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Miscellaneous - 225 HAY MEADOW ROAD 4/30/2018
/ 225 HAY MEADOW ROAD J 210/104.8-0087-0000.0 _ _ - i 8/2/2016 Date:August 02,2016 21024 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/21024 gt {'LTD lags • � TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that Stephen K Witty has permission to perform plumbing in the buildings of PECK.ALAN at 225 HAY MEADOW ROAD, North Andover, Mass. Lie.No.21834 1/1 Date..)�. ,. .... .��............. O�NORTH,h TOWN OF NORTH ANDOVER o PERMIT FOR WIRING CHUt This certifies that ... ..... ................................................................................ has permission'to perform o�, ✓✓ QS q u <"3 wiring in the building of........ ,.. '.. Com..................... at ... .a G-� '1'�t l'�'.�i....................... ..........North Andover,Mass. . .............................. ................... Fee.... .�.......Lic. No.7 .. . ...............................................:..................................... ELECTRICAL INSPECTOR Check# Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit Number z Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: 10/29/2015 City or Town of: North Andover To the inspector of Wires By this application the undersigned gives notice of their intention to perform the electrical work described below. Location(Street&number) 225 Hay Meadow Rd Owner or Tenant Alan Peck Telephone No. 978.886.1098 Owners Address Is this permit in conjunction with a building permit? YES® NO❑ (Check appropriate box) Purpose of building Utility Authorization No. Existing service Amps Volts Overhead❑ Underground ❑ No.of meters New service Amps Volts Overhead❑ Underground ❑ No.of meters Number of Feeders and Ampacity Location and nature of Proposed Electrical Work: Install 28 solar panels on existing roof. System size of 7.0 kW Completion of the following table may be waived b the Ins ector of Wires No of Total No.of Recessed Luminaires No.of Ceil.-susp.(paddle)fans Transformers KVA No.of Luminaires Outlets No of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above❑ Below❑ No.of Emergency Lighting Battery units No.of Receptacle Outlets No. of Oil Burners Fire Number of zones Alarms No.of Switches No.of Gas Burners No.of Detection and Initiating devices No.of Air Total No.of Ranges Cond. tons No. of Alerting Devices No.of Waste Disposers Heat pump Number Tons KW No.of Self Contained Detection/Alertin No.of Dishwashers Space/Area heating KW Local Municipal Other El ❑ connection❑ No. of Dryers Heating Appliances KW Security Systems: * No.of devices or Equivalent No.of WaterKW No.of No. of Data Wiring: Heaters T signs Ballasts No.of devices or Equivalent No.Hydro massage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of devices or Equivalent Other: 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 El Other (Spec): 07/23/2016 —t Estimated Value of Electrical Work $10,000 (When required by municipal policy) (Expiration Date) Work to Start: Inspections to be requested in a�cordanc with MEC rule 10.And upon completion. �{ I certify,under the pains and penalties ofperjury,that the information on this application is and co lete. 1 Firm United Solar Associates LLC Name: c.No.: Licensee: Dan McGrath Signature: '� Lic.No.. 20616A (If applicable,enter"exempt"in the license number line) City of Leominster contractor No Bus.Tel..No.: 855-786-1776 Address: 452 Pleasant Street, Second Floor,Malden,MA 02148 Alt.Tel..No.: * Security System Contractor License required for this work:If applicable,enter license number here Lic.No.: Owner's Insurance waiver:I am aware that the licensee does not have the liability coverage I am the(check one)Owner❑Owner's Agent❑ normally required by law.By my signature below I hereby waive this requirement Owner/Agent Telephone Signature Number Permit Fee: $ �� A BLUESEL HOME SOLAR Residential Solar Energy System Installation agreement (Retail Installment Sale Agreement-Subject to State Regulation) Customer: Alan S Cynthia Peak Site: 225 Hay Meadow Rd. , K. Andover, MA 01845 Site is Principal Residence? S Yes ❑No i Malting Address:Schell;ri srm t;5 s.tr: ❑ New Construction N Retrofit Preferred Phone: (978) 886-1098 Email: alanpeckpcomeast.net Email Document Delivery?S Yes ❑No Utility Company: National Grid Rare Code: Residential R-1 Account it: 66089-29000 System Type(s): S Photovoltaic TP of Madt,les: 28 Thermal#of Panels: PV System Size(kW DQ; 1.0 ❑?hermal PV Module/Thermal Panel Manufacturer&Model{s}: SunPo1>.er 250w AC Estimated PV Production:8,368 WM(1`• year) Inverter Manufacturer&Model: Auto SREC Reporting Permits Included(Budd:rrg/EleLuirtPtumbing): i ##of Inverters: 0 x {optional) S Y'<s ❑ No ®Yes ❑ No � 011ier Components I Equipment' DAT/Locus Cell 10yr Reporting Check box if Addendum Is attached System❑will Swill not operate during a Utility Company pnwer outage.(if,will not"is checked,you will not have power luting pan outage.) The Preliminary System&Total Price shown are based upon estimates.When you sign this Agreement you have a 11101#to cel.When that right expires(Section 1q),Installer will provide a Final System Design.See Final System Design Process(Sectio (initials) 1 Financed:Total Price tinoudes sato#tax,d apps+carie)$ 38,297 ❑ Cash:Total Price ii 1ud S tale5oaa,lfar+p+itr361P.t$36,765 ❑Down Payment(optional) $ Payment Schedule ®Same as Cash Total Loan Arrount$12,489 Conf# $5,515 initial CJeposr, pay;with this co act SAC Loan Advances to installer: #1$6,244.50 u2$6,244.50 S Yes ❑No include State Tax Credit(Est'Amt.) $1,000 $18,383 2,a Payment, , pecsal order equipment(50%) SAC Loan must be paid within 363 S days C3 months* $9,191 3fQ Paynle , ,prior t. Start Date.upon invoice(7.5%) SReduced Interest Rate Loan(Ri0$25,808 Corr 9 $3,676 4„'Pa+, hent,upon Proje Completion(10%) RILRate:2.99% RILTerm: 10 Years RIL Monthly Payment$-249 ®Principal Residence,Sates fix Exempt or ❑Sales T ix amount,included in total Price.$ If,due to existing conditions a municipal authority will not issue a permit or tate utility provider will not permit interconnection,and the corrective measures needed will cost more than$500,upon notification of same by Installer,Customer shall have ten(10)calendar days in which to cancel this Agreement by notifying Installer. Within seven(7)days of such cancellation,Installer shall retup all fund O by Customer,save for fees paid to the municipality and for engineering studies,upon which this Agreement shall be void. (initials) Massachusetts Home Improvement Contractor Registration Number.166151,expires April 29,2016 You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch, by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached Notice of Cancellation form for an explanation of this right. � -�► I was informed of my Right to Cancel and provided with two Notices of CancellationC _ fi' ''-� itials&date) NOTICE TO BUYER: 1.Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank. 2.You are entitled to a copy of this Agreement at the time you sign it. 3.You may at any time pay off the full unpaid balance due under this agreement,and in so doing you may receive a partial rebate of the finance and insurance charges. This agreement signed as a sealed instrument,can only be changed by a writing signed by bath parties. elueSeiH��olar,•Inc: Dealer 10# Date: Customer: Date: L�rG1 �o ��' � .r.