15 BEACON STREET - BUILDING JACKET SuperTa ®
Folders
90%Larger Label Area PTO-mm-7 SMEAD
KEEPING YOU ORGANIZED
No. 10301
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MPDS OONSUMER Is
Certificate Number: B-2014-0551 Permit Number: B-2014-0551
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Sitagle Family Building, located at
Building Type
1 S BEACON STREET in the Ciry of Salem
......... ........
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires Not Applicable _„ unless sooner suspended or revoked.
_ __
Expiration Date
MI�2
Issued On: Tuesday, July 15, 2014
w�
15 BEACON STREET 526-14
IS#: COMINIONWEALTH OF MASSACHUSETTS
Map 36 ..- - ,
--- - —
'31ock CITY OF SALEM
ut '0346
:.at o 'RENOVATIONS
g ry. �.
Perm,t x �o2CrT BUILRENG7PERMIT
ProJect# 'JS-2014-001143 '
Est.-Cosi:. ,$40,000.00
Fee Charged: 1$285.00
Balance Due: $ ooPERMISSION IS HEREBY GRANTED TO
Court. Class: Contractor: License: Expires:
Use Group: IMICHAEL MEYER
Lot Slze(sq. ft.) '2279 93,04
— aeF v l;Elul EI-41E�fEJ t 4<
Zoning RL
Units Gained: !- I,iplieanl. N'.E' DEt'E? T
Units Lost. AT:. 15 BEACON STREET
Dig —
/SSCIED ONr 09-Jan-2014 AMENDED O[V. EXPIRES OiV. 09-Jul-2014
`!'O PERFORM THE FOLLOWING WORK
GUT INTERIOR- 2 BATH,KITCHEN, PARTITIONS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
-e,
Gas Pluntbine, . Building
Undergruuntl; G dergrmmd: Undtrgronnd: " ' Eacavalion:
IService: ) �,t–/f!,/' leter: Footings:
i y .
Fnundution:
:Final: / uta s/ '���` Final '�j_ /� Rough Fraivn, �sl�fr(
.11 v
FreplacdChimnev
D.P.W. Fire Health
—— InSulatioa• 13(l
�?Laer: Oil: .. f
FSaal:.11tiL_ �(II� JEI
}lonseu Smoke:
Treaearp"
' suer: .Uuu}: ...c:ccer.
't
Sprinklers;
Final:er,et:
THIS PERMIT MAY BE REVOKED RY'f HE CITY OF SALEM UPON VIOLA ON OF .ANY OF ITS
RULES AND REGULATIONS.
x
.tea Signature:
Fee Type: - FYriniygl.SUIG ".ry".' - Dale Waite CheA'\'o., Amount
� .�r -
RlilLDleYt7 t`wT a a,�{gr.�ip"' u.f6k�}�>$ 'r..rwNl-.C,. .s'au"w,.t.. �' : sy :
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T
lkPOIiTANT:O'M'[ERORtOT�Oa 1AU7 rvBS1Sr w
;N,TNIA02014 Des Lauriers Nluuicipal Solidi—,tut qFW"CjFOR PEAKIWIfttit
y --
Commonwealth of Massachusetts
City of Salem
120 Washington St.3rd Floor Salem,MA 01970(978)745-9595 X5841
- Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
. t
PERMIT TO BE POSTED IN THE WINDOW
Excavation -
Footing
INSPECTION RECORD ,
P7
T Foundation _ -
Frarnin
' Mechanical
Insulation INSPECTION: . BY DATE
Chimney/Smoke'Chamber
Final 'flkt '
w,
` Plumbing/Gas
Rough: Plumbin�,Z
Rough:Gas
Final41
d
Electrical
ff
Service
Rough' -,l1
Final-7,.- �_�
Fire Department
Preliminary -
Final -
Health Department
Preliminary
Final
r� �Q�� L+UII II IIVIIVVCGlll1 VI IVIG.�uav�n.�.waw _
c.
City of Salem
x yF ' 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5841
nN!]nod
- Return card to Building Division for Certificate of Occupan:y
:Emit No. B-14-752 PERMIT T® BUILD
:E PAID: $145.00
ITE ISSUED: 4/7/2014
f
This certifies that NE-DEVELOPMENT, INC.
has permission to erect, alter, or demolish a building . 15 BEACON STREET Map/Lot: 360346-0
as follows: Renovation 736-14 ADD TWO (2) BEDROOMS ON REAR OF.BUILDING - PER ZBA DECISION
(EFFECTION 4/1/13)
Contractor Name: MICHAEL MEYER
DBA: BUDGET INSULATION & CONTRACTING
Contractor License No: CS-036479
v 4/7/2014
Buildingt6f(M""/ r Date
This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request -
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the enure duration of the
work un81 the completion of the same. -
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided ori this permit.
HIC#: 160618 "Persons contracting with unregistered contractors do not have access to the:guaranty fund"(as set forth in MGL CA 42A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Jul, 14. 2014 1 :50PM No- 8604 P. 1/2
SHEPARD LAW OFFICES
KAREN A. SHEPARD
ATTORNEY AT LAW
8 ESSEX STREET
SALEM, MA 01970 �' r
978-744-4477 `
978-744-4766 FAX u
Date: 7/14/14
To: Building Dept.
