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30 NORTHEY ST - BUILDING INSPECTION (7) t 1 The Commonwealth of Massachusetts ° Board of Building Regulations and Standards CITY OF Massachusetts State Building Code,780 CMR SALEM /y Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a t Q One-or Two-Family Dwelling (� k,Jhis Section For Official Use Only Building Permit Number: ' r Date A'pled:;at` aI31n3, ' ,....Building Official(Print Name),�t,:. DTI!111" at lw Sig ",.: AMP,... : '' .,,,d, a 00 ib iutiSECTION 1i SITE INF RMATION!K''• e:'a ) 5 tnsfi 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 30 Nclo�e Wit{ Lla Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private Zone: _ Outside Flood Zone? B/ Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2:,PROPERTY..OWNERSHIP,,r,t v " 2.1 Owner'of Record: lira of � lei � /9)�/ 70 Name(Print) City,State,ZIP 3D AOC4�-cq /& W71'YZ No.and Street ' Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORIO(check all that apply)nsttdll(err'9 t ttt"°" New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units I Other Specify:/-✓ Solar Brief Description of Proposed Work': y SECTION 4:ESTIMATED CONSTRUCTION COSTS J(ww„ d QV 4 'Alp,a Item Estimated Costs: d w j}fl(�(3# £It' ,. x W £ to»;r a •<t ia, , „vak "y"y,,,,,: Labor and Materials itOffiUg e�ial Use Onlykil 1.Building $ 0,00c, —1 1 Building Permit Fee $ .r . ,, Indicate how fee is determined:; 2.Electrical $ if G9r ❑Standard Crty Town Application Fee o,!I'1) q ❑Total Project Cost (Item 6)x multiplier,wr=` x tttn. 3.Plumbing $ 2 tbihe Fees"I'$ JIV P` 4.Mechanical (HVAC) $ Lrst: 5.Mechanical (Fire ,. , :e..vs-.„.�;: t„< n••'Jt, r�. Suppression) $ Total All Fees. ChecktNo. "w Check Amount: ' (rd { tCash Amount: '1100 ,6, 6.Total Project Cost: $ Jy99 —oa ❑paidinFullll "'a;"❑ Outstanding`Balance Due i aq SECTION 5: CONSTRUCTION SERVICES 5.1 Construction upervis�oor Licennsse(CSL) 573 28 �/ /3 ,7 - w/ ��`Name of CSL Holder License Number Expiration Dale 3 6 i S (/Ws G �t-/2 t) List CSL Type(see below) u No.and SStmeet�/ r WDemolition Description lgUc-L�✓l� Q/ 7 y/ tricted(Buildings u to 35,000 cu.ft. Gty/Town,State,ZIP cted 1&2 Famil Dwellin n Coveon w and SidinFuel Burning Appliancestionle hone Eil lition 5.2 Registered Home lmproveme LContractor(HIC) �24 933 HIC Comp ame o HIC ant N HIC Registration Number Expiration Date 6N- fy� c *arl . J'I ry`gtole @ Gam cwi f n'l No.zyp /�,e/r,./ 6 r 7v/ �7�4/�V2,60 Email address City/Town,State,ZIP Te(e bone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance the building permit. o Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize_ I-, d -SyP/)1.e, to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owners Name(Electronic signature) G Date SECTION 7b:OWNER t OR AUTHORIZED AGENT DECLARATION ' By entering my name below,Phereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the be of my knowledge and understanding. �� S !Z— Prmt Owner's or Authorized Agent's Name(Elec[roni to Dale NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund,under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementiattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number ofhalf/baths Type of heating system - Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" i CITY OF S.0 EN1, 2UNSSACHUSETTS BUUDLNG DEPARTMENT a• 120 WASHINGTON STREET, r FLOOR TEL (978) 745-9595 Fax(978) 740-9946 KiNiBFRIZY DRISCOLL MAYOR THoMAs ST.Pwxm DIRECTOR OF PUBLIC PROPERTY/BL'II.DINIG CONMDSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly �lat'nc18usimswOrganization/Individual): Address: /36— 1clIVILr rr /W. City/State/Zip: �/e t/f/,C 444, o Phone#: %�� 00'/fr 2- O Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction ploloyces;(full and/or part-time),* have hired the subcontractors 2.211 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have ll. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. Building addition (No workers'comp,insurance 5. ElWe are a corporation and its 10.