Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building Permit #449-2017 - 74 SHERWOOD DRIVE 10/26/2016
I � oTh 6 qq, BUILDING PERMIT 3� �t �. •-,.•6 oG A( ,, q � TOWN OF NORTH ANDOVER o `� l 4 APPLICATION FOR PLAN EXAMINATION Permitto: Date Received 10Arm Date Issued: a-G ��SSACHUS���� IMPORTANT:Applicant must complete all items on this page ,M4 T!lht { PROPRTYQWNER - x x fiAAP 1Vt0 PARZ .N $` '•in rsODCyeCEL ? ING1STR1CT 41 r{ Al s - r Shop Villa a es „ n d ,� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 10-Septic 0lllell '.. � ClFltiodplain d Wefilrfds ❑ 1111atefisd"=Distfct w r yV�fate>F/Sewer„ �£ 1 M 1 M H(oll (")0 7A�. 1 t / V\/ 91 _A I p� I Identification Please Type or Print Clearly) r� � Q►�1 1 OWNER. Name. �" CP�'l �� S � Phone: HCl I Address: 400NTRA T4R N' m 'ho e; - M V. t f�* y .' `�.� 1' Address ��. r J & Sap nrlsoi"s}constrt cyon L ce le" ;date t I-OIT3ertlYlpl ouement Livens` r ; 111* ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ `2J(4 i t49 fU FEE: $ Check No.: S3-7 Receipt No.: 310 q 4-- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund uezx� - { x.r r'3"��_- —�'+F.�;RTr'.��.'�-•.-� .ffi Sig Lure of'AgenttOwne Signature of conir, rActo : � _s i Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ TYpF-OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning Pools ❑ j well ❑ Tobacco Sales ❑ I Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS A CONSERVATION Reviewed on Siqnature e COMMENTS d HEALTH Reviewed on _ Signature I ' COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street »e-. .� FIRE DEPARfTMENTrTemp ®umpsteronsite� yes, �Located�t�,124.�Nlairn�,Street ;' ��•-� �t , nie t � : % ;0 =ce c i -)imension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast or service droprequires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) l I i i ku Call Email ❑ Notified for pickup p F ate Time Contact Name F 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. -, r Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit a o Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products VOTE: 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 ! 4tr int 00 No. Date 10. *-6 . Ca t (0 .> • ' TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $-M1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r: Check#,537,,?- 1 092, Building Inspector oven of .. sAndover _ 0 � - . No. a C, ver, Mass, _ coC«Ic"RWICK y�• AERATED S U BOARD OF HEALTH PERMIT. T LD Food/Kitchen Septic System THIS CERTIFIES THAT ......... . ........... .. .. ................. ........................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..... WO.O..0............... Rough to be occupied as .....a�.... . ...... e.Il.T.................:!.��...� ...... . ..�............................... chimney provided that the person accepting th.is permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT STAR Rough ......... ............ . Service '................. ............................ Final BUILDING INSPECTOR GAS INSPECTOR u Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. N PV SYSTEM SIZE: 11.130 kW DC E " g 130'OF 1"PVC CONDUIT FROM JUNCTION BOX TO ELEC PANEL u') I co II CD < I I a o I � Q •� a I I g = PV INTERCONNECTION POINT,INVERTER, &LOCKABLE DISCONNECT SWITCH,& I I O UTILITY METER LOCATION;TIE INTO JUNCTION BOX ATTACHED TO Z I ARRAY USING ECOX TO METER#21991044 - i I KEEP JUNCTION BOX OFF ROOF s = � o O I I W L I I SHEET N NAME: . ------- --------- F Q (42)Jinko Solar JKM265P-60 MODULES WITH 55 J a (42)SolarEdge P300 Optimizer SHEET ON THE BACK OF EACH MODULE. NUMBER: O T PV SYSTEM SITE PLAN SCALE:3/32"=T-0" a 1 Roof Section 1 Roof Section 2 Roof Azimuth:261 Roof Azimuth:81 Roof Tilt:33 Roof Tilt 33 ma � $ � 8va PV STRING#1. 