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17 ELM AVE - BUILDING PERMIT APP
Lt Cie- The Commonwealth of Massachusettstt,' " ° Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMRSALEM 2011 SEP 2'8 ARJOsJItar2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date plied: I -74,7, G�9 I vl y/ism Building Official(Print Name) Signature Date I SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 17 Elm Ave I.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: RESIDENTIAL 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? Municipal❑ On site disposal system ❑ Check ifyes❑ SECTION 2: PROPERTY OWNERSHIP[ 2.1 Owner of Record: Frank DeStefano SALEM, MA. 01970 Name(Print) City,State,ZIP 17 Elm Ave (978)552-9721 cookielady321(cDaol.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction ❑ Existing Building 13 Owner-Occupied 13Repairs(s) ❑ I Alteration(s) ❑ 1 Addition ❑ Demolition - ❑ 1 Accessory Bldg. ❑ Number of Units Other ❑ Specify:SOLAR av Brief Description of Proposed Work':Install Solar Electric panels on roof of existing home to be interconnected with the home's Electrical SVstem (17 panels at 4.42kW) SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $2,000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $5,000 ❑Standard City/Town Applica ion Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $7,000 ❑Paid in Full ❑ Outstanding Balance Due: MC:4tl-Mf.) I N S PSes I O ( L SECTION 5: CONSTRUCTION SERVICES �,. 5.1 Construction Supervisor License(CSL) 101687 9/73/2016 SOLARCITY CORP./DANIEL D. FONZI License Number Expiration Date Name of CSL Holder List CSL Type(see below) g • 800 RESEARCH DR No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) WILMINGTON MA.01887 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-215-2383 DFONZI@SOLARCITY.COM I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 168572 3/8/17 SOLARCITY CORP. HIC Registration Number Expiration Date TIC Company Name or HIC Registrant Name 800 Research Dr allison.kelley@solarcity.com No.and Street Email address Wilmington Ma. 01887 978-215-2383 Cit /Town, State,ZIP 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 Issuance of the building permit. Signed Affidavit Attached? Yes ..........[Z] 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 SolarClty/Daniel D Fonzl to act on my behalf, in all matters relative to work authorized by this building permit application. 'See Contract/Owner Authorization 9/26/16 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my na ow I hereby attest under the pains and penalties of perjury that all of the information contained in th' pplics accurate to the best of my knowledge and understanding. 9/26/16 Print Own or ftl7ori Me gent's Name(Electronic Signature) Date 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. ovg /oca Information on the Construction Supervisor License can be found at www.mass. ove /dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,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 heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Version#63.5-TBD wAlSolarCity. September 24, 2016 RE: CERTIFICATION LETTER Project/Job # 0192358 Project Address: Destefano Residence 17 Elm Ave Salem, MA 01970 . AHJ Salem SC Office Wilmington Design Criteria: -Applicable Codes = MA Res. Code, 8th Edition,ASCE 7-05, and 2005 NDS - - Risk Category = II -Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 40 psf - MP1: 2x7 @ 18"OC, Roof DL= 14.5 psf, Roof LL/SL= 28 psf(Non-PV), Roof LL/SL= 16 psf(PV) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.31364 < 0.4g and Seismic Design Category (SDC) = B < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the - manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for approval. 