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Miscellaneous - 1600 OSGOOD STREET 4/30/2018 (12)
JKEr w Coma BUILDING FILE ` TOWN OF NORTH ANDOVER Final Design Affidavit _ Projebt Number: 0807089(Architect's Job Number) Project Title: Luci's Cafe—Marsha Cohen Project Location: =isting "ddg 30 SE Corner Name of Building: . Bldg 30Nature of Project: wuatrrardti£c"hen redesign and Tenant Fit-up. In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith Registration No. 8688 being a Registered Professional Enginee-F Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural X)OCX Structural Mechanical Fire Protection Electrical ( Other (specify) FOR THE ABOVE-NAMED PROJECT,AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I HAVE PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND EITHER MY REPRESENTATIVE OR I HAVE BEEN PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK HAS PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS SUBMITTED FOR THE BUILDING PERMIT, AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2 1. Review for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the state of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I AM SUBMITTING THIS FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. Hi Signature and Stamp(no facsimile) o" N1MAX� v; ryan`' 44 SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF WC 09 7 MY COMMISSION EXPIRES NOTAR PUBLIC i Mary Leary•Ippolito Notary Public Commonwealth of Massachusetts u My Commission Expires May 16,2014 L....-- A. VAORTIy '9 Town of 2 : Andover . ...... No. _ dover, Mass.,C, *0 to LA ADRATED '9S BOARD OF HEALTH Food/. itc Septic System 1 PERMIT T D BUILDING INSPECTOR S THIS CERTIFIES THAT....... ..r ..� .....�5/�/�/.uA.d.1. ... Foundation r has permission to erect...................................:.... buildings on ...........- .: ......-......S. .r.:::e................................ Rough to be occupied as............................. !`t��? `��' ........�.. .. 1.'z_o�..:.................................................. Chimney- provided himney 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. p�� �' e c' !>/Cy PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION SPRTS Rough .���.. ........... Service ......................... . ............... ...................... BUILDING INSPECTOR , anal t1� �a�..-- Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner X .,� /�� Street No. -'�"�iv Smoke Det. SEE REVERSE SIDE a t , Daniel P.Leary NIX GEN , Energy Solutions, LL( NexGenEnergy.com Renewable Energy Professionals 857 Turnpike Street,Suite 233 Solar Electric/Solar Thermal North Andover,MA 01845 Wind/Feasibility/Design Phone: 978-688-2700 Installation/Maintenance Direct: 978-771-4781 Fax: 978-416-2525 We are a Veteran-owned company dleary@NexGenEnergy.com n U OZZY PROPERTIES INC. a 1600 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS a BUILDING No. 30 ROOF LOADING ASSESSMENT For Proposed Solar Panel Array System w Avg 84, 4 a Prepared For: N0aPV4 g ENERGY SOLUTIONS, LLC GALLAGHERCIVIL In `- a857 Turnpike Street, Suite 233 No.39114 North Andover,MA 01845 978-688-2700 �SSPt�NA. a Prepared By.- BMC ENGINEERING, L.L.C. P.O. Box 33 1 Farm Lane, Suite#102 Georgetown, MA 01833 Roof Loading Assessment March 2007 Page 1 of 10 a TABLE OF CONTENTS Page No. I. P Project Description........................................................................1 II. Scope of Work.............................................................................4 III. Site Investigations............................................................... . .. 