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HomeMy WebLinkAboutMiscellaneous - 47 EMPIRE DRIVE 4/30/2018 /I /�_ % � / _ � .; '.1 J `� I � Date...... ............................... NORTH Ba •"`:;': ��0� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ssACHUS�� This certifies tha(�V:� `\�' Uj has permission to perform .. 1?U 4-s ,A....Sv� 2 Z p... . .................................... .......................... wiring in the building of........�.!.U�'r` '�- ' "-� . ...................................................................................... at .... �. C...............................%`2'.J 2� ,....,North Andover,Mass. ................ iA J�.............. Fee...+ .J... )� t` i i(� .......,.{!/.C1 ......... ........Lic.No. ................. .................... - .....^ . ELECTRICAL INSPECTOR` Check# as COmmonweX Of 7&46."th Official Use Only c� Permit No. 13 01� "+ aLl¢partment o��ire�ervice� k 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 C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: i115115 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) 47 Empire Drive Owner or Tenant Eugene Blumkin Telephone No. 617-590-5680 Owner's Address 47 Empire Drive, North Andover, MA 01845 Is this permit in conjunction with a building permit? Yes -1 No ❑ (Check Appropriate Box) Purpose of Building Residence-no change 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 a 6.16kW roof mounted solar array using 22 SolarWorld SW280 Mono modules, 22 Enphase M250-60-2LL-S22 micro inverters, and all associated electrical work. Completion of the ollowin table ma y be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting grnd. d. 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 an Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: ... ......................................W- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal E] other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW o.of o.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $19,000 (When required by municipal policy.) Work to Start: Apr 2015 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 M BOND ❑ OTHER ❑ (Specify:) I cetfify,under thepains andpenaldes ofperjuty,that the informatto n this applica ' n is true and complete. FIRM NAME: Alteris Renewables dba RGS Ener LIC.NO.: 14005-A Licensee: Craig T. Reekie Signature ,ter LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:860-535-3370 Address: 32 TauQwonk Spur.A-12.Stoninpton.CT 06378Alt.Tel.No.:781-738-7156 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent PERMIT FEE. S 125.00 SignatureturaTelephone No. Z) EALTH OF M.' . ET lit =.. 7 --i I C I AN -CS FOLLOWING ENS E 0 MAST CTRICIA E A% I NC DBA RGS A E ff Ll a 200129 AC V CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) `-� 1/1/2016 1/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies CONTACT 8110 E.Union Avenue PHONEFAX Suite 700 E-MAIL AIC Nol: Denver CO 80237 ADDRESS: (303)414-6000 INSURERS AFFORDING COVERAGE NAIC# INSURER A:First Specialty Insurance Corporation 34916 INSURED Alteris Renewables,Inc. INSURER B: C aInsurance m 1 535 1344665 dba Real Goods Solar INSURER C:Starr Indemnity&Liability Company 38318 dba RGS Energy INSURER D: 32 Taugwonk Spur,Unit Al2 Stonington,CT 06378 INSURER E: INSURER F COVERAGES REAG001 CERTIFICATE NUMBER: 13294607 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP INSD POLICY NUMBER MMIDDIYYYY MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY N N IRG2000528 1/1/2015 1/1/2016 EACH OCCURRENCE s 00000 CLAIMS-MADE aOCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 50,000 MED EXP(Any oneperson) PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000000 POLICY � JERCOT- [—]LOC PRODUCTS-COMPIOP AGG $ 00 OTHER: B AUTOMOBILE LIABILITY N N BAP5852403 1/1/2015 1/1/2016 $ (Ea accident) 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ X? XXXX X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ XXXXXXX X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE(Per neddentl $ XXXXXXX $ XXXXmX A X UMBRELLA LIAB X OCCUR N N IR-E2000563 1/1/2015 1/1/2016 EACH OCCURRENCE $ 10000000 C X EXCESS LIAB CLAIMS-MADE 1000021478 1/1/2015 1/1/2016 AGGREGATE $ 000 000 DED RETENTION$ $ X B WORKERS COMPENSATION N AND EMPLOYERS'LIABILITY YIN WC5852405 1/1/2015 1/1/2016 X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED2 � NIA E.L.EACH ACCIDENT $ l 000 000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ l 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 13294607 for information only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRES AT VE L arl✓� � � 1�1 ©1988- 014 ACORD COR PO TION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 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): Alteris Renewables, Inc. dba RGS Energy Address: 32 Tauqwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone #: (860)535-3370 Are you an employer? Check the appropriate box: Type of project(required): 1. x❑ I am a employer with 320 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. + 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 required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 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' comp. insurance required.] 13.❑x Other solar panels *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. tContractors 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: Zurich American Insurance Co. Policy#or Self-ins.Lic.#: WC5852405 Expiration Date: 01/01/2016 Job Site Address: 47 Empire Drive 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: �,,�n Date: )I: Phone#: (860) 535-3370 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#: FOR CONSTRUCTION WIRE SCHEDULE WIRE SIZING VOLTAGE DROP Notes: Ground 90°C Derated Amapacity 75°C ®�0 1. All conduit to use water-tight expansion fittings. Tag Qty Conductor Size &Type Conduit Length V. Drop 2. All Rooftop conduit to be a minimum of 1"above the Size &Type (Allowable Amps x Temp Derate x Fill Derate) Ampacity `RG S roof surface. A 3 #12 AWG ENGAGE CABLE #6 AWG BARE Cu FREE AIR 30A X 0.84 = 25.20 A 25.00 A N/A 0.21% E I�!E RGY .......................................................................................................................................................... ...... ...................................................... ........I..............._. .. . . . ...... 3. PV Connection into Load Center shall be positioned at B 9 #10 AWG THWN-2 #8 AWG THWN-2 1" EMT 40A X 0.84 X 0.7 = 23.52 A 35.00 A 70 Ft 0.58% ................................_................................................................................................... ...... ....I....... ... ..... .. ...... 32 Taugwonk Spur,Al2 . .. . ...... _............A 35........... the opposite end from the Utility Input feeder C 3 #10 AWG THWN-2 #8 AWG THWN-2 3/4 EMT 40A X 1.05 X 1 - 42.00 A 35.00 A 10 Ft 0.23% tocation.(Where applicable) :........................................................................... ................................................................... ...................................................... ................................................ onginton,C 06378 .� st Phone(860)535-3370 4. All equipment to be rated NEMA-3R unless otherwise DC.... ---. Fax(413)683-2225 noted. AC 1.02% 5. Lowest expected ambient temperature based on GRID-TIED ASHRAE min. mean extreme dry bulb temperature for PHOTOVOLTAIC SYSTE ASHRAE location most similar to installation. 6.160kW DC @ STC 6. Highest continuous ambient temperature based on ASHRAE highest month 2% dry bulb temperature for BLUMKIN, EUGENE ASHRAE location most similar to installation. 