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HomeMy WebLinkAboutBuilding Permit #617-15 - 47 EMPIRE DRIVE 1/21/2015BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• Date Received Argo Date Issued: // � 1 "J �9SS�CHUS IMPORTANT: Applicant must complete all items on this Daize LOCATION 47 Empire Drive Print PROPERTY OWNER Eugene Blumkin Print MAP NO: 107.0 PARCEL: 0138 ZONING DISTRICT: 11 Historic District yesr Machine Shop Villaae ve TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building a One family ❑ Addition ❑ Two or more family ❑ Industrial 1� Alteration No. of units: L, Commercial ❑ Repair, replacement [I Assessory Bldg Others: ❑ Demolition a Other Ci Septic !11. Well [ Floodplain Ci Wetlands - Watershed District I_. Water/Sewer Installation of a 6.16kW roof mounted solar array using 22 SolarWorld SW280 Mono modules, 22 Enphase M250-60-2LL-S22 micro inverters, and all associated electrical work. Identification Please Type or Print Clearly) OWNER: Name: Eugene Blumkin Address: 47 Empire Drive, North Andover, MA 01845 CONTRACTOR Name: Address: Phone: 617-590-5680 Alteris Renewables dba RGS Energy Phone: 860-535-3370 32 Taugwonk Spur, Al2, Stonington, CT 06378 Supervisor's Construction License: 101487 Exp. Date: 11/7/16 Home Improvement License: Exp. Date: 162709 ARCHITECT/ENGINEER Phone: Address: Reg. No. 4/6/15 FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ $24,000 FEE: $ 288.00 Check No.: I Z23 Receipt No.: 2St 3 NOTE: Persons contracting with unregistered contractors do not have accen to te guaranty fund Pgnature of A ent�Owner � _g _ _ g _ Signature of contractor t Permit No#: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER + APPLICATION FOR PLAN EXAMINATION'. Date Received L 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 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 ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: 4 Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg_ No. _R 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: $ r Check No.: Receipt No-.:: NOTE: Persons contracting with unregistered contractors do not•liave,access to the Signature of Agent/Owner Signature -of contractor LA, Location M,01 - t No. Checkqo 2 -7 Z) Date ) 1,2,t I I TOWN OF NORTH ANDOVER41 Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $- Other Permit Fee $ TOTAL $ Building Inspector 0 l� Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Stamped Plans ❑ TypF 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 PLANNING & DEVELOPMENT Reviewed On COMMENTS Signature CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature 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 F-IKt UtF AK I MI=N I - I eri1P UUn iNsLcl U1 i art"- yw i orated at 124 Main Street ''-,Pnt signature/date COMMEIv —' no n O 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 servicedroprequires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Doc.Building Permit Revised 2014 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 Li Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses Ll Copy of Contract ❑ Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/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) o 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 o Mass check Energy Compliance Report Li Engineering Affidavits for Engineered products NOTE: 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 ooh°deo 0o RG S Dao January 15, 2015 ENERGY Clean Power. Bright Savings. Town of North Andover Building Department 1600 Osgood St, Bldg 20, Suite 2035 North Andover, MA 01845 Hello, I have enclosed a buiiding permit application, applicable fee and supporting documents for a residential solar installation in your town. Please