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Miscellaneous - 4 LACY STREET 4/30/2018 (2)
N O ,45olarCit �. y 3055 Clearview Way, San Mateo, CA 94402 (888) -SOL -CITY (765-2489) 1 www.solarcity_com Project/Job # 018814 RE: Project: To Whom It May Concern, Installation Approval Letter Vincent Residence 4 Lacy St North Andover, MA 01845 Version #37.9 On the above referenced project, the roof structural framing has been reviewed for additional loading due to the installation of the solar PV addition to the roof. The structural review, including the plans and calculations only apply to the section of roof that is directly supporting the solar PV system and its supporting elements. The capacity of the structural roof framing directly supporting the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to be in accordance with the requirements of the MA Res. Code, 8th Edition. Plans and calculations were stamped & signed with my professional engineer's seal. To the best of my knowledge and belief, the work has been completed in accordance with the approved plans and provisions of the applicable code. Should you have any further questions or requirements pertaining to this project, please do not hesitate to contact me. Sincerely, Andrew White, P.E. Digitally signed by Andrew Structural Engineeer White Main: 888.765.2489, x2377 email: awhite@solarcity.com Date: 2014.1 1.03 07:42:00 -05!00! 3055 Clearview Way San Mateo, CA 94402 t (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com AY faOL Ft'377t. CA G:L6 898104, CO EC 8041. C;T N^. 06;!2778, DC Fi1C 7I ttl1486. DC NI;. 7t tCldtl F<,! Ci 29770, F.4A F1IC tf.8:a 72, MD MYilC 128958, iMJ 13VFi0dif30r�00, OR GCr! tCtY108. PA 077343 T+: rALR 27tlOF. WA CCL 8IX AR::'tit9p7 a 20ta 5otJrQtY Ar, rights: reservetl. Date.q.�.kp.Vk� ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies 4,-) H49—It6c,,m has permission to perform.;X ....... C -:2M.1 .... wiriog in the building of ... ...................................... ................................... .4 Lvc�c at ....... .... . . ........ orth Andover, Mass�� ........... .......... .. ......................... . Lic. No . ................. - J..�L Check #T] 91 � ...... KI AL INSPI C OR 9736 ( ommonweak. of Mamaclmjeftj - aU¢pars`me►tf o�}ire �ervic¢9 BOARD OF FIRE PREVENTION REGULATIONS Print Form t) Icil1 � Use Only Permit No. Occupancy and Fee Checked Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEG), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q, 9 -/q City or Town of: I , ao pal ,�c 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) H 1_(IC(4 �S � Owner or Tenant Mr K � y,n C. n L Telephone No. (pI ) -5-/ 3 ` Y Y 3' Owner's Address Is this permit in conjunction with a building permit? Yes Q No ❑ I (Check Appropriate Box) Purpose of Building W/ Solar - PV Utility Authorization No. n/a Existing Service Amps / Volts Overhead ❑ Undgrd New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of .Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Install Solar Electric - Photovoltaic (PV) system (Zfj panels] rated- . q kW -DC @ S.T.C. Grid Tied. In conjunction with a Building Permit. Completion ofihe followine table may be waived by the Inspector ol'Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. Of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- El rnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of 011.Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o etection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number I Tons IKW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipai ® Other Connection No. of Dryers Heating Appliances KW Security ystems: No. of Devices or Equivalent No. of Water KW Heaters o. o o. o Signs Ballasts Data Wiring: I No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wirim : No. of Devices or Equivalent OTHER: Q ,� ,.� Attach additional detail f f desired. or as required by the hispector of Wires. Estimated Value of Electrical Work: ► O[1 V (When required by municipal policy.) Work to Start: A.S.A.P. Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including `completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑✓ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application Is true and complete FIRM NAME: SOI_ARCITY CORPORATION LIC, NO,: 1136 MR Licensee: Matthew T. Markham Signature '%� LIC. NO.: 1136 MR (tf applicable, enter "exempt " in the license number line.) Bus. Tel. No.:774-258-8180 Address: 24 St. Martin Drive (Building 2 / Unit 11), Marlborough, MA, 01752 Alt. Tel. No.: 774-258-8505 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) El owner D owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ j4 ��� 4-e P, � -l,/l1. f'.t dt+IN' 0A/Yf1(/R R�r (ltls4+{f Jl tfN ijr w;lMce of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR eglstration: 168572 Type Expiration: 3/812015 Supplement SOLARCITY CORPORATION MATTHEW MARKHAM 24 ST MARTIN STREET BLD 2UNI'�ts-•_�_ ITAAhLBOROUGH, MA 01752 Undersecretary f)M 4 WMTM SE IVB U - __ BOARD OF I ELECTRICIANS I ISSUES THE FOLLOWING LICENSE AS A I REGISTERED MASTER ELECTRICIAN SOLARCITY CORPORATION MATTHEW T 14ARKHAM 24 SAINT MARTIN DR BLDG 2 •UNIT 11 MARLBOROUGH MA 01752-3060J�'6 0 i The Coninton weahk of Massackusdis Department of IndusWalAccidents 0.07ce of Invadgadens UqF 1 Congress Street, Suite 100 Boston, K4 02114-2017 www mass gov/diff Workers' Compensation Insurance Affidavft: Builders/Contractors/ElectcicianslPiumbera A Ncantof lase rin Laclu, Name(>3ttssluesdOraanimionnndhidual): SOLARCITY CORPORATION Address: 3055 CLEARViEW WAY Ci /State(Zi : UAN MAI W, GA W4UZ Phone #• 88&765-2489 Are you an employer? Check the appropriate box: MW 1. ®I am a employer with � 4. (� I stn a general contractor and I of ro ect A (required): employees (full and/or part-time).* have hired the sub -contractors U [J New construction 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ?..p Remodeling ship and have no employees These sub -contractors have a. 0 Demolition wonting for me in any capacity. employees and have wodwrs' instrrnw., 9. d Building addition )No workers' comp. insurance required.] comp. 5.0 We are a corporation and its 10.Q Electrical repairs or additions 3. Q I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions 1 myself. [No workers' coinp. right of exemption per MGL 12.D Roof tt pairs insurance required.] t c. 152, yi(4). and we have no employees. [Na workers' 13.9 Other SOLAR coin - ittstuartce regained.] i A.....2-1�i_l___ - -.y _�....-�.....-. �..�.......................w nu a+w� .,w. TiCiN�l OGu» 511DwNg:IRei flYR1p.Rs eostlpgtsatitmp[dii•y iafortnattent. f Womemacts who submit this affidavit indicating they tae deem All wait and then faire outside catUM= mast submit a mw affidavit indicating such. ,cm0ac tons that check- ibis bot must attached an additeonat duct showl% lite now of the sub•oommcom and state whether or not tltocc entities have employees. If the gub.conttra"n; have emooytas, they must provide their wagive comp. policy umber, Ions an OW16yer tical Is providing workers' compennuien JnsuroAee for my employee% Mow is Ike policy and job site irtformatlev. Insurance Company Name: LIBERTY MUTUAL INSURANCE COMPANY Policy 4 or Self ins. Lic. #: WA? -66D -06U US-CiLq Expiration bate: 09/01/2015 Job Site Address:_ City/State/Zip:,;-A), �tJ i— Aftach a copy of the werkerO 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 figs up to S 1,500.00 and/or one year imprisorum:trtt, 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 tory of this statement may be forwarded to the Office of Investigations ofthe DIA for Insurance coverage verification. 1 do hereby eerf6 under the paid and the infemradonPmWded above is nae and correct k"f nota. - -I - / - Ofylcial use only. Do not write In &Js area, to be congsleled by elty or townoJjlria! City or Toon: Issuing Authority (circle one): 1. Board of Health 2. Building Department 6. Other Permitfucense # 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector Contact Person: Phone #: me-ae--- - '4� yr CERTIFICATE OF LIABILITY INSURANCE DATE(MM08/291201,4 INSR LTR "YYY) 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 endorsemen s . PRODUCER MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO. 0437153Ho SAN FRANCISCO, CA 94104. CONTACT NAME: PHONE E><tP Nor ASR' INSURER(S) AFFORDING COVERAGE NAtC N 998301-STND-GAWUE-14-15 INSURER A: Uberly Mutual Fre Insurance Company 16586 INSURED Ph (650)963-5100 INSURER 0: Ute' Insura11m Comwation 42404 INSURER C: N/A NIA Solarc* Corporation 3055 CleaNiew Way Safi Mateo, CA 94402 INSURER D INSURER E: DAMAGE TO RENTED PREMISES a coca INSURER F: MED EXP (Anyone person) RCYWI4II I\un11dC11%:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY :BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE- ADDL 2M SUER WvDPOLICY NUMBER POLI POLI POLICYEFF POLICY EXP MM/DD/YY - LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Pil T82=661-066265-014 0910112014 09/01/2015 EACH OCCURRENCE. S 1,000=000 DAMAGE TO RENTED PREMISES a coca S 100,000 MED EXP (Anyone person) S 10,000 PERSONAL 8 AOV INJURY $ 1.000.000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYX PRO- LOC I PRODUCTS - COMPIOP AGG $ 2,000,000 Deductible S 25,000 A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X Phys. Damage AS2 661066265044 0910112014 09/0112015 OMBI EMS INGLE LIMIT ,` 1,OOp,00D $ BODILY INJURY (Per person! BODILY INJURY (Per accident) $ PR POPERTY 1 Dan IAMAGE acc $ COMPICOLL DED: $ $1,000411,00 0 UMBRELLA UABOCCUR EXCESS LIAR HCLAIMS-MADE _EACH OCCURRENCE S AGGREGATE $ B B B DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECLITIVE YIN OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) tt as, describe under y DE RIPTION OF OPERATIONS below NIA WA7-66D 066265-024 WC7$61 066265 034 (WI) 'WC DEDUCTIBLE: $350,000 09/0111014 09/0112014 09/01/2015 09/n20t5 X WC STATU OTH- RY _ $ E.L. EACH ACCIDENT $ 1,000.000 $ 1,000,000 $ 1,0,000 E.L_ DISEASE'* EA EMPLOYE El,DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tot, Additional Remarks Schedule, If more space Is required) . Evidence of Insurance. CFRTIFICATF WAl neo SolarCity Corporation 3055 Clearview Way San Mateo, CA 94402 ACORD 26 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles Marmolejo m 1988.2010 ACORD CORPORATION. All rights reserved. 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TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Thiscertifies that ........................................ ................. ............................................. ........... has permission for gas installation 0-4 c4 R dot-,� k� . .. .. .... ... .................................. inthe buildings of ...... 4� .......................... ................................................... at ........ 4 ...... t74.�� ...... I ..................... . North Andover, Mass. Fee..(.0QR—... Lic.1-01. ........ . ....... I ........ ........ PIP< . .................................................. GASINSPECTOR Check # 63, q 4 1�17 1 9486 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Uv- CITY NORTH ANDOVERMA DATE AUGUST 29, 2014 PERMIT # JOBSITE ADDRESS 4 LACY ST. OWNER'S NAME MARK VINCENT GOWNER ADDRESS MARK VINCENT - TE 617 513-8558 FAX O TYPE OR OCCUPANCY TYPE COMMERCIAL ® EDUCATIONAL ® RESIDENTIAL E] PRINT CLEARLY NEW: E] RENOVATION: ® REPLACEMENT: ® PLANS SUBMITTED: YES[] NO APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER t_� BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER _ DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR _ GRILLE _ INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER _ ROOF TOP UNIT TEST _77H UNIT HEATER dol UNVENTED ROOM HEATER WATER HEATER _ OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY E] OTHER TYPE INDEMNITY BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER F-1 AGENT 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 plumbing work and installations performed under the permit issued for this application will be in com ' ce with all Pertinent ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME ERIC PELLETIER LICENSE # �v SIGNATU MP El MGF ® JPEI JGF n LPGI n CORPORATION [:]# PARTNERSHIP®# LLC ®#�� COMPANY NAME: EASTERN PROPANE GAS ADDRESS 1131 WATER ST. CITY DANVERS STATE MA ZIP 01923 TEL 1-800-322-6628 FAX CELL EMAIL - _ - v n r T'he Coin ni on wealth of Massachusetts Department of IndustrialAccidents -l. Office of Investigations 1 Congress Street, Suite 100 Boston, ]VIA 02114-2017 www tnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 131 Water St in: Danvers, MA 01923 Eastern Propane Gas, Inc Phone #: 978-750-6500 Are you an employer? Check the appropriate box: I. Q I am a employer with 45 4. ❑ I am a general contractor and I employees (full andbr part-time).* have hired the sub -contractors listed on the attached sheet. 2. ❑ I am a sole proprietor or partner- These sub -contractors have ship and have no employees working for me in any capacity. employees and have workers' [No workers' .comp. insurance comp. insurance.' required.] 5' ❑ 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.l t We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12, E] Roof repairs 13.0 Other Gas Fitting & Fuel Supply "Any applicant that checks box* 1 must also fill out the section below showing their workers' compensation polio information. "Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractor 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. ff the sub -contractors have employees. they must provide their workers' comp. policy number. I ant an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Safehold Special Risk, Inc Insurance Company Name: Policy # or Self -ins. Lic. #: EWGCD000080614 Expiration Date: 03l 15 / 2015 Job Site Address: -moi cru S� + _ _ City/State/Zip: A o An d m, f z , IflAg, O l aq S 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Phone M. 976.-M6500 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 S. Plumbing Inspector 6. Other Contact Person: Phone # NH477156 A` C C?qO le..j CERTIFICATE OF LIABILITY INSURANCE DATE (MMYY) 3/13/20142014 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 Commercial Lines - 800-990-7465 (CA DOI # OG13561) Safehold Special Risk, Inc. 230 Commerce Way, Suite 230 Portsmouth, NH 03801 CONTACT Donna Desharnais NAME: PHONE 603-559-1361 FAx No): 855-529-7684 C No Ell,AIC AC. ADDRESS: donna.desharnais@safehold.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : HDI -Gerling America Insurance Company 41343 INSURED Eastern Propane Gas, Inc. P.O. Box 1800 INSURER B INSURER C PRODUCTS - COMP/OP AGG S 2000000 S INSURER D INSURER E: - SIABILITY D '� SCHEDULEDBODILY � AUTOS NON -OWNED HIREDAUTOS AUTOS I I I Rochester, NH 03866 INSURER F COVERAGES CERTIFICATE NUMBER: 7441964 . REVISION NUMBER- See below 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. INSRI TYPE OF INSURANCE LTR ADDL SUBRI I POLICY EFF POLICY EXP ! POLICY NUMBER I MM/DOIYYYY MM/DD/YYYY I LIMITS A X COMMERCIAL GENERAL LIABILITY � CLAIMS -MADE OCCUR EGGCD000080614 13/15/2014 ( j I 3/15/2015 j ! EACH OCCURRENCE 2000000 I S DAMAGE TO RENTED PREMISES (Ea occurrence) $ 250000 MED EXP (Any one person) S 5,000 �GEN'L PERSONAL &ADV INJURY I $ 2000000 AGGREGATE LIMIT APPLIES PER: POLICY PRO -LOC HOTHER: GENERAL AGGREGATE I$ 2000000 PRODUCTS - COMP/OP AGG S 2000000 S A SIABILITY D '� SCHEDULEDBODILY � AUTOS NON -OWNED HIREDAUTOS AUTOS I I I EAGCD000092214 - 3/15/2014 3/15/2015 COMBINED SINGLE LIMIT S 2,000,000 EaccidentBODILY INJURY (Per person) S INJURY Per accident I $ ( h I PROPERTY DAMAGE (Peraccident) $ Is u UMBRELLA LIAB I EXCESS LIAB OCCUR CLAIMS-MADEJ I i I EACH OCCURRENCE I $ AGGREGATE ( S DED I I RETENTION $ I $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEI OFFICER/MEMBER EXCLUDED? �I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A EWGCD000080614 103/15/2014 ! 03/15/20151 X STATUTE ! I EORH I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE, S 1,000,000 I E.L. DISEASE - POLICY LIMIT I S 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of coverage Any city/town in Massachusetts v1� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MA AUTHORIZED REPRESENTATIVE Th ACO � f e RD name and logo are registered marks of ACORD ACORD 25 (2014/01) (This certificate replaces cenificals# 7441310 issued an 7/13/2014) @ 1988-2014 ACORD CORPORATION. All rights reserved. BOARD OF PLUMBERS; Alf© 'GASP I ITERS icciirc ruFaFnii-nwiNr.' 1 ffFNSF . . +:11 + 1 •.1 UCENSENGMBEFtEXPIFUMON^DAYS }SERf/CE.NCJMBEF Town of North Andover Your permit has been sent back to you for the following reasons: 1) Check amount incorrect "1 w1d� y/e 2) No copy of current license 3) Insurance Binder not on file or expired 4) No Workers' Compensation Insurance Affadavit Form 'Z -A e e,, Please call with any questions 978-688-9545. Workers' Compensation Form and Schedule of Fees can be found on the Town of North Andover Website under Building Department. o MR AJ 3(3r0�gl G'3 -e)5 11 - S I q INSTALLATION INSTRUCTIONS AND OWNERS MANUAL ent-Free Burner This appliance may be installed in an aftermarket permanently located, manufactured (mobile) home, where not prohibited by local codes. This appliance is only for use with the type of gas indicated on the rating plate. This appliance is not convertible for use with other gases.