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Miscellaneous - 49 CROSSBOW LANE 4/30/2018 (3)
49 CROSSBOW LANE 210/106.B-0210-0000.0 1 I r Date... ............ TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING HU This certifies thatU t,-A,-S Sw A,5bC-A 4A C-3 7L-�- 00 ................................................................................................0........................... has permission to perform 'Se ,9y.�......UO.-,g AJ-4- 1-1............. % _j............................................................ wiling in the building of .2. q ..I.................6-.k..r. -..\.. ........................................................... ............. ..... *I.................North Andover,Mas a'�.........4�.....0.n) .................... Fee... .........Lic. Noov�o ..M`)............./ ...... ... ........ ELECTRICAL INSPECTOR Check# -15 6 ' Commonwealth Official Use O ea th of Massachusetts � b Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) I Q 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: Oq(a 311 Lt v a City or Town of: NORTH ANDOVER To the Inspector of Wires: 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number), q q C ynL5,_,t bad olo 11.E j Owner or Tenant h i C r I a rd O y)C.t Ea n B2 ►'IQ kd rn Telephone No. Owner's Address 19 L ras_sbp u) D(a rLQ QCJ Is this permit in conjunction with a building permit? Yes ❑ No R_,_ (Check Appropriate Box) Purpose of Building D tA)66WI Q Utility Authorization No. i '17 17 19 Existing Service R OO Amps / Volts Overhead ❑ Und rd g ,® No.of Meters New Service e9-0'p Amps / Volts Overhead❑ Undgrd No.of Meters � --- Number of Feeders and Ampacity N Location and Nature of ProposedEllectrics Work: ross h0 W N° F)n R_ d-e 1�-r C. ^letion ofthe folloxantable ma>be:rained by the Impactor Mires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.o Tota Transformers KVA r No.of Luminaire Outlets No.of Hot Tubs Generators KVA fLuminaires' Above In- oo Emergency Lighting or ,�iDW rnd. grind. Batte 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 Initiatinp,Devices qr No.of Ranges No.of Air Cond. T nal No.of Alerting Devices No.of Waste Disposers eat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.o ea KW o.o o.or-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: y� Attach additional detail if desired,or as required by the Inspector of Wires. : Estimated Value of Electrical Work: Q (When required by municipal policy.) i Work to Start: q 12 5 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BON® ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the info on this application is true and complete. FIRM NAME: U r) r N SS O LIC.NO.: Licensee: HC ra Signatu a LIC.NO.: c9 Oh 16— r+ k (If applicable, nter"exempt"in the license number line.) Bus.Tel.No.:855 6/ Address: n-1 F MI Q h V44 6 2 1 Lf R Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[I owner owner's agent, Owner/Agent PERMIT FEE: $ Signature Telephone No. � r A De Commonweaft oft assa0useMsVN I , ]etrr eat of tc y iccUcca e ,s • . Offlee of fivesfigafiony ' ddO Wayfthtoa Street ' Rostov,MA 02111 wommusygo-PIciirz • ' • ex Nama e ¢s%x�ess(�JrganixationLGldz`�idual}: M114), SoLA� A ss-o c[STS!, 309 52(CKs Cz 1 Patel i : 'Q►•��7j��R �� Q(?')0 MOOD 41'. ( �$�-7a h— l—1-7 e au exnplopex?Chec:kt'ft6 appxopxiatebox: Typo of project(required): 1I am a employer'atTa /0 4. Sam a general confxactox and 1 6. New co kaft- ct m f employees(fbRand(orPaxtthD)T have med-thesiab-confractors 2.Q S am.a sc�leprolarietor Orpax(nex- aisted on the attached sheet.T 7• ��.emodeltug ship and`liavena.employees These mb-conixactoxshave S. DemoMOR woxl g forme in any ceacity. workers'comp.insurance• 9. (BuaScTing addiflon o wOff<.ErS,comp.I ntn'ance 5• a we axe a corporation and its 10. Flectricalre'airs ox additions rixed.� officers have exexcised.their 3. S am a homeowcer ging allwoxk right of eXemption.pexMUL 11,.E[PIumbingxepaks or additions myseL. Towoxkers'comp. c.152,§1(4),andwahaven.o 12.�(Pao£xela 's X em to ees. o workexs' 13 ©tliex 1 insaxaaacere�tziied.�i lay coaaap.ammeerequired•] rapplicanitllai cfzecksb, gjmstalsofillonithesecfi0Abeldwsbo-t�ingt aixworkers'compensafionRolic�'informafion. Fomeovrners vrho sabmiftbis affidavitanciicaeYe�Q � �°rTC andthen hire outside conixacfars muss sn7im a neva aflxdagif indieaug nuc&, xConiracfors'iba aheekfhis bo mus 10 oithe sub-eonfraefors andtheirviorkers'comp.policyinfomiafion. a axe exnvtoya,flim i�s,P.roV049�uo.��'e1's eornpe.�asatlor�W ul-anee f bx��y ernp�oyees�, Below is Iie aZiey ar2c o �it'e j infarmatiom Lnsuxance Cora, an. S�l'antie:. Lo ()�C I,�)Su(ZANXFo (. � Y . policy or9ekins.].c.#: " �35(�7('3��[7 _Expir�iionDate: a� a�f5 laTa;Site l�ddres : +� CCgosS$Q`4 LANE' C%tyfStatel p:��l t 5 ttaebtacopyazt ewo kers'compensatiowpoNeydeclaxationpage(s)xowingfitepo cyx�mn7aex�ande ixatzo]adate, `ailuxe do secux covsxage as recluixe �andex; eetzon25A oGT,0.152 a ane to$1,5QO,OU andfor oxae�year intpxisonmextt,as well as ChApenardes is the foam.of'a 3'OP WORX ORDM and a fmo ofupto$250.00a.dapagainsttfaviolator. Do advised that a copy o£thisstatementxnaybefoxwaxdedtoateO.fgce;of jnvestzgatiom oftbe DSS fox ibsmanm coverage vexafloation. do Xiere y cert r�ric e�tliegc iris c� r per�czltie o�,�er!Wy thaitrie informalion providd above is flue and eora eet. a€nre: Date: a9 ao h sk Q ejuj use ozfy. Do not trite in trim area,We aoftwkfedLY COoa<torvxa offtiai: +City or ToWD: Bexaxtztl�icextse# fsaningAuthoxzfg(circl.o dne): 1.Board Offealtlr 7,BuaidingDepart-med I C`z€yf7CM Clerk 4,EXectxzcal Inspector 5.numbing Inspector f.Other Information, and Instructions , . J.11fassacl usetfs Genesi Laws chapter 152 xeq*es a31 employers to provide warkors'compensation fox tt ei employees. ParsaanttoIbisstafate,ane'rawfoyeeisdefrnedas",.,even pexsoni theserviceofMothexunderany confractoAlao, express o�im�Iied,oral oxwxitteu." . •�er�laiye-�is dei7ned as"arz htdividual,parinexship,association:,corporation o�othexl�egal entity,or anytwo oxmoxe. . ofthe foregoing engaged a point enterprise,and includingthe legalxepxesentatives ofa'deceased e�nlpex,.ox the receiver o�ttzistee a�an.ittdxvzdua�paz-tnexslvp,associatzoxt ox otbexZegal entiLy,employing employees, �Sowevexthe owxtex of a dwelIingltousehaving�.at�toretba�xtbxee apat-tmenfs anctw�iaxeszdes 1�.hexein,oxtbe occupauto�'t7ie dwolling house of another who employs persons to do maintenance,construction oxxepaix woxlo ort such,dwellinghouse ox onthegrounds orbuilding appurteumtthereto shallnot because of such employmeutbe deemedto be an employer:" .1M.GL chapter 152,§25C(6)also states that"every state or Neal ye-ensiug ageney shall WHEMLold the issuance or .renewal 09a license ar permit to operate a business or to constrVet buildings inthe Commonwealth for any applicant who hasnot pro drtced•acceptaltle evidence of compliaxtce with the insurance coverage rewired;' .A.dditionally;MGL chapter 152,§25C(7)statea`Neither the commonwealth nox any of its political subdivisnons shaU entexinto any confractfortheperformaace ofpubliaworkuntil accepfable evidenoe of compliance with the laswaace xecluirenzentsorthischaptexhavebeenpresentedtatb,ecoutxactiugat�thority," • Applicants Please`ill out the workers'compensation,affidavit completely,by chor,16 g th e boxes that apply to your sitaation and,if iieces� sup f L) ary, plysab-conixactox s name s,address es attdhonexrumbex(s)alangwiththeircextcate(s)of insurance. LimitedUability Companies(t,LC)oxLiM1tedLxabilitypartnexsliips(GU)v ttLno employees otliextLatttfie members oxpaxtners,arenotxegakedto can7workem,compensatloniwsuxance. "anLLC oxLLP does have of eznployees,apo71cyisxecinixed. Be,advised tllat afUdavitmaybesubmitted tothe,Dpar6nentof In MtriaZ ACCidents for con�hmaiion of insuranca coverage. Also be sure to sign and elate the 2Mdavi. 