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BP-86904PV SYSTEM: 93.72 kW (DC) - 86.40 kW (AC) MODULES: (284) (NEW) HANSOL TD-AN3 330W MONO MODULES SUB -ARRAY DESIGN: SEE 3-LINE DIAGRAM INVERTER: (6) (NEW) SOLAR EDGE SE14.4KUS INVERTERS ROOF: CORRUGATED METAL, (1:12 SLOPE) RACKING: ECOLIBRIUM ECOFOOT 2 BALLAST SYSTEM (STRUCTURAL AND BALLAST LAYOUT DESIGN BY OTHERS) MODULE TILT: TILT MOUNTED AT 100 DEG. AZIMUTH: 182° DEG. - (284) MODULES PV SYSTEM EQUIPMENT WALL (PLAN VIEW) UTILITY (SUPPLY SIDE) TO UTILITY GRID UTILITY XFMR -------------------------------------- ------ i ILLUSTRATES 4FT FIRE CLEARANCE ' i PER 2012 IFC i-iX6 G BUILDING AXIS <250FT) I I 4'-0" a-o" TOWN OF DAR7M0 BUILDING DEPARTMEM' apC��Od�D A B CDEF EQUIPMENT WALL (ELEC. ROOM IN BLDN) I + T � I C __ D E F EQUIPMENT WALL (NORTH BLDN WALL) (EXISTING) COLD SEQUENfvE METER DISCONNECT, 400A, 120/208V, 3� (EXISTING) UTILITY METER. AND CT CABINET, 120/208V, 3� (EXISTING) ELECTRICAL TROUGH (POINT OF INTER -CONNECTION VIA LINE SIDE TAP) (INSIDE ELEC. ROOM) D(EXISTING) MAIN SERVICE. "PANEL, 400A, 120/208V, 3�, 4W+GND (INSIDE ELEC. ROOM) (NEW) PV SYSTEM DEDICATED 400A, 120/208V FUSED AC DISCONNECT SWITCH (VISIBLE, LOCKABLE, LABELED) (INSIDE ELEC. ROOM) F(NEW) PV SYSTEM DEDICP TED 400A, 120/208V AC DISCONNECT SWITCH 1 (VISIBLE, LOCKABLE, LABS LED) (SOUTH SIDE OF BLDN) (NEW) PV SYSTEM DEDICATED 400A, 120/208V AC AGGREGATE PANEL (6) BACKFED PV BREAKER'S (NORTH SIDE OF BLDN) (6) (NEW) SOLAR EDGE SE14AKUS INVERTERS (INTEGRAL AC AND DC DISCONNECTS) (NORTH SIDE OF BLDN) (6) (NEW) EMT CONDUIT RUN (RUN ACROSS ROOF, RAKED 4" MIN. ABOVE GRADE, ALONG EQUIPMENT WALL) (NEW) JUNCTION BOXE-S J(6) (NEMA 3R, UL 1741 RATED') PHOTOVOLTAIC PROJECT INFORMATLO-N: 93.72 kW (DC) - 86.4 kW (AC) PV UTILITY INTERACTIVE SYSTEM DARTMOUTH BUILDING SUPPLY 958 REED ROAD DARTMOUTH, MA 02747 PROJECT NUMBER: 4523-113 PROJECT SHEET: L-1 SHEET TITLE: SITE PLAN AND ELECTRICAL LAYOUT O SOLAR DEVELOPER: RACEPOINT ENERGY, LLC 221c WEAVER STREET FALL RIVER, MA 02720 � SOLAR PV DESIGNER: RENEWABLE DESIGN SOLUTIONS 10945 ESTATE LANE, SUITE E-105 DALLAS, TX 75238 PHONE: 214.564.9535 WWW.RENEWABLEDESIGNSOLUTION-3.COM ELECTRICAL ENGINEER: JOE GIGANTIELLO PE (ELECTRICAL) PHONE: 267.882.5393 EMAIL:JGIGANTI ELLO@RDSSOLAR.CDM NOTE: FOR UTILITY SUBMITTAI- PURPOSES ONLY. NOS FOR CONSTRUCTION CR BIDDING PURPOSES DESIGNED BY: M. LABARBA DATE: 05 / 10 / 2017 REVISED: N/A 1. N/A N 2. (0') 3 4. 5. +(315-)(45-) WE SCALE: 3/32" = V-0" (2709�") S (180') GENERAL NOTES: 1. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH 2O17 NEC ARTICLE 690, MUNICIPAL REQUIREMENTS, AND UTILITY REQUIREMENTS 2. PV CONSTRUCTION DOCUMENTS ARE NOT TO BE USED UNTIL APPROVED BY THE AUTHORITY HAVING JURISDICTION AND THE SERVING UTILITY. 