❑Electrical repairs or additions required.) Officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no )2,� f repairs insurance required.)t employees. [No workers' 13 Other SOLI\ comp.insurance required.] •Any applicant that chucks box dl most also fill out the section below,showing thofr worker'compensation policy infurmadon. t 1 fomeowner who submit this affidavit indicating they arc doing all work and then hits outside commior most submit a new affidavit indicating such. :Cumrctor that check this lox must attached an additional sheet showing the name of the sub.conyactor and their worker'comp,policy iafomutim. I am an employer that is providing workers'compensation insurance for my employees. Below Is the pa,14 and jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site 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 required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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 S250.00 a day against the violator. lie advised that a copy of this statement may he forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u e r nd patalfles ojperjury that the information provided above Is true and correct ' t Wig: ?� Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/l.lcense Issuing Aulhori(y(circle one): I. Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other -- Contact Person: Phone#' 1 CITY OF S.UEm, 1v'LAsSACHUSE17S BUILDING DEPART i&NT 120 WASHNGTON STREET, NO FLOOR TEL (978) 745-9595 FA.X(978) 740-9846 KIN Rr EY DRISCOLL MAYOR Tm.%LAs ST.PmRRE DIRECTOR OF PUBLIC PROPERTY/BUILDING CONMSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in : (name of facility) n` (address of facility) (3-V s' a of permit applicant date dcbriwirdcK Endless Mountains EE9 SPEC7FIACTIONS ENPHASE M215-60-240V LINE DIAGRAM KW` SOLAR SE RV Y:C ES VOLTAGE: ENPHASE CABLE TECH235IM60/8 BLACK-LI RED-L2 WHffE-NEUTRAL GREEN-GROUND (UNCTION BOX ti METED O rREC TERMINATOR CAP INSTALLED ON END OF CABLE TO METER OR AC DISTRIBUTION PANEL UP TO 17 M215s PER BRAN CH CIRCUIT E3 na 1-2 POLE AMP CIRCUIT BREAKER AC DISCONNECT PER BRANCH CIRCUIT NONFUSED TO RENSTANEu WITUEST m ETHERNET CONNECTION AWAY OION MAN EREARG .� ENVOY COMMUNICATIONS GATEWAY TO BROADBAND ROUTER ' e enphase�' " e " ° ` FF: :ENDLESS MOUNTAINS SOLAR SERVICES \ 288 KIDDER ST NEUTRAL GROUND L RO Vac POWER CABLE WILKES BARRE PA 18702 AC DISTRIBUTION PANE( (570)820-5990 ORSUSPANEE :)AMES LASKOWSKI R: FLORA TONTHAT 30 NORTHEY ST SALEM MA 01970 978-397.1582 1/3112 GARAGE 20X30 31MODUL--i'. LF-5 MODULES 225 SOUTH HOME y 23%57 COMPANY: ENDLESS MOUNTAINS SOLAR SERVICES 288 KIDDER ST WILKES BARRE PA 18702 DRAWN BY::TAMES LASKOWSKI CUSTOMER:FLORA TONTHAT 30 NORTHET ST SALEM MA 01970 978-3974582 113112 Massachusetts Department of Public SafeO Board of Building Rcrulations and Standards Construction Supervisor License License: CS 57328 r JJ SUPPLE 136 SUNSET RD CARLISLE, MA 01741 Expiration: 9/11/2013 ("ommi.5umer Tr#: 428 ' Lg 1°rroauixc� �l. ulalationtion maav Office o onsumer Af mrs smess eg a � HOME IMPROVEMENT CONTRACTOR III Registration: .125933 Type: u Expiration: 8110/2012 DBA ` SUPPLE CONSTRUCTION CONTRACTING J SUPPLED 136 SUNSET RD Q 4 { CARLISLE,MA 01741 - Under—secreta� . ✓i�w L/N/)blN04EG/BaU/t o�✓a�,aJSt[c�ttJe� DEPARTMENT OF PUBLIC SAFETY Hoisting Engineeciicense Number: NE 087365 Expires: 09/11/2013 Tr.no: 912.0 Restricted: 1C,2A JJ SUPPLE 136 SUNSET RD � CARLISLE, MA 01781 Commissioner w Siemens Microinverter System The Siemens Microinverter System improves energy harvest,increases reliability, and dramatically simplifies design,installation and management of solar power systems. The Siemens system includes the Microinverter,Trunk-and-Drop cables,the Envoy Communications Gateway,and the Enlighten monitoring and analysis website. i i w�r'Twwi a 4 ■Maximum energy production ■Quick&simple design,installation and management ■Resilient to dust,debris and shading ■2417 monitoring and analysis ■ Performance monitoring per module ■System availability greater than 99.8% ■Low voltage DC • No single point of system failure ■Reduced fire risk LDataeet emens.com/microsolar SIEMENS Microinverter technical data Recommended maximum input power ISM 260 W Maximum input DC voltage 45 V Peak power tracking range 22 V-36 V - *Operating range 16 V-36 V Min./Max.start voltage 26.4 V 145 V Max DC short circuit current 15 A •Max.input current 10.5 A Maximum output power 