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Miscellaneous - 470 STEVENS STREET 4/30/2018
/ 470 STEVENS STREET 210/096.0-0008-0000.0 1 � I / I 4 4 I I I Location A c,c....�7 t�w,+ No. - s t:i Date lc • - TOWN OF NORTH ANDOVER • • A • `'" Certificate of Occupancy $,,r� � Building/Frame Permit Fee $' Foundation Permit Fee $ Other Permit Fee $� TOTAL $ Check#� Building Inspector V/ tloRTh `' BUILDING PERMIT aA` o°. 3? y.,;; , o TOWN OF NORTH ANDOVER �yJ APPLICATION FOR PLAN EXAMINATION Permit NO: '��`d Date Received '��`'4 ���.r-f• 1�y� �4SSACHU�`icy Date Issued 6J1K7 `-IMPORTANT: Applicant must complete all items on this page LOCATION 4?y 5-riey 'fds S-(' ! � Print PROPERTY OWNER [r..tel gA � E/12 flF /w Print MAP NO: U PARCEL:t [pk ZONING DISTRICT: - Historic District yes no n achin Shop Yillage yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building X One family C' Addition Two or more family rF1 Industrial Alteration No. of units: I i Commercial Repair, replacement = Assessory Bldg ❑ Others: Demolition Other i Septic 1i Well Floodplain 3 Wetlands [] ,Watershed District 7 Water/Sewer 441VA Identification Please Type or Print Clearly) OWNER: Name: 4�4 CGIvC-Td Phone: Address: �d. •Qo✓C'� /lir D t CONTRACTOR Name: . Phone: ( / e Address:Supervisor's Construction License:s� - Exp. Date: Home Improvement License: � �� Exp. Date: 2Lz A Ott t,,/G� l 9 ARCHITECT/ENGINEER fa-0--D 1V4eX4 / Phone: Address: Reg. No. 222 02-- FEE 2FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3 FEE: $ Check No.: Receipt No.: NOTE: Persons contrac ing with unregistered contractors do not have access to the guaranty fund ignature of Agent/Owner_ -- Signature of contractor ? BUILDING PERMITj oFCz�Eo TOWN OF NORTH ANDOVER o� � ''- ";"`;'6 a APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �R^rEV�4a`•(5 Date Issued: �SSacHus�� IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units.- ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other I Sep�tie We]Ji ❑4FIo�plainWND _ _ �Xs edp itrtct: , DESCRIPTION OF WORK TO BE PERFORMED: R Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: [Contractor Name: Phone: Email: ddress: Supervisor's Construction License: - Exp. Date: Home Improvement License: Exp. Date: is: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 4 riana trP`of Aaent/(i)i�nPr'-- --- -- - --- __ a r � Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swfinming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales El Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS 7 oning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE IDEPART'MENT Temp.Durimpster on.site :yes Located of 124.Main:Street • Fire,Department signature/date COMMENTS ;{ 1 I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 J Building Department FThellowing is a list of the required forms to be filled out for the appropriate permit to be obtained. ing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 1 4� Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe:Building Permit]Revised 2014 TS CM OMEN -- - — F ttORTM Town of t _ IF sAndover O �-�._ 0 No. y oh ver, Mass,LAKO I COCMICHOWICK 1' �•9 40 Arep S U BOARD OF HEALTH Food/Kitchen M T Septic System THIS CERTIFIEST LOL44e&.. BUILDING INSPECTOR PER LD HAT .......................... .......... ............ .. ............ ............................ ............ ..... . ..,,...... Foundation has permission to erect ............ ......... . buildings o ..... .. .. .. . . .......... ... ... .. . Rough tobe occupied as .... .. .......... . .. ...... . . ...... .. ............... .......................................... ney �� Y �d�� provided that the person accepting this permit stall in every respect conform to the terms of the application Final �P�'" / on file in 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 Final i PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST Rough ooWrvice r ......... .. .... .......... Fina L $ �,��-3 —1 BUILD I ECTO GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. NORTH q Town of t 6Andover O - T No. t15 ..a6jj � h ver, Mass y Al T O LAN! 'I" COCNIC NlWKK V s V BOARD OF HEALTH Food/Kitchen PERMIT IL D Septic System THIS CERTIFIES THAT ........ � � ry BUILDING INSPECTOR has permission to erect ............ ......... . buildings o ........ .. .. .......... ... ... .. ............. Foundation Rough tobe occupied as .... .. .......... . .. ...... . ....... .. ......................................................... Chimney provided that the person accepting this permit s all in every respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST Rough ' wooffvice ... .......... .. . .... .......... Fina BUILDI ECTO GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. r R. ()nvaieon Solar Technologles Town of North Andover Building Department— Inspectional Services 120 Main Street North Andover, MA 01845 RE: Oliveto Residence Solar Panel Installation 470 Stevens Street North Andover, MA 01845 Dear Sirs, Invaleon Technologies Corp., has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels. This analysis has been based on field measurements, framing information and configurations observed at the proposed site. The existing residence is located at 470 Stevens Street, North Andover, MA 01845. Structural Data and Code Information Our analysis has been performed in accordance with the requirements of the MA Residential Building Code 780 CMR — Eighth Edition. The main roof of this residence is framed with conventional roof rafters in a gable configuration. The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: Main Roof Rafters: 2" x 8" (#2 Spruce Pine Fir, Hem Fir, D Fir Assumed) Rafter Spacing: 16" on center Roof Slope: 35 Degrees Horizontal Projected Length of Rafter: 14 feet Ceiling Joist: Present Collar Ties: Absent Roof Sheathing: Plywood sheathing Condition of Framing: Excellent Ground Snow Load, Pg: 50 PSF from Table R301.2(5) Importance Factor, I: 1.0 Exposure Factor, Ce: 1.0 (Partially Exposed) Thermal Factor, Ct: 1.0 Existing condition (Warm Roof) 1.1 With panels (Cold Roof) tt Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com (Jnvaieon Solar Technologles Design Snow Loads: 32 PSF (Existing — Unobstructed Warm Roof) 29.53 PSF (New Condition — Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot (PSF) on the roof surface. Based upon the configuration of the rafters as described in the previous section, the framing of the structure will allow the addition of the proposed solar system along with the current existing shingles (one layer) with an imposed dead weight of 3.0 psf. Further calculations and analysis can be found in the appendix of this letter. The existing structural configuration (as described in the previous section), will allow the imposed dead load of the solar system, along with a single layer of shingles, and design snow loads to be adequately supported. Gravity Loading: Given the size, spacing, and configuration of the existing roof framing, we have determined that the existing framing for the residence is adequate to support the additional loading from the weight of the solar electric system, including the panels, racking system, and all connections without any need for additional bracing or framing members. The panels will be installed using Snap N' Rack rails with L-brackets in portrait configuration with a rail towards the top and bottom of each panel edge. The L-brackets will be fastened directly to the roof rafters with 5/16" diameter lag screws. The fastener layout shall start near each corner and for portrait orientation shall have a maximum spacing of 32" on center parallel to the roof slope and 48" on center perpendicular to the slope (e.g. every third rafter), except the maximum spacing shall be 32" on center perpendicular to the slope (e.g. every other rafter) for the areas of the array which lay in Zones 2 & 3, or if the rail and roof attachment are within six (6) feet of the edge of the roof. Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com i )-- nvaleon Socdrr Tecnnobgtes Each 5/16" diameter lag screw shall have a minimum of 2.5" thread penetration into the existing rafter. It is also important that the L-bracket attachment locations be staggered between adjacent rails so that no single rafter supports more load than under existing conditions. Wind Loading: Provided that the L-bracket attachments to the roof are made in a typical staggered pattern, the overall wind loading imposed on the structure will not be impacted to any I great extent.The net wind loads on the roof framing with attachment spacing as described above will be less than the current loading on the rafters. Conclusion: Our evaluation of the proposed solar-electric installation has established that the roof framing IS adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans. We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system. We do not take responsibility for any other portion of the solar panel array support system, the existing roof framing construction, or the integrity of the structure as a whole. The entire roof structure as existinv is caaable of support j the new loads imposed by the installed panels and snow. Do not hesitate to contact my office at 978-809-8316 should you have any questions or if you require any additional information. Respectfully, Invaleon Tec fogies Corpor - �L N OF c c v ��IKfN to 9�no.22282 L� �1 Invaleon Technologies Corporation 26 Parkridge Rd, Suite 18, Haverhill, MA 01835 978-794-17241 www.invaleonsolar.com I TYPICAL 1 THRU 15 (1) LG 315N1C-G4 (2) SOLAREDGE PROPOSED EQUIPMENT SPECIFICATIONS 315 WATT P320 OPTOMIZER (1)SOLAR MODULES-LG 315N1 C-G4 315 WATT MONO [max 15A DC-STC Vmax 35V q Imp:9.50A Vmp:33.2V Isc:10.02A Voc:40.6V (3)SOLAREDGE SE1000A-US STRINGS OF 15 MODULES INVERTER (2)SOLAREDGE POWER OPTIMIZER STRINGS TYPICAL 1 THRU 15 OF 13.]max:15A Vmax:35V.ULIIEEE LISTED AlPOWER EQUIPMENT (1) LG DC AC B (3)SOLAREDGE SE760OA-US INVERTER 315N1C G4 (2) SOLAREDGE Imax:42 @ 240V 1 PHASE 60HZ OPNTEGRATED REVENUE GRADE METER 315 WATT P320 OPTOMIZER I(4)60A 60V NEMA 3R OUTDOOR UN-FUSED MONO Imax I Vmax 35V A RM (5)60A 600V NEMA 3 INDOOR FUSED UTILITY DISCONNECT WITH 60A FUSES (6)POINT OF INTERCONNECTION LINE-SIDE TAP INSIDE EXISTING 200A MAIN BREAKER 5 B) SERVICE PANEL UM (7)EXISTING 200A MAIN ELECTRIC SERVICE PANEL WITH 2O0A MAIN BREAKER 240V SINGLE (7) PHASE (6) WIRE AND CONDUIT SIZING TO UTILITY ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG#12110.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-21 THHN. (A)2 AWG#10 PV WIRES W!AWG#8 GEC EXPOSED (B)3 AWG#6 W!AWG#8 GEC IN 3/4"EMT GENERAL NOTES 1. BOND THE COMBINED INVERTER DC!AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690. 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1(MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. CHARD A. \'ml? YOLKIN 22282 2y 7STER�.�4. ORies Poa Prgea Name: NDTS By:To We commerxs: '7 tn.ateon Temr„t co 1xM Tice::E3e�tdcat 1.Line 26 ParRr."Road,Salta 19 Oliveto Residence DescNpBon:Electrical l{ine K' Havernlll,MA 01633 Drawing:t lnva/Eon 4Site 70Stevesa: wwwlnvaleonsol—ont 970 Stevens St Revlsl-0 SGld�TechnoloGles 976b09.8316I m( invaleontec:k—Nor,Andover,MA 01806 Sheet 2 of 2 A _ Single Phase Inverters for North America Soo I a r ® ® or SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US I SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380OA-US SE5000A-US I SE6000A-US SE760OA-US SE10000A-US I SE11400A-US _ _ OUTPUT -- --Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA 10000 t?a 240y. ..... ........... Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA ........................................... ....I........I.. ............... .5450 @240V. ................ 10950,�240y. .................. ........... ...... . ................ AC Output Voltage Min:Nom:Max!') 183 208 229 Vac AC Output Voltage Min 211 :Nom.Max!')!') ✓ ✓ ✓ ✓ ✓ ✓ ✓ ..240. 264 Vac AC Frequency M1n:.NOm.Max: I 1 59.3-.60.-..60.5 I Hz Max.Continuous Output Current 12.5... ..I......16......I..21 240V I„ 25 I 3z 1 42 @ 240y..,I......47.5....... ....A..... ......................................... ....... ( II GFDI Threshold1 A Utility Monitoring,Isla 41ri j Protection,Country Configurable Thresholds Yes INPUT Maximum DC Power(STC) ......4050 5100 6750 8100 — 10250 13500 I 15350 Transformer-less,Ungrounded ................................... .....................Yes..... . ........ .......................,................. ........... Max:Input Voltage 500 Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc Max.I .*"** rrent .................. ......9.5.......1......13......1..15;5, 240V..I' .....18.......(.......23.......1..305q( 40y..1.... ....... 34.... ..... ...Adc...... . Max.Input Short Circuit Current 45 Adc ........................................... ...........................................................Yes.........,.................................................I........... Reverse-Polarity Protection ............................................ ......................................................................................................I................... ..I........ Ground-Fault Isolation Detection 600kQ Sensitivity ... ................ ............... ............... ........... ........... Maximum Inverter Efficiency.......... .....97:x...... .....98:2..... ......98.3....... .....98:3...... .......98....... 98........�.......98........ ....�..... l 97 @ 208V I 97 @ 208V CEC Weighted Efficiency 97.5 I 98 97.5 97.5 97.5 9$.@.240y.. ................ ................ ..97.5 @ 240y.. Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigB.ee(optional) Revenue Grade Data,ANSI C12.1 Optional ........................................... ........................................... ... ............................................... ........... —Ra' apid Shutdown—NEC 2014 690.12 Yes STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22:2 ..G.. ............ ............................................ ...........rid Connection Standards IEEE1547............................ . ................................................................. ........... Emissions FCC part15 class B INSTALLATION SPECIFICATIONS AC out ut conduit size/AWG ran e 3/4"minimum/16-6 AW6 3/4"minimum/8,3 AWG P............................g.. DC Input conduit size/#of strings/ 3/4"minimum/1-2 strings/16-6 AWG 3/4"minimum/1-3 strings/ AW Grange............... 14-6 MG Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ „ j?xMp), 30.5 x 12.5 x 7.2/775 x 315 x 184 775 x 315 x 260 ,.mm,,,. ............................... ................................ ................................................... ............ ........................ . Weight with Safety Switch............. ..........51.2/23:?.......... ...................54.7/24.7.. ................ ............88.4/40.1............. . lb/.kg... Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user .......................... ............................................................ replaceable). . Noise <25 <50 dBA ............................ ................................................................... .....................................I................ ........... Min.-Max.Operating Temperature -13 to+140/ 25 to+60(40 to+60 version available(")) 'F/'C Rang?................................... .......................................................................................................................... . .......... Protection Rating NEMA 3R ISI For other regional settings please contact SolarEdge support. lZl A higher current source may be used;the inverter will limit its input current to the values stated. 131 Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 7600W inverter:SE7600A-US002NNR2). (0)-40 version P/N:SExxxxA-USOOONNU4(for 7600W inverter.SE7600A-US002NNU4). SUf15PEC � • slogo,OPTIMIZED oD Y solar - SolarEdge Power Optimizer Module Add-On For North America P300 / P320 / P400 / P405 s a , s �o o� i PV power optimization at the module-level — Up to 25%more energy — Superior efficiency(99.5%) — 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-CANADA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-UK-ISRAEL www.solaredge.us 1 A So I a r ' ® SolarEdge Power Optimizer Module Add-On for North America P300 / P320 / P400 / P405 P300 P320 P400 P405 (for 60-cell modules) (for high-power (for 72&96-cell (for thin film 60-cell modules) modules) modules) INPUT — Rated Input DC.Powerl1l................. ...........300.......,.... ...........320............ ...........400 405 W...... . .......... ............................ ......I. Absolute Maximum Input Voltage I 48 80 125 Vdc (. p......... Voc at lowest tem..................... erature)........... ......................................................... ............................ ............................ .............. .MPPT Operating Range................. . 8'-48 8:.80...........(........125:105........ ....Vdc..... ......................... . ............................ Maximum Short Circuit Current(Isc) 10 11 ( 10.1 Adc ............................................... .......................... . ............................ ......................................................... .......I....I. Maximum DC Input Current 12.5 13.75 I 12:63 Adc .......... .................... .............. Maximum Efficiencyj. ........ ......... 99 5 % ........ ......... ......... ......... ......... ............................. .............. WeightedEfficiency......................I......................................................98:8....................................................... ..... °...... Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) ..Maximum Output Current..............i........................................................15........................... . ............... Adc ...... .......... Maximum TVdc Output Voltage i 60 I 85 OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power — Optimizer 1 Vdc STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,JEC61000-6-3 ............................................... ....................................................................–............................................. .......... .... Safety IEC62109:1(class II safety),UL1741 ...... ................................. ... ........................... .............. RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc ...................................................... ............... Compatible inverters All SolarEdge Single Phase and Three Phase inverters .......... ...................I.................. ......................... .............. 128x152x27.5/ 128x152x35/ 128x152x48/ Dimensions(W x L x H) mm/in 5x5.97x1.08. ... ... ... 5x5.97x1.37 5. 5. x1.89 .. ... ............................................... ............................. . . ... Weight(including cables) 760/1.7 3.0./.1.8 1064/2.3 gr/Ib ..Input Connector......................... ...............................................MC4 Compatible............................................... .............. Output Wire Type/Connector Double Insulated;MC4 Compatible . .................................... .. ........... Output Wlre Length 0.95/3.0 1.2/3.9 m/ft ... .... .... ................................................... I............. Operating Temperature Range .40.-.+8,51-4.0.:+1.8.5 °C./.'F Protection Rating........................ ................................................IP68/NEMA6P ............................................................ .............. Relative Humidity........................ .....................................................0..100... .................................................. .............. I'I Rated STC power of the module.Module of up to+5%power tolerance allowed. PV SYSTEM DESIGN USING A SOLAREDGE INVERTER(2) SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length 8 10 18 (Power 0 timizers .............. Maximum String Length 25 25 50 (Power Optimizers). .................................–.. ..................................... .............. Maximum Power per String 5250. 6000 12750 W . .................. ..................................... . Parallel Strings of Different Lengths or Orientations Yes ........... M It is not allowed to mix P405 with P300/P400/P600/P700 in one string. • • • (a LG Life's Good LG NeON-2 LG's new module,NeCINT"^2,adopts Cello technology.Cello technology replaces 3 busbars with 12 thin wires to enhance APPROVED PRODUCT 60 Ce�� power output and reliability.NeONTM 2 demonstrates LG's DVEC °S Mcs/ 4 C efforts to increase customer's values beyond efficiency.It Intertek v E \ features enhanced warranty,durability,performance under KM564573 BSEN61215 real environment,and aesthetic design suitable for roofs. Photovoltaic Modules Enhanced Performance Warranty •' High Power Output LG NeON'"2 has an enhanced performance warranty. ° Compared with previous models,the LG NeON"2 The annual degradation has fallen from-0.7%/yr to has been designed to significantly enhance its output -0.6%/yr Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous NEON TM modules. Aesthetic Roof O Outstanding Durability LG NeON T"2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG has extended thinner wires that appear all black at a distance.The the warranty of the NEONT""2 for an additional 2 years. product may increase the value of a property with its Additionally,LG NEON T1 2 can endure a front load up to modern design. 6000 Pa,and a rear load up to 5400 Pa. � Better Performance on a Sunny Day Double-Sided Cell Structure LG NEON T"2 now performs better on sunny days thanks16* The rear of the cell used in LG NeON T"2 will contribute to to its improved temperature coefficiency. generation,just like the front;the light beam reflected from L the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X®series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter In 2013,NeON'"(previously known as Mono X®NeON)won"Intersolar Award';which proved LG is the leader of innovation in the industry. LG NeON'2 Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 320 W Cell Vendor LG MPP Voltage(Vmpp) 33.6 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.53 Cell Dimensions 156.75 x 156.75 mm/6 x 6 inch Open Circuit Voltage(Voc) 40.9 a of Busbar 12(Multi Wire Busbar)Q,f Short Circuit Current(Isc) 10.05 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%g) 19.5 64.57 x 39.37 x 1.57 inch Operating Temperature(°C) -40-+90 Front Load 6000 Pa/125 psf 0 Maximum System Voltage(V) 1000 Rear load 5400 Pa/113 psf 0 Maximum Series Fuse Rating(A) 20 Weight 17.0±0.5 kg/37.48±1.1 lbs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP67 STC(Standard Test Condition):Irradiance 1000 W/m',Module Temperature 25°C,AM T5 *The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Junction Box IP67 with 3 Bypass Diodes 'The typical change in module efficiency at 200 W/m2 in relation to 1000 W/m2 is-2.0%o, Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass Electrical Properties(NOCT*) Frame Anodized Aluminum 320 W Certifications and Warranty Maximum Power(Pmpp) 234 MPP Voltage(Vmpp) 30.7 Certifications(In Progress) IEC 61215,IEC 61730-1/-2,UL 1703, MPP Current(Impp) 7.60 ISO 9001,IEC 62716(Ammonia Test), Open Circuit Voltage(Voc) 37.9 IEC 61701(Salt Mist Corrosion Test) Short Circuit Current(Isc) 8.10 Module Fire Performance Type 2(UL 1703) NOCT(Nominal Operating Cell Temperature).Irradiance 800 W/ni ambient temperature 20 wind speed 1 ni Product Warranty 12 years Output warranty of Pmax Linear warranty* t Dimensions(mm/in) (measurement Tolerance±3%) *1)1 st year 980/6,2)Aker 2nd year 0.6°%p annual degradation,3)1 for 25 years Temperature Coefficients NOCT 46±3°C Pmpp -0.38%/°C � Voc -0.28%/°C oeaux D-1Y -ill ca,g.aer ane sna veerame Isc 0.03%/°C Characteristic Curves ,0.00 1000W e.00 scow M Soo 60OW 400 40OW 2.00 ... .20OW 0.00 5.00 10.00 15.W 2000 25.00 3000 35.00 4000 45.00 p $ e v I I 140 k � s a 120 x - 6o Pmax 60 40 20 0 -T1 Temperature(°C) - 10 -25 0 90 *The distance between the center of the mounting/grounding holes. North America Solar Business Team Product specifications are subject to change without notice. LG LG Electr ■onics U.S.A.Inc DS-N2-60-C-G-F-EN-50427 ®' ■ Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 0 Copyright 0 2015 LG Electronics.All rights reserved. Innovation for a Better Life Contact:lg.solar@lge.com 01/04/2015 www.Igsolarusa.com r : ° . : � . § � , \ � � �2 . . . � � � . .> . . . �y. � . » , . >� . . .:: w< \�§/ � \ \ ° ~ ` � � � } . � / � � a . � , - � � <� . \ - . . �<� : : .� . . . . . ?