HomeMy WebLinkAboutBuilding Permit #937-16 - 50 HAY MEADOW ROAD 3/3/2016/ �J � 4 aq -k
Illy T BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
it
Permit NO: Date Received
T.0 U
Date Issued:
-Imp"TANT: Applicant must complete 211 items on this page
LOCATION AIV ly1t:,.rdow /?C)
Print
PROPERTYOWNER eirk
Print
MAP NO&,d PARCEL ZONING DISTRICT: Historic District yes
f Machine Shop Village yes k no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
0 One family
0 Addition
0 Two or more family
0 Industrial
[I Alteration
No. of units:
0 Commercial
0 Repair, replacement
0 Assessory Bldg
11 Others:
0 Demolition
N(Other
0 Septic 0 Well
El Floodplain 0 Wetlands
Watershed District
0 Water/Sewer I
Installation of an interconnected rooftop solar
11.825 kw DC / 43 solar panels
Identification Please Type or Print Clearly)
OWNER: Name: Jessica Kirk Phone: 978-470-2045
Address: 50HayMeadowRd North Andover,Ma 01845
CONTRACTOR Name: Phone: 978-793-8584
Craig M. Orn SunrLTn_ —Installation Services Inc
Address:
734 Forest st ste. #400 Marlborough, Ma. 0 1752
Supervisor's Construction License: cs-080034 Exp. Date:
Home Improvement License: 180120
1/22/17
Exp. Date: 10/14/16
ARCH ITECT/ENGINEER James A Adams Phone: 805-215-8665
Address: 146 San Jose Ct San Luis Obispo, Ca.93405 Yeg. No. 49748 6/30/16
FEE SCHEDULE: BULDING PERMIT., $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
Total Project Cost: $ 24715 FEE: $
C h eck N o.:— Receipt No.:
bc2Ea=
NOTE: Persons contracting with unregistered c ptractors do not have access I -he guaran Y 1wry
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%—na0e- of _AgentkYWn__e�_----? T__Inoa��r_e _ofconir_a6o_e�_�_ -7
Z
P
Plans Submitted [I
Plans Waived 11 Certified Plot Plan [I Stamoed Plans 11
OF SEWERAGE DISPOSAL
FTYPE
Se
Pub]hic Sewer El
Tanning[Massage/Body Art El
Sw'unu'ng Pools
_I
well
Tobacco Sales
Food Packaging/Sales 11
Private (septic tank, etc. El
Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On
COMMENTS
Signature.
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on
I Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: -Zoning Decision/receipt submitted yes
Planning Board Decision:
Com
Conservation Decision: Comments
Water & Sewer Connection
DPW*Town Engineer: Signature:
Located 384 Osgood Street
ern umps er. onlsi
_QEjE � � I g" ��4' _ �� P_
Ell !)ERAR—TiME Rif; ff
1r2 1B
ocated �'t ain 8tM6K
re [Dep irm
jar E) nn �§igh'dture/aat
A
'_4 410r�w.
_09 T
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.sloo-sl000 fine
NOTES and DATA — (For department use)
U Notified for pickup Call Email
Date Time Contact Name
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
Building Permit Application
Workers Comp Affidavit
Licenses
Photo Copy Of H.I.C. And/or C.S.L
Copy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler P an And
Hydraulic Calculations (if Applicable)
Mass check Energy Compliance Report (If Applicable)
Engineering Affidavits for Engineered products
IOTE: 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
4, Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (if Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
JOTE: 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
Location
No. Date
TOWN OF NORTH ANDOVER
Certificate ofOccupancy
Building/Frame Permit Fee
Foundation Permit Fee
$--_—__
Other Permit Fee
$—
TOTAL
$____°,
~�-
Check #
`
Building Inspector
^
sunrun
Sunrun Inc. 1,8S5.4SUNRUN sunrun.com
July 6, 2016
Town of North Andover
Building Department
1600 Osgood St
Building 20, Suite 2035
North Andover, MA 01845
NOTICE OF CANCELLATION
To Whom It May Concern,
The purpose of this letter is to request the cancellation and refund of fees, if possible, of
building permit #937-2016 and electrical permit #13155 for the photovoltaic solar project
located at 50 Hay Meadow Rd. The permits were issued March 3, 2016. The
homeowner, Jessica Kirk, has decided not to move forward with the project.
If a refund is applicable, check(s) can be made out to Sunrun Installation Services. The
refund can be mailed to:
Sunrun Installation Services
Attn: Conor Smith
734 Forest Street #400
Marlborough, MA 01752
If you have any questions or concerns, please feel free to contact me. Thank you for
your consideration.
