7 LAURENT RD - BUILDING INSPECTION (2) RECEIVED
INSPECTIONAL SERVICES
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AN
The Commonwealth of Massachuse s
'n Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CMR SALEM
Revised,44ar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
i
Building Official(Print Name) Signature I UUDate
SECTION 1: SITE INFORMATION
IA Pro erty Address: 1.2 Assessors Map&Parcel Numbers
1 l a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(fl)
1.5 Building Setbacks(ft)
Front Yard Side 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 Flood Zone?
Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
C&a1)XI41 Tu�rck= & Sale-M MA. (' k6l�0
Name(Prim) City,State,ZIP
i Lnur-wnrt rot % 5r�u-r 3�
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction I8( Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work: t SrtA.1, p p
Dho+DVn1-FaIC_ Sotar Sys(�rv1S
rcxtno
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1.Building $ .Ob I. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ a1 ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (BVAC) $ List:
5. Mechanical (Fire
Su ression) $ Total All Fees: $
p Check No._Check Amount: Cash Amount:
6. Total Project Cost: $ a0—)�. ❑paid in Full ❑Outstanding Balance Due:
N11LtC \
rtSECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
1_ 6 54
�ln2ryyLcu-) License Number Expiration ate
Name of CSL Holder
1 �kcLtn S_{_ e& List CSL Type(see below) U
No.and Street I �' MU
W(SBuildin
Description
OI!] Buildin s u to 35,000 cu.ft._l LP 2 Famil DwellinCity/Town S)at� ZIP rinidinrning Appliances
uGJ YV1aan�artg VIVA-siprloi 1 Insulation
Telephone Email address C-0 I Demolition
5.2 Registered Home Improvement Contractor(HIC)
\/I V I oc t- SO l q_r De Ve t Opef L LC HIC Registration Number E pira[on ate
HIC Company Name or HIC Rggistrant Name
4�31 N M Z . Yy�CtSpIGu@ytyl✓LiSoltlr.
No.and Street Email address t_pm
Provo ur '64(oD4 _LZI3053DLes
City/Town.State,ZIP T.I.-I,---
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.........A 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 VI V I✓t Solar
r
to act on my behalf,i all matters relative to work authorized by this building permit application.
1= 3I l
Print Own 's N e(Electronic Signature) Date
SECTION 7b: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 IN pI I' lion is true and accurate to the best of my knowledge and understanding.
V -1 0.Y'
Print Owr s r prized Agent's Name(Electronic Signature) Dine
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.eov/oca Information on the Construction Supervisor License can be found at www.mass.pov/dos
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 Open
3. "Total Project Square Footage"may be substituted for"Total Project Cosf'
4111 North 100 West,Provo,UT 84604 Employer Identification No.: 8M756438
V'v' �- SO I M Phone:(877)404-4129 Fax:(801)765-5758 Massachusetts HIC License No.: 170848
nE-Mail: mppun@vivmunlarcom
www.vivintsolaccom AR No.:
RESIDENTIAL POWER PURCHASE AGREEMENT
This RESIDENTIAL POWER PURCHASE AGREEMEN"1' this"Agreement")is entered into by and between VIVINT SOLAR DEVELOPER,LLC,a
Delaware limited liability company("We","Us","Om")and the undersigned Customers)("You',by,
as c f the'fronsaction Data set forth below.
Full Name trrr,r.w.r ao 6 L 1 Full Name(n.es ism
Customer(s): Pa 'a a.,,v.: r D.v„ (p Sl e'I �U/GIOS nix no»,�e.:ors,o,vo
Telephone No.: ? E-Mail: 'fj�✓CI lIj tC a++R r, C11
Property Shect Address: �/�30
Address: City,County,State,Zip: So lewq
1.SERVICES
A. DESIGN AND INSTALLATION. We will design,install,sesvitt and mainmin a solar phomvoltiic system on Your Properywhich will include all
solar panels,inverters,meters,and other components(collectively,the"System"),as fuller deuribed in the Customer Packet and the Wnrk in that We
'll provide m You hereafter. All material poNtions o[the System will be instilled by Ow employed technicians and electricians,and not subcornmetors.
With Yuur cooperation,We will (i)design, still and connect the System in material compliance with all applicable Inws;pi)complete all required
i spectinns;and(.iii)obain all reyuired certifications and eermils. In order to design a Sysmm that meets Your needs,Vnu agree Nat We may obtain Your
electrical usage history from Yaur electric utility(the"Uotiry"1 and Vou shall yronde Us with copies of Yow Utility bills as We may reasonably request.