1he ab davitshould bexetumedto the city ortovi.thatthe applicaftlfox thapannit ox11censexs beingxeciaested,no f theDe,�atiment of IndustrialI�ccidents. Shouldyouhaveany questionsregardingth,elaw oxifyonare Xagairedtoobtaina*others' compensation.policy,please call the Department att mmhexlisted below. ,del--insaxedcompanies sbouldenferleir • self insurance Incense number on the appropriate line. city or Town MIA PleasebeSara lhattheafzdavitiscomplete,audpxintecllegibly: T$eDepaxSnenthaspxovidedaspaceatthebotLox�z ox"the a�davitfoxyouta ill outinthe eventthe Office ofhrvestigationshasto contactyotxxegaxdingtb.e appltcanfi Pleasebe-sure ton"tllin�,bepermnt/llceztsenumbexw7�ieb vrillbewedasaxezexencenumbex, fa,addition,anappVcmt thatmustsubmitxnultiplepexm%t/.Icense applications k any glyenyeax,need onlysubmit oneaffidavit indica&g cuQent Policy infomation(i-fnecessaxy)and under"hb Site Address"the gplicant shouldwxite"all lacationsixt (city or town):'Acopyo theaf davltthathasbeenoiffciaRysfainpedoxmarked bythecity ortown.maybepxovidedtothe applicantasptb0fthat avalid affrdavit.Ysonfdo�oxfatvxepexmztsox ceases, finevrafflcTavztmustbe lledouteaclt year.V&exe a.bome Omer orci&anis obtafiftalicensa ox,permitnotxelatedtoanybusiness or con erciaiventure, (Le.a dog license oriielmitto burn leaves eta.)saidperson is NOTregff*edto complete this affidavit. The Of EGO Of Snvmggations would Eke to thank you ia advance fox your coop exatfoa and should you have any questions, please do not hesitate to give us a call. The.Depaxtment's address,telephone aixd fa�uumbex: 'h CQ 4x-wam ofS-',!�-aSV d V4[ DC�%].a:4MeDt~d1nd-UMal,�'a,GCl 01110 Woe QUA-VuRgAvou 6QaftgtQ�? TOL 617H72-t,4.,00 W406 Qx 1-877-� _ Rovised 5 26-05 Fa K ti � I A It Ur Ivcvv nmivironirw ELECTRICIANS BOARD NAME: DANIEL J MCGRATH ELECTRi'CA .,UNL1MI'I'En j0URi4EYPI:RSGN 12906 M T3 k-1 EI j MCGRri,Tti _ 114 BOYT-STO1er ST MALbET1,1:INrA 02148-7931. j EXPIRES: 09130/201.4 Li G NO. EPFEitfIVE EXPIRE ELC,0199933-El 10/01/2013 09/30/2014 �t T ?n SIGNED Z- - - A Y-4� v COMMONWEALTH OF MASSACHUSETTS -- --*--- --- - --__ - D a _ zwk'o STATE OF MAINE BOARD OF yyy DEPT OF PROFESSIONAL&FINANCIAL REGULATION ELECTRICIANS ELECTRICIANS'EXAMINING BOARD ISSUES THE FOLLOWING LICENSE AS A W LICENSE#MS60020703 REGISTERED MASTER ELECTRICIAN it •r a�ti'�� it DANIEL MCGRATH UNITED SOLAR ASSOCIATES LLC W MASTER ELECTRICIAN DANIEL J MCGRATH Z 114 BOYLSTON ST ISSUED Aug 26,2013 EXPIRES Aug 31,2015 MALDEN MA 02148-7931 20616 A o 1 16 97292_ COMMONWEALTH OF MASSACHUSETTS o a a • - a o , BOARD OF ... ELECTRICIANS ISSUES THE FOLLOWING LICENSE u, Thr;Card acknowledges that the r.,y;rpient has suoco-stulzY comP9¢ted a AS A REG JOURNEYMAN ELECTRICIAN nal Sate and HeatthTraining Course n 30 hour OtcipaGo h i Construction Safety and Health DANIEL J MCGRATH ra Daniel McGrath 114 BOYLSTON ST w Keith M.Prendergast 3/2812011 MALDEN MA 02148-7931 (Trainer Hams-p�.�t or tYPe) (Course end date) 1146Z B 07/31/16 97293. 0 t1 01.1v-4 1%- t": ., . it . 30ard of Buildirl" Rr"ijlafir►n..tttd - Co.istructio Supcit tisor L.cs:7e: —:11" y r M.1101 iNlvrrI/l r/' ltit.rir'�ri1r/r1 Ono• trill ' F:tT,.ty Office of Consumer Affairs&Business Reguladon Uzrnse: CS 104876 - Pia ROME IMPROVEMENT CONTRACTOR ^''"�'Registration. 168524 Type: /,r-Expiration: W12015 Individual DANIEL MCGRATH 114 BOYLSTON ST DANIEL MCGRATH MALDEN, MA 02148 DANIEL MCGRATH 114 BOYLSTON ST 'f ExPrattcn- 9115=14 MALDEN,MA 02148 ` {N^ `P•3 1' T undersecretary 104876 !!! SOIAR John Millburg,Project Developer Emai1x jonm@Sun 1776.com,Cell:781-264-4762 300 Brickstone Square,Suite 201,Andover,IAA 01810 1.855.SUN.1776 0 www.SUN1776..com Date......Z .......1..`t'.. �L OF r10RT�y,� TOWN OF NORTH ANDOVER o n PERMIT FOR WIRING SS�CHUs� This certifies that ...1,.�.f`!,! „G.. n. f (S ..............:..1.......-�.............................. has permission to perform & L&., . ,,� r- .....................,.... ......................................... miring in the building of.......��...�„ 1�'�--e- ...... .......................................................................... at .......... .��..........C........c>. ,North Andover Mas Fee... .. .N Lic.No. � � .... ...... ... ECTR[CAL INSPECTOR Check# ` /v-111 Commonwealth of Ma achusetts Official Use Only Permit No. r Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: —+12 Z 11 City or Town of: NORTH ANDOVER To theInspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 41 1. rosS ht)w c6 n Owner or Tenant Q i chard O hGH E:7 h 8Ifl ng ha rn Telephone No.9 W q-45.2-13a 4 , Owner's Address 9q 0Caru l Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 5n lea 111 sh:44-h Q n Utility Authorization No. Existing Service Amps 1240 Volts Overhead[T Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 19 CroSsb o W O�.G(uN c( V myi 110 fibn oG R19 6olc� aneIs. --, 200 -rC)W e tn/a t4a Completion of the followingtable ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans o Total P ( Tr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above rnd. ❑ In- rnEl o Emergency Lighting d. Batte Units Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners YoTof Detection andInitiating Devices Tot j�. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.o Self-Contained P Totals: Detection/Alertin2 Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems: Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eq uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires.1' Estimated Value of Electrical Work: 1(,02 4.21) (When required by municipal policy.) Work to Start: 3 O 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E BOND ❑ OTHER•❑ (S :) I certify,under the pains and penalties of perjury,that the inf oration this applicatio is tru -and complete. FIRM NAME: U S I ASsc)cj� G LIC.NO.: Licensee: Dan NIC N a Tr 1 Signature Gt (If applicable,enter" empt"in the license number linv) Bus.Tel.No.