- Installer,: ases. Installer: Leave this manual with the appliance. Consumer: Retain this manual for future reference. WARNING If the information in these instruc- tions are- not followed exactly;, a fire. or explo- sion may result causing property damage, personal injury or loss of life. Do not store or use gasoline or other flam- mable vapors and liquids in the vicinity of this or any other appliance; WHAT TO DO IF YOU SMELL GAS • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas..supplier:from a neighbor's phone. Follow the gas sup- plier's instructions. - If you cannot reach your, gas supplier, call the fire department — Installation and service must be performed by a qualified installer, service agency or the gas supplier; UNVENTED GAS LOG HEATER MILLIVOLT MODELS VFSR-(16,18,24,30)-4 VARIABLE MODELS VFSV-(16,18,24,30)-3 MANUAL MODELS VFSM-(1.8,24,30)-3 OR VENTED DECORATIVE APPLIANCE MANUAL MODELS V F8 M=(18, 24.,3.0)-3 VARIABLE MODELS VFSV-(16,18;24,30)-3 NATIONAL... We suggest that our FIREPLACE .gas INSTITUTE'_ 'hearth products be Installed and serviced by profes- sionals who are certified in the U.S 76y theNdtional - __.. CERTIFIED wwwAicertified.org Fireplace Institute® (NFI) as Nrl Gas Specialists:. This is an unvented gas-fired heater. It uses air, (oxygen) from the room in which it is installed.. Provisions for adequate combustion and ventila- tion air must be provided. Refer to. page 9. WARNING: If not installed; operated and, maintained in accordance with the manufacturer's instructions, this product could expose you to substances icy fuel orfrom fuel combustion which can cause death or serious illness. WATER VAPOR: A BY-PRODUCT OF UNVENTED ROOM HEATERS Water vapor is a 'by=product of gas combustion. An unvented room heaterproduces approximately one (1) ounce (30ml) ofwaterforevery 1,000 BTU's (.3KW's) of gas input per hour. Refer to page 8. Page 1 Section _ Page Important Safety.Information........:..................................::................. .........:.:.:.; .:............:3 —Safety_Inforrr'ation for Users of LP-Gas..... - _ 4 ' Requirements. for Canada ......................:::..:............................... .. . 5. Introduction ............................................................... ................ 6. Product Specification.........:.........:...................................................:: ....... 7 GeneralInformation........:...............................................................................:.,.. 8: Water Vapor: By Product of Unvented Room Heaters..:.........:...:....:. ':::...:....... ... 8 Provisions for Adequate Combustion and Ventilation Air .......................... :,.. ....... ...... 9. I ':::..........................:.......:......................._ ....... Clearances................................ :.,..........,.9-10 ......... ' Combustible 'Material.... ........................................................................ .......... ........ ............ ..:....:.::: 1 1 Fireplace Preparation ........:....:.. .....:. ............. ........................ .. .. ................... 11. Installing.as'a Vented Appliance..........,'..":*,.......................................:..... ... 12.. Before Fully Installing the Appliance............................... ....... .... ...... :..,.. 12 GasSupply........................................... ..... ........... ..... .... ....... ..:... ...................13 Placement of Glowing Embers and Lava Rock........................................................I...................... 14 Operation Instructions/Flame Appearance.. ............................ ...................... .....................14 VFSR-(16, 18, 24, 30) Lighting Instructions.................................................................................. 15 VFSV=(16; ,1,8, 24, 30) Lighting :Instructions :. ....... ; ....... ..... ; .: 16: VFSM-(18,.24; 30) Lighting instructions Pilot Flame.Characteristics.......................................... ........ : .... ..:.. .................... 18.1-9 Cleaning and Servicing.:......................:...........................................................................:.....:..: 19 - Wiring ............................. .........................................::................. ... ................ ....... . 20 ' Troubleshooting...............................:.................................................. .........:. ..... ......... 21 Parts List...................................................................................::.:.....` ......: . 22 ::.. ...:.. Parts View .... 23 MasterParts Distributor List.......................................................................:...............................24 How to Order Repair Parts ....................... ..... .......................... Warranty Terms........................................................................ .::......... .......................... 25 Appliance.Service History ................................................. .......................................... ....:26 27 ..:.... - A DANGER: Indicates a hazardous situation which, if not avoided, A WARNING: Do not use a blower insert, heat exchanger insert will result in death or serious injury. or other accessory not approved for use with this heater. " A WARNING: • Periodic examination and. cleaning of the venting system of Indicates a hazardous situation which, if not avoid- the solid -fuel burning firelace, . including` frequency ,of such ed;::couid resultln-death or sprint is in -h if)/ o c earnng, qualified agency. A CAUTION: Indicates a hazardous situation which, if not avoided, The installation must conform with local codes or, in the.absence could result in minor or moderate injury. I of local codes, with the National Fuel Gas Code, ANSI 2223.1/ .. NFPA54. NOTICE: Addresses practices not related to personal injury. NOTICE: Installation and repair should be done by a qualified " service person. The appliance should be inspected before use An unvented room. heater having an input rating of more than and at least annually by qualified service person., More frequent 6,000 Btu per hour shall not be installed in a bathroom cleaning may required -due to excessive lint from carpeting, • An uhvented room heater having an input rating of more than bedding material, etc. It is imperative that the. control compart- 10,000 Btu per hour shall not be installed. in a bedroom. or ment, burners and circulating..airpassageways of the appliance bathroom. be kept clean. Never burn solid fuels in a, fireplace where a gas log set is Any safety screen or guard removed, for servicing an appliance. . installed. must be replaced prior to operating the appliance. Provide ad - • Due to high temperatures, the appliance should be located out equate combustion and ventilation air. of traffic and away from furniture and draperies. The. flow of -combustion .and. ventilation,,. air,MUST NOT be. ob- Do not place clothing or other flammable material on or near the structed. . appliance. Provide adequate clearances,around air openings into the com- • Children: and adulfs should be alerfed to the.hazards of high sur- bustion chamber and adequate accessibil!ty.elearance forservic- face temperature andshould stay away to avoid burns, or clothing ing and proper operation.NEVER obstruct the front openinig of ignition.the appliance: Young children should.be carefully supervised when they are in An unvented room heater intended for installation Ina solid -fuel the same room as the appliance. burning fireplace shall comply with the following instructions. This unit complies with ANSI Z21.11.2 Unvented Heaters and it Afireplace screen mustbe in place whenthe appliance isoperating also complies with ANSI Z21.60 Decorative Vented Appliances and, unless other provisions forcombustion air are provided, the for Solid Fuel Burning Fireplaces. State or local codes may only screen shall have an opening(s) for introduction of combustion allow operation of this appliance in a vented configuration. Check air. your state or local codes. Solid -fuels shall not be burned in a masonry or UL 127 factory - Correct installation of logs, proper location of,the heater 'and cleaning built fireplace in which an unvented room heater is installed ..%., . Any.glass'doors shall be fully opened when:the appiiance.is in' annual are necessary to avoid .potential problems with sooting. Sooting, resulting from improper installation or operation, operation. can settle.on, surfaces.outside'the.fireplace. Any outside.air ducts and/or ash dumps in the fireplace shall be Avoid any drafts that could alter burner flame patterns. Do not permanently closed at time of appliance installation. allow fans to blow directly into the fireplace. Do not place a blower A WARNING: Failure to keep the primaryair opening(s) of the inside burn box area of firebox. Ceiling fans may create drafts burner(s) clean may result in sooting and property damage. that alter. burner flame patterns. Sooting and improper burning A. WARNING: Before installingin a solid -fuel bu ming, fire place, will occur. as a•result of drafts. A the chimney flue and firebox must be cleaned of soot, creosote, WARNING:Donot allow fans toblowdirectlyintothefireplace. ashes and loos@'paintbyaqualrfiedchimney cleaner. Avoid any drafts that alter burner flame patterns. AWARNING When used without adequate combustion .and ventilation .air, CARBON MONOXIDE POISONING MAY LEAD TO DEATH, heater may give off CARBON MONOXIDE, an odorless, poisonous Early signs of carbon monoxide poisoning resemble the flu, with gas. headache, dizziness and/or nausea. If you have these signs, Do not install heater until all necessary provisions are heater may not be working properly. Get fresh airat once! Have made ,for combustion and ventilation air. Consult the heater serviced. written insteuctioris provided with the heater for information Some people— pregnant women, persons with heart or lung concerning combustion and ventilation air. In the absence disease, anemia, those under the influence of alcohol, those of instructions, refer to the National Fuel Gas Code, at high altitudes = are more affected by carbon monoxide.than ANSI Z223.1/NFPA 54, Air for Combustion and Ventilation, - others. or applicable local codes. The pilot light,safety system senses the depletion of, oxygen. at This heater is equipped with a PILOT LIGHT SAFETY SYSTEM its location. If this heater is installed -in structure having a ,hjgh designed .to turn 'off the heater if not enough fresh air is vertical: dimension, the.possibility exists thatthe oxygen supply at available. the higher levels will be less than that at the heater. In this type of application; a fan to circulate the structure air will minimize this DO NOT TAMPER WITH PILOT LIGHT SAFETY SYSTEM! effect. The use of this fan will also improve the comfort level in the If heater shuts off, do not relight until you provide fresh air., structure. When a fan is used to circulate air, it should be located so that the airflow is not directed atthe burner. If heater keeps shutting off, have it serviced. Keep burner and control compartment clean. 2633375-1012 . Page,3 Propane (LP -Gas) is a flammable gas which can cause fires by.pointwiththemembers ofyour household. Somedaywhen and explosions. to its natural state, propane is odorless theremaynotbeaniinutetolose, everyone's safety will depend and colorless. You may not know all the following safety. on knowing exactly what to do. If, after reading the following precautions which can protect bothyou. and your family from information, you feel you still, need more information; please an asaccident-. Rn- ithDTn-c-arefuti tact yt�ttr gas sappfier. LP -GAS WARRING ODOR If a gas -leak happens; you should be able to smell the gas because of the odorant put in the LP -Gas.., That's your signal to go into immediate action)-.: Do: not operate electric switches, light matches, use your person and the'fre department: Even thougfi.you may not phone._ Do. not do anything teat could ignite the gas. continue to smell,,gas do I.not turn on the gI.as again. Do not Get.everyone out of the building, vehicle, trailer, or area. Do re-enter the building, vehicle trailer, or,area .: that IMMEDIATELY. Finally, let the service man andfirefighters check for•• escaped Close all .gas tank- or:cylirider supply valves. gas. Have -them air out the area before you return. Properly. +: LP-Gas.is heavier than air and may settle in low areas such trained LP-Gas..service people.. should repair the leak, .then as basements. When you have reason to suspect a gas leak, .' check and relight the gas appliance for. you. keep out'of basements and other low areas: Stay out until•. firefighters declare them .to be safe. Use your neighbor's phone and call a trained LP -Gas service NO ODOR DETECTED .-,.ODOR FADE 8omepeoplecannotsmellwell. Some people cannotsmellthe there is rust inside the storage tank or in iron9as pipes. odor of the chemical put into the gas. You must find out if you The odorant in escaped gas can adsorb or absorb onto.br into walls, can smell the odorant in propane. Smoking can decrease your masonry and other materials and fabrics in'a room. That will take ability to. smell. Being. around an odor for a time can affect your some of the odorant out of the gas, reducing its odor intensity. sensitivity or ability to detect that odor. Sometimes other odors in the area mask the gas odor. People may not smell the gas odor LP -Gas may stratify in a closed area, and the odor intensity could or their minds_ are on something else. Thinking about smelling a vary at different levels Since. it is heavier. than air, there may be gas'odor can make it easier to smell more odor.ata.ower levels Always be sensitive.to theslightest_ ga`s odor. If you detect any odor, treat it as, serous leak;.lmrnediately The odorant in LP -gas is colorless, and it.can fade undersome go into action as instructed earlier : . circumstances:`Forexample, if the is ar underground leak, the movement of the.gas through soil can.filter the odorant. Odorants in LP -Gas also are subject to oxidation. This fading can occur if SOME POINTS TO REMEMBER Learn to recognize the odor of LP -gas. Your local LP -Gas cause odor fade if such conditions ,are suspected to exist, . Dealer can give you a "Scratch and Sniff' pamphlet. Use it to a periodic sniff test of the gas, is.advisable..If you.have any. find out what the propane odor smells like. Ifyou suspect that question about the gas odor, call your LP -gas dealer.'A your LP -Gas has a weak or abnormal odor, call your LP=Gas periodic sniff test of the LP -gas is a good safety measure Dealer. under -any condition. • If you are not qualified, do not. light pilot lights, perform If, at anytime, you do not smell the LP -Gas odorant and you service, 'or ri ake adjustments to .appliances on the LP -Gas think you should., assume you have a'Ieak. Thentakethe same onsciously,think about, the system. If you are qualified, consciously. think . immediate action 'recommended above for the occasion when odor of LP -Gas prior to and while lighting pilot lights or, per- you do detect the:odorized LP -Gas. forming service or making adjustments. If you .experience a complete. "gas out," (the container: is Sometimes a basement or a closed -up house has a musty under no vapor pressure), turn the tank valve off immediately, smell that can cover up the LP -Gas odor. Do not try to light If the container valve is left on, 'the container may draw in pilot lights', perform service, or make adjustments in an area some air through openings such as pilot light orifices. If this where the conditions are such that you may not detect the occurs, some new internal rusting could occur. If the valve is odor if there has been a leak of LP -Gas. - left open, then treat the container as a new tank. Always be Odor fade, due to oxidation by rust or adsorption on walls of sure your container. is under vapor pressure by turning it off at the container before it goes completely empty or having it new cylinders and tanks, is possible. Therefore, people should refilled before it is completely empty. be particularly alert and careful when new tanks or cylinders are placed in service. Odor.fade can. occur in new tanks, or reinstalled, old tanks, if they are filled and allowed to set too long before refilling. Cylinders and tanks which have been out of service .for a time may develop internal rust which will Page 4. 26333-5-1012 This unit cannot be installed in a. UNVENTED application, this unit can only be installed as a VENTED application with these requirements. 1MPORTANT-SECFETYTI�O MATION This unit complies -with ANSI Z21.60and CGA 2:26 Decora- tive Gas Applianceq'For'Installation In Solid Fuel'Burning Fireplaces. Do not burn wood or solid fuels in a fireplace where a decorative gas -log set is installed. This appliance is for installation only in: a solid fuel burning fireplace, masonry fireplace or manufactured fireplace. A Warning; Any modification.to this gas log.se't or to con- trols can be dangerous. Improper installation or use of the gas log set can cause serious injury or death from. fire, burns, explosion or carbon.monoxide poisoning': 1.. Please ' follow all local codes regarding installation, combustion and ventilation..air or in the. absence of local ..codes: follow ;fhe National Fuel Gas Code ANSI Z223.1 (U.S. installation); or CAN/CGA-8149, Installa- tion Code (Canada installation). 2. Proper. installation, burner pan location and log placement is important to achieve optimum look and performance of your gas log set. The logs have been designed for easy location andplacement on the grate and must be followed for proper operation. 3. Do not operate 1'this log set with, glass doors .in the closed position. A fireplace screen must be in place when the log,, set is burning: Adequate combustion .air must: be .provided for proper venting. All,,flames should go up and out the top of the firebox into the flue vent. If any flames float or curl forward into the room do not operate appliance. Check for an open flue and adequate. combustion air into the room.,A damper clamp must be. installed on the firebox damper to maintain an open flue vent condition. Refer to page 12 INSTALLING DAMPER CLAMP 4. Young children must be carefully supervised when they are in the same room as the 'gas log while in operation. Do not place stockings, clothing or any flammable material above or near the fireplace. 