4 IV. Structural Analysis........................... V.Findings/Conclusions...................................................................6 l� APPENDICES aA. Site Photographs.....................................................................7 B. Design Calculations..................................................................10 a 0 0 a o Roof Loading Assessment March 2007 Page 2 of 10 Page 2 of 2 Wetlands Preservation, Inc 47 Newton Road Plaistow,NH 03865 (603) 382-3435- office (603) 247-0805- cell (603) 382-3492- fax 8/15/2006 d �� 1N��S I. PROJECT DESCRIPTION Introduction This Roof Assessment Report has been commissioned by NexGen Energy Solutions, L.L.C., to determine the capacity of the existing structure to support the addition of a roof mounted solar panel array system. The proposed roof mounted solar panel array is to be located on the south side of the main building. The property is currently owned and managed by Ozzy Properties Inc., based in Andover, Massachusetts, as commercial manufacturing and office space. Project Location The project is located at 1600 Osgood Street in North Andover, Massachusetts. The site n is situated on 169 acres close to nearby Interstate Route 495. Li Assacistes.lOC* ...en.uw w i a errwsM •I �1�• ,, i -•t `err � '' gar •��'q, CONCEPTUAL w � + rtawca ✓ RI �PLAN August 2005 a a - Building Description/History a 1600 Osgood Street, formerly known as the Lucent Merrimack Valleyworks Property, was acquired by Ozzy Properties Inc., in September, 2003. The property has three main buildings structures, originally known as Building # 20, Building #30 and the Bell Labs Building. The buildings have approximately 1.5 million square feet of manufacturing, office and warehouse space for rental. Building#20 and Building#30 were originally constructed between the years 1954-1956 for Western Electric and housed company office and manufacturing facilities. By 1958 QRoof Loading Assessment March 2007 Page 3 of 10 le the size of the manufacturing floor and expanded the main Western Electric doubled g p office building. The second expansion in 1962 also added the Bell Labs facility. aThese buildings subsequently later became the property Yof AT&T as successor to Western Electric and more recently Lucent Technologies. At its peak, the former Merrimack Valley Works building employed close to 13,000 workers from throughout the region. The plant was, at one time, the largest manufacturing space available in the region. II. SCOPE OF WORK Structural Engineering Evaluations Our scope of work has been defined as three engineering tasks defined herein: Task A -Preliminary Site Visit BMC Engineering conducted a site visit on February 28, 2007, to verify that the existing roof construction is consistent with the as-built construction drawings received from NexGen Energy Solutions. We also noted other important in-situ conditions, such as the loading from piping and equipment supports hung from beneath the roof structure, any n damage or deteriorations to structural members, evidence of structural modifications or J repairs, and any other condition that would influence the loading or capacity of the existing roof framing. Task B-Structural Analysis BMC structural engineers conducted a structural analysis to determine the state of stress and deflection for all roof members to be affected by the proposed loading for the solar panel system. This analysis used Allowable Stress Design (ASD) procedures for the analysis of all structural steel members. Task C-Report Preparation This report provides written documentation of our investigations and conclusions regarding the capacity of the roof to support the installation of the proposed solar panel system. All applicable code requirements, design criteria, photo documentation and structural design calculations prepared for this project are included for record. Limitations This report is solely for use by our client, NexGen Energy Solutions, L.L.C., expressly a for his purposes in obtaining a Building Permit from the Town of North Andover to erect the proposed solar panel arrays. It is not to be used by any other party for any other purpose. The inspection of the existing structure is limited to visual observations. No roofing cores were taken to confirm roofing thickness. � a III. SITE INVESTIGATIONS Existing Structure The existing