47 EMPIRE DR NORTH ANDOVER, MA 01 7. All conductors to be copper unless noted otherwise. 8. Conductor sizing shall limit Voltage drop to 2% DC & SYSTEM LABELING SPECIFICATIONS Project# 10240621 1.5%AC (2%for Enphase Systems). Max. DC Voltage(-18 °C): 44.6V DC Max. Current: 12.14 A DESIGNER: Val Ionescu ............................................................................... ....................................................................... DC Operating Voltage: 31.2 V DC Operating Current: 9.07 A REVIEWER: MLM ........................................................... ................................................I............ O AC Nominal Voltage: 240 V Max.AC Current: 22.0 A VERSION DATE. 2015-01-08 MAIN SERVICE PANEL REVISIONS INTERCONNECTION # By DateNotes 120% Rule 705.12(D)(2) Utility Feed + Solar Backfeed 1 EG '12130/2014 Layout change 2 EG 1!9/2014 Layout Cheng° 200 A + 30 A = 230 A Buss Rating x 120% s 200 A x 120% = 240 A 4 5 m 0 4 u� 0 N _____________1 ,� ;EXTERIOR ; 0 22 Solarworld Plus SW 280 mono black Modules with 22 (N) Enphase �)�> 1-Phase Enphase Energy M250-60-2LL-S22 Micro-Inverters Envoy 120/240V Branch of 8 (N)AC Combiner l- "-:!-- Square DM i m Q0612L100RB 1208 ; ' I 100A 240VAC L----------- ------------I LL (N) PV Meter Branch of 8 (N) Enphase Energy �.. J-Box 4x4x4 240VAC — 200A _ E _ 15A 15A a 15A M (N)30A o N _ N Branch of 6 j ( S IE Not to Scale v. ___.._ .____ E) 200A G GE"=2 Murray ELECTRICAL DIAGF C C l Rooftop Electrical Basement PV-E01 _______________________________________________________________________L_----- ____--________-_-___________-_J OR CONSTRUCTION ooDGDo� Votes: WIRE SCHEDULE WIRE SIZING VOLTAGE DROP 1. All conduit to use water-tight expansion fittings. Ta Qty Conductor Size 8�T Ground 90°C Derated Amapacity 76°C ooQO® 2. All Rooftop conduit to be a minimum of 1"above the g y Type Size&Type Conduit Length V. Drop yp (Allowable Amps x Temp Derate x Fill Derate) Ampacity RGS roof surface. A 3 #12 AWG ENGAGE CABLE #6 AWG BARE Cu FREE AIR 30A X 0.84 = 25.20 A 25.00 A N/A 0.21% ...................... .......................................................................................................................... 3. PV Connection into Load Center shall be positioned at B 9 #10 AWG THWN-2 #8 AWG THWN-2 1" EMT 40A X 0.84 X 0.7 = 23.52 A 35.00 A 70 Ft 0.58% the opposite end from the Utility Input feeder ... .... ... .. ..... ..... ...... .... .. C 3 #10 AWG THWN-2 #8 AWG THWN-2 3/4 EMT 40A X 1.05 X 1 = 42.00 A 35.00 A 10 Ft 0.23% Taugwonk Spur,Al2 location.(Where applicable) .......................:......................................................... .........................................:................................. ................................................................... ........................ ............................. ........................ .I..................... 3stonginton,CT 06378 t. All equipment to be rated NEMA-3R unless otherwiseDC -Y- Phone(860)535-3370 noted. ................:......................... Fax(413)683-2225 5. Lowest expected ambient temperature based on AC 1.02% GRID-TIED ASHRAE min. mean extreme dry bulb temperature for PHOTOVOLTAIC SYSTEM ASHRAE location most similar to installation. 5. Highest continuous ambient temperature based on 6.160kW DC @ STC ASHRAE highest month 2% dry bulb temperature for BLUMKIN, EUGENE ASHRAE location most similar to installation. 47 EMPIRE DR All conductors to be copper unless noted otherwise. NORTH ANDOVER, MA 01845 3. Conductor sizing shall limit Voltage drop to 2% DC& Project# 10240621 1.5%AC (2%for Enphase Systems). SYSTEM LABELING SPECIFICATIONS Max. DC Voltage (-18 °C): 44.6 V DC Max. Current: 12.14 A DESIGNER: Val Ionescu ............................................................................... ....................................................................... DC Operating Voltage: 31.2 V DC Operating Current: 9.07 A REVIEWER: MLM .................... .............. . . . . . . ......................... ....................................................................... AC Nominal Voltage: 240 V Max. AC Current: 22.0 A VERSION DATE. 2015-01-08 MAIN SERVICE PANEL REVISIONS INTERCONNECTION # BY Date Notes 120% Rule-705.12(D)(2) Utility Feed + Solar Backfeed 1 EG 12/30/2014 Layout change 200 A + 30 A = 230 A 2 EG 1/9/2014 Layout Change Buss Rating x 120% 3 200 A x 120% = 240 A 4 5 EXTERIOR 22 Solarworld Plus SW 280 mono black Modules with 22 (N) Enphase °)�> 1-Phase Enphase Energy M250-60-2LL-S22 Micro-Inverters Envoy , Branch of 8 120/240V ; (N)AC Combiner0 El Ti Square D fl Q0612L100R6 120V M 100A -- ; 240VAC n ------------ -- -----------� 0 (N) PV Meter Branch of 8 (N) Enphase Energy J-Box 4x4x4 240VAC r 200A — 15A 15A 15A M (N)30A N N Branch of 6 i (E) E Not to Scale A B200A G G . «"^"' Murray ELECTRICAL DIAGRAM C C RooftopElectricalBasement -------------------- ------------------------------------------------------------- O Enphase®Microinverters Enphase@M250 A i. tet„ T The Enphase® M250 Microinverter delivers increased energy harvest and reduces design and installation complexity with its all-AC approach. With the M250, the DC circuit is isolated and insulated from ground, so no Ground Electrode Conductor(GEC) is required for the microinverter. This further simplifies installation, enhances safety, and saves on labor and materials costs. The Enphase M250 integrates seamlessly with the Engage® Cable, the Envoy® Communications Gateway?m, and Enlighten®, Enphase's monitoring and analysis software. PRODUCTIVE SIMPLE RELIABLE - Optimized for higher-power - No GEC needed for microinverter - 4th-generation product modules - No DC design or string calculation - More than 1 million hours of testing - Maximizes energy production required and 3 million units shipped - Minimizes impact of shading, - Easy installation with Engage - Industry-leading warranty, up to 25 dust, and debris Cable years enphase® s�® E N E R G Y C us s' Enphase®M250 Microinverter//DATA INPUT DATA(DC) M250-60-2LL-S22/S23/S24 Recommended input power(STC) 210-300 W Maximum input DC voltage 48 V Peak power tracking voltage 27 V-39 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V Max DC short circuit current 15 A Max input current 9.8 A OUTPUT DATA (AC) @208 VAC @240 VAC Peak output power 250 W 250 W Rated (continuous)output power 240 W 240 W Nominal output current 1.15 A(A rms at nominal duration) 1.0 A(A rms at nominal duration) Nominal voltage/range 208 V/183-229 V 240 V/211-264 V Nominal frequency/range 60.0/57-61 Hz 60.0/57-61 Hz Extended frequency range* 57-62.5 Hz 57-62.5 Hz Power factor >0.95 >0.95 Maximum units per 20 A branch circuit 24(three phase) 16(single phase) Maximum output fault current 850 mA rms for 6 cycles 850 mA rms for 6 cycles EFFICIENCY CEC weighted efficiency,240 VAC 96.5% CEC weighted efficiency,208 VAC 96.0% Peak inverter efficiency 96.5% Static MPPT efficiency(weighted, reference EN50530) 99.4% Night time power consumption 65 mW max MECHANICAL DATA Ambient temperature range -40°C to+65°C Operating temperature range(internal) -40°C to+85°C Dimensions(WxHxD) 171 mm x 173 mm x 30 mm(without mounting bracket) Weight 2.0 kg Cooling Natural convection-No fans Enclosure environmental rating Outdoor- NEMA 6 FEATURES Compatibility Compatible with 60-cell PV modules. Communication Power line Integrated ground The DC circuit meets the requirements for ungrounded PV arrays in NEC 690.35. Equipment ground is provided in the Engage Cable. No additional GEC or ground is required. Monitoring Free lifetime monitoring via Enlighten software Compliance UL1741/IEEE1547,FCC Part 15 Class B,CAN/CSA-022.2 NO.0-M91, 0.4-04,and 107.1-01 *Frequency ranges