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12 HANSON ST - BUILDING INSPECTION (4) 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 Demolish a 1 1 One or Two-Family Dwelling \^ This Section For Official Use Only Building Permit Number: Date pplied: Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1� 4 lanSon St l e _l-,.SG11'a inA I S- ga 13 -y 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 'L-a • aog gertis 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 if yes[] SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ASS c \%A4 f?r eum- ED M O Iq 1 S_ Name(Print) _ City,State,ZIP 1137 '�SS�x Sk_« e,✓� 9'7&-9a7-S3AG EDo+y� n�i771Ssl�ve(—inc•o�t� No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of ProposedWorkZ: O S ac �O i 'C : 2 O t 1, Atei SECTION 4-ES IMATED CONST UCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ d 4)L?,pJ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee 00,pU ❑Total Project Costa(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: $ �1 f�0•�J ❑Paid in Full ❑Outstanding Balance Due: A) OorLk SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) - 57 2 ; ,Pt4- fi<�e( dc) License Number Expiration Date Name of CSL Holder U � M cf e � C 1�� List CSL Type(sec below) No.and Street ,yJ 1 (/ Type Description r� n 0-t � ►r O��3 O U Unrestricted(Buildings u to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/Town te,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Sox-Y6ts 9��B�?owrg.Aaetdo(wfl9 (y-ts igGC I Insulation Telephone - Email address D Demolition 5.2 Registered Home Improvement-Cogntractor(HIC) ' bS ONA�< A540m Boer — e, jeo- liCAA(zi HIC Registration Number Expiration Date HIC Co�pany Name or HIC Registrant Name ^� q ISN\Jerl0 7__ F��PC+.Qreve�v�HSIfJnSd�mGC No.and Street Email address +Irok�nlmr�,� ot7uk Sa8-Ybi� -5i7fSl Cr tate,ZiP Tele hone SECTION 6:WORKERS' COMPENSATIONINSURANCE 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 A St co M S o c to act on my behalf,in all ma elative to work authorized by this building permit application. /3 Print Owner's Name(Electronic Signature) Date 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 es of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) 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. ovR /oca Information on the Construction Supervisor License can be found at www.mass. og v/dps 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" CITY OF S�U E:Nt, 1.LAS&A CHLSETTS • BL'ILDLNG DEPARTaIENT 120 WASHNGTON STREET, Yo FLOOR TEL (978) 745-9595 FAX(978) 740-9846 Kl%, BERLEY DRISCOLL I%UYOR T HomAs ST.PIERRE DIRECTOR OF PCBLIC PROPERTY/BCI[.DLNG CONMUSSIONER 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# 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: A54-rJ eve SAu r- (name of hauler) The debris will be disposed of in : 'War�l'�ouse '��rnps�l�C'- N4r�2�-�+�c• (name of facility) ISAve��e �, 0(1=�ni�m ird 0I-1`t� (address of facility) signature of permit applicant �h I �t 3 date dcbrivfLdce r - 15 Avenue E Goes , - Hopkinton, MA 01748 PHONE 508.649.96.9641 FAX 508.302.7994 AST R U M SO LAR' www.astrumsolar.com LETTER OF AUTHORIZATION FOR PERMIT AND INSPECTION To Whom It May Concern: �D�D}V n /�r i IL�ue(�✓t[_ as owner of the property located at Q1 NG✓lsi7V� � �r / C�ek S4-t`,e-vv^ Massachusetts C>A97V Hereby designate Astrum Solar, Inc. as my contractor and registered agent for the purposes of the applying for permits and inspections of my solar photovoltaic generating unit. Signature: a., Customer. Date: SEE A SUNNY DAY IN A WHOLE NEW WAY® I � �./ /VV �Il'//-V//L/lP/VLU V � �J'✓LVl/ �v✓:'i 1I Office of Consumer Affairs 4d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration .:, Registration: 168228 I"= _ Type: Supplement Card v. 1�r , a Expiration: 1/79/2015 ASTRUM SOLAR INC. --- ROBERT ACEVEDO 8955 HENKELS LANE STE 508 ANNAPOLIS, MD 20701 Update Address and return card.Mark reason for change. (j Address Renewal E].Employment Lost Card j SCA 1 G 20M4)5/11 T('(Nw......OClb�l�-O�(�/��¢d.ItFCfFlde��1 -- (rice of consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistradon: 468228 - Type: 10 Park Plaza-Suite 5170 Expiration--',rl j'9/2015:. Supplement Gard- Boston,MA 02116 ASTRUM SOLAR INC ROBERT ACEVEDO 8955 HENKELS LANE STE 506- - ANNAPOLIS,MD 2W01 Undersecretary of valid wit out signature .•=- Massachusetts Department (I public S ifel% •� Board d of Building Regulations mid Standards Construction Supervisor License' License: CS 578W ,f ROBERT W ACEVEDO 64 MAPLE ST r FRANKLIN, MA'02038 Expiration: 6/1512013 � $ Co nmi �tnner Tr!