Regards,
Conor Smith
Permit Coordinator
(978) 493-4131
conor.smith@sunrun.com
sunrun
Sunrun Inc. 1.855.4SUNRUN sunrun.corn
July 6, 2016
Town of North Andover
Building Department
1600 Osgood St
Building 20, Suite 2035
North Andover, MA 01845
ZM91 I M6,21
To Whom It May Concern,
The purpose of this letter is to request the cancellation and refund of fees, if possible, of
building permit #937-2016 and electrical permit #13155 for the photovoltaic solar project
located at 50 Hay Meadow Rd. The permits were issued March 3, 2016. The
homeowner, Jessica Kirk, has decided not to move forward with the project.
If a refund is applicable, check(s) can be made out to Sunrun Installation Services. The
refund can be mailed to:
Sunrun Installation Services
Attn: Conor Smith
734 Forest Street #400
Marlborough, MA 01752
If you have any questions or concerns, please feel free to contact me. Thank you for
your consideration.
Regards,
'�� '4
Conor Smith
Permit Coordinator
(978) 493-4131
conor.smith@sunrun.com
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SOLAIR-ROOF-CRECK =� A RFGOROus LOAo ANALYSIS
146 San Jost CoUrt, Sah LUM Obsipo. CA 93405 0 P11: 805-215-8665 10 Fx: 805�544-0063
DATE: 12-03-2015/Rev A
FOR: Sunrun
775 Fiero Lane Suite #200
San Luis Obispo, CA 93401
To Whom It May Concern
JOB: jessica kirk Residence
50 Hay Meadow Rd
North Andover, MA 01845
This letter is to certify that we have performed a structural analysis of the existing roof members that are to
support photovoltaic panels, as shown on the attached report. The calculations were performed in accordance
with the latest editions of IBC, NDS, ASCE/SEI, CBC, and IRC, and the 8th edition 2009 Massachusetts
building code.
Our analysis was based on the following design criteria:
Ground Snow (psf)
50 psf
Sloped Snow (psf), reduced per ASCE, Sect. 7.4
32 psf
Basic Wind Speed (mph):
100 mph
ASCE Code:
7-05
The PV module orientation:
Portrait
The maximum horizontal roof mount spacing:
4 ft.
The maximum vertical roof mount spacing:
2.75 ft.
Staggered roof mounts required?
Yes
Based on this analysis, we can certify that the individual existing roof framing members that support the
PV panels; and the individual roof members as described in the attached report; are adequate to support the
design loads as required by the various codes. This includes Dead Loads (including the weight of the PV
panels), Live Loads, Snow Loads, and Wind Loads, on the roof members that support the PV panels,
combined as required in the codes.
If you have any questions on this or need further clarification, please contact us at your convenience.
Sincerely
James A. Adams, S.E.
OF N
A44
i ES
DAM
STRUCTURAL
Expir-
Digitally Signed by
James A. Adams, S.E.
Date: 2015.12.03 14:24:17 -0800
NOTE: Strengthening req'd. See Details on S-1 Sheet.
ABSTRACT
This Report is based on Engineering calculations
using the input data supplied by the user, listed
under Current Input Data. The user's input has not
been independently reviewed by a licensed
Professional Engineer for appropriateness or
accuracy, unless Stamped by a P.E. This Report
indicates Compliance/Non-Compliance with the
reference Codes listed below. The following items
have been checked for Code Compliance:
- Load Combination #1:
Wind Uplift on the Standoff attachment to
the Roof Framing members: Wind Uplift -
0.6DL Solar
- Load Combination #2:
Supporting Rafter Strength with: DL Rf +
DL Solar + Roof Live Load
- Load Combination #3:
Supporting Rafter Strength with: DL Rf +
DL Solar + Wind Down
- Load Combination #4: Supporting Rafter
Strength with: DL Rf + DL Solar + Snow
