Registration: 168572 Type: Supplement Card Expiration: 3/8/2017 Update Address and return card. Mark reason for change. AddressF Renewal %li Employment i Lost Card License or registration valid for individul use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not valid without signature Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration SOLAR CITY CORPORATION DAN FONZI 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH, MA 01752 - Office of Consumer Affairs & Business Regulation -140ME IMPROVEMENT CONTRACTOR Registration: 168572 Type: Expiration: 3/812017 Supplement Cerd SOLAR CITY CORPORATION DAN FOND 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Undersecretary Registration: 168572 Type: Supplement Card Expiration: 3/8/2017 Update Address and return card. Mark reason for change. Address � Re?ewal ❑ Employment Lost Card License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not valid without signature cs-ID1687 DA1NHLDF0NZj--' 15 KELLEY RD WWWNGTON MA 01"7, 0911312016 w f 'e C C 'O 3avm m��g! O N X W M LUw ¢_E w J U O O o W Q J W L N Q� U Z uj Crd�lL W Q � o « • � � LLJ U) C) V) LO N m ¢ p c N L z NM�CC) u=,3 > a y >> > > > da.dddU LU > x « ,� • y H ot O� 1 4 ^ +r a )< w w > w o� _ z iw� LLJ W ,z�� O r �" z i z O s Ln H o Q H Wrrj n cn o 0 LLQ z o O Q N W I CD w Z Z m m ZO b� (� w� N o F- J �_ O Lo If o ca =o in 3Z zNZ �¢U1 w LU Z (nv Jp W � zzF- t�nz� oz cn LLJLLJ w z o tn� a J oww w o F-ULI M�� mw� c~i�� W w oU D wNL'-F CLO �- z—p�J ODN OSO Op W UZ z �ZCL w~� SO(.D F-LLJ mZC)(n C7~U F- Jw �— mU ~wZ UmO_0_ cn0JN 5N W m OD O W QIm O HZ<wO� C) m JNU OOQU �C)x moOw Q� Z F-- U< ZZmC�J NZ p O NL`'I L'i¢ ¢dm JQ(/') J wUNU~ U o�ZOQo_Qoo���Q>,���� Wmo < —� oZW i--1 cDz¢�N�M5 MM WNCDV) N Jz (n 0- Vi �M LLJ Jz N02 I '--I c'OfC,>COZU LO Z¢Y- W C� w m�J W 1 J¢ Z of p MLLI N p = Q S of U3 Ln <Oto d W O m U J M ��vi.I � Q= J w a' Q U O of= w m N W L� Q S � z ~ h- Z Q o0 (/')?i NZCn Q W W zQr(n QOQclf � UwJ (n U� W W 0:: –F— O N W 1>11 O ppm�m<>-U) Z Z� J W pW W pN JHS M J NwN<0:: Ja2O°o� ���W ~�ac�oo� --j (� 3 wZN a z W N o= Z O Z 2 (n ¢ QElf U O w_ a z O L.'..I (U 0= 0 � J CE S O o N F- Q rw Q (n Z w W U J O Z Z Q W _N N LQi ¢ w¢ N Q N Qo p I m Q Cn N J Q M U O J J J Z Z w N S J Qo w ¢ m2 0 �z to wJ J¢¢oo Li SQ � V a �S(Vr)--jL) QSu')Mac6 UI-mL'J oa0LiSOi=>m M 0C M 00 _ O U O m U U Q W MIIS __j N W _N N LLJ O Z c ¢ i MOf uj z O 0 c�a�F- Q L _ (n N 7= F E O LJ (.D D Z Q_ Ll U COJ Q N ON O Z O Z N W N 0' N ti 3e Fn O M a aF- C7 W OW w Z U Z W U z LO CO Cl Z N p N O 4J Of W OU ?i = c0 M CE � D J p Z � j J Z 0 CDU _� W � O Z J ¢ m ¢ O U Z F- N x c o d F W W �� U -j Qv� L) Jz w xw zED w W wxsW�"F U W O V W (.D m F- � CD J Z U w (n m m p Z �� U w :2 W -',w. U w U Q S Z w Q J U O ���a a z M z � Jm Ur D QUQ JZ< Cn Z WE3NWU"'' _ W Q(�f"U W CD L� CLI-~U�� W JNF-F-W OJ(n� wwCtF Z C c ?oUW fV/f ao Cq a W ODUO_ � r N Q Z Z m LIJ CL W W F- F- W W OO C�JOQ W QQ Co m O Q 0 z �� vWi�3 CL :Zwm NW W JOO F-��OpOQ� �imF-UOZOSZZ�Z~F-F-F~-Q c Q Q� J J J M Z = o ¢QmL)CnL.'..I� W W L�¢U' CCD(DSODUI=YYe -j OddMV)(nv~F-=>>- O>�zw Z F=11 �Wz H O C) M-jC�OC� a ¢ �Z.-.S(n S v0 (n O U o 2 FJ- maws - In C)Jo(iU L,� cn¢wzo >3m zwF-CiJO>C� F-ro_ E o � o o'm. Q¢mU0 W `.W Li CD CDC'S_ N�YJ�—ZZOO_LLD_(n(n(nF-S»>�iM ¢ m C�Umz o NLU tP MNry O- J J Q J J V N� U7 W W J N D Z rnr 22 W m m W cp F- m p ¢ ¢ W ��O ¢ o x W J w V) 3 m. A }rvN c� p z z m ¢ W OW ¢ o oSo�, QQ z W z z -� z �0 N � Ln O 6a P- < of cu a 3 3 z w N x~ w F— ■f /w' � W 01 c> c/7 m W ¢ Z W Z 7 Z Y Q C w W J $i � m 3 F- LLJZ 3 O W N r n Z m F- \ m:z CD � �O ? U 0 0 Z CL / l" N W �O Z Z W W Co O�UD SII /�/ W Z Z p uj 00 N V W Z 0 0 U W WZ-1 m CD f•-- F- W W C.) =) J >� o a a o azz�`'Q �' W F- U U U O W F -00¢W WNF => zo23 p ¢ In J C� N L)L)U Z V) \ ¢ ¢ m w H < N O VJ � oc CL M: Ool" O� t ` o N N 9 �; o � a U Q IS @�!duanl IS aaidw3 w o> z LLJ � J Q Y W _ > Z N ~ Q c LLJ O LL lczt- 00 m O a w (/) O I� L.LJ Z o _ q� Q N U W C)_ M -- -~wF zLn NO [i Q a o CD °r -0'r; C'4 OW o O p O N N N O cO Ln co O u'1 O N o >. ¢ O M Fr,4 ~ o Of r rn =C'i 00 PO o � N cLLJ C Q O O Z 0 M �' W cp CL N yS W FE `J` —o §EU gZO ul 0 z Tt$ _j Wcr. ==SUS up-- KFW d� Y X C7 0 S u {�,� Z Q CC 0 ���. 