Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 106 MEADOWOOD ROAD 4/30/2018
106 MEADOWOOD ROAD 210/025.0-0100-0000.0 (J Date.... ...... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING 83gCHU This certifies that ............ ...... has permission to perform ...... '.!l. 4 ... . ... ...................... ...... ............................................... wiring in the building of.................... h�lw..................................;.................. at*.... ..... hAndover,Mass. .......... .......................................................................................nrt .... Fee ...........Lic.No. ................. ...... ..................................... ELECTRICAL INSPECTOR Check# 7-7813.3 .12917 -/ • �-\ t�o►nrrwtar�aa�tt+ a�/ilas�acir�s�¢ Official Use Only — 2mac�ycc77 nn 0partmont O/ ira Jaroicm Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perrMtned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12;00 (PLEASE PRINT IN INK OR TYPE ALL INFORAfATION) Date: ,�) Ir City or Town of: N v_,-J-h �o� To the Insl5eclor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (Qld mf"elNcud( "t Owner or Tenant ' ` �ASiez Wen ASA= Telephone No.%9. !j9j.ga90 Owner's Address Is this permit in conjunction with a building permit? Ves\Vl No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overlicad❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Solar Electric- Photovoltaic PV system panels rated 1 kW e STC Grid Tied. In conjunction with a Buildina Permit Cana letiart of the jolloicin table ntaay be warred by the Itns .ector of i ices. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.Of Transformers K to No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above n- o.o Emergency Lighting No.of Luminaires Swimming Pool rad. ❑ rn& ❑ 140.0 Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an initiatin Devices No.of Ranges No.of Air Cond. "Iota Tons 1;No.of Alerting Devices No.of Waste Disposers HeatPIN -Number Tons KW f ell ontained Totals:I F I Detection/Alerting Devices No.of Dishwashers Space/Area ileating IZW Local❑ Iunmcipal ❑ Other Connection No.of Dryers Heating Appliances KW ecurityystems: No.of Devices or Equivalent No.of Water KW o.of I o.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.hydromassage Bathtubs No.of Motors Total HP- TelecommunicationsWiring: No.of Devices or Equivalent I OTHER: Attach additional detail if desired,or as required by the Inspector of 1.11res. Estimated Value of Electrical 1k'ork: - -�-U- (When required by municipal policy.) Work to Start:ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including,"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE INSURANCE FMI BOND ❑ OTHER ❑ (Specify.) I certify,utrder the pants andpenalties ofperjiny,that the fitformirtion on this application is ttwe and coutltlete. FIRM NAME: SOLARCITY CORPORATION 'GIC.NO.:1136MR Licensee: MATTHEW T.MARKHAM Signature LIC.NO.:1136MR (lf applicable,enter"exempt"in the license number rine.) Bus.Tel, No..774-25"180 Address' 24 Si MARTIN DRIVE(BUILDING 2-UNrr 11)MARLBOROUGH,MA 01752 Alt.Tel.No.:774-258.8505 *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lia No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee woes not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[I owner owner's a ent. Owner/AgentPERMIT FEE. $ >J.�•- Signature )\rc Telephone No. 1 r.... i FXA? Office of Consumer Afti-ii�: and Business Regulation I t , y l 0 Park. Plaza - Suite 5170 Boston, MassachLISCUs 021 16 1-lome Improvement Contractor Registration _ Repislration: 168572 Type: Supplement Card SOLAR CITY CORPORATION - Expiration: 3/812017 ' MATT MARKHAM ' 3055 CLEARV{EW WAY SAN MATEO, CA 94402 update Andress and return card.itlark reason for change. Address Renewal Employment , Lost Gard Air�.� � +riaar+ttnl�etir ' Office of Caasumcr A ri'Rlrs A liusium Rtgulation license or registration valid for indiyidul use only HOME IMPROVEMENT CONTRACTOR before the expiration(into. if found return to: i Office of Consumer Affairs and Business Regulation Re915tr960n: 1f,;R577 Typo: 10 part:Plaza-Suite 51711 Expiration: Urv2017 Supplement Caid Boston,NIA 02116 SOLAR 0t r rlf24;PORAj ION' MATT M:J FHA i 24 ST MARTIN S1RL"i 13LU 2UNi \�{ AAALSOROUGH,MA 01757. tlndersccretar► Not valid without signature 1 — — WAM of ELECTRlC�ANS ISSUES THE FOLLOWiBG LICENSE AS A�-t REGISTER O MASTER 'ELECTRICIAN SUI.ARC I TY COR1'IRV ION \ MATTHEW T MARKHAN1 1 24 SAINT MARTIN DR BLDG 2 UN L' 11 OAARI,BGRGUGH ISA 0175,2-3060 t i l► Ale . t ' The Commonwealth of Afassach usetts Department of IndustrialAccidents Office of Inpesdgadons I Congress Street,Shite 100 Boston,AKA 021:14-2017 itrFW lEr i`i=.gov1di4 . Workers'Compensation Insurance Affidavit:Buri)dors/ConfracturdElectricians/Plumbers Applicant Informatiian Please Print La ibt NaMe(Business/Organization/individual?: SolarCity Corp. -- - Address: 3055 Clearview Way City/State/Zi : San Mateo CA. 94402 Phone#: 888-765-2489 Are you an employer?Check the appropriate box: Type of project(required): 1.0 am n employer with 5,000 4- Q I air a general coniractor and I employees(hull and/or part-time).* have hired the sub-contractors h O New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have R. {]Demolition working forme in any capacity. employees and have workers insurance? 9. Q Building addition (No workers' comp.insurance comp. required.1 5. We are a corporation and its 10.0 Electrical repairs or additions 3.Q 1 aur a liumeawuer doing all work officers have exercised their l Q3 Plumbing repairs or additions A&i-'ii of exeut-ti11MG rnya'eii; [No workers' tromp. � l'`--vu� I2.❑Roof repairs insurance required,)t c. 152,§1(4),and we have no employees.(No workers' 13DIher Solar/PV comp,insurance required.] *Any applicant that checks box d t mast also fdt aur the section below showing their worttCra'compensation policy infomtgtinn. Homeowners who submit this affidavit indicating they are doing all work and then hire:outside contracwrs mast submit a new atiidavit lndicwing such, tCentractors that check this box most attached on additional sheat showing rite name of the sub-contractors and state whe0ier or nal those entities have employtxs. if the sub•writMors havetraployces,they must provide their workers'comp policy number. rain-an employer that is propiding workers'compensation insurance for my-employees. B is the policy and job site information. Insurance CompanyNatne. Zurich American Insurance Company Policy-9 or Sell-ins.l..ic.#: WC0182015-00 Expiration Date: 9/1/2016 Job Site Address:10�Q. KCUTAWJEJ L City/State/zip: G1t7lItCYt-dl � Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Stiction 25A of MGL c. 152 can lead to the imposition of criminal ponadties 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 tris to$250.00•a day against tha violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cerl't/y under the pants and penalties of perjari,that the hyormaden provided abope is true and correct Si tore: A�eAi� Date' Phone Ofricial use only. Lia nal writa In this area,to be completed by city a towr official. City or Town: Permit/L.leense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 4 DATE IMMIDDrYYYYI' A00Rv CERTIFICATE OF LIABILITY INSURANCE ( 08117120ig, 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 S!U - MARSH RISK&INSURANCE SERVICE ............_. ..... ._... ... ._... RHONE �FA7C... ...... .... .................--..._.. 345 CALIFORNIA STREET,SUITE 1300 (Arc.Na.EXiI:................. ..... .. ... ... ..... . . ..•... .. l?ff..Nvl:.......... ......... .................. CALIFORNIA LICENSE NO.0437153 E'IdAIL APP99ft. ..... ..... ....... SAN FRANCISCO;CA 94104 - .._. ..._....... Atte:Shannon Scott 415-743-'8334 ........ T.................... .. 998301 STND-GAWUE-15.16 tNSURIER Ar Zurich American Insurance Compalry 1165 INSURED NIA NIA SobrCity Corporation INSURER B 3055 Clearvlew Way _INSURER c,:NIA NIA San Mateo,CA 94402 INSURER D:American Zurich Insurance Company 140142 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SFA-002713MOB REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE;LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- QTR I...... TYPE OF INSURANCE [IULSIIBR —tf§DPOLICY NUMBER POLICY EFF D I EXP'I _. ...... ._... ................. ...._ ._.. LIMITS A X COMMERCIAL GENERAL LIABILITY IGLOO182016-00 0910112015 x0910112016 i EACH OCCURRENCE $ 3,000.040 fX" DAMAGE fb l#ENTEP _ .]CLAIMS-MADE I.. I OCCUR i ;PREMi.S.ES[Eaoocurrerlcel....�$ 3,000,006_..----' % SI $25.0,0.0,000 MED EXP(Any one person) $ R; 5,�0 ......... ... ......... .... ...... PERSONAL&ADV INJURY S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 6,000,000 X 1 POLICY PRO r..... I I JEC7 t, LOC ' PRODUCTS-COMPIOP AGG :$ 6,000,000 OTHER $ A ;AUTOMOBILE LIABILITY tAP0182017-00 :09!01!2015 09101/2016 COMBINED SINGLE LIMIT% y 5,000,000 F :SEA acctaenil........... . . X ANY AUTO BODILY INJURY(Per person) $ r ALLOVrIJED �.X SCHEDULE.D BODILY INJURY(Per accident): S :.....i AUTOS AUTOS � L...................... .... .,........... ... .. ._ ... I.. NON-OWNED PROPERTY DAMAGE 5 ;.X_i HIRED AUTOS X AUTOS -t COMP/COLL DED: i$ $5.000 UMBRELLA LU1B OCCUR I EACH OCCURRENCE $ ,.....; r. ..... ......._................... .... ._� ._..... .... .... _.. .... EXCESS LIAS CLAMS MADE AGGREGATE $ DED RETENTIONS I 5 D 'WORKERS COMPENSATION :WC0182014-00(AOS) 0910112015 ;0910112016 X ';PER ORM• ; !AND EMPLOYERS'LIABILITY .....j.... ... . ..... . ............ .. A YIN: {WC0182015.00 MA .09101/2015 0910112016 ANY PRO�itETORfPARTNERJEXECUTIVE N f.L EACH ACC1pENT 5 1.000,000 :OFFIGERIMEMBER EXCLUDE07 �;N IA I INC DEDUCTIBLE:$500,000 r - --: 1,004,000 {Mandatory In NHI I E.L DISEASE-EA EMPLOYEE+$ Ifyes.descrtbo ender .._.