HomeMy WebLinkAboutBuilding Permit #979-15 - 58 EVERGREEN DRIVE 5/28/2015BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: I 1 1'*'[ -) Date Received
Date Issued: vJ I Mn
I IMPORTANT: Applicant must complete all items on this pag
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
El New Building
2�pne family
El Addition
El Two or more family
El Industrial
El Alteration
No. of units:
El Commercial
0 Repair, replacement
El Assessory Bldg
El Others:
El Demolition
[I Other
Q S-'eptic 5welt ''r—
Q,Rlo-
PJr..
DESCRIPTION OF WORK TO BE VtRVUKMtU:
rX-12 At –)1A1 -f->0 A—)
OWNER: Narne:-
Address: �-TR
Identification -
p;rype or Print Clearly
Phone:
11'e'e 9 A -,e e " Dif
A jP;JA'.,' e
'3 � I ,
-'('n'ntreqntnr Narnp-: one.
ARCH ITECT/ENGI NEER
Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access tgAhe guarantyfund
7
Location
No. Date 7-9d
TOWN OF NORTH ANDOVER
Certifibate of Occupancy
Building/Frame Permit Fee 2
Foundation Permit Fee
Ov, Other Permit Fee
1 '71t).x TOTAL $
Oheck # q�eolql�
28845
Building lnsp'e'ct I or
Plans Submitted Plans Waived Certified Plot Plan El Stamped Plans El
TYPE OF SEWERAGE DIS�O-SAL
Public Sewer El
Tanning/Massage/Body Art El
Swfim'ng Pools El
Well 0
Tobacco Sales El
Food Packaging/Sales El
Private (septic tank, etc. El
Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
0, -* -I__ � 11A. 11,
COMMENTS
Reviewed On Signature'.
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384
Street
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
MGL Chapter 166 Section 21A —F and G min.$ I 00-si 000 fine
NOTES and DATA — (For department use)
EJ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Peniait Revised 2014
mk
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
Building Permit Application
Workers Comp Affidavit
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Copy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
4, Mass check Energy Compliance Report (if Applicable)
,;; Engineering Affidavits for Engineered products
E: 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)
,4. Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
E: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doe: Building Permit Revised 2014
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23
Renewal
byAndorsen,Cw
WINDOW REP1,ACE#AFKT
Ucense 0170810 (Expires 1021201
Renewal by Andersen Corporation Fe;derA] Tax ID #41-14184
30 Forbes Rd. Northborough, MA 01532
(508) 351-2200 Fax (W8i-98&7072
CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT
Ekiye�s) Name 'Date:
RICHARD VALLE APRIL 3, 201,5
Street Address Gitv State 7in rA-AA
Sa EVERGREEN DR NoRTH ANDOVER 01845
'Emil Address Home Telephone. Number Wo ell Telephone Number
vALLE.ROVERIZON.NET I 97a-685-1022 I
Buyer(s) hereby jointly and sevarally agrees to purchase the goods and/or services of Renewal by Andersen Corporation ("Contractor'), inaccord4noe with
the terms and conditions described on the front and the reverse of this agreement and on the attached Specification sheet(s) (collectiviil�, this "Agreement).
Buyer(s) hereby agrees to sign a completion certificate a fter Contractor has completed all work underthis Agreement,
Total Job Amount $ 9,334
kmwt Financed S 9,334.
Est. Start
Method of PgMent
CheckfCash
Deposit Received (3356) $ 0=
Depwo at rigm'ng' $ 4.667�00
8- 10 weeks
8manco start of job (33%)
Check
Balance on Substantial.
Completion of Job (33%) $ .0-00
S 4,66T00
list. insta time
Credit Cant
1 w2 days:,
If cfWh card is selectod,'please
firea payfIvIre" �0� re wmarde'd ure e palt� are satiod
see credit card Pavment torm
Buyer(s)'agroes and understands" thitAgreement constitutes the entire understanding between the parties, and that theireare no Verbal understandings
changing or modifying any of the term of this Agreement No alteration to or. deviation from this Agreement will be valid without tM signed, written consent
of both 1311yor(s) end Contractor. Buyer(s) hereby. acknowledges that Buyer(s) I has re ad this Agreement, understands hie ternwo I f this ftrftrrmiri� andhas
received a complatedi signed and dated copy afthisAgroomertt, including the two affachad.Notices. of Cancellation, on the date first written above and 2) was
orafly informed of aupearight to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
I by Andefsen Corporation
Signature of Consultant
x GREG TAUTKUS
Printed Name of Commlant
Buyer(s
144 '- y
Signature
RICHARD VALLE
Pimled Name
POinted Nam,
You, THE BUYEA(S), MAY CANCft THIS TRANSACTION AT AW TIME PAW TO MIDNIMIT OF THE TH1010 BUSINESS DAY AFM THE 0 . ATE 01 �THISTRANSACWNL
SEE THE ATTACHED NOME Of CANMLATION FOAMS FOR AN EXPLANATION OF THIS FUGHT.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - --- --- - - - - - I
'NOTICE017C&NCELLATIOS
NOTICLOYCANCELIA]VION
�'Y" may cancel 1116 Date of Uausactioa, 'You may caft, . el th" -
transaction, without any penalty or oblipti-I -ida. $it... hualuess day* from the tr�action, xvitbout any penalty or obligation, within there business da
ys fi-om the
ab~ date. If, you, cancel, any property traded in, any payments made III yaa and" h.. dw.. It y. ...L any property traded in, attypAyments made by you under
the Comeact of gale� a" any negotiable Instrument executed by you %via he the Contract of fide, and any negotiable instrument executed hylun-illut
returned within 10 days following ree"pt by the Contractor ofyour returned within leakya following reeeipthy the oryour
cancellation natice, a" auysetcurity interest arking out of the transaction wift he will he i
ea-twele& If you eanoet, you, imist make avallable to the Seller at �mw residence, in I cancale& it yen cguareI, you rou":make available to thr Seller at
yotte,"deftce, in
aub"AtItially I ' I.% good condition as when ~Aved, any goods delivered to you under i substantiallyas good condition "when recohed, any goodsdelivered myoumider
Ogg (umtract " Sale; ot� you may, if TOW wish, comply with the Insitructions of the I "you way, if you wuh,comply with the instruct;ftesof the
Seller regarding theeturo fiblitmem of the goods at the Sellws expense andsisk. Sellor regarding the return shIpme" of the goods at the Seller*s expenso, and Ash.
If you AO make the goods available to the Seller and the Self� does not pkk them up If van do make the goods "aaabt* W the. Seller and the Sell" does not pick them up
within 20 days of the date of yourNotice of CarodUtion, you may retain oe dispose wi" 20 day� of the date of your Norive of Cancellation, you may texalft or dispose
of the goods withoulney further obitigadmt. Ifyou rniltonukethe available
to the Seller, or if y6ttagree.10 return thil. goods to theSellermul fail to do Do, then gooll's
to the Sell-,, -f ifyou -grea to returIi the. goods to the Seger and Call dosbithen:
to
you remain liable for p;mfortnance of all obligations uotter the Contract. To cimcel you remain liable fiot, performance of all obligations omter the tomract. To Moral
this tr--do-, mail or deliver a giged and da" copy of this cameltAttitat notice th6 traASaction, 00all Or AeUIee a signed and dateA copy Of Otis cancellation . under
OV OUY Other written 116tier, Or send a telegram to Cantrafton. Renewal 4, Andersen, I or any Other written oaflre,� or send a telegrmrtto R,
newal by, Andersen,
34forbesRd. NorthhorottghMA91532. 1 30 Forbes PA Northborough, NIA 01532.