roof is comprised of 4 ply felt and gravel roofing on a composite gypsum/rigid insulation roofing panel. The roofing panels span a distance of 8'-0" in the east-west direction and are typically supported on steel wide flange beams which span n Roof Loading Assessment March 2007 Page 4 of 10 a 20'-0". The steel beams are in turn supported by steel trusses with a span of 40'-0". These steel trusses are then supported by the primary steel trusses with a span of 60'-0" in the north-south direction. The primary steel trusses are supported by steel columns which transfer all imposed roof loads directly to the foundation. According to the Powerlight® Solar Electric Systems plans the existing roof of building No. 30 between gridlines C to E and 5 to 23 will be utilized for the solar panels. In that area, no visible signs of water damage or degradation were observed on the underside of the roofing panels. The panels appeared to be performing adequately with no signs of excessive deflection. The steel framing composed of wide flange beams and trusses had no evidence of rust or section loss and appeared to be performing adequately. A review of the "as-built" drawings provided by the client confirmed the structural steel roof framing layout and member sizes were as indicated on the drawings. Conditions/Observations At the time of the inspection there was approximately 4 inches of snow on the roof. The air temperature was approximately 40T and it was sunny. The existing drainage appeared to be adequately draining the melting snow and there were no signs of leakage in the roofing system. It should be noted that there is no backup drainage system observed either in the form of scuppers in the 2'-0" high parapet wall or a secondary drainage system. A secondary drainage system is required per code in new buildings but was not required at the time this building was constructed.No consideration was given to potential ponding loads in the structural analysis carried out in this report. IV. STRUCTURAL ANALYSIS Reference Documents 1. Original Construction Drawing Nos. 196-47060, 47072, 47085, 47164, 47165, 47166,47175,47176 and 50063 a2. Powerlight® Solar Electric Systems- Site Audit Submission Design Criteria Massachusetts State Building Code 780CMR, Chapter 16 and 34 American Institute of Steel Construction,AISC,ASD Manual,9t'edition Roof Loadings The Existing dead loads for the roof were calculated based on the Weights of Building a Materials Table in the ASD Manual, page 6-9 as well as reference data from specific manufacturers. A Hung load of 5 pounds per square foot was estimated based on the actual ductwork, lighting and electrical components observed during the inspection. A snow load of 30 pounds per square foot was used based on the Massachusetts State Building Code 780CMR, Chapter 16,Figure 1610.1B,Zone 2. The Proposed Solar Panel Array load provided by the client is 4.75 pounds per square foot,which includes the solar panels together with the associated ballast blocks. Roof Loading Assessment March 2007 Page 5 of 10 aStresses & Deflections All roof framing members in the proposed solar panel area were analyzed for all existing loads together with the proposed new loads. The results of the analysis are included in Appendix B attached. The steel used at the time of construction (1954) has a yield stress of 33 ksi with an allowable stress of 20 ksi. The analysis uses loads in accordance with athe current building code and was checked against the steel stress indicated above. V. FINDINGS/CONCLUSIONS The addition of the solar panels caused the roof loads to increase by approx. 