- fJS 6114- 46 Address: I I Lt 4 Is-+o n Sir. I`�a I d,�xl, K1 d 2 iu 8 Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent PERMIT FEE: $ . - Signature Telephone No. ? f Lrt Ll q 7� Z- oi a i A 1 c Vr Ivcvv nmivlrornmc ELECTRICIANS BOARD STATE OF CONNECTICUT 1A. NAME: DAN! j ELECTRICAL UNLIMITED;OURNEYPERSON 1 ►`•' 1 06 M DANIEL.1 MCGRATH I 114 130`qSTON 57 MA6E'I E ,A4A'02148 931 -. EXPIRES: 09 , ' uc.7 REG NO, IVE- ;` EXPIRE ELC.0199933= `ouxj0/01/2013 , '09130/2014 j SIGNED �— `�_ a COMMONWEALTH OF MASSACHUSETTS STATE OF MAINE BOARD OF DEPT OF PROFESSIONAL&FINANCIAL REGULATION ELECTRICIANS ELECTRICIANS'EXAMINING BOARD "ISSUES THE FOLLOWING LICENSE-AS A I ' LICENSE#MS60020703 REGISTERED MASTER ELECTRICIAN,, j DANIEL MCGRATH UNITED SOLAR ASSOCIATES LLC MASTER ELECTRICIAN DANIEL J MCGRATHy 114 BOYLSTON ST ISSUED Aug 26,2013 EXPIRES Aug 31,2015 MALDEN MA 02148-7931 1 20616 A 07/31/16. __9]292 4 COMMONWEALTH OF MASSACHUSETTS - -- _ BOARD OF � w 11-600,125127 ELECTRICIANS ISSUES THE FOLLOWING LICENSE AS ,A" REG JOURNEYMAN:, ELECTRICIAN '` Tt>iscaPd� l"�'�""70ee° 'emu in t°de AANIEL J MCGRATH �S W DDanici McGrath 114 BOYLSTON ST - I� xr�, .Pni+�dergalsc 3/2812011 MALDEN MA 02148-1931dMe) --`� 11467. 07/31/16" 97293. 'B (Trimer Mme–ptfnt oz •) (Course end --- tltu.ttt.- I�cl►artpwnl ,i t'u'.lic — Kiat'd of Building Re•gul:ttinn. and $tandar(A l Construction Supervisor Licens? /f, 16""wo,xrevwI(/.t�C lltlJtat![SP��1 One-and Two-Family Dweilit1gs Office of Consumer Affairs&Business Regulation i License: CS 104876 ME IMPROVEMENT CONTRACTOR egistration: 168524 Type: 1 DANIEL,MCGRATH piration: 3/7/2015 Individual 1 114 BOYLSTON ST "•' DANIEL MCGRATH MALDEN, MA 02148 - • DANIEL MCGRATH Expiration: 9/15114 BOYLSTON ST /24'14 r �- 1 MALDEN,MA 02148 Undersecret;r�ry @.– –ft^nr ...i n•r' Tr-- 104876 The Commonwealth of Massachusetts � Print Form- Department of Industrial Accidents . Office of Investigations ' s 1 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/Individual): United Solar Associates,LLC Address:P.O Box 498 City/State/Zip:Malden, MA 02148 Phone #:855-786-1776 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] f c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Policy#or'Self-ins.Lic.#:7PJ UB-5B50763-8-14 Expiration Date:07/23/2015 Job Site Address:49 Crossbowlane City/State/Zip:N Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations oft or insurance coverageverification. r I do hereby ce u der t e azn d e es o er u that the information provided above is true and correct. 7/22/2014 Si nature: __ Date: -. — Phone#: 855-786-1776 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - i I i 21 Drydock Avenue, 2"d floor is next step Living TM Boston, MA 02210-2384 home energy solutions 866-867-8729 NextStepliving.com i i i July 19,2014 Town of North Andover Building Department 1600 Osgood Street North Andover,MA 01845 RE:Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane i North Andover,MA 01845 Structural Assessment of Roof Framing NSL project No: SP46917 Dear Sirs, Next Step Living, Inc.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 49 Crossbow Lane,North Andover, MA 01845. Structural Data and gqft information Our analysis was 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 with some collar ties in a gable configuration.The existing roof structure is in good condition and currently I has one layer of asphalt shingles as roof covering. The pertinent data is listed below: E Main Roof Rafters:1 W x 7 X"(#2 Spruce Pine Fir,Hem Fir,D.Fir Larch Assumed) Rafter Spacing:16"on center Roof Slope: 30 Degrees ' Horizontal Projected Length of Rafter: 14 feet Ceiling Joists:Present Collar Ties:. Present every third rafter Roof Sheathing: Plywood sheathing Roof Covering: Asphalt shingles Condition of Framing: Good Ground Snow Load,Pg.:SO PSF from Table R301.2(S) ' Importance Factor,l: 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) i i Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover,MA 01845 Page 2 I I i Thermal Factor Ct: 1.0 Existing condition(Warm Rood 1.1 With panels(Cold Roof) Design Snow loads: 35 PSF(Existing—Unobstructed Warm Roof) 25.68 PSF(New Condition—Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: C Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot(PSF)on the roof surface.The International Residential Building Code allows up to two(2)roof coverings on a residential dwelling. Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 3.0(PSF)on the roof. Because the existing roof has only one layer of shingles,the code allows a second layer to be added without analysis.The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore,one would be cautious in considering a thermal factor,Ct,of 1.1,treating the panel surface as a cold roof,rather than a warm roof.After considering the roof slope factor,Cs,from figure 7-2,ASCE 7-10,the snow load is reduced by 27%for the main roof compared with the snow loading on the existing shingled roof,which is not considered a slippery surface.The reduction in snow load due to this consideration is about 9.32 PSF for the main roof,which offsets the weight of the solar panels. Gravity loading: Although the addition of solar panels results in a net reduction in the overall loading,the existing rafters are overstressed.As such,we recommend that a 2 x 6 collar tie be added at every set of rafters which do not currently have one.The additional collar ties should be at least six(6)feet long, and match the elevation of existing collar ties as close as possible.The collar ties should be cut flush to the roof sheathing,and shall be fastened to each existing rafter with a minimum of 5—16d nails OR 5 Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L•brackets in a landscape configuration with a rail toward 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 landscape orientation shall have a maximum spacing of 36"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" f on center perpendicular to the slope(e.g.,every other rafter)in the areas of the array which lay in Zones j 2&3. 1 i i Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover, MA 01845 Page 3 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 whenever possible between adjacent rails so that no single rafter supports more load than under the existing conditions i Wind Loading: i Provided the leveling feet 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 great extent.The net wind loads imposed on the roof framing will be less than the current loading with an attachment spacing described above. Conclusions: Our evaluation of the proposed solar-electric installation has established that the framing is NOT adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans without strengthening the structure as previously discussed herein.Once the roof framing is reinforced,it will be adequate to support the solar panels.