can be extended beyond nominal if required by the utility To learn more about Enphase Microinverter technology, ( l enphase® visit enphase.com E N E R G Y 0 2013 Enphase Energy.All rights reserved.All trademarks or brands in this document are registered by their respective owner. ooDoOeo 0o RGS ENERGY oaClean Power.Bright Savings. January 15,2015 Town of North Andover Electrical Inspector 1600 Osgood St,Bldg 20,Suite 2035 North Andover,MA 01845 Hello, I have enclosed an electrical permit application,applicable fee and supporting documents for a residential solar installation in your town.Please let me know if anything else is required to approve our permit. Once the permit is ready please use the enclosed self-addressed stamped envelope to us. Thank you and let me know if you need anything else, 4- ji Kim Hendel Operations Specialist RGS Energy 32 Taugwonk Spur Road,Al2 Stonington CT 06378 Ph 860-535-3370 Fax 413-683-2225 kimberly.hendel@RGSenergy.co 32 '1'augwonk Shur,Al2,Stonington,C'I'06378 I tel. 860.535.3370 I fax 41.3.683.2225 I RGSEnergy.com Date.4.,-/ . of Noar#j a; ora TOWN OF NORTH ANDOVER o t PERMIT FOR WIRING CHUSE �� �G This certifies that �./u�!' :. ................................................' rR ... ...............C.. ' has permission to perform ............................... 21 P�rQ.. ....10.:�. 1 L-�L...................................... ring in the building of..: ` .!`n.....-�� at .......43....��`+�'.'2�2,.....�..�2'!�-....................!N�rthAndover Mass. > ee,. ��...........Lica No. �.L ....".l.� .. ...... ......... .. ELECTRICAL INSPECTOR Check#" Aa 4(D(O-V� vim. • Print Form C.oi»a►oa►uea h o! as+at�uaolle - Official Use Onlylu I'crnlil No. f t 1 2er"rlmeul o f Sire_ ,141;a..4 ! ' t)ccupancy and Fcc Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 (Ieavc blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 111 work to lie llcifm•mc►I in arco►dance with the Mnssachuscttc I:Iccbical Code(MEC).527 CMR 13,410 (PLEASE I WAY IN INK OR TYPE ALL lNl7)RA4A'/'/nN) nate: lo-27 2y— City YCity or Town of. AJ&r44) doW_ To file Inspector n/'Wm-r: ~- -- fly thin applicatloll lilt: gives notice of his or her intention to perrunn the electrical work described below. Location(Sireel & Number) GUY)Pt re Dr-. .- _--__ Owner or'I'rnant �4 to e _3_u l� _ Tcicphonc Nu.(�/1�- -S1,18-0Owner's Address _ Is this permit in conjunction with a building permit? Yes F No LJ (Check Appropriate But) Purpose of Building; w/Solar-PV utility Authorization No. n/a Existing Service Amps / wVolts Overhead L,] Undgrd❑ No.of Meters New Service Amps / Volts Overhead F1 thtdgrd❑ No.of Meters Number of feeders and Arnpacily Location anti Nature of Proposed Electrical Work: Install Solar Elartric-Photovoltaic(PV)system [Z7 panels) rated6„g�S kW-DC Q S.T.C.Grid Tied. In conjunction with a Building Permit. C iso 111 tinn to the lidlumin,lnhlr mar/n-n oisvil 19.the hes erlar No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle)Fans 7 o.of Total formers KVA No.of Luminaire Outlets No,of[tot Tubs generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o.o ,mergcncy-7,g; rag S1 JS �rnd. rnd. Itall_crl- Units No.of Receptacle Outlets No,of Oil Burners I.1 RF AI 6t Nt!, I'm,of%tmrs No.of Switches No.of Gas Burners •e41•Of butt-enol! and Initiliing Drtic•e► No.of RanT Res No.of Air Cond. ota'Pons So.of Ali-cling I)e%ire•• No.of 114'astc Disposers eat ampumhcr Pons n:of ficl - ontain�d� _ '1'utals: � Uc•Irrti_nui.Uartin�llcricr4 No.of Dishwashers 5 ace/Area Ileatin g KW Local �t►nurlg'al Space/Area k ❑ Connection [-� tkbcr Security, stems: In No.of Dryers Heating Appliances KW tY y No.of I/evicts ur F.yuival���l ka.of Water , o.o _--�No.o KW Ilatalt ming: "eaters Signs No.of Devices or Foulvident No.Ilydromassage Bathtubs No.of Motors Total lip Telecommunications iWiring, d No.of Devices or E uivalcot OTH1N It: V Allnrh additional detail it devirt-4 en•im n-ijuired hl•Nm h►sIn-vtor til 111u•es. I:stimaled Value of Electrical Work: 12 r D 0� _ (When required by municipal policy.) Work to Start: A.S.A.P, inspection%to be requested in accordance with MEc Itule ill,cold info%runlidrti(III INSURANCE COVERAGE: !talcs.a awed by the owner.no pennit for the pert innance of electrical work map i%sur unless the licensee provides proal tit 141111111V insu►anrr inc•ludinb A:oinplctcd opciatiutl-coverage or its Sul+gtauri►al ecluk alcrnl. 'I he underrigued cert hies that quell coverage is in force,and has exhibited protil'of sank to clic permit issuing office. (` 11111(ONE: INSURANCE Q MIND ❑ 0TI1FR 0 (Svc.•itv:) I cerloy',tinder Noe pains and penattles of perjury,float floe inJnrmado i nn this applivalion is true and roonlytele. l v��a FUM NAME: SOLARCITY CORPORATION I.W.NO.: 1136 MR - nl,1 Licensee: Matthew T. Markham signature l r }_ LIC. Nt1.: 1136 MR Com" (lt n/rllliwiI.1' "r>acnylt"in lilt,1&vc1►se number lou-./ Bus.Td.No.:774-258-8180 Address: 24 St. Martin Drive(Building 2/Unit 11).Mariborough,MA.01752 All.Tel.No.:774-258.8505 *Per M.O.l..e. 147,s.57-61,security work requires Dcpatlment of Public Safety"S"Lic nse: Lie.No. _1 OWNER'S INSIiKANCE WAIVER: 1 um aware that the Liccnsw doev not/rate the liability insufatlec coverage 11arn1a11y required by law, fly my signature be-low,l hereby waive this requirement. 1 am the(check tine)[I owner owner' t. Owner/Agent Signature ^___� 'Telephone No. PERMIT ME : S z t � 1 j1willMet of Consumer Aflaim d Rosiness Regulation f}OMEIMPROVEMENT CONTRACTOR Registration 168572 Type Expirattnn 302015 Supplement SOLARCITY CORPORATION MATTHEW MARKHAM 24 ST MARTIN STREET BLD 2UN1 r.':.t•,.: __ UhLBOROUGH.MA 01752 Undersecretary pMMONW JlCHU�F ITfi T4s. `-'e_ ej • t + ELECTRICIANS ISSUES THE FOLLOWING LICENSE. AS A REGISTERED MASTER ELECTRICIAN SOLARC I T11 CORPORATION '� MATTHEW T MARKHAM � . 24 SAINT MARTIN OR BLDG 2 UNIT 11 MARLBOROUGH MA 01752-3060 r f The Commonwealth of Massachusetts I Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 IS _�' Boston, MA 02114-2017 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aonlicant Information Please Print Legibly Name(Business/Organi2,ation/Individual): SOLARCITY CORP Address:3055 CLEARViEW WAY City/State/Zip: SAN MATEO,CA 94402 Phone #:886-765-2489 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 5000 - 4. E] I am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. C]New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y4. [1 Building addition [No workers' comp. insurance comp. insurance; required.] 5. ❑ We are a corporation and its 10.❑ 1?lectrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGI. I2.❑ Roof repairs insurance required.] c. 152,§1(4),and we have no 13.®Other SOLAR I PV employees. [No workers' -- -- — camp. insurance required.] $Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit anew aff davit indicating such. tContractars that check this box must attached an additional shat showing the name of the sub-contractors and state:whether or not those entities have employees. If the sub•contraclors have employees,they must provide their workers'comp.policy number. I ant an employer that Is providing workers'compensation insurance for my employees. Below Is the policy and job site Information. Insurance Company Namc:.LIBERTY MUTUAL INSURANCE COMPANY Policy#or Self-ins. Lic. 0:WA7-66D-066265-024 _-- Expiration Datc:09/0112015 Job Site Address: y _ f _ _ City/State/I..ip: NCi-I'L.Rn Attach a copy of the workers' compensation policy declaration Mage(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 avid a tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Off icc of Investigations of the DIA for insurance coverage verification. do hereby cer1W tntder lite pains and enaltes of perjitry!hot the litformallon provided above is true and correct. ' Slsl!