-P.-..... .. . ...... .. ._. DESCRIPTION OF OPERATIONS below i E L DISEASE-POLICY LIMIT I S 1'000,000 i I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORO 101,Additional Remarks Schedule,maybe attached If more space Is required) Evidence of insurance. CERTIFICATE HOLDER CANCELLATION Soleity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 31055 Clearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Marmolejo ^ ©1888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name,and logo are registered marks of ACORD -'ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES. A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT �� ! �'w PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV5 THREE LINE DIAGRAM Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: North Andover REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: National Grid USA (Massachusetts Electric) * * * * JB-0183164 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: HSU, HSIEN WEN HSU RESIDENCE Ce Ji `\� solarCity.CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: wo' NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 106 MEADOWOOD 4.16 KW PV ARRAY PART OTHERS OUTSIDE THE RECIPIENTS MODULES: NORTH ANDOVER MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH � THE SALE AND USE OF THE RESPECTIVE (16) TRINA SOLAR # TSM-260PDO5.18 24 St. Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN 52 INVERTER: PAGE NAME: MEET: REV: DATE: MarlbrouT. (650)63801028 F:( 6A17 638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE380OA—USOOOSNR2 (508) 982-4980 COVER SHEET PV 1 11/23/2015 (888)—SOL—CITY(765-2489) www.solorcity.com PITCH: 35 ARRAY PITCH:35 MP1 AZIMUTH:85 ARRAY AZIMUTH: 85 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 35 ARRAY PITCH:35 MP2 AZIMUTH: 175 ARRAY AZIMUTH: 175 K `mI MATERIAL: Comp Shingle STORY: 2 Stories oRIUKI V ST UCTURAL NO.51933 -O O �FGIST'~�(G S$JONA1.E STAMPED & SIGNED FOR STRUCTURAL. ONLY a MI6 Digitally signed by Humphrey ];Id Kariuki Date: 2015.11.24 08:12:04 -05'00' Inv LEGEND A 0 (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO M ' D & WARNING LABELS i Dc I©l DC DISCONNECT & WARNING LABELS :89t AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS B OD DISTRIBUTION PANEL & LABELS (E) DRIVEWAY Lc LOAD CENTER & WARNING LABELS Front Of House O DEDICATED PV SYSTEM METER 106 Meadowood Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED F/ I. `I INTERIOR EQUIPMENT IS DASHED L=�J SITE PLAN N Scale: 1/8" = 1' W E 0 1' 8' 16' Ed MEMO S CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-0183164 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: Ce JI � ; CONTAINED SHALL NOT BE USED FOR THE HSU, HSIEN WEN HSU RESIDENCE .,,SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 106 MEADOWOOD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES: NORTH ANDOVER, MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 TE SALE AND USE OF THE RESPECTIVE (16) TRINA SOLAR # TSM-260PD05.18 SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE 11AME: A T: (650) 636-1028 F: (650) 638-1029 PERMISSIOFttOF SOLARCITY INC. INVERTER: SOLAREDGE # SE3800A—USOOOSNR2 (508) 982-4980 SITE PLAN PV 2 11/23/2015 (B88)—SOL—CITY(765-2489) www.solarcity.com (E) COLLAR TIE (E) KNEE WALL S1 S1 017 _ 13'-4" 6 (E) LBW 6 (E) LBW A SIDE VIEW OF MP1 NTS B SIDE VIEW OF MP2 NTS MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 48" 24" STAGGERED LANDSCAPE 48" 24" STAGGERED PORTRAIT 48" 18" PORTRAIT 48" 18" ROOF AZI 85 PITCH 35 RAFTER 2X10 @ 16"OC ROOF AZI 175 PITCH 35ARRAY AZI 175 PITCH 35 STORIES: 2 RAFTER 2X10 @ 16" OC ARRAY AZI 85 PITCH 35 STORIES: 2 C.J. 2x8 @16"OC Comp Shingle C.J. 2x8 @16 OC Comp Shingle F PV MODULE RIUKI K 5/16" BOLT WITH LOCK INSTALLATION ORDER 0 $T UCTURAL '1933 & FENDER WASHERS NO' LOCATE RAFTER,, MARK HOLE — � RFcisT6��� ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT SS�pNq� ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH (4) (2) POLYURETHANE SEALANT. STAMPED & SIGNS ZEP COMP MOUNT C - - FOR STRUCTURAL ONLY ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (1) (4) PLACE MOUNT. (E) ROOF DECKING (2) LAG BOLT WITH 5/16" DIA STAINLESS (5) G(5)FiNSTALL SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER G(6) BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER 1 STAN DOFF JB-01 83164 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL - THE INFORMATION HEREIN FF NUMBER: HSU, HSIEN WEN HSU RESIDENCE Ce Ji _'0614 \i �C��arC�t CONTAINED SHALL NOT BE USED FOR THE _ JJ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., UNTING SYSTEM: -.„ NOR SHALL IT BE DISCLOSED IN WHOLE OR INom Mount Type C 106 MEADOWOOD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS uLEP NOR TH ANDOVER MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (16) TRINA SOLAR # TSM-260PDO5.18 24 St. Martin Drive, Building 2, Unit 11 PAGE NAME SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650) 638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE PV Z 11/23/2015 SE380OA-USOOOSNR2 (508) 982-4980 STRUCTURAL VIEWS Z (888)-SOL-CITY(765-2489) www.solarcity.com UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: JB-0183164 OO Ce Ji •SolarCity CONTAINED SHALL NOT BE USED FOR THE HSU, HSIEN WEN HSU RESIDENCE /.��� BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: I�\ NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 106 MEADOWOOD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES NORTH ANDOVER, MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (16) TRINA SOLAR # TSM-260PDO5.18 PAGE-NAME: i SHEET: REV: DATE: Marlborough, MA 01752 S"OLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F: (650)638-1029 PERMISSION,OFSOLARCITYINC. SOLAREDGE SE3800A—USOOOSNR2 (508) 982-4980 UPLIFT CALCULATIONS PV 4 >>/23/20�5 (BBB)—SOL—CITY(765-2489) www.solorcity.com 'GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: G3030MB1200 Inv 1: DC Ungrounded INV 1 —(1)SOLAREDGE SE380OA—USOOOSNR2 LABEL: A —(16)TRINA SOLAR ## TSM-260PDO5.18 GEN #168572 ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:12804613 Inverter; 380 OW, 240V, 97.57.; w/Unifed Disco and ZB,RGM,AFCI PV Module; 250W, 236.9W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.2 Vpmax: 30.6 �E� 200A MAIN SERVICE PANEL INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E20OA/2P MAIN CIRCUIT BREAKER (E) WIRING CUTLER—HAMMER Inverter 1 20OA/2P Disconnect 2 SOLAREDGE (E) LOADSSE380OA—USOOOSNR2 A L1 zoo„ L2 20A/2P N ---- GND ------------------------------------- — EGC1 --- DC+ +DC-B GEC NDC- MP1,MP2: 1x16 IGND EGC------------------------------------ -------------- —���tj I i I N I —J EGC/GEC z I I I I I I L— GEC—r_ 1 TO 120/240V SINGLE PHASE I I UTILITY SERVICE I I I I I I I I I I I I I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (1)SIEMENS # Q220 PV BACKFEED BREAKER A (I)CUTLER—HAMMER #DG221URB n PV (16)SOLAREDGE 4P300-2NA4AZS D� Breaker; 20A/2P, 2 Spaces Disconnect; 30A, 24OVoc, Non—Fusible, NEMA 3R /1 PowerBox Optimizer, 30OW, H4, DC to DC, ZEP —(2)Gr7rLd xRB� Copper —(1)CUTLER—�iAMMER N DG030NB app Ground/Neutral Kit; 30A, General Duty(DG) nd ( 1)AWG #6, Solid Bare Copper —( 1)Ground Rod; 5/8"'x 8', Copper I (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE (1TAWG #10, THWN-2, Block �_ (2)AWG #10, PV Wire, 600V, Black__Voc*—=500 VDC Isc =15 ADC O L-L(1)AWG #10, THWN-2, Red O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=11.73 ADC LLL-==CELL(1)AWG #10, THWN-2, White NEUTRAL VmP =240 VAC Imp=16 AAC (1)Conduit Kit;. 3/4" EMT 0,1H"7?,.Green . . EGC/GEC (1)Conduit.Kit;. .EMT. . . . . . . . _ . I. JB-01 8316 4 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN [IN NUMBER: HSU, HSIEN WEN HSU RESIDENCE Ce Ji SolarCit CONTAINED SHALL NOT E USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., UNTING SYSTEM: 0;�; NOR SHALL IT BE DISCLOSED IN WHOLE OR INom Mount Type C 106 MEADOWOOD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES. NORTH ANDOVER M A 018 45 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE 6) TRINA SOLAR # TSM-260PD05.18 24 St. Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ERTER: PAGE NAME: SHEET: REV: DATE: MaribT: (650) 638o1o28h F:A(61752 636-1029 PERMISSION OF SOLARCITY INC. OLAREDGE SE3800A—USOOOSNR2 (508) 982-4980 THREE LINE DIAGRAM11/23/2 P V 5 015 (886)—SOL—CITY(765-2489) www.solarcitv.com W Label Location: i ell �1 ) d Label Location: Label Location: • o • -• - • - (C)(CB) veli, (AC)(POI) (DC) (INV) Per Code: _ Per Code: _ _ Per Code: NEC 690.31.G.3 • ® NEC 690.17.E , , ° �. e• NEC 690.35(F) Label Location: r• ®` • =• ■ • • • TO BE USED WHEN ® ® • AS (DC) (INV) `® -■ ■ ■ -s r r • ■ INVERTER IS •- o AS r UNGROUNDED P • Per Code: P, t_�F • _ . , : NEC 690.14.C.2 Label Location: Label Location: _ ° • ! °NNECTION' -• • (POI) INTERC-, - (DC) (INV) SHOCKWARNING: ELECTRIC Per Code: • • _ Per Code: HAZARD. DO NOT TOUCHNEC 690.17.4; NEC 690.54 ° NEC 690.53 ° ■ • e- Label Location: •' • ® (DC) (INV) Per Code: ° • NEC 690.5(C) Label Location: _ — • . •- - � (POI) — ■ r ■ ■ Per C "• ■ -• e ode.. NEC 690.64.B.4 Label Location: ® (DC) (CB) Per Code: Label Location: ° ® NEC 690.17(4). (D) (POI) • • :• ■ + ° • Per Code: •• r = NEC 690.64.B.4 ■ • Label Location: ® (POI) Per Code: NEC 690.64.B. Label Location: 7• e (AC): AC Disconnect ® ® ® (AC) (POI) °• • • (C): Conduit Per Code: ° ® • ■ (CB): Combiner Box NEC 690.14.C.2 (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect (AC) (POI) (LC): Load Center •` Per Code: (M): Utility Meter •- - e NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL — THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR �1��.