40 CLARK STREET - BUILDING JACKET �
� - l �I - 13ZS ._ ' 1 � Q5 �l9
� 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 Demolisb a
One-or Two-Fami/y Dwelling
This Sec[ion For Official Use O�ly�
Building Permit Number. Date Appli : I
� /y�/ i
Building Official(Print Name) Signa[ure Date �
SECTION 1:SITE 1NFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
. 40 Clark Street p� 0003 �
1.1 a Is this an accep[ed sVeet?yes X no Map Number Parcel Number
1.3 Zoning Informallon: � L4 Property Dimensions: �
R� residence-no change
Zonin�District Proposed Use � Lot Area(sq R)' Frontage(ft) ,
E
1.5 Building Setbacks(ft) n/a
� Front Yard Side Yards . Rear Yard
� Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.4Q§54) 1.7 Flood Zone Informafion: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?
� Chcck if yesO Municipal O On site disposal system ❑
SECTION2: PROPERTYOWNERSHIP�
2.1 Owncr of Rewrd:
Gail Fialho Salem, MA 01970
Name(PrinQ Ciry,Sta[e,ZIP
40 Clark Street � 978-265-9070 gailfialho@comcast.net
No.and Strcet ' Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Conshvction❑ Existing Building❑ Owuer-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ �Accessory Bldg. ❑ Number of Units Other Lj9 Specify: solar
Brief Description of Proposed WorkZ: Installation of a 625kW roof mounted solar array using 25 Canadian Solar
CS6P-250P modules,25 Enphase M215-60-2LL-S22 micro inverters,and all associated electrical work.We will also
be doino uoqrades as stated in structural letter
SECTION 4: ESTIMATED CONSTRUCT[ON COSTS
Item Estimated Costs:
Labor and Materials Of'ficial Use Only
1. Building $ 5,000 � L Building Permit Fee: $ Indicate how fee is de[ermined:
2.Electrical $ 22,000 �Standazd City/Town Application Fee
❑Total Project Cost (Item 6)x multipiier x
3.Plumbing $ 2. Other Fees: $ -
4.Mechanical (HVAC) $ , List:
5. Mechanical (Fire $
� Su ression Total All Fees: $
6.Total Project Cost: $ 27,000 Check No. Check Amount: Cash Amount:
❑Paid in Full ❑Outstanding Balance Due:
m�,� ��sl � y
�
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
102054 10/6/14
MichaelRotondo LicenseNumber ExpirationDate �
Name of CSL Holder
61 Gellette Road � List CSL Type(see below)
� No.and Street Type Description
Fairhaven,MA 02719 U Unrestricted Buildin s u to 35,000 cu.ft.
City/Towq,State,ZIP R Restric[ed I&2 Famil Dwellin
� � ��� M Mason
RC Roofin Covenn
-�--�Ea WS Window and Sidin
� SF Solid Fuel Burning Appliances �
401-215-7056 � michael.rotondoo�rgsenergy.com I Insulation
Tele hone � Email address D Demolition �
5.2 Registered Home Improvemen[Contractor(HIC) 162709
4/6/15
Alteris Renewables dba RGS Energy HIC Registration Number Expira[ion Date -
HIC Company Name or HIC Registrant Name � '
32 Taugwonk Spur,Al2 �
No.and Street kimberly.hendel@rgsenergy.com .
Stonington, CT 06378 860-535-3370 Email address
Ci /Town,State,ZIP Tele hone �
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submit[ed with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the buiiding permit.
Signed Affidavit Attached? Yes ..........C� No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject proper[y,hereby authorize Alteris Renewables dba RGS Enerpy
to act on my behalf,in all mat[ers relative[o work authorized by this building permit application
see signed authorization form attached �
Print Oxmer's Namc(Electronic Signature) Date
SECTION 7b: OWNER�OR AUTHORIZED AGENT DECLARATION
By entering my name below,l hereby attest under the pains and penalties of perjury that all of the information
con[aiq I in t i application is true and accurate to the best of my knowledge and understanding.
� � � ����
Print Owner's or Authorized AgenYs Name(Electronic Signaturc) Date
NOTES:
1. An Ovmer who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(no[registered in the Home Improvement Con[ractor(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 Construc[ion Supervisor License can be found at www.mass. o� v/dps �
2. When substantia(work is planned,provide the information below:
Total floot area(sq.ft.) � � (including garage,finished basement/a[[ics,decks or porch) �� ,
� Gross living area(sq.ft.)� � Habitable room count
� Number of fireplaces Number of bedrooms
Number of bathrooms Number of halflbaths
Type of heating sys[em Number of decks/porches - � -
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substitu[ed for"Total Project CosP'
�\�/, . , �
= = RGS 1 ENEIR�Y
�,��/,,`` C�can powtr.BiIPx�Savings. . .
Property Owner Consent Form
Owner: ���p. � �. �� , f �
.�7_
Address: �7(/ �',Q/,t�,�t[. ��
Town: Su,r.e�m ,
State: +h �
z�P: 0147�
Phone: q 7�' -Z �ns �0 70
I hereby give permission to RGS Energy and their
� representatives to pull the required permits for a solar
installation on my property.
.
f0 5 I S �
P ty w er , Date
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Ili ^� T.�f�r 1!r.�>i�air,i,ii+r�ri��� �� � l(ri,�,iri���riJ��//J
5 z� , '� O�ce of Consumer Affuirs and Busmess Regulation
;�..�:i� • 10 Park Plaaa - Suite 5170
Bos�on.Massachuscns 021 1 G
Wome lmProvemem Contrnctor Rceistration
RepfaUntian. 182�09 �
I „ Tvpe' P�vate Carootelbn
EKoiiation �1820ts 7�s 2�777z
ALTERIS RENEWABLES INC.
MICHAEL ROTONDO " —
32 TAUGWONK SPUR Al2 ---- —
STONINGTON, cl 08378
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' � The Commonwealth of Massachusetts
Department nf Industrial Accidents
Offtce oflnvestigations
� 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Co�tractors/Electricians/Plumbers
Apalicant Information Please Print Leeiblv
Name(t3usinessiOrga��z�c�o�/�ndividuaq: Alteris Renewables, Inc. dba RGS Enerqy
Address: 32 Taugwonk Spur, Unit A-12
City/State/Zip: Stonington CT 06378 Phone#: (860)5353370
, Are you an cmploycr7 Check the appropriatc box: Type of project(required):
l. X❑ I am a employer with 120 4. ❑ I am a general conffactor and I 6. ❑New conshvction .
employees(full and/or part-time).* have hired[he sub-wntractors
� 2.0 I am a sole proprietor or partner- listed on the attached sheet I �� ❑ Remodeling
ship and have no employees � These sub-contractors have 8. ❑ Dcmolition ..
working for me in any capacity. workers' comp. insurance. 9. �Building addition
[No workcrs'comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their ���❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL ll.❑ Plumbing repairs or additions '�,
myself.[No workers' comp. �c. 152, §1(4),and we have no ]2.� Roof repairs '
insurancc requircd.]t employecs. [No workers' � !
comp. insurance requircd.]
