HomeMy WebLinkAboutMiscellaneous - 19 MEADOWOOD ROAD 4/30/2018 (2) 19 MEADOWOOD ROAD
2101025.0-00540000.0
Date .......
NORTH
TOWN OF NORTH ANDOVER
oPERMIT FOR WIRING
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This certifies*that V.I.J..)'Itl
has permission to perform ..... ........ ..... s......
wiringin the building of......M ........................................................................................
........ ........ ...,North Andover,Mass.
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Lic.No.1 ... ... ...... E ECTMRICAL INSPEC�T06R
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Permit No. I I AID
epa�t►nenE o��tirie�ewices
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [ReV- 1/071 eaveblank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
AU work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR ME ALL INFORMATI01) Date: 'I , 2-1 1 Lf
City or Town of: =ortd Q�/l.Q� 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) p Loo® -Yri
Owner or Tenant 1-1-1 ( in Telephone No.
Owner's Address S8 h is ftcz� Alf ly
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Boa)
Purpose ofBuilding J -�C((Yl I I ll tir�(YYYl�2 Utility Authorization No.
Existing Service a --Amps fa0 /840 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: 1012�tfA V1 rx t-I �'n (71� rX* n, y-, 0
Compktionofthefollowingtable maybe waived theector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fan o.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tabs Generators KVA
'In- No.of Emerlipting
No.of Luminaires Swimming Pool g d.e ❑ grad. ❑ BatteryUnits ncy
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
o.o etection an
No.of Switches No.of Gas Burners Initiatin Devices
No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices
We—at Pump I Number Tons IKW No.o ontained
• otals:L- I yetection/Alerting ymces
No.of Dishwashers Space/Area Heating KW Local❑ municConnecitt l E] Other
Sec ystems:
No.of Dryers Heating Appliances KW
No.of Devices or Equivalent
No.of atero.of o.of Data Wig:
Heaters KW signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Te No ofDevi a on firingg.
Y Se No.of Devices or Equivalent
OTHER
Attach additional detail ifdesired,or as required by the Inspector of Wires.
.� Estimated Value of Electrical Work: CaO S' (When required by municipal policy.)
Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE OVERAGE: 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 mid penalties of perjury,that the information on this application is Vagand complete.
FIRM NAME: 1 Ylt SrAY– 't' LIC.NO.; Jbiy'1 A
Licensee: M - Zam 1�1k—k Signatur LIC.NO.: �� �1 I A-
(If applicabl enter " empt"in the Iicw7 a number lime.) Bus.Tel.No.: � 1 ?�S'
Address: ` Alt Tel.No.:iai 4-7c1q•beioD
*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
below.I hereby waive this requirement. I am the check one owner owner's agent.
___ Signature Telephone No.
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The Commonwealth of Massachusetts
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Department of I td
� ustracal ficciderats
ice of Investigations
d Congress Street Suite 100
Boston,l�' 02114-2017
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wwa1uU attaass.gov1aliaa
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
_t`alicant Information Please Print Leziflly
Name (Business/Organization/Individual): IVifl Solar Developer, L[
Address:3301 North Thanksgiving Way,Suite 500
C; ty/State/Zip,Lehi, UT 84043 Phone#:801-377-9111
Are you an employer?Check the appropriate box: � Type of protect(required):
I-Eli I am a employer with 1,Q 4• ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ I 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'
insurance. 9. E] Building addition
comp.[No workers' comp.insurance
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.7 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL
12.7 Roof repairs
insurance required.]t c. 152,§1(4),and we have no Solar Installation
employees. [No workers' 13. Other
comp.insurance required.]
*Any applicant that checks box 41 must also fill out the section below showing their worker'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 halve 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:Zurich American insurance Company
Policy#or Self-ins. Lic.#:WC 509601300 Expiration Date:11/1/2015
Job Site Address:AM MWO-0 U=-,��� City/State/Zip: N '/1,YA PI J Q I
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$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 certifyunder the pains and penalties of perjury that the inforenation provided above is true and correct
Signature: Date: • ��
Phone#: 801-2296459
Official use only. Ido not write in this area,to be completed by city or town official.