8W��' � mz a6F-vSia A k �, Y J00 Y 3 J O N t Q Z F- F-W QW O m J V) = O O N W= O 5a^�^ O N mQ (7N Z O d'QJ Z LLJ J m C� Z� , /' mow t3 F- W Z O F- Q v ' . Q NQS O= F- U JZ �Si J Q W �' Q J J W Ii N Q = Z W W J J Q J J ~' O J O N W Q W J O I� / Z QQ W J Z (nom Jm LU LU U U N O Z N z_ �n 0 \ o Z N c J ri CD W W Q U p II N Q2y _ N F- W LL L O Lf)m O p N z W-I- M V/ H N i W p�.. .. j o T� 0 0 F N mF—I ,^ o L^ v / I..I..I U > Ln Lu W Q J > Q IZ v, W U� F- F- U U W C to W �' (� � p OLLJ J CD N =O N Z Z Z v J N� Y U F- J:: CD r o N N o zJ�o � F Z� Z a aQ W UN d W w W a p L m Z m Z N Jo w a o o ¢aQW M W J d W U O J W CV r W d N N \_ CO W U w CD W = I N � LO N u 00 O Q x 1- > 't N Ln O I- ^ L� Z O W � � Q N �i W 0 o ~ W F- LX LUOf 3 � O 2y zNzLU z T^� 00 N Q O � m N O 0 I N � O I m N Q � v 00 W Q a� W M p V) W N C Q W �� O Z 0 ! Hm W WE o 0 C14 p�p5r C) VS S 4v .� i u in M ^ Z N� -C J 2w= LLJ cl w tL cc �>�C � V W FZ cn Ise- m O W N �aOHU ,yy6�w V / _=ZG �xV W di� 1 - F m N WS1N Cl)Wd �+y I = � W p w 0 Fc�-zF��WO = w 0 O F- C, WJW O ZO ZQ � � 2 Z N Q--m U U m � 1 T N W p W O Z � M M � W t J � � O- � as � QUZ U N U I IV N W � Q � � Z � N Q M M � w VU � � as � Z U U o 0 �Q N N N N CJ Q Q �Zr LL �- Cn � } W W W J - - w ZN 00 ~ N � U U O x V O O V x O a � � O U � � x N N m W � X N N LU g a � V N W � Q � � Z � N Q M M � w VU � � as � Z U U o 0 } N N N N CJ Q Q �Zr LL �- Cn � } W w ~ N � V O V x O U O � X N N LU Q a � z n g a � cv 00 O Q W M r N p I � L.Li Q O wa LD CD ,n O c�D ZnIZ 00 O O o Cl - C) f� N Q rO00 t- U WM �� O N o Q Z y �2 E �c � iv 8` z 2 W ci �S = O FW ZW=��Cj 'R G x U W Z}} i71- WZ��ir 1Q� �m (.> ��O rZZU W Z W O ON W W OrC W?� m 6WZ �oojOFQQWW�o ZW aONJUij V ULCZ d T N ■W V�4% 2 G p 6 CO� V - t N o�m c= O � tt �� Ail, N ~ O N N \ z O \ � N H= Q o 0 C 3 Q U � ~ > z oC.D � CYoU O V �- J Qt LL U Q o Q J Q Q a LI Q cJ ) Z J W W > Q N 0LLJ U LL- - C -4 N z Lri z 00 O Q W M r N p I � L.Li Q O wa LD CD ,n O c�D ZnIZ 00 O O o Cl - C) f� N Q rO00 t- U WM �� O N o Q Z y �2 E �c � iv 8` z 2 W ci �S = O FW ZW=��Cj 'R G x U W Z}} i71- WZ��ir 1Q� �m (.> ��O rZZU W Z W O ON W W OrC W?� m 6WZ �oojOFQQWW�o ZW aONJUij V ULCZ d J F 1 I cl U J O I z= U U Q Q r N Q O H -- o •u LLJ W n i I o _j LLJ Q Lo II (nen I C14 w c"sp �n Lu U� 'Z x1 ' Ow0 UU rn N J W J '"'� I Z O >> O w O_ I O F= I W O Lo,`, fO 2m`o� a J II II 1 1LLJ X LLJ CD c, > > .I N yp a. Z p 00 0 o w1 a y O d t� 'y = c Z ELI cyi W o LO N I an o U p n o a N \ I N xS rnujco to r 1R w m 'a -oo .. p v o Li lil �y I O p lal �t CLH O O o Y. >S1. •�. y U `> W z z v. Ln U m m I ao a r; O I w N Ln m vI z = 0 1008: o c� LU �U � Q I I > U aUJ O oa o O M I I Z J [G ro NI I N Z X I Hp O I > N O -o ui ' N o Q I Q m I Z� N E I M O I ^O ZQ I I Q O W 1 < z Q W p Z Q o o I o J 2i m IC I Lu W LLJ Y w W r14m 'o ,--I i� N a CD N = = c QN � z Z ^ wQ >In 4C: O Q 00 Z� r N U M N I N W a��i M I Q V7 N� w N O N 3 w z No w r w10 O r O�I O Lid W u)r, N a 00 z I go I U Q u o �� WN Q In b 1 II r. nLu � a0 W c I 1 ,��. UI� W I`7 � � J> I Y /—/� V O N = cr o C o I LLJ Z O _ I < `III V . =) Ckf Q N I � w � 1� I > _ ~ w o F- (j. C):� 0 a to C) NZ � Z W. I U (n a> D ' o!5! on m w W O I 41A to N [V. O ZN Z J => U I W Cp W C cr 6 cr SIG 'Sk W � SSSG SCG Z W > U = im I I Q N O" co o w 0 z N NQ�.. a"i a Cl co 0 O U °' S CO N � W o 1) LA I ZD cai�NN �o ¢ i t `� a rn Z '-tv U I °D d old,a, w Z a: a� -----� r ----t--------- III _I JO N V)N Q > > E c p ZZ I I M I L_ 1I -- - - - - -- w < :W C = 0 Q LU ErIUI �IIII m D z a� W I �K I ONJ ___� m ?� �V s�=� Ip;J O� z O U Jw w Z m QK 0 w N IMN 11 Q Wm W z N Z (n V (Y d ~ N U d ��,I OW SU NZ OK Z a2�U3�aF5Uw n �1��i.jCwN� IY �_ �C, N� \ 1— NNN tVQ QNNZWZ�1- U �2 0 O Z Q�� Q VQN oo _ cl 1(1-���U Z M�� U (nY�x �m2S0 C�j�X3� UF— W� Q Q O W O W N Fd4'HK O C..i' J oow 0 �^ OOv 4,I W CNV x N��m � p\ 8m Gln 412 W D 2 ZW 04 C14 NIN�O v I o „-}",o Q Q u� �I W W O O N Z ZROAM O N U W N a W Q - Q m 0 j O ri H Z= K yU W C U U m 2 � N d o- . cu . . , ■. . • . . . • .■ >• .. LO W ■ • • • • �; �w naiO�Qn _ Up�QW OU Z U w r►/ = p LL U�J�m 00 O w W=a r CD .. .. .. co : : • • ■ 0-00)•• ' • ■ . • •• ' . . 