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HomeMy WebLinkAboutMiscellaneous - 54 BRADSTREET ROAD 4/30/2018 / ' 54 BRADSTREET ROAD J 210/044.0-0001-0000.0 �, ,. UTAH OFFICES Sandy YECTORLayton E n G 1 n E E R S �0 St. George Project Number: U2041-0302-172 15 August 4,2017 Trinity Solar 20 Patterson Brook Road,Unit#1 W. Wareham,MA 02576 ATTENTION: Ashley Grey REFERENCE: Lee Bluemel Residence: 54 Bradstreet Road,North Andover,MA 01845 Solar Panel Installation Dear Ms.Grey: Per your request, we have reviewed photographs and a post-installation checklist for the above-referenced site. Based upon our review, it is our conclusion that the installation of solar panels on this existing roof occurred in accordance with the building code and our original requirements as stated in a letter dated May 12, 2017. Rafter size and spacing has been verified to match the original design. Water damage was not encountered during work on and under the existing roof. No pre-installation splits, cuts, breaks, or visible sagging was encountered in the existing roof framing. After installation was complete.it was verified that all roof-penetrating fasteners actually penetrated into the roof framing and did not visibly split the framing members. No existing damage to any existing structure was discovered and no damage was caused to any existing structure during installation, according to the installer. All roof penetrations were sealed and flashed as a means of waterproofing. Our conclusions are based upon our review of the photos prepared by the installer. This letter does not. waive the installer of any responsibility for improper installation. As stated in a previous letter, our conclusion regarding the adequacy of the existing roof is based on the assumption that all structural roof components and other supporting elements are in good condition. We hope this meets your needs. if you have any further questions regarding this matter, please call this office at your convenience. Very truly yours, VECTOR STRUCTURAL ENGINEERING.LLC 10 4F ROGER T. A IVI 8(4/2017 S `{ 3•,a a sTn�� Roger T.Alworth,S.E. Principal RTA/dj f 651 W. Galena Park Blvd., Ste 101 /Draper, UT 84020 I T(801)990-17751 F(801)990-1776/www.vectorse.com i (wS MATERIAL LIST (FOR INTERNAL USE ONLY) rTr;i 7rr JOB NAME: BLUEMEL, LEE III ADDRESS: 54 BRADSTREET RD, N__ -`SQLAlt NORTH ANDOVER, MA 01845 2211 Allenwood Road 977-797-2978 Wall,Nem,jersey 0:714 mnvmQLinin•-Solacmm 15.104 ESTIMATED MAN HOURS 0.63 DAYS(3 0.47 DAYS (4 0.31 DAYS • 9 JINKO 280's(2.52KW) MEN) MEN) (6 MEN) • 1 ARRAY • 29' PEAK TO GROUND • 9 PORTRAIT&0 LANDSCAPED • NO PIPES OR VENTS BEINGS RELOCATED OR REMOVED • 1 INVERTERS INSTALLED OUTSIDE • NO TRENCH ESTIMATED SENT TO JOB USED ❑ JINKO 280(JKM28OM-60)---P300 SE OPTIMIZERS 9 ❑ SE3000A-USOOONNR2 1 ❑ 60A INDOOR FUSED DISCONNECT W/(2)20A FUSES 1 ❑ 30A OUTDOOR NON-FUSED DISCONNECT 1 ❑ SOLADECK BOX(ES)& HAYCO CONNECTOR(S) 1 ❑ 14'SECTIONS OF RAIL 6 _ INSULATED BUG BITES(LINE TAPS) 2 _ ❑ FLASHINGS 18 ❑ CASE(S)OF BLACK SPRAY PAINT 1 ❑ CASE(S)OF TAR 1 — — ❑ PV LEAD WIRE 50' ❑ T-BOLTS _ ❑ MID CLIPS ❑ END CLIPS ❑ SPLICE KITS ❑ GROUND LUGS i i I I Engineer/License HDldcr. ARRAY CIRCUIT WINING NOTES LICENSEDE R MES ALL RESPONSIBILITY FOR DETERMINING ONSITE CONDITIONS AND FW CUTTING INSTALLATION IN ACCORDANCE WITH NECSOLAR MODULES MOUNTED TO ROOF ON 1 ARRAY 2014 9-]BO.MODULES W/1 SOLAR LOGE P300 VER MODULE 2.j LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON ]5 ADC M4R PER SERI NG AEUi 1EMPEItATUR.ILIM MEAN IERAf LOEIVECATION UF'JBLILB ___ NcU ------- j 15TxING OF9 ntOGULE51N 5EmE5-350\'maw ------ -------�------------------------- ---�•------------- '. iEMPEfi41lIHE H]H ASHRAE LOCATION,\tOST.SIMII.AH TO $UNCTION NS'rn LLATIONLOCATIONI.LOWESTEXPECrEDAIARIENT F BO% I TEMP=VWC 'TERMINATED INSIDE INVEHtEPi 3.)HIGHEST CC NTINUCUS AMBIENT TEMPEWMURE BASED GNASFiMEHIGHESTMONTH2%DRY BULB I �. TEI.IPEIW.TUNE FOR A511P.AE LOCATION MOST SIMII.AR TO 1 // INSTALLATION LOCATION,H 1CGHESTCGNU-GUSTEMP= 1 33'C 1 I 4.12005ASHRAE FO rjorEXEE U1.527%-DESIGN 1 TEMPS RATVRES R1 NOTE%1.Ef 4C IFCIR E SS TiE 0 1 STATES(PALM SPflINLSS,CAIS44.1'C).FIE55 THAN9 CU RRTNT.CAP9`iR4G CON DTIC TORS INA ACK)-OU N TED 1 Issued/RDvisions SUNLIT CONDUIT AT LEAST 0.5`ABOVE POOF ADD U51NG THE OUTDOOR DESIGN TEPAPEPATURE OF 47C OR LESS I (ALL OF UNITES)STATES) 1 I 5.1 PV SYSTEM CIRCUITS INSTALLED ON Oft tN BUILDINGS I "� 511AtI INCLUDE A.RAPID.SHUTDOWN FUNCTION THAT I _ CONTROLS SPECIFIC CONDU CTOP.S IN ACCORD 44CE W ITI I I NEC 690.1Z(1)THROVf:111S1 I N'0 n1VtCDESCPIPTIGNr V DATE 6.)PHOTOVOLTAIC POWER SYS rENIS SHALE BE VERAII N EU TO DPERArE VJITII UNGROUNDED P4101'(IVOI.TAIC Projact Title: SOURCE AND OU WUT CIRCUIT AS PEI1 NEC 690.35 2.)00GROUNDEDOCCIRCl1rTCONDUCTOXSSIIALLBE 1 BLUEMEL,LEE I IDENEIFIED WITH THE FOLLOWING OUTER FINISH' VOSN'IVE CGNDUCfOVS=P.EU ( TRINITY ACCT 4:2017D4-I34G28 NEGATIVE CONDUCI CRS-BLACK NECZUE5(CIQj j Project Addmss 8.)ARP AY AND 5UR ARRAY CONDUCTORS SH4U.BE 410 PV E%$STING WIRET'YPE RHW 20REQUIVEL4NTANDSHALLEE 118120/MOV 240'J to 1 EET RD, PROTECTED BY CONDUITWHERE E%VOSED TO DIRECT I-I EWA MAIN BREAKER I HAND ANDOVER, IITILITV METER CONTAINS SUR ARRAYCONDUITCA nuN LONGER IT OR 14"SHAD Icon euse'R NORTH ANDOVER,MA D1R45 CONTAIN s 20 CURRENT CARPING CONDUCTORS AND `NITERS SPRUCED TO DIRECT SUMIIGIR SHALL CONTAIN !9 CURRENT CARRYING CONDUCTORS. Draviin Title: 9.)AER WIRE LENGTHS SHALL BE LESS THAN 100'UNLESS OiHERtYISE NOTED I 1 IO.i f11-1E COf40U1 I'SHALL HaT BE INSTALL$'.D ON IOCKA8LE 60A OISCONN[CT PRODUCTION 30'UNFUSED PROPOSED PV SOLAR SYS]EM RLN)FTOPAEIDSHAI.LBELIAIIIEDT012'IFTSEO FUSED W/20A FUSES_ METER DISCONNECT OUTOGOM INVERTER 41 D 240V' t 4Axx��,.11��.. 