3. WORKING CLEARANCES AROUND THE EXISTING AND NEW ELECTRICAL EQUIPMENT WILL BE MAINTAINED IS ACCORDANCE WITH NEC 110.26 4. ALL CONDUCTORS EXPOSED TO SUNLIGHT SHALL BE LISTED AS SUNLIGHT RESISTANT PER NEC 300.6 (C)(1), 310.8 (D). 5. MINIMUM 90° C MOISTURE RATED INSULATION WIRE 1S REQUIRED ON ALL OUTDOOR WIRING. 6. CONDUCTORS ARE TO BE COPPER UNLESS OTHERWISE NOTED 7. ALL EQUIPMENT SHALL BE UL LISTED, NEMA 3R RATED, LABELED AND INSTALLED IN ACCORDANCE WITH MANUFACTURES INSTRUCTIONS. 8. EQUIPMENT GROUNDING CONDUCTOR SHALL BE INSTALLED IN ACCORDANCE WITH NEC 690.43, NEC 690.45, NEC 690.46. 9. EQUIPMENT GROUNDING CONDUCTOR TO BE CONTINUOUS PER NEC 690.48. 10. GROUNDING ELECTRODE CONDUCTOR SHALL BE INSTALLED IN ACCORDANCE Vam NEC 690.47 11. GROUNDING ELECTRODE CONDUCTOR SHALL BE CONTINUOUS PER NEC 250.64 (C). 12. ALL GROUNDING CONNECTIONS SHALL BE MADE WITH UL LISTED CONNECTORS. 13. GROUNDING CONNECTION TO MODULES SHALL BE SECURELY FASTENED WITH UL LISTED STAINLESS STEEL LAY -IN LUGS OR EQUIVALENT MEANS. 14. WHERE GROUNDING CONNECTIONS ARE MADE TO GROUNDING ELECTRODE(S} ONLY CAD -WELD EXOTHERMIC CONNECTIONS SHALL BE USED. 15. FOR FLAT ARRAY INSTALLATIONS, PROVIDE THE NORTH EDGE OF ARRAYS IM' HIuHER TO DISPLACE WATER. 16. NO MODIFICATIONS TO RACKING SHALL BE PERMITTED. MAINTAIN MANUFACTURES INSTALLATION PRACTICES. 17. WHEN POSSIBLE, INSTALL WIRING AND BOS EQUIPMENT IN A MANNER THAT MINIMIZES SUNLIGHT EXPOSURE. 18. ALL CONDUIT SYSTEMS EXPOSED TO TEMPERATURE DIFFERENTIALS SHALL BE INSTALLED WITH EXPANSION FITTINGS AND BONDING JUMPERS IN ACCORDANCE WITH NEC 300.7(8) ALWAYS LEAI.M SUFFICIENT SLACK IN CONDUCTORS RUN FOR THERMAL EXPANSION AND CONTRACTION. 19. BI-DIRECTIONAL UTILITY METER TO BE INSTALLED IF REQUIRED. VERIFY METER SOCKET AND OTHER SPECIFICATIONS FOR COMPLIANCE WITH UTILITY. 20. ALL INVERTERS SHALL BE UL 1741 AND IEEE 1547 COMPLIANT AND INSPECTED BYLOCAL UTILITY PRIOR TO COMMISSIONING AND OPERATION. 21. INVERTERS SHALL BE PROTECTED FROM DIRECT SUNLIGHT EXPOSURE, 22. CIRCUIT BREAKER TO BE SUITABLE PER NEC 690.64 (13)(5) 23. THE UTILITY AC DISCONNECT SHALL BE LOCATED NO FURTHER THAN 5 FEET FROM THE NET METER. 24. THE UTILITY AC DISCONNECT SHALL BE LOCATED ADJACENT TO POINT OF INTERCONNECTION. 25. RE -TIGHTEN CURRENT -CARRYING CONNECTIONS, ENCLOSURE SUPPORT FRAMING AND PANELS TO MANUFACTURERS'S RECOMMENDATIONS. 26. TOTAL CURRENT HARMONICS SHALL BE LESS THAN 3% AT INVERTER AC TERMINAL. 27. ARRAY LAYOUT SHALL BE CONSISTENT WITH THE ORDERING (AND LABELING) OF SOURCE CIRCUITS IN THE ARRAY COMBINER BOXES. 