1) w cu' ■ Q wz w a > w Y Q W n�¢N w U=OinOwU � � r1� =�JZCr-J3 ZOU} aZa� Z �� U�Z�rW�Y2' O >-Y 7 L. U cn�O�d JU wQviZOZNQ� Ow �� �O pZ0 Qnpo � pr LL rZ >o Q U�cna�� CoQ-w0(��dQO c9 Q 0 Q wpUz00 �rQo= Or zaz=w~wQ> �z �z UQwr r� U � z 0= ❑~ wOZ�z Jp�p- pz�Q�=woWZQ� � Q2wF-mdw Q � �, W Q�� OU - Wn�O � rmQ Q a O •• • • • • • m M CU CU CU LO cu cu CU LO • • • s ' ' • • • —CL Z ■ W U J z WE W� Fw-i Uc U���Q OrpOoa Qw�� J z QZ QU' Jt"Q Oa�Q �j � o � dZ a cnC7 Uw � cnLL LL J�O�a �� �O � �� �J �O �zgoz r >-a c� • o O� •• i O () Q ® N V 0 N 7j• v E P O O W N }� 01 NC L N C th O 0 CCk L E V/ U N� M C Q I 0 clN N O OJ t t C W Vl a) 1 7 O N N U O E gm a rn Y 0 m o 0C N ui z,� co o U �d y S U co L CL OJ J a) N Q N a7 n' Q' Q I 0 clN R6 J mowoO CLO N N `o TD C w m y U m eyE nag c ui m^'m H n N m c " � m n c N Q o3v c � � � o c gnm yma c t Q o my c 3t5 m m a 0 a t N � m N m o m � V1 m cV N D G N N m 0 d C � o � a $ c ng� a o m n � O i m CoA m 4 n aa� N N v n $ o C m no y � n m o N nw `o c m y D E 'n m m v m m y m U C � C �• m o m aci v F > m m �Qn ono _w n d v O O OJ t t Vl a) � n 7 O N N U O E p• o0 a rn cn v 0C N (DC co o U N J O S U co C N a N N C O @ a) N N a7 n' Q' y C n M N C On CU N r M N 3 O N N � 3 v p 0 Oc a) 3m0� �ipa co o o O co E N `@ n N m N p-0 0 N r 2i T C N a) ` C N O > J O O N_ _y m D O 0 a7 ^W ON -D J •- C C l6 O� mQ J O a LO N C a) D�.p. N .N O O n O Co N J CON al N T c m` @~ O C U9 Za C' `° N o a) E >i v N U U y cc'- V 0 h 7 7 v U .p _ U a3 M-- wa aV Oa YO 0 N_ O CL.. 00 N 0 U) n 0 0. Q 010 O yJ C o U o N U a c r o c rn N d 0 N '0 C E CL o y N O m 0 0 M= p•r c -S n o .. c` - o. o o N m d 01 of O L U S a� N 2 O)-0 O C E a S L Ei . ° E 5 E E a� c GE g )ECL O rn cnptocnc3 > p 2 d c Qn_ � Q N m R 0 aNi y ani m m c ani a O; N �i N N W N Q 'C := V . . . 0. CL R6 J mowoO CLO N N `o TD C w m y U m eyE nag c ui m^'m H n N m c " � m n c N Q o3v c � � � o c gnm yma c t Q o my c 3t5 m m a 0 a t N � m N m o m � V1 m cV N D G N N m 0 d C � o � a $ c ng� a o m n � O i m CoA m 4 n aa� N N v n $ o C m no y � n m o N nw `o c m y D E 'n m m v m m y m U C � C �• m o m aci v F > m m �Qn ono _w n d v O ozo 00 a �* �a � O CD 0 0 a M W a 0O � p o y CL !■ a 1 cu O N 6 8q 6 y� V m r n n i 10� Z . O c v f J 00 r Lli O 95 N W � I \ �J O E F LU p N •° f7 O N O CO 1`7 P P • I y �2 CI M N •° < � ri Cs CD fn o O N O h v w ° c_ o5 U a=) E U (� "o�E.cor,o c E o y `n 'La) E N m f0 M N a v O 08 .5 Q C cQ N V O Ln T o -. 0) O 99 ��3'C �avGO.p �s qa QC� E w N O 12 a `c ° � Cm N N P N N W W M W N - O ¢ V u O 0 d Q`0a��ao°o'-`oaa.o�on-o GD n N V H p fh ri J W i Z fn vU ° wE 0=3 � � Lai 0 air, F O �.Iz= �� m; O09 75 LU N 0 LU h U r aN z 4 r , o : �c6 or a " O ~ a > Z F I R E se N Oa >- 2)0. F Q 3 a ) 4 'T e _ U a _ 1 v m v> u° O Z 3 m> ® a C O O O 01_ m C c o E= a � O O � m 0 c O ° m j 3 > U m o C) m m 3 > U O i U i a O j E J V E c V 5 av J E J O E E V c U w ° w a 3 O a i Oa ° f O N O - °u Na w O f O O E� a ° O 180 150 990 I al a) e c 5S5 CL C • I 059L 00 N L 3 L a a 0 0 4 c U O E a� m y m CD ° U 3 3 m° LL m U O I : E 'E (V)Wamo 9 V-0IOCIMBnV N3 WSl u m Z a 0 r V�'os 61 El U y of 00 ao FD Z .0 jD wD OV C 0 o W CL C 7 y �2 E N F � D Cs CD a W N o5 U a=) E U (� "o�E.cor,o c E o y `n 'La) E uEc: c: n a v >. >"2 =a° .5 Q C cQ D O Ln T o -. 0) O 99 ��3'C �avGO.p �s qa QC� E o 12 a `c ° � Cm 01 E M- 01= e c N W 02 O 0 d Q`0a��ao°o'-`oaa.o�on-o C c •� J W i Z fn b 0=3 � � Lai 0 air, F O �.Iz= �� O O09 75 LU N 0 LU h U r aN z 4 r , o : �c6 _ a " O ~ uic a O 0 R 3 N Oa I : E 'E (V)Wamo 9 V-0IOCIMBnV N3 WSl u m Z a 0 r V�'os 61 El U y of 00 ao FD Z .0 jD wD OV C 0 o ! f€ E C CL C 7 y �2 E N F � D Cs CD a W N o5 U a=) E U (� "o�E.cor,o c E o y `n 'La) E uEc: Z o a v >. >"2 =a° .5 Q C cQ M 0 3 o° o°0 cn a)i 0% C -O O > ° `� o 3 E - Ln T o -. 0) O 99 ��3'C �avGO.p �s qa QC� E �� -0 a `c ° � Cm 01 C 01= e c N W 02 O 0 d Q`0a��ao°o'-`oaa.o�on-o L~� �vEi Z 0=3 a o air, 4 a O N 0 02 U- 3 Q : �c6 03 ad W a a -MCL m V)'3 a O 0 o°° w _ a. a_ 09 O O < 0 >- 2)0. i C O O 0N. W rA c9 =• U v• Z a a � 3 o p 3 0 CL C aai c ti y �2 Y G N F � D Cs CD a W y° ao6a3°ao� U (� "o�E.cor,o c E o y `n 'La) E a } Y aoa� iaw,od peeluoiono W ~ c Z o i) VO Z p O CJ p E U .a aa'V O .^ 9 V L Q D> L O C- >O GJ =) > W y° ao6a3°ao� U (� "o�E.cor,o c E o y `n 'La) E O W a. a Ey O a 0.