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B-19-1009 - 0007 BERUBE ROAD - Building Permit
,1 y - - - The Commonwealth of Massachusetts Q i Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM Revised;flan?(1l 1 Building Permit Application To Construct;Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official UseOnl:y Building Permit Number: Date.Applied: _ I OBuildimg Official Print `lame Q ( ) Signature _.. Date SECTION 1:'Sru INFORMATION 1.1 Property Address: ( 1.2 A ssessors Map& Parcel Numbers . F'1 b2�u1 �C1 CY— 1.I:a fs.this an accepted street. yes- no p � iGfaNumber _ Parcel Nuniber i1.3 Zoning Information: 1.1 Property Dimensions: (� Zoning District Proposed Use Lot Area(sq tt) Frontage(ft) 1.5 Buiilding Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided: Required Provided 1.6 Water Supply:(m.G.L c.40.§�4j' 1.7 Flood Zone Information: 1.8 Sewage Disposal System: ' Zone ,. Outside Flood Z6ne'? Public❑ Private❑ tlunicipal ❑ On sitcctisposal system ❑ _ Check ifyes❑ _;.: • _ SECTION 2: PROPERTY OWNERSHIP' 2.1 Oii(er'of3ecord: Mar i a Name(Print) ]" a City,State',ZIP •,, �:. �:��.�Ci ��. �/���'?�7. /yc�1M.7G�/G.;r9�./s�+t .fol�^i -+: No and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) J New Constructionisting Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s)� Addition ❑ Demolition cessory Bldg: ❑ . Number of Units Other ❑ Specify: Brief Descrrptign of Proposed Work': ` ) c r 9 yn9s AA_ SECTION a: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Ofticial Use Only (Labor and Materials) Y l.:Building n. S µ /8a z 1. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical 4 �`* �, 7 Zo7 _ ❑Total Project Cost'(Item 6).x multiplier x 3. Plumbing S 2. Other Fees: S 4..Mechanical (FIVAC) 5. Mechanical -(Fire S _. Suppression) :.; ,; _ Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost : :s 9 UGl" ❑ Paid in Full ❑ Outstanding Balance Due: 12 P,t L v��11 N-� _ SECTION 5: CONSTRUCTION SERVICES 5.1 'Construction Supervisor License(CSL) License'Nuriiber Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted Buildin s u ao 355,000 cu.ft:) City/Town State,*xi9 M Rasonestricted (&2 Famil Divelling .. -'RC Roofin``.Covedn,: W.S . ..Window and Sidin SF Solid Fuel Burning Appliances,., S 1:30S> 7105 l Insulation Tele hone Email address D Demolition _ 5.2 Registered Home.Improvement Contractor(HIC) �.1 cD8�-t� t �-i ; Z V \i �:� SD 1G r L .'e)U HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name Z3 rc�iVG I . Q0.SQL No.and Street _ i Email address ttllfirlEbi� I\ _7 37OS -City/Town,SM&,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 ...- iVo._..:..:...O. 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 to act on 1gy be alf, in all.matters relative to work authorized by this building permit application. . . . 6 Eaf l_C(',t� b- q nrit wner's Name(Electronic Signature)ADate SECTIOIY17b:OWNEW 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 accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date _ MOTES: L An Owner who obiains 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 ww.w.mass.gov/oca:Information on the Construction Supervisor License can be found at www.riiass.gov/dps: 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces :. Number of bedrooms Number of bathrooms - Number of halfibaths Type of heating system Number of decks/porches Type of cooling system. _ Enclosed 3< "Total Project Square Footage"may substituted for"Total Project Cost" CERTIFICATE OF LIABILITY INSURANCE 10/76/2018 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(fes)must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT MARSH USA INC. NA. 122517TH STREET,SUITE 1300 PHONE VAX UENVEk,CO 80202 5534 diAIL Mal: Attn:Denver.CertRequesl(?nlarsh.com Fax:212-948-4381 ADDRESS: INSURERS AFFORDING COVERAGE