16 CROMBIE ST - BUILDING PERMIT APP n
. ' �` T�-� 4 - �io �i� � 32 � s '�"
�, The Commonwealth of Massachusetts ' --_ • -
. � Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CMR ��SP RE(��t��f
C�'dGT6��M�E��C $
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling 101
This Section For Official Use Only
Building Permit Number: Date 'ed:
�A �5I; /p 7/l
Building Official(Print Name) SignaCure � Date
SECTION 1: SITE INFORMATION
1.1 Property Address: t.2 Assessors Map&Parcel Numbers
16 Crombie S� 26 0453 0
I.1 a[s this an accepted street?yes no Map Number Pazcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
� � � � �RESIDENTIAL � � � �
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard - Sidc Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
� Public❑ Private❑ Zone: _ Outside P'lood Zone? �
� Check if yes❑ Municipal 0 On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Richard Willis SALEM,MA 07970
Name(Print) City,State,ZIP
' i6CrombieSt . (978)498-4982 ' � tlick.willis@yahoo.com
No.and S[reet - � Telephone � Email Address .
SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ SPBCIf}':SOLAR PV
BI'10f D0SC1'IjlilOtl Of PI'Op050CI WOI'ICZ;INSTALI SOLAR ELECTRIC PANELS ON ROOF OF EXISTING HOME TO BE INTERCONNECTE�WITH
MOMES ELECTRICAL SVSTEM. �
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Materials Official Use Only
1. Building $2,000 1. Building Permit Fee:$ Indicate how fee is determined:
�Standazd City/Town Application Fee
2. Electrical $5,000 ❑ Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fees: $
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $7 000 ❑ Paid in Full ❑Outstanding Balance Due:
'Ml� tl,� lC� ��
�
.
� SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
107663 8/29/2017
SOLARCITV CORP./CRAIG ELLS License Number Expiration Date
� Name of CSL Holder �
� � List CSL Type(see below) �
24 ST MARTIN DRIVE BLD 2 UNIT 11
� No.and Street � Type �Description
U Unrestricted Buildin s u to 35,000 cu.ft.
MARLBOROUGH,MA07752 R Restricted 1&2 Famil Dwellin
CityITowq State,ZIP M Mason
� RC Roofin Coverin
WS Window and Sidin
SF Solid Puel Burning Appliances
978-875d698 CELLS@SOLARCITV.COM j 1nSu�3I100
Tele hone � Email address D Dcmolition
5.2 Registered Home Improvement Contractor(HIC)
, � 1685I2 3/8/2015
sou�Rciry coftP. HIC Registration Number Gxpiration Date
, HIC Company Name or HIC Registrant Name
eoo aeseamn or ablanco@solarciry.com �
� No.and S[ree[
- Email address
W lmingwn Ma.0188] 978-215-2360
Ci /Town,State,ZIP Tele hone �
SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c. 152.§ 25C(�)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in Che denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... ❑ No...........O�
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDINC PERM[T
I,as Owner of the subject property,hereby authorize soia�c�ryi nso-m sia��o
to act on my behal� in all matters relative to work authorized by this building permit applicatioa
k See Ln(ltzuc#- lk- iaivzoia
Prin[Owner's Name(lilectronic Signa[ure) Date
SECTION 7b: OWNER� OR AUTHORIZED AGENT DECLARATION �
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of iny knowledge and understanding.