0K. Digitally signed by Humphrey IUKI N U 5T UCTURAL Sincerely, Np,51930 Ka ri u ki RFa)sTEa�`o Humphrey Engineer .09.24 16:54:29 P.E. Date: 2016 -04'00' Professionall EEngineer OVAL T: 443.451.3515 email: hkariuki@solarcity.com 3055 Clearview Way San Mateo.CA 94402 i(650)638 -1028 (868)SOL-CITY f(650)638-1029 Warcity.com H0=1:0.sR MdP3>.!S ROC Pa3])i•ROC 3a}a50.GfSLF P011W.W ECMaIR XCCN32PLFtC O1PSl0..L•`11R4!<YNb&1F.CNOY05.CE?ON120]e!/i13012.R e413TbPPl.XI Ct-iv]N.IL t}.OhS].NA He Is0412 C-n36vR.upiC tiRW a)IeOS.NC SRB�V.W 03a]C/�Zb]SM.N+NJW.YI3VXML0600lbaFMVll:fb.VM F£<0-d`^!M 1N NV]anPAi}I]LCS-0.L93YFBPJS)S:1S.IN1 El ai.W.M.Cl58 LL 99/[S:S.MH6W]iaN3.K ACO(v!v:naQ3FvG 1%tECt±]PM,Vi 0]PbvEtr}SBL,V}ELEPA<151P]a\0 EM SBtS.NA ST±R.:•CR\4S+KAR:'9ClY]-<1t+ny a3C.Caaam ia06.Nwlu XiIM>1L\JOq RaLxm Kaon.Re<4 Wd X-11FM-40QDW SUPoa 3:'C:'t43vax1Tnts WC-P4W0-H13.l1VCYhL1138e-0CA$iEMC:N Y.0 LttMW EIxL-.tltn.11±+dk\IObL]95.Y}4MaSL dTn.W(tt£.roatlyn NV T_VIl RP015S56-0G Mbun yo4Osl Ey$daC.tyf4wnre Cue.pv.,.11C CA FIun.-`t LtrvautnCsatdSa]6!SaluCitl flMn<a CanCury.11Clt llci¢lbCattllFat+ul Stafa Fud CMmip'4uM la aµ.ia In MY.%fa.'.aMla'xua NMaecaNa nNnty OYa412 MO COnaun(lVM Ileum]dal XY bx LNmml foto Licema IL1Y!-+S/Il1WP1.RI L14NaW taps/CC31P341 L%RegtM•aY GaLLYa WkY15.,%`53-]0_a W,\Tlstls Lksfsa 16)66 PITCH: 36 ARRAY PITCH:36 MP1 AZIMUTH:218 ARRAY AZIMUTH:218 t F,� MATERIAL: Comp Shingle STORY: 1 Story 1UK1 u ST UCTURAI M' l0 NCI.51999 _ $ RFGISTEa�O V C C `�(ONAL STAMPED & SIGNED FOR STRUCTURAL ONLY Digitally signed by Humphrey Kariuki Date: 2016.09.24 16:55:02 LEGEND -04'00' M 1 (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT & WARNING LABELS RSD RS d Gated Unlockea A° AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS DISTRIBUTION PANEL & LABELS ' '� AC D M O LOAD CENTER & WARNING LABELS ODEDICATED PV SYSTEM METER RSD RAPID SHUTDOWN 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR (E) DRIVEWAY Front Of House CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED L1/J 17 Elm Ave SITE PLAN - � Scale: 1/8" = 1' O 1' 8' 16' S CONFIDEND S - TIN INFORMATION HEREIN JOB NUMBER: JB-0192358 00 PREMISE GONER: DESCRIPTION: DESIGN: \\ CONTAINED SHALL NOT BE USED FOR THE FRANK DESTEFANO Frank DeStefano RESIDENCE Smith Johnston ='te BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �,���SolarCity. �* NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 17 ELM AVE 4.42 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ZS Com V4 w Flashing—Insert ORGANIZATION, EXCEPT IN CONNECTION NRH MODULES SALEM, MA 01970Dde. THE SALE AND USE OF THE RESPECTIVE (17) REC REC260PEZ 14 St North rough MA 01g 2 unit It SOLARCITY EQUIPMENT, WnHOUT THE WRITLEN ��� PAGE NAME SHEET: REV: GATE M38-1028 MA 50) PERMISSI9N OF SOLARCITY INC. Delta $OIIVIa 5.2 TL SITE PLAN / / T. (650) 838-165- F: (850)838-1029 PV 2 9 24 2016 (BBe}SOL-aTr(Tss saes) ...maary.c,m