let me know if anything else is required to approve our permit. Once the permit is ready please use the enclosed self-addressed stamped envelope to us. Thank you and let me know if you need anything else, Kim Hendel Operations Specialist RGS Energy 32 Taugwonk Spur Road, Al2 Stonington CT 06378 Ph 860-535-3370 Fax 413-683-2225 kimberly.hendel@RGSenergy.com 32 Taugwonk Spur, Al2, Stonington, C'1' 06378 1 tel. 860.535.3370 1 fax 413.683.2225 1 RGSEnergy.com v C � y n O CD o-0 CL =- O CL to N '0O 0 CD C = cr _ CD CD O ou CD CD Q O CD C• C i � v O CID 00 O 70 CD a CD h' Z* z m cn cn O cn X 0 m --I X M z Z S cn O Z O CD N O O CQ 0 �o X m to 0 U) 0 E U) U) CD 0 = " su m c(D, CD e0•, `° m � o. m c = � y. N fA .Or 5• O. TI O O .-. Q m CD O W N 0 CO) CD cD 2 O OO � � O N, O fu r+ 0 CD CD O 0g� N rt 00 N Zcn D CO o a- D CD N Q. 0 0 ~_ CL o cQ 2 �� 0 ■ � � CL A 00 CO, SU r .a ID cn o 0 0 :,�• CD `D + c ° �:V1 .t 0 N if O 0 aCD L o 030 0 � CL Ln 3 O Ln N z W O j (D T O 9 x O c anOCA T 01 V1 O < O � O T j' N Z1 O �c T �' pu j CD O �c O j NfD Et (D 'a N O Q m v y z z imi m 70 y N 0 W z G1 H 0 v M M 0 3 ro z v O m 2 1 11 DocuSign Envelope ID: AE783AAO-OBB9-4823-8EOE-F8DFF736E726 ( l\/` 4 b �O�, L"N RGS I Ef�ERGY O;1 �OD Clean Power. Bright Savings. HOME IMPROVEMENT CONTRACT FOR SOLAR ELECTRNC SYSTEM These cover pages contain information specific to the Home Improvement Contract for Solar Electric System ("Contract") between you ("you" or "Homeowner") and RGS Energy ("we," "us" or "RGS") for the residential photovoltaic system, consisting of solar panels and related equipment to be installed at your home (the "Project"). These cover pages, along with the Terms and Conditions are the documents con- stituting the Contract. You may have already been given certain Federal and state mandated disclo- sures and additional notices and other such disclosures and notices are attached. A. Notices to Homeowner You signed the Contract on 1011712014 is sometimes referred to as the "transaction date." This date You are entitled to a completely filled in copy of this agreement, signed by both you and the contractor, before any work may be started. Any "Notice of Cancellation" allowed under this contract or pursuant to law may be sent to RGS at its address shown below. The prices and terms we proposed to you are valid only until the tenth (10th) day after the date first presented in writing to you. We signed the Contract on 1011712014 B. Homeowner Information Homeowner Name: Eugene Blumkin Mailing Address: 47 Empire Drive City, State, ZIP: North Avenue, MA, 01845 Telephone Number: (617) 590-5680 Email Address: advartec@gmail.com Additional Homeowners, if any: Name: Mailing Address: City, State, ZIP: Telephone Number: Email Address: Name: Robert Morton Business Address: Name: Mailing Address: City, State, ZIP: Telephone Number: Email Address: C. RGS Energy Contact Information Employer ID Number: 26-3503699 32 Taugwonk Spur, Al2, Stonington, CT 06378 Telephone: (603) 494-7430 Contractors License Number: 162709 Email: robert.morton@rgsenergy.com Page 1 UJN:10240621 MA.RESIDENTIAL SOLAR PURCHASE AGREEMENT.09 10/17/2014 8:18 AM DocuSign Envelope ID: AE783AAO-OBB9-4823-8EOE-F8DFF736E726 Home Improvement Salesperson: Robert Morton Registration Number: Project Manager: William White D. Installation Address and Contract Number Installation Address: 47 Empire Drive, North Avenue, MA, 01845 Contract Number: 10240621 E. Description of the Project and Description of the Significant Materials to be Used and Equipment to be Installed The project is a turnkey solar electric system (the "System") as described below and installed at the home identified above. The System cost includes rebate application preparation, equipment