17 MODULES ftS LUMBING VENT(S) �y a •a O TIE INTO METER# •m 21991044V STRING#2: s NR 13 MODULES 5 - � 3 21 Roof Section 3 Z W RoofAzimulh:171 Roof Tilt 34 SHEET n NAME: COMP.SHINGLE--------' UL Z PV STRING#3. a 12 MODULES SHEET NUMBER: PV SYSTEM ROOF PLAN N SCALE:1/8"=1'-0" a MOUNTINGC AMPAS EMBLY DETAIL - (INCLUDES GLIDER) LEAF SPRING GLIDER n c yy u � d a � ^ 5 2• STRUT NUT PV MODULES,TYP.MOUNT ECO%BASE SEALING WASHER OF COMP SHINGLE ROOF, FIASHING COMP SHINGLES PARALLEL TO ROOF PLANE C rvE S SSS LAG SCREW TORDUE=1322 FT-LBS PV ARRAY TYP. ELEVATION 1— NOT TOSCALE MOUNT DETAIL- ECOX WITH METAL FLASHING NOT TO SCALE v n CLAMP+ CANTELEVER L/4 OR LESS •= ATTACHMENT m •oa COUPLING L=PERMITTED CLAMP SPACING SEE CODE COMPLIANT B ECO LETTER FOR MAX ALLOWABLE COMPATIBLE CLAMP SPACING. MODULE COUPLING CLAMP+ PERMITTED a ATTACHMENT CLAMP CLAMP m m COUPLING SPACING PHOTOVOLTAIC MODULE s w h L � U _ � Q L=PORTRAIT SHEET NAME: CLAMP SPACING N- ECO COMPATIBLE n H L=LANDSCAPE MODULE 0 Q CLAMP SPACING SHEET MODULES IN PORTRAIT/LANDSCAPE PV SYSTEM MOUNTING DETAIL NUMBER: 0 NOT TO SCALE NOT TO SCALE M I In s Photovoltaic System Conduit Conductor Schedule(ALL CONDUCTORS MUST BE COPPER) DC System Size 11130 Tag p Description Wire Gauge tf of Conductors/Color Conduit Type Conduit Size a, AC System Size 10000 1 PV Wire SO AWG 2(V+,V-) N/A-Free Air N/A-Free Air Total Module Count 42 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 BARE - N/A-Free Air N/A-Free Air o a Oto 2 THWN-2 10 AWG 6(3V+,3V-)B/R PVC - 1.1 a o 2THWN-2-Ground 8AWG 1(GRN) PVC 1" v o w v 3 THWN-2 6 AWG 3(11.1,11-2,1N)B/R/W PVC 1" a 3THWN-2-Ground 8AWG 1(GRN) PVC 1" f a` 4 THWN-2 6 AWG 3(11.1,11_2,1N)B/R/W LFNC 1" r ^ C 4THWN-2-Ground BAWG 1(GRNj LFNC 11. = z° L 0 Cm m -o v m v u` on a v a n 5 °° Solar Edge SE1000OA-US H -Conforms to ANSI m STRING 3:12 PV 1 2 12 Poi Interconnection,Supply Slde � M C12.1-2008 705.121AI,Conforms to NEC 2014 � MODULES SQUARE D OU222RB SQUARE D D222NRB Z N 240V/60A UNFUSED 240W60A FUSED NEMA3 w w Z on NEMA3 OR EQUIVALENT OR EQUIVALENT WITH 75- J J u n 1 WITH 75'C CTERMINATIONS N N Q �( _Al- l___._. TERMINATIONS Z Z on on STRING 2: PV 2 13 MODULES �M. (�� SHEET NAME: w ting240V ODA 1Exis " Service Ingle -- _ (..� OOA Phase,with 200A Main C g2.STRING 1:17 PV 117 1 `• 11 ___. I ) 60A 4 Disconnect ` MODULES _- _ 3 / 'A O - q) ( i� 4 SHEET NUMBER: 42PV MODULES PER I NVERTER=11130 WATTS VISBE&OLKABLE qIFE'AtCVFSI5U7U0rKAIKE'KNtFE'A/C — STC - - MINIMUMGECSIZE4 Pi DISCONNECT DISCONNECT INSIGHT OF TAP AWG COPPER W 2 Conductor Calculations PV Module Rating @ STC -Wire Gauge Calculated from NEC code 310.15(8)(16)with ambient temperature calculations v m Module Make/Model 1KM265P from NEC 310.15(2)(a)using the 90C column(On the Roof)or 75C column(Off the Roof), Max Power-Point Current(Imp) 8.44 Amps 310.15(B)(3)(c)for•1/2 off roof,and raceway fill adjustment 310.15(B)(16).Rating of conductor o a DC Safety Switch Max Power-Point Voltage(Vmp) 31.4 Volts after adjustments MUST be Greater than output current 3 0 > Open-Circuit Voltage(Voc) 38.6 Volts On Roof-Calculation-Wire Rating(90C)x Ambient('+22C)x Conduit Fill Derate �+ m -°o 0 Rated for max operating condition of inverter On Roof):10 gauge wire rated for 40 A, 40 A x 0.76 x 0.8(6 Conductors)=28>18 'L^ ¢` NEC 690.35 compliant Short-Circuit Current(Isc) 9.03 Amps e t a + Max Series Fuse OCPD 15 Ams (Off Roof):6 gauge wire rated for 65 A, 65 A x 1(3 Conductors)=65>60 z ^ Y opens all ungrounded conductors (OCPD) p (Off Roof):6 gauge wire rated for 65 A, 65 A x 1(3 Conductors)=65>60 z0 Nom.Maximum Power at STC(Pmax) 265 Watts (Off Roof):6 gauge wire rated for 65 A, 65 A x 1(3 Conductors)=65>60 = Maximum System Voltage 1000VDC(IEC) Optimizer Solar Edge P300 Voc Temperature Coefficient -0.31 %/C DC Input Power 300 Watts DC Max Input Voltage 48 Volts L DC Max Input Current 12.5 Amps AC Output Current According to NEC 690.8(8)(1) 41.67 Amps DC Max Output Current 15 Amps Nominal AC Voltage 240 Volts Max