Other than[he activation fee Jeunbed in Section LB,We well)design and install the 8 stem at no cost to You.
B. ACTIVATION. You agree to pay Us a one-time activalnrn ee m[to amount o �e wl�l in[erconnec[[he System with the Utility,and
cause the Sysem to generate energyy measured in kilowan hours(kWh"))([he"E ergy nsmllation of the System generally lakes one day and is
anticipated to begin end be substinnally complete between two(2)and six(b)weeks hereafter.
C OW NERSHIP OP SYSTF.N. We shall own the System as Our sole personal property. You will have no property interest in the Sysmm.
D. OPERATIONS AND MAINTENANCE. We will operate and maivtiin[be System(i)at Ow sole-crist and expense;(ii)in good condition;and(iii)in
material complance with all applicable laws and permits and the Utility's roquirements.
E. hNSURANCE. We tarty commercial general liability insuance,workers'compensation insurance.and pmpmyy insurance on the Sysmm. For more
infortnalion concerning(Nnwmnce,anJ to obtain ecnpy of Our certihca[c of insumncc,please visit: www.vrvm[w1u.mMinsurence.
27TER:YI,PRICE,PAYMENTS,AND FINANCIA P DISCLOSURES
A. ENERGY PRICE. For all Energy produced by the System,Yo s so. Per kWh hhe"Energy Price"),plus applicable taxes
.
The Energy Price shell increase each year by two and nine-tenths p [ 2.9/. go an esnmate of the System output,measured i k Iowan hours,
ell be provided to You in the Cusmrtrer Packet TIlIS AGREEMENT SALE OF ENERGY BY US OU AND NOT FOR THE SALE.OF
A SOLAR ENERGY DEVICE.
B. TERM. This Agreement shall be effective as of the Transaction Done and continue until wdriiieth(20'")enniv of the In-Service Date(the
Term"). no"In4ervice Dare"shall be the first day alter all of the following have been ac s been installed and is to
of
generating Energy,(ii)all permits necessary to operate the System have been obtained,(iii)the System has been mterom ecled with the Utility,and(iv)all
inspections and certificates required under applicable law or by the Utility have been completed or received.
C. PAYMENTS Beginning with the fast month following the In-Service Date and throughout the Term,We will send You an invoice reflecting the
charges for Energy pro uced by the System in the previous month. You shall make monthly payments to Us by automatic payment deduction from our
designated checking account or credo rand. It Is Your responsibility to ensure that there are adequate funds or adequate crra9it main. There is no financingg
charge associated with this Agreement. For all yaym��ti more than ten(10)day upast due,We may impose a late charge equal to Twenty-Five Dollars(525)
d Interest at an annual rate of ten percent U %k plus applicable taxes. 11 Y continue m fad to make any payment within ten(10)days after We give
You women notice,then We may exercise all remedies oval able to Us pursuant to Ssclion 13fb1.
D. RENEWAL. At the end of the Temt,You may elect 10(i)continue with this A�mxmrnt on a year-to-year basis;(ii)emtt into a new Agreement with
Us and cancel this Agreement;(iii)purchase the System at the end oC Ne Term a cancel this Agreement(the"Amehave Option");or Qv)cancel this
eAce ifti and have the System removed at no cost ro Yore You will need to notify Us in writing concerning Your election sixty(60)days prior to the end
of Ne Term. If You elect the Purchase Option,the"Purchase Option Price'will be the then-current fair market value of the System based on an
independent appraiser's valuation of similarly sized pM1omvolmic systems in Vnur ge cgmpM1ic region. Thc repppraiser's valuation will be provided to You in
writing and will be binding. If We receive Yuur payment of the Purchase Opnov Pri costs of the appraisal,applicable nixes,and nil other amounts then
Swing
and unpaid hereunder,We will trana'fm ownership of the System m You a[the end of the Term on en"As Is,Where Is"basis. If You till to have[he
Syyssmm removed,We will remove the Syvram from Your Property within ninery79lt dayys aRtt Ne end of[he Term. IF YOU DO NOT NOTIFY US OF
YOUR ELE610N TO CANCEL BV SENDING A WRITTEN NOTICE TO US,THEN )'HIS AGREEMENT WILh AUTOMATICALLY
RENEW ON A VEAR-TO-YEAR BASIS UNTII.VOU NOTIFY UE IN WRITING OF VOUR ELECTION TO CANCEL AT'LEAST SIXTY(60)
DAYS PRIOR TO THE END OF THE RENEWAL TERM.