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. Do not hesitate to contact my office at 866-867-8729 should you have any questions or if you require any additional information. i Respectfully, Next Step Living,Inc. ar O i i fc i Dean A. po e ,P.E. MA Prof. Eng. License#50405 i ' I I 4-� (c) CTI J-1 ill r. in r. ri iJ iJ IDO O o Of 4p i -ELECTRICAL DESIGN ' PV MODULE RATINGS 0 CTC INVERTER RATINGS 690.53 PHOTOVOLTAIC POWER SOURCE SERVICE PANEL RATINGS ARRAY DETAILS SIGN ON INVERTER MEP BRAND: MPPT1 MODULE MANUFACTURER: LG- - INVERTER MODEL:Sunny-Boy- - BUS AMP RATING(A):200 MODULES PER STRING:12 MODULE MODEL#:LG300N1C-G3 7000TWS-12-240V OPERATING CURRENT(A):-18.92- - SERVICE VOLTAGE(V):240 NUMBER OF STRINGS: 1 OPEN-CIRCUIT VOLTAGE(Voc): 39.5 MAX DC VOLT RATING(V):600 OPERATING VOLTAGE(V): 384.0 MAIN AMP RATING(A)`.200 MPPT2 _ OPERATING VOLTAGE(Vmp): 32.0 AC NOMINAL POWER(W):7000 MAX SYSTEM VOLTAGE(V):558.9 BREAKER RATING(A):40 MODULES PER STRING:12 OPERATING CURRENT(Imp): 9.46 NOMINAL AC VOLTAGE(V):240 MAX CIRCUIT CURRENT(A):20.2 NUMBER OF STRINGS: 1 SHORT-CIRCUITCURRENT(Isc):10.05 MAX AC CURRENT(A):29.2 MAXIMUM POWER(W):300 MAX OCPD RATING(A):40 ELECTRIC SHOCK HAZARD RED IS POSITIVE Voc TEMP COEFF(mV or%/°C)=-0.31 %/'C THE DC CONDUCTORS OF THIS BLACK IS NEGATIVE Isc=0.030/o/°C PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED 'THIS SYSTEM REQUIRES 24 TIGO ENERGY MAXIM IZERS-(MM-ES50).MANAG EM ENT UNIT(MMU). GATEWAY AND VERIS E51 UTILITYMOM ETER ENERGY METER *** #10 TH iN-2 wire #6 THWN-2 _ #6 TMNN-2 Ground Through to 200A �) 1"EMT INDOORS Breaker INVERTER OUTSIDE AC MEP l , 1 I STRING1#OF MODULES IN Sunny Boy 7000TL-US-22- DISCONNECT J J I LGATH2O 60A 240V SERIES: 12 REVENUE GRADE (NOT FUSED) ( METER 1 I l STRING2#OF MODULES IN z 3+ TDC- LICE ON 1 SERIES:12 AC GN o°no \o �� IAC L2 LGale b l u a oc� INTERFAC x Dc. TTII Loan I I OW. 1 INTEGRATED SolaDeck-Pass DC I Through DISCONNECT I = I #6 TMNN-2 GROUNDING #6 TMNN-2 Ground I ELECTRODE #10 PV Rated Cable Through to } ) l #6 Bare Copper Breaker I W0408ML11 1"PVC OUTDOOR I 25-S 5 WIRES i 125A L2 Lt f SUBPANEL POWER BOX FOR I DC CONTACTOR ON ROOF Licensed Electrician Assumes All AR S;: Drawing: JI-NSL-07111/2014 Responsibility For Determining ' " Next Step Living Inc. Customer Name: ERIN BRINGHAM Onsite Conditions and Executing U .� D One Line Diagram Address: 49 CROSSBOW LANE Installation In Accordance with NORTH ANDOVER, MA 01845 NEC 2014 Codes Solar Installation Phone: (978)975-2132 ARRAY DESIGN / SITE DIAGRAM e HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 268" 2210 30' 2 W -CROSSBOW-LANE 0 Z - - - - - Zg � m d AC DISCONNECT m coN W LGATE 120 W O W to UTILITY METER E W 0 ZCnco Z ti (D Z O 451" vQza ***PVC PIPE TO BE MOVED*** 16" 16" C E t I .r C6 CU CU 1 I O 1-(17) GO `OV PLACE INVERTER X INSIDE BASEMENT TO U) z THE LEFT OF THE MEP WITH CUSTOMERS SOLARMOUNT Landscape , APPROVAL E-39.05"-j> Total's Total#of Panels: 24 *"*ARRAY LAYOUT IS NOT TO Total#of Splice Bars: 10 , SCALE Total#of Bonding Jumpers: 10 ,7 ./ Total#of L-Feet: 76 EcoFasten Solar Flashings will be Total#End Clamps:36 p used on every roof penetration Total#of Mid-Clamps: 36 Customer Signature: Date: OWNER'S AUTHORIZATION FORM for Permit Application(s) The sole purpose of this authorization form is to provide Next Step Living with the necessary permission from the Owner to file Permit Application(s)for such project work as agreed upon between the Owner and the Owners Authorized Company and its designated subcontractors. Owners Name: Richard Brinaham Solar Project Address: 49 C,ossbow i,n.. Norm,,Andover. MA Q 1,145 Signature: Owners Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston,MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA Life's Good { I1 �Go '1G�00N)-GGA LG Electronics,Inc. (Korea Exchange:06657.KS)is i one of the globally leading companies and technology innovator for electronics,information 'HBO and communication products.The LG Electronics j currently employs more than 91,000 people worldwide in 117 companies. In fiscal year 2011, } 48.97 billion USD of revenue was achieved. LG is one of the world's largest manufacturers of mobile phones,flat screen TVs,air conditioners, washing machines and refrigerators.As a future- oriented company, LG enables others to use technology consisting of renewable energies. LG's high quality solar products are being manufactured in LG's leading production facility in South Korea. UVE C UL US Cc W 564573 85 EN 61215 Phot—halc Modules ""s LG's High Efficient Cell Technology "'�t?, Convenient Installation == priven by LG's own N-type technology,LG's high- t 'r) LG modules are carefully designed to benefit =_ efficiency modules will provide customers with installers by allowing quick and easy installations Celt 1_h.bVyC� n.�. •high economic benefits. 1,0. � throughout the carrying,grounding,and connecting stages of modules. 3 Light and Robust 100%EL Test Completed p With a weight of just 16.8 kg,LG modules are -j All LG modules pass Electroluminescence proven to demonstrate outstanding durability inspection.This EL inspection detects cracks and Light iir,ghf [�T. against external pressure up to 5400 Pa. other imperfections unseen by the naked eye. Reliable Warranties ` Positive Power Tolerance LG stands by its products with the strength of a LG provides rigorous quality testing to solar --' global corporation and sterling warranty policies. modules to assure customers of the stated power LG offers a 10 year product limited warranty and a outputs of all modules,with a positive nominal 25 year limited linear output warranty. tolerance starting at 0%. o �1 1JU U�J f,al co) LG 3 oo h, C Q Mechanical properties Electrical Properties(STC*) Cells 6 x 10 300 W .Cell vendor LG MPP voltage(Vmpp) 32.0 Cell type Monocrystalline MPP current(Impp) 9.42 Cell dimensions ! 156 x 156 mm2/6 x 6 int Open circuit voltage(Voc) 39.5 #of busbar 3 Dimensions(L x W x H) 1640 x 1000 x 35 mm Short circuit current(Isc) 10.0 64.57 x 39.37 x 1.38 in Module efficiency(%) 18.3 Static snow load 5400 Pa/113 psf Operating temperature(°C) -40-90. Static wind load 2400 Pa/50 psf Maximum system voltage(V) 600(UL),1000(IEC) Weight 16.8±0.5 kg/36.96±1.1 Ib Maximum series fuse rating(A) 15 Connector type MC4 connector IP 67 Power tolerance(%) 0-+3 Junction box IP 67 with 3 bypass diodes ' 'STC(Standard Test Condition):Irradiance 1000 W/ml,module temperature 25`C,AM 1.5 Length of cables 2 x 1000 mm/2 x 39.37 in The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Frame Anodized aluminum 0 Certifications and Warranty O Electrical Properties(NOCT*) Certifications IEC 61215,IEC 61730-1/-2,UL 1703, - - 300 W ISO 9001,IEC 61701(In progress), Maximum power(Pmpp) 220 DLG-Fokus Test"Ammonia Resistance'; MPP voltage(Vmpp) 29.3 (In progress) MPP current(Impp) 751 Product warranty 10 years Open circuit voltage(Voc) 36.5 Output warranty Pmax (measurement Tolerancece 3 3%) Linear warranty* Short circuit current(Isc) 8.08 - - . '1)1st year:97%,2)AfteY 2nd year:0.7%annual degradation,3)80.2%for 25 years Efficiency reduction <4.5 (from 1000 W/m2 to 200 W/m') QTemperature Coefficients NOCT(Nominal Operating Cell Temperature):Irradiance 800 W/m2,ambient temperature 20`C, wind speed 1 m/s NOCT 45±2'C 10/0.40 1010.40 Pmpp -0.42%/K Q Dimensions (mm/in) Voc -0.31%/K Isc 0.03%/K Q Characteristic Curves 1000/39.37 28/1.10 22/0.87 Q 10 1000 W 5.5'4.0(%N•wj ($lt•of aho,1[Idej Lan ide frau!, Short side frame C 9 Drain hei•,(4•a) 9 s 960/37.80 d 4.0'7.5 vi•w) 8 800 W D.en horap<aj (m[.mc•wn.un m•„"neg hot.,) U 18/0.71 -' F 7 48/1.89 ° 6 600 W uvndion eoa 5 12-04.3 mo.ndhp heapzwl (-1 Hj 4 400 W a-de.ols a.wj T 2 200 W 5I�.5/0.22 1 1000/39.37 C•Mei•n9M �'T� i 0 5 10 i 15 20 25 30 35 40 Voltage(V) g R65/0.06 140 , c Octan x E1204 4.010.16 g a g! F I 3 X o c Isc 100 Voc Dean y 80 Pmax 944/37.17 t 06l0,31 60 40 Dean z r c 20 O 35R.3a -40 -25 1 0 25 50 75 90 Temperature(°C) 'The distance between the center of the mounting/grounding holes North America Solar Business Team Product specifications are sto change without notice. a LG Electronics U,S.A.Inc "LG Life's Good"is a regislrated ated trademark of LG Corp. ,yr 1000 Sylvan Ave,Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 WKI t Contact:Ig.solar@lge.com Copyright©2013 LG Electronics.All rights reserved. Life s Good www.lgsolarusa.com 03/01/2013 SUNNY BOY 6000Ti L-US 70007 L-US / 8000TH.