String Rating 5250 Watts THIS PANEL IS FED BY MULTIPLE SOURCES(UTILITY AND SOLAR) - 0 Inverter Make/Model SE1000OA-US • CEC Efficiency 97.5 % AC Operating Voltage 240 Volts Continuous Max Output Current 42 Amps ROOFTOP CONDUCTOR AMPACITIES DESIGNED IN COMPLIANCE • DC Maximum Input Current 30.5 Amps WITH NEC 690.8,TABLES 310.15(B)(2)(a),310.15(B)(3)(a), m 310.15(B)(3)(c),310.15(6)(16),CHAPTER 9 TABLE 4,5,&9. • Short Circuit Current 42 Amps LOCATION SPECIFIC TEMPERATURE OBTAINED FROM ASHRAE 2013. v Max Output Fault Current 42 A 20ms DATA TABLES. v ASH RAE 2013- Highest Monthly 2%DB Design Temp:32.3 Celsius Lowest Min.Mean Extreme DB:-21.5 Celsius o+ ry OCPD Calculations a a Breakers dependent upon the Continuous Maximum Output.PV circuit nominal current based off# s n of modules per Circuit X(1.25(NEC code 210.19(A)(1)(a)X(.9 Max AC current per micro-inverter) 0 N C W Inverter 1:SE10000 A-US-U Max Output=41.67 A x 1.25(NEC code 210.19(A)(1)(a)) - z � o =52.08 A<60A(OCPD) system output current w/continuous duty=52.08<60A(System OCPD) Z ,LI; w w Z N Ul Other Notes Z z ,^ SHEET •ALL INTERIOR RACEWAYS CARRYING DC CURRENT SHALL BE METALLIC NAME: •All ampacity calculations are made in compliance with NEC 220.5(8) N z a� SHEET NUMBER: N W t ROOF SECTION Az:261 TL33 5 MODULES Q 915 SUNHOURS # NABLE TO IT THE REQUIRED MINIMUM ^ 5 2 ty NUMBER OF MODULES ON THIS SECTION 8 !' r t 4 r- OOF SECTION 2 ,Z 1 Az:61 T:33 35 MODULES Q 750 SUNHOURS f THIS SECTION WAS NOT SURVEYED. g THESE SECTIONS WERE NOT SURVEYED. lqII— f r r di > w i m v, � � a a o -?} - SHEET m 0 SECTION NAME: Y Az:171 Til 34 _ 2 MODULES Q 10M SUNHOURS Z() a 0- w 0 SHEET ROOF SPACE CONSTRAINT COMP.srlwNUMBER: oL 0 Offse!Percentage 53.5% j EcolibriumSolar Customer Info Name: Email Phone: Project Info Identifier: 5195229 Street Address Line 1: Street Address Line 2: City: State: Zip: Country: System Info Module Manufacturer: Jinko Solar Module Model: JKM265P-60 Module Quantity: 42 Array Size (DC watts): 11130.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: v.SE10000A-US (240V) Project Design Variables Module Weight: 41.88778 lbs Module Length: 64.960665 in Module Width: 39.0551392 in Basic Wind Speed: 100.0 mph Ground Snow Load: 50.0 psf Seismic: 1.5 Exposure Category: B Importance Factor: I Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf Module Design Moment—Upward: 3655 in-Ib Module Design Moment—Downward: 3655 in-Ib Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): West Roof 4 Roof Shape: Edge and Corner Dimension: 3.0 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 25.0 ft Include Snow Guards: Yes Least Horizontal Dimension: 13.7850627732389 ft Include North Row Extensions: No Roof Slope: 33.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 1.0 1.0 1.0 Roof Snow Load 33.6 33.6 33.6 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Net Design Wind Pressure Downforce 19.4 19.4 19.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Design Wind Pressure Downforce 19.4 19.4 19.4 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 33.6 33.6 33.6 psf Downslope: Load Combination 3 16.6 16.6 16.6 psf Down: Load Combination 3 25.6 25.6 25.6 psf Down: Load Combination 5 13.6 13.6 13.6 psf Down: Load Combination 6a 28.4 28.4 28.4 psf Up: Load Combination 7 -11.2 -13.4 . -13.4 psf Down Max 28.4 28.4 28.4 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 61.6 61.6 61.6 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 20.5 20.5 20.5 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 38.3 38.3 38.3 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 12.8 12.8 12.8 in EcolibriumSolar Layout I 7,7 } r t { r Skirt o Coupling o End Coupling Note: If the total width of a continuous array exceeds 35 ft, break 0 Clamp array to allow for thermal expansion and contraction. See O End Clamp Installation Guide for details. 