HomeMy WebLinkAboutBuilding Permit # 6/23/2015 DocuSign Envelope lt):72F4C4C9-5E8C-42A3-99BD-09727544DAA4
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BUILDING PERMIT k�t-
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit NO, Date Received---
'rsACH
Date ISSL�0:_
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777,
LOGAFAndover,X` �
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Robert K, ' I�
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PROPERTY
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building 00ne family
0 Addition Two or more family i.] Industrial
BAlteration No. of units: 0 Commercial
Repair, replacement 0 Assessory Bldg i:] Others:
[.1 Demolition Other --'--7
7-1
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This project consists of the installation of 27 Photo-Volatic modules and one string inverter
on the existing residential composite shingle roof top,and the system will produce 7.02 KW
Identification Please Type pe or Prijit Clearly)
OWNER: Name: Robert Moverman Phone:
Address: 99 Hay Meadow Rd, North Andover, MA 01845
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CONTRACTOR�' N a"riie,:. H 61 i I Asl an
`` 978 601 9083
'MA 0,1,'�26:
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7 29/20.15
ARCHITECT/ENGINEER Phone: :Z-e>
Address: Reg, No.
FEE SCHEDULE:SULDING PERMIT:$12.00 PFR S100O.M)OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
_37-0
Total Project Cost: $ FEE: $
Check No.: /I Receipt No.:
'b'54_ wilh,#&,%gjered conti-actotis do not access"to the gr anyfiind
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Signature of Agent/Owner ....... Signature of-contractor
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Town of �.. � EAndover
VA
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o ^K. h ver, Mass, (A J9— Q JC
COCNIC"t WICK 1_
S U
BOARD OF HEALTH
Food/Kitchen
E RP LIT T L D Septic System
THIS CERTIFIES THAT
it rim ,, , BUILDING INSPECTOR
......................................... .......q............... ................................................
.9........... .�1�� � Foundation
has permission to erect .......................... buildings on .... .... .... .... .................
Rough
to be occupied as rr. ...... Roimne
p ............. ................... ... ..... ......... ..... .. ... ... ... .. �........... y
provided that the person accepting this permit shall in every respect conform toe terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT I IN MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
................................................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Quotation&Contract
NuWatt Energy,LLC
14 Ellyson Ave East Hampstead,NH 03£326
Phone(781)995-2331
Customer Satisfaction cs@nuwattenergy.com
NOTATION fir. CONTRACT FOR A SOLAR ENERGY
POWER SYSTEM
CLIENT:
Mr.Robert Moverman
Site Address: Mailing Address:
99 Hay Meadow Rd 99 Hay Meadow Rd
North Andover,MA 01845 North Andover,MA 01845
PROJECT DESCRIPTION AND MAJOR COMPONENTS
A 7.020 kW PV System with turnkey installation at customer's site address stated above.
- 27x JA Solar JAP6 260 Watt Power Solar Modules
- 1x SoiarEdge Inverter
MOUNTING TYPE:
- Roof Mounting
STANDARD COMPONENTS:
- Racking and mounting components per Uniform Building Code.
- AC and DC disconnects per National Electric Code and Utility
- Wiring,conduit,and overcurrent protection per National Electric Code
NuWatt Energy,LLC Page 1 of 6 1/3/2015
Quotation&Contract
ADDITIONAL COMPONENTS:
- Line-side tap
MONITORING:
Production Meter
SolarLog St.350 Revenue Grade monitoring with 5 year subscription
STANDARD LABOR:
- Design system and secure basic building or electrical permit
- Install specified system in good workman like manner
- Complete and submit utility interconnection documents
- Coordinate building,electrical and utility inspections
ADDITIONAL WORK:
- None
CONDITIONS
- Installation site is expected be accessible and mowed (if applicable) prior to performing
work
- NuWatt assumes that no additional electrical work or roof reinforcements are needed
- PV project will comply with all Commonwealth Solar 11 requirements,including but not
limited to MassCGC Minimum Insurance and Minimum Technical Requirements
ALLOWANCES:
The following items or specific prices as indicated are included in the contract price as
allowances.The contract price shall be adjusted based upon actual amounts rather than
estimated amounts herein:
-None
NuWatt Energy, LLC Page 2 of 6 1/3/2015
Quotation do Contract
TENTATIVE, EVENTS chi MILESTONE PAYMENTS SCHEDULE:
EVENT(%} APPROXIMATE AMOUNT
DATE —1I
---- --- --— ------------------- - -- - ------- --._.;..- -------
Initial Deposit_ ,— 6 6 Z01-S ; $;3,000.00 I
1.1
Before Ordering of Nlatet_ials 65% – ---..__._._.--------, _...._.___6��1401.5 !^----$15,389.40
Upon Deliver of Materials to the jobsite 30% 7 11 2015 ' $7,102,80
Upol1 Commissioning(n4unicipal Building/Electrical
Inspection)ction) 8/1/2015 $1,183.80
----- --- ��-------------__-- ----._.—_— — ---------------
Total Price --^� _ — -- ---- $26,676.00
TIME FOR COMPLETION:
'File work to be performed by Contractor Pursuant to this Agreement shall be commenced within 7
days of delivery of materials and shall be substantially completed within 21 days Brom the
commencement date.