E. CREDIT CHECK. In connection with the execution of this Agreement and at any time during the Term,You hereby authorize Us to(i)obtain Your
credit rating and report front credit repotting agencies;(ii)to report Your payment perfomtance under this Agreement to credit reporting agencies;and
(iii)disclose this and other information in Our afbbates and actual or prospauve IwMers,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 (889) 567-8688. SEE PRESCREEN & OPT-OUT
NOTICE(SECTION 29)BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS.
3.LIMITED WARRANTY
A. LIMITED INSTALLATION WARRANTY. We provide a workmanship v mo m that the System shall be free from material defects in design and
workmanship under normal operating condnurns for the Term. We fuller warrant Nat all rooftop pcnarations We install shall be wat,rurt us of the dam of
installation. We do not provide any warranty to You with respect m any component of the Syysstem. Any manul'acerer's warranty is in addition W.not in lieu
of,this limited'installation warranty. This warranty does not cover problems resulting fiom exposure to harmful materials and chemicals,fire, flood,
earthquake,or other oats ofgod,vandalism,alteration of system by anyone not authorised by Us,or any other cause beyond Our control.
B. MANUFACTURERS'WARRANTIES. The System's solar modules carry a minimum manufacturer's warranty of twenty(20�years as follows:
a during Ne first ten(10)ppears ofuse,Ne modules'a ceuical output will not degrade by mare than ten percent(10%)hoc the ongfinal y rated outptit and
b during the first lwemy`20)years of use,the modules'electrical output will nut degrade by more than twenty percent(20%)hoc the originally mind
ouI an The, em.'s inverters carry a minimum%aufacturer i warranty often(10)yews against defects or component hrcakdowtu. Uuring Ne Tcrm,We
will enforce then warranties m the Nllest 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 STNT—UTOTY, AS TO THE MERCHANTABILITY OR
FITNESS FOR ANY PURPOSE OF THE E UIPMENT, INSTALLATION, DESIGN, OPERATION, OR MAINTENANCE OF THE
SYSTEM, THE PRODUCTION OR ORNERY 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 REpUIRED UNDER THIS
AGREEMENT, YOU ACKNOWLEDGE THAT WE ARE RELYING ON THIS SECTION IC,AS A CONDITI C ON AND MATERIAL
INDUCEMENT TO ENTER INTO THIS AGREEMENT. THERE ARE NOWA TI.S WHICH EXTEND BEYOND THE
DESCRIPTION OF THE FACE HEREOF.
4.REMOVAL OF THE SYSTEM
You shall nut make any Alterations(as defined fire Scents 9(c))m the System U You want to make repays or imyrovemenLc m Your Property that require
Ne temporary removal of the System or Nat could in wtds its performance ur operation,You must 8rve Us at least thirty 130)days'poor wrinrn notice
a" a-Requested Shu men'). You agree that any repair or Improvement to Vour Properly shall not matttmlly alter Your roof where Ne System Is
s1a non for Ow removal,storage,and remaallatlon of the System,You agree to PPay to Us a fee equal to Four Hundred and Ninety-Nine
Dol (5499 be a remove the System. You shall be required to pay the Shutdown Paymcm(u defined m twnal5 f the Syystem fie not reinstalled
within ys arm_.
f removal. In the even[of an emergency alfecong the System,Vou shall contact Us Item to y. If We arc unable to timely
respond,You racy(et Your own expense)contract with a licensed and qualified solw mstaller m remove the System as necessary to make repairs required by
Ne emergency, Vou shall be responsible for any damage to the System u results from actions coke by Your contracmr.