€tlitre: l►atr /0-27—t(( r �..._ . Phone#: Qlylcial use only. Do net write in this area,to be completed by city or town official. City or Town: _ Permit/License# i Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.Cityfi'own Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ♦�l DATE(MMIDDIYYYY) ACORD �' CERTIFICATE OF LIABILITY INSURANCE 08.%2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK b INSURANCE SERVICES NAME 345 CALIFORNIA STREET,SUITE 1300 PMC ,NE EIA): _ __ FAX No): CALIFORNIA LICENSE NO.0437153 ADDRESS, SAN FRANCISCO,CA 94104 - INSURER(S)AFFORDING COVERAGE NAIC a 998301-STND-GAWUE•14-15 INSURER A;LIb1Uty MUtual Fire Insurance Company 16586 INSUREDINSURER B:LIDOrIy Insurance Corpora6otl 42404 Ph(650)963.5100 SdarGty Corporation INSURER C:WA WA 3055 Cleavlew Way INSURER 0: San Mateo.CA 94401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002440269.02 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE DL OR i POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER M MMIDDIYYYY A GENERAL LIABILITY ( T82-661-066265-014 09}0112014 09101/2015 EACH OCCURRENCE. 6 1ADO'ow X1 COMMERCIAL GENERAL LIABILITY PREMI ES(Es ocpW- encu) S AMAGE TO RENTED 100'000 1 CLAOAS•MADE I X I OCCUR MED EXP(Any ono person) i 10.000 1 1 PERSONAL R ADV INJURY !S 1,000-000 11 GENERAL AGGREGATE 1'S 2,000•000 GENL AGGREGATE LIMIT APPLIES PER. I PRODUCTS•COMPIOP AGG S 2,000.000 X POLICY( X PER LOC Deductible S 25,000 A AUTOMOBILE UABILITY AS2.661.066265044 09MI12014 109,10110115 �COMBINED SINGLE LIMIT 1�� (Es accident) S X I ANY AUTO BODII Y INJURY(Per person) :S ALL OWNED jSCHEDULED I BODILY INJURY(Per acc.dent)IS AUTOSI NON ' '.PROPERTY DAMAGE X f HIRED AUtOS ;AUTOSi (Per aoca") S X � �EO I � X I Phys.Damage , COMPICOLL DED: S $1,000151.000 UMBRELLA UAB 'OCCUR I I T EACH OCCURRENCE f EXCESS LIAB 1 CLAIMS MADE' ! I AGGREGATE S I U RETENtI N S B WORKERS COMPENSATION I WA7.66D•066265-024 090112014 0910112015 X WG STATu• oTw AND EMPLOYERS'LIABILITY { ,TORY LIMITS. ER , BANY �WCI661-066265034(WI} �09ro112014 09A112015 1,000,000 OFFICERIMEM ER EXCLUDED�LCUtIVE NIA EL EACH ACCIDENT S B 1ManddM In NMI �WC DEDUCTIBLE:5350.000 (E L DISEASE•EA EMPLOYEE, $ 1.000,000 '4descnbe CRIPTION unOFdoOPERATNS 'ow E 1. DISEASE POLICY LIMIT 1S 1.000.000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Sehe",N more space Is required) I vldelmof Insurance CERTIFICATE HOLDER CANCELLATION Solarcity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 CloaNiewWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 94407 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk i Insurance Services Charles Marmole)o c=- 0 1988-2010 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT VOLTAGE AT MAX V cp VOLTAGE AT OPENPOWER CIIRCUIT VICINITY- MAP INDEX W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS P 14 UPLIFT CALCULATIONS LICENSE GENERAL NOTES ' PV5 THREE LINE DIAGRAM i Cutsheets Attached r GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH Ben Liu � o THE 2014 NATIONAL ELECTRIC CODE INCLUDING , MASSACHUSETTS AMENDMENTS. � �, • MODULE GROUNDING METHOD: * -- AHJ: Lawrence REV BY DATE COMMENTS �"�""�"�'"" REV A NAME DATE COMMENTS UTILITY: National Grid USA (Massachusetts Electric) qtr t JB-01 8116 6 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN X06 NUMBER: BLUMKIN, EUGENE BLUMKIN RESIDENCE Raymond Planas • CONTAINED SHALL NOT E USED FOR THE =SolarCit BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 47 EMPIRE DR. LOT 24 NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C # 6.885 KW PV ARRAY '0,1 y PART TO OTHERS OUTSIDE THE RECIPIENTS MooI,LEs: NORTH ANDOVER MA 01845 ORGANIZATION, EXCEPT IN CONNECTION HATH THE SALE AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PX 24 St. Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE: Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. INVERTER' 617 590-5680 T. (650)638-1026 F: (650)638-1029 SOLAREDGE SE5000A—USOOOSNR2 COVER SHEET PV 1 10/14/2014 (666)-SOL-CITY(765-2469) www.solarcitycom Ben Liu PITCH: 40 ARRAY PITCH:40 o MP1 AZIMUTH: 259 ARRAY AZIMUTH: 259 MATERIAL: Comp Shingle STORY: 2 Storie PITCH: 40 ARRAY PITCH:40 MP2 AZIMUTH: 169 ARRAY AZIMUTH: 169 MATERIAL: Comp Shingle STORY: 1 Story AC Inv AC 0 O D F. DC Pitc lo/ LEGEND 121 A 3 21Q (E) UTILITY METER & WARNING LABEL O Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS DC DISCONNECT & WARNING LABELS AC DISCONNECT & WARNING LABELS m MP Wilk D. m Q DC JUNCTION/COMBINER BOX & LABELS B ; ISTRurruRAL No.47310 DISTRIBUTION PANEL & LABELS S NAL Lc LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER STAMPED & SIGNED Q STANDOFF LOCATIONS FOR STRUCTURAL ONLY CONDUIT RUN ON EXTERIOR CONDUIT RUN ON INTERIOR Digitally signed by Andrew White GATE/FENCE Date: 2014.10.15 15:53:04-04'00' Q HEAT PRODUCING VENTS ARE RED 17-�'_1 INTERIOR EQUIPMENT IS DASHED L_"J SITE PLAN N Scale: 1/8" = 1' W 0 1' 8' 16' S PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN Ioe NUMBER: JB-0181166 0 0 Raymond Planas \�!r So�arC�t� CONTAINED SHALL NOT BE USED FOR THE BLUMKIN, EUGENE BLUMKIN RESIDENCE Ym NORBENEFIT OF SHALL IT BENE EXCEPT SOLARCITY DISCLOSED N WHOLE ORCIN Moon SYSTEM: 47 EMPIRE DR. LOT 24 6.885 KW PV ARRAY �'IN Comp Mount Type C # ' PART TO OTHERS OUTSIDE THE RECIPIENTS NORTH ANDOVER MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES r 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PX PAGE NAME: SHEET: REV: DATE Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F: (650)638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE SE5000A—US000SNR2 (617) 590-5680 SITE PLAN PV 2 10/14/2014 (ees)-sa-clTr(7ss-lass) www.solarcity. Ben Lig Sy qNIr, EW WIIITE STRUCTURAL Na-473'10 l$1'E �e S 1 NAL S1 STAPED & SIGNED FOR STM UC UR L ONLY (E) LBW - 12'-2" (E) LBW A SIDE VIEW OF MP1 NTS SIDE VIEW OF MP2 NTS 0 D MPI X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES PORTRAIT 64" 20" LANDSCAPE 64" 24" STAGGERED PORTRAIT 1 64" 20" RAFTER 2X10 @ 16"OC ROOF AZI 259 PITCH 40 STORIES: 2 ROOF AZI 169 PITCH 40 ARRAY AZI 259 PITCH 40 RAFTER 2X10 @ 16"OC ARRAY AZI 169 PITCH 40 STORIES: 1 C.I. 2x12 @16"OC Comp Shingle C.I. 2x10 @16"OC I, Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH ZEP COMP MOUNT C POLYURETHANE SEALANT. ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (1) (4) �PLAC�EMOU�NT � (E) ROOF DECKING u (2) u INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) (5) SEALING WASHER. STEEL LAG BOLT WITH SEALING WASHER LOWEST MODULE SUBSEQUENT MODULES (6) INSTALL LEVELING FOOT WITH (2-1/2" EMBED, MIN) BOLT & WASHERS. (E) RAFTER STANDOFF SScale: 1 1/2" = 1' CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: JB-01 8116 6 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT E USED FOR THE BLUMKIN, EUGENE BLUMKIN RESIDENCE Raymond Planas , ■ BENEFIT OF ANYONE EXCEPT IN MOLE INC., MOUNTING SYSTEM: SO�arClt NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 47 EMPIRE DR. LOT #24 6.885 KW PV ARRAY .I"� y PART TO OTHERS OUTSIDE THE RECIPIENTS NORTH ANDOVER, MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES THE SALE AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PXSOLARC24 Si. Martin Drive, Building 2, Unit 11 PERMISSION EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV: DATE: Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 (617) 590-5680 STRUCTURAL VIEWS PV 3 10/14/2014 T: (650)638-1028 F: (650)638-1029 (888)-SOL-CITY(765-2489) www.solarcity.com Ben Li( UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. PREMISE OWNER: DESCRIPTION: DESIGN: ■ CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: JB-01 81166 00 BLUMKIN EUGENE BLUMKIN