City or Town: PerrnitfLicense#
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#:
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VIVINT SOLAR DEVELOPER LLC
PHILIP F ZAMPITELLA JR (EL)
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CM i D i INSTALLER:VIVINT SOLAR O O Mai Residence
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PV 2. L 1I u u u 19 Meadowood Rd
M m MA LICENSE:MAHIC 170848 Q
A N Andover,MA 01845
PLAN DRAWN BY:JPB JAR4030617 Last Modified:10/9/2014 UTILITY ACCOUNT NUMBER:66085-02027,
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Inverter Ratings(Guide Section 4) 0 Conduit and Conductor Schedule
Inverter Make/Model Enphase M215-60-2LL-S2x-ZC
MODULE DETAIL Max DC Volt Rating 45 Vons Tag Description Wire Gauge #of Conductors Conduit Type Conduit Size
Max Power @40°C 215 Watts 1 Enphase engage cable-THWN-2 12 AWG 4 Cord N/A-Free Air N
Nominal AC Voltage 240 Volts o
Yingli Energy YL255P-29b Max AC Current 0 9 Amps 1 Bare Copper Ground(EGC/GEC) 10 AWG 6 AWG 1 N/A-Free Air N/A-Free Air ^' o
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Max Number of Panels/Circuit 17 8 AWG PVC 0'-1"
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1.)IF UTILITY REQUIRES A VISIBLE-BREAK SWITCH,DOES THIS PV Module Ratings @ STC(Guide Section 5) (n o�D
Enphase M215-60-2LL-S2x-ZC SWITCH MEET THE REQUIREMENTS? -o d Z
MW Model MakelModel Yingli Energy YL255P-29b
MICRO-INVERTER AT YES NO X NA y o r
EACH MODULE,ATTACHED Max Power-Point Current(Imp) 8.32 Amps A/
WITH ECO HARDWARE 2.)IF GENERATION METER REQUIRED,DOES THIS METER Max Power-Point Voltage(Vmp) 30.6 Volts Ll. Q O
SOCKET MEET THE REQUIREMENTS? Open-Circuit Voltage(Voc) 38.7 Volts n� Z U
YES NO X NA Short-Circuit Current(Isc) 8.88 Amps °`V Q
3.)SIZE PHOTOVOLTAIC POWER SOURCE(DC)CONDUCTORS Max Series Fuse(OCPD) 15 Amps G
BASED ON MAX CURRENT ON NEC 690.53 SIGN OR OCPD Nominal Maximum Power at STC(Pmax) 255 Watts G
MICROINVERTER CONNECTION _ RATING AT DISCONNECT. Maximum System Voltage 1000(IECy600(UL) j
TO ENGAGE TRUNK CABLE 4.)SIZE INVERTER OUTPUT(AC)CONDUCTORS ACCORDING Voc Temperature Coefficient -0.32
TO INVERTER OCPD AMPERE RATING(See Guide Section 9).
V 5.)TOTAL OF 1 INVERTER OCPD(s).ONE FOR EACH NOTES FOR ARRAY CIRCUIT WIRING(Guide Section 6 and 8 and Appendix D):
PV CIRCUIT.DOES TOTAL SUPPLY BREAKERS COMPLY
WITH 120%BUSBAR EXCEPTION IN 1.)Lowest expected ambient temperature based on ASHRAE minimum mean extreme
NEC 690.64(8)(2)(a)7 X YES NO dry bulb temperature for ASHRAE location most similar to installation location: -19°C
#6 BARE CU GROUND t
(GROUNDING ARRAY) Signs(See Guide Section 7) 2.)Highest continuous ambient temperature based on ASHRAE highest month 2%dry bulb
temperature for ASHRAE location most similar to installation location: 39°C
Sign for inverter OCPD and AC Disconnect: 3.)2005 ASHRAE fundamentals 2%design temperatures do not exceed 47°C in the
United States(Palm Springs,CA is 44.1°C).For less than 9 current-carrying conductors
Solar PV System AC('Point of Connection in roof-mounted sunlit conduit at least 0.5"above roof and using the outdoor design
AC Output Current 15.300000 T Amps temperature of 47°C or less(all of United States). Q
Nominal AC Voltage 2401 Volts a.)12 AWG,90°C conductors are generally acceptable for modules with Isc of 7.68 Amps
THIS PANEL FED BY MULTIPLE SOURCES
or less when protected by a 12-Amp or smaller fuse. N
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(UTILITY AND SOLAR) b.)10 AWG,90°C conductors are generally acceptable for modules with Isc of 9.6 Amps o
or less when protected by a 15-Amp or smaller fuse. $
NOTE: NEUTRAL CONDUCTOR(S)OMITTED FOR CLARITY
ALL INVERTER OUTPUT CIRCUITS WILL HAVE A NEUTRAL CONDUCTOR 40=0
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Vivint Solar - PV Solar Rooftop System Permit Submittal
1. Proiect Information
Project Name: MINH MAI
Project Address: 19 MEADOWOOD RD,NORTH ANDOVER MA
A.System Description:
The array consists of a 4.335 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(17)
255-watt modules and(17)215-watt micro-inverters,mounted on the back of each PV module.The array includes(1)PV circuit(s).The
array is mounted to the roof using the engineered racking solution from Ecolibrium Solar.