- M 0 3 o° o°0 cn a)i 0% C -O O > ° `� 6 Ln T -. 0) O 99 ��3'C �avGO.p �s qa QC� E �� x _ W J x N c o a g 0" a °, e� a� O) w C Cm � < di a O 9 C 7 N �c C O O c p o'U N� N'O O;= 0 0'° O'� c 3 G O 0 d Q`0a��ao°o'-`oaa.o�on-o t �vEi 780 150 � d SIOZ 4»0W N3 WSl 0 E C E to O O U c 6 u 0 Q�3 W E > a ° O C, 8 N N c Q aE N � o6 M P � a c7E- N 0 O z E U N d aLL c O W,c LL o W U1� t Z'a°� i ac y o L �= U T � S C o N Jm o E 01 'R O d� a IW> I i O i>a E O a3 CC 3 V V V (V a o U d p c O C 3 0 � •�� N •� a fl U = a 7 '� 0_ `e a O moo Q a U v eNn in O O -OU y L C U d O N O P ri d > 0 O a0 n! L C O T o Q d O V O aci c O y 3; O O N M W M ? O P W N d h M h o 0 oc Oz nm d y U 0 N L V V °. 0 v z n a a Q O J J O O O a Q a d Q y d 75 w W c a 0 a Z° F 4) a d 3 o N a cQ y u' Mo O��Uc a-�: �� 3;0-6o °No5co 1 N V a Z i W w P V r�/� W X ) �c a x�Qouyonaca a��.5 Q -./ 3 �O c ° NO E �O 3 N ° O a��6 o n '6 a D > N W. - D P L J > U ^Z N c = O N 6 a m N E L < u 12o N o _ C 0 d U V c p d ? d O d N th W t7 W N G M N ro;V a E O G o 'o E E '5 Y, 00 o r c N P t o .° > E DRs aU CL r mU I `C a M g'2 u o O Z 3 ? < E O m < 47, N CO O N > ; Q a > U O F Q 0 33 0 4 JaJ 0 0 5 V c o d ¢ o m 3 >a U U cE 00 soE a ` w U QW 2 O UZ O 05 NE N w` UC > V dEcVE L N moo d nioa da u LLO y U U =Nn:v c 3 C7 - U LL0 I ON z 780 150 �yhuu,n� �i Ws N0 �'3u � d SIOZ 4»0W N3 WSl 0 E C E to O U c 6 u 0 Q�3 W E > a ° O C, 8 N N c Q aE z J m 6 C 4 a a c7E- O z E U O d aLL c O W,c LL o a U1� t Z'a°� i ac y o L �= U T � S C o O Jm o E 01 'R O d� a IW> I i O i>a E O a3 CC 3 V V V (V a o U p c O C 3 0 � •�� •� a fl U = a 7 '� 0_ `e a O moo Q a U v eNn in O O M>�Lu os o_ d O cv � Zlc U `0 a v T O O a N d > 0 O O L C O T o Q d O V d m U c aci c y 3; O c N O ? a c cO 0 w O 0 0 O 3 0 o d O U o 0 oc Oz nm d y U 0 u o °. 0 v z n a a Q O J J O O O a Q a m Q y d 75 w W c a 0 a Z° F 4) a d 3 o N a a -D D i i u' Mo O��Uc a-�: �� 3;0-6o °No5co 1 N V a Z O N W �yhuu,n� �i Ws N0 �'3u O 0 U y � m O H K O a �L zC r 9 7 N wD ou i'. O o L u L OF O JOE, C� W 16 F o ^^ r a r� H N C� 0 a d o .20 1 6 b , Q 4ri,x A� Y Be a o 7-0d Pe01-1-0 � C _ W d p 0 E C E to O ; 6 0 0� O Z c 6 u 0 Q�3 E > a ° c Q aE CL a a c7E- O U O d aLL c O W,c o a U1� t Z'a°� L �= U T � S C o O d� a IW> I L O O a3 CC 3 p c O C 3 0 � •�� •� a U = a 7 '� 0_ a O moo Q a in O O M>�Lu os o_ d O cv � Zlc b W WO J U C O a W U W p C 4. O 0-5 E O .p t' O r u 1 3;= c W C7 Z O Q�-� c.c „o 2 „ C O O p- 0 0 U O C.. a C ti 0, C O E JW Z F- Z .■^w a W V O �- ui W O O U 0. OS ` C O E EQ j N:: -0 �C3 L v' 3 O ►- W u. 3 O C O O O U a, O Q eg--��c�y COQ v e i 5 c �`O a IEI.1O EL N~ u' Mo O��Uc a-�: �� 3;0-6o °No5co 1 N V a Z O N W O_ +; £ O' c 3 O o 6 O 3 m U bavaap co„�T,E V r�/� W X ) �c a x�Qouyonaca a��.5 Q -./ 3 �O a NO 000OOVN3NC=L-OnN COQ �O 3 N ° O a��6 O 0 U y � m O H K O a �L zC r 9 7 N wD ou i'. O o L u L OF O JOE, C� W 16 F o ^^ r a r� H N C� 0 a d o .20 1 6 b , Q 4ri,x A� Y Be a o 7-0d Pe01-1-0 \ E:\ N { co Q N rv'�- N: :O Q' p �0: N; L � O C)•aU Ua Ca} � ; , ; .N M� :N � ��N n; _ i \:E :T LL V: •1--1 O O O:O upf: :�aJ Cal :Cal �: .C1a N: u � M:\ OO Z o W 01 p. 0 p: u1. C o. ~ : • m T: • � m: I ' m W ; ° : cj: - a 2 Z toLU - N :E'G a°O L=Q n n ro m: ice: 'Zoe:°¢ �— O Z:O : . : a: `OOQm : W :m: 0p O. 0, v°i �•�. ' u. O' x : a: ; Z. Q N u• ai @J_ Q C:5 H :> >: N.> >: :> y �o O O n.> >• m.w o: ao o /�/ �o:m �07 O Q C4 N .Lg= � /L ° \a x + m : o : N: m Ery Q Qi u O cm CD CD Lo 0 M y�� W �: ✓4 a Y ' C I p M: N 0: m: n: n c y 3 x ® H V - c ® tp ip0 tO C"W S,fZ :. j c: �: e W g ® o o ;�: v c°0 c: c: :n�fl c:-: u u3:� 0 9#2z 7 : Z z O: u. O: d: y. W O. N. O Z ::0: ¢: O 'y �: hMZg ow Jo. : id Vi• id O: ?G:: O5 —'o^e d3�'O: :m';' =I� QO: °°:t: `mW o. _o N 'uN:; yin •:�N •'Z;^ :: :' '!L�- ^ �E m•cS'~a ti O >:>. : r:E: o:'3: O c. I z ";L- . :.L- :L '..°-l: L° c ,• o v ,°',I:..o: o:B''� a. m: .o...:_.v: :;� E: 3u .o. O d 3 j N: > N: >: O O. O V. .>: O.: V N: N:-: C• d O Q O. V•12: O :'V: O: C 3 VI: .6 T• u ° �: .�tL+•c O: y:,,. c. °: �: C. t:a 2lvl7aK kQ ...:°w:� :�: :O O F ¢ a �t o: °t c °'.: ° E: E; �: -: : 5: a. LL: E, m . v O v: ° : c: '" cm o. . 3: o: > - u¢N.ao. Q. o.L:� 5. a'u' �'O"'N: �. y:E 'La ��c:�� 0. �,: m .y. :Zm�`o �- o. c: o: c : c: . v: r Y" �: to D o' o ' a Q rv: v: u :�: E: N.