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2 MADELINE AVE - BUILDING INSPECTION - 1 S79 The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY 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 v This Section For Official se Only Building Permit Number: Date pplied: Ic l Building Official(Print Name) Signature Date .v SECTION 1: SITE INFORMATION t 1.1 Property Address: jf r; � 1.2 Assessors Map&Parcel Numbers l orq 1.1 a Is this an accepted street?yes no 1 Map Number Parcel Number O 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) _t 1.5 Building Setbacks(ft) ti r t 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 OWNERStUP' ' 2Migaermclhon Salem MA 01979 Name(Print) City,State,ZIP 2 Madeline ave 9787453439 Sandram_l@comcast.net No.and Street Telephone Email Address SEC ION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Constructio Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ 1 Accessory Bldg. Number of Units I Other ❑ Specify: Brief ion d Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ 1 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 1( . 5. Mechanical (Fire $ Suppression) Total All Fees: $ S Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 C nstruction St ervisor License(CSL) A License Number Expir ti Date Name of I er List CSL Type(see below) No.and Str�f t' Type s Description A J/ U Unrestricted Buildin s u to 35,000 cu.ft.) / R Restricted l&2 Family Dwelling R Restricted 1&2 Famil Dwellin City/Town,State,ZI M Masonry RC Roofing Coverin f WS Window and Siding !(��� SF Solid Fuel Burning Appliances ahT 1 Insulation Tele hone Email address D Demolition 5.2 Registered me Imp ov �ep_t jontractor(HIC) �/'�/ HIC Registration Number Expiration Date HIC Company N e e lisffant e No.and Site Email address City/Town,State,ZIP Telephone 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 Vivint Solar to act on my behalf, in all matters relative to work authorized by this building permit application. Michael McMahon 2/8/16 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 accura to the best of my knowledge and understanding. Print Owner's or Authorized AjerffU Name(Electronic Signature) I Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished basementlattics,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" The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations u,p 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization/Individual): y; pin ( ' Sr/�a r F �n e- . Address: 3301 0 - i hen >� ; v;J L✓w o City/State/Zip: Le.6t, t,47-- Sl 1(0 t( 3 Phone#: 1?-e f - 2 L I - K S I Are you an employer?Chec the appropriate box: Type of project(required): 1.Eg t am a employer with 4. ❑ i am a general contractor and 1 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, t 7. ❑ 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.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §t(4),and we have no 121-] Roof rep insurance required.] t employees. [No workers' comp. insurance required.] 13�ther •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 am doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp,policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: N r.'c� Ame ri Cwn ��+5 N✓e In c S GO�pw n t� Policy#or Self-ins. Lic. VV C G 0 2 �6 U / 'J U Expiration Date ! ( ! 2 0/6 Job Site Address: J l YNVG y \\/t. -- TCity/State/Zip: O1Q t�] 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 hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: It - 7- ' 1 Phone#: 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#: '1 ®. ACO/t0 DATE 1MMIDD YYYYI CERTIFICATE OF LIABILITY INSURANCE olrznzgls 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(las) 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 CONTACT NAME: MARSH USA INC. 122517TH STREET,SUITE 1300 PHON19.En11' Fac xo: DENVER,CO 80202-5534 E-MAU. Attn:Denver.CedRequesl@marsh.com I Fax:212-9484381 INSURERS AFFORDING COVERAGE NAIC C INSURER A:Axis Specially Europe INSURED INSURER B:Zurich American Insurance Company 16535 Vil Solar,Inc: Vlvinl Solar Developer LLC INSURER C:American 2UfICh insurance Company 40142 Vivinl Solar Provider LLC INSURER D:NIA NIA 3301 North Thanksgiving Way,Suite 500 Lehi,UT 84043 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: SEA-002920007-12 REVISION NUMBER:O 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 TYPE OF INSURANCE ADDL S POLICY EFF POUCY EXP L POLICY NUMBER MMI DIYYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 3776500116EN 01/29/2016 01/29/2017 EACH OCCURRENCE $ 25.000,000 CLAIMS-MADE MOCCUR IS E oau nce S 1,000,000 MED EXP Ar .areperson) $ 10,000 _ PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY❑JEC LOG PRODUCTS-COMPAJP AGO $ 25,000,000 OTHER:. ._ $ 8 AUTOMOBILE LIABILITY 13AP509801501 11/01/2015 11/0112016 CO BnED SINGLE LIMIT $ 1,000,000 felX ANY AUTO BODILY INJURY(Per person) S ALL O AUTOS O EGHEDULED BODILY INJURY(Per accident) $ LLOAUTS _ NON-OWNED PROPER DAMAGE X HIRED AUTOS X AUTOS .