IHEREBVc-ANrEL7mfs,rRANSACTW-V. I HEREBY CANCEL THIS TRANULMON�
134-i� sw.-" pli'll N— s�'--A- �4.
30 Forbes rd Northborough, MA 1 01532
Contractor
Licanse#170810 (Expires 102312016)
liffindow Specification Sheet
Date. of'A�pvtmient
C H A RD AL' LE
F Ril, APR 3, 2015
.."Ri
uveris� 1;qvd lal-x'wc. and stirl""Illy aPT' to purdiwe tN, gfxid� and efor �i-rvices lig(A b(4ow. in accorda rice wid] 11he priccs ana I rnl.q dc t'trilwd
-weificatioti Slivet and the Finnt and the reww— coftheacCompanying CUSTOM NVINDOAV AND DOOR RKMODEIANG � PEE'X1E;NT, of' -which
.on the S1 AG
adon 811('et is parl.
WINDO%V & DOOR DETMLS
App, Apo. APDA EKtorioriintatior Color Hardware Hardware LOWE4 i GrMe- (169@
Room kow---1 Wqff W. WindovWDoor S" Detail— CasiNs IKLI C0`0r SW Somwit, Sminsuo Grilles Salih V3 Smh 2 Liftr Optio-
utw 0 RAX BOW& BUILD OVT DETAILS
Approx,
Style Mimi widthi Appm� Number Frame Window End LOWE I Root kadwwa
Room, cotim st�lo kinke�s haiaht Cmmgs Angle Lltm Worior EKtAnt Color GAVes ,o ftca=:� 'crews smanSuln Soffit Color
—...�Uvinq 100 BayI2:1 oapyv.Dasq 20-26 3 Birch I STIST GBG 2/2 v4 AL smortsiq, softA, stone
SPECIALTY WL14DOW DETAILS
Fullf Approx. LovE, /BOW ADDITIONAL WORK, NOTES
.Room count, Inwd w, sirmlskr. tolo Grift S2a Exont Color Ow t,idi
"-,j I'v siWolican f"b", kw.
ADDITIONALWORKDETAILS:
All. lorksfixtures &GRGituidir andoid to lwsondto"#
I No Contractor will wrap exterior casin2s With coil stock color of
2
Owner is,awiare Mat Contractor does not do any patnting1staining or removalfiristallation of &/am system or window tieatmentsirrardware. It is In# responsiblItty of
the homeowner to have the alarmsystem, and window treatments1hardwara removed prior to installation. VVe make no guarantee as to whatheralaryns or window
treatments1hardwara will fit after replacement. Custorriar is also aware in some casesthare will be glass toss. It there is, the amount I Will be dependent on the 4pe
of ex4fing window% 4,pe of instAllation and window style. We make no guarantee as to the amount ofglass loss. Customer is aware and understands any and alf
unseen rot is not included in this contract. Should any rot be found there voll be an additional charge for Urne and materials unless so stated In this contract.
I Vts Cwtrikctl�w will Insulate. cadk and seW windows with 3 -point syst em to prevent Water and air infiltration, Removal and disposal of all job related debris,
windowsi doom, storm windows and vacuum nightly included, Upon completion of the job and payment In full, a limited warra.nty shall be iasued,
4 Yes Building Permill—Contractor Will secure any and all necessary permits, The fee forthe permit(s) is Included in the total contract pelce,
Y" All discount9have been applied to this agreement.
N"', No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment i finance form(si,
Wkilie, flial, 1116 spf" INO AGRMAMN-11" relliim dwe.catiT
Ow lrtnw.,S� and 111"m are IIII wirbal Iulrlevslajidilim� i1iiisging �,i im% A� 11w wrmi. Thig Slwiifiwati,m sh"i'li Ili;w I'm IW. dl�i . niwt
avi, in —ilb�g affislent"A IW I�wh aw aild CIamaclfw, lim of�q� 1,,40)�, dull, Mly"r" hzi,% "ad thiX slweififniioo, ShMi�
rRenewal by Andersen Corporation
Signature of Consultant Signature Signature
GREG TAUTKUS RICHARD VALLE
Print Name of.Consuftant Pr-WName Print Name
To
R newal: by AndersenCo ration
Ren. 'xl 01512
,30 N
by MI
&men',!
MA IL
uv
flli� ct"MMA 'MN,,(X *w AM! VIOOX
KA'Alce'll Wcliewal lt� 114W plidta M VAL Ce'lll vaelor and I;uy-c,,r(,,4 lwrel'.�y agree [o ahl "d ukxlify dw'
.8,0wro"all tm irldk�Acd fvinv� 01,11er lhatt;,6 sf�wij ic�allv ind"imed hdalv,all 91,10 1"Cly"Its" �Iod amdiliolvs, ictf tlw , ;�Alwmkall wi Oliv. luall), In ('uj I
force wul eflga, '1110 I�Jucndfwmg J,,q qljl!jot to Ow, wv� awl '011ktitiam or 1-1-w Ille foUpwitiv or
4ck o0s
,a ffi�'Nlklf of fhac,i, lfshg�3. f1w fiAlwifig 'wri'm d the Aj. vonat 4re Aw chfulging Of Ilkre i�� 2w -chm, gc�� atl Item wik L Idl blitik, or
es
P �Qlcut Method -
ay
ExIv"it xem�w, $41t Gfi-en Sky Financv
job., $
Nm 1W.Mcr on
(Im i Sky Fituma
............
Priul Natlw of rrmluo
m
F�s T9 T7;74 , -dvi s72 a i 3, F23 t 0M est
Richard' F. Valle
l::;H,;l629Mlw MY I
s3pial,wre
.V 13""20fr5
MIU,
4
DESIGN PRESSURE (PSF)
Renewa
byAndersen.
"W-mr—D..
uftclurmAmcfat"n
WINDOW- REPLACEMENT anAndet=Cr�oy
H-LC25
Wood/Vinyl Composite IF
YftWt0t1ffS420rAX4MM.WMjMMAW4K
Dual Argon Low E4 SmartSun
Double Hung
100-00473618-010
ENERGY PERFORMANCE RATINGS
ILI-Factor (U.S)II-P
Solar Heat Gain Coefficient
0,29
0019
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
UA2.
Manufacturer stipulates that them ratin conform I* applicable NFRC preceduras for determining Whole Product
�p
Performance. NFAC ratings are determ med for a fixed set of environmrital condilims and a specific product size.
NFRC does not recommend any product and does M warrant the sukabiRy of any product fw any spec4. use.
Consuft manufacturer's literature for other product performance information.
Www.nfm.0t9
-4 If Thi. Green
mduct meets
Sears environmental coraft
standards governing energy
efficiency. heavy metals in
the frame and
sash
ftmateriak packaging, and
�;t, cmsumer educational
X
DESIGN PRESSURE (PSF)
k "AA DTLTJ
"W-mr—D..
uftclurmAmcfat"n
H-LC25
I
RbA DB' Sloped Sill DH IN
YftWt0t1ffS420rAX4MM.WMjMMAW4K
Wrote"" atimated ODMrmar" to M annficahle tawarnt. !I
Amlsor exceeds M.E.C.. C.E.C. & I.E.C.C. Air lftftrati- requirememsWMA hagmarkCertificatioo Program
1.
