11 SALT WALL LN - BUILDING INSPECTION The Commonwealth of Massachusetts
° Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code,780 CMR SALEM
Revised Mar 2011 -
Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Da Applied:
2., —) M
Building Official(Print Name) Signature ate
SECTION 1:SITE INFORMATION
1.1 Property Address: 1..2 Assessors Map&Parcel Numbers
�l EJC w�ai 1-v►
1.1 a 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
o N'
y.
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System. n
Public❑ Private ElZone: _ Outside Flood Zone? Municipal❑ On site disposal sygn 05
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP' p D
2.1 Owner of Reco d: D ((A 11
Name(Print) City,State,ZIP �} <
41 �aal�t IY�11 ke
No.and Street Telephone E it Address
SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other Specify:
Brief Description of Proposed Workz:
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost"(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (ITVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ fli l ❑Paid in Full ❑Outstanding Balance Due:
sCry ( (O V T -7 1, 9
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) l D, ? / )
�r L 14h License Number�P jJ
Wj�� Ex ration ate
Name of CSL Holder
���;4� List CSL Type(see below) 16/
No.and Street
Type Desc Lion
U Unrestricted(Buildings up to 35.005 cu.ft.)
City/Town,State,ZIP / J R Restricted 1&2 FamilyDwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Tile hone Email address D Demolition �11
S. egistered Home Improvement Contractor(HIC) " ' b
vy� � yy ll
no7— Z!- HIC Registration Number xprratio Date
HIC Com an me or HIC Registrant Name
No. 9re`et �A/!A 0�7!. z Email address
Ci /Town//,State,ZIP Q Telephone
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 Issuan5p of the building permit.
Signed Affidavit Attached? Yes.......... No...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize � !dam!
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Elect medic Signature) V IYF Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this�aonlication is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent's Name(Electnic Signature) Da e
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
mnn .mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.g_ov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of beating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"maybe substituted for"Total Project Cost"
ANEW ENCLAND Status: active
,! ed 6/172
2014
(revised 014)
�✓fLA R OUOTE:8173
hotwater
HOME I SCHOOL I BUSINESS
To Rich Girard
11 Salt Wall Lane
Salem Mass.
Salesperson I Job I Pa men Terms t- —.._.,.-i--_.. .�.______ y
Bruce _
-Solar domestic hot water system TBD 50%down,balance
upon completion
Description
Unit Price
f Install solar domestic hot water collectors, storage and all associated controls and�— i —�--1
I hardware.
(3)Kingspan FPW30 flat plate collectors and racking
Copper or stainless steel solar line set with 18mm UV proof insulation and sensor wire I
Resol 'BS Plus'solar controller
Wilo Star 32F primary pump
Zilmet drain back tank i
i Propylene glycol heat exchange loop i
Tank and associated potable plumbing not included($1,480 deducted)). Mix valve
required. j $8,150
I ,
This system will generate$3 260(rebate canoed at 40%of oroiect cost) MassCEC rebate I
that Is payable to the customer I 4
(NESHW can take rebate check directly from MaSSCEC if required, to reduce customer's 1
immediate out ofpocket'expense)
Total: $8,150
neshw.com
A SOUTH SHORE SUSTA/NABLEBUSINESS
677 Temple St Duxbury,Me 02332
Phane:7815368633 Fex:815 30 1 8678 bmce�laneshwcom
Ma.H/Clicense 160450
NEW ENGL",D
S . LAR
hoy' ater
HOME I SCHOOL ` BUSINESS
BUYER'S RIGHT TO CANCEL
Proposal B173 6/17/2014
If this agreement was solicited at or near your residence and you do not want the goods or services, you may
cancel it by mailing a notice to the seller. If you cancel, the seller may not keep any part of your cash down
payment. You must say, in the cancellation notice,that you do not want the goods or services and mail it before
midnight of the 3rd business day after you signed this contract to the address at the bottom of this form.
Total Amount $8,150 (includes $275 for stamped structural letter)
Deposit$500 (no deposit required if 0% HEAT loan financing used)
Balance upon completion $4,390
MassCEC rebate (paid directly to NESHW by MassCEC) $3,260
The homeowner:
0 Agrees that he/she and has read this agreement and any addenda and the terms, specifications and
conditions are satisfactory.
C Represents and warrants that he/she is the owner or authorized agent of the Construction Address.
You are authorized to work as specified and
payment will be made as outlined above.