13.❑x Other solar panels
*Any applicanl lhat chccks box NI must also fill out lhc scction bclow showing Ihcir workcrs'compcnsa[ion policy information. ,
t Homcowncrs who submit lhis affidavit indicating Ihcy arc doing all work xnd thcn hirc ouLsidc contraclors must submit a new affidavit indicaling such..
IContrac[ors that chak lhis box must attachcd an additional shcet showing thc namc ofthc sub-conlraclors and thcir workcrs'comp.policy informalion. �
. /anr an enep/oyer[ba[is providing workers'compensa[ion insurance for my emp[oyees. Below rs the policy and job site -
injon�:ation.
Insurance Company Name: Zurich American Insurance Co.
Policy#or Sclf-ins. Lic.#: WC5852405 Hxpiration Date: 01/01/2015
Job Si[e Address: 40 Clark Street City/State/Zip: Salem, MA 01970
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failurc to secure coveragc as required under Section 25A of MGL c. 152 can lead to the imposi[ion of criminal pcnalties of a
' - finc up to$1,500.00 and/or one-year imprisonment,as wcll as civil penaltics in the form of a STOP WORK ORDER and a finc �
of up to$250.00 a day against the violator. Be advised that a copy of this statcmcnt may be fonvarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby rerb.f#'und r!he pains nd penalties ofperjury tleat the information provrded above rs lrue and correct.
Si�nature: `'rr'�" ... �� - � Datc• 8Ig(��
u
Phone#: (860)5353370
Ojficra[use only. Do not wri[e in this area,to be completed by city or taw�:o�ciaL .
City or Town: Permit/License# � �
Issaing Authority(circle onc): �
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector � �
6.Othcr
Contact Person: Phonc#:
APEX Engineering www.thestructurals.com � !.�
281 East Hamilton Avenue • Suite 5 • Campbell • CA • 95008-0232 AV�Oj
Teiephone:ao8.3�s2o68• apex@thestructurals.com Q►��o;c� o
Wednesday,June 25,2074
5266-14 10133176 Fialho 40 C/ark C.Roberts MA �
ROOF1
Panels
ROOF Photovoltaic
' DC Rating: 6.25 kW
Fialho, Gail
40 Clark Street �
Salem, MA 01970 r'
Jurisdiction: City of Salem
To: Building Department,
The aforementioned structure has been examined and it has been determined that the
structure can support the proposed 6.25 kW PV system with modifications. We have verified
the structural integrity of the roof framing and found that the installation will satisfy the
structural roof framing with mid-span 2x10 DF#2 collar ties are added at rafters (5- 10d
common (3"x0.148"); predrill existing members to prevent splitting) where there are L-Foot PV
attachments. This framing will satisfy design loading requirements of governing codes:: MA
780 CMR, 8th Edition -including 2/4/11 revisions to Tables R301.2(4) & R301.2(5)
ASCE/ANSI 7-05 Minimum Design Loads for Buildings and Other Structures.
The design is based on wind speed of 100 mph, exposure B, snow load of 40 PSF and PV
Panel of 3.30 psf.The PV attachment at 32" OC staggered, maximum has been approved by
APEX Engineering. The photovoltaic system and the mounting assembly comply with the
loading requirements. The roof structure is adequate to support self-weight of roof, PV panels
and snow loading conditions and wind pressures.
Sincerely,
c,ao�,a w�a s
��ZN pF A�so c . Mod�ee aama ,
•q UmracSolamiowt
� TNOMASJ. yG �����
� � � m creen Faste�Flasn�
c�i CIVIL � �"a EcacFi�uc��zw�im
No.51039 ���mP'� � ECOLP-SO Compressim Bracket
snc�3sss.w�sai
9F0/6TEP��,�A� �� � � /� w12.5'Minimum Pe�retrntion
�NAL t�- � � �y ���' Sealetl wl ADP�ovetl Sea��nt
Y Xa�o ctG
Expires: 06/30/2016
� Attachment Detail
U
s�: r=,.o•
APEX Engineering www.thestructuralscom !.�
281 East Hamilton Avenue • Suite 5 • Campbell • CA • 95008-0232 ~AV�Oj
Telephone:408.3792068 • apex@thestructurals.com �� Q►�co;°� o
Wednesday,June 25,2014
5266-14 10133176 Fialho 40 C/ark C.Roberts MA � ROOF 1 '
Panels
ROOF Photovoltaic
DC Rating: 6.25 kW
Fialho, Gail
40 Clark Street �
Salem, MA 01970 ��'
Jurisdiction: City of Salem
To: Building Department,
The aforementioned structure has been examined and it has been determined that the
structure can support the proposed 6.25 kW PV system with modifications. We have veritied
the structural integrity of the roof framing and found that the installation will satisfy the
structural roof framing with mid-span 2x10 DF#2 collar ties are added at raffers(5- 10d
common (3"x0.148"); predrill existing members to prevent splitting) where there are L-Foot PV
attachments. This framing will satisfy design loading requirements of governing codes:: MA
780 CMR, 8th Edition -including 2/4/11 revisions to Tables R301.2(4) & R301.2(5)
ASCE/ANSI 7-05 Minimum Design Loads for Buildings and Other Structures.
The design is based on wind speed of 100 mph, exposure B, snow load of 40 PSF and PV
Panel of 3.30 psf. The PV attachment at 32" OC staggered, maximum has been approved by
APEX Engineering. The photovoltaic system and the mounting assembly comply with. the
loading requirements. The roof structure is adequate to support self-weight of roof, PV panels
and snow loading conditions and wind pressures.
Sincerely,
c,ranw w�e s
'(H QF MA nnoau+e c�,mu
y��J�' SCyC uNraosaam,au,c
� THOMAS J. yG ��`�"J��
� YATES m cx�'Fas�'Flast'°'q:
� CNIL f"i„ �j ECQGFt-BLK-812WM
No.51039 ��P) -��'�`�j ECOLPSO Compression 8racket
q�,FO/S7EP���ti � �'"'�'' . 5�16'x3.55.5.lagBdt
w12.5'Murimwn Penetratlon
�'s`S�ONALE� r .0�9��6 Sealetlw/AppmvedSea�am
Expires: 06/30/2016
Yy,H oy'
� �;�Attachment Detail
�`_j
s�:r=,.o•
r
FOR GONSTRUCTION �v�tl/�
� � Grid-Tied Photovoltaic System RGS
DC Rating: 6.25 kW ENERGY
Fialho� Ga�� QeanVower.engh?Savings.