28. ALL BURIED RACEWAYS SHALL BE BURIED 18" FROM TOP OF CONDUIT/CONDUCTOR TO GRADE 29. ALL WIRE SIZING SHALL BE IN ACCORDANCE WITH NEC 110.14 30. WHEN A BACKFED CIRCUIT BREAKER IS THE METHOD OF INTERCONNECTION, CIRCUIT BREAKER SHALL NOT READ "LINE AND LOAD". 31. FIELD VERIFY ALL SPECIFICATIONS PRIOR TO INSTALLATION. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO NOTIFY THE DESIGN ENGINEER OF ANY DISCREPANCIES BETWEEN THE PROVIDED DOCUMENT AND FIELD SPECIFICATIONS. 32. FIELD VERIFY EXACT REQUIREMENTS WITH UTILITY AND CLIENT, INCLUDING AVAILABLE FAULT CURRENT, PRIOR TO ORDERING EQUIPMENT. 33. THE INSTALLATION CONTRACTOR IS RESPONSIBLE FOR NOTIFICATION AND COORDINATION WITH ALL PROPERTY OWNERS, UTILITIES, AND APPROPRIATE DIG ALERT AGENCIES. THE CONTRACTOR SHALL ALWAYS USE EXTREME CAUTION WHEN TRENCHING FOR INSTALLATION. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE PROPER AND APPROVED REPAIR OF ANY AND ALL DAMAGES CAUSED DURING THE INSTALLATION. 34. FIELD VERIFY CONDUIT RUN FROM COMBINER BOX TO INVERTER. IF DIFFERENT THAN ILLUSTRATED, COORDINATE AND NOTIFY DESIGN ENGINEER TO REVISE ACCORDINGLY. 35. ALL DC CONDUCTORS (FROM ARRAY TO INVERTER) SHALL BE UL 1518, UL 44, UL 854 LISTED AND 1OOOV RATED (SEE SPEC SHEET). 36. ALL DC EQUIPMENT GROUNDING CONDUCTORS (FROM ARRAY TO INVERTER) SHALL BE UL 2703 LISTED AND IOOOV RATED (SEE SPEC SHEET) 37. PV MODULES, J-BOX / COMBINER BOX, AND INVERTERS SHALL BE LISTED FOR IOMV OPERATION (SEE SPEC SHEETSk LEGEND GROUNDING CONDUCTOR CIRCUIT CONDUCTOR LINE 1 TERMINAL L1 LINE 2 TERMINAL RE GROUND CIRCUIT BREAKER DISCONNECT SWITCH o �o FUSE R-� IRREVERSIBLE SPLICE f GROUND (EXISTING) 112.50 kVA UTILITY TRANSFORMER TO UTILITY ELECTRICAL DISTRIBUTION GRID (VERIFY 112.50 kVA MINIMUM XFMR SIZE) PV SYSTEM ELECTRICAL DATA: STC: 93.72 kW (DC) (284) HANSOL TD-AN3 33OW MONO MODULES (142) SOLAR EDGE P700 OPTIMIZERS (6) SOLAR EDGE SE14.4KUS INVERTERS PV SUB -SYSTEMS (1) - (4) 16.50 kW (DC) (50) HANSOL TD-AN3 33OW MONO MODULES (1) SOURCE CIRCUIT OF (18) MODULES, (9) OPTIMIZERS (1) SOURCE CIRCUIT OF (16) MODULES, (8) OPTIMIZERS (1) SOURCE CIRCUIT OF (16) MODULES, (8) OPTIMIZERS PV SUB -SYSTEMS (5) 15.84 kW (DC) (48) HANSOL TD-AN3 330W MONO MODULES (1) SOURCE CIRCUIT OF (16) MODULES, (8) OPTIMIZERS (1) SOURCE CIRCUIT OF (16) MODULES, (8) OPTIMIZERS (1) SOURCE CIRCUIT OF (16) MODULES, (8) OPTIMIZERS PV SUB -SYSTEMS (6) 11.88 kW (DC) (36) HANSOL TD-AN3 33OW MONO MODULES (1) SOURCE CIRCUIT OF (18) MODULES, (9) OPTIMIZERS 1LAR EDGE SE14.4KUS INVERTER )/208VAC 3f, 6OHz IPT VOLTAGE RANGE: SEE OPTIMIZER DA ►X OUTPUT CURRENT: 40.OA 1741, IEEE 1547 1MINAL DC INPUT VOLTAGE: 350VDC X INPUT VOLTAGE: 60OVDC X INPUT CURRENT: 38A C EFFICIENCY: 97% TEGRAL DC AND AC DISCONNECT) EXISTING