B.Site Design Temperature: (From Lawrence MUNI weather station)
Average low temperature: -24.3°C (-11.74°F)
Average high temperature: 37.6°C (99.68°F)
C. Minimum Design Loads:
Ground Snow Load: 50 psf (State Board BR&S)
Design Wind Speed: 100 mph (State Board BR&S)
2.Structural Review of PV Array Mounting System:
A.System Description:
1.Roof type: EcoX Comp.Shingle
2.Method and type of weatherproofing roof penetrations: Flashing
B.Mounting System Information:
1.Mounting system is an engineered product designed to mount PV modules
2.For manufactured mounting systems,following information applies:
a.Mounting System Manufacturer: Ecolibrium Solar
b.Product Name: Ecorail
c.Total Weight of PV Modules and mounting hardware: 715.8 lbs
g g
d.Total number of attachment points: 54
e.Weight per attachmentpoint: 13.25 lbs
f.Maximum spacing between attachment points: *See attached engineering talcs
g.Total surface area of PV array: 298.92 square feet
h.Array pounds per square foot: 2.39 lbs/square foot
i.Distributed weight of PV array on roof sections:
-Roof section 1: (7)modules,(30)attachments 9.82 pounds
-Roof section 2: (10)modules,(24)attachments 17.54 pounds per square foot
3. Electrical Components:
A.Module (UL 1703 Listed) Qty
Yingh Energy YL255P-29b 17 modules
Module Specs
Pmax-nominal maximum power at STC - 255 watts
Vmp-rated voltage at maximum power - 30 volts
Voc-rated open-circuit voltage - 37.7 volts
Imp-rated current at maximum power - 8.49 amps
Isc-rate short circuit current - 9.01 amps
B.Inverter (UL 1741 listed) Qty
Enp hase M215-60-2LL-S22 17 inverters
Inverter Specs
1. Input Data (DC in)
Recommended input power(DC) - 260 watts
Max.input DC Voltage - 45 volts
Peak power tracking voltage - 22V-36V
Min./Max.start voltage - 22V/45V
Max.DC short circuit current - 15 amps
Max.input current - 10.5 amps
2. Output Data (AC Out)
Max.output power - 215 watts
Nominal output current - 0.9 amps
Nominal voltage - 240 volts
Max.units per PV circuit - 17 micro-inverters
Max.OCPD rating - 20 amp circuit breaker
C.System Configuration
Number of PV circuits 1
PV circuit 1 - 17 modules/inverters (20)amp breaker
2011 NEC Article 705.60(6)
D. Electrical Calculations
1.PV Circuit current
PV circuit nominal current 15.3 amps
Continuous current adjustment factor 125% 2011 NEC Article 705.60(B)
PV circuit continuous current rating 19.125 amps
2.Overcurrent protection device rating
PV circuit continuous current rating 19.125 amps
Next standard size fuse/breaker to protect conductors 20 amp breaker
Use 20 amp AC rated fuse or breaker
3.Conductor conditions of use adjustment(conductor ampacity derate)
a.Temperature adder
Average high temperature 37.6°C (99.68°F)
Conduit is installed 1"above the roof surface Add 22°C to ambient 2011 NEC Article 705.60(B)
Adjusted maximum ambient temperature 59.6°C (139.28°F)
b.PV Circuit current adjustment for new ambient temperature
Derate factor for 59.6°C (139.28°F) 71% 2011 NEC Article 705.60(B)
Adjusted PV circuit continuous current 26.9 amps
c.PV Circuit current adjustment for conduit fill
Number of current-carrying conductors 3 conductors
Conduit fill derate factor 100% 2011 NEC Article 705.60(B)
Final Adjusted PV circuit continuous current 26.9 amps
Total derated ampacity for PV circuit 26.9 amps
Conductors(tag2 on 1-line)must be rated for a minimum of 26.9 amps
THWN-2(90°C)#12AWG conductor is rated for 30 amps (use#12AWG or larger) 2011 NEC Article 705.60(B)
4.Voltage drop(keep below 3%total)
2- arts:
1.Voltage drop across longest PV circuit micro-inverters(from modules to j-box)
2.Voltage drop across AC conductors(from j-box to point of interconnection)
1.iivErco-inverter voltage drop: 0.29%
The largest number of micro-inverters in a row in the entire array is 10 inCircuit 1.According to
manufacturer's specifications this equals a voltage drop of 0.29%.