- Load Combination #5:
Supporting Rafter Strength with: DL Rf +
DL Solar + .75Wind + .75Snow
- Load Combination #6: Check Additional
Seismic Load
- Load Combination #7:
Supporting Rafter Strength with:
Wind Up - O.6(DL Rf + DL Solar)
Job Information
Data Input By:
_L2 , 7_77, 777777-77MI-77T
Job Number:
Date of Report:
12-03-2015/Rev A
Job Name: jessica kirk Residence
Data Input by:
Aakash Bahadur
Job Number: 221R-050KIRK
Contact E-mail:
aakash.bahadur@sunrunhome.com
Job Address: 50 Hay Meadow Rd
Contact Phone:
704-557-6906
North Andover, MAO 1845
ABSTRACT
This Report is based on Engineering calculations
using the input data supplied by the user, listed
under Current Input Data. The user's input has not
been independently reviewed by a licensed
Professional Engineer for appropriateness or
accuracy, unless Stamped by a P.E. This Report
indicates Compliance/Non-Compliance with the
reference Codes listed below. The following items
have been checked for Code Compliance:
- Load Combination #1:
Wind Uplift on the Standoff attachment to
the Roof Framing members: Wind Uplift -
0.6DL Solar
- Load Combination #2:
Supporting Rafter Strength with: DL Rf +
DL Solar + Roof Live Load
- Load Combination #3:
Supporting Rafter Strength with: DL Rf +
DL Solar + Wind Down
- Load Combination #4: Supporting Rafter
Strength with: DL Rf + DL Solar + Snow
- Load Combination #5:
Supporting Rafter Strength with: DL Rf +
DL Solar + .75Wind + .75Snow
- Load Combination #6: Check Additional
Seismic Load
- Load Combination #7:
Supporting Rafter Strength with:
Wind Up - O.6(DL Rf + DL Solar)
Job Information
Data Input By:
Aakash Bahadur
Job Number:
221R-05OKIRK
Job Name:
jessica kirk Residence
Job Address:
50 Hay Meadow Rd
City, State:
North Andover, MA 01845
Current Input Data
Payment Method
Invoice
RoofType
CollarTies
Ceiling Type
1/2 gyp. Bd.
Collar Tie Space
32
Coverage %
18.15
Frame Size
3-2x8@16
Ground Snow (psf)
50
Sloped Roof Snow Load (psf)
32
Lag Screw Diam. (in)
5/16
Lag Screw Embed. (in)
2.5
Overall Span (ft)
33
PV Weight (pso
3
PV Module Orientation
Portrait
Rafter Span (ft)
22.17
Rail System
2Rail
Roof Mean Height (ft)
20
Roof Slope (degrees)
40
Roofing Type
Comp. Shingle
Sloped Ceiling
No
Max. Horizontal Roof Mount(ft)
4
Max. Vertical Roof Mounts (ft)
2.75
Standoff Staggered
Yes
Wind Exposure
C
Wind Speed (mph)
100
Reference Codes
International Building Code (IBC latest edition)
American Society of Civil Engineers (ASCE/SEI 7-05, 7-10) National Design Spec. for Wood Constr. (NDS latest
edition) CBC and NJ Edition
Note: For ASCE 7-10, wind includes (0.6) factor, in loading combinations.
STR�UCTU�RAL CALC!ULATI:ONS for PV INSTALLATION
USER:
COMPANY NAME:
SRC JOB ID:
JOB REPORT DATE
JOB NUMBER:
JOB NAME:
JOB ADDRESS:
Sunrun
775 Fiero Lane , Suite #200
San Luis Obispo CA, 93401
805-528-9705
Aakash Bahadur
Sunrun
13361
2015-12-03/Rev A
221R-050KIRK
jessica kirk Residence
50 Hay Meadow Rd
North Andover, MA 01845
Digitally Signed by
James A. Adams, S.E.
Date: 2015.12.03 14:18:13 -0800
NOTE: Strengthening req'd. See Details on S-1 Sheet.
Program Version: 2015-11-21:7
Contact: jadams@solar-roof-check.com Phone: 805-215.8665
Page 2 of 8
Lo^D COMBINATIONs: ASCE 7-05, IBC 2009 (NOT APPLzc^nm IN CA)
0 LOADING Coma, #1: WIND UPLIFT - 0.6DL SOLAR AT STANDOFF (Co=1,6) ZONE 2
0 LOADING COMB,. #2-: DL RF + DL SOLAR + RF LL (CD= 1.2 5 ).
s LOADING Coma. #3: DL RF + DL SOLAR + WIND DowN (Co=1.6). ZONE 1
o LOADING Coma. #4: DL RF + DL SOLAR + SNOW (CD=1.15).
e LOADING COMB, *5: DL RF + DL SOLAR +.75WrNo +.7,SSNow (CD=1.6) ZONE 1
e LOADING COMB. #6: CHECK SEISMIC FOR SE-cr. 3404.4.ALTERATIoNs.