ENTIRE AGREEMENT
The parties represent that there are no oral agreements affecting this Agreement and that this
Agreement contains the entire,lull and integrated Agreement of the parties and that this
Agreement supersedes and cancels ally and all previous negotiations,arrangements,letters of
intent,proposals,brochures,agreements,representations,promises,warranties and
understandings between the parties as stated by,including but.not limited to,any of'parties'
agents)and/or employees). No alteration,amendment,change or addition to this Agreement
shall be binding upon either party unless reduced to writing and signed by each party.
ADDITIONAL CONTRACT PROVISIONS.-
All
ROVISIONS:All milestone payments are due Net 10 days. 1%interest per month carrying charge.
This quotation price is valid for-14 days from the above dote;quoted,schedule is valid for 3
days.
Client shall ensure payment in the form of a bank check,certified bank check or bank wire transfer is
produced at each delivery to the jobsite(modules and inverters). Neither delivery will be.offloaded
until NuWatt has received the proper payment. if the deliveries cannot be offlaadrd be cause proper
payment is not received,Client shall be responsible for all additional costs incurred by NuWatt,
including but not limited to,storage costs,additional transportation costs,interest,additional labor,
penalties,etc. Client shall pay all additional costs to NuWatt prior to any subsequent deliveries.
NtMatt Energy,LLC Page 3 of 6 1/3/201.5
Quotation&Contract
The milestone payments and commissioning payment(payment due upon final electrical and
muuicipaI inspections)are due within five(5)business days of verbal notification by NuWatt that the
work is complete.
Payments not made in accordance with the preceding terms,at the option of NuWatt,shall constitute
a default and breach ofthis Agreement. Client agrees that upon any declared default and/or preach,
among other remedies(1) NuWatt shall be entitled to halt work and/or disconnect the system,(2)
NuWatt shall be entitled to assess interest on all past due amounts at the rate of two percent(2.011/0)
per month(24%peryear),and(3)Clientshall pay NuWatt for all of NuWatt's collection fees and
costs,including but not limited to administrative costs and reasonable attorney's fees and court
costs. Client is to cooperate fully in completing necessary docr.mientation to expedite the financing
institutions release of funds.
Client shall bear all risk of casualty loss to the system during the on-site construction period,and
shall insure the system during such period to its full insurable value. A copy of the insurance
coveratre shall be provided to NuWatt iNor to module deliver Client is not responsible for any
loss to the system incurred prior to or during the transfer phase.
Client agrees to allow NuWatt and all delivery vehicles access to the Property over any existing
driveways. In the event,adjoining land must be crossed to enable delivery,Client agrees to obtain
written permission from the applicahle adjoining landowners. Client accepts responsibility for any
damage to existing driveways and/or adjoining land during delivery,
Neither NuWatt nor the manufacturer shall be responsible for any delay cause by action of a
governmental entity,strike,riot,or other civil disturbances,shortage of materials,war,disaster,or
Other natural or unforeseeable calamity.
Except when caused by the negligence of NuWatt,its agents,servants,or employees,Client shall
indemnify and hold harmless NuWatt from all liability,loss or other damage claims for obligations
resulting from any injuries or losses,including reasonable attorneys'fees and court costs incurred by
NuWatt in defending any such claims. Client shall further indemnify NuWatt for any damage to the:
property,premises,person,personal property or fixtures of the property owner or property owner's
employees,agents,invitees or guests.
Client also agrees to indemnify,defend and hold harmless NuWatt from and against all claims,
expenses(including attorneys'fees),and liability of whatever nature(i)arising from ally default,act,
omission,or negligence of Client,Client's contractors,licensees,agents,servants,employees,or
customers;or anyone claiming by,through,or under Client,(ii)arising from the existence of
hazardous substances,wastes or materials at the property,or(iii)arising directly or indirectly from
any breach,default or omission on the part of the Client hereunder. The foregoing shall include
indemnity against all costs,expenses,and liabilities incurred in connection with any such claim
(including,without limitation,attorneys'fees)or proceedings brought thereon,and the defense
thereof with counsel acceptable:to NUWatt or counsel selected by an insurance company that has
accepted liability for any such claim.
