14 COLUMBUS AVE - BUILDING PERMIT APP (004) i
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1 ��� '� � The Commonwealth of Massachusetts
°� Board of Building Regulations and Standards S EM
�a Massachusetts State Building Code, 780 CMR
Y� Revised Mar 20!1
Building Permit Application To Construct, Repair, Renovate Or Demolish a
� One-or Two-Family Dwelling
This Sec[ion For Official Use Only �
� Building Permit Number: Date A plied:
�.... Bailding Otficial(Print Name) Signature Date/
SECTION 1:SITE INFORMATION
�•;�°Pe�a�lv r�b� ^ `Q 1.2 Assessors Map& Parcel Numbers
� rN
I.la Is this an accepted street?yes no Map Number Parcel Number
` 1.3 Zoning Information: 1.4 Property Dimensionx �
Zoning Districl 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.4Q§54) 1.7 Flood Zone lnformation: 1.8 Sewage Disposal System:
Public❑ Priva[e❑ Zone: _ Outside Flood Zone? Municipal O On si[e disposal system ❑
Check if yesO
SECTION 2: PROPERTY OWNERSHIP�
2.1 Owner of Record:
�y ��eri'4"+ Sn�R,v�n�� a197O
Name(Print) City,Sta[e,ZIP
�4 �Dl,,..hl��s A�e 9�8-���-Zoyb —�
No.and Street � 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: �/ S�W`
Brief Description of Proposed Work2: �j_Z9 f— v,� �,r
Q V �k�rr�V
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ `L. � (�"7 1. Building Permit Fee: $ Indicate how fee is determined:
t� ,� n� ❑Standard City/Town Application Fee
� 2.Elechical $ �
❑Total Project Cost�(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fees: $
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ l �p��{ 5 � ❑paid in Full ❑Outstanding Balance Due:
.9�Z �•9v, a/� �C' i1�P.�.c�✓'�.G �/�e�- �y�/y
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" � SECTION 5: CONSTRUCTION SERVICES
5.1 �onstruction Supervisor License(C5L) On ��O l.L�� 1�
\ Q \ '1
C��J) o� 1\�L �G�oO V� License Number Expiration Date
Name of CSL Holder ` '
3C �,{ay qv Q List CSL Type(see below) v
J � l r1
No.and Street Type Description
Q�Nf„a� �/1 �-�� /_"7 U Unrestricted Buildin s u [0 35,000 w.ft. i
v � � Cl Y! ( R Restricted l&2 Famil Dwellin ,
CityfCow ,State,ZI M Masonr �,
� ��� I
�,�- RC Roofin Coverin
WS WindowandSidin I
O2 Z49_SgSS `r��r\���So�q ��y SF SolidFuelBumingAppliances i
c1 A lJ I Insulation
Tele hone Email address D Demolition
5.2 Registered Home Improve ent Contractor(HIC)
S�acc�� Car - �c�v�a �:c,I-.��.so-, 1 (�gS�`L 3 (
HIC Company me or H C Registrant Name HIC Regishation Number Expvation Date
�oSS C�Qarv�ew �Jav �r������ae�wc��y.ca..�
No. d Stree[ Email address
�'a�.. M�feo, CA q`1No2 Q01-Z99-5gg�
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 submitted with this applicatioa Failure to provide
this affidavit will result in the denial of the Issuan of the building permit. '',
Signed Affidavit Attached? Yes .......... No........... ❑ I�
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject proper[y,hereby authorize �I�,r,..���i �
to act on my behalf,in all matters relative to work authorized by this building permit applicatioa
S,fG �01n�/'4.C �
Print�s Name(Electronic Signa[ure) Date�
SECTION 76: OWNER'OR AUTHOR[ZED AGENT DECLARATION
By entering my name below,1 hereby attest under the pains and penal[ies of perjury that all of the information
contained in this applica[ion is true and accura[e to the bes[of my knowledge and understanding.
�avic� �i��a.r ��ov. l Za �Z
Print Owner's or Authorized Agent's Name(Electronic Signature) � Date
NOTES:
. l. 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 Conhac[or(H1C)Program),will no[have access to the arbitration
program or guaranry fund under M.G.L.c. 142A.O[her important information on the HIC Program can be found at
www.mass. o� v/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos
2. When substantial work is planned,provide the information bebw:
Total floor area(sq.ft.) (including garage,finished basemenUattics,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 CosP'
ABBREVIATIONS ELECTRICAL NOTES INDEX LEGEND LICENSE
1. WHERE ALL TERMINALS OF THE DISCONNECTING PV7 COVER SHEET u E UTILITY METER 6
A AMPERE MEANS MAY 8E ENERGIZED IN iHE OPEN PV2 SITE PLAN � � � � �
AC ALiERNATING CURRENT POSITION, A SIGN WILL BE PROVIDED WARNING PV3 SiRUCTURAL VIEWS INVERTER W/ INTEGRATED DC DISCO &
BLDG BUILDING PV4 UPLIFT CALCULAiIONS "" WARNING LABELS. (3),(4),(5),(6)
CONC CONCRETE OF THE HAZARDS PER ART. 690.17. pV5 SINGLE LINE
� COMBINER BOX 2• EACH UNGROUNDED CONDUCTOR OF THE pV6 ELECiRICAL CALCULATIONS
MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED oc.