�•Z � ?.iitf BlueSel Home Soler,Ina. (7al)2et-8130 800 W.Cummings Park 17 Jan Sebastian DNe The terms of this agreement are contained on more than one page. Fax;(508)833.9501 Suite 4200 Suite 12 wwwAlueSeLcom Woburn,MA 01801 Sandwich,MA 02553 R=w„nNr.,r••�nrsw•t� Page 1 Of 5 r This Agreement is by and between Customer and BlueSel Home r) "Sales Representative" — The person with whom Customer Solar,Inc.,for the purchase and installation of the System primarily dealt prior to the signing of this Agreement and who ' described herein. The terms,rights,obligations,and warranties of acted on behalf of installer. each party are governed by this Agreement. s) "Site" — The address, identified in the Customer section on the first page of this Agreement, at which Installer shall install 1) Definitions the System. a) "Agreement Date" — The latter of (i) the date on which t) "Solar Site Assessment" — A review of the Site that may Customer and Installer sign this Agreement; and (ii)the date include, but is not limited to, measurements of the location on which Customer is provided a fully signed copy of the where the System will be installed, a review of the existing Agreement. surface and structure intended to support the System, a b) "Balance of System" —The items, equipment, and materials shading analysis, and a review of the Site's existing electrical needed to install the System not specifically described in the and/or plumbing systems. System section on the first page of this Agreement. u) "System"—The solar energy system and/or other equipment, c) "Business Day" — Any day of the week other than Sunday. system(s), and improvements as shown on the Final System The following holidays are not Business Days: New Year's Design and that will be installed at the Site. Day, Martin Luther King, Jr.'s Birthday, President's Day, v) "System Lock-In" —The date and time upon which the Final Memorial Day, Independence Day, Labor Day, Columbus System Design is deemed accepted by Customer. Day,Veterans'Day,Thanksgiving Day,and Christmas Day. w) "Total Price"—The cost of the System as shown on the first d) "Change Order"—Any amendment to this Agreement and/or page of this Agreement. changes to the System,reduced to writing and signed by both 2) Final System Design Process parties. a) Within fourteen(14)days of the Effective Date, Installer shall: e) "Commissioning"—In the case of a photovoltaic solar energy i) Conduct a Solar Site Assessment,if one has not already system,connection of the System to the electric utility grid. been conducted. Customer will provide access to the f) "Contract Date"—The first Business Day after the later of(i) Site at a mutually acceptable time in order to conduct the the expiration of the Right to Cancel; and, (ii) the System Solar Site Assessment. Lock-In Date. ii Based u the Solar g) "Customer" —The person(s) named in the Customer section ) upon the information obtained during Site Assessment, confirm the Preliminary System, and if on the first page of this Agreement that has contracted with necessary for technical, structural, dimensional and/or Installer for the installation of the System as defined herein. other reasons,alter the Preliminary System. h) "Effective Date"—The first Business Day after the expiration iii) Prepare and deliver to Customer the Final System of Customer's Right to Cancel. Design,which shall include at least: i) "Final System Design" — A plan based upon Customer's (1)The quantity, manufacturer, and model of the PV needs and Site specific criteria prepared after the Solar Site Modules or Thermal Panels; Assessment that, upon System Lock-In, will become the (2)The quantity, manufacturer, and model of the PV System to be installed at the Site. Inverter,if applicable; j) "Final System Price"—The cost of the System as shown on (3) Description of other components and equipment not the Final System Design. included in the Balance of System; k) "Installer"—BlueSel Home Solar, Inc.with a principal office at (4)The Final System Price;and, 600 West Cummings Park, Suite 4200, Woburn, MA 01801, (5)The projected PV Production of the System in the which address shall be used for all written notices. first year after installation of the System, if 1) "Mailing Address"—The address to which any notice,invoice, applicable. or other written communication provided to Customer should b) If elected on the first page of this Agreement, Final System be sent. Design may be delivered by email, of which Customer shall m) "Permits" — Namely, the building permit, electrical permit, acknowledge receipt. and/or plumbing permit issued by the local permit issuing c) If email delivery is not so elected, Final System Design may authority. Other permits (e.g., conservation commission, be in person, by regular mail, or by another means agreed planning board, historic commission, etc.), are not usual, and upon by the parties. Customer shall acknowledge receipt of are not included in this definition,but may be required. the delivery of the Final System Design. n) "Preliminary System Design" — The solar energy system d) If either, and/or other equipment, system(s), and improvements, i) the Final System Price is more than the Total Price;or, described in the Preliminary System Design section on the ii) the projected PV Production of the Final System Design first page of this Agreement,and the Balance of System items is less than 95%of the PV Production of the Preliminary as defined herein. System as shown on the first page of this Agreement, o) "Project Completion" — Installation of the System and final then System Lock-In shall occur at 11:59 p.m.on the fifth(5`") approved inspection of the System as required by Permit Business Day after delivery of the Final System Design to issuing authorities, typically within four to five weeks after Customer. Project Start Date. e) If Final System Design differs from Preliminary System p) "Project Start Date" — The date on which Installer begins to Design in either of the manners described in Section 2)d) install the System. above, Customer may cancel this Agreement in a writing q) "Right to Cancel" — The option of Customer to cancel this mailed to Installer, postmarked prior to System Lock-In. To Agreement, for any reason, until midnight of the third insure such cancellation is properly received, it is also business day after the Agreement Date, as described in the suggested that Customer inform Installer of such cancellation Notices and Signatures section on the first page of this by telephone or email prior to System Lock-In. Agreement, and as described in the Notices of Cancellation f) If Final System Design does not differ from the Preliminary form delivered to Customer with this Agreement. System in either of the manners described in Section 2)d) Residential Solar Energy System Installation Agreement The terms of this agreement are contained on more than one page. Page 2 of 5 above,then System Lock-In shall occur upon delivery of Final excluded from access to the Guarantee Fund under MGL System Design to Customer(which will, in all cases, be after 142A. the expiration of the Right to Cancel). g) Customer understands and agrees that Installer may include g) Unless Customer cancels this Agreement prior to System Customer's name, Site Address,a description of the System, Lock-In as described herein, if any terms, price, and/or items costs, energy