ELECTRICAL (EXISTING) TROUGH EXISTING CT CABINET POINT OF 400A AND INTER - COLD SEQUENCE UTILITY METER CONNECTION) METER AC DICONNECT I t 1 I EXISTING SYSTEM GROUND: • #3/0 AWG + GROUND ROD • UNDERGROUND METAL WATER PIPE • CONCRETE ENCASED UFER PV SOURCE CIRCUIT 5.94 kW (STC) (18) HANSOL TD-AN3 330W MONO MODULES (9) SOLAR EDGE P700 OPTIMIZERS (2) MODULES IN SERIES PER OPTIMIZER SOURCE CIRCUIT: 400V MAX. 15.OA MAX. PV SOURCE CIRCUIT 5.28 kW (STC) (16) HANSOL TD-AN3 330W MONO MODULES (8) SOLAR EDGE P700 OPTIMIZERS (2) MODULES IN SERIES PER OPTIMIZER SOURCE CIRCUIT- 400V MAX 15.OA MAY. PV SOURCE CIRCUIT 5.28 kW (STC`) (16) HANSOL TD-AN3 330V/ MONO MODULE (8) SOLAR EDGE P700 OPTIMIZER (2) MODULES IN SERIES PER OPTIMIZEF? SOURCE CIRCUIT: 400V MAX, 15.OA MAX. PV SOURCE CIRCUIT 5.94 kW (STC) (18) HANSOL TD-AN3 33OW MONO MODULES (9) SOLAR EDGE P700 OPTIMIZERS (2) MODULES IN SERIES PER OPTIMIZER SOURCE CIRCUIT: 400V MAX. 15.OA MAX PV SOURCE CIRCUIT 5.94 kW (STC) (18) HANSOL TD-AN3 330W MONO MODULES (9) SOLAR EDGE P700 OPTIMIZERS (2) MODULES IN SERIES PER OPTIMIZER SOURCE CIRCUIT: 400V MAX. 15.OA MAX. (EXISTING) MAIN SWITCHBOARD 400A W/ 400A MAIN. 120/208 WYE_ 3di_ 4W NEW SYSTEM GROUND: • #2 AWG (2) GROUND RODS (SPACED 6FT APART) VNU 1 VOLTAIC PROJECT II f RMATION: 93.72 kW (DC) - 86.4 kW (AC) PV UTILITY INTERACTIVE SYSTEM DARTMOUTH BUILDING SUPDLY 958 REED ROAD DARTMOUTH, MA 02747 PROJECT NUMBER: 4523-11 V PROJECT SHEET: E-2C SHEET TITLE: 1-LINE ELECTRICAL DIAGRAM SOLAR DEVELOPER: RACEPOINT ENERGY, LLC 221c WEAVER STREET FALL RIVER, MA 02720 SOLAR PV DESIGNER: I RENEWABLE DESIGN SOLUTIONS I 10945 ESTATE LANE, SUITE E-1€5 DALLAS, TX 75238 I PHONE: 214.564.9535 { WWW.RENEWABLEDESIGNSOL'JTIONS.COM I ELECTRICAL ENGINEER: ( JOE GIGANTIELLO PE (ELECTf<Ir3AL) PHONE: 267.882.5393 EMAIL:JGIGANTIELLO@RDSSO:.AR.COM i (NEW) DEDICATED PV SYSTEM (NEW) DEDICATED PV SYSTEM (NEW) DEDICATED PV SYSTEM UTILITY AC DISCONNECT SWITCH UTILITY AC DISCONNECT SWITC`;j AC AGGREGATE PANEL 3-POLE, 400A, 120/208VAC, NEMA 3R 3-POLE, 400A, 120/208VAC, NEMA, 311 40OA, 120/208VAC, 3f, 4W, NEMA 3R, (3) 300A FUSES (FAST ACTING) (VISIBLE BLADE TYPE, LOCKABLt, (1) 3P-300A MAIN BREAKER - (NEW G-TO-N BOND) (VISIBLE BLADE TYPE, LOCKABLE, LABELED, ACCESSIBLE 24/7) (LOCATED OUTSIDE) (6) 3P-50A PV CIRCUIT BREAKER - (SE 14AUS INVERTER) LABELED, ACCESSIBLE 24/7) (DO NOT ADD ADDITIONAL LOADS (WITHIN 10FT OF INTER -CONNECTION) TO THIS PANEL - ANCILLARY LOADS EXEMPT) (COOPER-BUSSMAN LIMITRON JJS 300A FAST ACTING FUSES, 60OV, CLASS T, 1 PER PHASE) �r OF gf# ,►ospp� GIGA LLO w ELECT I�ta,98 NOTE: FOR UTILITY SUBMITTAL PURPOSES ONLY. NOT FOR CONSTRUCTION OR BIDDING PURPOSES DESIGNED BY: M. LABARBA DATE: 05 / 10 / 2017 REVISED: N/A 1. N/A 2. 