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Miscellaneous - 45 SECOND STREET 4/30/2018
45 SECOND STREET 210/019.0-0003-0000.0 �. I I I 4 Date....V.. ............................... ! CF r1pR7M,h TOWN OF NORTH ANDOVER o a PERMIT FOR WIRING 8`Q,CMUg� This certifies that ... G�� ........................................................................................................ has permission to perform ....64 ..... ...........................:.................... wiring in the building of.........V�?..;�n .e7.......................................................................... 45 2�JO S at .,)V.............................. ..................,..._......................................... .. N rth Andover, SS. Fey.........Lic.No.� .. .......... ...... . .......:.... .. ECTRICALINSPECT Check# Commonwealth of Massachusetts Official Use Only � — Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/6/13 City or Town of North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)45 2nd Street Owner or Tenant Charles Woods Telephone No.978-360-7709 Owner's Address same Is this permit in conjunction with a building permit? Yes ® No ❑ BLDG PERMIT # Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: installation of 4.655 kw(19 vanel) rooftov sola array Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting a rnd. arnd. Battery Units Y No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers eat Pumpumber ons ' "' o.oSelf-Contained Totals: """"" " '"''' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Water No.o No.o No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts 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: $13,925 (When required by municipal policy.) IWork to Start:8/13/2013 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the perfonnance 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: The Boston Solar Company LIC. NO.: 12689A Licensee: William T. Foglietta Signature' LIC. NO.: (If applicable,enter "exempt"in the license number line.) Bus. Tel. No.: 781-462-8702 Address: 10 Churchill Place, Lynn MA 01902 Alt.Tel.No.: *Per M.G.C.—c—147,s. 57-61,security work requires Department of Public Safety"S"Licen LIC.NO.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. S 5,�. f i ��i � ��= 200/�- r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): The Boston Solar Company Address: 10 Churchill Place City/State/Zip: Lynn MA 01902 Phone #: 617 858 1645 Are you an employer?Check the appropriate box: Type of project(required): 1.91 1 am a employer with 2 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. r-1 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their ME] 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,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.® other solar installation comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins. Lic.#: WC2-31 S-384393-013 Expiration Date: 1/14/14 Job Site Address: 45 2nd Street City/State/Zip:North Andover,MA 01845 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. Signature: Date:8/6/2013 Phone#: 617 858 1645 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: COMMONWEALTH OF MASSACHUSETTS BOARD OF ELECTRICIANS SSUES THE FOLLOWING LICENSE AS. RE91STERED MASTER..ELECTRICIAN THE BOSTON SOLAR COMPANY INC 1�1f'LL I AM T FO �:I ETTA III 10 CHURCHILL PLACE . ;LYN'N MA 01902-2719 ; 1268g_:.A 07/3.1/16: 50499 CONTROL# J !�v J 9 0 IMPORTANT If your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General laws and regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Keep this license on your penton or posted as required by law and/or regulations. xr j ,1014 QAN IM 01 a Foo of r�� FCQL*"TTA •ffrl ti, ,w 03127/2013 04:46 17815955820 AMBROSE INSURANCE PAGE 03103 AC RDATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 3/27/2013 THIS CERTIFICATE IS ISSUED AS A MATMR 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), AUTHOR1290 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an AD01TIONAL INSURED,the pollcy(les)must bo endorsed. If SUBROGATION 1S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A ststement on this certificate does not confer rights to the certificate holder In lieu of such endorsomen s. PRODUCER Ambrose Insurance Agency, Inc. NAME rc +o h:n -592-6200 No:7B1�595-582056 Central Ave. • 781 Lynn, MA 01901 -ADDRESS: INSURER($) AFFORDING COVERAGE HMOs INSURER A;COlon INSURED Boston Solar Co. , Ino. INSURER 8;safety INSURER C;National Union Fira of P;9 tt*b%=gh 10 Churchill Pl. INSURER D:Liberty Mutual Lynn, MA 01902 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RFOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PFRTAIN, 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, INBR LTR TYPE OF INSURANCE POLICY NUMBER MNYDD/YYYY M 0 LIMITS GENERAL LLA9ILITY EACH OCCURRENCE 5 1,000,000 X COMMERCIAL 06N6RAI.LIABILITY PREMISES Ea occurrence S 100,000 CLAIMS-MADE EX OCCUR MED EXP(Any onepereon) 3 $ 000 A Y GL4046208 2/14/132/14/14 PERSONAL A ADV INJURY $ 101000,000 GENERAL AGGREGATE S 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO 1; 2,000,000 POLICY X PRO• LOC a AUTontoBlLE LIAsaIrY Ea eccrtlem 1,0 0,OOO ANYAUTO BODILY INJURY(Per parson) S ALL OWNED AUTOSSCHEDLEO BODILY INJURY(par accident) S 8 AUTos X AUTOS Y 6216592 1/23/131/23/14 X HIRED AUTOS 3C AUTOS er aacldent S a UMBRELLA LIAR X OCCUR C X EXCESS EACH OCCURRENCE S 5,000,000 CLAIMS•MADE Y EEU-067910167 2/13/132/13/1 AGGREGATE $ 5,000,000 QED RETENTION$ I $ WORKERS COMPENSATION 0 sTAru- OTH- AND EMPLOYERS'LIABILITY YIN X ER ANY eFtI MMSER rPARTU0LrD?EGUTNL E,L,EACH ACCIDENT $ 1 000,000 D OFKICERIMEMeER EXCI.VDED9 � N/A (MliWaryInNMI WC2-31S-384393-013 1/14/131/14/14 E,LDISEASE-EAEMPLOYE $ 1,000,000 If Yyees,tleeeribe antler OESGRIPTION OF OPERATIONS below M.L.DISEASE-POLICY LIMIT $ 1,000,000 A Installation Floater GL4046208 2/14/1,32/14/14$25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Auaeh ACORD 101,Addluonel Remmks Seherrulo,If more apace Is required) Solar Panel Installation CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE;LLeD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn. : Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall North Andover, MA 01845 AUTHORIZED REPRESENTATN6 z� a 1 8 01 ACORD CORPORATION. All rights reserved, 4CORD25(2010l05) The ACORD name and Ingo are registered marks of CO b 1 2 3 4 0 THE INSTALLATION OF SOLAR ARRAYS AND PHOTOVOLTAIC NOTE:BALANCE OF SYSTEM(BOC)EQUIPMENT POWER SYSTEMS SHALL BE IN ACCORDANCE WITH THE SHOWN FOR REFERENCE TO LOCATION ONLY- LOCATION OF INVERTER WITH NOT TO SCALE INTEGRATED DC DISCONNECT MOST RECENT NATIONAL ELECTRIC AND BUILDING CODES AND STANDARDS,AS AMENDED BY LOCAL JURISDICTION. AND LOCUS MONITORING UNIT (INSIDE BASEMENT) A ROOF-MOUNTED JURISDICTIONAL INFORMATION: JUNCTION BOX JURISDICTION: NORTH ANDOVER,TOWN OF ADDRESS: 1600 OSGOOD ST. PROPERTY LINE ROOF MOUNTED NORTH ANDOVER,MA 01845 SOLAR MODULES PHONE NUMBER: (978)688-9545 SYSTEM SUMMARY ' J0 THIS GRID TIED 4.655 KW DC,3.96 KW CEC AC ROOF MOUNTED SOLAR ELECTRIC SYSTEM WITHOUT ENERGY STORAGE COMPONENTS CONSISTS OF: (19)MOTECH AMERICAS IM6OB3-245-A1OB45 / \ (1)POWER-ONE PVI-3.6-OUTD-S-US(240 V) \ s IPJ � QQ- OF QS' NOTES TO INSTALLER: DC CONDUIT RUN:THE CONDUIT WILL RUN FROM ROOF 2 \ ® ACROSS WALL AND PENETRATE TO ROOF 1 ATTIC.PENETRATE TO ROOF 1 WALL AND FOLLOW DOWN FROM EAVE TO ARRAY. AC CONDUIT RUN:FROM BOS IN BASEMENT ACROSS TO MSP. MONITORING RUN:FROM BOS IN BASEMENT TO ROUTER. / Ol (E)SFO / ,DRIVEWAY (E)MAIN SERVICE PANEL SHEET NUMBER SHEET TITLE (INSIDE BASEMENT) 0 UTILITY METER PV1.0 COVER AND SITE PLAN (E)CHIMNEY AC DISCONNECT PV2.0 LAYOUT AND STRUCTURAL SITE PLAN (E)ROOF PV2.1 LAYOUT AND STRUCTURAL-1 SCALE: 1/64"=V-0" VENT J CONDUIT RUN Q3 F� THROUGH ATTIC PV2.2 LAYOUT AND STRUCTURAL-2 P�00 PV3.0 ELECTRICAL DETAIL PV3.1 CALCULATIONS PV4.0 LABELS COVER AND SITE PLAN htG10j� sBis WOODS -356479 XEv: ��PGVq 45 2ND ST --- PROPERTY LINE ®SUBP"EL NORTH ANDOVER, MA 01845 -- CONDUIT RUN oQc DC DISCONNECT SOLAR AC (978)360-7709/#356479 SOLAR MODULE ❑O JUNCTION OX pit f.adI`° "�pt�;__Jper' SITE PLAN DETAIL ®JUNCTION BOX �w QQ METER ERVICE ©MONITORING UNIT SCALE: 1/8"=V-0" N 8 PV MMR Q COMBINER BOX a MMKJM PV 1.0 © INVERTER E]ROOF OBSTRUCTION MA,� '{65 nussou it I I 1 2 3 4 5 MODULE SPECS —SYMBOL KEY: (19)MO%AMERICAS IM6083-245,410845 SOLAR MODULE ® MOUNT MODULE WEIGHT: 43.7 LBS - RAIL IRONRIDGE XRS RAIL MODULE MODULE WIDTH: 39.1' —— RAFTERS L-BRACKET ROOF 1 SPECS ROOF RAFTER SIZE: 2.6 Q SOLAR MODULE QUICK MOUNT SHINGLE RAFTER SPAN: 9'-8' = RAIL SPLICE AND FLASHING RAFTER SPACING: ROOF MATERIAL:COMPOSRE SHINGLES � A ® ©STRING CONFIG. J"x 5"SS LAG BOLT ARRAY 1 SPECS MIN.2.25"RAFTER EMBEDMENT NUMBER OF MODULES: 8 TOTAL MODULE WEIGHT: 349.6 LBS RACKINGSTRUCTURAL NOTES: COMPOSITION SINGLE ARRAY WEEIiGGHT: 464.2 LBS 1. MOUNTS ARE APPROXIMATE LOCATION BUT ACCURATELY SPACED ARRAY AREA: 141.2 SOFT 1"PLANK ARRAY DEAD LOAD: 3.3 LBS/SOFT NUMBER OF MOUNTS: 18 2. MOUNTS SHOULD BE STAGGERED WHEN POSSIBLE TO EVENLY 2X6 RAFTER LOAD PER MOUNT: 29.0 LBS DISTRIBUTE LOAD AMONGST RAFTERS ROOF PITCH: 39' NUMER OF FLOORS: 1 3. DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS 4. ON TRUSS ROOF SYSTEMS,KEEP ATTACHMENTS 6"MIN.FROM NAIL PLATES n MOUNTING DETAIL ROOF 1 L AZIMUTH:136°TN SCALE:1-1/2"=V-0" 2'-7^ 16'-5" E B I 1 I 10...............1 ._i — 4 --- 4-1,111.1 o 0 L 39 I I I I o 1 I I I € I I I I I 9'-8" ARRAY 11cli CONTINUES TOROOF 3 LAYOUT AND STRUCTURAL �RRAY SECTION ROOF 1 WOODS - 356479 RRAY LAYOUT ROOF 1 /(,/ 3 y, d.; ALE: 3/8"=1'-0" 45 2ND ST K1PAZIMUTH:138"TN SCALE: 1/4"=1'-0" �'�) S °F S�tcy fTYT �� ��, ;��: �� NORTH ANDOVER, MA 01845 to C400 �,,� N (978) 360-7709/#356479 • - N'PUN�3g5 � ND's 4 JaMESA MARKJR J RrGIszG� ��G�� PVZ.O MI�Ptaa111E0giaeet3p65 sslol�� 1 2 3 4 5 MODULE SPECS (19)MOTECH AMERICAS IM60B3-245-A10B45 3� 13'-2" 3,4.. MODULE WEIGHT: 43.7 LBS MODULE LENGTH: 65" MODULE WIDTH: 39.1" ROOF 2SPECS RAFTER SIZE 2x6 RAFTER SPAN: 14'-7" C7 RAFTER SPACING: 41" A I I I I I ROOF MATERIAL.COMPOSITE SHINGLES A I SOLAR MODULE ARRAY 2 SPECS NUMBER OF MODULES: 8 IRONRIDGE XRS RAIL TOTAL MODULE WEIGHT: 349.6 LBS 4- 4 ---4 -� RACKING WEIGHT: 98.6 LBS L-BRACKET ARRAY WEIGHT: 464.2 LBS I I............. ....................... ...........I............ ............ 