5.ARBITRATION OF DISPUTES
Most customer coneems can be resolved quick)y and amicably by calling Our customer service department at(877)404.4129. If Our
customer service department is unable to resolve Yom concern,You and We a�ee Io resolve any Uisp�te(as defined below through binding
arbitration or small claims count instead of courts of general'urisdiction. BY SIGNING BELOW,YOU ACKNOWLEDGE AND AGREE
THAT(I)YOU ARE HEREBY WAIVING THE RIGHT C A TRIAL BY JURY;AND(11)YOU MAY BRING CLAIMS AGAINST US
ONLY IN YOUR INDIVIDUAL CAPACITY,AND NOT AS A 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
c .'m-onis :,�nr.0 ire::oawn,a aI -ere nz,
I
(i)any aspect of Ne relationship between You and Us,whether based in contract,tort,statute or any other Icgal theory;(ii)this Agreement or
any other agreement concerning the sub'ect matter hereof; (iii) any breach, defauH, or temunation of this A ement; and (tv)the
interpretation,vandiry,or enforeeah�bty of this Agreemenq including the determination ofthe scoQe or applicability of this Section 5(each,a
"Disyute'). Prior to commencing arbivatioq a parry must first send a written"Notice of Dispute'via certified mail to the of t—T er party. The
Nonce oC Ihspute must descnbe the nature and basis for the Dispute and the relief sought. If You and We are unable to resolve the Dispute
wnhin Hirt (70) days, then either party mayy commence arbtbahon. The arbivanon shall be administered by JAMS pursuant to ns
SlreamlinedyArbitmlion Rules and Procedures(available af. http://www.)amsadr.con✓rules-streamlined-arbi[mtion,the"JAMS Rules")and
under the roles set forth in this Agreement. The arbitrator shall be bound by the terms of this Agreement. No matter[he circumstances,the
arbitrator shall not award punilivq spcciah exemplary,indirect,or consequcnnal damages to either parry. If You initiate arbivation,You
shall he responsible to pay 5250. All attorneys' fees,travel expenses,and other costt oC the arbitration shall be borne by You and Us in
accordance with the IAFfS Rules and appplicable law. The arbitration shall be conducted at a mutually agreeable location neaz Your Properrttyy
Judgment on an arbitration award may be entered in anyy court of competent jurisdiction. Nothing in this Section 5 shall preclude You or We
from seeking provisional remedies maid of arbi[ralion Irom a coutt of competent jursdiction.
NOTICE:BY INITIALING IN THE SPACE BELOW YOU ARE ACREEIN'G TO HAVE ANY DISPUTE ARISING OUT OF THE
MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES"PROVISION DECIDED BY NEUTRAL 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 BELOW YOU ARE GIVING UP
YOUR JUDICIAL RIGHTS TO DISCOVERY AND APPEAL. IF YOU REFUSE TO SUBMIT TO ARBITRATION AFTER
AGREEING TO THIS PROVISION, YOU MAY BE COMPELLED TO ARBITRATE. YOUR AGREEMENT TO THIS
ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE READ AND UNDERSTAND THE FOREGOING AND AGREE TO
SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES"PROVISION
TO NEUTRAL ARBITRATION. c�""°°K'>1n°❑°�s'
VWE 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 covy of this A ment,that We have signed the Agreement,and that You have read and received a legible copy of
every document that We have signed uring 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 TRANSACTION AT ANY TIME PRIOR TO THE LATER OF: (1)MIDNIGHT OF THE THIRD
3RD)BUSINESS DAY AFTER THE TRANSACTION DATE,OR(11)THE START OF INSTALLATION OF THE SYSTEM. SEE
THE NOTICE
�OF,CANCELLATION BELOW FOR AN EXPLANATION OF THIS RIGHT.
VIVINTSOr..yrc o'
� .LOPE C CUSTOMER(S):
o
By: BY: )C
Printed Name: '� Printed Name: '..i
Title: 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 02116,
(617)973-8700 OR 888-283-3757.
_______________,______r_,_-_____,___R_.___-_________.___,_-__.____.___________________.,_______--____.
NOTICE OF CANCELLATION
Transaction Date: AR No.:
YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE 3)BUSINESS
DAYS OF THE ABOVE DATE, OR (IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTiSM. IF YOU
CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE 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 NOTICE, AND ANY SSECURITY INTEREST
ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE.AVAILABLE 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 WITH 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 THE SELLER 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 THE
SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN
LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,
MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE,OR SEND A TELEGRAM,TO VIVBST SO] DEVELOPER,LLC,AT 4931 N 300 W,PROVO,UT 84604 PRIOR TO
THE LATER OF: (1)MIDNIGHT OF THE THIRD(3'"1 BUSINESS DAY AFTER THE TRANSACTION DATE,OR(II)THE
START OF INSTALLATION OF THE SYSTEM. I HERESY CANCEL THIS TRANSACTION:
Date: Customer's Signature:
Boston, 311A 02114-2017
avuww.aaattss.g®v/dla
tiYorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual):
Vivint Solar Developer, LLC
Address:4931 North 300 West
City/State/Zip:Provo, UT 84604 Phone#:801-704-9389
Are you an employer? Check the appropriate box: Type of project(required):
1. ® I am a employer with 10 4. 0 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. 0 Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.
t 9. Building addition
required.] 5. 0 We are a corporation and its IOf] Electrical repairs or additions
officers have exercised their 3. I am a homeowner doing all work I LE] 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 I3.❑ Other
employees. [No workers'
comp. insurance required.]
*Amy applicant that checks box#1 must also&It out the section betmv showing chair workers'compensation policy information.
r 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 insu,ance for my employees. Below is the policy and job site
information.
