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7 PYBURN AVE - BUILDING INSPECTION (3) The Commonwealth of Massachusetts ;4 Board of Building Regulations and Standards CITY OF Er?% Massachusetts State Building Code,780 CMR S Revisedd Mar ar 2017 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only n Building Permit Number: Date Appliler,U-1 ,4w, b[� oV1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Prope Address: 1.2 Assessors Map&Parcel Numbers :1Alb )r-Aye- 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Vse Lot Area(sq 0) Frontage(ft) ✓i A 1.5 Building Setbacks(R) G n Front Yard Side Yards Rear Yard tv Required Provided Acquired Provided Acquired Provide tPfl 1.6 Water Supply:(M.O.L c.40,§54) L7 Flood Zone information: 1.8 Sewage Disposal System: L Public❑ Private O Zone: _ Outside Flood Zone? Municipal❑ On site disposal system W tTr Check ifyesO (P SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recortiza Galvan Salem, MA. 01970 Name(Print)7 Pyburn Ave City,State,ZIP 978-406-1374 Lgfree73@msn.com No.and Street Telephone Email Address SECTION 3:OESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteretion(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Spccily: Brief Description of Proposed Work': J 0 Ct(X1 re*r�lrn e>,r cex5 ,r PrukA� yi tyt PY0,t-A324 ill .M G l S N� SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (tabor and Materials) I Building $ oo 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 23 520.00 ❑Standard Cityfrown Application Fee ❑Total Project Cost(item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire S Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount:_ 6.Total Project Cost: Is Q4,500.001 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Constmetion Supervisor License(CSL) KI _ �� license Number Expiration Date Na�m1e of C HoIde,- 1 —11 1n�� St List CSL Type(see below). d Street "_` 1 -- Type Description No.and Street 1v J�V .J Y-)�.. Itlq O ',g�L'—+ U Unrestricted(Buildin u to 35,000 cu.tl.) R Restricted l&2 FamilyDwelling Citylown,State,ZIV - M Masonry RC Roofing Covering WS Window and Sidinp ��� ` SI° Solid Fuel Burning Appliances -1B13oStV�✓ M01SC�P.1't .U�yIclisi yfw I Insulation Tuie hoot Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) V\\) \nt C�p,� \lUs HIC Reggisttraratidoo n Number Expiration Ua[c HIC Comp y;p„ kor,.]iIC Regist(ant Name No.an tree[ U UT SkAw0A q Email address Cityrrown,State,ZIP Tcle hone 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 1,as Owner of the subject property,hereby authorize y wm t SD\G' y- to act on my behalf,in llmatters relative to work authorized by this building permit application. X L,-Zo ' Cif 1(I-h 08/14/15 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,1 hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized AgenP a(Elec nic Signature) Dale 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.a 142A.Other important information on the HIC Program can be found at www.mass.�,ov/ucu Information on the Construction Supervisor License can be found at www.mass.aov/dos 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"maybe substituted for"Total Project Cost" 4931 North 300 West,Provo,UT 84604 Employer Identification No.: 80-0756438 vivant. sotarr"Phones(877)40vi Fax:(901)765-5758 Massachu tsHli Liven eNo. 170848 E-Mail: support.c@omvi tsolar.com www.vrvintsolar AR No.: RESIDENTIAL POWER PURCHASE AGREEMENT This RESIDENTIAL POWER PURCHASE AGREEMENT((this"Agreement')is entered into by and between VIVINT SOLAR DEVELOPER,LUC,a Delaware limited liability company("We","Us","Our")and the undersigned Cummer(s)("You', `Your"),as of the Transaction Date set forth below. Full Name ei o ail,t 11 ,I Full Name(frrn MI.1,,q) Customer(s): r.�ce.rro:.,r�. ❑ret ON. {24 tV rno�.w a�:,e,:o_ONo Telephone No.: — E-Maii.j^_ Properly Street Address: OV M MV42, Address: City,County,Some,Zip: 450_ 1.SERVICES A. DESIGN AND INSTALLATION. We oill desitu%install,set,ice and maintain a color photovoltaic S'ysrent on Your Properly.w hich will inchWe all ,.l m rs est panels,iloeners, ete .mil ether co m ponents(8dlcciivcly,the"Sl,tenr').as funhcr described in the Customer Packet and tile.Work Order that We will provide inYou herent-wn AIL material portions of the System will be insmlled by(Jul,a ipleved technicians and electricians,and not subeenmetnrs. With Your cmp rtion. %ke di 0) design, insult and mncia the Seswm its material com ec phan with all upplivaid, lax,;(ii)enmpkte .11 required inspections:and(iii)ohuin all reynireJ ecru licmions anJ pertness. In orifer to dcsien a System thnl mtLla Vour needs,Yin spree that\1'e mar ehuin 1'uur elve,anc.1 usage hutery Imrn Your electric uulrty(tl Lt f n+')into 1 u shall I+n`yid 11' ,tln a at Your Utility bilk as We may rwse6bly request. Other than me acwauon five desenlxd m S xliun I B lVa will design and i humid tireSystem al .a tin.1'au,r B. ACTIVATION. You agree to pay Us a one-time activation fee in the amount of$ j kv will interconnect the System with the Utility,and cause the System to generate energy measured in kilowatt hours('•kWh")(the'Enego• ). ns,tillation of the System germilly takes one day and is anticipated to begin and be substantially complete between two(2)and six(6 weeks herca0cr. C. OWNERSHIP OF SYSTEM- We shall own the System as Our sole personal property.'You will have no property interest in the System. D. OPERATIONS AND MAINTENANCE.