2 ARRAY AREA: 141.2 SOFT QUICK MOUNT SHINGLE ARRAY DEAD LOAD: 3.3 LBS/SOFT NUMBER OF MOUNTS: 16 I J I AND FLASHING LOAD PERM LINT 29.0 LBS I I I I ROOF PITCH: 8' �'x 5"SS LAG BOLT NUMER OF FLOORS: 1 MIN.2.25"RAFTER EMBEDMENT COMPOSITION SINGLE I I I II I............. ..........I............. ...........I............ ............ 2 I 1/2"PLYWOOD I _ __---�-__ ---�__- --- -- 2X6 RAFTER B I B I I I I I I N N MOUNTING DETAIL ROOF 2 ARRAY LAYOUT ROOF 2 � AZIMUTH:138°TN SCALE: 1/4"=1'-0" STRUCTURAL NOTES: 1. MOUNTS ARE APPROXIMATE LOCATION BUT ACCURATELY SPACED 2. MOUNTS SHOULD BE STAGGERED WHEN POSSIBLE TO EVENLY DISTRIBUTE (jlLOAD AMONGST RAFTERS .1 F7777� 3. DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS C C 4. ON TRUSS ROOF SYSTEMS,KEEP ATTACHMENTS 6"MIN.FROM NAIL PLATES 14'-711 LAYOUT AND STRUCTURAL-1 1'-3" WOODS - 356479 45 2ND ST NORTH ANDOVER, MA 01845 r,-)ARRAY SECTIONROOF 2 (978) 360-7709/#356479 SCALE: 1/2"=V-0" PV2.1 1 2 3 4 5 MODULE SPECS (19)MOTECH AMERICAS IM60B3.245-A10B45 MODULE WEIGHT: 43.7 LBS MODULE LENGTH: 65" STRUCTURAL NOTES: MODULE WIDTH: 39.1" T' 1. MOUNTS ARE APPROXIMATE LOCATION BUT ACCURATELY SPACED ROOF 3 SPECS RAFTER SIZE. 2x6 9'-10" 3' 5'-9" 2. MOUNTS SHOULD BE STAGGERED WHEN POSSIBLE TO EVENLY RAFTER SPAN: DISTRIBUTE LOAD AMONGST RAFTERS RAFTER SPACING: 24"OC A ROOF MATERIAL:COMPOSITE SHINGLES A 3. DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO ARRAY 3 SPECS NU BER OF MODULES 3 MOUNTS TOTAL MODULE WEIGHT 131.1 LBS RACKING WEIGHT: 40.0 LBS 4. ON TRUSS ROOF SYSTEMS,KEEP ATTACHMENTS 6"MIN.FROM NAIL ARRAY WEIGHT 178.1 LBS ARRAYAREA 52910 T -- ---- -- 'I---- I I I PLATES ARRAY DEAD LOAD: 3.4 LBS/SOFT N NUMBER OF MOUNTS: 7 1 ..... ...............�........ ....I...............I.. LOAD PER MOUNT: 25.4 LBS 1 ROOF PITCH: 45' ---- -- --- NUMER OF FLOORS: 1 N IARIIAY1-3 CONTINUES TO ROOF 1 B SOLAR MODULE B IRONRIDGE XRS RAIL L-BRACKET QUICK MOUNT SHINGLE it r�A RRAY LAYOUT ROOF 3 AND FLASHING 1 ti AZIMUTH:130°TN SCALE: 1/4"=1'-0" A�"x 5"SS LAG BOLT MIN.2.25"RAFTER EMBEDMENT COMPOSITION SINGLE 1/2"PLYWOOD 2X6 RAFTER C (D3 �A!02M-UTH:UNTING DETAIL ROOF 3 C 130'TN SCALE:1-1/2"=1'-O" LAYOUT AND STRUCTURAL-2 WOODS - 356479 45 2ND ST 6-11" NORTH ANDOVER, MA 01845 11" (978) 360-7709/#356479 ARRAY SECTION ROOF 3 PV2.1 1 2 3 4 5 Conduit Schedule Item Equipment Description MODULE ELECTRICAL SPECS TAG Conductors Conduit 2 MOTION TECHNOLOGIES J-BOX4 NEMAU,RAIL MOUNTED,2 TOTAL (19)MOTECH AMERICAS IM60133-245-AtOB45 #10 CU PV-WIRE SHORT CIRCUIT CURRENT(1.): 8.55 A A 15 POWER-ONE PVI-3.6-OUTD-S-US 240 V INVERTER WITH 2P 20A BREAKER OPEN CIRCUIT VOLTAGE IV-): 37.53V TO STRAIN RELIEF A D N A N N- IB - OPERATING CURRENT(IMP): 7.99A (4)#10 THWN-2 1/2 in.EMT27 DG221UR6 NEMA3R OPERATING VOLTAGE(VMP): 30.65V B MAX SERIES FUSE RATING: 15A (1)#10 THWN-2 28 AC DISCONNECT,60AMP,FUSIBLE,C-H DG222NRB NEMA3R STC RATING: 245 W 3)#10 THWN-2 41 (E)MAIN SERVICE PANEL 100A MAIN AND 100A BUSS BAR,ITE CEC PTC RATING: 217.1 W C 1/2 in.EMT DESIGNCONs rn 3 TIOeSiP.(c) : 32'o A A (1)#8THWN-2 HIGHEST %IDS #10 THWN-2 MIN.MEAN EXTREME ANNUAL OB('C): -18•C D (1)#8 THWN-2 1/2 in.EMT INVERTER 1 SPECS (1)POWER-ONE PVI-3.6-OUTD-SUS(240 V) (3 #6 THWN-2 RATED WATTS(EACH): 3600W E (1)#8THWN-2 3/4 in.EMT AC OPERATING VOLTAGE: 240V AC OPERATING CURRENT: 16 A MODULES PER STRING MPPT DUAL INPUTS: 8&11 INVERTER EFFICIENCY: 96% INTEGRATED DC DISCONNECT SWITCHWITH DUAL MPPT INVERTER 1 STRINGING(690.53)MPPT 1 MAX POWER POINT CURRENT(IMP): 8.0 A MAX POWER POINT VOLTAGE(VMP): 245.2 V A B C D E MAX SYSTEM VOLTAGE(VOC)690.7(A)1: 343.9 V 15 41 SOURCE CIRCUIT CURRENT(ISC)690.8(A)1: 10,7 A 2 27 26 REFER TO EQUIPMENT MAX SHORT CIRCUIT CURRENT(ISC)690.8(A)2: p A O MPPT 1 SCHEDULE FOR ADDITIONAL INVERTER 1 STRINGING(690.53)MPPT 2 1 Stri=sMng � -AC 20ABREAKER INFORMATIONMAX POWER POINT CURRENT(IMP): 8.0 A 8 ModuleDC M OUTPUT LOAD LINE LOAD LINE MAX POWER POINT VOLTAGE(VMP): 337.2 V MAX SYSTEM VOLTAGE(VOC)690.7(A)1: 472.9 V -------- �' ------- ---------- ------- ---------- - -1 SOURCE CIRCUIT CURRENT(ISC)690.8(A)1: 10.7A B O 1 String(s)of JBOX MPPT 2 ) METER MAX SHORT CIRCUIT CURRENT(ISC)690.8(A)2: 10.7 A B � � L------- 11 Modules per string INVERTER UI �I 1 GEC IRREVERSIBLY SPLICED TO ELECTRICAL KEY: EXISTING GEC OR BONDED DIRECTLY F- Z TO EXISTING GROUNDING ELECTRODE SWEITCHR U 0 0 - O SCREW TERMINAL H m FUSE LOCUS • SPLICE DATA OACPNL. ! EARTH GROUND FOR VAC REF. ACQUISITION /77 CHASSIS GROUND SYSTEM TO ROUTER ---GEC C EGC C IMPORTANT BACKFED SOLAR BREAKER(S)SHALL BE ELECTRICAL NOTES: INSTALLED AT THE END OF THE CIRCUIT OR NOTE: FURTHEST AWAY FROM THE MAIN BREAKER. 1. ALL EQUIPMENT IS LISTED FOR USE. SINGLE#10 AND#8 GROUNDING CONDUCTOR FROM 2. INSTALLER TO FOLLOW NEC AND LOCAL JURISDICTION GUIDELINES. INVERTER TO EXISTING GROUNDING SYSTEM COMPLIES ELECTRICAL DETAIL 3. ALL LABELS AND MARKING TO FOLLOW ARTICLE 690(IV). WITH ARTICLE 690.47 FOR DC GEC AND EGC. 4. THE POINT OF CONNECTION COMPLIES WITH CEC/NEC ARTICLE 690.64(8). ] G 5. ALL WIRE,VOLTAGES,AMPERAGES AND EQUIPMENT IS SIZED ACCORDING TO TEMPERATURE DERATING AND LOCATION. WOODS y00D5 _ J5V47.7(i 6. DISCONNECTS SHALL BE WIRED SO THAT SOLAR DC WIRES ARE ON THE LINE SIDE AND THE AC UTILITY WIRES ARE ON THE LINE SIDE. L+ 7. MAXIMUM VOLTAGE DOES NOT EXCEED 600VDC. 45 2ND JT B. ALL MODULES AND RACKING SHALL BE GROUNDED WITH TIN PLATED DIRECT BURIAL RATED LAY IN LUGS USING STAINLESS STEEL HARDWARE,STAR NORTH ANDOVER, MA 01845 WASHERS,AND THREAD FORMING BOLTS OR WEEBS. (978) 360-7709/#356479 9. ALL EQUIPMENT SHALL BE GROUNDED,INCLUDING BONDING JUMPERS WHERE NECESSARY ACROSS RAIL SPLICE PLATES TO BOND INDIVIDUAL PIECES OF RAIL 10. ONLY COPPER(CU)CONDUCTORS SHALL BE USED. STRANDED OR SOLID WITH PROPERLY RATED CONNECTORS. 11. INVERTER(S)CONTAIN A GROUND FAULT DETECTION AND INTERRUPTION DEVICE. PV3.0 12. ALL EQUATIONS ACCOUNT FOR WORST CASE CONDITIONS. 1 2 3 4 5 DC WIRE SIZE: DC wire size Location 1 120%Rule on Main Amperage SOURCE CIRCUIT[690.8(A)(1)](Isc): Isc'1.25 Panel OUTPUT CIRCUIT[690.8(A)(2)]Osc): Isc'1.25'#STRINGS Number Stdngs Combined: 1 Main Panel OR Sub Bus(A): 100 MIN.DC WIRE AMPACITY: 1690.8(a),690.8(b).210.19(A)1,215.2(A),110.14(C)]: Condud-in Raceway(condu#fig derxe): 4 Main Breaker(A): 100 THE MAXIMUM OF: Nipple flees than 24^g No Allowable Input Breaker(A): 20 1.(Isc'1.25)/(CONDITIONS OF USE) Win,Rating(•c): 90 2.(Isc'1.25.1.25) DERATE WIRE FOR TERMINALS DEPENDING UPON TEMP. Terminal Rating(•C): 60 A AC WIRE SIZE: Dist-Above Roaf.to Bottom of Condu#: 0.5"-3.5" DC EGC Size A 13.34 INVERTER OUTPUT[690.8(A)](Isc): INV.OUTPUT'1.25 Conduit Fal derating: 090 Min.amperage: MIN.AC WIRE AMPACITY: Comectedillghest 2%DB deslgn temp(*F): 130 Min.EGC size: #14 [690.8(a),690.8(b),210.19(A)1,215.2(A),110.14(C)I: Tempteraturt Correcion f-- 0.76 THE MAXIMUM OF: 1.(INV.OUTPUT'1.25) Masimum[Inuit Current(690.8(A))(1pvMas): 10.69 AC EGC Size 2.(INV.OUTPUT)/CONDITIONS OF USE Method A:1.25'C n inuous Current(215.2)(A): 13.36 Min.amperage: 20.00 DERATE WIRE FOR TERMINALS DEPENDING UPON TEMP. Method B:Max.Circuit Curren-fthconditions(A): 17.58 Min.EGC size: #12 Min.Ampachy required(A): 17.58 GROUNDING SIZE: Wire,itad pra-tarminalcomparison(AWG): #14 GEC DC Fuse Size NEC 690.47 Wire size ampadty post-terminal comparison(A): 30 Sized per Table 250.66 for AC Minimum Wire Size(AWG): #12 Min.amperage: 13.34 Sized per Table 250.166 for OC Min.fuse size if needed: ISA Fuse DC EGC Table 250.122 AC wire size Inverter 1 Use 1.56'Isc'#strings(f applicable) AC EGC Quantity: 1 NEC 250.122 Conductors in Raceway(Conduit fill carate): 2 B Sized based on OCPD. Nipple(less than 24"): NO B MAXIMUM SYSTEM VOLTAGE: Wim Rating(*C): 90 NEC2008/2011 requires to use manufacturers T-ImdRAftig('Q: 60 Coefficient if available Conduit Fill derating: 1.00 Method A:Voc'#of modules in series'NEC Highast 2%DB design-p(*F): 90 Coefficient Tempteratu re Correction factor: 0.96 Method B:ffT min°C-25°C)°V/°C]+Voc)'#of Inverter Rated output Current f690.8(A)I: 16 modules in series Mathod A:1.25'Cominuous Current 1215.2](A): 20.00 120%RULE: Method B:Maa.Cirat Cu- fth conditions(A): 16.67 NEC2008:[690.64(8)2] Min.Ampacity required(A): 20.00 NEC2011:705.12(D)2 Wire su d pro-teno Ina l comparison(AWG): #14 MINIMUM BUS BAR OR CONDUCTOR= TOTAL NUMBER OF BREAKERS FEEDING/1.2 Wire she amp,dtypeat-terml-Il mVarisen(A): 30 MW-m Wire Size(AWG): #12 OCPD SIZING: MIN DC:ISC'1.56 Max.System Voltages INVI MPPTS INV 1 MPPT2 C MIN AC:INV.OUTPUT'1.25 Modules Per string: 8 11 C Min.Mean Extrema Annual DS(•F): 0 0 VOLTAGE DROP: NEC 2008/2011 temp.correction Nd- 1.18 1.18 (2KID/CM)/VOLTAGE-100=VOLTAGE DROP% Menufaaurars Cf f Temp(V/'C): oavco -0.12700 K=12.9 FOR COPPER I=CURRENT(IMP OR OUTPUT AC) Tamp.raturt0lHertnsr('C): -03 -0B CALCULATIONS D=DISTANCE IN FEET,ONE WAY Module Voc(VI: 37.5 37.s CM=CIRCULAR MILS M..Sys-Vohage: 343.928V 472.9V WOODS - 356479 45 2ND ST NORTH ANDOVER, MA 01845 (978) 360-7709/#356479 PV3.1 1 2 3 4 5 NEC 690.5(c) NEC 690.53&NEC 690.14(C)(2) PLACE THIS LABEL ON INVERTER(S)OR NEAR PLACE THIS LABEL ON ALL PHOTOVOLTAIC DC NEC 705.12(D)4 GROUND-FAULT INDICATOR(ON INVERTER(S)U.O.N.) DISCONNECTING MEANS(CONVERTER IF INTEGRATED DC PLACE LABEL ON ALL EQUIPMENT CONTAINING DISCONNECTS AND AT SEPARATE DC DISCONNECT IF OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER APPLICABLE) TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE A INVERTER 1 MPPT 1 DISCONNECT SOURCES. A PHOTOVOLTAIC SYSTEM DISCONNECT ELECTRIC SHOCK HAZARD RATED MAX POWER POINT CURRENT(IMP): 8.0A RATED MAX POWER POINT VOLTAGE(VMP): 245.2 V IF A GROUND FAULT IS INDICATED, MAX SYSTEM VOLTAGE(VOC): 343.9 V NORMALLY GROUNDED CONDUCTORS SHORT CIRCUIT CURRENT(ISC): 10.7A CONTAINS MULTIPLE POWER MAY BE UNGROUNDED AND ENERGIZED INVERTER 1 MPPT 2 DC DISCONNECT SOURCES PHOTOVOLTAIC SYSTEM DISCONNECT RATED MAX POWER POINT CURRENT(IMP): &0 A RATED MAX POWER POINT VOLTAGE(VMP): 337.2 V MAX SYSTEM VOLTAGE(VOC): 4725 V SHORT CIRCUIT CURRENT(ISC): 103 A NEC 690.17 NEC 690.54 PLACE THIS LABEL ON ALL DISCONNECTING PLACE THIS LABEL AT"INTERACTIVE POINT OF MEANS WHERE ENERGIZED IN AN OPEN POSITION INTERCONNECTION"(AT MAIN SERVICE PANEL AND ARNIN //}I��. SUBPANEL IF APPLICABLE)ERACTIVEPHO B ` INTERA CTIVE ENT(A)OVOLTAIC POWER SOURCE 0 • • • B Y� RATEDAERAC : gq NOMINAL