40 Clark Street 3sco�g��co�k osaisZ
Phone(S60)535-3370
Salem, MA 01970 Fax(413)683-2225
Jurisdiction: City of Salem �R,o-T,Eo
Sheet List PHorovo�raic sysreM
Added Collar Tie Sheet No. Sheet Title s.zskw oc sTc
Scope of Work: General Notes: Page Pv-000 COVER FIALHO, G��AIL
RGS Energy shall install a 6.25 kW Grid-tied Photovoltaic("PV")System 1. System follows any/all Fire Code Setbacks per Ordinances of the City PV-A01 SITE PLAN 40 CLARK STREET
totaling(25) Canadian Solar CS6P-250P Modules with (25) Enphase Energy Of Salem. SALEM, MA 01970
M215-60-2LL-S22-IG Micro- Inverter(s), The Modules shall be Flush mounted 2. AII projects will comply with the Ordinances of the City Of Salem. PV-A02 MODULE LAYOUT Project# 10133176
on the composi6on shingle roof and interconnected via load side breaker 3. Construction Hours: 7am-Spm Monday-Friday, 9am-8pm Saturday, PV-A03 DETAILS
connecfion. No time on Sunday or legal Holidays. . oEs���Ea: EJG
4. Product Data Sheets shall be included. � V- 0 I a�e�R CR
EQUIpITleftt Sp2CIfICBtIOf1S: 5. Rooftop penetrations shall be completed and sealed per code by a PV-A05 COLLAR TIE "ERb1ON°"TF 2014-0626
Module: 25 Canadian Solar CS6P-250P licensed contrador.
� � 6. All Photovoltaic modules shall be tested and listed by a recognized - LECTRICAL DIAGRAM REVISIONS
Inverter 1: (25) Enphase Energy M215-60-2LL-S22-IG laboratory.
Racking: UniRac SolarMount PV-E02 SYSTEM CALCS # eY Date Notes
7. Certifications shall indude UL1703, IEC61646, IEC61730.
Attachment Flashing: Ew-Fasten Green-Fasten with g. PV array ungrounded per AAicle 690.35. ' PV-G01 SIGNAGE ' �c e�zsnma aaaea caoa�T�e ae9a
CP-SQ-Slotted Bracket and Aluminum Flashing 9. DC Wiring shall be run in metal conduit or raceways within enclosed �
' spaces in a building. 3
10. Conduit, Wire systems and Raceways shall be located as close as '�� ;w 4
Roof Specifications: Poss�bie co �a9es, n�ps, and outs�de wans.
^' Roof 1: Roof 2: 11. Conduit between Sub Arrays and to DC Combiners/Disconnects shall 5
3 Composition Shingle Composition Shingle use guidelines that minimize the total amount of conduit by taking the �
« (Single Layer) (Single Layer) shortest path. �
2"x 8" Rafters @ 16" 2"x 8"Rafters @ 16" 12. Space Requirements for elecVical equipment shall comply with NEC �
O.C. O.0 Article 110.
Pitch: 44° � Azimuth: 205° Pitch: 42° � Azimuth: 115° 13. Equipment grounding shall be sized in accordance with Table
Array Size: 19 Modules Array Size: 6 Modules 250.122.
14. Connectors that are not readily accessible and that are used in the
$ $It@ $p@CIfIC8tIO11S: circuits operating at or over 30V AC or DC shall require a tool for
� Occupancy: II opening and are required to be marked"Do not disconnect under
" Design Wind Speed: 100 MPH load"or"Not for current interrupting", per 690.33 (c)&(e).
� Exposure Category: B 15. All signage to be placed in accordance with local building code.
m Mean Roof Height: '15 R 16. Signs or Directories shall be attached to the elecVical equipment or
m Ground Snow Load: 40 PSF (Non-Reducible) located adjacent to the identified equipment.
= Adj. Roof Snow Load: 40.0 PSF 17. Signs should be of sufficient durabiliry to withstand the environment.
- 18. Any plaques shall be metal or plastic with engraved or machine v- -- �•-- - • �
< All WOI'k t0 bE IIt COm pIi811C@ Wlth: printed letters, or electro-plating, in a red background with white ,-�
2014 National Electncal Code(NEC) lettering, a minimum of 3/8"height and all capital letters. y f i`�
2009 Intemational Residential Code(IRC) •` ' � #
2009 Intemational Building Code(IBC) , � � �
m 2012 Intemational Fire Code pFC) ; �,�.
m 2012 Uniform Mecha�ical Code(UMC) < ��„—�"'���'
� 2012 Unifarm Plumbing Code (UPC) � �
MA 780 CMR, Sth Edition � 40 Clark St �
-inGuding 2/4/11 revisions to Tables R301.2(4)& R301.2(5) , � � �E N/A
ASCE/ANSI 7-05 Minimum Design Loads for Buildings and Other � v ' � _ , '
Structures �' • ?
�,; COVER
As amended and adopted by City of Salem R �= +.:- .
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FOR CONSTRUCTION ` ��,+�/'
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RGS
,
' ENERGY
/ Cfean Cower.BngM SaNm�s.
32 Taugwonk Spur,Al2
Stonginton,CT 06375
�� . Phone(860)535-3370
/ Fax(413)683-2225
� GRID-TIED
� (E) Driveway PHOTOVOLTAIC SYSTEM
/ 6.25kW DC @ STC
(N) PV Array 1: � FIALHO, GAIL
19 Canadian Solar CS6P-250P Modules i , 40 CLARK STREET
19 Enphase Energy M215-60-2LL-S22-IG Micro-Inverters i SALEM, MA 01970
Composition Shingle Roof / Project# 10133'176
2"X S" Rafters @ 16"O.C. �
Pitch:44° i oes�NER: EJG
Azimuth:205° / • �
R�E�R CR
� (E)Single Family Dwelling
/
vERsioNonre 2014-OFi26
(N) PV Array 2: i
6 Canadian Solar CS6P-250P Modules � REVISIONS
6 Enphase Energy M215-60-2LL-S22-IG Micro-Inverters i / # BY Date Notes
CompoSitionShingle � � � EJO bl2&2014 AdtletlCoDarrePage.
2"x 8" Rakers with Kickplate @ 16"O.C. / �e i 2
Pitch:42° / Equipment Location 2: Exterior
Azimuth:115° � a
/ (E) Utilty Meter
ry <
s
o i
d /
o / �
� Equipment Location 1: Interior
i (N)EMT Conduit Run / (E) Main Service Panel
/ � (N) PV Production Meter
� i ���, 9„ (N) PV AC Combiner Panel
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� PV-A01
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FOR CONSTRUCTION `�,Iloo
PV ARRAY 1 -MECHANICAL LOADS PV ARRAY 2-MECHANICAL LOADS ���7���
Y�may Area: 337.9 ft' Total Photovoltaic Dead Load: 3.12 psf Array Area: �p6.7 ft' Total Photovoltaic Dead Load: 3.10 psf RG'S
Artay W1Veight: 1054.7 Ibs Avg. Dead Load per Anchor: �g,z Ibs , Array Weight: 331.2 Ibs Avg. Dead Load per Anchor: 16.6 Ibs E N E RGY
Anchor Qty.: 58 Anchor Qty.: Zp Clnan Puwer.6ngrf,Savings.