NuWatt fnergy, LLC Page 4 of 6 1/3/2015
Quotation &Contract
- This Agreement shall be binding upon and hILII-O to the benefit of the parties and respective legal
representatives,successors,and assigns,
Acceptance SignarDate:
Custonlei hire: I I --
Robert Moverman
NuWatt Energy, LLC Page 5 of 6 1./3/2015
��&�� Consulting ������"�������w� Inc.�����W ����" "~~~°K�� Engineers, �
" =�� �� ° v=~~~" .�� ° °~�
407Rear Mystic Avenue, Unit 26, Medford, 8N/\O2155
Tel: (781) 3969747 Fax: (781)8969882 EMail: k.andrn@conncastnet
June 16, 2015
�q�
The Move,man'sResidence
99Hay Meadow Kd
North Andover, MA 01845
RE: Installation ufSolar Panels onthe Roof
ToWhom |tMay Concerti:
A design check for the subject residence was done on the existing roofing and framing systems for the
installation of solar panels over the roof. From a field inspection of the property,the existing roof
support structures were observed osfollows:
The roof structure consists of composition shingle on roof with plywood boards that are Supported by
2x6rafters @16"o.cThe rafters have atotal projected horizontal span o(15''10"'with aslope o(35
degrees,The rafters are connected at one-third of span by 2xio collar ties @36"OC.
The existing roof framing system is judged to be adequate to withstand the loading imposed by the
installation ofthe solar panels. Noreinforcement isnecessary,
Thespacing vfthe solar standoffs should bekept ar48^ oz.with astaggered pattern toensure proper
distribution ofloads.
I further certify that all applicable loads required by the codes and design criteria listed below were
applied to the Unirac Solarniount solar rail system and analyzed, Furthermore, the installation crews
have been thoroughly trained to install the solar panels based on the specific roof installation
instructions developed by Unirac Solarmount for the racking-system and Ecofasten for the- roof
connections. Finally, I accept the certifications indicated by the solar panel manufacturer for the ability
ufthe panels towithstand high wind and snow loads.
*
Applicable Codes= Massachusetts Residential Code, 8th Edition,ASCE 7'O5, and 2005 NDS
+
Roof Dead Load= 13psf
*
Roof Live Load =ZDpsf
=
Wind Speed = 110mph, Exposure C
*
Ground Snow Load =55psf' Roof Snow Load=Z0J3pu/
Sincerely
K4B Consulting Engineers, |n
27-PANEL SOLAR ARRAY
On Exterior WallInverter Utility
Meter
Exterior
Utility Production
Disconnect Meter � �P
E�
t y
i
i
Array is composed of 27 JA solarJAP6 260 modules.
2 Strings of 14 and 13 modules in series to SolarEdge
SE7600A Inverter
I I
I I
I I
I
I
FI• I
(2)1110 AWG use-2/
RHWz&(1)1110
AWG ground iu E M r
I conduit
I
Module frames,mounting hardware and i ID
equipment enclosures grounded to main
panel ground or ground rod.
Solar-Edge SE7600A
240 VAC Output
I
1A '
60OVDC Ouit in DC
Dison Get I Minimum 48 AWG continuous or
GFP ��I ? irreversiblyspkedsvire from
METER 11 Combiner box to inverter
tine Side Tzps I• •— •.'..—
I
—
I
I
( Minimum 118 AWG continuous or
200 AMP I irreversiblyspicedvrirefrom
MAIN Inverters to dedicated ground
( clamp
BREAKER to 4/stem Ground rod orEufer.
I
I
I
Dedicated PV '
N system kWh 240V I
—
LI (S
0) 3112-Pale 60ASiemens AC
Discon nett
I._._.-------._._._._._._._.�
NuWatt Energy, LLC
www.NuWattEnergy.com
99 Fla),Nteadow rd. Date
North Andover,MA 01845 6/22/15
The Commonwealth ofMassachusetts nt Fortrt
rv'
Department of Industrial Accidents
Office of Investigations
F 4=� I Congress,street,Suite 100
Boston MA 02114
�
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluml)ers
Aui)licant Information Please Print Le ibIy
Name(Business/Organizationfindividual): /I."
Address: � IWIla
City/State/Zip: " Phone#:
Are you an employer. heck the appropriate box: Type of project(required):
1. I am a employer with 4. ❑ 1 am a general contractor and I
have hired the sub-contractors 6. ❑New construction
employees(full and/or part-time).
listed on the attached sheet. 7. ❑Remodeling
2.❑ 1 am a sole proprietor or partner-
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 camp.insurance$
required.]
5. (❑ We are a corporation and its 1.0.❑Electrical repairs or additions
3.EJ I am a homeowner doing all work officers have exercised their 1111 Plumbing repairs or additions
[No workers' comp.
myself. right of exemption per MGL 12.❑Roof repairs
insurance required.]'1 c. 152,§1(4),and we have no 1311 Other
employees. [No workers'
comp. insurance required.] _
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*.Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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 anti fob site
information.
j f:
Insurance Company Name: N.