��\ : ^ ^ ` � - ^ ^ �� \ ƒ�6 ° . : , . /� - :�c 2+�\� � � \ \< . . a , ��^ \ 3\ : . � , � . � � \ � } \ a � | \ i TYPICAL 1 THRU 15 (1) LG 315N1C-G4 (2) SOLAREDGE PROPOSED EQUIPMENT SPECIFICATIONS 315 WATT P320 OPTOMIZER (1)SOLAR MODULES-LG 315N1C-G4 315 WATT MONO Imax 15A DC-STC Vmax 35V q Imp:9-50A Vmp:33.2V Isc:10.02A VOC:40.6V (3)SOLAREDGE SEI0000A-US STRINGS OF 15 MODULES INVERTER (2)SOLAREDGE POWER OPTIMIZER STRINGS TYPICAL 1 THRU 15 OF 13.Imax:15&Vmax:35V.ULAEEE LISTED 4 POWER EQUIPMENT (1) LG DC AC B (3)SOLAREDGE SE760OA-US INVERTER 315N1C-G4 (2) SOLAREDGE Imax:42 @ 240V 1 PHASE 60HZ 315 WATT P320 OPTOMIZER INTEGRATED REVENUE GRADE METER MONO Imax 15A (4)60A 600V NEMA 3R OUTDOOR UN-FUSED UTILITY DISCONNECT Vmax 35V A RM O 60A 600V NEMA 3 INDOOR FUSED UTILITY DISCONNECT WITH 60A FUSES (6)POINT OF INTERCONNECTION LINE-SIDE TAP INSIDE EXISTING 200A MAIN BREAKER B) SERVICE PANEL 5 (7)EXISTING 200A MAIN ELECTRIC SERVICE UM PANEL WITH 2O0A MAIN BREAKER 240V SINGLE (7) PHASE (6) WIRE AND CONDUIT SIZING TO UTILITY ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG#12110.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-2/THHN. (A)2 AWG#10 PV WIRES W/AWG#8 GEC EXPOSED (B)3 AWG#6 W/AWG#8 GEC IN 3/4"EMT GENERAL NOTES 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. 2. INVERTERS SHALL BE LISTED TO UL!IEEE STANDARDS 3- ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS 4, DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690. 5- PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1(MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250- 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. s�- CHARD 5\S A YOLKIN Z p No.22282 O a: �O�C'rSTERL�F:,y /ONALE la.meon rxnaaloeiea ce.poauo� vrgecl Nan,e: NDTS By:ro.awo com.aepe:: Oli—Residence Titles:Ebctr l 1-Line DescNpU—Electrical t-Line /nvalEon ��° m1BIs,�o s1.e Add—: M sle.ens s1 Solar Techno/Dales 978-809-9316 inr invaleonlecR_N,MAndove.,MAMUS snee/3.1] t DocuSign Envelope ID:FC811557-6091-4661-9218-8BAFOFC104FC Onvaleon Solar Technologles TURNKEY CONTRACT This TURNKEY CONTRACT is made this 1St day of September,2016 (the "EFFECTIVE DATE") by and between: "ITC" Invaleon Technologies Corporation ATTN: Tom Kangkui Wu 26 Parkridge Rd, Suite 1B Haverhill,MA 01835 P: (978)-794-1724 AND "SYSTEM OWNER" (Name) Laura& Frank Oliveto (Address)470 Stevens Street,North Andover, MA 01845 (Phone)978-681-9810 ITC desires to provide Solar Installation services to the SYSTEM OWNER and the SYSTEM OWNER desires to obtain such services from the ITC. THEREFORE, in consideration of the mutual promises set forth below,the parties agree as follows: 1. PROJECT MANAGER. Christopher Melville is an employee of Invaleon Technologies Corporation, and will act as the PROJECT MANAGER and representative for ITC. 2. PROJECT LOCATION: 470 Stevens Street,North Andover,MA 01845 3. CONTRACT PRICE: $33,888.00 4. SOLAR SYSTEM SPECIFICATIONS. ITC will install an electricity grid-connected photovoltaic, solar power system with a total generating capacity rated at approximately 9.6 kW- DC (referred to as the "ENTIRE SYSTEM") located at the PROJECT LOCATION (the "SITE"). The installation of the "ENTIRE SYSTEM" shall hereinafter be referred to as the "WORK"; specifically with major equipment listed in Attachment 1. Page 1 of 9 DocuSign Envelope ID:FC811557-8091-4661-9218-8BAFOFC104FC U. nvakon Solar Technologles 5. MANUFACTURER WARRANTY. The material provided by ITC is warranted by the manufacturers and each has different terms and conditions. ITC provides no additional warranty on the materials. Warranty claims may be submitted to ITC, who will act as agent for SYSTEM OWNER. SolarEdge extended Warranty (25 years) is included in this TURNKEY CONTRACT. 6. INSTALLER WARRANTY. Invaleon provides a 10-year warranty against defective workmanship by Invaleon and its employees to the SYSTEM OWNER. 7. PLANS, SPECIFICATIONS AND CONSTRUCTION DOCUMENTS. The SYSTEM OWNER will make available to ITC all plans, specifications, drawings, blueprints, and similar construction documents necessary for ITC to provide the Services described herein. Any such materials shall remain the property of the SYSTEM OWNER. ITC will promptly return all such materials to the SYSTEM OWNER upon completion of the WORK. 8. REQUIRED PERMITS. The following building permits are required and will be secured by ITC as the SYSTEM OWNER's agent: • Building Permit from The Town of North Andover • Permit to Perform Electrical Work from The Town of North Andover • Interconnection Approval from National Grid SYSTEM OWNER shall remain the sole proprietor of all permits, licenses, drawings, schematics, 1-line & 3-line diagrams, or any other pertinent documents and communications pertaining to the abovementioned permits and approvals. 9. PROPOSED START AND COMPLETION SCHEDULE. The following schedule will be adhered to unless circumstances beyond ITC's control arise 1. Start of Construction: No later than 9/15/2016 2. Significant Completion: No later than 1 week after Start of Construction Payments will be made according to the following schedule: 1. (35%) $11,860.80 upon execution of this TURNKEY CONTRACT and closing of the Mass Solar Loan. 2. (65%) $22,027.20 at Commissioning of the SYSTEM as defined by National Grid's Permission to Operate (PTO) Page 2 of 9 DocuSign Envelope ID:FC811557-B091-4661-9218-86AFOFC104FC Onvaleon Solar 7Lkehnologles 10. SUBCONTRACTORS. ITC will not subcontract any and all portions of this TURNKEY CONTRACT. i 11. CHANGE ORDER. The SYSTEM OWNER and ITC may make changes to the scope of the work from time to time during the term of this TURNKEY CONTRACT. However, any such change or modification shall only be made in a written "CHANGE ORDER" which is signed and dated by both parties. Such CHANGE ORDER's shall become part of this TURNKEY CONTRACT. The SYSTEM OWNER agrees to pay any increase in the cost of the WORK as a result of any written, dated and signed CHANGE ORDER. In the event the cost of a CHANGE ORDER is not known at the time a CHANGE ORDER is executed, ITC shall estimate the cost thereof and the SYSTEM OWNER shall pay the actual cost whether or not this cost is in excess of the estimated cost. 12. CONFIDENTIALITY. ITC and its employees, agents, or representatives will not at any time or in any manner, either directly or indirectly, use for the personal benefit of ITC, or divulge, disclose, or communicate in any manner, any information that is proprietary to the SYSTEM OWNER. ITC and its employees, agents, and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of this TURNKEY CONTRACT. Upon termination of this TURNKEY CONTRACT, ITC will return to the SYSTEM OWNER all records, notes, documentation and other items that were used, created, or controlled by ITC during the term of this TURNKEY CONTRACT. 14. FREE ACCESS TO WORKSITE. The SYSTEM OWNER will allow free access to work areas for workers and vehicles and will allow areas for the storage of materials and debris. Driveways will be kept clear for the movement of vehicles during work hours. ITC will make reasonable efforts to protect driveways, lawns, shrubs, and other vegetation. ITC also agrees to keep the SITE clean and orderly and to remove all debris as needed during the hours of work in order to maintain work conditions which do not cause health or safety hazards. 15. UTILITIES. The SYSTEM OWNER shall provide and maintain water and electrical service, connect permanent electrical service, gas service or oil service, whichever is applicable, and tanks and lines to the building constructed under this TURNKEY CONTRACT after an acceptable cover inspection has been completed, and prior to the installation of any inside wall cover. The SYSTEM OWNER shall permit ITC to use, at no cost, any electrical power and water use necessary to carry out and complete the work. 16. INSPECTION. The SYSTEM OWNER shall have the right to inspect all work performed under this TURNKEY CONTRACT. All work that needs to be inspected or tested and certified Page 3 of 9 DocuSign Envelope ID:FC811557-BO91-4661-9218-8BAFOFC104FC ,�/rr-� , nvakon Solar Technologles by an engineer as a condition of any government departments or other state agency, or inspected and certified by the local health officer, shall be done at each necessary stage of construction and before further construction can continue. All inspection and certification will be done at the SYSTEM OWNER's expense. 17. DEFAULT. The occurrence of any of the following shall constitute a material default under this TURNKEY CONTRACT: a.The failure of the SYSTEM OWNER to make a required payment when due. b.The insolvency of either party or if either party shall, either voluntarily or involuntarily, become a debtor of or seek protection under Title 11 of the United States Bankruptcy Code, c.A lawsuit is brought on any claim, seizure, lien or levy for labor performed or materials used on or furnished to the project by either party, or there is a general assignment for the benefit of creditors, application or sale for or by any creditor or government agency brought against either party. d.The failure of the SYSTEM OWNER to make the building site available or the failure of ITC to deliver the Services in the time and manner provided for in this Contract. 