procure- ment and installation, site preparation, permitting and interconnection support, rebate project comple- tion paperwork, training, operations and maintenance (through interconnection), in compliance with all applicable state laws. The System is comprised of the following components and additional items typ- ically necessary to install a complete and operable System. Solar Module Quantity/ Description: (22) SolarWorld - Plus SW 275 mono black Inverter Quantity/Description: (22) Enphase - M250 Down Payment: $ 1,000.00 Mounting System: Uni-rac or Equivalent Estimated Annual Energy Output in kWh: 7,281 Monitoring System: Envoy F. Down Payment The down payment is due when this Contract is signed by Homeowner and returned to RGS for coun- tersignature. G. Contract Price Total Contract Cost $ 23,980.65 $ 3,250.00 Estimated Solar Rebate Estimated Rebate 0 Assigned ❑ Not As- signed to RGS Balance after Rebate $ 20,730.65 Down Payment $ 1,000.00 First Progress Payment $ 17,758.00 Final Progress Payment $ 1,972.65 You agree to assign rebate to RGS: (initials) I l Page 2 UJN:10240621 MA.RESIDENTIAL SOLAR PURCHASE AGREEMENT.09 10/17/2014 8:18 AM DocuSign Envelope ID: AE783AAO-OBB9-4823-8EOE-F8DFF736E726 H. Schedule of Progress Payments First Progress Payment [90%ofba/anc%, $ 17,758.00 First Progress Payment due upon installation of solar modules on the rooftop or ground mount, and connection of inverters and other electrical equipment. Both parties agree this will constitute substantial completion. Final Progress Payment I10416 of balance/.- $ 1,972.65 Final Progress Payment is due on interconnection of the Project to the energy grid. You and we may agree that an assignment to RGS of the rebates under the applicable rebate program will constitute a portion of the Final Progress Payment. 1. Beginning and Completion of the Work to be Performed The work under this Contract begins at the site evaluation conducted by RGS. The "Effective Date" of this Contract is the date of the latest signature. Date the Work is Scheduled to Begin: 12/26/2014 Date the Work is Scheduled to be Substantially Complete: 2/4/2015 ADDITIONAL FOURTEEN DAY RIGHT TO CANCEL Various state and federal laws and regulations require us to allow you a three day right to cancel this transaction. Because of this, we are required to give you certain notices with headings entitled THREE- DAY RIGHT TO CANCEL, such as the next section. Although not mandated by law, we are agreeing that instead of the three (3) day right to cancel, you have a fourteen (14) day right to cancel, which be- gins on the Effective Date and ends at midnight fourteen days later, starting counting the day after the Effective Date. THREE-DAY RIGHT TO CANCEL' You may cancel this agreement if it has been signed by a parry thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than mid- night of the third business day following the signing of this agreement. DocuSigned by: uv, 10/17/2014 �:Mnff 1eE425... Date Signature Date This notice is required by Massachusetts law. In this notice, "agreement" is this Contract, and "seller" is RGS. Your signature here only acknowledges that you have received the notice of your right to cancel. If you actually wish to cancel, use the forms found on the last pages of this Contract. Page 3 UJN:10240621 MA.RESIDENTIAL SOLAR PURCHASE AGREEMENT.09 10/17/2014 8:18 AM DocuSign Envelope ID: AE783AAO-OBB9-4823-8EOE-F8DFF736E726 You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for an explanation of this right. Intending to be bound, each of us signs this Home Improvement Contract for Solar Electric System. I (we) acknowledge receipt of the above notices, and a copy of the Contract. DO NOT SIGN THIS CON- TRACT IF THERE ARE ANY BLANK SPACES. Homeowner(s) DocuSigned by: f z6twulit, 10/17/2014 tjgME425... Date Eugene Blumkin Printed Name Signature Printed Name Alteris Renewables, Inc. dba RGS Energy DmuSigned by: ht t,{f 11/17/2014 �xnv n eeeeinee... Signature Date Bruce Hallett Printed Name Lead Energy Analyst Date Title Page 4 UJN: 10240621 MA.RESIDENTIAL SOLAR PURCHASE AGREEMENT.09 10/17/2014 8:18 AM vol b�ev 0o RG S I Dao ENERGY Clean Power. 