3. 4. 5. SCALE: N/A li 00 � ® 00 m oa Z0+ Nv'®c00 W p:: * Z O N V) LO J C9 m ® ol w 1- W �\ W a Qa� m z O N O O w ��CL Y 77 ® v < i (� _ O 1" o _ V L. L i " 0 w f— w w +r- N N U r� �,� `- `- U O J z W a >- '¢ � z 0 zN ,x °+ + 1 LN J 4 m Op Q . n Nz Qp () C -1 O ® ~ � w W< ® OO O �Q= z �W���o 0 z Q Q W Z uzwm i O mw � ppo w _W 'z =ZW Z �� I O z O m a 0m o0 N 0.. W O C� U O � (� O O OD a Q tj �Li I I z cy- F- LL.`l O ~ � de O co �(A z w C*,�J U) W O J n- N D O V cn < W Z Z _ H _ p J0� a. W m0ME p � U �- 1=- (� Q :D W 0 I O U) 0 o W) r- t V) W a aa0)O N a a W 00 00 N 00 p Q C O `- 0 I.n Ca J I 0' C\j p :D z Lzil to m N O �I LI 0 UI Z W p w al =N (0 N gN z wo Qo �o = z w �- I m 1 0 1 W � `E-O F-0 WO = Q wW OW �W ~ Q m Lij / J 0- O 0� Q w m00 Z O d W� z Z : Z ry W + N Q m U Q0- wn �O J0 Q� D 0 L.Lj O _.. -T._..r.... 7_ SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. itvMdt-►, 65. 6i-t- I Not Applicable ❑ License Number G5 --O f7C a Address: r I Expiration Date: ti [ �/ - ?-3 — /0 G Signature: ,Telephone:77 `f 6 (fY-f7-d 3 SECTION 4 - WORKER'S COMPENSATION INSURANCE AFFIDAVIT (MGL c 152 § 25) 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 (MGL 152 Section 25A). Signed Affidavit Attached: Y Yes ❑ No SECTION 5 - DESCRIPTION OF PROPOSED WORK (Check all applicable ❑ New Construction ❑ Addition ❑ Repairs ❑ Accessory Building (Shed/Garage/Other) ( other (Specify Sec. 6) ❑ Demolition ❑ Sign ❑ Replacement window/door VV No. of Windows Doors ❑ Fire Protection SECTION 6 - PROPOSED PROJECT USE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES The following descriptions are based on the Massachusetts State Building 8th Edition, Code Article 3, as noted. See the Code, © Assembly - restaurant, lounge, theater, school, etc. (see Code Section 303.0) Describe: 11 Business - office, assembly with less then 50 occupants - indicate Medical or other professional (see Code Section 304.00) ❑ Education - struction for training including child day care for those over 2 year 9 months (see Code Section 305.0) 0 Factory/industrial (see Code Section 306.0) , High Hazard (see Code Section 307,0) ❑ Institutional - hospital, nursing home, infant day care (see Code Section 308.0) 0 Mercantile - retail stores (see Code Section 309.0) 0 Residential - three or more family, hotel (see Code Section 310.0) 0 Storage - including garage (see Code 311.0) 0 Utility & Miscellaneous Structures- includes tents and agricultural structures (see Code Section 312.0) El New Tenant- for any of the above, please indicate (see Code Section 105.1) ❑ Trailer - temporary Purpose? Other: Mau#rP-0 5C -AK .900r Describe the