0025 EAST COLLINS STREET - BULDING JACKET , � �����-► � W
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� The Commonwealth of Massachusetts '�
°� Board of Building Regulations and Standards C[TY OF
Massachusetts State Building Code, 780 CMR SALEM
Revised Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One- or Two-Family Dwelling
-� �� ��� This Section For Official Use Only �
Building Permit Number. `! '„� �Date Applie� .�
n, ' �+ i� „`� �
�.Y y ,�. �..: ,... ` :
� Building Oflicial(Print Name) �° i,� �e" Sig�ature � Da� �
� ..a.. .;;.:� a, ,:. ' �.'�' SECTION 1:SITE INFORMATION��. " '".! I
� �Ll Property Address: 1.2 Assessors Map& Parcel Numbers �
� 25 E Collins Street 36 0322-0
l.la Is this an accepted street?yes � no Map Number Parcel Number
1.3 Zoning Information: 1.4 Proper[y Dimensions:
RESIDENTIAL
'Loning District Proposed Use Lot Area(sq ft) Frontage(k)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Providcd Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.S Sewage Disposal System:
Public ❑ Privatc❑ Zone: Outsidc Flood Zone? Municipal ❑ On site disposal system ❑ �
Check if yes❑
SECT[ON 2: PROPERTY OVVNERSHIP','�� '� ���.�. `'u`
2.1 Owner'of Record: �
Ron Beaudoin SALEM, MA. 01970
Name(Print) Ci[y,St'at'e,7IP
25 E Collins Street 978-835-9972 alekryan�yahoo.com
No.and Sheet Telephone Email Address
'' `� SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:soua Pv
Brief Description of Proposed Work2:Install Solar Electric panels on roof of existing home to be interconnected with the
home's Electrical Svstem(18 panels at 4.59 kW)
=. �,:( .�, q�, SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: ��' Official Use Only
Labor and Ma[erials `.��� �
t. Building $3,000 �.1.'Building Permit Fee: $ � Indicate how fee is determined:
2. Electrical $8,000 � Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier +� x' °
� 3. Plumbing $ 2. Other Fees: $ �•,, �:i
4.Mechanical (HVAC) $ � List: � �' `�`,.�i
5. Mechanical (Fire . , � . "�
Su ression $ Total All Fees: $ . �4 .
Check No 'Check Amount: '" ��-Cash Amount:
6. Total Project Cost: $ � � ,000 ;❑Paid in Full ;��* �❑Outstanding Balance Due:
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' �� ' � ` SECTION 5• CONSTRUCTION SERVICES �r< <..
� ' : ii� ... ii. .
5.1 Conatruc[ion Supervisor License(CSL)
101687 9/13/2016
SOLARCITY CORP. /DANIEL D. FONZI ns�ur er Expiration Date
- Name of CSL Holder
List CSL'Pype(see below) �
800 RESEARCH DR �.. - ��--.
No.and Street Type '�Description '
WILMINGTON MA.01887 U Unrestricted(Buildin s u�to 35,000 cu. ftJ
R Res[ricted 1&2 Famil Dwellin
City/Town,S[a[e,ZIP M Mason
RC Roofin Coverin
WS WindowandSidin
SF Solid P'uel 6urning Appliances
9�8-z15-z3aa DFONZI@SOLARCITv.COM I Insulation
Tele.hone Emailaddress D Demolition
5.2 Registered Home Improvement Contractar(HIC)
168572 3/8/1]
SOLARqTY CORP. HIC Registration Number Expira[ion Date
HIC Company Name or HIC Registran[Name
800 Research Dr ablanco@solarcity.com
No.and Slreet �mail address
Wilminqton Ma. 01887 978-215-2383 �
Cit /Towq 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 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 soia�cnyi nsmd eia�w
to act on my behalf, in all matters relative to work au[horized by this building permit application.
'See ContracUOwner Authorization �2isvie
Prin[Owner's Name(Bleclronic Signa[ure) - Dale
+i I;SECTION 7b: OWNER' OR AUTHORIZED ACENT DECLARATION �I:' ,E;"
By entering my name below, 1 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.