0 LOADIN43 COMB. #7: (0.6)(DL RF + DL SOLAR) + WiNo Up (Co=1.6). ZONE I
Lo^o ComaxNATrcNs: ASCE 7-10, IBC 2012 CALIFORNIA, CBC 2013
0 LOADING Coma. #1: (0.6)WIND UPUF-r - 0.6DL SOLAR AT STANDOFF (CD=1.(>) ZONE 2
0 LOADING COMB. #2: DL RF + DL SOLAR + �RF LL (CD= 1. 2 5 ).
0 LOADING COMB. *3: DL RF + DL SOLAR + (0.6)WiND Dowri (Co=1.6) ZONE I
0 LOADING COMB. #4: DL RF + DL SOLAR + SNOW (CD=1.15)
LOADING Come. #5: DL RF + DL SOLAR +-75(0.6)WjNo +.75Snow (CD=1.6) ZONE 1
LOADING COMB. *6: CHECK SEISMIC FOR SEcr. 3404.4 ALTERA-noNs
LOADING COMB. #7: (0-6)WiNo UP-0.6(DL RF + DL SOLAR) (Co=1.6) ZONE 1
REFEPEwcEs: NJ, NOS L^TEsT EDITION
Duration Factors
Section Modules
Size Form Factor
Cdwh,d 1.6
S2X2
0.563
S4X4
7.150
Cf2x2
1-5
Cf4x4
1.5
Cdsriow 1.15
S2X4
3.063
S4x6
17.650
Cf2x4
1.5
Cf4x6
1.3
CdDL 0.9
S2x6
7.563
S4xa
30.660
Cf2x6
1.3
Cf4xs
1.3
Cd LL 1.25
S2xs
13.24
S4xio:=
49.9-00
Cf2xs
1.2
Cf4xo
1.2
Swo:=
21.39
S4xl2:=
73.800
Cf2.10
1.1
Cf4x,12
1-1
Fb :=1000.00 psi
S2.xl2:=
31.64
U1,12
1-'0
Page 3 of 5
USER INPUT' .
1. Ceiling Type:
1/2 gyp. Bd.
2. Collar Tie Space:
32
3. Coverage %:
18.15
4. Frame Size:
3-2x8@16
5. Ground Snow (psf):
50
6. Sloped Roof Snow Load (psf):
32
7. Lag Screw Diameter (in):
5/16
8. Lag Screw Embedment (in):
2.5
9. Overall Span (ft):
33
10. PV Weight (psf):
3
11. Rafter Sloped Span (ft):
22.17
12. Rail System:
2Rail
13. Roofing Type:
Comp. Shingle
14. Roof Mean Height (ft):
20
15. Roof Slope (degrees):
40
16. Roof Type:
CollarTies
17. Sloped Ceiling?:
No
18. Standoff Max. Horz. Space (ft):
4
19. Standoff Max. Vert. Space (ft):
2.75
20. Standoff Staggered?:
Yes
21. Wind Exposure:
C
22. Wind Speed (mph):
100
23. wr = Weight of RoofType (psf):
2.20
24. wra = Weight of Rafter (psf):
5.85
25. wc Weight of CeilingType:,
2.20
26. wcj Weight of Ceiling Joists (psf):
0.65
27. s = Rafter spacing ft):
1.33
28. PV Orientation:
Portrait
Page 4 of 13
SLoPEo/VAuLTED CEILING - CARRIED By THE Top CHaRD/R^FTER:
DL -=
t.. DeadloadTopChord (Rafter)
DLbc := Deadload Bottom Chord (Ceiling)
FLAT CEILING CAPJUED IBY THE CEILING JOISTS:
DLtc Deadload Top, Chord (Rafter)
DLbc Deadload Bottom Chord (Ceiling)
,A,DLtc-:= DLtc X S (Pif) 14.07
wDLbc := DLb, x 5 (Plf) 4.47
TM = Horizontal spacing x Vertical spacing (sf) 11.00
Topographic Factor
Assume Roof Is not an top of a hill, bluff, or mountain ridge, 1.0
Sect. 6.5.7,2, pg. 26
CLS 1.00
COMPONENTS AND CLADDING:
ASCE 7-05:
Zone 1: Net Wind Pressure - See Figure 6-3, pg. 42 17.10
Zone 2: Net Wind Pressure - See Figure 6-3, pg 42 20.10
Adjustment Factor for Height and Exposure - See Figure 6-3, pg. 44, 1.29
ASCE 7-10:
Zone 1: Net Wind Pressure - See Figure 30. 5- 1, NA
Zone 2: Net Wind Pressure - See Figure 30.5- 1, NA
Ad ustment Factor for Height and: xposure - See Figure 30.5-1, NA
j ;E
PZCM--1 up � Net Wind Pressure x Adj. Factor (psf) = 22.06
P Zone2 up =Net Wind Pressure x A�di. Factor (psf) = 25.93
= Net Wind Pressure x Adj. Factor (psf) 10.00
PZone I dri I
Note: For ASCE 7-10 the wind forces have been multiplied by 0.6
LOADINr. ComsxmATzoN *1: WIND UPLIFT CONNECTION TO R^FTEit - ZONE 2
P, := TA x (Pup - 6 x IDI-Sotar x COS(8) :uPlift
d= Dia:m.lag screws User Input
Page 5 of 0
270.05
5/16
t= lb/inch Withdrawal NDS 2012 - Tab. 11.2A, pg 75 235.00
e= Threaded embedment into wood User Input
W= Total withdrawal capacity
2.50
CdWmd x t x e 940.00
I%k7 X 100
0; := - 348.08
P,
<< if equal to or more than 100% Code Compliant, OKI
Table 3 represents the maximum Moment (M = PL/a)
resulting from point loads (standoffs), for any spans (L) listed.