RESIDENCE Raymond Plonas '�,`SolarC�t` CONTAINED SHALL NOT BE USED FOR THE �1d BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 47 EMPIRE DR. LOT #24 6.885 KW PV ARRAY NOR PART�TO OTHERS OUTSIDEALL IT BE ED IN VMOLE THE RECIPIENT'S IN Comp Mount Type C ORGANIZATLON, EXCEPT IN CONNECTION WITH MODUL NORTH ANDOVER, MA 01845 24 St. Martin Drive, Building 2 Unit 11 THE SALE AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PX SHEET: REV DATE: Marlborough,38-128MA 50) SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T: (850)838-1028 F: (850)838-1029 PERMISSION OF SOLARCITY TY INC. INVERTER: (61 7) 590-5680 UPLIFT CALCULATIONS PV 4 10/14/2014 (888)—SOL—CITY(785-2489) www.solarcity. SOLAREDGE SE5000A-USO00SNR2 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO RSI GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE ##SE5000A-USOOOSNR LABEL: A -(27)CANADIAN SOLAR # CS6P-255PX GEN #168572 ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44842592 Inverter; 5000W, 240V, 97.59'; w/,Unifed Disco and ZB,RGM,AFCIPV Module; 255W' 2343W PTCBlack FraMC4ZEP EELEC 1136 MR , . , me, , Enabled Underground Service Entrance INV 2 Ben Liu INV 3 Voc: 37.4 Vpmax: 30.2 re- c E 200A MAIN SERVICE PANEL Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER h,CU E 20OA/2P MAIN CIRCUIT BREAKER (E) WIRING Inverter 1 CUTLER-HAMMER CUTLER-HAMMER 200A/2P Disconnect Disconnect 4 SOLAREDGE (E) LOADS C C SE5000A-USOOOSNR2 24OV SQUARE D SolarCity Lt L2 RoofTop Disconnect 1 2 DC+ 30A/2P " B 3 A Dc- MP1,MP2: 1x16 I ---- GND - ---- GND ------------------------- EGC/ DC+ D31) c+ - MP1,MP2: 1X11 - I B I GEC ---Ll DC LJ�DC- ------------- -- -------- - '---- EGC ---------- -- - ----- -- N ~ o EGC/GEC 1 I I I 1 - GEC-r- 1 TO 120/240V 1 I SINGLE PHASE I I UTILITY SERVICE 1 I I 1 I I I I I I I i, PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN I Voc* = MAX VOC AT MIN TEMP POI (1)MURRAY #MP230 PV BACKFEED BREAKER C (2)CUTLER-HAMMER #DG221UR6 ^C (1)SQUARE D # HU362R8 Breaker; 30A/2P, 2 Spaces Disconnect; 30A, 240Vac, Non-Fusible, NEMA 3R A u Disconnect; 60A, 60OV, NEMA 3R A -(1)SolarCi,! ,p 4 STRING JUNCTION BOX D� -(2)Ground Rod; 5/8' x 8', Copper -(2)CUTLER-{1AMMER #DG030NB 2x2 STRfNGS, UNFUSED, GROUNDED Ground eutral it; 30A, General Duty(DG) PV127)SOLAREDGE30D-2NA4AZS PowerBox ptimizer, 300% H4, DC to DC, ZEP nd (1)AWG #6, Solid Bare Copper -(1)Ground Rod; 5/8' x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE ®� 1 AWG #10, THWN-2, Black 1 AWG #8, THWN-2, Black Voc* =500 VDC Isc =30 ADC 2)AWG #10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC IAF (1)AWG #10, THWN-2, Red O (1)AWG #8, THWN-2, Red Vmp =350 VDC Imp=19.42 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=11.51 ADC II��LL(1)AWG #10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=20.83 AAC L-L(1)AWG #10, TIiWN-2,.Green EGC. . -(1)Conduit.Kit; 3/4' EMT 7-MMP �. . #B,,TI{WN-2,.Green . EGC/GEC,-(1)Conduit.Kit;,3/4'.EMT. . (2}AWG #10, PV WIRE, Black . . . Voc* =500 VDC Isc =15 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=7.91 ADC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONFIDENTIAL - THE INFORMATION HEREIN FNUMBER: B-018116 6 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT E USED FOR THE BLUMKIN, EUGENE BLUMKIN RESIDENCE Ra •NOR SH OF ANYONE EXCEPT SOLWHOLE INC., ymOnCl PlanaSSolarC�tNOR SHALL IT BE DISCLOSED IN WHOLE OR IN Type C 47 EMPIRE DR. LOT #24 6.885 KW PV ARRAY �iPART TO OTHERS OUTSIDE THE RECIPIENTS „ yORGANIZATION, EXCEPT IN CONNECTION WITH NORTH ANDOVER, MA 01845 THE SALE AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PX 24 St. Martin Drive, Building 2, Unit 11 PERMISSION EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV: DATE: Marlborough, MA 01752 PERMISSION of soIARGITY INC. SOLAREDGE SE5000A-USOOOSNR2 (617) 590-5680 THREE LINE DIAGRAM PV 5 10/]14/2014T. (650)638-1028 F: (650)638-1029 (888)-SOL-CITY(765-2489) www.solarcity.com CAUTION POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECTS LOCATED AS SHOWN: - Address: 47 Empire Dr. Lot #24 I I 1 I I 1 DC 1 I 1 I L J DISCONNECT AC DISCONNECT INVERTER AND r-- ---------- DC DISCONNECT I I I I AC L---------------- DISCONNECT UTILITY SERVICE I SOLAR PHOTOVOLTAIC ARRAYS) 1 - ------------------------- --------------------- — J PHOTOVOLTAIC BACK-FED CIRCUIT BREAKER IN MAIN ELECTRICAL PANEL IS AN A/C DISCONNECT PER NEC 690.17 OPERATING VOLTAGE = 240V JB-0181166 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN TOB NUMBER: BLUMKIN EUGENE BLUMKIN RESIDENCE Raymond Planus "\� SolarCit, CONTAINED SHALL NOT BE USED FOR THE !'A BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 47 EMPIRE D R. LOT #24 6.885 KW PV ARRAY NOR SHALL IT BE DISCLOSED IN WHOLE OR IN COMPMount Type C PART TO OTHERS OUTSIDE THE RECIPIENTS n' NORTH ANDOVER, MA 01845 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: 24 St. Martin Drive,Building 2 Unit 11 THE SALE"AND USE OF THE RESPECTIVE (27) CANADIAN SOLAR # CS6P-255PX PAGE NAME SHEET: REV DALE Marlborough,38-128MA 50) r SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F: (650) 638-102f PERMISSION of SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 (617) 590-5680 SITE PLAN PLACARD PV 6 10/14/2014 (m)—SOL-CITY(ass-2aas) .>:OIar�Itr. • solar - e • ! solar=ee SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 P350 P400 Module Add-On For North America (for 60 cell PV (for 72-cell PV (for 96 cell PV modules) modules) modules) P300 / P350 / P400 • INPUT .,Rated Input DC Power" 300......................350...,.....,.,..........400_......., ..Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc ............... ... ................................. ........ .......... MPPT Operating Range.............................................. .........8 48 .......8. 60 ...$..80 .....I. ...Vdc.. • Maximum Short Circuit Current(Isc)................................. ........................................10................................I....... ...Adc..... Maximum DC Input Current 12.5 Adc ............................................................................... ...................................... . .... Maximum Efficiency .....................................99:5 ....%...... .................... ........................................ WeightedEfficiencY...........................................................................................9a:8.................................................... Overvoltage Category I it OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ Maximum Output Current 15 Adc Maximum Output Voltage 1 60 Vdc • OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer STANDARD COMPLIANCE + EMCFCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 .............................................................................. ................................................................................... ............. Safety IEC62109-1(class II safety),UL1741 RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc Dimensions(W xLx H) 141x212 x40.5/S.SSxS.34x1.59 mm/in ................................................ ................................................................................... ............. Weight(including cables) 950/2.1 gr/Ib ................................................................ .......................................................................I........... ...... ..... Input Connector MC4/Amphenol/Tyco Output Wire Type/Connector Double Insulated;Amphenol ......................................................................... . Output W ire Length........................................................... :95./.3: .......I.......................1V.2!:? h.... Operating Temperature Range........................................ ..............................40-+85/,-40:+185............................. ..:V.,11 F... Protection Rating IP65/NEMA4 Relative ................................. . Humidity .................................... .....................................:. ....%...... -ed STC power or the module.Module of up to v5%power�ole[an[e allowed. PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE INVERTER 208V 480V PV power Optimization at the module-leve( Minimum StringLength(PowerOptimizers) 8 10 18 ..................................... ...................................................... ........................................ Up to 25%more energy Maximum String Length(Power Optimizers) 25 25 50 ......................................................................... ..... ...................................................... ..............I......................... Maximum Power per String 5250 6000 12750 W - Superior efficiency(99.5%) .......................................................................... ............ Parallel Strings of Different Lengths or Orientations Yes - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading """"""""""""'"""""""""'""" '"' — Flexible system design for maximum space utilization — Fast installation with a single bolt - - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us i CS6P-235/240/245/250/255PX ge eSA11 0�f Black-framed *00.0 �r CanadianSolar Electrical CS6P•235P CS6P-240PXCS6P-245P CS6P-25OPXCS6P-255PX Temperature Characteristics 01e� � STC Nominal Maximum Power (Pmax) 235W 240W 245W 250W 255W Pmax -0.43%/°C Optimum Operating Voltage(Vmp) 29.BV 29.9V 30.OV 30.1V 30.2V Temperature Coefficient Voc -0.34%rC NewEdge Optimum Operating Current(Imp) 7.90A 8.03A 8.17A 8.30A 8.43A Isc 0.065%/C Open Circuit Voltage(Voc) 36.9V 37.OV 37.1V 37.2V 37.4V Normal Operating Cell Temperature 4512°C Short Circuit Current(Isc) 8.46A 8.59A 8.74A 8.87A 9.00A Black-framed Module Efficiency 14.61% 14.92% 1 15.23% 15.54% 15.85% Performance at Low Irradiance Operating Temperature -40°C-+85°C • Maximum System Voltage 1nnnv IEC Maximum Series Fuse Rating 15A 1600V UL °/a Industry leading performance at low irradiation environment,+95.5 module efficiency from an 23 ' Class A irradiance of 1000w/m'to 200w/m' Application Classification (AM 1.5,25'C) Power Tolerance 0-+5W Next Generation Solar Module Under Standard Test Conditions(STC)ofirradianceof1000W1m',spectrumAM1.5andcelltemperatureof25'C Engineering Drawings NewEdge,the next generation module designed for multiple NOCT CS6P-235PX CS6P-240PXCS6P-245PX CS6P-250PX CS6P-255PX types of mounting systems,offers customers the added Nominal Maximum Power (Pmax) 170W 174W 178W 181W 185W value of minimal system costs,aesthetic seamless Optimum Operating Voltage(Vmp) z7.2V 27.3V 27.4V 27.5V A .71 Optimum Operating Current(Imp) 6.27A 6.38A 6.49A 6.60A 66.71A appearance,auto groundingand theft resistance. Open Circuit voltage(Voc) 33.9V 34.OV 34.1V 34.2V 34.4V Short Circuit Current(Isc) 6.86A 6.96A 7.08A 7.19A 7.29A r'I The black-framed CS6P-PX is a robust 60 cell solar module Under Normal Operating Cell Temperature,Irradiance of 800 W/m',spectrum AM 1.5,ambient temperature 20'C, incorporating the groundbreaking Zep compatible frame. wind speed 1 m/s The specially designed frame allows for rail-free fast Mechanical Data installation with the industry's most reliable grounding Cell Type Poly-crystalline 156 x 156mm,2 or 3 Busbars system.The module uses high efficiency poly-crystalline Cell Arrangement 60(6 x 10) silicon cells laminated with a white back sheet and framed Dimensions 1638 x 982 x 40mm(64.5 x 38.7 x 1.571n) Key Features with black anodized aluminum.The black-framed CS6P-PX 20.5kg(45.2 lbs) Weight Quick and easy to install - dramatically is the perfect choice for customers who are looking for a high Front Cover 3.2mm Tempered glass • reduces installation time quality aesthetic module with lowest system cost. Frame Material Anodized aluminium alloy J-BOX IP65,3 diodes 912 • Lower system costs - can cut rooftop Best Quality Cable 4mm'(IEC)/12AWG(UL),1000mm installation costs in half . 235 quality control points in module production Connectors MC4 or MC4 Comparable I • Aesthetic seamless appearance - low profile • EL screening to eliminate product defects Standard Packaging(Modules per Pallet) 24pcs with auto leveling and alignment • Current binning to improve system performance Module Pieces per container(40 It.Container) 672pcs(40'HO) • Accredited Salt mist resistant I-V Curves (CS6P-255PX) • Built-in hyper-bonded grounding system - if it's 1a I mounted,it's grounded Best Warranty Insurance • 25 years worldwide coverage 9 s Section A-A ___ __ -- • • Theft resistant hardware 100%warranty term coverage r 135.D • Ultra-low parts count - 3 parts for the mounting Providing third party bankruptcy rights 1 { • Non-cancellableI I and grounding system Ir ' qa� I ' ' • Immediate coverage • Industry first comprehensive warranty insurance by Insured by 3 world top insurance companies AM Best rated leading insurance companies in the world Comprehensive Certificates -4_- t5 • Industry leading plus only power tolerance:0­5W . IEC 61215,IEC 61730, IEC61701 ED2,UL1703, • Backward compatibility with all standard rooftop and CEC Listed,CE and MCS - ground mounting systems • IS09001:2008:Quality Management System Specifications included in this datasheel are subject to change without prior notice. . ISO/TS16949:2009:The automotive quality management system About Canadian Solar a • Backed Our New 10/25 Linear Power Warranty . IS014001:2004:Standards for Environmental Plus our added 25 year insurance coverage Canadian Solar is one of the world's largest solar Canadian Solar was founded in Canada in 20 an was management system companies. Ass a leading vertically-integrated successfully listed on NASDAQ Exchange (symbol: : CSIQ) in 100% • QC080000 HSPM:The Certification for manufacturer of ingots,wafers,cells,solar modules and November 2006. Canadian Solar has module manufacturing 97% Added value F Hazardous Substances Regulations solar systems, Canadian Solar delivers solar power capacity of 2.05GW and cell manufacturing capacity of 11.3131W.90% romWarranty OHSAS 18001:2007 International standards for • products of uncompromising quality to worldwide customers. Canadian Solar's world class team of 80% occupational health and safety professionals works closely with our customers to HeadqUarters 1545 Speedvale Avenue West 0% 0 REACH Compliance provide them with solutions for all their solar needs. 5 10 18 2U 25GUelOntario Tek+1 519 837!py, fes. �{wo�ircu'~. ."