-US / • 900OTL-US / 10000 T L-US / 11000 T L-US a y� a t gaiw x r j# & w • rfr+� i 4{k NOW AVAILABLE FOR 2A0'V &' " r� Innovative Economical Reliable Convenient • First transformerless SMA inverter • Maximum efficiency of 98.7% •OptiCooITA1 active temperature • Integrated DC disconnect to be certified in accordance with •Classaeading CEC efficiency of 98.5% management • SMA Power Balancer for three- UL hreeUL 1741 • Superior MPP tracking with phase grid connection • First inverter with arc-fault circuit inter- OptiTrac'm rupter listed according to UL 16998 •Transformerless,with H5 topology SUNNY BOY 6000TL-US / 7000TL-US / 8000TL-US / 9000TL-US / 10000TL-US / 11000TL-US Transformerless design, maximum energy production The Sunny Boy TL-US series is UL listed for North America and features SMA's innovative H5 topology,resulting in superior efficiencies of more than 98 percent and unmatched solar power production. The transformerless design reduces weight, increases the speed of payback and provides optimum value for any residential or decentralized commercial PV system.The Sunny Boy TL-US series for North America is the ideal choice in transformerless technology. Sunny Boy 6000TL-US Sunny Boy 6000TL-US Sunny Boy 7000TL-US Sunny Boy 7000TL-US - Technical data 408 V 240 V 208 V 240 V Input(DC) Max.recommended PV power(C module STC) 7500 W 7500 W 8750 W 8750 W Max.DC power(@ cos y-1) 6300 W 6200 W 7300 W 7300 W Max.input voltage 600 V 600 V 600 V 600 V t MPP voltage range/rated input voltage 300 V-A80 V/345 V 345V-480V/379V 300V-480V/345V 345V-480V/379V Min.input voltage/initial input voltage 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V Max.input current 20.9 A 18.1 A 24.4 A 21.1 A Max.input current per string 20.9 A 18.1 A 24.4 A 21.1 A Number of independent MPP inputs 1 1 1 1 r Strings per MPP input @ Combiner Box 6 6 6 6 Output(AC) Rated power/max.apparent AC power 6000 W/6000 VA 6000 W/6000 VA 7000 W/7000 VA 7000 W/7000 VA Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264V 208 V/183 V-229 V 240 V/211 V-264 V AC power frequency/range 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz Max.output current 28.8 A 25 A 33.7 A 29.2 A Power factor at rated power 1 1 1 1 Feed-in phases/connection phases 1/2 1/2 1/2 1/2 Efficiency CEC efficiency/max.efficiency 98%/98.6% 98.5%/98.7% 98%/98.6% 98.5%/98.7 Protective devices DC reverse polarity protection 0 • • • AC shortcircuit current capability • • • • Galvanic isolation r - - AII-pole-sensifive residual-current monitoring unit • • • • Arc-fault circuit interrupter(according to UL 1699B) • • • • Protection class I I I I Overvoltage category IV IV IV IV General data 1 Dimensions(W/H/D) 470/615/240 mm(18.4/24.1/9.5 inch) 470/615/240 mm(18.4/24.1/9.5 inch) Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) Weight 35 kg/78 Ib 35 kg/78 Ib 35 kg/78 Ib 35 kg/78 Ib Weight of DC Disconnect 3.5 kg/8 Ib 3.5 kg/8 lb 3.5 kg/8 Ib 3.5 kg/8 Ib Operating temperature range -40°C...+60°C/-40 IF_+140°F -AO°C...+60°C/-40 IF_+140°F Noise emission(typical) 46 dB(A) 46 dB(A) 46 dB(A) 46 dB(A) Self-consumption(night) 0.15W 0.15W 0.15 W 0.15 W Topology Transformerless H5 Transformerless H5 Transformerless H5 Transformerless HS Cooling concept OptiCool OptiCool OptiCool OptiCool Degree of protection NEMA 3R NEMA 3R NEMA 3R NEMA 3R Degree of protection of connection area NEMA 3R NEMA 3R NEMA 3R NEMA 3R Max.permissible value for relative humidity 100% 100% 100% 100% (non-condensing) Features DC connection Screw terminal Screw terminal Screw terminal Screw terminal AC connection Screw terminal Screw terminal Screw terminal Screw terminal Display Text line Text line Text line Text line Interface:RS485/Bluetooth 0/0 0/0 0/0 0/0 Warranty:10/15/20 years 0/0/0 •/0/0 0/0/0 0/0/0 Certificates and approvals(more available on request) UL1741,ULI998,IEEE]547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1.1,UL 16998 Type designation SB 6000TLUS-12 SB 70007WS-12 } Sunny Boy 8000TLUS Sunny Boy 8000TLU5 Sunny Boy 90007E-U5 Sunny Boy 90007E-US ' 208 V 240 V 208 V 240 V 10000 W 10000 W 11250W 11250W 8400 W 8300 W 9400 W 9300 W 600 V 600 V 600 V 600 V 300V-480V/345V 345V-480V/379V 300V-480V/345V 345V-480V/379V 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V 27.9 A 24.1 A 31.4 A 27.1 A 27.9 A 24.1 A 31.4 A 27.1 A 1 1 1 1 6 ` 6 6 6 8000 W/8000 VA 9000 W/9000 VA 208 V/183 V-229 V 240 V/211 V-264 V 208 V/183 V-229 V 240 V/211 V-264Y 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 38.5 A 33.4 A 43.3 A 37.5 A 1 1 1/2 1/2 98%/98.6% 98%/98.6% 98%/98.6% 98%/98.7% _ IV IV 470/615/240mm(18.4/24.1/9.5inch) 470/615/240 mm(18.4/24.1/9.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) 35k9/781b 35 kg/78 Ib 3.5 kg/8 16 3.5 kg/8 Ib ,40'C...+60*C/-40*F...+140*F -40*C...+60°C 1-40'F...+140*F 46 dB(A) 46 dB(A) 0.15W 0.15W i Transformedess H5 Transformedess H5 OptiCool OptiCool NEMA 31Z NEMA 3R NEMA 3R NEMA 3R 100% 100% Screw terminal Screw terminal Screw terminal Screw terminal Text line Text line O/O O/O 9/0/0 •/O/O y U11741,UL1998,IEEE 1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1-1,UL 16998 y 1 SB 8000TLUS-12 S8 9000TLUS-12 � r r ♦ ' + Technical data Sunny Boy 1 OOOOTL-US Sunny Boy 10000TL--US Sunny Boy 11000TL--US 208 V 240 V 240 V Input(DC) Max.recommended PV power module STC) 12500 W 12500 W 13750 W Max.DC power(@ cos N-1) 10500 W 10350 W 11500 W Max.input voltage 600 V 600 V 600 V MPP voltage range/,rated input voltage 300 V-480 V/345 V 345 V-480 V/379 V 345 V-480 V/379 V = Min.input voltage/initial input voltage 300 V/360 V 345 V/360 V 345 V/360 V Max.input current , 35A 30.2 A 33.3 A Max.input current per string 35A 30.2 A 33.3 A Number of independent MPP inputs 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 8 Output(AC) Rated power/max.apparent AC power 10000 W/10000 VA 11000 W/11000 VA s Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264 V 240 V/211 V-264 V r. AC power frequency/range 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz m Max.output current 48.1 A 41.7 A 45.8 A s Power factor at rated power 1 1 Feed-in phases/connection phases 1/2 1/2 Efficiency - CEC efficiency/max.efficiency 97.5%/98.6% 98%/98.7% 98%/98.7% _ Protective devices 8 DC reverse polarity protection • • r AC short-circuit current capability • • Galvanic isolation - - All-pole-sensitive residual-current monitoring unit • • Arc-fault circuit interrupter(according to UL 16998) • • 3 Protection class I I Overvoltage category IV IV - General data Dimensions(W/H/D) 470/615/240 mm(18.4/24.1/9.5 inch) - I Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) - Weight 35 kg/78 Ib _ Weight of DC Disconnect 3.5 kg/8 Ib Operating temperature range -40*C...+60*C/-40 IF...