0 North Row Extension Warning: PV Modules may need to be shifted with respect to roof Q Row-to-Row Bonding Clip/Bonding Jumper trusses to comply with maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 5 Weight of Modules: 209 lbs Weight of Mounting System: 30 lbs Total Plane Weight: 239 lbs Total Plane Array Area: 88 ft2 Distributed Weight: 2.72 psf Number of Attachments: 15 Weight per Attachment Point: 16 lbs Roof Design Variables Design Load - Downward: 918 Ibf Design Load - Upward: 720 Ibf Design Load - Downslope: 460 Ibf Design Load - Lateral: 252 Ibf EcolibriumSolar Plane Calculations (ASCE 7-10): East Roof 3 Roof Shape: Edge and Corner Dimension: 3.7864283547180854 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 25.0 ft Include Snow Guards: Yes Least Horizontal Dimension: 37.8642835471809 ft Include North Row Extensions: No Roof Slope: 33.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 1.0 1.0 1.0 Roof Snow Load 33.6 33.6 33.6 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Net Design Wind Pressure Downforce 19.4 19.4 19.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -20.7 724.3 -24.3 psf Design Wind Pressure Downforce 19.4 19.4 19.4 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 33.6 33.6 33.6 psf Downslope: Load Combination 3 16.6 16.6 16.6 psf Down: Load Combination 3 25.6 25.6 25.6 psf Down: Load Combination 5 13.6 13.6 13.6 psf Down: Load Combination 6a 28.4 28.4 28.4 psf Up: Load Combination 7 -11.2 -13.4 -13.4 psf Down Max 28.4 28.4 28.4 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 61.6 61.6 61.6 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 20.5 20.5 20.5 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 38.3 38.3 38.3 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 12.8 12.8 12.8 in EcolibriumSolar Layout t;,s 777. ILI Skirt o Coupling End Coupling Note: If the total width of a continuous array exceeds 35 ft, break 0 Clamp array to allow for thermal expansion and contraction. See O End Clamp Installation Guide for details. 6) North Row Extension Warning: PV Modules may need to be shifted with respect to roof Row-to-Row Bonding Clip/Bonding Jumper trusses to comply with maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 35 Weight of Modules: 1466 lbs Weight of Mounting System: 158 lbs Total Plane Weight: 1624 lbs Total Plane Array Area: 617 ft2 Distributed Weight: 2.63 psf Number of Attachments: 79 Weight per Attachment Point: 21 lbs Roof Design Variables Design Load -Downward: 918 Ibf Design Load - Upward: 720 lbf Design Load - Downslope: 460 Ibf Design Load - Lateral: 252 Ibf EcolibriumSolar Plane Calculations (ASCE 7-10): South Roof 3 Roof Shape: Edge and Corner Dimension: 3.0 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 25.0 ft Include Snow Guards: Yes Least Horizontal Dimension: 10.4559480082572 ft Include North Row Extensions: No Roof Slope: 34.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 1.0 1.0 1.0 Roof Snow Load 33.6 33.6 33.6 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Net Design Wind Pressure Downforce 19.4 19.4 19.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Design Wind Pressure Downforce 19.4 19.4 19.4 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 33.6 33.6 33.6 psf Downslope: Load Combination 3 16.9 16.9 16.9 psf Down: Load Combination 3 25.1 25.1 25.1 psf Down: Load Combination 5 13.6 13.6 13.6 psf Down: Load Combination 6a 28.0 28.0 28.0 psf Up: Load Combination 7 -11.2 -13.4 -13.4 psf Down Max 28.0 28.0 28.0 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 62.0 62.0 62.0 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 20.7 20.7 20.7 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 37.7 37.7 37.7 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 12.6 12.6 12.6 in r EcolibriumSolar Layout —7l 9� } ' � Y j 1 S, { t rrfr Skirt o Coupling