HomeMy WebLinkAboutWiring Permit - Permits #11889 - 191 BARKER STREET 10/2/2013 Date ....:. ......../.-.-�........
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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This certifies that �.5 "... .......:
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Has permission to perform y
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wiring in the building of.. . ... .. ................ .....................................................
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at .......... L ..... ��,North
No Andover,,Mass.
I 9.....y......... ..�9..`...�:: �.r. ...........BLED"I'RIC INSPECTOR
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Fee.....- .No.
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Commonwealth of Massachusetts Official Use Only
Department of Fire Services Petmit No.
BOARD OF FIRE PREVENTION REGULATIONS [ROccupancy and Fee Checked
ev, 1/07] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(1vIEC),527 CMR 12.00
(PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date:
Cite or Town of: NORTH ANDOVER To the Inspector of Fires:
By this application the undersigned gives notice of his or herintention to perfo^rrm the electric i«rork described below.
Location(Street&Number) 1 q cA r �\ <- _• J U r n c d �j t- v
Owner•or Tenant 0 ` �� �` ' Telephone No. C tJ^ _vcls C/
Owner's Address � � {� Y � , , J r- p C�
Is this permit in conjunction with a bung permit? es No
I building ❑ (Check Appropriate Box)
Purpose of Buildings,c c2 L� r �� r\ iS' Utility Authorization No.
Existing Serviced 0 U Amps "10 /a O Volts Overhead ❑ Undgr•d ❑ 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 ollowin table rnav be waived by the Inspector of Wh-es.
No.of Recessed Luminaires No,ofCeil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- o.o mergency rgliting
rud. grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No,of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: DetectionlAler•tin Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances Security Systems:*
K«of
No.of r N
No.of Devices or Equivalent
Heaters KW Siang Ballasts Wateo. Data Wiling:
No.of Devices or Equivalent
No.HydromassageBathtubs No.oflblotors Total HP Telecommunications Wiring:
1 s 0 6" No.of Devices or E uivalent
OTHER: �'y` S c.t S l � r G11� -e � S
Attach additional detail if desired,or as required by the Inspector of FVires.
Estinmated Value of Electrical Work (When required by municipal policy.)
Work to Start: —�
_l 6 1� Inspectmons to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certif,,raider the pains and enalties ofperjtrrtJ, that the Irtfortnatiou oil this application is true and coutplete.
FIRM NAME: �r L� r �� � k r �r.: �� LIC.NO.:
Licensee: ja,c c (J Signature ( r -~j IC.NO.: 2 v L_�
(If applicable, enter`"e"r rr t"in the license urrtber line.) I b1\ I Bus.Tel.No. U U 60,`1
Address:-2 0 s u a (� (/U I�c�1 r�� Alt.Tel.No.:
*Per M.G.L c. 147,s.57-61,security work requires Departnied of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I arm aware that the L icensee does not have the liability insurance coverage normally
required by la-v. By my signature below,thereby yvaive this requirement. I anm the(check one ❑oxviier ❑owner's agent
Own er/Agen t
Signature Telephone No. PEklffT FEE. $
The Commonwealth of Massachusetts
i Department of hidustrial Accidents
Office of Investigations
— 600 Washington Street
Boston,YjA 02111
lvlww.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Flectricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): \ r ` \� " `
Address: t, <_
C C I � G) )
City/State/Zip: �21���� �� f�/_. �, � y Phone #: I-1 C Z
Are you an employer?Check the appropriate box: Type of project(required):
1.El I am a employer with _'� �) C1 4. ❑ 1 am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet,t ?• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp.insurance. g, Building addition
[No workers' comp.insurance 5• We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.]t employees. [No workers' 13.0 Other �� � �� SA"
"
comp.insurance required.]
*Any applicant that checks box tl 1 must also fill out the section below showing their workers'compensation policy information.
t Romeo mers 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 ant an employer that is providing workers'compensation insurance far my employees. Below is file policy and job site
information.