savings, and other information relating to the included in the Final System Design differ from those on the System in reports, studies, testimonials, Web sites, and first page of this Agreement,those terms, price,and/or items marketing materials. in the Final System Design shall govern. h) If Customer cancels this Agreement pursuant to Section 2)e) 5) Installer Representations above, the obligations, rights, and duties of each party are a) Installer Federal Employer ID Number:47-2714223 canceled and this Agreement shall be of no further effect. b) Installer Massachusetts Home Improvement Contractor i) Upon System Lock-In, this Agreement, including the Final Registration Number: 166151,expires April 29,2016 System Design shall become binding upon each party, and c) Installer Massachusetts Construction Supervisor License' may be amended only by a Change Order. Number:5813,expires January 3,2016 d) Unless noted otherwise,this Agreement shall not create a lien 3) Installer Obligations and Responsibilities or other security interest in the Site. a) Within fourteen days of System Lock-In, Installer will file e) The System will: applications for the Permits, Grid Interconnect Application, i) Comply with all manufacturers'requirements, and other paperwork related to the installation of the System, ii) Be installed according to manufacturers' recom- and it shall be the obligation of Installer to obtain these. mendations, b) Installer shall provide and install all equipment, components, iii) Meet all applicable requirements of the applicable current and materials included in the System, as well as the Balance state building code,and the National Building Code 2008. of System, in a professional manner according to standard iv) Comply with your electric utility company's interconnection industry practices. agreement c) Project Start Date shall be within thirty(30)days of receipt of v) Utilize photovoltaic modules certified by a nationally all permits, grid interconnect authorization, verification of recognized testing laboratory as meeting the requirements receipt of deposited funds, but not before the signing of this of UL 1703 all,as applicable. Agreement and transmittal to Customer a copy of this Agreement signed by all parties. 6) Customer Representations d) Project Completion is typically within five (5) weeks after a) Customer is authorized to contract with Installer to install the Project Start Date. System. e) Delays beyond the control of Installer such as, but not limited b) Customer warrants that the statement concerning whether the to, inclement weather, shipping delays, delivery delays, Site is the Principal Residence or not the Principal Residence structural analysis and/or improvements, and lack of access of Customer is true and accurate. Installer may rely upon this to the Site, may affect time periods identified, and such statement in determining whether to collect sales tax on the System.Customer is responsible for any sales tax owed. delays shall not be grounds for breach of this Agreement by Installer. c) Customer shall make the Site available to Installer at mutually f) Installer shall, upon request of Customer,provide evidence of acceptable times for the purpose of installing the System,and insurance for general liability and workmen's compensation. for any purpose related to the installation. 4) Customer Rights,Obligations,and Responsibilities 7) Information About Home Improvement Contractors a) The fee(s) for all permits are the responsibility of Customer a) All home improvement contractors and subcontractors shall and shall be billed to Customer by Installer separately. If be registered and any inquiries about a contractor or "Permits Included" is checked in the affirmative on the first subcontractor relating to a registration should be directed to: page of this Agreement, the cost for a building permit, Office of Consumer Affairs and Business Regulation electrical permit, and plumbing permit is included. Other Ten Park Plaza,Suite 5170 permit fees remain the responsibility of Customer. Boston,MA 02116 b) If required by municipal permit issuing authorities,a structural Phone:(617)973-8700 analysis of the Site may be conducted by a professional b) If you want to verify the registration of a contractor or if engineer. The cost of the structural analysis and required you have questions or need additional information improvements are the responsibility of Customer. specifically about the contractor registration component of c) In the case of a Cash purchase, as may be indicated on the the Home Improvement Contractor Law,contact: first page of this Agreement, Customer shall comply with the Director of Home Improvement Contractor Registration Payment Schedule. Bureau of Building Regulations and Standards d) Customer shall cooperate in a timely manner with all requests One Ashburton Place,Room 1301 of Installer to complete and/or sign any documents related to Boston,MA 02108 the installation of the System, including, but not limited to, Phone:(617)727-3200 permit applications, Grid Interconnect Application, and c) For assistance with informal mediation of disputes or to documents requested by financing entity,as applicable. register formal complaints against a business,call: e) In the event that Customer is financing the installation of the Consumer Complaint Section System and the Final System Price should change in Office of the Attorney General accordance with the terms of this Agreement, Customer (617) 727-8400 agrees to perform all steps required of the financing entity needed to perfect the financing of the System. f) Should Customer secure any construction-related permits, or deal with unregistered contractors, Customer shall be Residential Solar Energy System Installation Agreement The terms of this agreement are contained on more than one page. Page 3 of 5 } 8) Arbitration iii) In the event that Installer does not cure,Installer shall w a) Installer and Customer hereby mutually agree in advance that cease all work on the installation of the System and in the event that Installer has a dispute concerning this provide Customer with all original Permits, receipts contract,the contractor may submit such dispute to a private for items purchased and special ordered for the arbitration service which has been approved by the Office of System, and shall settle its account with Customer Consumer Affairs and Business Regulation and Customer for any out-of-pocket expenses paid on Customer's shall be required to submit to such arbitration as provided in behalf. MGL c.142A. 12) Miscellaneous Custo Date:L Zots a) The captions of the sections of this Agreement are for convenience and shall not be construed as substantive Installer ate: language of the Agreement ties above apply only to the b) The laws of the Commonwealth of Massachusetts shall apply NOTICE: The signatures of a parin interpreting and enforcing this Agreement agreement of the parties to alternate dispute resolution initiated by c) Should any section or sections of the Agreement be deemed Installer. Customer may initiate alternative dispute resolution even unlawful or unenforceable, the remaining sections shall where this section Is not signed separately by the parties. remain in full force. 