NAILS INSURER A:Axis Specialty Europe INSURED VNIBI Snlar,Inc. INSURER B:Zurich American Insurance Company 16535 Vivint Solar Developer LLC INSURER c:American Zurich Insurance Company 40142 1900 W.Ashton Blvd, INSURER o.: Lehi,U 1 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA•0031 73 7 59-23 REVISION NUMBER: 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING 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 LTR TYPE OF INSURANCE A POUCYEFF POLICY EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERALLIABILITY 31765W118EN 11101P2018 119)112019 EACH OCCURRENCE s 1,000.000 CLAIMS-MADE a OCCUR PREMISES. curren e $ "I'(D),000 MED EXP(An one person $ 10,0M PERSONAL a.ADV INJURY $ 1,000,OW GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JEC LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER. I I $ B AUTOMOBILEUABIUTY HAP 509601504 11101!"0018 1110112019 COMBINED SINGLE LIMIT $ 10000W Ea accident AINY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLYN AUTOS BODILY INJURY(Per accident) $ X HIRED NON-OWNED PROPERTYDAMAGEAUTOS ONLYAUTOS ONLY $ X X UMBRELLALIA13 X OCCUR 377650OZ18EN 1110112018 1110112019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED RETENTION$ $ C WORKERS COMPENSATION WC5 09 6 01 3 04(AOS) 7TUM=11101120119019 1 01 019 X P B AND EMPLOYERS'LIABILITY YIN WC509601404(MA) 1110112018 11A)112019 OFFICER/MEMBEREXCLUDED? NIA STATUTE ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 Q (Mandatory In NH)It yes,describe under E.L-DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1•�• DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more apace is required) The Certificate Holder and others as defined in the written agreement are included as additional insured where required by written conkacl 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 resper.(lo General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION City of Saleln SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 93 Washington Skeet 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 �)>f,fgidZ-e_ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Vivint Solar Developer, LLC Address: 1800 W Ashton Blvd City/State/Zip: Lehi, UT 84043 Phone#:801-845-0286 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 300 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.= 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs 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.❑ Other comp. insurance required.] *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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet 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.Lic.#: WC5096011404 / Expiration Date:11/01/2019 Job Site Address: ���4 "e-J City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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 71 _ ofperjury that the information provided above is true and correct.Si nature: Date: D 20l Phone#: 801-845-028 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"am individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the, dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence°of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate tine. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said"person`is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia I r, i t 1 Commonwealth of Massachusetts ®. Division of Professional Licensure i Board of Building Regulations and Standards Constrkjjctibn ltupgrvisor CS-108068 E�Aires:01/20/2020 t 5 t KYLE GREENS 458 WEST STR'EET METHUEN MA Ole" Commissioner C �ie���a��uayeuxuel!