a= 2.09
Table 3 (The Moment Factor "a" fora 2 Rail systeml Table 3 (The Moment Factora'fbr Zep or similar system)
Staggered
Unstaggered
Staggered
unstaggered
Le ngth
Portrait
Landscape
Portrait
Landscape
Length
Portrait
Landscape
Portrait
Landscape
L = 4'
4.00
4.00
4.00
2.91
L=V
5.00
5.00
5.00
5.00
L= S'
4.00
3.50
3.72
2.50
L = S'
5.00
5.00
5.00
5.00
L = 6'
4.00
3.00
3.43
2.09
L = 6'
5.00
5.00
5.00
5.00
L = 7'
3.60
2.84
2.95
1.83
L = 7'
4.50
4.50
4.50
4.19
L = 8'
3�.20
2-67
2.46
1.56
L = 8'
4.00
4.00
4.00
3.37
L = 9'
3.03
2.59
2-34
1.44
L = 9'
4.00
4.00
4.00
3.12
L= 10'
2-86
2�50
2.2.2-
1.31
L = 10'
4.00
4.00
4.00
2.86
L = 11'
2-77
2.25
2.04
1.19
L = 11'
4.00
4.00
3.70
2.49
L = 12'
2.67
2.00
1.85
1.07
L = 12'
4.00
4.00
3.39
2.09
L = 13'
2.61
1.88
1.74
0.90
L = 13'
4.00
3.87
3.35
1.98
L = 14'
2-55
1.75
1.62
0.92
L = 14'
4.00
3.73
3.30
1.87
L = 15'
2-51
1.68
1.50
0.86
L = 1S'
4.00
3.32
2.88
1.79
L = IL61
2.46
1.60
1.38
0.81
L = 16'
4.00
2.90
Z46
1�68
L= 17'
2-43
1.45
1.31
0.76
L = 17'
4.00
2-74
2-36
1.57
L = 19'
2.40
1.29
1.23
0.72
L = 18'
4.00
2-57
2.25
1.45
L = 19'
2.38
1.24
1.17
0.68
L = 19'
4.00
2-46
2.18
1.38
L = 20'
2.35
1.18
1.1i
0.65
L = 20'
4.00
2.35
2.11
1-30
L = 21'
2.22
1.14
1.06
0.62
L = 21'
4.00
2.28
2.06
1.25
L=22�
M9
1.10
1.00
0-59 11
L = 22'
4.00
2.20
2.00
1.20
Page 6 oF 6
Note: For ASCE 7-,10 the wind forces have been multiplied by 0,6
COMBINATION *2: DL RF + DL SOLAR +RFLL (CD=1.25) with LL= 13.93 psf
,tv:=LLxs plf
(pit) 18.57
P :� TA x DLSO,ar
33.00
C :� (L - 5.51
2
(ft) 8.34
MDL-= L L
wDLtC x P SP x
930.20
For Spans 10.6 ft
3 1]2
x x (2 x L -3 x Cos(e)
MLL
,
2 x L
NA
2 x w
C) + -w x C21
[["'xcxf2xL--
For Spans -10.0 R
x C05(e)
2 x L
MLL
494.25
2
M:= N4DL + -VIL
(lb -ft) 1424.45
M1 x 12
Fb x Cdu x Cf., x Cr X CLS
9.91
Sx x 100 397.81
Sr < < IF EQUAL TO OR MORE T14AN 100% CODE CompLiAKT, OKI
ComsrNATram *3: ZONE I DL RF + DL SoLAFt + WIND DOWN (Co=1.6)
P3:= TA x (Pdn + DLSolar x C05(e)) 135.28
L
N13 wDLte x — cos (e Y. &-Ly't - P.3 �� - 2097.04
8 a
12
r -b x CdNNTfi1dK Cr x CLS 11.40
S x x 100 < < IF EQUAL TO OR MORE THAN I O�0% Com CompuANT, OKI 345.88
Sr
COMBXNATION *4; DL RF + DL SOLAR + SNOW (CD=I,.lS)
S = Sloped Roo�f snow Load (psf) 32.00
S + DL
P4 �T-'k xt Sohir 1 385.00
2
M,-� -.vDLtc x L- + P4 )-' L x, Cos �(19) 3790.53
a
12
Sr:= 1\4,, x Fb x CdSnmv x Cf,� x C. x CLS 28.66
Sx >1 100 * < < IF EQUAL TO OR MORE T14AN 10 % CODE COKPUANT, OK 1 137.53
Sr
Pagit 7 of 0
Note: For ASCE 7-10 the wind forces have been multiplied by 0.6
LoAormc; CoMBzmA-rxom *5: ZONE I DL RF + DL SOLAR +.75Wrr#D +.75SNOW (CD=1-6)
S = Sloped Roof Snow Load (psf) 32.00
Pl:= TA x -7 -4 x S + DL Solar) X cos(e) + -, x Pdri 310.02