9) Disclaimers a) Although Installer has endeavored to provide Customer with Your BlueSel Home Solar,Inc.Sales Representative is: accurate projections and estimates and has based all estimates and projections of PV Production, electric utility blame:Dave Judelson company rates,the value of solar renewable energy credits, and other financial items are not guaranteed or assured. Phone:781-799A743 Customer is encouraged to conduct its own research on these matters. Email:djudelson@bluesel.com b) Financial incentives for solar energy systems change frequently. Customer's qualification for and receipt of incentives depend upon numerous factors, including, but not DO NOT SIGN THIS AGREEMENT IF ANY SPACES ARE BLANK. limited to Customer's approval for the program, availability of funding,and Customer's tax situation.All financial incentives THE REMAINDER OF THIS PAGE 1S INTENTIONALLY BLANK. discussed or presented in other documents by Installer are presented as estimates for general information and are not intended as tax or financial advice. Installer strongly recommends that you consult your financial and tax advisors to determine the applicability of these incentives to your project and individual situation. 10) Warranty Terns and Conditions a) Installer shalt repair and replace components of the System during the ten (10)years following the Project Completion in the event of: i) Defective workmanship, ii) System breakdown except for the components of a data acquisition system. iii) Degradation in electrical output of a solar photovoltaic panel of more than the manufacturer's rated maximum degradation during the Installer's warranty period. b) The warranty covers the System, including PV modules and inverters, and provides for no-cost repair or replacement of the System or system components, including any associated labor. Normal labor charges will apply after the 10-year Warranty period.. 11) Termination a) Upon System Lock-in, Customer may only terminate this Agreement for substantial breach of a material section of this Agreement. I) In order to effect termination under this Section 10)b), Customer must notify Installer in writing of its intent to terminate, and clearly identify the substantial breach of a material section of this Agreement. ii) Upon receipt of Customer's notification,Installer shalt acknowledge receipt of the notification,and have ten (10)Business Days to cure the breach. Residential Solar Energy System installation Agreement The terms of this agreement are contained on more than one page. Page 4 of 5 i T• f Z s [You are being provided with two copies of this form,one for you to use, if you choose to cancel, and one to keep.] NOTICE OF CANCELLATION i Custorner(s): AILM & c3Mrh.a Peck Site Address: 225 say Meadow Rd. , N. Andover,MA 01845 Date of Transaction: You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable Instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security Interest arising out of the transaction will be cancelled. If you cancel,you must make available to the seller at your residence, in substantially as good condition as when received,any goods delivered to you under this agreement; or you may if you wish, comply with the Instructions of tele peiler regardjng the gFl]shiplPieilt of the goodds at tyre setier'a experlsa and -ISR. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fall to do so, then you remain liable for performance of all obligations under the contract. To cancel#his transaptlon, mail or¢efivgr a sfgni@d and dated gopy of thle cancslla#on notice or any other written notice,or send a telegram to: BlueSel Home Solar,Inc.,600 West Cummings Park,Suite 4200,Woburn,MA 01801, not later than midnight on._ _ �P I ,20_4!� I hereby cancel this transaction. Date: Customer's Signature - �as Owmbnsd No. DRTEVISIIONS:E 18YI ECNa willmd prNr Dacca a Bir SNwNm Sala.LLC 4 pa�ER�d' RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: PECK,ALAN 225 HAY MEADOW RD., NORTH ANDOVER, MA 01845 MODULES: SUNPOWER SPR-X20-250-BLK B-AC SOUTH EAST FACING ROOF: ROOF TILT=35 DEG AZIMUTH= 155 DEG TOTAL SYSTEM SIZE: 28 MODULE x 250W=7.0 KW TOTAL EST PROD=9,272 KWH/YR F (PV SIM 6%SHADE) AVERAGE TSRF=92% A. CY NORTH ANDOVER, MA 75 c� RECORD LOW=-27 DEG C games A. Clancy, PE ��9F4 ``��``¢ p BLUE SELENIUM SOLAR, LLC AVERAGE HIGH=29 DEG C 601 Asbury Avenue RECORD HIGH =39 DEG C i?JAN NE(6W)M3 Moo WWW.8�U M��' "WIND SPEED= 105 MPH National Park, NJ 08063 SNOW LOAD=50 PSF Massachusetts PE Lic#46775 DRAWN BY:OC DATE:OT-09-,5 SCALE:NVA SHEET:t OF BDRDERO NAME: DWG NUMB- PECK-225 HAY MEADOW RD. 1 02632-01 M + REVISIONS:_ �� �of NO. DATE BY ECN# 81r SWNom Sdor,LLC IS PrOhNINe 44'-3" I I I I I I I I I I I I I I I I I I I I I t I t I I I I I I I I I I I I I I I I I I I I 1 I 1 1 I I I I I I I I I I I I I I I I 17'-6" I l 1 I I I I I I I I I I I I I I l I I I I Irhr it I I I f l RESIDENTIAL SOLAR I I I I PHOTOVOLTAIC INSTALLATION: I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 PECK,ALAN 225 HAY MEADOW RD., I I l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l NORTH ANDOVER, MA 01845 MODULES: 1'-4"TYP RAFTER SPACING SUNPOWER SPR-X20-250-BLK B-AC SOUTH EAST FACING ROOF: ROOF TILT=35 DEG AZIMUTH= 155 DEG TOTAL SYSTEM SIZE: 28 MODULE x 25OW=7.0 KW TOTAL EST PROD=8,368 KWHNR (PV SIM 6% SHADE) ,cN Fp�q�_cy AVERAGE TSRF=92% S A. CY NORTH ANDOVER, MA 75 RECORD LOW=-27 DEG C A �� Q BLUE SELENIUM SOLAR, LLC AVERAGE HIGH=29 DEG C James A. Clancy, PE 4 `' . 17 JM SEBASTIAN DRIVE.SUfTE 12,SANDWICH,MA 02563 RECORD HIGH=39 DEG C 601 Asbury Avenue PHONE(5ffiM3,%W,WWW.BLUESEL.COM 'WIND SPEED= 105 MPH National Park, NJ 08063 SNOW LOAD=50 PSF Massachusetts PE Lic#46775 DRAWNBY:OC DATE-0-1-09-15 SCALE:WA SHEET:2 OF BORDER C NAME: DWG NUMBER-REV PECK-225 HAY MEADOW RD. 02632-01 NODRTEVISBY ESN# Bw►swxo�sow.LtO r pa�e.e• 2x10 RIDGE BEAM 1x8 COLLAR TIE 32"O.C. 2x8 RAFTERS 16"O.C. SOLAR PANELS 17'-6" RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: ATTIC 35° PECK,ALAN 225 HAY MEADOW RD., NORTH ANDOVER, MA 01845 SECOND STORY PANEL AND MOUNTING INFORMATION ROOF TILT=35 DEG AZIMUTH= 155 DEG RAFTERS=2 x 8, 16"O.C. SPAN = 13 FT 6.5 INCHES 13'-62"SPAN MODULES: 28' SUNPOWER SPR-X20-250-BLK B-AC 28 MODULES x 250W=7.0 KW RACK/RAILS: SUNPOWER SOLARMOUNT (UNIRAC SOLARMOUNT)OR EQUIVALENT FLASHING: PV QUICK MOUNT W/5/16"x 3-1/2"SS LAG F OR EQUIVALENT 6�a� 'gcyG J S A. cn NOTES: CY 4 FT. MAX SPACING BETWEEN "L-BRACKETS" 75 ALL BRACKETS ARE SECURED TO ROOF RAFTERS .