Policy#or Self-ins.Lie.#; Expiration Date:__ /
Job Site Address: City/State/Zip: /U 5
Attach a copy of the workers'colupensation policy declaration page(showing the policy number and expiration ditte).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penaities 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 hereb Y cern under jre ains. nd penalties o/Eerjury that the inormation provided above is true and correct.
Signature: Date 1
Phone#:
Official use only. Do not write in this area,to he completed by city or toren official.
City or Town: Permit/License#
s
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
a
6.Other
i
Contact Person: Phone#:
DATE(AINI/DD/YY)
ACORD. CERTIFICATE OF LIABILITY INSURANCE 12/01114
PRODUCER PHONE:603-964-9555 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA'T'E
The Demers Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
PO Box 553 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rye,NH 03870 MURERS AFFORDING COVERAGE MAIC 9
INSURED �—
Nuwattenergy,LTC INSURERA: Atain Specialty `A+Carrier'
14 Ellyson Ave. INSURER Be Nationwide Insurance Co.
East Hampstead,NH 03826 MS RC: Scottsdale Ins. Co. `A+Carrier'
INSURERD:The Guard Ins. Co.
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED.NuivrI (STANDING 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 HER1N 1S SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN
MAY HAVE.BEEN REDUCED BY PAID CLAIMS.
POLICY
EFFECTIVE POLICYEXPIRATION
I.rx TYPE OF INSURANCE POLICY NIJM➢Eli DATE DATE(MM/DD/YY) LIMITS
(h5VDD/1
GENFRAL LIABILITY CIP229376 11/25/14 11/25/15 EACH OCCURRENCE
[X]COMMERCIAL GENERAL LIAmLTI'Y DAMAG $ 1,000,000
[ ]CLAIMS MADE [X]OCCURRENCE REMISES(E RENTED $ 100,000
[ ] PREMISES(Ea occurrence
[ ] NIEDEXP(Anyunep—) $5,000
A GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 1,000,000
[X I POLICY ( ]PROJECT [ ]LOC
f2oDeductible: ceNERALACGIt£GnTE $2,000,000
Bodily Injury/Property Damage $1 000 PRODUCTS-CONINOPACV, $2,000,000
AUTOATOBILE LIABILITY COMBINED SINGLE LINDT $1,000,000
[ ]ANY AUTO (ER accident)
( I ALL OWNED AUTOS BODILY INJURY �.
[ ]SCHEDULED AUTOS (Perperson) $
[ ]HIRED AUTOS BOUILY INJURY
[ ]NON-OWNED AUI.OS (per accident) $
[ 1
PROFERTY DAMAGE
[ ] (Per accident) $_
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
[ ]ANY AUTO
[ ] OTHERTHAN EAACC $
AUTO ONLY; '..
AGG $
EXCESS/UMBRELLA LIABILITY X13SO045857 11/25/14 11/25/15EACH OCCURRENCE $ 1,000,000
[X]OCCUR [ ]CLAIMS MADE
AGGREGATE $ 1,000,000 L.
C $
( ]DEDUCTIBLE $
[X]RETENTION $2,500 $ ',.....
WORKERS COMPENSATION AND R2WC522483 11/03/14 11/03/1$ x �n,vrnar DTII
EMPLOYERS'LIABILITY umrrs '-"
Covered State:MassachusctLS
e.I_Eac1I ncclnenT $ 100,000
D ANY PROPRIETOR/PARTNER/EXECUTIVE �—
OFFICEIUMEMBER EXCLUDED? F_I.DISEASE-FA FAINOYEE $ 100,000 '.....
(lyes,describe under E.I.DISEAse POLICY LIMIT $500,000
SPECIAL PROVISIONS below
DESCRIPTION OF 01'ERAI'IONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENIISPEC1AL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'1•IIE EXPIRATION
DATE TIIEREOF,THF.ISSUING INSURER)VILL ENDEAVOR TO MAIL 3D DAYS IVRITTEN NOTICE
TO THF.CERTIFICA'T'E HOLDER NAMEU TO TBE LEI'I',EUI-FAILURE TO DCT SO SHALL IMPOSE
NO OBLIGATION Olt LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS Olt
REPIIE:SI'NTA TIVE.S.
ALTHORIZEO RUPRESENPATIVE..
ACORD 25(2001/08) O ACORD CORPORATION 1988
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Massachusefts Department of PubNc Safety
Beard ofuHd6 nig RegUlafions and tairidw rds r
i eadlal Y"1GF�I(d�V °""r°�+tl i j�asrg. .
Ucaense: CS-098996
HALIIL ASLAN .
7 VINAL ST
DRACUT MA 01626
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