-. c. E: 3 °� c"a 2 L: u'''^ ia- `•v Lm. c '? m �r rE x : O ' ' O : LL: x : p. _ a x: . E: x : L O a o:._ l7: >i:._: p c c• o a N ={ M. . o. W . m O a.'. Q �.9. N E x. o u oo. u :u: "a = �. o: °. E Z u:u 3:._ o : o:- �`az.v O z i Q. a N a• i r:i:z• i :g:�. j;�: u 'z Q ui l7•w _ a o a:0 3 u z•i a a• a s 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shalI_be limited as to the time of ongoing construction activity, and may be.deemed.by.the.Inspector_ofWires abandoned.and_invalid.if-he—_. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending -through August 15, 2012. Rule S — Permit/Date Closed: / =k* Note: Reapply for new permit � 0 Permit Extension Act —.Permit/Date Closed: IF- 2-1 Ll- / z Date ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . AD, —'/ .. .............................. has permission to perform. ........ wiring in the building of ..... I ....................... at ........ . . ........ ..... North Andover, Mass. Fe.e Lic. No. �-"/-747 ... ...... - /L -TRIC�� Check 4 'i 0 4 4 Commonwealth of Massachusetts Department of Fire Services a BOARD OF FIRE PREVENTION REGULATIONS (lease add zip codes electrician's cell; contract # & b permit # if applicable ) Official Use Only Permit No. IT Occupancy and Fee Checked Lev.l/07] (leave blank) APPLICATION! FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK ORTYPEA LINP TION Date: (MEc .s27CMR12,00 City or Town of: ���� By this application the undersigned gives notice of his or her intention to perform the electrical To the work described below. ctor of Wires.. Location (Street & Number) Owner or Tenant 1G�1 Owner's Address Telephone No. - Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building E] (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ New Service Amps / Volts Overhead _ ❑ Undgrd ❑ No. of Meters wilimm. ofF66ders ant' fl R mpacity Location and Nature of Proposed Electrical Work: of Recessed Luminaires o. of Luminaire outlets I No. of Luminaires No. of Receptacle Outlets No, of Switches No. of Ranges No, of Waste Disposers No. of Dishwashers No. of Dryers No. of Water Heaters �kQA-i Completion of the followirz No. of Ceil.-Susp. (Paddle) Fans No. of Hot Tubs Swimming Poolrnd e ❑ In- ❑ grnd No. of Oil Burners No. of Gas Burners No. of Air Cond. Total Space/Area Heating KW Heating Appliances XW KW No. of No. of Signs Ballasts o. Hydromassage Bathtubs OTHER: No. of Motors Total HP S cis i ervi table nzay be waived by the Inspect No. of Total Transformers KVA Generators KVA :y Units - ALARMS No. of Zones Initiating Devices of Alerting Devices o. of Self Contained e_tection/Alerting Devices Kcal ❑ Municipal Conneetrnn ❑ Other o. of Devices or Equivalent Wiring: c). of Devices or Equivalent ommunications Wiring: ). of Devices or l Poli-,, pn+ Wires. Attach additional detail if desired or as required by the Inspector of lflires. Estimated Value of Electrical Work: r6 (When required by municipal policy.) Work to Start: -af Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE ( ( OVERAGE. Unless waived by the owner, no permit for the performance of electrical work may the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalents Theorce, and has exhibited proof of same to the permit issuing ofss T undersigned certifies that such coverage is in ffice. CI.IECK ONE: INSURANCE ❑ BOND ❑ OTHER X (Specify:) Self Insured I certify, under the pains and penalties of perjury, that the inforn.2atr'o� ort this application is true and coittp[ete. FIRM NAME: ADT LLC DBA ADT Security Licensee: Thomas J. Leet LIC• No.: C-172 Signature (If applicablP.�ennter "exempt" in the l' ense number line.) ' ' " LIC. No.: C-172 C• tn10 Address: ',r locol��s. Nl-�0� ]Bus. Tel. No.:(oy3�c�tj�r%�8 / "Security System Coniractor License required for this work, if applicable, enter the license numAft. here: l. No.: 001779 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required bylaw. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner Owner/Agent owner's agent. Signature Telephone No. 