OPERATING AC VOLTAGE( 240 V . • ELECTRIC SHOCK HAZARD • • • • • e DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND LOAD NEC 690.35(F) IIS r e SIDE MAY BE ENERGIZED IN THE OPEN PLACE THIS LABEL AT EACH JUNCTION BOX,COMBINER BOX, �` • POSITION DISCONNECT AND DEVICE WHERE ENERGIZED,UNGROUNDED / ®�`�•� • CIRCUITS MAY BE EXPOSED DURING SERVICE: INA NEC 705.12(D)7 ELECTRIC SHOCK HAZARD I S PLACE THIS LABEL AT P.O.C.TO SERVICE THE DC CONDUCTORS OF THIS C DISTRIBUTION EQUIPMENT(I.E.MAIN PANEL(AND PHOTOVOLTAIC SYSTEM ARE UNGROUNDED )I R- C SUBPANEL IF APPLICABLE)) AND MAY BE ENERGIZED V CONNECTION NEC 690.31(E)3&4 DO NOT RELOCATE THIS PLACE ON ALL JUNCTION BOXES,EXPOSED LABELS OVERCURRENT DEVICE RACEWAYS EVERY 10' PHOTOVOLTAIC POWER WOODS - 356479 SOURCE 45 2ND ST NORTH ANDOVER, MA 01845 (978) 360-7709/#356479 ALL LABELS AND MARKINGS SHALL BE ATTACHED ACCORDING TO REQUIREMENTS BY NEC AND THE LOCAL AHJ.THEAHJ MAY HAVE SPECIAL LABEL REQUIREMENTS BEYOND THE SCOPE OF THIS DOCUMENT. THIS MAY ENCOMPASS LANGUAGE INCLUDING,BUT NOT LIMITED TO,THAT FOUND IN PV4.0 NEC ARTICLES 690.5(C),690.14(C)(2),690.17,690.53,690.35(F), 690.54,690.64(6)(7)and 705.10 July 12,2013 To: Building Department From: James A.Marx,Jr. P.E. Re: Engineer Statement for Woods Residence,45 2°d St.,North Andover,MA for Solar Roof Installation I have verified the adequacy and structural integrity of the existing roof rafters for mounting of solar panels and their installation will satisfy the structural roof framing design-loading requirements of the Massachusetts building code—780 CMR Residential Code 8th Ed. i For the installation of the solar mounting,the mounting rails will be anchored to the rafters with Quick Mount on the center of the rafters and will be securely fastened to the rafters with lag screws. The design is based on the added weight of the collectors, wind speed of 90 mph,exposure B and ground snow load of 50 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof-mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, OF MASS, yr/ j p SPti4ti James A. Marx,Jr. P.E. 0 rlo Professional Engineer MA Professional Engineer 36365 �ssr 10 High Mountain Road Ringwood,NJ 07456 i cc: Sungevity I i I� - I f SOLAR ELECTRIC SYSTEM WOODS RESIDENCE NORTH ANDOVER, MA STRUCTURAL DESIGN CALCULATIONS FOR SOLAR ROOF SYSTEM j JAMES A. MARX, JR. P.E. �,f MA88,4 10 High Mountain Road Ringwood, NJ 07456 A �EGVSZ � James A. Marx, Jr. �OFEssE i Professional Engineer I MA Professional Engineer License 36365 t 7-kl 4-51 75 dO7 9 6aS �/IV mo 4., o P�e a rl I i i I 1 'i I f I I } 1 f I f E Tuesday, July 16, 2013, 04:03 PM PAGE NO. 1 * * * STAAD.Pro V8i SELECTseriesl * Version 20.07.06.23 * Proprietary Program of * Bentley Systems, Inc. * Date= JUL 16, 2013 * Time= 16: 2:45 * + * USER ID: HPSA 1. STAAD PLANE WOODS ROOF RAFTERS WITH SOLAR PANELS INPUT FILE: RafterFrameWoods.STD 2. START JOB INFORMATION 3. ENGINEER DATE 16--JUL-13 j . 4. END JOB INFORMATION 5. 6. * ANALYSIS FILE RAFTERFRAMEWOODS.STD 7. * HOUSE ROOF 8. 9. * DESIGN BY J. MARX, P.E. 10.. * ASCENT CONSULTING 11. 12. * STAAD LOAD ANALYSIS - ROOF RAFTERS WITH SOLAR PANELS 13. 14. * PROJECT: HOUSE RESIDENCE 15. 16. * DESIGN CODE: 780 CMR 8TH ED 17. 19. INPUT WIDTH 79 20. 21. UNIT FEET POUND j 22. JOINT COORDINATES 23. 1 0 0 0; 2 2.07 1.68 0; 3 4.27 3.46 0; 4 6.22 5.03 0; 5 8.16 6.6 0 24. 6 9.67 7.85 0 25. MEMBER INCIDENCES 26. 1 1 2; 2 2 3; 3 3 4; 4 4 5; 5 5 6 27. * 28. DEFINE MATERIAL START 29. ISOTROPIC DFLR_SS_2X6 30. E 2.736E+008 31. POISSON 0.15 32. DENSITY 25 33. ALPHA 5.5E-006 34. END DEFINE MATERIAL 35. 36. UNIT INCHES KIP 37. MEMBER PROPERTY AITC 38. 1 TO 5 TABLE ST DFLR SS 2X6 39. * - - 40. CONSTANTS C.1Documents and Settingstmarxj V4y DocumentslAllRafterFrameWoods.an1 Page 2 of 7 T. Tuesday, July 16, 2013, 04:03 PM ........_.............-------------_._..___._...-- -... -- ---- ----- ----- ..-... _ .._... -- _ ........... WOODS ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 2 41. * 42. MATERIAL DFLR SS_2X6 ALL 43. * 44. SUPPORTS 45. 1 PINNED 46. 6 FIXED BUT FX MZ 47. xttttxxtxxxxxttttxxtttttttxxtttttxx**xxt++++tt+++tx+xxtxxxxx 48. 49. UNIT FEET POUND 50. LOAD 1 DEAD 51. MEMBER LOAD 52. 1 TO 5 UN.I GY -16 53. JOINT LOAD 54. 2 TO 5 FY -14.5 55. 56. ttxxttx++t++xxxt++t+xtt+xtxxx+ttttt*xx+t+++*:*++++++*:xt+xxx 57. 58. LOAD 2 SNOW LOAD 59. JOINT LOAD 60. 2 3 FY -64 61. 4 5 FY -196 62. 63. tt++t++++++t+x++++++xt++++xx+*++++x+*+xx+*tttxt**txttttxtttx 64. * j 65. * WIND LOAD IS LESS THAN SNOW 66. * 67. LOAD COMB 3 DL + SNOW 68. 1 1.0 2 1.0 69. PERFORM ANALYSIS i P R O B L E M S T A T I S T I C S ----------------------------------- NUMBER OF JOINTS/MEMBER+ELEMENTS/SUPPORTS = 6/ 5/ 2 SOLVER USED IS THE OUT-OF-CORE BASIC SOLVER ORIGINAL/FINAL BAND-WIDTH= 1/ 1/ 6 DOF TOTAL PRIMARY LOAD CASES = 2, TOTAL DEGREES OF FREEDOM = 15 SIZE OF STIFFNESS MATRIX = 1 DOUBLE KILO-WORDS REQRD/AVAIL. DISK SPACE = 12.0/ 189361.3 MB i 70. PRINT SUPPORT REACTION I i i I i I i I -. ... ..... ...... . ........ - ._.._.. -- --- --- __....... - ._..._-...._........._..... -------------------- C. Wocuments and Settings lmarxilMy Documents kAllRafterFramewoods.anl Page 2 of 7 Tuesday, July 16, 2013, 04:03 PM WOODS ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 3 i i SUPPORT REACTIONS -UNIT POUN FEET STRUCTURE TYPE = PLANE ----------------- JOINT LOAD FORCE-X FORCE-Y FORCE-Z MOM-X MOM-Y MOM Z i 1 1 0.00 126.48 0.00 0.00 0.00 0.00 2 0.00 186.57 0.00 0.00 0.00 0.00 3 0.00 313.05 0.00 0.00 0.00 0.00 6 1 0.00 130.81 0.00 0.00 0.00 0.00 2 0.00 333.43 0.00 0.00 0.00 0.00 3 0.00 464.24 0.00 0.00 0.00 0.00 END OF LATEST ANALYSIS RESULT ************** I 71. LOAD LIST 3 72. 73. PARAMETER 1 74. CODE AITC 75. BEAM 1 ALL 76. CSF 1.3 ALL 77. CDT 1.15 ALL 78. CHECK CODE MEMB 3 i I - I I i i, i i f i i i I I i E . I I I C:IDocuments and SettingslmarxjlMy Documents1Al1RafterFramewoods.anl Page 3 of 7 I Tuesday, July 16, 2013, 04:03 PM _... -- - --- -- -- .... --------- WOODS ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 4 STAAD.Pro CODE CHECKING - (AITC) I I ALL UNITS ARE - POUN FEET (UNLESS OTHERWISE NOTED) MEMBER TABLE RESULT/ CRITICAL COND/ RATIO/ LOADING/ FX MX MZ LOCATION 3 ST DFLR_SS 2X6 _ PASS CL.5.9.2 0.789 3 17.60 C 0.00 -1069.99 2.5035 i I-------------------------------------------------------------- ---{ I LEZ = 30.042 LEY = 30.042 LUZ = 30.042 LUY = 30.042 INCHES ) i i I I CD = 1.150 CMB = 1.000 CMT = 1.000 CMC = 1.000 CMP = 1.000 I I CMV = 1.000 CME = 1.000 CFB = 1.000 CFT = 1-000 CFC = 1.000 I CFU = 1.000 CR = 1.000 CTT = 1.000 CC = 1.000 CF = 1.300 I CT = 1.000 CH = 1.000 CB = 1.000 CI = 1.000 CV = 0.000 I I CLY = 1.000 CLZ = 0.992 CP = 0.695 c = 0.800 E' = 1900000.122 PSI I I ACTUAL STRESSES : (POUND INCH) fc = 2.133 ft = 0.000 ) f_cby = 0.000 f_cbz = 1697.719 I fv = 0.000 I ALLOWABLE STRESSES: (POUND INCH) I FC = 1359.416 FT = 0.000 ) I FCBY = 2150.751 FCBZ = 2150.751 ) f FCEY = 0-000 FCEZ = 26619.842 ) I FBE = 1979.988 ) i I FTB = 0.000 F**TB = 0.000 I I FV = 0.000 SLENDERNESS = 50.000 I I--------------------------------------------------- I ----------------- ------ 79. PRINT MEMBER FORCES ALL j i i f .......... --...... C:Wocuments and Settings}marxj}My DocumentslAllRafterFrameWoods.anl Page 4 of 7 I Tuesday, July 16, 2013, 04:03 PM WOODS ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 5 MEMBER END FORCES STRUCTURE TYPE = PLANE ----------------- ALL ----^--'----------ALL UNITS ARE -- POUN FEET (LOCAL ) I MEMBER LOAD JT AXIAL SHEAR-Y SHEAR-Z TORSION MOM-Y MOM-Z i 1 3 1 197.27 243.07 0.00 0.00 0.00 0.00 2 -170.39 -209.95 0.00 0.00 0.00 603.86 2 3 2 120.70 149.18 0.00 0.00 0.00 -603.86 3 -92.22 -113.98 0.00 0.00 0.00 976.22 3 3 3 42.72 53.06 0.00 0.00 0.00 -976.22 4 -17.60 -21.86 0.00 0.00 0.00 1069.99 9 3 4 -119.77 -141.62 0.00 0.00 0.00 -1069.99 5 139.89 172.86 0.00 0.00 0.00 677.32 5 3 5 -276.03 -333.45 0.00 0.00 0.00 -677.32 6 296.03 357.61 0.00 0.00 0.00 0.00 I ************** END OF LATEST ANALYSIS RESULT ************** I 80. FINISH I i i *********** END OF THE STAAD.Pro RUN *********** **** DATE= JUL 16,2013 TIME= 16: 2:46 **** 's i i I I i i I 1 I I I a i C:IDocuments and Settingslmarxj\My Documents1A11RafterFrameWoods.anl Page 5 of 7 -ask IRONRIOeE solarMetrrafnyMeaesimpte Roof MountstR�NRiDC3E BMerMaent4gtredagMph Roof Mo ME Wind Speed Snow Iced, OW 1Ops( 20psf 30pd 40 pal S0 sf f SOOmphh� 193` � nTkki"s. �j . .•Tap )kala`-' pef 10:psf _�apsf 30ps} 40 y� C �••'•'� :"�• 20.5 10.0 9.0 B.5 r SAO.:mue�i:c•% °•mm�mmi�G�iw%iri.r.`nf', �m.l, t:a• oompRh u— �.. ii?st- $U m' '�;M°erF,lrtirry �4 asr 5.5 t�p'i' •: . •5 7S 5.5 3 + A)k. 10 �20y :o s :��x�3�,: •.�` iC, � +n,swt "�t' <:,s;:� t�a ) ',c • � �-'`s°N�" �1� �tt":�ar..r�N4'n�. /�'�'.]�ye,�1.�an .y.6 g g S.S ry 5 Roa(Zon,aj nushMoMonfV Slope.6" ingmosnroof R. hal w �'• 8'ht Bo' E Cf"nnee h •For more lnlbrma • acwenn tto '�� ' '. ,....r•,.':• xR07trre category.B roof and tell:2' n Vtsh www.tronrldgO.eom (ftM rftdM* tByshAtIBM :i Module iengdt 77» End Wntspen:40tt(adJ fnterlora tO�el"o(tcla1 eel(ksifons82well asehsr P'!►tli0v4mk nidtf .. 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Low Profile CompoSition Mount I QMLPC _._.._.._._.__.. .._ nick Mount PV 4feelr t a Low Profits Com ry on t.foot matt ee,�tVhan position Mounting Instructions theoutardarnotuofM tlron Insta11at1oeTeels 27 1r15I�ruCtlorlS totdlnp weanar Mem A In ordx ` Wffh 712Y bit drNl R«agnbyW tape rlteaarre,rao6eQ baa chalk Onq stud Ander,aul P. roeroweowererspnitea duytttytmwfdtllYdeepsttcket. 99u2t itubee(appre natesealontdrUl 2 a W WCIPaOM on. tr< rye LOW&th.-O.Sad mark w<.r.. . t Sluceme�nt erQYletIN Yntatauea o!moRrq abdraQt QM Mdvna Vft nObaaNn b»dnfnd Potlnon Mmove Sny I st of at eYttlt Yattlnff nwtett tush with front eAOe of thktple"mm,Mack nntet rot :tv2deGeMmdt eteoronedheq.enertln[RaQrl.tlbe0 ,I 1 • &00 M Jn+ariex C�►Fdk MewfttPV• ..._. �' int= I Qr�erC: QuICk Mount •A aft----+ how Pronle composnron 13011 a 7"' rp< -rev kfs++taAttxtst2ReuCtYr��+T•••...�.:.. :: •.� A o,ea urubu 3 r...'<ts' Setmhr�<aoreea r»n.m�' s t Ila 2CWnwhhsi3Thh.SIMA thWeAtmtoet Caanoft ri t Le7BohCsedQowtleaa - . . 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Wwr►rrrel ie <weall tnarwtaevntrraw a and InstrucYens ono.toerwmr... two toYddnntMetoL Aa rata ae eanae.e..r.Ata Ya.A.R.wNIMrl.r.erMMa.atetl .a 10fr '� n�b u"'pnA"r.'