AN
lk-:�\ The Commonwealth of Massachuseus
Department ofIndustrialAccidents
QJf1ce of In uestigations
I Congress Street, Suite 100
Boston, AL4 02114-2017
www.mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Ayl!licant Information Please Print LeAbiv
Name (Business/Oiganiza6on/individual): RENEWAL BY ANDERSEN
Address: 30 FORBES ROAD
N,ORTHBORO, MA 01532 Phone #: 508-351-2200
Are you an employer? Check the appropriate box:
I - NJ I am a employer with 30
4. 1 am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. El 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.
employees and have workers'
[No workers' comp. insurance
comp. insurance.2
required.]
5. El We are a corporation and its
3. El I am a homeowner doing all work
officers have exercised their
myself [No workers' comp.
right of exemption per MGL
insurance requ*.]
c. 152, § 1 (4), and we have no
employees. [No workers'
comp. insurance required.1
Type Of Project (required):
6. F1 New construction
7. Remodeling
8. Demolition
9. Building addition
10. F1 Electrical repairs or additions
ll.[3 Plurnbing repairs or additions
12.[] Roof repairs
13.E] Other
Any applicant that checksbo'x#1 must also fill out the section below showing their wGriters' compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
tContractors 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. If the 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 the policy andjob site
informadom
Iftsttrance Company Name: OLD REPUBLIC INS. CO.
Po I Hcy # or Self -ins. Lic. MW . C 30293800 Expiration Date: 10/01/15
.Ie- �--*Pco/v I P v
Job Site Address: �J q City/State/Zin-
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 S 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of th!
,R!L!or insurance coverage verification.
I do kerebt dY.Atk�;Flhepaihs andpenalties ofperjury that tke information provided above is true and correct
05/19115
Phme 4r8 51-2200
Qfjklal use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/Ucense #
Issuing Authority (circle one):
1. Board of Health 2. Building Depart I meat 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
A- (Whar
Contact Person: Phone #:
ANDECOR-01 YADAVY0
A4C<>RZ>
lik.� CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDD#YM
101112014
THIS CER71FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIzED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION 15 WAIVED. subject to
am term and conditions of the policy, certalln policies may require an endorsement A statement on this certificate does riot confer rights to the
cgfflflcate holder in lieu of such endorsement(s).
PRODUCER
Willis of Minnesota, Inc.
do 26 Century Blvd
CONTACT
NAME: certlflcates@Wllis.com
PHONE -7378
am 4. Etl: (8") so IF 88)467-2378
F-1111AIL
J�DWFSII:
P.O. Box 305`191
Nashville, TN 37230-6191
---
- NAIC N
INSURER A: Old Republic Insurance Company 24147
1010112015
INSURED
INSURER 0:
INSURER C:
Renewal by Anderson Corporation
INSURERD:
30 Forbes Road
Northborough, MA 01632
INSURER E:
INSURER F:
111
UUV1I%KAUt:b L; t:K I I Ilt;A It: NUMt$r-K: RIEV1151111111111 N[IMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING 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 SU13JECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS.
INSR
.LM
TYPE OF INSURANCE
VIVID
POLICY NUMBER
MWID11mmn
POL.ICY EIIP
(NIM
Lam
A
X COMERCIAL GENERAL LIABILITY
CLAIMS -MADE P(I OCCUR
MWZY302M
1010112014
1010112015
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
PREMISES Me accunence) S 600,004
MED EXP OM one person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,001
GEWL AGGREGATE U MIT APPUES PER:
PR
POLJCY D Je,?T F LOG
OTHER:
GENERAL AGGREGATE S 4,01)0,00(
PRODUCTS - COMPIOP AGG S 4.0NAM
111
A
AUTOMOBILE
LIAB11LITY
ANY AUTO
ALL OVMED SCHEDULED
AUTOS AUTOS
NON40WNED
HIREDAUTOS AUTOS
MWTS302575
1010112014
1WO11201S
5�61NEOSINGLE LIMIT $ 6,000—'00C
13 accidee
BODILY INJURY (per penon) s
BODILY INJURY (Par eaddeni) $
PROPERTY CAMWE
awsomarn)
WMM1-A UAB
EXCESS LIAB
--T—TRETENTION
HOCCUR
CLAIMS -MADE
EACH OCCURRENCE -- $
AGGREGATE
DIED $
A
WORKERS COMPENSATION
AND EMLOYERS, LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE ---
OFFICERNEMBER EXCLUDED? F1
pilandatory In NH)
under
UNIMPTC12MN OF OPEMI IONS below
NIA
MWC30293800
'10101120114
10/0112016
X I MUTE I I (6TR
E.LEACHACCIDENT $ 1,000,00(
—
E.L. DISEASE - EA EMPLOYEE $ 1,000,00(
E.L, DISEASE - POLICY I IMIT S 1.000,00(
DESCRFMN OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10i, Addkhml Rmaft Schoduge, may be gftdmd If mom epce In reqLftd)
11 1-J �
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AU7HORIZrD REPRESENTATIVE
W I 1:166-iW14 AVUKU UU11PIUMATIUN. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
a
Massachusetts - Department of Public Safety
Board of Building Regulations and Standards
Construction Supenisor
License: CS4)WIAS
JABS L MORM
ST 75�
86 GARDIMM Q�i;! -
4
LYNN MA 01"f
Expiration
0%14-
Cormnissioner 110AHMIS
OfCousswer Affairs & Business Regulation
E rUMVEMENT CONTRACTOA
RegistmUoll.
�4 "170810
Supplament
RENEWAL BY AN6E'R'S6
N CORP0RAT10f4
JAIME MORIN
104 OTIS STREET
NORTHBOROUGH, MA 01532
Underwjvb
ry
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Vr- .- .. &*")
Date Issued: I'D I I I
IMPORTANT: Applicant must complete all items on this page
0.
hk'
,ION 58. EVERGPEEN..,DR NORTH ANDOVE I'R Al 'N�
LocAT
;Afi
V
P�int,�
HARD VALLE
-0 NER
PROPERTY W
. ........... .
Pn t
n-
0
7 2', 9-9 V/
MAPNO: 10 PARCLL _�5' ZO ING DJSTRICT Historic District
Mac
or) Villaqe,,W�e99sqhoz
NO* Sb
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
Mone family
D Addition
El Two or more family
11 Industrial
NAlteration
No. of units:
0 Commercial
El Repair, replacement
El Assessory Bldg
D Others:
0 Demolition
11 Other
S4 ic QVVell
3 Pt
Ef'Plood jain',", 0
�`EF' Wakers h bi'strict 4
D, Watet/Sewer�
INSTALL A ROOFTOP SOLAR ARRAY LAGGED INTO THE HOMES ROOF RAFTERS
Identification Please Type or Print Clearly)
OWNER: Name:, RICHARD VALLE Phone: 978-685-1022
Is- 58 EVERGREEN DR NORTH ANDOVER
Addres
'CONTRACT7014-- Na-am,��' G I Rl CU A R D7 -2
p: DAVI D one��., 339 2 7 603"4 "A
Address:- g,
-85�EAST* HI*
BRIMFIELD Mk 0, W
PI., 7
6 txp, Dat4".