24OV 1 '- 1110VERCUR!!ENr PROTEC11Or4FOil CONDUCIORS Dfewin Information CONNECTED TO I'HE SUPPLY SIDE OF 45E4!VICE SNRT.RE : 6 I oR'wING UATf 4/ta/2ot1 LOCATED W IrfllrE 10'OF 1'flE POINT OF CONNECTION NEC 705.31RE-1D.1 ... 1 Uxs EMSE 12.)W HERE T'WU SOURCES FEED A BVS SBAR,ONE A a � _ UrIL11 Y AND THE OTHER AN INVERTER,PV 1O,CRFEED r--- '� G - B � E Lll N I System Information: BRI:AKERiS)SII ALL RE LOCATED OPPOSI IE FROM LII'i UIT --- ueaee oa�Eo poa�pl -1 TMJ r�© Pj 07 --- -1 NEC]05.12(DI(21(3I(E) ------- eao�ea I 11111111 IZE: 2.52kW EXISTING MAIN BREAKER TOAD CENTER SQUARE 0 SQUARED --�-�-J ACs'STU.SIZE. )ktY 13.t LIE SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLY INSULA IED LI NE TAPS INSTALLED ON PN:0222N DU221RB ---_--_-J TOTAL NODULE COUNT: 9 GENERATION CIRCUITS AND NO UNUSED POSITIONS OR MNP$FEEDERS MODULES USED: 11N1:0 250 LOADS - NEC 708.12(') MODULE SPEC#: A1ItlDM80 ALL EQUIPMENT INS fALLEO OUTDOORS SHALL HAVE A N 4 NEMA 311 RATING UnI.I1Y COCE#: 3GZ NAn1 GRIU TILI UIY ACCT#: 51-lw-15018 CALCULATIONS FOR CURRENT CARRYING CONDUCTORS UTILITY METER P. 13161167 . .U ND G D : CASH $NEC 690.8(8)I1)j:(IS.f10-E`1.2f)1-18.15A I EAi.I'IVE I•V AIUDULE SPECIFICnilONS AWG#lo,DERATED AMPACI I Y IINYO 28.0(IY.M23CM SEE) A,, CT RIDIT rENIP:33'C,rENIP DERATING FAOP-9u RDY.No. Shnct PAC WAYDERA TING=2 CCC.1- line P.SI NOTE:CONOUrt TYPE SHNLL BE CHOSEN BY THE INSTPIIPTKKI CONTP AC 0R CEED NEC AND 10�1 36.AOA'1115A.IHOERE.FORE WIRE SIZE IS VALID V4,P 36.6 TOMEET 71WN- 2 EC TOEXSNG GIUR( IDRODMENTS r01'AI.AC REQUIRED CONDUCTOR AMPACITJ 1sc !1.49 3/4"CONDUIT W/3#1D THWN-2.1 -2 GROUND I1 50A.-1.25=1S 63A C 3/4CONDUITW/2#3OTHWN gDTHV ZGNDUND VJ tlIBLERATEDAMVACIY -ERTER#1. 5E3000A-U5IAGNNR2 EAB Ertl TEII SGT.IENIOEIIAfING.10 DC AC U 3J4 CONUU /2 lO TNUJN2 h10 LH GROUNo • RAGEWn DERArING 3CCC N/4 0,1110 0 Imp Y2 Povl 3OG0 E i/4"CONDO /3 101 HWN21 0 GROUND u 404'15.634 TH ERE FORE AC WIRE SIZE IS VALID Wnp 35D Ln.0 t2.5 F 500 OCVOmin 15.625 #]U PV WIPE( EE R)W/46 BARE COPPER BOND UO ARRA/ G LCULATION FOR PV OVERCURRENT PROTECTION IscY 15 1,- 240 G 3/A"CONUUR W/1#6 11ENN 2,1#B THWN-2 GROUND I1.SOP•i.25-15.63' 2Z1'l nllcnwmod Rned Olt-1912978 O1'EPCUPPENT PROTECTION IS VALID lY,.11,Ncwlc,ser 02)'IY ��+ �nny5N14i,Fom W I N.ATE-;-n£fEi+Tr.MrtUULI:.:FSE(".:E•,"n'A:IUAI rtlttDtll£I41d EN510119 'DEFI•.1 ED MUDI ILEI:MAY EIE{'r rE:IE:AI'T UE.L.YIfr:w;AF'F :NAP N RAI'K(..LAA1P rs.En t,...xr...n De iIL6 EIEVJ P1SOTJ.R MODULE,TVNCAL P-I�. ,.;I-.TO ECUPMENT SCE'iEOJ!G PI,I:::FECS ANp OL'ANTI*IEy "I SOLAR MOOIiLE -J iiiLAP.MTJpIILE ...� I t.eO L r e ac '.c JT M CA (REFER 10 SNAP N RA(K L FOOT JAF 11 FA,K RAIL CRIMEEPIDG LE Ea FOR SPACING T.L SI FL..NC HEX NUT bItAF N FA(K FLA HI NG U ED P 1 'NAR I RACK BAGE EXI TI J A F MALT SHINrOGLES URE "C R 111111111 C1FT �r.c�Ert /y\ E RI .TON 0 TA SHEET FOF ••F++ PC SPEC& ^ TJ ) DEW ENDO IP T"PI'. LAUBU T—� APOC SEALANR G `RE TO INA N RAGA: SOLAR NIODULES SHALL NoT _PEUr1-014?D..11 Gt EET FOR EETrE OA_rvl,..r DETAILS) EXISi'ING RW:TER EkL.EEO PEAK HEI(3HT. j IrecE:.io PSG 1—LENEkroRSFE^.aA—!2 .........__ -_._-._ _ NEa."CLIP,Tr PICAL 11-11 TO INAP N RACI •E:'",- A.TCNI DA IA SHEET FOR rTAT 1 ACHMENI G CLIP DETAIL GEI'A1L.; j N10DULE ATTACHMENT ON ASPHALT SHINGLE ROOF 'nHEIGHT FROM GROUND LEVEL TO PEAK OF ROOF SCAT._:NOTTO SCALE SCALE.NOT TO Sf,PLE SCi,HT TG SCA, Issued/Revisions BACK N0, DESCRIPTION DATE Project Title: BLUEMEL,LEE ■ TRIN ITY ACCT N:2U32-04-IMM. Project Addre=MA 54 BNORTH A . ■ . Draw.in Title: ' PROPOSED PV SOLAR SYSTEM 110112 E i- LL' ' Drawn Information L E ti'L�"Ll 511` 1�Lt`_i `--Ft DPAWEn'G DA,E. Y/Ih%:OI) . REVISED 0Y: CMR p UD S stern Information nc SiSTEM WE 2.52kW EP AC51'"E.SIZE 3M.V TDTAL MUDDLE COUNT: 9 ILIGDULES USED: IINIA 25U MGDUIE SPEC N: I—E.."rA UIILIIY—ANY'. NAPE GRID U \' IITl LTACi.I E3G)]-)50Th 1 N. 1316136) . _.)AL!EGIJIPt.IENI SHA!LbE INSTAL!EG IN Af,<;OFQiANCE FRONT ^L1T/I•EEIEfi ^yH THE:I4.4NUEACTURER'S iNaTA.LLAI'ION INSTRUCTIONS. ':.)ARFtAY'EGNDBI,DlO=; F—VITHNLSNUFACTURER:;F'EIAERDATION. 'sJ ALL 00 HONG ARE APPROXIMATE AND REQUIRE FIELD VEWRGANDIJ. O. .Cl 4,3 AN AC DISCOIJNEGI EHAlL EE pROUPED`NI IH IMT-RTI"-R�S)NEC 5aJ.13 11l. 51 ALL 11 iDG.L EU'J 141.1 -11 BE RAIN TIGHT WITH NET UM ENtA ER RATIIJG. eJ ROOFTOP•SQLAER INS'IiN.IP.TIG'N DNI.'I F'V N1RAY SI+AL1.NOT El:TE1JU BEYOND THE E%ISIING ERWF LOGE. ARRAY SCHEDULE SYMBOL LE=GEND PLUMBING SCHEDULE EQUIPMENT SCHEDULE R1 ® OlY SPEC;< ItJ[NCAFEi.hr OF DENGIJATION.REFEI:TO INDICATES NFY U ETIUI Y GLSCONiJECI TO6E ATION=216' AIiFA'l;;i:HT:DHLE FON EIORE INFORMATION LD N5TALLEDGIYSIDE tAODULE PITCI3=:p" y 11tJAU 2ESDL'KM2J1UN7E0) INDICATES NEAPV SOLAR MGDUIE.RED MODULES 1 S E3000A�U50O0NNR2 I.a IJUIE'AIE..EAI-:H IGME'I'LN LOCA I ION L",_ INCIDATE PANELS THAT USE MICRO INVERTERS REE ER TO EQUIPMENT SCHEDULE FOR SREES — OTHER OBSTRUCT IONS "Tarfrifir EP I I, JE AIS TFNC ELECTRICAL PANEL I"I :N SICATESCNUTIDE,PRODUCTION M1IETER TORE �soJE _r II� I101CATESNEII INVERTER LOBE 121.N11,1--d Rnad (i*wR7�trt)R)-J9)-29%ri Q IN[Nr:AI