-.T.r 519 837 • it • 10 year product warranty on materials and workmanship 0 aE y; SP,(E \"' _ $ v - - •25 year linear power output warranty www•canadiansolar.com EN-Rev 70.17 Copyright m 2012 Canadian Solar Inc. SolarOlty SleekMountTM - Comp SolarCity SleekMountTM - Comp • Utilizes Zep Solar hardware and UL 1703 listed Installation Instructions The SolarCity SleekMount hardware solution < t is optimized to achieve superior strength and Zep CompatibleTM modules ` \ `, O Drill Pilot Hole of Proper Diameter for aesthetics while minimizing roof disruption and . Interlock and grounding devices in system UL Fastener Size Per NDS Section 1.1.3.2 labor.The elimination of visible rail ends and listed to UL 2703 mounting clamps, combined with the addition / _ 0 Seal pilot hole with roofing sealant i of array trim and a lower profile all contribute • Interlock and Ground Zep ETL listed to UL 1703 as"Grounding and Bonding System" � 0 Insert Comp Mount flashing under upper to a more visually appealing system.SleekMount layer of shingle utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as strengthened frames that attach directly to grounding device ® Place Comp Mount centered Zep Solar standoffs, effectively eliminating the upon flashing need for rail and reducing the number of • Painted galvanized waterproof flashing O Install lag pursuant to NDS Section 11.1.3 standoffs required. In addition, composition •Anodized components for corrosion resistance shingles are not required to be cut for this \ with sealing washer. system, allowing for minimal roof disturbance. •Applicable for vent spanning functions © Secure Leveling Foot to the Comp Mount I using machine Screw low 0 Place module ® Components 1® 5/16" Machine Screw _ ® Leveling Foot O O Lag Screw IS ® Comp Mount © Q Comp Mount Flashing 0 0� ® 0 I I . Q`v. Q .:,..:Solar�ity® January SolarCityEta �� LISTED •��January 2013 �pMppn W Janua 2013 WARNNG;PHOTOVOLTAIC POWER SOURCE �' ' - •" • - • _ ,_ , _ , WARNING WARNING ' • ELECTRIC SHOCK HAZARD •• - •• • DO NOT TOUCH TERMINALS ELECTRIC SHOCK HAZARD DC CONDUCTORS OF THIS •- • - • TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE • : PHOTOVOLTAIC DC LOAD SIDES MAY BE ENERGIZED UNGROUNDEDAND _ MAY BE ENERGIZED DISCONNECT IN THE OPEN POSITION . . MAXIMUM POWER- WARNING POINT CURRENT(Imp) A .- • _ INVERTER OUTPUT • • MAXIMUM POWER- CONNECTION POINT VOLTAGE(Vmp)_V •• DO NOT RELOCATE MAXIMUM SYSTEMTHIS OVERCURRENT VOLTAGE (Voc)_V DEVICE SHORT-CIRCUIT _A CURRENT(Isc) PHOTOVOLTAIC POINT OF '• INTERCONNECTION WARNING WARNING: ELECTRIC SHOCK • _ HAZARD. DO NOT TOUCH ' •• ' ELECTRICAL SHOCK HAZARD TERMINALS, TERMINALS ON DO NOT TOUCH TERMINALS •' BOTH THE LINE AND LOAD SIDE TERMINALS ON BOTH LINE AND MAY BE ENERGIZED IN THE OPEN LOAD SIDES MAY BE ENERGIZED POSITION. FOR SERVICE IN THE OPEN POSITION DE-ENERGIZE BOTH SOURCE DC VOLTAGE IS AND MAIN BREAKER,ALWAYS PRESENT WHEN PV POWER SOURCEMAXIMUM AC SOLAR MODULES ARE OPERATING CURRENT A EXPOSED TO SUNLIGHT MAXIMUM AC OPERATING VOLTAGE V WARNING . . . ELECTRIC SHOCK HAZARD '_ '• _ IF A GROUND FAULT IS INDICATED Sol CAUTION PHOTOVOLTAIC SYSTEM CONDUCTORS MAY BE �• NORMALLY GROUNDED CIRCUIT IS BACKFE E • •' ' UNGROUNDED AND ENERGIZED CAUTION '• PHOTOVOLTAIC AC • DUAL POWER SOURCE - •■ - • _ DISCONNECT •• ' SECOND SOURCE IS ,., •, . , •. PHOTOVOLTAIC SYSTEM • • MAXIMUM AC A ' '• _ - _• • OPERATING CURRENT ._ •• _ •I• MAXIMUM AC ••, OPERATING VOLTAGESC V • • Label Set ■■ ■mm■ ■uu■■ � � � ' * unmm��nnl■■!���In■�mmn�■ uuluu�wlouu■ (o IZ Date.& ................ .................. OF NOa7h,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ss�►cHU This certifies that -�`��- 115/ ' has permission to perform .................�/V`0 � ``zk- (rJn�CL-A`�.V. SS►�D+`^ wiring in the building of.........�`U V'(`�� _ ..... ...................................................................... at ..........�......�hn � �IP v L.....................41olh Andover,Mass. �• Fee....:a.-�?. ........Lic. No Z�I.4. N.V. ....... ........ .. ..�I�S EL OR Check# ! `� r ts. k� 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(IvIEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL)NFORMATIOA9 Date: 6 -26 - l Y 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) q 7 b r'. 1V&,-,1A o/ �✓1 nvP/ Owner or Tenant t Rlym k.'n Telephone No. Owner's Address q7 F-14''c O r , Ala--A Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Service Amps / Volts Overhead ❑ 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: _ Pka s,-m e✓7 >!' F,'-i.'5 S Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o Emergency ig ting rnd. rnd. Battery Units No.of Receptacle Outlets IS- No.of Oil Burners FIRE ALARMS No. of Zones No.of SwitchesNo.of Gas Burners No. of Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices r Tons � No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: "'" ' ......"'...""""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection �— No.of Dryers Heating Appliances KW Security Systems:'' No.of Devices or Equivalent No.of Water KW No.of No. of Data Wiring: f Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated'Value of Electrical Work: d 0 (When required by municipal policy.) Work to Start: 6- 1S-/y 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 tZ BOND ❑ OTHER ❑ (Specify:) I certify,iinder the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: . LIC.NO.: Licensee: A1:115 Signature LIC.NO.: y D 7 y (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508' 713-3 frT S' Address: ? e 0. tVort r54{✓ /11J. 01609 Alt.Tel.No.: *Per M.G.L c. 147,s.57-6 1,security work requires Department of Public Safety"S"License: Lic.No. � OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ '!�5 Signature Telephone No. +4 ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the'" a permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166,§32,an ' electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 1E Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 2 Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPEC ION: i Pass M Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTN: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comm is Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com p r F The Commonwealth of Massachusetts - Department oflndustriglAccitlents Office of Investigations 600 Washington Street Boston,AVIA.02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ID-n 1 e,ll S Address: ? ���r9�FJQ S1, L,)rrCPS 4r1_• /x'1,4. 01602- City/State/Zip: W o f t e S AA 6160 D. Phone ih S d 9 713 - 3 5 T S Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(fulland/or part-time).* have hired the sub-contractors 2.® lam a sole proprietor or partner- listed on the attached sheet.? �• 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 1 L Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' 13.❑Other 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 hire doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lain an employer that is providing workers'compensation insurance for my employee3: Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: ExpirationDate: 'Tob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of investigations of the DIA for insurance coverage verification. Ido laereby cer i under the pains and penal ies ofperjury that the information provided above is true and correct. - Sim Date: - 96- /Y Phone#• SG R- 713- 3 V 5-5- Official SOfficial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: Information and Instructi®lIls Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of 1 insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LL C or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only.submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Conmozawealth ofMassach-usetts Depafteat offadustdal Accidents 0ftice of Investigations 600 Washington Street Boston}MA 02111 Tel,#617-727-4900 eyt 406 or 1-877�MASSAFB Revised 5-26-05 Fax W 617-727-7749 ZTFCSFCSF rr»nn rsnts�a::.. Please visit our web site at http:://www.mass.gov/dpi/boards/EL DALE L MILLS JR (EL) 7 FIRGLADE STREET WORCESTER MA 01602=1228 r Fold,Then Detach Along All Perforations COMMONWEALTH OF MAS"CHUS TTS • Kj W Leioin U.-rela mm • BOARD OF E L E CTR I C I ANS': "' ISSUES THE FOLLOWING LICENSE: AS A;;REG JOURNEYMAN ELECTRICIAN 1� is ;z ,c 7 F I RGLADE STREET lui WORCESTER MA 01602-1228 C 7 4 L J Date..l. lG NORTH 06 TOWN OF NORTH ANDOY9R PERMIT FOR GAS INSTALATION ACMUSE� This certifies that . . . .l,'�.���t!t!lf ?. �• . . . . . . . has permission for gas installation . . .�`�!�► .r.!, -. . . . . in the buildings of . . . °t. . . . . . . V!. ` / � • . : . . . . . . . . . at . . . . . 't�.LY�. . . . �. . . ., North dover, as ``(( 8. Fee. ./. . . . Lic. No.J6.