SuPervisor'eConst uctioritLidensel
-01
8900,9
Y" f245/2'
A�'
Home Im rovement L *E k Dat
P icense;�
168228
201'
19/
ARCH ITECT/ENGINEER ELAINE HUANG P.E. Phone: 978-406-8921
Address: 35 KENDALL CT BEDFORD,MA. Reg. No. 49029
FEE SCHEDULE.-BULDING PERMIT. $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 34,737.50 FEE: $ 420.00
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access,16 0he guarantyfund
�'
A
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must comp]
i hf
__0 T YY,' Q W N 9-
N 1STA I'Qc T-;
Q E L_-. G",
M 'A N- G:
-,te all items on this pa
14
District
TYPE OF IMPROVEMENT
PROPOSED USE
yp,
ino,
El New Building
11 One family
-66,
11 Addition
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
El New Building
11 One family
11 Addition
0 Two or more family
11 Industrial
0 Alteration
No. of units:
D Commercial
0 Repair, replacement
0 Assessory Bldg
El Others:
0 Demolition
El Other
el
Z 11 wi
"oo
�i WatOUSewe, r
Wp* c
�Exm,
DESCRIPTION OF WUKK I U t5t FtKI-UKIVILU:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
AAA noce
ARCH ITECT/ENGI NEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT., $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Plans Submitted Plans"Waived El Certified Plot F�In'�] Stamped Plans
t- T--! R -A T 0 —_
" OM 0�.
4 _—
Wp* c
�Exm,
UAte,
Pf We ffie-hf Li6e 5.e
ARCH ITECT/ENGI NEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT., $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Plans Submitted Plans"Waived El Certified Plot F�In'�] Stamped Plans
-..:Plans Subm itted�� 11 -.Plans Waivedf] Certified Plot Plan
d . �_ S
Stamped Plans F1
�-T-W-?E'-OF---8-1�W-ERA-GEDISP-OSAL
Public Sewer
Tanning/Massage/Body Art
Swimming Pools
Well El
-Tobacco Sales
Food Packqging/Sales
Private,('septic ta*, etc-
-permanent Duinpster on,'Site El
�THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
-DATE. REJ ECTE D
PLAN'NING'& DEVELOPMENT*-:
COMMENTS
DATE�APPROVED
CONSERVATION Reviewed on S.i-qnature
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: 7 oning Decision/receipt submitted yes _
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connection/signature &.Date
Driveway Permit
DPW Tow;! Engineer: Signature:
FIRE Dt Du mp�ter on.site yes . Located 384 Osgood Street
Lbcafeddtl ��jMa'ri' i t'-" no
S reet:-:
ire M
�Ded
C M N"T'
OM E, S
19mr-M-m- Met
Number of Stories
Total square feet of floor area, based on Exterior dimensions.
�-A uted land area, sq. 1L..
ELECTRICAL: Movement' of. Meter. location-, rriast-or service drop requires approval of
�Electrical Inspector Yes No
DANGERZONE LITERATURE: Yes No
MGL-.Ch'apter166. Section 21 A —,F and G min.$100--$1000 fine
NUTES and UATA — (For de
I
Q Notified for pickup - Date
Doc.Building Pen -nit Revised 20 10
use
Building Department
The foh�fjwing is--alistof.th6re4ui red -forms to befilled -out for the appropfiate. permit to b.e obtained.
Roofh�g, Siding, Interior Rehabilitation Permits
Building Permit Application
orkers Comp Affidavit
Photo Copy Of K.I.C. And/Or'.C-.S.L*-.Licenses
`�'opy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
NOTE: All dumpsterpermits 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Lj Mass check Energy Compliance Report (If Applicable)
u 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)
• Building Perm itAppl ication
• 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)
Lj Copy of Contract
• Mass check Energy Compliance Report
• 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 api).?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Building Permit Revised 2012
Location
No. Date
Check
27651
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
("kbuilding Inspector
PT
C!96
tji�PU�ASOLAR
Astrum Solar Residential Installation Contract
MASSACHUSETTS RESIDENTIAL SOLAR INSTALLATION CONTRACT
This Residential Solar Instatlation Contract (this "Contract") Is made and entered into on the
date get forth below, by and between Astrum Solar, Inc., ("Astrum") whose address is 15
Avenue E, Hopkinton, MA 01748 and Valle,.Richard ("Customer"), whose address is 58
EVerdreen Dr, North Andover, MA 01 $46. (the "Property").
System Specifications
TOTAL SALE PRICE
Federal Tax Credit
Commonwealth Solar I I Grant
MA Tax Credit
SOLAR SYSTEM NET COST
9.75 kW photovoltaic solar energy systern
39 Yingri 250 wait solar panels
SolarEdge Power Optimizers with 12 year warranty
$ 34,737.0
$ (10,42125)
$ (4,000.06) (subject to availability, taxable income)
$ (1,000.00) (subject to availability)
$ 19,316.26
Terms,of payment IGO% of total safe price ($3,473.75) due at si ningasnoniefundabledeposit
.9
609/6 of total safe price ($20,842.50) due on the first day of installation
30% of total sale price ($10,421.25) due at final inspection
Timeline Commencernent of the. Installation will occur within ninety (90) days of the date hereof and the installation
willbe substart.fially completed w . Min one hundred fifty (150) days of the date hereof.
Customer and Astrum hereby agree to enter into this Contract subject to the terms and,con'ditions set forth
6elow'. NOTt. Contracts over $100,000 must he co-s4gned by a sales manager.
DO N , OT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Solar Consultanes Nam(.
MAHIC: 168228
Page I
QAstrum Solar, Int,; Ml rights reserved
ASTRIJ-1 OP ID: SJ
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
1 01/07/2014
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
Diversified Insurance
Industries, Inc.
Suite 155 West, 2 Hamill Road
Baltimore, MD 21210-1873
CONTACT
NAME:
PHONE I FAR
(A/C, No. Ext): AIC, No):
E-MAIL
-ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
Steven K. Johnston
INSURER A: Ohio Casualty 14613
EACH OCCURRENCE $ 1,000,000
INSURED Astrum Solar, Inc.
INSURER B: Cincinnati Insurance Co. 10677
8955 Henkels Lane Ste 508
Annapolis Junction, MD 20701
INSURER C: Chesapeake Employers Ins Co 11039
INSURER D:Zurich/American Ins. Co.
INSURER E:
PRODUCTS - COMPIOP AGG $ 2,000,000
INSURER F:
B
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH 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
INSR
WVO
POLICY NUMBER
POLICY EFF
(MM/DDNYYY)
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx_1OCCUR
North Andover, MA 01845
BKS55683248
08/01/2013
08/01/2014
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
—] PRO-
POLICYFX jECT F7 LOC
PRODUCTS - COMPIOP AGG $ 2,000,000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
x ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X HIRED AUTOS AUTOS
EBA0054872
12120/2013
12/20/2014
MBINED SINGLE LIMIT
(CEO, 'id.n'� $ 1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PRO ERTY DAMAGE
(PERPACCIDENT) $
A
X_
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
US055544923
08/01/2013
08/0112014
EACH OCCURRENCE $ 10,000,000
AGGREGATE $ 10,000,000
DE1 TX7 RETENTION$ 10,000
$
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED' [j]
(Mandatory In NH) N
Ues, describe under
D SCRI PTION OF OPERATIONS below
N/A
4640926
WC673295600
01101/2014
01101/2014
01/0112015
01/0112015
WC STATU- H-
ITORY LIMITS I OETR
E.L. EACH ACCIDENT $ 500,000
E.L. DISEASE - EA EMPLOYEE $ 500,000
E.L. DISEASE - POLICY LIMIT $ 500,000
A
A
Commercial Package
Inland Marine
BKS55683248
IM8950782
08/01/2013
08/01/2013
08/01/2014
08101/2014
BusPrsPrp on file
ContrEqup on file
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
INFORM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of North Andover
ACCORDANCE WITH THE POLICY PROVISIONS.