TA X.75
N� X + cos(e)
j:= ( wDLtc aj x 3950.58
Sr :=Nl5x 21.47
Fb X CdWind x Cfl. �-c Cr x CLS
S 100
-X << IF EQUAL TO OR MORE -n4AN 100% CODE COKPUANT, OKI 183.60
Sr
LoADina CoMaimAiriom *6: CHECK SExsmrc LoAoxmG:
EydsfingDL := DLRf + Walls Walls := --5.5 psf 19.40
ProposedDL := Exisfin�L + DLsolar �< C 19.94
seismicIncrease := 100 X ProposedDL 2.81
( EmstingDL
<< IF EQUAL TO OR LEW THAN 10% CODIE CompuANT, OKI
SEISMIC SUMMARY
Sect. 3404.3 Alterations (See Exception):
The addition of the Solar Panels, meets the following:
The design strength of existing elements required to, resist seismic forces 'is not reduced,
The seismic force to required existing structural elements is not substantially increased.
No new structural elements are being added.
New nonstructural elements are being connected to existing structure per Chapter 16.
Alterations do not create structural irregularities.
Page a 0-1 a
Note: For ASCE 7-10 the wind forces have been multip'lled by 0.6
LoAvrmG ComaxNA-nor% *7*. ZONE I (01.6)(DL RF + DL SOLAR) + WIND UP (CD = 1. 6)
WAS
P-7 := TA Y, (pup — 0.6:�. DLSOIer cas(0)) 227.48
X17 P7 x L) — -,vDLtc L-
- X cos(e') 2015.82
a
Sr :=Nf7><' 12 10.96
F�b CdNX/ind - Cr CLS
SXX 1010
Sr < IF EQUAL -ro oR MORE THAN 100% �CODE COMPLIANT, OKI 359.82
Limus OF SCOPE OF WORX AND UABILKTY
Existing deficiencles which are unknown and not observable due to their
being: concealed Inside walls, or sandwiched behind gypsum board ceilings at
the time of Inspection are not included in this scope of work. These
calculations are for the roof framing which supports the new PV modules.
These calculations do; not include a complete lateral analysis of the building,
nor a prediction of the life expectancy of the existing building.
OWNER'S AUTHORIZATION FORM
For Permit Application(s)
The sole purpose of this form is to provide Sunrun, Inc.
with the necessary permission from the Owner to file permit application(s) for
such project work as agreed upon between the Owner and the Owner's
Authorized Company and its designated subcontractors.
Owner's Name: jessica kirk
Solar Project Address:
�.Slq— by:
Signature:
Owner's Authorized Company: Sunrun, Inc.
Company's Address: 595 Market St 29th Floor, San Francisco, CA 94105
Affiliation: Contractor
Applicable License:
State: MA
CSLB #969975, NJ#13VH07020300
DocuSign Envelope ID: 8EA3C468-1816-4B6D-8A70-DO784ABFOA48
?2' N0110E OF RIGHT TO CANCE
YOU MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE 10TH CALENDAR DAY AFTER YOU SIGN
THIS AGREEMENT AND ANY DEPOSIT PAID WILL BE REFUNDED. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR
AN EXPLANATION OF THIS RIGHT.