Insurance Company Name:New Hampshire Insurance Comany
Policy# or Self-ins. Lic. #:029342228 Expiration Date:11-01-14
Job Site Address: I LAUVLQYU rT• City/State/Zip: SG;`QVn M04 ()IQ�
Attach a copy of the workers' compensation policydeclaration page(showing the po➢icy number and expiration date).
Failure to secure coverage as required tinder 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 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.
Ida hereby ceerrta under pas and penalties ofperjury that the information provided above is true and correct
Signature: /
Phone#: 801-704-9389
Official use only. Do not write in this area, to 8e 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 Berson: Phone#:
Office of Consumer Affairs End Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 170848
Type: Supplement Card
VIVINT SOLAR DEVELOPER LLC. Expiration: 1/5/2016
JAMES SHERMAN
4931 NORTH 300 WEST
PROVO, UT 84604
Update Address and return card.Mark reason for change.
sCA1 0 2016fasm ❑ Address ❑ Renewal ❑ Employment Lost Card
' L/� tf>a'nLmoseaiea�e a�6�a«fac'laewft ''..
9ffi- Expiration:
ce ofConsumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
egistration: 170848 Type: 10 Park Plaza-Suite 5170
1/5/2016 Supplement,--ard Boston,MA 02116
VIVINT SOLAR DEVELOPER LLC.
JAMES SHERMAN
4931NORTH 300 WEST -
PkROVO, UT 84604 Undersecretary Not valid without signature —
c Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
C'nn%iruction Superosor /'^�
License:CS-045254 I ii
JAINTES R SHER'S AN
81 MAIN ST - �
SAUGUS 11EA 01706 y
�-,c— Jam . Expiration
Commissioner 08/28120iAl
-CONSULTING Wyssling Consulting
321 West Main Street
Boonton, NJ 07005
Scott E. Wyssling, PE, PP, CME office (973) 335-3500
cell(201) 874-3483
fax (973) 335-3535
swyssling@wysslingconsulting.com
March 14, 2014
Mr. Dan Rock, Project Manager
Vivint Solar
24 Normac Road
Woburn MA 01801
Re: Structural Engineering Services
Turcios Residence
7 Laurent Road, Salem MA
AR#3580234
5.75 kW 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 VisiWerification 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 Vivint Solar and will be
utilized for approval and construction of the proposed system.
3. Photovoltaic Rooftop Solar System Permit Submittal prepared by Vivint Solar 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 2 x 8
dimensional lumber at 21" on center with 2 x 8 collar ties every 21". The attic space is unfinished and
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 ZEP 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 32 degree roof
slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure"B", Zone 2 per(ASCE/SEI
7-10).
2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling.
'Page 2 of 2
B. Loading Criteria
• 10 PSF= Dead Load roofing/framing 40 PSF=Live Load (ground 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. 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.
2. The dwelling owners shall be made aware that long term build-up of heavy snow conditions may
produce deflections in the roof. If any deflection is noticed, then it is recommended that the solar
panels be cleared of accumulated snow more than one (1) foot deep over a period of one week. If
no deflections are visible under any snow loading over a period of time, then there is no need to
clear the solar panels.
D. Solar Panel Anchorage
1. The solar panels shall be mounted in accordance with the most recent "ZEP Code Compliant
Installation Manual", which can be found on the ZEP website (zepsolar.com). If during solar panel
installation, the roof framing members appear unstable, deteriorated, structurally compromised or
deflect non-uniformly, our office should be notified before proceeding with the installation.
2. 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 'W, is less than what is
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 %' with a minimum size of 5/16"
lag screw per attachment point for panel anchor mounts should be adequate with a sufficient factor
of safety.
3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed
at and attached to no greater than every third 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 three (3) rafter spaces or 63" o/c, whichever is less.
4. 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
based on information supplied to us at the time of this report and current industry standards and practices.
Should you have any questions regarding the above or if you require further information do not hesitate to
contact me.
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Vivint Solar - PV Solar Rooftop System Permit Submittal
1. Proiect Information
Project Name: GABRIELTURCIOS
Project Address: 7 Laurent Rd,Salem MA
A.System Description:
The array consists of a 5.75 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(23)
250-watt modules and(23)215-watt micro-inverters,mounted on the back of each PV module.The array includes (2)PV circuit(s).The
array is mounted to the roof using the engineered racking solution from Zep Solar.