9% in the immediate area under the panels. All steel beams and trusses with the exception of Truss T1-A were found to adequately support the proposed new loads for both stress and deflection. Truss T 1-A was found to have a slight overstress of 1% and is considered adequate in this case as the hung load of 5 pounds per square foot used is conservative for the actual hung loads that are being supported(see photo no. 4 in Appendix A). The truss is designed to carry a total hung load of 6 tons. Based on the structural analysis carried out and based on the loading information provided by the client, the existing roof and roof framing can safely carry the additional solar panel loads. a 0 a aRoof Loading Assessment March 2007 Page 6 of 10 a 0 o APPENDIX A— SITE PHOTOGRAPHS LJ tJ lJ �' Roof Loading Assessment March 2007 Page 7 of 10 x _ s , 1 r f .W - � zip-' r PROPRO. ftl*lk�, .,'�'1,a+3.✓" "� ���' k�rw/ est§��i t i z47 1,. •. a �i; r �• N ► ". tr ^+#��. >.���� ` ��elm ""eH"°�' � � #�"'°"•' _ 1.1 a a a 0 a a APPENDIX B-DESIGN CALCULATIONS � n Fl inn Li Roof Loading Assessment March 2007 Page 10 of 10 E BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT I NexGen Energy Solutions, LLC CALC BY CJG JOB NO. 07-152 PROJECT Lucent Building Solar Roof Pane15 CHECK BY SHT NO. DETAIL pRoof Load/Calculattio[n5 REV.B(I/Y} DATE w5 - - �j"GYPS.11M�►T { . 176 TcFop s=ir 321b'0c Yl. DUL it" t cA. . Cao S t = .... � tt n L o�Q[II Cufa E Li _ � 5f �e�: pISC SSD l�artv�.f G'- g PLY Frcr S- GRA vfL 5 c1 = $ 5f GYP F sf r� � tris i�s�� b Tee, 32 /g O.0 _ r,5f Add 5 f", ZZ p5f 0 i BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olutlon5, LLG CALC BY CJG JOB NO. 07-152 PROJECT Lucent Bulldmg Solar Roof Pane15 CHECK BY SHT NO. DETAIL Roof Load Calculatlon5 REV.BY DATE 801b —ree jjb suppjfc bl Tectum Inc, TE ,. DATA:. TOTAL SAFE INYF N LOAD-rd Style SPAN"' Bulb Tees— Weight MCC in Height 50" 5'6" 6'0" 6'6" 7"0" 7'6" 8'0" 8'6" 9'0" 9'6" 10'0" 10'6" 11'0" 11'6" 12'0" ISS1.68 0.0170 1'/1' 92 76 64 54 47 168 1.87 0.291 2" 109 91 78 67 S8 SI ® 178 2.15 0.353 2` 119 101 87 7 66 59 52 �7 218 3.19 0.598 2V," 119 103 91 80 72 64 S8 52 48 228 3.87 0.868 2'hr" 129 114 102 91 82 74 68 64 57 Momentoflnertia based on tees acting alone. Spans are based on three-span condition,32"nominal spacing.For 24"nominal spacing.multiply total safe uniform load by a factor of 1.32•for 48"nominal multiply by.67. For two-span condition,multiply total safe uniform load by 98,for single-span condition multiply by.64. Only 2188ulb tees are distributed by Western Fireproofing of Kansas,Kansas City,MO.900-6S9-6S77.Call for complete Information. The designer/specifier is urged to check theoretical deflection of any section,under the loads,and support conditions which are expected to be encountered. L�I L I vF �OA-05 ( Mass . Sf.ate. W r Code 78001st, Cl 16 ire 1610. IC Q�. AndeT — Zone 2— basI'basI'C C Sr)o vj to3C7P's 1. C,n5ljer SnoNo C I i"[ f f-Wt PCAt1ov5e PoOf - -0 _. (Ob, .33 -1lJ dv - /-/5 -1. 5 wh �-e OLv - 2I S /.IS ( )o'33 1, 64 2I ..s` pen 6Ouse I . 6 7'x20 rS t — 1.6�� C-tel E---:3 © CT7 ]SMC ENGINEERING, L.L.C. Structural Engineering Consultants CLIENT NEXGEN ENERGY SOLUTIONS CALC BY I CJG I JOB NO. 07-152 PROJECT I GOO 05GOOD STREET, NORTH ANDOVER, CHECK BY SHT NO. DETAIL BUILDING # 30 SNOW DRIFT LOAD5 REV.BY DATE SNOW DRIFT LOADS (Per Massachusetts State Building Code- 6th Edition) Fix— 161�A 1610.6 SNOW DRIFT LOADS AT CHANGES IN ROOF ELEVATION AND AT ROOF PROJECTIONS tD A"94 A V"ay NGE IkXX�.nwrx F 43K 11 n+IF tYl:1'7iX A L'['H.i NGF.f+LY RCIl:1F OH fi�F.C'1.; DATA.,INP UT Snow Density D 20 psf HICT![RCx tsatFr Basic Snow Load Pf. 30 psf I i vR i srkc}I =• Width of Upper Roof Wbu 21 ft Width of Lower Roof Wb, 48 ft (Larger of Wb,,ft or Wb d9r,t) `Pf �"a rF Height of Roof hr10 ft (Difference in Roof Elevations) �� I.C�V R0¢9E j rrc nttAx 1610.6.1.1 DRIFTING OF SNOW FROM UPPER ROOF Height of basic snow load'hb= PWD= 1.50 ft 30.0 psf Height Drift on Lower Roof Hd1= (1.15(Wbu)°'"-1.5) = 1.64 ft 32.8 psf but not more than 8.50 ft hdu + hb 3.14 ft 62.8 psf SNOW DRIFT FROM UPPER ROOF Height of Drift from Upper Roof Hdl =1 1.64 ft 32.8 psf Width of Drift Wd = 4*Hdu = 6.56 ft 1610.6.1.2 DRIFTING OF SNOW FROM LOWER ROOF Height of basic snow load;hb= PWD= 1.50 ft 30.0 psf Height Drift on Lower Roof Hd,= 