-We will operate and maintain the System(i)at Out sole cost and expense;(it)in good condition:ancifin)in material compliance with all applicable laws sad permits and the utility's requirements E. INSURANCE. We carry commercial general liability insurance,x•orkers'compensation insurance,and property insurance on the Sys[cm7 For more information concerning Our insurance,and m obtain a copy of Our certificate of insurance,please visit www.vivintsolaccoMlnsumnce. TERVt,PRICE,PAYMENTS.AND FI NANCI:\L DISCL.OSU RES A. ENERGY PRICE. For all Energy produced by the System,You shall py Us S0. per kWh(the"Energy Price"),plus applicable taxes. The Energy Price shall increase cacti year 6y two and mnclenlhs percent(2 9 0)'. A goo s 1 estimate of Poe Syystem i utpuy measured in kilowatt bouts, will be provided to You in the Customer Packet T THIS AGREEMEN IS FOR THE.SALE OF ENERGY BY US TO YOU AND NOT FOR THE SALE OF A SOLAR ENERGY DEVICE. B. TERM. This Agreement shall be effective as of the Transaction Date and continue until the twentieth(20o)anniversary of the In-Service Date(the "Term"). The"In-Service Date"shall be the first day after all of the following have been achieved:'(n)the System has been installed and is capable of generating Energy,(it)all permits necessary to operate the System have been obtained,(ill)the System has been interconnected with the Utility,and(iv)all inspections and certificates required under applicable law or by the Utility have been completed or received. _ C. PAYMENT'S. B%inunag with the first month following the In-Service Dale and throughout the Term,We will send-You an mvoice-retlecting uie charges for Energy produced by the System in the previous-moth. You shall make monthly payments to Us by aummafigavmcnt deduction from Your designated checking account or credit card._It is Your responsibility to ensure that there are adequate Ponds or adequate ere rt limn There is no financing charge associated with this Agreement. For all oaymants more than ten(10)dVs past due,We may impose a late charge equal to Tweety-Five Dollars($25) and interest at an annual rate of ten percent(1l)%,plus applicable taxes. If You continue to fail to make any payment within ten(10)days afar We give You written notice then We may excmtse all remedies available to Us pursuant to Section 13(b) 1). REN'EWSM. At ik end oftho Term Yai m n c1c,t or I)continue with this Agreement on n y tr to-year bar (u)c alit into a not,Agreement with Lis mid cancel this sXg ri(lit)purchase(lie System at the end of the Tcme and y:noel this Agreement the-Purchase Oprr ). a rv)cancel thus) Ameareen and have tit System removed al no cost In You. You will need to notify(1 n tortoni annevmin - our election extra(601 days prior to tile'cn0 of the Term. It 1'ou elect the Purchase Option. the"Pnrchave(Jptian Price' will he the then-current fair market value Of the System based on an tarvided xindependent itm nand w,I be binding calf W e Ireceiverly l'mr ad photovoltaic oftthe Purchaseins nlpti m�d .costs ic o rib appraisal.applricahie macs,and oill all other amounts r You then ,vine wui unfair!hercundec We"jilt tunsfer ownuship of the System to You m the end of the I erne an tin"As Is.Where I basis If You elect it,have rim Sy trnrsmovcd,We will mnwvc the$>>•snmr from-'our Prol!x+�.nr within ninety I'<IaI S alter the coil Iit N A Term IF)'OU WILL NOT NOTIFOMATI'US OF 1(IUR ELECTION' TO CANCEL B\' SE:NDING A N'NIY-I FN' NOTICE TO ITS. 'I'ID:N I"Ills .VGItEHMIEYI' N'ILL AU'I'OM:xTIGV.LI' RENEW ON A YEAR-TO-YEAR BASIS UNTIL YOU NOTIFY US IN WRITING OF YOUR ELECTION TO CANCEL AT LEAST SIX1 Y(60) DAYS PRIOR TO TILE END OF THE RENEWAL TERM. E. CREDI I'CHECK. In croncetion with the'"center of this Agreement and at any time during the Term,You hereby authorize Lis to D)obtain Your credit rating and report from credit reporting agencies;(ii)to report Your payment performance under this Agreement to credit reporting agencies; and (m)disclose this and other information to Our a iliates and actual or prospective lenders,financing parties,investors,insurers,and acquirers. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE (888) 567-8688. SEE PRESCREEN & OPT-OUT NOTICE.(SECTION 29)BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. 