�r 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED ♦: San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, Label Set •'"' -SOL-)638-1028 89)w) .solar it EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE + ��� �� ' (888)-SOL-CITY(765-2489)www.solarcity.com 0 SOLARCITY�`_QUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. • .1a SolarCity Zep Solar Next-Level PV Mounting Technology "SolarCity Z polar Next-Level PV Mounting Technology Components Zep System Comp "'. for composition shingle roofs p�ro6f� . • o_t . Leveling Foot Genund Tap -.�. ... ..... In�W* (;vettna toot .`.. Part No.850-1172 � ETL listed to UL 467 z Zep Qatnpatfbte PV Module 4 .. Zep Gra ve RmtAttachment Array Skirt Comp Mount -- " Part No.850-1382 Listed to UL 2582 Mounting Block Listed to UL 2703 QGOMpq T/, Description v PV mounting solution for composition shingle roofs Works with all Zep Compatible ModuleBaum . s °Nva< Auto bonding UL-listed hardware creates structural and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" U LISTED Interlock Ground Zep V2 DC Wire Clip a L Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Designed for pitched roofs Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7,10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt, Grip, End Caps Part Nos.850-0113,850-1421, zepsolar.com zepsolar.com 850-1460,850-1467 Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained'in the written product warranty for . each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM Solar=@@ SolarEdge Power Optimizer solar.=91 Module Add-On for North America P300 / P350 r P400 SolarEdge Power Optimizer _. ..... - - P300 P350 P400 ( modules) 60-cell PV Module Add-On For North America (for 72 cell PV (for96-cellPV I modules) modules) modules) _ P300 / P350 / P400 ® INPUT Rated Input DC Poweri 300 350 400 W „�. Absolute Maximum Inpul Voltage(Voc at lowesL to mpera Lure)1 48 60 80 1 Vdc MPPTOPerati"g Range .......... _.... i .....8. 4II ..........8 60 ._$.:80 ...'...Vdc..... 4 Maximum Short Circuit Current(I11) ., ._,,. ..._ 10 .,_ .. Adc. Maximum DC Input Current RR .. .... .. ... Maximum Efficiency I 99.5 1 % ,.. ..:_. Weighted EencY. .._...... ...._.. . ........ . 98.8 a fhci Overvoltage Category II .......... - II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER( _ >. ....._ ..._. _....__ ......... __...... .._. ..... ......_ .... Adc Yf 4 Maximum Output Current 15 Maximum Output voltage 60 ...__. I_ Vdc .. ...... _. .... ___.. .._. _ ...... E ® _OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER .... ._. ___.. .... ..... .... _ .._ _.__1 _. ._..... _ ._... _ Safety Output Voltage per Power Optimizer _ ______ __ Vdc ._....__ .. _._.6.' _._.... P _ ..__. ._..._.. _ _ ._.._. __.. .._._._. ._._... _._.. .- STANDARD COMPLIANCE ... FMC FCC Par115 Class 8 ICC61000 6 2,ICC61000 63 .. .. . .. Safety. .. ... ..I .. _ ..IEC62109 11class 11 satetY),,UL1741 _ .... . Yes _- INSTALLATION SPECIFICATIONS —..�._ Maximum ASystem ystem Voltage 1000 Vdc ...._...._ ..._. .. ._....... _....... _.._... .I .... _ .... .. ._........ .__ ..i. .... Dimensions(WxLx H) 147 x 212 x 40.5/555 x 8.34 x159 mm/in _._._._ .._.._... ..... .. _.. .. ..... . ..... .... _... . ._.. ..... .._ <, -£ Weight(including cables) 950/17,_ gr/Ib InpitConnector MC4/Amphenol/Tyro .,. _.. . .. ._.. „_,. . . .......... .... ._._...__ __._....... .._.... _.....Do bl eln.. edAnp_h_enol Output WieType/Connector Output Wire Length 095/30 1.2/39 .._. I. m/ft _ .. Operating Temperature Range ........... 40 85/ 40 1.85 °C/'F„_ . Protec4on Rating IP65/NFMA4 ._ Relative Humidity ......_..0 100 .........„ ' � "aaeee sec aowe,or me mmwe.moewe or uo m sx oowe,mie.ao«,nawea. - � b PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE INVERTER .. __. ._ O8 -.... ................. 8. __ - 2 V 4 V PV power optimization at the module-level Minimu m Strang Length(Power Optimizers) 8 10 18 Maximum String Length(Power Optimizers) 75 15 50 j - Up t425mOrP.energy I Maximum Power per String .... ..... _._ .... .....� ..... ........ ...... 250 1 6000 _.,. 12750 W .. ..... . .... .... I .. - Superior efficiency(99.5%) �' Parallel Strings of Different Lengths or Orientations Yes .......... ..... _..... ..... .__.... ......... ..... ... .. ..... ..... - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading , — Flexible system design for maximum space utilization - - - - - Fast installation with a single bolt - - Next generation maintenance with module-level monitoring - Module-level voltage shutdown for installer and firefighter safety LISA GERMANY ITALY - FRANCE 7APAN CHINA ISRAEL - AUSTRAt.IA WWW.S0101'E-dg6.L1 S ... ,.. , 1 M A THE Trinamount MODULE TSM-PD05.18 Mono Multi Solutions .............................. .................... .................................... ........................................ ............................ ........................... ..................... ................ ............. .......... DIMENSIONS OF PV MODULE ELECTRICAL DATA*SIC unit:mm Peak Power WQttS-PIAX(WP) 245 250 255 260 941 H Power Output Tolerance-PMAX(%) 0-+3 T Maximum Power Voltage-V.P V) 29.9 30.3 30.5 30.6 o n t URICTION GO a ;Maximum Power Current-l-(A) 8.20 8.27 8.37 8.50 E ot= u AMEPLATEOpen Circuit Voltage -Voc,(V) 37.8 38.0 38.1 38.2 Short Circuit Current-Isc(A) 8,75 8.79 8.88 9.00 LING IRDIE Module Efficiency 9-(%) 15.0 153 15.6 15.9 STC:Irradiance 10DO Cell Temperature 25-C,Air Mass AMI.5 according to EN 60904-3. MODULE Typical efficiency reduction of 4.5%at 200 W/rW according to EN 60904-1. GT, ELECTRICAL DATA 4 NOCT 60 Maximum Power-P.-(Wp) 182 186 190 193 L L Maximum Power Voltage-VmP(V) 27.6 28.0 28.1 28,3 MULTICRYSTALLINE MODULE6.0 4.3 GROUNDING HOLE Maximum Power Current-l-(A) li 6.59 6.65 6.74 6.84 WITH TRINAMOUNT FRAME 11.7.1- ALE -A Open Circuit Voltage(V)-Voc M 35.1 35.2 35.3 35.4 Short Circuit Current(A)-lsc(A) 7.07 7.10 7.17 7.27 N 1:Irradiance a1800 W/Er',Ambient Temperature 200C,wind Speed I ni/s. - PD05.18 812 180 24526OW Back View POWER OUTPUT RANGE MECHANICAL DATA Fast and simple to install through drop in mounting solution Solar cells Multic rysto[line 156 x 156 mm Is inches) Cell orientation 60 cells(6 x 10) Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) 15.70%70 Weight 21.3 kg(47-0 lbs) MAXIMUM EFFICIENCY i I Glass 3.2 mm(0.13 inches),High Transmission,AR coated Tempered Glass L A'A Backsheet White Good aesthetics for residential applications Frame Black Anodized Aluminium Alloy with Trinamount Groove J-Box IP 65 or IP 67 rated 9 I-V CURVES OF PV MODULE(245W) 3% 1 Cables Photovoltaic Technology cable 4.0 mm2(0.006 inches"), POWEROUTPUT GUARANTEE to. 1200 mm(47.2 inches) g -I000w/.' 8.. Fire Rating Type 2 7 m' 822y`/m2 0 W'in" Highly reliable due to stringent quality control '4 5.- As Ci leadin:g global manufaclurer In house esiing goes well beyon-d certification reCUirernenis TEMPERATURE RATINGS MAXIMUM RATINGS c J of rle'J generctioll photovolmi Ove- 301 f-A)OUSS tOVS (UV, f F, and many more) . . ........------------------- o W/�'� PICICL'CiS,WE-%believe Close 2.- 2gov`/-' Nominal Operating Cell Operational Temperature -40-+85°C Maximum System OOOV DCIIEC) cooperation witi'i Our pariners Temperature(NOCT 44°C(±2°C) is critical to success. VIiiin local o Temperature Coefficient of P.- 0.41'/./'C Voltage 1000V DC UQ lo.,. 20'. 30.- 40.-1 piesenc.e Cir,.)uncj Ihe giobe,Trina is Temperature Coefficient of Voc, 0.32%/'C Max Series Fuse Rating 15A cible to prov'ide en.-,.phonal service Voltage(V) to each cuslo nor in each marl<ei Certified to withstand challenging environmental I Temperature Coefficient of he. 0.05%/°Cond SUPUlen-neni our innovoliv(-:�, conditions I relic)ble pioduc'�with the occking - 2AOO P,-.,t wind kx.-id of Trn,l as(_strong,bankable WARRANTY - 5400 Po snow 10001 partner. We are:ccin-firni-Ited to building strategic,mutually 10 year Product Workmanship Warranty benefiCia"Collaboration with 25 year Linear Power Warranty in,l-olle,s,developers,distributors (Please refer to product warranty for details) < and other partners as line bcckbone of orlir shared success in CERTIFICATION driving Ang Smart Energy'rogether, LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION ..............................___...___............- c Co. <' 10 Year Product Warranty 25 Year Linear Power Warranty LIStED Modules per box:26 pieces Trina Solar Limited ..................................... ............. z X,•vv v.Jrir,r:'sriai.c,in 6100%- Modules per 40'container:728 pieces ........................... ........... 3� Additional /on s- ""'Cinty ------------------- 7 of Ira I vat"Le'tr Eu-RwEEE a mr, COMPLIANT go%-, mor solarr, Meat a 6 "IOnty CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. M PA�4 . ...... ©2014 Trino Solar Limited.All rights reserved.Specifications included in this datasheei are subject to Vruwasolar 3 80% L "'rvemasolar change without nolice. Smat k Energy Together =_ G, eo o' Smart Energy Together Years 5 lo 15 20 25 RPO T,inas--i-da,cl THE " I`i�inamount MODULE TSM-PD05.18 Mono Multi Solutions ............................... ................................................... ..........._...........................-......................_.........._..................__........._.._.._................................................................_..._........... DIMENSIONS OF PV MODULE ELECTRICAL DATA Ca'STC unif:mm Peak Power Watts-PMAx(Wp) 250 255 260 1 265 941 - Power Output Tolerance-PM-f%J 0-+3 Maximum Power Voltage-VMP(V) 1 30.3 30.5 30.6 30.8 [T'MM eo%r,oN I I o Maximum Power Current-IMP,(A) 8.27 8.37 8.50 8.61TM E vOUn nAMErLATE Open Circuit Voltage-Vac IV) 38.0 38.1 38.2 38.3 o Short Circuit Current-Isc(A) 8.79 8.88 9.00 9.10 ENSTALLING HOLE n 8 Module Efficiency rl.