'E�Id�.IT FEE. $ :COMP-170NNYES' LTI-5 OF MAS 3ACHUSU �otl6c @J7, iJlel d r3 if ELECTRICIANS REGISTERED SYSTEM CONTRACTO ISSUESTHE ABOVE LICENSE TU. -AD SECURITY : J..T�L�C, DBA ADI -THOMAS J LEE 410 U:NI VERSITY AVE. ..WEST.WOOD MA 02090_, 17.2 C 07/31/13 201934. Fold, Tllcn Detach Along All Periorations 12 11 9 e 1 0357 � � y e� �'� Date... � TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that.............`............`................................................ ................ has permission to perform 1 `Y' //.,n�. ..... �'" ... ................................................ wiring in the building of ..... �`.�......... �. � ' " `7 .................................................. at �`. r....`.. . (0........ ....... Z.. ......�" h Andover ass. Fee . S�Z.......... Lic. Noff'� ....................... EECTRIC INS OR Check #1zZ S 2 - UIVCommonwealth of MassachusettsEMIOr7j7o Official Use Only Department of Fire Services / f �j j BOARD OF FIRE PREVENTION REGULATIONS nd Fee Checked _ eave blank APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code NEC), 527 CMR 12.00 (PLEASE PRINT -VV NK OR TYPEALL B&OMUTIO City or Town of: NORTH ANDOVER � Date:— /� - // / � By this application the unders' To .the Inspector of Wires: igned gives notice of his or her intention to perfo the electrical work described below. Location (Street & Number)_ v /1"— 2 ` Z Owner or Tenant � tf ,� ��• • , �- z �Oi Owner's Address Z No. Is this permit in cOlkinnction with a bnildiug,p 't? P _ Yes No ❑ (Check Appropri Purpose of Building �� / ate Box)Uty Authorization No. // Existing Service s / Volts (h, h ❑ New Service -7d Amps Volt. Number of Feeders and-Ampacity ead Undgrd ❑ No, of Meters Overhead ❑ Undgrd 2 --No. of Meters _ Location and Nature of Proposed Electrical Work: - Co letion Of the ollowin ' table may be waived b the I r o Wires No. of Recessed Luminaires No. of Cei7.-Susp. (Paddle) Fans 0.0 otal No. of Luminaire OutletsTransformers A i,_. ;, Ln.�=:...;�•,, Swimming fool above d� - 0 mergency ' nd• Ba Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No: of Zones No. of Switches No. of Gas Burners 0. .0 et on ani . of Ranges of Waste Disposers --------------- of Dishwashers of Dryers of stet Heaters KW Hydromassage Bathtubs o. of Air Cond. Space/Area Heating KW Heating Appliances xW` Ballasts. of Motors Total HP of Alerting Devices of a an aetioul 'nQ Devices tl I Mun pal Other Cysonnec ion 0 uriof D tr� evices or Euuivalent lO Dgevices or E nivalent •omen cationsir- g. 10. of Devices or Eani S..n+ Estimated Value of Electrical Work: Attach additional detail #f desired or as required by the Inspector of Wires Work to Start (When required by municipal policy Inspections t4 be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the the licensee provides proof of liability insurance including performance of electrical work may issue unless undersigned certifies that such coverage is ' g completed operation" coverage or its substantial equivalent. The and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE - I certify, under the pains and enalties o ❑ OTIC O .(Specify.) p fPmY, that the information on this applicadon is true and complete FIRM NAM: �� LIC. NO.• Licensee: y j' �. ( ignature Addre(Yfapplss: , r "exempt " in the license number line) a LIC. NO.- '13 Address: Bus. *Per M.G.L c. 147, s. 57-61, security work requires D AIS Tel. No.: OWNER'S INSURANCE WAIVER I am aware that the Int Public Safety " °License: Lie. No. required by law. By my signature below, I hereby waive this ��� �� not have the liability insurance coverage normally Owner/Agent requirement. I am the (check one) ❑owner ❑ owner's agent. Signature Telephone No. PERWT FEE: $ ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR - DOUG SMALL 1. ROUGH INSPECTION: Passed— [ Failed — [ J Re -inspection required ($50.00) - [ ] Inspectors' comments: LP (Inspectors' Sign ure - no initials) Date 2. FINAL INSPECTION: Passed — Failed — [ ] Re -inspection required ($50.00)-f ) Inspectors' comments: Z,S7— (Inspectors' Signature - no initials) Date 3. UNDER GROUND INSPECTION: Passed — Failed — ( ] Re -inspection required ($50.00) - [ ] Inspectors' comments: (Inspectors' Signature - no initials) Date 4. INSPECTION — SERVICE: DATE CALLED NATIONAL GRID: NAME: Passed — Failed — [ ) Re -inspection required ($50.00) - [ ) Inspecto ' comments: t (Inspectors' Signatur(V- no initials) Date 5. INSPECTION - OTHER: Passed — [ ] Failed — [ ] Re -inspection required ($50.00) - [ ] Inspectors' comments: (Inspectors' Signature - no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE -INSPECTION OF $50.00 IS TO BE CHARGED. 