215 W 215 W Nominal output current _ 1.1 A* 0.9 A* Nominal voltage 1 range 208 V 1 183 V-229 V 240 V 1211 V-264 V i Extended voltage I range 208 V 1 179 V-232 V 240 V 1206 V-269 V Nominal frequency I range 60.0 1 59.3-60.5 Hz 60.0 1 59.3-60.5 Hz Extended frequency 1 range 60.0 159.2-60.6 Hz 60.0 1 59.2-60.6 Hz� _ Power factor >0.95 >0.95 Maximum units per.20 A branch circuit 25(three phase) 17(single phase) g Maximum output fault current 1.05 ARMS,over 3 cycles;25.2 Apeak• 1.74 ms duration *ARM,at nominal voltage CEC weighted efficiency 96.0% t Peak inverter efficiency 96.5% Static MPPT efficiency(weighted,reference EN50530) 99.8% Dynamic MPPT efficiency(fast irradiation changes,reference EN50530) 99.9% Night time power consumption 46 mW Mgmg .. . Operating temperature range -40'C to+85'C ,Ambient temperature range r 40'Cto+65°C _ 9 Dimensions(W x H x D) - 17.3 cm x 16.4 cm x 2.5 cm(6.8"x 6.45"x 1.0")* .•Weight 1.6 kg(3.5 lbs) Cooling Natural convection-no fans .Enclosure environmental rating "Outdoor-NEMA 6 J *without mounting bracket Compatibility Pairs with most 60-cell PV modules Communication Power line Warranty 15 Years Compliance UL1741 IIEEE1547, FCC Part 15 Class B 4iCANICSA-C22.2 NO.0-M91,0.4-04,and 107.1-01 The information provided In this flyer contains merely Siemens Industry,Inc. Subject t0 change without prior notice general descriptions or characteristics of performance which in case of actual use do not always apply as described Building Technologies Division Order No.: RPFL-MIINV-0411 orwhich may changeasa resultof further development 5400 Triangle Parkway Printed in USA of the products.An obligation to provide the respective Norcross,GA 30092 ©2011 Siemens Industry,Inc. characteristics shall only exist if expressly agreed in the terms of contract. 1-800-241-4453 info.Us@siemens.com All product designations may be trademarks or product names of Siemens AG or supplier companies whose use by www.usa.siemens.com/microsolar third parties for their own purposes could violate the rights of the owners. .olI!fpr" • � 'f n� �{� r u ss lIl� 1��61 IW�till oi1ti=: 1 n Modern Technology for a Sustainable World MADE IN IM60 Series Photovoltaic Modules Peak Power: 230-245Wp THE USA Features •60 MOTECH multicrystalline solar cells connected in series •Designed for 600V or 1000V applications II • For commercial or residential grid-tied applications } •Output power tolerance of-3%+5% • Robust, anodized aluminum frame and tempered glass ' •Tyco junction box, easy-click SOLARLOKO connectors, and cable • Global manufacturing and world-class quality POWERED BY trllrlllt#,'n„IfIh;�I�n{e, SOLAR CELLS Quality, Reliability, and Yield Motech modules are powered by some of the highest performance and most reliable silicon cells in the solar industry. Motech modules are engineered and tested to the highest possible quality standards and are recognized I throughout the world for their ability to deliver lifetime performance and, most importantly, maximized kWh yield. "`R" 25-Year Extended Warranty* Certifications & Standards* • 10-year warranty at 90%;25-year warranty at 80% ®Eu (♦ (♦� •5-year warranty on materials and workmanship 'Go 1— ---- ----- Intertek Intertek 90 . 80 n rm IEC 61215 UL 1703 Application Class A 70 n nFd gotta• ta.� .n } it r�� = IEC 61730 CEC listed Safety Class II m{1�11{{ i=�Warranted Power Output=.'(l;d,I ItlI(1k 31,r 0 5 10 15 20 26 Please refer to our website for certification and warranty details. Years IM60 Series Photovoltaic Modules U ert� 111 Modern Technology for a Sustainable World Physical Characteristics 992mm 942mm Mounting 39 lin 3T11n holes 9mm x 14mm 0.35in.0.55in 50mm 1.97in 2mm 860mm 1000mm 3 mm�T 33.9in 394In Ground I in 1650mm Mounting holes holes 65.0 5mm 136 mm 0.2,n 10 Drainage holes q, _L L IR I M1 D + Physical Design Properties IV Curve ..................................................................................................................................... 9 T WeightdIA 43,71b[19.8kg]-------------------------- ----- ..................................................................................... .Maximum Tested Load b,',1 , ±50psf[240O Pa]/+1I3psf[540QPa]* 7 --:-=........................................................................ - ---------- ------ - - --- 6 1 Hailstone Impact Resistance 1"@50 mph[25mm@80kph) Junction Box IP65 rated �d(STC) . ................................................. "'W� oo�j ............................................................................................................................... 4.Omm2 Universal PV Wire, 3 r�'l I ftnP'vCs'bf6sIIIII'flw'NJ%p'd" 1000mm L39.4inj, U' 2 L Tyco SOLARLOKO Connectors 1 ......... .................................................................................................................... .Refer to module installation instructions for maximum leading configurations. 0 0 5 10 15 20 25 30 35 40 Voltage(V) Electrical Performance Test Conditions STC NOCT STC NOCT STC NOCT i STC NOCT ........................................................................---------------------------------------------------------------------------------------------------------------------------......... ................�Illax.PowerVoltage "M Vmpp(V)NOWW]II MEWMM26.4,,�,.jl Vw29.4,,mIJ_1fi,yl 26.6 L_ __29.8 27.0 29S 'AWN11 27.1'0 It ...............................................................................................................tl*"""",*","",1*11,111,11*11*11*111,""tI........ ----------------------------- ------ Max.Power Current lmpp(A) 7.9 6.3 8,0 &A 8A 6.5 8,2 6.5 ---------------------- ---------- -------------------------------------------.............................................------------------- VOCM�9111111111111 Qpen Circuit Voltage 36.8 37.3 34.2 '�mlhn137.419!F!=,34.3 -------------------------_-..............................................................................T--------------------------------------- ............................................. ............................................ Short Circuit Current lsc(A) 8.4 6 8.5 6.9.8 8,6 7.0 83 7.1 .........................................................................:........................... --------- ....................................................................................................................................... Electrical Performance Parameters .............................................................................................................................................................I..................................................................................... Laci"Ifigh Temperature Coefficient a(%/,C),"I 11 +0.07±0.02 Max:Series Fuse WhII Ala� , " "Ozj 15A ...................................----------------------- .....................................................................................__----------------................................................................. lure Coefficient KPI00V, 1 OOOV to (%/�Gj -0.34±0.01 ; MaxMaZ System Voltage Operating" ell Temp.(NOCT)ji,, 48'C±2°C Tert;oeratuis Coie4ictent (%/'C) -0.46±0.02 40 G;i Oper' C�' P Mex................................."*.....*--------------------:......... . ........................................*.........*------------------------ --------------------:-.1......................................... ..................... ............................................................................ . ........................... .. Efficiency Reduction at 200WIM2,25-C1 PIPR"'WRI9 III Limiting Reverse Cu int(Ir) 'QII1,1ftJ 87A ................................................................................................ ....................................................................................................................................................... IV parameters are rated at Standard Test Conditions(Irradiance of 1000 WIM2,AM 1.5G,cell temperature 25'C).All measurements are guaranteed at the laminate leads.NOCT is measured at 800 WIM2,20 deg.C ambient,and 1 m/s windspeed.Specifications are subject to change without notice. Motech reserves the rights of final interpretation and revision on this dabismat MA000600 Rev B,January,2011 MOTECH INDUSTRIES, INC. MOTECH Americas LLC, a division of MOTECH Industries, Inc. 231 Lake Drive, Newark, Delaware 19702 USA Tel: +1-302-451-7500 1 E-mail: modules@motech-americas.com I 11-IIU t