(%) 15.3 15.6 15.9 16.2 STC:Irradiance 1000 W/m',Cell Temperature 25°C,Air Mass AM1.5 according to EN 60904-3. Typ cal efficiency reduction of 4.5%at 200 W/m'according to EN 60904-1. MODULE 0 0 ELECTRICAL DATA?,NOCT Maximum Power-PMAx(WP) 186 190 193 197 Maximum Power Voltage-VMP(V) 28.0 28.1 28.3 28.4 601 CELL Maximum Power Current-IMP,(A) 6.65 6.74 6.84 6.93 - MULTICRYSTALLINE MODULE 6ex3GN°°N°,NGHOLE A A Open Circuit Voltage(V)-Voc(V) 35.2 35.3 35.4 35.5 WITH TRINAMOUNT FRAME Poos.IB HANHOLE Short Circuit Current(A)-Isc(A) 7.10 7.17 7.27 7.35 NOCT:Irradiance at 800 W/m',Ambient Temperature 200C.Wind Speed 1 m/s. 812 180 250-265W Back View MECHANICAL DATA POWER OUTPUT RANGE solar cells MuRicrysta Rine 156 x 156 mm(6 inches) Cell orientation. 60 cells(6 x 10) Fast and simple to install through drop in mounting solution - - _ Module dimensions 19.6 x 992 x mm(64.95 x 39.05 x 1.57 inches) Weight 19.4 kg(43.12 1 bsy. °No _ . Glass _- 3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass . R MAXIMUM EFFICIENCY Backsheet white_ A A Frame Black Anodized Aluminium Alloy ..- ,._ -�" Good aesthetics for residential applications pp J-Box IP 65 or IP 67 rated t - Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'). � "� �. 1200 mm(47.2 inches) / o I ~_>. I-V CURVES OF PV Connector H4 Amphenol MODULE(260W) - _ s m.00 .3 POSITIVE POWER TOLERANCE a.00 �. r000w/mr _ _. Fire Type UL 1703 Type 2 for Solar City _ Highly reliable due to stringent quality control 3.°° - eoowm _ -- - O • Over;50 in-!lou ttes`s (UV ,I-(c, and mony morn.) _ s.o � ---- MAXIMUM RATING As a IE-ad Y'.:(� global r T +ftU�. C'L/'er � � "' • Ill liouse testin CaOE'S VJeI)k)E;V:f'1Ct i:r'I II I�.�YTI C'r�I"8 C)I,I:�IIlE'tlt5 so TEMPERATURE RATINGS of next ene Tian t i tat a'aI: ' ° - I -- Nominal trona Temperature I UM �- • PIJ reslsTant ' 4� _ �` NominalOperating Cell 44°C(+2°C) Operational empera e prodL is 'W believe It:E, V 46bW/ -,_ __ Temperature(NOCT) Cooperation vV t'T Ou, r'Gr hers , � Maximum System 1000V DC(IEC) zoowt Temperature Coefficient of PMAx -0.41%/°C 'Voltage 1000V DC(UL) is critical to Su eSS. VVIl IOCaI _- \ pre3ser`.;E)around th globe.Trina is � - Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating 15A able to platiluc exC phonal r rvlce o.00 ....._.... _ i'I .......__. �- �,. o ,o zo 30 4o so Temperature Coefficient of Isc 0.05%/°C to each a.�tio , r in c<h mcu met Certified to withstand challenging environmental - - ---- r,r'ii Supplement c,.;t- IrInL Conditions reliatde prodjct-With th be CkilIg - 2400 P,-.)Wind ICod WARRANTY of 1"ring as a sarong,b inky^le . CERTIFICATION 5 ATION 00 Po snow load P"',r tl'I e1 We Gro Co IT);n to ed, ° 10 year Product Workmanship Warranty building sategic,mt-tualiv tr 11 �r 25 year Linear Power Warranty bemel c.ial r , Ulla oraalc,n with L C 4L ti SP° (Please refer to product warranty for details) <i installers dec lepers distributors " �" a Ns usrin and other por mels as the bc.Tc kb one of c or h arc d sec-cess Ir ul driving Sniod Energa<fettigr. LINEAR PERFORMANCE WARRANTY ". ' PACKAGING CONFIGURATION ° EU 28WEEE _.._.................._.........._....._.__..._.........................................._._....................._.................. 10 Year Product warrant 25 Year Linear Power WarrantyCOMPLIANT Modules per box:z6 pieces _Y_ w Trina Solar Limited _._...__.__._._._.------......_.--......___ ........._...._._._......-,-._..__..__.._....._......_._-..___............__._ . ��� Modules per 40'container:728 pieces wwvw,lflncs,)Iar.COrn 6100%- Add-t- . 100% _......_..................__..._..,,._...............-.._......................................-..............-....... o A:777!!� 90% CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USINGTHE PRODUCT. Gof4PAr,9 ® p 2015 Trina Solar Limitetl.All rights reserved.Specifications included in This dptosheet are subject to 1"�( 'pw�lsolar 7 80% change without notice. `l��uw�soiar = Smart Energy Together Years 5 10 15 20 25 Smart Energy Together `aompPt`� T:ina standard ® Inrb;strY�,�e�c;°rd ' e + � Single Phase Inverters for North America s O I a , ® ® SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ solar o � SE760OA-US/SE1000OA-US/SE1140OA-US _...................._......_......_......_.................................L..................................__................_......................._._.........._...._...... ................_........................._........ SE3000A-US I SE3800A-USI SESOOOA-US I SE6000A-USI SE7600A-US( SE10000A-US SE1140OA-US OUTPUT T........................................_..............................._........,......_......................_. SolarEdge Single Phase Inverters 9980@2°8v Nominal AC Power Output 3000 3800 5000 6000 7600 10000 240V 11400 VA . 5400 6 208V 10800 @ 208V j F� North America Q t� �+ Max.AC Power Output 3300 4150 5450 @240V 6000 8350 10950..°x,240V, 12000 VA Fo r 1 V o 1 l l 1 1 I e 1 I a AC Output Voltage Mm Nom.Max I I 183-208 229 Vac _ SE3000A-US/ SE380OA-US/ SE5000A-US/ SE600OA-US/ .-No . AC Output Voltage Mm-Nom.Max.01 ✓ ✓ I ✓ � ✓ ✓ ✓ ✓ I I SE760QA-US/ SE1Q000A-US / SE114QOA-US 211-240-264 Vac AC Frequency Min:Nom.Max.l I 59 3-60 60.5(with HI country setting 57-60 60.5) Hz ° , '••'�. '. Max.Continuous Output Current 12.5 16 @ . . ..,2S ...32 ... @ .. ... .4-1.1.... A . g�/ 8Vi OV OV GFDIThreshold ... ...... .... .... .......... . 7� .. 'z UtiUty Momtonng,Islanding Protection,Country Configurable Thresholds Yes Yes _....._.- -._.. _.-... _ e .-._— _ ___.__._. . „... -.�_ ......._._ ___ INPUT x\werieiMaximum DC Power(STC) j 4050 15100 6750 8100 10250 13500 15350 W Transformer less,Ungrounded Yes I Y mq�2J m4 F _ .. ax Input Voltage ... .. ... .. .. .. _ .. ... .500 ....... .. .... ...... M ...I .. Vdc Nom.DC Input Voltage 375 @ 208V/350 @ 240V ,. .. .. .. ... .. . . . .. 16.5..208V .. .33 @ 208V ,, '""'""s.'- _"".�"`•"^..'�;',�afzallo� Max.Input CurrentM.... 9.5 13 15;5�.7 240y 18 34 S. ... Adc ... o Circuit Cu. I .. ... ... .. .. . 45 ........ .,..,. .... .A.dc. .. Max InputSh rt rrent Reverse-Polarity ilrotection Yes Ground-Fault Isolation Detection a Sensitivity • Maximum Inverter Efficiency 97.7 98.2 I 98.3 1600k98.3 siti 98 98 98 .... CEC Weighted Efficiency 97.5 I 98 I @ 97.5 97.S C 97.5 .��5 @ 208 997,@ 97 @ za8v S .. .. .. - Nighttime Power Consumption ._..._--.__ _ -_.__.._. -__..__8 _2.5°V _....... __.___ _....._.._._ ._.,._ �.4 W. r , ._.._.._ _. .._ g 9 24 - v ADDITIONAL FEATURES ` e Supported Communication Interfaces RS485,RS232,Ethernet 7ig8ee(optional) "" . .... .. .. ... .. .. .. .. a 3i ... .. .. .. - Revenue Grade Data,ANSI C17 1 OPtio ` I _ Rapid Shutdown-NEC 2014 690.12-1 Functionality enabled when SolarEdgerapidshutdown kit is installedi°i '> _ o� � u STANDARD COMPLIANCE..._,.... -_.. .._...._ .... _.._. _..... _ _._. _ _� _... Safe y yl 1741,1116998 111998,CSA 22 2 ( i t * ..... IE Grid Connection Standards .,. .,,.. ' ....... Emissions _.._.. 1 .. "_.... .. ..CC part ._ .._..... .. __ ... I ._... 1547 F INSTALLATION SPECIFICATIONS .. ..... AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8 3 AWC ... .. .. ... . . ...... .. .. .. ..... ... 3/4" 2 t L class ( j DC Input conduit size/it of strings/ 3/4"minimum/1-2 strings/16-6 AWG / "mi m/1- Ings/ . .. ....... . .. .... .. 14tt6 AWG s :. minimum .. .. .. .....,c 5512..Sx 105/. Dimensions with Safety Switch " llxwx(? .... '.... x 5x1 4 . ...... ?. 3 '$ I Weight with Safety Switch I. 51.2/23.2, .3" 3154.7/24.7_ .....0 88x,4/"40.160",", lb/kg . 05x125 72/775x . Natural i convection - -- - - - - -- Cooling Natural Convection and internal Fans(user replaceable) - - � fan(user I The best choice for SolarEdge enabled systems Noise. .. . . .... . . . . I . . -<25 . ... . . . .. . ... . . p . . . d3A... ... .. .. .. .. ..... ..... .... .. .. .. .. ..e laceable) r <SO { Integrated arc fault protection(Type 1)for NEC 201.690.11 complianGe Min.Max.Operating Temperature 1 _ / (_ is,) 13 to+140 -25 to+60 40 to+60 version available "F/`C .. Range... ......... ... ... .. .. .. ..... .... ....... Superior efficiency(9$%0) - Protection Rating ................... .. ... .. NEMA 3R .. ..... . .. . . ......... ........ .. _ Small,lightweight and easy to install on provided bracket ' i'i For other regional.r"m please cantact SolarEdge support iti A'!Cher current source may be used;the inverter will limit its input current to the values stated Built-in module level monitoring Revenue grade inverter P/N'SExxxxA USODONNR2(for 760OW invert—SE7600A U5002NNR2) Is t I l Rapid shutdown kit P/N:5E3000-RSD-SI. Internet connection through Ethernet or Wireless 40 version P/N:SExxx.A-US000NNU4(for 760OW mverter:SE7600A-US002NNU4). Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 sunSPEC USA-GERMJIANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE HETIIERLANDS-ISRAEL WWW.SOIarE'dge.us 1111 Q Date...... ..............q TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that J ..................... so\ NIL-) has permission to perform . Ar ............ . .................................. ... .........k?.............. wiring in the building of ............................................................................................................... at .......................... ...................... .....................................North Andover,Mass. A�.. .......... Fee....... .......Lic.No. ............................................. ELECTRICAL INSPECTOR ,Check# 13044 Commonwealtk of!I/adjac4u.4etb Official Use Only 2epartmen1 of im Somicee Permit No. 3U"f4— Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN.INK OR TYPE ALL INFORMATION) Date: 1/14/2016 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 106 Meadowood Rd Owner or Tenant Hsien-wen Hsu Telephone No. 508-982-4980 i Owner's Address 106 Meadowood Rd. North Andover, MA 01845 1 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) j Purpose of Building rooftop solar Utility Authorization No. Existings / Volts Overhead Service Amps ❑ Undgrd❑ No.of Meters r,3' New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity a Location and Nature of Proposed Electrical Work: ^9 Installation of an interconnected rooftop solar PV system: 16 panels (4.24kW DC) ed Completion o the olloWi table mtW be waived by the Inspector of 141ires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.o Emergency Lighting rnd. Md. BatteEX Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and (� InitiatingDevices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: ...... ....._..... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KWSecurity Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No,of Motors Total HP Telecommunications Wirig: No.of Devices or E uivnalent OTHER: solar Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6203.12 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Attff bi y"tt y LIC.NO.: -2,Z)75 4 Licensee: gted hig-lu;ki Signature &/ar LIC.NO.: -5127//I� (Ifapplicable,enter "exempt"In the license number line.) �"� ✓ Bus.Tel.No. 'v�—Fa/7-e�l� Address: �f //C� Ifs') ��/,fir l��t 6'�` C M4 i):�;y(,a Alt.Tel.No. t��- 031- NU v. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ �L� 1 loq� t The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Markers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. AgDficant Information Please Print Legibly Name(Business[OrganizatioMndividual): MW 614 Ef e,4 ar 7 1 o(,: b/ Address: �j/ E11,1 L,, f City/State/Zip: MA oJ3gL. Phone k _50<6- 617-0600 Are you an employer?Check the appropriate box: Type of project(required): I.LrJ'am a employer with 3 mployces(full and/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in $. Q Remodeling capacity.(Ivo workers'comp.insurance required.) 3.0 1 am a homeowner doing all work myself[No workers9. C1 Demolition camp.insurance required.]' 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 C]Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.a 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box ill must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. .*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ir(G ayl 1ncw'ent�, Policy#or Self-ins.Lic.#: ( tt Je 1, Expiration Date: ` Job Site Address: 106 Meadowood Rd City/State/Zip:North Andover MA 01845 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1;500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under thepains andpenalldees of perjury that the information provided above is true and correct Signature: 4e, Date: � Phone#: 5" - l7-tr Ic®t'7 Official use only. Do not write in this area,to be completed by city=or town ofjiciat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DUGUA-1 OP ID: DC ACC�RO" DATE(MMIDDIYYYY) �.....r- CERTIFICATE OF LIABILITY INSURANCE 1110212015 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 theolic les p y( ) 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 NAME: Scott C Casagrande WM. F.Borhek Insurance Agency PHONE AX 311 Plymouth Street AIc No Ext:7B1-293-6331 Arc No): 781-293-2171 Halifax,MA 02338 A-mss: Scott C Casagrande INSURER(S)AFFORDING COVERAGE NAIC 9 INSURERA:Merchants Insurance Group INSURED Next Gen Electric, Inc INSURER B: Brett Duguay INSURERC: 41 Elk Run Middleboro,MA 02346 INSURER D: INSURER E INSURER F 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 TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDIL SUBR POLICY 0 LTR TYPE OF INSURANCEINSR 28M POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BOP1084306 03/23/2015 03/23/2016PREMISES Ea occurrence $ 100,00 11:N I LD CLAIMS MADE a OCCUR MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY F1 PRof E-1 JEC LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 A ANY AUTO MCA1002041 03/23/2015 03/23/2016 BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS PER ACCIDENT $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 A EXCESS LIAB CLAIMS-MADE CUP9147658 06/3012015 03/23/2016 AGGREGATE $ 5,000,00 DED I IRETENTION$ $ WORKERS COMPENSATIONWCSTATU-PROPRIETOR/PARTNER/EXECUTIVE EMPLOYERS'LIABILITY X A ANY PROPRIETOR/PARTNER/ CUIIVE YIN CA9099362 03/23/2015 03/23/2016 E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sunrun Installation Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Inc. AUTHORIZED REPRESENTATIVE Scott C Casagrande O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �,���-.,���;(Tr��, Qoe�atFwfel V`�y.� S+My�b fieakF 4$ll 11LL 11 A�rtMi�r 1 - This card acknowledges that the recipient has successfully compieteda •. 10-hour Occupational Safety and Health Training Course in Construction Safety and Health Brett Duguay (Peter Rice 66873 11/8/2009 _ 4 (trainer name-print or type)) nd- � {Course edate) Commonwealth of Mas hh�usetts Division.of Pmfess;o,4Lcc-cure so a,-:! State "clans BRE-1-1 1 Q i£ 41 ELK - l+ a MIDDLEB Z/ Master Elec ' 'a Q� 22079-A 07/31/2016 0010266 t rcer,,se No. ixz)ra:`7on Dote. Stinal No. _ Commonwealth of Mas 'tusetts` Division of Registratio: .� r Board of Electric :w. BRE i T AL!E13 UAI — r 41 Etk run Or rws MIDDLESC� . Joumeyman: lect 'ar ,l�jy•�T. ✓t�.. 52711-8 07/31/2016 , 009069., wire se No. Expiration Date Senat No. SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE# DESCRIPTION SYSTEM SIZE: 4240W DC, 3840W AC • ALL WORK SHALL COMPLY WITH 2014 NEC, 2009 IBC, MUNICIPAL CODE,AND SE SERVICE ENTRANCE SOLAR MODULES PV-1.0 COVER SHEET • MODULES: (16) HANWHA Q-CELLS: Q.PRO BFR-G4 265 ALL MANUFACTURERS' LISTINGS AND INSTALLATION INSTRUCTIONS. RAIL PV-2.0 SITE PLAN • INVERTER(S): • PHOTOVOLTAIC SYSTEM WILL COMPLY WITH 2014 NEC. (16) ENPHASE ENERGY: M250-60-2LL-S2X • ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH 2014 NEC. Mp MAIN PANEL PV-3.0 LAYOUT • RACKING: SNAPNRACK SERIES 100 UL; FLASHED L FOOT. • PHOTOVOLTAIC SYSTEM IS UNGROUNDED. NO CONDUCTORS ARE SOLIDLY PV-4.0 ELECTRICAL SEE PEN D01. GROUNDED IN THE INVERTER. SYSTEM COMPLIES WITH 690.35. • MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. SP SUB-PANEL STANDOFFS & PV-5.0 SIGNAGE • INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. FOOTINGS • SNOWGUARD REQUIRED. • RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. • SOLAREDGE RAPID SHUTDOWN REQUIRED. • CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(E)AND 2012 IFC 605.11.2. IQ PV LOAD CENTER CHIMNEY • ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. • 9.23 AMPS MODULE SHORT CIRCUIT CURRENT. SM SUNRUN METER Q ATTIC VENT �jH OF -1 • 14.42 AMPS DERATED SHORT CIRCUIT CURRENT(690.8 (a) &690.8 (b)). X90 FLUSH ATTIC VENT PAUL K. tiG ZACHER S-1 DEDICATED PV METER -� o PVC PIPE VENT TRUCTURAL INVERTER(S)WITHD 50100 INV INTEGRATED DC ® METAL PIPE VENT �o,�" /STS DISCONNECT AND AFCI ® T-VENT SS�ONAL� AC AC DISCONNECT(S) SATELLITE DISH For Structural Only A DC DISCONNECT(S) F7A FIRE SETBACKS r----------I CB COMBINER BOX HARDSCAPE 0 L � INTERIOR EQUIPMENT —PL— PROPERTY LINE sunrun SHOWN AS DASHED SCALE. NT S A AMPERE AC ALTERNATING CURRENT AFCI ARC FAULT CIRCUIT INTERRUPTER LICENSE NO. 750184 AZIM AZIMUTH VICINITYMAP COMP COMPOSITION 200 RESEARCH DR,WILMINGTON,MA 01887 DC DIRECT CURRENT PHONE 888.657.6527 FAX 805.528.9701 (E) EXISTING eq EXT EXTERIOR c FRM FRAMING CUSTOMER HSIEN-WEN HSU 'lip � - INT INTERIOR ' LBW LOAD BEARING WALL 106 MEADOWOOD RD, NORTH ` f. ANDOVER, MA, 01845 to4,C1� MAG MAGNETIC .�� MSP MAIN SERVICE PANEL TEL.(508)982-4980 APN#:025.0-0100 (N) NEW PROJECT NUMBER: NTS NOT TO SCALE OC ON CENTER 222R-106HSU PRE-FAB PRE-FABRICATED T106 PSF POUNDS PER SQUARE FOOTDESIGNER: Meadowood Rd PV PHOTOVOLTAIC C. OEPOMO V , TL TRANSFORMERLESS DRAFTER: TYP TYPICAL V VOLTS DI W WATTS SHEET r� REV NAME DATE COMMENTS COVER SHEET v 'o- A ' REV:A 1/5/2016 3 PAGE PV-1 .0 v c� or E MAG PV AREA SITE PLAN -SCALE= 3/32"= 1'-0" PITCH AZIM AZIM (QF) ® AR-01 36° 2660 2800 125.8 AR-02 360 1760 1900 161.8 (E) RESIDENCE (N)ARRAY AR-01 PL PL PL PL PL PL PL PL r cl ° J a r 0 SE � SM LC -o (N)ARRAY AR-02 sunrun a Q� as 4d LICENSE NO. 750184 Q 200 RESEARCHDR,WILMINGTON,MA 01887 PHONE 888.657.6527 FAX 805.528.9701 CUSTOMER RESIDENCE: P� HSIEN-WEN HSU 106 MEADOWOOD RD, NORTH P` ANDOVER, MA, 01845 a TEL.(508)982-4980 APN#:025.0-0100 e� 01D PROJECT NUMBER: M�Pop�Np 222R-106HSU I"OF&&% DESIGNER: e� UL K. 9 C. OEPOMO PA �G — ZACHER m� DRAFTER: TRUCTURAL ��„ DI 50100 �o �iSTE� ' SHEET �SS�ONAI.�G\� SITE PLAN REV:A 1/5/2016 PAGE PV-2.0 ROOF TYPE ATTACHMENT ROOF HEIGHT ROOF FRAME FRAME TYPE FRAME MAX FRAME OC ROOF EDGE MAX RAIL MAX RAIL DESIGN CRITERIA EXPOSURE MATERIAL SIZE SPAN SPACING ZONE SPAN OVERHANG MODULES: AR-01 COMP SHINGLE FLASHED L FOOT. SEE PEN D01. TWO STORY ATTIC WOOD RAFTER 2 X 10 14'-9" 16" NO 4'-0" l'-4" HANWHA Q-CELLS: Q.PRO BFR- AR-02 COMP SHINGLE FLASHED L FOOT. SEE PEN D01. FIRST STORY VAULTED WOOD RAFTER 2 X 10 10'-0" 16" NO 4'-.0" 1'-4" G4 265 1 - 1MODULE DIMS: D1 -AR-01 -SCALE: 1/4" = 1' D2 -AR-02 -SCALE: 1/4" = 1' 65.7"x 39.4"x 1.26" PITCH: 36° PITCH: 36` MODULE CLAMPS: AZIM: 266° AZIM: 176° Portrait: 9.84"- 13.78" Landscape: 0"-3.94" ® ® MAX DISTRIBUTED LOAD: 3 PSF SNOW LOAD: 50 PSF WIND SPEED: 100 MPH 3-SEC GUST. LAG SCREWS: 5/16"x3.5": 2.5" MIN EMBEDMENT PENETRATION SPACING: 6"- 9'-11" 4'-7" STAGGERED F 6" - 1'-6" 23'-3" 1'-9" - }— �-(H OFQq q 9 i —4'TYP— PAUL K. G I 3' Q ZACHER F-1 TRUCTURAL CD 50100 tri -o- /STE E)- SS�ONA�� 4'TYP- 5'-6" -O .e 8- 16'-6" sunrun —O LICENSE NO. 750184 7'-3n 200 RESEARCH DR,WILMINGTON,MA 01887 PHONE 888.657.6527 FAX 805.528.9701 CUSTOMER RESIDENCE: O- HSIEN-WEN HSU 106 MEADOWOOD RD, NORTH ANDOVER, MA, 01845 2'-6" TEL.