5. Do not substitute or use materials other than those supplied for use with the log.set. 6. Also, refer, to. IMPORTANT SAFETY INFORMATION on page 4 of this manual A WARNING; DO NOT OPERATE THIS GAS LOG SET WITH GLASS DOORS CLOSED Clothing .. or other flammable- material should not be, . placed on or-nearthe appliance: Do not place trash or other articles on the log set during` operation: During manufacturing, fabricating and shipping, various components of this appliance are treated with certain oils,, -films ..or bonding =agents. These bonding agents are not harmful..but may.produce annoying smoke and. smells as they are burned off during -initial operation of the appliance. This is a.normal temporary occurrence_, A window should be opened during the initial bake out period. • keep burner and control-compartment'clean: A WARNING: Before installing in a.solid fuel. burning, fireplace, the chimney flue andfirebox must .be :cleaned Of, Soot, creosote,: ashes and loose paint bya.qualified..., chimney cleaner. Installation,. and repair should be done, by :a qualified service person. The appliance. should be. inspected before use and at least annually by a qualified service person. More frequent cleaning may be required due to excessive lint from carpeting, bedding materials, etc. -it is imperative that control compartments, burners and circulating air passageways. of the appliancebe kept . clean • Do not .put anything .around 'the ,fireplace that will obstruct the .flow=of..ventilation --air Do keep the. appliance area clear and free from combustible, material, gasoline and other flammable va- pors and liquids. • Ayearly examination and cleaning of the venting. system . of the solid -fuel burning fireplace must be performed by a qualified agency. • Do make a periodic visual check of pilot and burners. Clean and,replace.damaged parts. • Do not use this appliance if any part. has been under water. Immediately call a ,qualified service.. technician to inspect the appliance andto replace. any part of the control system ,and any gas control which has been under water. • Never burn solid fuels in fireplace where a gas log set is installed. • This unit complies with ANSI Z21.60 Decorative Vented, Appliances for Solid Fuel Burning Fireplaces. State or local codes may: only allow. operation of this appliance in a vented configuration. Check your state or .local codes. IMPORTANT: Read all instructions carefully before starting Attention: During initial -use or iog you w111 U=.U. �• ��� installation. Failure to follow these installation instructions may the log is cured. result in.a possible fire hazard and will void the warranty. Notice: During initial;finng of this unit, its paint will bake out; and +ske�n4il-ec urTG p � _ Save this manual for u ure reference. the room in which the unit is iinstal end o f smoke alarms ventilate Please read .this .manual before installing and using the ' j appliance. Instructions to Installer. 1. in must leave instruction manual with owner after This appliance isior mstalfation only m a solid -fuel burning i installation.` Masonry, or UL 127 factory built fireplace or in a listed 2. Installer must haveownerfilloutandmailwarrantycardsupplied venttess firebox enclosure It has been.design certified for with unvented :room beat"er/vented decorative appliance. these installations. Exception DO NOT install this appliance 3: Installer should show owner how to start and operate unvented in a factory fireplace that includes instructions stating room heateY)vented decorative appliance. it has not been tested or should not be used with unvented as logs. . A I...h� it Erni ir inrai Riiildino Deoartment regarding regulations 9 9. codes or ordinances which apply to the installation of an unventeq i room heater/vented-decorative appliance.. l This appliance may be installedin an aftermarket*. manufactured ` (mobile) home;.where not prohibited bystate or local codes. Any modification to this unvented gas heater or its controls *Aftermarket .Completion of sale, not for purpose of resale, from can be dangerous. Improper installation or use of the heater the manufacturer.. can-causesenous injury. or death:from fiire, burns, explo sion This appliance is only for use:with. the type, of gas�indicated on the or carbon "monoxide po�sorimg. rating plate. This appliance is not convertible for use with other. gases. Well Head Gas Installations Some natural gas utilities use "well head" gas. This may affect the New InstallationBtu output of'the unit. Contactthe gas company forthe heating value. VFSV Model - .variable does not operate -ON is OFF/OFF is ON- Contact the manufacturer or your gas company before changing wires into the back of receiver are reversed. spud/orifice size: Solid -fuels shall not be burned in a fireplace where a vented decorative appliance: is installed. A'vented decorative . appliance must .be installed only in a. solid -fuel burning fireplace with, a working flue and constructed of non-combustible material. Any alteration of the originaldesign,. installed other than as shown in .these instructions or use with a type of gas not shown on -the rating plate is the responsibility of the person and company making the change. Important All correspondence should refer to complete Model Number, Serial Number and type.of gas. ACCESSORIES Description Color For use with VFSV, VFSM and VFSR models EK -1 Embers Kit ELH-1 Fireplace..Hood for Vent -Free Logs Black ELH72, .:_ .Fireplace Hood for Vent-Free'Logs Brass', For use with VF"SR models ohly F.RBC. Battery Operated Remote Control .. FRBTC " Battery Operated Remote Control with Ther- mostat . . FREC Electric Remote Control FWS Wall Switch TMV Wa11 The Millivolt - Reed Switch PRODUCT SPECIFICATION This is an unvented gas-fired heater. It uses air (oxygen) from the room in which it is installed. Provisions for adequate combustion his appliance is equipped for (na uror Make sure you have received all pan Check your packing List to verify that all listed parts have been and ventilation air must be provided. received.. You should have the.followng: Keep room area clear and free from combustible materials, gasoline - ' ...Gas log grate/burner assembly. Two (2j masortr q ancrio�9�erevas and two (2} 4-0 x 1%2" black and other flammable vapors and liquids. sheet metal anchoring screws. Unvented gas heaters are a supplemental zone heater. They are not Plastic bag containing glowingembers(nock wool) for burner intended to be a primary heating appliance. Water vapor produced coverage. by an unvented heater can create moisture problems in .a home Plastic bag containing lava rock when operated for extende'd'periods of time: Switch log assembly VFSR models Duriri manufacturm fabneatin and shi in various eom orients g g. g pp g. p t . Ims or tiondin a ens of this aPpliance.are treated with certain oils, fi g g R emo to kit - VFSV models ..: These. chemicals are not harmful but may produce annoying smoke Millivolt controlled heater 'designed to be operated with optional ..: . and`;smells as they are. burned off during the initial operation of the devices for ON/OFF funcfiohs. appliance; possibly causing headaches or eye or lung irritation. This , " Wall switch or thermostat with wire is a normal and temporary. occurrence. .; Hand held remote control with ON/OFF switch or thermostat. The. initial break-in operation should last 2-3 hours with the burner Handle the gas log burner assembly.bythe grate and legs only - at.the highest setting. Provide maximum ventilation by opening Do not pick the unit.up by. the burner - windows or., doors to allow odors to dissipate. Any odors remaining. Gloves are re Lan handlmg:logs to preventakm after this;initiaLbreaR-m period will b'e slight and will disappear Wit irritation jogs are fragile Handle:with care co d use. .. This:.appliahce must notebe used with glass doors in the closed: ,,.'Qualified Installing Agency. position. This can lead to pilot outages -and severe:sooting outside Installation and replacement' of gas piping gas utilization equip mentor accessories and •repair'and servicing of equipment shall be I the fireplace. Do not use this room heater if any part has been under water: performed only by qualified agency. The term "qualified agency ; . means any individual, firm, corporation, or company that either in Immediately. call aqualified service technician to inspect the room or through is engaged in and:is respon heater and replace any part of the control system and any gas person .a.representative sible for (a) the installation, testing,' or replacement of gas piping control which has been underwater. or the connection, installation, testing, repair, or servicing of . .(b) equipment; that is experienced in such work; that is familiar with all 11 W-1 precauti.ons.required, and that has complied with.all,.the --ml ne) as Field - .,,,.�.. o:+� i.f +h o. �i rthnritxi havinn ulri9CtlCtlon. g conversion is `not`:permitted ; ; Before you get started Carefully inspect the.contents for shipping damage. If any parts are missing or damaged, immediately inform the dealer from whom you purchased the. applianm Do not attempt to install any partof the appliance unless you have all parts in good condition. i i The installation must conform with, local codes or, in the.absence of local codes, with the National Fuel Gas Code, ANSI Z223,1.* 'Available from the American National Standards Institute, Inc. 11 West 42nd St., New York, N.Y. 10018. High Altitudes: For altitudes/elevation above 2,000 feet ratings; should be reduced at the rate of 4 percent for each 1,000 feet above; sea level. Contact the manufacturer. Water Vapor is a by-product of gas combustion. An unvented room The following steps will help insure :that water, vapor does not heater produces approximately one'(1) ounce (30ml) of water for become a problem. every 1,000 BTU's (.3KW's) of gas. input per hour. 1.. .Be sure the heater.is.sized.properly for the application, including Unvented room heaters must be used as supplemental heat (a amplecombustion air and circulation air room) rather than a primary heat source (an entire house). In most 2. If high humidity is experienced, a dehumidifier may be used to supplemental heat applications, the water vapor does not create a help lower the.water vapor content of the_air: problem. In most applications, the water vapor enhances the .low 3. Do not use an unvented room heateras the primary, heat source humidity atmosphere experienced during cold weather. (an entire house): . Page 8. 26333-571012 This.heater shall not be- installed in a confined space Unless provisions are provided for adequate combustion and ventilation air. A confined space is an area with volume less than 50 cubic feet per 1;000 Btuh of the combined input rates of all appliances drawing combustion air from that space. Small areas such as equipment rooms are confined -spaces7rrraees-instal to areas outside the space must draw return airfro m outside the space through tightly sealed: return air ducts. A confined space musthave 2 openings Into the space for•combustion.air.. One opening must be within . 12 inches of, the ceiling and the other must be within 12 inches of the floor. The required sizing of these openings is determined by whether Inside dr outside air is used -to support combustion; the' method by which the air is brought to the space. (vertical or horizontal duct) and by the total input. rat e of.all appliances in the space. Unusually: Tight Construction The air that leaks around doors and windows may provide enough fresh alr,.for combustion .and- ventilation. However, in .buildings of unusually tight construction, you must, provide additional fresh air. O'nusuaily tighC c' onstruction is defined as construction': . Where:..... a. Walisand ceilings exposed.to`the outside atmosphere have a;:'_ continuous.water vapor retarder with a rating of one perm or., less with openings gasketed or sealed, and b." Weatherstripping has been added on openable windows and door's, and `c: Caulking orsealantsare appliedtoareas such asjointsaround window and door frames, between sole plates and floors, be- tween wall -ceiling joints, between wall panels, at penetrations for plumbing, electrical, and gas lines, and at other openings: If your home meets all of the three criteria above, you must provide additional fresh air, ^m. If the area in which ,the heater may be operated. is, smaller than that defined as an Lin confined'space or maybe building is of unusually tight construction, provide adequate combustion and ventilation air by one of the methods described in the National Fuel Gas Code, ANSI Z223.9/NEPA 54, Air for Combustion and Ventilation, or applicable --' -local code's.' Minimum -Dimensions For Solid Fuel Burning Fireplaces UL127 Factory Bui.ItFireplaces (Figure 2) Model A' B C` ... b VFSR-16 18" 111/2" 24" 18" VFSR-18 17" 14 28 17" J .h' i F -:tea �� Y�,'���''` f• 1`4 . �• -�®::� �y . VFSM-24 27"., 14" 34" 18" 'Kwi 11 k.1d 1MtHa 6 t� WOMEN.� °C19101y ,mYs "+SF The dimensions shown and defined in the fireplace manufacturer's instructions are minimum clearances to maintain in installing this heater. Left.and right clearances are determined when facing the front of the heater. 26333-5=1012 . DIVIDER FIREPLACE Example of Large Room'with 1/2 Wall divider . Figure 1.. The following formula can be used 'to determine; the maximum 'heater rating per the definitlon:of. unconfiiie'd space: Btu/Mr (L, +'l_Z)FT.x (W)F�x (N)FTx 1000 50 If the area in which the heater may be operated is smaller than that defined as an unconfined space, provide adequate combustion .and ventilation air by one of the methods described in the National Fuel Gas Code, ANSI Z223.1, NFPA54. $ICIeWall 8c Celllilg Clearances (Figure 3) Non -Combustible` Requirements for Safe Installation Material Distance 12 or more Non-combustible material - - Cels tharr'i2 on=combustible -material . must be ex ! . 18", 24","30" Log 41" tended to at least 8" with the installation { 16" Log 36" of the optional fireplace hood. If you can- i not extend non-combustible material at ,. I least 8'', you must .operate .heater with flue damper open. Mantel Clearances, with Hood (Figure 5) 6 You must have no materials. above the fireplace opening. Non-combustible material must extend at ieast.8" above fireplace o.pehirig.:With sheet metal, you must have non-combustible material behind it. { . Heat resistant materials such asslate and marble must_ be at least. stalled on combustible • 112" thick. Sheet metal should not be in to co _ I. Figure 3 material The sides of the fireplace opening must be 6" from any combustible • Example: A mantel may project from the wall a maximum of 2' at a l wall, Tlie "ceiling must be at least 36" (for the 16" log) and 41 , (for minimum of .13-1/2" above the opening and :a maximum of 6" ata ! . 18", 24" and 30" logs) from the fireplace opening: minimum of 15" above the.op.ening ,.. 8 Mantel. Mantel Clearances Without Hood (Figure 4) s Mantel You must have non-combustible materials above the fireplace a Mantel opening. Non-combustible material must extend at least 12" above fireplace opening. With sheet metal, you must havenonHEAT RESISTANT 2 Mantel material behind It .V MATERIAL 8" WITH HOOD.. 7T 14 25 16 0 Heat resistant materials such as slate and marble must beat least 112" thick: Sheet metal should not be installed onto combustible bit ' material Wand less Mantel HOOD HEATER IN j �— FIREPLACE F;iEAT'RESISTANT 7T. 28"s ,. .. OR FIREBOX ,.. - ' -MA TEki f 12 _ Figure 5 If your installation does not meet the above minimum clearances,! YOU must proceed to.one of the following steps: , e.r open. See pagee 11;Operate the heater withth flue dam Ve nt d A Ila rice.. Installing as a e for Ins g PP HEATER IN FIREPLACERaise the .mantel to the proper height. - OR FIREBOX Remove the mantel. . Figure 4 if your installation does not meet the. above clearances, you must proceed to one of the following steps: Use a hood • Operate the heater with flue damper open. See page 11 for Installing as a Vented Appliance. Raise the mantel to the proper height. - Floor Clearance (Figure s) If installing heater at floor level, the minimum distance to combus{ tibles is "0" inches. HEATER IN FIREPLACE OR FIREBOX COMBUSTIBLE MATERIAL Remove.the mantel. Figure 6 I 2633375-10T2 2 Do not attach combustible material to the mantel of your fireplace This is a fire hazard. Figure 7 Figure 8 • Turn off gas supply to fireplace or firebox FOR MASONRY BUILT FIREPLACES Have the fireplace.floorand chimney professionally cleaned to FREE'OPENING AREAOF'CHJJMNEY`,DAMPER'FOR"VENTING remove ashes, `soot, creosote or other obstructions. Have this COMBUSTION PRObUCTS FROM DECORATIVEAPPLIANC,E cleaning performed annually after installation. FOR INSTALLATION IN SOLID FUEL BURNING FIREPLACES' • Seal any fresh'air vents or ash clean-out doors located on floor or wall of fireplace. If not, drafting may cause pilot outage or sooting. Use a heat -resistant sealant. Do not seal chimney flue . damper. Install and operate the appliance as directed in this manual. FOR FACTORY BUILT FIREPLACES FREE OPENING AREA OF CHIMNEY DAMPER FOR VENTING COMBUSTION PRODUCTS FROM DECORATIVE APPLIANCES FOR INSTALLATION IN SOLID FUEL BURNING FIREPLACES Height is from hearth to top ofchimr eyand the minimum height is 6 feet. *" Chart shows minimum opening (sq. in,) for height and input rate. . i Appliance Input Rate (BTU/hr) 20 30 40 Chimney Height* (ft) Minimum Opening" (sq. in.) 10 11.3 16.6 22.1 15 8.6 12.6 17.3 20 7.5 10.8.. • 14.5 25 _ 6.6 9.6 12.6 30 6.2 9.1 11.3 35 5.7 8.0 10.8 40 5.3 7.5 10.2 Height is from hearth to top ofchimr eyand the minimum height is 6 feet. *" Chart shows minimum opening (sq. in,) for height and input rate. . i Appliance Input Rate (BTU/hr). 20 30 40 Chimney Height* (ft). Minimum Opening" (sq. in.) 6' . _ 17.6 25.7 33.8 , .. 8 16.5 23.7 31.2 10 15.1 21.7 28.7 15 14.1 19.9. 