90:4 Date..%.. �.T. ( J. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...64 .... ` c 0 .................... 9 has permission to perform .. .�`� �'�-" ........................ plumbing in<the buildings of ......... at ... M. pfe, . 0!.t -L- , ......... NorthAndover, Mass. F 5t S?' .6Lic. No.. t O3.`Q� .... �. .......... PLUMBING INS ECTO. Check # S U a zG F PLUMBING: PIPING — FIXTURES - FIXED APPLIANCES — APPURTENANCES 7 ENTER TOTAL AMOUNT FOR EACH SELECTION (LIMITED TO FIVE (5) NUMERALS ALTERNATIVE TECHNOLOGYDISPOSER MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO PLUMBING SINK: MOP SERVICE CITY/TOWN: APPLICATION DATE:'.w.6_.._%_._ DRINKING FOUNTAIN JOB ADDRESS: __> 9'. � P T _...__ _ PLANS SUBMITTED: YESE] N0[] POCCUPANCY TYPE: COMMERCIAL � RESIDENTIAL O STORAGE TANK NEW R ALTERATIONa REPLACEMENT [] REMOVAUDEMOLITION® F PLUMBING: PIPING — FIXTURES - FIXED APPLIANCES — APPURTENANCES 7 ENTER TOTAL AMOUNT FOR EACH SELECTION (LIMITED TO FIVE (5) NUMERALS ALTERNATIVE TECHNOLOGYDISPOSER SINK: MOP SERVICE ASPIRATOR DRINKING FOUNTAIN STERILIZER DRAIN: AREALJ FLOOR EJECTOR STORAGE TANK BACKWATER VALVE EMBALMING AUTOPSY URINAL BAPTISM: FONT SACRARIUM FOOD CHEST MISTING SYSTEM VACUUM DRAINAGE SYSTEM BAR SINK GLASS WASHER WATER CLOSET BATHTUBZ WHIRLP0OLrj ICE MAKER WATER HEATER: ALL TYPES BIDET INTERCEPTOR: ALL INTERIOR WATER PIPING: CROSS CONNECTION DEVICE KITCHEN SINK t OTHER NOT LISTED 7 DEDICATED: ACID WASTE SYSTEM LAUNDRY CONNECTION DEDICATED: GASIOIUSAND SYSTEM LAVATORY DEDICATED: GREASE SYSTEM PIPE RELINING WORK ONLY 0 DEDICATED: RECLAIMED WATER ROOF DRAIN DENTAL FIXTURE I EQUIPMENT SINK: 1-2-3 BAY PREP. DISHWASHER SINK: CLINIC FLUSH RIM PLUMBING INSTALLER — FIRM -COMPANY INFORMATION Galinsky Plumbing &Heating Inc P O Box 1701 NAME:L��. ADDRESS: Haverhill CITY: -- - =r STATE: MA ZIP: N01831 978-374-1743 } 978-521.41 mrplumber@aol.com TEL:[ 6 FAX: EMAIL: i .,.,rplum ._ - _ ol.c..-.-:_,�. NAME OF LICENSED PLUMBER: I CHECK ONE ONLY ❑✓ Corporation Business ®Partnership Business #0 LLC Business #0 ❑DBA !Unincorporated INSURANCE COVERAGE I have a current liability insurance policy or, its substantial equivalent, which meets the requirements of MGL. Ch. 142 YES®✓ NO If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy ®✓ Other type of indemnity Fl Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement OWNER® CHECK ONE ONLY AGENT Signature of Owner or Owner's Agent OWNER'S NAME: _ _ ___. .. _ _. _ TEL::_ .__ r____ d FAX:!.___ _..T_k I hereby certify that all of the details and information I have submitted (or entered) regarding this permit application is true and accurate to the best of my knowledge. I certify that all plumbing work and installations performed under the permit issued, Will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code, and Chapter 142 of the General Laws. (OFFICE USE ONLY) TYPE OF LICENSE: Permit # [:] Plumber Inspector E] Master Fee: [--I Journeyman <q,7 - All f Signature of Licensed Plumber License Number:' 10348 --ss w F O z z 0 H U W a z a Q z w Z El 40 a ma Z o w D W O W a z U = � 3 0 CO) w > N a LLI w a Q W 3 W a O o a a � w a � U J IL a u� Q N LiJ = W H � w F O z z 0 H U W a FA z u z z� a a c7 a O a 7755 Date ...7 :. �.-..1.1....... TOWN OF NORTH ANDOVER ,z PERMIT FOR GAS INSTALLATION This certifies that .. .S�... ...� ................. . has permission for gas installation .. ts�..(4 VV.Q ....... in the buildings of ...O R C (?!?�!-% V %L.t c4 at ... a2. S ..4-.^.i! t- ........ North Ando er, Mass. Fee..<?�.!'' Lic. No..l.b3..�. !?.�» .... GAS INSPECTOR Check # 7 q 5-0 2C ICA MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO GAS FITTING - GOCCUPANCY CITY/TOWN: L _ Q`G�,T -_ {,1(J�IK_ _ .__. STATE: MA APPLICATION DATE JOB ADDRESS L.'a .�.._L_N� P �( ..