B. Site Design Temperature: (From Boston Logan INT'L ARPT weather station)
Average low temperature: -21.1 °C (-5.98°F)
Average high temperature: 38.4°C (101.12°F)
C. Minimum Design Loads:
Ground Snow Load: 40 psf (State Board BR&S)
Design Wind Speed: 100 mph (State Board BR&S)
2. Structural Review of PV Array Mounting System:
A.System Description:
1.Roof type: Comp.Shingle
2.Method and type of weatherproofing roof penetrations: Flashing
B. Mounting System Information:
1.Mounting system is an engineered product designed to mount PV modules
2.For manufactured mounting systems,following information applies:
a.Mounting System Manufacturer: Zep Solar
b.Product Name: ZS Comp
c.Total Weight of PV Modules and mounting hardware: 989 Ibs
d.Total number of attachment points: 41
e.Weight per attachment point: 24.12 Ibs/square foot
£Maximum spacing between attachment points: * See attached Zep engineering calc5
g.Total surface area of PV array: 405.03 square feet
It.Array pounds per square foot: 2.44 Ibs/square foot
i.Distributed weight of PV array on roof sections:
-Roof section 1: (4)modules,(10)attachments 17.2 pounds per square foot
-Roof section 2: (19)modules,(31)attachments 26.35 pounds per square foot
vivint, solar
3. Electrical Components:
A. Module (UL 1703 Listed) Qty
Trina TSM 250-PA05.18 23 modules
Module Specs
Pmax-nominal maximum power at STC - 250 watts
Vmp-rated voltage at maximum power - 30.3 volts
Voc-rated open-circuit voltage - 37.6 volts
Imp-rated current at maximum power - 8.27 amps
Ise-rate short circuit current - 8.85 amps
B. Inverter (UL 1741 listed) Qty
Enphase M215-60-21,1_S22 23 inverters
Inverter Specs
1. Input Data (DC in)
Recommended input power(DC) - 260 watts
Max.input DC Voltage - 45 volts
Peak power tracking voltage - 22V-36V
Min./Max. start voltage - 22V/45V
Max.DC short circuit current - 15 amps
Max.input current - 10.5 amps
2. Output Data (AC Out)
Max.output power - 215 watts
Nominal output current - 0.9 amps
Nominal voltage - 240 volts
Max.units per PV circuit - 17 micro-inverters
Max. OCPD rating - 20 amp circuit breaker
C.System Configuration
Number of PV circuits 2
PV circuit 1 - 10 modules/inverters (15)amp breaker
PV circuit 2 - 13 modules/inverters (15)amp breaker
vivint. solar
D. Electrical Calculations
1.PV Circuit current
PV circuit nominal current 9 amps
Continuous current adjustment factor 125% 2011 NEC Ande 705.60(B)
PV circuit continuous current rating 11.25 amps !i
2. Overcutrent protection device rating
PV circuit continuous current rating 11.25 amps
Next standard size fuse/breaker to protect conductors 15 amp breaker
Use 15 amo AC rated fuse or breaker
3. Conductor conditions of use adjustment(conductor ampacity derate)
a.Temperature adder
Average high temperature 38.4°C (101.12°F)
Conduit is installed 1" above the roof surface Add 22°C to ambient 2011 NEC Table 310.15(B)(3)(c)
Adjusted maximum ambient temperature 60.4°C (140.72°F)
b.PV Circuit current adjustment for new ambient temperature
Derate factor for 60.4°C (140.72°F) 71% 2011 NEC Table 310.15(B)(2)(a)
Adjusted PV circuit continuous current 15.8 amps
c.PV Circuit current adjustment for conduit fill
Number of current-caming conductors 6 conductors
Conduit fill derate factor 80% 2011 NEC'1'abk 310.15(B)(3)(a)
Final Adjusted PV circuit continuous current 19.8 amps
Total derated ampacity for PV circuit 19.8 amps
Conductors (tag2 on 1-line)must be rated for a minimum of 19.8 amps
THWN-2(90°C)#14AWG conductor is rated for 25 amps (Use#14AWG or larger) 2011 NEC Table 310.15(B)(16)
4.Voltage drop(keep below 3%total)
2 arts:
1.Voltage drop across longest PV circuit micro-inverters(from modules to j-box)
2.Voltage drop across AC conductors(from j-box to point of interconnection)
1.illirco-inverter voltage drop: - 0.24%
The largest number of micro-inverters in a row in the entire array is 7 inCircua 2.According to
manufacturer's specifications this equals a voltage drop of 0.24%.