�»WSYdC.rKkN0ifO0t11kntt.lAft.l,t• ��`-' Msutl II1MMwd.nwM.mbSCdeY'MiMeeraMe<mlewwln.lm.mr.• I. yl lrh.ttt eCtYrrevYp.dpYdbllnCrL .hreuMbb.rel.�N.gl.0haY1pY...[nyHller►rMmaw p.µy�e R<m nb ^'�rdYn»emr mnmimnnartMwris0.fnrYulnrnnmenm<S. o1pO"Neb«.uwM<S.na<arn.eYn nr nr,vwySbetrtaSthwtrom<aa<m,rppe =10 dbbreocn1k4 to hoWbl.edaetknw.dthodhmrfoveetrteDlt s4tnetonfagbwerastrO^ bob*tooluapadkaty 1+bauwdenla:r1tohWet nodufele(\uick Mount PNt6 nutnautArcawdtnex/aIS'aerYmr fdacInDrkreSr loeresd tnvq.at. O 925.687.6686•www.qulckmountptaeom a InioCquiekmDuntpveottt QmLPCanS WW2912 2700 Mitchell Or,OW9.2.WelnutCreek,CA94598 Jdn-2012.Rev 1 Low Profile Composition Mount I QMLPC (wick Mount PV® /poNawMcMdb-. 4.50 ° � 5 Low Profile Composition Mounting Instructions —1--f not included.SiFoe or hole Installation Tools Required:to measure,roofing bar,chalk line,stud finder,caulking un,1 tube of appropriate L-toot da Slot than 9 Pe 9 9 9 ppro nate sealant,drill it,.outer diameter of the 4 with 7/32"bit,drill or impact gun with 1/2'deep socket. eating wa her prem 41 In ender fo ensue a wafenlghf seal. • • • 12.00 3 2 1.45 1 3.00 NO DESCRIPTION QTY. ,.. 2.45 1 Flashing,9"x 17'x.040".AL- I _ 2 Base B oc QMLPC Cast Al I Locate,choose,and mark centers of rafters to be Lift composition roof shingle with roofing bacjust Slide mount into desired position.Remove any --_I 3 Wa er 5 161Dx 1-I 4 OD. 132'ihic EPDM I mounted.Select each row course of roofing for abomplacement of Quick Mount mils that conflict with getting mount flush with 0 4 Washer,Sealing,5/16"IDX I-I/e"OD,55/EPDM I placamemol'Quick Mounts. (rent edge of shingle course.Mark center for Il a Screw, ex ea x , drilling. U l va/bble/n m/ll,cleor and bronze anod red Nus/hes. I 77 Y-i-M Quick Mount Pit QMLPC-5:Low Profile Composition with 5"Hardware n<xa SUE es mar: row REV A re 411-2 2 SCALE-1-6 lorl 5 4 a Z h,, Ell Leg Bell Specdcagon, Using drill With 7/32-bit,drill pilot We into roof Clean off anysaw dust,and fill hole with sealant. Slide mount backinto Position.Place EPDM rubber and raker,taking care to drill square to the roof. washeron top of block �ieco srr ae��0i Do not use mount asa drillgiide. DMW pr,tam twsYa ra,swmAS eueYnmo ap,o..laasFMelens]NSR tmara MVMAS • All roofing —nufacturers' N nrcv nr Maab) m ePv q�eFY12roof manLJf,)Ct(1ncr5'Sib— and pine FY IEV3mlrbn Wane ngnw VWwNMeR manta) ,*' r. sinstructions prior to touching the hocif ces:AmMcan Wood Courell ND020a5 Tabk 111 A 113.3 A i•j IlThrcad must be embetlded naraherorp[M1er s[ruaural roof membtt. 21 See IB<far rcqulrededge tlistancev "tletr.Tomagmin wmrpraefig bSlmpvemtlut[hedumbmmflaMn9 gttte 11 M prapedyplaced ender wrcfi•sameabwe the mewltln9l4oAwM xlmrtsome rldteflesllN[q epmd,y upuMtt[M1e aauru above[M1a[as we0.See lmtrvc[bnxon back Prepare lag bolt with one sealing washer,place You are naw ready for the rack of your choice. L-foot onto block.]risen lag bolt through L-foot Follow all the directions of the rack manufacturer Quick Mount PVm and block hole and dhm it into miter,tightening aswell—he module manufacturer. toa solidsnugfit 925-687-6686 a www.quickmountpv.com•info@quickmountpv.com •=01 BI 7.2.3-1 2700 Mitchell Dr.,Bldg.2 e Walnut Creek,CA 94598 Apr-2012,Rev ccrtly n .1 Photovoltaic Modules n .1 Photovoltaic Modules Physical Characteristics IM60 Series Photovoltaic Modules - �'� ��'� 55r aa�xa.ssir Peak Power.230-245WP 6an.r 19TH Features 2mm agar aas., aer r�vna ,.aen� 60 MOTECH multicrystalline solar cells connected in series 1650,- rna r:ame e. oln ss.a, sr.m • Designed for 600V or 1000V applications 1360- For residential,commercial and solar farm grid-tied applications sa.sn t>,a.la9e Standard output power tolerance'of-3°!+5% _M11 JI L Robust design to weather all environments L� TE Connectivity(formerly Tyco Electronics)junction box with easy click SOLARLOO connectors and cables + Manufactured globally with world-class quality standards Physical Design Properties IV Curve -----------------------.--------------------------------............._---------------------------------------._...-._ 10 - Weighl _43.71b[19.81<91 Quality,Reliability,and kWh Yield Maximum Tested Load t50 psF]2400 Pa]/+113 psf[5400 Pa] e - .. ....._......................................................4--..-.-.-.-.......................................--......--- Hailstone Impact Resistance 1'Q 50 mph[25 mm Q 80 kph] 7 _...-.-....._-..._.-.-....__...__-_....__................. ............... -...--..--..-.. a s MOTECH modules are powered by industry acknowledged high _Junction sox IP65 rated ................... ..... ---.- ..------........ m s - performance,reliable silicon cells.20 years of experience in solar 4.Omm'Universal PV Wire,1000mm[39.4in], v 4 Output Cables TE Connectivity(formerly Tyco Electronics) llxawrml,w•c module engineering and design,along with rigorous durability and soLARL0IC®Connectors 2 aoowm a,.e c performance tests,ensure reliable lifetime performance and maximum as a w"ea":"a.a°"^° "°u� °^"a4"9 m °a6 + - 0 kWh yield. o s 10 1s zo zs ao ss m Electrical Performance Voltage(V) American Recovery ttt� � ; and Reinvestment Act wL' �/ Test Conditions STC NOCT src NOCT STC NOCT STC NOCT °• / Max.Power Voltepa Vmpp(V) 29.1 26.0 29.4 26.3 29.8 26.6 29.9 26.7 Modules manufactured at our Newark,Delaware facility qualify for Max.Power Currant Impp(A) 7.9 6.3 8.0 6.4 8.1 6.5 6.2 6.5 own Circuit Voltage Voc(V) 36.8 33.4 37.1 33.7 37.3 33.9 37.4 34.0 projects that are required to meet the"Buy American"clause of the 'L!dT' / snort circuit current iae(A) 8.4 6.8 8.5 6.9 8.6 7.0 8.7 7.0 American Recovery and Reinvestment Act(ARRA). UatIW,I Electrical Performance Parameters ......................................._._....--......_......................... ..._........... - - .-........._........--....--........................_................ .. Isc Temperature Coefficient a(%/°C) +0.07 30.02 Max.Series Fuse 15A ..--..-_.._..................._...__.......-_......_..._......_.-...-.--....-..............._....__.___-..-..-..-...._-.-......-..............---.-----._.---.._._._....................__........... Voc Temperature Coefficient p(%/°C) -0.3410.01 Max.System Voltage 6--- 1000V Certifications&Standards* Standard 25-Year Extended Warranty* _._..._..._....-...-..__.............._._...-......._..__._..__.___..-.....-...-..---.....a.....--- _...----.._--_---.........................--.....-..._...__-......__.___.-.__....... Pmax Temperature Coefficient 7(%/°C) -0.46±0.02 Normal Operating Cell Temp.(NOCT) 48°C x 2°C ......_.-...._ ........... .............................._._..-.__........................--._...-...-...._-----_...-----_._.._....---------.._....-_...___..---------.-............................... ._.._._...- 10-year warranty at 90%;25-year at 80% Efficiency Reduction at 200W/m',25°C <5% Limiting Reverse Current(Ir) 8.7A ..........hraQance__. -.................................._.-._.. 25'C).,lY---------------............._..._..--._..._........................_.....-..._-- .-..--.... ........_.......... ® . N Parameter en rete4 et Slarder4 Test Cm4itlrns( d 1000 W/m*.r1M 1.5.c JI ta^�ra0ue measvreerienle an 9.+araineeE alt Ne(aminate leatls.NOCT b meawreC at eeDWlm'. C `C 5-year warranty on materials and workmanship zo•c amdert ave 1 mb v+r4aPee4.Soeor�m6rrs are sulrjeC to verge wilXaul nmee. (W ° ,19 M1blecft reserves Ore rigmb of feel ilMrPlelaOPr aM revisor an Ods QMastreet Intertelt In[ertek � �FS#oda.{ +J.L.•l�� + AppFati 0-A EC61215 k1]03 _ .nt Salary C6m6 ¢c 61T.W �G L•7utiU.{7 0 l.lU 'Please cafbcl}our sales repesentetiva ror availaCle power output tolerance and warrentyoperrs W� � i � Modern fechnoloyy for a SuttolrtabJ�World April 17, 2013 Re: Statement of Compatibility of IronRidge, Inc's Standard and Light Rails with Integrated Grounding System and Motech Photovoltaic Modules To whom it may concern: This letter shall serve as a statement of compatibility between Motech Photovoltaic Modules and IronRidge, Inc's Standard and Light Rails with Integrated Grounding System. This letter is provided as a supplement to the installation and safety manual provided with the modules at the time of sale. Although not stated in the installation manual, Motech photovoltaic modules are compatible with the IronRidge, Inc's Integrated Grounding Clamp System. This compatibility has been confirmed by the testing towards the UL2703 Outline completed by Intertek Testing Services and is documented in the Intertek Constructional Data Report 100978592LAX- 003 revised March 22, 2013. Testing was completed using the IronRidge, Inc's Standard and Light Rails with Integrated Grounding Systems and Motech IM and XS model series in both clear and black. Motech Americas, LLC will extend our warranty program on products that are installed and grounded using the IronRidge, Inc Integrated Grounding Clamp System, assuming that both the IronRidge, Inc and Motech installation manuals are followed in their entirety. Note: The IronRidge, Inc Standard and Light Rails with Integrated Grounding Systems are certified towards the UL Subject 2703 Outline of Investigation for Rack Mounting and Clamping Devices for Flat-Plate Photovoltaic Modules and Panels. The IronRidge, Inc system includes XRL and XRS rails (Clear and Dark Anodized), Mid Clamps(with T-bolts), End Clamps, L-Feet,Internal Splices,Grounding Solutions, End Caps and Wire Clips. Respectfully, Q n P. Colarusso Senior Director Technology&Development Division U �.