/c o�'�G�n�uar�useCld OHlos of Consumer Affairs 4 maeiness Regulation DOME IMPROVEMENT CONTRACTOR TYPE:SdbDlement Card Rig stratton Expiration 170W � 01/04/2020 VIVINT SOLAR DEVELOPERF LLCs i F i KYLE GREENEiii� i 1800 W.ASHTON BLVO'. LEHI,UT 84043 Undersecretary P F i wodon Solar TM 230 Ballardvale St,Wilmington, MA 01887 Phone: 7813053065 ( Fax:801.765.5748 To Whom it may concern: I hereby authorize Amanda Powers to pull permits under my Vivint Solar Developer License (HIC 170848 Exp 1/04/2020)As well as my CSL License (108068 Exp 01/20/20) If you have any questions please contact me @ 781 305 3065. Thank you, Commonwealth of Massachusetts Division of Professional Licensure y Board of Building Regulations and Standards Constructton tupervisof CS-108068 Expires:01/20/2020 KYLE GREENE 458 WEST STREET ' METMt/EN MA 01844 ow Commissioner F'tJF. !!°orirttroveuarcl/�od'�'i!lriwrrctivar,�IJ office of Consumer Affairs&Musiness Regulation MOMI IMPROVEMENT CONTRACTOR TYPE:Suoolemenl Card Rectislratton E r io 170848, 01/04/2020 VIVINT SOLAR DEVELOPER LLC• KYLE GREENEL c' - 1800 W.ASHTON BLVD, LEHI,UT 84043 Undersecretary DocuSign Envelope ID:2471DD47-0A40-4C38-A63D-8961CD75E107 vivint.SOlar° Residential Solar Power Purchase Agreement Customer'Name&Contact Information: Installation Location: Name(s): Lucas Ferreira Address: 7 Berube Rd Salem MA 01970 Email: lucasm.ferreira@live.com Approx.Installation Start and Completion Date: 2/6/2020 Primary Phone: 9789797937 Account No.: 6183903 Date of Customer Signature: August 10, 2019 1 1:31 PM MDT /'; �ii%g%ice; ;i�i �ii/„ /,�i ii /� ii; // , ��i, ;/iai/���/;i/i,/�,�,,i/� %,�/i/��iii///i/%i��� � ;; ii/���/�i/ /ice/�i// �%�ii.� / �/,� �, 5 , i% , s%Z i ;;. %,�,Y;; s, ,/.9,/";/.; 62; Our Promises • We will design,install,operate and maintain a solar energy system on your home(the"System"). • We warranty all of our work,and that our roof penetrations will be watertight,for 20 years. • We will fix or pay for any damage we may cause to your Property or belongings. • We will not place a lien on your Property,but will record a notice of our ownership of the System. • You will not be responsible for any personal property taxes assessed on the System. • The Energy Price includes a$5 monthly discount for paying by automatic debit from your bank account. • If you need to make Property repairs,we will remove and reinstall the System if you pay our estimated costs. At the End of Your Initial Term If You Move • You can renew the Agreement for a subsequent term; • You can transfer the Agreement to the new homeowner, • You can purchase the System;or regardless of credit rating; • You can request that we remove the System at no • You can prepay the Agreement; additional cost. • After the sixth anniversary,you can purchase the System;or • You can relocate the System under certain circumstances. Your Commitment • Pay us for all the power the System produces or 261 yeafs • Keep your roof m good contlttion,throughout the l'ndial Term • Respond to our sales and upporf`.te'ams when schedulingwork and completing paperwork •.Wlamtain a broadtand,m4ernet connection • Contmue service with your utility'for any energy used beyond the:System"s production You may cancel this Agreement any time prior to commencement of any work at or near your Property associated with installation of the System. Vivint Solar Developer, LLC(EIN: 80-0756438)is a licensed contractor in each state in which we operate, including Massachusetts,Contractor License Nos. HIC-170848 and EC.15688A. For more information about our contractor licenses please visit www.vivintsolar.com/licenses. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACTYOUR 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 BELOW IN SECTION 25 OF THE GENERAL PROVISIONS FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. The Notice of Cancellation may be sent to this address: help@vivintsolar.com I vivintsolar.com 1800 W Ashton Blvd., Lehi, UT 84043 Phone 877.404.4129 I Fax 801.765.5758 ATTN: Processing Department Copyright©2019 Vivint Solar Developer, LLC. All Rights Reserved. PPA(5/2019,v4.0.1) 1 Page 1 of 16 DocuSign Envelope ID:2471DD47-OA404C38-A63D-8961CD75E107 SIGNATURE PAGE AND NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT. These documents are incorporated as part of this Agreement and apply to the relationship between you and us: (1) Residential Solar Power Purchase Agreement, (2) General Provisions, (3) Customer Packet; and (4) Change Orders, as applicable. B. WE HAVE NOT GUARANTEED,PROMISED OR OTHERWISE REPRESENTED ANY REDUCTION IN ELECTRICITY COSTS IN RELATION TO THE SYSTEM THAT WILL BE INSTALLED ON YOUR PROPERTY. C. 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. D. IF YOU DO NOT ELECT ANY OF THE END-OF-TERM OPTIONS SET FORTH IN SECTION 2 OF THE PPA THIS AGREEMENT WILL AUTOMATICALLY RENEW ON A YEAR-TO-YEAR BASIS. CONSULT SECTION 2 OF THE PPA FOR MORE INFORMATION. E. YOU RISK THE LOSS OF ANY PAYMENTS MADE TO A SALES REPRESENTATIVE. F. 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. G. YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE TRANSACTION DATE OR,IF LATER,UNTILTHE START OF ANY WORK AT OR NEAR YOUR PROPERTY ASSOCIATED WITH INSTALLATION OF THE SYSTEM. SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. ' DoeuSigned by: REPRESENTATIVE: DocuSigned by: Ssgrrsrture: !/L � f Printed Name: �� Dan Klink 54noture: 6AD76COEBEBD46E... 205331 Lucas Ferreira Sad�epErson No.. Painted Name: August 10, 2019 1 1:31 PM MDT Date: August 10, 2019 1 1:31 PM MDT Date. FOROFFiGEU5EONLY THIS AGREEMENT IS NOT EFFECnVE NOR SENDING UPON VIVINT SOLAR I7kVELOPER,L1,C UltiM$1GINED OY APB! nature: AUTHORIZED REPRESENTATIiVE. VIVINTSOLA>RDEVELOPER,ILC Panted Name.- Signature: Mega.w PQP.t'SQtn gate° Printed Name: Megan Peterson Date_ 8/13/19 Processing NOI 201883 ° Copyright© 2019 Vivint Solar Developer, LLC. All Rights Reserved. PPA(512019, v4.0.1) I Page 16 of 16 vownt solar 1800 W Ashton Blvd. Structural Group Lehi, UT 84043 J. Matthew Walsh, PE Kirk M.Nelson, SE Samuel Brown, PE-Civil Director of Engineering Structural Engineering Structural Engineering james.waish@vivintsolar.com kirk.nelson@vivintsolar.com sam.brown@vivintsolar.com August 26, 2019 Re: Structural Engineering Services Ferreira Residence 7 Berube Rd, Salem, MA S-6183903; MA-01 To Whom It May Concern: We have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit by a representative from our office under my supervision identifying specific interior and exterior site information including the condition of the existing roof system and the size, spacing, and condition of existing structural framing members. Information gathered during the site visit includes photographs, sketches, and verification forms. 2. Design drawings of the proposed PV System layout, including details to mount the new solar panels to the existing roof. 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: A. Description of Residence: The existing residence is typical wood framing construction with rolled asphalt and a maximum of two layers of composite shingle roofing. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir#2 or better with standard construction components and consists of the following: • Roof Section 1: Dimensional lumber- 2x8 at 16" on center. Survey photos indicate that there was free access to verify the framing size and spacing. B. Loading Criteria 9.75 PSF= Dead Load (roofing/framing) 2.59 PSF= Dead Load (solar panels/mounting hardware) 12.34 PSF=Total Dead Load 20 PSF= Roof Live Load 50 PSF=Ground Snow Load (based on local requirements) Wind speed of 90 mph (based on Exposure Category B-the total area subject to wind uplift is calculated for the Interior, Edge, and Corner Zones of the dwelling.) C.Solar Panel Anchorage 1. Installation shall proceed in accordance with the applicable guidelines and recommendations indicated below. 