1600 Osgood Street
AUTHORIZED REPRESENTATIVE
North Andover, MA 01845
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
*Any applicant that.cheeksbox.10-1 mustals ' o fill out di; scotionbelow showing theirmorkers' compensationpolicy 1 1 #formation.
t Romeowners %Vho submit this adidavi( indicating they are doing all work- and then -hire outsideventfactors must'submit a new affidav I it -indicating such.
I'Contradors-that clieck- this box must attached an additional sheet showingthe narne 6fthe sub-contnictors and-sWc %Awther 6unotthose entities hav&
employees. lftliestib.4;ontractors'havecinployees,flic),�iiiiistproAtidetlieir xvorkqrs'.eoml).poliry,nuniber.
Iaiiiaiii,eitiployerilialisproi,idiiig�oporkerslcol)tpeiisatioti,iiisiti-aiiee,for,iiiyeii)ployees. Peloip is the.policy atidjob site
Information.
Insurance Cot'npa-ny Narne:. ZURICH. AMERICANINSURANCECO,
-policy H or Self -ins. tic. #: 4-640926 Expiration0ate: 14-201:5
16b'SiteAddress: City /State/Zip4
Attach a co y of the workers' conipensftiollPolicy deelaration page (showing the policy number -find expiration date).
p
crim
Failureto secure coverage as required -under Section 25A,of MOL c. 1:52 can lead to tbeim position of I inal-penalliesofa
fine.Up to $1,500.00 and/orone�year imprisonment as well as civil penalties it! the I form of a STOP WORk
ORDER and a fine
of up tol$250M.a dayagainst-theviolator. -Beadvised thata, oopy-of thisst
atement.may befibr*arded to the, Office of
Investip-ations of theDIA fA n c
jnsura e coverage verification.
ito hereby eerl#yj an de ir,097ft1penaftles iqfpetJury that tile h1formationprovideelabove Is trite dn&
correct.
Siznat4e: Date:
��39-12-74-003
Official use only. Do not wrIte In this area, to he completed by city -or tolpil.offlcial.
City or Town P . ermit/lAcense N
'Issuing Authority <Circfe ont):
L. Board of Health 2. Boilding Department 3. City/'
Town Clerk 4. Electrical Inspector 5. Phinibing ills
pector
�6. Other
Contact Person:, Phone#:
The Commonwealth of Massachusetts
Department of hidustrialAc cidents
Office of Investigations
I.Congi-ess Street, Stifte 100
Boston) MA 02114-2017
Workers" Compensation Insui-ance Affidavit:
i Builders/Contr-actors/FIectricians/Plumbers
Applicant Informatioti
1please Print Legibly
Name (Business/OrganizatioWIfidividual.): ASTRUM SOLAR.
Address: 15 AVENUE E
t�te/Zip- HOPKINTON, MA. 01748 -339-mWw2003
phone
Are you an employer? Check the., appropriate bok:
t
Type of project (reqIii reo):
LAW I am a e loyer with 15
inp
4. D lam. a general contractor and I
1 -1
i I I .
6. 'New construction
D
employees (full: and/or parWime).*.
have -hired the sub -contractors
it
2. �El 11�am a sale proprietor or partner-
I isted onthe -attached sheet.
1
7. [1 Remodeline
ship and have no employees
These sub -contractors have
8. CID6molition
working for file in any capacity,
employeesand have Wofktrs.'
9. E] Building addition
[No workers' conip. insurance
requiredJ
com insurance.,:
We are a corporationand its
1.6.0 Electrical repaimor additions
3. 0 Fain a bomeownerdoing all work
officershave exercised their.
11.0 Plumbing �repairs or additions
myself [No workeW 'comp.
'right of ;exemption per MGL
-120,Roof repairs
insurance required.] t
c. 152i 61(4); , . and we have no
-employees. Nowoftels,
13,Wothef P�V SOLAR INSTALLATION
*Any applicant that.cheeksbox.10-1 mustals ' o fill out di; scotionbelow showing theirmorkers' compensationpolicy 1 1 #formation.
t Romeowners %Vho submit this adidavi( indicating they are doing all work- and then -hire outsideventfactors must'submit a new affidav I it -indicating such.
I'Contradors-that clieck- this box must attached an additional sheet showingthe narne 6fthe sub-contnictors and-sWc %Awther 6unotthose entities hav&
employees. lftliestib.4;ontractors'havecinployees,flic),�iiiiistproAtidetlieir xvorkqrs'.eoml).poliry,nuniber.
Iaiiiaiii,eitiployerilialisproi,idiiig�oporkerslcol)tpeiisatioti,iiisiti-aiiee,for,iiiyeii)ployees. Peloip is the.policy atidjob site
Information.
Insurance Cot'npa-ny Narne:. ZURICH. AMERICANINSURANCECO,
-policy H or Self -ins. tic. #: 4-640926 Expiration0ate: 14-201:5
16b'SiteAddress: City /State/Zip4
Attach a co y of the workers' conipensftiollPolicy deelaration page (showing the policy number -find expiration date).
p
crim
Failureto secure coverage as required -under Section 25A,of MOL c. 1:52 can lead to tbeim position of I inal-penalliesofa
fine.Up to $1,500.00 and/orone�year imprisonment as well as civil penalties it! the I form of a STOP WORk
ORDER and a fine
of up tol$250M.a dayagainst-theviolator. -Beadvised thata, oopy-of thisst
atement.may befibr*arded to the, Office of
Investip-ations of theDIA fA n c
jnsura e coverage verification.
ito hereby eerl#yj an de ir,097ft1penaftles iqfpetJury that tile h1formationprovideelabove Is trite dn&
correct.
Siznat4e: Date:
��39-12-74-003
Official use only. Do not wrIte In this area, to he completed by city -or tolpil.offlcial.
City or Town P . ermit/lAcense N
'Issuing Authority <Circfe ont):
L. Board of Health 2. Boilding Department 3. City/'
Town Clerk 4. Electrical Inspector 5. Phinibing ills
pector
�6. Other
Contact Person:, Phone#:
92xo
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YL25SP-29b
YGE 60 YL25OP-29b
CELL SERIES
YL24SP-29b
YIN Ill LA
C*SLSO R
YL240P-29b
YL23SP-29b
U.S. Soccer Powered by Yingli Solar
COMPANY
Yingli Green Energy (NYSE:YGE) is one of the world's largest fully
vertically integrated PV manufacturers. With over 4.5 GW of.modules
installed globally, we are a leading solar energy company built upon
proven product reliability and sustainable performance. rounded in
1998, Yingli Green Energy serves customers through our U.S. subsidiary,
Yingli Americas, co -headquartered in New York and San Francisco.
We are the first renewable energy company to sponsor the U.S. National
Soccer teams and the FIFA World Cup TM
PERFORMANCE
-Inclustry leading in-house manufacturing of polysilicon, ingots,
wafers, cells and modules ensures tight control of our material
and production quality.
-High performance, multicrystalline solar cells deliver a module series
efficiency of up to 15.6%, reducing installation costs and maximizing
the kWh output per unit area.
-Tight positive power tolerance of -OW to +5W ensures modules
are delivered at or above rated power, improving system performance
through the reduction of module mismatch loss.
