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40 LEGGS HILL RD - BUILDING INSPECTION (5) The Commonwealth of Massachusetts J Department ofPublic Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 40 Leggs Hill Road,MAWIFead,MA 0 5 106-70Marblehead YMCA No.and Street 2W) City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration X� Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: _ Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No X Is an Independent Structural Engineering Peer Review required? Yes ❑ No X Brief Description of Proposed Work: Rooftop solar hot water system:Three(3)Apricus 30 evacuated tube solar thermal collectors with high angle lift kits;(1)105 G Steibel Elton Solar Storage tank(for domestic hot water system only) SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4 X A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: Hi Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5 [II: Institutional I-1 ❑ I-2❑ I-3❑ 14❑ M. Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special UseLjincl please describe below: Special Use: Non Proft SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Licensed Disposal Site❑ Public[I Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be P Private❑ or indentify Zone: or on site system❑ required❑or trench or s ecif : permit is enclosed❑ see affidavit Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? - .Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHOPWATIQN Name and Address of Property Owner YMCA of the North Shore 245 Cabot Street Beverly,MA 01915 Name(Print) - No.and Street City/Town Zip Property Owner Contact Information: Jack Meany _ (978)578-2430 Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes ReVision Energy 1 17 Commerical Drive Brentwood NH 03833 Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If buildingis less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here X nd skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor ReVision Energy Company Name Daniel Clapp HIC 174634 - Name of Person Responsible for Construction License No. and Type if Applicable 7 Commerical Drive Brentwood NH 03833 Street Address City/Town State Zip 603 501 1822 Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes X - No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ 12,000 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ L0_00___J appropriate municipal factor)=$ 3.Plumbing $ 12,372 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 32-372 6.Total Cost $ (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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'- to a best of my knowledge and understanding. Kimry Corrette �1JJJ Offce - 603 501 1822 6/25/13 Please rmt and sign name Title Tele hone No. Date 7 Commerical Drive Brentwood NH 03833 Street Address City/Town State Zip '7 Municipal Inspector to fill out this section upon application approval: N e Date Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. I Property Location (Please indicate Block# and Lot# for locations for which a street address is not available) _ 40 Leggs Hill Road Marblehead 01945 Marblehead YMCA No. and Street City/Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Appendix 2 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required for this.The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural l 4 Fire Suppression 5 Fire Alarm(may re uire repeaters) 6 HVAC 7 Electrical B 1 Plumbing include local connections 9 Gas Natural,Propane,Medical or other 10 Surveyed Site Plan Utilities,Wetland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Daniel Clapp 603 501 1822 174634 Name(Registrant) Telephone No. e-mail address Registration Number 7 Commercial Drive INH,03833 HIC 3/5/2015 Street Address City/Town State Zip Discipline Expiration Date Tim Tregea 603 501 1822 857MR Name(Registrant) Telephone No. e-mail address Re stration Number Master Elect 7/31/2013 7 Commemial Drive Brentwood NH,03833 Street Address City/Town State Zi Discipline Expiration Date Rick Coughlin 603 670 5444 Name Re istrant) Telephone No. e-mail address Re 'stration Number 8 Prospect St Goffstown NH 03045 Master Plum Street Address City/Town State Zip Discipline Expiration Date r 4 The Commonwealth of Massachusetts Department of Public Safety a. Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 40 Leggs Hill Road,Marblehead,MA 01945 IMarblehead YMCA No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building[I Repair❑ Alteration X❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No qX Is an Independent Structural Engineering Peer Review required? Yes ❑ No X Brief Description of Proposed Work: Rooftop solar hot water system:Three(3)Apricus 30 evacuated tube solar thermal collectors with high angle lift kits:(1)105 G Steibel Elton Solar Storage tank(for domestic hot water system only) SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): IProposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A11 X A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ 1 H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage Sl❑ S-2❑ U: Utility ElSpecial Use[Ljancl please describe below: Special Use: Non Proft SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ - IIB ❑ IIIA ❑ 111B ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be P Private❑ or indentify Zone: or on site system❑ required❑or trench or eci permit is enclosed❑ see affidavit Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner YMCA of the North Shore 245 Cabot Street Beverly,MA 01915 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Jack Meany (978)578-2430 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes ReVision Energy 17 Commerical Drive I Brentwood FN_H_j 03833 Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and or not under Construction Control then check here X nd skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor ReVision Energy Company Name Daniel Clapp HIC 174634 Name of Person Responsible for Construction License No. and Type if Applicable 7 Commerical Drive Brentwood NH 03833 Street Address City/Town State Zip 603 501 1822 Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes X No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor - and Materials) Total Construction Cost(from Item 6)_$ 1.Building 12,000 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 8,000 appropriate municipal factor)_$ 3.Plumbing $ 12,372 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ 32,372 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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 `urate to the best of my knowledge and understanding. Kimry Corrette Office 603 501 1822 6/25/13 Please rfnt ands me Title Telephone No. Date 7 Commerical Drive Brentwood NH 03833 Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date 1 Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location (Please indicate Block # and Lot # for locations for which a street address is not available) 40 Leggs Hill Road Marblehead 01945 Marbleheatl YMCA No. and Street City/Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) I Appendix 2 Construction Documents are required for structures that must comply with 780 CMR 107.The checklist below is a compilation of the documents that may be required for this.The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x'where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may re uire repeaters) 6 HVAC 7 Electrical 8 Plumbing include local connections 9 Gas Natural,Propane,Medical or other 10 Surve ed Site Plan Utilities,Wetland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investi