+140 IF Noise emission(typical)y 46 dB(A) 46 dB(A) Self-consumption(night) 0.15 W 0.15W Topology Transformerless H5 Transformedess H5 Cooling concept Opticool Opticool Degree of protection NEMA 3R NEMA 3R - Degree of protection of connection area NEMA 3R NEMA 3R s Max.permissible value far relative humidity 100 100% ; (non-condensing) ° Features DC connection Screw terminal Screw terminal AC connection Screw terminal Screw terminal Display Text line Text line o Interface:RS485/Bluetooth 0/0 O/O Warranty:10/15/20 years •/O/O •/O/0 Certificates and approvals(more available on request) UL1741,011998,IEEE1547,FCC Part 15(Class A&8),CAN/CSA C22.2 107.1-1,UL 16998 NOTE:US inverters ship with gray lids Type designation SB I OOOOTLUS•12 SB 11 OOOTLUS-12 E Efficiency curve SUNNY BOY 1 1000TL-US Accessories m m 98 N Sunny Boy Combiner Box Bluetooth PiggyBadc T c 96- ---- - •e -- - •- - --- 1 SBCBTL6.10 BTth External NRWW = e �! with External M94 BTPBfXTANT-Ntenno $ O 92 0 y^e 98.5 p Interface RS485 SMA Power Balancer Set 97. w 'Ml•' 485USP&NR PBL-SBUSIO-NR - 90 - - -� 5 i tt 88 - Eta IVN-345 VI 9115- E 6.5 v Eta IV„-379 VI ° 345 480 86 - - Eta IV„-480 VI ; V,,,,IV] 'a 6 0.0 0.2 0.4 0.6 0.8 1.0 /Rated power •Standard feature O Optional feature Not available Output power o Data at nominal conditions z Z Toll Free+1 888 4 SMA USA www.SMA-America.com SMA America, LLC QuikFoot— Product Guide Installation Instructions 1 2 3 1. Locate the rafters and snap horizontal and vertical lines to mark the installation position for each QuikFoot. 2. Install base as shown using appropriate fasteners.* E47 a- 3. Insert the flashing so the top part is under the next row of shingles and pushed . : .. far enough up slope to prevent water infiltration through vertical joint in shingles. 4. Install bare EPDM washer on stud,pushing it down until it is flush with the top of the flashing. 5. Apply compression bracket to stud.Install bonded washer with rubber side down, fi sand tighten stainless nut to 50 inch-pounds. •r� _ i .•'�}-G.�j. .-eft ''• 4 Consult an engineer or go to www.ecofastensolar.com for engineering data. *EcoFasten recommends XHD fasteners by OMG. 4 5 f 877-859-3947 Committed to the Support of Renewable Energy 0 EcoFasten Solar*All content protected under copyright.All rights reserved.02l282013 2.1 QuikFoot— Product Guide Installation Instruction's * Use for vertical adjustment when leading edge of flashing hits nails in upper shingle courses . Slide flashing up under shingles until leading edge engages 2. Remove flashing and cut"V"notch at marks where nail shafts engaged nails.Measure remaining distance to adjust upslope. leading edge of flashing the distance desired in Step 1.Notch depth not to exceed 2" length by 1/2"width. Nails beneath shingle Placement of"V"notch -4 1 I { 3. Reinstall flashing with notched area upslope. 4. Position notched leading edge underneath nail heads as shown. I Nails beneath shingle Nails beneath shingle r> 877-859-3947 Committed to the Support of Renewable Energy ©EcoFasten Solar®All content protected under copyright.All rights reserved.02/28/2013 2.2 . . �a ° ;� fu a.0 LANE F ,..No ZA ,_. {,r i f t "Ing AJ nil n �1 z ��vy4 .r ° � ., � or r fes' f » A «� ' 2 t » , � < fICA { , - ® ■ f a r �< �s i =,u t 4� ti � 1 L'*'F' ��Y '�� � �' '� � ,� ��.� "�,,�� � p��o' �« n �� 3�< � �� ,�,�, - �' I a �.. y �: �: t '` � � � �� �,, ,xy...u., ..+�.... ... �f � .: � ...., w_. m�. ,��; �<s � t�. � � �� p_ ^���_ �` � k c�.� � �� � �� � ���$ +i '�� � � > �; tt.,;; :�� �;. �,.�. i h } I i I I "� v:� ,.. w � � q: Date. ....................... ...... NORTH ' °fs °:'1 TOWN OF NORTH ANDOVER 0 .- ' � PERMIT FOR WIRING row- s i �iG i A usE� This certifies that ....... I ?." ►'� has permission to perform .....� .......................................................... wiring in the building of.... .r' ........ . .(. ....................... at...�a.......C/1. K.30.k�.......... .... ,North Andover,Mass. � Fee....�Q........... Lac.No. ,N E ELECTRICAL INSPECTOR ' Check # 7372 C'ommonwea&o`Vamac4ef Official Use Only 2epartment of ipe Service4 Permit No. '73 7a Occupancy and Fee Checked � BOARD OF FIRE,PREVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: 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) Ll�-rr.i f AJ L'i Owner or Tenant `d h��. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service , Amps /,)y/ Volts Overhead ❑ rd Und g ©' No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Q ! Location and Nature of Proposed Electrical Work: following Completion o the table m be waived b the Ins ector o Wires. t No.of Recessed Luminaires No,of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets C No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ NO.o mergency Lighting rnd. rnd. Battery Units No,of Receptacle Outlets S No,of Oil Burners FIRE ALARMS I No.of Zones No,of Switches No,of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Tons TotaNo.of Alerting Devices No.of Waste Disposers / Heat Pump Number Tons "KW o.o Self-Contained Totals: """"" """"""""""" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Key Security ystems:* s No.of Devices or Equivalent No.of Water Kms, No.of No.of Data Wiring: Y Heaters Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications irin : s" No.of Devices or Equivalent OTHER: i Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electjical Work: (When required by municipal policy.) Work to Start: 00- 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 OND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the informs ' on this applic ' n is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: /2 (If applicable,enter "exempt"in the4icense number line.) us.Tel No.: Address: Alt.Tel No.: Cefl *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No, OWNER'S INSURANCE WAIVER:. I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent SignaturTelephone No. PERMIT FEE: $ _ }I V &A 4 1 N° 2 3 4 7 Date.... M-A)�J iORTI{ °`t"`°;•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SSACMUS� This certifies that ........Lw...... .............................................. has permission to perform ....... wiring in the building of W S at..... .....0 ..d.a ........................... .North Andover Mpss. Fee3J.". V ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 77M C0Aff10Aff +4J TH0FA aiusFm Office Use only D 1 VTOFPUBUCSAFF7Y Permit No. 23 _ a BOARD OFFB?EPREVFV'170NREGUTAT70NS527(M12-00 Occupancy&Fees Checked APPLICATTONFOR � PERT TOPF"ORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date . Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. INW PARCEL Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunctionwith a building permit: Yes a No (Check Appropriate Box) Purpose of Building SIVZ„ZI-11 �j�y�/C y 114,01211-1= Utility Authorization No. Existing Service j _ Amp 'r / //� Volts Overhead Underground No.of Meters / New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity 4JI 4 Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KV N? .of Lighting Fixtures Swimming Pool Above Below Generators K A ground 171 ground ri o.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units o.