� � � 12/31/15
Print Owne �s or orized AgenPs Name(Eleclronic Signature) Date
.,� rr.s- � NOTES•'Ic� � . ,
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered wntractor
(not registered in the Home[mprovement Con[ractor(HIC)Program),will not have access to the arbi[ration
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.eov/dos
2. When substantial work is planned,provide the information below: �
Total floor area(sq. ft.) (including garage,finished basemenUattics,decks or poroh) �
� 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 CosY'
NOI�r� Commonwealth of Massachusetts ��
/� 4 '
� Citv of Salem i � � �
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 �� � � �
Retum eard to Building Division for Certifieate of Occupancy ��� �
Permit No. 8-16-s p E R M I T TO B U I L D
FEE PAID: $77.00
DATE ISSUED: U28/2076
This certifies that BEAUDOIN RONALD HENRY JR
has permission to erect, alter, or demolish a building:25_EAST COLLINS_STREET Map/Lot: 360322-0
as follows: Solar Panels INSTALLATION OF ROOF MOUNTED PHO OVT OLTAIC SOLAR SYSTEM (18
PANELS @4.59 kVln
Note: Rec'd newer, upd�ted plans from Solar City on this property. Reviewed by Bldg Inspec
M.L. 2/5/2016
Contractor Name: DANIEL D. FONZI *
DBA: SOLAR CITY CORPORATION
Contractor License No: 101687
1/28/2016
Building Official � Date
This permit shall be deemed abandoned and invalid unless the work authorized by this 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�pproved applicaG�n and the approved construction documents for which this permit has been granted.
All construction,aReretions and changes of use of any�building and stmctures shall be in compliance with the loc�l zoning by-laws a1nd codes.
This permit shall be displayed in a location clearly visible 6om access str�et or road and shall be maintained�open for public inspecuon for the entire duration of the
work until the completion ot the same. � "' '—" !
f
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Pire O(ficials are provided/on4his permit .
HIC #: 168572 °P�rsons contracting with unregistered contractors do not have access to th" e guaranry fund"(as set forih in MGL c.142A).
Restrictions:
PITCH: 41 ARRAY PITCH:41
MPl AZIMUTH: 289 ARRAY AZIMUTH: 289
MATERIAL Comp Shingle STORY: 1 Story
PITCH: 14 ARRAY PITCH:14
MP2 AZIMUTH: 109 ARRAY AZIMUTH: 109
MATERIAL• Comp Shingle STORY: 2 Stories
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a o Q (E) UTILITY METER & WARNING LABEL
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� � DC DISCONNECT & WARNING LABELS
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� " I L `�' O DISiF216UTI0N PANEL & LABELS
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�j (E)DRIVEWAY 9O� S NAL ENG`��� �� LOAD CENTER & WARNING LABELS
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� DEDICATED PV SYSTEM METER
N �? STANDOFF LOCATIONS
� � Digitallysigned�byNitkGordon CONDUIT RUN ON EXTERIOR �
Date:zois.i2.29o83o:59-O8'oo' -�� CONDUIT RUN ON INTERIOR
" — GATE/FENCE
Q HEAT PRODUCING VENTS ARE RED
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�� '� INTERIOR EQUIPMENT IS DASHED
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SITE PLAN N
Sca�e: ��8�� = 1� �E
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Cq1ROFNTIAL- 7HE INFORMAlION HEREIN JOB NUYBER: `\`!}SolarCity.