� q� tip BLUE SELENIUM SOLAR, LLC James A. Clancy, PE sbfi o NORTH ANDOVER, MA 601 Asbury Avenue s G ' 0 17 AN SEBASTIANDR3-95M.WWW.arF 12, ANDWIOH,MA 02563 PHONE(508333500,W W W.BLUESEL_COM WIND SPEED= 105 MPH National Park, NJ 08063 DRAWN BY:OC DATE:07-0315 SCALE:WA SHEEr.30F3 BORDER:C SNOW LOAD=50 PSF Massachusetts PE Lic#46776 NAME: DWG NUMBER-REV PECK-225 HAY MEADOW RD. 02632-01 'P,oO,fdmy wW CanfKWUol IMortnatbn. REVISIONS, pyclwon-rd-d pdb convent of LWw So4nWm Solar.LLC Is prohbitod' INO.1 DATE JBYJ ECN # #12 THWN-2 14X SUNPOWER SPR—X20-250—BLK—B—AC 3C + GND SOLAR PANELS, WIRED IN SERIES (NOT ALL MUDULES ARE SHOWN) CBI—L1 CB1—L2 NEUTRAL ARRAY #1 GROUND 14X SUNPOWER SPR—X20-250—BLK—B—AC #12 THWN-2 SOLAR PANELS, WIRED IN SERIES 3C + GND (NOT ALL MUDULES ARE SHOWN) CB2—L1 CB2—L2 NEUTRAL ARRAY #2 GROUND RESIDENTIAL SOLAR PH❑T❑VOLTAIC INSTALLATION PECK, ALAN BLUE SELENIUM SOLAR, LLC 225 HAY MEADOW RD. P R O V I N C E T O W N, MA 17 JAN SEBASTIAN DRIVE, SUITE 12, SANDWICH, MA 02563 NORTH ANDOVER, MA 01845 RECORD LOW = -27 DEG C PHONE (508)833-9500, WWW.BLUESEL.COM RECORD HIGH = 39 DEG C DRAWN BY- MT DATE, 11-03-15 1 SCALE- N/A SHEET- 1 OF 3 BORDER- C TOTAL SYSTEM SIZE: 7.0 KW-DC AVERAGE HIGH = 29 DEG C NAME- DWG NUMBER—REV PV WIRING - PECK 31970-00 as nt Of o� REVISI❑NSA cm Ow SWnmm Sobr,UC h pmh6r d' NO.I DATE BY ECN # UTILITY SERVICE NET METER 0 SERVICE PANEL LOCUS BREAKER LGATE-120 BOX KWH - - ---- - - - - - -� PRODUCTION #8 SERVICE200A / / j #8 THWN-2 METER RATED WIRE �1 3C + GND BASIC EXTERNAL AC 3C + GND I 2P I DISCONNECT o o (60 AMP) 40A O o LINE 1 - 2P10 0 1 LINE 2 — 0 -----o 0—.0 0 NEUTRAL GND AC DISCONNECT a SUNPOWER COMBINER PANEL AC MODULE r 1 SUPERVISOR 120A 2P 15A 2P I CBI-L1 I o� CBl-L2 o 120A 2P 15A 2P AC CB2-L1 —hoz ; LIGHTNING CB2-L2 —fes ARRESTOR I I I 0 �° I I ° ° I I I NEUTRAL GROUND BLUE SELENIUM SOLAR, LLC 17 JAN SEBASTIAN DRIVE, SUITE 12, SANDWICH, MA 02563 PHONE (508)833-9500, WWW.BLUESEL.COM • DRAWN BY- MT DATE, 11-03-15 1 SCALE, N/A SHEET, 2 OF 3 BORDER, C NAME- DWG NUMBER-REV PV WIRING - PECK 31970-00 PrWWtwy and Gonfidw,Oal Wdomwtl . REVISIONS, DW--.laws(pwr oonwd of Sk.S.I.M..Solar,11,C b v,.hb,d• IN0.1 DATE JBYJ ECN # NOTES, ARRAY TO COMBINER PANEL, ARRAY 1 & 2 CIRCUIT CURRENT CALCULATION — MAX OUTPUT POWER = 238 WATTS/INV. — 238 W / 240 V = 0.9916 AMPS — 0.9916 A X 14 AC MODULES = 13.88 AMPS OVERCURRENT PROTECTION CALCULATION — 13.88 X 1.25 = 17.35 AMPS CONCLUSIONS — USE 2 POLE 20 AMP CIRCUIT BREAKER — USE 12 AWG WIRE SIZE COMBINER PANEL TO GRID SERVICE, TOTAL ARRAY AC CURRENT — 40 AMPS (AT COMBINER PANEL) — USE #8 AWG WIRE SIZE NOTE, FOR WIRE RUN INSIDE THE HOUSE, ROMEX MAY BE SUBSTITUTED FOR 1 1 1 1 1 1 1 1 1 1 1 1 1 1 THWN-2 IN CONDUIT 2 2 2 2 2 2 2 2 2 2 2 2 2 2 BLUE SELENIUM SOLAR, LLC 17 JAN SEBASTIAN DRIVE, SUITE 12, SANDWICH, MA 02563 PHONE (508)833-9500, WWW.BLUESEL.COM DRAWN BY, MT I DATE, 11-03-15 1 SCALE, N/A SHEET, 3 OF 3 BORDER, C NAME, DWG NUMBER-REV PV WIRING - PECK 31970-00 The Commonwealth of Massachusetts Department of Industrial Accidents d I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LeeiblvInformation Please Print Legibly Name (Business/Organization/Individual):United Solar Associates, LLC Address:452 Pleasant Street, Second Floor City/State/Zip:Malden, MA 02148 Phone#:855-786-1776 Are you an employer?Check the appropriate box: Type of project(required): 1.[Z]I am a employer with 5 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 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.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.'+ 6.[:] rp g P We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Solar Install 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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:TRAVELERS Policy#or Self-ins.Lic.#:7PJUB-5B50763-8-15 Expiration Date:7/23/2016 Job Site Address:225 Hay Meadow Rd City/State/Zip:North Andover, MA Z)1 S�b 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 violdtor. f this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er th e pai s and p a i p jury that the information provided above is true and correct. Signature: U Date: 2 �D Phone#:855-786-1776 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#: Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/9/2015 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(ies)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 NAME: Asset One Insurance PHONE 714-625-8204 AIC,No,Ext): (Alc,No): 714-625-8290 575 Anton Blvd.,3rd FL ADDRESS: afa@solarinsure.com INSURERS)AFFORDING COVERAGE NAIC# Costa Mesa CA 92626 INSURER A: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERI( 25674 United Solar Associates,LLC INSURER C: American Zurich Insurance Company 16535 452 Pleasant Street,Second Floor INSURER D: INSURER E: Malden MA 02148 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 AUULIbULSK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X PREMISES A�ETQ REQ (Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A G27527966001 11/10/2015 11/10/2016 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? ❑ N/A 7PJU6-5650763-8-15 7/23/2015 7/23/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Property ER07771654 5/26/2015 5/26/2016 $522,302.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Additional Insured, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover Attn:Building Department AUTHORIZED REPRESENTATIVE 1600 Osgood St., Building 20,Suite 2035 North Andover MA 01845 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD J JAMES Av CLANCY PROFESSIONAL ]EENGINEER1 n 601 SJ URY AVENUE NATIONAL PARK, NJ 08063 (856) 358-1125 FAX: (856) 358-1511 Date: July 20,2015 Re: Structural Roof Certification Subj: Alan Peck Residence,225 Hay Meadow Road,North Andover, MA 01845 We have provided a review of the house roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence roof to be of wood frame construction bearing walls with Roof 1 is s of 2x8 @ 16"o.c. rafter framed construction with 1x8 collar ties @ 32"o.c. and is sheathed with 1/2"ext- ply sheathing and a single layer of composite shingles. The wood framed roof structure bears directly upon the framed exterior wall system. The existing members as installed meet the required (MA 780 CMR) IRC-2009 table 802 design span ratings with sufficient capacity to carry the 2.89#/sf additional load imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters or purlins below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters/trusses with Stainless Steel fasteners. Rail attachment to roof shall be fastened 16-24"o.c. at corners and 48"o.c. through the field. Rails are to be placed at 24-48"o.c. on the roof. When installed per the above specifications the system shall meet the required 105 MPH wind load and 50 PSF ground snow load requirements. Should you have any further question or comment please feel free to contact our office. Respectfully, OF�qc_ P ALES A. y CLANCY 0 o.46775 w James A. Clancy JOS FQ�ST � Professional EngineerNAL�G MA License#46775 S U N P O W E RO X-SERIES SOLAR PANELS S U N P O W E W X-SERIES SOLAR PANELS SUPPLEMENTARY TECHNICAL SPECIFICATIONS SUPPLEMENTARY TECHNICAL SPECIFICATIONS APPLIES TO:SPR-X22-360,SPR-X22-360-COM,SPR-X21-345,SPR-X21-345-COM,SPR-X21-335-BLK,SPR-X21-335,SPR-X20-327,SPR-X20- TEMPERATURE COEFFICIENTS&EFFICIENCY REFERENCES 327-COM,SPR-X20327-BLK,SPR-X19-310,SPR-X13310-BLK,SPR-X21-255,SPR-X20-250-BLK,SPR-X20-245,SPR-X19-240-BLK At STC Basic Temperature Data Efficiency Numbers _..... -. Current Voltage Nominal Nominal Power NOR TESTS AND CERTIFICATIONS WARRANTY,IMPACT RESISTANCE,FUSE RATING,1-BOX Nominal qvg Ilsc) (Voc) Temp. 20'C Aveage Peak Power Peak Power Module Temp. Temp. Power per Unit per Unit --: Power Power Coeff. (Value UL 1703,Type 2 UL Module Fire Rating,IECG1215, 25-YEAR LINEAR POWER WARRANTY Coeff. Coeff. (%") +/2°C) E(fKiency(%) Area Area Standard tests 25-YE AR LI MITED PRODUCT WARRANTY mA/°C) (m, ..._. ..... WW) __,(W/ft') IEC61730,Class C IEC Fire RatingWARRANTIES Qualitytests 1509001:2008,15014001:2004 PPV AND NPC MODULES CARRY A DIFFERENT SPR-X22-360 360 361 3.5 -167.4 -0.30% 41.5 22.16% 221.6 20.6 PRODUCT WARRANTY SPR-X22-360-COM 360 361 3.5 -167A -0.30% 41.5 22.16% 221.6 20.6 EHS Compliance RoHS,OHSAS 18001:2007,C2C(Cradle to Cradle),PV Cycle, SPR-X21-345 345 350 3.5 -167A -0.30% 41.5 21.5% 214.6 19.9 WEEE,REACH SVHC455,lead free Impact (hail)25mm(1 inch)diameter at 23 m/s(52 mph) SPR-X21-345-COM 