� Motech Americas, LLC 231 Lake Drive Newark, DE 19702 T+1 302 4512644 F+1 302 451 7501 John Colarusso(&Motech-Americas com I^�� _IIIIIIIIIISI���IiI��Al1l�I� Motech Americas LLC • 231 Lake Drive • Newark, Delaware 19702, USA • P(302)451-7500 • F(302)451-7502 a /fid IRONRIDGE Roof Mount System — Rails Standrard Rails(CRS) Light Rails(CRL) Rail Splices Curved rails provide greater strength Lightweight rails reduce cost for Internal splices seamlessly connect f.ANN* and aesthetics. lighter load conditions. rails,allowing easy L-foot installation. Available in dear and black anod. Available in clear and black anod. Different versions for XRS and XRL • Multiple sizes between 12'and 18' Multiple sizes between 12'and 18' Includes self-tapping screws - �( - • Made of corrosion resistant alum. Made of corrosion resistant alum. Available with grounding straps `"_u Attachments I°LY Standoffs Adiustable L-Feet Tilt Leg Kits Flush and tilt mount standoffs attach Slotted L-feet provide adaptable Fixed and adjustable tilt legs allow L-feet and tilt legs to roof. attachment to standoffs and flashings. adjustment in all three axes. Sized for Oatey flashing Available in clear and black anod. Attaches directly to XRS and XRL • Multiple sizes between 3"and 7" Works with XRS and XRL rails Ships with all required hardware Built for solar's toughest roofs. Ships with lag bolts Compatible with third-party parts Multiple sizes for 5-45 deg.tilts Anchored by the strongest rails in solar,the IronRidge Roof Mount System provides the durability and Clamps$Accessories versatility to handle virtually any residential or commercial rooftop. The unique curved profile of the XRS Rail increases its strength while also giving it an attractive look,making End Clamps Mid Clamps® End Caps Wire Clips it very customer-friendly.In addition,IronRidge Rails are certified for integrated grounding,which eliminates separate components and procedures for module grounding,making it very installer-friendly. �! -91 Strongest Rails PE Certified � /►��`1 Longer spans between attachments, Pre-stamped engineering letters Secure modules to the end Fasten modules in the Provide a finished look for Organize both DC and AC rte` fewer roof penetrations. If available in most states. of the rails. middle of the rails. rails. wiring along the rails. • Clear and black anod. Clear and black anod. Keeps out debris Attaches to both rails Sizes from 1.22"to 2.3" T-bolt or hex nut designs Black polycarbonate Supports ten 5mm wires F* Simple Assembly ® Design Software Optional bottom clamps Grounding clamp offered UV protected UV protected Versatile and adjustable components ® Online tool generates a complete bill simplify any array design. of materials in minutes. Online Software Available with Integrated Grounding _ The IronRidge Design Assistant IronRidge offers UL 2703 certified IF(b] ntegrated Grounding 20 Year Warranty helps you go from rough layout to a components that automatically bond _ fully engineered system.For free. modules and rails to ground. UL 2703 system eliminates separate Twice the protection offered by -- Go to'wonridge.com/rm Go to Yonridge.coMlg module grounding components. F,9 competitors. tZ3�ucsiJe�.u��a/�reraT,r�uq�.��•�.r•*,xn_eia..rtr[31t�'•ii.��F�itsa��cn-.'�� ,��� Q�(7a4i Installation Overview AUTHORIZATION TO MARK IT] Install Roof Attachments Install appropriate roof flashing and/or standoff for roof type. l This authorizes the application of the Certification Mark(s)shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Attach L-Feet to flashing or standoff. -- Report.This authorization also applies to multiple fistee model(s) identified on the correlation page of the Listing Report Prepare Rail Connections , This document is the property of Intertek Testing Services and is not transferable.The certification mark(s)may be •Insert splice into first rail,then secure with Grounding Strap and o applied only at the location of the Party Authorized To Appy Mark self-drilling screw. Applicant: IronRidge,Inc. Manufacturer. IronRidge,Inc. •Slide second rail over splice,then secure with opposite end of 1495 Zephyr Ave 1435 Baechtel Road Grounding Strap and self-drilling screw. Address: Hayward CA 94545 Address: whits,CA 95490 Country: USA Country: USA Contact Jon Ash contact: Jim Norsworthy Mount&Ground Rails Phone: (707)459.9523 Phone: (707)459-9523 (70 •Attach rails to L-Feet and level rails. �_ ��-, FAX: (707)459-1833 FAX: 7)459-1833 Email: jash@ironridge.com Email: inorsworthvRltironridee.com •Install one Grounding Lug per row of modules. '` F Parry Authorized To Apply Mark: Same as Manufacturer Connect Grounding Lug to grounding conductor. Report Issuing Office: Lake Forest,CA control Number. 4007559 Authorized by: for Thomas J.Patterson,Certification Manager Install Modules&Clamps (&US •Install first module using End Clamps and Grounding Mid Clamps. •Install additional modules using Grounding Mid Clamps. Finish row with a second pair of End Clamps. Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. 1nb Aulbtr�lurb IIfM b rarM vtlr.M1�u•d�"wrfrGMM••!YpwtlnOpuarr�bM f:waaYan 9��a Mwfl4MOY M bCAl MnbK•,spvulELr btl bilary ti Testing&Certification irWb�r^b��b�rn•9�bwY�/b�ssmrtl9'Ybr/pbry,drMbMCitiY�md�o�Y.rrgwnbtibarybr,gb�vbn�p�omabwE �e l MMvwdfli Aabr¢Wmbu.4 aMar a�Yt.Cvtrpbp AmpHpsdu46.o/eb NawtuYm YlMbtl ion vfrb b�A'ne'.Ur orYMYxt Cbrlbdm mrtb Module Frame Compatibility "��°be.m.suswr.Ymbs.y,wb.�.,abn.a�a,bwnc wgn.n.u»oru..bb.n.b.b.e..r.o,.r...o.n..nrbY.ramrr�ma,v orb,.�m mun wr De wows Y wMnp M YY,YL YaY r.mr Mw�b b!ran.w s.wo.w a se ww.a Jnr uow ar er G.rrufar mw Y rmano win sr The IronRidge Integrated Grounding System has been tested and certified to Dimension Range_ UL 2703 by Intertek Group plc. A 31.Omm-51.Omm Intertek Testing services NA Inc ro B 5.08mm minimum T 545 E.Algonquin Road,Arlington Heights,IL 60005 UL 2703 is a proposed UL standard " (minimum) elephone 800-345-3851 or 847-4335687 Fax 647-4337320 for evaluating solar module mounting Any module frames whose parameters are not listed in the and clamping devices.It ensures these provided table have rot been tested for compatibility. Standard(s): UL Subject 2703 Outline of Investigation for Rade Mounting Systems and Clamping Devices for Flat-Plate devices will maintain strong electrical and L Photovoltaic Modules and Panels,Issue Number.1,October 4,2010 mechanical connections over an extended Product: Standard and Light Rails with Integrated Groundin period of time in extreme outdoor The Grounding Clamp has proven robust in grounding 60-cell and Brand mama: N/A environments. 72-cell solar module frames with box construction and a range of Modelo: 51 61 Gp 0p5 and 5161�D 0058 anodization thicknesses. The testing process closely minors that All solar modules listed to UL 1703 and with frame construction of UL 1703,the solar module testing within the parameters stated above are compatible with the standard,including temperature and IronRidge Integrated Grounding System. humidity cycling,electrical and mechanical load testing,and manufacturing quality O Go to ironridge.com/ig reviews. ATM for Report 100978592LAX-003 Page 1 of 1 ATM Issued: ED 1l3.Is(1.rs�3)Wtl� .taiF�,:uh:t+1.'� ���cYx:+,�.a+az=i G. v. wr sa Y•uw•.-.•.s ., .r :�z1'.0 r.�::.r.nru—,..irc:: • +-TL 61 . .I a PVI-3.6—TL RatedG WACVahage v 208 240 277 200 240 277 208 240 277 • Ylpn sid.(Oq Maldman Usable Poarerfor EachO.,.d w 2000 _ 3000 - 3D00 30 PVI-4.2—TL ShrrFUl,voko e v 200(adj.120-350) 2DD 12120-350) 200(ad}120-350) AbsduaMadmmVoltage(Vnu4 v 600 600 600 Maximum OmemlMmmdforboth MPPT a PendellA 20 32 32 Ys Mentm—ths CuramperCMnel A ig 16 - 16 xumbwolwln WdbgTarednah paClunml 20-5 yersian) i(t on-SYasion) 2(1 on-SversbN Numbaofbrdependmsthip"Channeb 2 Z 2 scr-terminalbbtk GENERAL • ! ArsryVRrigyemaeWn 3Knak-0uR1 W.t'Nl Ring Reduced a•..wr..�..aa.:..•..,.(.,..aaualaf Oupu SId�NQ ..__.._. OUTDOOR MODELS GridStand.rl 10/2worWft-013W 10/Mr prn4v3w 1WMnr*it-0rnv r Nomind Powe w3000 3600 4200 Voltagallenga Nmin-VmW v 183.228 211-264 _ 244-304 183-228 211-264 244304 183-228 211-264 244-304 T Grid Frequenter gage" It 60,159360.5) _12 171 60{5936051 60x593605) MaldmumCusmmrt(b44 Axa 14S 145 16 lfi 20 20 2D t•� Powa F.W >0.995 >0.995 >0.995 TotdNamxsnk DhlartlunAt Rated Power %- <2 <2 <2 Mii ii ERkk y 9696.9 - 97 - -- - 97 CEC Elflrknq % ._ 96 96 96 DpardagP.mMMe 208 240 - 277 -290 240 277 208- 240 - 277 .f Co—ptan In sand By lxghU W,a - <88 180 - - <8D Consumpd-During Opentlon Waa ZD 20 20 Topobgy T-1—fleas Tramfomreriess - T—fomrerless t M d-dSgcMMd— Endasur.ratlrg NEMA 4X NEMA4X NEMA 4X Cooling Nat.,ACo—t. Natural Convection Natural Commectio, Corddt Contraction,, Trade zla KOs:(2-1/21 and(1e x TWe—Wc(2-112ja d(2eax Trade she Kft.(2-1/21 and(2eax 1-114',3 para side,fmnt read 1-1/4;3 Places dde,front,read 14/4',3 paces side,front read GridYArinpTemin.tloniype S—Tr IMMock Screw Terminal Back S—T—mitlMod, Singkwlre,90FC terminal whmg Single wlre,90K terminal wiring Single Mrs,90Cterminal wiring 0 ❑ ® Dim lares(1VAU0) m(mm) 128 122 x24.3 x x338 87(325(859x2221-SVersion [ t UdtWdgM Ib(kg) � <385(17.5) <3"S(17.5 <385(17,5) < Q, 473 213)S verdon <4731213)-Sversion <473(213)-S—ion Shphywdght lbs(kg) 1385(175)1473(213)-Smion <385(175)<473(213)-Ssnsan <38S(175)<473(213).Sv rsion t Wal bracket Wallbmdet Wal bracket Fn.iannwnal AmblectAl,Temperaar.Ringe 'F(IQ • .13-+140(-25_+60)with deratingab-131(55) Acrostic Notes Emission Wind dBA•lm <50 <50 150 RWtin Nos.iRly %RH 0-1DO condensing 0.100 condensing D•100 condensing } ! Maxii.—Operathg ARAudawRhout Denfkg NO _6560 CM) _ 6560(20001 - 656D RW a ProatlionDevira [ ave, Antl4shndmg Rotactbn Aaondngro UL 1741AEEE 1547 According UL 1741/IEEE 1547 Aumdingm UL 1741/IEEE 1547 ExamdllCOMParting A- 20 20 15 25 20 20 25 25 25 - O_4dtag4PmtectanTyp• varislor.2(L-WL-PE) vamay2(4WL-Pq vadsloc2(L-WL-M bled 7 Reverse Polarity ProaNun Yes Yes Yes Madman Short Omit Current Limit per Oriental A 1Z5 20 ZD 01a-V4RagePma ll-Ty" Varhtot2foreachdnnm4Vuistor,2f6reachchan el vadstor,2Poreachch—.1 PVAmyGroundhut0dKtlan pre startup RhoanddynamkGFDI(Regtft.Mating Avays) OC Srlah[ummt Rating Per Contact) AN 25/600 Z5/600 251600 hoYlbn lash 7ransfomeriess(Floatlng Array) T—Ibmtserass(Floati gArray) T.m0omie4ess(Faatm9Anay) Sahlyand EMC Standard UL 1741,CSA-0711 M 1D7.1-01 UL 1741,CSA-0221 a 107.1-01 UL 1741,CSA-C221 N.107.1-01 ! SaMyAPPmd r6Aw cCSA. CSA. Fead—Com arriatbn ;1,1 WWUurknerfeca(Dhplry) 16 characters x2 lmrs LCD dhpay 16characters x 2 lines LCD display 16 characters 2 Eines LCD display Remote Monitoring(URSN5 ind) AUMRAa1NNDLSAL(opt] NIRORALNNFRSAL(opt) AUROR/WNNFRSALIopU What!Loans!Merited"(1xR54[S ad) PVWSB4WM-.Z37(opt).WWESKTOP(opt) W asa Loud Mw torag M-0ESKIOP(opt)with MRADIOMODULE(apt) SandaNVamnty Years 5 __ 5 - 5 Arsi.hla Modda _ Standard.No-Rchb-fleetng Artery PYF3D0UIDL5 - M-3"VnN15 PVKZ-OVrDLS DCSaiMsOpdon-HoatlagAmy PAH.DOUID.S-US WlF3"LTTD-5475 M-01-0IAD-SLS •Mamadxroawaraamxmam -IdlwbbbbedDWmmanhUaamaJxaabdeub CH.CUS ti Imtus Product Datasheet DIAGRAM-TYPICAL CONFIGURATION ENERGY RE isa ELECTRICAL Shielded CATS LGate , _ _ — f{�M L" rrL7�- INVERTER SERVICE RESIDENTIAL SOLAR MONITORING SOLUTIONC7���Ci�- Current Transducers Voltage Reference Locus ,1 is a revenUe-giade energy • 1311 t� Standard CATS •web-enabled datalogger for • • • SIMM photovoltaic •collect, • 6 ie lJl!