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. • EcoFasten Solar Installation Manual, which can be found on the EcoFasten Solar website (www.ecofastensolar.com). 2. The solar panels are 11/2' thick. At no time will the panels be mounted higher than 10" above the existing surface of the roof. Page 1 of ppoviUnt. so a r Page 2 of 2 3. The following mounting types shall be used. Please refer to the mounting details for the associated required penetration depth. Based on our evaluation, the pullout demand is less than the maximum allowable per connection and therefore is adequate. EcoFasten with Rock-It: (1) 5/16" lag screw. Pullout capacity based on National Design Specifications NDS f timberconstructionSpruce-Pine-Fir ( ) o be specifications for is 235 Ibs/inch penetration. 4. Fasteners are installed to meet industry standards and this document satisfies requirements in 2015 IBC 2303.4.5 verifying that the fasteners will not adversely affect the roof framing. 5. The maximum allowed spacing was calculated for the Wind Speed shown in paragraph B above, using the wind load uplift procedures of ASCE 7-10 and is specified below. These spacing requirements apply to all mount types indicated above. The following values have been verified by in-house testing and the mounting hardware manufacturers'data, which are available upon request. Panel support connections should be staggered, where possible,to distribute load to adjacent members. Modules in Landscape Modules in Portrait Roof Zone Interior Ede Corner Interior Ede Corner Max Vertical Spacing in 40 40 40 66 66 66 Max Horizontal Spacing in 64 64 64 48 48 48 Max Uplift Load Ibs 159 104 59 268 175 99 D. Summary Based on the above evaluation,with appropriate panel anchors being utilized the roof system designed on will adequately support the additional loading imposed by the solar panels, if installed correctly.This evaluation has been performed for the structural elements only and verifies that they are in conformance with the 2015 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. If there are any questions regarding the above,or if more information is required, please contact me. �IVA OF M,gSS �� qO Regards, ti J. MATT J. Matthew Walsh, PE MA License No. 54057 GIvf co ;0 NO. 54057 4 �FG/STER�� NAI 08/26/2019 1 GOVERNING CODES ALL WORK SHALL CONFORM TO THE FOLLOWING CODES 1. 2015INTERNATIONAL RESIDENTIAL CODE 2. 2015 NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION a. 2017 NATIONAL ELECTRICAL CODE b. ANY OTHER LOCAL AMENDMENTS SHEET INDEX: PV 0.0-COVER SHEET PV 1.0-SITE PLAN S 1.0-MOUNT DETAILS E 1.0-ELECTRICAL DIAGRAM E 2.0-ELECTRICAL NOTES E 3.0-WARNING LABELS E 4.0-WARNING LABEL LOCATIONS -v GENERAL ELECTRICAL NOTES: GENERAL STRUCTURAL NOTES: 1. ALL WIRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL a. THE SOLAR PANELS ARE TO BE MOUNTED TO THE ROOF FRAMING USING MEANS DESIGNED AND LISTED FOR SUCH USE.FOR ROOF-MOUNTED THE ROCK-IT SYSTEM BY ECOFASTEN.THE MOUNTING FEET ARE TO BE SYSTEMS,WIRING MUST BE PERMANENTLY AND COMPLETELY HELD OFF OF SPACED AS SHOWN IN THE DETAILS,AND MUST BE STAGGERED TO THE ROOF SURFACE. ADJACENT FRAMING MEMBERS TO SPREAD OUT THE ADDITIONAL LOAD. 2. ANY CODE VIOLATIONS EVIDENT IN THE INTERCONNECTION PANEL WILL BE b. UNLESS NOTED OTHERWISE,MOUNTING ANCHORS SHALL BE V1e LAG CORRECTED ON INSTALLATION. SCREWS WITH A MINIMUM OF 2)5"PENETRATION INTO ROOF FRAMING. 3. SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITH ALL RELEVANT CODE c. THE PROPOSED PV SYSTEM ADDS 2.6 psf TO THE ROOF FRAMING SYSTEM. 