0.5(1.15(Wbl)"•-;'-1.5) = 1.31 ft 26.3 psf but not more than 8.69 ft hdl + hb 2.81 ft 56.3 psf SNOWDRIFT FROM LOWER ROOF Height of Drift on Lower Roof Hd1= 1.31 ft 26.3 psf Width of Drift Wd = 8* Hd, = 10.50 ft C BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS n CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 f�Ji PROJECT Lucent Budding 5olar Roof Pane15 CHECK BY SHT NO. DETAIL Roof Load Calculations REV.BY DATE CA pe. 4,1C S A55�►�i t � too Q,-( / a as 2 ego ASsv� sT� 5 Leel, �ra)e 33ks` K �f n HC A, 2 S• 05JY � 2 gM z. K- Fl l � a. 0) 0 t r flo � — P n ors = 3d -f21 = 52- 5 7 ,1 �•�5 sf cr , '.ne.ls. aRMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 ` PROJECT Lucent Building Solar Roof Pane15 CHECK BY SHT NO. DETAIL Roof Load Calculations REV.BY DATE a ( Ue L s w4 5C`Z �IF ��o�c�2 3 Fl 3 84 (zq,000f68,1,n 1-n a Li i ' u u r � v BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS n CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 'LJ1 PROJECT Lucent Budding Solar Roof Panels CHECK BY SHT NO. DETAIL Roof Load Calculations I REV.BY DATE T vSs S `7/��J fCoP1F.::3 :-� (�e-(: PSO Manua 514cd im) STIO WF 't,S STS LOFILI STS WF IO, S .s. 5TgWF20 rlreu 7.06 00 fla� C vdAi (in) 6. g35 0. 513 0.34 p. Spa Int 00 : y-&0 19.0 � 5 2 0 0 1 lx (in4) I� }. I 23 5 9. 3/ 3 . 2 1.62 2.05 4 (►A� 2`55 1 'S6 1,25 n D L BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olutlon5, LLC CALC BY CJG JOB NO. 07-152 PROJECT Lucent Building Solar Roof Panels CHECK BY SHT NO. DETAIL Roof Load Calculations I REV.BY I DATE Cor15i e� �� T os.1,7e, jAe- EoSt - West DI'ffd,ba I STS 10.5627.16) ro Co ]ZOO -41 o I STS 10.5- 1f27W. S Panels at 13=0=40=O Column or Trussfl {-Colum"n�Truss a TRUSS T-2-94 Req'd. �-46 - S3�InF1D.Si�76) tV x 0.4 CNM 36. 5f?anxlr.dt.8=0.=40=0 rl Column'OrTiurr f ColumnorTruss T_ "R13,55-_T-4___ -T -alp 12.rr20.7 (s 70} ll ee detail oY -S`f 82D3 -only Chord 1fii6 shoe a � � O -q 77 777 3pai,eh at$ O 40 D E Sa;f) = lol—olk J Tr of ary D a d e w"A 20 Q 11 Ii l J BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 J PROJECT Lucent Budding 5olar Roof Panels CHECK BY SHT NO. DETAU Roof Load Calculations REV.BY DATE `. CG5��1er Toss T-2--' - F, _zF, P2 P Pz P2 11.001-1Z5,56`` z 5.56 Pi �; Cr o J9.p 45,56 25.56K 19,S28 . els C S -40' 0Li �f_�_��_•�_ //'�a IC !! }} � n *� F(om �10 X15 c� �`�f n see. = �� 69 c�e�F wei i 5 T 5 WF [0, S 2X10. 5pi1x '6. 0� � x8o ' G . L z%/,2`4 1 : 2 �t. 10 rI � JL 2x2 x ��} (DRG.}; 2 X 3J 9r x I l. 's 43 o7, iJ 1 � ,# 2 u ' I U BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy Solutions, LLC CALC BY CJG JOB NO. 07-152 PROJECT Lucent Budding Solar Roof Panels CHECK BY SHT NO. DETAIL Roof Load Calculations REV.BY DATE a oo"J : STSWF/`i K� r i LA _ = I z F/ 2'11 E 2 CC I 3 UJ►1 Cry cc = e �a KLIr) (VL/r� gc 2 Z21 KSC 3' '0 Z k ICs t F ac� vu L 2!2 y ne o.461 kr 1Z1, ry J.05 Li 9 A $ I_____. LiKs` 0.6 r (�-e- 20" BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT I NexGen Energy solutions, LLC CALC BY CJG JOB NO. 07-152 C PROJECT Lucent Building Solar Roof Panels CHECK BY SHT NO. DETAIL Roof Load Calculations I REV.BY I DATE aC 51'de—r Tru55es TTz Govzrrs 4e clew rL jq.uK �Z Z�, K 2q•�ZK pi 4b, y3.t8 0 Nil 19.81" R eT Us ee 5 � �o S L Truss 0 I h T airc 5 )1- r her I t a o y065eC-v4,(('6yL . vele PC/y- �-e_ CAlime , CS� � � oaj5. Li a a Li BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olutlon5, LLC CALC BY CJG JOB NO. 07-152 L� L, PROJECT Lucent Budding Solar Roof Panels CHECK BY SHT NO. i DETAIL Roof Load Calculations REV.BY DATE 0 C srrl �� Truss es 1"p. t�e _ _ I o 'p s t Fi o r; C ` cN CG/I Srr cr rOss T I (Desi 2fs 9�4 PMUELS , ----- W -1 �r n n yo 331, M. . v 0 � H uSnow p.L.. ; ' - (30FSf t zz��f) $ 4-16 w0 81-18:4 4 4.9 C4�:C(Je s�C W rto es tt J Self of (r�ss @ ►)ades -. Li4 10 1F" : 4qp x ld d' = y 8 D ST� �Iq 1 ��If JL_ 01C,41ylols ; . I3�IFav� X 13.12 n ('► 5 = SD#+ 1 R plFx 13.12 = X29 ' o SIA.B-10 ouf t,, if u riB__9 2 o4fo�t + (1.