Insurance Company Name: \ �� _ i t r.Ck r E_ 1�
Policy#or Self ins.Lie. G o b t ;-( '" — Expiration Date: 1 ev 1
Job Site Address:A 2 C_a 64_ Y`- _e r— City/State/Zip:A) : t• G� t! C r- l
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cert a�under the pains and penalties of perjury,fltat the information provided above is tr a and correct
Si nature; 'I 1 z_JL_ Date:
Phone#: I—l f O ` C
IA
Official use only. Do not write in this area,to be completed by eity 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 ..�e,3t f :,- 1'"� I 6... .f .... IA F�k l 1,,ti._Y 1 H o UI��\.A��I F.,r DATE IMff,ID D/YYYYI.___'
rqr t,711'L-
--_ i ..i1/9/20.t1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
PORTAMI: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsod If SUBROGATION IS WAIVED, subject to
IM
the terms and conditions of the policy,certain policies may require sn endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s)_
PRODUCER co�:1Ar1 Barbara 110 den
_. -- -- .!
DITTMAR AGENCY PHONE (732)462-2393 FAI' 732)'feo-eG14
SP_��H.__Eat)' .!_aG_. Its}_I�— ._...—�
78 Court Street F'L/'0 La),a}'cicnCdittmarinsurance.com _ i
11 DDDDR[S<- _
P.O. BOX 1180 _INSURER(R�AFFORDING COVERAGE__- _ _._-, , NAIC#_ +
Freehold NJ 07726 INSURER A;HDI-Gerling AmerSCa Insurance I
INSURED INSURER a:Crum & Forster
Trinity Heating & Air Inc. , DBA: Trinity Solar INSURERQI T_ _
2211 Allenwood Road INSURERo;. {I
(NSURERE:.
Wall Trap NJ 07719 INSURER F:
COVERAGES CERTIFICATE NUMBE_R:2012-13 Master Liab REVISION NUMBER: _
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
-'I4ObLT5Uk3Tfi. _- -- ..POLICY EFF_-..POLICI'EXf _._—. .___....
LTR! TYPE OFINSURANCE I)y;a jyygp, POLICY NUMBER I fdldrUDr'fYYY U t rt�DKYYti'� LIMITS
GENERAL LIABILITY j EACH OCCURRENCE I S 1,000,000
--
10 III, --
}, COfl,11RCIAL GENCfV L UA.BILIIY i f f`F�1 •f 1I c-i Trr !S 1,OOO 000
A CLAIMS•f.4ADE X OCCUR �GGCC000065612 11/1/2012 (11/1 201 MED EXP(Any we Perron) j _ 10,000
PERSONAL&ADV INJURY �S - 1,000,000
GENERAL AGGREGAI E I S 3,000,000
GEN'L AGGREGAI E LIMIT APPLIES PER i I I PRODUCTS COMP/OP AGG $ 3,000,000
PF.0- i L,
X POLICY I-f 7 j ILO., � I L 07iblNcO SINGLE LII!i
AUTOMOBILE LIABILITY (Ee acNdsnil_— �_;, 1,00000
A ANY AUTO BODILY INJURY(Per pe.son) f S
X j j i 7
.�IALLOWNED ISCHEDULED �-AGCC000065612 �1111/2012 11/1/2013 BODILY'INJURY(Per acvda-1)UTOS
b
AUTOS NON-0NtJED PROPR-k EI AGL 1
HIRED AUTOS AUTOS (Por ecgQc� __
I PIP-E)danded
B }(�UMBRELLA UAB fOCCUR EACH OCCURRENCE I S 25,000,000
EXCESS LIAB H -MADE hGGREGATE £ 25,0O0,O00
DED RETENTIONS TNDER110112 1/1/2012 1/1/2013 ____.
WORKERS COMPENSATION i ( VJC STATUS OTH- —
A
AND EMPLOYERS'UABILtTY QAY1IMLz R
AI4Y PROPRIETOR,PARTNER&XECUTIVE ] NIA
A E.L.EACH ACCIDENT
(Mandatory
IMn H)EXCLUDED? GCC000065612 11/1/2012 111/1/2013 EL DISEASE_EA EMPLOYE $ 1,00(),000
(fMndatory In NH) _ _
If as,describe under
DESCRIPTION OF OPERATIONS befa _ EL._DISE?SE,-POLICY LIMIT_S ,T 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD for,Addhlonal Remarks Schedule,If more apace Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Trinity Heating & Air, Inc.