Pages: 2
FAX: 978-740-9846
From: Leslee Crevoiserat
Paralegal
RE: 15 Beacon Street, Salem, MA
Michael Meyer
NE-Development
Attached is the Certificate of Compliance issued by the fire department. Mike asked me
to send this to you. He will be picking up the Certificate of Occupancy tomorrow.
Thank you,
Leslee Crevoiserat
Paralegal
This transmittal is intended only for the use of the individual or entity to which it is addressed. This traruiminal may
contain disclosure under applicable law. If the reader of this transmittal is not the intended recipient,you are hereby
notified that any dissemination,distribution or copying of this communication is strictly prohibited, If you have
received this communication in error.please notify us immediately by telephone,and destroy the original transmittal.
Thank you.
Ju 1. 14. 2014 1 : 54PM No. 8604 P. 2/2
° City0fesalem,Mm8achuisPtts
$so.00
OnFe Paid
FIRE DEPARTMENT - FIRE PREVENTION DIVISION e� _
29 Fort Avenue
Salem. Massachusetts 01970-5232 07/10/14
(978)745-7777
(Date)
CERTIFICATE OF COMPLIANCE
M.G.L.Chapter 148 Sections 26F, 26F1/2
This Certifies that the property located at 15 Beacon Street
has been equipped with approved smoke detectors.and carbon monoxide alanits and was found to be in compliance with
Massachusetts General Law.Chapter 148 Sections 26F,26F1/2 and 527 CMR 31,et seq,
Owner Michael Meyers
II till mmrc of pai.nn.limn nr ct,,main J,iicA Ikmiin
,5'MOKE DETE RS REQUIRE ANNUAL MAINTENANCE AND CLEANING
Type of Occupancy: 'xRk One family Dwelling
❑ Two Famlily Dwelling
❑ Condominium Unit#
NOTICE: Certificate is NOT VALID.for sale or transfer 11ire In gna ctor `al granting Permit)
of real estate, 60 days after date of issue. tie)
Head of Fire Department
j
�cii(u�Eri;fo
CITY OF SALEM MASSACHUSETTS
BOARD OF APPEAL
120 WASHINGTON STREET • SALEM,NIASSACHUSETTS 01970 MAA 10 P 2 4
KiMBERLEYDRiSCOtL TELE:978-745-9595 ♦ FAx:978-740-9846 FILE N
NIAYOR CITY CLERK, SALEM, MA35
March 10, 2014
Decision
City of Salem Board of Appeals
Petition of MICHAEL MEYER requesting a Special Permit under Section 3.3.5 Nonconfonaring
Single-and Two-Family Residential Structures of the Salem Zoning Ordinance to allow the
extension of an existing nonconforming structure in order to construct an addition to the second
floor of the house at the property located at 15 BEACON STREET (R2 Zoning District).
A public hearing on the above Petition was opened on February 19, 2014 pursuant to M.G.L Ch. 40A,
The hearing was closed on that date with the following Salem Board of Appeals members present: Ms.
Curran (Chair), Mr. Dionne, Mr. Duffy, Ms. Harris, Mr. Watkins, Mr. Copelas (Alternate), and Mr. Tsitsinos
(Alternate).
The Petitioner seeks Variances from Section 3.3.5 Nonconforming Single- and Two,Family Rendential Structunr of
the Salem Zoning Ordinance.
Statements of fact:
1. In the petition date-stamped January 23, 2014, the Petitioner requested a Special Permit to expand an
existing non-conforming structure by constructing an addition to the second floor of the existing
house, at the property located at 15 Beacon Street.
2. Mr. Michael Meyer presented the petition for the property at 15 Beacon Street.
3. Mr. Meyer stated that the addition will increase the size of the house by about 250 square feet, to a
total area of just under 1,200 square feet.
4. Mr. Meyer stated that the existing house does not function in today's real estate market.
5. Mr. Meyer stated that he is not proposing any changes to the fust floor.
G. The proposed addition will not exceed the height of the existing building.
7. The existing use of the building is single-family residential. The use of the building will remain single-
family residential.
8. The requested relief, if granted, would allow the Petitioner to construct an approximately 250 square
foot addition to the second floor, over the extents of an existing first-floor deck, and within two feet
of a side lot line.
9. At the public hearing, one abutter expressed their non-opposition to the petition. One written
comment in support of the petition was received prior to the public hearing.
The Salem Board of Appeals, after careful consideration of the evidence presented at the public hearing, and
after thorough review of the petitions; including the application narrative and plans, and the Petitioner's
presentation and public testimony, makes the following findings that the proposed project meets the
provisions of the City of Salem Zoning Ordinance:
City of Salem Board of Appeals
March 10,2014
Project: 15 Beacon Street
Page 2 of 2
Findings:
1. The impact of the proposal on the community's needs is no different than the existing use, as the
property will remain a single-family residence.
2. There will be no impact on parking or loading in the area, as the property will remain a single-family
residence.
3. The adequacy of utilities and public services to the building will remain the same as existing.
4. It will be an improvement to the neighborhood character.
5. The addition will potentially increase the value of the home,resulting in a positive economic and fiscal
impact.