8nght Savings. Property Owner Consent Form Owner: Gl'`— '`�-A,' c- 9> � 0 V-- I r--, Address: L� —I n t \ \r�-2 p12 Town: N , �`tic(fo v 1p- Z State: / C Zip: 1 Phone: I hereby give permission to RGS Energy and their representatives to pull the required permits for a solar installation on my property. Property Owner Date 32l-augssonk Spur. Al2. Stonington, CT 06378 1 tel. 860.535.3370 1 fax 413.683.2225 1 Rt,.sl prig\ cum P r e W }ppyy � 1 1 l t .y �cn J N .i Ch 0 D �� _ M C 'n O O Z Z x _ NJ a �mU'�n C)N� (J) m m o --i z p > > M cn D o 2�r O 3• SP _ ` (m!) K = lJ N 7 'O d a r = = S S tz CL a o -0 o n omo - e �CD� s: A yO Q. n' r" o N � ( l Ig QQ � v ACORO0 CERTIFICATE OF LIABILITY INSURANCE 1/1/2016 DATE (MM/DDIYYYY) 1/6/2015 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 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 Lockton Companies 8110 E. Union Avenue 700 Denver CO 80237 CNTACT NAME: PHONE FAX x AIC No UNo.Suite E-MAIL ADDRESS: N (303) 414-6000 INSURERS AFFORDING COVERAGE NAIC # INSURER A: First Specialty Insurance Corporation 34916 EACH OCCURRENCE INSURED Alteris Renewables, Inc. INSURER B: Zurich American Insurance Co=my 16535 INSURER C; Starr Indemnity & Liability Company 38318 1344665 dba Real Goods Solar dba RGS Energy 32 Taugwonk Spur, Unit Al2 Stonington, CT 06378 INSURER D: INSURER E : $ B INSURER F: COVERAGES REAG001 CERTIFICATE NUMBER: 13294607 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WV POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X GEN'L COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N IRG2000528 1/1/2015 1/1/2016 EACH OCCURRENCE PREM SES Ea occurDAMAGE TO rence) $ 50 000 MED EXP (Any oneperson) $ zzxxxxx PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC PRI OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS NON -OWNED N N BAP5852403 1/1/2015 1/1/2016 COF (Ea accident) I $ 1 OOO OOO X BODILY INJURY (Per person) $ XXXXXXX X X BODILY INJURY Per accident X PROPERTY DAMAGE $ XArXXxXX $XXXXXXX A C X X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N IRE2000563 1000021478 1/1/2015 1/1/2015 1/1/2016 1/1/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED RETENTION $ $ xxxxxxx B WORKERS EMPLOYCOMPENSATION ILIT YIN AND EMPLOYERS' LIABILITY ANY OFFICER/ME BEPROPRIETOR EXCLUD D? ARTNERIEAECUTIVE � (Mandatory In NH) Ifyes, describe underDESCRIPTION OF OPERATIONS below NIA N WC5852405 1/1/2015 1/1/2016 X STATUTE ER E.L. EACH ACCIDENT 1000,000 E.L. DISEASE - EA EMPLOYt$1,000,000 E.L. DISEASE - POLICY LIM00 000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 13294607 for information only GANGELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E 1980n1A ACORE CORPORFAT10W All rinhts racarvaef ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Alteris Renewables, Inc. dba RGS Energy Address: 32 Tauqwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone #: (860) 535-3370 Are you an employer? Check the appropriate box: 1.x❑ I am a employer with 320 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. + ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.[:] Plumbing repairs or additions 12.