Homeowner's signature of acceptance C C��a�c� Date 6/26/2014
Contractor's signature of acceptance Date (-o'"Z6
This contract may be withdrawn if not accepted by the Contractor within 60 days.
neshw.com
A SOUTH SHORE SUSTAINABLE BUSINESS
677 Temple St Duxbury,Me 02332
Phone:7815368633 Fax:8153018678 brace&eshw.Com
Me H/C license 160450
Ms��ehkraNu.2f►0an,l+ww M/W1t fly "�`
I wnrD ur nww 5w L
r�n�c CSFA CSA-1 107284
May
DRUCKDDIKP ?
fi77'1'F.MI'LP.tiTRF.P sh
DI1XtlDKY MA 07J32,, it ,{I:
Massach efts -Department of Public Safety
Board of Bu ding Regulations and Standards
Construction Su •n isnr 1 & 2 Famil" _
License: C A-101264
BRUCE D DDM
677 TEMPLE STREET '• c
DUXBURY MA 02332
Expiration
Commissioner 05123/2014
��ie oamw�wr:a�ea�l/ 0�✓�1'aaaa�naella
Office of Consumer Affairs&Business Regulation
P HOME IMPROVEMENT CONTRACTOR
Registration: 4160450 Type:
Expiration_ _ 7129/2014 DBA
BR CE DIKE ALTERNATIVE ENERGY
BRUCE DIKEr�_,1 ._,?•,
677 TEMPLE ST
DUXBURY,MA 02332��" Undersecretary
1
CITY OF Scu.EINI, NLkSSACHUSETTS
' BUELDLNG DEP AR"I'mwr
` 130 WASHINGTON STREET, 3'FLOOR
TEL (978) 745-9595
FAX(978) 740-9846
KI\(BERLEY DRISCOLL
MAYOR THoNiAs ST.PmRRE
DIRECTOR OF PLBLIC PROPERTY/BUUMI3C CONMMSIONER
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
'2qLl
ame of facility)
- raymh,�/7N1r- -
(address of facility)
signature of permit applicant
date
JcbriwfLJa:
New England Drain Back Solar Hot Water
System
A glycol filled 'hybrid' drain back system
DHW DHW Hot
Cold In Out Solar
Collector
M
Solar Storage Drain Back
Tank Tank
Electrical Immersion
Element (optional)
Solar
Pump
11 Salt Wall Ln, Salem, MA
r
Proposed collector location
(mounted 'flush' to roof)
Glrard Residence:
13)10ngspan FPW30collectors(flush mounted to mA
Pxlsting oonditlon
Raftersize,species, pitch M, iSTC nom
Rafterspeaes SPF
Rafterpitch 45 degrees
Ratter s,pa,n wet
Sale mground snow load 45 PSF
Sloped roof snow load perASCE�Ch 7 315 PSF
Maad mum Permissahle span a r
(perAmericanWoodCoundi Maximum
SpanCalculator,1/364deflection)
'EJOV solar flashings w/ 3. 5" lags,
8 req'd. Installer to verify that lags 4.. 7�`
are centered on rafters . Lags to be
dstr-ibuted over 6 rafters . ''' f+
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual): fjq
Address:
City/State/Zip: D hone#:
Are u an employer?Check the appro ate box:
4. I am a general contractor and I Type of project(required):
1. I am a employer with_I ❑ g 6. ❑ New construction
employees(full and/or pat't-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 subcontractors have g, ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P h'• 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 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 MGL 12 ❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.Ey Other
comp. insurance required.]
*Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information.
t 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 state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers comp.policy number.
I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: 'J Expiration Date: I
Job Site Address: (I 6::Zd 1k9l z3M City/State/Zip: 60 M �w
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 certify under the pains and penalties of perjury that the information provided above is true t.
)
e and correct.
Signature: Date: �!kwq
Phone#:
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#:
Information and Instructions
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-contractor(s)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 fisted 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 the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit 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 bum 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 Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax# 617-727-7749
www.mass.gov/dia
New England Drain Back Solar Hot Water
System
A glycol filled 'hybrid` drain back system
i
DHW DHW Hot
Cold In Out Solar
Collector
4M
Solar Storage Drain Back
Tank Tank
Electrical Immersion
Element (optional)
.,-.- - -- Solar
Pump
K o .
on s a n � o
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FPW FLAT PLATE COLLECTOR SERIES INFORMATION
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� ale :
Update 100104/ae
INTRODUCTION
Kingspan's FPW flat plate solar collectors are designed to be a,high performing collector. They are offered with
complete Kingspan packages for residential and commercial applications. This document covers the design
specifics of the collectors,the frames specifically offered with the collectors and further information on other
Kingspan components that work with these collectors.
COLLECTOR INFORMATION
Three sizes of collectors are offered;
FPW30 FPW25 FPW18
Dimensions 96 X 48 X3 W' 78 Y."X 48"X 3'/:" 75 /x"X 36 Y:"X 3 VT
weight 115 lbs 97 lbs 75 lbs
Gross Area 31.94 114 26.0 ftz 19.2 R
Aperture Area 29.28 W 24.1 17.4 R
Absorption 95% 95% 95%
Emissivity 4% 4% 4%
Volume 1.4 Gallons 0.8 Gallons 0.6 Gallons
Maximum Operatina Pressure 145 PSI 145 PSI 145 PSI
Flow Rate 0.3 GPM min,0.38 GPM nominal, 0.2 GPM min,0.3 GPM nominal, 0.15 GPM min,0.2 GPM nominal,0.60
1.0 GPM max 0.8 GPM Max GPM Max
Frame Electrostatic Painted Aluminum
Scaling Material EPDM&Silicone
Absorber Coating TiNOx
Tube Material Copper
Weld Method Ultrasonic
Glass Low Iron Tempered
Glass Thickness '/32'
Insulation Rock Wool
v ,
SRCC Certification Number
EtaO 0.702
Al 3.2682
A2 0.00571
x t x t s , a.• q 7 7, a - . .