On the basis of the above statements of facts and findings, the Salem Board of Appeals voted five (5) in favor
(lvfr. Watkins, Ms. Currant, Mr. Dionne, Ms. Harris, and Mr. Duffy in favor) and none (0) opposed, to grant
the requested Special Permit to allow an addition to the second floor of an existing residence to within two
feet of the western side lot line, subject to the following terms,conditions, and safeguards:
1. The Petitioner shall comply with all city and state statutes, ordinances,codes and regulations.
2. All construction shall be done as per the plans and dimensions submitted to and approved by the
Building Commissioner
3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly
adhered to.
4. Petitioner shall obtain a building permit prior to beginning any construction.
5. Exterior finishes of new construction shall be in harmony with the existing structure.
6. A Certificate of Occupancy is to be obtained.
7. A Certificate of Inspection is to be obtained.
S. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but
not limited to, the Planning Board.
-A� 6/
Rebecca Curran,Chau
Board of Appeals
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
Appeal from ibis derision,if any, rhall be made pursuant to Section 17 of the Marraehutettr Genera!Lams Chapter 40A, and rha!l be filed uitbirt 20
days of feting of thin deaWon in the ofice of the City Clerk Pursuant to the Nfa rarhurettr Genera!Lams Chapter 40A, Section 11, the Variance or
Special Permit granted herein thall not take effect until a copy of the dedsion bearing the certificate of the GO Clerk hat been filed miib the Errex South
Regirty of Deeds.
The Commonwealth of Massachusetts
OF
Board of Building Regulations and Standards SA LEM
Massachusetts State Building Code, 780 CNIR Revised.t/ur?011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
Otte-or Two-Family Dwelling
This Section For Official UsOnl
Building Permit Number: Date Applied:
building ORICIaI(Print Name). Signatures Date
SECTION 1:SITE INFORAIATIOW
I.I Property Address: S� 1.2 Assessors Nap&Parcel Numbers
I.In Is this an accepted street?yes G no_ Mop Number Parcel Number
I
t.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Arca(sq It) Frontage(It)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Wad
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:
Zone: Outside Flood Zone?
Public❑ Private❑ — Check if es❑ Municipal❑ On site Disposal system ❑
SECTION2: PROPERTY OWNERSHIP)'
2.1 Owner of Record:
�- C 6Y7L1 ii
. l7/ .E �//=C Op�.��L/i ivy y �i w
N�inc(Print City,estate,ZIP
Nu. vtd Street Telephone L'muil Address
SECTION 3: DESCRIPTION OF PROPOSEI)WORK°(check all that apply)
New Construction❑ Existing Building Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work': /i/-7 &_e,!2 e'lTls af' ALXy
CF LL 1
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(� Labor and Materials)
1. Building S 1. Building Permit Fee:S Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical S ❑Total Project Costs(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
k Mechanical (HVAC) S List:
5. Mechanical (Fire S Total All Fees:.3
Suppression
1 Check No._Check Amouuk Cash Amount
F 6. ' utal Prnject CUSt: .S V 0 f(J/ 0 0 ❑Paid in hull ❑Outstanding Balance Due:-
K A, L S5 D Lt R aO c. � ��i
SECTIONS: CONSTRUCTIoNSERVICES
5.1 Construction Supervisor License(CSL) ' '
License Number E.e anon ate
N;une of CSL[folder List CSL'rype(see below)
/ �f r Type' - Description
No.and Street
U Unrestricted(Buildings tip-l0 35,000 cu. tt.)
':: - '�i: �� R Restricted 1&2 Family Dwelling
C ti yfrown,State,ZIP NI Masonry
RC Rooting Coverin
WS Window and Siding
SF Solid Fuel Burning Appliances
I I Insulation
I'cic hone Emil address D Demolition
5.2 Registered Home Improvement Contractor(HIC) A ��•�
.--/— //tea,L1�I/Q�J t`'/ HIC Registration Number Espi lion Unte
HIC Comp;my Name or HIC Registrant Name -
No.and S et Email address
/ c y 57y 8i`3S�y
b City/Town,State ZIP Tele hone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NLG.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 ..........❑ 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
t9 act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's N:une(Electronic Signature) Dote
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 application is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent's N, tc(Electronic Signature) Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or art owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(IIIC) Program),will nor 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.mnss. uL b:'nl(1 Information on the Construction Supervisor License can be found at www.iva,;.euvldns
2. When substantial work is planted,provide the information below:
Tutai floor area(sq. 11.) (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
1'ypcofcoolingsystent Enclosed Open_
1. "rutal Project Squ;ve Foutage"may be substituted ti r-rut:d Project Cost"
The Commomvealth of Nlassachusetts
WIH
Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 730 CMR SALENI
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised,bkrr 2011
One-or Two-Family Dwelling
This Section For Official Use Only .
Building Permit Number.