<: 20428 # S i d 1 ASTRU-1 OP ID:SJ �i CERTIFICATE OF LIABILITY INSURANCE D01/11ATE /2013 I 01l11I2013 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER Phone:410433-3000 CONTACT Diversified Insurance - Industries,fnc. Fax:410-433-3440 PHONE IC N xt An:No): Suite 155 West,2 Hamill Road E-MAIL Baltimore,MD 21210-1873 ADDRESS: Steven X.Johnston INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ohio Casualty 14613 INSURED Astrum Solar,Inc. WSURER e:Cincinnati Insurance Co. 10677 8966 Henkels Lane Ste 608 Annapolis Junction,MD 20701 IN c:tnjured Workers Ins.Fund 11039 INSURER D:Zurleh/American Ins.Co. 16536 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR TYPE OF INSURANCE POLICY NUMBER lVon MMLIDY EFF FOLICjMM/DD EXPINSR LIMITS GENERALUASILITY EACHOCCURRENCE E 1,000,00 A X C_OMMERCIAL GENERAL LIABILITY CBP7044357 08/0112012 08/01/2013 UAPAGEs REKT _erirA S 300,00 CLAIMS-MADE FX OCCUR MED EXP(Any one Person) S 10,00 _ PERSONAL B AW INJURY S 1,000,00 GENERALAGGREGATE S 2,000,00 GEML AOOREOATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,00 POLICY X Pft- LOG $ AUTOMOBILE LIABILITY COMBINED eINeISINGLE LIMIT S 1,000,000 B X ANY AUTO EBAD054872 12/20/2012 1212012013 BODILY INJURY(Per person) S ALL OWNED SCHEDULED X AUTOS AUTOS BODILYIWURV(PereWtlenl) $ X HIRED AUTOS X NONOWNED PROPERTY DAMAGE E AUTOS Perarddem E X UMBRELLA LNB X OCCUR EACHOGCURRENCE E 10,000,00 EXCESS UAB CBP7044357 r0810112012 08/01I2013 A CWM DER ATE 10 DDD OO S MAAGGREGATE S X 90 000 DED RETENTIONS S WORKERS COMPENSATION WCRTATU- FR TH- ANY EMPLOYERS LIABILITY R7NERI O C ANYPROPRIETORIPARTNERIEXECUINE YIN 4640926 01101Y1013 0710712014 EL EACH ACCIDENT 15DD 090 E oFFK:ERRAEMBER EXCLUDEDt NIA 0 N D (Maneatoryln Nx) � BINDER 01/0112013 01l01I2014 E.L.DISEASE-EA EMPLOYE s 500,00 II es des rounder YY IP 500000 OES�R TIO FOPS TIONS EeIow L O -POLICY MT NO RA E ISEASE M I S , A Commercial Package CBP7044357 08/01/2012 08/01/2013 BusPnSPrp on file A Inland Marine CBP7044357 08/01/2012 08/0112013 ContrEqup on file DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,R mom space Is required) I CERTIFICATE HOLDER CANCELLATION I INFOR01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Information Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. XXXXXXXXXXX XXXXXXXXXX,XX XXXXX AUTHORIZEDREPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts �` Pnnt Form Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Astrum Solar Address: 15 Avenue E City/State/Zip: Hopkinton, Ma; 01748 Phone#:508-208-6184 Are you an employer?Check the appropriate box: Type of project(required): L❑✓ I am a employer with 15 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no pV Solar Installation employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Co. Policy#or Self-ins. Lic.#:4640926 Cl Expiration Date:1/1/2014 Job Site Address: 1� - 14terlSan v� City/State/Zip:!Y114 r , in J4 6)4 76 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb certi under the cains and penalties of er'ury that the information provided above is true and correct. Signature' - - —( —. Date �]_ �L/ L3--------____-._ Phone#' ��� ' 1' 6 -- el 7 D Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 60 St, te 01 Structures North ®®® Salem,Washington us tts047 Salem, Massachusetts D79703517 CONSULTING ENGINEERS, INC. P.O. Box 01971-6560 T 978.745.6817 I F 978.745.6067 www.structures-north.com April 26, 2013 Mr. Edward A. Potvin Bass River Inc. 437 Essex St. Beverly, MA 01915-1311 epotvin@bassriver-inc.org / (978) 927-5326 Reference: 12 Hanson Street, Peabody, MA Structural Evaluation of Solar Panels on Roof Dear Edward: At your request on April 9 we visited the site and gathered measurements of representative existing framing, as-built solar panels, and noted Rooftop Mechanical Unit (RTU) model numbers. The intent was to perform a structural analysis of the framing to determine the impact of the recently installed solar panels on the structure. Our work was done based on limited observations at the site (no finishes were removed other than the temporary removal of drop acoustical tile ceiling panels). Observations: The building is two stories with a flat roof. The footprint of the building is roughly 62 ft by 105 ft. The roof framing, much of which can be seen on the attached sketch "SKS-1", consists of 2.5" free-spline timber decking supported by 6x12 timber joists at T-6" on center. The joists are supported by a central line of drop 10x12 timber beams. The beams are supported by 8x8 timber columns at 15 feet on center. The 2nd floor framing had a similar layout as the roof framing, with a couple of noticible differences: First, the first floor columns are 1 0x1 0 timber. Second, there is a secondary steel framing system that appears to have been installed in a later renovation that takes much of the 2nd floor structural burden off of the center line of beams and columns. Reportedly this steel framing was installed during a previous manufacturing or milling occupancy for the purpose of supporting heavy equipment or storage loads on the 2nd floor. Wood samples were taken from the roof decking and central drop roof beam and later determined by microscopic analysis to be Eastern