D DISTRIBUTION PANEL BY PHASE AND SYSTEM PER ART. 210.5. PV7 CUTSHEETS �p DC DISCONNECT (4),(5)
DC DIRECT CURRENT PVS CUTSHEETS
EGC EQUIPMENT GROUNDING CONDUCTOR 3. A NATIONALLY-RECOGNIZED TESTING
LABORATORY SHALL LIST ALL EQUIPMENT IN PV9 CUTSHEETS "� AC DISCONNECT (2),(4),(6) JURISDICTION NOTES
(E) EXISTING COMPLIANCE WITH ART. 110.3. PV10 CUTSHEETS �
EMT ELECTRICAL METALLIC TUBING 4, CIRCUITS OVER 250V TO GROUND SHALL PVit CUTSHEETS
G SOLAR GUARD METER � �uNcrioN eox — ALL WORK SHALL COMPLY WITH
GALV GALVANIZED COMPLY WIiH ART. 250.97, 2so.s2(e) THE MASSACHUSETTS STATE BUlLDWG
GEC GROUNDING ELECTRODE CONDUCTOR 5. DC CONDUCTORS EITHER DO NOT ENTER
GND GROUND BUILDING OR ARE RUN IN METALLIC RACEWAYS GENERAL NOTES � DC COMBINER BOX (7),(s) CODE.
HDG HOT DIPPED GALVANIZED OR ENCLOSURES TO THE FIRST ACCESSIBLE DC — ALL ELECTRICAL WORK SHALL
I CURRENT DISCONNECTING MEANS PER ART. 69D.31(E). O DISTRIBU110N PANEL (1),(2) COMPLY WITH THE 2011 NEC.
Imp CURRENT AT MAX POWER 6. ALL WIRES SHALL BE PROVIDED WIiH STRAIN �. THIS SYSTEM IS GRID-INTERTIED VIA A
INVS INVERTERS RELIEF AT ALL ENTRY INTO BOXES AS UL-LISiED POWER-CONDITIONING INVERTER.
Isc SHORT CIRCUIT CURRENT REQUIRED BY UL LISiING. Z. THIS SYSTEM HAS NO BATTERIES, NO UPS. �� LOAD CENTER (2),(4),(6)
kVA KILOVOLT AMPERE 7. MODULE FRAMES SHALL BE GROUNDED AT THE 3. PHOTOVOLTAIC SOURCE AND INPUT CIRCUITS
kW KILOWATT UL-LISTED LOCATION PROVIDED BY THE AND INVERTER INPUT CIRCUIT ARE O DEDICATED PV SYSiEM METER
LBW LOAD BEARING WALL MANUFACTURER USING UL LISTED GROUNDING UNGROUNDED.
MIN MINIMUM HARDWARE. 4. SOLAR MOUNTING FRAMES ARE TO BE � CONDUIT RUN ON EXTERIOR
(N� NEW 8. ALL EXPOSED METAL PARTS (MODULE FRAMES, GROUNDED. ��� CONDUIT RUN ON INTERIOR
NEC NAiIONAL ELECTRIC CODE RAIL, BOXES, ETC.) SHALL BE GROUNDED USING — GATE
NIC NOT IN CONiRACT UL LISTED LAY-IN LUGS LISTED FOR 1HE --- INTERIOR EQUIPMENT
NTS NOT TO SCALE PURPOSE. POSTS SHALL BE MADE
OC ON CENTER ELECiRICALLY CONTINUOUS WITH ATTACHED
p PANEL BOARD RAIL.
PL PROPERTY LINES 9. MODULE FRAMES, RAIL, AND POSTS SHALL BE
PV PHOTOVOLTAIC BONDED WITH EQUIPMENT GROUND CONDUCTORS
PVC POLYVINYL CHLORIDE AND GROUNDED AT THE MAIN ELECiRIC PANEL.
g SUBPANEL 10. THE �C GROUNDING ELECTRODE CONDUCTOR VICINITY MAP
SCH SCHEDULE SHALL BE SIZED ACCORDING TO ART.