Date.A lied,
BuilJini;OtTicial(Print N.une). --
Signature• Date
LI
SECTION 1:SITE INFORINIATION
Property Address:
/ 1.2 Assessors blip& Parcel Numbers
� L I a Is this an accepted street�/
Y no Map Number Parcel Number
1.3 Zoning Information:
LJ Property Dimensions:
ZoningZo„ing D�— Proposed ae---U Lot Area(sy R) Frontage(It)LS BuildingSetbncks(ft)
Front Yard Side Yards
Required Provided Rear Yard
Required Provided Required
Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information:
Public❑ Private El Zone- _ Outside Flood Zone? Ls Sewage Disposal System:
Check if es❑ Municipal❑ On site disposal system ❑
2.1 Ownert of Recor SECTION2: PROPERTY OWNERSHIP!
d;
f'7/ c
Nyhme(Pont) /3 ;C'��r
HY,State,ZIP `
uo andstR�t 9Jsr __r -c'_ 3�
Telephone Finad Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Constn,ction ❑ Existing Building Owner-Occupied ❑ iRepairs(s) p Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units
Brief Description of Proposed 4Vurk': C L Other ❑ Specify:
SECTION J: ESTIMATED CONSTRUCTION COSTS
Iten, Estimated Costs:
Labor and iblaterials Official Use Only
I. Building S d d0 d I. Building Permit Fee:3 Indicate how fee is determined:
?. Electrical S ❑Standard City/Town Application Fee
3. Plumbing S ❑Total Project Cost"(Item 6)x multiplier x
?. Other Fees: S
4. ��Icchm,ird (FiVAC) S List:
5. i4Machanical (Fire
Suppression) S Total rill Fees:S
6. Total Project Cost: S Check No._Check Cash Amount:_
❑Paid in Full ❑Outstanding Balance Due:
J� r. �I r'c�iale�(
"t ct;/ TiJ
yj—
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) __----
s' Expiration Date
�S�/ •7 License Number P
Nmne of CSL[folder �� L sf List CSL'type(see below)�—
'' �— n Type Description
No. and Street U Unrestricted In" In s u to 35,Ou0 eu.tlJ
SG � �Jj_ R Restricted 1&2 Family Dwellin
' \ Nt Mason
Cityffown,state,ZIP RC Raclin Covering
WS Window and Sidin
SF Solid Fuel Burning Appliances
I Insulation
Email address D Demolition
---
Tele hone
51 Registered [tome Improvement Contractor(HI ) HIC Registration Expiration Date
HIC Cuntp;my Name or HIC Registrant Name Email address
No.mid Street
Telephone -
Cit /Town,State,ZIP -
SECTION 6:WORKERS'CONIPENSATION INSURANCE AFFIDAVIT(M C L c. 152.§ 2�C(
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
No...........❑
SECTION---OWNERAUTtIORIZATION.TO BE.COMPLETED WHEN.
OWNER'S AGENT OR CONTRACTORAPPLIES FOR BUILDING PERbIIT
1,as Owner of the subject property,hereby authorize
III act on my behalf,in all matters relative to work authorized by this building permit application.
' Date
Print Owner's Name(Electronic Signature)
SECTION--- OWNERt OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
ed in this application is true and accurate to the best o my knowledge and understanding.
COnt81l C L
ev, G Date
Mo
t Owner s or Authorized Agent's Name(Electronic Signauire)
NO'CES:
er NY
ork,or
(An notOregistered inbl et Hone Improuilding ve nentermit tContr actor(HIC)s/her own tPrrogram)an
lln�t avoetaccess to the arbitration
ires an unregistered tractor
is
program
nmi_ or guaranty fussyoct infond rmation tilon on he Constr ctioOn Supervther isor Lirtant cense can be found at w%P%y ,am calass.qtty—b Itfound at
�, When substantial work is planned,provide the information belo finished basement attics,decks or porch)
(including garage,
total floor area(sq. RJ Habitable room count
Gross living area(sq. ,umber of bedrooms
Number of fireplaces Number of half/baths
Number of bathrooms Number of decks/porches
Type of heating system Enclosed_,____.—.—Open
Fype of cooling system
}, rotal project Square Footage"may be substituted for`"Focd Project Cost"
`� � 1 S6� 1'1 S3 �("� IWSPE�RECENE(?
�, The Commonwealth of Massachusetts '
� Board of Building Regulations and Standard�`��S t'�4 Y CITY OF
� Massachusetts State Building Code,780 CMR 22 A �. ,.SALEM
eviaecl Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
� One-or Two-Family Dwelling
'� �� This Section For Official Use-Only ' ' -�""""'
BuildingPermitNumber. �' '� "''"` � Date�� ��plied: �''" � " ' �
�1 ... ._. - � n�bz.. r.�• .,, ' ,,, �
� BuildingOfficial(PrintName)" �l����"` �' � Signatkure� � � � � �,4���� Date
� ^' SECTION 1:SITE INFORMATION �_�
( 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
15 Beacon St 36 0356
I /� I.I a Is this an accepted stree[7 yes no Map Number Parcel Number
'� � 1.3 Zoning Information: . 1.4 Property Dimensions:
� RESIDENTIAL
� Zoning District Proposed Use Lo[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 a 40,§54)� 1.7 Flood Zone Information: I.8 Sewage Disposal System:
' Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal� On site disposal system ❑
� Check if yesO
� SECTION 2: PROPERTY OWNERSHIP'.,c ""
2.1 Owner of Record:
Tomchyshyn Paul SALEM, MA
�Name(Print) � City,State,ZIP
15 BeaCon St 314-363-5010 mrstomchy(�sbcqlobal.net
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check�all that apply) '
New Construction ❑ Existing Building❑ Owner-Oceupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ SpCCif}':SOLAR PV
i Brief Description of Proposed WorkZ:Install Solar ElechiC panels on roof of existinq home to be interconnected with the
home's Electrical Svstem(19 panels at 4.94kW) �
' '"` '' SECTION 4: ESTIMATED CONSTRUCTION COSTS u
__.._.t. .. s�`rWf;..
' Item Estimated Costs: ; ` =3��
Labor and Materials � ;,� . Ofticial Use Only .