ation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced unfit this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Daniel Clapp 603 501 1822 174634 Name(Registrant) Telephone No. e-mail address Registration Number 7 Commercial Drive Brentwood NH,03833 HIC 3/5/2015 Street Address City/Town State Zip Discipline Expiration Date Tim Tregea 603 501 1822 857MR Name(Registrant) Telephone No. e-mail address Re stration Number 7 Commercial Drive Brentwood re 03833 Master Elect I 721/201 Street Address City/Town State Zi Discipline Expiration Date Rick Coughlin 603 670 5444 Name Re istrant) Tele hone No. e-mail address Re stration Number 8 Prospect St Goffstown NH 03045 Master Plum Discipline Expiration Date Street Address City/Town State Zip OF S-U-E-NM 1I�1SSACHUSETTS CITY , '.; BUILDING DEP.kanwi'T FLOOR t 'o t l_O W.\SHINGTON STREET,3 r'r TEL (9M 745-9595 \ FA..c(978) 740-9W K1-�FRI EY DRISCOIZ THOMASST.PIERRB MAYOR DIRECTOR OF PUBLIC PROPERTY/B4IIDLNG COMMISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electr[cians/Plumbera ADPIIcant Information Please Print LeP3biv ReVision Energy-Danial Clapp Name(BuSirn'ssOrganizatiONlndividual): Address' t Commercial Drive City/State/Zip: Brentwood,Nh 03833 Phone#: 603 501 8822 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the subcontractors 2. x❑1 am a sole proprietor or partner- listed on the attached sheet t �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9• ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] of !0.❑Electrical repairs or additions officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11,0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof re irs insurance required.]t employees.[No workers' 13 xE]Other Rooftop solar hot water comp.insurance required.] isystern •Any applicant that<hvxir box M I mutt also fill out the secrioo below,showing their worker'compensation policy informadon. 'I lomeurwner who submit this affidavit indicating they am doing all work and then him ouside contractors must submit a now affidavit indicating surds. :Contractors that check this box must attached an additional sheet showing the name of the sub conwcmm and their worker'comp.policy infantmOm l am an employer that is providing workers'compensation insurance jar my employee& Below Is the pollcy and fob rite information. Insurance Company Name: Policy#or Self-ins.Lie.M _ Expiration Date: Job Site Address: City/State/Zip: 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 S 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 5250.00 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. l do hereby certify under the pains and penalties of perjury that the information provided above Is true and correee Si�mnure• Date' Phong# 603501 8822 official use only. Do not write In this area,to he completed by city or town of wiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S. 6.Other Contact Person: Phone#: CITY OF SALE., N'LASSACHLSETTS BUILDING DEPARTatEN T • < 120 WASHINGTON STREET,3'o FLOOR TEL (978) 745-9595 FAX(978)740-9846 KI\ffiERLEY DRISCOLL THOMAs ST.PlERRE MAYOR DIRECTOR OF PUBLIC PROPERTY/BUILDING COJ5MIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibiv Vaine (Busim.'ss+Organization/Individual): ReVision Energy-Tim Tregea Address: Commercial Drive City/State/Zip: Brentwood,Nh 03833 Phone #: 603 501 8822 Are you an employer?Check the appropriate box: Type or project(required): 1.0 1 am a employer with 4. 0 I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2. X❑1 am a sole proprietor or partner- listed on the attached sheet t �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers'comp.insurance. 9, 0 Building addition [No workers'comp. insurance 5. 