32 Taugwonk Spur,Al2
Design Values by Roof Zone: Corner Egde Interior Design Values by Roof Zone: Comer Egde Interior stonginton,ci o537a
Max. UniRac Rail Span: 42 in. O.C. 42 in. O.C. 42 in. O.C. Max. UniRac Rail Span: 42 in. O.C. 42 in. O.C. 42 in. O.C. Phone(seo)sssa37o
........................... ........................... ........................... ........................... ........................... ........................... Fax(413)683-2225
NOax. UniRac Rail Cantilever: 14 in. O.C. 14 in. O.C. 14 in. O.C. Max. UniRac Rail Cantllever: 14 in. O.C. 14 in. O.C. 14 in. O.C.
Adjusted Anchor Span: 16 in. O.C. 32 in. O.C. 32 in. O.C. Adjusted Anchor Span: �6 in. O.C. 32 in. O.C. 32 in. O.C. GRID-TIED
Downforce Point Load: 163.2 ibs 326.5 Ibs 326.5 Ibs Downforce Point Load; 164.0 Ibs 328.0 Ibs 328.0 Ibs
PHOTOVOLTAIC SYSTEM
Uplift Point Load: _
55.2 Ibs -110.4 Ibs -86.2 Ibs Uplift Point Load: 58.8 Ibs -117.6 Ibs -96.1 Ibs 6.25kW DC� STC
RA3nimum Anchor Strength: 707 Ibs Minimum Anchor Strength: 707 Ibs FIALHO, GAIL
Average Safety Factor: 8.01 Average Safety Factor: 7.42 40 CLARK STREET
SALEM, MA 01970
Project# 10133176
38'_7"
9 20,-9" oEs���Ea EJG
RenenER: CR
9� VER610N DFTE. 2Q�y'Q�Ly
11"
� . REVISIONS
# BY Date Notes
1"-�l d"
� 1 EJG 62fi2014 AtltletlCODarTePege
----------- --------- ------------ - 23�_g�� - ------------ ----------- ----------- ' =---------
y�_5„ . ���_2„ - ----------:' z
3
a
� 15'-8" s
S
s .=-------- ----------- --- 20�_4�� ----------
16�_3„ 2, 4„ I
1'-
. . 3'-11" - � �
g =---------- ---------- — 20�_4�� ---------- `
r
x
o ��_3,�
m
m . 2
1L
N
Q
� • Total Quantity of Attachments=78
� • Roof Zones are defined by dimens�on, a=3.0 ft.
• Maximum Allowable Cantileverfor UruRac Rail isy the Maximum Rail Span
• Racking and Attachment: Uni92ac SolarpN�t with Eco-Fasten Green-Fasten with CP-SQ-Slotted
Bracket and Aluminum FlasFting �edwith Lag Screw, Hex Head, 18-8 SS, 5/16"x 3-1/2" Lengths � 3/16"= 1 -0'
• All Dimensions shown are to madid2 edges, including 1 in. Spacing between Modules required when
using the Top Cfamp Metfrod.Th�V2ails E�nd 3 in. Beyond the module edge. �y MODU LE LAYOUT
• UniRac Requires one theranal e�a�nsran�p for every run of rail greater than 40'
• Array Installed acwrding to the illrriRac S91arMount CodeCompliant Installation Manual ver. 227.3, �
Pub 1�06161cc, June 2011
. Attachment Locations, if shown.aze�oximate. Final adjustment of attachment location may be � PV-A02
necessary depending on�d mnditioc�s.,,q11 attachments are staggered amongst the framing members. S
. ,__-__� ____.—_. _—____ _—.___.___ _ _.___.__ .__.__. __... __—__ __..____—___ _ —.__- _.__--_____:.__�... �_-_--T----,. .T_--._.____—_—___ —__ —___ _.—_ � ____.- ___—__—__—_— �—�
'fOR_CONSTRUCTION .. , �l,�/��
. Ground WEEB& ��/6��0
, ' Module Ciamp RGS
Unirac Solarmount E N E RGY
yOP Rail w/L-foOt ciean aowe..en�n�sa�as.
p56P�2 / Green Fasten Flashing: 3scongin�tonkRo53�&Z
�`�g�e ECO-GF 1-BLK-812 With Phone(860�5353370
G �`on 5 RooRoe(TYP.) ECO-CP-SQ Compression Bracket Fax(413)683-2225
�5� 'pG� '
�1fi p 5/16"x3.5"S.S. �ag Bolt GRID-TIED
RaF�g�s � w/2.5" Minimum Penetretion PHOTOVOLTAIC SYSTEM
2'XB N Ra�ets�16� Sealed w/Approved Sealant . 6.25kW DC @ STC
� Z,X8 �G. FIAlHO, GAIL
40 CLARK STREET
� SALEM, MA 01970
, Project# 10133176
Attachment Profile ' � Attachment Detail �Es���ER E��
1 Scale: 3/4" = 1'-0" G - Scale: 1" = 1'-0" + R��E�a CR
� ' �� vEesiorvonre. 2014-06-26
J 14" Max 14" Max REVISIONS
- Roof Framing PV Module Rail Overhang
� Rail Splice Rail Overhang # BY oate Notes
� �� - � 1 EJG 6126/2014 AddMCaDar7iePa9e
Roof i �� 2
Attachment 3
, a
� Anchors located � s
� on alternate roof I
framing members ;; I
�� �� L Stagger splice locations Min of 2 supports
I ;. I,: .. within the each row of modules on either side of splice
32"-Max with a max spacing of 42"
° Anchor Spacin SolarMount Rail
� - 3 Sta ered Attachment Detail T . � Rail Splice Detail � .
� . NTS _ MS
x
0
m . .
a
� • .
m
w WEEBLug SS Washer
a Module Frame Ground Wire &Nut
SS Bolt , � Unirac Rail
SS Bolt �
Nib ' � ,
Unirac ' ,
o UGC-1
, SS Flat SS Bolt �� VARIES
Washer
Unirac Rail DETAILS
� Grounding Clip & Module ���rounding Lug & Rail
`� Scale: N.T.S. �VJ Scale: N.T.S.
. PV-A03
-- - - - - - ---- - _� :�. --
--- -- ---- ---
--- - -- - ---- _ - -
w _
�
FOR CONSTRUCTION + q�y�����
. . . �����
�GS
PVArra , ENERGY
v ����.������.�s.
� 32 Tamgwomk Spur,Al2
Stonganton,CT 06378
PhortQ�860j 535-3370
, F�c(413j683-2225
PV Array 2
GiROD-TIED
Pi10TOVOLTAIC SYSTEM
NOTE: Collar ties to be added to array 1 only.
\ 6.2�VIt DC @ STC
FtlALI-MO, GAIL
10' -00 CLAEZK STREET
SALE@hA, MA 01970
Projeck#90133176
20'-1"
- oEs�: E.1G
�.�,�R CR
+����� 2014-06-26
/� RE�✓ISIONS
� � � # BY �e Notes
10'6" mid-span 2x10 DF#2 collar ties are i Euc �+zoie AdNed CoDerTe Page
added at rafters (5- 10d common z
I (3"x0.148"); predrill existing members 3
to prevent splitting)where there are
L-Foot PV attachments. '
n
s
�
�
o . . lnstaller Signature
� 5'3' . Sign each g�age and send to RGS
Enesgy a4eryuu have verified that ihe
system wi0 5t as proposed. If changes
, �� are ne�Jed,drawwhat will work on
� page ard retwm.