E�;NE:?'E.i^.IN DISGONNEGI INSTALLED OUTSIDE. WaI1,Nvv'Ivruy 07119 r.'xn..lr 1-Svlar.cvm REFER TO EOUIPMENT SCHEDULE FOF::;FEED;. f Y INSTALLATION O F NEW BRADSTREET RD. ROOF MOUNTED PV SOLAR SYSTEM 54 BRADSTREET RD, - r s (; NORTH ANDOVER, MA 41845 Issued/RDYisions y / nVICINITY MAP SITE No. `DESCRIPNONR^ DATE SCALE:NTS Project Title: BLU EMEL,LEE TRINITYACCTA:2017-0 33n628 Pra cot Address 54 8RADSTREET RD, NORTH ANDOVER,MA 01845 OFNFRAENOTES CENERALNOTFSf.ON1lNUFD OENERA1—IFESCONTINUED ASBHEVIAIIONSCONTINUED SHEETINDEX Dramin Title: 1.RESF'O SIBLEFORINSIA—GALS n. THE❑CVOI.TA.SEFROAI'IHEPANELS IS 1<. DJ CURRENT PCI1IC NGUi1LITY JB THOUSAND CI PV-1 COVER SHEET W/SITE INFO&NOTES RESPONSIBLE AND L-AINGA I DISCONNECT ENTAT RE N COMPANI'S,MID CATIONE, AC AiIL THOUSAND CI'ERE F;IAJLS EQUIPMENT AND FOLLOWINONS DISCONNECTENH ONERTED URI G ST ANO ARDS,NS HREDAVE 1REMENiS ^YA KIL(iVULT PMI'ENE PV-2 ROOF PLAN W/MODULE LOCATIONS PROPOSED PV SOLAR SYSTEM DIRECTIDNS AND INSTRUCTIONS TERMGHI OF THE U.PRIER DURING 16 THIS SET OF PLAITS NAVE DEEM A\V Kit o-tA,— DFO r,1ALUNTHL 1%'EDFRC,MTING INITYN•:U DAYUGHIONCAI VOLYE`u,ET MUNICIPAL FOR THE AGENCY Ll'JH HTLV\MATT HOUR PV-3 ELECTRICAL 3 LINE DIAGRAM INFORr.JATION RECEIVED FROM TRINITY. "lOHKIIJC ON OR INYOI.V[D 11mi THE MUNICIPAL AM1'U AGENCY REVIES AND L LINE 2.1HE INSTALLAT ION CONTFAUTUR I:: PHOTOVOLTA IC SYSTEM ARE WARNED APPROVN_.PHIS SET OF PLANS SHI•,U All'V M)JNI:IRt:111TB1:EANEF: OTBWIn nfarmaUon RESPONSIBLE FOR IIv;lALL11Jt:ALL I ATTHESOLARMODUL`ESFRE NOT BF UTILIZED AS OF MIIH hUIN OI^.T URU-TIF IN F'ANEL AP APPENDIX EQUIPMENT ANn FOE TO—i AL1, ENERGIZEDWHENEVER'THEY ARE DRAv/NGS UNTIL.RE`$ED TO INDICATE -0 MPIN Hili—T, URA\vING(IhT[: n/1E/201> OIRE01'IONS Nv[i INI:TI:II(.TN Kl I;(INl'AINEU E%POSED`TO LIGHT. "ISSUED FOR CONSTRUCTO IT MTD Mt HINTED ONAWN 6T. NF III THE I., L'LI'.:TE IJANLIAL. .0 ALL PORTIONS OF THIS SOLAR 16 ALL I NFORMATKIN SHOWN I.IU::T BE ,UIIi AIUI INTIM. RLVISED EV: UM1tk 3.TiiE INF,TALIJ.TION,ONTFACTIiR I� PHOTOVOLTAIC SYSTEM SHALL BE CERTIFIEDPRIORTOUSEFOR IJ NEIITFtAI. A!-I•INE:IE:LEFURHEA[RN'G,AND MARKEDCLFARL\'INACCORDANCEWITS CONSTRUCHON ACTIVITIE:i. NEI. NATIONAL ELEC:1'RIC AL CODE UNEEK;[I AIIWER,ALL[iGA\VII 1141. THE NAT IONAL ELECTRICAL CODE NI:: NUT IN.h IIJTRA�•T I—F-1WENT AND INVERTER MANI IAL.:: ARTICLE BBD d 705. N(I# HIIMBER System Information: PF:IUF:1�•IH;.'rhLl_Al'Ii:N.THL IN:.I ALLATI�IN' 1U. PRIOR TO THE INSLAL51'ION 01-THIS ABEIRE\'IATIONS NT', NOT TO-ALE ..",I'M SIZE. 2.52AW ;ONTR.n:.TUR ISA-Li,RE,AAREO T„HAVE PHOTOVOLTAIC SYSTEM,THE ( UVER:;lIN1JENl PROTECTION aC 51'STEIn.IZL 31.W INSTALLATION CONTRACTOR DHALL AMP AMPERE N_L(:iM.1F:iNF:NT cys.YT::FtcS.IN THE(iFF G•, Pl:•LE POSIT ION AND FUSES f:—QVEULRIUR TO ATT END A PRE-INSTl.LLTION MEETING .AC .:LTERNATINGCE)RHLN'1 F FTILL El 11 TDTALMDDNLE COUNT: 9 THE IN5TALLATI�iN i IF ALL FOIE SEARII- FOF THE R.EVIE'A'OF THE IIISTFLLP;I ION 'AL ALUMINIUM PH;; F A" MDUULES USED: JINKD 2W SYSN EU CJMIUNENT. PROCEDURES.SCHEDULLS.SAFE TY AND N' AMP.FRAME PVC C L :INYL,:HL)RIDE CONDUT MUI II:MTRUM 60 A ONCE IiE P'l :iVU 1Ni MIIVUL'Ei ARE GOUROIN..TION AFF ASOVE hIN1SHIE.FLOUR Gulf. F VEF UI'IL N(A NAiICRD MOON EO THE INSTALLATION 11 PRIOR I'O 1Hc SYS1EM SThkI VP THE AFG ABOVE FINISHED GRADE (TI-/ LUN TII'1 CONTRACTORSIiOULDHAJEAMINIUIIM,C STA LLATIONCONTRACTORSHALL AWG FEF CAN 111FE HAlIGE RGS fl-1[ 'AL ANI2EU:�lE[I, UTILITY CT 53E21 TSO1tl ONE EEC C TROAN`AHO HA`ATTEKDCU A ASS IST IN PERFORMING ALI.INITML L UDNDUII 1 Gf NER1(;rEFM OF SN r1,LID NLIti'f P1' UTII i(METER F: ]316136! S:)LAR PH71'OMI-TAIC INSTALLATION HARD'':YARE CHECKS AND DC\VIHIL RACEWAY,PROVIDE AS ,IBVJBD;;NIITCHDUATlLI ASH !JOIJF'$EUN:iITE. CONDUCTKITYCHECKS, S�'ECTFIEUi IYP 1"lPICVJ. DEAL TYPE: 5.FOR 6nFET'.IT Id RECOIAMENDEUT-1 1 FOR T IF PROPER AIAINTENhNCEANp CB COMBINER BOX 11.11.1. UNLESS OTFIER'�AI:�:E INDICATED THEIN^uT?.LLAI]ONCRE'N=.LIl'AYS MAVEA ISOLAITOI:OF THE IWVEkTE-RS REFER IU U� CIRCUIT lV NJEA1HEkPRpOF CT CURPENI'TkrW<_'FOk1AER %F1TR TP_ 11GRE.tER MINIMNM1IOFNVO HIT EACH 01THE THEISOLATI MA PkOCEU11RES 11.1 THE CU GUF'PEk AIUUNTTIINCHESI'(1B0'TTOI.I Rev.No. Shlrl TOG—ATI AND THAT EACH R THE OPERATION MANUAL' CL DIRECT CURRENT OF INSTALL AIDAND EWNIEM6ERS RE TI:NNFTJ i3 "I HE LOCATIONUF PRO IFS ARE 6LHUEC DISC DISCONNECT SWITCH GRADE ABOVE FINISHED FLOOR OR IN IS SO AIR AND SPR. TOA TLI.F.PHONi_lI I IOC T14ARE SIIBJECI DWG URAIVING GRADE 6.TRIGSOI 1P.PFIG—VAITAICSY51EM I5 TO TOHNAL.APRRO\'LI.OF THE EC ELECTRICAL SYSTEM INSTALLER REINSTALLED FOi T F N'G THE APPROPHW:fE VfILITY COMPANIES AND EMT EL E CT RIC—METALLIC TUBI NO CONVENTIONS OF THE NAI IONN. QA'NERS. FS FIlSIELE At I G. ELECTRICAL CODE.ANY LOCAL.COLE 14. .ALL ERS, AND FU FUSE WFJN. IA. SUPERSEDE HE NEI.':—L CONSrRUCT10 O THE SITE GID GROUND G(J\ENN. MPRO\EMENTS SHONN HEREIN SHALL GII GROURID—iIN IFERHUPTER IN L S',TEM COEIPONEJT T BE B IN ACCORDA CE NITH: H2 FREQUENCY(CYCLES PER IN LEU AllH THI 1 lEMARE I-I bE rN CUHRENI IHEVN LNG u1VNICIRAL SECOND) ,IJI."L STI U A L I]II FY I I T MLI H NEUTA F.DOOR COLN TY SPECIFICATIONS SH( E000N FIT Er I lE�..INUI): STANDARDSANUREQUIRIEAHAIS, "Tri, a 1111-11111 1� GENER,LLII NIEJ --SiV IFN:::IEU UkAWIN:.:IL�MNJ<EUN/IIH ANEI'I::R!N—ARACTER 01'HER THAN-,P1.EASI:BEAOVISEDTHAT FINALFQUIPMENT ANO'OF`!:Y;,TEAT I;NAFJA(:TERJtiTI(:tiN'.E!;UBJ-T-F-MANI.E OUETOAVAIEABLITY OF EQUIPMENT. 22 l'I 111- d Roan R77-797-297:1 Y.all ooNcu lcrscy0T1TS' uw.:oily-Solai.com Date.43.. . . ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING * °oma•';: » This certifies that ........... e© r. ....... �V+ar................................... has permission to perform ... .,...OLJJ EC4 ........................................................................................ wiring in the building of..... „`,u t�VtN2 ..................................................................................... at ...;.>... .. .........................................................` orth Andover,Mass. Fee..55°.........Lic.No 2P5�3 ...!� ........ . ELECTRicAL INSPECTOR Check# 115810 9 w Commonwealth of Massachusetts Official Use Only Permit No. OLED- Department ®f Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev-1/071 geaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ),527 MR 12.00 U (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspec or of Wires: By this application the undersigned gives notic of his or her intention to perform the electrical work described below. Location(Street&Number) �L( bra d Owner or Tenant Zee P�-e-v rn L- Telephone No. \� Owner's Address VIe Is this permit in conjunction with a building permit? Yes No (Check Appropriate Sox) Purpose of Building -to-C'e--1 Utility Authorization No. - Existing Service Lq 0 Amps IM /210 Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��4�a 1 I'#�;Q,.� ®�' u C� T d. � a Z (C C0( u-fe C4 Mo-7 l j�7 Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency ig ting No.of Luminaires Z Swimming Pool rnd. E] rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.ofiDetection and Initiatin Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Heating KW Local❑ ElConnection No.of Dryers Heating Appliances KW Security Systems:Y No.of Devices or E uivalent h,-'o.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydroma g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated ValuepElqkrical Work: (When required by municipal policy.) Work to Start: /) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE F1 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penaltiesperjury,that the information on this application is true and complete. FIRM NAME: . LIC.NO.: y '� Licensee: Q eV1,ck-,d �v1 l s�y� Signat LTC.NO.: (If applicable,enter "exempt"in the license number 1' .) Bus.Tel.No.-OK-15 Address: 'I /1'1avim+�S�u W ac-e 11,-],IVa 3d Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: � 1725 G Signature Telephone No. w 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall l be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, §32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. n The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chaptr 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this e purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development limited exceptions,the Act automatically nt o aticall e P of real o y xtends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule R—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Ins ection Pass 0 Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: I Inspectors Signature: Date: SERVICE INSPECTION: Pass EN Failed Inspectors Comments. Re-Inspection Required ) J Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: = Date: ROUGH INPECTION: a 44 lInspectors Failed Re-Inspection Required($.) ❑ nts: nature: Date: f INAL INS P TION: Pass Failed Re-Inspection Required($.) ❑ nspectors Comments: Inspectors Signature: L� Date: — `Z—�� :B WEINHOLD ...'TOWN OF MER MAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 kvi www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name(Business/Organization/Individual): b_eO4 u'c/' Address: � Aa 51lq ZAX ®� City/State/Zip: f�`t� t/'l Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9• Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.MI lectrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.El Plumbing repairs or additions It myself. [No workers' comp. c. 152,§1(4),and we have no 12•[]Roof repairs required.]insurance re employees.[No workers' l r 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance_Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job,%ite Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A.of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. i I do hereby cert u der the nd penalties of perjury that the information provided abov71s'��3 rue and correct G�% � Date: Si�naturc• �� �� Phone#• b76f ql�—016 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#: � 1 Information and Instruction's Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,- express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in theermit/lice p nse number which will be used as a reference number. In addition,an applicant that must submit multiple erm'rt /icense applications Plications in any given year, only mit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealt1i of Massachvsetts Department of Industrial Accidents Office of Investigations 604 Washington Street Boston}MA 02111 Tel,#617-7274900 ext 406 or 1-877:MASSAFE Revised 5-26-05 Faz,##617-727-774.9 www.m,ass,govldia i � C()N(IV�Y}N ►E14,L ',}�S �CHi!E � TTS` �` ELECTfi1CIANS " �REGISTJERED-MAgT R El.lr=C1 R1G�IAN r � ' ISSUESrTHvEiABOVL LjbENSE TO PrP X51 I VAN VISTA DR , • . . DOLLk. e, •si f, 4 1 Date..../. `��7...... NORTH TOWN OF NORTH ANDOVER 3r !.r A ° PERMIT FOR WIRING AcMUsf This certifies that has permission to perform .....:. ...�......... .............................. wiring in the building of 0 ................:u _.........................:................... � at..4... :.......... ,North And ver,Mass. .......... Fee ............. Lic.No !... ........✓�.......................... :..:............... ELEGTRICALeINSPECIOrR Check # 7182 Commonwealth of Massachusetts official Use only 09- u Department of Fire Services Permit No. �Izv Occupancy and Fee Checked o`V BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives otice of his or her intention to perform the electrical work described below. Location(Street& Number) er ft,'1 ee Owner or Tenant ��s? Bw�2�_ Telephone No. Owner's Address sgnj Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building c2Z 156-1.4 k"eLyn a,L Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA - o.o mergency Lighting No.of Luminaires 42= Swimming PAbove ool rnd. ❑ Inrnd. ❑ Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detectwn and Initiatin Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g 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❑ Municipal ❑ Other Connection t No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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. CHECKONE: INSURANCE` BOND ❑ OTHER ❑ (Specify:)J/yltl/i07t1 I certify,under the pains and penSie of perjury,that the information on this application is true and complete. FIRM NAME: uv d ff Zt r LIC. NO.: Licensee: Signature LIC. NO.: �v�Q (Ifapplicable, enter "exempt"in the licen e num �a number line.) Bus.Tel. No.:9)Y- ?.3',D k/l Address: .50 Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: 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 El owner's agent. Owner/Agent PERMIT FEE: $QR5 Signature Telephone No. , y Oh_ a7 r Il r Date t ti OORTM °'<_ •� .'� TOWN OF NORTH ANDOVER ° 41PERMIT FOR PLUMBING �SS�cNUSE� This certifies that �A. X 1./9.!% . . . . . . . . . . . . . . . . . . . . . . . x has permission to perform . . . . . e w.o.4 . `� < .`--:. . . . . . . . . . plumbing in the buildings of 6.e. /"i. . . . . . . . . . . . . . . . . . . at /Z A- t .!G. . . . .. . . . . . . . North Andover, Mass. Fee. ?. . Lic. No./,;Y/, . . . . . . . . . . . . . : . . . . . . PLUMBING INSP C OR Check #'- i 7255 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date //0?�/�0 7 Building Location A 7 4,/ En e P"T-�wners Name a C Me, I Permit Amount /f Type of Occupancy TT New 0 Renovation ©/ Replacement 1:1 Plans Submitted Yes El No FIXTURES Llf SUMM 1� I il"�11�r1�1 Y M FD MFLOCR 1� 3M FUM M FIOQt 51)EI HDM 6M KDM i 71H FIOM SIH FLaR (Print or type) �-- Q Check one: Certificate Installing Company Name `.-12 //aW",g N Y f Corp. Address l�S 1J7�JN cSTe�� Partner. Business Telephone nG,um/Co, Name of Licensed Plumber. `:77h 6w'/Xy /%�n l��i c�J��✓ _ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ®� Other type of indemnity ❑ Bond ❑ I insurance Waiver. 1,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 Massachus-pVOState Plumbing Cok and Chapter 142 of the General Laws. By: IgnalUre 01 LICenSeUTIUMDer Type of Plumbing License Title /�,Zeo City/ icense um r Master ❑ Journeyman APPROVED(OFFICE USE ONLY Is �``> Location No. Cf� �.3 Date t .4 NORTH TOWN OF NORTH ANDOVER .. . a � • Certificate of Occupancy $ a �ss�cMusE`� Building/Frame Permit Fee $ Foundation Permit Fee $ , Other Permit Fee $ TOTAL $ ` -If� r` Check # 17247 - -+'" Building Inspector 7 J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMIL"WELLING BUILDING PERMIT NUMBER. DATE ISSUED: v X SIGNATURE: AW Building Commission n or of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: LN /V, Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GLC.40... 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 'I d a Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Records ( // Ad Name(Print) Address for Service: W Signature Telephone Q 2.2 Owner of Record: Name P;i'int Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: / Not Applicable ❑ Licensed Construction Supervisor: '_` OO ( O (3 S- q, ` �T�c "4 eA 6 b'3-LLicense Number - t Address - �- Expiration Date ic Sign to - Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Companyliame / 5 77 / Registration Number rM Address Ax _ G C ��y6 S s " Expiration Date Si na r Tele hone SECTION 4-WORKERS COMPENSATION(NLG.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 buil ng permit. Signed affidavit Attached Yes.......%6 No.......❑ SECTION 5 Description of Proposed Work check altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: DOL,8i-e- H-U A/6 5 C 4 fie •-, Boz.. s, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL t7S ONL.y h ¢� Completed by permit a licant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC i 5 Fire Protection 6 Total 1+2+3+4+5) FCheck 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 Mybehalf,in all matters relative to work authorized by this building permit application. r Si afore of Owner Date SECTION 7b OWNER(AUTHORIZED AGENT DECLARATION t ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief S� 1-2i �, Print Varne, y' -c Si e&Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Common wealth of Massachusetts Department of ljrdfrstrucl.lccirlen[s i Offieegflmrestfgatfgfls 600 Washin"r �t, ,tvtr Street, i Floor Bus'to", Aftiss. 0 111 - Workers' Compensation Insurance Affidavit• Buildingil'lumbin Elecn ical Cunu actors an iicant information: Please PRINT le(yil)ly ar .;;idress: \W!'k -site location (full address r � &C-. 4--r-ef tj I am a homeowner performing all work myself. � � Project Type: ❑ Nei,-i ns:r;l�[ion ❑iZ�mod�l r. i f am a sole proprietor and have no one working in any capacin ❑ Buiidm= :,dditforl�. WJ I am an etnoloyerprov iding workers' compensation for my emplo%,ees working on this job. ma co nnny name: 1 e I(C( W ,V,40o,, o& C"-J oOG C"S address: city 4\I e-11 t I /"/4 01 '7 3 aG nhone;T- -Foo— F66-- l 6 — insrance cn. f� uA-7 olicy i� 171 AJ 1 am a sole proprietor, general contractor, or homeownercir ( cle one)'and have hired '- •�•- > the toilo«tna workers' compensation polices: - dors ,tsted below who comminv name: address: city: hone 4: insurance cn. - olicv# comnany name: address: city: hone#: insurance co. Attach additional sheet if necessary - olicv# Failure to secure coverage as required under Section 25A of NIGL 152 can Iead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as Weil as civil penalties in the form of a STOP WORK ORDER and a fine of s10o.00 a day against me. I understand that a copy,of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do icereby certift•corder the pains and penalties of perjury that the information provided above is true and correct. Signature /K� � p CO- l Date 1 G� l l� Print name n � G I,c,tvLSan _.- - e Phon # t�0 O� 47006 official use only do not write in this area to be completed by city or town official 1 � city or town: permit/license# []Building Department ❑check if immediate response is required ❑Licensing Board I ❑Selectmen's Office contact person: phone#; ❑Health Department ❑Other I FJ Ccn THC 10/03 Y7/10/03 IS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATICGW I SIarxweather&Shepley CNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO~Sox 549 HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR Providence,RI 02°01-0549 A-�THE COVERAGE AFFORDED BY THE POLICIES BELOW. 401 435-3600 INSURERS AFFORDING COVERAGE M NSUAED AIC# New Eneiand Window And Door Inc Dba INaO: rance Co j DBA Pella Wincows IN 45 Fondl Road INS Haverh:il.MA 01832 INSURERINS COVERAGES HE=CUC:ES C INSL;RANCE iSTED FF---C.Y HAVE 3EEIV ISSUED TC THe:NSUR�NAMED ABOVE FOR THE PCUCY PEFJOO INDICATED.NOTW T HSTANDiNG 'IJY REQUIREMENT,T RNI CR=40MON CF ANY GTRACT CR OTHER DOCUMENTLJIH RESPECT-TO W1HK�H THIS CEFMFICATEPAAY BE ISSUED OR 'AAv PERTAIN.THE iNSURANCEAFFOF ED BY THE PCUC!ES DESCRIBED H EREN'CUCIES.AGGFEGATE LIMITS SHOYIN MAY HAVE BEEN REDUCED BY PAID CLAMS.SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Cr-SUCH LTR~INSRI) TYPEOFINSURANCE POLICYNUM771- RATIONI OD LIMITS A I GENERAL LABILITY SINDER145262 07/01/03 EAcyoccuFRENCE x1.000.000 X COMME=CIAL3ENE^ALJAB L:. DAMArE-OReNTED X OCCUR I oacxnc❑c rc. S100.000 i I CLAIMS MAO_ � ��� MEDEXP!A-vvone oerern) IS5.000 I P=^SONALBAOVIN.L'RY S7 000.000 ' I - 3cNE=AI AGGREGATE $1O,OQD,000 a cYL A33n E3A LI.MIi APP--!ES P--F,: ' �?OLCYI L I P-OJ;JCTS-COMP/OPAGL4 S10.000.000 =r' A ALTOMOeILELA31,7Y V SINDER145261071/01/03 i 07/01/04 AVvALiO CO.HB!NEDSING_c^LIMI- �an c:aentf 51,000,000 I l iAL_OL4tvE_AL�OS S0:-c ' EDAL70S 900!LY!`IULRY i r-- ;?er0ersonl $ _=AL-OS IX O.N-OWN EDAL73S 90DILY"NJ.,,?Y •Pe'etCcyenq IS DAMAGE De•_raeml GARAGEL,AB;L.TY i _J IAL.'OO>:lY-FAACC:OEtiTjS A`yA -AN EA ACC 15 Au,OONLY: AGGIS A I DCESS/UMBRELLAL.A81L.iY 1SINDER143832 07'01 03 r / 07/01/04 EAC:-OCCUF=ENCE Is9.000.000 CLA,MS.V'AOEI AGGREGATE 59.000.000 I X S 0 Is A i 'NORKERS COMPENSAT ON ANO BINOER234-981I S .I _MPLOYERS L.ASIL:, 07,101/03 !I01/03 07/01/04 x IOTHl 0:=Cc?.rMcu?E=.E<CLLOE-7? E__.cACi!ACC:OENT SJOO.000 '.f vee,Dee -0'u�ae- --'SEASE- FA EMP!OY S50O.000 OTHEIR'.. F _ _ _1' SEABe-'OLICYUMI 5500,000 I OESCR'?T'ON OF OPERATIONS/LOCATIONS/YEHiCLZS/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLCER CANCELLATION SHOULD ANYOFTHEA80VEDESCR BED POLICIES BE CANCELLED 13EFORETHEEXPIRA EVIDENCE OF INSURANCE DATETHEREOF.THE SSUING INSURER WILL ENDEAVOR TO MA 11.Ifl DAYS WRITTEN NOT CE TO THE CERTIFICATE HOLDER NA M ED TO TH E LEFT,BUT FAILURE TO DO SO S HA L IMPOSE NO 08 LIGATION OR LIA BI LITYOF ANY KIN D UPON TH E INSUR ER,ITS AG ENTS OR R EPR ESENTATIV ES. AUTHORIZED REPRESENTATIVE rYIA.t,C;..10L . 1C nD 25 f2001rC3I 1 of 2 ,x83205 "�"•w•l.J� _ MBB 0 ACORD CORPORATION Isea QJ: n STHRKIJEATHER SHEPL ID:IPELLA PAGE:002 R=96 US 1 , o t a In v Z O � 0 3 o cD c o v o o f� 0 ' ' ',i' Board of Buil(lln�.? RegIlliltlons and sti111C1i11C1S 0 0 E - = u Zw � li I is m C r In Y Z Onc� nslll�urlon Phicc: - Room 1301 "I z „ U a °° a 25 g 2 Bosimi. N/l;lss,lcllllsclls 02108 H0 CU _ Z.2 1 longe Ill pinvenlenl ('onl Actor RepoishiHion 7 � m w Il(.!llisll;llil)n: 129774 U) 1 ype: DBA Expiralion: 11/2/2005 PEl-I_A WINDOWS ANIS IMORS IZAYMOND ARAMs 45 FONf)I IRD. HAVERHILL, MA U 1832 111)(1:111• Address and rl'lurn card. Mal k rcaanl lot-change. Addlcss Reocll,al L'Illplo�mcnl I o`1 ("ard Horn 11 0l Il11il11inl! nrl!uLllinm ;11111'1f:om a1 d. I iccnsr nr 1 l align %alid for indio,1(1111 use only IIOM[ IMPRO EIVIENI CONIRl1CIOR In•Inlc Ihlr 1\llil:11ioll dale. Il lnn11d 11.111111 In: ItQIfialalif) l: I;"1771 I11:1 Id nl (tllilllilll; Rcl"n1:11inns and tiland:11ds IIII( \�hhnlllln I'lacl 1(m 11111 [xllilalinn I1':'/:'III)' Rminn. �I:r II210It 1 yl n^: I IIIA ['FII A k lltll'Ir Wl!', A111)1)()f 1R': IU11'I'lOIII) AlW.1'; .151 ()111)1 IM q I111nini.11,l•1, 'si11 valid l%ilhnul sil"nalnlc +Illi I 7 q1W / 3 R 1Jr Is /9 c"W") HIC Registration#129774 Federal ID#04-3277886 Pella Windows & Doo! Pella Windows & Doors of Boston Fondl Road, Haverhill, MAA 01832 "Viewed to be the Best" PH: (800) 866-9886 Service: Ext. 124 Fax: (978) 373-7274 WINDOW CONTRACT Sales: (866) Pella06 S 3 Sold To: oi✓�-�' `� ��` h.5 ` Date: Address: ���� r ��� Phone (Home) City: /I�, 9>^-d noe r State: Zip: /���s Phone (Work) Job site Address (if different): Phone (Cell) Approx. Completion Date: c Approx. Start Dater Add-- Attached (If Needed) l Ckfstomer Approved(Int) Double Hung Casement V 18. 13New Window Units to have Slimshades ❑ Cordless Raise&Lower Slimshade White(n/a on DH ❑Tilt Only Low E Gold ❑ Raise&Lower Slimshade Low E Gold)(n/a on DH ❑Tilt Only White #of Units Location of Units 19. ❑ (} New Window Units to have Cordless Pleated Fabric Shades ❑ Lily ❑Taffy ❑ Bone ❑Celadon ❑ Mocha ❑ Golden Oak #of Units Location of Units 20. ® ❑ Interior of Units to be Unfinished(Ready to Paint or Stain) ,Painted (ELPella White or ❑ Linen White) ❑ Primed Only ❑Stained ❑ Natural ❑ Provincial ❑Cherry ❑ Early American ❑Clear Polyurethane ❑ Golden Pecan ❑Golden Oak 21. ❑ 13 Roof on Bay/Bow to be: [] None(Within 18"of Soffit) ❑Asphalt ❑ Cedar 22. 01 ❑ Clean up and vacuum nightly and remove all debris at completion of job site 23. 13 ❑ Remove and Dispose of existing Windows and/or Storm Doors 24, [a ❑ All workman's compensation and liability insurance maintained 25. ©. ❑ Warranty mailed to customer upon completion when full payment is received 26. Q. ❑ Total Project Amount$ 27. ❑ is Financed If Yes:Amount Financed$ (Reference# ) 28. a ❑ Deposit Received$-r11,.r00G Jd/ 29. ® [3 Balance on Substantial ompletion$_ /A �y2 (Payment is payable to installer at completion of job) 30. 12 ❑ Additional Comments: L~*nO/ /< /1;V1 ,r/p�,c1--14-,,.A /pvfr r-9 (%c/1!/' ��1t�tP;.l � ,�., L'L�.,<•� ��rC�e/' OeC r7/ 1� K�/ C)�/1-06 ITAlf Sv Stl,//,f f PELLA IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS. SALESMAN HAS NO AUTHORIZATIONTO CHANGE ANY ITEMS OR MAKE PLEASE REMOVE ALL SHADES,VERTICALS,BLINDS,CURTAINS,DRAPES ANY REPRESENTATIONS OTHERTHAN CONTAINED INTHIS AGREEMENT OR WINDOW MOUNTED AIR CONDITIONERS,PRIORTOTHE INSTALLATION AND "OWNER" REPRESENTS THAT NONE HAVE BEEN MADE TO OF OFYOUR NEW WINDOWS.INSTALLERS ARE NOT RESPONSIBLE FORTHE RELIED UPON BY"OWNER".YOU ARE ENTITLED TO A COMPLETELY REMOVAL OR INSTALLATION OFTHESE TYPES OF ITEMS. FILLED IN DUPLICATE OFTHIS AGREEMENT. CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A CONTRACT SUBJECTTO FINAL INSPECTION BY PELLA CONSTRUCTION WARRANTY PROBLEM, DEPARTMENT. TERMS AND CONDITIONSTHAT GOVERNTHIS CONTRACT ARE PRINTED ONTHE REVERSE SIDE. This contract is a legal document.Your Pella products will be specially made-to-order for you. UNDER NO CIRCUMSTANCES WILL REVISIONS OR 'CANCELLATION BE POSSIBLE BEYOND THE THIRD BUSINESS DAY AFTER THE CONTRACT HAS BEEN SIGNED AND DEPOSIT PAID BY SIGNING BELOW YOU ARE ACKNOWLEDGING THATTHE ABOVE SPECIFICATIONS FORTHE PELLA PRODUCTS YOU ARE ORDERING ARE CORRECT Pella Rep. D Signature: �'` � 3 g ate: � Customer Signature: f/ Dl ate: O��Z White-Original .Yellow-Customer Pink-Store XA RTJj T0VM ® ': 6 Andover No. Y 0 tL- L 0-11, dower, Mass., A 0 —,-- COCHICHEWIC , Or 0"�ATED P? \_ C-1 U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT..... 94 6 moto ow BUILDING INSPECTOR .......... ... ... ..... ......... .. .............................. ...3.79................................... .40 Foundation has permission to erect.......A.............................. buildings on ...... ............................................. Rough to be occupied as.....lFWAIA (I Wit 4A4 W A.0 ,00W I Chimney ............. .......................................................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes andBy- s relating to the ln;ction, Alteration and Construction of Buildings in the Town of North Andover. 41 It w I / a q 9) PLUMBING INSPECTOR 14 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION-W ELECTRICAL INSPECTOR Rough Service ... ........ .............. ................................ BUILDING 0* Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and. Approved by the Building Inspector. Burner Street No. SEE REVERSE SID=E Smoke Det. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Rent Typel Date 19_LSL Permit x � s �Building Location ner's Name v f%� �QD 04� Type of Occupant New p Renovation [ Replacemer} Plans Submitted: esp No p N N It Y y� N Z a N a � s W a o ut, a z11 W J a cJ so- < Y Z Z O H � W < e ,n ►�- y W O a. c -K a 00 V W = N W < a o O W N a N W = < Z a a W a W ~ W ~ Z N a V r = J t- Z F W W O Z O Z G O M Z r- = p V 2 O ; C O J c� e ! O o. t• O SUs—aSMT. BASEMENT IST FLOOR IND FLOOR 390 FLOOR 4TH FLOOR I STM FLOOR 4THFLOOR 7TH FLOOR aTHFLOOR Installing company Name Check one: Certificate Address O idiom S p/ O Pawtership Business Telephone — O Sv O Firm/Co. Name of Licensed Plumber or Gas Filter gOA� S't�lcfeT INSURANCE COVERAGE: hive a curt WARy ktatimnee policy Or Its s<ubsW Wl equivalent which meets the requirements of MGL Ch. 142. Yes� No O If you have checked M. please Indkete the type coverage by dtsekirp the appropriate box. A IWAKy IruRnrtee pOikyJ�_ Other type of indemnity❑ Bod O O=ER'S MURANCE WAIVER: I am aware that the licensee goes not have the insurance coverage required by Chapter 142 d the Mass. General laws. and that my signature on this pem*application waives this requirement. Check one: OwnerO Agent❑ nature of Owner or OwWs Agent I hereby amity that all of the details and information I have submitted(or entwW)in above application are true and accurate to the test of my knovAedge and that AN plumbing work and insiallatasna Wormed wider the permit issued flus applicatwm vnll bei pliance vnth all peNrNnt provisions of the Massachusetts State Gas Code and Chapter 142 of the General By Tm ga in: tun of uceriaeff7mirim or Gas Ga itter Title tSrwAfter License Number �� e X 9 G /Town .lournsyman 27 6 8 Date., r'........ of �o oT"1ti TOWN OF NORTH ANDOVER g Fr 0 PERMIT FOR GAS INSTALLATIO14 9SSACHUSEt m O .r v Z � This certifies that . f ? -P .. . : ?`.l�. . . . . . . has permission for gas installation . . . . . . . . . . . . . .o. . in the buildings of . f/- _>. . .A.. ... ..... . . . . . . . . . . . . . . . . . . at Z�/?c r!�. . . . . . . . . . .. North Andover, Mass. Fee. ,.' . . . Lic. No.J�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Pnnt Typal ' Mau. Date 1q� Permit * Building Location ��7' /��c��7'Y��A ner's Name J 7LL - Type of Occupancy _"_L���� New O Renovation C Replacement�� Plans Submitted: Yes O No C FIXTURES z zM t N z Y r y N O z — W W 1L J N 30 U < N N Z N < C Q = r N z Q W r W N It < r V < i s N W s r N zG < Ns v s CJ C z r < w H V > O# = a. N i O Q N z z W H a V S 3 i w o a 3 = MJ• > > i 3 a a o sua—esMT. BASEMENT 1ST FLOOR 2N0 FLOOR 3RO FLOOR aTm FLOOR STH FLOCK eTK FLOOR 7TKFLOOR 71 •TK FLOOR Installing Company `P �j' CMck Ons: CGdit ate Address ! O Corporation ` -r p ParbursIV. Business Telepttate ���� �— �,� O Fw WCO. Name at Licensed Plumber �a 6 SLtJr*�T INSURANCE COVERAGE: 1 haw a lMARY instxan= Policy orits substantial ��tattich Medsd MGL CR 142 Yes No O It you hew Aked Al. pkeue India@ the type coverage by dockirig the app Wvft A liability Inwrancs polity Other typed Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 at the Mau. General Laws. &W that my signature On ales psrmmlt"irat" w"'r"s this Muir"ITnt. Check am: Omer O Agent O s4nature of 0~or Owm.s AGNIt I herby artily that aM of tM details and information I have submitted lar ermwW)in above ap04eation are tow and wwate to the Dat Of my knowledge and that all pkrmbuq Work and instaMabens IrfatmeA under tM pemeR meed for tws appicatan WIN be m conwkwmwth as Pprovisions d the masad"mu State Rwnbing tat d Lowe. !� TWO - Type of Lieemi Wster';e_ Journryman x/ �0M/1 Licwm Numbers//'/ BELOW FOR OFFICE USE ONLY a ! FINAL INSPECTIONS SKETCHES FEE PRO( I NO, APPLICATICN FOR PERMIT TO 00 PLUMBING UNDERGROUND ROUGH COMPLETE ROUGH FINAL INSPECTION PERMIT ORANTEO DATE 19 PLUMBING INSPECTOR I i'ti�j'^^-far c K::. � �-<,},�-:,•�,,,. 1 x �*r-. 's*,C«,,,�� �' �- -�.[::..,.<;wst,y,P 's.F.> � ,:�it�;,�nc,�;. Date.. EE l/�? / EE 14, :_ 4 a ?oec°T No TOWN OF NORTH ANDOVER w '° PERMIT FOR PLUMBING co tt This cert> . . °�. fies that : ,��rt� T has,permission focperform u. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a plumbing in the buildings of . � yb b C. 0.7. . . . . . . . . at /:'. /,/�k. �ic.G. . . . .. . . . . . . . .. North Andover, Mass. Fee./.7. . . Lie'..'No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR .� q?�C �l WHITE: Applicant CANARY: Building Dept. PINK: Treasurer F MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINO t (Print or Type) - f NORTH ANDOVER Mass. Date g-/ I uilding Location 541 BI A.61 57L Permit # �G Owners Name Rob PyfSOrti New 77- Renovation D Replacement �] Plans Submitted FIXTURES fn to w a vv z w .a LU o O° , ~ :r cc 0. tszo �` W a t4- ' G m a ta an c w z x }. a > W � o w � cc c w o F. z .4 z Wu' azz a w � < a 0 o z w O ci z CCa x O is u. 4 t9 U y Q n0. FW- O SUa—SSMT. BASEMENT Z ST FLOOR 1 2ND FLOOR I 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTK FLOOR STR FLOOR (Print or Type) Check one: Certificate Installing Company Name_ Corp._ Address .2 S-7'k--e< 7� Partner. Firm/Co.. ( ••• ! ••. -v'w. +::^'i l:. ^"✓'!.`Q" .:,• +Y. 'n." 1 R�:MK"'A9 - :;Y..: �S�.Mi v1PC...F'.f+T'W PkY! Y .4 ]1Y+3°dl°1t.1Ia37.5k�.N","'MfL.' Y��iF Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy � Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner u Agent 1 hereby certify that all of the details and information I hate 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'Petmit izseed for this application will-be-in compliance Kith all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General Ltws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: Master Plumbeor Gasfitter Journeyman 6 ( APPROVED (OFFICE USE ONLY) License Number _ � �. Gf Date. S 6 1' OF NOBT e qti TOWN OF NORTH .ANDOVER O E` 0 op PERMIT FOR GAS INSTALLATION : ♦f0��P`(4� `W] '7SACIH4 S"- This certifies that . . . . . . ' . . . . . . . . . . . . . . : has permission for gas installation .-D la in the buildings of .,�??f?!',Y .� v. en,/C,G u . . . . at . . .408?9.�. . .S ¢ . . . . . . . . .; , North Andover, Mass. F Fee .3�. . . . . Lic. No..7 r�.3. . . . . . . . . . . . . GAS INSPECTOR ' 48/13 { WHITE:Applicant 11C94NARY: Buinpoept Ip PINK:Treasurer GOLD: File t t