0 We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers' comp, c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.)t employees. [No workers (3.QOthaRooftopsolarhotwater comp.insurance required.] system Any applicant that checks box xl must also fill Out the section below showing their worker'compensation policy information I Inmeowners who submit this affidavit indicating they am doing all work and then hire otmidc contractor most submit a now affidavit indicating such 'Contr,•bn rhos cheek this box must anxhed an additional short showing the name of the sub.wnwctws and their worker'comp.policy information. l am an employer that fs providing workers'eamponsation insurance jar my employees Below is the polley rmd Jab site information. Insurance Company?lame: Policy#or Self-ins.Lie.#: Expiration Date.- Job Site Address: City/State/Zip: 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 eriminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as wall as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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. l do harreby cerdfy under the p das and penalties of perjury that the ittformadon provided above is true and correct SyLnature• Date: Phone#• 603 501 1822 Official use only. Do not write In this area,lobe completed by city or town oJJicidi City or Town: Permit/License# Issuing Authority(circle one): _ I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other —_ Contact Person: Phone#: x. CITY OF S��L.EN1, 2ANSSACHUSETTS Bu LDLNG DEPARTMENT 120 WASHLNGTON STREET,NO FLOOR TEx- (978) 745-9595 FAx(978) 740-9846 (O%IBFRf FY DRISCOLL T MAYOR HOMAS ST.PtERRE DIRECTOR OF PUBLIC PROPERTY/BUU-13NG COMtiIISSIONER 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: (name of hauler) The debris will be disposed of in : (name of facility) ►Z- (address of facility) signature of permit applicant date dcbri ffdu< REVIENE-01 KPIPER ,acoRa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/5/2013 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(ies)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 andorsement(s). CONTACT PRODUCER NAME: United Insurance-Falmouth PHONE (207)781-3519 is No; (207)781-3907 202 U.S.Route One (Alc No E.t: Falmouth,ME 04105 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC9 INSURERA:Peerless/Liberty Mutual INSURED INSURER B:Netherlands Insurance Co 24171 ReVislon Energy,LLC INSURER C:Peerless Insurance CO 24198 91 West Main St INSURERD:Maine Employers Mutual Insurance Co 11149 Liberty,ME 04949 INSURERE:Houston Casualty Co 42374 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. ADDL SUUBR POLICY EFF POLICY E P ILTR TYPE OFINSURANCE INSR .p POLICY NUMBER MMIDDIYYYY (MMIOD/YYYY LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8847632 4/1I2013 4/1I2014 PREMISES reoccurrence $ 100,000 CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE PE APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY JEOT LOC INGLE LIMIT $ AUTOMOBILE LIABILITY COMBINED 1,000,000 Ea accidentS 8 B X ANY AUTO BA8843133 411/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED ROPERTYDNTAGE $ HIREDAUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS Lwe CLAIMSfdADE CU8841675 4/1/2013 411/2014 AGGREGATE $ DED I X I RETENTION$ 10,000 $ 1,000,000 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY _ TORV LIMITS ER D ANV PROPRIETOR/PARTNEWEXECUTIVEYI❑N [N/A 5101800408 4/1/2013 4/112014 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 500,000 If Yes,describe under DE BCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 IS 500,000 E Professional Liabili FIHCC 13 62528 4/112013 411/2014 DIED 10,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marblehead YMCA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Salem 120 Washington Street 3rd Fir Salem,MA 01970 ABUTHH/O�RIIZEED,I�REPRESENTATIVE LLL{�DOyY�l�.