Hemlock (decking) and Southern Yellow Pine (beams). Given the construction era of the building, we assumed the wood grade to be structural select. Page 1 of 3 Structures North Consulting Engineers To: Mr. Edward A. Potvin, Bass River Inc. Date: April 26, 2013 Reference: 12 Hanson Street, Peabody, MA: Structural Evaluation of Solar Panels on Roof We analyzed a representative sample of framing to get an idea of the roofs load carrying capacity and to determine the impact of the solar panels: • Roof decking appeared to be adequate for supporting the solar panels. The one caveat is that the deflection, calculated to be 0.6" under full loading, appears to be higher than we normally allow. Since there is a drop acoustical tile ceiling, these deflections will likely not be noticeable from the 2nd floor, and so long as they do not adversely affect the adhered membrane roofing or solar panels, are acceptable. • The 6x12 roof joists are overstressed when loaded by solar panels: o Without the solar panels they are at approximately 95% of their allowable capacity when not supporting Rooftop Mechanical Units (RTU). o With the solar panels (maximum loading condition), in areas where they do not support RTU's they are 15% overstressed. o At the heaviest RTU (RTU#3), without the solar panels, they are already 14% overstressed. o At the heaviest RTU (RTU#3), with the as-built solar panel layout in that area, the overstress increases to 32%. • The central 10x12 drop roof beams appear to be adequate regardless of as-built solar panel, walkable roof deck, or RTU conditions. At both locations where we analyzed the beam, and where the beam was likely to have the highest loads, it was at 97% of allowable capacity (including solar panel loads). o There is one location, noted on SKS-1 at grid B-3 where we anticipate there being an existing column, but did not note one there during our site visit. The presence of a column here should be verified in field. If there is not a column here then further investigation into the beam framing in this area is warranted. • The existing timber columns along the central interior bearing line (grid B on SKS-1) appeared to all be satisfactory for present as-built conditions (including solar panels). o At the 2°d floor, the 8x8 columns are at approximately 50% of their allowable capacity. o At the 1st floor, assuming a 2"d floor live load of 100psf, the 10x10 columns are at approximately 37% of their allowable capacity. • The first floor columns are presumably supported by existing footings, but this could not be verified since the footings would be buried under the floor slab. Where the solar panels add the most load they only account for 7% of the total 15t floor column load. Even if the footing loads exceed allowable soil bearing capacities, they will likely cause the soils to consolidate further and increase in bearing capacity with the only negative impact being a small amount of footing settlement. We anticipate the additional settlement caused by the solar panels to be negligible and to not have a detrimental impact on the building overall. Page 2 of 3 I Structures North Consulting Engineers To: Mr. Edward A. Potvin, Bass River Inc. Date: April 26, 2013 Reference: 12 Hanson Street, Peabody, MA: Structural Evaluation of Solar Panels on Roof Conclusions and Recommendations: • Based on the survey information and wood species identification, the majority of the building framing appears to be capable of supporting the added weight of the solar panels. The 15% overstress in the typical roof joists supporting solar panels are not of great concern given the factors of safety built into the code, and we would not anticipate any problems at present, with the exception of roof joists also supporting Rooftop Mechanical Units. • For those roof joists (approximately 5 joists) in the vicinity of Rooftop Mechanical Units (RTU#2 and RTU#3) that see an increase in load due to the solar panels we would recommend that you consider reinforcing the joists. Report Limitations: This report is summary of readily visible conditions and was conducted during a single site visit to the property. It is strictly visual and includes only observations for the solar collectors, rooftop units, and limited floor and roof framing. Foundation conditions are undetermined. No undisclosed conditions were investigated. Further detailed examination of existing conditions could affect the conclusions and recommendations of this report. Building systems other that structure are beyond the scope of our services and are not evaluated. Please call if you have any questions regarding the results of the structural roof investigation of the building at 12 Hanson Road for the addition of solar panels. Very Truly Yours, Structures North Consulting Engineers; Inc. Jefferey J. Reese, P.E. Project Engineer attachments: Sketch "SKS-1° Page 3 of 3