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. TAI FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat T l Total No.of Detection and Pum ons KW Initiating Devices No.of Dishwasher! Space Area Heatin KW No.of Sounding D No.of Self Conta' d Detection/So ding Devices No.of Dryer/ Heating D ces KW Local cipal Other occtions No.of W Heaters KW No. No.of Signs Bailasis No. dro Massage Tubs No.of Motors f Total HP //Z ry _OTHER- - - hsucarreCo�.Plast><rc��thetegtmanaisofTvlassadei�ettsGa�aalIaws - YES � a Iha�eaalaartLialxldyhnlaanoePol�ynrhrlrt�gCanple� Caaagrcxilsslequn'alart NO Ihawaibrntlt N4dgoofofsametolbeOffioe YES NOa Ifyouhawd�acl�3YES Pl se> thetYpeofoo�aag llj'dtad�Igllte INSURANCE. BOND CJII3Q2 (Plea e Spay) - EiI7ale Etm&dVaIwdEbohcdWodc$ WaktoStart h DABRe4xsted Ra# e-i/4e:. l4 Final GtJi e:4z- s4neduarlerTrPerlaltim cfpaw- FffNfNAME voam z/� to/ISigllaitae Ii tqo /J Buk=TeLm l�Y' �1S//=i t/<<slii c,� /i9 /�7� Alt TeLl o. OVIINWSINSURANCE WAIVER,Iamawdtediattbel-=wdoesmthisethemmmrcommWrilssdAmtialWukritast gmedbyMamdwsctsQmndLaws atritl>atmysgtrftaeminisparitapp}i _V.M«dnsregtitanart (Please check one) Owner Agent Telephone No. PERMIT FEE$ Signature ot Uwner or Agent g ,aauT NO APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. PAGE 1 MAS Z� LOT NO. O�O L2RECORD OF OWNERSHIP DATE BOOK ;PAGE %ZONE I SUBDIV. LOTNO. LCATION �. / /1�IC E OF BUILDING IOWNERS NAME 'I`�A,\ G1 STORIES SIZE OWNER'S ADDRESS v - L BASEMENT OR SLAB �K K 14 t X t ARCHITECT'S NAME - SIZE OF FLOOR TIMBERS 1ST Z X,^ IND U✓ 3RD BUILDERS NAME K.\ � SPAN �31�{tt DISTANCE TO NEAREST BUILDING yM DIMENSIONS OF SILLS 2`•v�4• �� - DISTANCE FROM STREET `�-" p�,�� .. " POSTS d.X/_ Rooc ► �wALS1� DISTANCE FROM LOT LINES —SIDES Ly�/7= REAR ���) GIRDERS �C V ,0407 AREA OF LOT ' „^ SQ `FRONTAGE � ' HEIGHT OF FOUNDATION K THICKNESS IQ to IS BUILDING NEW � Je - SIZE OF FOOTING Iz%% ,x, y x IS BUILDING ADDITION `L MATERIAL OF CHIMNEY IS BUILDING ALTERATION �7 IS BUILDING ON SOLID OR FILLED LAND SpL.ir_N WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y4 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY C� IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �^ INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES LAND COST EST. BLDG. COST 2y yip PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE.2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR -DATE FILED ING INSECOSIGNATURFOWNEROR AU ORIZED AGENT ILDPTR FIE E OWNER TEL.# a PERMIT GRANTED CONTR.TEL.# (Oil 1 � ; 98019 8 -1974� 19 - CONTR.LIC.# 042-14-- 1 H.I.C.# 1138 (ol BUILDING RECORD r ' 1 OCCUPANCY 12 INGLE FAMILYS"o'IE5 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. sic SE 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/4 1/3 % FIN. ATTIC AREA " N_O 8 MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ'D ' ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. d FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX. _ GAMBREL MANSARD TOILET RM. (2 FI . FLAT SHED WATER CLOSET _ ASPHALT SHINGLES KLAVATORY WOOD SHIM 1]? S K SLATE ING _ TAR d GRAVEL OWER _ ROLL ROOFING FIXTURES ORO 8 FRAMING 11 HEATING WOOD JOI PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. COLS. STEAM STEEL BMS. d COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 4 � 7 NO. OF ROOMS OIL B'M'T 1 2nd ELECTRIC 1st 1 -i,-dl- NO HEATING 1 - r FORM U - LOT RELEASE FORM J 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 local or state law, regulations or requirements. I ****************Applicant fills out this section***************** APPLICANT: � �\� v.3` Phone G996 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street -'i Cv2GssSt. Number ` _ ************************Official Use Only************************ RE DATIONS OF TOWN AGENTS: Wwh Date Approved -'— Conservation Administ ator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved k A Food Ins ector-Health Date Rejected .v- Date Approved tS 7 7 nspector-Health Date Rejected ` Comments Public Works - sewer/water connections - driveway permit Fire Department I Received by Building Inspector Date ' TAORTjy Town of over O L i �.K dover, Mass., 19 '9�-COCMICMEWIC. iY',` 00?'q S U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..................................... ............... �. .i n.�................................................ Foundation has permission to erect......�p . 7L0r..�.. . buildings on .... .. F. ....... s Rough to be occupied as........................................... .f . ..f.. �t .... .......... ..fit -. .� ........................... Chimney provided that the person accepting this permit shall in every respect confor to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR J' jRough ..................................:........... . �a' ................................... Service BLDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F Rough al No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. _ _ --- -- Burner - Street No. ' Smoke Det. M I • -n1 L> ! Z S • a 1 I i Rater , .AWES sorntos .I na woe+ i IS SURVEY tS BASED ON SU RVEY MARKERS OF OTHERS. ' J4lG tTGAGE' SURVEY PLAN LoColion AlAe 7. 14 IV $Cale lin. = 1�0ff Date .1)U1G`.�,... ki We. This is o tape- surae- one rd w instnment svrrQ /her�"fore WS pfat p/pn is krt)tdrl�Jrtpe Avrpows Orly, AP 94y swr suRprylov!i sepprf WG, i .T4M, cobot Sr., Beverly,Afass thef f`•t,.• e-1 1 her nt+y :ei fity th o l L�+Wing shr wn GY) it,�S 1)/m7 wos to wrd on the, grAd.*d os Own 4 I tM.-Eon and Mol it cry worms A'i the ming and �d� &l,ldaV orononces of ft;Towx, .0 Arev is mw Tri the sopaol olkw hoiord Tone. LINES $, SHRUBS, NCES & TR ft►��-:a.'� ! -�,'• , , t TSE -ra= COMMOOF 1�ZASSAv ENIS JFTAIL"MF.NI'OF L�IDUSTRiALACCID 600 WASHINGTON STTt 'I' 1 _aures,; :,anaoeu BOSTON, MASSACHUSETTS 02111 f WORKERS, COMPENSATION INSURANCEAFFIDAVIT 1 CARL DU W6 �� KQT Atm CW91,q� �o� (l icenseei perminee) with a principal place of business/residencr at: (005tateiZip) do hereby certify, under the pains and penalties of perjury,that: I am an employer providing the following workers' compensation coverage for my employees working on this job. insurance Company Policy Number j I am a sole proprietor and have no one working for mc. I am a sole proprictor" ne eral conu=o_ or homeowner (circle one)and have hired rhe contactors listed below who have the following workers' mcornpenruion insurance polici= _ �nrti�m�1-�.�cr�1 �i�►on — CB �f� �-59(o6S10 _ Name of Contractor Insurance Company/Policy Number 'game of Contractor Insurance Company/Policy Number Name of Contractor Insurance Companv/Policy Number (J I am a homeowner performing all the work myself NOTE. Please be aware that while homeowners who employ persons to do maintenance.construction or repair worst oa a dwelling of not more than three untts in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL G 152,sect. 1(5)),application by a homcOwoer for a liceate or permit may evidence the legal status of an employer under the Workers' Compensation Act. i understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage Verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal pe:taities consisting of a fine of up to$1500.00 andior imprisonment of up to one year ana civil penalties in the form of a Stop Work Order and a Fine of S 100.00 a day against mc. Signed this day of 19 9 ' L�{ Licenseci Permittee licensor/Permittor Ir ��~ i r � i ROKRT SCITIFlos '� tl+ i SUTHIS St�tM Is BUSED ON . , 11+1ARKERS OF O'W'NERS. L ocotro� N.a C" 7-H 14./Y 00✓-E OQ.... ... .... . Srole 1 rn. S �O ff 001fe .A)u&A�.