18. REMEDIES. In addition to any and all other rights a party may have available according to law of the State of Massachusetts, if a party defaults by failing to substantially perform any provision,term or condition of this TURNKEY CONTRACT (including without limitation the failure to make a monetary payment when due), the other party may terminate the TURNKEY CONTRACT by providing written notice to the defaulting party. This notice shall describe with sufficient detail the nature of the default. The party receiving said notice shall have 45 days from the effective date of said notice to cure the default(s). Unless waived by a party providing notice, the failure to cure the default(s)within such time period shall result in the automatic termination of this TURNKEY CONTRACT. 19. FORCE MAJEURE. If performance of this TURNKEY CONTRACT or any obligation under this TURNKEY CONTRACT is prevented, restricted, or interfered with by causes beyond either party's reasonable control ("FORCE MAJEURE"), and if the party unable to carry out its obligations gives the other party prompt written notice of such event, then the obligations of the party invoking this provision shall be suspended to the extent necessary by such event. The term FORCE MAJEURE shall include,without limitation, acts of God, fire, explosion, vandalism, Page 4 of 9 DocuSign Envelope ID:FC811557-6091-4661-9218-86AFOFC104FC II 0, nvaieon Solar Technologles storm, casualty, illness, injury, general unavailability of materials or other similar occurrence, orders or acts of military or civil authority, or by national emergencies, insurrections, riots, or wars, or strikes, lock-outs, work stoppages, or other labor disputes, or supplier failures. The excused party shall use reasonable efforts under the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates. 20. CONTRACT ARBITRATION. ITC and the SYSTEM OWNER hereby mutually agree in advance that in the event the ITC or SYSTEM OWNER has a dispute concerning this contract, ITC or SYSTEM OWNER may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the SYSTEM OWNER shall be required to submit to such arbitration as provided in Massachusetts General Laws. DocuSigned by: a YSt �1Wt iD SYSTEM OWNER Signature: (,aoszszsgsgogaas... DocuSigned by: ITC's PROJECT MANAGER's Signature: D7 08049384D1 NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by ITC. The SYSTEM OWNER may initiate alternative dispute resolution even where this section is not separately signed by the parties. 22. Taxes The CONTRACT PRICE includes all sales, consumer, use, and other similar taxes on materials provided by ITC,which are legally enacted by the governing authority in the area where the installation is located. 23. Miscellaneous This TURNKEY CONTRACT represents the entire and integrated agreement between the SYSTEM OWNER and ITC with respect to the WORK and supersedes all prior negotiations, representations or agreements, either written or oral. This TURNKEY CONTRACT may be amended only by written instruments signed by both the SYSTEM OWNER and ITC. Any oral representation of modification concerning this TURNKEY CONTRACT shall be of no force or effect. Page 5 of 9 DocuSign Envelope ID:FC811557-8091-4661-9218-8BAFOFC104FC C-N-Anvaleon Solar Technologles I This TURNKEY CONTRACT shall be executed in two counterparts, both of which taken together shall constitute one and the same instrument. The undersigned individual(s) represent that they are fully authorized to bind their respective entities. The SYSTEM OWNER acknowledges that it has carefully read this TURNKEY CONTRACT and understands the contents thereof,that it has had the opportunity to consult with its own attorney(s) in respect to the terms and conditions set out herein and it has agreed to the provisions hereof without reliance on any representation or promise by ITC or anyone acting on behalf of ITC. The invalidity or unenforceability of any particular provision of this TURNKEY CONTRACT shall not affect the other provisions, and this TURNKEY CONTRACT shall be construed in all respects as if any invalid or unenforceable provision were omitted. Nothing in this TURNKEY CONTRACT shall be construed or deemed to create a contractual relationship between ITC and any third party; a cause of action in favor of a third party against ITC; or create any third party beneficiary rights of any kind. ITC and the SYSTEM OWNER waive all claims against each other for consequential damages arising out of or relating to this TURNKEY CONTRACT. This mutual waiver applies,without limitation to all consequential damages which arise as a result of either party's termination of this TURNKEY CONTRACT. 24. GOVERNING LAW. This TURNKEY CONTRACT shall be construed in accordance with, and governed by the laws of the State of Massachusetts, regardless of the choice of law provisions of Massachusetts or any other jurisdiction. 25. ASSIGNMENT.Neither party may assign or transfer this TURKNEY CONTRACT without the prior written consent of the non-assigning party, which approval shall not be unreasonably withheld. 26. CONTRACT ACCEPTANCE. Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the property. Review the following cautions and notices carefully before signing this contract. Page 6 of 9 DocuSign Envelope ID:FC811557-BO91-4661-9218-8BAFOFC104FC Onvaleon Solar TechnolVes IN WITNESS WHEREOF,the undersigned have duly executed and delivered this TURNKEY CONTRACT as of the day and year first above written. DO NOT SIGN THIS TURNKEY CONTRACT IF THERE ARE ANY BLANK SPACES. No work shall begin prior to the signing of the TURNKEY CONTRACT and transmittal to the SYSTEM OWNER of a copy of such contract. ITC Tom Wu Name: Title: CEO DocuSigned by: Signature: Date: 9/1/2016 SYSTEM OWNER Name: Laura Oliveto Docuftned by: �,Awol �dW16 Signature: Date: 9/1/2016 Page 7 of 9 DocuSign Envelope ID:FC811557-6091-4661-9218-86AFOFC104FC Onvakon Solar Technologles NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, THE SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND AN EMAIL TO INVALEON TECHNOLOGIES CORPORATION, AT 26 PARKRIDGE RD, SUITE 113, HAVERHILL, MA 01835 NOT LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION. DATE: BUYER'S SIGNATURE: Page 8 of 9 DocuSign Envelope ID:FC811557-6091-4661-9218-86AFOFC104FC Onvakon Solar Technologles Attachment 1 Major Equipment Schedule (30) LG 320 Watt Neon2—LG320N1C-G4 (1) SolarEdge 10000 Watt inverters— SE10000KA-US (30) SolarEdge 320 Watt optimizers—SE P320 Optimizer SnapNrack black matching color rails and racking system Page 9 of 9 ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date Primary Non Contributory Blanket Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Addl Insured Completed Ops Blanket Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Per Project Aggregate Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. 77Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001,AMS Services,Inc. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UT www.mass.gov/dia Workers Compensation Insurance Affidav><t: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I Invaleon Technologies Corporation Address: 26 Parkridge Road,Suite 1 B j City/State/Zip: Haverhill,MA 01835 1 Phone #: 978.809.8316 Are you an employer? Check the appropriate box: Type of project(required): 1.IM 1 am a employer with 10 4. El I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. + 7 Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. workers' comp. insurance. 9. [3 Building addition [No workers' comp. insurance 5. El We are a corporation and its required.] officers have exercised their 10. Electrical repairs or additions 3.3 I am a homeowner doing all work right of exemption per MGL 11.EJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.