26.1 20 12.9 18.5 23.7 30 12:2 16.9 21.6 Height is from hearth to top ofchimr eyand the minimum height is 6 feet. *" Chart shows minimum opening (sq. in,) for height and input rate. . i 1 Notice: (Damper Clamp Installation) When installing your log set as a vented installation the damper ,clamp -mustbe used. When installing your log set as a vent -free installation the damper clamp can be used to eliminate the potential for odors when burning the .logs for the first time. Installing Damper Clamp (Figure9) Remove all ashes ,or other debris from the fireplace. If the fireplaceis equipped with an. ash dump'be sure. to. seal the door with furnace -cement or high temperature silicone.. Be sure.to check the :damper forproper operation and verify that the flue pas.s.,ageway is open: Placethe clamp over the lip of the damper and tighten the hold down bolt until_ the clamp is. securely. attached to the { damper. This will prevent the damper from accidentally closing: - Manual and millivolt controlled gas logs may be installed as. j a vented decorative iog setin compliance with ANSI Z216O .j and :National Fuel -Gas Code When the -gas dogs are oper ated with the damper open, non-combustible material and minimum mant6l ,requireme,nts.:do riot apply. i Turn off thegas supply to. the fireplace. or firebox. . 'Seal.. any, fresh air vents and/or .,,ash clean out doors located on. Ithe floor or. wall of. the fireplace. If left_un- sealed, drafting may cause pilot outage or sooting. U' se a heat resistant sealant.'. Do not seal the chimney flue damper. Before installing in a solid fuel burning fireplace, the chimney flue and firebox. must be cleaned of soot, creosote, ashes and loose.paint by a qualified chimney cleaner. You must secure the gas log heater to the fireplace floor. If not; the entire unit may move:when..you adjust the controls. Movement of unit may cause shifting of the gas logs which leads to sooting and improper burning. Grate movement could cause a gas leak. Special care is required if you are installing the unit into a sunken fireplace. You must rause the fireplace floor to allow access to gas log controls. This.will insure adequate air flow and guard against: sooting. Raise. the fir.ep.lace floor using noncombustible materials. Assembly,Procedure (Figure 10) 1. 'Center the gas, log unit in the fireplace or firebox Make certain the'frontfeet.of.the grate sit:inside the fr6ht`edge . ; of the fireplace' or firebox. - 2. An anchor hole is provided in the two bottom side'mem- bers of the grate frame. After centering the grate correctly, mark the hole positions on the fireplace/firebox floor.. Drill two .(2), diameter, holes approximately 1-1/2" deep for masonry screws or 1/8" hole.for sheet metal screws; 3. Anchor the grate to the fireplace/firebox floor using 'the screws provided: Refer to Figure10': . Proper installation of the grate is essential to prevent any movement of the gas logs and controls during -opera- tion., ANCHOR SCREWS I. I I .. I ....I Figure 10 .26333-5-1 0,12 'ally for the size FLEXIBLE GAS LINE CONNECTION and type ell ofgag supply I� line reqredespecially ,.. � requirements,p Yp g pp Y q . GAS SUPPLY r 3/g NOT TEE HANDLE NIPPLE j .Recommended Gas Pipe Diameter i : : r -V Ti aw.. ... , . Pipe Length Schedule 40 Pipe Tubing, Type L Inside Diameter. Outside Diameter Nat. L.P. Nat. L.P. 0-10 feet 1/2" 3/8" 1/2" 3/8" 0-3 meters 12.7mm 9.5mm 12.7rnrn 9.5mm -1040-feet 1/2" 1/2" 5/8" 1/2" 4-12 meters 12.7mm'' 12.7mm 15.9mm 12.7mm 40=100 feet 1/2" 1/2" 3/4" 1/2" 13-30 meters 12.7mm 12.7mm 19mrn 12.7mm 1 00= 150 feet 3/4' 1/2". 7/8" 3/4" ,. 31-46 meters . '19mirn 12.7mm . 22.2mm 19mm . Notice: Never use'plastic pipe.; Check` to confirm whether. your,.local codes allow copper tubing or galvanized. Notice: Since -some municipalities have additional local codes, it is always bestto consult your local authority and installation code. Installing a New Main Gas Cock Each 'appliance should have its own' manual gas cock. A manual main gas -.tock should be located in the vicinity of the unit. Where none exists, orwhere its sizeor location isnot adequate;. contact .your Jocal authorized, installer for instal- lation or relocation: Compounds used on:$hreaded joints of gas piping shall be resistant to fhe acfion of liquefied petroleum gases. The gas lines mustbe checked for leaks by the installer. This should be done with a soap solution watching for bubbles on all exposed connections, and if unexposed, a pressure test should be made:` Never use an exposed flame to check for leaks. Appli- ance must be d isconnected from piping at inlet of control valve and, pipe capped or plugged for pressure test. - Never pressure test with appliance .connected; control valve will sustain damage! A gas valve and ground joint union should be, installed in the gas line upstream' of the gas control to aid in servicing. It is required by.the National Fuel Gas Code that a drip line be installed near the gas inlet. This should consist; of a vertical length of pipe tee connected.into the gas line that is capped on the bottom in which condensation and foreign particles may collect. SHUT OFF VALVE NPT GAS SUPPLY' NOT UNION i Figure.11 l The use of the following gas connectors is: recommended: ANS Z21.24 Appliance Connectors of Corrugated Metal j Tubing and Fittings ANS 221.45 Assembled Flexible: Appliance Connectors.: of Other ThanAll-Metal Construction The above connectors may,tie used if:acceptable by. the, authority having Jurisdiction.: The.. state .of Massachusetts requires that a flexible appliance connector cannot exceed three feet rn length Pressure Testing of the Gas Supply System 1. To check the inlet pressure to the gas valve, a 1/8" (3.175mm) N.P.T. plugged tapping,. accessible for test gauge connection, must be placed immediately upstream of the gas supply connection to the appliance. 2. The appliance and its.individual shutoff valve, most be; disconnected from the gas supply piping system during any pressure -testing of that system -.at test pressures,in, { excess of 1/2 psig (3.5 kPa). 3. The appliance must be isolated from the gas ,supply piping system, byclosing its: individual manual shutoff 3 valve during any pressure testing of.the gas supply piping system attest pressures equal to or less than 1/2 .psig (3.5 kPa). l Attention!. If one of the procedures results in pressures :in excess of 1/2.psig (14" w.c.) (3.5 kPa) on the appliance gas valve, it will result in a hazardous condition. Placement of the.glowing embers (rock wool) is very indi- vidual and light coverage will provide your best effects. We recommend separation of the. rock wool by _hand and make your-cover6ge-.as4 Place lust enough embers on the burner to obtain the, glow and a gold, yellow. flame. Do not place embers (rock wool) overlarge ports• in rear portion of burner. Rock wool should not,,be placed in •the area of the pilot as- sembly.. s-sembly.. Replacement: of.lobse material (glowing embers) must be purchased from Empire Comfort. Systems, inc. Application of excess. loose material .(glow,ing. embers) pay adversely affect performance of the heater..._ A WARNING; All previously applied loose material must be' removed prior; to reapplication. OPERATION • Flames from the pi lot right back side of the pan burner) as well as the main :flame .should be visually checked as the log set is installed. In •normal operation:at full -rate after: 90 to -f5 minutes, the flame: appearance should be. sets of .yellow flames: Notice: All flames:will be random by design, flame height will go,up and down. Glowing'_embers (rock wool) can cover the pan burner in between the,front and middle logs, but very little is necessary to cover this area: Excess ember material causes the yellow flame to become orange and stringy. Apply;just enough to obtain slow glow and a gold yellow flame. Avoid any drafts that alter burner flame patterns. Do not allow fans to blow directly into fireplace. Do not place a blower inside the burner area of the firebox. Ceiling fans may create drafts that alter flame patterns. Sooting and improper burning will result. During manufacturing, fabricating. and .shipping, various components of this. appliance are treated with certain oils, films or bonding agents. These chemicals are not harmful, but may produce annoying.smoke and smells as they are burned. off during the initial operation of the appliance, possibly'causing headaches or eye orlung irritation. This is a normal and temporary occurrence. Thin initial hiraak-in nnaratinn should last 2-3 hours with the p}, Refer to Parts List, Page 21. to orderloose material (rocK wool): - Placing..Lava Rock in Front of Burner on Fireplace oor Spread lava rocks on fireplace floor in front of the burner pan.. { The lava rocks are foe decorative =effect and are not required for fireplace.: operation ATTENTION: DO •NOT' PL.•ACE LAVA ROCKS ON BURNER, LOGS OR ROCK WOOL. THE LAVA ROCKS SHOULD ONLY BE PLACED'ON THE FIREPLACE FLOOR. I I i I • I Variable=-Figure'13 i i m ,® j � I Millivolt Figure 14 I r� i -.FOR YOUR SAFETY READ BEFORE LIGHTING: A WARNING:. If you do'no# follow these instructions exactly, a fire. or e�cplosion may result causing -property damage,_ personal .injury or. -loss of life A This appliance . has a pilot which must be lighted by If. you cannot;;reach your gas; supplier, call -the fire hand. When lighting the pilot, follow these instructions department.. exactly. C. Use only .your. hand to p" in or turn the gas control B.. BEFORE LIGHTING smell all around the appliance area knob. Never use tools: If •the knob will not push .in':or for gas: Be sure to smell next to the'floor because some turn by hand,. don't tiny to tepairtt; call a qualified service.. . gas is he air and will settle on the floor. technician, Force or.atternpted repair may,result.in a firer or explosion WHAT TO. DO IF YOU, SMELL GAS • Do not try io light any appliance. D. Do not use this`appliance if any,part;has been underwater:: Do not touch any electrical switch; Immediately call. a qualified,.sewice technician to inspect: . do not use any phone in your building. the appliance and toreplace_.anyp.artofthe.(ontrolsystem , • Immediately call your gas supplierfrom a neighbor's and any gas control which has been underwater; phone. Follow the gas supp'lier's instructions.' LIGHTING` INSTRUCTIONS Notice: For easy access to valve for lighting pilot; remove branch.. 8. Continue pushing the control knob in fora further 60 seconds log'and middle log from burner assembly before lighting. to prevent the flame detector from shutting off the gas while 1. STOP! Read the safety information. label. Make the probe is warming up. Release the control knob. 9. Turn gas control knob counterclockwise -,�� to the "ON" 2. sure the manual shutoff valve is fully open. 3 This gas log set is..equipped with an ignition device (piezo) position :10. After- the pilot has-been lit for one minute the burnor can be which lights the -pilot. If piezo ignitor does.Not light the Pilot, ..: refer to Step 7. turned on. Turn the,ON/OFF switch to ON'.position:or 8. gust. 4 i— Turn gas control knob clockwise to the "OFF' posi- thermostat.to desired setting. " tion, set;the thermostatto the lowest setting and turn ON/OFF 11. If the gas logs will not to follow the instructions To Turn_ Off Gas To Appliance and call your servreetechn�cian or gas. switch.,to OFF: position. supplier. 5. Wait ten.(10) minutes to clear out any gas. Then smell for gas, . ,. including near:the floor. If you smell gas STOP!,Follow "B" in Wait 30 seconds before readjusting the heater when.the control the safety, information label. If you do not smell -gas, go to the knob has been turned down to a lower setting. 6. next step. From OFF position, turn the gas control knob counterclockwise I?IEZO IGNITOR to "Pilot" position. Push in.and hold controL.knob.for � 5 seconds::. :. CONTROL,. KNOB THERMOPILE PILOT . THERMOCOUPLE THERMOCOUPLE (NATURAL ( LPG) ®LPG) ® �oN .' a P. Q 7. With the control knob pushed in, repeatedly push the piezo ignitor button until pilot is lit (or use a match to light pilot). . w HI Lb REGULATOR 1., O TURNOFF GAS TO APPLIANCE 1. Turn control knob clockwise to OFF position to 2. If applicable: Turn ON/OFF switch to OFF position and/or set completely shut off the heater. thermostat (if present) to lowest setting. If applicable: Turn off. all electric power to the heater. 26333-5-1012 Page 15 FOR YOUR SAFETY READ BEFORELIGHTI . . TO TURN OFF GAS TO APPLIANCE 1. Turn gas .flow adjustment knob clockwise either 2. manually or with remote control to "OFF low e.�cactly, a fire or explosion may.. A WARNING: If you do not foll..w result causing_.property damage;" personal_:in�:ury'or._" oss.o life A. 'This'appliance ha''s a pilot which must be lighted by If you cannot reach your:gas supplier, call the fire hand. When lighting the pilot, follow these "instructions department. exactly. - G. Use only.youe •hand to: push .in or turn the. gas control B,; BEFORE LIGHTING smell all around the"appliance area `- Besure to'smell;next to the floor because some knob:". Never use tools:.. If the -knob will not;push to or turn.by;hand1 don t try to repaint, call 6.q uailfied service j• i. for gas gas is heavier than air and will settle on the floor. technician. Force or attempted"repair`may result u5 afire or.exploslon WHAT TO DO IF YOU SMELL GAS • DonoYfrytoligfit`anyappliance. D Do not use this applianceifany:part has beenunderwater.. •"' Do not touch any'electrical switch; Immediately calla qualified "service technician to inspect" replace any part 'ofthe control.system :.. . . do not use any phone in..y.our building..., Immediately call your gas supplier from a neighbor's theappliariceandto and' any gas control which has-been unde water: phone. Follow the gas supplier's instructions. LIGHTIN.G:-INSTRUCTIONS i Notice: For easy access to valve for lighting pilot, remove branch . minute after pilot is lit.. Release knob and it will :pop back up. log and middle log from burner Pilot should remain, lit. If it goes. out, repeat steps 2 through assembly before lighting. I 7. out when released, stop i :not o P If the knob does p P ` 1. STOP! Read the safety and immediately call your service technician or gas I Information.. supplier 2.: Push . in gas: control knob < ^� If The pilot will not stay lit after several tries ;turn the gas slightly -and turn clockwise GAS FLOW ADJUSTMENT KNOB SHOWN IN 'OFF' '� "OFF' control knob to .OFF and" call your-servlce""technician "device. to the _ POSITION. 8. ! Gas`control'has an INTERLOCK iatchin Attention 9 position Do not force. g When the pilot. Is. initially lit and the safety magnet :is 1 I adjustment II- 3.' Turn as -flow ad 9. l�� GAscoNTRotKNOB , r "e energized (pilot stays on the 1NTERLO.CK latching dev e i knob clockwise SHOWN IN"OFF" either manually, or with POSITION. becomes operative If the gas control is turned to the "OFF" ; - position .or..gas flow ao the appliance is shut off; the, pilot remote.cohtrol to "OFF".. cannot.be•relighted until the .safety magnet is de -energized 4. Wait ten. (10) minutes to THERMOCOUPLE (approximately 60 seconds .There will be. an audible "click" clear. out any gas.. Then (LPG) PILOT Y g 9 g r ized. smell for gas, including,,near , the floor. If you. gas THERMOCOUPLEp g. Pilot can �owebenrelighted.niRhe"eat stepsr2l"thcou h g Turn'gas control knob counterclockwise �~ to "ON". STOP! Follow "B" In the ( NATURAL) __ _- o 10. Turn, gas. flow. adjustment knob counterclockwise safety information. If you do li ° not smell gas, go to the: next _ _ _ : _-_-_ _ _ either manually or with remote control between 'OFF" and "ON" - o adjust flame height f .step., 5. ' Find pilot -.the pilot is attached to rear of burner. 6. Turn gas knob counterclockwise �� to "IGN". 7. Depress and turn gas control knob counterclockwise to "PILOT". A spark is produced when gas control knob is turned between "IGN" and PILOT".Repeatedly depress and turn gas control knob between "IGN" and PILOT" until pilot is ignited. Continue to hold the control knob in for about one (1) i TO TURN OFF GAS TO APPLIANCE 1. Turn gas .flow adjustment knob clockwise either 2. manually or with remote control to "OFF FOR YOUR SAFETY READ BEFORE L[G-'WING. A WARNING: If you do not follow these instructions exactly, a fire "or explosion may result causing property damage, personal injury or loss of life A.: This. appliance. has. a..pilot'.which' must.' be; lighted by department: hand. When lighting the pilot,,follow these instructions ; ., C. ,.Use only your hand to push; in or turn.the,gas :control. exactly.,: knob. Never use tools. lfahe knob will not push in or B. BEFORE LIGHTING smell all around the appliance area '' " 'turn'by hand, don't try to`repair it; -call a,qualified service for gas. Be sure to smell next to the floor because some technician. Force'or attempted repair may resplt.in gas is heavier.than air and will settle on the floor or explosion WHAT TO DO lF YOU SMELL GAS D. Do riot use this applianceifanypart hasbeen.underwater: • Do not try to light any appliance. Immediately calla qualified -service. technician to;inspect . Do not ,touch any electrical switch; theapplianceandto,repla.ce.any'part,oftheeontrolsyst-em do: not use,any'phone in your building. and any gas control which has been.under water . ,.., • immediately call your gas supplier from a neighbor's phone: Follow the gas supplier's.instructions.: • If you cannot reach your gas supplier, call the fire f LIGHTI,NG..:],NSTRUCTIONS MMM 1. 8OPI Bead th'ie safety information. 7. With the control knob pushed m pu §hl and zrelease_the p.iezo 2. Make sure the manual shutoff valve is fully open. ignitor button to light the ODS pilot. The pilot is located on the .3. .This heater is equipped with an ignition device (piezo) which right rear side of.the heater, behind the middle log and in front automatically lights the pilot. of the rear log. if piezo ignitor does not light the pilot, refer to 4. Refer to Figure 15 for the location of the.piezo ignitor and "Match Lighting Instructions'.'. control. knob:., Push in gas control knob slightly.and turn . P1LOT control knob clockwise '�� to the OFF position. THERMOCQUPLE THERMOCOUPLE? (LPG) (NATURAL) NOTE:: Knob cannot be turned: to OFF unless knob is pushed .. in slightly. Do not force. p. 0 CONTROL KNOB INDICATOR Q. GAS CONTROL KNOB SHOWN IN "O.FF". POSITON 5. .Wait ten (10) minutes to clear out any .gas. Then smelLfor 8 Hold the control knob in for an addit!oria110 seconds to prevent gas, including.near the floor. If you smell gas STOP! Follow the ODS: pilot from shutting,•offthe gas while the thermocouple,. the instructions under'What To Do If You Smell Gas". If you do not "smell gas, go to the next step. is warmingup. 