1 have verified that the design
S pnoposed byi2GS ETergyforthis
� � , � � � - praj�t rrill fit as drawn with no
o _ ' changes thatvrili ai(ect price,or .
energy producfion Nom changing a
m . panels ti81or orientation.
a
� .
,� � CR�W LiEAD
m
z
< . . - - . . � DATE
m
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o .
^ `� 1I4"=1 -p�
� i 1 East Elevation
1
COL9AR TIE
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� � �} ��� CanadianSolar
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� � On-grid Module
� ' CS6P is a robust solar module with 60 solar
� cells.These modules can be used foron-grid
� solarapplications.0urmeticulousdesignand �
f� � � � � � �� � �� - �� � production techniques ensure a high-yield,
� I long-term performance for every module
' - . � - � - � � � - . produced.0urrigorousqualitycontroland �
� , . _ _ ,�__ , ,. _ _ , � in-house testing facilities guarantee Canadian
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Key Features
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• 6 years product warranty(materials and workmanship); � • On-grid commercial/industrial roof-tops
• Solarpowerstations
25yearsmodulepoweroutputwarranty � . Otheron-gridapplications
- • Industryleadingplusonlypowertolerance:+5W(+y%) , �
1
� • Strong framed module,passing mechanical load test � �
� of5400Patowithstandheaviersnowload ; QualityCertificates
� ; • IEC61215,IEC61730,IEC61701,UL1703,. �
�� • Ultra reliable in corrosive atmosphere,verified by .. CEC Lisled,CE,KEMCO and MCS
, j IEC61707"SaltMistCorrosionTesting" ! • IS09001:2008:Standardsforquality
� � managementsystems
� i • The 1st manufacturer in the PV industry certitied fo� � • ISO/TS169492009:The automotive quality
. � ISO:TS16949(The automotive quality management � management system �
,,, � � system)in module production since 2003 � • QC080000 HSPM:The Certification for
� Hazardous Substances Regulations ,
' • IS017025quaiifiedmanufacturerownedtestinglab,
fully complying to IEC,TUV,ULtesting standards � -
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CS6P-220/225/230/235/240/245/250P
Electrical Data CS6P-220P CS6P-225P CS6P-230P CS6P-235P CS6P•240P CS6P-245P CS6P-250P
NominalMaximumPowere�STC(Pmaz) 220W 225W 230W 235W 240W 245W 250W
Optimum Operating Voltage(Vmp) 292V 29.4V 29.6V 29.8V 29.9V 30.OV 30.iV
OptimumOperatingCurrent(Imp) 7.53A 7.65A 7.78A 7.90A 8.03A 8.17A 8.30A .
Open Circuit Voltage(Voc) 36.6V 36JV 36.BV 36.9V 37.OV 37.iV 37.2V
Short Circuit Current psc) 8.09A 8.19A 8.34A 8.46A 8.59A 874A 8.87A
. Operating Tempera W re -40°C-+85°C
Maximum Syslem Voltage 1000V QEC)I600V(UL)
�� Maximum Series Fuse Rating i 5A
� PowerTolerance +SW
' Pmax -0.43%PC
� Voc -0.34%fC �
1 � TemperaWreCoefficient
� isc o.ose irc
' NOCT 45"C �
� UnEer5lentlartlTeslContlitiona(STC)ollrredlanceolt000W1m'.specimmAMl.SanticelllempereWreo@SC
)
ri Mechanical Data
1 CellType � Poty-crystalline� . � �
. CellArrangement 60(6x10) -
� Dimensions 7638x982x40mm(64.Sx387x1.57in)
Weight 20kg(44.1 Ibs)
Fron�Cover Tempered glass
Frame Material Anodized aluminium alloy
Standard Packaging(Modules per Palle�) 20pcs
Engineering Drawings I-V Curves (CssP-25oP)
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• About Canadian Solar � � � �
Canadian Solar Inc. is one of the worid's largest solar Canatlian Solarwas founded in Canada in 2001 and was successfully
companies.As a leading vertically-integraled manufacturer listetl on NASDAQ Exchange (symbol: CSIQ) in November 2006.
ot ingo�s, wafers, cells, solar modules and solar systems. Canadian Solar is on irack to expand cell capacity to 700MW and �
Canatlian Solar delivers solar power products of modulecapacilyto7.3GWin2010.
uncompromising quality�o worldwide customers. Canadian
Solar's world class team of professionals works closely wi�h
our wsbmers to provide them with soWtions for all iheir I
solarneetls.
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�j�-�� Specifications
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'� �` PART I —GENERAL 13 SUBMITTAL B. Fasteners (may be supplied by others)to be
ij� A. Submit manufacturers written specifcations. � compatible with chosen roof application and
� ��k��.�. 1.1 SUMMARY � B, Submit standard produc[cut sheets. meet specifed pull out values as shown in load
�_„ A. WORK INCLUDES � tert data.
� C. Submit installation instructions.
� ��j4 .. I. GreenFasten solar attachment bracket that D. Submit product specifc load test data,showing C. Base flashing is.032 gauge aluminum embossed
attaches diredly to the roof deck. ukimate and allowable load values. to accept EPDM bushing.
2 Provide appropriate bracket and fasteners
for the roof s stem. D. Bushin is EPDM. �
�� ���� y . 1.4 QUAUTYASSUR4NCE g
�M'z� ... B. RELATED SECfIONS Installer to be experienced in the installation of E Stainless rteel bonded washer is 302 stainless
"�� ��'���' I.Section 07600:Flashing and Sheet Metal specifed roofng matenal and snowguards for no less and EPDM.
�� �t°! � 2.Section 07500:Roof ng than 5 years in the area of the projed.
'' 1 f 3.Division I:Administrative and procedural 23 FINISH—Mill Finish
��� requirements I.5 DELIVERY/STOR4GE/HANDUNG A. Bracket is mill finish aluminum
4 Diwsion7 Thermal and Moisture Protedion Insped matenal upon delivery.Notify manufadurer
, �ip',' � ���+ � within 24 hours of any missing or defective items.Keep B� B�e flashing(choose one)
� P , { � C� � q �I� � 1.2 SYSTEM DESCRIPTION matenal dry,covered,and ofithe ground until installed. I.Mill Finish
v A. COMPONENTS:
F � � � '� � � 2.Black-kynar painted
� .���, 4 � =fa p � I. GreenFasten system consists of aluminum pART 2 - PRODUCTS
$ ,� .� kgp a flashing with integral EPDM bushing and one 3.Dark Bronze-kynar painted
ry �} p�' �� � v bonded stainless steel and EPDM washer. � z � M,qNUFACTURER �
r 4
`� i 4�" � 2. Fasteners
�� i t � EcoFasten Solar° PART 3 - EXECUTION
, '•,�fK�, ,; �.�',� ` A.To be of inetal compatible with aluminum �g9 Harrel St.Morrisville,VT.05661
'F,s t. 4 � r GreenFarten components. - .