CONTAINED SHALL NOT BE 115ED FOR 7HE J B-0191743 OO BEAUDOIN, RON � BEAUDOIN RESIDENCE Scott Oldham �. ;
� BENEFlT OF RNYONE E%CFPT SOLARq7Y INC.. . MOIINPNG SYSIEY: � ���\
� NOR SHALL IT BE DISCLOSED IN WHOLE Of2 IN Comp Mount T e C 25 E COLLINS ST 4.59 KW PV ARRAY
PAR7 TO O7HFJ25 W751DE 7HE REqPIENYS n' SALEM, MA 01970
ORCdWIZATION. EXCEPT IN CONNECTION�X7TH b�U�s' , � 24$L Mortln Driw, Bullding 2 Unit 11
1HE SNLE M1D USE OF 1HE RESPEC7IYE (18) TRINA SOLAR # TSM-255PD05.18 PA�N�E SHEET: REV: DAIE: Mmlborough, MA 01752
$OLARCI7Y EOUIPMENT, Ni7HWT THE 6RITTEN . T: (650)638-1028 F. (650)638-1029
PeRM�ss,oN o�sow�n�Nc. '"�"'�'' NA SITE PLAN PV 2 iz/zs/2ois (888?-SOL-CITY(76`r2489) ....,�orc��%��
SOLAREDGE SE3800A-USOOOSNR2
PITCH: 41 ARRAY PITCH:41
MPl AZIMUTH:289 ARRAY AZIMUTH: 289
V MATERIAL• Comp Shingle STORY: 1 Story
PITCH: 14 ARRAY PITCH:14
MP2 AZIMUTH: 109 ARRAY AZIMUTH: 109
Ar MATERIAL: Comp Shingle STORY: 2 Stories
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CHANGE -`�i H OF � �E) UTILITY MEiER & WARNING LABEL
y�`�' ❑ INVERTER W/ INiEGRATED DC DISCO
o �o�' N �'� ��� & WARNING LABELS
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�;id q ' � �Q
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S NAL EN
01/19/2016 O DC JUNCiION/COMBINER BOX & LABELS
� � Q DISTRIBUTION PANEL & LABELS
F-� Digitally signed�by Nick Gordon
�J Date:2016.0��9�08:3629-OS'00' L�
LOAD CENTER & WARNING LABELS
� O DEDICATED PV SYSiEM METER
� O STANDOFF LOCATIONS
� — CONDUIT RUN ON EXTERIOR
� --- CONDUIT RUN ON INTERIOR
— — GATE/FENCE
Lj (E) DRIVEWAY O HEAT PRODUCING VENTS ARE RED
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�, '� INTERIOR EQUIPMENT IS DASHED
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� SITE PLAN N
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Scale: 1/8" = 1'
O 1' 8' 16' w
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CWJFlDEN7IAL- 1HE INFORMATION HEREIN JOB NUYBQt: PREMI�OlMfflt: DESCPoP710N: DE9GN:
JB-0191743 00 �\,l�SolarCity.
CONTAINm SHALL NOT BE USED FOFt 1HE BEAUDOIN, RON BEAUDOIN RESIDENCE Scott Oldham �: .
BENEFlT OF ANYONE EXCEPT SOLARqTY INC., YWN7ING SYS7EN: �.,,c
• NOR 91N.L IT BE UISCLOSm IN NHOLE OR IN Com Mount T e C 25 E COLLINS ST 5.61 KW PV ARRAY ���
PART TO OTHERS IX1751�E 7HE REGPIENYS uoou� � SALEM MA 01970
ORGANIZA710N, EXCEPT IN CONNEC110N 'M1H � p{5t Mmlln Drive, Building 2,Unk 11
7HE SALE AND USE OF THE RESPEC7IYE (22) TRINA SOLAR # TSM-255PD05.18
SOLARqTY EOUIPMENT, VAIHWT THE NRI7iEN PAGE NMIE 91EFC FEV: DAIE Marlborough,YA 07752
PERM1550N OF $OLARqtt INC. IN��' T: (650) 6J8-1028 F: (650J 6J8-1029
SOLAREDGE SE5000A-USOOOSNR2 NA SITE PLAN PV Z 4 1�15�2016 (8B8)-50.—ptt(765-2489) w,w.aderoity.�om
EI`I'Y-O-FSALE
(C-# (3 7 PUBLIC PROPERTY
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DEPARTMENT
KIMBERLEY DRISCOIL / -
MAYOR 1?0 WASHINGfON STREET 0 -
JALLK WNSAC3il:5hllS 01970
T L,978-745-9595*Fmc 978-740.9W
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION
DEMOLITION OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: /L) . Building:
Property Address: ��5� 1�a -7`-
5 s� PQ
Property is located in a; Conservation Area Y/N Historic District YIN VU
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land F
Name: / r✓ �- C/2i� �� '���
Address:
Telephone: _
3.0 COMPLETE THIS SECTION FOR WORK IN FYICTILIG BUILDINGS ONLY
Addition fix/ Z- Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of ,s Area per floor (sf) Renovated
construction or renovation
of existing building I New
Brief Description
�of Proposed Work:
(= �
.C177� A-�Ict/CTS 7-0 �/CiS'7� �Ci� e�1CGti
Mail Permit to: 17
What is the current use of the Building? 1112 jr
Material of Building? 1� If dwelling, how many units?