2.AC conductor voltage drop:
=I x R x D (=240 x 100 to convert to percent)
_ (Nominal current of largest circuit)x(Resistance of#12AWG copper)x(Total wire run)
_(Circuit 1 nominal current is 15.3 amps)x(0.002015 )x(190 _(240 volts)x(100) 2.43%
Total system voltage drop: 2.72%
F d1�LlIJ it�Il r
EcolibriumSolar
Customer Info
Name:
Email:
Phone:
Project Info
Identifier: 13963
Street Address Line 1: 19 Meadowood Rd
Street Address Line 2:
City: North Andover
State: MA
Zip: 01845
Country: United States
System Info
Module Manufacturer: Yingli Solar
Module Model:YL255P-29b
Module Quantity: 17
Array Size(DC watts):4335.0
Mounting System Manufacturer: Ecolibrium Solar
Mounting System Product: EcoX
Inverter Manufacturer: Enphase Energy
Inverter Model: M215
Project Design Variables
Module Weight: 40.8 lbs
Module Length: 65.0 in
Module Width: 39.0 in
Basic Wind Speed: 100.0 mph
Ground Snow Load: 50.0 psf
Seismic: 0.0
Exposure Category: B
Importance Factor: II
Exposure on Roof: Partially Exposed
Topographic Factor: 1.0
Wind Directionality Factor: 0.85
Thermal Factor for Snow Load: 1.2
Lag Bolt Design Load-Upward: 820 Ibf
Lag Bolt Design Load- Lateral: 288 Ibf
EcoX Design Load -Downward:493 Ibf
EcoX Design Load Upward: 568 Ibf
EcoX Design Load- Downslope: 353 Ibf
EcoX Design Load-Lateral: 233 Ibf
Module Design Moment—Upward: 3655 in-lb
Module Design Moment—Downward: 3655 in-Ib
Effective Wind Area: 20 ft2
Min Nominal Framing Depth: 2.5 in
Min Top Chord Specific Gravity: 0.42
• EcolibriumSolar
Plane Calculations (ASCE 7-05): 1
Roof Shape: Gable Edge and Corner Dimension: 3.0 ft
Roof Type: Composition Shingle Stagger Attachments: No
Average Roof Height: 20.0 ft Include Snow Guards: No
Least Horizontal Dimension: 21.0 ft
Roof Slope: 22.0 deg
Truss Spacing: 24.0 in
Snow Load Calculations
Description Interior Edge Corner Unit
Flat Roof Snow Load 42.0 42.0 42.0 psf
Slope Factor 0.88 0.88 0.88
Roof Snow Load 37.0 37.0 37.0 psf
Wind Pressure Calculations
Description Interior Edge Corner Unit
Net Design Wind Pressure Uplift -16.0 -26.4 -39.6 psf
Net Design Wind Pressure Downforce 9.4 9.4 9.4 psf
Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0
Design Wind Pressure Uplift -16.0 -26.4 -39.6 psf
Design Wind Pressure Downforce 16.0 16.0 16.0 psf
ASD Load Combinations
Description Interior Edge Corner Unit
Dead Load 2.3 2.3 2.3 psf
Snow Load 37.0 37.0 038.0psf
sf
Downslope: Load Combination 3 13.7 13.7 sf
Down: Load Combination 3 33.9 33.9 sf
Down:Load Combination 5 18.1 18.1 sf
Down:Load Combination 6a 38.0 38.0 sf
Up: Load Combination 7 -14.7 -25.1 sf
Down Max 38.0 38.0
Spacing Results(Landscape)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 47.9 47.9 47.9 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 24.0 24.0 24.0 in
Max Cantilever from Attachment to Perimeter of PV Array 16.0 16.0 16.0 in
Spacing Results(Portrait)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 28.8 28.8 28.8 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 24.0 24.0 24.0 in
Max Cantilever from Attachment to Perimeter of PV Array 9.6 9.6 9.6 in
