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HomeMy WebLinkAboutMiscellaneous - 134 BERKELEY ROAD 4/30/2018 134 BERKELEY ROAD 2101047.0-0o82-0000.a Date...... l..Z /�~ ........ p►ORTIy TOWN OF NORTH ANDOVER s PERMIT FOR WIRING ss�CMus� This certifies that .................. j.. ..... '... .................................................... has permission to perform ... �< �z ..�J� ......... `..!. !. wiring in the building of........,?..,P�'e at ...... .. � /L e/ e )(? '... ,No h Andover,Mass. ................................................................... Fee..... a..5..."'..Lic.No. ICRA..... ..............................'�../..........:��.. ELECTRICAL INSPECTOR Check# (,ornmonweallh o� aaaaehaealta Official Use only}. _ aUePart`rn¢nj o��ire�ervicea Permit Na. 7�1 t BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (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 t (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/22/2015 ► 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) 134 Berkeley Road Owner or Tenant Wayne Gendron Telephone No. 978-314-1034 Owner's Address same Is this permit in conjunction with a building permit? Yes x❑ No ❑ (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a 5.40 kw(18 panels)rooftop solar array Coni lesion of the ollowin table may be waived by the Inspector o ]Fires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergeney Lighting rnd. rnd. Batteg 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 Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pum N_ umber ons KW o.o Self-Contained Totals .. _ ...""" '"' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Conneectiounictio n [J Other No.of De No.of Dryers Heating Appliances KWSecurity Systems:* vices or Equivalent No.of Water K`,1, No.o No.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 OTHER: ANach additional detail iJdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $28,688 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,shat the information on this application is true and complete. FIRM NAME: The Boston Solar Company LIC.NO.: 12689A Licensee: William T.Foglietta Signature LTC.NO.: (ifapplicable,enter"exempt"in the license number line.) " Bus.Tel.No.: 781-462-8702 Address: 10 Churchill Place,Lynn MA 01902 Alt.Tel.No.: 978-836-6220 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAITER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner ❑owner's a ent. Owner/Agent PERMIT FEE:$ , Signature Telephone No. i The Boston Solar Company Mailing address:55 Sixth Road,Woburn,MA 0 180 1,Attn:permits email address:permits@bostonsolar.us bo:;COMMONWEALTH OF MASSACHUSE7T$ .. s e o • -o • .BOARD. F ELECTRICIANS I ISSUES THE FOLLOWING LICENSE A5 A RECISTERED MASTER. ELECTRICIAN '("tic, THE BOSTON SOLAR COMPANY LLC WILLIAM`T F WETTA III 10 CHURCHILL PLACE} _ J LYNN -2719 01902-2]19 CONTROL# J 2 8 d 18 8 IMPORTANT If your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mass,gov/dpi for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Keep this license on your person or posted as required by law and/or regulations. �. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ` 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electiiicians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): The Boston Solar Company Address: 10 Churchill Place City/State/Zip:Lynn,MA 01902 Phone#:617-858-1645 Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with 20 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.x 9. E]Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ l am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no solar employees. [No workers' 13.❑■ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and f ob site information. Insurance Company Name:HDI-Gerling America Insurance Company Policy#or Self-ins. Lie.#:EWGCC000153815 Expiration Date:1/14/2016 i Job Site Address: 134 Berkeley Road City/State/Zip: North Andover,MA 01845 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). t Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. { I do hereby certify under t aiirs and penalties ofperjury that the information provided above is true and correct Si ature: Date: 5/21/2015 6178581645 i Phone#: j Official use only. Do not write in this area,to be completed by city or town official. r [ I City or Town: Permit/License# t Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector t 6.Other Contact Person: Phone#: i I i Client#:103109 BOSSO .-ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(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 NAA0MNTACT E: Peggy J.Meratl People's United Ins.Agency CT PNHCONN. ,:860 524-7624 One Goodwin Square E-MAIL Arc No 844 702-8075 Hartford,CT 06103 ADDRESS: peggy.merati@peoples.com 860 524.7600 INSURER(S)AFFORDING COVERAGE NAIC A INSURERA:HDI-Gerling America Insurance C 41343 INSURED The Boston Solar Company,LLC -INSURER B:Merchants Mutual Insurance Co 23329 55 Sixth Road,Suite 1 INSURER C: Woburn,MA 01801 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 CONTRACTOR 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. LTR TYPE OF INSURANCE INSRL U D POLICY NUMBER MMIDDY EFF MMID�Y EXP LIMITS A GENERAL LIABILITY EGGCC000153814 1010312014 01101/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY P00%,JS RENTED PREMIS s Eaoceurrence $100000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENT AGGREGATE PROLIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY X JEC LOC $ A AUTOMOBILE LIABILITY EAGCC000153814 1010312014 01/01/201 CEe aS'N OMBIN1,000,000 ED SINGLE LIMIT A X ANY AUTO EAGCC000153914 10/03/2014 0110112016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ B X UMBRELLA LIAB X OCCUR CUP0001367 0/03/2014 01/0112016 EACH OCCURRENCE $5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $5,000,000 D£D X RETENTION$10,000 $ A WORKERS COMPENSATION EWGCC000153815 1/14/2015 01/141201 X WCSTATU OTH- AND EMPLOYERS'LIABILI Y 7 ANY PROPRIETOR/PARTNERIEXECUTIVE YIN N E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? a NIA (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $1,000,000 If yes,debe under DDESCRIPTIONION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,Additional Remarks Schedule.If more space is required) RE:Permit Work Certificate Holder is included as Additional Insured per the terms,conditions and exclusions of the referenced general liability and umbrella policies,if required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S565647/M565467 SMGCT ELECTRICAL DESIGN , CD o � PV MODULE RATINGS Ctrs STC SOURCE COMBINER RATINGS INVERTER RATINGS Temperatures INVERTER MODEL:Enphase Microinverter C4 y Z MODULE MANUFACTURER: LG Average High:28•C MAX OCPD RATING(A):20 MODEL:M250-60-2LL-S22 4 (� MODULE MODEL#:LG30ONIC-A3 Record Low:-29•C OCPD AMPERAGE RATING(A):20 MAX DC VOLT RATING(V):48 , 4) LO OPEN-CIRCUIT VOLTAGE(Voc): 39.80 OCPD VOLTAGE RATING(V):240 NOMINAL AC IMAX POWER V 4o•C(Vv):250 T A CJ OPERATING VOLTAGE(Vmp): 32.0 OLTAGE(V):zoo c6 u? OPERATING CURRENT(Imp): 9.40 NOMINAL AC CURRENT(A):1.oA 2 a) Lo f 2 x#10 THWN-2 Wire BLACK MAX BRANCH AC CURRENT(A):9A/9A -6 oO SHORT-CIRCUIT CURRENT(Isc):9.98 2 x#10 THWN-2 Wire RED MAX BRANCH OCPD CURRENT(A):20A Z pap o MAXIMUM POWER(W):300 2 x#10 THWN-2 WHITEIts '-tVoc TEMP COEFF(mV or%/aC)=-0.29%/-C 1 x#6 THWN-2 EGC �o� L1 L2 N = f Z M ft Isc=0.04%/°C 1"EMT INDOORS •• Z 7 WIRES r-------------------------------------------------------..i c — E to N i - N p 2 > PV LOAD cc cc > o -O -gyp ...t W V Q Q First End-Fed Branch of 9-M215 Inverters 0 Tofal of e.1 It bemreehA Lg00N1G. clrtulrbraMb LO900N1G LOa00NOC- Lg00N1C- A3 Me 0.9A rpr0 per panel rrmr A] Aa A9 A CU O J box ErglN9a Enphate EnOhaea EiryhaOe i ' L .................................................. 2LL ...................... 2LL __----_._----.._...... ]LL , r•��� _ `v CU Second End-Fed Branch of 9-M215 Inverters > /'U oral or a psneb conrNchO N AC J CU Lg00N1P drapbmch Lg00N1L Lg00N1C• Lg00N1C• \ t) O. A9 ONlq wtpul fauN cunenl Ae A3 ' W 09A rms per panel (V/ Eripruw EigM00 ErpbaOe EiryMx 130 (/ ]LL ................................................... 2LL -__._._.—.._......... 2LL '—'-'----'----'---- •2LL L '�+' O FUSED AC N V/ NOTE:A GEC(grounding electrode conductor)is INSIDE M X C required only for M215 60.2LL.It is not required ENVOY COMMUNICATIONS DISCONNECT 7 O for M215-60 2LL-IG GATEWAY 60A 240V Z 25AMPS N LZ L1 ETHERNE CONNECTION TO BROADBAND ROUTER 120 VAC POWER SymbolConvenfions: CABLE OUTSIDE AC 100A) ) �5' 4 x#6 THHN-Wire BLACK DISCONNECT 2-Pole Licensed Electrician Assumes All Responsibility For 1 x#6 THHN-Wire RED 30A240V 100A _ circuit Breaker Determining Onsite Conditions and Executing 1 x#6 THHN-Wire WHITE MSP f Installation In Accordance with NEC 2014 Codes 1 x#6 THWN-2 EGC atio Fuse 1"EMT INDOORS „ iA 4 WIRES0-0 ✓o Visible Break --------------- ------- E CONDUIT SIZING SERVICE PANEL RATINGS o AC DISCONNECT RATINGS .................................... Knife Switch 1"PVC OUTDOOR MEP BRAND:1-T-E 1"EMT INDOOR BUS AMP RATING(A):200 DISCONNECT AMP RATING(():3 40 SERVICE MAIN AMP RATING(A):200 DISCONNECT VOLT RATING(V) BREAKER RATING(A): 20 1 w ................... Equipment NEMA 3R ( )� Grounding NA Conductor = Drawn by:H-Menkarl ' ARRAY DESIGN / SETE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 240" 215' 30° Lh DRIVEWAYo N ' = Naa) Z Microinverter System W ;,�N Ca 2? M am U, O W a`) 66 4 �y ? R00O M V = z M_ - F0 UTILITY METER zO m w T AC DISCONNECT N p (D > d LGATE120 > w v o —PROPOSED CONDUIT RUN; O = Q Q d ELECTRICIAN WILL FIELD VERIFY*** *'FINISHED ATTIC*** � E Co O 12" -� t6 _� - -�-- $„ Quick Mount PV J Q � 2-(17.33)' N Portrait Total's - cu c_ NO+ , Total#of Panels: 18 J CU L (F14>', 00 Total#of Splice Bars: 2 O • Total#of Bonding Jumpers: 2 x O Total#End Clamps: 12 O O j„)• Total#of Mid-Clamps: 30 z 246” t� C PLACE PV LOAD CENTER OUTSIDE TO THE LEFT OF THE X39.05"--> 'j UTILITY METER, THE CUSTOMER IS RESPONSIBLE FOR •7.o ***ARRAY LAYOUT Is NOT To MOVING OBSTRUCTIONS V FROM PVLC LOCATION; ow Cn SCALE*** PLACE ENVOY MONITORING EQUIPMENT TO THE LEFT OF a i Quick Mount PV Solar Flashings THE MAIN ELECTRICAL PANEL cu will be used on every roof penetration Customer Signature: Date: TYPICAL ATTACHMENT DETAILS °. fHIS£DGFTOWARDS ROCF RIDGE /--RACKING'COMPONENTS, ° I'�V'I�IIV4lU®EU NZ 5052.MILL I t QVCCK,CLASSIC,,:&I CAST AL,MR 1Ll ' .� —j- PLUG,SEi1NG° +W16.1 .� ".E !�i •9 5S i 1 3 4 ILKISCEW,WLIE,D,Sold"X X1)7', WKS 1 1.25 y— l TINASHL-R.. END6s, lTo"IC^K I-Il/tt' } .,1 &SS a T 3.00 `JI �P •I • i i i' 1 Lagl'Bolt Specifications Specific Gravity 5116'shat.per 3"thread depth 5116"shalt per 1"thread'depth ` Douglas Fir Larch ,50 796 256 Douglas Fir,South .46 705 235 Engelmann space„Lodgepo(e Pine(MSR 4E60 If higher) .46 705 235 Hem,Fir .43 638 212 Hem,Fir(North) .46 -- 705 235 Southern Pine .55 921 307 Spruce,Pine,Fir .42 615 245 Spruce,Pine,Far(E of 2 million psi and highe:-grades cf IMSR and MEL) .50 796 266 Next Step Living Inc. "'RTFORATTACHSEE ENGINEERING Quick Mount PV REPORT FOR ATTACHMENT ' SPACING***�� next �'p lIVlngTM Module and Roof -LAG:QMPV E-MOUNT SPACING home energy solutions Attachment Detail WITH LAG BOLT A 1aa�// �jj / Official Use Only. CommonweaIR o////amackmetb aUerartment o/-7,,,Services Permit No '771 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. ]/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: 5/22/2015 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) 134 Berkeley Road Owner or Tenant Wayne Gendron Telephone No. 978-314-1034 R Owner's Address same Is this permit in conjunction with a building permit? Ves x❑ No ❑ (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a 5.40 kw(18 panels)rooftop solar array �4' Y;nh_nfthe„followine table may be waived by theIns ector of Wires. .0 Total ansformers KVA nerators KVA Date......�1 /f�....... of Emergency Lighting utter Units c�FR7h�tioo RE ALARMS No.of Zones TOWN OF NORTH ANDOVER ,of Detection an s InitiatinE Devices PERMIT FOR WIRING * _ of Alerting Devices Ti,?f Self-Contained CHU tection/Alertin Devices Municipal �/ � J cal❑ Connection ❑ Other This certifies that .,../Jl //1 1 S� curity systems:. �(i ' No.of Devices or Equivalent has permission to perform .... ni GYX f�JJ to Wiring: ......••_.. ..� .........�` / 1� No,of Devices or Equivalent ecom wiring in the building oflmunicationsiring: .....,••. .. E'�^-GD.O+� No.of Devices or Equivalent at ....../ .t.......... t°Z... -. . .:. o h Andover,Mass. ,. ed,or as regutred by the Inspector of Hires. Fee Lic.No. ....... ���/.��./..: P Q Rule 10,and upon completion, ............. ELECTRICAL IN , p p etion. Check# `T nce of electrical work may issue unless age or its substantial equivalent. The q he permit issuing office- 13331 )12 don is true and complete. FIRM NAME: The Boston Solar Company LIC.NO.: 12689A Licensee: William T.Foglietta Signature LIC.NO.: (If applicable,enter"exempt"in the license number fine.) Sus.Tel.No., 781-462-8702 Address: 10 Churchill Place,Lynn MA 01902 Alt.Tel.No.: 978-836-6220 *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:$ The Boston Solar Compan Mailing address:55 Sixth Road,Woburn,VA 01801,Attn:permits email address:permits@bostonsolar.us Location No — Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ r Building/Frame Permit Fee $ Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check#j ` 2 2 03 6 2 6 Building Inspector