(508)982-4980 APN#:025.0-0100 PROJECT NUMBER: 222R-106HSU DESIGNER: C. OEPOMO DRAFTER: DI SHEET LAYOUT REV:A 1/5/2016 PAGE PV-3.0 120/240 VAC SINGLE PHASE •MAX 16 MICRO-INVERTERS PER BRANCH CIRCUIT SERVICE •MULTIPLE BRANCH CIRCUITS IN PARALLEL •ENPHASE MULTI-PIN CONNECTORS -- 1ST AC CONNECTOR AT METER#: EACH BRANCH CIRCUIT IS A SUITABLE DISCONNECTING MEANS. O NATIONAL GRID 12804613 (N)60A ENPHASE o DO NOT DISCONNECT/CONNECT UNDER LOAD UTILITY AC COMBINER BOX GRID [WITH (3) PRE-INSTALLED / HANWHA Q-CELLS: Q.PRO EXISTING 20A PV BREAKERS AND + fff +sffENPHASE ENERGY: + fff BFR-G4 265 MODULES 1 200A MAIN ENVOY COMMUNICATION M250-60-2LL-S2X _$ C BREAKER GATEWAY] (9) HANWHA Q-CELLS: 1 Q.PRO BFR-G4 265 AND �-� EXISTING MICRO-INVERTER PAIRS (1) BRANCH O 200A N LOCKABLE �� (9) MICRO-INVERTERS •- MAIN ( ) FACILITY - PANEL BLADE TYPE (N) SUN RUN JUNCTION Box s �. (1) BRANCH OF AC DISCONNECT LOADS METER OR EQUIVALENT (7) MICRO-INVERTERS 3 3 3 2 1 W. FACILITY 20A PV --TGROUND SQUARE D 250V METER 20A BREAKER (A) BREAKER AT DU221 RB SOCKET OPPOSITE END 3R, 30A, 2P 125A CONTINUOUS 20A BREAKER (B) OF BUSBAR 120/240VAC & 240V METER 200A, FORM 2S CONDUIT SCHEDULE NOTES TO INSTALLER: 1. INSTALL NEW 60 AMP ENPHASE AC COMBINER BOX WITH (2) PRE-INSTALLED # CONDUIT CONDUCTOR NEUTRAL GROUND 20A BREAKERS. 1 NONE (2) 12 AWG ENGAGE CABLE (1) 12 AWG ENGAGE CABLE 2. ADD 20 AMP PV BREAKER TO MAIN PANEL. sunrun PER BRANCH CIRCUIT PER BRANCH CIRCUIT (1) 12 AWG ENGAGE CABLE 2 1" EMT OR EQUIV. (4) 10 AWG THHN/THWN-2 (2) 10 AWG THHN/THWN-2 (2) 8 AWG THHN/THWN-2 3 1 3/4" EMT OR EQUIV. 1 (2) 10 AWG THHN/THWN-2 (1) 10 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 LICENSE NO. 750184 200 RESEARCH DR,WILMINGTON,MA 01887 PHONE 888.657.6527 FAX 805.528.9701 MODULE CHARACTERISTICS CUSTOMER RESIDENCE: HANWHA Q-CELLS: Q.PRO 265 W HSIEN-WEN HSU BFR- G4 265 106 MEADOWOOD RD, NORTH OPEN CIRCUIT VOLTAGE 38.01 V ANDOVER, MA, 01845 MAX POWER VOLTAGE 30.75 V TEL.(508)982-4980 APN#:025.0-0100 SHORT CIRCUIT CURRENT 9.23 A PROJECT NUMBER: 222R-106HSU DESIGNER: C. OEPOMO DRAFTER: DI SHEET ELECTRICAL REV:A 1/5/2016 PAGE PV-4.0 LABEL LOCATION: CB) PER A • 0� 0 PER CODE:NEC690.13.G.3&NECW® � ►rvlJ`a ' LABEL LOCATION: WARNING 690.13.G.4 (AC)(POI) PER CODE:705.12(D)(2) THIS EQUIPMENT FED BY MULTIPLE SOURCE PER CODE:NEC690.13.13 TOTAL RATING OF OVER CURRENT DEVICES,EXCLUDING MAIN SUPPLY OVERCI,TY OF BUSBAR SHALL NOT EXCEED AM AC Q ' ' p `� • ' p PER CODE: NEC690.56(C) LABEL LOCATION: 8 l - (UNDER ROOFING MATERIAL) . PER CODE:NEC690.13.G.1 A WARNING LABEL LOCATION: ELECTRIC SHOCK HAZARD (DC)(INV) ® ® O LABEL LOCATION:PER LABEL LOCATION: PER CODE:NEC 690.35(F)TO BE USED (INV) ® ® ON POWERONE INVERTER THE CONDUCTORS OF THIS ® � PER CODE: NEC690.13.B � PHOTOVOLTAIC SYSTEM ARE WHEN INVERTER IS UNGROUNDED PER CODE:NEC 690.15 AND NEC 690.13(B) UNGROUNDED AND MAY BE ENERGIZED CAUTION: SOLAR ELECTRIC ® ® LABEL LOCATION: SYSTEM CONNECTED A WARN I N G (AC)(POI) ® ® PER CODE: NEC690.13.13 ILABEELOCBATION: TURN OFF PHOTOVOLTAIC LABEL LOCATION: PER CODE:NEC110.27(C) Url�tJl�11:J �.S (AC)(POI) AC DISCONNECT PRIOR TO PER CODE:NEC690.16.B WORKING INSIDE PANEL o • o • o 9 0 0 p 0 LABEL LOCATION: LABEL LOCATION: (AC) - (AC)(POI) 0 ® PER CODE:NEC690.33.E.2 A V1►ARN I N G PER CODE:NEC690.54 • - 'WLABEL LOCATION: ELECTRIC SHOCK HAZARD (AC)(POI) ACAUTION LABEL LOCATION: DO NOT TOUCH TERMINALS PER CODE:NEC 690.17.E sunrun (INDIVIDUAL BREAKERS) TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM CIRCUIT IS BACKFED PER CODE:NEC705.12.0.3.4 LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION • ►� rU• C • o�� DC VOLTAGE IS ALWAYS PRESENT SOLAR MODULES 'G •JMt • q�r LABEL LOCATION: WHEN EXPOSED TO SUNLIG TRE LICENSE NO. 750184 (INV) PER O ® Q LABEL LOCATION: PER CODE: NEC690.53 DC IN • ` • PER CODE: IFC.60.11.3 IFC 605.11.1.4 200 RESEARCH DR,WILMINGTON,MA 01887 PHONE 888.657.6527 125 W NEC 690.15,NEC 690.13(B)&NEC A WARN I N G FAX 8055289701 690.14C.2. �+ INVERTER OUTPUT CONNECTION LABEL LOCATION: CUSTOMER RESIDENCE: (POI) ® DO NOT RELOCATE THIS PER CODE:NEC 705.12.D.2 HSIEN-WEN HSU OVERCURRENT DEVICE 106 MEADOWOOD RD, NORTH ANDOVER, MA, 01845 TEL.(508)982-4980 APN#:025.0-0100 ® ® ® LABEL LOCATION: LEGEND (Ac) PER CODE:690.13.13 A WARNING PROJECT NUMBER: 222R-106HSU (AC): AC Disconnect ELECTRIC SHOCK HAZARD QAC)(POOCATION: (C): Conduit TERMDO INALS TERMINALSOT TOUCH ALS ON BOTH ANE AND DESIGNER: PER CODE:NEC 690.17.E C. OEPOMO (CB) Combiner BOX LOAD SIDES MAY BE ENERGIZED (D) Distribution Panel ® ® IN THE OPEN POSITION DRAFTER: (DC): DC Disconnect DI (IC): Interior Run Conduit SHEET (INV): Inverter with integrated DC disconnect SIGNAGE (LC): Load Center (M): Utility Meter REV:A 1/5/2016 (POI): Point of interconnection PAGE PV-5.0 3/17/2016 Town of North Andover Mail-For Allan Paduchowski-Certificate of Compliance for 106 Meadowood Rd.Andover s' Plasm chu s Maura Deems <mdeem s@northandoverma.gov> For Allan Paduchowski - Certificate of Compliance for 106 Meadowood Rd. Andover 1 message Glenn Maltais <glennmaltais@nextgenelectricma.com> Thu, Mar 17, 2016 at 12:41 PM To: "mdeems @northandoverm a.gov" <mdeems@northandoverma.gov> Cc: Glenn Maltais <glennmaltais@nextgenelectricma.com> Greetings Maura, Sorry to impose, but is there any way you could relay this document to Allan for his signature and scan it back to me? It pertains to a solar inspection that he did for us this morning. Many thanks, � i Glenn Maltais 2 ` NextGen Electric Inc. M: (508) 837-9402 i # e:n AL 63 Maple St. Unit B 1 West Bridgewater, MA 02379 GLS fiat ori oro7e� 04, solace e7e��„/lape me do#t laoe to await 411 oil 4#d cod ftf oat / Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) M.D.P.U. 1248 Certificate of Completion for Simplified Process interconnections Installation Information: ❑Check if owner-installed Interconnecting Customer: Contact Person: Mailing Address: City: State: Zip Code: Telephone(Daytime): (Evening): Facsimile Number: E-Mail Address: Address of Facility;(if different from above): f Electrical Contractor's arae(if appropriate): tjc .. r e- Mailing Address: / /, /1'i,pz..� � (1 b City: At d d 1466 rn State: Zip Code: Telephone(Daytime):(.!"- ,617 (Evening): Facsimile Number: E-Mail Address: nem-srs@sunrun.com License number: a 00 "72 P4 Date of approval to install Facility granted by National Grid: Application ID number: Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of (City/County): Signed(Local Electrical Wirin Ins for or a ach signed electrical inspection): Name(printed): fiwu4b'01-105—L Date: 3' License#: As a condition of interconnection you are required to send/e-mail a copy of this form along with a copy of the signed electrical permit to National Grid: National Grid Attn: Distributed Generation 40 Sylvan Rd Waltham,MA 02451 E-mail:distributed.generation ,national rid.com Massachusetts:httL�://wvcridus.comltnasselect*c/home/enereyeff/distrib-uted generation.asp Nantucket:hqR://,,Aww.nationalz dus.com/nantucket/home%netgyeff/distributed a neration.asp Page 1 of 1 rLocation No. Date MORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ 6 Building/Frame Permit Fee $ G y? S U f oma.<«�<�... ,`' • ` ACHuseth rt Foundation Permit Fee $ 'Other Permit Fee $ i Sewer Connection Fee $ Water Connection Fee $ y TAL $ l Building Inspector i 6702 Div. Public Works ation No. o�-O � Date I 1- TOWN OF NORTH ANDOVER NORTH e 0�4t�.o ,e1�0 Certificate of Occupancy $ U, 0 Building/Frame Permit Fee $ cHus�t Foundation Permit Fee Other Permit e Sewer Connection Fee Water Connec4lotdee TOTAL Building Inspector t '© 6252 Div. Public Works Location No. ;2 �J Date TOWN OF NORTH d�ROOVER 3:O�,t`,D'I••BOOL ��,�r 1 p Certificate of Occupaq� $ •z ; • Building/Frame Peo" $ - Foundation Permit eee $ JACMUS t ` Other Permit Fee �$ ' `x 1576 Sewer Connection Fee 1 Water Connection Fee TOTAL ilding Inspector `- 6436 Di ublc'Works PI&XMIT rf0. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. l h f ff Cl Q PAGE 1 MAP ado. I LOT NO.—� 2 RECORD OF OWNERSHIP IDATE I BOOK PAGE — ZONE SUB DIV. LOT NO. 4 % LOCATIO PURPOSE OF BUILDING Si na Ir-- rlmi tv OWNER'S NAME 14 NO. OF STORIES Z ) IZE P+?CID OWNER'S ADDRESS SEMENT OR SLAB Sl A 6 //W/All, ARCHITECT'S NAME'S Z SIZE OF FLOOR TIMBERS IST f yC�C10 2ND '1 X 11�(/ 3RD BUILDER'S NAME 1 Y1Utl�h 1 _darl'I SPAN �lr�//• G 6V DISTANCE TO NEAREST BUILDING `h 1 ,(J DIMENSIONS OF SILLS k _—• DISTANCE FROM STREET 7/1111JJ1 POSTS / (/ DISTANCE FROM LOT LINES-SIDESI REAR 'L " GIRDERS (px AREA OF LOT - n(y) F 1 2,,, FRONTAGE x(751 HEIGHT OF FOUNDATION Q ( THICKNESS IS BUILDING NEW C•`X_J, /p�51�T /�7 SIZE OF FOOTING U f�(( X IS BUILDING ADDITIONfiV Q MATERIAL OF CHIMNEY 6(Z(J IS BUILDING ALTERATION 6 IS BUILDING Ob(z2L!p OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE \18.5IS BUILDING CONNECTED TO TOWN WATER fe C BOARD OF APPEALS ACTION. IF ANYAl/A IS BUILDING CONNECTED TO TOWN SEWER VVLpJC IS BUILDING CONNECTED TO NATURAL GAS LIN J INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES j� EBT. BLDG. COST BLW17�Puma"i EST. BLDG. COST PER SQ. FT.J �/ - PAGE 1 FILL OUT SECTIONS 1 - 9 979 PAGE 2 FILL OUT SECTIONS i 12 FDADUE FRAME PERMIT 8 , -EST. BLDG. C08T PER ROOM /DD '� SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND PPR VED BY BUILDING INSPECTOR DATE FILED Y/ 1 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE Q PLANNING BOARD CONTR.TEL, OWNER,TEL.# 975.1426 PERMIT GRANTED #�_- 19 CONTR.LIC. BOARD OF SELECTMEN 1 � INSPECTOR r. BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY` _-OFFICES — LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE __ BRICK OR STONE HARDW D `t- PIERS PLASTER - _ DRY WALL UNFIN. ` k 3 BASEMENTS AREA FULL FIN. B'M'TAREA,"• _ '/ '/t V. FIN. ATTIC AREA \ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN t 4 WALLS I_ .9,' FLOORS �'• \, tp, CLAPBOARDS B 1 2 3 DROP SIDING 'CONCRETE �_ W WOOD SHINGLES 'EARTH __ _ t•�` ASPHALT SIDING HARD"I'D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON BRFRAME, ICK N MASONRY .