�xI3 I2` = 632# arc w=6 oli"ouvfi L� Li BMC ENGINEERING, L.L.C. STRUCTURAL ENGINEERS CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 PROJECT Lucent Budding Solar Roof Panels CHECK BY SHT NO. DETAIL Roof Load Calculations REV.BY DATE aCgj(uloe- Loads ofi Ae- AI- W Trusses :- �WGFI VL f LL ei2� f"t�►Y1 L 00i (/esc(rpt1;'w, of Loal r, r2- 13 I4 c5 Iross 5elf vt12 q 1)1$7 G 32— 1/1 g:� . -72-9 Uni 1orrt, Noo'[ Load (pL+ L+, 16 o 4, 16 y 4-d60 LF,160 q, 160 -W T,�✓sses - �°P 8 rorct - _840 1 ,04-0 self wf.. -jL2/X22x '/4 262 262 293 _ 2q3 n Z x 2 x'l4d 1-61lifo, l +o U Wioxt s ge a►oS do F W T,-usse5 ( 3�,L-So ���ST/N� l�,e�ss Lo��s 4� $gq ►,36a ��� 72 jLfi►362 Lf,%8 1 S G Lke PAVEI- — Un" L �2 66 3350 -390 L a"s $89 X41,X66 5 ,05 �t3,262 5,20 { a i CSTRUCTURAL ENGINEERS BMC ENGINEERING, L.L.C. CLIENT NexGen Energy 5olution5, LLC CALC BY CJG JOB NO. 07-152 aPROJECT Lucent Budding Solar Roof Pane15 CHECK BY SHT NO. DETAIL Roof Load Calculations REV.BY DATE ltx m,26� 11226 112.66" w t 58.51'K 112,66K 3 R K ►� " : ,� g x php +4t. ,�G. X 20+ s.�5g . 3a X43 26a 5�.2 0 66 - g K aChi k 60 d or► Coy- tess K ks tCs / o ers Z. 6.6 2 � - -= - 2- SAY 5 0 a s•S� AXa.5 S SF sv r a '/ aecK r , ku �-D� 1.5 �o �.��N"� 2 6 G Ks {k S Cu5C- l�kl�o�1 `„ Q 101 s M 40-416+0-00475y�'-Ig C = '+ 4►�(f - �.5L-x - ; 3 l KsI G 0,66 (33K5 1 z n klL o. s60x +2-) _ G11(dedc n BMC ENGINEERING, L.L.C. Structural Engineering Consultants g g D CLIENT!IPSWICH BAY GLASS CO. CALC BY CJG JOB NO. 07-147 PROJECT NATICK MALL CHECK BY SHT NO. DETAIL CURTAIN WALL DESIGN rr REV.BY DATE D , , �a rn x Tex SG. C �rst 1 . 0 C' - '4` Px)Fi X D 12 W x(2-9,000) D K�b 0.5 (12 0) 23 ( /r� z3 3 .I! D °I 0,8 S (3 — D — + ►�s D py-Z + 013 D D ° 5 �hec 1��5, Te s K61 -11 20,0 Y, 5116 : Lt� 00 InD e.c� Corn re5sr`�►'L j'� - WS L �L _5 x 3 /� x D � I. 0 �3.t2� X12 K/r — i .sq 9 1249 D K5L , 081`1,. D � IC w'v Iz �Os��,�l �� �-e. er , D y � /0 cl j► ew h n o o vis�7�s5 es � (1 C Monday, March 19, 2007, 03:50 PM PAGE NO. 1 * * * STAAD.Pro * Version 2004 Bld 1004.US * Proprietary Program of * Research Engineers, Intl. n * Date= MAR 19, 2007 Time= 15:50:32 * * * USER ID: BMC engineering, LLC I IFI 1. STAAD TRUSS Li INPUT FILE: Truss T1A.STD 2. START JOB INFORMATION ^ 3. JOB NAME ROOF LOADING ASSESSMENT 4. JOB CLIENT NEXGEN ENERGY SOLUTIONS 5. JOB NO 07-152 6. JOB REF BUILDING NO. 30 n 7. ENGINEER NAME CJG llul 8. ENGINEER DATE 19-MAR-07 9. END JOB INFORMATION 10. INPUT WIDTH 79 11. UNIT INCHES KIP 12. JOINT COORDINATES 13. 1 0 0 0; 2 240 0 0; 3 480 0 0; 4 720 0 0; 5 120 101.89 0; 6 240. 101.89 0 14. 7 360 101.89 0; 8 480 101.89 0; 9 600 101.89 0 15. MEMBER INCIDENCES 16. 1 1 2; 2 2 3; 3 3 4; 10 5 6; 11 6 7; 12 7 8; 13 8 9; 21 1 5; 22 4 9; 23 5 2 17. 24 9 3; 25 2 7; 26 3 7; 27 6 2; 28 8 3 18. MEMBER PROPERTY AMERICAN 19. 1 TO 3 TABLE T W14X38 20. 10 TO 13 TABLE T W21X93 21. 21 22 TABLE SD L50357 22, 23 24 TABLE SD L40305 23. 25 26 TABLE LD L35354 24. 27 28 TABLE ST W8X18 25. DEFINE MATERIAL START 26. ISOTROPIC STEEL 27. E 29000 LJ 28. POISSON 0.3 29. DENSITY 0.000283 30. ALPHA 6.5E-006 31. DAMP 0.03 32. END DEFINE MATERIAL 33. CONSTANTS 34. MATERIAL STEEL MEMB 1 TO 3 10 TO 13 21 TO 28 35. SUPPORTS 36. 1 4 PINNED 37. UNIT FEET KIP n 38. LOAD 1 DL + LL t I 39. *MEMBER LOAD 40. *10 TO 13 UNI GY -0.416 n 'I S:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.anl Page 1 of 6 LJ C STAAD TRUSS PAGE N0. 2 Monday, March 19, 2007, 03:50 PM -- 41. *11 UNI GY -.038 96 120 42. *12 13 UNI GY -.038 43. JOINT LOAD 44. 5 FY -4.889 45. 6 FY -41.666 46. 7 FY -5.058 47. 8 FY -43.262 48. 