l.Building $3,000 1• Building Permit Fee: $ " Indicate how fee is determined:
2.Electrical � $7,000' ��Standard City/Town Application Fee ,,,;;,.
❑Total Project Cost'(Ltem�x multiplier ������°°`x
3.Plumbing $ 2. Other Fees�$ �
, �
4.Mechanical (HVAC) $ List
.. �,w��«� - . . .
5. Mechanical (Fire $ y�
Su ression Total All'Fees: $
Check No. � Check Amount Cash Amount:
6. Total Project Cost: $ �Q` ,000 ❑Paid in Full"°" ❑ Outstanding Balance Due:, —
' ��T 6(2
II i
_. ; _
, a;,. SECTION 5: CONSTRUCTION SERVICES' , ,,,
� � 5.1 Construction Supervisor License(CSL)
. 107663 8/29/2017
SOLARCITY CORP./Dan Fonzi License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) �
' 800 Research Dc
No.and Stree[ ,,,>Type ,.. ::__.: � Descrip[ion`"�
U Unrestricted Buildin s u [0 35,000 cu.lt.)y
MARLBOROUGH,MA 01752 � R ResVicted 1&2 Family Dwellin
Ciry/Town,State,ZIP M Mason
RC Roofin Covecin
WS WindowandSidin
SF Solid Fuel Burning Appliances
s�a-zu-zae3 �,��..u>@so�nrscirr.coM I Insulation
Tele hone Email address D Demolition
5.2 Registered Home[mprovement Contractor(HIC�
168572 3/e/17
SOLARCITY CORP. HIC Registration Number Expiration Date
HIC Company Namc or HIC Regis[rant Name �
800 Research Dr ablanco@solarcity.com
No.and Stree[ . Email address
Wilminqton Ma.01887 978-215-2383
Ci /Town,State,ZIP Tele hone �
, .._,..�., ._. .
, SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAV3T(M.G.L.c.u152.§ 25C(�)r
Workers Compensation [nsurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit wil I result in the denial of the Issuance 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 �
I,as Owner of the subject property,hereby authorize soia�cnyi nsma eia��o
to act on my behalf,in all matters relative to work authorized by this building permit application.
'See ContracUOwner Authorization sizons
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER�OR AUTHORIZED AGENT DECLARAT[ON
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this a plication is true and accurate to the best of my knowledge and understanding.
'(�A � sizons
Prinf r's or Authorized AgenPs Name(Electronic Signature) Date
,.NOTES: �i:, . aa �,��
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. o�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 basemenUattics,decks or porch)
Gross living area(sq.ft.) Habi[able room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halfPoaths
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 CosP'
� Version#46.2
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May 19, 2015 � �ti� VAA�4CU8 � � .
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Project/]ob # 0191129 �,�gg��g
RE: CERTIFICATION LETTER �
�'o ��613T�.`�k'q �
Project: Tomchyshyn Residence � , �„ ' �d'$1��h��.'4:�
i. �
15 Beacon St � "
Salem, MA 01970 ���.r'l..
�.•t;4,,;.� � . . "°�t..,..ry,.�t¢,�:
� To Whom It May Concern, �
A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on
sRe observations and the design criteria listed below: � �
Design Criteria:
-Applicable Codes = MA Res. Code, 8th Ed'Rion,ASCE 7-05, and 2005 NDS
- Risk Category = II �
-Wind Speed = 100 mph, Exposure Category C .
-Ground Snow Load = 40 psf
- MPl: Roof DL= 13.5 psf, Roof LL/SL= 28 psf(Non-PV Areas), Roof LL/SL = 18.8 psf(PV Areas)
- MP2: Roof DL= 14.5 psf, Roof LUSL= 28 psf(Non-PV Areas), Roof LUSL = 16.8 psf(PV Areas) �
- MP3: Roof DL= 14.5 psf, Roof LUSL= 2S psf(Non-PV Areas), Roof LL/SL = 18.8 psf(PV Areas)
- MP4: Roof DL= 13.5 psf, Roof LUSL= 28 psf(Non-PV Areas), Roof LUSL = 18.8 psf(PV Areas) .
Note: Per IBC 1613.1; Seismic check is not required because Ss = 031364 < 0.4g and Seismic Design Category(SDC) = B < D
On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembty have
been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead
load, W assembly load,and live/snow loads indicated in the design criteria above.
I cer[ify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from
PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code, 8th Edition.