QUALITY.& RELIABILITY
-Robust, corrosion resistant aluminum frame independently tested
to withstand wind and snow loads of up to 50 psf and 113 psf,
respectively, ensuring mechanical stability.
-Manufacturing facility certified to IS09001 Quality Management
System standards.
-Module packaging optimized to protect product during
transportation and minimize on-site waste.
S I LV E Rj,�R-,�M,�= 13LACK,#fRWME
WARRANTIES
-Leading limited power warranty* ensures 91.2% of rated powerfor
10 years, and 80.7% of rated powerfor25 years.
1 0 -year limited product warranty.
*In compliance with our warranty terms and conditions.
t
QUALIFICATIONS & CERTIFICATES
UL 1703 and ULC 1703, UL Fire Safety Class C, CEC, FSEC, ISO 9001 �2008,
ISO 14001:2004, BS OHSAS 18001:2007, SA8000
c@ us i';�=
OT
LISTE,l)
(PHOTOVOLTAIC MODULE)
4400
YINGLISOLAR.COM/US I.Yingli Americas
YGE60CELL
11 600Voc
SERIES
i 15A
Limiting reverse current
15A
Operating temperature range
-40 to 194*F (-40 to 90*C)
Max. static load, front (e.g., snow and wind)
i 113 psf (5400 Pa)
Max. static load, back (e.g., wind)
Powered by YINGLI
ELECTRICAL
PERFORMANCE
111.111F
GENERAL CHARACTERISTICS
Module type
L25SP-29b
YL25OP-29b YL24SP-29b
YL240P-29b YL235P-29b
Dimensions IL/W/H) 64.96 in (1650 mm) 38.98 in (990 mm)
Power output
P.. W 1 255
250 245
240
235
1.57 in (40 mm)
Power output tolerances Ap.. W
-0/+S
35.7
35.4
Weight 421 lbs (19.1 kg)
Module efficiency
% 15.6
15.0
14.7
14.4
7.12
Voltage at P-
VMPP V t 30.6
30.4 30.2
1 29.5
29.5
Current at P_
I.w A 8.32
8.24 8.11
1: 8.14
7.97
PACKAGING SPECIFICATIONS
Open -circuit voltage
V- V 38.7
38.4 37.8
it 37.5
37.0
Number of modules per pallet 26
.Short-circuit current
1.. A 8.88
'i
8.79 1 8.63
8.65
8.54
Number of pallets per 53' container 34
STC: 100OW/M2 mcliance,
25*C cell temperature, AM 1.5g spectrum according to EN 60904-3
Average relative efficiency reduction
of 5.0% at 20OW/M2 according to EN
60904-1
Packaging box dimensions (L/W/H) 1 67 in (1700 mm) / 45 in (1150 mm)
47 in (1190 mm)
Box weight
Power output
W
P� 184.7
181.1
177.9
1 174.3
1 170.7
Voltage at P..
Vm� V 27.9
27.6
27.2
1 26.6
F 26.6
Units: inch (mm)
NOCT open -circuit operating cell temperature at 80OW/M2 irradiance, 200C ambient temperature, 1 m/s wind speed
THERMAL CHARACTERISTICS
Nominal operating cell temperature NOCT 1 *C i 46+/-2
Temperature coefficient of P- -0.45
Temperature coefficient of V_ %/-C
-0.33
it
Temperature coefficient of 1. a'. C i I . 0.06
Temperature coefficient of V., 0 -pp %rc -0.45
OPERATING CONDITIONS
Max. system voltage
11 600Voc
Max. series fuse rating
i 15A
Limiting reverse current
15A
Operating temperature range
-40 to 194*F (-40 to 90*C)
Max. static load, front (e.g., snow and wind)
i 113 psf (5400 Pa)
Max. static load, back (e.g., wind)
50 psf (2400 Pal
Hailstone impact
1 in (25 mm) at 51 mph (23 m/s)
Current at P-
i A i
6.63
6.56
6.54
6.56
.6.42,
Open -circuit voltage
V_ V
35.7
35.4
34.5 �_24.2
33.8
Short-circuit current
I- i A
7.19
7.12
6.99 !
7.01
6.92
NOCT open -circuit operating cell temperature at 80OW/M2 irradiance, 200C ambient temperature, 1 m/s wind speed
THERMAL CHARACTERISTICS
Nominal operating cell temperature NOCT 1 *C i 46+/-2
Temperature coefficient of P- -0.45
Temperature coefficient of V_ %/-C
-0.33
it
Temperature coefficient of 1. a'. C i I . 0.06
Temperature coefficient of V., 0 -pp %rc -0.45
OPERATING CONDITIONS
Max. system voltage
11 600Voc
Max. series fuse rating
i 15A
Limiting reverse current
15A
Operating temperature range
-40 to 194*F (-40 to 90*C)
Max. static load, front (e.g., snow and wind)
i 113 psf (5400 Pa)
Max. static load, back (e.g., wind)
50 psf (2400 Pal
Hailstone impact
1 in (25 mm) at 51 mph (23 m/s)
CONSTRUCTION MATERIALS
Front cover (material/type/thickness) i
Low -iron glass / tempered / 3.2 mm
Glass may have anti -reflective coating
Cell (quantity/material/type/dimensions/
area/# of busbars)
60 / polysilicon / multicrystalline
156 mm x 156 mm / 243.3 CM2 / 2 or 3
Encapsulant (material)
Ethylene vinyl acetate (EVA)
Frame (material/color)
Aluminum alloy / anodized silver or black
Junction box (protection degree)
I P65
Cable (type/len6th/gauge/outside diameter)
PV Wire 43.31. in (1100 mm) / 12 AWG / 0.244 in (6.2 mm)
Plug connector
(manufacturer/type/protection degree)
Amphenol / H4 / IP68,
The specifications in this clatasheet are not guaranteed and are subject to change without prior . n . otice.
This datasheet complies with EN 50380:2003 requirements.
Yingli Green Energy Americas, Inc.
info@yingliamericas.com
Tel: +1 (888) 686-8820
YINGLISOLAR.COMNS.1 NYSENGE
0 Yingli Green Energy Holding Co. Ltd. YGE60Cel[Seri.aoi 3_EN 201301_VOI
3.94 (100)
.47(12)
tSECTION B --B
AWarning: Read the Installation and User Manual in its entirety
ibefore handling, installing, and operating Yingli modules.
Y1 I N'StUSOLAR
. . U.S. Soccer Powered byYingli Solar
�_:
W
N
O
DC
w
0
solar= o SolarEdge Power Optimizer
Module Add -On for North America
D,2nn / pirm / DAnn / DAnr,
OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO -OPERATING INVERTER)
?300
P350
15 .................
P400
P405
............ .........
60 85
Vdc_
or 60 -cell modules)
(for 72 -cell modules)
(for,96-cell modules),:
(for thin film modules)
Vdc_
INPUT
JM.0 ..................................... ...............................................................................................................................
.T
FCC Part15 Class B, IEC61000-6-2, IEC61000-6-3
Rated Input DC PowerM
Safety
....... I ......................................... ....
300
350
.........
400
405
W
Absolute Maximum Input Voltage
INSTALLATION SPECIFICATIONS
Maximum Allowed,Systern Voltage
.............. .............. ... ....................................
1000
......................................
................... .............
Dimensions (W x L x H) ..............
(Voc at lowest temperature)
.................. I .... I ...............................
.............
mm/in
48
....................... ..