345 350 3.5 -167A -0.30% 41.5 21.5% 214.6 19.9 Ammonia test IEC 62716 Resistance SPR-X21-335-BLK 335 343 3.5 467.4 -0.30% 43.0 21.0% 210.3 19.5 SPR-%21-335 335 343 3.5 -167A -0.30% 41.5 21.0% 210.3 19.5 Salt-spray test IEC 61701(max.severity) SPR-X20-327 327 333 3.5 -167A -0.30% 41.5 20.4% 2041 19.0 PID test Potential-Induced Degradation free:1000V Max Series Fuse 15 Amp rating SPR--X2 327-BLK 327 331 3.5 -167A -0.30% 41.5 20.3% 202.9 18.9 SPR-X2&327-BLK 327 333 3.5 -167.4 -0.3096 43.0 20.4% 204.2 19.0 72 cell(Gen 5 frame) SPR-X19-310 310 314 3.5 -167A -0.30% 41.5 19.3% 192.5 17.9 Wind:83 psi,4000 Pa,407 kg/m'front&back MCA compatible;cable length 1000mm(96&72 cell) SPR-%19310-BLK 310 314 1 3.5 -167A -0.30% 43.0 19.3% 192.5 17.9 Snow:167 psf,8000 Pa,815 kg/m'front Connectors and 970mm(128 cell) _ 96 ce11(Gen 5 frame) " Max Load Wind:62 psf,3000 Pa,305 kg/m'front&back SPR-X21-255 255 262 3.5 -125.6 -0.3036 41.5 21.1% 210.6 19.6 Snow:125 psf,6000 Pa,611 kg/m'front SPR-X20-250-BLK 250 255 3.5 -125.6 -0.30% 43.0 20.5% 205.0 19.0 72&96 cell(Gen 3frame) JBox,IP 65,no larger than(cm)2.5 x 11.5 x 13.1.For SPRA20-245 245 249 3.5 -125.6 -0.30% 41.5 20.0% 200.2 18.6 Wind:50 psf,2400 Pa,244 kg/m'front&back Junction Box specifics,contact regional sales team SPR-X19-240-BLK 240 242 3.5 -125.6 -0.30% 43.0 19.5% 194.5 18.1 Snow:112 psf,5400 Pa,550 m'front Operating Temps -40'F to+185"F(-40-Cto+85'C) X-SERIES MAJOR GLOBAL MARKET LISTINGS PLATFORM PERFORMANCE AT NOR (800 W/m',20°C ambient,1 m/s wind speed) Commercial&Residential Modules 72-Ce11 Modules 96-Cell Modules Nominal Electrical data at NOCT Major Market listings' CEC,UL,TUV,MCS CEC,UL,TUV,MCS At STC NOCT:800W/m7,20°C amb.Tem.,lm/S Wind 5 eed -Platforms options available in listed markets,but every Individual sku may not be available in each referenced market Module Nominal NOR NOCT NOCT Imp, NOCT Voc NOCT Isc NOCT%of Power From Vmpp rated PLATFORM ELECTRICAL DATA,STC SPR-X22-360 360 288 60.4 4.76 66.2 5.23 79.9% SPR-X22-360-COM 360 288 60.4 4.76 66.2 5.23 79.9% At Standard Test Conditions SPR-X21-345 345 261 53.8 4.85 64.9 5.16 75.7% Max Max SPRA21-345{OM 345 261 53.8 4.85 64.9 5.16 75.7% Open Short System System Platform Power Rated Rated SPR-%21-335 335 252 53.5 4.71 64.3 5.04 75.3% Nominal Circuit Circuit Voltage Voltage Module (Number Tolerance Voltage Current SPR-%21-335 335 253 53.8 4.71 64.5 5.03 75.7% of cells) Power (%) Vmp(V) Imp(A) Voltage Current, UL IEC Voc(V) NrA) Vmax Vmax SPR-%20-327 327 248 53.8 4.60 64.3 4.90 75.7% V V SPR-%20-327-COM 327 248 53.8 4.60 64.3 4.90 75.7% SPRA22-360 96 360 +5/-0 60.6 5.94 69.5 6.48 600 1000 SPR-X20-327-BLK 327 250 54.4 4.60 64.0 4.91 76.5% SPR-X22-360-COM 96 360 +5/-3 60.6 5.94 69.5 6.48 1000 1000 SPR-X19310 310 235 53.6 4.36 63.9 4.70 75.7% SPR-X21-345 96 345 +5/-0 57.3 6.02 68.2 6.39 600 1000 SPR-X19310-BLK 310 233 53.5 4.36 63.6 4.71 75.3% SPR-X21-345-COM 96 345 +5/-3 57.3 6.02 68.2 6.39 1000 1000 SPR-X21-335-BLK 96 335 +5/-0 57.3 5.85 67.9 6.23 600 1000 SPR-X21-255 255 193 40.3 4.79 48.6 5.11 75.8% SPR-%20-250-BLK 250 188 40.0 4.71 48.2 5.01 75.2% SPR-X21-335 96 335 +5/-0 57.3 5.85 67.9 6.23 600 1000 SPR-%20-245 245 185 40.2 4.61 48.3 4.91 75.6% SPR-X20.327 96 327 +5/-0 57.3 5.71 67.6 6.07 600 1000 SPR- 240 240 181 40.0 4.52 47.9 4.63 75.2% SPR-X20-327-COM 96 327 +5/-3 57.3 5.71 67.6 6.07 1000 1000 SPR-X20-327-SLK 96 327 +5/-0 57.3 5.71 67.6 6.07 600 1000 SPR-%19310 96 310 +5/-0 $7.3 5.41 67.2 5.82 600 1000 SPR-%19310-BLK 96 310 +5/-0 a42.85.94 .2 5.82 600 1000 SPR-X21-255 72 255 +5/-0 .1 6.33 600 1000 SPR-X20-250-BLK 72 250 +5/-0 .9 6.20 600 1000 SPR-X20.245 72 245 +5/-0 .8 6.08 600 1000 SPR-X19240-BLK 72 240 +5/-0 .6 5.98 600 1000 Specifications subject to changewithout notice Page 1 of Document No.505915 Rev C/US Specifications subject to change without notice Page 2 of Document No.505915 Rev C/US { i S U N O`A/P E pR e X-SERIES SOLAR PANELS S U N P O W E Re X-SERIES SOLAR PANELS I� VY SUPPLEMENTARY TECHNICAL SPECIFICATIONS SUPPLEMENTARY TECHNICAL SPECIFICATIONS PLATFORM PERFORMANCE AT LOW IRRADIANCE (200 W/m',25-C cell temperature,air mass 1.5 SSIDe) At STC Irradiance vs.Power at Low Irradiance (200W/m'and @25°C SNL coefficlents Commercial Module(Gen 3 silver frame with stacking pins)-96CELL Gen 3 Frame Profile for 96 Cell Commercial Module Nominal Lowlrra 11-o Lawiradiance Low irradiance Petg.ofnominal (SPR-X22-36D-COM,SPR-X21-345-COM,SPR-X20-327-COM) Power Pmppiw) vmPP t`7) Impp(A) power Frame Extrusion,Side Frame Extrusion,End SPO-X22-360 360 69.5 57.9 1.20 19.3% (with PEM Stud Height) SPRA22-360 COM 360 69.5 57.9 1.20 19.3% SPR-x21-345 345 66.4 54.6 1.22 19.3% 4x04.8mm 1046mm[41.2in) IW.1in) 1(AAlinn) Drain Hol �1002mm 139.4("]-. 7.I8mm G41i1j SPR-X21-345-COM 345 66.4 54.6 1.22 19.3% Drain Holes (.131"1 SPR-X21-335-BLK 335 64.5 54.6 1.18 19.3% SPR-X21-335 335 64.5 54.6 1.18 19.3% 12X06.6mm SPR-X20-327 327 63.0 54.6 1.15 19.3% (0.26in] SPR-X20-327-COM 327 63.0 54.6 1.15 19.3% Mounting Holes s SPR-X20-327-BLK 327 63.0 54.6 1.15 19.3% c c S SPR-X19-310 310 59.7 54.6 1.09 19.3% o r 41 SPR-X19-310-BLK 310 59.7 54.6 1.09 19.3% 1 O 04.2mmrU' Ground Holes E E E E 2,20mm 1.2)rlXn SPR-X21-255 255 49.1 40.9 1.20 19.3% cQ m n (•Oifl) LOSm) 5Pfl-%20-25OBLK 250 46.1 40.8 1.18 19.2% '� n.001nrn 22 SPR-X20-245 245 47.2 40.8 1.16 19.2% 4X 024in) 1126n) 1.8701 SPR-X19-240-BLK 240 46.2 40.8 1.13 19.2% 1citing] 61D2Solar Spactral l madlance Distribution $locking Pins (Rack Vlew) 398mm MODULE PLATFORM DIMENSIONS [15.7in] (Front View) 3.2m. [0.13in] � Residential Module(Gen 3 black frame)-96 CELL Residential Frame profiles 46mm[i.8in) (SPR-X21-335-BLK,SPR-X20.327-BLK,SPR X14310-BLK,SPR-X22-360,SPR- Gen 3 Frame Profile for 96 cell modules X21-345,SPR-X21-335,SPR420.327,SPR439-310) Frame Extrusion,Side Frame Extrusion,End 4x 04.8mm 1046mm[41.2in] I A-1& tIlln' (0.19in] 1002mm 139.4in] Drain Holes Residential Module(Gen 3 frame)-72 CELL Gen 3 Frame Profile for 72 cell modules 12X 0 6.6mm (SPR-X21-255,SPR-X20-250-BLX,SPR-X20-245,SPR-X79-240-81X) Frame Extrusion,Side Frame Extrusion,End [0.26in]Mounting Holes 1 41• I-.-. IB.SOn✓n cp1.731n1 LIII I.OSiV 4x 0a.8mm 798mm[31.4in) M 2 0 6e7inl Dram tsaks� 75amm I29lin) 31.00mm E E E E 8.24"1 I ZX O 6 6mm ,E E vEs E [0.26�nj b -s 1 OX 0 4.2mm o. g n h Mounting Boles y T Ground Holes rDI., 731n) 2.20mxn L(Back _S g [.Win) 1� 10x 042mm - E 32.00mm 87in 1017inJa P 0.26n1 � 6 1 es M 46mm (Front View) Ground Hd ' [1.8in] Back View) Tit I (Front VIOLA) aJ-- 11.8.") S I Specifications subject to change without notice Page 3 of 6 Document No.505915 Rev C/US Specifications subject to change without notice Page 4 of 6 Document No.505915 Rev C/US SUN P O W E Re X-SERIES SOLAR PANELS S U N P O W E Rn X-SERIES SOLAR PANELS SUPPLEMENTARY TECHNICAL SPECIFICATIONS SUPPLEMENTARY TECHNICAL SPECIFICATIONS IV CURVES OF PRIMARY PLATFORM MODELS InvisiMountTM Compatible frame(Gen 5 frame)-96 CELL InvisiMount Compatible(Gen 5)Frame profile for 96 cell (SPR-X21-335-BLK,SPR-X20-327-BLK,SPR X19-310-all(,SPR-X22-360, Frame Extrusion,Side Frame Extrusion,End SPR-X21-345 SPR-X21-255 SPR-X21-345,SPR-X21-335,SPR-X20-327,SPRA19-3101 1046mm 10.3Wnm 10.3Dmm 7 7 (Alin] .41 �[41181n]—� 6 .. —1000W/m' 8 —t000W/m' 8X p4.2mm 9.29mm 9.29mm GROUN I7m L37m1 .29m) ¢ 5 800W/m2 ; 5 —800W/m' 'c 4 c 4 E S E— T —500W/m' —500W/m' _ 4.75mm 3 3 E r �4119x1 m 1.19K11 0 2 —30OW/m' U 2 —300W/m' Em nS �— �— n E- 3.50mm 3.5Umm 1 —1000W/m2, 1 —1000W/m2, Ep Lt4in) LI411 o so^c o so°C ^S o30.00mm 30.00mm 0 10 20 30 40 50 60 70 80 0 10 20 30 40 50 60 11.18in] n'IBinj voltage(V) voltage(V) SPR-X21.335-BLK SPR-X20-250-BLK 45mm 11.811n] 7 7 6 1000W/m2 g 1 —1000W/m2 5 —800W/m2 ¢ 5 —800W/m' InvisiMount Compatible frame(Gen 5 frame)-72 CELL E 4 - c 4 (SPR-X21-255,SPR420.250-BLK,SPR-X20-245,SPR-X19-240-BLK) InvislMount Compatible(Gen 5)Frame profile for 72 cell —500W/m' d —500W/m' Frame Extrusion,Side Frame Extrusion,End U 2 300W/m2 O 2 —300W/m' 798.00m� � �.