proposal, INCLUDE number of dwelling units and bedrooms or occupant load as applicable, also existing condition (if extra space is needed, attach an additional sheet): &.4&? '21 SECTION 7 - TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED New construction and/or Additional (total gross cubic feet proposed) - indicate If the project is an addition to existing structure - total gross square feet of existing: © Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration is required. Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu. ft. ) © Yes ❑ No If Yes, see Code Section 107.6.2 Designer to submit Code Synopsis in additional to original plans and if existing building Chapter 34. ❑ Demolition* - describe structure: TI ❑ Trench Permit Required?, ❑ Yes ❑ No See Trench Requirements G.L.C. 82A and 520 CMR 7.00 et seq. ❑ Moving" - (provide copy of DPW moving license) *Type of structure; from where (map/lot or address): to where (map/lot or address): number of dwelling units: number of bedrooms per dwelling unit: ❑ Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) EGRESS dimensions must be maintained- [3 Temporary structure and uses - includes, when allowed, new tenants, trailers, tents and the like and only for limited pferiods of time. Describe: SECTION 8 - MECHANICAL & PRIMARY FUEL ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify): El Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify): ❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify): ❑ Air conditioning - (separate unit) Roof Top Unit (RTU) New ❑ Replacement C1 ❑ None of the above to be provided Mechanical Ventilation m ❑ Hot Water. Gas Electric Fuel Oil Other SECTION 9 - SPRINKLERS AND/OR FIRE PROTECTION 3 COPIES OF PLANS AND NARRATIVE REQUIRED 0 Required. plans provided plans not provided, why? ❑ Not required, not to be installed, why? Narrative Submitted?? 0 Yes ❑ No SECTION 10 IDENTIFICATION 11.1 Architect/Engineer - for overall design Company Name: Address: Phone #: Certified by State of Massachusetts as: Certification Number: lVote.- Signatures and seals on all plans afdavits & other documents SHALL BE origina/s and not reproductions. 11.2 ArchitectlEngineer - project supervision and reports Company Name: Address: Phone #: Certified by State of Massachusetts as: Certification Number. Note: Signatures and seals on all ptans affidavits & other documents SHALL BE originals and not reproductions. 11.3 General Contractor Company Name: !!�� � f'� � " '% <!