60
............. I ............
..........................
80
.......................... ....
Vdc
I ... I ....
MPPT Operating Range
.................................. I ....................
..........................
Double insulated; Amphenol
8-48
..........................
8-60
. .............
... ........
. 8-80 .......
12.5-105
Vdc
Maximum Short Circuit Current (Isc)
... I ..... I .............................................
Protection Rating ..............
..................................
10
...... ........ ..........................................
Relative Humidity
..... I .................... I
I
........
Adc.
Maximum DC Input Current
........................... ..................... I .....
........ .........
............................
12.5
........... I ..................
...... .............
Adc
Maximum Efficiency
........................................... ............
Minimum String Length
..............................
99.5
.......................................................................
...............................................
.............
%
Weighted Efficiency-
.......................................................
.......
.. I ...............................
98.8
........................................................................
25 50
...................................
.............
%
Overvoltage Category
.............
W
Parallel Strings of Different Lengths
I
II
.............
Yes
OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO -OPERATING INVERTER)
Maximum Output Current
............................. I ..................... ...
15 .................
Maximum Output Voltage
............ .........
60 85
Vdc_
OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER CIFF)
Safety Output Volta ge per Power Optimizer
Vdc_
STANDARD COMPLIANCE
JM.0 ..................................... ...............................................................................................................................
.T
FCC Part15 Class B, IEC61000-6-2, IEC61000-6-3
Safety
....... I ......................................... ....
.......... .................................
IEC62109-1 (class 11 safety), UL1741
.............................................................
.........
RoHS
Yes
INSTALLATION SPECIFICATIONS
Maximum Allowed,Systern Voltage
.............. .............. ... ....................................
1000
......................................
Vdc
Dimensions (W x L x H) ..............
.....................
141 x 212 x 40.5 / 5.55 x 8.34 x 1.59
....... ......
.............
mm/in
Weight (including cables)
950/2.1
..... . . ... .. ... . .. ..
gr / lb
I np ut C on ne cto r
....................................................... ................................................................................
MC4 / A mp he nol / Ty co M C4
Output Wire Type Connector
..........................
Double insulated; Amphenol
.............
0 ut put Wi r e Le ng t h 0. 95 i 3 .0
............ ..................................... ..... ...............
1 .2 3 9
. ..... I ..........................................................................
m ft
.... .........
Operating Temperature Range
.... .................................................. ................... .......................................................................................
-40 - +85 /-40 - +185
. ./ F
.............
Protection Rating ..............
IP65 / NEMA4
...... * ......... ..........
Relative Humidity
0-100
%
�od'u��'.i. p*to'+'5*%* 'r 'to, lem, n,c,e, a,1Iow*ed,.*
........ .........
PV SYSTEM DESIGN USING -
A SOLAREDGE ]INVERTER (2) .'SINGLE PHASE. THREE PIHASIE 208V, THREE PHASE 480V
Minimum String Length
8
(Power Optimizers)
........................... ................... .......... .... ........................
10 18
......... ................... .. ..............
Maximum String Length
.......
............
25
(Power Optimizers)
.............................................. ........ ...................................
25 50
...................................
Maximum Power per String 5250
................. .................
6000 1 12750
.............
W
Parallel Strings of Different Lengths
I
or Orientations
Yes
............................... I ................. I ..... ...........................................................................................................
14 it is not allowed to mix P405 with P300JP3S0/P400/P600/P7D0 in one string.
........
FiTrEdgellecrinologies7i nc-TAI F.-fi0t9reserved ISO L:AREDGE!Ft1fe—SoIa_rFdg—P,. mgn'TOPTI M 17Fr)'Ryiqn
r ra emarKS-or-registere tra emar - . olarEdgre eChnolOgies, Inc.. I_ t er tr emarKs-mentioned
trademarVs-o eir respective -owners. ate: 0 20
.01. Su ect to -Cha
I
SolarEdge Single Phase Invert . ers
For North �America
SE300OA-US / SE380OA-US / SE500OA-US / SE600OA-US
solar o 0
Single Phase Invedersfor North America
SE300OA-US SE380OA-US SE500OA-US SE600OA-US
SE300OA-US SE390OA-US SE5000A-US:' SE6006A-US: j
'OUTPUT
..Ra.ted.AC.Power.0.utpp! .................... ...........................
3000 �3800 5000 6000
................ .... ...........................
VA
Max. AC Power Output
...........................
3300 3800 5200 @ 208V
.............
VA
................................ ... ... ......
.6000
277V .........
.............
utput Voltage Min. -Nom. -Max.*
183 - 208 - 229 Vac .... ..... ...........................
��'6`uip"u'tV'o'It'ag'e ...
*. 'M"
M'i n N'o'm'* a-x'. 'i; I
........ ........... .......... ................. ......... ......... ..
.........
211 - 240 - 264 Vac .....................
...........................
u put tage in. -Nom. -Max.*
... I ......... ......... ... ........................... ....................... ....
.......
244 - 277 - 294 Vac
................................................. ..............
I .............. I
T��qy�qipy. ��in.-Nom.-Max.*
......................... ........................... I ................ I .........
59.3 - 60 - 60.5 (with HI country setting 57 - 60 - 60.5)
.............
Max. Continuous Output Current
16 @ 2 08 V 25 @ 2 40 V
16 @ 240V 23 @ 240V
A
........................................... ...........................
14 @ 240V 22 @ 277V
....................... ....... 20 P.277V .. ........................
..... ......
F...........
ty M on itori ng, Is I a nd in g Pro t ecti on
Country Confipurable Thresholds
Yes
7
INPUT
..Re.com,m.en.de.d.Ma.x..DC.P.ower.*.*.(�T�) ..
...........
�7�q .......... 6250 7500
W
mer -less, Un rounded
....... .... .........
Yes
.............
e
............................
....................
.................................. ........... I ....
............................... �.500
.........................................................
.... I ........
Vdc
jnM y9!tW .....................
..............
325 @ 20.8V / 350 @ 240V / 400 @ 277V
.............
Vdc
1.5 18 18
..................... ...........................
Adc
P.r.otectio.n ................
..........................
.... I ......................
............... Yes
.............
Ground -Fault Isolation Detection
................................ .....
. I .........
.......
600kQ Sensitivi
.............. ........... I .
..Maximurn Inverter.E cle c
.................. I .... Ty .........
...........................
4 7-7 98.3
............... ....... ........... I ...............
CEC Weighted Efficiency
...........................
97.5 98 97.5 @ 208V 97.5 @ 240V
1-
.............
%
.............. I ..........................
................
..... ................... ....... ?A.@. ��kpy, ... ....... 5!�.P.277V
Nighttime.Power Consumption
< '.S
W
ADDITIONAL FEATU
-"c
Supported Communication Interfaces
RS485, RS232, Ethernet, ZigBee (optional)
:STANDARD COMPLIANCE.'
........... ....
......
........... F�ij pq!nk?�r� �nqi ng in "-U"), ..............
.............
Grid Connection Standards
.................................................
..........
................... IEEE15i7
Emissions
..................
................... .... .. ............ ......... ..
FCC partlS class B
.............
INSTALLATIONSPECIFICATI'ONS,
qq�py��Rqqyi size / AWG range
t .................... ... ..........................
3/4" minimum 24-6 AWG
........................
DC input conduit size / # of strings /
I .......................... .............................
.............
AWqrmgg .................................. ..................................