M End Coupling Note: If the total width of a continuous array exceeds 35 ft, break 0 Clamp array to allow for thermal expansion and contraction. See 0 End Clamp Installation Guide for details. North Row Extension Warning: PV Modules may need to be shifted with respect to roof 0 Row-taRow Bonding Clip/Bonding Jumper trusses to comply with maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 2 Weight of Modules: 84 lbs Weight of Mounting System: 14 lbs Total Plane Weight: 98 lbs Total Plane Array Area: 35 ft2 Distributed Weight: 2.77 psf Number of Attachments: 7 Weight per Attachment Point: 14 lbs Roof Design Variables Design Load - Downward: 918 Ibf Design Load - Upward: 720 Ibf Design Load- Downslope: 460 Ibf Design Load- Lateral: 252 Ibf EcolibriumSolar Bill Of Materials Part Name Quantity ES10260 EcoX Row-to-Row Bonding Clip 9 ES10121 EcoX Coupling Assembly 38 ES10146 EcoX End Coupling 5 ES10103 EcoX Clamp Assembly 81 ES10136 EcoX End Clamp Assembly 20 ES10144 EcoX Junction Box Bracket 3 (Optional) ES10132 EcoX Power Accessory Bracket 42 ES10184 PV Cable Clip 210 ES10195 EcoX Base, Comp Shingle 101 ES10197 EcoX Flashing, Comp Shingle 101 r n1 OWO RIso a r 1.800 W Ashton Blvd. 11 I/ 11x1 tLJJ Lehi, UT 84043 Structural Group P: (801)234-7050 Jon P. Ward, SE Clint C. Karren,PE Structural Engineering Manager Structural Engineering Manager ion.ward@vivintsolar.com clint.karren@vivintsolar.com September 14, 2016 Mr. Dan Rock, Project Manager Vivint Solar 1800 W Ashton Blvd. Lehi, UT 84043 J Re: Structural Engineering Services Mcsween Residence 74 Sherwood Dr, North Andover, MA S-5195229 11.13.kW Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a representative from our office under my supervision identifying specific site information including size and spacing of members for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of the following: • Roof Sections (1 and 2): Roof section is composed of 2x10 dimensional lumber at 16" on center and a single layer of roofing. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. • Roof Section 3: Roof section is composed of assumed 2x6 dimensional lumber at 16" on center and a single layer of roofing. The attic space is finished and photos indicate that there was no access to visually inspect the size and condition of the roof members. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite shingle. Stability Evaluation: A. Wind Uplift Loading 1. Calculations for uplift are based on ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, a wind speed of 100 mph based on Exposure Category B and 33 and 34 degree roof slopes on the dwelling areas. Ground snow load is 50 PSF for Exposure B, Zone 2 per (ASCE/SEI I 7-10). t yrs r Page 2 of 2 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. B. Loading Criteria 8 PSF= Dead Load (roofing/framing) 50 PSF = Ground Snow Load 3 PSF = Dead Load (solar panels/mounting hardware) Total Dead Load= 11 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code with Massachusetts Amendments. Analysis performed on the existing roof structure utilizing the above loading criteria indicates that the existing members will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual, which can be found on the Ecolibrium Solar website (www.ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 'h"thick and mounted 4 '/z" off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 lbs/inch of penetration as identified in the National Design Specifications (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2', is less than the maximum allowable per connection and therefore is adequate. 