` ATTIC STRS. d FLOOR _ ,• � � i" ;c' }: ' BRICK ON FRAME I r-�r,J.,y - k!4FgL�R5t3.9++a :�.' *`k• ' ' r��� "' t" "" CONC. OR CINDER BOK. t 071 STONE.ON MASONRY. WIRING Mol STONE ON FRAME SUPERIORADPOOR _ n.®Y,a:rn.h� ,r.c<c c + EQUATE I NONE 5 ROOF 10 PLUMBING GABLE HIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE 1 FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS ' OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING 4; C' t • a S V C FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: /"1 PG�D LJUOG �PG7�tV &C,) Phone 9ZS` Z LOCATION: Assessor's MapNumber Parcel Subdivision Hea A)r �J Lot(s) Street kf ad6 w Ood St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: �F Date{ d q A rove Conservation Administrator Date Rejected Comments Date Approved a Town Planner Date Rejected Comments ZZ�14 Date Approved Health Agent Date Rejected Comments Public Works .- sewer/water connections - driveway permit Fire Department M '� 9 P�67-7k-771 Received by Building Inspector Date /ovvt�/�T/ov LacArio�/ F�eo� 4A.1 1A1S-rC'amEAvT Svc BEY. r oo M ti i i �'�V 8 X993 � E 1 r�1E,PEBY CE.e•T/FY TO T,yE T/TGE/,t%SU•PD,f OVO �L D T Tlj T.4�E B�4N.Y T.S�gT T.s�EOy'ECG/.a6/S GOC,4TE0 0,V TiS/E GaT r!S Srff9/►'.t/ANO T/dOT/rOAES LGO,t1.=ae1w //V 1Y/T// T//ETO�N OF NO,A��OVEe zoN/NG eeavLA.'-V-41S ,QL�d.•4.Q0/NG SETBAC.t'S FEOM ST.PEtTS��T L/•aES. "' � �.VOO VE,�/ ///qSS, s F(/,Cl//�t CE.PT/FY T AT Tom'/,S O.Y2rLL/N6 /S�t/OT GOG4TE0/rt/ THE GOO ffi9ZA.�0 A.PE,4. O,Pr9i✓it/ f��P 2SGbJ OD/O$ �EA.DOtv�op .�E/aGT7/ �oef? g JEFFREYS. F�a.,� �{ BOUNO,PS�Gly"TE,Pi1!/N•4T/Ort/ BOU.vOA.PY/i(/FOiP�I� ,47-10,t/ TA,t'E.y F,Pdti! EX/ST/.f/G .PE'L'o,PpS. G( P•4.P,E� .ST.rEET A,VODi�E,� /fl•4S.S,4L.S/!/SE7TS O/8/O NORTH t e I li Town of � over o ,: -,•�• , ,, VA No. 23 v _ 19 dover Mass.,2 COC MIC I� � 1 �ADRATED PPS\ �C, ,9S H E� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BU NSP THIS CERTIFIES THAT 1= ,�O,�MV i�� + 7ry�ii./ /�.. ......••••• Foundation DING INSPECTOR has permission to erects buildings on ��. 6 �. .�.r� Rough Ch to be occupied aa-VA C.&T../!'�i�l/.eL. Chimney e provided that the person accepting this permit shall in very respect conform to the terms of the application on file in Final 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 PERMIT FOR FOUNDATION u •, VIOLATION of the Zoning or Building Regulations Voids this Permit. RMUT p BY PARA. 114.8=S. b.:.. Rough PERMIT EXPIRES IN 6 MONTH Final PAISELECTRICAL INSPECTOR UNLESS CONSTRUCTION, o o PERMIT FOR FRAMUBUILDING- Rough 4; JService .. A .. .... ... . .. . ... . . .... DATE-./.L' ' FEE PAID-k92 BUILDING..... INSPECTOR Final . Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. gFIA/FR /WATFR FINAL 4 I S DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Towp CCUPANCY owp Building Permit Number Date S - 21 - 251 THIS CERTIFIES THAT THE BUILDING LOCATED ON ,ZD MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THA MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. TM,wCERTIFICATE ISSUED TO . p� ry - ° ADDRESS 'SA us Building Inspector N,0RT;..1 ti No® o over Q t lra: �l.a s c13 No. 2 1_3' _ f 1 ,y " - C_ ,QrtA►.ndover, Mass., .3�/I L 3/ Y 19 �AoRATE D PP�\�'(� BOARD OF HEALTH PERMIT TO BUILD Food/Kitchen Septic System �J►I�,0000". �� ��y�v�� � � � BUILDING INSPECTOR THIS CERTIFIES THAT . ... . ....... .... .. ... ... .... .. .. . .. ....... .. .... .. ... ... . ... ........... ���,-�.�c..l�..��((�� foundation has permission to erect#O~buildings on1411YA VA.#0 A.0.r1d, Rough 0 to be occupied a � � .. � �••• � •� ..... Chimney this permit shall in1ve respect conform to the terms of the lication on file in provided.that the person accepting t s pe ry p PP Final G--� G[i C 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. PL iri_G WOR PERMIT FOR FOUNDATION �, .. a � VIOLATION of the Zoning or Building Regulations Voids this Permit. "MLATED By PARA. 114.8-S. b.,, / PERMITEXPIRES IN 6 MONTH C' �' �' 2 FEE PAID UNLESS CONSTRUCTION � �J ��, o Q ELECTR AL I PECTOR PERMIT FOR FRAME/BUILDING Rough .......... Service . . . . . .............. ........................ DATE:/J- FEE PAID-/ _S'D BUILDING INSPECTOR Final ©� ' � . OCc`u j)Q11c_' PC_lllilt I?egtl11'E'cl to Oc:al j)y I3t,llldln GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fi agh `` No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE PARTM� Burner PLANNING 1& IAL a-6 (o CONSERVATION ! �/ Street No. Smoke Det. SFWFR /WATERS FINAL 4 )S� DRIVEWAY ENTRY PERMIT f' - "'Location No. Date �oRTh TOWN OF NORTH ANDOVER P. Amamadmn Certificate of Occupancy $ 41 MF,*MW Building/Frame Permit Fee CHU Foundation Permit Fee $ Other Permit Fee $ N Sewer Connection Fee $ Water Connection Fee $ TOTAL $ B. ilding Insp6ctor i :° 199il Div. Public Works �(IT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. i PAGE 7 IT NO. 2 RECORD OF OWNERSHIP JDATE BOOK ;PAGE ZONE ^� SUB DIV. LOT NO. I 1.,12CATION /A/ �I� / PURPOSE OF JIMIIJUNIP ��-/f O ER'8 NAME NO. OF STORIES SIZE LOYrNER'S ADDRESS/ O[a jF/��, y.,� /� y� BASEMENT OR SLAB ARCHITECT'S NAME �lLr GEIS �) �1 SIZE OF FLOOR TIMBERS IST 2ND 3RD LDER'S NAME L!' j�� SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X S BUILDING ADDITION GNCF CxiSj<�G `D� MATERIAL OF CHIMNEY IS BUILDING ALTERATION �C 4i IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION . LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER•Q. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEP6 MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ' PL S MUE4T BE FILED AN/DA�PROVED BY BUILDING INSPECTOR 7ATE F RUILDINO INBP[CTOR BIG RE OWN O UTHORIZED GENT I, FEE OWNER TEL./ 66 PERMIT GRANTED p CONTR.TEL# J d ` V a 1B 97 CONTR.LIC.# H.I.C.# mAY 2 01997 i p Y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE �• �_ d 1 2 13 CONCRETE 8L'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 114 1/1 % FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN 4 WAILS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ 1_ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME I ATTIC STRS.& FLOOR I_ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH 13BATH13 FIXE_ GAMBREL MANSARD TOILET RM. FIX.) ) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 8 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT.HEATERS 7 NO. OF ROOMS GAS OIL -r, f1 (3 •, f) B•M'T 2nd 0 3 _ ELECTRIC lit 13rd I NO HEATING FORM U LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number ************************Official Use Only************************ �O,t9NDATIONS OF TOWN AGENTS: Date Approved Conse ation Administrator Date Rejected Comments I o a• Date Approved Town Planner Date Rejected Comments Food Inspector-Health Date ApprovedDate Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date BUYER: Robin and warren Markowsky House built 1994 Lo c. . 83.00 c j i9 25.00CN Xz 11 La WooD Q'� Is 40 5. tK Lo b` T eK. 50. I y MAY 2 01997 1 ° TME Boston Mortgage MORTGAGE INSPECTION PLAN AND E (TITLE INSURERS. ) LOCATED IN N O R T H AND O V E R I CERTIFY THAT 1 HAVE EXAMINED THE PREMISES AND THE BUILDINGS SHOWN Do ( ) MASSACHUSETTS PT FROM VIOLATION �hT]O�� TK ZONING LAWS AND AMENDMENWHENTS~ I.;.(FRONT.TRUCTED SIDE, h REAR YARD SETBACK ONLY) ENFORCQ6T ATIONGU�D6 MASS. CLL T1TLE Ni, CHAPTER 4OAr SECTIONOR ARE �77.. UNLESS OTMMSE NOTED. I FURTHER CERTIFY THAT THIS PROPERTY IS not LOCATED IN THE ESTABUSHED FLOOD DEED HAZARD COMMUNITY PANEL NO.: 250098 001OBDATE: 6/15/83 Boat EXAMINATOH OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED AND DOES NOT INCUIDE VERIFYING THE ACCURACY OF THE DEED DESCRIPTION PAGE PREVIOUS TO ITS DATE OF RECORD. CERT. N0. THIS COMPANY IS NUT 17SPCITVM c FOR ANY INnFNll lacc UAnv m itier m icor m ,.,r WHENEVER BLIWNGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY UNE ITIS AOMSED PLAN BK. PAGE THAT A MORE PRECISE SURVEY BE AIME M VERIFY THESE MEASUREMENTS. PUN # 12178 DAZED 9415 /9 7FlSaXTIHCA7ION IS BASED ON THE LOCATION OF SU OF OTHERS, AND DOES NOT REPRE9QIT A PROPERTY SURVEY. VEFdi1CA11O1JA �iR SED AND oFF5ET5; AS SHOWN, April 12 , ,19 9 4 MAY BE ACCOMPUSHED ONLY BY AN ACCURATE THIS CERTIFlCATION TO BE USEDTGAGE ^ ES ONLY. 1'�20 OFFSETS AS SHO A Ey3QVRE �+ USED FOR THE ESTABLIS � �jS BRADFORD ASA, % ENGINEERING ERING CO �l Y. sl- P.O. Box 1244 JAMES W. BOUGIOUKAS R.LS. #9529 TEL�j 373-23" t i _ r i� Town . of North Andover BUILDING DEPARTMENT Homeowner License Exemption 'Lease print) DATE_ JV/,,y d 7 JOB LOCATION /6(, Number . Street Address Section of town +?MEOWNER" Name Home Phone Work Phone .'RESENT MAILING ADDRESSL^= City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an ! individual for hire who does not .possess a license , provided that the owner acts as ' supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended tq.. be, a one to six family dwell- ing , attached or detached structures accessory t.o such use and/or. farm :structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form' acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109. 1 . 1) the undersigned "homeowner" assumes responsibility for compliance with the State Building Code and .other applicable codes , by-laws , rules and . regulations . Phe undersigned "homeowner" certifies that he/she understands the Town of ,orth Andover Building Department minimum inspection procedures and ,�quirements and that he/sh wi l co with said p cedures and equirements . iOMEOWNER' S SIGNATU APPROVAL OF BUILDING OFFIC AL 'Dote : Three family dwellings 35 ,000 cubic feet , or larger, will be .