[M Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13. xi Other Solar *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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: Traveler Property Cas.Co.of America 7PJUB2E76800816 03/06/2017 Policy 4 or Self-ins. Lic. #: - - Expiration Date: - ---- - - 470 Stevens Street1 North Andover,MA(�' V cg1 J Job 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 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 un a pains penalties o that the information provided above is true and correct. 9/15/2016 Si nature: Date: - --- -- -- Phone 4: 978.809.8316 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#: 7106/14/2016 TE(MMIDDIYYYY) A�V CERTIFICATE OF LIABILITY INSURANCE 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 NAME: Laurin Kibildis MTM INSURANCE ASSOCIATES LLC AICC.N Ext: (978)681-5700 ac No; ADDRESS: laurink@mtminsure.com 1320 OSGOOD ST INSURERS AFFORDING COVERAGE NAIC# NORTH ANDOVER MA 01845 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: INVALEON TECHNOLOGIES CORP INSURER C: INSURER D: 26 PARKRIDGE RD SUITE 1B INSURER E: HAVERHILL MA 01835 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 61283 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE IVSD WVD SUER POLICY NUMBER MMIDDfYYYY MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE To_7CLAIMS-MADE 7 OCCUR PREM SES Ea occur RENTEenc. $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F PRO � LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 1,000,000 A OFF ICER/MEM BER EXCLUDED? N/A NIA NIA 7PJUB2E76800816 03/06/2016 03/06/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St AUTHORIZED REPRESENTATIVE N Andover MA 01845 �:)J C Daniel M.Cro�r y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r��.•�`rrrrurr rrrnrrr�/�r!^/(rr.,Jrrr•flr�r//, Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 182825 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/29/2017 Corporation 10 Park Plaza-Suite 5170 Yy ' Boston,MA 02116 INVALEON TECHNOLOGIES CORP. KANGKUI WU 26 PARK RIDGE RD SUITE 16 HAVERHILL,MA 01835 Undersecretary Not valid out signature 4 I ` massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-104792 Construction Supervisor DAVID S PICAZIO 9 GROVE ST PLACE,, ARLINGTON MA 02474 9 i CA,,,,,, Expiration: 6 Commissioner 09110/2018 Date......... 7:�.9-v-1Y OF T t TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING s3ACHU OZI This certifies that ............................................. ....... ... has permission to perform ..... ....... —r..................... wiring in the building of....... IA C...... V&-720 ........................................................... at ......T.... .............. 1........ ...... North Andover,Mass. .. ..... .... ... . . Fee..Q .................Lic. No. ELECTRICAL** ** -N" E**C FfOR Check# /� m // // Print For -\ l,omonwea&o f Namachu�etti Official Use Only cc�� Permit No. 2,52- 2apartment of Sire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/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: `]— v2 y— I L4 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) L4 10 5"rE V F-PQ $ ST- Owner or Tenant Egg iu1< d^ LpUrtp 0 6 V E ED Telephone No.978-681-981 D Owner's Address 4,7o ST j'S S AlrcrI4 40 bo it ER M n 0/g L1 S Is this permit in conjunction with a building permit? Yes No • (Check Appropriate Box) Purpose of Building &a(t/•{ &r— Utility Authorization No. Existing Service ).00 Amps 120 / Z4 Volts Overhead � Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacityyi IRR E 100 a Location and Nature of Proposed Electrical Work: T'r1 5779 /1 NEW /00 rTMP SUSMAJEL 7-o &r5-13Q-J t-7- Crprt+� G£ Com letion oj'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 �p Swimming Pool Above ❑ In- El o Emergency Lighting i rnd. rnd. 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 J Initiating Devices No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[I Connection El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kms, No.of No.of Data Wiring: Heaters Si ns 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: (When required by municipal policy.) Work to Start: 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: LIC. NO.: Licensee: Signature LIC.NO. OZ (If applicable, enter -exempt"in the license number line.) Bus.Tel. No.:` Address: Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie.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 A-0-� 0 Telephone No31N--orl- 910 PERMIT FEE: $ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): at'R 14 1� d 1 U t< 1—b Address: `l�_Q._. STEV E10S ST' City/State/Zip: E orzTN_ r t'" tlZ NIA. Phone #: q7$7Q1 _9g13 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. E] I am a general contractor and 1 6. New construction *n ployees(full and/or part-time).* have hired the sub-contractors 2. ° f am a sole proprietor or partner- listed on the attached sheet. 2 Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. workers' comp. insurance. 9. C) Building addition [No workers' comp. insurance 5. El We are a corporation and its required.] officers have exercised their 10.E Electrical repairs or additions 3.3 1 am a homeowner doing all work right of exemption per MGL I LE3 Plumbing repairs or additions myself. [No workers' comp, c. 152, §1(4),and we have no 12.[0 Roof repairs insurance required.] t employees. [No workers' 1311 Other s comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. '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: - - Policy #or Self-ins. Lie. #: .. Expiration Date --- - Job 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 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. 1 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ALI Signature: Date: Phone#: q?9'1108.1 l_D_ Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: COMMONWEALTH 0, M::..:, USE TS ; • • • • • 0ARk3 Of ELECTRICIANS I SSUS T#iE FOLLOWING LICENSE AS IG URNS :hS - Y, AN .f`LE((�`-1;R-hC�-T� r Y IR 'S OL t VETO } 47D SIEVENST.,5� ., r :� ANBOVER MA 01845 3o0z 64459 I Location No. v—�—/ Date 7//// y ' f t e - TOWN OF NORTH ANDOVER . e ti Certificate of Occupancy $ Building/Frame Permit Fee $ 000 Foundation Permit Fee $ Other Permit Fee $ O TOTAL $ Check# Building Infspeetor s TOWN OF NORTH ANDOVER / APPLICATION FOR PLAN EXAMINATION Permit N0: �-.�..�1,'� Date Received Date Issued: 7 f IMPORTANT:Applicant must complete all items on this page LOCATION Ster/P.&I „S f�'— Print PROPERTY OWNER �. ',•�,f/, A, ,, & Print MAP NO: 474 PARCELrzGfl ZONING DISTRICT: t Historic District yes < no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial air p errien Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: / Identification Please Type or Print Clearly) OWNER: Name:_¢.-�„�k Aj, � /. v.�� �ijee Phone: 9;7J?- o///- Address: 'rW 5' 4eveti r ¢- CONTRACTOR Name: Phone: Address: P s, Supervisor's Construction License: . ? ' S Exp. Date: Home Improvement License: 161 1Q Exp, Date: AD ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ act di, FEE: $ Check No.: Receipt No.: C� NOTE: Persons contracting with unregistered contractors do not have access to the g ran nd Signature of Agent/Owner A Signature of contractor f' Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Se Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on ( Si nature r . U_ t COMMENTS ( TLek_t�-L& Sa� HEALTH Reviewed on Signature ' COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date .................................._._..._........._.....__..............................................._---........................................................................--..........._......................................................................-----...-...................................................._ -....-. Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost C ��. 3519,00,0 m $ - $ 420.00 Plumbing Fee $ 52.50 Gas Fee 100 comm. Electrical Fee $ 52.50 Total fees collected $ 625.00 470 Stevens Street 003-15 on 7/7/2014 Rebuild 20x32 Garage i I i J Q A=15,633 S.F. 3 S/N � SET �� 10' PK IN TREE SET POOL GARAGE w N o Ln Ln r+ C S/N co� SETDECK DECK 3 o S/N i �n o SET U-) com z 32.0' #470 S/N 2-STY. SET WOOD S/N SET 1-STY. ' mI 1 107.11' 1 - IR - S00129120"W SET SET STEVENS STREET PLOT PLAN OF LAND IN NORTH ANDOVER , MA , PREPARED BY: PJF & ASSOCIATES I HEREBY CERTIFY THAT THIS PLAN HAS J G ASSOCIATES ASON Sly. MEDFORD, MA. BEEN PREPARED FROM AN ACTUAL ON THE PAUL E FINOST ME P.L.S. GROUND INSTRUMENT SURVEY, (781)395-7662 qa # Rei} SCALE: 1" = 20' PAI DEED REF. DATE: MAY 13, 2008 FILE No. 5880 DATE PAUL J, FINOCCHIO rL� ''";f .