4. Roof Sections (1, 2, and 3): Considering the roof slopes, the size, spacing, condition of the roof, the panel supports shall be placed at and attached no greater than every fourth roof member as panels are installed perpendicular across members and no greater than the panel length when installed parallel to the members (portrait). No panel supports spacing shall be greater than four (4) spaces or 64"o/c, whichever is less. 5. Panel support connections shall be staggered to distribute load to adjacent members. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. OF�S��,, egards, CLINT C. 2 KA REN v �V. IL v ► NO. 525 4 lint C. KaCePE MA Licens52 4 i o o/STV: , PryNAL Pry 14�� soda n U 0 S Ce w6NIhi solar RESIDENTIAL SOLAR POWER PURCHASE AGREEMENT w� Customer Name and Contact Information: Transaction Date 2016-08-11 Name(s) Heather McSween Approximate.Start and Completion Date 2017-02-06 Installation Location Address 74 Sherwood Dr. 74 Sherwood Dr. North Andover MA 01845 North Andover Home Phone 6179703720 MA 01845 Cell Phone 6179703720 E-Mail patrick.gallagher@ge.com Our Promises + We will design,install,maintain,repair, + We will not place a lien on Your Property monitor,and insure the System at no additional cost to You. + You are free to cancel any time prior to Our commencement of installation work at Your + We warranty all of Our work,and Our Property. roof penetrations will be watertight for the initial 20 year term. + The Energy Price includes a $5 monthly discount for paying by automatic debit from + Your Energy Price will not increase by Your bank account. more than 2.9%per year. + You will not be responsible for any property + We will fix or pay for any damage We tax assessed on the System. may cause to Your Property or belongings. Your Commitment . Pay for the Energy produced by the System. • Maintain a broadband internet connection. • Keep Your roof in good condition throughout • Continue service with Your Utility for any the Term. energy used above and beyond the System's production. • Respond to Our sales and support teams when scheduling and completing paperwork. At the End of Your Initial Term • You can renew the Agreement for a You can request that We remove the subsequent term; System at no additional cost. • You can purchase the System;or If You Move • We guarantee You can transfer the Agreement • You can relocate the System to Your to the new owner,regardless of credit rating; new home;or . You can prepay the Agreement; • After the sixth anniversary,You can purchase the System. Vivint Solar Developer,LLC(EIN: 80-0756438)is a licensed contractor in each state in which we operate,for information about our contractor licenses please visit www.vivintsolar.com/licenses. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE 888.567.8688. SEE PRESCREEN &OPT-OUT NOTICE BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. The Notice of Cancellation may be sent to this address support@vivintsolar.com I vivintsolar.com 3301 Thanksgiving Way, Suite 500 Lehi, UT 84043 Phone 877.404.4129 ( Fax 801.765.5758 Copyright @ 2016 Vivint Solar Developer,LLC All Rights Reserved PPA(2/2016,v3.2.1)I Page 1 NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO Agreement, signed by both You and Us, before any THE CONTRACT: work may be started. a. Residential Solar Power Purchase Agreement, G. CUSTOMER'S RIGHT TO CANCEL. YOU MAY CANCEL b. Exhibit A— Notice of Cancellation, THIS CONTRACT AT ANY TIME BEFORE THE LATER OF: c. Exhibit B—State Notices and Disclosures, (1) MIDNIGHT OF THE THIRD (3RD) BUSINESS DAY d. Exhibit C—Certificates of Insurance, and AFTER THE TRANSACTION DATE, OR (II)THE START OF e. Customer Packet. INSTALLATION OF THE SYSTEM OR ANY OTHER These documents are expressly incorporated into this INSTALLATION WORK WE PERFORM ON YOUR Agreement and apply to the relationship between You PROPERTY. IF YOU WISH TO CANCEL THIS CONTRACT, and Us. YOU MUST EITHER: (1)SEND A SIGNED AND DATED B. WE HAVE NOT GUARANTEED, PROMISED OR WRITTEN NOTICE OF CANCELLATION BY REGISTERED OTHERWISE REPRESENTED ANY REDUCTION IN OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED; OR ELECTRICITY COSTS IN RELATION TO THE SYSTEM THAT (2) PERSONALLY DELIVER A SIGNED AND DATED WILL BE INSTALLED ON YOUR PROPERTY. WRITTEN NOTICE OF CANCELLATION .TO: VIVINT C. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES SOLAR DEVELOPER, LLC, 3301 N THANKSGIVING WAY, UNLAWFULLY OR COMMIT ANY BREACH OF THE SUITE 500, LEHI, UT 84043, ATTN: PROCESSING PEACE TO REMOVE GOODS INSTALLED UNDER THIS DEPARTMENT. IF YOU CANCEL THIS CONTRACT AGREEMENT. WITHIN SUCH PERIOD, YOU ARE ENTITLED TO A FULL D. DO NOT SIGN THIS AGREEMENT BEFORE YOU REFUND OF YOUR MONEY. REFUNDS MUST BE MADE HAVE READ ALL OF ITS PAGES. You acknowledge that WITHIN 30 DAYS OF OUR RECEIPT OF THE You have read and received a legible copy of this CANCELLATION NOTICE. SEE THE ATTACHED NOTICE Agreement, that We have signed the Agreement, and OF CANCELLATION FOR AN EXPLANATION OF THIS that You have read and received a legible copy of every RIGHT. DO NOT SIGN BELOW UNLESS WE HAVE GIVEN document that We have signed during the YOU THE "NOTICE OF CANCELLATION." WE ARE negotiation. PROHIBITED FROM HAVING AN INDEPENDENT E. YOU RISK THE LOSS OF ANY PAYMENTS MADE TO COURIER SERVICE OR OTHER THIRD PARTY PICK UP A SALES REPRESENTATIVE. YOUR PAYMENTATYOUR RESIDENCE BEFORETHE END F. DO NOT SIGN THIS AGREEMENT IF THIS OF THE CANCELLATION PERIOD. AGREEMENT CONTAINS ANY BLANK SPACES. You are H. You have the right to require Us to have a entitled to a completely filled in copy of this performance and payment bond. BY CHECKING THIS BOX, YOU AGREE TO RECEIVE ELECTRONIC RECORDS AS FURTHER DESCRIBED IN SECTION 7(m),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. BY CHECKING THIS BOX,YOU AGREE AND OPT-IN TO RECEIVING TEXT MESSAGES AS FURTHER DESCRIBED IN SECTION 7(n),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. BY CHECKING THIS BOX,YOU AGREE TO ARBITRATION AND WAIVE THE RIGHTTO AJURY TRIAL AS DESCRIBED IN SECTION 6(e),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. VIVINTSOLAR DEVELOPER, LLC CUSTOMER(S): Ar�Signature: Signature: Printed Name: Lohany Silva Printed Name: Heather MCSWeen Salesperson No.: Signature: Printed Name: Copyright© 2016 Vivint Solar Developer, LLC. Ail Rights Reserved. PPA(212016, v3.2.1) I Page 17 AC�® CERTIFICATE OF LIABILITY INSURANCE °A�(r2016 ,rY' o1rt7/2o1s 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the,policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 AICNNo.Ext1. IA No): DENVER,CO 80202-5534 E-MAIL Attn:Denver.CertRequest marsh.com Fax:212-948.4381 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:AXIS Specialty Europe INSURED INSURER 13:Zurich American Insurance Company 16535 Vivint Solar Developer,LLC 3301 North Thanksgiving Way,Suite 500 INSURER C:American Zurich Insurance Company 40142 Lehi,UT 84043 INSURER D:N/A N/A INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002920030-04 REVISION NUMBER.2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 3776500116EN 01/29/2016 01129/2017 EACH OCCURRENCE $ 25,000,000 DAMAGE TO RENTED CLAIMS-MADE M OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 25,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP509601501 11/0112015 11/01/2016 COEa aMBINED SINGLE LIMITccident $ 1,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per actldent Comp/Coll Ded $ 1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATION WC509601301 11/01/2015 11/0112016X ISTERATUTE ETH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE AZ,CA,CT,HI,MD,NJ,NY,NV,NM, E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) OR,PA,UT E.L.DISEASE-EA EMPLOYE $ 1,000,000 B If yes,describe under WC509601401(MA) 11/01/2015 11/01/2016 E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 Osgood St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building 20 Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 7We Commonwealth of Macwcpaseas Depaedrsent efledmMelAeddents QjUke of Isva dgatlons I Congms SOW4 Swire 100 Boston,MA 02114-2017 www.massg&vldia Workers'Compensation Insurance Affldavk:Builders/Contractors/Blectrielaaw?lumbera Applicant Information T Please Print Legibly NaM*(Businea,/Orgenization![ndividual): y V t V—I- S—�OI CS - Address: ( e©0 W• h--<D T.