�,J ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE DATE 6/28 2013) 06/28/2013 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(ies) 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 endomement(s). PRODUCER CONTACT Christen Hanscom NAME: T.avOINTE INSURANCE AGENCY INC. PHONE (603) 624-0855 FAX No: (603) 624-1759 748 MAST ROAD E-MAILon�ss.christen.lapointeins@comcast.net INSURERS AFFORDING COVERAGE NAIC fl MANCHESTER NH 03102- INSURERA:Tudor Insurance Company INSURED INSURER B: Coughlin Plumbing 6 Heating INSURER C: Rick Coughlin INSURER D: 2A Rockforest Dr. INSURERE: Hooksett NH 03106— 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. INSR I ADOL SUER POLICY EFF POLICY EXPff�CHOCCURRENCE LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDO A GENERALLIABIUTY PPS128259 6/05/201306/05/2014RENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY a occurrence $ 50,000 CLAIMS-MADE OCCUR one person) $ 5,000 ADV INJURY $ 1,000,000 GREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: COMP/OP AGG $ l,000,OOO FCT X POLICY PRO- LOC / / / / $ AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT Ea accident ANY AUTO / / / / BODILY INJURY(Per person) $ ALL OWNED SCHEDULED / / / / BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED / / / / PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR / / / / EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE / / / / AGGREGATE $ DED I I RETENTION$ / / / / $ WORKERS COMPENSATION / / / / IT WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE F NIA - / / / / E.L.EACH ACCIDENT 8 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) / / / / E.L.DISEASE-EA EMPLOYE $ If yes,describe under / / / `/. DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ / / DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This certificate of insurance is issued as a matter of information only and confers no rights upon-the certificate holder. This certificate does not amend, extend or alter the coverage, terms, exclusions and conditions afforded by the policy or policies referenced herein. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Revision Engergy AUTHORIZED REPRESENTATNE ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025(2010D5)01 The ACORD name and logo are registered marks of ACORD Marblehead YMCA Solar Thermal Schematics Site Plan Exterior Pipe Run down hall using line hide; penetrating into Utility Main s �Wi7l IU 7 d �y ��4 Partial Floor Plan i r G� ng o 'MM UDC3 °.Opo ' ffS�10 D Pt�2ir pOGrQ Ln1L1 f�t Partial Elevation (331 W llfl R . " ' �� Office of Consumer Affairs and Business Regulation 'i , -V 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 174634 Type: LLC Expiration: 3/512015 TO 236857 REVISION ENERGY, LLC. _ — DANIEL CLAPP 7 COMMERCIAL DR. EXETER, NH 03833 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA t R 20M-e 11 „ -�,,,.Orrtee of Consumer Affairs& Business Regulation License or registration valid farindi returuse unH' � +"T before the expiration date. It found return to: HOME IMPROVEMENT CONTRACTOR j=* Registration: 174634 Type: Office of Consumer Affairs and Business Regulation , 10 Park Plaza-Suite 5170 ta�:'Expiration: 315/2015 LLC Basr.MA O2116 REVISION ENERGY,LLC, f/ rr� DANIEL CLAPP � J�cZlt G��! y (� 7 COMMERCIAL DR. EXETER.NH 03833 Undersecretary Not sal`d/H'ithout signature COMEtdOPyyyEALYN OF MASSA kUSElm ELECTRICIANS ISSUES THE FOLLOWING J.ICENSE AS A REGISTERED MASTER ELECTRICIAN g REVISION ENERGY LLC ` d TIMOTHY J TREGEA - 7 - CONAERCIAL. OR EXETER NH 03S33-6630 g57MR 07/31/16 42914 LR[iZT:rgnir•.1;7g!Vw37,•,r�if'7'+r�..�-- • C'OMMtONWF-ALTN OF MASSACm ETTS ELECTRICIANS JSSUES THE FOLLOWING LICENSE AS A REG JOURNEYAAN ELECTRICIAN 1 TIMOTHY J TREGEA 14 FACULTY Ra OURHAA NH 0 824-2 15 Jf\ 3 7 1694JR 07/31/16 43559 rr u CONTROL e IMPORTANT °y:�_r .rGBnSfl I, oc: =an•:z�s.: . _-d5r••.'.