9 FY -5.269 49. PERFORM ANALYSIS P R O B L E M S T A T I S T I C S ----------------------------------- NUMBER OF JOINTS/MEMBER+ELEMENTS/SUPPORTS = 9/ 15/ 2 ORIGINAL/FINAL BAND-WIDTH= 6/ 3/ 6 DOF TOTAL PRIMARY LOAD CASES = 1, TOTAL DEGREES OF FREEDOM = 14 SIZE OF STIFFNESS MATRIX = 1 DOUBLE KILO-WORDS REQRD/AVAIL. DISK SPACE = 12.0/ 227994.0 MB 50. PRINT MEMBER FORCES ALL it n in I! 0 S:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.an1 Page 2 of 6 STAAD TRUSS -- PAGE NO. 3 Monday, March 19, 2007, 03:50 PM MEMBER END FORCES STRUCTURE TYPE = TRUSS ALL UNITS ARE -- KIP FEET HMABER LOAD JT AXIAL SHEAR-Y SHEAR-Z TORSION MOM-Y MOM-Z 1 1 1 19.12 0.00 0.00 0.00 0.00 0.00 2 -19.12 0.00 0.00 0.00 0.00 0.00 2 1 2 -37.31 0.00 0.00 0.00 0.00 0.00 3 37.31 0.00 0.00 0.00 0.00 0.00 3 1 3 18.19 0.00 0.00 0.00 0.00 0.00 4 -18.19 0.00 0.00 0.00 0.00 0.00 a 10 1 5 111.26 0.00 0.00 0.00 0.00 0.00 6 -111.26 0.00 0.00 0.00 0.00 0.00 11 1 6 111.26 0.00 0.00 0.00 0.00 0.00 7 -111.26 0.00 0.00 0.00 0.00 0.00 12 1 7 112.66 0.00 0.00 0.00 0.00 0.00 n 8 -112.66 0.00 0.00 0.00 0.00 0.00 J13 1 8 112.66 0.00 0.00 0.00 0.00 0.00 9 -112.66 0.00 0.00 0.00 0.00 0.00 21 1 1 76.76 0.00 0.00 0.00 0.00 0.00 UUU 5 -76.76 0.00 0.00 0.00 0.00 0.00 22 1 4 77.97 0.00 0.00 0.00 0.00 0.00 9 -77.97 0.00 0.00 0.00 0.00 0.00 23 1 5 -69.20 0.00 0.00 0.00 0.00 0.00 2 69.20 0.00 0.00 0.00 0.00 0.00 24 1 9 -69.83 0.00 0.00 0.00 0.00 0.00 3 69.83 0.00 0.00 0.00 0.00 0.00 25 1 2 4.83 0.00 0.00 0.00 0.00 0.00 7 -4.83 0.00 0.00 0.00 0.00 0.00 a 26 1 3 2.99 0.00 0.00 0.00 0.00 0.00 7 -2.99 0.00 0.00 0.00 0.00 0.00 n 27 1 6 41.67 0.00 0.00 0.00 0.00 0.00 L 2 -41.67 0.00 0.00 0.00 0.00 0.00 28 1 8 43.26 0.00 0.00 0.00 0.00 0.00 I-1 3 -43.26 0.00 0.00 0.00 0.00 0.00 u S:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.an1 Page 3 of 6 n Monday, March 19, 2007, 03:50 PM V STAAD TRUSS -- PAGE NO. 4 U ************** END OF LATEST ANALYSIS RESULT ************** 51. PRINT SUPPORT REACTION ALL a a 0 a S:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.an1 Page 4 of 6 uMonday, March 19, 2007, 03:50 PM STAAD TRUSS - PAGE NO. 5 U SUPPORT REACTIONS -UNIT KIP FEET STRUCTURE TYPE = TRUSS JOINT--LOAD---FORCE-X FORCE-Y FORCE-Z MOM-X MM -Y' MOM Z 1 1 77.63 49.68 0.00 0.00 0.00 0.00 4 1 -77.63 50.46 0.00 0.00 0.00 0.00 ************** END OF LATEST ANALYSIS RESULT ************** 52. PRINT JOINT DISPLACEMENTS ALL I u u u a u a aS:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.an1 Page 5 of 6 STAAD TRUSS PAGE N0. 6 Monday, March 19, 2007, 03:50 PM C -- JOINT DISPLACEMENT (INCH RADIANS) STRUCTURE TYPE = TRUSS ------------------ JOINT LOAD X-TRANS Y-TRANS Z-TRANS X-ROTA* Y-ROTAN Z-ROTAN C1 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 uU 2 1 -0.02825 -0.42194 0.00000 0.00000 0.00000 0.00000 3 1 0.02689 -0.42709 0.00000 0.00000 0.00000 0.00000 f 4 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 `Lj 5 1 0.06702 -0.17108 0.00000 0.00000 0.00000 0.00000 6 1 0.03329 -0.44977 0.00000 0.00000 0.00000 0.00000 7 1 -0.00044 -0.46669 0.00000 0.00000 0.00000 0.00000 8 1 -0.03459 -0.45599 0.00000 0.00000 0.00000 0.00000 9 1 -0.06874 -0.17456 0.00000 0.00000 0.00000 0.00000 I 1 ************** END OF LATEST ANALYSIS RESULT ************** 53. LOAD LIST 1 54. FINISH *********** END OF THE STAAD.Pro RUN *********** **** DATE= MAR 19,2007 TIME= 15:50:32 **** For questions on STAAD.Pro, please contact * Research Engineers Offices at the following locations * * * Telephone Email * USA: +1 (714)974-2500 support@reiusa.com * CANADA +1 (905)632-4771 detech@odandetech.com * CANADA +1 (604)629 6087 staad@dowco.com * UK +44(1454)207-000 support@reel.co.uk * FRANCE +33(0)1 64551084 support@reel.co.uk * GERMANY +49/931/40468-71 info@reig.de * NORWAY +47 67 57 21 30 STAAD@EDR.NO a * SINGAPORE +65 6225-6015/16 support@reiasia.net * INDIA +91(033)2357-3575 support@calcutta.reiusa.com * JAPAN +81(03)5952-6500 eng-eye@crc.co.jp * CHINA +86(411)363-1983 support@reiasia.net * North America support@reiusa.com * Europe support@reel.co.uk n * Asia support@reiasia.net { U Lj u r 1 S:\BMC\PROJECTS\07-152 Roof Assessment Report - 1600 Osgood St, N. Andover\STAAD\Truss T1A.anl Page 6 of 6 Date...... .�.� ?..."�. ... of Nonr## TOWN OF NORTH ANDOVER PERMIT FOR WIRING ;�88gCMU5 t4� This certifies that .................! C �( �� has permission to perform .........:5.TU.P................ . ..................................................... wiring in the building of... .. w�.......................................................... of ..... ©/`� � ... ......................................... orth Andover,Mass. Fee.. . Lic.No. � .. ................. .. ..... ... ... x!' ....... O ! ECMCAL INSPECTOR Check it 117511C S\- Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. J 4:P Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.l/07) (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: Jr t- aU k-S City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her inten'on to perform the electrical work described below. Location(Street&Number) r vas /�s/c� ,`�i &L-9 Owner or Tenant /�'j, /Z o S ® Telephone No. Owner's A s 02-2 tt, f !P s Is this permit in conjunction with a build in permit? Yes No ❑ (Check Appropriate Box) Purpose of Building C Ac/ke 1-Ct et 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: Completion of the following table may be waived by the Inspector of Wires. 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- Elo.o Emergency Lighting rnd. rnd. BatteryUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No. of Zones No,of Switches No.of Gas Eurners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KWNo.of Self-Contained Totals: " ' """ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security 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 Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of W1res. Estimated Value of Electrical Work: (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 coy age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE EJ BOND ❑ OTHER ❑ (Specify:) I certify, tinder the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: . Co. :PJ(" LIC.NO.1,5 Licensee: WyVle SSignature lc,+m.g0 jj�,� LIC.NO.:�_ (Ifapplicable,enter "exempt"in the license number line.) Bus.Tel.No.•�O3`76S-�7o2a Address: »3 g(,a,/ WC. 5,�1rh N.1R. 03019 Alt.Tel.No.: *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 PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the jr permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass 0 Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass IN Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass Failed 0 Re-Inspection Required($.) ❑ � Inspectors Comments: Inspectors Signature: Date: FINAL INSPEC ION: Pass 2 Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com � a 1 � The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Foston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name(Business/Organization/Individual): Address: City/State/Zip: ,�r�l �— � C� Phone#: Are,you.an employer?Check the appropriate box: Type of project(required): 1.LK 1 am a employer with 4. ❑ I am a general contractor and I ' 6. [J New construction employees(fall and/or part-tim * have hired the sub-contractors 2.E] e .I am a sole proprietor or partner- listed on the attached sheet. E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers'comp.insurance. Y p tY• 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.E]Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs . insurance required.]t employees. [No workers' 13.0) Other comp.insurance required **tUy 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 a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: / r/ (/ C/ 0 Expiration Date: Q Job Site Address: l e;��Z? CO C City/State/Zip: , 40, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 certto under thepains and penalties ofperjury that the information provided above is truce and correct j Signature: C/--' Date: Phone#: q 7 J Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have 4 employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should to be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ,j (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth,of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Briton,MA 02111 Tel,#617-727-4900 ext 406 or 1-877.7MASSAFE Revised 5-26-05 Fax#617-727-7749 www.m,ass.govfdia