T/A Trinity Solar AUTHORIZED REPRESENTATIVE
2211 Allenwood Road
Wall Twp, NJ 07719
Barbara Hayden./BAH —'
ACORD 25(2010105) — 9)19BB-2010 ACORD CORPORATION, All rights reserved,
IKIS025nnLn.wn1 Tha ar npn ncmc ana Innn arc rnnictarorf manna of 6r-rNPr1
I
Fold,Then Detach Along All Perforations
.COMMONWEALTH OF MASSACHUSETTS
HOARD OF
El_E;VRIC#ANS.
#SSUES THE ,FOLLOWING LItI NSE "AS. A.
REG#STEREb MASTER, ELECTRICIAN >>''
a
TRINfTY HTG AIR INC 0BA TRINITY
ANOREW R.-O;ISEN,
�z
20 PATTERSON: BROOK RD EU
' 3
W WARE°NAM .:: MA 02576-126`5
12704 A..,' `0�7}/3 1/1 727
�3�7
L:'1.J.:..l.C�� r E k;;"fY =L'_L-!• !e�`�.5)' �i u��.'+x:-E.,: �y�+1:.L�d.i
Optimize Engineering Co., LLC
P.O. Box 264•Farmviile•VA 23901
Ph: 434.574.6138.E-mall: grichardpe@aol.com
Richard B. Gordon, P.E.
President
September 5, 2013
North Andover Building Department
North Andover, MA
Re: Solar Electric Panels Roof Structural Framing Support
To Whom It May Concern:
I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please
note the following conclusions regarding framing structure, roof loading, and photovoltaic system
size and proposed site location of installation:
1. Existing roof framing: Conventional framing 2x8 @ 16" o.c.11'-5"span (horizontal rafter
projection). This existing structure is definitely capable to support all of the loads that are
indicated below for this photovoltaic project.
2. Roof Loading
• 4.33 psf dead load (modules plus all mounting hardware)
• 35 psf snow live load (50 psf ground snow live load reference)
• Exposure Category B, 115 mph wind uplift live load of 19.6 psf(wind resistance)
3. Solar Photovoltaic System size: 3.75 kw and 15 Trina 250 Watt Modules
4. Address of proposed installation: Residence of Chris Spychalski, 191 Barker Street,
North Andover, MA 01845
This installation design will be in general conformance to the manufacturer's specifications, and
is in compliance with all applicable laws, codes,and ordinances, and specifically, International
Residential Code/ IRC 2009, 2011 NEC, and 2009 ICC Energy Code. The spacing of the UniRac
mounting brackets ANCHORAGE/FASTENING of the brackets is at a maximum of 64" o.c. along
the rail and using 5/16"x 3 %" length lag bolts, min. 2 per rafter& min. 2" penetration,which is
adequate to resist all 115 mph wind live loads including wind shear, to mount rails to rafters while
alternating mounting feet between adjacent rafters between rail rows for better distribution of roof
load. Rails may be attached to either of two mounting holes in the L-feet. Mounting in the lower
hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a
higher profile to maximize airflow under the modules to cool them more. Slide the "-inch
mounting bolts into the footing bolt slots. The rails will be attached to the footings with the flange
nuts.
Very truly yours,
Optimize Engineer in Co., LLC ovi OF M4,s, y
oy
J .,•, - �� RICHARR BRIAN N
Ric rd %,.o.n, ,.E. o CORD NMassach sE. icense No. 49993 U MECHANICAL
NO,49993
TER�° �
SS/pNAk.
CIVIL
ENGINEERING
ELECTRICAL
ENGINEERINI3
g a.
, Office of Consumer Affairs and 13usiiict.t.
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Tmproveinent Contractor Registration
Registration: 170355
Type: Corporation
Expiration: 10/12/2013 Tit 218103
TRINITY HEATING &AIR, INC.