9. Release the control knob:" 6. From OFF position, push.in gas.control knob slightly and turn counterclockwise �� to thePILOTposition. Push in and If the knob does not pop out when released; stop .and. hold control knob. fors seconds. immediately call your service technician or. gas supplier 1.al and.. tees,,push and. If the ODS pilot will not stay lit after sever NOTE NOTE. the e. ater for the first time, it will turn the gas control knob clockwise to OFF and wait .be necessary to press in the control knob for 30 seconds to 15 seconds. Repeat steps 6 through 9`. allow air to bleed out of .the gas piping. 10. Push in control knob and turn to desired setting (1,"-2, 3). The' control knob must be set at either -the `low or high position,: and the control knob will pop out when positioned correctly. Do not set the, control knob at a position between pilot (1, 2,; 3) ����WTO TURN OFF GAS TO APPLIANCE 1. Turn control.knob clockwise to OFF position to completely shut off the heater. 26333-5-1012 Page 17 C THERilOCOUPUE; TH( RMOCOUPLE :.. (LFG) -(NATUR'AL ) Correct Pilot Flame Pattern Figure 19 PILOT THERMOCOUPLE-, THERMOCOUPLE (LPG) (NATURAL) Incorrect pilot flame pattern. Figure 17 . , If pilot flame pattern is incorrect, as shown in Figure 17 • See Troubleshooting, page 21 Cleaning and Maintenance/Pilot Oxygen Depletion Sensor Pilot (Figure ,18 ) When the pilot has a large yellow tip flame, clean the Oxygen Depletion Sensor as follows: 1.. Clean the ODS pilot by loosening nut.B from the pilot tubing. When this procedure is required, grasp nutAwith an open end wrench. THERMOCOUPLE (LPG) I nc nFluwvr ( NATURAL ) - Incorrect Pilot Flame Pattern Figure 20 If pilot flame. pattern is incorrect as,shown in Figure 20. See Troubleshooting, page 21 i 26333-5-1012 Cleaning and Maintenance/Pilot Oxygen, Depletion Sensor Pilot (Figure 21) When_the . pilot has. a large yellow ti flame, clean the Ox P. 9 . y P ; Oxygen . Never use needles, :wires, or similar cylindrical objects to .Depikb. Sensor damagiriVhe-calibrated ruby that I 1 Glean the ODS. pilot by loosening nut B from the pilot tubing. controls the gas flow. When this procedure is required;grasp nutAwith an open end " j wrench. i 2: Blow. air pressure through the holes indicated by.the. arrows. This will blow out foreign materials such as dust; lint and spider webs. Tighten,nut also by grasping nut A. IN B A I Figure 21 Annual inspection and cleaning 'by your dealer or ANNUAL CLEAN ING%INSPECTION — Refer to parts qualified service technician is recommended to prevent diagram for location of items discussed below. j malfunction and/or sooting. Inspect and clean burner air intake hole. Remove lint or TURN. OFF .HEATER AND ALLOW, TO, COOL BEFORE particles with vacuum ...or brush. Failure to keep air intake CLEANING:. hole clean will result In.sooting<and prior com6ustl6n:., Rerhove' logs, handling carefuNy by holding gently at each. Inspect and clean ali rn buer.ports end: Gloves.are`recommended to prevent skin irritation from InspecYODS pilot for operation and aceumulation of lint ceramic fibers. If skin becomes irritated, wash gently with at air intake holes. soap and water. Refer to manual for correct log placement. Verify, flame_ pattern a'nd log placement for proper PERIODIC CLEANING — Refer to parts for operation: ,diagram location of :items discussed below.. Verify smooth and responsive ignition`,of main. burner • Do not use cleaning fluid to clean: logs or any part of Check level `of�.ceramic media in burner. Bu'r'ner should heater. be full, up to .the level, of openings in.burner,top • Logs - brush with soft bristle brush or vacuum with brush. - attachment. • Remove loose particles and dust from the burner areas; controls, piezo covers and grate. Don't remove media from inside burner box. • Inspect and clean burner air intake hole. Remove lint or particles with brush. Failure to keep air intake hole clean will result in sooting and poor combustion. 1 a f Label all wires priorfo disconnection when servicing controls. Wiring errors can cause improper and dangerous operation. Verify proper operation after servicing. VFSR Wiring Diagram (Figure 22) REMOTE CONTROL RECEIVER/ THERMOSTAT:/ CONTROLE:E DISTANCE DU RECEPTEUR 16", 18", 24" and 30" Gas Logs (Millivolt) thermopile is self powered:.. GAS: VALVE VALVE DE GAZ gas valve and does not require 110 volts. See Figure 22 to provide 7. optional wall switch, thermostat, or remote control. Maximum length of 20 feet of 16 AWG to conductor wires:is.to be used with all optional switches. (OPTIONAL) WALL SWITCH Use the two leads black wires from.ON/OFF switch to attach INACULTATIVE MURAL ) REMOTE/OFF/ON (FACULTATIVE-) optional components. - A DISTANCE/OUVERT/FERME INTERRUPTEUR (OPT I.ONAL) THERMOSTAT Check System Operation (FACULTATIVE) THERMOSTAT ;L Millivolt system and all individual components may be checked with. a millivolt meter 0-1000 MV range. .(OPTIONAL ) REMOTE CONTROL' RECEIVER Remote Receiver -VFSR- 16, 18, 24, 30 ( FACULTATIVE') CONTROLE .� DISTANCE N ( ) DU RECEPTEUR: ;r'r Use the following steps to place the remote receiver adjacent to ----- T I the gas valve. Attention: OFF/ON SWITCH ;- OUVERT/FERME:'INTERRUPTEUR, 1 The remote receiver can not be laced behind the as valve }: :and bLlrner assembly P 9 2 Wheh facing ttTe eppl19hce the remote.recelver must.be placed OFF"BLACK NOI R to the A° ht of the gas. valve and burner assembly THERMOCouPGE oN BLACK iNoIR z. L 05 'Notice: bo not Iet rern6te control receiver come in contact with ` THERMOPILE burner assembly.. THERMOCOUPLE is ( NATURAL) On circulating, vent -free firebox., install remote control receiver behind bottom louver. ;""-' u o ® a Refer to remote control installation and operating instructions for _ more .details on remote control IF W. OF THE ORIGIONAL WIRE. -AS SUPPLIED_WITH THIS UNIT MUST. BE 750 Milli VOIt System, REPLACED: IT. MUST. 8E REPLACtD WITH NO. IB '.150 C VIRE'.DR ]TS When you. ignite the pilot, the thermocouple. produces millivolts EDurvALENr::. (electrical current) which energizes the magnet in the gas valve. F,gcare.22 After 30 seconds to 1 minute time period you can release the gas control knob and the. pilot will stay ON: Allow your pilot flame to _. . operate an additional one (1) to two (2) minutes, before you turn the VFSV Wiring Diagram (Figure 23) . gas control,knob from the PILOT position to the ON position. This time period allows the millivolts (electrical. current to buildup to a sufficient level allowing the gas control to operate properly. i VFSVMCIDEL WIRING DIAGRAM Millivolt Control The valve regulator controls the burner pressure which should be o checked at the pressure test point. Turn captured screw counter clockwise 2 or 3 turns and then place tubing,to pressure gauge over ted° r test point (Use test point "A" closest to control knob). After taking BLACK/RED-ins"TERMINAL' pressure reading, be sure and turn captured screw clockwise firmly BLACK - 114°.TERMINAL to re -seal. Do not -over torque. Check for gas leaks. VFSR fi LL e Notice:. (Wiring harness located in envelope). e Connect the .2.- 1/4" terminals onto the TH and.TH/TP terminals on valve. Place decorative log to right of the gas valve and burner assembly. When connecting to"remotereceiver, cutoff 1/4"terminals Figure 23 from wires attached to ON/OFF switch. Strip wires back about 1/4". VFSV Connect:stripped ends into remote receiver., Notice: (Wiring harnesslocated in envelope) Connect black/red 3/16" terminal wirefrom.receiverto 3/1 fi" terming on valve. Connect black.1/4" Jerminaf wire fromreceiver to 1/4 terminal on valve: Install remote receiver cover over receiver whet receiver is installed into fireplace area.. Locate:receiverand covert( 1. When ignitor Button is pressed, there isIno spark_ at ODSI pilot. a. Ignitor electrode positioned wrong - Replace pilot. b. Ignitor electrode is broken - Replace pilot. --`"c-lgni or electrode noconnected o ignitor cable - Reconnect ignitor cable.: d. Ignitor cable pinched or wet: Keep ignitor cable dry. Free ignitor cable if pinched by any metal or tubing. e. Broken ignitor cable -Replace ignitor c-abl'e. f. Bad piezo ignitor - Replace piezo ignitor. 2. Appliance produces unwanted.odors. a. Appliance burning vapors from paint, hair spray, glues, etc. Ventilate room. Stop using odor causing products while heater is running.. b. Gas leak. Locate and correct all leaks: 3. Appliance shuts off during use. (Pilot and main burner are off.) a. Not enough fresh air is available for ODS/pilot to operate - Open window and/or door for ventilation. b." tow line pressure - Contact, local gas company. C. ODS/pilot is partially clogged Clean ODS/pilot. d :Defective thermocouple.: Raplace'.pilot . 4 Appliance shuts,off_during use. (Pilot stays ori.) a i Low line pressure -,Check line pressure to the valve. b: Defective' thermopile Check pilot flame, check `wire connections, output should be a minimum of 325 millivolts across. TH/TP and TP terminals with ON/OFF switch off. 5. Gas odor even when .control knob is in OFF position. a. Gas leak - Locate and correct all leaks. b. Control valve. defective - Replace. control valve. 6.. When igrfltor button is pressed, thereis.spark at ODS/pilot, but no ignition: a Gas supplyturned off or manual shutoff valve closed =:Turn on gas supply or open manual shufoffvalve: b. Control knob not in PILOT position - Turn control knob to PILOT position. c. Coritrol knob not.pressed in while in PILOT position - Press in_control.knob.while io PILOT.position. d. Air in gaslines.wheninstalled- Continueholdingdowncontrol . knob Repeat igniting operation until air is removed. e. ODS/pilot is clogged - Replace ODS/piloYassembly or get it serviced: g. Gas regulator setting isnot correct - Replace gas regulator. 7. ODS/pilot lights but flame goes out when control knob is released. a. Control knob not fully pressed in - Press in control knob fully. b. Control knob not pressed in long enough -After ODS/pilot lights, .keep control knob pressed in 30 seconds. c. Manual Shutoff valve. not fully open . Fully open manual shutoff valve. d. Thermocouple connection loose at control valve Hand tightenuntil snug-, then, tighten 1/4 turn more. e. Pilot flame. not touching: thermOCOupie;''which allows thermocouple to cool,. causing pilot flame to go out. This problem could be caused by either low gas pressure or dirty or partially clogged ODS/pilot - 'Contact local gas company. f. Thermocouple damaged'- Replace thermocouple h.. Control- valve damaged - Replace control valve: 8. Burner does not light'after ODSipilot.is iit a. Burnerorificeclogged-CIeanburneror:replace mAInbumer': orifice. b. Burner orifice diameter .is" too small - "Replace burner orifice: . c. Inlet gas pressure" is too low Contact qualified service - person, . 9. If burning at main burner orificq•occurs (a .loud, roaring blow torch noise). a.. You, must turn off burner assembly and contact a qualified, service person. b; :.Manifold pressure is too low='.Corttact l'ocal.gas company.': c.: Burner orifice :clogged Clean_f5urner- or replace burner .. orifices . 10. Logs appear to smoke after initial operation. a. Vapors from paint or curing process of. logs - Problem will stop after a few hours of operation. Run the heater with the damper open if you have one., or open a window for the first few hours.. Log heater is. intended to be.s.,mokeless. Turn OFF heater and cail-qualified service person 11. Heater produces:a Whistling noise wie;n mam'burner.i;s lit. a. Turning control knob to HIGH position when main burner is cold - Turn control knob to LOW position and let warm up for a minute: b. Air in gas line Operate burner until air is. removed from line. Have "gas line checked by local gas company. c. Dirty, or partially clogged burner orifice - Clean burner or replace burner orifice. 12. No gas to pilot. a. LP -regulator shut down due to inlet .pressure too high - Verify LP tank regulator is installed and set at 11" to 13" w.c. Replace regulator.on heater. 13. New Installation. - a. On VFSV Model. variable does not, operate -On is OFF/OFF is ON -wires into the back of receiver are reversed. If the gas quality is'bad, your pilot may not stay lit, the burners may produce soot and the heater may backfire when lit. If the gas quality or pressure is low, contact your local gas supplier immediately. i 26333-5-1012. Page 21 i C, 1. When ignitor Button is pressed, there isIno spark_ at ODSI pilot. a. Ignitor electrode positioned wrong - Replace pilot. b. Ignitor electrode is broken - Replace pilot. --`"c-lgni or electrode noconnected o ignitor cable - Reconnect ignitor cable.: d. Ignitor cable pinched or wet: Keep ignitor cable dry. Free ignitor cable if pinched by any metal or tubing. e. Broken ignitor cable -Replace ignitor c-abl'e. f. Bad piezo ignitor - Replace piezo ignitor. 2. Appliance produces unwanted.odors. a. Appliance burning vapors from paint, hair spray, glues, etc. Ventilate room. Stop using odor causing products while heater is running.. b. Gas leak. Locate and correct all leaks: 3. Appliance shuts off during use. (Pilot and main burner are off.) a. Not enough fresh air is available for ODS/pilot to operate - Open window and/or door for ventilation. b." tow line pressure - Contact, local gas company. C. ODS/pilot is partially clogged Clean ODS/pilot. d :Defective thermocouple.: Raplace'.pilot . 4 Appliance shuts,off_during use. (Pilot stays ori.) a i Low line pressure -,Check line pressure to the valve. b: Defective' thermopile Check pilot flame, check `wire connections, output should be a minimum of 325 millivolts across. TH/TP and TP terminals with ON/OFF switch off. 5. Gas odor even when .control knob is in OFF position. a. Gas leak - Locate and correct all leaks. b. Control valve. defective - Replace. control valve. 6.. When igrfltor button is pressed, thereis.spark at ODS/pilot, but no ignition: a Gas supplyturned off or manual shutoff valve closed =:Turn on gas supply or open manual shufoffvalve: b. Control knob not in PILOT position - Turn control knob to PILOT position. c. Coritrol knob not.pressed in while in PILOT position - Press in_control.knob.while io PILOT.position. d. Air in gaslines.wheninstalled- Continueholdingdowncontrol . knob Repeat igniting operation until air is removed. e. ODS/pilot is clogged - Replace ODS/piloYassembly or get it serviced: g. Gas regulator setting isnot correct - Replace gas regulator. 7. ODS/pilot lights but flame goes out when control knob is released. a. Control knob not fully pressed in - Press in control knob fully. b. Control knob not pressed in long enough -After ODS/pilot lights, .keep control knob pressed in 30 seconds. c. Manual Shutoff valve. not fully open . Fully open manual shutoff valve. d. Thermocouple connection loose at control valve Hand tightenuntil snug-, then, tighten 1/4 turn more. e. Pilot flame. not touching: thermOCOupie;''which allows thermocouple to cool,. causing pilot flame to go out. This problem could be caused by either low gas pressure or dirty or partially clogged ODS/pilot - 'Contact local gas company. f. Thermocouple damaged'- Replace thermocouple h.. Control- valve damaged - Replace control valve: 8. Burner does not light'after ODSipilot.is iit a. Burnerorificeclogged-CIeanburneror:replace mAInbumer': orifice. b. Burner orifice diameter .is" too small - "Replace burner orifice: . c. Inlet gas pressure" is too low Contact qualified service - person, . 9. If burning at main burner orificq•occurs (a .loud, roaring blow torch noise). a.. You, must turn off burner assembly and contact a qualified, service person. b; :.Manifold pressure is too low='.Corttact l'ocal.gas company.': c.: Burner orifice :clogged Clean_f5urner- or replace burner .. orifices . 10. Logs appear to smoke after initial operation. a. Vapors from paint or curing process of. logs - Problem will stop after a few hours of operation. Run the heater with the damper open if you have one., or open a window for the first few hours.. Log heater is. intended to be.s.,mokeless. Turn OFF heater and cail-qualified service person 11. Heater produces:a Whistling noise wie;n mam'burner.i;s lit. a. Turning control knob to HIGH position when main burner is cold - Turn control knob to LOW position and let warm up for a minute: b. Air in gas line Operate burner until air is. removed from line. Have "gas line checked by local gas company. c. Dirty, or partially clogged burner orifice - Clean burner or replace burner orifice. 12. No gas to pilot. a. LP -regulator shut down due to inlet .pressure too high - Verify LP tank regulator is installed and set at 11" to 13" w.c. Replace regulator.on heater. 13. New Installation. - a. On VFSV Model. variable does not, operate -On is OFF/OFF is ON -wires into the back of receiver are reversed. If the gas quality is'bad, your pilot may not stay lit, the burners may produce soot and the heater may backfire when lit. If the gas quality or pressure is low, contact your local gas supplier immediately. i 26333-5-1012. Page 21 i Attention: When ordering.parts, it is very important that part number and description of part colnciae. j I CERAMIC MEDIA NS 82809 Index, . Part No. No. Description . J. j. , i I I , Index 'No. . Part No. Description .12 R10406' GAS VALVE ROCK WOOL (VFS(M,R,V)-16) NS 1 . 1542.5. REAR LOG SUPPORT'(VFS(M;R;V)-16) 1,3 26304 PIEZO IGNITOR BRACKET 1 1.5426.. REAR.LOG,SUPPORT (VFS(M,R,V)-18) :.... 14 _ R9761 „PLEZO"IGNITOR.:. 1' 15427 REAR LOG SUPPORT (VFS(M,R,V)-24) NS 26331 .TUBING =VALVE TO PILOT 1. 15428 REAR LOG SUPPORT (VFS(M.,R,V) 30) :NS 263210;.TUBING --VALVE TO PILOT -REGULATOR .NAT BURNER SUPPORT 2 11376 . . (VFS.(M,R,V)-(18,24,30)) NS 14041 TUBING PILOT REGULATOR TO PILOT ; NAT 2 11285 BURNER SUPPORT -LEFT (VFS(M,R,V),16) NS 26332" TUBING.- VALVETO BURNER 3. P200 ORIFICE FITTING NS R5668 IGNITOR WIRE 4 P256 ORIFICE LP (VFS(M,R,V)-18) : NS R5910 SWITCH LOG ASSEMBLY (1i tCLUDES SWITCH_ AND.WIRE). 