Will the Building Conform to Law?� ,/�
�5 Asbestos? WC)
Architect's Name '�`� ��a�
Z
' S 5
Address and Phone l7tcus-V QA�m
1�t� a3 cJcilzt.'� —
Mechanic's Name S ZY �G
Address and Phone
Construction Supervisors License# C's 686 2 HIC Registration#
Estimated Cost of Project$ Z5 �� Permit Fee Calculation
Permit Fee $ Estimated Cost X$7/$1000 Residential
a 5 Estimated Cost X$11/$1000 Commercial
Z An Additional $5.00 is added as an
Administrative charge.
r7�
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the abo led
specifications. Signed under penally of perjury X -
Date 7
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The Commonwealth of Massachusetts EVEQ,
Board of Building Regulations and Standards jHSP CRE AL SF MES
Massachusetts State Building Code,780 CMR _S ALE
Revised Ma 11
Building Permit Application To Construct,Repair,Renovate Or Dempli q A IV 3
One-or Two-Family Dwelling ll�4�I�V
This Section For Official Use Only
Building Permit Number: Date Applied:
- .—Building Official(PrintName) Si ature- - - Yr/.
� ate
SECTION I-SITE INFORMATION
1.1 P�pgrty�dd��ees$/rs 1.2 Assessors Map&Parcel Numbers
L la Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards
Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?
Check ifyes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY.OWNERSHIP'
2.1 Owoer'of Rep7�eyaa
ter!St; D2auc�olh� SA/C`n P79 01970
Name(Print) City,State,ZIP
';:3� F. Callr7js �t - 6/7-6 -69f6
no.ana street - a Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ temtion(s) ❑ Addition ❑
Demolition ❑ IAccessory Bldg.❑ Number of Units_ Other Specify: g��
Brief Description of Proposed World:
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials y
1.Building $ 60, .i 1, Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard Cily/Town Application Fee _
❑Total Project Cost'(Item 6)x multiplier 1 x
3.Plumbing $ 2: Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) $ Total All Fees:$
/9 Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ Poo ` / El Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) U 7 7 7 7
U 7 y z3 iy
License Number Expiration Date
Name of CSL Holder Eric a -
3 Hilton Street List CSL Type(see below) U
No.and Street Salem MA 01970 - Type Description,
U Unrestricted uildin s u to 35,000 cu.ft.)
Crty/Town,State,ZIP R Restricted 1&2 Famil Dwellin
M Masomy
RC Roofin Covens
WS Window and Siding
SF Solid Fuel Homing Appliances
Tel hone [ Insulation
Email address D Demolition
5.2 Registered home Improvement Contractor(HIC)
/Wo 8`/
HIC Company Name or HIC Re ertZa On,LLC HIC Registration Number Expnation Date
No.and Street
SOiem MA 01970 Email address
Cr /Town,State,ZIP Tele hone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152.§25C(6))
Workers Compensation Insurance affidavit must be c pleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the lssuan of the building permit.
Signed Affidavit Attached? Yes.......... 2r No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
[ILs Owner of the subject property,hereby authorize j�Y(5* 1�eayo�jey
ct on myybbehaalf,in all matters relative to work authorized by this building permit application. `w
Print Owners Name(Electronic Signature) ) �I Date r�
D
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 a lication is true and accurate to the best of my knowledge and understanding.
00 31iTIm
Print Owners or Authorized Agent's Name(ElectroniZ Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementlatties,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"maybe substituted for"Total Project Cost"