1"1�T�-�%-���IV�Co �,��i� ioivzoia
Prin[Owner's or AuthorizeA AgenPs ame(Electronic Signature) Date
I NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at
www.mass. ov/oca Information on the Construction Supervisor License can be found at www.mass.�ov/d�s
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basementlattics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project CosP'
DocuSign EnvelopelD: 192FB4BF-145C-0120-BCOE-22DOBA5FF348 �
r \\�t} �
'�;;;SOIBfCIt�/. Power Purchase Agreement
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Here are the key terms of your SolarCity Power Purchase Agreement Date: $�z��zoia
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�We msure mamham and repair the System(inGudmg the inverter)at no add�Gonal cost to you�as speafied m the agreement���� �
.�,We provide 2417 webenabled�mondonng at no addit�onal�cost to'you as specified in the agreement`'t" � �y�e '_"���*��^ ����p �"
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� �We warranty your roof agamst leaks and restore your roof at the end of the agreement as specfied in the agreement � ���
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;,The rate you pay for electriaty rexclusrve of taxes will remam fixed for the term of the agreement ��"�"� �`;��s �� ��'
q � • BwM'x w a 5* .�m, w � 3 %�" p�A ,q8,t�i, �`�u t'�' � ps " „� r4�:
,�The ncin in this PPA is vand for 30 da s after 8/25I2014 � ° r'� � ^��� �=�i � "
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• ,We are confident that we deliver excellent value and customer sernce.AS A RESULT,YOU ARE FREE TO CANCEL"ANYTIME AT
,�;NO CHARGE PRIOR TO CONSTRUCTION ON YOUR HOME. �t�� �,,. �''�'��' �" "_ , �' �'=s� ti��"�'" ` � k*z"�'� `���
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�;.Estimated Fir'st Year PrOduction�T:;� . ,��,� '<r , .x�^ ° °: t=+f ,�°' °'�' �,x a �;��� .�,,:��3,799 kWh � ;�� � �+���,,,�'�� ,�*t,�
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,�,Amountdueatcontractsignin9 ;s ,.�,� ,�� '�i ��s ��M�'""r �� ��`�w„� ;�;�� '$0�; " �� �a �„ x � €F"� �' t���
�^�'Estimated prepayment due when installation begins r;`� ��,y�'� `�'� ����`'��*��s��y$0.00}'�� �.-`"��� '"� �,�''�tk '����';
M �t .. .,.. .. .. . �., 'a `fl£' �3 +.:.. 1 x �` cf4 c z �� a.�y. � �. 5 ',.
,a�^EsUmated prepayment due followmg budding inspection:E ":,�� � __--��,'� $O.00��;k , � q��t���E � .s.,;:;,� ,+"
Customer's Name & Service Address
Exactly as it appears on the utility bill
Customer Name and Address Customer Name Installation Location
Richard R Willis 16 Crombie St
16 Crombie St Salem, MA 01970
Salem, MA 01970
Options for System purchase and transfer: Options at the end of the 20 year term: I
• If you move,you may transfer this agreement to the purchaser of your • SolarCity will remove the System at no cost to you.
Home,as specified in the agreement. . You can upgrade to a new System with the latest solar
• At certain times,as specifed in the agreement,you may purchase the technology under a new contract.
System. . You may purchase the System from SolarCity for its fair
• These options apply during the 20 year term of our agreement and not market value as specified in the agreement.
beyond that term. • You may renew this agreement for up to ten(10)years in
two(2)five(5)year increments.
3055 CLEARVIEW WAY, SAN MATEO, CA 94402 886.SOL.CITY I 888.765.2489 � SOLARCITY.COM
MA HIC 168572IMA Lic. MR-1136
Document�enerated on 8125/2014
DocuSign EnvelopelD: 192FB4BF-145C-4120-BCOE-22DOBA5FF348
22.NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in iheir
YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this
MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement.
YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE '
ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name: Richard R Willis
EXPLANATION OF THIS RIGHT.
ooeusie�oa M:
23.ADDITIONAL RIGHTS TO CANCEL. Signature: ���'�Tu1lUAS
IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL �""'°,°'°'°�9"°
THIS PPA UNDER SECTION 22,YOU MAY ALSO CANCEL Date: [$7z�7z014�
THIS PPA AT NO COST AT ANY TIME PRIOR TO
COMMENCEMENT OF CONSTRUCTION ON YOUR HOME.
24.Pricina
The pricing in this PPA is valid for 30 days after 8/2512014. If you Customer's Name:
don't sign this PPA and return it to us on or prior to 30 days after
8125/2014, SolarCity reserves the right to reject this PPA unless Signature:
you agree to our then current pricing.
Date: 0
=:;;SolarCity.
...,�
Power Purchase Agreement.
SOLARCITY APPROVED
Signature: �
LYNDON RIVE, CEO
(PPA) Power Purchase Agreement
,,,.
'�.S0�1tt'if�
Date: 8/25/2014
Solar Powex Purchase A reement ver i n
g s o 8.0.1
�t, Version #38.6
� �=o;;SolarCity. .^
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/a-iK ar'�'�S�
3055 Clearview Way, San Mateo, CA 94402 ,so�'a A�dOHEW D. 9��'Gn
(888)-SOL-CITY (765-2489) �wwwsolarciry.cam �4 WH1TE m�y
`7 STFiUC(1.lRAL -a�
September 3, 2014 �' y�
hlo.A7313
Project/Job # 197225 As' 9FGIS1'E�kV�k.`"��
RE: CERTIFICAlION LETTER FS� ��� w
.