•� `. PV ARRAY LGATE101 INTERNET u pl oad a wide a i ray of energy data a I lowing both system installers and owners to efficiently manage solar assets. DIMENSIONS 400a —..aaa arn.ins oxo o ti n... \._ °iG� rywlHS The LGate 101 can monitor nearly any type of solar energy system. Regardless of inverter or panel type,it can measure energy production 0 i o with a high degree of accuracy.As a datalogger,it has a variety of digital f Locus Energy develops web-based i and analog inputs enabling direct communication with third-party asset management software for devices such as inverters and meteorological sensors.Performance data renewable energy systems.We provide is aggregated and uploaded automatically to the Locus Energy Smart monitoring,analytics and data services flsolar photovoltaic deployments o Monitoring website which provides custom tools and analytics to all for and solar thermal technology.By _ l project stakeholders. leveraging Locus'products,renewable _ finance companies and integrators can DATA COLLECTION drive down the cost and complexity The LGate uses a hard-wired voltage reference and current transformers of energy monitoring while making it (CTs)to measure power.There are inputs for up to three CTs allowing much easier to maintain and service an SPECIFICATIONS installed client base.Founded in 2007, theLGatetomeasurebothsolarenergygenerationandwhole -house Locus is based in New York City and Processor ARMgembedded CPU Voltage Inputs as-z64vurero Neutralcrunetourte electrical consumption.It can also gather data from up to 16 third-party serves clientele across the world. os Custom wnionofunux2.6,orA6 rmwam,pdates Phases Single phaseWdphawat50ar6oHa devices simultaneously which is collected via RS485 and Modbus RTU Memory 128 MR RAM Current Inputs mAS011drnreCTs200Amp.75•Int—Idlarreter. protocols.All data feeds are stored in non-volatile memory and then Logging ime ni.Memory : to W minutes.use,selectable(default s minutes mV SplatoreCr 2W-600k up to 1.25•Intemai diameter uploaded with unique identifiers to provide maximum fl exibility as to how A Display US&based handheld LCD(optiona0 the data is presented online. ANSI C12.20 0.5% Locus Energy O ffers Smart Monitoring RS485 2 wire and 4 wire terminals IEC 61010(Safety) NETWORK CONNECTIVITY software services tailored to the M0db0s FCC 15 Pan 8 The LGate 101 is a plug and play device supporting a multitude of following groups to help maximize use IEC 60068-2-2 7(Mechanical shock) connectivity options.It can communicate over Ethernet,powerline carrier the performance of renewable assets: KYz pulse IEC 60068-2b(Mechanical Vibration) (PLC),or cellular networks.Hard-wired Ethernet is the preferred Installers 4-20mAanalog CFR 47 ANSI C63.4(Radiated emissions) • connection method,but if this is unavailable,the LGate features a built in Financiers CAN/CSA-C22.2(61010-1)Utilities 11oV outlet for easy installation of a PLC adapter.Data is transmitted only LAN 814510/100 Ethernet•full half duplex.auto polarity OEMs in outbound sessions over open ports requiring no additional network •Regulators Cellular GSM/CDMA Enclosure NEMA 3R Type Add-ons Powedirle<arrien zigbee Weight 61b 120: orfirewallconfiguratio n.The connectionand commissioningprocess is Networking DHCPorstdticIP Dimensions 10•xaae•x4.25• further simplified by the LGate's LED lights which indicate communication Environment 20 to70C.95%M.non- 11densing status without installers having to log in or call home. waranty 5year limited wamanty for power-meter.data logger Latus ENERGY 1375 Broadway Suite#1100 New York,NY 10018 4/6/2012 To Whom It May Concern: The purpose of this letter is to verify that the LGate 101E used for single phase residential systems can be powered using a breaker sizes 10A, 15A, and 20A. Although the current documentation included with the LGate 101E conflicts with these claims,we are in the process of changing the language in our new installation packet to make the range of usable breakers sufficiently clear. In the meantime I can provide you with our product sheet that states this requirement. I have included a relevant quote from page 15: "The LGate 101 accepts the following inputs: 1.Voltage Sense—through the 120V power cable or wired directly to a two-pole circuit breaker 20A or less for 240V." If you have any concerns about the safety of using breakers smaller than 20A you can direct them to Locus Energy's offices in New York and California. For the New York office you can contact me, Daniel Aibar. For the California office you can call Gabe Abbot, (510) 868-2850, or email him at gabe@locusenergy.com. Sincerely, Daniel Aibar Project Manager (646) 233-0701 daniel.aibar@locusenergy.com IronRidge June 13,2012 Mr.William Kim Page 5 of 5 S Starling Madison Lofq u i st, Inc. Standard Rail,Roof Flush Mounting System—Structural Analysis ���/// Consulting Structural and Forensic Engineers 5224 South 39'Street,Phoenix,Arizona 85040 tel:(602)438-2500 fax:(602)438-2505 www.smleng.com Notes—Tabulated values are based on the following criteria: 1. Building mean roof height=30 ft IronRidge June 13,2012 2. Roof slope=7 to 27 deg. 1435 Baechtel Rd. Page 1 of 5 3. Solar panel long dimension=67.5 in Willits,CA 95490 4. Provide 2 in.clear between roof and rail 5. End cantilever span(max)=0.40 x adjacent interior span 6. No rail splices in end spans Attn:Mr.William Kim,Chief Executive Officer 7. No rail splices in middle 1/3 of interior spans 8. Single simple span(s). Tabulated values may be increased for multiple continuous spans. Subject: IronRidge Standard Rail,Roof Flush Mounting System—Structural Analysis Contact IronRidge. Dear Sir: Our analysis assumes that the rails,including the connections and associated hardware,are installed in a workmanlike manner in accordance with the"IronRidge Standard Rail Installation Manual"by We have analyzed the IronRidge Standard Rail for the subject solar panel support system and IronRidge and generally accepted standards of construction practice.Additional information is determined that,for the configurations and criteria described below,it is in compliance with the available at the IronRidge web site,IronRidge.com. applicable sections ofthe following Reference Documents: The adequacy of the supporting roof framing is to be determined by others. Codes: ASCE/SEI 7-05 Min.Design Loads for Buildings&Other Structures International Building Code,2006&2009 Editions Other: AC428,Acceptance Criteria for Modular Framing Systems Used to Support PV Please feel free to contact me at your convenience if you have any questions. Modules,dated Effective March 1,2011 by ICC-ES Aluminum Design Manual,2005 Edition Respectfully yours, The IronRidge Standard Rail is an extruded aluminum section with an overall depth of 3.00 in. and a net area of 0.807 sq.in. The rails are used to support solar panels,typically,on the roof tj of of a building. See Exhibit A—attached. The rails are clamped to aluminum angle brackets that Tres J.Warner,P.E. o`er RES J. are either attached directly to the roof framing or attached to a stand that is screwed to the roof Design Division Manager WARNER � �• CIVIL y framing. The rails are mounted across the slope with a small clearance(flush mounting)to the No.49432 underlying roof structure. The installed solar panels are at the same slope as the underlying ��gFotsTs ago�,�x �M roof structure. "c��oN �oR' �•gd /� All loads are transferred to the roof framing through the angle brackets by simple bi-axial flexure of the rails. The maximum span of the rails is governed by either the mid-span flexural stresses or the deflection requirement that the rail not come into contact with the roof. The maximum allowable spans for common load cases are shown in Tables 1,2&3 below. i Starling Madison Lofquisy Inc. Consulting Structural and Forensic Engineers Starling Madison Lofquist,Inc. � Consulting Strnetural and Forensic Engineers -5- Date............................................. AN yORTII TOWN OF NORTH ANDOVER * PERMIT FOR WIRING 8`4ACHugE This certifies that ...........,/. ! .. ..:P.'L............... has permission to perform�P.....:a'!.%.:r..............'�... s:...,f- ... wiring in the building of..... �1 v" .................................................. .......... at ..........�........-..:Sr �. .......... ...............:...North AndoveV Mass: / .. / Fee....... �'........Lic.No �1 Wil " � .... �............... ...:......... ..... ..:...-,:........... . ELECTRICAL INSPj5T4 Check lt a ! � u � Commonwealth of Massachusetts Official Use Only�j Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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: 9/24/2013 City or Town of North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 45 Second Street Owner or Tenant Charles Woods Telephone No. 978-360-7709 Owner's Address same Is this permit in conjunction with a building permit? Yes ® No ❑ BLDG PERMIT# Purpose of Building Residence Utility Authorization No. 1�2Z It/it Existing Service 100 Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 200 Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a 4.2 kw(16 panels)rooftop solar array,service upgrade and MSP swap Completion of the following table ma be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting !' No.of Luminaires Swimming Pool rnd. [Irnd. ❑ Battery 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump umber Tons o.oSelf-Contained Totals: " ''""'" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Other Connection No.of Dryers Heating Appliances KW ecurity Systems: No.of Devices or Equivalent No.o Water KW No.o o.o Data Wiring: Heaters Signs Ballasts 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: $11,880 (When required by municipal policy.) Work to Start: 10/9/2013 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: The Boston Solar Company LIC.NO.: 12689A Licensee: William T.Foglietta Signature' f _ LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 781-462-8702 Address: 10 Churchill Place,Lynn MA 01902 Alt.Tel. No.: *Per M.G.L. c.147, s. 57-61,security work requires Department of Public Safety"S"Licen 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 ons)❑ owner ❑owner'sagent. Owner/Agent Signature Telephone No. PERMIT FEE. $ Jr /fid �r y Q COMMONWEALTH OF MA$§ACHUSETTS • • - • • BOARD OF EI:t LT1tICIANS ; .YSSUES THE FOLLOWING LICENSE AS,A � RE131STERED MASTER.ELECTRIClAN:'.