`(31.42in]-"1 1 1000W/m', 1 —1000W/m', 04.22mm 10.30mm 103D- 0 50°C 0 50°C (.Inn] La1W 1.41 n 0 10 20 30 40 50 60 70 80 0 10 20 30 40 50 60 GROUND HOLES 9.229mrn 9.229mm Voltage(V) Voltage(V) E c �o E� E� 00 gE 4.75mm 4L1 i s4 LWin) 'd 3,SOmm 3-50mm I.] (.14inj .I.00Brinmin30.010mr)n 46.00mm (1.81in1 1— Specifications subject to change without notice Page 5 of 6 Document No.505915 Rev C/US Specifications subject to change without notice Page 6 of 6 Document No.505915 Rev C/US SolarMount-l" Technical -- :e°UNIRAC Technical Datasheets :eQUNIRACs ANIn1N%AW NMIRMAt11P.i.dYAR tlYIANi SolarMount-I Module Connection Hardware SolarMount-ITM Roof Mount Technical Datasheet Pub 100701-1td V1.0 July 2010 SolarMount-I Slider with End Clamp SolarMount-I Module Connection Hardware Part No.020010 through 02006C,020090,02010C Slider and Mid Clamp..........................................................................................................1 - - Slider and End Clamp Material:One of the following mill finished Slider and End Clamp.........................................................................................................2 R extruded aluminum alloys:6005-T5,6105-T5,6061-T6 SolarMount-I Series Accessory Mount................................................................................2 \ Ultimate tensile:38 ksi,Yield:35 ksi SolarMount-I Beam Connection Hardware \ slider weight:0.026 lbs(12g),end clamp weight varies based on 1-Flange Foot.....................................................................................................................3 height:-0.058 lbs(26g) ----.. --..3 End Allowable and design loads are valid when components are 2-Flange Foot.................................................................................................. Clamp assembled with SolarMount-I 1.0 or 2.5 Beams according to BeamSplice..................................................................................................................... 4 authorized UNIRAC documents SOIarMount-I Beam Sliders are compatible with SolarMount-I Beams SolarMount-I Beams................................................................................................ 5 Beam Assemble with one%-20 ASTM F593 bolt and one'/.-20 ASTM F594 serrated flange nut • Use anti-seize and tighten to 10 ft-lbs of torque • Resistance factors and safety factors are determined according to Slider part 1 section 9 of the 2005 Aluminum Design Manual • Modules must be installed at least 1.5"from either end of a beam SolarMount-I Module Connection Hardware 151x1- — Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Loads Factor, SolarMount-I Series Slider with Mid Clamp lbs(N) lbs(N) FS lbs(N) 0 Part No.02027C,02028C,02029C,02030C Y Sliding,Xt 283(1259) 104(463) 2.72 157(698) 0.555 1 Tension,Y+ 332(1477) 88(391) 3.77 133(592) 0.401 • Slider and Mid Clamp Material:One of the following mill finished L.X extruded aluminum alloys:6005-T5,6105-T5,6061-T6 x+;15 Transverse,Zi: 1367(6081) 533(2371) 2.56 806(3585) 0.590 Ultimate tensile:38ksi,Yield:35 ksi • Slider weight:0.026 lbs(12g),Mid Clamp Weight:0.050 lbs(23g) Dimensions specified in inches unless noted • Allowable and design loads are valid when components are assembled with SolarMount-I Beams according to authorized UNIRAC documents • Sliders are compatible with SolarMount-I Beams SOa .0801-I ACC6SSOry Mount Part Assemble with one'/-20 ASTM F593 bolt and one 1/.-20 ASTM PaNo.08010M F594 serrated flange nut Slider Material:One of the following mill finished extruded Use anti-seize and tighten to 10 ft4bs of torque aluminum alloys:6005-T5,6105-T5,6061-T6 Resistance factors and safety factors are determined according to Bon Ultimate tensile:38 ksi,Yield:35 ksi I part 1 section 9 of the 2005 Aluminum Design Manual Accessory Slider weight:0.026 lbs(12g) Nut Allowable and design loads are valid when components are assembled with SolarMount-I 1.0 or 2.5 Beams according to authorized UNIRAC documents SolarMount-I Series Accessory Mounts are compatible with SolarMount-I Beams tAw Use two Accessory Mounts per accessory Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load factor, Assemble each pair of clamps with the following stainless steel Itis(N) Itis(N) FS lbs(N) 0 Beam hardware:two Y-20 set screws,two y-20 heavy hex jam nuts,and two Y-20 F594 serrated flange nuts Sliding,Xt 1194(5311) 490(2180) 2.44 741(3296) 0.620 Use anti-seize and tighten to 5-10 ft-lbs of torque Tension,Y+ 1503(6686) 677(3011) 2.22 1024(4555) 0.682 ,,,,, Resistance factors and safety factors are determined according 0.6 Transverse,23 2080(9252) 915(4070) 2.27 1383(6152) 0.665 calculations and UNIRAC testing Y 1 '-?-j Maximum distance of Maximum weight of L-.X Y accessory center of gravity accessory s-=*1 from beam center lbs(kg) Dimensions specified in inches unless noted .x in(mm) 7(178) 32(14.5) Dimensions specified in inches unless noted a Solattvi'lount-1 Technical -- :ea-UNIRAC ! Technical - -- :e°UNIRAC nrancunv cm+rRar nra�rcwv m+nsm SolarMount-I Beam Connection Hardware SolarMount-I 1-Flange Foot SolarMount-1 Beam Connection Hardware Part No.04011M • t-Flange Foot Material:One of the following mill finished extruded aluminum alloys:6005-T5,6105-T5,6061-T6 SolarMount-I Beam Splice Ultimate tensile:38 ksi,Yield:35 list Part No.03020M,03021M • 1-Flange Foot weight:0.101 lbs(46 g) • Allowable and design loads are valid when components are assembled with SolarMount-1 1.0 or 2.5 Beams according to authorized UNIRAC J- ' Beam Splice Material:Aluminum 5052-1-132 documents -Beam/" Ultimate tensile:31 ksi,Yield:23 ksi • 1-Flange feet are compatible with SolarMount-1 Beams Beam Splice weight:0.053 lbs(24 g) • Resistance factors and safety factors are determined according to part 1 �.,,.�="-ter Bon,/' Allowable and design loads are valid when components are section 9 of the 2005 Aluminum Design Manual ,.- assembled according to authorized UNIRAC documents 1-Flange Foot Design and allowable loads are for the beam to foot connections Beam Splices are compatible with SolarMount-1 Beams when used Y Be sure to check load limits for roof attachments and standoffs with 1-Flange or 2-Flange feet ►X Average Allowable Safety Design Load Reaistance Resistance factors and safety factors are determined according to Applied Load Ultimate Load Factor, lbs(N) Factor, Spike part 1 section 9 of the 2005 Aluminum Design Manual Directlon lbs(N) lbs(N) FS m IaHn..e+t1e•+•� Tension,Y+ Applied Load Average Allowable Safety Design Resistance SolerMount-I 10 Beam 1 1388(5952)l 591(2629)1 2.26 894(3977)1 0.668 ..,. Direction Ultimate Load Factor, Load Factor, Nut 1-Flange or lbs(N) lbs(N) FS lbs(N)li • -) SolarMwnt-I 2.5 Beam 1 1514(6735) 648(2882) 2341 980(4359) 0647 2-flange Foot Sliding,t 1428(6352) 620(2758) 2.30 938(4172) 0.657 Compression,Y- Dimensans specified in inches SolarMount-I 1.0 Beam 2931(13038) 1288(5729) 2.28 1948(8665) 0.664 - ° rim • unless noted SolarMount-I 2 5 Beam 2750(12233) 1223(5440) 2.25 1849(8225) 0.672 Transverse,X-,downhill 635(2825) 313(1392) 2.03 1 473(2104) 0.745 Transverse,X-,uphill 42(187) 20(89) 2.15 30(133) 0.705 Y �`-.