- 3, /9464: alvtx Irw .Je 4G.i 7x jr.. !t. .L"?&&4� : _ Ave-Fbs is o AW sures and MI VT jVYfftMf#7f AAv4" f4trd/orr• Ws pbl #Apt is tbi•morpde ovmom 6Ar Srart supsol`YtNU SFR;vAiT Ac. r '-dr;}..'-M, tbb" Sr. orworin-Ab s W r Aeroby MIN), met Me_&Vb4rp Ors" on this /iron yovz rdvnd ws obwn ?Mrt-o r end fAat 11 :t*7!ornu :*b•thr.J04no an d *hen ons Irmmff. +" . f a4IM is "LV IF Ithr/sWf0f AbW*WVW 7Vnf. JUL- 9-97 WED 10: 14 FAX N0, 6173930601 P, 02 ouiRtrfst 4f PUflutSifEt'l %4N5t81IC�I0s SOPEQYISOR lIC[sSE 9i Ex4ites OSjzvlll �'x` t�8/1t�194? ' rr•9t9fi36 Go �Egt(1tEtd t�' . I JMEI Rs goolljol, !lA C19i4- 1997 CONfFtACT4l25 REGX5TRA1'ION I r of rbud rt � PeOulotiatts avid Stsficlarcls � Ohl A8hbur.toh PlAce - .k6, i1h; 130 " 80etolh, Massachusetts 02306 A681t .ikPROVEMENT CONTRAC7'Ok t f s'�. ~at an 133R+l3 8xpir tiah 07/19/99 - T e =� P91VATE CbkPORATtON xNEtLANDCONSTRUCTXON CORP ., JOHN D . KENNY ' 4O7 R MYSTXC AVE #348 MEDFORD MA 02355 t ' 1 ' I i f i ` I I i i I Administration The documentation submitted has the following inadequacies : 1.Information Is not provided,2.Requires additional information,3.Information requires more clarification, 4. Information is incorrect. 5.All of the above. # Water Fee State Builders License "Sewer FeWorkman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other definitive review and i The above review and attached explanation of such is based on the plans and information submitted. No def or advice,by the Building Department,shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL.Any inaccuracies, changes to the information submitted b the applicant shall be grounds for this information or other subsequent c Y misleading y vi review to be voided at the discretion of the Building Department. The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You mus e a new b ilding permit application form and or request f plan review to recei appro �1 / �� o � Build' betSa m�rrt Official Signature Infoldmatidn Received D ied I —l - 71eVXC:-7J Lf P. If Faxed Denia ent n If you r r s ante please call thekabave number and we will be able to guide toward meeting the necessary requirements. Please understand that many of the reason for denial are related to the code requirements that must be met to ensure public safety.Requirements for detailed plans are necessary to ensure that there is enough information through plans and specifications to show that code requirements will be met. I� i Date. .r'. .�� .� .'. TOWN OF NORTH ANDOVER , o PERMIT FOR PLUMBING SACMUS� This certifies that . . .0.14'. . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . .P . . . . . . . . . . . . . . plumbing in the buildings of . . .r .F !t-.5 . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . North Andover, Mass. Fee. 3 Y. ` . .Lic. No.r:,.! .l .. . . . . . . . . . .... PLUMBING INSPECTOR Check # c. F 5263 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER MASSACHUSETTS / - Date Building Location !Z6? 6-e2sPermit# Owner ��i !/S r//� �`Y GG� Amount Z 6 3 New Renovation El--- - Replacement 0 Plans Submitted Yes No FIXTURES a x w SLREM a4SEUvr IST lLOCIR 2i�Ilt]NIDCit 3RDIFLOCIR 41HFIDM s>H MOM s1H HIM 7]H H>DCR gM HIDM (Print or type) D7 Check one: Certificate Installing Company Name X j'f' ❑ Corp. Addresscf [,!J 57� El Partner. Business Telephone 3� Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mashutts State Plumbi Cod hapte 142 of the General Laws. By: Signa of re o i ense um er Title Type of Plumbing License City/Town icense um er Master ourne an Ym APPROVED(OFFICE USE ONLY IT—Journeyman ❑ I r Location I t COOSCSkoui �y No. b i Date �' IO O2 NORTq TOWN OF NORTH ANDOVER Of'"a� a,ti0 F • a O� P ' Certificate of Occupancy $ _ sACMUs<� Building/Frame Permit Fee $ a S s Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ a S L Check # 600 15 6 s Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DExMOLISH A ONE OR TWO FAMILY DWELLING foll� I � Z`.i"j .S. "TMk� Y BUILDING PERMIT NUMBER. DATE ISSUED. SIGNATURE: Building Commissioner/1for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 4 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of ecoid: Name Print Address for Service: O z M Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Cpnstruction Supervisor: Not Applicable ❑ Licensed Const action Supervisor: O License Number mn Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m Registration Number r Address Expiration Date Signature Telephone Y� SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building Z (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC — � 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building pemut application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare that the statements and mformation on the foregoing application are true and accurate,to the best of my knowledge and belief Print N Si ature of Owner/ en Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1ST2 ND 3 RD SPAIN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IMIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andover °,<+�• '�o Building Department 27 Charles Street _. North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 . 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE `0 z JOB LOCATION Number Street Address Map/lot ..HOMEOWNER lC /"� �' / ��8'/ - Z2 G/7 83y—SS 38 Name Home Phone Worts Phone PRESENT MAILING ADDRESS 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 HOMEWCNUNER: Person(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structuress ac- cesso y to such use and/or farm strictures. Aerson p 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 No.Andover BuildingDepartment minimum inspection P p procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE �2 APPROVAL OF BUILDING OFFICIAL North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined b MGL Y c11, S150A. The debris will be disposed of in: Location of Facility) Signatu of ermit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector � Norc rry own of over r lV N'. No. C% "t�m- LO dower, Mass., COCMICMEWICK ADRATED p5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. �...C� ' N .................. ............R �" Foundation has permission to erect . .... buildings on SS 0 w N�.....�... Rough to be occupied as .. �to r0i� Chimney . .................IM........................................................... .................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. a� ,� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAUS ELECTRICAL INSPECTOR C Rough WA...... .. ... ..... ... . . .................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place. on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner ! Street No. FSEE REVERSE SIDE Smoke Det.