3/4" minimum / 1-2 strings / 24-6 AWG
11
Dimensions with AC/DC Safety Switch
.................... .................................
30.5 x 1 2. 5 x 7 7 75 x 31 5 x 17 2, 30.5 x 12.5 x 7.5 / 775 x 3 15 x 191
in/mm
..W�:ight #th ki6C' Safe
................
.. ........................... ............................
51.2/23.2 54.7
.........................
.............
Ib/k
. ..................................... .........
I ....... I ....... I Natural Convection
..Noise
:11�1 1*11*111,1111*1*111"*1111111*1-�-I .. ....................
........... .............................. ...................................... ..
......................... <50
.............
dBA
I�m.- ax. Operating Temperature
........................... ......... ........................
.............
1
ARM....................................
-13 to +140 / -25 to +60 (CAN version*** -40 to +60)
'F/'C
Jmt��Oqn fM90 .........
NEMA3R
............................................................
..........
For other regional settings please contact SolarEdge support
: imited to 125% for locations where the yearly average high temperature
is above 779F/259C. For detailed information, refer to hftp7i/www.5olamdge.u5/files/pdfs/in�erter dc
.,CAN P/Ns are eligible for the Ontario FIT and microFIT
(Bito W@M
@
013
"UNIRAC
SOLARMOUNT Technical Datasheets
A HRI I GROUP COMPANY
SOLARMOUNT Beam Connection Hardware
SOLARMOUNT L -Foot
Part No. 304000C, 304000D
L -Foot material: One of the followinn extruded aluminum allovs: 6005-
T5, 6105-T5, 6061-T6
• Ultimate tensile: 38ksi, Yield: 35 ksi
• Finish: Clear or Dark Anodized
L -Foot weight: 0.215 lbs (98g)
Allowable and design loads are valid when components are
assembled with SOLARMOUNT series beams.according to authorized
UNIRAC documents
root For the beam to L -Foot connection:
-Assemble with one ASTM F593 W-11 6 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 Desion Manual and third-nartv test
Y results from an [AS accredited laboratory
NOTE: Loads are given for the L -Foot to beam connection only; be
X
sure to check load limits for standoff, lag screw, or other
attachment method
3.01
3X SLOT FOR
HARDWARE
2.01
Dimensions specified in inches unless noted
Applied Load
Direction
Average
Ultimate
lbs(N)
Allowable Load
lbs (N)
Safety Design
Factor, Load
FS lbs(N)
Resistance
Factori
Sliding, Z±
1766(7856)
755(3356)
2.34 1141 (5077)
0.646
Tension, Y+
1859(8269)
707(3144)
1069(4755)
0.575
Compression, Y-
3258(14492)
1325(5893)
2.46 2004(8913)
0.61 5
Traverse, X±
486(2162)
213(949).
2.28 3123 (1436):
0.664
a1313
an"UNIRAC
SOLARMOUNT Technical Datasheets A HILTI 6ROUP COMPANY
SOLARMOUNT Beams
Part No. 310132C, 310132C -B, 310168C, 310168C -B, 310168D
310208C,310208C-B,310240C,31024OC-B,310240D,
410144M, 410168M, 410204M, 410240M
Properties
Units
SOLAIRMOUNT
SOLARMOUNT HD
Beam Height
in
2.5
3.0
Approximate Weight (per linear ft)
plf
0.811
. 1.271
Total Cross Sectional Area
in 2
0.676
1.059
Section Modulus (X -Axis)
in 3
0.353
0.898
Section Modulus (Y -Axis)
in 3
0.113
0.221
Moment of Inertia (X -Axis)
in 4
0.464
1.450
Moment of Inertia (Y -Axis)
in 4
0.044
0.267
Radius of Gyration (X -Axis)
in
0.289
1.170 I
Radius of Gyration (Y -Axis)
in
0.254
0.502
Rails are extruded using these aluminum alloys: 6005-T5, 6105-T5, 6061-T6
F
SLOT FOR7-BOLT OR SLOT FOR T -BOLT OR 1.728--�
HEX HEAD SCREW
Y4" HEX HEAD SCREW
2X SLOT FOR SLOT FOR
BOTTOM CLIP 2.500 BOTTOM CLIP
3.000
1.316
SLOT FOR—",� U -T
HEX BOLT SLOT FOR 1.385,
3/8 HEX BOLT
.387
.75
Y y ��1.875
A
X L�x
SOLARMOLINT Beam SOLARMOLINT HD Beam
Dimensions specified in inches unless noted
UNIRA( Unirac Code -Compliant Installation Manual SolarMount
ASCE 7-05 AND ASCE 7-10
Step 2: Determine the Distributed Load on the raiL
Step 3: . Determine Rail Span/L-Foot Spacing
W (PY)
Using the distributed load, w, from Part 11, Step 2, look up the
Determine the Distributed Load, w-(p�(), by multiplying the
allowable spans, L, for each Unirac rail type, SOLARMOUNT
module length, B (ft)� by the TotalDesign Load, P (v sf) and
(SM) and SOLARMOUNT Heavy Duty (HD) in table 14.
dividing by two. Use the maximum absolute value of the three
downfome cases and the Uplift Case. We assume each module
is supported by two rails.
The L -Foot SOLARMOUNT Series Rail Span Table uses a single
. . .
L -foot connection to the roof, wall or stand-off. Please refer to
w PB12
the Part III for more installation information.
w Distributed Load (pounds per linearfoot, p�()
40
B Module Length Perpendicular to Rails (ft)
60
P Total Design Pressure (pounds per squarefoot, psf)
100
Table 14. L -Foot SbLARMOUNT. Series Rail Span
140
SM - SOLARMOUNT HD - SOLARMOUNT Heavy Duty
180
Spon
Distributed Load (pounds1finear
foot)
(ft)
20
25
30
40
50
60
80
100
120
140
160
180
200
220
240
260
2
SM
SM
SM
sm
sm
SM
sm
SM
SM
SM
SM
SM
SM
SM
SM
SM
2.5
SM
SM
SM
sm
sm
SM
sm
SM
SM
SM
SM
SM
SM
r" HD
46
H67'
3
sm
SM
SM
sm
SM
sm
sm
SM
SM
SM
SM
HD
HD
HD-
HD
3.5
SM
SM
sm
SM
SM
sm
SM
SM
SM
HD
HD
HD
4
SM
SM
SM
sm
SM
SM
SM
SM
SM
__H15
HD
HD
HD
4.5
SM
SM
SM
sm
SM
SM
SM
SM
HD
`�HD
HD
5
SM
SM
SM
SM
SM
SM
SM
SM,
H
HD
HD
5.5
SM
SM
SM
SM
SM
SM
SM
H D
HO
HD
6
SM
SM
SM
sm
SM
SM
SM
HD
HD
6.5
SM
SM
sm
SM
SM
SM
SM
HD
HD
7
SM
SM
SM
SM
SM
SM
HO
HD'
7.5
SH
SM
SM
SM
SM
SM
HD
HD
8
SM
SM
tM
SM
SM
SM
HD
HD
8.5
SM
SM
SM
SM
SM
HD
9
SM
SM
SIM
SM
�D
HD
H -D
9.5
SM
SM
SM
I
SM
HD
HD
HD
10
SM
SM
tM rl
HD
HD
HD
10.5
, SM
SM
SM
HD
HD
HD
I I
SM
_SM
1�6
HD
HD
HD
11.5
SM
HD
HO,
HD
HD
HD
12
SM
HO
HD
HD
HD
HD