3.LIMITED WARRANTY A._LIM FFEU INSTALLATION WARRANTY. We provide a workmanship warranty that the System shall be tree from material defects in design and workmanship under normal operating conditions for the Term. We farther warrant that all rooftop penetrations We install shall be waterti+hl serf the date of t (installation. \Ve do not provide any warranty to You.vith respect m any component of the SryLte ..Any manufacturer's warranty is in ad�then ini not in lieu -of, this limited installation warranty. Phis warranty does not cover problems resuluny. Irom exposure to harmful materials and chemicals, fire, flood, earthquake,or other acts of god,vandalism,alteration of system by anyone not authorized by Us,or any other cause beyond Our control. _ B. MANUFACTURERS'WARRANTIES The Svstetti s solar modules carry a minimum manufacmrer's warranty of twenty(201 years as follows: (u)during the first ten(IU)yyears of use,the modules'olednwl.output will not degrade by more than ten percent(10%)from the onggwallly rated outpput:and (b)durin6+the first twenty(20)years of use,the modules'electrical output will not degrade by more than twenty percent(20%)Cmm the notion v rated outPtie lire System's inverters ear7L a minimum manufacturer's warranty often(10)years against defects or component breakdowns. During the Term,We will enforce these warranties to the idlest extent possible. C. DISCLAIMER OF WARRANTY. EXCEPT' AS SET FORTH IN THIS SECTION 3, WE MAKE NO OTHER WARRANTY TO YOU OR ANY OTHER PERSON, WHETHER EXPRESS, IMPLIED OR STATUTORY, AS TO THE MERCHANTABILITY OR FITNESS FOR ANY PURPOSE OF THE EQUIPMENT, INSTALLATION, DESIGN, OPERATION, OR MAINTENANCE OF THE SYSTEM. THE PRODUCTION OR DELIVERY OF ENERGY, OR ANY OTHER ASSOCIATED SERVICE OR MATTER HEREUNDER, ALL OF WHICH WE HEREBY EXPRESSLY DISCLAIM. OUR LIABILITY FOR ANY BREACH OF ANY WARRANTY IS LIMITED TO REPAIRING THE. SYSTEM OR YOUR PROPERTY TO THE EXTENT REQUIRED UNDER THIS AGREEMENT. YOU ACKNOWLEDGE THAT WE ARE RELYING ON THIS SECTION 3.C. AS A CONDITION AND MATERIAL INDUCEMENT TO ENTER INTO THIS AGREEMENT. THERE ARE NO WARRANTIES WHICH EXTEND BEYOND TILE DESCRIPTION OF THE FACE HERFAF. 4.REMOVAL OF THE.SYSTEM You dull or make an,Alvrounn iss defined in Section 9 c)to the SV,oarl II You want i make repairs or impmccounes to Your Prp n) tha a lam S t th sre tenq+omn nmruru 1-of the S or that could m¢ncre,with IT p rl6mumc•or operation,ration You um t 115 all•'ill thirty(301 day pn r,nth n nut c {a Cn n er Rey fed.Shut.ynm.........I. 1 u agree.hh t n ITuir rim-.r'r, nti a at 1.Your Pmpenv'but not mmen ill all r four nqf xhara the N,'0. ,is installed. \v canipensafion for Der nmo,al,shrrage,and runstallation a!the Svsicm.You a_rec t. Llay t Us n!i qual Ili Four litmdred and Nut-t} Wine scDollars(5499)before We remove tile System. You shall be require)lit pay the Shotda,m Payment(as defined inSection1��5))it the Svstvm is act reinstalled within thirty(30)daps of nea oval. In the event of an emereenev anent n-the System. You sh:dl cnmuct Us tmriunfi av ly. If Vic are unable to timely respond.)'ou ntav(at Your ox'n expense)contract with it licensed mud qualified solar villaller u,remove the Svsicm as necessary to make repairs required by the emergency. Yuu shall be msprmsdde tormy damage or the S}44,m that results From actions taken by Your contractor. 4. 5.ARBITRATION OF DISPUTES Most customer concerns can be resolved quickly and amicably by calling Our customer service department at (877) 404-4129. If Our customer service department is unable to resolve Your concern,You and We agree to resolve any Dispute(as defined below)through binding arbitration or small claims court instead of courts of general jurisdiction, BY SIGNING BELOW,YOU ACKNOWLEDGE AND AGREE � THAT(I)YOU ARE HEREBY WAIVING THE RIGHT TO A TRIAL BY JURY;AND(11)YOU MAY BRING CLAIMS AGAINST US ONLY IN YOUR INDIVIDUAL CAPACITY,AND NOT AS PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. You and We agree to arbitrate all disputes, claims and controversies arising out of or relating to OF OUR M FI I IAII S, W RECIORS. EMPLOY FEN, AGENTS- OR CONTRACTORS FOR ANY SPECIAL. I XF.MPLARY. INDIRECI, IN(fDL.\1Af. CONSLQUENIIA T-I%F L OR PUN "d pd., )A%IA(;I-,S kNVH( 11 If K OR NOT IT I I:( LAIM I I ILREFORL IS iASFD ON CONTRACT,TORT.DUTY IMPOSED BY I A W OR it. is . il'I 1.� r OTHERWISE), IN CONNECTION WITH. ARISING OUT OF.OR IN ANY WAY RELAM) 10 FHF TRANSAcTioN.S MPLA IT 1) BY THE, AORII-MUNI OR ANY" ACT OR ONIESSION OR EvrSF OCCURRING IN CONNECIION MEREMI'll. YO(ili[:RLBY"AA1VI.-HPL.LASL,ANFL)A(7,RLI: NOT TO SUE UPON ANY SUCH CLAW FOR ANY SUCH J,I DAMAGES, MIEIIIER OR NOI ACCR11FDa VD wILETIER OR NOI KNO'AN OR StSPECILD '10 Earl IN YOUR FAVOR. YOU WRITIR AGREE THAT NO CLAINI.LAWSUIT, OR ANY OMER LEGAL OR ARBITRATION PROCEFIANI; IN CONNECTION WHIT.ARISING OU f'Of OR IN ANY kl,AY RILLATID TO THIS AORFENIFNI NIA} FIT BRO(-(,H-r, (O%i.