� Address: �G S -5--0"Fy . l U t�-� p4^/+ 0) Phone #: Construction Supervisors License Number: G Note: Signatures and seals on all plans affidavits & other documents SHALL BE originals and not reproductions. Page 2 Page 3 . SECTION I I - ESTIMATED CONSTRUCTION COST Item Estimated Cost ($) to be completed by permit applicant 1. Building ved , u v 2. Electrical of v U E� 3. Plumbing 4. Mechanical (HVAC) 5. Off -Street Parking Estimated Total Cost Including Labor: $ c77 0VO- U SECTION IZA - OWNER AUTHORIZATION to be completed when owner's agent or contractor applies for building permit) ;1ee C �Qc��� ? as Owner of the subject property hereby authorizeehalf, in all m relative. to work authorized by this building permit application.wner Date 1213- OWNER/AUTHORIZED AGENT DECLARATION `fis Owner/Authorized A ent hereby declare that the statements and information - 9 on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of per Signaturof wn uthorized Agent Date e SECTION 13 - OFFICEIINSPECTOR'S NOTES Less`Application Fee: $25.00 Remaining Balance:. $ Total Permit Fee: $ 2_e� Other $ Amount $ Gross Area - New Construction total sq. ft. Gross Area - Alteration totals . Permit Issued to COMMERCIAL $25.00 PLICATION FEE IS NOAT HE,>E'>DN> ABLE & TXO_t I-v ANS ERa'ABLE _ QS DARTMOUTH BUILDING DEPARTMENT 400 Si0cum Road, P.O. Box 70399 tti Dartmouth, MA 02747 Phone: 508-910-1820 Fax: 508-910-1838x www.town:dartmouth.ma.us APPLICATION TO GONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A COMMERCIAL ElUfLDING (includling 3 or more family dwellings) THIS SECTION FOR OFFICIAL USE ONLY RECEIVED BY: BUILDING PERMIT NIUMBER. DATE ISSUED• SIGNATURE: i DATE: I Building Com fs ioner/In ctor o i{dings Zoning District: Proposed Use: [a B ❑ A 0 V AquiferZoine: THE FOLLOWING AGENCIES SHOULD BE NOTIFIED: • Board of ❑ Board of ❑ Cons. ❑ Demo 11 DPW 13 Elec. ❑ Energy Report Appeals Health Commission Affidavit Card Sent: Cut Off Follow-up* ❑ Fire ❑ Gas ❑ Planning - 0 Sewer Card ❑ Water Card ❑ Zoning ❑ Other Chief Cut Off Board Cut Off Cut Off *REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT. DEPARTMENTAL APPROVAL Board of Health: Signature: Date: Conservation Commission: Signature: Date: Other: Signature: Date: Signature: Date: Signature: Date: Brief descriptionof work being performed�yv`' sU2 t/J7®4�1,'Uit� SECTION i - SITE INFORMATICN 1 e-fd [�e e C/ d R01— 1.2 Assessors Map & Lot Number: 1.1 Property Address: 4 Map Lot - Nearest Cross Street: �v S�% t 1.3 Water Supply (MGL c40 s54)4;: ❑ Private Wtell Business Name: Cc� I J� I 11 Municipal Business Phone 4: , C 1.4 Sewage- Disposal System: Total Land Area Sq. Feet: ❑ Municipal ❑ On Site;ID{sposal System SECTION Z - PROPERTY OWNERSHIPfAUTHORiZED AGENT 2.1 Owner Reco P gt Contact Address Phone Number Na a (print) 2.2 Authori d Agen ' q51cam` '1r/ &i,�F Name (print Contact Address Phone Number c