- TYPE: COMMERCIAL[] RESIDENTIAL PLANS SUBMITTED: YES D NO NEW[R ALTERATION REPLACEMENT REMOVAUDEMOLITION® t NATURAL & LIQUEFIED PETROLEUM GAS: PIPING - EQUIPMENT — APPLIANCES — SYSTEMS Z ENTER TOTAL AMOUNT FOR EACH SELECTION (LIMITED TO FIVE (5) NUMERALS AIR ROTATION UNIT FURNACE: ALL TYPES TEMP HEATING EQUIPMENT BOILER: ALL TYPES GAS PIPING THERMAL OXIDIZER BOOSTER GENERATOR STATIONARY ENGINE TURBINE BROILER ILLUMINATING APPLIANCE UNIT HEATER BURNER: ALL TYPES INCINERATOR WATER HEATER: ALL TYPES CO -GENERATION UNIT INDUSTRIAL AIR HANDLER EQUIPMENT OVER 12 500MBH COFFEE ROASTER INFRARED HEATER T OTHER NOT LISTED? COOK APPLIANCE HOUSEHOLD KILN / GLORY HOLE / CRUCIBLE COOK APPLIANCE COMMERCIAL LABORATORY COCKS DECORATIVE APPLIANCE MAKEUP AIR UNIT FT DIRECT VENT APPLIANCE MECHANICAL EXHAUST EQUIPMENT - DRYER: ALL TYPES OVEN: ALL TYPES FIREPLACE: VENTED / UNVENTED POOL HEATER FRYOLATOR ROOF TOP UNIT FUEL CELL�EillROOM HEATER-VENTEDNENTLESS PLUMBING / GAS FITTING FIRM INFORMATION CHECK ONE ONLY Galins Plumbin & Heatin Inc ✓ Corporation Business# 3196 NAME: . _ _$n�� —g_.. _ ADDRESS:( P O Box 1701 Mp ------ — ®Partnership Business#0 Haverhill ' 01831 CITY: L,----. _ _ __I STATE. L,�ZIP - m-- -•—. -� ®LLC Business # 0 TEL: i 978-374-174LJ FAX: 978 521-41 � EMAIL: mrp�lumber@aol.com ®DBA I Unincorporated NAME OF LICENSED PLUMBER / GAS FITTER: INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES r,(l NO If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy ®✓ Other type of indemnity n Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement CHECK ONE ONLY OWNER ® AGENT Signature of Owner or Owner's Agent OWNER'S NAME: is _ .r __ - R ,. --_ �i TEL: ..� �. �� _' FAXL_ I hereby certify that all of the details and information I have submitted (or entered) regarding this permit application is true and accurate to the best of my knowledge. I certify that all plumbing work and installations performed under the permit issued, will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code, and Chapter 142 of the General Laws. (OFFICE USE ONLY) Type of License: Permit# QPlumber F�Gasfitter ignature o icensed Plumber/Gas Fitter Inspector ✓Master F� Journeyman ❑Undiluted LP Installer License Number: 10348 -- Fee: ❑ Limited LP Installer $ /00-00 F O z z 0 H U W AM rA z .a It z w o z ❑ Z o w W o W a sc LU fz' Q W O a a W a W Q 3 U) p o a a � w Q � U J IL d v! Q = W H W QFjW F O z z 0 F U W a z d C7 x 0 a LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET 978-352-8318 fax 978 —352-2858 cell: 978-502-5921 September 28, 2011 Mr. Robert Messina Orchard Village LLC. 277 Washington Street Groveland, Ma 01834 RE: THE WAVERLY GB# W4176 Lot 26 Empire Drive, North Andover, Ma. 01845 Dear Mr. M ssiina As you requested I visited the site 9/28/11 to review the installation of the Engineered Materials consisting of LVLs and Engineered Joist utilized in the framing of the above project. These are shown on plans prepared by G.J. Bruno and Associates A- 1 to A-5 Dated 12/6/09 with the framing sheets certified by me 12/9/09. The following items require additional work as discussed at the site with Mr. Jeff Horne. 1. Connect basement beams together as shown on the drawings. 2. Insure that 3-16d nails from the plate to the rim are installed I noticed these were not in place at some walls. These are also required at the interior Method 5 braced wall line see detail A-5. Insure all other required nailing shown on this detail is in place. Based on the above site visit and based on what I could visibly see provided the above additional work is completed I can certify that to the best of my knowledge the LVLs members and Engineered Joist utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the7th Edition of the Massachusetts State Building Code for 1 &2 Family Residences. All other framing requirements of the drawings and code, including but not limited to materials, nailing schedules, blocking, connections and other details are the responsibility of the licensed construction supervisor responsible for the project. Should you have any questions please do not hesitate to call. Your truly, wrence H. Ogden P.E. Structural 27765 Cc: Mr. Gerry Bruno Mr. Jeff Horne Copy mailed to Mr. Robert Messina SH OF WRENCE Oy F MOILD y '65 p O G/STERE SS��NAL Elk a