%lFNClI) OR FlIED MORE TITAN ONE (I) YLARAFIFR 1111'INCIDI.WGIVIN(i RISE rOSUCif CLAIM AE YOU ACK\O`I`l I-FDGf THAT WE ARE RELYING 0-N IHIS SLC FION 17 AS A (ONDITION AND NI AFf-RIAi- IND(!CFmENTToFNrrRi\IO [HIS AGRP.Fr,4ENT. h, 1,.'. ISANWAIN111" AMIN r" ill, ""mal,'I 6N —11 d b� "t, • ls,, , 'Wolin IN 'd, "'. Ir-- 21.(111 \IERI %RUI it I and h-llo ....... ,,,I Out 11n.0.I,,l Impk ,� . I , n, 'I I , " q..''t U. 311d v"40, ,t.,T A ,, ". l , "I"I ­"� , ' 1, 1 ,Iy,jj l,f III IIIJ I"Al, , l.n— jlt.1.111 Ill. I-f III R III, -I "W't wh, I EI:.f 01", "I'l. I.,In, In" Wilti, - 1 -1 4.1 Imil, fl—tt, k et ... 711're n,qtjW,j,_j "Ib. 41 W %I.Tlxd I,u I,,ul 1ll,,,.,AII ,.I'r," .,I It ml dj Illo. Y,u, 24. )R "I"' THIS 1117AIRIA'Alen IM 2,111101 -.&1 till' "NI21 I' Shill ; I I !"I It 111, 1 r I T 1%,mcr,�EU;- OFT Nv I th, rlorm I, dan w, Iful I, III, t,j", Il, 'Ic., thi-'i P3;IN IN N 4 It R ( RLDIT K[VOR[ INII)t %,I\,, "MNO11 011S OFFER ISNOT GUARANI LED IF YOU DO NOT MEET OUR CRITERIA. IF l YOU DO NOT "'AN I 10 RUCf IVE PRI-ScRELNILD'OFFERS 14 SE BROGAT ION. N 1" Tr', I,- OF CREDIT FROM IS AND OTHER COMPANIES, CALL IFIF Il"m "IIN A.11m, of 'n,tll, -1, Y lut It CONSUMER REPORTING AGENCIES TOLL-FREE, (N88) 567- I -I�P�O. BOX [9 Nou, nime. eh I 1- 1, 8688�ORWRITL: IXPERIANoPI`OU 9 ALLEN, de,I)II I , '111I, ..,II `1 1I ]wm 0( V,R11 10 l,?)TII) IX 75011: TRANSU N MIO NAME REMOVAL OPTION, P.O. yollp 1NaI-U\Ni. I lfompA%Y Of 1111.1-,Ri Lf %si BOX M WOODLYN, PA 19094, EQUIFAX OPTIONS, P.O. 20. AMENDMENTS AND IA LIVERS IIlkA,r,1tIxtI Ill, oniy he mnendI,d I,, BOX 740123 ATLANTA.GA 30374-0123. • - r (It)ally aspect of the relationship bet%cen%'on and Us.whether based in contract,ton,statute or any other legal theory:(ii)this Agreement Or any other agrermrm concerning the subject ma0er hercur. (iii) any breach, delauh, or wrmutanon of this A 7-cillent; and (iv)the r interprewtion,validity,or Snfnrtsnbdity ut this Agreement.including the determination of the scope or applicability o th.Scotian 5leach,a "Uirpure"' Prior to commencing arbitration,a arty must first scna a written"Notice of Dispute via certified mail to the other partyy. The Notice of Dispwe must describe Ihr nature and basis for the Dispute and the relief sought. It You and We are unable to resolve the Oispule within thin)' (30) days. then tither panv may omnmcnce arbitration. The arbitration chall be administered by JAMS pursuant to its Streamline) Arbitration Rules and Pmcedures(nrnilnh/e of hit :IAwww.amsadr.e0mirufes-streamlined:ubitralion.the"JAMS Ru/er�)and Suva the rules set forth in this Aerecntent. The nrbitrmor shall Re bound Fv the terms of this Agreement. No matter the Circumstances,the arbitra' shall rim auvrd punitive.special,rsrntplary, inJircct,or consequential damages to either party. li You initime arbitration. You t shall be responsible m pa••S2i0. All unorncyys' lees, travel expenses. anti other costs of the arbitration shall be borne by You and Us in accordance wnh the JAMS Rules and applicnFlr lax•. The arbitration shall be conducted at a mutually aerecable location near Your Property. Judgmanl on an arbitration:nrard nwy he entree)in unv coup Ofcampetrnl jurisdiction. Nothing m this Section S shall preclude Yon or l\e front seeking proruional remedies in aid nT urhitration Gom a ttmtt of competent jwrsJiction. 1 NOTICE:BY INITIALING IN THE SPACE BELOAI'YOU ARE AGREEING TO HAVE ANY DISPUTE:ARISING OUT OF TIIE MATTERS INCLUDED IN THE-ARBITRATION OF DISPUTES" PROVISION DECIDED BY NEU TRAL ARBITRATION AS PROVIDED BY APPLICABLE LAW AND YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE LITIGATED IN A COURT OR JURY 'TRIAL. BY INITIALING IN THE SPACE, BEI.OW YOU ARE GIVING UP r YOUR IUDICIAI_ RIGHTS TO DISCOVERY AND APPEAL. IF YOU REFUSE I'O SUBMIT T'O ARBITRATION AFTER \ AGREEING 'TO '['HIS PROVISION, YOUMAY BE COMPELLED TO ARBITRATE. YOUR AGREEMENT TO ['HIS ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE READ,AND UNDERSTAND THE FOREGOING AND AGREE TO \r1 SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCLUDED IN THE "ARBETRATIO,N OF DISPUTES- PROVISION TO NEUTRAL ARBITRATION. c�smmedzl m�Sat.: UW E AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL: ® ❑ 6.NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT: (i)this Agreement,(ii)the Additional Terms and Conditions,(iii)the Customer Packet,and(iv)the Work Order. These documents are expressly incorporated into this Agreement and apply to the relationship between You and Us. B. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT. C. DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read and received a legible copy of this Agreement,that We have signed the Agreement,and that You have read and received a legible copy of every document that We have signed during the negotiation. D. DO NOT SIGN THIS AGREEMENT IF THIS AGREEMENT CONTAINS ANY BLANK SPACES. You are entitled to a completely filled in copy of this Agreement,signed by both You and Us,before any work may be started. E. YOU MAY CANCEL THIS THE LATER MIDNIGHT OF THE THIRD (3Rb)BUSINESS DAY AFTER HE TRANSACTION DATEN AT ,OR(11)THE ME PRIOR T ART OF INSTALLATION OF THE SYSTEM. SEE T HE NOTICE OF CANCELLATION BELOW FOR AN EXPLANATION OF THIS RIGHT. VIVINT SOLAR DEVELOPER.I.1 CUSTOMER(S): r By. // By: eH, Printed Name. (Y4 Printed Name: _t]yy V A VN Title: e BY Printed Name: Transaction Date: — FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT THE MASSACHUSETTS OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION: TEN PARK PLAZA,SUITE 5170, BOSTON,MA 021161 (617)973-8700 OR 888-283-3757. _ ____________________________________________ NOTICE OP CANCELLATION Transaction Date: AR No.: YOU MAY CANCEL THIS TRANSACTION;WITHOUT ANY PENALTY OR OBLIGATION,\VrrHIN THREE(3) BUSINESS DAYS OF THE ABOVE DATE,'OR (IF LATER).UNTIL`THF-START OFANSTALLATION.OE_I'IIE SYSTEM. 'IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER'IHE CONTRACT OR SALE.AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOITCE. AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL. YOU MUST MAKE AVAILABLF,TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE, OR YOU MAY. IF YOU WISH, COMPLY WITR THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER:AND TIIE SELLEIR DOES NOT PICK THEM UP WITHIN TWENTY(20) DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION'. YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE.GOODS AVAILABLE TO T'FIF SELLER, OR IF YOU AGREE, TO RETURN"HE GOODS TO -THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER 'TIIE CONTRACT. 'TO CANCEL THIS TRANSACTION. MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WEN ITEN NOTICE,OR SEND A TELEGRAM,TO VIVINT SOLe�§DEVELOPER.LLC.A 1'4931 N 300\\',PROVO,U'I'84(.114 PRIOR'I'O THE LATER OF: (I)MIDNIGHT OF THE THIRD(3 )BUSINESS DA)' AF'I'F.R -r1IE'1'ILANSAC'I'ION D:YrE..OR IIU THE START OF INSTALLATION OF THE SYSTEM. I HEREBY CANCEL THIS TRANSACTION: Date: Customer's Signature: I ADDI TIUN.AL I[k91h kND('ON DI 1:105V T ID IRPhF VI U1.IN, %,I) oIRk%,ULa .:, ,t _1 . \ . I I ,'J st,91 his, H. O,Rst llq(.FV I I,Is T,OF 1*1At i I ( uwu.(l.....dY .. -.., r 1( 4 IN I 1 y I•crt O 1 rt .:1 9 1 I.i i! A(it It fll'I IFA 4 I \ 4 r l IN .1 .. tr : { „ s ! r 1 i 1 Yrp., wr.i I, t II em.,trl, 1 I II t L V C k & Ir. 1 t I ♦ I ttl1 Y ,, 1 ♦l 1. N9t d Del Ir its,rsi n III lit -I W I I I,," ..F , is y„ ' L1.1 1 ♦.: It Ir .,:t ll d yit, W1. . .I II hl t 1 IiY •I 1 b P„I rI el , dty 1 - '. 1 1 h fn l u. 1a {A li 1 1. 1 I ,�. ,., n,cr J w d y 14. 1 I ! 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U � N cn 7 Pyburn Ave, Salem MA 01970 w-sE= �r.Z M NO U Q j I I PV SYSTEM SIZE: 4.940 kW DC I I 0 I 1 � (19)Tnna Solar TSM-260 PD05.08 MODULE I 9 C I I •� rz I I � 35'OF 1"PVC CONDUIT FROM JUNCTION BOX TO ELEC PANEL N O � I I g $ Q p p U Z Q I I > 1 2 w K K N > W J Z m W r r U� Q I I u w a rc Z Z "p SHEET �_ _-- ---- - —__ J NAME: Lij g V INTERCONNECTION POINT,INVERTER, � LOCKABLE DISCONNECT SWITCH, (/) ANSI METER LOCATION, &UTILITY METER LOCATION SHEET JUNCTION BOX ATTACHED TO NUMBER: ARRAY USING ECO HARDWARE TO KEEP JUNCTION BOX OFF ROOF PV SYSTEM SITE PLAN SCALE: 3/32"= 1'-0" > a 3 a.0 m 0m �0 ` CC Usm mu �0 �o 0 0 m z EEI 0 o N�o N to cn m � o Fi D z 70 m (n go ro V a _ z m O 00 m m u I. m o � O 0 n Z c o D i INSTALLER:VIVINT SOLAR ,/� n~ ROOF myINSTALLERNUMBER:I.B]].409.4129 b�b�Q'S1� VI GalvanPybrnve Residence PV 2,Q MA LICENSE MAHIC I]OBdB v u� Salem,MA01970 PLAN DRAWN BY:EF AR 411231fi Last Mo ifie0:7/27/2015 UTILITY ACCOUNT NUMBER:63157-09012 CLAMP MONTING SEALING U t\\U DETAIL WASHER 0 LOWER ffi SUPPORT N as a.mz PV MODULES, TYP. MOUNT ; OF COMP SHINGLE ROOF, FLASHING < PARALLEL TO ROOF PLANE 2 1/2" MIN (D FS 5116"0 x 4 1/2" MINIMUM STAINLESS PV ARRAY TYP. ELEVATION STEEL LAG SCREW NOT TO SCALE TORQUE= 13±2 ft-Ibs 0 CLAMP ATTACHMENT (A NOT TO SCALE I •e CLAMP+ ATTACHMENT �� g CANTELEVER L/4 OR LESS COUPLING 7 L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. g '� PERMITTED COUPLING ¢ ^ o CLAMP+ CLAMP CLAMP ATTACHMENT SPACING COUPLING PHOTOVOLTAIC MODULE > , E w tYCm > z Z Q p ? ? 