- Please contact me with any questions or concerns regarding this project.
Ma�cus r+a��, P.e. Digitally signed by Marcus Hann �
Professional Engineer
r: ass.�es.zas9 Date: 2015.05.19 10:0229 -04'00'
email: mhann@solarcity.com
3055 Clearvie+.v\Nay San Mateo,CA 944Q2 T(650)638-1028 (8@81 SQL-CITY F(650)638-7029 solarcity.com
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Uf49CP _JU3,PAUt:39_,Uil1 ,et..v_. . _ I:.JteS .,W.� ,...Y"y,r tC AJ IynlsiCSd^Md. .
� 05.19.2015
�*A* �7C�IC���It PV System Structural "e.�`°"#�.Z '
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Design Software �
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�9��� �'��"'"�'.':',':��,�PROJECT INFORMATION &TABLE OF CONTENTS��t��"��'"����'��������.n�4�� -
�i ixis� �;,; Pro]ect Ndmg ,�,u,�,ueTomchyshyn Residence�, ,` ,� t� _�riif��E�««n AH]_, n��«F,�r��t��,� pSalerra - � �� ����m
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Job Number. 0191129 Building Code MA Res Code, 8th Edition _
� ,. ���CuStomer.Name:, �= f�i�g�Tomchyshyn, Paul, �t�;'�'}��..��n� �Based On ���..��� IRC-2009/IBC�2004��j�; -
Address: 15 Beacon St ASCE Code: ASCE 7 OS�
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Qty/Stat_e: ,,,,�;,m;,,.,.��.-,Salem,.��MA,a� �"�,„,��RlskCategory;. ;� v�� ���II�w�x������
Zip Code 01970 Upgrades Req d? No
�� Latitude Lon itude: 42.530266 70 888017 tam Re d7,�„y ��"""""a"�,Yes �; � "�""""
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. SC Office: Wilmin ton PV Desi ner. Troy Murra
Certification Letter 1
Project Information, Table Of Contents, &Vicinity Map 2
Structure Analysis (Loading Summary and Member Check) 3
Hardware Design (PV System Assembly) 4
Note: Per IBC 1613.1; Seismic check is not required because Ss = 031364 < 0.4g and Seismic Design Category (SDC) = B < D
__
i�iui�o��� ;: .,. . _._W,a „�.,,,u ,,,:1�2=MILE VICINITY MAP a ,,,�, �� ..�,� ..: � ,� .�.. ��m� :;:
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15 Beacon St, Salem, MA 01970
Latitude: 42.530266,Longitude: -70.888017,Exposure Category:C
l
� ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES
A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A
, AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER.
BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS.
CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING
DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN
EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3.
_ (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING
EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION,
FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE
GALV GALVANIZED HAZARDS PER ART. 690.17.
GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE
GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY
HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5.
I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL
Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B).
Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER
kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR
kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC
LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E).
MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN
(N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY
NEUT NEUTRAL UL LISTING.
NTS NOT TO SCALE , 9. MODULE FRAMES SHALL BE GROUNDED AT THE
OC ON CENTER UL—LISTED LOCAiION PROVIDED BY THE
PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING
P01 POINT OF INiERCONNECTION HARDWARE.
PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE
SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS.
S STAINLESS STEEL
STC STANDARD TESTING CONDITIONS
TYP TYPICAL
UPS UNINTERRUPTIBLE POWER SUPPLY
V VOLT
Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX
Voc VOLTAGE AT OPEN CIRCUIT
W WATf
3R NEMA 3R, RAINTIGHT � PVi COVER SHEET
PV2 SITE PLAN
♦ '�� �� PV3 STRUCTURAL VIEWS
:r '' PV4 STRUCTURAL VIEWS
. PV5 iHREE LINE DIAGRAM
LICENSE GENERAL NOTES Cutsheets Attached
GEN #168572 1• ALL WORK TO BE DONE TO THE 8TH EDITION ; ���`#
ELEC 1136 MR OF THE MA STATE BUILDING CODE.
2. ALL ELECTRICAL WORK SHALL COMPLY WITH
THE 2014 NATIONAL ELECTRIC CODE INCLUDING �
MASSACHUSETTS AMENDMENTS.
.
MODULE GROUNDING METHOD: ZEP SOLAR
AHJ: Salem � � REV BY DATE COMMENTS
REVA NAME DATE COMMENTS
�
UTILITY: National Grid USA Massachusetts Electric �
� ) � �`rt
- 7;j��= � - • • • � ` . - � •
CONFlDEN7IAL- 7HE INFORNA710N HEREIN Jp9 NUYBE7C J B-0191129 OO � �g ON�It DESqt�POk DE9CN: � \�t
CONTAINm 91ALL NOT BE USED FOR 7HE TOMCHYSITYN, PAUL TOMCHYSITYN RESIDENCE Troy Murroy ����SolarCity.