TOM BLUMETTI
20 PATTERSON BROOK ROAD UNIT 10
WEST WAREHAM, MA 02576
Update Address and return card.Mark reason for change.
Ej Address C]Renewal ❑ Employment i] Lost Curd
ars�ar � so��wu;�--ccsojYrs
�c�i r41nr�ilz�',�1i3ztlbc License or registration valid for ladividul use only
+DTfltc of�trnsi�n�tthS(sirs x
Hl7MC iMPRt?VEMIE NT CONTRACTOR befort the expiration data if found return to:
�s Repisitatlomi, QaS� type: Offlte of Consumer Affairs and Business Regulation
/" Expiration; dfstl t2D13 corporation 10 Park Pfau-Suite 5170
Boston,MA02116
'fRCtvl7Y WE1�'TiI+iG�.AlR,it�1G _ _
TOM BLUMETTI r-s
20 PATTERSON BROOK ROAD U f/!/
OVE9T WAREHAM,MA 02676 Uetdersecretery Not vwlid w6houi signature
----------------------------------------------------------------------------
Modules to be mounted flat on roof
15 - 250w Trina Modules
PA05.08
1 Array
Trina 25OW modules
imp 8 2A Enphase Enphase �Envphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase Enphase------
M-225 M-215 M-has M-215 M-225 M-215 M-215 M-215 M-215 M-215 M-215 M-215 M-21530 5V Inverter Inverter Inerter' Inverter Inverter Inverter Inverter Inverter Inverter Inverter Inverter Inverter Inverter Inverter Inverter
voc
37.8V L/ �J
Isc 8.9A
0 Enphase M-215 Micro inverters Factory Installed wires
Existing 200A M215-60-2LL-522 j523 to be connected to
120/240V 10 i junction box
it° Main Breaker
Loadcenter
Install 2p20A Solar #8 Bare Copper Bonding solad ck
Breaker
Conductor Box
NEC 690.64(B)
Inverters to be located
on roof under solar
modules
1" EMT
1-#8 THWN-2
3- #10 THWN-2
1"EMT SOLAR
3 -#10 THWN-2 PRODUCTION;
1-#8 THWN-2 20A METER
?SOY
3R 61x6„
UTUX y Metal
DISCONNECT Junction Box
OF:—'
1"EMT
1" EMT 1-#8 THWN-2
1-#8 THWN-2 3 #10 THWN-2 #6 THWN-2 GEC
3-#10 THWN-2 To Existing
Grounding electrode
CUSTOMER: Electrical One Line Diagram
2211 Allenwood Rd. Chris Spychalski 3.75 KW Solar System
Wall, N) 07719 191 Barker Street Revision No. 00
SOLAR TEL. 732-780-3779 North Andover, MA 01845 15- 250W AOSAB modules Date: 9J5/13
FAX. 732-780-6671 Account#: 2013-25831 Drawn By: MLH
Issued 1 Revisions--
ti
No. Description Date
LID Orientation:
HEIGHT FROM GROUND LEVEL
TO PEAK OF ROOF °
SITE LOCATION SIT Project Title:
�
CHRIS SPYCHALSKI
Project Address-
191 BARKER STREET
NORTH ANDOVER,MA 01845
PRODUCTION METER LOCATED FRONT Drawing Title:
NEXT TO EXISTING METER PROPOSED 3.75kW
SOLAR SYSTEM
CL
\C Drawing Information
METER LOCATIONDrawing Date: 915/2013
Drawn By: MLH
Checked By: GAP
ELECT.PANEL LOCATION Revised By:
(INSIDE BASEMENT) Scale: N.T.S
System Information:
Total System Size:',375kW
Total Panel Count 15
_ Panels Used: TRINA 250w
Panel Spec#: 1 TSM-250PCIPA05.08
O Utility Company: NSTAR
Account Number. ;6610001017
Rev.No. Sheet
1
ROOF V
BACK
ROOF
BUILDING ORIENTATION=130` SOLARY
ROOF PITCH (PANEL AREA) =36°
2211 Allenwood Road 877-797-2978
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