EcolibriumSolar
Layout
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Ec li ri
o b umSolar
Plane Calculations (ASCE 7-05): 2
Roof Shape: Gable Edge and Corner Dimension: 3.0 ft
Roof Type: Composition Shingle Stagger Attachments: No
Average Roof Height: 20.0 ft Include Snow Guards: No
Least Horizontal Dimension: 21.0 ft
Roof Slope: 22.0 deg
Truss Spacing:24.0 in
Snow Load Calculations
Description Interior Edge Corner Unit
Flat Roof Snow Load 42.0 42.0 42.0 psf
Slope Factor 0.88 0.88 0.88
-T-
Roof Snow Load 37.0 37.0 37.0 psf
Wind Pressure Calculations
Description Interior Edge Corner Unit
Net Design Wind Pressure Uplift -16.0 -26.4 -39.6 psf
Net Design Wind Pressure Downforce 9.4 9.4 9.4 psf
Adjustment Factor for Height and Exposure Category 1.0 1.0 E-39.]6
Design Wind Pressure Uplift -16.0 -26.4 psf
Design Wind Pressure Downforce 16.0 16.0 16.0 psf
ASD Load Combinations
Description Interior Edge Corner Unit
Dead Load 2.3 2.3 2.3 psf
Snow Load 37.0 37.0 37.0 psf
Downslope:Load Combination 3 13.7 13.7 13.7 psf
Down:Load Combination 3 33.9 33.9 33.9 psf
Down:Load Combination 5 18.1 18.1 18.1 psf
Down:Load Combination 6a 38.0 38.0 38.0 psf
Up: Load Combination 7 -14.7 -25.1 -38.3 psf
Down Max 38.0 38.0 38.0 psf
Spacing Results(Landscape)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 47.9 47.9 47.9 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 24.0 24.0 24.0 in
Max Cantilever from Attachment to Perimeter of PV Array 16.0 16.0 16.0 in
Spacing Results(Portrait)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 28.8 28.8 28.8 in
Max Spacing Between Attachments With RafterlTruss Spacing of 24.0 in 24.0 24.0 24.0 in
Max Cantilever from Attachment to Perimeter of PV Array 9.6 9.6 9.6 in
• EcolibriumSolar
Layout
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Skirt
o Coupling
O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with
Q Bonding Jumper maximum allowable overhang.
• EcolibriumSolar
Distfibuted Weight (All Planes)
In Conformance with Solar ABC's Expedited Permit Process for PV System (EPP)
Weight of Modules: 694 lbs
Weight of Mounting System: 108 lbs
Total System Weight: 802 lbs
Total Array Area: 299 ft2
Distributed Weight: 2.68 psf
Number of Attachments: 54
Weight per Attachment Point: 15 lbs
Bill Of Materials
Part Name Quantity
ECO-001_101 EcoX Clamp Assembly 54
ECO-001_102 EcoX Coupling Assembly 20
ECO-001_105B EcoX Landscape Skirt Kit 4
ECO-001-105A EcoX Portrait Skirt Kit 7
ECO-001_103 EcoX Composition Attachment Kit 54
ECO-001_109 EcoX Electrical Assembly 2
ECO-001_106 EcoX Bonding Jumper Assembly 4
ECO-001_104 EcoX Inverter Bracket Assembly 17
ECO-001338 EcoX Connector Bracket 17
271 Date.`''l t.`5�.�q . ........
MORTM TOWN OF NORTH ANDOVER
►03j ".� op PERMIT FOR MECHANICAL INSTALLATION
�9SSACHUSEt
This certifies that I. ^:. . .... . . . . . . . . . . .
has permission for mechanical installation AAxC
`
in the builtdings of . . . ► ?P.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . .6. .`.diI`a c.)—e P",A • !`.� • • • • • • • •, North Andover, Mass.