Project: Willis Residence
16 Crombie St
Salem, MA 01970
To Whom It May Concern;
A jobsite survey of the existi�g framing system was performed by a site survey team from SolarCity. Structural review was based on
site observations and the design criteria listed below: �
Design Criteria:
-Applicable Codes = MA Res. Code, Sth Edition,ASCE 7-05, and 2005 NDS
- Risk Category = II �
-Wind Speed = 100 mph, Exposure Category C
-Ground Snow Load =40 psf
- MPl: Roof DL = 12.5 psf, Roof LL/SL = 28.4 psF(Non-PV Areas), Roof LL/SL= 15.6 psf(PV Areas)
Note: Per IBC 1613.1; Seismic check is nof required because$s= 0.31364 < 0.4g and Seismic Design Category(SDC) = B < D �
On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have
been reviewed. After this review it has been determined that the existing structure is adequate to withstand the appliwble roof dead
load, PV assembly load,and live/snow loads indicated in the design criteria above.
I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from
PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code, 8th Edition.
Please contact me with any questions or concerns regarding this project.
Sincerely, �
AndrewWhite,p.E. DigitallysignedbyAndrewWhite
Strudural Engineer Date:2014.09.03 13:46:46-04'00'
Main: 888.765.2489,x2377
email: awhite@solarcity.com
3055 Clearview Way San Mateo,CA 94402 T(650)638-1020 (BB8)SO�-CITY v(650)638-1029 solarcity.com
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OflCC01AD099,PAD1)313,T%TO1P900B�WAOCL:50ChRC•O1BW.020136�mCI�y.Nlrglit rcxbrvM.
PITCH: 40 ARRAY PITCH:40
MPl AZIMUTH: 185 ARRAY AZIMUTH: 185
MATERIAL: Comp Shingle STORY: 2 Stories
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Ac ;i�, � LEGEND
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LL__Jy �_- ; � ,-�� Q (E) UTiLITY METER & WARNING LABEL
---- -- -- � , p ,
� � ,
:.�--- INVERTER W/ INIEGRATED DC DISCO
_- ��� & WARNING LABELS
; ;' M .�
O ,____-____ � DC DISCONNECT & WARNING LABELS
M 1 Front Of House � AC DISCONNECT & WARNING LABELS
���H Q s eQ DC JUNCTION/COMBINER BOX & LABELS
�,h� 9.r
o• nraoRe,vo. ya QQ DISTRIBUTION PANEL & LABELS
� WIi1TE �� �
� s'Rtucn.�ar� � �c LOAD CENTER & WARNING LABELS
No.47319
`A� e�FCI NAL��o\t`�� O DEDICATED PV SYSTEM METER
�
A � STANDOFF LOCATIONS
� CONDUIT RUN ON EXTERIOR
Layout and production estimates STAMPED & SIGNED �'� CONDUIT RUN ON INTERIOR
contingent on Satellite Dish — GATE FENCE
removal. FOR STRUCTURAL ONLY � HEAT/PRODUCING VENTS ARE RED
Digitally signed by Andrew White ��a INTERIOR EQUIPMENT IS DASHED
Date:2014.09.03 13:50:07-04'001 L_J
SITE PLAN mN1
Scale: 1/8" = 1' W�E
0 1' 8' 16'
• 5
J B-19 7 225 00 `�"'�°�"� °��`¶�' ��`�
CONFlDENTIAL— THE IN(ORMATION HEREIN JOB NUI�ER: ���}r •
CONTNNED SIiNLL N07 BE Ug� FOR 1HE WILLIS, RICHARD WILLIS RESIDENCE James Turschmonn `�1;SolarCity.
BENEFl7 OF ANYONE EXCEPT$OLARdtt INC., YWNPNG SYS7EY: � ���'�
NOR SHALL IT BE DISCLOSED IN YMOLE OR IN Com Mount T e C 16 CROMBIE ST 2.805 KW PV ARRAY
PART TO O7HFRS W751DE 7HE REGYPIENYS P � SALEM MA 1970
ORGANIZATION, EXCEPT IN CONNEC710N N17H ���� ' 24 SL Martin Driw, Bullding 2, Unit 11
aliE SALE AND USE OF 1HE RESPEC7IVE (11) CANADIAN SOLAR # CS6P-255PX Pp�NpyE, g��7; �y; pph Narlborough, MA 01752
$OLARCI�EQUIPMFHT, 1N1HWT 7HE WRITTEN ,N„�,�, SITE PLAN / / L (650) 638-1028 F: (650) 638-1029
PERMIS510 av savu�an iec. SOLAREDGE SE3000A-US-ZB-U 9784984982 PV 2 9 3 2014 (aee�-sa-an(�ss-z+as) ....:aa�dry.