�.:T. GAS INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING f Cityffown: MA. Date: 18 Permit# Building Location: 14r? IEVAPA i-C hi—Lk— Owners Name: .a IF v t�1 rY� Type of Occupancy: Commercial ❑ Educational❑ Industrial❑ Institutional❑ Residential [� New: E Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No❑ FIXTURES U) vi UJ W Z <Q t!1 U = Q m = O w UJ U w �_ O = Ix w 0 -j } N O w X Z W w Z tY W 0 � � O W Q m o D ui O Q t— > N U Z W t7 Q U) 0 d Q _ _X H w Q w w ~ p u_ Uj > V w Z O -� t` H O z (9 u_ w i— w w z UJ• UO 0 O (9 t9 2 = n > O Q O w Z Z W Q H SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR -5'FLOOR 6 FLOOR -i'FLOOR 8 FLOOR �� Check One Only Certificate# Installing Company Name: �✓►�+ 1 �' � � c>Q�P �-b /� f ' CCorporation Address.V w\A 17 O i Cityrrown: LL State: M A - - -]Partnership - -- BusinessTel: 7�` 3��(-1343 Fax: n71- 5 X13,' Firm/Company Name of Licensed Plumber/Gas Fitter: S'T£V"ASv-�. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes t�O No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V 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 Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General taws. FGIas of License: 13y umber Title Fitter of of 1-censed Plum r Gas Fitter Master City/Town Lijoumeyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer 8725 Date.,� , rll'� 1+ <40RT:'tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s + • , • ,ssACMUs� /n ( This certifies that . . 6x .� . . . . . _ �.! . . . . . . . . . . . has permission to perform `. .( . . . . . . . . . plumbing in the buildings of . .(J'? ti4 V, v--.v--: . . at ... .� . . . . �(e. . . . . . . . ., North Andover, s. ee.44�` t 0� .� Lic. No.. tQ 5 . . . . . . . .."+! �. . PLUMBING INSPECTOR Check # 2 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: tlto" MA. Date:-10 -20- 10 Permit# Building Location:_ �`I 1 L (� Owners Name: Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential(✓]� New: Alteration:❑ Renovation: ❑ Replacement:❑ Plans Submitted: Yes ❑ No FIXTURES DEDICATED cc z SYSTEMS W z C! � WV Y O ,6n Y Q v ~ zCr Z a W Q D z cc W z H N Z O Q Q LULU Q N N W m cc > Q Y �, ° X = J a 3 Q O Q 0 Q z 0 W W z W J z V d LL LL 3 0 d' 3 W o 0 'n J Q ¢ oc z W Q Y = = a O = z Q LL 3 a Y = W W W I } 1- V ~ N h ~ z z Q Q Q = to W Q Q Q m m o o LL = Y J J 3 3 3 o a l9 3 SUB BSMT. BASEMENT 1'FLOOR + I 21dD FLOOR 3i0 FLOOR 47H FLOOR 5'FLOOR 6'FLOOR 7'FLOOR 8"'FLOOR rr ,,II Check One Only Certificate# Installing Company Name: V 5�+n&k V G PCorporation Address:?'o-t3 .6y- 1- o 1 City/Town: (-- "Lsiu tLt . state: M4. Business Tel:q 7>f- 3 7 t( -0 y 3 Fax: r17 F- 5 2I- y(3 ( ❑Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes 19 No❑ If you have checked Yes please indicate the type of coverage by checking the appropriate box below. A liability insurance policy r Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 Signature of Owner or Owner's Agent Owner El Agent E] I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By TO pe of License: C_ - Title Plumber Signature of L censed Plumber C !Town Master APPROVED(OFFICE USE ONLY) Journeyman License Number: O 3 Li I a 9766 // Date.. ................ .... 3?O. �ORT►���OOL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACKUs�� This certifies that ... ......... .......................... has permission to perform A! .. .... .� . ........ ...4-................. wiring in the building of....&..1,..........1'7`SS.: !I. . .............................. .��7.... �7 ..:.c.�... `/A North Andover,Mass. Syd a3 Q ....� ....Fee. N ................... ..... .... �=. ELEcriucAL IMPEcroR 4 Check # Z2/o Of Massachusetts 4fticiai Use only. Department of Fire Services Permit No. __ 974 4 GUARD OF FIRE PREVENTION REGULATIONS OLcuPart`'y and Fee Checked Rev_ iJ071 (leave blank) —'------_._� . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work at be(xrfarmecl in ac cordantx with the M:usachtt"'AL Electrical Cube(MEC).5-27(; }WORK (1'L ASf:'PR1iVT 1N INK OR TYPEALL INFORMA710N) City Or*Town of: NORTH ANDOVER Date: —�G rU By this application the undersiWi gned gives notice of his or her intention to perform�the e�c4l work. re gibed below. location(Street& 'Number) �,c Owner or Tenant s 4 Telephone No. t)wner's:address -c- Is tIs this permit in conjunction with a building permit? Yes Purpose of Building { No IF Appropriate Box) a Utility Authorization No.�G��,? y Existing Service - mps Volts Overhead ❑ Undgrd❑ ;No. of Meters New Ce Zed Amps 12tl 1 Z —.�1 Volts overhead❑ Undgrd Number of Feeders and Ampacity No.of Meters i.oeation and Nature of Propose Electrical Work: t Com letion o "the ollow•intable mfr be waived by the Insciur of Hire. INo.of Recessed Luminaires No.of Ceil:S usp.(Paddle) Fans o.of ora No.of f,utninaire OutletsTraasfermers KVA No.of Hat Tubs Generators KVA No,of Luminaires Generators pool rode ❑ rnd ❑ o o mergcncy Ig Ing No.of Reeeptacte Outlets Batte iltaits No,of Oil Burners FIRE� No.of Switches ARMS No.of'Zones No.of Gas Burners 0.0 techon an No.of Ranges tnitiatin Deviees No.of Air COO id. ora Tons No.of Alerting Devices No. of Waste Disposers eat mp um r ons Totals- © o r -All 11111tal No. of DishwashersDetection/Atertin Devices Space/Area Heating KW Local El . unictps Other No.of Dryers Heating Appliances ort Connection ❑ o•t> ater KWa.o t} -yste-ms: Healers KW o.o �0,of Devices or Equivalent Data wiring:Da Si ns Ballasts HiQ of Dvices or E givatent Na_ Hydromassage Bathtubs No.of Motors Total HP a eco---mu---cations Iring.- OTHER: do of Devices or ' uivaleut t'-s"mat`d Value,,0I i-lectrical Work: lunch addiliesnal detail itw sitccl or as r•eyrtired ht ihr Jn.�prciuruj'i#'ire j Work to Start: (When required by municipal policy.) (� In���O _ .- -spections to be requested in accordance with MEC Rule 10,and upon completion_ 1!N)11RA1NCls COVERAGE: lJnlese waived by the owner,no ration"cove the lie-n,-'c provides proof of liability insurance including perrcd for the performance of electrical work may issue unless undrr,igued teratic,that such coverage is in farce,and has exhibited prof of same to the permit issuing rage 01 otliceuivalent. The CIIECK ONF: INSt_iRANCF OND ❑ UTHER g certify-under the pain. and penalties u r u ❑ ( pec toys) FIRM NANIE; IPe J e,1',that the irrforneatifrn un this applicatiwn it true and complete. Licensee:��Izrx l - LIC. NO.: qy 3 j ,� _ Signature !!,tl+/�Jrt'NhJ�°. 'rcrrrgr 1/te/icrrrce rturrtherlinr./ s` LI(`. 11In.: qaddress: c � Bus. el.NO.: 'Ycr �t.(.i.i.c. l a7,,. 5 -/it, security work requires De art' Aft.Tel. No.: OWNE:R'1 INSURANCE WAIVER: I am aware that the t.icens Public due.y rias teftuvc'the liability insurance(overage normally Owner/Agent d by law. liy my,ignature below, 1 hereby waive this requirement- I a►n rhe(:heck one)❑auner awrier'� a�e (')wnerJ:lgrnt nt. Signature Telephone No.—.. PERMIT FETE: . T ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR-DOUG SMALL 1.ROUGH INSPECTION: Passed— Failed—[ ] Re-inspection required($50.00)- [ ] Inspectors' comments: (Inspectors'Signature-no initials) / Date --/( 2.FINAL INSPEC ON: Passed—[ Failed—[ j Re-inspection required($50.00)-[ ] Inspectors' comments: (Inspectors'Signature-no initials) Date •�- .>^ r 3. UNDER GROUND INSPECTION: Passed—[ ) Failed—[ ] Re-inspection required($50.00)-[ ] r Inspectors'comments: (Inspectors'Signature-no initials) Date 4. INSPECTION—SERVICE: DATE CALLED NATIONAL GRID: NAME: Passed—[ j Failed—( ] Re-inspection required($50.00)- [ ] Inspectors' comments: (Inspectors'Signature-no initials) Date 5.INSPECTION-OTHER: Passed—[ j Failed—[ ] Re-inspection required($50.00)- [ j Inspectors' comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED.