HomeMy WebLinkAboutWiring Permit - Permits #13012 - 74 BUCKINGHAM ROAD 12/22/2014 Date.,�. � .. .............
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NORrh
i o�.��'° •gtio TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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This certifies that :,
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has permission to perform ..
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wiring m the building of .................................
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at ........ 9 " ...:. �.... .:. ,1tT4 Andover,Mass.
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l ee............... ........Lic.No. �.. : . . �.....y..., ........... �.♦ .. . �3.. .� :. ft..,
ELECCRICALINSPECTOR
I Check# ��
Print Form
Official i he Only
.on►nronruaa r n naanc rrr:tall! )
I'crrnu No.
r :g i�/ .lJalrurlinon!o�,.{b•r..�annr'ca� " .,.`_`_."'----
�yJU l)c►•rgiuncy and Fee C hecke(I
u� BOARD OF FIRE PREVENTION REGULATIONS IRev. 1/071 (leave binnk�„wm
PPI.- I F [ PERMIT TO PERFORM EL,EC1 RICAL WORK
\11 work to he pe$1,01tincd in accortha►ce will'the Milssarchw.eu4r 11cchicul C'nrtc(MEC),527 CM It 1100
' 4A'l'1(7N� Date:
(1 t_ "'•4. City or'Town o9 R 7"1 ��./1 //t'/'fl� ��- 716 the Inspector�g Wires:
13y thus apllrratruar the ttnderr,rgned gives antics ol'his or her intention Ito perlurrn[lie electrical work described below,
Location(.Slrees & Nmuher)
Ow•nerorTenant � ry`' ����_._ � Telephone No.
(Owner's Address
Is this pernilt in conjunction wilh a building permit? Yes [o] No [J (Check Appropriate Box) _
Purpose of Ruildink w/Solar-PV _ 1,1111ily Authorization No. n/a
H;xistiog Scrviee �_ Amps / —Volts Overhead�_.] tlndgrd❑ No.of Meters
New Service Amps / Volts Ovcrluva(11__I lludgr(i 0 No.of Meters
Number of Peeders and Arnpacity
Location and Nature of Proposed N lectrical Work: Install Solar Electric-Photovoltaic (PV)system ( panels)
�' _m. kW-DC @ S.T.C.Grid Tied. In conjunction with a Building Permit.
rated G.G)'/.._..__-
- ____._....__.._. ..
emir rlea'irrn ra/(lie/blhrawin�fuhh,mat,he rtwiwvel h•the lug uri„r tl If'ires.
No.at Luminaires No.of Coil.-Susp.(Paddle)fans Transformers K%lA
No.of Recessed
No.of`Luminaire Clriticls No,of Ilot'rubs C;enerators _....._..- ICVA
No.of Luminaires . wimmin Pool Above it- o.o ,mcrgency T,Tg ng
_. ►" R Sprott. ernd. El Battery Units
No.of Receptacle Cutlets No.of Oil Burners P I R F �v l w It wt w, �w,°�aau. tat'?'erne%
No.of Switches No.oftias Burners No, at hclvoioll mua
tniriattiraly 1►rtiaae
No.of Ranges No.of AirC`"ond. 'on ^art. ill -Liralirry; Ire�irra
'I"tins
p !mp N111 1111 'I`ons KVY' . ' u._rif,;—C-I e nni;tinnri
No.of Waste ills oscrs feat utals Ire trt°ticurl\Ic•rUroh i�a�;r�e�
No.of Dishwashers fi race/Area IIealin+ KW Local Cloule tr o
i _ {. � C'mincrtf��rl � � CYtirrr
. Appliances... —.. .
No.of Dryers � -� heating KW . ecur Y,yystems:
No.(rf devices or Equivallent
Heaters _ KW i)ala'11 iri►►g:
Si rt(s f3allastx No.of I)evites or Equivalent
No.Ilydromassa►g,e Bathtubs No.of Motors 'total lip a cc(nnnuuiicatiuns rein
_„_,.�,__t Itio.of l)rvices or H.' oir•:rlent
'41lach nr/dr7iunu/r/eluil(/rhter'rrrl,rue u.t regoired h►.the hispec itw u/Heise.
lstimaled Value trl'Flectrical \York: ,. _-- (When required by municipal policy.)
Work to Start: A.S.A.P. Inspections to be requesled ire accordance with MIT hole I0,;end Moan completion
INSURANCE E C OVFRA(.F: dales;waived by the owner.no luennit for(lie lrcrliuru►alive ofelech'icarl work 111a) is".uc unless
the licensee Pro%ides prool ul lial,ihl)•iuxuraanrc including"conulrletc(I olrerauiou"coverage or its sulssimmal etp kalew. 'I he
undersigned cerl ilics Thal such coverage is in force,lard has exhibited prool'ol`sanre to tiro pernril issuing office.
('11114'K ONE: INSURANCE' Ev_j IWND ❑ O,riirut [„I (tipecity:i
I erriffy, reader Olin pains old peaoides of perjury,that the iafrn•arrrtion era this alrpliratitrir is trite and ramplete.
I-'IkM NAME: SOLARCITY CORPORATION I.IC. NO.: 1136 MR
Licensee: Matthew T. Markharn _
d.
Signature LIC. NO.; 1136 MR
(//npplirvlde, r ur,v '"rac•ugrr"in 11011 rlunaher line./ ICus."eel.No.:774-258-8180
Address: 24 St. Martin Drive(quildnrp 2/Unit 11). Marlborough,MA,01752 AU.'eel.No.:774 758.8505
VerM.6 .,c, 147,s. .57-Crl,security wv(►rk rcgruires t)cpauluner►f trf Pulrlic Salety'"S"License: I.ic.No.
OWNFR,S INSURANCE WAIVER: i aon aware that the Liccosee does oot have tlue liability instuaoce coverage tiormally
required by law. By my signature below,I hereby waive this requirement. I am the(check ona)awner owner's agent.
Owner/Agent /r'/sl�'AllT r,LEr 6
Slgnalurc _.._.�..__ 'i'elepl►one No. __.. ..__..._._.,., ,...�.... ._.
The Commonwealth of Massachusetts
tI Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
rvit mmass.gov/die
Workers'Compensation Insurance Affidavit: Builders/Contractors[Flectricians/Plumbers
ApIllicaut Information Please Print Le M
Name(I)usiness/Organization/Individual):_ SOLARCITY CORP
Address:3055 CLEARVIEW WAY
Cit /State/l i .:SAN MATED,CA 9440 Phone #: 89
2 688-fifi5-24.....
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 5000 4. [] I am a general contractor and 1 6. El New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, El Demolition
working for nie in any capacity. employees and have workers' 9. ❑ Building addition
(No workers' comp. insurance comp. insuranc:e.t
required.) 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.0 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGI. 12.E] hoof repairs
insurance required.] t c. 152,§1(4),and we have no SOLAR/PV
employees. INo workers' 13.� other
camp. insurance required.)
*Any applicant that checks box N1 most also fill out the section below showing their workers'compensation policy information.
t Ilomurwners who submit this affidavit indicating Otcy are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Wontractors that check this box most attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities have
employees, ff the sub-contractors have employees,the),most provide their workers'comp.policy number,
I nni nu employer that Lr prostitthig workers'compensation insurance for nei,employees. Below is the policy and job site
hrfornrallon.
Insurance Company Namc: LIBERTY MUTUAL INSURANCE COMPANY
Policy It or SeIr-ins. tic. 11:WA7-66d-066265-024 Expiration Date:. .. 15
Jab Site Address:—, `I_�_� r }C ,�C� in
_< . _.. Vr' _...,_ City/State!'/.ip:. NBC and expiration
Attach a copy of the workers compensatepolicy declaration page(showing the policy number date).
Failure to secure coverage as required under Section 25A of MOt,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 fora of a STOP WORK ORDI.sit avid a tine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may lye forwarded to the Office of
Investigations of the D1A for insurance coverage verification.
I do hereby certify antler the poirri•Undirpenaltles of perjrtry!/rot Ilve information provided above is true and correct.
Offielat use oirly. Do oat write in this area,to be conipleled by c/ty or town official.
City or Town: . �. r_Permit/License 0
Issuing Authority(circle one):
1.board of Wealth 2. Building(Department 3.Cityffown Clerk 4. Electrical Inspector S. Plumbing Inspector
6.Other
Contact Person: __ .. Phone :
r Ca n C-1 d
Make The Difference
CanadianSolic-11-
Make The Difference
ELEC71RICAAL DATA f STC MODULE ENGINEERING DRAWING(unit:mm)
N—trat Maximum P.—P—) 250w 255w 26OW Rea-V.aw -CT=
Zillar Operating '
V-llasl�yml ICA 1 10.2 V 30Ay i
Optimumn OperatingCunont 'R 8.30A 8.43A 9.56A
CircuitOpen
37,2 V 4 v 37.5V
sh—ci,uitc......(1,C) 3.87A :'00 A 9-11A I1 S-no—A
Module Efficiency 15.54% 15.85% 16,16% ii f L50
Operating Temperature
Maximum SYt V Rage 1000V(1EQ/600V(UQ
BE Maximumse,i-1—futh, 15A
ST EN CLASS
P
AP licati—Clas';ficanno C—A
Canadian Solar's modules are the best in class in terms of power output 05
W
and long term reliability.Our meticulous product design and stringent
quality control ensure our modules deliver an exceptionally high PV energy yield
Vyi in live P system as well as in PVsyst's system simulation.Our
accredited in-house PV testing facilities guarantee all module component ELECTRiCA!DATA 1 NOCT
materials meet the highest quality standards possible.
PRO DU CT i WARRANTY&INSURANCE Nominal Maximum Power(P—) 181w ..W ..W
Optimum
an—Operating V.1tag.(ymp) 27.5y 11 5V 17.7V
PRODUCT i KEY FEATURES Optimum operache Current(imp)
ara', 6.60A 6.71 A 6.80A
aU S ' - ct' s7x Open Ccvt Vneisc(V.c) 3a2v 3nAV 34.5V -
Short Circuit C.-at(l,c) 7.19A 729A 7.39A CSP2SSPX)I-V CURVES
'i a 7vep 3r--e IF tz.c
laf EeF ana
11%
0 2s MODUI E j MECHANICAL DATAa. %
Excellent-.1.1e efficient, 5
U Z�
P to 16.16% .1—Lin ear p wer output warranty
CollTy Ply-crystalline,6i,,ch z
warranty on materials and workmanship.0 e-P,.ducl Celi
I AZc,arcrt 60(6.10) t,
01111M 'Di ersons 1638,982,40mm(64.5x38.7x1.57ir) ti
High performance at low irradiance Cprad,,�,n.I.,provides MCI mm-carcellate.,immediate warranty w"sht 20kg(44.1 lbs)
---------------------
alb-96.1. nu c Ini... 3.2mm tempered to... i
M1FrameX m—'a, Anodized aluminium lay
J-80
ra IP67,3diod —s
Positive .wcrt.l..rco up to S. PROUCT S,MANAC Elyl ENT SYSTEM CERTIFI CATES* C ble 4mrr'iEC)/12AwG(UQ,1200mm
D
es
C:ar—." H4
I EC 612 1 S/I EC 61730:VD E/A CS/CE Standard Packaging 24pcs,530kg(a-ra;ty and weight no,pallet) c 1 10 11 10 I .O 2s 1°as ar a1
UL1703/IEC61215pe,form,,c,:CECii,t,d'Ji Module Piece,Per Container 672,(40'HCO
U L 1 711:CIA I IEC61701ED2:VDE I PVCYCLEEU,
High 11C-tirg Up,.91.04- �SO9001:2008 (Quality man
agement TEMPERATURE CHARACi ERIST ICS
SO 516949:2009 1 The automotive industry quality management system
SO14001:2004 (Standard for eavi—m-1 in...geme,tsystem rcfi_ C„.
?,HS��AS.18e()1!2007 I Irtern-...I standards for occupational health and safety Timmeroune Co hit i rt�Pm.1 ':'3%rc
Anti-glare module surface—liable ev,rU,.,m..riJr.--m—pa—w——d— Temparen—C.:Z7 Vac)' :.34%/rC
EBAyr Temp—op,Coefficient(p,c) 0o6S%rC
Nominal Operating Cell Temperature 45±2
long-term
ction box CANADIAN SV�AR INC,
weather endurance Founded 2001 in Canada,Canadian Solainc.,t`NASCAQ:CSQ)i,the..,1d*,TOP3 PERFORMANCE AT 1 OW!RRADIANCE
r ' ',d,,t performance�ead��Ingc at—irradiation,196.5% ,d,!,efficiency
power company.A,a leading manufacturer of solar modules and PV project foma'yi met of1000W/,oto200W/m1(ANr 1�5,25'C)
He.--.'load Up to 14001. developer with about 7 GW of premium quality in adU le,de to
yed",,ourd the world
wind[.ad up to 240OPa in the past 13 years,Canadian Solar is one of the most bankable solar companies in
Europe,USA,Japan and China,Canadian Solar operates in six c,nll,,,t,with
Customer,in ever 90 countries and regions-Canadian Sol,,is com mined to
ci�,vsdllg high quality solar product,,-o and system solutions of services to
s.bi or seaside
environment
(loam
%Ilk Cann&^Iar
Ca n n
Make The Difference
a d i a S o I a r-
Make The Difference
ELEC7RICX DATA STC MODULE ENGINEERING DRAWING(unit:mm)
N.mmal Maz mi.m Power(P—) 25' 25 W 260W t V
-rn Optimumvolt'lle(I—) 30.1v 30,2 v 30.4V
Optimum Opllung Current(Imp') 8.30A 8.43A 8.56A
Pen ci—it voltage(v.c) 372 V 37.4v 3TSV
13 S-b.—
mcd,!, i,,n,y Is—yi Ises
51
Ope-agTemponct... A,
S ma
h1rtCrc,itC111l1t(I1c) 3.87A OCA 9�12A EH
,:i=MSY5u`1v11t191 M,
M I Senc,FR�Imll 11A
-51 IN CLASS p C sa
THE ES AP licall-CI—fic.P.T I.s
Call in than Solar's modules are the best class in terms of power output P.—T.enInce -,SW
----- ----—
and long term reliability.Our meticulous product design and stringent
quality
u I
a ity control ensure our modules deliver an exceptionally high PV i 7 51
energy yield in live PV system as well as in PVSyst's system simulation.Our -A I NOCT credited in-house PV testing facilities guarantee all module component ELECTRICAL DATA i 1i
materials meet the highest quality standards possible.
PRODUCT 1 WARRANTY&INSURANCE Nominal ma.hn.m Power(P—) 181w 185 Ve 189W
Oplan—011m,valtage(Vmp) 17,5 V 2TSV 2T7V
PRODUCT KEY FEATURES op'l—,Opera,rec."cr,(Imp) 6.60A 6.71A SeDA
Open ci,cLit Val Vc) 3 2V 3—Y 34,sv
Short Circuit Cu Z C_16P-ZSSPX I-VCURVES
S-!af NEdf e g7% %e il.) 7.19 A 7.29A 7.39A
a a ----------------—
0 Y.. s i0 25 MODUI E 1 MECHANICAL DATA
BExcellent module efficiency
up to 16.16% Linear poweroutput warranty CeIlType P-ly-l"'tallne,6mch
P.ductry an Tallral—nd workmanship Cell A11-9—cm 60(6.10)
�Dirnerslons 1638,982,40m,(64.5,38,7x 1_57in)
W ght 201kg(ka�!Ibs)
High performance at low irradiance Canadian sell,provides 1...n.—r-11.1t, mampiat w
e
%
ye 96.5 insumnle ZmC.— 3.2.kPtehkp,,kd,I
Frame Material
A-C!cYc al—nium.11.y 2 7m'(IECIj12AWG(U1_),120 a./
w',2
Positive powertol—mee pt.S.
J-Box W6�3dmd.s
PnODUCT&MANAGEMENT SYSTEM i CERTIFICATES' Cabe s. 0 mm
Ha
IEC6121511EC61730:VDE/MCSICE y Standard Packaging 24pc,,530kg(quIty,rd weight per caNet)
UL170311EC61215p,rformance:CECii,t,d(US) Module Pieces Per Container 672p.(40'HQ)
JWHigh rating up U L 170,:CSA I I EC 61701 E D2:VO E I PV CYCLE(E U)
Hi I PTC t' 1.�1�.4% % —9001:2008 10litym.nal;mtmtly�tlm TEMPERA7UPECHARACTERISTICS
SOT516949:2009 I The automotive md,stry quality management System I S014001:2004 IStandardsfor'Psi,ormentainnana gem entsyst vn Z*tz
CHSAS 18001:200.7 1 internan--lrd.,d-, Ili health and,af ty Tempenst"C'ff, mZ* 043
Anti-glare module surface..liable 'P__sn_I., —
j s11111. " Tempe—ne C.:ff,: t(Vac) -034%/C
BIBA Tempest—Cefickme("c) 0065%/C Nominal Opeming Cell T,,p,,t,,, 45±2°C
:a n g-tarm P67junction they endurance box SO!AIR IN-,'. PERFORMANCE AT LOW MRRADIANCE
Founded i n 2001 in Canada,Canadian Solar Inc.,(NASDAQ:CSIQ)is the world*s TOP 3 Industry leading performance at—irradiation, modulem,-96.5%module efficiency
solar power company.A,a leading manufacturer of solar modules and P,project from irradiance of1000wjm:to 200W/m'(AM 1.5,25'C)
He——load up to 1111101 developer with bout 7 live of premium quality modules deployed round the ,rid
wind load up to 2400Pa in the past 13 years,Canadian Sale,is..e of the most bankable solar companies in
Europe,USA,Japan and Chi-.Canadian 5,1,,operates in six mintirm,t,with
customer,in over 90 countries and regions.Ca'adian 501-is co miffed to
pr.,,dmg high
qua lity so,a,products,w1a,system .Iuticm,and services to
W
- 1 Salt mist corrosion resistance customers around me world.
suitable forseaside environment
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