---.-•-j ^t Sliding,Z± (see Beam Splice) ►X u SolarMount-I 2-Flange Foot Part No.04002M,04003M Dimensions specified in inches unless noted • 2-Flange Foot Material:One of the following mill finished extruded aluminum alloys:6005-T5,6105-T5,6061-T6 Ultimate tensile:38 ksi,Yeld:35 ksi • 2-Flange Foot weight:0.103 lbs(47 g) Allowable and design loads are valid when components are assembled with SolarMount-1 1.0 or 2.5 Beams according to authorized UNIRAC documents • 2-Flange Feet are compatible with SolarMount-1 Beams • �.. 2-Flange Resistance factors and safety factors are determined according to part 1 Foot section 9 of the 2005 Aluminum Design Manual • Design and allowable loads are for the beam to foot connection Y J��•- r Be sure to check load limits for roof attachments and standoffs Appiled Load Average Allowable I Safety Design Load Resistance Direction Ultimate Load Factor, lbs(N) Factor, i lbs(N) lbs(N) FS QI � ►X j nnlx+.s1•+me Tension,Y+ f 1 SolarMount-1 1.0 Beam 1931(8950) WA(3843) 2.23 1307(5814) 0.667 t 1 1. , SolarMount-I 2.5 Beam 2478(11023) 1111(4942) 2.23 1681(7477) 0.678 +i Il_.-J5 I Compression,v- *`�"—"' -rte+- •' I SolarMount-11.0 Beam 3788(16850) 1706(7589) 222 2581(11481) 0.681 xr S olaI 2.5 Beam 3694(16432) 1562(6948) 236 2363(10511) 0.640 Dimensions specified in inches unless noted Tranownhill 635(2825) 313(1392) 2.03 473(2104) 0.745 Tranphill 42(187) 20(89) 2.15 30(133) 0.705 Slidi (see Beam Splice) © a Datasheets UP-UNIRAC SolarMount-1 Beam MATERIAL:One of the following extruded aluminum alloys:6005-T5,6105-T5,or 6061-T6,Mill Finish Beam Height(In) Properties Units 1.094 2.500 Approximate Weight(per linear ft) plf 0.356 0.548 Total Cross Sectional Area int 0.3037'. 0.4665 Section Modulus(X-Axis) in' 0.1101 0.3687 Section Modulus(Y-Axis) in' 0.0390 0.0422 Moment of Inertia(X-Axis) in4 0.0602 0.4609 Moment of Inertia(Y-Axis) in4 0.01951 0.0211 Radius of Gyration(X-Axis) In 0.4453 L 0.9940 Radius of Gyration(Y-Axis) In 0.2536 0.2127 1.406 25W a I -y(- 1.094 � - 0.547 I 0.547 1.000 SolarMount 1.0 Beam Height=1.094" SolarMount 2.5 Beam Height=2.500" Part No.10144M Y Part No.11192M Y One 00.281 hole Is 1.188" / Two 00.281 holes are 1.188" i from each end of the beam —.X from each end of the beam L-.X Dimensions specified in inches unless noted DC Power Systems (800)967.6917 www.dcpowersystcvns.own e Location od t n� No. fid" (/ Date 2 HQRTM TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ Building/Frame Permit Fee $ uMus Foundation Permit Fee $ Y Other Permit Fee $ <-d TOTAL $ � + Check # J 634 �-- Building Inspe fa s TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING alis : dr'# ffil6i=il9C3 BUILDING PERMIT NUMBER. DATE ISSUED. f ic SIGNATURE: Jay A�'a� :q Builciing Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 37 Map Number Parcel Number 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 Rapired Provided Reqwred Provided v 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORUED AGENT M .2.1 Owner of Record r Name(Print) Address for Service: F70 -2 0 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Suuppeervisor: Not Applicable ❑ Licensed Construction Supervisor: 5 �� c O License Number mn A dr ss _ Expi •-� ate— f' ratio Date Signa re Telephone r 3.2 Registered Home Improve eht Contractor Not Applicable ❑ Company Name �g � m 3,-2 _� � y/j � Registration Number rM Address � r fi 9 7 993 Expiratio Date nZ Signature 01Telephone _/ SECTION 4-WORKERS COMPENSATION(1VLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit mu completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin rmit. Signed affidavit Attached Yes.......° No.......0 SECTION 5 Description of Proposed Work(check all a licabte New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 11 Other ❑ Specify — t Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, — �+ /� �G ,as Owner/Authorized Agent of subject property t Hereby authorize /� /�J✓1 Gid (�j`7rl���i tics S to act on My behalf,inall matter tive to work authorized by this building permit application. Signature of Owner Date A SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, T.z�r/�1���� / j cJ �f�/ J� 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 k7'YP e Print me Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 191 2 3 SPAN DIN ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE own of over 0 No. 0SA =0 dower, Mass., 6" 3 03 o't?ATED ? C) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 6C (aot�w BUILDING INSPECTOR THIS CERTIFIES THAT........................a .................................................................................................................................. Foundation has permission to erect........................................ buildings on .00W.J.7. 154: ... ........ Rough ... ...... ..4," ...... .... .. .. to be occupied as..o#o19wsAvj2pdo.m.W........ ......................................................................................... Chimney provided that the person accepting this per6-11 -aspect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-La 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STA-RTP ELECTRICAL INSPECTOR 1f9iW Rough ...................................................................WS&W........................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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 Street No. SEE REVERSE SIDE Smoke Det. u r The Commonwealth of Massachusetts " ` = Department of Industrial Accidents d Office of Investigations Boston, Mass. 02111 SV1b Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Company name: Address ✓u CiPhone#: Insurance Co. �� � ✓'� Policy# INC e,7 3 J S 3 7 2Y Company name: Address Citic Phone#-. Insurance Co. __ Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'irriprisonment.as_weU_as_civil.penaltiesln-the-Oan4f-aSTOPYVORK ORDER-and_a fine_of-($111.0.00)-ajclayagainst.me I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. y I do hereby certify under the pains and genal=* thatnramation provided above is true and correct. Si nature Date Printname o 1�JAi l / ! � Pbcine.#� Zr� Official use only do not write in this area to be completed by city or town official' City or Town PermWUcensing Building Dept []Check if immediate response is required 0 Licensing Board E] Selectman's Office Contact person: Phone#: ❑ Health Department Ei Other !. }�Y �� "(!JG 7Z�➢t0'I2CIlC�LU2 d�a%!�(.Cllk1�C�Cil6P.�6 P i BOARD.OF BUILDINGREGULATIONS License: CONSTRUCTION SUPERVISOR a W Number: CS 028562 ` Birthdate: 10/25/1928 Expires: 10/25/2003 Tr:no: 6886 Restricted: 00 j EDWARD T JENKINS I 32 STAG DR ! BILLERICA, MA 01821 Administrator T �. a1 • Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR lug s. Registratron _-110452 Expiratrou 40/20/2004 t Type __DBA - EDWARD T JENKINS:CONT EDWARD JENKINS;; '',, ,' 32 STAG DR BILLERICA,MA 01821 Administrator North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S.1 50 A.. i, The debris will be disposed of in: (L cation of Facility) Signature of ermit Applicant Y Q D e NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I