❑ Roof repairs 13.0 Other solar panels *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Co. Policy # or Self -ins. Lic. #: WC5852405 Expiration Date: 01/01/2016 Job Site Address: 47 Empire Drive City/State/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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify cinder the pains and penalties of perjury that the information provided above is true and correct. IS 1 Phone #: (860) 535-3370 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: November 14, 2014 To: Code Enforcement Division From: James A. Marx, Jr. P.E. Re: Engineer Statement for Blumkin Residence, 47 Empire Dr., North Andover, MA - Solar Roof Mount Installation I have verified the adequacy and structural integrity of the existing Main Roof 1 (one layer composition): 2" x 10" rafters at 16" c -c, with rafter slope distance 17'-1" with rafter span 11'-10", pitch 40 deg.; for mounting of solar panels and their installation will satisfy the structural roof framing design -loading requirements of the Massachusetts building code — 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the Unirac Solarmount rails with Eco -Fasten Green -Fasten with ECO -CP -SQ Bracket will be perpendicular to the rafters with L -foot supports at 32"; securely fastened by 5/16" dia. x 3 '/2" SS lag screws. All attachments are staggered amongst the framing members. The mounting system has been designed for wind speed criteria of 100 mph Exp. B and ground snow criteria of 50 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof -mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. Professional Engineer MA 36365 10 High Mountain Road Ringwood, NJ 07456 cc: RGS Energy A ,n /54 r - A November 14, 2014 To: Code Enforcement Division From: James A. Marx, Jr. P.E. Re: Engineer Statement for Blumkin Residence, 47 Empire Dr., North Andover, MA - Solar Roof Mount Installation I have verified the adequacy and structural integrity of the existing Main Roof 1 (one layer composition): 2" x 10" rafters at 16" c -c, with rafter slope distance 17'-1" with rafter span 11'-10", pitch 40 deg.; for mounting of solar panels and their installation will satisfy the structural roof framing design -loading requirements of the Massachusetts building code — 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the Unirac Solarmount rails with Eco -Fasten Green -Fasten with ECO -CP -SQ Bracket will be perpendicular to the rafters with L -foot supports at 32"; securely fastened by 5/16" dia. x 3 '/2" SS lag screws. All attachments are staggered amongst the framing members. The mounting system has been designed for wind speed criteria of 100 mph Exp. B and ground snow criteria of 50 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof -mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. Professional Engineer MA 36365 10 High Mountain Road Ringwood, NJ 07456 cc: RGS Energy 00 m C CLQ Y L �+ a �m M N N W© (n Y i � U O Z J L% W 0 Lu (n 0 �_. 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O Q 0 :N :0:0:0 y �' O X 0 z n i z HI A m ro m m� m N z m O O N�< z m O _ v m W O r � -i w r�-� 3, - i l l moo C w o o C %a N 3.DvC -M O O z O C -1 x c O�7z 0 D O m '0 omMrn n n� N 00 Ln �GOOQ�Q� V O 1 0 d m 3 Z 0 0 0 c Z) m C C') RI O m N t"''il ° r'\ N rn c, UJ N O oz a, �w �o00 -� N ;D�z m W A 3 LO g v w °r° m m N00a W 0— w m` • aMcnN i' z Q N .moi 0 U �Lr 0 �-� (D T r4 'W Q' O LnN aN V v0 C O 0 00 z 7 M D�D®® YtjMM fw—,�= V �W �N N z cco1O p w�; Sunmodule;-,,/ Plus SW 280 MONO TUV Power controlled: D TOVRh.inland , Lowest measuring tolerance in industry %_. — 000002 NN Every component is tested to meet 3 times IEC requirements J ® Designed to withstand heavy accumulations of snow and ice J OSunmodule Plus: Positive performance tolerance it 25-year linear performance warranty and 10 -year product warranty �) � Glass with anti -reflective coating J World-class quality Fully -automated production lines and seamless monitoring of the process and mate- rial ensure the quality that the company sets as its benchmark for its sites worldwide. SolarWorld Plus -Sorting Plus -Sorting guarantees highest system efficiency. SolarWorld only delivers modules that have greater than or equal to the nameplate rated power. 