BENEFlT OF ANYONE E%CEPT Sq.ARqtt PlC., yWN71NG SYS7EL: �'��o`
NOR SHALL IT BE DISCLOSED IN WHOLE qt IN Comp Mount T e C 15 BEACON ST 4.16 KW PV ARRAY
PAIiT TO O7HERS WT90E 1HE RECIPIENYS w�u�s SALEM MA 01970 TMK OWNER:�
ORG/WIZAlION, EXCEPT IN CWlNECTION Ni7H � 24 Sl uMm Driw, BuiMmg 2, Unit 11
7HE SALE AND USE Oi IHE��EC11VE (16) TRINA SOLAR # TSM-260PD05.18 �p� * Pp�N�, g��. � pp� Nmlborouyi, MA 01752
SOLARCITY EpUIPMENT, YA7HWT 1HE NRITIEN �N��; T. (65U)638-1028 F: (650)658-1029
reaMissior+ ovsoia�cattiNc SOLAREDGE SE3000A—USOOOSNR2 314-363-5010 COVER SHEET PV 1 s/�s/2ois c��-Sa-�„�ofi�-Z,�9� m.edarcitycan
� PITCH: 30 ARRAY PITCH:30
• MPl AZIMUTH: 108 ARRAY AZIMUTH: 108
MATERIAL: Comp Shingle STORY: 2 Stories
� PITCH: 30 ARRAY PITCH:30
`'�� MP2 AZIMUTH: 108 ARRAY AZIMUTH: 108
MATERIAL: Comp Shingle STORY: 2 Stories
PITCH: 30 ARRAY PITCH:30
��t � MP3 AZIMUTH:288 ARRAY AZIMUTH: 288
` f ` B MATERIAL• Comp Shingle STORY: 2 Stories
�-�, f PITCH: 30 ARRAY PITCH:30
�` C In MP4 AZIMUTH: 28s ARRAY AZIMUTH: zss
��_ �% ; 3 MATERIAL• Comp Shingle STORY: 2 Stories
l � � / W AC
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LEGEND
� Q (E) UTILITY METER & WARNING LABEL
° �� INVERTER W/ INTEGRATED DC DISCO
, & WARNING LABELS
a � DC DISCONNECT & WARNING LABELS I
0 AC DISCONNECT & WARNING LABELS
0 DC JUNCiION/COMBINER BOX & LABELS
D °O DISTRIBUTION PANEL & LABELS
STAPVIPEC► & SEGt�ED FOR 3 �� LOAD CENTER & WARNING LABELS
STRUCTURA� C)NLY � Q DEDICATED PV SYSTEM METER
�` STANDOFF LOCATIONS
M�������� CONDUIT RUN ON EXTERIOR
f.��`�^ � � GATE/FENCE ON INTERIOR
��yr_ �"y� FI'011t Of HOUS2 Q HEAT PRODUCING VENTS ARE RED
�
w �vyy$ � �_` INTERIOR EQUIPMENT IS DASHED
Digitally signed by Marcus Hann (E) DRIVEWAY �_�
Ydo.,2a..,9r9
`��a ���rg���wo� Date: 2015.05.19 10:06:18 -04'00' SITE PLAN N
t- ' �'���0�1�'L�-,'���„ Scale: 1/8" = 1' �E
. �������
15 Beacon St o r s� ie� '"
"�.{,t � t �'ek. �•"t:'1^4w--.x - 5
J B-0191129 00 P�°�o""E"' oEsanPnox: o�cx
CONFlDEN7IAL — iHE INFORMATION HEREIN ,IOB NUNBEk � `W=� �
CONTNNED SHALL NOT BE USED fOR 7HE TOMCHYSITYN, PAUL TOMCHYSITYN RESIDENCE Troy Murroy �����5olarGty
, BENff1T OF ANttN1E EXCEPT Sq.ARCITY INC.. NWNPNC SYS7EN: i'•u<
NOR SHFLL IT BE DISCLOSED IN NNOLE OR IN Comp Mount Type c� 15 BEACON ST 4.16 KW PV ARRAY
PAR7 TO OTHERS W19DE 7HE f�CIP1ENYS q I,
ORGANIZATON, EXCEPT IN CONNEC710N N17H w���s - SALEM� MA. O I 97O . 24 SL ModN Ddva, BuilNng 2. Unit fl '
1HE SRLE RND USE OF 7HE �SPEC7IYE (16) TRINA SOLAR # TSM-260PD05.18 PA�N�E � y��; pEy pp�; MMbarough, NA 01752
A SOURqtt EQUIPMENT. VA7HWT 7HE 15RITfEN IN�ER7ER: T: (650)638-1028 F. (650)638-1029
reaMiss�oN ov sauu�ar ir+c. SOLAREDGE SE3000A-USOODSNR2 314-363-5010 SITE PLAN PV 2 s/is/2ois ���-5o�-pTM c�s�-z,�� .,�.�wo«�a.��
PV MODULE
5/16° BOLT WITH LOCK INSTALLAPON ORDER
& FENDER WASHERS
LOCATE RAFiER, MARK HOLE
ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT
ZEP ARRAY SKIRT (6) HOLE.
�4� �2� SEAL PILOT HOLE WITH
POLYURETHANE SEALANT.
ZEP COMP MOUNT C
ZEP FLASHING C (3) (3) INSERT FLASHING.
(E) COMP. SHINGLE (4) PLACE MOUNT.