By initialing below, you expressly acknowledge that you have been advised on your right to cancel this Agreement and have received duplicate copies of
the Notice of Cancellation.
— DS
,E
nEcce—p!�e:dJLUy—,(Iffili ials): I
SUNRUNINC.
Date: 11113/201
DocuSigned by:
Signature �6LL hatWA
E73FE783DC94F41 0
PrintName: John machulak
Title: Sunrun Operwtions
SALES CONSULTANT
By signing below I acknowledge that I am Sunrun accredited that
Ijoresented this agreement according to "The Right Stuff ' and the
Sunrun Code of Condua and that I obtained the homeowner's
signature on this agreement.
Name.-AndreW Lee
DocuSignedref!nt Name]
5i
gnatUrC
a VJ" vt
DAF94903065C48F
SunrunlD#.* 1 95464329
[10-dgit numberyou received from Sunrun]
CUSTOMER
BYmao�Account
M 11/11/2015
DocuSigned by:
U&afgwe.
U169756"13r4
Jessica IrVI
jessk4-rk72@gmai1 com
*This email address will be used by 5unrun for offilcial correspondence, such as sending
month4(bills or other invoices. 5unrun will never share orsellyour email address to any
thirdparties.
Account phone number: (97&)-470-2045
IVIz?,
TjT!'9TjV';
Signature:
Print Name:
11/02/2015 PK17RA6AF1ZL-H (Custom PPA Fixed) Page 12 of 18
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Sunrun Installation Services, Inc.
Address: 775 Fiero Lane, Suite 200
City/State/Zip: San Luis Obispo, CA 93401
Are you an employer? Check the appropriate box:
Phone #: 978-549-9438
1. E] I am a employer with 35 employees (ful I and/or part-time).*
2.rl I am a sole proprietor or partnership and have no employees working for me in
any capacity. [No workers' comp. insurance required.]
3.n I am a homeowner doing all work myself [No workers' comp. insurance required.] t
4. R I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers' compensation insurance or are sole
proprietors with no employees.
5.M 1 am a general contractor and I have hired the sub -contractors listed on the attached sheet.
These sub -contractors have employees and have workers' comp. insurance.:
6.EJ We are a corporation and its officers have exercised their right of exemption per MGL c.
152, § 1(4), and we have no employees. [No workers' comp. insurance required.]
Type of project (required):
7. E] New construction
8. E] Remodeling
9. El Demolition
10E] Building addition
ILE] Electrical repairs or additions
12.E] Plumbing repairs or additions
13.F]Roof repairs
14. [Z] Other Rooftop Solar
Any applicant that checks box # I must also fill out the section below showing their workers' compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. Ifthe sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that isproviding workers'compensation insurancefor my employees. Below is thepolicy andjob site
information.
Insurance Company Name: Zurich American Insurance Company
mir,ol,inannni 2. imeniqczarzin4 I
Policy # or Self -ins. Lic. #: Expiration Date: " V Uzu 10
Job Site Address: 50 Hay Meadow Rd — City/State/Zip: N. Andover,Ma.01845
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under t e pains andpenalties ofperjury that the information provided above is true and correct
SijZnature: Date:
Phone #: 978-549-9438
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#:
ACC)RbF CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
110/8/2015
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
Arthur J. Gallagher & Co. Insurance Brokers of CA.
1255 Battery Street #450
San Francisco CA 94111
CONTACT
NAME:
= rxt). 415-546-9300 415-536-8499
Ei A
A 1M) RILE S S
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:Zurich American Insurance Company 16535
INSURED SUNRINC-Q1
Sunrun Installation Services Inc.
775 Fiero Lane, Suite 200
INSURER B:
INSURER C
IDAMAGE TO RENTE—D— —
San Luis Obispo, CA 93401
INSURER D:
INSURER E:
INSURER F:
U1"VFR&f_.F:_q PCOTICHIATCK111RAMCM Qdd'AF;7R7A —
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 WTH 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.