#7 .rnnu�udld. ,~m tc na zotfeLSK VHII our woo WIl•in ma s.ge ;dpl iril n::r.0.0n$1G erz-,L•V, '-a rC C ;u✓ Fdne"I ApplL-:aror cIO and cr GY'86OG^:m-.a T•+I_^.. e,err,a 9uo�c 10 a'IO rtlpca1•015. 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Jrr'aO :m^3`F 49 �-tC r;:er.e u" v?•d perAO,o•OOVOn],•0.-Tec pv vw 3"vY4' �1�150�1 Solutions An Energy Services Company January 22, 2013 Mr. Daniel Clapp ReVision Energy LLC 7 Commercial Drive Exeter,New Hampshire 03833 Dear Dan, This letter is to inform you that ConEdison Solutions, Inc. has selected Revision Energy, as the contractor of choice to provide and install a Solar Domestic Hot Water Heating System at the North Shore YMCA facilities in Marblehead, Salem,and Ipswich, MA as per the scope outlined in ConEdison Solutions' IGA for the YMCA of the North Shore dated March 25, 2011 and Revision's price proposal dated November 12,2012 for a total contract price of$98,184. This price assumes that Revision is responsible for and receives all rebates. Please provide a construction schedule as soon as possible. If you have any questions, please do not hesitate to contact me at(781) 203-2706. Sincerely, Louqmane Tidjani,PE, CEM Project Manager, Construction&Installation Services ConEdison Solutions,Inc. 2 Burlington Woods Burlington,MA 01803 (781) 203-2706 (Office) (781) 264-1932 (Cell) (781) 229-9613 (Fax) cc: Bob Tone John Johnson Karen DiMeglio Ken Nathanson L FM?�QCK J, COMM Pf COO LTING ENG WP P.0 130X 512; HOI.MN, tM, 01520 Town of Marblehead Code Enforcement Dept. Marblehead, MA 01945 May 24,2013 YMCA 40 Leggs Hill Rd. Marblehead, MA 01945 AP Solar Collectors ReVision Energy Corp. Attached, please find certified engineering sketches detailing the structural support system of the 3-30 Tube Collector panels to be installed as part of the referenced project. The analysis of the existing structure is in compliance with the MA Building Code for the design wind, snow, and live loads as prescribed. Calculations to support these findings are on file and available for review upon request. If you have any questions or would like to discuss this further please feel free to call. Sincerely, Frederick J\JCordella P.E. ..1N OF�y�_ - FREDERICK J. SSG CORDELLA p STR CT L �^ N 23 ALEda CON5111N6 CIVIL/51RU!TUPAL/WHANICAL ENGINEEP e- mall fjci TEL."S05) c41-852'. i Side View Apricus Evacuated Tube Collector Upper Attachement /l� Two connection points—Set 3"acd(Iw-16 stainless steel threaded rod into j concrete block using RED HEAD Epcon A7 2 part acrylic expoxy Leave 1"of threaded rod exposed for bracket mounting Follow all manufacturers instructions for epoxy application. o Lower Attachement Two connection points.Fastening method same as listed above \63.1 in. Notes.- 1. Use proprietary Apricus racking. 'Apricus Round Foot High Angle Lift Kit' 2. Coordinate collector height and final location with Bulding Structure Profile building owner and/or architect. 3. 1 of 9 collector frames are shown in drawing Solar Panel Awning Mount Detail 4. Cross bracing (not shown) is provided on lower supports to resist shear forces F YMCA—Marblehead MA 142 Presumpscot Street Portland,Maine,04097 DATE TRAM BY PAGE DWGP 1 Rev. 1 207-221-6342 3/29/2013 Geoff S arrow 1 of 3 ALUM''N O METAL COP'=-,3. PAINTED (2) 2X P,T. WOOD PLATES SEC.r. ED TO TOP TR-' :�< PAZ2A�ET 4' CnaJ VENEER GPC�.0 FACE- STACK a0ND YG */- AR CAVITY IVa QIGID INSULATION AIR AND VAPOR BAP<''=R p COX PLYWOOD 3 )�- (Q-13) FIBERGLASS _F=RMAL -5 L BLANKET INSULATION T.O. PARAPET ^ ^ 3 9a" METAL STUD A- :5' O.C. E'V. 12Y-� 1- - — COX PLYWOOD = j MEMBRANE FLASHING / F[o�VMIASQ�RY AT PAPA S' CPE - - - Ak� v6' PER FOOT _ / L.P. F pppVENT HOLES _ _/ €G" - J/ _5 T Fr ELEV. NFi L F' STEEL ANGLE. T. .V T R SE -• ai Yt ' E STRUCTURAL- T T T '.? _ STEEL BEAM AND C= NEL, ELEV. I '-11 / T P SEE STRUG,TIJRAL LAST COURSE