• ' tAORTH Town ofAndover : � O ..s•. 0 IF C, h ver, Mass, / Co["IC"RWIC y1' Ll BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System ° BUILDING INSPECTOR THIS CERTIFIES THAT ........../f A..... .../,./ �' �'� `�'`v...................................................... / ,��Gd�rt Foundation has permission to erect .......................... buildings on ...`7:.. ... . ..............yk:., ........................ Rough . ..a.. '�;..?. ..1.::1..... �. .. �:./ . �.� �...................................... Chimney to be occupied as ............ ��' � ,r'. provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARTS Rough Service ................ .(!%<.�. .. .T------------------ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. )LOZ111,O1VO aauoisslwwoo aol}ejldx3 09$0 vW avEaLuaW Axa AACNdINLSaf1baS FTNI %. -- �1�TC-�N3IIQ 2I I�iMdHS M990-so :asuaoll aoswadnS uoiaanj;suoj spiepue}S pue suoljelnBaa Bulplln8 jo paeo8 A;a}es ollgnd jo;u9uupedad- s}}asnyoesseIN Office of Consumer Affairs&B 'mess Regulation HOME IMPROVEMENT CONTRACTOR Registration: 161510 Type: Expiration: 10/23/2014 Individual S AWN R DUFRESNE, SHAWN DUFRE5;NE_^ 5 EQUESTRIAN MERRIMAC, MA 018602 Undersecretary ® DATE(MM/DD/YYYY) ACOORv CERTIFICATE OF LIABILITY INSURANCE 6/30/2014 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 GUNIAW NAME: M P ROBERTS INS AGCY INC PHONE g78) 683-8073 ac ND;(978) 683-3147 1060 Osgood Street (A/C,IL Ext: North Andover, MA 01845 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:AMERI CAN EUROPEAN INSURED D & H HOMES INSURER B: SEAN DUFRESNE INSURER C: PO BOX 522 INSURER D: NORTH ANDOVER, MA 01845 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 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 A D SUBR P LI Y FF LICY E P (NSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1-10-00,000 CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence $ 100,000 06/30/14 06/30/15 MEDEXP(Any one person) $ 5,000 A TO BE ISSUED PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�PE� F7LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY $ Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(P AUTOS AUTOS er accident) $ NON-OWNED PROPERTYDA E $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ hEXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? F7NIAE.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEI[ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF NORTH ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED RtPlRfSENTAJ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Invesdgations I Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividual): �^e-5 Address: , 1741.4 tY WZ0? U401City/State/Zip: _ v Phone M �?V` Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 4. Q I am a general contractor and 1 6. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.R] I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. Q Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. Building addition [No workers'comp.insurance comp.insurance.: required.] 5. Q We are a corporation and its 10.❑Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12,0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.Q 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance any Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the worke ompensation policy declaration page g the policy number and expiration date). Failure to secure cov a as required under Section 25A of MGL c. 152 can lea innposition of criminal penalties of a fine up to$1 0 and/or one-year imprisonment,as well as civil penalties in the form o OP WORK ORDER and a fine of up t 0.00 a day against the violator. Be advised that a copy of this statement may be forwar to the Office of Investigations of the DIA for insurance coverage verification. I do herebce under the ins and penalties o 'u that the in ormatton provided above is true and correct Si ature: laa, Date ' Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/Ucense# 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#: a Location ,44 No. •-3,_ Date / r MaRT� TOWN OF NORTH ANDOVER O�t .w ,•'�y0 i f 9 Certificate of Occupancy $ cMus E Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ L TOTAL $ `-30 Check # CM/ Building In.66'ector s . TOWN OF NORTH ANDOVER WELDING DEPARTMENT. APPLICATION TO CONSMUCr REPAIR.RENOVATE,CHANGE THE USEOROCCUPANCY OP. OR DEMOLM ANY WELDING UTIMRRTBAN AONEORTWOFAMILY DWELLING ,. sad=for OwwM Use BUILDING PERMIT NUMBER: DATE SSUED: ..� .3 z SIGNATURE: /Vl C O Bnil�n iUommissiollcr rofBoi Dabs 1.I hV"Addrew` v 1.2 A%MM Mtp and Prod Nnmbw. LnnLS, f . y/ 5 r�Ef 9(,, 13 aft hrterrnstim: L4 Prcpaty Dimemio� � v . R 12) . IS , o? - raS ZmmDisttial hopowust Lot Araa9mm .4 L6 BIJH MG SETRACE S(ft) M •From Yard Side Yard Riaz Yazd Plwide ReqWxd Pmvided Remdmd I Pmvikd 1.7Wra9RpfyMQLCAO s4) ts. Tlood7Ael 1.8 sewmnVavads� P�bLo PdvYe 0 Taco Om*ft zaee 00 M Ditpnd SyAM a v 2.1 Owner of Romd N,mo(Paintl Addm for service: -.7A- - M) M sr�natare Tdephoae 70 2.2 AWhmiod Agent Name Prim Address fbr Savim z O t sig�nme TolophoveZ M 3.1 Licensed Commrction Superviwt - Not Apph"o 0 Address tacoaseNumber O Uccand CansvoWton supervisor: Eqhmdm Dace T .`/ 3.2 R4sWed Ham I I vemmA C or . Not App6oabie 0 compolaYNome_ RgAugfim Numbs M r Address r Date Z Siguamrs rdepb— M&M, ' I ' New Construction 0 Existing Building Repair(s) -.❑ AlUrations(s) 0 Addition 0 Accessory Bldg. 0 Demolition W Other 0 Specify Brief Descaiption of Proposed Work: t r 4.m a Al 'x 7 x 9 ',IBch ce�d USB GROUPCheck as a Hrable CONSTRUCTION TYPE A Assembly ❑ A-1 0 A,2 0 A-3 ❑ IA ❑ A4 ❑ A-5 ❑ IB 0 B Business 0 2A 0' C Educational 0 2B 0 . F F 0 F-1 0 F-2 0 2C ❑ H M Hazard 0 3A 0 IlnstitutiotW ❑ I-1 0 1-2 ❑ 1-3 0 3B 0 M Mercantile 0 _ _ 4 0 R residential 0 R-1 0 R-2 ❑ R-3 SA D S Storage 0 S-1 0 S-2 0 5B 0 U Utili ❑ Spedry: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SRMON V Z)ON KG BUILDING UNDERGOING RENOVAITO ADDITIONS AND OR CHANGE IN USE Existing Use Group: 3 Proposed Use Group: - Existing Hazard Index 780 CMR 34: Proposed'Hazard b dex 780 CMR 34: •BURDIN(IAREA EXISTING if licable PROPOSED Number of Floors or Stares include Basement levels FloorArea per Floor G. -. LWY Total Area .r Total H ' ft bdcxndma Stn ctUrd I3 Stru=d Peer Review Yes 0 No ❑ SECTION 10a Owner Authorization- TO BE CONMETED WHEN OWNnSAGXNT OR CONTRACTOR APPLIES FOR BUBAING PERMIT 1. '�" � Owner of the> p¢operty Hereby Mawrize to act on My behalf;in all matters relative two work ndwrized by this building permit application Sim of nye Q � r►2�1� �I�UP,�� �. I ��(;►I�\��.� .ast�eriAuthorized Agent Hedy declare that the smt=m and information on the forWing applicx don are am and=urate,to f best of my imowlodge ad belief: Signed uWa the On and penes of pe"m Print Name Stuft re of OWRWMW Date Item Estimated Cost(Dollars)to be C"IeW by t affiicant .,"rw ,, I. Buitdmg (a) Building Permit Fee 2 Ef ecwal (b) Estimated Total Cost of Conshw ionfig 6 3 Plumbing Building Permit foe (•)x rot 4 Mechanical(HVAC) S Fie Protection 6 Total{1+2+3+4+5) j. Check Nmnber. r t XI., ."' �;; � j'Yta •a'd'#+'y .� .ircfl� ^�" i°i�. .d. —NN ' yfa fl.f ° }�. 3'k •.: NO.OF STORIES 7 SIZE (22 Ix IX 9 ! BASO&W ORSLAB fio 1 n A r SIZE OF FLOOR T1Ivi8ERS d I /1�� � 2 D RD SPAN O` 3 DEMENSIONS OF Sats PIA DEMENSIONS OF POSTS 14 DMONSIONS OF GIRDERS �' f HEIGHT OF FOUNDATION u I/14' THICKNESS N SIZE OF F001WG f " aM1jUA X MATERIAL OF CMMY � �} IS BULDING ON SOLID OR FILLED `LAND ,o I IS BUILDING CONNECTED TONATURAL GAS LINE t ,?A-zr -c- r2-e P(A.Cl, 6DO cl°S Z.- °Q Pv FRIIII ✓ta✓ i FORM U - LOT RELEASE • 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. ******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT m- + l_Cl.l I in -Q��� U PHONE c _IKI - � LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION _ __ LOT(S) /l STREET I � Q%f — ST. NUMBER� 0 Z OFFICIAL USE ONLY C EN F WN AG ONS RVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS V ( l v�1 / TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED _ DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PE�IFI� y _� ----------_—_ FIRE DEPARTMENT _ RECEIVED BY BUILDING INSPECTOR DATE Revised 9197Im �IORTq Ot+t�ao:a'�y 3?