-equired to comply with State Building Code Section 127 .0, Construction •:�ntrol . MAY 2 0 1997 T Town of North Andover OFFICE OF e}? �:.: 0 COMMUNITY DEVELOPMEr'I' AND SERVICES a 146 Main SQA KE%tNETH R%AHONY VorLh Andover, Massachusem 0 1843 Y Director (508)688-91433 --i=AP'r'iOV t Please pr'_rt. ,.JCB ioc. i Iov vuinoer<: Seetaceress+ Sec'ioa or tow �royiEo�w�. �w/�. � 5 Name me .^.rare. b�lor!: phone PP "' 'MAILING5 'MAILING .DDDR SS eO Tfc1 G /Z !Town ., x K City x 1�ie.Current e:ce:riDtio fOr "homeozr�erS' :�aS exa=,4 c to include o3vaeroccupied dwellings +- of sic units or less and to 3110.v 5 'cam nGWeO�+r:ie:S :o em a,e an indiwiduai for ffire vh0 does not possess a license"..provided,that the owner ac's as supervisor tState;Buildin;:Code Sec-7 DEF IvTrION OF HMAEOwwy? P@rSOn�S� who-;owns a parcel Of.lard o n .vr, c, �e;sae resides'Or inie nds to reside: on whiC3 u`:ere is, or is intended to e, °a ot:e :o s;.�.fami�tr cava!i %Q. attacaed or de}ached s4,ictures ac cessorl'to such use'andlor f&-= s c^=es. A pei'scn.cv,o eons uc`s-more than one home in a 'ttvo-;rear period shall not,.be. co-asice:ed a no,Leo:v ueT .--Such "homeowner shall submit to -41 the Building'Official, on a form accaptabe to �z 3uiiding Oficial. that he/she shall be ' res.poasible:for all such wort- per"ormed under th.e,building permit,:(Section 109.1.1) Tie undersigned "homeowner" as_,i=esM-s-"..s=iiiR.' for compliance.with the State Btlildin� Code and,other_,aoplicable codes -law "eS arc -e;��iatonsa t' The undersigned "homeowner"'ce __es that'ne:sLe understands the To"y-a°of `To. Artdovover I _< Building De ar•�;ient_mininu^ iLspe-,o= DrccavuMs and requirements and L`iat aersae-;vtllY comDlV'with Said prgeedureS and MCU H=ens.: I: HOMEOWNERS`SIGH 1ATL'RE y A.11PR04r1L OF, BL I.D11iG OFF:CTA — mu Note: Tliree family dWellings 35.000 cubic feet. o: lar;er; will be recuired '�o comply with State Building;.Code Section =70. Construction Control: BOARD OF APPSALS 688-9341r BiJIL13QrG 688-9343. CONSERVA'nON 688-9330 HEALTH S8&9140. PLANNING 688-9535 Karhlora&adlcy Calwail Julie parrMo; D.Robot\iccun 16chAd Howard . Sandra Starz p ck t , dr lb I STC P U P ' 91L ANG I s �l lo (-P 1 ae Ao w o v aJ o A JD o v IF 2 50 �- 6 7- � S� Q • I MAY 2 0 11997 ( N O , t I l j 1 { i 1 r •- - - � r - r r - i i i i + I t f J � � X Is T mi � om, O gn N G - like -- 94 ' 46 staEwAU 0 2 z 'C" Ata'ftC."-r p "T y --r O 5V4 X I F Lan iu �J I STOP UP �LAILINL► r MAY 2 0 1997 ..e 0 v • �' _ , I.t�191LR.E IJ � �o a rti► �"�R fZ �C a�.s s M i o Cp f'le^40 k) o o h :(,eo A D r So G �� q MAY 2 0 1997 i Page 1 of 2 Z SPECIAL SERVICES 119 CUSTOMER AGREEMENT VALIDATION REPRINT Store 3480 SALEM NH 289 SOUTH BROADWAY .� SALEM NH 03079 N Phone (603) 894-1900 V Salesperson: FRENC Reviewer: PT31 CUSTOMER INFORMATION Last Name MARKOWSKY Firs`Name ROBIN Phone-Home (508) 687-6869 Phone-Work Address 106 MEADOWOOD ROAD City NORTH ANDOVER state MA Zip 01845- Company Reference DECK i DESCRIPTION • i R01 Z40- 5/4X6 -16 P.T..40 CCA Y/P PREM DECK Y $11. 75 $246. 75 R02 5/4X6 - 8 P.T. .40 CCA Y/P PREM DECK Y $5. 50 $71. 50 R03 2X8 - 16 P.T. .40 CCA Y/P NO. 2 Y $13. 95 $0. 00 R04 162-744 7. 00 EA 12X8 - 10 P.T. .40 CCA Y/P N0, 2 Y $2. 97 $20. 79 R05 162-795 4. 00 EA 2X10 - 16 P.T. .40 CCA Y/P NO. 2 Y $19. 85 $79. 40 R06 162-787 2. 00 EA 2X10 -12 P.T. .40 CCA Y/P NO. 2 Y $14. 40 $28. 80 R07 162-825 3. 00 EA 4X4 - 8 P.T. .40 CCA Y/P NO. 2 Y $1. 50 $4. 50 i R08 285-266 3. 00 EA BIN X 481N QUIK-TUBE Y $4. 25 $12. 75 R09 929-514 15. 00 EA 60 LB CONCRETE MIX Y $1. 98 $29. 70 V10 515-663 1. 00 DELIVERY N $50. 00 $50. 00 R11 162-744 5. 00 EA 2X8 - 10 P.T. .40 CCA Y/P NO. 2 Y $7. 97 $39. 85 R12 473-227 1. 00 EA 2X8 - 12 P.T. .40 CCA Y/P NO. 2 Y $9. 75 $9. 75 R13 162-736 1. 001 EA 12X8 -8 P.T .40 CCA Y/P NO. 2 Y $6. 65 $6. 65 SUBTOTAL $600. 44 SALES TAX $27.T2 TOTAL $627. 96 AMOUNT PAID $627. 96 DETAILED DESCRIPTION OF SERVICES �, .... ...... :«:::: ...� 515-663 DELIVERY DELIVERY DATE: 05/21/1997 MERCHANDISE TO BE DELIVERED: • ITEM DESCRIPTION , R0100 640-581 21. 00 EA 5/4X6 -16 P.T..40 CCA Y/P PREM DECK R0200 640-603 13. 00 EA 5/4X6 - 8 P.T. .40 CCA Y/P PREM DECK �. NR0400 162-744 7. 00 EA 2X8 - 10 P.T. .40 CCA Y/ENO. 2 r r,., R0500 162-795 4. 00 EA 2X10 - 16 P.T. .40 CCA Y/P NO. 2 i r R6600 162-787 2. 00 EA 2X10 -12 P.T. .40 CCA Y/P NO. 2 N R0700 162-825 3. 00 EA 4X4 - 8 P.T. .40 CCA Y/P NO. 2 R0800 285-266 3. 00 EA BIN X 481N QUIK-TUBE C R0900 929-514 15. 00 EA 60 LB CONCRETE MIX Z R1100 162-744 5. 00 EA 2X8 - 10 P.T. .40 CCA Y/P NO. 2 F NDRTjy o'vm 0 over No. 238 o - . LANE dower, Mass., •�4 COCNICNEMICK191,2 L71• Q A4 T E D `G BOARD OF HEALTH ' PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................. AAR-p V /I Foundation has permission to erect............ ...... 1wildings on ....1 �0....... .A-A. Rough tobe occupied as.............................................................. ................................................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS t UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough .................................. ..f�.r.., Service B D INSPECTOR - Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. f Location / ` `" ' r' 1, No. Z" Date a MORTM TOWN OF NORTH ANDOVER •. 0 IO. R 9 + ; : Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ CHusa 9 Foundation Permit Fee $ a Other Permit Fee $ TOTAL $ Check # 16120 Building Inspe or TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING e � �a BUILDING PERMIT NUMBER. DATE ISSUED. ic_ SIGNATURE: /� C.�—^—� Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: dam_ � (` Map Number Parcel Number rW 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record hf45L4 ✓ (��, C� pwnn R� I Name(Print) Address for Service: O 4ym 7 ignature Telephone (Q 2.2 Owner of Record: I Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES `3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: O License Number Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m Registration Number r Address rs Z Expiration Date A Signature Telephone 1�) ' t SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: q SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Ol CLALV, ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of / 0 Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORI ATION TO BE COMPLETED WHEN OWNERS AGENT OR�,CONTRACTOR }APPLIES FOR BUILDING PERMIT v I, H5 I e iv — W ETN H s q as Owner/Authorized Agent of subject property" Hereby authorize Al, 4 to act on i My1 tter r ative to work authorized by this building permit application. Me4W Si nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief s Print Name Signature of Owner/A I ent Date IM EWE. 95 SEMI.- 719 NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3PID SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IIEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT H >I t,:y— ey PHONE9 7k 6�7'G- 1,Y LOCATION: Assessor's Map Number PARCEL O/4rO SUBDIVISION.L,--- � LOT(S) I O STREET I" I�-20* dh W Ob� d ST. NUMBER-LO ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF-TOWN AGENTS: iL c CONSERVATION ADMINISTR OR DATE APPROVED DATE REJECTED COMMENTS TOM PLANNEO DATE APPROVED e2 DATE REJECTED • COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm , NORTH;q 0po A Town of North Andover Building Department • °' ' 27 Charles Street �9SSRCHUSEt�h North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE I Z��D/�0 JOB LOCATION 1.0 e4 do wa J Number Street Address _l Section of Town "HOMEOWNER f Number // Home Phone Work Phone y� PRESENT MAILING ADDRESS I D b luloal woe 0— tvoY-t L A ods v&- �-1 A C? � �- City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended,to be,a one to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE jiL¢ •� APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. SEE O EEp ,•-0 2 E,4 S EM EwT S LoT 'i8 'J ew ti v O 0 �3. " a o ,O 6 I HEREBY CERTIFY TO THE TITLE INSUROR AND PLOT PLAN TO THE BANK THAT THE DWELLING IS LOCATED ON IN THE LOT AS SHOWN AND THAT IT DOES CONFORM 117TH THE 7-"-- ZONING REGULATIONS VER 1"A REC,ARDING SETBACKS FROM STREETS k LOT LINES.` ` 1 FURTHER CERTIFY THAT THIS DUELLING IS NOT DRAWN FOR LOCATED IN THE-FEDERAL FLOOD HAZARD AREA AS SHOWN ON FEOMM TY PANEL 2soo98 ooio 8 STEPN E R.L.S. DATE �9/�2iC zc�o L ,a. i THIS P GXrPURPOSES — NOT FOR BOUNI2AR "IET R t ATJO . BOUNDARY INFORMATION MERRIMACK ENGINEERING SERVICES TAKEN FRO 'Sj 'S`7'1'AjQ ftC0RDS. 66 PARK STREET •Y _ 2 zo ANDOVER, MASSACHUSETTS 01810 NORTH E own of .. ° ` . No. 3 d L * -_ - �� dover, Mass., ADRATED p'Py S 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT....... .. ... '..rN. ... ............. .. .. ................................................................... Foundation has permission to erect.....is............ ............. buildings on ....�.d .......M..a. d.. ®O. d ............ Rough 5 4�.n �, . . �/ r r{� r .. Chimney to be occupied as....... 9 .. . . . . . ... .. . .. ......... ....................................... .!!4. .................................... provided that the person accepting is permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and yB -LaW;i relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 0 S 'a $ ,30 — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough rn A t N't i 1 N PERMIT EXPIRES IN 6 MONTHS Final S.4 fbw,c�.s �ro� A P OP #j,*.SUNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR n#� L Rough ... '.. ....... ......... ...................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or' Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner s Street No. Smoke Det. SEE REVERSE SIDE -