VARIES WITH SLOPED STEEL LONG SPAN OPEN V;E�_ I STEEL JOIST, SEE STQ'_CTLIRAL i 4` CAM1 VENEER FACE srgc�c-.8ava TACK L ALUMINUM DOWNSPOUT L�1 =cYOND BEYOND. PTO VENEER ANCHOQ icL A'44 j I w - F PIT �t�rl1L I C S GENERAL NOTE I1, SEE GEOTECI-av!CAL SPECIFICATION FOR DRAINAGE SYSTEM RECOMMENDATIONS -- 2. SEE STRUCTURAL FOR CONCRETE PILE CA FCUNOA.TIONS, FOOTINGS. GRADE BEAMS_SLAES. REINFORCEMENT, G.'dAVEL BASE AND COMPAC EC fy`, j BACKFILL Submittal Data Information #SS-1.1-5 ° o A P-30 Solar Collector Effective:August 19,2011 SOLAR HOT WATER Job: Engineer: Contractor: Rep: Part Codes APSE-30 Solar Collector Complete comprises: 1 x APSE-30-KIT(Manifold and standard frame) 3 x BOX-ET/HP-10/10(Tubes and heat pipes) Applications The Apricus AP-30 collector is designed to be used in a wide variety of solar thermal(heat)applications in almost any climate. The evacuated tube and heat pipe technology provides very efficient and reliable solar thermal production in a simple to install, low maintenance design. Features • Twin glass evacuated tube(passive solar tracking) - • Freeze protected heat pipes • NSF 61 certified copper header • 3/4"copper head connections - - • Recycled glass wool manifold insulation • 10 year warranty on tubes and heat pipes Collector Performance (aperture area) • 15 year warranty on copper header and SS frame • Efficient performance at high differential temperatures 0.8 Materials of Construction 0.7 Evacuated Tubes: Borosilicate 3.3 Glass Absorber: AI-N on At on Glass. E; 0.6 -- ----- ----------------- Heat Pipes: High purity copper 'u 0.5 — Heat Transfer Fins: Aluminum - w 0.4 ----- -.---- - -- — Rubber Components: HTV Silicone Rubber `s -------- z ---- z e 0.3 -'`Q 800W/m /254btu/ff r Mounting Frame: 439 Stainless Steel d - ------ ManifoldCasing: 5005-H16 Anodized o 0.2 -- --------------- --- Aluminum 0.1 Performance Data 0 Ideal Flow Rate: 0.8 gpm 0 10 20 30 40 50 60 70 80 90 100 110 120^C 0 18 36 55 73 91 109 127 145 164 182 200 218 of Max Flow Rate: q gpm Delta-t(im-ta) Peak Power Output: 1944W/663213tu EtaO: 0.687 a1 (W/m2K): 1.505 Pressure Drop a2(W/m2K): 0.0111 Physical Specifications Dimensions: 2.Om x 2.2m/78.9"x 86.4" 3.5 Aperture Area: 2.98m2/32.05ft2 3 Gross Area: 4.15m2/44.76ft2. Gross Dry Weight: 95kg/2091b 2.5 Fluid Capacity: 710ml/24 fl oz c - Max Pressure: 800kPa/116psi o 2 Stagnation Temperature: 220°C/432-F O d 1.5 Certifications ' 1 OG-100: 100-2007033A a FSEC: 00442N 0.5 - IAPMO USEC: S-5995 0 Solarkeymark: 011-7S161 R 0 0.5 1 1.5 2 2.5 3 3.5 4 AS2712:2007: 100633 Flow Rate(gpm) NSF-61 Tested: 1420-10001 GSA: 2375921 Sustainable HOT WATER Solutions, Delivered byAPRICUS 6 Sycamore Way, Branford, Connecticut 06405 USA Ph: 203-488-8215 Fax: 203488-8572 - offce-usa@apricus.com www.apricus.com SB / SBB SOLAR STORAGE TANK STIEBEL ELTRON SUBMITTAL SHEET Simply the Best SBB S & SBB PLUS SINGLE & DUAL HEAT EXCHANGER SOLAR STORAGE TANKS AND INDIRECTLY FIRED WATER HEATERS. Specifications Type SB 150 S SB 200 S SBB 300 S SOB 400 5 Item number 221220 221221 221219 22IZx2 Contents Storage capacity Gal/IV 39.0114L63 52/196.84 80.6/305 108.6 1411 Volume of heal exchanger,top Gal/Itr NA NA NA NA Volume of heal exchanger,bottom Gal/Itr 1.9 17.2 2.21 9.1 2.7110.1 2.9/11.3 Pressure Working pressure .PSI/bar 150/10 150110 15o/10 150/10 Tested to pressure ' " PSI/bar 217/15 212/15 212/15 212/15 Max,pressure of boiler loop PSI/bar 150/10 150110 150/10 150/10 Temperature Max.temperature lower loop °F I°C 203/95 203195 203/95 203/95 Max.temperature of upper loop °F I°C 203/95 203195 203/95 203/95 Heatexchanger Surface area heat exchanger top sq.inch m2 NA- NA NA NA Surface area heat exchanger bottom sq.inch I m' 1242/1.1 205911.3 232511.5 2635/1.7 Weights Tank weight empty Ib./kg 190/86.18 226110225 292/133 3711169 1 Tank weight full