INSIR
LTR
TYPE OF INSURANCE
D
'INS=1VD
POLICY NUMBER
POLICY EFF
(MM/DD1YYYY)
POLICY EXP
IMMIDDIYYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS FlOCCUR
EACH OCCURRENCE $
IDAMAGE TO RENTE—D— —
-MADE
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY [:] PRO-
JECT [—] LOC
GENERAL AGGREGATE $
PRODUC S - COMP/OP AGG $
OTHER
$
AUTOMOBILE
LIABILITY
COM"INED _9INGLE LIMIT
(E .. id.nt) $
ANY AUTO
BODILY INJURY (Per person) $
1
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) $
NON -OWNED
HIREDAUTOS AUTOS
1
FROP.ERTY DAMAGE
Per . den') $
$
—
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
EXCESS LIAB
CLAIMS_MADE
AGGREGATE $
DED I I RETENTION$
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE —1
OF I
F CER/MEMBER EXCLUDE[ F
NIA
y
WC013696001
WCO 1 3696101
10/1/2015
110/1/2015
10/11/2016
10/1/2016
_X I STATUTE I I 0ER'_
E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE - EA EMPL YEd $1,000,000
andatory in NH)
If gs, describe under
D SCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 1 $1,000,000
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
WC013696001 - $25,000 Deductible-, WC013696101 - FL, HI, MA, NJ, NY, OR, VA, Wl only.
Evidence of Insurance
Town of North Andover
120 Main St
North Andover MA 01845 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
%) 1WRS-204 ACUIRL) CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
0
ACC)RE0 CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
10/01/2015
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
MARSH RISK & INSURANCE SERVICES
345 CALIFORNIA STREET SUITE 1300
CALIFORNIA LICENSE NO. 0437153
SAN FRANCISCO, CA 94104
CONTACT
-NAME:
PHONE FAX
WC_ No. Ext): "C' No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
OOOfA 1241
INSURER A: James River Insurance Company 12203
104960339-STND-GAX-1 5-16
INSURED
Sunrun Installation Services, Inc.
INSURER 8: NIA N/A
INSURER C : Houston Casualty Company 42374
and REC Solar, Inc.
775 Fiero Lane, Suite 200
San Luis Obispo, CA 93401
INSURER D:
1 INSURER E:
PRODUCTS - COMP/OP AGG $ 2,000,000
INSURER F:
I
k;UVI=KAU1=5 CERTIFICATE NUMBER! SEA -002994222-03 RFVI-qlnKi N"MRFP-.5
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 WTH 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 —
ADDLSUBR
POLICY NUMBER
POLICY EF
IMM/DD1YYYYJ
POLICY EXP
(MMIDDNYYY)
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
OOOfA 1241
10/01/2015
10/0112016
EACH OCCURRENCE $ 1,000,000
_DAMAI
I S3E To R ENTED
PREM ES (E. occ."."..) $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY 0 PRO- —] LOC
JECT F
X OTHER� Host Liquor Liability
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
TOTAL POLICY LIMIT $ 10,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPER DAMAGE
(par.. 'Z I) $
d
C
X
UMBRELLA LIAB
EXCESS LIAB
N
OCCUR
CLAIMS -MADE
H15XC5023203
10101/2015
10/01/2016
EACH OCCURRENCE $ 10,000,000
AGGREGATE $ 10,000,000
I
DED I I RPTENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F—]
(Mandatory In NH)
If ns, describe under
D SCRIPTION OF OPERATIONS below
NIA
PERT OTH-
STA LITE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Re: Permitting within jurisdiction,
Town of North Andover
120 Main Street
North Andover, MA 01845
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Stefan Szulc
(9 1 UtSU-2014 AGURID CORPORATION. All rights reserved.
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
F,
S
f
7"-
Wa 0 4d WMM - —
INT -2 NONE S4064
0i IU I
. - wftft� I -- 3:
7-
2 Ed M?
73 WALNUT ST
OXFORD, MA 01540 -Mi
5 DO01-20-2012FtwV67-15. 20n
� I
.ww. Massachusetts - Department Of Public Safety
YJ Board of Building Regulations and Standards
Con%truction Superj-iil-
License: CS4)SO034
1:1 Is
CRMG ORN :. I- i
73 WALNUT ST.�
OXFORD KA 0840
Expiration
Commissioner 01122J2017
0
Office of Consumer Affairs 2nd Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02 116
Home Improvement Contractor Registration
SUNRUN INSTALLATION SERVICES INC.
CRAIG ORN
775 FIERO LANE SUITE 200
SAN LUIS OBISPO, CA 93401
SCA 1 0 20M-05/11
ice of Consumer Affairs & Business Regulation
E IMPROVEMENT CONTRACTOR
eg istratio n .1 80120:�. Type:
Expiratl;bn:-..,10./14�/�2016'.- Supplement Card
S R
SUNRUN INSTALLATION E VIC6 INC.
CRAIG ORN
775 FIERO LANE SUITE 2PO-,
SAN LUIS OBISPO, CA 93401
Undersecretary
Registration: 180120
Type: Supplement Card
Expiration: 10/14/2016
Update Address and return card. Mark reason for change.
E] Address E] Renewal [:] Employment Ej 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
��alid without signature
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