4 P246 ORIFICE7,LP.(VFS(M,R,V)-24) NS R5757..' OFF)ON °SWITCH 4 . P265` ORIFICE - LP:(VFS(M,R,V)-30) NS.. R5699 WIRE:_HARNESS: 4 P204 ORIFICE -'LP (VFS(R,V)-16) 6 R5170 PILOT LP' 4 P244 -_ ORIFICE.- NAT,(VFS(M,R,V)-24), `.9 8256 .. ORIFICE,- NAT (VFS(R,V.);-16) :., .6 R5179 PILOT'NAT 4 P243 ORIFICE' NAT (VFS(R,V) 18) .8 R7063 PILOT, REGULATOR (NAT ONLY) 4 P211 ' ORIFICE - NAT (VFS(R,V)-30) 10 11333 BURNER SUPPORT -.RIGHT(16) 4 P203 ORIFICE -NAT (VFSM-18) 10 11308 BURNER SUPPORT - RIGHT (1 8,24,30) 4. P209 ., ORIFICE - NAT (VFSM-30) 15 R5672, GAS VALVE _r NAT. 5 R5675 AIR SHUTTER - LP 15 R5673 GAS VALVE LP,, 5 8567.6 . AIR SHUTTER,- NAT .: NS 1133ii TUBING = VALVE TO PILOT LPG :: 7 11833 PILOT SHIELQ`(NAT ONLY) NS 14040 TUBING -VALVE TO PILOT REGULATOR =NAT 9 14035; BURNER,ASSEMBLY (VFS(M R,V) 24) NS 14041 TUBING PILOT REGULATOR TO PILOT -NAT . - 9 12348 BURNER ASSEMBLY (VFS(M;R,V) 16) LPG NS 11291 -. "TUBING.- VALVE TO BURNER,, . 9 12347 .BURNER ASSEMBLY (VFS(M,R,V)-16) NAT . NS R-5797. REMOTE KIT 9" 14033 BURNER ASSEMBLY (VFS(M,R,V)-18) 9 ,BURNER ASSEMBUC.(VFS(M,R,V)-30) "14037 NS 12389 CERAMIC MEDIA NS 82809 DAMPER CLAMP (INCLUDED IN HARDWARE PACKAGE) NS 11788 DECORATIVE ROCK (2 REQ'D) NS 15998 ROCK WOOL (VFS(M,R,V)-16) NS 15999. ROCK WOOL:(VFS(M,R;V)-18) NS 1.5970 ROCK WOOL (VFS(M;R,V)-24,30) 18 R4499 GAS VALVE - LP NAT =R7063 LP 19 15494 COVER PLATE EGULATOR.(NAT,ONLY) 10 26321 BURNER SUPPORT= RIGHT (16) 10 26291 BURNER SUPPORT - RIGHT (18,24,30) 11 20294 VALVE BRACKET 12 1. R10405 GAS VALVE -. NAT 6 R5170 - .'PILOT = LP 6 R5171 PILOT - NAT 10 26291 ._ BURNER.SUPPORT,- RIGHT I 14 R2313 PIEZOIGNITOR 16 R2783 CONTROL KNOB 17 15416 VALVE.BRACKET I. i 18 R4499 GAS VALVE - LP 18 R4495 GAS VALVE = NAT 19 15494 COVER PLATE 20 R2480 " INLET'REGULATOR -LP. 20 R2479 : INLET REGULATOR - NAT 21 REGULATOR MOUNTING BRACKET NS,. :- R5668. - :IGNITOR WIRE .. VABVEG ASSEMBLY - INLET REGULATOR TO NS 15528 .t.� .. b -�� .^. n To Order Parts Under Warranty, please contact your local Empire dealer. See the dealer locator at www.empirecomfort. com. To provide warranty service, your dealer will need your name and address, purchase date and serial number, and the nature of the problem with the unit. To Order .Parts After the Warranty Period, please contact your dealer or one. of the.=Master Parts Distributors listed below. This it`st a currentat w�ivw empirecomfort.com. Please note: Master Parts Distributors are independent businesses that stock the-most commonly ordered Original Equip- ment repair parts.for Heaters, Grills, and Fireplaces manufactured by Empire Comfort Systerns inc.:. Dey Distributing. . _. 1401 Willow Lake Boulevard Vadnais Heights, MN 55101 Phone: 651-490-9191 ToII Free: 800-397=1339 Wabsite: www_deydistributing.com Parts: Heater;. Hearth and-Grills East Coast-Energy'Products Victor Division of IF -W Webb Company 10 East Route 36 200 Locust Street West Long Branch, NJ 07764 Hartford; CT 06114 Phone: 732-870-8809 Phone: 860-722-2433 Toll Free: 800-755-8809 Toll Free: 800-243=9360 Fax: 732-870-8811 Fax: 860-293-0479 Website ww.w.eastcoastenergy corgi Toll Free Fax;1500 274 2004': Parts:.'-Heater, Hearth and Gri11s " NVebsites wwwfwwebb.com'& www.victormfg com, P:arts.Hea ter; Hearth-'an'd Grills Parts Not Under Warranty Parts can be ordered through your Service Person, Dealer, or a Master Parts Distributor. See this page for the Master Parts Distri!50- tors list: For best results, the service person or dealer should order parts through the distributor. Parts can be shipped directly to the. service person/dealer. Warranty Parts Warranty parts will need a proof of purchase and can be ordered by your Service Person or Dealer. Proof of purchase is required for warranty parts. All parts listed in the Parts List have a Part Number. When ordering parts, first obtain the Model.Number and Serial Number from the name plate on your equipment. Then determine the Part Number (not the Index Number) and the Description of each part from the fol- lowing illustration and part list. Be sure to give all this information ... Appliance Model Number Part Description Appliance Serial Number Part Number Type of Gas (Propane or Natural) Do not order bolts, screws, washers or nuts. They -are standard hardware items -and can be purchased at any local hardware store. Shipments contingent upon strikes, fires and all causes beyond our control. Page 24, 26333-5-1.012 i Empire Comfort Systems Inc. warranties this hearth product to be free from defects at the time of purchase and for the periods sped fied below. Hearth products must be installed by a qualified technician and must be maint1 11 1 an1.1. operated safely, in accordance with. the instructions in the owner's manual. This warranty applies to the original purchaser only and is. not transferable. All.warranty repairs I must be accomplished..by;a qualified gas appliance technician. Limited Five. Year Parts & Labor. Warranty - All Other Components ! . (Except Remote. Controls, Thermostats, Accessories and Replacement Parts)' Should any part fail because of defective workmanship or material within five.years from the date of purchase, Empire;.Will L repair or replace at Empire's option. Within five years from the date of purchase., Empire will pay reasonable labor to have that defect repaired at Empire's option. Limited One-Year.Parts Warranty- Remote Controls, Thermostats, Accessories, and Parts Should -any remote control,thermostat, accessory, or other part fail.because of defective workmanship within one year from the date of purchase, Empire will repair or replace at Empire' s' option: Duties Of The Owner j h the a - wit . The appliance must be installed by a qualified installer and operated in accordance with the instructions furnishedp �. pliance. A`:bill of sale, cancelled check, or payment record should be kept to verify purchase date and establish warranty. period Ready access to the appliance for service.. . What Is Not Covered .... , Damages that might result from the use, misuse, or improper, installation of this appliance i Travel, diagnostic costs and freight charges on warranted parts to and* from the factory. Claims that do not involve defective workmanship or materials. - j Unauthorized serviceor parts replacements. Removal and reinstallation cost. Inoperable due to improper or lack of maintenance. How To Get Service To make a claim under this warranty;please have your receipt available and:.:contact,your installing dealer :Provide the dealer gas', and purchase verificatlon:' The installing dealer �s responsible for providing service and withahe model numtaer; •s®rial.nurnber,,type.of will contact thefacto.ry to initiate any; warranted parts replacements. Empire will make te;placement parts available at the .factory: Shipping expenses are not covered. I If, after contacting your Empire dealer, service received has not been satisfactory, contact:. Consumer Relations Department, i_ Empire ComfortSystems Inc., PO Box 529, Belleville, Illinois 62222, or send ane mail to info@empirecomfort com.with Consumer Rela j tions'In thesublect line '., . Your Rights Under State Law ' Thiswarrantygives:,your specific legal righfs,`ard you ihay.also have other rights, which.vary from state to state i i i i 10703 Date ... ........... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,,.This certifies that.P . ......... ....... ... .... .. .... ............ . .. ........................................... has permission to perform .... . ..... s f. plumbing in. the building o ..... .. ...................... at,,,,,,,, ..... 4 ....... L—,,.. . ...................................... North Andover, Mass. Fee IL, ii c. N o. PLUMB'I'N*G"IN*SPE'C'T*O*R*"*'*'*'***"*.'**'* Check # ^1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY T ._._.j MA DATE _ ( PERMIT # ` JOBSITE ADDRESS lqC' G� OWNER'S NAME /k �/hC�•�T POWNER ADDRESS TEL —�J.IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: ® REPLACEMENT: PLANS SUBMITTED: YES ® NO[.]! FIXTURES -1 FLOOR- BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM —.f _..._._.1 ._. ,j _ ( I---__-- ___ DEDICATED GRAY WATER SYSTEM (_.__. € ___- --} DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/ AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK._._..wl LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK I i _ __.€ _.___} r URI AL WAS ING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING �. ( _ z 1 ....___._. t OTHER F INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [n�NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY P BOND Q OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT 101 SIGNATURE OF OWNER OR AGENT 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 plumbing work and installations performed under the permit issued for this application will be in co ance with all Pertinent provision of the Massachusetts State Plumbing Code nandChhapter 142 of the General Laws. PLUMBER'S NAME LICENSE #� SIGNATURE MP D JP ZK' CORPPORAAT-ION—�# PARTNERSHIP 0]# _ ! LLC �f j L _ COMPANY NAME �Z'C 1�.�,r,S/64.�ra., !I ADDRESSA, CITY ysh fit/ RAO _ _ _ STATEZIP o6jG1G_ TEL 7p v FAX L--j CELL EMAIL Aw H z H U W a w o o z (n ❑ O � W H � a � u LU = ~ � � W o a w 5 CO M w � w - p z a o W a � U IL IL B w z w F--- LL H O H H U W a z C7 z - a p O a y The Commonwealth of Massachusetts Department of IndostriglAceiclents Office oflnvestigations 600 Washington Street .Foston, MA 02111 7vww.mass gov/dia Workers' Compensation Insurance Affidavit: BuRders/Contractoris/Eb Anulicant Information Name (Business/Organizaiionftdividual):. Address: ers City/StaieMy Are you an employer? Check the appropriate box: Type of project (required): 1. [( I am a employer with 4. ❑ I am a general contractor and I 6• New construction f employees (full and/or part time) * 2. [�ana a sola proprietor or partner have ned the sub -contractors listed on the attached sheet 7• Remodeling ship and'have no.employees These sub -contractors have 8. ❑ Demolition working forme in any capacity. workers' comp, insurance. 5, ❑ We are a corporation and its 9. Building addition [No workers' comp. insurance required.] officers have exercised.their 10.[] Electrical repairs or additions 3. [� I am a homeowner doing all work right of exemption per MGL 11. [] Plumbing repairs or additions myself [No workers' comp. c.152, §I(4), andwehaveno 12.QRoofrepairs insurancere ed �' . a employees. [No workers' 13.❑ Other comp. insurance required.] XAny applicant that checks box#I must also fill out the section below showingtheir workers' compensationpolicy informafion. T -Homeowners who submit this affidavit indicatingthey ke doing all work' and then hire outside contractors must submit anew affidavit indicating such. tContractors that cheAthis box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lir. #: Expiration Date: Job Site Address, City%State/tip: Attach a copy of the workers' compensation -policy -declaration page (showing the policy number and expiration date). Failure to secure coverage.as requiredunder Section 25A of MOL o.152 can lead to the imposition of criminal penalties of a flue 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. f do hereby cert uiider the pains penalties of perjury that the information provided above is true and correct. Phone #• Official use oply. 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. Plumbingluspector 6. Other - - - Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an errtployee is defined as "...every person tri. the service of another under any contract ofhire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation, or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a- deceased employex,or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such. dwelling house or ou the grounds or building appurtenant thereto shallnot because of such employment be deemed to be an employer'_" MGL chapter.152, §25C(6) also states that "every state or loeal Zieensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required:' Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their ceriifxcate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees oilier than the members or partners, are notrequired to carry workers' compensation. insurance. If au LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. the affidavit should be returned to the city or town that the application for thepermit or license is being requested, not; the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain. a *orkers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit foryou to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be -sure to fill. in the permit/license, number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town):A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid afCrdavit is on file for future hermits or licenses, Anew affidavit must be filled out each year. 'Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Tho coa ouwroalt� of Iassa..rhusetts - Depadment ofTud-aaWal Accidoals QfRoe offAvesiigalio= 600 Wasbvgtm meet Boston, MA 0211. Tei, f 617-7-27-4900 W 406 ox 1-877- iMSM Revised 5-26-05 Fax 9 617-727'7749 �ww.>�ass,govfdia P" Division of Professional Licensure: License Search The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > Check A Professional License By the Division of Professional Licensure LICENSEE Name: PETER W. LACONTE LYNNFIELD, MA NEW SEARCH **This Licensee has additional Licenses, click here to view them.** Licensing Board: PLUMBERS l3 GASFITTERS License Type: JOURNEYMAN PLUMBER License Number: 25886 Status: CURRENT Expiration Date: 5/1/2016 Issue Date: 4/25/2001 Exam Date: 3/10/2001 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Thursday, August 28, 2014 at 1:12:53 PM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATEDINFO Disclaimer Regarding Website License Searches Glossary of License Status Codes More... Site Policies Contact Us http://license.reg. state.ma.us/public/pubLicenseQ.asp?board_code=PL&type class=_J&Iic... 8/28/2014 I Location— No Date 40RT" TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ --3167), Building/Frame Permit Fee $ SS C a Foundation Permit Fee $ -'2"" 'Oiher Permit Fee $ r Connection Fee $ ,�fA Y i WaterlbNonection Fee $ 1141TAL $ Coll Building Inspector Div. Public Works Location No. (";7 - Date TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ iBuilding/Frame Permit Fee $ 5 -5 Foundation Permit Fee $ Mus Ar Permit Fee $ Sewd*lnection Fee $ "A Water Con Rc-tion Fee $ TO�AL 60". 004, Building Inspector Div. Public Works I . � I .., , 1-1. , . - i_�L - I __ v Location S T No. Date ,5_11h . i TOWN OF NORTH ANDOV R GertITIcate OT Occupancy $ Building/Frame Permit Fee $ 0 Foundation Permit Fee $ Other Permit Fee $ vsii�Q,* -nection Fee $ W-) Water CoAlction Fee-- $ A14 I TOTAL NO. $1 -4/7(follar CO/ ector Building Inspector '. i I Div. Public Works ,',,AAMIT NO. z s APPLICA � FFFOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 4 �i P dq0. LOT NO. /PAGE 1 MA I 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. LOCATION ��� r .lC{/ S� PURPOSE OF BUILDING ` OWNER'S NAME �a�l���T����%Y �C �t0,6 SIZE/'y •� NO. OF STORIES YZ OWNER'S ADDRESS L�.r••� S`j ter tt; 0e i%ice . N i!/V�r BASEMENT OR SLAB ARCHITECT'S NAME h "'`j�� SIZE OF FLOOR TIMBERS IST 2ND j(�� 3RD BUILDER'S NAME `' f V SPAN DISTANCE TO NEAREST BUI ING - -74- 6 0 DIMENSIONS OF SILLS DISTANCE FROM STREET �(vi Q /� L POSTS �x DISTANCE FROM LOT LINES - SIDES _L rJ® 1.,4- REAR /Q4c, Ys7G GIRDERS AREA OF LOT /1°,of��Ydw,}` FRONTAGE WC/tOGGJ//��G J •7 L� HEIGHT OF FOUNDATION -7f1k?d% THICKNESS IC? -Y IS BUILDING NEW f SIZE OF FOOTING X /V 41, SIZE 1S BUILDING ADDITION .tr/Q MATERIAL OF CHIMNEY �/! i IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND j-0 c, WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/'`s'* , IS BUILDING CONNECTED TO TOWN WATER i�� •� sl�'�/� BOARD OF APPEALS ACTION, IF ANY IG.; IS BUILDING CONNECTED TO TOWN SEWER��L� IS Noe! i%6gw�R�� ��/�v%rG S'�L��, IS BUILDING CONNECTED TO NATURAL GAS LINE SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PERMIT FOR FOUNDATION ONLY PAGE 2 FILL OUT SECTIONS 1 - 12 REGULATED BY PARA: 112.7 S.B.0 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING DATE: FEE PAID: ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED / 1(- L 7 /Z, SIGNATURE OF OWNER OR AOTHORIZED AGENT F E E PERMIT GRANTO 19 ^� rMI' FOR FRAME/BUILDING AR ��- FEE E PAID`______ LESS SDA F£E____� DUE FRAME PERMIT $ OWNER TEL. # CONTR. TEL. #. CONTR. LIC. #_ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 13 S. o,90 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO ,o 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN I r BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. T' I I 4 r ST MULTI. FAMILY APARTMENTS _OFFICES CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH _ d 1 2 I3 CONCRETE CONCRETE BIL 'K.PINE BRICK OR STONE HARDW D _ _ ZC PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/. 1/2 1/ FIN. ATTIC AREA NO 8-M'T FIRE PLACES HEAD ROOM MODERN KITCHEN �F 4 WALLS I 9 FLOORS CLAPBOARDS B Nl�STUCCO 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDW'D COMRACN ASPH. TILE STUCCO ON MASONRY ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIORPOOR _ ADEQUATE I NONE 5 ROOF GABIE HIP GAMBREL MANSARD FLAT SHED 10 PLUMBING BATH (3 FIX.( TOILET RM. 12 FIX.( i WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ELECTRIC B'M'T2nd _ 1-3—,dl NO HEATING T' I I 4 r '1�1." , ,w lj� - � __ �",, ,,;,.:,.. 1; _�,, .11- I I 7"'�'7�-,N�AV�I,g-l-�rv,�'-,�, - P'.- , ;- - N ,., ..I " I - . 1 4i, ,;i_l " I �, I * Ij�, r�, � I 7a"J`r� ' -�. ', T: " 11. I I �%,�-,'j , � .,I _._ ,q m 'It"I l .1 't ��A 1 . ., W, __ . i.. 'T, -1. % j 1; j ". 