25 -year linear performance guarantee and extension of product warranty to 10 years SolarWorld guarantees a maximum performance digression of 0.7% p.a. in the course of 25 years, a significant added value compared to the two-phase warranties com- mon in the industry. In addition, SolarWorld is offering a product warranty, which has been extended to 10 years.' `in accordance with the applicable SolarWorld Limited Warranty at purchase. www.solarworld.com/warranty solarworld.com 0—fied, IEC 61216 : �' Ammonia melatance • Safety tested, IEC 61770 = tested Poodle lnnpeet 2 r =� • Pehodle Inspection • emwiny and resistant • Power C-11ad °" ones - FERfONMANCE 111111 UCSgLT MIST flES15TAM PH0ILAR)LTAICPRODUCr US UL 1703 DVE • 1 I C E ❑❑ LGJ • MADE IN USA OF US AND IMPORTED PARTS Sunmodule;--/ Plus SW 280 MONO PERFORMANCE UNDER STANDARD TEST CONDITIONS (STC)' Maximum power Pm 280 Wp Open circuit voltage Voc 39.5 V Maximum power point voltage VmPP 31.2 V Short circuit current Inc 9.71 A Maximum powerpoint current Impp 9.07A Module efficiency 11m 16.70% 'STC: 1000 W/mz, 25°C, AM 1.5 1) Measuring tolerance (P,)traceabletoTUVRheinland:+/-2%(TUVPowerControlled). THERMAL CHARACTERISTICS NOCT Clear anodized aluminum 46 °C TC Is, SYSTEM INTEGRATION PARAMETERS 0.04 %/'C TC von 1000 V -0.30 %/°C TC Pmpp Number of bypass diodes -0.41 %/°C Operating temperature Two rail system 113 psf downward 64 psf upward -40'C to 85°C 65.94 1.22 (31) Module voltage IV] V« 1.33 (288) Version 2.5 frame bottom mounting holes L x4 4.20 (107)t All units provided are imperial. SI units provided in parentheses. SolarWorld AG reserves the right to make specification changes without notice. PERFORMANCE AT 800 W/m2, NOCT, AM 1.5 Maximum power Pm 209.2 Wp Open circuit voltage Vac 36.1 V Maximum power point voltage VmPP 28.5 V Short circuit current I SC 7.85 A Maximum power point current Impp 7.33 A Minor reduction in efficiency under partial load conditions at 25•C: at 200 W/ml,100% (+/-2%) ofthe STC efficiency (1000 W/m2) is achieved. COMPONENT MATERIALS Cells per module 60 Cell type Mono crystalline Cell dimensions 6.14 in x 6.14 in (156 mm x 156 mm) Front Tempered glass (EN 12150) Frame Clear anodized aluminum Weight 39.5 lbs (17.9 kg) SYSTEM INTEGRATION PARAMETERS Maximum system voltage SC III NEC 1000 V Maximum reverse current 16 A Number of bypass diodes 3 Design Loads' Two rail system 113 psf downward 64 psf upward Design Loads` Three rail system 170 psf downward 71 psf upward Design Loads` Edge mounting 30 psf downward 30 psf upward Please refer tothe Sunmodule installation instructions for the details associated with these load cases. ADDITIONAL DATA Powersorting' -0 Wp/+5 Wp 1 -Box IP65 Module leads PV wire per UL4703 with H4 connectors Module type (UL 1703) 1 Glass Low iron tempered with ARC VERSION 2.5 FRAME Compatible with both "Top -Down" and "Bottom" mounting methods JrGrounding Locations: 4 corners ofthe frame 4 locations along the length ofthe module in the extended flanget SW-01-6006US 08-2014 UNIRAE fi SolarMount Technical Datasheet Pub 110818 -ltd V1.0 August 2011 SolarMount Module Connection Hardware.................................................................. 