20 SHEET t7NAME: L=PORTRAIT � CLAMP SPACING ~ Zo Q o F ECO p COMPATIBLE $MEET L=LANDSCAPE . MODULE PV SYSTEM MOUNTING DETAIL NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1 M NOT TO SCALE n DC Safety Switch Notes: Rated for max operating condition of inverter NEC 690.35 compliant ry 'opens all ungrounded conductors U C Notes: SE380OA-US-U Inverter Specs: a - mp ALL CONDUCTORS CEC Efficiency 98% 4V AC Operating Voltage 240 V : Continuous Max Output 16 A ��E- SHALL BE COPPER DC Maximum Input Current 13A w'o Solar Edge Optimizer Specs: P300 DC Input Power 300W f0 DC Max Input Voltage 8-48V 0 Design Conditions: DC Max Input Current 12.5A 9 DC Max Output Current 15A ASHRAE 2013 Max String Rating 525OW Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: 19 PV MODULES PER INVERTER=4940 WATTS STC Lowest Min.Mean Extreme DB -17°C VOC Temp coefficient V/°C Trina Solar TSM-260PD05.08 1 STRING OF 19 PV MODULES P Short Circuit Current(Isc) 9.00A 0 $ E 3WSA_Usu Open Circuit Voltage(V00) 382V INVERTER System Specs: Operating Current(Imp) 8.50A Max DC Voltage 500V Operating Voltage(Vri 30.6V C DC SAFETY Nominal DC 0 Operating Volta a 350V Max Series Fuse Ratin 15A 41 o W_ "_ Dcs E P 9 9 9svnrcH Max.DC Current per Slring 15A STC Rating(Pmax) 260W Nominal AC Current 16A Power Tolerance -0/+3% 0soLARED SUPPLY-SIDE `°N P300OPTIMIZERS m SOLAR TAP EXISTING g "- = 1 NEC 705.12(A) M ENTRANCE B5 o S CONDUCTORS RATED: 100A w zms Sie MALNF222R SiRm GF22]R j Z W 3N UNFIRED WN24WFUREDNEKNO LWF W W N 0 XB.Ofl E011NALENi OR EOVNALENT 1 J J 2 � N9mMettnnd � F F J fOP4 V3S35 Q i 20R 2 2�K SHEET EXISTING NAME: 240V1125A AC z LOAD-CENTER 7 O SREGANSI VISIBLE A METER LOCKABLE 2 'KNIFE'NC DISCONNECT _ SHEET L - NUMBER'. PV WIRE IN FREE AIR INTO THWN-21N 3/4"EMT MINIMUM 30 AWG CU W IRE(RATED 90 DEG C)IN 3/4"EMT _ CONDUIT.KEEP UNDER 2%VOLTAGE DROP.MINIMUM CONDUIT T,L2,AND NEUTRAL;B AWE GROUND WIRE. 0 10 AWE CU WIRE EACH(RATED 90 DEG Q.6AWG BARE KEEP UNDER 1.5%VOLTAGE DROP, w COPPER EGC. U N o� mw �¢om Q�E<j � Z C�,O cu wO U Q v ~ y 7 �V COMP.SHINGL THIS ROOF SECTION NOT SURVEYED 0 U) t ROOF SECTION 11 MODULES OOF SECTION 2 g 61 a v 8 MODULES 0 U Z m s 6 MODULE(S)REMOVED THAT Z m w PRODUCED BELOW 800 SUN HOURS z w w MODULE(S)REMOVED THAT m wll PRODUCED BELOW 800 SUN HOURSZ SHEET NAME: ZU Q� VO w J SOLAR ACCESS CONSTRAINT SHEET 87.5%CUSTOMER USAGE OFFSET NUMBER: O a d EcolibriumSolar Customer Info Name: 4112316 Email: Phone: Project Info Identifier: 24286 Street Address Line 1: 7 Pyburn Ave Street Address Line 2: City: Salem State: MA Zip: 01970 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM 260-PD05.08 Module Quantity: 19 Array Size (DC watts): 4940.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: SE6000A-US (240V) Project Design Variables Module Weight: 43.0 Ibs Module Length: 65.0 in Module Width: 37.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load - Upward: 820 Ibf Lag Bolt Design Load - Lateral: 288 Ibf EcoX Design Load - Downward: 722 Ibf EcoX Design Load - Upward: 765 Ibf EcoX Design Load- Downslope: 297 Ibf EcoX Design Load - Lateral: 233 Ibf Module Design Moment— Upward: 3655 in-lb Module Design Moment— Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): 1 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: No Average Roof Height: 25.0 ft Include Snow Guards: No Least Horizontal Dimension: 30.0 ft Roof Slope: 25.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 0.82 0.82 0.82 Roof Snow Load 27.6 27.6 27.6 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.6 2.6 2.6 psf Snow Load 27.6 27.6 27.6 psf Downslope: Load Combination 3 11.6 11.6 11.6 psf Down: Load Combination 3 25.0 25.0 25.0 psf Down: Load Combination 5 11.9 11.9 11.9 psf Down: Load Combination 6a 26.5 26.5 26.5 psf Up: Load Combination 7 -10.2 -17.7 -27.3 psf Down Max 26.5 26.5 26.5 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 65.5 65.5 64.5 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 64.0 64.0 64.0 in Max Cantilever from Attachment to Perimeter of PV Array 21.8 21.8 21.5 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 49.4 49.4 48.7 in Max Spacing Between Attachments With Rafter[Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.5 16.5 16.2 in EcolibriumSolar Layout Skirt e Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. EcolibriunnSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 11 Weight of Modules: 473 Ibs Weight of Mounting System: 74 Ibs Total Plane Weight: 547 Ibs Total Plane Array Area: 184 ft2 Distributed Weight: 2.98 psf Number of Attachments: 37 Weight per Attachment Point: 15 Ibs EcolibriumSolar Plane Calculations (ASCE 7-10): 2 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: No Average Roof Height: 25.0 ft Include Snow Guards: No Least Horizontal Dimension: 30.0 ft Roof Slope: 25.