(1)
(E) ROOF DECKING U �2) u INSTALL LAG BOLT WITH
5/16" DIA STAINLESS (5) �5� SEALING WASHER.
STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH
WITH SEALING WASHER �6� BOLT & WASHERS
(2-1/2° EMBED, MIN)
(E) RAFTER STANDOFF
S� Scale: 1 1/2" = P
STAfviPED & SIG�JE� FOR
STRU�TURAL ��LV
, � � � ��H t7f�s� ,
�� �
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J B-0191129 00 `�"�°�"" °�°`n°� °�°�
CONFlDEN7IAL — THE MFORMA710N HEREIN JOB NUNBER: �W`!a �}
CONTAWED SHALL NOT BE USEO FOR 1HE TOMCHYSITYN, PAUL TOMCHYSITYN RESIDENCE Troy Murray ��' 'SOIC�f CI l.,I.
BENEFlT OF ANYONE EXCEPT SOLARCItt INC., YWN7ING SYS1Ek i'n�
� NCft SHRLL IT BE DISCLOSED IN NHOLE OR �N Com Mount T e C 15 BEACON ST _ � 4.16 KW PV ARRAY h�
autr To on��s ou�si� n�e REawer+rs uoou� � SALEM MA 01970
7HE SJAIE D USEEOF I7HE RES EC�4E�TM (16) TRINA SOLAR # TSM-260PD05.18 � ' ' 29 5L NMin Drive. BuilEing 1, Unit fl
� SOLARCItt Eq11PNENT. WI7HWT THE WRITIEN IN�� Pp'��E ��: �µ OA� F. (650) 638-7028 F:A(650)638-1029
reauis�oN ov so�wan iNc. SOLAREDGE SE3000A—USOOOSNR2 314-363-5010 STRUCTURAL VIEWS PV 4 s/ts/2ots ���-5o�-pn n6�-Z�� ....,�a����x�
. .- . . ..- . . � � ! �3x l�i'�j�I,,� �, �t� ..- . .
YWARNING�PHOTOVOLTAIC POUVERSOURCE, u I�)
� ` WARNING '• �;I' WARNING�, �
..- ����� ..- � � ,, .
ELEC7RIC SHOCK HAZARD ��ELECTRIC SHOCK HAZARD r�.
'�� 60 NOTvTOUCH TERMINALS, �� THE DC CONDUCTORS OF;THIS ��
ij . '. .'. i�"�t(�,�F��jj�Iil«j��jr���a(�� ! . �- • . • i � TERMINALS ON BOTH LINE AND 7 PHOTOVOLTAIC SYSTEM ARE � � = • �
j��� '' �,LQAD SI�ES MAY BE EN'.ERGIZED • I f� � �UNGROUNDED AND' I I I
:{� PHOTOVOLTAIC�DC � ���' � INTHEOPENPOSITION� ��'� �r � �MAYBEENERGIZED����I������� � � � �
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ry � s �i� (., � � INTERCONNECTION �. ��_
��,a'�N�,MAXIMUMPOWER �� � 1 � ��
'� POINTCURRENTIm -A' _ ( I�4;WARNINGELECTRICSHOCK �
a' � � �� �) •'' 'i��i . HAZARD. DO NOT TOUCH • � '��
� �H�E�MAXIMUMPOWER- ���� � ��
�POINTiVOLTAGE (Vmp)_v, ��, ,•1 ��'�� .TERMINALS.TERMINALS ON �
MAXIMUM SYSTEM �j� � BOTH THE LWE AND LOAD SIDE �
�i) ' VO�TAGE Voc � MAY BE ENERGIZED IN THE OPEN .
��i , I' 'N�G< < . �_ _ '' � � POSITION.�FOR SERVICE
� ;. SHORT CIRCUIT
j a DEENERGIZE BOTH SOURCE
: CURRENT(Isc) � AND MAIN BREAKER ,�
I Il6hgj���N�a. �h '' Pv PoweR souRce;�i�!;'
��,�IMAXIMUMAC'._ �
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�� � �MAXIMUM AC V
p; 3 .�� ������a � �.. � �. � _�- � . � �t OPERATING VOLTAGE _ i
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�IFA'GROUND FAULT��.IS INDICATED ''
���j y NORMAL'LY GROUNDED , � � .�- • . • I,
��3�� "CONDUCTORS MAY BE �yj' : CAUTI ON � ��
UNGROUNDED AND ENERGIZED '� �
����s�}����a,.,.����, ........ �;y� ,, DUAL POWER SOURCE •�-
�SECONDSOURCEIS �.� �,
PHOTOVOLTAIC SVSTEM �.
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;i ELECTRICALSHOCKHAZARD j ' . CAUTION � •�
:DO NOT��TOUCH TERMINALS �� • �
TERMINALS ON BOTH LINE�AND � � - •�-
{ LOAD SIDES MAY BE ENERGIZED � PHOTOVOLTAIC SYSTEM
�: CIRCUIT IS BACKFED �� •
���..IN THE OPEN POSITION� G .
��" � ?�IiI�.iDC�VOLTAGE IS '��.. �`3 ` � � �
ALWAYS PRESENT WHEN�I
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�a EXPOSED TO SUNLIGHT =�� .
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