FPW30 FPW25 FPW18
Class Sunny Mildly Cloudy Sunny Mildly Cloudy Sunny Mildly Cloudy
Day Cloudy Day Cloudy Day Cloudy
A 43.2 32.7 22.2 35.5 26.8 18.2 25.7 19.5 13.2
13 39.6 29.1 18.6 32.5 23.6 15.2 23.5 17.3 11.0
C 34.0 23.7 13.5 27.8 19.4 11.0 20.1 14.0 7.9
D 24.0 14.0 5.0 19.6 11.4 4.0 14.0 8.2 2.8
E 14.7 6.1 0.1 11.9 4.9 0.1 8.4 3.4 0.0
i
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CONSTRUCTION
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Kingspan's flat plate collectors use the best materials available to insure the longevity and performance of the
collector. The sides of the collector are made from anodized Aluminum extrusions. These are riveted in the
corners to hold the collector together. An EPDM seal runs around the glass and is held in place via another
extrusion. This creates a waterproof seal around the entire perimeter of the glass. The tempered glass is textured,
s/az"thick and meets the requirements for low iron.
The collector plate is welded to the absorber tubes. This insures an excellent connection that will not change over
time. Absorber tubes are soldered with low lead solder into the header tubes. Both ends of the header tubes are a
brass fitting for connecting the collectors to one another or to the connection kit(see below).
Surrounding the collector plate on all sides is rock wool insulation. Rock wool insulation is ideal for insulating
solar collectors because it does not break down at high temperatures that solar collectors can reach. It does not
outgas like some foam insulation will over time as well.
FRAMEs
The structural integrity of the collector frame is very important on commercial jobs and Kingspan has all the
necessary frames for the flat plate collector family to meet most wind load requirements in the US and Canada.
There are three basic frame families for the FPW series; frames for parallel mounting,low wind load angled frame
and high wind load angled frames.
Kingspan provides engineering guidance on these collectors and where particular frames may be used. Each job is
unique in how the wind loads are calculated and Kingspan is willing to work with the structural engineer for the
particular job to help determine the proper frame. All commercial jobs should have a professional engineer's
stamp that the frame and structural supports will meet the wind load requirements.
The FPW series frames are made from steel and electrostatically painted black. Many times architects prefer the
black color to the aluminum for aesthetic reasons. The paint gives excellent resistance to corrosion over the life of
the collectors. All hardware is stainless steel.
W' PARALLEL FRAMES
Three different lengths for rails are
available for different combinations of
collectors; 2X FPW18, 1X FPW25,2X
FPW25. The frames are able to be used
with various Kingspan roof mounts to
adapt to different types of roofs.
I
LOW WIND LOAD A-FRAME
For areas with lower wind loads,the adjustable A-Frame will
work well. The frame is adjustable to 40°,45'and 49'to
vi optimize collection at different latitudes.
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HIGH WIND LOAD A-FRAMES
Most of the east and gulf coasts of the United States have high
wind loads because of hurricanes. Additionally,there are
'special wind'regions,such as Los Angeles that is affected by
the Santa Ana winds that require resistance to very high wind
speeds. These frames are designed to provide sufficient
structural support in most installations in these regions. '
�k yi
Thicker material is used on all uprights on the collectors and a '
second set of clamps and mounting rails is included with these
frames. Three different angles are available; 30°,37'and 450
and the angle is not adjustable due to the high load these frames
must resist. 0(00®0
ACCESSORIES 0®000
- -, �jt
CONNECTION KIT 3 PP
The connection kit includes all components required to connect the
collectors to external piping. The connection on each end of the
manifold is a BSPP connection and the kit includes adaptors to 3/4" NPT.
The collectors have a temperature sensor well built into the side of the I ( i
collector rather than in the connection kit. This leads to a specific
t
arrangement for the connection kit and the inlets and outlets from the
collectors as shown below. `( '?
Cap r ff tl Return
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F h
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tx
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Supply Cap
INTERCONNECTION
The interconnection between the collectors is a section of
flexible stainless piping with two nuts. There are two of
these included with each collector along with two seal
washers. {
Up to 10 FPW25 collectors and 8 FPW30 collectors can be , A'
connected in to each other in a bank. i
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f
7/8/14
City of Salem-Building Department
120 Washington St
Salem MA 01970
Enclosed please find a building and plumbing permit application for 11 Salt Wall Lane; Homeowner
Girard.
Additionally I have enclosed checks for the building and plumbing permits and a self-addressed stamped
envelope to send he permits to our main office once issued.
Please call me at the numbers below if you have any questions or comments.
Thank you!
Regards,
Beverly Giacobbe
New England Solar Hot Water
617-827-9033 cell
Enclosures: checks#3220$75.00&3221$20.000:SASE