SS STAINLESS SiEEL 250.166(B) & 690.47. - �-
SSD SEE STRUCiURAL DRAWINGS 11d� .� ; �� ' � � .;� ' si ��a�'"�^-� � -� '`�
STC STANDARD TESTING CONDITIONS � `�
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SWH SOLAR WATER HEATER �; �� '-�'.� � �y' � ccemu°' F� '�`°+� �. smxew
., � 4 BeveNY. .i
TYP TYPICAL ., J' ' « �a� '� � d �� p r! �s, '
UON UNLESS OTHERWISE NOTED , ' a i �gr,�� , �� `I� � �CG"� "' , fi= � U, ' "'
UPS UNINIERRUPTIBLE POWER SUPPLY t,� . - + � � er�Yw:E�aewist .� s � `. sx .+*'° {�� ,^M,�
y VOLT �� � L��� � � ...ite � f'� e:d 8 Q�1,�,,,�,1 caev . .
Vmp VOLTAGE AT MAX POWER '"�1' ar a`Pa„�"/ �,`„a , � � � . .�?s �'' "co�"'
Voc VOLTAGE AT. OPEN CIRCUIT L . , �� �*�: y
W WATT � ' sr�o'i�cef�ite�r B' '� ♦ L�.roYb�n�`J
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CONFlDENTIAL- 7HE INFORAIAlION HEREIN JOB NUIIBER � �����I - '
CONTAINFD SHRLL NOT BE UgD FOR 7HE EVERITT, AMY �EVERITT RESIDENCE JSANT ���SOIA�I�y
BENEFlT OF RNYONE EXCEPT SOLARq1Y INC., y,yq,7; NODUIFS. � I �
NOR SHALL IT BE OISCLOSm IN WHOIF OR IN 14 COLUMBUS .AVENUE �
PART TO O7HQt5 W790E 1HE REqPIFNYS . RESI 14 YINGLI Y�23sP-2se +a 3.29 KW Roof Mount PV Array .
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- Raof Mounted SEE PV4 DETAILS A,B,C,D
Mpz PITCH:40 ARRAY PITCH:40
AZIMUTH:Z14 ARRAY AZIMUTH: 214
MATERIAL Comp Shingle Roof STORY: 2
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INVERTER W/ INTEGRATED DC DISCO &
MP 3 �°� WARNING LABELS. (3),(4),(5),(6)
A
PV3 � DC DISCONNECT (4),(5)
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Front Of House
L` ' Q JUNCTION BOX
Q DC COMBWER BOX (7),(9)
2'toPL B
PV3 Q DISTRIBUTION PANEL (1),(2)
MP z �c LOAD CENTER (2),(4),(6)
' O DEDICATED PV SYSTEM METER
� CONDUIT RUN ON EXTERIOR
1 --- CONDUIT RUN ON INTERIOR
— GATE
--- INTERIOR EQUIPMENT
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Scale: 1/8" = 1' ��
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CONFlDEN7IAL- iHE INFORMR110N HEREIN JOB WIMBER J B-019 0 42 0 0 ��g�� AHJ Salem DESCRIP110N: �61GN: `� �� .�
CONTAINED SHALL NOT BE USED FOR IHE EVERITT, AMY EVERITT RESIDENCE JSANT /�M//��_
BENEFlT OF ANYONE IXCEP7 SOLqRp7Y ING. NARNEf: YOWIES ' ',,, �/OfN■ Y'� o
NOR 91ALL IT BE �ISCLOSED IN WHIXE OR IN RESI 14 YINGLI YL235P-2gb 14 COLUMBUS AVENUE 3.29 KW Roof Mount PV Arra ��
PMT TO O7HERS WTSIOE 7ME REq%ENtS �
ORGANIZA710N, E%CEPT IN CONNECPON N7TH P��T�'WA� wa,Nn�s�: SALEM, MA 01970
7HE SAIE AND USE OF iHE RESPEC7IVE SOLARCITY L-FOOT AND RAIL sossa����w�v
SOLARqTY EWIRAQIT. N17HWT 71�E WRITIEN PAYMQlT TiPE IN IEp; PACF NWE � SHE[i: NEV: DAIL T:(650)638-1028 I�(65a)638�1029
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(888)-SOL{ITy(7fi5-2489) � www.salartlty.mm
MODULE VOLTAGE RATINGS
Voc: 37.0 VDC
Vpmax: 29.5 VDC A LINE DRAWING
'MODULE CURRENT RATINGS ARE SHOWN AS Isc AND Imp IN iHE DC 2 STRINGS OF 7 MODULES AT MP2
STRINGS IDENIIFIER OF iHE SINGLE LINE DIAGRAM. (14)YINGLI # YL2 5P-29b
PV Module �2011); 235W, 211.2W PiC, H4, Silver Frame
c.