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CHIAINLY AI'I'L ICAI IOIJ ANO I :_'l l f�'in111,';i��h��� i• 0 'IATERIAL OF CHIMNEY: / f? I_.'NFERIOR CHIMNEY: LX1LR101Z CHIMNEY: I.1U141 BE R AND SIZE OF FLUES:--- j-HICKNESS OF HEARTH: chinitey on. OvAepCace con(lonul to 411e. oo the collo and 11((VV -(uln alld :egutati.ow been aece, ,ved: 'ATE:-------------- � :IGNATURE OF MASON: I� 'ERMIT GRANTED: /✓ 1' L L OBERT NICETTA UILDING INSPECTOR NSPECTEO: EMARKS: SOLID BLOCK Hl.!QUIREA) THIS FERMI MUSF BE DISPLAYED 014 IIIE PRLAIISES m C O - q aa� d: LLS`" Y 4n O Z • iiOVV-,�.a . iyy� O fz u m C O 1n m 4n O Z • iiOVV-,�.a . iyy� O fz u p < Z W :C ON t o .. .a a C i Ag: co 7CM Y. ,, 7C Z -Z u 1n • iiOVV-,�.a . iyy� V fz :C ON t o .. .a a C i Ag: ,, 7C Z -Z u m c Q;C W > n 4� O z o >0, C O a UG-) E m U- m U- m ti z ou a E m o 0 O o a u = V c U z O m EEc U - o E c c 3 c cc a U U � J O ~ � U m a t 3 c H O t) 3 s IY o � 3 c CD :3 � a m o U) � O �1 \ Oi z = m m m O a E U. U - Z :03 a E m o 0 O0 m m U0 c E a = m z m U- o E o c o3 c a a V U J U m LL O US OI-- r�R •3R .pati a V LO J cic O O WW uj d LL LU>• z Z V v Z Z . 0 m J T .7 7 E a7 7 cc v LL cr 1 LL! 10 uj LU>• z 0 J z O z O Q in z O LL cc O LL cc LU IL ZD z O 09 0 W h Z H Q V a �z C LL LA. `a' o G �.• 'i L �. C .0 .sr c one ow lw � o a o u.i V z CL o c o V o be C FORM U - LOT RELEASE FORM This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fi1,1s oust this/�ection***************** APPLICANT: �� - / ��fZ�/7(/"S l Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street 1_.dl'� (�z) St. Number_ ************************Official Use Only************************ REC DATIIOONSS OF TOWN AGENTS: Conservation Administrator Comments Comments Date Approved Date Rejected Date Approved 7-. Date Rejected / Date Approved Heal h Age Date Rejected Comments AvsT 4Eq' 6.1"1 /AJ1O tx.ce5 e Public Works - sewer/water connections - driveway permit F i Department 46�4 e'��— _ Received by Buil APR 2 81992_ Date TOWN OF NORTH ANDOVER -MASSACHUSETTS Any appeal shall be filed within (20) days after the date of filing of this Notice ,. in the Office of the Town Clerk. NOTICE OF DECISION JA,n Z Date. .Jappary•2;•1992•••••••.•••• Date of Hearing . •December• 19, • 1991 Petition of • Gregory Follansbee - ......................................................... Premises affected , • Lots• 1� & 2, •known as • 10• Lacy • Street . . . . . . . . . . . . . . . • . . . . . . . . . . . . Referring to the above petition for a special permit from the requirements of the ..499th Andover, �pgi;ng.Bylaws - Section 2 Para 2.30.1 ...... ........r.............................:.'- so as to permit the constTpction.of •a common driveway for the purpose of ........................... ............. f. gaining access to Lots 1 & 2 (10 Lacy Street) . ... . . . . . . . . . . . . . . . . • • . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.P After a public hearing given on the above date, the Planning Board voteds'., N - CONDITIONALLY ,....,....-....a..the ... JSFFC14,L•PERMIT . ., ll U 5 APR 2 81992 cc: Director -10- Public Works based upon the following conditions , t'k', 4 ,. Highway. -Surveyor . Building Inspector{ Conservation Commission _P �fI j 3 �,,; ryEt$ Board of Health ��° a rf } x y� Assessors r Signed' Police Chief Fire Chief George D• Perna, Jr., ChairmanF` Applicant John L. Engineer •Simons : • • Clerk •��." File ..... .. .......... fi ,i; µ,r Interested Parties John Draper r. ..........................:..�,.s� Joseph Mahoney a• {� # ••.••.•••.�•a•.a'J 1. r f . ri i n h a r 1 A.T„ ...a .. � t _ .,rir � :`��y"�'�` .v,5�•� fi .a c, -. :�4� .���!.�n�T•T, . yt�', Mr. Gregory�Follansbee Conditional Special.Permit Approval, Lacy Street Common drive.rlots 1 & 2. The Planning Board makes- the following Special Permit Application cited above: FINDINGS OF FACT findings regarding the 1. The application adheres to the bylaw restriction that.no''more than two (2) lots be serviced by -this common drive. 2. The specific location of the common driveway is appropriate due to its location. 3. The design and location will not adversely affect the ' neighborhood. 4. Adequate'standards have been placed on the design which ;will meet public health and safety concerns. 5. The.purpose and intent of the regulations contained in the:; Zoning;Bylaw�are met with the Special Permit Application,; before us: Upon reaching the,above findings, the Planning approves" Board a - this Special Permit based upon the following conditions which shall be submitted.to the Board prior to signing the documents to be filed with ther•North-Essex Registry of Deeds. SPECIAL CONDITIONS 1. The Applicant shall place a stone bollard at the entr" to the common drive off Lacy Street. This stone bollard shall have the street numbers of all houses engraved on all four sides of the stone. The dimensions of the stone shall, be, as follows: 8" x 8" x 72'x. The stone shall have 4811 exposed and.: 24" buried, and all numbering on.the stone.shall,be.4" in. height. ,This condition is placed upon the applicant'for;;.the purpose of public safety, 2. Easements pertaining to the rights of access for driveways h' between the lots involved shall be filed with the Registry of Deeds Office prior to the issuance of the building for any lot served by the common drive. permit=;„` 3. Prior to a Certificate of Occupancy being issued for the proposed dwelling, the access drive shall be paved for its.: entire length. ; This shall include any turnoff for -the existing house. 4. The driveway shall be constructed with a turnoff at thW':rI3' halfway point. The dimensions of this turnoff shall be20" in width (including the drive) , and 40' in length. 5. Prior to a Certificate of Occupancy being issued, the Proposed dwelling shall have a residential fire sprinkler system installed in accordance with the provisions of Standard 13D., N.F.P.A.. 6. In no instance shall the Applicant's proposed construction: be allowed to further impact the site than as proposed on the plan.referenced above in condition # of this approval. 7. The Order of Conditions issued by the North Andover Conservation Commission, File Number 242-562, shall be considered as part of this decision. 8. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 9. Gas, Telephone, Cable and Electric utilities shall be installed as specified by the respective utility companies.. 10. All catch basins shall be protected and maintained with hay bales to prevent siltation into the drain lines during construction. 11. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 12. No underground fuel storage shall be installed except as may be allowed by Town Regulations. 13. Prior to a Certificate of Occupancy being issued for any structures, this site shall have received all necessary, permits and approvals from the North Andover Board of Health. 14. Prior to the Building Permit being issued for the structure' and again prior to occupancy of the structure, the applicant shall receive a written determination from the Conservation Administrator that all work being done under the jurisdiction of the Conservation Commission is being satisfactorily performed and maintained. Further, all disturbed soil shall be finished grade, loamed and seeded prior to Occupancy, _ The provisions of approval shall apply to 15. this conditional a yrs and be binding upon the applicant, it's employees and all y''r".• successors and assigns in interest or control. u•qs 16. The following Plans shall be deemed as part of this decision: Plans Entitled: Sanitary Disposal System r;...a Prepared By: Thomas E. Neve Associates, Inc. r � rte., 3 Prepared For: Mr. Gregory Follansbee j ? Dated: 10/25/91 S Cale. • 111 = 40' cc: Director of Public Works Board of Public Works Highway Surveyor Building Inspector Board of Health Assessors conservation Commission Police Chief Fire Chief Applicant Engineer File t x. i' u 'i 1 1. j; yy s APR 2 81992 ' �}� ai is "�LS-.moo•. ��. i i��� ^�{�4 a J 9501 Date ...... 7 ..... 0 ...... /Z? TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... IA& ....................... has permission to perform ...... kf7��� ....... 4�.11*17 .. ........... wiring in the building of ............ .......... VZAeeg-.-;� ................................... /PLI at ............ V.A---VC.;IV1 ....... 5-.: .............................. . North Andovei, Mass. Fee ... �5— ... Lic. NoA. 13-0 Z ............ Q L E F,� � 7�e- fl� ......... Check # 1 `7 (J �L\ Commonwealth of Massachusetts RMEMPDepartment of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: `27ULtr 6 e o/ 0 City or Town of: NORTH ANDOVER To the Inspector of Wires.- By ires.By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 4/ j — Owner or Tenant �,� ,,tom UA14t %x Q-- No. of Total Transformers KVA Telephone No.lp/ Owner's Address Generators KVA No. of Luminaires Swimming Pool Above In- rnd. ❑ rnd. ElBatter Is this permit in conjunction with a building permit? Yes kr No ❑ (Check Appropriate Box) Purpose of Building ,Ei�%�=fid G//>./1¢7.-1- Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ® No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity KW """""" No. of Self -Contained Detection/Alertine Devices Location and Nature of Proposed Electrical Work: /� l719z'G' ZR-? y0_ Z ". Completion of the followingtable ma be waived by the Inspector of Wires No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above In- rnd. ❑ rnd. ElBatter o. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and InitiatinR Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number - Tons """' KW """""" No. of Self -Contained Detection/Alertine Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kms, Security Systems:* No. of Devices or Equivalent No. of Water Kms, Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:;Tp,�y f Z,�io Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and pgnalties of perjury� �that the information on this application is true and complete. FIRM NAME: lzi, /- lW /� , Jcdi/e�� LIC. NO.: Z Licensee: 0 Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No. - Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 07/08/2010 17:44 97�885551330�7/5f RWM ELECTRIC _ l l � �1 ti t l' 1 Workers' C Name Address: City/State/Zip: Are you an employer 1.0 i aro a employer ployees (full a 2. V1 am a sole propr ship and have no working for me [No workers' cot required] 3.0 1 am a homteowm myself. [No worl insurance require •Arty applicant that ohecks boX t HomeownM who submit this ;Contractors that cheok this box PAGE 01/02 M-6, CY) - -I/ The Commonweaith of Massachusetts Department of Industrial Accidents ! �0 �� p 6?Ly�� ace of ,Investigations 600 Washington Street , �y Boston, MA 02111 www.mms.gov/dia . Insumace Affidavit: Builders/Colntractoirs/Eicctricians/kiumbelrs vidual): 1 \ 0 i0 � Phone #:_ Cheek the appropriate box: th 4. C1 'i am a general contractor and T i/or part-time).'" have bired the sub -contractors :or or partner- listed oa the attached tartest, i npioyees These sub -contractors have any capacity, i. insurance workers' comp. insurance. 5. Q We are a corporation iits Failure to secure eoverag and fine up to $1,500.00 and/ offieets have exercised their doing all wont right of exemption per MGI; •s' comp. c. 152, § 1(4), and we have no J t employees. [No workers' l comp, insurance required) Type of project (required): 6. 0 Now construction 7. (Remodeling 8. 0 Dernoliti.on 9. [] Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other must also fit, out the seotton. below showing their workers' compensation policy information. affidavit indicating they ate doing all work arld then hive oaiside contrnc(M must submit a new Affidavit indicating ouch, rust atraehed an additional sheet showing the name of the sub.contmaors and their workers' comp. policy information. I am an em'ployer that is roviding workers' cor vensadon lnsarance for my employees. Below is the policy andjob siternfornsaGie Insurance Company Name: Policy # or Self -ins. Lia i : Expiration Date: .lob Site Address: City/StatC/zip: Attach a copy of the wor ktrs' compensation policy declaration page (showing the policy number and expiration daf*). Failure to secure eoverag as required under Section 25A of MOL e. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/ one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a lane of up to $250.00 a day agi inst 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 ce utrder he painsRalir�s of p ury f the i rmatao�r provided abu e[r�s [ ecorrect ( 7�and Date: Phone #: - Official use only. Do m of write in this area, to be completed by city or town off%ial City or Town: Permit/ldcense # Issuing Authority(ci le one): 1. Board of Health 2-alld1tag Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person:__) Phone #• Permit NO: Date Issued: BUILDING PERMIT 3� b�f`-e•4a,6!\ ' TOWN OF NORTH ANDOVER -"` '� APPLICATION FOR PLAN EXAMINATION - Date Received p IMPORTANT: YApplicant must complete all items on this page LOCATION 4 Lacy St v . Print` PROPERTY OWNER Mark Vincent a Print MAP NO: 210 ° PARCEL:105-D ZONING DISTRICT: Historic District, g yes nog oM chlne Shop ViIIade ves° TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ElOne family ❑ Addition E]Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑✓ Other Solar/PV ❑ Septic- ❑ Well w ❑ Floodplain 1I Wetlands- ❑- Watershed District 11 Water/Sewer Install solar electric panels to roof of existing home, to be interconnected with the homes' electrical system Identification Please Type or Print Clearly) OWNER: Name: Mark Vincent Phone: (617) 513-8558 Address: 4 Lacy St .CONTRACTOR Name: ar 617-4i7-731'2Phone: s17-�-731 Solai•City Corp - Address: 800 Research Dr. Wilmington Ma. 01887 - ; Supervisor's Construction License: - Exp. Date: ` 107663` 8/29/2017 Home Improvement License. Exp ° Date: , 168572 3/8/2015 ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULD/NG PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $18,000 FEE: $ _ 1,I0 Check No.: "1 -171, "i 01 .7— Receipt No.: 0 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund -"Q ✓uwnerr(Ito Signature -of contractor,j[,�i'((% x zpr 4 I BUILDING PERMIT f " TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print / O' �t �.ED .6 ♦aNC PROPOSED USE w PROPERTY OWNER Print 100 Year Structure , yes no MAP PARCEL: _ _ZONING DISTRICT: - Historic District yes -no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain El Wetlands Q Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: Phone: AririrACC- ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE. BOLDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgenYOwrt, Signature of contractor _ 01 i Il L Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales Food Packaging/Sales ❑ Private (septic tank, etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature, COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS ..� �- Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 Location LCA" Slieu+., No. IN Check #-naq�z 2800.1( Date I/ I D 1 1-4 I TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee TOTAL $ 21 Lo— B �Iaing Inspector '6s S larGt . 3055 Clearview Way, San Mateo, CA 94402 (888) -SOL -CITY (765-2489) I.www.solarcity.com Project/Job # 018814 RE: Project: To Whom It May Concern, Installation Approval Letter Vincent Residence 4`Lacy St r, --North Andover, MA 01845 Version #37.9 4# OF !114CitW 1NI-18TE > -STRUCTURAL r t :' 73f On the above referenced project, the roof structural framing has been reviewed for additional loading due to the installation of the solar PV addition to the roof. The structural review, including the plans and calculations only apply to the section of roof that is directly supporting the solar PV system and its supporting elements. The capacity of the structural roof framing directly supporting the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to be in accordance with the requirements of the MA Res. Code, 8th Edition. Plans and calculations were stamped & signed with my professional engineer's seal. To the best of my knowledge and belief, the work has been completed in accordance with the approved plans and provisions of the applicable code. Should you have any further questions or requirements pertaining to this project, please do not hesitate to contact me. Sincerely, Andrew White, P.E. Digitally signed by Andrew Structural Engineeer White Main: 888.765.2489, x2377 email: awhite@solarcity.com Date: 2014.11.03 07:42:00 -05'00' 3055 Clearview Way San Mateo, CA 94402 T (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com A7, r Of:!W'4 4, CA Z'SLS $SR10i4, rC? i:C SO-, i. CT H.., ORal77& M'N-fic M1014$13, H.R 7 a 11A8i;§, 141 C;1-2977(), IMA H?G %,S572., tAO WH!?G 121;9418, t°t.. 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CL m I 'O z 0 a . s C 0 W Ou o 3: -�;- -M CA m < 0 m 0 0 m oc u t4— E 000, -r- J�-_ u - m W> 1 0 0) a) o w u >< 0) -0 z 0) 75 iF c 4a 'a Wson E m° u E r > w(U 0 CL E 0 CO 0 LL CL 0 cu to -0 a) m 0 (A r The Comotonwe kk of Massacbmseta Dep ument of In&&*ialAccidenft ice oflnwidgallons I Congress Street, Sate 100 Boston, MA 02114-2017 www. maysgov/dio Workers' Compensation Insurance Affidavits BuilderslContractorsfElectricliansmiumiters A hcattt nfotrmatit► aner-l Name (BustrtesSOWnizationnndhidual): SOLARCt7Y CORPORATION Address: 3055 CLEARVIEW WAY Ci /State/zi : Z AN MATED, CA %402 Phone #: 888-765-2489 Are you an employer? Check the appropriate box: Type of project (required): 1. ® I am a employer with MW 4. 1 am a general contractor and l employees (full and/or part-time).* have hired the sub-cmitraetors b ❑Nov construction 2. I am a sole proprietor or pannier- listed on the attached sheet, 7. [ Remodeling ship and have no employees These sub -contractors have S. Demolition working for me in any capacity. eniplWees and have workers' [No workers' comp, insurance comp. ittsurrence 9. 0 BuiWing addition required.] 5. ® We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doingall work officers have exercised their rn If: right of exemption 1 I .