4. RAPID SHUTDOWN INITIATION TAKES PLACE WITHIN THE FIRMWARE OF THE d. ROOF LIVE LOAD=20 psf TYPICAL,0 psf UNDER NEW PV SYSTEM. INVERTER.RAPID SHUTDOWN COMMENCES UPON LOSS OF UTILITY SOURCEe. GROUND SNOW LOAD=50 psf VOLTAGE. t. WIND SPEED=90 mph 5. SEE*E 1.0 AND*E 2.0 FOR DIAGRAMS,CALCULATIONS,SCHEDULE AND 9- EXPOSURE CATEGORY=B SPECIFICATIONS. V!V i tn �t.So I a r 1800 ASHTON BLVD.LEHI,LIT,84043 1.877.404.4129 MA LICENSE: HIC-170848, ME-15688A,SS-002342 PHOTOVOLTAIC SYSTEM SPECIFICATIONS: FERREIRA RESIDENCE SYSTEM SIZE-4.095kW DC 13.800kW AC 7 BERUBE RD SALEM,MA,01970 MODULE TYPE&AMOUNT-(13)Jinko Solar JKM315M-60HBL WITH 13 SolarEdge P320 OPTIMIZERS UTILITY ACCOUNT#:63154-54012 MODULE DIMENSIONS-(UW/H)66.37 39.45"/1.38" ® INVERTER-(1)SolarEdge Technologies SE380OH-USOOOBNC4 SERVICE#:M183903 REGIONAL COVER INTERCONNECTION METHOD LOAD BREAKER OPERATING CENTER MA-01 DATE:812712019 DRAWN BY:DIN SHEET PV STRING(S): 1 SLOPE SYSTEM LEGEND ® 111)13 MODULES AZIMUTH-121 PV SYSTEM SIZE: MATERIAL- COMPOSITION SHINGLE NEW 4.095kW DC I 3.800kW AC EXISTING INTERIOR MAIN SERVICE PANEL POINT FilOF INTERCONNECTION TIED TO UTILITY METER 898328634. O NEW SMART PRODUCTION METER.LOCATED P WITHIN 10'OF MSP, NEW PV SYSTEM AC DISCONNECT. LOCATED WITHIN 10'OF MSP. ( 1 NEW PV SYSTEM INVERTER:SolarEege Technologles SE3B00H-US000BNC4(RSD EQUIPPED) 1-01 13 NEW SANK0OLAR E SOLAR 0 OPTIMIZERS, Mfi0HBl MODULES. NEW SOLAR EDGE EACH MODUL. MOUNTED ON THE BACK OF EACH MODULE. NEW PV CONDUIT RUN.'SEE EE1.0 CONDUIT SCHEDULE -_--EXTERIORRUN - NEW JUNCTION BOX.(MOUNTED TO PV MODULE) EXISTING UTILITY METER: 898329634 d Mp yiyint.SOlar 1.877.404.4129 O FERREIRA RESIDENCE 7 BERUBE RD SALEM,MA,01970 UTILITY ACCOUNT#:63154-54012 SITE PLAN 7 BERUBE RD REG ORAL L:Sfi183903 OPEIRANTIING CENTER:MA-01 PV 1.0 FRONT OF HOUSE. DATE:8/27/2019 SCALE:114"=1'-0" DRAWN BY:DIN MOUNTING LEGEND ROCK-IT COUPLING MID CLAMP 2 ROCK-IT COUPLING MID CLAMP S ID ROCK-IT 3.0 COUPLING ROCK IT ROCK4T SLIDE MID CLAMP PEDESTAL METAL ROCK-IT 5116'x3/8' FLASHING ® COUPLING SHELF HEX FLANGE BOLT 300 SERIES SS ROCK4T COUPLING SHELF ISOMETRIC VIEW COMP SHINGLES SS LAG SCREW TORDUE=13S2 FTi.S. SIDE VIEW 5/16". 1/2' TIE PLATE HEX FLANGE BOLT SIDE VIEW 30D SERIES SS 1 ROCK-IT MOUNT DETAIL � 1ILSC � s10 "oTTosFA�F sl.o ""*T oO SGB 4 GROUNDING LUGS U1.USTING FOR ECOFA9TEX:27M 2 ROCK-IT COUPLING ASSEMBLY WEBKt:23 B. SLO rmrmuA� TOP VIEW CLAMP+ATTACHMENT CLAMP+ATTACHMENT COUPLING PERMITTED COUPLING CANTILEVER U3 OR LESS CLAMP SPACING ANDSCAPE=MAX 64'(5'-0') PORTRAIT=MAX 48'(4'-0-) ROCK-IT SLIDE COUPLING CLAMP RAFTER MODULE MODULE METAL MODULE FLASHING OM BONDED WASHER RAFTER RAFTER ORMS WATERTIGHT SEAL RAFTER I I L=LANDSCAPE CLAMP SPACING �JP 2'x6'AT 16'O.C. �� ' 4 PV SYSTEM MOUNTING DETAIL / LMODULES IN PORTRAIT/LANDSCAPE _�J I� L=PORTRAR S 1.0 "or m.wnr: S 1.0 xmmv_ CLAMP SPACING COMP SHINGLES 211 MIN 3'MIN AND W MAX BETWEEN TOP OF ROOF AND BOTTOM OF MODULE MIN 5116'D IAMONE HOLE STEEL STRAP CONDUITSS lAG SCREW PV MODULE,TYP.MOUNT 1 TORQUE=13a FT-LBS. TO FRAMING OF EXISTW G jiT, ROOF TYPE,PARALLEL SIC I�''n 1 i. O C WITH PLANE OF ROOF CONDUIT MOUNT BRACKET �!{, 6'MAXIMU - 1.877A04.4129 SECTION VIEW 1 Y FLASHING OR TILE STRAP FERREIRA RESIDENCE L 7 BERUBE RD SALEM,MA,01970 3 SECTION VIEW UTILITY ACCOUNT it:63154-54012 s l.o "o.roswe 6 PV ARRAY TYP.ELEVATION 7 CONDUIT MOUNTING DETAIL s l,p " TO—E S1,p rrorroscur: SERVICE#:58183903 MOUNT DETAILS DATE:8 NG CENTER MA-01 S 1 .0 DATE:827I2019 SCALE:NOT TO SCALE DRAWN BY:DIN Photovoltaic System Conduit Conductor Schedule(Unless Otherwise Specified Conductors Shall be Copper) DC System Size(Watts) 4095 Tag# Description Wire Gauge #of Conductors/Color Conduit Typal Conduit Size ry AC System Size(Watts) 3800 1 1PV Output(PV Wire) 30 AWG 2(V+,V-) Free Air N/A Total Module Count 13 1 EGC(Bare Copper Ground) 6 AWG 1 BARE Free Air N/A c p c 2 Inverter Input(THWN-2) 12 AWG 2(V+,V-)B/R EMT 1/2" 2 EGC(THWN-2) 12 AWG 1(GRN) EMT 1/2" m 3 Inverter Output(THWN-2) 12 AWG 3(L3,1-2,N)B/R/W EMT 1/2" .