�?: l VoI city/state/zip:LQ1-)'1 OT S 4C� 4•=-'� Phow#: BQ 4 Z-Zc� Are you as employer?Check the appropriate box: Type otproject(requites: I.GF C am a employer with = 4. ❑ I an a general contractor and I 6. ❑New cat�ntction employees(full and/or part-time), art time):• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the anachad sheet. 7. ❑Remodeling shipand have no These sub-contractors have employees 8. ❑Demolition working for me in any capacity. employees and have workers' (No workers'comp.insurance comp.insumutce.t 9. ❑Building addition mquired,) S. We age a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their t l.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof tepeirs Insurance required.]t c. 1 S2.§1(4).and we have no I� employam[No workers' I3. cher l comp.insurance required.] •Aay applicant that checks box#t muss also fin tits the rection botow stgwiq tbefr workers'oompans.tiaa policy lefbmution. t Homeownem who submit this affidavit indicating they an doing all wont and then hbe ouuMa conmictonr must submit new otlidavit ladimfult such. tContnctms dint ehselt this box mut attrched Y M Woaal shoat showing the now of the sub-aaMmoton and state whennr or not thane entities have amplayoas. If the sub•coimaton true employee,ony ma provide dwk wak W oonq&policy number. !an AT enttp/oYer Mat If prot+ldlag WeAers'eompemeoue&=Mnce for aty eteployeaw. Below!;dFe psf/ep end j4 she M anatatlorx I Inaui ance Company Name:Z u r�CV-,� ts, m e 1 CCT 1'--) t rN-1::,UycQ n e Policy N or Self-ins.Lie.It; C 0 L-{ C) Expiration Date: L 0 ( (O Job Site Address.- 1 + C �1 city/statalZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Station 25A of MGL c.132 can lead to the Imposition of crimbd penalties of it tine up to S 1,500.00 andlor ono-year imprisonment,as well as civil penalties in the fixes of a STOP WORK ORDER and a fine of up to M0.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of On DIA far insurance coverage verification. !Ce hareb sect/fyerr tied&edihis mdhatafts otpedury MW the Information protytdhtt chow it oars and mwea Signature, Datel Phone At: F eosis. Danot wtata IR 11 FIs erel�ro be comple[ed by edy or bwtt oj7claLwer: Permit/Lkea�N thority(circle aerie):f Health 2.Building Deporttwent 3.City/ own Clerk 4.Electrical Impector S Plumbing Inspector ersvo• Prone N• i Of ici Of C Agur ei AWM 141:Ru$ tress Regulation et ` � i,0 par :flan�suite 517'0 02116 'Hme bnr4ve� i L;;�niractor Registration jtealoittlon: 170848 r, TYPE: .SUPplement Card VIVINT SOLAR DEVELGPERL:M, t ' ExpiraHan: 1/5/2018 KYLE GREEf�IE 3301 N T1-lAN'SGMM0 W V,SU1 •5t � - LEHI, LIT 84.6-4t update Address and return oard:MrR nmson for change, SCA 1 6 MM-OW$1 Ej Addrto �r Renewal 6mPloymeot Lot Card sachusetts - � _prim n of PubficSafety , 0 d of SuilefinoRegulations and ISi r . CS-I 08-068 Q4 wense KBE 4a]REENE 44 MAIN STREF E Nom ReadingID �`, Vii►. !U004OW A R G Expirabon Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street 04 EAt 'it'[ mp. urnp*jtrl ry s �; o ai.4 ..ti _ 4Locatedt 124 iHe�rstreet y =y r i MY, Yj4i x Fie ae� rtrriee� 5t a ridate _ �- , 77 .3 .. <r. y i t fT, ",ul - � f�li� '. K Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: L C E ECTRI AL. 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.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2012 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 NOTE: 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building PP Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007