� Plumbing repairs or additions yse (loo workers comp. ption per MOL 12.0 Roof insurance required] t c. 152. §1(4). and we have no teparn employees. [No workers' 13.9 Other SOLAR !n- insurance required.] f....J ws x, mus[Yt6p t11t out me =MR 000W UMtWtttgtfleir wottCeeni, Compensathmpoficy infurnetion. Honteowne s who submit this of rdavit indite og they tee doing - ail work and then hire outside contmctws must submit a nen affidavit indicating amb. :Contractors that cheek this box must atta¢W an adttitionat street sbowiag the Game of tate sub -do ors and state whether at not anise entities have emphtpees. If the aub.00nweitn have employees, 1* must provide their warren' camp. ptd'ecy number, Ipformatlon. am an employer Mat is providing workers' Comptnrsation Insurance for my employeet� Below is the polley and job site l Insurance Company Name. LIBERTY MUTUAL INSURANCE COMPANY Policy r/ or Self -ins. Lic. Il: WA7-66D-0841U4 - -02r/ Expiration Date: 09/0112015 Job Site Address:--.City/State/Zip: n U P C - Attach a copy of the werkers' compensation policy deelttrsibu page (showing -the policy ouaaber 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 S 1,500.00 and/or one -Year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Otiice of Investigations of the DIA for Insurance coverage verification. 1 do hereby cerilfy under the onallies a perjury that the lnfornratlan provided above is true and Correct i>ate! 9- q Iy Ofjlclal ase only. Uo trot write fn this area, to be Co)Vleted by dV or town of elal. City or Town: Pertnit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Iowm Clerk 4. Electrical Inspector 5. Plumbing inspector 6. Other Contact Person: Phone #. . ';# �� CERTIFICATE OF LIABILITY INSURANCE °o�12014 'Y) TYPE OF INSURANCEim ADDL THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94104 CONTACT NAME: PHONE Fax AIC No E-MAIL INSURE%Si AFFORDING COVERAGE NAIL M 998301-STND-GAWUE-14.15 INSURER A: Liberty Mutual Fire Insurance Company 16586 INSURED Ph (650)963.5100 INSURER B: Liberty Insurance Corporation 42404 INSURER C: N/A NIA So"ity Corporation 3055 CIPaNIew Way San Mateo, CA 94402 INSURER 0: INSURER E: $ 10,000 INSURER F: S 1.000,000 VVVtKAGt5 CERTIFICATE NUMBER: sFA-ffi94an2Ac-n*) RPVLAInhl nnIMRMD•A 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 LTR TYPE OF INSURANCEim ADDL SUOR POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MMfDDIYYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSAME I—X I OCCUR T82.661-066265-014 0910112014 09/0112015 EACH OCCURRENCE $ 11000,000 J PRDAMAGE A MAG Sa O N ED pmamce$ 100,000 MED EXP (Anyone Person) $ 10,000 PERSONAL & ADV INJURY S 1.000,000 GENERAL AGGREGATE $ 2,000,000 GEMLAGGREGATELIMIT APPLIES PER: X POLICY' X PRO LOC PRODUCTS - COMP/OP AGG $ 2.00}. Deductible $ _ 25,000 A AUTOMOBILE X X X LABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS WNED HIRED AUTOSX AUTOS Phys. Damage AS2.661.066265.044 09811/2014 09/01/2015 COMBINED SINGLE LIMIT Ea acd -m 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per eccklW ) S PROPERTY DAMAGE Per accident $ COMPICOLLDED: S $1,000/E11000 UMBRELLA LIAS EXCESS LIAR _ _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DED I I RETENTION $ B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? a (Mandatory in NH} nyes describe under DESCRIPTION OF OPERATIONS below NIA WA7-66DA66265-024 WC7 661 066265 034 (WI) WC DEDUCTIBLE: $350,OOfP 09/0112014 098)1/2014 09101/2015 09!0112015 X WC STT_&L OTH- RY1$ll E L. EACH ACCIDENT $ 1,000,000 $ 1,000,000 $ 1,000,000 E.L DISEASE -EA EMPLOYE E,L. DISEASE -POLICY LIMIT , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Evidence of Insurance, , CERTIFICATE HOLDER CANCELLATION SolarCity Corporation 3055 Clearwew Way San Mateo, CA 94402 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk S Insurance Services Charles Marmolejo ©1988.2010 ACORD CORPORATION. All fights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation �10 Park Plaza. - Suite 5170 .1W Boston, Massachusetts 02116 Home Improvement:Contractor Registration Registration: 168572 l i Type: Supplement Card SOLARCITY CORPORATION4 Expiration: 3/8/2015 CRAIG ELLS 24 ST. MARTIN STREET BLD 2 UNIT11f. , MARLBOROUGH, MA 01752 SCA a G .00M-O!VII Update Address and return card. Mark reason for change. (� Address [-]Renewal [].Employment ❑ Lost Card /��� "t �r rrrrirtsarnvrr%,/%r r� r'` �Irrr.rrr�rrs� //; Office of Consumer Affairs & Business Regulation a OME IMPROVEMENT CONTRACTOR Registration: 168572 Typt' Expiration: 3/8/2015 Supplement :ard SOLARCITY CORPORATION CRAIG ELLS 24 ST MARTIN STREET BLD 2UNI TAAALBOROUGH, MA 01752 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not v lid without signature Massachusetts - Depariment of Public 'Safety Board of Building Regulations and Standards f',n•ft�tt�n€fin 4ttl�rr�.�r License CS -107663 Al CRAIG ELLS 206 BAKER STREET Keene NH 03431 Ctalcl!ms- IC1l+r 0812912017 ��/ 1•G �QC1 f 2�J?ZQ'11 !LAG �' 1?J f�' �%'I� �Jflic l'�ff'n _ Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/8/2015 SOLAR CITY CORPORATION ASTRID BLANCO ' 24 ST. MARTIN STREET BLD 2 UNIT - MARLBOROUGH, MA 01752 ' ; SCA 1 Co 20M-05711 ✓�r Zrc+nriirpi�rr+car/� �f3C#ffr.;;irr%trc;c/1' free of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR egistration; 168572 Type: Expiration: 3/8/2015 Supplement Card SOLAR CITY CORPORATION Update Address and return card. Mark reason for change. E] Address ❑ Renewal [] Employment [] Lost Card License or registration valid for individul use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation ,10 Park Plaza - Suite 5170 Boston, MA 02116 ASTRID N -- 24 ST MARTIN ST STREET BLD ZUNI IA01—BOROUGH, MA 01752 Undersecretary Not valid without signature DocuSign Envelope ID: 4358E1 FF -33C8-41 F7-B4ED-2C30EOF6D848 41,0SolarCit y 3055 Clearview Way, San Mateo, CA 94402 T (888) SOL -CITY F (650) 638-1029 SOLARCITY.COM Customer Name and Address Customer Name Installation Location Mark Vincent 4 Lacy St 4 Lacy St North Andover, MA North Andover, MA 0 01845 1845 SolarLease AMENDMENT Contractor License MA HIC 168572/MA Lic. MR -1136 1. The SolarLease Agreement between SolarCity and You, (the "Agreement") including the Exhibits to that Agreement, are hereby amended as follows: a. Section 3 of the Agreement, "System Description" is replaced in its entirety with the following: 7.140 kW DC (STC) photovoltaic system Photovoltaic Modules Inverter(s) Mounting system Monitoring system Electric meter number: Extras: None b. Section 4 of the Agreement, entirety with the following: "Lease Payments; Amounts" is replaced in its 0 SolarLease Amendment, June 11t°, 2014 Copyright © 2008-2014 SolarCity Corporation. All Rights Reserved. 1 DocuSign Envelope ID: 4358E1 FF -33C8-41 F7-B4ED-2C30EOF6D848 I have read this Amendment in its entirety and I acknowledge that I have received a complete copy of this Amendment. This amendment supersedes any prior amendments that are inconsistent with the subject matter contained herein. The pricing in this Lease Amendment is valid for 30 days after 8/5/2014. If you don't sign this Lease Amendment and return it to us on or prior to 30 days after 8/5/2014, SolarCity reserves the right to reject this Lease Amendment unless you agree to our then current pricing. Customer' s Na ��/I .J AbyYincent `vl.A1'le VIKWA Signature. C15DBE2996F449F... 8/26/2014 Date: Customer's Name: Signature: Date: =;;;SolarCity. SolarLease SOLARCITY APPROVED Signature: • LYNDON RIVE. CEO SolarLease ;-'SolarCity. Date: 8/5/2014 SolarLease Amendment, June 11`h, 2014 Copyright © 2008-2014 SolarCity Corporation. All Rights Reserved. '�Ke"SolarCity. 3055 Clearview Way, San Mateo, CA 94402 (888) -SOL -CITY (765-2489) 1 www.solarcity.com August 1, 2014 Project/Job # 018814 RE: Project: To Whom It May Concern, CERTIFICATION LETTER Vincent Residence 4 Lacy St North Andover, MA 01845 Version #37.9 A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: - Applicable Codes = MA Res. Code, 8th Edition, ASCE 7-05, and 2005 NDS - Risk Category = II - Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 50 psf - MP1: Roof DL = 8 psf, Roof LL/SL = 38.5 psf (Non -PV Areas), Roof LL/SL = 25 psf (PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDC) = C < D On the above referenced project, the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load, and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code, 8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Andrew White, P.E. Structural Engineer Main: 888.765.2489, x2377 email: awhite@solarcity.com Digitally signed by Andrew White Date: 2014.08.04 08:28:02 -04'00' 3055 Clearview Way San Mateo, CA 94402 T (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com AZ RCC 243711. CA CSL8 888104, C0 EC 8041, CT HIC OG32778, DC HIG 71 tQ1480. DC HSS 71101488. Hs Gi-2erT0. MA Ii1C If;857d, MD MHIG 1285148, NJ 13VHOtt1(;Ofii](1, OR CC8 180498, 84 077343, TK TOLR 27000, WA C,CL S0LARC'91'107 0 2013 S01U1Qtt, All ,1ghtg reftrvecl. 08.01.2014 �l. • TM Version #37.9 o��®I�rCI SleekMount PV System Structural Design Software PROJECT INFORMATION & TABLE OF CONTENTS —Project Name: Job Number: _ Vincent Residence 018814 Vincent, Mark 4 Lacy St ._ --North Andover, ,, MA 01845 42.649972 _ _ -71.048918 Wilmington kyle jackson AHJ: North Andover_ MA Res. Code, 8th Edition _IRC 2009./ IBC 2009 ASCE 7-05 _ II No Yes William Avery Andrew White P.E. Building Code: —Based On:. ASCE Code: Customer Name: Address: City/State: Zip Code Risk Category:. Upgrades Re- 'd? �_Stamp.Req'd? PV_ Designer: EOR: Latitude / Longitude: SC Office: Calculations: Certification Letter 1 Project Information, Table Of Contents, & Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDC) = C < D 4 Lacy St, North Andover, MA 01845 Latitude: 42.649972, Longitude: -71.048918, Exposure Category: C LOAD ITEMIZATION - MPI PV System Load Non -PV Areas PV Module . _Weight (psf) - .. ard Hware Assembl Wei ht 2.5 psf _ 0.5 psf PV System Weight s MP1 3.0 psf Roof Dead Load Non -PV Areas Material Load Roof Category Description Lo MP1 Table 4-1 Roofing . Type_____ _ = _ Y _.� _ ._ ` Comp Roof _ T_ � ( 1 Layers) ` 2.5 psf _ @_ Re -Roof to 1 Layer of Comp? No Underlayment_ _ _ - -- _ __ __Rr_ _ _ --Roofing Paper psf__ _ Plywood Sheathing - Rz Yes 1.5 psf Board Sheathing Lr— - r M .._ . _ Lr ='Lo (R�) (Rz) - Equation 4-2 Rafter Size and Spacing Lr 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted Ceiling _ _-- _ _ - _ No - �� '� � - Miscellaneous Miscellaneous Items 1.2 sf Total Roof Dead Load 7.3.4 & 7.10 8 Psf (Mpi) 8.0 Psf Reduced Roof LL Non -PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Member Tributary Area— At _ _ < 200 sf 7 Roof Slope 7/12 Tributary Area Reduction __ _ _ __ __Rr_ _ _ _ _ .. �- _. _ '-_ - - --- I Section 4.9 Sloped Roof Reduction _ - Rz 0.85 _ Section 4.9_ Reduced Roof Live Load Lr— - r M .._ . _ Lr ='Lo (R�) (Rz) - Equation 4-2 Reduced Roof Live Load Lr 17 psf (MPI)17.0 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load p9 50.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? _ _ - _ y Yes ®� _ ASCE Eq: 7.4-1 77% Effective Roof S.lope, 3-1- ° Ho-riz.D_s_tancefr_o—mEve to Ridge_ _ '17.5 ft Snow Importance Factor IS 1.0 Table 1.5-2 Snow Exposure Factor Ce Partially Exposed1.0 Table 7-2 Snow Thermal Factor Ct Structures kept just above freezing Table 7-3 Minimum Flat Roof Snow Load (w/ � - �� '� � - Rain -on -Snow Surcharge)_.—, Pf-min 38.5 psf 7.3.4 & 7.10 Flat Roof Snow Load Pf pf = 0.7 (Ce) (Cf) (I) pg; pf ? pf-min _ Eq: 7.3-1 v 38.5 psf 77% ASCE Desi n Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding Roof CS -.f All Other Surfaces 1.0 Figure 7-2 Design Roof Snow Load Over Surroundin Roof Ps -roof Ps -roof = (Cs -roof) Pf ASCE Eq: 7.4-1 77% 38.5 psf ASCE Desi n Slo ed Roof Snow Load Over PV Modules Surface Condition of PV Modules C 5 _ P� Unobstructed Slippery Surfaces 0.7 Figure 7-2 Design Snow Load Over PV Modules PS -PV PS_ „ _ (CS- „) Pf ASCE Eq: 7.4-1 50% 25.1 Psf COMPANY PROJECT IM) Woodworks® SOFMARF FOR WOOD DESIGN Aug. 1, 2014 10:161 MP1.wwb Design Check Calculation Sheet WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- tern Location [ft] Start End Magnitude Start End Unit DL Dead Full Area No 8.00 (16.0)* psf SL Snow Partial Area Yes 1.00 13.50 25.10 (16.0)* psf PVDL Dead Partial Area No 1.00 13.50 3.00 (16.0)* psf SL2 Snow Partial Area Yes 0.00 1.00 38.50 (16.0)* psf SL3 ISnow lPartial Areal Yesl 13.50 14.78 1 38.50 (16.0)* sf *'i-rinutary wiatn ( in) Maximum Reactions (Ibs), Bearing Capacities (lbs) and Bearing Lengths (in) : V'-5.4" 0' 0'-10" 14'-9" Unfactored: Dead Snow Factored: 128 281 113 255 Total 408 367 Bearing: F'theta 516 516 Capacity Joist 677 387 Supports 586 586 Anal/Des Joist 0.60 0.95 Support 0.70 0.63 Load comb 42 #4 Length 0.50* 0.50* Min req'd 0.35** 0.50* Cb 1.75 1.00 Cb min 1.75 1.00 Cb support 1.25 1.25 Fcp sup 6251 1 625 "Minimum bearing length setting used: 1/2" for end supports and 1/2" for interior supports "Minimum bearing length governed by the required width of the supporting member. MPI Lumber -soft, S -P -F, No.1/No.2, 2x8 (1-1/2"x7-114") Supports: All - Timber -soft Beam, D.Fir-L No.2 Roof joist spaced at 16.0" c/c; Total length: 17'-5.4'; Pitch: 7/12; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); F-1 F- WoodWorks® Sizer SOFTWARE FOR WOOD DESIGN MP1.wwb WoodWorksO Sizer 10.1 Analysis vs. Allowable Stress (psi) and Deflection (in) using Nus 2012: Criterion Analysis Value Design Value Analysis/Design Shear fv = 39 Fv' = 155 fv/Fv' = 0.25 Bending(+) fb = 1114 Fb' = 1389 fb/Fb' = 0.80 Bending(-) fb = 20 Fb' = 609 fb/Fb' = 0.03 Live Defl'n 0.57 = L/339 1.07 = L/180 CRITICAL LOAD COMBINATIONS: 0.53 Total Defl'n 1.00 = L/193 1.61 = L/120 0.62 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb'- 875 1.15 1.00 1.00 0.439 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 1.00 - - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 315, V design = 286 lbs Bending(+): LC #4 = D+S (pattern: sS), M = 1220 lbs -ft Bending(-): LC #2 = D+S, M = 22 lbs -ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=live S=snow W=wind I=impact Lr=roof live Lc=concentrated E=earthquake All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non -dead loads (live, wind, snow...) Total Deflection = 1.50(Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 Page 2 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. FIRE RATING: Joists, wall studs, and multi -ply members are not rated for fire endurance. 7. The critical deflection value has been determined using maximum back -span deflection. Cantilever deflections do not govern design. CALCULATION OF DESIGN WIND LOADS MP T Mounting Plane Information Roofing Material - Comp Roof Table 6-3 PV System TYpe - - _ Krt _ SolarCity SleekMountT'" Section 6.5.7 Spanning Vents V No Fig. 6-1 _ Standoff Attachment Hardware _ Comp Mount Type C -_ Roof Slope qh 310 Fig. 6-11B/C/D-14A/B Rafter Spacing _ h 16" O.C. Section 6.2 Framinq Type Direction Y -Y Rafters T -allow --D-C-R- Purl-in.Spacing _ _ _ _ _ X -X Purlins Only - _ NA DCR Tile Reveal Tile Roofs Only NA Tile Attachment System. _ Tile Roofs Only NA _ Standing Seam spacing SM Seam Only NA Wind Design Criteria Wind Design Code KZ ASCE 7-05 Table 6-3 _ Wind Design Method _ _ Krt Partially/Fully Enclosed Method Section 6.5.7 Basic Wind Speed V 100 mah Fig. 6-1 Exposure -Category ._ _ C _ Section 6.5.6.3 Roof Style qh _ Gable/Hip Roof . Fig. 6-11B/C/D-14A/B Mean Roof Hei ht h 25 f Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Toraphic Factor- _ pog Krt 1.00 _ - - _ _ Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Im ortance Factor _ I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V^2) (I) Equation 6-15 3 psf 20.6 sf T -actual _ _ Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig. 6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh (GC) Equation 6-22 Wind Pressure U Wind Pressure Down -19.6 psf 18.0 Psf ALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever®-- __ _ _ _ _Landscape_ _ ._. _ ._ _ _ _- . - _ 24° _ - -_ . _ _. _ - NA_— _ Standoff Configuration Landscape Staggered Max Standoff Tributary_ Area_ _. _ _ -Trib- _. _ _ _- -_ _ 17 sf PV Assembly Dead Load W -PV 3 psf _ _ Net Wind Uplift,at Standoff - _ T -actual _ _ _ -310 lbs, Uplift Capacity of Standoff T -allow --D-C-R- 500 lbs _ Standoff Demand Ca ac Fty DCR 62.0% X -Direction Y -Direction Max Allowable Standoff Spacing Portrait 48" 64" _ Max Allowable Cantilever__ _ _ _ _ Portrait _ _ _ _ _ .18"_ _ _ _ _ _ . NA- Standoff Configuration Portrait Staggered Max Standoff Tributary Area _ - _ Trib _ _ _ _ _ 21 sf _ PV Assembly Dead Load W -PV 3 psf Net Wind Uplift at Standoff. _ - Tactual . -388 lbs Uplift Capacity of Standoff_ _ T -allow 500 lbs _ Standoff Demand Ca aci DCR 77.6% System: . 9/9/2014 User Date: 9/9/2014 a Batch ID: jblacklISS1 Frequency: Single Use Trx Total- Actual: Qty Total- Actual: 8:35:44 AM SolarCity Corporation Page: 1 TRANSACTION POSTING JOURNAL User ID: jblackl Inventory Control Comment: Audit Trail Code: IVADJ00464840 GL Posting Date: 9/9/2014 1 Control: 0 12.00000 Control: 0.00000 Document Number Document Date ----------------------------------------------------------------------------------------------------------------------------------- GL Posting Date Document Type Reference Number Source Item Number U of M Quantity Site Unit Cost Extended Cost Description ----------------------------------=-----------Quantity---------------------------------------------------------------------------- --- ---------------------------------------------------- Inventory Account Offset Account Serial Lot Number ----------------------------------------------------------------------------------------------------------------------------------- 000459415 9/9/2014 9/9/2014 Adjustment JB -0212152-00 Issue PV -101320-255 EA. (12) MA -WL $195.84 $2,350.08 CANADIAN SOLAR # CS6P-255PX: PV Module; 255W, 234. 1300-00-0772-00 1310-00-0772-00 Total Items: 1 Total Documents: 1 N ..T. •� � ZS t0 03 N n ^ O� a O c koro LU N z+•' •' rn t° Z NpQW N wQU W �--I > J a O o F- O m V u LLJ -j W Q J W s S Z of Z LU Un J => U _1 w O O f LL. W Q a \ o =W.N i- w k3 \ UcnNOF- m a ac I- CD L z * r N M LC) ¢ E > 1 In • 1 1 a i < Z Q w C)f Q LLLI > LTJ orfa.-w cn Z LLJZ YLI; LLJ � (� z /r',+ � Z > W 9 a O 1 O Z Z O s LO V °° ,.._, o 0 Q ry- 00 LO 1* z j CE n s < I— 0 Do Lr3 ' `� c9 w wU_ z zm mQ z �C�Q� w m o m cn m ui z cfl zN wo J �N F-� Q Qof L)�- W o 3o CL `. 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