� y i m a u 3 EGC(THWN-2) 12 AWG 1(GRN) EMT 1/2" n a L 0 ti ao v w m w U SolarEdge PV System SMART Meter g SE3800H-US 'Conforms to AN51 a C12.1-2008 m Z Rapid Shutdown j Disconnect,Square > Point oflnterconnection,Load DU221RB 240V/30A in Side 705.12(B)(2)(3)(b) J Z Unfused,NEMA3,or w m equivalent,with 75°C C u m terminations N Q m Z 2 b 11A Existing 240V/200A SHEET �Vt Service Panel,Single Phase,wi[h 200AMaln NAME: LINE Disconnect Y— - Y-- lid 2 OA C - --- .3 STRING 1:13 PV 1 2 1 \ } MODULES NEMA4 Junction Box 3 LO W/OPTIMIZERS 3 t\ 3 OA SHEET NUMBER: i 13 PV MODULES PER INVERTER=4095 WATTS " —® STC Visible/LAckable'Knife'AC. Minimum GEC slze4 Disconnect AWG copper W PV Module Rating @ STC Conductor Calculations N Module Make/Model Jinko Solar1KM315M-60HBL Max.Power-Point Current(Imp) 9.49 Amps Wire gauge calculated from code art.310.15(8)(16)with ambient temperature calculations from art.310.15(8)(2)(a). :9 n v Max.Power-Point Voltage(Vmp) 33.2 Volts For"On Roof'conductors we use the 90°C column ampacity,the relevant ambient temperature m Open-Circuit Voltage(Voc) 40.7 Volts _ adjustment,and raceway fill adjustments from 310.15(B)(16).Conduit shall be installed at least � � � Optimizer SolarEdge P320 Short-Circuit Current(Isc) 10.04 Amps 1"above the roof deck. E o DC Input Power 320 Watts Max.Series use(OCPD) 20 Amps For"Off Roof'conductors we use the 75°C column ampacity,or the 90°C column ampacity with a DC Max.Input Voltage 48 Volts Nom.Max.Power at STC(Pmax) 315 - Watts the relevant ambient temperature and raceway fill adjustments,whichever is less. DC Max.Input Current 13.75 Amps Max.System Voltage 1000 VDC(UL/IEC) The rating of the conductor after adjustments MUST be greater than,or equal to,the continuous ? _ DC Max.Output Current 15 Amps Voc Temperature Coefficient -0.28 %/C duty uprated output current. Max.string rating inverter dependent.See SE documents. Calculation Example-Wire Rating(90°C)x Ambient Temperature Adjustment x Conduit Fill Inverter Make/Model SolarEdge SE380OH-US AC Output Current According to art.690.8(8)(1) 15.83 Amps Adjustment>=Continuous Duty Output Current 99 % Nominal AC Voltage 240 Vol CEC Efficiency ts (Tag 2 On Roof): Inverter Input:12 AWG rated 30 A, 30 A x 0.96 x 1=28.8 A>=18.75 A AC Operating Voltage 240 Volts THIS PANEL IS FED BY MULTIPLE SOURCES(UTILITY AND SOLAR) (Tag 3 Off Roof): Cont.Max Output Current 16 Amps Inverter Output:12 AWG rated 20 A, 20 A>=19.79 A DC Max Input Current 10.5 Amps Rooftop conductor ampacities designed in compliance with art. Short Circuit Current 17.5 Amps 690.8,Tables 310.15(8)(2)(a),310.15(B)(3)(a),310.15(B)(3)(c), Max Output Fault Current 17.5 A/20 ms 310.15(B)(16),Chapter 9 Table 4,5,&9. Location specific temperature obtained from ASHRAE 2017 data tables. ASHRAE 2017-BEVERLY MUNICIPAL Highest Monthly 2%D.B.Design Temp.:31.7°C ti Lowest Min.Mean Extreme D.B.:-23°C • ^�' m -o w m y u m N OCPD Calculations a 0 a Breakers sized according to continuous duty output current.PV circuit nominal current based off n inverter continuous output current X(1.25[art.690.8(A)]). � d m Inverter 1:SE380OH-US Max Output=15.83 A x 1.25[art.690.8(A)] o =19.79 A<20 A(OCPD) system output current w/continuous duty=19.79<20A(System OCPD) & W v"'i Z m J J m Q ¢ m Q Other Notes v, N z z g o •Designed according to,and all code citations are relevant to,the NEC 2017. SHEET •All interior raceways carrying DC current shall be metallic. NAME: N to 0 2 a SHEET NUMBER: N W Conduit,Raceways,and 1-Boxes(Labeled Every 10')Per Plaques and Directories at the Service Equipment(MSP)and the SE380OH-US String 1 DC Disconnecting Means Per 690.53 p; e 690.31(G)(3)&(4) Location of All System Disconnects Per 690.56(8)&705.10 PHOTOVOLTAIC DC POWER SOURCEDISCONNECT STRING 1 a < • • • •• • • a a z _ m a Interactive System Point of Interconnection Per 690.54 • • • .i• r • • CURRENT: _ • • DC-TO-DC C• • • m E PHOTOVOLTAIC APOWER SOURCEI� • • LL a RATED AC OUTPUT CURRENT:15.83 A NOM.OPERATING AC VOLTAGE: i V �JS` _ .