Fee. . Lic. No?��q . . . . M .. . . . . . . . . . . . . . . . . . . . .
yam'„ L I�"7( GAS INSPECTOR
WHITE,:Applicant 1`CANARY:Building Dept. PINK:Treasurer
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Y
Commonwealth ®f Massachusetts
Sheet Metal Permit
Date
s—��/ Permit# v
: •
Estimated Job Cost:UwAg�mPermit Fee:
Plans Submitted: YES NO
Plans Reviewed: YES NO
Business License# a 96 y Applicant License#
Business Information: Property Owner/Job Location Information:
Name: _j4 • rQ 9 u oWeX 0/-t/ Xte Name: �T-WAy kcz:
Street: Street: /9
City/Town: �0 !�, a. 41g.S�� City/Town: /�• Ai�clouPl-.
Telephone: V!3�CFa/39 Telephone: } U
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Building Type: /
` Residential: 1-2 family -, Multi-family Condo/Townhouses
Commercial: Office Retail Industrial Educational Institutional
Building Cubic Footage: under 35,000 cu. ft. ✓ over 35,000 cu. ft.
Sheet metal work to be completed: New Work: Renovation:
HVAC `" Metal Roofing Kitchen—Exhaust System Chimney/Vents
Provide brief description of work to be done:
ivy
eaSerkev�� �,��cs +tCjo ah
�/'dacx' �►'�S��a-tE ave- _ ��•� �c�- SE�9c-
i
INSURANCE COVERAGE:
have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑
If you have checked Yes, indicate the t of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity ❑ f Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Progress Inspections
Date Comments
V
Final Inspection
Date Comments
Type of License:
By Master
Title
❑ Master-Restricted
CitylTown
❑Journeyperson
Permit#
Signature of Licensee
a
Fee$ nJourneyperson-Restricted License Number: go'y
Check at www.mass.gov/dpi
Inspector Signature of Permit Approval
Sheet Metal Commercial Guidelines/Life Safety/Critical Systems
Inspection Checklist
Yes No N/A,
Set of stamped engineering documents and detailed description of
mechanical system to be installed has been provided
All workers performing sheet metal work onsite has valid Massachusetts sheet metal
license
All sheet metal work being performed with proper journeyperson-to-apprentice ratios
Fire dampers with access door properly installed and checked for operation
Smoke and combination fire/smoke dampers with access doors properly installed-
actuator checked for proper operation(May also be verified by fire department during
fire alarm testing)
Duct smoke detectors with access doors properly located
(May also be verified by fire department during fire alarm testing)
Smoke/atrium exhaust systems installed and operation verified
(May also be verified by fire department during fire alarm testing)
Stair pressurization systems installed(where required) and operation verified(May also
be verified by fire department during fire alarm testing)
Grease/kitchen hood exhaust system installed with all seams and connections welded
airtight with properly located cleanouts. Proper clel`ances,fire rated enclosures and
pressure testing required.
SFi:r•?i::Tes,,:aints 'on equipment and ehi.th:.3ry
Duct penetrations in fiie'iatDD-ivall and floors sealed"'
Metal roofing systems installed watertight using proper materials and fasteners
Flexible duct runs installed 6'-0"maximum length
Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle
iron
Ductwork/plenum connections sealed substantially airtight
Ductwork insulated by means of external covering or internal lining
Volume dampers installed for each supply air branch duct
New/clean-properly sized filters installed(final inspection)
Testing and Balancing report complete(final sign-ofd
Sheet Metal Residential Guidelines/Inspection Checklist
Yes No N/A
Detailed description and sketch of sheet metal system to be installed has
been provided
All workers performing sheet metal work onsite has valid Massachusetts
sheet metal license
All sheet metal work being performed with proper joumeyperson-to-
apprentice ratios
Equipment sized per heating/cooling load calculations
Duct work sized per manual "D"calculations
Bath/shower rooms contain mechanical exhaust fan vented outdoors
Electric dryer exhaust properly installed maximum total run 35'-0",
maximum flexible run 8'-0"
Flexible duct runs installed 14'-0"maximum length
Volume dampers installed for each supply air branch duct
Ductwork installed using proper gauges and hangers
Ductwork/plenum connections sealed substantially airtight
Ductwork insulated by means of external covering or internal lining
New/clean -properly sized filter installed(final inspection)
Testing and Balancing report complete(final sign-off)
•
:COMMONWEALTH OF MASSACHUSETTS -::--
o o � � o
BOARD(>F
SHEET METAL WORKERS
ISSUES THE FOLLOWING LIGENS
AS A MASTER UNRESTRICTED-
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AL AR0 M FAGUNDES
82 FA I RLAiJN ST ,��
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LDWELL MA01851-4616
29614. 1 l/: 28/15.:::'
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