-' 'Q' SNE.":BOSTON SOLAR COMPANY INC MILL 1AM ..T FOCLJETTA 111 10 CHURCHILL PLACE,-,.. LYHN MA 01902-2718 12689 A 07/31/ 6 ; 5o499 .. CONTROL# i o ; rE n IMPORTANT If your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mess-gov/dpi for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General laws and regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Keep this license on your person or posted as required by law and/or regulations. Ut The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations to 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): The Boston Solar Company p Y Address: 10 Churchill Place City/State/Zip: Lynn MA 01902 Phone #: 617 858 1645 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 2 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.® Other solar installation comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.Lic.#: WC2-31 S-384393-013 Expiration Date: 1/14/14 Job Site Address: 45 Second Street City/State/Zip: North Andover,MA 01845 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: �a=� Date: 9/24/2013 Phone#: 617 858 1645 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ©03�^3//277�/2013 04:46 17815955820 AMBROEE INSURANCE PAGE 03/03 ACO —L)? DATEMNIODlYYYY) CERTIFICATE OF LIABILITY INSURANCE 3/27/2013 THIS CERTIFICATE IS ISSUED AS A MATTIER OF INFORNAMON ONLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTFICA7E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERACE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE or rNSuRANCE DOES NOT GONSTITUI E A CONTRACT BETWEEN THE 1SSUMG INSURER(SY ALTHORIZIED REPRESENTATIVE OR PRODUCER, AND THE CEI TrRCATE HOLDER. IMPORTANrP IF the esrdficats holder is en ADDFI'IONAL INSURED,the palrcypLg)must bo$ndmas4. 1F SU01ROGATION IS VMAIVED,subject to the berms and evndlt m of the policy,certaln polwft Msy require on endorsement A BIRtGrwnt on this eerHReata does not Confer rlghts to the C9tUfieeM holder In Ileu Df sueh endarsomomrs, PRODUCER NAM Amabrove Insurance Agency, Inc. I 56 Central Ave. L X1'781-592-8200 t' No:781-595-5820 Lynn, M 01901 +PDRLSSS: '. MUFEWII AFFMINO CIM19MUE U,uCO INSURER A;COlOII j INSJRED BOGton Solar Co. , Ino. IMVRBR 13;Safety 1.11-SURER C:INat final Union Pira Of PAttsbu=gft r 10 Churchill 21. I"URER D:Liberty Mutual Lynn, MA 01.902 WBURER E ty8lFRER F COVERAGES CER171FIGATE NUMBER; REVISION NUMI3Ek: THIS 13 TO CERTrFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED NBOVE FOR THE POLICY PERIOD IND'GATED. NO-WITHS-ANDING ANY R)=QUIRIHNENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO UI"IDH THIS CEffn=rCATE MAY BE ISSUED OR NAY PERTAIN.THE INSURANCE AFFORDED BY 7HE POLIOS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES,UfAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NOR POLICY ti-Pi --- LTq TYPE GF M$JFtANCE r POLIC`r N:1M9ER (NM1D d.] LIMITS I GENERAL Ll46Lrly SACH OOCURREMCE 8 1,000,000 g CDkMT!R'GLAL GENERA.LIABILITY 3REMI$ES(Eel ocxurrence S 1013,000 CLAIh15 hUcE ox 4tCLR ME7 QMfAry me Pervm) 5,000 A y GL4046206 2/]4/1 2/14/1 PEF2r,, ,L%ADVINJUR- t 1,000,000 GENERAL AGdR?GATE _L2.,0001000 G@N'L ACGREGaTS LIMIT APPLIES PIER!Pr 7 PRODUCTS.COAPIPP AGO 3 2,000,000 POLICY'X1.IMjT LOG I i ALn4AtOBILE LUSILFlY :L'000 ,000 rEe aaidm AWYAUiO I BODILY INJURY(Par Pr+raan) A. ALL OWNED SC14E09JLE2 B Atrncs ,x MONOWMED Y ` 9216S92 1123/13,1/23/14 aaarLYInUURY(Pnr,.ucldp.,U. a JS HIRED AVTDS 'X AU-05 E; ;�CtdKdIVT na S I S 11MBs.ELLa LIZ I x :OCCUR C x EXOEI38 LrAB TACH OCCURRENCES.r 0 D0 OOO cLnlMs.rnnnE Y DEC) 'RETENTIOi;3 HBC-067910167 2/13/1 2/x.3/1 ACIGREOATE s 5,OD0 000 s utORIERS COMPENSATION av sz�.TLr cTrt IAND ErRPLOYORS'LIA31FIY rrN Dur P&MME.oiar►;'LUMD7 y-rvE [.L,EACMACCIDE NT 8 ER Z 000 1 000 D OFRCEKaveest k�LlgED7 � Mfr, plsearUWInuq) •9702-31S-3134393-013 1114/131/14/14 E.L,DI3EASE-EaEMPLbYEEs 1,000,000r^dtxribounlor DES:RIPT'ONO-QPECATICN8be'ow E,L,DISEl,3E-POLIGYLIMIT 3.,.000,000 A Installation Floater FM4046208 2/14/132/14/1 $25,000 DF,SCRIPTON OF Or ERATIous(LQCATIONS FVEHZli ;A'Idn ACDRO 101,Addluanel Renarks Wodulo,It rrxe vpaceiq recuired) Solar Panel Installation CERTIFICATE HOLDER CANCELLATION I TGarxi Of NO h AndoversHOULu ANY OF THE ABOVE DESCRIED SOLICIES BE CANGELLED 9EFORE THE EXPIRATON DATE THEREOF, NOTrCE WALL BE DELIV/ERE5 IN Attn. : Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. Tome Hall North Andover, MA 01545 A1ITNORITF0 REPIr3=NTATIVr ., 01s 1 ACOIRD CORPORATrON, All rig hts rasarved, 4CORpaS(a0?W65) The ACORD name and logo are regFstared marks of O 0 .• � •... ^ - � �. L a�.� v'S t1.--�- 4C ice.��.1�('•1�_.Y t. �' .�---�- +�ti..• No.: �r� Date 7 f N°RSM, TOWN OF NORTH ANDOVER 0 o A BUILDING DEPARTMENT �q` *•oW�''� Building/Frame Permit Fee $ SSACHUS� Foundation Permit Fee $ Other Permit Fee $ Bui ding Inspector 07/01/97 09:58 35.00 PAID PERMIT No._ APPLICATION FOR;PERMIT TO BUILD — NORTH ANDOVER, MASS. /vr PAGE MAP 1J0. J j? LOT NO. 7 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE / I SJB DIV. LOT NO. :r:,_ •: PURPOSE OF BUILDING 1 LOCATION _ OWNER'S NAME A A` NO. OF STORIES SIZE -- OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME '9 SIZE dF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME f/ �j�f SPAN DISTANCE TO NEAREST R-JIILLDI`sNG 'Y /�✓I CJS DIMENSIONS OF BILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDItOG NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATI.ON ICA IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER 4 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST ' _ SEE BOTH BIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3 MGT. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM . ELECTRIC METEPB MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. .4 APPROVED BY 5 - ATTACHED GARAGES MUIiT CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED z 7 ■UILDINO INfP1tCTpy SIGNATURE Of OWNER DR AUTHORIZED AGENT FEE OWNERTELN J PERMIT GRANTED CONTR.TEL 1 _7 / 1� CONTR.LIC.N O.3 H.I.C./ ! �� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S'OROFFICES 1E5 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI, FAMILY ' • —. LOT LINE15 AND EXACT -DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- .. - APARTMENTS RAGES, ETC. SUPERIMPOSED.'THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION B INTERIOR FINISH CONCRETE CONCRETE Bt K. PINE BRICK OR STONE PL_AS_IS-iiAROR O PIERS _ DRY VIAL( UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/4 1/1 1/4 FIN. ATTIC;AREA _ N_O B M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN — 4 WALLS I 9 FLOORS �- CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD",D _ ASBESTOS SIDING COMILCN _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRT ATTIC STRS. d FLOOR I_ - - BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME , OR j ADEQUOATE 1-1 NONE 5 ROOF 1O PLUMBING GABLE I IP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR b GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO g FRAMING i l 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 GAS -_. 7 NO. Of ROOMS _ OIL , B M T 12,.d _ ELECTRIC I�1 3,d I NO HEATING 00R?* i own of ... 0 Andove r No- 3/ 8 // -0: LAKE 17 OCH over, Mass., -1951/ -C ICNEWICK BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS P.CERTIFIES THAT........................................ ................................................................................ BUILDING INSPECTOR has plirmission tolreCt......... buildings on........-**/s............ ............... ............... ........ Foundation Rough tobe occupied as.............................................. ................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMITEXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ELECTRICAL INSPECTOR Rough, .................... .. .......... .......................!>W.................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. re Smoke Det. Town of North Andover f NORTH OFFICE OF 3�0.'"`° do°c COMMUNITY DEVELOPMENT AND SERVICES � , 146 Main Street ,,« North Andover, Massachusetts 01845 �,'`�A,r,o "�5 0/11,1JAM J. SCOTT 9SSaCHU Director In accordance with the provisions of MGL c40, S 54, a condition of Building Permit Number ----is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) v lam" Signature of Permit Applicant z4,/Y 7 Date NOTE: Demolition permit from the Town df North Andover must be obtained for this project through the Office of the Building Inspector. 4. r !IOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date A Z?- THIS CERTIFIES THAT THE BUILDING LOCATED ON Svc MAY BE OCCUPIED AS Slit/ 6/4F �AAq I IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ��� iC� D. :tj S- '° ADDRESS • - r • •"ems ti f• :s"cmusg In ct - F AORTN�. - - ov Of �.` clover �. �o , r=--L- rt `' dower, Mass., i 199�- COCHICHEWICK %p ADRATE D PP�k C.) 5 BOARD OF HEALTH Food/Kitchen Septic System A ERMIT T BUILDING INSPECTOR THIS CERTIFIES THAT.............................. ........`,..kv ............R..D......... F`..q.��................................ Foundation has permission to erect......... -:fes:...................... buildings on .......�................... fit. .......... .. . Rou ��< . to be occupied as................ /. nC. :..k..4:..............��`�...lL?..�...V��.p.-p.l.i.c.-a-t-ion.-o.n.-file.-in . . .... . . .... ... Chimney ............................................ provided that the person accepting this permit shall in every respect conform to the terms of Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constru ' Buildings in the Town of North Andover. �I/ �1 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. G� �` ou G)���°�`��� �'�' tY�� � a PERMIT EXPIRES IN 6 MONTHS / ;'• > - `� UNLESS CONSTRUCTION START ELECTRICIN PEC R ou � � ................................................. ...................... ..... ............................... ervice BUIL ING INSPECTOR Occupancy Permit Required to Occupy Building OR Rough Display in a Conspicuous Place on the Premises — Do Not Remove61 Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner (�lulu I lV(o6 ` Street No. Smoke Det. fz y+ w z-Z 7 Location /S� S C &'"CJ S '� No. L 37 Date of MORTN TOWN OF NORTH ANDOVER 16. Certificate of Occupancy $ s Building/Frame Permit Fee $ 5 �cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # G 8 3 "I 6 4 70 ,�til <�-•- Building Inspector TOWN OF NORTH ANDOVER ` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOV/ATT�1aE,,` OR DEMOLISH A QONE OR TWO FAMILY DWELLING *3 T•sg"�T�'� MSr s t��...'•>'�:9F^'��,�V `. 37+3R� �� e' i BUILDING PERMIT NUMBER. DATE ISSUED. _ D ao a 3 SIGNATURE: Building Commissioner/1t r of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: V5- -��eo o -<- 0 / 7 000 3 �l/ L , -p.�`D dvn Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red ovided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service: O RackA Signature Telephone �Q W 2.2 Owner of Record: Name Print Address for Service: O Z m Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 9 O --tq � � ST' ^ ,F7 Ovc \ License Number 11 Address,' I Tf'N L/ > Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name (! / 17 1715 M -767S- DA-4,F s? �� ..4_. ,�AF� Registration Number r ^� Address /� .211) /6 Cr r Expiration Date Si gnature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 7,1ion ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: /:-�- )C IT b F C/'�' $ 57- 5 JE S S4on-i ti C""u /4c7tti SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) _ 4 Mechanical HVAC 5 Fire Protection / 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR nAPPLIES FOR BUILDING PERMIT I, tl�� � � �t r7f -.) ,as Owner/Authorized Agent of subject property Hereby authorize Rr/s 'cr'T— 1-k�J ,� /61'e V, '" to act on My beha�I,in�1 afters relative to work a ithorized by this building permit application. L , .—Q_ -ry w d 13 Signature of Owner Date SECTION 7b OWNER/AUTHORIZED ,�A�GEENpT�DE]C�LARATION, X/ rrl�7 e2w^ted\ as Owner/Authorized Agent of subject property 06 J L ir a-- V l N -- G E P7 Hereby dec are that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief 2 VO 6 F- 0 Print Nattl Signaturelof(fir/Agent r Date q NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVMERS 1 ST 2ND 3 SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DIlvIENSIONS OF GIRDERS 1-1EIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 6-13--U3 • FORM U - LOT RELEASE FORM INSTRUCTIONS: 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 or requirements. 46* *****************************APPLICANT FILLS OUT THIS SECTION n ***** APPLICANTC' R/OJk "Ak Af- PHONE V7 6'F-9'!!s-7 L/ 9 LOCATION: Assessor's Map Number C_L_?_ PARCEL 4QO J SUBDIVISION 0 LOT(S) STREET O .57- ST.NUMBER V -)— USE 5USE ONLY***** * * ►* **** * RECOM NDATIONS O T. N AGENTS: CONSER. A ION ADMINISTRAT DATE APPROVED l� DATE REJECTED COMMENTS s� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9197 jm G The Commonwealth of Massachusetts . , Department of Industrial Accidents Office of investigations 9�< Boston, Mass. 02111 7M SV s mac'° ell Workers'Compensation Insurance Affidavit Name Ro&eyeZ - M ('fEV t Please Print Name: ?,013 1p- Location: ��"� 5€ C'o'N S 'i City a 'Ar-to tr&l,�, MA Phone # f 7�� 4!5' 0 7 y 9 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for rrly employees working on this job. Company name: Address City: Phone#' Insurance.Co. Pollicv# Company name: , Address City: Phone# Insurance Co. Policy# Failure to secure overage as required under Section 25A or MGL 152 can lead to the nriposfion of criminal penalties af,a fine up to$1,500.00 and/or one years'imprisonment.as_miellas_ci Ajxmalties-tn-tbelmn4a-STDPYAOWDRQER and_a fine-af_(,$1DA.0o)-ariay i.� I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification /do hereby certify th hs and /ties of perjury that the information provided above a true and correct. Signature _ pate4 /'3 .mac, Y r� Print namel\ P�i 1J G' .V'f IJ Phone# 7 i���3 c'© 7 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensinq � E]Check if immediate response is required Building Dept 0 Licensing Board E] Selectman's Office Contact person: Phone A El Health Department Ei Other i Co .77 N r Page No. / of , Pages. ROBERT LANGLVIN / BUILDING AND REMflflELiNG PROPOSAL 795 Dale Street NORTH ANDOVER, MA 01845 (508) 686-3607 PHONE DATE TO C R f ' ,ri(+F--F-- JOB NAME/LOCATION JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: f. Rt%N i( F rest ►J6 $ s-r c e `T- A s r2 tlx 6 VA J- Wle PIrOPOSe hereby to furnish material and labor—complete in accordance with the above specifications,for ..the �sum of: r ^-j,1 jJ dollars ($ e7 Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a professional [j///J1 manner according to standard practices. Any alteration or deviation from above specifica• Authorized / L��` tions involving extra costs will be executed only upon written orders, and will become an Signafi— e ure extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be (and orkers are fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within > days. Acceptance of Proposal —The above prices, specifications n � ,J conditions are satisfactory and are hereby accepted.You are authorizedSignature -`fit �/1ti1 (�the work as specified. Payment will be made as outlined above. Signature of Acceptance: North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that.the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A.. The debris will be disposed of in: (Location of Facility) via Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector I BOARD OF BUILDING i License: CONSTRUCTION SUP ULATIONS?' Numb6r- ERVISOR 002685 airthdate a2/247t947 Exprr sl 0224/2004 Tr.no: 17862 Re�thctecl ROBERT M LANGEVtIV;r <;f 795 DALE ST N ANDOVER, MA Q9845 ' t Administrator ell Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration 11lot 1890 Expiration 2%11/2005 ;r �"TYPe DBd ROBERT LANGEI%IN BLpG � &RE ROBERT LANGE MOLDING 795 DALE ST N ANDOVER,MA 01845~✓ �^ Administrator NORTH E Andover Town of � � No. O 'c r,L n Yc dover, Mass., L '� ocic wic AORATED PP�`��.(5 S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... Ca.1%.l r .��V. ...........�a... ...... ...o .� ..... ........................................ Foundation has permission to erect..... .a.�. ..� ..�....... buildings on ..957.....S.CC.O N..�........ 4'.+.................. Rough to be occupied as......©..P...F.N......7.. .K.......0 AJ) !C.&.r- .�tf I.!V... ............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the applicationTn file in Final this office, and to the provisions of the Codes and By-Laws relating the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ' a/ 'T V60 mom PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIOSTARTS ELECTRICAL INSPECTOR. C Rough ... .. 0.1%00.pr"PTUP140....... ................:7..................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. o� s Cl/I 0.2--g,< o O�rlOg a�vo1S Of Ot MOM /S'z6/ � �o•a�. 96�L/z r ��o�. �,�o�• o�r�o� •�N01S' � .�- S. � � d �� =� •�-�s oma. yf Of/ t s, f N�S/V/9G�a' �' -�C c�'6�!tr � ,n� i �' -�'/d-��0�W �7'L✓-� Lt/ -W2 � a ��- �$ `�/-�'-x/74,;G✓ Z/7-�' r•. + � a�rv�+ a�jb fS say Date.. -a'.b./l.z:. .... . . HORT1� TOWN OF NORTH ANDOVER • . PERMIT FOR GAS INSTALLATION o� - ��h �,SSACHUSESS This certifies that . . . Ie. . (����QS-S . . . . . . . . . . • • • d has permission for gas installation . . . . /✓ . ! !` . . . . . . . . . in the buildings of . . . . . ' -S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . 1 . . . . 4LO`'. . . . -'+ . . . . . . Northndover, assj/ Fee. .�6!v Lic. No.. /,M / GAS INSPECTOR Check# 8283 Date. abh l-. . . 9520 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s o• '�a ,SSACMUS� This certifies that . . A(Me. . C.,.qlaeSs .`. .�°-S . ./ . has permission to perform 4 t�/ !fit . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . �. . . . at . . . .0 . .5;PCO�r-� S. . . . . . . . . ., North Andover, Mass. Fee ! .Lic. No./�295-1. //� . . . . . PLUMBING INSPECTOR Check � ���'S� i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Ulf CITY I NORTH ANDOVER MA DATE 7122112 PERMIT# JOBSITE ADDRESS 145 SECOND ST OWNER'S NAME CHET WOODS POWNER ADDRESS 145 SECOND ST TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALQ PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO❑ FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB —H= = CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES F71 NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF 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. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accur to a best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance wit a ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. AIA C- PLUMBER'S NAME I MIKE CAPELESS LICENSE# 15851 SIG ATURE MPQ JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#0 COMPANY NAME 1.BOILER GUY/MIKE CAPELESS ADDRESS 1 105 TYLER ST CITY METHUEN STATE MA ZIP 01844 TEL F- FAXI CELL 978-382-1017 EMAIL i i i ' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTH ANDOVER MA DATE 17/29/12 PERMIT# JOBSITE ADDRESS 145 SECOND ST OWNER'S NAME CHET WOODS GOWNER ADDRESS 145 SECOND ST TEI�-- FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL PST ❑ ❑ RESIDENTIALE] CLEARLY NEW:O RENOVATION:❑ REPLACEMENT:F1 PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS— BSM 1 1 2 3 1 4 5 6 7 8 1 9 10 11 12 13 1 14 BOILER 1 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 EEL -=E UNIT HEATER 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 Q NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F-71 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. CHECK ONE ONLY: OWNER ❑ AGENT Fj SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and a at the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp'ance th ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME I MIKE CAPELESS LICENSE# 15851 SI NATURE MP❑ MGF❑ JP❑ JGF© LPG[❑ CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME:j BOILER GUY/MIKE CAPELESS ADDRESS 1105 TYLER ST CITY METHUEN STATE MA ZIP 01844 =TEL FAXI CELL 978-382-101�—jEMAIL