METERNUMBER: 14020180 _ _ _ _ _ oc-
PV SYSTEM IS UNGROUNDED AND COMPLIES Wli}i ARTICLE 690.35. i oc-'
� - - - - - - -
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L __ _ _ _ _______________GNO
1
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I
i (4)AWG #10, PV WIRE, Black
� � (1 )AWG �10, Solid Bare Capper GEC
� (1 )Conduit Kit; 3/4" EMT [50ft]
� 7 � CUTLER-HAMMER # BQC220220 i . Voc = 259.0 VDC
Breaker; 20A/2P-20A/2P, 2 Spaces, Quadplex ; � Vmp = 206.5 VDC
(E) 200A MAIN ELECTRIC SERVICE PANEL PV BACKFEED POWER-ONE # AURORA PVI-3.0-OUTD-S-US� 1 � ' • Isc = 8.54 ADC
(E) 200A/2P MAIN CIRCUIT BREAKER AC DISCONNECT Inverter (-2011); 3000W, 277V/240V/208V, 96%/96%/96% • Imp = 7.97 ADC
CROUSE HINDS # CT867565 PER ART. 690.17 �
�
(E) WIRES AND CONDUIT A0.1UST INVERTER MINIMUM i
�1 �AWG #10, THWN-2, BIOCk ACTIVATION VOLTAGE i0 170VDC
AWG #10, THWN-2, Black ( 1 ) i
(1 )AWG #10, THWN-2, Red �i �--------------' �
(1 )AWG #10, THWN-2, White NEUTRAL AWG #10, THWN-2, RL� (1 ) ; INVERTER � i
(E) LOADS �� )AWG #8, THWN-2, Green EGC/GEC AWG #10, THWN-2, �GND ��� ' I
� N GNO '-l � i
(1 )Conduit Kit; 3/4" EMT
zc, 0000i�
CT (Included with SolarGuard) i ' G 'o + `' + `'� � �
• Vmp = 240 VAC � i � �
SOLARGUARD 1 I I I
f • Imp = 12.5 AAC merea i i � i i !,I
n i i i i
B � ' i i ' I
�- -�- - 7-� i
L1 Lt L1 I �EGC_ J
IJNE �OAO LOAD SOURLE L2 I OC-
N N � OG
o EGC/GEC __ GNp ______EGGIGEC� DC-
_____ GNp __________ DC.
� � _ EGCIGEE
� #8 JUMPE 8 JUMPE
TO 120/240V #S JUMPER cec UNBROKEN THROUGH EQUIP. UNBR I EN THROUGH EQUIP.
SINGLE PHASE --
UTILITY SERVICE i � 1 � HOFFMAN # A6R64
i Enclosure; NEMA 3R DC DISCONNECT
� �2 � Multi-Cable Connector, 3 Port INTEGRAiED INTO
i �4-#14 AWG, Same side, Insulated INVERTER; COMPLIES
AWG #B, Solid Bare Copper � 1 � i - WITH NEC.
BOND (N) #8 EGC/GEC TO (N) GROUND (1 )CUTLER-HAMMER # DG221UR8
ROD AND (E) GEC AND (E) COLD WAiER MOUNTEDtOUTSDE2A�CESSIBLE TOSUTILIiY MA 3R
PIPE WITH IRREVERSIBLE CRIMPS PER
ART 250.64(C) AND ART 250.66(A)
' Graund Rod; 5�8" x 8', Copper� 1 �
JB-019042 00 �g�� � 5alem DFSqGPPON: DE9GN ► ,
CONFlDEN7IAL- 7HE INFORIIATON HEREIN JOB NUyBFR ' -►�i��
CONTAINm SHALL NOT BE USID FOR 1HE EVERITT, AMY .EVERITT RESIDENCE JSANT ����SOIA�I `
BENEFlT OF ANYONE IXCEPT SOLARGtt ING, y,y�; NODUIFS �•�
� NOR SHALL IT BE DISCLOSED IN WHOIE OR IN RESI 14 YINGLI YL235P-29b 14 COLUMBUS AVENUE 3.29 KW Roof Mount PV Array
PART TO O1HQ6 OU7SIDE iHE REdPIENT$ o
ORGANIZAl10N, IXCEPT IN CONNEC710N YA7H P��WµA� waNnN�s,s,a: SALEM, MA 01970
1HE SAIE AND USE OF 7HE RESPEC7IYE SOLARCITY L-FOOT AND RAIL 3oss ci�N��waY
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