(Pet aticEerd) $ Comp/CUII Ded $, 1,000 UMBRELLA UPS OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DELI I I RETENTION$ - S C WORRERB COMPENSATION WC509601301 11/01/2015 11/0112016 X PER H - -- - ANDEMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE ,CA,CT,HI,MD,NJ,NY,NV,NM, E.L EACH ACCIDENT S 1,000,000 OFFICERNIEVISER EXCLUDED? a N IA (Mandatory In NH) OR,PA,UT E,L.DISEASE-EA EMPLOYEE $ 1000,000 B II Eescbbo under WC509601401 MA 11/01/2015 11101/2016 DESCRIPTION under OPERATIONS Below, ( I E.L.DISEASE-POLICY LIMB 8 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACCRD 101,Additional Remarks Schedule,may a attached U more space is requlredl The Certificate Holder and others as defined in the written agreemenl are included as additional insured where required by written contract with respect to General Liability.This insurance is primary and non- contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written correct.Waiver of sulaugation is applicable where required by wdllen contract with respect to General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION City of Salem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 93 Washington Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem,MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Persona .J�ye,rlla•�r-7/r. fQ 4&e— ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board or Building Regulations and Standa rd s g.. 0. �icerrse CS-10a088 KYLE GREEN't Q l 44 StAIN STRICT NoAh Reading RU al , �.(s..—.V—Ak — Expiration commissioner 01120*2018 Office of Consumer Affairs d Business Regulation 10 Park Plaza. - Suite 5170 Boston, Massachusetts 02116 Home Improvement .Contractor Registration - Registration: 170848 Type: Supplement Card VIVINT SOLAR DEVELOPER LLC. Expiration: 1/5/2018 KYLE GREENE 3301 N THANKSGIVING WAY SUITE.500 LEHI, UT 84043 rour"ii C rf('1� ark reayon ror b mge. - []`Address O'Renewal Employment Lost Card 1 6vanl solar 3301 North Thanksgiving Way, Suite 500 Structural Group Lehi, UT 84043 P: (801) 234-7050 Scott E. Wyssling, PE Senior Manager of Engineering scott.wyssling@vivintsolar.com February 08, 2016 Mr. Dan Rock, Project Manager Vivint Solar 3301 North Thanksgiving Way, Suite 500 Lehi, UT 84043 Re: Structural Engineering Services Mcmahon Residence 2 Madeline Ave, Salem MA S-4789692 12.48 kW Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of members for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of the following: • Roof Sections (1 and 2): Roof section is composed of 2x8 dimensional lumber at 16" on center with 2x4 collar ties every 32" and a single layer of roofing. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite shingle. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category B and 14 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure B, Zone 2 per (ASCE/SEI 7-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Comer Zones of the dwelling. �t Page 2 of 2 B. • Loading Criteria 10 PSF = Dead Load (roofing/framing) 40 PSF = Live Load (ground snow load) 3 PSF= Dead Load (solar panels/mounting hardware) Total Dead Load= 13 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code with Massachusetts Amendments. Analysis performed on the existing roof structure utilizing the above loading criteria indicates that the existing members will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent 'Ecolibrium Solar Installation Manual", which can be found on the Ecolibrium Solar website (ecolibdumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 Y" thick and mounted 4 Y" off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the Nation Design Standards (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 ''/2", is less than the maximum allowable per connection and therefore is adequate. 4. Roof Sections (1 and 2): Considering the roof slopes, the size, spacing, condition of the roof, the panel supports shall be placed at and attached no greater than every fourth roof member as panels are installed perpendicular across members and no greater than the panel length when installed parallel to the members (portrait). No panel supports spacing shall be greater than four (4) spaces or 64" o/c, whichever is less. 5. Panel support connections shall be staggered to distribute load to adjacent members. 6. If collar ties are not present per Massachusetts building code we recommend that 2x6 collar ties be installed at two third of the attic height @ 48"on center. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. AScotttE ly yours, SHOF 2 miltSUNIL . Wysslin9, P No.S11507 MA License No. 5 7 q90 9FG S7EP� FSS/ONALENG