�f i + �' � � a B.Fasteners should be selected for �8��)859-3947 3.1 EXAMINATION
-?• ,�' �:. n www.ecofastensolar.com. A. Substrate:Insped structure on which brackets
� •p,r � � compatibility with the roof deck � �,
�� � � are to be installed and veri that it will withstand
� s C.Fastener strength should exceed or be equal z z- MqTERIALS any additional loading that it may incurred.Notify
� ,� o to that of the allowable load of the rystem.
. � � 9 } F� � A. Attachment Bracket General Contrador of any defciencies before
.:� See test data at www.ecofastensolaccom
., � � � � : � � 6000 Series Aluminum (choose one) installing EcoFasten Solar brackets.
� 3. Sealant(if required by roof manufacturer):
.k ��.� ,��i � L F-I I I B: Venfy that roof ng matenal has been installed
. :�,., . i o to be roof manufadurer approved. .
.-�� ; "' � � � 4. Aluminum attachment bracket Z. L-101-3" � corredly pnorto installing solar attachment brackets.
" . r +'` � i_ �., n 3. L-102-3" .
f �° �� P 4. CP-R 31 INSTALL4TION
.� � t �i ' r, B. DESIGN REQUIREMENTS: A. Com I with architectural drawin s and
""��� r # °,;, I.. Bracket spacing to be recommended by 5. CP-S p Y . g ,
t - � �? � 6. SL-102-6" project engineer's recommendations for location
� projed engineer
i �� m 2. Ins[all a minimum of one fastener assembly �� Z-I 01 of rystem.Comply with Manufacturers written
` f' 3. It is important to design new struc[ures or $� Custom installation instrudions for installation and layout.
� 't o assess existing strudures to make sure that
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SolarMount Technical Datasheet
Pub 710878-0td W.0 August 20N .
SolarMount Module Connection Hardware.................................................................. 1
BottomUp Module Ciip.................................................................................................1
MidClamp....................................................................................................................2
EndClamp...........................................................................:........................................2
SolarMount Beam Connection Hardware......................................................................3
L-Foot..................:........................................................................................................3
SolarMountBeams..........................................................................................................4
SolarMount Module Connection Hardware
SolarMount Bottom Up Module Clip
Part No. 302000C
Washer ' Bottom Up Clip material: One of the following extruded aluminum
Bottom Nut (hidden..se alloys:6005-T5,6105-T5,6061-T6
Up Clip �o a� • Ultimate tensile: 38ksi,Yield: 35 ksi
' • Finish:ClearAnodized
• Bottom Up Clip weight:-0.031 Ibs(14g)
Beam Bolt ' Allowable and design loads are valid when components are
assembled with SolarMount series beams according to authorized
UNIRAC documents
• Assemble with one'/<"-20 ASTM F593 bolt,one'/:'-20 ASTM F594
serrated flange nut, and one Y."flat washer
L `� : Use anti-seize and tighten to 10 ft-Ibs of torque
€ Resistance factors and safety factors are determined according to
part 1 sedion 9 of the 2005 Aluminum Design Manual and third-
party test results from an IAS accredited laboratory
- � Module edge must be fully supported by the beam
* NOTE ON WASHER: Install washer on bolt head side of assembly.
DO NOT install washer under serrated flange nut
Applied Load Averege Allowable Safety Design Resista�ce
Direction Ultimate Load Factor, Load Factor,
� ���- —"- Ibs(N) Ibs(N) PS Ibs(N) m
�� �
I � �'i' Tension,Y+ 1566(6967) 686(3052) 228 1038(4615) 0.662
Y t -F�� Transverse,X± 1128(5019) 329(1463) 3.43 497(2213) 0.4�41
� —�-ioo
�..�X Sliding,Zt 66(292) 27(119) 2.44 41 (181) 0.619
Dimensions specified in inches unless noted
a
r •
. . • . . • . . :�UNIRAC�
A Hllfi GFOUV'CAMMNY
SolarMount Mid Clamp .
Part No.302107Q 302101D,302103C,3021040, .
302105D,302106D �
r ' �' • Mid clamp material: One of the following extruded aluminum
Mid� la rre Nu 8olt alloys: 6005-T5, 6105-T5,6061-T6
Clamp • Ultimate tensile: 38ksi,Yield: 35 ksi
r i • Finish: Clear or Dark Anodized
I� • Mid clamp weight:0.050 Ibs(23g)
• Allowable and design loads are valid when components are
assembled according to authorized UNIRAC documents
• Values represent the allowable and design load capacity of a single
mid clamp assembly when used with a SolarMount series beam to
retain a module in the direction indicated
• Assemble mid clamp with one Unirac Y."-20 T-bolt and one Y."-20
ASTM F594 serrated flange nut
Beam , • Use anti-seize and tighten to 10 ft-Ibs of torque
• Resistance factors and safety factors are determined according to
part 1 section 9 of the 2005 Aluminum Design Manual and third-
_ _ _�_a party test results from an IAS accredited laboratory
� i Applied Load Average Allowable Safety Design Resistance
� '�00015TP�—'--� Direction Ultimate Load Factor, Load Factor,
eeiv+eenrwdnes �.1
� � � Ibs(N) Ibs(N) FS Ibs(N) m
, Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667
Transverse,Z± 520(2313) 229(1017) 2.27 346(1539) 0.665
' � � Sliding,Xt 1194(5312) 490(2179) 2.44 741 (3295) 0.620
I�.�X
Dimensions specified in inches unless noted
SolarMount End Clamp
Part No.302007C,302002C,302002D,302003C,
302003D,302004C,302004D,302005C,302005D,
302006C,302006D,302007D,302008C,302008D,
3o2oosC,3ozaoso,3ozo7oc,3o2o7�c,3o2o�zC • End clamp material: One of the following extruded aluminum
alloys: 6005-T5, 6105-T5, 6061-T6
�K • Ultimate tensile: 38ksi,Yield: 35 ksi
• Finish: Clear or DarkAnodized
l/ • End clamp weight:varies based on height: —0.058 Ibs (26g)
M d Clamp • Allowable and design loads are valid when components are
Serruted assembled according to authorized UNIRAC documents
Flange Nut • Values represent the allowable and design load capacity of a single
end clamp assembly when used with a SolarMount series beam to
retain a module in the direction indicated
• Assemble with one Unirac Y:'-20 T-bolt and one'/,"-20 ASTM F594
Bea serrated flange nut
• Use anti-seize and tighten to 10 ft-Ibs of torque
• Resistance factors and safety factors are determined according to
part 1 section 9 of the 2005 Aluminum Design Manual and third-
Y party test results from an IAS accredited laboratory
� Modules must be installed at least 1.5 in from either end of a beam
�--.x �
' : �s 1 Applied Load Average Allowable Safety . Design Resistance
. V "`"'M°" I Diredion Ultimate Load Factor, Loads Factor,
,o� � '"��— Ibs(N) Ibs(N) FS Ibs(N) - .m �
vuua �
�TM ` (�� Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605
� T1Of�4 + Transverse,Z± 63(279) � 14(61) 4.58 21 (92) 0.330
i_.._ I
Sliding,Xt 142(630) 52(231) 2.72 79(349) 0.555
Dimensions specified:in.inshes`-uuless-aoted
S
f ' , .
