BP-75604NOV 10201
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RESIDENTIAL ❑ Phased Approval (R906.3.3)
$25.00 APPLICATION FEE I5 NON RF.FiTiV7 tnir.F. , NnN_ma AlwWww1p&ua V
11.1 Property Address:
Contact Person: _
fPhone Number:
1.4 Water Supply (MGL c40 s54): 1.5 Sewage Disposal System:
❑ Municipal ❑ Municipal
❑ Private Well ❑ On Site Disposal System
1.2 Assessors Man & Lot Number -
Map Lot
1.3 Historical District ❑ Yes ❑ No
Year Built
❑ Altering more than 25% per side of building
Has application been submitted to the Historic Commiission?
❑ Yes ❑ No Date:
I
S 113
❑ CONSTRUCTION PLANS ❑SITE PLAN ❑ENERGY REPORT
2.2 Authorized Agen
\ s Phone Number
Pam�—e (print) Contact Address
3.1 Licensed Construction Supervisor/Specialty License License Number.
Company Name/ContractorName:
Address:.? �Ai M Expiration Dater
Signature: Y V � — K� Telephone: A1J8) [g CUU 1 IUl l9//
3.2 Homeowner Exemption - One & Two Family Only Section 110.R5.1.3.1 Exception:
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Homeowner
engages a person(s) for hire to do such work, that such Homeowner shall act as supervisor.
Four the purposes of this section only, a "Homeowner" is defined as follows: Person(s) who owns a parcel of land on which helshe resides or intends to reside, on which
them is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than
one home in a two-year period shall not be considered a Homeowner.
If you are applying under this section sign below:
,I Signature:
Worker's 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: 14 Yes ❑ No
❑ Deck ❑ Pool
❑ Repairs
❑ Alteration ❑ Chimney/Fireplace
❑ Woodstove/Pellet Stove
❑ New Construction*
❑ Accessory Bldg.
❑ Addition ❑ Roofing/Siding
❑ Replacement window/door
No. of windows Doors
(Energy report required)
(Shed/Garage)
(Energy report required)
_ _
❑ DEMOLITION (specify):
Location of debris removal (per MGL C.40 Sec 54): ❑ Dumpster on site
Facility Name: Location:
T new construction, please complete the following:
Single Family:` No. of Bedrooms No. of Baths
Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1
No of Bedrooms Unit 2 No. of Baths Unit 2
❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify): —
❑ Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify): -
- a HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify):
❑ Air conditioning - (separate unit)
0 None of the above to be provided
❑ Dumpster On Street
IG Hot Water: Gas Electric Fuel Oil _ Other
(Please Print)
I,
to act on my behalf, in all matters relative to work
Signature of Owner
I Estimated Cost ($) to be
i
as Owner of the subject property hereby authorize
thorized by this building permit application.
Date
as Owner/Authorized Agent hereby declare that the statements and information
on the foregoing application are true and accurate, to the best of my knowledge and belief.
Signed under the pains an alties of perjury.
Date
Signaturebt owner/Autnonzeu HyenL
Total Permit Fee: $
Gross Area - New Construction total sq. ft
Gross Area - Alteration total sq. ft.
Permit Issued to:
Less Application Fee: $25.00
Other $ Amount $
I
04
4
Remaining Balance: $
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SYMBOL KEY:
®
MOUNT
-------
RAIL
— — —
— RAFTERS
ROOF
-- SETBACK
®
SOLAR MODULE
® .............
® STRING CONFIG.
®
SKYLIGHT
A
®
CHIMNEY
o
PLUMBING OR
ATTIC VENT
ATTIC VENT
B
1'-4"
3 RRAY 2 LAYOUT
iUNGEVITY INC. 68 FRANKLIN ST SUITE 310 OAKLAND, CA W07
2 3
� ARRAY 1 LAYO U T_
SCALE . 3/16 - 1-0
4 ARRAY 2 SECTI_ON
I-
4
MODULE SPECIFICATIONS
(35) Hyundai HIS-M250MG(BK)
MODULE WEIGHT: i 41.9
MODULE LENGTH: 64.76
MODULE WIDTH: i 38.7
i
BRAY 1 SECTION
SCALE: 3/16" = V-0"
M
m
° I. I
Solar
IronRidge
QMLPC Shingle - Low
Composite
5" x 5/16
v i
4'-7" T-11"
5 MOUNTING DETAIL
SCALE: NTS
5
ROOF 1 SPECS
RAFTER SIZE: 2X% NOMINAL
RAFTER SPAN: 7' - 11"
RAFTER SPACING: 16"
ROOF MATERIAL:
COW°OSITE SHINGLE
ARRAY 1 SPECS
NUMBER OF MODULES:
25
TOT. MOD. WEIGHT (Ibs):
1047.5
RACKING WEIGHT (Ibs):
173.3
ARRAY WEIGHT (Ibs):
1220.8
ARRAY AREA (sgft):
435.1
ARRAY DEAD LOAD (Ibs/sgft)::
2.8
NUMBER OF MOUNTS:
48
LOAD PER MOUNT(Ibs):
25.4
ARRAY AZIMUTH (°):
182
ARRAY TILT (°):
37
NUMBER OF FLOORS:
1
ROOF 2 SPECS
RAFTER SIZE:
2X4'- NOMINAL
RAFTER SPAN:
5' - 7"
RAFTER SPACING:
24"
ROOF MATERIAL:
COMP(OSITE SHINGLE
ARRAY 2 SPECS
NUMBER OF MODULES:
10
TOT. MOD. WEIGHT (Ibs):
419
RACKING WEIGHT (Ibs):
70.3
ARRAY WEIGHT (Ibs):
489.3
ARRAY AREA (sgft):
174
ARRAY DEAD LOAD (Ibs/sgft):
2.8
NUMBER OF MOUNTS:
20
LOAD PER MOUNT(Ibs):
24.5
ARRAY AZIMUTH (°):
182
ARRAY TILT (°):
22
NUMBER OF FLOORS:
1
CUSTOMER INFORMATION:
DONALD LOWDEN
10 WOODCOCK ROAD
DARTMOUTH, MA 02747
(508) 636-4623 / #1314128
-
601 Asbury Avenue 2x6 Nominal, 16 O.C. [Roof 1]
National Park, NJ 08063 2x4 Nominal, 24 O.C. [Roof 2] DESIGNED BY: REV #:
11� o PV- 2.0
By: Jjafle Dale:10/10 is Locat on: M: 5alesforce L Customers\Lowden- 1314128Lowden - 1314128- THESE DRAWINGS, SPECIFICATIONS, AND DESIGNS ARE THE PROPERTY OF SUNGEVITY INC. NO PART SHALL SE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITH
OWT OUR WRITTEN CONSENT
A
B
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