Its./kg 523 1237.2 6581 298.4 988/448 1304 1 591 Other Standby losses in 24 hours BTU/kWh 4434/1.3 6500 11.9 6500 113 2500 12.2 Cold/hot water connection 314"Male NPT - for 1"copper pipe with adapters,provided with unit Q Dimensions Height with insulation in.I mm 50.5 11.2 3 62.75 11594 65.1/16x9 72.7/18" ' Width with insulation' in.I mm 20.5/521 20.5 1 521 29.55 1700 29.52/250 Width of insulation in.I mm 1.6I40 1.6/40 3/25 3 Ix5 SB 150 200 S Type 300 Plus SBB 400 Plus SBB 600 Plus Item number ••187873 187824 182875 Contents Storage capacity Gal I IV $0.6 1305 108.6 1411 162.91 612 Volume of heat exchanger,top Gal/Itr 1.9/2.3 2.218.2 2.5 19.6 Volume of heat exchanger,bottom Gal/Itr 2.7 150.1 2.9/11.3 3.5/13.2 Pressure Working pressure PSI/bar 150/10 1501 10 150/10 Tested to pressure PSI/bar' 217/15 219 115 212 115 Max.pressure of boiler loop PSI/bar 150/10 150I 10 150/10 Temperature Max.temperature lower loop °F I°C 203/95 203/95 203/95 Max.temperature of upper loop °F I°C 203/95 2031 95 203/95 Heat exchanger Surface area heat exchanger top sq.inch/m° 1705 11.1 2015/1.3 2945/1.9 Surface area heat exchanger bottom sq,inch 1 ml 2325/1.5 2635/1.7 3825/2.5 Weights Tank weight empty Its./kg 339 1154 412 1187 544/24T • Tank weight full Its.I kg 1,051/471 1,362/618 1,955 1882 Other Standby lasses in 24 hours BTU/kWh - 6.500 11.9 7.5001 2.2 10000 12.9 Cold/hot water connection for 1"copper pipe with adapters,adapters provided with unit Oimensions Height with insulation in./mm 66.1/1629 22.7/1848 68.3I 1235 m Width with insulation in./ m 27.55/200 29.52/250 36.221 920' Width of insulation in./mm 3125 31 25 3.35185' ' Insulation is partially removable to reduce width to 31.5"for clearance purposes Description The Stiebel Eltron SB/SBB series water heaters are indirectly fired and are equipped with either one or two large heat exchangers. The heat exchangers are heavy gauge steel with procelain enamel coating. The models with a single heat exchanger can be used for solar applications with some form of external backup heater. On the models with dual heat exchangers, the upper coil is typically connected to a space heating boiler fired by any -fuel and the lower coil is connected to the solar panels. SBB 300 - 400 S SBB 300 - 400 Plus All Stiebel Eltron S13/568 series water heaters can also be used as high capacity indirectly fired water heaters in (SBB 600 Plus not shown) conjunction with any type of heating boiler. 3"of urathane foam insulation(R-21)minimize standby losses. A 10-year warranty and superb quality result in a long service life. 06 300 Certified 40 LEGGS HILL ROAD 57-14 1I727 COMMONWEALTH OF MASSACHUSETTS (Map 26 ,'. CITY OF SALEM 1BLock: Lot: 0438-803 Category:- (SOLAR ARRAY Permit# 57.14 BUILDING PERMIT Project# '_' .JS-2014-000114� Est. Cost: $32,372.00 Fee Charged: $357.00 Balance Due: $.00„ PERMISSION IS HEREBY GRANTED TO: �Const Class: ; Contractor: License: Expires: w Use Group: :x... S. Revision Energy/Daniel Clapp HIC- 174634 ��Lot Size(sq: ft.): 0 '� Zoning. BS t, Owner: SALEM YOUNG MENS CHRISTIAN, ASSO/ACCTS PAYABLE U�',nrts'GainedF Applicant: Re VisionEnergy/DanielClapp IUnits Lost";ia, v;�., m'�'AT: 40 LEGGS HILL ROAD Dig Safe#: ISSUED ON. 23-Jul-2013 AMENDED ON.- EXPIRES ON. 23-Dec-2013 TO PERFORM THE FOLLOWING WORK. ROOFTOP SOLAR HOT WATER SYSTEM THERMAL COLLECTORS WITH HIGH ANGLE LIFT KITS, SOLAR STORAGE TANK FOR(DOMESTIC HOT WATER SYSTEM ONLY)jbh POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: ll. Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health s f_ Insulation: Meter: Oil: Final: House# Smoke: Treasury: Water: Alarm: Assessor Sewer: Sprinklers: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: i ;; BUILDING REC-2014-000130 23-Jul-13 12759 $35Z00 i., sra: GCOTMS(A)2013 Des Lauriers Municipal Solutions,Inc.