��,e_ ,.... •Opt • � F 9 TOWN OF NORTH ANDOVER •'^,8s` -. ,a, BUILDING DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER MA 01845 978-688-9545 978-688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE CD f a g l J l&JOB LOCATION S _ _C l b Number Street Address Map/Lot HOMEOWNER��P�c Name w Home Phone ("p }Work Phone PRESENT MAILING ADDRESS l/ SfP�9�1'�S S- " City/Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1.) DEFINITION OF HOMEOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be,one or two family dwelling,attached or detached structures attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. , HOMEWOWNER'S SIGNAU APROVAL OF BUILDING OFFICIAL r 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 at: - fiP 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. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) 4e�r" Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date July 1, 2005 Mr. Michael McGuire Building Department 400 Osgood Street North Andover, MA 01845 Dear Mr. McGuire: In reference to our enclosed building permit application;please note that we have tried to obtain a plot plan through both the North Andover Town Hall as well as the Registry of Deeds in Lawrence. At both places we were informed that there is no such plan on record due to the age of our home, which was built in the 1860's. I have also contacted our mortgage company and our last closing attorney,but so far I've not been able to speak with anyone that can give me more information other than to check with the previously mentioned offices. As we are hoping to begin working on our project in late July,my husband and I thought it best to submit our permit application to you as soon as possible. I have attached the materials and information given to us at the town hall in hopes that it provides the information you need to approve our application. Our plan is simply to demolish and rebuild the same enclosed porch that already exists on the front of our home as you can see from the enclosed photos. Due to its poor condition,we would like to build a new structure. If you still require a plot plan, could you please direct us as to how to obtain one and we would be happy to do so. Thank you for your time and consideration. Sincerely, 6� 0��k) Laura Oliveto 470 Stevens Street North Andover, MA 01845 978-681-9810 Date. :,V .�4:� .d.� a T'',�O TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SSA US This certifies that . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . .V.. . . . . . . t . . . . . . . . . . . . . . . . . plumbing in the buildings of . . !C. .L.�.v .�. . . . . . . . . . . . . . . . . at . 9 . . . .. ( . . . .�'�")s .. . . . . . . . . ., North Andover, Mass. Fee. . . . . . . . .. . . . . . . . . . . . . . J�.� Lic. No.. .113(��1J � Jia-z,Z1 �l�'�. PLUMBING INSPECTOR Check # 5 ; 88 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS r /V // ,1 Date `7 b Building Location pvt"�� J Owners Name ��( V I V� Ci Permit# 4 ,�- Amount Type of Occupancy ` New Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES w w rA a a SLRFRM BASffvE*4r BE Ft" 210 it" 1 3MFLOM 41H ffi"R SII3 FtDOR 6M HJ0M 7M FLOOR SIS FLOOR (Print or type) I Check one: Certificate Installing Company Name �, (.1 /!�/ + ( � Corp. " Address U t Partner. Busmess Tel phone 97 ,r Wd—SP- .5-'� Cr p -3 2d'- 9p rm/Co. Name of Licensed Plumber: AdIlL Insurance Coverage: Indicate the type f inslurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ED Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or e n above application are true and accurate to the best of my knowledge and that all plumbing work and installati s perfo d er Permit Issued for this application will be in 5 compliance with all pertinent provisions of the Massachus- 1 i od and Chapter 142 of the General Laws. BY ign re e um er Title Typ of Plumbing License L• City/TownLicense um er Master '/ '/Journeyman ❑ p APPROVED(OFFICE USE ONLY Illiiiddd 6008 Date.. ..../ dJ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACHUS This certifies that ..... ...... ................................................ has permission to ....... ..?i perform . .�- c� �. =. v wiring in the building of ...... ............................................................... —,,ee.................... .North Andover,Mass. Fee Lic.N6°�7�0,X- ...... ...... ............... ELECTRICAL INSP,ECTO Check # DrF.AA1191 WOFPUBUCSAFM LPeradtft aaS AARDOFF=PEVNWRFaLA0SZ7aV12WFes �U vL _ Checked APPUCATTONFOR PERMITTO PERFORMELECTRICAL.WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL IIVFORMATION) Date 90 Y/0-5— Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) /-/ .5 7-E V F_nl S S Owner or Tenant /:j&Arr/1C 0/iy e 7-0 Owner's Address V E A)S -s7— Is T'Is this permit in conjunction with a b g petrrl.t: I Yes No (Check Appropriate Boa) Purpose of Building S���?_I A-/ Utility Authorization NO79 0 Existing Service 100 Amps 110 400 Volts Overhead [ErUndergtound a No.of Meters New S aQ U Amps//OJ2,Volts Overhead [M—Underground—Underground No.of Meters Number of Feeders and Ampacity - oZ O O A Location and Nature of Proposed Electrical Work y70 Sim✓ S S 7r No.of Liandns OOdw 1Z No.of Hot Tube No.of Tranafarmen TOW KVA No.of Lighting Fixture. Swimming Pool Above Below Oenerataa KVA nal 171 yound No.of Receptacle Outlets No.of Oil Burners No.of Emergenry I3ghting Battery Units No.of Switch Outlets C7� No.of Ou Barton No.of Ranges No.of Air Cad. TOW FIRE ALARMS No.of Zones A Tors No.of Disposals No.of Hese Total TOW No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwasher Space Arm Heating KW No.of Sountbl Devices No.ofConSelttained DetectionlSourding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of water Heaters KW No.of No.of Siam Balleals No.Hydro Mausp Tuba No.of Motors Total HP OTHER' )wm=Cavwp PmmiDdxgp int*dW*a9ad18ftGmzWLsWa Q Ihareaci=tliehif ki=r=Fbfiigy=k*VCbnTJ* aibablid leglivala Ya Np Ihare&hnkdvaidWd f=wlDtnClffit YJSr)uuharedzdlzdYE%pkmndraleQletypeafWvwpby Il�'Utt E bat BMM am [3ftw /YD m E o w n!E rz-- F.rpiomrDele E rtdvatrecfEkcl&d Wak$ WoKkIDSM 1 °� 0 s- h�ler_tionDaRor�resed r�oont A s �oSS%Bl E Slgnadurrdar Pt3retiecfperjlay. zr�nr K S O J, E t a HRMNAUE LiamNa , 7 Oo o Z. E Lee S;F" 12 0 LNo q-7 a rry E ri s s ,- BusoeffiT�tNa � "°� ALMNa Za- Owl,MSIIVS[JRAN EWAIVh1i;Iama wtutdieLiow td�„ tial Iheieartaroeoo�a,�a�sub�r�alal}ivalaltasrac�riedby �dtaCialnalLgws arddviffW ig ainanLispeantappic rnvraivtottism0MM (Please check one) Owner a Agent DCW Telephone No. PERMZT FEE S t &rr7%AAAV VA ver •WAN I{.N►fa AU/ Perndt No. B0M0FF=PRE'V©VI1gNR&IUMYSM7aRI a* Occepnq&Feer O wJmd APPUCA71ONFOR PERARTTO PERFORM ET CMCA.L WORK ALL WORK To BE PERFORMED IN ACCORDANCE WFrH THE MAssACHUSSTs MICMICAL cotM,527 CMJit 12:00 (PLEASE PRW IN INK OR TYPE ALL INFORMAI ION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) STE V F_nJ S ST Owner or Tenant /:�JZ A n/K dpi✓E 7-0 Owner's Address V E N S S 7— is this permit in conjunction with a btt �— Yes No � (Check Approprirlte Box) 37Z C�7 6 f Builth � l'I A-1 Utility Authorization No�7a 7 purpose• ng ty Existing Service �/0/O) Amps //Ds�olu Overhead nderg ound No.of Meters Neter r 3ervss� Ampa I10� Volts Overhead Under�cound No.of Meters Number of Feeden�and Am�pacitlr / - a o 0 Location and Nature of Proposed Electrical Work q70 STL ✓r--.l S S T— Na of U169iry Outlets Na of He Tubi Na of roo hneem TOW KVA Na of UStdry Hawn swimming Pod- Above Below Optersews KVA smuld Na a Reaeptsola Oudeb No.of nit Burners No.of&oerpocy Uandna Bdwy Uric Na of switch oudsts 1 c7� Na of On Bamerr No,of Romps Na of Air Can& Told FIRE ALARMS No.of Zane Tor D�pa� Na d Heat Tod Tod W d Da&Wm and Pomp Tom KW Wdaft Devices Na of Dishwashers space Ara Heathy KW No. ofDevices No. — DewAonigoogd"Devices Na of Dryer Headq Devices KW I O No.of Water Heaters Kw Na of Na of Connections C3 signs Bdissis Na Hydro Mswep Tube Na of Motors Told HP (7i'FtER• — Ytt�nrtaeCb�a�Plstortbtberg}>armlloflrle�dfseraalmllaRe FhateaaN=Ljt*humwFbLy=b*VQu#bGrb&*ft L q*4b2 YM � NO a Itsnes�rri�dvaidpoa[dsorneofie�m YID I)cuhn�etilededYMplewhi eetp Orme Wby BOND OAR a �feaseSpeai� Ht M E 0 W n!Ez— BoWmD EwmndValleafLlectlksl Wert s WodrbSWhlQsr�ionI%Mftgzrad Rao�O^t A 5 POSS%9/E JIM SVledurtctr FlLielieadpttjltF 2�N .s O //�E t c f�tMNAMS LjonNo, 7 fo o 2, E 11 -70 S T'� �E � S S T >kalnelsTblNa AtmNC, GWI,WSMRANMWANF1t:lenawaetgdzLicaw -dteirs><auwati atatewyit givabituwimdbymmd>t:manwLm zddAniysWamaeon airpmrt�+�pi�waiwatilegiil®t (Please check one) Owner a Agent Signawro or Owner or Agm Telephone No. PlUthar FEE 1 5;6- �' 2ec