1 BottomUp Module Clip.................................................................................................1 MidClamp....................................................................................................................2 EndClamp....................................................................................................................2 SolarMount Beam Connection Hardware......................................................................3 L-Foot........................................................................................................................... 3 SolarMountBeams..........................................................................................................4 SolarMount Module Connection Hardware BE SolarMount Bottom Up Module Clip Part No. 302000C -- — __ —,.E U a,K Y v V. X Dimensions specified in inches unless noted • Bottom Up Clip material: One of the following extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 • Ultimate tensile: 38ksi, Yield: 35 ksi • Finish: Clear Anodized • Bottom Up Clip weight: —0.031 lbs (14g) �It Allowable and design loads are valid when components are assembled with SolarMount series beams according to authorized UNIRAC documents • Assemble with one %"-20 ASTM F593 bolt, one'/<" -20 ASTM F594 serrated flange nut, and one %" flat washer • Use anti -seize and tighten to 10 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third - party test results from an IAS accredited laboratory • Module edge must be fully supported by the beam * NOTE ON WASHER: Install washer on bolt head side of assembly. DO NOT install washer under serrated flange nut Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, m Tension, Y+ 1566 (6967) 686 (3052) 2.28 1038 (4615) 0.662 Transverse, X± 1128 (5019) 1 329 (1463) 1 3.43 1 497 (2213) 1 0.441 Sliding, Z± 66 (292) 1 27 (119) 1 2.44 41(181)1 0.619 SolarMount Mid Clamp Part No. 302101 C, 302101 D, 302103C, 302104D, 302105D,302106D Mid Clam Y A IAOD[ST.MU r ~fN NODULES Il iX Dimensions specified in inches unless noted SolarMount End Clamp Part No. 302001C, 302002C, 302002D, 302003C, 302003D,302004C,302004D,302005C,302005D, 302006C,302006D,302007D,302008C,302008D, 302009C,302009D,302010C,302011C,302012C R, UNIRACHI • Mid clamp material: One of the following extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 • Ultimate tensile: 38ksi, Yield: 35 ksi • Finish: Clear or Dark Anodized • Mid clamp weight: 0.050 lbs (23g) • Allowable and design loads are valid when components are assembled according to authorized UNIRAC documents • Values represent the allowable and design load capacity of a single mid clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble mid clamp with one Unirac'/4"-20 T -bolt and one'/4"-20 ASTM F594 serrated flange nut • Use anti -seize and tighten to 10 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third - party test results from an IAS accredited laboratory Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, 4) Tension, Y+ 2020 (8987) 891 (3963) 2.27 1348 (5994) 0.667 Transverse, Z± 1 520 (2313) 1 229 (1017) 1 2.27 1 346 (1539) 1 0.665 Sliding, X± 1 1194 (5312) 1 490 (2179) 1 2.44 1 741 (3295) 1 0.620 WA MtkrMUK m 'jif~ a�rxr VANES WITH Nomm rnlo*.+xsa Dimensions specified=iia Inbhes=uud]ess=nated • End clamp material: One of the following extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 • Ultimate tensile: 38ksi, Yield: 35 ksi • Finish: Clear or Dark Anodized • End clamp weight: varies based on height: —0.058 lbs (26g) • Allowable and design loads are valid when components are assembled according to authorized UNIRAC documents • Values represent the allowable and design load capacity of a single end clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble with one Unirac'/4"-20 T -bolt and one W-20 ASTM F594 serrated flange nut • Use anti -seize and tighten to 10 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third - party test results from an IAS accredited laboratory • Modules must be installed at least 1.5 in from either end of a beam Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Loads lbs (N) Resistance Factor, 0 Tension, Y+ 1321 (5876) 529 (2352) 2.50 800 (3557) 0.605 Transverse, Z± 63 (279) 1 14 (61) 1 4.58 1 21 (92) 0.330 Sliding, X± 142 (630) 152 (231) 12.72 79(349)1 0.555 SolarMount Beam Connection Hardware SolarMount L -Foot Part No. 304000C, 304000D Y A WX A ROT FOR W Ro%vw :.4t Dimensions specified in inches unless noted R � am®UNIH VU C 4 till n t4K)( IP , 1 itrw..,•� • L -Foot material: One of the following extruded aluminum alloys: 6005- T5, 6105-T5, 6061-T6 • Ultimate tensile: 38ksi, Yield: 35 ksi • Finish: Clear or Dark Anodized • L -Foot weight: varies based on height: --0.215 lbs (98g) • Allowable and design loads are valid when components are assembled with SolarMount series beams according to authorized Solt UNIRAC documents L -Foot For the beam to L -Foot connection: • Assemble with one ASTM F593 W-16 hex head screw and one ASTM F594 W serrated flange nut • Use anti -seize and tighten to 30 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third -party test results from an IAS accredited laboratory NOTE: Loads are given for the L -Foot to beam connection only; be sure to check load limits for standoff, lag screw, or other attachment method Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, Sliding, Zt 1766 (7856) 755 (3356) 2.34 1141 (5077) 0.646 Tension, Y+ 1859 (8269) 707 (3144) 2.63 1069 (4755) 0.575 Compression, Y- 3258 (14492) 1325 (5893) 2.46 2004 (8913) 0.615 Traverse, Xt 486 (2162) 213 (949) 2.28 323 (1436) 0.664 .MU aHltF. wn4 f( I- "I SolarMount Beams Part No. 310132C, 310132C -B, 310168C, 310168C -B, 310168D 310208C, 310208C -B, 310240C, 310240C -B, 310240D, 410144M, 410168M, 410204M, 410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight (per linear ft) plf 0.811 1.271 Total Cross Sectional Area int 0.676 1.059 Section Modulus (X -Axis) in 0.353 0.898 Section Modulus (Y -Axis) in 0.113 0.221 Moment of Inertia (X -Axis) in 0.464 1.450 Moment of Inertia (Y -Axis) in 0.044 0.267 Radius of Gyration (X -Axis) in 0.289 1.170 Radius of Gyration (Y -Axis) in 0.254 0.502 SLOT FOR T -BOLT OR 14" HEX HEAD SCREW 2X SLOT FOR BOTTOM CLIP SLOT FOR " IJU 38" HEX BOLT .387 .750 Y A o -X SolarMount Beam 2.500 SLOT FOR T -BOLT OR a" HEX HEAD SCREW SLOT FOR BOTTOM CLIP SLOT FOR HEX BOLT Dimensions specified in inches unless noted w SolarMount HD Beam 3.000 a T i o E g �/ 1 w �6 o o w o ?'+ a � n 77 N w rn (/) n =hn3 K O CD p, _0 N -p p n c _ (D' - t I I I I C N n Ln n Ln n V) n N n V) n V) n� w N — CI n Ecol'asten Solaro 877-859-3947 Committed to the Support of Renewable Energy 0 rn Z c 3 I Ln n O N O n W O 3 Ln n I - - MMI , I ".. - . . % Lti IN EcoFasten Solar® 877-859-3947 Committed to the Support of Renewable Energy N O cn W W /V O 1+ O I+ O OO O N O� O 0 o W Ui N W II 3� W �„ II E- T 3 3 0 03 oWim, (D N ((D � 3 00 z' 0 X M M Z D N M Z O 0 c n l� c 0 I Gi T Ecol'asten Solar® 877-859-3947 Committed to the Support of Renewable Energy W v cn 0 0 X co N a Z M D V) 0 M n 0 3 N N 0 f7 N X N 3 D c 3 n :3 3 N O 0 O IBM - 0 N c.n W v O -I ,, O W W ci 70 M M Z �N M Z V 0 n G� C 0 M T i LN Ecol'asten Solaro 877-859-3947 Committed to the Support of Renewable Energy p7 D - • N W N —0 1 w N -nv, s n rt �-U WN Do � n 0o ?a O -w G10� n N �. a(D Z 3 (D ((DD 3 0 � (D � w '� c o (D a D_0 >> O rn a� T Z j 3.OQ ° Q 3 O o m° (-D o m m ao r+ rn D w �. r+ ZTw rn< s c o rn v N W:3 0 3 (�D oa m j y rt 7 O n w m a c a o 0 3 3 w a °� + a o n � (D c� o (DmD Z (- 6 ss�T 3 (D w 3 Z w. 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