2.AC conductor voltage drop:
=I x R x D (240 x 100 to convert to percent)
= (Nominal current of largest circuit)x(Resistance of#14AWG copper)x(Total wire run)
= (Circuit 2 nominal current is 11.7 amps)x(0.00319Q)x(120')-(240 volts)x(100) 1.86%
Total system voltage drop: 2.1%
vivinrt. solar
ZepSolar
Engineering Calculations
3580234 rl
Project Contact Information
Name: Street Address: 7 Laurent Rd
Email: Suite/PO#:
Phone: City, State, Zip: Salem, Massachusetts
01970
Country: United States
System Details
Module Manufacturer: Trina Solar Mounting System Manufacturer: Zep Solar
PV Module Model: TSM-250-PA05.18 Mounting System Type: ZS Comp
Quantity of PV Modules: 4 Roof type: Composition Shingle
Array Size (kW): 1.000 Attachment Type: Comp Mount, Type C
Module-level electronics: Enphase Energy
M215-Z
Zep Solar, Inc.www.zepsolar.com 13580234 rl 1 2014-03-12 16:34 UTC Page 1 of 4
ZepSolar
Engineering Calculations
Design Variables
Description (Symbol) Value Unit
Module Orientation Landscape
Module Weight 44.8 Ibs
Average Roof Height (h) 30.0 ft
Least Horizontal Dimension (Ihd) 32.0 ft
Edge and Corner Dimension "a" 3.2 ft
Roof Slope (0) 32.0 deg
Rafter/Truss spacing 22.0 in
Rafter/Truss dimension Min. nominal
framing member
depth of 4"
Basic Wind Speed (V) 110 mph
Exposure Category B
Ground Snow Load (139) 40 psf
Risk Category II
Topographic Factor (Kn) 1.0
Thermal Factor for Snow Load (Cj 1.2
Exposure Factor for Snow Load (CQ) 0.9
Effective Wind Area 10 ft'
Zep Solar, Inc.www.zepsolar.com 3580234 rl 1 2014-03-12 16:34 UTC page 2 of 4
ZepSolar
Engineering Calculations
Snow Load Calculations
Using calculation procedure of ASCE 7-10 Chapter 7
Description (Symbol) Interior Edge Corner Unit
Flat Roof Snow Load (Pf) 30.2 30.2 30.2 psf
Slope Factor (CJ 0.7 0.7 0.7
Roof Snow Load 20.9 20.9 20.9 psf
Wind Pressure Calculations
Using simplified procedure of ASCE 7-10 Chapter 27
Description (Symbol) Interior Edge Corner Unit
Net Design Wind Pressure uplift (P e,3o ,p) -21.8 -25.5 -25.5 psf
Net Design Wind Pressure downforce (Pet duwn) 19.9 19.9 19.9 psf
Adjustment Factor for Height and Exposure 1.0 1.0 1.0
Category (A)
Design Wind Pressure uplift (W p) -21.8 -25.5 1 -25.5 1 psf
Design Wind Pressure downforce (Wdow ) 1 19.9 19.9 19.9 psf
ASD Load Combinations
Using calculation procedure of ASCE 7-10 Section 2.4
Description (Symbol) Interior Edge Corner Unit
Dead Load (D) 2.5 2.5 2.5 psf
Snow Load (S) 17.7 17.7 17.7 psf
Load Combination 1 (D+0.75*(0.6*Wdow )+0.75*S) 22.4 22.4 22.4 psf
Load Combination 2 (D+0.6*W&w ) 14.1. 14.1 14.1 psf
Load Combination 3 (D+S) 17.2 17.2 17.2 psf
Uplift Design Load (0.6*D+0.6*W,p) -11.8 1 -14.0 -14.0 psf
Maximum Absolute Design Load (Pab) 22.4 22.4 22.4 psf
Zep Solar, Inc. www.zepsolar.com 13580234 rl 1 2014-03-12 16:34 UTC Page 3 of 4
ZepSolar
Engineering Calculations
Spacing Calculations
Description (Symbol) Interior Edge Corner Unit
Max allowable spacing between attachments 72.0 72.0 72.0 in
User selected spacing between attachments given 66.0 66.0 66.0 in
a rafter/truss spacing of 22.0 in
Max cantilever from attachments to perimeter of 24.0 24.0 24.0 in
PV array
Distributed and Point Load Calculations
In conformance with Solar ABC's Expedited Permit Process for PV System (EPP)
Description (Symbol) Value Unit
Weight of Modules 179.2 Ibs
Weight of Mounting System 22.93 Ibs
Total System Weight 202.13 Ibs
Total Array Area 70.45 ft2
Distributed Weight 2.87 psf