• v _ PV System Disconnects Per 690.13(B) MIREMUM • r r All Disconnecting Means Per 690.13(B)&690.15(D) L_ WARNING PV With Rapid Shutdown,Installed Within 3 ft of the Service SHOCKELECTRICAL •-• Disconnecting Means Per 690.56(C)(1)(a)TERMINALS ON THE LINE AND O MAY BE ENERGIZED IN THE OPEN•AD SIDES POSITIONSOLAR PV SYSTEM EQUIPPED Power Source Output Connection,Adjacent to Back- WITH RAPID SHUTDOWN c � fed Breaker Per 705.12 IWARNING • POWER SOURCE OUTPUT CONNECTIONTURN RAPID SHUTDOWN 00 ••NOT RELOCATEOVERCURRENT SWITCH TO THE wuea cmrc w • "OFF"POSITION TO rvvurta 9 a SHUTDOWN PV SYSTEM AND REDUCE Rapid Shutdown Switch Per 690.56(C)(3) SHOCK HAZARD ••I ' IN ARRAY RAPID SOLARo g o � „ m � o z ,:; w w N Z m � J o m m Z Z_ 2 SHEET NAME: m C N A .0w m 33a SHEET NUMBER: ALL STICKERS DESCRIBED HEREIN SHALL BE MADE OF WEATHERPROOF ADHESIVE,THEY SHALL BE REFLECTIVE,THEY SHALL CONTAIN NO SMALLER THAN 3/8"WHITE ARIAL FONT TEXT,AND HAVE A RED BACKGROUND,UNLESS OTHERWISE DEPICTED OR DESCRIBED. M ALL PLACARDS SHALL BE WEATHER-RESISTANT,PERMANENTLY ETCHED PLACARDS.HANDWRITTEN SIGNS WILL NOT BE ACCEPTABLE. yj MAI71AX AKER DE-RATED TO***DUE TO SOLAR PHOTOVOLTAIC AC POWER SOURCE PHOTOVOLTAIC DC POWER SOURCE DISCONNECT 1 CIRCUITS 4 RATED AC OUTPUT CURRENT:***A 8 MAXIMUM VOLTAGE: ***A ***-value calculated for each a F***AMPS PV SOURCE ALLOWED NOM.OPERATING AC VOLTAGE:***V MAXIMUM CURRENT: ***V - account,for specific value see theDT INCREASE MAIN BREAKER RATING Property of Vivint Solar DC-TO-DC CONVERTER MAXIMUM RATED OUTPUT CURRENT: ***A previous warning label page 'v Property of Vivint Solar C Property of Vivint Solar ,� a J m a W WARNING:PHOTOVOLTAIC POWER SOURCE •y 2 c 2 WARNING Property of Vivint Solar 9 SITE PLAN PLACARD SHOWING ADDITIONAL POWER SOURCE m E ELECTRICAL SHOCK HAZARD LL n °, TERMINALS ON THE LINE AND LOAD SIDES MAY BE WARNING AND DISCONNECT LOCATIONS.PLACARD SHALL BE MOUNTED ON EXTERIOR OF ELECTRICAL PANEL ENERGIZED IN THE OPEN POSITION 6 POWER SOURCE OUTPUT CONNECTION Property of Vivint Solar '' M - Property of Vivint Solar DO NOT RELOCATE THIS OVERCURRENT DEVICE PV SYSTEM DISCONNECT Property of Vivint Solar 10 3 Property of Vivint Solar PV rapid shutdown label required by 7 RAPID SHUTDOWN SWITCH FOR SOLAR PV SYSTEM 690.56(C)(1)indicated on E.3 ' Property of Vivint Solar 0 C 00 'D q a 10 IF APPLICABLE ROOFTOPARRAY / INSIDE PJIF DE PANEL 6 9 a 0 EVERY 10'AND yoCPO 0 2 3 2 3 4 1 aq IF APPLICABLE g 5 GJ G2 O O CABLE z C'i DC OO OWz Z m 5DISCONNECT a a INSIDE z z SHEET •. SOLAR INVERTERS COMBINER PANEL VISIBLE/LOCKABLE VIVINT SOLAR METER -VISIBLE/LOCKABLE SUB PANEL MAIN SERVICE NAME: (MAY BE ON ROOFTOP (WHEN USED) A/C DISCONNECT (WHERE REQUIRED) A/C DISCONNECT (WHEN REQUIRED) DISCONNECT PANEL m (UNCTION 5 INTEGRATED WITH (WHERE REQUIRED) e BOX ARRAY) TYPICAL SOLAR GENERATION INSTALLATION ' 3 3a (NOTALL DEVICESARE REQUIRED IN EVERY JURISDICTION) SHEET ALL STICKERS DESCRIBED HEREIN SHALL BE MADE OF WEATHERPROOF ADHESIVE,THEY SHALL THESE PLACARDS SHALL BE PLACED ON ALL INTERIOR AND EXTERIOR DIRECT-CURRENT(DC)CONDUIT,ENCLOSURES, NUMBER: BE REFLECTIVE,THEY SHALL CONTAIN NO SMALLER THAN 3/8"WHITE ARIAL FONT TEXT,AND RACE-WAYS,CABLE ASSEMBLIES,JUNCTION BOXES COMBINER BOXES,AND DISCONNECTS TO ALERT THE FIRE HAVE A RED BACKGROUND,UNLESS OTHERWISE DEPICTED OR DESCRIBED.ALL PLACARDS SERVICE TO AVOID CUTTING THEM.MARKINGS SHALL BE PLACED ON ALL DC CONDUIT EVERY 10 FT(3048 MM),ABOVE .SHALL BE WEATHER-RESISTANT,PERMANENTLY ETCHED PLACARDS.HANDWRITTEN SIGNS WILL AND BELOW PENETRATIONS OF ROOF/CEILING ASSEMBLIES,WALLS OR BARRIERS. NOT BE ACCEPTABLE. y j