• � • • - . • . . ::UNIRAC�
. A NIOIGNppPCpMPANV
SolarMount Beam Connection Hardware
SolarMount L-Foot
Part No. 304000C, 304000D
• L-Foot material:One of the following extruded aluminum alloys:6005-
T5,6105-T5,6061-T6 �
• Ultimate tensile:38ksi,Yield:35 ksi
• Finish: Clear or Dark Anodized
• L-Foot weight:varies based on height:—0215 Ibs(98g)
• Allowable and design loads are valid when components are
Bea assembled with SolarMount series beams according to authorized
Bolt UNIRAC documents
L-Foot • For the beam to L-Foot connection:
•Assemble with one ASTM F593'/a'-16 hex head screw and one
, errated ASTM F594'/a"serrated flange nut
Flange Nu � •Use anti-seize and tighten to 30 k-Ibs of torque
� • Resistance factors and safety factors are determined according to part
� 1 section 9 of the 2005 Aluminum Design Manual and third-party test
Y results from an IAS accredited laboratory �
(_ N07E: Loads are given for the L-Foot to beam connection only; be
�X � sure to check load limits for standoff,lag screw,or other .
-- ��� . attachment method
-� �,0, Applied Load Average � Safety Design Resistance
n�Xo"°" , � Directlon Ultimate Allowable Load Factor, Load Factor,
�j��� \ Ibs(N) Ibs(N) FS Ibs(N) m
!_ :p, _ � Sliding,Zt 1766(7856) 755(3356) 2.34 1141 (5077) 0.646
r
Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575
Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.46 2004(8913) 0.615
Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664
. . �
. . . . - . . . . :9�UNIRAC
. nwmcaourmmrnNv
SolarMount Beams
Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D
310208C, 310208C-6, 310240C, 310240C-B, 310240D,
410144M, 410168M,410204M,410240M
PropeRies Units SolarMount SolarMount HD �
Beam Height in 2.5 3.0
Approximate Weight(per linear k) plf 0.811 1.271
Total Cross Sectional Area in' 0.676 1.059
Section Modulus(X-Axis) in' 0.353 0.898
Section Modulus(Y-Axis) in' 0.113 0221 . �
Moment of Inertia(X-Ncis) in° 0.464 1.450
Moment of Inertia(Y-Axis) in° 0.044 0.267
ftadius of Gyration(X-Axis) in 0.289 1.170
Radius of Gyration(Y-Axis) in 0254 0.502
�� �����.'�2';�"r��f'w.;;� ,�.si ¢Y� . '. �Y c�
, " ',i .
`i.''�' , � P °d ; �f . .
SLOT FOR T-BOLT OR 1�zg�
. 1 SLOT FOR T-BOLT OR
�" HIX HEAD SCREW %"HEX HEAD SCREW
2X SLOT fOR SLOT FOR
BOTfOM CLiP 2.500 607TOM CLIP �
T 3.000
T
1316 �
SLOT FOR
�" HEX BOLT SLOT FOR 1.385
I �3�" HEX BOLT I I
387� JJ_
750
1107
�, Y 1.875
► �
L.►X . �--►X .
. SolarMount Beam � SolarMount HD Beam
Dimensions specifed in inches unless noted
a
`�`II�� RECEIVEp _r.�.
j � RGS I ENE�GY �NSPECTIONALSERVICES
//11` Clean Powec Bright Savings.
� toia auc r i A �: 58 ,
August S, 2014
City of Salem
Building Deparhnent
120 Washington Street,3�d Floor
Salem,MA 01970
Hello,
I have enclosed a building permit applicarion, applicable fee and supporring doctunents
for a residential solar installation in your town.Please let me know if anything else is
required to approve our permit.
Once the permit is ready please use the enclosed self-addressed stamped envelope to
send to us.
Thank you and let me know if you need anything else,
I'�'��
Kim Hendel
Operations Specialist �
RGS Energy
32 Taugwonk Spur Road,Al2
Stonington CT 06378 .
Ph 860-5353370
Fax 413-683-2225 -
ki mbedy.hendelQRGSenergy.com '
32 'I'augwonk Spui�,Al2,Stoning[on, GI'06378 I Cel. 860.535.3370 I Cax 413.683.2225 I
IiGSGnergy.com .
CITY OF SALEM
PUBLIC PROPERTY
\ DEPARTMENT
KI\WER16Y DRISCOLL
MAYOR
17.0 WASHINGPON STREEr•SMZ.MASSACNUSEM 01970
TEL 978-745-9595# FAX:978-740-9846
HOMEOWNER LICENSE EXEMPTION
Please Print
Date �, / I
Job Location 7 6 S
Home Owner Address e a4g, �--
Home Owner Telephone ci Z4L J
Present Mailing Address S3,m�
The current exemption of"Homeowners"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who,does not possess a license,provided that the owner acts as supervisor.
DEFDUION OF HOMEOWNER
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on
which there is, or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official,on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned"homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING SPECTOR r A
See other side for state code
CITY OF SALEM
PUBLIC PROPRERTY
f DEPARTMENT
RI\Ilt!':K LrI'pKISCUIl.
\L;t'oi: 120\WAirIIXGI'ON STREET ♦ SA1.I'\1,MASSACI-IIISE"1-I'S 0197C
Trn:978-745-9595 ♦Pax:978.74G9846
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 ft 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: 114,4Ad
(name of hauler)
The debris will be disposed of in : 0a
GG�L,G�1
..........-.
(ttune of facility)
(address of facility)
XSurc of pa mil applicant
S b
date
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PUBLIC PROPERTY
DEPARTbIFr�iT
&UkK YAssM:NLse„s 01970
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
SnUMM OR WELDING
1.0 SITE INFORMATION
Location Name: -5 F 4o m I; BuiukV
— - Property Address ��i/a
Properly Is ktcated in a;Conservation Area YIN Historic )WId YM
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: � r/o G2e.' e _ Q O/Lj a
Address: '544V e�
Telephone: 7
3.0 COMPLETE THIS SECTION FOR WORK IN FYtATrtura BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of / 9 Area per floor (50 Renovated
construction or renovation
� ,
of existing building New
a&J Description of Proposed Work:
f 9 �a /4, o -r'
Mail Permit to: t�
What is the current use of the Building?
Material of Building? W If dwelling,how many units?_�,_.-- .
Wi0 the Building Conform t0 Law?
Asbestos?
Architect's Name ( 1
Address and Phone
Mechanic's Name
Address and Phone
ConsWiction Supervisors License# HIC Registration#
Estimated Cost at Of Prole i¢�L Permit Fee Calcine m
Permit Fes i�� -- Estimated Cod X$71$1000 Residential
EstlmatOd Cos[X S111$1000 Commerclat— ----An Additional$5.00 is added as an
Administrative charge.