Total Number of Attachments 10
Weight per Attachment Point 20.21 psf
Zep Solar, Inc.www.zepsolar.com 13580234 rl 1 2014-03-12 16:34 UTC Page 4 of 4
ZepSolar
Engineering Calculations
3580234 r2
Project Contact Information
Name: Street Address: 7 Laurent Rd
Email: Suite/PO#:
Phone: City, State, Zip: Salem, Massachusetts
01970
Country: United States
System Details
Module Manufacturer: Trina Solar Mounting System Manufacturer: Zep Solar
PV Module Model: TSM-250-PA05.18 Mounting System Type: ZS Comp
Quantity of PV Modules: 19 Roof type: Composition Shingle
Array Size (kW): 4.750 Attachment Type: Comp Mount, Type C
Module-level electronics: Enphase Energy
M215-Z
Zep Solar, Inc. www.zepsolar.com 13580234 r2 1 2014-03-12 16:32 UTC Page 1 of 4
ZepSolar
Engineering Calculations
Design Variables
Description (Symbol) Value Unit
Module Orientation Landscape
Module Weight 44.8 Ibs
Average Roof Height (h) 30.0 ft
Least Horizontal Dimension (Ihd) 32.0 ft
Edge and Corner Dimension "a" 3.2 ft
Roof Slope (8) 32.0 deg
Rafter/Truss spacing 22.0 in
Rafter/Truss dimension Min. nominal
framing member
depth of 4"
Basic Wind Speed (V) 110 mph
Exposure Category B
Ground Snow Load (139) 40 psf
Risk Category II
Topographic Factor (Kn) 1.0
Thermal Factor for Snow Load (C,) 1.2
Exposure Factor for Snow Load (Cj 0.9
Effective Wind Area 10 ft2
Zep Solar, Inc.www.zepsolar.com 13580234 r2 1 2014-03-12 16:32 UTC page 2 of 4
ZepSolar
Engineering Calculations
Snow Load Calculations
Using calculation procedure of ASCE 7-10 Chapter 7
Description (Symbol) Interior Edge Corner Unit
Flat Roof Snow Load (Pf) 30.2 30.2 30.2 psf
Slope Factor (Cs) 0.7 0.7 0.7
Roof Snow Load 20.9 20.9 20.9 psf
Wind Pressure Calculations
Using simplified procedure of ASCE 7-10 Chapter 27
Description (Symbol) Interior Edge Corner Unit
Net Design Wind Pressure uplift (P1e131 up) -21.8 -25.5 -25.5 psf
Net Design Wind Pressure downforce (Pnet3o down) 19.9 19.9 19.9 psf
Adjustment Factor for Height and Exposure 1.0 1.0 1.0
Category (a)
Design Wind Pressure uplift (W,o) -21.8 -25.5 -25.5 psf
Design Wind Pressure downforce (Wdown) 19.9 19.9 19.9 psf
ASD Load Combinations
Using calculation procedure of ASCE 7-10 Section 2.4
Description (Symbol) Interior Edge Corner Unit
Dead Load (D) 2.5 2.5 2.5 psf
Snow Load (5) 17.7 17.7 17.7 psf
Load Combination 1 (D+0.75*(0.6*Wdown)+0.75*S) 22.4 22.4 22.4 psf
Load Combination 2 (D+0.6*Wdown) 14.1 14.1 1 14.1 psf
Load Combination 3 (D+5) 17.2 17.2 17.2 psf
Uplift Design Load (0.6*D+0.6*W,p) -11.8 -14.0 -14.0 psf
Maximum Absolute Design Load (Pabs) 22.4 22.4 22.4 psf
Zep Solar, Inc. www.zepsolar.com 13580234 r2 1 2014-03-12 16:32 UTC Page 3 of 4
ZepSolar
Engineering Calculations
Spacing Calculations
Description (Symbol) Interior Edge Corner Unit
Max allowable spacing between attachments 72.0 72.0 72.0 in
User selected spacing between attachments given 66.0 66.0 66.0 in
a rafter/truss spacing of 22.0 in
Max cantilever from attachments to perimeter of 24.0 24.0 24.0 in
PV array
Distributed and Point Load Calculations
In conformance with Solar ABC's Expedited Permit Process for PV System (EPP)
Description (Symbol) Value Unit
Weight of Modules 851.2 Ibs
Weight of Mounting System 71.3 Ibs
Total System Weight 922.5 Ibs
Total Array Area 334.65 ft2
Distributed Weight 2.76 psf
Total Number of Attachments 31
Weight per Attachment Point 29.76 psf
Zep Solar, Inc.www.zepsolar.com 13580234 r2 1 2014-03-12 16:32 UTC Page 4 of 4