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 0.82 0.82 0.82 Roof Snow Load 27.6 27.6 27.6 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift 1 -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.6 2.6 2.6 psf Snow Load 27.6 27.6 27.6 psf Downslope: Load Combination 3 11.6 11.6 11.6 psf Down: Load Combination 3 25.0 25.0 25.0 psf Down: Load Combination 5 11.9 11.9 11.9 psf Down: Load Combination 6a 26.5 26.5 26.5 psf Up: Load Combination 7 -10.2 -17.7 -27.3 psf Down Max 26.5 26.5 26.5 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 65.5 65.5 64.5 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 64.0 64.0 64.0 in Max Cantilever from Attachment to Perimeter of PV Array 21.8 21.8 21.5 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 49.4 49.4 48.7 in Max Spacing Between Attachments With Rafterf Russ Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.5 16.5 16.2 in EcolibriumSolar Layout Skirt o Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. ` EcolibriumSolar �I Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 8 Weight of Modules: 344 Ibs Weight of Mounting System: 74 Ibs Total Plane Weight: 418 Ibs Total Plane Array Area: 134 ft2 Distributed Weight: 3.13 psf Number of Attachments: 37 Weight per Attachment Point: 11 Ibs EcolibriumSolar Bill Of Materials Part Name Quantity ECO-001 101 EcoX Clamp Assembly 37 ECO-001_102 EcoX Coupling Assembly 24 ECO-001 105B EcoX Landscape Skirt Kit 10 ECO-001 105A EcoX Portrait Skirt Kit 0 ECO-001_103 EcoX Composition Attachment Kit 37 ECO-001 116 EcoX Flat-Tile Flashing 0 ECO-001 117 EcoX S-Tile Flashing 0 ECO-001 118 EcoX W-Tile Flashing 0 ECO-001 363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly (optional) 2 ECO-001_106 EcoX Bonding Jumper Assembly 7 ECO-001 104 EcoX Inverter Bracket Assembly 0 ECO-001 338 EcoX Connector Bracket 0 ECO 001-359 EcoX Lower Support- Low Slope 0 0 0 -7 17 o \Y Otl Il d e so I a r 3301 North Thanksgiving Way, Suite 500 Structural Group P:(801)234 7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wysslingL7a vivintsolar.com March 2, 2015 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Galvan Residence 7 Pyburn Ave, Salem MA S-4112316 4.9 System 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 rafters 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 2x6 dimensional lumber at 16" on center. The attic space is unfinished and the photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. 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 25 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure "B", Zone 2 per (ASCE/SE17-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. vivint. solar 1 Page 2 of 2 S. Loading Criteria 10 PSF= Dead Load roofing/framing 40 PSF = Live Load (around snow load) 5 PSF = Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2012 International Residential Code. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters 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 Manuat', which can be found on the Ecolibrium Solar website (ecolibriumsolar.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 1/2"thick and mounted 4 11F off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher that 6" above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 235 Ibs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Hem-Fir (North Lumber) assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2", is less than the maximum allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 1/2" with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts will be adequate with a sufficient factor of safety. 4. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four (4) rafter spaces or 64" o/c, whichever is less. 5. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, it is the opinion of this office that 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 2012 International Residential Code, current industry standards and practice, and based on 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. OFS,�Cy Ve tr`your � P O E c^ civ, Scott E. Wyssli PE MA License No. 505 9oF FIST E FSSIONM- vivint. solar A CERTIFICATE OF LIABILITY INSURANCE °;V31120"a°"�`" _ 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 poltcy(ies)must be endorsed. If SUBROGATION IS WAIVED,Subje°t 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 endorsement(s). -PRODUCER CONTACT MARSH USA INC. NAME' 122517TH STREET,SUITE 1300 PNCNN. - A/C No): DENVER,CO 80202-5534 E' 11_ Attn:Denver.ca"uest@marsh.com,Fax:212.948.4381 ADDRESS: INSURE S AFFORDING COVERAGE NAICR 462738-STND-GAWUE-14-15 INSURER A:Evanston Insurance Company 35378 INSURED Vivint Solar,Inc: INSURER B:Zurich American Insurance Company 16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 3301 North Thanksgiving Way INSURER D: Suite 500 Lehi,UT 84043 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002368030.08 REVISION NUMBER:0 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 I100L SUER POLICYNUMBER MM/DWl'YYY MMI°LICY EFF Y P LTR LIMITS A GENERAL LIABIUTY 14PKGWE00274 11/0112014 11101/2015 EACH OCCURRENCE $ 1,000,000 MA E O D X COMMERCIAL GENERAL LIABILITY PREMI E Ea ocrurierce $ 50,000 CLAIMS-MADE T OCCUR MED EXP(Any one person) $ 5,000 X $5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,ODO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POLICY X PR0. LOC $ B AUTOMOBILE LIABILITY BAP509601500 11/0112014 1110112015 COMBINED SINGLE LIMIT 1,000,000 Ee accidem X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ X AUTOS IDS X NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccilem S A UMBRELLA LIAR X OCCUR 14EFXWEW88 11101/2014 11/0112015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 OED I I RETENTIONS $ C WORKERS COMPENSATION WC509601300 11/01/2014 1110112015 X IWCSTATU- oTH- B AND EMPLOYERS'LIABILITYWC509601400 11/0112014 1110112015 1,000,000 ANY OFFICEOPR)E EREXOLUDE ECUTIVE Y NIA E.L.EACH ACCIDENT $ (MamMtory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ A Ermrs&Omissions& 14PKGWE00274 11/0112014 11/01/2015 LIMIT 1,000,000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACach ACORD tot,AAEIUonal Remarks SehWUW,N more apace is w ulred) The Certificate Holder and others as defined in the written agreement 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 contract.Waiver of subrogation is applicable where required by written 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. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe figt4b� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ]�k Massachusetts - Department of Public Safety Board of Building Regulations and Standards ('ntnrruction Supents,,r 4 �wi4 License: CS-108068 KYLE GREENE 44 MAIN STREE North Reading tllj 018I 7t ) Expiration Commissioner 01/2=018 Office of Consumer Affairs dnd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration =_ - -' Registration: 170848 Type: Supplement Card �r Expiration: 1/5/2016 VIVINT SOLAR DEVELOPER LLC. KYLE GREENE A 3301 N THANKSGIVING WAY SUITE-5;0:0- b wit' LEHI, UT 84043 \\; � ,F Update Address and return card.Mark reason for change. Address Cj Renewal ❑ Employment ❑ Lost Card ;CAI G 20M-05/11 3 a The Commonwealth of Massachusetts Department of IndustrialAccidents t Off-ice of Investigations 1 Congress Street,Suite 100 ktl�`�'' Boston, 02114-2017 wwtv.mamass.gov/dia Workers'Compensation insurance Affidavit: Builders/ContractorsMectricians/Plumbers Applicant Information, Please Print Letribly Name IBusinessiorgmization/individua0: Vivint Solar Developer, LLC Address:3301 North Thanksgiving Way, Suite 500 Citv/State/2i.:Lehi, UT 84043 Phone#:801-377-9111 Are you an employer? Check the appropriate box: 1. I am a employer with _I 4. ❑ I am a general contractor and 1 Type of project{required): employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ 1 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? required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repays or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.9 Other Solar Installation comp. insurance required.] 'Any applicant that checks box NI most also rill out the section below showing thcir workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then him outside contractors most submit anew affidavit indicating such. rContractors that check this box must attached an additional sheer 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins. LLii1c,. #:WC 550,9`6013000r Expiration Date:11/1/2015 '1 Job Site Address: !Nbim , 1�. City/State/zip: L'-;QVe M t MA o 19'TZ) 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 ofperjury that the information provided above is true and correct. Sipnature7 Date 8— 1`1 _1t5 Phone#: 801-2296459 Of icial 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#- wow nq . sola r 29 Draper St Woburn, Ma 01801 vivintsolar.com 2/23/16 Dear Harry, BS2 Permit#B-15-5 5 for 7 Pyburn Ave was issued to me on August 25, 2015. Unfortunately the homeowner decided to hold off on the project.The permit is going to expire on February 25, 2015.The homeowner has reached out to us, and has decided to go through with the project. I was hoping to receive an extension on this building permit so we can begin construction.Thank you for your time with this matter. Thank you, Kyle Greene HIC# 170848 C.S.L# 108068 P: 781.305.3065 C: 978.606.9907 E: kyle.greene@vivintsolar.com Commonwealth of Massachusetts , Citv of Salem y 9 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit 8-15-852 PERMIT TO BUILD FEE PAID:: $1$175.00 DATE ISSUED: 8125/2015 This certifies that GALVAN LIZA G has permission to erect, alter, or demolish a building 7 PYBURN AVENUE Map/Lot: 30016-0 as follows: Solar Panels INSTALLATION OF ROOF MOUNTED PHOTOVOLTAIC SOLAR SYSTEM (19 PANELS; 4.94 kW SYSTEM) Contractor Name: KYLE GREENE DBA: VIVINT SOLAR DEVELOPER, LLC Contractor License No: 108068 r,�, 8/25/2015 Building Off i al Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. HIC#: 170848 'Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. (�o '74 Commonwealth of Massachusetts City of Salem 120 Washington St,3rd Moor Salem,MA 01970(978)745-9596 x5641 i•r:n Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT PERMIT TO BE POSTED IN THE WINDOW 1 Excavation Footing INS13ECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final Plumbing/Gas Rough:Plumbing Rough:Gas -- Final Electrical Service Rough Final Fire Department Preliminary Final Health Department Preliminary Final