Make sure that all fields are property and legibly written to avoid delays in processing.
ta
The undersigned does hereby apply for a Building Permit to build to the abo
specifications. Signed under penalty of perjury
Date
J �I
N
..
y ^ 0
N V
y s
5y a
CL t,
f
EIT�I`-OFg�L 1 —
\ 5 ' � PUBLIC PROPERTY
DEPARTMENT
KINWFALEY DRISCOLL
MAYOR 120 WASHINGTON STREEr SMtly..`lA.1UCHl;skl'IS 01970
TEi 978-745-9595 # FAx:978.74o-9846
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
40 Clo-r_k 51
Property is located in a; Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: /Mori o �7. pt v. Corr C7. Q 1J10
Address: 40 ^ o-r K
Telephone: S- 7 45 G f 1 J S
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building / 9� New
Brief Description of Proposed Work:
n s 1-o,,I I p e. 11 CL S �n v e
Mail Permit to: 4zn Car S
What is the current use of the Building? 1 ir t V a �e, I J Mtn C 8
Material of Building? woo d f aM e— If dwelling. how many units?
Will the Building Conform to Law?—T�y Asbestos? F
Architect's Name
Address and Phone j
Mechanic's Name
Address and Phone
Construction Supervisors License#
HIC Registration#
Estimated Cost of Project$ CI a 2 1/7 Permit Fee Calculation
Permit Fee $ 3 3 ' ° 0 Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the abov s ted
specifications. Signed under penalty of perjury
Date
I
I
o
o
N
O
1 e+
t
L 00
Y
zI
i
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
KIMBERL'EY-DRISCOLL
MAYOR 120 WASHINGTON S7'REEr•SALEM,MA.SSACHUSEM 01970
TEL_978-745-9595 ♦ FAX:978-740-9846
HOMEOWNER LICENSE EXEMPTION
Please Print
Date S�• /4. 6 �o
Job Location 4/0 C/O rk S
Home Owner Address 9&4w 2 Home Owner Telephone 978 7 - Cl/ LZ _
Present Mailing Address S o tr G
The current exemption of"Homeowners"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who.does not possess a license, provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on
which there is, or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner" shall submit to the Building Official, on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned "homeowner" assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requirements
HOMEOWNERS SIGNAT
APPROVAL OF BUILDING SPECTOR
See other side for state code
r
Homeowner's Exemption
The Code states that: "Any Homeowner performing work for which a Building Permit is
required shall be exempt from the provisions of this section (Section 109.1 —Licensing of
Construction Supervisors); provided that a Homeowner engages a person(s) for hire to do
such work, and the Homeowner shall act as Supervisor."
Many Homeowners who use this exemption are unaware that they are assuming the
responsibilities of a Supervisor(see Appendix Q,Rules and Regulations for Licensing of
Construction Supervisors, Section 2:15). This lack of awareness often results in serious
problems,particularly when the Homeowner hires unlicensed persons. In this case your
Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The Homeowner acting as Supervisor is ultimately responsible.
To ensure that the Homeowner is fully aware of his/her responsibilities, many
communities require, as part of the Permit Application, that the Homeowner certify that
he/she understands the Responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care to amend and adopt such a
form/certification for use in your community.
40 Clark St.
i
CERTIFICATE ISSUED
5 DATE Fi��R�QFi
q E' CITY OF SALEM ,
9 SALEM, MASSACHUSETTS'�WO BUILDING PERMIT -
�40CERTIFICATE OF OCCUPANCY
Oct.
DATE R 15, E9 92 PERMIT No. 477-92
APPLICANT Ralph Salvo ADDRESS How 1.
TlA;�ET�E� TY-��y��y. pT N--E�— INC.) (STREET) Icunl a•s ucE aan
PERMIT TO ta[4'A.T L laulam (-'L 1 STORY m— lim NUMBEROF CRE
ING UNITS
I'll, O! IMRROYE M[Mil y�NO: is, IPPOROSED USE)
AT (LOCATIONIy_40-elark_SEizeet�' Watrrri 3 ZONING R-1
OISTRICT_
INE.) ISIREETI ._
BETWEEN AND
)CROSS s1REEtl (CRDSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
'BUILDING IS TO BE FT. WIDE P.• FT. LONG BY FT. IN NEIGNT AND SHALL CONFORM IN CONSTFUC710N
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDA.T.ON_
"PEI
REMARKS: CUNIS`.tWt .[ A TW ST(l U, ONEFAMILY U%U tC :5 E a6 E
CALL FOR Pa IIT TD 0=1PY 745-9595
AREA OR �nREp' L
VOLUME
c .ala sovY.+E FEET'
Palph a `Cattieymo ^vp a•rNsrNs+ws.wse+lbeTls-Ns-Plbei1ve11u Y-n oe�Els�locPlP�+lse•Ne
OWNER Lf"`A�•• Tq�B�E��ROST�E1 ON PRg AUvS
ADDRESSYRO. � , Salem,MfA SEE REVERSE B17 yk&E/0NW�& CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
` of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion 'of its final inspection.
BUILDINGS Permit No. 477-92
Approved by J. JENNINGS Date 6/28/96
Remarks —
j
PLUMBING Permit No.
Approved by D. ROSS ! Date 6/26/96
Remarks
i
i
ELECTRICAL Permit No.
i r
Approv y J. GIARDI Date 6/26/96
Rema QCs
OTHER Fire Permit No.
Approved by_ W. HUDSON Date 6/26/96
Remarks
OTHER Permit No.
Approved by Date
Remarks
0oNU1 JOB SITE COPY (duplicate)
BUILDING
g! CITY OF SALEM
ice'' f`a SALEM, MASSACHUS�S 01970
s , PERMIT
DATE Oct -' 15, 19 92 PERMIT NO. 477-92
APPLICANT Ralph Salvo ADDRESS
(N0.) (STREET) (CONTR'S LICENSE)
CITY Salem, STATE MA ZIPCODE TEL.NO.
PERMITTO Erect Dwelling2 NUMBER OF One
O STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO (PROPOSED USE)
40 Clark St. ZONING R-1
AT(LOCATION) DISTRICT
(NO) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT.WIDE BV FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Construct a two story, one family dwelling 36'x26' .
,n^ ((�� L
AREA OR all fo! Fermis to OCCyNki000. FEE a 449.
VOLUME ESTIMATEDCOST $
(CUBICISQUARE FEET)
OWNER Ralph & Catherine Salvo
BUILDING DEPT,
ADDRESS PO Box $85 Salem, MA
BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS
Pool ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL
AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE
APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE
REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTILFINAL INSPECTION HAS BEEN MADE. WHERE A PERMITS ARE REQUIRED FOR
1.FOUNDATIONS OR FOOTINGS, ELECTRICAL,PLUMBING AND
2.PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS.
MEMBERS(READY 70 LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
3.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2
BO D F ALTH GAS INSPECTION APP VA FIRE DEPT.INSPECTING APPROVALS
OTHER CITY ENGINEER 2 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. AS NOTED ABOVE. OR WRITTEN NOTIFICATION.